Entries |
Document | Title | Date |
20080200923 | Insertion tool for ocular implant and method for using same - An insertion tool and method are provided for implanting an ophthalmic shunt having a foot, a head and a body connecting the foot and head. The insertion tool has a first arm having a proximal end and a distal end and a second arm having a proximal end and a distal end. The second arm is movable with respect to the first arm between an open position and a closed position. A means to grip a shunt is disposed on the distal ends of the first and second arms. In use, the insertion tool is employed to selectively grip the shunt for placement in the tissue of the eye and, as desired, to orient the shunt after placement. | 08-21-2008 |
20080208208 | Gastrostomy Tube Extension Device - To provide a gastrostomy tube extension device which can facilitate insertion or removal of a gastrostomy tube by making the degree of extension of the gastrostomy tube constant. [Means for Resolution] A gastrostomy tube extension device | 08-28-2008 |
20080208209 | Device for delivering a self-expanding stent in a vessel of the body - The present invention relates to a device for delivering a self-expanding stent in a vessel of the body. The device comprises a tubular sheath which, in a distal section, keeps the stent radially compressed, and a pusher element, which is guided in the tubular sheath, in order to stabilize the stent when the sheath is pulled back. A handle is also provided, with a passage via which the pusher element is secured on the handle. The device further comprises a tubular rod which is fixedly connected to the handle and inside which the pusher element is provided, and which is provided at least in part with regularly spaced elevations and with depressions lying between the elevations. In addition, a movable element is provided which is arranged movably over the rod, distally from the handle, and whose movement in the proximal direction allows the sheath to be pulled back. | 08-28-2008 |
20080215062 | Packaging for holding an ophthalmic shunt - Packaging for holding an ophthalmic shunt, the ophthalmic shunt having a foot, a head, and a body connecting the foot and head, the packaging having an elastomeric membrane with an aperture for receiving the shunt in the packaging. | 09-04-2008 |
20080215063 | METHOD AND APPARATUS FOR ANASTOMOSIS INCLUDING AN ANCHORING SLEEVE - Apparatus for performing a surgical anastomosis include a tubular body having an onion portion formed near the distal end of the tubular body. The apparatus includes a sleeve having a radius sized and dimensioned to slidably receive the tubular body therein. The apparatus includes a plunger assembly sized and dimensioned to be slidably received within the central lumen of the tubular body. The plunger assembly includes a distal end configured and adapted to deploy the onion portion. | 09-04-2008 |
20080221586 | Curviliner spinal access method and device - A curvilinear spinal access device for performing a procedure on a spine of a patient is disclosed. The device includes a working portal configured to be advanced toward a surgical site located at the spine of the patient. The working portal includes a distal end and a proximate end, a working portal housing having an open interior channel disposed between the distal end and the proximate end, an exterior channel disposed on an outside surface of the working portal housing and between the distal end and the proximate end. The distal end is configured to be disposed at the surgical site and the proximate end is disposed away from the surgical site. The housing has a curved shape defined between the proximate end and the distal end, wherein the proximate end is disposed with respect to the distal end. The working channel is configured to allow advancement of at least one surgical tool and/or at least one implant toward the surgical site. | 09-11-2008 |
20080234693 | Endoscopic Tissue Resection Device - Devices and methods useful for manipulating tools at a surgical site are disclosed. The disclosed devices and methods can be useful, for example, for orbiting the distal end of one tool around the distal end of another tool, such as in an endoscopic resection procedure, and/or for rotating a tool or an end effector. In one exemplary embodiment, an endoscopic device is provided and can include an elongate shaft having a first lumen and a second lumen formed therein, each of the first and the second lumens adapted to receive a tool therethrough. A rotatable element can be disposed at a distal end of the elongate shaft, the rotatable element having a lumen formed therein that is associated with the first lumen of the elongate shaft and also having a tool guide that is adapted to receive a tool and that is associated with the second lumen of the elongate shaft. The rotatable element can be configured to rotate on a longitudinal axis thereof such that the tool guide orbits the longitudinal axis of the rotatable element. | 09-25-2008 |
20080234694 | Tool and a Method for Attaching a Cardiac Stimulator Lead at a Desired Position Inside a Heart - For attaching a cardiac stimulator lead at a desired position inside a heart, the stimulator lead having a flexible tube from which a helix is extendible at a distal end thereof by a screw rotating motion and having a proximal end interconnected with an operating member, a tool has a flexible portion wire with an engagement formation at a distal end thereof that mates with a complimentary engagement formation at a proximal end of the operating member. The tool has a handle containing an internal cavity, with a proximal portion of the torsion wire being rotationally rotated by the handle in the internal cavity, and a resilient yoke is formed in the internal cavity, with at least a part of the yoke engaging grooves and ridges in a circumferential boundary surface of the internal cavity. | 09-25-2008 |
20080249533 | Medical Device and Method For Controlling Obesity - A method of, and device for, slowing the passage of food through a digestive tract of a patient and thereby treating obesity. The device is an obesity tube comprising (A) an upper ring of a size corresponding to a point under a patient's esophagus and above the patient's diaphragm muscle, and (B) a lower tube having a length and a distal opening. The method comprises stapling the upper ring under the patient's esophagus, above the patient's diaphragm muscle, and placing the lower tube distal to the upper ring. The length of the lower tube depends on whether the tube is to terminate distally in the stomach or terminate past the pylorus, in which case a section can be provided which is thick enough to resist collapsing under pylorus pressure. The lower tube can be entirely or partially non-permeable or semi-permeable. Semi-permeable tubes or sections thereof have walls which permit the passage of gastric hydrochloric acid but not food. | 10-09-2008 |
20080255580 | MEDICAL DEVICE DELIVERY SYSTEM WITH SHEATH SEPARATION - Medical device delivery systems and associated methods are provided. Delivery systems according to the invention include an elongated tubular member and a body member, such as a dilator, disposed therein. An intraluminal medical device is disposed on the dilator and within the tubular member prior to deployment. The delivery system includes a means for separating two or more portions of the distal end of the tubular member that aids in deploying the intraluminal medical device from the delivery system by separating two or more portions of the tubular member from each other to facilitate release of the intraluminal medical device from the body member. Various structures can be used for means for separating, including a cutting ring, activateable material on the tubular member, or other suitable structure. The provided devices and methods reduce friction occuring from relative movement between the sheath and dilator during deployment. | 10-16-2008 |
20080255581 | SHORT SLEEVE STENT DELIVERY CATHETER AND METHODS - A stent delivery catheter comprises a catheter body having a proximal end, a distal end, and a guidewire lumen extending from the distal end to at least part way between the proximal end and the distal end. A balloon is disposed over the catheter body near the distal end, and a stent is positioned over the balloon. The stent has a proximal end, a distal end, and a side opening between the proximal end and the distal end. A side sheath is coupled to the catheter body and has a proximal end, a distal end, and a guidewire lumen extending between the proximal end and the distal end. The proximal end of the side sheath is located between the proximal end of the catheter body and the balloon, and the side sheath exits out of the side opening of the stent. | 10-16-2008 |
20080262505 | System and Method for the Simultaneous Automated Bilateral Delivery of Pressure Equalization Tubes - Systems and methods for treating a patient having a head with a first ear and a second ear, function by aligning a first device with a tympanic membrane of the first ear; inputting a command to an input device operatively coupled to the first device to generate a signal; and actuating the first device in response to the signal so as to drive a penetrator of the device through the tympanic membrane. | 10-23-2008 |
20080262506 | CATHETER - A retrieval catheter | 10-23-2008 |
20080262507 | INSTRUMENT AND METHOD FOR IN SITU DEPLOYMENT OF CARDIAC VALVE PROSTHESES - An instrument for deploying a cardiac valve prosthesis, including a plurality of radially expandable portions, at an implantation site, includes a plurality of deployment elements each independently operable to obtain the radial expansion of a radially expandable portion of the valve prosthesis. A method for deploying the cardiac valve prosthesis includes advancing the instrument to an implant site and independently actuating the radially expandable portions. | 10-23-2008 |
20080275463 | CYSTOTOMY CATHETER CAPTURE DEVICE AND METHODS OF USING SAME - A catheter capture device comprising a urethral sound and a sleeve that utilizes balloon inflation to capture the catheter. A catheter capture device comprising a urethral sound and a clamshell device. The clamshell device comprises two halves, one of which comprises two pins. One pin passes through the lateral holes in the tip of the catheter, and the other pin fits into a notch in the bottom half of the clamshell device. A catheter capture device comprising a urethral sound, a sleeve and a pin that passes through the lateral holes in the tip of the catheter. A catheter capture device comprising a urethral sound, a wire and a nodule, wherein the nodule captures the catheter by lodging in the tip of the catheter. The nodule could be a ball, hook, crimped wire or similar object. A method of capturing a catheter in an obese or non-obese patient. | 11-06-2008 |
20080294174 | METHODS AND APPARATUS FOR PERICARDIAL ACCESS - An access tube has a central passage and at least one lumen extending axially between the central passage and an outside wall of the access tube. The lumen carries therein a piercing member for accessing an anatomic space, such as a pericardial space between the parietal pericardia and the visceral pericardia. While the access tube is positioned against the parietal pericardium, a distal end of the piercing member engages and penetrates the parietal pericardium. The distal end of the piercing member entering the anatomic space can then allow the piercing member to advance and form into a supporting structure to create a working space. After the working space is created, an access device can be introduced through the access tube into the pericardial space to perform a variety of procedures inside a patient. | 11-27-2008 |
20080319452 | METHOD AND SYSTEM FOR INSERTION OF A GRAFT - The present invention may provide a method and tools for carrying out a method for insertion of a graft, the method comprising gripping a tubular object by a grip head of a first tool, grasping the object by a second tool, detaching the object from the first tool and inserting the tubular object into a tubular cavity, wherein when inserting, a longitudinal axis of the second tool is substantially perpendicular to a longitudinal axis of the tubular cavity. | 12-25-2008 |
20090024137 | Prosthesis Delivery and Deployment Device - A device for delivering and deploying a prosthesis is described and comprises an elongate sheath having a sheath lumen and a delivery catheter slidably disposed within the sheath lumen. A deployment assist mechanism may be coupled to the delivery catheter and the sheath and configured to apply a retraction force to the delivery catheter and the sheath. Additional devices, systems, and methods of delivering and deploying a prosthesis are described. | 01-22-2009 |
20090030426 | Catheter Tunneler and Method of Using Same - A tunneler/casing assembly ( | 01-29-2009 |
20090043314 | ACCESS DEVICE FOR BODY TISSUE AND METHOD OF USING SAME - A body tissue has oppositely disposed first and second tissue sides with an aperture extending therebetween. An apparatus for selectively permitting access through the body tissue includes a proximal balloon adapted for placement adjacent the first tissue side. A distal balloon is adapted for placement adjacent the second tissue side. An expandable support member is adapted to extend through the aperture and defines a support member lumen providing fluid communication between the first and second tissue sides. The expandable support member is attached to the proximal and distal balloons and has at least one of an inner support member lining and an outer support member cover. A support member valve is located within the support member lumen and selectively permits access through the aperture between the first and second tissue sides. A closure device is provided for permanently occluding the support member lumen. | 02-12-2009 |
20090054905 | Embolization coil delivery systems and methods - A system and method for ultrasonically guided endoscopic (EUS) delivery of one or more embolization coils to an internal body site. The embolization coil delivery devices are preferably ultrasonically guided to the selected internal body site after being advanced through the working channel of an endoscope with its distal end located near the selected internal body site. In one aspect, the system and method may be utilized to deploy an embolization coil into a lesion to promote thrombosis and/or prevent bleeding. | 02-26-2009 |
20090054906 | MEDICAL DEVICE AND METHOD FOR DELIVERING AN IMPLANT TO AN ANATOMICAL SITE - A medical device and method for providing an implant to an anatomical site are disclosed. The medical device generally comprises a sleeve having first and second ends, a cutting frame coupled to the second end, and a rod received in an inner bore of the sleeve. The cutting frame defines a guide configured to direct a cutting tool for reciprocal motion along a cutting plane. When the implant is positioned within the inner bore, the rod and sleeve are used to gauge a depth of the anatomical site and to advance a portion of the implant beyond the cutting plane. The implant may then be cut to an appropriate size to fit the anatomical site. | 02-26-2009 |
20090062812 | Detachable Coil Incorporating Stretch Resistance - An implantable embolic device having a stretch-resistant member passing therethrough that also serves as a tether for connecting the device to a delivery system. The stretch-resistant member is attached at a proximal and distal end of the device and extends proximally to the delivery device. The proximal attachment point serves to isolate a distal, stretch resisting segment of the member from axial tension placed on a proximal, connecting section of the member. Thus, the portion of the stretch-resistant member being used to connect the embolic device to a delivery device may be placed under tension without placing tension or distorting the implant. | 03-05-2009 |
20090076520 | Apparatus For Treating Bone - An apparatus for treating a bone, which provides a path from the skin to a bone, is provided which comprises a cannula with an improved coupling structure, an expander, a needle, and a spacer. With the apparatus, operation time can be reduced. The cannula and the expander can be easily combined together or separated from each other. Further, the needle can be easily removed from the bone. In addition, an insertion space for a cavity-forming instrument, such as a balloon catheter, can be easily obtained inside the bone. | 03-19-2009 |
20090082778 | APPLICATOR, ASSEMBLY, AND METHOD FOR CONNECTING AN INLET CONDUIT TO A HOLLOW ORGAN - The invention provides an applicator for forming a hole in a wall of a hollow organ and for connecting a hemostatic connection assembly to the hollow organ, wherein, when the hole is formed in the wall of the hollow organ, a first fluid seal exists between the hemostatic connection assembly and the wall of the hollow organ and a second fluid seal exists between the hemostatic connection assembly and the applicator, thereby minimizing fluid loss from the hollow organ. The invention further provides a hemostatic connection assembly for connecting an inlet conduit to a hollow organ, the hemostatic connection assembly comprising a organ wall connection portion, a cuff portion, an extension portion, and a seal ring portion, wherein, during the process of connecting the inlet conduit to the hollow organ, a first fluid seal exists between the organ wall connection portion and the wall of the hollow organ, and a second fluid seal exists between the hemostatic connection assembly and the inlet conduit, thereby minimizing fluid loss from the hollow organ. A method is also disclosed in which the applicator and hemostatic connection assemblies of the invention are used to connect an inlet conduit to a hollow organ. | 03-26-2009 |
20090088771 | Implant deployment device - An implant deployment device ( | 04-02-2009 |
20090093821 | Slide Guide Apparatus & Method - Methods of maintaining a consistent pathway through an already formed incision and for facilitating placement and removal of medical devices into and/or out of a surgical treatment site or cavity are disclosed. A method for removing and placing medical devices includes inserting a first medical device into an already formed incision, inserting a slide guide into the cavity through the already formed incision in surrounding relation to the first medical device to facilitate removal of the first medical device, and inserting a second medical device into the cavity using the slide guide as the pathway to guide and partially surround a circumference of the second medical device to guide the second medical into the cavity. A slide guide includes an elongated insertion member having a substantially U-shaped cross-section sized to receive and partially surround a circumference of a tubular insertion member of a medical device. | 04-09-2009 |
20090093822 | MAGNETIC STENT REMOVAL - A medical device and method for its use in the digestive system of a mammalian patient is provided. The medical device includes a stent and a retrieval device. The stent has a magnetic element connected to an end of the stent. The retrieval device includes a magnetic member, and the retrieval device is sized to be ingested by the patient. The magnetic member is capable of being magnetically coupled to the magnetic element of the stent for removal of the stent through the natural forces of the digestive system. | 04-09-2009 |
20090099573 | Apparatus and Method for Treating Eustachian Tube Dysfunction - A method and apparatus for treating Eustachian tube dysfunction. The apparatus may include a tube with an aperture extending through the tube and a retention mechanism for retaining the tube in the Eustachian tube. The method may include endoscopically inserting the tube through the nasopharynx and into the Eustachian tube. | 04-16-2009 |
20090105719 | PRECISION STENT POSITIONER - A positioner is provided that is able to precisely position a stent, such as a ureteral stent, by using an anatomical landmark, such as a ureteral orifice. The positioner is placed over a wire guide and advanced until the proximal portion of the stent abuts a stent-stop. The positioner and stent are together pushed until the positioner reaches the ureteral orifice. The stent can be deployed and the positioner can be removed leaving the stent correctly positioned within the kidney and bladder. | 04-23-2009 |
20090112224 | STRUCTURE FOR PROBE INSERTION - An insert structure is proposed for insertion into an orifice, a canal, a tube and the like of a human or animal creature such as an ear canal, an intestinal tract, a gullet, etc. The insert structure comprises at least one longitudinally extending insert member ( | 04-30-2009 |
20090118740 | IMPLANTABLE DEVICE DELIVERY SYSTEM HANDLE AND METHOD OF USE - The present invention, in an exemplary embodiment, provides a delivery system and novel handle configuration for the delivery system that facilitates repeatable placement of implantable devices. In particular, in optical embodiments, the handle allows for the reversible coupling of scopes directly to the handle to enhance physician control during placement. The delivery system also allows for one-handed manipulation as finger action can be used to engage and disengage the scope as well as actuate the extent of implantable device deployment. Exemplary delivery systems are flexible, durable and/or assure proper installation of one or more implantable devices in a single procedure. Moreover, the preferred embodiments of the delivery system provides for the reloading of the delivery device with additional implantable devices for additional interventional procedures, resulting in a substantially reusable delivery device. | 05-07-2009 |
20090138023 | Actuator Handle for Use With Medical Device Deployment Systems - An actuator handle for use with an implantable medical device deployment system. The actuator handle includes a first actuator and a second actuator for manipulating and controlling first and second retaining members of the deployment system to effectuate release of a medical device from the deployment system. | 05-28-2009 |
20090143786 | IMPLANTABLE DEVICE WITH ELECTROLYTICALLY DETACHABLE JUNCTION HAVING MULTIPLE FINE WIRES AND METHOD OF INTRODUCTION - Electrolytically detachable implantable devices and methods of delivering the same to a treatment site. An assembly includes an implantable device, such as a vaso-occlusive coil, a conductive deployment mechanism, such as a conductive pusher or wire, and a temporary connection between the deployment mechanism and the coil in the form of an electrolytically detachable junction. The detachable junction includes fine wires, e.g., stainless steel wires having a small diameter of about 0.00001″ to about 0.0025″, for example, about 0.0005″. The pusher or wire is used to deliver the implantable device through a catheter and to a desired location or treatment site. After the implantable device is properly positioned, electrical current is applied to the fine wires, thereby simultaneously disintegrating the fine wires and leaving the coil at the treatment site. | 06-04-2009 |
20090149863 | FIXED STENT DELIVERY DEVICES AND METHODS - Stent delivery devices and methods include multiple stents or stent segments mounted at fixed positions on an expandable member of the stent delivery catheter. One or more of the fixed-position stents may be selectively deployed in a body lumen such as a blood vessel by positioning one or more sheaths to constrain some stents while exposing others for deployment. Some embodiments include two axially movable sheaths for serially deploying stents while containing a portion of the expandable balloon from which stents have been deployed. Other embodiments include inner and outer balloon shafts to allow the balloon to be retracted into the delivery catheter as stents are deployed. Devices and methods of the invention provide enhanced serial deployment of multiple stents or stent segments while reducing the risk of damage to an expandable deployment member. | 06-11-2009 |
20090157089 | APPARATUS FOR LOADING AN IMPLANTABLE DEVICE - Apparatus and methods for loading an implantable device are disclosed. The apparatus for loading an implantable device includes a support portion. The support portion is configured to receive the implantable device. The apparatus includes a stop portion. The stop portion is configured to limit longitudinal motion of the implantable device in at least one direction. The method for loading an implantable device includes positioning an implantable device within a loading apparatus, inserting an implantable device carrying apparatus into the implantable device, and removing the implantable device carrying apparatus and the implantable device from the loading apparatus. | 06-18-2009 |
20090171367 | LOOP TIP WIRE GUIDE WITH OUTER SLEEVE - A wire guide has first and second portions with first and second diameters, respectively. The second portion is located distal of the first portion. A resilient loop positions a distal end of the wire guide adjacent another section of the wire guide. A closure member maintains the distal end in a fixed position relative to the remainder of the wire guide. An outer sleeve may be positioned around one or more parts of the wire guide. A radiopaque element may be secured to the outer sleeve. | 07-02-2009 |
20090192518 | APPARATUS AND METHOD FOR LOADING AND DELIVERING A STENT HAVING IMPROVED HANDLES TO CONTROL RELATIVE CATHETER COMPONENT MOVEMENT - A catheter handle assembly for delivering stent includes a proximal handle attached to an axially elongated inner member with a distal tip and an intermediate handle attached to an axially elongated intermediate tube with a stent basket at its end. The intermediate tube overlies at least a portion of the inner member. A distal handle is attached to an axially elongated external member overlying at least a portion of the intermediate tube are disclosed. | 07-30-2009 |
20090198248 | Device for disc shunt implantation and peri-shunt injection - A Quincke tipped introducer needle contains two shafts with lumens, one recessed, both connected by a slit for housing a U- or V-shaped disc shunt. The recessed shaft minimizes the penetration size of the introducer needle for insertion into a narrow and nerve laden space adjacent to a degenerated intervertebral disc. The longitudinal slit connecting the two lumens allows passage of the distal portion of the U-shaped disc shunt through the introducer needle, to be delivered into the intervertebral disc. | 08-06-2009 |
20090209969 | EXPANDABLE ACCESS SHEATH - An expandable access sheath. In one embodiment, the sheath includes a lumen defining an inner passage and an outer surface, and a balloon that is provided on the lumen outer surface, wherein when the balloon is inflated the balloon expands the lumen to increase the size of the inner passage. | 08-20-2009 |
20090209970 | SINGLE-PHASE SURGICAL PROCEDURE FOR CREATING A PNEUMOSTOMA TO TREAT CHRONIC OBSTRUCTIVE PULMONARY DISEASE - A single-phase surgical procedure is disclosed for creating a pneumostoma to treat chronic obstructive pulmonary disease. In a single-phase technique the pleurodesis is formed at the same time as the pneumostoma and does not require a separate step. The thoracic cavity is accessed to visualize the lung, the pneumostomy catheter is inserted into the lung and then the lung is secured to the channel through the chest wall creating a sealed anastomosis which matures into a pleurodesis after the procedure. | 08-20-2009 |
20090209971 | SURGICAL INSTRUMENTS FOR CREATING A PNEUMOSTOMA AND TREATING CHRONIC OBSTRUCTIVE PULMONARY DISEASE - Surgical instruments and techniques are provided for creating a pneumostoma through the chest wall into the lung of a patient. The pneumostomy instruments and techniques may be used to create a pneumostoma which allows gases to escape from the lung through the chest wall and thereby treat chronic obstructive pulmonary disease. | 08-20-2009 |
20090216245 | Flexible Hollow Spine With Locking Feature And Manipulation Structure - An apparatus is disclosed for introducing surgical instruments into a body cavity. The apparatus includes a series of interconnected segments configured to pivot relative to one another allowing an end effector to be steered into position. The apparatus is also capable of achieving a rigidized state wherein the interconnected segments are in high frictional contact with one another providing a stable platform for the manipulation of tissue. Tensile elements are attached to the end effector and a control member such that an operator may use the same control member to both rigidize the instrument and also to thereafter control the end effector. | 08-27-2009 |
20090248032 | INSERTING DEVICE OF ARTIFICIAL BLOOD STENT - An artificial blood stent insertion device is disclosed. The front end portion, middle portion and rear end portion of the artificial blood stent | 10-01-2009 |
20090254095 | SUBCUTANEOUS TUNNELING DEVICE - A subcutaneous tunneling device is provided with an adjustable handle and a user actuated penetrating mechanism for greater control and ease of use during a tunneling procedure. | 10-08-2009 |
20090270877 | Detachment Actuator for Use With Medical Device Deployment Systems - A detachment actuator for use with an implantable medical device deployment system that guide and deploys the medical device at a target location within a body vessel. The detachment actuator includes a first portion that is connected the implantable medical device and a second portion that is attached to a control member the controls the release of the medical device, The second portion of the detachment actuator detaches and moves away from the first portion of the detachment actuator to move the control member and release the medical device. | 10-29-2009 |
20090299377 | Tunnelling Instrument for Subcutaneously Placing an Article, and Method of Use of Said Instrument - An improved tip and handle for a tunnelling instrument are provided along with an improved tunnelling instrument. The tip is configured for attachment to a tunnelling instrument and includes a first portion configured to form a tunnel, a second portion sized to fit within a tubular component to be placed in the tunnel, and a third portion configured for attachment of the tubular component. The handle is configured to be attached to and detached from a tunneller shaft of a tunnelling instrument, at any point along the length of the tunneller shaft. The tunnelling instrument comprises a pair of tips, a connection means for forming a link between the tips, and a tunneller shaft slidably engagable with the connection means and attachable to either of the tips. Various forms of use of the tunnelling instrument are also disclosed. | 12-03-2009 |
20090299378 | CONTROLLED DEPLOYMENT HANDLES FOR BONE STABILIZATION DEVICES - Described herein are applicators for the delivery and/or retrieval of a bone stabilization device, as well as systems or kits including such applicators. In general, these applicators include a proximal handle and an elongate cannula configured as a linkage member connecting to the implant. The handles described herein typically include a control for regulating/controlling the release of the stabilization device. Stabilization devices are typically self-expanding devices, and the control may regulate the self-expansion so that the rate and degree of self-expansion allowed is regulated. The handles may be lockable, and may include a latch or other locking structure. These handles may also include ratcheting mechanism or other controlled expansion/release mechanism. In some variations the devices include a failsafe release configured to release either the applicator and/or the device. | 12-03-2009 |
20090306677 | REMOVAL OF TUBULAR TISSUE SUPPORTS - The invention provides a process by which tubular tissue supports (stents) can be removed from hollow organs of humans or of animals after heating to a temperature below the transition temperature Ttrans until softening occurs. | 12-10-2009 |
20100010499 | HYDRAULIC GUIDEWIRE ADVANCEMENT SYSTEM - A hydraulic guidewire advancement system for enhancing access through lesions or occlusions in distal regions of a patient's vasculature includes a catheter comprising a sheath, a guidewire lumen, and a proximal catheter port connected to a hydraulic driver. A hydraulic guidewire is coaxially disposed through the guidewire lumen, the hydraulic guidewire comprising a piston movably disposed in the guidewire lumen, the piston forming a seal with an interior surface of the sheath. The hydraulic driver is configured to generate hydraulic pressure against the piston sufficient to advance or retract the hydraulic guidewire relative to the catheter. The hydraulic driver can apply positive or negative pressure to the piston, so as to repeatedly contact and break through the lesion with the distal end of the hydraulic guidewire. | 01-14-2010 |
20100010500 | Apparatus and method for connecting a conduit to a hollow organ - An apparatus and method for connecting a first conduit to the heart without the need for cardiopulmonary bypass. The first conduit may then be attached to a second conduit that has a prosthetic device interposed. The second conduit may then be connected to the aorta. The prosthetic device may be a prosthetic valve or a pump, for example. The apparatus of the present invention includes an implantable connector with first conduit component, a retractor expansion component, a coring component, and a pushing component. The retractor expansion component is slide-ably coupled to the coring component. The retractor expansion component serves to seat against and separate the inside apical wall of the left ventricle so that the coring component may cut cleanly through the myocardium to form a tissue plug without leaving any hanging attachments to the inside walls. By remaining seated against the inside wall, the retractor expansion component follows the tissue plug into the coring component. The surgeon applies force and rotary motion to the pushing component sufficient to cut the tissue plug and implant the prosthetic component. | 01-14-2010 |
20100036389 | MEDICAL DEVICE FOR REPAIR OF TISSUE AND METHOD FOR IMPLANTATION AND FIXATION - The present invention relates to medical devices for repairing tissue and more specifically to devices which facilitate tissue regeneration and to surgical methods for the implantation and fixation of such devices. In one embodiment, the medical device is an elongate conduit that includes a longitudinal bore extending therethrough to facilitate the transfer of blood from a vascular region of tissue to a tear or damaged area located in an avascular and/or semi-vascular region of tissue. A filament and/or filaments are attached to the conduit and are positioned to secure the conduit and fixate the adjacent tear walls in mutual engagement. In another embodiment, a series of conduits are connected via a filament and/or filaments to facilitate the implantation of multiple conduits. | 02-11-2010 |
20100036390 | ROTATING STENT SYSTEM FOR SIDE BRANCH ACCESS AND PROTECTION AND METHOD OF USING SAME - A catheter assembly and method of use comprises advancing a catheter having a rotatably mounted balloon relative to the primary guide wire to a vessel bifurcation along first and second guide wires. | 02-11-2010 |
20100036391 | METHOD FOR RAPID AND ACCURATE ENTRY THROUGH SOFT TISSUE AND BONE - A method for entering soft tissue and bone of a body, the method includes sterilizing a scalp, injecting a spike, with a grommet thereabout, through a calvaria, and removing the spike and leaving the grommet inserted in the calvaria, the grommet providing intracranial access. | 02-11-2010 |
20100049207 | Jones tube inserter - A Jones tube inserter is disclosed which includes a guide line and a bullet affixed to one end of the guide line. The bullet accommodates a Jones tube behind it on the guide line. The bullet is slanted to accommodate the beveled end of the Jones tube. The base of the bullet forms a square which is approximately the size of the inside diameter of the Jones tube, whereby the square formed by the bullet fits snugly into the Jones tube. A procedure for inserting a Jones tube, includes the steps of a. anesthetize the tissue and surrounding tissue at the site of the conjunctivodacryocystorhinostomy; b. remove the old Jones Tube, if any; c. insert a Jones Gold Dilator into the opening of the tissue where the conjunctivodacryocystorhinostomy has been performed and through the hole in the nasal bone to maintain the integrity; d. add an antihistamine, if necessary, to shrink the surrounding tissue and allowed to set; e. reinsert the Jones Gold Dilator into the surgically formed opening; f. put the Jones tube on the inserter; g. push the Jones tube to the base of the line, and then turn it to align the beveling in the base of the bullet of the inserter with the Jones tube beveling; h. push the Jones tube towards the bullet so it will be securely held in place by a sleeve during the actual insertion; and i. remove the Jones Gold Dilator. Further steps can be included. | 02-25-2010 |
20100057096 | BRANCH STENT GRAFT FOR AORTIC ANEURYSM REPAIR - Described is a method for deploying a stent-graft in the aorta, the method including positioning a shunt to go along a portion of a brain-supplying artery (BSA) into the aorta; deploying a stent-graft in the aorta along a portion of the shunt; and removing the shunt. Also described is a removable shunt adapted for deployment along a brain-supplying artery into an aorta to supply blood to the artery during deployment of a stent-graft in the aorta, the removable shunt including a stiff segment that is stiff enough to remain at least partially open when between the aorta and the stent-graft and large enough to allow sufficient blood supply to the brain during the deployment of the stent-graft; and a mechanism for facilitating safe removal of the shunt from between the stent-graft and the aorta. Also described is a method of deploying a branch stent graft having a flaring portion in a blood vessel branching at a bifurcation from an aorta to connect to an aortic stent graft deployed in the aorta across the bifurcation, a branch stent-graft useful in the method, and a delivery system useful in the method. | 03-04-2010 |
20100063512 | Tunneling System - A tunneling system for use with a catheter includes an elongate tunneling member defining a longitudinal axis along at least a portion of a longitudinal length thereof. The elongate member has a first end and a second end. The tunneling system further includes a connector configured for releasably engaging the second end of the elongate tunneling member to the catheter. | 03-11-2010 |
20100063513 | Tunneling System - A tunneling system includes an elongate tunneling member defining a longitudinal axis along at least a portion of a longitudinal length thereof. The elongate tunneling member has a first end and a second end. The second end of the elongate tunneling member includes a coupling segment adapted for securely engaging a catheter. | 03-11-2010 |
20100069916 | REMOVABLE STENT-GRAFT - A removable device such as a stent-graft, intended for applications where it may be desirable to remove the device at some time following implantation. The stent-graft of the present invention includes a helically-wound stent component provided with a covering of graft material. It is removable by gripping an end of the helically-wound stent component with a retrieval device and applying tension to the stent component in the direction in which it is intended to be withdrawn from the site of implantation. The use of such a retrieval device allows the stent-graft to be removed remotely, such as via a catheter inserted into the body at a different location from the implantation site. The design of the stent-graft is such that the stent component is extended axially while the adjacent portion of the graft separates between windings of the stent component. The axial extension of the stent component, with portions of the graft still joined to the stent component, allows the device to be “unraveled” (or “unwound”) and removed through a catheter of diameter adequately small to be inserted into the body cavity that contained the stent-graft. It is removed atraumatically, without incurring significant trauma to the body conduit in which it had been deployed. | 03-18-2010 |
20100069917 | IMPLANTABLE MEDICAL ENDOPROSTHESIS DELIVERY SYSTEM WITH HUB - Medical device delivery systems, components, and methods are provided. | 03-18-2010 |
20100087834 | BIPOLAR INSTRUMENT AND METHOD FOR ENDOSCOPIC CONTROLLED SHORTENING AND/OR FRAGMENTATION OF STENTS ARRANGED IN GASTROINTESTINAL TRACT IN THE TRACHEOBRONCHIAL SYSTEM OR IN OTHER HOLLOW ORGANS - A bipolar instrument and a method for endoscopically controlled shortening and/or fragmentation of a stent located in the gastrointestinal tract, in the tracheobronchial system or in other hollow organs. The instrument includes a first electrode and a second electrode arranged at a distal end of the instrument and connected to and receiving current provided by a power source, and protective means connected to the electrode means. At least one wire of the stent can be severed at a particular location by the instrument. The protective means separates the wire from tissue of the gastrointestinal tract, tracheobronchial system or other hollow organs and/or secures the wire to the instrument during the severing of the wire. The instrument and the method minimize damage to tissue and risk to the patient during machining of stents. | 04-08-2010 |
20100094310 | INTRAVENOUS CATHETER INSERTION DEVICE AND METHOD OF USE - A catheter insertion device with a housing and an interior space. An access needle and a guide wire supported by and moveable relative to the access needle. A restraining element attached to a handle to limit the motion of the guide wire relative to the access needle. A catheter insertion device with a housing and an interior space. An access needle and a guide wire channel attached to the access needle. A guide wire supported by the guide wire channel. A handle attached to the guide wire to move the guide wire relative to the guide wire support channel. A method of introducing a catheter into a vessel by inserting a guide wire substantially contained within a housing into a vessel. Next, advance a catheter over the guide wire and into the vessel. Next, withdraw the guide wire out of the vessel and completely into the housing. | 04-15-2010 |
20100100103 | TORQUE DEVICE WITH SIDE ATTACHMENT - A device for manual manipulation of a guidewire including a generally cylindrical, integrally formed, compressible element arranged along a longitudinal axis and being compressible transversely to the longitudinal axis and having first, second and third, respectively uncompressed, fully compressed and partially compressed operative orientations, the element in the fully compressed operative orientation defining an axial slot adapted for side mounting of the element onto a guidewire and the element in the partially compressed operative orientation being adapted for tightly engaging a guidewire in the slot such that axial and rotational movement of the element produces corresponding axial and rotational movement of the guidewire. | 04-22-2010 |
20100100104 | SYSTEMS FOR REDUCING PRESSURE IN AN ORGAN - Methods, system and apparatus for relieving pressure in an organ such as, but not limited to, the eye are disclosed. The method includes implanting a bioabsorbable channel into the selected area of the organ using a delivery apparatus. | 04-22-2010 |
20100106161 | Surgical methods, devices, and kits - Devices and techniques for establishing button-hole openings in arteriovenous fistula (or other target site located in the interior of a subject's body), without requiring the same nurse or technician to prepare the patient in the first several sessions, utilizing or encompassing a first button-hole forming device including in sequence: an external connection component; a scar-tissue forming component; and an indwelling cannula component. The first button-hole forming device has a lumen running through the longitudinal axis of the tube such that blood can be transported therethrough to or from the fistula (or other target site located in the interior of a subject's body) to a hemodialysis machine or other device. The devices and techniques also utilize or encompass a support device for supporting the first button-hole forming device at a constant angle relative to the plane formed by the subject's skin proximate to the fistula (or other target site located in the interior of a subject's body) when the first button-hole forming device is secured to the subject's body with the indwelling cannula component inserted into the fistula (or other target site located in the interior of a subject's body) such that a stable button-hole opening can be formed in a patient. | 04-29-2010 |
20100106162 | FLEXIBLE EMBOLIC DEVICE DELIVERY SYSTEM - The present invention provides an embolic assembly delivery apparatus having superior flexibility characteristics at its distal end, that is, at the point of attachment of the embolic assembly to the delivery apparatus. It also provides a method of using the apparatus to deliver an embolic assembly to a target site in a patient's body. | 04-29-2010 |
20100114110 | INTERVERTEBRAL DISC ACCESS ASSEMBLY - A surgical access system for managing the minimally invasive access of treatment electrodes to an intervertebral disc, when treating spine abnormalities such as disc herniations. The system includes an access port and a cannula assembly. The access port provides atraumatic access to the target area for the cannula system and a subsequent treatment electrode. The access port also manages the insertion travel and penetration depth of the cannula assembly, so as to minimize unintended damage to local tissue during use. The cannula system includes an adjustable and removable stop to mate with the access port that limits the extension of the cannula beyond the distal tip of the access port and into the target tissue. | 05-06-2010 |
20100114111 | DELIVERY APPARATUS AND METHODS FOR VERTEBROSTENTING - The invention relates to a method of delivering and deploying a stent into a curvilinear cavity within a vertebral body or other bony or body structure. The invention also relates to devices that may be used to perform the steps to deliver and deploy a stent. | 05-06-2010 |
20100121341 | DEVICE FOR POSITIONING A STENT - The disclosure concerns a device for positioning a stent in a natural canal after the passage through an obstacle at the level of a target organ. The device includes a stent, a pusher tube and a guide. The guide is conceived to push the stent through the lumen of the natural canal, and includes at least one flexible part having a predetermined longitudinal stiffness and a lateral flexibility consisting in a reversible deformation from a straight position to a bent position so as to follow the curve of the natural canal under the application of minimal external forces exerted by an operator. The disclosed device is particularly adapted to the technical field of urology. | 05-13-2010 |
20100121342 | Methods and Apparatus for Delivering Ocular Implants Into the Eye - A cannula for an ocular implant delivery system. In some embodiments, the cannula includes a tubular member having a curved portion, a distal opening surrounded by a distal opening surface, and a distal tip, the distal tip being adapted to be inserted into an anterior chamber of a human subject's eye, through trabecular meshwork and into Schlemm's canal of the eye, a proximal portion of the tubular member being adapted to extend from a location exterior to the eye when the distal tip is in Schlemm's canal of the eye, the cannula being further adapted to cooperate with an advancement mechanism to advance an ocular implant through the tubular member toward and through the distal opening into Schlemm's canal of the eye when the distal tip is disposed in Schlemm's canal. The invention also includes a method of deploying an ocular implant into Schlemm's canal of a human eye including the following steps: inserting a distal tip of a delivery tool within an anterior chamber of the eye through trabecular meshwork of the eye into Schlemm's canal of the eye; and advancing an ocular implant through a curved portion and a distal opening of the delivery tool to place a body portion of the ocular implant in Schlemm's canal and an inlet portion of the ocular implant in the anterior chamber. | 05-13-2010 |
20100125280 | DELIVERY SYSTEM HAVING ONE PIECE INNER MEMBER WITH FLAT DISTAL END PORTION - A delivery system has reduced profile in the catheter portion of the delivery system without compromising the pushability of the delivery system. The present invention also provides a structure which improves and simplifies the attachment of small catheter components to other structures forming the catheter portion the delivery system. | 05-20-2010 |
20100160927 | Device for Preparing Tissue for Anastomosis | 06-24-2010 |
20100168756 | HAND-HELD ACTUATOR DEVICE - A hand-held actuator device for releasing into the body from a delivery system a medical prosthesis, like a stent, comprising a frame ( | 07-01-2010 |
20100174290 | DEVICE FOR CATHETER SHEATH RETRACTION - There is disclosed herein a device ( | 07-08-2010 |
20100174291 | CATHETER AND TUNNELING DEVICE THEREFOR - A catheter for introduction and removal of fluids from a body and tunneling device therefor, the catheter has a body having a first conduit for removing fluid from the body and a second conduit for delivering fluid to the body wherein at least a part of each of the lumens is integrally formed within a first end of the body and extends along side one another. The first conduit extends beyond the second conduit and forms a terminal point of the first end and defines a first opening thereat and the second conduit extends to a point short of the terminal point defining a second opening. A bumper portion is adjacent the second opening extending toward the terminal point. Another part of each the first and the second lumens are disjoined and form part of a second Y-shaped end. The tunneling device has a channel to removably receive the catheter. | 07-08-2010 |
20100174292 | Surgical instrument for placing a prosthesis into a target area of a living subject - One aspect of the present invention relates to a surgical instrument for placing a prosthesis into a target area of a living subject. In one embodiment, the surgical instrument includes a body member, a shaft extending away from the body member for securing the prosthesis, an engaging member engaged with the body member and the shaft, for engaging the prosthesis, and an actuator connected to the engaging member, for moving between a first position in which the engaging member is disengaged from the prosthesis and a second position in which the engaging member is engaged with the prosthesis. | 07-08-2010 |
20100185207 | STENT CRIMPING DEVICE - A system for crimping a prosthesis is disclosed, comprising a plurality of wheels. Each wheel has an outer circumferential surface configured to be placed in contact with the prosthesis. When in contact with the prosthesis, each wheel is configured to be rotated, thereby to apply a radially inward force on the prosthesis so as to reduce the diameter of the prosthesis. More than one set of wheels may be provided, so that the prosthesis is crimped first by one set of wheels, then by a subsequent set of wheels. | 07-22-2010 |
20100204707 | SURGICAL INSTRUMENTS FOR CREATING A PNEUMOSTOMA AND TREATING CHRONIC OBSTRUCTIVE PULMONARY DISEASE - Surgical instruments and techniques are provided for creating a pneumostoma through the chest wall into the lung of a patient. The pneumostomy instruments and techniques may be used to create a pneumostoma which allows gases to escape from the lung through the chest wall and thereby treat chronic obstructive pulmonary disease. | 08-12-2010 |
20100204708 | Carotid guiding catheter (sheath) for carotid percutaneous intervention/stenting with internal fixation device to prevent migration of the Carotid guiding catheter (sheath) - A carotid intervention guiding catheter (sheath) including a central lumen adapted to receive a therapeutic catheter and stent delivery catheter. The catheter includes a soft tip adapted to lodge in the common carotid artery. The distal body of the guiding catheter includes a mechanism to fixate the catheter to the wall of the aorta to prevent sliding of the guiding catheter in and out of the common carotid artery. The mechanism is a collapsible set of wings that come out of the wall of the catheter using a mechanical switch outside the body that deploys the wings and fixate the catheter to the wall of the descending or transverse aorta. The same mechanical switch allows the wings to collapse into the wall of the guiding catheter and allow the catheter to be retrieved out of the body. | 08-12-2010 |
20100204709 | ELUTING COILS AND METHODS OF DEPLOYING AND RETRIEVING - Embodiments are directed to eluting coils having a relaxed coiled state and a straightened state that may be deployed at a fixed location within a patient's body and may accurately dispense and distribute fluids and or dissolvable substances at site specific locations of the body. Some embodiments of eluting elements are configured to be subsequently retrieved from a delivery site. | 08-12-2010 |
20100234852 | Stent Delivery Catheter - The present invention provides a stent delivery catheter comprising: an inner tube which has a distal end and a proximal end and in which a stent is set around the outer circumferential surface at the distal end side of the inner tube; an outer tube having a distal end and a proximal end, being coaxially arranged around the outer circumference of the inner tube, and being relatively movable in the axial direction to the inner tube; and a drive means being arranged at the proximal end side of the inner tube and the outer tube and being capable of making the outer tube relatively movable towards the proximal end to the inner tube, wherein with the operation of the drive means, a liquid fluidly travels through the gap between the inner tube and the outer tube from the proximal end side to the distal end direction. | 09-16-2010 |
20100234853 | DEVICE AND METHOD FOR DEFLATION AND REMOVAL OF IMPLANTABLE AND INFLATABLE DEVICES - A deflation device including a catheter having a proximal opening at a proximal end and a distal opening at a distal end; and a coring member disposed within the catheter and comprising a handle disposed near the proximal end of the catheter, a cable, and a coring tip disposed near the distal end of the catheter; wherein pressing said distal end of said catheter against said wall of said balloon creates a substantially normalized surface of said balloon relative to a coring tip and wherein the coring tip is a sharpened, hollow cylinder. A method for deflating and removing an implantable, inflatable device comprising: pressing a distal end of a catheter against the wall of an inflated balloon of an implanted device; advancing the coring tip within the catheter beyond the distal end of the catheter and into the balloon, whereby a hole adapted for advancing the catheter is created in the wall of the balloon; and advancing the catheter into the balloon. | 09-16-2010 |
20100234854 | Systems and Methods for Treating Septal Defects with Capture Devices and Other Devices - Systems, devices and methods for treating internal tissue defects, such as septal defects, are provided. An exemplary method of treating an internal tissue defect, specifically a method of closing a patent foramen ovale (PFO), can include passing a closure element from a right atrium through a septal wall in a first location and into the left atrium. A capture device, which can be configured as a snare-like device, can be used to capture the closure element in the left atrium and pull the closure element back through the septal wall in a different, second location, such that the closure element is routed over the PFO. The closure element can then be anchored and/or locked against the septal wall such that the PFO is at least partially closed. | 09-16-2010 |
20100241132 | System And Method For Intracranial Access And Monitoring - A system and method for intracranial access is disclosed. In particular, a drill stop is shown providing a way to control the penetration of a drill bit as an access hole into the brain is being formed. Access to a desired location is achieved using a catheter guide device. Also disclosed is a mechanism by which multiple diagnostic and treatment devices can be placed at a desired location in brain tissue without the need for more than one access hole. A drainage catheter is disclosed with a mechanism to allow both drainage and to allow intracranial pressure measurement. | 09-23-2010 |
20100241133 | Cuffed-catheter removal deice - A cuffed-catheter removal device includes a handle and a shaft extending from the handle. The shaft extends from the handle to a distal end of the cuffed-catheter removal device. At the distal end of the cuffed-catheter removal device the shaft includes a C-shaped shaft member with a concave recess shaped and dimensioned for attachment and tracking along an exposed catheter shaft. | 09-23-2010 |
20100249799 | SYSTEM AND METHOD FOR REMOVING AN IMPLANTED CATHETER FROM A PATIENT - A method comprising removing a port from a patient through an incision and coupling a rod disposed in a sheath to the end of a catheter. The method also includes sliding the sheath along the rod and catheter into tissue surrounding the catheter in a rotating manner to separate the tissue from the catheter until the catheter is able to freely be removed from the patient, and removing the catheter from the patient. The method may also include making a shorter second incision on the patient and exposing a portion of the catheter through the patient's skin to facilitate coupling of the rod with the catheter and retrieval of the catheter. | 09-30-2010 |
20100262156 | Endoventricular Stay and Delivery System - An endoventricular device includes a backbone and a plurality of segments having a plurality of anchors that are delivered to the treatment site in an inverted delivery configuration within a delivery catheter and when deployed moves from the inverted delivery configuration to a tissue penetrating implantation configuration. | 10-14-2010 |
20100262157 | Methods and Systems for Loading a Stent - A stent loading and delivery system includes a delivery catheter having a catheter lumen, a stent loading assembly adjacent a distal end of the delivery catheter, and a braided stent disposed on the stent loading assembly. The stent loading assembly is configured to retain the stent in an expanded state until just prior to insertion into a patient at which time the stent loading assembly elongates and compresses the stent into a delivery configuration. | 10-14-2010 |
20100262158 | TRANSOBTURATOR LEAD IMPLANTATION FOR PELVIC FLOOR STIMULATION - The disclosure is directed to a method and tool for implanting a stimulation lead or other medical device adjacent a pudendal nerve. The tool includes a shaped needle that enters a patient and passes through an obturator foramen passage in a pelvis. A physician places a tip of the tool at the pudendal nerve and performs test stimulation to confirm an effective stimulation location. A shape memory cannula initially covering the needle remains at the pudendal nerve when the physician removes the tool. The cannula deforms to follow the curve of the pudendal nerve once the needle is removed, and a lead is inserted into the cannula and secured at the pudendal nerve placement site. This method may provide an easier and more consistent procedure for implanting the stimulation lead near the pudendal nerve. | 10-14-2010 |
20100268243 | FLEXIBLE SHEATH WITH POLYMER COIL - A medical device including a tube having a coil fitted around at least a part of an inner liner, such as PTFE, and a braid extending over at least part of the coil. A polymeric layer is positioned over the braid to adhere to the inner liner. A portion of the coil advantageously comprises a polymer, such as PEEK, while the coil may also have a metal portion. The polymer coil may extend along at least at the proximal region of the tube, and the metal coil may extend along at least at the distal region of the tube. A polymer coil, a metal coil or any combination thereof can extend along the intermediate region of the tube. The polymer coil can be configured so that the tube is longitudinally splittable with a cutting instrument. | 10-21-2010 |
20100268244 | STENT INTRODUCER APPARATUS - A dilator element | 10-21-2010 |
20100268245 | Devices, Systems and Methods for Treating Disorders of the Ear, Nose and Throat - Sinusitis, mucocysts, tumors, infections, hearing disorders, choanal atresia, fractures and other disorders of the paranasal sinuses, Eustachian tubes, Lachrymal ducts and other ear, nose, throat and mouth structures are diagnosed and/or treated using minimally invasive approaches and, in many cases, flexible catheters as opposed to instruments having rigid shafts. Various diagnostic procedures and devices are used to perform imaging studies, mucus flow studies, air/gas flow studies, anatomic dimension studies and endoscopic studies. Access and occluding devices may be used to facilitate insertion of working devices such asendoscopes, wires, probes, needles, catheters, balloon catheters, dilation catheters, dilators, balloons, tissue cutting or remodeling devices, suction or irrigation devices, imaging devices, sizing devices, biopsy devices, image-guided devices containing sensors or transmitters, electrosurgical devices, energy emitting devices, devices for injecting diagnostic or therapeutic agents, devices for implanting devices such as stents, substance eluting or delivering devices and implants, etc. | 10-21-2010 |
20100274258 | OCULAR IMPLANT WITH STIFFNESS QUALITIES, METHODS OF IMPLANTATION AND SYSTEM - Described herein are devices and methods for treating eye conditions. Described is an ocular implant including an elongate member having an internal lumen forming a flow pathway, at least one inflow port communicating with the flow pathway, and at least one outflow port communicating with the flow pathway. The elongate member is adapted to be positioned in the eye such that at least one inflow port communicates with the anterior chamber, at least one outflow port communicates with the suprachoroidal space to provide a fluid pathway between the anterior chamber and the suprachoroidal space when the elongate member is implanted in the eye. The elongate member has a wall material imparting a stiffness to the elongate member. The stiffness is selected such that after implantation the elongate member deforms eye tissue surrounding the suprachoroidal space forming a tented volume. | 10-28-2010 |
20100274259 | FLUID DRAINAGE DEVICE, DELIVERY DEVICE, AND ASSOCIATED METHODS OF USE AND MANUFACTURE - The disclosure provides an intraocular implant for allowing fluid flow from the anterior chamber of an eye, the implant comprising a tube having an inlet end, an outlet end, and a tube passage, wherein the inlet end is adapted to extend into the anterior chamber of the eye, and wherein the outlet end is adapted to be implanted adjacent scleral tissue of the eye. The implant may be adapted to drain aqueous humor into a suprachoroidal space or a juxta-uveal space. The disclosure also provides associated delivery devices, methods of use, and methods of manufacture. | 10-28-2010 |
20100280522 | METHOD AND SYSTEM FOR DELIVERY OF COATED IMPLANTS - Method and system for delivery of coated implants is provided. One embodiment encompasses a coated implant delivery system. This system includes an implant delivery device having a first end, a second end, and an inner lumen, wherein the first end has a releasable implant retention region with an accessible surface having a coated implant adhesion-resistant treatment. In another embodiment a method of deploying a coated releasable implant at a target site of a vessel using an implant delivery system is provided. This method includes inserting a portion of an implant delivery device having a releasable implant into the vessel, advancing the implant delivery device to the target site, deploying the releasable implant from the delivery device, and withdrawing the inserted portion of the implant delivery device from the vessel. The implant delivery device in this embodiment has a releasable implant retention region with an accessible surface having a coated implant adhesion-resistant treatment and wherein the releasable implant has a first coating that faces the accessible surface of the releasable implant retention region. | 11-04-2010 |
20100286705 | VASCULAR ACCESS TO EXTRA-VASCULAR SPACE - Provided are methods for accessing tissue in the vicinity of a blood vessel. Also provided are devices for use in a lumen of a patient's organ and methods for shunting interior volumes of organs. | 11-11-2010 |
20100286706 | SURGICAL ACCESS APPARATUS WITH CENTERING MECHANISM - A surgical access apparatus includes a housing member and a portal member extending from the housing member and defining a longitudinal axis. The housing member and the portal member define a longitudinal passage therethrough dimensioned to permit passage of an elongated object. A centering mechanism is mounted relative to the housing member. The centering mechanism includes an annular element mounted for rotational movement within the housing member and about the longitudinal axis and first and second arm elements mounted to the annular element and extending radially inwardly relative to the longitudinal axis. The first and second arm elements are each positioned to intersect the longitudinal passage and are adapted to pivot relative to the housing member. The first and second arm elements are operatively connected whereby pivotal movement of the first arm element upon engagement with the elongated object causes the annular element to rotate in response thereto and effect corresponding pivotal movement of the second arm element. | 11-11-2010 |
20100318094 | GUIDE TUBE HAVING BALLOONS FOR PUNCTURE - A guide tube equipped with a balloon for puncture, includes a main body tube | 12-16-2010 |
20100318095 | ANESTHESIA CONDUCTION CATHETER FOR DELIVERY OF ELECTRICAL STIMULUS - A catheter is comprised of a flexible cylindrical tube defining a proximal portion and a distal portion terminating in a distal tip. The tube has a plurality of openings formed therethrough to form a diffusion area. The catheter includes a conductive end cap enclosing a distal tip. A flexible conductive member is attached to the conductive end cap and extends to the proximal portion where it is attached to the inside diameter of the flexible tube. The member is movable within the tube. | 12-16-2010 |
20100324567 | Coaxial Guide Catheter for Interventional Cardiology Procedures - A coaxial guide catheter to be passed through guide catheter having a first lumen, for use with interventional cardiology devices that are insertable into a branch artery that branches off from a main artery. The coaxial guide catheter is extended through the lumen of the guide catheter and beyond the distal end of the guide catheter and inserted into the branch artery. The device assists in resisting axial and shear forces exerted by an interventional cardiology device passed through the second lumen and beyond the flexible distal tip portion that would otherwise tend to dislodge the guide catheter from the branch artery. | 12-23-2010 |
20110004223 | VALVES AND HUBS FOR TUBULAR DEVICES AND METHODS FOR MAKING AND USING THEM - A hub for a sheath, catheter, or other tubular device includes a first hub portion including a first hub lumen sized for receiving a medical device therethrough, and a second hub portion including a second hub lumen, the second hub portion coupled to the first hub portion such that the first and second hub lumens are aligned with one another and the first and second hub portions are spaced apart from one another to define a gap. A valve is secured within the gap between the first and second hub portions that includes a valve passage therethrough, e.g., for accommodating receiving a medical device through the first and second hub lumens into the tubular device, while providing a substantially fluid tight seal. For example, the valve passage may include a bore extending partially from a first end of the valve towards a second end of the valve, and a slit that extends from the end of the bore to the second end of the valve. | 01-06-2011 |
20110009873 | IV INFUSION SYSTEM DEVICE HAVING RETRACTABLE NEEDLE AND METHOD OF MAKING AND USING THE SAME - Device for installing and/or injecting a cannula includes a body, a needle holding member arranged in the body and comprising a needle, and a spring structured and arranged to move the needle holding member to a retracted position within the body. At least one of the spring is pre-tensioned or expanded and the spring is arranged on a side of the needle holding member opposite the needle. A method of using the device includes injecting insertion cannula to a skin surface and causing the needle holding member to retract into the body. A method of making the device includes placing the spring in an pre-tensioned or expanded position inside the body and connecting one end of the spring to the needle holding member. This Abstract is not intended to define the invention disclosed in the specification, nor intended to limit the scope of the invention in any way. | 01-13-2011 |
20110009874 | Single Operator Device for Delivering an Ocular Implant - An ocular implant delivery system is provided with a number of features. In some embodiments, the delivery system comprises a rotation mechanism configured to rotate and orient a cannula of the system, and an advancement mechanism configured to advance and retract an ocular implant through the delivery system and into an eye of a patient. In some embodiments, the cannula is sized and configured to be inserted into Schlemm's canal of the eye. The ocular implant is configured to maintain its orientation within the delivery system as the cannula is rotated. In some embodiments, the ocular implant automatically disengages the delivery system when it is advanced beyond a distal tip of the delivery system. Methods of implanting an ocular implant are also provided. | 01-13-2011 |
20110028982 | Device for Insertion of a Cannula of an Infusion Device and Method - A device for inserting a needle used to introduce a cannula can include a housing including a closed end, an open end, and an arm including a tab extending from the open end, and a sleeve configured to be placed against the patient's skin, the sleeve defining a slot extending along a length of the sleeve, and a barb positioned adjacent to an end of the slot. The slot is sized to receive at least a portion of the arm and the tab of the housing so that the arm and the tab of the housing slides within the slot as the housing is moved relative to the sleeve, and the barb is positioned to engage the tab of the housing to limit movement of the housing relative to the sleeve. The device can also include a threaded portion of the housing extending towards the closed end of the housing. | 02-03-2011 |
20110028983 | OCULAR IMPLANT WITH STIFFNESS QUALITIES, METHODS OF IMPLANTATION AND SYSTEM - Described herein are devices and methods for treating eye conditions. Described is an ocular implant including an elongate member having an internal lumen forming a flow pathway, at least one inflow port communicating with the flow pathway, and at least one outflow port communicating with the flow pathway. The elongate member is adapted to be positioned in the eye such that at least one inflow port communicates with the anterior chamber, at least one outflow port communicates with the suprachoroidal space to provide a fluid pathway between the anterior chamber and the suprachoroidal space when the elongate member is implanted in the eye. The elongate member has a wall material imparting a stiffness to the elongate member. The stiffness is selected such that after implantation the elongate member deforms eye tissue surrounding the suprachoroidal space forming a tented volume. | 02-03-2011 |
20110028984 | RAPID EXCHANGE ENTERAL STENT DELIVERY SYSTEM - Devices for palliating gastrointestinal strictures using rapid exchange type enteral stent placement catheters. The catheter may include an inner member and an outer member, with the two members being slidable with respect to one another. In various device embodiments, a ramp for directing a guidewire out from within the catheter is provided using portions of the outer member or a shaped mandrel. The inner member may take a number of forms, including a tubular distal portion, a skived or integrally attached elongate midsection, and a proximal portion. A mandrel can be used in a portion proximal of the guidewire ramp, with the mandrel taking one of several disclosed forms. | 02-03-2011 |
20110028985 | CONDUIT DEVICE AND SYSTEM FOR IMPLANTING A CONDUIT DEVICE IN A TISSUE WALL - Various embodiments of the present invention provide a conduit device including an attaching device configured for defining a helical pathway through a tissue wall and complementary ring in cooperation for securing the device within an aperture defined in the tissue wall. Some embodiments of the present invention further provide a system for implanting a conduit device in a tissue wall. More specifically, some embodiments provide a system including a coring device for defining an aperture in a tissue by removing and retaining a tissue core and securely implanting a conduit device therein so as to provide fluid communication between a first and second surface of the tissue wall via the conduit device. | 02-03-2011 |
20110028986 | EUSTACHIAN TUBE DEVICE AND METHOD - Devices are provided for insertion into a Eustachian tube of an animal, e.g., a human being. The devices may include an insertable member, an immobilizing means and a fluid-communication providing means. The member has opposing surfaces and is formed at least in part from a biocompatible material that is degradable. The fluid-communication providing means is effective to provide sufficient fluid communication between the opposing surfaces of the insertable member to effect pressure equilibration therebetween. The immobilizing means is effective to immobilize the device within the Eustachian tube for a predetermined period. Also provided are kits that include the device and methods for inserting the device into a Eustachian tube. | 02-03-2011 |
20110034935 | SURGICAL DEVICE HAVING NON-CIRCULAR CROSS-SECTION - A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity. The apparatus may include a seal anchor member comprising a compressible material. The seal anchor member may be adapted to transition between a first condition for insertion of at least a portion of the seal anchor member within a tissue tract and a second condition to facilitate a securing of the seal anchor member within a tissue tract and in substantial scaled relation with tissue surfaces defining a tissue tract. The seal anchor member may have proximal and distal ends and may define at least one port extending between the proximal and distal ends, the at least one port being adapted for the reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial scaled relation with the object. The seal anchor member may have a non-circular cross-section. | 02-10-2011 |
20110034936 | NASOGASTRIC TUBE FOR USE DURING AN ABLATION PROCEDURE - Embodiments of the present invention provide a nastogastric tube for deflecting an esophagus during an ablation procedure. According to one embodiment, the nasogastric tube includes a flexible tube comprising at least one lumen having proximal and distal ends, and an esophageal deflector positioned within the at least one lumen and configured to be mechanically actuated to assume a curved profile so as to deflect a portion of the tube between the proximal and distal ends. The esophageal deflector is configured to deflect the portion of the tube proximate to a retrocardiac portion of the esophagus such that the retrocardiac portion of the esophagus is deflected away from an ablation site. | 02-10-2011 |
20110054487 | COAXIAL TRANSSEPTAL GUIDE-WIRE AND NEEDLE ASSEMBLY - A coaxial transseptal device and methods of piercing a tissue within the heart. The coaxial transseptal device includes a piercing device having a shaft with a distal sharpened portion. The coaxial transseptal device also includes a coaxial guide-wire configured to receive the piercing device and move relative thereto. The flexibility of the coaxial guide-wire increases from the proximal end to the distal end. | 03-03-2011 |
20110066157 | TREATMENT TOOL - Provided is a treatment tool endoscopically inserted into a body cavity. The treatment tool includes a treatment part for performing a treatment within the body cavity; a connecting member connected to a proximal end of the treatment part; a sheath through which the treatment part and the connecting member are inserted so as to be able to advance or retreat in an axis direction; an operation part which is connected to the connecting member and extends and retracts the connecting member with respect to the sheath; and a coupling member, which is formed in a tubular shape, provided with a large diameter portion with substantially the same external diameter as the internal diameter of the sheath and a fixing portion with an external diameter smaller than that of the large diameter portion, and fixed to at least any one of the connecting member and the treatment part. The connecting member or the treatment part is inserted to the fixing portion and fixed to the fixing portion in a state where the diameter of the fixing portion is smaller than that of the large diameter portion, and the large diameter portion prevents the treatment part and the connecting member from wobbling in a direction separating from the axis of the sheath within the sheath. | 03-17-2011 |
20110082464 | Polymeric Implant Delivery System - Delivery systems for a polymeric tubular implant, kits that include such delivery systems, and methods of treating patients by implanting tubular implants using the delivery systems. The delivery systems include an inner shaft, an expandable member slidably disposed about the inner shaft and configured to receive the tubular implant, and a tubular outer shaft disposed about the inner shaft. | 04-07-2011 |
20110087234 | SYSTEM AND METHOD FOR INTRODUCING MULTIPLE MEDICAL DEVICES - A method and apparatus for introducing a first elongate medical device and short wire guide that are coupled together into a work site and remotely disconnecting them within the work site such that a secondary device comprising a catheter member can be introduced over the wire guide to the work site, and/or a second wire guide can be introduced to the work site via a passageway of the primary access device. A separating member may be provided to remotely separate the wire guide from the elongate medical device. A system of indicia, such as radiopaque or viewable markers, permits the operator to monitor the relative alignment of the devices within the work site to determine when uncoupling has occurred. In one example of the method, a wire guide and primary access device (e.g., a sphincterotome) is coupled to the wire guide and introduced via a duodenoscope into the biliary system. After performing a first medical operation, the devices are uncoupled with the wire guide being left within the biliary system such that a secondary access device, such as a balloon, biopsy device, stent delivery catheter, dilator, etc., can be introduced to perform a second medical operation without a traditional over-the-wire exchange being required. In another example of the method, a prosthesis, such as a valve or stent, is placed within the work site coupled to a wire guide which is remotely disconnected within the work site and a secondary device, such as a dilation balloon or second prosthesis, is introduced into the work site after the first delivery system is removed. | 04-14-2011 |
20110106097 | INTRODUCER ACCESS ASSEMBLY - An elongated introducer access assembly | 05-05-2011 |
20110106098 | OCCLUSIVE DEVICE DELIVERY SYSTEM - A system for delivering an occlusive device includes a delivery wire assembly configured to be slidably inserted into and through the lumen of a delivery catheter, the delivery wire assembly including a delivery wire conduit defining a conduit lumen and having a conduit distal end forming a first cathode of a position detection circuit, a noble wire disposed in the conduit lumen and having a noble wire distal end forming an anode of the position detection circuit, and a core wire disposed in the conduit lumen and having a core wire distal end, the core wire distal end forming a second cathode of the position detection circuit, wherein an occlusive device is detachably coupled to the core wire distal end. | 05-05-2011 |
20110112546 | OCULAR IMPLANT APPLIER AND METHODS OF USE - Described herein is a delivery device and methods for delivering an ocular implant into an eye. The delivery device includes a proximal handle portion; a distal delivery portion coupled to a distal end of the handle portion and configured to releasably hold an ocular implant and includes a sheath positioned axially over a guidewire; and a metering system configured to provide visual guidance regarding depth of advancement of an implant positioned on the guidewire into an anatomic region of the eye. Also disclosed is a device and method for loading an implant onto the delivery device. | 05-12-2011 |
20110118745 | METHODS, SYSTEMS AND APPARATUS FOR RELIEVING PRESSURE IN AN ORGAN - Methods, systems and apparatus for relieving pressure in an organ such as, but not limited to, the eye are disclosed. The method includes implanting a bioabsorbable, channel into the selected area of the organ using a delivery apparatus. | 05-19-2011 |
20110125163 | IMPLANTABLE MEDICAL DEVICE SYSTEM WITH FIXATION MEMBER - A fixation device for a subcutaneous implantable medical device includes a deformable tip portion that reduces in width when coupled with a fixation tool such that implantation of the implantable medical device through tissue is facilitated. Upon release from the fixation tool, the fixation device returns to its initial shape and stably secures the position of the implantable medical device. | 05-26-2011 |
20110152874 | BALLOON DILATIONAL CHEST TUBE METHOD AND SYSTEM - A method and system for inserting a chest tube through the chest wall of a patient into the pleural cavity. An inserter comprises an elongated tubular member and an inflatable balloon positioned at a distal end of the tubular member. A chest tube has a bore extending therethrough, and is sized such that the inserter is receivable in the chest tube bore. The chest tube and inserter are aligned such that the balloon extends distal of the chest tube when the inserter is received in the chest tube bore. An opening is formed through the chest wall to the pleural cavity, and the inserter is advanced into the chest wall opening such that the balloon is positioned across the opening in an uninflated condition. The balloon is inflated to dilate the opening, and the chest tube is advanced into the dilated opening such that the distal end of the chest tube extends through the opening into the pleural cavity. | 06-23-2011 |
20110152875 | SINUS TUBE - The inventive sinus tube provide a non-surgical approach to sinus disease. The tube once inserted in the ostia of a paranasal sinus provides the proper aeration and drainage of the sinus cavity. The tube stops the cycle of inflammation, stasis, infection, and continued inflammation associated with sinus disease. The tubes are inserted into the natural ostia of a patient or are inserted after a surgical procedure to enlarge the ostia. The invention also provides an instrument for inserting the inventive tube, methods of using the tube, and kits including the tubes. | 06-23-2011 |
20110160739 | Rotatable Connection Between a Tubular Member and an Elongate Wire of a Catheter - A rotatable connection between a tubular member and an elongate wire of a catheter for allowing rotational movement of the tubular member relative to the elongate wire. The rotatable connection includes a first tube secured to the tubular member and a second tube secured to the elongate wire. The second tube is disposed around the first tube and rotatable relative to the first tube. The longitudinal axis of the tubular member is offset from the longitudinal axis of the elongate wire to allow a guidewire to extend through the tubular member and along the side of the elongate wire. | 06-30-2011 |
20110172677 | Medical instrument positioning device - A medical instrument positioning device that allows medical personnel to quickly and easily insert and remove medical instruments and accessories through a portal in a patient is described. The device guides the inserted instruments directly to the surgical site so that the surgeon does not have to search to reacquire the site. The device is generally “L” shaped, having a handle on the proximal end and a somewhat sharpened tip on the distal end. The body of the device is generally curved or otherwise shaped to form a channel down which medical instruments, cameras, accessories, etc. can be positioned. The tip of the device is shaped so as to be easily inserted into a portal. Once inserted, the device is positioned so that the distal end is in proximity to a surgical site. | 07-14-2011 |
20110184428 | INSERTION DEVICE FOR INFUSION SETS - An insertion device for infusion sets, including a housing for generally enclosing an infusion set placed in the insertion device and a drive device for displacing the infusion set, wherein the displacing is as friction-free as possible with respect to the housing. | 07-28-2011 |
20110190778 | Multiple Port Introducer for Thrombolysis - The present invention provides a multiple port infusion introducer including an introducer sheath having a tubular introducer wall defining an introducer lumen formed therethrough. The introducer wall includes a proximal portion extending to a distal portion along a longitudinal axis. A plurality of ports is positioned proximate the proximal end of the introducer sheath. Each port has a tubular port wall defining a port lumen formed therethrough. Each port lumen is in fluid communication with the introducer lumen. Each port wall has a proximal end extending to a distal end along a central axis. A delivery member is disposed through the proximal end of one of the ports and extends through the port lumen and into the introducer lumen proximate the proximal end of the introducer sheath. | 08-04-2011 |
20110208204 | ARTHROSCOPIC ACCESS TO THE INTERIOR OF A HIP JOINT - A method for arthroscopically accessing a region of a joint, wherein the joint has a capsule disposed intermediate at least one layer of outer tissue and the joint, the method comprising:
| 08-25-2011 |
20110224678 | METHOD AND IMPLANTATION SYSTEM FOR IMPLANTING A CARDIOVASCULAR PROSTHESIS - A method of implanting a cardiac prosthesis is disclosed. The method can include placing a cardiac prosthesis into an elongated barrel of an implanter, the barrel comprising an open discharge end. An introducer apparatus is attached onto the open discharge end of the barrel, the introducer apparatus comprising a sidewall portion that extends from a first end portion and terminates in a distal end portion that gradually tapers to cross-sectional dimension that is less than cross-sectional dimension at the first end portion. The introducer apparatus can be configured to permit movement of the barrel, including the discharge end, axially through and beyond the distal end portion of the introducer apparatus. An opening can be created in tissue that provides a path from the opening to an implantation site. The introducer apparatus is inserted into the opening and the barrel axially can be moved through the introducer apparatus to position the discharge end of the barrel near the implantation site. The prosthesis can then be discharged from the barrel at the implantation site. | 09-15-2011 |
20110224679 | INSERTION DEVICE AND METHOD OF USE - An insertion device for safely creating an incision through tissue is provided. The device includes a tubular member and a cutting assembly. The tubular member includes proximal and distal ends and defines a passageway therethrough. The tubular member includes at least one longitudinal slot extending proximally from a distal end thereof. The cutting assembly includes a blade assembly mounted on a distal end thereof. The distal end of the cutting assembly is configured for sliding reception within the passageway of the tubular member. The blade assembly includes at least one blade movable between a retracted position and an extended position. The blade assembly is configured such that the at least one blade is received through the at least one longitudinal slot of the tubular member when the at least one blade is in an extended position. | 09-15-2011 |
20110230891 | INSERTION DEVICE - There is disclosed an insertion device comprising an insertion needle holder and a drive mechanism for linearly moving the insertion needle holder in a puncturing direction. The insertion needle holder also includes at least one actuating element for actuating a drive mechanism. The drive mechanism converts a driving motion of the actuating element, which extends transversely or opposite to the puncturing direction, into a puncturing motion of the insertion needle holder. | 09-22-2011 |
20110264104 | HEMODIALYSIS GRAFTS AND METHODS FOR LOCALIZING AND IDENTIFYING THE PLACEMENT OF SAME - Disclosed are vascular access devices, implantable dialysis grafts, and systems including them useful for improved access to implanted medical devices. Also disclosed are implantable hemodialysis vascular access graft devices that facilitate easy, accurate and reproducible cannulation or needle entry into the implanted device by magnetically-locating a portion of the graft that includes one or more paramagnetic materials operably defining the physical boundaries of the target cannulation site/entry port. | 10-27-2011 |
20110264105 | APPARATUS FOR INSERTING CATHETERS OR ENDOSCOPIC DEVICES INTO A BODY CAVITY - An apparatus for inserting an elongated device into a body cavity has a valve having a longitudinal axis. The valve is provided with a housing having a cup-shaped recess and a base, a first channel section provided in said base, a plunger having an end face, said plunger being at least with its end face inserted into and displacable within the cup-shaped recess, a second channel section provided in the plunger, and a hollow cylindrical elastic seal arranged within the cup-shaped recess between said base and said end face, said seal having an outer face and an inner face defining there between a cross section of the seal, a third channel section provided in the seal and surrounded by the inner face. The third channel section forms together with the first channel section and the second channel section a central channel, said central channel extending and being continuous along said longitudinal axis. Said seal is provided with a change in said cross section in a region along said longitudinal axis. | 10-27-2011 |
20110282351 | SURGICAL SYSTEM ENTRY GUIDE - An entry guide tube and cannula assembly, a surgical system including the assembly, and a method of surgical instrument insertion are provided. In one embodiment, the assembly includes a cannula having a proximal portion that operably couples to an accessory clamp of a manipulator arm, and a distal tubular member coupled to the proximal portion, the tubular member having an opening for passage of at least one instrument shaft. The assembly also includes an entry guide tube rotatably coupled to the proximal portion of the cannula, the entry guide tube including a plurality of channels for passage of a plurality of instrument shafts, wherein the entry guide tube is rotatably driven relative to the proximal portion of the cannula by rotation of at least one instrument shaft about a longitudinal axis of the entry guide tube. | 11-17-2011 |
20110282352 | Trocar - A trocar with a movable flap for closing a trocar sleeve. The movable flap is automatically kept open with the aid of a locking mechanism. | 11-17-2011 |
20110282353 | BILIARY ACCESS SHEATH - A biliary access sheath may include an elongate proximal tube portion having a fixed outer diameter and permanently attached to a distal tube portion having an outer diameter that may be constricted and expanded. The distal portion may be configured as a self-expanding tube similar to a self-expanding stent construction, being constrained during introduction into a proximal portion of the biliary tree, and released to anchor the distal sheath portion therein. In another aspect, a method for introducing an intra-ductal endoscope may use a biliary access sheath as herein described. | 11-17-2011 |
20110288558 | DEPLOYMENT HANDLE FOR AN INTRODUCER - A handle for an implant deployment device converts rotational movement into longitudinal movement in order to provide controlled release of one or more trigger wires. The handle also allows the trigger wire to be withdrawn into the device so that it does not need to be separately removed. A preferred handle includes a rotatable portion ( | 11-24-2011 |
20110295265 | Delivery System Having Stent Retention Structure - A drainage stent delivery system including an elongate shaft of a medical device, a drainage catheter or stent, and an engagement member, such as a distensible member or a compressible member, for selectively coupling the stent to the elongate shaft. The engagement member is positioned between the inner surface of the stent and the outer surface of the elongate shaft and is elongatable from a first length to a second length by longitudinal movement generally parallel to the central longitudinal axis of the stent to release the stent. At the first length, the engagement member is engaged with the inner surface of the stent to secure the stent on the elongate shaft, and at the second length the engagement member is sufficiently disengaged from the inner surface of the stent to release the stent from the elongate shaft such that the elongate shaft may be withdrawn from the stent. | 12-01-2011 |
20110313426 | TRANS-SEPTAL SHEATH WITH SPLITTING DILATING NEEDLE AND METHOD FOR ITS USE - A device useful for accessing the left atrium is provided. The device comprises an elongated tubular body and a dilating tip. The tubular body has an axis, a proximal end, a distal end and a lumen longitudinally extending therethrough. The dilating tip is slidably mounted on the distal end of the tubular body. The dilating tip comprises a segmented surface that is generally transverse to the axis of the tubular body, and a generally rigid tube extending distally from the segmented surface and having a sharp distal end. Distal movement of the tubular body relative to the dilating tip exerts a force on the segmented surface to thereby open the segmented surface. | 12-22-2011 |
20110319902 | CATHETER DELIVERY SYSTEM - A method for delivering catheters, and stents composed of soft, compliant polymers through anatomical passages. These devices have a bulbous anchorage end with a diameter greater than the rest of the catheter. To facilitate implant and delivery a pusher catheter or sheath with an internal lumen larger than the outer diameter of the catheter but smaller than the outer diameter of the bulbous anchorage end. The distal end of pusher catheter or the sheath physically engages the proximal end of the bulbous anchorage end and applies an axial force to coaxially advance the catheter over a guidewire though anatomical passages. This method allows a physician to move the catheter to an anatomical site without the device exhibiting buckling due to axial force applied. Similarly, this delivery method will allow more force to be applied to the distal end of the catheter diminishing the likelihood of buckling. | 12-29-2011 |
20110319903 | CATHETER, CATHETER ASSEMBLY AND RELEVANT METHOD - The present invention relates to a catheter suitable for conducting and positioning a medical device in an organic cavity comprising at least one side branch, such as a blood vessel, which comprises a tubular body, having a central lumen having a cross-section suitable for the passage of the medical device and a mandrel slidable in the central lumen and distally a flexible end portion. On the outer surface of the mandrel there is a longitudinal groove defining, with the inner wall of the tubular body, a passage suitable for receiving a first guide wire in a sliding manner. In addition, in the mandrel there is an inner lumen suitable for housing a second guide wire in a sliding manner. The present invention further relates to a catheter assembly comprising the aforesaid catheter and a method of use the same. | 12-29-2011 |
20110319904 | DELIVERY SYSTEM HAVING STENT RETENTION STRUCTURE - A drainage stent delivery system including an elongate shaft of a medial device, a drainage catheter or stent, and an interference fit member for selectively coupling the drainage stent to the elongate shaft. The drainage stent is selectively coupled to a distal portion of the elongate shaft by an interference fit between the interference fit member and the drainage stent such that axial movement of the elongate shaft relative to the drainage stent moves the interference fit member from a first position in which the interference fit member is engaged with the drainage stent and forms an interference fit with the drainage stent to a second position in which the interference fit member is disengaged from the drainage stent. | 12-29-2011 |
20120004665 | GUIDEWIRE INSERTION METHODS AND DEVICES - Various methods and devices for inserting a guidewire into the body are provided. In one embodiment, a guidewire insertion device is provided and includes and outer sheath having an outer surface and an inner lumen extending therethrough, and a dilator having an inner lumen extending therethrough and having a length greater than a length of the outer sheath. A guidewire can be configured to extend through the inner lumen of the dilator such that the guidewire is removably and replaceably disposable within the dilator and coupled thereto. A locking mechanism can be effective to selectively configure the guidewire between a locked position in which the guidewire is stationary relative to the dilator and an unlocked position in which the guidewire is movable relative to the dilator. | 01-05-2012 |
20120016376 | VALVE LOADER METHOD, SYSTEM, AND APPARATUS - A valve loading system is provided that uses a valve loader to transfer a valve or other medical device from a storage cartridge into a deployment catheter. The valve or other medical device can be implanted or positioned within a patient using the catheter after the valve or other medical device has been compressed and loaded into the catheter using the valve loader. The process then can be repeated by using the valve loading system to load or introduce another valve or other medical device into the catheter. | 01-19-2012 |
20120029525 | MEDICAL DEVICE AND METHOD FOR VASCULAR ACCESS - A medical device comprising a rod which includes an elongate rod body and a rod handle. The rod body is composed of a biocompatible semi-rigid material and is curved from between 75 to 105 degrees relative to the longitudinal axis of the rod body. The distal end of the rod body is beveled to a point so that it is capable of puncturing through human skin. The medical device also comprises a sheath which includes a hollow sheath body and a sheath handle. The sheath body is straight. The rod body is capable of being inserted into the sheath body and is able to slide along the sheath body's longitudinal axis. | 02-02-2012 |
20120035614 | ASSEMBLY FOR INSERTING A PROBE INTO THE LACRIMAL CANAL BY PUSHING FROM THE SIDE OF THE EYE - The invention relates to a monocanaliculonasal and/or monocanalicular intubation assembly particularly intended for lacrimonasal imperforation, comprising: a probe ( | 02-09-2012 |
20120046666 | ANCHORING CATHETER SHEATH - In general, the invention provides improved sheaths for enhanced control over the relative position of the sheath or inserted catheter relative to a biological tissue. The invention also provides improved sheaths for controlling the longitudinal and axial movement of inserted catheters relative to the sheath. The sheaths include an active anchor at the distal end capable of reversibly adhering the sheath to a tissue. Exemplary active anchors include a reversibly inflatable balloon, a deflectable tip, a suction cup, a screw, and a barb. | 02-23-2012 |
20120059387 | Delivery system and urethra stent for enlarged prostates and method - A device for placing, positioning and/or removing a stent within the urethra of a patient obstructed by an enlarged prostate positioned by use of ultrasound comprising a flexible stent inserter having a shaft of a length and size to be inserted within the urethra and extend to the bladder, with a balloon positioning tip distally mounted proximate an expandable securing segment onto which a stent is mounted; the balloon selectively inflated with air or liquid if a contrasting media is required for ultrasound location or with a liquid to unblock obstructed urethra segments, and the securing segment selectively inflated with a liquid to secure during positioning and deflated to release the stent in position to inflate the expandable securing segment to hold the stent during positioning and insertion, and in a second mode deflates the securing segment and positioning tip to release the stent within the urethra to allow the flexible stent inserter to be withdrawn and allow urine to pass through the stent. | 03-08-2012 |
20120059388 | Method of placing a surgical mesh for a laparoscopic surgical procedure and an insertion tube to facilitate surgical mesh placement - A method of laparoscopically introducing a piece of surgical mesh into the abdominal cavity of a patient through a small incision. The mesh is tightly rolled after having traction sutures placed therein and being hydrated. The surgical mesh is pulled into a prelubricated insertion tube having been ligated adjacent its proximal end. A grasper is used to pull mesh into the tube. The tube/mesh is inserted into the abdominal cavity through a small incision. Once inside the abdomen, the insertion tube is split to release the surgical mesh that may then be used in the surgery. Also provided is an insertion tube having a thinned or otherwise weakened region extending along a longitudinal axis thereof. A ripcord extending along the insertion tube from its ligated, proximal end to beyond the distal end is utilized to spilt the insertion tube to facilitate freeing the surgical mesh from within. | 03-08-2012 |
20120065644 | STENT DEPLOYMENT SYSTEM WITH RETRACTABLE SHEALTH - A stent deployment system is disclosed. The system has a stent positioned on the distal end of a delivery catheter and a retractable sheath covering the stent. The retractable sheath has one or more wires connected thereto to facilitate retraction of the sheath from off of the stent. The one or more wires extend from the sheath along a portion of the outer surface of the delivery catheter and then enter one or more lumens within the delivery catheter through which the one or more wires extend toward a retraction mechanism. The application of a proximally directed force upon the one or more wires causes the one or more wires and the sheath to move proximally relative to the delivery catheter and the stent, thereby uncovering the stent. Once uncovered, the stent can be expanded to provide scaffolding support a patient's luminal wall. | 03-15-2012 |
20120083794 | Tunneler Device and Method of Use - A tunneler device is provided. The tunneler device includes a handle formed on a proximal end thereof configured for operable engagement by a user, a shaft extending distally from the handle, a collet supported on the distal end of the shaft, the collet including a plurality of distally extending fingers defining a longitudinal opening, the opening being configured to receive an end of a catheter tube and a connector configured for operable engagement with the collet, wherein the connector is configured to bias the fingers of the collet radially inward upon engagement of the connector with the collet. | 04-05-2012 |
20120095475 | SYSTEM AND METHOD FOR REMOVING AN IMPLANTED CATHETER FROM A PATIENT - A method comprising removing a port from a patient through an incision and coupling a rod disposed in a sheath to the end of a catheter. The method also includes sliding the sheath along the rod and catheter into tissue surrounding the catheter in a rotating manner to separate the tissue from the catheter until the catheter is able to freely be removed from the patient, and removing the catheter from the patient. The method may also include making a shorter second incision on the patient and exposing a portion of the catheter through the patient's skin to facilitate coupling of the rod with the catheter and retrieval of the catheter. | 04-19-2012 |
20120101507 | Anvil Placement System - Disclosed are versions of an anvil placement rod for use in bariatric surgical procedures and a split sheath catheter used to facilitate insertion of an anvil and circular stapler into a body cavity. | 04-26-2012 |
20120116413 | INDWELLING DEVICE FOR TUBULAR MEDICAL TREATMENT INSTRUMENT AND FRONT TIP OF INDWELLING DEVICE FOR TUBULAR MEDICAL TREATMENT INSTRUMENT - A tubular medical treatment instrument indwelling device for indwelling a stent graft expandable in the radial direction, includes a tubular sheath, a rod member configured to move forward and backward inside the sheath along the axial direction of the sheath, and a front tip provided in the forward end portion of the rod member and includes, formed therein, an engaging portion being engageable with an engagement portion provided in the stent graft. The engaging portion is formed in a position where it is hided inside the sheath when the forward end portion of the sheath is sealed with the front tip. The tubular medical treatment instrument indwelling device is capable of inhibiting damaging of a blood vessel or freeing of parietal thrombus/parietal atheroma from occurring. | 05-10-2012 |
20120123433 | METHODS FOR DEPLOYING INTRAOCULAR SHUNTS - The present invention generally relates to methods for deploying intraocular shunts without the use of an optical apparatus that contacts an eye, such as a goniolens. In certain embodiments, methods of the invention involve inserting into an eye a deployment device configured to hold an intraocular shunt, determining that a distal portion of the device is properly positioned within the eye without use of an optical apparatus that contacts the eye, and deploying the shunt from the device. | 05-17-2012 |
20120123434 | DEVICES FOR DEPLOYING INTRAOCULAR SHUNTS - The present invention generally relates to devices for deploying intraocular shunts without the use of an optical apparatus that contacts an eye, such as a goniolens. In certain embodiments, devices of the invention include a housing including an angled distal end, a deployment mechanism at least partially disposed within the housing, and a hollow shaft coupled to the deployment mechanism, in which the shaft is configured to hold an intraocular shunt. | 05-17-2012 |
20120123435 | DEVICES FOR DEPLOYING INTRAOCULAR SHUNTS - The present invention generally relates to devices for deploying intraocular shunts without the use of an optical apparatus that contacts an eye, such as a goniolens. In certain embodiments, devices of the invention include a housing, in which a distal end of the housing includes a protrusion, a deployment mechanism at least partially disposed within the housing, and a hollow shaft coupled to the deployment mechanism, in which the shaft is configured to hold an intraocular shunt. | 05-17-2012 |
20120123436 | DEVICES FOR DEPLOYING INTRAOCULAR SHUNTS - The present invention generally relates to devices for deploying intraocular shunts without the use of an optical apparatus that contacts an eye, such as a goniolens. In certain embodiments, devices of the invention include a housing, a deployment mechanism at least partially disposed within the housing, and a hollow shaft coupled inside the housing to the deployment mechanism, in which the shaft is configured to hold an intraocular shunt, and the device includes an insertion configuration and a deployment configuration and the insertion configuration involves the shaft being fully disposed within the housing. | 05-17-2012 |
20120123437 | METHODS FOR TREATING CLOSED ANGLE GLAUCOMA - The present invention generally relates to methods for treating closed angle glaucoma. In certain embodiments, methods of the invention involve inserting into an eye a deployment device configured to hold an intraocular shunt, using the device to re-open an at least partially closed anterior chamber angle of an eye, and deploying the shunt from the device. | 05-17-2012 |
20120123438 | METHODS FOR INTRA-TENON'S SHUNT PLACEMENT - The present invention generally relates to the reduction of intraocular pressure, and in particular, to methods for treating glaucoma by insertion of an intraocular shunt in the eye such that it forms a drainage pathway between the anterior chamber and the intra-Tenon's space. | 05-17-2012 |
20120123439 | INTRAOCULAR SHUNT DEPLOYMENT DEVICES - The invention generally relates to devices for deploying an intraocular shunt within an eye. In certain embodiments, devices of the invention include a housing, a deployment mechanism at least partially disposed within the housing, and a hollow shaft coupled to the deployment mechanism, in which the shaft is configured to hold an intraocular shunt, and in which rotation of the deployment mechanism results in deployment of the shunt. | 05-17-2012 |
20120123440 | METHODS FOR DEPLOYING AN INTRAOCULAR SHUNT FROM A DEPLOYMENT DEVICE AND INTO AN EYE - The invention generally relates to methods for using an intraocular shunt deployment device to deploy an intraocular shunt from the device and into an eye. | 05-17-2012 |
20120130391 | IMPLANTING ORGAN PORTS - This document relates to medical devices (e.g., organ ports such as transapical heart ports) and methods and materials for implanting and using such medical devices. For example, organ ports and entry devices that can be used to implant an organ port are provided. | 05-24-2012 |
20120136366 | Methods of Transvascular Retrograde Access Placement and Devices For Facilitating Therein - The present invention relates to methods of transvascular retrograde access placement and to devices that facilitate these methods. For purposes of the present invention, transvascular retrograde access placement generally comprises the insertion of a vascular catheter into a central blood vessel through the puncturing of the central blood vessel from the inside of the central blood vessel with a needle or other similarly configured device, or a needle-tipped guidewire of the present invention, and exiting that needle from the patient through the skin rather than the traditional approach of inserting a needle from the outside of the skin surface to the inside of a blood vessel. | 05-31-2012 |
20120136367 | MULTI-SEGMENT PROTECTIVE SHEATH FOR EXPANDABLE MEDICAL DEVICES - A protective sheath for covering an elongated medical device includes two or more sheath segments. Each sheath segment has a lumen extending the length of the segment with an inner diameter sufficient to receive the elongated medical device within the lumen. Each sheath segment also has a first end and a second end, with the first end of each sheath segment being configured to engage the second end of an adjacent sheath segment in an interlocking engagement. The first end of each sheath segment has a first coupling portion and the second end of each sheath segment has a second coupling portion, which are complementary of one another and configured to couple adjacent sheath segments to one another when the first end of one sheath segment is engaged with the second end of an adjacent sheath segment. | 05-31-2012 |
20120158008 | WOUND DRAINAGE DEVICE AND SYSTEM - An insertion device has pivotable elongated members manipulable by a hand, one of which holds a trocar, and the other a target through which the trocar will pass as the elongated members are pivoted. A tube is connected to the trocar or elongated member holding the trocar, and the tube is passed through body tissue from a position interior to the body to a position exterior to the body, together with the trocar. An end of the tube is positioned in a fluid accumulating area of the body, and passes to a container external to the body. The container contains markings which enable a determination of the quantity of passed fluid. At intervals, the quantity of fluid is determined, and the container is replaced with another container. | 06-21-2012 |
20120158009 | MOVABLE CURVED NEEDLE FOR DELIVERING IMPLANTS AND METHODS OF DELIVERING IMPLANTS - In one general aspect, a medical device can include a base having a guide and a handle. The medical device can also include a needle member that has a curved portion and a handle portion. The curved portion of the needle member can be configured to slidably move within the guide of the base from a first position to a second position different than the first position when the handle portion of the needle member is moved towards the handle of the base. | 06-21-2012 |
20120172887 | Proximal Release Expandable Prosthesis Delivery System - A proximal release delivery system for expandable prostheses includes an elongate catheter, an actuating wire, and a splittable sheath. The actuating wire travels through the lumen of the elongate catheter to the catheter's distal end where it everts about the end of the catheter and travels between the expandable prosthesis and the splittable sheath. A splitter with a blade element is attached to the end of the actuating wire. As an operator pulls the proximal end of the actuating wire in the proximal direction, the splitter travels in the distal direction, splitting the sheath from the proximal to distal end and allowing the prosthesis to expand and deploy. The splittable sheath may also include a longitudinal hinge attached to the expandable prosthesis. | 07-05-2012 |
20120184967 | ANTI-OBESITY DEVICES - Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device is anchored in the pyloric portion of the gastrointestinal system and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device in the pyloric portion and a flexible sleeve that extents into the duodenum. The anchor is collapsible for endoscopic delivery and removal. | 07-19-2012 |
20120203240 | CUFFED-CATHETER REMOVER - A catheter remover includes a T-handle with an actuation mechanism. A shaft is attached and disposed generally perpendicular to the T-handle. The shaft is a hollow shaft with an elongate member therein. The elongate member has a proximal end engaged with the actuation mechanism. A cutting head is attached to a distal end of the shaft. The cutting head includes a plurality of arcuate cutting segments, with each cutting segment attached to a distal end of the shaft and including an outer cylindrical portion and a radially inner cutting portion. Each cutting portion has an arcuate cutting edge. | 08-09-2012 |
20120215229 | CURVILINEAR SPINAL ACCESS METHOD AND DEVICE - A system for performing a procedure on a spine of a patient includes a curved tissue distractor, a curved housing, and an exterior channel. The curved tissue distractor includes a first distractor ramp and a second distractor ramp. The curved housing is configured to slide between the first and second distractor ramps. The curved housing includes a distal end, a proximal end, and an interior channel disposed between the distal end and the proximate end. The exterior channel is disposed on an outside surface of the curved housing and between the distal end and the proximal end. The curved housing is configured to slide between the first and second distractor ramps to provide access through the interior channel to the spine. | 08-23-2012 |
20120221011 | Minimally Invasive Surgical System - A surgical instrument is inserted through a guide tube. A telemanipulation system moves the distal end of the surgical instrument in all six Cartesian degrees of freedom independently of any guide tube movements. | 08-30-2012 |
20120277756 | Methods and Apparatus for Storage and/or Introduction of Implant for Hollow Anatomical Structure - One embodiment of the apparatus comprises a housing with a sheath portion projecting distally therefrom. The sheath portion has a sheath with a lumen, and a bearing surface in the sheath lumen or aligned with the sheath lumen, and located at or near a distal end of the sheath. The implant is at least partially positioned in the apparatus, and comprises an implant body and a tether connected to the implant body. The tether extends from the implant body distally within the sheath portion and around the bearing surface, where the tether changes direction, and extends back proximally from the bearing surface along and within the sheath portion. The apparatus is configured to move the first tether portion proximally and thereby draw the implant body distally along and within the sheath lumen. | 11-01-2012 |
20120277757 | MULTI-FUNCTION CANNULATED SURGICAL DEVICE - A multi-function, cannulated, surgical device includes a cannulated member that has an inner cannula, having an opening therein to allow communication between an interior space of the inner cannula and an environment exterior to the cannulated member, and an outer cannula connected with the inner cannula; and wherein the inner and outer cannulas define a shared slot therebetween to allow communication between the interior space of the inner cannula and an interior space of the outer cannula. | 11-01-2012 |
20120289971 | MULTIPLE LUMEN RETRIEVAL DEVICE AND METHOD OF USING - A retrieval device with multiple internal lumens and one or more balloons is disclosed. The balloons may be utilized to stabilize the retrieval device during therapy and to prevent migration of the device, or material within a body lumen, during therapy. | 11-15-2012 |
20120289972 | HANDHELD DEVICE FOR STENT IMPLANTATION - A handheld device for the operation of an application system for stent implantation comprising an adapter for connection to an introducer sheath or a guide catheter, through which a wire or catheter can be inserted into a vessel. The adapter is in the form of a telescopic tube. | 11-15-2012 |
20120303039 | METHODS, TOOLS AND DEVICES FOR PERCUTANEOUS ACCESS IN MINIMALLY INVASIVE SPINAL SURGERIES - A cannula assembly for providing percutaneous access in minimally invasive spinal surgeries, includes an outer cannula, a nerve probe dilator and a multistage dilator system comprising a first dilator, a second dilator, a third dilator and a fourth dilator. The outer cannula and the dilators are slidable relative to each other and are arranged sequentially so that the fourth dilator surrounds the nerve probe dilator, the third dilator slides over a surface of the fourth dilator, the second dilator slides over a surface of the third dilator, the first dilator slides over a surface of the second dilator, and the outer cannula surrounds the first dilator. | 11-29-2012 |
20120323251 | CROSSING OCCLUSIONS IN BLOOD VESSELS - The present disclosure is directed a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method may include providing a first intravascular device having a distal portion and at least one aperture and positioning the distal portion of the first intravascular device in the vascular wall. The method may further include providing a reentry device having a body and a distal tip, the distal tip having a natural state and a compressed state and inserting the distal tip, in the compressed state, in the distal portion of the first intravascular device. The method may further include advancing the distal tip, in the natural state, through the at least one aperture of the first intravascular device. | 12-20-2012 |
20130006260 | CATHETER FOR ENDOSCOPE - The catheter ( | 01-03-2013 |
20130046315 | CATHETER INSERTION DEVICE - Embodiments of a catheter insertion device are discussed comprising: an approximately hollow cylindrical catheter sleeve, at whose distal end a catheter is attached: a needle sleeve with a hollow needle, which is attached thereto and which, when ready for use, extends through the catheter sleeve and the catheter, and; a needle protective element that is arranged inside the catheter sleeve while being able to move on the needle. Said needle protective element has an engaging section that engages with an engaging device, which is formed in the vicinity of the needle tip, when the hollow needle is withdrawn from the catheter sleeve. A check valve is placed inside the catheter sleeve between the catheter and the needle protective element. The hollow needle, when ready for use, extends through said check valve, and the check valve automatically closes once the needle is withdrawn. | 02-21-2013 |
20130053861 | OPEN SURGICAL PROSTHESIS DEPLOYMENT SYSTEM - A device is used for deploying a prosthesis to vessel portions of a body vessel. The device can include a retaining member and a sheath. The retaining member, such as clamps, is movable between closed and open positions. In the closed position, the retaining member compresses an intermediate segment of the prosthesis. In the open position, the retaining member is positioned away from the prosthesis to allow for expansion of the intermediate segment. The sheath compresses an outer segment of the prosthesis, where the outer segment is associated with a first or second outer end of the prosthesis. The sheath is removable from the outer segment to allow for expansion thereof when the retaining member is in the closed position. An actuation member is operable to move the retaining member between the closed and open positions. Clamps are pivotable in response to movement of the actuation member. | 02-28-2013 |
20130053862 | DEVICE FOR PRODUCING AN ANASTOMOSIS CONNECTION - The invention relates to a device for producing an ETS anastomosis connection and/or a STS anastomosis connection, comprising a ring ( | 02-28-2013 |
20130079794 | SURGICAL SYSTEM ENTRY GUIDE - An entry guide tube and cannula assembly, a surgical system including the assembly, and a method of surgical instrument insertion are provided. In one embodiment, the assembly includes a cannula having a proximal portion that operably couples to an accessory clamp of a manipulator arm, and a distal tubular member coupled to the proximal portion, the tubular member having an opening for passage of at least one instrument shaft. The assembly also includes an entry guide tube rotatably coupled to the proximal portion of the cannula, the entry guide tube including a plurality of channels for passage of a plurality of instrument shafts, wherein the entry guide tube is rotatably driven relative to the proximal portion of the cannula by rotation of at least one instrument shaft about a longitudinal axis of the entry guide tube. | 03-28-2013 |
20130096570 | TRAJECTORY GUIDE, ACCESS PORT, AND FIDUCIAL MARKER ALIGNMENT - A trajectory guide for introducing an instrument into a human or animal subject is described. A guide stem can be removed in sections without disturbing the aligned instrument. An access port portion of the trajectory guide can be left in place, without disturbing trajectory alignment, and can allow overlying skin to be sutured closed. The access port can provide infusate delivery, such as using an injection port, catheter or the like. A fiducial marker arrangement can provide easy and accurate trajectory alignment, for use with the present trajectory guide, another trajectory guide, or without any trajectory guide. | 04-18-2013 |
20130116701 | GUIDE EXTENSION CATHETER - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a guide extension catheter. The guide extension catheter may include a proximal tubular member having a lumen defined therein. A distal tubular member may be attached to the proximal tubular member. The proximal tubular member may have an outer diameter. The distal tubular member may have an inner diameter. The inner diameter of the distal tubular member may be greater than the outer diameter of the proximal tubular member. A stiffening member may be slidably disposed within the proximal tubular member. | 05-09-2013 |
20130123795 | BOND BETWEEN COMPONENTS OF A MEDICAL DEVICE - An elongated member and a method of manufacturing an elongated member may include first, second, and third elongated rod mandrels. The first, second, and third elongated rod mandrels may be fixed together at predetermined proximal and distal locations and at a ball tip. The first, second, and third rod mandrels may be disposed within a tubular coupling element and fixed to the tubular coupling element at the ball tip. The tubular coupling element may be placed into abutment with and fixed to the distal end of an elongated shaft. | 05-16-2013 |
20130123796 | MEDICAL DEVICE WITH KEYED LOCKING STRUCTURES - Medical device delivery systems and methods for making and using medical device delivery systems are disclosed. An example medical device delivery system may include an outer sheath. An inner catheter may be disposed within the outer sheath. An implant may be releasably coupled to the inner catheter. The implant may be configured to shift between a first elongated configuration and a second expanded configuration. A push-pull rod for shifting the implant between the first configuration and the second configuration may be coupled to the inner catheter. A locking assembly may be disposed about the push-pull rod. At least a portion of an outer surface of the push-pull rod may have a non-circular cross-sectional shape. The locking assembly may have an interior passageway with a non-circular cross-sectional shape corresponding to the non-circular cross-sectional shape of the push-pull rod. | 05-16-2013 |
20130172901 | TOOL FOR INSERTING FINE TUBULAR OBJECTS INTO THE COCHLEA - A tool for inserting fine tubular objects into the cochlea is provided. The tool has a gripping body, which forms a handle and ends in a tubular guide for the fine tubular object, and a pusher engaged in the tubular guide in order to push the fine tubular object out of the guide and into the cochlea. The tool is equipped with: an electronic control unit; motorized means controlled by the control unit in order to move the pusher; a force-measuring means connected to the control unit and arranged so as to be sensitive to a resistance force experienced by the fine tubular object during insertion into the cochlea and supplying a signal that can be exploited in order to estimate the resistance force; and means for indicating the resistance force connected to the control unit. | 07-04-2013 |
20130197534 | APPARATUS AND METHOD FOR RESTRICTING MOVEMENT OF A CANNULA DURING A SURGICAL PROCEDURE - An apparatus comprises a body portion having a sidewall with one or more threads and defining a lumen. The apparatus includes a brace portion having a sidewall that defines a lumen that is fluidically coupled to the lumen of the body portion. The sidewall of the brace portion has one or more threads that are configured to matingly couple to the threads of the body portion. The brace portion has a contact surface configured to contact a bodily tissue of a patient when a cannula is disposed within the lumen of the body portion and the lumen of the brace portion. The brace portion and the body portion are collectively configured to maintain a position of the cannula within a body of the patient relative to the bodily tissue when the cannula is disposed within the lumen of the brace portion and the lumen of the body portion. | 08-01-2013 |
20130197535 | OVERCOAT TUBE - A cannular tube is configured to insert a distal end side thereof into a body cavity to secure an insertion passage through which a medical forceps is introduced from a proximal end side thereof into the body cavity. The overcoat tube includes a distal end-side tube member forming the insertion passage at the distal end side, a proximal end-side tube member forming the insertion passage at the proximal end side, and an intermediate coupler that couples the distal end-side tube member to the proximal end-side tube member so that the distal end-side tube member is capable of being tilted in two axial directions centered on a pivotal center with respect to the proximal end-side tube member and connects the insertion passages of the distal and proximal end-side tube members. | 08-01-2013 |
20130218169 | Conduit Device and System for Implanting a Conduit Device in a Tissue Wall - Various embodiments of the present invention provide a conduit device including an attaching device configured for defining a helical pathway through a tissue wall and complementary ring in cooperation for securing the device within an aperture defined in the tissue wall. Some embodiments of the present invention further provide a system for implanting a conduit device in a tissue wall. More specifically, some embodiments provide a system including a coring device for defining an aperture in a tissue by removing and retaining a tissue core and securely implanting a conduit device therein so as to provide fluid communication between a first and second surface of the tissue wall via the conduit device. | 08-22-2013 |
20130289576 | LAPAROSCOPIC INSTRUMENT AND TROCAR SYSTEM AND RELATED SURGICAL METHOD - Laparoscopic instruments and cannulas are provided for performing laparoscopic procedures entirely through the umbilicus. Generally S-shaped laparoscopic instruments placed through the C-shaped trocar sleeves or through the cannula and instrument holder unit provide markedly improved degrees of instruments' freedom during trans-umbilical laparoscopic procedures. | 10-31-2013 |
20130296877 | PLEATED DEPLOYMENT SHEATH - A deployment sheath for medical devices is provided that includes one or more pleats in its pre-deployment state that are allowed to open during deployment so as to facilitate easier device deployment and sheath removal. Preferably, the sheath is removed by everting it over itself during the delivery process. By orienting the pleats along the length of the sheath, preferably helically around the sheath, the sheath undergoes a predictable enlargement during deployment so as to relieve friction of the everted sheath sliding along itself during deployment. This allows the sheath to be removed with less tension than previous everting sheath constructions and assures more accurate device placement in a patient. | 11-07-2013 |
20130338677 | INSERTION ELEMENT AND INSERTION DEVICE - One embodiment of the invention relates to an insertion element which is designed to cooperate with an insertion device for inserting a medical implant into a human or animal body. The insertion element comprises a sleeve which, in the circumferential direction, has at least two types of circumferential segments of different resilience. | 12-19-2013 |
20140012280 | INTUBATION PROBE - An intubation assembly includes an intubation probe adapted to be positioned in a tear duct. The probe includes a flexible tube and a flexible wire has an end which passes through an opening in the tube. The wire is used to pull the probe into the tear duct. The transition between the wire and the tube is continuous, that is, not having any sharp edge which could become stuck in the tear duct wall when the probe is pulled by the wire during displacement from the tear duct. | 01-09-2014 |
20140012281 | EXPANDABLE GUIDE EXTENSION CATHETER - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a guide extension catheter. The guide extension catheter may include a proximal member having a proximal outer diameter. A distal sheath member may be attached to the proximal member. The distal sheath member may have a distal outer diameter greater than the proximal outer diameter. The distal sheath member may have a proximal end, a distal end, and a longitudinal slit extending at least partially between the proximal end and the distal end. An expandable member may be attached to the distal sheath member and may extend along the longitudinal slit. The expandable member may be configured to shift between a first configuration and an expanded configuration. | 01-09-2014 |
20140058401 | THORACOSCOPIC INSTRUMENT - Various embodiments relate to a surgical instrument. The surgical instrument includes a first handle member having a first handle portion and a first shaft portion; a first end member connected to the first handle member having a first instrument portion and a tab; a second end member connected to the tab of the first end member having a second instrument portion and a shaft portion; a second handle member connected to the shaft portion of the second end member; and a lock that releasably connects the second handle member to the shaft portion of the first handle member. | 02-27-2014 |
20140058402 | ENDOLUMINAL PROSTHESIS AND DELIVERY DEVICE - A system for treating a body vessel may include a delivery device and a prosthesis retained on the delivery device. The prosthesis may include a main body and first and second legs each extending from the main body. The main body may include a lumen, and the first leg may include a lumen in fluid communication with the lumen of the main body. The second leg may include a tubular graft body and a stent attached to the graft body. The prosthesis may have a predeployment configuration in which the graft body of the second leg is inverted into and positioned within the lumen of the first leg, and the stent is positioned outside of the inverted graft body. The prosthesis may have a deployed configuration in which the second leg extends outward from the main body, and the stent is positioned within a lumen of the graft body. | 02-27-2014 |
20140074108 | REENTRY DEVICE - The disclosure provides apparatus and methods for reentering a true lumen. The reentry catheter includes a shaft that includes a proximal opening in a proximal end of the shaft, a J-shaped filler in a distal end of the shaft, and a distal side opening in a sidewall of the shaft. The distal side opening is adjacent to the J-shaped filler. A passageway extends between the proximal opening and the distal side opening. The proximal opening, the distal side opening, and the passageway each are configured for the passage of an elongate medical device there through. A movable cover is hingedly attached to the sidewall of the shaft biased in a closed position and configured to occlude the distal side opening when in the closed position. The elongate medical device is configured to open the movable cover, the movable cover is configured to facilitate reentry to a true lumen. | 03-13-2014 |
20140081285 | Method and Devices for Implantation of Biologic Constructs - Seal systems and devices for delivering a biologic construct repair for shoulder and joint surgery into an arthroscopic workspace, including a pinch to open seal that uses fluid pressure to self-seal against a curved surface when closed. | 03-20-2014 |
20140088608 | SPLITTABLE SHEATH - A sheath for retaining a prosthesis for use in repair of a damaged portion of a body vessel during an open surgical procedure. The prosthesis is of a type having a constricted condition for delivery to the damaged vessel portion and an expanded condition upon deployment from the sheath. The sheath includes a generally cylindrical body having a distal end portion, a proximal end portion, a passageway extending therethrough, and an elongated tab member at the proximal end portion. The tab member is positionable along the generally cylindrical body for initiating the splitting of the generally cylindrical body from the distal end portion of the sheath body toward the proximal end portion. | 03-27-2014 |
20140107661 | ELECTROSTRICTION DEVICES AND METHODS FOR ASSISTED MAGNETIC NAVIGATION - An apparatus and method for interventional navigation within a subject's body is provided in which a medical device having at least one electrostrictive element is adapted to cause the distal end of the medical device to bend in a given direction for improving navigation. The medical device may further comprise at least one magnetically responsive element on the distal end, which may be oriented in the approximate direction of a magnetic field that is applied to the subject's body. At least one method for navigating a medical device though a subject's body is provided, by changing the direction of an applied magnetic field to align a magnetically responsive element on the distal end for orienting the distal end, and by applying a voltage to at least one electrostrictive element disposed in the distal portion of the device for causing the distal end to change orientation from that achieved by application of the magnetic field alone. | 04-17-2014 |
20140121670 | EXPANDABLE ILIAC SHEATH AND METHOD OF USE - Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, collapsed cross-sectional configuration, subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration, and subsequent removal in a third, collapsed cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the femoral arteries and the iliac arteries into the aorta. The distal end of the sheath is maintained in the first, collapsed cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is then expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters. The distal end of the sheath is subsequently reduced to a diametrically small size for removal. | 05-01-2014 |
20140135786 | MEDICAL PROCEDURE ACCESS KIT - A medical procedure access kit for inserting a medical device into a biological tubular structure includes at least one semi-flexible sheath and at least one semi-flexible angled guidewire. The sheath defines an internal side wall and an external side wall. The sheath includes a longitudinal opening defined by the internal side wall, a pre-formed bend along a length of the sheath, and a side hole disposed on the pre-formed bend and extending from the external side wall to the internal side wall. The angled guidewire is sized and configured so that it can be received within the sheath. | 05-15-2014 |
20140135787 | INTUBATING FORCEPS AND ASSOCIATED METHOD - Forceps having arms pivotally connected for relative movement between an opened position and a closed position include a tube guide formed by arcuate guide portions on each arm. The tube guide includes an inwardly facing arcuate inside wall surface sized for slidable engagement with a tube. The tube guide is fixed at a right angle to the arms and includes a gap formed between tip ends of each of the arcuate guide portions when the arms are in the closed position. Each arm includes a bend fixed at distal ends, wherein the bend is positioned at a distance from the tube guide to form a distal arm portion for each arm permitting an improved view during use of the forceps. | 05-15-2014 |
20140142589 | DELIVERY DEVICE FOR VASCULAR OCCLUDING DEVICE - A delivery device for delivering material into a catheter through a catheter port includes a cannula having a generally tubular shape and a distal end and a stability collet having a distal attachment portion configured to attach the stability collet to a catheter port. The stability collet has a longitudinal channel through which the cannula extends. The longitudinal channel is dimensioned to allow a longitudinal movement of the cannula in the longitudinal channel. The delivery device further includes an elastic member acting between the cannula and the stability collet. The elastic member biases the cannula distally relative to the stability collet. Thus, when the stability collet is attached to the catheter port, the cannula is urged toward the catheter port, thus reducing a risk of improper alignment between the cannula and the catheter port. | 05-22-2014 |
20140171958 | Capture and Retrieval Device - A device for capture and retrieval of a foreign body having a cavity, from a vessel of a patient, comprises a central shaft, radial balloon support means, radial inflatable balloon means and axial inflatable balloon means. The central shaft has a tip and an axial channel for receiving a guidewire therein. The radial balloon support means is attached to and extends from the central shaft and has a free end spaced therefrom. The radial inflatable balloon means is provided at said free end and is arranged to expand inwardly towards the central shaft upon inflation. The axial inflatable balloon means is provided on the central shaft, adjacent the tip thereof and is arranged to expand outwardly relative to the central shaft upon inflation. | 06-19-2014 |
20140180301 | TRANSESOPHAGEAL GASTRIC REDUCTION METHOD AND DEVICE FOR REDUCING THE SIZE OF A PREVIOUSLY FORMED GASTRIC REDUCTION POUCH - A gastric reduction pouch of a stomach is formed by gathering stomach tissue circumferentially from within the stomach to form a reduced diameter stomach section. A plurality of fasteners are deployed within the gathered stomach tissue to maintain the reduced diameter stomach portion. The gathering step may include folding the stomach tissue to produce a plurality of stomach tissue folds. A device is disclosed that is particularly adapted to permit such gastric reduction of a previously formed gastric reduction pouch. | 06-26-2014 |
20140207147 | Temporary Retention Device - A retention device for anchoring indwelling catheters, sheath introducers, feeding tubes, ostomy bags or other medical devices beneath the skin of a patient includes an deployable section coupled to a medical device; following introduction into a patient, the deployable section is subcutaneously deployed, securely anchoring the device and coupled medical device for the duration of treatment. | 07-24-2014 |
20140214046 | Spring Assisted Medical Device Deployment Assembly - A medical device deployment assembly includes a retractable sheath and a catheter positioned inside the retractable sheath. A medical device is compressed between an outer surface of the catheter and an inner surface of the retractable sheath. A spring is positioned inside the retractable sheath, and a pusher band is positioned inside the retractable sheath between the medical device and the spring. The spring biases the medical device deployment assembly toward a deployment configuration in which a distal tip of the retractable sheath is proximal to a proximal tip of the medical device. | 07-31-2014 |
20140236164 | LAPAROSCOPIC INSTRUMENT AND TROCAR SYSTEM AND RELATED SURGICAL METHOD - Laparoscopic instruments and cannulas are provided for performing laparoscopic procedures entirely through the umbilicus. Generally S-shaped laparoscopic instruments placed through the C-shaped trocar sleeves or through the cannula and instrument holder unit provide markedly improved degrees of instruments' freedom during trans-umbilical laparoscopic procedures. | 08-21-2014 |
20140236165 | SURGICAL TOOL DEVICE - When processing bone tissue, the work site is often out of alignment with the insertion path of a tool device. A tool device ( | 08-21-2014 |
20140243843 | RAPID EXPANSION BALLOON CATHETER - A balloon catheter assembly including a catheter, a sleeve, and a balloon. The catheter has a body, an exterior surface, a lumen, a port providing fluid communication between the lumen and the exterior surface, and a coupling mechanism to couple the lumen to an inflation source. The sleeve has an interior surface facing the exterior surface, the sleeve being coaxial with the catheter and configured to move longitudinally about the catheter. The balloon is disposed about the catheter and has a middle segment covering the port, a distal segment coupled to the sleeve, and a proximal segment coupled to the catheter. The middle segment has a middle longitudinal stiffness, the distal segment has a distal longitudinal stiffness, and the proximal segment has a proximal longitudinal stiffness. The middle longitudinal stiffness is greater than the proximal longitudinal stiffness and the middle longitudinal stiffness is greater than the distal longitudinal stiffness. | 08-28-2014 |
20140257318 | Anchor Deployment for Implantable Medical Devices - A tool for deploying an anchor sleeve onto an implantable device includes handle and base members, which may be fitted together by an operator. The operator may select the handle member from a plurality thereof included in a kit; and the base member, also included in the kit, includes a rail segment with which a gripping portion of the selected handle member may be engaged, for example, via guidance from a marked portion of the base member. Once engaged, a deployment tip of the base member is located to move a mounted anchor sleeve from a tubular member of the handle member and onto a body of the device. The tubular member of some tools has a laterally offset distal end portion, on which the corresponding anchor sleeve is mounted; thus, kits including this type of handle member, may include a converter for the base member to facilitate engagement therewith. | 09-11-2014 |
20140257319 | PERCUTANEOUS NEEDLE GUIDE AND METHOD - A percutaneous needle guide includes a housing and an inclinometer secured to the housing for sensing a two dimensional inclination of the housing relative to the earth's gravitational field and for providing an indication thereof. A percutaneous needle is slidably mounting to the housing in a fixed axial orientation relative to the housing. A needle measuring device is mounted in the housing and operative by linear motion of the percutaneous needle so as to measure the linear position of the percutaneous needle relative to the housing and providing a measurement indication. | 09-11-2014 |
20140257320 | Implantable Device With Adhesive Properties - Implantable devices such as stents, coils, implantable contraceptives, vascular plugs, vena cava filters, left atrial appendage (LAA) closure devices employing an adhesive component to assist in securing or holding the implant in place within a lumen of a patient's body. | 09-11-2014 |
20140276902 | MEDICAL INSTRUMENT FOR DISLODGEMENT, CAPTURE, AND WITHDRAWAL OF A FOREIGN BODY FROM THE VASCULATURE OF A PATIENT - A medical instrument for dislodging, capturing, and retrieving a foreign body from a wall of a vessel includes a vascular snare having a plurality of loops extending from a snare shaft and a grapple member. | 09-18-2014 |
20140276903 | WIRE CENTERING SHEATH AND METHOD - The present disclosure is directed, in one embodiment, to a wire centering sheath system in which wires outwardly extend from a sheath to brace against a vessel wall. The wire centering sheath system may be used to center endovascular devices. | 09-18-2014 |
20140276904 | Tools and Methods for Implantation of Implantable Medical Lead Extensions or Catheters - Tips for use on a tunneling tool provide the ability to pull an implantable medical lead extension or catheter body through a subcutaneous tunnel. The tips may include a pin with a barb, where the barb is inserted within a compliant portion of a connector body of the lead extension or a catheter body to create an interference fit that allows the connector body or catheter body to be pulled through the tunnel. The tips may include a carrier that has a cavity for the connector body, where the tunneling is performed with the carrier present on the tunneling tool. A body is positioned within the cavity of the carrier to prevent tissue from snagging on and collecting within the carrier. The body may include a tip portion that performs the tunneling function. The carrier may also provide tunneling and/or may be attached to the tunneling tool during tunneling. | 09-18-2014 |
20140276905 | Insertion Element and Insertion Device - An insertion element ( | 09-18-2014 |
20140288568 | SHAPE-TRANSFERRING CANNULA SYSTEM AND METHOD OF USE - A method for advancing a rigidizable medical device may include rigidizing a portion of an outer element of the device, and while the portion of the outer element is rigidized, advancing an inner element of the device relative to the outer element of the device by a first preestablished length of advancement. The method may also include, after advancing the inner element, relaxing the portion of the outer element of the device. The method may further include, after relaxing the portion of the outer element, advancing the outer element of the device relative to the inner element of the device by a second preestablished length of advancement. | 09-25-2014 |
20140316426 | CONNECTION SYSTEM FOR THE DETACHABLE FIXATION OF A HOLLOW CYLINDRICAL COMPONENT AT A RECESS - An easily detachable connection of a hollow cylindrical component, such as a graft, at a recess in tissue, such as a heart or a blood vessel, an annular element, a guide element and a spring element are provided, which are secured by way of a suture ring at the body part and at the hollow cylindrical component, and which permit an easily disengagable mutual locking by way of the spring element. To this end, the annular element comprises a groove extending around the periphery thereof, into which the spring element plunges for locking. | 10-23-2014 |
20140324064 | INTRODUCTION AND ANCHORING TOOL FOR AN IMPLANTABLE MEDICAL DEVICE ELEMENT - The invention pertains to an apparatus comprising a needle configured to define a path through tissue of a patient, tubing configured to slidably receive the needle via a proximal opening, an anchor configured to slidably receive at least a portion of the tubing, and an anchor deployment member comprising a body and an anchor engagement member. Such an apparatus may be used to introduce and anchor an implantable medical device element within a patient. | 10-30-2014 |
20140330284 | HUB AND CATHETER HAVING HUB - A hub is connected to a shaft which includes a first lumen extending in an axial direction and capable of allowing inserting of a guide wire and a second lumen extending in parallel with the first lumen. The hub includes a holding unit which holds the shaft, a distribution path which communicates with the first lumen, and is capable of allowing inserting of the guide wire and distributing a predetermined fluid, and a branch path which communicates the second lumen with the distribution path, is capable of distributing the predetermined fluid, and blocks the insertion of the guide wire. | 11-06-2014 |
20140343563 | Articulating Cranial Bolt - A catheter guiding device includes a bolt including a shaft configured to be inserted within a hole drilled in a bone and a passageway extending longitudinally therethrough along a bolt axis and a guide member received within the passageway of the bolt and extending longitudinally along a guide axis. The guide member includes a guide channel extending therethrough along the guide axis, wherein, in a first configuration, the guide member is arrangeable to a desired position relative to the bolt to align the guide axis with a target area and, in a second configuration, the guide member is fixed in the desired position relative to the bolt such that the guide axis is at a desired angle relative to the bolt axis within a permitted range of angulations. | 11-20-2014 |
20140350564 | EXPANDABLE SUPPORT STRUCTURE AND OPERATIVE ELEMENT FOR DELIVERY THROUGH A WORKING CHANNEL - Methods, systems, and devices for providing treatment to a target site are described. The system may include a guide assembly, an expandable support device coupled with the distal end of the guide assembly, and an operative member disposed on the expandable support device. The expandable support device may be configured to transition between a collapsed and expanded configuration. The expandable support device may be supported by one or more flexible supports aligned in parallel with an axis about which the expandable support device collapses and/or multiple splines arranged in a pattern configured to promote transitioning of the expandable support device between an expanded and collapsed configuration. The guide assembly may be configured to provide torque to the expandable support device. The operative member can include multiple electrodes arranged in parallel to the axis about which the expandable support device collapses. | 11-27-2014 |
20140350565 | APPARATUS AND METHODS FOR DELIVERING DEVICES FOR REDUCING LEFT ATRIAL PRESSURE - A device for regulating blood pressure between a patient's left atrium and right atrium, and apparatus for delivery the device, are provided. The delivery apparatus may include one or more latching legs, a release ring, a pull chord, and a catheter wherein the latching legs are configured to engage the device for delivery. The inventive devices may reduce left atrial pressure and left ventricular end diastolic pressure, and may increase cardiac output, increase ejection fraction, relieve pulmonary congestion, and lower pulmonary artery pressure, among other benefits. The inventive devices may be used, for example, to treat subjects having heart failure, pulmonary congestion, or myocardial infarction, among other pathologies. | 11-27-2014 |
20140358156 | Delivery System Having a Single Handed Deployment Handle for a Retractable Outer Sheath - A delivery system for delivering a prosthesis, the delivery system including a housing, a sheath extending from within the housing, a clutching mechanism housed within the housing, and a cable. The clutching mechanism includes a one-way clutch that transmits a torque from an actuator to an inner shaft assembly when the actuator is rotated in a first direction and does not transmit a torque from the actuator to the inner shaft assembly when the actuator is rotated in a second opposing direction. The actuator is accessible from an exterior of the housing. The cable has a first end coupled to a proximal portion of the sheath and a second end coupled to the inner shaft assembly, and actuation of the actuator causes the actuator to rotate in the first direction, thereby causing the inner shaft assembly to wind up a portion of cable and retract the sheath. | 12-04-2014 |
20140364865 | PUSHER GUIDEWIRE - In a pusher guidewire, a front end coil has a free rear end that is not fixed to a first front end portion of a core shaft. By pulling the core shaft toward the rear end, the free rear end catches a gap of a partially-deployed stent. By rotating the core shaft in this state, a front end portion of the stent deployed from a front end opening of a catheter is wrapped around the outer circumference of the front end coil. Further pulling the core shaft toward the rear end with the wrapped stent retrieves the partially-deployed stent into the catheter, thereby preventing the stent from damaging the inner wall of a normal blood vessel. | 12-11-2014 |
20140371758 | DEVICE FOR REMOVING A VASCULAR OCCULSION - Provided is a device for removing vascular occlusions, including a first guide wire configured to be inserted into a blood vessel so as to be placed in correspondence with the vascular occlusion and having a head including a ferromagnetic material, an emitter configured to emit a magnetic field, a second guide wire configured to permit the emitter to be placed inside the blood vessel in correspondence with the vascular occlusion and on an opposite side with respect to the first guide wire so that the emitter exerts a restoring force on the first guide wire. | 12-18-2014 |
20150012006 | ANASTOMOSIS STAPLING/CLIPPING DEVICES, SYSTEMS AND METHODS - An apparatus for performing anastomosis procedures comprises of an end-effector to engage a lumen for attaching a tubular structure to said lumen to create a connective branch or an anastomosis. The apparatus includes a contractible and expandable member coupled to the end-effector to secure engagement of the end-effector with the lumen. A pair of wedge members operates to deploy a staple to attach the tubular structure to the lumen. The pair of wedge members operates in opposing directions to deploy the staple. | 01-08-2015 |
20150012007 | INTRODUCER-BASED BLEED DETECTION TECHNIQUE - An embodiment of a system is disclosed including an introducer usable to insert a catheter into a blood vessel of a patient. The introducer further includes a hollow sheath to receive the catheter when inserting the catheter into the blood vessel. In addition, the system includes a hollow sleeve to be disposed around the sheath. Further, the system includes a first electrode provided on the sleeve. Still further, the system includes a measuring device to be coupled to the first electrode and to a second electrode to be coupled to the first electrode through the patient's tissue. The measuring device is configured to detect a bleed in the patient's tissue by computing an impedance or a conduction velocity between the first electrode on the sleeve and the second electrode. | 01-08-2015 |
20150012008 | ENDOSCOPIC ULTRASOUND-GUIDED BILIARY ACCESS SYSTEM - The present disclosure provides an access system having a maneuverable catheter assembly configured for providing access to and navigating a desired vessel for subsequent treatment thereof. The access system includes an adjustable delivery handle assembly and an access catheter subassembly having a maneuverable access catheter configured to be delivered to desired site (e.g., within duodenum) to assist in treatment of a condition (e.g., drainage of a bile ducts via Endoscopic Ultrasound Guided Biliary Drainage (EUS-BD) techniques). The access catheter includes at least a distal section having an adjustable portion along a length thereof configured to transition to a pre-defined arcuate shape to provide directional control over the distal end of the catheter as it is navigated through a vessel (e.g., bile duct). The handle assembly includes additional elements configured to allow a clinician to maneuver and manipulate the distal end of the access catheter. | 01-08-2015 |
20150032117 | TUBE INSERTION DEVICE HAVING END EFFECTOR CAPABLE OF CHANGING DIRECTION - A tube insertion device which inserts a tube into a line path to perform an operation has an elongated hollow tube, an end effector connected to a front end of the tube such that the direction of the end effector is changed with respect to the tube, a plurality of wires connected to the end effector and extended into the tube and a tension controller controlling tensions of the plurality of wires. The tension controller controls tensions of a pair of wires facing each other in the opposite directions, in order to change the direction of the end effector. | 01-29-2015 |
20150032118 | INTRODUCER - An introducer is configured to distinguish an introducer provided with a sheath tube whose wall thickness is reduced, from an introducer provided with a sheath tube whose wall thickness is not reduced, and to recognize the relationship between the inner diameter and the outer diameter for the sheath tube in which the wall thickness is reduced. The introducer includes an introducer sheath and a three-way stopcock portion. The introducer further includes a first information piece on at least one of the introducer sheath and the three-way stopcock portion and has an inner diameter dimension of the sheath tube as an index. Furthermore, a second information piece having an outer diameter dimension of the sheath tube as an index is on at least one of the introducer sheath and the three-way stopcock portion. | 01-29-2015 |
20150045807 | ANCHOR SLEEVE DEPLOYMENT FOR IMPLANTABLE MEDICAL DEVICES - An introducer assembly that may be employed to implant a medical device includes an introducer shaft, and an anchor sleeve and a deployment tool mounted on the shaft. According to some methods, the sleeve is deployed onto an elongate body of the medical device, after the body has been advanced through a lumen of the introducer shaft and to an implant site within a body of a patient, by pulling the introducer shaft proximally, out from the body of the patient, while holding the deployment tool in place, relative to the advanced body of the device. | 02-12-2015 |
20150088150 | IMPLANTABLE UROLOGICAL DEVICE WITH IMPROVED RETRIEVAL FEATURE - A urological medical device having a retrieval string is provided. The retrieval string has a proximal end connected the device and an opposed distal end. In a first embodiment, the retrieval string is configured in an initial confined form which, following a period of deployment in a patient's bladder, changes to an unconfined form in which the distal end of the retrieval string is extendible into the urethra to enable extraction of the device from bladder by pulling the retrieval string. The device may include a bioerodible component which permits the retrieval string to take the unconfined form following degradation of the bioerodible component in vivo. In another embodiment, the retrieval string includes a ferromagnetic material, which can be magnetically captured to facilitate removal of the device from the bladder. The ferromagnetic retrieval string may be buoyant in urine. | 03-26-2015 |
20150088151 | ELONGATED MEMBER FOR MEDICAL USE AND CONNECTING MEMBER - An elongated member for medical use that is used to perform a procedure in a pulmonary airway. The elongated member demonstrates enhanced reachability within the pulmonary airway and is fabricated by connecting plural hollow members different from each other in lumen diameter, outer diameter and physical properties. This configuration advantageously eliminates the formation of a step or ridge that would impede the smooth movement or manipulation of a procedure instrument that is advanced or retreated within the lumen of the elongated member. | 03-26-2015 |
20150088152 | ELONGATED MEMBER FOR MEDICAL USE - An elongated member for medical use that is used to perform a procedure in a pulmonary airway. The elongated member suitable for a procedure in a pulmonary airway comprises plural members connected to each other that have different lumen diameters, outer diameters, and physical properties, and which further includes an operating member that has an elongated shape and is connected to at least part of the first member, and which manipulates the curving the first member through push/pull operation. | 03-26-2015 |
20150088153 | SLOTTED INTRODUCER NEEDLE AND METHOD FOR ACCESSING A BODY LUMEN - An introducer needle for accessing a body lumen includes an annular-shaped body having a distal end and a proximal end, a leading edge formed on the distal end, and a slot defined in the leading edge and extending proximally from the distal end. In at least one example, the slot can include a first edge and a second edge, the first edge and the second edge each extending proximally from the leading edge and being separated by a central angle greater than 90 degrees and less than 360 degrees. The first end and the second edge are in continuous communication with the leading edge. | 03-26-2015 |
20150094732 | Remote Catheter Positioning System with Hoop Drive Assembly - Systems, methods, and devices of the various embodiments provide a hoop drive assembly. A hoop drive assembly according to the various embodiments may include one or more toothed rings and one or more motors coupled to the one or more toothed rings. In the various embodiments, rotation of the one or more toothed rings may change an orientation of a turret supported by the hoop drive assembly and/or move a control actuator of a catheter held in a modular plate coupled to the turret. | 04-02-2015 |
20150127015 | ENDOVASCULAR ANEURYSM DEVICES, SYSTEMS, AND METHODS - Devices, systems, and methods for implanting prostheses in the body lumens rely on tacking or anchoring the prostheses with separately introduced fasteners. After initial placement, a fastener applier system is introduced within the expanded prostheses to deploy a plurality of fasteners to at least one prosthesis end. The fasteners are usually helical fasteners which are releasably restrained on the fastener driver, and are delivered by rotation of the fastener driver. The fasteners may be applied singly, typically in circumferentially spaced-apart patterns about the interior of at least one end of the prosthesis. A lumen extension or lumens may be coupled to the prosthesis to extend the reach of the prosthesis within the implantation site. Fasteners may also be applied to the lumen extensions. | 05-07-2015 |
20150133946 | INTRAOCULAR SHUNT INSERTER - An inserter for treating glaucoma can comprise a housing, a needle, a plunger, a slider component, and a drive component. The drive component is disposed within a cavity of the housing and rotatable within the cavity to result in movement along a longitudinal axis of the inserter to the needle and the plunger upon rotation of the drive component. The slider component is coupled to the housing and slidable along an elongate groove of the drive component such that movement of the slider component along the axis rotates the drive component within the housing. | 05-14-2015 |
20150290423 | CATHETERS AND CATHETER SHAFTS - A medical device may include an elongated shaft. The elongated shaft may further include a reinforcement member having a first portion and a second portion. The first portion may include a polymer having a first degree of crystallinity. The second portion may include a second degree of crystallinity different than the polymer of the first portion. | 10-15-2015 |
20150305900 | HAND-HELD ACTUATOR DEVICE - A hand-held actuator device for releasing into the body from a delivery system a medical prosthesis, like a stent, comprising a frame that acts as a housing, a reel for receiving a wire, a manually operable slider mounted to the frame and a one-way connection between the slider and the reel. Actuating the slider causes the reel to wind up the wire and release the medical prosthesis. | 10-29-2015 |
20150313739 | Stent Applicator - The invention relates to a delivery system for delivering a stent (S) into a body vessel of a patient, comprising a flexible catheter tube ( | 11-05-2015 |
20160001044 | PIEZOELECTRIC STEERING FOR CATHETERS AND PULL WIRES - A steerable body insertion device is provided that includes a bendable non-piezoelectric element configured to move within patient anatomy. The non-piezoelectric element extends an element length between a proximal end and a distal end and having an element center axis extending along the element length when the non-piezoelectric element is in a non-bent state. The insertion device also includes a first piezoelectric strand coupled to a surface of the non-piezoelectric element and extending a first strand length. The first piezoelectric strand has a first strand center axis extending substantially parallel to the element center axis along the first stand length. When a first voltage is applied to the first piezoelectric strand, the first piezoelectric strand is configured to contract and cause the non-piezoelectric element to bend away from the element center axis. | 01-07-2016 |
20160008084 | DEVICES, SYSTEMS, AND METHODS FOR TREATMENT OF VESSELS | 01-14-2016 |
20160015563 | SYSTEMS, METHODS, AND DEVICES FOR CANNULA INSERTION - A cannula insertion system configured to divide a cannula insertion process into a two-step process. The first step advances a needle portion a first distance and the second step advances the needle portion a second distance. The first step and the second step may be at different angles. At least one of the angles may be less than 90°. At least one of the steps may be mechanically assisted. | 01-21-2016 |
20160045222 | Automated Stereotactic Apparatus - The present invention presents an apparatus and methods to stereotactically guide and automatically insert an invasive tubular device to a tissue object of a living body. The apparatus comprises a stereotactic positioning assembly and a powered propulsion assembly that controllably drives an invasive tubular device in and out of a tissue object. The stereotactic positioning assembly encloses an ultrasound transducer to visualize and aim at the tissue object, and adjusts an insertion angle of the invasive tubular device coupled with the powered propulsion assembly. | 02-18-2016 |
20160051387 | PUSHER-ASSEMBLY FOR AN INSERTION SYSTEM FOR A SELF-EXPANDABLE VASCULAR IMPLANT - The invention relates to a pusher assembly for an insertion system for a vascular implant. The pusher assembly has a catheter tube. The catheter tube has a tubular cavity for accommodating a guide wire and has a proximal catheter tube segment and a distal catheter tube segment adjoining the proximal catheter tube segment. The distal catheter tube segment is provided at least partially for movably accommodating a vascular implant on the distal catheter tube segment. The catheter tube also has a pusher unit for releasing the vascular implant, said pusher unit being proximally adjacent to a vascular implant loaded onto catheter tube. The pusher assembly is characterized in that the pusher unit is formed by individual, segment-like elements, which are arranged on behind the other and adjacent to each other and are arranged on the catheter tube in order to proximally adjoin the vascular implant. | 02-25-2016 |
20160067454 | EXPANDABLE SHEATH ASSEMBLY AND METHOD OF USING SAME - An expandable sheath assembly includes a support body extending from a proximal end to a distal end. A guide rod is interconnected to the support body and extends between the ends along an axis. A dilator extends from the guide rod for insertion into a body vessel, and a hub is releasable connected to the distal end of the support body. A distal sheath overlays the dilator, and a hemostatic valve is slidably disposed along the axis. A proximal sheath extends from the hemostatic valve and is disposed in surrounding and coaxial relationship with the guide rod. The proximal sheath is concurrently slidable with the hemostatic valve along axis to advance the proximal sheath through the hub and interleave the proximal sheath between the dilator and the distal sheath for lifting the distal sheath from the dilator and effectuating an expansion of the body vessel. | 03-10-2016 |
20160067455 | INTRODUCER - An introducer is configured to distinguish an introducer provided with a sheath tube whose wall thickness is reduced, from an introducer provided with a sheath tube whose wall thickness is not reduced, and to recognize the relationship between the inner diameter and the outer diameter for the sheath tube in which the wall thickness is reduced. The introducer includes an introducer sheath and a three-way stopcock portion. The introducer further includes a first information piece on at least one of the introducer sheath and the three-way stopcock portion and has an inner diameter dimension of the sheath tube as an index. Furthermore, a second information piece having an outer diameter dimension of the sheath tube as an index is on at least one of the introducer sheath and the three-way stopcock portion. | 03-10-2016 |
20160074067 | EXPANDABLE INTRODUCER SHEATH - An expandable introducer sheath for use in inserting a medical device into a body vessel of a patient includes a body which extends from a proximal end to a distal end along an axis. The body includes an inner layer, an outer layer, and an expandable reinforcement member which is disposed between said inner and outer layers. The expandable reinforcement member is configured to radially expand as the medical device is axially advanced or retracted through said introducer sheath. Once the medical device has exited the introducer sheath, the expandable reinforcement member facilitates a return of the introducer sheath to its original or unexpanded condition. | 03-17-2016 |
20160100894 | System And Method For Intracranial Access And Monitoring - A system and method for intracranial access is disclosed. In particular, a drill stop is shown providing a way to control the penetration of a drill bit as an access hole into the brain is being formed. Access to a desired location is achieved using a catheter guide device. Also disclosed is a mechanism by which multiple diagnostic and treatment devices can be placed at a desired location in brain tissue without the need for more than one access hole. A drainage catheter is disclosed with a mechanism to allow both drainage and to allow intracranial pressure measurement. | 04-14-2016 |
20160106405 | TRANSITIONAL GEOMETRY FOR AN EXPANDABLE MEDICAL DEVICE - A medical instrument is provided including a device having an expandable portion and a transitional portion. The transitional portion has a spiral cut on the outer surface, and is aligned with the distal portion of a catheter. The transitional portion may be secured to the catheter by a sleeve which is coupled to both the catheter and the transitional portion. Alternatively, the portion of the transitional portion having the spiral cut may be embedded within the catheter. | 04-21-2016 |
20160106562 | EXPANDING SHEATH TIP - A medical instrument is provided including, an expandable tip which is embedded within a sheath. The expandable tip comprises a plurality of fingers which extend distally from the embedded portion. The plurality of fingers are heat set in a first position so that the distal ends of the fingers define a distal opening, where the distal opening has a smaller diameter than the embedded portion of the expandable tip. The plurality of fingers is reversibly expandable to a second position, creating a larger distal opening to deploy an expandable accessory. | 04-21-2016 |
20160106563 | A METHOD OF RETRIEVING A RETRIEVABLE DEVICE AND AN ASSEMBLY OF THE RETRIEVABLE DEVICE AND A RETRIEVING ELEMENT - An assembly of a retrieving element and a retrievable device of which one is a helical spring having an outer part of a winding which extends away from a main portion of the spring and thus is able to engage a thread of the other of the retrieving element and a retrievable device. The other of the retrieving element and a retrievable device may have an outer or an inner thread. The assembly may be used for retrieving devices temporarily positioned in a blood vessel of a person. | 04-21-2016 |
20160128855 | METHODS AND SYSTEMS FOR BYPASSING OCCLUSIONS IN A FEMORAL ARTERY - A system for deploying a stent-graft from the femoral artery into the femoral vein and back into the femoral artery in order to bypass a femoral occlusion comprises a penetration catheter and a guidewire capture and stabilization catheter. The penetration catheter may be advanced contralaterally to a location above the occlusion and the capture and stabilization catheter may be introduced upwardly through the femoral vein. The penetration tool on the penetration catheter is used in multiple steps to deploy guidewires which are then used to deploy the stent-graft in the desired location. | 05-12-2016 |
20160135972 | DEPLOYMENT HANDLE FOR A PROSTHESIS DELIVERY DEVICE - The present invention relates to a deployment handle for a prosthesis delivery device and to a delivery device including such a handle. The handle assembly facilitates the controlled release of a prosthesis from the delivery device, while ensuring that various deployment steps are performed in a particular sequential order. The handle assembly comprises a main handle and a second handle which is rotatably and/or longitudinally moveable relative to the main handle. The second handle has an initial position on the main handle such that it prevents access to, and premature manipulation of, a proximal stent release mechanism, until the stent graft has been at least partially unsheathed. | 05-19-2016 |
20160135994 | INTRAOCULAR SHUNT DELIVERY - An intraocular shunt deployment device can release an intraocular shunt into an eye using a deployment mechanism that coordinates action between a pusher component, a shaft component, and a housing of the device. The deployment mechanism causes axial movement of the components in response to a rotational input force. | 05-19-2016 |
20160158044 | Systems And Methods For Treating A Carotid Artery - Systems and methods are adapted for treating the carotid artery. The systems include interventional catheters and blood vessel access devices that are adapted for transcervical insertion into the carotid artery. Embodiments of the systems and methods can be used in combination with embolic protection systems including blood flow reversal mechanisms, arterial filters, and arterial occlusion devices. | 06-09-2016 |
20160158049 | DELIVERY SYSTEM FOR A SELF EXPANDING STENT - A system for delivering a stent from a catheter sheath in a longitudinal direction comprising: a thumbwheel mounted on an axle, the axle being supported by opposite walls of a housing; a first pinion mounted on the axle; a second pinion mounted on the axle, whereby rotation of the thumbwheel causes rotation of the first pinion and rotation of the second pinion; a first rack, enageable with the first pinion at a first surface of the first pinion, the first rack being operably connected with a stent-engaging member; a second rack, engageable with the second pinion at a second surface of the second pinion, the second surface being disposed in a direction diametrically opposite the first surface, the second rack being operably connected with a sheath configured to confine the stent. | 06-09-2016 |
20160166279 | APPARATUS AND METHODS FOR TISSUE ANCHORING OF MEDICAL DEVICES | 06-16-2016 |
20160166383 | SET COMPRISING AN APPARATUS AND A MEDICAL IMPLANT | 06-16-2016 |
20160184122 | PROSTHESIS DELIVERY SYSTEMS HAVING AN ATRAUMATIC TIP FOR USE WITH TRIGGER WIRES - The present embodiments provide delivery systems. In one embodiment, the delivery system comprises a cannula having proximal and distal regions and a lumen extending therebetween. An atraumatic tip is coupled to the proximal region of the cannula. A proximal region of a housing component is disposed at least partially within a cavity of the atraumatic tip and secured to the atraumatic tip, and a distal region of the housing component extends at least partially distally beyond the atraumatic tip. A proximal region of a trigger wire is housed within the distal region of the housing component in a delivery state. | 06-30-2016 |
20160184123 | STENT DELIVERY SYSTEM - An stent delivery system may include a delivery device and a tubular body having a lumen sized to slidably fit about an outer diameter of the delivery device and a drainage stent having an anchoring mechanism, wherein the delivery device includes a constraining member configured to engage an external portion of the tubular body at the proximal end of the delivery device. A method of delivering a stent may include inserting a tubular body into the port of an endoscope, inserting a stent delivery device and a stent having an anchoring mechanism into the tubular body, wherein the delivery device includes a constraining member configured to engage and retain the tubular body at the proximal end of the delivery device, advancing the drainage stent distally through the tubular body, sliding the tubular body proximally, and engaging an external portion of the tubular body with the constraining member. | 06-30-2016 |
20160374841 | Inflatable Structure With Braided Layer - A balloon for medical treatments such as percutaneous transluminal coronary angioplasty (PTCA), delivery of a vascular stents or stent grafts, employs reinforcement materials that are patterned so as to promote consistent folding of the balloon. Also disclosed are methods and apparatus for biocidal treatment using a balloon, including balloons with fiber fabric reinforcements. | 12-29-2016 |
20160374842 | PROSTHESIS DELIVERY DEVICE - A prosthesis delivery device comprises a proximal end and a distal end, a prosthesis retention section at the proximal end, and a prosthesis retained on the prosthesis retention section. The prosthesis has a proximal end releasably attached at the prosthesis retention section and a distal end releasably attached at the prosthesis retention section. A sheath is slidably disposed over the prosthesis. A delivery handle near the distal end the delivery device comprises a rotatable inner cannula having a cannula lumen and cannula handle. The cannula handle is rotatable with the inner cannula. Further, a positioner handle is releasably engaged with the cannula handle. Rotation of the inner cannula releases the proximal end of the prosthesis from the delivery device and withdrawal of the sheath from over the prosthesis releases the distal end of the prosthesis from the delivery device. | 12-29-2016 |
20170231744 | APPARATUS FOR PERFORMING A MEDICAL PROCEDURE IN THE CIRCULATORY SYSTEM | 08-17-2017 |
20180021545 | Guidewire Advancing Device and Method | 01-25-2018 |
20190142537 | CATHETER TENSION SENSING | 05-16-2019 |
20220133351 | SURGICAL ACCESS DEVICE WITH FIXATION MECHANISM AND ILLUMINATION MECHANISM - A surgical access device includes a cannula body, a fixation mechanism, and an illumination mechanism. The fixation mechanism includes a collar, a sleeve, an expandable member, and a distal ring. The illumination mechanism includes at least one light disposed on the expandable member, and a switch. Distal translation of the collar relative to an elongated portion of the cannula body causes the expandable member to move from a first position defining a first gap between a mid-portion of the expandable member and the elongated portion of the cannula body, to a second position defining a second gap between the mid-portion of the expandable member and the elongated portion of the cannula body, the second gap being greater than the first gap. | 05-05-2022 |