公开(公告)号：WO2019133515A2

公开(公告)日：2019-07-04

申请号：PCT/US2018/067252

申请日：2018-12-21

申请人： VERILY LIFE SCIENCES LLC

发明人： YAFFE, Benjamin, K. ,  AU, Cindy ,  ERWIN, Eric

IPC分类号： A61B17/34 ,  A61B17/00 ,  A61B17/02

CPC分类号： A61B17/11 ,  A61B17/0218 ,  A61B17/1204 ,  A61B17/12136 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3474 ,  A61B2017/00557 ,  A61B2017/00778 ,  A61B2017/00946 ,  A61B2017/1107 ,  A61B2017/12004 ,  A61B2017/320048 ,  A61B2090/0815 ,  A61B2090/0816 ,  A61M2025/0175

公开(公告)号：WO2019126124A1

公开(公告)日：2019-06-27

申请号：PCT/US2018/066163

申请日：2018-12-18

申请人： BOSTON SCIENTIFIC SCIMED, INC.

发明人： ANDERSON, James M. ,  EDGELL, John M. ,  MEREGOTTE, Jose A. ,  LARSEN, Steven R. ,  RAAB, David ,  HOFFMAN, Peter John ,  ONUSHKO, John David

IPC分类号： A61B17/12

CPC分类号： A61B17/1214 ,  A61B17/0057 ,  A61B17/12031 ,  A61B17/12122 ,  A61B17/12136 ,  A61B17/12172 ,  A61B2017/00243 ,  A61B2017/12054

摘要： An example medical device for occluding the left atrial appendage is disclosed. The example medical device for occluding the left atrial appendage includes an expandable member having a first end region, a second end region and an inflation cavity. The medical device also includes a plurality of spine members coupled to the expandable member, the plurality of spine members spaced circumferentially around an outer surface of the expandable member. Additionally, the medical device includes a valve member extending at least partially into the inflation cavity, wherein the plurality of spine members are configured to position the medical device within an opening of the left atrial appendage and wherein the expandable member is configured to expand and seal the opening of the left atrial appendage.

公开(公告)号：WO2019108287A1

公开(公告)日：2019-06-06

申请号：PCT/US2018/049586

申请日：2018-09-05

申请人： BOSTON SCIENTIFIC SCIMED, INC. ,  MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ,  RIHAL, Charanjit S.

发明人： RIHAL, Charanjit S. ,  GRUBA, Sarah M. ,  BALDWIN, Katherine L. ,  ROHL, James P. ,  COLLEGE, Todd

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/00 ,  A61F2/24

CPC分类号： A61B17/12122 ,  A61B1/00 ,  A61B1/05 ,  A61B1/0676 ,  A61B17/12136 ,  A61B17/12172 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/00243 ,  A61B2017/00314 ,  A61B2017/00557 ,  A61B2017/00783 ,  A61B2017/00867 ,  A61B2017/1205 ,  A61F2/24 ,  A61F2/2427 ,  A61F2/246 ,  A61F2/2466 ,  A61F2210/0014 ,  A61F2230/001 ,  A61F2230/0039 ,  A61F2250/0003 ,  A61F2250/0069 ,  A61F2310/00011

摘要： The present disclosure relates generally to apparatuses and methods for delivering an occlusion device to a paravalvular leak. In some embodiments, a paravalvular occlusion apparatus includes a catheter having main body including a proximal end and a distal end, a visualization element disposed in the distal end of the main body, and a working channel extending from the distal end of the main body. The catheter further includes an elongate shaft extendable from the working channel, wherein an occlusion device is coupled to the elongate shaft. In some embodiments, an occlusion device includes a leading end including a first section, and a trailing end opposite the leading end, the trailing end including a second section. The first section and the second section of the occlusion device are operable to be positioned along a perimeter of a prosthetic valve for blocking the paravalvular leak.

公开(公告)号：WO2018207128A1

公开(公告)日：2018-11-15

申请号：PCT/IB2018/053258

申请日：2018-05-10

申请人： NAVIX INTERNATIONAL LIMITED

发明人： BEN-HAIM, Shlomo ,  SCHWARTZ, Yitzhack ,  IBRAGIMOV, Zalman

IPC分类号： A61B5/053 ,  A61B5/06 ,  A61B18/00 ,  A61B18/02 ,  A61B18/14 ,  A61B34/20 ,  A61B17/00

CPC分类号： A61B5/0538 ,  A61B5/063 ,  A61B5/1076 ,  A61B5/6853 ,  A61B17/1204 ,  A61B17/12109 ,  A61B17/12136 ,  A61B18/1477 ,  A61B18/1492 ,  A61B34/20 ,  A61B34/25 ,  A61B2017/00026 ,  A61B2018/0022 ,  A61B2018/00357 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2018/0212 ,  A61B2018/1475 ,  A61B2034/2051 ,  A61B2034/2053

摘要： Methods and systems for position determination of an intrabody probe, targets of an intrabody probe, and or actions to be performed using an intrabody probe are described. In some embodiments, an anatomy being navigated and/or mapped is described by a rule-based schema relating different anatomically identified structures to one another according to their ability to help identify and/or locate one another. Additionally, in some embodiments, data recorded from the intrabody probe is processed according to schema rules in order to provide anatomical identification of the anatomical region which the intrabody probe is sampling, optionally without performing detailed mapping, and/or prior to the availability of detailed mapping of anatomical geometry.

公开(公告)号：WO2018002933A1

公开(公告)日：2018-01-04

申请号：PCT/IL2017/050726

申请日：2017-06-29

申请人： TEL HASHOMER MEDICAL RESEARCH, INFRASTRUCTURE AND SERVICES LTD.

发明人： ORLOV, Boris ,  RAANANI, Ehud

IPC分类号： A61F2/00

CPC分类号： A61F2/2466 ,  A61B17/00 ,  A61B17/11 ,  A61B17/12036 ,  A61B17/12109 ,  A61B17/12136 ,  A61B17/3423 ,  A61B17/3478 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/00606 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61F2/2427 ,  A61F2/2433

摘要： A method of accessing the ascending aorta via the superior vena cava (SVC) comprising puncturing the adjacent wall regions of the SVC and AA to provide passage from the SVC into the AA.

摘要翻译： 通过上腔静脉（SVC）进入升主动脉的方法包括穿刺SVC和AA的相邻壁区域以提供从SVC到AA的通道。

公开(公告)号：WO2017200866A1

公开(公告)日：2017-11-23

申请号：PCT/US2017/032377

申请日：2017-05-12

申请人： THE CLEVELAND CLINIC FOUNDATION

发明人： ROSELLI, Eric E.

IPC分类号： A61B17/12

CPC分类号： A61B17/12109 ,  A61B17/12036 ,  A61B17/12136 ,  A61B17/12172 ,  A61B17/12177 ,  A61B2017/00597 ,  A61B2017/00867 ,  A61B2017/00893 ,  A61B2017/1205 ,  A61F2/07 ,  A61F2210/0014

摘要： An implantable expandable device includes an occluding surface oriented substantially in a transverse plane. The occluding surface is bounded by a lateral occluding surface edge and a medial occluding surface edge. The occluding surface has an occluding surface body located transversely between the lateral and medial occluding surface edges. A supporting structure is located entirely inferiorly to the occluding surface. The supporting surface includes a plurality of struts extending substantially in the superior-inferior direction. At least a first one of the struts is a full-height strut and spans substantially a full superior-inferior height of the device. At least a second one of the struts is a reduced-height strut and spans substantially less than a full superior-inferior height of the device. The occluding surface substantially occludes a transverse cross-section of the false lumen to substantially block bloodflow in the superior-inferior direction within the false lumen.

摘要翻译： 可植入式可扩张装置包括基本上在横向平面中定向的闭塞表面。 闭塞表面由外侧闭塞表面边缘和内侧闭塞表面边缘界定。 闭塞表面具有在横向和内侧闭塞表面边缘之间横向定位的闭塞表面体。 支撑结构完全位于闭塞表面的下方。 支撑表面包括基本沿上下方向延伸的多个支柱。 至少第一个支柱是全高支柱并基本上跨越该装置的完全上 - 下高度。 支柱中的至少第二个支柱是高度减小的支柱并且跨越该设备的完全上 - 下高度的实质上小于该高度。 闭塞表面基本上闭塞了假腔的横截面，以基本上阻止假腔内上下方向的血液流动。

公开(公告)号：WO2017151988A1

公开(公告)日：2017-09-08

申请号：PCT/US2017/020545

申请日：2017-03-02

申请人： BOSTON SCIENTIFIC SCIMED, INC.

发明人： FULLER, Jeffrey Steven ,  JAPUNTICH, Rachel ,  STEFANICH, Louis Warner ,  ANDERSON, James M. ,  GUNDALE, Benjamin Philip

IPC分类号： A61M25/00 ,  A61M25/04 ,  A61M25/06

CPC分类号： A61B17/12031 ,  A61B17/12109 ,  A61B17/12136 ,  A61B2017/00477 ,  A61B2017/00876 ,  A61B2017/1205 ,  A61B2090/3966 ,  A61M25/0052 ,  A61M25/0069 ,  A61M25/01 ,  A61M25/04 ,  A61M25/0662 ,  A61M25/10 ,  A61M2025/0018 ,  A61M2025/09125 ,  A61M2025/1052 ,  A61M2210/125

摘要： A guide extension catheter 514may include a proximal shaft 516 having a first outer diameter. A distal sheath 526 may be attached to the proximal shaft and may have a second outer diameter greater than the first outer diameter. The distal sheath may be designed to extend past a coronary ostium and into a coronary artery so that another medical device can pass therethrough toward the coronary artery. An expandable balloon 546 may be coupled to the distal sheath.

摘要翻译： 引导延伸导管514可以包括具有第一外径的近侧轴516。 远侧护套526可以附接到近侧轴并且可以具有大于第一外径的第二外径。 远侧护套可以被设计成延伸经过冠状动脉口并进入冠状动脉，使得另一个医疗装置可以通过其朝向冠状动脉。 可扩张球囊546可以联接到远侧鞘管。

公开(公告)号：WO2017105479A1

公开(公告)日：2017-06-22

申请号：PCT/US2015/066605

申请日：2015-12-18

申请人： BLOCKADE MEDICAL, LLC

发明人： LE, Jake ,  FERRERA, David, A. ,  LE, Dawson ,  TAKAHASHI, Randall ,  MARTINEZ, George

IPC分类号： A61B17/12

CPC分类号： A61B17/12172 ,  A61B17/12136 ,  A61B17/12145 ,  A61B2017/00526 ,  A61B2017/12063

摘要： Vascular issues are addressed with systems, devices, and methods for delivering implants with accurate and ready detachability, along other features, for addressing, for example, acute stroke issues with due alacrity.

摘要翻译：

公开(公告)号：WO2016040579A8

公开(公告)日：2017-04-13

申请号：PCT/US2015049356

申请日：2015-09-10

申请人： VASCULAR SOLUTIONS INC

发明人： ROOT HOWARD C ,  KUGLER CHAD ,  PETERSON DEAN ,  BRENIZER JOSHUA

IPC分类号： A61B17/12 ,  A61B17/22 ,  A61M25/10

CPC分类号： A61M25/1002 ,  A61B17/12036 ,  A61B17/1204 ,  A61B17/12109 ,  A61B17/12136 ,  A61B2017/22001 ,  A61B2017/22051 ,  A61B2017/22094 ,  A61M25/104 ,  A61M2025/1097

摘要： This patent document discloses perfusion catheters and related methods for treating complications related to CTO interventions or dilating a vessel occlusion while maintaining a passage through the treated vessel segment. A perfusion catheter can include a balloon formed of an inflatable tube and an elongate shaft having a lumen for providing inflation fluid to, or withdrawing inflation fluid from, the balloon. The inflatable tube can be coiled in a helical manner around a central axis into a series of windings. Adjacent windings can be stacked against and bonded to each other, and an inner surface of the series of windings, when inflated, can define the passage. The elongate shaft can be eccentrically attached to a proximal portion of the balloon and the shaft's lumen can be in fluid communication with the interior of the balloon, specifically the inflatable tube. The inflatable tube can include two different polymer tubes, one slightly smaller than the other.

摘要翻译： 该专利文献公开了用于治疗与CTO干预有关的并发症或扩张血管闭塞同时保持通过经处理的血管段的灌注导管和相关方法。 灌注导管可以包括由可充气管形成的气囊和具有用于向气囊提供充气流体或从气囊排出充气流体的内腔的细长轴。 可充气管可以围绕中心轴以螺旋方式卷绕成一系列绕组。 相邻的绕组可以彼此堆叠并且彼此结合，并且当膨胀时，该系列绕组的内表面可以限定通道。 细长轴可以偏心地附接到球囊的近端部分，并且轴的内腔可以与气囊的内部，特别是可充气管流体连通。 可膨胀管可以包括两个不同的聚合物管，一个稍微小于另一个。

公开(公告)号：WO2017053872A1

公开(公告)日：2017-03-30

申请号：PCT/US2016/053553

申请日：2016-09-23

申请人： ANDERSON, Steven, Craig

发明人： ANDERSON, Steven, Craig

IPC分类号： A44B18/00 ,  A61B17/03 ,  A61B17/08 ,  A61F13/02 ,  A61F13/62 ,  C22F1/00

CPC分类号： A61B17/12136 ,  A61B17/064 ,  A61B17/068 ,  A61B17/08 ,  A61B17/10 ,  A61B17/11 ,  A61B17/12113 ,  A61B90/37 ,  A61B2017/00022 ,  A61B2017/00115 ,  A61B2017/00199 ,  A61B2017/00221 ,  A61B2017/00327 ,  A61B2017/00557 ,  A61B2017/00862 ,  A61B2017/00867 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1132 ,  A61B2090/064 ,  A61F2/82

摘要： An adhesion device incorporating a plurality of element block assemblies which are partially disposed within an element support body having an engagement surface. Each element block assembly may include an element activation sheet, an element deployment sheet, a plurality of engagement elements, and an element transition mechanism which is operatively coupled to the engagement elements. The element transition mechanism is configured to reversible transition from a neutral configuration wherein the element activation sheet is substantially adjacent to the element deployment sheet, and an expanded configuration wherein the element activation sheet and the element deployment sheet are separated by a transition gap. The element support body being configured while each element transition mechanism is disposed in the neutral configuration to constrain each engagement element in a deployment state wherein each engagement element disposed in a substantially straightened configuration which is substantially perpendicular to the engagement surface and which is suitable for insertion into (or removal from) a target material.

摘要翻译： 一种粘合装置，其结合有多个元件块组件，其部分地设置在具有接合表面的元件支撑体内。 每个元件块组件可以包括元件致动片，元件展开片，多个接合元件和可操作地联接到接合元件的元件过渡机构。 元件过渡机构构造成从中性构型的可逆转变，其中元件活化片基本上邻近元件展开片，以及膨胀构型，其中元件活化片和元件展开片被转移间隙分开。 元件支撑体在每个元件过渡机构被布置在中立构型中时被构造，以将每个接合元件限制在展开状态，其中每个接合元件以基本上垂直于接合表面并且适于插入的基本上矫直结构 进入（或从目标材料中移除）。