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公开(公告)号：US6117106A
公开(公告)日：2000-09-12
申请号：US419614
申请日：1999-10-14
CPC分类号： A61M25/104 , A61M25/0052 , A61M2025/0004 , A61M2025/1079 , A61M2025/1097 , A61M25/0053
摘要： A perfusion dilatation catheter is disclosed which has an improved distal catheter shaft portion with a tubular member extending within the balloon provided with an expanded coil support incorporated within the wall of the tubular member. The coil is preferably closer to the inner surface than the outer surface of the tubular member. Also disclosed are improved catheter shaft sections in a perfusion portion proximal to the balloon, one with a reinforced inflation tube depending into the guidewire lumen and another having three separate lumens, a central guidewire lumen and a pair of inflation lumens on opposing sides of the tubular structure defining the guidewire lumen.
摘要翻译： 公开了一种灌注扩张导管，其具有改进的远端导管轴部分，其具有在球囊内延伸的管状构件，该管状构件设置有并入管状构件的壁内的扩张的线圈支架。 线圈优选地比管状构件的外表面更靠近内表面。 还公开了在靠近气囊的灌注部分中的改进的导管轴部分，一个具有依赖于导丝管腔的增强的充气管，另一个具有三个独立的腔，中心导丝腔和一对在管的相对侧上的充气腔 限定导丝管腔的结构。
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2.发明授权公开(公告)号：US09095646B2
公开(公告)日：2015-08-04
申请号：US13550293
申请日：2012-07-16
申请人： Mina W. B. Chow , Hung V. Ha , Ketan P. Muni , Eric A. Goldfarb
发明人： Mina W. B. Chow , Hung V. Ha , Ketan P. Muni , Eric A. Goldfarb
IPC分类号： A61M31/00 , A61M3/02 , A61B17/24 , A61M25/10 , A61M29/00 , A61B17/34 , A61B17/16 , A61B19/00 , A61B17/00
CPC分类号： A61M3/0295 , A61B17/1688 , A61B17/24 , A61B17/3478 , A61B90/39 , A61B2017/00557 , A61B2217/007 , A61M3/0283 , A61M25/10 , A61M29/00 , A61M2210/0681
摘要： A medical device, and a system and packaged kit containing the medical device for the treatment of a sinus opening is described. The medical device comprises a proximal end, a distal end, and a shaft system having an inflation lumen and an irrigation lumen the proximal and. The shaft system has a proximal shaft section and a distal shaft section. An inflatable balloon is attached to the distal shaft section in a position that is proximal to said distal end. The irrigation tip is distal to the balloon on the distal shaft section and has a tip opening and one or more radially facing openings. A method for treating a sinus opening includes inserting a system that includes the medical device, a sinus guide catheter and a sinus guide element into a patient's anatomy, dilating the sinus opening and irrigating a target in the nasal anatomy.
摘要翻译： 描述了一种医疗装置，以及包含用于治疗窦开口的医疗装置的系统和包装工具。 医疗装置包括近端，远端以及具有充气腔和冲洗腔的远端和远端的轴系。 轴系具有近轴部分和远侧轴部分。 可膨胀气球在远端轴部分附近位于靠近所述远端的位置。 冲洗尖端在远侧轴部分上的球囊的远侧，并且具有尖端开口和一个或多个径向面对的开口。 用于治疗窦口的方法包括将包括医疗装置的系统，窦导管和窦引导元件插入患者的解剖结构中，扩张鼻窦开口并冲洗鼻解剖结构中的靶。
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公开(公告)号：US5558101A
公开(公告)日：1996-09-24
申请号：US324010
申请日：1994-10-14
CPC分类号： A61M25/09 , A61M25/0662 , A61M2029/025 , A61M25/0041
摘要： A method and system for maintaining the position of a guiding member, such as a guidewire, within a patient's vascular system, particularly within a guiding catheter disposed within the patient's vascular system, while an intravascular catheter slidably mounted on the guiding member is withdrawn and a replacement catheter is advanced over the guiding member. One presently preferred embodiment includes a guiding sheath having an inner lumen extending the length thereof with an engaging device slidably disposed with the guiding sheath. The guidewire engaging device is torqued from its proximal end which extends out of the proximal end of the guiding catheter so that the flexible distal end wraps around the guidewire tightly enough to maintain the position of the guidewire while withdrawing or advancing a catheter over the guidewire. The distal portion of the guidewire engaging device is preferably a pseudo elastic NiTi alloy which is in a stable austenite phase at body temperature (37.degree. C.) and which exhibits a stress-induced transformation from the austenite phase to a martensite phase.
摘要翻译： 一种方法和系统，用于在患者的血管系统内，特别是在设置在患者的血管系统内的引导导管内，保持引导构件（例如导丝）的位置，同时可滑动地安装在引导构件上的血管内导管被撤回， 置换导管在引导构件上前进。 一个目前优选的实施例包括引导护套，其具有使其长度延伸的内腔和可滑动地布置有引导护套的接合装置。 导线接合装置从其近端扭转，该近端延伸出导引导管的近端，使得柔性远端围绕导丝线紧密地卷绕，以便在将导管拉出或推进导丝线的同时保持导丝的位置。 导丝接合装置的前端部优选为假体弹性NiTi合金，其在体温（37℃）下处于稳定的奥氏体相，并且表现出从奥氏体相到马氏体相的应力诱导相变。
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公开(公告)号：US07037295B2
公开(公告)日：2006-05-02
申请号：US10442554
申请日：2003-05-20
IPC分类号： A61M25/00
CPC分类号： B29C47/0023 , A61M25/0009 , A61M25/0045 , B29C47/0026 , B29C47/0033 , B29C47/065 , B29C47/26 , B29C47/34 , B29C2947/92438 , B29C2947/926 , B29C2947/92647 , B29L2031/7542 , Y10T428/1352 , Y10T428/1393
摘要： An apparatus and method for providing a co-extruded, tapered multi-layer shaft. A co-extruded, tapered multi-layer shaft may be fabricated by selecting a first material for the inner layer of the shaft and a second material for the outer layer of the shaft. The first and second materials are then co-extruded by a co-extrusion system including a puller with programmable tapering capabilities. The system forms a hollow tubing having an inner layer and an outer layer, wherein the tubing has the desired tapered characteristics. The result is a tapered tubular shaft having an inner layer and an outer layer.
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公开(公告)号：US06193686B1
公开(公告)日：2001-02-27
申请号：US09345664
申请日：1999-06-30
IPC分类号： A61M2900
CPC分类号： A61M25/104 , A61M25/007 , A61M25/0075 , A61M25/09 , A61M2025/0063 , A61M2025/0183 , A61M2025/1079 , A61M2025/1093
摘要： A balloon catheter system generally having an elongated catheter shaft with enhanced flexibility to facilitate more distal advancement within a patient's body lumen. The catheter shaft has a relatively stiff proximal shaft section, a relatively flexible distal shaft section and an intermediate shaft section which provides a smooth, flexible transition between the proximal and distal shaft sections. The intermediate shaft section has an improved construction with a tubular reinforcing member secured by its proximal end to the distal extremity of the proximal shaft section and a distal end secured within the proximal end of the distal shaft section. The tubular reinforcing member preferably has an inner tubular support member which has a proximal end secured to the distal end of the proximal shaft section. Preferably, the proximal shaft section has an outer jacket which extends over the tubular reinforcing member of the intermediate shaft section. Dual lumen and concentric distal shaft sections are describes. Additionally, over-the-wire constructions are described in which the inner and outer tubular members forming part of the distal shaft section extend the length of the catheter.
摘要翻译： 一种气囊导管系统，其通常具有细长的导管轴，该导管轴具有增强的柔性，以便于在患者的体腔内更远的前进。 导管轴具有相对刚性的近端轴部分，相对柔性的远侧轴部分和中间轴部分，其在近端和远端轴部分之间提供平滑的柔性过渡。 中间轴部分具有改进的构造，其中管状加强构件通过其近端固定到近侧轴部分的远端，并且远端固定在远侧轴部分的近端内。 管状加强构件优选地具有内管状支撑构件，其具有固定到近端轴部分的远端的近端。 优选地，近侧轴部分具有在中间轴部分的管状加强件上延伸的外护套。 描述双腔和同心远端轴段。 另外，描述了在线结构，其中形成远侧轴部分的一部分的内部和外部管状构件延伸导管的长度。
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公开(公告)号：US06579484B1
公开(公告)日：2003-06-17
申请号：US09464932
申请日：1999-12-16
IPC分类号： B29C4706
CPC分类号： B29C47/0023 , A61M25/0009 , A61M25/0045 , B29C47/0026 , B29C47/0033 , B29C47/065 , B29C47/26 , B29C47/34 , B29C2947/92438 , B29C2947/926 , B29C2947/92647 , B29L2031/7542 , Y10T428/1352 , Y10T428/1393
摘要： An apparatus and method for providing a co-extruded, tapered multi-layer shaft. A co-extruded, tapered multi-layer shaft may be fabricated by selecting a first material for the inner layer of the shaft and a second material for the outer layer of the shaft. The first and second materials are then co-extruded by a co-extrusion system including a puller with programmable tapering capabilities. The system forms a hollow tubing having an inner layer and an outer layer, wherein the tubing has the desired tapered characteristics. The result is a tapered tubular shaft having an inner layer and an outer layer.
摘要翻译： 一种用于提供共挤出的锥形多层轴的装置和方法。 共挤出的锥形多层轴可以通过选择用于轴的内层的第一材料和用于轴的外层的第二材料来制造。 然后通过共挤出系统将第一和第二材料共挤出，该共挤出系统包括具有可编程锥形能力的拉拔器。 该系统形成具有内层和外层的中空管，其中管具有期望的锥形特性。 结果是具有内层和外层的锥形管状轴。
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公开(公告)号：US5749370A
公开(公告)日：1998-05-12
申请号：US483478
申请日：1995-06-07
CPC分类号： A61M25/09 , A61M25/0662 , A61M2029/025 , A61M25/0041
摘要： A method and system for maintaining the position of a guiding member, such as a guidewire, within a patient's vascular system, particularly within a guiding catheter disposed within the patient's vascular system, while an intravascular catheter slidably mounted on the guiding member is withdrawn and a replacement catheter is advanced over the guiding member. One presently preferred embodiment includes a guiding sheath having an inner lumen extending the length thereof with an engaging device slidably disposed with the guiding sheath. The guidewire engaging device is torqued from its proximal end which extends out of the proximal end of the guiding catheter so that the flexible distal end wraps around the guidewire tightly enough to maintain the position of the guidewire while withdrawing or advancing a catheter over the guidewire. The distal portion of the guidewire engaging device is preferably a pseudoelastic NiTi alloy which is in a stable austenite phase at body temperature (37.degree. C.) and which exhibits a stress-induced transformation from the austenite phase to a martensite phase.
摘要翻译： 一种方法和系统，用于在患者的血管系统内，特别是在设置在患者的血管系统内的引导导管内，保持引导构件（例如导丝）的位置，同时可滑动地安装在引导构件上的血管内导管被撤回， 置换导管在引导构件上前进。 一个目前优选的实施例包括引导护套，其具有使其长度延伸的内腔和可滑动地布置有引导护套的接合装置。 导线接合装置从其近端扭转，该近端延伸出导引导管的近端，使得柔性远端围绕导丝线紧密地卷绕，以便在将导管拉出或推进导丝线的同时保持导丝的位置。 导丝接合装置的远端部优选为在体温（37℃）下处于稳定的奥氏体相的假弹性NiTi合金，并且表现出从奥氏体相到马氏体相的应力诱导相变。
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公开(公告)号：US09554817B2
公开(公告)日：2017-01-31
申请号：US13222353
申请日：2011-08-31
申请人： Eric A. Goldfarb , Richard R. Newhauser, Jr. , Thomas R. Jenkins , John W. White , Mina W. B. Chow , Serena Swei Loh , Mei Y. Pader , Scott O. Chamness , Luke W. Clauson , Matthew B. Newell , Arthur M. Lin
发明人： Eric A. Goldfarb , Richard R. Newhauser, Jr. , Thomas R. Jenkins , John W. White , Mina W. B. Chow , Serena Swei Loh , Mei Y. Pader , Scott O. Chamness , Luke W. Clauson , Matthew B. Newell , Arthur M. Lin
IPC分类号： A61B17/00 , A61B17/24 , A61M25/01 , A61M25/09 , A61B17/3207 , A61B17/22 , A61M29/02 , A61M25/06
CPC分类号： A61M25/09041 , A61B17/24 , A61B17/3207 , A61B2017/00292 , A61B2017/00331 , A61B2017/00535 , A61B2017/22042 , A61B2017/22069 , A61M3/0295 , A61M25/0113 , A61M29/00 , A61M29/02 , A61M2025/0681 , A61M2025/09125 , A61M2210/0618
摘要： A medical device and method for the treatment of a sinus opening includes a handle, a guide catheter, a guide wire, a balloon catheter, a guide wire movement mechanism and a balloon catheter movement mechanism. The guide wire and balloon catheter are both disposed at least partially in the handle and catheter lumen. The guide wire movement mechanism is configured for advancement and retraction of the guide wire through the handle and catheter lumen by user operation of the guide wire movement mechanism. The guide wire movement mechanism includes an integrated guide wire locking and rotation mechanism configured for rotation of the guide wire and for securely locking and unlocking the guide wire to the guide wire movement mechanism. The balloon catheter movement mechanism is configured for advancement and retraction of the balloon catheter through the handle and catheter lumen by user operation of the balloon catheter movement mechanism.
摘要翻译： 用于治疗窦口的医疗装置和方法包括手柄，引导导管，导丝，气囊导管，导丝移动机构和气囊导管移动机构。 引导线和气囊导管至少部分地设置在手柄和导管腔中。 引导线移动机构构造成用于通过导丝移动机构的用户操作使导丝通过手柄和导管腔进行和缩回。 引导线移动机构包括被构造成用于旋转引导线并且用于将引导线牢固地锁定和解锁到引导线移动机构的整体导丝线锁定和旋转机构。 气囊导管移动机构构造成用于通过球囊导管移动机构的用户操作通过手柄和导管腔前进和缩回气囊导管。
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公开(公告)号：US06695812B2
公开(公告)日：2004-02-24
申请号：US10005025
申请日：2001-12-04
IPC分类号： A61M2900
CPC分类号： A61M25/104 , A61M25/007 , A61M25/0075 , A61M25/09 , A61M2025/0063 , A61M2025/0183 , A61M2025/1079 , A61M2025/1093
摘要： A balloon catheter system generally having an elongated catheter shaft with enhanced flexibility to facilitate more distal advancement within a patient's body lumen. The catheter shaft has a relatively stiff proximal shaft section, a relatively flexible distal shaft section and an intermediate shaft section which provides a smooth, flexible transition between the proximal and distal shaft sections. The intermediate shaft section has an improved construction with a tubular reinforcing member secured by its proximal end to the distal extremity of the proximal shaft section and a distal end secured within the proximal end of the distal shaft section. The tubular reinforcing member preferably has an inner tubular support member which has a proximal end secured to the distal end of the proximal shaft section. Preferably, the proximal shaft section has an outer jacket which extends over the tubular reinforcing member of the intermediate shaft section. Dual lumen and concentric distal shaft sections are describes. Additionally, over-the-wire constructions are described in which the inner and outer tubular members forming part of the distal shaft section extend the length of the catheter.
摘要翻译： 一种气囊导管系统，其通常具有细长的导管轴，该导管轴具有增强的柔性，以便于在患者的体腔内更远的前进。 导管轴具有相对刚性的近端轴部分，相对柔性的远侧轴部分和中间轴部分，其在近端和远端轴部分之间提供平滑的柔性过渡。 中间轴部分具有改进的构造，其中管状加强构件通过其近端固定到近侧轴部分的远端，并且远端固定在远侧轴部分的近端内。 管状加强构件优选地具有内管状支撑构件，其具有固定到近端轴部分的远端的近端。 优选地，近侧轴部分具有在中间轴部分的管状加强件上延伸的外护套。 描述双腔和同心远端轴段。 另外，描述了在线结构，其中形成远侧轴部分的一部分的内部和外部管状构件延伸导管的长度。
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公开(公告)号：US06344029B1
公开(公告)日：2002-02-05
申请号：US09724733
申请日：2000-11-28
IPC分类号： A61M2900
CPC分类号： A61M25/104 , A61M25/007 , A61M25/0075 , A61M25/09 , A61M2025/0063 , A61M2025/0183 , A61M2025/1079 , A61M2025/1093
摘要： A balloon catheter system generally having an elongated catheter shaft with enhanced flexibility to facilitate more distal advancement within a patient's body lumen. The catheter shaft has a relatively stiff proximal shaft section, a relatively flexible distal shaft section and an intermediate shaft section which provides a smooth, flexible transition between the proximal and distal shaft sections. The intermediate shaft section has an improved construction with a tubular reinforcing member secured by its proximal end to the distal extremity of the proximal shaft section and a distal end secured within the proximal end of the distal shaft section. The tubular reinforcing member preferably has an inner tubular support member which has a proximal end secured to the distal end of the proximal shaft section. Preferably, the proximal shaft section has an outer jacket which extends over the tubular reinforcing member of the intermediate shaft section. Dual lumen and concentric distal shaft sections are describes. Additionally, over-the-wire constructions are described in which the inner and outer tubular members forming part of the distal shaft section extend the length of the catheter.
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