Having Tensioning Means To Alter Conduit Shape Patents (Class 604/95.04)
  • Patent number: 11110251
    Abstract: Disclosed herein are steerable catheter assemblies and methods of steering catheters that utilize driver and follower mechanisms to accomplish independent control of catheter flex magnitude and catheter flex direction. Some embodiments include a catheter with a first pull wire and a second pull wire that flex the catheter, a control handle coupled to the catheter, a first follower connected to the first pull wire, a second follower connected to the second pull wire, and a driver disposed in the control handle and coupled to the first and second followers. The rotation of the driver coupled to the control handle moves the first and second followers in opposite directions, and axial movement of the driver moves the first and second followers in the same direction.
    Type: Grant
    Filed: November 15, 2017
    Date of Patent: September 7, 2021
    Assignee: Edwards Lifesciences Corporation
    Inventors: Bao Khuu, Matthew T. Winston, Asher L. Metchik, Eric Robert Dixon
  • Patent number: 11103304
    Abstract: An irrigated electrophysiology catheter has a tip electrode having a shell, and a support member configured to plug the shell and support one or more tip components and/or facilitate their functions. Advantageously, the support member has an electrically-conductive interface portion and an insert-molded portion, wherein the interface portion, typically constructed of a precious metal alloy, is structurally minimized, yet still configured for electrical connection with the shell and the lead wire, so as to reduce the amount and hence the cost of its manufacture, whereas the insert-molded portion is constructed of a significantly less-costly material and is readily configured with micro-complex 3-D geometry adapted to support tip structure and functions including irrigation, force sensing and temperature sensing, as a further cost savings in the manufacturing of the tip electrode by reducing materials, labor and time.
    Type: Grant
    Filed: June 13, 2017
    Date of Patent: August 31, 2021
    Assignee: BIOSENSE WEBSTER (ISRAEL) LTD.
    Inventor: Jeffrey William Schultz
  • Patent number: 11083362
    Abstract: The aim of the invention is to move a medical instrument (2) by means of a medical device (1) in the longitudinal direction of the device and in the rotation direction transversely about the longitudinal direction by an actuating apparatus (3).
    Type: Grant
    Filed: November 14, 2018
    Date of Patent: August 10, 2021
    Assignee: UROMED Kurt Drews KG
    Inventor: Werner Schwarz
  • Patent number: 11045628
    Abstract: A medical probe includes a shaft, an expandable membrane and a probe maneuvering assembly (PMA). The shaft is configured for insertion into a cavity of an organ of a patient. The PMA is located inside the expandable membrane and includes a first elastic element, which is fitted along a longitudinal axis of the PMA and is configured to expand the membrane by shortening the PMA, and to collapse the membrane by elongating the PMA. The PMA further includes a second elastic element, which surrounds at least a portion of the first elastic element and is configured to deflect the membrane relative to the longitudinal axis.
    Type: Grant
    Filed: December 11, 2018
    Date of Patent: June 29, 2021
    Assignee: BIOSENSE WEBSTER (ISRAEL) LTD.
    Inventors: Christopher Thomas Beeckler, Joseph Thomas Keyes, Kevin Justin Herrera, Alexander David Squires, Kevin Mark Okarski
  • Patent number: 11027093
    Abstract: The present disclosure provides a catheter system and methods for use that includes (a) a first catheter having a first end and a second end, where the first catheter has a first diameter, (b) a second catheter having a first end and a second end, where the second catheter has a second diameter that is less than the first diameter of the first catheter, and where the second catheter is positioned at least partially within a lumen of the first catheter and is moveable relative to the first catheter, and (c) a wire having a first end and a second end, where the first end of the wire is coupled to the second catheter.
    Type: Grant
    Filed: December 8, 2017
    Date of Patent: June 8, 2021
    Assignee: Sanford Health
    Inventors: Thomas Haldis, Alexander Drofa
  • Patent number: 10898262
    Abstract: A catheter includes an insertion tube, a flexible substrate and one or more electrical devices. The insertion tube is configured for insertion into a patient body. The flexible substrate is configured to wrap around a distal end of the insertion tube and includes electrical interconnections. The electrical devices are coupled to the flexible substrate and are connected to the electrical interconnections.
    Type: Grant
    Filed: October 25, 2016
    Date of Patent: January 26, 2021
    Assignee: Biosense Webster (Israel) Ltd.
    Inventors: Assaf Govari, Andres Claudio Altmann, Yehuda Algawi, Ilya Sitnitsky, Christopher Thomas Beeckler, Joseph Thomas Keyes, Kevin Justin Herrera
  • Patent number: 10874824
    Abstract: A method for producing a distal-end assembly of a medical device, the method includes disposing a first layer on at least part of a given section among one or more sections of a flexible substrate. At one or more selected locations on the given section, which are to serve as electrodes on the distal-end assembly of the medical device, a second layer is disposed so that, when brought into contact with tissue, the second layer has a reduced impedance for transferring electrical signals to or from the tissue at a predefined frequency range, relative to the first layer. The given section is shaped to form the distal-end assembly.
    Type: Grant
    Filed: October 18, 2017
    Date of Patent: December 29, 2020
    Assignee: Biosense Webster (Israel) Ltd.
    Inventors: Christopher Thomas Beeckler, Joseph Thomas Keyes
  • Patent number: 10874831
    Abstract: A steerable guide sheath system adapted for delivery into a patient's vasculature. The pull wire which is used to tension the deflectable portion of the sheath is wrapped or twisted around the axis of the sheath.
    Type: Grant
    Filed: October 6, 2015
    Date of Patent: December 29, 2020
    Assignee: BIOCARDIA, INC.
    Inventors: Daniel C. Rosenman, Daniel Kayser, Peter A. Altman
  • Patent number: 10813539
    Abstract: A surgical robotic system automatically calibrates tubular and flexible surgical tools such as endoscopes. By compensating for unideal behavior of a surgical instrument, the surgical robotic system can accurately model motions of the surgical instrument and navigate the surgical instrument while performing a surgical procedure on a patient. During calibration, the surgical robotic system moves the surgical instrument to a target position and receives data describing an actual position and/or orientation of the surgical instrument. The surgical robotic system determines gain values based at least on the discrepancy between the target position and the actual position. The surgical instrument can include tubular components referred to as a sheath and leader. An instrument device manipulator of the surgical robotic system actuates pull wires coupled to the sheath and/or the leader, which causes the surgical instrument to articulate.
    Type: Grant
    Filed: March 29, 2018
    Date of Patent: October 27, 2020
    Assignee: Auris Health, Inc.
    Inventors: Chauncey F. Graetzel, Ritwik Ummalaneni
  • Patent number: 10813780
    Abstract: Systems, devices, and methods for retracting a pull wire from a hypotube can include positioning a pull wire having an engagement bump on its proximal end within a channel of a device and sliding the pull wire proximally through a channel of a device by moving grippers of the device proximally to engage and slide the bump. Subsequent distal movement of the grippers can result in the grippers disengaging the bump without disturbing the position of the pull wire or causing the pull wire to move distally.
    Type: Grant
    Filed: August 8, 2018
    Date of Patent: October 27, 2020
    Assignee: DePuy Synthes Products, Inc.
    Inventors: Daniel Solaun, David Blumenstyk
  • Patent number: 10792464
    Abstract: An embodiment of the present invention provides for an elongated medical device with a hypotube backbone running through the device, and a spiral lumen spiraled around the backbone along the length of the backbone. The backbone may be formed from a nitinol alloy for increased bendability without compromising axial stiffness. The device may also incorporate a jacket around the hypotube and spiral lumen formed using either melting, molding, bonding, or casting. The spiral lumen may be configured to accommodate a variety of uses, including actuation members (e.g., pull wires), tools, and means for aspiration, irrigation, image capture, and illumination. Additionally, the present invention provides a method for constructing an elongated medical device with a hypotube backbone running through the device, and a spiral lumen spiraled around the backbone along the length of the backbone.
    Type: Grant
    Filed: December 24, 2014
    Date of Patent: October 6, 2020
    Assignee: Auris Health, Inc.
    Inventors: Enrique Romo, Leo Centeno
  • Patent number: 10786320
    Abstract: A surgical tool includes a drive housing having an input shaft arranged therein for rotation, an elongate shaft that extends from the drive housing, and an end effector operatively coupled to a distal end of the elongate shaft. A cable band is coupled to the input shaft and operatively couples the input shaft to a drive cable that extends to the end effector. Rotation of the input drive correspondingly moves the cable band and thereby controls longitudinal movement of the drive cable to articulate the end effector.
    Type: Grant
    Filed: October 26, 2017
    Date of Patent: September 29, 2020
    Assignee: Ethicon LLC
    Inventors: Eric Adams, John Evans
  • Patent number: 10773053
    Abstract: A method of manufacturing a flexible catheter with a locatable sensor includes simultaneously rotating first and second spools about a common axis, whereby first and second leads of a wire twist together to form a twisted pair of the wire, and rotating a catheter body about a longitudinal axis defined by the catheter body, whereby the twisted pair of the wire wraps about a proximal end portion of the catheter body.
    Type: Grant
    Filed: January 24, 2018
    Date of Patent: September 15, 2020
    Assignee: COVIDIEN LP
    Inventors: Daniel A. Ranum, Brian T. Stolz, Nathan J. Knutson, David M. Costello
  • Patent number: 10758709
    Abstract: Aspects of articulating devices and methods are disclosed. An exemplary articulating device may comprise an interior core with a reinforcing extending along a central axis, an exterior layer bonded to the interior core by an interface, and a lumen extending through the exterior layer, exterior of the reinforcing element, and parallel to the central axis. A steering wire may be moveable in the lumen to articulate a distal end of the device relative to the central axis in response to a force applied to the steering wire. Related methods of manufacturing an articulating device are also described.
    Type: Grant
    Filed: May 25, 2017
    Date of Patent: September 1, 2020
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: Andrew Calabrese, Brian Gaffney, Gene Storbeck, Mark Wood
  • Patent number: 10737092
    Abstract: Delivery devices, systems, and methods for delivering implantable leadless pacing devices are disclosed. An example method for delivering the implantable leadless pacing device may include distally advancing an intermediate tubular member of a delivery system across the tricuspid valve and into the right ventricle. An outer tubular member of the delivery device may be torqued in a first direction to guide a distal holding section along the ventricular septum. The distal tip of the distal holding section may be releaseably secured to a tissue. After securing the distal tip of the distal holding section, the outer tubular member may be torqued in a second direction opposite to the first direction and the implantable leadless pacing device incrementally deployed.
    Type: Grant
    Filed: March 29, 2018
    Date of Patent: August 11, 2020
    Assignee: CARDIAC PACEMAKERS, INC.
    Inventors: Allan Charles Shuros, Brian Soltis
  • Patent number: 10722694
    Abstract: An angioplasty catheter has a catheter body having a balloon or other radially expandable shell at its distal end. A non-axial external structure is carried over the shell and scores a stenosed region in a blood vessel when the balloon is inflated therein. The catheter has an attachment structure disposed between the catheter body and the balloon to accommodate foreshortening and rotation of the external structure as the balloon is expanded. The external structure may be part of a helical cage structure which floats over the balloon.
    Type: Grant
    Filed: March 28, 2018
    Date of Patent: July 28, 2020
    Assignee: ANGIOSCORE, INC.
    Inventors: Eitan Konstantino, Tanhum Feld, Nimrod Tzori
  • Patent number: 10682501
    Abstract: A system for traversing an arterial occlusion in an artery includes a housing sized to fit in a palm of a user, an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage, a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube, and wherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation.
    Type: Grant
    Filed: December 2, 2016
    Date of Patent: June 16, 2020
    Assignee: Vesatek, LLC
    Inventors: Aaron Rollins, Tor Alden, Russell Roy Lyon
  • Patent number: 10675443
    Abstract: The present disclosure provides a medical device comprising an actuator restraining assembly configured to assist in restraining a catheter shaft in a deflected configuration. The actuator restraining assembly may include a brake element, a release element, a connecting sheath, and a connecting rod disposed in a catheter handle, wherein the connecting sheath and connecting rod are attached to an actuator mechanism, and wherein the at brake element is attached to the connecting sheath and the release element is attached to the connecting rod. The brake element is sized and configured to contact an inner wall of the handle to thereby provide resistance to movement of actuator mechanism in a proximal direction with respect to the handle. In one embodiment, the actuator restraining assembly is configured to allow for temporary, i.e., reversible, restraining of the catheter shaft in the deflected configuration.
    Type: Grant
    Filed: March 6, 2017
    Date of Patent: June 9, 2020
    Assignee: ST. JUDE MEDICAL, CARDIOLOGY DIVISION, INC.
    Inventors: Brett Hillukka, Evan Michael Leingang, Richard A. Thompson, II
  • Patent number: 10653862
    Abstract: A delivery apparatus includes a steerable shaft having a proximal portion, a distal portion, and a pull-wire conduit that extends through the proximal and distal portions. A pull wire extends through the conduit and has a distal portion that is fixed to the shaft. An adjustment mechanism is connected to the proximal end portion of the pull wire and configured to increase and decrease tension in the pull wire to adjust the curvature of the shaft. The distal portion of the shaft has a steerable portion including one or more layers. A compression-resistance portion is incorporated into a layer of the steerable portion, and extends angularly along a portion of a cross-section of the layer. The layer of the steerable portion into which the compression-resistance portion is incorporated has a first hardness, and the compression-resistance portion has a second hardness that is greater than the first hardness.
    Type: Grant
    Filed: October 27, 2017
    Date of Patent: May 19, 2020
    Assignee: Edwards Lifesciences Corporation
    Inventors: Matthew T. Winston, Christopher J. Olson, Asher L. Metchik, Tri D. Tran, Alexander J. Siegel
  • Patent number: 10646692
    Abstract: A deflectable catheter shaft section is disclosed comprising an elongated body extending along a longitudinal axis and comprising a distal end and a proximal end; and a plurality of lumens extending along the longitudinal axis of the elongated body, wherein at least one of the lumens is abutting at least another one of the lumens. A catheter comprising the deflectable catheter shaft section and a method of manufacturing the deflectable catheter shaft section are also disclosed. A catheter incorporating a deflectable catheter shaft section can further comprise first and second compression coils disposed over pull wires located within the catheter, wherein the compression coils are unattached to the catheter or components thereof, but can be constrained by a shaft coupler at a distal end of each of the compression coils and by at least a portion of a handle assembly at a proximal end of each of the compression coils.
    Type: Grant
    Filed: February 2, 2018
    Date of Patent: May 12, 2020
    Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc.
    Inventors: Troy T. Tegg, Salome A. Gonzalez
  • Patent number: 10646701
    Abstract: A system for manipulating a guide catheter within a patient's nasal passages or sinus cavities includes a guide catheter formed from an elongate flexible member having a lumen passing there through. A wire guide is slidably disposed within the lumen of the guide catheter. The system further includes a steering member fixedly secured to a proximal end of the wire guide and a proximal hub secured to a proximal end of the guide catheter. The system further includes a recessed handle having a first recess for fixedly receiving the proximal hub of the guide catheter and a second recess for receiving the steering member, the second recess being dimensioned to permit axial and rotational movement of the steering member while disposed in the second recess.
    Type: Grant
    Filed: September 11, 2017
    Date of Patent: May 12, 2020
    Assignee: Entellus Medical, Inc.
    Inventors: Thomas V. Ressemann, Peter T. Keith, Theodore O. Truitt
  • Patent number: 10625044
    Abstract: A catheter assembly includes an inner liner made of flexible material and an outer layer having a steering mechanism. A catheter assembly is provided that includes an inner liner made of flexible material, and an outer layer having a steering mechanism that includes at least one wire and a corresponding lumen for each of the at least one wire through which the respective wire may travel. The outer layer includes a braided wire assembly that includes at least two wires braided into a wire mesh, and further includes a see-through portion positioned proximate a pull wire extraction location to facilitate extraction.
    Type: Grant
    Filed: February 17, 2017
    Date of Patent: April 21, 2020
    Assignee: St. Jude Medical, Atrial Fibrilation Division, Inc.
    Inventors: Jennifer Marie Heisel, Gregory James Dakin, Somally Mom
  • Patent number: 10576273
    Abstract: A catheter having an elongate body, at least two elongate stimulation members extending from the elongate body, at least one electrode on each of the elongate stimulation members, where the electrodes form an electrode array that receives and conducts electrical current. The elongate stimulation members curve only in the first volume defined at least in part by a first plane, and a second volume defined at least in part by the first plane and being opposite the first volume can contain no electrodes. The catheter can further include a position gauge having a marking that indicates a length between a second end of the elongate body and a bumper end of the position gauge. The catheter can also include a pulmonary artery catheter having a lumen, where the catheter extends through the lumen of the pulmonary artery catheter.
    Type: Grant
    Filed: November 21, 2016
    Date of Patent: March 3, 2020
    Assignee: Cardionomic, Inc.
    Inventors: Steven D. Goedeke, Steven L. Waldhauser, Charles L. Euteneuer
  • Patent number: 10576243
    Abstract: This invention is directed to a medical device having a longitudinal axis, and including a handle and a catheter. The handle can include a body having a proximal end and a distal end, an actuator moveably coupled to the body, and a handle control member coupled to the actuator, wherein the actuator can be configured to move relative to the body to move the handle control member. The catheter can include a shaft having a proximal end and a distal end, wherein the proximal end of the shaft and the distal end of the body can be configured for releasable coupling. The catheter can also include a steering section located along the shaft and a catheter control member coupled to the steering section, wherein the catheter control member can be configured to move relative to the shaft to move the steering section relative to the longitudinal axis.
    Type: Grant
    Filed: July 26, 2017
    Date of Patent: March 3, 2020
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: Naroun Suon, Dan Bacon, Ra Nam, Paul Smith, John Golden, Barry Weitzner, Gary Kappel
  • Patent number: 10569053
    Abstract: An improved bi-directional steerable catheter is provided. The catheter generally comprises a catheter body, tip section and control handle. The catheter further comprises first and second puller wires extending from the control handle, through the catheter body and into the tip section. The control handle has deflection means for each puller wire that include a gear, and a carrier to which the proximal end of a puller wire is anchored. The gear is rotatably coupled to a lever controlled by an operator and the gear engages the carrier such that rotation of the gear by the lever results in longitudinal movement of the carrier, which results in deflection of the tip section.
    Type: Grant
    Filed: November 29, 2017
    Date of Patent: February 25, 2020
    Assignee: BIOSENSE WEBSTER, INC.
    Inventor: Pablo A. Gonzalez
  • Patent number: 10518095
    Abstract: Disclosed herein is a medical tool adapted to engage and disengage with leadless pacemakers to allow for the repeated use of the tool in delivering and implanting multiple leadless pacemakers into a patient heart in a serial or repeated manner. The tool includes a handle, an attachment mechanism, a torque portion, and a rotation limiter. The handle includes a housing. The attachment mechanism is operably coupled to the housing and configured to actuate between a released state and an engaged state. The torque portion is operably coupled to the housing and rotatable relative to the housing to transition the attachment mechanism between the released and engaged states. The torque portion includes a shaft. The rotation limiter is in sliding engagement with the shaft between a first stop and a second stop. The rotation limiter includes a first helical thread. The tool also includes a second helical thread in threaded engagement with the first helical thread and operably coupled to the housing.
    Type: Grant
    Filed: September 12, 2016
    Date of Patent: December 31, 2019
    Assignee: PACESETTER, INC.
    Inventors: Friedrich Ho, Thomas B. Eby, Keith Phillip Laby
  • Patent number: 10463439
    Abstract: A steerable catheter system may include a flexible elongate catheter body, a drive mechanism at the proximal end of the catheter body, and at least one group of pullwires extending along a length of the catheter body. The catheter body may include a distal articulating section and a proximal non-articulating section. Each group of pullwires includes at least two pullwires, and each of the pullwires is anchored at a first end to the distal end of the catheter body and at a second end to the drive mechanism. The pullwires of each group are positioned close to one another in the catheter wall to concentrate the forces and cause deflection along the articulating section of the catheter body and diverge away from one another to reach a more separated distribution around a circumference of the catheter body to distribute the forces and prevent deflection along the non-articulating section.
    Type: Grant
    Filed: August 26, 2016
    Date of Patent: November 5, 2019
    Assignee: Auris Health, Inc.
    Inventors: Miles Joseph, Francis MacNamara
  • Patent number: 10456161
    Abstract: A tissue removing catheter includes an apposition mechanism that selectively imparts an axially compressive load on the catheter body to bend the catheter and urge a tissue-removing element toward a blood vessel wall. The apposition mechanism can include one or more adjustment lines and an adjustment mechanism for selectively tensioning one of the adjustment lines to impart the compressive load on the catheter body. Two adjustment lines can have diametrically opposed positions and be wound onto a spool of the adjustment mechanism in opposite directions so that rotation of the spool simultaneously shortens one adjustment line and lengthens the other. The catheter body can have a more flexible bending segment adjacent the tissue-removing element to promote bending near the tissue-removing element operative to urge the tissue-removing element in apposition with the blood vessel.
    Type: Grant
    Filed: April 14, 2016
    Date of Patent: October 29, 2019
    Assignee: Covidien LP
    Inventor: Bradley Steele
  • Patent number: 10456565
    Abstract: A drainage catheter system includes an elongate tube with proximal and distal ends and a filament extending the tube that is adjustable to create a closed loop at the distal end of the tube when the filament is retracted relative to the tube. The filament is coupled to the tube such that the filament and tube are prevented from being separated in the event that the tube and filament are cut at the proximal end at the conclusion of a drainage procedure. The filament can be attached to the tube near the distal end. The filament can be attached to the tube along its length. The catheter system can also include a retraction mechanism having a first fixed position and second fixed position, where the second fixed position retracts the filament proximally relative to the first fixed position by actuating a plunger.
    Type: Grant
    Filed: January 6, 2016
    Date of Patent: October 29, 2019
    Assignee: Cook Medical Technologies LLC
    Inventors: Joanna Lynn Rosenbaum, Andrea Christine Lawrence Mydosh
  • Patent number: 10376315
    Abstract: A steerable laser probe may include a handle, and inner bore of the handle, an actuation lever of the handle, a housing tube, and an optic fiber disposed within the inner bore of the handle and the housing tube. The housing tube may have a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffness may be greater than the first stiffness.
    Type: Grant
    Filed: August 31, 2017
    Date of Patent: August 13, 2019
    Assignee: Katalyst Surgical, LLC
    Inventors: Gregg D Scheller, Matthew N Zeid, Craig Moore
  • Patent number: 10349997
    Abstract: A cryogenic treatment system has a housing that includes a dispensing nozzle operably connected with a CO2 dispensing conduit that includes a valve for controlling the flow of CO2 therethrough. A connector fitting is adapted for operably connecting the CO2 dispensing conduit with the separate CO2 source, which is not mounted on the housing. A temperature sensor is operably mounted for monitoring the temperature of a treated area of the patient, and an accelerometer is operably mounted for monitoring movement of the housing. A computer controller is operably connected with the temperature sensor and the accelerometer for controlling the valve responsive to the temperature sensor and the accelerometer.
    Type: Grant
    Filed: November 27, 2017
    Date of Patent: July 16, 2019
    Inventor: Lewis O'Reilly
  • Patent number: 10328238
    Abstract: In a catheter system and method for controlling such a system, an elongate hollow shaft has a proximal end connected to a handle and a distal end remote from the handle. A working component is carried by the shaft and has at least one characteristic that is adjustable. An actuator is rotatably mounted on the handle for selectively adjusting at least one characteristic of the working component. A control line extends at least in part within the shaft. The control line operatively couples the actuator with the working component such that rotation of the actuator relative to the handle effects linear translation of the control line to adjust the at least one characteristic of the working component.
    Type: Grant
    Filed: March 7, 2014
    Date of Patent: June 25, 2019
    Assignee: St. Jude Medical, Cardiology Division, Inc.
    Inventors: Russell D. Terwey, James Paul Goodman, Kevin Gin Park
  • Patent number: 10299924
    Abstract: A method for delivering an implant including, a catheter having a shaft defined by a proximal end and a distal end and a bore extending therethrough; a first joint in the shaft, and a second joint in the shaft located distal of the first joint. The first joint and the second joint are separated by a first digit sized to receive the implant and located between the first joint and the second joint. The second joint and the distal end are separated by a second digit being sized to receive the implant. The implant is advanced through the first digit and into the second digit without bending the implant or the first and second digits by rotating the digits at the first joint and the second joint.
    Type: Grant
    Filed: February 10, 2016
    Date of Patent: May 28, 2019
    Assignee: ABBOTT CARDIOVASCULAR SYSTEMS INC.
    Inventor: Koji J. Kizuka
  • Patent number: 10278852
    Abstract: A steerable catheter includes a tubular sheath having a longitudinally-extending lumen formed within a wall thereof and a steering mechanism disposed within the longitudinally-extending lumen. The steering mechanism includes a pull tube and a pull wire. At least a segment of the pull wire is coaxially disposed within the pull tube. The pull tube has a distal end attached at a first anchor point to the tubular sheath, and the pull wire has a distal end attached at a second anchor point to the tubular sheath. The second anchor point is distal of the first anchor point. The pull tube and the pull wire are separately tensioned to bend respective regions of the tubular sheath.
    Type: Grant
    Filed: March 10, 2016
    Date of Patent: May 7, 2019
    Assignee: MEDTRONIC VASCULAR, INC.
    Inventor: Patrick Griffin
  • Patent number: 10279147
    Abstract: Articulation devices, such as comprising pull rings, are provided having improved or increased visibility under conventional visualization techniques, such as fluoroscopy. Such improved visibility is achieved by the presence of at least one insert comprised of a material that is more visible or detectable under imaging techniques than the pull ring. The at least one insert is positionable within a cut-out in the articulation device and fixed into place by a suitable method such as adhesive, soldering, swaging, welding, laser welding, etc. The insert resides within the dimensions of the walls of the pull ring so as to not increase the outer diameter or decrease the inner diameter of the pull ring. This maintains the profile of the overall articulation device.
    Type: Grant
    Filed: June 2, 2017
    Date of Patent: May 7, 2019
    Assignee: Centerline Medical, LLC
    Inventors: Marcos T. Contreras, Ronald G. Williams
  • Patent number: 10159527
    Abstract: A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device having non-metallic properties and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the soft state. Power is removed from the temperature-changing device to alter the non-metallic properties of the stiffness device and directly result in a change of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.
    Type: Grant
    Filed: February 26, 2016
    Date of Patent: December 25, 2018
    Assignee: Syntheon, LLC
    Inventors: Kevin W. Smith, Matthew A. Palmer, M. Sean McBrayer, Thomas O. Bales, Jr., Derek Dee Deville, Joe Abelleira
  • Patent number: 10130242
    Abstract: A steerable medical device is used to controllably introduce a guidewire or other medical instrument into a body of a patient and direct placement of the guidewire or other medical instrument in the body of the patient. The steerable medical device can include an elongated member, a steering mechanism, and an attachment member. The elongated member extends along a longitudinal axis and comprises a deflectable distal portion that is deflectable off of the longitudinal axis. The steering mechanism is adapted to control longitudinal and rotational movement of the elongated member and to control off-axis deflection of its deflectable portion. The attachment member is removably couplable to another medical device. The attachment member is moveably coupled to the steering mechanism and the elongated member.
    Type: Grant
    Filed: January 5, 2015
    Date of Patent: November 20, 2018
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: Isaac Ostrovsky, Victor Shukhat, Jianmin Li, Jozef Slanda
  • Patent number: 10076637
    Abstract: Deflection actuators configured to provide variable mechanical advantage and to optionally maintain a desired state of deflection are disclosed. Each deflection actuator may comprise a plurality of planar components, at least one of which is adapted to move relative to at least one other component. The planar components may comprise a channeled platform and a pivotable base mounted adjacent to the channeled platform. The platform may comprise a slider trough to slidably retain a slider. The base may have a cam arm pivotally connected to it and adapted to push a slider in its trough, whereby pivoting of the pivotable base relative to the channeled platform produces linear motion by the slider in its slider trough. The deflection actuator may also comprise a friction-lock knob, a knob receiver, and a pivot hub to selectably produce friction between various components to hold a catheter shaft in a desired state of deflection.
    Type: Grant
    Filed: January 8, 2015
    Date of Patent: September 18, 2018
    Assignee: St. Jude Medical, Cardiology Division, Inc.
    Inventor: Troy T. Tegg
  • Patent number: 10049787
    Abstract: An internally sealable wire includes an elongate flexible body having a length and a plurality of electrically conductive strands disposed within an insulation jacket. The body includes an unsealed portion extending along a majority of the length of the body and at least one sealed portion positioned at a point along the length of the body. The unsealed portion includes open internal spaces defined between the strands and the insulation jacket, and the at least one sealed portion includes a filler material disposed within the internal spaces to effect a seal within the body and prevent the passage of fluid through the wire.
    Type: Grant
    Filed: August 6, 2014
    Date of Patent: August 14, 2018
    Assignee: Covidien LP
    Inventor: Joseph Costanzo
  • Patent number: 10010700
    Abstract: A plunger-type control handle for controlling the deflection of a distal tip of a catheter. The control handle includes a spool driven by a gear, the spool being connected to the proximal end of at least one pull wire. For bi-directional deflection, a second proximal end of a pull wire is connected to the spool such that when one of the proximal ends is collected by the spool, the other of the proximal ends is released in an equal amount. The gear is operatively coupled to the plunger and engages a gear rack disposed on the control handle housing, such that when there is relative movement between the housing and the plunger, the gear and spool are rotated. In one embodiment, a switching mechanism is provided that reverses the rotation direction of the gear and spool, thereby providing full stroke resolution of the plunger in each of the bi-directional directions.
    Type: Grant
    Filed: July 15, 2015
    Date of Patent: July 3, 2018
    Assignee: ST JUDE MEDICAL INTERNATIONAL HOLDING S.À F
    Inventor: Alexandre Ioan Romoscanu
  • Patent number: 9993611
    Abstract: A probe, consisting of a flexible insertion tube, for insertion into a subject via a body lumen. The probe includes a sequence of tubular modules contained within the insertion tube, each module having a rigid tube segment having a preset shape and containing internal grooves on an interior surface of the tube segment. The probe further includes a flexible expander tube, which is threaded through the sequence of tubular modules and has external grooves configured to engage the internal grooves within the tube segment of each of the tubular modules when the expander tube is expanded, so as to hold the tubular modules in mutual alignment, wherein the tubular modules are able to move out of mutual alignment when the expander tube is unexpanded. The probe also has an expansion element, which is insertable through the flexible expander tube so as to expand the expander tube.
    Type: Grant
    Filed: September 21, 2016
    Date of Patent: June 12, 2018
    Assignee: BIOSENSE WEBSTER (ISRAEL) LTD.
    Inventor: Yoav Lichtenstein
  • Patent number: 9993613
    Abstract: 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.
    Type: Grant
    Filed: November 7, 2012
    Date of Patent: June 12, 2018
    Assignee: BOSTON SCIENTIFIC SCIMED, INC.
    Inventors: Huisun Wang, Joel M. Wasdyke, Wayne Falk, Brian R. Reynolds
  • Patent number: 9937322
    Abstract: A catheter assembly includes a pull wire and a control member subassembly, wherein the pull wire is secured to a post of the subassembly that may extend through a slot of a handle, and an engagement feature of the subassembly, being supported by an elastically deformable support of the subassembly resting on a railway of the handle, confronts a mating feature of the handle to interlock therewith, responsive to the support being un-deformed. The post, engagement feature, and support may be integrally formed together in a single-piece component, wherein the engagement feature may be one or two rows of teeth formed in a surface of an upper portion of the component, and the support may be a pair of flexible cantilever beam members of a lower portion of the component. Furthermore, the mating surface and railway may be integrally formed in an inner surface of a shell of the handle.
    Type: Grant
    Filed: April 23, 2015
    Date of Patent: April 10, 2018
    Assignee: Medtronic, Inc.
    Inventors: Ronald A Drake, Lester O Stener
  • Patent number: 9925005
    Abstract: The ablation systems, ablation probes, and corresponding methods according to the present disclosure reduce or eliminate energy radiating from an ablation probe into the environment. Some ablation probes include a retractable sheath that shields at least the radiating portion of the ablation probe. The retractable sheath and/or the ablation probe may include conduits through which a fluid may flow to shield the radiating portion and to drive the retractable sheath to an extended state. Other ablation probes include apertures defined in the probe walls through which the fluid can flow to expand a balloon surrounding the radiating portion. Yet other ablation probes include a thermal indicator to indicate the temperature of the ablation probe to a user. The ablation systems include fluid circuits and associated mechanical controls for varying the contents and/or flow rate of the fluid provided to the radiating portion of the ablation probe.
    Type: Grant
    Filed: June 24, 2016
    Date of Patent: March 27, 2018
    Assignee: Covidien LP
    Inventor: William O. Reid, Jr.
  • Patent number: 9919132
    Abstract: A deflectable catheter shaft section is disclosed comprising an elongated body extending along a longitudinal axis and comprising a distal end and a proximal end; and a plurality of lumens extending along the longitudinal axis of the elongated body, wherein at least one of the lumens is abutting at least another one of the lumens. A catheter comprising the deflectable catheter shaft section and a method of manufacturing the deflectable catheter shaft section are also disclosed. A catheter incorporating a deflectable catheter shaft section can further comprise first and second compression coils disposed over pull wires located within the catheter, wherein the compression coils are unattached to the catheter or components thereof, but can be constrained by a shaft coupler at a distal end of each of the compression coils and by at least a portion of a handle assembly at a proximal end of each of the compression coils.
    Type: Grant
    Filed: July 16, 2014
    Date of Patent: March 20, 2018
    Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc.
    Inventors: Troy T. Tegg, Salome A. Gonzalez
  • Patent number: 9833595
    Abstract: An improved bi-directional steerable catheter is provided. The catheter generally comprises a catheter body, tip section and control handle. The catheter further comprises first and second puller wires extending from the control handle, through the catheter body and into the tip section. The control handle has deflection means for each puller wire that include a gear, and a carrier to which the proximal end of a puller wire is anchored. The gear is rotatably coupled to a lever controlled by an operator and the gear engages the carrier such that rotation of the gear by the lever results in longitudinal movement of the carrier, which results in deflection of the tip section.
    Type: Grant
    Filed: December 30, 2005
    Date of Patent: December 5, 2017
    Assignee: Biosense Webster, Inc.
    Inventor: Pablo A. Gonzalez
  • Patent number: 9694158
    Abstract: A torque for controlling the advancement and rotation of a right heart catheter during a right heart catheterization procedure. The torque has a casing with a cavity for receiving a core, and a lumen for receiving the right heart catheter. A gripper is disposed within the core to tightly grip the right heart catheter. The core has a plurality of threads that engage teeth of a handle. The handle is attached to the casing at an axis and rotates about the axis during use. The core has an elongated spiraled recess which is engaged by a guide pin attached to the casing and extending within the cavity. When the handle is rotated, the teeth of the handle engage the threads to rotate the core, and the guide pin engages the elongated spiraled recess to move the core laterally, thereby advancing and rotating the right heart catheter.
    Type: Grant
    Filed: October 8, 2012
    Date of Patent: July 4, 2017
    Inventor: Ahmad Mohamad Slim
  • Patent number: 9694167
    Abstract: A method of treating a constricted sinus passageway of a patient includes traversing the canine fossa region of the patient so as to form a passageway in the sinus cavity. A cannula is positioned in the passageway. A visualization tool such as an endoscope is passed through a lumen or channel in the cannula to aid in visualization of the anatomical site of interest. A balloon dilation catheter is then deployed through or along the cannula so as to place the balloon within or across the constricted anatomical space (e.g., ostium). The balloon is then expanded so as to expand at least a portion of the constricted anatomical space. Alternative embodiments include the use of an optional guide wire and incorporating a endoscope lumen through the balloon dilation catheter.
    Type: Grant
    Filed: December 17, 2014
    Date of Patent: July 4, 2017
    Assignee: ENTELLUS MEDICAL INC.
    Inventors: Peter T. Keith, Theodore O. Truitt, Thomas V. Ressemann, John R. Drontle, Joel R. Munsinger, Anthony J. Hanson
  • Patent number: 9675782
    Abstract: A catheter has an elongate tubular component that defines a pull wire lumen, which extends along at least a portion of a length thereof. A pull wire extends within the pull wire lumen with a distal end of the pull wire being secured near a distal end of the catheter. The catheter includes a pull wire actuation mechanism slidably disposed thereon that is operably coupled to a proximal end of the pull wire. The pull wire actuation mechanism includes a first or upper housing portion that is longitudinally translatable in a first direction relative to the guide catheter and a second or lower housing portion that is longitudinally translatable in an opposite, second direction relative to the catheter to actuate the pull wire and selectively operate the distal end thereof.
    Type: Grant
    Filed: October 10, 2013
    Date of Patent: June 13, 2017
    Assignee: Medtronic Vascular, Inc.
    Inventor: Colm Connolly
  • Patent number: 9636205
    Abstract: Multi-filter endolumenal methods and systems for filtering fluids within the body. In some embodiments a multi-filter blood filtering system captures and removes particulates dislodge or generated during a surgical procedure and circulating in a patient's vasculature. In some embodiments a dual filter system protects the cerebral vasculature during a cardiac valve repair or replacement procedure.
    Type: Grant
    Filed: August 30, 2010
    Date of Patent: May 2, 2017
    Assignee: Claret Medical, Inc.
    Inventors: Michael Lee, Daniel W. Fifer, Randall T. Lashinski