公开(公告)号：US11478152B2

公开(公告)日：2022-10-25

申请号：US16384541

申请日：2019-04-15

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Vahid Saadat ,  Ruey-Feng Peh ,  Edmund A. Tam

IPC: A61B5/00 ,  A61B17/34 ,  A61B1/00 ,  A61B1/005 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B5/02 ,  A61B90/00 ,  A61B34/20 ,  A61B17/12 ,  A61M5/00 ,  A61B5/287 ,  A61B17/22 ,  A61B17/04 ,  A61B17/00 ,  A61B18/02 ,  A61B17/221 ,  A61B8/00 ,  A61B8/12 ,  A61B18/00 ,  A61B34/30 ,  A61B90/30 ,  A61B34/10

Abstract: Electrophysiology mapping and visualization systems are described herein where such devices may be used to visualize tissue regions as well as map the electrophysiological activity of the tissue. Such a system may include a deployment catheter and an attached hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. A position of the catheter and/or hood may be tracked and the hood may also be used to detect the electrophysiological activity of the visualized tissue for mapping.

公开(公告)号：US20220280022A1

公开(公告)日：2022-09-08

申请号：US17738947

申请日：2022-05-06

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Christopher A. ROTHE ,  Juan Diego Perea ,  David Miller ,  Vahid Saadat ,  Zachary J. Malchano ,  Ruey-Feng Peh

IPC: A61B1/005 ,  A61M25/01 ,  A61M25/00

Abstract: A medical manipulation assembly includes a catheter and distal and proximal steering mechanisms. The catheter includes distal and proximal steerable portions with working channels configured to receive an instrument. The distal steering mechanism is operable to bend the distal steerable portion in a first plane relative to the proximal steerable portion in response to movement of a first portion of the distal steering mechanism about a first axis of rotation and to bend the distal steerable portion in a second plane relative to the proximal steerable portion in response to movement of a second portion of the distal steering mechanism about a second axis of rotation. The proximal steering mechanism is operable to bend the proximal steerable portion by rotational movement of the proximal steering mechanism. Distal pullwires extend between the distal steerable portion and steering mechanism and proximal pullwires extend between the proximal steerable portion and steering mechanism.

公开(公告)号：US11241325B2

公开(公告)日：2022-02-08

申请号：US16359447

申请日：2019-03-20

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： David Miller ,  Ruey-Feng Peh ,  Vahid Saadat

IPC: A61F2/958 ,  A61B34/20 ,  A61B1/04 ,  A61B1/12 ,  A61B1/00 ,  A61F2/82

Abstract: A tissue manipulation system comprises a reconfigurable hood structure. The hood structure is asymmetric and has a low profile delivery configuration and an expanded deployed configuration which defines an open area bounded at least in part by the hood structure and by an interface surface extending across the hood structure distal end and configured to engage against a tissue region. The open area is in fluid communication with an environment external to the hood structure. The system also includes a catheter in communication with the open area such that introduction of a fluid through the catheter purges the open area of bodily fluid. The interface surface is slanted relative to the catheter longitudinal axis when the hood structure is fully expanded in the expanded deployed configuration. The system also includes an imaging element positioned on the hood structure such that the open area is visualized through the fluid.

公开(公告)号：US10441136B2

公开(公告)日：2019-10-15

申请号：US15044667

申请日：2016-02-16

Applicant: Intuitive Surgical Operations Inc.

Inventor： Vahid Saadat ,  Ruey-Feng Peh ,  Chris A. Rothe ,  Edmund Tam

IPC: A61B1/00 ,  A61B1/313 ,  A61B17/12 ,  A61B1/018 ,  A61B1/005 ,  A61B18/14 ,  A61B18/00

Abstract: A method of treatment comprises intravascularly securing an anchor extending from an anchor member at least partially within a vessel lumen such that blood flows unobstructed through or past the anchor. While the anchor is secured, a distance of the anchor member, between the anchor and a barrier or membrane projecting distally from a deployment catheter, is adjusted such that an open area defined by the barrier or membrane is placed against or adjacent to a portion of a patient tissue. Adjusting the distance of the anchor member comprises moving the deployment catheter distally with respect to the anchor member. The method also comprises displacing blood with a transparent fluid from the open area, and while the anchor is secured, articulating the barrier or membrane circumferentially around the anchor. The method also includes treating the tissue while visualizing through the transparent fluid.

公开(公告)号：US10278588B2

公开(公告)日：2019-05-07

申请号：US14565742

申请日：2014-12-10

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Vahid Saadat ,  Ruey-Feng Peh ,  Edmund A. Tam

IPC: A61B5/00 ,  A61B1/00 ,  A61B1/005 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B5/02 ,  A61B5/042 ,  A61B17/12 ,  A61B17/34 ,  A61M5/00 ,  A61B90/00 ,  A61B34/20 ,  A61B8/12 ,  A61B8/00 ,  A61B17/04 ,  A61B17/221 ,  A61B18/02 ,  A61B17/00 ,  A61B17/22 ,  A61B18/00 ,  A61B34/30 ,  A61B90/30 ,  A61B34/10

Abstract: A system comprises a catheter and an electromagnetic sensor assembly supported at a distal end of the catheter. The electromagnetic sensor assembly includes a magnetic strut spirally extended away from the distal end of the catheter around an open area distal of the catheter. The system also comprises an imaging element supported at a distal end of the catheter inside the open area. The imaging element acquires an image of the tissue surface region. The system also comprises a processor that receives a position of the electromagnetic sensor assembly and the tissue surface image. The processor maps the position of the electromagnetic sensor assembly and tissue surface image together. The system also comprises a barrier reconfigurable from a low-profile shape to an expanded deployment shape projecting from a distal end of the catheter. The electromagnetic sensor assembly is spirally configured over the barrier.

公开(公告)号：US20190125166A1

公开(公告)日：2019-05-02

申请号：US16224158

申请日：2018-12-18

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Vahid Saadat

IPC: A61B1/00 ,  A61B1/313 ,  A61B1/04 ,  A61B5/00 ,  A61B5/02 ,  A61B1/018 ,  A61B1/015 ,  A61B1/005

Abstract: A tissue imaging assembly includes a steerable sheath and a steerable catheter deployable within the sheath. The tissue imaging assembly also includes an imaging hood at a distal end of the steerable catheter. The imaging hood is independently translatable with respect to the steerable sheath and the steerable catheter. The steerable catheter includes an imaging element and a lumen for delivering an elongate instrument out a distal region of the steerable catheter.

公开(公告)号：US20190046013A1

公开(公告)日：2019-02-14

申请号：US16106895

申请日：2018-08-21

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Vahid Saadat ,  Amir Abolfathi ,  Christopher A. Rothe ,  Kevin H. Van Bladel

IPC: A61B1/00 ,  A61B1/018 ,  A61B5/02 ,  A61B1/313 ,  A61B1/04 ,  A61B1/015 ,  A61B1/005 ,  A61B8/12 ,  A61B8/00

Abstract: In one example, a system includes a deployment catheter defining at least one lumen therethrough. The system further includes a balloon member projecting distally from a distal end of the deployment catheter and defining an area therein, wherein the area is in fluid communication with the at least one lumen. The system further includes a first opening at the distal end of the balloon member, a first instrument lumen extending through the balloon member from the distal end of the deployment catheter to the first opening, and a visualization element disposed within the balloon member for visualizing tissue external to the balloon member.

公开(公告)号：US20150025614A1

公开(公告)日：2015-01-22

申请号：US14490107

申请日：2014-09-18

Applicant: Intuitive Surgical Operations, Inc.

Inventor： David Miller ,  Vahid Saadat ,  Ruey-Feng Peh

IPC: A61F2/958 ,  A61B1/04 ,  A61B19/00

CPC classification number: A61F2/958 ,  A61B1/00089 ,  A61B1/04 ,  A61B1/12 ,  A61B34/20 ,  A61F2002/821 ,  A61F2250/0039

Abstract: Stent delivery under direct visualization utilizing an imaging hood is described herein. A stent may be delivered and placed in or around lesions, e.g., ostial lesions, through a delivery catheter while being directly visualized via an imaging hood. A pre-delivery assessment probe may also be advanced to the desired site for accurate placement of the stent.

Abstract translation: 本文描述了使用成像罩的直接可视化下的支架输送。 支架可以通过输送导管递送并放置在病变部位或周围，例如口腔损伤，同时通过成像罩直接观察。 预交付评估探针也可以推进到所需位置以准确地放置支架。

公开(公告)号：US20140316406A1

公开(公告)日：2014-10-23

申请号：US14226151

申请日：2014-03-26

Applicant: Intuitive Surgical Operations, Inc.

Inventor： N. Parker WILLIS ,  Zachary J. Malchano ,  Chris A. Rothe ,  Vahid Saadat ,  Ruey-Feng Peh ,  David Miller ,  Edmond Tam

IPC: A61B18/14

CPC classification number: A61B18/1492 ,  A61B1/00089 ,  A61B1/012 ,  A61B2017/00106 ,  A61B2018/00214 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00809 ,  A61B2018/00839 ,  A61B2018/1472 ,  A61B2218/002

Abstract: A method of ablating a tissue region within a blood-filled environment comprises restraining a fluid within a visualization field in a portion of the blood-filled environment and visualizing the tissue region through the fluid within the visualization field. The method also includes transmitting ablating electrical energy from the fluid into the visualized tissue region.

Abstract translation: 在充满血液的环境中消融组织区域的方法包括在充满血液的环境的一部分中的可视化区域内限制流体，并通过可视化区域内的流体显现组织区域。 该方法还包括将消融的电能从流体传送到可视化组织区域。

公开(公告)号：US11882996B2

公开(公告)日：2024-01-30

申请号：US16567066

申请日：2019-09-11

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Vahid Saadat ,  Antony Jonathan Fields ,  Zachary J. Malchano ,  Chris Rothe ,  Veerappan Swaminathan ,  Jason Paul Watson ,  Bryan Wylie

IPC: A61B1/00 ,  A61B1/005 ,  A61B1/05 ,  A61B1/313 ,  A61B1/015 ,  A61B1/12 ,  A61B18/14 ,  A61B17/00 ,  A61B34/30

CPC classification number: A61B1/00085 ,  A61B1/0052 ,  A61B1/0055 ,  A61B1/00089 ,  A61B1/015 ,  A61B1/05 ,  A61B1/3137 ,  A61B1/12 ,  A61B18/1492 ,  A61B2017/00314 ,  A61B2034/306 ,  A61B2218/002

Abstract: A computer implemented method comprises receiving a model of a tissue region, steering a distal end of a catheter within a body to a first area of a tissue region, and obtaining a first image from the distal end of the catheter of the first area of the tissue region. The method further comprises mapping the first image of the first area of the tissue region to the model of the tissue region and displaying the first image of the first area of the tissue region on the model of the tissue region.