公开(公告)号：US20130006273A1

公开(公告)日：2013-01-03

申请号：US13606854

申请日：2012-09-07

申请人： Mark L. ADAMS ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

发明人： Mark L. ADAMS ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B90/03 ,  A61B2017/0034 ,  A61B2017/00477 ,  A61B2017/00778 ,  A61B2017/00818 ,  A61B2017/12004 ,  A61B2090/037 ,  A61B2090/3916

摘要： Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

公开(公告)号：US20120172797A1

公开(公告)日：2012-07-05

申请号：US13419765

申请日：2012-03-14

申请人： Mark L. ADAMS ,  Kim DANG

发明人： Mark L. ADAMS ,  Kim DANG

IPC分类号： A61M25/04

CPC分类号： A61J15/0042 ,  A61J15/0015 ,  A61J15/0057 ,  A61J15/0065 ,  A61J15/0092 ,  A61M25/04

摘要： A medical catheter assembly including either a reinforced balloon bolster or the combination of a balloon bolster and a wire-basket bolster. According to one embodiment, the medical catheter assembly is a low-profile replacement PEG device comprising a feeding tube, an external bolster, an end cap and an internal bolster. The internal bolster comprises a first expandable structure and a second expandable structure. In one embodiment, the first expandable structure is a balloon and the second expandable structure comprises reinforcing members. In another embodiment, the first expandable structure is a balloon and the second expandable structure is a wire basket bolster. The feeding tube has a feeding lumen and an inflation lumen, extending parallel longitudinally. The external bolster is fixed to the external end of the feeding tube and has a feeding lumen aligned with that of the tube and an inflation lumen aligned with that of the tube.

摘要翻译： 一种医疗导管组件，其包括加强气囊垫或气囊垫和丝篮垫圈的组合。 根据一个实施例，医疗导管组件是包括喂食管，外部枕头，端盖和内部枕垫的低调替代PEG装置。 内部枕垫包括第一可膨胀结构和第二可膨胀结构。 在一个实施例中，第一可膨胀结构是气囊，第二可膨胀结构包括加强构件。 在另一个实施例中，第一可膨胀结构是气球，第二可膨胀结构是线篮垫。 进料管具有进给腔和充气腔，纵向延伸。 外部枕头固定到进料管的外端，并且具有与管的进料腔对准的进料腔和与管的膨胀腔对准的充气腔。

公开(公告)号：US20120010571A1

公开(公告)日：2012-01-12

申请号：US13238930

申请日：2011-09-21

申请人： Mark L. ADAMS ,  William J. SHAW ,  Donald C. HOVEY ,  Luis J. MASEDA

发明人： Mark L. ADAMS ,  William J. SHAW ,  Donald C. HOVEY ,  Luis J. MASEDA

IPC分类号： A61M25/04

CPC分类号： A61J15/0015 ,  A61J15/0034 ,  A61M25/04 ,  A61M39/0247 ,  A61M39/10 ,  A61M2025/0233 ,  A61M2025/028 ,  A61M2039/0261 ,  A61M2039/0273 ,  A61M2039/0282 ,  A61M2039/1027

摘要： A catheter assembly and method for internally anchoring a catheter in a patient. According to one embodiment, the catheter assembly includes a catheter, a tubular fitting coupled to one end of the catheter, and an internal bolster coaxially mounted around the tubular fitting. The tubular fitting has a waist portion, and the internal bolster is secured thereto by a snap-fit. To internally anchor the catheter in a patient, one inserts the end of the catheter to which the fitting is coupled into the patient and then, while the fitting and its coupled end of the catheter are within the patient, inserts the internal bolster over the fitting until it snap-fits into place over the waist portion, thereby internally anchoring the catheter within the patient.

摘要翻译： 导管组件和用于将导管内部锚固在患者体内的方法。 根据一个实施例，导管组件包括导管，联接到导管的一端的管状配件以及同轴地安装在管状配件周围的内部垫。 管状配件具有腰部，并且内部枕头通过卡扣配合固定在其上。 为了将导管内部锚定在患者体内，将导管的端部插入到患者体内，然后在导管的配件及其耦合的端部位于患者体内的同时将内部枕垫插入配件 直到其卡扣配合到腰部上方，从而将导管内部锚定在患者体内。

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。

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。

公开(公告)号：US20080208217A1

公开(公告)日：2008-08-28

申请号：US12033449

申请日：2008-02-19

申请人： Mark L. ADAMS

发明人： Mark L. ADAMS

IPC分类号： A61B17/128

CPC分类号： A61B17/12013 ,  A61B17/122 ,  A61B17/1285

摘要： A clipping device includes (a) a shaft defining a lumen therethrough from a proximal end which, during a procedure remains outside the body accessible to a user and a distal end including a distal opening which, during a procedure is inserted into the body to a position adjacent to target tissue; (b) a flexible clip deployable from the distal opening, when in an unconstrained state, the clip assuming a shape selected to clip tissue and prevent a flow of fluid therethrough wherein, while residing within the lumen the clip is held substantially straight by an inner diameter of the lumen; (c) a control wire extending through the lumen from the proximal end to the distal end thereof; and (d) a release mechanism connecting the control wire to the clip during deployment of the clip and disconnecting the control wire from the clip after deployment thereof.

摘要翻译： 夹持装置包括（a）从近端限定通过其的内腔的轴，其在过程期间保持在使用者可接近的身体外部，并且远端包括远端开口，所述远端在过程中被插入到身体内 邻近目标组织的位置; （b）当处于非约束状态时，从所述远端开口展开的柔性夹子，所述夹具具有选定的夹持组织的形状并防止流体通过其中，其中，当所述夹具保持在所述内腔内时基本上保持为直线状， 管腔直径; （c）控制线，其从所述内腔的近端延伸到其远端; 以及（d）释放机构，其在展开所述夹子期间将所述控制线连接到所述夹子，并且在展开之后将所述控制线与夹子断开连接。