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公开(公告)号：US07935082B2
公开(公告)日：2011-05-03
申请号：US11863149
申请日：2007-09-27
IPC分类号： A61M5/178
CPC分类号： A61M25/0136 , A61B17/3403 , A61M25/0082 , A61M25/0084 , A61M25/01 , A61M25/0147 , A61M25/09041
摘要： A catheter having an internal advancing mechanism that can advance stiffening wires or other devices, has a catheter with a catheter body, a tip section distal the catheter body, a device extending through at least the catheter body, and a control handle proximal the catheter body, where the control handle has an advancing mechanism with a threaded member, an adjustment member, and a guided member to which the device is connected, and the advancing mechanism is configured to advance and retract the device along the catheter body as controlled by a user. Each of the threaded member and the adjustment member has a generally cylindrical configuration. The threaded member has an outer surface configured with a helical guide channel. The adjustment member is configured to guide the guided member to move within the helical guide channel to advance and retract the device. The adjustment member can be rotatable over the threaded member by the user to control advancement and retraction of the device. The device may be a stiffener wire, a needle or any other device suitable for advancement and retraction in a catheter.
摘要翻译： 具有能够推进加强线或其他装置的内部前进机构的导管具有导管主体的导管，导管主体远端的末端部分，至少延伸穿过导管主体的装置，以及靠近导管主体的控制手柄 其中所述控制手柄具有带有螺纹构件，调节构件和所述装置所连接的被引导构件的前进机构，并且所述前进机构构造成沿着所述导管主体在由使用者控制的情况下沿着所述导管主体前进和后退 。 螺纹构件和调节构件中的每一个具有大致圆柱形构造。 螺纹构件具有构造成具有螺旋引导通道的外表面。 调节构件被构造成引导被引导构件在螺旋引导通道内移动以推进和缩回装置。 调节构件可以由用户在螺纹构件上旋转以控制装置的前进和缩回。 该装置可以是加强线，针或任何其它适于在导管中进行和缩回的装置。
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公开(公告)号：US20110184385A1
公开(公告)日：2011-07-28
申请号：US13085351
申请日：2011-04-12
IPC分类号： A61M25/00
CPC分类号： A61M25/0136 , A61B17/3403 , A61M25/0082 , A61M25/0084 , A61M25/01 , A61M25/0147 , A61M25/09041
摘要： A catheter having an internal advancing mechanism that can advance stiffening wires or other devices, has a catheter with a catheter body, a tip section distal the catheter body, a device extending through at least the catheter body, and a control handle proximal the catheter body, where the control handle has an advancing mechanism with a threaded member, an adjustment member, and a guided member to which the device is connected, and the advancing mechanism is configured to advance and retract the device along the catheter body as controlled by a user. Each of the threaded member and the adjustment member has a generally cylindrical configuration. The threaded member has an outer surface configured with a helical guide channel. The adjustment member is configured to guide the guided member to move within the helical guide channel to advance and retract the device. The adjustment member can be rotatable over the threaded member by the user to control advancement and retraction of the device. The device may be a stiffener wire, a needle or any other device suitable for advancement and retraction in a catheter.
摘要翻译： 具有能够推进加强线或其他装置的内部前进机构的导管具有导管主体的导管，导管主体远端的末端部分，至少延伸穿过导管主体的装置，以及靠近导管主体的控制手柄 其中所述控制手柄具有带有螺纹构件，调节构件和所述装置所连接的被引导构件的前进机构，并且所述前进机构构造成沿着所述导管主体在由使用者控制的情况下沿着所述导管主体前进和后退 。 螺纹构件和调节构件中的每一个具有大致圆柱形构造。 螺纹构件具有构造成具有螺旋引导通道的外表面。 调节构件被构造成引导被引导构件在螺旋引导通道内移动以推进和缩回装置。 调节构件可以由用户在螺纹构件上旋转以控制装置的前进和缩回。 该装置可以是加强线，针或任何其它适于在导管中进行和缩回的装置。
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公开(公告)号：US08562568B2
公开(公告)日：2013-10-22
申请号：US13085351
申请日：2011-04-12
IPC分类号： A61M5/178
CPC分类号： A61M25/0136 , A61B17/3403 , A61M25/0082 , A61M25/0084 , A61M25/01 , A61M25/0147 , A61M25/09041
摘要： A catheter having an internal advancing mechanism that can advance stiffening wires or other devices, has a catheter with a catheter body, a tip section distal the catheter body, a device extending through at least the catheter body, and a control handle proximal the catheter body, where the control handle has an advancing mechanism with a threaded member, an adjustment member, and a guided member to which the device is connected, and the advancing mechanism is configured to advance and retract the device along the catheter body as controlled by a user. Each of the threaded member and the adjustment member has a generally cylindrical configuration. The threaded member has an outer surface configured with a helical guide channel. The adjustment member is configured to guide the guided member to move within the helical guide channel to advance and retract the device. The adjustment member can be rotatable over the threaded member by the user to control advancement and retraction of the device. The device may be a stiffener wire, a needle or any other device suitable for advancement and retraction in a catheter.
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公开(公告)号：US20090088697A1
公开(公告)日：2009-04-02
申请号：US11863149
申请日：2007-09-27
IPC分类号： A61M25/08
CPC分类号： A61M25/0136 , A61B17/3403 , A61M25/0082 , A61M25/0084 , A61M25/01 , A61M25/0147 , A61M25/09041
摘要： A catheter having an internal advancing mechanism that can advance stiffening wires or other devices, has a catheter with a catheter body, a tip section distal the catheter body, a device extending through at least the catheter body, and a control handle proximal the catheter body, where the control handle has an advancing mechanism with a threaded member, an adjustment member, and a guided member to which the device is connected, and the advancing mechanism is configured to advance and retract the device along the catheter body as controlled by a user. Each of the threaded member and the adjustment member has a generally cylindrical configuration. The threaded member has an outer surface configured with a helical guide channel. The adjustment member is configured to guide the guided member to move within the helical guide channel to advance and retract the device. The adjustment member can be rotatable over the threaded member by the user to control advancement and retraction of the device. The device may be a stiffener wire, a needle or any other device suitable for advancement and retraction in a catheter.
摘要翻译： 具有能够推进加强线或其他装置的内部前进机构的导管具有导管主体的导管，导管主体远端的末端部分，至少延伸穿过导管主体的装置，以及靠近导管主体的控制手柄 其中所述控制手柄具有带有螺纹构件，调节构件和所述装置所连接的被引导构件的前进机构，并且所述前进机构构造成沿着所述导管主体在由使用者控制的情况下沿着所述导管主体前进和后退 。 螺纹构件和调节构件中的每一个具有大致圆柱形构造。 螺纹构件具有构造成具有螺旋引导通道的外表面。 调节构件被构造成引导被引导构件在螺旋引导通道内移动以推进和缩回装置。 调节构件可以由用户在螺纹构件上旋转以控制装置的前进和缩回。 该装置可以是加强线，针或任何其它适于在导管中进行和缩回的装置。
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5.发明授权公开(公告)号：US09375179B2
公开(公告)日：2016-06-28
申请号：US12977881
申请日：2010-12-23
申请人： Jeffrey W. Schultz , Keshava Datta
发明人： Jeffrey W. Schultz , Keshava Datta
IPC分类号： A61B5/06 , A61B5/00 , A61B5/0416 , A61B5/053
CPC分类号： A61B5/6833 , A61B5/0416 , A61B5/053 , A61B5/062 , A61B5/063 , A61B2560/0412 , A61B2562/0209 , A61B2562/17
摘要： A patch and sensor assembly has a biosensor housed in a reusable portion that connects to a mapping and localization system (MLS) via biosensor wires. A disposable portion has an electrode layer through which signals are transmitted to the MLS via ACL wires. The biosensor and ACL wires extend through a single cable exiting the reusable portion. The disposable portion includes an adhesive layer for adhering the electrode layer to a foam layer on the electrode layer, and an engagement element for detachably receiving at least a portion of the housing of the reusable portion. The reusable portion includes a housing in which the biosensor has biosensor wires that exit the reusable portion. The housing is also adapted to carry and/or provide support to an ACL contact member responsive to the electrode layer of the disposable portion, and ACL wires that exit the reusable portion.
摘要翻译： 贴片和传感器组件具有容纳在可再利用部分中的生物传感器，其通过生物传感器线连接到映射和定位系统（MLS）。 一次性部分具有电极层，通过该电极层，信号通过ACL线传输到MLS。 生物传感器和ACL导线延伸穿过离开可重复使用部分的单个电缆。 一次性部分包括用于将电极层粘附到电极层上的泡沫层的粘合剂层和用于可拆卸地容纳可重复使用部分的壳体的至少一部分的接合元件。 可再利用部分包括壳体，其中生物传感器具有离开可重复使用部分的生物传感器线。 壳体还适于对响应于一次性部分的电极层的ACL接触构件和离开可重复使用部分的ACL导线承载和/或提供支撑。
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公开(公告)号：US09162036B2
公开(公告)日：2015-10-20
申请号：US13341840
申请日：2011-12-30
CPC分类号： A61M25/0136 , A61B1/0052 , A61B1/0057 , A61B5/042 , A61B5/065 , A61B5/6852 , A61B5/6857 , A61B18/1492 , A61B2018/0091 , A61B2018/1435 , A61M25/0147
摘要： A medical device control handle or catheter includes deflection assembly and at least one of the following: a disk actuator, a lever actuator and a ring actuator for actuating additional puller wires in manipulation of multiple features of the medical device or catheter independently of each other. The disk actuator has a common rotational axis with but is rotationally independent of the deflection assembly. The lever actuator has a separate rotational axis. The ring is mounted outside of the control handle and rotatable relative to the control handle to actuate another puller wire for manipulating another feature of the catheter.Each of the disk, lever and ring actuators are of a design that allows existing control handles and catheters to be readily modified to include these actuators.
摘要翻译： 医疗设备控制手柄或导管包括偏转组件和以下至少一个：盘致动器，杠杆致动器和环形致动器，用于在彼此独立地操纵医疗装置或导管的多个特征时致动附加拉线。 盘致动器具有共同的旋转轴线，但是与偏转组件旋转地独立。 杠杆致动器具有单独的旋转轴线。 环安装在控制手柄的外部并相对于控制手柄可旋转，以驱动另一个拉线，以操纵导管的另一特征。 盘，杠杆和环形致动器中的每一个具有允许现有控制手柄和导管易于修改以包括这些致动器的设计。
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公开(公告)号：US07862517B2
公开(公告)日：2011-01-04
申请号：US11834034
申请日：2007-08-06
申请人： Mark Tsonton , Timothy G. Dietz , John A. Hibner , Jessica M. Pyzoha , Michael J. Andreyko , Keshava Datta , Michael A. Murray
发明人： Mark Tsonton , Timothy G. Dietz , John A. Hibner , Jessica M. Pyzoha , Michael J. Andreyko , Keshava Datta , Michael A. Murray
IPC分类号： A61B10/00
CPC分类号： A61B10/02 , A61B5/055 , A61B5/0555 , A61B10/0041 , A61B10/0233 , A61B10/0275 , A61B10/0283 , A61B17/3403 , A61B17/3417 , A61B17/3421 , A61B90/11 , A61B90/17 , A61B2010/0208 , A61B2010/0225 , A61B2017/00477 , A61B2017/00796 , A61B2017/00911 , A61B2017/3411 , A61B2090/034 , A61B2090/036 , A61B2090/374 , A61B2090/3908 , A61B2090/3933 , A61B2090/3954 , A61B2090/3987
摘要： A localization mechanism, or fixture, is used in conjunction with a breast coil for breast compression and for guiding a core biopsy instrument during prone biopsy procedures in both open and closed Magnetic Resonance Imaging (MRI) machines. The localization fixture includes a three-dimensional Cartesian positionable guide for supporting and orienting an MRI-compatible biopsy instrument, and in particular a sleeve, to a biopsy site of suspicious tissues or lesions. A depth stop enhances accurate insertion, and prevents over-insertion or inadvertent retraction of the sleeve. The sleeve receives a probe of the MRI-compatible biopsy instrument and may contain various features to enhance its imagability, to enhance vacuum and pressure assist therethrough, and marker deployment etc.
摘要翻译： 定位机构或夹具与乳房线圈一起用于乳房压缩，并用于在开放和闭合的磁共振成像（MRI）机器中的易行活检过程中引导核心活检仪器。 定位固定装置包括一个三维笛卡尔定位指南，用于支持和定向MRI兼容的活检仪器，特别是套筒，用于可疑组织或病变的活检部位。 深度限位器可以提高精确的插入，并防止套筒的过度插入或无意的收回。 袖子接受MRI兼容活检器械的探头，并且可以包含各种特征以增强其成像能力，以增强通过其中的真空和压力辅助以及标记部署等。
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公开(公告)号：US10058382B2
公开(公告)日：2018-08-28
申请号：US12346827
申请日：2008-12-30
申请人： Keshava Datta , Jeffrey W. Schultz
发明人： Keshava Datta , Jeffrey W. Schultz
CPC分类号： A61B18/1492 , A61B18/1233 , A61N1/0517 , A61N1/08
摘要： A device that shields internal organs and tissues from medical procedures performed within a patient's body, especially in the chest cavity where ablation and related procedures are performed in or near the heart, includes a catheter body, a distal section, and a barrier member that can be inflated with fluid to act as a barrier to extreme temperatures and physical trauma, and be deflated to a smaller size to facilitate entry and removal from the patient's chest cavity. In a more detailed embodiment, the barrier member is a balloon that can protect the esophagus, which can be provided with folds and shape memory elements so that the balloon expands and collapses into predetermined configurations. Fluid is fed to and drawn from the barrier member via an irrigation tubing that extends along a catheter shaft and is in communication with a lumen of a deflectable tubing section that extends through an interior cavity of the barrier member. The catheter can be adapted for uni- or bi-directional deflection.
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公开(公告)号：US09638770B2
公开(公告)日：2017-05-02
申请号：US11323535
申请日：2005-12-30
申请人： Timothy G. Dietz , Keshava Datta , John A. Hibner , Michael A. Murray , Robert Hughes , Mark Tsonton
发明人： Timothy G. Dietz , Keshava Datta , John A. Hibner , Michael A. Murray , Robert Hughes , Mark Tsonton
CPC分类号： G01R33/286 , A61B5/05 , A61B5/055 , A61B10/0041 , A61B10/0275 , A61B90/11 , A61B2010/045 , A61B2090/374 , A61B2090/3908 , A61B2090/3954 , A61B2090/3983
摘要： An obturator as part of a biopsy system enhances use with Magnetic Resonance Imaging (MRI) by indicating location of a side aperture in an encompassing cannula. The cannula (e.g., detached probe, sleeve sized to receive a core biopsy probe) includes a side aperture for taking a tissue sample. When the obturator is inserted in lieu of the biopsy device into the cannula, a notch formed in a shaft of the obturator corresponds to the side aperture. A dugout trough into the notch may further accept aqueous material to further accentuate the side aperture. In addition, a series of dimensionally varied apertures (e.g., wells, slats) that communicate through a lateral surface of the shaft and that are proximal to the side aperture receive an aqueous material to accentuate visibility in an MRI image, even in a skewed MRI slice through the cannula/obturator.
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10.发明申请Disposable Patch and Reusable Sensor Assembly for Use in Medical Device Localization and Mapping Systems 有权一次性贴片和可重复使用的传感器组件，用于医疗器械定位和绘图系统公开(公告)号：US20090318793A1
公开(公告)日：2009-12-24
申请号：US12256580
申请日：2008-10-23
IPC分类号： A61B5/05
CPC分类号： A61B5/06 , A61B5/061 , A61B5/062 , A61B5/063 , A61B5/6833 , A61B2562/0223 , A61B2562/06
摘要： An patch and sensor assembly for use in an EP mapping system has two portions: a reusable portion and a disposable portion. The reusable portion houses the biosensors used in magnetic based location and mapping systems and the electrical lead necessary to communicate between the biosensor and the mapping system. The reusable portion may also contain a portion of the electrode necessary to receive electrical signals from the body of the patient. The disposable portion of the patch and sensor assembly contains an adhesive covered flexible patch having at least a portion of the electrode used to receive electrical signals form the body of the patient and may contain the electrical lead necessary to communicate such an electrical signal to the mapping system. The disposable portion contains a receptacle adapted to receive and mechanically secure the reusable portion to the disposable portion of the assembly. Such a patch and sensor assembly is useful in hybrid magnetic and impedance based location and mapping systems such as those used in electrophysiology.
摘要翻译： 用于EP映射系统的贴片和传感器组件具有两个部分：可重复使用部分和一次性部分。 可再利用部分容纳用于磁性位置的生物传感器和映射系统以及生物传感器和映射系统之间通信所需的电线。 可重复使用的部分还可以包含从患者的身体接收电信号所需的电极的一部分。 贴片和传感器组件的一次性部分包含粘合剂覆盖的柔性贴片，其具有用于接收来自患者身体的电信号的电极的至少一部分，并且可以包含将该电信号传送到映射所需的电引线 系统。 一次性部分包含适于容纳和机械地将可重复使用部分固定到组件的一次性部分的插座。 这种贴片和传感器组件可用于基于混合磁和阻抗的位置和映射系统，例如用于电生理学的那些。
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