公开(公告)号：US20100125276A1

公开(公告)日：2010-05-20

申请号：US12271712

申请日：2008-11-14

Applicant: Thomas Palermo

Inventor： Thomas Palermo

IPC: A61B17/00 ,  A61B19/00 ,  B23B47/28

CPC classification number: A61B17/320758 ,  A61B2017/00115 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2090/064 ,  Y10T408/03

Abstract: A luminal drilling system includes a drilling device and a control unit. The drilling device includes an elongate member having a drive shaft with a drill tip. The control unit includes a motor connectable to the drive shaft and control circuitry which rotationally oscillates the drive shaft with the direction of rotation automatically reversing whenever the load on the motor and/or drive shaft exceeds a threshold value.

Abstract translation: 管腔钻井系统包括钻井装置和控制单元。 钻孔装置包括具有带钻头的驱动轴的细长构件。 控制单元包括可连接到驱动轴的马达和控制电路，每当马达和/或驱动轴上的负载超过阈值时，旋转方向使驱动轴随旋转方向自动反转。

公开(公告)号：US20090318955A1

公开(公告)日：2009-12-24

申请号：US12405087

申请日：2009-03-16

Applicant: Vipul Bhupendra Dave ,  Chao-Chin Chen ,  Thomas Palermo

Inventor： Vipul Bhupendra Dave ,  Chao-Chin Chen ,  Thomas Palermo

IPC: A61B17/03

CPC classification number: A61B17/0057 ,  A61B2017/00654

Abstract: The present invention provides a porous structure that works very effectively to seal a puncture site with optimum porosity, absorbent capacity and perfect anatomical fit. The plug density and other fiber properties/geometry (total denier; number of filaments; etc) have provided an efficient structure that allows instantaneous absorption of blood during deployment. The final size of the plug with absorbed fluids provides an anatomical fit and seals the puncture site within few minutes after deployment.

Abstract translation: 本发明提供一种多孔结构，其非常有效地密封穿刺部位，具有最佳的孔隙率，吸收能力和完美的解剖适合性。 插头密度和其他纤维性能/几何（总旦数，长丝数等）提供了一种有效的结构，允许在展开期间瞬间吸收血液。 使用吸收液体的塞子的最终尺寸提供了解剖学配合，并在部署后几分钟内密封穿刺部位。

公开(公告)号：US08657821B2

公开(公告)日：2014-02-25

申请号：US12271712

申请日：2008-11-14

Applicant: Thomas Palermo

Inventor： Thomas Palermo

IPC: A61B17/00

CPC classification number: A61B17/320758 ,  A61B2017/00115 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2090/064 ,  Y10T408/03

Abstract: A luminal drilling system includes a drilling device and a control unit. The drilling device includes an elongate member having a drive shaft with a drill tip. The control unit includes a motor connectable to the drive shaft and control circuitry which rotationally oscillates the drive shaft with the direction of rotation automatically reversing whenever the load on the motor and/or drive shaft exceeds a threshold value.

Abstract translation: 管腔钻井系统包括钻井装置和控制单元。 钻孔装置包括具有带钻头的驱动轴的细长构件。 控制单元包括可连接到驱动轴的马达和控制电路，每当马达和/或驱动轴上的负载超过阈值时，旋转方向使驱动轴随旋转方向自动反转。

公开(公告)号：US20060253037A1

公开(公告)日：2006-11-09

申请号：US11244944

申请日：2005-10-05

Applicant: Richard Ginn ,  Thomas Palermo

Inventor： Richard Ginn ,  Thomas Palermo

IPC: A61B5/02

CPC classification number: A61B17/0057 ,  A61B2017/00654 ,  A61B2017/00672 ,  A61B2017/2923 ,  A61B2090/0807

Abstract: The present invention is directed to a device which is capable of both locating a punctured blood vessel wall and sealing the puncture in the vessel and to the method of using the device as well. In one embodiment, the device includes an elongate deployment member having a sealing element releasably disposed within a distal end thereof, said deployment member being coupled to a first actuator configured to retract said deployment member relative to said sealing element, and an elongated indicator member having a proximal end and a distal end, said indicator member extending through a lumen in said deployment member such that the distal end of said indicator member extends distally of the distal end of the deployment member, and said indicator member being coupled to a second actuator configured to retract said indicator member relative to said deployment member.

公开(公告)号：US20050267528A1

公开(公告)日：2005-12-01

申请号：US11038995

申请日：2005-01-19

Applicant: Richard Ginn ,  Thomas Palermo ,  Phil Olsen ,  Tellis Hartridge ,  Adam Shively

Inventor： Richard Ginn ,  Thomas Palermo ,  Phil Olsen ,  Tellis Hartridge ,  Adam Shively

IPC: A61B17/00 ,  A61B17/08

CPC classification number: A61B17/0057 ,  A61B17/12022 ,  A61B17/12109 ,  A61B17/12159 ,  A61B17/12163 ,  A61B17/12172 ,  A61B17/1219 ,  A61B2017/00004 ,  A61B2017/00654 ,  A61B2017/00778 ,  A61B2017/00898

Abstract: This invention relates to apparatus and methods for use in sealing a vascular puncture site, particularly sites of punctures that are the result of catheterization or other interventional procedures. In several of the preferred embodiments, the sealing device includes a sealing member and a tether. The sealing member generally performs the function of occupying a space in an incision, puncture, or other wound and sealing the space in the incision, puncture, or wound that it occupies, to prevent further blood flow. The tether is typically attached in some manner to the sealing member, and provides the user with the ability to withdraw the sealing member if necessary. In a particularly preferred form, the sealing device further includes a restraining member associated with the sealing member. The restraining member provides the ability to more securely restrain the sealing member to prevent it from migrating from the deployment location within a tissue tract. The restraining member may also provide an additional capability of manipulating the sealing member after deployment.

Abstract translation: 本发明涉及用于密封血管穿刺部位的装置和方法，特别是作为导管插入术或其他介入手术的结果的穿刺部位。 在几个优选实施例中，密封装置包括密封构件和系绳。 密封构件通常执行占据切口，穿刺或其他伤口中的空间并密封其占据的切口，穿刺或伤口中的空间的功能，以防止进一步的血液流动。 系绳通常以某种方式附接到密封构件上，并且如果需要，使用者能够抽出密封构件。 在特别优选的形式中，密封装置还包括与密封构件相关联的限制构件。 限制构件提供了更可靠地限制密封构件以防止其从组织道内的展开位置迁移的能力。 限制构件还可以在部署之后提供操纵密封构件的附加能力。

公开(公告)号：US6077261A

公开(公告)日：2000-06-20

申请号：US1968

申请日：1997-12-31

Applicant: Robert S. Behl ,  Thomas Palermo ,  Colin J. Nichols

Inventor： Robert S. Behl ,  Thomas Palermo ,  Colin J. Nichols

IPC: A61B17/12 ,  A61B18/12 ,  A61B18/14 ,  A61B17/36

CPC classification number: A61B18/1492 ,  A61B2018/00214

Abstract: Body lumens such as blood vessels are selectively occluded by mechanically collapsing the blood vessel and subsequently applying energy or other occlusive conditions within or adjacent the collapsed region. For example, vessel collapsing mechanisms can include spreadable opposed elements, reciprocating jaw mechanisms having penetrating elements, and devices for applying negative pressure to collapse the blood vessel. One or more electrodes can be used in a monopolar or bipolar fashion to apply radiofrequency or other energy to the body lumen in the region where it has been collapsed.

Abstract translation: 通过机械地塌缩血管并且随后在塌陷区域内或邻近塌陷区域施加能量或其他闭塞状态，选择性地闭塞诸如血管的体腔。 例如，容器塌缩机构可以包括可展开的相对元件，具有穿透元件的往复式夹爪机构，以及用于施加负压以折叠血管的装置。 一个或多个电极可以以单极或双极方式使用，以将射频或其他能量施加到其已经塌陷的区域中的体腔。

公开(公告)号：US5709224A

公开(公告)日：1998-01-20

申请号：US488444

申请日：1995-06-07

Applicant: Robert S. Behl ,  Thomas Palermo ,  Colin J. Nichols

Inventor： Robert S. Behl ,  Thomas Palermo ,  Colin J. Nichols

IPC: A61B17/12 ,  A61B18/12 ,  A61B18/14 ,  A61B17/36

CPC classification number: A61B18/1492 ,  A61B2018/00214

Abstract: Body lumens such as blood vessels are selectively occluded by mechanically collapsing the blood vessel and subsequently applying energy or other occlusive conditions within or adjacent the collapsed region. For example, vessel collapsing mechanisms can include spreadable opposed elements, reciprocating jaw mechanisms having penetrating elements, and devices for applying negative pressure to collapse the blood vessel. One or more electrodes can be used in a monopolar or bipolar fashion to apply radiofrequency or other energy to the body lumen in the region where it has been collapsed.

公开(公告)号：US09655602B2

公开(公告)日：2017-05-23

申请号：US13326763

申请日：2011-12-15

Applicant: Richard Ginn ,  Thomas Palermo ,  Phil Olsen ,  Tellis Hartridge ,  Adam Shively

Inventor： Richard Ginn ,  Thomas Palermo ,  Phil Olsen ,  Tellis Hartridge ,  Adam Shively

IPC: A61B17/03 ,  A61B17/00 ,  A61B17/12

CPC classification number: A61B17/0057 ,  A61B17/12022 ,  A61B17/12109 ,  A61B17/12159 ,  A61B17/12163 ,  A61B17/12172 ,  A61B17/1219 ,  A61B2017/00004 ,  A61B2017/00654 ,  A61B2017/00778 ,  A61B2017/00898

Abstract: This invention relates to apparatus and methods used to seal a vascular puncture site, particularly sites of punctures that are the result of catheterization or other interventional procedures. The sealing device includes a sealing member and a tether. The sealing member occupies a space in an incision, puncture, or other wound and sealing the space that it occupies, to prevent further blood flow. The tether is attached to the sealing member, and provides the user with the ability to withdraw the sealing member if necessary. The sealing device further includes a restraining member associated with the sealing member. The restraining member provides the ability to more securely restrain the sealing member to prevent it from migrating from the deployment location within a tissue tract. The restraining member also provides an additional capability of manipulating the sealing member after deployment.

公开(公告)号：US08876860B2

公开(公告)日：2014-11-04

申请号：US12405087

申请日：2009-03-16

Applicant: Vipul Bhupendra Dave ,  Chao-Chin Chen ,  Thomas Palermo

Inventor： Vipul Bhupendra Dave ,  Chao-Chin Chen ,  Thomas Palermo

IPC: A61B17/08

CPC classification number: A61B17/0057 ,  A61B2017/00654

Abstract: The present invention provides a porous structure that works very effectively to seal a puncture site with optimum porosity, absorbent capacity and perfect anatomical fit. The plug density and other fiber properties/geometry (total denier; number of filaments; etc) have provided an efficient structure that allows instantaneous absorption of blood during deployment. The final size of the plug with absorbed fluids provides an anatomical fit and seals the puncture site within few minutes after deployment.

Abstract translation: 本发明提供一种多孔结构，其非常有效地密封穿刺部位，具有最佳的孔隙率，吸收能力和完美的解剖适合性。 插头密度和其他纤维性能/几何（总旦数，长丝数等）提供了一种有效的结构，允许在展开期间瞬间吸收血液。 使用吸收液体的塞子的最终尺寸提供了解剖学配合，并在部署后几分钟内密封穿刺部位。

公开(公告)号：US06656173B1

公开(公告)日：2003-12-02

申请号：US09845774

申请日：2001-04-30

Applicant: Thomas Palermo

Inventor： Thomas Palermo

IPC: A61B1804

CPC classification number: A61B17/1214 ,  A61B17/12022 ,  A61B18/1442 ,  A61B18/1492 ,  A61B2018/00214 ,  A61B2018/1253

Abstract: Body lumens such as blood vessels are selectively occluded by applying radiofrequency voltage to a vaso-occlusive coil (100) at the target site (TS) and generating a thermal reaction to induce fibrogenic occlusion of the blood vessel (BV) around the vaso-occlusive coil. The radiofrequency current is usually sufficient to induce thermal damage to the luminal wall and to coagulate the surrounding blood, thereby initiating clotting and subsequent fibrosis to permanently occlude the lumen. The invention also includes a method for endoluminally deploying the vaso-occlusive coil and preventing migration of the coil from of the target site.

Abstract translation: 通过向靶位点（TS）处的血管闭塞线圈（100）施加射频电压并产生热反应以诱导围绕血管闭塞的血管（BV）的纤维形成闭塞，选择性地闭塞体腔，例如血管。 线圈 射频电流通常足以引起腔壁的热损伤并使周围的血液凝结，从而引发凝血和随后的纤维化以永久性闭塞管腔。 本发明还包括一种用于腔内部署血管闭塞性线圈并防止线圈从目标部位迁移的方法。