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公开(公告)号：US20090018502A1
公开(公告)日：2009-01-15
申请号：US12185644
申请日：2008-08-04
IPC分类号： A61M25/10
CPC分类号： A61M25/104 , A61M2025/0063 , A61M2025/0183 , A61M2025/1079
摘要： A stiffenable balloon catheter assembly capable of being converted from an “over-the-wire” mode with respect to a guidewire extending therethrough to a “rapid-exchange” mode with respect to a guidewire extending therethrough, and vice versa. The catheter has a plurality of lumens, one lumen however, having a side opening with an obstructable galp, the orientation of which, determines the utilization “mode” of the catheter assembly. Stiffening stylets may be adjustably locked into the lumens, depending upon the “mode”, to control the stiffness of the catheter assembly during its utilization within a patient.
摘要翻译： 相对于延伸穿过其中的导丝线，相对于延伸穿过其的导丝线，可以从“线上”模式转换成“快速交换”模式的可加强气球导管组件，反之亦然。 导管具有多个管腔，但是，一个管腔具有一个具有阻塞性隆起的侧开口，其取向决定了导管组件的利用“模式”。 取决于“模式”，加强样式可以可调节地锁定到腔中，以在患者体内使用期间控制导管组件的刚度。
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公开(公告)号：US06702781B1
公开(公告)日：2004-03-09
申请号：US08007756
申请日：1993-01-22
IPC分类号： A61M2900
CPC分类号： A61M25/104 , A61M2025/0063 , A61M2025/0183 , A61M2025/1079
摘要： A stiffenable balloon catheter assembly capable of being converted from an “over-the-wire” mode with respect to a guidewire extending therethrough to a “rapid-exchange” mode with respect to a guidewire extending therethrough, and vice versa. The catheter has a plurality of lumens, one lumen however, having a side opening with an obstructable galp, the orientation of which, determines the utilization “mode” of the catheter assembly. Stiffening stylets may be adjustably locked into the lumens, depending upon the “mode”, to control the stiffness of the catheter assembly during its utilization within a patient.
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公开(公告)号：US06733473B1
公开(公告)日：2004-05-11
申请号：US08089655
申请日：1993-07-09
IPC分类号： A61M2900
CPC分类号： A61M25/104 , A61M2025/0063 , A61M2025/0183 , A61M2025/1079
摘要： A stiffenable balloon catheter assembly capable of being converted from an “over-the-wire” mode with respect to a guidewire extending therethrough to a “rapid-exchange” mode with respect to a guidewire extending therethrough, and vice versa. The catheter has a plurality of lumens, one lumen however, having a side opening with an obstructable galp, the orientation of which, determines the utilization “mode” of the catheter assembly. Stiffening stylets may be adjustably locked into the lumens, depending upon the “mode”, to control the stiffness of the catheter assembly during its utilization within a patient.
摘要翻译： 相对于延伸穿过其中的导丝线，相对于延伸穿过其的导丝线，可以从“线上”模式转换成“快速交换”模式的可加强气球导管组件，反之亦然。 导管具有多个管腔，但是，一个管腔具有一个具有阻塞性隆起的侧开口，其取向决定了导管组件的利用“模式”。 取决于“模式”，加强样式可以可调节地锁定到腔中，以在患者体内使用期间控制导管组件的刚度。
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公开(公告)号：US6010480A
公开(公告)日：2000-01-04
申请号：US899104
申请日：1997-07-23
申请人： John E. Abele , Ronald A. Sahatjian
发明人： John E. Abele , Ronald A. Sahatjian
CPC分类号： A61M25/104 , A61F2/958 , A61M25/1002 , A61M25/1027 , A61M25/1038 , A61M2025/0047 , A61M2025/1004 , A61M2025/1031 , A61M2025/1086 , A61M2025/1088 , A61M25/0043 , A61M25/1029
摘要： An expansible balloon catheter has at least a first exterior surface with a given coefficient of friction and a second exterior surface with a greater coefficient of friction. In a compact form only the first exterior surface is exposed to produce one coefficient of friction during transfer of the collapsed or uninflated balloon to and across a lesion. When inflated, the second surface dominates the first surface and produces a second coefficient of friction.
摘要翻译： 可膨胀球囊导管至少具有给定摩擦系数的第一外表面和具有更大摩擦系数的第二外表面。 在紧凑形式中，只有第一外表面被暴露以在将塌缩或未膨胀的气囊转移到病变处和穿过病变时产生一个摩擦系数。 当膨胀时，第二表面支配第一表面并产生第二摩擦系数。
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公开(公告)号：US5496311A
公开(公告)日：1996-03-05
申请号：US236393
申请日：1994-05-02
申请人： John E. Abele , Charles D. Lennox
发明人： John E. Abele , Charles D. Lennox
IPC分类号： A61M25/00 , A61B17/00 , A61B17/22 , A61B18/04 , A61B18/08 , A61B19/00 , A61F2/958 , A61M29/02
CPC分类号： A61B18/08 , A61B17/22 , A61B18/082 , A61M25/1018 , A61M25/10185 , A61M25/104 , A61B2017/00022 , A61B2017/00084 , A61B2017/00088 , A61B2017/00132 , A61B2017/00274 , A61B2017/00482 , A61B2017/22002 , A61B2017/22062 , A61B2018/0022 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/00791 , A61B2018/044 , A61B2090/063 , A61B2090/064 , A61M2025/0002
摘要： Systems and methods for dilation of a body lumen, using an expandable dilatation catheter to simultaneously heat and apply pressure to tissue of the lumen and to expand and dilate the lumen including means constructed to produce and/or detect physiological response of the heated tissue to applied pressure.
摘要翻译： 用于扩张体腔的系统和方法，使用可膨胀扩张导管同时加热并向腔内组织施加压力，并且扩张和扩张内腔，包括构造成产生和/或检测被加热组织的生理反应的装置 压力。
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公开(公告)号：US4772093A
公开(公告)日：1988-09-20
申请号：US917915
申请日：1986-10-10
CPC分类号： G02B23/26 , A61B1/00096 , A61B1/00101 , A61B1/0011 , A61B1/00165 , A61B1/00167 , Y10S600/92
摘要： An elongated image-carrying member that enables microendoscopy to be practiced using normal-sized catheters, includes a drawn, fused, central multi-fiber micro-unit of about 0.5 mm diameter, having about 2,000 glass fibers in coherent array, with a polymeric coating bonded to its pristine as-drawn outer surface. This combination achieves sufficient flexibility and optical qualities to enable effective use to provide vision for inspection of small passages and ducts. Flexible image-carrying members having diameter of 0.5 millimeter or less and catheters of diameter of 3 mm or less incorporating such members and effective working channels are achievable. For vision in remote areas, the micro-unit is employed with a substantially spherical lens with an ocular system for providing a focus range from less than about 2 mm to infinity and having resolution of detail down to the order of about 0.001 inch. The micro-optical member may be employed with a handpiece in a vision system, the micro-optical member being joined to the handpiece by a detachable connector having a stepped structure for precise alignment between the handle and the micro-optical member. By application of a relatively thin coating containing an opaque constituent to the as drawn micro-unit, degradation of the image and avoidance of artifacts caused by wave guiding effect are avoided. Devices with varying bend radiuses are also shown.
摘要翻译： 使用正常大小的导管实现微内窥镜检查的细长图像承载构件包括具有大约0.5mm直径的拉伸，熔化的中心多纤维微单元，具有约2000个相干阵列的玻璃纤维，聚合物涂层 粘合到其原始的外表面。 这种组合实现了足够的灵活性和光学质量，以有效地使用以提供小通道和管道检查的视觉。 直径为0.5毫米或更小的柔性图像承载构件和直径为3mm或更小的导管结合了这些构件和有效的工作通道是可以实现的。 对于远程区域的视觉，微单元采用具有眼睛系统的基本上球面的透镜，用于提供从小于约2mm到无穷远的聚焦范围，并且具有约0.001英寸量级的细节分辨率。 微型光学构件可以与视觉系统中的手持件一起使用，微型光学构件通过具有阶梯结构的可拆卸连接器与手持件接合，用于手柄和微型光学构件之间的精确对准。 通过将涂层中含有不透明成分的相对薄的涂层施加到如图所示的微单元上，避免了图像的劣化和避免由波导效应引起的伪影。 还显示了具有不同弯曲半径的设备。
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公开(公告)号：US06277084B1
公开(公告)日：2001-08-21
申请号：US08851163
申请日：1997-05-05
申请人： John E. Abele , Kevin R. Heath
发明人： John E. Abele , Kevin R. Heath
IPC分类号： A61B1722
CPC分类号： A61B17/22012 , A61B90/39 , A61F2002/3008 , A61F2002/30093 , A61F2210/0019 , A61F2240/001 , A61F2250/0098 , A61L31/022 , A61L31/088 , A61L31/18 , A61M25/0108 , A61M2025/09166 , Y10T29/53909
摘要： Wires are used for conducting ultrasound energy. These wires achieve optimum properties by creating a multiple material coaxial construction. For example, in a particular embodiment it is desirable to have an elastic core (nitinol) for conducting axial vibrations (sonic or ultrasonic) and a thin stiff cladding (stainless steel) in order to minimize traverse vibrations which result in loss of energy.
摘要翻译： 电线用于进行超声能量。 这些电线通过创建多材料同轴结构来实现最佳性能。 例如，在一个具体实施方案中，期望具有用于传导轴向振动（声波或超声波）和薄的硬包层（不锈钢）的弹性芯（镍钛诺），以便最小化导致能量损失的横动振动。
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8.发明授权
公开(公告)号：US6004269A
公开(公告)日：1999-12-21
申请号：US473137
申请日：1995-06-07
IPC分类号： A61B17/32 , A61B8/12 , A61B17/00 , A61B17/22 , A61B18/12 , A61B18/14 , A61B19/00 , A61B8/00 , A61B5/04 , A61N1/06
CPC分类号： A61B8/12 , A61B17/2202 , A61B18/1492 , A61B8/445 , A61B8/4461 , A61B2017/00243 , A61B2017/00924 , A61B2017/22051 , A61B2017/22077 , A61B2017/22082 , A61B2017/22084 , A61B2018/00029 , A61B2018/00077 , A61B2018/00107 , A61B2018/00148 , A61B2018/00214 , A61B2018/0022 , A61B2018/00232 , A61B2018/00273 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00577 , A61B2018/00797 , A61B2018/00869 , A61B2018/1425 , A61B2018/1435 , A61B2090/065 , A61B2090/378 , A61B2090/3782 , A61B8/06 , A61B8/543 , A61B90/39
摘要： An acoustic imaging system for use within a heart has a catheter (6), an ultrasound device (10) incorporated into the catheter (6), and an electrode (300, 304, 334, 394) mounted on the catheter (6). The ultrasound device (10) directs ultrasonic signals toward an internal structure in the heart to create an ultrasonic image, and the electrode (300, 304, 334, 394) is arranged for electrical contact with the internal structure. A chemical ablation device (55, 86, 314, 396) mounted on the catheter (6) ablates at least a portion of the internal structure by delivery of fluid to the internal structure. The ablation device (55) may include a material that vibrates in response to electrical excitation, the ablation being at least assisted by vibration of the material. The ablation device may alternatively be a transducer (414) incorporated into the catheter (6), arranged to convert electrical signals into radiation and to direct the radiation toward the internal structure. The electrode may be a sonolucent structure (304, 334) incorporated into the catheter (6).
摘要翻译： 在心脏内使用的声学成像系统具有导管（6），并入导管（6）中的超声装置（10）和安装在导管（6）上的电极（300,304,334,394）。 超声波装置（10）将超声信号引导到心脏内的内部结构以产生超声波图像，并且电极（300,304,334,394）被布置成与内部结构电接触。 安装在导管（6）上的化学消融装置（55,86,314,396）通过将流体输送到内部结构来消融内部结构的至少一部分。 消融装置（55）可以包括响应于电激发而振动的材料，该消融至少由材料的振动辅助。 消融装置可以替代地是结合到导管（6）中的换能器（414），其布置成将电信号转换成辐射并将辐射引向内部结构。 电极可以是结合到导管（6）中的声光结构（304,334）。
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公开(公告)号：US5693014A
公开(公告)日：1997-12-02
申请号：US441603
申请日：1995-05-15
申请人： John E. Abele , Ronald A. Sahatjian
发明人： John E. Abele , Ronald A. Sahatjian
CPC分类号： A61M25/104 , A61M25/1002 , A61M25/1038 , A61M2025/0047 , A61M2025/1031 , A61M2025/1086 , A61M25/0043 , A61M25/1029
摘要： An expansible balloon catheter has at least a first exterior surface with a given coefficient of friction and a second exterior surface with a greater coefficient of friction. In a compact form only the first exterior surface is exposed to produce a low coefficient of friction during transfer of the collapsed or uninflated balloon to and across a lesion. When inflated, the second surface dominates the first surface and produces an increased coefficient of friction overall thereby to stabilize the balloon in the lesion.
摘要翻译： 可膨胀球囊导管至少具有给定摩擦系数的第一外表面和具有更大摩擦系数的第二外表面。 在紧凑形式中，仅将第一外表面暴露以在将塌缩或未膨胀的气囊转移到病变处和穿过病变处产生低摩擦系数。 当膨胀时，第二表面支配第一表面并产生增加的摩擦系数，从而使气囊在病变中稳定。
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公开(公告)号：US5151100A
公开(公告)日：1992-09-29
申请号：US547931
申请日：1990-07-03
CPC分类号： A61B18/08 , A61B18/082 , A61F7/123 , A61B17/22 , A61B2017/00084 , A61B2017/00088 , A61B2017/00132 , A61B2017/00274 , A61B2017/22062 , A61B2018/0022 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/00791 , A61B2018/044 , A61M2205/366 , A61M25/10
摘要： A catheter device and method for heating tissue, the device having a catheter shaft constructed for insertion into a patient's body, and at least one chamber mounted on the catheter shaft. The catheter shaft has at least one lumen for fluid flow through the shaft. The chambers are defined by walls that are at least in part expandable. Fluid flows, through the lumens, between the chambers and a fluid source outside the body. The chambers can be filled with the fluid after they have been placed within the body. A heating device heats liquid within at least one of the chambers, so that heat is transmitted from the liquid to surrounding tissue by thermal conduction through the wall of the chamber. Means are provided for selectively directing heat transmission toward a selected portion of surrounding tissue. The chambers are fillable with fluid separately from each other, so that the chambers can occupy any of a plurality of possible total volumes. By selecting the total volume of chambers, compression of the tissue can be controlled, and hence the effectiveness of transfer of heat to the tissue can be controlled. According to the method, the catheter device is used to heat tissue from within a duct in a patient's body. The chambers are inserted into the duct and filled with fluid. Liquid is heated within at least one of the chambers, and heat is selectively directed toward a selected portion of surrounding tissue.
摘要翻译： 一种用于加热组织的导管装置和方法，该装置具有构造成用于插入患者体内的导管轴以及安装在导管轴上的至少一个室。 导管轴具有至少一个流体，用于流过轴的流体。 这些室由至少部分可膨胀的壁限定。 流体在腔室之间流过腔室，在体外流过流体源。 在将腔体放置在体内之后，腔室可以填充流体。 加热装置加热至少一个室内的液体，使得热量通过室内壁的热传导从液体传递到周围组织。 提供了用于选择性地将热传递方向导向周围组织的选定部分的装置。 这些室可以彼此分开地填充流体，使得室可以占据多个可能的总体积中的任何一个。 通过选择室的总体积，可以控制组织的压缩，因此可以控制热传递到组织的有效性。 根据该方法，导管装置用于从患者体内的管道内加热组织。 这些室被插入管道并充满流体。 在至少一个室内加热液体，并且热量选择性地朝向周围组织的选定部分。
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