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11. 发明授权

US5935114A Rapid exchange delivery catheter 失效
标题翻译：快速交换导管
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
IPC分类号： A61M25/00 , A61B17/22 , A61B19/00 , A61F2/06 , A61F2/84 , A61M25/01 , A61M29/02 , A61M5/00
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

12. 发明授权

US5596990A Rotational correlation of intravascular ultrasound image with guide catheter position 失效
标题翻译：血管内超声图像与导管位置的旋转相关
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
IPC分类号： A61M25/01 , A61B8/08 , A61B8/12 , A61B19/00 , A61M25/00 , A61M25/06
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。

13. 发明授权

US09492148B2 Apparatus and methods for sealing vascular punctures 有权
公开(公告)号：US09492148B2
公开(公告)日：2016-11-15
申请号：US10734929
申请日：2003-12-12
申请人： Richard S. Ginn , Stephen M. Salmon
发明人： Richard S. Ginn , Stephen M. Salmon
IPC分类号： A61B17/00 , A61B10/00
CPC分类号： A61B17/0057 , A61B2010/0003 , A61B2017/00004 , A61B2017/00637 , A61B2017/00654 , A61B2017/00672 , A61B2017/00898
摘要： An apparatus for sealing a passage through tissue includes a bioabsorbable body disposed on a distal end of a handle device. The plug member includes a helical thread on its outer surface and the plug member and handle device include cooperating lumens communicating with a distal port. A sealing member is disposed within the plug member lumen. An obturator is inserted through the lumens until its distal tip extends beyond the plug member, the distal tip including a bleed back port. The plug member is threaded into a passage towards a blood vessel until the bleed back indicator identifies the location of the vessel with respect to the plug member. The plug member is released from the handle device, the handle device and obturator are withdrawn, and the sealing member seals the lumen. The plug member is left within the passage to seal the passage until the tissue heals.

14. 发明申请

US20110106148A1 CLOSURE SYSTEM AND METHODS OF USE 有权
标题翻译：封闭系统及其使用方法
公开(公告)号：US20110106148A1
公开(公告)日：2011-05-05
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
IPC分类号： A61B17/00
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： A closure system and methods of use are provided for use in sealing an opening in a body tissue, such as a vascular puncture site. A method of closing the opening in the body tissue can be performed with the closure system having a closure clip. The method can include positioning the closure clip in a first closure clip position adjacent to the opening in the body tissue such that a plurality of spikes of the closure clip are inserted into the tissue at a location outward from a central axis of the opening. Subsequently, the closure clip can be positioned in a second closure clip position such that the plurality of spikes are pulled inward toward the central axis of the opening so as to pull the tissue between the opening and each of the spikes together and close the opening.
摘要翻译：提供封闭系统和使用方法用于密封诸如血管穿刺部位的身体组织中的开口。可以在具有闭合夹的封闭系统中执行关闭身体组织中的开口的方法。该方法可以包括将闭合夹定位在与身体组织中的开口相邻的第一闭合夹具位置中，使得闭合夹的多个尖峰在从开口的中心轴线向外的位置插入到组织中。随后，闭合夹可以被定位在第二闭合夹夹位置中，使得多个钉被向内朝向开口的中心轴线向内拉，以便将开口和每个钉之间的组织拉到一起并关闭开口。

15. 发明授权

US5879305A Rotational correlation of intravascular ultrasound image with guide catheter position 失效
标题翻译：血管内超声图像与导管位置的旋转相关
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
IPC分类号： A61M25/01 , A61B8/08 , A61B8/12 , A61B19/00 , A61M25/00 , A61M25/06
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。

16. 发明授权

US5724977A Rotational correlation of intravascular ultrasound image with guide catheter position 失效
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
IPC分类号： A61M25/01 , A61B8/08 , A61B8/12 , A61B19/00 , A61M25/00 , A61M25/06 , A61B8/00
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.

17. 发明授权

US5348017A Drive shaft for an intravascular catheter system 失效
标题翻译：用于血管内导管系统的驱动轴
公开(公告)号：US5348017A
公开(公告)日：1994-09-20
申请号：US006226
申请日：1993-01-19
申请人： Peter Thornton , Stephen M. Salmon
发明人： Peter Thornton , Stephen M. Salmon
IPC分类号： A61B8/12 , A61B17/22 , A61B19/00 , A61F2/00 , A61M1/00
CPC分类号： A61B17/320758 , A61B8/12 , A61B8/445 , A61B8/4461 , A61B2017/22038 , A61B2017/22072 , A61B2090/378 , A61B2217/005 , A61F2002/30093 , A61F2210/0019
摘要： The present invention provides an improved drive shaft for use in a catheter system having a rotating imaging or interventional work element. A drive shaft according to the present invention is formed at least in part of a material having super elastic properties. This material provides an advantageous combination of column strength and torsional rigidity with the ability to sustain substantial bending without permanent deformation. Preferred embodiments are formed as hollow tubes to allow electrical conducting wires to be disposed within the body of the drive shaft. Some embodiments combine relatively rigid proximal segments with relatively flexible distal segments to allow for entry of the work element into narrow and twisting regions of a patient's vascular system.
摘要翻译：本发明提供一种用于具有旋转成像或介入工作元件的导管系统中的改进的驱动轴。根据本发明的驱动轴至少部分地由具有超弹性的材料形成。该材料提供柱强度和扭转刚度的有利组合以及维持基本弯曲而不会永久变形的能力。优选实施例形成为中空管，以允许导电线设置在驱动轴的主体内。一些实施例将相对刚性的近端段与相对柔性的远端段组合以允许工作元件进入患者血管系统的狭窄和扭转区域。

18. 发明授权

US5054492A Ultrasonic imaging catheter having rotational image correlation 失效
标题翻译：具有旋转图像相关性的超声成像导管
公开(公告)号：US5054492A
公开(公告)日：1991-10-08
申请号：US628745
申请日：1990-12-17
申请人： Robert M. Scribner , Stephen M. Salmon , Mark L. Pomeranz
发明人： Robert M. Scribner , Stephen M. Salmon , Mark L. Pomeranz
IPC分类号： A61B8/12 , A61B19/00 , G10K11/35
CPC分类号： A61B8/12 , A61B8/445 , A61B8/4461 , G10K11/35 , A61B2034/2063 , A61B2090/3925
摘要： An ultrasonic imaging catheter comprises a catheter body having a distal end and a proximal end. An ultrasonic imaging transducer is located within the distal end and is arranged to produce an image in an image plane which is generally normal to the axial direction of the catheter. An ultrasonically opaque element is attached to the catheter body and disposed through the image plane so that an image artifact or marker appears on the resulting ultrasonic image. The artifact corresponds to the location on the catheter where the element is located. A fluoroscopic marker is also provided on the catheter body, typically located proximally of the region where the ultrasonic imaging transducer and other components are located. The fluoroscopic marker has a geometry selected so that the marker has a unique appearance depending on the rotational orientation of the catheter when viewed by fluoroscopy. In this way, the viewing physician may determine the actual rotational orientation of the catheter within the body lumen being viewed and may further correlate the position of the catheter with the apparent position of the ultrasonic image which has been obtained.
摘要翻译：超声成像导管包括具有远端和近端的导管主体。超声波成像传感器位于远端内并且被布置成在通常垂直于导管的轴向方向的图像平面中产生图像。超声波不透明元件附接到导管主体并且通过图像平面设置，使得在所得到的超声波图像上出现图像伪影或标记。神器对应于元件位于导管上的位置。导管主体上还设有荧光标记，通常位于超声波成像传感器和其他部件所在区域的近侧。荧光镜标记具有选择的几何形状，使得当通过荧光透视观察时，标记物具有取决于导管的旋转取向的独特外观。以这种方式，观察医师可以确定在所观察的体腔内的导管的实际旋转取向，并且还可以将导管的位置与已经获得的超声波图像的视在位置相关联。

19. 发明授权

US07828817B2 Apparatus and methods for delivering a closure device 有权
标题翻译：用于传送闭合装置的装置和方法
公开(公告)号：US07828817B2
公开(公告)日：2010-11-09
申请号：US11198811
申请日：2005-08-04
申请人： W. Martin Belef , William N. Aldrich , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony Pantages , Javier Sagastegui
发明人： W. Martin Belef , William N. Aldrich , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony Pantages , Javier Sagastegui
IPC分类号： A61B17/08
CPC分类号： A61B17/083 , A61B17/0057 , A61B17/064 , A61B17/128 , A61B90/39 , A61B2017/00004 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/00862 , A61B2017/0641
摘要： An apparatus for delivering a clip to close an opening through tissue includes a sheath and a carrier assembly including a clip therein that is slidable on the sheath. An actuator assembly is connectable to the sheath, and telescoping actuator members extend from the handle that are connectable to the carrier assembly for advancing the carrier assembly along the sheath. An obturator on the actuator assembly includes splines that may be deployed beyond a distal end of the sheath, and expanded to a transverse expanded configuration for positioning the sheath before deploying the clip. The actuator members include cooperating detents that selectively release the actuator members as the carrier assembly reaches predetermined positions along the sheath for deploying the clip from the carrier assembly, and that collapse the splines to allow removal of the apparatus after deploying the clip.
摘要翻译：用于递送夹子以封闭通过组织的开口的装置包括护套和载体组件，其包括可在护套上滑动的夹子。致动器组件可连接到护套，并且可伸缩的致动器构件从手柄延伸，所述手柄可连接到托架组件，用于沿着护套推进托架组件。致动器组件上的密封件包括可以部署在鞘的远端之外的花键，并且在展开夹子之前扩展成横向扩展构型以定位护套。致动器构件包括配合的棘爪，当托架组件沿着护套到达预定位置时，选择性地释放致动器构件，用于将夹子从承载器组件展开，并且在使用夹子之后使花键折叠以允许移除装置。

20. 发明授权

US06942674B2 Apparatus and methods for delivering a closure device 有权
公开(公告)号：US06942674B2
公开(公告)日：2005-09-13
申请号：US10081723
申请日：2002-02-21
申请人： W. Martin Belef , William N. Aldrich , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony Pantages , Javier Sagastegui
发明人： W. Martin Belef , William N. Aldrich , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony Pantages , Javier Sagastegui
IPC分类号： A61B17/00 , A61B17/064 , A61B17/08 , A61B17/128 , A61B19/00 , A61B17/10
CPC分类号： A61B17/083 , A61B17/0057 , A61B17/064 , A61B17/128 , A61B90/39 , A61B2017/00004 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/00862 , A61B2017/0641
摘要： An apparatus for delivering a clip to close an opening through tissue includes a sheath and a carrier assembly including a clip therein that is slidable on the sheath. An actuator assembly is connectable to the sheath, and telescoping actuator members extend from the handle that are connectable to the carrier assembly for advancing the carrier assembly along the sheath. An obturator on the actuator assembly includes splines that may be deployed beyond a distal end of the sheath, and expanded to a transverse expanded configuration for positioning the sheath before deploying the clip. The actuator members include cooperating detents that selectively release the actuator members as the carrier assembly reaches predetermined positions along the sheath for deploying the clip from the carrier assembly, and that collapse the splines to allow removal of the apparatus after deploying the clip.

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