公开(公告)号：US4898584A

公开(公告)日：1990-02-06

申请号：US195702

申请日：1988-05-18

申请人： Alexander S. Borsanyi ,  Russell J. Redmond ,  Claude A. Vidal ,  Edmund E. Spaeth

发明人： Alexander S. Borsanyi ,  Russell J. Redmond ,  Claude A. Vidal ,  Edmund E. Spaeth

IPC分类号： A61M37/00 ,  A61M5/142 ,  G06F17/30

CPC分类号： A61M5/1428

摘要： An implantable fluid delivery device for dispensing metered aliquots of liquid medication upon finger-pressure activation of the device by a patient. The device includes a soft, deformable needle-piercable casing having a fluid reservoir in which is located a relatively-rigid, apertured support plate that divides the reservoir into upper and lower chambers. A compressible, positive displacement pump chamber or housing is mounted upon the plate within the upper chamber and includes passages communicating with both the lower chamber and an outlet port. Force applied to a central target zone of the top wall causes compression of the pump housing and delivery through the outlet port of an amount of fluid equal to the displacement of the pump housing. The same target zone of the top wall serves as a self-sealing injection site for replenishing the fluid supply of the reservoir. A rigid, protective needle guard is disposed within the upper chamber above the pump housing to shield that housing against contact by an injection needle when the fluid supply is being replenished. The rigid plate that supports the pump housing also distributes applied pumping forces and provides a platform for supporting other elements of the device, including a fluid filter and surge protector located in the lower chamber of the reservoir at the inlet to the pump housing.

公开(公告)号：US07922647B2

公开(公告)日：2011-04-12

申请号：US10575066

申请日：2004-12-10

申请人： William H. Slattery, III ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran

发明人： William H. Slattery, III ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran

IPC分类号： H04R25/00

CPC分类号： H04R25/606 ,  A61B17/32053 ,  A61B17/3421 ,  A61B17/3468

摘要： A hearing aid system (10) including an implantable device (60), and a surgical instrument (134) for enabling a physician to install the implant (60) in a patient's body in a simple office procedure using only local anesthesia.

摘要翻译： 一种助听器系统（10），包括可植入装置（60）和外科器械（134），用于使医师能够以仅使用局部麻醉的简单办公程序将植入物（60）安装在患者体内。

公开(公告)号：US20100036238A1

公开(公告)日：2010-02-11

申请号：US12483692

申请日：2009-06-12

申请人： Michael R. Neidert ,  Kenneth C. Gardeski ,  Claude A. Vidal ,  Russell J. Redmond ,  Laurent G. Verard

发明人： Michael R. Neidert ,  Kenneth C. Gardeski ,  Claude A. Vidal ,  Russell J. Redmond ,  Laurent G. Verard

IPC分类号： A61B5/05

CPC分类号： A61B5/06 ,  A61B5/063 ,  A61B34/20 ,  A61B2034/2051 ,  A61B2090/0811

摘要： A medical instrument assembly is disclosed. The medical instrument has proximal and distal ends. A receiver coil being mounted proximate to a distal end of the medical instrument, the receiver coil being electrically connectable at a proximal end of the medical instrument. A deployable object being disposed and movable within the medical instrument. The deployable object bearing a high magnetic permeability material located proximate to the receiver coil. The high magnetic permeability material and the receiver coil combining to form an inductive element having an inductance that varies in a predetermined manner with the position of the deployable device relative to the receiver coil. A determination of the inductance being performed at the proximal end of the delivery catheter indicates the extension of the deployable device through the medical instrument.

摘要翻译： 公开了一种医疗器械组件。 医疗器械具有近端和远端。 接收器线圈安装在医疗器械的远端附近，接收器线圈可在医疗器械的近端电连接。 可部署的物体被布置并在医疗器械内可移动。 承载位于靠近接收器线圈的高磁导率材料的可部署物体。 高磁导率材料和接收器线圈组合以形成具有以预定方式变化的电感的电感元件与可展开装置相对于接收器线圈的位置。 在输送导管的近端执行的电感的确定指示可展开装置通过医疗器械的延伸。

公开(公告)号：US06699262B2

公开(公告)日：2004-03-02

申请号：US09957176

申请日：2001-09-19

申请人： Russell J. Redmond ,  Claude A. Vidal ,  Cary J. Reich ,  Felix Vega

发明人： Russell J. Redmond ,  Claude A. Vidal ,  Cary J. Reich ,  Felix Vega

IPC分类号： A61B1704

CPC分类号： A61B17/0057 ,  A61B2017/00004 ,  A61B2017/00637 ,  A61B2017/0065 ,  A61B2017/00654

摘要： A percutaneous tissue track closure assembly (2) includes a semipermeable barrier (26) mounted to the distal end of a tubular barrier carrier (20). The barrier is passed down a tissue track (12) and into a blood vessel (18) where the barrier is expanded to close off the blood vessel opening (14). A syringe device is used to drive a hemostatic flowable material (30) through a delivery tube (34) and into the tissue track. The semipermeable barrier permits blood to flow therethrough but prevents passage of the hemostatic flowable material therethrough. The hemostatic material includes a material which swells upon contact with blood, and a blood clotting agent. After an appropriate period of time, the barrier is collapsed and the barrier carrier and delivery tube are removed from the tissue track.

摘要翻译： 经皮组织跟踪闭合组件（2）包括安装在管状阻挡载体（20）的远端的半透性屏障（26）。 屏障通过组织轨迹（12）并进入血管（18），其中屏障被扩张以封闭血管开口（14）。 注射器装置用于通过输送管（34）驱动止血可流动材料（30）并进入组织轨道。 半渗透屏障允许血液流过其中，但是防止止血可流动材料通过其中。 止血材料包括与血液接触时膨胀的物质和凝血剂。 在适当的时间段之后，屏障被塌缩，并且屏障载体和输送管从组织轨道移除。

公开(公告)号：US08021340B2

公开(公告)日：2011-09-20

申请号：US12321962

申请日：2009-01-26

申请人： Christopher H. Porter ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran ,  Abram D. Janis ,  Kelly A. Chapman

发明人： Christopher H. Porter ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran ,  Abram D. Janis ,  Kelly A. Chapman

IPC分类号： A61M5/32

CPC分类号： A61F2/0077 ,  A61M39/0247 ,  A61M2039/0261 ,  A61M2039/0273 ,  A61M2039/0294

摘要： A medical apparatus and method of use for implanting a percutaneous catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve having a tapered forward portion to facilitate its insertion through an undersized incision. The sleeve provides an interior elongate passageway which extends from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin so that the sleeve distal end resides subcutaneously. The sleeve outer peripheral surface carries a layer of porous material intended to be placed under the patient's outer skin layer in contact with the dermis to promote tissue ingrowth for anchoring the sleeve and forming an infection resistant barrier. The sleeve passageway is dimensioned to snugly accommodate the outer surface of catheter while permitting the catheter to slide relative to the sleeve. A sealing device is mounted around the catheter adjacent to the sleeve proximal end to prevent deleterious material from migrating into the patient's body along the catheter outer surface. A locking member secured to the sleeve can be pivoted to an unlocked portion for permitting axial and rotational movement of said catheter relative to said sleeve and or to a locked position for preventing such relative movement.

摘要翻译： 一种用于将经皮导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。 该装置包括具有锥形向前部分的细长套筒，以便于其插入通过较小的切口。 套筒提供从套筒近端延伸到套管远端的内部细长通道。 套筒旨在通过患者皮肤中的切口经皮植入，使得套管远端皮下注入。 套筒外周表面带有一层多孔材料，其旨在放置在与真皮接触的患者外表层下方，以促进组织向内生长以锚定套筒并形成感染抗性屏障。 套筒通道的尺寸被设计成紧密地容纳导管的外表面，同时允许导管相对于套筒滑动。 密封装置围绕导管邻近套管近端安装，以防止有害材料沿着导管外表面迁移到患者体内。 固定到套筒上的锁定构件可以枢转到解锁部分，以允许所述导管相对于所述套筒的轴向和旋转运动，或者可以锁定到锁定位置，以防止这种相对运动。

公开(公告)号：US20090105545A1

公开(公告)日：2009-04-23

申请号：US12287130

申请日：2008-10-06

申请人： Abram D. Janis ,  Claude A. Vidal ,  Russell J. Redmond

发明人： Abram D. Janis ,  Claude A. Vidal ,  Russell J. Redmond

IPC分类号： A61B17/32 ,  A61B19/00

CPC分类号： A61B17/32093

摘要： An apparatus and method for facilitating the implantation of a medical device through an incision so as to promote soft tissue ingrowth into a biocompatible porous layer, e. g, titanium, carried on the periphery of the medical device. The method utilizes an incision (either percutaneous or subcutaneous) which is intentionally undersized by 10-20% relative to the width dimension of the porous layer. Accordingly, a physician must stretch the surrounding tissue to maximize the size of the opening to insert the device. Because the opening is undersized relative to the porous layer, the surrounding tissue remains physically stressed, i.e., radially and/or circumferentially, and acts to enhance cell proliferation and healing. A surgical cutting tool is preferably provided to assist the physician to form a properly dimensioned opening.

摘要翻译： 一种便于通过切口植入医疗装置的装置和方法，以便促进软组织向生长相容性多孔层的向内生长，例如， g，钛，携带在医疗装置的周边。 该方法使用有意地相对于多孔层的宽度尺寸小于10-20％的切口（经皮或皮下）。 因此，医生必须拉伸周围的组织以最大化开口的尺寸以插入装置。 由于开口相对于多孔层尺寸过小，周围的组织保持物理应力，即径向和/或周向，并且用于增强细胞增殖和愈合。 优选地提供外科切割工具以帮助医师形成适当尺寸的开口。

公开(公告)号：US07326188B1

公开(公告)日：2008-02-05

申请号：US10634513

申请日：2003-08-04

申请人： Michael A. Russell ,  Claude A. Vidal ,  Russell J. Redmond ,  David A. Chandos ,  Menachem Zucker

发明人： Michael A. Russell ,  Claude A. Vidal ,  Russell J. Redmond ,  David A. Chandos ,  Menachem Zucker

IPC分类号： A61M5/00

CPC分类号： A61M39/24 ,  A61M2039/229 ,  A61M2039/242 ,  A61M2039/2473 ,  A61M2039/248 ,  A61M2039/2493

摘要： The present invention is directed to an improved anesthesia manifold and an improved induction valve mechanism. A plurality of induction valve elements may be joined or “ganged” together in order to define a manifold. In the preferred embodiment of the induction manifold, at least two individual valve elements are combined to form the manifold. Each of the plurality of valve elements includes the following components: (1) a valve body; (2) a first inlet port carried by the valve body and defining at least in part a central fluid communication flow path for supplying intravenous fluid to patient; and (3) a second inlet port carried said valve body and at least in part defining an anesthesia drug inlet. Each of the plurality of valve components: (1) an induction valve mechanism which maintains said second inlet port in a closed condition until a predetermined amount of pressure is applied thereto; (2) a back flow valve mechanism which maintains said induction valve components in open condition to permit at least one of the following operations: (a) aspiration; (b) back flow; (c) purging; and (d) sampling.Additionally, a control mechanism is provided for each of the plurality of individual valve components to actuate said induction valve mechanism and said backflow valve mechanism.

摘要翻译： 本发明涉及改进的麻醉歧管和改进的诱导阀机构。 多个感应阀元件可以连接或“联动”在一起以限定歧管。 在该感应歧管的优选实施例中，组合至少两个单独的阀元件以形成歧管。 多个阀元件中的每一个包括以下部件：（1）阀体; （2）由阀体承载并且至少部分地限定用于向患者供应静脉内流体的中心流体连通流动路径的第一入口端口; 和（3）承载所述阀体并且至少部分地限定麻醉药物入口的第二入口。 多个阀组件中的每一个：（1）一个进气阀机构，其将所述第二入口保持在关闭状态，直到施加预定量的压力; （2）回流阀机构，其将所述进气阀部件保持在打开状态，以允许以下操作中的至少一个：（a）抽吸; （b）回流; （c）清洗; 和（d）抽样。 此外，为多个单个阀部件中的每一个提供控制机构以致动所述进气阀机构和所述回流阀机构。

公开(公告)号：US06475236B1

公开(公告)日：2002-11-05

申请号：US09641121

申请日：2000-08-17

申请人： Gary S. Roubin ,  Geoffrey Hamilton White ,  Sriram S. Iyer ,  Russell J. Redmond ,  Claude A. Vidal

发明人： Gary S. Roubin ,  Geoffrey Hamilton White ,  Sriram S. Iyer ,  Russell J. Redmond ,  Claude A. Vidal

IPC分类号： A61F206

CPC分类号： A61F2/91 ,  A61F2/07 ,  A61F2/915 ,  A61F2002/91525 ,  A61F2002/91533 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2210/0019 ,  A61F2230/0054 ,  A61F2250/0029 ,  A61F2250/0039

摘要： An intraluminal prosthesis is provided with a plurality of annular elements. Each annular element includes a plurality of struts and apices connected to form an annular configuration. Each annular element has a compressed state and an expanded state, and has a longitudinal dimension which is smaller in the expanded state than in the compressed state. A plurality of connecting members connect the apices of adjacent annular elements. The connecting members have a plurality of alternating segments that function to compensate for the smaller longitudinal dimension of each annular element in the expanded state. The stent may be provided with varying flexibility along its length and/or circumference, and may include segments that have different diameters.

摘要翻译： 管腔内假体设置有多个环形元件。 每个环形元件包括连接以形成环形构造的多个支柱和顶点。 每个环形元件具有压缩状态和膨胀状态，并且在膨胀状态下具有比在压缩状态下更小的纵向尺寸。 多个连接构件连接相邻环形元件的顶点。 连接构件具有多个交替的部分，其用于补偿处于膨胀状态的每个环形元件的较小的纵向尺寸。 支架可以沿着其长度和/或周长具有变化的柔性，并且可以包括具有不同直径的段。

公开(公告)号：US08636694B2

公开(公告)日：2014-01-28

申请号：US10867059

申请日：2004-06-14

申请人： Michael R. Neidert ,  Kenneth C. Gardeski ,  David F. Quinn ,  Russell J. Redmond ,  Michael Collinson ,  Claude A. Vidal

发明人： Michael R. Neidert ,  Kenneth C. Gardeski ,  David F. Quinn ,  Russell J. Redmond ,  Michael Collinson ,  Claude A. Vidal

IPC分类号： A61M5/178

CPC分类号： A61M25/0068 ,  A61M25/0097 ,  A61M25/0102 ,  A61M25/0606 ,  A61M25/0662 ,  A61M2025/0004 ,  A61M2025/0073

摘要： A medical injection system includes an elongate injection apparatus and an actuator apparatus. The actuator apparatus includes a fitting for coupling the actuator apparatus to a delivery catheter and a reversible gripping means to grip the injection apparatus; the gripping means is included in a plunger that is slideably engaged with the fitting and directs the injection apparatus through a fitting lumen and through a catheter lumen, when the fitting is coupled to the catheter.

摘要翻译： 医疗注射系统包括细长注射装置和致动器装置。 致动器装置包括用于将致动器装置连接到输送导管的配件和用于夹紧注射装置的可逆夹持装置; 夹紧装置被包括在与配件可滑动地接合的柱塞中，并且当配件联接到导管时，引导注射装置通过配合内腔并通过导管腔。

公开(公告)号：US20090171295A1

公开(公告)日：2009-07-02

申请号：US12321962

申请日：2009-01-26

申请人： Christopher H. Porter ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran ,  Abram D. Janis ,  Kelly A. Chapman

发明人： Christopher H. Porter ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran ,  Abram D. Janis ,  Kelly A. Chapman

IPC分类号： A61M25/04 ,  A61M25/16 ,  A61M25/00

CPC分类号： A61F2/0077 ,  A61M39/0247 ,  A61M2039/0261 ,  A61M2039/0273 ,  A61M2039/0294

摘要： A medical apparatus and method of use for implanting a percutaneous catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve having a tapered forward portion to facilitate its insertion through an undersized incision. The sleeve provides an interior elongate passageway which extends from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin so that the sleeve distal end resides subcutaneously. The sleeve outer peripheral surface carries a layer of porous material intended to be placed under the patient's outer skin layer in contact with the dermis to promote tissue ingrowth for anchoring the sleeve and forming an infection resistant barrier. The sleeve passageway is dimensioned to snugly accommodate the outer surface of catheter while permitting the catheter to slide relative to the sleeve. A sealing device is mounted around the catheter adjacent to the sleeve proximal end to prevent deleterious material from migrating into the patient's body along the catheter outer surface. A locking member secured to the sleeve can be pivoted to an unlocked portion for permitting axial and rotational movement of said catheter relative to said sleeve and or to a locked position for preventing such relative movement.

摘要翻译： 一种用于将经皮导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。 该装置包括具有锥形向前部分的细长套筒，以便于其插入通过较小的切口。 套筒提供从套筒近端延伸到套管远端的内部细长通道。 套筒旨在通过患者皮肤中的切口经皮植入，使得套管远端皮下注入。 套筒外周表面带有一层多孔材料，其旨在放置在与真皮接触的患者外表层下方，以促进组织向内生长以锚定套筒并形成感染抗性屏障。 套筒通道的尺寸被设计成紧密地容纳导管的外表面，同时允许导管相对于套筒滑动。 密封装置围绕导管邻近套管近端安装，以防止有害材料沿着导管外表面迁移到患者体内。 固定到套筒上的锁定构件可以枢转到解锁部分，以允许所述导管相对于所述套筒的轴向和旋转运动，或者可以锁定到锁定位置，以防止这种相对运动。