The present disclosure relates generally to devices, methods and systems for separating tissue in a patient, and more specifically, to devices for separating tissue attached to implanted objects, such as leads, in a patient and removing such objects.
Surgically implanted cardiac pacing systems, such as pacemakers and defibrillators, play an important role in the treatment of heart disease. In the 50 years since the first pacemaker was implanted, technology has improved dramatically, and these systems have saved or improved the quality of countless lives. Pacemakers treat slow heart rhythms by increasing the heart rate or by coordinating the heart's contraction for some heart failure patients. Implantable cardioverter-defibrillators stop dangerous rapid heart rhythms by delivering an electric shock.
Cardiac pacing systems typically include a timing device and a lead, which are placed inside the body of a patient. One part of the system is the pulse generator containing electric circuits and a battery, usually placed under the skin on the chest wall beneath the collarbone. To replace the battery, the pulse generator must be changed by a simple surgical procedure every 5 to 10 years. Another part of the system includes the wires, or leads, which run between the pulse generator and the heart. In a pacemaker, these leads allow the device to increase the heart rate by delivering small timed bursts of electric energy to make the heart beat faster. In a defibrillator, the lead has special coils to allow the device to deliver a high-energy shock and convert potentially dangerous rapid rhythms (ventricular tachycardia or fibrillation) back to a normal rhythm. Additionally, the leads may transmit information about the heart's electrical activity to the pacemaker.
For both of these functions, leads must be in contact with heart tissue. Most leads pass through a vein under the collarbone that connects to the right side of the heart (right atrium and right ventricle). In some cases, a lead is inserted through a vein and guided into a heart chamber where it is attached with the heart. In other instances, a lead is attached to the outside of the heart. To remain attached to the heart muscle, most leads have a fixation mechanism, such as a small screw and/or hooks at the end.
Within a relatively short time after a lead is implanted into the body, the body's natural healing process forms scar tissue along the lead and possibly at its tip, thereby fastening it even more securely in the patient's body. Leads usually last longer than device batteries, so leads are simply reconnected to each new pulse generator (battery) at the time of replacement. Although leads are designed to be implanted permanently in the body, occasionally these leads must be removed, or extracted. Leads may be removed from patients for numerous reasons, including but not limited to, infections, lead age, and lead malfunction.
Removal or extraction of the lead may be difficult. As mentioned above, the body's natural healing process forms scar tissue over and along the lead, and possibly at its tip, thereby encasing at least a portion of the lead and fastening it even more securely in the patient's body. In addition, the lead and/or tissue may become attached to the vasculature wall. Both results may, therefore, increase the difficulty of removing the leads from the patient's vasculature.
A variety of tools have been developed to make lead extraction safer and more successful. Current lead extraction techniques include mechanical traction, mechanical devices, and laser devices. Mechanical traction may be accomplished by inserting a locking stylet into the hollow portion of the lead and then pulling the lead to remove it. An example of such a lead locking device is described and illustrated in U.S. Pat. No. 6,167,315 to Coe et al., which is hereby incorporated herein by reference in its entirety for all that it teaches and for all purposes.
A mechanical device to extract leads includes a flexible tube called a sheath that passes over the lead and/or the surrounding tissue. The sheath typically may include a cutting blade, such that upon advancement, the cutting blade and sheath cooperate to separate the scar tissue from other scar tissue including the scar tissue surrounding the lead. In some cases, the cutting blade and sheath may also separate the tissue itself from the lead. Once the lead is separated from the surrounding tissue and/or the surrounding tissue is separated from the remaining scar tissue, the lead may be inserted into a hollow lumen of the sheath for removal and/or be removed from the patient's vasculature using some other mechanical devices, such as the mechanical traction device previously described in U.S. Patent Publication No. 2008/0154693 to Taylor, which is hereby incorporated herein by reference in its entirety for all that it teaches and for all purposes.
Some lead extraction devices include mechanical sheaths that have trigger mechanisms for extending the blade from the distal end of the sheath. An example of such devices and method used to extract leads is described and illustrated in U.S. Pat. No. 5,651,781 to Grace, which is hereby incorporated herein by reference in its entirety for all that it teaches and for all purposes.
Controlling the extension of the blade within a patient's vasculature may be critical, particularly when the sheath and blade negotiate tortuous paths that exist in certain vascular or physiological environments. Furthermore, in certain cases, using such mechanical devices for lead removal may require more precise control, such as when the leads are located in, and/or attached to a structurally-weak portion of the vasculature. For instance, typical leads in a human may pass through the innominate vein, past the superior vena cava (“SVC”), and into the right atrium of the heart. Tissue growth occurring along the SVC and other locations along the innominate vein may increase the risk and difficulty in extracting the leads from such locations, particularly when the vein(s)' walls are thin. Tissue growth may also occur at other challenging locations within a patient's vasculature which requires the delicate and precise control of the devices used to extract leads from such locations.
A device for removing an implanted object from a body vessel in accordance with this disclosure includes an intermediate sheath assembly including an intermediate sheath and an intermediate tip disposed at a distal end of the intermediate sheath assembly; an inner sheath assembly rotatably carried within the intermediate sheath assembly, the inner sheath assembly including an inner sheath and a cutting tip, the cutting tip including a cutting surface adapted to cut tissue coupled to the implanted object as the cutting tip rotates relative to the intermediate sheath assembly; a handle assembly including a housing, a trigger carried by the housing, and a cutting tip drive mechanism carried by the housing and coupled to the trigger and the inner sheath assembly, the trigger being actuatable to drive the cutting tip drive mechanism and thereby rotate the inner sheath and the cutting tip relative to the intermediate sheath assembly; an outer sheath assembly carried outside of the intermediate sheath assembly, the outer sheath assembly including an outer sheath and an outer shield disposed at a distal end of the outer sheath assembly, the outer shield including a distal opening, the outer sheath assembly being translatable relative to the intermediate sheath assembly from a first position to a second position and vice versa, in the first position the cutting surface of the cutting tip being disposed within the outer shield, and in the second position the cutting tip extending through the distal opening and the cutting surface being at least partially disposed outside of the outer shield; and a shield drive mechanism coupled to the outer sheath assembly, the shield drive mechanism being actuatable to translate the outer sheath assembly relative to the intermediate sheath assembly from the first position to the second position and vice versa.
The device of the proceeding paragraph, wherein the intermediate sheath assembly includes a longitudinal axis extending between the distal end of the intermediate sheath assembly and a proximal end of the intermediate sheath assembly, wherein the shield drive mechanism is actuated by rotating about the longitudinal axis.
The device of any of the preceding paragraphs, wherein the trigger is actuated by proximally and distally translating the trigger relative to the housing.
The device of any of the preceding paragraphs, wherein the shield drive mechanism is rotatably coupled to the housing of the handle assembly.
The device of any of the preceding paragraphs, wherein the shield drive mechanism is actuated to rotate the outer sheath assembly relative to the intermediate sheath assembly, and further including a cam and follower mechanism defined by the intermediate tip and the outer shield, the cam and follower mechanism translating the outer sheath assembly relative to the intermediate sheath assembly from the first position to the second position and vice versa when the outer sheath assembly rotates relative to the intermediate sheath assembly.
The device of any of the preceding paragraphs, wherein the cam and follower mechanism is a first cam and follower mechanism, and further including a second cam and follower mechanism defined by the intermediate tip and the cutting tip, the second cam and follower mechanism translating the cutting tip relative to the intermediate tip as the cutting tip rotates relative to the intermediate tip.
The device of any of the preceding paragraphs, further including a cam and follower mechanism defined by the intermediate tip and the cutting tip, the cam and follower mechanism translating the cutting tip relative to the intermediate tip as the cutting tip rotates relative to the intermediate tip.
The device of any of the preceding paragraphs, wherein in the first position of the outer shield, the cutting surface of the cutting tip remains disposed within the outer shield when the cam and follower mechanism translates the cutting tip relative to the intermediate tip as the cutting tip rotates relative to the intermediate tip.
The device of any of the preceding paragraphs, wherein the intermediate sheath assembly includes a longitudinal axis extending between the distal end of the intermediate sheath assembly and a proximal end of the intermediate sheath assembly, and the cutting surface of the cutting tip is perpendicular relative to the longitudinal axis.
The device of any of the preceding paragraphs, wherein the intermediate sheath assembly includes a longitudinal axis extending between the distal end of the intermediate sheath assembly and a proximal end of the intermediate sheath assembly, and the cutting surface of the cutting tip is disposed at an acute angle relative to the longitudinal axis.
The device of any of the preceding paragraphs, wherein the cutting tip drive mechanism includes a barrel cam coupled to the trigger and the inner sheath assembly, the trigger being actuatable to rotate the barrel cam and thereby rotate the inner sheath and the cutting tip relative to the intermediate sheath assembly.
The device of any of the preceding paragraphs, wherein the barrel cam includes a cam slot that extends longitudinally and circumferentially on the barrel cam, and the cam slot couples the barrel cam to the trigger.
A device for removing an implanted object from a body vessel in accordance with this disclosure includes an intermediate sheath assembly including an intermediate sheath and an intermediate tip disposed at a distal end of the intermediate sheath assembly; an inner sheath assembly rotatably carried within the intermediate sheath assembly, the inner sheath assembly including an inner sheath and a cutting tip, the cutting tip including a cutting surface adapted to cut tissue coupled to the implanted object as the cutting tip rotates relative to the intermediate sheath assembly; a handle assembly including a housing, a trigger carried by the housing, and a cutting tip drive mechanism carried by the housing and coupled to the trigger and the inner sheath assembly, the trigger being actuatable to drive the cutting tip drive mechanism and thereby rotate the inner sheath and the cutting tip relative to the intermediate sheath assembly; an outer shield carried outside of the intermediate tip, the outer shield including a distal opening, the outer shield being translatable relative to the intermediate tip from a first position to a second position and vice versa, in the first position the cutting surface of the cutting tip being disposed within the outer shield, and in the second position the cutting tip extending through the distal opening and the cutting surface being at least partially disposed outside of the outer shield; and a cam and follower mechanism defined by the intermediate tip and the outer shield, the cam and follower mechanism translating the outer shield relative to the intermediate tip from the first position to the second position and vice versa upon rotation of the outer shield relative to the intermediate tip.
The device of the preceding paragraph, wherein the cam and follower mechanism is a first cam and follower mechanism, and further including a second cam and follower mechanism defined by the intermediate tip and the cutting tip, the second cam and follower mechanism translating the cutting tip relative to the intermediate tip as the cutting tip rotates relative to the intermediate tip.
A device for removing an implanted object from a body vessel in accordance with this disclosure includes an inner sheath assembly including an inner sheath and a cutting tip disposed at a distal end of the inner sheath assembly, the cutting tip including a cutting surface adapted to cut tissue coupled to the implanted object as the cutting tip rotates; a handle assembly including a housing, a trigger carried by the housing, and a cutting tip drive mechanism carried by the housing and coupled to the trigger and the inner sheath assembly, the trigger being actuatable to drive the cutting tip drive mechanism and thereby rotate the inner sheath and the cutting tip relative to the housing; an outer sheath assembly carried outside of the inner sheath assembly, the outer sheath assembly including an outer sheath and an outer shield disposed at a distal end of the outer sheath assembly, the outer shield including a distal opening, the outer sheath assembly being translatable relative to the inner sheath assembly from a first position to a second position and vice versa, in the first position the cutting surface of the cutting tip being disposed within the outer shield, and in the second position the cutting tip extending through the distal opening and the cutting surface being at least partially disposed outside of the outer shield; and a shield drive mechanism coupled to the outer sheath assembly, the shield drive mechanism being actuatable to translate the outer sheath assembly relative to the inner sheath assembly from the first position to the second position and vice versa.
The device of the preceding paragraph, wherein the inner sheath assembly includes a longitudinal axis extending between the distal end of the inner sheath assembly and a proximal end of the inner sheath assembly, wherein the shield drive mechanism is actuated by rotating about the longitudinal axis.
The device of any of the preceding paragraphs, wherein the trigger is actuated by proximally and distally translating the trigger relative to the housing.
The device of any of the preceding paragraphs, wherein the shield drive mechanism is rotatably coupled to the housing of the handle assembly.
The device of any of the preceding paragraphs, wherein the cutting tip rotates about the longitudinal axis.
The device of any of the preceding paragraphs, wherein the cutting surface of the cutting tip and the distal opening of the outer shield are disposed perpendicularly relative to the longitudinal axis.
The device of any of the preceding paragraphs, wherein the shield drive mechanism is actuated to rotate and translate the outer sheath assembly relative to the inner sheath assembly from the first position to the second position and vice versa.
A device for removing an implanted object from a body vessel in accordance with this disclosure includes an outer sheath; an outer cam member coupled to the outer sheath; an intermediate sheath carried within the outer sheath; an intermediate cam member coupled to the intermediate sheath and carried within the outer cam member, the intermediate cam member comprising a first cam slot; a first pin received in the first cam slot and connecting the intermediate cam member to the outer cam member; an inner sheath carried within the intermediate sheath; an inner cam member coupled to the inner sheath and carried within the intermediate cam member, the inner cam member comprising a cutting surface and a second cam slot; a second pin received in the second cam slot and connecting the inner cam member to the intermediate cam member.
The phrases “at least one”, “one or more”, and “and/or” are open-ended expressions that are both conjunctive and disjunctive in operation. For example, each of the expressions “at least one of A, B and C”, “at least one of A, B, or C”, “one or more of A, B, and C”, “one or more of A, B, or C” and “A, B, and/or C” means A alone, B alone, C alone, A and B together, A and C together, B and C together, or A, B and C together. When each one of A, B, and C in the above expressions refers to an element, such as X, Y, and Z, or class of elements, such as X1-Xn, Y1-Ym, and Z1-Zo, the phrase is intended to refer to a single element selected from X, Y, and Z, a combination of elements selected from the same class (for example, X1 and X2) as well as a combination of elements selected from two or more classes (for example, Y1 and Zo).
The term “a” or “an” entity refers to one or more of that entity. As such, the terms “a” (or “an”), “one or more” and “at least one” may be used interchangeably herein. It is also to be noted that the terms “comprising”, “including”, and “having” may be used interchangeably.
A “lead” is a conductive structure, typically an electrically insulated coiled wire. The electrically conductive material may be any conductive material, with metals and intermetallic alloys common. The outer sheath of insulated material is biocompatible and bio stable (for example, non-dissolving in the body) and generally includes organic materials such as polyurethane and polyimide. Lead types include, by way of non-limiting example, epicardial and endocardial leads. Leads are commonly implanted into a body percutaneously or surgically.
The term “means” as used herein shall be given its broadest possible interpretation in accordance with 35 U.S.C. Section 112(f). Accordingly, a claim incorporating the term “means” shall cover all structures, materials, or acts set forth herein, and all of the equivalents thereof. Further, the structures, materials or acts and the equivalents thereof shall include all those described in the summary of the invention, brief description of the drawings, detailed description, abstract, and claims themselves.
A “serration” or “serrated edge” or “serrated blade” or other variations, as used herein, shall mean the configuration of a cutting surface having a notched edge or saw-like teeth. The notched edges create a plurality of smaller points that contact (and therefore less contact area with) the material being cut in comparison to an un-notched blade. Additionally, the pressure applied by each serrated point of contact is relatively greater and the points of contact are at a sharper angle to the material being cut. One example of a serrated blade may include one notch adjacent to and abutting another notch such that there is very little, if any, blade between such notches, thereby creating points of contact. There are multiple variations and/or features of serrations. For example, one type of serrated feature is referred to as a “crown.” As used herein, a serrated blade, or other variation, in the shape of a “crown,” shall mean a blade comprising a plurality of notches and adjacent un-notched areas such that the combination of notched and un-notched areas resembles a crown for a royal member (for example, king, queen, etc.), particularly when the blade is circular. A further type of “crown” includes a “hook crown.” As used herein, a serrated blade, or other variation, in the shape of a “ hook crown,” shall mean a blade comprising a plurality of notches and adjacent un-notched areas, wherein the length of un-notched areas of the blade are longer than the notched areas of the blade.
A “surgical implant” is a medical device manufactured to replace a missing biological structure, support, stimulate, or treat a damaged biological structure, or enhance, stimulate, or treat an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is a transplanted biomedical tissue. In some cases implants contain electronics, including, without limitation, artificial pacemaker, defibrillator, electrodes, and cochlear implants. Some implants are bioactive, including, without limitation, subcutaneous drug delivery devices in the form of implantable pills or drug-eluting stents.
It should be understood that every maximum numerical limitation given throughout this disclosure is deemed to include each and every lower numerical limitation as an alternative, as if such lower numerical limitations were expressly written herein. Every minimum numerical limitation given throughout this disclosure is deemed to include each and every higher numerical limitation as an alternative, as if such higher numerical limitations were expressly written herein. Every numerical range given throughout this disclosure is deemed to include each and every narrower numerical range that falls within such broader numerical range, as if such narrower numerical ranges were all expressly written herein.
The preceding is a simplified summary of the disclosure to provide an understanding of some aspects of the disclosure. This summary is neither an extensive nor exhaustive overview of the disclosure and its various aspects, embodiments, and configurations. It is intended neither to identify key or critical elements of the disclosure nor to delineate the scope of the disclosure but to present selected concepts of the disclosure in a simplified form as an introduction to the more detailed description presented below. As will be appreciated, other aspects, embodiments, and configurations of the disclosure are possible utilizing, alone or in combination, one or more of the features set forth above or described in detail below
The accompanying drawings are incorporated into and form a part of the specification to illustrate several examples of the present disclosure. These drawings, together with the description, explain the principles of the disclosure. The drawings simply illustrate preferred and alternative examples of how the disclosure may be made and used and are not to be construed as limiting the disclosure to only the illustrated and described examples. Further features and advantages will become apparent from the following, more detailed, description of the various aspects, embodiments, and configurations of the disclosure, as illustrated by the drawings referenced below.
It should be understood that the drawings are not necessarily to scale. In certain instances, details that are not necessary for an understanding of the disclosure or that render other details difficult to perceive may have been omitted. It should be understood, of course, that the disclosure is not necessarily limited to the particular embodiments illustrated herein.
Before any embodiments of the disclosure are explained in detail, it is to be understood that the disclosure is not limited in its application to the details of construction and the arrangement of components set forth in the following description or illustrated in the following drawings. The disclosure is capable of other embodiments and of being practiced or of being carried out in various ways. Also, it is to be understood that the phraseology and terminology used herein is for the purpose of description and should not be regarded as limiting. The use of “including,” “comprising,” or “having” and variations thereof herein is meant to encompass the items listed thereafter and equivalents thereof as well as additional items.
Embodiments according to this disclosure provide a surgical device that includes a sheath assembly, which can be deployed safely within a vascular system of a patient and separate implanted objects, such as leads, from a patient's vasculature system.
The cutting tip may rotate to cut, separate, and/or dilate tissue in one or more shielded configurations of the device 100 in which the cutting tip is disposed within an outer sheath assembly 106 of the sheath assembly 102. In some embodiments, the shielded configuration(s) of the device 100 may inhibit the cutting tip from contacting and potentially damaging the SVC of the subject. The cutting tip may also rotate to cut, separate, and/or dilate tissue in one or more extended configurations of the device 100 in which the cutting tip at least partially protrudes from the outer sheath assembly 106. In some embodiments, the cutting tip may cut tissue more efficiently in the extended configuration(s) compared to the shielded configuration(s). As described in further detail below, the surgical device 100 is selectively reconfigurable to move the cutting tip from the shielded configuration(s) to the extended configuration(s) and vice versa. The process of rotating the cutting tip is repeated (in the shielded configuration(s) and/or the extended configuration(s)) until the implanted lead and/or surrounding tissue is completely or substantially cut, separated, and/or dilated from the tissue attached to the SVC. At that time, the implanted lead may safely be removed from the patient's SVC.
Referring to
The housing 308 movably carries a trigger 310. The trigger 310 is actuated by the user, or moved relative to the housing 308, to cause the cutting tip to rotate. In some embodiments and as illustrated in the figures, the trigger 310 is actuated by translating the trigger 310 proximally and distally relative to the housing 308. In some embodiments, the trigger 310 may be actuated by pivoting the trigger 310 relative to the housing 308. In some embodiments, the trigger 310 may be actuated by translating and pivoting the trigger 310 relative to the housing 308. In some embodiments, the trigger 310 may be formed as a depressible button. The trigger 310 may be formed of various appropriate materials, such as polymers and the like. In some embodiments and as illustrated in the figures, the trigger 310 includes one opening into which the user can insert one or more fingers. In some embodiments, the trigger 310 may include two or more openings. In some embodiments, the trigger 310 may be a straight or non-linear member without any openings. The trigger 310 may have a variety of sizes and shapes provided that the trigger 310, either alone or in conjunction with the housing 308, is ergonomically correct and comfortable for the user.
The housing 308 of the handle assembly 104 also movably carries a spring 312. The spring 312 is coupled to the trigger 310 to urge the trigger 310 toward a home position. In some embodiments and as illustrated in the figures, the trigger 310 is actuated when the user translates the trigger 310 proximally relative to the housing 308 and the spring 312 subsequently translates the trigger 310 distally relative to the housing 308. In some embodiments and as illustrated in the figures, the spring 312 is a constant force spring.
The housing 308 of the handle assembly 104 further carries a cutting tip drive mechanism 314 that is coupled to the sheath assembly 102. Actuation of the trigger 310 drives the cutting tip drive mechanism 314, and the cutting tip drive mechanism 314 in turn transmits rotational motion to the sheath assembly 102 and the cutting tip. In some embodiments and as illustrated in the figures, the cutting tip drive mechanism 314 includes a barrel cam 316, such as any of the barrel cams or barrel cam assemblies described and/or illustrated in U.S. Provisional Patent Application Nos. 62/058,790, 62/113,865, and/or 61/947,377, which are hereby incorporated by reference in their entirety for all they teach and for all purposes. Generally, the barrel cam 316 includes a cam slot that receives a pin carried by the trigger 310. The cam slot extends longitudinally and circumferentially on the surface of the barrel cam 316. As a result, actuation of the trigger 310, and the trigger pin, causes rotation of the barrel cam 316. The barrel cam 316 in turn transmits rotational motion to the sheath assembly 102 and the cutting tip.
The cutting tip drive mechanism 314 may take various other forms. For example, in some embodiments, the cutting tip drive mechanism 314 may be formed as a gear mechanism (not shown) or a threaded nut and shaft mechanism (not shown), such as any of the mechanisms described and/or illustrated in PCT Application No. PCT/US2014/026496, which is hereby incorporated by reference in its entirety for all it teaches and for all purposes. As another example, in some embodiments, the cutting tip drive mechanism 314 may include a prime mover (not shown), such as an electric motor, that receives power from a power supply (not shown), such as a battery carried by the housing 308.
Referring to
The chuck 322 may fixedly couple to a proximal end of the outer sheath assembly 106 via, for example, one or more fasteners, adhesives, or the like. The chuck 322 may be rotated about a longitudinal axis 326 of the sheath assembly 102 to translate the outer sheath assembly 106 relative to the cutting tip and thereby reconfigure the device 100 from the shielded configuration to the extended configuration and vice versa. Referring briefly to
In some embodiments, the shield drive mechanism 318 includes a detent mechanism 430 (see
In some embodiments, the detent mechanism 430 may define one or more shielded configurations and one or more extended configurations for the surgical device 100. For example and as illustrated in the figures, the surgical device 100 may be configurable to a shielded configuration (see, for example,
In some embodiments, the chuck 322 may include one or more indicators (for example, three indictors 436A, 436B, and 436C) that align with an indicator 438 on the base 320 in the shielded and/or extended configurations of the device 100. For example, the first indicator 436A may longitudinally align with the base indicator 438 in the shielded configuration, the second indicator 436B may longitudinally align with the base indicator 438 in the first extended configuration (the partially extended configuration), and the third indicator 436C may longitudinally align with the base indicator 438 in the second extended configuration (the fully extended configuration). In some embodiments, the indicators 436A, 436B, and 436C may be different colors. For example, the first indicator 436A may be green the second indicator 436B may be yellow, and the third indictor 436C may be red. The indicators 436 and 438 may be formed as various types and different combinations of symbols and/or shapes, such as circles or the like.
Referring again to
The outer sheath assembly 106 includes an outer sheath 544. The outer sheath 544 may be formed of a polymer extrusion, braided reinforced polymer extrusion, coils, bi-coils, tri-coils, laser cut metal tubing and any combination of the above. In some embodiments, the outer sheath 544 includes a jacket, such as a flexible polymer jacket, that surrounds the above component(s). The outer sheath 544 may be a unitary structure that includes multiple portions. In some embodiments, the outer sheath 544 has an outer diameter of about 0.203 inches and an inner diameter of about 0.189 inches. In some embodiments, the outer sheath 544 has an outer diameter of about 0.250 inches and an inner diameter of about 0.230 inches. A proximal end of the outer sheath 544 may be fixedly coupled to the chuck 322. Alternatively, and as explained in further detail below, the proximal end of the outer sheath 544 may be rotatably fixed and translatably slidable relative to the chuck 322. A distal end of the outer sheath 544 couples to an outer shield or outer band 546 via, for example, a welded connection or the like.
The outer shield 546 is illustrated separately in
The intermediate sheath assembly 540 includes an intermediate sheath 552 that is carried within the outer sheath 544. The intermediate sheath 552 may be formed of a polymer extrusion, braided reinforced polymer extrusion, coils, bi-coils, tri-coils, laser cut metal tubing and any combination of the above. The intermediate sheath 552 may be a unitary structure that includes multiple portions. In some embodiments, the intermediate sheath 552 has an outer diameter of about 0.180 inches and an inner diameter of about 0.166 inches. In some embodiments, the intermediate sheath 552 has an outer diameter of about 0.219 inches and an inner diameter of about 0.205 inches. A proximal end of the intermediate sheath 552 may be fixedly coupled to the base 320 of the shield drive mechanism 318. Alternatively, the intermediate sheath 552 may extend through the passageway 424 of the base 320 and the proximal end of the intermediate sheath 552 may be fixedly coupled to the housing 308 of the handle assembly 104. A distal end of the intermediate sheath 552 couples to an intermediate tip 554 via, for example, a welded connection or the like.
The intermediate tip 554 is illustrated separately in
Referring now to
In some embodiments and as illustrated in the figures, the cam slot 556 includes a linear profile. Alternatively, the cam slot 556 may include a non-linear profile or a combination of individual and/or multiple linear and non-linear profiles.
In some embodiments, translation and rotation of the outer shield 546 relative to the intermediate sheath assembly 540 (due to rotation of the chuck 322 and the outer sheath 544) causes a relatively small amount of longitudinal compression and extension of the outer sheath 544 between the chuck 322 and the outer shield 546 (for example, about 0.020 inches of longitudinal compression and extension). Stated another way, the proximal end of the outer sheath 544 is fixedly coupled to the chuck 322, and the proximal end of the outer sheath 544 does not translate as the outer shield 546 translates and rotates relative to the intermediate sheath assembly 540. Alternatively and in some embodiments, translation and rotation of the outer shield 546 relative to the intermediate sheath assembly 540 (due to rotation of the chuck 322 and the outer sheath 544) causes translation and/or rotation of the proximal end of the outer sheath 544 relative to the chuck 322. Stated another way, the proximal end of the outer sheath 544 is translatably and/or rotationally coupled to the chuck 322.
Referring again to
The cutting tip 534 is illustrated separately in
In some embodiments and as shown in
As yet another alternative, the cutting surface of a cutting tip may include various other profiles, such as any of those described and/or illustrated in U.S. patent application Ser. No. 13/834,405, which is hereby incorporated by reference in its entirety for all it teaches and for all purposes. In addition and referring to
Referring again to
The profile of the cam slot 574 may take a variety of forms, including any of those described and/or illustrated in U.S. Provisional Patent Application No. 62/058,790 or U.S. patent application Ser. No. 13/834,405. For example, the cam slot 574 may have a substantially linear profile, a substantially sinusoidal profile, or a combination of individual and/or multiple linear and non-linear profiles. Additionally, the cam slot 574 may have an open and continuous configuration, thereby allowing the cutting tip 534 to continuously rotate. Alternatively, the cam slot 574 may have a closed and discontinuous configuration such that when the cutting tip 534 reaches a fully rotated orientation, the trigger 310 must be released or reversed so that the cutting tip 534 returns to an initial orientation before being re-actuated. For instance, the cam slot 574 in
As described above, in the shielded configuration(s) of the device 100, the cutting surface 564 of the cutting tip 534 is disposed within the outer shield 546 when the cutting tip drive mechanism 314 is not actuated. In some embodiments, the cam slot 574 includes a profile such that, in one or more shielded configurations of the device 100, the cutting surface 564 remains disposed within the outer shield 546 during actuation of the cutting tip drive mechanism 314. In some embodiments, such a device 100 reduces the risk of damaging the wall of the vessel because the cutting surface 564 remains shielded during actuation of the cutting tip drive mechanism 314 because the cutting surface 564 remains proximal of the most distal end of the outer shield 546, even during rotation and extension of the cutting tip 534 within the outer shield 546. In some embodiments, the cam slot 574 includes a profile such that, in one or more shielded configurations of the device 100, the cutting surface 564 extends through the distal opening 550 of the outer shield 546 and is at least partially disposed outside of the outer shield 546 during a portion of actuation of the cutting tip drive mechanism 314.
As described above, in the extended configuration(s) of the device 100, the cutting surface 564 of the cutting tip 534 is at least partially disposed outside of the outer shield 546 when the cutting tip drive mechanism 314 is not actuated. In some embodiments, the cam slot 574 includes a profile such that, in one or more extended configurations of the device 100, the cutting surface 564 remains at least partially disposed outside of the outer shield 546 during actuation of the cutting tip drive mechanism 314. In some embodiments, the cam slot 574 includes a profile such that, in one or more extended configurations of the device 100, the cutting surface 564 retracts through the distal opening 550 of the outer shield 546 and is disposed within the outer shield 546 during a portion of actuation of the cutting tip drive mechanism 314.
In some embodiments and as illustrated in
Referring now to
The cutting surface 1180 may have various types of serrations, such as those described above, or it may lack serrations.
Referring specifically to
The sheath assembly 1176 is selectively reconfigurable to move the cutting tip 1178 from the shielded configuration(s) to the extended configuration(s) and vice versa. Referring to
Referring now to
In some embodiments, the cam and follower mechanism 1196 includes a cam slot or channel 1198 defined by the intermediate tip 1194 and a follower or pin 11100 carried by the outer shield 1182. Alternatively, the cam slot 1198 may be defined by the outer shield 1182 and the follower 11100 may be carried by the intermediate tip 1194. In either case, the cam slot 1198 slidably receives the follower 11100. In addition, the cam slot 1198 includes a profile that extends longitudinally and over at least a portion of the circumference of (that is, partially helically around) the intermediate tip 1194 (or, alternatively, outer shield 1182). As such, rotation of the outer shield 1182 relative to the intermediate tip 1194 (due to, for example, rotation of the chuck 1290) causes the outer shield 1182 to translate from one or more first positions in which the cutting tip 1178 is disposed within the outer shield 1182 (that is, one or more of the shielded configurations of the sheath assembly 1176; see, for example,
In some embodiments and as illustrated in the figures, the cam slot 1198 includes a linear profile. Alternatively, the cam slot 1198 may include a non-linear profile or a combination of individual and/or multiple linear and non-linear profiles. In some embodiments, the cam slot 1198 extends for 360 degrees about the circumference of the intermediate tip 1194 (or, alternatively, outer shield 1182) and the chuck 1290 rotates 360 degrees to reconfigure the sheath assembly 1176 from one of the shielded configurations to one of the extended configurations and vice versa. This facilitates angular alignment of an apex 11102 of the cutting surface 1180 with an apex 11104 of the outer shield 1182 in both the shielded configuration and the extended configuration.
In some embodiments, the cutting tip 1178 simply rotates relative to the intermediate tip 1194 and the outer shield 1182 upon actuation of the cutting tip drive mechanism (not shown in
In the shielded configuration(s) of the sheath assembly 1176, the cutting surface 1180 of the cutting tip 1178 is disposed within the outer shield 1182 when the cutting tip drive mechanism is not actuated. In some embodiments, the cam slot 1198 includes a profile such that, in one or more shielded configurations of the sheath assembly 1176, the cutting surface 1180 remains disposed within the outer shield 1182 during actuation of the cutting tip drive mechanism. For example, in one or more shielded configurations the apex 11102 of the cutting tip 1178 may remain within the outer shield 1182 during a portion of actuation of the cutting tip drive mechanism. In some embodiments, the cam slot 1198 includes a profile such that, in one or more shielded configurations of the sheath assembly 1176, the cutting surface 1180 extends through the distal opening 1184 of the outer shield 1182 and is at least partially disposed outside of the outer shield 1182 during a portion of actuation of the cutting tip drive mechanism. For example, in one or more shielded configurations the apex 11102 of the cutting tip 1178 may be disposed outside of the outer shield 1182 during a portion of actuation of the cutting tip drive mechanism.
In the extended configuration(s) of the sheath assembly 1176, the cutting surface 1180 of the cutting tip 1178 is at least partially disposed outside of the outer shield 1182 when the cutting tip drive mechanism is not actuated. For example, the apex 11102 of the cutting tip 1178 may extend 0.020 inches distally past the outer shield 1182 when the cutting tip drive mechanism is not actuated. In some embodiments, the cam slot 1198 includes a profile such that, in one or more extended configurations of the sheath assembly 1176, the cutting surface 1180 remains at least partially disposed outside of the outer shield 1182 during actuation of the cutting tip drive mechanism. For example, in one or more extended configurations the apex 11102 of the cutting tip 1178 may remain disposed outside of the outer shield 1182 during a portion of actuation of the cutting tip drive mechanism. In some embodiments, the cam slot 1198 includes a profile such that, in one or more extended configurations of the sheath assembly 1176, the cutting surface 1180 retracts through the distal opening 1184 of the outer shield 1182 and is disposed within the outer shield 1182 during a portion of actuation of the cutting tip drive mechanism. For example, in one or more extended configurations the apex 11102 of the cutting tip 1178 may retract into the the outer shield 1182 during a portion of actuation of the cutting tip drive mechanism.
Referring to
Referring to
The devices, structures, and components described herein may be combined or substituted with any of the devices, structures, and components described in U.S. patent application Ser. No. 14/577,976, entitled SURGICAL INSTRUMENT INCLUDING AN INWARDLY DEFLECTING CUTTING TIP FOR REMOVING AN IMPLANTED OBJECT, filed on Dec. 19, 2014, which is hereby incorporated by reference in its entirety for all it teaches and for all purposes.
The foregoing discussion has been presented for purposes of illustration and description. The foregoing is not intended to limit the disclosure to the form or forms disclosed herein. In the foregoing Summary for example, various features of the disclosure are grouped together in one or more aspects, embodiments, and/or configurations for the purpose of streamlining the disclosure. The features of the aspects, embodiments, and/or configurations of the disclosure may be combined in alternate aspects, embodiments, and/or configurations other than those discussed above. This method of disclosure is not to be interpreted as reflecting an intention that the claims require more features than are expressly recited in each claim. Rather, as the following claims reflect, inventive aspects lie in less than all features of a single foregoing disclosed aspect, embodiment, and/or configuration. Thus, the following claims are hereby incorporated into this Detailed Description, with each claim standing on its own as a separate preferred embodiment of the disclosure.
Moreover, though the description has included description of one or more aspects, embodiments, and/or configurations and certain variations and modifications, other variations, combinations, and modifications are within the scope of the disclosure, for example, as may be within the skill and knowledge of those in the art, after understanding the present disclosure. It is intended to obtain rights which include alternative aspects, embodiments, and/or configurations to the extent permitted, including alternate, interchangeable and/or equivalent structures, functions, ranges or steps to those claimed, whether or not such alternate, interchangeable and/or equivalent structures, functions, ranges or steps are disclosed herein, and without intending to publicly dedicate any patentable subject matter.
The present application claims the benefit of and priority to, under 35 U.S.C. § 119(e), U.S. Provisional Application Ser. No. 61/947,377, filed Mar. 3, 2014, entitled MEDICAL DEVICE FOR REMOVING AN IMPLANTED OBJECT, U.S. Provisional Application Ser. No. 61/987,993, filed May 2, 2014, entitled DUAL MODE MECHANICAL CATHETER CUTTING SYSTEM, U.S. Provisional Application Ser. No. 62/058,790, filed Oct. 2, 2014, entitled MEDICAL DEVICE FOR REMOVING AN IMPLANTED OBJECT, U.S. Provisional Application Ser. No. 62/094,808, filed Dec. 19, 2014, entitled MULTIPLE CONFIGURATION SURGICAL CUTTING DEVICE, and U.S. Provisional Application Ser. No. 62/113,865, filed Feb. 9, 2015, entitled MEDICAL DEVICE FOR REMOVING AN IMPLANTED OBJECT. The present application also claims the benefit of and priority to, under 35 U.S.C. § 119(e), 120 and/or 365(c) because the present application is a continuation-in-part of commonly owned International Application No. PCT/US2014/026496, filed Mar. 13, 2014 and entitled SURGICAL INSTRUMENT FOR REMOVING AN IMPLANTED OBJECT, which claims the benefit of and priority to U.S. Provisional Application Ser. No. 61/793,597, filed Mar. 15, 2013, entitled SURGICAL INSTRUMENT FOR REMOVING AN IMPLANTED OBJECT. Each of the above applications are hereby incorporated herein by reference in their entireties for all that they teach and for all purposes.
Number | Name | Date | Kind |
---|---|---|---|
1663761 | Johnson | Mar 1928 | A |
2708437 | Hutchins | May 1955 | A |
3400708 | Scheidt | Sep 1968 | A |
3614953 | Moss | Oct 1971 | A |
3703767 | Masseran | Nov 1972 | A |
3756242 | Coss | Sep 1973 | A |
4051596 | Hofmann | Oct 1977 | A |
4203444 | Bonnell et al. | May 1980 | A |
4246902 | Martinez | Jan 1981 | A |
4274414 | Johnson et al. | Jun 1981 | A |
D267145 | Kaneko | Dec 1982 | S |
4471777 | McCorkle, Jr. | Sep 1984 | A |
4517977 | Frost | May 1985 | A |
4582056 | McCorkle et al. | Apr 1986 | A |
4598710 | Kleinberg et al. | Jul 1986 | A |
4601290 | Effron et al. | Jul 1986 | A |
4646738 | Trott | Mar 1987 | A |
4662869 | Wright | May 1987 | A |
4674502 | Imonti | Jun 1987 | A |
4729763 | Henrie | Mar 1988 | A |
4754755 | Husted | Jul 1988 | A |
4767403 | Hodge | Aug 1988 | A |
4785826 | Ward | Nov 1988 | A |
D309350 | Sutherland et al. | Jul 1990 | S |
4943289 | Goode et al. | Jul 1990 | A |
4950277 | Farr | Aug 1990 | A |
4988347 | Goode et al. | Jan 1991 | A |
5011482 | Goode et al. | Apr 1991 | A |
5013310 | Goode et al. | May 1991 | A |
5031634 | Simon | Jul 1991 | A |
5152744 | Krause et al. | Oct 1992 | A |
5201316 | Pomeranz et al. | Apr 1993 | A |
5207683 | Goode et al. | May 1993 | A |
5217454 | Khoury | Jun 1993 | A |
5261877 | Fine et al. | Nov 1993 | A |
5263928 | Trauthen et al. | Nov 1993 | A |
5275609 | Pingleton et al. | Jan 1994 | A |
5281220 | Blake et al. | Jan 1994 | A |
5290275 | Kittrell et al. | Mar 1994 | A |
5290303 | Pingleton et al. | Mar 1994 | A |
5383199 | Laudenslager et al. | Jan 1995 | A |
5395328 | Ockuly et al. | Mar 1995 | A |
5411513 | Ireland et al. | May 1995 | A |
5423330 | Lee | Jun 1995 | A |
5423806 | Dale et al. | Jun 1995 | A |
5456680 | Taylor et al. | Oct 1995 | A |
5484433 | Taylor et al. | Jan 1996 | A |
5507751 | Goode et al. | Apr 1996 | A |
5562694 | Sauer et al. | Oct 1996 | A |
5569284 | Young et al. | Oct 1996 | A |
5575797 | Neubauer et al. | Nov 1996 | A |
5595186 | Rubinstein et al. | Jan 1997 | A |
5620451 | Rosborough | Apr 1997 | A |
5632749 | Goode et al. | May 1997 | A |
5651781 | Grace | Jul 1997 | A |
5697936 | Sbipko et al. | Dec 1997 | A |
5718237 | Haaga | Feb 1998 | A |
5725523 | Mueller | Mar 1998 | A |
5766164 | Mueller et al. | Jun 1998 | A |
5782823 | Mueller | Jul 1998 | A |
5792151 | Heck et al. | Aug 1998 | A |
5807399 | Laske et al. | Sep 1998 | A |
5814044 | Hooven | Sep 1998 | A |
5823971 | Robinson et al. | Oct 1998 | A |
5824026 | Diaz | Oct 1998 | A |
5863294 | Alden | Jan 1999 | A |
5873886 | Larsen et al. | Feb 1999 | A |
5879365 | Whitfield et al. | Mar 1999 | A |
5893862 | Pratt et al. | Apr 1999 | A |
5899915 | Saadat | May 1999 | A |
5910150 | Saadat | Jun 1999 | A |
5916210 | Winston | Jun 1999 | A |
5931848 | Saadat | Aug 1999 | A |
5941893 | Saadat | Aug 1999 | A |
5951581 | Saadat et al. | Sep 1999 | A |
5972012 | Ream et al. | Oct 1999 | A |
5980515 | Tu | Nov 1999 | A |
5980545 | Pacala et al. | Nov 1999 | A |
6007512 | Hooven | Dec 1999 | A |
6010476 | Saadat | Jan 2000 | A |
6019756 | Mueller et al. | Feb 2000 | A |
6022336 | Zadno-Azizi et al. | Feb 2000 | A |
6027497 | Daniel et al. | Feb 2000 | A |
6033402 | Tu et al. | Mar 2000 | A |
6036685 | Mueller | Mar 2000 | A |
6039748 | Savage | Mar 2000 | A |
6051008 | Saadat et al. | Apr 2000 | A |
6063037 | Mittermeier et al. | May 2000 | A |
6066131 | Mueller et al. | May 2000 | A |
6080175 | Hogendijk | Jun 2000 | A |
6083237 | Huitema et al. | Jul 2000 | A |
6099537 | Sugai et al. | Aug 2000 | A |
6102926 | Tartaglia et al. | Aug 2000 | A |
D430781 | Hillegonds | Sep 2000 | S |
6117149 | Sorensen et al. | Sep 2000 | A |
6120520 | Saadat et al. | Sep 2000 | A |
6126654 | Giba et al. | Oct 2000 | A |
6136005 | Goode et al. | Oct 2000 | A |
6139543 | Esch et al. | Oct 2000 | A |
6152909 | Bagaoisan et al. | Nov 2000 | A |
6152918 | Padilla et al. | Nov 2000 | A |
6156049 | Lovato et al. | Dec 2000 | A |
6159203 | Sinofsky | Dec 2000 | A |
6159225 | Makower | Dec 2000 | A |
6162214 | Mueller et al. | Dec 2000 | A |
6165188 | Saadat et al. | Dec 2000 | A |
6167315 | Coe et al. | Dec 2000 | A |
6174307 | Daniel et al. | Jan 2001 | B1 |
6190352 | Haarala et al. | Feb 2001 | B1 |
6190353 | Makower et al. | Feb 2001 | B1 |
6203537 | Adrian | Mar 2001 | B1 |
6210400 | Hebert et al. | Apr 2001 | B1 |
6228076 | Winston et al. | May 2001 | B1 |
6235044 | Root et al. | May 2001 | B1 |
6241692 | Tu et al. | Jun 2001 | B1 |
6245011 | Dudda et al. | Jun 2001 | B1 |
6251121 | Saadat | Jun 2001 | B1 |
6258083 | Daniel et al. | Jul 2001 | B1 |
6290668 | Gregory et al. | Sep 2001 | B1 |
6315774 | Daniel et al. | Nov 2001 | B1 |
6324434 | Coe et al. | Nov 2001 | B2 |
6379351 | Thapliyal et al. | Apr 2002 | B1 |
6395002 | Ellman et al. | May 2002 | B1 |
6398773 | Bagaoisan et al. | Jun 2002 | B1 |
6402771 | Palmer et al. | Jun 2002 | B1 |
6402781 | Langberg et al. | Jun 2002 | B1 |
6419674 | Bowser et al. | Jul 2002 | B1 |
6419684 | Heisler et al. | Jul 2002 | B1 |
6423051 | Kaplan et al. | Jul 2002 | B1 |
6428539 | Baxter et al. | Aug 2002 | B1 |
6428556 | Chin | Aug 2002 | B1 |
6432119 | Saadat | Aug 2002 | B1 |
6436054 | Viola et al. | Aug 2002 | B1 |
6436114 | Novak et al. | Aug 2002 | B1 |
6454741 | Muni et al. | Sep 2002 | B1 |
6454758 | Thompson et al. | Sep 2002 | B1 |
6461349 | Elbrecht et al. | Oct 2002 | B1 |
6478777 | Honeck et al. | Nov 2002 | B1 |
6488636 | Bryan et al. | Dec 2002 | B2 |
6500182 | Foster | Dec 2002 | B2 |
6512959 | Gomperz et al. | Jan 2003 | B1 |
6527752 | Bosley et al. | Mar 2003 | B1 |
6537314 | Langberg et al. | Mar 2003 | B2 |
6540865 | Miekka et al. | Apr 2003 | B1 |
6554779 | Viola et al. | Apr 2003 | B2 |
6558382 | Jahns et al. | May 2003 | B2 |
6565588 | Clement et al. | May 2003 | B1 |
6569082 | Chin | May 2003 | B1 |
6575997 | Palmer et al. | Jun 2003 | B1 |
6592607 | Palmer et al. | Jul 2003 | B1 |
6595982 | Sekino et al. | Jul 2003 | B2 |
6599296 | Gillick et al. | Jul 2003 | B1 |
6602241 | Makower et al. | Aug 2003 | B2 |
6607547 | Chin | Aug 2003 | B1 |
6610046 | Usami et al. | Aug 2003 | B1 |
6613013 | Haarala et al. | Sep 2003 | B2 |
6620153 | Mueller et al. | Sep 2003 | B2 |
6620160 | Lewis et al. | Sep 2003 | B2 |
6620180 | Bays et al. | Sep 2003 | B1 |
6641590 | Palmer et al. | Nov 2003 | B1 |
6652480 | Imran et al. | Nov 2003 | B1 |
6652548 | Evans et al. | Nov 2003 | B2 |
6660021 | Palmer et al. | Dec 2003 | B1 |
6663626 | Truckai et al. | Dec 2003 | B2 |
6669685 | Rizoiu et al. | Dec 2003 | B1 |
6673090 | Root et al. | Jan 2004 | B2 |
6687548 | Goode | Feb 2004 | B2 |
6702813 | Baxter et al. | Mar 2004 | B1 |
6706018 | Westlund et al. | Mar 2004 | B2 |
6706052 | Chin | Mar 2004 | B1 |
6706065 | Langberg et al. | Mar 2004 | B2 |
6709456 | Langberg et al. | Mar 2004 | B2 |
6712773 | Viola | Mar 2004 | B1 |
6712826 | Lui | Mar 2004 | B2 |
6772014 | Coe et al. | Aug 2004 | B2 |
6802838 | Loeb et al. | Oct 2004 | B2 |
6805692 | Muni et al. | Oct 2004 | B2 |
6810882 | Langberg et al. | Nov 2004 | B2 |
6818001 | Wulfman et al. | Nov 2004 | B2 |
6860860 | Viola | Mar 2005 | B2 |
6871085 | Sommer | Mar 2005 | B2 |
6884240 | Dykes | Apr 2005 | B1 |
6887238 | Jahns et al. | May 2005 | B2 |
6893450 | Foster | May 2005 | B2 |
6913612 | Palmer et al. | Jul 2005 | B2 |
6962585 | Poleo et al. | Nov 2005 | B2 |
6979290 | Mourlas et al. | Dec 2005 | B2 |
6979319 | Manning et al. | Dec 2005 | B2 |
6989028 | Lashinski et al. | Jan 2006 | B2 |
6999809 | Currier et al. | Feb 2006 | B2 |
7004956 | Palmer et al. | Feb 2006 | B2 |
7011682 | Lashinski et al. | Mar 2006 | B2 |
7014614 | Casula | Mar 2006 | B2 |
7022133 | Yee et al. | Apr 2006 | B2 |
7033324 | Giusti et al. | Apr 2006 | B2 |
7033335 | Haarala et al. | Apr 2006 | B2 |
7033344 | Imran | Apr 2006 | B2 |
7033357 | Baxter et al. | Apr 2006 | B2 |
7060061 | Altshuler et al. | Jun 2006 | B2 |
7063693 | Guenst | Jun 2006 | B2 |
7077856 | Whitman | Jul 2006 | B2 |
7092765 | Geske et al. | Aug 2006 | B2 |
7104983 | Grasso et al. | Sep 2006 | B2 |
7114642 | Whitman | Oct 2006 | B2 |
7117039 | Manning et al. | Oct 2006 | B2 |
7149587 | Wardle et al. | Dec 2006 | B2 |
7151965 | Osypka | Dec 2006 | B2 |
7189207 | Viola | Mar 2007 | B2 |
7191015 | Lamson et al. | Mar 2007 | B2 |
7192430 | Truckai et al. | Mar 2007 | B2 |
7204824 | Moulis | Apr 2007 | B2 |
7214180 | Chin | May 2007 | B2 |
7226459 | Cesarini et al. | Jun 2007 | B2 |
7238179 | Brucker et al. | Jul 2007 | B2 |
7238180 | Mester et al. | Jul 2007 | B2 |
7252641 | Thompson et al. | Aug 2007 | B2 |
7264587 | Chin | Sep 2007 | B2 |
7273478 | Appling et al. | Sep 2007 | B2 |
7276052 | Kobayashi et al. | Oct 2007 | B2 |
7288096 | Chin | Oct 2007 | B2 |
7296577 | Lashinski et al. | Nov 2007 | B2 |
7306588 | Loeb et al. | Dec 2007 | B2 |
7326226 | Root et al. | Feb 2008 | B2 |
7328071 | Stehr et al. | Feb 2008 | B1 |
7344546 | Wulfman et al. | Mar 2008 | B2 |
7357794 | Makower et al. | Apr 2008 | B2 |
7359756 | Goode | Apr 2008 | B2 |
7369901 | Morgan et al. | May 2008 | B1 |
7396354 | Rychnovsky et al. | Jul 2008 | B2 |
7398781 | Chin | Jul 2008 | B1 |
7449010 | Hayase et al. | Nov 2008 | B1 |
7462167 | Kratz et al. | Dec 2008 | B2 |
7485127 | Nistal | Feb 2009 | B2 |
7494484 | Beck et al. | Feb 2009 | B2 |
7507252 | Lashinski et al. | Mar 2009 | B2 |
7509169 | Eigler et al. | Mar 2009 | B2 |
7510576 | Langberg et al. | Mar 2009 | B2 |
7513877 | Viola | Apr 2009 | B2 |
7513892 | Haarala et al. | Apr 2009 | B1 |
7526342 | Chin et al. | Apr 2009 | B2 |
7537602 | Whitman | May 2009 | B2 |
D594983 | Price et al. | Jun 2009 | S |
7540865 | Griffin et al. | Jun 2009 | B2 |
7544197 | Kelsch et al. | Jun 2009 | B2 |
7559941 | Zannis et al. | Jul 2009 | B2 |
D600792 | Eubanks et al. | Sep 2009 | S |
7591790 | Pflueger | Sep 2009 | B2 |
7597698 | Chin | Oct 2009 | B2 |
7606615 | Makower et al. | Oct 2009 | B2 |
7611474 | Hibner et al. | Nov 2009 | B2 |
7637904 | Wingler et al. | Dec 2009 | B2 |
7645286 | Catanese et al. | Jan 2010 | B2 |
7648466 | Stephens et al. | Jan 2010 | B2 |
7651503 | Coe et al. | Jan 2010 | B1 |
7651504 | Goode et al. | Jan 2010 | B2 |
D610259 | Way et al. | Feb 2010 | S |
D611146 | Way et al. | Mar 2010 | S |
7674272 | Torrance et al. | Mar 2010 | B2 |
7695485 | Whitman et al. | Apr 2010 | B2 |
7695512 | Lashinski et al. | Apr 2010 | B2 |
7697996 | Manning et al. | Apr 2010 | B2 |
7713231 | Wulfman et al. | May 2010 | B2 |
7713235 | Torrance et al. | May 2010 | B2 |
7713281 | Leeflang et al. | May 2010 | B2 |
7722549 | Nakao | May 2010 | B2 |
7740626 | Takayama et al. | Jun 2010 | B2 |
7743960 | Whitman et al. | Jun 2010 | B2 |
D619252 | Way et al. | Jul 2010 | S |
D619253 | Way et al. | Jul 2010 | S |
7758594 | Lamson et al. | Jul 2010 | B2 |
7758613 | Whitman | Jul 2010 | B2 |
D621939 | Way et al. | Aug 2010 | S |
7766923 | Catanese et al. | Aug 2010 | B2 |
7780682 | Catanese et al. | Aug 2010 | B2 |
7780694 | Palmer et al. | Aug 2010 | B2 |
7794411 | Ritchart et al. | Sep 2010 | B2 |
7798813 | Harrel | Sep 2010 | B1 |
7803151 | Whitman | Sep 2010 | B2 |
7806835 | Hibner et al. | Oct 2010 | B2 |
7811281 | Rentrop | Oct 2010 | B1 |
7815655 | Catanese et al. | Oct 2010 | B2 |
7842009 | Torrance et al. | Nov 2010 | B2 |
7845538 | Whitman | Dec 2010 | B2 |
7858038 | Andreyko et al. | Dec 2010 | B2 |
D631155 | Peine et al. | Jan 2011 | S |
7875018 | Tockman et al. | Jan 2011 | B2 |
7875049 | Eversull et al. | Jan 2011 | B2 |
D631965 | Price et al. | Feb 2011 | S |
7890186 | Wardle et al. | Feb 2011 | B2 |
7890192 | Kelsch et al. | Feb 2011 | B1 |
7896879 | Solsberg et al. | Mar 2011 | B2 |
7896891 | Catanese et al. | Mar 2011 | B2 |
7905889 | Catanese et al. | Mar 2011 | B2 |
7909836 | McLean et al. | Mar 2011 | B2 |
7914464 | Burdorff et al. | Mar 2011 | B2 |
7914542 | Lamson et al. | Mar 2011 | B2 |
D635671 | Way et al. | Apr 2011 | S |
7918230 | Whitman et al. | Apr 2011 | B2 |
7918803 | Ritchart et al. | Apr 2011 | B2 |
7930040 | Kelsch et al. | Apr 2011 | B1 |
D638935 | Gilmore et al. | May 2011 | S |
7935146 | Langberg et al. | May 2011 | B2 |
7938786 | Ritchie et al. | May 2011 | B2 |
7942830 | Solsberg et al. | May 2011 | B2 |
7951071 | Whitman et al. | May 2011 | B2 |
7951158 | Catanese et al. | May 2011 | B2 |
7963040 | Shan et al. | Jun 2011 | B2 |
7963433 | Whitman et al. | Jun 2011 | B2 |
7974710 | Seifert | Jul 2011 | B2 |
7981049 | Ritchie et al. | Jul 2011 | B2 |
7981050 | Ritchart et al. | Jul 2011 | B2 |
7981128 | To et al. | Jul 2011 | B2 |
7988726 | Langberg et al. | Aug 2011 | B2 |
7991258 | Temelkuran et al. | Aug 2011 | B2 |
7992758 | Whitman et al. | Aug 2011 | B2 |
7993350 | Ventura et al. | Aug 2011 | B2 |
7993351 | Worley et al. | Aug 2011 | B2 |
7993359 | Atwell et al. | Aug 2011 | B1 |
8007434 | Olson | Aug 2011 | B2 |
8007469 | Duffy | Aug 2011 | B2 |
8007488 | Ravenscroft | Aug 2011 | B2 |
8007503 | Catanese et al. | Aug 2011 | B2 |
8007506 | To et al. | Aug 2011 | B2 |
8016748 | Mourlas et al. | Sep 2011 | B2 |
8016844 | Privitera et al. | Sep 2011 | B2 |
8016855 | Whitman et al. | Sep 2011 | B2 |
8016858 | Whitman | Sep 2011 | B2 |
8021373 | Whitman et al. | Sep 2011 | B2 |
8025199 | Whitman et al. | Sep 2011 | B2 |
8043309 | Catanese et al. | Oct 2011 | B2 |
RE42959 | Saadat et al. | Nov 2011 | E |
8052616 | Andrisek et al. | Nov 2011 | B2 |
8052659 | Ravenscroft et al. | Nov 2011 | B2 |
8056786 | Whitman et al. | Nov 2011 | B2 |
8056791 | Whitman | Nov 2011 | B2 |
D650074 | Hunt et al. | Dec 2011 | S |
8070762 | Escudero et al. | Dec 2011 | B2 |
8090430 | Makower et al. | Jan 2012 | B2 |
8097012 | Kagarise | Jan 2012 | B2 |
8100920 | Gambale et al. | Jan 2012 | B2 |
8118208 | Whitman | Feb 2012 | B2 |
8126570 | Manning et al. | Feb 2012 | B2 |
8128577 | Viola | Mar 2012 | B2 |
8128636 | Lui et al. | Mar 2012 | B2 |
8133214 | Hayase et al. | Mar 2012 | B2 |
8137377 | Palmer et al. | Mar 2012 | B2 |
8142442 | Palmer et al. | Mar 2012 | B2 |
8142446 | Shan | Mar 2012 | B2 |
RE43300 | Saadat et al. | Apr 2012 | E |
8157815 | Catanese et al. | Apr 2012 | B2 |
8186559 | Whitman | May 2012 | B1 |
8187204 | Miller et al. | May 2012 | B2 |
8192430 | Goode et al. | Jun 2012 | B2 |
8202229 | Miller et al. | Jun 2012 | B2 |
8206409 | Privitera et al. | Jun 2012 | B2 |
8211118 | Catanese et al. | Jul 2012 | B2 |
8216254 | McLean et al. | Jul 2012 | B2 |
8235916 | Whiting et al. | Aug 2012 | B2 |
8236016 | To et al. | Aug 2012 | B2 |
8239039 | Zarembo et al. | Aug 2012 | B2 |
8241272 | Arnold et al. | Aug 2012 | B2 |
8251916 | Speeg et al. | Aug 2012 | B2 |
8252015 | Leeflang et al. | Aug 2012 | B2 |
8257312 | Duffy | Sep 2012 | B2 |
8272554 | Whitman et al. | Sep 2012 | B2 |
8273078 | Muenker | Sep 2012 | B2 |
8295947 | Lamson et al. | Oct 2012 | B2 |
8303511 | Eigler et al. | Nov 2012 | B2 |
8303570 | Gregorich et al. | Nov 2012 | B2 |
8323240 | Wulfman et al. | Dec 2012 | B2 |
8326437 | Cully et al. | Dec 2012 | B2 |
8333740 | Shippert | Dec 2012 | B2 |
8333776 | Cheng et al. | Dec 2012 | B2 |
8337516 | Escudero et al. | Dec 2012 | B2 |
8343167 | Henson | Jan 2013 | B2 |
8343187 | Lamson et al. | Jan 2013 | B2 |
8353899 | Wells et al. | Jan 2013 | B1 |
8361094 | To et al. | Jan 2013 | B2 |
8364280 | Marnfeldt et al. | Jan 2013 | B2 |
8372098 | Tran | Feb 2013 | B2 |
D679010 | Kitayama et al. | Mar 2013 | S |
8394110 | Catanese et al. | Mar 2013 | B2 |
8394113 | Wei et al. | Mar 2013 | B2 |
8424535 | Hessler et al. | Apr 2013 | B2 |
8425535 | McLean et al. | Apr 2013 | B2 |
D687549 | Johnson et al. | Aug 2013 | S |
D697618 | Gonzales et al. | Jan 2014 | S |
8622275 | Baxter et al. | Jan 2014 | B2 |
D706928 | Harrison et al. | Jun 2014 | S |
D708742 | Dallemagne et al. | Jul 2014 | S |
8961551 | Taylor | Feb 2015 | B2 |
9232945 | Zingman | Jan 2016 | B2 |
9603618 | Grace et al. | Mar 2017 | B2 |
9622762 | Dahm et al. | Apr 2017 | B2 |
D786430 | Davies et al. | May 2017 | S |
20010005789 | Root et al. | Jun 2001 | A1 |
20010016717 | Haarala et al. | Aug 2001 | A1 |
20010025174 | Daniel et al. | Sep 2001 | A1 |
20010031981 | Evans et al. | Oct 2001 | A1 |
20010039427 | Dinger et al. | Nov 2001 | A1 |
20010041899 | Foster | Nov 2001 | A1 |
20010044568 | Langberg et al. | Nov 2001 | A1 |
20020002372 | Jahns et al. | Jan 2002 | A1 |
20020007204 | Goode | Jan 2002 | A1 |
20020010475 | Lui | Jan 2002 | A1 |
20020010487 | Evans et al. | Jan 2002 | A1 |
20020016628 | Langberg et al. | Feb 2002 | A1 |
20020045811 | Kittrell et al. | Apr 2002 | A1 |
20020065543 | Gomperz et al. | May 2002 | A1 |
20020068954 | Foster | Jun 2002 | A1 |
20020087046 | Sullivan et al. | Jul 2002 | A1 |
20020087151 | Mody et al. | Jul 2002 | A1 |
20020103459 | Sparks et al. | Aug 2002 | A1 |
20020103477 | Grasso et al. | Aug 2002 | A1 |
20020103532 | Langberg et al. | Aug 2002 | A1 |
20020103533 | Langberg et al. | Aug 2002 | A1 |
20020123785 | Zhang et al. | Sep 2002 | A1 |
20020151918 | Lafontaine et al. | Oct 2002 | A1 |
20020151961 | Lashinski et al. | Oct 2002 | A1 |
20020165425 | Yoon et al. | Nov 2002 | A1 |
20020183735 | Edwards et al. | Dec 2002 | A1 |
20020188278 | Tockman et al. | Dec 2002 | A1 |
20030009146 | Muni et al. | Jan 2003 | A1 |
20030036788 | Coe et al. | Feb 2003 | A1 |
20030050630 | Mody et al. | Mar 2003 | A1 |
20030050631 | Mody et al. | Mar 2003 | A1 |
20030055444 | Evans et al. | Mar 2003 | A1 |
20030055445 | Evans et al. | Mar 2003 | A1 |
20030069575 | Chin et al. | Apr 2003 | A1 |
20030073985 | Mueller et al. | Apr 2003 | A1 |
20030078562 | Makower et al. | Apr 2003 | A1 |
20030105451 | Westlund et al. | Jun 2003 | A1 |
20030125619 | Manning et al. | Jul 2003 | A1 |
20030125709 | Eidenschink | Jul 2003 | A1 |
20030167056 | Jahns et al. | Sep 2003 | A1 |
20030187460 | Chin et al. | Oct 2003 | A1 |
20030187461 | Chin | Oct 2003 | A1 |
20030199916 | Yee et al. | Oct 2003 | A1 |
20030199921 | Palmer et al. | Oct 2003 | A1 |
20030204202 | Palmer et al. | Oct 2003 | A1 |
20030208209 | Gambale et al. | Nov 2003 | A1 |
20030229323 | Haarala et al. | Dec 2003 | A1 |
20030229353 | Cragg | Dec 2003 | A1 |
20040006358 | Wulfman et al. | Jan 2004 | A1 |
20040010248 | Appling et al. | Jan 2004 | A1 |
20040015193 | Lamson et al. | Jan 2004 | A1 |
20040019359 | Worley et al. | Jan 2004 | A1 |
20040049208 | Hill et al. | Mar 2004 | A1 |
20040054368 | Truckai et al. | Mar 2004 | A1 |
20040054388 | Osypka | Mar 2004 | A1 |
20040059348 | Geske et al. | Mar 2004 | A1 |
20040064024 | Sommer | Apr 2004 | A1 |
20040068256 | Rizoiu et al. | Apr 2004 | A1 |
20040068288 | Palmer et al. | Apr 2004 | A1 |
20040093016 | Root et al. | May 2004 | A1 |
20040102804 | Chin | May 2004 | A1 |
20040102841 | Langberg et al. | May 2004 | A1 |
20040111101 | Chin | Jun 2004 | A1 |
20040116939 | Goode | Jun 2004 | A1 |
20040133220 | Lashinski et al. | Jul 2004 | A1 |
20040138562 | Makower et al. | Jul 2004 | A1 |
20040138744 | Lashinski et al. | Jul 2004 | A1 |
20040143284 | Chin | Jul 2004 | A1 |
20040147911 | Sinofsky | Jul 2004 | A1 |
20040147912 | Sinofsky | Jul 2004 | A1 |
20040147913 | Sinofsky | Jul 2004 | A1 |
20040153096 | Goode et al. | Aug 2004 | A1 |
20040153098 | Chin et al. | Aug 2004 | A1 |
20040172116 | Seifert et al. | Sep 2004 | A1 |
20040176840 | Langberg et al. | Sep 2004 | A1 |
20040181249 | Torrance et al. | Sep 2004 | A1 |
20040216748 | Chin | Nov 2004 | A1 |
20040220519 | Wulfman et al. | Nov 2004 | A1 |
20040230212 | Wulfman | Nov 2004 | A1 |
20040230213 | Wulfman et al. | Nov 2004 | A1 |
20040235611 | Nistal | Nov 2004 | A1 |
20040236312 | Nistal et al. | Nov 2004 | A1 |
20040236397 | Coe et al. | Nov 2004 | A1 |
20040243123 | Grasso et al. | Dec 2004 | A1 |
20040243162 | Wulfman et al. | Dec 2004 | A1 |
20040254534 | Bjorkman et al. | Dec 2004 | A1 |
20040260322 | Rudko et al. | Dec 2004 | A1 |
20040267276 | Camino et al. | Dec 2004 | A1 |
20040267304 | Zannis et al. | Dec 2004 | A1 |
20050004644 | Kelsch et al. | Jan 2005 | A1 |
20050025798 | Moulis | Feb 2005 | A1 |
20050027337 | Rudko et al. | Feb 2005 | A1 |
20050038419 | Arnold et al. | Feb 2005 | A9 |
20050054948 | Goldenberg | Mar 2005 | A1 |
20050060030 | Lashinski et al. | Mar 2005 | A1 |
20050065561 | Manning et al. | Mar 2005 | A1 |
20050090748 | Makower et al. | Apr 2005 | A1 |
20050096740 | Langberg et al. | May 2005 | A1 |
20050119615 | Noriega et al. | Jun 2005 | A1 |
20050131399 | Loeb et al. | Jun 2005 | A1 |
20050149104 | Leeflang et al. | Jul 2005 | A1 |
20050149105 | Leeflang et al. | Jul 2005 | A1 |
20050154378 | Teague et al. | Jul 2005 | A1 |
20050197623 | Leeflang et al. | Sep 2005 | A1 |
20050222607 | Palmer et al. | Oct 2005 | A1 |
20050228402 | Hofmann | Oct 2005 | A1 |
20050228452 | Mourlas et al. | Oct 2005 | A1 |
20050251116 | Steinke et al. | Nov 2005 | A1 |
20050259942 | Temelkuran et al. | Nov 2005 | A1 |
20050267557 | Flynn et al. | Dec 2005 | A1 |
20050273090 | Nieman et al. | Dec 2005 | A1 |
20050283143 | Rizoiu | Dec 2005 | A1 |
20050288596 | Eigler et al. | Dec 2005 | A1 |
20050288604 | Eigler et al. | Dec 2005 | A1 |
20050288654 | Nieman et al. | Dec 2005 | A1 |
20060004346 | Begg | Jan 2006 | A1 |
20060041250 | Poleo | Feb 2006 | A1 |
20060052660 | Chin | Mar 2006 | A1 |
20060084839 | Mourlas et al. | Apr 2006 | A1 |
20060100663 | Palmer et al. | May 2006 | A1 |
20060116746 | Chin | Jun 2006 | A1 |
20060116757 | Lashinski et al. | Jun 2006 | A1 |
20060167417 | Kratz et al. | Jul 2006 | A1 |
20060173440 | Lamson et al. | Aug 2006 | A1 |
20060217755 | Eversull et al. | Sep 2006 | A1 |
20060229490 | Chin | Oct 2006 | A1 |
20060235431 | Goode et al. | Oct 2006 | A1 |
20060247751 | Seifert | Nov 2006 | A1 |
20060253179 | Goode et al. | Nov 2006 | A1 |
20060265042 | Catanese et al. | Nov 2006 | A1 |
20060276871 | Lamson et al. | Dec 2006 | A1 |
20060287574 | Chin | Dec 2006 | A1 |
20070015964 | Eversull et al. | Jan 2007 | A1 |
20070016130 | Leeflang et al. | Jan 2007 | A1 |
20070021812 | Manning et al. | Jan 2007 | A1 |
20070049929 | Catanese et al. | Mar 2007 | A1 |
20070050003 | Zarembo et al. | Mar 2007 | A1 |
20070083217 | Eversull et al. | Apr 2007 | A1 |
20070100410 | Lamson et al. | May 2007 | A1 |
20070106328 | Wardle et al. | May 2007 | A1 |
20070123892 | Ries et al. | May 2007 | A1 |
20070129710 | Rudko et al. | Jun 2007 | A1 |
20070142846 | Catanese et al. | Jun 2007 | A1 |
20070197861 | Reiley et al. | Aug 2007 | A1 |
20070198020 | Reiley et al. | Aug 2007 | A1 |
20070232981 | Ravenscroft et al. | Oct 2007 | A1 |
20070276412 | Catanese et al. | Nov 2007 | A1 |
20070276419 | Rosenthal | Nov 2007 | A1 |
20070293853 | Truckai et al. | Dec 2007 | A1 |
20080004643 | To et al. | Jan 2008 | A1 |
20080004644 | To et al. | Jan 2008 | A1 |
20080004645 | To et al. | Jan 2008 | A1 |
20080004646 | To et al. | Jan 2008 | A1 |
20080004647 | To et al. | Jan 2008 | A1 |
20080015625 | Ventura et al. | Jan 2008 | A1 |
20080021484 | Catanese et al. | Jan 2008 | A1 |
20080021485 | Catanese et al. | Jan 2008 | A1 |
20080033232 | Catanese et al. | Feb 2008 | A1 |
20080033456 | Catanese et al. | Feb 2008 | A1 |
20080033458 | McLean et al. | Feb 2008 | A1 |
20080033488 | Catanese et al. | Feb 2008 | A1 |
20080039833 | Catanese et al. | Feb 2008 | A1 |
20080039872 | Catanese et al. | Feb 2008 | A1 |
20080039874 | Catanese et al. | Feb 2008 | A1 |
20080039875 | Catanese et al. | Feb 2008 | A1 |
20080039876 | Catanese et al. | Feb 2008 | A1 |
20080039883 | Nohilly | Feb 2008 | A1 |
20080039884 | Nohilly | Feb 2008 | A1 |
20080039889 | Lamson et al. | Feb 2008 | A1 |
20080039893 | McLean et al. | Feb 2008 | A1 |
20080039894 | Catanese et al. | Feb 2008 | A1 |
20080045986 | To et al. | Feb 2008 | A1 |
20080051756 | Makower et al. | Feb 2008 | A1 |
20080058759 | Makower et al. | Mar 2008 | A1 |
20080071341 | Goode et al. | Mar 2008 | A1 |
20080071342 | Goode et al. | Mar 2008 | A1 |
20080077085 | Eidenschink et al. | Mar 2008 | A1 |
20080097398 | Mitelberg et al. | Apr 2008 | A1 |
20080097426 | Root et al. | Apr 2008 | A1 |
20080103439 | Torrance et al. | May 2008 | A1 |
20080103446 | Torrance et al. | May 2008 | A1 |
20080103516 | Wulfman et al. | May 2008 | A1 |
20080125748 | Patel | May 2008 | A1 |
20080147061 | Goode et al. | Jun 2008 | A1 |
20080154293 | Taylor | Jun 2008 | A1 |
20080154296 | Taylor | Jun 2008 | A1 |
20080183163 | Lampropoulos et al. | Jul 2008 | A1 |
20080208105 | Zelickson et al. | Aug 2008 | A1 |
20080221560 | Arai et al. | Sep 2008 | A1 |
20080228208 | Wulfman et al. | Sep 2008 | A1 |
20080234602 | Oostman et al. | Sep 2008 | A1 |
20080234698 | Oostman et al. | Sep 2008 | A1 |
20080234716 | Kiester | Sep 2008 | A1 |
20080249516 | Muenker | Oct 2008 | A1 |
20080262516 | Gambale et al. | Oct 2008 | A1 |
20080275497 | Palmer et al. | Nov 2008 | A1 |
20080275498 | Palmer et al. | Nov 2008 | A1 |
20080277445 | Zergiebel et al. | Nov 2008 | A1 |
20080281308 | Neuberger et al. | Nov 2008 | A1 |
20080287888 | Ravenscroft | Nov 2008 | A1 |
20080306333 | Chin | Dec 2008 | A1 |
20090012510 | Bertolero et al. | Jan 2009 | A1 |
20090018523 | Lamson et al. | Jan 2009 | A1 |
20090018553 | McLean et al. | Jan 2009 | A1 |
20090034927 | Temelkuran et al. | Feb 2009 | A1 |
20090036871 | Hayase et al. | Feb 2009 | A1 |
20090054918 | Henson | Feb 2009 | A1 |
20090060977 | Lamson et al. | Mar 2009 | A1 |
20090071012 | Shan et al. | Mar 2009 | A1 |
20090076522 | Shan | Mar 2009 | A1 |
20090131907 | Chin et al. | May 2009 | A1 |
20090149847 | Yadin et al. | Jun 2009 | A1 |
20090157045 | Haarala et al. | Jun 2009 | A1 |
20090192439 | Lamson et al. | Jul 2009 | A1 |
20090204128 | Lamson et al. | Aug 2009 | A1 |
20090221994 | Neuberger et al. | Sep 2009 | A1 |
20090222025 | Catanese et al. | Sep 2009 | A1 |
20090227999 | Willis et al. | Sep 2009 | A1 |
20090234378 | Escudero et al. | Sep 2009 | A1 |
20090270862 | Arcenio | Oct 2009 | A1 |
20100004606 | Hansen et al. | Jan 2010 | A1 |
20100030154 | Duffy | Feb 2010 | A1 |
20100030161 | Duffy | Feb 2010 | A1 |
20100030262 | McLean et al. | Feb 2010 | A1 |
20100030263 | Cheng et al. | Feb 2010 | A1 |
20100049225 | To et al. | Feb 2010 | A1 |
20100063488 | Fischer et al. | Mar 2010 | A1 |
20100125253 | Olson et al. | May 2010 | A1 |
20100137873 | Grady et al. | Jun 2010 | A1 |
20100160952 | Leeflang et al. | Jun 2010 | A1 |
20100191165 | Appling et al. | Jul 2010 | A1 |
20100198194 | Manning et al. | Aug 2010 | A1 |
20100198229 | Olomutzki et al. | Aug 2010 | A1 |
20100217081 | Deppmeier et al. | Aug 2010 | A1 |
20100217277 | Truong | Aug 2010 | A1 |
20100222737 | Arnold et al. | Sep 2010 | A1 |
20100222787 | Goode et al. | Sep 2010 | A1 |
20100240951 | Catanese et al. | Sep 2010 | A1 |
20100256616 | Katoh et al. | Oct 2010 | A1 |
20100280496 | Shippert | Nov 2010 | A1 |
20100305594 | Opie | Dec 2010 | A1 |
20100324472 | Wulfman | Dec 2010 | A1 |
20100331793 | Tulleken | Dec 2010 | A1 |
20110004238 | Palmer et al. | Jan 2011 | A1 |
20110009957 | Langberg et al. | Jan 2011 | A1 |
20110022057 | Eigler et al. | Jan 2011 | A1 |
20110028959 | Chasan | Feb 2011 | A1 |
20110034790 | Mourlas et al. | Feb 2011 | A1 |
20110040238 | Wulfman et al. | Feb 2011 | A1 |
20110040312 | Lamson et al. | Feb 2011 | A1 |
20110040315 | To et al. | Feb 2011 | A1 |
20110040326 | Wei et al. | Feb 2011 | A1 |
20110046648 | Johnston et al. | Feb 2011 | A1 |
20110054493 | McLean et al. | Mar 2011 | A1 |
20110060349 | Cheng et al. | Mar 2011 | A1 |
20110071440 | Torrance et al. | Mar 2011 | A1 |
20110105947 | Fritscher-Ravens et al. | May 2011 | A1 |
20110106004 | Eubanks et al. | May 2011 | A1 |
20110106099 | Duffy et al. | May 2011 | A1 |
20110112548 | Fifer et al. | May 2011 | A1 |
20110112562 | Torrance | May 2011 | A1 |
20110112563 | To et al. | May 2011 | A1 |
20110112564 | Wolf | May 2011 | A1 |
20110118660 | Torrance et al. | May 2011 | A1 |
20110144423 | Tong et al. | Jun 2011 | A1 |
20110144425 | Catanese et al. | Jun 2011 | A1 |
20110151463 | Wulfman | Jun 2011 | A1 |
20110152607 | Catanese et al. | Jun 2011 | A1 |
20110152906 | Escudero et al. | Jun 2011 | A1 |
20110152907 | Escudero et al. | Jun 2011 | A1 |
20110160747 | McLean et al. | Jun 2011 | A1 |
20110160748 | Catanese et al. | Jun 2011 | A1 |
20110166564 | Merrick et al. | Jul 2011 | A1 |
20110178543 | Chin et al. | Jul 2011 | A1 |
20110190758 | Lamson et al. | Aug 2011 | A1 |
20110196298 | Anderson et al. | Aug 2011 | A1 |
20110196355 | Mitchell et al. | Aug 2011 | A1 |
20110208207 | Bowe et al. | Aug 2011 | A1 |
20110213398 | Chin et al. | Sep 2011 | A1 |
20110218528 | Ogata et al. | Sep 2011 | A1 |
20110238078 | Goode et al. | Sep 2011 | A1 |
20110238102 | Gutfinger et al. | Sep 2011 | A1 |
20110245751 | Hofmann | Oct 2011 | A1 |
20110257592 | Ventura et al. | Oct 2011 | A1 |
20110270169 | Gardeski et al. | Nov 2011 | A1 |
20110270170 | Gardeski et al. | Nov 2011 | A1 |
20110270289 | To et al. | Nov 2011 | A1 |
20110300010 | Jarnagin et al. | Dec 2011 | A1 |
20110301417 | Mourlas et al. | Dec 2011 | A1 |
20110301626 | To et al. | Dec 2011 | A1 |
20120029278 | Sato et al. | Feb 2012 | A1 |
20120035590 | Whiting et al. | Feb 2012 | A1 |
20120041422 | Whiting et al. | Feb 2012 | A1 |
20120053564 | Ravenscroft | Mar 2012 | A1 |
20120065659 | To | Mar 2012 | A1 |
20120083810 | Escudero et al. | Apr 2012 | A1 |
20120083826 | Chao et al. | Apr 2012 | A1 |
20120095447 | Fojtik | Apr 2012 | A1 |
20120095479 | Bowe et al. | Apr 2012 | A1 |
20120097174 | Spotnitz et al. | Apr 2012 | A1 |
20120123411 | Ibrahim et al. | May 2012 | A1 |
20120136341 | Appling et al. | May 2012 | A1 |
20120165827 | Khairkhahan et al. | Jun 2012 | A1 |
20120165861 | Palmer et al. | Jun 2012 | A1 |
20120191015 | Zannis et al. | Jul 2012 | A1 |
20120209173 | Hayase et al. | Aug 2012 | A1 |
20120215305 | Le et al. | Aug 2012 | A1 |
20120239008 | Fojtik | Sep 2012 | A1 |
20120245600 | McLean et al. | Sep 2012 | A1 |
20120253229 | Cage | Oct 2012 | A1 |
20120265183 | Tulleken et al. | Oct 2012 | A1 |
20120323252 | Booker | Dec 2012 | A1 |
20120323253 | Garai et al. | Dec 2012 | A1 |
20120330292 | Shadduck et al. | Dec 2012 | A1 |
20130006167 | Alvarez et al. | Jan 2013 | A1 |
20130006228 | Johnson et al. | Jan 2013 | A1 |
20130035676 | Mitchell et al. | Feb 2013 | A1 |
20130066345 | Wilkinson | Mar 2013 | A1 |
20130096582 | Cheng et al. | Apr 2013 | A1 |
20130103047 | Steingisser et al. | Apr 2013 | A1 |
20130131548 | McGhie et al. | May 2013 | A1 |
20150105796 | Grace | Apr 2015 | A1 |
20150196297 | Stopek | Jul 2015 | A1 |
20150305744 | Moore et al. | Oct 2015 | A1 |
20160015963 | Grace et al. | Jan 2016 | A1 |
20160120562 | Taylor | May 2016 | A1 |
20160361080 | Grace et al. | Dec 2016 | A1 |
20170157392 | Carver et al. | Jun 2017 | A1 |
20170172622 | Grace et al. | Jun 2017 | A1 |
20170189064 | Grace et al. | Jul 2017 | A1 |
Number | Date | Country |
---|---|---|
H05506382 | Sep 1993 | JP |
2004516073 | Jun 2004 | JP |
1991017711 | Nov 1991 | WO |
1995033513 | Dec 1995 | WO |
1999007295 | Feb 1999 | WO |
1999049937 | Oct 1999 | WO |
1999058066 | Nov 1999 | WO |
2001076680 | Oct 2001 | WO |
2002049690 | May 2003 | WO |
2004049956 | Jun 2004 | WO |
2004080345 | Sep 2004 | WO |
2004080507 | Sep 2004 | WO |
2006007410 | Jan 2006 | WO |
2008005888 | Jan 2008 | WO |
2008005891 | Jan 2008 | WO |
2008042987 | Apr 2008 | WO |
2009005779 | Jan 2009 | WO |
2009054968 | Apr 2009 | WO |
2009065082 | May 2009 | WO |
2009126309 | Oct 2009 | WO |
2011003113 | Jan 2011 | WO |
2011084863 | Jul 2011 | WO |
2011133941 | Oct 2011 | WO |
2011162595 | Dec 2011 | WO |
2012040239 | Mar 2012 | WO |
2012009697 | Apr 2012 | WO |
2012098335 | Jul 2012 | WO |
2012114333 | Aug 2012 | WO |
2012177117 | Dec 2012 | WO |
2013036588 | Mar 2013 | WO |
2014151814 | Sep 2014 | WO |
Entry |
---|
Decision to Grant for European Patent Application No. 07255018.9, dated Aug. 8, 2013, 2 pages. |
Department of Health and Ageing in Australian Government, “Horizon Scanning Technology Prioritising: Laser Extraction Systems.” 2010. 15 pages. |
EP extended Search Report dated Oct. 21, 2009; Application No. 07255019.7, 8 pages. |
Extended European Search Report for European Application No. 07255018.9, dated Nov. 12, 2010. |
Final Action for U.S. Appl. No. 11/615,005, dated Nov. 9, 2009, 10 pages. |
Final Action for U.S. Appl. No. 11/615,005, dated Nov. 21, 2013, 20 pages. |
Intent to Grant for European Patent Application No. 07255018.9, dated Nov. 29, 2012, 7 pages. |
International Search Report and Written Opinion for International Patent Application No. PCT/US2013/059434, dated Dec. 13, 2013, 14 pages. |
International Search Report and Written Opinion issued in PCT/US2014/021167 dated Jun. 26, 2014, 19 pages. |
International Search Report and Written Opinion issued in PCT/US2014/026496 dated Jul. 30, 2014, 16 pages. |
International Search Report and Written Opinion issued in PCT/US2015/016899, dated May 1, 2015. |
International Search Report and Written Opinion issued in PCT/US2015/018305, dated May 28, 2015, 14 pages. |
Notice of Allowance for European Patent Application No. 07255018.9, dated Jul. 26, 2012, 47 pages. |
Notice of Allowance for Japan Patent Application No. 2007-333273, dated Jan. 16, 2014, 3 pages. |
Official Action for European Patent Application No. 07255018.9, dated Jul. 19, 2011, 3 pages. |
Official Action for U.S. Appl. No. 11/615,005, dated Apr. 16, 2009, 13 pages. |
Official Action for U.S. Appl. No. 11/615,005, dated Feb. 11, 2011, 12 pages. |
Official Action for U.S. Appl. No. 11/615,005, dated Jul. 21, 2010, 10 pages. |
Official Action for U.S. Appl. No. 11/615,005, dated Mar. 14, 2013, 16 pages. |
Official Action for U.S. Appl. No. 13/800,728, dated Jan. 16, 2014, 14 pages. |
Official Action with English translation for Japan Patent Application No. 2007-333173, dated Apr. 30, 2013, 5 pages. |
Official Action with English translation for Japan Patent Application No. 2007-333173, dated Aug. 13, 2012, 7 pages. |
Official Action with English translation for Japan Patent Application No. 2007-333273, dated Jul. 30, 2012, 7 pages. |
Official Action with English translation for Japan Patent Application No. 2007-333273, dated Jun. 6, 2013, 10 pages. |
PCT Application No. PCT/US2015/016899 entitled Medical Device for Removing an Implanted Object filed Feb. 20, 2015. |
PCT Application No. PCT/US2015/018305 entitled Multiple Configuration Surgical Cutting Device filed Mar. 2, 2015. |
U.S. Appl. No. 13/800,651 entitled System and Method of Ablative Cutting and Pulsed Vacuum Aspiration, filed Mar. 13, 2013. |
U.S. Appl. No. 13/800,675 entitled Laser Catheter With Helical Internal Lumen, filed Mar. 13, 2013. |
U.S. Appl. No. 13/800,700 entitled Device and Method of Ablative Cutting With Helical Tip, filed Mar. 13, 2013. |
U.S. Appl. No. 13/800,728 entitled Laser Ablation Catheter, filed Mar. 13, 2013. |
U.S. Appl. No. 13/828,231 entitled Tissue Slitting Methods and Systems, filed Mar. 14, 2013. |
U.S. Appl. No. 13/828,310 entitled Tissue Slitting Methods and Systems, filed Mar. 14, 2013. |
U.S. Appl. No. 13/828,383 entitled Tissue Slitting Methods and Systems, filed Mar. 14, 2013. |
U.S. Appl. No. 13/828,441 entitled Tissue Slitting Methods and Systems, filed Mar. 14, 2013. |
U.S. Appl. No. 13/828,536 entitled Expandable Lead Jacket, filed Mar. 14, 2013. |
U.S. Appl. No. 13/828,638 entitled Lead Removal Sleeve, filed Mar. 14, 2013. |
U.S. Appl. No. 13/834,405 entitled Retractable Blade for Lead Removal Device, filed Mar. 15, 2013. |
U.S. Appl. No. 14/577,976 entitled Surgical Instrument Including an Inwardly Deflecting Cutting Tip for Removing an Implanted Object filed Dec. 19, 2014. |
U.S. Appl. No. 14/589,688 entitled Retractable Separating Systems and Methods filed Jan. 5, 2015. |
U.S. Appl. No. 14/627,851 entitled Medical Device for Removing an Implanted Object filed Feb. 20, 2015. |
U.S. Appl. No. 14/627,950 entitled Medical Device for Removing an Implanted Object filed Feb. 20, 2015. |
U.S. Appl. No. 14/725,781 entitled Surgical Instrument for Removing an Implanted Object, filed May 29, 2015. |
Design U.S. Appl. No. 29/519,239 entitled Medical Device Handle, filed Mar. 3, 2015. |
Design U.S. Appl. No. 29/519,258 entitled Medical Device Handle, filed Mar. 3, 2015. |
U.S. Appl. No. 61/793,597 entitled Surgical Instrument for Removing an Implanted Object filed Mar. 15, 2013. |
U.S. Appl. No. 61/987,993 entitled Dual Mode Mechanical Catheter Cutting System filed May 2, 2014. |
U.S. Appl. No. 62/005,315 entitled Surgical Instrument for Removing an Implanted Object filed May 30, 2014. |
U.S. Appl. No. 62/058,790 entitled Medical Device for Removing an Implanted Object filed Oct. 2, 2014. |
U.S. Appl. No. 62/094,808 entitled Multiple Configuration Surgical Cutting Device filed Dec. 19, 2014. |
U.S. Appl. No. 62/113,865 entitled Medical Device for Removing an Implanted Object filed Feb. 9, 2015. |
Extended European Search Report issued in EP Application No. 14770860.6, dated Jan. 10, 2017, 14 pages. |
International Preliminary Report on Patentability issued in PCT/US2015/016899, dated Sep. 15, 2016, 7 pages. |
International Search Report and Written Opinion issued in PCT/US2015/058227, dated Feb. 3, 2016, 18 pages. |
International Search Report and Written Opinion issued in PCT/US2016/049108, dated Dec. 5, 2016, 9 pages. |
Supplemental European Search Report issued in EP Application 14770355 dated Sep. 15, 2016, 7 pages. |
Supplemental Partial European Search Report issued in EP Application No. EP14770860 dated Sep. 15, 2016, 7 pages. |
U.S. Appl. No. 15/442,006 entitled Medical Device for Removing an Implanted Object, filed Feb. 24, 2017. |
U.S. Appl. No. 15/406,033 entitled Medical Device for Removing an Implanted Object, filed Jan. 13, 2017. |
U.S. Appl. No. 15/462,357 entitled Medical Device for Removing an Implanted Object, filed Mar. 17, 2017. |
Number | Date | Country | |
---|---|---|---|
20150164530 A1 | Jun 2015 | US |
Number | Date | Country | |
---|---|---|---|
61947377 | Mar 2014 | US | |
61987993 | May 2014 | US | |
62058790 | Oct 2014 | US | |
62094808 | Dec 2014 | US | |
62113865 | Feb 2015 | US | |
61793597 | Mar 2013 | US |
Number | Date | Country | |
---|---|---|---|
Parent | PCT/US2014/026496 | Mar 2014 | US |
Child | 14635742 | US |