公开(公告)号：WO2008061152A3

公开(公告)日：2008-05-22

申请号：PCT/US2007/084708

申请日：2007-11-14

Applicant: ARDIAN, INC. ,  DEMARAIS, Denise ,  GIFFORD, Hanson ,  ZADNO, Nicolas ,  DEEM, Mark ,  CLARK, Benjamin, J. ,  WU, Andrew ,  MICHLITSCH, Kenneth, J.

Inventor： DEMARAIS, Denise ,  GIFFORD, Hanson ,  ZADNO, Nicolas ,  DEEM, Mark ,  CLARK, Benjamin, J. ,  WU, Andrew ,  MICHLITSCH, Kenneth, J.

IPC: A61B18/18

Abstract: Methods and apparatus are provided for discontinuous circumferential treatment of a body lumen. Apparatus may be positioned within a body lumen of a patient and may deliver energy at a first lengthwise and angular position to create a less-than-full circumferential treatment zone at the first position. The apparatus also may deliver energy at one or more additional lengthwise and angular positions within the body lumen to create less-than-full circumferential treatment zone(s) at the one or more additional positions that are offset lengthwise and angularly from the first treatment zone. Superimposition of the first treatment zone and the one or more additional treatment zones defines a discontinuous circumferential treatment zone without formation of a continuous circumferential lesion. Various embodiments of methods and apparatus for achieving such discontinuous circumferential treatment are provided.

公开(公告)号：WO2008061152A2

公开(公告)日：2008-05-22

申请号：PCT/US2007084708

申请日：2007-11-14

Applicant: ARDIAN INC ,  DEMARAIS DENISE ,  GIFFORD HANSON ,  ZADNO NICOLAS ,  DEEM MARK ,  CLARK BENJAMIN J ,  WU ANDREW ,  MICHLITSCH KENNETH J

Inventor： DEMARAIS DENISE ,  GIFFORD HANSON ,  ZADNO NICOLAS ,  DEEM MARK ,  CLARK BENJAMIN J ,  WU ANDREW ,  MICHLITSCH KENNETH J

IPC: A61B18/18

CPC classification number: A61B18/1492 ,  A61B18/1206 ,  A61B18/18 ,  A61B2018/00023 ,  A61B2018/00077 ,  A61B2018/0016 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00511 ,  A61B2018/00648 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/124 ,  A61B2018/1435 ,  A61B2018/1465 ,  A61N1/0551 ,  A61N1/32 ,  A61N1/327 ,  A61N1/36007 ,  A61N7/022

Abstract: Methods and apparatus are provided for discontinuous circumferential treatment of a body lumen. Apparatus may be positioned within a body lumen of a patient and may deliver energy at a first lengthwise and angular position to create a less-than-full circumferential treatment zone at the first position. The apparatus also may deliver energy at one or more additional lengthwise and angular positions within the body lumen to create less-than-full circumferential treatment zone(s) at the one or more additional positions that are offset lengthwise and angularly from the first treatment zone. Superimposition of the first treatment zone and the one or more additional treatment zones defines a discontinuous circumferential treatment zone without formation of a continuous circumferential lesion. Various embodiments of methods and apparatus for achieving such discontinuous circumferential treatment are provided.

Abstract translation: 提供了用于体腔内不连续周边处理的方法和装置。 装置可以定位在患者的体腔内，并且可以在第一纵向和角位置处递送能量，以在第一位置处产生小于整个圆周的处理区域。 该装置还可以在体腔内的一个或多个附加的纵向和角度位置处递送能量，以在一个或多个附加位置处创建小于整个圆周处理区域，该一个或多个附加位置从第一处理区域纵向和角度偏移 。 第一处理区和一个或多个另外的处理区的叠置限定了不连续的圆周处理区，而不形成连续的周向损伤。 提供了用于实现这种不连续周向处理的方法和装置的各种实施例。

公开(公告)号：WO2005086945A3

公开(公告)日：2006-01-12

申请号：PCT/US2005008125

申请日：2005-03-09

Applicant: USGI MEDICAL INC ,  SAADAT VAHID ,  ROTHE CHRIS A ,  EWERS RICHARD C ,  MAAHS TRACY D ,  MICHLITSCH KENNETH J

Inventor： SAADAT VAHID ,  ROTHE CHRIS A ,  EWERS RICHARD C ,  MAAHS TRACY D ,  MICHLITSCH KENNETH J

IPC: A61B1/005 ,  A61B1/018 ,  A61B1/273 ,  A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/28 ,  A61B17/30 ,  A61B1/00

CPC classification number: A61B1/0055 ,  A61B1/018 ,  A61B1/2736 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/29 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/0406 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/06052 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/306

Abstract: Systems, devices and methods for endoscopic procedures are provided involving accessing and manipulating tissues beyond the capabilities of traditional endoscopic instruments. Embodiments of the systems include an elongated main body (10) which has one or more independently shape-lockable sections (90, 92, 93) and a variety of instruments which are either built in to the main body or advanceable through lumens (24, 26, 58) which extend through the main body (10). Such instruments may include scopes, suction instruments, aspiration instruments, tool arms, plicators, needles, graspers, and cutters, to name a few. The ability to steer and shape-lock specific sections (90, 92, 93) of the main body (10) enables access to target locations which are typically challenging to reach and provides a stabilized platform to perform a desired procedure at the target location.

Abstract translation: 提供用于内窥镜手术的系统，装置和方法，其涉及访问和操纵超出传统内窥镜仪器能力的组织。 该系统的实施例包括具有一个或多个独立形状可锁定部分（90,92,93）的细长主体（10）以及内置于主体内或可通过内腔（24， 26，58）延伸穿过主体（10）。 这样的仪器可以包括示波器，抽吸仪器，抽吸仪器，工具臂，矫正器，针，抓取器和切割器等等。 转向和形状锁定主体（10）的特定部分（90,92,93）的能力使得能够访问通常具有挑战性的目标位置，并且提供稳定的平台以在目标位置执行期望的过程。

公开(公告)号：WO2005058239A2

公开(公告)日：2005-06-30

申请号：PCT/US2004/041570

申请日：2004-12-10

Applicant: USGI MEDICAL INC. ,  SAADAT, Vahid, C. ,  MICHLITSCH, Kenneth, J. ,  EWERS, Richard, C. ,  ROTHE, Chris ,  BRENNEMAN, Rodney ,  LAM, Cang, C. ,  CHEN, Eugene, C.

Inventor： SAADAT, Vahid, C. ,  MICHLITSCH, Kenneth, J. ,  EWERS, Richard, C. ,  ROTHE, Chris ,  BRENNEMAN, Rodney ,  LAM, Cang, C. ,  CHEN, Eugene, C.

IPC: A61K

CPC classification number: A61B17/29 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/12099 ,  A61B17/3478 ,  A61B2017/003 ,  A61B2017/0406 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0464 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06176 ,  A61B2017/2905

Abstract: Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point and moving the first tissue contact point from a position initially distal to, or in line with, a second tissue contact point to a position proximal of the second contact point, thereby forming the tissue fold, and extending an anchor assembly through the tissue fold from a vicinity of the second tissue contact point. Adjustable anchor assemblies; as well as anchor delivery systems, shape-lockable guides and methods for endoluminally performing medical procedures, such as gastric reduction, treatment of gastroesophageal reflux disease, resection of lesions, and treatment of bleeding sites; are also provided.

Abstract translation: 提供了设备和方法，用于通过在第一组织接触点处接合组织并使第一组织接触点从最初远端或与第二组织接触点一致的位置移动到位于第二组织接触点附近的位置来形成胃肠组织折叠 第二接触点，从而形成组织折叠，并且从第二组织接触点的附近延伸锚固组件穿过组织折叠。 可调锚固组件; 以及锚定递送系统，可锁定形状的导管和用于内窥镜执行医学程序的方法，例如胃减压，治疗胃食管反流疾病，切除病变和治疗出血部位; 也提供。

公开(公告)号：WO2003055417A1

公开(公告)日：2003-07-10

申请号：PCT/EP2002/014655

申请日：2002-12-20

Applicant: JOMED N.V. ,  SOLEM, Jan Otto Solem ,  KIMBLAD, Per-Ola ,  VON OEPEN, Randolf ,  SEIBOLD, Gerd ,  MICHLITSCH, Kenneth ,  HA, Suk-Woo ,  ECKERT, Karl-Ludwig

Inventor： SOLEM, Jan Otto Solem ,  KIMBLAD, Per-Ola ,  VON OEPEN, Randolf ,  SEIBOLD, Gerd ,  MICHLITSCH, Kenneth ,  HA, Suk-Woo ,  ECKERT, Karl-Ludwig

IPC: A61F2/24

CPC classification number: A61F2/2451 ,  A61F2/07 ,  A61F2/2481 ,  A61F2/26 ,  A61F2002/043 ,  A61F2002/072 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/8483 ,  A61F2210/0004

Abstract: A device for reshaping a cardiac valve (26), which is elongate and has such dimensions as to be insertable into a cardiac vessel (24). The device has two states, in a first state (K) of which the device has a shape that is adaptable to the shape of the vessel (24), and to the second state (k') of which the device is transferable from said first state (K). Further, the device comprises a fixing means (22,23;22a,23a) for fixing the ends of the device within the vessel (24), when the device is first positioned therein, a shape-changing member (20;20a) for transferring the device to the second state (K') by reshaping it, and a delay means (21;21a) for delaying said reshaping until the fixing of the ends of the device has been reinforced by keeping said device in said first state (K) until the delay means (21;21a) is resorbed.

Abstract translation: 一种用于整形心脏瓣膜（26）的装置，其是细长的并且具有可插入到心脏容器（24）中的尺寸。 该装置具有两种状态，其处于第一状态（K），其装置具有适应于容器（24）的形状的形状，以及第二状态（k'），其中装置可从所述第二状态 第一个状态（K）。 此外，该装置包括固定装置（22,23; 22a，23a），用于当装置首先定位在容器（24）内时将装置的端部固定，形状改变构件（20; 20a） 通过重新形成将装置转移到第二状态（K'），以及用于延迟所述重新成形的延迟装置（21; 21a），直到通过将所述装置保持在所述第一状态（K ），直到延迟装置（21; 21a）被再吸收。

公开(公告)号：WO2011130005A3

公开(公告)日：2012-01-05

申请号：PCT/US2011030496

申请日：2011-03-30

Applicant: MEDTRONIC ARDIAN LLC ,  CLARK BENJAMIN C ,  GEORGE WILLIAM R ,  MICHLITSCH KENNETH J ,  SAM JOHN PAUL ,  THAI ERIK ,  WU ANDREW

Inventor： CLARK BENJAMIN C ,  GEORGE WILLIAM R ,  MICHLITSCH KENNETH J ,  SAM JOHN PAUL ,  THAI ERIK ,  WU ANDREW

IPC: A61B18/14 ,  A61B17/00 ,  A61B19/00

CPC classification number: A61B18/08 ,  A61B34/74 ,  A61B2017/003 ,  A61B2018/00916

Abstract: The present disclosure comprises handle assemblies for intravascular treatment devices. In one embodiment, a handle assembly comprises an actuator for deflecting a distal region of an intravascular treatment device. In one embodiment, a handle assembly comprises a rotator for rotating an intravascular treatment device independently of the handle assembly. In one embodiment, a handle assembly comprises a rotation limiting element for limiting independent rotation of an intravascular treatment device relative to the handle assembly. Methods and systems for intravascular delivery, deflection and placement of an intravascular treatment device via a handle assembly of the present invention are also provided.

Abstract translation: 本公开包括用于血管内治疗装置的手柄组件。 在一个实施例中，手柄组件包括用于偏转血管内治疗装置的远侧区域的致动器。 在一个实施例中，手柄组件包括用于独立于手柄组件旋转血管内治疗装置的旋转器。 在一个实施例中，手柄组件包括用于限制血管内治疗装置相对于手柄组件的独立旋转的旋转限制元件。 还提供了通过本发明的手柄组件进行血管内递送，偏转和放置血管内治疗装置的方法和系统。

公开(公告)号：WO2011139589A2

公开(公告)日：2011-11-10

申请号：PCT/US2011/033491

申请日：2011-04-21

Applicant: MEDTRONIC ARDIAN LLC ,  LEUNG, Mark S. ,  CLARK, Benjamin J. ,  MICHLITSCH, Kenneth ,  THAI, Erik ,  WU, Andrew ,  ZARINS, Denise

Inventor： LEUNG, Mark S. ,  CLARK, Benjamin J. ,  MICHLITSCH, Kenneth ,  THAI, Erik ,  WU, Andrew ,  ZARINS, Denise

IPC: A61B18/14

CPC classification number: A61B18/082 ,  A61B17/320068 ,  A61B18/02 ,  A61B18/0206 ,  A61B18/10 ,  A61B18/1492 ,  A61B18/1815 ,  A61B18/20 ,  A61B2018/00023 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00511 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00714 ,  A61B2018/00744 ,  A61B2018/00791 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00875 ,  A61B2018/1861 ,  H04L29/12066 ,  H04L61/1511

Abstract: Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver an energy delivery element to a renal artery via an intravascular path. Thermal or electrical renal neuromodulation may be achieved via direct and/or via indirect application of thermal and/or electrical energy to heat or cool, or otherwise electrically modulate, neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.

公开(公告)号：WO2004012603A3

公开(公告)日：2004-05-21

申请号：PCT/EP0308248

申请日：2003-07-25

Applicant: ABBOTT LAB VASCULAR ENTPR LTD ,  SEIBOLD GERD ,  MICHLITSCH KENNETH J ,  VON OEPEN RANDOLF ,  QUINT BODO ,  JOERGENSEN IB ERLING ,  NIELSEN STEVAN ,  CONZELMANN TOMMY

Inventor： SEIBOLD GERD ,  MICHLITSCH KENNETH J ,  VON OEPEN RANDOLF ,  QUINT BODO ,  JOERGENSEN IB ERLING ,  NIELSEN STEVAN ,  CONZELMANN TOMMY

IPC: A61B17/12 ,  A61B17/00 ,  A61B17/064

CPC classification number: A61B17/0057 ,  A61B17/0643 ,  A61B2017/00004 ,  A61B2017/00477 ,  A61B2017/00659

Abstract: Apparatus is provided for sealing a puncture within a vessel or tissue to provide hemostasis, comprising a first disk coupled to either a second disk or a spring, and sealingly engaged to the vessel or tissue surrounding the puncture. At least the first disk is preferably configured to substantially conform to the profile of the vessel or tissue when deployed. In one embodiment, the disks may be released from engagement with the vessel or tissue to reposition the disks after deployment.

Abstract translation: 提供了用于密封容器或组织内的穿刺以提供止血的装置，包括联接到第二盘或弹簧的第一盘，并密封地接合到围绕穿刺的容器或组织。 至少第一盘优选地构造成在展开时基本上符合血管或组织的轮廓。 在一个实施例中，盘可以从与血管或组织的接合中释放，以在部署之后重新定位椎间盘。

公开(公告)号：WO2004012601A3

公开(公告)日：2004-04-15

申请号：PCT/EP0308245

申请日：2003-07-25

Applicant: ABBOTT LAB VASCULAR ENTPR LTD ,  VON OEPEN RANDOLF ,  SEIBOLD GERD ,  JOERGENSEN IB ERLING ,  MICHLITSCH KENNETH J ,  NIELSEN STEVAN ,  CONZELMANN TOMMY ,  QUINT BODO

Inventor： VON OEPEN RANDOLF ,  SEIBOLD GERD ,  JOERGENSEN IB ERLING ,  MICHLITSCH KENNETH J ,  NIELSEN STEVAN ,  CONZELMANN TOMMY ,  QUINT BODO

IPC: A61B17/08 ,  A61B17/00 ,  A61B17/04 ,  A61B17/12

CPC classification number: A61B17/12013 ,  A61B17/0057 ,  A61B2017/00349 ,  A61B2017/00637 ,  A61B2017/00659 ,  A61B2017/00672 ,  A61B2017/0406 ,  A61B2017/0496

Abstract: Apparatus is provided for sealing a puncture in a blood vessel using at least one device that applies an internal compressive force upon a distal surface of the vessel. The devices preferably are deployable distal of the distal surface of the vessel, then retracted proximally to provide the internal compressive force, e.g., to promote coagulation and facilitate sealing of the puncture. Additionally, the devices of the present invention optionally may be used in combination with known techniques that provide an external compressive force upon an exterior surface of a patient's skin to expedite sealing of the puncture.

Abstract translation: 提供了使用至少一个在血管的远端表面上施加内部压缩力的装置来密封血管中的穿刺的装置。 装置优选地可展开在血管远侧表面的远端，然后向近侧缩回以提供内部压缩力，例如促进凝结并便于穿刺的密封。 另外，本发明的装置可以任意地与已知技术组合使用，这些技术在患者皮肤的外表面上提供外部压缩力，以加速穿刺的密封。

公开(公告)号：WO2004012601A2

公开(公告)日：2004-02-12

申请号：PCT/EP2003/008245

申请日：2003-07-25

Applicant: ABBOTT LABORATORIES VASCULAR ENTERPRISES, LIMITED ,  VON OEPEN, Randolf ,  SEIBOLD, Gerd ,  JOERGENSEN, Ib Erling ,  MICHLITSCH, Kenneth, J. ,  NIELSEN, Stevan ,  CONZELMANN, Tommy ,  QUINT, Bodo

Inventor： VON OEPEN, Randolf ,  SEIBOLD, Gerd ,  JOERGENSEN, Ib Erling ,  MICHLITSCH, Kenneth, J. ,  NIELSEN, Stevan ,  CONZELMANN, Tommy ,  QUINT, Bodo

IPC: A61B17/00

CPC classification number: A61B17/12013 ,  A61B17/0057 ,  A61B2017/00349 ,  A61B2017/00637 ,  A61B2017/00659 ,  A61B2017/00672 ,  A61B2017/0406 ,  A61B2017/0496

Abstract: Apparatus is provided for sealing a puncture in a blood vessel using at least one device that applies an internal compressive force upon a distal surface of the vessel. The devices preferably are deployable distal of the distal surface of the vessel, then retracted proximally to provide the internal compressive force, e.g., to promote coagulation and facilitate sealing of the puncture. Additionally, the devices of the present invention optionally may be used in combination with known techniques that provide an external compressive force upon an exterior surface of a patient's skin to expedite sealing of the puncture.

Abstract translation: 提供了用于使用至少一个在容器的远侧表面上施加内部压缩力的装置来密封血管中的穿刺的装置。 所述装置优选地可展开于血管的远侧表面的远侧，然后向近侧回缩以提供内部压缩力，例如促进凝结并便于密封刺穿。 另外，本发明的装置可以任选地与已知的技术组合使用，该技术在患者皮肤的外表面上提供外部压缩力以加速密封穿刺。