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1. 发明申请

WO2013043820A1 SNARE SYSTEM 审中-公开
标题翻译： SNARE系统
公开(公告)号：WO2013043820A1
公开(公告)日：2013-03-28
申请号：PCT/US2012/056256
申请日：2012-09-20
申请人： COOK MEDICAL TECHNOLOGIES LLC
发明人： GOODE, Louis B. , LUI, Chun Kee , EMMERT, Michael Wayne , BOOKER, Robert
IPC分类号： A61B17/22 , A61B17/221
CPC分类号： A61B17/221 , A61B2017/003 , A61B2017/00358 , A61B2017/0046 , A61B2017/22035 , A61B2017/2212 , A61B2017/2929
摘要： A snare for deployment or retrieval of an implantable medical apparatus. The snare includes a shaft, and a tip distal of the shaft. The tip includes an extendable member capable of self-centering the implantable apparatus during a deployment or retrieval. The extendable member is selectively receivable in the tip, distally extendable from the tip, and rotatable relative to the tip. An activatable handle is engaged with the shaft. A wire has an end engaged with the handle and an end engaged with the tip. Upon activation, the wire is urged in a proximal direction, resulting in a flexure of the tip. An elongated mechanism has a proximal portion engaged with the handle, and a distal portion engaged with the tip extendable member. The elongated mechanism is configured for selectively controlling the receiving, deploying, and rotating of the extendable member.
摘要翻译：用于部署或取回植入式医疗设备的圈套。该圈套包括一个轴和一个位于轴远端的尖端。尖端包括能够在部署或回收期间使可植入装置自对中的可延伸构件。可延伸构件可选择性地容纳在尖端中，从顶端向远侧延伸并且可相对于尖端旋转。可激活的手柄与轴接合。电线具有与手柄接合的端部和与尖端接合的端部。激活时，电线沿近端方向被推动，导致尖端的弯曲。细长机构具有与手柄接合的近端部分和与尖端可延伸部件接合的远端部分。细长机构构造成用于选择性地控制可延伸构件的接收，展开和旋转。

2. 发明申请

WO2011123342A1 DEVICE AND METHOD FOR POSITIONING AN IMPLANTED STRUCTURE TO FACILITATE REMOVAL 审中-公开
标题翻译：用于定位植入式结构以便于移除的装置和方法
公开(公告)号：WO2011123342A1
公开(公告)日：2011-10-06
申请号：PCT/US2011/029915
申请日：2011-03-25
申请人： COOK MEDICAL TECHNOLOGIES LLC , GOODE, Louis, B. , LUI, Chun, Kee , BOOKER, Robert
发明人： GOODE, Louis, B. , LUI, Chun, Kee , BOOKER, Robert
IPC分类号： A61B17/22 , A61B17/30 , A61B17/29 , A61B17/00
CPC分类号： A61B17/30 , A61B17/00234 , A61B2017/22035 , A61B2017/2905 , A61B2017/2924 , A61B2017/2946 , A61N2001/0578 , A61N2001/058
摘要： A device (10) for adjusting a position of an elongated structure implanted in biological tissue to facilitate removal. An inner sleeve (60) is received in an outer sleeve (50), and movable relative thereto. A manipulator mechanism (80) is engaged with the inner sleeve distal end, and extends in a distal direction. The manipulator mechanism is arranged to capture the elongated structure, and to lock the elongated structure to the device upon relative movement of the sleeves. A handle (12) is engaged with the inner sleeve, and a plunger (30) is engaged with the outer sleeve. The plunger is engaged with the handle and movable relative thereto, wherein the outer sleeve advances distally relative to the inner sleeve to maneuver the manipulator mechanism to capture the implanted elongated structure. The position of the elongated structure may be controllably adjusted to facilitate removal thereof from the biological tissue.
摘要翻译：一种用于调节植入生物组织中的细长结构的位置以便于移除的装置（10）。内套筒（60）容纳在外套筒（50）中，并可相对于其移动。操纵器机构（80）与内套筒末端接合，并且在远端方向上延伸。操纵器机构设置成捕获细长结构，并且当套筒相对运动时将细长结构锁定到装置上。手柄（12）与内套筒接合，柱塞（30）与外套筒接合。柱塞与手柄接合并相对于其移动，其中外套筒相对于内套筒向远侧前进，以操纵操纵器机构以捕获植入的细长结构。可以可控地调节细长结构的位置以便于将其从生物组织中移出。

3. 发明申请

WO2010062796A1 LOCKING MECHANISM FOR A CATHETER 审中-公开
标题翻译：导管的锁定机构
公开(公告)号：WO2010062796A1
公开(公告)日：2010-06-03
申请号：PCT/US2009/064102
申请日：2009-11-12
申请人： COOK INCORPORATED , SABIN CORPORATION , HRUSKA, Amy, Lee , GRANT, Geoffrey, P. , LESSARD, David, R. , ANDERSON, Steven, D. , HARDERT, Michael, W.
发明人： HRUSKA, Amy, Lee , GRANT, Geoffrey, P. , LESSARD, David, R. , ANDERSON, Steven, D. , HARDERT, Michael, W.
IPC分类号： A61M25/00 , A61M25/04
CPC分类号： A61M25/0097 , A61M25/04 , A61M2025/0163 , A61M2210/1085
摘要： A locking mechanism (15) for a catheter includes a main body (20), a tip (30), and a locking arm (50). The locking arm includes a pivotable portion (56) selectively receivable in a contoured outer surface portion of the main body (24). One end of a tubular member is engageable with the distal end of the tip, and the other end is insertable into a body cavity, e.g., for drainage of fluid therefrom. A tension member (14), e.g. suture, extends through the locking mechanism and the tubular member, and is actuable to maneuver the inserted end of the tubular member into a desired configuration, such as a loop or a pigtail (12). An end of the tension member is receivable along the main body contoured surface following actuation, and is lockable therein upon receipt of the locking arm pivotable portion in the contoured surface, thereby locking the tubular member end in the desired configuration.
摘要翻译：用于导管的锁定机构（15）包括主体（20），尖端（30）和锁定臂（50）。锁定臂包括可选择性地容纳在主体（24）的轮廓外表面部分中的可枢转部分（56）。管状构件的一端可与尖端的远端接合，另一端可插入体腔，例如用于从其中排出流体。张紧构件（14），例如缝合线延伸穿过锁定机构和管状构件，并且可致动以操纵管状构件的插入端部到期望的构造，例如环形或尾纤（12）。张紧构件的端部可沿致动后的主体轮廓表面接收，并且在接收到成形表面中的锁定臂可枢转部分时可锁定在其中，从而将管状构件端部锁定在期望的构造中。

4. 发明申请

WO2008154200A1 CONTINUOUS NERVE BLOCK ASSEMBLY 审中-公开
标题翻译：连续神经块组件
公开(公告)号：WO2008154200A1
公开(公告)日：2008-12-18
申请号：PCT/US2008/065485
申请日：2008-06-02
申请人： COOK CRITICAL CARE INCORPORATED , ARNDT, George, A. , BOSEL, Christopher, D.
发明人： ARNDT, George, A. , BOSEL, Christopher, D.
IPC分类号： A61B19/00 , A61B17/34 , A61B8/08 , A61N1/34
CPC分类号： A61B17/3401 , A61B8/0833 , A61B8/0841 , A61B2017/3413 , A61B2090/3925 , A61N1/08
摘要： An assembly and method for continuous blockage of a nerve in a patient. The assembly includes a needle comprising a hollow needle conduit having a shaft portion and a tip portion, a generally non-conductive layer disposed along a length of the conduit shaft portion, and an echogenic surface extending along at least a portion of the needle. A catheter having a bore for transmittal of an anesthetic to the nerve is receivable in the shaft portion of said needle. Following insertion of the needle tip in the vicinity of the nerve by electrical nerve stimulation and ultrasound visualization, the catheter is passed through the needle conduit such that the distal end of the catheter extends beyond the distal tip of the needle. The catheter has an echogenic portion, such as a ribbon wrapped around the distal end of the catheter, and the catheter echogenic portion is guidable in the vicinity of the nerve under ultrasound imaging. Following placement of the catheter, the needle may be removed, leaving the catheter in position for delivering continuous, spaced doses of the anesthetic over a selected period of time.
摘要翻译：用于连续阻塞患者神经的组装和方法。该组件包括一根针头，该针头包括具有轴部分和尖端部分的中空针导管，沿导管轴部分的长度布置的大体上不导电的层以及沿针的至少一部分延伸的回声表面。具有用于将麻醉剂传递到神经的孔的导管可接收在所述针的轴部分中。在通过电神经刺激和超声可视化将针尖插入神经附近之后，导管穿过针管，使得导管的远端延伸超过针的远端。导管具有回声部分，例如缠绕在导管的远端周围的丝带，并且导管回声部分可在超声成像的神经附近引导。在放置导管之后，可以移除针头，将导管置于适当位置，以在选定的时间段内输送连续的间隔剂量的麻醉剂。

5. 发明申请

WO2008137313A2 LOADING DILATOR WITH TRANSITION BALLOON 审中-公开
标题翻译：带过渡式气球的装载机
公开(公告)号：WO2008137313A2
公开(公告)日：2008-11-13
申请号：PCT/US2008/061128
申请日：2008-04-22
申请人： COOK CRITICAL CARE INCORPORATED , LYONS, Drew, P. , HOFFA, Andrew, K.
发明人： LYONS, Drew, P. , HOFFA, Andrew, K.
IPC分类号： A61M16/04
CPC分类号： A61M16/0488 , A61M16/0429 , A61M16/0434 , A61M16/0472
摘要： A loading dilator for positioning a medical apparatus across a stoma formed in a body wall of a patient. The medical apparatus, such as a tracheotomy tube, is sized to fit over a portion of the loading dilator during positioning of the apparatus across the stoma. The loading dilator includes an elongated dilator body having a tapered distal end for facilitating entry into the stoma. The dilator body has an inflatable balloon disposed along an outer surface at the distal end. The balloon is inflatable to a configuration such that a generally smooth diametrical transition is formed between the elongated dilator body and a leading end of the medical apparatus when the medical apparatus is fit over the loading dilator.
摘要翻译：一种用于将医疗装置定位在形成在患者体壁中的造口上的装载扩张器。诸如气管切开术管的医疗装置的尺寸适于在穿过造口的装置定位期间装配在装载扩张器的一部分上。加载扩张器包括具有锥形远端的细长扩张器主体，用于便于进入造口。扩张器主体具有沿远端的外表面设置的可充气气囊。气囊可充气成使得当医疗装置安装在装载扩张器上时，在细长扩张器本体与医疗装置的前端之间形成大致平滑的直径过渡。

6. 发明申请

WO2008100823A1 PROBE COUPLER ASSEMBLY 审中-公开
标题翻译：探头联合装配
公开(公告)号：WO2008100823A1
公开(公告)日：2008-08-21
申请号：PCT/US2008/053428
申请日：2008-02-08
申请人： COOK VASCULAR INCORPORATED , LUI, Chun Kee
发明人： LUI, Chun Kee
IPC分类号： A61B17/11 , A61B5/026 , A61B17/064
CPC分类号： A61B17/11 , A61B5/026 , A61B17/0643 , A61B2017/1107
摘要： An assembly for joining two vessel segments of a patient comprises a coupler formed of adjoining coupler halves, and a cuff having a large diameter portion and a small diameter portion. Each of the coupler halves includes an aperture for receiving an end of one of the vessel segments. One of the coupler halves comprises a connector element sized and shaped for connection to the other coupler half. The vessel segments are alignable in the respective coupler halves such that a path for fluid flow is formed therebetween upon connection of the coupler halves. The large diameter portion of the cuff is positioned over at least a portion of the coupler, and the small diameter portion of the cuff is positioned over one of the vessel segments. The cuff further includes a probe positioned at the small diameter portion. The probe is positioned within the cuff in a manner such that a signal is receivable therein corresponding to fluid flow through the vessel segment.
摘要翻译：用于连接患者的两个血管段的组件包括由相邻的联接器半部形成的联接器和具有大直径部分和小直径部分的袖带。每个耦合器半部包括用于接收一个容器段的端部的孔。耦合器半部中的一个包括连接器元件，其尺寸和形状用于连接到另一个耦合器半部。血管段可在相应的联合器半部中对齐，使得在联接器半部连接时在其间形成用于流体流动的路径。袖带的大直径部分位于耦合器的至少一部分上，并且袖带的小直径部分位于血管段之一上。袖带还包括位于小直径部分的探针。探针位于袖带内，使得在其中可接收的信号对应于通过血管段的流体流动。

7. 发明申请

WO2007142871A1 ADJUSTABLE TENSION CUFF ASSEMBLY 审中-公开
标题翻译：可调节张力装置总成
公开(公告)号：WO2007142871A1
公开(公告)日：2007-12-13
申请号：PCT/US2007/012450
申请日：2007-05-25
申请人： COOK VASCULAR INCORPORATED , LUI, Chun, Kee
发明人： LUI, Chun, Kee
IPC分类号： A61B5/026 , A61B8/06
CPC分类号： A61B5/0261 , A61B5/6876 , A61B5/6884 , A61B8/06 , A61B8/12 , A61B8/4227 , Y10T292/496
摘要： A cuff assembly for placement around a body vessel comprises a cuff member sized to substantially surround the body vessel, and a tether assembly engaged with the cuff member. The tether assembly is sized to at least substantially encircle the cuff member, and includes a locking mechanism for releasably maintaining a selected tension when the tether assembly encircles the cuff member. The tether assembly may comprise a tether and a tab, wherein the tab is engaged with the cuff member and has an aperture therethrough. The distal end of the tether is engaged with the tab. The locking mechanism may comprise a plurality of stop members disposed along a surface of the tether. The stop members are sized relative to the aperture to enable passage of at least a portion of the tether therethrough to encircle the cuff member when the stop members are aligned at a first angle relative to the aperture, and to substantially fix a position of the tether at a tension around the cuff member when the stop members are aligned at a second angle relative to the aperture.
摘要翻译：用于放置在身体容器周围的袖带组件包括尺寸适于基本上围绕身体容器的袖带构件，以及与袖带构件接合的系绳组件。系绳组件的尺寸至少基本上环绕袖带构件，并且包括锁定机构，用于当系链组件围绕袖带构件时可释放地保持选定的张力。系绳组件可以包括系绳和突片，其中突片与袖带构件接合并且具有穿过其的孔。系绳的远端与翼片接合。锁定机构可以包括沿着系绳的表面设置的多个止动构件。止动构件相对于孔径大小，以使得当止动构件相对于孔以第一角度对齐并且基本上固定系绳的位置时，能够穿过系绳的至少一部分通过其以环绕袖带构件当所述止动构件相对于所述孔以第二角度排列时，围绕所述箍构件的张力。

8. 发明申请

WO2006020044A1 INTRODUCER SHEATH AND METHOD FOR MAKING 审中-公开
标题翻译：介绍制作的方法和方法
公开(公告)号：WO2006020044A1
公开(公告)日：2006-02-23
申请号：PCT/US2005/025188
申请日：2005-07-15
申请人： COOK INCORPORATED , OSBORNE, Thomas, A.
发明人： OSBORNE, Thomas, A.
IPC分类号： A61M25/06
CPC分类号： A61M25/0012 , A61M25/0662 , B29C47/0014 , B29C47/0023 , B29C47/064
摘要： An introducer sheath and a method of manufacturing an introducer sheath. The introducer comprises a first polymeric sleeve (34) having a first striped extrusion arranged in a generally helical pattern along the first sleeve. A second polymeric sleeve (30) is positioned over and bonded to the first polymeric sleeve, the second polymeric sleeve comprising a second striped extrusion that is arranged in a generally helical pattern along the second sleeve. The first and second polymeric sleeves are axially aligned such that the second striped extrusion is superposed over the first striped extrusion to define a generally braid-like configuration. The introducer sheath can optionally include an inner liner disposed within a lumen of the first polymeric sleeve, and/or a coil fitted over the inner liner, such that the first polymeric sleeve is bonded to the inner liner between turns of the coil.
摘要翻译：导引鞘和制造导引鞘的方法。导引器包括第一聚合物套筒（34），该第一聚合物套筒具有沿着第一套筒以大致螺旋形图案布置的第一条纹挤出件。第二聚合物套管（30）设置在第一聚合物套筒的上方并且结合到第一聚合物套筒上，第二聚合物套筒包括沿着第二套筒布置成大致螺旋状的第二条纹挤出物。第一和第二聚合物套筒被轴向对齐，使得第二条纹挤出物叠加在第一条纹挤出物上以限定大致辫状的构型。引导器护套可以可选地包括设置在第一聚合物套筒的内腔内的内衬和/或安装在内衬上的线圈，使得第一聚合物套筒在线圈的匝之间结合到内衬。

9. 发明申请

WO2005084563A1 DEVICE FOR REMOVING AN ELONGATED STRUCTURE IMPLANTED IN BIOLOGICAL TISSUE 审中-公开
标题翻译：用于移除生物组织中的延长结构的装置
公开(公告)号：WO2005084563A1
公开(公告)日：2005-09-15
申请号：PCT/US2005/006212
申请日：2005-02-24
申请人： COOK VASCULAR INCORPORATED
发明人： LUI, Chun, Kee , GOODE, Louis, B. , NORLANDER, Barry, E.
IPC分类号： A61B17/22
CPC分类号： A61B17/22031 , A61B17/221 , A61B2017/2215 , A61N1/056
摘要： A device for removing from a patient a previously implanted elongated structure, such as a pacemaker lead or a defibrillator lead, that may be encapsulated in biological tissue of the patient. In one form, the device comprises a sheath member having an inside dimension greater than the outside dimension of the elongated structure, and a gripping member positioned about the sheath member. The gripping member has a longitudinal passage extending substantially therethrough, which longitudinal passage is dimensioned to encircle at least a portion of the elongated structure. A proximal portion of the gripping member may extend outwardly beyond the proximal end of the elongated structure and outwardly of at least the vascular system of the patient. The gripping member may comprise a first configuration having a first diameter that is greater than the outside dimension of the elongated structure, and a second configuration having a second diameter that is substantially the same as the outside dimension of the elongated structure.
摘要翻译：用于从患者移除可以被包封在患者的生物组织中的先前植入的细长结构（例如起搏器引线或去纤颤器引线）的装置。在一种形式中，该装置包括具有大于细长结构的外部尺寸的内部尺寸的护套构件和围绕护套构件定位的夹持构件。夹持构件具有基本上穿过其延伸的纵向通道，该纵向通道的尺寸被设计成环绕细长结构的至少一部分。夹持构件的近侧部分可以向外延伸超过细长结构的近端并且至少外部至少在患者的血管系统上。夹持构件可以包括具有大于细长结构的外部尺寸的第一直径的第一构造和具有与细长结构的外部尺寸基本相同的第二直径的第二构造。

10. 发明申请

WO2005058409A1 HEMOSTATIC VALVE ASSEMBLY 审中-公开
标题翻译：呼吸阀组件
公开(公告)号：WO2005058409A1
公开(公告)日：2005-06-30
申请号：PCT/US2004/041359
申请日：2004-12-10
申请人： COOK INCORPORATION
发明人： HRUSKA, Christopher, L. , DIXON, Christopher, G. , BARR, Aaron , PAUL, Ram, H., Jr. , ELLER, Alan, A. , OSBORNE, Thomas, A.
IPC分类号： A61M39/06
CPC分类号： A61M39/0613 , A61B17/3462 , A61B17/3498 , A61B2017/00477 , A61M39/0208 , A61M2039/0633 , A61M2039/064 , A61M2039/0686
摘要： An iris-type valve assembly for controlling a flow of fluid. The assembly comprises a base member, a rotatable member, and an elongated elastomeric valve sheath. The distal end of the valve sheath is secured to the base member and the proximal end of the valve sheath is secured to the rotatable member. At least one of the vale sheath ends includes a flange that is secured to a valve-receiving surface of the base member or the rotatable member. The base member and the rotatable member are aligned to define an elongated passageway therethrough for passage of an interventional device, and the elastomeric valve sheath is disposed along the passageway and has a longitudinal opening therethrough for passage of the interventional device. Upon rotation of the rotatable member relative to the base member the longitudinal opening of the valve sheath is selectively constrictable to comprise a seal around the interventional device. The assembly may be provided with ratcheting members to inhibit recoil of the rotatable member, and rib members along the inner surface of the valve sheath to enhance the seal provided by the assembly.
摘要翻译：一种用于控制流体流动的虹膜式阀组件。该组件包括基部构件，可旋转构件和细长的弹性阀护套。阀套的远端固定在底座上，阀套的近端固定在旋转件上。至少一个阀瓣端部包括固定到基部构件或可旋转构件的阀接收表面的凸缘。基部构件和可旋转构件对准以限定穿过其的通道，用于介入装置的通过，并且弹性体阀护套沿着通道设置并且具有穿过其的介入装置通过的纵向开口。当可旋转构件相对于基座构件旋转时，阀套的纵向开口选择性地可收缩以包括围绕介入装置的密封。组件可以设有棘轮构件以阻止可旋转构件的反冲，以及沿着阀套的内表面的肋构件，以增强由组件提供的密封。

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