US20030083656A1 - Tissue separator assembly and method - Google Patents
Tissue separator assembly and method Download PDFInfo
- Publication number
- US20030083656A1 US20030083656A1 US10/045,657 US4565701A US2003083656A1 US 20030083656 A1 US20030083656 A1 US 20030083656A1 US 4565701 A US4565701 A US 4565701A US 2003083656 A1 US2003083656 A1 US 2003083656A1
- Authority
- US
- United States
- Prior art keywords
- tissue
- assembly
- distal
- shaft
- separator element
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 238000000034 method Methods 0.000 title claims description 33
- 210000000481 breast Anatomy 0.000 claims description 6
- 238000002224 dissection Methods 0.000 claims description 3
- 206010028980 Neoplasm Diseases 0.000 description 7
- 201000011510 cancer Diseases 0.000 description 5
- 230000004807 localization Effects 0.000 description 5
- 238000001574 biopsy Methods 0.000 description 4
- 230000034994 death Effects 0.000 description 3
- 231100000517 death Toxicity 0.000 description 3
- 238000011275 oncology therapy Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 206010006187 Breast cancer Diseases 0.000 description 1
- 208000026310 Breast neoplasm Diseases 0.000 description 1
- 208000009458 Carcinoma in Situ Diseases 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 230000001010 compromised effect Effects 0.000 description 1
- 238000013016 damping Methods 0.000 description 1
- 238000013399 early diagnosis Methods 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 201000004933 in situ carcinoma Diseases 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 238000010899 nucleation Methods 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 239000012781 shape memory material Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22061—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation for spreading elements apart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2215—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1475—Electrodes retractable in or deployable from a housing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3908—Soft tissue, e.g. breast tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/02—Devices for expanding tissue, e.g. skin tissue
Definitions
- tissue separator assembly including the proximal end assembly, typically a handle, and catheter assembly extending from the proximal end assembly.
- the catheter assembly includes a shaft and an elongate tissue separator element, a distal part of which is movable between a retracted state and an outwardly extending, operational state.
- the proximal end assembly includes a first driver coupled to the tissue separator element and constructed to (1) to move the tissue separator element from the retracted state to the operational state, and (2) automatically rotate the tissue separator element about the axis, whereby a tissue section is separable from the surrounding tissue by the moving tissue separator element.
- tissue separator assembly including the proximal end assembly, typically a handle, and catheter assembly extending from the proximal end assembly.
- the catheter assembly includes a shaft and an elongate tissue separator element, a distal part of which is movable between a retracted state and an outwardly bowed, operational state.
- An energy source is selectively coupled to the tissue separator element.
- the proximal end assembly includes a first driver coupled to the tissue separator element and constructed to (1) to move the tissue separator element from the retracted state to the operational state, and (2) automatically rotate the tissue separator element about the axis, whereby a tissue section is separable from the surrounding tissue by the moving tissue separator element.
- the catheter assembly also includes a tissue holding element at the distal portion of the shaft movable from a retracted condition to an extended, tissue engaging condition so to help secure a separated tissue section to the catheter assembly.
- the catheter assembly further includes a tubular braided element at the distal portion of the shaft movable to a radially expanded state so to surround the tissue separator element and any separated tissue section.
- the proximal end assembly also includes a second driver coupled to the holding element and to the tubular braided element. The second driver is constructed to move the holding element to the extended, tissue engaging condition and move the tubular braided element to the distal, radially expanded state.
- tissue separator assembly including the proximal end assembly, typically a handle, and catheter assembly extending from the proximal end assembly.
- the catheter assembly includes a shaft and a movable tissue separator element.
- the proximal end assembly includes a first driver coupled to the tissue separator element and constructed to drive the tissue separator element through tissue to separate a tissue section from surrounding tissue.
- the catheter assembly also includes a tissue holding element at the distal portion of the shaft movable from a retracted condition to an extended, tissue engaging condition so to help secure a separated tissue section to the catheter assembly.
- the catheter assembly further includes a tubular braided element at the distal portion of the shaft movable to a radially expanded state so to surround the tissue separator element and any separated tissue section.
- the proximal end assembly also includes a second driver coupled to the holding element and to the tubular braided element. The second driver is constructed to move the holding element to the extended, tissue engaging condition and move the tubular braided element to the distal, radially expanded state.
- a further aspect of the invention is directed to a method for creating a tissue section within surrounding tissue.
- the method includes positioning a distal end of a catheter assembly at a target location within a patient.
- An elongate tissue separator element, at the distal end of the catheter assembly, is moved to an outwardly extending, operational state.
- the separator element is automatically rotated about the axis, following at least the start of the separator element moving step, so to separate a tissue section from surrounding tissue.
- the method may also include moving a tissue holding element, located at the distal end of the catheter assembly, from a retracted condition to an extended, tissue engaging condition. Further, the method may include surrounding the separated tissue section with a tubular braided element.
- a still further aspect of the invention is directed to a method for creating a tissue section within surrounding tissue.
- the method includes positioning a distal end of the catheter assembly at a target location within a breast of a patient.
- An elongate tissue separator element, at the distal end of the catheter assembly is moved to a radially extended, outwardly bowed, operational state. Energy is supplied to the separator element.
- the separator element is automatically rotated about the axis, following at least the start of the separator element moving step, so to separate a tissue section from surrounding tissue.
- a tissue holding element, located at the distal end of the catheter assembly is moved from a retracted condition to an extended, tissue engaging condition.
- the separated tissue section is surrounded by a tubular braided element by moving the tubular braided element, located at the distal end of the catheter assembly, from a proximal, radially contracted state to a distal, radially expanded state following the automatically rotating step.
- FIG. 1 is a partially schematic overall view of a tissue separator assembly made according to the invention with portions of the handle removed for clarity;
- FIG. 1A is a simplified cross-sectional view taken along line 1 A- 1 A of FIG. 1 showing the engagement of a pin within a slot in the lead nut mounted to the lead screw;
- FIG. 2 is schematic view of portions of the drive elements of the assembly of FIG. 1;
- FIG. 3 is a simplified cross-sectional view of the catheter assembly taken along line 3 - 3 of FIG. 1;
- FIG. 4 is an oblique view of the housing half of FIG. 1 together with the drive screw, drive nut and an L-shaped actuator connected to and movable with the drive nut;
- FIGS. 5 and 6 show the handle and catheter assembly of FIG. 1 after the actuator has moved from the position of FIG. 1 and the actuator extension has pushed the separator wire pusher screw in a distal direction causing the separator wire to move radially outwardly;
- FIG. 7 is a simplified the end view of the block and the pusher screw just after the pusher screw has exited the slot in the block showing the off-vertical orientation of the pusher screw;
- FIG. 8 illustrates the proximal end of the lead screw, which is visible from outside the housing, and a rotary position indicator marked thereon corresponding to the position of the separator wire in FIG. 10;
- FIGS. 9 and 10 illustrate the structure of FIGS. 5 and 6 after the drive screw has moved the actuator distally causing the lead nut to rotate the lead screw, catheter shaft and separator wire therewith about 540 degrees to create a separated tissue section;
- FIGS. 11 and 12 illustrate the manual actuation of tissue section holding elements
- FIG. 13 is a simplified view of certain of the components of FIG. 12;
- FIG. 14 is a cross-sectional view of the catheter taken along line 14 - 14 of FIG. 13;
- FIGS. 15 and 16 illustrate the manual actuation of a tubular braided element to surround the separated tissue section
- FIG. 17 is a simplified view of certain of the components of FIG. 16.
- FIGS. 1 and 2 illustrate a tissue separator assembly 10 used to separate target tissue from surrounding tissue, typically within a patient's breast. The removal of target tissue may be for diagnostic or therapeutic purposes.
- the assembly 10 includes a catheter assembly 12 extending from a handle 14 . Introduction of catheter assembly 12 into the patient, typically through the skin, is preferably aided by the use of, for example, a trocar or an RF tip to provide a suitable path through the tissue.
- a stepper motor 16 is connected to handle 14 by a drive drive cable 18 and a drive cable connector 20 mounted to the handle housing 22 . Note that in the figures only one-half of handle housing 22 is shown; the other housing half is substantially similar.
- RF energy is supplied to catheter assembly 12 from an RF source 24 , along drive cable 18 and to the interior of handle 14 .
- a controller 26 controls the operation of stepper motor 16 as well as RF source 24 , such as speed of operation and energy level. Controller 26 also receives appropriate feedback signals from handle 14 and catheter assembly 12 , such as tissue temperature, resistance force signals, rotary orientation, and so forth.
- Drive cable 18 is connected to and rotates a drive screw 28 rotatably mounted within handle 14 at a fixed axial location by drive screw supports 30 , 32 .
- a drive nut 34 is threadably mounted to drive screw 28 .
- An L-shaped actuator 36 is secured to drive nut 34 .
- Actuator 36 see FIG. 4, includes a generally horizontal base portion 38 and a generally vertical upright portion 40 sized and configured to move within handle 14 parallel to the axis of drive screw 28 . Therefore, rotation of drive screw 28 by stepper motor 16 causes actuator 36 to slide within housing 22 from the initial position of FIG. 1 to the position of FIG. 10. Reverse and reciprocating movement is also possible.
- Catheter assembly 12 includes in introducer sheath 42 mounted to and extending from housing 22 .
- Catheter assembly 12 also includes an actuator tube 43 , discussed below with reference to FIGS. 14 - 17 , passing through sheath 42 and a shaft 44 passing through tube 43 .
- Shaft 44 has a distal portion 46 extending distally of the distal end 48 of sheath 42 and a proximal portion 50 extending into the interior of handle 14 .
- Proximal portion 50 is secured to and rotates with a lead screw 52 .
- shaft 44 rotates with lead screw 52 .
- Lead screw 52 is mounted within housing 22 in a manner so that it can rotate but not move axially within housing 22 .
- a tissue separator device 54 extends along shaft 44 and has a separator wire portion 56 secured to the distal end 58 of shaft 44 .
- the separator wire 56 is positioned externally of distal portion 46 .
- the majority of tissue separator device 54 is in the form of a wire and extends through an axial bore 60 formed in shaft 44 .
- the separator device 54 has a radially extending pusher screw 62 at its proximal end.
- the proximal end of shaft 44 has an axially extending slot 64 , see FIG. 2, through which pusher screw 62 extends. Accordingly, pushing pusher screw 62 distally, that is to the left in the figures, causes tissue separator wire 56 to move outwardly from its radially contracted condition of FIG.
- wire 56 is supplied with RF energy from RF source 24 .
- Other applications of energy such as mechanical reciprocation or mechanical vibration, can also be used.
- the axial movement of pusher screw 62 is caused by the axial movement of actuator 36 .
- Actuator 36 has an extension 66 extending distally from upright portion 40 .
- Extension 66 has a downwardly formed distal end 68 aligned with pusher screw 62 .
- the initial axial movement of actuator 40 caused by the rotation of drive screw 28 by stepper motor 16 , closes a small gap 70 (see FIG. 2) between distal end 68 and pusher screw 62 . This small gap permits the initiation of an electrosurgical arc prior to the outwardly radial movement of separator wire 56 .
- Continued distal movement of actuator 36 moves pusher screw 62 distally causing separator wire 56 to bow outwardly to the position of FIGS. 5 and 6.
- FIGS. 5 and 6 show the use of a support block 72 , which is a part of housing 22 , to support the distal end of lead screw 52 and the proximal end of shaft 44 .
- Support block 72 has an axially extending slot 74 , see FIGS. 5 and 7, which initially houses pusher screw 62 .
- pusher screw 62 exits slot 74 and the distal end 68 of extension 66 , which has a chamfered face, causes pusher screw 62 , along with shaft 44 , to begin rotating to the off-vertical position of FIG. 7.
- upright portion 40 of actuator 36 closes gap 73 (see FIG.
- Assembly 10 is configured so that shaft 44 rotates about 540 degrees to ensure a tissue section 80 is completely separated from the surrounding tissue by the passage of separator wire 56 through the tissue.
- the radial position of separator wire 56 can be easily determined by looking at the proximal end 82 of lead screw 52 , which is exposed through housing 22 . See FIG. 8.
- Proximal end 82 has a rotary position indicator 84 formed thereon corresponding to the rotary position of separator wire 56 .
- Assembly 10 also includes a T-pusher device 86 having a pair of pusher tabs 88 extending laterally outwardly from slots formed in housing 22 . See FIGS. 11 - 13 . After shaft 44 has completed its rotation, the user begins pushing tabs 88 distally. This causes an extension 90 of device 86 to rotate a flipper cam 92 about a pivot pin 94 ; flipper cam 92 is connected to the proximal ends of a pair of tissue section holding elements 96 . Holding elements 96 are in the form of wires passing through axial bores 98 formed in shaft 44 as shown in FIG. 3.
- holding elements 96 are preformed hook wires 100 , preferably made of a shape memory material such as nitinol, which pass through openings formed in distal portion 46 of shaft 44 and engage separated tissue section 80 to help secure tissue section 80 to distal portion 46 of shaft 44 .
- a shape memory material such as nitinol
- Device 86 includes a distal end 102 connected to the proximal end of actuator tube 43 .
- the movement of device 86 causes tube 43 to move distally within introducer sheath 42 .
- a tubular braided element 104 see FIGS. 14 - 17 , secured to the distal end of actuator tube 43 , is still fully housed within sheath 42 .
- Further distal movement of device 86 causes tubular braided element 104 to extend outwardly past distal end 48 of sheath 42 to the position of FIGS. 15 - 17 .
- tubular braided element 104 The purpose of tubular braided element 104 is to surround separated tissue section 80 by passing along the dissection plane between the separated tissue section and the surrounding tissue.
- the open outer end 106 of element 104 naturally expands radially as it is pushed axially through the tissue.
- shaft 44 has an outwardly tapered guide surface 108 , formed on a guide element 110 , positioned adjacent to distal end 48 of introducer shaft 42 .
- Guide element 110 has a slot in its proximal surface into which the proximal end of separator wire 56 passes when in the radially expanded condition of FIG. 9; this helps to keep separator wire 56 from folding over during rotation.
- outer end 106 of tubular braided element 104 could include a drawstring or other type of closure element.
- the separated tissue section 80 now substantially enclosed within tubular braided element 104 and secured to distal portion 46 of shaft 44 by hook wires 100 , may be removed from the patient.
- separated tissue section 80 retains most if not all of its physical integrity once removed from the patient. Also, the use of tubular braided element 104 , especially when it is sealed or otherwise impermeable to the passage of material, helps to reduce the possibility of seeding diseased tissue along the tissue tract during removal of separated tissue section 80 .
- a target tissue localization device such as disclosed in U.S. Pat. No. 6,179,860, may be incorporated into assembly 10 ; such a localization device would be deployed, as indicated by dashed lines 112 in FIG. 1 and localization device actuator shaft 114 in FIG. 18, after placement of distal portion 46 of shaft 44 at the target site and would be used to help stabilize the assembly and also help contain, in conjunction with a tubular braided element 104 , separated tissue section 80 .
- Lead screw 52 could be hollow to permit actuator shaft 114 , or other medical devices, to pass therethrough and into a lumen within shaft 44 .
- stepper motor 16 drive screw 28 and drive nut 34
- other driving mechanisms such as spring driven drivers with appropriately configured escape mechanisms and/or movement damping devices, could be used.
- shaft 44 does not begin to rotate until after separator wire 56 has reached its fully radially extended state. In some situations it may be desired to begin rotating shaft 44 before and/or during the outward movement of separator wire 56 .
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Surgical Instruments (AREA)
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/045,657 US20030083656A1 (en) | 2000-11-07 | 2001-11-07 | Tissue separator assembly and method |
US10/374,584 US20030204188A1 (en) | 2001-11-07 | 2003-02-25 | Tissue separating and localizing catheter assembly |
US11/434,632 US7846159B2 (en) | 2000-11-07 | 2006-05-15 | Tissue separating and localizing catheter assembly |
US13/865,611 US9211130B2 (en) | 2000-06-05 | 2013-04-18 | Tissue separating catheter assembly and method |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US24641300P | 2000-11-07 | 2000-11-07 | |
US10/045,657 US20030083656A1 (en) | 2000-11-07 | 2001-11-07 | Tissue separator assembly and method |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/374,584 Continuation-In-Part US20030204188A1 (en) | 2000-06-05 | 2003-02-25 | Tissue separating and localizing catheter assembly |
Publications (1)
Publication Number | Publication Date |
---|---|
US20030083656A1 true US20030083656A1 (en) | 2003-05-01 |
Family
ID=22930569
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/045,657 Abandoned US20030083656A1 (en) | 2000-06-05 | 2001-11-07 | Tissue separator assembly and method |
US10/212,467 Expired - Fee Related US7150712B2 (en) | 2000-11-07 | 2002-08-05 | Target tissue localization assembly and method |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/212,467 Expired - Fee Related US7150712B2 (en) | 2000-11-07 | 2002-08-05 | Target tissue localization assembly and method |
Country Status (4)
Country | Link |
---|---|
US (2) | US20030083656A1 (zh) |
EP (1) | EP1341435A4 (zh) |
JP (1) | JP4180382B2 (zh) |
WO (2) | WO2002064012A2 (zh) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040167511A1 (en) * | 2003-02-25 | 2004-08-26 | Artemis Medical, Inc. | Tissue separating catheter assembly and method |
US20050038462A1 (en) * | 1998-04-08 | 2005-02-17 | Senorx, Inc. | Dilation devices and methods for removing tissue specimens |
US20060293654A1 (en) * | 2000-11-07 | 2006-12-28 | Artemis Medical, Inc. | Tissue separating and localizing catheter assembly |
US20080294361A1 (en) * | 2007-05-24 | 2008-11-27 | Popp Shane M | Intelligent execution system for the monitoring and execution of vaccine manufacturing |
US9642645B2 (en) | 2013-03-13 | 2017-05-09 | Boston Scientific Scimed, Inc. | Tissue cutting devices and methods |
US20230181187A1 (en) * | 2021-08-20 | 2023-06-15 | Covidien Lp | Small diameter linear surgical stapling apparatus |
Families Citing this family (307)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8795332B2 (en) | 2002-09-30 | 2014-08-05 | Ethicon, Inc. | Barbed sutures |
US6006134A (en) | 1998-04-30 | 1999-12-21 | Medtronic, Inc. | Method and device for electronically controlling the beating of a heart using venous electrical stimulation of nerve fibers |
US8845711B2 (en) | 2007-10-19 | 2014-09-30 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage and related systems and methods |
US5931855A (en) | 1997-05-21 | 1999-08-03 | Frank Hoffman | Surgical methods using one-way suture |
US7955340B2 (en) | 1999-06-25 | 2011-06-07 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US7618426B2 (en) | 2002-12-11 | 2009-11-17 | Usgi Medical, Inc. | Apparatus and methods for forming gastrointestinal tissue approximations |
US8579966B2 (en) | 1999-11-17 | 2013-11-12 | Medtronic Corevalve Llc | Prosthetic valve for transluminal delivery |
US8016877B2 (en) | 1999-11-17 | 2011-09-13 | Medtronic Corevalve Llc | Prosthetic valve for transluminal delivery |
US7018406B2 (en) | 1999-11-17 | 2006-03-28 | Corevalve Sa | Prosthetic valve for transluminal delivery |
US6391048B1 (en) | 2000-01-05 | 2002-05-21 | Integrated Vascular Systems, Inc. | Integrated vascular device with puncture site closure component and sealant and methods of use |
US9579091B2 (en) | 2000-01-05 | 2017-02-28 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
US7842068B2 (en) | 2000-12-07 | 2010-11-30 | Integrated Vascular Systems, Inc. | Apparatus and methods for providing tactile feedback while delivering a closure device |
US8758400B2 (en) | 2000-01-05 | 2014-06-24 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
US6461364B1 (en) | 2000-01-05 | 2002-10-08 | Integrated Vascular Systems, Inc. | Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use |
US8241274B2 (en) | 2000-01-19 | 2012-08-14 | Medtronic, Inc. | Method for guiding a medical device |
US7749245B2 (en) | 2000-01-27 | 2010-07-06 | Medtronic, Inc. | Cardiac valve procedure methods and devices |
US6692513B2 (en) | 2000-06-30 | 2004-02-17 | Viacor, Inc. | Intravascular filter with debris entrapment mechanism |
US7321677B2 (en) * | 2000-05-09 | 2008-01-22 | Paieon Inc. | System and method for three-dimensional reconstruction of an artery |
US20020022860A1 (en) | 2000-08-18 | 2002-02-21 | Borillo Thomas E. | Expandable implant devices for filtering blood flow from atrial appendages |
WO2002019922A1 (en) | 2000-09-08 | 2002-03-14 | Coleman James E | Surgical stapler |
US6626918B1 (en) * | 2000-10-06 | 2003-09-30 | Medical Technology Group | Apparatus and methods for positioning a vascular sheath |
US7211101B2 (en) | 2000-12-07 | 2007-05-01 | Abbott Vascular Devices | Methods for manufacturing a clip and clip |
US8690910B2 (en) | 2000-12-07 | 2014-04-08 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US6695867B2 (en) | 2002-02-21 | 2004-02-24 | Integrated Vascular Systems, Inc. | Plunger apparatus and methods for delivering a closure device |
US6623510B2 (en) | 2000-12-07 | 2003-09-23 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US7905900B2 (en) | 2003-01-30 | 2011-03-15 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
IES20010547A2 (en) | 2001-06-07 | 2002-12-11 | Christy Cummins | Surgical Staple |
US7056331B2 (en) | 2001-06-29 | 2006-06-06 | Quill Medical, Inc. | Suture method |
US7544206B2 (en) | 2001-06-29 | 2009-06-09 | Medtronic, Inc. | Method and apparatus for resecting and replacing an aortic valve |
US8771302B2 (en) | 2001-06-29 | 2014-07-08 | Medtronic, Inc. | Method and apparatus for resecting and replacing an aortic valve |
US8623077B2 (en) | 2001-06-29 | 2014-01-07 | Medtronic, Inc. | Apparatus for replacing a cardiac valve |
FR2826863B1 (fr) | 2001-07-04 | 2003-09-26 | Jacques Seguin | Ensemble permettant la mise en place d'une valve prothetique dans un conduit corporel |
FR2828091B1 (fr) | 2001-07-31 | 2003-11-21 | Seguin Jacques | Ensemble permettant la mise en place d'une valve prothetique dans un conduit corporel |
US7097659B2 (en) | 2001-09-07 | 2006-08-29 | Medtronic, Inc. | Fixation band for affixing a prosthetic heart valve to tissue |
US8721713B2 (en) * | 2002-04-23 | 2014-05-13 | Medtronic, Inc. | System for implanting a replacement valve |
ATE417549T1 (de) | 2002-06-04 | 2009-01-15 | Abbott Vascular Inc | Chirurgische klemme und anbringungsvorrichtung zur gefässwundverschliessung |
US6773450B2 (en) * | 2002-08-09 | 2004-08-10 | Quill Medical, Inc. | Suture anchor and method |
US8100940B2 (en) | 2002-09-30 | 2012-01-24 | Quill Medical, Inc. | Barb configurations for barbed sutures |
US20040088003A1 (en) * | 2002-09-30 | 2004-05-06 | Leung Jeffrey C. | Barbed suture in combination with surgical needle |
US8123698B2 (en) * | 2002-10-07 | 2012-02-28 | Suros Surgical Systems, Inc. | System and method for minimally invasive disease therapy |
WO2004043240A2 (en) * | 2002-11-13 | 2004-05-27 | Artemis Medical, Inc. | Devices and methods for controlling initial movement of an electrosurgical electrode |
EP2110094B1 (en) | 2002-11-18 | 2012-06-27 | Bard Peripheral Vascular, Inc. | Apparatus and method for implanting a preloaded localization wire |
US7942898B2 (en) | 2002-12-11 | 2011-05-17 | Usgi Medical, Inc. | Delivery systems and methods for gastric reduction |
US7942884B2 (en) | 2002-12-11 | 2011-05-17 | Usgi Medical, Inc. | Methods for reduction of a gastric lumen |
US8905937B2 (en) | 2009-02-26 | 2014-12-09 | Integrated Vascular Systems, Inc. | Methods and apparatus for locating a surface of a body lumen |
US8821534B2 (en) | 2010-12-06 | 2014-09-02 | Integrated Vascular Systems, Inc. | Clip applier having improved hemostasis and methods of use |
US8758398B2 (en) | 2006-09-08 | 2014-06-24 | Integrated Vascular Systems, Inc. | Apparatus and method for delivering a closure element |
US8398656B2 (en) | 2003-01-30 | 2013-03-19 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8202293B2 (en) | 2003-01-30 | 2012-06-19 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8308765B2 (en) | 2004-05-07 | 2012-11-13 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
US8216252B2 (en) | 2004-05-07 | 2012-07-10 | Usgi Medical, Inc. | Tissue manipulation and securement system |
US20120289859A9 (en) * | 2003-08-27 | 2012-11-15 | Nicoson Zachary R | System and method for minimally invasive disease therapy |
US8172770B2 (en) * | 2005-09-28 | 2012-05-08 | Suros Surgical Systems, Inc. | System and method for minimally invasive disease therapy |
US9579194B2 (en) | 2003-10-06 | 2017-02-28 | Medtronic ATS Medical, Inc. | Anchoring structure with concave landing zone |
US7186265B2 (en) * | 2003-12-10 | 2007-03-06 | Medtronic, Inc. | Prosthetic cardiac valves and systems and methods for implanting thereof |
US7361180B2 (en) | 2004-05-07 | 2008-04-22 | Usgi Medical, Inc. | Apparatus for manipulating and securing tissue |
US7347863B2 (en) | 2004-05-07 | 2008-03-25 | Usgi Medical, Inc. | Apparatus and methods for manipulating and securing tissue |
US7445631B2 (en) | 2003-12-23 | 2008-11-04 | Sadra Medical, Inc. | Methods and apparatus for endovascularly replacing a patient's heart valve |
US8343213B2 (en) | 2003-12-23 | 2013-01-01 | Sadra Medical, Inc. | Leaflet engagement elements and methods for use thereof |
US9526609B2 (en) | 2003-12-23 | 2016-12-27 | Boston Scientific Scimed, Inc. | Methods and apparatus for endovascularly replacing a patient's heart valve |
WO2005062980A2 (en) | 2003-12-23 | 2005-07-14 | Sadra Medical, Inc. | Repositionable heart valve |
US7329279B2 (en) | 2003-12-23 | 2008-02-12 | Sadra Medical, Inc. | Methods and apparatus for endovascularly replacing a patient's heart valve |
US7748389B2 (en) * | 2003-12-23 | 2010-07-06 | Sadra Medical, Inc. | Leaflet engagement elements and methods for use thereof |
US7824443B2 (en) | 2003-12-23 | 2010-11-02 | Sadra Medical, Inc. | Medical implant delivery and deployment tool |
US8579962B2 (en) | 2003-12-23 | 2013-11-12 | Sadra Medical, Inc. | Methods and apparatus for performing valvuloplasty |
US8052749B2 (en) * | 2003-12-23 | 2011-11-08 | Sadra Medical, Inc. | Methods and apparatus for endovascular heart valve replacement comprising tissue grasping elements |
US9005273B2 (en) | 2003-12-23 | 2015-04-14 | Sadra Medical, Inc. | Assessing the location and performance of replacement heart valves |
US20050137696A1 (en) * | 2003-12-23 | 2005-06-23 | Sadra Medical | Apparatus and methods for protecting against embolization during endovascular heart valve replacement |
US20120041550A1 (en) | 2003-12-23 | 2012-02-16 | Sadra Medical, Inc. | Methods and Apparatus for Endovascular Heart Valve Replacement Comprising Tissue Grasping Elements |
US11278398B2 (en) | 2003-12-23 | 2022-03-22 | Boston Scientific Scimed, Inc. | Methods and apparatus for endovascular heart valve replacement comprising tissue grasping elements |
US20050137686A1 (en) * | 2003-12-23 | 2005-06-23 | Sadra Medical, A Delaware Corporation | Externally expandable heart valve anchor and method |
US20050137687A1 (en) | 2003-12-23 | 2005-06-23 | Sadra Medical | Heart valve anchor and method |
US8287584B2 (en) | 2005-11-14 | 2012-10-16 | Sadra Medical, Inc. | Medical implant deployment tool |
US8182528B2 (en) | 2003-12-23 | 2012-05-22 | Sadra Medical, Inc. | Locking heart valve anchor |
US7824442B2 (en) | 2003-12-23 | 2010-11-02 | Sadra Medical, Inc. | Methods and apparatus for endovascularly replacing a heart valve |
US20050137694A1 (en) | 2003-12-23 | 2005-06-23 | Haug Ulrich R. | Methods and apparatus for endovascularly replacing a patient's heart valve |
US8840663B2 (en) | 2003-12-23 | 2014-09-23 | Sadra Medical, Inc. | Repositionable heart valve method |
US7381219B2 (en) | 2003-12-23 | 2008-06-03 | Sadra Medical, Inc. | Low profile heart valve and delivery system |
US7959666B2 (en) * | 2003-12-23 | 2011-06-14 | Sadra Medical, Inc. | Methods and apparatus for endovascularly replacing a heart valve |
US7780725B2 (en) | 2004-06-16 | 2010-08-24 | Sadra Medical, Inc. | Everting heart valve |
US20050137691A1 (en) * | 2003-12-23 | 2005-06-23 | Sadra Medical | Two piece heart valve and anchor |
US8603160B2 (en) | 2003-12-23 | 2013-12-10 | Sadra Medical, Inc. | Method of using a retrievable heart valve anchor with a sheath |
ITTO20040135A1 (it) | 2004-03-03 | 2004-06-03 | Sorin Biomedica Cardio Spa | Protesi valvolare cardiaca |
US7703459B2 (en) | 2004-03-09 | 2010-04-27 | Usgi Medical, Inc. | Apparatus and methods for mapping out endoluminal gastrointestinal surgery |
BRPI0510107A (pt) | 2004-04-23 | 2007-09-25 | 3F Therapeutics Inc | válvula protéica implantável |
US8257394B2 (en) | 2004-05-07 | 2012-09-04 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
US7736374B2 (en) | 2004-05-07 | 2010-06-15 | Usgi Medical, Inc. | Tissue manipulation and securement system |
JP5340593B2 (ja) | 2004-05-14 | 2013-11-13 | エシコン・エルエルシー | 縫合方法および装置 |
IES20040368A2 (en) | 2004-05-25 | 2005-11-30 | James E Coleman | Surgical stapler |
US7736379B2 (en) | 2004-06-09 | 2010-06-15 | Usgi Medical, Inc. | Compressible tissue anchor assemblies |
US7695493B2 (en) | 2004-06-09 | 2010-04-13 | Usgi Medical, Inc. | System for optimizing anchoring force |
US8206417B2 (en) | 2004-06-09 | 2012-06-26 | Usgi Medical Inc. | Apparatus and methods for optimizing anchoring force |
US20060052867A1 (en) | 2004-09-07 | 2006-03-09 | Medtronic, Inc | Replacement prosthetic heart valve, system and method of implant |
US8442623B2 (en) * | 2004-10-13 | 2013-05-14 | Suros Surgical Systems, Inc. | Site marker visible under multiple modalities |
US20060079805A1 (en) * | 2004-10-13 | 2006-04-13 | Miller Michael E | Site marker visable under multiple modalities |
US8060183B2 (en) * | 2004-10-13 | 2011-11-15 | Suros Surgical Systems, Inc. | Site marker visible under multiple modalities |
US8280486B2 (en) | 2004-10-13 | 2012-10-02 | Suros Surgical Systems, Inc. | Site marker visable under multiple modalities |
US8562672B2 (en) | 2004-11-19 | 2013-10-22 | Medtronic, Inc. | Apparatus for treatment of cardiac valves and method of its manufacture |
US8409111B2 (en) * | 2004-11-22 | 2013-04-02 | Bard Peripheral Vascular, Inc. | Removable localizing wire |
DE102005003632A1 (de) | 2005-01-20 | 2006-08-17 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Katheter für die transvaskuläre Implantation von Herzklappenprothesen |
ITTO20050074A1 (it) | 2005-02-10 | 2006-08-11 | Sorin Biomedica Cardio Srl | Protesi valvola cardiaca |
US7962208B2 (en) | 2005-04-25 | 2011-06-14 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing during revascularization |
US7914569B2 (en) | 2005-05-13 | 2011-03-29 | Medtronics Corevalve Llc | Heart valve prosthesis and methods of manufacture and use |
US8926633B2 (en) | 2005-06-24 | 2015-01-06 | Abbott Laboratories | Apparatus and method for delivering a closure element |
US8313497B2 (en) | 2005-07-01 | 2012-11-20 | Abbott Laboratories | Clip applier and methods of use |
US7712606B2 (en) | 2005-09-13 | 2010-05-11 | Sadra Medical, Inc. | Two-part package for medical implant |
US20070078510A1 (en) | 2005-09-26 | 2007-04-05 | Ryan Timothy R | Prosthetic cardiac and venous valves |
US20080200834A1 (en) * | 2005-09-28 | 2008-08-21 | Mark Joseph L | Introducer device for improved imaging |
US20070213813A1 (en) | 2005-12-22 | 2007-09-13 | Symetis Sa | Stent-valves for valve replacement and associated methods and systems for surgery |
US9078781B2 (en) * | 2006-01-11 | 2015-07-14 | Medtronic, Inc. | Sterile cover for compressible stents used in percutaneous device delivery systems |
WO2007097983A2 (en) | 2006-02-14 | 2007-08-30 | Sadra Medical, Inc. | Systems and methods for delivering a medical implant |
EP2004095B1 (en) | 2006-03-28 | 2019-06-12 | Medtronic, Inc. | Prosthetic cardiac valve formed from pericardium material and methods of making same |
US7524331B2 (en) * | 2006-04-06 | 2009-04-28 | Medtronic Vascular, Inc. | Catheter delivered valve having a barrier to provide an enhanced seal |
US7740655B2 (en) * | 2006-04-06 | 2010-06-22 | Medtronic Vascular, Inc. | Reinforced surgical conduit for implantation of a stented valve therein |
US20070239269A1 (en) * | 2006-04-07 | 2007-10-11 | Medtronic Vascular, Inc. | Stented Valve Having Dull Struts |
US20070244544A1 (en) * | 2006-04-14 | 2007-10-18 | Medtronic Vascular, Inc. | Seal for Enhanced Stented Valve Fixation |
US20070244545A1 (en) * | 2006-04-14 | 2007-10-18 | Medtronic Vascular, Inc. | Prosthetic Conduit With Radiopaque Symmetry Indicators |
US20070244546A1 (en) * | 2006-04-18 | 2007-10-18 | Medtronic Vascular, Inc. | Stent Foundation for Placement of a Stented Valve |
US8808310B2 (en) | 2006-04-20 | 2014-08-19 | Integrated Vascular Systems, Inc. | Resettable clip applier and reset tools |
US8556930B2 (en) | 2006-06-28 | 2013-10-15 | Abbott Laboratories | Vessel closure device |
US8870916B2 (en) | 2006-07-07 | 2014-10-28 | USGI Medical, Inc | Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use |
US8834564B2 (en) | 2006-09-19 | 2014-09-16 | Medtronic, Inc. | Sinus-engaging valve fixation member |
US11304800B2 (en) | 2006-09-19 | 2022-04-19 | Medtronic Ventor Technologies Ltd. | Sinus-engaging valve fixation member |
US8348996B2 (en) | 2006-09-19 | 2013-01-08 | Medtronic Ventor Technologies Ltd. | Valve prosthesis implantation techniques |
DK2083901T3 (en) | 2006-10-16 | 2018-02-26 | Medtronic Ventor Tech Ltd | TRANSAPICAL DELIVERY SYSTEM WITH VENTRICULO-ARTERIAL OVERFLOW BYPASS |
JP5593545B2 (ja) | 2006-12-06 | 2014-09-24 | メドトロニック シーブイ ルクセンブルク エス.アー.エール.エル. | 弁輪に固定された自己拡張型弁の経心尖的送達のためのシステムおよび方法 |
WO2008103280A2 (en) | 2007-02-16 | 2008-08-28 | Medtronic, Inc. | Delivery systems and methods of implantation for replacement prosthetic heart valves |
US8915943B2 (en) * | 2007-04-13 | 2014-12-23 | Ethicon, Inc. | Self-retaining systems for surgical procedures |
US7896915B2 (en) | 2007-04-13 | 2011-03-01 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
FR2915087B1 (fr) | 2007-04-20 | 2021-11-26 | Corevalve Inc | Implant de traitement d'une valve cardiaque, en particulier d'une valve mitrale, materiel inculant cet implant et materiel de mise en place de cet implant. |
US8858490B2 (en) | 2007-07-18 | 2014-10-14 | Silk Road Medical, Inc. | Systems and methods for treating a carotid artery |
EP2497520B1 (en) | 2007-07-18 | 2022-04-13 | Silk Road Medical, Inc. | Systems for establishing retrograde carotid arterial blood flow |
US8747458B2 (en) | 2007-08-20 | 2014-06-10 | Medtronic Ventor Technologies Ltd. | Stent loading tool and method for use thereof |
ES2398779T3 (es) | 2007-09-27 | 2013-03-21 | Ethicon Llc | Suturas de auto-retención que incluyen elementos de retención a tejido con resistencia mejorada |
US10856970B2 (en) | 2007-10-10 | 2020-12-08 | Medtronic Ventor Technologies Ltd. | Prosthetic heart valve for transfemoral delivery |
US20090138079A1 (en) * | 2007-10-10 | 2009-05-28 | Vector Technologies Ltd. | Prosthetic heart valve for transfemoral delivery |
US9848981B2 (en) | 2007-10-12 | 2017-12-26 | Mayo Foundation For Medical Education And Research | Expandable valve prosthesis with sealing mechanism |
US8893947B2 (en) | 2007-12-17 | 2014-11-25 | Abbott Laboratories | Clip applier and methods of use |
US20090157101A1 (en) * | 2007-12-17 | 2009-06-18 | Abbott Laboratories | Tissue closure system and methods of use |
US7841502B2 (en) | 2007-12-18 | 2010-11-30 | Abbott Laboratories | Modular clip applier |
CN101902974B (zh) | 2007-12-19 | 2013-10-30 | 伊西康有限责任公司 | 具有由热接触介导的保持器的自留缝线 |
US8916077B1 (en) | 2007-12-19 | 2014-12-23 | Ethicon, Inc. | Self-retaining sutures with retainers formed from molten material |
US8118834B1 (en) | 2007-12-20 | 2012-02-21 | Angiotech Pharmaceuticals, Inc. | Composite self-retaining sutures and method |
CA2714062A1 (en) | 2008-01-24 | 2009-07-30 | Medtronic, Inc. | Stents for prosthetic heart valves |
US8157852B2 (en) | 2008-01-24 | 2012-04-17 | Medtronic, Inc. | Delivery systems and methods of implantation for prosthetic heart valves |
WO2009094501A1 (en) | 2008-01-24 | 2009-07-30 | Medtronic, Inc. | Markers for prosthetic heart valves |
US9393115B2 (en) | 2008-01-24 | 2016-07-19 | Medtronic, Inc. | Delivery systems and methods of implantation for prosthetic heart valves |
WO2009094197A1 (en) | 2008-01-24 | 2009-07-30 | Medtronic, Inc. | Stents for prosthetic heart valves |
US9149358B2 (en) | 2008-01-24 | 2015-10-06 | Medtronic, Inc. | Delivery systems for prosthetic heart valves |
US8875607B2 (en) | 2008-01-30 | 2014-11-04 | Ethicon, Inc. | Apparatus and method for forming self-retaining sutures |
US8615856B1 (en) | 2008-01-30 | 2013-12-31 | Ethicon, Inc. | Apparatus and method for forming self-retaining sutures |
EP2249750B8 (en) | 2008-02-05 | 2020-10-21 | Silk Road Medical, Inc. | Interventional catheter system |
WO2009105663A2 (en) | 2008-02-21 | 2009-08-27 | Angiotech Pharmaceuticals, Inc. | Method and apparatus for elevating retainers on self-retaining sutures |
US9044318B2 (en) | 2008-02-26 | 2015-06-02 | Jenavalve Technology Gmbh | Stent for the positioning and anchoring of a valvular prosthesis |
US8641732B1 (en) | 2008-02-26 | 2014-02-04 | Ethicon, Inc. | Self-retaining suture with variable dimension filament and method |
WO2011104269A1 (en) | 2008-02-26 | 2011-09-01 | Jenavalve Technology Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US20090264989A1 (en) | 2008-02-28 | 2009-10-22 | Philipp Bonhoeffer | Prosthetic heart valve systems |
US8313525B2 (en) | 2008-03-18 | 2012-11-20 | Medtronic Ventor Technologies, Ltd. | Valve suturing and implantation procedures |
US8430927B2 (en) | 2008-04-08 | 2013-04-30 | Medtronic, Inc. | Multiple orifice implantable heart valve and methods of implantation |
CA2720847C (en) | 2008-04-15 | 2016-06-28 | Angiotech Pharmaceuticals, Inc. | Self-retaining sutures with bi-directional retainers or uni-directional retainers |
US8312825B2 (en) | 2008-04-23 | 2012-11-20 | Medtronic, Inc. | Methods and apparatuses for assembly of a pericardial prosthetic heart valve |
US8696743B2 (en) | 2008-04-23 | 2014-04-15 | Medtronic, Inc. | Tissue attachment devices and methods for prosthetic heart valves |
US9282965B2 (en) | 2008-05-16 | 2016-03-15 | Abbott Laboratories | Apparatus and methods for engaging tissue |
ES2386239T3 (es) | 2008-05-16 | 2012-08-14 | Sorin Biomedica Cardio S.R.L. | Prótesis cardiovalvular atraumática |
EP2358307B1 (en) | 2008-09-15 | 2021-12-15 | Medtronic Ventor Technologies Ltd. | Prosthetic heart valve having identifiers for aiding in radiographic positioning |
US8721714B2 (en) | 2008-09-17 | 2014-05-13 | Medtronic Corevalve Llc | Delivery system for deployment of medical devices |
CN102245256B (zh) | 2008-10-10 | 2014-07-23 | 萨德拉医学公司 | 医疗装置以及用于输送医疗装置的输送系统 |
US8137398B2 (en) * | 2008-10-13 | 2012-03-20 | Medtronic Ventor Technologies Ltd | Prosthetic valve having tapered tip when compressed for delivery |
US8986361B2 (en) | 2008-10-17 | 2015-03-24 | Medtronic Corevalve, Inc. | Delivery system for deployment of medical devices |
US9241696B2 (en) | 2008-10-30 | 2016-01-26 | Abbott Vascular Inc. | Closure device |
EP2352440B1 (en) | 2008-11-03 | 2019-02-20 | Ethicon LLC | Length of self-retaining suture and device for using the same |
US8858594B2 (en) | 2008-12-22 | 2014-10-14 | Abbott Laboratories | Curved closure device |
US8323312B2 (en) | 2008-12-22 | 2012-12-04 | Abbott Laboratories | Closure device |
EP2682072A1 (en) | 2008-12-23 | 2014-01-08 | Sorin Group Italia S.r.l. | Expandable prosthetic valve having anchoring appendages |
US10226563B2 (en) | 2008-12-23 | 2019-03-12 | Silk Road Medical, Inc. | Methods and systems for treatment of acute ischemic stroke |
US8840641B2 (en) | 2009-01-08 | 2014-09-23 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage and related systems and methods |
US9089311B2 (en) | 2009-01-09 | 2015-07-28 | Abbott Vascular Inc. | Vessel closure devices and methods |
US9173644B2 (en) * | 2009-01-09 | 2015-11-03 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US9486191B2 (en) | 2009-01-09 | 2016-11-08 | Abbott Vascular, Inc. | Closure devices |
US20110218568A1 (en) * | 2009-01-09 | 2011-09-08 | Voss Laveille K | Vessel closure devices, systems, and methods |
US9414820B2 (en) | 2009-01-09 | 2016-08-16 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US20100179589A1 (en) | 2009-01-09 | 2010-07-15 | Abbott Vascular Inc. | Rapidly eroding anchor |
US20100179567A1 (en) * | 2009-01-09 | 2010-07-15 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US20100185234A1 (en) | 2009-01-16 | 2010-07-22 | Abbott Vascular Inc. | Closure devices, systems, and methods |
ES2523218T3 (es) | 2009-04-27 | 2014-11-24 | Sorin Group Italia S.R.L. | Conducto vascular protésico |
US10631969B2 (en) | 2009-06-17 | 2020-04-28 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage and related systems and methods |
US10064628B2 (en) | 2009-06-17 | 2018-09-04 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage and related systems and methods |
US9351716B2 (en) * | 2009-06-17 | 2016-05-31 | Coherex Medical, Inc. | Medical device and delivery system for modification of left atrial appendage and methods thereof |
US9649115B2 (en) | 2009-06-17 | 2017-05-16 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage and related systems and methods |
EP2442728B1 (en) | 2009-06-17 | 2018-07-25 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage |
US20110054492A1 (en) | 2009-08-26 | 2011-03-03 | Abbott Laboratories | Medical device for repairing a fistula |
US8808369B2 (en) | 2009-10-05 | 2014-08-19 | Mayo Foundation For Medical Education And Research | Minimally invasive aortic valve replacement |
US8298157B2 (en) * | 2009-12-15 | 2012-10-30 | C. R. Bard, Inc. | Introducer cannula having a tissue anchor for use with a medical instrument |
WO2011090628A2 (en) | 2009-12-29 | 2011-07-28 | Angiotech Pharmaceuticals, Inc. | Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods |
US9226826B2 (en) | 2010-02-24 | 2016-01-05 | Medtronic, Inc. | Transcatheter valve structure and methods for valve delivery |
US8652204B2 (en) | 2010-04-01 | 2014-02-18 | Medtronic, Inc. | Transcatheter valve with torsion spring fixation and related systems and methods |
KR101883143B1 (ko) | 2010-05-04 | 2018-07-31 | 에티컨, 엘엘씨 | 자가-유지형 봉합재를 생성하기 위한 레이저 커팅 시스템 및 방법 |
IT1400327B1 (it) | 2010-05-21 | 2013-05-24 | Sorin Biomedica Cardio Srl | Dispositivo di supporto per protesi valvolari e corrispondente corredo. |
AU2011257298B2 (en) | 2010-05-25 | 2014-07-31 | Jenavalve Technology Inc. | Prosthetic heart valve and transcatheter delivered endoprosthesis comprising a prosthetic heart valve and a stent |
CN104873237B (zh) | 2010-06-11 | 2017-08-08 | 伊西康有限责任公司 | 用于内窥镜式和机器人辅助式外科手术的缝合线递送工具 |
US8758399B2 (en) | 2010-08-02 | 2014-06-24 | Abbott Cardiovascular Systems, Inc. | Expandable bioabsorbable plug apparatus and method |
US8603116B2 (en) | 2010-08-04 | 2013-12-10 | Abbott Cardiovascular Systems, Inc. | Closure device with long tines |
JP5874727B2 (ja) | 2010-09-01 | 2016-03-02 | メドトロニック ヴァスキュラー ゴールウェイ | 補綴弁支持構造 |
RU139021U1 (ru) | 2010-09-10 | 2014-04-10 | Симетис Са | Устройства для замены клапана, системы, содержащие устройство для замены клапана, устройства для замены сердечного клапана и доставляющая система для доставки устройства для замены сердечного клапана |
AU2011323299B2 (en) | 2010-11-03 | 2016-06-30 | Ethicon Llc | Drug-eluting self-retaining sutures and methods relating thereto |
US9782215B2 (en) | 2010-11-05 | 2017-10-10 | Ethicon Endo-Surgery, Llc | Surgical instrument with ultrasonic transducer having integral switches |
US20120116381A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging station and wireless communication |
US9597143B2 (en) | 2010-11-05 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Sterile medical instrument charging device |
US9375255B2 (en) | 2010-11-05 | 2016-06-28 | Ethicon Endo-Surgery, Llc | Surgical instrument handpiece with resiliently biased coupling to modular shaft and end effector |
US9011471B2 (en) | 2010-11-05 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument with pivoting coupling to modular shaft and end effector |
US9381058B2 (en) | 2010-11-05 | 2016-07-05 | Ethicon Endo-Surgery, Llc | Recharge system for medical devices |
US9247986B2 (en) | 2010-11-05 | 2016-02-02 | Ethicon Endo-Surgery, Llc | Surgical instrument with ultrasonic transducer having integral switches |
US9526921B2 (en) * | 2010-11-05 | 2016-12-27 | Ethicon Endo-Surgery, Llc | User feedback through end effector of surgical instrument |
US9782214B2 (en) | 2010-11-05 | 2017-10-10 | Ethicon Llc | Surgical instrument with sensor and powered control |
US9039720B2 (en) | 2010-11-05 | 2015-05-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with ratcheting rotatable shaft |
US10660695B2 (en) | 2010-11-05 | 2020-05-26 | Ethicon Llc | Sterile medical instrument charging device |
US10959769B2 (en) | 2010-11-05 | 2021-03-30 | Ethicon Llc | Surgical instrument with slip ring assembly to power ultrasonic transducer |
US9649150B2 (en) | 2010-11-05 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Selective activation of electronic components in medical device |
US9089338B2 (en) | 2010-11-05 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Medical device packaging with window for insertion of reusable component |
US20120116265A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging devices |
US9072523B2 (en) | 2010-11-05 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Medical device with feature for sterile acceptance of non-sterile reusable component |
US10881448B2 (en) | 2010-11-05 | 2021-01-05 | Ethicon Llc | Cam driven coupling between ultrasonic transducer and waveguide in surgical instrument |
US9000720B2 (en) | 2010-11-05 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Medical device packaging with charging interface |
US10085792B2 (en) | 2010-11-05 | 2018-10-02 | Ethicon Llc | Surgical instrument with motorized attachment feature |
US9421062B2 (en) | 2010-11-05 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Surgical instrument shaft with resiliently biased coupling to handpiece |
US9510895B2 (en) | 2010-11-05 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular shaft and end effector |
US9161803B2 (en) | 2010-11-05 | 2015-10-20 | Ethicon Endo-Surgery, Inc. | Motor driven electrosurgical device with mechanical and electrical feedback |
US9017851B2 (en) | 2010-11-05 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Sterile housing for non-sterile medical device component |
US9017849B2 (en) | 2010-11-05 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Power source management for medical device |
ES2612757T3 (es) | 2010-11-09 | 2017-05-18 | Ethicon Llc | Suturas de autorretención de emergencia |
EP2486894B1 (en) | 2011-02-14 | 2021-06-09 | Sorin Group Italia S.r.l. | Sutureless anchoring device for cardiac valve prostheses |
EP2486893B1 (en) | 2011-02-14 | 2017-07-05 | Sorin Group Italia S.r.l. | Sutureless anchoring device for cardiac valve prostheses |
US10625069B2 (en) | 2011-03-14 | 2020-04-21 | Cook Medical Technologies, LLC | Infusion system having filtration device and method |
US9707374B2 (en) | 2011-03-14 | 2017-07-18 | Cook Medical Technologies Llc | Infusion system having filtration device and method |
US9149276B2 (en) | 2011-03-21 | 2015-10-06 | Abbott Cardiovascular Systems, Inc. | Clip and deployment apparatus for tissue closure |
EP2688516B1 (en) | 2011-03-21 | 2022-08-17 | Cephea Valve Technologies, Inc. | Disk-based valve apparatus |
CA2830961C (en) | 2011-03-23 | 2018-12-04 | Ethicon, Llc | Self-retaining variable loop sutures |
EP2520251A1 (en) | 2011-05-05 | 2012-11-07 | Symetis SA | Method and Apparatus for Compressing Stent-Valves |
US20120303018A1 (en) * | 2011-05-23 | 2012-11-29 | Tyco Healthcare Group Lp | Tissue Dissectors |
US20130172931A1 (en) | 2011-06-06 | 2013-07-04 | Jeffrey M. Gross | Methods and devices for soft palate tissue elevation procedures |
US8998976B2 (en) | 2011-07-12 | 2015-04-07 | Boston Scientific Scimed, Inc. | Coupling system for medical devices |
EP4101399A1 (en) | 2011-08-05 | 2022-12-14 | Route 92 Medical, Inc. | System for treatment of acute ischemic stroke |
US10779855B2 (en) | 2011-08-05 | 2020-09-22 | Route 92 Medical, Inc. | Methods and systems for treatment of acute ischemic stroke |
EP4324409A3 (en) | 2011-11-01 | 2024-03-13 | Coherex Medical, Inc. | Medical device for modification of left atrial appendage and related systems and methods |
US9131926B2 (en) | 2011-11-10 | 2015-09-15 | Boston Scientific Scimed, Inc. | Direct connect flush system |
US8940014B2 (en) | 2011-11-15 | 2015-01-27 | Boston Scientific Scimed, Inc. | Bond between components of a medical device |
US9332976B2 (en) | 2011-11-30 | 2016-05-10 | Abbott Cardiovascular Systems, Inc. | Tissue closure device |
US8951243B2 (en) | 2011-12-03 | 2015-02-10 | Boston Scientific Scimed, Inc. | Medical device handle |
US9277993B2 (en) | 2011-12-20 | 2016-03-08 | Boston Scientific Scimed, Inc. | Medical device delivery systems |
US9510945B2 (en) | 2011-12-20 | 2016-12-06 | Boston Scientific Scimed Inc. | Medical device handle |
EP2842517A1 (en) | 2011-12-29 | 2015-03-04 | Sorin Group Italia S.r.l. | A kit for implanting prosthetic vascular conduits |
WO2013112547A1 (en) | 2012-01-25 | 2013-08-01 | Boston Scientific Scimed, Inc. | Valve assembly with a bioabsorbable gasket and a replaceable valve implant |
US9883941B2 (en) | 2012-06-19 | 2018-02-06 | Boston Scientific Scimed, Inc. | Replacement heart valve |
US9364209B2 (en) | 2012-12-21 | 2016-06-14 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device |
US9629718B2 (en) | 2013-05-03 | 2017-04-25 | Medtronic, Inc. | Valve delivery tool |
US8870948B1 (en) | 2013-07-17 | 2014-10-28 | Cephea Valve Technologies, Inc. | System and method for cardiac valve repair and replacement |
WO2015028209A1 (en) | 2013-08-30 | 2015-03-05 | Jenavalve Technology Gmbh | Radially collapsible frame for a prosthetic valve and method for manufacturing such a frame |
CN104434262B (zh) * | 2013-09-16 | 2016-09-14 | 中国人民解放军第二军医大学 | 一种清除胰管结石的医疗器械 |
US9265512B2 (en) | 2013-12-23 | 2016-02-23 | Silk Road Medical, Inc. | Transcarotid neurovascular catheter |
US9241699B1 (en) | 2014-09-04 | 2016-01-26 | Silk Road Medical, Inc. | Methods and devices for transcarotid access |
US11027104B2 (en) | 2014-09-04 | 2021-06-08 | Silk Road Medical, Inc. | Methods and devices for transcarotid access |
US10136938B2 (en) | 2014-10-29 | 2018-11-27 | Ethicon Llc | Electrosurgical instrument with sensor |
US9901445B2 (en) | 2014-11-21 | 2018-02-27 | Boston Scientific Scimed, Inc. | Valve locking mechanism |
EP3229736B1 (en) | 2014-12-09 | 2024-01-10 | Cephea Valve Technologies, Inc. | Replacement cardiac valves and method of manufacture |
WO2016115375A1 (en) | 2015-01-16 | 2016-07-21 | Boston Scientific Scimed, Inc. | Displacement based lock and release mechanism |
US9861477B2 (en) | 2015-01-26 | 2018-01-09 | Boston Scientific Scimed Inc. | Prosthetic heart valve square leaflet-leaflet stitch |
US9788942B2 (en) | 2015-02-03 | 2017-10-17 | Boston Scientific Scimed Inc. | Prosthetic heart valve having tubular seal |
US10201417B2 (en) | 2015-02-03 | 2019-02-12 | Boston Scientific Scimed Inc. | Prosthetic heart valve having tubular seal |
JP6732769B2 (ja) | 2015-02-04 | 2020-07-29 | ルート92メディカル・インコーポレイテッドRoute 92 Medical, Inc. | 急速吸引血栓摘出システムおよび方法 |
US11065019B1 (en) | 2015-02-04 | 2021-07-20 | Route 92 Medical, Inc. | Aspiration catheter systems and methods of use |
US10285809B2 (en) | 2015-03-06 | 2019-05-14 | Boston Scientific Scimed Inc. | TAVI anchoring assist device |
US10426617B2 (en) | 2015-03-06 | 2019-10-01 | Boston Scientific Scimed, Inc. | Low profile valve locking mechanism and commissure assembly |
US10080652B2 (en) | 2015-03-13 | 2018-09-25 | Boston Scientific Scimed, Inc. | Prosthetic heart valve having an improved tubular seal |
EP3288495B1 (en) | 2015-05-01 | 2019-09-25 | JenaValve Technology, Inc. | Device with reduced pacemaker rate in heart valve replacement |
EP4335415A3 (en) | 2015-05-14 | 2024-05-29 | Cephea Valve Technologies, Inc. | Replacement mitral valves |
WO2016183523A1 (en) | 2015-05-14 | 2016-11-17 | Cephea Valve Technologies, Inc. | Cardiac valve delivery devices and systems |
US10195392B2 (en) | 2015-07-02 | 2019-02-05 | Boston Scientific Scimed, Inc. | Clip-on catheter |
US10335277B2 (en) | 2015-07-02 | 2019-07-02 | Boston Scientific Scimed Inc. | Adjustable nosecone |
US10136991B2 (en) | 2015-08-12 | 2018-11-27 | Boston Scientific Scimed Inc. | Replacement heart valve implant |
US10179041B2 (en) | 2015-08-12 | 2019-01-15 | Boston Scientific Scimed Icn. | Pinless release mechanism |
US10779940B2 (en) | 2015-09-03 | 2020-09-22 | Boston Scientific Scimed, Inc. | Medical device handle |
US10342660B2 (en) | 2016-02-02 | 2019-07-09 | Boston Scientific Inc. | Tensioned sheathing aids |
JP2019523656A (ja) | 2016-04-14 | 2019-08-29 | フォーカル セラピューティクス,インコーポレイテッド | 組織位置特定装置及びその使用方法 |
US10245136B2 (en) | 2016-05-13 | 2019-04-02 | Boston Scientific Scimed Inc. | Containment vessel with implant sheathing guide |
US10583005B2 (en) | 2016-05-13 | 2020-03-10 | Boston Scientific Scimed, Inc. | Medical device handle |
WO2017195125A1 (en) | 2016-05-13 | 2017-11-16 | Jenavalve Technology, Inc. | Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system |
US10201416B2 (en) | 2016-05-16 | 2019-02-12 | Boston Scientific Scimed, Inc. | Replacement heart valve implant with invertible leaflets |
WO2017218877A1 (en) | 2016-06-17 | 2017-12-21 | Cephea Valve Technologies, Inc. | Cardiac valve delivery devices and systems |
CN110621260B (zh) | 2017-01-23 | 2022-11-25 | 科菲瓣膜技术有限公司 | 置换的二尖瓣 |
EP4209196A1 (en) | 2017-01-23 | 2023-07-12 | Cephea Valve Technologies, Inc. | Replacement mitral valves |
US11197754B2 (en) | 2017-01-27 | 2021-12-14 | Jenavalve Technology, Inc. | Heart valve mimicry |
EP3634311A1 (en) | 2017-06-08 | 2020-04-15 | Boston Scientific Scimed, Inc. | Heart valve implant commissure support structure |
EP3661458A1 (en) | 2017-08-01 | 2020-06-10 | Boston Scientific Scimed, Inc. | Medical implant locking mechanism |
CN111225633B (zh) | 2017-08-16 | 2022-05-31 | 波士顿科学国际有限公司 | 置换心脏瓣膜接合组件 |
US11246625B2 (en) | 2018-01-19 | 2022-02-15 | Boston Scientific Scimed, Inc. | Medical device delivery system with feedback loop |
US11191641B2 (en) | 2018-01-19 | 2021-12-07 | Boston Scientific Scimed, Inc. | Inductance mode deployment sensors for transcatheter valve system |
EP3749252A1 (en) | 2018-02-07 | 2020-12-16 | Boston Scientific Scimed, Inc. | Medical device delivery system with alignment feature |
US11439732B2 (en) | 2018-02-26 | 2022-09-13 | Boston Scientific Scimed, Inc. | Embedded radiopaque marker in adaptive seal |
EP3793478A1 (en) | 2018-05-15 | 2021-03-24 | Boston Scientific Scimed, Inc. | Replacement heart valve commissure assembly |
CN112423824B (zh) | 2018-05-17 | 2023-02-21 | 92号医疗公司 | 抽吸导管系统和使用方法 |
EP3796873B1 (en) | 2018-05-23 | 2022-04-27 | Corcym S.r.l. | A cardiac valve prosthesis |
WO2019241477A1 (en) | 2018-06-13 | 2019-12-19 | Boston Scientific Scimed, Inc. | Replacement heart valve delivery device |
US11241312B2 (en) | 2018-12-10 | 2022-02-08 | Boston Scientific Scimed, Inc. | Medical device delivery system including a resistance member |
CN109700525A (zh) * | 2018-12-28 | 2019-05-03 | 先健科技(深圳)有限公司 | 造口器械 |
US11439504B2 (en) | 2019-05-10 | 2022-09-13 | Boston Scientific Scimed, Inc. | Replacement heart valve with improved cusp washout and reduced loading |
US11369355B2 (en) | 2019-06-17 | 2022-06-28 | Coherex Medical, Inc. | Medical device and system for occluding a tissue opening and method thereof |
US11812969B2 (en) | 2020-12-03 | 2023-11-14 | Coherex Medical, Inc. | Medical device and system for occluding a tissue opening and method thereof |
Citations (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3910279A (en) * | 1973-06-20 | 1975-10-07 | Olympus Optical Co | Electrosurgical instrument |
US3996938A (en) * | 1975-07-10 | 1976-12-14 | Clark Iii William T | Expanding mesh catheter |
US4638802A (en) * | 1984-09-21 | 1987-01-27 | Olympus Optical Co., Ltd. | High frequency instrument for incision and excision |
US5007908A (en) * | 1989-09-29 | 1991-04-16 | Everest Medical Corporation | Electrosurgical instrument having needle cutting electrode and spot-coag electrode |
US5370660A (en) * | 1993-11-01 | 1994-12-06 | Cordis Corporation | Apparatus and method for delivering a vessel plug into the body of a patient |
US5417697A (en) * | 1993-07-07 | 1995-05-23 | Wilk; Peter J. | Polyp retrieval assembly with cauterization loop and suction web |
US5709697A (en) * | 1995-11-22 | 1998-01-20 | United States Surgical Corporation | Apparatus and method for removing tissue |
US5794626A (en) * | 1994-08-18 | 1998-08-18 | Kieturakis; Maciej J. | Excisional stereotactic apparatus |
US5928159A (en) * | 1995-03-03 | 1999-07-27 | Neothermia Corporation | Apparatus and method for characterization and treatment of tumors |
US5928260A (en) * | 1997-07-10 | 1999-07-27 | Scimed Life Systems, Inc. | Removable occlusion system for aneurysm neck |
US5947964A (en) * | 1995-03-03 | 1999-09-07 | Neothermia Corporation | Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue |
US5989265A (en) * | 1995-03-08 | 1999-11-23 | Bouquet De La Joliniere; Jean Henri | Device for pinpointing suspect lesions of the breast and apparatus for positioning it |
US6022362A (en) * | 1998-09-03 | 2000-02-08 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6106524A (en) * | 1995-03-03 | 2000-08-22 | Neothermia Corporation | Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue |
US6179860B1 (en) * | 1998-08-19 | 2001-01-30 | Artemis Medical, Inc. | Target tissue localization device and method |
US6261241B1 (en) * | 1998-03-03 | 2001-07-17 | Senorx, Inc. | Electrosurgical biopsy device and method |
US6277083B1 (en) * | 1999-12-27 | 2001-08-21 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US6287304B1 (en) * | 1999-10-15 | 2001-09-11 | Neothermia Corporation | Interstitial cauterization of tissue volumes with electrosurgically deployed electrodes |
US6312428B1 (en) * | 1995-03-03 | 2001-11-06 | Neothermia Corporation | Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue |
US6331166B1 (en) * | 1998-03-03 | 2001-12-18 | Senorx, Inc. | Breast biopsy system and method |
USD457628S1 (en) * | 2001-07-12 | 2002-05-21 | Neothermia Corporation | Electrosurgical instrument handle |
USD457960S1 (en) * | 2001-07-12 | 2002-05-28 | Neothermia Corporation | Electrosurgical instrument handle |
US6440147B1 (en) * | 1998-09-03 | 2002-08-27 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6471659B2 (en) * | 1999-12-27 | 2002-10-29 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US6514248B1 (en) * | 1999-10-15 | 2003-02-04 | Neothermia Corporation | Accurate cutting about and into tissue volumes with electrosurgically deployed electrodes |
US6540693B2 (en) * | 1998-03-03 | 2003-04-01 | Senorx, Inc. | Methods and apparatus for securing medical instruments to desired locations in a patients body |
US6620157B1 (en) * | 2000-12-28 | 2003-09-16 | Senorx, Inc. | High frequency power source |
US6626903B2 (en) * | 1997-07-24 | 2003-09-30 | Rex Medical, L.P. | Surgical biopsy device |
Family Cites Families (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3557794A (en) * | 1968-07-30 | 1971-01-26 | Us Air Force | Arterial dilation device |
US5030201A (en) * | 1989-11-24 | 1991-07-09 | Aubrey Palestrant | Expandable atherectomy catheter device |
US5275610A (en) * | 1991-05-13 | 1994-01-04 | Cook Incorporated | Surgical retractors and method of use |
GB9314640D0 (en) | 1993-07-15 | 1993-08-25 | Salim Aws S M | Tunnellimg catheter |
US6059734A (en) * | 1995-01-06 | 2000-05-09 | Yoon; Inbae | Methods of collecting tissue at obstructed anatomical sites |
US5795308A (en) * | 1995-03-09 | 1998-08-18 | Russin; Lincoln D. | Apparatus for coaxial breast biopsy |
US6203542B1 (en) * | 1995-06-07 | 2001-03-20 | Arthrocare Corporation | Method for electrosurgical treatment of submucosal tissue |
CA2248260C (en) * | 1996-03-05 | 2010-11-16 | Michael D. Laufer | Vascular catheter-based system for heating tissue |
DE19610461C2 (de) * | 1996-03-16 | 1999-02-11 | Osypka Peter | Katheter mit einem Einführschlauch |
US6051008A (en) * | 1996-12-02 | 2000-04-18 | Angiotrax, Inc. | Apparatus having stabilization members for percutaneously performing surgery and methods of use |
US6221006B1 (en) * | 1998-02-10 | 2001-04-24 | Artemis Medical Inc. | Entrapping apparatus and method for use |
US6602204B2 (en) * | 1998-02-10 | 2003-08-05 | Artemis Medical, Inc | Intraoperative tissue treatment methods |
US6312429B1 (en) * | 1998-09-01 | 2001-11-06 | Senorx, Inc. | Electrosurgical lesion location device |
JP2003517346A (ja) | 1999-06-04 | 2003-05-27 | アーテミス・メディカル・インコーポレイテッド | 組織除去方法及び装置 |
US6053876A (en) * | 1999-06-09 | 2000-04-25 | Fisher; John | Apparatus and method for marking non-palpable lesions |
US7534242B2 (en) | 2003-02-25 | 2009-05-19 | Artemis Medical, Inc. | Tissue separating catheter assembly and method |
US6994677B1 (en) | 2003-02-25 | 2006-02-07 | Artemis Medical, Inc. | Tissue localizing and separating assembly |
WO2002005717A1 (en) | 2000-07-18 | 2002-01-24 | Senorx, Inc. | Apparatus and method for tissue capture |
US6430923B1 (en) * | 2000-08-18 | 2002-08-13 | Sauer-Danfoss Inc. | Loop flushing circuit |
-
2001
- 2001-11-07 WO PCT/US2001/050380 patent/WO2002064012A2/en not_active Application Discontinuation
- 2001-11-07 JP JP2002574803A patent/JP4180382B2/ja not_active Expired - Fee Related
- 2001-11-07 WO PCT/US2001/050978 patent/WO2002076281A2/en active Search and Examination
- 2001-11-07 EP EP01273413A patent/EP1341435A4/en not_active Withdrawn
- 2001-11-07 US US10/045,657 patent/US20030083656A1/en not_active Abandoned
-
2002
- 2002-08-05 US US10/212,467 patent/US7150712B2/en not_active Expired - Fee Related
Patent Citations (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3910279A (en) * | 1973-06-20 | 1975-10-07 | Olympus Optical Co | Electrosurgical instrument |
US3996938A (en) * | 1975-07-10 | 1976-12-14 | Clark Iii William T | Expanding mesh catheter |
US4638802A (en) * | 1984-09-21 | 1987-01-27 | Olympus Optical Co., Ltd. | High frequency instrument for incision and excision |
US5007908A (en) * | 1989-09-29 | 1991-04-16 | Everest Medical Corporation | Electrosurgical instrument having needle cutting electrode and spot-coag electrode |
US5417697A (en) * | 1993-07-07 | 1995-05-23 | Wilk; Peter J. | Polyp retrieval assembly with cauterization loop and suction web |
US5370660A (en) * | 1993-11-01 | 1994-12-06 | Cordis Corporation | Apparatus and method for delivering a vessel plug into the body of a patient |
US5794626A (en) * | 1994-08-18 | 1998-08-18 | Kieturakis; Maciej J. | Excisional stereotactic apparatus |
US5928159A (en) * | 1995-03-03 | 1999-07-27 | Neothermia Corporation | Apparatus and method for characterization and treatment of tumors |
US6312428B1 (en) * | 1995-03-03 | 2001-11-06 | Neothermia Corporation | Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue |
US5947964A (en) * | 1995-03-03 | 1999-09-07 | Neothermia Corporation | Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue |
US6106524A (en) * | 1995-03-03 | 2000-08-22 | Neothermia Corporation | Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue |
US5989265A (en) * | 1995-03-08 | 1999-11-23 | Bouquet De La Joliniere; Jean Henri | Device for pinpointing suspect lesions of the breast and apparatus for positioning it |
US5709697A (en) * | 1995-11-22 | 1998-01-20 | United States Surgical Corporation | Apparatus and method for removing tissue |
US5928260A (en) * | 1997-07-10 | 1999-07-27 | Scimed Life Systems, Inc. | Removable occlusion system for aneurysm neck |
US6626903B2 (en) * | 1997-07-24 | 2003-09-30 | Rex Medical, L.P. | Surgical biopsy device |
US6261241B1 (en) * | 1998-03-03 | 2001-07-17 | Senorx, Inc. | Electrosurgical biopsy device and method |
US6540693B2 (en) * | 1998-03-03 | 2003-04-01 | Senorx, Inc. | Methods and apparatus for securing medical instruments to desired locations in a patients body |
US6331166B1 (en) * | 1998-03-03 | 2001-12-18 | Senorx, Inc. | Breast biopsy system and method |
US6179860B1 (en) * | 1998-08-19 | 2001-01-30 | Artemis Medical, Inc. | Target tissue localization device and method |
US6440147B1 (en) * | 1998-09-03 | 2002-08-27 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6022362A (en) * | 1998-09-03 | 2000-02-08 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
US6287304B1 (en) * | 1999-10-15 | 2001-09-11 | Neothermia Corporation | Interstitial cauterization of tissue volumes with electrosurgically deployed electrodes |
US6514248B1 (en) * | 1999-10-15 | 2003-02-04 | Neothermia Corporation | Accurate cutting about and into tissue volumes with electrosurgically deployed electrodes |
US6471659B2 (en) * | 1999-12-27 | 2002-10-29 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US6277083B1 (en) * | 1999-12-27 | 2001-08-21 | Neothermia Corporation | Minimally invasive intact recovery of tissue |
US6620157B1 (en) * | 2000-12-28 | 2003-09-16 | Senorx, Inc. | High frequency power source |
USD457628S1 (en) * | 2001-07-12 | 2002-05-21 | Neothermia Corporation | Electrosurgical instrument handle |
USD457960S1 (en) * | 2001-07-12 | 2002-05-28 | Neothermia Corporation | Electrosurgical instrument handle |
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050038462A1 (en) * | 1998-04-08 | 2005-02-17 | Senorx, Inc. | Dilation devices and methods for removing tissue specimens |
US7651467B2 (en) * | 1998-04-08 | 2010-01-26 | Senorx, Inc | Dilation devices and methods for removing tissue specimens |
US20060293654A1 (en) * | 2000-11-07 | 2006-12-28 | Artemis Medical, Inc. | Tissue separating and localizing catheter assembly |
US7846159B2 (en) | 2000-11-07 | 2010-12-07 | Artemis Medical, Inc. | Tissue separating and localizing catheter assembly |
US20040167511A1 (en) * | 2003-02-25 | 2004-08-26 | Artemis Medical, Inc. | Tissue separating catheter assembly and method |
US7534242B2 (en) | 2003-02-25 | 2009-05-19 | Artemis Medical, Inc. | Tissue separating catheter assembly and method |
US20080294361A1 (en) * | 2007-05-24 | 2008-11-27 | Popp Shane M | Intelligent execution system for the monitoring and execution of vaccine manufacturing |
US20080319694A1 (en) * | 2007-05-24 | 2008-12-25 | Popp Shane M | Methods of monitoring acceptance criteria of vaccine manufacturing systems |
US9642645B2 (en) | 2013-03-13 | 2017-05-09 | Boston Scientific Scimed, Inc. | Tissue cutting devices and methods |
US20230181187A1 (en) * | 2021-08-20 | 2023-06-15 | Covidien Lp | Small diameter linear surgical stapling apparatus |
US11896220B2 (en) * | 2021-08-20 | 2024-02-13 | Covidien Lp | Small diameter linear surgical stapling apparatus |
Also Published As
Publication number | Publication date |
---|---|
US7150712B2 (en) | 2006-12-19 |
WO2002076281A3 (en) | 2003-06-19 |
EP1341435A2 (en) | 2003-09-10 |
WO2002064012A3 (en) | 2003-01-09 |
EP1341435A4 (en) | 2005-08-17 |
WO2002064012A2 (en) | 2002-08-22 |
JP2004529689A (ja) | 2004-09-30 |
WO2002076281A2 (en) | 2002-10-03 |
US20040049224A1 (en) | 2004-03-11 |
JP4180382B2 (ja) | 2008-11-12 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US20030083656A1 (en) | Tissue separator assembly and method | |
US6530923B1 (en) | Tissue removal methods and apparatus | |
EP1139878B1 (en) | Tissue specimen encapsulation device | |
JP4361211B2 (ja) | 胸部バイオプシー装置 | |
JP6484180B2 (ja) | 自動化されかつ選択可能な軟組織切除用の生検装置 | |
EP1003428B1 (en) | Breast surgery apparatus | |
US6602204B2 (en) | Intraoperative tissue treatment methods | |
US20040167511A1 (en) | Tissue separating catheter assembly and method | |
EP3589214B1 (en) | Biopsy system for enhanced tissue harvesting | |
JP2004529689A5 (zh) | ||
JP7419067B2 (ja) | 生検装置 | |
JP2004532668A (ja) | 操縦可能な括約筋切開器具並びにカニューレ挿入、乳頭切開及び括約筋切開方法 | |
US20070299306A1 (en) | Probe assembly for endoscopic procedures | |
EP1601282B1 (en) | Tissue localizing and separating assembly | |
US9089359B2 (en) | Endoscopic systems and methods for resection of tissue | |
JP2003517346A (ja) | 組織除去方法及び装置 | |
WO2002062226A1 (en) | Biopsy apparatus and method | |
US20040010206A1 (en) | Intraoperative tissue treatment methods | |
CA2606970C (en) | Breast biopsy system and method |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: ARTEMIS MEDICAL, INC., CALIFORNIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:LAIRD, ROBERT;REEL/FRAME:014722/0008 Effective date: 20030804 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |
|
AS | Assignment |
Owner name: GENERAL ELECTRIC CAPITAL CORPORATION, AS AGENT, MA Free format text: SECURITY AGREEMENT;ASSIGNOR:ARTEMIS MEDICAL, INC.;REEL/FRAME:024672/0377 Effective date: 20100709 |