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21. 发明授权

US08187172B2 Endoscope cap with aperture 有权
标题翻译：带孔径的内窥镜盖
公开(公告)号：US08187172B2
公开(公告)日：2012-05-29
申请号：US12250287
申请日：2008-10-13
申请人： Gregory J. Skerven , John A. Karpiel
发明人： Gregory J. Skerven , John A. Karpiel
IPC分类号： A61B1/00
CPC分类号： A61B1/273 , A61B1/0008 , A61B1/00089 , A61B1/00101
摘要： An end cap for an endoscope. The end cap is configured to allow the endoscope to be introduced into a patient body by a short-wire type of operation.
摘要翻译：内窥镜端盖。端盖构造成允许内窥镜通过短线型操作被引入患者体内。

22. 发明申请

US20100160935A1 CLIP DEVICES AND METHODS OF DELIVERY AND DEPLOYMENT 有权
标题翻译： CLIP设备和交付和部署方法
公开(公告)号：US20100160935A1
公开(公告)日：2010-06-24
申请号：US12638190
申请日：2009-12-15
申请人： John A. Karpiel , Andres F. Aguirre
发明人： John A. Karpiel , Andres F. Aguirre
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/083 , A61B17/10 , A61B2017/00862
摘要： The present embodiments provide a clip device for engaging tissue. The clip device comprises at least first and second arms having proximal and distal ends. The clip device comprises an open state when the spring member is in a compressed state in which the distal end of the spring member is spaced further apart from the distal ends of the first and second arms. In the open state, the distal ends of the first and second arms tend to be spaced apart from each other. Further, the clip device comprises a closed state when the spring member is in a relaxed state in which the spring member is biased to extend distally towards the distal ends of the first and second arms. In the closed state, the distal ends of the first and second arms are adjacent to each other and may engage tissue and promote hemostatis. A delivery system and methods for deploying one or more clip devices also are provided.
摘要翻译：本实施例提供了用于接合组织的夹具装置。夹具装置至少包括具有近端和远端的第一和第二臂。当弹簧构件处于压缩状态时，夹子装置包括打开状态，其中弹簧构件的远端与第一和第二臂的远端隔开更远。在打开状态下，第一和第二臂的远端彼此间隔开。此外，夹子装置包括当弹簧构件处于松弛状态时的关闭状态，其中弹簧构件被偏压朝向第一和第二臂的远端向远侧延伸。在关闭状态下，第一和第二臂的远端彼此相邻并且可以接合组织并且促进切割。还提供了用于部署一个或多个剪辑装置的传送系统和方法。

23. 发明申请

US20080188866A1 APPARATUS AND METHODS FOR REMOVING RELATIVELY LARGE AND SMALL STONES FROM A BODY PASSAGE 审中-公开
标题翻译：从身体通过中移除相对大的和小的石头的装置和方法
公开(公告)号：US20080188866A1
公开(公告)日：2008-08-07
申请号：US12024503
申请日：2008-02-01
申请人： John A. Karpiel , Wenfeng Lu , Brian K. Rucker
发明人： John A. Karpiel , Wenfeng Lu , Brian K. Rucker
IPC分类号： A61B17/22
CPC分类号： A61B17/22032 , A61B1/018 , A61B17/221 , A61B90/39 , A61B2017/22035 , A61B2017/22051 , A61B2017/2212 , A61M25/0068 , A61M25/007 , A61M25/008 , A61M25/10 , A61M2025/109
摘要： The present invention provides apparatus and methods suitable for removing at least one stone in a body passage. The apparatus comprises a balloon catheter having at least one working lumen adapted to receive an extraction basket. In use, the extraction basket may be used to capture and remove relatively large stones, and/or crush relatively large stones into smaller stone fragments. The balloon may then be inflated and maneuvered to engage the stone fragments and urge at least one of the stone fragments out of the body passage.
摘要翻译：本发明提供了适于去除身体通道中的至少一块石头的装置和方法。该装置包括球囊导管，其具有适于接收提取篮的至少一个工作腔。在使用中，提取篮可以用于捕获和去除相对较大的石头，和/或将相对较大的石头压碎成更小的石块。然后可以将气球膨胀和操纵以接合石碎片并将至少一个石碎片推出身体通道。

24. 发明授权

US5100384A Method and device for percutaneous intubation 失效
标题翻译：用于经皮插管的方法和装置
公开(公告)号：US5100384A
公开(公告)日：1992-03-31
申请号：US503454
申请日：1990-03-30
申请人： P. Bruce McBrien , John A. Karpiel
发明人： P. Bruce McBrien , John A. Karpiel
IPC分类号： A61F2/958 , A61J15/00
CPC分类号： A61J15/0023 , A61J15/0019 , A61J15/0042 , A61M25/10 , A61J15/0073
摘要： A catheter for intubating a stoma formed by a percutaneous endoscopic technique includes a multi-lumen tube and an inflatable cuff for retaining the catheter in place. The tube includes a fluid lumen for conveying fluid into a patient and an inflation lumen having a port in communication with the interior of the cuff to allow for the egress and ingress of fluid to the cuff. The cuff has contained therein a resilient sponge-like material which has the property that it will remain in its compressed state for an ascertainable period of time after having been maintained in the compressed state for a predetermined period of time, e.g., at least 24 hours. A period of time, not less than the predetermined period of time, prior to the intubation procedure, the cuff is compressed to expel air from the cuff through the inflation lumen and to compress the sponge-like material inside the cuff. A tubular sleeve is applied to the outside of the cuff to maintain the cuff and sponge-like material in its collapsed state. Prior to the intubation procedure, the sleeve is removed. Upon completion of intubation, when the cuff is positioned in a cavity, such as the stomach, internal to the patient, the sponge-like material is expanded by injecting a liquid such as distilled water into the cuff via the inflation lumen. The inflation lumen is then closed.
摘要翻译：用于插管通过经皮内窥镜技术形成的造口的导管包括多腔管和用于将导管保持在适当位置的可充气袖带。该管包括用于将流体输送到患者体内的流体腔和具有与袖带内部连通的端口的充气腔，以允许流体流出袖带。该袖带包含弹性海绵状材料，该材料具有在保持在压缩状态一段预定的时间（例如至少24小时）之后将保持处于其压缩状态一段可确定的时间段。在插管程序之前的一段时间内，不小于预定时间段，压缩袖带以从袖带排出通过充气腔的空气并压缩袖带内的海绵状材料。将管状套筒施加到袖带的外侧以将袖带和海绵状材料保持在其折叠状态。在插管过程之前，将套筒取出。在插管完成时，当袖带定位在患者内部的诸如胃的空腔中时，通过经由充气内腔将诸如蒸馏水的液体注射到袖带中来膨胀海绵状材料。然后关闭充气管腔。

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