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公开(公告)号:US20080228032A1
公开(公告)日:2008-09-18
申请号:US12131831
申请日:2008-06-02
申请人: Niel F. Starksen , Nick Pliam , Rodolfo A. Morales , John To
发明人: Niel F. Starksen , Nick Pliam , Rodolfo A. Morales , John To
CPC分类号: A61B17/00234 , A61B17/1285 , A61B18/1492 , A61B2017/00243
摘要: Devices and methods for facilitating transvascular, minimally invasive and other “less invasive” surgical procedures generally include a sheath with an expandable balloon at the distal end, an inflation lumen for expanding the balloon, and a device passage lumen for allowing passage of one or more surgical instruments. The sheath is configured to house at least one visualization device such that an optical element of the device is positioned to view the surgical site. In some embodiments, instruments may be passed through the sheath, with the distal balloon partially or fully circumscribing or encircling the instruments. Any suitable instrument(s) may be passed through sheaths of the invention, such as a surgical clip applier for repairing a heart valve, an ablation member for treating atrial fibrillation, one or more pacemaker leads, a coronary sinus access device or the like.
摘要翻译: 用于促进经血管,微创和其它“侵入性较小”外科手术的装置和方法通常包括在远端具有可膨胀气囊的护套,用于扩张气囊的充气腔,以及允许一个或多个 手术器械。 鞘被配置为容纳至少一个可视化装置,使得装置的光学元件被定位成观察手术部位。 在一些实施例中,器械可以穿过护套,其中远端气囊部分或完全限定或环绕器械。 任何合适的仪器可以通过本发明的护套,例如用于修复心脏瓣膜的手术夹具施放器,用于治疗房颤的消融构件,一个或多个起搏器引线,冠状窦入口装置等。
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公开(公告)号:US20080051832A1
公开(公告)日:2008-02-28
申请号:US11894468
申请日:2007-08-20
申请人: John To , Niel Starksen , Mariel Fabro , Nathan Pliam , Karl Im
发明人: John To , Niel Starksen , Mariel Fabro , Nathan Pliam , Karl Im
IPC分类号: A61B17/064
CPC分类号: A61F2/2445 , A61B17/00234 , A61B17/0401 , A61B17/064 , A61B17/0644 , A61B17/0682 , A61B2017/00243 , A61B2017/00783 , A61B2017/00867 , A61B2017/0409 , A61B2017/0414 , A61B2017/0443 , A61F2/0811
摘要: Anchors, anchoring systems, anchor delivery devices, and method of using anchors are described. An anchor may be a flexible anchor having two curved legs that cross in a single turning direction to form a loop, wherein the legs are adapted to penetrate tissue. The ends of the curved legs may be blunt or sharp. The anchor can assume different configurations such as a deployed configuration and a delivery configuration, and the anchor may switch between these different configurations. In operation, the anchor may be inserted into tissue by releasing the anchor from a delivery configuration so that the anchor self-expands into the deployed configuration, so that the legs of the anchor may penetrate the tissue in a curved pathway.
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公开(公告)号:US20080004643A1
公开(公告)日:2008-01-03
申请号:US11551191
申请日:2006-10-19
申请人: John To , Christopher James Danek
发明人: John To , Christopher James Danek
IPC分类号: A61B17/3207
CPC分类号: A61B17/320783 , A61B17/22 , A61B17/320758 , A61B2017/003 , A61B2017/00318 , A61B2017/22038 , A61B2017/22041 , A61B2017/320716 , A61B2017/320741 , A61B2017/320775 , A61B2090/3735 , A61B2090/3784 , A61M25/0152 , A61M25/0155
摘要: The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.
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公开(公告)号:US20070112340A1
公开(公告)日:2007-05-17
申请号:US11431213
申请日:2006-05-10
申请人: Simon Thomas , Peter Edelstein , John To , Benjamin Nordell , Stuart Edwards
发明人: Simon Thomas , Peter Edelstein , John To , Benjamin Nordell , Stuart Edwards
IPC分类号: A61B18/04
CPC分类号: A61B18/00 , A61B17/0625 , A61B18/02 , A61B18/14 , A61B18/1477 , A61B18/1485 , A61B2017/00805 , A61B2017/00867 , A61B2018/00029 , A61B2018/00035 , A61B2018/00178 , A61B2018/00285 , A61B2018/00523 , A61B2018/00553 , A61B2018/00559 , A61B2018/00916 , A61B2018/1425 , A61B2018/143 , A61B2218/007 , A61N1/06 , A61N7/022 , C08L2201/12
摘要: Apparatus and methods are provided for treating female urinary incontinence by applying a form of energy to tissue in the vicinity of the urethra and/or bladder outlet to change tissue compliance without substantially narrowing the urethral and/or bladder outlet lumen. The apparatus comprises an elongated shaft having a means for treating urethral tissue and an expandable member deployable distal of the means for treating. The expandable member is configured to be anchored against the bladder outlet to dispose the means for treating at a desired treatment site in the urethra using only tactile feedback. The means for treating may include a needleless RF electrode, an ultrasound transducer, or a cryogenic probe configured to be advanced through a hollow needle, each of which are designed to reduce or eliminate symptoms associated with urinary incontinence.
摘要翻译: 提供了用于通过向尿道和/或膀胱出口附近的组织施加能量来改变组织依从性而不使尿道和/或膀胱出口腔基本上变窄来治疗女性尿失禁的装置和方法。 该装置包括细长轴,其具有用于治疗尿道组织的装置和可展开装置的可扩展构件。 可膨胀构件被构造成锚固在膀胱出口上,以仅使用触觉反馈来将用于治疗的装置设置在尿道中的期望的治疗部位。 用于治疗的装置可以包括无针RF电极,超声换能器或构造成通过中空针前进的低温探针,每个都被设计为减少或消除与尿失禁相关的症状。
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公开(公告)号:US20060058817A1
公开(公告)日:2006-03-16
申请号:US10901555
申请日:2004-07-27
申请人: Niel Starksen , John To , Mariel Fabro , Michael Wei , Rodolfo Morales
发明人: Niel Starksen , John To , Mariel Fabro , Michael Wei , Rodolfo Morales
IPC分类号: A61B17/10
CPC分类号: A61B17/00234 , A61B17/0401 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B2017/00243 , A61B2017/00783 , A61B2017/00867 , A61B2017/0409 , A61B2017/0414 , A61B2017/0496 , A61B2017/2905 , A61F2/2445 , A61F2/2451 , A61F2/2466 , A61M2025/0096
摘要: Devices, systems and methods facilitate positioning of a cardiac valve annulus treatment device, thus enhancing treatment of the annulus. Methods generally involve advancing an anchor delivery device through vasculature of the patient to a location in the heart for treating the valve annulus, contacting the anchor delivery device with a length of the valve annulus, delivering a plurality of coupled anchors from the anchor delivery device to secure the anchors to the annulus, and drawing the anchors together to circumferentially tighten the valve annulus. Devices generally include an elongate catheter having at least one tensioning member and at least one tensioning actuator for deforming a distal portion of the catheter to help it conform to a valve annulus. The catheter device may be used to navigate a subannular space below a mitral valve to facilitate positioning of an anchor delivery device.
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公开(公告)号:US08663332B1
公开(公告)日:2014-03-04
申请号:US13815787
申请日:2013-03-15
申请人: John To , John J. Flynn , Paul J. Birkmeyer
发明人: John To , John J. Flynn , Paul J. Birkmeyer
IPC分类号: A61F2/44
CPC分类号: A61F2/447 , A61F2/30965 , A61F2/441 , A61F2/442 , A61F2/4611 , A61F2/4684 , A61F2002/2817 , A61F2002/2835 , A61F2002/30019 , A61F2002/30556 , A61F2002/30579 , A61F2002/30581 , A61F2002/30598 , A61F2002/30777 , A61F2002/30779 , A61F2002/30785 , A61F2002/4435 , A61F2002/444 , A61F2002/4475 , A61F2310/00011 , A61F2310/00023 , A61F2310/00029 , A61F2310/00047 , A61F2310/00053 , A61F2310/00071 , A61F2310/00179 , A61F2310/00293
摘要: A system for distributing bone graft material in an intervertebral disc space is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.
摘要翻译: 提供了一种用于在椎间盘空间中分配骨移植材料的系统,其具有中心束,所述中央束具有近端部分,其具有端部,接合部分具有顶部和底部,远侧部分具有端部,中心束轴线,移植物 分配通道在近端部分的端部具有入口,在接合部分的顶部具有顶部出口,在接合部分的底部具有底部出口。 这些系统还可以包括可以从展开状态到折叠状态的可逆崩溃的可稍后膨胀的框架。 膨胀状态例如可被配置为具有在可逆崩溃时至少基本上闭合的开放的移植物分布窗口。
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公开(公告)号:US20130072936A1
公开(公告)日:2013-03-21
申请号:US13509279
申请日:2010-11-10
申请人: John To , John Davis , Singfatt Chin
发明人: John To , John Davis , Singfatt Chin
IPC分类号: A61B17/16
CPC分类号: A61B17/16 , A61B17/1671 , A61B17/32002 , A61B2017/2927 , A61B2017/320032
摘要: A tissue removal system comprises a rotatable burr element located within a distal housing and a burr opening. The burr opening is located about a distal surface and side surface of the distal housing. The distal housing is configured to bend or pivot with respect to a proximal housing. The proximal housing comprises an auger hole configured to draw fluid and particulate matter for transport proximally along the length of the tissue removal system. A linkage assembly attaches a drive shaft of the tissue removal assembly to the rotatable burr element to permit rotation of the rotatable burr element when the distal housing is bent or pivoted.
摘要翻译: 组织去除系统包括位于远侧壳体内的可旋转毛刺元件和毛刺孔。 毛刺开口位于远端壳体的远侧表面和侧表面周围。 远侧壳体构造成相对于近端壳体弯曲或枢转。 近端壳体包括构造成抽吸流体和颗粒物质的螺旋孔,用于沿着组织去除系统的长度向近侧运送。 连杆组件将组织移除组件的驱动轴连接到可旋转的毛刺元件,以允许当远侧壳体弯曲或枢转时可旋转的毛刺元件的旋转。
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公开(公告)号:US08361094B2
公开(公告)日:2013-01-29
申请号:US11567715
申请日:2006-12-06
申请人: John To , Christopher James Danek
发明人: John To , Christopher James Danek
IPC分类号: A61B17/22
CPC分类号: A61B17/320758 , A61B17/22 , A61B17/320783 , A61B2017/003 , A61B2017/00318 , A61B2017/00331 , A61B2017/00685 , A61B2017/22038 , A61B2017/22039 , A61B2017/22041 , A61B2017/22044 , A61B2017/22068 , A61B2017/22094 , A61B2017/320716 , A61B2017/320741 , A61B2017/320775 , A61B2090/3735 , A61B2090/3784 , A61M25/0152 , A61M25/0155
摘要: The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and methods relate to removal of the occluding material from the blood vessels as well as other body lumens. In some variations, the methods include providing a vascular device comprising a catheter body, a cutter assembly, a drive mechanism, a torque shaft, a conveyor mechanism, and a deflecting mechanism. The methods may further include operating the drive mechanism to cut occlusive material, operating the deflecting mechanism to deflect the distal end of the catheter body, and rotating the distal end of the catheter body to sweep the cutter assembly.
摘要翻译: 装置和方法通常涉及封闭体腔的治疗。 特别地,本发明的装置和方法涉及从血管以及其它体腔去除闭塞材料。 在一些变型中,所述方法包括提供包括导管主体,切割器组件,驱动机构,扭矩轴,输送机构和偏转机构的血管装置。 所述方法还可以包括操作驱动机构以切割闭塞性材料,操作偏转机构以偏转导管主体的远端,以及旋转导管主体的远端以扫掠切割器组件。
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公开(公告)号:US08343173B2
公开(公告)日:2013-01-01
申请号:US12133319
申请日:2008-06-04
申请人: Niel F. Starksen , John To , Mariel Fabro , Michael F. Wei , Rodolfo A. Morales
发明人: Niel F. Starksen , John To , Mariel Fabro , Michael F. Wei , Rodolfo A. Morales
IPC分类号: A61B17/08
CPC分类号: A61F2/2436 , A61B17/00234 , A61B17/0401 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B2017/00243 , A61B2017/00783 , A61B2017/00867 , A61B2017/0409 , A61B2017/0414 , A61B2017/0443 , A61B2017/0496 , A61B2017/2905 , A61F2/2427 , A61F2/2442 , A61F2/2445 , A61F2/2454 , A61F2/2466
摘要: Devices, systems and methods facilitate positioning of a cardiac valve annulus treatment device, thus enhancing treatment of the annulus. Methods generally involve advancing an anchor delivery device through vasculature of the patient to a location in the heart for treating the valve annulus, contacting the anchor delivery device with a length of the valve annulus, delivering a plurality of coupled anchors from the anchor delivery device to secure the anchors to the annulus, and drawing the anchors together to circumferentially tighten the valve annulus. Devices generally include an elongate catheter having at least one tensioning member and at least one tensioning actuator for deforming a distal portion of the catheter to help it conform to a valve annulus. The catheter device may be used to navigate a subannular space below a mitral valve to facilitate positioning of an anchor delivery device.
摘要翻译: 装置,系统和方法便于心脏瓣膜环空处理装置的定位,从而增强环空处理。 方法通常包括将锚定器输送装置通过患者的脉管系统推进到心脏中的一个位置处理瓣膜环,使锚定器输送装置与一段长度的瓣膜环接触,将多个耦合的锚固件从锚定器输送装置输送到 将锚固件固定到环形空间,并将锚固件拉紧在一起以周向地紧固阀环。 装置通常包括具有至少一个张紧构件和至少一个张紧致动器的细长导管,用于使导管的远端部分变形以帮助其符合瓣膜环。 导管装置可用于导航二尖瓣下方的子宫下空间,以便锚定器输送装置的定位。
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公开(公告)号:US08337516B2
公开(公告)日:2012-12-25
申请号:US13309986
申请日:2011-12-02
申请人: Paul Q Escudero , John To , Christopher J Danek
发明人: Paul Q Escudero , John To , Christopher J Danek
IPC分类号: A61B17/22
CPC分类号: A61B17/320783 , A61B17/320758 , A61B2017/00685 , A61B2017/22038 , A61B2017/22047 , A61B2017/22048 , A61B2017/22068 , A61B2017/22082 , A61B2017/320064 , A61M25/09
摘要: The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and methods relate to removal of the occluding material from the blood vessels as well as other body lumens. The devices may include a catheter and a cutter assembly, where the cutter assembly has a distal cutter and a proximal cutter. The devices may also include a drive mechanism, a torque shaft, a deflecting mechanism and a torque control mechanism. The torque control mechanism may sweep the cutter assembly when the cutter assembly is deflected.
摘要翻译: 装置和方法通常涉及封闭体腔的治疗。 特别地,本发明的装置和方法涉及从血管以及其它体腔去除闭塞材料。 装置可以包括导管和切割器组件,其中切割器组件具有远端切割器和近端切割器。 装置还可以包括驱动机构,扭矩轴,偏转机构和扭矩控制机构。 当切割器组件偏转时,扭矩控制机构可以扫掠刀具组件。
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