公开(公告)号：US20170224373A1

公开(公告)日：2017-08-10

申请号：US15498165

申请日：2017-04-26

Applicant: The Spectranetics Corporation

Inventor： Dustin L. Grace ,  Kenneth P. Grace

IPC: A61B17/32 ,  A61B17/3205 ,  A61N1/05

CPC classification number: A61B17/320016 ,  A61B17/32053 ,  A61B2017/00305 ,  A61N1/057 ,  A61N2001/0578

Abstract: Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically the tissue separating device includes a handle, an elongate sheath and a circular cutting blade that may extend from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The tissue separating device includes a cam mechanism at the distal portion of the sheath that allows the user of the device to more accurately control the extension and rotation of the cutting blade upon being actuated by the handle.

公开(公告)号：US20160213892A1

公开(公告)日：2016-07-28

申请号：US15090736

申请日：2016-04-05

Applicant: The Spectranetics Corporation

Inventor： Kenneth P. Grace

IPC: A61M25/10 ,  A61B18/26 ,  A61B17/22

Abstract: A dilation balloon is wrapped in one or more patterns with a wire or braided material having diamond abrasive or other abrasive material bonded thereto. The wire or braided material is vibrated in one or more ways to enhance the cutting action of the wire abrasive. The wire abrasive may be vibrated using high, low, or even ultrasonic waves transmitted to the wire abrasive via local or remote methods. Alternatively, the dilation balloon may be dilated with a contrast media that exhibits a high absorption to laser light. The contrast material is lased with a laser fiber or fibers inserted into the balloon interior, creating a substantial shockwave that vibrates the balloon and assists in the cracking or abrading of the surrounding plaque in contact with the dilation balloon. The cutting balloon may employ the abrasive coated wires described above or cutting blades.

Abstract translation: 膨胀气球用具有金刚石研磨剂或其它研磨材料的丝线或编织材料以一种或多种图案包裹。 线或编织材料以一种或多种方式振动以增强线磨料的切割作用。 线磨料可以使用通过局部或远程方法传送到钢丝磨料的高，低或甚至超声波振动。 或者，扩张气囊可以用对激光表现出高吸收的造影剂来扩张。 造影剂材料与插入球囊内部的激光纤维或纤维相衬，产生振动气球的实质性冲击波，并有助于与膨胀气球接触的周围斑块的开裂或研磨。 切割气球可以使用上述磨料涂层钢丝或切割刀片。

公开(公告)号：US20160120603A1

公开(公告)日：2016-05-05

申请号：US14925348

申请日：2015-10-28

Applicant: The Spectranetics Corporation

Inventor： Kenneth P. Grace ,  George Woodrow Burton ,  Gregory Conway Ebbets ,  Nolan Miller Horrall ,  Brandon Thomas Hendrick ,  Thomas Kelby Triffo ,  Blaine Andrew Schneider ,  Joseph Nicholas Matterson

IPC: A61B18/20 ,  A61B18/24

CPC classification number: A61B18/20 ,  A61B18/245 ,  A61B2018/00172 ,  A61B2018/00773 ,  A61B2018/00916 ,  A61B2018/2005

Abstract: Laser energy delivery devices and methods are provided. A laser energy delivery device for providing treatment to a subject may include a coupling adapted to couple to a laser energy generator. A sheath is coupled to the coupling, the sheath including a distal end adapted to be disposed in the subject. A plurality of transport members are carried by the coupling and the sheath, the plurality of transport members being adapted to receive laser energy at the coupling, transmit laser energy through the sheath, and deliver laser energy to the subject. A sensor is adapted to detect transmission of laser energy through at least one of the plurality of transport members.

Abstract translation: 提供了激光能量输送装置和方法。 用于向受试者提供治疗的激光能量递送装置可以包括适于耦合到激光能量发生器的耦合。 护套耦合到联接器，护套包括适于设置在受试者中的远端。 多个传送构件由联接器和护套承载，多个传送构件适于在耦合处接收激光能量，通过护套传送激光能量，并将激光能量传递给对象。 传感器适于检测通过多个传送构件中的至少一个的激光能量的传输。

公开(公告)号：US09291663B2

公开(公告)日：2016-03-22

申请号：US13799894

申请日：2013-03-13

Applicant: The Spectranetics Corporation

Inventor： Kenneth P. Grace

IPC: A61N1/05 ,  G01R31/12 ,  A61N1/08

CPC classification number: A61N1/08 ,  A61B17/3468 ,  A61N1/05 ,  A61N2001/083 ,  G01R31/1263 ,  G01R31/1272

Abstract: A system is provided to determine whether an insulating layer of an implanted lead is damaged.

Abstract translation: 提供一种用于确定植入引线的绝缘层是否损坏的系统。

公开(公告)号：US20150105796A1

公开(公告)日：2015-04-16

申请号：US14577976

申请日：2014-12-19

Applicant: The Spectranetics Corporation

Inventor： Kenneth P. Grace

IPC: A61B17/32 ,  A61N1/05

Abstract: A device for removing an implanted object from a body vessel includes an actuator having an elongated sheath extending therefrom, the elongated sheath including a proximal portion and a distal portion. A tubular outer member has a proximal end attached to the distal portion of the elongated sheath, with a ramped surface at a distal end of the tubular outer member which constricts a diameter of a bore formed in the tubular outer member. A tubular inner member is located within the tubular outer member, the tubular inner member including a proximal end operably connected to the actuator and a distal end opposite the proximal end, the distal end of the tubular inner member including a plurality of resiliently flexible blades positioned to interact with the ramped surface of the tubular outer member such that the ramped surface is operable to deflect the resiliently flexible blades radially inwardly as the tubular inner member is advanced distally within the tubular outer member.

Abstract translation: 用于从身体容器移除植入物体的装置包括具有从其延伸的细长护套的致动器，细长护套包括近端部分和远端部分。 管状外部构件具有附接到细长护套的远端部分的近端，在管状外部构件的远端处具有倾斜表面，其收缩形成在管状外部构件中的孔的直径。 管状内部构件位于管状外部构件内，管状内部构件包括可操作地连接到致动器的近端和与近端相对的远端，管状内部构件的远端包括多个弹性柔性叶片，其定位 以与管状外部构件的斜坡表面相互作用，使得当管状内部构件在管状外部构件中向远侧推进时，倾斜表面可操作以使弹性柔性刀片径向向内偏转。

公开(公告)号：US20140276690A1

公开(公告)日：2014-09-18

申请号：US13826053

申请日：2013-03-14

Applicant: THE SPECTRANETICS CORPORATION

Inventor： Kenneth P. Grace

IPC: A61B18/24 ,  A61B5/00

Abstract: A system can include a microprocessor executable controller configured, based on one or more of total fiber active area of a laser catheter, imaging information regarding the target and/or non-target endovascular structure(s), target endovascular structure characterization information, current location and/or orientation of a distal tip of the laser catheter, and area of contact of the distal tip with the target and/or non-target endovascular structure to select at least one of a fiber active area for each optical channel, a number of optical channels, a configuration of fibers in an optical channel, an optical channel to be irradiated, and an ordering of optical channel irradiation.

Abstract translation: 系统可以包括微处理器可执行控制器，该微处理器可执行控制器基于激光导管的总光纤有源区域中的一个或多个，关于目标和/或非目标血管内结构的成像信息，目标血管内结构表征信息，当前位置 和/或所述激光导管的远侧末端的取向，以及所述远端尖端与所述目标和/或非目标血管内结构的接触面积，以选择每个光学通道的光纤有源区域中的至少一个，多个 光通道，光通道中的光纤配置，待照射的光通道以及光通道照射的顺序。

公开(公告)号：US20140276682A1

公开(公告)日：2014-09-18

申请号：US13800675

申请日：2013-03-13

Applicant: The Spectranetics Corporation

Inventor： Brandon Thomas Hendrick ,  Kenneth P. Grace

IPC: A61B18/24 ,  A61M39/24 ,  A61M1/00

CPC classification number: A61B18/245 ,  A61M1/008

Abstract: Catheters for ablation and removal of occlusions from blood vessels are provided. Laser cutting systems and mechanical cutting systems are provided in catheter devices, the cutting systems operable to ablate, cut, dislodge, and otherwise remove occlusions within a blood vessel that may limit or prevent proper circulation. A helical or partially-helical inner surface structure is provided in the catheter, the structure operable to remove or translate dislodged material(s).

Abstract translation: 提供了用于消融和去除血管闭塞的导管。 激光切割系统和机械切割系统设置在导管装置中，切割系统可操作以消融，切割，移除和以其他方式去除可能限制或阻止适当循环的血管内的闭塞。 在导管中提供螺旋或部分螺旋的内表面结构，该结构可操作以移除或平移移动的材料。