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公开(公告)号:US20230114983A1
公开(公告)日:2023-04-13
申请号:US18064716
申请日:2022-12-12
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Lester O. Stener , Allan Roland Kilgore , Paul Schadt
Abstract: An active return curve deflectable catheter includes an elongate catheter body, a fixation member, a deflection assembly, and a pull wire. The fixation member is coupled to a distal portion of the elongate catheter body. The deflection assembly includes a hub coupled to a proximal end of the elongate catheter body, a handle, and a control member. The pull wire extends from the control member through the hub assembly to the fixation member. The elongate catheter body is configured to deflect from an initial configuration to a deflected configuration in response to a pull force applied to the pull wire by actuation of the control member in a first direction.
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公开(公告)号:US11523782B2
公开(公告)日:2022-12-13
申请号:US15978702
申请日:2018-05-14
Applicant: Medtronic, Inc.
Inventor: Ryan P. Lahm , Ronald Alan Drake , Eric A. Schilling , Brian W. Schousek , Mark W. Shepler , Lester O. Stener
IPC: A61B6/12 , G06T7/73 , A61B6/00 , G16H50/50 , G16H20/40 , A61B5/06 , G06T7/00 , G16H30/20 , G16H30/40 , A61B5/0215 , A61B5/00
Abstract: A high contrast instrument, such as a radiopaque portion, can be captured and/or viewed in an image that is acquired with an imaging system, such as with a fluoroscopic imaging system. A statistical model can be used to assist in identifying a possible or probable location of a target. A user may move the instrument coil to the statistically probable location of the target to, for example, perform a procedure or carry out a task.
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公开(公告)号:US11207504B2
公开(公告)日:2021-12-28
申请号:US15873153
申请日:2018-01-17
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Matthew D. Bonner , Trent M. Fischer , Carla Pfeiffer , Brian P. Colin , Lester O. Stener
Abstract: The present disclosure is directed to a shuttle apparatus for detachably joining a catheter to a guidewire so that the joined catheter, extending alongside the guidewire, is in sliding engagement with the guidewire without extending around the guidewire. The apparatus comprises a collar member sized for mounting in sliding engagement around a length of the guidewire, the collar member having a longitudinal axis that approximately aligns along the length, when mounted thereabout, the length being defined between a proximal-most point of the guidewire and a distal point of the guidewire, the distal point being offset proximally from a distal-most point of the guidewire. The apparatus further comprises a plug member coupled to the collar member, the plug member having a longitudinal axis, and the plug member being sized to fit within an opening of the catheter for detachable engagement therewith.
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公开(公告)号:US11090081B2
公开(公告)日:2021-08-17
申请号:US16362740
申请日:2019-03-25
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Lester O. Stener , John A. Lange , Mitchell R. Maciver
Abstract: A detachable handle assembly for a tool, the tool for creating a sub-sternal tunnel in a patient. The handle assembly includes a lock-and-release mechanism by which the tunneling assembly is attached to the handle, the mechanism being operable to detach the handle from the tunneling assembly. The handle assembly also may include a knob that interlocks with the tunneling assembly, the knob being configured for engagement by fingers of an adult hand to apply a force to rotate a boring tip of the tunneling assembly.
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公开(公告)号:US10695089B2
公开(公告)日:2020-06-30
申请号:US15204579
申请日:2016-07-07
Applicant: Medtronic, Inc.
Inventor: Andrzej M. Malewicz , Ronald A. Drake , Keith D. Anderson , Roger A. Christopherson , Andrea J. Asleson , Trent M. Fischer , Lester O. Stener
Abstract: This disclosure provides tools and implant techniques utilizing such tools to gain access to and implant a medical device, such as a medical electrical lead, within extravascular spaces. In one example, this disclosure provides a tool for creating a sub-sternal tunnel in a patient. The tool comprises a relatively straight guide member extending from a first end thereof to a second end thereof, a tunneling member extending from a first end thereof to a tip thereof, the tunneling member extending alongside and coplanar with the guide member, the first end of the tunneling member and the first end of the guide member being joined together, and a handle coupled to the guide member.
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16.
公开(公告)号:US20180168687A1
公开(公告)日:2018-06-21
申请号:US15387224
申请日:2016-12-21
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Matthew D. Bonner , Trent M. Fischer , Brian P. Colin , Lester O. Stener
Abstract: An apparatus for forming a passageway through tissue includes a dilator mounted to a shaft, wherein the dilator includes a first portion, which has an increasing taper from a first outer diameter to a larger second outer diameter, and a second portion, which has a decreasing taper from the first portion to a distal end of the dilator, and which includes an external non-cutting thread formed along the decreasing taper. Lumens of the dilator and shaft provide a conduit for means to pierce through the tissue, for example, an elongate wire that includes a piercing tip. In some cases, the dilator first portion is expandable to, and contractible from, the larger second outer diameter, wherein the apparatus may include a spreading member configured to slide between the shaft and the first portion. The apparatus may be included in a system with an introducer sheath.
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公开(公告)号:US11844547B2
公开(公告)日:2023-12-19
申请号:US16901841
申请日:2020-06-15
Applicant: Medtronic, Inc.
Inventor: Andrzej M. Malewicz , Ronald A. Drake , Keith D. Anderson , Roger A. Christopherson , Andrea J. Asleson , Trent M. Fischer , Lester O. Stener
CPC classification number: A61B17/3468 , A61B17/32 , A61B17/3415 , A61N1/0563 , A61B2017/00243 , A61B2017/00424 , A61B2017/320044 , A61B2017/320052 , A61B2017/320056 , A61B2090/0811 , A61N1/05 , A61N1/0504 , A61N1/372
Abstract: This disclosure provides tools and implant techniques utilizing such tools to gain access to and implant a medical device, such as a medical electrical lead, within extravascular spaces. In one example, this disclosure provides a tool for creating a sub-sternal tunnel in a patient. The tool comprises a relatively straight guide member extending from a first end thereof to a second end thereof, a tunneling member extending from a first end thereof to a tip thereof, the tunneling member extending alongside and coplanar with the guide member, the first end of the tunneling member and the first end of the guide member being joined together, and a handle coupled to the guide member.
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18.
公开(公告)号:US11617600B2
公开(公告)日:2023-04-04
申请号:US16655898
申请日:2019-10-17
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Matthew D. Bonner , Trent M. Fischer , Brian P. Colin , Lester O. Stener
Abstract: An apparatus for forming a passageway through tissue includes a dilator mounted to a shaft, wherein the dilator includes a first portion, which has an increasing taper from a first outer diameter to a larger second outer diameter, and a second portion, which has a decreasing taper from the first portion to a distal end of the dilator, and which includes an external non-cutting thread formed along the decreasing taper. Lumens of the dilator and shaft provide a conduit for means to pierce through the tissue, for example, an elongate wire that includes a piercing tip. In some cases, the dilator first portion is expandable to, and contractible from, the larger second outer diameter, wherein the apparatus may include a spreading member configured to slide between the shaft and the first portion. The apparatus may be included in a system with an introducer sheath.
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公开(公告)号:US11524143B2
公开(公告)日:2022-12-13
申请号:US16918192
申请日:2020-07-01
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Lester O. Stener , Allan Roland Kilgore , Paul Schadt
Abstract: A deflectable catheter includes an elongate member having a wall defining a longitudinally extending lumen extending from a proximal end to a distal end, a fixation member coupled to an exterior surface of the wall on a distal portion of the elongate member, and a pull wire extending through the wall of the elongate member from the proximal end of the elongate member to the fixation member. The pull wire is coupled to the fixation member and constrained along its length such that the elongate member is configured to deflect from an initial configuration to a deflected configuration in response to a pull force applied to the pull wire and actively return from the deflected configuration to the initial configuration in response to a push force applied to the pull wire.
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20.
公开(公告)号:US11083491B2
公开(公告)日:2021-08-10
申请号:US14962485
申请日:2015-12-08
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Kevin R. Seifert , Lester O. Stener , Amy E. Thompson-Nauman
Abstract: Extravascular implant tools that utilize a bore-in mechanism to safely access extravascular locations and implant techniques utilizing these tools are described. The bore-in mechanism may include a handle and a helix extending from the handle. The bore-in mechanism is used, for example, in conjunction with a tunneling tool to traverse the diaphragmatic attachments to access a substernal location. The tunneling tool may be an open channel tunneling tool or a conventional tunneling tool (e.g., metal rod).
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