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公开(公告)号：US20110087247A1
公开(公告)日：2011-04-14
申请号：US12752873
申请日：2010-04-01
申请人： Gregory W. Fung , Russell A. Seiber , Eduardo Sager , Gary H. Miller , Maria Garcia , Ryan Douglas Helmuth , Arnold M. Escano , Douglas Todd Ellison , William E. Cohn
发明人： Gregory W. Fung , Russell A. Seiber , Eduardo Sager , Gary H. Miller , Maria Garcia , Ryan Douglas Helmuth , Arnold M. Escano , Douglas Todd Ellison , William E. Cohn
IPC分类号： A61B17/04
CPC分类号： A61B17/12013 , A61B17/0469 , A61B17/0487 , A61B17/06114 , A61B2017/00243 , A61B2017/003 , A61B2017/00331 , A61B2017/00557 , A61B2017/00867 , A61B2017/0475 , A61B2017/0496 , A61B2017/3445 , A61B2090/037 , A61B2090/0811
摘要： Described here are devices for closing one or more tissues, and handles for controlling these devices. Generally, the devices described here comprise a snare loop assembly, wherein the snare loop assembly comprises a snare and a suture loop, and a handle for controlling the snare loop assembly. In some variations the snare loop assembly may comprise a retention member that may releasably connect the suture loop to the snare. In other variations the devices comprise one or more force-reducing suture locks to help prevent the suture loop from inadvertently disengaging from the snare loop assembly. In still other variations, the excess-suture management features. The handles described here may be configured to remove excess suture from a suture loop, and may also be configured to release the suture loop from the snare loop assembly.
摘要翻译： 这里描述了用于关闭一个或多个组织的装置，以及用于控制这些装置的手柄。 通常，这里描述的装置包括圈套环组件，其中圈套环组件包括圈套和缝合线环以及用于控制圈套环组件的手柄。 在一些变型中，圈套环组件可以包括保持构件，其可以将缝合线环可释放地连接到圈套。 在其他变型中，装置包括一个或多个减小力的缝合线锁，以帮助防止缝合线环从圈套圈组件中无意中脱离。 在其他变体中，超缝合管理功能。 这里描述的手柄可以被配置为从缝合线环去除多余的缝合线，并且还可以被配置为从缝合环组件释放缝线环。
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公开(公告)号：US09198664B2
公开(公告)日：2015-12-01
申请号：US12752873
申请日：2010-04-01
申请人： Gregory W. Fung , Russell A. Seiber , Eduardo Sager , Gary H. Miller , Maria Garcia , Ryan Douglas Helmuth , Arnold M. Escano , Douglas Todd Ellison , William E. Cohn
发明人： Gregory W. Fung , Russell A. Seiber , Eduardo Sager , Gary H. Miller , Maria Garcia , Ryan Douglas Helmuth , Arnold M. Escano , Douglas Todd Ellison , William E. Cohn
CPC分类号： A61B17/12013 , A61B17/0469 , A61B17/0487 , A61B17/06114 , A61B2017/00243 , A61B2017/003 , A61B2017/00331 , A61B2017/00557 , A61B2017/00867 , A61B2017/0475 , A61B2017/0496 , A61B2017/3445 , A61B2090/037 , A61B2090/0811
摘要： Described here are devices for closing one or more tissues, and handles for controlling these devices. Generally, the devices described here comprise a snare loop assembly, wherein the snare loop assembly comprises a snare and a suture loop, and a handle for controlling the snare loop assembly. In some variations the snare loop assembly may comprise a retention member that may releasably connect the suture loop to the snare. In other variations the devices comprise one or more force-reducing suture locks to help prevent the suture loop from inadvertently disengaging from the snare loop assembly. In still other variations, the excess-suture management features. The handles described here may be configured to remove excess suture from a suture loop, and may also be configured to release the suture loop from the snare loop assembly.
摘要翻译： 这里描述了用于关闭一个或多个组织的装置，以及用于控制这些装置的手柄。 通常，这里描述的装置包括圈套环组件，其中圈套环组件包括圈套和缝合线环以及用于控制圈套环组件的手柄。 在一些变型中，圈套环组件可以包括保持构件，其可以将缝合线环可释放地连接到圈套。 在其他变型中，装置包括一个或多个减小力的缝合线锁，以帮助防止缝合线环从圈套圈组件中无意中脱离。 在其他变体中，超缝合管理功能。 这里描述的手柄可以被配置为从缝合线环去除多余的缝合线，并且还可以被配置为从缝合环组件释放缝线环。
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公开(公告)号：US08469983B2
公开(公告)日：2013-06-25
申请号：US12212511
申请日：2008-09-17
IPC分类号： A61B17/138
CPC分类号： A61B17/0482 , A61B17/0467 , A61B17/0469 , A61B2017/00367 , A61B2017/00557 , A61B2017/00876 , A61B2090/034
摘要： Described here are devices and methods for suture management. In some variations, the devices comprise an elongate tubular member having a proximal end, a distal end, a lumen therebetween, a cantilever blade positioned near the distal end of the elongate tubular member, and an expandable member positioned adjacent the cantilever blade for actuating the cantilever blade. Also described are devices comprising an elongate tubular member having a proximal end, a distal end, a lumen at least partially therebetween, and an aperture in a wall thereof for passage of a suture therethrough. These devices further comprise a blade connected to a blade housing disposed within the lumen, where the blade is oriented parallel to the longitudinal axis of the lumen. The blade and blade housing may be slidable within the lumen, or an inner shaft for may be slidable within the lumen. Methods of using the devices are also described.
摘要翻译： 这里描述的是缝合线管理的装置和方法。 在一些变型中，装置包括细长的管状构件，其具有近端，远端，其间的内腔，位于细长管状构件的远端附近的悬臂刀片，以及邻近悬臂刀片定位的可扩张构件，用于致动 悬臂刀片。 还描述了包括细长管状构件的装置，该细长管状构件具有近端，远端，至少部分在其间的腔，以及其壁中的孔，用于通过缝合线。 这些装置还包括连接到设置在内腔内的刀片壳体的刀片，其中刀片平行于管腔的纵向轴线定向。 刀片和刀片壳体可以在内腔内滑动，或者可以在内腔内滑动的内轴。 还描述了使用装置的方法。
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公开(公告)号：US20090082797A1
公开(公告)日：2009-03-26
申请号：US12212511
申请日：2008-09-17
IPC分类号： A61B17/32
CPC分类号： A61B17/0482 , A61B17/0467 , A61B17/0469 , A61B2017/00367 , A61B2017/00557 , A61B2017/00876 , A61B2090/034
摘要： Described here are devices and methods for suture management. In some variations, the devices comprise an elongate tubular member having a proximal end, a distal end, a lumen therebetween, a cantilever blade positioned near the distal end of the elongate tubular member, and an expandable member positioned adjacent the cantilever blade for actuating the cantilever blade. Also described are devices comprising an elongate tubular member having a proximal end, a distal end, a lumen at least partially therebetween, and an aperture in a wall thereof for passage of a suture therethrough. These devices further comprise a blade connected to a blade housing disposed within the lumen, where the blade is oriented parallel to the longitudinal axis of the lumen. The blade and blade housing may be slidable within the lumen, or an inner shaft for may be slidable within the lumen. Methods of using the devices are also described.
摘要翻译： 这里描述的是缝合线管理的装置和方法。 在一些变型中，装置包括细长的管状构件，其具有近端，远端，其间的内腔，位于细长管状构件的远端附近的悬臂刀片，以及邻近悬臂刀片定位的可扩张构件，用于致动 悬臂刀片。 还描述了包括细长管状构件的装置，该细长管状构件具有近端，远端，至少部分在其间的腔，以及其壁中的孔，用于通过缝合线。 这些装置还包括连接到设置在内腔内的刀片壳体的刀片，其中刀片平行于管腔的纵向轴线定向。 刀片和刀片壳体可以在内腔内滑动，或者可以在内腔内滑动的内轴。 还描述了使用装置的方法。
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公开(公告)号：US09498223B2
公开(公告)日：2016-11-22
申请号：US12363359
申请日：2009-01-30
CPC分类号： A61B17/12013 , A61B17/0467 , A61B17/0469 , A61B17/12009 , A61B2017/00243 , A61B2017/00867 , A61B2017/00876 , A61B2017/0475 , A61B2017/0477 , A61B2090/3966 , A61M25/10
摘要： Described here are devices, systems and methods for closing the left atrial appendage. Some of the methods described here utilize one or more guide members having alignment members to aid in positioning of a closure device. In general, these methods include advancing a first guide having a first alignment member into the left atrial appendage, advancing a second guide, having a second alignment member, into the pericardial space, aligning the first and second alignment members, advancing a left atrial appendage closure device into the pericardial space and adjacent to the left atrial appendage, and closing the left atrial appendage with the closure device. In these variations, the closure device typically has an elongate body having a proximal end and a distal end, and a closure element at least partially housed within the elongate body. The closure element comprises a loop defining a continuous aperture.
摘要翻译： 这里描述的是关闭左心耳的装置，系统和方法。 这里描述的一些方法利用具有对准构件的一个或多个引导构件来帮助闭合装置的定位。 通常，这些方法包括将具有第一对准构件的第一引导件推进到左心耳中，将具有第二对准构件的第二引导件推进到心包空间中，使第一和第二对准构件对准，推进左心耳 闭合装置进入心包空间并邻近左心耳，并用闭合装置关闭左心耳。 在这些变型中，闭合装置通常具有细长体，其具有近端和远端，以及至少部分地容纳在细长体内的闭合元件。 闭合元件包括限定连续孔的环。
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公开(公告)号：US08771297B2
公开(公告)日：2014-07-08
申请号：US12055213
申请日：2008-03-25
IPC分类号： A61B17/00
CPC分类号： A61B17/12013 , A61B17/0467 , A61B17/0469 , A61B17/12009 , A61B2017/00243 , A61B2017/00867 , A61B2017/00876 , A61B2017/0475 , A61B2017/0477 , A61B2090/3966 , A61M25/10
摘要： Described here are devices, systems and methods for closing the left atrial appendage. Some of the methods described here utilize one or more guide members having alignment members to aid in positioning of a closure device. In general, these methods include advancing a first guide having a first alignment member into the left atrial appendage, advancing a second guide, having a second alignment member, into the pericardial space, aligning the first and second alignment members, advancing a left atrial appendage closure device into the pericardial space and adjacent to the left atrial appendage, and closing the left atrial appendage with the closure device. In these variations, the closure device typically has an elongate body having a proximal end and a distal end, and a closure element at least partially housed within the elongate body. The closure element comprises a loop defining a continuous aperture.
摘要翻译： 这里描述的是关闭左心耳的装置，系统和方法。 这里描述的一些方法利用具有对准构件的一个或多个引导构件来帮助闭合装置的定位。 通常，这些方法包括将具有第一对准构件的第一引导件推进到左心耳中，将具有第二对准构件的第二引导件推进到心包空间中，使第一和第二对准构件对准，推进左心耳 闭合装置进入心包空间并邻近左心耳，并用闭合装置关闭左心耳。 在这些变型中，闭合装置通常具有细长体，其具有近端和远端，以及至少部分地容纳在细长体内的闭合元件。 闭合元件包括限定连续孔的环。
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公开(公告)号：US08986325B2
公开(公告)日：2015-03-24
申请号：US12363381
申请日：2009-01-30
CPC分类号： A61B17/12013 , A61B17/0467 , A61B17/0469 , A61B17/12009 , A61B2017/00243 , A61B2017/00867 , A61B2017/00876 , A61B2017/0475 , A61B2017/0477 , A61B2090/3966 , A61M25/10
摘要： Described here are devices, systems and methods for closing the left atrial appendage. Some of the methods described here utilize one or more guide members having alignment members to aid in positioning of a closure device. In general, these methods include advancing a first guide having a first alignment member into the left atrial appendage, advancing a second guide, having a second alignment member, into the pericardial space, aligning the first and second alignment members, advancing a left atrial appendage closure device into the pericardial space and adjacent to the left atrial appendage, and closing the left atrial appendage with the closure device. In these variations, the closure device typically has an elongate body having a proximal end and a distal end, and a closure element at least partially housed within the elongate body. The closure element comprises a loop defining a continuous aperture.
摘要翻译： 这里描述的是关闭左心耳的装置，系统和方法。 这里描述的一些方法利用具有对准构件的一个或多个引导构件来帮助闭合装置的定位。 通常，这些方法包括将具有第一对准构件的第一引导件推进到左心耳中，将具有第二对准构件的第二引导件推进到心包空间中，使第一和第二对准构件对准，推进左心耳 闭合装置进入心包空间并邻近左心耳，并用闭合装置关闭左心耳。 在这些变型中，闭合装置通常具有细长体，其具有近端和远端，以及至少部分地容纳在细长体内的闭合元件。 闭合元件包括限定连续孔的环。
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公开(公告)号：US09017323B2
公开(公告)日：2015-04-28
申请号：US13298169
申请日：2011-11-16
CPC分类号： A61B18/1492 , A61B17/320016 , A61B17/320725 , A61B18/16 , A61B2017/00778 , A61B2017/00876 , A61B2017/22095 , A61B2017/320791 , A61B2018/00083 , A61B2018/00107 , A61B2018/00172 , A61B2018/00404 , A61B2018/00577 , A61B2018/00625 , A61B2018/1253 , A61B2018/144 , A61B2090/3925 , A61B2090/3966 , A61M1/3655
摘要： Described here are devices, systems and methods for forming a fistula between two blood vessels. Generally, the systems may comprise a first catheter which may comprise a fistula-forming element. The fistula-forming element may comprise one or more electrodes, mechanical cutting elements, laser sources, or combinations thereof, and may be used to assist in fistula formation. In some instances, a system may comprise a second catheter, which may comprise a fistula-forming element. One or more of the catheters may comprise one or more markers, magnetic alignment elements, and/or one shape-changing elements.
摘要翻译： 这里描述了用于在两个血管之间形成瘘的装置，系统和方法。 通常，系统可以包括可包括瘘形成元件的第一导管。 瘘形成元件可以包括一个或多个电极，机械切割元件，激光源或其组合，并且可以用于辅助瘘形成。 在一些情况下，系统可以包括第二导管，其可以包括瘘形成元件。 一个或多个导管可以包括一个或多个标记，磁性对准元件和/或一个形状变化元件。
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公开(公告)号：US6152899A
公开(公告)日：2000-11-28
申请号：US895850
申请日：1997-07-17
申请人： Brian E. Farley , Grace Y. Schulz , Dawn A. Henderson , Mark P. Parker , Arthur W. Zikorus , Gary H. Miller , Jay S. Daulton , Douglas Portnow
发明人： Brian E. Farley , Grace Y. Schulz , Dawn A. Henderson , Mark P. Parker , Arthur W. Zikorus , Gary H. Miller , Jay S. Daulton , Douglas Portnow
CPC分类号： A61B18/1492 , A61B17/00008 , A61B2017/22051 , A61B2017/22097 , A61B2018/00011 , A61B2018/00029 , A61B2018/00083 , A61B2018/00154 , A61B2018/00214 , A61B2018/0022 , A61B2018/00267 , A61B2018/00285 , A61B2018/00404 , A61B2018/00488 , A61B2018/00702 , A61B2018/00744 , A61B2018/00755 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00875 , A61B2018/1253 , A61B2018/126 , A61B2018/1465 , A61B2018/1497
摘要： A catheter having expandable electrodes for applying energy to a hollow anatomical structure such as a vein. When used on a vein, the catheter is useful for a minimally invasive treatment of venous insufficiency. The catheter includes conductive end rings to which the electrodes are attached, for mechanically connecting and electrically tying electrodes together to provide for a single wire electrical connection points, for transmitting energy while more evenly spacing the electrodes. Expandable arms are formed of electrically conductive material and insulated along their length except for an intermediate section that functions as the electrode. The arms are tapered to allow more room for wiring and to reduce the possibility of shorting between the ends of the arms. The catheter further includes thermocouples in the electrodes for measuring temperatures on the outer surface of the electrode. Slots are formed in the arms for mounting the thermocouples. The temperature at the hollow anatomical structure is monitored and if a rapid, large temperature decrease of short duration is noted, the power is maintained constant as a fluid flush has been detected.
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公开(公告)号：US5730136A
公开(公告)日：1998-03-24
申请号：US722440
申请日：1996-10-16
申请人： Michael D. Laufer , Gary H. Miller
发明人： Michael D. Laufer , Gary H. Miller
IPC分类号： A61B5/02 , A61B5/026 , A61B5/0285 , A61B8/06 , A61B8/00
CPC分类号： A61B5/702 , A61B5/02007 , A61B5/026 , A61B5/411 , A61B8/06 , A61B8/40 , A61B8/4227
摘要： A test system and method for evaluating the efficiency of the venous pump in leg muscles and for identifying incompetent venous valves. The test system comprises a legging having inflatable bladders, a manifold and a system controller. A pressurized inflation source is provided which is in fluid communication with the manifold and the legging. The controller sequences valves within the manifold to inflate and deflate the bladders of the legging. The test system further includes a Doppler blood flow sensor interfaced to the controller. The sensor is configured with a housing which contains a rotatable disk, upon which two pairs of crystals are disposed. The sensor housing is secured a leg of a patient proximate a blood vessel in which blood flow is to be measured. The patient is positioned on a reclinable test station, upon which the controller and manifold may be mounted. The maximum volume of venous blood output from the leg is measured and the venous output flow is subsequently measured after the bladders are sequentially inflated above a first location on the leg of the patient. Reduced venous output flow from the maximum volume output indicates reflux and identifies the location of an incompetent valve.
摘要翻译： 用于评估腿部肌肉静脉泵效率和识别无能力静脉瓣的测试系统和方法。 测试系统包括具有充气气囊的腿部，歧管和系统控制器。 提供加压充气源，其与歧管和腿部流体连通。 控制器排列歧管内的阀，以使腿部气囊膨胀和放气。 测试系统还包括与控制器相连的多普勒血流传感器。 传感器配置有包含可旋转盘的壳体，在其上设置两对晶体。 传感器壳体固定在患者血液附近的血管附近的患者腿部。 患者位于可倾斜的测试台上，可以安装控制器和歧管。 测量从腿部输出的静脉血的最大体积，并且随后在气囊依次在患者腿部的第一位置上方膨胀之后测量静脉输出流量。 从最大体积输出减少静脉输出量表示回流，并识别无力阀的位置。
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