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公开(公告)号:US20060142703A1
公开(公告)日:2006-06-29
申请号:US11294947
申请日:2005-12-06
申请人: Matthew Carter , Kenneth Kennedy , Frederick Haller , David Hardin , Cheri Matney , Brian Rucker , David Waller , Jacques Deviere , Patricia Chilton
发明人: Matthew Carter , Kenneth Kennedy , Frederick Haller , David Hardin , Cheri Matney , Brian Rucker , David Waller , Jacques Deviere , Patricia Chilton
IPC分类号: A61M25/00
CPC分类号: A61M25/007 , A61M25/0015 , A61M25/0043 , A61M25/0052 , A61M2025/018 , A61M2025/0183
摘要: An elongate catheter shaft having a side port aperture through a side wall of the catheter shaft between proximal and distal ends of the shaft. The side port aperture is open to a lumen. Embodiments of the present invention are directed to stiffening structure disposed in the immediate vicinity of the side port aperture. The stiffening structures may be disposed on or be continuous with, for example, an exterior surface, an interior lumenal surface, within a wall of the catheter shaft, or some combination thereof. The stiffening structures described herein are directed to biasing the catheter shaft in the region of a side port aperture in a straight or curved configuration that resists undesired flexure in the region of the side port aperture.
摘要翻译: 细长导管轴,其具有穿过导管轴的侧壁的侧端口孔,其在轴的近端和远端之间。 侧端口孔向开口开口。 本发明的实施例涉及设置在侧端口孔附近的加强结构。 加强结构可以布置在例如导管轴的壁内的例如外表面,内腔表面或与其连接,或其一些组合。 本文所述的加强结构旨在以直线或弯曲构造偏压侧端口孔区域中的导管轴,以抵抗侧端口孔区域中的不期望的弯曲。
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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
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。
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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
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。
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公开(公告)号:US20060030864A1
公开(公告)日:2006-02-09
申请号:US11235016
申请日:2005-09-26
申请人: Kenneth Kennedy, , Matthew Carter , Frederick Haller , David Hardin, , David Waller , John Karpiel
发明人: Kenneth Kennedy, , Matthew Carter , Frederick Haller , David Hardin, , David Waller , John Karpiel
IPC分类号: A61F11/00
CPC分类号: A61F2/97 , A61F2/954 , A61F2/962 , A61F2002/065 , A61F2002/9517 , A61M25/0009 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0668 , A61M2025/004 , A61M2025/0079 , A61M2025/0183 , A61M2025/09116
摘要: A method and apparatus for uncoupling a wire guide from and elongate medical device comprising a catheter shaft having a wire guide lumen extending there through, wherein the material surrounding the wire guide lumen is selected or adapted to facilitate splittability for removal of the wire guide. The catheter shaft is coextruded and comprises a plurality of materials. The portion of the shaft adjacent the wire guide lumen is formed from a first material and the balance of the shaft is formed from a second material. The first material is selected or adapted to facilitate splittability as compared to the second material. The first material may have a lower durometer than the second material. A peel tool for separating the wire guide from the catheter shaft is also provided.
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公开(公告)号:US20050143770A1
公开(公告)日:2005-06-30
申请号:US11006496
申请日:2004-12-07
申请人: Matthew Carter , Frederick Haller , Kenneth Kennedy , Brian Rucker , Stephen Deal , Juan Ayala
发明人: Matthew Carter , Frederick Haller , Kenneth Kennedy , Brian Rucker , Stephen Deal , Juan Ayala
IPC分类号: A61B1/01 , A61B1/018 , A61B6/12 , A61B17/22 , A61F2/04 , A61M25/00 , A61M25/01 , A61M25/06 , A61B17/00 , A61M5/178
CPC分类号: A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0662 , A61M25/10 , A61M2025/0006 , A61M2025/0025 , A61M2025/0059 , A61M2025/0177 , A61M2025/0183 , A61M2025/0681 , A61M2025/09125
摘要: A method and apparatus for releasably securing a wire guide to an elongate medical device for introduction into a work site with the bodily lumen of a patient. An elongate engagement member is configured to engage the wire guide while it is coupled to the elongate medical device and is configured so as to prevent relative movement between the wire guide and the elongate medical device.
摘要翻译: 一种用于将线引导件可释放地固定到细长医疗装置用于引入患者体腔的工作现场的方法和装置。 细长接合构件构造成在线引导件联接到细长医疗装置的同时接合线引导件,并且构造成防止线引导件与细长医疗装置之间的相对运动。
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公开(公告)号:US20060106280A1
公开(公告)日:2006-05-18
申请号:US11129009
申请日:2005-05-13
申请人: Vihar Surti , Eric Young , Kenneth Kennedy , Frederick Haller , Matthew Carter , Antoine Clark , Stephen Deal
发明人: Vihar Surti , Eric Young , Kenneth Kennedy , Frederick Haller , Matthew Carter , Antoine Clark , Stephen Deal
IPC分类号: A61B1/00
CPC分类号: A61B1/00147 , A45F2005/008 , A61B90/53
摘要: A medical device for allowing a physician to unhand a scope or other instruments while maintaining control of the scope or other instruments during a medical procedure. The medical device includes at least one docks and a harness for attaching the dock to the physician's body. The harness can be adjustable, or sized to fit a specific physician. During a procedure, a physician outfitted with the medical device can place a scope and/or other instrument in the dock(s). Once the scope and/or other instrument is placed in the dock(s), the physicians hands are free to perform other procedures, while the physician continually controls the relative position of the scope with respect to the physician or the patient.
摘要翻译: 一种医疗设备,用于允许医生在医疗过程中保持对范围或其他器械的控制,以免手指范围或其他器械。 医疗设备包括至少一个基座和用于将码头附接到医师身体的线束。 线束可以是可调整的或尺寸适合特定的医生。 在手术过程中,配有医疗设备的医生可以将一个或多个放置在其中的仪器放置在基座中。 一旦将示波器和/或其他器械放置在码头中,医生手就可以自由执行其他程序,而医师不断控制范围相对于医师或患者的相对位置。
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公开(公告)号:US20070276428A1
公开(公告)日:2007-11-29
申请号:US11643436
申请日:2006-12-21
申请人: Frederick Haller , John Karpiel , Donagh O'Sullivan , Brian Rucker , Maximiliano Soetermans , William Voorhees
发明人: Frederick Haller , John Karpiel , Donagh O'Sullivan , Brian Rucker , Maximiliano Soetermans , William Voorhees
IPC分类号: A61M29/04
CPC分类号: A61F5/0003 , A61F5/0036
摘要: An apparatus and method comprising at least one intragastric member made of a digestive-resistant or substantially indigestible material that is introduced into a bag located in the gastric lumen of a mammal for the treatment of obesity. One or more intragastric members are loaded into a delivery tube in a partially compacted first configuration and delivered to an overtube. The overtube includes a proximal end, a distal end and a lumen configured to receive the intragastric members in the first configuration for delivery to the bag located in the gastric lumen wherein the intragastric member is expanded to a second configuration. The apparatus further comprises a constraining element engaged with the bag to secure the intragastric member upon delivery into the gastric lumen.
摘要翻译: 一种装置和方法,包括至少一个由消化不良或基本上难消化的材料制成的胃内部件,所述胃内部件被引入位于哺乳动物的胃腔中的用于治疗肥胖症的袋中。 将一个或多个胃内部件以部分压实的第一构型装载到输送管中并输送到外套管。 所述外套管包括近端,远端和构造成在所述第一构造中接收所述胃内构件的内腔,用于输送到位于胃腔内的囊,其中所述胃内构件被扩张至第二构型。 所述装置还包括与所述袋接合的约束元件,以在输送到胃管腔中时固定胃内部件。
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公开(公告)号:US20070142702A1
公开(公告)日:2007-06-21
申请号:US11605796
申请日:2006-11-29
申请人: Frederick Haller , Kenneth Kennedy
发明人: Frederick Haller , Kenneth Kennedy
IPC分类号: A61B1/00
CPC分类号: A61B1/313 , A61B1/00147 , A61B90/50 , A61B90/53
摘要: A medical device for allowing a physician to unhand a scope or other instruments while maintaining control of the scope or other instruments during a medical procedure. The medical device includes at least one dock and a harness for attaching the dock to the physician's body. The harness can be adjustable, or sized to fit a specific physician. During a procedure, a physician outfitted with the medical device can place a scope and/or other instrument in the dock(s). Once the scope and/or other instrument is placed in the dock(s), the physicians hands are free to perform other procedures, while the physician continually controls the relative position of the scope with respect to the physician or the patient.
摘要翻译: 一种医疗设备,用于允许医生在医疗过程中保持对范围或其他器械的控制,以免手指范围或其他器械。 医疗装置包括至少一个基座和用于将码头附接到医生身体的线束。 线束可以是可调整的或尺寸适合特定的医生。 在手术过程中,配有医疗设备的医生可以将一个或多个放置在其中的仪器放置在基座中。 一旦将示波器和/或其他器械放置在码头中,医生手就可以自由执行其他程序,而医师不断控制范围相对于医师或患者的相对位置。
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公开(公告)号:US20070208218A1
公开(公告)日:2007-09-06
申请号:US11713948
申请日:2007-03-05
申请人: Frederick Haller
发明人: Frederick Haller
CPC分类号: A61M25/09 , A61B1/015 , A61B1/018 , A61B1/12 , A61M25/0045 , A61M25/0054 , A61M2025/09075 , A61M2025/0915
摘要: An endoscopic wire guide apparatus for insertion through an insertion tube of an endoscope having an accessory port, the endoscope being configured for advancement into a patient. The apparatus comprises a wire guide disposed through the insertion tube for delivery into the patient. The wire guide has a distal portion and a proximal portion. The distal portion has a first diameter and the proximal portion has a second diameter less than the first diameter. The first diameter is more rigid than the second diameter. The second diameter is configured to allow the proximal portion to collapse when proximally extending through the accessory port of the endoscope and the distal portion extends at least partially beyond the distal end of the insertion tube.
摘要翻译: 一种用于插入通过具有附件端口的内窥镜的插入管的内窥镜线引导装置,所述内窥镜被配置为推进到患者体内。 该装置包括布置成穿过插入管的导线引导器,用于输送到患者体内。 导线器具有远端部分和近端部分。 远端部分具有第一直径,并且近端部分具有小于第一直径的第二直径。 第一直径比第二直径更刚性。 第二直径构造成允许近端部分在近侧延伸穿过内窥镜的附件端口时收缩,并且远侧部分至少部分延伸超过插入管的远端。
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