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    System and method for introducing multiple medical devices
    2.
    发明申请
    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：US20050059890A1

    公开(公告)日：2005-03-17

    申请号：US10902625

    申请日：2004-07-29

    申请人： Stephen Deal ,  Matthew Carter ,  Victor Clark ,  Frederick Haller ,  David Hardin ,  John Karpiel ,  Kenneth Kennedy ,  Brian Rucker ,  Gregory Skerven ,  David Waller

    发明人： Stephen Deal ,  Matthew Carter ,  Victor Clark ,  Frederick Haller ,  David Hardin ,  John Karpiel ,  Kenneth Kennedy ,  Brian Rucker ,  Gregory Skerven ,  David Waller

    IPC分类号： A61B1/01 ,  A61B1/018 ,  A61B6/12 ,  A61B17/22 ,  A61F2/04 ,  A61M25/00 ,  A61M25/06 ,  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。

    System for introducing multiple medical devices
    4.
    发明申请
    System for introducing multiple medical devices 审中-公开
    引进多种医疗器械的系统

    公开(公告)号：US20050070794A1

    公开(公告)日：2005-03-31

    申请号：US10901561

    申请日：2004-07-29

    申请人： Stephen Deal ,  Matthew Carter ,  Frederick Haller ,  David Hardin ,  Kenneth Kennedy ,  Brian Rucker ,  Gregory Skerven ,  David Waller

    发明人： Stephen Deal ,  Matthew Carter ,  Frederick Haller ,  David Hardin ,  Kenneth Kennedy ,  Brian Rucker ,  Gregory Skerven ,  David Waller

    IPC分类号： A61B1/01 ,  A61B1/018 ,  A61B6/12 ,  A61B17/22 ,  A61F2/04 ,  A61M25/00 ,  A61M25/06 ,  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, permits 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。

    Echogenic markers on GI medical devices
    7.
    发明申请
    Echogenic markers on GI medical devices 审中-公开
    GI医疗器械上的生态标志物

    公开(公告)号：US20060247530A1

    公开(公告)日：2006-11-02

    申请号：US11365580

    申请日：2006-02-28

    申请人： David Hardin ,  Kenneth Kennedy ,  Brian Rucker ,  Gregory Skerven

    发明人： David Hardin ,  Kenneth Kennedy ,  Brian Rucker ,  Gregory Skerven

    IPC分类号： A61B8/14

    CPC分类号： A61B10/04 ,  A61B1/2736 ,  A61B8/0833 ,  A61B8/12 ,  A61B8/445 ,  A61B17/221 ,  A61B17/3478 ,  A61B2010/0216 ,  A61B2017/22042 ,  A61B2017/2212 ,  A61B2090/062 ,  A61B2090/3784 ,  A61B2090/3925

    摘要： An endoscopic ultrasound-guided system and method for monitoring the location of a device contained within intraluminal and extraluminal regions of a patient is described. The endoscopic ultrasound-guided system includes a linear echoendoscope, a device, and a wire guide. The device and wire guide contain echogenic surfaces which enable transducers placed at the distal end of the linear echoendoscope to ultrasonically monitor the location of the devices. When the echogenic surface of the device encounters incident ultrasound waves emitted from a series of linear array transducers, a real-time ultrasonic image of the device is generated as the incident ultrasound waves reflect off the echogenic surfaces and propagate back towards the transducers. The surgeon receives the real-time ultrasonic image of the device and then can determine the location of the device within the intraluminal or extraluminal region of the patient. After determining the location of the device, the surgeon can adjust the path of the device to ensure it is guided to the target site.

    摘要翻译： 描述了内窥镜超声引导系统和用于监测包含在患者的腔内和腔外区域内的装置的位置的方法。 内窥镜超声引导系统包括线性回声内窥镜，装置和线引导件。 该装置和导线导轨包含回声表面，使得放置在线性回声内窥镜的远端处的换能器能够超声监视装置的位置。 当装置的回波表面遇到从一系列线性阵列换能器发射的入射超声波时，随着入射超声波从回波表面反射并向换能器传播，产生该装置的实时超声波图像。 外科医生接收设备的实时超声波图像，然后可以确定装置在患者的腔内或管腔内的位置。 在确定设备的位置后，外科医生可以调整设备的路径，以确保其被引导到目标位置。

    Wire guide holder with wire guide deflector
    8.
    发明申请
    Wire guide holder with wire guide deflector 审中-公开
    导丝架带导线导流板

    公开(公告)号：US20060195117A1

    公开(公告)日：2006-08-31

    申请号：US11350483

    申请日：2006-02-09

    申请人： Brian Rucker ,  Kenneth Kennedy ,  David Waller

    发明人： Brian Rucker ,  Kenneth Kennedy ,  David Waller

    IPC分类号： A61F11/00

    CPC分类号： A61B1/012 ,  A61B1/00137 ,  A61M25/01 ,  A61M25/09041 ,  A61M2025/024 ,  A61M2025/028 ,  A61M2025/09116 ,  A61M2025/09125

    摘要： A wire guide holder having a wire guide deflector. The wire guide holder is provided with a securing portion and a deflecting portion. The securing portion is provided with protrusions and/or grooves for securing a distal portion of a wire guide against longitudinal movement. The deflecting portion is configured to direct the proximal end of a wire guide into an unobtrusive position. A frictional element may be provided to prevent the wire guide from inadvertently sliding or falling out of the deflecting portion. The wire guide holder may be attached to a medical scope or a bite block. The wire guide holder may also be provided with a seal.

    摘要翻译： 具有导线导流板的导线架。 线引导架设有固定部分和偏转部分。 固定部分设置有突起和/或沟槽，用于固定电线引导件的远端部分以防止纵向运动。 偏转部分构造成将导线器的近端引导到不引人注目的位置。 可以提供摩擦元件以防止电线引导件从偏心部分中不经意地滑动或脱落。 导线架可以安装在医疗器械或咬合块上。 导线架也可设有密封。

    Intragastric device for treating obesity
    10.
    发明申请
    Intragastric device for treating obesity 审中-公开
    用于治疗肥胖的胃内装置

    公开(公告)号：US20070198039A1

    公开(公告)日：2007-08-23

    申请号：US11657231

    申请日：2007-01-24

    申请人： Brian Jones ,  Kenneth Kennedy ,  Matthew Carter ,  Thomas Self ,  Kimberly Ingram

    发明人： Brian Jones ,  Kenneth Kennedy ,  Matthew Carter ,  Thomas Self ,  Kimberly Ingram

    IPC分类号： A61B17/08

    CPC分类号： A61F5/0036

    摘要： An intragastric device generally comprises a strip digestive-resistant mesh material that is operable between a first configuration and a second configuration. The first configuration is sufficiently small to permit introduction of the digestive-resistant mesh material into a gastric lumen of the mammal. The second configuration is sufficiently large to prevent the digestive-resistant mesh material from passing through the mammals pylorus, thereby permitting the mesh member to act as an artificial bezoar. Methods and devices for delivering the mesh member are also provided, including a pusher that is operable to engage and disengage the mesh member for delivery through the gastric lumen via a delivery sheath.

    摘要翻译： 胃内装置通常包括可在第一构型和第二构型之间操作的条状耐消化网眼材料。 第一种构型足够小以允许将消化性网格材料引入到哺乳动物的胃腔中。 第二构造足够大以防止消化网眼材料通过哺乳动物幽门，从而允许网状构件充当人造牛黄。 还提供了用于递送网状构件的方法和装置，包括推动器，该推动器可操作以接合和脱离网状构件以经由输送护套输送通过胃腔。