CN117279590A - Medical device support and method of use - Google Patents

Medical device support and method of use Download PDF

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Publication number
CN117279590A
CN117279590A CN202280032584.3A CN202280032584A CN117279590A CN 117279590 A CN117279590 A CN 117279590A CN 202280032584 A CN202280032584 A CN 202280032584A CN 117279590 A CN117279590 A CN 117279590A
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CN
China
Prior art keywords
platform
attached
stabilization
rail
legs
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Pending
Application number
CN202280032584.3A
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Chinese (zh)
Inventor
R·鲍斯
S·德尔加多
I·塔扎匹拉韦
M·L·A·布莱克
W·M·楚
M·J·波普
H·C·苏
R·S·皮恩吉安
S·赫布斯特
J·W·塞尔维特斯
C·H·J·波普
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Edwards Lifesciences Corp
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Edwards Lifesciences Corp
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Application filed by Edwards Lifesciences Corp filed Critical Edwards Lifesciences Corp
Priority claimed from PCT/US2022/021758 external-priority patent/WO2022212172A1/en
Publication of CN117279590A publication Critical patent/CN117279590A/en
Pending legal-status Critical Current

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Abstract

The stabilization base includes one or more legs and a platform attached to the one or more legs. One or more of the following may be adjusted: the height of the platform relative to an operating table, the position of the platform along the width of the operating table, the position of the platform along the length of the operating table, and the angular position of the platform relative to the operating table.

Description

Medical device support and method of use
RELATED APPLICATIONS
The present application claims the benefit of U.S. provisional patent application serial No. 63/301,989 entitled "method of supporting and using medical device (Medical Device Support and Method of Use)" filed on month 21 of 2022 and U.S. provisional patent application serial No. 63/168,204 filed on month 30 of 2021, which are incorporated herein by reference in their entirety.
Background
Intravascular delivery systems may be used in a variety of procedures to deliver medical devices or instruments to a target site within a patient that is not easily accessed by a procedure or that requires access without performing a procedure. The systems described herein may be used to deliver medical devices (stents, heart valves, grafts, clips, rings, prosthetic devices, valve treatment devices, etc.) to locations within a patient.
The target site of entry into the patient may be achieved by inserting and guiding the delivery system through a path or lumen in the body including, but not limited to, a blood vessel, esophagus, trachea, any portion of the gastrointestinal tract, lymphatic vessels, etc., to name a few. Catheters are known in the art and are commonly used to reach a target site within a patient.
In some procedures, one or more catheters may be used to deliver devices for repairing or replacing a native heart valve. The native heart valves (i.e., aortic, pulmonary, tricuspid and mitral valves) play a critical role in ensuring forward flow of adequate blood supply through the cardiovascular system. These heart valves may be damaged, for example, by congenital malformations, inflammatory processes, infectious disorders, diseases, etc., and thus reduce effectiveness. Such damage to the valve may result in serious cardiovascular damage or death. The damaged valve may be surgically repaired or replaced during open heart surgery. However, open heart surgery is highly invasive and complications may occur. Transvascular techniques may be used to introduce and implant implantable devices or implants (e.g., implantable prosthetic devices, prosthetic spacer devices, valve repair devices, valve replacement devices, etc.), which are much less invasive than open heart surgery. As one example, one transvascular technique that may be used to access the native mitral valve and aortic valve is transseptal. Transseptal techniques may include advancing a catheter into the right atrium (e.g., inserting a catheter into the right femoral vein, up the inferior vena cava, and into the right atrium). The septum may then be pierced and the catheter passed into the left atrium. A similar transvascular technique may be used to implant devices within the tricuspid valve, which technique is initially similar to transseptal techniques, but does not puncture the septum, but instead turns the delivery catheter to the tricuspid valve in the right atrium.
Healthy hearts are generally conical in shape, tapering to a lower tip. The heart is four-chambered and includes a left atrium, a right atrium, a left ventricle, and a right ventricle. The left and right sides of the heart are separated by a wall commonly referred to as a septum. The native mitral valve of the human heart connects the left atrium with the left ventricle. The mitral valve has an anatomical structure that is distinct from other native heart valves. The mitral valve includes an annular portion that is an annular portion of natural valve tissue surrounding the orifice of the mitral valve, and a pair of cusps or leaflets that extend downward from the annulus into the left ventricle. The mitral annulus may form a "D" shape, oval shape, or other non-circular cross-sectional shape having a major axis and a minor axis. The anterior leaflet can be larger than the posterior leaflet, forming a generally "C" shaped boundary between the adjoining sides of the leaflets when the leaflets are closed together.
When properly operated, the anterior and posterior leaflets act together as a one-way valve to allow blood to flow only from the left atrium to the left ventricle. The left atrium receives oxygenated blood from the pulmonary veins. When the muscles of the left atrium contract and the left ventricle expands (also referred to as "ventricular diastole" or "diastole"), oxygenated blood collected in the left atrium flows into the left ventricle. When the muscles of the left atrium relax and the muscles of the left ventricle contract (also known as "ventricular contraction" or "contraction"), the elevated blood pressure in the left ventricle pushes the sides of the two leaflets together, closing the one-way mitral valve so that blood cannot flow back into the left atrium, but is expelled out of the left ventricle through the aortic valve. To prevent the two leaflets from prolapsing under pressure and doubling back towards the left atrium through the mitral valve annulus, a plurality of fibrous cords called chordae tendineae (chords) tether the leaflets to papillary muscles in the left ventricle.
Valve regurgitation involves the valve improperly allowing some blood to flow through the valve in the wrong direction. For example, mitral regurgitation occurs when the natural mitral valve fails to close properly and blood flows from the left ventricle into the left atrium during the systolic phase of heart contracture. Mitral regurgitation is one of the most common forms of heart valve disease. Mitral regurgitation can have many different causes, such as leaflet prolapse, papillary muscle dysfunction, left ventricular dilation leading to mitral annulus stretching, one or more of these, and so forth. Mitral regurgitation at the central portion of the leaflets may be referred to as center jet mitral regurgitation, while mitral regurgitation at one commissure near the leaflets (i.e., where the leaflets meet) may be referred to as off-center jet mitral regurgitation. Central jet regurgitation occurs when the edges of the leaflets do not centrally, and thus the valve does not close and there is regurgitation. Tricuspid regurgitation may be similar but on the right side of the heart.
Disclosure of Invention
The summary is intended to provide some examples and is not intended to limit the scope of the invention in any way. For example, any feature contained in an example of this summary is not required by the claims unless the claims explicitly recite such feature. Furthermore, the features, components, steps, concepts, etc. described in the examples of this disclosure and elsewhere in this disclosure may be combined in a variety of ways. Various features and steps as described elsewhere in this disclosure may be included in the examples outlined herein.
The stabilization system and/or apparatus may be used to support and/or maintain one or more components of the delivery system, such as a catheter assembly, in a stable position. The system may comprise one or more stabilization systems/devices and delivery systems/catheter assemblies. The valve repair device, replacement valve, annuloplasty ring, or another implantable device may be coupled to the delivery system/catheter assembly.
An example stabilization system and/or apparatus for a medical system includes a base, a column, a rail, and an adjustment assembly. The base may be placed on one or more surfaces, such as a table. The post is attached to the base and supports the rail. The adjustment assembly may allow the post and/or rail to move relative to the base. The rail is movably attached to the post and is configured to receive a medical system.
An example stabilization device for a medical system includes a frame, at least one base, a rail, and an adjustment assembly. The base may be placed on one or more surfaces, such as a table. The frame is attached to the base and supports the rail. The adjustment assembly may allow the frame and/or rail to move relative to the base. The rail is movably attached to the frame and is configured to receive a medical system.
An example stabilization device for a medical system includes a mount, an arm, a rail, and an adjustment assembly. The mount may be attached to one or more surfaces, such as a table. The arm is attached to the mount and supports the rail. The adjustment assembly may allow the arm and/or rail to move relative to the mount. The rail is movably attached to the arm and is configured to receive a medical system.
An example stabilization device for a medical system includes a stabilization base configured as a pad having at least one channel. The pad may be placed directly on the patient's body. The channel is configured to receive a medical system.
In some embodiments, an exemplary system for supporting a medical device includes a stabilization base including a plurality of legs and a platform attached to the plurality of legs. The system further comprises a stabilization system for receiving the medical device, wherein the stabilization system may be removably attached to the platform.
In some embodiments, one or more of the plurality of legs is adjustable to change the vertical, horizontal, and/or angular position of the platform.
In some embodiments, the stabilization system is connected to the platform via a metal plate.
In some embodiments, one or more of the plurality of legs includes an outer portion and an inner portion movably disposed within the outer portion.
In some embodiments, one or more of the plurality of legs includes a gas spring mechanism for adjusting the vertical position of the inner portion relative to the outer portion.
In some embodiments, the stabilization base comprises a first plate and a second plate, wherein the first plate and the second plate are parallel to each other and extend vertically downward from the platform on either side of the platform.
In some embodiments, the knob mechanism extends through at least one of the first plate and the second plate.
In some embodiments, the system includes a mechanism for controlling the length of one or more of the plurality of legs. In some embodiments, the mechanism is an electromechanical mechanism. In some embodiments, the mechanism is a mechanical mechanism. In some embodiments, the mechanism is an electric mechanism. In some embodiments, the mechanism is a hydraulic mechanism.
In some embodiments, the stabilization system is a rail system for receiving the medical device, wherein the rail system may be removably attached to the platform.
In some embodiments, the medical device is a delivery system that is couplable to the stabilization system, and the entire system comprises the delivery system;
in some embodiments, the system includes at least one retaining member for retaining each of the plurality of support legs in the stowed position;
In some embodiments, the retaining member is attached to a bottom cover of the platform;
in some embodiments, the retaining member comprises an elastic pad.
In some embodiments, the system includes a latch mechanism for preventing rotation of the first and second pairs of legs when the first and second pairs of legs are in the stowed and deployed positions.
In some embodiments, the system latch mechanism includes a rotary catch member and a sliding latch member. The rotary clasp member extends between a support leg of the first pair of legs and a support leg of the second pair of legs. The sliding latch member engages the rotary catch member to prevent rotation of the rotary catch member.
In some embodiments, the system includes a tightening screw that engages the extension member of the rotary clasp member.
A further understanding of the nature and advantages of the present invention are set forth in the following description and claims, particularly when considered in conjunction with the accompanying drawings in which like elements bear like reference numerals.
Drawings
To further clarify aspects of embodiments of the present disclosure, certain embodiments will be described in more detail by reference to various aspects of the drawings. It is appreciated that these drawings depict only typical embodiments of the disclosure and are therefore not to be considered limiting of its scope. Moreover, although the drawings may be to scale for some embodiments, the drawings are not necessarily to scale for all embodiments. Embodiments and other features and advantages of the present disclosure will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
FIG. 1 illustrates an operating table with an exemplary stabilization base thereon for supporting a medical device/system (e.g., a delivery system) that may be used to implant an implantable device;
2-3 illustrate an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
figures 4-7 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIG. 8 illustrates an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
figures 9-12 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
figures 13-16 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
17-20 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
figures 21-25 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIG. 26 illustrates an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIGS. 27-30 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
31-34 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
fig. 35-36 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIGS. 37-40 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
41-44 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
45-48 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIGS. 49-51 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
52-54 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIG. 55 illustrates an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIGS. 56-66 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIGS. 67-72 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
Fig. 73-74 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
figures 75-84 illustrate various views of an exemplary stabilization base and its components for supporting a medical device/system (e.g., a delivery system);
fig. 85-87 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
FIG. 88 illustrates a perspective view of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
fig. 89-90 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
91-94 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system);
95-104 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system); and is also provided with
Fig. 105-118 illustrate various views of an exemplary stabilization base for supporting a medical device/system (e.g., a delivery system).
Detailed Description
The following description refers to the accompanying drawings, which illustrate specific embodiments of the disclosure. Other embodiments having different structures and operations do not depart from the scope of the present disclosure.
Exemplary embodiments of the present disclosure relate to devices and systems for stabilizing medical devices and systems. It should be noted that various embodiments of the stabilization device are disclosed herein, and that any combination of features of these embodiments may be performed unless explicitly excluded. In other words, the various components of the disclosed devices and systems may be combined unless mutually exclusive or otherwise physically impossible.
As described herein, when one or more components are described as being connected, joined, fixed, coupled, attached, or otherwise interconnected, such interconnection may be direct interconnection between the components, or may be indirect interconnection, such as through the use of one or more intermediate components. Also as described herein, references to "a member," "a component" or "a portion" should not be limited to a single structural member, component, or element, but may include an assembly of components, members, or elements. Also as described herein, the terms "substantially" and "about" are defined as at least approaching (and including) a given value or state (preferably within 10%, more preferably within 1%, and most preferably within 0.1%).
During surgery using one or more catheters, it is often beneficial for the operator to be able to precisely control the operation of the catheter, as the catheter must be guided through the vascular system of the patient. This includes mechanisms that allow the catheter to bend to aid in navigating the vasculature, as well as mechanisms that control the deployment of the implantable device. During surgery, an operator may control the catheter using a handle that may control the extension, retraction, and bending of the catheter, including during navigation of the patient's vasculature to the delivery or repair site.
The duration of the transcatheter procedure may be long and it may be inconvenient for the operator to manually maintain the position of the catheter handle throughout the procedure. While it may be desirable to adjust the position of the catheter handle relative to the patient at some point during the procedure, at other times it may be desirable to maintain the position of the catheter handle relative to the patient, such as maintaining the depth of insertion of the catheter or the rotational position of the handle.
The stabilization system/device and stabilization base for supporting the stabilization system/device may be used to hold a medical device or medical system relative to a patient during a surgical procedure, such as a delivery system (e.g., a delivery catheter, a series of catheters, a catheter assembly, a handle, etc.) for implanting an implantable device. The stabilization base may also be used as a working surface to hold other tools, implements, materials, etc. as required for a particular procedure. The example stabilization system/device supports and positions the medical device/system in a desired position such that the medical device/system does not move without the direction of the device operator. The stabilization systems/devices disclosed herein may also be easily adjusted so that such movement may be easily accomplished when an operator does want to reconfigure or move the medical system/device (e.g., a delivery system).
The example stabilization systems/devices and stabilization bases disclosed herein may also accommodate a sterile barrier, such as a drape, disposed between the stabilization system/device and the stabilization base. The stabilization system/device may remain adjustable relative to the base without removal of the sterile barrier. This arrangement provides a significant advantage over prior art methods of securing a stabilization system/device to a stabilization base using clamps that must be opened and moved to adjust the position of the stabilization system/device relative to the stabilization base. To accommodate medical devices/systems of different lengths, the example stabilization systems/devices disclosed herein may span multiple example stabilization bases, thereby enabling an operator to construct work surfaces of different lengths using the same components.
The stabilization systems/devices herein may include one or more rail systems. One or more rail systems may be configured to be assembled to a stable base with a sterile barrier disposed therebetween. The platform of the stabilization system/device may engage the rail system to securely attach the rail system to the stabilization base. Various mechanisms may be used to connect one or more rail systems and the stabilization base to facilitate adjusting the relative positions of the components and locking or unlocking the components. The stabilization methods for the various embodiments may be different and will be discussed more fully below with respect to each embodiment. Additional information regarding these and various other types of stabilization systems, devices, methods, etc., that may be used with the present invention may be found in U.S. provisional application No. 63/073392, U.S. patent application No. 15/951840, U.S. patent application No. 15/905257, U.S. patent application No. 16/582,307, U.S. patent application No. 17/066416, and PCT application No. PCT/US2021/048333, each of which is incorporated herein by reference in its entirety for all purposes.
Fig. 1 illustrates a table, such as an operating table, having thereon an exemplary stabilization base for supporting a medical device/medical system (e.g., delivery device, delivery system, one or more catheters, one or more handles, catheter assembly, one or more devices, etc.) that may be used to implant an implantable device. The patient may also be positioned on an operating table with the stabilization base positioned near the patient, such as on one side of the patient, between the legs of the patient, on a portion of the patient, etc. Fig. 2-3 also illustrate an exemplary stabilization base 100, which may be the same as or similar to the exemplary stabilization base 100 of fig. 1, or may differ from it in one or more ways.
The stabilization base 100 of any of fig. 1-3 may incorporate any of the features of the stabilization base disclosed herein and may be made of any suitable material, such as metal or plastic. The stabilization base 100 has a base, such as a leg, column, or frame, for raising and supporting a platform above a patient undergoing a procedure using a medical device/system, such as a catheter assembly 114, stabilized by the stabilization base 100. The base may include feet (not shown) to further stabilize the legs and/or to provide fewer than four legs needed to support the stabilized base 100 in a stabilized base state. The stabilization base 100 may also include various base attachment locations for reconfiguring the stabilization method, for example, to avoid obstructions. In some embodiments, the legs may be movable to different angles. In some embodiments, the legs may be extendable or retractable to different lengths to change the angle of the platform. In some embodiments, the legs may be set at a fixed angle, while the legs may still be extended or retracted to a different length to change the angle of the platform.
In some embodiments, the stabilization base includes a plurality of legs and a platform attached to the plurality of legs. In some embodiments, a stabilization system for receiving a medical device may be removably attached to the platform. In some embodiments, the stabilization system is connected to the platform via a metal plate.
In some embodiments, one or more of the plurality of legs is adjustable to change the vertical, horizontal, and/or angular position of the platform. In some embodiments, the length of one or more legs is adjustable. In some embodiments, the angle of one or more legs is adjustable.
In some embodiments, the system includes a mechanism for controlling the length of one or more of the plurality of legs. In some embodiments, the mechanism is an electromechanical mechanism. In some embodiments, the mechanism is a mechanical mechanism. In some embodiments, the mechanism is an electric mechanism. In some embodiments, the mechanism is a hydraulic mechanism.
In some embodiments, one or more of the plurality of legs includes an outer portion and an inner portion movably disposed within the outer portion. In some embodiments, the inner and outer portions may telescope or otherwise move relative to each other to change the length of the leg. In some embodiments, one or more of the plurality of legs includes a mechanism (e.g., hydraulic, electromechanical, electric, gas spring, mechanical, etc.) for adjusting the vertical position of the inner portion relative to the outer portion.
In some embodiments, the stabilization base comprises a first plate and a second plate, wherein the first plate and the second plate are parallel to each other and extend vertically downward from the platform on either side of the platform. In some embodiments, the knob mechanism extends through at least one of the first plate and the second plate.
In some embodiments, the stabilization system is a rail system for receiving the medical device, wherein the rail system may be removably attached to the platform.
In some embodiments, the stabilization system includes a rail system 140. In some embodiments, the track system is movably and optionally removably attached to the platform of the stabilization base 100 such that the delivery system/catheter assembly 114 can move with the track system relative to the stabilization base 100. Exemplary track systems that may be used with the stabilizing base of the present application are disclosed by U.S. provisional patent application No. 63/073,392, filed on even 1, 9, 2020, and/or PCT application No. PCT/US2021/048333, filed on even 31, 2021, 8, which are incorporated herein by reference in their entirety for all purposes.
The stabilization base 100 may rest on a support surface, such as a table 110, for example, an operating table. Alternatively or additionally, the stabilization base 100 may be attached to the table 110, for example, by mounting the stabilization base 100 to a bed rail (bed rail) on one side of the table 110 or another component of the table. The clamp 142 may be attached to the track system 140 to secure a medical device/system, such as the catheter assembly 114, to the track system 240. Exemplary clamps that may be used with the stabilization bases of the present application are disclosed by U.S. provisional patent application No. 63/073,392, filed on even 1 at 9 in 2020, and/or PCT application No. PCT/US2021/048333, filed on even 31 at 8 in 2021, which are incorporated herein by reference in their entirety.
A sterile barrier 112, such as a drape, may be placed on top of the table 110, either below the stabilization base 100 or between portions of the stabilization base 100. The barrier 112 shown may be moved between the stabilization base 100 and the rail system 140, or an additional barrier may be placed between the stabilization base 100 and the rail system 140. The rail system 140 may be configured to be fully or partially retained by features of the stabilization base 100 such that the rail system 140 may still be attached to the stabilization base 100 when the stabilization base is covered by a sterile barrier 112, such as a drape. That is, the rail system 140 may be attached to the stabilization base 100 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the stabilization base 100 and the rail system 140. In some embodiments, the rail system 140 may be attached to the stabilization base 100 using magnetic plates.
The stabilization base 100 may take a variety of different forms. In the example shown in fig. 1, the stabilization base 100 may include one or more (two in the embodiment shown) tables or bases each having four legs. In some embodiments, the stabilization base 100 comprises two or three adjustable legs. The legs may be adjusted to vary the height and angle of the stabilization base 100 relative to the operating table 110, for example, by varying the angle of one or more legs, by varying the length of one or more legs, and/or a combination of these. As shown in fig. 3, the station of fig. 2 may be folded into a smaller configuration for shipping and/or storage. In some embodiments, the rail system 140 and/or the clamp 142 may be stored inside a folded stable base.
Referring now to fig. 4-7, an exemplary stabilization base 200 for supporting a medical device/system is shown. The stabilization base 200 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 200 includes a bottom plate 220, a column 230, a platform 244, and a rail system 240. The post 230 extends vertically upward from the base plate 220 and is attached to a platform 244. Platform 244 is removably attached to track system 240 (although in some embodiments, the platform and track system may be integrally formed). Clips 242 may be attached to rail system 240 to secure medical devices/systems, such as delivery system or catheter assembly 114, to rail system 240. In some embodiments, the track system 240 and/or the clamp 242 are identical to the track system and/or clamp disclosed in U.S. provisional patent application No. 63/073392 filed on even 1 at 9 in 2020 and/or PCT application No. PCT/US2021/048333 filed on even 31 in 2021, which applications are incorporated herein by reference in their entirety. The stabilization base 200 maintains stability by having a wide bottom plate 220 that rests on a surface, such as a patient table.
The bottom plate 220 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to the stabilization base 200. The bottom plate may be square, circular, hexagonal, etc. The bottom plate 420 may be solid or may have a void space within the center of the plate. In some embodiments, the bottom plate 220 may be a solid rectangular plate.
The post 230 may be joined to the base plate 220 by any suitable means, such as welding, adhesive, etc. In some embodiments, the post 230 may be movably attached to the base plate 220, such as by a hinge mechanism, to allow the post 230 to pivot relative to the base plate 220. The post 230 may be any suitable shape, such as square, circular, or oval. In some embodiments, the post 230 has an outer portion 232 and an inner portion 234 movably disposed within the outer portion 232. The vertical position of the inner portion 234 of the post 230 within the outer portion 232 of the post 230 may be adjusted via a gas spring mechanism (not shown) within the post 230. The gas spring mechanism may be locked in place using an actuator 238, such as a button, tab, switch, or the like. In some embodiments, the gas spring mechanism is adjusted to balance the weight of the catheter assembly 114 so that a user can easily adjust the vertical position of the post 230.
The gas spring mechanism within the post 230 may be adjusted by unlocking the actuator 238 and moving the inner portion 234 of the post 230 up or down within the outer portion 232 of the post 230. Movement of the inner portion 234 of the post 230 within the outer portion 232 changes the distance between the base plate 220 and the platform 244. Adjusting the height of the platform 244 allows the track system 240 and the catheter assembly 114 secured thereto to be positioned at a desired height above the patient.
Platform 244 may be joined to post 230 by any suitable means, such as welding, fasteners, and/or adhesives. In some embodiments, the inner portion 234 of the post 230 may be connected to the platform 244 via an adjustable connection, such as a hinge 236, which allows the platform 244 to pivot relative to the post 230. In some embodiments, the hinge 236 may be unlocked to allow adjustment of the radial position of the platform 244 relative to the post 230, and once the desired radial position is determined, the hinge 236 may be locked to prevent further movement of the platform 244. In some embodiments, the hinge 236 may be adjusted or selected, for example, by a spring or a weight mechanism, to prevent the platform 244 from moving radially unless the hinge 236 is acted upon by applying sufficient upward or downward force to the platform 244.
The rail system 240 may be removably attached to or combined with the platform 244 of the stabilization base 200 by any suitable means, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fits, spring loaded clips, hook and loop fasteners, magnets, and the like. The rail system 240 may be configured to be fully or partially retained by features of the platform 244 of the stabilization base 200 such that the rail system 240 may still be attached to the stabilization base 200 when the stabilization base is covered by a sterile barrier (not shown), such as a drape. The barrier 112 as shown may be placed between the stabilization base 200 and the rail system 240. Track system 240 may be attached to stabilization base 200 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between platform 244 and track system 240. In some embodiments, the track system may be attached to the stabilization base 200 using magnetic plates or snap-fit connections that do not puncture the sterile barrier. In some embodiments, the horizontal position of track system 240 may be adjusted relative to platform 244, for example, by sliding track system 240 forward and backward relative to platform 244.
The bottom plate 220 may be placed flush with the surface of the table 110 (shown in fig. 1), and the patient's legs may rest atop the bottom plate 220 such that the posts 230 extend vertically upward between the patient's legs. The position of the delivery system/catheter assembly 114 relative to the patient may be optimized by adjusting the position of the various elements of the stabilization base 200, such as by raising and lowering the height of the post 230, adjusting the pitch of the platform 244 relative to the post 230, and/or sliding the track system 240 forward or backward relative to the platform 244.
Referring now to fig. 8, an exemplary stabilization base 300 for supporting a medical device/system, such as catheter assembly 114, is shown. The stabilization base 300 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 300 includes a bottom plate 320, a post 330, and a platform 344. The post 330 includes a lower portion 331 extending vertically upward from the base plate 320 and an upper portion 333 extending vertically downward from the platform 344. Platform 344 may be removably attached to a rail system (not shown).
The bottom plate 320 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to the stabilization base 300. The bottom plate may be square, circular, hexagonal, etc. The bottom plate 420 may be solid or may have a void space within the center of the plate. In some embodiments, bottom plate 320 may be a solid rectangular plate.
The lower portion 331 of the post 330 has a first slot 337A and a second slot 337B. The first slot 337A and the second slot 337B are diagonal and are disposed at a distance from each other. The upper portion 333 has a first peg 335A and a second peg 335B that extend outwardly from a surface of the upper portion proximate to the lower portion 331 such that the first peg 335A is disposed within a first slot 337A of the lower portion 331 of the post 330 and the second peg 335B is disposed within a second slot 337B of the lower portion 331 of the post 330. The height of the platform 344 relative to the bottom plate 320 may be adjusted by slidably moving the first and second pins 335A, 335B within the first and second slots 335A, 335B. As the first and second pegs 335A, 335B approach the lower ends of the first and second slots 337A, 337B, the land 344 will be closer to the base plate 320. As the first and second pins 335A, 335B slide upward toward the upper ends of the first and second slots 337A, 337B, the platform 344 will move further away from the base plate 320.
In some embodiments, the first and second pins 335A, 335B may be secured within the first and second slots 337A, 337B by any suitable method, such as by frictional engagement between the slots 337A, 337B and the pins 335A, 335B or between the upper and lower portions 331, 333 of the post 330. In some embodiments, the first and second pins 335A, 335B extend through the first and second pins 335A, 335B and are threaded into nuts (not shown) that may be tightened or loosened to increase or decrease, respectively, the frictional engagement between the upper and lower portions 331, 333 of the post 330.
The rail and/or clip system (e.g., the rail and/or clip systems mentioned above) may be removably attached to the platform 344 of the stabilization base 300 by any suitable means, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fits, spring-loaded clips, hook-and-loop fasteners, magnets, and the like. The track system may be configured to be fully or partially retained by features of the platform 344 of the stabilization base 300 such that the track system may still be attached to the stabilization base 300 when the stabilization base is covered by a sterile barrier (not shown), such as a drape. That is, the track system may be attached to the stabilization base 300 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the platform 344 and the track system. In some embodiments, the track system may be attached to the stabilization base 300 using magnetic plates. Exemplary tracks that may be used with stabilization base 300 are disclosed by U.S. provisional patent application No. 63/073,392 and/or PCT application No. PCT/US2021/048333 filed on day 31, 8, 2021.
The bottom plate 320 may be placed flush with the surface of the table 110 (see fig. 1), and the patient's legs may rest atop the bottom plate 320 such that the posts 330 extend vertically upward between the patient's legs. By adjusting the position of the various elements of stabilization base 300, such as by raising and lowering the height of platform 344 relative to base plate 320, the position of delivery system/catheter assembly 114 relative to the patient may be optimized.
Referring now to fig. 9-12, an exemplary stabilization base 400 for supporting a medical device/system is shown. The stabilization base 400 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 400 includes a bottom plate 420, a column 430, column plates 450A, 450B, a platform 444, and a rail system 440. The post 430 extends vertically upward from the floor 420 and is attached to the platform 444. Platform 444 is removably attached to rail system 440 (although in some embodiments, the rail system may be integrally formed as part of the platform). Clamps may be attached to the rail system 440 to secure medical devices/systems, such as the catheter assembly 114, to the rail system 440. For simplicity of the drawing, the clamps are not shown in fig. 9-12, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 400 shown in fig. 9-12.
The bottom plate 420 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to the stabilization base 400. The bottom plate may be square, circular, hexagonal, etc. The bottom plate 420 may be solid or may have a void space within the center of the plate. In some embodiments, the bottom plate 420 is a flat hexagonal frame.
The post 430 may be joined to the base plate 420 by any suitable means, such as welding, adhesive, or the like. The post 430 may also be molded from the same material as the base plate 420 such that the post 430 and the base plate 420 are integral. The post 430 may be any suitable shape, such as square, circular, or oval. In some embodiments, the posts 430 are arched such that the posts 430 extend vertically from the bottom plate 420 on the first and second ends.
The platform 444 may be joined to the post 430 by any suitable means, such as welding, adhesive, or the like. The platform 444 may also be movably or removably attached to the post 430 such that the position of the platform 444 may be adjusted relative to the post 430. In some embodiments, a first post plate 450A and a second post plate 450B parallel thereto extend vertically downward from the platform 444 on either side of the post 430. The first and second post plates 450A, 450B are spaced from each other such that the post 430 fits snugly within the void space between the post plates, but such that the first and second post plates 450A, 450B may still move relative to the post 430. A knob mechanism 452 proximate the first plate 450A extends through the first plate 450A and is attached to the second plate 450B by any suitable means. When the knob mechanism 452 is tightened, the knob mechanism 452 reduces the distance between the first and second post plates 450A, 450B, thereby increasing the frictional engagement between the post plates 450A, 450B and the post 430. When the knob mechanism 452 is released, the distance between the first and second post plates 450A, 450B increases, thereby reducing the frictional engagement between the post plates 450A, 450B and the post 430.
In some embodiments, the rail system 440 is removably attached to the platform 444 of the stabilization base 400 by any suitable means, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fits, spring-loaded clips, hook-and-loop fasteners, magnets, and the like. The rail system 440 may be configured to be fully or partially retained by features of the platform 444 of the stabilization base 400 such that the rail system 440 may still be attached to the stabilization base 400 when the stabilization base is covered by a sterile barrier (not shown), such as a drape. The barrier 112 (see fig. 1) shown herein may be placed between the stabilization base 400 and the rail system 440. The rail system 440 may be attached to the stabilization base 400 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the platform 444 and the rail system 440. In some embodiments, the track system may be attached to the stabilization base 400 using magnetic plates. In some embodiments, the horizontal position of the rail system 440 may be adjusted relative to the platform 444, for example, by sliding the rail system 440 forward and backward relative to the platform 444.
The floor 420 may be placed flush with the surface of the table 110 (see fig. 1), and the patient's legs may rest atop the floor 420 such that the posts 430 extend vertically upward between the patient's legs. In some embodiments, when knob mechanism 452 of stabilization base 400 is released, post plates 450A, 450B may be free to move in all directions, e.g., rotationally, translationally, and vertically, relative to post 430. Thus, the position of the platform 444 may be adjusted to an optimal distance and radial position relative to the patient. The knob mechanism 452 may then be tightened so that the platform 444, and thus the track system 440 and delivery system/catheter assembly secured thereto, may be maintained in an optimal position relative to the patient.
Referring now to fig. 13-16, an exemplary stabilization base 500 for supporting a medical device/system is illustrated. The stabilization base 500 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 500 includes a bottom plate 520, posts 530, post plates 550A, 550B, a platform 544, and a track system 540. The posts 530 extend vertically upward from the floor 520 and attach to the platform 544. Platform 544 is removably attached to track system 540 (although in some embodiments, track system and platform may be integrally formed). Clamps may be attached to the track system 540 to secure a medical device/system, such as the catheter assembly 114, to the track system 540. For simplicity of the drawing, the clamps are not shown in fig. 13-16, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 500 shown in fig. 13-16.
The bottom plate 520 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to the stabilization base 500. The bottom plate may be square, circular, hexagonal, etc. The bottom plate 520 may be solid or may have a void space within the center of the plate. In some embodiments, bottom plate 520 is a solid, substantially rectangular plate.
The post 530 may be joined to the base plate 520 by any suitable means, such as welding, adhesive, etc. The post 530 may also be molded from the same material as the base 520 such that the post 530 and the base 520 are integral. The post 530 may be any suitable shape, such as square, circular, or oval. In some embodiments, the post 530 is a flat triangle with an aperture 537 passing through the center of the post. The aperture 537 may be of any suitable shape, such as circular, rectangular or oval. In some embodiments, the aperture 537 is circular.
The platform 544 may be joined to the post 530 by any suitable means, such as welding, adhesive, or the like. The platform 544 may also be movably or removably attached to the post 530 such that the position of the platform 544 may be adjusted relative to the post 530. In some embodiments, a first column plate 550A and a second column plate 550B parallel thereto extend vertically downward from the platform 544 on either side of the column 530. The first and second post plates 550A, 550B are spaced from each other such that the post 530 fits closely within the void space between the post plates, but such that the first and second post plates 550A, 550B may still move relative to the post 530. Knob mechanism 552 proximate first plate 550A extends through first plate 550A, through aperture 537 in post 530, and is attached to second plate 550B by any suitable means. The void space or edges of the aperture 537 may be made of a high friction material, such as rubber or silicon, to increase the frictional engagement of the post 530 with the first and second post plates 550A, 550B. When the knob mechanism 552 is tightened, the knob mechanism 552 reduces the distance between the first and second post plates 550A, 550B, thereby increasing the frictional engagement between the post plates 550A, 550B and the post 530. When the knob mechanism 552 is released, the distance between the first and second post plates 550A, 550B increases, thereby reducing the frictional engagement between the post plates 550A, 550B and the post 530.
In some embodiments, the track system 540 is removably attached to the platform 544 of the stabilization base 500 by any suitable means, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fits, spring-loaded clips, hook-and-loop fasteners, magnets, and the like. The track system 540 may be configured to be fully or partially retained by features of the platform 544 of the stabilization base 500 such that the track system 540 may still be attached to the stabilization base 500 when the stabilization base is covered by a sterile barrier (not shown), such as a drape. That is, the track system 540 may be attached to the stabilization base 500 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the platform 544 and the track system 540. In some embodiments, the track system may be attached to the stabilization base 500 using magnetic plates. The barrier 112 (see fig. 1) shown herein may be placed between the stabilization base 500 and the rail system 540. In some embodiments, the horizontal position of track system 540 may be adjusted relative to platform 544, for example, by sliding track system 540 forward and backward relative to platform 544.
The bottom plate 520 may be placed flush with the surface of the table 110 (see fig. 1), and the patient's legs may rest atop the bottom plate 520 such that the posts 530 extend vertically upward between the patient's legs. In some embodiments, when the knob mechanism 552 of the stabilization base 500 is released, the post plates 550A, 550B may be free to move in all directions, such as rotationally, translationally, and vertically, relative to the post 530. Thus, the position of the platform 544 may be adjusted to an optimal distance and radial position relative to the patient. Knob mechanism 552 may then be tightened so that platform 544, and thus track system 540 and the delivery system/catheter assembly secured thereto, may be maintained in an optimal position relative to the patient.
Referring now to fig. 17-20, an exemplary stabilization base 600 for supporting a medical device/system is illustrated. The stabilization base 600 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 600 includes a bottom plate 620, posts 630, a post cover 650, a platform 644, and a rail system 640. The posts 630 extend vertically upward from the floor 620 and are attached to a platform 644. The platform 644 is removably attached to the track system 640 (although in some embodiments the track system and platform may be integrally formed). Clamps may be attached to the track system 640 to secure medical devices/systems, such as catheter assembly 114, to the track system 640. For simplicity of the drawing, the clamps are not shown in fig. 17-20, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 600 shown in fig. 17-20.
The base plate 620 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to the stabilization base 600. The bottom plate may be square, circular, oval, hexagonal, etc. The bottom plate 620 may be solid or may have a void space within the center of the plate. In some embodiments, the bottom plate 620 is a solid oval plate.
The posts 630 may be joined to the base plate 620 by any suitable means, such as welding, adhesive, or the like. The posts 630 may also be molded from the same material as the base plate 620 such that the posts 630 and the base plate 620 are integral. The posts 630 may be any suitable shape, such as square, circular, or oval. In some embodiments, posts 630 are trapezoidal.
The platform 644 may be joined to the post 630 by any suitable means, such as welding, adhesive, etc. The platform 644 may also be movably or removably attached to the post 630 such that the position of the platform 644 may be adjusted relative to the post 630. In some embodiments, a post cover 650 extends vertically downward from the platform 644 and surrounds the post 630. The area between the post 630 and the post cover 650 may house a mechanism (not shown), such as electromagnetic, electromechanical, hydraulic, pneumatic, gears, etc., for controlling the position of the platform 644 relative to the post 630. The mechanism may be controlled manually and/or electronically. In some embodiments, the mechanism is operated by a controller 670, such as a toggle switch, button, joystick, or the like. The controller 670 may be located anywhere on the stabilizer base 600, such as on the bottom plate 620, the post 630, or the post cover 650. In some embodiments, the controller 670 is remotely attached to the stabilizer base 600 via a tether 672. The controller 670 may also operate the mechanism wirelessly, for example, through a computer, tablet computer, or similar electronic device. The mechanism may control the position of the platform 644 relative to the post 630 by raising and lowering the platform 644, moving the platform 644 forward and backward, changing the pitch of the platform 644 relative to the floor 620, or displacing the platform 644 to the left or right.
The rail system 640 may be removably attached to the platform 644 of the stabilization base 600 by any suitable means, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fits, spring loaded clips, hook and loop fasteners, magnets, and the like. The track system 640 may be configured to be fully or partially retained by features of the platform 644 of the stabilization base 600 such that the track system 640 may still be attached to the stabilization base 600 when the stabilization base is covered by a sterile barrier (not shown), such as a drape. That is, the track system 640 may be attached to the stabilization base 600 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the platform 644 and the track system 640. In some embodiments, the track system may be attached to the stabilization base 600 using magnetic plates. In some embodiments, the horizontal position of the track system 640 may be adjusted relative to the platform 644, for example, by sliding the track system 640 forward and backward relative to the platform 644. The barrier 112 (see fig. 1) shown herein may be placed between the stabilization base 600 and the rail system 640.
The floor 620 may be placed flush with the surface of the table 110 (shown in fig. 1) and the patient's legs may rest atop the floor 620 such that the posts 630 extend vertically upward between the patient's legs. In some embodiments, a mechanism (not shown) within the post 630 may be electronically or manually controlled by a user to move the platform 644 in all directions relative to the post 630, such as rotationally, translationally, and vertically. Thus, the position of the platform 644 can be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 21-25, an exemplary stabilization base 800 for supporting a medical device/system is shown. The stabilization base 800 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 800 includes a frame 880 and a rail system 840. A rail system 840 is movably attached to the top of the frame 880. Clamps may be attached to the rail system 840 to secure medical devices/systems, such as catheter assembly 114, to the rail system 840. For simplicity of the drawing, the clamps are not shown in fig. 21-25, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 800 shown in fig. 21-25.
The frame 880 has at least one rail portion 882A, 882B and at least one support member 884A, 884B. The support members 884A, 884B support and stabilize the frame 880 on a surface, such as the table 110. The support members 884A, 884B can be of any suitable shape and configuration, such as posts, rods, triangular or rectangular frames, or the like. The support members 884A, 884B support at least one rail portion 882A, 882B that extends parallel to the surface on which the frame 880 rests and at a sufficient height above the surface such that the patient's body can fit between the surface and the at least one rail portion 882A, 882B. The support members 884A, 884B may be permanently (e.g., by welding, adhesive, etc.) or removably attached to at least one rail portion 882A, 882B by any suitable means such that the position of the rail portions 882A, 882B may be adjusted relative to the support members 884A, 884B.
In some embodiments, the frame 880 has a first support member 884A, a second support member 884B, a first rail portion 882A, and a second rail portion 882B. In some embodiments, the first support member 884A and the second support member 884B are horizontal bars that rest on surfaces (e.g., the table 110) at opposite ends of the frame 880. One end of the first rail portion 882A is attached to one end of the first support member 884A and one end of the second rail portion 882B is attached to the other end of the first support member 884A. The other end of the first rail portion 882A is attached to one end of the second support member 884B and the other end of the second rail portion 882B is attached to the other end of the second support member 884B, thereby forming a U shape on either end of the frame 880.
In some embodiments, the ends of the first and second support members 884A, 884B are recessed within the ends of the first and second rail portions 882A, 882B such that the positions of the first and second rail members 882A, 882B are vertically adjustable relative to the first and second support members 884A, 884B. Alternatively, the ends of the first and second rail portions 882A, 882B may be recessed within the ends of the first and second support members 884A, 884B.
The rail system 840 may be joined to the frame 880 by any suitable means, such as welding. The rail system 840 may also be movably or removably attached to the frame 880 such that the position of the rail system 840 may be adjusted relative to the frame 880. The rail system 840 may be configured to be fully or partially retained by features of the frame 880 of the stabilization base 800 such that if the stabilization base is covered by a sterile barrier (not shown), such as a drape, the rail system 840 may still be attached to the stabilization base 800. That is, the rail system 840 may be attached to the stabilization base 800 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the frame 880 and the rail system 840. In some embodiments, the track system may be attached to the stabilization base 800 using magnetic plates. In some embodiments, the stabilization base 800 rests on top of the drape 112. The barrier 112 (see fig. 1) shown herein may be placed between the stabilization base 800 and the rail system 840. In some embodiments, the horizontal position of the rail system 840 may be adjusted, for example, by sliding the rail system 840 forward and backward relative to the frame 880 or sliding the rail system 840 from left to right along at least one rail portion 882A, 882B of the frame 880.
The first and second support members 884A, 884B may be placed flush with the surface of the table 110 (shown in fig. 21), and the patient's body may be positioned under the frame 880 of the stabilization base 800 such that at least one rail portion 882A, 882B is above the patient and the first and second support members 884A, 884B are on either side of the patient. In some embodiments, the position of the rail system 840 may be adjusted relative to the frame 880 of the stabilizer base 800, for example, by sliding the rail system 840 horizontally or translationally along at least one rail portion 882A, 882B or pivoting the rail system 840 upward and downward. Thus, the position of the rail system 840 can be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 26, an exemplary stabilization base 900 for supporting a medical device/system is shown. The stabilization base 900 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 900 includes a frame 980 and a rail system 940. A rail system 940 is movably attached to the top of the frame 980. Clamps may be attached to the track system 940 to secure medical devices/systems, such as the catheter assembly 114, to the track system 940. To simplify the drawing, the clamps are not shown in fig. 26, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 900 shown in fig. 26.
The frame 980 has at least one rail portion 982 and at least one support member 984A, 984B. The support members 984A, 984B support and stabilize the frame 980 on a surface such as the table 110. The support members 984A, 984B may be of any suitable shape and configuration, such as a post, rod, triangular or rectangular frame, or the like. The support members 984A, 984B support at least one rail portion 982 that extends parallel to the surface on which the frame 980 rests and at a sufficient height above the surface so that the patient's body can fit between the surface and the at least one rail portion 982. The support members 984A, 984B may be permanently (e.g., by welding, adhesive, etc.) or removably attached to the at least one rail portion 982 in any suitable manner such that the position of the rail portion 982 may be adjusted relative to the support members 984A, 984B.
In some embodiments, the frame 980 has a first support member 984A, a second support member 984B, and a rail portion 982. In some embodiments, the first support member 984A and the second support member 984B are horizontal bars that rest on surfaces (e.g., the table 110) at opposite ends of the frame 980. One end of the rail portion 982 is attached to the first support member 984A, and the other end of the rail portion 982 is attached to the second support member 984B. In some embodiments, the rail portion 982 is attached to the centers of the first support member 984A and the second support member 984B. In some embodiments, the ends of the rail portion 982 are recessed within the first and second support members 984A, 984B such that the rail portion 982 can be raised and lowered relative to the first and second support members 984A. In some embodiments, the vertical position of the rail portion 982 is locked in place unless acted upon by a user. In some embodiments, the button 986 may be subjected to a force, such as a press or pull, to allow adjustment of the position of the rail portion 982. When the button 986 is released, the position of the rail portion 982 will be locked in place. In some embodiments, graduations 981 along at least one side of rail portion 982 indicate the height of rail portion 982 relative to first support member 984A and second support member 984B. In some embodiments, the button 986 is located on the rail portion 982 or the first and second support members 984A, 984B of the frame 980. In some embodiments, the radial position of the rail portion 982 relative to the first and second support members 984A, 984B may be adjusted. In some embodiments, a knob 988 on at least one end of at least one of the rail portions 984A, 984B controls the radial position of the rail portion 982. The rail portion 984 may pivot forward or rearward when the knob 988 is subjected to a force such as pulling, pushing or rotating.
The rail system 940 may be coupled to the frame 980 by any suitable means, such as welding. The rail system 940 may also be movably or removably attached to the frame 980 such that the position of the rail system 940 may be adjusted relative to the frame 980. Track system 940 may be configured to be fully or partially retained by features of frame 980 of stabilization base 900 such that if the stabilization base is covered by a sterile barrier, such as a drape (barrier 112 shown may be moved from between table 110 and stabilization base 900 to between stabilization base 900 and track system 940, or an additional barrier may be placed between stabilization base 900 and track system 940), track system 940 may still be attached to stabilization base 900. That is, the track system 940 may be attached to the stabilization base 900 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the frame 980 and the track system 940. In some embodiments, the stabilization base 900 rests on top of the drape 112. In some embodiments, the track system may be attached to the stabilization base 900 using magnetic plates. In some embodiments, the track system 940 is attached to the rail portion 982 with a bracket 946. In some embodiments, the horizontal position of the rail system 940 may be adjusted relative to the rail portion 982 of the frame 980, for example, by sliding the rail system 940 forward and backward relative to the frame 946 or the frame 980 or sliding the frame 946 and rail system 940 from left to right along the rail portion 982 of the frame 980.
The first and second support members 984A, 984B may be placed flush with the surface of the table 110 (shown in fig. 26), and the patient's body may be positioned below the frame 980 of the stabilization base 900 such that the rail portion 982 is above the patient and the first and second support members 984A, 984B are on either side of the patient. In some embodiments, the position of the track system 940 may be adjusted relative to the frame 980 of the stabilizer base 900, for example, by sliding the track system 940 horizontally or translationally along the track portion 982 or pivoting the track portion 982 forward and backward relative to the support members 984A, 984B. Thus, the position of the rail system 940 may be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 27-30, an exemplary stabilization base 1000 for supporting a medical device/system is illustrated. The stabilization base 1000 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 1000 includes a frame 1080 and a rail system 1040. Track system 1040 is movably attached to the top of frame 1080. The clamp may be attached to the track system 1040 to secure a medical device/system, such as the catheter assembly 114, to the track system 1040. To simplify the drawing, the clamps are not shown in fig. 27-30, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 1000 shown in fig. 27-30.
The frame 1080 has at least one rail portion 1082 and at least one support member 1084A, 1084B. The support members 1084A, 1084B support and stabilize the frame 1080 on a surface such as a table (not shown). The support members 1084A, 1084B may be any suitable shape and configuration, such as a post, rod, triangular or rectangular frame, or the like. The support members 1084A, 1084B support at least one rail portion 1082 that extends parallel to the surface on which the frame 1080 rests and at a sufficient height above the surface such that the patient's body may fit between the surface and the at least one rail portion 1082. The support members 1084A, 1084B may be permanently (e.g., by welding, adhesive, etc.) or removably attached to the at least one rail portion 1082 in any suitable manner such that the position of the rail portion 1082 may be adjusted relative to the support members 1084A, 1084B.
In some embodiments, the frame 1080 has a first support member 1084A, a second support member 1084B, and a rail portion 1082. In some embodiments, the first support member 1084A and the second support member 1084B are triangular frames that rest on surfaces (e.g., the table 110 in fig. 1) at opposite ends of the frame 1080. One end of the rail portion 1082 is attached to the first support member 1084A, and the other end of the rail portion 1082 is attached to the second support member 1084B. In some embodiments, the rail portion 1082 is attached to the center of the first support member 1084A and the second support member 1084B. In some embodiments, the ends of the first and second support members 1084A, 1084B are recessed with either end of the rail portion 1082 such that the rail portion 1082 may be raised and lowered relative to the first and second support members 1084A. In some embodiments, the vertical position of the rail portion 1082 is locked in place unless acted upon by a user. In some embodiments, the button 1086 may be subjected to a force, such as a press or pull, to allow adjustment of the position of the rail portion 1082. When the button 1086 is released, the position of the rail portion 1082 will be locked in place. In some embodiments, selectable graduations or markings along the first support member 1084A and/or the second support member 1084B may indicate the height of the rail portion 1082 relative to the first support member 1084A and the second support member 1084B. In some embodiments, the button 1086 is located on the rail portion 1082 or the first and second support members 1084A, 1084B of the frame 1080.
Track system 1040 may be joined to frame 1080 by any suitable means, such as welding. The track system 1040 may also be movably or removably attached to the frame 1080 such that the position of the track system 1040 may be adjusted relative to the frame 1080. The rail system 1040 may be configured to be fully or partially retained by features of the frame 1080 of the stabilization base 1000 such that if the stabilization base is covered by a sterile barrier (not shown), such as a drape, the rail system 1040 may still be attached to the stabilization base 1000. In some embodiments, the track system may be attached to the stabilization base 1000 using magnetic plates. That is, the track system 1040 may be attached to the stabilization base 1000 without attachment devices, such as fasteners, that would puncture or puncture a sterile barrier disposed between the frame 1080 and the track system 1040. A barrier 112 (see fig. 1) may be placed between the stabilization base 1000 and the rail system 1040. In some embodiments, the stabilization base 1000 rests on top of a drape (not shown). In some embodiments, the rail system 1040 is attached to the rail portion 1082 with a bracket 1046. In some embodiments, the radial position of the rail system 1040 relative to the rail portion 1082 may be adjusted. In some embodiments, a hinge 1048 on the support 1046 controls the radial position of the track system 1040. In some embodiments, the hinge 1048 may be locked in place, for example, by a pin, or may be biased toward a radial position unless acted upon by an external force. In some embodiments, the rail portion 1082 may pivot forward or rearward when the hinge 1048 is acted upon or when the pin is disengaged.
In some embodiments, the horizontal position of the track system 1040 may be adjusted relative to the track portion 1082 of the frame 1080, for example, by sliding the track system 1040 forward and backward relative to the support 1046 or the frame 1080 or sliding the support 1046 and track system 1040 from left to right along the track portion 1082 of the frame 1080.
The first support member 1084A and the second support member 1084B may be placed flush with the surface of the table 110 (shown in fig. 1), and the patient's body may be positioned below the frame 1080 of the stabilization base 1000 such that the rail portion 1082 is above the patient, and the first support member 1084A and the second support member 1084B are on either side of the patient. In some embodiments, the position of the track system 1040 may be adjusted relative to the frame 1080 of the stabilization base 1000, for example, by sliding the track system 1040 horizontally or translationally along the track portion 1082 or pivoting the track system 1040 forward and rearward relative to the support members 1084A, 1084B. Thus, the position of the rail system 1040 can be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 31-34, an exemplary stabilization base 1100 for supporting a medical device/system is illustrated. The stabilization base 1100 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 1100 includes a base 1120, a frame 1180, and a rail system 1140. The track system 1140 is movably attached to a frame 1180, and the frame 1180 is movably attached to the base 1120. Clamps (not shown) may be attached to the track system 1140 to secure medical devices/systems, such as catheter assemblies 114 (not shown), to the track system 1140. For simplicity of the drawing, the clamps are not shown in fig. 31-34, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 1100 shown in fig. 31-34.
The bottom plate 1120 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to the stabilization base 1100. The bottom plate 1120 may be square, circular, hexagonal, etc. The bottom plate 1120 may be solid or may have a void space within the center of the plate. In some embodiments, the base 1120 is a substantially planar plate having a first wall 1125A and a second wall 1125B on either end of the base 1120. In some embodiments, first wall 1125A and second wall 1125B are attached to frame 1180 of stabilization base 1100. The first and second walls 1125A, 1125B may be permanently (e.g., by welding, adhesive, etc.) or removably attached to the frame 1180 in any suitable manner such that the position of the frame 1180 may be adjusted relative to the first and second walls 1125A, 1125B of the base 1120. In some embodiments, the ends of the first and second walls 1125A, 1125B fit within void spaces in the frame 1180 such that the frame 1180 may move relative to the base 1120. In some embodiments, the ends of the first and second walls 1125A, 1125B are spherical and the void space within the frame 1180 is spherical such that the frame 1180 may slide forward and backward along the spherical edges of the first and second walls 1125A, 1125B. In some embodiments, the translational position of the frame 1180 relative to the base 1120 may be locked and unlocked using at least one actuator 1189, such as a button, switch, tab, or pin. When the user engages at least one actuator 1189, the frame 1180 is free to slide relative to the first and second walls 1125A, 1125B of the frame 1180. In some embodiments, multiple actuators 1189 must be engaged simultaneously to release frame 1180. Once actuator 1189 is disengaged, the position of frame 1180 is locked in place relative to base 1120.
In some embodiments, frame 1180 has at least one rail portion 1182, a first arm 1183A, and a second arm 1183B. The first arm 1183A and the second arm 1183B support and stabilize the frame 1180 by being attached to the base 1120. The first arm 1183A and the second arm 1183B may be of any suitable shape and configuration, such as a post, rod, triangular or rectangular frame, or the like. The first arm 1183A and the second arm 1183B support at least one rail portion 1182 that extends parallel to the base 1120 and at a sufficient height above the base 1120 such that the body of the patient may fit between the base 1120 and the at least one rail portion 1182. The first arm 1183A and the second arm 1183B may be permanently (e.g., by welding, adhesive, etc.) or removably attached to the at least one rail portion 1182 by any suitable means such that the position of the rail portion 1182 may be adjusted relative to the first arm 1183A and the second arm 1183B.
In some embodiments, the first arm 1183A and the second arm 1183B of the frame 1180 are attached to the base 1120 in a telescoping (vertical adjustment) and/or sliding (longitudinal adjustment) manner. In the illustrated embodiment, the height of the first arm 1183A and the second arm 1183B are adjustable. Arms 1183A and 1183B may be adjusted by any suitable means, such as hydraulic, gas spring mechanisms, pins, buttons, and the like. In some embodiments, at least one of the first arm 1183A and the second arm 1183B has various apertures 1181 vertically aligned on one side, which correspond to incremental heights. A pin 1187 may be inserted into at least one of the first arm 1183A and the second arm 1183B, into one of the various apertures 1181, to lock the height of the frame 1180 in place. In some embodiments, the rail portion 1182 may also be adjustable relative to the first arm 1183A and the second arm 1183B. The rail portion 1182 may be adjusted by any suitable means, such as, for example, hydraulic, gas spring mechanisms, pins, buttons, and the like. In some embodiments, the radial position of the rail portion 1182 may be adjusted using various apertures 1185 in at least one of the first arm 1183A and the second arm 1183B.
By translating the track system 1140 forward and rearward relative to the track portion 1182, the position of the track system 1140 may be adjusted relative to the track portion 1182 of the frame 1180. The translational position of the track system 1140 may be adjusted in a variety of ways, such as by springs, pins, screws, and the like. In some embodiments, the track system 1140 may have a plurality of apertures 1145 incrementally aligned along the length of the track system 1140. The pin 1147 may be placed in any of a plurality of apertures 1145 to hold the track system 1140 in place in a particular translational position. To move the track system 1140 forward or backward, the pin 1147 may be removed from the aperture 1145 and placed in another aperture 1145.
Referring now to fig. 35-36, an exemplary stabilization base 1200 for supporting a medical device/system is illustrated. The stabilization base 1200 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
Stabilizing mount 1200 includes an arm 1290 and a track system 1240. Rail system 1240 is attached to the top of arm 1290. Clamps (not shown) may be attached to the track system 1240 to secure a medical device/system, such as catheter assembly 114, to the track system 1240. For simplicity of the drawing, the clamps are not shown in fig. 35-36, but may be any of the embodiments described herein. Any of the clamps, features, and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 1200 shown in fig. 35-36.
The arm 1290 has at least one section, preferably more than two sections, wherein the sections are movably attached to each other. Alternatively, the segments may be attached to each other by any suitable method, such as welding, screws, or the like. The sections of arm 1290 may be attached to one another by any suitable method, such as a hinged connection, a ball joint connection, or a telescopic connection, with the ends of one section inserted into the ends of the other section. The arm 1290 may be secured to the table 110 in a variety of ways, such as mounting the arm 1290 to one side of the table 110 using the mount 116 or inserting a portion of the stabilizing base 1200 under a portion of the table 110.
Rail system 1240 can be coupled to arm 1290 by any suitable means, such as welding. The rail system 1240 may also be movably or removably attached to the arm 1290 such that the position of the rail system 1240 may be adjusted relative to the arm 1290. The rail system 1240 may be configured to be fully or partially retained by features of the arms 1290 of the stabilization base 1200 such that if the stabilization base is covered by a sterile barrier (not shown), such as a drape, the rail system 1240 may still be attached to the stabilization base 1200. That is, the rail system 1240 can be attached to the stabilization base 1200 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between the arm 1290 and the rail system 1240. The barrier 112 (see fig. 1) shown herein may be placed between the stabilization base 1200 and the rail system 1240. In some embodiments, the stabilization base 1200 extends over a drape (not shown). In some embodiments, rail system 1240 is attached to arm 1290 with brackets 1246. In some embodiments, the radial position of the rail system 1240 relative to the arm 1290 may be adjusted. In some embodiments, the translational position of the track system 1240 relative to the arm 1290 may be adjusted, for example, by sliding the track system 1240 forward and backward relative to the mount 1246. In addition, the cradle 1246 and track system 1240 can slide along the arm 1290 from left to right.
The patient's body may be positioned generally under the arms 1290 of the stabilizing base 1200 such that the rail system 1240 extends over the patient. In some embodiments, the position of the track system 1240 relative to the surface of the patient and table 110 may be adjusted, for example, by sliding the track system 1240 translationally within the cradle 1246, sliding the track system 1240 left or right along the arm 1290, pivoting the track system 1240 forward and rearward. The position of the stabilization base 1200 can be adjusted relative to the table 110, for example, by raising and lowering the height of the arm 1290 or translating the stabilization base 1200 forward and rearward using the mount 116 attached to the table 110. Thus, the position of the rail system 1240 can be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 37-40, an exemplary stabilization base 1300 for supporting a medical device/system is illustrated. Stabilization base 1300 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 1300 includes an arm 1390 and a track system 1340. Track system 1340 is attached to the top of arm 1390. Clamps may be attached to the track system 1340 to secure medical devices/systems, such as catheter assemblies 114, to the track system 1340. For simplicity of the drawing, the clamps are not shown in fig. 37-40, but may be any of the embodiments described herein. Any of the clamps, features, and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 1200 shown in fig. 37-40.
The arm 1390 has at least one section, preferably more than two sections, wherein the sections are movably attached to each other. Alternatively, the segments may be attached to each other by any suitable method, such as welding, screws, or the like. The sections of the arm 1390 may be attached to each other by any suitable method, such as hinged connection, ball joint connection, or telescopic connection, with the ends of one section inserted into the ends of the other section. The arm 1390 may be secured to a table (not shown) in various ways, such as using a mount (not shown) to mount the arm 1390 to one side of the table or inserting a portion of the stabilization base 1300 under a portion of the table. In some embodiments, the arm 1390 includes a vertical section 1394, a horizontal section 1392, and a joint section 1395. The segments may be of any suitable shape or size, such as circular, rectangular or oval columns. In some embodiments, the horizontal section 1392 and vertical section 1394 are hollow cylindrical columns. The joint section 1395 is generally L-shaped, having a vertical portion and a horizontal portion. The vertical section 1394 may be telescopically connected to a vertical portion of the joint section 1395 such that the joint section 1395 is received within one end of the vertical section 1394. The horizontal section 1392 may be telescopically connected to a horizontal portion of the joint section 1395 such that the joint section 1395 is received within one end of the horizontal section 1392. In some embodiments, the height of track system 1340 relative to a table (not shown) can be adjusted by moving joint portion 1395 up or down within vertical portion 1394. In some embodiments, the horizontal position of track system 1340 relative to a table (not shown) can be adjusted by moving joint portion 1395 inwardly and outwardly within horizontal portion 1392. In yet another exemplary embodiment, the vertical section 1394, joint section 1395, and horizontal section 1392 are permanently attached to one another by any suitable means, such as screws, welding, adhesive, or the like. In the illustrated embodiment, the position of the track system 1340 relative to a table (not shown) can be adjusted using an actuator 1396 attached to the vertical section 1394 of the arm 1390. The actuator 1396 may be a button, pull, knob, or the like. In some embodiments, the actuator 1396 is a knob, wherein when the knob is twisted in a clockwise direction, for example, the frictional engagement between the actuator 1396 and the arm 1390 increases such that the arm 1390 cannot move relative to the actuator 1396. When the actuator 1396 is twisted in the opposite direction, e.g., counter-clockwise, the frictional engagement between the arm 1390 and the actuator 1396 is reduced, such that the arm 1390 is free to move up and down relative to the actuator 1396.
Track system 1340 may be coupled to arm 1390 by any suitable means, such as welding. The track system 1340 may also be movably or removably attached to the arm 1390 such that the position of the track system 1340 may be adjusted relative to the arm 1390. The track system 1340 may be configured to be fully or partially retained by features of the arms 1390 of the stabilization base 1300 such that if the stabilization base is covered by a sterile barrier (not shown), such as a drape, the track system 1340 may still be attached to the stabilization base 1300. That is, the track system 1340 can be attached to the stabilization base 1300 without attachment means, such as fasteners, that would puncture or puncture the sterile barrier disposed between the arm 1390 and the track system 1340. A barrier 112 (see fig. 1) as shown herein may be placed between the stabilization base 1300 and the rail system 1340. In some embodiments, the stabilization base 1300 extends over a drape (not shown). In some embodiments, the track system 1340 is attached to the arm 1390 with a bracket 1346. In some embodiments, the radial position of the track system 1340 relative to the arm 1390 can be adjusted. In some embodiments, the translational position of the track system 1340 can be adjusted relative to the arm 1390, for example, by sliding the track system 1340 forward and backward relative to the bracket 1346. In addition, the carriage 1346 and rail system 1340 can slide along the arm 1390 from left to right. In some embodiments, the position of the bracket 1346 may be locked and unlocked using an actuator 1396. The actuator 1396 may be a button, pull, knob, or the like. In some embodiments, the actuator 1396 is a knob, wherein when the knob is twisted in a clockwise direction, for example, the frictional engagement between the bracket 1346 and the rail system 1340 increases such that the bracket 1346 cannot move relative to the rail system 1340. When the actuator 1396 is twisted in an opposite, e.g., counter-clockwise direction, the frictional engagement between the carriage 1346 and the track system 1340 is reduced, such that the carriage 1346 is free to move left and right relative to the track system 1340.
The patient's body may be positioned substantially below the arms 1390 of the stabilization base 1300 such that the rail system 1340 extends over the patient. In some embodiments, the position of the track system 1340 can be adjusted relative to the surface of the patient and table (not shown), for example, by sliding the track system 1340 translationally within the support 1346, sliding the track system 1340 left or right along the arm 1390, and/or pivoting the track system 1340 forward and backward. The position of stabilization base 1300 may be adjusted relative to a table (not shown), for example, by raising and lowering the height of arm 1390 or translating stabilization base 1300 forward and backward along the table. Thus, the position of the track system 1340 can be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 41-44, an exemplary stabilization base 1400 for supporting a medical device/system is shown. The stabilization base 1400 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 1400 includes an arm 1490 and a track system 1440. Track system 1440 is attached to the top of arm 1490. Clips may be attached to the track system 1440 to secure medical devices/systems, such as catheter assembly 114, to the track system 1440. For simplicity of the drawing, the clamps are not shown in fig. 41-44, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 1400 shown in fig. 41-44.
The arm 1490 has at least one section, preferably more than two sections, wherein the sections are movably attached to each other. Alternatively, the segments may be attached to each other by any suitable method, such as welding, screws, or the like. The sections of the arm 1490 may be attached to one another by any suitable method, such as a hinged connection, a ball joint connection, or a telescopic connection, with the ends of one section inserted into the ends of the other section. The arm 1490 may be secured to the table in a variety of ways, such as using a mount to mount the arm 1490 to one side of the table or inserting a portion of the stabilization base 1400 under a portion of the table. In some embodiments, the arm 1490 includes a vertical section 1494, a horizontal section 1492, and a joint section 1495. The segments may be of any suitable shape or size, such as circular, rectangular or oval columns. In some embodiments, the horizontal section 1492 and the vertical section 1494 are hollow oval columns. The joint section 1495 is generally L-shaped having a vertical portion and a horizontal portion. The vertical section 1494 may be telescopically connected to a vertical portion of the joint section 1495 such that the joint section 1495 is received within one end of the vertical section 1494. The horizontal section 1492 may be telescopically connected to a horizontal portion of the joint section 1495 such that the joint section 1495 is received within one end of the horizontal section 1492. In some embodiments, the height of track system 1440 relative to a table (not shown) may be adjusted by moving joint portion 1495 up or down within vertical section 1494. In some embodiments, the horizontal position of track system 1440 relative to a table (not shown) may be adjusted by moving joint portion 1495 inwardly and outwardly within horizontal portion 1492. In some embodiments, graduations 1428 marked in increments along one or more sections may be used to indicate the position of vertical section 1494 and horizontal section 1492 relative to joint section 1495.
Track system 1440 may be coupled to arms 1490 by any suitable means, such as welding. The track system 1440 may also be movably or removably attached to the arm 1490 such that the position of the track system 1440 may be adjusted relative to the arm 1490. The track system 1440 may be configured to be fully or partially retained by features of the arms 1490 of the stabilization base 1400 such that if the stabilization base is covered by a sterile barrier (not shown), such as a drape, the track system 1440 may still be attached to the stabilization base 1400. That is, the track system 1440 may be attached to the stabilization base 1400 without attachment devices, such as fasteners, that would puncture or puncture a sterile barrier disposed between the arms 1490 and the track system 1440. The barrier 112 (see fig. 1) shown herein may be placed between the stabilization base 1400 and the track system 1440. In some embodiments, the stabilizing base 1400 extends over a drape (not shown). In some embodiments, track system 1440 is attached to arm 1490 with a bracket 1446. In some embodiments, the radial position of the track system 1440 relative to the arm 1490 may be adjusted. In some embodiments, the bracket 1446 has an articulation portion 1448 that allows the position of the track system 1440 to move radially forward and backward. In some embodiments, the hinge 1448 may be unlocked to allow adjustment of the radial position of the track system 1440 relative to the arm 1490, and once the desired radial position is determined, the hinge 1448 may be locked to prevent further movement of the track system 1440. In some embodiments, the hinge 1448 may be adjusted or selected, for example, by a spring or a weight mechanism, to prevent the track system 1440 from moving radially unless the hinge 1448 is acted upon by applying sufficient upward or downward force to the track system 1440.
In some embodiments, the translational position of the track system 1440 can be adjusted relative to the arm 1490, for example, by sliding the track system 1440 forward and backward relative to the bracket 1446. In addition, bracket 1446 and track system 1440 may slide left to right along arm 1490. In some embodiments, an actuator (not shown) may be used to lock and unlock the position of the bracket 1446. The actuator may be a push button, pull handle, knob, or the like.
The patient's body may be positioned generally under the arms 1490 of the stabilization base 1400 such that the track system 1440 extends over the patient. In some embodiments, the position of the track system 1440 may be adjusted relative to the surface of the patient and table 110, for example, by sliding the track system 1440 translationally within the bracket 1446, sliding the track system 1440 left or right along the arm 1490, and/or pivoting the track system 1440 forward and backward. The position of the stabilization base 1400 may be adjusted relative to the table 110, for example, by raising and lowering the height of the arm 1490 or translating the stabilization base 1400 forward and backward along the table. Thus, the position of the track system 1440 can be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 45-48, an exemplary stabilization base 1500 for supporting a medical device/system is illustrated. The stabilization base 1500 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic.
The stabilization base 1500 includes an arm 1590 and a track system 1540. A track system 1540 is attached to the top of the arm 1590. Clamps may be attached to the track system 1540 to secure a medical device/system, such as the catheter assembly 114, to the track system 1540. For simplicity of the drawing, the clamps are not shown in fig. 45-48, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 1500 shown in fig. 45-48.
The arm 1590 has at least one section, preferably more than two sections, wherein the sections are movably attached to each other. The segments may be attached to each other by any suitable method, such as welding, screws, etc. In addition, the sections of the arm 1590 may be attached to one another by any suitable method, such as an articulated connection, a ball joint connection, or a telescoping connection, with the ends of one section inserted into the ends of the other section. The arm 1590 may be secured to the table 110 in a variety of ways, such as by mounting the arm 1590 to one side of the table using the mount 116 or inserting the stabilizing section 118 of the stabilizing base 1500 under a portion of the table 110. In some embodiments, the arm 1590 includes a vertical section 1594, a horizontal section 1592, and a joint section 1595.
The segments may be of any suitable shape or size, such as circular, rectangular or oval columns. In some embodiments, the horizontal section 1592 and the vertical section 1594 are solid, flat rectangular posts. The adapter section 1595 is generally L-shaped having a vertical portion and a horizontal portion. The vertical section 1594 may be telescopically coupled to a vertical portion of the nipple section 1595 such that the nipple section 1595 receives one end of the vertical section 1594. The horizontal section 1592 may be telescopically coupled to a horizontal portion of the nipple section 1595 such that the nipple section 1595 receives one end of the horizontal section 1592.
In some embodiments, the height of the track system 1540 relative to a table (not shown) may be adjusted by moving the vertical section 1594 up or down within the adapter section 1595. In some embodiments, the horizontal position of the track system 1540 relative to the table 110 can be adjusted by moving the horizontal section 1592 inwardly and outwardly within the adapter section 1595. In some embodiments, an incrementally marked scale 1528 along one or more of the sections may be used to indicate the position of the vertical section 1594 and the horizontal section 1592 relative to the nipple section 1595. The vertical and horizontal positions of the arm sections may be controlled in various ways, e.g. by springs, gas springs, hydraulic pressure, etc.
Arm 1590 may house a mechanism (not shown). The mechanism may be controlled manually and/or electronically. In some embodiments, the mechanism is operated by a control 1591, such as a toggle switch, button, joystick, or the like. The control 1591 may be located anywhere on the stabilizer base 1500, such as on the arm 1590. In some embodiments, the control 1591 is remotely attached to the stabilizer base 1500 via a tether 1572. The control 1591 may also operate the mechanism wirelessly, for example, through a computer, tablet computer, or similar electronic device. The mechanism can control the position of the vertical section 1594 and the horizontal section 1592 of the arm 1590 relative to the adapter section 1595 by raising and lowering the adapter section 1595, moving the horizontal section 1592 inward and outward. The mechanism may also change the pitch of the track system 1540 relative to the arm 1590, or displace the track system 1540 forward and backward.
The track system 1540 may be joined to the arm 1590 by any suitable means, such as welding. The track system 1540 may also be movably or removably attached to the arm 1590 such that the position of the track system 1540 may be adjusted relative to the arm 1590. The track system 1540 may be configured to be fully or partially retained by features of the arms 1590 of the stabilization base 1500 such that if the stabilization base is covered by a sterile barrier 112, such as a drape, the track system 1540 may still be attached to the stabilization base 1500. That is, the track system 1540 may be attached to the stabilization base 1500 without attachment means, such as fasteners, that would puncture or puncture the sterility barrier disposed between the arm 1590 and the track system 1540. The barrier 112 (see fig. 1) shown herein may be placed between the stabilization base 1500 and the rail system 1540. In some embodiments, the stabilizing base 1500 extends above the drape 112. In some embodiments, the track system 1540 is attached to the arm 1590 with a bracket 1546. In some embodiments, the radial position of the track system 1540 relative to the arm 1590 may be adjusted. In some embodiments, the bracket 1546 has a hinged portion that allows the position of the track system 1540 to move radially forward and backward. In some embodiments, the hinge may be adjusted or selected, for example, by a spring or a weight mechanism, to prevent the track system 1540 from moving radially unless the hinge is acted upon by applying sufficient upward or downward force to the track system 1540.
In some embodiments, the translational position of the track system 1540 can be adjusted relative to the arm 1590, for example, by sliding the track system 1540 forward and backward relative to the bracket 1546. In addition, the bracket 1546 and rail system 1540 can slide along the arm 1590 from left to right. In some embodiments, an actuator may be used to lock and unlock the position of the bracket 1546. The actuator may be a push button, pull handle, knob, or the like.
In some embodiments, the stabilization base 1500 may include interchangeable base portions or mounting devices such that the stabilization base 1500 may be secured to or located on a surface, such as the table 110, in various ways. Fig. 46 shows a stabilization base 1500 with an optional stabilizer 118 that may be placed between surfaces, such as between upper and lower portions of the table 110. The weight of the upper portion of the table 110 in combination with the weight of the patient lying on the table will create sufficient downward force to secure the stabilization base 1500 in place.
Fig. 47 shows a stabilization base 1500 having a mount 116 as shown in fig. 51 and described above. Fig. 48 depicts a stabilization base 1500 having a first support member 1584A and a second support member 1584B. The first support member 1584A may be removably attached to the vertical section 1594 of the arm 1590 and the second support member 1584B may be removably attached to the horizontal section 1592 of the arm 1590. In this embodiment, the stabilization base 1500 may rest on the surface of the table 110.
The patient's body may be positioned generally beneath the arms 1590 of the stabilization base 1500 such that the rail system 1540 extends over the patient. In some embodiments, the position of the track system 1540 can be adjusted relative to the surface of the patient and the table 110, for example, by sliding the track system 1540 translationally within the bracket 1546, sliding the track system 1540 left or right along the arm 1590, and/or pivoting the track system 1540 forward and backward. The position of the stabilization base 1500 may be adjusted relative to the table 110, for example, by raising and lowering the height of the arms 1590 or translating the stabilization base 1500 forward and backward along the table 110. Thus, the position of the track system 1540 can be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 49-51, an exemplary stabilization base 1600 for supporting a medical device/system is illustrated. The stabilization base 1600 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal, plastic, or silicon.
Stabilizing base 1600 includes pads 1660. Medical devices/systems, such as catheter assembly 114, may be placed directly on top of pad 1660 or secured by some other means, such as to a rail system (not shown) attached to pad 1660. In some embodiments, the pad 1660 has a distal end 1666 and a proximal end 1668, wherein the proximal end 1668 is closest to the point of entry into the patient. Pad 1660 may be tapered or angled such that the thickness of distal end 1666 is greater than the thickness of proximal end 1668. Thus, when the delivery system/catheter assembly 114 is engaged with the pad 1660 of the stabilization base 1600, the delivery system/catheter assembly 114 will be angled toward the point of entry into the patient.
In some embodiments, the surface of pad 1660 may have features such as notches, ridges, valleys, etc. to fix the position of catheter assembly 114 relative to stabilization base 1600. In some embodiments, the pad 1660 has a plurality of ridges 1662A, 1662B, 1662C extending parallel to each other from a proximal end 1668 to a distal end 1666 of the pad 1660. At least one valley 1664A, 1664B is formed between the ridges 1662A, 1662B, 1662C. The catheter assembly 114 may be placed within the valleys 1664A, 1664B between two of the ridges 1662A, 1662B, 1662C, wherein the ridges 1662A, 1662B, 1662C will prevent the catheter assembly 114 from moving left or right relative to the stabilization base 1600.
Pad 1660 may be made of any suitable material, such as plastic, rubber, or silicone. As shown in fig. 60, in some embodiments, the pad is made of a flexible material, such as silicone, that can be bent and rolled for storage and placement on a variety of differently shaped surfaces and patients. Pad 1660 material, such as silicone, may also increase the frictional engagement between catheter assembly 114 and stabilization base 1600 such that the frictional engagement prevents catheter assembly 114 from moving forward and backward relative to the stabilization base.
Referring now to fig. 52-54, an exemplary stabilization base 1700 for supporting a medical device/system is shown. The stabilization base 1700 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal, plastic, or silicon.
Stabilizing base 1700 includes pads 1760. Medical devices/systems, such as catheter assembly 114, may be placed directly on top of pad 1760 or secured by some other means, such as to a rail system 1740 attached to pad 1760. In some embodiments, the pad 1760 has a distal end 1766 and a proximal end 1768, wherein the proximal end 1768 is closest to the point of entry into the patient. The pad 1760 may be tapered or angled such that the thickness of the distal end 1766 is greater than the thickness of the proximal end 1768. Thus, when the delivery system/catheter assembly 144 is engaged with the pad 1760 of the stabilization base 1700, the delivery system/catheter assembly 114 will be angled toward the point of entry into the patient.
In some embodiments, the surface of pad 1760 may have features such as notches, ridges, valleys, etc. to fix the position of catheter assembly 114 relative to stabilization base 1700. In some implementations, the pad 1760 has valleys 1764 extending from a proximal end 1768 to a distal end 1766 of the pad 1760. In some embodiments, the catheter assembly 114 may be placed directly within the valleys 1764 to prevent the catheter assembly 114 from moving left or right relative to the stabilization base 1700. Alternatively, the rail system 1740 may be inserted into the valley 1764 and the catheter assembly 114 may be secured to the rail system 1740 by any suitable means, such as clamps or the like. For simplicity of the drawing, the clamps are not shown in fig. 52 and 53-48, but may be any of the embodiments described herein. Any of the clamps, features and/or rails disclosed by U.S. provisional patent application No. 63/073,392 or other applications incorporated herein may be used on the stabilization base 1700 shown in fig. 52-54.
Pad 1760 may be made of any suitable material, such as plastic, rubber, or silicone. As shown in fig. 54, in some embodiments, the pad is made of a flexible material, such as silicone, that can be bent or rolled for storage and placement on a variety of differently shaped surfaces and patients. Pad 1760 material, such as silicone, may also increase the frictional engagement between catheter assembly 114 and stabilization base 1700 such that the frictional engagement prevents catheter assembly 114 from moving forward and backward relative to the stabilization base.
Referring now to fig. 55, an exemplary stabilization foot 1800 for supporting a medical device/system is shown. Stabilization base 1800 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal, plastic, or silicon.
Stabilization base 1800 includes a pad 1860. Medical devices/systems, such as catheter assembly 114, may be placed directly on top of pad 1860 or secured by some other means, such as to a rail system (not shown) attached to pad 1860 or secured by handle mount 1867. The handle mount shown is sized and shaped to hold the handle of the delivery system/catheter assembly in place, but to allow the handle to be positioned (e.g., advanced, retracted, rotated). Once the handle is released again, the handle mount 1867 maintains the new position of the handle.
In some embodiments, the cushion 1860 has a distal end 1866 and a proximal end 1868, wherein the proximal end 1868 is closest to the point of entry into the patient. The pad 1860 may also have a ridge 1861 along a bottom surface 1863 that extends from the distal end 1866 to the proximal end 1868 of the pad 1860. The ridge 1861 may rest between the legs of the patient to hold the cushion 1860 in place relative to the patient. The pad 1860 may be solid, or it may have an outer material and an inner material. The interior material may be pliable, such as filled beads, air, liquid, or semi-solid material, which allows the pad to conform to a variety of surfaces and patients. The outer surface of the pad 1860 may be made of silicon, rubber, or another flexible material. In some embodiments, the pad 1860 may have a solid top 1869 to better support the delivery system/catheter assembly 114 secured thereto.
In some embodiments, the delivery system or catheter assembly 114 is secured to the pad 1860 using a handle mount 1867. The handle mount 1867 may be made of any suitable material such as metal, rubber, silicone, plastic, and the like. The handle mount 1867 may be a fastener, bracket, or similar configuration. In some embodiments, the handle mount 1867 has a semi-annular shape with a gap or opening for receiving a portion of the catheter assembly 114 (e.g., the body of the handle). The handle of catheter assembly 114 is movable translationally proximally and distally within handle mount 1867, toward and away from the patient. Alternatively, the handle mount 1867 may be movable relative to the pad 1860 such that the mounting handle 1867 may be rotated forward and backward, left to right, and side to side relative to the pad 1860. Thus, the position of the catheter assembly 114 may be adjusted to an optimal distance and radial position relative to the patient.
Referring now to fig. 56-66, an exemplary stabilization base 1900 for supporting a medical device/system is shown. Stabilization base 1900 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic. The stabilizing base 1900 includes a platform 1910 hingably attached to a frame 1920. Support legs 1930 extend downwardly from frame 1920 to an operating table (not shown) to raise platform 1910 above a patient positioned on the operating table. In some embodiments, a rail system (not shown) is attached to (or in some embodiments, integrally formed on or as part of) the platform 1910 and may receive a clamp (not shown) for securing a medical device or system, such as the delivery system or catheter assembly 114, to the rail system. The rail system may be attached to or combined with the platform 1910 in any suitable manner, for example, using fasteners, threaded fasteners, snaps, clips, latches, friction fit, spring loaded clips, hook and loop fasteners, magnets, and the like. In some embodiments, the track system and/or clip is the same as the track system and/or clip disclosed in U.S. provisional patent application No. 63/073392 filed on 9/1/2020 and PCT application No. PCT/US2021/048333 filed on 31/2021, which are incorporated herein by reference in their entirety. Stabilization base 1900 maintains stability by having a wide base for each support leg 1930 that rests on a surface such as a patient table.
The support legs 1930 are spaced apart to allow the stabilization base 1900 to span the patient's right leg so that the rails and delivery system can be aligned with the inside of the patient's right thigh and femoral artery. The platform 1910 extends further beyond the frame 1920 and support legs 1930 on one side so that the delivery system can be repositioned to align with the left femoral artery of the patient without having to reposition the stabilization base 1900. This is useful during operation when the drape has been installed on the stabilizing base 1900 and repositioning the stabilizing base 1900 may not be easy or possible. Openings 1912 in the platform 1910 are disposed adjacent support legs 1930 that are further inward from the edges of the platform 1910 so that a user can access the height adjustment mechanism of the support legs 1930 as described in detail below.
In some embodiments, the platform 1910 is hingably attached to the frame 1920 by a hinge 1922 attached near one edge of the platform 1910 such that the platform 1910 may tilt up to about 10 degrees or about 15 degrees or about 20 degrees above the frame 1920. The placement of the hinge 1922 near the front edge of the platform 1910 enables the platform 1910 to tilt upward without reducing the height between the platform 1910 and the patient. A pair of struts 1924 are hingedly attached at an upper end to the platform 1910 and slidably attached at a lower end to the frame 1920. A locking member or knob 1926 secures the sliding end of the stay 1924 in a desired position within the slot 1928 to maintain the platform 1910 in an inclined condition and at a desired angle relative to the frame 1920.
Referring now to fig. 60-63, an internal mechanism for adjusting the height of support legs 1930 is shown in cross-section and enlarged detail view, according to some embodiments. Each support leg 1930 includes an extendable post 1932 attached to a frame 1920 and a fixed post 1934 attached to a base or foot 1936 configured to rest on the table 110. The fixed post 1934 includes a plurality of vertically spaced apart apertures 1938 for receiving latch pins 1940 of the extendable post 1932. The height of the platform 1910 may be adjusted by: the latch pin 1940 is moved to the unlatched position, the platform 1910 is lifted, and then the latch pin 1940 is moved to the latched position in the new pair of holes 1938 at the desired height.
The extendable post 1932 includes a handle 1942 at an upper end of each support leg 1930 that can be depressed to move the latch pin 1940 between a latched position and an unlatched position. The handle 1942 is connected to a latch track 1942 that includes an angled slot 1946 for engaging and moving a protrusion 1948 of the latch pin 1940 to cause the latch pin 1940 to move laterally in an outward (unlatching) or inward (latching) direction as the latch track 1944 moves vertically upward and downward, respectively. The user must press both handles 1942 to unlatch and raise or lower the platform 1910.
When the handle 1942 is not engaged by a user, the latch track 1942 is in a lowered position such that the protrusion 1948 of the latch pin 1940 moves to the uppermost and innermost ends of the angled slot 1946 such that the latch pin 1940 is inserted through a pair of latch holes 1938 of the fixed post 1934, as can be seen in fig. 60-61. The handle 1942 may be biased to a lowered or unengaged position by a handle biasing member 1950 to prevent accidental unlatching of the latch pin 1940. That is, when the handle 1942 is not engaged by a user, the latch rail 1942 is in a lowered position such that the protrusion 1948 of the latch pin 1940 moves to the uppermost and innermost ends of the angled slot 1946 such that the latch pin 1940 is inserted through the latch aperture 1938 of the fixed post 1934.
When the user presses and lifts the handle 1942, as shown in fig. 62-63, the latch rail 1942 moves upward such that the angled slot 1946 engages the protrusion 1948 of the latch pin 1940, thereby moving the latch pin 1940 outward to disengage the latch aperture 1938 of the fixed post 1934, allowing the user to move the extendable post 1932 and platform 1910 vertically. A primary biasing member 1952, such as a spring as shown in FIGS. 60-63, supports or balances the weight of the platform 1910, frame 1920, and any attached rails or delivery system to reduce the force required to move the platform 1910 to a desired height. In some embodiments, the primary biasing member 1952 is configured to provide an upward biasing force that must be overcome to push the platform 1910 downward, ensuring that the platform 1910 moves downward only when the user is expecting and does not drop when the user loses control of the platform 1910.
64-66, the stabilizing base 1900 is shown as having a different visual appearance, but the same mechanism for raising and lowering the platform 1910. The platform 1910 may tilt at a front edge, as shown in fig. 65, or may pivot at a central pivot point 1956, which may include a button 1958 for releasing and locking the pivot point 1956 to allow a user to adjust the tilt angle of the platform 1910 to a desired tilt. In the embodiment shown in fig. 66, the frame may be optional in that the support legs 1930 may be hingably attached directly to the platform 1910.
Referring now to fig. 67-72, an exemplary stabilization base 2000 for supporting a medical device/system is shown. The stabilization base 2000 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal, plastic, and the like. The stabilization base 2000 includes a platform 2010 hingably attached to a frame 2020. Support legs 2030 extend downwardly from frame 2020 to an operating table (not shown) to raise platform 2010 above a patient positioned on the operating table. In some embodiments, a rail system (not shown) is attached to the platform 2010 (or in some embodiments, may be integrally formed on or as part of the platform) and may receive a clamp (not shown) for securing a medical device or system, such as a delivery system or catheter assembly (not shown), to the rail system. In some embodiments, the track system may be attached to the platform 2010 in any suitable manner, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fits, spring loaded clips, hook and loop fasteners, magnets, and the like. In some embodiments, the track system and/or clip is the same as the track system and/or clip disclosed in U.S. provisional patent application No. 63/073392 filed on 9/1/2020 and PCT application No. PCT/US2021/048333 filed on 31/2021, which are incorporated herein by reference in their entirety. The stabilization base 2000 maintains stability by having a wide base for each support leg 2030 that rests on a surface such as a patient table. The support legs 2030 are spaced apart to allow the stabilization base 2000 to span the patient's right leg so that the rails and delivery system can be aligned with the inside of the patient's right thigh and femoral artery.
In some embodiments, the platform 2010 is hingably attached to the frame 2020 by a hinge 2022 attached near one edge of the platform 2010 such that the platform 2010 may be tilted up from the flat position shown in fig. 67-69 to about 10 degrees or about 15 degrees or about 20 degrees above the frame 2020, as seen in fig. 70-72. The placement of the hinge 2022 near the front edge of the platform 2010 enables the platform 2010 to be tilted upward without reducing the height between the platform 2010 and the patient. The pair of cams 2024 may be rotated from the stowed position to the deployed position by turning a knob 2026 on one side of the frame 2020. Cam 2024 engages platform 2010 to raise platform 2010 from a flat position to an inclined position. In some embodiments, cam 2024 may be locked in place in an intermediate position between the stowed and deployed positions to provide additional granularity in the tilted position of platform 2010.
Each support leg 2030 includes an extendable column 2032 attached to the frame 2020 and a fixed column 2034 attached to a base or foot 2036 configured to rest on the table 110. The fixed post 2034 includes a plurality of vertically spaced apart holes 2038 for receiving fasteners 2040 that are inserted through the holes 2038 of the fixed post 2034 and the locating holes 2042 of the extendable post 2032. The height of the platform 2010 may be adjusted by removing the fasteners 2040 in each support leg 2030, repositioning the movable column 2032, and reinstalling the fasteners 2040 through different holes 2038.
Referring now to fig. 73-74, an exemplary stabilization base 2100 for supporting a medical device/system is illustrated. The stabilization base 2100 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal, plastic, and the like. The stabilization pedestal 2100 includes a platform 2110, posts 2120, and a bottom plate 2130. The platform 2110 is supported above the floor 2130 by posts 2120 that extend vertically between the platform 2110 and the floor 2130. In some embodiments, track system 2140 is attached to (or in some embodiments, integrally formed on or as part of) platform 2110 and may receive clamps 2142 for securing a medical device or system, such as delivery system or catheter assembly 114, to track system 2140. Track system 2140 may be attached to platform 2110 in any suitable manner, for example, using fasteners, threaded fasteners, snaps, clips, latches, friction fit, spring loaded clips, hook and loop fasteners, magnets, and the like. In some embodiments, the track system 2140 and/or the clamp 2142 is identical to the track system and/or clamp disclosed in U.S. provisional patent application No. 63/073392 filed on even 1 day 9 of 2020 and/or PCT application No. PCT/US2021/048333 filed on even 31 of 2021, which applications are incorporated herein by reference in their entirety. The stabilization base 2100 maintains stability by having a wide base 2130 resting on a surface such as a patient table.
The bottom plate 2130 may be a generally flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to the stabilization base 2100. The bottom plate may be square, circular, hexagonal, etc. The bottom plate 2130 may be solid or may have a void space within the center of the plate. In some embodiments, the bottom plate 2130 can be a solid rectangular plate. The base plate 2130 may be placed flush with the surface of the table 110 as shown in fig. 1. The patient's legs may rest atop the base 2130 such that the post 2120 extends vertically upward between the patient's legs. The position of the delivery system/catheter assembly 114 relative to the patient may be optimized by adjusting the height of the platform 2110.
The platform 2110 to which the track system 2140 and/or delivery system 114 is attached is supported vertically above the floor 2130 by posts 2120. Platform 2110 may be attached to post 2120 by any suitable means, such as welding, fasteners, and/or adhesive. The platform 2110 is attached to the post 2120 at a fixed angle relative to the base plate 2130, which is the desired angle for deployment of the implantable device.
In some embodiments, post 2120 includes a fixed portion 2122 and a movable portion 2124, and may be any suitable shape, such as square, circular, or oval. The fixed portion 2122 of post 2120 is fixedly attached to base 2130 by any suitable means, such as welding, adhesives, fasteners, clamps, and the like. The movable portion 2124 slides vertically within the fixed portion 2122 in a telescoping fashion to enable the platform 2110 to translate vertically to a desired height. When platform 2110 has been raised or lowered to a desired height, clamp 2126 on fixed portion 2122 of post 2120 is tightened to compress the end of fixed portion 2122 against movable portion 2124 to prevent further movement of movable portion 2124 during use of stable mount 2100. An optional mechanical or gas spring mechanism (not shown) within post 2120 may be used to balance the weight of delivery system 114 and platform 2110 so that the user may more easily adjust the height of platform 2110.
The track system 2140 may be configured to be fully or partially retained by features of the platform 2110 of the stabilization base 2100 such that when the stabilization base 2100 is covered by a sterile barrier (not shown), such as a drape, the track system 2140 may still be attached to the stabilization base 2100. The barrier 112 shown in fig. 1 may be placed between the stabilizing base 2100 and the track system 2140. Track system 2140 may be attached to stabilization base 2100 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between platform 2110 and track system 2140. In some embodiments, track system 2140 may be attached to stabilization base 2100 using magnetic plates or snap-fit connections that do not puncture the sterile barrier. In some embodiments, the horizontal position of the track system 2140 may be adjusted relative to the platform 2110, for example, by sliding the track system 2140 forward and backward relative to the platform 2110.
Referring now to fig. 75-84, an exemplary stabilization base 2200 for supporting a medical device/system is illustrated. Stabilization base 2200 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal, plastic, and the like. Stabilizing base 2200 includes a platform 2210, columns 2220, and a bottom plate 2230. The platform 2210 is supported above the floor 2230 by columns 2220 that extend vertically between the platform 2210 and the floor 2230. In some embodiments, the track system 2240 is attached to (or, in some embodiments, integrally formed on or as part of) the platform 2210, and may receive a clamp 2242 for securing a medical device or system, such as a delivery system or catheter assembly (not shown), to the track system 2240. The track system 2240 may be attached to the platform 2210 in any suitable manner, for example, using fasteners, threaded fasteners, snaps, clips, latches, friction fits, spring loaded clips, hook and loop fasteners, magnets, and the like. In some embodiments, the track system 2240 and/or clamp 2242 is the same as the track system and/or clamp disclosed in U.S. provisional patent application No. 63/073392 filed on even 1 day 9 of 2020 and/or PCT application No. PCT/US2021/048333 filed on even 31 of 2021, which applications are incorporated herein by reference in their entirety. Stabilization base 2200 maintains stability by having a wide floor 2230 resting on a surface, such as a patient table.
Bottom plate 2230 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to stabilization base 2200. The bottom plate may be square, circular, hexagonal, etc. The bottom plate 2230 may be solid or may have a void space within the center of the plate. In some embodiments, the bottom plate 2230 can be a solid rectangular plate. The bottom plate 2230 may be placed flush with the surface of the table 110 as shown in fig. 1. The patient's legs may rest atop the bottom plate 2230 such that the column 2220 extends vertically upward between the patient's legs. The position of the delivery system/catheter assembly relative to the patient may be optimized by adjusting the height of the platform 2210.
The track system 2240 and/or platform 2210 to which the delivery system 114 is attached are supported vertically above the floor 2230 by the columns 2220. In some implementations, the platform 2210 is hingably attached to the movable portion 2224 of the column 2220 such that a user can pivot the platform 2210 between a flat position and an inclined position. Hinge assembly 2250 that connects platform 2210 to post 2220 is shown in an inclined position in fig. 79-81 and in a flat position in fig. 82-84. Hinge assembly 2250 includes a pivot bracket 2252 pivotally connected to a stationary bracket 2254 by a pivot shaft 2256. The pivot brackets 2252 are connected to the platform 2210, and the fixed brackets 2254 are connected to the movable portions 2224 of the columns 2220. The pivot 2256 may be any suitable component or mechanism that allows the pivot bracket 2252 to tilt relative to the stationary bracket 2254, such as shoulder screws, shafts, pins, hinges, etc. as shown in fig. 81 and 84. The pivot and stationary brackets 2252, 2254 may include angled surfaces 2253, 2255, respectively, that provide clearance for rotation of the pivot bracket 2252. The angled surfaces 2253, 2255 may also serve to prevent the platform 2210 from tilting further beyond a predetermined tilt angle.
The pivot brackets 2252 may be locked in an inclined or flat position and may be pivoted by pulling the release lever 2258 to unlock the pivot brackets 2252 so that the platform 2210 may be inclined. The first and second locking pins 2260, 2262 extend through the pivot bracket 2252 into the first and second locking holes 2264, 2266, respectively, to lock the position of the pivot bracket 2252 relative to the fixed bracket 2254. Pulling the release lever 2258 disengages the first and second locking pins 2260, 2262 from the first and second locking holes 2264, 2266. The first locking holes 2264 are arranged such that when the platform 2210 is in the flat position, the first locking pins 2260 align with and engage the first locking holes 2264. The second locking aperture 2266 is disposed lower than the first locking aperture 2264 such that the second locking pin 2262 aligns with and engages the second locking aperture 2266 when the platform 2210 is in the tilted position. Because of the different heights of the locking holes 2264, 2266, only one of the two locking pins 2260, 2262 is engaged at a time.
In some embodiments, the post 2220 includes a fixed portion 2222 and a movable portion 2224, and may be any suitable shape, such as square, circular, or oval. The fixed portion 2222 of the column 2220 is removably attached to the bottom plate 2230 by a clamp 2232 that is fixedly attached to the bottom plate 2230 by any suitable means. The clamp 2232 is opened to receive the fixing portion 2222 of the column 2220 and then is tightened to fix the column 2220 to the base 2230. The movable portion 2224 of the column 2220 slides vertically within the fixed portion 2222 in a telescoping manner to enable the platform 2210 to translate vertically to a desired height. The locking pin 2226 is retracted to allow the movable portion 2224 to move, and the locking pin 2226 is inserted into the locking hole 2228 of the movable portion 2224 to maintain the movable portion 2224 at a desired height. The locking pin 2226 may be biased toward the locking direction to prevent the locking pin 2226 from being accidentally disengaged, thereby preventing the movable part 2224 from being lowered. An optional mechanical or gas spring mechanism (not shown) within the column 2220 may be used to balance the weight of the delivery system 114 and platform 2210 so that a user may more easily adjust the height of the platform 2210 and prevent the platform 2210 from inadvertently falling.
In some embodiments, track system 2240 may be configured to be fully or partially retained by features of platform 2210 of stabilization base 2200 such that when stabilization base 2200 is covered by a sterile barrier (not shown), such as a drape, track system 2240 may still be attached to stabilization base 2200. Barrier 112 shown in fig. 1 may be placed between stabilization base 2200 and track system 2240. Track system 2240 may be attached to stabilization base 2200 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between platform 2210 and track system 2240. For example, track system 2240 may include a fixed jaw 2244 and a movable jaw 2246 for gripping platform 2210. Moveable jaw 2246 may be retracted to allow track system 2240 to be attached to platform 2210 and then tightened against platform 2210 via any suitable clamping mechanism, such as the screw clamps shown. In some embodiments, track system 2240 may be attached to stabilization base 2200 using a magnetic plate or snap-fit connection that does not puncture the sterile barrier. In some embodiments, the horizontal position of track system 2240 may be adjusted relative to platform 2210, for example, by sliding track system 2240 laterally relative to platform 2210.
Referring now to fig. 85-87, an exemplary stabilization base 2300 for supporting a medical device/system is illustrated. The stabilization base 2300 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic. The stabilization base 2300 is configured to attach to a side rail of the operating table 110 and includes a platform 2310, a vertical post 2320, and a horizontal arm 2330. Platform 2310 is supported above table 110 by posts 2320 extending vertically between horizontal arm 2330 and side rails of table 110.
In some embodiments, track system 2340 is attached to platform 2310 (or in some embodiments, integrally formed on or as part of the platform) and may receive a clamp (not shown) for securing a medical device or system, such as delivery system or catheter assembly 114, to track system 2340. To simplify the drawing, the clamps are not shown in fig. 85-87, and may be any of the embodiments described herein. Track system 2340 may be attached to platform 2310 in any suitable manner, for example, using fasteners, threaded fasteners, snaps, clips, latches, friction fit, spring-loaded clips, hook-and-loop fasteners, magnets, and the like. In some embodiments, the track system 2340 and/or clamp is the same as the track system and/or clamp disclosed in U.S. provisional patent application No. 63/073392 filed on even 1 at 9 in 2020 and/or PCT application No. PCT/US2021/048333 filed on even 31 in 2021, which applications are incorporated herein by reference in their entirety. The stabilization base 2300 maintains stability by virtue of the rigidity of the vertical post 2320 and the horizontal arm 2330 attached to the operating table 110.
The rail system 2340 and platform 2310 to which the delivery system 114 is attached are supported vertically above the table 110 by vertical posts 2320 and horizontal arms 2330. In some embodiments, platform 2310 is hingably attached to a carriage 2332 that slides along horizontal arm 2330 via hinge 2312. Platform 2310 may be pitched back and forth via hinge 2312 to tilt platform 2310 and attached track system 2340 and delivery system 114. The carriage 2332 allows the platform 2310 to slide laterally along the horizontal arm 2330 to laterally position the delivery system 114 in alignment with, for example, the right femoral artery of a patient. Hinge 2312 and sled 2332 may include locking devices (not shown), such as set screws or the like, to lock platform 2310 in an inclined state relative to the top of operating table 110. Clamps 2334 may be used to lock the lateral position of carriage 2332 along horizontal rail 2330.
The vertical post 2320 includes a fixed portion 2322 and a movable portion 2324, and may be any suitable shape, such as square, circular, or oval. The movable portion 2324 slides vertically within the fixed portion 2322 in a telescoping manner to enable the horizontal arm 2330 and platform 2310 to translate vertically to a desired height above the platform 110. When platform 2310 has been raised or lowered to a desired height, clamps 2326 on fixed portion 2322 of post 2320 are tightened to engage and prevent further movement of movable portion 2324 during use of stabilization base 2300. An optional mechanical or gas spring mechanism (not shown) within the post 2320 may be used to balance the weight of the delivery system 114, platform 2310, and horizontal arm 2330 so that a user may more easily adjust the height of the platform 2310. The fixed portion 2322 of the vertical column 2320 is removably attached to a side rail of the operating table 110 with a clamp 2328 to enable a user to move the stabilization base 2300 along the length of the table 110.
In some embodiments, the track system 2340 may be configured to be fully or partially retained by features of the platform 2310 of the stabilization base 2300 such that the track system 2340 may still be attached to the stabilization base 2300 when the stabilization base 2300 is covered by a sterile barrier (not shown), such as a drape. The barrier 112 as shown may be placed between the stabilizing base 2300 and the track system 2340. Track system 2340 may be attached to stabilization base 2300 without attachment means, such as fasteners, that would puncture or puncture a sterile barrier disposed between platform 2310 and track system 2340. In some embodiments, the track system 2340 may be attached to the stabilization base 2300 using magnetic plates or snap-fit connections that do not puncture the sterile barrier. In some embodiments, the horizontal position of track system 2340 may be adjusted relative to platform 2310, for example, by sliding track system 2340 relative to platform 2310.
Referring now to fig. 88, an exemplary stabilization base 2400 for supporting a medical device/system is shown. Stabilization base 2400 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic. Stabilization base 2400 is similar to the embodiment shown in fig. 35-36, however, stabilization base 2400 is configured to be attached to both side rails of operating table 110. The stabilization base 2400 includes a carriage 2410, two support posts 2420, and a horizontal arm 2430. The carriage 2410 is supported above the table 110 by posts 2420 that extend from side rails of the table 110 to the horizontal arm 2430.
In some embodiments, the rail system 2440 is slidably attached to the carriage 2410 and can receive a clamp (see fig. 89) to secure a medical device or system, such as the delivery system or catheter assembly 114, to the rail system 2440. To simplify the drawing, the clamps are not shown in fig. 88, and may be any of the embodiments described herein. In some embodiments, the rail system 2440 and/or clamp is identical to the rail system and/or clamp disclosed in U.S. provisional patent application No. 63/073392, filed 9/1/2020, and/or PCT application No. PCT/US2021/048333, filed 8/31/2021, which are incorporated herein by reference in their entirety. Stabilization base 2400 maintains stability by virtue of the rigidity of support post 2420 and horizontal arm 2430 attached to the side rails of operating table 110.
The carriage 2410 to which the rail system 2440 and delivery system 114 are attached is vertically supported above the table 110 by support posts 2420 and horizontal arms 2430. In some embodiments, the carriage 2410 slides along the horizontal arm 2430 to laterally position the delivery system 114 in alignment with, for example, the patient's right femoral artery. The carriage 2410 may include a locking device (not shown), such as a set screw or the like, to lock the lateral position of the carriage 2410 along the horizontal track 2430. The carriage 2410 is tilted or pitched at a fixed angle based on the tilt or pitch angle of the horizontal rail 2430 relative to the top surface of the operating table 110.
In some embodiments, the support posts 2420 each include a vertical portion 2422 and an angled or angled portion 2424, and may be any suitable shape, such as square, circular, or oval. The upright portion 2422 and the angled portion 2424 may be integrally formed from one piece or may be connected in any suitable manner, such as using fasteners, welding, adhesives, mortise and tenon joints, pinning, and the like. The vertical portion 2422 of the support column is slidably attached to the clamp 2426. Clamp 2426 may be attached to or be part of a mount that attaches to a side rail of operating table 110. The clamp 2426 may be released to enable the horizontal arm 2430 and carriage 2410 to translate vertically to a desired height above the table 110. When the carriage 2410 has been raised or lowered to a desired height, the clamp 2426 is tightened to engage and prevent further movement of the support column 2420 during use of the stabilization base 2400. The mounts and included clamps 2428 may be slidably attached to side rails of the operating table 110 to enable a user to move the stabilization base 2400 along the length of the table 110.
In some embodiments, the rail system 2440 can be configured to be fully or partially retained by features of the carriage 2410 of the stabilization base 2400 such that the rail system 2440 can still be attached to the stabilization base 2400 when the stabilization base 2400 is covered by a sterile barrier (not shown), such as a drape. The barrier 112 shown in fig. 1 may be placed between the stabilizing base 2400 and the rail system 2440. The rail system 2440 can be attached to the stabilization base 2400 without attachment devices, such as fasteners, that would puncture or puncture a sterile barrier disposed between the carriage 2410 and the rail system 2440. In some embodiments, the rail system 2440 can be attached to the stabilization base 2400 using magnetic plates or snap-fit connections that do not puncture the sterile barrier. In some embodiments, the horizontal position of the rail system 2440 can be adjusted relative to the platform 2410, for example, by sliding the rail system 2440 forward and backward relative to the platform 2410.
Referring now to fig. 89-90, an exemplary stabilization base 2500 for supporting a medical device/system is illustrated. The stabilization base 2500 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic. Similar to stabilization base 2400 described above, stabilization base 2500 is configured to be attached to two side rails of operating table 110. The stabilization base 2500 includes a platform 2510, two support columns 2520, and a horizontal arm 2530. Platform 2510 is supported above table 110 by posts 2520 extending from side rails of table 110 to horizontal arm 2530.
In some embodiments, rail system 2540 is slidably attached to platform 2510 and may receive clamps 2542 to secure a medical device or system, such as delivery system or catheter assembly 114, to rail system 2540. In some embodiments, the track system 2540 and/or clamp is identical to the track system and/or clamp disclosed in U.S. provisional patent application No. 63/073392, filed 9/1/2020, and/or PCT application No. PCT/US2021/048333, filed 8/31/2021, which are incorporated herein by reference in their entirety. The stabilization base 2500 maintains stability by virtue of the rigidity of the support columns 2520 and horizontal arms 2530 attached to the side rails of the operating table 110.
The platform 2510 to which the track system 2540 and delivery system 114 are attached is supported vertically above the table 110 by support columns 2520 and horizontal arms 2530. In some embodiments, the platform 2510 is rotatably attached to a carriage 2512 that is slidably attached to the horizontal arm 2530 and that can slide along the horizontal arm 2530 to laterally position the delivery system 114 in alignment with, for example, the patient's right femoral artery. The carriage 2512 may include a locking device (not shown), such as a set screw or the like, to lock the lateral position of the carriage 2512 and the platform 2510 along the horizontal rail 2530.
The support columns 2520 may be of any suitable shape, such as square, circular or oval, and each support column 2520 includes a vertical portion 2522 and a movable or pivotable portion 2524 attached to the fixed portion 2522 with a hinge 2526. In some embodiments, the hinge 2526 includes a locking member 2528 that can be actuated to lock the position of the hinge 2526. When the locking member 2528 is disengaged, the movable portion 2524 may be pivoted relative to the fixed portion 2522 to change the orientation of the horizontal arm 2530, and thus the orientation of the platform 2510 and attached track system 2540. That is, the pitch or tilt of the delivery system 114 relative to the top surface of the table 110 may be changed by pivoting the movable portion 2524 of the support column 2520.
In some embodiments, the vertical portion 2522 of the support column is slidably attached to the clamp 2532. The clamp 2532 may be attached to or be part of a mount that is coupled to a side rail of the surgical table 110. The clamp 2532 may be released to enable the horizontal arm 2530 and platform 2510 to translate vertically to a desired height above the table 110. When the platform 2510 has been raised or lowered to a desired height, the clamp 2532 is tightened to engage and prevent further movement of the support column 2520 during use of the stabilization base 2500. The mount and attached clamp 2532 may be slidably attached to side rails of the operating table 110 to enable a user to move the stabilization base 2500 along the length of the table 110.
In some embodiments, the track system 2540 may be configured to be fully or partially retained by features of the carriage 2510 of the stability base 2500 such that the track system 2540 may still be attached to the stability base 2500 when the stability base 2500 is covered by a sterile barrier (not shown), such as a drape. The barrier 112 shown in fig. 1 may be placed between the stability base 2500 and the track system 2540. Track system 2540 may be attached to stabilization base 2500 without attachment devices, such as fasteners, that would puncture or puncture a sterile barrier disposed between platform 2510 and track system 2540. In some embodiments, track system 2540 may be attached to stabilization base 2500 using magnetic plates or snap-fit connections that do not puncture the sterile barrier. In some embodiments, the position of track system 2540 may be adjusted relative to platform 2510, for example, by sliding track system 2540 forward and backward relative to platform 2510.
Referring now to fig. 91-94, an exemplary stabilization base 2600 for supporting a medical device/system is shown. Stabilization base 2600 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic. Stabilization base 2600 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic. Stabilization base 2600 includes a platform 2610, a support frame 2620, and a bottom plate 2630. The platform 2610 is supported above the floor 2630 by a support frame 2620 that extends vertically between the platform 2610 and the floor 2630. In some embodiments, a rail system (not shown) is attached to (or in some embodiments, integrally formed on or as part of) the platform 2610, and may receive a clamp (not shown) for securing a medical device or system, such as a delivery system or catheter assembly, to the rail system. The track system may be attached to the platform 2610 in any suitable manner, for example, using fasteners, threaded fasteners, snaps, clips, latches, friction fit, spring loaded clips, hook and loop fasteners, magnets, and the like. In some embodiments, the track system and/or clip is the same as the track system and/or clip disclosed in U.S. provisional patent application No. 63/073392 filed on day 9, month 1 and/or PCT application No. PCT/US2021/048333 filed on day 8, month 31 of 2021, which applications are incorporated herein by reference in their entirety. Stabilization base 2600 maintains stability by having a wide bottom plate 2630 that rests on a surface such as a patient table.
Bottom plate 2630 may be a substantially flat plate having any suitable shape and size to provide balance and support to the medical device/system secured to stabilization base 2600. The bottom plate may be square, circular, hexagonal, etc. The bottom plate 2630 may be solid or may have a void space within the center of the plate. In some embodiments, bottom plate 2630 may be a solid rectangular plate. The bottom plate 2630 may be placed flush with the surface of the stage 110 as shown in fig. 1. The patient's legs may rest atop the bottom plate 2630 such that the support frame 2620 extends vertically upward between the patient's legs. The position of the delivery system/catheter assembly relative to the patient can be optimized by adjusting the height of the platform 2610.
The platform 2610 to which the rail system and delivery system are attached is supported vertically above the bottom plate 2630 by a support frame 2620. In some embodiments, the support frame 2620 includes a first support bar 2622 and a second support bar 2624. The first support bar 2622 and the second support bar 2624 are pivotably attached to the platform 2610 by an upper bracket 2612. The first support bar 2622 is removably and pivotably attached to the bottom plate 2630 at one of a set of first lower brackets 2632. The second support bar 2622 is removably and pivotally attached to the bottom plate 2630 at one of a set of second lower brackets 2634. Each of the first support bar 2622 and the second support bar 2624 includes a slot 2626 through which the pivot connection 2628 extends. The movable pivot connection 2628 may be any suitable connection between the two grooves 2626 of the first and second support bars 2622, 2624, such as a through-bolt having a knob on one end, as shown in fig. 94, that enables the position of the pivot connection 2628 to be adjusted and locked in place at any location along the length of the grooves 2626.
In some embodiments, the height and tilt angle of the platform 2610 may be changed by alternating the angles of the first and second support bars 2622, 2624 and one or both of the lower brackets 2632, 2634 to which the first or second support bars 2622, 2624 are attached. The first support rod 2622 and the second support rod 2624 may be moved by releasing the movable pivot connection 2628 to allow the movable pivot connection to slide along the groove 2626 in each of the first support rod 2622 and the second support rod 2624. When the desired orientation and height of the platform 2610 is achieved, the pivot connector 2628 is tightened to prevent further movement of the pivot connector 2628 and the first and second support rods 2622, 2624.
As can be seen in fig. 92, in some embodiments, when the first support bar 2622 and the second support bar 2624 are each attached to the lower brackets 2632, 2634 equidistant from the location of the pivot connection 2628, the platform 2610 is flat, i.e., generally parallel to the bottom plate 2630. When the first and second support bars 2622, 2624 are each attached to the innermost lower brackets 2632, 2634, the height of the platform 2610 is highest as shown in fig. 92, and may be reduced by moving the first and second support bars 2622, 2624 to more spaced brackets such as the second or third lower brackets 2632, 2634. When the first support bar 2622 and the second support bar 2624 are attached to the lower brackets 2632, 2634 that are not equally spaced from the position of the pivot connection 2628, the platform 2610 may tilt or pivot away from a horizontal or flat orientation. For example, as can be seen in fig. 93-94, when a first support bar 2622 is attached to the outermost first lower bracket 2632 and a second support bar 2624 is attached to the middle second lower bracket 2634, the platform 2610 is inclined in one direction.
In some embodiments, a rail system (not shown) may be configured to be fully or partially retained by features of platform 2610 of stabilization base 2600 such that the rail system may still be attached to stabilization base 2600 when stabilization base 2600 is covered by a sterile barrier (not shown), such as a drape. The barrier 112 shown may be placed between the stabilization base 2600 and the rail system. The track system may be attached to the stabilization base 2600 without attachment devices, such as fasteners, that would puncture or puncture a sterile barrier disposed between the platform 2610 and the track system. In some embodiments, the rail system may be attached to stabilization base 2600 using a magnetic plate or snap-fit connection that does not puncture the sterile barrier. In some embodiments, the horizontal position of the track system may be adjusted relative to the platform 2610, for example, by sliding the track system forward and backward relative to the platform 2610.
Referring now to fig. 95-104, an exemplary stabilization base 2700 for supporting a medical device/system is shown. The stabilization base 2700 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal or plastic. The stabilization base 2700 includes a platform 2710 hingably attached to extendable support legs 2720. Support legs 2720 extend downwardly from platform 2710 to an operating table (not shown) to raise platform 2710 above a patient positioned on the operating table. In some embodiments, a rail system (not shown) is attached to (or in some embodiments, integrally formed on or as part of) platform 2710, and may receive a clip (not shown) for securing a medical device or system, such as delivery system or catheter assembly 114, to the rail system. The rail system can be attached to the platform 2710 in any suitable manner, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fit, spring loaded clips, hook and loop fasteners, magnets, and the like. In some embodiments, the track system and/or clip is the same as the track system and/or clip disclosed in U.S. provisional patent application No. 63/073392 filed on 9/1/2020 and PCT application No. PCT/US2021/048333 filed on 31/2021, which are incorporated herein by reference in their entirety. In the illustrated embodiment, the platform 2710 has a rectangular shape and support legs 2720 are arranged at corners of the platform 2710 to disperse support points of the platform 2710 to provide stability to the stabilization base 2700. The support legs 2720 are spaced apart to allow the stabilization base 2700 to span the right or left leg of the patient so that the rails and delivery system can be aligned with the medial right thigh and femoral artery or the medial left thigh and femoral artery of the patient.
In some embodiments, support legs 2720 are each pivotable relative to platform 2710 between a deployed position (e.g., fig. 95-96) and a stowed position (fig. 99-100). The support legs 2720 are locked in the deployed position by the struts 2722 and released from the locked deployed position by actuation of a release button 2724 associated with a pair of support legs 2720. In the stowed position, support legs 2720 are folded relative to platform 2710, which may include optional rim 2712 extending at or beyond support legs 2720 to conceal support legs 2720 in the stowed position. As can be seen in fig. 99, the support legs 2720 in the folded or stowed position are aligned end-to-end. Alternatively, the support legs 2720 may be offset from one another such that support legs 2720 attached to opposite sides of the platform 2710 overlap when folded into the stowed or folded position. Referring now to fig. 97-98, depressing one of release buttons 2724 disengages slidable end 2726 of one of struts 2722 from mounting plate 2714 of platform 2710 such that slidable end 2726 can slide laterally within recess 2716 of mounting plate 2714 (see fig. 98) such that the pair of support legs 2720 to which struts 2722 are attached can be folded up toward platform 2710 and into the stowed or folded position shown in fig. 99 and 100.
In some embodiments, the height of the support legs 2720 may be adjusted by rotating one of the first height adjustment knob 2728 or the second height adjustment knob 2730 disposed at one side of the platform 2710. In the illustrated embodiment, a first height adjustment knob 2728 is used to lengthen and shorten the first pair 2732 of support legs 2720, and a second height adjustment knob 2730 is used to lengthen and shorten the second pair 2734 of support legs. That is, turning the first height adjustment knob 2728 lengthens or shortens both support legs 2720 of the first pair 2732 of support legs 2720, and turning the second height adjustment knob 2730 lengthens or shortens both support legs 2720 of the second pair 2734 of support legs 2720. The support legs 2720 are lengthened or shortened by extending and retracting the extendable portions 2736 that terminate in pivot feet 2738. In other words, the extendable portion 2736 may be moved between the retracted position and the extended position by rotation of either the first height adjustment knob 2728 or the second height adjustment knob 2730. The first and second height adjustment knobs 2728, 2730 may optionally include locking means (not shown) for locking the position of the first or second height adjustment knobs 2728, 2730 to prevent unintended adjustment of the height of the support legs 2720.
Referring now to fig. 102, in some embodiments, each of the first and second height adjustment knobs 2728, 2730 is connected to an actuation shaft 2740 that extends through two support legs 2720 of the first or second pairs 2732, 2734 of support legs 2720 that correspond to the first or second height adjustment knobs 2728, 2730. The actuation shaft 2740 extends through a drive gear 2742 disposed in the platform 2710 that engages a driven gear 2744 disposed at an upper end of each support leg 2720. Driven gear 2744 is connected to a threaded extension shaft 2746 that extends axially through each support leg 2720. Extension nut 2748 is threadably connected to threaded extension shaft 2746 and is attached to extendable portion 2738 of support leg 2720. The drive gear 2724 and the driven gear 2744 may be bevel gears or any other gear or mechanism for transmitting rotational movement of the actuation shaft 2740 to rotational movement of the threaded extension shaft 2746 through an angle of about 90 degrees between the actuation shaft 2740 and the threaded extension shaft 2746. It should be noted that the actuation shaft 2740 is aligned with the rotational or pivot axis of the support legs 2720 such that the support legs 2720 can be rotated between the deployed and stowed positions without affecting the extension of the support legs 2720.
Referring now to fig. 103 and 104, in some embodiments, the support legs 2720 in the first pair 2732 and the second pair 2734 can be extended and retracted to change the height and/or tilt of the platform 2710. That is, both the first pair 2732 and the second pair 2734 of support legs 2720 may be lengthened or shortened by the same amount to raise or lower the platform 2710 while maintaining the platform 2710 substantially parallel to the surface on which the stabilizing base 2700 is placed. The platform 2710 may be tiltable by adjusting the length of the first pair 2732 of support legs 2720 to a different length than the length of the second pair 2734 of support legs 2720. As can be seen in fig. 104, shortening the first pair 2732 of support legs 2720 tilts the platform 2710 toward the shortened support legs 2720. Because the threaded extension shaft 2746 of the support leg 2720 is oriented at about a right angle to the actuation shaft 2740, the force applied to the support leg 2720 tends not to rotate the drive gear 2742 or the driven gear 2744. While the first and second height adjustment knobs 2728, 2730 may include an optional locking device (see above), the height of the support legs 2720 tends to remain due to the arrangement of the threaded extension shaft 2746 and the actuation shaft 2740 until adjusted by rotation of one of the first or second height adjustment knobs 2728, 2730.
Referring now to fig. 105-118, an exemplary stabilization base 2800 for supporting a medical device/system is shown. Stabilization base 2800 may incorporate any of the features of the stabilization bases disclosed herein and may be made of any suitable material, such as metal, plastic, and the like. Stabilization base 2800 is similar to stabilization base 2700 and may include any of the features of stabilization base 2700 described above. The stabilization base 2800 includes a platform 2810 hingably attached to extendable support legs 2820. Support legs 2820 extend downwardly from platform 2810 to an operating table (not shown) to raise platform 2810 above a patient positioned on the operating table. In some embodiments, a rail system (not shown) is attached to (or in some embodiments, integrally formed on or as part of) platform 2810 and may receive a clamp (not shown) for securing a medical device or system, such as delivery system or catheter assembly 114, to the rail system. The rail system may be attached to the platform 2810 in any suitable manner, such as using fasteners, threaded fasteners, snaps, clips, latches, friction fit, spring loaded clips, hook and loop fasteners, magnets, and the like. In some embodiments, the track system and/or clip is the same as the track system and/or clip disclosed in U.S. provisional patent application No. 63/073392 filed on 9/1/2020 and PCT application No. PCT/US2021/048333 filed on 31/2021, which are incorporated herein by reference in their entirety. In the illustrated embodiment, platform 2810 has a rectangular shape and support legs 2820 are arranged at corners of platform 2810 to disperse the support points of platform 2810 to provide stability to stabilization base 2800. The support legs 2820 are spaced apart to allow the stabilization base 2800 to span the right or left leg of the patient so that the rails and delivery system can be aligned with the medial right thigh and femoral artery or the medial left thigh and femoral artery of the patient.
In some embodiments, the support legs 2820 are each pivotable relative to the platform 2810 between a deployed position (e.g., fig. 105-106) and a stowed position (fig. 115-118). A bottom cover 2812 attached to the underside of platform 2810 includes an opening 2814 that provides access to a sliding latch member 2816 that can be actuated to allow support legs 2820 to pivot. The bottom cover 2812 may be formed of any suitable material, such as molded or additively manufactured plastic, cast or machined metal, and may be formed as a single piece, multiple pieces, and/or multiple layers of different materials. A retaining member 2848 (fig. 106, 109, 116 and 118) is disposed between the bottom cover 2812 and each support leg 2820 to retain the support legs 2820 in the stowed position. The retaining member or gasket 2848 is sized to form a tight or interference fit between the bottom cover 2812 and the support legs 2820 such that friction between the retaining member 2848 and the support legs 2820 prevents the support legs 2820 from rotating undesirably. The retaining member 2848 may be attached to the bottom cover 2812 in a variety of ways, such as by insertion into a slot in the bottom cover 2812, adhesive, one or more fasteners, induction welding, and the like. The retaining member 2848 may also be formed from one or more protrusions from the bottom cover 2812, which may be the same material as the bottom cover 2812, or may be coated with an elastomeric coating to provide additional friction with the support legs 2820. The retaining member 2848 may take various forms, such as a strap, latch, ball detent, and the like.
Referring now to fig. 109 (showing an enlarged detail view of region 108A of fig. 108) and fig. 110 (showing an enlarged detail view of region 108B of fig. 108), a mechanism for locking and unlocking rotation of support leg 2820 is shown. The rotational snap member 2822 extends between and connects to the support legs 2820 in each of the first pair of support legs 2828 and the second pair of support legs 2830. The rotational catch member 2822 includes a recess 2824 corresponding to the engagement end 2818 of the sliding latch member 2816. The extension member 2826 of the rotational catch member 2822 is captured between the sliding latch member 2816 and the bottom cover 2812, preventing the support leg 2820 from rotating. When the sliding latch member 2816 is retracted in the retraction direction 2844 away from the rotational catch member 2822, the extension member 2826 of the rotational catch member 2822 disengages the engagement end 2818 of the sliding latch member 2816. Thus, the support leg 2820 and the rotational catch member 2822 are rotatable in the folding or stowing direction 2846 from the deployed position to the stowed position. Tightening screw 2850 is shown in fig. 111-112.
Referring now to fig. 111-112, cross-sectional views of an exemplary stabilization base 2800 are shown to reveal tightening screw 2850. Tightening screw 2850 extends through bottom cap 2812 to engage extension member 2826 of rotary catch member 2822, thereby occupying any slot or gap between extension member 2826, bottom cap 2812, and sliding latch member 2816. During manufacture of the stabilization base 2800, when the support legs 2820 are in the open or deployed position, the tightening screws 2850 are tightened to prevent the support legs 2820 from undesirably rotating, which could cause the stabilization base 2800 to swing or move. When the support leg 2820 is rotated to the closed or stowed position, the extension member 2826 moves away from the tightening screw 2850. When the support leg 2820 is again deployed, tightening the screw 2850 stops rotation of the extension member 2826 in the previously determined position. Thus, tightening screw 2850 also serves as a calibration mechanism to calibrate the outermost limit of rotation of support leg 2820. In some embodiments, the portion of the bottom cover 2812 that covers the rotation and extension mechanism of the support leg 2820 has increased rigidity as compared to the rest of the bottom cover 2812 to provide additional support to, for example, the tightening screw 2850 and the rotation catch member 2822. Additional rigidity of one or more portions of the bottom cover 2812 can be provided by adding a layer of rigid material (e.g., a metal plate or sheet) to a relatively more flexible material (e.g., injection molded plastic). As another example, additional rigidity in the desired location may be provided by forming a separate cover piece from die cast metal that abuts or overlaps portions of other pieces of the bottom cover 2812.
In the deployed position, the height of the support leg 2820 may be adjusted by rotating one of the first or second height adjustment knobs 2828, 2830 disposed at one side of the platform 2810. In the illustrated embodiment, a first height adjustment knob 2828 is used to extend and shorten the first pair 2832 of support legs 2820 and a second height adjustment knob 2830 is used to extend and shorten the second pair 2834 of support legs. That is, turning the first height adjustment knob 2828 lengthens or shortens both support legs 2820 of the first pair 2832 of support legs 2820, and turning the second height adjustment knob 2830 lengthens or shortens both support legs 2820 of the second pair 2834 of support legs 2820. The support leg 2820 is lengthened or shortened by extending and retracting an extendable portion 2836 that terminates in a rounded foot 2838. In other words, the extendable portion 2836 may be moved between the retracted position and the extended position by rotation of either the first height adjustment knob 2828 or the second height adjustment knob 2830. The first and second height adjustment knobs 2828, 2830 may optionally include locking means (not shown) for locking the position of either the first or second height adjustment knobs 2828, 2830 to prevent unintended adjustment of the height of the support leg 2820. The mechanism for extending and retracting the support leg 2820 is similar to the actuation shaft 2740 and gears 2742, 2744 of the stabilizing base 2700 shown in fig. 102.
Referring now to fig. 113 and 114, in some embodiments, the support legs 2820 in the first pair 2832 and the second pair 2834 may be extended and retracted to change the height and/or tilt of the platform 2810. That is, both the first pair 2832 and the second pair 2834 of support legs 2820 may be lengthened or shortened by the same amount to raise or lower the platform 2810 while maintaining the platform 2810 substantially parallel to the surface on which the stabilization base 2800 is placed. The extendable portions 2836 of the support legs 2820 may optionally include a scale 2842 (e.g., a ruler as shown in fig. 113-114) to assist the user in measuring the amount of extension of each pair of support legs 2832, 2834 to more easily reproduce the desired angle or height of inclination of the platform 2810. Platform 2810 may be tilted by adjusting the length of the first pair 2832 of support legs 2820 to a different length than the length of the second pair 2834 of support legs 2820. As can be seen in fig. 114, shortening the first pair 2832 of support legs 2820 tilts the platform 2810 toward the shortened support legs 2820. While the first and second height adjustment knobs 2828, 2830 may include optional locking means (see above), the height of the support leg 2820 tends to remain until adjusted by rotation of one of the first or second height adjustment knobs 2828, 2830 due to the arrangement of the threaded extension shaft (not shown) and the actuation shaft 2840 (fig. 109) for extending and retracting the support leg 2820.
While various inventive aspects, concepts and features of the disclosure may be described and illustrated herein as being embodied in combination in the examples shown and described, these various aspects, concepts and features may be used in many alternative embodiments, either alone or in various combinations and subcombinations thereof. All such combinations and sub-combinations are intended to be within the scope of the present application unless explicitly excluded herein. Still further, while various alternative embodiments as to the various aspects, concepts and features of the disclosure, such as alternative materials, structures, configurations, methods, devices and components, alternatives as to form, fit and function, and so on, may be described herein, such descriptions are not intended to be a complete or exhaustive list of available alternative embodiments, whether presently known or later developed. Those skilled in the art may readily adopt one or more of the inventive aspects, concepts or features into additional embodiments and uses within the scope of the present application even if such embodiments are not expressly disclosed herein.
In addition, although some features, concepts or aspects of the disclosure may be described herein as a preferred arrangement or method, such description is not intended to suggest that such feature is required or necessary unless expressly so stated. Still further, exemplary or representative values and ranges may be included to assist in understanding the present application, however, such values and ranges are not to be construed in a limiting sense and are intended to be critical values or ranges only if so expressly stated.
Furthermore, while various aspects, features and concepts may be expressly identified herein as being inventive or forming part of the disclosure, such identification is not intended to be exclusive, but rather there may be inventive aspects, concepts and features that are fully described herein without being expressly identified or identified as such as a part of a specific disclosure, which is instead set forth in the appended claims. The description of an exemplary method or process is not limited to inclusion of all steps as being required in all cases, nor is the order presented to be construed as required or necessary unless expressly so stated. Furthermore, the treatment techniques, methods, operations, steps, etc., described or suggested herein may be performed on a living animal or on a non-living mimetic, such as on a cadaver, cadaver heart, mimetic (e.g., with a body part, tissue, etc., being modeled), etc. The words used in the claims have their full ordinary meaning and are not limited in any way by the description of the embodiments in the specification.

Claims (103)

1. A system for supporting a medical device, the system comprising:
a stabilizing base, comprising:
A bottom plate;
a post attached to the base plate; and
a platform attached to the column;
a stabilization system for receiving the medical device, wherein the stabilization system is removably attachable to the platform; and is also provided with
Wherein the vertical, horizontal and radial positions of the platform are adjustable relative to the base plate.
2. The system of claim 1, wherein the stabilization system is connected to the platform via a metal plate.
3. The system of any one of claims 1-2, wherein the column further comprises an outer portion and an inner portion movably disposed within the outer portion.
4. The system of claim 3, further comprising a gas spring mechanism for adjusting a vertical position of the inner portion of the column.
5. The system of any one of claims 1-2, further comprising a first column plate and a second column plate, wherein the first column plate and the second column plate are parallel to each other and extend vertically downward from the platform on either side of the column.
6. The system of claim 5, further comprising a knob mechanism extending through the first and second post plates and the post.
7. The system of any one of claims 1-2, further comprising a post cover extending downwardly from the platform.
8. The system of claim 7, further comprising a mechanism for controlling the height of the platform relative to the floor.
9. The system of claim 8, wherein the mechanism is an electromechanical mechanism.
10. The system of any one of claims 1 to 9, wherein the stabilization system is a rail system for receiving the medical device, wherein the rail system is removably attachable to the platform.
11. The system of any one of claims 1-10, wherein the medical device is a delivery system couplable to the stabilization system, and the system comprises the delivery system.
12. A system, comprising:
a stabilizing base, comprising:
a bottom plate; and
a post attached to the base plate;
a platform attached to the column, wherein a vertical position, a horizontal position, and a radial position of the platform are adjustable relative to the floor; and
a stabilization system comprising a track system, the stabilization system being removably attachable to the platform; and
a catheter assembly attached to the track system.
13. The system of claim 12, further comprising a valve repair device coupled to the catheter assembly.
14. The system of claim 12, further comprising a replacement valve coupled to the catheter assembly.
15. The system of claim 12, further comprising an annuloplasty band coupled to the catheter assembly.
16. The system of claim 12, the track system being connected to the platform via a metal plate.
17. The system of any one of claims 12 to 16, wherein the column further comprises an outer portion and an inner portion movably disposed within the outer portion.
18. The system of claim 16, further comprising a gas spring mechanism for adjusting a vertical position of the inner portion of the column.
19. The system of any one of claims 12 to 16, further comprising a first column plate and a second column plate, wherein the first column plate and the second column plate are parallel to each other and extend vertically downward from the platform on either side of the column.
20. The system of claim 19, further comprising a knob mechanism extending through the first and second post plates and the post.
21. The system of any one of claims 12 to 16, further comprising a post cover extending downwardly from the platform.
22. The system of claim 21, further comprising a mechanism for controlling a height of the platform relative to the floor.
23. The system of claim 22, wherein the mechanism is an electromechanical mechanism.
24. A system for supporting a medical device, the system comprising:
a stabilizing base, comprising:
a frame; and
at least one rail portion;
a stabilization system for receiving the medical device, wherein the stabilization system is removably attachable to the frame;
wherein the vertical, horizontal and radial positions of the track system are adjustable relative to the frame; and is also provided with
Wherein the stabilization system is movably coupled to the at least one rail portion of the frame.
25. The system of claim 24, wherein the frame further comprises first and second rail portions and first and second support members, wherein the first and second support members are attached to at least one rail member such that a position of the rail portion is adjustable relative to the support members.
26. The system of claim 24, wherein the frame comprises a first support member and a second support member.
27. The system of claim 26, wherein the first and second support members are horizontal bars extending parallel to each other, and wherein the first and second support members are attached to the rail portion such that a vertical position of the rail portion is adjustable relative to the support members.
28. The system of any one of claims 24 to 27, wherein the stabilization system is a rail system for receiving the medical device.
29. The system of any one of claims 24-28, wherein the medical device is a delivery system couplable to the stabilization system, and the system comprises the delivery system.
30. A system, comprising:
a stabilizing base, comprising:
a frame; and
at least one rail portion;
a stabilization system removably attached to the frame and comprising a track system;
wherein the vertical, horizontal and radial positions of the track system are adjustable relative to the frame;
wherein the track system is movably attached to the at least one rail portion of the frame; and
A catheter assembly coupled to the stabilization system.
31. The system of claim 30, further comprising a valve repair device coupled to the catheter assembly.
32. The system of claim 30, further comprising a replacement valve coupled to the catheter assembly.
33. The system of claim 30, further comprising an annuloplasty band coupled to the catheter assembly.
34. The system of claim 33, wherein the frame further comprises first and second rail portions and first and second support members, wherein the first and second support members are attached to at least one rail member such that a position of the rail portion is adjustable relative to the support members.
35. The system of claim 30, wherein the frame comprises a first support member and a second support member.
36. The system of claim 35, wherein the first and second support members are horizontal bars extending parallel to each other, and wherein the first and second support members are attached to the rail portion such that a vertical position of the rail portion is adjustable relative to the support members.
37. A system for supporting a medical device, the system comprising:
a stabilizing base, which comprises
An arm;
a mount configured to attach the arm to an operating table;
a stabilization system for receiving the medical device, wherein the stabilization system is removably attached to the arm, and wherein a vertical position, a horizontal position, and a radial position of the stabilization system are adjustable relative to the mount.
38. The system of claim 37, wherein the arm comprises a first section and a second section movably attached to each other.
39. The system of any one of claims 37 to 38, wherein the stabilization system comprises a rail system for receiving the medical device, wherein the rail system is removably attachable to the arm, and wherein a vertical position, a horizontal position, and a radial position of the rail system are adjustable relative to the mount.
40. The system of any one of claims 37-39, wherein the medical device is a delivery system couplable to the stabilization system, and the system comprises the delivery system.
41. A system, comprising:
A stabilizing base, comprising:
an arm; and
a mount configured to attach the arm to an operating table;
a stabilizing system attached to the arm and comprising a track system;
wherein the vertical, horizontal and radial positions of the track system are adjustable relative to the mount; and
a catheter assembly attached to the track system.
42. The system of claim 41, further comprising a valve repair device coupled to the catheter assembly.
43. The system of claim 41, further comprising a replacement valve coupled to the catheter assembly.
44. The system of claim 41, further comprising an annuloplasty band coupled to the catheter assembly.
45. The stabilizing system of any one of claims 41 to 44, wherein the arm includes a first section and a second section movably attached to one another.
46. A system, comprising:
a stabilizing pad, comprising:
a first ridge and a second ridge;
a channel between the first ridge and the second ridge;
a catheter assembly positionable in the passageway.
47. The system of claim 46, further comprising a valve repair device coupled to the catheter assembly.
48. The system of claim 46, further comprising a replacement valve coupled to the catheter assembly.
49. The system of claim 46, further comprising an annuloplasty band coupled to the catheter assembly.
50. The system of any one of claims 46 to 49, wherein the channel is sized to prevent rotation of the catheter assembly.
51. A stabilization system for supporting a medical device, the stabilization system comprising:
a mat, the mat comprising:
a first wing;
a second wing; and
a channel disposed between the first wing and the second wing; and
a track system secured within the channel.
52. A system, comprising:
a mat, comprising:
a first wing;
a second wing; and
a channel disposed between the first wing and the second wing;
a track disposed in the channel; and
a catheter assembly attached to the track.
53. The system of claim 52, further comprising a valve repair device coupled to the catheter assembly.
54. The system of claim 52, further comprising a replacement valve coupled to the catheter assembly.
55. The system of claim 52, further comprising an annuloplasty band coupled to the catheter assembly.
56. A system for supporting a medical device, the system comprising:
a stabilizing base, comprising:
a plurality of legs; and
a platform attached to the plurality of legs;
a stabilization system for receiving the medical device, wherein the stabilization system is removably attachable to the platform; and is also provided with
Wherein one or more of the plurality of legs is adjustable to change one or more of a vertical position, a horizontal position, and an angular position of the platform.
57. The system of claim 56, wherein said stabilization system is connected to said platform via a metal plate.
58. The system of any one of claims 56-57, wherein one or more of the plurality of legs includes an outer portion and an inner portion movably disposed within the outer portion.
59. The system of claim 58, wherein one or more of the plurality of legs includes a gas spring mechanism for adjusting a vertical position of the inner portion relative to the outer portion.
60. The system of any one of claims 56 to 57, further comprising a first plate and a second plate, wherein the first plate and the second plate are parallel to each other and extend vertically downward from the platform on either side of the platform.
61. The system of claim 60, further comprising a knob mechanism extending through at least one of the first plate and the second plate.
62. The system of any one of claims 56 to 57, further comprising a mechanism for controlling the length of one or more of the plurality of legs.
63. The system of claim 62, wherein the mechanism is an electromechanical mechanism.
64. The system of any one of claims 56-63, wherein the stabilization system is a rail system for receiving the medical device, wherein the rail system is removably attachable to the platform.
65. The system of any one of claims 56-64, wherein the medical device is a delivery system couplable to the stabilization system, and the system comprises the delivery system.
66. The system of any one of claims 56 to 65, wherein the plurality of legs includes a first pair of legs and a second pair of legs.
67. The system of any one of claims 56 to 66, wherein the first and second pairs of legs are foldable between a stowed position and a deployed position.
68. The system of any of claims 56-67, further comprising a first brace for maintaining said first pair of legs in said deployed position and a second brace for maintaining said second pair of legs in said deployed position, wherein said first brace and said second brace are slidably attached to said platform and releasable to facilitate folding of said first pair of legs and said second pair of legs from said deployed position to said stowed position.
69. The system of any one of claims 56 to 68, further comprising a first height adjustment knob for adjusting the height of a leg of the first pair of legs and a second height adjustment knob for adjusting the height of a leg of the second pair of legs.
70. The system of any one of claims 56 to 69, wherein each of the first and second pairs of legs comprises:
an actuating shaft, a pair of driving gears, a pair of driven gears, and a pair of extension shafts; and is also provided with
An extendable portion of each support leg is attached to the extension shaft;
wherein the drive gear is fixedly attached to the actuation shaft and the driven gear is fixedly attached to the extension shaft; and is also provided with
Wherein rotating one of the first and second height adjustment knobs rotates both of the extension shafts via the driving gear and the driven gear to increase and decrease the heights of the support legs.
71. The system of any one of claims 66 to 70, wherein the platform is tiltable by adjusting the height of the first pair of support legs to a height that is lower than the height of the second pair of support legs.
72. The system of any one of claims 56 to 71, wherein each of the support legs comprises a tilting foot.
73. A system for supporting a medical device, the system comprising:
a bottom plate;
first and second struts hingably attached to the base plate, wherein each of the first and second struts includes a longitudinal slot;
a pivot slidable within the slots of the first and second struts; and
a platform including a plurality of first brackets for receiving the upper ends of the first struts and a plurality of second brackets for receiving the upper ends of the second struts;
a stabilization system for receiving the medical device, wherein the stabilization system is removably attachable to the platform; and is also provided with
Wherein the pivot is repositionable in the slots of the first and second braces and the first and second braces are attachable to first and second brackets of the platform to allow the platform to tilt forward.
74. The system of claim 73, wherein the platform is horizontal when the upper ends of the first and second struts are equidistant from the pivot axis.
75. The system of any one of claims 73-74, wherein the platform is inclined when the upper ends of the first and second struts are at different distances from the pivot.
76. The system of any one of claims 73-75, further comprising a hinge mechanism comprising:
a first locking pin for engaging the first locking hole;
a second locking pin for engaging the second locking hole; and
a release lever for disengaging at least one of the first locking pin and the second locking pin from the first locking hole and the second locking hole;
wherein the first locking pin engages the first locking hole when the platform is in a horizontal state; and is also provided with
Wherein the second locking pin engages the second locking hole when the platform is in an inclined state.
77. The system of any one of claims 1 to 23, wherein the column comprises:
a fixed portion extending from the base plate and including a latch pin; and
a movable portion extending from the platform and including a plurality of latch apertures for receiving the latch pins of the fixed portion.
78. The system of claim 75, wherein the fixed portion is removably attached to the base plate with a clamp.
79. The system of any one of claims 73-76, wherein the mount is attached to a side rail of the operating table.
80. The system of claim 79, wherein the mount comprises first and second mounts for attachment to first and second side rails of the operating table.
81. The system of any one of claims 79 to 80, wherein the arm further comprises a vertical portion vertically repositionable relative to the mount.
82. The system of any one of claims 79 to 81, wherein the arm further comprises a vertical portion that is vertically extendable and retractable.
83. The system of any one of claims 81 to 82, wherein the vertical portion comprises a rotatable portion and a repositionable hinge allowing the rotatable portion to pivot relative to a vertical axis of the vertical portion of the arm.
84. The system of claim 83, wherein the hinge includes a clamp for securing the rotatable portion at a desired pivot angle.
85. The system of any one of claims 79 to 84, wherein the arm comprises a horizontal portion and a carriage that slides laterally along the horizontal portion.
86. The system of claim 85, wherein the stabilizing system is attached to the carriage.
87. The system of any one of claims 79 to 86, wherein the system is movable to a stowed state on one side or end of the operating table.
88. The system of any one of claims 79 to 87, wherein a tilt angle of at least a portion of the arm is at a fixed pivot angle relative to a top of the operating table.
89. A system for supporting a medical device, the system comprising:
a stabilizing base, comprising:
a plurality of support columns; and
a frame attached to the plurality of support columns; and
a platform hingably attached to the frame; and
a stabilization system for receiving the medical device, wherein the stabilization system is removably attachable to the platform; and is also provided with
Wherein one or more of the plurality of posts is adjustable to change the vertical position, horizontal position, and/or angular position of the platform.
90. The system of claim 89, wherein the support column comprises a fixed portion and a movable portion, wherein a latch of the movable portion engages a latch hole of the fixed portion to maintain the support column at a desired height.
91. The system of any one of claims 89 to 90, wherein the support column includes a handle for releasing the latch pin to facilitate vertical movement of the movable portion relative to the fixed portion of the support column to vertically move the frame upward and downward.
92. The system of claim 91, wherein moving the handle upward causes the latch pin to move horizontally outward to disengage from a latch hole.
93. The system of any one of claims 89 to 92, wherein the frame can only move vertically when both handles are actuated.
94. The system of any one of claims 89-93, wherein the platform is configured to pivot from a horizontal state to an inclined state.
95. The system of claim 94, wherein the tilted state is about 10 degrees to about 15 degrees higher than the horizontal state.
96. The system of any one of claims 89-95, wherein the frame includes an actuation knob for rotating a cam, wherein the cam is rotatable to engage the platform and pivot the platform from the horizontal state to the tilted state.
97. The system of any one of claims 89-96, wherein a pivot axis of the platform is disposed proximal of a front member of the frame.
98. The system of any one of claims 67 to 72, further comprising a retaining member for retaining each of said plurality of support legs in said stowed position.
99. The system of claim 98, wherein the retaining member is attached to a bottom cover of the platform.
100. The system of any one of claims 98-99, wherein the retaining member comprises a resilient pad.
101. The system of any one of claims 98 to 100, further comprising a latch mechanism for preventing rotation of the first and second pairs of legs when the first and second pairs of legs are in the stowed and deployed positions.
102. The system of claim 101, wherein the latch mechanism comprises:
a rotary snap member extending between the support leg of the first pair of legs and the support leg of the second pair of legs; and
a sliding latch member that engages the rotary catch member to prevent rotation of the rotary catch member.
103. The system of any one of claims 101 to 102, further comprising a tightening screw that engages an extension member of the rotary clasp member.
CN202280032584.3A 2021-03-30 2022-03-24 Medical device support and method of use Pending CN117279590A (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US63/168,204 2021-03-30
US202263301989P 2022-01-21 2022-01-21
US63/301,989 2022-01-21
PCT/US2022/021758 WO2022212172A1 (en) 2021-03-30 2022-03-24 Medical device support and method of use

Publications (1)

Publication Number Publication Date
CN117279590A true CN117279590A (en) 2023-12-22

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