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公开(公告)号：US07967786B2
公开(公告)日：2011-06-28
申请号：US11228725
申请日：2005-09-15
CPC分类号： A61J15/0007 , A61B17/3415 , A61B17/3417 , A61B2017/3484 , A61J15/0015 , A61J15/0038 , A61J15/0042
摘要： An access needle well-suited for percutaneous implantation in a body lumen, such as the stomach or the jejunum. In one embodiment, the access needle comprises a cannula, a needle, a retractable stopper and a spreader. The cannula is a tubular member having a lumen and a pair of side windows providing access to the lumen. The needle is slidably mounted within the cannula lumen and comprises a needle stem and a needle handle, the needle handle extending outwardly from the needle stem proximate to the proximal end thereof. The stopper is coupled to the needle stem for translational movement, the stopper comprising a pair of outwardly-biasing wings removably insertable through the side windows for engaging an interior surface of a patient. The spreader is mounted within the cannula and spreads the wings outwardly as the wings are inserted out the side windows.
摘要翻译： 适合于经皮植入在体腔（例如胃或空肠）中的进针。 在一个实施例中，进入针包括插管，针，可缩回止动器和吊具。 插管是具有内腔和一对侧窗的管状构件，其提供对内腔的通路。 针可滑动地安装在套管腔内，并且包括针杆和针柄，针柄从针杆靠近其近端向外延伸。 止动器联接到针杆以进行平移运动，止动器包括一对可向外移动的向外的翼，可通过侧窗插入，用于接合患者的内表面。 吊架安装在套管内，并且当翼插入侧窗时向外展开翼。
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公开(公告)号：US20130110079A1
公开(公告)日：2013-05-02
申请号：US13720153
申请日：2012-12-19
IPC分类号： A61J15/00
CPC分类号： A61J15/0007 , A61B17/3415 , A61B17/3417 , A61B2017/3484 , A61J15/0015 , A61J15/0038 , A61J15/0042
摘要： An access needle well-suited for percutaneous implantation in a body lumen, such as the stomach or the jejunum. In one embodiment, the access needle comprises a cannula, a needle, a retractable stopper and a spreader. The cannula is a tubular member having a proximal end, a distal end, a lumen and a pair of side windows providing access to the lumen. The needle is slidably mounted within the cannula lumen and comprises a needle stem and a needle handle, the needle stem having a proximal end, a distal end and a longitudinal lumen, the needle handle extending outwardly from the needle stem proximate to the proximal end thereof. The stopper is coupled to the needle stem for translational movement, the stopper comprising a pair of outwardly-biasing wings removably insertable through the side windows for engaging an interior surface of a patient. The spreader is mounted within the cannula and spreads the wings outwardly as the wings are inserted out the side windows.
摘要翻译： 适合于经皮植入在体腔（例如胃或空肠）中的进针。 在一个实施例中，进入针包括插管，针，可缩回止动器和吊具。 插管是具有近端，远端，内腔和提供对内腔的通路的一对侧窗的管状构件。 针可滑动地安装在套管腔内并且包括针杆和针柄，针杆具有近端，远端和纵向腔，针柄从针杆靠近其近端向外延伸 。 止动器联接到针杆以进行平移运动，止动器包括一对可向外移动的向外的翼，该翼可通过侧窗插入，用于接合病人的内表面。 吊架安装在套管内，并且当翼插入侧窗时向外展开翼。
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公开(公告)号：US08361033B2
公开(公告)日：2013-01-29
申请号：US13114462
申请日：2011-05-24
IPC分类号： A61M5/178
CPC分类号： A61J15/0007 , A61B17/3415 , A61B17/3417 , A61B2017/3484 , A61J15/0015 , A61J15/0038 , A61J15/0042
摘要： An access needle well-suited for percutaneous implantation in a body lumen, such as the stomach or the jejunum. In one embodiment, the access needle comprises a cannula, a needle, a retractable stopper and a spreader. The cannula is a tubular member having a proximal end, a distal end, a lumen and a pair of side windows providing access to the lumen. The needle is slidably mounted within the cannula lumen and comprises a needle stem and a needle handle, the needle stem having a proximal end, a distal end and a longitudinal lumen, the needle handle extending outwardly from the needle stem proximate to the proximal end thereof. The stopper is coupled to the needle stem for translational movement, the stopper comprising a pair of outwardly-biasing wings removably insertable through the side windows for engaging an interior surface of a patient. The spreader is mounted within the cannula and spreads the wings outwardly as the wings are inserted out the side windows.
摘要翻译： 适合于经皮植入在体腔（例如胃或空肠）中的进针。 在一个实施例中，进入针包括插管，针，可缩回止动器和吊具。 插管是具有近端，远端，内腔和提供对内腔的通路的一对侧窗的管状构件。 针可滑动地安装在套管腔内并且包括针杆和针柄，针杆具有近端，远端和纵向腔，针柄从针杆靠近其近端向外延伸 。 止动器联接到针杆以进行平移运动，止动器包括一对可向外移动的向外的翼，该翼可通过侧窗插入，用于接合病人的内表面。 吊架安装在套管内，并且当翼插入侧窗时向外展开翼。
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4.发明申请公开(公告)号：US20120010570A1
公开(公告)日：2012-01-12
申请号：US13238822
申请日：2011-09-21
申请人： Patrice A. WESTSTRATE , Boyd A. COLVIN , Changqing LI , Mark L. ADAMS , Donald C. HOVEY , Laurence D. BRENNER
发明人： Patrice A. WESTSTRATE , Boyd A. COLVIN , Changqing LI , Mark L. ADAMS , Donald C. HOVEY , Laurence D. BRENNER
IPC分类号： A61M39/08
CPC分类号： A61B17/3415 , A61J15/0023 , A61J15/0038 , A61J2200/60
摘要： A method for percutaneously implanting a medical catheter, such as a gastrostomy feeding tube, and a medical catheter implanting assembly. In one embodiment, the implanting assembly includes a gastrostomy feeding tube, an inner sheath and an outer sheath. The feeding tube has an internal bolster integrally formed at its distal end. The inner sheath includes a bore extending distally from its proximal end to a point prior to its distal end and a transverse window communicating with the bore. The outer sheath includes a proximal end, a distal end and a longitudinal bore. The outer sheath is inserted over the inner sheath, and the feeding tube is inserted into the inner sheath, with the internal bolster being folded and tucked into the window and retained therein by the outer sheath. Movement of the outer sheath relative to the inner sheath to expose the window allows the bolster to decompress.
摘要翻译： 用于经皮植入医用导管（例如胃造口术喂养管）和医疗导管植入组件的方法。 在一个实施例中，植入组件包括胃造口术进料管，内护套和外护套。 进料管具有在其远端一体形成的内部垫片。 内护套包括从其近端向远端延伸到其远端前方的一个孔和与该孔连通的横向窗口的孔。 外护套包括近端，远端和纵向孔。 外护套插入内护套上，并且将进料管插入内护套中，内垫被折叠并卷入窗口并由外护套保持在其中。 外护套相对于内护套的移动以暴露窗户允许支架减压。
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5.发明申请公开(公告)号：US20090318896A1
公开(公告)日：2009-12-24
申请号：US12583633
申请日：2009-08-24
CPC分类号： A61J15/0026 , A61B17/3415 , A61J15/0019 , A61J15/0034 , A61M25/0014
摘要： Connector for use with a medical catheter assembly and medical catheter assembly including the connector. In one embodiment, the connector comprises a rear portion, an intermediate portion, and a front portion. The rear portion is frusto-conical in shape and tapers rearwardly in cross-sectional diameter from its front end. A centrally-disposed, smaller-diameter, longitudinal bore is provided in the rear portion, the bore being appropriately dimensioned to receive a guidewire therethrough. The intermediate portion is generally cylindrical and is shaped to include a centrally-disposed, larger-diameter longitudinal bore and a pair of longitudinally-extending slots providing access to the larger-diameter bore. The front portion is frusto-conical in shape and tapers forwardly in cross-sectional diameter from its rear end. In use, a silicone tube is inserted into the larger-diameter bore of the intermediate portion, and the rear and intermediate portions of the connector are inserted into a gastrostomy feeding tube. A silicone glue is then used to bond the silicone tube to the gastrostomy feeding tube. The front end of the connector is inserted into a dilator and is secured thereto by spin-welding.
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公开(公告)号：US08292829B2
公开(公告)日：2012-10-23
申请号：US12835541
申请日：2010-07-13
IPC分类号： A61M25/00
CPC分类号： A61M25/09033 , A61M25/09 , A61M2025/09108 , A61M2025/09175 , Y10T29/49
摘要： A medical instrument such as a guidewire that is designed to have controlled torque transmission along its length. Specially treated areas are placed in selected and equal areas along the entire length of the elongated shaft of the medical instrument, and are separated from one another by untreated areas. This process ensures that any torque is transmitted distally, in a smooth manner, regardless of the guidewire position, thus resulting in a substantial reduction in whipping. In one embodiment, a stainless steel guidewire is utilized, and is subjected to annealing heat treatment in selected areas. This annealing process creates a mandrel that has repeated temper properties along its length. Torque applied at one end of this mandrel is transmitted to the opposite end in an even and controlled manner, even when the mandrel is formed into a loop.
摘要翻译： 一种医疗器械，例如导丝，其设计成沿其长度具有受控的扭矩传递。 特殊处理区域沿着医疗器械的细长轴的整个长度放置在选定的和相等的区域中，并且通过未处理的区域彼此分离。 该过程确保任何扭矩以平滑的方式向远侧传递，而不管导丝位置如何，从而导致鞭打的显着减少。 在一个实施例中，使用不锈钢导丝，并在选定的区域进行退火热处理。 该退火工艺产生了沿其长度具有反复回火特性的心轴。 即使当心轴形成环时，施加在该心轴的一端的扭矩以均匀和受控的方式传递到相对端。
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公开(公告)号：US20110224619A1
公开(公告)日：2011-09-15
申请号：US13114462
申请日：2011-05-24
IPC分类号： A61M5/00
CPC分类号： A61J15/0007 , A61B17/3415 , A61B17/3417 , A61B2017/3484 , A61J15/0015 , A61J15/0038 , A61J15/0042
摘要： An access needle well-suited for percutaneous implantation in a body lumen, such as the stomach or the jejunum. In one embodiment, the access needle comprises a cannula, a needle, a retractable stopper and a spreader. The cannula is a tubular member having a proximal end, a distal end, a lumen and a pair of side windows providing access to the lumen. The needle is slidably mounted within the cannula lumen and comprises a needle stem and a needle handle, the needle stem having a proximal end, a distal end and a longitudinal lumen, the needle handle extending outwardly from the needle stem proximate to the proximal end thereof. The stopper is coupled to the needle stem for translational movement, the stopper comprising a pair of outwardly-biasing wings removably insertable through the side windows for engaging an interior surface of a patient. The spreader is mounted within the cannula and spreads the wings outwardly as the wings are inserted out the side windows.
摘要翻译： 适合于经皮植入在体腔（例如胃或空肠）中的进针。 在一个实施例中，进入针包括插管，针，可缩回止动器和吊具。 插管是具有近端，远端，内腔和提供对内腔的通路的一对侧窗的管状构件。 针可滑动地安装在套管腔内并且包括针杆和针柄，针杆具有近端，远端和纵向腔，针柄从针杆靠近其近端向外延伸 。 止动器联接到针杆以进行平移运动，止动器包括一对可向外移动的向外的翼，可通过侧窗插入，用于接合患者的内表面。 吊架安装在套管内，并且当翼插入侧窗时向外展开翼。
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8.发明申请公开(公告)号：US20100094212A1
公开(公告)日：2010-04-15
申请号：US12640708
申请日：2009-12-17
申请人： Patrice A. WESTSTRATE , Boyd A. COLVIN , Changqing LI , Mark L. ADAMS , Donald C. HOVEY , Laurence D. BRENNER
发明人： Patrice A. WESTSTRATE , Boyd A. COLVIN , Changqing LI , Mark L. ADAMS , Donald C. HOVEY , Laurence D. BRENNER
IPC分类号： A61M25/04
CPC分类号： A61B17/3415 , A61J15/0023 , A61J15/0038 , A61J2200/60
摘要： A method for percutaneously implanting a medical catheter, such as a gastrostomy feeding tube, and a medical catheter implanting assembly. In one embodiment, the implanting assembly includes a gastrostomy feeding tube, an inner sheath and an outer sheath. The feeding tube has an internal bolster integrally formed at its distal end. The inner sheath includes a bore extending distally from its proximal end to a point prior to its distal end and a transverse window communicating with the bore. The outer sheath includes a proximal end, a distal end and a longitudinal bore. The outer sheath is inserted over the inner sheath, and the feeding tube is inserted into the inner sheath, with the internal bolster being folded and tucked into the window and retained therein by the outer sheath. Movement of the outer sheath relative to the inner sheath to expose the window allows the bolster to decompress.
摘要翻译： 用于经皮植入医用导管（例如胃造口术喂养管）和医疗导管植入组件的方法。 在一个实施例中，植入组件包括胃造口术进料管，内护套和外护套。 进料管具有在其远端一体形成的内部垫片。 内护套包括从其近端向远端延伸到其远端前方的一个孔和与该孔连通的横向窗口的孔。 外护套包括近端，远端和纵向孔。 外护套插入内护套上，并且将进料管插入内护套中，内垫被折叠并卷入窗口并由外护套保持在其中。 外护套相对于内护套的移动以暴露窗户允许支架减压。
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公开(公告)号：US20090182272A1
公开(公告)日：2009-07-16
申请号：US12383354
申请日：2009-03-23
申请人： Changqing Li , Gray Wood , Herbert Alan Sundheimer , Laddvanh Bouphvichith , Patrice A. Weststrate , Laurence D. Brenner
发明人： Changqing Li , Gray Wood , Herbert Alan Sundheimer , Laddvanh Bouphvichith , Patrice A. Weststrate , Laurence D. Brenner
CPC分类号： A61J15/0026 , A61J15/0019 , A61J15/0034 , A61M25/0014 , A61M39/0247 , A61M39/10 , A61M39/1011 , A61M39/12 , A61M2039/1027 , A61M2039/1033 , A61M2039/1077 , F16L33/225
摘要： A medical catheter assembly including a multi-piece connector. In one embodiment, the medical catheter assembly is a PEG implanting assembly comprising a tubular dilator and a silicone feeding tube having an internal bolster at its rear end. The assembly also comprises a multi-piece connector comprising an inner ring, a fitting and an outer ring. The inner ring has an outer diameter greater than the inner diameter of the feeding tube and is coaxially disposed within the feeding tube by a friction-fit. The fitting comprises a front portion, an intermediate portion and a rear portion, the intermediate portion including a shoulder having an outer diameter greater than the inner diameter of the feeding tube. The front portion of the fitting is inserted through the rear end of the dilator and is secured to the dilator by a plurality of barbs. The shoulder and the rear portion of the fitting are inserted into the feeding tube through its rear end, with the rear portion of the fitting being inserted into the inner ring and secured thereto by mating threads. The outer ring is inserted over the feeding tube and is positioned between the shoulder and the inner ring, the outer ring being sized to securely retain the feeding tube between the outer ring and the inner ring and between the outer ring and the shoulder.
摘要翻译： 一种医疗导管组件，包括多片连接器。 在一个实施例中，医疗导管组件是PEG植入组件，其包括管状扩张器和在其后端具有内部枕垫的硅胶进料管。 组件还包括多片连接器，其包括内环，配件和外环。 内圈的外径大于进料管的内径，并通过摩擦配合同轴地设置在进料管内。 该配件包括前部，中间部分和后部，中间部分包括具有大于供给管内径的外径的肩部。 配件的前部插入穿过扩张器的后端，并通过多个倒钩固定到扩张器。 配件的肩部和后部通过其后端插入进料管中，配件的后部插入内圈并通过配合螺纹固定在其上。 外环被插入进料管上并且位于肩部和内圈之间，外圈的尺寸设计成将进料管牢固地保持在外圈和内圈之间以及在外圈和肩部之间。
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公开(公告)号：US08221389B2
公开(公告)日：2012-07-17
申请号：US11313028
申请日：2005-12-19
CPC分类号： A61J15/0015 , A61J15/0026 , A61J15/0057 , A61M39/12
摘要： An adaptor for use with a medical catheter comprises a housing having a first tubular channel with a first longitudinal axis, a dial having a second tubular channel with a second longitudinal axis, and an adaptor fitting removably connected to the second tubular channel. The dial is rotatable between an open position and a closed position when the adaptor fitting is connected thereto. In the open position the first tubular channel is fluidly connected to the second tubular channel, and in the closed position the first tubular channel is not fluidly connected to the second tubular channel. The dial may be configured such that it is not rotatable between the open position and the closed position when the adaptor fitting is not connected thereto. The housing may comprise an upper housing member, an intermediate housing member, and a lower housing member.
摘要翻译： 一种用于医疗导管的适配器包括具有第一纵向轴线的第一管状通道的壳体，具有第二纵向轴线的第二管状通道的表盘和可移除地连接到第二管状通道的适配器接头。 当适配器接头与其连接时，表盘可在打开位置和关闭位置之间旋转。 在打开位置，第一管状通道流体地连接到第二管状通道，并且在关闭位置，第一管状通道不流体地连接到第二管状通道。 表盘可以被配置为使得当适配器配件未连接到打开位置和关闭位置时，它不能够旋转。 壳体可以包括上壳体构件，中间壳体构件和下壳体构件。
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