公开(公告)号：US09861426B2

公开(公告)日：2018-01-09

申请号：US13969600

申请日：2013-08-18

申请人： Acessa Health Inc.

发明人： Gordon Epstein ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

IPC分类号： A61B18/14 ,  A61B18/18 ,  A61B17/34 ,  A61B18/00

CPC分类号： A61B18/14 ,  A61B17/3421 ,  A61B18/1477 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/3454 ,  A61B2018/00214 ,  A61B2018/00273 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00738 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/0094 ,  A61B2018/1405 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2018/1869

摘要： The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen and a cannula axis. A plurality of conductors contained within the lumen, each having a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled to the distal end of a respective conductor, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula. A deflection surface positioned between the trocar point and the proximal end of the cannula, the deflection surface being configured and positioned to deflect at least some of the stylets laterally with respect to the cannula axis in different directions defining an ablation volume.

公开(公告)号：US09814522B2

公开(公告)日：2017-11-14

申请号：US13081363

申请日：2011-04-06

申请人： Michael J. Drews ,  Bryan Wylie ,  Leslie Oley ,  Vahid Saadat

发明人： Michael J. Drews ,  Bryan Wylie ,  Leslie Oley ,  Vahid Saadat

IPC分类号： A61B18/14 ,  A61B18/00 ,  A61B18/08 ,  A61B90/00

CPC分类号： A61B18/1492 ,  A61B18/082 ,  A61B2018/00273 ,  A61B2018/00351 ,  A61B2018/00375 ,  A61B2018/0038 ,  A61B2018/00577 ,  A61B2018/00982 ,  A61B2018/1472 ,  A61B2018/1475 ,  A61B2090/0436 ,  A61B2090/0481 ,  A61B2218/002

摘要： Apparatus and methods for ablation efficacy are described herein where a hood having a deployable elongated feature can extend beyond a distal face of the hood. The elongated feature can channel the energy to the deeper regions within the tissue (such as trabeculated regions or other tissue structures) such that the energy can be delivered to the target tissue despite small or large irregularities in the target tissue surface (or region) and/or changes in the relative distances between the hood and the target tissue.

公开(公告)号：US09763663B2

公开(公告)日：2017-09-19

申请号：US14419097

申请日：2013-08-21

申请人： Aesculap AG

发明人： Dieter Weisshaupt ,  Pedro Morales ,  Christoph Rothweiler

IPC分类号： A61B18/14 ,  A61B17/11 ,  A61B18/08 ,  A61B18/00

CPC分类号： A61B17/11 ,  A61B18/082 ,  A61B18/1442 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1121 ,  A61B2017/1125 ,  A61B2017/1132 ,  A61B2018/00196 ,  A61B2018/00273 ,  A61B2018/00619

摘要： An electrosurgical instrument for making an end-to-end anastomosis between two hollow organ sections includes two tools movable relative to each other and each including an HF electrode by which the hollow organ sections can be fusion-welded to each other. The two tools are substantially sleeve-shaped or can at least be brought into sleeve shape so that a first tool can enclose a first hollow organ section and a second tool can enclose a second hollow organ section. Each of the electrodes is formed on an end face of each sleeve-shaped tool around which the respective hollow organ section can be everted inside out, and the two tools are movable relative to each other so that the electrodes are aligned and can clamp the everted hollow organ sections therebetween.

公开(公告)号：US09724168B2

公开(公告)日：2017-08-08

申请号：US15340660

申请日：2016-11-01

申请人： Bio-Medical Engineering (HK) Limited

发明人： Chung Kwong Yeung

IPC分类号： A61B34/30 ,  A61B17/34 ,  A61B34/37 ,  A61B34/00 ,  A61B90/00 ,  A61B1/00 ,  A61B1/05 ,  A61B1/313 ,  A61B17/00 ,  A61B90/30

CPC分类号： A61B18/1485 ,  A61B1/00087 ,  A61B1/00147 ,  A61B1/05 ,  A61B1/303 ,  A61B1/31 ,  A61B1/3132 ,  A61B17/0218 ,  A61B17/3421 ,  A61B18/1402 ,  A61B18/1442 ,  A61B18/1482 ,  A61B18/1487 ,  A61B34/30 ,  A61B34/37 ,  A61B34/76 ,  A61B90/361 ,  A61B2017/00283 ,  A61B2017/00314 ,  A61B2017/00318 ,  A61B2017/00327 ,  A61B2017/2906 ,  A61B2017/3445 ,  A61B2017/345 ,  A61B2017/346 ,  A61B2018/00273 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/00648 ,  A61B2018/00654 ,  A61B2018/00916 ,  A61B2018/00958 ,  A61B2018/0212 ,  A61B2034/302 ,  A61B2034/305 ,  A61B2034/306 ,  A61B2090/309 ,  A61B2090/3612 ,  A61B2090/371 ,  Y10S901/02 ,  Y10S901/27

摘要： Example embodiments relate to surgical systems comprising an end-effector assembly and arm assembly. The end-effector assembly may include a first instrument assembly having a first instrument and first instrument driven portion configurable to be driven to move the first instrument relative to a first axis. The arm assembly may include first and second arm assembly bodies, first arm assembly joint portion for joining the first and second arm assembly bodies, first instrument drive assembly, and first arm assembly drive assembly. The first instrument drive assembly may include a first integrated motor and first instrument drive portion controllable by the first integrated motor to drive the first instrument driven portion. The first arm assembly drive assembly may include a second integrated motor and first arm assembly drive portion controllable by the second integrated motor to drive the first arm assembly body to move relative to the second arm assembly body.

公开(公告)号：US09675336B2

公开(公告)日：2017-06-13

申请号：US14143951

申请日：2013-12-30

申请人： Pivot Medical, Inc.

发明人： Thomas Weisel ,  Geoff Willis ,  James Flom ,  Hanson S. Gifford ,  Mark Deem ,  Darin Gittings ,  Lynette Ross ,  Dwayne Dupree ,  Matthew Frushell

IPC分类号： A61B17/02 ,  A61B34/00 ,  A61B1/32 ,  A61B17/34 ,  A61B17/00 ,  A61B17/04 ,  A61B17/32 ,  A61B18/00

CPC分类号： A61B17/025 ,  A61B17/0218 ,  A61B17/3417 ,  A61B34/73 ,  A61B2017/00637 ,  A61B2017/0225 ,  A61B2017/0275 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/320048 ,  A61B2017/3488 ,  A61B2018/00273 ,  A61B2018/00279

摘要： Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.

公开(公告)号：US09655666B2

公开(公告)日：2017-05-23

申请号：US12915327

申请日：2010-10-29

申请人： H. Toby Markowitz ,  Amy E. Thompson-Nauman

发明人： H. Toby Markowitz ,  Amy E. Thompson-Nauman

IPC分类号： A61B18/14 ,  A61B18/02 ,  A61B5/042 ,  A61B18/00 ,  A61M25/04 ,  A61B90/00

CPC分类号： A61B18/02 ,  A61B5/042 ,  A61B18/1492 ,  A61B2018/00023 ,  A61B2018/00214 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00755 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2090/0811 ,  A61M25/04

摘要： A method of treating cardiac tissue is provided, including positioning a first chamber of a medical device adjacent an atrial wall; directing a cryogenic coolant into the first chamber; anchoring the first chamber to the atrial wall through cryoadhesion; directing a distal portion of the medical device into the coronary sinus; and positioning a cardiac lead through at least a portion of the coronary sinus with the distal portion. The method may include measuring a temperature of the first chamber; removing the first chamber from the atrial wall once a predetermined threshold temperature of the first chamber is reached; anchoring a second chamber of the medical device to a portion of the coronary sinus; and/or perfusing blood flow through at least a portion of the second chamber.

公开(公告)号：US20170128039A1

公开(公告)日：2017-05-11

申请号：US15409111

申请日：2017-01-18

申请人： Biosense Webster (Israel) Ltd.

发明人： Jonathan Reuben Waldstreicher ,  William Sanford Krimsky ,  Yitzhack Schwartz ,  Avi Shalgi ,  Meir Bar-Tal ,  Matityahu Amit ,  Gal Hayam ,  Refael Itah ,  Robert D. Ainsworth

IPC分类号： A61B8/12 ,  A61B8/00 ,  A61B18/14 ,  A61B10/02 ,  A61B10/04 ,  A61B8/08 ,  A61B5/06

CPC分类号： A61B8/12 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/063 ,  A61B5/4836 ,  A61B5/6853 ,  A61B8/08 ,  A61B8/0841 ,  A61B8/4254 ,  A61B8/4263 ,  A61B8/445 ,  A61B8/463 ,  A61B10/0233 ,  A61B10/04 ,  A61B18/1477 ,  A61B18/1492 ,  A61B2010/045 ,  A61B2017/0065 ,  A61B2017/00809 ,  A61B2017/3488 ,  A61B2018/00011 ,  A61B2018/00273 ,  A61B2018/00285 ,  A61B2018/00541 ,  A61B2018/00839 ,  A61B2018/00988 ,  A61B2018/1475 ,  A61B2034/2051 ,  A61B2090/3784 ,  A61B2090/3908 ,  A61M25/0082 ,  A61M25/04 ,  A61M2025/1052

摘要： An endobronchial probe includes a deflector having a bore extending therethrough at an angle to its long axis for passage of a tool. The probe includes a location sensor and an ultra-sound imager. A push-pull anchoring system comprises a plurality of guides and wires that can extend beyond the guides and retract within the guides. When extended the wires diverge from the long axis sufficiently to engage a bronchus. The probe includes a balloon disposed on the distal segment contralateral to bore that when inflated urges the mouth of the bore into contact with the bronchial wall.

公开(公告)号：US09492231B2

公开(公告)日：2016-11-15

申请号：US13384133

申请日：2010-07-09

申请人： Brian Cisel ,  Harley Michael Willey ,  Arash Tom Salamat ,  Arnold Ochoa ,  Robert Alan Hasty ,  Mike Wilkinson

发明人： Brian Cisel ,  Harley Michael Willey ,  Arash Tom Salamat ,  Arnold Ochoa ,  Robert Alan Hasty ,  Mike Wilkinson

IPC分类号： A61B18/18 ,  A61N5/06 ,  A61B18/22 ,  A61B18/00 ,  A61B18/20

CPC分类号： A61B18/22 ,  A61B18/20 ,  A61B18/203 ,  A61B2018/00208 ,  A61B2018/00273 ,  A61B2018/00452 ,  A61B2018/00517 ,  A61B2018/1861 ,  A61N5/0601 ,  A61N5/062 ,  A61N2005/0652

摘要： Laser surgery devices and methods of performing laser surgery using laser surgery devices are described. The laser surgery device may rotate a laser fiber along a longitudinal axis of the laser fiber in a repeating pattern through a user-specified rotational pattern. The laser surgery device may be optionally attached to a surgical device to implement hands-free operation of the laser surgery device.

摘要翻译： 描述了使用激光手术装置进行激光手术的激光手术装置和方法。 激光手术装置可以通过用户指定的旋转图案沿着激光光纤的纵向轴线以重复图案旋转激光光纤。 激光手术装置可以可选地附接到手术装置以实现激光手术装置的免提操作。

公开(公告)号：US09480820B2

公开(公告)日：2016-11-01

申请号：US13756239

申请日：2013-01-31

申请人： HANSEN MEDICAL, INC.

发明人： Alex S. Goldenberg ,  Randall L. Schlesinger ,  Eric A. Schultheis

IPC分类号： A61M25/01 ,  A61B5/00 ,  A61B17/29 ,  A61B1/005 ,  A61B5/01 ,  A61B5/04 ,  A61B10/06 ,  A61B18/14 ,  A61B18/00 ,  A61B17/00

CPC分类号： A61M25/0105 ,  A61B1/005 ,  A61B5/01 ,  A61B5/04 ,  A61B5/6885 ,  A61B10/06 ,  A61B17/29 ,  A61B18/1492 ,  A61B2017/00477 ,  A61B2017/2902 ,  A61B2018/00273 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00815 ,  A61B2018/00839 ,  A61B2034/301 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2218/002

摘要： A medical system comprises a medical probe including an elongated probe body, a lumen extending within the probe body, an axially flexible section, and a push-pull member slidably disposed within the lumen. The system comprises a ditherer mechanically coupled to the member for cyclically displacing it axially back and forth within the lumen, such that the ends of the probe body are axially displaced relative to each other via the axially flexible section. The system further comprises a sensor for sensing a force axially applied to the distal end of the probe body. A method comprises introducing a medical probe into a patient, axially dithering the distal end of the medical probe back and forth relative to the proximal end of the medical probe, and sensing a force applied between tissue of the patient and the distal end of the medical probe while the distal end is axially dithered.

公开(公告)号：US09445864B2

公开(公告)日：2016-09-20

申请号：US14740514

申请日：2015-06-16

申请人： AtriCure, Inc.

发明人： Dwight P. Morejohn ,  Tamer Ibrahim ,  Michael J. Banchieri ,  Ara M. Stephanian

IPC分类号： A61B18/18 ,  A61B18/14 ,  A61B18/20 ,  A61B18/02 ,  A61B18/06 ,  A61B18/08 ,  A61B18/12 ,  A61B18/00 ,  A61N7/02

CPC分类号： A61B18/1442 ,  A61B18/0206 ,  A61B18/06 ,  A61B18/085 ,  A61B18/1206 ,  A61B18/1815 ,  A61B18/20 ,  A61B2018/00023 ,  A61B2018/00273 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/0225 ,  A61B2018/145 ,  A61N7/02

摘要： Tissue treatment systems include an actuator handle assembly coupled with a clamp assembly having a first jaw mechanism and a second jaw mechanism. A first jaw mechanism includes a first flexible boot, a first flexible ablation member coupled with the first flexible boot, and a first rotatable jawbone disposed within the first flexible boot. A second jaw mechanism comprises a second flexible boot, a second flexible ablation member coupled with the second flexible boot, and a second rotatable jawbone disposed within the second flexible boot.