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公开(公告)号：US07691055B2
公开(公告)日：2010-04-06
申请号：US11404554
申请日：2006-04-14
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00087 , A61B1/00098 , A61B1/018 , A61B17/29 , A61B2017/00296 , A61B2017/003
摘要： A grasping apparatus for use with an elevator of an endoscope having enhanced grasping features for grasping an elongate medical device is disclosed. The apparatus comprises a body comprising a grasping surface and an opening formed through the grasping surface to receive the elevator. The opening of the body is configured to be disposed about the elevator of the endoscope. The grasping surface is configured to be disposed on the elevator for grasping of the elongate medical device.
摘要翻译： 公开了一种与用于抓握细长医疗装置的具有增强的抓握特征的内窥镜用电梯一起使用的把持装置。 该装置包括主体，该主体包括抓握表面和通过抓握表面形成以接收电梯的开口。 身体的开口构造成围绕内窥镜的电梯设置。 抓握表面被配置为设置在电梯上用于抓住细长医疗装置。
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公开(公告)号：US08206320B2
公开(公告)日：2012-06-26
申请号：US10902625
申请日：2004-07-29
申请人： Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
发明人： Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
IPC分类号： 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。
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公开(公告)号：US07314461B2
公开(公告)日：2008-01-01
申请号：US10422553
申请日：2003-04-23
IPC分类号： A61M29/00
CPC分类号： A61M25/10182 , A61M25/10187
摘要： A medical device including an inflation element, such as a syringe, and a balloon catheter in which the inflation element includes a series of indicia to which an operative portion of the inflation device can be aligned. The indicia directly correspond to a particular balloon diameter. A method of inflating a balloon to at least two desired diameters in a body lumen and determining the inflation diameter of the balloon within the body lumen. A method of calibrating the inflation device to allow a user to inflate a balloon to a desired diameter.
摘要翻译： 包括诸如注射器的充气元件和气囊导管的医疗装置，其中充气元件包括一系列标记，充气装置的可操作部分可以对准。 标记直接对应于特定气球直径。 一种将球囊充气至体腔内至少两个所需直径并确定球囊在体腔内的充气直径的方法。 一种校准充气装置以允许使用者将球囊充气至期望直径的方法。
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公开(公告)号：US09307891B2
公开(公告)日：2016-04-12
申请号：US11796525
申请日：2007-04-27
申请人： Matthew P. Carter , Brian K. Jones
发明人： Matthew P. Carter , Brian K. Jones
CPC分类号： A61B1/0014 , A61B1/00039 , A61B1/00149 , A61B1/00154 , A61B1/24 , A61B90/50 , A61B2017/347
摘要： An endoscope securing and positioning device is provided for adjusting or maintaining the position of an endoscope. The device allows the medical professional to easily rotate an endoscope or maintain its position without having to maintain a grip on the endoscope.
摘要翻译： 提供内窥镜固定和定位装置，用于调节或维持内窥镜的位置。 该装置允许医疗专业人员容易地旋转内窥镜或保持其位置，而不必保持对内窥镜的握持。
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公开(公告)号：US20080051721A1
公开(公告)日：2008-02-28
申请号：US11841175
申请日：2007-08-20
CPC分类号： A61M25/0905 , A61M25/09 , A61M2025/09175 , B21F45/00
摘要： An elongate medical device configured for navigation through a lumen is provided. The device includes an elongate shaft having a proximal portion and a distal portion. The distal portion includes a first interlocking connector. The device further includes a loop portion operably connected to the distal portion. The loop portion includes a second interlocking connector configured for connecting to the first interlocking connector. A medical system is also provided including a catheter and a wire guide. A method of making a wire guide is provided.
摘要翻译： 提供了构造成通过管腔导航的细长医疗装置。 该装置包括具有近端部分和远端部分的细长轴。 远侧部分包括第一互锁连接器。 该装置还包括可操作地连接到远端部分的环部分。 环路部分包括被配置为连接到第一互锁连接器的第二互锁连接器。 还提供了包括导管和导线导管的医疗系统。 提供了一种制作导线器的方法。
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公开(公告)号：US08591563B2
公开(公告)日：2013-11-26
申请号：US11235016
申请日：2005-09-26
申请人： John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
发明人： John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
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.
摘要翻译： 一种用于使导线器从细长医疗装置脱离的细长医疗装置的方法和装置，其包括具有在其中延伸的线引导腔的导管轴，其中围绕导线管内腔的材料被选择或适于促进用于移除导线器的分裂性。 导管轴是共挤出的并且包括多个材料。 轴的邻近线引导腔的部分由第一材料形成，并且轴的平衡部由第二材料形成。 与第二材料相比，选择或调整第一材料以便于分裂性。 第一材料可以具有比第二材料低的硬度。 还提供了用于将导线器与导管轴分离的剥离工具。
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公开(公告)号：US08029473B2
公开(公告)日：2011-10-04
申请号：US12014369
申请日：2008-01-15
IPC分类号： A61M5/178
CPC分类号： A61M25/0102 , A61M25/0041 , A61M25/10 , A61M2025/018 , A61M2025/0183
摘要： A medical device is provided including a catheter shaft having a lumen extending therethrough with a splittable wall portion along a side of the lumen, and a tube that extends through at least a portion of the lumen and is configured to provide a patent path of fluid communication.
摘要翻译： 提供了一种医疗装置，其包括具有延伸穿过其中的内腔的导管轴和沿着内腔的侧面的可分开的壁部分，以及延伸穿过该内腔的至少一部分并且构造成提供流体连通的专利路径的管 。
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8.发明申请ERCP Catheter with a Removable Handle for Lithotriptor Compatible Basket 审中-公开ERCP导管与Lithotriptor兼容篮子的可拆卸手柄公开(公告)号：US20110184345A1
公开(公告)日：2011-07-28
申请号：US13015153
申请日：2011-01-27
IPC分类号： A61M25/00
CPC分类号： A61B17/221 , A61B17/22012 , A61B2017/0046 , A61B2017/22038 , A61B2017/2212 , A61B2017/2911 , A61M2025/0037
摘要： An ERCP catheter having a removable handle for a lithotriptor compatible basket is disclosed. The removable handle allows the catheter and handle assembly to be removed, leaving the basket in place within the duct and facilitates the use of a lithotriptor for mechanically crushing stone captured in the basket.
摘要翻译： 公开了一种具有用于碎石兼容篮的可拆卸手柄的ERCP导管。 可移除的手柄允许导管和手柄组件被移除，将篮子放置在导管内就位，并且便于使用碎石机来机械地破碎在篮子中捕获的石头。
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公开(公告)号：US07976496B2
公开(公告)日：2011-07-12
申请号：US12168450
申请日：2008-07-07
IPC分类号： A61M29/00
CPC分类号： A61M25/10 , A61M25/1027 , A61M25/1029 , A61M25/1038 , A61M2025/1004 , A61M2025/1047 , A61M2025/1068 , A61M2025/1084 , A61M2025/1093
摘要： A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is affixed to the distal end of the catheter so as to provide an air tight seal there between. A stiffening member extends distally of the distal end of the catheter and forms a slip joint connection with the distal end of the balloon to permit the distal end of the balloon to axially move or translate relative to the distal end of the catheter. The slip joint allows the axial length of balloon to change during inflation or deflation without transferring tensile or compressive forces between the balloon and the catheter. A balloon folding control mechanism is disposed about the portion of the stiffening member traversing the interior of the balloon, and is configured to promote refolding of the balloon into a predetermined and desired folding configuration upon deflation.
摘要翻译： 气囊导管，其包括固定在导管上的可膨胀气囊。 气囊的近端固定在导管的远端，以便在其间提供气密封。 加强构件在导管的远端的远侧延伸并且与气囊的远端形成滑动关节连接，以允许气囊的远端相对于导管的远端轴向移动或平移。 滑动关节允许气囊的轴向长度在充气或放气期间改变，而不会在气囊和导管之间传递拉伸或压缩力。 气球折叠控制机构设置在穿过气球内部的加强构件的部分周围，并且被构造成在放气时促进气囊重折叠成预定和期望的折叠构型。
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公开(公告)号：US20090018500A1
公开(公告)日：2009-01-15
申请号：US12168432
申请日：2008-07-07
IPC分类号： A61M25/10
CPC分类号： A61M25/10 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/1025 , A61M25/1027 , A61M25/1034 , A61M2025/1004 , A61M2025/1052 , A61M2025/1061 , A61M2025/1093
摘要： A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is fixedly connected to the distal end of the catheter, and the distal end of the balloon is supported by stiffening member that extends distally from the distal end of the catheter and through the interior of the balloon. The distal end of the catheter comprises one or more apertures that are in fluid communication with an inflation lumen extending through the catheter. A deflation mechanism is disposed about the stiffening member and is configured to facilitate the flow of an inflation fluid through the interior volume of the balloon and towards the aperture.
摘要翻译： 气囊导管，其包括固定在导管上的可膨胀气囊。 球囊的近端固定地连接到导管的远端，并且球囊的远端由从导管的远端向远侧延伸并且穿过气囊内部的加强构件支撑。 导管的远端包括与延伸穿过导管的充气腔流体连通的一个或多个孔。 放气机构围绕加强构件设置，并且构造成便于充气流体流过球囊的内部空间并朝向孔径的流动。
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