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1.发明授权
公开(公告)号：US5596990A
公开(公告)日：1997-01-28
申请号：US470673
申请日：1995-06-06
申请人： Paul Yock , Yue-Teh Jang , Stephen M. Salmon
发明人： Paul Yock , Yue-Teh Jang , Stephen M. Salmon
CPC分类号： A61M25/0108 , A61B8/0833 , A61B8/12 , A61B2090/3925 , A61M25/0067 , A61M25/0068 , A61M25/06
摘要： Apparatus and method are described for introducing an imaging catheter to the coronary vasculature. A guiding catheter is introduced so that the distal end of the guiding catheter engages a coronary os. The distal end of the guiding catheter is shaped so that a mark on the distal end is oriented in a predetermined orientation relative to the coronary vasculature. An imaging catheter is then introduced through the guiding catheter and an image of the mark is produced with the imaging catheter while in the guiding catheter. In this manner, the relative orientation of the produced image and the coronary vasculature is known.
摘要翻译： 描述了用于将成像导管引入冠状脉管系统的装置和方法。 引导引导导管，使导引导管的远端与冠状动脉吻合。 引导导管的远端成形为使得远端上的标记相对于冠状动脉脉管系统以预定取向定向。 然后通过引导导管引入成像导管，并且在引导导管中用成像导管产生标记的图像。 以这种方式，产生的图像和冠状动脉脉管系统的相对取向是已知的。
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2.发明授权
公开(公告)号：US5879305A
公开(公告)日：1999-03-09
申请号：US954278
申请日：1997-10-20
申请人： Paul Yock , Yue-Teh Jang , Stephen M. Salmon
发明人： Paul Yock , Yue-Teh Jang , Stephen M. Salmon
CPC分类号： A61M25/0108 , A61B8/0833 , A61B8/12 , A61B2090/3925 , A61M25/0067 , A61M25/0068 , A61M25/06
摘要： Apparatus and method are described for introducing an imaging catheter to the coronary vasculature. A guiding catheter is introduced so that the distal end of the guiding catheter engages a coronary os. The distal end of the guiding catheter is shaped so that a mark on the distal end is oriented in a predetermined orientation relative to the coronary vasculature. An imaging catheter is then introduced through the guiding catheter and an image of the mark is produced with the imaging catheter while in the guiding catheter. In this manner, the relative orientation of the produced image and the coronary vasculature is known.
摘要翻译： 描述了用于将成像导管引入冠状脉管系统的装置和方法。 引导引导导管，使导引导管的远端与冠状动脉吻合。 引导导管的远端成形为使得远端上的标记相对于冠状动脉脉管系统以预定取向定向。 然后通过引导导管引入成像导管，并且在引导导管中用成像导管产生标记的图像。 以这种方式，产生的图像和冠状动脉脉管系统的相对取向是已知的。
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公开(公告)号：US5724977A
公开(公告)日：1998-03-10
申请号：US708386
申请日：1996-09-04
申请人： Paul Yock , Yue-Teh Jang , Stephen M. Salmon
发明人： Paul Yock , Yue-Teh Jang , Stephen M. Salmon
CPC分类号： A61M25/0108 , A61B8/0833 , A61B8/12 , A61B2090/3925 , A61M25/0067 , A61M25/0068 , A61M25/06
摘要： Apparatus and method are described for introducing an imaging catheter to the coronary vasculature. A guiding catheter is introduced so that the distal end of the guiding catheter engages a coronary os. The distal end of the guiding catheter is shaped so that a mark on the distal end is oriented in a predetermined orientation relative to the coronary vasculature. An imaging catheter is then introduced through the guiding catheter and an image of the mark is produced with the imaging catheter while in the guiding catheter. In this manner, the relative orientation of the produced image and the coronary vasculature is known.
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公开(公告)号：US5935114A
公开(公告)日：1999-08-10
申请号：US762468
申请日：1996-12-09
申请人： Yue-Teh Jang , Richard S. Ginn , Stephen M. Salmon
发明人： Yue-Teh Jang , Richard S. Ginn , Stephen M. Salmon
CPC分类号： A61M25/0169 , A61F2/958 , A61B2017/22051 , A61B2090/3782 , A61M2025/0183 , A61M2025/0681 , A61M25/104
摘要： A catheter exchange member is provided for reducing exchange time when replacing one catheter (or similar device) with another in the vascular anatomy of a patient. The catheter exchange member includes a tubular body having a proximal and a distal end and a central lumen. A tapered fixture having a distal port and a proximal opening which is larger than the distal port is attached to the tubular body at the distal port. An elongate shaft is attached to and extends proximally from either the tapered fixture or the tubular body. The exchange member is preferably used within a conventional guiding catheter where the tubular body is advanced through a distal end of the guiding catheter and into the coronary artery while the tapered fixture remains in the guiding catheter. This configuration allows various therapeutic and diagnostic devices to be stored within the guiding catheter just proximal to the tapered fixture. One of the devices can be placed within the coronary artery by simply advancing it through the tapered fixture which channels the device into the tubular body and into the coronary artery. The device may be replaced with another by simply removing it and advancing the second device into the tapered fixture and into the coronary artery
摘要翻译： 提供了一种导管更换构件，用于在将患者的血管解剖结构中的另一导管（或类似装置）替换为另一导管时减少交换时间。 导管更换构件包括具有近端和远端以及中心腔的管状体。 具有远端口和大于远端口的近端开口的锥形固定件在远端口处附接到管状体。 细长轴连接到锥形夹具或管状体的近侧并从其延伸。 交换构件优选地用在传统的导向导管内，其中管状体前进通过导向导管的远端并进入冠状动脉，同时锥形夹具保持在引导导管中。 这种配置允许各种治疗和诊断装置被存储在紧邻锥形固定装置的引导导管内。 其中一个装置可以通过简单地将其推进通过锥形固定器而放置在冠状动脉内，该锥形夹具将装置引导到管状体中并进入冠状动脉。 该装置可以通过简单地将其移除并将第二装置推入锥形固定装置并进入冠状动脉来替换
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公开(公告)号：US5749848A
公开(公告)日：1998-05-12
申请号：US556660
申请日：1995-11-13
CPC分类号： A61F2/958 , Y10S623/902
摘要： A catheter system has a balloon angioplasty device disposed about a common lumen near its distal end. The balloon catheter is pre-fitted with a stent which is deployed when the balloon is inflated. The common lumen is in communication with multiple lumens within a proximal region of the catheter body to allow for positioning of the catheter over a movable guide wire and convenient delivery of imaging or interventional devices to a desired region of a body passageway being treated. The procedure for stent deployment optionally includes steps of imaging a lumen by ultrasound before and after stent deployment to identify the site at which a stent is needed, to confirm that the stent is being and has been deployed at a longitudinal position which does not overlap a branched segment of the body passageway, and to ensure that the stent has been radially opened to an optimum diameter.
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公开(公告)号：US07044964B2
公开(公告)日：2006-05-16
申请号：US10306976
申请日：2002-11-27
IPC分类号： A61F2/06
CPC分类号： A61F2/958 , Y10S623/902
摘要： A catheter system has a balloon angioplasty device disposed about a common lumen near its distal end. The balloon catheter is pre-fitted with a stent which is deployed when the balloon is inflated. The common lumen is in communication with multiple lumens within a proximal region of the catheter body to allow for positioning of the catheter over a movable guide wire and convenient delivery of imaging or interventional devices to a desired region of a body passageway being treated. The procedure for stent deployment optionally includes steps of imaging a lumen by ultrasound before and after stent deployment to identify the site at which a stent is needed, to confirm that the stent is being and has been deployed at a longitudinal position which does not overlap a branched segment of the body passageway, and to ensure that the stent has been radially opened to an optimum diameter.
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7.发明授权Catheter system having imaging, balloon angioplasty, and stent deployment capabilities, and methods of use for guided stent deployment 失效具有成像，气囊血管成形术和支架部署能力的导管系统以及用于导向支架部署的方法
公开(公告)号：US06074362A
公开(公告)日：2000-06-13
申请号：US880947
申请日：1997-06-23
CPC分类号： A61F2/958 , Y10S623/902
摘要： A catheter system has a balloon angioplasty device disposed about a common lumen near its distal end. The balloon catheter is pre-fitted with a stent which is deployed when the balloon is inflated. The common lumen is in communication with multiple lumens within a proximal region of the catheter body to allow for positioning of the catheter over a movable guide wire and convenient delivery of imaging or interventional devices to a desired region of a body passageway being treated. The procedure for stent deployment optionally includes steps of imaging a lumen by ultrasound before and after stent deployment to identify the site at which a stent is needed, to confirm that the stent is being and has been deployed at a longitudinal position which does not overlap a branched segment of the body passageway, and to ensure that the stent has been radially opened to an optimum diameter.
摘要翻译： 导管系统具有围绕其远端附近的共同内腔设置的球囊血管成形术装置。 气囊导管预先安装有当气囊膨胀时展开的支架。 共同的内腔与导管主体的近端区域内的多个内腔连通，以允许将导管定位在可移动的导丝上，并将成像或介入装置方便地输送到待治疗的身体通道的期望区域。 用于支架部署的步骤可选地包括以下步骤：在支架展开之前和之后通过超声波成像内腔以识别需要支架的位置，以确认支架已经并已经部署在不重叠支架的纵向位置 并且确保支架已径向打开至最佳直径。
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公开(公告)号：US5620417A
公开(公告)日：1997-04-15
申请号：US271878
申请日：1994-07-07
申请人： Yue-Teh Jang , Richard S. Ginn , Stephen M. Salmon
发明人： Yue-Teh Jang , Richard S. Ginn , Stephen M. Salmon
CPC分类号： A61M25/0169 , A61F2/958 , A61B2017/22051 , A61B2090/3782 , A61M2025/0183 , A61M2025/0681 , A61M25/104
摘要： A catheter exchange member is provided for reducing exchange time when replacing one catheter (or similar device) with another in the vascular anatomy of a patient. The catheter exchange member includes a tubular body having a proximal and a distal end and a central lumen. A tapered fixture having a distal port and a proximal opening which is larger than the distal port is attached to the tubular body at the distal port. An elongate shaft is attached to and extends proximally from either the tapered fixture or the tubular body. The exchange member is preferably used within a conventional guiding catheter where the tubular body is advanced through a distal end of the guiding catheter and into the coronary artery while the tapered fixture remains in the guiding catheter. This configuration allows various therapeutic and diagnostic devices to be stored within the guiding catheter just proximal to the tapered fixture. One of the devices can be placed within the coronary artery by simply advancing it through the tapered fixture which channels the device into the tubular body and into the coronary artery. The device may be replaced with another by simply removing it and advancing the second device into the tapered fixture and into the coronary artery.
摘要翻译： 提供了一种导管更换构件，用于在将患者的血管解剖结构中的另一导管（或类似装置）替换为另一导管时减少交换时间。 导管更换构件包括具有近端和远端以及中心腔的管状体。 具有远端口和大于远端口的近端开口的锥形固定件在远端口处附接到管状体。 细长轴连接到锥形夹具或管状体的近侧并从其延伸。 交换构件优选地用在传统的导向导管内，其中管状体前进通过导向导管的远端并进入冠状动脉，同时锥形夹具保持在引导导管中。 这种配置允许各种治疗和诊断装置被存储在紧邻锥形固定装置的引导导管内。 其中一个装置可以通过简单地将其推进通过锥形固定器而放置在冠状动脉内，该锥形夹具将装置引导到管状体中并进入冠状动脉。 该装置可以通过简单地将其移除并将第二装置推入锥形固定装置并进入冠状动脉来替换。
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公开(公告)号：US08758400B2
公开(公告)日：2014-06-24
申请号：US12941809
申请日：2010-11-08
申请人： Richard S. Ginn , William N. Aldrich , William Martin Belef , Steven N. Roe , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony J. Pantages , Francisco Javier Sagastegui
发明人： Richard S. Ginn , William N. Aldrich , William Martin Belef , Steven N. Roe , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony J. Pantages , Francisco Javier Sagastegui
CPC分类号： A61B17/083 , A61B17/0057 , A61B17/064 , A61B17/0643 , A61B17/1285 , A61B18/148 , A61B2017/00623 , A61B2017/00654 , A61B2017/00668 , A61B2017/00672 , A61B2017/00862 , A61B2017/00986 , A61B2017/081 , A61B2018/00595 , A61B2018/0063
摘要： An apparatus for sealing a passage through tissue communicating with a body lumen is provided. The apparatus includes an elongate member having a proximal end a distal end and a lumen extending from the distal end toward the proximal end defining a longitudinal axis. A plug member is disposed on the distal end and extends distally from the elongate member in a pre-deployed and deployed configuration. The plug member includes a distal port therein in communication with the lumen and has a cross-sectional diameter at a plug proximal end and a plug distal end greater than a cross-sectional diameter of the distal end of the elongate member in the pre-deployed configuration. The apparatus also includes a member extendable distally from the distal port, the member including a proximal end and a distal end.
摘要翻译： 提供了一种用于密封通过与体腔连通的组织的通道的装置。 所述装置包括细长构件，所述细长构件具有近端，远端和从远端朝向限定纵向轴线的近端延伸的内腔。 插塞构件设置在远端上并且以预先展开和展开的构型从细长构件向远侧延伸。 插塞构件包括其中与内腔连通的远端端口，并且在插塞近端处具有截面直径，并且塞子远端大于预先部署的细长构件的远端的横截面直径 组态。 该装置还包括从远端端口向远端延伸的构件，该构件包括近端和远端。
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公开(公告)号：US5458585A
公开(公告)日：1995-10-17
申请号：US098549
申请日：1993-07-28
CPC分类号： A61B8/445 , A61B8/12 , A61M25/0068 , A61M25/008
摘要： The claimed invention provides an improved tracking tip for use with a work element in a catheter system having a flexible tubular catheter body. Use of a tracking tip according to the present invention will facilitate advancement of the work element within the catheter body and will substantially eliminate the possibility that the work element will puncture the catheter body. Preferred embodiments will comprise a wire coil and will often include a rounded end member, which may be in the form of a solder ball, at the distal tip of the wire coil. In some embodiments, the rounded end member may be coated with a lubricant or a suitable non-stick material to further improve tracking of the work element within the catheter body.
摘要翻译： 所要求保护的发明提供了一种用于与具有柔性管状导管体的导管系统中的工作元件一起使用的改进的跟踪尖端。 根据本发明的跟踪尖端的使用将有助于工作元件在导管主体内的前进，并且将基本上消除工作元件刺穿导管主体的可能性。 优选的实施例将包括线圈，并且通常将包括在线圈的远端处的圆形端部构件，其可以是焊球的形式。 在一些实施例中，圆形端部构件可涂覆有润滑剂或合适的不粘材料，以进一步改善导管主体内工件的跟踪。
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