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公开(公告)号:US20230071306A1
公开(公告)日:2023-03-09
申请号:US17800279
申请日:2021-02-18
发明人: KYLE R. MILLER , Joseph D. Bogusky , Duane W. Marion , Ian E. McDowall , Tabish Mustufa , Dinesh Rabindran , Benjamin J. Schoettgen , Jignesh Shah , Tao Zhao
摘要: A computer-assisted medical device is configured and used to endoluminally navigate to a location in the gastrointestinal system and there treat certain body lumen wall areas while avoiding other body lumen wall areas. Embodiments ablate the inner mucosal layer and sub-mucosal nerve plexus of the stomach, duodenum and jejunum to effect treatment of insulin resistance and metabolic disorders, such as Type II diabetes (T2D), polycystic ovarian syndrome (PCOS), non-alcoholic steatohepatitis (NASH), non-alcoholic fatty liver disease (NAFLD), congestive heart failure (CHF) and obstructive sleep apnea (OSA). Various sensors are used to assist a clinical operator to navigate from the mouth through the pyloric sphincter and into and through the duodenum and/or jejunum. Various sensors are used to map and identify portions of the duodenum and/or jejunum. Various lumen wall ablation devices and methods are described. Various post-treatment assessments are described.
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公开(公告)号:US20240315781A1
公开(公告)日:2024-09-26
申请号:US18611485
申请日:2024-03-20
CPC分类号: A61B34/20 , A61B10/04 , A61B18/1492 , A61B2010/045 , A61B2018/00577 , A61B2018/00613 , A61B2034/2051 , A61B2034/2055 , A61B2034/2061 , A61B2034/2063 , A61B2034/2065 , A61B2034/301 , A61M25/0138 , A61M25/0147 , A61M2025/0681
摘要: A system may comprise a sensing instrument including an elongate flexible member with a channel extending therein. The elongate flexible member may include a proximal portion, a distal portion, and a flexure portion between the distal and proximal portions. The sensing instrument may also include a flexure at the flexure portion of the elongate flexible member, a sensing element coupled at the distal portion of the elongate flexible member, and a flexure control apparatus extending within the elongate flexible member and configured to bend the flexure to change an orientation of the sensing element relative to the proximal portion of the elongate flexible member. The sensing instrument may also include an exit port in the proximal portion of the elongate flexible member.
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公开(公告)号:US11730537B2
公开(公告)日:2023-08-22
申请号:US16681255
申请日:2019-11-12
发明人: Serena H. Wong , Joseph D. Bogusky
CPC分类号: A61B18/18 , A61B2018/00011 , A61B2018/00577 , A61B2018/183
摘要: An antenna system for tissue ablation includes an energy transmission member, an antenna body coupled to the energy transmission member, a fluid source, and a choke member comprising an integrally formed choke body and choke connector electrically coupled to the energy transmission member by the choke connector. The choke body defines an outermost portion of the choke member. The choke body has an axial length and the choke connector extends along a majority of the length of the choke body and contacts the choke body along the majority of the length. The choke connector is in direct contact with a fluid from the fluid source. The choke connector is disposed between the choke body and the energy transmission member. The choke connector forms a delivery path for the fluid between the choke body and the energy transmission member. The choke connector and the choke body are a continuous wire mesh.
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公开(公告)号:US20230157783A1
公开(公告)日:2023-05-25
申请号:US17889722
申请日:2022-08-17
发明人: Kyle R. Miller , Joseph D. Bogusky , Duane W. Marion , Ian E. McDowall , Tabish Mustufa , Dinesh Rabindran , Benjamin J. Schoettgen , Jignesh Shah , Tao Zhao
CPC分类号: A61B90/39 , A61B18/1492 , A61B2018/00494
摘要: A computer-assisted medical device is configured and used to endoluminally navigate to a location in the gastrointestinal system and there treat certain body lumen wall areas while avoiding other body lumen wall areas. Embodiments ablate the inner mucosal layer and sub-mucosal nerve plexus of the stomach, duodenum and jejunum to effect treatment of insulin resistance and metabolic disorders, such as Type II diabetes (T2D), polycystic ovarian syndrome (PCOS), non-alcoholic steatohepatitis (NASH), non-alcoholic fatty liver disease (NAFLD), congestive heart failure (CHF) and obstructive sleep apnea (OSA). Various sensors are used to assist a clinical operator to navigate from the mouth through the pyloric sphincter and into and through the duodenum and/or jejunum. Various sensors are used to map and identify portions of the duodenum and/or jejunum. Various lumen wall ablation devices and methods are described. Various post-treatment assessments are described.
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公开(公告)号:US20230128263A1
公开(公告)日:2023-04-27
申请号:US17972415
申请日:2022-10-24
发明人: CHRISTOPHER M. MAJOR , Joseph D. Bogusky , Lucas S. Gordon , Francis T. Macnamara , Randall L. Schlesinger
IPC分类号: A61B17/00
摘要: A catheter system may comprise an articulation joint including a first pair of links and a second pair of links. Each link may include a central channel enclosed at least in part by radially extending arcuate segments. The first pair of links may include a first link and a second link, and the second pair of links may include the second link and a third link. The system may also comprise a first pair of springs coupled between the first and second links. The system may also comprise a second pair of springs coupled between the second and third links. The system may also include control wires extending through the first pair of springs and a control wires extending through the second pair of springs. The spring walls may share a radial dimension with the link walls.
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公开(公告)号:US20240341571A1
公开(公告)日:2024-10-17
申请号:US18656922
申请日:2024-05-07
CPC分类号: A61B1/00078 , A61B1/00147 , A61B1/009 , A61M25/0138 , A61M25/0147 , A61M25/0155 , A61B2034/2051 , A61B2034/2061 , A61B34/35 , A61M2205/0266
摘要: A medical system may comprise a flexible elongate device including a flexible body with proximal and distal ends and at least one lumen. The flexible elongate device may also include a support structure coupled with the flexible body. The support structure may include a plurality of sub-elements arranged in series. At least a portion of the sub-elements are configured to spread apart when the flexible body flexes into a pose. The flexible elongate device may also include a stiffening mechanism having at least one stiffening element extending along at least a portion of the flexible body and configured for actuation independent of the support structure. After the flexible body has flexed into the pose, actuation of the stiffening element stiffens the support structure to hold at least a portion of the pose of the flexible body. The stiffening element includes a compression feature to engage the support structure.
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公开(公告)号:US20230301493A1
公开(公告)日:2023-09-28
申请号:US18311424
申请日:2023-05-03
CPC分类号: A61B1/00078 , A61M25/0113 , A61B5/065 , A61M16/0488 , A61B1/307 , A61B1/0052 , A61B1/00147 , A61B1/009 , A61M2210/1057 , A61M2210/005 , A61M2210/0625 , A61M2025/0166 , A61M2210/1053 , A61M2210/1032
摘要: The following describes various applications and uses for a controllably rigidizable flexible, device or sheath, Such rigidizing mechanisms can allow for a transition between a rigid state and a flexible state of a sheath. Rigidization can be applied along an entire length of a flexible sheath or along select portions of the sheath, and the rigidization can be of varying stiffness. Rigidization can be user controlled or automatically controlled using computer processes.
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公开(公告)号:US20200030575A1
公开(公告)日:2020-01-30
申请号:US16522569
申请日:2019-07-25
摘要: The following describes various applications and uses for a controllably rigidizable flexible device or sheath. Such rigidizing mechanisms can allow for a transition between a rigid state and a flexible state of a sheath. Rigidization can be applied along an entire length of a flexible sheath or along select portions of the sheath, and the rigidization can be of varying stiffness. Rigidization can be user controlled or automatically controlled using computer processes.
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公开(公告)号:US12004710B2
公开(公告)日:2024-06-11
申请号:US17254122
申请日:2019-06-19
CPC分类号: A61B1/00078 , A61B1/00147 , A61B1/009 , A61M25/0138 , A61M25/0147 , A61M25/0155 , A61B2034/2051 , A61B2034/2061 , A61B34/35 , A61M2205/0266
摘要: Stiffening mechanisms or systems that assist or enable holding a pose or shape of a flexible body may be part of a steering mechanism for an end effector. The stiffening mechanisms may be separately actuated and/or may themselves also enable steering of a flexible elongate device. Further, the stiffening mechanisms may use information from sensor systems, such as a shape sensor in the form of an optical fiber, a plurality of EM sensors distributed along the length of a flexible device, and/or navigation systems, such as a sensor system that computes the approximate location of medical instruments (such as a flexible body) within the anatomy of the patient and/or medical tools that are delivered through a main lumen of the flexible body, to inform a control system which then controls formation and holding of a shape of the flexible body.
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公开(公告)号:US20240081915A1
公开(公告)日:2024-03-14
申请号:US18243773
申请日:2023-09-08
发明人: Andrey Polonsky , David W. Bailey , Adam K. Begley , Joseph D. Bogusky , Dominique D. Brichard , Lucas S. Gordon , Tajalli Shoghi Ghalehshahi
CPC分类号: A61B34/20 , G01R33/072 , A61B2034/2051 , A61B2034/2072 , A61B2034/2074
摘要: A medical system may include an elongated flexible body including a channel extending through the elongated flexible body. The elongated flexible body includes an articulable portion extending along at least a portion of a length of the elongated flexible body. The medical system may include an instrument configured to be received in the channel of the elongated flexible body, a magnetic field generator configured to generate a magnetic field within the channel, and a magnetic field sensor configured to detect the magnetic field generated by the magnetic field generator.
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