公开(公告)号：US07488340B2

公开(公告)日：2009-02-10

申请号：US10452826

申请日：2003-06-02

申请人： James V. Kauphusman ,  Howard Root ,  Richard Prather

发明人： James V. Kauphusman ,  Howard Root ,  Richard Prather

IPC分类号： A61B17/03

CPC分类号： A61B17/0401 ,  A61B17/0057 ,  A61B17/0467 ,  A61B2017/00637 ,  A61B2017/00659 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0417 ,  A61B2017/0427 ,  A61B2017/0437 ,  A61B2017/06176

摘要： A sealing device for sealing punctures in blood vessel walls including a flange connected to a flexible stem having an expansion portion in it. The flexible stem is adapted to be accommodated inside a delivery tube. The delivery tube further includes a hand-hold for ease of handling. The sealing device may further include a loader and a cutter. The flange and flexible stem are preferably constructed of a biodegradable material that has a tensile strength, rigidity, memory and other physical qualities similar to medical grade silicone. The resilient transverse expansion portion expands when deployed beyond the delivery tube in the tissue tract to create a frictional interface with the interior surface of the tissue tract to resist displacement of the flexible stem from a desired location in the tissue tract. The flexible stem also includes a flange at the distal end of the flexible stem to seal the puncture when the flexible stem is deployed.

摘要翻译： 一种密封装置，用于密封血管壁中的穿刺，包括连接到其中具有扩张部分的柔性柄的凸缘。 柔性杆适于容纳在输送管内。 输送管还包括便于操作的手持。 密封装置还可以包括装载器和切割器。 法兰和柔性杆优选由具有类似于医用级硅胶的拉伸强度，刚度，记忆和其它物理特性的可生物降解的材料构成。 当弹性横向膨胀部分展开超过组织管道中的输送管时，弹性横向膨胀部分膨胀以产生与组织管道的内表面的摩擦接口，以阻止柔性杆从组织管道中的期望位置移位。 柔性杆还包括在柔性杆的远端处的凸缘，以在柔性杆部署时密封穿刺。

公开(公告)号：US20130030369A1

公开(公告)日：2013-01-31

申请号：US13191889

申请日：2011-07-27

申请人： Howard Root ,  Gregg Sutton

发明人： Howard Root ,  Gregg Sutton

IPC分类号： A61B17/34

CPC分类号： A61B17/3439 ,  A61B17/0218 ,  A61B17/3468 ,  A61B2017/3419 ,  A61M25/0023 ,  A61M25/0668 ,  A61M29/00 ,  A61M29/02 ,  A61M2025/0024 ,  A61M2025/0681

摘要： Vascular introducer systems, kits, and methods providing or creating access to vessels, such as radial or femoral arteries, are disclosed. A vascular introducer system includes a removable inner tubular member, a removable outer tubular, tear-away member, and an expandable passage member positioned between the inner and outer tubular members. The removable inner tubular member and the removable outer tubular, tear-away member help protect and maintain a contracted configuration of the expandable passage member when the introducer system is advanced into a vessel. The expandable passage member includes an inner surface configured to receive an elongate treatment device, for example, following removal of the inner and outer tubular members. In some examples, the expandable passage member includes one or more kink-resistant members extending along a portion of the passage member. In various examples, the expandable passage member includes a wall thickness sufficient to protect vessel surfaces, while preserving vessel access size.

公开(公告)号：US08758427B2

公开(公告)日：2014-06-24

申请号：US13310503

申请日：2011-12-02

申请人： Howard Root ,  James Murto ,  Stephen Penegor ,  Gregg Sutton

发明人： Howard Root ,  James Murto ,  Stephen Penegor ,  Gregg Sutton

IPC分类号： A61F2/06

CPC分类号： A61B17/12109 ,  A61B17/12031 ,  A61B17/1219 ,  A61B2017/00429 ,  A61B2017/00526 ,  A61B2017/00889 ,  A61B2017/00893 ,  A61B2017/00898 ,  A61B2017/00942 ,  A61B2017/1205 ,  A61B2017/12054 ,  A61L31/044 ,  A61L31/045 ,  A61L31/146 ,  A61L31/16 ,  A61L2300/404 ,  A61L2430/36 ,  F04C2270/041

摘要： Assemblies, kits, and methods for occluding a vascular vessel, such as a varicose vein, are disclosed. An assembly can include a removable inner member, a removable outer member, and an elongated expandable member positioned in a compressed form between portions of the inner and outer members. To facilitate their removal, one or both of the inner and outer members can include a handle coupled to a proximal end. The elongated expandable member can include a gelatin material or a collagen material that is configured, when wetted, to expand from a compressed first diametrical size to a second larger diametrical size within a time period of 5 minutes or less. At the second larger diametrical size, the gelatin or collagen material can occlude a vascular vessel for a period of at least 20 days without degrading.

摘要翻译： 公开了用于闭塞血管的静脉曲张，套件和方法，例如静脉曲张。 组件可以包括可拆卸的内部构件，可移除的外部构件和在内部构件和外部构件的部分之间以压缩形式定位的细长可扩展构件。 为了便于其移除，内部和外部构件中的一个或两个可以包括联接到近端的手柄。 细长可扩张构件可以包括明胶材料或胶原材料，其在被润湿时被构造成在5分钟或更短的时间段内从压缩的第一直径尺寸膨胀到第二较大直径尺寸。 在第二个更大的直径尺寸下，明胶或胶原材料可以将血管容器封闭至少20天的时间，而不会降解。

公开(公告)号：US20100324567A1

公开(公告)日：2010-12-23

申请号：US12824734

申请日：2010-06-28

申请人： Howard Root ,  Gregg Sutton ,  Jeffrey M. Welch ,  Jason M. Garrity

发明人： Howard Root ,  Gregg Sutton ,  Jeffrey M. Welch ,  Jason M. Garrity

IPC分类号： A61M25/00

CPC分类号： A61M25/01 ,  A61M25/0026 ,  A61M25/0051 ,  A61M25/0052 ,  A61M25/0068 ,  A61M25/0069 ,  A61M25/008 ,  A61M25/0662 ,  A61M2025/0081

摘要： A coaxial guide catheter to be passed through guide catheter having a first lumen, for use with interventional cardiology devices that are insertable into a branch artery that branches off from a main artery. The coaxial guide catheter is extended through the lumen of the guide catheter and beyond the distal end of the guide catheter and inserted into the branch artery. The device assists in resisting axial and shear forces exerted by an interventional cardiology device passed through the second lumen and beyond the flexible distal tip portion that would otherwise tend to dislodge the guide catheter from the branch artery.

摘要翻译： 要穿过具有第一腔的引导导管的同轴引导导管，用于可插入从主动脉分支的分支动脉的介入心脏病学装置。 同轴引导导管延伸穿过引导导管的内腔并超过引导导管的远端并插入分支动脉。 该装置有助于抵抗由介入心脏病学装置施加的轴向和剪切力，所述介入心脏病学装置通过第二腔并超出柔性远侧末端部分，否则其将倾向于将引导导管从分支动脉移开。

公开(公告)号：US20100056955A1

公开(公告)日：2010-03-04

申请号：US12204583

申请日：2008-09-04

申请人： Dean Peterson ,  Jeff Welch ,  Howard Root

发明人： Dean Peterson ,  Jeff Welch ,  Howard Root

IPC分类号： A61M25/09

CPC分类号： A61M25/09 ,  A61M2025/09125

摘要： A guidewire converter for use in intravascular procedures along with a guidewire. The guidewire converter includes an elongate tubular structure defining a lumen having an inner diameter and a first outer diameter. The inner diameter of the lumen is sized to receive the guidewire for intravascular procedures. The guidewire converter includes a locking mechanism coupled to the elongate tubular structure that has a second outer diameter that is less than or substantially equal to the first outer diameter. Operation of the locking mechanism releasably secures the elongate tubular structure to the guidewire.

摘要翻译： 导丝转换器，用于血管内手术以及导丝。 导丝转换器包括限定具有内径和第一外径的内腔的细长管状结构。 内腔的内径的大小适于接纳用于血管内手术的导丝。 导丝转换器包括联接到细长管状结构的锁定机构，其具有小于或基本上等于第一外径的第二外径。 锁定机构的操作将细长管状结构可释放地固定到导丝上。

公开(公告)号：US20090082760A1

公开(公告)日：2009-03-26

申请号：US11860880

申请日：2007-09-25

申请人： Kenneth Zinn ,  Jeff Welch ,  Howard Root

发明人： Kenneth Zinn ,  Jeff Welch ,  Howard Root

IPC分类号： A61B18/22

CPC分类号： A61B18/22 ,  A61B18/245 ,  A61B2017/22045

摘要： A device for application of energy within a tubular bodily structure including an optical fiber couplable to a source of laser energy and a guidewire tip. The optical fiber has a laser emitting portion remote from the source of laser energy and a distal end. The guidewire tip is operably secured to the optical fiber and extends distally outwardly away from the distal end of the optical fiber. The guidewire tip assists in advancing the device through the tubular bodily structure.

摘要翻译： 一种用于在管状身体结构内施加能量的装置，包括可连接到激光能量源的光纤和导丝末端。 光纤具有远离激光能量源的激光发射部分和远端。 导丝尖端可操作地固定到光纤并且远离远离光纤远端的远端延伸。 导丝尖端有助于将装置推进通过管状身体结构。

公开(公告)号：US20080172008A1

公开(公告)日：2008-07-17

申请号：US11585371

申请日：2006-10-24

申请人： Howard Root ,  Jeff Welch ,  Jason Garrity ,  Dean Peterson

发明人： Howard Root ,  Jeff Welch ,  Jason Garrity ,  Dean Peterson

IPC分类号： A61M25/00 ,  A61M5/00

CPC分类号： A61M25/0068 ,  A61M25/0069 ,  A61M25/01 ,  A61M2025/0059

摘要： A catheter to be passed over a guidewire, including a screw portion with a cylindrical hollow shaft and a helical thread portion extending outwardly from the hollow shaft. The screw portion is secured coaxially to a tubular portion formed from a substantially rigid material. The tubular portion has, along a portion of its length, at least two slits having a pattern geometry that limits torsional displacement. The catheter also includes a hub having a lumen joined substantially coaxially to the tubular portion.

摘要翻译： 导管穿过导线，包括具有圆柱形中空轴的螺纹部分和从中空轴向外延伸的螺旋螺纹部分。 螺纹部分同轴地固定到由基本上刚性的材料形成的管状部分上。 管状部分沿其长度的一部分具有至少两个狭缝，其具有限制扭转位移的图案几何形状。 导管还包括具有与管状部分基本上同轴连接的管腔的毂。

公开(公告)号：US08142413B2

公开(公告)日：2012-03-27

申请号：US12824734

申请日：2010-06-28

申请人： Howard Root ,  Gregg Sutton ,  Jeffrey M. Welch ,  Jason M. Garrity

发明人： Howard Root ,  Gregg Sutton ,  Jeffrey M. Welch ,  Jason M. Garrity

IPC分类号： A61M31/00 ,  A61M25/00 ,  A61M5/178

CPC分类号： A61M25/01 ,  A61M25/0026 ,  A61M25/0051 ,  A61M25/0052 ,  A61M25/0068 ,  A61M25/0069 ,  A61M25/008 ,  A61M25/0662 ,  A61M2025/0081

摘要： A coaxial guide catheter to be passed through guide catheter having a first lumen, for use with interventional cardiology devices that are insertable into a branch artery that branches off from a main artery. The coaxial guide catheter is extended through the lumen of the guide catheter and beyond the distal end of the guide catheter and inserted into the branch artery. The device assists in resisting axial and shear forces exerted by an interventional cardiology device passed through the second lumen and beyond the flexible distal tip portion that would otherwise tend to dislodge the guide catheter from the branch artery.

公开(公告)号：US08083690B2

公开(公告)日：2011-12-27

申请号：US12204583

申请日：2008-09-04

申请人： Dean Peterson ,  Jeff Welch ,  Howard Root

发明人： Dean Peterson ,  Jeff Welch ,  Howard Root

IPC分类号： A61B5/00 ,  A61M25/00

CPC分类号： A61M25/09 ,  A61M2025/09125

摘要： A guidewire converter for use in intravascular procedures along with a guidewire. The guidewire converter includes an elongate tubular structure defining a lumen having an inner diameter and a first outer diameter. The inner diameter of the lumen is sized to receive the guidewire for intravascular procedures. The guidewire converter includes a locking mechanism coupled to the elongate tubular structure that has a second outer diameter that is less than or substantially equal to the first outer diameter. Operation of the locking mechanism releasably secures the elongate tubular structure to the guidewire.

摘要翻译： 导丝转换器，用于血管内手术以及导丝。 导丝转换器包括限定具有内径和第一外径的内腔的细长管状结构。 内腔的内径的大小适于接纳用于血管内手术的导丝。 导丝转换器包括联接到细长管状结构的锁定机构，其具有小于或基本上等于第一外径的第二外径。 锁定机构的操作将细长管状结构可释放地固定到导丝上。

公开(公告)号：US20110009900A1

公开(公告)日：2011-01-13

申请号：US12501998

申请日：2009-07-13

申请人： Tom Holman ,  Jeff Welch ,  Howard Root

发明人： Tom Holman ,  Jeff Welch ,  Howard Root

IPC分类号： A61B17/08 ,  A61F2/06

CPC分类号： A61B17/0057 ,  A61B2017/00659

摘要： A closure device to be inserted at least partially through a blood vessel wall aperture in a blood vessel wall, having at least two metal petals that can be inserted through the blood vessel wall aperture and into the lumen of the blood vessel. The petals are structured to prevent withdrawal through the blood vessel wall aperture when the length of the petal is generally aligned with the blood vessel wall. The metal petals have alignment features that tend to urge them into alignment relative to each other. The closure device includes a metal expansion member that is alterable from an unexpanded state to an expanded state. A bioabsorbable tensioning member interconnects the petals and the metal expansion member and is securable to the metal expansion member.

摘要翻译： 一种封闭装置，其至少部分地穿过血管壁中的血管壁孔，其具有至少两个金属瓣，所述金属瓣能够穿过血管壁孔插入血管的内腔。 当花瓣的长度通常与血管壁对齐时，花瓣被构造成防止通过血管壁孔的抽出。 金属花瓣具有趋向于促使它们相对于彼此对准的对准特征。 闭合装置包括可从未膨胀状态改变为膨胀状态的金属膨胀构件。 生物可吸收张紧构件将花瓣和金属膨胀构件互连，并且可固定到金属膨胀构件。