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公开(公告)号：US5827241A
公开(公告)日：1998-10-27
申请号：US479680
申请日：1995-06-07
CPC分类号： A61M25/0169 , A61M25/0113 , A61M25/09 , A61M25/09041
摘要： A method and apparatus are provided for withdrawing an indwelling over-the-wire catheter from an indwelling guidewire in which the guidewire is of a conventional length and is maintained in its indwelling position as the catheter is withdrawn. The position of the guidewire is maintained by constraining a segment of the catheter shaft and its included guidewire in a non-linear configuration such that the guidewire remains in its position as the catheter is withdrawn. The invention may be used to perform catheter exchanges without requiring the use of exchange wires, extension wires, rapid exchange catheters or special devices to connect the guidewire to the guide catheter.
摘要翻译： 提供了一种方法和装置，用于从留置导丝中取出留置的在线导管，其中导丝是常规长度的，并且当导管被取出时保持在其留置位置。 通过将导管轴的一部分和其包括的导丝约束成非线性构造来维持导丝的位置，使得当导管被拔出时导丝保持在其位置。 本发明可以用于执行导管交换，而不需要使用交换线，延长线，快速交换导管或特殊装置将导丝连接到引导导管。
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公开(公告)号：US06110146A
公开(公告)日：2000-08-29
申请号：US164166
申请日：1998-09-30
申请人： William A. Berthiaume , Nareak Douk
发明人： William A. Berthiaume , Nareak Douk
CPC分类号： A61M25/09041 , A61M2025/0188 , A61M2025/1081 , A61M2029/025 , A61M25/0668
摘要： A balloon protector for the balloon of a dilatation catheter includes a distally extending flared section that defines a funnel receptive to a guidewire in order to facilitate backloading of the guidewire into the catheter.
摘要翻译： 用于扩张导管气囊的气球保护器包括远端延伸的扩口部分，其限定了容纳导丝的漏斗，以便于将导丝导入导管中。
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公开(公告)号：US5658309A
公开(公告)日：1997-08-19
申请号：US431546
申请日：1995-05-01
申请人： William A. Berthiaume , Nareak Douk
发明人： William A. Berthiaume , Nareak Douk
CPC分类号： A61M25/0169 , A61M25/0097 , A61M25/09 , A61M25/104 , A61M2025/0175 , A61M2025/0183 , A61M2025/09008 , A61M2025/09125
摘要： A locking apparatus for use with a catheter which includes a catheter body, first and second slidable components which are slidable with respect to the catheter body, and a hub disposed at the proximal end of the catheter body, and a method of using the locking apparatus. The locking apparatus includes a locking device engageable with the hub for locking the first slidable component in a fixed position relative to the hub, and an extension member that is integral with the hub and engageable with the locking device for locking the second slidable component in a fixed position relative to the hub.
摘要翻译： 一种与导管一起使用的锁定装置，其包括导管主体，可相对于导管主体滑动的第一和第二可滑动部件以及设置在导管主体的近端的毂，以及使用该锁定装置的方法 。 锁定装置包括可与轮毂接合的锁定装置，用于将第一可滑动部件相对于轮毂锁定在固定位置;以及延伸部件，其与轮毂成一体并可与锁定装置接合，以将第二可滑动部件锁定在 相对于轮毂的固定位置。
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公开(公告)号：US6027474A
公开(公告)日：2000-02-22
申请号：US164006
申请日：1998-09-30
申请人： Nareak Douk , William A. Berthiaume
发明人： Nareak Douk , William A. Berthiaume
CPC分类号： A61M25/104 , A61M25/0169
摘要： The invention relates to a catheter device and method of use for exchanging a catheter having a full-length guidewire lumen over a conventional-length guidewire without the use of a guidewire extension or an exchange wire. The catheter device includes an elongated shaft defining an inflation lumen and a guidewire lumen extending longitudinally throughout its length, and a hydraulic exchange lumen extending from the proximal end of the shaft and terminating proximal the distal end of the shaft, wherein the hydraulic exchange lumen is in fluid communication with the guidewire lumen. A balloon is coupled to the distal section of the shaft and is in fluid communication with the inflation lumen. A flow guiding member is disposed within the guiding catheter and functions to redirect the distal flow of pressurized fluid traveling through the hydraulic exchange lumen in a proximal direction through the guidewire lumen.
摘要翻译： 本发明涉及一种用于在常规长度导丝上更换具有全长导丝管腔的导管的导管装置和方法，而不使用导线延伸部或交换线。 所述导管装置包括细长轴，所述细长轴限定充气腔和在其整个长度上纵向延伸的导丝管腔，以及从所述轴的近端延伸并且在所述轴的远端终止的液压更换腔，其中所述液压更换腔是 与导丝管腔流体连通。 球囊联接到轴的远侧部分并且与膨胀腔流体连通。 流动引导构件设置在引导导管内，并且用于将通过液压更换腔行进的加压流体的远端流动在近端方向上重定向穿过导丝管腔。
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公开(公告)号：US20150045868A1
公开(公告)日：2015-02-12
申请号：US13959808
申请日：2013-08-06
CPC分类号： A61N1/3756 , A61N1/0573 , A61N1/362 , A61N1/37205 , A61N1/37518
摘要： Various fixation techniques for implantable medical device (IMDs) are described. In one example, an assembly comprises an IMD; and a set of active fixation tines attached to the IMD. The active fixation tines in the set are deployable from a spring-loaded position in which distal ends of the active fixation tines point away from the IMD to a hooked position in which the active fixation tines bend back towards the IMD. The active fixation tines are configured to secure the IMD to a patient tissue when deployed while the distal ends of the active fixation tines are positioned adjacent to the patient tissue.
摘要翻译： 描述了用于可植入医疗装置（IMD）的各种固定技术。 在一个示例中，组件包括IMD; 以及一组附加在IMD上的活动固定齿。 组合中的主动固定齿可从弹簧加载位置展开，其中活动固定尖端的远端指向远离IMD的钩状位置，其中主动固定齿向IMD向后弯曲。 活动的固定齿构造成当展开时将IMD固定到患者组织，同时主动固定齿的远端定位成与患者组织相邻。
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6.发明申请DELIVERY SYSTEM ASSEMBLIES AND ASSOCIATED METHODS FOR IMPLANTABLE MEDICAL DEVICES 有权用于可植入医疗器械的输送系统组件和相关方法公开(公告)号：US20130131591A1
公开(公告)日：2013-05-23
申请号：US13298973
申请日：2011-11-17
IPC分类号： A61M25/092 , A61M25/01 , A61M25/098
CPC分类号： A61N1/0587 , A61B2017/00331 , A61K9/0024 , A61M5/14276 , A61M25/0041 , A61M25/0102 , A61M25/0147 , A61M31/00 , A61N1/3622 , A61N1/37205 , A61N1/3756 , A61N2001/0578
摘要： A delivery system assembly includes an elongate outer tube, an elongate inner member extending within a lumen of the outer tube, and an articulation sheath surrounding the outer tube between a handle of the assembly and a distal-most portion of the outer tube. The outer tube is longitudinally moveable within the sheath; and an inner diameter of the sheath is preferably smaller than that of the handle and the distal-most portion of the outer tube. Navigation of the assembly through a venous system, for deployment of an implantable medical device, is facilitated by deflection of the sheath, to orient a distal-most portion of the outer tube, within which an entirety of the medical device is contained/loaded, and by subsequent advancement of the distal-most portion, with respect to the sheath, to move the distal end of the inner member, along with the contained/loaded device into proximity with a target implant site.
摘要翻译： 输送系统组件包括细长的外管，在外管的内腔内延伸的细长内部构件，以及围绕组件的手柄和外管的最远部分之间的外管围绕的关节护套。 外管可在鞘内纵向移动; 并且护套的内径优选地小于手柄和外管的最远部分的内径。 通过静脉系统的导引，用于部署可植入医疗装置，通过护套的偏转来促进，以使外管的最远端部分定向，其中整个医疗装置被包含/装载在该外管的最远部分， 并且通过相对于护套随后推进最远部分，将内部构件的远端与所容纳/加载的装置一起移动到目标植入部位附近。
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公开(公告)号：US5846259A
公开(公告)日：1998-12-08
申请号：US845307
申请日：1996-12-31
CPC分类号： A61M25/00 , A61M25/10 , A61M2025/0175 , A61M25/0169
摘要： A catheter wherein the "effective over-the-wire" length is adjustable. The catheter includes an elongated inflation shaft having a longitudinal inflation lumen, an extension shaft disposed distal to the inflation shaft and through which the inflation lumen is continued, a balloon element disposed at the distal end of the extension shaft and in fluid communication with the inflation lumen, a guidewire shaft having a longitudinal guidewire lumen which extends from the distal end of the balloon member, through the balloon member and the extension shaft, to the proximal end of the extension shaft, and a telescoping portion. The telescoping portion comprising first and second telescoping tubes which are slidably mounted on the inflation shaft and the extension shaft. The first and second telescoping tubes are sized so that the first telescoping tube can be retracted into the second telescoping tube. The extension shaft is sized so that it can be retracted into the first telescoping tube. The effective "over-the-wire length" of the telescoping balloon catheter can be reduced by retracting the first telescoping tube and the extension tube into the second telescoping tube. In another embodiment, the telescoping portion comprises three telescoping tubes, which results in a greater reduction of the effective "over-the-wire length."
摘要翻译： 导管，其中“有效的线上”长度是可调节的。 导管包括细长的充气轴，其具有纵向充气腔，延伸轴设置在充气轴的远侧并且充气腔持续通过该延伸轴，球囊元件设置在延伸轴的远端处并与膨胀流体连通 具有从球囊构件的远端延伸通过气囊构件和延伸轴的纵向导丝管的导丝轴到延伸轴的近端以及伸缩部分。 伸缩部分包括可滑动地安装在膨胀轴和延伸轴上的第一和第二伸缩管。 第一和第二伸缩管的尺寸使得第一伸缩管能够缩回到第二伸缩管中。 延伸轴的尺寸使得其可以缩回到第一伸缩管中。 可以通过将第一伸缩管和延伸管缩回到第二伸缩管中来缩小伸缩气囊导管的有效“超线长度”。 在另一个实施例中，伸缩部分包括三个伸缩管，其导致有效的“在线长度”的更大的减小。
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公开(公告)号：US5161534A
公开(公告)日：1992-11-10
申请号：US755094
申请日：1991-09-05
IPC分类号： A61M25/01
CPC分类号： A61M25/09041 , A61M25/01 , A61M2025/09116 , A61M2025/107 , A61M25/09
摘要： A laterally attachable and detachable tool for manipulating a guidewire includes a cylindrical body that terminates in a collet. A nut is threaded to the collet and can be tightened to draw the collet arms inwardly. The body and the nut each include a lateral slot of a width to receive the guidewire. The slot in the nut is registrable with the slot in the body to form a continuous slot, receptive to the guidewire, along the length of the tool.
摘要翻译： 用于操纵导丝的横向可附接和可拆卸的工具包括终止于夹头中的圆柱体。 螺母被拧到夹头上，并可以拧紧以将夹头臂向内拉。 主体和螺母各自包括宽度的横向狭槽以接收导丝。 螺母中的槽可以与主体中的槽配准，以沿着工具的长度形成一个可接受导丝的连续槽。
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9.发明授权Delivery system assemblies and associated methods for implantable medical devices 有权可植入医疗器械的输送系统组件和相关方法公开(公告)号：US08945146B2
公开(公告)日：2015-02-03
申请号：US13279835
申请日：2011-10-24
CPC分类号： A61N1/37205 , A61N1/3622 , A61N1/3756 , A61N2001/0578
摘要： A delivery system assembly includes an outer tube, an inner member, extending within a lumen of the outer tube, and a deflectable shaft, extending within the outer tube lumen and around the inner member; the tube and inner member are longitudinally moveable with respect to the shaft, and a distal end of the inner member is located distal to the shaft within the tube lumen. A medical device can be loaded into the tube lumen, along a distal-most portion of the tube, and contained between the inner member and a distal opening of the tube lumen. Deflecting the shaft orients the distal-most portion for navigation of the assembly, and, when the distal end of the inner member is engaged within the tube lumen, distal movement of the tube, with respect to the shaft, causes similar distal movement of the inner member and the loaded medical device toward an implant site.
摘要翻译： 输送系统组件包括在外管的内腔中延伸的外管，内部构件和在外管腔内并围绕内部构件延伸的可偏转的轴; 管和内部构件可以相对于轴纵向移动，并且内部构件的远端位于管腔内远离轴的远侧。 医疗装置可以沿着管的最远部分装载到管腔中，并且容纳在内部构件和管腔的远端开口之间。 轴的偏转定位用于组件导航的最远部分，并且当内部构件的远端接合在管腔内时，管的相对于轴的远端运动导致相似的远端移动 内部构件和装载的医疗装置朝向植入物位置。
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公开(公告)号：US08945145B2
公开(公告)日：2015-02-03
申请号：US13239990
申请日：2011-09-22
申请人： Don H. Tran , William A. Berthiaume , H. Allan Steingisser , Maria Valdovinos , Brent L. Locsin , Suruchi Anand
发明人： Don H. Tran , William A. Berthiaume , H. Allan Steingisser , Maria Valdovinos , Brent L. Locsin , Suruchi Anand
CPC分类号： A61B17/3468 , A61N1/362 , A61N1/37205 , A61N1/3756
摘要： A delivery system assembly includes an elongate inner member that extends distally through a lumen of an elongate outer tube of the assembly; the outer tube is moveable relative to the inner member between first and second positions to deploy an implantable medical device that is held within the outer tube lumen. The inner member may include a flared distal end that abuts, and preferably conforms to, the proximal end of the device, when the device is held within the outer tube lumen. The assembly further includes a stability sheath that surrounds a limited length of the outer tube, in proximity to the handle, to provide an interface for both an operator, who handles the assembly, and for an introducer sheath that provides passage for the assembly into the venous system, so that movement of the outer tube is not hindered by either during device deployment.
摘要翻译： 递送系统组件包括细长的内部构件，其向远侧延伸穿过组件的细长外管的内腔; 外管可在第一和第二位置之间相对于内部构件移动以展开保持在外管内腔内的可植入医疗装置。 当装置保持在外管腔内时，内部构件可以包括邻近并且优选地符合装置的近端的扩口远端。 组件还包括稳定的护套，其围绕外管的有限长度围绕手柄，以提供用于处理组件的操作者和导引器护套的接口，所述引导器护套为组件提供通道 静脉系统，使得在设备部署期间外部管的运动不会受到阻碍。
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