Indian Wells Medical, Inc.

Onset Medical Corporation

Other

Medtronic, Inc.

Damage Control Surgical Technologies, Inc.

Micro Therapeutics, Inc.

Covidien LP

Medtronic Ave, Inc.

Medtronic Vascular, Inc.

Shiley, Inc.

University of Texas System

Boston Scientific Corporation

Medtronics, Inc.

The Beth Israel Hospital Association

Boston Scientific Technology, Inc.

Jay Alan Lenker

Edward J Nance

Michael A Evans

Robert F Buckman

Donald J Kolehmainen

Joseph Bishop

Kirsten Freislinger

Steven W Kim

Eugene Michael Breznock

George F Kick

James Alexander Carroll

Thomas J Fogarty

Brian J Cox

Robert Rosenbluth

Thomas J Berryman

Rodney A Brenneman

Scott Louis Pool

Brian M Strauss

George Robert Greene

George B Wallace

Allan R Will

David W Wieting

Timothy J Ryan

Steven Weinberg

Onnik Tchulluian

Peter Van Der Sluis

Richard O Murphy

Gwendolyn A Watanabe

Huan T Nguyen

Barry M Calvarese

Peter Barker

Michael L Jones

Robert A Pecor

Jeffrey J Valko

Brian A Glynn

Maricruz Castaneda

Robert R Greene

George D Hermann

K David Crockett

Christopher K Zarins

Marian I Ionescu

Hyun T Nguyen

Eric Alcouloumre

Richard Reedy

Mark T Jones

Darin Charles Gittings

Lynn M Shimada

Samuel M Shaolian

Thanh Van Nguyen

Edward V Kinney

Sylvie Lombardi

Steve Kim

Rodney A White

Minh Tran

Emanuel Shaoulian

Michael Braun

Brian Cox

Christopher Zarins

John Geis

Louis Seiler, Jr

Marc Habib

Philip S Yang

Lester A Klein

Daniel C Merrill

Patrick A Maley

Shawn Moaddeb

Gerard Von Hoffman

Franciscus Laureus Moll

Menno Kalmann

Kenneth Mollenauer

Donald Kolehmalnen

Onnick Tchulluian

An endoluminal traversing system and tissue crossing system are described wherein the access systems are controlled by actuators that allow for robotic control of system functions. The robotic system can be configured for full manual control over the actuators, full computerized control, or a combination of human and computer (AI, neural net, rule set) guidance.

Robotically controlled steerable access system and method of use

A transseptal needle or punch. The transseptal punch includes a stylet with a tube with a side window and a cutting wire disposed within the tube, with a sharp cutting segment disposed proximate the window. The sharp cutting segment can be expanded radially outwardly from the window by translation of the cutting wire proximal end within the tube.

Steerable endoluminal punch with cutting stylet

A steerable guidewire. The steerable guidewire is fabricated includes an outer tube, an inner tube, a hub, and a distal articulating region. The steerable guidewire hub can be removed to permit advancement of catheters over its proximal end followed by re-attachment of the hub to permit deflection of the distal end of the steerable guidewire.

Steerable guidewire and method of use

A transvascularly placed steerable microcatheter, further including internal steerability and the ability to articulate in a direction at right angles to its longitudinal axis at or near its distal end. The steerable microcatheter is generally fabricated from stainless steel, nitinol, or other metal and includes an outer tube, an inner tube, hub structures, and a distal articulating region. The steerable microcatheter can be advanced through a body lumen in its straight configuration and then be selectively articulated or curved to permit negotiation of tortuous curvature. The microcatheter is especially suited to robotic or powered control applications with user intervention or using artificial intelligence (AI).

Steerable microcatheter and method of use

A steerable transseptal punch system and method of using the steerable transseptal punch system to access the left atrium.

Steerable endoluminal punch

An endoluminal punch and introducer sheath are described wherein the endoluminal punch comprises a guidewire lumen through which a user is capable of placing a guidewire. The endoluminal punch system further comprises a mechanism affixed to the hub which is capable of controlling the axial positioning of the guidewire relative to the endoluminal punch distal end. The control mechanism can be released so that the endoluminal punch can be removed from a patient while retaining the guidewire in place within the patient. The endoluminal punch introducer, including a sheath and dilator, can comprise energy emitting electrodes or transducers for cutting larger size holes in stubborn (friable, scarred, or fibrotic) tissue. In other embodiments, the endoluminal punch can comprise a guidewire or stylet, wherein the guidewire or stylet is capable of emitting energy to cut through tissue.

Steerable endoluminal punch with introducer and guidewire

An endoluminal punch system including a sheath and dilator. The endoluminal punch may include energy delivery system capable of being transmitted from the proximal end to the distal end of the endoluminal punch to assist with tissue crossing and incisions. The dilator may include selectively deployable cutting mechanism to create incisions in tissue that are larger than their basic external diameter. The system may also be configured to reduce the risk of generating plastic emboli during insertion of the endoluminal punch.

Endoluminal punch system with energy

Methods for performing certain medical procedures wherein a steerable endoluminal punch is used to not only gain access but to create a channel or punch through tissue, thus facilitating follow-up therapeutic procedures. The distal end of the steerable endoluminal punch is controllably articulated by the operator using a control device at the proximal end.

An endoluminal needle or punch is describes wherein the distal end of the endoluminal needle is able to articulate laterally out of the longitudinal axis of the steerable endoluminal needle. The endoluminal needle further comprise a blunted distal end configuration that is minimally traumatic. Under control by the user, at the proximal end of the endoluminal needle, a sharp stylet can be advanced to punch tissue and then be retracted to maximize safety. The endoluminal needle is configured for use within an introducer.

This invention is a transvascularly placed steerable guidewire, further including internal steerability and the ability to articulate in a direction at right angles to its longitudinal axis at or near its distal end. The steerable guidewire is generally fabricated from stainless steel and includes an outer tube, an inner tube, hub structures, and a distal articulating region. The steerable guidewire can be advanced through a body lumen in its straight configuration and then be selectively articulated or curved to permit negotiation of tortuous curvature. The steerable guidewire hub can be removed to permit advancement of catheters over its proximal end followed by re-attachment of the hub to permit deflection of the distal end of the steerable guidewire. Removal of the hub can result in a limp guidewire or maintenance of a forced curvature of the distal end of the guidewire.

A parent artery occlusion (PAO) device which provides for immediate occlusion of a cerebral artery to isolate a defect. The PAO device includes a self-expanding wire-frame prolate structure which is partially covered with an ePTFE membrane.

Embolic implant and method of use

Growing community of inventors

Laguna Beach, CA, United States of America

Jay Alan Lenker