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公开(公告)号：US10136913B2
公开(公告)日：2018-11-27
申请号：US14635742
申请日：2015-03-02
发明人： Kenneth P. Grace , Weston H. Lee , Brian E. Kagarise , Bruce A. Hoo , Robert Carver , Peter Wilbur Gleason , Phillip Charles Halbert
摘要： Devices for removing implanted objects from body vessels are provided. A device includes a sheath assembly having a cutting tip. The cutting tip includes a cutting surface that is adapted to cut tissue coupled to an implanted object as the cutting tip rotates. The sheath assembly further includes an outer shield carried outside of the cutting tip. The outer shield includes a distal opening, and the outer shield is translatable relative to the cutting tip from a first position to a second position and vice versa. In the first position the cutting surface of the cutting tip is disposed within the outer shield, and in the second position the cutting tip extends through the distal opening and the cutting surface is at least partially disposed outside of the outer shield.
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公开(公告)号：US09980743B2
公开(公告)日：2018-05-29
申请号：US15249206
申请日：2016-08-26
IPC分类号： A61B17/3205 , A61B17/34 , A61N1/05 , A61B17/32 , A61B17/50 , A61B17/00 , A61B17/3207
CPC分类号： A61B17/3205 , A61B17/32 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3468 , A61B17/50 , A61B2017/00986 , A61B2017/320032 , A61N1/0573 , A61N2001/0578
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate inner sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle. The inner sheath and outer sheath are constructed of laser-cut hypotubes, thereby allowing the surgical device, particularly the sheath assembly, to have a smaller profile for navigating smaller sized vasculature.
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公开(公告)号：US09956399B2
公开(公告)日：2018-05-01
申请号：US15406033
申请日：2017-01-13
发明人： Robert Carver , Weston H. Lee , Brian E. Kagarise , Bruce A. Hoo , Peter Wilbur Gleason , Phillip Charles Halbert
IPC分类号： A61B17/3205 , A61N1/05 , A61B17/34 , A61B17/32
CPC分类号： A61B17/3468 , A61B17/32 , A61B17/32002 , A61B17/3205 , A61B17/32053 , A61B17/320758 , A61B17/50 , A61B2017/320032 , A61N1/0573 , A61N2001/0578
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle.
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4.发明申请公开(公告)号：US20160361080A1
公开(公告)日：2016-12-15
申请号：US15249206
申请日：2016-08-26
IPC分类号： A61B17/3205 , A61B17/34 , A61N1/05
CPC分类号： A61B17/3205 , A61B17/32 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3468 , A61B17/50 , A61B2017/00986 , A61B2017/320032 , A61N1/0573 , A61N2001/0578
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate inner sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle. The inner sheath and outer sheath are constructed of laser-cut hypotubes, thereby allowing the surgical device, particularly the sheath assembly, to have a smaller profile for navigating smaller sized vasculature.
摘要翻译： 用于将植入物体（例如起搏器引线）从患者血管系统中围绕该物体的组织分离的方法和装置。 具体地说，手术装置包括手柄，细长内护套和圆形切割刀片，在致动手柄时从护套的远端延伸。 圆形切割刀片被配置为接合植入的引线周围的组织并且以取芯方式切割这样的组织，因为外科手术装置沿着引线的长度平移，从而允许引线以及保留附着到引线的任何组织， 进入设备的细长轴。 手术装置在手柄组件中具有桶形凸轮圆柱体，其将叶片的旋转和在外护套组件的尖端中的单独的凸轮机构赋予并控制叶片的伸缩。 筒状凸轮圆筒和凸轮机构协作以使刀片在第一方向上旋转并且由于手柄的第一致动而在外护套中延伸并从外套中缩回并且在第二方向上旋转并且在外护套中延伸和缩回 由于手柄的第二次致动。 内护套和外护套由激光切割海波管构成，从而允许外科装置，特别是护套组件具有较小的轮廓，用于导航较小尺寸的脉管系统。
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公开(公告)号：US20150258334A1
公开(公告)日：2015-09-17
申请号：US14627950
申请日：2015-02-20
发明人： Robert CARVER , Weston H. Lee , Brian E. Kagarise , Bruce A. Hoo , Peter Wilbur Gleason , Phillip Charles Halbert
IPC分类号： A61N1/05 , A61B17/3205
CPC分类号： A61B17/3468 , A61B17/32 , A61B17/32002 , A61B17/3205 , A61B17/32053 , A61B17/320758 , A61B17/50 , A61B2017/320032 , A61N1/0573 , A61N2001/0578
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle.
摘要翻译： 用于将植入物体（例如起搏器引线）从患者血管系统中围绕该物体的组织分离的方法和装置。 具体地说，手术装置包括手柄，细长护套和圆形切割刀片，它们在致动手柄时从护套的远端延伸。 圆形切割刀片被配置为接合植入的引线周围的组织并且以取芯方式切割这样的组织，因为外科手术装置沿着引线的长度平移，从而允许引线以及保留附着到引线的任何组织， 进入设备的细长轴。 手术装置在手柄组件中具有桶形凸轮圆柱体，其将叶片的旋转和在外护套组件的尖端中的单独的凸轮机构赋予并控制叶片的伸缩。 筒状凸轮圆筒和凸轮机构协作以使刀片在第一方向上旋转并且由于手柄的第一致动而在外护套中延伸并从外套中缩回并且在第二方向上旋转并且在外护套中延伸和缩回 由于手柄的第二次致动。
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公开(公告)号：US10314615B2
公开(公告)日：2019-06-11
申请号：US15894602
申请日：2018-02-12
发明人： Robert Carver , Weston H. Lee , Brian E. Kagarise , Bruce A. Hoo , Peter Wilbur Gleason , Phillip Charles Halbert
IPC分类号： A61B17/32 , A61B17/34 , A61N1/05 , A61B17/3205 , A61B17/3207 , A61B17/50
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle.
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公开(公告)号：US20180271551A1
公开(公告)日：2018-09-27
申请号：US15992016
申请日：2018-05-29
IPC分类号： A61B17/3205 , A61B17/50 , A61B17/34 , A61B17/32 , A61N1/05 , A61B17/3207 , A61B17/00
CPC分类号： A61B17/3205 , A61B17/32 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3468 , A61B17/50 , A61B2017/00986 , A61B2017/320032 , A61N1/0573 , A61N2001/0578
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate inner sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle. The inner sheath and outer sheath are constructed of laser-cut hypotubes, thereby allowing the surgical device, particularly the sheath assembly, to have a smaller profile for navigating smaller sized vasculature.
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公开(公告)号：US11160579B2
公开(公告)日：2021-11-02
申请号：US16125770
申请日：2018-09-10
发明人： Kenneth P. Grace , Weston H. Lee , Brian E. Kagarise , Bruce A. Hoo , Robert Carver , Peter Wilbur Gleason , Phillip Charles Halbert
IPC分类号： A61B17/3205 , A61B17/50 , A61B17/32 , A61N1/05 , A61B90/00
摘要： Devices for removing implanted objects from body vessels are provided. A device includes a sheath assembly having a cutting tip. The cutting tip includes a cutting surface that is adapted to cut tissue coupled to an implanted object as the cutting tip rotates. The sheath assembly further includes an outer shield carried outside of the cutting tip. The outer shield includes a distal opening, and the outer shield is translatable relative to the cutting tip from a first position to a second position and vice versa. In the first position the cutting surface of the cutting tip is disposed within the outer shield, and in the second position the cutting tip extends through the distal opening and the cutting surface is at least partially disposed outside of the outer shield.
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公开(公告)号：US10751529B2
公开(公告)日：2020-08-25
申请号：US15755931
申请日：2016-08-26
IPC分类号： A61N1/05 , A61B17/3205 , A61B17/34 , A61B17/32 , A61B17/00
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate inner sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle. The inner sheath and outer sheath are constructed of laser-cut hypotubes, thereby allowing the surgical device, particularly the sheath assembly, to have a smaller profile for navigating smaller sized vasculature.
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公开(公告)号：US09918737B2
公开(公告)日：2018-03-20
申请号：US14627950
申请日：2015-02-20
发明人： Robert Carver , Weston H. Lee , Brian E. Kagarise , Bruce A. Hoo , Peter Wilbur Gleason , Phillip Charles Halbert
IPC分类号： A61N1/05 , A61B17/3205 , A61B17/32 , A61B17/34 , A61B17/3207 , A61B17/50
CPC分类号： A61B17/3468 , A61B17/32 , A61B17/32002 , A61B17/3205 , A61B17/32053 , A61B17/320758 , A61B17/50 , A61B2017/320032 , A61N1/0573 , A61N2001/0578
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle.
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