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1. 发明申请

WO2017205494A1 INTERVENTIONAL MEDICAL DEVICE RETRIEVAL 审中-公开
标题翻译：介入医疗设备检索
公开(公告)号：WO2017205494A1
公开(公告)日：2017-11-30
申请号：PCT/US2017/034233
申请日：2017-05-24
申请人： MEDTRONIC, INC.
发明人： WOOD, Rónán , GOLENBERG, Lavie , MCDONNELL, Paula
IPC分类号： A61N1/375 , A61B17/00 , A61N1/362 , A61N1/372
摘要： A system for retrieving an implanted medical device includes an outer tubular member and a contractible super-elastic net, which may be joined to an elongate shaft that extends in sliding engagement within the outer tubular member. When the net expands from a contracted condition the net defines a longitudinally extending tubular cavity. An open end of the cavity is sized to receive passage of a housing of the device therethrough; and the net, with the device housing contained therein, forms an interference fit within an inner diameter of the outer tubular member. But, an outer diameter of the net, in a fully expanded condition, is larger than the inner diameter.
摘要翻译：用于取回植入的医疗装置的系统包括外部管状构件和可收缩的超弹性网状物，该超弹性网状物可连接到在外部管状构件内滑动接合延伸的细长轴。当网从收缩状态膨胀时，网限定纵向延伸的管状空腔。腔体的开口端的尺寸被确定为接收穿过其中的装置的壳体的通道; 并且其中包含有装置外壳的网在外管状部件的内径内形成干涉配合。但是，完全展开状态下的网的外径大于内径。

2. 发明申请

WO2018183792A1 MEDICAL DEVICE RETRIEVAL WITH MULTIPLE SNARES 审中-公开
公开(公告)号：WO2018183792A1
公开(公告)日：2018-10-04
申请号：PCT/US2018/025326
申请日：2018-03-30
申请人： MEDTRONIC, INC.
发明人： MEADE, Colin W. , MCDONNELL, Paula , MCEVOY, Francis D. , WOOD, Rónán , O'CARROLL, Kealan E. , GARDESKI, Kenneth C. , DRAKE, Ronald A. , SEIFERT, Kevin R. , COLIN, Brian P. , VATTEROTT, Pierce
IPC分类号： A61B17/34 , A61N1/372 , A61N1/375 , A61B17/22 , A61B17/3205 , A61B17/00 , A61B17/221 , A61N1/05 , A61M25/00
摘要： An improved assembly for securing an implantable medical device for retrieval from an implant site includes a plurality of snares, wherein distal openings of a first snare carrier lumen and a second snare carrier lumen have a pre-set offset established therebetween. First and second snare shafts, to which first and second snare loops are coupled, respectively, extend within the corresponding snare carrier lumens such that each loop is located in proximity to the corresponding distal opening of the lumen. The pre-set offset allows an operator to simultaneously position the snare loops around the device; and, when the operator retracts the snare shafts to collapse the snare loops until the loops fit snuggly around the device, the pre-set offset can help to align the device for retrieval.

3. 发明申请

WO2017189838A3 INTERVENTIONAL MEDICAL SYSTEMS, ASSOCIATED ASSEMBLIES AND METHODS 审中-公开
公开(公告)号：WO2017189838A3
公开(公告)日：2017-11-02
申请号：PCT/US2017/029822
申请日：2017-04-27
申请人： MEDTRONIC, INC.
发明人： WOOD, Rónán , KELLY, Tomas K.
IPC分类号： A61M25/04 , A61N1/05 , A61N1/375
摘要： A catheter inner assembly includes a receptacle with an interior contour configured to mate with a head and neck contour of a holding member of an implantable medical device; and a laterally facing opening of the receptacle has a profile matching a longitudinal profile of the head and neck. Thus, the opening allows only a properly oriented passage of the holding member therethrough, the passage being without deformation of holding member or opening. The inner assembly further includes a lock and release member useful for securing the device to the catheter, when the holding member has been passed through the receptacle's opening to mate with the receptacle's interior contour. The lock and release member may include an arcuate sidewall moveable between a first location, at which the sidewall overlays the laterally facing opening, and a second location, at which the sidewall is located proximal to the opening.

4. 发明公开

EP3474946A1 DELIVERY SYSTEMS FOR IMPLANTABLE MEDICAL DEVICES, AND ASSOCIATED TETHERING ASSEMBLIES AND METHODS 有权
公开(公告)号：EP3474946A1
公开(公告)日：2019-05-01
申请号：EP17735760.5
申请日：2017-06-27
申请人： Medtronic, Inc.
发明人： MADDEN, Jeffrey , KELLY, Tomas K. , FRANCIS, Gwenda , MCEVOY, Francis Denis , O'CONNELL, Barry , GALLAGHER, John , GERAGHTY, Brendan Patrick , WOOD, Rónán
IPC分类号： A61N1/375 , A61N1/372 , A61B17/34
摘要： A delivery system for an implantable medical device includes a tool and a tethering member extending side-by-side within an inner shaft thereof; the tool extends within a first lumen, being in sliding engagement therein, and includes a distal end coupling feature that protrudes from a distal end of the inner shaft; and the tethering member has a first segment extending within a second lumen, and a second segment extending from the first segment and distally from the distal end of the inner shaft to an end of the tethering member, which is configured to engage with a holding member of the device, and with which the coupling feature of the tool is configured to couple. A retainer may be joined to another end of the tethering member that protrudes from a proximal port of the system.

5. 发明申请

WO2017065846A1 INTERVENTIONAL MEDICAL SYSTEMS, CATHETERS, AND SUBASSEMBLIES 审中-公开
标题翻译：介入医疗系统，导管和分组
公开(公告)号：WO2017065846A1
公开(公告)日：2017-04-20
申请号：PCT/US2016/038490
申请日：2016-06-21
申请人： MEDTRONIC, INC.
发明人： MCEVOY, Francis D. , O'CARROLL, Kealan E. , KELLY, Tomas K. , FRANCIS, Gwenda , GERAGHTY, Brendan P. , MCDONNELL, Paula , MCHUGH, Pat , MEADE, Colin W. , WARD, Sean , WOOD, Rónán
IPC分类号： A61N1/372 , A61N1/375 , A61M25/00 , A61B17/22
CPC分类号： A61N1/0573 , A61B17/22031 , A61B2017/00358 , A61B2017/22035 , A61M25/0074 , A61M2025/0004 , A61N1/362 , A61N1/37205 , A61N1/3756 , A61N2001/0578
摘要： An engagement subassembly of a catheter, for retrieving an implanted medical device, may include at least three segments or, alternately, capture members being spring biased outward from a longitudinal axis of the subassembly, wherein a device receptacle of the catheter forces the capture members/segments, against the spring bias thereof, toward the axis. Each capture member includes a spring-biased wire and a grip, which is located between proximal and distal portions of the corresponding wire, and which is configured to interlock within a gap between a device attachment feature and housing; a length of each wire distal portion may be approximately equal to that of the device housing. An interlocking edge of each segment interlocks within the gap between the attachment feature and housing, when a distal-facing surface of each segment, which tapers outward from the axis in a distal direction, comes into confronting engagement with the device housing.
摘要翻译：用于取回植入的医疗装置的导管的接合子组件可以包括至少三个区段，或者可选地，从子组件的纵向轴线向外弹性偏置的捕获构件，其中装置容器导管迫使捕获构件/分段克服其弹簧偏置朝向轴线。每个捕获构件包括弹簧偏置线和位于相应线的近侧部分和远侧部分之间并且被配置为在装置附接特征和壳体之间的间隙内互锁的抓握部; 每个导线远端部分的长度可以近似等于装置外壳的长度。当每个节段的远端方向上从轴向外逐渐变细的面向远端的表面与装置壳体面对接合时，每个节段的互锁边缘在附接特征和壳体之间的间隙内互锁。

6. 发明申请

WO2017058315A1 INTERVENTIONAL MEDICAL SYSTEMS 审中-公开
标题翻译：传统医学系统
公开(公告)号：WO2017058315A1
公开(公告)日：2017-04-06
申请号：PCT/US2016/038609
申请日：2016-06-22
申请人： MEDTRONIC, INC.
发明人： MCDONNELL, Paula , GERAGHTY, Brendan P. , FRANCIS, Gwenda , WOOD, Rónán , WARD, Sean , MCHUGH, Pat , KELLY, Tomas K.
IPC分类号： A61N1/375 , A61N1/05 , A61N1/362
CPC分类号： A61N1/362 , A61N1/057 , A61N1/0573 , A61N1/37205 , A61N1/3756 , A61N2001/0578 , A61N2001/058
摘要： In a system for retrieving an implanted device, a flared inner surface of a catheter tubular sidewall may define a distal-most opening of a device receptacle; the opening has a first diameter equal to that of the receptacle, and a second diameter, coincident with a distal-most edge of the tubular sidewall, and at least 5% greater than the receptacle diameter. Alternately, a retrieval tool in sliding engagement within a lumen of a catheter includes a shaft assembly, through which a snare member passes, and which includes a collapsible spring-biased perimeter sidewall; the sidewall defines a capture member passageway approximately coaxial, and in fluid communication with a lumen of the shaft assembly. A distal-most opening of the passageway has a spring-biased diameter that is greater than that of a distal-most opening of a device receptacle of the catheter, and a collapsed diameter that is less than the receptacle distal-most opening diameter.
摘要翻译：在用于检索植入装置的系统中，导管管状侧壁的扩张内表面可以限定装置容器的最远端开口; 开口具有与容器相同的第一直径，以及与管状侧壁的最远边缘重合的第二直径，并且比容器直径大至少5％。或者，在导管的内腔内滑动接合的回收工具包括轴组件，圈套构件通过该组件，并且其包括可折叠的弹簧偏置周边侧壁; 侧壁限定大致同轴的捕获构件通道，并且与轴组件的内腔流体连通。通道的最远的开口具有大于导管的装置插座的最远端开口的弹簧偏压直径，以及小于容器最远开口直径的塌缩直径。

7. 发明申请

WO2017019205A1 INTERVENTIONAL MEDICAL SYSTEMS, CATHETERS, AND METHODS 审中-公开
标题翻译：传统医学系统，导管和方法
公开(公告)号：WO2017019205A1
公开(公告)日：2017-02-02
申请号：PCT/US2016/038467
申请日：2016-06-21
申请人： MEDTRONIC, INC.
发明人： O'CARROLL, Kealan E. , WOOD, Rónán , MEADE, Colin W.
IPC分类号： A61N1/372
CPC分类号： A61N1/05 , A61B2017/00243 , A61B2017/00358 , A61N1/372 , A61N1/37205 , A61N1/3756 , A61N2001/0578
摘要： A device receptacle of a catheter resides in a sidewall thereof, which includes a proximal section, a central section extending distally from the proximal section, and a distal section extending distally from the central section. A length of the central section is approximately 30% of an overall length of the sidewall; the proximal and distal sections have approximately the same stiffness; and a stiffness of the central section, formed from a polymer material without any structural reinforcement or any other member embedded therein, is significantly less than that of the proximal and distal sections. When an operator causes the receptacle sidewall to buckle, a distal opening of a chamber of the receptacle becomes aligned with an implanted device so that the operator can bring the implanted device into the chamber to retrieve the device from the implant site.
摘要翻译：导管的装置容器位于其侧壁中，其包括近端部分，从近端部分向远侧延伸的中心部分和从中心部分向远侧延伸的远侧部分。中心部分的长度约为侧壁总长度的30％; 近端和远端部分具有大致相同的刚度; 并且由没有任何结构加强件的聚合物材料形成的中心部分的刚度，或者嵌入其中的任何其它部件的刚度明显小于近端部分和远端部分的硬度。当操作者使得容器侧壁弯曲时，容器的腔室的远端开口与植入装置对准，使得操作者可以将植入的装置带入腔室以从植入部位取回装置。

8. 发明公开

EP3448490A2 INTERVENTIONAL MEDICAL SYSTEMS, ASSOCIATED ASSEMBLIES AND METHODS 有权
公开(公告)号：EP3448490A2
公开(公告)日：2019-03-06
申请号：EP17722328.6
申请日：2017-04-27
申请人： Medtronic, Inc.
发明人： WOOD, Rónán , KELLY, Tomas K.
IPC分类号： A61M25/04 , A61N1/05 , A61N1/375

9. 发明授权

EP3474946B1 DELIVERY SYSTEMS FOR IMPLANTABLE MEDICAL DEVICES, AND ASSOCIATED TETHERING ASSEMBLIES 有权
公开(公告)号：EP3474946B1
公开(公告)日：2020-04-08
申请号：EP17735760.5
申请日：2017-06-27
申请人： Medtronic, Inc.
发明人： MADDEN, Jeffrey , KELLY, Tomas K. , FRANCIS, Gwenda , MCEVOY, Francis Denis , O'CONNELL, Barry , GALLAGHER, John , GERAGHTY, Brendan Patrick , WOOD, Rónán
IPC分类号： A61N1/375 , A61N1/372 , A61B17/34

10. 发明公开

EP3194019A1 INTERVENTIONAL MEDICAL SYSTEMS, TOOLS, AND METHODS OF USE 有权
标题翻译：介入医疗系统，工具和使用方法
公开(公告)号：EP3194019A1
公开(公告)日：2017-07-26
申请号：EP15747869.4
申请日：2015-07-14
申请人： Medtronic, Inc.
发明人： BONNER, Matthew D. , SHELDON, Todd J. , HILPISCH, Kathryn , NEAFUS, Noelle C. , WOOD, Rónán
IPC分类号： A61N1/372 , A61B17/34 , A61N1/375 , A61M25/00
CPC分类号： A61N1/0592 , A61B17/3468 , A61B2017/00044 , A61B2017/00243 , A61B2017/22035 , A61B2017/2215 , A61M25/0026 , A61N1/059 , A61N1/3624 , A61N1/36507 , A61N1/372 , A61N1/37205 , A61N1/3756
摘要： Delivery tools of interventional medical systems facilitate deployment of relatively compact implantable medical devices that include extensions, for example, cardiac pacing devices that include an extension for atrial sensing, wherein an entirety of the device is contained within the delivery tool while a distal-most portion of the tool is navigated to a target implant site. Once at the implant site, a device fixation member may be exposed out from a distal opening of the tool, for initial deployment, while the extension remains contained within the delivery tool. The tool includes a grasping mechanism, operable, within and without a lumen of the tool, to alternately grip and release the device extension, for example, to position a distal end of the extension after the tool has been withdrawn from over an entirety of the initially deployed device.
摘要翻译：介入医疗系统的输送工具有助于部署包括延伸部的相对紧凑的可植入医疗装置，例如包括用于心房感测的延伸部的心脏起搏装置，其中整个装置被包含在输送工具内，而最远部分的工具导航到目标植入部位。一旦在植入部位处，设备固定构件可从工具的远侧开口暴露出来以用于初始展开，同时延伸部保持容纳在输送工具内。该工具包括抓握机构，该抓握机构可在工具的内腔内和工具内腔之间交替地抓握和释放装置延伸部，例如以在工具已经从整体上撤回之后定位延伸部的远端最初部署的设备。

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