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公开(公告)号:US20120059321A1
公开(公告)日:2012-03-08
申请号:US13221630
申请日:2011-08-30
IPC分类号: A61B17/34
CPC分类号: A61B17/3415 , A61B2017/320056
摘要: A tunneler for producing a subcutaneous tunnel in connection with the placement of a catheter within a body of a patient is disclosed. In one embodiment, the tunneler comprises an elongate tunneler member and a sheath. The tunneler member includes a handle on its proximal end and a tapered distal end. The sheath defines an elongate lumen inside which the tunneler member is initially received. The tunneler member is configured to define a tunnel through subcutaneous tissue while disposed in the sheath, then is removable from the sheath lumen thereafter. The sheath is configured to remain within the tunnel so that a catheter can be inserted through the sheath within the tunnel. The sheath is splittable in one embodiment so as to enable its removal from the tunnel while leaving the catheter in place.
摘要翻译: 公开了一种用于产生与在患者体内放置导管有关的皮下隧道的隧道器。 在一个实施例中,隧道器包括细长的隧道构件和护套。 隧道构件在其近端包括手柄和锥形远端。 护套限定细长的内腔,其中隧道器构件最初被接纳。 隧道构件构造成在设置在护套中时通过皮下组织限定隧道,然后可以从鞘腔中移除。 护套被配置为保持在隧道内,使得导管可以穿过隧道内的护套插入。 护套在一个实施例中是可分开的,以便使其能够在将导管放置就位时从隧道移除。
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公开(公告)号:US20120330159A1
公开(公告)日:2012-12-27
申请号:US13531406
申请日:2012-06-22
申请人: Amir Orome , Matthew W. Bown , Richard P. Jenkins , William R. Barron , Bryson G. Wilkes , Eric W. Lindekugel , Jeffrey J. Flint , Charles Farnworth , Alisha M. Hammond
发明人: Amir Orome , Matthew W. Bown , Richard P. Jenkins , William R. Barron , Bryson G. Wilkes , Eric W. Lindekugel , Jeffrey J. Flint , Charles Farnworth , Alisha M. Hammond
IPC分类号: A61B8/00
CPC分类号: A61B8/0841 , A61B5/15003 , A61B5/150175 , A61B5/150259 , A61B5/150389 , A61B5/150503 , A61B5/150519 , A61B5/150748 , A61B5/150786 , A61B5/150824 , A61B5/153 , A61B5/155 , A61B6/12 , A61B8/085 , A61B8/4411 , A61B8/4422 , A61B8/4444 , A61B10/0233 , A61B17/3403 , A61B2017/3413 , A61M5/3287 , A61M5/427 , A61M5/46
摘要: A needle guide assembly for inserting a needle into the body of a patient in order to access a subcutaneous target, such as a vessel, is disclosed. In one embodiment, the needle guide assembly comprises a needle guide body that is configured to at least indirectly and removably attach to an image producing device, such as an ultrasound probe. The needle guide body defines at least first and second elongate guide channels. Each guide channel defines a unique insertion angle with respect to a longitudinal axis of the ultrasound probe. Further, each guide channel is configured to accept needles of differing gauges. In other embodiments other needle guide assemblies are disclosed that include multiple guide channels for inserting a needle at a variety of insertion angles into the patient's body. Related methods are also disclosed. In yet other embodiments, needle guide assemblies including needle stop features are disclosed.
摘要翻译: 公开了一种用于将针插入患者身体以便接近皮下靶(例如血管)的针导向组件。 在一个实施例中,针引导组件包括针引导体,其被配置为至少间接地并且可移除地附接到诸如超声波探头的图像产生装置。 针引导体至少限定第一和第二细长引导通道。 每个引导通道相对于超声波探头的纵轴限定独特的插入角度。 此外,每个引导通道构造成接纳不同量规的针。 在其它实施例中,公开了其中包括用于将针以各种插入角插入患者体内的多个引导通道的其它引导组件。 还公开了相关方法。 在其他实施例中,公开了包括针停止特征的针引导组件。
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公开(公告)号:US09974516B2
公开(公告)日:2018-05-22
申请号:US13335587
申请日:2011-12-22
申请人: Amir Orome , Eric W. Lindekugel , Matthew W. Bown
发明人: Amir Orome , Eric W. Lindekugel , Matthew W. Bown
CPC分类号: A61B8/0841 , A61B5/15003 , A61B5/150175 , A61B5/150748 , A61B5/153 , A61B6/12 , A61B8/4411 , A61B8/4422 , A61B8/4444 , A61B10/0233 , A61M5/3287 , A61M5/427
摘要: A needle guide assembly for inserting a needle into the body of a patient in order to access a subcutaneous target, such as a vessel, is disclosed. In one embodiment, the needle guide assembly comprises a needle guide body that is configured to at least indirectly and removably attach to an image producing device, such as an ultrasound probe. The needle guide body defines at least first and second elongate guide channels. Each guide channel defines a unique insertion angle with respect to a longitudinal axis of the ultrasound probe. Further, each guide channel is configured to accept needles of differing gauges.
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公开(公告)号:USD699359S1
公开(公告)日:2014-02-11
申请号:US29428649
申请日:2012-08-01
申请人: Eric W. Lindekugel , Amir Orome , Matthew W. Bown
设计人: Eric W. Lindekugel , Amir Orome , Matthew W. Bown
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公开(公告)号:US09681823B2
公开(公告)日:2017-06-20
申请号:US13469932
申请日:2012-05-11
申请人: Shayne Messerly , Jeremy B. Cox , Anthony K. Misener , Catherine C. Breiter , Ryan R. Lemon , Christian W. Crook , Matthew W. Bown , Eddie K. Burnside , Kelly J. Christian , Amir Orome , Jason R. Stats
发明人: Shayne Messerly , Jeremy B. Cox , Anthony K. Misener , Catherine C. Breiter , Ryan R. Lemon , Christian W. Crook , Matthew W. Bown , Eddie K. Burnside , Kelly J. Christian , Amir Orome , Jason R. Stats
CPC分类号: A61B5/062 , A61B5/042 , A61B8/0833 , A61B8/0891 , A61B34/20 , A61B46/00 , A61B46/10 , A61B2034/2051 , A61B2090/378 , A61B2090/3954
摘要: An integrated catheter placement system for accurately placing a catheter within a patient's vasculature is disclosed. In one embodiment, the integrated system comprises a system console, a tip location sensor for temporary placement on the patient's chest, and an ultrasound probe. The tip location sensor senses a magnetic field of a stylet disposed in a lumen of the catheter when the catheter is disposed in the vasculature. The ultrasound probe ultrasonically images a portion of the vasculature prior to intravascular introduction of the catheter. The ultrasound probe includes user input controls for controlling use of the ultrasound probe in an ultrasound mode and use of the tip location sensor in a tip location mode. In another embodiment, ECG signal-based catheter tip guidance is included in the integrated system to enable guidance of the catheter tip to a desired position with respect to a node of the patient's heart.
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公开(公告)号:US08784336B2
公开(公告)日:2014-07-22
申请号:US11466602
申请日:2006-08-23
申请人: Matthew W. Bown , Mark A. Christensen , Guy Rome , Bret Hamatake
发明人: Matthew W. Bown , Mark A. Christensen , Guy Rome , Bret Hamatake
CPC分类号: A61M25/0102 , A61M25/0043 , A61M25/0127
摘要: A stylet capable of being at least partially disposed within a lumen of a device is disclosed. This stylet may include an elongated body comprising a proximal end, a distal end, and at least one magnetic material. In certain embodiments, the elongated body may also include at least one core element, a tubular member circumferentially disposed about at least a portion of the core element, and/or at least one support member circumferentially disposed about at least a portion of the core element. In addition, a matrix material may be disposed between the core element and the tubular member to retain the magnetic material within the elongated body. A catheter assembly including a stylet and a corresponding method of manufacture are also disclosed.
摘要翻译: 公开了能够至少部分地设置在设备的内腔内的探针。 该探针可以包括细长体,其包括近端,远端和至少一种磁性材料。 在某些实施例中,细长主体还可以包括至少一个芯元件,围绕芯元件的至少一部分周向设置的管状构件,和/或围绕芯元件的至少一部分周向设置的至少一个支撑构件 。 此外,基体材料可以设置在芯元件和管状构件之间以将磁性材料保持在细长体内。 还公开了一种包括探针和相应的制造方法的导管组件。
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公开(公告)号:US08758268B2
公开(公告)日:2014-06-24
申请号:US12028555
申请日:2008-02-08
申请人: Matthew W. Bown , David M. Butts
发明人: Matthew W. Bown , David M. Butts
IPC分类号: A61B5/00
CPC分类号: A61M25/09 , A61M2025/09108 , A61M2025/09125 , A61M2025/09133 , A61M2025/09141 , Y10T29/49
摘要: A shaped guidewire for use in medical applications is disclosed. The guidewire is shaped so as to prevent inadvertent advancement of the guidewire into the corpus of a patient during use. In one embodiment, the guidewire includes an elongate body that defines proximal and distal ends. The guidewire body further defines a shaped portion that is positioned intermediate the proximal and distal ends. The shaped portion of the guidewire is at least partially composed of a shape memory material, such as nitinol, and is deflected from a longitudinal axis defined by an undeflected portion of the guidewire body. The shaped portion is disposed in one embodiment at the proximal end of the guidewire. In another embodiment, a proximal portion of the nitinol guidewire can be treated to impart malleability and enable deflection by a clinician. Methods for forming the shaped or malleable guidewire to include a deflected portion are disclosed.
摘要翻译: 公开了一种用于医疗应用的成形导丝。 导丝的形状是为了防止导丝在使用过程中不经意地前进到患者的语料库中。 在一个实施例中,导丝包括限定近端和远端的细长主体。 导丝体进一步限定了位于近端和远端之间的成形部分。 导丝的成形部分至少部分地由诸如镍钛诺的形状记忆材料组成,并且从由导丝主体的未偏转部分限定的纵向轴线偏转。 成形部分在一个实施例中设置在导丝的近端处。 在另一个实施方案中,镍钛诺导丝的近端部分可以被处理以赋予延展性,并且能够由临床医生进行偏转。 公开了用于形成成形或可延展的导丝以包括偏转部分的方法。
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公开(公告)号:US20120165679A1
公开(公告)日:2012-06-28
申请号:US13335587
申请日:2011-12-22
IPC分类号: A61B8/00
CPC分类号: A61B8/0841 , A61B5/15003 , A61B5/150175 , A61B5/150748 , A61B5/153 , A61B6/12 , A61B8/4411 , A61B8/4422 , A61B8/4444 , A61B10/0233 , A61M5/3287 , A61M5/427
摘要: A needle guide assembly for inserting a needle into the body of a patient in order to access a subcutaneous target, such as a vessel, is disclosed. In one embodiment, the needle guide assembly comprises a needle guide body that is configured to at least indirectly and removably attach to an image producing device, such as an ultrasound probe. The needle guide body defines at least first and second elongate guide channels. Each guide channel defines a unique insertion angle with respect to a longitudinal axis of the ultrasound probe. Further, each guide channel is configured to accept needles of differing gauges.
摘要翻译: 公开了一种用于将针插入患者身体以便接近皮下靶(例如血管)的针导向组件。 在一个实施例中,针引导组件包括针引导体,其被配置为至少间接地并且可移除地附接到诸如超声波探头的图像产生装置。 针引导体至少限定第一和第二细长引导通道。 每个引导通道相对于超声波探头的纵轴限定独特的插入角度。 此外,每个引导通道构造成接纳不同量规的针。
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公开(公告)号:US20100222664A1
公开(公告)日:2010-09-02
申请号:US12545762
申请日:2009-08-21
申请人: Ryan R. Lemon , Matthew W. Bown
发明人: Ryan R. Lemon , Matthew W. Bown
CPC分类号: A61M25/09 , A61B5/042 , A61B2017/00044 , A61B2017/00331 , A61B2034/2051 , A61M25/0054 , A61M25/0102 , A61M2025/09116 , A61M2025/09141 , A61M2025/09175 , A61M2025/09183 , A61M2205/3507
摘要: A stylet for use in guiding a distal tip of a catheter to a predetermined location within the body of a patient. In one embodiment the stylet is configured for use within a lumen of the catheter and comprises a core wire, an ECG sensor, and a magnetic assembly. The ECG sensor senses an ECG signal of a patient when the stylet is disposed within the lumen of the catheter and the catheter is disposed within the body of the patient. The magnetic assembly includes at least one element capable of producing a magnetic or electromagnetic field for detection by a sensor external to the patient. In another embodiment, the stylet includes a pre-shaped distal segment that is deflected with respect to a more proximal portion of the stylet, which in turn causes a distal segment of the catheter to be deflected when the stylet is received within the lumen.
摘要翻译: 用于将导管的远端引导到患者体内的预定位置的探针。 在一个实施例中,探针被配置为在导管的内腔内使用,并且包括芯线,ECG传感器和磁性组件。 当探针设置在导管的内腔内并且导管设置在患者的身体内时,ECG传感器感测患者的ECG信号。 磁性组件包括至少一个能够产生用于由患者外部的传感器检测的磁场或电磁场的元件。 在另一个实施例中,探针包括相对于探针的较近近部分偏转的预形远端段,其进而导致导管的远端段在探针被接纳在管腔内时被偏转。
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公开(公告)号:US20080194994A1
公开(公告)日:2008-08-14
申请号:US12028555
申请日:2008-02-08
申请人: Matthew W. Bown , M. David Butts
发明人: Matthew W. Bown , M. David Butts
CPC分类号: A61M25/09 , A61M2025/09108 , A61M2025/09125 , A61M2025/09133 , A61M2025/09141 , Y10T29/49
摘要: A shaped guidewire for use in medical applications is disclosed. The guidewire is shaped so as to prevent inadvertent advancement of the guidewire into the corpus of a patient during use. In one embodiment, the guidewire includes an elongate body that defines proximal and distal ends. The guidewire body further defines a shaped portion that is positioned intermediate the proximal and distal ends. The shaped portion of the guidewire is at least partially composed of a shape memory material, such as nitinol, and is deflected from a longitudinal axis defined by an undeflected portion of the guidewire body. The shaped portion is disposed in one embodiment at the proximal end of the guidewire. In another embodiment, a proximal portion of the nitinol guidewire can be treated to impart malleability and enable deflection by a clinician. Methods for forming the shaped or malleable guidewire to include a deflected portion are disclosed.
摘要翻译: 公开了一种用于医疗应用的成形导丝。 导丝的形状是为了防止导丝在使用过程中不经意地前进到患者的语料库中。 在一个实施例中,导丝包括限定近端和远端的细长主体。 导丝体进一步限定了位于近端和远端之间的成形部分。 导丝的成形部分至少部分地由诸如镍钛诺的形状记忆材料组成,并且从由导丝主体的未偏转部分限定的纵向轴线偏转。 成形部分在一个实施例中设置在导丝的近端处。 在另一个实施方案中,镍钛诺导丝的近端部分可以被处理以赋予延展性,并且能够由临床医生进行偏转。 公开了用于形成成形或可延展的导丝以包括偏转部分的方法。
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