公开(公告)号：US20120277576A1

公开(公告)日：2012-11-01

申请号：US13410340

申请日：2012-03-02

申请人： Chun Kee Lui

发明人： Chun Kee Lui

IPC分类号： A61B8/00 ,  B23P17/04 ,  A61B17/34

CPC分类号： A61M25/0108 ,  A61B8/0841 ,  A61B2090/3925 ,  A61M25/0102 ,  Y10T29/49826

摘要： Among other things, a delivery catheter assembly for insertion into a patient's vasculature is disclosed. In particular embodiments, the assembly includes a catheter, an obturator, and a hub. The hub is configured to maintain the proximal end of the catheter thereon. The hub and the proximal end of the obturator are configured to securely engage each other until a physician desires to release the obturator from the hub. When the catheter and obturator are assembled, the distal ends of the catheter and the obturator are adjacent or substantially aligned. In one form, the distal end of the obturator is made of an echogenic material that is visible with sonography or ultrasound imaging. In another form, a plurality of echogenic markers is positioned along the obturator including the distal end of the obturator. Beneficially, the position of the catheter is determined by locating the obturator using sonography or ultrasound imaging.

摘要翻译： 其中包括用于插入病人脉管系统中的输送导管组件。 在具体实施例中，组件包括导管，闭孔器和毂。 轮毂被构造成将导管的近端保持在其上。 闭塞器的轮毂和近端构造成彼此牢固地相互接合，直到医师期望从轮毂释放闭塞器。 当组装导管和闭孔器时，导管和闭孔器的远端相邻或基本对齐。 在一种形式中，闭孔器的远端由超声检查或超声成像可见的回声材料制成。 在另一种形式中，多个回声标记物沿封闭器定位，包括封闭器的远端。 有利的是，通过使用超声波成像或超声成像定位闭孔器来确定导管的位置。

公开(公告)号：US20120253368A1

公开(公告)日：2012-10-04

申请号：US13474075

申请日：2012-05-17

申请人： Chun Kee Lui

发明人： Chun Kee Lui

IPC分类号： A61B17/11

CPC分类号： A61B17/11 ,  A61B5/026 ,  A61B17/0643 ,  A61B2017/1107

摘要： An assembly for joining two vessel segments of a patient includes a coupler formed of adjoining coupler halves. Each coupler half includes an aperture for receiving an end of one of the vessel segments. One of the coupler halves includes a connector element configured for connection to the other coupler half. The vessel segments are alignable in the respective coupler halves such that a path for fluid flow is formed therebetween upon connection of the coupler halves. A probe is aligned in engagement with a coupler half for generating a signal corresponding to fluid flow through the path.

摘要翻译： 用于连接患者的两个血管段的组件包括由相邻的联接器半部形成的联接器。 每个联接器半部包括用于接收一个血管段的末端的孔。 耦合器半部之一包括被配置为连接到另一耦合器半部的连接器元件。 血管段可在相应的联合器半部中对齐，使得在联接器半部连接时在其间形成用于流体流动的路径。 探针对准与耦合器半部接合，用于产生对应于通过路径的流体流动的信号。

公开(公告)号：US08202284B2

公开(公告)日：2012-06-19

申请号：US12028381

申请日：2008-02-08

申请人： Chun Kee Lui

发明人： Chun Kee Lui

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B5/026 ,  A61B17/0643 ,  A61B2017/1107

摘要： An assembly for joining two vessel segments of a patient comprises a coupler formed of adjoining coupler halves, and a cuff having a large diameter portion and a small diameter portion. Each of the coupler halves includes an aperture for receiving an end of one of the vessel segments. One of the coupler halves comprises a connector element sized and shaped for connection to the other coupler half. The vessel segments are alignable in the respective coupler halves such that a path for fluid flow is formed therebetween upon connection of the coupler halves. The large diameter portion of the cuff is positioned over at least a portion of the coupler, and the small diameter portion of the cuff is positioned over one of the vessel segments. The cuff further includes a probe positioned at the small diameter portion. The probe is positioned within the cuff in a manner such that a signal is receivable therein corresponding to fluid flow through the vessel segment.

摘要翻译： 用于连接患者的两个血管段的组件包括由相邻的联接器半部形成的联接器和具有大直径部分和小直径部分的袖带。 每个耦合器半部包括用于接收一个容器段的端部的孔。 耦合器半部中的一个包括连接器元件，其尺寸和形状用于连接到另一个耦合器半部。 血管段可在相应的联合器半部中对齐，使得在联接器半部连接时在其间形成用于流体流动的路径。 袖带的大直径部分位于耦合器的至少一部分上，并且袖带的小直径部分位于血管段之一上。 袖带还包括位于小直径部分的探针。 探针位于袖带内，使得在其中可接收的信号对应于通过血管段的流体流动。

公开(公告)号：US20110288503A1

公开(公告)日：2011-11-24

申请号：US12783909

申请日：2010-05-20

申请人： Christopher N. Magalich ,  Chun Kee Lui

发明人： Christopher N. Magalich ,  Chun Kee Lui

IPC分类号： A61M31/00

CPC分类号： A61M39/0208 ,  A61M39/0247 ,  A61M2039/0045 ,  A61M2039/0081 ,  A61M2039/009 ,  A61M2039/0238

摘要： Access, or injection ports, are disclosed. These are shown with various needle-penetrable sealing septums. The septum design is shown with a first and second (and optionally more) elastomeric regions. Indicia may be formed in at least one of said regions, by voids or otherwise and medical imaging additive may be used to provide radiopaque or other contrast between said regions to provide indicia. Such elements may include where two or more such regions are over-molded. The indicia may be on or embedded in the septum. Methods of making such septums and/or ports, including blending and molding is disclosed.

摘要翻译： 访问或注入端口被公开。 这些显示有各种可针刺的密封隔膜。 隔膜设计显示为具有第一和第二（和任选地更多）弹性体区域。 可以通过空隙或其他方式在至少一个所述区域中形成标记物，并且医学成像添加剂可用于在所述区域之间提供不透射线或其他对比度以提供标记。 这样的元件可以包括其中两个或更多个这样的区域被过模制的位置。 标记可以在隔膜上或嵌入隔膜中。 公开了制造这种隔膜和/或端口的方法，包括共混和模制。

公开(公告)号：US20080147061A1

公开(公告)日：2008-06-19

申请号：US11953952

申请日：2007-12-11

申请人： Louis B. Goode ,  Chun Kee Lui

发明人： Louis B. Goode ,  Chun Kee Lui

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B2018/00601 ,  A61B2018/1407

摘要： A device for extracting an implanted elongated structure from biological tissue comprises a sheath having a plurality of lumens therein opening to the sheath distal end. First and second lumens are disposed along a wall of the sheath, and a third lumen is dimensioned to receive the elongated structure. The sheath wall having the first and second lumens disposed therein is alternately compressible and expandable responsive to a bend along a bending zone of the sheath. A first wire segment is positioned in the first lumen, and a second wire segment is positioned in the second lumen, wherein the respective proximal ends of the segments are affixed proximal to the bending zone. The respective wire segments extend distally in the respective first or second lumen a first distance beyond the distal end of the sheath when the bend compresses the wall surface generally adjacent the first and second lumens, and extend distally a second distance, less than the first distance, when the bend expands the wall surface.

摘要翻译： 用于从生物组织中提取植入的细长结构的装置包括其中具有多个内腔的护套，所述护套通向护套远端。 第一和第二管腔沿着护套的壁设置，并且第三腔被设计成接收细长结构。 具有设置在其中的第一和第二流明的护套壁可以响应于沿着护套的弯曲区域的弯曲而交替地可压缩和可扩展。 第一线段定位在第一管腔中，第二线段定位在第二管腔中，其中段的相应近端固定在弯曲区域附近。 相应的线段在相应的第一或第二管腔延伸超过护套的远端的第一距离时，当弯曲部通常邻近第一和第二腔体压缩壁表面时，远离第二距离延伸第二距离，小于第一距离 当弯曲部膨胀壁表面时。

公开(公告)号：US08790309B2

公开(公告)日：2014-07-29

申请号：US12506574

申请日：2009-07-21

申请人： Louis B. Goode ,  Chun Kee Lui ,  Robert Booker ,  Benjamin T. Ewing

发明人： Louis B. Goode ,  Chun Kee Lui ,  Robert Booker ,  Benjamin T. Ewing

IPC分类号： A61M5/178

CPC分类号： A61M39/06 ,  A61M5/1413 ,  A61M39/0606 ,  A61M2039/062 ,  A61M2039/0633 ,  A61M2039/066

摘要： A modular hemostatic valve includes a splittable valve body. The splittable body defines a passageway. A sealing element is positioned in the passageway. The sealing element is configured to facilitate the passage of a first medical device, and the splittable valve body is configured to engage a second medical device.

摘要翻译： 模块式止血阀包括可分离的阀体。 可分开的主体定义了通道。 密封元件位于通道中。 密封元件构造成便于第一医疗装置的通过，并且可分开的阀体构造成接合第二医疗装置。

公开(公告)号：US20140031854A1

公开(公告)日：2014-01-30

申请号：US13610963

申请日：2012-09-12

申请人： Louis B. Goode ,  Chun Kee Lui ,  Robert Booker ,  Michael W. Emmert ,  Charles L. Mclntosh

发明人： Louis B. Goode ,  Chun Kee Lui ,  Robert Booker ,  Michael W. Emmert ,  Charles L. Mclntosh

IPC分类号： A61F2/01

CPC分类号： A61F2/01 ,  A61F2002/011

摘要： There are disclosed embodiments of a system for retrieving a filter device from within a patient. A tube or sheath and one or more cables or other elongated members, which include a protrusion such as a bead at or adjacent a distal end, are movable with respect to each other. When the tube or sheath is adjacent a filter device, the cable or elongated member is extended so that the protrusion is between or through wires of the filter, and the protrusion is engaged to or between two or more of the wires. The filter is placed within the tube or sheath, as by retracting the cable or elongated member to pull the filter, by moving the tube or sheath over the cable or elongated member while it engages the filter under tension, or both.

摘要翻译： 已经公开了用于从患者内检索过滤器装置的系统的实施例。 管或鞘和一个或多个电缆或其它细长构件，其包括诸如在远端处或邻近远端的凸起的突起，可相对于彼此移动。 当管或护套与过滤器装置相邻时，电缆或细长构件被延伸，使得突起位于过滤器的线之间或通过过滤器的导线，并且突起接合到两个或更多个电线之间或之中。 过滤器放置在管或护套内，通过缩回电缆或细长构件来拉动过滤器，通过在管线或细长构件在张力下接合过滤器或两者时将管或护套移动通过电缆或细长构件。

公开(公告)号：US20120203188A1

公开(公告)日：2012-08-09

申请号：US13368715

申请日：2012-02-08

申请人： Christopoher N. Magalich ,  Chun Kee Lui

发明人： Christopoher N. Magalich ,  Chun Kee Lui

IPC分类号： A61M5/00 ,  B28B5/00

CPC分类号： A61M39/0208 ,  A61M39/0247 ,  A61M2039/0045 ,  A61M2039/0081 ,  A61M2039/009 ,  A61M2039/0238

摘要： Access, or injection ports, are disclosed. These are shown with various needle-penetrable sealing septums. The septum design is shown with a first and second (and optionally more) elastomeric regions. Indicia may be formed in at least one of said regions, by voids or otherwise and medical imaging additive may be used to provide radiopaque or other contrast between said regions to provide indicia. Such elements may include where two or more such regions are over-molded. The indicia may be on or embedded in the septum. Methods of making such septums and/or ports, including blending and molding is disclosed.

摘要翻译： 访问或注入端口被公开。 这些显示有各种可针刺的密封隔膜。 隔膜设计显示为具有第一和第二（和任选地更多）弹性体区域。 可以通过空隙或其他方式在至少一个所述区域中形成标记物，并且医学成像添加剂可用于在所述区域之间提供不透射线或其他对比度以提供标记。 这样的元件可以包括其中两个或更多个这样的区域被过模制的位置。 标记可以在隔膜上或嵌入隔膜中。 公开了制造这种隔膜和/或端口的方法，包括共混和模制。

公开(公告)号：US20060253179A1

公开(公告)日：2006-11-09

申请号：US11404176

申请日：2006-04-14

申请人： Louis Goode ,  Chun Kee Lui ,  Benjamin Ewing ,  Joseph Schillinger ,  Robert Booker

发明人： Louis Goode ,  Chun Kee Lui ,  Benjamin Ewing ,  Joseph Schillinger ,  Robert Booker

IPC分类号： A61N1/00

CPC分类号： A61B17/32002 ,  A61B17/32053 ,  A61B17/3468 ,  A61B2017/00548 ,  A61N1/056 ,  A61N2001/0578

摘要： A tip for engagement with an elongated sheath member for use in extracting an implanted structure, such as a cardiac lead, from an obstruction in a body vessel of a patient. The tip includes a tip body having a smaller diameter proximal end and a larger diameter distal end. The smaller diameter proximal end of the tip is sized for engagement with an inner surface of the distal end of the sheath member. The larger diameter distal end of the tip includes at least one element disposed along at least a portion of the outer surface of the tip body distal end. The element has a shape configured for cutting and/or disrupting the lead from the obstruction.

摘要翻译： 用于与用于从患者的体内容器中的梗塞中提取植入结构（例如心脏引线）的细长护套构件接合的尖端。 尖端包括具有较小直径近端和较大直径远端的末端体。 尖端的较小直径的近端的尺寸适于与护套构件的远端的内表面接合。 尖端的较大直径的远端包括沿着末端体远端的外表面的至少一部分设置的至少一个元件。 该元件具有被配置用于从阻塞物切割和/或中断引线的形状。

公开(公告)号：US09149290B2

公开(公告)日：2015-10-06

申请号：US11867984

申请日：2007-10-05

申请人： Louis B. Goode ,  Chun Kee Lui ,  Robert Booker

发明人： Louis B. Goode ,  Chun Kee Lui ,  Robert Booker

IPC分类号： A61B19/00 ,  A61B17/32 ,  A61B17/3205 ,  A61B17/34 ,  A61N1/05 ,  A61B17/00

CPC分类号： A61B17/32002 ,  A61B17/32053 ,  A61B17/3468 ,  A61B2017/00548 ,  A61N1/056 ,  A61N2001/0578

摘要： An entry device for providing access to the interior of a body vessel through a wall of the vessel to enable removal of an implanted structure, such as a cardiac lead, from the body vessel includes an elongated sheath member and a tip positioned at the distal end of the sheath member. The elongated sheath member and tip have respective passageways extending therethrough that are sized and aligned to receive the implanted structure therein upon accessing the vessel. The elongated sheath member is capable of delivering sufficient torque to permit advancement of the tip through a wall of the vessel. The device may include an optional handle, and may be driven by manual or mechanical action.

摘要翻译： 一种进入装置，用于通过容器的壁提供对身体容器内部的通路，以便能够从身体容器移除诸如心脏引线的植入结构，包括细长的护套构件和位于远端的尖端 的护套构件。 细长的护套构件和尖端具有延伸穿过其中的相应通道，其大小和对准以在进入容器时接收其中的植入结构。 细长的护套构件能够提供足够的扭矩以允许尖端通过容器的壁前进。 该装置可以包括可选的手柄，并且可以通过手动或机械动作来驱动。