Medical apparatus and method for facilitating the management of long term tunneled conduits
    51.
    发明申请
    Medical apparatus and method for facilitating the management of long term tunneled conduits 审中-公开
    促进长期隧道管道管理的医疗仪器和方法

    公开(公告)号:US20090069786A1

    公开(公告)日:2009-03-12

    申请号:US12286821

    申请日:2008-10-01

    IPC分类号: A61M5/32

    摘要: A method and apparatus for facilitating the management of indwelling conduits to avoid and/or treat infections associated with long term implantation. A sleeve carrying a layer of porous material on its outer surface is percutaneous implanted to place the layer of porous material just under the patient's outer skin in contact with the patient's dermis where it functions to promote soft tissue ingrowth. A catheter passes through the sleeve passageway and along an interior body path to an interior destination site, e.g., an opening into a vein, i.e., venotomy site. Within about 3-6 weeks after implantation, the patient's dermal tissue integrates sufficiently with the sleeve porous material to physically anchor the sleeve and create an infection resistant barrier. Further, a tunnel, characterized by an epithelialized capsule, typically forms around the catheter along the interior body path extending to the interior destination site. After sufficient integration of the patient's soft tissue into the porous layer, the sleeve passageway can be used to pass various procedural tools to the tunnel and interior destination site without disturbing the tissue integrating barrier.

    摘要翻译: 一种便于管理留置管道以避免和/或治疗与长期植入有关的感染的方法和装置。 在其外表面上承载多孔材料层的套管是经皮植入的,以将多孔材料层恰好放置在病人的外皮下方,与病人的真皮接触,其中它促进软组织向内生长。 导管穿过套管通道并沿着内部身体路径到达内部目的地,例如,进入静脉的开口,即静脉切开部位。 在植入后约3-6周内,患者的皮肤组织与套管多孔材料充分结合以物理地锚定套筒并产生感染抗性屏障。 此外,特征在于上皮化胶囊的隧道通常沿着延伸到内部目的地位置的内部主体路径围绕导管形成。 在将患者的软组织充分融合到多孔层中之后,可以使用套管通道将各种程序工具传递到隧道和内部目的地,而不会干扰组织整合屏障。

    Non-foreshortening intraluminal prosthesis
    52.
    发明授权
    Non-foreshortening intraluminal prosthesis 有权
    非缩短腔内假体

    公开(公告)号:US06764506B2

    公开(公告)日:2004-07-20

    申请号:US10283957

    申请日:2002-10-30

    IPC分类号: A61F206

    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。

    Percutaneous tissue track closure assembly and method
    53.
    发明授权
    Percutaneous tissue track closure assembly and method 失效
    经皮组织跟踪闭合组件及方法

    公开(公告)号:US06334865B1

    公开(公告)日:2002-01-01

    申请号:US09361663

    申请日:1999-07-27

    IPC分类号: A61B1708

    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。

    Surgical instrument with extendable blades
    54.
    发明授权
    Surgical instrument with extendable blades 失效
    外科手术器具可伸缩刀片

    公开(公告)号:US5245987A

    公开(公告)日:1993-09-21

    申请号:US923338

    申请日:1992-07-31

    IPC分类号: A61B17/02

    CPC分类号: A61B17/0218

    摘要: A tissue retraction device for use in laparoscopic surgery which includes a plurality of thin, resiliently deformable, pre-stressed blades disposed in a stacked relationship within an outer sleeve. The blades are connected at their inboard ends to a support rod which is telescopically carried within the sleeve. The blades are pre-twisted about a stratigically located pivot point so that once the inboard end of the device is positioned within the peritoneum, the rod can be urged forwardly causing the end portions of the blades to automatically fan out in a manner such that the full width of the blades can be pressed against the tissue.

    摘要翻译: 一种用于腹腔镜手术的组织缩回装置,其包括在外套筒内以堆叠关系设置的多个薄的,可弹性变形的预应力刀片。 叶片在其内侧端连接到可伸缩地承载在套筒内的支撑杆。 刀片围绕一个层状位置的枢转点预扭转,使得一旦设备的内侧端部位于腹膜内,则杆可以被向前推动,使得叶片的端部以这样的方式自动扇出, 叶片的全部宽度可以压靠在组织上。

    Method of making a hemostatic plug
    55.
    发明授权
    Method of making a hemostatic plug 失效
    制作止血栓的方法

    公开(公告)号:US5449375A

    公开(公告)日:1995-09-12

    申请号:US233450

    申请日:1994-04-26

    摘要: A method of making a hemostatic plug for placement at a site where hemostatic treatment is indicated. The method comprises rolling a sheet of a hemostatic material a plurality of turns onto a generally cylindrical forming tool to thereby produce a rolled hemostatic plug having an opening therethrough along its longitudinal axis. In addition to employing one sheet of hemostatic material having a single density to form a plug, two sheets of hemostatic material having different densities can be rolled in tandem to each other on the forming tool, with one sheet overlapping an exposed wedge portion of the other sheet. The plugs thus formed can be longitudinally compressed if subsequent longitudinal expansion is desired. A typical placement site for which the plug is preferably employed is a puncture wound wherein an entry penetration of an artery and a tissue channel leading thereto are present.

    摘要翻译: 一种制备止血塞的方法,用于放置在指示止血治疗的部位。 该方法包括将止血材料的片材滚动到大致圆柱形的成形工具上,从而产生具有沿其纵向轴线穿过的开口的滚动止血塞。 除了使用一片具有单一密度的止血材料以形成塞子之外,具有不同密度的两片止血材料可以在成形工具上彼此串联地滚动,其中一片与另一层的暴露的楔形部分重叠 片。 如果需要随后的纵向膨胀,则如此形成的塞子可以被纵向压缩。 优选使用塞子的典型放置位置是穿刺伤口,其中存在通向其的动脉和组织通道的进入穿透。

    Hemostatic plug
    56.
    发明授权
    Hemostatic plug 失效
    止血塞

    公开(公告)号:US5334216A

    公开(公告)日:1994-08-02

    申请号:US988567

    申请日:1992-12-10

    摘要: A method of making a hemostatic plug for placement at a site where hemostatic treatment is indicated. The method comprises rolling a sheet of a hemostatic material a plurality of turns onto a generally cylindrical forming tool to thereby produce a rolled hemostatic plug having an opening therethrough along its longitudinal axis. In addition to employing one sheet of hemostatic material having a single density to form a plug, two sheets of hemostatic material having different densities can be rolled in tandem to each other on the forming tool, with one sheet overlapping an exposed wedge portion of the other sheet. The plugs thus formed can be longitudinally compressed if subsequent longitudinal expansion is desired. A typical placement site for which the plug is preferably employed is a puncture wound wherein an entry penetration of an artery and a tissue channel leading thereto are present.

    摘要翻译: 一种制备止血塞的方法,用于放置在指示止血治疗的部位。 该方法包括将止血材料的片材滚动到大致圆柱形的成形工具上,从而产生具有沿其纵向轴线穿过的开口的滚动止血塞。 除了使用一片具有单一密度的止血材料以形成塞子之外,具有不同密度的两片止血材料可以在成形工具上彼此串联地滚动,其中一片与另一层的暴露的楔形部分重叠 片。 如果需要随后的纵向膨胀,则如此形成的塞子可以被纵向压缩。 优选使用塞子的典型的放置位置是穿刺伤口,其中存在通向其的动脉和组织通道的进入穿透。

    Hemostatic implant introducer
    57.
    发明授权
    Hemostatic implant introducer 失效
    止血植入物导引器

    公开(公告)号:US5324306A

    公开(公告)日:1994-06-28

    申请号:US68199

    申请日:1993-05-28

    摘要: A puncture seal device for stemming the flow of blood from a punctured blood vessel includes an elongated outer sheath affixed to a generally tubular housing where the housing contains a manually actuable slide which is affixed to a rigid tubular pusher member coaxially disposed within the outer sheath. Also contained within the outer sheath in longitudinal alignment with the pusher and distally thereof is a ring-shaped plug of a hemostatic material. The assembly thus far described may be fitted over a tubular introducer or the body of a catheter and then advanced therealong until the distal end of the outer sheath is proximate a bleeding blood vessel. By actuating the pusher member, the hemostatic plug surrounding the introducer or catheter is ejected from the distal end of the outer sheath and held in abutting relationship to the bleeding blood vessel.

    摘要翻译: 用于阻止来自穿刺血管的血液流动的穿刺密封装置包括固定到大致管状壳体的细长外护套,其中壳体包含可手动致动的滑块,其固定到同轴地设置在外护套内的刚性管状推动器构件。 还包括在外护套内与推动器纵向对准并且其远端处于止血材料的环形塞子。 到目前为止描述的组件可以装配在管状导引器或导管的主体上,然后沿着其前进,直到外护套的远端接近出血血管。 通过致动推动器构件,围绕导引器或导管的止血塞从外护套的远端喷射并与出血血管保持邻接关系。

    Hemostatic implant introducer
    58.
    发明授权
    Hemostatic implant introducer 失效
    止血植入物导引器

    公开(公告)号:US5290310A

    公开(公告)日:1994-03-01

    申请号:US912921

    申请日:1992-07-13

    摘要: A puncture seal device for stemming the flow of blood from a punctured blood vessel has an elongated outer sheath affixed to a generally tubular housing where the housing contains a manually actuable slide which is affixed to a rigid tubular pusher member coaxially disposed within the outer sheath. Also contained within the outer sheath in longitudinal alignment with the pusher and distally thereof is a ring-shaped plug of a hemostatic material. The assembly thus far described may be fitted over a tubular introducer or the body of a catheter and then advanced therealong until the distal end of the outer sheath is proximate a bleeding blood vessel. By actuating the pusher member, the hemostatic plug surrounding the introducer or catheter is ejected from the distal end of the outer sheath and held in abutting relationship to the bleeding blood vessel.

    摘要翻译: 用于阻止来自穿刺血管的血液流动的穿刺密封装置具有固定到大致管状壳体的细长外护套,其中壳体包含可手动致动的滑块,其固定到同轴地设置在外护套内的刚性管状推动器构件。 还包括在外护套内与推动器纵向对准并且其远端处于止血材料的环形塞子。 到目前为止描述的组件可以装配在管状导引器或导管的主体上,然后沿着其前进,直到外护套的远端接近出血血管。 通过致动推动器构件,围绕导引器或导管的止血塞从外护套的远端喷射并与出血血管保持邻接关系。