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    • 86. 发明专利
    • Splittable sleeve, stent deployment device
    • AU5257798A
    • 1998-06-03
    • AU5257798
    • 1997-11-14
    • COOK INC
    • FONTAINE ARTHUR BDOSPASSOS SUSANBATES BRIAN LBOATMAN SCOTT EHOFFA MICHAEL COSBORNE THOMAS A
    • A61F2/00A61F2/95A61F2/958A61F2/97A61M25/06A61F2/06
    • A stent deployment device (10) includes a catheter (12), a stent (14) positioned on the catheter (12), and a sleeve (16) carried on the catheter (12). The sleeve (16) has a portion (18) extending fully over and containing the stent (14). The stent deployment device (10) also includes a mechanism (20) for splitting at least the portion (18) of the sleeve (16) extending over the stent (14) and, preferably, for splitting the entire sleeve (16). Splitting of the sleeve portion (18) permits expansion of the stent (14). The mechanism (20) can include an inflatable, nondistending balloon (22) carried on the catheter (12), the stent (14) and the sleeve portion (18) being positioned over the balloon (22). The stent (14) can be self-expanding or can be expanded by the balloon (22) itself. Alternatively, the mechanism (20) can include a bulbous end (24) on the catheter (12). Longitudinal movement of the bulbous catheter end (24) with respect to the sleeve (16) splits at least the sleeve portion (18), permitting expansion of the stent (14). As further alternatives, the mechanism (20) can include a garrote (66) connected to the sleeve or a partial segment (62) of the sleeve (16) folded back alongside the stent (14). The sleeve (16) can be the same length as the catheter (12) or can be shorter than the catheter (12). In the former case, the mechanism (20) can include a pair of graspable wings (56) for splitting the full length of the sleeve (16). It is preferred that at least the portion (18) of the sleeve (16) extending over the stent (14) includes a longitudinally extending structure 46 for ensuring that the sleeve portion (18) will in fact split upon operation of the
    • 89. 发明专利
    • A medical device for and a method of endoscopic surgery
    • AU648341B2
    • 1994-04-21
    • AU8553091
    • 1991-10-02
    • COOK INC
    • OLSEN DOUGLAS OBATES BRIAN LOSBORNE THOMAS A
    • A61B1/00A61B17/22A61B17/34A61M25/01A61M29/00
    • A medical device for endoscopic access of a body cavity and a method of percutaneously placing inner and outer access sheaths of the device into the body cavity. The medical device includes inner (103) and outer (102) access sheaths and a dilator (101) which is inserted into the outer sheath and has a shoulder or a shoulder piece (114) for abutting against the proximal end of the outer sheath. The device also includes a wire guide (104) that is percutaneously inserted into the body cavity via an introducer needle. The dilator and outer sheath are placed over the wire guide to dilate the puncture site and introduce the dilator and outer sheath into the body cavity. The dilator comprises an elongated cylindrical member having a passageway opening distally from the conically-shaped distal end and from an outside lateral wall of the dilator about the proximal end. The dilator also includes an end cap (107) which is utilized to force the dilator and the outer sheath through the puncture site and into the body cavity. After positioning in the body cavity, the dilator and wire guide are removed through the outer sheath. The inner sheath is then inserted through the outer sheath into the body cavity. The proximal ends of both the inner and outer sheaths include seals for maintaining insufflation of the body cavity. The inner sheath includes a shoulder piece having a chamber and a side port for connection to an insufflation gas line.
    • 90. 发明专利
    • A MEDICAL DEVICE FOR AND A METHOD OF ENDOSCOPIC SURGERY
    • AU8553091A
    • 1992-05-14
    • AU8553091
    • 1991-10-02
    • COOK INC
    • OLSEN DOUGLAS OBATES BRIAN LOSBORNE THOMAS A
    • A61B1/00A61B17/22A61B17/34A61M25/01A61M29/00A61B19/00
    • A medical device for endoscopic access of a body cavity and a method of percutaneously placing inner and outer access sheaths of the device into the body cavity. The medical device includes inner (103) and outer (102) access sheaths and a dilator (101) which is inserted into the outer sheath and has a shoulder or a shoulder piece (114) for abutting against the proximal end of the outer sheath. The device also includes a wire guide (104) that is percutaneously inserted into the body cavity via an introducer needle. The dilator and outer sheath are placed over the wire guide to dilate the puncture site and introduce the dilator and outer sheath into the body cavity. The dilator comprises an elongated cylindrical member having a passageway opening distally from the conically-shaped distal end and from an outside lateral wall of the dilator about the proximal end. The dilator also includes an end cap (107) which is utilized to force the dilator and the outer sheath through the puncture site and into the body cavity. After positioning in the body cavity, the dilator and wire guide are removed through the outer sheath. The inner sheath is then inserted through the outer sheath into the body cavity. The proximal ends of both the inner and outer sheaths include seals for maintaining insufflation of the body cavity. The inner sheath includes a shoulder piece having a chamber and a side port for connection to an insufflation gas line.