公开(公告)号：US11963714B2

公开(公告)日：2024-04-23

申请号：US17347179

申请日：2021-06-14

Applicant: Medtronic Ireland Manufacturing Unlimited Company

Inventor： Mark E. Deem ,  Hanson S. Gifford, III ,  Denise Zarins ,  Douglas Sutton ,  Erik Thai ,  Mark Gelfand ,  Howard R. Levin

IPC: A61B18/14 ,  A61B8/08 ,  A61B8/12 ,  A61B18/00 ,  A61B18/12 ,  A61B18/18 ,  A61M5/14 ,  A61M25/00 ,  A61N1/04 ,  A61N1/05 ,  A61N1/18 ,  A61N1/20 ,  A61N1/32 ,  A61N1/36 ,  A61N5/00 ,  A61N7/00

CPC classification number: A61B18/1492 ,  A61B8/0891 ,  A61B8/12 ,  A61B18/1206 ,  A61B18/1233 ,  A61B18/18 ,  A61M5/14 ,  A61M25/0023 ,  A61N1/05 ,  A61N1/0551 ,  A61N1/18 ,  A61N1/205 ,  A61N1/327 ,  A61N1/36007 ,  A61N1/36017 ,  A61N1/36057 ,  A61N1/36103 ,  A61N1/36114 ,  A61N1/36139 ,  A61N5/00 ,  A61N7/00 ,  A61B2018/00071 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00505 ,  A61B2018/00511 ,  A61B2018/00577 ,  A61B2018/00613 ,  A61B2018/00642 ,  A61B2018/00904 ,  A61B2018/126 ,  A61B2018/1467 ,  A61N1/0412 ,  A61N1/326 ,  A61N1/36117 ,  A61N2007/0021 ,  A61N2007/003

Abstract: Methods and apparatus are provided for renal neuromodulation using a pulsed electric field to effectuate electroporation or electrofusion. It is expected that renal neuromodulation (e.g., denervation) may, among other things, reduce expansion of an acute myocardial infarction, reduce or prevent the onset of morphological changes that are affiliated with congestive heart failure, and/or be efficacious in the treatment of end stage renal disease. Embodiments of the present invention are configured for percutaneous intravascular delivery of pulsed electric fields to achieve such neuromodulation.

公开(公告)号：US20240016543A1

公开(公告)日：2024-01-18

申请号：US18019356

申请日：2021-08-06

Applicant: IPG PHOTONICS CORPORATION

Inventor： Gregory ALTSHULER ,  ILYA YAROSLAVSKY ,  Dmitri BOUTOUSSOV ,  Viktoriya ANDREEVA ,  Anastasiya KOVALENKO ,  Dmitriy NIKITIN ,  Daniil MYASNIKOV ,  Vyacheslav BRUNOV ,  Dmitriy PROTASENYA ,  Andrey MASHKIN

IPC: A61B18/22

CPC classification number: A61B18/22 ,  A61B2018/00505

Abstract: A surgical laser system includes a surgical optical fiber optically coupled to a light source and a light detector configured to receive a portion of light reflected from a treatment target and generate optical data corresponding to the portion of the reflected light interacting with the light detector. The system also includes a computing device configured to analyze the optical data relative to characteristic criteria, and based on the comparison of the optical data to the characteristic criteria, control operation of a laser source.

公开(公告)号：US20230285079A1

公开(公告)日：2023-09-14

申请号：US18197479

申请日：2023-05-15

Applicant: Boston Scientific Corporation

Inventor： Ralf BRINKMANN ,  Birgit LANGE

IPC: A61B18/26 ,  A61B18/24 ,  A61B5/00 ,  A61B18/20 ,  A61B5/06

CPC classification number: A61B18/26 ,  A61B18/24 ,  A61B18/245 ,  A61B5/0071 ,  A61B5/0075 ,  A61B18/20 ,  A61B5/0084 ,  A61B5/06 ,  A61B2018/00505

Abstract: A medical device may include an ablation device configured to deliver ablation energy to a treatment site. The medical device may further include a probe device configured to deliver excitation radiation to the treatment site. Further the medical device may include a radiation-receiving device configured to receive photoluminescence radiation emitted from the treatment site in response to the treatment site being illuminated by the excitation radiation and to generate a detection signal in response to the received photoluminescence radiation. Additionally, the excitation radiation may be different from the ablation energy.

公开(公告)号：US20190192237A1

公开(公告)日：2019-06-27

申请号：US16290430

申请日：2019-03-01

Applicant: Boston Scientific Scimed, Inc.

Inventor： Timothy P. HARRAH ,  Christopher L. OSKIN ,  Derrick LENZ ,  Arpita BANERJEE ,  Sandesh GAVADE ,  Pavan MISRA ,  Abhijit TAKALE

IPC: A61B34/00 ,  G06T7/00 ,  G06T11/60 ,  G06T7/60 ,  G16H40/63 ,  A61B18/26

CPC classification number: A61B34/25 ,  A61B6/464 ,  A61B6/465 ,  A61B17/22004 ,  A61B18/26 ,  A61B2018/00505 ,  A61B2018/00511 ,  A61B2018/00517 ,  A61B2018/00577 ,  A61B2018/00982 ,  A61B2034/107 ,  A61B2034/2065 ,  A61B2034/2074 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2034/256 ,  A61B2217/007 ,  A61B2218/002 ,  G06T7/0014 ,  G06T7/60 ,  G06T11/60 ,  G06T2207/10116 ,  G06T2207/30084 ,  G06T2210/41 ,  G16H40/63

Abstract: A medical system for use in a lithotripsy procedure may include a processor configured to receive input from a first imaging device, wherein the first imaging device may be configured to send image data representative of an image captured in a lumen of a kidney, bladder, or ureter to the processor. The processor may be configured to display the image on a display device coupled to the processor, and analyze the image to sense the presence of an object within the image. If an object was sensed within the image, the processor may analyze the image to estimate a size of the object, and display the estimate on the display device.

公开(公告)号：US10034708B2

公开(公告)日：2018-07-31

申请号：US14737254

申请日：2015-06-11

Applicant: Denise Zarins ,  Andrew Wu ,  Hanson Gifford, III ,  Mark Deem ,  Mark Gelfand ,  Howard R. Levin

Inventor： Denise Zarins ,  Andrew Wu ,  Hanson Gifford, III ,  Mark Deem ,  Mark Gelfand ,  Howard R. Levin

IPC: A61B18/14 ,  A61F7/12 ,  A61M5/142 ,  A61N1/28 ,  A61N1/32 ,  A61N1/40 ,  A61N5/04 ,  A61N7/02 ,  A61M5/172 ,  A61N1/36 ,  A61N1/362 ,  A61N7/00 ,  A61B18/00

CPC classification number: A61B18/1492 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00505 ,  A61B2018/00511 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61F7/123 ,  A61F2007/126 ,  A61M5/14276 ,  A61M5/1723 ,  A61M2210/1082 ,  A61N1/28 ,  A61N1/32 ,  A61N1/326 ,  A61N1/36007 ,  A61N1/36017 ,  A61N1/36114 ,  A61N1/36117 ,  A61N1/3627 ,  A61N1/403 ,  A61N5/045 ,  A61N7/02 ,  A61N2007/003

Abstract: Methods and apparatus are provided for thermally-induced renal neuromodulation. Thermally-induced renal neuromodulation may be achieved via direct and/or via indirect application of thermal energy to heat or cool neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers. In some embodiments, parameters of the neural fibers, of non-target tissue, or of the thermal energy delivery element, may be monitored via one or more sensors for controlling the thermally-induced neuromodulation. In some embodiments, protective elements may be provided to reduce a degree of thermal damage induced in the non-target tissues. In some embodiments, thermally-induced renal neuromodulation is achieved via delivery of a pulsed thermal therapy.

公开(公告)号：US20180192982A1

公开(公告)日：2018-07-12

申请号：US15859797

申请日：2018-01-02

Applicant: Boston Scientific Scimed, Inc.

Inventor： Peter J. PEREIRA ,  Michael S.H. CHU ,  Elizabeth STOKLEY ,  David Saito ,  Candace RHODES

IPC: A61B6/00 ,  A61B8/08 ,  A61B17/225 ,  A61B1/307

CPC classification number: A61B6/5217 ,  A61B1/00009 ,  A61B1/00048 ,  A61B1/0005 ,  A61B1/018 ,  A61B1/307 ,  A61B5/1076 ,  A61B5/20 ,  A61B8/0841 ,  A61B8/085 ,  A61B8/12 ,  A61B8/4254 ,  A61B17/2255 ,  A61B17/2256 ,  A61B18/26 ,  A61B34/25 ,  A61B2018/00505 ,  A61B2018/00517 ,  A61B2018/00982 ,  A61B2034/2074 ,  A61B2090/061 ,  A61N2005/061 ,  G06F3/0484 ,  G06F3/0488 ,  G06T11/60

Abstract: Aspects of stone identification methods and systems are described. According to one aspect, an exemplary method comprises: transmitting to a processing unit, with an imaging element mounted on a distal end of a scope, image data about a stone object inside a body cavity; generating from the image data, with the processing unit, a visual representation of the stone object and the body cavity; establishing from a user input, with the processing unit, a scale for the visual representation; determining from the visual representation, with the processing unit, a size of the stone object on the scale; comparing, with the processing unit, the size of the stone object with a predetermined maximum size to determine a removal status; and augmenting, with the processing unit, the visual representation to include an indicator responsive to the removal status. Associated systems are also described.

公开(公告)号：US20180185087A1

公开(公告)日：2018-07-05

申请号：US15905005

申请日：2018-02-26

Applicant: Aesculap AG

Inventor： Erik Walberg ,  Brandon Loudermilk

IPC: A61B18/14 ,  A61B18/00 ,  A61B90/00 ,  A61B17/29

CPC classification number: A61B18/1445 ,  A61B2017/2932 ,  A61B2018/00505 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2090/064

Abstract: Embodiments of the disclosed technology relate to a bipolar electrosurgical device for a laparoscopic environment, as well as methods for the use of such a device. Embodiments of the device may include a set of opposing jaws comprising at least one bipolar electrode pair disposed thereon, the set of jaws configured to deliver radiofrequency energy to a target tissue. Embodiments of the set of jaws, when closed, may have a diameter no greater than about 5 mm. The device may further include a shaft with a diameter that may be no greater than about 5 mm. Each of the jaws has a tissue-facing surface of each jaw that may include a complementary self-aligning configuration with respect to the longitudinal axis of the other jaw. Embodiments of the device may further include a pinless rotation assembly formed from rotatably cooperative features of the first jaw and the second jaw that connect the jaws together and enable the jaw set to pivot between an open position and a closed position.

公开(公告)号：US09833207B2

公开(公告)日：2017-12-05

申请号：US13569204

申请日：2012-08-08

Applicant: William Harrison Zurn

Inventor： William Harrison Zurn

IPC: A61B5/00 ,  A61B6/00 ,  A61N5/06 ,  A61B18/20 ,  A61B18/24 ,  A61B5/07 ,  A61B5/08 ,  A61B5/145 ,  A61B18/00 ,  A61B5/055 ,  A61B5/06 ,  A61B6/03 ,  A61B8/08 ,  A61B90/00 ,  A61B34/20

CPC classification number: A61B6/4417 ,  A61B5/0031 ,  A61B5/0035 ,  A61B5/055 ,  A61B5/062 ,  A61B5/076 ,  A61B5/08 ,  A61B5/14503 ,  A61B5/14507 ,  A61B6/03 ,  A61B6/504 ,  A61B6/5247 ,  A61B8/0891 ,  A61B18/20 ,  A61B18/245 ,  A61B2018/00505 ,  A61B2018/00541 ,  A61B2034/2065 ,  A61B2090/374 ,  A61B2560/0219 ,  A61N5/0603 ,  A61N2005/0604

Abstract: Modules, systems and methods for clearing substances from a living body are disclosed. A module may include an instructions receiver configured to receive wireless transmissions of instructions from a master controller located outside of the body when the module is inside the body; an energy receiver configured to receive wireless transmission of non-destructive energy from the master controller located outside of the body when the module is inside the body; an energy converter configured to convert the non-destructive energy received to destructive energy; and an energy emitter configured to emit the destructive energy.

公开(公告)号：US09788837B2

公开(公告)日：2017-10-17

申请号：US14715107

申请日：2015-05-18

Applicant: Boston Scientific Scimed, Inc.

Inventor： David A Ahonen ,  Wendy Bosworth ,  Jianmin Li

IPC: A61B17/11 ,  A61B17/00 ,  A61B17/12 ,  A61F2/04 ,  A61F2/86 ,  A61B18/00

CPC classification number: A61B17/11 ,  A61B17/00 ,  A61B17/00491 ,  A61B17/12045 ,  A61B17/12159 ,  A61B17/12181 ,  A61B17/12195 ,  A61B2017/00274 ,  A61B2017/1132 ,  A61B2018/00505 ,  A61B2018/00517 ,  A61F2/04 ,  A61F2/86 ,  A61F2002/041 ,  A61F2210/0014

Abstract: In some aspects, a surgical procedure for the removal of a prostate gland is provided. The procedure comprises: (a) positioning an implant material within the urethra, (b) removing the prostate, thereby cresting a urethral stump and a bladder neck, wherein the implant material occupies the urethral stump, the bladder neck, or both, and (c) securing the bladder neck to the urethral stump in an anastomosis procedure to establish a path of urine flow from the bladder to an external urethral opening (e.g., the meatus). Subsequently, the implant material is removed from the urethra, for example, by natural urine voiding or by flowing a removal fluid through and/or around the implant material in the urethra. In other aspects, a medical kit is provided.

公开(公告)号：US09770291B2

公开(公告)日：2017-09-26

申请号：US14421869

申请日：2013-08-23

Applicant: SYMAP MEDICAL (SUZHOU), LTD

Inventor： Jie Wang ,  Chuwu Li ,  Bo Zou ,  Jiancong Wang

IPC: A61B18/14 ,  A61B5/0205 ,  A61B5/20 ,  A61B5/00 ,  A61B5/04 ,  A61B5/0215 ,  A61B5/024 ,  A61B5/053 ,  A61B18/24 ,  A61N7/02 ,  A61B18/00 ,  A61B18/18 ,  A61N1/36 ,  A61N7/00

CPC classification number: A61B18/1492 ,  A61B5/0205 ,  A61B5/0215 ,  A61B5/024 ,  A61B5/04001 ,  A61B5/0538 ,  A61B5/201 ,  A61B5/4833 ,  A61B5/4836 ,  A61B5/4893 ,  A61B5/6852 ,  A61B5/6853 ,  A61B18/18 ,  A61B18/24 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00505 ,  A61B2018/00511 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00708 ,  A61B2018/00791 ,  A61B2018/00839 ,  A61B2018/00875 ,  A61N1/36117 ,  A61N7/02 ,  A61N2007/003 ,  G06F19/00

Abstract: A device for mapping and ablating the renal nerves distributed on the renal artery is provided, said device comprising a guide catheter (11), a mapping-ablation catheter (12), a handle (13) and a connector (15). The guide catheter (11) had at least one lumen and a distal end with adjustable curvature. The mapping-ablation catheter (12) is housed in one of the lumens of the guide catheter (11) and its distal end has one or more electrodes (22) and one or more detecting devices (23). The distal end of the mapping-ablation catheter (12) is curved, rotatable, and can be extended out of or retracted into the guide catheter (11). The handle (13) connects the guide catheter (11) and mapping-ablation catheter (12), and comprises one or more controlling components for controlling the movement of the guide catheter (11) and mapping-ablation catheter (12). The connector (15) is designed to supply energy to the electrodes (22).