A kit for storing a preformed stent includes a stent delivery system, a preformed stent and a flexible member. The stent delivery system includes a pushing catheter, and guiding catheter. The preformed stent has two configurations, a first configuration that has a non-linear shape and a second configuration that has a linear shape. The flexible member is also transformable from a first configuration that has a non-linear shape to a second configuration that has a linear shape. The flexible member and the preformed stent are in the first configuration when stored in the kit.
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
A kit for storing a preformed stent includes a stent delivery system, a preformed stent and a flexible member. The stent delivery system includes a pushing catheter, and guiding catheter. The preformed stent has two configurations, a first configuration that has a non-linear shape and a second configuration that has a linear shape. The flexible member is also transformable from a first configuration that has a non-linear shape to a second configuration that has a linear shape. The flexible member and the preformed stent are in the first configuration when stored in the kit.
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
A sphincterotome includes a variable thickness cover that covers an insulated portion of a cutting edge. The variable thickness cover includes a distal taper distally extending from a first outer diameter to a second outer diameter, where the first outer diameter is larger than the second outer diameter.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
6.
SPHINCTEROTOMES WITH DAMAGE RESISTANT CUTTING EDGE COVERS
A sphincterotome includes a variable thickness cover that covers an insulated portion of a cutting edge. The variable thickness cover includes a distal taper distally extending from a first outer diameter to a second outer diameter, where the first outer diameter is larger than the second outer diameter.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. Indwelling access sheaths are provided within auxiliary lumens of a pusher catheter and dilators are preloaded into the access sheaths along with the indwelling guide wire. The auxiliary lumens have an oblong cross-section. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft, the indwelling guide wire can be used to facilitate catheterization of a side branch or target vessel through the fenestration or be used to stabilize the access sheath during catheterization, advancement of the access sheath into the target vessel and deployment of a stent therein.
A61F 2/958 - Inflatable balloons for placing stents or stent-grafts
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
8.
PHYSICIAN CONTROLLED HEMOSTATIC CLIP WITH A SINGLE HAND OPERATED HANDLE
The present disclosure relates to a physician controlled single hand operated handle system. The system includes a handle. The handle includes an actuator, a stem disposed within the actuator and longitudinally movable within the actuator, a sheath attached to the stem, and an elongate member extending through the sheath. The elongate member is longitudinally constrained by the actuator and rotatably constrained by the stem.
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
Disclosed are powder spray dispensing devices for comminuted extracellular matrix powder materials, and terminally sterilized products for providing such devices, as well as related methods for manufacture and use. A powder spray dispensing device can include a squeeze pump bottle having a bottle body defining a bottle opening and an interior chamber. A dry collagenous extracellular matrix material powder is received in the interior chamber of the squeeze pump bottle, and a cap is fitted over the bottle opening. The cap has a dispensing spout fluidly communicating with the bottle opening and having a spout lumen, desirably of decreasing diameter in a direction extending away from the bottle opening. Amounts of the dry, comminuted collagenous extracellular matrix material powder are ejectable as a powder spray out of the spout opening by a pumping inward deflection of at least one wall portion of the squeeze pump bottle that causes a gas pressure impulse to travel from the interior chamber of the squeeze pump bottle through the spout lumen and out the spout opening.
Described are implantable medical pocket devices that include one or more polymeric drug depot structures, in some forms received in a chamber defined between first and second layer components of a wall structure(s) of the pocket device, or in some forms attaching first and second pocket sidewalls of the pocket devices. Certain pocket devices can be prepared by methods involving selective lamination of the layer components to form chamber regions, insertion of the depot structure(s) into the chamber regions, and securing the depot structure(s). Also described are methods of use of the pocket devices.
The disclosure relates to medical devices, methods of performing an interventional medical treatment under MRI, and methods of making a medical device. An example medical device includes an elongate member, a reinforcement member, and a marker. The elongate member has a proximal end, a distal end, and a circumferential wall having an outer surface and an inner surface that defines a lumen. The reinforcement member is disposed within the circumferential wall, extends along a length of the elongate member, is formed of a first material, and has a first susceptibility. The marker is attached to the elongate member, is formed of a second material, and has a second susceptibility that is different from the first susceptibility.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61M 25/01 - Introducing, guiding, advancing, emplacing or holding catheters
A61M 25/06 - Body-piercing guide needles or the like
The present disclosure provides medical devices and methods for using said medical devices for treating a fistula in a patient. In some aspects the medical devices may include a plug body configured for receipt within the fistula tract, and an elongate member attached to a first location along the length of the plug body and configured to form a looped assembly extending through the fistula tract and along the path, wherein the looped assembly includes a length of the plug body that is free of the elongate member. In other aspects the medical devices may include a plug body having a longitudinal core in which portions of a plurality of biocompatible sheets are fixed to one another and also having a plurality of fin portions positioned or positionable to extend radially outward from the core in different directions.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/00 - Surgical instruments, devices or methods
15.
DRUG DEPOT-BEARING MEDICAL GRAFT IMPLANTS, AND RELATED METHODS AND COMPONENTS
Described are implantable medical pocket devices that include one or more polymeric drug depot structures, in some forms received in a chamber defined between first and second layer components of a wall structure(s) of the pocket device, or in some forms attaching first and second pocket sidewalls of the pocket devices. Certain pocket devices can be prepared by methods involving selective lamination of the layer components to form chamber regions, insertion of the depot structure(s) into the chamber regions, and securing the depot structure(s). Also described are methods of use of the pocket devices.
Example access devices, treatment devices, and kits useful in performing treatment under magnetic resonance imaging and related methods are described. An example access device includes an elongate tubular member formed of an MRI compatible material and moveable between a first, unexpanded configuration and a second, expanded configuration. The elongate tubular member has a central lengthwise axis, a proximal end, a distal end, an axial length, and a main body that defines a circumferential wall, a lumen, a proximal opening, a distal opening, and a main body opening. The main body opening is arranged in a spiral relative to the lengthwise axis and extends circumferentially along the circumferential wall. The main body opening extends along the entire axial length of the elongate tubular member from the proximal end to the distal end.
A61B 5/055 - Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fieldsMeasuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
A61B 10/04 - Endoscopic instruments, e.g. catheter-type instruments
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G01R 33/563 - Image enhancement or correction, e.g. subtraction or averaging techniques of moving material, e.g. flow-contrast angiography
A method of marking lesions is disclosed herein. The disclosed method may assist surgeons localize small nodules or other lesions by marking the nodules or other lesions with a fiducial marker impregnated with a luminescent material, such as a fiducial coil impregnated with a fluorescent dye. In some preferred implementations, a fiducial coil is placed at the time of biopsy using a robotic surgery system. In alternate implementations, non-robotic peripheral navigation platforms may also be used effectively as an adjunct to surgical resection. The dye marks the location of a nodule or other lesion, making it visible and palpable at the time of surgery, A surgeon may then target tissue for removal with greater precision. The disclosed method allows a fiducial marker to be placed several days prior to surgery.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Medical devices compatible for use in magnetic resonance imaging (MRI) guided procedures, namely, biopsy needles, core biopsy needles, coaxial needles, puncture and access needles, wire guides, catheters, guiding sheaths, instrument placement aids, and kits primarily comprising said devices and related accessories
Example medical systems useful in performing treatment under magnetic resonance imaging and related devices, kits, and methods are described. An example medical system includes a first medical device and a second medical device. The first medical device has a first passive marker. The first passive marker is formed of a first material that has a first magnetic susceptibility. The second medical device has a second passive marker. The second passive marker is formed of a second material that has a second magnetic susceptibility. The second passive marker creates an image artifact under MRI. The image artifact created by the second passive marker is altered under MRI when the first passive marker overlaps the second passive marker.
A61B 5/055 - Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fieldsMeasuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
21 - HouseHold or kitchen utensils, containers and materials; glassware; porcelain; earthenware
Goods & Services
tubing, valves, and adaptors for use with medical endoscopes; medical bags and containers designed to hold endoscopes; endoscopic equipment for medical purposes; endoscopic bite blocks; medical endoscope reprocessing kits comprised primarily of medical containers designed to hold endoscopes, gauze, lubricating jelly, and brushes and sponges for cleaning medical instruments brushes and sponges for cleaning medical instruments
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Medical assistance support services for physicians and healthcare professionals in the field of aortic medicine, namely, providing medical billing support services, customer service management, business administration services in the field of healthcare, and business administration of patient reimbursement programs Providing online non-downloadable software that enables physicians and healthcare professionals in the field of aortic medicine to search, view, and manage clinical support services, education and training services, customer support services, business care integration, and reimbursement assistance Medical assistance support services for physicians and healthcare professionals in the field of aortic medicine, namely, providing medical counseling services to patients regarding treatment plans, providing information and medical counseling regarding medical procedures, and providing medical second opinion services for the diagnosis and treatment of medical conditions
The invention relates to a device for covering at least one area of the body of a patient during a medical procedure, wherein the device has a flat, thin, sterile drape and a marking grid connected to the drape, which has markings for determining a position in CT and/or MRI scans, wherein the marking grid is attached to the drape via a detachable connection so that it can be removed from the drape during the course of the medical procedure without the need to remove the drape from the patient.
A61B 46/20 - Surgical drapes specially adapted for patients
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
The disclosure relates to medical devices and methods of assembling medical devices, such as MRI-compatible interventional wireguides. An example of a wireguide includes a series of individual segments, a plurality of connectors, and a plurality of spacers. Each segment in the series of individual segments has a first end and a second end. Each connector of the plurality of connectors joins adjacent segments in the series of individual segments to one another such that a first end of a first segment and a second end of a second segment in the series of individual segments are attached to a connector of the plurality of connectors. A spacer of the plurality of spacers is disposed between each pair of adjacent segments in the series of individual segments. Each of the segments in the series of individual segments is electrically insulated from an adjacent segment in the series of individual segments.
A61B 5/055 - Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fieldsMeasuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
G01R 33/28 - Details of apparatus provided for in groups
G01R 33/36 - Electrical details, e.g. matching or coupling of the coil to the receiver
A scope system, includes an elongate tube having a lumen extending therethrough, the elongate tube including a distal portion; and an accessory channel shaft including a tubular structure with an accessory lumen extending therethrough, wherein the accessory channel shaft is movably disposed at least partially within the lumen of the elongate tube; and a steerable sheath extending at least partially through the accessory lumen, wherein the steerable sheath includes a steerable distal end that is moveable in at least one direction out of an axial direction relative to a distal section of the accessory channel shaft, and an in-line control actuator located at a proximal end of the scope system, wherein operation of the control actuator causes deflection of the steerable distal end relative to the distal section of the accessory channel shaft.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/012 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor
34.
MEDICAL SCOPE DEVICE, STEERING SYSTEM, AND RELATED METHODS
A scope system, includes an elongate tube having a lumen extending therethrough, the elongate tube including a distal portion; and an accessory channel shaft including a tubular structure with an accessory lumen extending therethrough, wherein the accessory channel shaft is movably disposed at least partially within the lumen of the elongate tube; and a steerable sheath extending at least partially through the accessory lumen, wherein the steerable sheath includes a steerable distal end that is moveable in at least one direction out of an axial direction relative to a distal section of the accessory channel shaft, and an in-line control actuator located at a proximal end of the scope system, wherein operation of the control actuator causes deflection of the steerable distal end relative to the distal section of the accessory channel shaft.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61M 25/01 - Introducing, guiding, advancing, emplacing or holding catheters
A61B 17/00 - Surgical instruments, devices or methods
Medical devices, namely, drainage catheters and drainage
catheter sets, comprised of drainage catheters, medical
stiffeners, medical dilators, medical wire guides, medical
access needles, medical access sheaths, medical access
dilators, and external fixation devices, namely, catheter
securement devices; drainage accessory sets for medical
purposes, comprised of medical drainage bags, medical
connection tubes, medical stopcocks, and external fixation
devices, namely, catheter securement devices; nonvascular
access sets for medical purposes, comprised of medical
access needles, medical access sheaths, medical access
dilators, and medical access wire guides; drainage bags for
medical purposes; connection tubes for medical purposes.
A constraint arrangement for a stent-graft loaded onto a delivery device. The stent-graft has a graft body defining an elongate lumen and a positionable region. At least one apposition release wire releasably secures the graft body to the guide wire cannula along a length of the guide wire cannula. A suture is sewn circumferentially through and around the graft body, such that a plurality of internal suture portions are formed. A constraint loop is formed from a first of the internal suture portions. A plurality of reducing loops are formed from others of the internal suture portions. At least one apposition release wire passes through the constraint loop and each of the plurality of reducing loops, and upon retraction of the apposition release wire releases the constraint loop and each of the reducing loops and, thereby allowing the stent-graft to expand and to release from the guide wire cannula.
A constraint arrangement for a stent-graft loaded onto a delivery device. The stent-graft has a graft body defining an elongate lumen and a positionable region. At least one apposition release wire releasably secures the graft body to the guide wire cannula along a length of the guide wire cannula. A suture is sewn circumferentially through and around the graft body, such that a plurality of internal suture portions are formed. A constraint loop is formed from a first of the internal suture portions. A plurality of reducing loops are formed from others of the Internal suture portions. At least one apposition release wire passes through the constraint loop and each of the plurality of reducing loops, and upon retraction of the apposition release wire releases the constraint loop and each of the reducing loops and, thereby allowing the stent-graft to expand and to release from the guide wire cannula.
An implantable endoluminal prosthesis for replacing a damaged aortic valve is provided. In one embodiment, the prosthesis includes a balloon-expandable stent, a tubular conduit that extends into the ascending aorta, and a self-expanding stent. The tubular conduit extends across the balloon-expandable stent. The tubular conduit includes an artificial valve. The self-expanding stent extends across the tubular conduit into the ascending aorta. The balloon-expandable stent, the tubular conduit, and the self-expanding stent are coupled to provide unidirectional flow of fluid into the aorta and further into the coronary arteries. Also provided is a method for implanting the endoluminal prosthesis.
A61F 2/90 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
(1) Medical devices, namely, drainage catheters and drainage catheter sets, comprised of drainage catheters, medical stiffeners, medical dilators, medical wire guides, medical access needles, medical access sheaths, medical access dilators, and external fixation devices, namely, catheter securement devices; drainage accessory sets for medical purposes, comprised of medical drainage bags, medical connection tubes, medical stopcocks, and external fixation devices, namely, catheter securement devices; nonvascular access sets for medical purposes, comprised of medical access needles, medical access sheaths, medical access dilators, and medical access wire guides; drainage bags for medical purposes; connection tubes for medical purposes.
Described are drainage catheter hub devices which seal the hub from leakage when connected to a catheter. The catheter hub includes a hub body having an aperture with a sealing element mounted therein and a fluid passageway that communicates with the aperture. The fluid passageway and sealing element are configured to receive a tension member. A lever arm attached to the hub body is operable to secure the position of the tension member in the sealing element in a locked position or allow movement of the tension member through the sealing element in an unlocked position. The lever arm is configured to engage and compress the sealing element to block fluid flow through the sealing element and the aperture when the lever arm is in any position. The hub body may include a centering tab to align the tension member along a longitudinal axis of the hub body.
A constraint arrangement for a stent-graft loaded onto a delivery system having a suture extending circumferentially around a surface of a graft from a first fixed end fixed to a stent-graft to a positionable region, and through the graft at a first constraining perforation into the lumen and returning out of the lumen to the surface of the graft at a second constraining perforation to a second fixed end fixed to the stent-graft, thereby forming a loop of the suture within a lumen of the graft, the loop wrapped circumferentially around a cannula such that a pair of legs of the loop hold the positionable region with respect to the cannula, wherein a bight of the loop extends through a gap between the legs and wherein the release wire extends through the bight thereby capturing the bight and releaseably securing the loop around the cannula.
An endoluminal prosthesis includes a main tubular body having an external surface and defining a main lumen and at least one curved side tube having an internal portion disposed within the main lumen and an external portion extending along a curvilinear path on the external surface of the main tubular body. A portion of an expandable stent attached to the external surface of the main tubular body is disposed radially outward of and attached to the external portion of the curved side tube.
A medical scope device may have a handle located at a proximal end of the medical scope device. The medical device may have a first steerable device extending from the handle to a distal end of the medical scope device and a second steerable device extending from the handle to the distal end of the medical scope device. The medical device may have a first control assembly disposed at a first location on the handle and a second control assembly disposed at a second location on the handle, offset from the first control assembly. The first control assembly may control a movement of a distal end of the first steerable device, and the second control assembly may control a movement of a distal end of the second steerable device.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
The present embodiments provide systems and methods suitable for delivering a therapeutic agent to a target site. In one example, the system comprises a container for holding the therapeutic agent, and a pressure source having pressurized fluid, wherein the pressure source is in selective fluid communication with at least a portion of the container. A catheter is placed in fluid communication with the container, and has a lumen sized for delivery of the therapeutic agent to a target site. A housing is configured to securely retain the container. The system further comprises a camera having a camera head coupled to the catheter, wherein the camera provides a visual image of the target site during delivery of the therapeutic agent.
A medical scope device may have a handle located at a proximal end of the medical scope device. The medical device may have a first steerable device extending from the handle to a distal end of the medical scope device and a second steerable device extending from the handle to the distal end of the medical scope device. The medical device may have a first control assembly disposed at a first location on the handle and a second control assembly disposed at a second location on the handle, offset from the first control assembly. The first control assembly may control a movement of a distal end of the first steerable device, and the second control assembly may control a movement of a distal end of the second steerable device.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/012 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
A medical device system includes a tubular medical device and a diameter reducing arrangement. The tubular medical device comprises a tubular graft body having proximal and distal ends. The diameter reducing arrangement is configured for constricting the medical device, and includes a strand section having first and second ends and being immovably secured to the medical device at the first end and at the second end. The second end is a first circumferential distance from the first end by way of a path along the strand section In a constricted configuration of the medical device a first portion of the strand section extends back on itself to form a first double-stranded tail leading to a first loop, the first tail extending circumferentially against the graft body, constricting the medical device by the strand section restricting the first circumferential distance between the first and second ends of the strand section.
Valve devices, methods of making valve devices, and methods of treating various venous-related conditions, disorders and/or diseases are described. In one embodiment, a valve device includes an expandable support frame and a bioprosthetic valve attached to the support frame. The bioprosthetic valve comprises a leaflet and a contiguous wall portion harvested from a multi-leaflet xenogeneic valve. The contiguous wall portion includes the attachment region where the leaflets attaches to the vessel wall and, in some embodiments, includes the natural margins of attachment between the leaflet and vessel wall.
A medical device system includes a tubular medical device and a diameter reducing arrangement. The tubular medical device comprises a tubular graft body having a proximal end and a distal end. The diameter reducing arrangement is configured for constricting the medical device, and includes a strand section having first and second ends and being immovably secured to the medical device at the first end and at the second end. The second end is a first circumferential distance from the first end by way of a path along the strand section In a constricted configuration of the medical device a first portion of the strand section extends back on itself to form a first double-stranded tail leading to a first loop, the first tail extending circumferentially against the graft body, constricting the medical device by the strand section restricting the first circumferential distance between the first and second ends of the strand section.
Disclosed are antenna fiber sensors and systems incorporating the sensors, methods of making the sensors, and methods of using the sensors. The sensor is a thermoplastic elastomeric polymer cladding enclosing metal wires thermally co-drawn into an antenna fiber. Further, the sensors are used with an RF generator to monitor electromagnetic pulse along the transmission line and measure location along the fiber. The antenna fiber sensor provides sensitive distributed pressure, temperature, and proximity measurements for various procedures and interfaces, particularly medical procedures such as vascular operations.
An improved device and method of use include a needle for measuring blood pressure, and particularly blood pressure gradient of the portal vein (or other vessels) relative to atmospheric pressure. The embodiments disclosed utilize a flow rate sensor (e.g., a Doppler sensor), which has certain features and advantages over prior devices. A channel for controlling a flow rate of the blood through a needle cannula has a diameter that is less than an inner diameter of the cannula and the flow sensor is placed and configured to measure a flow rate of the blood as the blood flows through the cannula.
An endoscopic device is provided. The endoscopic device may comprise a distal end and a proximal end. The proximal end may be opposite the distal end. The endoscopic device may further comprise a handle at the proximal end and a tube extending from the handle towards the distal end of the endoscopic device. The endoscopic device may further comprise an accessory channel. The accessory channel may extend through the tube. The endoscopic device may further comprise a slide, the accessory channel connected to the slide, and a track disposed adjacent to the proximal end of the endoscopic device. The slide is movable within the track to cause movement of the accessory channel within the tube.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A catheter hub for use with a medical device and a catheter, the hub includes a hub body defining a fluid passageway in communication with a first aperture. Optionally, the hub body defines a second aperture that intersects the first aperture. The hub body attaches to the catheter wherein the fluid passageway and the catheter are aligned for fluid flow therethrough. The first aperture extends from and communicates with the fluid passageway to an exterior surface of the hub body and the first aperture configured to receive the medical device. The second aperture extends from and communicates with the first aperture and the exterior surface. A sealing element is sized for and positioned in either the first or the second apertures. The sealing element is configured to receive the medical device and seal both of the first and the second apertures.
The present disclosure provides medical products and methods including an applicator tip for connection to a syringe. The applicator tip is advantageous when dispensing viscous fluids, such as adhesives and/or sealants.
The present disclosure provides medical products and methods including an applicator tip for connection to a syringe. The applicator tip is advantageous when dispensing viscous fluids, such as adhesives and/or sealants.
Described are coated medical products including at least a first coating including one or more polymeric substances and in some forms also a second coating including one or more polymeric substances, carried on a porous sheet substrate such as a multilaminate substrate including a plurality of decellularized extracellular matrix layers laminated together. Also are described are methods for preparing and methods for using such coated medical products.
A scope system is provided including an elongate tube with a distal portion and a lumen extending therethrough. The scope system also includes at least one accessory channel including a tubular structure with an accessory lumen extending therethrough, the at least one accessory channel movably disposed at least partially within the lumen of the elongate tube. The at least one accessory channel includes a distal section and a forward-viewing configuration and a side-viewing configuration. In the forward-viewing configuration, the distal section of the at least one accessory channel is substantially parallel to the distal portion of the elongate tube and in the side-viewing configuration, the distal section of the at least one accessory channel is arced at a radius greater than a radius of the distal portion of the elongate tube.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
68.
SIDE-BY-SIDE ENDOSCOPE AND CAMERA CHANNEL WITH STEERING
A scope system includes an elongate tube defining a lumen and having a distal portion. The scope system includes at least one accessory channel including at least one tubular structure defining an accessory lumen, the at least one accessory channel movably disposed within the lumen of the elongate tube. The scope system also includes a first steerable endoscopic instrument extending through the at least one accessory lumen and including a first distal instrument end that is movable relative to a distal channel end of the at least one accessory channel. The scope system also includes a second steerable endoscopic instrument extending through the at least one accessory lumen and including a second distal instrument end that is movable relative to the distal channel end of the at least one accessory channel.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
Medical devices, namely, drainage catheters and drainage catheter sets, comprised of drainage catheters, medical stiffeners, medical dilators, medical wire guides, medical access needles, medical access sheaths, medical access dilators, and external fixation devices, namely, catheter securement devices; drainage accessory sets for medical purposes, comprised of medical drainage bags, medical connection tubes, medical stopcocks, and external fixation devices, namely, catheter securement devices; nonvascular access sets for medical purposes, comprised of medical access needles, medical access sheaths, medical access dilators, and medical access wire guides; drainage bags for medical purposes; connection tubes for medical purposes
70.
MODULAR HANDLE COMPRISING A TRIGGER WIRE ACTUATION MECHANISM FOR A PROSTHESIS DELIVERY DEVICE
A handle assembly for a prosthesis delivery device is disclosed. The handle assembly includes a main handle, a rotatable handle, a retractable sheath operatively coupled to the rotatable handle, at least one rotatable ring having a rotatable inner surface, the at least one rotatable ring coupled to a distal end of at least one trigger wire, and the at least one trigger wire having a proximal end configured to releasably engage a prosthesis. Rotation of the rotatable handle is configured to retract the sheath in a distal direction and rotation of the at least one rotatable ring is configured to wind at least a portion of the trigger wire onto the rotatable inner surface and withdraw the at least one trigger wire in the distal direction.
A61F 2/954 - Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
A61F 2/958 - Inflatable balloons for placing stents or stent-grafts
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
A61F 2/97 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the outer sleeve being splittable
Disclosed herein is an endoscope system and a handle for a medical device that allows for rotation of the device when a locking member is disengaged by an operator, but does not allow for rotation when the locking member is engaged. Such a handle allows for an operator to maintain the position of an endoscope even when the operator removes his or her hand from the controls of the scope.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
Medical devices, namely, medical stents and catheters;
drainage catheters; nephrostomy catheter sets,
endoureterotomy stent sets, and suprapubic catheter sets for
bladder drainage.
The present embodiments provide a medical device for implantation in a patient comprising a stent and a valve. The stent comprises a proximal region comprising a cylindrical shape having a first outer diameter in an expanded state, and a distal region comprising a cylindrical shape having a second outer diameter in the expanded state. The second outer diameter is greater than the first outer diameter. A proximal region of the valve is at least partially positioned within the proximal region of the stent, and the distal region of the valve is at least partially positioned within one of tapered and distal regions of the stent. When implanted, the proximal region of the stent and the proximal region of the valve are aligned with a native valve, and the distal region of the valve is distally spaced-apart from the native valve.
A method of marking lesions is disclosed herein. The disclosed method may assist surgeons localize small nodules by marking the nodules with a fiducial coil soaked with a fluorescent dye. In some preferred embodiments, the fiducial coil is placed at the time of biopsy using a robotic surgery system. In alternate embodiments, non-robotic peripheral navigation platforms may also be used effectively as an adjunct to surgical resection. The dye marks the location of a nodule, making it visible and palpable at the time of surgery. A surgeon may then target cancerous tissue with greater precision. The disclosed method allows a fiducial coil to be placed several days prior to surgery.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A medical scope device may have a first steerable device extending to a distal end of the medical scope device. The medical scope device may also include a second steerable device extending to the distal end of the medical scope device. The device may also include a first steering actuator. A selector switch may be mechanically coupled to the first steering actuator, where the first steering actuator controls a movement of a distal end of the first steerable device when the selector switch is in a first position, and where the first steering actuator controls a movement of a distal end of the second steerable device when the selector switch is in a second position.
(1) Medical devices, namely, medical stents and catheters; drainage catheters; nephrostomy catheter sets, endoureterotomy stent sets, and suprapubic catheter sets for bladder drainage.
84.
MEDICAL DEVICE CONTROL HANDLE WITH INTEGRATED FLUSH PORT/SEAL FEATURES
Described are systems for hand-held control of medical device structures. The systems can include a control handle including a handle housing and an actuator movably mounted to the handle and attached to a control shaft. A sheath is attached to a distal end of the handle housing and has a lumen fluidly communicating with a distal opening of the sheath. The control shaft extends from the handle housing and into the lumen of the sheath. A medical device structure is attached to the control shaft and the actuator is operable by the hand of the user to cause movement of the control shaft distally relative to the handle housing, for example so as to deploy the medical device structure from the distal opening of the sheath, and proximally relative to the handle housing, for example so as to retract the medical device structure into the distal opening of the sheath. A seal element is mounted in the handle housing and the control shaft extends through the seal element. The seal element is cooperable with the control shaft to maintain a seal against the control shaft during the movement of the control shaft. A flush port is provided which fluidly communicates with the lumen of the sheath and can also fluidly communicate with a surface of the seal element. Handles useful in such systems, as well as related methods of manufacture and use, are also described.
The present invention relates to a long-lasting medical product for protecting or treating a lesion in the gastrointestinal tract. The medical product includes a protective covering, wherein the medical product upon application at and about the site of the lesion adheres to the gastrointestinal tissue and is capable of remaining at and about the site of the lesion for a time sufficient to allow the lesion to heal or be treated.
A multipurpose handle incorporated into a medical device delivery system. The multipurpose handle includes an elongate handle body, an actuation button, and a locking member. The elongate handle body has a proximal end extending to a distal end, which defines a longitudinal axis. The elongate body further includes a cutout that creates a movement space therein in which the actuation button is disposed and is connected to a medical device. The actuation button is movable within the cutout along the longitudinal axis and rotatable within the cutout. The locking member is connected to the elongate handle body and movable between a locked position and unlocked position. The locking member may be in contact with the actuation button and be configured to restrict the movement of the actuation button along the longitudinal axis when in the locked position.
A61F 2/962 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61F 2/01 - Filters implantable into blood vessels
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
87.
TEMPORARY DIAMETER REDUCTION CONSTRAINT ARRANGEMENT FOR A STENT GRAFT IN COMBINATION WITH A STENT GRAFT
A temporary diameter reduction constraint arrangement for a stent graft in combination with a stent graft is disclosed. The stent graft has a proximal end and a distal end and comprises a biocompatible graft material tube and a plurality of longitudinally spaced apart self-expanding stents fastened thereto, including at least an end stent and a plurality of intermediate stents. The constraint arrangement comprises: an elongate receiver extending longitudinally within the graft material tube; a first wire extending longitudinally along the graft material tube in a first serpentine pattern; and a second wire extending longitudinally along the graft material tube in a second serpentine pattern, wherein at least one of the first and second wires repeatedly loops over the receiver along a longitudinal length of the stent graft thereby securing the stent graft to the receiver. In one embodiment there is also a plurality of loops of thread to reduce the stent graft.
A61F 2/89 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
A bipolar sphincterotome may include an elongate tubular member longitudinally extending from a proximal portion to a distal portion, an active path comprising a cutting edge exposed outside of the elongate tubular member, and a return electrode disposed over an outer surface of the elongate tubular member. In various embodiments, in an axial cross-section of the bipolar sphincterotome, the return electrode does not intersect a transverse axis. In addition or alternatively, a minimum distance between the cutting edge and the return electrode is at least about 0.050 inches.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/16 - Indifferent or passive electrodes for grounding
90.
SELF EXPANDING STENT AND METHOD OF LOADING SAME INTO A CATHETER
A stent comprises a framework that includes a sequence of cells that each occupy a discrete segment of the stent length, and each of the cells includes a plurality of struts with ends connected at respective vertices. An adjacent pair of the cells are attached to one another by a plurality of T-bars that each include a column defining a long axis that extends parallel to the stent axis, and a top bar attached to one end of the column. An opposite end of the column is attached to a first cell, and the top bar is attached at opposite ends to a second cell of the adjacent pair of cells. The column has a minimum width perpendicular to the long axis that is wider than a maximum width of each of the struts, and the column defines at least one slot. The top bar includes a curved edge on an opposite side from the column, and the curved edge straddles the long axis.
A61F 2/88 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure the wire-like elements formed as helical or spiral coils
A61F 2/844 - Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents folded prior to deployment
A61F 2/91 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
A61F 2/915 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
Medical devices, namely, medical stents and catheters; drainage catheters; nephrostomy catheters sold as a component of nephrostomy sets, endoureterotomy stents sold as a component of endoureterotomy sets, and suprapubic catheters sold as a component of suprapubic catheter sets for bladder drainage
A scope system may comprise an elongate tube having a lumen extending therethrough. The elongate tube may have a distal portion. The scope system may further comprise at least one accessory channel extending at least partially through the lumen. The accessory channel may comprise a tubular structure having an accessory lumen extending therethrough. The accessory channel may be moveable relative to the distal portion of the elongate tube and may be configured to direct fluid to an irrigation opening located at a distal end of the accessory channel.
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
95.
COMPOSITIONS AND DEVICES INCORPORATING WATER-INSOLUBLE THERAPEUTIC AGENTS AND METHODS OF THE USE THEREOF
Various aspects of the present invention provide compositions and implantable devices including a water-insoluble therapeutic agent solubilized in a matrix of a gallate-containing compound. Other aspects provide methods of manufacturing and using such compositions and devices.
A61L 31/16 - Biologically active materials, e.g. therapeutic substances
A61K 31/337 - Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
A61K 31/353 - 3,4-Dihydrobenzopyrans, e.g. chroman, catechin
A61K 31/436 - Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having oxygen as a ring hetero atom, e.g. rapamycin
A61K 31/58 - Compounds containing cyclopenta[a]hydrophenanthrene ring systemsDerivatives thereof, e.g. steroids containing heterocyclic rings, e.g. danazol, stanozolol, pancuronium or digitogenin
A61L 27/44 - Composite materials, i.e. layered or containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
A61L 27/54 - Biologically active materials, e.g. therapeutic substances
A delivery system for a stent graft may include a stent graft having a proximal end, a distal end, an internal lumen between the proximal end and the distal end, a graft material tube, a graft material sidewall and a plurality of longitudinally spaced apart self-expanding stents attached to the graft material sidewall; a guidewire catheter extending longitudinally through the lumen of the stent graft; and a wire extending longitudinally along only a first side of the graft material tube in an undulating pattern of successive curves in alternate directions, the wire repeatedly extending through the graft material sidewall from inside the graft material tube to outside the graft material tube such that a portion of the wire extends over the guidewire catheter along a longitudinal length of the guidewire catheter to secure the guidewire catheter at least partially to an internal wall of the stent graft.
A scope system including a handle that may be changed from a locked configuration to an unlocked configuration by removing a removable handle lock is provided. The handle includes features for storage of a movable elongate member on the side of the handle when the handle is in the locked configuration. In the unlocked configuration, the movable elongate member can be connected to the handle to perform desired procedures.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
99.
INTRODUCER ASSEMBLY HAVING A LOW-PROFILE ACCESS SHEATH AND A HUB ASSEMBLY
The present invention relates to an introducer assembly. The introducer assembly includes a sheath and a hub assembly interconnected with the proximal end of the sheath, the hub assembly including a body defining an interior passageway in fluid communication with the lumen of the sheath, the body having a proximal end and a distal end. A valve assembly is positioned within the interior passageway of the body, the valve assembly having a valve member, the valve member being at least partially movable from a first position to a second position with respect to the valve collar. A vacuum chamber positioned distal to the valve assembly and in fluid communication with the interior passageway of the body and the lumen of the sheath, the vacuum chamber including a vacuum port.
Delivery device assemblies useful in the delivery of implantable medical devices, such as endografts, into a vascular system are described. A delivery device has a handle having a handle body, at least one actuator mounted to the handle body for rotation about the handle body, the actuator having a follower-driver. For each actuator, at least one follower is disposed around the handle body and is configured to rotate about the handle body. A hard stop on the handle body arrests rotation of a distal most follower for each actuator. Delivery systems, methods of making a delivery device, methods of making a delivery system, and methods of delivering an implantable medical device to a point of treatment in a body lumen are also described.
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
