IP Library Granted Patent US 12,396,454
Granted Patent B2
US 12,396,454 · App. 18/657,537 · Granted Aug 26, 2025

Systems and methods for ex-vivo organ care and for using lactate as an indication of donor organ status

Inventors: Waleed H. Hassanein (North Andover, MA); Tamer I. Khayal (North Andover, MA); Ahmed Elbetanony (North Andover, MA); Paul Lezberg (Westford, MA); Giovanni Cecere (Needham, MA); Dennis Sousa (Wakefield, MA); Elizabeth Hansen Bulger (Portsmouth, NH)
Assignee: TRANSMEDICS, INC.
A01N1/143A01N1/10A01N1/148
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Quick Facts
Patent No.
US 12,396,454
App. No.
18/657,537
Granted
Aug 26, 2025
Kind
B2
Abstract

The disclosure provides, in various embodiments, systems, devices and methods relating to ex-vivo organ care. In certain embodiments, the disclosure relates to maintaining an organ ex-vivo at near-physiologic conditions. The present application describes, for example, a method for using lactate measurement in the arterial and the venous blood lines of the Organ Care System Heart perfusion device to evaluate, for example, the: 1) overall perfusion status of an isolated heart; 2) metabolic status of an isolated heart; and 3) overall vascular patency of an isolated donor heart. This aspect of the present disclosure may use, for example, the property of myocardial cell's unique ability to produce/generate lactate when they are starved for oxygen and metabolize/utilize lactate for energy production when they are well perfused with oxygen.

Claims (57)

1. An organ care system for perfusing a heart, the organ care system comprising:

a chassis;

an organ chamber assembly mounted to the chassis, the organ chamber assembly configured to contain the heart during a perfusion, the organ chamber assembly comprising:

a fluid conduit comprising:

a first interface configured to connect to an aorta of the heart; and

a second interface configured to connect to a pulmonary artery of the heart;

a first lactate sensor configured to measure a first lactate value at the first interface, and

a second lactate sensor configured to measure a second lactate value at the second interface;

an oxygenator;

a reservoir mounted to the chassis, wherein the reservoir is in fluid communication with the organ chamber assembly and is configured to contain a perfusion fluid; and

a processor configured to:

calculate a lactate differential at two different times using the first lactate value and the second lactate value,

wherein the organ care system is configured to receive an adjustment of a flow of the perfusion fluid based on a change between the lactate differential at the two different times.

2. The organ care system of claim 1 , wherein the organ chamber assembly is disposable.

3. The organ care system of claim 1 , wherein the processor is configured to calculate the lactate differential at least once per hour.

4. The organ care system of claim 1 , comprising a flow mode selector valve configured to select between flowing the perfusion fluid to the first interface and flowing the perfusion fluid to the second interface.

5. The organ care system of claim 1 , comprising a pressure sensor configured to measure an aortic pressure.

6. The organ care system of claim 1 , wherein the processor is configured to correlate a change between the lactate differential at the two different times with a suitability of the heart for transplantation.

7. An apparatus comprising:

an organ chamber assembly configured to contain a heart during a perfusion, the organ chamber assembly comprising:

a fluid conduit comprising:

a first interface configured to connect to an aorta of the heart; and

a second interface configured to connect to a pulmonary artery of the heart;

a first lactate sensor configured to measure a first lactate value at the first interface; and

a second sensor configured to measure a second lactate value at the second interface;

an oxygenator;

a reservoir, wherein the reservoir is in fluid communication with the organ chamber assembly and is configured to contain a perfusion fluid;

a processor coupled to the first lactate sensor and to the second lactate sensor; and

a memory coupled to the processor and comprising computer-readable instructions that, when executed by the processor, cause the processor to:

calculate a lactate differential at two different times using the first lactate value and the second lactate value,

wherein the apparatus is configured to receive an adjustment of a flow of the perfusion fluid based on the two or more lactate differentials.

8. The apparatus of claim 7 , wherein the organ chamber assembly is disposable.

9. The apparatus of claim 7 , wherein the computer-readable instructions, when executed by the processor, cause the processor to:

calculate the lactate differential at least once per hour.

10. The apparatus of claim 7 , wherein the computer-readable instructions, when executed by the processor, cause the processor to-correlate a change between the lactate differential at the two different times with a suitability of the heart for transplantation.

11. The apparatus of claim 7 , comprising a flow mode selector valve configured to select between flowing the perfusion fluid to the first interface and flowing the perfusion fluid to the second interface.

12. The apparatus of claim 7 , wherein the reservoir is mounted to a chassis.

13. The apparatus of claim 7 , comprising a pressure sensor configured to measure an aortic pressure.

14. An organ care system comprising:

a chassis;

an organ chamber assembly mounted to the chassis, wherein the organ chamber assembly is configured to contain a heart during a perfusion, the organ chamber assembly comprising:

a fluid conduit comprising:

a first interface configured to connect to an aorta of the heart; and

a second interface configured to connect to a pulmonary artery of the heart;

a first lactate sensor configured to measure a first lactate value at the first interface; and

a second lactate sensor configured to measure a second lactate value at the second interface;

an oxygenator;

a reservoir mounted to the chassis, wherein the reservoir is in fluid communication with the organ chamber assembly and is configured to contain a perfusion fluid;

a processor coupled to the first lactate sensor and to the second lactate sensor; and

a memory coupled to the processor and comprising computer-readable instructions that, when executed by the processor, cause the processor to:

calculate a lactate differential at two different times using the first lactate value and the second lactate value; and

correlate a change between the lactate differential at the two different times with a suitability of the heart for transplantation,

wherein the organ care system is configured to receive an adjustment of a flow of the perfusion fluid based on a change between the lactate differential at the two different times.

15. The organ care system of claim 14 , wherein the organ chamber assembly is disposable.

16. The organ care system of claim 14 , comprising a flow mode selector valve configured to select between flowing the perfusion fluid to the first interface and flowing the perfusion fluid to the second interface.

17. The organ care system of claim 14 , comprising a pressure sensor configured to measure an aortic pressure.

18. The organ care system of claim 14 , wherein the processor is configured to calculate the change between the lactate differential at least once per hour.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 29, 2024
From: HASSANEIN, WALEED; KHAYAL, TAMER; ELBETANONY, AHMED; LEZBERG, PAUL; CECERE, GIOVANNI; SOUSA, DENNIS; HANSEN BULGER, ELIZABETH
To: TRANSMEDICS, INC.
Reel/Frame 068438/0406 →
Continuity (11)
Continuation 18153391 · Jan 12, 2023
Continuation 16916514 · Jun 30, 2020
Continuation 16396296 · Apr 26, 2019
Continuation 15857953 · Dec 29, 2017
Continuation 13587810 · Aug 16, 2012
Division 11790405 · Apr 25, 2007
Continuation In Part 11246902 · Oct 7, 2005
Provisional Application 60725168 · Oct 6, 2005
Provisional Application 60694971 · Jun 28, 2005
Provisional Application 60616835 · Oct 7, 2004
Related Publication 20240397937A1 · Dec 5, 2024
References Cited (400)
US 3253595A · Keller, Jr. et al. · 1966 [cited by applicant]
US 3388803A · Scott · 1968 [cited by applicant]
US 3406531A · Koski et al. · 1968 [cited by applicant]
US 3468136A · Koski et al. · 1969 [cited by applicant]
US 3537956A · Falcone · 1970 [cited by applicant]
US 3545221A · Koski et al. · 1970 [cited by applicant]
US 3545605A · Robins · 1970 [cited by applicant]
US 3587567A · Schiff · 1971 [cited by applicant]
US 3607646A · de Roissart · 1971 [cited by applicant]
US 3632473A · Belzer et al. · 1972 [cited by applicant]
US 3639084A · Goldhaber · 1972 [cited by applicant]
US 3654085A · Fritz et al. · 1972 [cited by applicant]
US 3660241A · Michielsen · 1972 [cited by applicant]
US 3738914A · Thorne et al. · 1973 [cited by applicant]
US 3772153A · De Roissart · 1973 [cited by applicant]
US 3777507A · Burton et al. · 1973 [cited by applicant]
US 3843455A · Bier et al. · 1974 [cited by applicant]
US 3851646A · Sarns · 1974 [cited by applicant]
US 3881990A · Burton et al. · 1975 [cited by applicant]
US 3995444A · Clark et al. · 1976 [cited by applicant]
US 4004298A · Freed · 1977 [cited by applicant]
US 4069826A · Sessions · 1978 [cited by applicant]
US 4186253A · Yokoyama et al. · 1980 [cited by applicant]
US 4186565A · Toledo-Pereyra · 1980 [cited by applicant]
US 4231354A · Kurtz et al. · 1980 [cited by applicant]
US 4415556A · Bretschneider · 1983 [cited by applicant]
US 4598697A · Numazawa et al. · 1986 [cited by applicant]
US 4605644A · Foker · 1986 [cited by applicant]
US 4666425A · Fleming · 1987 [cited by applicant]
US 4719201A · Foker · 1988 [cited by applicant]
US 4723939A · Anaise · 1988 [cited by applicant]
US 4745759A · Bauer et al. · 1988 [cited by applicant]
US 4759371A · Franetzki · 1988 [cited by applicant]
US 4801299A · Brendel et al. · 1989 [cited by applicant]
US 4847470A · Bakke · 1989 [cited by applicant]
US 4920044A · Bretan, Jr. · 1990 [cited by applicant]
US 5051352A · Martindale et al. · 1991 [cited by applicant]
US 5066578A · Wikman-Coffelt · 1991 [cited by applicant]
US 5141847A · Sugimachi et al. · 1992 [cited by applicant]
US 5145771A · Lemasters et al. · 1992 [cited by applicant]
US 5157930A · McGhee et al. · 1992 [cited by applicant]
US 5200398A · Strasberg et al. · 1993 [cited by applicant]
US 5217860A · Fahy et al. · 1993 [cited by applicant]
US 5285657A · Bacchi et al. · 1994 [cited by applicant]
US 5306711A · Andrews · 1994 [cited by applicant]
US 5326706A · Yland et al. · 1994 [cited by applicant]
US 5338662A · Sadri · 1994 [cited by applicant]
US 5354268A · Peterson et al. · 1994 [cited by applicant]
US 5356593A · Heiberger et al. · 1994 [cited by applicant]
US 5356771A · O'Dell · 1994 [cited by applicant]
US 5358931A · Rubinsky et al. · 1994 [cited by applicant]
US 5362622A · O'Dell et al. · 1994 [cited by applicant]
US 5370989A · Stern et al. · 1994 [cited by applicant]
US 5381510A · Ford et al. · 1995 [cited by applicant]
US 5385821A · O'Dell et al. · 1995 [cited by applicant]
US 5395314A · Klatz et al. · 1995 [cited by applicant]
US 5405742A · Taylor · 1995 [cited by applicant]
US 5407669A · Lindstrom et al. · 1995 [cited by applicant]
US 5407793A · Del Nido et al. · 1995 [cited by applicant]
US 5472876A · Fahy · 1995 [cited by applicant]
US 5473791A · Holcomb et al. · 1995 [cited by applicant]
US 5494822A · Sadri · 1996 [cited by applicant]
US 5498427A · Menasche · 1996 [cited by applicant]
US 5505709A · Funderburk et al. · 1996 [cited by applicant]
US 5514536A · Taylor · 1996 [cited by applicant]
US 5552267A · Stern et al. · 1996 [cited by applicant]
US 5554123A · Herskowitz · 1996 [cited by applicant]
US 5554497A · Raymond · 1996 [cited by applicant]
US 5571801A · Segall et al. · 1996 [cited by applicant]
US 5584804A · Klatz et al. · 1996 [cited by applicant]
US 5586438A · Fahy · 1996 [cited by applicant]
US 5588816A · Abbott et al. · 1996 [cited by applicant]
US 5599173A · Chen et al. · 1997 [cited by applicant]
US 5599659A · Brasile et al. · 1997 [cited by applicant]
US 5613944A · Segall et al. · 1997 [cited by applicant]
US 5643712A · Brasile · 1997 [cited by applicant]
US 5654266A · Chen et al. · 1997 [cited by applicant]
US 5656420A · Chien · 1997 [cited by applicant]
US 5679565A · Mullen et al. · 1997 [cited by applicant]
US 5693462A · Raymond · 1997 [cited by applicant]
US 5698536A · Segall et al. · 1997 [cited by applicant]
US 5699793A · Brasile · 1997 [cited by applicant]
US 5702881A · Brasile et al. · 1997 [cited by applicant]
US 5716378A · Minten · 1998 [cited by applicant]
US 5723281A · Segall et al. · 1998 [cited by applicant]
US 5733894A · Segall et al. · 1998 [cited by applicant]
US 5747071A · Segall et al. · 1998 [cited by applicant]
US 5752929A · Klatz et al. · 1998 [cited by applicant]
US 5759148A · Sipin · 1998 [cited by applicant]
US 5770149A · Raible · 1998 [cited by applicant]
US 5776063A · Dittrich et al. · 1998 [cited by applicant]
US 5786136A · Mayer · 1998 [cited by applicant]
US 5787544A · Meade · 1998 [cited by applicant]
US 5807737A · Schill et al. · 1998 [cited by applicant]
US 5823799A · Tor et al. · 1998 [cited by applicant]
US 5843024A · Brasile · 1998 [cited by applicant]
US 5856081A · Fahy · 1999 [cited by applicant]
US 5882328A · Levy et al. · 1999 [cited by applicant]
US 5965433A · Gardetto et al. · 1999 [cited by applicant]
US 5998240A · Hamilton et al. · 1999 [cited by applicant]
US 6024698A · Brasile · 2000 [cited by applicant]
US 6034109A · Ramasamy et al. · 2000 [cited by applicant]
US 6042550A · Haryadi et al. · 2000 [cited by applicant]
US 6046046A · Hassanein · 2000 [cited by applicant]
US 6050987A · Rosenbaum · 2000 [cited by applicant]
US 6090776A · Kuberasampath et al. · 2000 [cited by applicant]
US 6100082A · Hassanein · 2000 [cited by applicant]
US 6110139A · Loubser · 2000 [cited by applicant]
US 6110504A · Segall et al. · 2000 [cited by applicant]
US 6144444A · Haworth et al. · 2000 [cited by applicant]
US 6168877B1 · Pedicini et al. · 2001 [cited by applicant]
US 6217546B1 · Hinchliffe et al. · 2001 [cited by applicant]
US 6365338B1 · Bull et al. · 2002 [cited by applicant]
US 6375611B1 · Voss et al. · 2002 [cited by applicant]
US 6375613B1 · Brasile · 2002 [cited by applicant]
US 6389308B1 · Shusterman · 2002 [cited by applicant]
US 6402461B1 · Tebby · 2002 [cited by applicant]
US 6475716B1 · Seki · 2002 [cited by applicant]
US 6490880B1 · Walsh · 2002 [cited by applicant]
US 6492103B1 · Taylor · 2002 [cited by applicant]
US 6492745B1 · Colley, III et al. · 2002 [cited by applicant]
US 6524785B1 · Cozzone et al. · 2003 [cited by applicant]
US 6526974B1 · Brydon et al. · 2003 [cited by applicant]
US 6569615B1 · Thatte et al. · 2003 [cited by applicant]
US 6582375B2 · Melvin et al. · 2003 [cited by applicant]
US 6582953B2 · Brasile · 2003 [cited by applicant]
US 6600941B1 · Khuri · 2003 [cited by applicant]
US 6609987B1 · Beardmore · 2003 [cited by applicant]
US 6631830B2 · Ma et al. · 2003 [cited by applicant]
US 6642045B1 · Brasile · 2003 [cited by applicant]
US 6673594B1 · Owen et al. · 2004 [cited by applicant]
US 6696238B2 · Murphy et al. · 2004 [cited by applicant]
US 6740484B1 · Khirabadi et al. · 2004 [cited by applicant]
US 6764462B2 · Risk, Jr. et al. · 2004 [cited by applicant]
US 6783328B2 · Lucke et al. · 2004 [cited by applicant]
US 6792309B1 · Noren · 2004 [cited by applicant]
US 6794124B2 · Steen · 2004 [cited by applicant]
US 6811965B2 · Vodovotz et al. · 2004 [cited by applicant]
US 6837851B1 · Coroneo · 2005 [cited by applicant]
US 6878339B2 · Akiyama et al. · 2005 [cited by applicant]
US 6894690B2 · Capers · 2005 [cited by applicant]
US 6906325B2 · Quek · 2005 [cited by applicant]
US 6925324B2 · Shusterman · 2005 [cited by applicant]
US 6953655B1 · Hassanein et al. · 2005 [cited by applicant]
US 6974436B1 · Aboul-Hosn et al. · 2005 [cited by applicant]
US 7001354B2 · Suzuki et al. · 2006 [cited by applicant]
US 7008380B1 · Rees et al. · 2006 [cited by applicant]
US 7045279B1 · Laske et al. · 2006 [cited by applicant]
US 7122371B1 · Ma · 2006 [cited by applicant]
US 7238165B2 · Vincent et al. · 2007 [cited by applicant]
US 7316666B1 · Entenman et al. · 2008 [cited by applicant]
US 7410474B1 · Friend et al. · 2008 [cited by applicant]
US 7431727B2 · Cole et al. · 2008 [cited by applicant]
US 7452711B2 · Daykin · 2008 [cited by applicant]
US 7572622B2 · Hassanein et al. · 2009 [cited by applicant]
US 7651835B2 · Hassanein et al. · 2010 [cited by applicant]
US 7811808B2 · Van Der Plaats et al. · 2010 [cited by applicant]
US 8167869B2 · Wudyka · 2012 [cited by applicant]
US 8304181B2 · Hassanein et al. · 2012 [cited by applicant]
US 8323954B2 · Kravitz et al. · 2012 [cited by applicant]
US 8409846B2 · Hassanein et al. · 2013 [cited by applicant]
US 8420380B2 · Fishman et al. · 2013 [cited by applicant]
US 8465970B2 · Hassanein et al. · 2013 [cited by applicant]
US 8535934B2 · Hassanein et al. · 2013 [cited by applicant]
US 8585380B2 · Hassanein et al. · 2013 [cited by applicant]
US 8715305B2 · Pate et al. · 2014 [cited by applicant]
US 8822203B2 · Hassanein et al. · 2014 [cited by applicant]
US 9055740B2 · Hassanein et al. · 2015 [cited by applicant]
US 9074702B2 · Morise · 2015 [cited by applicant]
US 9215867B2 · Hassanein et al. · 2015 [cited by applicant]
US 9457179B2 · Hassanein et al. · 2016 [cited by applicant]
US 9462802B2 · Fishman et al. · 2016 [cited by applicant]
US 9706768B2 · Freed et al. · 2017 [cited by applicant]
US 9894894B2 · Hassanein et al. · 2018 [cited by applicant]
US 10076112B2 · Hassanein et al. · 2018 [cited by applicant]
US 10124093B1 · Francis et al. · 2018 [cited by applicant]
US 10194655B2 · Ritchie · 2019 [cited by applicant]
US 10321676B2 · Hassanein et al. · 2019 [cited by applicant]
US 10327441B2 · Freed et al. · 2019 [cited by applicant]
US 10327442B2 · Freed · 2019 [cited by applicant]
US 10362780B2 · Kay et al. · 2019 [cited by applicant]
US 10433539B2 · White et al. · 2019 [cited by applicant]
US 10487856B2 · Greeb · 2019 [cited by applicant]
US 10736314B2 · Hassanian et al. · 2020 [cited by applicant]
US 10750738B2 · Hassanian et al. · 2020 [cited by applicant]
US 11033021B2 · Freed · 2021 [cited by applicant]
US 11083191B2 · Freed · 2021 [cited by applicant]
US 11122795B2 · Hassanian et al. · 2021 [cited by applicant]
US 11154050B2 · Hassanein et al. · 2021 [cited by applicant]
US 11191263B2 · Hassanein et al. · 2021 [cited by applicant]
US 11540509B2 · Freed · 2023 [cited by applicant]
US 11570985B2 · Hassanein et al. · 2023 [cited by applicant]
US 11632951B2 · Collette · 2023 [cited by applicant]
US 11700848B2 · Freed · 2023 [cited by applicant]
US 11723357B2 · Hassanein et al. · 2023 [cited by applicant]
US 11785939B2 · Freed · 2023 [cited by applicant]
US 11844345B2 · Hassanein · 2023 [cited by applicant]
US 11856944B2 · Hassanein et al. · 2024 [cited by applicant]
US 11903381B2 · Hassanein · 2024 [cited by applicant]
US 11917991B2 · Hassanein · 2024 [cited by applicant]
US 11944088B2 · Hassanein et al. · 2024 [cited by applicant]
US 11963526B2 · Freed · 2024 [cited by applicant]
US 12010987B2 · Hassanein · 2024 [cited by applicant]
US 12127554B2 · Freed · 2024 [cited by applicant]
US 12137682B2 · Hassanein · 2024 [cited by applicant]
US 12185718B2 · Ritchie et al. · 2025 [cited by applicant]
US 20010003652A1 · Freeman · 2001 [cited by applicant]
US 20010018569A1 · Erbel et al. · 2001 [cited by applicant]
US 20010025191A1 · Montgomery · 2001 [cited by applicant]
US 20020012988A1 · Brasile · 2002 [cited by applicant]
US 20020102720A1 · Steen · 2002 [cited by applicant]
US 20020132220A1 · Berens et al. · 2002 [cited by applicant]
US 20020151950A1 · Okuzumi · 2002 [cited by applicant]
US 20020164795A1 · Gen · 2002 [cited by applicant]
US 20020177117A1 · Wolf · 2002 [cited by applicant]
US 20020187132A1 · Mcgregor et al. · 2002 [cited by applicant]
US 20020198504A1 · Risk et al. · 2002 [cited by applicant]
US 20030040665A1 · Khuri et al. · 2003 [cited by applicant]
US 20030050689A1 · Matson · 2003 [cited by applicant]
US 20030053998A1 · Daemen et al. · 2003 [cited by applicant]
US 20030073227A1 · Hull et al. · 2003 [cited by applicant]
US 20030073912A1 · Melvin et al. · 2003 [cited by applicant]
US 20030074760A1 · Keller · 2003 [cited by applicant]
US 20030086830A1 · Haywood et al. · 2003 [cited by applicant]
US 20030111604A1 · Quek · 2003 [cited by applicant]
US 20030124503A1 · Olivencia-Yurvati et al. · 2003 [cited by applicant]
US 20030135152A1 · Kollar et al. · 2003 [cited by applicant]
US 20030147466A1 · Liang · 2003 [cited by applicant]
US 20030168064A1 · Daly et al. · 2003 [cited by applicant]
US 20040015042A1 · Vincent et al. · 2004 [cited by applicant]
US 20040017658A1 · Lo et al. · 2004 [cited by applicant]
US 20040018966A1 · Segall et al. · 2004 [cited by applicant]
US 20040029096A1 · Steen · 2004 [cited by applicant]
US 20040038192A1 · Brasile · 2004 [cited by applicant]
US 20040038193A1 · Brasile · 2004 [cited by applicant]
US 20040058432A1 · Owen et al. · 2004 [cited by applicant]
US 20040082057A1 · Alford et al. · 2004 [cited by applicant]
US 20040086578A1 · Segall et al. · 2004 [cited by applicant]
US 20040102415A1 · Thatte et al. · 2004 [cited by applicant]
US 20040102678A1 · Haindl · 2004 [cited by applicant]
US 20040106958A1 · Mathis et al. · 2004 [cited by applicant]
US 20040110800A1 · Bril et al. · 2004 [cited by applicant]
US 20040115689A1 · Augello et al. · 2004 [cited by applicant]
US 20040138542A1 · Khuri et al. · 2004 [cited by applicant]
US 20040168341A1 · Petersen et al. · 2004 [cited by applicant]
US 20040170950A1 · Prien · 2004 [cited by applicant]
US 20040171138A1 · Hassanein et al. · 2004 [cited by applicant]
US 20040193096A1 · Cooper · 2004 [cited by applicant]
US 20040202993A1 · Poo et al. · 2004 [cited by applicant]
US 20040221719A1 · Wright et al. · 2004 [cited by applicant]
US 20040224298A1 · Brassil et al. · 2004 [cited by applicant]
US 20040235142A1 · Schein et al. · 2004 [cited by applicant]
US 20040236170A1 · Kim · 2004 [cited by applicant]
US 20040248281A1 · Wright et al. · 2004 [cited by applicant]
US 20040258745A1 · Kai et al. · 2004 [cited by applicant]
US 20050010118A1 · Toyoda et al. · 2005 [cited by applicant]
US 20050019917A1 · Toledo-Pereyra et al. · 2005 [cited by applicant]
US 20050027237A1 · Weiner · 2005 [cited by applicant]
US 20050037330A1 · Fischer et al. · 2005 [cited by applicant]
US 20050063860A1 · Carpenter et al. · 2005 [cited by applicant]
US 20050085762A1 · Vijay et al. · 2005 [cited by applicant]
US 20050142532A1 · Poo et al. · 2005 [cited by applicant]
US 20050147958A1 · Hassanein et al. · 2005 [cited by applicant]
US 20050153271A1 · Wenrich · 2005 [cited by applicant]
US 20050170019A1 · Roth · 2005 [cited by applicant]
US 20050182349A1 · Linde et al. · 2005 [cited by applicant]
US 20050187469A1 · Phillips · 2005 [cited by applicant]
US 20050202394A1 · Dobson · 2005 [cited by applicant]
US 20050253390A1 · Blazek · 2005 [cited by applicant]
US 20050255442A1 · Brassil et al. · 2005 [cited by applicant]
US 20060034941A1 · Dobson · 2006 [cited by applicant]
US 20060039870A1 · Turner · 2006 [cited by applicant]
US 20060074470A1 · Bartels et al. · 2006 [cited by applicant]
US 20060121438A1 · Toledo-Pereyra et al. · 2006 [cited by applicant]
US 20060124130A1 · Bonassa · 2006 [cited by applicant]
US 20060134073A1 · Naka et al. · 2006 [cited by applicant]
US 20060148062A1 · Hassanein et al. · 2006 [cited by applicant]
US 20060154357A1 · Hassanein et al. · 2006 [cited by applicant]
US 20060154358A1 · Hassanein et al. · 2006 [cited by applicant]
US 20060154359A1 · Hassanein et al. · 2006 [cited by applicant]
US 20060160204A1 · Hassanein et al. · 2006 [cited by applicant]
US 20060166360A1 · Berthiaume et al. · 2006 [cited by applicant]
US 20060182722A1 · Hering et al. · 2006 [cited by applicant]
US 20060292544A1 · Hassanein et al. · 2006 [cited by applicant]
US 20070009881A1 · Arzt et al. · 2007 [cited by applicant]
US 20070098694A1 · Khuri et al. · 2007 [cited by applicant]
US 20070135752A1 · Domash et al. · 2007 [cited by applicant]
US 20070135760A1 · Williams · 2007 [cited by applicant]
US 20070166292A1 · Brasile · 2007 [cited by applicant]
US 20070196461A1 · Weers · 2007 [cited by applicant]
US 20070275364A1 · Hassanein et al. · 2007 [cited by applicant]
US 20080009815A1 · Grabenkort et al. · 2008 [cited by applicant]
US 20080017191A1 · Davies et al. · 2008 [cited by applicant]
US 20080017194A1 · Hassanein et al. · 2008 [cited by applicant]
US 20080057488A1 · Steen · 2008 [cited by applicant]
US 20080234768A1 · Hassanein et al. · 2008 [cited by applicant]
US 20080286746A1 · Poo et al. · 2008 [cited by applicant]
US 20080295839A1 · Habashi · 2008 [cited by applicant]
US 20090002084A1 · Akira · 2009 [cited by applicant]
US 20090142830A1 · Yamashiro et al. · 2009 [cited by applicant]
US 20090143417A1 · Smith et al. · 2009 [cited by applicant]
US 20090182302A1 · Garabet · 2009 [cited by applicant]
US 20090191614A1 · Miyahara · 2009 [cited by applicant]
US 20090197240A1 · Fishman et al. · 2009 [cited by applicant]
US 20090197241A1 · Fishman et al. · 2009 [cited by applicant]
US 20090197292A1 · Fishman et al. · 2009 [cited by applicant]
US 20090197324A1 · Fishman et al. · 2009 [cited by applicant]
US 20090197325A1 · Fishman et al. · 2009 [cited by applicant]
US 20090215022A1 · Page et al. · 2009 [cited by applicant]
US 20090312724A1 · Pipkin et al. · 2009 [cited by applicant]
US 20100028850A1 · Brassil · 2010 [cited by applicant]
US 20100028979A1 · Faulkner · 2010 [cited by applicant]
US 20100056966A1 · Toth · 2010 [cited by applicant]
US 20100092939A1 · Belous et al. · 2010 [cited by applicant]
US 20100119554A1 · Dobson · 2010 [cited by applicant]
US 20100204663A1 · Wudyka · 2010 [cited by applicant]
US 20100322826A1 · Locascio et al. · 2010 [cited by applicant]
US 20100322862A1 · Ruoslahti et al. · 2010 [cited by applicant]
US 20110002926A1 · Matthews et al. · 2011 [cited by applicant]
US 20110065169A1 · Steen · 2011 [cited by applicant]
US 20110076666A1 · Brassil · 2011 [cited by applicant]
US 20110129810A1 · Owen et al. · 2011 [cited by applicant]
US 20110136096A1 · Hassanein et al. · 2011 [cited by applicant]
US 20110177487A1 · Simsir et al. · 2011 [cited by applicant]
US 20110190572A1 · Brophy et al. · 2011 [cited by applicant]
US 20110212431A1 · Bunegin et al. · 2011 [cited by applicant]
US 20110294108A1 · Argoudelis et al. · 2011 [cited by applicant]
US 20120064050A1 · Calle et al. · 2012 [cited by applicant]
US 20120077771A1 · Fallouh et al. · 2012 [cited by applicant]
US 20120183945A1 · Steen et al. · 2012 [cited by applicant]
US 20120277681A1 · Kravitz et al. · 2012 [cited by applicant]
US 20120282591A1 · Thatte et al. · 2012 [cited by applicant]
US 20120330438A1 · Keshavjee et al. · 2012 [cited by applicant]
US 20130011823A1 · Hassanein et al. · 2013 [cited by applicant]
US 20130078710A1 · Hassanein et al. · 2013 [cited by applicant]
US 20130102917A1 · Colbaugh et al. · 2013 [cited by applicant]
US 20130144227A1 · Locke et al. · 2013 [cited by applicant]
US 20130157248A1 · Fishman et al. · 2013 [cited by applicant]
US 20130220325A1 · Davis et al. · 2013 [cited by applicant]
US 20130295552A1 · Hassanein et al. · 2013 [cited by applicant]
US 20140001745A1 · Lehmann et al. · 2014 [cited by applicant]
US 20140007961A1 · Steen et al. · 2014 [cited by applicant]
US 20140017658A1 · Steinman et al. · 2014 [cited by applicant]
US 20140017660A1 · Steinman et al. · 2014 [cited by applicant]
US 20140017661A1 · Steinman et al. · 2014 [cited by applicant]
US 20140135738A1 · Panian · 2014 [cited by applicant]
US 20140220550A1 · Van Der Plaats et al. · 2014 [cited by applicant]
US 20140283828A1 · Acker et al. · 2014 [cited by applicant]
US 20140308654A1 · Kay et al. · 2014 [cited by applicant]
US 20140315175A1 · Nguyen et al. · 2014 [cited by applicant]
US 20140377849A1 · Kay et al. · 2014 [cited by applicant]
US 20150004677A1 · Kay · 2015 [cited by applicant]
US 20150017710A1 · Freed et al. · 2015 [cited by applicant]
US 20150079580A1 · Hassanein et al. · 2015 [cited by applicant]
US 20150093738A1 · Potenziano et al. · 2015 [cited by applicant]
US 20150230453A1 · Fontes et al. · 2015 [cited by applicant]
US 20150246164A1 · Heaton et al. · 2015 [cited by applicant]
US 20150275176A1 · Kobayashi et al. · 2015 [cited by applicant]
US 20150342177A1 · Hassanein et al. · 2015 [cited by applicant]
US 20160113269A1 · Woodard et al. · 2016 [cited by applicant]
US 20160262634A1 · Steen et al. · 2016 [cited by applicant]
US 20160361476A1 · Huang · 2016 [cited by applicant]
US 20170000110A1 · Korkut et al. · 2017 [cited by applicant]
US 20170015963A1 · Ott · 2017 [cited by applicant]
US 20170042141A1 · Kay et al. · 2017 [cited by applicant]
US 20170049096A1 · Kay et al. · 2017 [cited by applicant]
US 20190021308A1 · Hassanein et al. · 2019 [cited by applicant]
US 20200128813A1 · Kay et al. · 2020 [cited by applicant]
US 20200329699A1 · Freed · 2020 [cited by applicant]
US 20200337298A1 · Hassanein et al. · 2020 [cited by applicant]
US 20200352155A1 · Fishman et al. · 2020 [cited by applicant]
US 20210244017A1 · Ritchie et al. · 2021 [cited by applicant]
US 20210259240A1 · Filgate · 2021 [cited by applicant]
US 20220039373A1 · Hassanein et al. · 2022 [cited by applicant]
US 20220071197A1 · Hassanein et al. · 2022 [cited by applicant]
US 20220232823A1 · Hassanein et al. · 2022 [cited by applicant]
US 20220361482A1 · Hassanein · 2022 [cited by applicant]
US 20230210104A1 · Hassanein · 2023 [cited by applicant]
US 20230263156A1 · Hassanein · 2023 [cited by applicant]
US 20230380416A1 · Freed · 2023 [cited by applicant]
US 20230380418A1 · Pires-Oliveira et al. · 2023 [cited by applicant]
US 20230413805A1 · Hassanein · 2023 [cited by applicant]
US 20240081323A1 · Hassanein et al. · 2024 [cited by applicant]
US 20240164370A1 · Hassanein · 2024 [cited by applicant]
US 20240264144A1 · Hassanein · 2024 [cited by applicant]
US 20240292831A1 · Hassanein · 2024 [cited by applicant]
US 20240298632A1 · Freed · 2024 [cited by applicant]
US 20240397937A1 · Hassanein · 2024 [cited by applicant]
US 20250008947A1 · Freed · 2025 [cited by applicant]
CA 2144952A1 · 1994 [cited by applicant]
CA 2881613A1 · 2007 [cited by applicant]
CA 3022104A1 · 2012 [cited by applicant]
CA 2861545A1 · 2013 [cited by applicant]
CA 2521324C · 2014 [cited by applicant]
CA 2985229C · 2023 [cited by applicant]
CN 1232723A · 1999 [cited by applicant]
CN 1269471A · 2000 [cited by applicant]
CN 2418882Y · 2001 [cited by applicant]
CN 1452863A · 2003 [cited by applicant]
CN 2616058Y · 2004 [cited by applicant]