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    Sphincterotome
    1.
    发明授权
    Sphincterotome 有权

    公开(公告)号：US08535310B2

    公开(公告)日：2013-09-17

    申请号：US11835837

    申请日：2007-08-08

    申请人： David M. Hardin, Jr. ,  John A. Karpiel

    发明人： David M. Hardin, Jr. ,  John A. Karpiel

    IPC分类号： A61B18/18 ,  A61B17/22

    CPC分类号： A61B18/1492 ,  A61B17/32056 ,  A61B2017/003 ,  A61B2017/22039 ,  A61B2018/00553 ,  A61B2018/1407 ,  A61B2018/144

    摘要： A medical sphincterotome and a method of its use are described. The sphincterotome has structural elements that are capable of directing a wire guide through a selected body passageway. One structural element includes a distal port and deflection member that can deflect the wire guide into the desired passageway. Another structural element includes an offset nose-shaped end that can bend towards a passageway desired to be blocked. The wire guide is prevented from entering the blocked passageway, thereby enabling the wire guide to cannulate the desired passageway. The sphincterotome also includes a cutting wire to access a patient's sphincter and perform various other medical procedures.

    Loop tip wire guide
    2.
    发明授权
    Loop tip wire guide 有权
    环形导线导轨

    公开(公告)号：US07520881B2

    公开(公告)日：2009-04-21

    申请号：US10719764

    申请日：2003-11-21

    申请人： Jason D. Foushee ,  Juan Carlos Ayala ,  David M. Hardin, Jr.

    发明人： Jason D. Foushee ,  Juan Carlos Ayala ,  David M. Hardin, Jr.

    IPC分类号： A61B17/24

    CPC分类号： A61M25/09 ,  A61M2025/09175

    摘要： A wire guide has first and second portions with first and second diameters, respectively. A resilient loop positions a distal end of the wire guide adjacent another section of the wire guide. A closure member maintains the distal end in a fixed position relative to the remainder of the wire guide. A covering may be positioned around one or more parts of the wire guide.

    摘要翻译： 导线器分别具有第一和第二直径的第一和第二部分。 弹性环将电线引导件的远端定位成与电线引导件的另一部分相邻。 闭合构件将远端保持在相对于导线引导件的其余部分的固定位置。 覆盖物可以围绕导线器的一个或多个部分定位。

    System and method for introducing multiple medical devices
    4.
    发明授权
    System and method for introducing multiple medical devices 有权
    引入多种医疗器械的系统和方法

    公开(公告)号：US08206320B2

    公开(公告)日：2012-06-26

    申请号：US10902625

    申请日：2004-07-29

    申请人： Stephen E. Deal ,  Matthew P. Carter ,  Victor D. Clark, Jr. ,  Frederick B. Haller ,  David M. Hardin, Jr. ,  John A. Karpiel ,  Kenneth C. Kennedy, II ,  Brian K. Rucker ,  Gregory J. Skerven ,  David F. Waller

    发明人： Stephen E. Deal ,  Matthew P. Carter ,  Victor D. Clark, Jr. ,  Frederick B. Haller ,  David M. Hardin, Jr. ,  John A. Karpiel ,  Kenneth C. Kennedy, II ,  Brian K. Rucker ,  Gregory J. Skerven ,  David F. Waller

    IPC分类号： A61B6/00

    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。

    Sphincterotome
    5.
    发明申请
    Sphincterotome 有权
    脊柱括约肌

    公开(公告)号：US20090043259A1

    公开(公告)日：2009-02-12

    申请号：US11835837

    申请日：2007-08-08

    申请人： David M. Hardin, JR. ,  John A. Karpiel

    发明人： David M. Hardin, JR. ,  John A. Karpiel

    IPC分类号： A61M5/178 ,  A61B17/22 ,  A61B17/32 ,  A61B18/18

    CPC分类号： A61B18/1492 ,  A61B17/32056 ,  A61B2017/003 ,  A61B2017/22039 ,  A61B2018/00553 ,  A61B2018/1407 ,  A61B2018/144

    摘要： A medical sphincterotome and a method of its use are described. The sphincterotome has structural elements that are capable of directing a wire guide through a selected body passageway. One structural element includes a distal port and deflection member that can deflect the wire guide into the desired passageway. Another structural element includes an offset nose-shaped end that can bend towards a passageway desired to be blocked. The wire guide is prevented from entering the blocked passageway, thereby enabling the wire guide to cannulate the desired passageway. The sphincterotome also includes a cutting wire to access a patient's sphincter and perform various other medical procedures.

    摘要翻译： 描述了一种医疗性括约肌切开术及其使用方法。 括约肌切开术具有能够引导导线通过所选择的身体通道的结构元件。 一个结构元件包括远端口和偏转构件，该远端口和偏转构件可将导线引导件偏转到所需的通道中。 另一种结构元件包括偏移的鼻形端，其可朝向期望被阻挡的通道弯曲。 导线导线被阻止进入阻塞的通道，从而使导线器能够插入所需的通道。 括约肌切开术还包括切割线以访问患者的括约肌并执行各种其他医疗程序。

    Method of removing biliary stones with coaxial catheter device
    6.
    发明授权
    Method of removing biliary stones with coaxial catheter device 有权
    用同轴导管装置去除胆石的方法

    公开(公告)号：US08029494B2

    公开(公告)日：2011-10-04

    申请号：US11585513

    申请日：2006-10-24

    申请人： Kulwinder S. Dua ,  Greg J. Skerven ,  David M. Hardin, Jr. ,  Kenneth J. Fearn ,  Pushkar S. Mukewar

    发明人： Kulwinder S. Dua ,  Greg J. Skerven ,  David M. Hardin, Jr. ,  Kenneth J. Fearn ,  Pushkar S. Mukewar

    IPC分类号： A61M31/00

    CPC分类号： A61M25/1006 ,  A61M25/007 ,  A61M2025/1077 ,  A61M2025/109

    摘要： A method of removing an obstruction in the biliary duct including the steps of providing a coaxial catheter device comprising an inner catheter having a proximal end and a distal end wherein at least two or more lumens are formed between the proximal end and distal end of the inner catheter. The method includes providing an outer catheter having a proximal end and a distal end and an opening wherein the inner catheter is coaxially engaged through the opening of the outer catheter thereby forming a coaxial space between the inner catheter and the outer catheter wherein at least one of the two or more lumens is configured for receiving a fluid for inflating a balloon, at least one of the first lumen and the second lumen is configured for receiving a wire guide and the coaxial space is configured for receiving a flushing fluid for the removal of an obstruction within the biliary duct.

    摘要翻译： 一种去除胆管中阻塞物的方法，包括提供包括具有近端和远端的内导管的同轴导管装置的步骤，其中至少两个或更多个腔在内侧的近端和远端之间形成 导管。 该方法包括提供具有近端和远端的外导管和开口，其中内导管同轴地接合穿过外导管的开口，从而在内导管和外导管之间形成同轴空间，其中至少一个 所述两个或多个管腔构造成用于接收用于使气囊膨胀的流体，所述第一管腔和所述第二管腔中的至少一个构造成用于容纳线引导件，并且所述同轴空间构造成用于接收冲洗流体以移除 胆管内阻塞。

    Loop tip wire guide with outer sleeve
    7.
    发明授权
    Loop tip wire guide with outer sleeve 有权
    带外套管的环形导线导轨

    公开(公告)号：US07871414B2

    公开(公告)日：2011-01-18

    申请号：US11966497

    申请日：2007-12-28

    申请人： David M. Hardin, Jr.

    发明人： David M. Hardin, Jr.

    IPC分类号： A61F11/00

    CPC分类号： A61M25/09 ,  A61M2025/09166 ,  A61M2025/09175

    摘要： A wire guide has first and second portions with first and second diameters, respectively. The second portion is located distal of the first portion. A resilient loop positions a distal end of the wire guide adjacent another section of the wire guide. A closure member maintains the distal end in a fixed position relative to the remainder of the wire guide. An outer sleeve may be positioned around one or more parts of the wire guide. A radiopaque element may be secured to the outer sleeve.

    摘要翻译： 导线器分别具有第一和第二直径的第一和第二部分。 第二部分位于第一部分的远侧。 弹性环将电线引导件的远端定位成与电线引导件的另一部分相邻。 闭合构件将远端保持在相对于导线引导件的其余部分的固定位置。 外套筒可以围绕导线器的一个或多个部分定位。 不透射线的元件可以固定到外套筒。

    LOOP TIP WIRE GUIDE WITH OUTER SLEEVE
    8.
    发明申请
    LOOP TIP WIRE GUIDE WITH OUTER SLEEVE 有权
    带外套的环形指针导线

    公开(公告)号：US20090171367A1

    公开(公告)日：2009-07-02

    申请号：US11966497

    申请日：2007-12-28

    申请人： David M. Hardin, JR.

    发明人： David M. Hardin, JR.

    IPC分类号： A61F11/00

    CPC分类号： A61M25/09 ,  A61M2025/09166 ,  A61M2025/09175

    摘要： A wire guide has first and second portions with first and second diameters, respectively. The second portion is located distal of the first portion. A resilient loop positions a distal end of the wire guide adjacent another section of the wire guide. A closure member maintains the distal end in a fixed position relative to the remainder of the wire guide. An outer sleeve may be positioned around one or more parts of the wire guide. A radiopaque element may be secured to the outer sleeve.

    摘要翻译： 导线器分别具有第一和第二直径的第一和第二部分。 第二部分位于第一部分的远侧。 弹性环将电线引导件的远端定位成与电线引导件的另一部分相邻。 闭合构件将远端保持在相对于导线引导件的其余部分的固定位置。 外套筒可以围绕导线器的一个或多个部分定位。 不透射线的元件可以固定到外套筒。