公开(公告)号：US20120027872A1

公开(公告)日：2012-02-02

申请号：US13174049

申请日：2011-06-30

申请人： Stevan Nielsen ,  Bodo Quint ,  Randolf Von Oepen ,  Kenneth J. Michlitsch ,  Gerd Seibold ,  Tommy Conzelmann ,  Ib Erling Joergensen

发明人： Stevan Nielsen ,  Bodo Quint ,  Randolf Von Oepen ,  Kenneth J. Michlitsch ,  Gerd Seibold ,  Tommy Conzelmann ,  Ib Erling Joergensen

IPC分类号： A61K38/39 ,  A61P17/02 ,  C07K14/78 ,  C01G3/10 ,  A61K33/00 ,  A61K33/34

CPC分类号： A61B17/00491 ,  A61B17/0057 ,  A61B2017/00654 ,  A61B2017/0472

摘要： Apparatus is provided for sealing a vascular puncture by causing a reduction in the circumference of the puncture tract through delivery of a closure agent into tissue surrounding the puncture tract. A resultant inflammatory response and volumetric increase cause the tissue to swell into the puncture tract, thereby sealing it.

摘要翻译： 提供了用于通过将封闭剂递送到穿刺道周围的组织中引起穿刺道周围的减少来密封血管穿刺的装置。 产生的炎症反应和体积增加导致组织溶胀到穿刺道中，从而将其密封。

公开(公告)号：US20080172083A1

公开(公告)日：2008-07-17

申请号：US11953816

申请日：2007-12-10

申请人： Ib Erling Joergensen ,  Gerd Seibold ,  Bodo Stefan Josef Quint ,  Kenneth J. Michlitsch ,  Martina Stueven ,  Randolf von Oepen

发明人： Ib Erling Joergensen ,  Gerd Seibold ,  Bodo Stefan Josef Quint ,  Kenneth J. Michlitsch ,  Martina Stueven ,  Randolf von Oepen

IPC分类号： A61M29/00

CPC分类号： A61M25/104 ,  A61F2/013 ,  A61F2002/018 ,  A61F2230/0006 ,  A61F2230/0069

摘要： Apparatus and methods for providing distal protection during a medical procedure that include a vascular filter having a self-expanding, porous foam body that conformably seals against a vessel wall and captures emboli within one or more recesses. The filter is coupled to a distal region of an elongated member, such as a guide wire. Delivery systems for use with filters of the present invention and methods of using the apparatus of the present invention also are provided.

摘要翻译： 在医疗过程中提供远端保护的装置和方法，其包括血管过滤器，所述血管过滤器具有自膨胀多孔泡沫体，所述自扩张多孔泡沫体适形地密封血管壁并在一个或多个凹部内捕获栓塞。 过滤器联接到诸如导丝的细长构件的远侧区域。 还提供了与本发明的过滤器一起使用的输送系统和使用本发明的装置的方法。

公开(公告)号：US09591879B2

公开(公告)日：2017-03-14

申请号：US13168618

申请日：2011-06-24

申请人： Kenneth J. Michlitsch ,  Jane P. Bearinger

发明人： Kenneth J. Michlitsch ,  Jane P. Bearinger

IPC分类号： A61F11/06 ,  A41D13/05 ,  A61F11/14 ,  A45D44/12

CPC分类号： A41D13/05 ,  A45D44/12 ,  A61F11/14

摘要： Methods and apparatus are provided for protecting the external ear from the elements, heat, cold, wind, rain and/or snow. In some embodiments, an ear protector comprises a conforming anchor with an opening through which the external ear may be passed. The ear protector further comprises an insulating outer covering that, in combination with the anchor, forms the ear protector with a chamber positioned between the outer covering and the anchor. During use, the chamber is configured to receive the external ear, with the anchor's opening conformably positioned in proximity to at least a portion of the ear's root. The perimeter of the conforming anchor's opening resiliently deforms during passage of the external ear through the opening and into the chamber, and then conforms to the geometry of at least a portion of the ear root in order to securely and comfortably maintain the ear protector in position over the external ear without additional external support. The conforming anchor preferably is fabricated from a closed cell foamed elastomer.

摘要翻译： 提供了用于保护外耳免受元件，热，冷，风，雨和/或雪的方法和装置。 在一些实施例中，耳朵保护器包括具有外耳道可穿过的开口的一致的锚。 耳朵保护器还包括绝缘外覆盖物，其与锚固件组合形成具有定位在外覆盖物和锚固件之间的腔室的护耳器。 在使用期间，腔室被构造成接收外耳，其中锚的开口顺应地定位在耳朵根部的至少一部分附近。 在外耳道通过开口并进入腔室时，适形锚的开口的周边弹性变形，然后符合耳根的至少一部分的几何形状，以便牢固和舒适地将耳朵保护器保持在适当位置 无需外部支持。 优选地，适形锚固件由闭孔发泡弹性体制成。

公开(公告)号：US08425553B2

公开(公告)日：2013-04-23

申请号：US13615551

申请日：2012-09-13

申请人： Kenneth J. Michlitsch

发明人： Kenneth J. Michlitsch

IPC分类号： A61B17/08

CPC分类号： A61B17/0057 ,  A61B17/00491 ,  A61B2017/00637 ,  A61B2017/00654 ,  A61B2017/00659 ,  A61B2017/00672

摘要： The apparatus is provided for sealing a vascular puncture tract by forming the autologous plug within the puncture tract, and extruding that plug into the puncture tract. The apparatus of the present invention forms an autologous blood plug by drawing blood into the apparatus from a vessel, mixing a blood congealing agent with the drawn blood, and ejecting a plug formed from the clotted blood within the puncture tract. Also provided are various closure elements to isolate the drawn blood from the vessel during mixture with the blood congealing agent, and to facilitate placement of the apparatus relative to the vessel.

摘要翻译： 该装置用于通过在穿刺管内形成自体塞子并将该塞子挤压到穿刺管中来密封血管穿刺道。 本发明的装置通过从血管中将血液吸入装置，将血液凝固剂与抽取的血液混合，并在穿刺管内喷出由凝血血液形成的塞子，形成自体血栓。 还提供了各种封闭元件，以在与血液凝结剂混合期间将抽取的血液与血管隔离，并且便于相对于血管的装置放置。

公开(公告)号：US08398630B2

公开(公告)日：2013-03-19

申请号：US13620173

申请日：2012-09-14

申请人： Denise Demarais ,  Hanson Gifford, III ,  Mark Deem ,  Nicolas Zadno ,  Benjamin J. Clark ,  Andrew Wu ,  Kenneth J. Michlitsch

发明人： Denise Demarais ,  Hanson Gifford, III ,  Mark Deem ,  Nicolas Zadno ,  Benjamin J. Clark ,  Andrew Wu ,  Kenneth J. Michlitsch

IPC分类号： A61B18/12

摘要： Methods and apparatus are provided for non-continuous circumferential treatment of a body lumen. Apparatus may be positioned within a body lumen of a patient and may deliver energy at a first lengthwise and angular position to create a less-than-full circumferential treatment zone at the first position. The apparatus also may deliver energy at one or more additional lengthwise and angular positions within the body lumen to create less-than-full circumferential treatment zone(s) at the one or more additional positions that are offset lengthwise and angularly from the first treatment zone. Superimposition of the first treatment zone and the one or more additional treatment zones defines a non-continuous circumferential treatment zone without formation of a continuous circumferential lesion. Various embodiments of methods and apparatus for achieving such non-continuous circumferential treatment are provided.

公开(公告)号：US08323311B2

公开(公告)日：2012-12-04

申请号：US12853139

申请日：2010-08-09

申请人： Kenneth J. Michlitsch

发明人： Kenneth J. Michlitsch

IPC分类号： A61B17/08

CPC分类号： A61B17/0057 ,  A61B17/00491 ,  A61B2017/00637 ,  A61B2017/00654 ,  A61B2017/00659 ,  A61B2017/00672

摘要： The apparatus is provided for sealing a vascular puncture tract by forming the autologous plug within the puncture tract, and extruding that plug into the puncture tract. The apparatus of the present invention forms an autologous blood plug by drawing blood into the apparatus from a vessel, mixing a blood congealing agent with the drawn blood, and ejecting a plug formed from the clotted blood within the puncture tract. Also provided are various closure elements to isolate the drawn blood from the vessel during mixture with the blood congealing agent, and to facilitate placement of the apparatus relative to the vessel.

摘要翻译： 该装置用于通过在穿刺管内形成自体塞子并将该塞子挤压到穿刺管中来密封血管穿刺道。 本发明的装置通过从血管中将血液吸入装置，将血液凝固剂与抽取的血液混合，并在穿刺管内喷出由凝血血液形成的塞子，形成自体血栓。 还提供了各种封闭元件，以在与血液凝结剂混合期间将抽取的血液与血管隔离，并且便于相对于血管的装置放置。

公开(公告)号：US20120165924A1

公开(公告)日：2012-06-28

申请号：US13366540

申请日：2012-02-06

申请人： Jan Otto Solem ,  Per-Ola Kimblad ,  Randolf von Oepen ,  Bodo Quint ,  Gerd Seibold ,  Kenneth J. Michlitsch ,  Suk-Woo Ha ,  Karl-Ludwig Eckert ,  Ib Joergensen ,  Stevan Nielsen

发明人： Jan Otto Solem ,  Per-Ola Kimblad ,  Randolf von Oepen ,  Bodo Quint ,  Gerd Seibold ,  Kenneth J. Michlitsch ,  Suk-Woo Ha ,  Karl-Ludwig Eckert ,  Ib Joergensen ,  Stevan Nielsen

IPC分类号： A61F2/24

CPC分类号： A61F2/2451 ,  A61F2/07 ,  A61F2/88 ,  A61F2/90 ,  A61F2/91 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/8483 ,  A61F2210/0004

摘要： A device for treatment of mitral annulus dilation is disclosed, wherein the device comprises two states. In a first of these states the device is insertable into the coronary sinus and has a shape of the coronary sinus. When positioned in the coronary sinus, the device is transferable to the second state assuming a reduced radius of curvature, whereby the radius of curvature of the coronary sinus and the radius of curvature as well as the circumference of the mitral annulus is reduced.

摘要翻译： 公开了一种用于治疗二尖瓣环扩张的装置，其中该装置包括两种状态。 在这些状态中的第一个状态下，该装置可插入冠状窦并具有冠状窦的形状。 当定位在冠状窦中时，假设曲率半径减小，装置可转移到第二状态，由此降低冠状窦的曲率半径和曲率半径以及二尖瓣环的圆周。

公开(公告)号：US08118833B2

公开(公告)日：2012-02-21

申请号：US10523166

申请日：2003-07-25

申请人： Gerd Seibold ,  Kenneth J. Michlitsch ,  Randolf Von Oepen ,  Bodo Quint ,  Ib Erling Joergensen ,  Stevan Nielsen ,  Tommy Conzelmann

发明人： Gerd Seibold ,  Kenneth J. Michlitsch ,  Randolf Von Oepen ,  Bodo Quint ,  Ib Erling Joergensen ,  Stevan Nielsen ,  Tommy Conzelmann

IPC分类号： A61B17/08

CPC分类号： A61B17/0057 ,  A61B17/0643 ,  A61B2017/00004 ,  A61B2017/00477 ,  A61B2017/00659

摘要： Apparatus is provided for sealing a puncture within a vessel or tissue to provide hemostasis, comprising a first disk coupled to either a second disk or a spring, and sealingly engaged to the vessel or tissue surrounding the puncture. At least the first disk is preferably configured to substantially conform to the profile of the vessel or tissue when deployed. In one embodiment, the disks may be released from engagement with the vessel or tissue to reposition the disks after deployment.

摘要翻译： 提供了用于密封容器或组织内的穿刺以提供止血的装置，包括联接到第二盘或弹簧的第一盘，并密封地接合到围绕穿刺的容器或组织。 至少第一盘优选地构造成在展开时基本上符合血管或组织的轮廓。 在一个实施例中，盘可以从与血管或组织的接合中释放，以在部署之后重新定位椎间盘。

公开(公告)号：US08075616B2

公开(公告)日：2011-12-13

申请号：US10500188

申请日：2002-12-20

申请人： Jan Otto Solem ,  Per Ola Kimblad ,  Randolf von Oepen ,  Bodo Quint ,  Gerd Seibold ,  Kenneth J. Michlitsch ,  Suk-Woo Ha ,  Karl-Ludwig Eckert ,  Ib Joergensen ,  Stevan Nielsen

发明人： Jan Otto Solem ,  Per Ola Kimblad ,  Randolf von Oepen ,  Bodo Quint ,  Gerd Seibold ,  Kenneth J. Michlitsch ,  Suk-Woo Ha ,  Karl-Ludwig Eckert ,  Ib Joergensen ,  Stevan Nielsen

IPC分类号： A61F2/24

CPC分类号： A61F2/2451 ,  A61F2/07 ,  A61F2/2481 ,  A61F2/26 ,  A61F2002/043 ,  A61F2002/072 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/8483 ,  A61F2210/0004

摘要： A device for reshaping a cardiac valve (26), which is elongate and has such dimensions as to be insertable into a cardiac vessel (24). The device has two states, in a first state (K) of which the device has a shape that is adaptable to the shape of the vessel (24), and to the second state (k′) of which the device is transferable from said first state (K). Further, the device comprises a fixing means (22,23;22a,23a) for fixing the ends of the device within the vessel (24), when the device is first positioned therein, a shape-changing member (20;20a) for transferring the device to the second state (K′) by reshaping it, and a delay means (21;21a) for delaying said reshaping until the fixing of the ends of the device has been reinforced by keeping said device in said first state (K) until the delay means (21;21a) is resorbed.

摘要翻译： 一种用于整形心脏瓣膜（26）的装置，其是细长的并且具有可插入心脏容器（24）的尺寸。 该装置具有两种状态，其处于第一状态（K），其装置具有适应于容器（24）的形状的形状，以及第二状态（k'），其中装置可从所述第二状态 第一个状态（K）。 此外，该装置包括固定装置（22,23; 22a，23a），用于当装置首先定位在容器（24）内时将装置的端部固定，形状改变构件（20; 20a） 通过重新形成将装置转移到第二状态（K'），以及用于延迟所述重新成形的延迟装置（21; 21a），直到通过将所述装置保持在所述第一状态（K ），直到延迟装置（21; 21a）被再吸收。

公开(公告)号：US20110200171A1

公开(公告)日：2011-08-18

申请号：US13009748

申请日：2011-01-19

申请人： Robert J. Beetel ,  Neil C. Barman ,  Benjamin J. Clark ,  Paul Friedrichs ,  Kenneth J. Michlitsch ,  Karun D. Naga ,  Andrew Wu ,  Denise Zarins

发明人： Robert J. Beetel ,  Neil C. Barman ,  Benjamin J. Clark ,  Paul Friedrichs ,  Kenneth J. Michlitsch ,  Karun D. Naga ,  Andrew Wu ,  Denise Zarins

IPC分类号： A61N5/10

CPC分类号： A61N5/1042 ,  A61B6/506 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00511 ,  A61N5/1067 ,  A61N7/02 ,  A61N2005/1061

摘要： The present disclosure describes methods and apparatus for renal neuromodulation via stereotactic radiotherapy for the treatment of hypertension, heart failure, chronic kidney disease, diabetes, insulin resistance, metabolic disorder or other ailments. Renal neuromodulation may be achieved by locating renal nerves and then utilizing stereotactic radiotherapy to expose the renal nerves to a radiation dose sufficient to reduce neural activity. A neural location element may be provided for locating target renal nerves, and a stereotactic radiotherapy system may be provided for exposing the located renal nerves to a radiation dose sufficient to reduce the neural activity, with reduced or minimized radiation exposure in adjacent tissue. Renal nerves may be located and targeted at the level of the ganglion and/or at postganglionic positions, as well as at pre-ganglionic positions.

摘要翻译： 本公开描述了通过立体定向放射治疗高血压，心力衰竭，慢性肾脏疾病，糖尿病，胰岛素抵抗，代谢紊乱或其它疾病的肾神经调节的方法和装置。 肾神经调节可以通过定位肾神经，然后利用立体定向放射治疗来将肾神经暴露于足以减少神经活动的辐射剂量来实现。 可以提供用于定位目标肾神经的神经定位元件，并且可以提供立体定向放射治疗系统，用于将位于所述肾神经的辐射剂量暴露于足以减少或最小化相邻组织中的辐射暴露的神经活动的辐射剂量。 肾神经可能位于神经节水平和/或神经节后位置以及神经节前位置。