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公开(公告)号：EP0405823B1
公开(公告)日：1994-11-30
申请号：EP90306729.6
申请日：1990-06-20
申请人： Cook Incorporated
IPC分类号： A61M25/01
CPC分类号： A61M25/09 , A61M2025/09091 , A61M2025/09166
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公开(公告)号：EP0479565B1
公开(公告)日：1995-12-20
申请号：EP91309012.2
申请日：1991-10-02
申请人： Cook Incorporated
CPC分类号： A61B17/3417 , A61M29/00
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公开(公告)号：EP0479565A2
公开(公告)日：1992-04-08
申请号：EP91309012.2
申请日：1991-10-02
申请人： Cook Incorporated
CPC分类号： A61B17/3417 , A61M29/00
摘要： A medical device for endoscopic access of a body cavity and a method of percutaneously placing inner and outer access sheaths of the device into the body cavity. The medical device includes inner and outer access sheaths and a dilator which is inserted into the outer sheath and has a shoulder or a shoulder piece for abutting against the proximal end of the outer sheath. The device also includes a wire guide that is percutaneously inserted into the body cavity via an introducer needle. The dilator and outer sheath are placed over the wire guide to dilate the puncture site and introduce the dilator and outer sheath into the body cavity. The dilator comprises an elongated cylindrical member having a passageway opening distally from the conically-shaped distal end and from an outside lateral wall of the dilator about the proximal end. The dilator also includes an end cap which is utilized to force the dilator and the outer sheath through the puncture site and into the body cavity. After positioning in the body cavity, the dilator and wire guide are removed through the outer sheath. The inner sheath is then inserted through the outer sheath into the body cavity. The proximal ends of both the inner and outer sheaths include seals for maintaining insufflation of the body cavity. The inner sheath includes a shoulder piece having a chamber and a side port for connection to an insufflation gas line.
摘要翻译： 用于体腔内窥镜进入的医疗装置和将装置的内部和外部通路护套经皮放置到体腔中的方法。 医疗装置包括内部（103）和外部（102）进入护套和扩张器（101），该扩张器（101）插入到外部护套中并且具有用于抵靠外部护套的近端的肩部或肩部件（114）。 该装置还包括经导引针经皮插入体腔内的导丝器（104）。 将扩张器和外护套放置在线引导件上以扩张穿刺部位并将扩张器和外护套引入体腔。 扩张器包括细长的圆柱形构件，该圆柱形构件具有远离锥形远端的通道开口以及围绕近端的扩张器的外侧壁。 扩张器还包括端盖（107），其用于迫使扩张器和外护套穿过穿刺部位并进入体腔。 定位在体腔后，扩张器和导丝器通过外护套去除。 然后将内护套通过外护套插入体腔。 内护套和外护套的近端包括用于保持体腔吹气的密封件。 内护套包括具有室的肩部件和用于连接到吹入气体管线的侧面端口。
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公开(公告)号：EP0481685A1
公开(公告)日：1992-04-22
申请号：EP91309336.5
申请日：1991-10-10
申请人： Cook Incorporated
CPC分类号： A61B90/39 , A61B2017/00349 , A61B2090/3908 , A61B2090/3987 , A61F2210/0019
摘要： A medical device (10) for localizing a nonpalpable breast lesion (20). The device includes a tubular introducer needle (11) and a wire guide (14) positioned therein for inserting into a breast (25) to the site of the lesion. The wire guide includes a distal portion (16) which is preformed into a resilient helical coil configuration for locking into position about the lesion. The distal portion includes a superelastic metallic alloy for maintaining the helical coil configuration after repeated extensions from and retractions into the needle passageway. With a visualization aid such as an X-ray film or ultrasound, a radiologist typically inserts the needle with the wire guide positioned therein into the breast to the site of the lesion and extends the distal portion of the wire guide from the needle. The distal end of the needle includes a plurality of indentations for enhancing the ultrasound visualization thereof. As the distal portion of the wire guide emerges from the needle, the acuate distal end (17) of the wire guide cuts into and scribes a helical path about the tissue distal to the lesion. The remainder of the distal portion of the wire guide follows the path scribed by the acuate distal tip and locks about the tissue distal to the lesion. Should the needle and wire guide not be appropriately positioned, the distal portion of the wire guide is retracted into the passageway of the needle to reposition the needle and guide. After desired positioning, the needle is removed with the wire guide remaining in a locked position distally about the lesion for guiding guides the surgeon to the lesion site during subsequent surgery.
摘要翻译： 一种用于定位不可触及的乳房损伤（20）的医疗装置（10）。 该装置包括管状导引针（11）和定位在其中的导线器（14），用于插入到病变部位的乳房（25）中。 线引导件包括远端部分（16），其被预成形为弹性螺旋线圈构造，用于锁定在病变周围的位置。 远端部分包括超弹性金属合金，用于在从针通道重复延伸并缩回到针通道之后维持螺旋线圈构型。 通过诸如X射线胶片或超声波的可视化辅助，放射科医师通常将定位在其中的线导向器的针插入乳房到病变的位置，并且将引导线的远端部分从针延伸出来。 针的远端包括用于增强其超声可视化的多个凹痕。 当导线引导件的远端部分从针上伸出时，导线引导件的尖端远端（17）切割并围绕病变远侧的组织划出螺旋状路径。 电线引导件的远端部分的其余部分遵循由顶端远侧末端划线的路径，并围绕病变远侧的组织进行锁定。 如果针和线引导件没有被适当地定位，则线引导件的远端部分缩回到针的通道中以重新定位针和引导件。 在所需的定位之后，针被移除，线引导件保持在关于病变的远侧的锁定位置，用于在随后的手术期间引导外科医生到病变部位。
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5.发明公开Apparatus for filtering blood in a blood vessel of a patient 失效Blutfiltervorrichtung in den Aden eines Patienten。
公开(公告)号：EP0472334A1
公开(公告)日：1992-02-26
申请号：EP91307376.3
申请日：1991-08-09
申请人： Cook Incorporated
发明人： Gunther, Rolf , Bates, Brian L.
IPC分类号： A61F2/02
CPC分类号： A61F2/01 , A61F2002/011 , A61F2002/016 , A61F2230/005 , A61F2230/0071 , A61F2230/0093
摘要： An apparatus (10) for filtering blood in a blood vessel of a patient comprises a catheter (30) which is introduced into the blood vessel and advanced to a desired location within the blood vessel, a positioning means (12) having a filter (13) distally attached thereto to be guided through the catheter. In use, the filter is positioned at a location beyond the distal end of the catheter within the blood vessel with the positioning means. The positioning means is then locked to the catheter. The catheter is then anchored to an object located outside of the blood vessel. Thereafter, an amount of blood is filtered within the blood vessel with the filter. The filter can be readily repositioned by unlocking the positioning means from the catheter, repositioning the filter within the blood vessel with the positioning means and then relocking the positioning means to the cather.
摘要翻译： 一种用于过滤患者血管中的血液的装置（10）包括：导管（30），该导管（30）被引入到血管中并且前进到血管内的所需位置;定位装置（12），具有过滤器 ）远端连接到导管上。 在使用中，使用定位装置将过滤器定位在血管内超过导管远端的位置处。 然后将定位装置锁定到导管。 然后将导管锚定到位于血管外部的物体。 此后，用过滤器在血管内过滤血量。 可以通过从导管解锁定位装置，通过定位装置将过滤器重新定位在血管内，然后将定位装置重新锁定到卡子，从而可以容易地重新定位过滤器。
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公开(公告)号：EP0405823A3
公开(公告)日：1991-02-06
申请号：EP90306729.6
申请日：1990-06-20
申请人： Cook Incorporated
IPC分类号： A61M25/01
CPC分类号： A61M25/09 , A61M2025/09091 , A61M2025/09166
摘要： A wire guide comprising an elongate central core (11) and a coil (14) formed of radiopaque material which is positioned substantially concentrically with the elongate central core. The wire guide also comprises a polymer sleeve (12) which encloses the elongated central core. The guide wire further comprises a hydrophilic coating (13) which substantially encloses the polymer sleeve.
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公开(公告)号：EP0405823B2
公开(公告)日：1999-01-07
申请号：EP90306729.6
申请日：1990-06-20
申请人： Cook Incorporated
IPC分类号： A61M25/01
CPC分类号： A61M25/09 , A61M2025/09091 , A61M2025/09166
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公开(公告)号：EP0479565A3
公开(公告)日：1992-07-01
申请号：EP91309012.2
申请日：1991-10-02
申请人： Cook Incorporated
CPC分类号： A61B17/3417 , A61M29/00
摘要： A medical device for endoscopic access of a body cavity and a method of percutaneously placing inner and outer access sheaths of the device into the body cavity. The medical device includes inner and outer access sheaths and a dilator which is inserted into the outer sheath and has a shoulder or a shoulder piece for abutting against the proximal end of the outer sheath. The device also includes a wire guide that is percutaneously inserted into the body cavity via an introducer needle. The dilator and outer sheath are placed over the wire guide to dilate the puncture site and introduce the dilator and outer sheath into the body cavity. The dilator comprises an elongated cylindrical member having a passageway opening distally from the conically-shaped distal end and from an outside lateral wall of the dilator about the proximal end. The dilator also includes an end cap which is utilized to force the dilator and the outer sheath through the puncture site and into the body cavity. After positioning in the body cavity, the dilator and wire guide are removed through the outer sheath. The inner sheath is then inserted through the outer sheath into the body cavity. The proximal ends of both the inner and outer sheaths include seals for maintaining insufflation of the body cavity. The inner sheath includes a shoulder piece having a chamber and a side port for connection to an insufflation gas line.
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公开(公告)号：EP0405823A2
公开(公告)日：1991-01-02
申请号：EP90306729.6
申请日：1990-06-20
申请人： Cook Incorporated
IPC分类号： A61M25/01
CPC分类号： A61M25/09 , A61M2025/09091 , A61M2025/09166
摘要： A wire guide comprising an elongate central core (11) and a coil (14) formed of radiopaque material which is positioned substantially concentrically with the elongate central core. The wire guide also comprises a polymer sleeve (12) which encloses the elongated central core. The guide wire further comprises a hydrophilic coating (13) which substantially encloses the polymer sleeve.
摘要翻译： 一种导线器，其包括细长的中心芯部（11）和由不透射线材料形成的线圈（14），所述线圈（14）基本上与细长的中心芯心同心地定位。 导线引导件还包括围绕细长的中心芯的聚合物套（12）。 导丝还包括基本上包围聚合物套筒的亲水涂层（13）。
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