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公开(公告)号：US20140236099A1
公开(公告)日：2014-08-21
申请号：US14348486
申请日：2012-10-02
申请人： NIPRO CORPORATION
CPC分类号： A61M39/0613 , A61M25/0017 , A61M25/0097 , A61M39/06 , A61M2039/062 , A61M2039/064
摘要： An indwelling catheter including: a hollow catheter base having a tip and a back end, the back end being able to receive and connect a male connector; a tube provided at the tip of the catheter base; a flexible hemostasis valve installed inside the catheter base; a pusher installed at a back of the hemostasis valve; and a pusher guide installed between the pusher and the catheter base, The pusher has a hollow constitution whose taper reduces in diameter facing its tip. The pusher guide is able to restrict a position of the pusher at a first position where the pusher does not push open the hemostasis valve and a second position where the taper of the pusher is positioned inside the hemostasis valve and pushes open the hemostasis valve.
摘要翻译： 一种留置导管，包括：具有尖端和后端的中空导管基座，所述后端能够容纳并连接阳连接器; 设置在导管基座的尖端处的管; 安装在导管底座内的柔性止血阀; 安装在止血阀背面的推动器; 以及安装在推动器和导管基座之间的推动器引导件。推动器具有中空构造，其锥形直径朝向其尖端减小。 推动器引导件能够在推动器不推动止血阀的第一位置和推动器的锥形位于止血阀内部并且推动止血阀的第二位置处限制推动器的位置。
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公开(公告)号：US20140222031A1
公开(公告)日：2014-08-07
申请号：US13975258
申请日：2013-08-23
申请人： Synecor LLC
CPC分类号： A61F2/2427 , A61B17/0469 , A61B17/0483 , A61B17/062 , A61B17/3421 , A61B17/3423 , A61B90/361 , A61B2017/00243 , A61B2017/00252 , A61B2017/00278 , A61B2017/2927 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61F2/013 , A61F2/2433 , A61F2220/0075 , A61M25/0026 , A61M25/04 , A61M25/0668 , A61M39/0613 , A61M2039/0626 , A61M2039/0673
摘要： Disclosed are a system and method for performing a medical procedure using direct percutaneous access of an aorta. A main sheath is introduced through an incision formed in proximity to the sternum, and positioned along (and preferable against) a posterior portion of the sternum. Instruments passed through the main sheath are used to form a purse-string suture in an exterior wall of the aorta. An opening is formed in the wall of the aorta in a region encircled by the purse-string suture, and a distal end of an introducer sheath is advanced through the opening into the aorta. A medical procedure, which may be a transcatheter aortic valve replacement, is performed using instruments passed through the introducer sheath into the aorta. After the medical procedure, the introducer sheath is withdrawn from the aorta and, as the introducer sheath is withdrawn, the purse-string suture is tightened to close the opening.
摘要翻译： 公开了一种使用直接经皮进入主动脉进行医疗程序的系统和方法。 通过在胸骨附近形成的切口引入主鞘，并且沿着（并且优选地）与胸骨的后部定位。 通过主护套的仪器用于在主动脉的外壁形成一个钱包缝合线。 在由钱包缝合线包围的区域中的主动脉的壁上形成开口，并且导引鞘的远端通过开口前进到主动脉。 可以是经导管主动脉瓣置换的医疗程序使用通过引导器套管进入主动脉的器械进行。 在医疗程序之后，引导器护套从主动脉抽出，并且当引导器护套被抽出时，将该钱包缝合线紧固以闭合开口。
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公开(公告)号：US08777893B2
公开(公告)日：2014-07-15
申请号：US13084124
申请日：2011-04-11
申请人： Andrzej Malewicz
发明人： Andrzej Malewicz
CPC分类号： A61M39/0613 , A61M2039/0626
摘要： A variable hemostasis valve is disclosed that may be used during medical procedures to prevent blood loss while permitting the percutaneous introduction, operation, and removal of medical instruments. A flexible tubular seal element is disclosed that is disposed within the variable hemostasis valve to provide a fluid-tight, adjustable seal. After insertion of a medical instrument into the valve through at least a portion of the flexible tubular seal element, a proximal portion of the valve housing may be rotated to cause the tension of the flexible tubular seal element to increase over the inserted medical instrument and engage the valve in a closed position. The proximal portion of the valve housing may then be rotated in an opposite direction to release the seal and return the tubular seal element to a relaxed lumen open position.
摘要翻译： 公开了一种可变止血阀，其可用于医疗过程中以防止失血，同时允许经皮引入，操作和移除医疗器械。 公开了一种柔性管状密封元件，其设置在可变止血阀内，以提供流体密封的可调节的密封。 在通过柔性管状密封元件的至少一部分将医疗器械插入阀中之后，可以旋转阀壳体的近侧部分，以使柔性管状密封元件的张力在插入的医疗器械上增加并且接合 阀处于关闭位置。 然后，阀壳体的近侧部分可以沿相反的方向旋转以释放密封并将管状密封元件返回到松弛的管腔打开位置。
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公开(公告)号：US20140024896A1
公开(公告)日：2014-01-23
申请号：US13551942
申请日：2012-07-18
申请人： Stephen West
发明人： Stephen West
CPC分类号： A61B1/00135 , A61B1/00128 , A61B1/0014 , A61B1/12 , A61B1/2736 , A61B17/3415 , A61B17/3439 , A61B17/3462 , A61B2017/345 , A61B2017/347 , A61M39/0613 , A61M39/228 , A61M2039/0673 , F04C2270/041 , G02B23/2476
摘要： An endoscope overtube includes a flexible tubular member and a hub assembly provided at the proximal end of the tubular member. The hub assembly includes an elastic sleeve seal cuff extending about the inner surface of a body member of the hub. The ends of seal cuff are coupled to the body member. An inflation line extends into the body member in communication with the outer surface of the seal cuff. When fluid is pressurized through the inflation line, the cuff is distended inward to reduce the size of the opening through the port such that the cuff forms a seal about an endoscope received through the hub. The body member is preferably coupled to each of the flexible tubular member and to the elastic seal cuff using a snap-fit engagement of parts such that no fasteners, welds, glues, etc. are necessary for securing the hub assembly together.
摘要翻译： 内窥镜套管包括柔性管状构件和设置在管状构件的近端处的轮毂组件。 毂组件包括围绕毂的主体构件的内表面延伸的弹性套筒密封箍。 密封箍的端部联接到主体部件。 充气线延伸到与密封箍的外表面连通的主体部件中。 当流体通过充气管线被加压时，袖带向内扩张以减小通过端口的开口的尺寸，使得袖带围绕通过轮毂接收的内窥镜形成密封。 本体构件优选地使用部件的卡扣配合接合到每个柔性管状构件和弹性密封箍，使得不需要紧固件，焊接部，胶水等来将轮毂组件固定在一起。
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公开(公告)号：US20120310166A1
公开(公告)日：2012-12-06
申请号：US13486621
申请日：2012-06-01
申请人： Sharon M. Huff
发明人： Sharon M. Huff
IPC分类号： A61B17/34
CPC分类号： A61M39/06 , A61M39/0613 , A61M2039/0673
摘要： A hemostatic valve device for use in inserting an interventional device into a body lumen of patient is provided. The valve device includes a housing that defines a cavity between first and second end openings. A valve structure is disposed within the cavity, and defines a variable diameter channel for receiving the interventional device. The valve structure can include discrete layers of material, such as a sealing layer and a contractible layer such as a biaxial braided layer. The end of the valve structure is movable relative to the fixed end so that the longitudinal passageway of the valve structure varies in diameter and axial length to form a seal against an interventional device inserted within the passageway. An operable element is coupled to the movable end and is actuated by the end user to open and close the valve structure.
摘要翻译： 提供了一种用于将介入装置插入患者的体腔中的止血阀装置。 阀装置包括限定第一和第二端部开口之间的空腔的壳体。 阀结构设置在腔内，并且限定用于接收介入装置的可变直径通道。 阀结构可以包括离散的材料层，例如密封层和可收缩层，例如双轴编织层。 阀结构的端部相对于固定端可移动，使得阀结构的纵向通道的直径和轴向长度变化，以形成与插入通道内的介入装置的密封。 可操作元件联接到可动端，并由终端用户致动以打开和关闭阀结构。
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公开(公告)号：US20120149988A1
公开(公告)日：2012-06-14
申请号：US13324775
申请日：2011-12-13
IPC分类号： A61B1/32
CPC分类号： A61B17/3462 , A61B17/3421 , A61F9/007 , A61M39/045 , A61M39/0606 , A61M39/0613 , A61M2039/0072
摘要： A surgical tool that is self sealing. The surgical tool includes a body and a sealing disc. The body includes a tube positioned at a distal end and a hub at a proximal end. Furthermore, the body includes a sealing disc receiving space positioned through a sidewall of the hub. The sealing disc is securable within the sealing disc receiving space.
摘要翻译： 一种自我密封的外科手术工具。 手术工具包括主体和密封盘。 主体包括位于远端的管和在近端的毂。 此外，主体包括通过轮毂的侧壁定位的密封盘容纳空间。 密封盘可在密封盘容纳空间内固定。
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97.发明申请公开(公告)号：US20120148175A1
公开(公告)日：2012-06-14
申请号：US13306518
申请日：2011-11-29
申请人： Matthias Wesselmann
发明人： Matthias Wesselmann
IPC分类号： F16C29/02
CPC分类号： A61M25/01 , A61B2017/00845 , A61B2017/00942 , A61F2/958 , A61M25/0075 , A61M25/0119 , A61M25/10 , A61M25/1034 , A61M39/0606 , A61M39/0613 , A61M2025/0004 , A61M2025/0175 , A61M2025/1068
摘要： A high-pressure-tight slide bearing device for minimally-invasive instruments comprises an inner shaft part (2), an outer part (3) which is seated thereon and is displaceable relative thereto, and a slippable seal (5) in a gap (4) between shaft part and outer part (2, 3), wherein the seal (5) consists of swellable, hydrophilic material which can be activated by the influence of a fluid in such a manner that due to the activation, the gap (4) is pressure-tight closed while, at the same time, sliding properties between shaft part and outer part (2, 3) are provided.
摘要翻译： 用于微创仪器的高压紧滑动轴承装置包括内轴部分（2），位于其上并可相对于其移动的外部部分（3）和间隙中的可滑动的密封件（5） 4）在轴部分和外部部件（2,3）之间，其中密封件（5）由可膨胀的亲水材料组成，其可以通过流体的影响而被激活，使得由于激活，间隙（4 ）是密封的，而同时提供轴部和外部部件（2,3）之间的滑动性能。
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公开(公告)号：US08137317B2
公开(公告)日：2012-03-20
申请号：US10940415
申请日：2004-09-14
申请人： Thomas P. Osypka
发明人： Thomas P. Osypka
IPC分类号： A61M5/178
CPC分类号： A61M25/0097 , A61M25/0662 , A61M25/0668 , A61M39/0208 , A61M39/0613 , A61M2039/0633 , A61M2039/0686
摘要： A vascular introducer assembly is disclosed that includes a dilator, a sheath having an axial lumen for accommodating the dilator, a locking collar for securing the dilator and the sheath to one another and an adjustable hemostatic seal for preventing fluid egress from the axial lumen and restricting insertion of instruments through the axial lumen before and after the dilator is separated from the vascular introducer.
摘要翻译： 公开了一种血管导引器组件，其包括扩张器，具有用于容纳扩张器的轴向腔的护套，用于将扩张器和护套彼此固定的锁定套环和用于防止流体从轴向内腔排出的可调节止血密封件，并限制 在扩张器与血管导引器分离之前和之后，通过轴向腔插入器械。
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公开(公告)号：US20110251565A1
公开(公告)日：2011-10-13
申请号：US13084124
申请日：2011-04-11
申请人： Andrzej M. Malewicz
发明人： Andrzej M. Malewicz
IPC分类号： A61M5/00
CPC分类号： A61M39/0613 , A61M2039/0626
摘要： A variable hemostasis valve is disclosed that may be used during medical procedures to prevent blood loss while permitting the percutaneous introduction, operation, and removal of medical instruments. A flexible tubular seal element is disclosed that is disposed within the variable hemostasis valve to provide a fluid-tight, adjustable seal. After insertion of a medical instrument into the valve through at least a portion of the flexible tubular seal element, a proximal portion of the valve housing may be rotated to cause the tension of the flexible tubular seal element to increase over the inserted medical instrument and engage the valve in a closed position. The proximal portion of the valve housing may then be rotated in an opposite direction to release the seal and return the tubular seal element to a relaxed lumen open position.
摘要翻译： 公开了一种可变止血阀，其可用于医疗过程中以防止失血，同时允许经皮引入，操作和移除医疗器械。 公开了一种柔性管状密封元件，其设置在可变止血阀内，以提供流体密封的可调节的密封。 在通过柔性管状密封元件的至少一部分将医疗器械插入阀中之后，可以旋转阀壳体的近侧部分，以使柔性管状密封元件的张力在插入的医疗器械上增加并且接合 阀处于关闭位置。 然后，阀壳体的近侧部分可以沿相反的方向旋转以释放密封并将管状密封元件返回到松弛的管腔打开位置。
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公开(公告)号：US08002749B2
公开(公告)日：2011-08-23
申请号：US11966385
申请日：2007-12-28
CPC分类号： A61M39/0613 , A61B17/3462 , A61M2039/0633 , A61M2039/0673 , A61M2039/0686
摘要： A valve assembly includes a valve collar, a rotatable valve control member, and a flexible valve member disposed therebetween. The valve control member and the valve collar are aligned to define an elongated passageway, and the flexible valve member is disposed along the passageway. The valve collar is structured such that at least a portion thereof is capable of radial flexure upon engagement with a mechanism on the rotatable valve control member. One end of the valve member is secured to the valve collar, and the other end is secured to the rotatable valve control member. Upon rotation of the rotatable valve control member relative to the valve collar, the mechanism of the rotatable valve control member engages the valve collar portion in a manner such that the valve collar portion flexes in a radial direction and a tactile sensation is produced thereby, and the flexible valve member constricts from an open position to a position wherein the flexible valve member opening is at least partially closed to passage of fluid therethrough.
摘要翻译： 阀组件包括阀套，可旋转阀控制构件和设置在其间的柔性阀构件。 阀控制构件和阀环对准以限定细长通道，并且柔性阀构件沿着通道设置。 阀套环被构造成使得其至少一部分能够在与可旋转阀控制构件上的机构接合时具有径向挠曲。 阀构件的一端固定在阀套上，另一端固定在可旋转阀控制件上。 在可旋转阀控制构件相对于阀套环旋转时，可旋转阀控制构件的机构以这样的方式接合阀环部分，使得阀套部分沿径向方向弯曲并且由此产生触感，并且 柔性阀构件从打开位置收缩到其中柔性阀构件开口至少部分地关闭以使流体通过其中的位置。
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