公开(公告)号：US09907645B2

公开(公告)日：2018-03-06

申请号：US12701408

申请日：2010-02-05

申请人： Joshua Makower ,  Anton G. Clifford

发明人： Joshua Makower ,  Anton G. Clifford

IPC分类号： A61F2/08 ,  A61B17/56 ,  A61F2/38 ,  A61F2/30

CPC分类号： A61F2/08 ,  A61B2017/567 ,  A61F2/3836 ,  A61F2002/30546 ,  A61F2002/30563 ,  A61F2250/0012

摘要： A system for manipulating energy transferred by members defining a joint. The system includes a first attachment structure configured to be attached to a first member of the joint and a second attachment structure configured to be attached to a second member of the joint. There is also an adjustable energy absorbing device attached to the first attachment structure and second attachment structure, wherein adjusting the energy absorbing device changes the load manipulating characteristics of the energy absorbing device.

公开(公告)号：US09125746B2

公开(公告)日：2015-09-08

申请号：US13021462

申请日：2011-02-04

申请人： Anton G. Clifford ,  Mary O'Connell ,  Joshua Makower ,  Richard G. Vecchiotti

发明人： Anton G. Clifford ,  Mary O'Connell ,  Joshua Makower ,  Richard G. Vecchiotti

IPC分类号： A61F2/38 ,  A61B17/68 ,  A61B17/70 ,  A61F2/08 ,  A61B17/15 ,  A61B17/04 ,  A61B17/64 ,  A61B17/56

CPC分类号： A61F2/3836 ,  A61B17/0482 ,  A61B17/154 ,  A61B17/6425 ,  A61B17/68 ,  A61B17/7028 ,  A61B17/7044 ,  A61B2017/567 ,  A61F2/08 ,  A61F2/0811 ,  A61F2/3854 ,  A61F2002/0823 ,  A61F2002/0864 ,  A61F2002/0888 ,  Y10S623/914

摘要： A system and method for sharing and absorbing energy between body parts. In one aspect, the method involves identifying link pivot locations, fixing base components and minimally invasive insertion techniques. In one particular aspect, the system facilitates absorbing energy between members forming a joint such as between articulating bones.

摘要翻译： 一种用于在身体部位之间共享和吸收能量的系统和方法。 一方面，该方法包括识别链接枢轴位置，固定基部部件和微创插入技术。 在一个特定方面，所述系统有利于在形成诸如铰接骨之间的关节的构件之间吸收能量。

公开(公告)号：US08961495B2

公开(公告)日：2015-02-24

申请号：US11926565

申请日：2007-10-29

申请人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

发明人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

IPC分类号： A61M31/00 ,  A61F11/00 ,  A61B17/12 ,  A61B17/16 ,  A61B17/24 ,  A61B17/32 ,  A61B17/3207 ,  A61B19/02 ,  A61B19/00 ,  A61M25/10 ,  A61B5/06 ,  A61B10/06 ,  A61B17/34 ,  A61B17/00 ,  A61B18/00 ,  A61F2/958 ,  A61M25/00

CPC分类号： A61F11/002 ,  A61B5/065 ,  A61B10/06 ,  A61B17/1204 ,  A61B17/12045 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1604 ,  A61B17/1608 ,  A61B17/1679 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/32002 ,  A61B17/32075 ,  A61B17/3478 ,  A61B34/20 ,  A61B50/13 ,  A61B50/15 ,  A61B50/20 ,  A61B90/16 ,  A61B90/361 ,  A61B2017/00247 ,  A61B2017/003 ,  A61B2017/320004 ,  A61B2017/3486 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2034/2051 ,  A61F2/958 ,  A61F2250/0067 ,  A61M25/007 ,  A61M25/10 ,  A61M2025/105 ,  A61M2025/1052

摘要： Sinusitis, mucocysts, tumors, infections, hearing disorders, choanal atresia, fractures and other disorders of the paranasal sinuses, Eustachian tubes, Lachrymal ducts and other ear, nose, throat and mouth structures are diagnosed and/or treated using minimally invasive approaches and, in many cases, flexible catheters as opposed to instruments having rigid shafts. Various diagnostic procedures and devices are used to perform imaging studies, mucus flow studies, air/gas flow studies, anatomic dimension studies and endoscopic studies. Access and occluding devices may be used to facilitate insertion of working devices such asendoscopes, wires, probes, needles, catheters, balloon catheters, dilation catheters, dilators, balloons, tissue cutting or remodeling devices, suction or irrigation devices, imaging devices, sizing devices, biopsy devices, image-guided devices containing sensors or transmitters, electrosurgical devices, energy emitting devices, devices for injecting diagnostic or therapeutic agents, devices for implanting devices such as stents, substance eluting or delivering devices and implants, etc.

公开(公告)号：US08945152B2

公开(公告)日：2015-02-03

申请号：US11775162

申请日：2007-07-09

申请人： Matt McLean ,  Floria Cheng ,  Daniel Merrick ,  Mitchell C. Barham ,  Andrew L. Johnston ,  Joseph Catanese, III ,  Theodore C. Lamson ,  Joshua Makower

发明人： Matt McLean ,  Floria Cheng ,  Daniel Merrick ,  Mitchell C. Barham ,  Andrew L. Johnston ,  Joseph Catanese, III ,  Theodore C. Lamson ,  Joshua Makower

IPC分类号： A61B17/10 ,  A61F2/00 ,  A61B17/04 ,  A61B17/062 ,  A61B17/02 ,  A61B17/32 ,  A61B17/34 ,  A61B17/42 ,  A61B17/00 ,  A61B17/06 ,  A61B17/068 ,  A61B18/00

CPC分类号： A61B17/0401 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/0625 ,  A61B17/10 ,  A61B17/32 ,  A61B17/3468 ,  A61B17/3478 ,  A61B17/42 ,  A61B2017/00022 ,  A61B2017/00274 ,  A61B2017/0046 ,  A61B2017/00792 ,  A61B2017/00796 ,  A61B2017/00805 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/045 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0488 ,  A61B2017/06052 ,  A61B2017/06176 ,  A61B2017/0688 ,  A61B2018/00547 ,  A61F2/0022 ,  A61F2/0045 ,  A61F2/0063

摘要： A single trigger system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

摘要翻译： 用于在医疗应用中操纵组织和解剖结构或其他结构以用于治疗疾病或障碍或其它目的的单一触发系统和相关联的方法。 在一个方面，该系统包括被配置成部署和植入用于这些目的的锚定装置的输送装置。

公开(公告)号：US08764709B2

公开(公告)日：2014-07-01

申请号：US12828170

申请日：2010-06-30

申请人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

发明人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

IPC分类号： A61M5/178

CPC分类号： A61F11/002 ,  A61B5/065 ,  A61B10/06 ,  A61B17/1204 ,  A61B17/12045 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1604 ,  A61B17/1608 ,  A61B17/1679 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/32002 ,  A61B17/32075 ,  A61B17/3478 ,  A61B34/20 ,  A61B50/13 ,  A61B50/15 ,  A61B50/20 ,  A61B90/16 ,  A61B90/361 ,  A61B2017/00247 ,  A61B2017/003 ,  A61B2017/320004 ,  A61B2017/3486 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2034/2051 ,  A61F2/958 ,  A61F2250/0067 ,  A61M25/007 ,  A61M25/10 ,  A61M2025/105 ,  A61M2025/1052

摘要： Sinusitis, mucocysts, tumors, infections, hearing disorders, choanal atresia, fractures and other disorders of the paranasal sinuses, Eustachian tubes, Lachrymal ducts and other ear, nose, throat and mouth structures are diagnosed and/or treated using minimally invasive approaches and, in many cases, flexible catheters as opposed to instruments having rigid shafts. Various diagnostic procedures and devices are used to perform imaging studies, mucus flow studies, air/gas flow studies, anatomic dimension studies and endoscopic studies. Access and occluding devices may be used to facilitate insertion of working devices such asendoscopes, wires, probes, needles, catheters, balloon catheters, dilation catheters, dilators, balloons, tissue cutting or remodeling devices, suction or irrigation devices, imaging devices, sizing devices, biopsy devices, image-guided devices containing sensors or transmitters, electrosurgical devices, energy emitting devices, devices for injecting diagnostic or therapeutic agents, devices for implanting devices such as stents, substance eluting or delivering devices and implants, etc.

公开(公告)号：US08753366B2

公开(公告)日：2014-06-17

申请号：US12634850

申请日：2009-12-10

申请人： Joshua Makower ,  J. Christopher Flaherty ,  Timothy R. Machold ,  Jason Brian Whitt ,  Philip Christopher Evard ,  Patrick Edward Macaulay ,  John Thomas Garibotto ,  Margaret W. Tumas ,  Alan Robert Selfridge

发明人： Joshua Makower ,  J. Christopher Flaherty ,  Timothy R. Machold ,  Jason Brian Whitt ,  Philip Christopher Evard ,  Patrick Edward Macaulay ,  John Thomas Garibotto ,  Margaret W. Tumas ,  Alan Robert Selfridge

IPC分类号： A61B17/34

CPC分类号： A61B17/3439 ,  A61B8/12 ,  A61B8/445 ,  A61B8/4488 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/12022 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12136 ,  A61B17/3207 ,  A61B17/3417 ,  A61B18/00 ,  A61B18/1477 ,  A61B18/1492 ,  A61B90/39 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/00504 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/12127 ,  A61B2017/22067 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61B2017/22072 ,  A61B2017/306 ,  A61B2017/347 ,  A61B2018/00392 ,  A61B2018/1425 ,  A61B2090/0811 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61F2/2493 ,  A61F2002/30079 ,  A61F2210/009 ,  A61M25/0084 ,  A61M25/0141 ,  A61M25/0147 ,  A61M25/0155 ,  A61M29/00 ,  A61M29/02 ,  A61M2025/0076 ,  A61M2025/009 ,  A61M2025/1052

摘要： The inventions described in this patent application include i) a torqueable introducer sheath which is useable in conjunction with a transvascular passageway forming catheter to effect precise rotational control of the catheter; ii) an anchorable guide catheter which is useable in conjunction with an intravascular imaging catheter and a transvascular passageway-forming catheter to effect precise positioning and aiming of the passageway-forming catheter; iii) a passageway forming catheter having a torqueable proximal portion to facilitate precise rotational positioning of the distal portion of the catheter; iv) a deflectable-tipped passageway forming catheter, v) various markers and other apparatus useable in conjunction with any of the passageway-forming catheters to facilitate precise positioning and aiming of the catheter, and vi) an apparatus which may be formed within a catheter to prevent a member, apparatus of flow of material from being inadvertently advanced through a lumen of the catheter.

摘要翻译： 本专利申请中描述的发明包括：i）可扭转导引鞘，其可与形成导管的经血管通路结合使用以实现导管的精确旋转控制; ii）可锚定的导管，其可与血管内成像导管和经血管通路形成导管结合使用，以实现通道形成导管的精确定位和瞄准; iii）通道形成导管，其具有可扭转的近端部分，以便于导管的远端部分的精确的旋转定位; iv）可偏转尖端的通道形成导管，v）各种标记物和可与任何通道形成导管结合使用的其它装置，以便于导管的精确定位和瞄准，以及vi）可形成在导管内的装置 以防止材料流动的装置不经意地推进通过导管的内腔。

公开(公告)号：US08734468B2

公开(公告)日：2014-05-27

申请号：US13073763

申请日：2011-03-28

申请人： Theodore Charles Lamson ,  Joshua Makower ,  Joseph Catanese, III ,  Jacqueline Nerney Welch ,  Amrish Jayprakash Walke ,  Claude Vidal ,  Russell J. Redmond ,  Michael Collinson

发明人： Theodore Charles Lamson ,  Joshua Makower ,  Joseph Catanese, III ,  Jacqueline Nerney Welch ,  Amrish Jayprakash Walke ,  Claude Vidal ,  Russell J. Redmond ,  Michael Collinson

IPC分类号： A61B17/10

CPC分类号： A61B17/0401 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/06109 ,  A61B17/3468 ,  A61B17/3478 ,  A61B17/42 ,  A61B2017/00022 ,  A61B2017/00274 ,  A61B2017/00792 ,  A61B2017/00796 ,  A61B2017/00805 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0488 ,  A61B2017/06052 ,  A61B2017/06176 ,  A61B2018/00547 ,  A61F2/82 ,  A61F2002/041

摘要： Devices, systems and methods for compressing, cutting, incising, reconfiguring, remodeling, attaching, repositioning, supporting, dislocating or altering the composition of tissues or anatomical structures to alter their positional or force relationship to other tissues or anatomical structures. In some applications, the invention may be used to used to improve patency or fluid flow through a body lumen or cavity (e.g., to limit constriction of the urethra by an enlarged prostate gland).

公开(公告)号：US08727988B2

公开(公告)日：2014-05-20

申请号：US13114987

申请日：2011-05-24

申请人： Christopher J. Flaherty ,  Jason B. Whitt ,  John Y. Chang ,  David R. Tholfsen ,  Philip C. Evard ,  Joshua Makower

发明人： Christopher J. Flaherty ,  Jason B. Whitt ,  John Y. Chang ,  David R. Tholfsen ,  Philip C. Evard ,  Joshua Makower

IPC分类号： A61B8/00 ,  A61B8/14 ,  A61M25/098

CPC分类号： A61B17/3403 ,  A61B1/3137 ,  A61B8/12 ,  A61B8/445 ,  A61B8/4488 ,  A61B17/11 ,  A61B17/12109 ,  A61B17/12172 ,  A61B17/3207 ,  A61B17/320725 ,  A61B17/3417 ,  A61B17/3496 ,  A61B18/00 ,  A61B18/1445 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/24 ,  A61B90/361 ,  A61B90/39 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/00455 ,  A61B2017/00504 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/12127 ,  A61B2017/22038 ,  A61B2017/22069 ,  A61B2017/22072 ,  A61B2017/22077 ,  A61B2017/306 ,  A61B2017/347 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2018/00869 ,  A61B2018/1425 ,  A61B2090/378 ,  A61B2090/3784 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61B2090/3958 ,  A61F2/07 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/95 ,  A61F2002/30079 ,  A61F2002/8486 ,  A61F2210/009 ,  A61K31/195 ,  A61M25/0133 ,  A61M25/0152 ,  A61M29/00 ,  A61M29/02 ,  A61M2025/0076 ,  A61M2025/018 ,  A61M2025/1052

摘要： Devices and methods for penetrating from a vessel lumen in which a catheter device is positioned to a target location outside of that vessel lumen. A tissue penetrator advances from a catheter positioned within the vessel lumen to the target location when properly aimed. An imaging transducer fixedly mounted on or within the catheter body provides an imaging signal from which an image of the target location can be obtained. An imageable marker may be present on the catheter to form on the image obtainable from the imaging signal to predict the path that will be followed by the tissue penetrator when the tissue penetrator exits from the catheter. Alternatively, or addition thereto, the imaging transducer may comprise a plurality of imaging elements which are located so that the penetrator path indication can be obtained electronically without use of an imageable marker on the catheter.

摘要翻译： 用于从其中导管装置定位到血管腔外的目标位置的血管腔穿透的装置和方法。 当适当瞄准时，组织穿透器从位于血管腔内的导管前进到目标位置。 固定地安装在导管主体上或内部的成像传感器提供成像信号，从该成像信号可以获得目标位置的图像。 可以在导管上存在可成像的标记物以形成从成像信号获得的图像上，以便当组织穿透器从导管离开时预测组织穿透器将遵循的路径。 或者，或者除此之外，成像换能器可以包括多个成像元件，其被定位成使得可以电子地获得穿透器路径指示，而不使用导管上的可成像标记。

公开(公告)号：US08715239B2

公开(公告)日：2014-05-06

申请号：US11838103

申请日：2007-08-13

申请人： Theodore Charles Lamson ,  Joshua Makower ,  Joseph Catanese, III ,  Jacqueline Nerney Welch ,  Amrish Jayprakash Walke ,  Claude Vidal ,  Russell J. Redmond ,  Michael Collinson

发明人： Theodore Charles Lamson ,  Joshua Makower ,  Joseph Catanese, III ,  Jacqueline Nerney Welch ,  Amrish Jayprakash Walke ,  Claude Vidal ,  Russell J. Redmond ,  Michael Collinson

IPC分类号： A61M5/178

CPC分类号： A61B17/0401 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/06109 ,  A61B17/3468 ,  A61B17/3478 ,  A61B17/42 ,  A61B2017/00022 ,  A61B2017/00274 ,  A61B2017/00792 ,  A61B2017/00796 ,  A61B2017/00805 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0488 ,  A61B2017/06052 ,  A61B2017/06176 ,  A61B2018/00547 ,  A61F2/82 ,  A61F2002/041

摘要： Devices, systems and methods for compressing, cutting, incising, reconfiguring, remodeling, attaching, repositioning, supporting, dislocating or altering the composition of tissues or anatomical structures to alter their positional or force relationship to other tissues or anatomical structures. In some applications, the invention may be used to used to improve patency or fluid flow through a body lumen or cavity (e.g., to limit constriction of the urethra by an enlarged prostate gland).

公开(公告)号：US08585733B2

公开(公告)日：2013-11-19

申请号：US12474234

申请日：2009-05-28

申请人： Matthew B. Newell ,  Pankaj Rathi ,  Robert M. George ,  Marlo Dreissigacker ,  Narvel M. Brooks, III ,  Shuji Uemura ,  Theodore M. Bender ,  Joshua Makower ,  Dane A. Johnson ,  Brian K. Shiu ,  Pablo G. Acosta ,  Timothy A. Limon ,  Beverly Huss ,  Crystine M. Lee

发明人： Matthew B. Newell ,  Pankaj Rathi ,  Robert M. George ,  Marlo Dreissigacker ,  Narvel M. Brooks, III ,  Shuji Uemura ,  Theodore M. Bender ,  Joshua Makower ,  Dane A. Johnson ,  Brian K. Shiu ,  Pablo G. Acosta ,  Timothy A. Limon ,  Beverly Huss ,  Crystine M. Lee

IPC分类号： A61M29/00 ,  A61B17/00

CPC分类号： A61B17/0401 ,  A61B17/00234 ,  A61B17/0469 ,  A61B17/06066 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/115 ,  A61B2017/00818 ,  A61B2017/0404 ,  A61B2017/0451 ,  A61B2017/0472 ,  A61F2/0063 ,  A61F2/0077 ,  A61F5/0003 ,  A61F5/003 ,  A61F5/0073 ,  A61F2002/0072 ,  A61M25/0068

摘要： Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.