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公开(公告)号:US20050090835A1
公开(公告)日:2005-04-28
申请号:US10903679
申请日:2004-07-29
申请人: Stephen Deal , David Waller , Kenneth Kennedy , Brian Rucker , David Hardin , John Karpiel
发明人: Stephen Deal , David Waller , Kenneth Kennedy , Brian Rucker , David Hardin , John Karpiel
IPC分类号: A61B1/012 , A61B1/018 , A61B17/00 , A61F11/00 , A61M16/00 , A61M25/00 , A61M25/01 , A61M25/09 , A61M31/00
CPC分类号: A61B1/012 , A61M25/00 , A61M25/02 , A61M25/09041 , A61M2025/09125
摘要: A wire guide holder having a body for securing an elongate medical wire or tube, such as a wire guide or catheter. The body is adapted to be attached to a scope or a bite block. The body can be provided with protrusions and/or grooves for holding a wire guide. The wire guide holder may be affixed to the medical scope by clamping. The wire guide holder can also be provided with a seal.
摘要翻译: 线引导器保持器,其具有用于固定细长医疗线或管的主体,例如电线引导件或导管。 身体适合连接到一个范围或咬合块。 主体可以设置有用于保持导线器的突起和/或沟槽。 导线架可以通过夹紧固定在医疗用具上。 电线导向架也可设有密封。
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公开(公告)号:US20050059890A1
公开(公告)日:2005-03-17
申请号:US10902625
申请日:2004-07-29
申请人: Stephen Deal , Matthew Carter , Victor Clark , Frederick Haller , David Hardin , John Karpiel , Kenneth Kennedy , Brian Rucker , Gregory Skerven , David Waller
发明人: Stephen Deal , Matthew Carter , Victor Clark , Frederick Haller , David Hardin , John Karpiel , Kenneth Kennedy , Brian Rucker , Gregory Skerven , David Waller
CPC分类号: A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0662 , A61M25/10 , A61M2025/0183 , A61M2025/0681
摘要: A method and apparatus for introducing a first elongate medical device and short wire guide that are coupled together into a work site and remotely disconnecting them within the work site such that a secondary device comprising a catheter member can be introduced over the wire guide to the work site, and/or a second wire guide can be introduced to the work site via a passageway of the primary access device. A system of indicia, such as radiopaque or viewable markers, permit the operator to monitor the relative alignment of the devices within the work site to determine when uncoupling has occurred. In one example of the method, a wire guide and primary access device (e.g., a sphincterotome) is coupled to the wire guide and introduced via a duodenoscope into the biliary system. After performing a first medical operation, the devices are uncoupled with the wire guide being left within the biliary system such that a secondary access device, such as a balloon, biopsy device, stent delivery catheter, dilator, etc., can be introduced to perform a second medical operation without a traditional over-the-wire exchange being required. In another example of the method, a prosthesis, such as a valve or stent, is placed within the work site coupled to a wire guide which is remotely disconnected within the work site and a secondary device, such as a dilation balloon or second prosthesis, is introduced into the work site after the first delivery system is removed.
摘要翻译: 一种用于引入第一细长医疗装置和短线引导件的方法和装置,所述第一细长医疗装置和短导线引导件联接在一起成为工作现场并在工作现场内远程地断开它们,使得包括导管部件的辅助装置可以被引导到导线器上, 现场和/或第二导线引导件可以经由主接入设备的通道引入到工作现场。 诸如不透射线或可见标记的标记系统允许操作者监视工作现场内的设备的相对对准以确定何时发生解偶联。 在该方法的一个示例中,线导向器和主入口装置(例如括约肌切开机)联接到线导引件并经十二指肠镜引入胆道系统。 在执行第一次医疗操作之后,将装置与线引导件脱离在胆汁系统内,使得可以引入二次进入装置,例如气囊,活检装置,支架输送导管,扩张器等,以执行 不需要传统的线上交换即可进行第二次医疗。 在该方法的另一示例中,诸如阀或支架的假体被放置在工作部位内,该工作部位与工作部位远程断开的线引导件相连,并且辅助装置(例如扩张气囊或第二假体) 在第一个传送系统被删除之后被引入工作现场。
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公开(公告)号:US20050070794A1
公开(公告)日:2005-03-31
申请号:US10901561
申请日:2004-07-29
申请人: Stephen Deal , Matthew Carter , Frederick Haller , David Hardin , Kenneth Kennedy , Brian Rucker , Gregory Skerven , David Waller
发明人: Stephen Deal , Matthew Carter , Frederick Haller , David Hardin , Kenneth Kennedy , Brian Rucker , Gregory Skerven , David Waller
CPC分类号: A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0662 , A61M25/10 , A61M2025/0183 , A61M2025/0681
摘要: A method and apparatus for introducing a first elongate medical device and short wire guide that are coupled together into a work site and remotely disconnecting them within the work site such that a secondary device comprising a catheter member can be introduced over the wire guide to the work site, and/or a second wire guide can be introduced to the work site via a passageway of the primary access device. A system of indicia, such as radiopaque or viewable markers, permits the operator to monitor the relative alignment of the devices within the work site to determine when uncoupling has occurred. In one example of the method, a wire guide and primary access device (e.g., a sphincterotome) is coupled to the wire guide and introduced via a duodenoscope into the biliary system. After performing a first medical operation, the devices are uncoupled with the wire guide being left within the biliary system such that a secondary access device, such as a balloon, biopsy device, stent delivery catheter, dilator, etc., can be introduced to perform a second medical operation without a traditional over-the-wire exchange being required. In another example of the method, a prosthesis, such as a valve or stent, is placed within the work site coupled to a wire guide which is remotely disconnected within the work site and a secondary device, such as a dilation balloon or second prosthesis, is introduced into the work site after the first delivery system is removed.
摘要翻译: 一种用于引入第一细长医疗装置和短线引导件的方法和装置,所述第一细长医疗装置和短导线引导件联接在一起成为工作现场并在工作现场内远程地断开它们,使得包括导管部件的辅助装置可以被引导到导线器上, 现场和/或第二导线引导件可以经由主接入设备的通道引入到工作现场。 诸如不透射线或可见标记的标记系统允许操作者监视工作现场内的设备的相对对准以确定何时发生解偶联。 在该方法的一个示例中,线导向器和主入口装置(例如括约肌切开机)联接到线导引件并经十二指肠镜引入胆道系统。 在执行第一次医疗操作之后,将装置与线引导件脱离在胆汁系统内,使得可以引入二次进入装置,例如气囊,活检装置,支架输送导管,扩张器等,以执行 不需要传统的线上交换即可进行第二次医疗。 在该方法的另一示例中,诸如阀或支架的假体被放置在工作部位内,该工作部位与工作部位远程断开的线引导件相连,并且辅助装置(例如扩张气囊或第二假体) 在第一个传送系统被删除之后被引入工作现场。
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公开(公告)号:US20070265497A1
公开(公告)日:2007-11-15
申请号:US11796525
申请日:2007-04-27
申请人: Hilbert Brown , Matthew Carter , David Hardin , Brian Jones , Kenneth Kennedy , Brian Rucker , Maximiliano Soetermans , David Waller
发明人: Hilbert Brown , Matthew Carter , David Hardin , Brian Jones , Kenneth Kennedy , Brian Rucker , Maximiliano Soetermans , David Waller
IPC分类号: A61B1/00
CPC分类号: A61B1/0014 , A61B1/00039 , A61B1/00149 , A61B1/00154 , A61B1/24 , A61B90/50 , A61B2017/347
摘要: An endoscope securing and positioning device is provided for adjusting or maintaining the position of an endoscope. The device allows the medical professional to easily rotate an endoscope or maintain its position without having to maintain a grip on the endoscope.
摘要翻译: 提供内窥镜固定和定位装置,用于调节或维持内窥镜的位置。 该装置允许医疗专业人员容易地旋转内窥镜或保持其位置,而不必保持对内窥镜的握持。
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公开(公告)号:US20060142703A1
公开(公告)日:2006-06-29
申请号:US11294947
申请日:2005-12-06
申请人: Matthew Carter , Kenneth Kennedy , Frederick Haller , David Hardin , Cheri Matney , Brian Rucker , David Waller , Jacques Deviere , Patricia Chilton
发明人: Matthew Carter , Kenneth Kennedy , Frederick Haller , David Hardin , Cheri Matney , Brian Rucker , David Waller , Jacques Deviere , Patricia Chilton
IPC分类号: A61M25/00
CPC分类号: A61M25/007 , A61M25/0015 , A61M25/0043 , A61M25/0052 , A61M2025/018 , A61M2025/0183
摘要: An elongate catheter shaft having a side port aperture through a side wall of the catheter shaft between proximal and distal ends of the shaft. The side port aperture is open to a lumen. Embodiments of the present invention are directed to stiffening structure disposed in the immediate vicinity of the side port aperture. The stiffening structures may be disposed on or be continuous with, for example, an exterior surface, an interior lumenal surface, within a wall of the catheter shaft, or some combination thereof. The stiffening structures described herein are directed to biasing the catheter shaft in the region of a side port aperture in a straight or curved configuration that resists undesired flexure in the region of the side port aperture.
摘要翻译: 细长导管轴,其具有穿过导管轴的侧壁的侧端口孔,其在轴的近端和远端之间。 侧端口孔向开口开口。 本发明的实施例涉及设置在侧端口孔附近的加强结构。 加强结构可以布置在例如导管轴的壁内的例如外表面,内腔表面或与其连接,或其一些组合。 本文所述的加强结构旨在以直线或弯曲构造偏压侧端口孔区域中的导管轴,以抵抗侧端口孔区域中的不期望的弯曲。
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公开(公告)号:US20050143770A1
公开(公告)日:2005-06-30
申请号:US11006496
申请日:2004-12-07
申请人: Matthew Carter , Frederick Haller , Kenneth Kennedy , Brian Rucker , Stephen Deal , Juan Ayala
发明人: Matthew Carter , Frederick Haller , Kenneth Kennedy , Brian Rucker , Stephen Deal , Juan Ayala
IPC分类号: A61B1/01 , A61B1/018 , A61B6/12 , A61B17/22 , A61F2/04 , A61M25/00 , A61M25/01 , A61M25/06 , A61B17/00 , A61M5/178
CPC分类号: A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0662 , A61M25/10 , A61M2025/0006 , A61M2025/0025 , A61M2025/0059 , A61M2025/0177 , A61M2025/0183 , A61M2025/0681 , A61M2025/09125
摘要: A method and apparatus for releasably securing a wire guide to an elongate medical device for introduction into a work site with the bodily lumen of a patient. An elongate engagement member is configured to engage the wire guide while it is coupled to the elongate medical device and is configured so as to prevent relative movement between the wire guide and the elongate medical device.
摘要翻译: 一种用于将线引导件可释放地固定到细长医疗装置用于引入患者体腔的工作现场的方法和装置。 细长接合构件构造成在线引导件联接到细长医疗装置的同时接合线引导件,并且构造成防止线引导件与细长医疗装置之间的相对运动。
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公开(公告)号:US20060247530A1
公开(公告)日:2006-11-02
申请号:US11365580
申请日:2006-02-28
申请人: David Hardin , Kenneth Kennedy , Brian Rucker , Gregory Skerven
发明人: David Hardin , Kenneth Kennedy , Brian Rucker , Gregory Skerven
IPC分类号: A61B8/14
CPC分类号: A61B10/04 , A61B1/2736 , A61B8/0833 , A61B8/12 , A61B8/445 , A61B17/221 , A61B17/3478 , A61B2010/0216 , A61B2017/22042 , A61B2017/2212 , A61B2090/062 , A61B2090/3784 , A61B2090/3925
摘要: An endoscopic ultrasound-guided system and method for monitoring the location of a device contained within intraluminal and extraluminal regions of a patient is described. The endoscopic ultrasound-guided system includes a linear echoendoscope, a device, and a wire guide. The device and wire guide contain echogenic surfaces which enable transducers placed at the distal end of the linear echoendoscope to ultrasonically monitor the location of the devices. When the echogenic surface of the device encounters incident ultrasound waves emitted from a series of linear array transducers, a real-time ultrasonic image of the device is generated as the incident ultrasound waves reflect off the echogenic surfaces and propagate back towards the transducers. The surgeon receives the real-time ultrasonic image of the device and then can determine the location of the device within the intraluminal or extraluminal region of the patient. After determining the location of the device, the surgeon can adjust the path of the device to ensure it is guided to the target site.
摘要翻译: 描述了内窥镜超声引导系统和用于监测包含在患者的腔内和腔外区域内的装置的位置的方法。 内窥镜超声引导系统包括线性回声内窥镜,装置和线引导件。 该装置和导线导轨包含回声表面,使得放置在线性回声内窥镜的远端处的换能器能够超声监视装置的位置。 当装置的回波表面遇到从一系列线性阵列换能器发射的入射超声波时,随着入射超声波从回波表面反射并向换能器传播,产生该装置的实时超声波图像。 外科医生接收设备的实时超声波图像,然后可以确定装置在患者的腔内或管腔内的位置。 在确定设备的位置后,外科医生可以调整设备的路径,以确保其被引导到目标位置。
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公开(公告)号:US20060195117A1
公开(公告)日:2006-08-31
申请号:US11350483
申请日:2006-02-09
申请人: Brian Rucker , Kenneth Kennedy , David Waller
发明人: Brian Rucker , Kenneth Kennedy , David Waller
IPC分类号: A61F11/00
CPC分类号: A61B1/012 , A61B1/00137 , A61M25/01 , A61M25/09041 , A61M2025/024 , A61M2025/028 , A61M2025/09116 , A61M2025/09125
摘要: A wire guide holder having a wire guide deflector. The wire guide holder is provided with a securing portion and a deflecting portion. The securing portion is provided with protrusions and/or grooves for securing a distal portion of a wire guide against longitudinal movement. The deflecting portion is configured to direct the proximal end of a wire guide into an unobtrusive position. A frictional element may be provided to prevent the wire guide from inadvertently sliding or falling out of the deflecting portion. The wire guide holder may be attached to a medical scope or a bite block. The wire guide holder may also be provided with a seal.
摘要翻译: 具有导线导流板的导线架。 线引导架设有固定部分和偏转部分。 固定部分设置有突起和/或沟槽,用于固定电线引导件的远端部分以防止纵向运动。 偏转部分构造成将导线器的近端引导到不引人注目的位置。 可以提供摩擦元件以防止电线引导件从偏心部分中不经意地滑动或脱落。 导线架可以安装在医疗器械或咬合块上。 导线架也可设有密封。
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公开(公告)号:US20070276428A1
公开(公告)日:2007-11-29
申请号:US11643436
申请日:2006-12-21
申请人: Frederick Haller , John Karpiel , Donagh O'Sullivan , Brian Rucker , Maximiliano Soetermans , William Voorhees
发明人: Frederick Haller , John Karpiel , Donagh O'Sullivan , Brian Rucker , Maximiliano Soetermans , William Voorhees
IPC分类号: A61M29/04
CPC分类号: A61F5/0003 , A61F5/0036
摘要: An apparatus and method comprising at least one intragastric member made of a digestive-resistant or substantially indigestible material that is introduced into a bag located in the gastric lumen of a mammal for the treatment of obesity. One or more intragastric members are loaded into a delivery tube in a partially compacted first configuration and delivered to an overtube. The overtube includes a proximal end, a distal end and a lumen configured to receive the intragastric members in the first configuration for delivery to the bag located in the gastric lumen wherein the intragastric member is expanded to a second configuration. The apparatus further comprises a constraining element engaged with the bag to secure the intragastric member upon delivery into the gastric lumen.
摘要翻译: 一种装置和方法,包括至少一个由消化不良或基本上难消化的材料制成的胃内部件,所述胃内部件被引入位于哺乳动物的胃腔中的用于治疗肥胖症的袋中。 将一个或多个胃内部件以部分压实的第一构型装载到输送管中并输送到外套管。 所述外套管包括近端,远端和构造成在所述第一构造中接收所述胃内构件的内腔,用于输送到位于胃腔内的囊,其中所述胃内构件被扩张至第二构型。 所述装置还包括与所述袋接合的约束元件,以在输送到胃管腔中时固定胃内部件。
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公开(公告)号:US20060259119A1
公开(公告)日:2006-11-16
申请号:US11414977
申请日:2006-05-01
申请人: Brian Rucker
发明人: Brian Rucker
IPC分类号: A61F2/06
CPC分类号: A61F2/82 , A61F2/844 , A61F2/88 , A61F2/95 , A61F2002/825 , A61F2002/9528 , A61F2002/9534 , A61F2220/0016 , A61F2230/006
摘要: An expandable and retrievable stent is disclosed herein. The stent includes an inner strut, a first traveling anchor movably attached to the inner strut and a second anchor secured to the inner strut. The stent further includes frame connected to the first traveling anchor and the second anchor wherein the frame has at least a radially compressed configuration and a radially expanded configuration. The stent may also include a generally cylindrical sleeve.
摘要翻译: 本文公开了可扩张和可回收支架。 支架包括内支柱,可移动地附接到内支柱的第一移动锚固件和固定到内支柱的第二锚固件。 支架还包括连接到第一移动锚固件和第二锚固件的框架,其中框架具有至少一个径向压缩构造和径向扩张构型。 支架还可以包括大致圆柱形的套筒。
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