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1. 发明授权

US09085097B2 Reinforced catheter or sheath with reduced friction surface 有权
标题翻译：增强的导管或护套，减少摩擦面
公开(公告)号：US09085097B2
公开(公告)日：2015-07-21
申请号：US12714589
申请日：2010-03-01
申请人： David Christian Lentz , David A. Drewes, Jr.
发明人： David Christian Lentz , David A. Drewes, Jr.
IPC分类号： A61M25/00 , A61M31/00 , B29C47/02 , B29C47/00 , B29K77/00 , B29L31/00
CPC分类号： B29C47/02 , A61M25/0012 , A61M25/0045 , A61M25/005 , A61M2025/006 , A61M2025/0062 , B29C47/0014 , B29C47/0023 , B29K2077/00 , B29L2031/7542
摘要： A reinforced catheter or sheath includes an inner tube manufactured via an extrusion process from a mixture of thermoplastic and hollow glass beads. The resultant tube exhibits an inner goose bump surface that defines a central lumen. A reinforcement, such as a braid and/or coil is attached to at least a segment of the outer surface of the inner tube. A second tube of thermoplastic is extruded over at least a portion of the reinforcement. The inner goose bump surface exhibits a net low coefficient of friction comparable to that of polytetrafluoroethylene (PTFE).
摘要翻译：增强的导管或护套包括通过挤出工艺从热塑性和中空玻璃珠的混合物制造的内管。所得管显示出限定中心腔的内部鹅凸起表面。诸如编织物和/或线圈的加强件附接到内管的外表面的至少一个部分。第二个热塑塑料管挤压在加强件的至少一部分上。内部鹅凸起表现出与聚四氟乙烯（PTFE）相当的净低摩擦系数。

2. 发明授权

US08657845B2 Multifilar cable catheter 有权
标题翻译：多股电缆导管
公开(公告)号：US08657845B2
公开(公告)日：2014-02-25
申请号：US11748906
申请日：2007-05-15
申请人： David Christian Lentz
发明人： David Christian Lentz
IPC分类号： A61M29/00
CPC分类号： A61M25/104 , A61F2/95 , A61F2/958 , A61F2/966 , A61M25/0009 , A61M25/0023 , A61M25/005 , A61M25/0052 , A61M25/0054 , A61M25/1002 , A61M2025/0046 , A61M2025/018 , A61M2025/0183
摘要： A balloon catheter device of the present invention includes an elongate catheter shaft comprising multifilar cable tubing having a proximal portion and a distal portion. The proximal portion includes a coating that allows the shaft to provide a patent fluid passage, and a part of the distal portion inside a balloon may be uncoated or otherwise open to the balloon lumen, allowing for passage of fluid through the shaft into the balloon lumen.
摘要翻译：本发明的气囊导管装置包括细长的导管轴，其包括具有近端部分和远端部分的多芯电缆管线。近端部分包括允许轴提供专利流体通道的涂层，并且球囊内部的远端部分的一部分可以是未涂覆的或以其它方式打开到气囊腔，允许流体通过轴进入气囊腔。

3. 发明申请

US20120310209A1 Catheter And Treatment Methods For Lower Leg Ischemia 审中-公开
标题翻译：导管和治疗方法下肢缺血
公开(公告)号：US20120310209A1
公开(公告)日：2012-12-06
申请号：US13486048
申请日：2012-06-01
申请人： David Christian Lentz , Christopher Michael Mobley
发明人： David Christian Lentz , Christopher Michael Mobley
IPC分类号： A61M29/02 , A61M29/00 , A61M25/10
CPC分类号： A61M25/104 , A61M5/14 , A61M25/002 , A61M25/0102 , A61M25/0108 , A61M25/09 , A61M29/02 , A61M2025/0042 , A61M2025/1061
摘要： A method of treating lower leg ischemia includes advancing a wire guide upstream through a vascular access sheath extending into an artery, and increasing a downstream flow of blood at least in part by dilating a constriction in the artery with a treatment mechanism guided into the constriction via the wire guide. The method further includes withdrawing a catheter which is coupled with the treatment mechanism from the patient at the percutaneous entry point via sliding the catheter downstream through the vascular access sheath. A low profile balloon may be used as the treatment mechanism, and is advanced through the artery while the vascular access sheath protects the artery from irritation such that spasm of the artery is less likely to occur. Reduced risk of spasm advantageously enables retrograde access to chronic total occlusions such that multiple entry points into a patient's body are not necessary.
摘要翻译：一种治疗小腿缺血的方法包括将导丝器向上游延伸穿过延伸到动脉中的血管通路护套，以及至少部分地通过用引导到狭窄部中的治疗机构扩张动脉中的狭窄来增加血液的下游流动导线。该方法还包括通过将下游的导管滑动通过血管通路鞘来抽出与经皮入口点处的患者与治疗机构联接的导管。可以使用低调气囊作为治疗机构，并且通过动脉前进，同时血管通路护套保护动脉免受刺激，使得动脉痉挛不太可能发生。降低痉挛的风险有利地使逆行进入慢性全部闭塞，使得不需要进入患者身体的多个入口点。

4. 发明申请

US20110213303A1 Reinforced Catheter Or Sheath With Reduced Friction Surface 有权
标题翻译：增强导管或护套减少摩擦面
公开(公告)号：US20110213303A1
公开(公告)日：2011-09-01
申请号：US12714589
申请日：2010-03-01
申请人： David Christian Lentz , David A. Drewes, JR.
发明人： David Christian Lentz , David A. Drewes, JR.
IPC分类号： A61M25/00 , A61M25/10 , B29C47/02
CPC分类号： B29C47/02 , A61M25/0012 , A61M25/0045 , A61M25/005 , A61M2025/006 , A61M2025/0062 , B29C47/0014 , B29C47/0023 , B29K2077/00 , B29L2031/7542
摘要： A reinforced catheter or sheath includes an inner tube manufactured via an extrusion process from a mixture of thermoplastic and hollow glass beads. The resultant tube exhibits an inner goose bump surface that defines a central lumen. A reinforcement, such as a braid and/or coil is attached to at least a segment of the outer surface of the inner tube. A second tube of thermoplastic is extruded over at least a portion of the reinforcement. The inner goose bump surface exhibits a net low coefficient of friction comparable to that of polytetrafluoroethylene (PTFE).
摘要翻译：增强的导管或护套包括通过挤出工艺从热塑性和中空玻璃珠的混合物制造的内管。所得管显示出限定中心腔的内部鹅凸起表面。诸如编织物和/或线圈的加强件附接到内管的外表面的至少一个部分。第二个热塑塑料管挤压在加强件的至少一部分上。内部鹅凸起表现出与聚四氟乙烯（PTFE）相当的净低摩擦系数。

5. 发明申请

US20100222805A1 METHODS FOR EMBOLIC PROTECTION DURING TREATMENT OF A STENOTIC LESION IN A BODY VESSEL 有权
标题翻译：在体内维生素溶液治疗过程中的手术保护方法
公开(公告)号：US20100222805A1
公开(公告)日：2010-09-02
申请号：US12714265
申请日：2010-02-26
申请人： Dharmendra Pal , David Christian Lentz
发明人： Dharmendra Pal , David Christian Lentz
IPC分类号： A61F2/01
CPC分类号： A61B17/22031 , A61B17/221 , A61B2017/2212 , A61F2/013 , A61F2002/018 , A61F2230/0006 , A61F2230/008 , A61F2230/0093
摘要： A method for embolic protection during treatment of a stenotic lesion in a body vessel is provided. The method comprises disposing an embolic protection device in an undeployed state in the body vessel. The device comprises a basket with a set of struts extending from a distal end to a proximal end of the basket, the struts being arranged to define an opening at the distal end, the basket having an expanded state and a collapsed state. A core wire with a distal end and a proximal end is able to reciprocate through the opening at the distal end of the basket. A filter bag is attached only at the distal end of the core wire, the filter bag being located distally to the distal end of the basket when in the collapsed state. The method further comprises moving the core wire relative to the basket to expand the basket and the filter bag in a deployed state downstream from the stenotic lesion to capture emboli during treatment of the stenotic lesion.
摘要翻译：提供了在体内血管狭窄病变治疗期间的栓塞保护方法。该方法包括在身体容器中布置处于非部署状态的栓塞保护装置。所述装置包括一篮子，所述篮子具有从所述篮的远端延伸到所述近端的支柱，所述支柱被布置成在所述远端处限定开口，所述篮具有展开状态和折叠状态。具有远端和近端的芯线能够通过篮的远端处的开口往复运动。过滤袋仅在芯线的远端附接，当处于折叠状态时，过滤袋位于篮的远端处。该方法还包括相对于篮子移动芯线，以在处于狭窄病变的狭窄病变下游的展开状态下将筐和滤袋膨胀以捕获栓塞。

6. 发明授权

US09199058B2 Multifilar cable catheter 有权
标题翻译：多股电缆导管
公开(公告)号：US09199058B2
公开(公告)日：2015-12-01
申请号：US13052598
申请日：2011-03-21
申请人： David Christian Lentz
发明人： David Christian Lentz
IPC分类号： A61M29/00 , A61F2/95 , A61M25/00 , A61F2/958 , A61F2/966 , A61M25/10 , A61M25/01
CPC分类号： A61M25/0009 , A61F2/95 , A61F2/958 , A61F2/966 , A61M25/0023 , A61M25/005 , A61M25/0052 , A61M25/0054 , A61M25/1002 , A61M25/1027 , A61M25/104 , A61M2025/0046 , A61M2025/0047 , A61M2025/018 , A61M2025/0183
摘要： A balloon catheter device includes a multifilar tube shaft having a shaft lumen. A shaft lumen coating is provided on a surface of the multifilar tube shaft and extends from a proximal end of the multifilar tube shaft and terminates before a distal end of the multifilar tube shaft. An inflation balloon is disposed at the distal end of the multifilar tube shaft such that the shaft lumen coating and the inflation balloon form a continuously sealed length of the shaft lumen. The shaft lumen defines an inflation lumen that is in fluid communication with an interior space of the inflation balloon.
摘要翻译：气囊导管装置包括具有轴内腔的多针管轴。轴管腔涂层设置在多针管轴的表面上，并且从多根管轴的近端延伸并且终止于多针管轴的远端之前。充气气球设置在多腔管轴的远端处，使得轴管腔涂层和充气气囊形成轴内腔的连续密封长度。轴腔限定了与充气气囊的内部空间流体连通的充气腔。

7. 发明授权

US08784602B2 Balloon catheter for delivering a therapeutic agent 有权
标题翻译：用于递送治疗剂的气球导管
公开(公告)号：US08784602B2
公开(公告)日：2014-07-22
申请号：US13477774
申请日：2012-05-22
申请人： Darin G. Schaeffer , David Christian Lentz
发明人： Darin G. Schaeffer , David Christian Lentz
IPC分类号： A61M25/00
CPC分类号： A61M25/10 , A61M25/1027 , A61M2025/0004 , A61M2025/1013 , A61M2025/105 , A61M2025/1056
摘要： Catheter balloon assemblies (10) for delivering a therapeutic agent to a body vessel are provided, as well as related methods of manufacturing and methods of treatment. The catheter balloon assemblies may include a concentrically disposed dual balloon assembly at the distal portion of the catheter having an inner balloon (44), a porous outer balloon (42) concentrically arrayed around the inner balloon and a catheter shaft (30) adapted to deliver a therapeutic agent to the body vessel through the apertures in the outer balloon. Radial outward expansion of the inner balloon may urge the outer balloon into contact with the wall of a body vessel, where the therapeutic agent may be delivered from the catheter shaft through apertures in the outer balloon directly to the wall of the body vessel. Preferably, the catheter balloon assemblies include a stiffening' member (210) within the proximal portion and/or a plurality of lumens lined with a fluorinated hydrocarbon to independently inflate the inner balloon, deliver the therapeutic agent through the outer balloon and house a wire guide (50). The catheter balloon assemblies may provide improved tractability and/or pushability characteristics.
摘要翻译：提供了用于将治疗剂递送至身体血管的导管气囊组件（10），以及相关的制造方法和治疗方法。导管球囊组件可以包括在导管的远端部分处的同心设置的双球囊组件，其具有内球囊（44），围绕内球囊同心排列的多孔外球囊（42）和适于递送的导管轴通过外球囊中的孔，向身体血管施加治疗剂。内球囊的径向向外膨胀可以促使外球囊与体血管的壁接触，其中治疗剂可以通过外球囊中的孔直接从导管轴输送到身体血管的壁。优选地，导管球囊组件包括近端部分内的加强构件（210）和/或内衬有氟化烃的多个内腔，以独立地使内球囊膨胀，将治疗剂输送通过外气囊并容纳导线（50）。导管球囊组件可以提供改善的易处理性和/或可推动性特征。

8. 发明授权

US08343136B2 Introducer sheath with encapsulated reinforcing member 有权
标题翻译：引导器鞘与封装的加强构件
公开(公告)号：US08343136B2
公开(公告)日：2013-01-01
申请号：US12198484
申请日：2008-08-26
申请人： William L. Howat , David Christian Lentz
发明人： William L. Howat , David Christian Lentz
IPC分类号： A61M25/00
CPC分类号： A61M25/0045 , A61M25/00 , A61M25/0012 , A61M25/005 , A61M25/0662
摘要： An introducer sheath and a method for making the sheath. The sheath includes a fluoropolymer liner having a passageway extending longitudinally therethrough. An inner jacket is positioned longitudinally over the liner, and the inner surface of the inner jacket is bonded to the outer surface of the liner. An outer jacket is positioned longitudinally over the inner jacket, and the inner surface of the outer jacket is bonded to the outer surface of the inner jacket. A reinforcing coil is encapsulated within the inner jacket and the outer jacket.
摘要翻译：引导器护套和制造护套的方法。护套包括氟聚合物衬垫，其具有纵向延伸通过的通道。内护套纵向设置在衬套上方，并且内护套的内表面结合到衬套的外表面。外护套纵向设置在内护套的上方，外护套的内表面结合到内护套的外表面。加强线圈封装在内护套和外护套内。

9. 发明申请

US20120004606A1 REINFORCED RAPID EXCHANGE CATHETER 有权
标题翻译：加强型快速接头导管
公开(公告)号：US20120004606A1
公开(公告)日：2012-01-05
申请号：US13254117
申请日：2010-03-04
申请人： David Christian Lentz
发明人： David Christian Lentz
IPC分类号： A61M29/00
CPC分类号： A61M25/005 , A61M25/0053 , A61M25/10 , A61M2025/0183
摘要： A medical balloon catheter including a shaft comprised of a cross-wound coil tube and a sleeve surrounding the cross-wound coil tube. The cross-wound coil tube includes a monofilament inner coil disposed within a monofilament outer coil. The inner and outer coils are wound in opposite pitch directions. In at least one embodiment, at least one of the inner and outer coils includes a tapered distal section having a tapered diameter. In at least another embodiment, the inner coil extends distally beyond the distal end of the outer coil, providing increased flexibility in a distal portion of the shaft. An inflation balloon is attached to the distal end of the shaft. The shaft includes an inflation lumen formed through the inner coil and a wire guide lumen formed through the distal portion of the shaft and extending through the chamber of the balloon.
摘要翻译：一种医用气囊导管，其包括由交叉卷绕的线圈管和围绕所述交叉卷绕的线圈管的套筒组成的轴。交叉卷绕的线圈管包括设置在单丝外线圈内的单丝内线圈。内圈和外圈以相反的方向缠绕。在至少一个实施例中，内部和外部线圈中的至少一个包括具有锥形直径的锥形远端部分。在至少另一个实施例中，内部线圈向远侧延伸超出外部线圈的远端，从而在轴的远端部分提供增加的灵活性。充气气球附着在轴的远端。轴包括通过内部线圈形成的充气腔和通过轴的远侧部分形成并延伸穿过气囊的腔室的线引导腔。

10. 发明申请

US20110226647A1 INTRODUCER ASSEMBLY EXTENSION AND METHOD OF USE 审中-公开
标题翻译：引言组合扩展和使用方法
公开(公告)号：US20110226647A1
公开(公告)日：2011-09-22
申请号：US12725787
申请日：2010-03-17
申请人： David Christian Lentz
发明人： David Christian Lentz
IPC分类号： A61B17/34 , A61B6/00 , A61M29/02 , B65B43/00 , A61B19/02
CPC分类号： A61M25/0662 , A61B6/12 , A61B6/481 , A61B6/486 , A61B50/30 , A61B2050/0065 , A61M25/002 , A61M25/0905 , A61M25/104
摘要： An introducer set includes an introducer and dilator along with an extension in a sealed sterile peal open package. The extension is available for use during procedures where the puncture access site to the patient is close enough to the site to be treated in the patient that the physician's hands and/or head may be positioned in the fluroscopic area while the physician is attempting to maneuver a wire guide to a desired location. When the extension is attached to the introducer, the physician may perform a procedure, such as an antigrade stick in the lower leg of a patient, while maintaining their hands and head outside of the fluroscopic area while direct radiation is being supplied and the wire guide is being maneuvered to a desired treatment location. After the wire guide has been properly positioned and the radiation has been terminated, the extension may be disconnected from the introducer and the remaining portions of the procedure (guide catheter insertion, balloon catheter insertion and dilation, etc.) may proceed in a known manner. The extension need only be in the range of ten to thirty centimeters to allow the physician to work a safe distance from the fluroscopic area undergoing direct radiation.
摘要翻译：导引器组包括导引器和扩张器以及在密封的无菌透气包装中的延伸部分。延长部分可用于在患者的穿刺进入部位足够接近患者待治疗的部位的过程中，医师的手和/或头部可能位于荧光区域，同时医师试图操纵导线到所需位置。当延伸部附接到引导器时，医生可以执行诸如患者的小腿中的防飞镖杆的过程，同时在提供直接辐射的同时保持他们的手和头部在荧光区域外部，并且导线引导件正在被操纵到所需的治疗位置。在电线引导件已被正确定位并且辐射已经终止之后，延伸部可以与导引器断开连接，并且该过程的剩余部分（引导导管插入，球囊导管插入和扩张等）可以以已知的方式进行。延伸仅需要在十到三十厘米的范围内，以允许医生与经历直接辐射的眼镜区域安全距离。

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