Ethicon, Gmbh

Cilag International Gmbh

Julius Samann Ltd.

Taurus Vascular, Inc.

Texas Medical Center

Prana Thoracic, Inc.

Biosense Webster, Inc.

Matthew Thomas Kuhn

John E Brady

Alexander R Cuti

Demetrius N Harris

Candice Otrembiak

Stephen M Leuck

Jeffery D Bruns

Ellen E Burkart

Amy M Krumm

Andrew Kolpitcke

Cameron D McLain

Michael J Stokes

Kevin Michael Fiebig

Jason R Lesko

Frederick E Shelton, IV

Jason L Harris

Chester O Baxter, Iii

Ryan M Asher

Brian D Black

Gregory G Scott

Andrew C Deck

Aaron C Voegele

Aaron Abroff

William E Cohn

Disha V Labhasetwar

Carl J Draginoff, Jr

Amrita Singh Sawhney

Ion V Nicolaescu

Kevin L Houser

William Ettlinger Cohn

Joshua D Young

Bradley A Arnold

Nicholas D Courtwright

Debby Esther Highsmith

Guion Y Lucas

Albert Michael Fischer

Alex Cuti

Grace E Waters

Robert Richard Ziek, Jr

Andrew S Meyers

Fajian Zhang

Geni M Giannotti

Robert St Clair Donovan

Fergus Wong

Grace E Brooks

Andre Minoli

Gregor Mittersinker

Colin Brahmstedt

Kyle M Bennett

Justin Gasparovich

Ahramahzd Tatavoosian

Terry Daglow

Nicolo Garbin

Ravi Patel

Emir Kamaric

Steven Nguyen

Caleb McGowen

Alexa Miller

Melanie Lowther

Robert Richard Ziek

Robert St Donovan

Ellen T Burkhart

Andrew Kolpitke

Waters Grace E

Ellen T Burkart

Carl J Draginoff Jr

Geni M Gianotti

Caleb Mcgowen

Embodiments described herein relate to a shunt for treating an aortic aneurysm. In some embodiments, the shunt may include a central portion, an arterial sealing structure, and a venous sealing. In some embodiments, the venous sealing structure may have a lateral length in its deployed configuration, and the arterial sealing structure having a lateral length in its deployed configuration that is greater than the lateral length of the venous sealing structure. A method of implanting the shunt may include selecting the shunt based on a lateral thickness of a thrombus formed in an aortic aneurysm determined by imaging of the aortic aneurysm. The shunt may be advanced in a delivery configuration through a venous puncture site of a vein to access an arterial puncture site of the artery, and then deployed, thereby enabling blood flow through the central portion of the shunt from the artery to the vein.

Methods and systems for transcaval treatment of aneurysms

Embodiments described herein relate to a shunt including a self-adjusting mechanism for treating conditions such as an aortic aneurysm. In some embodiments, the shunt may include a central portion, a distal end, and a proximal end. In some embodiments, the distal end of the shunt may be configured to roll proximally (e.g., into a toroidal structure) when the shunt transitions from a delivery configuration to a deployed configuration. In some embodiments, the distal end of the shunt may be configured to roll and/or unroll after deployment such that a length of the shunt can be adjustable to accommodate changing anatomy. In some embodiments, the proximal end may be configured to expand into a disc-like shape when the shunt transitions from the delivery configuration to the deployed configuration.

Described herein, in some aspects, are systems and methods for treating aortic aneurysms. In some embodiments, a method of treating an aortic aneurysm in a subject comprises: advancing a shunt through a venous puncture site of a vein to access an arterial puncture site of an artery, the arterial puncture site disposed within the aortic aneurysm or upstream of the aortic aneurysm; and securing the shunt to the artery and vein by deploying i) an arterial sealing structure coupled to a distal end of the shunt, and ii) deploying a venous sealing structure coupled to a proximal end of the shunt, thereby enabling fluid to flow from the artery to the vein. In some embodiments, a method of treating an aortic aneurysm in a subject comprises: implanting a graft within a subject to at least partially bypass a fluid flow through an artery around the aortic aneurysm, the graft having a lumen therein.

A method for navigating a probe to a location within a body of a patient, the method comprising visualizing a three-dimensional image of a region of a body of a patient; receiving a selection of a target location within said three-dimensional image of a region of a patient's body; determining and visualizing a preferred pathway for the probe to follow from an external entry point on the patient's body to the target location; visualizing the preferred pathway for the probe simultaneously with an indication of the current actual position of the probe in real time such that the simultaneous visualizations enables a user to align the current actual position of the probe with the preferred pathway; and updating and visualizing an indication of the current actual position of the probe in real time as the probe is advanced to the target location.

Method for precision planning, guidance, and placement of probes within a body

An ultrasonic surgical instrument and method of assembly with a predetermined alignment includes first and second modular assemblies and an electrical lockout. The first modular assembly includes at least a portion of an end effector configured to manipulate a tissue. The second modular assembly includes a transducer power circuit and an activation switch electrically connected to the transducer power circuit. The electrical lockout is electrically connected to the transducer power circuit and configured to inhibit the activation switch from powering the ultrasonic transducer with the first and second modular assemblies misaligned from the predetermined alignment such that the first and second modular assemblies are in a locked-out state. The electrical lockout is further configured to allow the activation switch to power the ultrasonic transducer with the first and second modular assemblies in the predetermined alignment such that the first and second modular assemblies are in an operational state.

Electrical lockout for ultrasonic surgical instrument

An ultrasonic surgical instrument includes a first modular assembly including at least one operator input feature an ultrasonic transducer supported by the first modular assembly, and a second modular assembly configured to be removably coupled with the first modular assembly. The second modular assembly includes at least a portion of an end effector extending distally from a distal end portion of the second modular assembly. The instrument includes a mechanical lockout assembly configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the first modular assembly and the second modular assembly are partially coupled together such that the operator is physically prevented from activating the instrument using the operator input feature. In the unlocked configuration, the first modular assembly and the second modular assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

Mechanical lockout for ultrasonic surgical instrument

A method for adjusting the operation of a clip applier using machine learning in a surgical suite is disclosed. The method comprises gathering data during surgical procedures, wherein the surgical procedures include the use of a clip applier comprising a crimping drive configured to be mechanically advanced through a crimping stroke. The method further comprises analyzing the gathered data to determine an appropriate operational adjustment of the clip applier and adjusting the operation of the clip applier to improve the operation of the clip applier.

Method of hub communication with surgical instrument systems

A method for removing a tissue lesion where an anchor is established with the lesion. A channel is created in the tissue leading to the anchored lesion. A tissue core is created which includes the lesion. The tissue core is ligated, amputated and removed from the channel.

Method for removing a tissue lesion

The present invention is directed to systems, devices and methods for trans-septally delivering carbon dioxide through a minimally invasive catheter to create a gaseous pocket or emphysema between the posterior wall of the left atrium and the esophagus during cardiac ablation of the left atrium. This pocket of gas expanded tissue serves to thermally insulate and separate the esophagus from the left atrium during ablation to prevent the formation of an atrial-esophageal fistula. The system comprises a control system to precisely deliver the gas to a desired location through a needle-based catheter assembly.

System(s), method(s) and device(s) for the prevention of esophageal fistula during catheter ablation

An ultrasonic surgical instrument that includes an ultrasonic transducer, a handle assembly supporting the ultrasonic transducer, a clamp arm assembly, and a mechanical lockout assembly. The handle assembly includes a housing and an ultrasonic blade acoustically coupled with the ultrasonic transducer. The clamp arm assembly includes a clamp arm. The mechanical lockout assembly is configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the handle assembly and the clamp arm assembly are not completely coupled together and the operator is physically prevented from activating the instrument using an operator input feature. In the unlocked configuration, the clamp arm assembly and the shaft assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

An ultrasonic surgical instrument that includes a handle assembly including at least one user input feature; an ultrasonic transducer supported by the handle assembly, a shaft assembly configured to removably couple with the handle assembly, and a mechanical lockout assembly. The shaft assembly includes a distal end portion. The shaft assembly further includes an end effector extending distally from the distal end portion, and an ultrasonic waveguide configured to be acoustically coupled with the ultrasonic transducer. The mechanical lockout assembly is configured to move between at least an unlocked configuration and a locked configuration. In the locked configuration, the handle assembly and the shaft assembly are only partially coupled together physically preventing the user from activating the instrument using the user input feature. In the unlocked configuration, the handle assembly and shaft assembly are completely coupled together enabling the user to activate the instrument using the user input feature.

Surgical clip appliers are disclosed comprising a plurality of clips which are stored in a compressed state. When a stored clip is moved into the crimping chamber of the surgical clip applier, the clip can assume a configuration which is different than its stored configuration before it is crimped.

Surgical clip applier configured to store clips in a stored state

An end effector for a surgical clip applier includes an elongate body, a clip revolver rotatably positioned within the body and providing an inner bore that defines a plurality of clip slots angularly spaced from each other about an inner surface of the inner bore, wherein a plurality of surgical clips are receivable within the plurality of clip slots in a nested helical array. First and second jaw members extend past a distal end of the body and aligned to receive a distal-most surgical clip of the plurality of surgical clips, wherein the clip revolver is rotatable to sequentially align each surgical clip with the first and second jaw members.

Revolver loading surgical clip applier

Growing community of inventors

Houston, TX, United States of America

Matthew Thomas Kuhn