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1. 发明申请

US20110213206A1 FIBER OPTIC IMAGING CATHETER 审中-公开
标题翻译：光纤成像导管
公开(公告)号：US20110213206A1
公开(公告)日：2011-09-01
申请号：US13041520
申请日：2011-03-07
申请人： Michael P. Boutillette , David Micky Graves , M. Kevin Richardson , David I. Freed , Paul M. Scopton
发明人： Michael P. Boutillette , David Micky Graves , M. Kevin Richardson , David I. Freed , Paul M. Scopton
IPC分类号： A61B1/005
CPC分类号： A61B1/0057 , A61B1/00071 , A61B1/00096 , A61B1/00103 , A61B1/00135 , A61B1/00165 , A61B1/0051 , A61B1/0052 , A61B1/015 , A61B1/018 , A61B1/04 , A61B1/05 , A61B1/0607 , A61B1/07 , A61B2090/061 , A61B2090/306 , A61B2090/3614 , A61B2090/3937
摘要： A steerable imaging catheter is provided, including an elongated catheter tube, at least one steering cable extending along the catheter tube to control the movement of the distal end thereof, and a fiber optic cable extending along the catheter tube. The fiber optic cable transmits illumination light from its proximal end to its distal end and transmits an image from its distal end to its proximal end. In one embodiment, two or more steering cables are used, and the catheter tube is configured to have greater flexibility near its distal end than its proximal end so as to concentrate the movement (flexing) of the catheter tube at its distal end. The use of two or more steering cables, together with the catheter tube having varying flexibility, permit better control of the distal end of the catheter tube while reducing undue twisting of the remainder of the catheter tube.
摘要翻译：提供了一种可操纵的成像导管，包括细长的导管管，至少一个转导电缆，其沿着导管管延伸以控制其远端的运动，以及沿导管管延伸的光缆。光纤电缆将照明光从其近端传输到其远端，并将图像从其远端传送到其近端。在一个实施例中，使用两个或更多个转向电缆，并且导管管被配置为在其远端附近具有比其近端更大的灵活性，以便集中导管管在其远端处的运动（弯曲）。使用两个或更多个转向电缆以及具有不同柔性的导管管允许更好地控制导管的远端，同时减少导管的其余部分的不适当的扭转。

2. 发明授权

US07922654B2 Fiber optic imaging catheter 有权
标题翻译：光纤成像导管
公开(公告)号：US07922654B2
公开(公告)日：2011-04-12
申请号：US10914411
申请日：2004-08-09
申请人： Michael P. Boutillette , David Micky Graves , M. Kevin Richardson , David I. Freed , Paul M. Scopton
发明人： Michael P. Boutillette , David Micky Graves , M. Kevin Richardson , David I. Freed , Paul M. Scopton
IPC分类号： A61B1/06
CPC分类号： A61B1/0057 , A61B1/00071 , A61B1/00096 , A61B1/00103 , A61B1/00135 , A61B1/00165 , A61B1/0051 , A61B1/0052 , A61B1/015 , A61B1/018 , A61B1/04 , A61B1/05 , A61B1/0607 , A61B1/07 , A61B2090/061 , A61B2090/306 , A61B2090/3614 , A61B2090/3937
摘要： A steerable imaging catheter is provided, including an elongated catheter tube, at least one steering cable extending along the catheter tube to control the movement of the distal end thereof, and a fiber optic cable extending along the catheter tube. The fiber optic cable transmits illumination light from its proximal end to its distal end and transmits an image from its distal end to its proximal end. In one embodiment, two or more steering cables are used, and the catheter tube is configured to have greater flexibility near its distal end than its proximal end so as to concentrate the movement (flexing) of the catheter tube at its distal end. The use of two or more steering cables, together with the catheter tube having varying flexibility, permit better control of the distal end of the catheter tube while reducing undue twisting of the remainder of the catheter tube.
摘要翻译：提供了一种可操纵的成像导管，包括细长的导管管，至少一个转导电缆，其沿着导管管延伸以控制其远端的运动，以及沿导管管延伸的光缆。光纤电缆将照明光从其近端传输到其远端，并将图像从其远端传送到其近端。在一个实施例中，使用两个或更多个转向电缆，并且导管管被配置为在其远端附近具有比其近端更大的灵活性，以便集中导管管在其远端处的运动（弯曲）。使用两个或更多个转向电缆以及具有不同柔性的导管管允许更好地控制导管的远端，同时减少导管的其余部分的不适当的扭转。

3. 发明授权

US07264001B2 Guidewire exit tool 失效
标题翻译：导丝退出工具
公开(公告)号：US07264001B2
公开(公告)日：2007-09-04
申请号：US10601075
申请日：2003-06-20
申请人： Michael P. Boutillette , M. Kevin Richardson
发明人： Michael P. Boutillette , M. Kevin Richardson
IPC分类号： A61B19/00
CPC分类号： A61M25/09041 , A61B17/8897 , A61M2025/09116
摘要： A guidewire exit tool includes a pin that is insertable into a guidewire channel of a rapid exchange-type catheter. The pin has at least one tapered end that urges a guidewire out of a slit in guidewire channel. In one embodiment the exit tool has an oval handle that is angled with respect to the longitudinal axis of the pin such that the tool can be easily grasped and moved along the guidewire channel.
摘要翻译：导丝出口工具包括可插入快速交换型导管的导丝通道中的销。销具有至少一个锥形端，其将导丝推出导丝通道中的狭缝。在一个实施例中，出口工具具有相对于销的纵向轴线成角度的椭圆形手柄，使得工具可以容易地沿着导丝通道抓握并移动。

4. 发明申请

US20110087066A1 DEVICES AND METHODS FOR DELIVERING AN ENDOCARDIAL DEVICE 有权
标题翻译：用于递送内窥镜装置的装置和方法
公开(公告)号：US20110087066A1
公开(公告)日：2011-04-14
申请号：US12893832
申请日：2010-09-29
申请人： Michael P. Boutillette , James R. Kermode , Miles D. Alexander , Alexander Khairkhahan , Serjan D. Nikolic
发明人： Michael P. Boutillette , James R. Kermode , Miles D. Alexander , Alexander Khairkhahan , Serjan D. Nikolic
IPC分类号： A61F2/02
CPC分类号： A61F2/2487 , A61B17/00234 , A61B17/12022 , A61B17/12122 , A61B17/12172 , A61B2017/00243 , A61B2017/00292 , A61B2017/00867 , A61B2017/12054 , A61B2017/12081 , A61B2017/12095 , A61F2230/0093 , A61M5/007 , A61M25/007
摘要： Described herein are systems for partitioning a ventricle of a heart. The systems may include a partitioning device or implant, and an applicator for inserting, repositioning and/or removing the partitioning device. The implant may support the ventricle wall and may reduce the volume of the ventricle. In particular, described herein are systems for delivering and deploying a partitioning device into a ventricle. The delivery system may include a catheter having a distal coupling element for coupling to a partitioning device in a collapsed configuration; the catheter may also have an expansion member for applying force to the partitioning device to fully expand it into a deployed configuration and to secure or seal it against the ventricle wall.
摘要翻译：这里描述了用于分配心脏心室的系统。该系统可以包括分隔装置或植入物，以及用于插入，重新定位和/或移除分隔装置的施用器。植入物可以支撑心室壁并且可以减小心室的体积。特别地，这里描述的是用于将分配装置递送和部署到心室中的系统。递送系统可以包括具有远端联接元件的导管，用于以折叠构型联接到分隔装置; 导管还可以具有用于向分隔装置施加力以将其完全展开成展开构型并将其固定或密封抵靠心室壁的扩张构件。

5. 发明授权

US08221357B2 Catheter incorporating a guidewire exit ramp 有权
标题翻译：导管结合导丝出口斜坡
公开(公告)号：US08221357B2
公开(公告)日：2012-07-17
申请号：US12939899
申请日：2010-11-04
申请人： Michael P. Boutillette
发明人： Michael P. Boutillette
IPC分类号： A61M5/178
CPC分类号： A61M25/0169 , A61M25/00 , A61M29/02 , A61M2025/0183
摘要： Guidewire exit ramp members that may be placed over a tubular member having a guidewire lumen, which longitudinally extending and laterally accessible, and methods of use. The guidewire exit ramp member can be placed to force a guidewire loaded through the lumen in a first direction to be forced out of the lumen via an opening, slit or channel. The guidewire exit ramp member, in an illustrative embodiment, takes the form of a relatively short member having a proximal portion and a distally extending flap. The flap may be designed to enter and remain in a longitudinally accessible guidewire lumen. Combinations of such ramp members and device shafts having longitudinally extending laterally accessible guidewire lumens are also disclosed, as are methods for securing such combinations together. A method of backloading a guidewire into a catheter while causing lateral exit of the guidewire at a desired location is also shown.
摘要翻译：导丝出口斜坡构件，其可以放置在具有纵向延伸和横向可及的导丝管腔的管状构件上，以及使用方法。导丝出口斜坡构件可以被放置成迫使沿着第一方向穿过内腔的导丝线经由开口，狭缝或通道被迫离开内腔。在说明性实施例中，导丝出口斜坡构件采取具有近端部分和远侧延伸翼片的较短构件的形式。翼片可以被设计成进入并保持在纵向可访问的导丝管腔中。还公开了具有纵向延伸的横向可接近的导丝管腔的这种斜坡构件和装置轴的组合，以及用于将这些组合固定在一起的方法。还示出了将导丝装载到导管中同时引起导丝在期望位置处的横向排出的方法。

6. 发明授权

US08790242B2 Ventricular volume reduction 有权
标题翻译：心室容积减少
公开(公告)号：US08790242B2
公开(公告)日：2014-07-29
申请号：US12912632
申请日：2010-10-26
申请人： James R. Kermode , Miles D. Alexander , Michael P. Boutillette , Matthew T. Davila , Irene Bing Bie Tan
发明人： James R. Kermode , Miles D. Alexander , Michael P. Boutillette , Matthew T. Davila , Irene Bing Bie Tan
IPC分类号： A61F2/00
CPC分类号： A61F2/2487 , A61B17/12122 , A61B17/12172 , A61M1/1008 , A61M1/1018 , A61M1/1046 , A61M1/106 , A61M1/1068 , A61M1/107 , A61M1/1074 , A61M1/12 , A61M1/125 , A61M25/0067 , A61M25/0068 , A61M2205/32
摘要： Devices and systems including implants (which may be removable) and methods of using them for reducing ventricular volume. The implants described herein are cardiac implants that may be inserted into a patient's heart, particularly the left ventricle. The implant may support the heart wall, or may be secured to the heart wall. The implants are typically ventricular partitioning device for partitioning the ventricle into productive and non-productive regions in order to reduce the ventricular volume.
摘要翻译：装置和系统包括植入物（可以是可移除的）和使用它们来减少心室容积的方法。本文描述的植入物是可以插入患者心脏，特别是左心室的心脏植入物。植入物可以支撑心脏壁，或者可以固定到心脏壁。植入物通常是心室分配装置，用于将心室分成生产性和非生产性区域，以减少心室容积。

7. 发明授权

US08677602B2 Method of making a flexible device shaft with angled spiral wrap 有权
标题翻译：制造具有成角螺旋形包装的柔性装置轴的方法
公开(公告)号：US08677602B2
公开(公告)日：2014-03-25
申请号：US13357676
申请日：2012-01-25
申请人： Peter L. Dayton , Michael P. Boutillette
发明人： Peter L. Dayton , Michael P. Boutillette
IPC分类号： B23P13/00 , H01B7/17
CPC分类号： A61M25/0043 , A61B1/00071 , A61B1/0055 , A61M25/0013 , Y10T29/49995
摘要： Spiral-wound materials, spirals, and shafts made therefrom that have wraps with edges that may nest within one another are described. Such edges allow the spiral to achieve a smaller bending radius, meaning tighter turns and more flexibility due to the ability of adjacent wraps to nest within each other when the shaft is bent. Spirals having wraps with edges capable of nesting can be used in the medical field for devices that track anatomy, such as endoscopes, colonoscopes, catheters, and the like.
摘要翻译：描述了螺旋缠绕材料，螺旋形和由其制成的轴，它们可以彼此嵌套的边缘包裹。这样的边缘允许螺旋获得较小的弯曲半径，这意味着由于当轴弯曲时相邻的缠绕层彼此嵌套的能力，意味着更紧的匝数和更大的柔性。具有能够嵌套的边缘的螺旋可以用于医疗领域用于追踪解剖结构的装置，例如内窥镜，结肠镜，导管等。

8. 发明授权

US08556857B2 Catheter incorporating a guidewire exit ramp 有权
标题翻译：导管结合导丝出口斜坡
公开(公告)号：US08556857B2
公开(公告)日：2013-10-15
申请号：US13545757
申请日：2012-07-10
申请人： Michael P. Boutillette
发明人： Michael P. Boutillette
IPC分类号： A61M5/178
CPC分类号： A61M25/0169 , A61M25/00 , A61M29/02 , A61M2025/0183
摘要： Guidewire exit ramp members that may be placed over a tubular member having a guidewire lumen, which longitudinally extending and laterally accessible, and methods of use. The guidewire exit ramp member can be placed to force a guidewire loaded through the lumen in a first direction to be forced out of the lumen via an opening, slit or channel. The guidewire exit ramp member, in an illustrative embodiment, takes the form of a relatively short member having a proximal portion and a distally extending flap. The flap may be designed to enter and remain in a longitudinally accessible guidewire lumen. Combinations of such ramp members and device shafts having longitudinally extending laterally accessible guidewire lumens are also disclosed, as are methods for securing such combinations together. A method of backloading a guidewire into a catheter while causing lateral exit of the guidewire at a desired location is also shown.
摘要翻译：导丝出口斜坡构件，其可以放置在具有纵向延伸和横向可及的导丝管腔的管状构件上，以及使用方法。导丝出口斜坡构件可以被放置成迫使沿着第一方向穿过内腔的导丝线经由开口，狭缝或通道被迫离开内腔。在说明性实施例中，导丝出口斜坡构件采取具有近端部分和远侧延伸翼片的较短构件的形式。翼片可以被设计成进入并保持在纵向可访问的导丝管腔中。还公开了具有纵向延伸的横向可接近的导丝管腔的这种斜坡构件和装置轴的组合，以及用于将这些组合固定在一起的方法。还示出了将导丝装载到导管中同时引起导丝在期望位置处的横向排出的方法。

9. 发明申请

US20110046608A1 Catheter Incorporating a Guidewire Exit Ramp 有权
标题翻译：导管结合导丝出口斜坡
公开(公告)号：US20110046608A1
公开(公告)日：2011-02-24
申请号：US12939899
申请日：2010-11-04
申请人： Michael P. Boutillette
发明人： Michael P. Boutillette
IPC分类号： A61M25/09
CPC分类号： A61M25/0169 , A61M25/00 , A61M29/02 , A61M2025/0183
摘要： Guidewire exit ramp members that may be placed over a tubular member having a guidewire lumen, which longitudinally extending and laterally accessible, and methods of use. The guidewire exit ramp member can be placed to force a guidewire loaded through the lumen in a first direction to be forced out of the lumen via an opening, slit or channel. The guidewire exit ramp member, in an illustrative embodiment, takes the form of a relatively short member having a proximal portion and a distally extending flap. The flap may be designed to enter and remain in a longitudinally accessible guidewire lumen. Combinations of such ramp members and device shafts having longitudinally extending laterally accessible guidewire lumens are also disclosed, as are methods for securing such combinations together. A method of backloading a guidewire into a catheter while causing lateral exit of the guidewire at a desired location is also shown.
摘要翻译：导丝出口斜坡构件，其可以放置在具有纵向延伸和横向可及的导丝管腔的管状构件上，以及使用方法。导丝出口斜坡构件可以被放置成迫使沿着第一方向穿过内腔的导丝线经由开口，狭缝或通道被迫离开内腔。在说明性实施例中，导丝出口斜坡构件采取具有近端部分和远侧延伸翼片的较短构件的形式。翼片可以被设计成进入并保持在纵向可访问的导丝管腔中。还公开了具有纵向延伸的横向可接近的导丝管腔的这种斜坡构件和装置轴的组合，以及用于将这些组合固定在一起的方法。还示出了将导丝装载到导管中同时引起导丝在期望位置处的横向排出的方法。

10. 发明申请

US20100191152A1 Side Loading Wire Torquing Device 审中-公开
标题翻译：侧装线扭矩装置
公开(公告)号：US20100191152A1
公开(公告)日：2010-07-29
申请号：US12755930
申请日：2010-04-07
申请人： Michael P. Boutillette , Dmitri Menn , Eric Welch
发明人： Michael P. Boutillette , Dmitri Menn , Eric Welch
IPC分类号： A61M25/09
CPC分类号： A61M25/09041
摘要： A side loading, wire torquing device includes a body portion having a channel in which a wire is fitted. In one embodiment, a slider is movable along the channel to secure the wire between the slider and the fixed surface in the channel such that rotation of the torquing device rotates the wire therein. In another embodiment of the invention, the torquing device includes a bottom and top section folded over a wire. In another embodiment, the channels impart a bend to the wire to increase the effective torque that can be applied to the wire by rotating the device. In yet another embodiment, the torquing device has a tapered shape and includes a ring that is slideable over the device to compress a wire in a channel. In all embodiments, the torquing device may include a clip to secure several looped coils of wire when not in use.
摘要翻译：侧装载线扭矩装置包括具有其中安装有导线的通道的主体部分。在一个实施例中，滑块可沿着通道移动以将线固定在通道中的滑块和固定表面之间，使得扭力装置的旋转使线材旋转。在本发明的另一个实施例中，扭转装置包括折叠在导线上的底部和顶部部分。在另一个实施例中，通道使线弯曲，以通过旋转设备来增加可施加到线的有效转矩。在另一个实施例中，扭转装置具有锥形形状，并且包括可在装置上滑动以压缩通道中的线的环。在所有实施例中，扭转装置可以包括夹子，以在不使用时固定多个环形线圈。

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