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    • 1. 发明授权
    • System and method for introducing multiple medical devices
    • 引入多种医疗器械的系统和方法
    • US08206320B2
    • 2012-06-26
    • US10902625
    • 2004-07-29
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • A61B6/00
    • A61B1/018A61B6/12A61B17/221A61B2017/2212A61F2/95A61F2002/041A61F2002/9511A61M25/0029A61M25/0662A61M25/10A61M2025/0183A61M2025/0681
    • 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.
    • 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。
    • 5. 发明授权
    • Over the endoscope introducer for stents
    • 用于支架的内窥镜导引器
    • US08002814B2
    • 2011-08-23
    • US12709888
    • 2010-02-22
    • Kenneth C. Kennedy, IIGregory J. Skerven
    • Kenneth C. Kennedy, IIGregory J. Skerven
    • A61F2/84A61F2/06
    • A61F2/95A61F2/966A61F2002/044A61F2002/9517A61F2002/9665
    • Over-the-scope stent introducers for detachably engaging at least a portion of the outside of an endoscope insert and for delivering a stent are provided. Embodiments include an inner member having a distal first end portion and a proximal second end portion and openings defining a channel. The inner member includes an outer surface, inner endoscope engaging surface, and stent abutting restraint disposed at the first end portion. Embodiments also include an outer member having a distal section and proximal section having openings defining a passageway sized to slideably receive at least a portion of the inner member, and a stent carrying inner chamber disposed at the distal section passageway and being configured to releasably contain a stent. In alternative embodiments, the inner and outer members are elongated to dispose substantially concentrically over a majority of an endoscope insert.
    • 提供了用于可拆卸地接合内窥镜插入件的外部的至少一部分并用于输送支架的超范围的支架引入器。 实施例包括具有远端第一端部分和近端第二端部部分以及限定通道的开口的内部构件。 内部构件包括设置在第一端部处的外表面,内部内窥镜接合表面和支架邻接约束件。 实施例还包括外部构件,其具有远侧部分和近端部分,其具有限定通道的开口,所述开口限定为可滑动地容纳内部构件的至少一部分,以及支架内部室,其设置在远端区段通道处并且构造成可释放地容纳 支架。 在替代实施例中,内部和外部构件是细长的,以大致同心地配置在内窥镜插入件的大部分上。
    • 6. 发明申请
    • OVER THE ENDOSCOPE INTRODUCER FOR STENTS
    • 在STENTS内窥镜介绍
    • US20100161024A1
    • 2010-06-24
    • US12709888
    • 2010-02-22
    • Kenneth C. Kennedy IIGregory J. Skerven
    • Kenneth C. Kennedy IIGregory J. Skerven
    • A61F2/84
    • A61F2/95A61F2/966A61F2002/044A61F2002/9517A61F2002/9665
    • Over-the-scope stent introducers for detachably engaging at least a portion of the outside of an endoscope insert and for delivering a stent are provided. Embodiments include an inner member having a distal first end portion and a proximal second end portion and openings defining a channel. The inner member includes an outer surface, inner endoscope engaging surface, and stent abutting restraint disposed at the first end portion. Embodiments also include an outer member having a distal section and proximal section having openings defining a passageway sized to slideably receive at least a portion of the inner member, and a stent carrying inner chamber disposed at the distal section passageway and being configured to releasably contain a stent. In alternative embodiments, the inner and outer members are elongated to dispose substantially concentrically over a majority of an endoscope insert.
    • 提供了用于可拆卸地接合内窥镜插入件的外部的至少一部分并用于输送支架的超范围的支架引入器。 实施例包括具有远端第一端部分和近端第二端部部分以及限定通道的开口的内部构件。 内部构件包括设置在第一端部处的外表面,内部内窥镜接合表面和支架邻接约束件。 实施例还包括外部构件,其具有远侧部分和近端部分,其具有限定通道的开口,所述开口限定为可滑动地容纳内部构件的至少一部分,以及支架内部室,其设置在远端区段通道处并且构造成可释放地容纳 支架。 在替代实施例中,内部和外部构件是细长的,以大致同心地配置在内窥镜插入件的大部分上。
    • 9. 发明授权
    • System and method for introducing multiple medical devices
    • 引入多种医疗器械的系统和方法
    • US07967830B2
    • 2011-06-28
    • US10902438
    • 2004-07-29
    • Juan Carlos AyalaStephen E. DealCharles AgnewGregory J. Skerven
    • Juan Carlos AyalaStephen E. DealCharles AgnewGregory J. Skerven
    • A61M25/09
    • A61B1/018A61B6/12A61B17/221A61B2017/2212A61F2/95A61F2002/041A61F2002/9511A61M25/0029A61M25/0662A61M25/10A61M2025/0183A61M2025/0681
    • 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. 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. 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.
    • 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。 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。
    • 10. 发明申请
    • Prosthesis having a sleeve valve
    • 具有套筒阀的假体
    • US20080208314A1
    • 2008-08-28
    • US11709518
    • 2007-02-22
    • Gregory J. Skerven
    • Gregory J. Skerven
    • A61F2/06
    • A61F2/04A61F2/06A61F2/24A61F2002/044
    • Disclosed is a pressure sensitive prosthesis that includes a tubular member having a passageway extending therethrough and a sleeve attached about one end of the tubular member. The sleeve functions as a one-way valve to permit fluid flowing through the sleeve lumen in a first, distal direction and under a first pressure, while collapsing in response to fluid flowing in a second direction when the pressure thereof exceeds that of the first direction or pressure. One aspect of the invention includes a first opening and a second opening configured for allowing fluid flow from the passage to the lumen in the first direction.
    • 公开了一种压敏假体,其包括具有延伸穿过其中的通路的管状构件和围绕管状构件的一端附接的套筒。 套筒用作单向阀,以允许流体在第一远端方向和第一压力下流过套筒内腔,同时响应于当第二方向上的流体超过第一方向时流体流动而折叠 或压力。 本发明的一个方面包括第一开口和第二开口,第一开口和第二开口被构造成允许流体沿着第一方向从通道流到内腔。