公开(公告)号：US12193638B2

公开(公告)日：2025-01-14

申请号：US14843475

申请日：2015-09-02

Applicant: Intuitive Surgical Operations, Inc.

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

IPC: A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B1/05 ,  A61B5/02 ,  A61M25/01

Abstract: A medical manipulation assembly comprises a sheath steerable in response to rotational movement of a sheath steering mechanism. The assembly also comprises a catheter extendable through the sheath. The catheter is steerable in response to rotational movement of a catheter steering mechanism. The sheath and catheter are independently steerable. The assembly also comprises a set of control wires. At least one of the sheath or the catheter includes a plurality of lumens with at least two of the plurality of lumens each sized for passage of one of the control wires of the set of control wires. The steerable catheter includes a working channel sized to receive a visualization instrument therethrough.

公开(公告)号：US11889982B2

公开(公告)日：2024-02-06

申请号：US17944527

申请日：2022-09-14

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

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

IPC: A61B1/00 ,  A61B5/00 ,  A61B17/34 ,  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

CPC classification number: A61B1/00097 ,  A61B1/005 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00085 ,  A61B1/00089 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B5/0084 ,  A61B5/02007 ,  A61B5/287 ,  A61B5/6882 ,  A61B17/12045 ,  A61B17/3415 ,  A61B17/3423 ,  A61B34/20 ,  A61B90/36 ,  A61M5/007 ,  A61B5/0031 ,  A61B8/12 ,  A61B8/4472 ,  A61B17/0487 ,  A61B17/221 ,  A61B18/02 ,  A61B34/30 ,  A61B2017/003 ,  A61B2017/00044 ,  A61B2017/00053 ,  A61B2017/00296 ,  A61B2017/00575 ,  A61B2017/0409 ,  A61B2017/0477 ,  A61B2017/12127 ,  A61B2017/22038 ,  A61B2017/22054 ,  A61B2017/22067 ,  A61B2017/22069 ,  A61B2017/22082 ,  A61B2017/3445 ,  A61B2017/3484 ,  A61B2017/3488 ,  A61B2018/00982 ,  A61B2018/0212 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/301 ,  A61B2090/306 ,  A61B2090/309 ,  A61B2090/3614 ,  A61B2090/373 ,  A61B2090/3958

Abstract: A system may comprise a first catheter having a first steerable segment and a second catheter disposed within the first catheter. The second catheter may have a second steerable segment. The system may also comprise an imaging element supported at a distal end of the second catheter, a coil reference sensor supported at a distal portion of the second catheter, and a processor in electrical communication with the coil reference sensor. The processor may be configured to determine a position of a distal portion of the first catheter with reference to the coil reference sensor.

公开(公告)号：US11350815B2

公开(公告)日：2022-06-07

申请号：US14795325

申请日：2015-07-09

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 comprises a catheter including distal and proximal steerable portions with working channels. The assembly further comprises a steerable sheath through which the steerable portions extend. A distal steering mechanism, including a first lumen extending along a longitudinal axis of the catheter, bends the distal steerable portion. A proximal steering mechanism, including a second lumen extending along the axis and defined by a wall, bends the proximal steerable portion by rotational movement of the proximal steering mechanism independently of the distal steerable portion. The wall is rotatable about the axis. Distal pullwires extend between the distal steerable portion and the distal steering mechanism. Proximal pullwires extend between the proximal steerable portion and the proximal steering mechanism. The second lumen is axially aligned with an access lumen extending proximally from the proximal steering mechanism through which the distal and proximal working channels may receive a visualization instrument.

公开(公告)号：US10390685B2

公开(公告)日：2019-08-27

申请号：US14959109

申请日：2015-12-04

Applicant: Intuitive Surgical Operations, Inc.

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

IPC: A61B1/04 ,  A61B1/00 ,  A61B1/005 ,  A61B1/015 ,  A61B1/018 ,  A61B5/02 ,  A61B5/00 ,  A61B18/00

Abstract: A system comprises a deployment catheter defining at least one lumen and a hood projecting distally from the deployment catheter and defining an open area. The open area is in direct fluid communication with the at least one lumen. The system also comprises an elongate channel directly coupled to the hood such that the elongate channel terminates distally into the open area. The elongate channel extends proximally from an outer surface of the hood and is bounded proximally at a proximal pocket surface. The system also comprises an imaging element. The imaging element is sized to pass into the elongated channel at a distal end of the elongate channel. Proximal movement within the elongated channel is restricted by the proximal pocket surface. The system also comprises a control member extending within the elongate channel and through the proximal pocket surface for moving the imaging element through the elongate channel.

公开(公告)号：US20190008360A1

公开(公告)日：2019-01-10

申请号：US16117993

申请日：2018-08-30

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

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

IPC: A61B1/00

Abstract: A robotic assembly comprises a deployment catheter including a steerable distal region and further comprises a balloon assembly coupled to the steerable distal region.

公开(公告)号：US10092172B2

公开(公告)日：2018-10-09

申请号：US14149427

申请日：2014-01-07

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Ruey-Feng Peh ,  Vahid Saadat ,  Christopher A. Rothe

IPC: A61M25/00 ,  A61B1/008 ,  A61B1/005 ,  A61B1/015 ,  A61B1/05 ,  A61B1/313 ,  A61M25/01 ,  A61B1/00 ,  A61M25/04

Abstract: Complex steerable catheter visualization and tissue manipulation systems and their methods of use are disclosed herein. The deployment catheter is articulated using various steering mechanisms. Tissue visualization is accomplished from the visualization hood at the distal end of the deployment catheter, the hood having an ability to expand and other features to facilitate visualization and articulation at the tissue surface.

公开(公告)号：US09526401B2

公开(公告)日：2016-12-27

申请号：US13742718

申请日：2013-01-16

Applicant: Intuitive Surgical Operations, Inc.

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

IPC: A61B1/018 ,  A61B1/05 ,  A61B1/12 ,  A61B1/313 ,  A61B1/32 ,  A61B17/29 ,  A61B18/18 ,  A61B1/00 ,  A61B18/00 ,  A61B5/00 ,  A61B1/015 ,  A61B6/00

CPC classification number: A61B1/00089 ,  A61B1/0008 ,  A61B1/00147 ,  A61B1/00165 ,  A61B1/015 ,  A61B1/018 ,  A61B1/05 ,  A61B1/051 ,  A61B1/12 ,  A61B1/3137 ,  A61B1/32 ,  A61B5/6851 ,  A61B6/503 ,  A61B17/29 ,  A61B18/00 ,  A61B18/18

Abstract: Flow reduction hood systems are described which facilitate the visualization of tissue regions through a clear fluid. Such a system may include an imaging hood having one or more layers covering the distal opening and defines one or more apertures which control the infusion and controlled retention of the clearing fluid into the hood. In this manner, the amount of clearing fluid may be limited and the clarity of the imaging of the underlying tissue through the fluid within the hood may be maintained for relatively longer periods of time by inhibiting, delaying, or preventing the infusion of surrounding blood into the viewing field. The aperture size may be controlled to decrease or increase through selective inflation of the membrane or other mechanisms.

公开(公告)号：US20160157702A1

公开(公告)日：2016-06-09

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 ,  A61B1/018

CPC classification number: A61B1/00089 ,  A61B1/00085 ,  A61B1/005 ,  A61B1/018 ,  A61B1/3137 ,  A61B17/12022 ,  A61B17/12036 ,  A61B17/1204 ,  A61B17/12136 ,  A61B17/12172 ,  A61B18/1492 ,  A61B2018/00357 ,  A61B2018/00577 ,  A61B2018/00982

Abstract: Systems and methods for unobstructed visualization and ablation, particularly of the pulmonary veins, are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration as well as one or more expandable anchors which are temporarily securable within a respective pulmonary vein while allowing blood flow to pass through the anchor unimpeded. With the one or more non-impeding anchors secured within a respective pulmonary vein, ablation of the tissue surrounding the ostium or several ostia may be effected with the catheter while the tissue is under direct visualization.

Abstract translation: 本文描述了用于无障碍可视化和消融，特别是肺静脉的系统和方法。 这样的系统可以包括部署导管和可展开到扩展构型中的附接成像罩，以及一个或多个可扩展锚固件，其可临时固定在相应的肺静脉内，同时允许血液流动通过锚固体而不受阻碍。 利用固定在相应的肺静脉内的一个或多个无阻塞的锚固件，可以在组织处于直接可视化的状态下用导管实现围绕口或组织的几个口的组织的消融。

公开(公告)号：US20160038005A1

公开(公告)日：2016-02-11

申请号：US14887938

申请日：2015-10-20

Applicant: Intuitive Surgical Operations, Inc.

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

IPC: A61B1/00 ,  A61B1/012 ,  A61B1/005

CPC classification number: A61B1/00085 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00089 ,  A61B1/00091 ,  A61B1/00177 ,  A61B1/005 ,  A61B1/012 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B5/02007 ,  A61B5/6882 ,  A61B8/12 ,  A61B17/00234 ,  A61B17/0057 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/22012 ,  A61B18/24 ,  A61B2017/048 ,  A61B2017/0496

Abstract: Tissue visualization devices and variations thereof are described herein where such devices may utilize a variety of methods for facilitating clearing of the device of opaque bodily fluids and sealing between the device and the underlying tissue surface. Additionally, methods and devices for enhancing navigation of the device through a patient body are also described.

Abstract translation: 本文描述了组织可视化装置及其变型，其中这样的装置可以利用各种方法来促进不透明体液的装置的清除和装置与下面的组织表面之间的密封。 此外，还描述了用于增强穿过患者身体的装置导航的方法和装置。

公开(公告)号：US20240206967A1

公开(公告)日：2024-06-27

申请号：US18596469

申请日：2024-03-05

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Jason Paul Watson ,  Edmund Tam ,  Vahid Saadat

IPC: A61B18/14 ,  A61B1/00 ,  A61B1/012 ,  A61B1/018 ,  A61B1/05 ,  A61B1/313 ,  A61B18/00 ,  A61N1/05 ,  A61N1/06

CPC classification number: A61B18/1492 ,  A61B1/0008 ,  A61B1/00087 ,  A61B1/00089 ,  A61B1/018 ,  A61B1/05 ,  A61B1/3137 ,  A61N1/06 ,  A61B1/012 ,  A61B2018/00077 ,  A61B2018/0022 ,  A61N1/05 ,  Y10T29/49155

Abstract: A system comprises an elongate flexible catheter including a lumen extending along at least a portion of a longitudinal axis of the elongate flexible catheter and terminating at a distal opening of the elongate flexible catheter. The system further comprises a circuit assembly including a plurality of conductors wrapped in a spiral configuration around the elongate flexible catheter. At least one of the plurality of conductors of the circuit assembly is coupled to an electrode. The system further comprises at least one processor configured to determine a location of the elongate flexible catheter based on at least one signal received from the electrode.