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1. 发明授权

US10434306B2 Enhanced outer sheath for extraction device 有权
公开(公告)号：US10434306B2
公开(公告)日：2019-10-08
申请号：US15419210
申请日：2017-01-30
申请人： Cook Medical Technologies LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61N1/05
摘要： A device for extracting an elongated implanted structure from an obstruction within a vessel of a patient includes an inner sheath assembly and an outer sheath assembly. The inner sheath assembly includes an inner sheath and a tip, each having a passageway therethrough for receiving the implanted structure. The tip is configured for cutting and/or disrupting the implanted structure from the obstruction. The outer sheath assembly includes an outer sheath and a tip, each having a passageway therethrough for receiving the inner sheath assembly. The outer surface of this tip includes a plurality of raised elements circumferentially disposed therealong. The raised elements are configured for stabilizing the tissue of the vessel as the device is advanced through the vessel.

2. 发明申请

US20130079758A1 SNARE SYSTEM 有权
标题翻译： SNARE系统
公开(公告)号：US20130079758A1
公开(公告)日：2013-03-28
申请号：US13623355
申请日：2012-09-20
申请人： Cook Medical Technologies LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61B17/00
CPC分类号： A61B17/221 , A61B2017/003 , A61B2017/00358 , A61B2017/0046 , A61B2017/22035 , A61B2017/2212 , A61B2017/2929
摘要： A snare for deployment or retrieval of an implantable medical apparatus. The snare includes a shaft, and a tip distal of the shaft. The tip includes an extendable member capable of self-centering the implantable apparatus during a deployment or retrieval. The extendable member is selectively receivable in the tip, distally extendable from the tip, and rotatable relative to the tip. An activatable handle is engaged with the shaft. A wire has an end engaged with the handle and an end engaged with the tip. Upon activation, the wire is urged in a proximal direction, resulting in a flexure of the tip. An elongated mechanism has a proximal portion engaged with the handle, and a distal portion engaged with the tip extendable member. The elongated mechanism is configured for selectively controlling the receiving, deploying, and rotating of the extendable member.
摘要翻译：用于部署或取回植入式医疗设备的圈套。该圈套包括一个轴和一个位于轴远端的尖端。尖端包括能够在部署或回收期间使可植入装置自对中的可延伸构件。可延伸构件可选择性地容纳在尖端中，从顶端向远侧延伸并且可相对于尖端旋转。可激活的手柄与轴接合。电线具有与手柄接合的端部和与尖端接合的端部。激活时，电线沿近端方向被推动，导致尖端的弯曲。细长机构具有与手柄接合的近端部分和与尖端可延伸部件接合的远端部分。细长机构构造成用于选择性地控制可延伸构件的接收，展开和旋转。

3. 发明授权

US09232991B2 Apparatus and method for retrieving an implanted device from a body vessel 有权
标题翻译：从身体血管中取出植入装置的装置和方法
公开(公告)号：US09232991B2
公开(公告)日：2016-01-12
申请号：US13770227
申请日：2013-02-19
申请人： COOK MEDICAL TECHNOLOGIES LLC
发明人： Louis B. Goode , Maureen A. Secilia
IPC分类号： A61M29/00 , A61F2/01
CPC分类号： A61F2/01 , A61F2002/011
摘要： An apparatus for retrieving an implanted device from a body vessel includes a distal hub with an elongated, bendable distal tip and with a first marker visible through body tissue with at least one imaging method; a proximal hub with a central longitudinal channel therethrough, arranged proximal from the distal hub, and bearing a second marker. A stylet wire extends from the distal hub through the central longitudinal channel of the proximal hub to a proximal stylet wire end. A flexible, radially expandable interlocking arrangement extends from the distal hub to the proximal hub. An elongated positioning device extending proximally from the proximal hub to a proximal device end. The positioning device and the stylet wire may be configured to perform a longitudinal relative movement between proximal hub and the distal hub, and the interlocking arrangement expands radially when the proximal and distal hubs approach each other.
摘要翻译：一种用于从身体血管收回植入装置的装置包括具有细长的可弯曲远侧末端的远端轮毂和具有通过身体组织可见的具有至少一种成像方法的第一标记; 近端毂，其具有穿过其中心纵向通道的近端毂，其布置在远侧毂的近侧并且具有第二标记。探针线从远侧轮毂延伸穿过近侧毂的中心纵向通道到近侧指针针线端。柔性的可径向扩张的互锁装置从远端轮毂延伸到近端轮毂。从近端毂向近端延伸到近端装置端的细长定位装置。定位装置和探针线可以被配置为执行近侧毂与远侧轮毂之间的纵向相对运动，并且当近端和远端轮毂相互接近时，互锁装置径向扩张。

4. 发明授权

US09055930B2 Device for preparing an implanted medical apparatus for extraction 有权
标题翻译：用于制备用于提取的植入式医疗装置的装置
公开(公告)号：US09055930B2
公开(公告)日：2015-06-16
申请号：US13716975
申请日：2012-12-17
申请人： Cook Medical Technologies LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61B19/00 , A61B17/00 , A61N1/05
CPC分类号： A61N1/05 , A61B17/00 , A61B17/50 , A61B2017/00469 , A61N1/0488 , A61N1/056 , A61N1/375 , A61N2001/0578
摘要： A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.
摘要翻译：一种用于制备用于从患者体内提取的细长植入医疗装置（例如心脏引线）的装置。该装置包括第一手柄和第二手柄。至少第一手柄具有用于在其上接收植入装置的表面。具有第一端和第二端的线构件定位成跨越第一把手的表面与第二把手之间的距离。线构件第一端部可拆卸地与第一把手接合，线构件第二端部可拆卸地与第二把手接合。线构件的尺寸和布置被设置成使得线构件能够围绕植入设备的长度缠绕，以便于用引线提取装置提取设备。

5. 发明申请

US20150057671A1 ENHANCED OUTER SHEATH FOR EXTRACTION DEVICE 有权
标题翻译：增强外部提取装置
公开(公告)号：US20150057671A1
公开(公告)日：2015-02-26
申请号：US13975737
申请日：2013-08-26
申请人： Cook Medical Technologies LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61N1/05
CPC分类号： A61N1/057 , A61N1/056 , A61N1/059 , A61N2001/0578
摘要： A device for extracting an elongated implanted structure from an obstruction within a vessel of a patient includes an inner sheath assembly and an outer sheath assembly. The inner sheath assembly includes an inner sheath and a tip, each having a passageway therethrough for receiving the implanted structure. The tip is configured for cutting and/or disrupting the implanted structure from the obstruction. The outer sheath assembly includes an outer sheath and a tip, each having a passageway therethrough for receiving the inner sheath assembly. The outer surface of this tip includes a plurality of raised elements circumferentially disposed therealong. The raised elements are configured for stabilizing the tissue of the vessel as the device is advanced through the vessel.
摘要翻译：用于从患者的血管内的梗阻中提取细长植入结构的装置包括内护套组件和外护套组件。内护套组件包括内护套和尖端，每个护套均具有用于接收植入结构的通道。尖端构造成用于从阻塞物切割和/或破坏植入结构。外护套组件包括外护套和尖端，每个顶部具有通过其的通道，用于接纳内护套组件。该尖端的外表面包括沿其周向设置的多个凸起元件。升高的元件构造成当装置前进通过容器时稳定血管的组织。

6. 发明申请

US20140236214A1 APPARATUS AND METHOD FOR RETRIEVING AN IMPLANTED DEVICE FROM A BODY VESSEL 有权
标题翻译：用于从身体血管检索植入装置的装置和方法
公开(公告)号：US20140236214A1
公开(公告)日：2014-08-21
申请号：US13770227
申请日：2013-02-19
申请人： COOK MEDICAL TECHNOLOGIES LLC
发明人： Louis B. Goode , Maureen A. Secilia
IPC分类号： A61F2/01
CPC分类号： A61F2/01 , A61F2002/011
摘要： An apparatus for retrieving an implanted device from a body vessel includes a distal hub with an elongated, bendable distal tip and with a first marker visible through body tissue with at least one imaging method; a proximal hub with a central longitudinal channel therethrough, arranged proximal from the distal hub, and bearing a second marker. A stylet wire extends from the distal hub through the central longitudinal channel of the proximal hub to a proximal stylet wire end. A flexible, radially expandable interlocking arrangement extends from the distal hub to the proximal hub. An elongated positioning device extending proximally from the proximal hub to a proximal device end. The positioning device and the stylet wire may be configured to perform a longitudinal relative movement between proximal hub and the distal hub, and the interlocking arrangement expands radially when the proximal and distal hubs approach each other.
摘要翻译：一种用于从身体血管收回植入装置的装置包括具有细长的可弯曲远侧末端的远端轮毂和具有通过身体组织可见的具有至少一种成像方法的第一标记; 近端毂，其具有穿过其中心纵向通道的近端毂，其布置在远侧毂的近侧并且具有第二标记。探针线从远侧轮毂延伸穿过近侧毂的中心纵向通道到近侧指针针线端。柔性的可径向扩张的互锁装置从远端轮毂延伸到近端轮毂。从近端毂向近端延伸到近端装置端的细长定位装置。定位装置和探针线可以被配置为执行近侧毂与远侧轮毂之间的纵向相对运动，并且当近端和远端轮毂相互接近时，互锁装置径向扩张。

7. 发明申请

US20140171960A1 DEVICE FOR PREPARING AN IMPLANTED MEDICAL APPARATUS FOR EXTRACTION 有权
标题翻译：用于制备用于提取的植入式医疗装置的装置
公开(公告)号：US20140171960A1
公开(公告)日：2014-06-19
申请号：US13716975
申请日：2012-12-17
申请人： COOK MEDICAL TECHNOLOGIES LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61B17/00
CPC分类号： A61N1/05 , A61B17/00 , A61B17/50 , A61B2017/00469 , A61N1/0488 , A61N1/056 , A61N1/375 , A61N2001/0578
摘要： A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.
摘要翻译：一种用于制备用于从患者体内提取的细长植入医疗装置（例如心脏引线）的装置。该装置包括第一手柄和第二手柄。至少第一手柄具有用于在其上接收植入装置的表面。具有第一端和第二端的线构件定位成跨越第一把手的表面与第二把手之间的距离。线构件第一端部可拆卸地与第一把手接合，线构件第二端部可拆卸地与第二把手接合。线构件的尺寸和布置被设置成使得线构件能够围绕植入设备的长度缠绕，以便于用引线提取装置提取设备。

8. 发明授权

US10188412B2 Snare auto micro-lock 有权
公开(公告)号：US10188412B2
公开(公告)日：2019-01-29
申请号：US15095464
申请日：2016-04-11
申请人： COOK MEDICAL TECHNOLOGIES LLC
发明人： Robert Booker , Louis B. Goode
IPC分类号： A61B17/00 , A61B17/221 , A61B17/29
摘要： A surgical snare is provided having an operating wire and an outer sheath having a lumen extending therethrough, wherein the operating wire is disposed within the lumen and is longitudinally movable within the lumen. The surgical snare also has a first locking member attached to the operating wire and a second locking member attached to the outer sheath. The first locking member is frictionally engageable with the second locking member by sliding the outer sheath longitudinally along the operating wire until the first locking member contacts the second locking member. The operating wire is prevented from moving longitudinally with respect to the outer sheath when the first locking member is frictionally engaged with the second locking member.

9. 发明授权

US09586041B2 Enhanced outer sheath for extraction device 有权
标题翻译：增强外护套提取装置
公开(公告)号：US09586041B2
公开(公告)日：2017-03-07
申请号：US13975737
申请日：2013-08-26
申请人： Cook Medical Technologies LLC
发明人： Louis B. Goode , Chun Kee Lui , Michael Wayne Emmert , Robert Booker
IPC分类号： A61N1/05
CPC分类号： A61N1/057 , A61N1/056 , A61N1/059 , A61N2001/0578
摘要： A device for extracting an elongated implanted structure from an obstruction within a vessel of a patient includes an inner sheath assembly and an outer sheath assembly. The inner sheath assembly includes an inner sheath and a tip, each having a passageway therethrough for receiving the implanted structure. The tip is configured for cutting and/or disrupting the implanted structure from the obstruction. The outer sheath assembly includes an outer sheath and a tip, each having a passageway therethrough for receiving the inner sheath assembly. The outer surface of this tip includes a plurality of raised elements circumferentially disposed therealong. The raised elements are configured for stabilizing the tissue of the vessel as the device is advanced through the vessel.
摘要翻译：用于从患者的血管内的梗阻中提取细长植入结构的装置包括内护套组件和外护套组件。内护套组件包括内护套和尖端，每个护套均具有用于接收植入结构的通道。尖端构造成用于从阻塞物切割和/或破坏植入结构。外护套组件包括外护套和尖端，每个顶部具有通过其的通道，用于接纳内护套组件。该尖端的外表面包括沿其周向设置的多个凸起元件。升高的元件构造成当装置前进通过容器时稳定血管的组织。

10. 发明授权

US10278803B2 Vena cava filter removal device 有权
公开(公告)号：US10278803B2
公开(公告)日：2019-05-07
申请号：US14203725
申请日：2014-03-11
申请人： Cook Medical Technologies LLC
发明人： Louis B. Goode , Maureen A. Secilia
IPC分类号： A61F2/01 , A61B17/00
摘要： A vascular filter retrieval device and methods of using the same are disclosed. In particular, some embodiments disclose a vascular filter retrieval device having a strut engaging member coupled to a loop. A retrieval device with an elongate member coupling a strut engaging member and loop are also disclosed. The present disclosure also provides a device having an orienting member arranged to extend at least partially around a vascular filter and orient a strut engaging member with a portion of the vascular filter. Other embodiments are disclosed.

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