A replacement heart valve implant includes a framework and a plurality of valve leaflets. The framework includes interconnected struts, a plurality of upper crowns, and a plurality of lower crowns. The lower crowns include a bend line extending circumferentially through each lower crown and disposed upstream of upstreammost intersections of the struts and downstream of an upstreammost extent of the lower crowns. A replacement heart valve system includes the implant and an implant delivery system including a handle and an elongate shaft assembly, wherein a distal portion of the shaft assembly includes an implant holding portion. A method of loading the implant includes positioning the implant adjacent the holding portion, positioning the lower crowns surrounding a stent holder of the delivery system, collapsing the framework such that the lower crowns extend into a groove of the stent holder, and shifting the holding portion over the implant.
A medical laser system for outputting laser pulses includes at least one laser cavity configured to generate at least one laser pulse, a rotating mirror configured to receive and reflect the at least one laser pulse, a beam splitter configured to receive and reflect a portion of the at least one laser pulse received from the rotating mirror, an energy-sensing device configured to detect the portion of the at least one laser pulse, an energy measurement assembly configured to generate a feedback signal based on the portion of the at least one laser pulse detected by the energy-sensing device, and a controller configured to generate an electronic control pulse based on the feedback signal received from the energy measurement assembly to generate at least one adjusted laser pulse.
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
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
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
3.
METHOD AND APPARATUS FOR RAPID AND SAFE PULMONARY VEIN CARDIAC ABLATION
An apparatus includes a shaft, the shaft including a plurality of stepped sections along the length of the shaft. The apparatus further includes a plurality of electrodes disposed along the length of the shaft, each electrode characterized by a geometric aspect ratio of the length of the electrode to the outer diameter of the electrode. Each electrode is located at a different stepped section of the plurality of stepped sections of the shaft and includes a set of leads. Each lead of the set of leads is configured to attain an electrical voltage potential of at least about 1 kV. The geometric aspect ratio of at least one electrode of the plurality of electrodes is in the range between about 3 and about 20.
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
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
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
4.
SYSTEM AND METHOD OF USING RF WIRE TO DISTINGUISH ANATOMY AFTER TRANSSEPTAL PUNCTURE
A transseptal surgical system to puncture an atrial septum within a heart includes an electrosurgical crossing assembly and a controller coupled to the crossing assembly. The crossing assembly includes a crossing member coupled to a radiofrequency (RF) energy source. The crossing member includes a crossing member distal tip having a crossing member electrode to deliver the RF energy. The controller can receive an intracardiac electrogram (EGM) reading signal from the crossing member electrode, compare the EGM reading signal to at least one of aortic EGM characteristics having information to identify EGM signals emanating from the aorta and left atrial EGM characteristics having information to identify EGM signals emanating from the left atrium to determine a location of the crossing member electrode within cardiac anatomy, and generate an alert if the crossing member electrode is determined to be within the aorta.
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
Boston Scientific Medical Device Limited (Irlande)
Inventeur(s)
Williams, Jessica
Chen, Longquan
Adhikarath Balan, Arun
Rauniyar, Niraj Prasad
Meganck, Jeffrey A.
Stokley, Elizabeth A.
Sukhatme, Mihir
Jain, Samriddhi
Abrégé
Medical systems are described, including a medical system including a display having a user interface that includes graphical elements corresponding to a first set of medical parameters and a type of intraluminal state, and a processor configured to receive user input selecting a status or value for at least one medical parameter of the first set of medical parameters and the type of intraluminal state, determine the intraluminal state over time based on the user input, and display on the user interface a graphical representation of the intraluminal state over time.
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
G06F 3/0482 - Interaction avec des listes d’éléments sélectionnables, p. ex. des menus
6.
APPARATUS FOR IMPROVED CLEANING OF MEDICAL DEVICES
Disclosed solutions relate to cleaning devices for medical devices. For example, a cleaning device for cleaning a channel of a medical device includes a rod. The cleaning device further includes a connector at a proximal end of the rod. The cleaning device further includes a flexible cleaner positioned around the rod. The cleaning device further includes a ferrule configured to removably connect with the connector. The cleaning device further includes a pull member connected to the ferrule.
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 5/06 - Montures de brossesManches faisant corps avec la brosse en forme de rubans, de chaînes, de tiges flexibles, de ressorts
A46B 13/08 - Brosses à monture commandée entraînées à la main
A46D 1/00 - SoiesEmploi de matériaux spécifiés pour les soies
F03B 3/04 - "Machines" ou machines motrices du type "à réaction"Parties constitutives ou détails particuliers les concernant à écoulement à travers les rotors essentiellement axial, p. ex. turbopropulseurs
F03B 13/00 - Adaptations des "machines" ou machines motrices pour une utilisation particulièreCombinaisons des "machines" ou machines motrices avec les appareils entraînés ou qu'ils entraînentCentrales électriques ou ensembles machine-appareil
In an embodiment, a cryoablation probe includes a shaft, where the shaft has a supply tube, a return tube surrounding the supply tube, an insulated portion, wherein a vacuum circuit runs through the insulated portion between the return tube and an insulating shaft, and an expansion chamber extending distally to the insulated portion. The probe further includes a distal tip configured to seal a distal end of the return tube. The distal tip has a tip portion extending distally from the distal end of the return tube and a plug portion configured to be inserted inside of the return tube. The probe includes a compressive element surrounding the return tube and the plug portion of the distal tip, configured to seal the distal tip to the return tube.
A61B 18/02 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par refroidissement, p. ex. techniques cryogéniques
Medical devices, systems, and related methods useful for facilitating navigation through patient anatomy during a medical procedure are described. The medical device may include a handle including a proximal portion, a distal portion, and a middle portion between the proximal portion and the distal portion. The distal portion may be detachable from the middle portion by complementary mating elements. An articulation mechanism may be disposed within the distal portion of the handle, and configured to control articulation of a shaft coupled to the handle. A first electronic drive assembly may be configured to drive rotation of the middle portion and the distal portion relative to the proximal portion about a first axis. A second electronic drive assembly may be configured to drive rotation of the articulation mechanism about a second axis different from the first 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
An illustrative stent may include an expandable framework with a proximal end, a distal end, and a length extending therebetween. The expandable framework of the stent may include a single filament forming one or more undulating pattern sections and one or more knitted sections. The expandable framework of the stent may further include one or more of a coating and a covering.
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
A compression device having an elongated compressive element which can be looped into and adjusted to different desirable sizes around target tissue. The compressive element may be a simple suture string or the like having a distal portion looped around the target tissue and extending to a proximal end positioned outside the patient's body and graspable and manipulable by a medical professional to adjust the looped distal portion. A cinch device may be preloaded on and delivered with the compressive element to target tissue. The cinch device may be coupled with the compressive element in a manner which may facilitate maintenance of the looped configuration of the distal portion of the compressive element and/or to hold the distal portion of the compressive element in a final looped configuration applying the desired compressive force to the target tissue surrounded by the compressive element.
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 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
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 access system for accessing a patient's vasculature includes an introducer sheath that is adapted to extend into an interior of a blood vessel through an opening formed in a wall of the blood vessel in order to provide access to the interior of the blood vessel. A deployable graft is disposed relative to the distal region of the introducer sheath. One or more positioning elements are releasably secured to the deployable graft and extend proximally therefrom such that exerting a force on the one or more positioning elements causes the deployable graft to move proximally within the interior of the blood vessel to a position in which the deployable graft spans the opening formed in the wall of the blood vessel. An outer jacket releasably secures the deployable graft in position relative to the introducer sheath.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
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
A replacement heart valve implant includes a framework and a plurality of valve leaflets. The framework includes interconnected struts, a plurality of upper crowns, and a plurality of lower crowns. The lower crowns include a bend line extending circumferentially through each lower crown and disposed upstream of upstreammost intersections of the struts and downstream of an upstreammost extent of the lower crowns. A replacement heart valve system includes the implant and an implant delivery system including a handle and an elongate shaft assembly, wherein a distal portion of the shaft assembly includes an implant holding portion. A method of loading the implant includes positioning the implant adjacent the holding portion, positioning the lower crowns surrounding a stent holder of the delivery system, collapsing the framework such that the lower crowns extend into a groove of the stent holder, and shifting the holding portion over the implant.
A left atrial appendage closure (LAAC) device is adapted to pull a left atrial appendage (LAA) closed on itself. The LAAC device includes a tissue engagement structure that is adapted to engage tissue within the LAA and pull the tissue inwardly when the tissue engagement structure is driven from an initial actuation level towards a final actuation level. The LAAC device includes a drive assembly that is adapted to drive the tissue engagement structure from the initial actuation level towards the final actuation level.
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
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
14.
INJECTABLE RADIOPAQUE CROSSLINKED HYDROGEL PARTICLE SUSPENSIONS AND METHODS OF FORMING SAME
In some aspects, the present disclosure pertains to a method of forming radiopaque crosslinked hydrogel particles comprising (a) mixing a reactive multi-arm polymer comprising a plurality of cyclic imide ester groups, a reactive multifunctional compound comprising a plurality of amino groups, and a radiocontrast agent under conditions in which a pH environment surrounding the reactive multi-arm polymer, the reactive multifunctional compound and the radiocontrast agent increases from an acidic pH to a basic pH, thereby forming a radiopaque hydrogel and (b) subjecting the hydrogel to a particle size reduction process, thereby forming the radiopaque crosslinked hydrogel particles. Other aspects of the present disclosure pertain to radiopaque crosslinked hydrogel particles formed from such methods, suspensions of such radiopaque crosslinked hydrogel particles, and medical supplies that contain such radiopaque crosslinked hydrogel particles.
09 - Appareils et instruments scientifiques et électriques
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Recorded software for monitoring, storing, accessing,
importing, displaying and receiving imaging data obtained
during intravascular physiology procedures; recorded
software for overlaying images obtained from angiogram
devices with images obtained during intravascular physiology
procedures; recorded software for aiding in visual image
tracking during intravascular physiology procedures;
downloadable software for monitoring, storing, accessing,
importing, displaying and receiving imaging data obtained
during intravascular physiology procedures; downloadable
software for overlaying images obtained from angiogram
devices with images obtained during intravascular physiology
procedures; downloadable software for aiding in visual image
tracking during intravascular physiology procedures. Providing online non-downloadable software for monitoring,
storing, accessing, importing, displaying and receiving
imaging data obtained during intravascular physiology
procedures; providing online non-downloadable software for
overlaying images obtained from angiogram devices with
images obtained during intravascular physiology procedures;
providing online non-downloadable software for aiding in
visual image tracking during intravascular physiology
procedures.
Medical devices, systems, and related methods useful for facilitating navigation through patient anatomy during a medical procedure are described. The medical device may include a handle including a proximal portion, a distal portion, and a middle portion between the proximal portion and the distal portion. The distal portion may be detachable from the middle portion by complementary mating elements. An articulation mechanism may be disposed within the distal portion of the handle, and configured to control articulation of a shaft coupled to the handle. A first electronic drive assembly may be configured to drive rotation of the middle portion and the distal portion relative to the proximal portion about a first axis. A second electronic drive assembly may be configured to drive rotation of the articulation mechanism about a second axis different from the first 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
18.
MECHANICAL CIRCULATORY SUPPORT PUMP CLIP AND CORD MANAGEMENT SYSTEM
Mechanical circulatory support devices with cord management systems are disclosed. An example percutaneous circulatory support device comprises a catheter including an elongate shaft and a percutaneous blood pump positioned at a distal end of the elongate shaft. A junction box is secured to the elongate shaft proximal of the percutaneous blood pump, and a clip assembly is disposed on an outer surface of the junction box.
A61M 60/13 - 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 au moyen d’un cathéter permettant l’explantation, p. ex. pompes à cathéter temporairement introduites par le système vasculaire
A medical device includes a handle including a port that includes a port lumen. The medical device includes a shaft extending from a portion of the handle. A first portion of the shaft includes a plurality of first lumens and a second lumen, and a second portion of the shaft includes only the second lumen. The second portion of the shaft is proximal to the first portion of the shaft. The medical device also includes a coupling assembly that couples a proximal end of the second portion of the shaft to the port. The coupling assembly forms a seal between the proximal end of the shaft and the port to fluidly connect the port lumen to the second lumen.
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 1/012 - 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 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
20.
INJECTABLE RADIOPAQUE CROSSLINKED HYDROGEL PARTICLE SUSPENSIONS AND METHODS OF FORMING SAME
In some aspects, the present disclosure pertains to a method of forming radiopaque crosslinked hydrogel particles comprising (a) mixing a reactive multi-arm polymer comprising a plurality of cyclic imide ester groups, a reactive multifunctional compound comprising a plurality of amino groups, and a radiocontrast agent under conditions in which a pH environment surrounding the reactive multi-arm polymer, the reactive multifunctional compound and the radiocontrast agent increases from an acidic pH to a basic pH, thereby forming a radiopaque hydrogel and (b) subjecting the hydrogel to a particle size reduction process, thereby forming the radiopaque crosslinked hydrogel particles. Other aspects of the present disclosure pertain to radiopaque crosslinked hydrogel particles formed from such methods, suspensions of such radiopaque crosslinked hydrogel particles, and medical supplies that contain such radiopaque crosslinked hydrogel particles.
C08J 3/09 - Production de solutions, dispersions, latex ou gel par d'autres procédés que ceux utilisant les techniques de polymérisation en solution, en émulsion ou en suspension dans des liquides organiques
C08J 3/24 - Réticulation, p. ex. vulcanisation, de macromolécules
At least some embodiments of the present disclosure are directed to systems and methods for providing interactive instructions for a medical device. In some embodiments, a method includes receiving information associated with the medical device, identifying device parameters of the medical device, causing to display a representation of the medical device associated with the device parameters of the medical device, receiving a user query related to the representation of the medical device, identifying a language of the user query, generating a device prompt based at least in part on the user query and the device parameters, and generating a query response in the identified language by applying a machine learning model, and causing to deliver the query response in the identified language.
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
G06F 16/3329 - Formulation de requêtes en langage naturel
G06F 16/38 - Recherche caractérisée par l’utilisation de métadonnées, p. ex. de métadonnées ne provenant pas du contenu ou de métadonnées générées manuellement
G10L 13/08 - Analyse de texte ou génération de paramètres pour la synthèse de la parole à partir de texte, p. ex. conversion graphème-phonème, génération de prosodie ou détermination de l'intonation ou de l'accent tonique
A stent delivery system comprising an elongate tubular member having an outer surface and a lumen formed therein, a needle slidably disposed within the lumen of the elongate tubular member, a stent disposed on an outer surface of the needle distal of the elongate tubular member, and a suture loop 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.
A compression device having an elongated compressive element which can be looped into and adjusted to different desirable sizes around target tissue. The compressive element may be a simple suture string or the like having a distal portion looped around the target tissue and extending to a proximal end positioned outside the patient's body and graspable and manipulable by a medical professional to adjust the looped distal portion. A cinch device may be preloaded on and delivered with the compressive element to target tissue. The cinch device may be coupled with the compressive element in a manner which may facilitate maintenance of the looped configuration of the distal portion of the compressive element and/or to hold the distal portion of the compressive element in a final looped configuration applying the desired compressive force to the target tissue surrounded by the compressive element.
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 left atrial appendage closure (LAAC) device is adapted to pull a left atrial appendage (LAA) closed on itself. The LAAC device includes a tissue engagement structure that is adapted to engage tissue within the LAA and pull the tissue inwardly when the tissue engagement structure is driven from an initial actuation level towards a final actuation level. The LAAC device includes a drive assembly that is adapted to drive the tissue engagement structure from the initial actuation level towards the final actuation level.
The present disclosure provides medical optical fibers configured to couple to medical laser systems and convey laser energy to a target. The medical optical fibers comprise a fiber core surrounded by a cladding which is further surrounded by a jacket. The overall diameter of the jacket is configured for use with conventional endoscopes, but the diameter of the fiber core is configured to convey the laser energy at power densities to cause interactions between the laser energy and the target and between the laser energy and the liquid medium in which the target is found.
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 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 18/22 - 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
26.
APPARATUS FOR IMPROVED CLEANING OF MEDICAL DEVICES
Disclosed solutions relate to cleaning devices for medical devices. For example, a cleaning device for cleaning a channel of a medical device includes a rod. The cleaning device further includes a connector at a proximal end of the rod. The cleaning device further includes a flexible cleaner positioned around the rod. The cleaning device further includes a ferrule configured to removably connect with the connector. The cleaning device further includes a pull member connected to the ferrule.
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
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Irlande)
Inventeur(s)
Williams, Jessica
Chen, Longquan
Adhikarath Balan, Arun
Rauniyar, Niraj Prasad
Meganck, Jeffrey A.
Stokley, Elizabeth A.
Sukhatme, Mihir
Jain, Samriddhi
Abrégé
Medical systems are described, including a medical system including a display having a user interface that includes graphical elements corresponding to a first set of medical parameters and a type of intraluminal state, and a processor configured to receive user input selecting a status or value for at least one medical parameter of the first set of medical parameters and the type of intraluminal state, determine the intraluminal state over time based on the user input, and display on the user interface a graphical representation of the intraluminal state over time.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
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
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
28.
MEDICAL DEVICE SHAFTS, COMPONENTS, ASSEMBLIES, AND RELATED METHODS OF MANUFACTURING AND/OR ASSEMBLING TO PREVENT LEAKS
A medical device includes a handle including a port that includes a port lumen. The medical device includes a shaft extending from a portion of the handle. A first portion of the shaft includes a plurality of first lumens and a second lumen, and a second portion of the shaft includes only the second lumen. The second portion of the shaft is proximal to the first portion of the shaft. The medical device also includes a coupling assembly that couples a proximal end of the second portion of the shaft to the port. The coupling assembly forms a seal between the proximal end of the shaft and the port to fluidly connect the port lumen to the second lumen.
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
41 - Éducation, divertissements, activités sportives et culturelles
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
catheters; sheaths for catheters; Medical device system for ablating cardiac tissue comprising a pulsed electric field power source in the nature of a pulse generator, an ablation catheter, a catheter delivery system, and a deflectable sheath, provided as a unit; medical devices, namely, an implantable cardiovascular filter for the prevention of cardio-embolic events Educational services, namely, providing conferences and workshops to educate physicians and medical professionals in the fields of interventional cardiology and electrophysiology; Providing virtual training in the fields of interventional cardiology and electrophysiology via means of the Internet; providing a website featuring non-downloadable articles in the fields of interventional cardiology and electrophysiology Providing medical and healthcare information in the fields of interventional cardiology and electrophysiology
30.
CATHETER WITH RADIOFREQUENCY CUTTING TIP AND HEATED BALLOON
Methods for draining pseudocysts and stent delivery systems for use therein are disclosed. An illustrative system may include a catheter shaft having an inflatable balloon affixed to a distal end region thereof. A cutting electrode may be disposed at the distal end of the system and at least one heating electrode may be disposed within the inflatable balloon. A self expandable stent may be disposed about the inflatable balloon. The stent may be formed of a shape memory polymer. The inflation fluid may be heated within the balloon to facilitate expansion of the stent.
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
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
A61F 2/04 - Éléments ou organes creux ou tubulaires, p. ex. vessies, trachées, bronches ou voies biliaires
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
31.
SYSTEMS, DEVICES, AND RELATED METHODS FOR FASTENING TISSUE
A fastening device may comprise a flexible longitudinal body including a central longitudinal axis and a distal end; an anvil extending distally from the distal end of longitudinal body; and a distal body extending distally from the distal end of the longitudinal body. The distal body may be configured to removably receive a cartridge having a plurality of fasteners. At least one of the anvil and the distal body may be flexible and may have a first configuration with a distal portion of the at least one of the anvil and the distal body extending radially outward from the central longitudinal axis and a second configuration with the distal portion closer to the central longitudinal axis than in the first configuration.
A device for treating tissue includes a flexible insertion section configured for insertion along a tortuous path to a target site within a body. The section includes a flexible outer sheath extending from a proximal end configured to remain, during use, outside the body accessible to a user of the device; and a cap extending distally from a distal end of the sheath. The cap includes a cap lumen having a proximal portion substantially aligned with and sized and shaped to match a sheath lumen of the sheath. A central portion of the lumen tapers from a maximum dimension at a proximal end open to a distal end of the proximal portion to a reduced dimension at a distal 10 end open to a proximal end of a distal portion of the lumen. An angle of taper of the central portion is between 40 and 20 degrees.
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 17/00 - Instruments, dispositifs ou procédés chirurgicaux
33.
MAPPING AND ABLATING CATHETERS USING FLEXIBLE CIRCUIT BOARDS ON SUPPORT MEMBERS
A catheter for ablating cardiac tissue through irreversible electroporation, the catheter comprising a flexible circuit having a plurality of flex circuit branches and including an outwardly-facing ablation electrode including a plurality of ablation electrode branches extending proximally along a portion of a respective one of the flex circuit branches, and a support member having a plurality of support member branches, wherein the support member includes an electrically conductive base member covered by an electrically insulative coating, wherein each of the flex circuit branches is secured to a respective one of the support member branches, and the ablation electrode is electrically coupled to the electrically conductive base member.
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
An elevator for a medical device may comprise an axle and a body having: a guide surface, a back surface on an opposite side of the body from the guide surface, a first side surface, and a second side surface. Each of the first side surface and the second side surface may extend between the guide surface and the back surface. The elevator may further comprise a connector extending outward from the first side surface. The connector may include a channel that is configured to receive a control member for pivoting the elevator about the axle.
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 1/273 - 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
Devices, systems, and methods for an air and water valve assembly for a medical device. The valve assembly includes a valve cap and valve stem with a central lumen that fits within the internal valve well of a valve body. Two wiper seals and a one-way seal surround the valve stem. The valve stem's external diameter changes along its length in correspondence with the changing internal diameter of the valve well, such that that each of the seals extend a similar distance to obstruct gas or water as required.
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 a suction valve assembly for a medical device. The valve assembly includes a valve cap and valve stem with a central lumen that fits within the internal valve well of a valve body. The central lumen opens in the bottom of the valve stem, where the valve body connects to a source of suction. The valve is lowered to open a working channel to the source of suction. At least one, and as many as three, seals surround the valve stem to obstruct fluid flow along the side of the valve well.
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
Boston Scientific Medical Device Limited (Irlande)
Inventeur(s)
Singh, Rajivkumar
G, Sharath Kumar
Sharma, Deepak Kumar
Gole, Nachiket
Ramos Espinoza, Rosangel Aimee
Wales, Ryan V.
Abrégé
Disclosed systems relate to medical devices for delivering fluid. In an example, a device includes a catheter having a distal end and a gasket movably positioned within a lumen of the catheter. The gasket includes a distal end having a first diameter, a proximal end having a second diameter that is greater than the first diameter, and a body connecting the distal end and the proximal end. The device also includes a nozzle positioned on the distal end of the catheter.
A medical device includes a sheath, a cap coupled to a distal end of the sheath, and a connector at a proximal end of the sheath. The sheath has a first lumen and a second lumen extending from the proximal end to the distal end of the sheath. The cap defines a cavity between the distal end of the sheath and a distal wall of the cap. A distal opening extends through the distal wall of the cap. The connector is configured to provide fluid communication between: (1) a first fluid source and the first lumen, and (2) a second fluid source and the second lumen. Upon delivery of a fluid from the first lumen into the cavity and a gas from the second lumen into the cavity, an at least partially aerosolized fluid is delivered via the distal opening.
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 providing a flow of fluid to an endoscope. A water connector has source and delivery components. A disk seal positioned between the source and delivery components may move between a seated position to prevent backflow and an unseated position against a projection to allow forward flow.
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 1/12 - 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
40.
HOOK AND CROSS STENTS WITH IMPROVED CHARACTERISTICS
A stent comprises a tubular scaffold formed of a single filament that is woven to define a plurality of open cells; wherein the plurality of open cells includes a helical row of large open cells, a first helical row of small open cells, and a second helical row of small open cells; and a reinforcing filament extending substantially longitudinally along the tubular scaffold.
A61F 2/04 - Éléments ou organes creux ou tubulaires, p. ex. vessies, trachées, bronches ou voies biliaires
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
D04B 1/22 - Procédés de tricotage trame pour la production de tricots ou d'articles ne dépendant pas de l'emploi de machines spécialesTricots ou articles définis par de tels procédés spécialement conçus pour le tricotage d'articles de configuration particulière
D06N 3/00 - Cuir artificiel, toile cirée ou matériau similaire obtenu par enduction de nappes fibreuses avec une substance macromoléculaire, p. ex. avec des résines, du caoutchouc ou leurs dérivés
A stent is disclosed. The stent includes a tubular scaffold extending from a first end to a second end in which the tubular scaffolding is formed of a single filament woven to form a plurality of open cells throughout the tubular scaffold. Each of the open cells may be formed as a parallelogram shape defined by two pairs of opposing linear sections of the filament and hooked sections of the filament at each apex of the plurality of open cells, wherein each of apices of the plurality of open cells includes a hooked region in which the single filament is intertwined with itself and changes weaving direction. The open cells may include first and second helical rows of small open cells, and a first helical row of large open cells positioned therebetween.
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
A stent is disclosed. The stent includes a tubular scaffold extending from a first end to a second end in which the tubular scaffold is formed of a single filament shaped to form a plurality of open cells throughout the tubular scaffold. Each of the open cells may be formed as a parallelogram shape defined by two pairs of opposing linear sections of the filament and pseudo hooked sections of the filament at each apex of the plurality of open cells, wherein each of apices of the plurality of open cells includes a pseudo hooked region in which first and second bends of the single filament overlap one another. The open cells may include first and second helical rows of small open cells, and a first helical row of large open cells positioned therebetween.
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
43.
SELF-EXPANDING STENTS WITH DEFORMABLE RETENTION MEMBERS
An implantable medical device comprising an elongated body having a first end, a second end, and a lumen extending therebetween, a saddle region defined between the first end and the second end, a retention member at the first end, the second end, or both, wherein the retention member extends substantially traverse to a longitudinal axis of the implantable medical device and is configured to deform responsive to an application of a force along a longitudinal axis of the implantable medical device.
A61F 2/848 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents avec des moyens de fixation à la paroi du vaisseau, p. ex. des barbes
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
An illustrative stent may include an expandable framework with a proximal end, a distal end, and a length extending therebetween. The expandable framework of the stent may include a single filament forming one or more undulating pattern sections and one or more knitted sections. The expandable framework of the stent may further include one or more of a coating and a covering.
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
45.
APPARATUS FOR CONTROLLING EXTENT OF EXTENSION OF A DEVICE FROM A LUMEN
A device for treating tissue includes a flexible insertion section configured for insertion along a tortuous path to a target site within a body. The section includes a flexible outer sheath extending from a proximal end configured to remain, during use, outside the body accessible to a user of the device; and a cap extending distally from a distal end of the sheath. The cap includes a cap lumen having a proximal portion substantially aligned with and sized and shaped to match a sheath lumen of the sheath. A central portion of the lumen tapers from a maximum dimension at a proximal end open to a distal end of the proximal portion to a reduced dimension at a distal end open to a proximal end of a distal portion of the lumen. An angle of taper of the central portion is between 40 and 20 degrees.
A catheter for ablating cardiac tissue through irreversible electroporation, the catheter comprising a flexible circuit having a plurality of flex circuit branches and including an outwardly-facing ablation electrode including a plurality of ablation electrode branches extending proximally along a portion of a respective one of the flex circuit branches, and a support member having a plurality of support member branches, wherein the support member includes an electrically conductive base member covered by an electrically insulative coating, wherein each of the flex circuit branches is secured to a respective one of the support member branches, and the ablation electrode is electrically coupled to the electrically conductive base member.
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
47.
DELIVERY SYSTEMS, DEVICES, ASSEMBLIES, AND METHODS FOR HEMOSTATIC OR ADHESIVE AGENTS
Systems, devices, and related methods for delivering substances to a target treatment site within a subject (e.g., patient) are described. The medical device includes a shaft including a plurality of lumens, each of the plurality of lumens including an inlet at a proximal portion of the shaft and an outlet at a distal portion of the shaft. A mixer assembly is disposed in the distal portion of the shaft and in fluid communication with the plurality of lumens. The mixer assembly includes a mixing chamber configured to receive a plurality of substances from the plurality of lumens, a piston movably disposed in the mixing chamber, and a driver operably coupled to the piston. The driver is configured to drive the piston relative to the shaft within the mixing chamber, and in turn expel the plurality of substances from the mixing chamber.
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
A61M 5/19 - Seringues avec plusieurs compartiments
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
Devices, systems, and methods for a suction valve assembly for a medical device. The valve assembly includes a valve cap and valve stem with a central lumen that fits within the internal valve well of a valve body. The central lumen opens in the bottom of the valve stem, where the valve body connects to a source of suction. The valve is lowered to open a working channel to the source of suction. At least one, and as many as three, seals surround the valve stem to obstruct fluid flow along the side of the valve well.
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)
Singh, Rajivkumar
G, Sharath Kumar
Sharma, Deepak Kumar
Gole, Nachiket
Ramos Espinoza, Rosangel Aimee
Wales, Ryan V.
Abrégé
Disclosed systems relate to medical devices for delivering fluid. In an example, a device includes a catheter having a distal end and a gasket movably positioned within a lumen of the catheter. The gasket includes a distal end having a first diameter, a proximal end having a second diameter that is greater than the first diameter, and a body connecting the distal end and the proximal end. The device also includes a nozzle positioned on the distal end of the catheter.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61M 5/00 - Dispositifs pour faire pénétrer des agents dans le corps par introduction sous-cutanée, intravasculaire ou intramusculaireAccessoires à cet effet, p. ex. dispositifs de remplissage ou de nettoyage, appuis-bras
A61M 5/145 - Perfusion sous pression, p. ex. utilisant des pompes utilisant des réservoirs sous pression, p. ex. au moyen de pistons
A61M 5/315 - PistonsTiges de pistonGuidage, blocage, ou limitation des mouvements de la tigeAccessoires disposés sur la tige pour faciliter le dosage
A medical device (150) includes a sheath (152), a cap (170) coupled to a distal end of the sheath, and a connector (154) at a proximal end of the sheath. The sheath has a first lumen (152A) and a second lumen (152B) extending from the proximal end to the distal end of the sheath. The cap defines a cavity (188) between the distal end of the sheath and a distal wall (192) of the cap. A distal opening (166) extends through the distal wall of the cap. The connector is configured to provide fluid communication between: (i) a first fluid source and the first lumen, and (ii) a second fluid source and the second lumen. Upon delivery of a fluid from the first lumen into the cavity and a gas from the second lumen into the cavity, an at least partially aerosolized fluid is delivered via the distal opening.
A61M 11/00 - Pulvérisateurs ou vaporisateurs spécialement destinés à des usages médicaux
B05B 7/00 - Appareillages de pulvérisation pour débiter des liquides ou d'autres matériaux fluides provenant de plusieurs sources, p. ex. un liquide et de l'air, une poudre et un gaz
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
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
51.
MEDICAL SYSTEMS AND DEVICES FOR CONTROLLING A DIRECTION OF FLUID FLOW
Medical devices are described including a medical device that includes a casing assembly with a first portion movably coupled to a second portion, a first fluidics channel, a second fluidics channel, a third fluidics channel, and a fourth fluidics channel. Moving the first portion relative to the second portion may transition the medical device between a first and a second configuration. In the first configuration, the first and second fluidics channels may be fluidly connected, and the third and fourth fluidics channels may be fluidly connected. In the second configuration, the first and third fluidics channels may be fluidly connected, and the second and fourth fluidics channels may be fluidly connected.
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 1/307 - 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 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
A replacement heart valve implant includes an expandable framework including a tubular wall comprising a plurality of interconnected struts and defining a central lumen, wherein the wall includes inflow and outflow ends, and a plurality of commissure posts. A plurality of valve leaflets is secured to the commissure posts. The framework may include a plurality of native leaflet clamps extending upstream from the outflow end, wherein the leaflet clamps are configured to pinch native leaflets of the native heart valve against the wall. The framework may include a plurality of native commissure clamps extending upstream from the commissure posts, wherein the commissure clamps are configured to pinch native commissures of the native heart valve. The framework may include a plurality of native leaflet clamps extending upstream from the commissure posts, wherein the leaflet clamps are configured to pinch native leaflets of the native heart valve against the wall.
A catheter for ablating cardiac tissue through irreversible electroporation, the catheter comprising an electrode assembly comprising a flexible circuit having a plurality of flex circuit branches extending proximally from a central hub portion, the flexible circuit further including an outwardly-facing ablation electrode including a plurality of ablation electrode branches, each of the ablation electrode branches extending proximally along a portion of a respective one of the flex circuit branches, each of the ablation electrode branches disposed on a dielectric flex circuit upper surface of the flexible circuit. A plurality of outwardly-facing spline sensing electrodes are located on each flex circuit branch; wherein one or more of the spline sensing electrodes on each flex circuit branch are disposed within a periphery of and spaced from the ablation electrode branch on the respective flex circuit branch by a gap, and wherein a dielectric coating is disposed within the gap and selectively covers portions of the ablation electrode branch and spline sensing electrode adjacent to the gap.
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 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
An endoprosthesis, such as a stent, includes a body portion extending axially from a first end to a second end along a central longitudinal axis; wherein the body portion is formed from a single wire extending from the first end to the second end and where the single wire forms a plurality of circumferential segments extending non-helically around the central longitudinal axis; and a reinforcing filament extending substantially longitudinally along the body portion.
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
An endoprosthesis includes a body portion extending from a first end to a second end along a central longitudinal axis. The body portion is formed from a single wire extending from the first end to the second end and forming a plurality of circumferential segments extending non-helically around the axis. The plurality of circumferential segments includes a first end circumferential segment forming the first end, a second end circumferential segment forming the second end, and at least one medial circumferential segment disposed between the first and second end circumferential segments. Each circumferential segment includes an undulating arrangement of first struts and second struts defining peaks and valleys, the first and second struts being disposed at first and second angles, respectively, relative to the axis in a side view of the body portion. Peaks and valleys of adjacent circumferential segments may be axially aligned with each other parallel to the axis.
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
An endoprosthesis includes a body portion extending axially from a first end to a second end. The body portion is formed from a single wire extending from the first end to the second end. The single wire forms a plurality of circumferential rings. Each circumferential ring comprises an undulating arrangement of struts defining peaks and valleys. At least one circumferential ring may include a loop formed at each peak or at each valley of the at least one circumferential ring. A loop may be formed at each peak or at each valley of each circumferential ring. A loop may be formed at each peak and at each valley of each circumferential ring.
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
A stent is disclosed. The stent includes a tubular scaffold extending from a first end to a second end in which the tubular scaffold is formed of a single filament shaped to form a plurality of open cells throughout the tubular scaffold. Each of the open cells may be formed as a parallelogram shape defined by two pairs of opposing linear sections of the filament and pseudo hooked sections of the filament at each apex of the plurality of open cells, wherein each of apices of the plurality of open cells includes a pseudo hooked region in which first and second bends of the single filament overlap one another. The open cells may include first and second helical rows of small open cells, and a first helical row of large open cells positioned therebetween.
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
58.
SELF-EXPANDING STENTS WITH DEFORMABLE RETENTION MEMBERS
An implantable medical device comprising an elongated body having a first end, a second end, and a lumen extending therebetween, a saddle region defined between the first end and the second end, a retention member at the first end, the second end, or both, wherein the retention member extends substantially traverse to a longitudinal axis of the implantable medical device and is configured to deform responsive to an application of a force along a longitudinal axis of the implantable medical device.
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
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 2/848 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents avec des moyens de fixation à la paroi du vaisseau, p. ex. des barbes
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
59.
DELIVERY SYSTEMS, DEVICES, ASSEMBLIES, AND METHODS FOR HEMOSTATIC OR ADHESIVE AGENTS
Systems, devices, and related methods for delivering substances to a target treatment site within a subject (e.g., patient) are described. The medical device includes a shaft including a plurality of lumens, each of the plurality of lumens including an inlet at a proximal portion of the shaft and an outlet at a distal portion of the shaft. A mixer assembly is disposed in the distal portion of the shaft and in fluid communication with the plurality of lumens. The mixer assembly includes a mixing chamber configured to receive a plurality of substances from the plurality of lumens, a piston movably disposed in the mixing chamber, and a driver operably coupled to the piston. The driver is configured to drive the piston relative to the shaft within the mixing chamber, and in turn expel the plurality of substances from the mixing chamber.
An implantable fluid-operated device is configured to control fluid flow between a fluid reservoir and an inflatable member. The device includes: a battery configured for storing energy; a fluid reservoir configured to hold fluid; an inflatable member; first and second electronic pumps; and a controller. The first electronic pump is fluidically connected between the fluid reservoir and the inflatable member and is configured to pump fluid from the fluid reservoir to the inflatable member. The second electronic pump is fluidically connected between the fluid reservoir and the inflatable member and is configured to pump fluid from the inflatable member to the fluid reservoir. The controller is configured to synchronize a pumping of the fluid by the first electronic pump with a pumping of the fluid by the second electronic pump.
A61F 2/48 - Moyens d'actionnement ou de commande, p. ex. de l'extérieur du corps, commande de sphincters
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
61.
MEDICAL SYSTEMS AND DEVICES FOR CONTROLLING A DIRECTION OF FLUID FLOW
Medical devices are described including a medical device that includes a casing assembly with a first portion movably coupled to a second portion, a first fluidics channel, a second fluidics channel, a third fluidics channel, and a fourth fluidics channel. Moving the first portion relative to the second portion may transition the medical device between a first and a second configuration. In the first configuration, the first and second fluidics channels may be fluidly connected, and the third and fourth fluidics channels may be fluidly connected. In the second configuration, the first and third fluidics channels may be fluidly connected, and the second and fourth fluidics channels may be fluidly connected.
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
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 distal tip of a medical device may comprise a proximal portion a distal portion. Each of a first side surface, a second side surface, a top surface, and a bottom surface may extend along the proximal portion and the distal portion and join together at a distalmost end of the distal tip. A curved shape of the distal portion may be sharper than a hemisphere.
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
63.
MEDICAL DEVICES AND ASSEMBLIES FOR DELIVERING FLUID
Disclosed is a medical method, comprising: applying an accelerant to a target tissue via a lumen of a sheath of a medical device; flushing a remnant accelerant out of the lumen of the sheath; applying a hemostatic gel to the target tissue via the lumen of the sheath; and using a distal end of the medical device to mix the accelerant and the hemostatic gel. Applying a hemostatic gel to the target tissue comprises: injecting the hemostatic gel into the lumen of the sheath via a fluid delivery device; applying a positive pressure to the hemostatic gel within the lumen of the sheath to open a valve at a distal end of the sheath; and ceasing application of the positive pressure to the hemostatic gel within the lumen of the sheath to close the valve.
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
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A replacement heart valve implant includes an expandable framework including a tubular wall comprising a plurality of interconnected struts and defining a central lumen, wherein the wall includes inflow and outflow ends, and a plurality of commissure posts. A plurality of valve leaflets is secured to the commissure posts. The framework may include a plurality of native leaflet clamps extending upstream from the outflow end, wherein the leaflet clamps are configured to pinch native leaflets of the native heart valve against the wall. The framework may include a plurality of native commissure clamps extending upstream from the commissure posts, wherein the commissure clamps are configured to pinch native commissures of the native heart valve. The framework may include a plurality of native leaflet clamps extending upstream from the commissure posts, wherein the leaflet clamps are configured to pinch native leaflets of the native heart valve against the wall.
A catheter for ablating cardiac tissue through irreversible electroporation, the catheter comprising an electrode assembly comprising a flexible circuit having a plurality of flex circuit branches extending proximally from a central hub portion, the flexible circuit further including an outwardly-facing ablation electrode including a plurality of ablation electrode branches, each of the ablation electrode branches extending proximally along a portion of a respective one of the flex circuit branches, each of the ablation electrode branches disposed on a dielectric flex circuit upper surface of the flexible circuit. A plurality of outwardly-facing spline sensing electrodes are located on each flex circuit branch; wherein one or more of the spline sensing electrodes on each flex circuit branch are disposed within a periphery of and spaced from the ablation electrode branch on the respective flex circuit branch by a gap, and wherein a dielectric coating is disposed within the gap and selectively covers portions of the ablation electrode branch and spline sensing electrode adjacent to the gap.
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
An endoprosthesis, such as a stent, includes a body portion extending axially from a first end to a second end along a central longitudinal axis; wherein the body portion is formed from a single wire extending from the first end to the second end and where the single wire forms a plurality of circumferential segments extending non-helically around the central longitudinal axis; and a reinforcing filament extending substantially longitudinally along the body portion.
A61F 2/89 - 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 comprenant au moins deux anneaux adjacents reliés de manière flexible par des éléments séparés
An endoprosthesis includes a body portion extending from a first end to a second end along a central longitudinal axis. The body portion is formed from a single wire extending from the first end to the second end and forming a plurality of circumferential segments extending non-helically around the axis. The plurality of circumferential segments includes a first end circumferential segment forming the first end, a second end circumferential segment forming the second end, and at least one medial circumferential segment disposed between the first and second end circumferential segments. Each circumferential segment includes an undulating arrangement of first struts and second struts defining peaks and valleys, the first and second struts being disposed at first and second angles, respectively, relative to the axis in a side view of the body portion. Peaks and valleys of adjacent circumferential segments may be axially aligned with each other parallel to the axis.
A61F 2/89 - 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 comprenant au moins deux anneaux adjacents reliés de manière flexible par des éléments séparés
An endoprosthesis includes a body portion extending axially from a first end to a second end. The body portion is formed from a single wire extending from the first end to the second end. The single wire forms a plurality of circumferential rings. Each circumferential ring comprises an undulating arrangement of struts defining peaks and valleys. At least one circumferential ring may include a loop formed at each peak or at each valley of the at least one circumferential ring. A loop may be formed at each peak or at each valley of each circumferential ring. A loop may be formed at each peak and at each valley of each circumferential ring.
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
A medical stent including a tubular scaffold is disclosed. The tubular scaffold is formed from a single wire extending helically from a first end to a second end along a central longitudinal axis such that the single wire forms a plurality of helical windings around the central longitudinal axis. A polymeric covering is disposed on the tubular scaffold and spans gaps between adjacent helical windings of the tubular scaffold. The stent includes a plurality of longitudinal reinforcing strips extending along the tubular scaffold parallel to the central longitudinal axis. The reinforcing strips are configured to restrict elongation of the stent by less than 5% when the stent shifts between a radially collapsed delivery configuration and a radially expanded deployed configuration.
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
A polymeric stent is adapted for placement within a body cavity to provide a primary drainage passageway and a secondary drainage passageway for the body cavity. The polymeric stent includes a polymeric tubular body including a first end region, a second end region and an intervening intermediate region. The polymeric tubular body has a remembered configuration in which the intervening intermediate region of the polymeric tubular body forms a plurality of tightly arranged helical coil windings that define the primary drainage passageway and a delivery configuration different from the remembered configuration when constrained by a delivery device.
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
A61F 2/94 - Stents conservant leur forme, c.-à-d. non déformables, après mise en place à l’endroit voulu
An access system for accessing a patient's vasculature includes an introducer sheath that is adapted to extend into an interior of a blood vessel through an opening formed in a wall of the blood vessel in order to provide access to the interior of the blood vessel. A deployable graft is disposed relative to the distal region of the introducer sheath. One or more positioning elements are releasably secured to the deployable graft and extend proximally therefrom such that exerting a force on the one or more positioning elements causes the deployable graft to move proximally within the interior of the blood vessel to a position in which the deployable graft spans the opening formed in the wall of the blood vessel. An outer jacket releasably secures the deployable graft in position relative to the introducer sheath.
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
A fluid management system for use in a tissue resection procedure includes a controller. An inflow pump is operated by the controller and configured to provide fluid inflow through a flow path to a site in patient's body. An outflow pump is operated by the controller and configured to provide fluid outflow through a flow path from the site in patient's body. A motor driven resecting device may be provided for resecting tissue at the site. The controller is configured to actuate an inflow pump and an outflow pump in response to various signals and various algorithms are provided to provide malfunction warnings and assure safe operation.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
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 17/42 - Instruments ou procédés de gynécologie ou d'obstétrique
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
Boston Scientific Medical Device Limited (Irlande)
Inventeur(s)
Sharma, Deepak Kumar
Bhowmick, Nabarun
Raut, Shrikant Vasant
Scutti, James J.
G, Sharath Kumar
Abrégé
A medical device system includes an insertion device and a medical device. The insertion device includes an insertion device handle, including a port on a handle body. The insertion device also includes an insertion device shaft extending from the insertion device handle. The insertion device shaft includes a working channel connected to the port. The medical device includes a medical device handle, including a movable handle portion and a stationary handle portion. The movable handle portion includes a ball portion movably positioned within a cavity in the stationary handle portion. The medical device also includes a medical device shaft. The medical device shaft is configured to be delivered through the port in the insertion device handle and through the working channel in the insertion device shaft. Movement of the movable handle portion relative to the stationary handle portion controls movement of a distal portion of the medical device shaft.
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
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Irlande)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventeur(s)
Singh, Rajivkumar
Sharma, Deepak Kumar
Smith, Paul
G, Sharath Kumar
Adhikarath Balan, Arun
Abrégé
A clipping system includes an adapter, a clip and an extending member. The adapter mounted over an insertion device. The clip mounted over the adapter and includes first and second jaws connected to one another such that the jaws are movable between an insertion configuration and an initial deployed configuration. The first jaw includes a keyhole opening. The member coupled to the clip and adapter. The member includes a distal end releasably engaging the opening. The distal end has a width smaller than a width of a first portion of the opening and larger than a second portion of the opening so that, when a portion of the member proximal of the distal end is received within the second portion, the adapter is released from the clip while the member remains coupled to the clip. The member forces the clip open as the clip retracts over the adapter.
A61B 17/128 - 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 pour appliquer ou enlever les clamps ou les pinces
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A medical assembly may comprise: a substrate configured to be disposed in a body at a distal tip of a medical device; and a position sensing system, including a magnetic field sensor mounted to the substrate. The magnetic field sensor may be configured to provide a signal that indicates a position or orientation of the distal tip of the medical device. The medical assembly may further comprise at least one camera mounted to the substrate; and at least one lighting element mounted to the substrate.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
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 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A medical device comprising a shaft defining a first channel having a distal opening, a printed circuit board (PCB) coupled to a distal end of the shaft to expose the distal opening to an external environment, wherein the PCB includes an imager and at least one light, the imager and the at least one light mounted on a distal facing surface of the PCB, and an optically clear covering, wherein the covering covers the imager and the at least one light.
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 1/06 - 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
77.
DEVICES, SYSTEMS, AND METHODS FOR DEFLECTABLE INSERTION DEVICES
A medical device includes a shaft extending from a proximal end to a distal portion. The shaft includes a flexible section with at least one inwardly-projecting wall and an articulation section with multiple rotatable segments attached to the distal end of the flexible section. The medical device includes at least one control member that runs through the shaft, and at least one Bowden cable surrounding the control member in the flexible section. The Bowden cable terminates at an inwardly-projecting wall near the distal portion.
An elevator for a medical device may comprise an axle and a body having: a guide surface, a back surface on an opposite side of the body from the guide surface, a first side surface, and a second side surface. Each of the first side surface and the second side surface may extend between the guide surface and the back surface. The elevator may further comprise a connector extending outward from the first side surface. The connector may include a channel that is configured to receive a control member for pivoting the elevator about the axle.
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 an air and water valve assembly for a medical device. The valve assembly includes a valve cap and valve stem with a central lumen that fits within the internal valve well of a valve body. Two wiper seals and a one-way seal surround the valve stem. The valve stem's external diameter changes along its length in correspondence with the changing internal diameter of the valve well, such that that each of the seals extend a similar distance to obstruct gas or water as required.
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
A mechanical circulatory support system may include a blood pump, an elongate shaft, a first sheath, and a second sheath. The elongate shaft may be coupled with the blood pump and extend proximally from the blood pump. The first sheath may extend over the elongate shaft and include a lumen with an inner diameter. The second sheath may extend over the elongate shaft and include an outer diameter that is less than the inner diameter of the lumen of the first sheath. The first sheath and the second sheath are configured to longitudinally adjust over the elongate shaft and one or both of the first sheath and the second sheath may include a flexible portion configured to extend through a vascular access site when a more rigid distal portion is in of the sheath is in a blood vessel.
A61M 60/13 - 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 au moyen d’un cathéter permettant l’explantation, p. ex. pompes à cathéter temporairement introduites par le système vasculaire
A61M 60/174 - 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 à l’intérieur d’un ventricule, p. ex. pompes à ballon intra-ventriculaires refoulant le sang vers le ventricule ou le système artériel par une canule interne au ventricule ou au système artériel
A61M 60/865 - Dispositifs de guidage ou d’insertion de pompes ou dispositifs de pompage à l’intérieur du corps du patient
81.
MEDICAL DEVICE DELIVERY SYSTEMS, AND ASSOCIATED DEVICES AND METHODS
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Irlande)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventeur(s)
Sharma, Deepak Kumar
G., Sharath Kumar
Morey, Subodh
Weitzner, Barry
Corbeil, Scott
Scutti, James
Abrégé
A system for delivering a delivery device, mounted on an elongate member such as a medical scope, to a target site within a patient's body. The delivery device is separable from the elongate member to be movable fully independently of the elongate member, and may be selectively anchored with respect to tissue. The delivery device may include a scaffold system with one or more expandable elements which engage the delivery device with the exterior of the elongate member or with tissue within the patient's body. The delivery device may be configured to deliver an auxiliary medical device. A medical device may be delivered by the elongate member and may interact with the auxiliary medical device delivered by the delivery 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
A61B 17/02 - Instruments, dispositifs ou procédés chirurgicaux pour maintenir les blessures ouvertes, p. ex. rétracteursÉcarteurs
A61M 25/04 - Dispositifs de maintien en position, p. ex. sur le corps à l'intérieur du corps, p. ex. expansibles
A distal tip of a medical device may comprise a proximal portion a distal portion. Each of a first side surface, a second side surface, a top surface, and a bottom surface may extend along the proximal portion and the distal portion and join together at a distalmost end of the distal tip. A curved shape of the distal portion may be sharper than a hemisphere.
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
Disclosed is a medical method, comprising: applying an accelerant to a target tissue via a lumen of a sheath of a medical device; flushing a remnant accelerant out of the lumen of the sheath; applying a hemostatic gel to the target tissue via the lumen of the sheath; and using a distal end of the medical device to mix the accelerant and the hemostatic gel. Applying a hemostatic gel to the target tissue comprises: injecting the hemostatic gel into the lumen of the sheath via a fluid delivery device; applying a positive pressure to the hemostatic gel within the lumen of the sheath to open a valve at a distal end of the sheath; and ceasing application of the positive pressure to the hemostatic gel within the lumen of the sheath to close the valve.
Methods and systems for providing a flow of fluid to an endoscope. A water connector has source and delivery components. A disk seal positioned between the source and delivery components may move between a seated position to prevent backflow and an unseated position against a projection to allow forward flow.
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 1/12 - 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
85.
HOOK AND CROSS STENTS WITH IMPROVED CHARACTERISTICS
A stent comprises a tubular scaffold formed of a single filament that is woven to define a plurality of open cells; wherein the plurality of open cells includes a helical row of large open cells, a first helical row of small open cells, and a second helical row of small open cells; and a reinforcing filament extending substantially longitudinally along the tubular scaffold.
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
A stent is disclosed. The stent includes a tubular scaffold extending from a first end to a second end in which the tubular scaffolding is formed of a single filament woven to form a plurality of open cells throughout the tubular scaffold. Each of the open cells may be formed as a parallelogram shape defined by two pairs of opposing linear sections of the filament and hooked sections of the filament at each apex of the plurality of open cells, wherein each of apices of the plurality of open cells includes a hooked region in which the single filament is intertwined with itself and changes weaving direction. The open cells may include first and second helical rows of small open cells, and a first helical row of large open cells positioned therebetween.
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
87.
SYNCHRONIZED PIEZO DRIVING FOR PHASE CONTROL AND PUMP AND VALVE TIMING FOR A UROLOGY IMPLANTABLE MEDICAL DEVICE
An implantable fluid-operated device is configured to control fluid flow between a fluid reservoir and an inflatable member. The device includes: a battery configured for storing energy; a fluid reservoir configured to hold fluid; an inflatable member; first and second electronic pumps; and a controller. The first electronic pump is fluidically connected between the fluid reservoir and the inflatable member and is configured to pump fluid from the fluid reservoir to the inflatable member. The second electronic pump is fluidically connected between the fluid reservoir and the inflatable member and is configured to pump fluid from the inflatable member to the fluid reservoir. The controller is configured to synchronize a pumping of the fluid by the first electronic pump with a pumping of the fluid by the second electronic pump.
A61F 2/48 - Moyens d'actionnement ou de commande, p. ex. de l'extérieur du corps, commande de sphincters
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
A medical stent including a tubular scaffold is disclosed. The tubular scaffold is formed from a single wire extending helically from a first end to a second end along a central longitudinal axis such that the single wire forms a plurality of helical windings around the central longitudinal axis. A polymeric covering is disposed on the tubular scaffold and spans gaps between adjacent helical windings of the tubular scaffold. The stent includes a plurality of longitudinal reinforcing strips extending along the tubular scaffold parallel to the central longitudinal axis. The reinforcing strips are configured to restrict elongation of the stent by less than 5% when the stent shifts between a radially collapsed delivery configuration and a radially expanded deployed configuration.
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
A polymeric stent (10) adapted for placement within a body cavity to provide a primary drainage passageway (40) and a secondary drainage passageway (20) for the body cavity. The polymeric stent includes a polymeric tubular body including a first end region (14), a second end region (16) and an intervening intermediate region (18). The polymeric tubular body has a remembered configuration in which the intervening intermediate region (18) of the polymeric tubular body forms a plurality of tightly arranged helical coil windings (38) that define the primary drainage passageway (40) and a delivery configuration different from the remembered configuration when constrained by a delivery device.
A61F 2/848 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents avec des moyens de fixation à la paroi du vaisseau, p. ex. des barbes
90.
REDUCING CATHETER ROTATION MOTOR PWM INTERFERENCE WITH INTRAVASCULAR ULTRASOUND IMAGING
Methods include capturing intravascular ultrasound images. A drive motor is used to actively drive an ultrasound transducer at a set rotation speed. A temporary sensing window is created in which the ultrasound transducer is driven with a fixed drive signal. A plurality of signals from are received the ultrasound transducer during the temporary sensing window.
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 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
91.
FLEXIBLE MEMBER TO MAINTAIN PATENCY OF DELIVERY DEVICE
A system for perforating a tissue within a heart is disclosed. The system includes a delivery device having an elongated body including a body length, a proximal end and a distal end portion terminating in a distal tip. The elongated body defines a delivery lumen extending through the elongate body and dimensioned to slidingly receive at least one or more wires. The system further includes a secondary device having a proximal end and a distal end portion terminating in a distal tip dimensioned to extend longitudinally within the delivery lumen of the delivery device towards the distal tip of the device. The system further includes a shapeable pre-formed member longitudinally advanced through the elongated body of the delivery device. The shapeable pre-formed member does not extend longitudinally within the delivery lumen of the delivery device, and the pre-formed member maintains lumen patency of the delivery device.
A mechanical circulatory support system may include a blood pump, an elongate shaft, a first sheath, and a second sheath. The elongate shaft may be coupled with the blood pump and extend proximally from the blood pump. The first sheath may extend over the elongate shaft and include a lumen with an inner diameter. The second sheath may extend over the elongate shaft and include an outer diameter that is less than the inner diameter of the lumen of the first sheath. The first sheath and the second sheath are configured to longitudinally adjust over the elongate shaft and one or both of the first sheath and the second sheath may include a flexible portion configured to extend through a vascular access site when a more rigid distal portion is in of the sheath is in a blood vessel.
In some aspects, the present disclosure provides a radiopaque, reactive polymer comprising one or more hydrophilic polymer regions, the one or more hydrophilic polymer regions having first and second ends and comprising at least one hydrophilic polymer segment, a plurality of iodinated amino-acid residues, wherein at least one of the plurality of iodinated amino-acid residues is linked to each of the hydrophilic polymer regions, and a plurality of reactive moieties, wherein at least one of the plurality of reactive moieties is linked to each of the plurality of iodinated amino-acid residues and wherein the reactive moieties each comprise an electrophilic group. In other aspects the present disclosure pertains to systems that comprise such a radiopaque, reactive polymer and a compound having a plurality of nucleophilic moieties that reacts with the radiopaque, reactive polymer to form a crosslinked reaction product, as well as methods of treatment using the same.
A system for compressing body tissue including a clip having first and second tissue contacting surfaces. The clip is movable from a closed position to an open position wherein the clip receives tissue between the first and second tissue contacting surfaces to compress tissue between the first and second tissue contacting surfaces. A clip deployment device has a first clip engagement member and a second clip engagement member engageable with the clip, the first and second clip engagement members movable between first and second positions to controllably move the clip from the closed position to the open position.
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/128 - 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 pour appliquer ou enlever les clamps ou les pinces
95.
ELECTRICAL STIMULATION DEVICES FOR CANCER TREATMENT
Embodiments herein relate to a medical device for treating a cancerous tumor, the medical device having a first lead including a first wire and second wire; a second lead can include a third wire and fourth wire; and a first electrode in electrical communication with the first wire, a second electrode in electrical communication with the second wire, a third electrode in electrical communication with the third wire, and a fourth electrode in electrical communication with the fourth wire. The first and third electrodes form a supply electrode pair configured to deliver one or more electric fields to the cancerous tumor. The second and fourth electrodes form a sensing electrode pair configured to measure an impedance of the cancerous tumor independent of an impedance of the first electrode, the first wire, the third electrode, the third wire, and components in electrical communication therewith. Other embodiments are also included herein.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61B 5/0538 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps invasive, p. ex. en utilisant un cathéter
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
96.
BORONATED HYDROGELS AND METHODS OF MAKING AND USING THE SAME
In some aspects, the present disclosure provides crosslinked reaction products of (a) a boronated multifunctional compound comprising a plurality of nucleophilic groups and (b) a reactive polymer comprising a plurality of electrophilic groups that react with the plurality of nucleophilic groups to form covalent linkages. In some aspects, the present disclosure pertains to a system for forming such crosslinked reaction products. In some aspects, the present disclosure pertains to methods of treatment comprising (a) applying or injecting such crosslinked reaction products or precursors thereof onto or into target tissue of a subject and (b) delivering neutron beam radiation to the target tissue, the crosslinked reaction product, or both.
A61K 41/00 - Préparations médicinales obtenues par traitement de substances par énergie ondulatoire ou par rayonnement corpusculaire
A61K 47/60 - Préparations médicinales caractérisées par les ingrédients non actifs utilisés, p. ex. les supports ou les additifs inertesAgents de ciblage ou de modification chimiquement liés à l’ingrédient actif l’ingrédient non actif étant chimiquement lié à l’ingrédient actif, p. ex. conjugués polymère-médicament l’ingrédient non actif étant un agent de modification l’agent de modification étant un composé organique macromoléculaire, p. ex. une molécule oligomérique, polymérique ou dendrimérique obtenu par des réactions autres que celles faisant intervenir uniquement des liaisons non saturées carbone-carbone, p. ex. polyurées ou polyuréthanes le composé organique macromoléculaire étant un oligomère, un polymère ou un dendrimère de polyoxyalkylène, p. ex. PEG, PPG, PEO ou polyglycérol
A61K 47/69 - Préparations médicinales caractérisées par les ingrédients non actifs utilisés, p. ex. les supports ou les additifs inertesAgents de ciblage ou de modification chimiquement liés à l’ingrédient actif l’ingrédient non actif étant chimiquement lié à l’ingrédient actif, p. ex. conjugués polymère-médicament le conjugué étant caractérisé par sa forme physique ou sa forme galénique, p. ex. émulsion, particule, complexe d’inclusion, stent ou kit
C08G 69/02 - Polyamides dérivés, soit des acides amino-carboxyliques, soit de polyamines et d'acides polycarboxyliques
A delivery system for delivering an implant to a body lumen of a patient. The delivery system may include a hub, an elongate shaft coupled with the hub, and a thread for securing the implant to the elongate shaft. The elongate shaft may include a proximal portion at least partially defining a first lumen and a second lumen, a distal portion at least partially defining the first lumen, and a side port in the proximal portion and distal of the hub. The side port may be in communication with the first lumen. The thread may include a distal portion configured to wrap around the distal portion of the elongate shaft and/or the implant and a proximal portion configured to extend through the second lumen. The delivery system may be configured to deliver the implant to a target location in a lumen of a biliary tract of the patient.
In some aspects, the present disclosure provides crosslinked reaction products of (a) a boronated multifunctional compound comprising a plurality of nucleophilic groups and (b) a reactive polymer comprising a plurality of electrophilic groups that react with the plurality of nucleophilic groups to form covalent linkages. In some aspects, the present disclosure pertains to a system for forming such crosslinked reaction products. In some aspects, the present disclosure pertains to methods of treatment comprising (a) applying or injecting such crosslinked reaction products or precursors thereof onto or into target tissue of a subject and (b) delivering neutron beam radiation to the target tissue, the crosslinked reaction product, or both.
A medical device includes a shaft extending from a proximal end to a distal portion. The shaft includes a flexible section with at least one inwardly-projecting wall and an articulation section with multiple rotatable segments attached to the distal end of the flexible section. The medical device includes at least one control member that runs through the shaft, and at least one Bowden cable surrounding the control member in the flexible section. The Bowden cable terminates at an inwardly-projecting wall near 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 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
100.
GUIDEWIRE FOR PACING DURING REPLACEMENT HEART VALVE DELIVERY
A guidewire may be adapted for delivering a replacement heart valve implant as well as providing pacing to the heart as part of a process of implanting the replacement heart valve implant. The guidewire includes an elongate shaft including a distal section and a proximal section extending proximally from the distal section. The distal section forms a spiral portion that when unconstrained, includes a proximal spiral portion that curves in a direction and defines a plane and a distal spiral portion that extends out of the plane defined by the proximal spiral. One or more electrodes are disposed within the distal section for pacing.
