公开(公告)号：US20180325547A1

公开(公告)日：2018-11-15

申请号：US16029251

申请日：2018-07-06

申请人： Actuated Medical, Inc.

发明人： Roger B. Bagwell ,  Douglas R. Dillon ,  Eric J. Hopkins ,  Olga M. Ocon-Grove ,  Brandon A. Pier ,  Eric M. Steffan ,  Maureen L. Mulvihill ,  Casey A. Scruggs ,  Ryan S. Clement

IPC分类号： A61B17/34 ,  A61M5/20 ,  A61B5/00 ,  A61M5/158

CPC分类号： A61B17/3476 ,  A61B5/4896 ,  A61B10/025 ,  A61B17/320068 ,  A61B17/3401 ,  A61B17/3403 ,  A61B17/3415 ,  A61B17/3423 ,  A61B17/3496 ,  A61B34/20 ,  A61B2017/0011 ,  A61B2017/00115 ,  A61B2017/00123 ,  A61B2017/3413 ,  A61B2090/064 ,  A61M5/00 ,  A61M5/158 ,  A61M5/20 ,  A61M5/3287 ,  A61M25/0084 ,  A61M25/065 ,  A61M37/0092 ,  A61M2005/1585 ,  A61M2205/581 ,  A61M2205/582 ,  A61M2205/583

摘要： A device for penetrating tissue for fluid collection and delivery is provided having a driving actuator interconnected to and driving axial reciprocating motion of a penetrating member. A hollow member attached between the penetrating member and a reservoir permits axial reciprocation of the penetrating member while isolating the vibrations from the reservoir. A handpiece allows for one-handed use of the device. A slider device attached to the reservoir permits one-handed delivery and extraction of materials from the reservoir.

公开(公告)号：US20180303512A1

公开(公告)日：2018-10-25

申请号：US15779318

申请日：2016-11-25

申请人： OHIO STATE INNOVATION FOUNDATION

发明人： Ali REZAI ,  Milind DEOGAONKAR

IPC分类号： A61B17/34 ,  A61B1/05

CPC分类号： A61B17/3401 ,  A61B1/05 ,  A61B17/3403 ,  A61B17/3468 ,  A61B17/3478 ,  A61B90/361 ,  A61B2017/22074

摘要： A method for guiding a therapy delivery device to a target tissue in a subject can include a step of providing a needle (12) having a main body that defines an inner lumen. An opening (26) can be located on a distal end portion of the main body. The opening can be in communication with the inner lumen. A ramp (32) can be positioned within the inner lumen and adjacent the opening. The ramp can be axially spaced apart from a distal end portion of the main body. The needle can be percutaneously inserted into the subject. The needle can be advanced to the target tissue. A camera (68) can be advanced through the inner lumen. The camera can be operated to visualize the target tissue. A therapy delivery device (70) can be advanced through the inner lumen. The therapy delivery device, under direct visualization, can be placed into communication with the target tissue.

公开(公告)号：US20180303508A1

公开(公告)日：2018-10-25

申请号：US16020229

申请日：2018-06-27

申请人： Amendia, Inc.

发明人： Michael P. Wallace ,  Robert Garabedian ,  Gregory B. Arcenio ,  Jeffery L. Bleich ,  Vahid Saadat ,  Winnie Chung

IPC分类号： A61B17/32

CPC分类号： A61B17/32 ,  A61B17/149 ,  A61B17/1659 ,  A61B17/1671 ,  A61B17/320016 ,  A61B17/3401 ,  A61B17/3403 ,  A61B17/3468 ,  A61B18/1477 ,  A61B18/1487 ,  A61B90/04 ,  A61B2017/00261 ,  A61B2017/003 ,  A61B2017/00331 ,  A61B2017/00867 ,  A61B2017/22038 ,  A61B2017/22049 ,  A61B2017/320004 ,  A61B2017/320044 ,  A61B2017/32006 ,  A61B2018/1407 ,  A61B2018/1425 ,  A61B2090/061 ,  A61B2090/08021 ,  A61F2/0045 ,  A61M25/0067 ,  A61M25/09 ,  A61M2210/1003 ,  A61N1/0551 ,  A61N1/36017

摘要： Described herein are devices, systems and methods for treating target tissue in a patient's spine. In general, the methods include the steps of advancing a wire into the patient from a first location, through a neural foramen, and out of the patient from a second location; connecting a tissue modification device to the wire; positioning the tissue modification device through the neural foramen using the wire; modifying target tissue in the spine by moving the tissue modification device against the target tissue; and delivering an agent to modified target tissue, wherein the agent is configured to inhibit blood flow from the modified target tissue. In some embodiments, the step of modifying target tissue comprises removing target tissue located ventral to the superior articular process while avoiding non-target tissue located lateral to the superior articular process.

公开(公告)号：US10080549B2

公开(公告)日：2018-09-25

申请号：US15015188

申请日：2016-02-04

申请人： Avent, Inc.

发明人： Roger Dillard Massengale ,  Steve S. Khalaj ,  Siddharth Desai ,  Dominic J. Cooke

IPC分类号： A61B8/08 ,  A61M25/01 ,  A61B17/34 ,  A61M19/00 ,  A61M5/32 ,  A61B90/00

CPC分类号： A61B8/481 ,  A61B8/0841 ,  A61B17/3401 ,  A61B2017/3413 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61M5/3286 ,  A61M5/3291 ,  A61M19/00 ,  A61M25/0108

摘要： An apparatus for performing a nerve block procedure, the apparatus being composed of an echogenic needle or an echogenic soft tissue tunneling device and an echogenic catheter configured for controlled delivery of a medication. The apparatus may further include a sheath such that at least one of the needle or tunneling device and sheath is echogenic. The present invention also encompasses a system for performing a nerve block procedure, the system includes introducing an echogenic needle in the general area of a nerve bundle, positioning the echogenic needle adjacent the nerve bundle utilizing sonic imaging techniques, introducing an echogenic catheter configured for controlled delivery of a fluid through the echogenic needle, withdrawing the echogenic needle, positioning the echogenic catheter adjacent the nerve bundle utilizing sonic imaging techniques, and delivering fluid to the nerve bundle through the echogenic catheter.

公开(公告)号：US20180243000A1

公开(公告)日：2018-08-30

申请号：US15949321

申请日：2018-04-10

申请人： Injectimed, Inc.

发明人： Thomas C. Kuracina

IPC分类号： A61B17/34 ,  A61B8/08 ,  A61B17/00

CPC分类号： A61B17/3403 ,  A61B8/0841 ,  A61B17/3401 ,  A61B2017/00526 ,  A61B2017/3413 ,  A61B2090/3925 ,  A61M5/3286 ,  A61M5/3291

摘要： A needle that includes an elongate tube having a proximal end, a distal end, an outer wall and an inner wall that defines a through passage, the through passage having a longitudinal central axis. The distal end of the tube includes a bevel having a length and that terminates at a distal tip. The inner wall of the tube has an exposed area in the bevel that is viewable from the top side of the tube. A spiral channel is formed in the inner wall of the tube along at least a portion of the length of the exposed area, the spiral channel having a proximal facing surface configured to reflect ultrasonic waves directed at it.

公开(公告)号：US20180206781A1

公开(公告)日：2018-07-26

申请号：US15927664

申请日：2018-03-21

申请人： Texas Medical Center

发明人： Nicole C. MOSKOWITZ ,  Jessica TRAVER ,  Xavier GARCIA-ROJAS ,  Yashar GANJEH

IPC分类号： A61B5/00 ,  A61B17/34 ,  A61M5/42 ,  A61B17/00 ,  A61M5/46

CPC分类号： A61B5/4566 ,  A61B5/0006 ,  A61B5/0053 ,  A61B5/066 ,  A61B5/4504 ,  A61B5/4887 ,  A61B5/4896 ,  A61B17/3401 ,  A61B17/3403 ,  A61B17/3417 ,  A61B17/3468 ,  A61B17/3494 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/3405 ,  A61B2017/3407 ,  A61B2017/3413 ,  A61B2090/065 ,  A61M5/427 ,  A61M5/46 ,  A61M2210/1003

摘要： Tactile sensing devices, systems, and methods to image a target tissue location are disclosed. When force is applied to the tactile sensing device, voltage data is detected and visualized on a screen, indicating the target tissue location.

公开(公告)号：US09987435B2

公开(公告)日：2018-06-05

申请号：US13261532

申请日：2011-06-08

申请人： Anthony J. Colantonio

发明人： Anthony J. Colantonio

IPC分类号： A61M5/32 ,  A61B17/34 ,  A61B17/00

CPC分类号： A61M5/32 ,  A61B17/3401 ,  A61B17/3496 ,  A61B2017/00477

摘要： An epidural needle assembly is provided, permitting the accurate introduction of a large bore introducer sleeve needle into the epidural space in the spinal column of a patient using the loss of resistance technique. The large bore introducer needle has a beveled side opening at its tip and with a tissue piercing point at the distal extension of the needle. A syringe needle is received within the introducer needle with a distal head of the syringe needle filling the beveled side opening at the distal end of the introducer needle when the syringe hub is fully seated. The lumen of the syringe needle exits the syringe needle head at the side opening of the introducer needle immediately adjacent the tissue piercing point of the introducing needle. The needle assembly may be inserted and advanced, with precise tactile feedback, into a patient, thus accurately detecting the introduction of the introducer needle into epidural space.

公开(公告)号：US09895510B2

公开(公告)日：2018-02-20

申请号：US15002465

申请日：2016-01-21

申请人： Avent, Inc.

发明人： Michael F. Guzman

IPC分类号： A61M19/00 ,  A61B46/00 ,  A61M5/42 ,  A61M25/06 ,  A61B1/313 ,  A61M5/142 ,  A61B46/20 ,  A61M5/46 ,  A61M5/158 ,  A61M5/172 ,  A61M25/00 ,  A61B17/34 ,  A61B5/11 ,  A61B5/00 ,  A61B8/08 ,  A61M29/00

CPC分类号： A61M19/00 ,  A61B1/3132 ,  A61B5/1106 ,  A61B5/4821 ,  A61B8/0841 ,  A61B17/3401 ,  A61B17/3403 ,  A61B46/00 ,  A61B46/20 ,  A61M5/142 ,  A61M5/158 ,  A61M5/1723 ,  A61M5/42 ,  A61M5/427 ,  A61M5/46 ,  A61M25/06 ,  A61M25/065 ,  A61M25/0662 ,  A61M25/0668 ,  A61M29/00 ,  A61M2005/1726 ,  A61M2025/0007 ,  A61M2025/0681 ,  A61M2210/1003 ,  A61M2210/1017 ,  A61M2210/1021 ,  Y10S514/818

摘要： Apparatus for administering certain nerve blocks includes a sheath constructed from a flexible ultrasound echogenic material, a more rigid introducer/dilator for introducing the sheath into the patient, and an ultrasound echogenic catheter for inserting through the sheath once the distal end of the sheath is in place adjacent the nerve(s) to be blocked and the introducer/dilator has been withdrawn. The catheter has provisions at its proximal end for connecting to a source of local anesthetic. Methods for use of this apparatus are also described.

公开(公告)号：US09888940B2

公开(公告)日：2018-02-13

申请号：US13840426

申请日：2013-03-15

申请人： Custom Medical Applications

发明人： N. Sandor Racz

IPC分类号： A61B17/34 ,  A61M5/32 ,  A61M19/00 ,  A61M25/00 ,  A61B18/00 ,  A61B18/14 ,  A61N1/05 ,  A61N1/36

CPC分类号： A61B17/3415 ,  A61B17/3401 ,  A61B17/3496 ,  A61B2018/00434 ,  A61B2018/00577 ,  A61B2018/1425 ,  A61M5/3291 ,  A61M19/00 ,  A61M25/007 ,  A61M2025/0089 ,  A61N1/05 ,  A61N1/3606

摘要： A novel neural injection system and related methods are herein disclosed. Various embodiments of an embodiment of a neural injection system of the present invention provide for at least one benefit of enhanced injection characteristics, increased operational efficiency, reduced cost per unit, reduced incidence of injury through intraneural/intravascular injection, reduced incidence of injury through pricking/piercing, and/or the like.

公开(公告)号：US20170340350A1

公开(公告)日：2017-11-30

申请号：US15255927

申请日：2016-09-02

申请人： Phoenix Spine Surgery Center, Ltd.

发明人： Daniel Lieberman ,  Yani Deros ,  Matthew James Ibarra ,  Kirsten Rutherford ,  John B. Kinnard ,  Craig C. Ovans

IPC分类号： A61B17/34 ,  A61B1/00 ,  A61B18/14 ,  A61B18/00

CPC分类号： A61B1/05 ,  A61B1/00045 ,  A61B1/0008 ,  A61B1/00135 ,  A61B1/00142 ,  A61B1/00154 ,  A61B1/00179 ,  A61B1/045 ,  A61B1/3135 ,  A61B17/3401 ,  A61B17/3423 ,  A61B17/3468 ,  A61B17/3478 ,  A61B18/148 ,  A61B2017/3437 ,  A61B2017/3447 ,  A61B2018/00339 ,  A61B2018/00434 ,  A61B2018/0044 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2218/002

摘要： Methods and apparatus for direct visual rhizotomy using an elongated tubular sheath. The sheath includes: a proximal end configured to removably receive a cannula; a distal end; a horizontal shaft having a longitudinal axis extending between the proximal end and the distal end; a first cut-away generally defining a first plane at the distal end, the first cut-away characterized by a first angle relative to a vertical plane; and a second cut-away generally defining a second plane at the distal end, the second cut-away characterized by a second angle relative to a horizontal plane. The sheath further includes an endoscope camera disposed at the distal end, the camera having a line of sight substantially orthogonal to the first plane.