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    APPLICATOR INSTRUMENTS FOR THE DELIVERY, DEPLOYMENT, AND TAMPONADE OF HEMOSTATS AND METHODS THEREFOR
    1.
    发明申请
    APPLICATOR INSTRUMENTS FOR THE DELIVERY, DEPLOYMENT, AND TAMPONADE OF HEMOSTATS AND METHODS THEREFOR 有权
    HEMOSTATS的交付，部署和延期的申请人仪器及其方法

    公开(公告)号：US20090234374A1

    公开(公告)日：2009-09-17

    申请号：US12049849

    申请日：2008-03-17

    申请人： Jonathan Gabel ,  Jason C. Livingston ,  Dwayne Looney ,  Michael E. Guglielmo ,  Greg R. Furnish ,  John Miser ,  John Edrington

    发明人： Jonathan Gabel ,  Jason C. Livingston ,  Dwayne Looney ,  Michael E. Guglielmo ,  Greg R. Furnish ,  John Miser ,  John Edrington

    IPC分类号： A61B17/10

    CPC分类号： A61B17/0057 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/3468 ,  A61B50/30 ,  A61B2017/0053 ,  A61B2017/00544 ,  A61B2017/00557 ,  A61B2017/00575 ,  A61B2017/00623 ,  A61B2017/00659 ,  A61B2017/00884 ,  A61F2002/0072 ,  A61M37/0069

    摘要： An instrument used for the delivery, deployment, and tamponade of a hemostat such as a topically applied hemostat includes an intermediate shaft having a proximal end, a distal end, and a central lumen extending to the distal end, and an inner shaft telescopically received within the central lumen of the intermediate shaft, the inner shaft having a proximal end and a distal end that extends distally from the intermediate shaft. The instrument includes an inflatable balloon having a proximal end secured to the intermediate shaft and a distal end secured to the inner shaft, a first actuator for inflating the balloon, and a second actuator for moving the distal ends of the intermediate and inner shafts relative to one another between a first position and a second position for changing the shape of the balloon when the balloon is inflated. The proximal end of the balloon is secured to the distal end of the intermediate shaft and the distal end of the balloon is secured to the distal end of the inner shaft. The balloon has a spherical shape when the intermediate and inner shafts are in the first position and a toroidal shape when the intermediate and inner shafts are in the second position.

    摘要翻译： 用于诸如局部应用的止血剂之类的止血钳的传送，展开和填塞的仪器包括具有延伸到远端的近端，远端和中心腔的中间轴，以及可伸缩地接纳在内侧的内轴 中间轴的中央腔，内轴具有从中间轴向远侧延伸的近端和远端。 仪器包括一个可膨胀气囊，其具有固定到中间轴的近端和固定到内轴的远端，用于使球囊膨胀的第一致动器和用于使中轴和内轴的远端相对移动的第二致动器， 彼此之间在第一位置和第二位置之间，用于当气囊膨胀时改变气囊的形状。 球囊的近端固定到中间轴的远端，并且球囊的远端固定到内轴的远端。 当中间轴和内轴处于第一位置时，气球具有球形，当中间轴和内轴处于第二位置时，气球呈圆环形。

    SUTURING INSTRUMENT
    2.
    发明申请
    SUTURING INSTRUMENT 有权
    仪器仪表

    公开(公告)号：US20130158569A1

    公开(公告)日：2013-06-20

    申请号：US13767150

    申请日：2013-02-14

    申请人： Michael S.H. Chu ,  Greg R. Furnish ,  William C. Mers Kelly

    发明人： Michael S.H. Chu ,  Greg R. Furnish ,  William C. Mers Kelly

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0469 ,  A61B17/0482 ,  A61B17/0491 ,  A61B2017/2927

    摘要： The suturing instrument includes an elongate member having an articulating distal portion biased offset from the elongate member, and a sheath slideably disposed about the elongate member. The user positions the sheath in contact with the articulating distal portion to actuate the distal portion relative to the elongate member. The articulating distal portion is pivotally coupled to the elongate member for improved maneuverability within the body of a patient during surgical procedures.

    摘要翻译： 缝合器具包括细长构件，该细长构件具有偏置于细长构件的偏心的铰接远端部分，以及围绕细长构件可滑动地设置的护套。 使用者将护套定位成与关节式远端部分接触以相对于细长构件致动远侧部分。 铰接的远端部分枢转地联接到细长构件，以在外科手术期间提高患者体内的机动性。

    Stent delivery system and method of use
    6.
    发明授权
    Stent delivery system and method of use 失效
    支架输送系统及使用方法

    公开(公告)号：US06196230B1

    公开(公告)日：2001-03-06

    申请号：US09150181

    申请日：1998-09-10

    申请人： Todd A. Hall ,  Greg R. Furnish ,  Simon M. Furnish ,  Scott J. Wolf ,  Peter J. Wilk ,  David Y. Phelps ,  Vincent Pompili

    发明人： Todd A. Hall ,  Greg R. Furnish ,  Simon M. Furnish ,  Scott J. Wolf ,  Peter J. Wilk ,  David Y. Phelps ,  Vincent Pompili

    IPC分类号： A61B1900

    CPC分类号： A61F2/958 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61F2/2493 ,  A61F2/86 ,  A61M25/10 ,  A61M25/1006 ,  A61M2025/0096 ,  A61M2025/0197 ,  A61M2025/1095 ,  Y10S623/903

    摘要： Described herein are various methods and apparatuses for delivering stents and other devices into the myocardium of a patient. One preferred stent delivery system provides access to the insertion site in the myocardium by advancing a delivery catheter through a blockage in a coronary artery, or around the blockage through a coronary vein or through a channel or tunnel formed around the blockage. In one embodiment, once the distal end of the delivery catheter is adjacent the myocardium, an angled bend is created in the catheter by actuating expandable steering guides mounted to the catheter which cooperate with the walls of the blood vessel to cause the catheter to turn. Then, a guidewire is advanced through the delivery catheter and into the myocardium. In another embodiment, a tip-deflecting pull wire extends from the distal end of the delivery catheter which may be actuated to turn towards and then inserted into the myocardium. In another embodiment, an exit port facing the insertion site is provided within the catheter or a balloon mounted on the catheter so that a guidewire may be directed through a lumen and out the exit port into the myocardium. Once the guidewire punctures into the myocardium, the guidewire is anchored using barbs, balloons or other actuatable members to secure the guidewire to the myocardium. Subsequently, using a push-pull mechanism, stents and other medical devices can be advanced over the guidewire into the myocardium.

    摘要翻译： 这里描述了用于将支架和其他装置输送到患者的心肌中的各种方法和装置。 一个优选的支架递送系统通过使输送导管通过冠状动脉阻塞或通过冠状静脉或通过在阻塞周围形成的通道或隧道周围的阻塞来推进进入心肌中的插入部位。 在一个实施例中，一旦输送导管的远端与心肌相邻，则通过致动安装到导管的可扩展转向引导件，在导管中产生成角度的弯曲部，其与血管的壁配合以使导管转动。 然后，导丝通过输送导管进入心肌。 在另一个实施例中，尖端偏转拉线从输送导管的远端延伸，可以被致动以转向然后插入心肌。 在另一个实施例中，面向插入部位的出口端设置在导管内或安装在导管上的球囊上，使得导丝可以被引导通过内腔并离开出口进入心肌。 一旦导丝穿刺入心肌，就使用倒刺，气球或其他可致动部件来固定导丝，以将导丝固定到心肌。 随后，使用推拉机构，支架和其他医疗装置可以在导丝上前进进入心肌。

    SUTURING INSTRUMENT
    8.
    发明申请
    SUTURING INSTRUMENT 有权
    仪器仪表

    公开(公告)号：US20120109163A1

    公开(公告)日：2012-05-03

    申请号：US13350270

    申请日：2012-01-13

    申请人： Michael S.H. Chu ,  Greg R. Furnish ,  William C. Mers Kelly

    发明人： Michael S.H. Chu ,  Greg R. Furnish ,  William C. Mers Kelly

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0469 ,  A61B17/0482 ,  A61B17/0491 ,  A61B2017/2927

    摘要： The suturing instrument includes an elongate member having an articulating distal portion biased offset from the elongate member, and a sheath slideably disposed about the elongate member. The user positions the sheath in contact with the articulating distal portion to actuate the distal portion relative to the elongate member. The articulating distal portion is pivotally coupled to the elongate member for improved maneuverability within the body of a patient during surgical procedures.

    摘要翻译： 缝合器具包括细长构件，该细长构件具有偏置于细长构件的偏心的铰接远端部分，以及围绕细长构件可滑动地设置的护套。 使用者将护套定位成与关节式远端部分接触以相对于细长构件致动远侧部分。 铰接的远端部分枢转地联接到细长构件，以在外科手术期间提高患者体内的机动性。