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    System and method for introducing multiple medical devices
    2.
    发明申请
    System and method for introducing multiple medical devices 有权
    引入多种医疗器械的系统和方法

    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

    IPC分类号： A61B1/01 ,  A61B1/018 ,  A61B6/12 ,  A61B17/22 ,  A61F2/04 ,  A61M25/00 ,  A61M25/06 ,  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。

    System for introducing multiple medical devices
    3.
    发明申请
    System for introducing multiple medical devices 审中-公开
    引进多种医疗器械的系统

    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

    IPC分类号： A61B1/01 ,  A61B1/018 ,  A61B6/12 ,  A61B17/22 ,  A61F2/04 ,  A61M25/00 ,  A61M25/06 ,  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, 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。

    Scope dock
    5.
    发明申请
    Scope dock 有权
    范围码头

    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。

    System and method for introducing a prosthesis
    6.
    发明申请
    System and method for introducing a prosthesis 审中-公开
    用于引入假体的系统和方法

    公开(公告)号：US20050070821A1

    公开(公告)日：2005-03-31

    申请号：US10902492

    申请日：2004-07-29

    申请人： Stephen Deal ,  Gregory Skerven ,  Victor Clark ,  David Waller

    发明人： Stephen Deal ,  Gregory Skerven ,  Victor Clark ,  David Waller

    IPC分类号： A61B1/01 ,  A61B1/018 ,  A61B6/12 ,  A61B17/22 ,  A61F2/04 ,  A61M25/00 ,  A61M25/06 ,  A61B5/00

    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, 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。

    System and method for introducing multiple medical devices
    7.
    发明申请
    System and method for introducing multiple medical devices 有权
    引入多种医疗器械的系统和方法

    公开(公告)号：US20050059990A1

    公开(公告)日：2005-03-17

    申请号：US10902438

    申请日：2004-07-29

    申请人： Juan Ayala ,  Stephen Deal ,  Charles Agnew ,  Gregory Skerven

    发明人： Juan Ayala ,  Stephen Deal ,  Charles Agnew ,  Gregory Skerven

    IPC分类号： A61B1/01 ,  A61B1/018 ,  A61B6/12 ,  A61B17/22 ,  A61F2/04 ,  A61M25/00 ,  A61M25/06 ,  A61M29/00

    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 separating member may be provided to remotely separate the wire guide from the elongate medical 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。 可以设置分离构件以远程地将电线引导件与细长医疗装置分离。 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。

    Devices And Methods For Occluding A Fistula
    8.
    发明申请
    Devices And Methods For Occluding A Fistula 审中-公开
    用于阻塞瘘的装置和方法

    公开(公告)号：US20080051831A1

    公开(公告)日：2008-02-28

    申请号：US11844115

    申请日：2007-08-23

    申请人： Stephen Deal ,  Charles Agnew

    发明人： Stephen Deal ,  Charles Agnew

    IPC分类号： A61B17/03

    CPC分类号： A61B17/0057 ,  A61B17/12099 ,  A61B17/12159 ,  A61B2017/00641 ,  A61B2017/00654 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/12054 ,  A61M27/00

    摘要： A method of occluding a fistula in a patient is provided. The method includes inserting a placement member having a coupling structure, such as a wire guide having a loop at one end, through the primary opening of a fistula and at least partially into the fistula tract; connecting the coupling structure to a medical device, such as a plug, graft, or other occluding member; and inserting the medical device into the fistula by pulling the placement member through the fistula until the medical device contacts the interior wall of the fistula. Medical devices and systems for occluding fistulas are also provided.

    摘要翻译： 提供了一种在患者体内阻塞瘘的方法。 该方法包括插入具有联接结构的放置构件，例如具有在一端的环的导线引导件，穿过瘘管的初级开口并且至少部分地插入瘘管道中; 将联接结构连接到医疗装置，例如塞子，移植物或其它阻塞构件; 并且通过将所述放置构件拉过所述瘘管直到所述医疗装置接触所述瘘内壁而将所述医疗装置插入所述瘘管。 还提供了用于闭塞瘘的医疗装置和系统。

    Short wire PEG and PEG-J tube
    9.
    发明申请
    Short wire PEG and PEG-J tube 审中-公开
    短线PEG和PEG-J管

    公开(公告)号：US20070167923A1

    公开(公告)日：2007-07-19

    申请号：US11605656

    申请日：2006-11-29

    申请人： Stephen Deal

    发明人： Stephen Deal

    IPC分类号： A61M31/00

    CPC分类号： A61M25/01 ,  A61B17/3415 ,  A61J15/0019 ,  A61J15/0034 ,  A61J15/0061 ,  A61J15/0069 ,  A61M25/007 ,  A61M2025/0183

    摘要： A feeding tube and method for introducing a feeding tube within the gastrointestinal tract of a patient, whereby the feeding tube is introduced over a wire guide of reduced length. The feeding tube comprises an elongate shaft having a distal end and proximal end. The feeding tube comprises a coupling region for coupling the feeding tube to a wire guide. The coupling region is disposed near the distal end of the elongate shaft and has a length that is substantially less than the length of the elongate shaft. The feeding tube is introduced within the patient by coupling the coupling region of feeding tube to a previously introduced wire guide, and then pushing the feeding tube distally along the wire guide.

    摘要翻译： 一种用于在患者的胃肠道内引入供给管的进料管和方法，由此将进料管引入减小长度的丝导向器上。 进料管包括具有远端和近端的细长轴。 进料管包括用于将进料管连接到导丝器的联接区域。 联接区域设置在细长轴的远端附近并且具有基本上小于细长轴的长度的长度。 通过将进料管的联接区域耦合到先前引入的导线器，然后沿着导线器向远侧推动进料管，将进料管引入患者体内。