A delivery device comprising a first syringe comprising a first plunger and a first syringe barrel that terminates in a first connector; a second syringe comprising a second plunger and a second syringe barrel that terminates in a second connector; a Y-connector coupled to the first syringe and the second syringe; and an injection member coupled to the Y-connector, where the injection member includes a plurality of fluid ejection ports that extend through a sidewall of the injection member.
A61M 5/19 - Seringues avec plusieurs compartiments
A61M 5/32 - AiguillesParties constitutives des aiguilles relatives au raccordement de celles-ci à la seringue ou au manchonAccessoires pour introduire l'aiguille dans le corps ou l'y maintenirDispositifs pour la protection des aiguilles
2.
SYSTEMS, DEVICES, AND RELATED METHODS FOR STABILIZING MEDICAL DEVICES
A medical device comprises: a base configured to be coupled to a solid structure or a bite block and one or more stabilizer assemblies. A first stabilizer assembly is configured to selectively inhibit a shaft of an endoscope from moving in an axial direction relative to the base or the bite block, and configured to allow a shaft of an endoscope to be rotated relative to the base or the bite block. A second stabilizer assembly is configured to selectively inhibit the shaft of the endoscope from rotating relative to the base or the bite block, and configured to allow the shaft of the endoscope to move in an axial direction relative to the base or the bite block.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A device controlling a penetration depth of an endoscopic instrument includes a member and an effector. The member includes a proximal portion extending from a proximal end to a distal portion having an open distal end. The distal portion is received within a working channel of an insertion instrument in Insertion Configuration. The distal portion flares laterally outward from the proximal portion so that Diameter of the open distal end is greater than Diameter of the proximal portion. The member moves the distal portion between Insertion Configuration and Operative Configuration in which the distal portion extends distally beyond a distal end of the channel. The effector moves between Retracted Configuration in which a distal end of the effector is received within the member and Extended Configuration in which the effector is moved distally beyond the distal end of the member to penetrate tissue to a desired depth.
Medical devices and systems are described. The medical device may include a handle that includes a hub, a grip portion, and an arm. The hub may define a lumen having a proximal opening. The arm may extend proximally from the hub and may be coupled to a member slidable or rotatable relative to the arm. The grip portion may extend transverse to the lumen of the hub. The grip portion may be configured to receive a palm of a user's hand while a thumb of the user's hand controls sliding or rotation of the member.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
5.
MEDICAL DEVICE ACTUATION COMPONENTS, ASSEMBLIES, AND ASSOCIATED METHODS
A medical system may include an actuator assembly. The actuator assembly may include an actuator housing. The actuator housing may include a first side and a second side opposite the first side, an electrical component, an actuator disposed on the first side, exposed to a user of the medical system, and operably coupled to the electrical component, and an actuator coupler proximate to the second side. The medical system may further include a medical device. The medical device may include a handle. The handle may include a handle housing, an umbilicus for electrically connecting the handle to an electrical controller, and a receiver assembly disposed on the handle housing. The receiver assembly may include a receiver coupler. The actuator coupler may be configured to removably couple to the receiver coupler.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
Methods and systems for detecting the presence of moisture and/or foreign matter in a lumen of a medical device. An illustrative method may comprise coupling a first probe to a first end of a lumen of a medical device, the first probe comprising a first electrode and a first electrical connection extending proximally from the first electrode, coupling a second probe to a second end of the lumen of the medical device, the second probe comprising a second electrode and a second electrical connection extending proximally from the second electrode, transmitting an electrical signal through the first and second electrical connections, determining a direct current (DC) voltage drop between the first and second electrical connections, calculating a surface resistivity of the lumen based on the DC voltage drop, determining if the calculated surface resistivity is below a threshold surface resistivity, and providing a test status notification.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
7.
ARTICULATING MEDICAL CUTTING DEVICE AND ASSOCIATED SYSTEMS AND METHODS
An articulatable cutting instrument in which a limited distal portion of the instrument, from which the cutting element extends, is movable with respect to more proximal portions of the instrument. The cutting element is articulatable in at least a two-dimensional cutting plane. At least the articulatable portion of the instrument is rotatable to adjust the angular position of the cutting plane to cut along a non-planar target tissue.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
8.
MEDICAL DEVICES AND SYSTEMS WITH SENSORS AND RELATED METHODS
Medical devices and systems having a micro-electromechanical system (MEMS) assembly are described herein. The medical device may include a shaft extending to a distal end and a pressure sensor assembly incorporated into the shaft. The pressure sensor assembly may include a housing, a MEMS chip, and a material. The housing may define a chamber and include a first body coupled to a second body, e.g., the first body defining at least one opening in fluid communication with the chamber. The MEMS chip may include a diaphragm. The material may at least partially cover the diaphragm and have an elasticity or viscosity that permits transfer of force therethrough. The pressure sensor assembly may be configured to measure pressure external to the medical device.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
9.
ASPIRATION CATHETER WITH REINFORCED DISTAL TIP MEMBER
An aspiration catheter for use in a thrombectomy procedure is disclosed. The aspiration catheter includes a guidewire shaft having a proximal end region, a distal end region and a guidewire lumen extending within at least a portion of a distal tip member. The distal tip member is coupled to the distal end region of the catheter shaft and includes a plurality of spokes extending between the guidewire shaft and an inner surface of the distal tip member.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/3203 - Instruments coupants à jet de fluide
Devices, systems, and methods for an endoscope valve. The valve (300) has a valve stem (308) moving within a valve body (330) to control flow through air and water inlets and outlets (332, 334, 336, 338). An inflatable seal (420, 520) extends around the valve stem to permit air moving upward toward the air outlet but not downward toward the air inlet.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
Boston Scientific Medical Device Limited (Irlande)
Inventeur(s)
Melito, Michael
Dhanotiya, Aditya
Bhowmick, Nabarun
Weldon, James
Abrégé
A handle of a medical device may comprise an actuator; a lock movable relative to the actuator and having a feature movable relative to the actuator; and a rack having plurality of teeth separated from one another by a plurality of gaps. The lock may be configured to move the feature from (a) a first configuration, in which the feature is disposed in the gap, between two of the plurality of teeth, such that the two teeth inhibit the actuator from rotating; to (b) a second configuration, in which the feature is disposed outside of the gap, such that the actuator is rotatable. In the second configuration, the teeth may be disposed between the feature and the actuator.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/273 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil digestif supérieur, p. ex. œsophagoscopes, gastroscopes
G05G 5/06 - Moyens pour empêcher, limiter ou inverser le mouvement de certaines pièces d'un mécanisme de commande, p. ex. verrouillage des organes de commande pour maintenir les organes de commande, seulement sur une ou sur un nombre limité de positions définies
In various aspects, the present disclosure provides injectable shear-thinning compositions that comprise (a) one or more types of fibrous proteins, (b) one or more types of silicate microparticles, (c) one or more types of radiopaque additives, (d) one or more types of block copolymers, and (e) water. Other aspects of the present disclosure pertain to kits that contain such compositions and medical procedures that comprise administering such compositions to a subject.
Arterial closure devices as well as methods for making using arterial closure devices are disclosed. An example arterial closure device may include a proximal gasket configured to be positioned on a first side of a blood vessel wall. The arterial closure device may include a distal footplate configured to be positioned on a second side of the blood vessel wall opposite the proximal gasket. The arterial closure device may include a seal configured to be positioned on the first side of the blood vessel wall between the proximal gasket and the blood vessel wall. A tether may be coupled to at least the proximal gasket and the distal footplate. A securement element may be disposed on the tether. The securement element may be configured to secure the proximal gasket and the seal against the first side of the blood vessel wall.
A medical device comprises: a base configured to be coupled to a solid structure or a bite block and one or more stabilizer assemblies. A first stabilizer assembly is configured to selectively inhibit a shaft of an endoscope from moving in an axial direction relative to the base or the bite block, and configured to allow a shaft of an endoscope to be rotated relative to the base or the bite block. A second stabilizer assembly is configured to selectively inhibit the shaft of the endoscope from rotating relative to the base or the bite block, and configured to allow the shaft of the endoscope to move in an axial direction relative to the base or the bite block.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p. ex. laryngoscopes, bronchoscopes
A61B 1/273 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil digestif supérieur, p. ex. œsophagoscopes, gastroscopes
A61M 25/02 - Dispositifs de maintien en position, p. ex. sur le corps
15.
ACOUSTIC ENERGY DELIVERY ALGORITHM FOR USE WITHIN AN INTRAVASCULAR LITHOTRIPSY DEVICE
A catheter system (100) for treating a treatment site (106) within or adjacent to a vessel wall (108A) of a blood vessel (108), or within or adjacent to a heart valve, includes an energy source (124) and a system controller (126). The energy source (124) generates a plurality of energy pulses. The system controller (126) includes a processor that controls the energy source (124). The system controller (126) is configured to implement an energy control algorithm to control both of (i) a pulse frequency of the plurality of energy pulses, and (ii) an energy level for each of the plurality of energy pulses that are generated by the energy source (124). As the pulse frequency of the plurality of energy pulses increases, the energy level for each of the plurality of energy pulses decreases.
A61B 18/26 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet pour produire une onde de choc, p. ex. lithotritie par laser
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
16.
MEDICAL DEVICE ACTUATION COMPONENTS, ASSEMBLIES, AND ASSOCIATED METHODS
A medical system may include an actuator assembly. The actuator assembly may include an actuator housing. The actuator housing may include a first side and a second side opposite the first side, an electrical component, an actuator disposed on the first side, exposed to a user of the medical system, and operably coupled to the electrical component, and an actuator coupler proximate to the second side. The medical system may further include a medical device. The medical device may include a handle. The handle may include a handle housing, an umbilicus for electrically connecting the handle to an electrical controller, and a receiver assembly disposed on the handle housing. The receiver assembly may include a receiver coupler. The actuator coupler may be configured to removably couple to the receiver coupler.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
An aspiration catheter for use in a thrombectomy procedure is disclosed. The aspiration catheter includes a guidewire shaft having a proximal end region, a distal end region and a guidewire lumen extending within at least a portion of a distal tip member. The distal tip member is coupled to the distal end region of the catheter shaft and includes a plurality of spokes extending between the guidewire shaft and an inner surface of the distal tip member.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
According to an aspect, a penile implant includes an articulating portion, a control portion, and an elongate member. The elongate member extends from the control portion to the articulating portion. In some aspects, the articulating portion includes a plurality of articulating members and a plurality of locking members.
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
A61F 2/48 - Moyens d'actionnement ou de commande, p. ex. de l'extérieur du corps, commande de sphincters
19.
HEMOSTASIS CLIP TWO STAGE DEPLOYMENT MECHANISM TO ELIMINATE SHED PARTS
A clipping device includes a clip including a capsule and a pair of clip arms, proximal ends of which are slidably received within the channel to move the clip arms between an open configuration and a closed configuration. Each of the pair of clip arms includes an elongated opening extending through the proximal ends thereof. A connector includes a central portion received between the proximal ends of the clip arms and a pin extending from the central portion receivable within the opening of each of the clip arms, the connector movable from an unlocked configuration, in which the pin is received within a distal portion of the elongated opening, to a locked configuration, in which the pin is received within a proximal portion of the elongated opening, when a predetermined force is applied thereto.
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/10 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour poser ou retirer les clamps pour blessuresChargeurs de clamps pour blessures
20.
MEDICAL DEVICES, SYSTEMS, AND RELATED METHODS FOR TISSUE MANIPULATION
A medical device and a medical system include a cap body with a wall forming a lumen and a working channel insert positioned within the lumen. The working channel insert includes a main body and a cavity, and a flange extending radially inward from an inner surface of the wall of the cap body. The flange is positioned at a distalmost portion of the working channel insert. An outer surface of the main body of the working channel insert and the inner surface of the wall of the cap body form a longitudinally extending gap.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
21.
SYSTEM TO ASSESS THE PRESENCE OF WATER AND/OR FOREIGN MATTER IN LUMINAL MEDICAL DEVICES
Methods and systems for detecting the presence of moisture and/or foreign matter in a lumen of a medical device. An illustrative method may comprise coupling a first probe to a first end of a lumen of a medical device, the first probe comprising a first electrode and a first electrical connection extending proximally from the first electrode, coupling a second probe to a second end of the lumen of the medical device, the second probe comprising a second electrode and a second electrical connection extending proximally from the second electrode, transmitting an electrical signal through the first and second electrical connections, determining a direct current (DC) voltage drop between the first and second electrical connections, calculating a surface resistivity of the lumen based on the DC voltage drop, determining if the calculated surface resistivity is below a threshold surface resistivity, and providing a test status notification.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G01N 27/12 - Recherche ou analyse des matériaux par l'emploi de moyens électriques, électrochimiques ou magnétiques en recherchant l'impédance en recherchant la résistance d'un corps solide dépendant de l'absorption d'un fluideRecherche ou analyse des matériaux par l'emploi de moyens électriques, électrochimiques ou magnétiques en recherchant l'impédance en recherchant la résistance d'un corps solide dépendant de la réaction avec un fluide
A delivery device comprising a first syringe comprising a first plunger and a first syringe barrel that terminates in a first connector; a second syringe comprising a second plunger and a second syringe barrel that terminates in a second connector; a Y-connector coupled to the first syringe and the second syringe; and an injection member coupled to the Y-connector, where the injection member includes a plurality of fluid ejection ports that extend through a sidewall of the injection member.
Embodiments herein relate to cancer therapy delivery systems including components thereof such as therapeutic mixture/suspension generating systems. In an embodiment, a cancer therapy suspension generating system is included having a fluid container defining an interior volume with a container sealing member sealing off an open end of the interior volume. A magnetic rotation member can be disposed within the interior volume and can be configured to rotate under the influence of a magnetic field. The magnetic rotation member can include a central hub, opposed arms that extend outward from the central hub, end lobes attached to ends of the opposed arms, and magnets disposed on or within the end lobes. The system can also include a fluid inlet and a fluid outlet. The system can also include a pump, wherein the pump pulls fluid out of the interior volume of the fluid container through the fluid outlet.
A medical device system may include a sheath, a pusher wire, and a locking element. The pusher wire may be slidably disposed within a lumen of the sheath. The locking element may have a proximal end, a distal end, an intermediate region disposed between the proximal end and the distal end, and a lumen extending from the proximal end to the distal end. The locking element may have a first inner diameter adjacent to the distal end and a second inner diameter adjacent to the proximal end, the second inner diameter smaller than the first outer diameter. The distal end region of the locking element may be configured to freely slide over the sheath and when a proximal end region of the locking element is disposed over the sheath, the locking element may be configured to depress the sheath radially inwards.
A balloon catheter inflation device (100, 200) includes at least a first barrel (110, 210), a first piston (120, 220), and a second piston (140, 240). The first barrel has a first end (112, 212) coupled to an outlet chamber (102) with a nozzle (104, 204), and a second open end (114, 214). The first piston is slidable within the first barrel and has a first end (122, 222) configured to frictionally engage an inner surface of the first barrel. The first piston is configured to apply a first pressure to fluid within the first barrel and the outlet chamber. The second piston is configured to apply a second pressure to the outlet chamber, where the second pressure is higher than the first pressure.
Medical devices, systems, and related methods for capturing objects within a subject (e.g., patient) are described. The medical device includes a sheath, a shaft, and a retrieval device coupled to the shaft. At least a portion of the shaft is movably disposed within the sheath. The retrieval device includes a plurality of wires coupled to a distal end of the shaft, and a retention member coupled to distal ends of the plurality of wires. Movement of the shaft relative to the sheath is configured to release at least one wire of the plurality of wires from the retention member.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/50 - Instruments pour retirer les corps étrangers du corps humain
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
27.
VARIABLE CONTROL OF IMPLANTABLE PIEZOELECTRIC-OPERATED PUMP
The techniques described herein relate to an implantable fluid-operated device configured to control fluid flow between a fluid reservoir and an inflatable member. The device includes a battery configured for storing energy, and energy transmission circuitry configured for receiving energy from an external energy source and for providing energy to charge the battery. The device includes a piezoelectric element attached to a deformable diaphragm, and driver circuitry for providing a waveform of electrical energy from the battery to the piezoelectric element to drive the piezoelectric element to repeatedly change a volume of a fluid chamber by deforming the deformable diaphragm to pump fluid from the fluid reservoir to the inflatable member.
F04B 43/04 - Pompes ayant un entraînement électrique
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
Devices, systems, and methods for a valve assembly for a medical device. The valve may include a valve stem and a valve body. The valve stem may include an elongate body, a first opening in the elongate body, a second opening in the elongate body, a lumen extending between the first opening and the second opening, and a seal extending circumferentially around the elongate body. The seal may include a body portion, a flange extending circumferentially around the elongate body and radially outward from the elongate body, and one or more ribs extending between the body portion and the flange.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
29.
RETRIEVAL DEVICES, SYSTEMS, AND RELATED ASSEMBLIES AND METHODS
Medical devices, systems, and related methods for capturing objects within a subject (e.g., patient) are described. The medical device includes a sheath, a shaft, and a retrieval device coupled to a distal end of the shaft. At least a portion of the shaft is movably disposed within the sheath. The retrieval device includes a plurality of wires coupled to the distal end of the shaft, and a distal tip coupled to distal ends of the plurality of wires. The distal tip includes a body, and a channel extending through the body that is configured to receive a medical instrument therein.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/50 - Instruments pour retirer les corps étrangers du corps humain
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A medical device that is adapted for excising a valve leaflet portion of a valve leaflet from a heart valve includes an elongate shaft including a distal region and an inflatable balloon that is secured to the distal region and that is adapted to extend through the heart valve. The inflatable balloon has an outer surface and includes a deflated configuration and an inflated configuration. An electrocautery electrode is disposed relative to the inflatable balloon such that the electrocautery electrode is positioned to excise the valve leaflet portion when RF energy is applied to the electrocautery electrode and the inflatable balloon is in the inflated configuration. In some cases, the heart valve includes an artificial heart valve. In some cases, the valve leaflet includes an artificial valve leaflet.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
31.
LEAFLET MODIFICATION DEVICE HAVING ROTATABLE ELECTROCAUTERY ELECTRODE
A medical device for lacerating valve leaflets includes an elongate shaft extending proximally from a distal region and an expandable element rotatably secured to the distal region, the expandable element is movable between a collapsed configuration and an expanded configuration. An electrocautery electrode is supported by the expandable element, the electrocautery electrode is urged in an outward direction when the expandable element is in the expanded configuration.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
In one aspect, the present disclosure pertains to a lubricious coated medical device comprising a substrate and a lubricious coating disposed on the substrate, the lubricious coating comprising a lubricious polyethylene polymer and a non-polar lubricant.
Medical devices, systems, and related methods for capturing objects within a subject (e.g., patient) are described. The medical device includes a sheath, a shaft, and a retrieval device coupled to a distal end of the shaft. At least a portion of the shaft is movably disposed within the sheath. The retrieval device includes a plurality of wires coupled to the distal end of the shaft, and a distal tip coupled to distal ends of the plurality of wires. The distal tip includes a body, and a channel extending through the body that is configured to receive a medical instrument therein.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
34.
LEAFLET MODIFICATION DEVICE HAVING ROTATABLE ELECTROCAUTERY ELECTRODE
A medical device for lacerating valve leaflets includes an elongate shaft extending proximally from a distal region and an expandable element rotatably secured to the distal region, the expandable element is movable between a collapsed configuration and an expanded configuration. An electrocautery electrode is supported by the expandable element, the electrocautery electrode is urged in an outward direction when the expandable element is in the expanded configuration.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
In one aspect. the present disclosure pertains to a lubricious coated medical device comprising a substrate and a lubricious coating disposed on the substrate, the lubricious coating comprising a lubricious polyethylene polymer and a non-polar lubricant.
Devices, systems, and methods for an endoscope valve. The valve has a valve stem moving within a valve body to control flow through air and water inlets and outlets. An inflatable seal extends around the valve stem to permit air moving upward toward the air outlet but not downward toward the air inlet.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
Medical devices and systems are described. The medical device may include a handle that includes a hub, a grip portion, and an arm. The hub may define a lumen having a proximal opening. The arm may extend proximally from the hub and may be coupled to a member slidable or rotatable relative to the arm. The grip portion may extend transverse to the lumen of the hub. The grip portion may be configured to receive a palm of a user's hand while a thumb of the user's hand controls sliding or rotation of the member.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
38.
MODULAR MEDICAL DEVICES AND METHODS OF USING THE SAME
A medical device that includes a first body including a first actuation member including a first connector and a second actuation member. The medical device includes a second body for attachment to, and detachment from, the first body. The second body including an actuation wire, a second connector at a proximal end of the actuation wire, and a valve having one or more channels for receiving a material. Attachment of the first body with the second body results in the first connector engaging the second connector, such that movement of the first actuation member causes a corresponding movement of the actuation wire. Moving the second actuation member into the second body to interact with the valve is configured to selectively direct the material through the one or more channels.
A computing device for generating and using a graphical user interface (GUI) is disclosed. The computing device includes one or more controllers configured to generate a graphical representation of a plurality of electrodes of an ablation catheter for displaying via the GUI; designate, via the GUI, at least some of the plurality of electrodes to be active electrodes; automatically designate the active electrodes as a source electrode or a sink electrode; assign an amount of energy to each of the designated source electrodes; and estimate an amount of energy associated with each of the designated sink electrodes based at least in part on the assigned energy of the designated source electrodes.
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
40.
DEVICES, SYSTEMS, AND METHODS FOR CLAMPING A LEAFLET OF A HEART VALVE
The present disclosure relates generally to the field of medical devices for clamping a leaflet of a heart valve. In particular, the present disclosure relates to medical devices, systems, and methods for delivering artificial chordae tendineae in a patient. In an embodiment, a system may include a clamp having a plurality of arms at a first end. The plurality of arms may have a closed configuration in which the arms are oriented toward each other, and an open configuration in which the arms are oriented away from each other. A spring portion may be coupled to the plurality of arms at a second end that is configured to bias the arms to the closed configuration. The arms of the clamp may be configured to fixedly engage with a leaflet of the heart valve. The second end of the clamp may be configured to couple to an artificial chordae tendineae.
An endoscopic suturing system includes an endoscope, a suturing device, a needle assembly movable through tissue by the suturing device, and first and second devices used in association with the suturing device. The cap assembly includes a rotatable needle arm supporting the needle assembly and actuatable by a proximal handle via a transmission assembly. First and second separate lumen extends outside the endoscope from the cap assembly to a proximal handle to advance instruments therethrough to engage the needle assembly and target the tissue. The cap assembly is retained at an end of the endoscope by a securing arm. The securing arm may be resilient or rotatable. Ancillary clips are also provided about the first and second lumen and transmission assembly to couple them to the endoscope.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/06 - AiguillesSupports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/062 - Dispositifs pour manipuler les aiguilles
Medical devices and systems with articulating shafts are described. The medical device may include a handle including an articulation mechanism, e.g., with an actuator configured to receive user input, and a shaft extending distally from the handle. The shaft may define an accessory channel that houses a composite cable extending from a proximal end of the shaft to a distal portion of the shaft. The composite cable may include at least one electrical wire operable coupled to at least one electronic component at or proximate a distal end of the shaft. The articulation mechanism may be configured to articulate the distal portion of the shaft by controlling movement of the composite cable by the user input received by the actuator.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
A device controlling a penetration depth of an endoscopic instrument includes a member and an effector. The member includes a proximal portion extending from a proximal end to a distal portion having an open distal end. The distal portion is received within a working channel of an insertion instrument in Insertion Configuration. The distal portion flares laterally outward from the proximal portion so that Diameter of the open distal end is greater than Diameter of the proximal portion. The member moves the distal portion between Insertion Configuration and Operative Configuration in which the distal portion extends distally beyond a distal end of the channel. The effector moves between Retracted Configuration in which a distal end of the effector is received within the member and Extended Configuration in which the effector is moved distally beyond the distal end of the member to penetrate tissue to a desired depth.
A61B 1/012 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
Medical devices, systems, and related methods for capturing objects within a subject (e.g., patient) are described. The medical device includes a sheath, a shaft, and a retrieval device coupled to the shaft. At least a portion of the shaft is movably disposed within the sheath. The retrieval device includes a plurality of wires coupled to a distal end of the shaft, and a retention member coupled to distal ends of the plurality of wires. Movement of the shaft relative to the sheath is configured to release at least one wire of the plurality of wires from the retention member.
Medical devices and systems having a micro-electromechanical system (MEMS) assembly are described herein. The medical device may include a shaft extending to a distal end and a pressure sensor assembly incorporated into the shaft. The pressure sensor assembly may include a housing, a MEMS chip, and a material. The housing may define a chamber and include a first body coupled to a second body, e.g., the first body defining at least one opening in fluid communication with the chamber. The MEMS chip may include a diaphragm. The material may at least partially cover the diaphragm and have an elasticity or viscosity that permits transfer of force therethrough. The pressure sensor assembly may be configured to measure pressure external to the medical device.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
In one aspect of the present disclosure, a device may include a shaft having a distal end, and a tip at the distal end of the shaft. The tip may include an opening defined by a surface of the tip. An instrument inserted through the shaft may extend distally out of the opening. The device also may include an elevator for engaging the instrument. The elevator may include a proximal end fixed relative to the surface of the tip, a proximal portion extending distally from the proximal end, and a distal portion extending distally from the proximal portion. A force exerted on the elevator bends the proximal portion to deflect the distal portion without bending of the distal portion.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
47.
MEASUREMENT MARKINGS IN DISTAL TIP IMAGING FIELD OF VIEW
Methods and devices are provided for determining anatomical distance and/or position measurements during an endoscopic procedure. Markings are placed either physically or superimposed on a distal end of an elongate tool, such that the markings are viewable in an imaging field of view of the endoscope. Anatomic distances may be determined by measurements performed with the tool. The size and/or position of anatomical structures or unknown objects may also be determined using the marked tool.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An illustrative stent may comprise an elongated tubular member having a first end and a second end and an intermediate region disposed therebetween. The elongated tubular member configured to move between a collapsed configuration and an expanded configuration. The elongated tubular member may comprise at least one twisted filament, such as a knitted filament having a plurality of twisted knit stitches with intermediate rung portions extending between adjacent twisted knit stitches, or a plurality of helical filaments twisted with a plurality of longitudinal filaments.
A61F 2/90 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles
A61F 2/04 - Éléments ou organes creux ou tubulaires, p. ex. vessies, trachées, bronches ou voies biliaires
A61F 2/86 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles
A61F 2/88 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles les éléments filiformes étant sous forme d’enroulements hélicoïdaux ou en spirale
49.
SMART POWER SELECTION FOR MULTI-ELECTRODE RF ABLATION SYSTEM
A computing device for generating and using a graphical user interface (GUI) is disclosed. The computing device includes one or more controllers configured to generate a graphical representation of a plurality of electrodes of an ablation catheter for displaying via the GUI; designate, via the GUI, at least some of the plurality of electrodes to be active electrodes; automatically designate the active electrodes as a source electrode or a sink electrode; assign an amount of energy to each of the designated source electrodes; and estimate an amount of energy associated with each of the designated sink electrodes based at least in part on the assigned energy of the designated source electrodes.
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
50.
DEVICES, SYSTEMS, AND METHODS FOR ACTUATING PORTIONS OF A MEDICAL DEVICE
A medical device comprising a knob with a recessed first portion and a shaft with an articulation section. A control rod is received within the first portion of the knob and the knob is configured to actuate an articulation wire. Actuation of the knob is configured to move the articulation section. The knob is configured to transition between a first state, in which the knob is fixedly coupled to the control rod, and a second state, in which the knob is moveable relative to the control rod. The knob is configured to transition from the first state to the second state when a threshold torque value is applied to the knob.
An outer sheath for delivering and re-sheathing an expandable balloon includes a tubular sheath having a distal end and a proximal end, and a plurality of balloon guide elements extending helically along an inner surface of a distal end region of the tubular sheath, where the plurality of balloon guide elements is spaced apart circumferentially. The outer sheath is part of a dilation balloon catheter assembly including a main catheter defining a lumen and a balloon catheter having a balloon fixed to a distal end thereof, where the balloon catheter is slidably disposed within the lumen of the main catheter, and the balloon is configured to move between a folded configuration and an expanded configuration. The plurality of balloon guide elements is configured to facilitate folding of the balloon after expansion when the balloon is pulled proximally into the outer sheath.
Devices, systems, and methods for reprocessing endoscopic devices include a cabinet for drying and holding disinfected endoscopes after use. A protective layer surrounds a frame that holds the endoscopes. The frame can be assembled by hand. The protective layer includes a filtered air inlet and filtered air outlet. UV lights aid the disinfection and drying of the endoscopes.
A61B 50/10 - Mobilier spécialement adapté aux appareils ou aux instruments chirurgicaux ou de diagnostic
A61L 2/02 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des phénomènes physiques
A61L 2/10 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des phénomènes physiques des radiations des ultraviolets
A system comprising: an implantable medical device (IMD) configured to determine values for one or more parameters associated with a startup of the IMD; and a programming device comprising: communications circuitry; memory; a user interface (UI); and processing circuitry configured to: retrieve, from the IMD and via the communications circuitry, the parameter values for the one or more parameters; apply a machine learning (ML) model stored in the memory to the parameter values, wherein the ML model is trained via a data set comprising a plurality of parameter values from one or more IMDs and corresponding results of startup procedures performed by the one or more IMDs; determine, based on outputs from the ML model, a probability of the IMD having a future startup failure within a period of time; and cause the UI to output a notification indicating the probability.
A61M 60/508 - Moyens de commande électroniques, p. ex. pour la régulation par rétroaction
A61M 60/178 - Pompes ou dispositifs de pompage implantables, c.-à-d. que le sang est pompé à l’intérieur du corps du patient implantables dans ou sur le cœur, ou autour du cœur prélevant le sang d’un ventricule et renvoyant le sang vers le système artériel par une canule externe au ventricule, p. ex. dispositifs d’assistance pour ventricule gauche ou droit
A61M 60/216 - Pompes pour le sang à déplacement non positif comportant un élément rotatif agissant sur le sang, p. ex. un impulseur
G05B 13/02 - Systèmes de commande adaptatifs, c.-à-d. systèmes se réglant eux-mêmes automatiquement pour obtenir un rendement optimal suivant un critère prédéterminé électriques
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
Medical devices, systems, and related methods for capturing objects within a subject (e.g., patient) are described. The medical device includes a sheath, a shaft, and a retrieval device coupled to a distal end of the shaft. At least a portion of the shaft is movably disposed within the sheath. The retrieval device includes a plurality of wires coupled to the distal end of the shaft. The retrieval device is movable between at least a closed state and an open state. Movement of one of the sheath and the retrieval device relative to another one of the sheath or the retrieval device is configured to break at least one wire of the plurality of wires.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
55.
METHODS FOR MAKING MEDICAL DEVICES THAT INCLUDE A SHAPE MEMORY FOAM COMPONENT
A medical device may include a first component and a shape memory foam component that is secured relative to the first component. The medical device may be formed by forming a foamable solution that over time progresses from an initial liquid pre-foam state to a subsequent mid-foam state in which the foamable solution is partially reacted and to a final foam state in which the foamable solution is fully reacted and then applying the foamable solution to the first component during one of the liquid pre-foam state, the subsequent mid-foam state and the final foam state.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
56.
VARIABLE CONTROL OF IMPLANTABLE PIEZOELECTRIC-OPERATED PUMP
The techniques described herein relate to an implantable fluid-operated device configured to control fluid flow between a fluid reservoir and an inflatable member. The device includes a battery configured for storing energy, and energy transmission circuitry configured for receiving energy from an external energy source and for providing energy to charge the battery. The device includes a piezoelectric element attached to a deformable diaphragm, and driver circuitry for providing a waveform of electrical energy from the battery to the piezoelectric element to drive the piezoelectric element to repeatedly change a volume of a fluid chamber by deforming the deformable diaphragm to pump fluid from the fluid reservoir to the inflatable member.
A61F 2/48 - Moyens d'actionnement ou de commande, p. ex. de l'extérieur du corps, commande de sphincters
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
Devices, systems, and methods for cleaning channels within an endoscopic device. A brush may be used for cleaning an endoscopic medical device, for example, for cleaning a channel of the endoscopic medical device. The brush may include a wire, a plurality of receiver bodies disposed along the wire and attached to the wire. Each receiver body may have a concave shape oriented in a same direction along the wire defining a front direction. In front of each of the plurality of receiver bodies there may be a plurality of bristles attached to the wire and extending transversely from the wire.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A46B 5/00 - Montures de brossesManches faisant corps avec la brosse
A46B 5/06 - Montures de brossesManches faisant corps avec la brosse en forme de rubans, de chaînes, de tiges flexibles, de ressorts
A46B 9/02 - Position ou disposition des soies par rapport à la surface de la monture, p. ex. inclinées, en rangées, en groupes
Devices, systems, and methods for cleaning endoscopic channels. A brush may have multiple brush heads along a wire and a vibration device. The vibration device may have motor-controlled gears to hold the wire and move the wire and brush heads with both forward and backward movements to clean the channel.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A46B 5/00 - Montures de brossesManches faisant corps avec la brosse
A46B 5/06 - Montures de brossesManches faisant corps avec la brosse en forme de rubans, de chaînes, de tiges flexibles, de ressorts
A46B 9/02 - Position ou disposition des soies par rapport à la surface de la monture, p. ex. inclinées, en rangées, en groupes
A46B 13/02 - Brosses à monture commandée à entraînement mécanique
A46B 15/00 - Autres brossesBrosses avec aménagements additionnels
A46D 1/00 - SoiesEmploi de matériaux spécifiés pour les soies
Medical devices, systems, and related methods for capturing objects within a subject (e.g., patient) are described. The medical device includes a sheath, a shaft, and a retrieval device coupled to a distal end of the shaft. At least a portion of the shaft is movably disposed within the sheath. The retrieval device includes a plurality of wires coupled to the distal end of the shaft. The retrieval device is movable between at least a closed state and an open state. Movement of one of the sheath and the retrieval device relative to another one of the sheath or the retrieval device is configured to break at least one wire of the plurality of wires.
A medical device may include a first component and a shape memory foam component that is secured relative to the first component. The medical device may be formed by forming a foamable solution that over time progresses from an initial liquid pre-foam state to a subsequent mid-foam state in which the foamable solution is partially reacted and to a final foam state in which the foamable solution is fully reacted and then applying the foamable solution to the first component during one of the liquid pre-foam state, the subsequent mid-foam state and the final foam state.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A balloon catheter inflation device includes at least a first barrel, a first piston, and a second piston. The first barrel has a first end coupled to an outlet chamber with a nozzle, and a second open end. The first piston is slidable within the first barrel and has a first end configured to frictionally engage an inner surface of the first barrel. The first piston is configured to apply a first pressure to fluid within the first barrel and the outlet chamber. The second piston is configured to apply a second pressure to the outlet chamber, where the second pressure is higher than the first pressure.
Devices, systems, and methods for a valve assembly for a medical device. The valve may include a valve stem and a valve body. The valve stem may include an elongate body, a first opening in the elongate body, a second opening in the elongate body, a lumen extending between the first opening and the second opening, and a seal extending circumferentially around the elongate body. The seal may include a body portion, a flange extending circumferentially around the elongate body and radially outward from the elongate body, and one or more ribs extending between the body portion and the flange.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A medical device that is adapted for excising a valve leaflet portion of a valve leaflet from a heart valve includes an elongate shaft including a distal region and an inflatable balloon that is secured to the distal region and that is adapted to extend through the heart valve. The inflatable balloon has an outer surface and includes a deflated configuration and an inflated configuration. An electrocautery electrode is disposed relative to the inflatable balloon such that the electrocautery electrode is positioned to excise the valve leaflet portion when RF energy is applied to the electrocautery electrode and the inflatable balloon is in the inflated configuration. In some cases, the heart valve includes an artificial heart valve. In some cases, the valve leaflet includes an artificial valve leaflet.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A tissue repair device, system, and method for grasping tissue, such as to repair the tissue (e.g., a defect in tissue), by anchoring a tissue-penetrating arm along a first location along the tissue, moving the anchored tissue-penetrating arm to a second location along the tissue, and grasping tissue at the second location with a tissue-grasping arm. The tissue-penetrating arm remains in a substantially axial straight configuration to facilitate tissue penetration. The tissue-grasping arm is movable towards and away from the tissue-penetrating arm to grasp tissue and hold the grasped tissue between the tissue-grasping arm and the tissue-penetrating arm. The tissue repair device may be left in place holding the tissue in the grasped configuration.
Sheaths for medical devices and related methods are described. A method of manufacturing a medical device may include providing a sheath. The method may further include providing a tube. The tube may include an inner first layer and an outer second layer. The first layer may be more susceptible to melting than the second layer. The method may include positioning the tube around the sheath such that the first layer is closer to the sheath than the second layer is. The method may further include applying heat to the tube or the sheath such that the first layer penetrates the sheath.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A medical device comprising a knob with a recessed first portion and a shaft with an articulation section. A control rod is received within the first portion of the knob and the knob is configured to actuate an articulation wire. Actuation of the knob is configured to move the articulation section. The knob is configured to transition between a first state, in which the knob is fixedly coupled to the control rod, and a second state, in which the knob is moveable relative to the control rod. The knob is configured to transition from the first state to the second state when a threshold torque value is applied to the knob.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
Devices, systems, and methods for cleaning channels within an endoscopic device. A brush may be used for cleaning an endoscopic medical device, for example, for cleaning a channel of the endoscopic medical device. The brush may include a wire, a plurality of receiver bodies disposed along the wire and attached to the wire. Each receiver body may have a concave shape oriented in a same direction along the wire defining a front direction. In front of each of the plurality of receiver bodies there may be a plurality of bristles attached to the wire and extending transversely from the wire.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 90/70 - Dispositifs de nettoyage spécialement adaptés aux instruments chirurgicaux
Devices, systems, and methods for cleaning endoscopic channels. A brush may have multiple brush heads along a wire and a vibration device. The vibration device may have motor-controlled gears to hold the wire and move the wire and brush heads with both forward and backward movements to clean the channel.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 90/70 - Dispositifs de nettoyage spécialement adaptés aux instruments chirurgicaux
Devices, systems, and methods for reprocessing endoscopic devices include a cabinet for drying and holding disinfected endoscopes after use. A protective layer surrounds a frame that holds the endoscopes. The frame can be assembled by hand. The protective layer includes a filtered air inlet and filtered air outlet. UV lights aid the disinfection and drying of the endoscopes.
A stent delivery system comprising an elongate tubular member (114) having an outer surface and a lumen formed therein, a needle (120, 116) slidably disposed within the lumen of the elongate tubular member, a stent (102) disposed on an outer surface of the needle distal of the elongate tubular member, and a suture loop (350) attached to the distal end of the elongate member, wherein the suture loop is configured to be inserted through an opening in an outer surface of the stent to circumferentially surround the outer surface of the needle.
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61F 2/04 - Éléments ou organes creux ou tubulaires, p. ex. vessies, trachées, bronches ou voies biliaires
71.
SYSTEM FOR PREDICTION OF MEDICAL DEVICE STARTUP CONDITION
A system comprising: an implantable medical device (IMD) configured to determine values for one or more parameters associated with a startup of the IMD; and a programming device comprising: communications circuitry; memory; a user interface (UI); and processing circuitry configured to: retrieve, from the IMD and via the communications circuitry, the parameter values for the one or more parameters; apply a machine learning (ML) model stored in the memory to the parameter values, wherein the ML model is trained via a data set comprising a plurality of parameter values from one or more IMDs and corresponding results of startup procedures performed by the one or more IMDs; determine, based on outputs from the ML model, a probability of the IMD having a future startup failure within a period of time; and cause the UI to output a notification indicating the probability.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
A61M 60/178 - Pompes ou dispositifs de pompage implantables, c.-à-d. que le sang est pompé à l’intérieur du corps du patient implantables dans ou sur le cœur, ou autour du cœur prélevant le sang d’un ventricule et renvoyant le sang vers le système artériel par une canule externe au ventricule, p. ex. dispositifs d’assistance pour ventricule gauche ou droit
A61M 60/216 - Pompes pour le sang à déplacement non positif comportant un élément rotatif agissant sur le sang, p. ex. un impulseur
A61M 60/508 - Moyens de commande électroniques, p. ex. pour la régulation par rétroaction
A steering system for a medical device may include a first drive member having a central longitudinal axis; a central shaft extending through the first drive member; a control knob coupled to the first drive member; a braking knob coupled to the central shaft and including a first protrusion; and a brake shoe member coupled to the central shaft between the control knob and the braking knob. The first protrusion may be positioned within a first channel of the brake shoe member; the first protrusion may be configured to engage the brake shoe member to move a first arm of the brake shoe member radially outward towards a wall of the control knob when the braking knob is rotated in a first direction; and the first arm may be configured to move away from the wall when the braking knob is rotated in a second direction.
Laser systems and methods are disclosed. One laser system comprises: a plurality of laser resonators, each resonator being operable to discharge an input laser beam; a relay assembly including at least one curved reflective surface that redirects each input laser beam, and reduces a beam size of the redirected beam; a galvo including a curved reflective surface that receives each redirected beam, and outputs a combined laser beam at power level greater than a power level of each laser input beam; and a coupling assembly that reduces spherical aberrations in the combined laser beam, and directs the combined laser beam into an optical fiber. In this system, the combined laser beam may have a maximum beam parameter product lower than a minimum beam parameter product of the optical fiber. Related systems and methods are also disclosed.
H01S 3/00 - Lasers, c.-à-d. dispositifs utilisant l'émission stimulée de rayonnement électromagnétique dans la gamme de l’infrarouge, du visible ou de l’ultraviolet
A61B 18/26 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet pour produire une onde de choc, p. ex. lithotritie par laser
G02B 6/42 - Couplage de guides de lumière avec des éléments opto-électroniques
G02B 27/09 - Mise en forme du faisceau, p. ex. changement de la section transversale, non prévue ailleurs
H01S 3/082 - Structure ou forme des résonateurs optiques ou de leurs composants comprenant trois réflecteurs ou plus définissant une pluralité de résonateurs, p. ex. pour la sélection ou la suppression de modes
H01S 3/23 - Agencement de plusieurs lasers non prévu dans les groupes , p. ex. agencement en série de deux milieux actifs séparés
H01S 5/40 - Agencement de plusieurs lasers à semi-conducteurs, non prévu dans les groupes
An introducer sheath may include a valve hub and an elongate shaft extending from the valve hub. The valve hub may include a proximal end defining a first port having a first port entry opening and a second port having a second port entry opening. The introduce sheath may include a first seal disposed at the first port and aligned with the first port entry opening and a second seal disposed at the second port and aligned with the second port entry opening. The first port may be parallel with the second port. The valve hub may couple with a stabilizer configured to couple with and axially fix a medical device extending through one or both of the first port and the second port.
A61M 39/06 - Soupapes hémostatiques, c.-à-d. éléments formant joint autour d'une aiguille, d'un cathéter ou similaire, et se fermant après leur retrait
A61M 25/06 - Aiguilles avec un guide pour piquer le corps ou analogues
A replacement heart valve system includes a replacement heart valve implant including an expandable framework and a plurality of leaflets, wherein the framework includes an attachment tab extending upstream from an inflow end, and an implant delivery system including an implant holding portion including a stent holder configured to engage the attachment tab to axially secure the implant relative to the delivery system. The stent holder includes a first radiopaque marker, and the attachment tab includes a second radiopaque marker, the first and second markers may collectively indicate a rotational orientation of the framework relative to a native heart valve under fluoroscopy. The first radiopaque marker may indicate when a middle commissure post of the framework is disposed in a posterior position and an anterior position relative to a native heart valve under fluoroscopy in a 3-cusp view.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
76.
ATRAUMATIC IMPLANTATION AND CLOSURE OF RECONSTRUCTIVE LAAC DEVICE FOR SAFETY AND EFFICACY
An implant for left atrial appendage closure includes an expandable framework with a collar, a shaft, a rod, and a lock. The expandable framework is configured to expand from a collapsed delivery configuration to an expanded deployed configuration. The shaft is disposed within the collar which is axially moveable relative to the shaft. The rod is disposed within the shaft and is coupled to the collar. The lock is coupled to the shaft and includes an engagement member configured to move between a proximally facing constrained configuration and a distally facing radially expanded configuration. The rod is coupled to the collar such that rotation of the rod pulls the collar and expandable framework proximally over the shaft toward the lock, and the expandable framework is configured to rotate and move axially independently of the lock.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
Medical devices and medical device systems are disclosed. An example medical device for treating a thrombotic lesion includes an elongate catheter including a proximal end region, a distal end region, an aspiration lumen and a wire lumen extending therein. The medical device also includes a support shaft coupled to the elongate catheter, wherein the support shaft includes a support lumen and a distal end coupled to a reflector. The medical device also includes an electrically conductive member extending within a portion of the wire lumen, and wherein the conductive member includes a distal end region positioned adjacent to the reflector. The medical device also includes an emitter coupled to the distal end region of the conductive member. Further, the emitter is configured to discharge an electrical pulse directed toward the distal end region of the elongate catheter.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
80.
ATRAUMATIC IMPLANTATION AND CLOSURE OF RECONSTRUCTIVE LAAC DEVICE FOR SAFETY AND EFFICACY
An implant for left atrial appendage closure includes an expandable framework with a collar, a shaft, a rod, and a lock. The expandable framework is configured to expand from a collapsed delivery configuration to an expanded deployed configuration. The shaft is disposed within the collar which is axially moveable relative to the shaft. The rod is disposed within the shaft and is coupled to the collar. The lock is coupled to the shaft and includes an engagement member configured to move between a proximally facing constrained configuration and a distally facing radially expanded configuration. The rod is coupled to the collar such that rotation of the rod pulls the collar and expandable framework proximally over the shaft toward the lock, and the expandable framework is configured to rotate and move axially independently of the lock.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
An aspiration catheter for use in a thrombectomy procedure is disclosed. The aspiration catheter also includes distal tip member having a length and a lumen extending therein, wherein the distal tip member is coupled to the distal end region of the catheter shaft. A guidewire shaft extends within at least a portion of the lumen of the catheter shaft and the lumen of the distal tip member. A first portion of a distal facing outer surface of the distal tip member lies in a first plane, and a second portion of the distal facing outer surface of the tip member lies in a second plane, different from the first plane.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
Sheaths for medical devices and related methods are described. A method of manufacturing a medical device may include providing a sheath. The method may further include providing a tube. The tube may include an inner first layer and an outer second layer. The first layer may be more susceptible to melting than the second layer. The method may include positioning the tube around the sheath such that the first layer is closer to the sheath than the second layer is. The method may further include applying heat to the tube or the sheath such that the first layer penetrates the sheath.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
Medical devices as well as methods for making and using medical devices are disclosed. An example medical device may include a steerable crossing catheter system. The steerable crossing catheter system may include an elongate catheter shaft having a proximal end region, a steerable distal end region, and a lumen extending therethrough. A core may be disposed within the lumen. The core may have a distal end. A penetrating member may be coupled to the distal end. A sensing assembly may be disposed adjacent to the distal end. The sensing assembly may be configured to estimate the location of the core within a body lumen.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
Medical devices and medical device systems are disclosed. An example medical device for treating a thrombotic lesion (54) includes an elongate catheter (12) including a proximal end region, a distal end region, an aspiration lumen (34) and a wire lumen extending therein. The medical device also includes a support shaft (40) coupled to the elongate catheter, wherein the support shaft includes a support lumen and a distal end coupled to a reflector (42). The medical device also includes an electrically conductive member (14) extending within a portion of the wire lumen, and wherein the conductive member includes a distal end region positioned adjacent to the reflector. The medical device also includes an emitter (20) coupled to the distal end region of the conductive member. Further, the emitter is configured to discharge an electrical pulse directed toward the distal end region of the elongate catheter.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
An aspiration catheter for use in a thrombectomy procedure is disclosed. The aspiration catheter also includes distal tip member having a length and a lumen extending therein, wherein the distal tip member is coupled to the distal end region of the catheter shaft. A guidewire shaft extends within at least a portion of the lumen of the catheter shaft and the lumen of the distal tip member. A first portion of a distal facing outer surface of the distal tip member lies in a first plane, and a second portion of the distal facing outer surface of the tip member lies in a second plane, different from the first plane.
In some aspects, this disclosure includes a medical device comprising: a sheath extending from a proximal end to a distal end. The sheath includes a first lumen extending from the proximal end to the distal end. The medical device further comprises a proximal body coupled to the proximal end of the sheath and a second lumen extending longitudinally through the proximal body; and a first body extending radially outward from the proximal body, and the first body includes a third lumen extending longitudinally through the first body. The first lumen, the second lumen, and the third lumen are fluidically connected. The medical device further comprises a seal positioned at a proximal portion of the proximal body; and an actuator. The actuation of the actuator adjusts a size of a vent of the medical device.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
Embodiments herein relate to catheter connection manifold bypass devices, cancer therapy delivery systems, and related methods. For example, a catheter connection manifold bypass device can be included having a fluid passage conduit with a proximal end and a distal end. The bypass device can also include a deformable tip disposed around the distal end of the fluid passage conduit. The deformable tip can fit within a distal portion of a cavity within a connection manifold for a fluid delivery catheter. The bypass device can include a proximal connection port that can be connected to the proximal end of the fluid passage conduit. The bypass device can also include a connection adapter defining a channel, wherein the fluid passage conduit passes through the channel. The distal end of the connection adapter can be configured to attach to a proximal end of the fluid delivery catheter. Other embodiments are also included herein.
A surgical laser system includes an array of laser diodes that are configured to output laser energy, a fiber bundle, a delivery fiber, and a tubular sheath. The fiber bundle includes a plurality of optical fibers and has a proximal end that is configured to receive laser energy from the array of laser diodes. The delivery fiber includes a proximal end that is configured to receive laser energy from a distal end of the fiber bundle. The tubular sheath defines a lumen, in which at least a portion of the delivery fiber is disposed. The tubular sheath is insertable into a working channel of an endoscope or a cystoscope. A distal end of the tubular sheath is configured to deliver laser energy discharged from the delivery fiber into a body of a patient.
A61B 18/24 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet avec un cathéter
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/20 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers
A61B 18/22 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet
89.
TETHER TRACTION SYSTEMS AND METHODS OF USE THEREOF
The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to traction systems, and methods of use thereof, for endoscopic procedures such as tissue dissection. For example, a traction system may include a filament extendable along an outer surface of an endoscope with a distal end of the filament attachable to a medical device engaged with a target tissue of a body lumen.
In some aspects, this disclosure includes a medical device comprising: a sheath extending from a proximal end to a distal end. The sheath includes a first lumen extending from the proximal end to the distal end. The medical device further comprises a proximal body coupled to the proximal end of the sheath and a second lumen extending longitudinally through the proximal body; and a first body extending radially outward from the proximal body, and the first body includes a third lumen extending longitudinally through the first body. The first lumen, the second lumen, and the third lumen are fluidically connected. The medical device further comprises a seal positioned at a proximal portion of the proximal body; and an actuator. The actuation of the actuator adjusts a size of a vent of the medical device.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
An introducer sheath may include a valve hub and an elongate shaft extending from the valve hub. The valve hub may include a main port and a side port. The main port may include a first hub portion, a first seal that is disposed within the first hub portion, and a first actuator that is configured to adjust the first seal between an opened position and a closed position. The side port may include a second hub portion, a second seal that is disposed within second hub portion, and a second actuator that is configured to adjust the second seal between an opened position and a closed position.
A61M 39/06 - Soupapes hémostatiques, c.-à-d. éléments formant joint autour d'une aiguille, d'un cathéter ou similaire, et se fermant après leur retrait
Embodiments herein relate to catheter connection manifold bypass devices, cancer therapy delivery systems, and related methods. For example, a catheter connection manifold bypass device can be included having a fluid passage conduit with a proximal end and a distal end. The bypass device can also include a deformable tip disposed around the distal end of the fluid passage conduit. The deformable tip can fit within a distal portion of a cavity within a connection manifold for a fluid delivery catheter. The bypass device can include a proximal connection port that can be connected to the proximal end of the fluid passage conduit. The bypass device can also include a connection adapter defining a channel, wherein the fluid passage conduit passes through the channel. The distal end of the connection adapter can be configured to attach to a proximal end of the fluid delivery catheter. Other embodiments are also included herein.
An introducer sheath may include a valve hub and an elongate shaft extending from the valve hub. The valve hub may include a main port and a side port. The main port may include a first hub portion, a first seal that is disposed within the first hub portion, and a first actuator that is configured to adjust the first seal between an opened position and a closed position. The side port may include a second hub portion, a second seal that is disposed within second hub portion, and a second actuator that is configured to adjust the second seal between an opened position and a closed position.
A61M 60/865 - Dispositifs de guidage ou d’insertion de pompes ou dispositifs de pompage à l’intérieur du corps du patient
A61M 60/122 - Pompes ou dispositifs de pompage implantables, c.-à-d. que le sang est pompé à l’intérieur du corps du patient
A61M 60/237 - Pompes pour le sang à déplacement non positif comportant un élément rotatif agissant sur le sang, p. ex. un impulseur le flux de sang à travers l’élément rotatif ayant des composants principalement axiaux, p. ex. pompes à écoulement axial
A61M 60/419 - Détails concernant l’entraînement des pompes pour le sang à déplacement non positif la force agissant sur l’élément en contact avec le sang étant magnétique permanente, p. ex. à partir d’un couplage magnétique en rotation entre un aimant d’entraînement et un aimant entraîné
Medical devices including medical devices with enhanced echogenicity are disclosed. An example medical device may include a polymeric catheter shaft having a distal end region. The distal end region may include a plurality of hyperechoic particles disposed therein.
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
An introducer sheath may include a valve hub and an elongate shaft extending from the valve hub. The valve hub may include a proximal end defining a first port having a first port entry opening and a second port having a second port entry opening. The introduce sheath may include a first seal disposed at the first port and aligned with the first port entry opening and a second seal disposed at the second port and aligned with the second port entry opening. The first port may be parallel with the second port. The valve hub may couple with a stabilizer configured to couple with and axially fix a medical device extending through one or both of the first port and the second port.
A61M 25/06 - Aiguilles avec un guide pour piquer le corps ou analogues
A61M 39/06 - Soupapes hémostatiques, c.-à-d. éléments formant joint autour d'une aiguille, d'un cathéter ou similaire, et se fermant après leur retrait
A replacement heart valve system includes a replacement heart valve implant including an expandable framework and a plurality of leaflets, wherein the framework includes an attachment tab extending upstream from an inflow end, and an implant delivery system including an implant holding portion including a stent holder configured to engage the attachment tab to axially secure the implant relative to the delivery system. The stent holder includes a first radiopaque marker, and the attachment tab includes a second radiopaque marker, the first and second markers may collectively indicate a rotational orientation of the framework relative to a native heart valve under fluoroscopy. The first radiopaque marker may indicate when a middle commissure post of the framework is disposed in a posterior position and an anterior position relative to a native heart valve under fluoroscopy in a 3-cusp view.
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.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/307 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil urinaire, p. ex. urétroscopes, cystoscopes
A61B 5/107 - Mesure de dimensions corporelles, p. ex. la taille du corps entier ou de parties de celui-ci
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 17/225 - Instruments, dispositifs ou procédés chirurgicaux pour la lithotritie extracorporelle par onde de choc [ESWL], p. ex. utilisant des ondes ultrasonores
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/26 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet pour produire une onde de choc, p. ex. lithotritie par laser
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61N 5/06 - Thérapie par radiations utilisant un rayonnement lumineux
G06F 3/0484 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] pour la commande de fonctions ou d’opérations spécifiques, p. ex. sélection ou transformation d’un objet, d’une image ou d’un élément de texte affiché, détermination d’une valeur de paramètre ou sélection d’une plage de valeurs
G06F 3/0488 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] utilisant des caractéristiques spécifiques fournies par le périphérique d’entrée, p. ex. des fonctions commandées par la rotation d’une souris à deux capteurs, ou par la nature du périphérique d’entrée, p. ex. des gestes en fonction de la pression exercée enregistrée par une tablette numérique utilisant un écran tactile ou une tablette numérique, p. ex. entrée de commandes par des tracés gestuels
G06T 11/60 - Édition de figures et de texteCombinaison de figures ou de texte
98.
DEVICES, SYSTEMS, METHODS, AND DESIGNS FOR MEDICAL CLEANING VALVES
A medical cleaning valve (or cleaning valve) may be configured to provide cleaning functionality to air and water channels of an endoscope. One or more embodiments described herein may include cleaning valves with features and/or components that facilitate differentiating them from procedural valves. In some embodiments, valves may be made from a limited number of parts and materials, to limit their cost. For example, multiple seals may be formed as a single component, such as via overmolding. In another example, wiper seals may be used to accommodate greater manufacturing tolerances. In yet another example, the valve may have a single elastomeric component, or spring cap, which may combine the functionality of a number of components (e.g., a boot, spring, spring housing, and stem cap).
F16K 11/07 - Soupapes ou clapets à voies multiples, p. ex. clapets mélangeursRaccords de tuyauteries comportant de tels clapets ou soupapesAménagement d'obturateurs et de voies d'écoulement spécialement conçu pour mélanger les fluides dont toutes les faces d'obturation se déplacent comme un tout comportant uniquement des tiroirs à éléments de fermeture glissant linéairement à glissières cylindriques
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 90/70 - Dispositifs de nettoyage spécialement adaptés aux instruments chirurgicaux
A61B 90/92 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des codes de couleurs
A61B 90/94 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des symboles, p. ex. du texte
A61L 2/18 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des substances chimiques des substances liquides
A medical device including a handle including an actuation device, a sheath extending from the handle and having a longitudinal axis, the sheath defining an imaging lumen extending from the handle to a distal end of the sheath, an imaging device at a distal end of the sheath, and a piezoelectric member connected to the imaging device, where movement of the piezoelectric member moves the imaging device in a first direction relative to the longitudinal axis.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
100.
THERMAL STIMULATION AND SUBSEQUENT COOLING FOR FULLY IMPLANTABLE LVAD CONTROLLER
A method of cooling a mammal with an implantable blood pump. The method includes measuring a temperature of an internal controller, the internal controller being in communication with the implantable blood pump. An alert is generated if the temperature of the internal controller exceeds a predetermined temperature threshold. The internal controller and implantable blood pump may be implanted at different locations in the patient.
A61F 7/00 - Appareils de chauffage ou de refroidissement pour traitement médical ou thérapeutique du corps humain
A61F 7/08 - Bassinoires, coussinets ou tapis chauffantsBouillottes
A61F 7/10 - Sacs réfrigérants, p. ex. sacs à glace
A61M 60/135 - Pompes ou dispositifs de pompage implantables, c.-à-d. que le sang est pompé à l’intérieur du corps du patient implantables par, dans, à l’intérieur, en ligne, se ramifiant dans ou autour d’un vaisseau sanguin à l’intérieur d’un vaisseau sanguin, p. ex. par greffe
