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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
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: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
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。
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公开(公告)号:US20060142703A1
公开(公告)日:2006-06-29
申请号:US11294947
申请日:2005-12-06
申请人: Matthew Carter , Kenneth Kennedy , Frederick Haller , David Hardin , Cheri Matney , Brian Rucker , David Waller , Jacques Deviere , Patricia Chilton
发明人: Matthew Carter , Kenneth Kennedy , Frederick Haller , David Hardin , Cheri Matney , Brian Rucker , David Waller , Jacques Deviere , Patricia Chilton
IPC分类号: A61M25/00
CPC分类号: A61M25/007 , A61M25/0015 , A61M25/0043 , A61M25/0052 , A61M2025/018 , A61M2025/0183
摘要: An elongate catheter shaft having a side port aperture through a side wall of the catheter shaft between proximal and distal ends of the shaft. The side port aperture is open to a lumen. Embodiments of the present invention are directed to stiffening structure disposed in the immediate vicinity of the side port aperture. The stiffening structures may be disposed on or be continuous with, for example, an exterior surface, an interior lumenal surface, within a wall of the catheter shaft, or some combination thereof. The stiffening structures described herein are directed to biasing the catheter shaft in the region of a side port aperture in a straight or curved configuration that resists undesired flexure in the region of the side port aperture.
摘要翻译: 细长导管轴,其具有穿过导管轴的侧壁的侧端口孔,其在轴的近端和远端之间。 侧端口孔向开口开口。 本发明的实施例涉及设置在侧端口孔附近的加强结构。 加强结构可以布置在例如导管轴的壁内的例如外表面,内腔表面或与其连接,或其一些组合。 本文所述的加强结构旨在以直线或弯曲构造偏压侧端口孔区域中的导管轴,以抵抗侧端口孔区域中的不期望的弯曲。
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公开(公告)号:US20050090835A1
公开(公告)日:2005-04-28
申请号:US10903679
申请日:2004-07-29
申请人: Stephen Deal , David Waller , Kenneth Kennedy , Brian Rucker , David Hardin , John Karpiel
发明人: Stephen Deal , David Waller , Kenneth Kennedy , Brian Rucker , David Hardin , John Karpiel
IPC分类号: A61B1/012 , A61B1/018 , A61B17/00 , A61F11/00 , A61M16/00 , A61M25/00 , A61M25/01 , A61M25/09 , A61M31/00
CPC分类号: A61B1/012 , A61M25/00 , A61M25/02 , A61M25/09041 , A61M2025/09125
摘要: A wire guide holder having a body for securing an elongate medical wire or tube, such as a wire guide or catheter. The body is adapted to be attached to a scope or a bite block. The body can be provided with protrusions and/or grooves for holding a wire guide. The wire guide holder may be affixed to the medical scope by clamping. The wire guide holder can also be provided with a seal.
摘要翻译: 线引导器保持器,其具有用于固定细长医疗线或管的主体,例如电线引导件或导管。 身体适合连接到一个范围或咬合块。 主体可以设置有用于保持导线器的突起和/或沟槽。 导线架可以通过夹紧固定在医疗用具上。 电线导向架也可设有密封。
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公开(公告)号:US20070265497A1
公开(公告)日:2007-11-15
申请号:US11796525
申请日:2007-04-27
申请人: Hilbert Brown , Matthew Carter , David Hardin , Brian Jones , Kenneth Kennedy , Brian Rucker , Maximiliano Soetermans , David Waller
发明人: Hilbert Brown , Matthew Carter , David Hardin , Brian Jones , Kenneth Kennedy , Brian Rucker , Maximiliano Soetermans , David Waller
IPC分类号: A61B1/00
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:US20060030864A1
公开(公告)日:2006-02-09
申请号:US11235016
申请日:2005-09-26
申请人: Kenneth Kennedy, , Matthew Carter , Frederick Haller , David Hardin, , David Waller , John Karpiel
发明人: Kenneth Kennedy, , Matthew Carter , Frederick Haller , David Hardin, , David Waller , John Karpiel
IPC分类号: A61F11/00
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.
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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
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。
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公开(公告)号:US20060195117A1
公开(公告)日:2006-08-31
申请号:US11350483
申请日:2006-02-09
申请人: Brian Rucker , Kenneth Kennedy , David Waller
发明人: Brian Rucker , Kenneth Kennedy , David Waller
IPC分类号: A61F11/00
CPC分类号: A61B1/012 , A61B1/00137 , A61M25/01 , A61M25/09041 , A61M2025/024 , A61M2025/028 , A61M2025/09116 , A61M2025/09125
摘要: A wire guide holder having a wire guide deflector. The wire guide holder is provided with a securing portion and a deflecting portion. The securing portion is provided with protrusions and/or grooves for securing a distal portion of a wire guide against longitudinal movement. The deflecting portion is configured to direct the proximal end of a wire guide into an unobtrusive position. A frictional element may be provided to prevent the wire guide from inadvertently sliding or falling out of the deflecting portion. The wire guide holder may be attached to a medical scope or a bite block. The wire guide holder may also be provided with a seal.
摘要翻译: 具有导线导流板的导线架。 线引导架设有固定部分和偏转部分。 固定部分设置有突起和/或沟槽,用于固定电线引导件的远端部分以防止纵向运动。 偏转部分构造成将导线器的近端引导到不引人注目的位置。 可以提供摩擦元件以防止电线引导件从偏心部分中不经意地滑动或脱落。 导线架可以安装在医疗器械或咬合块上。 导线架也可设有密封。
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公开(公告)号:US20080108874A1
公开(公告)日:2008-05-08
申请号:US11888216
申请日:2007-07-31
申请人: David Waller , Hilbert Brown , Patricia Chilton , David Hardin , Kimberly Ingram , Kenneth Kennedy , Vihar Surti , Marcie Yount
发明人: David Waller , Hilbert Brown , Patricia Chilton , David Hardin , Kimberly Ingram , Kenneth Kennedy , Vihar Surti , Marcie Yount
CPC分类号: A61B17/12013 , A61B2017/00296 , A61B2017/12018
摘要: An improved ligating system with a ligating barrel having an adjustable diameter for use with endoscopes of varying sizes is disclosed. The adjustable diameter may be provided by a collet, a flexible helical band, a plurality of screws, or a tapered elastomeric section.
摘要翻译: 公开了一种具有连接筒的改进的连接系统,其具有可调节的直径以用于不同尺寸的内窥镜。 可调直径可以由夹头,柔性螺旋带,多个螺钉或锥形弹性体部分提供。
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公开(公告)号:US20060015006A1
公开(公告)日:2006-01-19
申请号:US11141449
申请日:2005-05-31
申请人: Bernard Laurence , David Waller , David Hardin
发明人: Bernard Laurence , David Waller , David Hardin
IPC分类号: A61B1/00
CPC分类号: A61B1/01 , A61B1/00087 , A61B1/00135 , A61B1/273 , A61B1/313 , A61B17/00234 , A61B17/3421 , A61B17/3468 , A61B17/3496 , A61B17/3498 , A61B2017/00278 , A61B2017/00575 , A61B2017/00637 , A61B2017/0409 , A61B2017/0417 , A61B2017/0472 , A61B2017/3447 , A61B2017/3492
摘要: A device and method for accessing the interior of a cavity of a patient is described. The transmural access system includes an overtube for use with an endoscope, a safety trocar, suture anchors, and a suture exchanger. The overtube is deployed in conjunction with an endoscope through a selected body passageway of a patient to locate a sight for an access portal. The distal end of the multi-lumen overtube is secured to an interior body wall of the selected access portal. A safety trocar is advanced through the main lumen of the overtube to form the access portal to the body cavity. Upon completion of the desired medical procedure, the access portal can be closed by deploying a suture exchanger.
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