US20200360054A1 - Devices to access peripheral regions of the lung for direct visualization with tool attachment - Google Patents

Devices to access peripheral regions of the lung for direct visualization with tool attachment Download PDF

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Publication number
US20200360054A1
US20200360054A1 US16/875,371 US202016875371A US2020360054A1 US 20200360054 A1 US20200360054 A1 US 20200360054A1 US 202016875371 A US202016875371 A US 202016875371A US 2020360054 A1 US2020360054 A1 US 2020360054A1
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United States
Prior art keywords
lumen
dual
main body
endoscopic instrument
lumen catheter
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US16/875,371
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English (en)
Inventor
Kevin Walsh
Jeremy DiTullio
Douglas W. Garrity
Tyler Noyes
Seamus F. O'Shaughnessy
Austin G. Johnson
Colby HARRIS
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Boston Scientific Scimed Inc
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Scimed Life Systems Inc
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Priority to US16/875,371 priority Critical patent/US20200360054A1/en
Assigned to BOSTON SCIENTIFIC SCIMED, INC. reassignment BOSTON SCIENTIFIC SCIMED, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: GARRITY, Douglas W., DITULLIO, Jeremy, NOYES, TYLER, O'SHAUGHNESSY, Seamus F., WALSH, KEVIN, JOHNSON, AUSTIN G., HARRIS, Colby
Publication of US20200360054A1 publication Critical patent/US20200360054A1/en
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Definitions

  • the present disclosure relates generally to the field of medical devices.
  • the present disclosure relates to modular assemblies, systems and methods for direct visualization and biopsy of peripheral pulmonary nodules.
  • a complicating factor in accurately and efficiently obtaining biopsy samples from pulmonary nodules in the peripheral regions of the lung is the inability to maintain direct visualization of the target pulmonary nodule as the biopsy sample is being taken and/or while the biopsy instrument is repositioned or exchanged through a working channel of the bronchoscope.
  • a modular assembly of the present disclosure may include a dual-lumen catheter attached to a distal end of a main body.
  • a first lumen may extend through the main body.
  • the first lumen may be contiguous with a first lumen of the dual-lumen catheter.
  • a second lumen may extend through the main body.
  • the second lumen may be contiguous with a second lumen of the dual-lumen catheter.
  • An attachment member may be formed within the main body at a proximal end of the second lumen.
  • the first lumens of the main body and the dual-lumen catheter may be configured to receive a first endoscopic instrument therethrough.
  • the second lumens of the main body and the dual-lumen catheter may be configured to receive a second endoscopic instrument therethrough.
  • a first support structure may be attached to a proximal end of the main body at a proximal end of the first lumen.
  • a second support structure may be attached to the distal end of the main body at a distal end of the first lumen.
  • the attachment member may be configured to receive a handle assembly of the second endoscopic instrument in a snap-lock configuration.
  • the present disclosure relates to a system comprising a modular assembly.
  • the modular assembly may include a dual-lumen catheter attached to a distal end of a main body.
  • a first lumen may extend through the main body.
  • the first lumen may be contiguous with a first lumen of the dual-lumen catheter.
  • a second lumen may extend through the main body.
  • the second lumen may be contiguous with a second lumen of the dual-lumen catheter.
  • An attachment member may be formed within the main body at a proximal end of the second lumen.
  • a first endoscopic instrument may extend through the first lumens of the main body and the dual-lumen catheter.
  • a second endoscopic instrument may extend through the second lumens of the main body and the dual-lumen catheter.
  • the first endoscopic instrument may include a radial ultrasound probe and the second endoscopic instrument may include a biopsy needle.
  • the second endoscopic instrument may be configured to move laterally between a first and second position within the dual-lumen catheter.
  • the attachment member may be configured to receive a handle assembly of the second endoscopic instrument in a snap-lock configuration.
  • the handle assembly may be configured to move laterally along the main body of the modular assembly.
  • the handle assembly may be configured move from a first position in which a distal end of the second endoscopic instrument may be disposed within the second lumen of the dual-lumen catheter, and a second position in which the distal end of the second endoscopic instrument may extend beyond a distal end of the dual-lumen catheter.
  • the handle assembly may include a plunger configured to move the second endoscopic instrument between the first and second position.
  • the dual-lumen catheter may be configured to extend through a working channel of a bronchoscope.
  • the second endoscopic instrument may provide columnar support to the dual-lumen catheter.
  • a first support structure may be attached to a proximal end of the main body at a proximal end of the first lumen.
  • a second support structure may be attached to a distal end of the main body at a distal end of the first lumen.
  • the first and second support structures may provide a leak-proof seal for the first lumen.
  • the present disclosure relates to a method that may comprise advancing a bronchoscope into a pulmonary passage of a patient.
  • a dual-lumen catheter may be advanced through a working channel of the bronchoscope such that a distal end of the dual-lumen catheter may extend beyond the distal end of the bronchoscope.
  • a first pulmonary nodule may be visualized with a first endoscopic instrument that may extend through a first lumen of the dual-lumen catheter.
  • a biopsy sample of the first pulmonary nodule may be acquired with a second endoscopic instrument extending through a second lumen of the dual-lumen catheter.
  • visualizing the first pulmonary nodule and acquiring the biopsy sample of the first pulmonary nodule may occur without having to exchange the first instrument with another instrument.
  • the method may further include removing the second endoscopic instrument from within the second lumen of the dual-lumen catheter without altering a position of the first endoscopic instrument within the pulmonary passage.
  • the method may further include ejecting the biopsy sample from within the second endoscopic instrument.
  • the method may further include advancing the second endoscopic instrument through the second lumen of the dual-lumen catheter.
  • the method may further include advancing the dual-lumen catheter through the pulmonary passage to visualize a second pulmonary nodule.
  • the method may further include acquiring a biopsy sample of the second pulmonary nodule with the second endoscopic instrument.
  • the first pulmonary nodule may include an eccentric pulmonary nodule.
  • FIGS. 1-3 provide perspective views of a direct visualization and biopsy assembly, according to one embodiment of the present disclosure.
  • FIGS. 4A-4C provide perspective views of a distal portion of a direct visualization and biopsy assembly, according to one embodiment of the present disclosure.
  • FIG. 5 provides a schematic illustration of direct visualization and biopsy assembly acquiring a biopsy sample, according to one embodiment of the present disclosure.
  • distal refers to the end farthest away from the medical professional when introducing a device into a patient
  • proximal refers to the end closest to the medical professional when introducing a device into a patient
  • the present disclosure relates generally to a direct visualization and biopsy modular assembly (e.g., modular tool attachment) which may include an ergonomic handle and catheter configured for dual-function use during an endoscopy procedure.
  • the modular assembly may be configured for use within a bronchoscope working channel to provide real-time visualization (e.g., radial ultrasound imaging) and manipulation (e.g., diagnostic biopsy sampling) of solitary pulmonary nodules in peripheral regions of the lung.
  • the modular assembly may be configured to reposition and/or exchange an endoscopic tool/instrument (e.g., a second endoscopic instrument) within a peripheral region of the lung while maintaining direct visualization of the pulmonary nodule (e.g., with a first endoscopic instrument).
  • an endoscopic tool/instrument e.g., a second endoscopic instrument
  • the modular assembly may be configured to allow a medical professional to access, lock and/or manipulate an endoscopic tool/instrument attached thereto using a single hand.
  • a modular assembly 100 of the present disclosure may include a flexible dual-lumen catheter 112 (e.g., dual-lumen elongate shaft, etc.) attached to or otherwise extending from a proximal end of a main body 110 (e.g., housing, ergonomic handle, etc.).
  • First and second lumens 114 , 116 may extend through the main body 110 such that the first lumen 114 is contiguous (e.g., coextensive) with a first lumen 115 of the dual-lumen catheter 112 , and the second lumen 116 is contiguous with a second lumen 117 of the dual-lumen catheter 112 .
  • the contiguous first lumens 114 , 115 of the main body 110 and dual-lumen catheter 112 may be configured to receive a first endoscopic instrument 140 (e.g., a radial ultrasound probe) therethrough, e.g., in a rotatable fashion, and the contiguous second lumens 116 , 117 of the main body 110 and dual-lumen catheter 112 may be configured to slidably and/or rotatably receive a second endoscopic instrument 150 (e.g., a biopsy needle) therethrough.
  • An attachment member 118 may be formed within or otherwise attached to the main body 110 at or adjacent to a proximal end of the second lumen 116 .
  • the attachment member 118 may be configured to receive/engage a corresponding surface of the second endoscopic instrument 150 (e.g., a handle assembly 154 of the second endoscopic instrument) in a snap-lock configuration such that the second endoscopic instrument 150 may move laterally (e.g., back-and-forth) along/relative to along a longitudinal axis of the main body 110 .
  • the second endoscopic instrument 150 e.g., a handle assembly 154 of the second endoscopic instrument
  • the attachment member 118 may be configured to receive/engage a corresponding surface of the second endoscopic instrument 150 (e.g., a handle assembly 154 of the second endoscopic instrument) in a snap-lock configuration such that the second endoscopic instrument 150 may move laterally (e.g., back-and-forth) along/relative to along a longitudinal axis of the main body 110 .
  • a first support structure 120 may be attached to or integrally formed with the main body 110 at or near a proximal end of the first lumen 114 and a second support structure 122 may be attached to or integrally formed with the main body 110 at or near the distal end of the first and second lumens 114 , 116 .
  • the first and second support structures 120 , 122 may be configured to eliminate, minimize or reduce bending or kinking of the first endoscopic instrument 140 (e.g., radial ultrasound probe) extending through the contiguous first lumens 114 , 115 , which may impair or otherwise negatively affect ultrasound image quality.
  • the first endoscopic instrument 140 e.g., radial ultrasound probe
  • the first and second support structures 120 , 122 may limit the extent to which the first endoscopic instrument 140 bends or flexes within the main body 110 and/or the proximal portion of the dual-lumen catheter 112 , e.g., to allow the requisite high-speed rotation of the radial ultrasound probe throughout the full length of the dual-lumen catheter 112 .
  • the first and second support structures 120 , 122 may provide a dampening or insulating function to prevent, minimize or eliminate outside forces acting on the main body 110 , e.g., contact by other medical devices and/or the hand(s) of a medical professional operating the modular assembly, from propagating through the main body 110 and interfering with or otherwise corrupting the ultrasound signal.
  • first and second support structures 120 , 122 may provide a leak-proof seal at the proximal and distal ends of the first lumen 114 of the main body 110 such that fluid flushed through the contiguous first lumens 114 , 115 of the main body 110 and dual-lumen catheter 112 (e.g., to remove air from within the first lumens 114 , 115 and/or improve propagation of the ultrasound signal with the pulmonary passageway) does not leak into the patient and/or the contiguous second lumens 116 , 117 of the main body 110 and dual-lumen catheter 112 .
  • a system 200 of the present disclosure may include a first endoscopic instrument 140 (e.g., radial ultrasound probe) disposed within the first lumens 114 , 115 of the main body 110 and dual-lumen catheter 112 such that an ultrasound transducer 142 disposed at a distal end of the first endoscopic instrument 140 extends beyond a distal end of the dual-lumen catheter 112 ( FIG. 4A ).
  • a first endoscopic instrument 140 e.g., radial ultrasound probe
  • a second endoscopic instrument 150 (e.g., elongate biopsy needle) may be slidably disposed within the second lumens 116 , 117 of the main body 110 and dual-lumen catheter 112 to move a sharpened distal end 152 of the second endoscopic instrument 150 between a first position, e.g., proximally retracted, shielded or protected within the second lumen 117 ( FIG. 4A ), and a second position, e.g., extended distally beyond or exposed from within the second lumen 117 ( FIG. 4B ).
  • a first position e.g., proximally retracted, shielded or protected within the second lumen 117 ( FIG. 4A )
  • a second position e.g., extended distally beyond or exposed from within the second lumen 117
  • a handle assembly 154 ( FIG. 3 ) of the second endoscopic instrument 150 may be engaged with the attachment member 118 of the main body 110 in a snap-lock configuration.
  • a proximal portion of the second endoscopic instrument 150 may extend through the handle assembly 154 such that a proximal end of the second endoscopic instrument 150 is attached to a plunger 156 extending beyond a proximal end of the handle assembly 154 .
  • a spring 158 may be disposed around an outer circumference of a portion of the second endoscopic instrument 150 such that the plunger 156 may move between a first position (e.g., non-depressed, non-deployed) and second position (e.g., depressed, deployed, etc.).
  • the handle assembly 154 may move laterally (e.g., slide back-and-forth) along a longitudinal axis of the main body 110 of the modular assembly 100 between a proximally retracted position with the sharpened distal end 152 of the second endoscopic instrument 150 in the first position ( FIG. 4A ) and a distally extended position with the sharpened distal end 152 of the second endoscopic instrument in the second position ( FIG. 4B ).
  • the plunger 156 may be moved from the first position to the second position to further distally advance the sharpened distal end 152 of the second endoscopic instrument 150 relative to the ultrasound transducer 142 ( FIG. 4C ).
  • a bronchoscope (not shown) may be advanced into a pulmonary passage of a patient (e.g., through the esophagus).
  • a dual-lumen catheter 112 of the modular assembly 100 may then be introduced into a working channel of the bronchoscope and distally advanced through the working channel, e.g., by a medical professional holding the main body 110 of the modular assembly 100 .
  • the dual-lumen catheter 112 may be distally advanced beyond the distal end of the bronchoscope and into a peripheral region of the lung (e.g., where early cancerous pulmonary nodules tend to form) under radial ultrasound direct imaging guidance provided by the ultrasound transducer 142 extending beyond the distal end of the dual-lumen catheter 112 to identify a first pulmonary nodule 160 .
  • the handle assembly 154 of the second endoscopic instrument 150 may then be moved laterally along a longitudinal axis of the main body 110 of the modular assembly 100 from a proximally retracted position to a distally extended position to expose the sharpened distal end 152 of the second endoscopic instrument 150 from within the second lumen 117 of the dual-lumen catheter 112 .
  • the sharpened distal end 152 of the second endoscopic instrument 150 may be substantially adjacent to or extend slightly distally beyond the ultrasound transducer 142 such that the pulmonary nodule 160 and sharpened distal end 152 may be imaged simultaneously.
  • the main body 110 of the modular assembly 100 may be rotated and/or distally advanced to position/align the sharpened distal end 152 of the second endoscopic instrument 150 with the pulmonary nodule 160 .
  • the plunger 156 may then be repeatedly moved between the first and second positions to extend/advance the sharpened distal end 152 of the second endoscopic instrument 150 into the pulmonary nodule 160 .
  • the plunger 156 may be depressed multiple (e.g., 12-15) times to ensure that sufficient volume and location of biopsy sample of the pulmonary nodule 160 is acquired within the lumen of the sharpened distal end 152 of the second endoscopic instrument 150 for diagnostic analysis.
  • the handle assembly 154 may then be detached from the attachment member 118 of the main body 110 and the second endoscopic instrument 150 withdrawn/retracted through the contiguous second lumens 116 , 117 of the main body 110 and dual-lumen catheter 112 while the dual-lumen catheter 112 remains disposed within the working channel of the bronchoscope.
  • the biopsy sample may then be ejected from within the lumen of the second endoscopic instrument 150 for diagnostic analysis and a second endoscopic instrument 150 (e.g., the same second endoscopic instrument or a different/second endoscopic instrument) reinserted/inserted through the contiguous second lumens 116 , 117 such that the sharpened distal end 152 returns to the first position ( FIG.
  • an additional biopsy sample may be acquired from the first pulmonary nodule 160 by repeating the steps outlined above.
  • the dual-lumen catheter 112 may be repositioned within the peripheral region of the lung (e.g., advanced to a more distal peripheral region or a different peripheral branch) to visualize a second pulmonary nodule (not shown).
  • the handle assembly 154 and plunger 156 may then be actuated, and the sharpened distal end 152 of the second endoscopic instrument 150 repositioned and/or rotated, as discussed above to obtain a biopsy sample from the second pulmonary nodule.
  • a first advantage may be provided by the second endoscopic instrument 150 extending through the second lumen 117 of the dual-lumen catheter 112 , which may provide columnar support to the dual-lumen catheter 112 to protect the first endoscopic instrument 140 from excessive bending, twisting or kinking within the narrow and tortuous pulmonary passages.
  • a second advantage may be provided by the sharpened distal end 152 of the second endoscopic instrument 150 being maintained within the dual-lumen catheter 112 as a pulmonary nodule is imaged, thereby allowing a biopsy sample to be acquired upon imaging without requiring a device exchange.
  • a third advantage may be provided by the plunger and spring of the handle assembly, which may allow a medical professional to actuate the second endoscopic instrument using a single hand, e.g., to obtain a sufficient biopsy sample from the pulmonary nodule.
  • a fourth advantage may be provided by the side-by-side configuration of the first and second lumens 115 , 117 of the dual-lumen catheter 112 , which may allow a medical professional to rotate the main body 110 of the modular assembly 100 to align the sharpened distal end 152 of the second endoscopic instrument 150 with an eccentric pulmonary nodule while maintaining visualization of the pulmonary nodule (e.g., as the second endoscopic instrument 150 rotates around/relative to an axis of the first endoscopic instrument 140 ).
  • a fourth advantage may be provided by the main body 110 of the modular assembly 100 being configured for single-user control or multiple-user control.
  • multiple-user control may allow a first medical professional (e.g., a physician) to position the first endoscopic instrument 140 adjacent to a target pulmonary nodule and a second medical professional (e.g., a medical assistant) to manipulate the second endoscopic instrument 150 (e.g., acquire the biopsy sample and remove the second endoscopic instrument through the working channel) at the instruction of the first medical professional.
  • a first medical professional e.g., a physician
  • a second medical professional e.g., a medical assistant
  • single-user control may allow a medical professional to manipulate the first endoscopic instrument 140 with one hand and manipulate the second endoscopic instrument 150 with the other hand.
  • the second endoscopic instrument 150 of the present disclosure is not limited to a biopsy needle, but may include a variety of medical instruments configured to manipulate a target tissue within a body passage, including, for example, electrocautery knives, clips, brushes, scissors, graspers, forceps, laser ablative elements, etc.
  • Other peripheral pulmonary nodule visualization and/or biopsy techniques, features, and/or components that may be used herein are disclosed in U.S. Non-Provisional Patent Application titled “Apparatus to Provide an Adjustable Mechanism for Radial Ultrasound Port and Flush Port”, attorney docket number 8150.0600, filed even date herewith, the entirety of which is incorporated herein by reference and/or U.S. Non-Provisional Patent Application titled “Medical Imaging Devices, Systems, and Methods”, attorney docket number 8150.0746, filed even date herewith, the entirety of which is incorporated herein by reference.

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Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220000519A1 (en) * 2020-07-01 2022-01-06 Verix Health, Inc. Lung access device
US20220183538A1 (en) * 2020-12-10 2022-06-16 Olympus Medical Systems Corporation Real-time sampling system
US11517718B2 (en) 2016-11-07 2022-12-06 Edwards Lifesciences Corporation Apparatus for the introduction and manipulation of multiple telescoping catheters
US11547564B2 (en) 2018-01-09 2023-01-10 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11602431B2 (en) 2017-04-18 2023-03-14 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11612485B2 (en) 2018-01-09 2023-03-28 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11660185B2 (en) 2009-12-04 2023-05-30 Edwards Lifesciences Corporation Ventricular anchors for valve repair and replacement devices
US11690621B2 (en) 2014-12-04 2023-07-04 Edwards Lifesciences Corporation Percutaneous clip for repairing a heart valve
US11723772B2 (en) 2017-04-18 2023-08-15 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11730598B2 (en) 2017-09-07 2023-08-22 Edwards Lifesciences Corporation Prosthetic device for heart valve
US11766330B2 (en) 2018-10-10 2023-09-26 Edwards Lifesciences Corporation Valve repair devices for repairing a native valve of a patient
US11793642B2 (en) 2015-05-14 2023-10-24 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11839544B2 (en) 2019-02-14 2023-12-12 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11918469B2 (en) 2018-01-09 2024-03-05 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11931073B2 (en) 2019-05-17 2024-03-19 Boston Scientific Scimed, Inc. Medical imaging devices, systems, and methods
US11944762B2 (en) 2017-09-19 2024-04-02 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US11951263B2 (en) 2016-03-21 2024-04-09 Edwards Lifesciences Corporation Multi-direction steerable handles
US11969346B2 (en) 2017-01-05 2024-04-30 Edwards Lifesciences Corporation Heart valve coaptation device
US12048625B2 (en) 2017-05-10 2024-07-30 Edwards Lifesciences Corporation Valve repair delivery handle
US12083010B2 (en) 2013-02-04 2024-09-10 Edwards Lifesciences Corporation Method of implanting a spacer body in a mitral valve
US12090052B2 (en) 2018-01-09 2024-09-17 Edwards Lifesciences Corporation Native valve repair devices and procedures
US12097337B2 (en) 2016-03-21 2024-09-24 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US12138165B2 (en) 2011-06-23 2024-11-12 Edwards Lifesciences Innovation (Israel) Ltd. Annuloplasty implants
US12156813B2 (en) 2013-11-22 2024-12-03 Edwards Lifesciences Corporation Valvular insufficiency repair device and method
US12245942B2 (en) 2018-11-20 2025-03-11 Edwards Lifesciences Corporation Deployment tools and methods for delivering a device to a native heart valve
US12251309B2 (en) 2016-07-07 2025-03-18 Edwards Lifesciences Corporation Device and method for treating vascular insufficiency
USD1071198S1 (en) 2023-06-28 2025-04-15 Edwards Lifesciences Corporation Cradle
US12279982B2 (en) 2018-11-21 2025-04-22 Edwards Lifesciences Corporation Retrieval devices for heart valve sealing devices
US12343181B2 (en) 2017-04-28 2025-07-01 Edwards Lifesciences Corporation Medical device stabilizing apparatus and method of use
US12350149B2 (en) 2009-05-04 2025-07-08 Edwards Lifesciences Innovation (Israel) Ltd. Method and apparatus for repairing a heart valve
US12396850B2 (en) 2018-11-29 2025-08-26 Edwards Lifesciences Corporation Catheterization method and apparatus
US12409031B2 (en) 2024-08-21 2025-09-09 Edwards Lifesciences Corporation Prosthetic valve having a multi-part frame

Families Citing this family (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3250278B1 (en) 2015-01-29 2024-04-03 Becton, Dickinson and Company Rapid insertion integrated catheter
MX2020011024A (es) * 2018-04-18 2020-11-11 Bard Inc C R Introductor coaxial de doble lumen que tiene entrega de marcador de tejido integrado.
DE102018208538A1 (de) 2018-05-30 2019-12-05 Kardion Gmbh Intravasale Blutpumpe und Verfahren zur Herstellung von elektrischen Leiterbahnen
DE102018208555A1 (de) 2018-05-30 2019-12-05 Kardion Gmbh Vorrichtung zum Verankern eines Herzunterstützungssystems in einem Blutgefäß, Verfahren zum Betreiben und Herstellverfahren zum Herstellen einer Vorrichtung und Herzunterstützungssystem
DE102018208936A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Bestimmvorrichtung und Verfahren zum Bestimmen einer Viskosität eines Fluids
DE102018208945A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Analysevorrichtung und Verfahren zum Analysieren einer Viskosität eines Fluids
DE102018208879A1 (de) 2018-06-06 2020-01-30 Kardion Gmbh Verfahren zur Bestimmung eines Fluid-Gesamtvolumenstroms im Bereich eines implantierten, vaskuläres Unterstützungssystems
DE102018208929A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zur Bestimmung einer Strömungsgeschwindigkeit eines durch ein implantiertes, vaskuläres Unterstützungssystem strömenden Fluids
DE102018208862A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Implantierbares, vaskuläres Unterstützungssystem
DE102018208913A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zum Betreiben eines implantierten, ventrikulären Unterstützungssystems
DE102018208899A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zum Ermitteln der Schallgeschwindigkeit in einem Fluid im Bereich eines implantierten, vaskulären Unterstützungssystems
DE102018208933A1 (de) 2018-06-06 2019-12-12 Kardion Gmbh Verfahren zur Bestimmung einer Strömungsgeschwindigkeit eines durch ein implantiertes, vaskuläres Unterstützungssystem strömenden Fluids
DE102018210076A1 (de) 2018-06-21 2019-12-24 Kardion Gmbh Verfahren und Vorrichtung zum Erkennen eines Verschleißzustands eines Herzunterstützungssystems, Verfahren und Vorrichtung zum Betreiben eines Herzunterstützungssystems und Herzunterstützungssystem
US20210000332A1 (en) 2019-07-03 2021-01-07 Gyrus Acmi, Inc. Real-Time Sampling Device
CN112438685A (zh) * 2019-08-27 2021-03-05 捷锐士股份有限公司 实时采样系统
US11826526B2 (en) 2020-01-23 2023-11-28 Bard Access Systems, Inc. Splitable catheter docking station system and method
KR20230007403A (ko) 2020-04-23 2023-01-12 바드 액세스 시스템즈, 인크. 카테터 어셈블리들을 포함하는 신속 삽입가능 중심 카테터들 (rapidly insertable central catheters including catheter assemblies)
JP2023524221A (ja) * 2020-04-27 2023-06-09 バード・アクセス・システムズ，インコーポレーテッド カテーテル組立体を含む速やかに挿入可能な中心カテーテル及びその方法
KR20230013131A (ko) 2020-05-21 2023-01-26 바드 액세스 시스템즈, 인크. 카테터 어셈블리를 포함하는 신속 삽입 가능 중심 카테터 및 그 방법(rapidly insertable central catheters including catheter assemblies and methods thereof)
CA3186443A1 (en) 2020-06-29 2022-01-06 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies and methods thereof
US12274836B2 (en) 2020-06-29 2025-04-15 Bard Access Systems, Inc. Rapidly insertable central catheters including assemblies and methods thereof
WO2022066644A1 (en) 2020-09-28 2022-03-31 Boston Scientific Scimed, Inc. Dual-function medical devices with diagnostic and therapeutic tools
WO2022094141A1 (en) 2020-10-28 2022-05-05 Bard Access Systems, Inc. Catheter placement system with stiffening system
CA3203290A1 (en) 2020-12-17 2022-06-23 Bard Access Systems, Inc. Rapidly insertable central catheters and assemblies
MX2023006864A (es) 2020-12-21 2023-06-22 Bard Access Systems Inc Optimizacion de la via de fluido en sistemas de insercion de cateter.
KR20230124605A (ko) 2020-12-21 2023-08-25 바드 액세스 시스템즈, 인크. 카테터 삽입 시스템들에서의 최적화된 구조적 지원(optimized structural support in catheter insertion systems)
US12193650B2 (en) 2021-04-01 2025-01-14 Resnent, Llc Orthopedic arthroscopic optical cannula system
US20230012775A1 (en) * 2021-07-16 2023-01-19 Nuvera Medical, Inc. Cable routing and assemblies for medical device handles
US20240008843A1 (en) * 2022-07-07 2024-01-11 Boston Scientific Scimed, Inc. Photoacoustic cancer detection and imaging biopsy system
US12336694B2 (en) 2023-10-05 2025-06-24 Resnent, Llc Orthopedic arthroscopic optical cannula system
WO2025139662A1 (zh) * 2023-12-29 2025-07-03 苏州市立普医疗科技有限公司 经皮手术装置和经皮手术设备
CN117547329A (zh) * 2023-12-29 2024-02-13 苏州市立普医疗科技有限公司 经皮手术装置和经皮手术设备

Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030130575A1 (en) * 1991-10-18 2003-07-10 Ashvin Desai Method and apparatus for tissue treatment with laser and electromagnetic radiation
US20040002647A1 (en) * 1991-10-18 2004-01-01 Ashvin Desai Gel injection treatment of body parts
US20040065333A1 (en) * 2001-01-24 2004-04-08 Wilson Jon S. Multi-lumen catheter with attachable hub
US20040167478A1 (en) * 1996-11-26 2004-08-26 Mooney Charles R. Multiple lumen access device having a multifunction adapter and method of use
US20060058680A1 (en) * 2004-08-25 2006-03-16 Stephen Solomon Needle guide for laparoscopic ultrasonography
US20060253088A1 (en) * 2005-04-22 2006-11-09 Mina Chow Dual needle delivery system
US7815571B2 (en) * 2006-04-20 2010-10-19 Gynesonics, Inc. Rigid delivery systems having inclined ultrasound and needle
US7874986B2 (en) * 2006-04-20 2011-01-25 Gynesonics, Inc. Methods and devices for visualization and ablation of tissue
US20130225997A1 (en) * 2012-02-28 2013-08-29 Spiration, Inc. Lung biopsy needle
US20130296699A1 (en) * 2006-01-12 2013-11-07 Gynesonics, Inc. Devices and methods for treatment of tissue
US20180153530A1 (en) * 2016-12-07 2018-06-07 Boston Scientific Scimed, Inc. Systems and methods for real-time biopsy needle and target tissue visualization
US20180153531A1 (en) * 2016-12-07 2018-06-07 Boston Scientific Scimed, Inc. Systems and methods for eccentric nodule tissue acquisition
US20190254649A1 (en) * 2016-06-15 2019-08-22 Intuitive Surgical Operations, Inc. Systems and methods of integrated real-time visualization

Family Cites Families (79)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4723550A (en) * 1986-11-10 1988-02-09 Cordis Corporation Leakproof hemostasis valve with single valve member
US5056529A (en) * 1990-04-03 1991-10-15 Groot William J De Apparatus and method for performing a transbroncheal biopsy
US5162044A (en) * 1990-12-10 1992-11-10 Storz Instrument Company Phacoemulsification transducer with rotatable handle
US5190046A (en) * 1992-05-01 1993-03-02 Shturman Cardiology Systems, Inc. Ultrasound imaging balloon catheter
US5599300A (en) * 1992-05-11 1997-02-04 Arrow Precision Products, Inc. Method for electrosurgically obtaining access to the biliary tree with an adjustably positionable needle-knife
JP3212684B2 (ja) * 1992-05-20 2001-09-25 オリンパス光学工業株式会社 内視鏡装置及び内視鏡用管路装置
US5335663A (en) * 1992-12-11 1994-08-09 Tetrad Corporation Laparoscopic probes and probe sheaths useful in ultrasonic imaging applications
ES2189805T3 (es) * 1993-07-01 2003-07-16 Boston Scient Ltd Cateteres de visualizacion de imagen, de potencial electrico y de ablacion.
US5702344A (en) * 1995-05-30 1997-12-30 University Of Washington Safe endoscopic accessory
EP0835075A4 (en) 1995-06-30 1999-06-23 Boston Scient Corp CATHETER FOR ULTRASONIC IMAGING, WITH A CUTTING ELEMENT
JPH0928665A (ja) * 1995-07-21 1997-02-04 Terumo Corp カテーテル
US6283951B1 (en) * 1996-10-11 2001-09-04 Transvascular, Inc. Systems and methods for delivering drugs to selected locations within the body
JP3409270B2 (ja) * 1996-03-26 2003-05-26 日本シャーウッド株式会社 ダブルルーメンカテーテル
JPH10108866A (ja) * 1996-10-08 1998-04-28 Olympus Optical Co Ltd バルーン式超音波プローブ装置
JP4179659B2 (ja) * 1998-04-07 2008-11-12 オリンパス株式会社 超音波プローブ
US6575991B1 (en) * 1999-06-17 2003-06-10 Inrad, Inc. Apparatus for the percutaneous marking of a lesion
JP4363719B2 (ja) 1999-10-08 2009-11-11 オリンパス株式会社 超音波ガイド下穿刺システム装置
JP2001258831A (ja) 2000-03-16 2001-09-25 Olympus Optical Co Ltd 像形成装置
US20050038410A1 (en) * 2003-04-23 2005-02-17 Friedman Paul A. Rotatable infusion sheath apparatus
JP2005027902A (ja) * 2003-07-07 2005-02-03 Fujinon Corp 内視鏡の手元操作部
US20050096550A1 (en) * 2003-10-31 2005-05-05 Medtronic, Inc. Techniques for transrectal delivery of a denervating agent to the prostate gland
EP1830713B1 (en) * 2004-11-29 2011-03-16 Granit Medical Innovations, LLC Rotating fine needle for core tissue sampling
US20060252993A1 (en) * 2005-03-23 2006-11-09 Freed David I Medical devices and systems
WO2007005976A1 (en) * 2005-07-01 2007-01-11 Hansen Medical, Inc. Robotic catheter system
US9357977B2 (en) 2006-01-12 2016-06-07 Gynesonics, Inc. Interventional deployment and imaging system
EP1998683B1 (en) * 2006-03-09 2016-09-07 Cybersonics, Inc. Catheters
US9345462B2 (en) 2006-12-01 2016-05-24 Boston Scientific Scimed, Inc. Direct drive endoscopy systems and methods
US9950141B2 (en) * 2006-12-29 2018-04-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Dual braid reinforcement deflectable device (sheath or catheter)
US20090270812A1 (en) * 2007-04-06 2009-10-29 Interlace Medical , Inc. Access device with enhanced working channel
US9987468B2 (en) * 2007-06-29 2018-06-05 Actuated Medical, Inc. Reduced force device for intravascular access and guidewire placement
US20090216151A1 (en) * 2008-02-27 2009-08-27 Speeg Trevor W V Biopsy Probe With Hypodermic Lumen
US8323203B2 (en) 2008-02-28 2012-12-04 Boston Scientific Scimed, Inc. Imaging catheter
US20090248142A1 (en) * 2008-03-25 2009-10-01 Medtronic Vascular, Inc. Methods, Devices and Systems for Treating Venous Insufficiency
US8968210B2 (en) * 2008-10-01 2015-03-03 Covidien LLP Device for needle biopsy with integrated needle protection
US9039626B2 (en) * 2009-03-31 2015-05-26 Sunnybrook Health Sciences Centre Medical device with means to improve transmission of torque along a rotational drive shaft
JP5271798B2 (ja) 2009-05-14 2013-08-21 Ｈｏｙａ株式会社 超音波内視鏡用穿刺針装置
US9101733B2 (en) * 2009-09-29 2015-08-11 Biosense Webster, Inc. Catheter with biased planar deflection
JP6180405B2 (ja) * 2011-05-03 2017-08-16 エンドーシー コーポレイションＥｎｄｏｓｅｅ Ｃｏｒｐｏｒａｔｉｏｎ ヒステロスコピー及び子宮内膜生検用の方法及び装置
EP2714173B1 (en) * 2011-05-27 2020-05-27 Conavi Medical Inc. Medical probe with fluid rotary joint
WO2013026043A1 (en) 2011-08-18 2013-02-21 Hologic, Inc. Tissue removal system
WO2013096694A1 (en) 2011-12-22 2013-06-27 Boston Scientific Scimed, Inc. Handle having hub with rotating infusion sideport
WO2013123309A1 (en) * 2012-02-15 2013-08-22 The Cleveland Clinic Foundation Catheter assembly and method of treating a vascular disease
US9295455B2 (en) * 2012-04-20 2016-03-29 Terumo Kabushiki Kaisha Biopsy system and biopsy method
US20140200446A1 (en) * 2013-01-16 2014-07-17 Thomas Haider Method and apparatus for the infusion of a catheter into an artery/vein and for suspected tissue removal
WO2014143197A1 (en) 2013-03-12 2014-09-18 Abbott Cardiovascular Systems Inc. Catheter having movable tubular structure and proximal stopper
WO2014188509A1 (ja) 2013-05-21 2014-11-27 テルモ株式会社 カテーテル
EP3041422A4 (en) * 2013-09-06 2017-04-12 Procept Biorobotics Corporation Automated image-guided tissue resection and treatment
JP2015066036A (ja) 2013-09-27 2015-04-13 テルモ株式会社 画像診断用カテーテル
US10034986B2 (en) * 2013-11-11 2018-07-31 Crossbay Medical, Inc. Method and apparatus of tubal patency catheter and delivery systems
WO2015153931A1 (en) * 2014-04-02 2015-10-08 The Board Of Trustees Of The Leland Stanford Jr. University Biopsy devices, systems, and methods for use
US11311271B2 (en) * 2014-04-23 2022-04-26 Philips Image Guided Therapy Corporation Catheter with integrated controller for imaging and pressure sensing
CA2961397A1 (en) * 2014-09-26 2016-03-31 Boston Scientific Scimed, Inc. Medical devices and related methods of use
JP6641296B2 (ja) * 2015-01-07 2020-02-05 テルモ株式会社 医療用デバイス
US20160220234A1 (en) * 2015-02-04 2016-08-04 Boston Scientific Scimed, Inc. Multiple sample biopsy device
CN106659486B (zh) * 2015-03-06 2020-03-03 奥林巴斯株式会社 内窥镜用穿刺针及活检系统
US10111715B2 (en) * 2015-05-11 2018-10-30 Veran Medical Technologies, Inc. Adjustable length medical instrument assembly with localization elements for tracking medical instrument extension
US20160331343A1 (en) 2015-05-11 2016-11-17 Veran Medical Technologies, Inc. Medical apparatus with translatable imaging device for real-time confirmation of interception of target tissue
CN107708581B (zh) * 2015-06-10 2021-11-19 Ekos公司 超声波导管
US11317892B2 (en) * 2015-08-12 2022-05-03 Muffin Incorporated Over-the-wire ultrasound system with torque-cable driven rotary transducer
CN107920811A (zh) * 2015-09-01 2018-04-17 波士顿科学国际有限公司 安装在内镜上的iNod手柄
CN113598720B (zh) * 2015-09-25 2024-08-23 C·R·巴德股份有限公司 具有监测功能的导管组件
US20170164925A1 (en) * 2015-10-09 2017-06-15 Boston Scientific Scimed, Inc. Intravascular ultrasound systems, catheters, and methods with a manual pullback arrangement
CN108348218B (zh) * 2015-11-25 2021-03-09 富士胶片索诺声公司 具有高频超音波换能器阵列的医疗仪器
US11317891B2 (en) * 2016-02-26 2022-05-03 Conavi Medical Inc. Imaging probe with rotatable core
CA3016336A1 (en) * 2016-03-17 2017-09-21 Trice Medical, Inc. Clot evacuation and visualization devices and methods of use
US11206972B2 (en) * 2016-06-06 2021-12-28 3Nt Medical Ltd. Modular body cavity access system
JP2018033614A (ja) * 2016-08-30 2018-03-08 テルモ株式会社 医療用デバイス
JP2018042823A (ja) 2016-09-15 2018-03-22 テルモ株式会社 医療用デバイス
US20180161023A1 (en) * 2016-12-14 2018-06-14 Mohammed Saud ALSAIDAN Dual-purpose biopsy punch
US10695043B2 (en) * 2017-02-21 2020-06-30 Katalyst Surgical, Llc Surgical instrument subcomponent integration by additive manufacturing
WO2018157038A1 (en) 2017-02-27 2018-08-30 Boston Scientific Scimed, Inc. Systems for body passage navigation and visualization
CA3057946A1 (en) * 2017-03-30 2018-10-04 Shifamed Holdings, Llc Medical tool positioning devices, systems, and methods of use and manufacture
US10722212B2 (en) * 2017-03-31 2020-07-28 Gyrus Acmi, Inc. Guide sheath with window and markings indicating location thereof
US20180279860A1 (en) * 2017-04-04 2018-10-04 Lymol Medical, Inc. Bronchoscope
US20180338673A1 (en) * 2017-05-26 2018-11-29 Covidien Lp Surgical sheath and surgical apparatus including the same
CN109512473A (zh) * 2017-09-20 2019-03-26 史军 带可视穿刺装置的医疗设备
GB2569812A (en) * 2017-12-27 2019-07-03 Creo Medical Ltd Electrosurgical ablation instrument
WO2020079762A1 (ja) 2018-10-16 2020-04-23 オリンパス株式会社 ガイドチューブ、超音波プローブ、超音波観察システム、及び超音波観察システムの使用方法
CN113825453B (zh) 2019-05-17 2025-02-21 波士顿科学国际有限公司 医用成像装置和系统

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030130575A1 (en) * 1991-10-18 2003-07-10 Ashvin Desai Method and apparatus for tissue treatment with laser and electromagnetic radiation
US20040002647A1 (en) * 1991-10-18 2004-01-01 Ashvin Desai Gel injection treatment of body parts
US20040167478A1 (en) * 1996-11-26 2004-08-26 Mooney Charles R. Multiple lumen access device having a multifunction adapter and method of use
US20040065333A1 (en) * 2001-01-24 2004-04-08 Wilson Jon S. Multi-lumen catheter with attachable hub
US20060058680A1 (en) * 2004-08-25 2006-03-16 Stephen Solomon Needle guide for laparoscopic ultrasonography
US20060253088A1 (en) * 2005-04-22 2006-11-09 Mina Chow Dual needle delivery system
US20130296699A1 (en) * 2006-01-12 2013-11-07 Gynesonics, Inc. Devices and methods for treatment of tissue
US10058342B2 (en) * 2006-01-12 2018-08-28 Gynesonics, Inc. Devices and methods for treatment of tissue
US7874986B2 (en) * 2006-04-20 2011-01-25 Gynesonics, Inc. Methods and devices for visualization and ablation of tissue
US7815571B2 (en) * 2006-04-20 2010-10-19 Gynesonics, Inc. Rigid delivery systems having inclined ultrasound and needle
US20130225997A1 (en) * 2012-02-28 2013-08-29 Spiration, Inc. Lung biopsy needle
US20190254649A1 (en) * 2016-06-15 2019-08-22 Intuitive Surgical Operations, Inc. Systems and methods of integrated real-time visualization
US20180153530A1 (en) * 2016-12-07 2018-06-07 Boston Scientific Scimed, Inc. Systems and methods for real-time biopsy needle and target tissue visualization
US20180153531A1 (en) * 2016-12-07 2018-06-07 Boston Scientific Scimed, Inc. Systems and methods for eccentric nodule tissue acquisition

Cited By (45)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12350149B2 (en) 2009-05-04 2025-07-08 Edwards Lifesciences Innovation (Israel) Ltd. Method and apparatus for repairing a heart valve
US11911264B2 (en) 2009-12-04 2024-02-27 Edwards Lifesciences Corporation Valve repair and replacement devices
US11660185B2 (en) 2009-12-04 2023-05-30 Edwards Lifesciences Corporation Ventricular anchors for valve repair and replacement devices
US12138165B2 (en) 2011-06-23 2024-11-12 Edwards Lifesciences Innovation (Israel) Ltd. Annuloplasty implants
US12357453B2 (en) 2013-02-04 2025-07-15 Edwards Lifesciences Corporation Prosthetic heart valve with atrial sealing member
US12303385B2 (en) 2013-02-04 2025-05-20 Edwards Lifesciences Corporation Method of implanting a spacer body in a mitral valve
US12083010B2 (en) 2013-02-04 2024-09-10 Edwards Lifesciences Corporation Method of implanting a spacer body in a mitral valve
US12156813B2 (en) 2013-11-22 2024-12-03 Edwards Lifesciences Corporation Valvular insufficiency repair device and method
US11690621B2 (en) 2014-12-04 2023-07-04 Edwards Lifesciences Corporation Percutaneous clip for repairing a heart valve
US12011353B2 (en) 2015-05-14 2024-06-18 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11793642B2 (en) 2015-05-14 2023-10-24 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11951263B2 (en) 2016-03-21 2024-04-09 Edwards Lifesciences Corporation Multi-direction steerable handles
US12097337B2 (en) 2016-03-21 2024-09-24 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US12251309B2 (en) 2016-07-07 2025-03-18 Edwards Lifesciences Corporation Device and method for treating vascular insufficiency
US12178973B2 (en) 2016-11-07 2024-12-31 Edwards Lifesciences Corporation Apparatus for the introduction and manipulation of multiple telescoping catheters
US11517718B2 (en) 2016-11-07 2022-12-06 Edwards Lifesciences Corporation Apparatus for the introduction and manipulation of multiple telescoping catheters
US11969346B2 (en) 2017-01-05 2024-04-30 Edwards Lifesciences Corporation Heart valve coaptation device
US12161554B2 (en) 2017-04-18 2024-12-10 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11602431B2 (en) 2017-04-18 2023-03-14 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US12274621B2 (en) 2017-04-18 2025-04-15 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US12220315B2 (en) 2017-04-18 2025-02-11 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US12186191B2 (en) 2017-04-18 2025-01-07 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11850153B2 (en) 2017-04-18 2023-12-26 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11723772B2 (en) 2017-04-18 2023-08-15 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US12343181B2 (en) 2017-04-28 2025-07-01 Edwards Lifesciences Corporation Medical device stabilizing apparatus and method of use
US12048625B2 (en) 2017-05-10 2024-07-30 Edwards Lifesciences Corporation Valve repair delivery handle
US11730598B2 (en) 2017-09-07 2023-08-22 Edwards Lifesciences Corporation Prosthetic device for heart valve
US11944762B2 (en) 2017-09-19 2024-04-02 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US12090052B2 (en) 2018-01-09 2024-09-17 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11547564B2 (en) 2018-01-09 2023-01-10 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11918469B2 (en) 2018-01-09 2024-03-05 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11612485B2 (en) 2018-01-09 2023-03-28 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11850154B2 (en) 2018-01-09 2023-12-26 Edwards Lifesciences Corporation Native valve repair devices and procedures
US11766330B2 (en) 2018-10-10 2023-09-26 Edwards Lifesciences Corporation Valve repair devices for repairing a native valve of a patient
US12245942B2 (en) 2018-11-20 2025-03-11 Edwards Lifesciences Corporation Deployment tools and methods for delivering a device to a native heart valve
US12279982B2 (en) 2018-11-21 2025-04-22 Edwards Lifesciences Corporation Retrieval devices for heart valve sealing devices
US12396850B2 (en) 2018-11-29 2025-08-26 Edwards Lifesciences Corporation Catheterization method and apparatus
US11839544B2 (en) 2019-02-14 2023-12-12 Edwards Lifesciences Corporation Heart valve sealing devices and delivery devices therefor
US11931073B2 (en) 2019-05-17 2024-03-19 Boston Scientific Scimed, Inc. Medical imaging devices, systems, and methods
US20220000519A1 (en) * 2020-07-01 2022-01-06 Verix Health, Inc. Lung access device
US11877770B2 (en) * 2020-07-01 2024-01-23 Verix Health, Inc. Lung access device
US20220183538A1 (en) * 2020-12-10 2022-06-16 Olympus Medical Systems Corporation Real-time sampling system
US12409033B2 (en) 2021-07-16 2025-09-09 Edwards Lifesciences Corporation Axisymmetric adjustable device for treating mitral regurgitation
USD1071198S1 (en) 2023-06-28 2025-04-15 Edwards Lifesciences Corporation Cradle
US12409031B2 (en) 2024-08-21 2025-09-09 Edwards Lifesciences Corporation Prosthetic valve having a multi-part frame

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