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公开(公告)号:US12114887B2
公开(公告)日:2024-10-15
申请号:US17366669
申请日:2021-07-02
IPC分类号: A61B17/3207 , A61B17/00 , A61B17/32 , A61B17/3205 , A61M25/00 , A61B17/22 , A61B90/00 , A61M25/01
CPC分类号: A61B17/320758 , A61B17/00234 , A61B17/32002 , A61B17/32053 , A61B17/320783 , A61M25/0082 , A61B2017/00292 , A61B2017/00398 , A61B2017/00477 , A61B2017/00738 , A61B2017/00845 , A61B2017/0088 , A61B2017/22001 , A61B2017/22038 , A61B2017/320004 , A61B2017/320024 , A61B2017/320052 , A61B2017/320064 , A61B2017/320741 , A61B2017/320775 , A61B2090/0801 , A61M2025/0096 , A61M25/0108
摘要: A tissue-removing catheter for removing tissue in a body lumen includes an elongate body and a tissue-removing element mounted on a distal end portion of the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen. An inner liner is received within the elongate body. The inner liner defines a guidewire lumen. The inner liner isolates an interior of the guidewire lumen from the elongate body and tissue-removing element such that rotational forces are not transferred from the elongate body and tissue-removing element to the interior of the guidewire lumen when the elongate body and tissue-removing element are rotated during removal of tissue from the body lumen.
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公开(公告)号:US11986207B2
公开(公告)日:2024-05-21
申请号:US17366559
申请日:2021-07-02
IPC分类号: A61B17/3207 , A61B17/00 , A61B17/32 , A61B17/3205 , A61M25/00 , A61B17/22 , A61B90/00 , A61M25/01
CPC分类号: A61B17/320758 , A61B17/00234 , A61B17/32002 , A61B17/32053 , A61B17/320783 , A61M25/0082 , A61B2017/00292 , A61B2017/00398 , A61B2017/00477 , A61B2017/00738 , A61B2017/00845 , A61B2017/0088 , A61B2017/22001 , A61B2017/22038 , A61B2017/320004 , A61B2017/320024 , A61B2017/320052 , A61B2017/320064 , A61B2017/320741 , A61B2017/320775 , A61B2090/0801 , A61M2025/0096 , A61M25/0108
摘要: A tissue-removing catheter for removing tissue in a body lumen includes an elongate body and a tissue-removing element mounted on a distal end portion of the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen. An inner liner is received within the elongate body. The inner liner defines a guidewire lumen. The inner liner isolates an interior of the guidewire lumen from the elongate body and tissue-removing element such that rotational forces are not transferred from the elongate body and tissue-removing element to the interior of the guidewire lumen when the elongate body and tissue-removing element are rotated during removal of tissue from the body lumen.
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公开(公告)号:US11051842B2
公开(公告)日:2021-07-06
申请号:US15970748
申请日:2018-05-03
IPC分类号: A61B17/3207 , A61B17/3205 , A61M25/00 , A61B17/00 , A61B17/32 , A61B17/22 , A61B90/00 , A61M25/01
摘要: A tissue-removing catheter for removing tissue in a body lumen includes an elongate body and a tissue-removing element mounted on a distal end portion of the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen. An inner liner is received within the elongate body and coupled to a handle at a proximal end of the inner liner. The inner liner defines a guidewire lumen. The inner liner isolates an interior of the guidewire lumen from the elongate body and tissue-removing element such that rotational and torsional forces are not transferred from the elongate body and tissue-removing element to the interior of the guidewire lumen when the elongate body and tissue-removing element are rotated during operation of the tissue-removing catheter.
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公开(公告)号:US10925728B2
公开(公告)日:2021-02-23
申请号:US16282885
申请日:2019-02-22
发明人: Marc A. Anderson , Grainne Teresa Carroll , Paul Devereux , Niall Duffy , Matthew Fleming , Alexander J. Hill , Elliot J. Howard , James R. Keogh , Marian Patricia Lally , Luke Lehmann , Jeffrey Madden , Kevin M. Mauch , Ciaran McGuinness , Brian T. McHenry , Karl L. Olney , Geoffrey Orth , Edward Sarnowski , Elizabeth A. Schotzko , Benjamin Wong
IPC分类号: A61F2/24
摘要: Methods of transcatheter delivery of a prosthetic heart valve. A distal region of a guide member assembly is advanced into a heart of a patient. The distal region is docked to native anatomy of the heart. A delivery device, including a collapsed prosthetic heart valve, is advanced over the docked guide member assembly. The collapsed prosthetic heart valve is located at an implantation site. The prosthetic heart valve is deployed from the delivery device, and then the delivery device is removed from the patient. At least a portion of the guide member assembly is removed from the patient. In some embodiments, the docking structure is docked to one or more of native mitral valve leaflets, chordae in the left ventricle, or walls of the left ventricle as part of a transseptal mitral valve delivery procedure.
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公开(公告)号:US20180317956A1
公开(公告)日:2018-11-08
申请号:US15970757
申请日:2018-05-03
发明人: Matthew Fleming , Aram Jamous , John Kelly , Conor McMullen , Colin William Meade , Grainne Teresa Carroll
IPC分类号: A61B17/3207
CPC分类号: A61B17/320758 , A61B17/00234 , A61B17/32002 , A61B17/32053 , A61B17/320783 , A61B2017/00292 , A61B2017/00738 , A61B2017/0088 , A61B2017/22038 , A61B2017/320004 , A61B2017/320024 , A61B2017/320052 , A61B2017/320064 , A61B2017/320741 , A61B2017/320775 , A61B2090/0801 , A61M25/0082 , A61M25/0108 , A61M2025/0096
摘要: A tissue-removing catheter for removing tissue in a body lumen includes an elongate body having an axis and proximal and distal end portions spaced apart from one another along the axis. The elongate body is sized and shaped to be received in the body lumen. A handle is mounted to the proximal end portion of the elongate body and operable to cause rotation of the elongate body. A tissue-removing element is mounted on the distal end portion of the elongate body. An inner liner is received within the elongate body and coupled to the handle at a proximal end of the inner liner. A sensor is arranged with respect to the elongate body and inner liner and is configured to detect wear of the inner liner caused by the elongate body contacting the inner liner during use.
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公开(公告)号:US20180317955A1
公开(公告)日:2018-11-08
申请号:US15970751
申请日:2018-05-03
发明人: Aram Jamous , John Kelly , Conor McMullen , Matthew Fleming , Colin William Meade , Grainne Teresa Carroll
IPC分类号: A61B17/3207
CPC分类号: A61B17/320758 , A61B17/00234 , A61B17/32002 , A61B17/32053 , A61B17/320783 , A61B2017/00292 , A61B2017/00738 , A61B2017/0088 , A61B2017/22038 , A61B2017/320004 , A61B2017/320024 , A61B2017/320052 , A61B2017/320064 , A61B2017/320741 , A61B2017/320775 , A61B2090/0801 , A61M25/0082 , A61M25/0108 , A61M2025/0096
摘要: A tissue-removing catheter for removing tissue in a body lumen includes an elongate body sized and shaped to be received in the body lumen. A handle is mounted at a proximal end portion of the catheter and is operable to cause rotation of the elongate body. A tissue-removing element is mounted on a distal end portion of the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen. A guidewire lumen extends through the elongate body from a distal end of the catheter to an intermediate location on the catheter spaced distally from the proximal end portion of the catheter. The guidewire lumen is configured to receive a guidewire such the catheter can be removed from the body lumen by pulling the catheter along the guidewire without removing the guidewire from the body lumen.
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公开(公告)号:US20180042492A1
公开(公告)日:2018-02-15
申请号:US15671686
申请日:2017-08-08
发明人: Ronan Finn , John Kelly , Matthew Fleming
IPC分类号: A61B5/0215 , A61B5/026 , A61B5/02 , A61B5/00
CPC分类号: A61B5/0215 , A61B5/02007 , A61B5/026 , A61B5/6852 , A61B2562/0247
摘要: A catheter for measuring a fractional flow reserve includes a proximal shaft, a distal shaft coupled to a distal portion of the proximal shaft, and a pressure sensor coupled to the distal shaft. The distal shaft includes a middle wall portion configured to extend through a stenosis in a vessel. The middle wall portion of the distal shaft includes at least one skive reducing the cross-sectional profile of the middle wall portion. The middle wall portion may further include at least one stiffening wire for increasing columnar stiffness of the middle wall portion.
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公开(公告)号:US11419628B2
公开(公告)日:2022-08-23
申请号:US16565043
申请日:2019-09-09
发明人: Matthew Fleming , Ian Brosnan
IPC分类号: A61B17/3207 , A61M25/01 , A61M25/09
摘要: A tissue-removing catheter for removing tissue in a body lumen includes an elongate body having an axis and proximal and distal end portions spaced apart from one another along the axis. A handle is mounted to the proximal end portion of the elongate body and operable to cause rotation of the elongate body. A tissue-removing element is mounted on the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen. An inner liner is received within the elongate body and is coupled to the handle at a proximal end portion of the inner liner. The inner liner defines a guidewire lumen. A sensor is arranged with respect to the inner liner and is configured to produce a signal for indicating the presence of a guidewire within the inner liner.
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公开(公告)号:US20210177455A1
公开(公告)日:2021-06-17
申请号:US17153079
申请日:2021-01-20
发明人: Aram Jamous , John Kelly , Conor McMullen , Matthew Fleming , Colin William Meade , Grainne Teresa Carroll
IPC分类号: A61B17/3207
摘要: A tissue-removing catheter for removing tissue in a body lumen includes a tube extending axially along the catheter. A junction box housing is located at a distal end of the tube. An elongate body extends distally from the junction box housing. The elongate body is sized and shaped to be received in the body lumen. A gear assembly is disposed in the junction box housing. The gear assembly engages the elongate body for rotating the elongate body. A tissue-removing element is mounted on a distal end portion of the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen.
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公开(公告)号:US20190046762A1
公开(公告)日:2019-02-14
申请号:US15672792
申请日:2017-08-09
发明人: Ronan Rogers , Matthew Fleming , Barry O'Connell , Timothy Jones , Joshua Hillas , David Callanan , Michael Takaza
IPC分类号: A61M25/00
摘要: A catheter for measuring a fractional flow reserve includes a proximal shaft, a distal shaft coupled to a distal portion of the proximal shaft, and a pressure sensor coupled to the distal shaft. The proximal shaft includes a distal portion configured to extend through a stenosis in a vessel. The distal portion of the proximal shaft includes a radially expanded configuration having a first diameter and a radially collapsed configuration having a second diameter, wherein the first diameter is larger than the second diameter. The distal shaft includes a guidewire lumen configured to receive therein.
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