公开(公告)号：EP2077884A2

公开(公告)日：2009-07-15

申请号：EP07854328.7

申请日：2007-10-23

申请人： Cook Critical Care Incorporated

发明人： BOSEL, Christopher D. ,  LYONS, Drew P.

IPC分类号： A61M25/00

CPC分类号： A61M25/003 ,  A61M25/0021 ,  A61M2025/0031 ,  A61M2025/0037

摘要： A catheter for use in the extracorporeal treatment of bodily fluids comprises a catheter body having a withdrawal port, an infusion port, and a plurality of lumens therein. One of the lumens comprises a withdrawal lumen for transport of fluids withdrawn from a body vessel through the withdrawal port to an extracorporeal treatment unit, such as a dialyzer. Another lumen comprises an infusion lumen for infusion of treated fluids from the extracorporeal treatment unit through the infusion port into the vessel. The withdrawal port is positioned proximally from the infusion port along a length of the catheter body, and includes a generally helical profile.

公开(公告)号：EP1824545A1

公开(公告)日：2007-08-29

申请号：EP05809985.4

申请日：2005-10-11

申请人： Cook Critical Care Incorporated

发明人： KURRUS, Michael, R.

IPC分类号： A61M16/04 ,  A61M25/10 ,  A61M25/01 ,  A61B17/12

CPC分类号： A61M16/0488 ,  A61B1/2676 ,  A61B17/12104 ,  A61B17/12136 ,  A61M16/04 ,  A61M16/0404 ,  A61M16/0445 ,  A61M16/0459 ,  A61M16/0475 ,  A61M16/0486 ,  A61M2025/1052

摘要： An endobronchial blocker catheter (10) for use in blocking a selected mainstem bronchus (65) under guidance of a bronchoscope (64). The endobronchial blocker catheter comprises a tubular assembly and an elongated body that receives the tubular assembly. The tubular assembly comprises a tubular member (40) and a loop (45) disposed at a distal end of the tubular member. The loop is sized such that the bronchoscope is passable through the loop. The elongated body (12) has a plurality of lumens (28, 29, 30) therein, and an inflatable blocker balloon (17) disposed about a distal portion of the elongated body. One of the lumens (28) extends to an interior of the balloon to accomplish inflation of the balloon for retaining the blocker catheter in the mainstem bronchus, and another lumen (29) is sized for receiving the tubular assembly in a manner such that the loop extends from a distal end of the elongated body. The blocker catheter is guided by the bronchoscope to the desired inflation site via the loop.

公开(公告)号：EP1641505A2

公开(公告)日：2006-04-05

申请号：EP04755929.9

申请日：2004-06-23

申请人： Cook Critical Care Incorporated

发明人： FRYE, Mark, R. ,  GINGLES, Bruce ,  OSBORNE, Thomas, A. ,  SPEER, Jon, D.

IPC分类号： A61M1/36 ,  A61M25/00

CPC分类号： A61M1/3653 ,  A61M1/3659 ,  A61M1/3661

摘要： A catheter assembly for use in extracorporeal treatment of a bodily fluid. The catheter assembly includes a catheter body having an outer tubular member and an inner tubular member. At least one of the tubular members includes an expansion member, such as a malecot, for centering the catheter assembly in a body vessel. Body fluid is withdrawn from the vessel, and passed through one of the tubular members to a treatment instrument, such as a dialyzer. Treated fluid from the treatment instrument is then passed through the other tubular member and returned to the body vessel through one or more openings in said other tubular member.

公开(公告)号：EP2308551A1

公开(公告)日：2011-04-13

申请号：EP10191017.2

申请日：2006-12-08

申请人： Cook Critical Care Incorporated

发明人： Arndt, George, A.

IPC分类号： A61N1/05 ,  A61B17/34

CPC分类号： A61B8/0841 ,  A61B8/0833 ,  A61B17/3401 ,  A61B2090/3925 ,  A61N1/0551 ,  A61N1/36017 ,  A61N1/36021

摘要： An apparatus and method for blockage of a peripheral nerve of a patient utilizes simultaneous continuous electrical nerve stimulation and visualization of the nerve using 2D ultrasound. A hyperechoic stimulating block needle is provided for insertion into the patient. The needle includes a hollow metal conduit, and a generally non-conductive covering extending along the shaft of the conduit. An echogenic surface capable of scattering and reflecting ultrasound waves for enhanced visualisation extends along at least a portion of the length of the needle. The needle is inserted into the patient, and the needle tip is optimally aligned in proximity with the nerve by simultaneous visualization with 2D ultrasound and by electrical nerve stimulation. Once the needle is optimally placed with regard to the nerve, a drug may be injected through a catheter passing through the needle, the catheter being capable of continuous administration of a drug therethrough upon removal of the needle.

摘要翻译： 用于患者的周围神经的堵塞的装置和方法利用的同时连续电神经刺激和使用2D超声神经的可视化。 甲强回声刺激块针提供了一种用于插入到患者体内。 针包括：中空的金属管，及基因反弹其它非导电覆盖物沿着所述导管的所述轴延伸。 能够提供用于增强的可视化散射和反射的超声波的回声表面沿至少针的长度的一部分。 针插入到患者体内，并且针尖与由与2D超声同时可视化的神经接近度和由电神经刺激对准OPTI马利。 一旦针是相对于神经放置OPTI马利，药物可以通过穿过针导管注射，导管那里通过在去除针能够药物的连续给药的。

公开(公告)号：EP2152185A1

公开(公告)日：2010-02-17

申请号：EP08756599.0

申请日：2008-06-02

申请人： Cook Critical Care Incorporated

发明人： ARNDT, George, A. ,  BOSEL, Christopher, D.

IPC分类号： A61B19/00 ,  A61B17/34 ,  A61B8/08 ,  A61N1/34

CPC分类号： A61B17/3401 ,  A61B8/0833 ,  A61B8/0841 ,  A61B2017/3413 ,  A61B2090/3925 ,  A61N1/08

摘要： An assembly and method for continuous blockage of a nerve in a patient. The assembly includes a needle comprising a hollow needle conduit having a shaft portion and a tip portion, a generally non-conductive layer disposed along a length of the conduit shaft portion, and an echogenic surface extending along at least a portion of the needle. A catheter having a bore for transmittal of an anesthetic to the nerve is receivable in the shaft portion of said needle. Following insertion of the needle tip in the vicinity of the nerve by electrical nerve stimulation and ultrasound visualization, the catheter is passed through the needle conduit such that the distal end of the catheter extends beyond the distal tip of the needle. The catheter has an echogenic portion, such as a ribbon wrapped around the distal end of the catheter, and the catheter echogenic portion is guidable in the vicinity of the nerve under ultrasound imaging. Following placement of the catheter, the needle may be removed, leaving the catheter in position for delivering continuous, spaced doses of the anesthetic over a selected period of time.

公开(公告)号：EP2121095A1

公开(公告)日：2009-11-25

申请号：EP08705976.2

申请日：2008-01-17

申请人： Cook Critical Care Incorporated

发明人： MELSHEIMER, Jeffry, S.

IPC分类号： A61M16/04 ,  A61B17/34

CPC分类号： A61M16/0472 ,  A61B17/3415 ,  A61B2017/3486 ,  A61M16/0434 ,  A61M16/0488 ,  A61M2025/0687 ,  A61M2210/1032

摘要： A loading dilator (10) introducing a tracheostomy tube (100) into a stoma (140) formed in an outer body wall of a patient includes a handle (12) and a tubular portion (14) received in a distal opening (61) of the handle. The tubular portion includes a radially outer dilator member (20), and a radially inner actuation member (32) substantially spanning the length of the tubular portion. A radially intermediate segment has a conical member (26) at a tapered distal end of the tubular portion, a compressible member (30) positioned proximal of the conical member, and an elongated tubular member (40) proximal of the compressible member. The conical member is engaged with the inner actuation member such that the conical member and inner actuation member are proximally movable relative to the elongated tubular member, whereby the compressible member is deformable from a smaller diameter to a larger diameter for facilitating entry into the stoma of a medical apparatus. The handle has a trigger (80) operatively engaged with the inner actuation member for effecting proximal movement of the inner actuation member and conical portion.

公开(公告)号：EP1638633B1

公开(公告)日：2009-11-18

申请号：EP04777164.7

申请日：2004-06-28

申请人： Cook Critical Care Incorporated

发明人： OSBORNE, Thomas, A.

IPC分类号： A61M25/00

CPC分类号： A61M25/0068 ,  A61M25/007 ,  A61M25/008 ,  A61M2025/004 ,  A61M2025/0056

公开(公告)号：EP1906879A2

公开(公告)日：2008-04-09

申请号：EP06800360.7

申请日：2006-07-26

申请人： Cook Critical Care Incorporated

发明人： DEMETRIADES, Demetrios

IPC分类号： A61F2/06 ,  A61F2/94 ,  A61B17/115

CPC分类号： A61F2/07 ,  A61F2/064 ,  A61F2/89 ,  A61F2/90 ,  A61F2/97 ,  A61F2002/075 ,  A61F2002/8483 ,  Y10S623/903

摘要： A stent/graft device for intraoperative repair of a damaged portion of a body- vessel, comprising a generally cylindrical body having a passageway therethrough; and a connector positioned at least at one axial end of said body, an axial end of said connector extending into said passageway and another axial end of said connector extending from said body, said axial end extending into said passageway having a diameter such that said end is snugly received in said body, said axial end extending from said body including a mechanism for effecting engagement with said vessel and wherein said device comprises a connector positioned at each axial end thereof, aech of said connectors including a portion adapted for fixed engagement with said vessel via one or more sutures .

公开(公告)号：EP1737522A1

公开(公告)日：2007-01-03

申请号：EP05724955.9

申请日：2005-03-08

申请人： Cook Critical Care Incorporated

发明人： KYLE, Garry, Wayne, Jr.

IPC分类号： A61M16/04

CPC分类号： A61M16/04 ,  A61M16/0404 ,  A61M16/0427 ,  A61M16/0429 ,  A61M16/0434 ,  A61M16/0459 ,  A61M16/0475 ,  A61M16/0486

摘要： Devices and kits, for selectively and alternately isolating one of a pair of bronchi or lungs are provided. A main body (11) has proximal (12) and distal (13) ends defining a lumen (30), and a side port (22) and opening (15) formed near the distal end. An insert (40, 50) having first (41, 51) and second (42, 52) ends, and an aperture (45, 54) located at or near the second end, is configured to have the second end placed in the main body lumen. The insert aperture permits passageway to at least one of the main body side port or distal opening, while an exchangeable insert permits passageway to the other main body side port or opening, or optionally one insert may move between first and second positions to selectively and alternately permit passageway to the one or other main body side port or opening. Also provided are kits for selectively and alternately isolating one of a pair of bronchi or lungs.

公开(公告)号：EP1727581A1

公开(公告)日：2006-12-06

申请号：EP05726070.5

申请日：2005-03-22

申请人： Cook Critical Care Incorporated

发明人： EELLS, Scott, E. ,  OSBORNE, Thomas, A.

IPC分类号： A61M16/04

CPC分类号： A61M16/0465 ,  A61M16/0443 ,  A61M16/0472 ,  A61M16/0486 ,  A61M16/0488

摘要： An apparatus for use in the percutaneous placement of a medical device, such as a tracheostomy tube. An elongated hollow tube (14) has an inflatable dilator balloon (12) mounted thereon. The balloon comprises a distal portion (16), an intermediate portion (17) and a proximal portion (18). The medical device is carried on the intermediate portion. At least a segment of the distal portion has an inflated outer diameter that is at least as large as the outer diameter of the medical device. The inflated outer diameter of the intermediate portion is sized relative to an internal diameter of the medica device to hold the medical device thereon. An inflation assembly (49) is provided to enable the balloon to be selectively inflated and deflated. A body opening is dilated with the inflated dilator balloon, and the medical device may be percutaneously placed across the dilated opening. Following placement of the device, the dilator balloon may be deflated and withdrawn from the device through a lumen of the medical device.

摘要翻译： 一种用于经皮放置医疗装置如气管造口管的设备。 细长的中空管（14）具有安装在其上的可膨胀的扩张器气囊（12）。 气囊包括远端部分（16），中间部分（17）和近端部分（18）。 医疗装置被承载在中间部分上。 远端部分的至少一段具有至少与医疗装置的外径一样大的膨胀外径。 中间部分的膨胀的外径相对于药物装置的内径被设定尺寸以将医疗装置保持在其上。 提供充气组件（49）以使气囊能够被选择性地充气和放气。 用膨胀的扩张器球囊扩张身体开口，并且医疗装置可以经皮放置在扩张的开口上。 在装置放置之后，扩张器球囊可以放气并且通过医疗装置的内腔从装置中抽出。