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1. 发明授权

US08607795B2 Balloon cuff tracheostomy tube 有权
标题翻译：气球袖口气管造口管
公开(公告)号：US08607795B2
公开(公告)日：2013-12-17
申请号：US12206517
申请日：2008-09-08
申请人： Brian J. Cuevas , Michael Sleva , James F. Schumacher , Michael A. Kenowski , Sam C. Chan , Ryan C. Frank
发明人： Brian J. Cuevas , Michael Sleva , James F. Schumacher , Michael A. Kenowski , Sam C. Chan , Ryan C. Frank
IPC分类号： A62B9/06 , A61M16/00
CPC分类号： A61M16/0465 , A61M16/0434 , A61M16/0445 , A61M16/0479 , A61M16/0488
摘要： There is provided a balloon cuffed tracheostomy tube with a balloon designed so as to enhance the tube's anchorability without sealing the tracheal stoma. The tracheostomy tube device includes a conventional curved hollow tube. The distal end of the tube is adapted for insertion through a tracheal stoma and into the tracheal lumen of a patient's throat. The device further includes an inflatable balloon enveloping a portion of the tube. The balloon has a distal portion substantially centered about and attached to the distal end portion of the tube. The balloon also has a proximal portion attached to the bend region of the tube and positioned substantially off-center relative to the proximal portion of the tube and about the bend region below the proximal plane of the device. Upon inflation, this configuration provides for expansion of the balloon around the distal end portion of the tube and the proximal end portion of the tube below the proximal plane of the device to seal the trachea below the tracheal stoma and to avoid sealing the trachea above the tracheal stoma. This configuration of the balloon should allow secretions to exit the stoma so that they do not accumulate and become a possible source of ventilator acquired pneumonia.
摘要翻译：提供了一种气囊带气管气管造口管，其气囊被设计成在不密封气管造口的情况下增强管的可固定性。气管切开管装置包括传统的弯曲中空管。管的远端适于插入穿过气管造口并进入患者喉部的气管腔。该装置还包括包封管的一部分的可充气气囊。气球具有基本上位于管的远端部分周围并附接到管的远端部分的远侧部分。球囊还具有附接到管的弯曲区域的近端部分，并且相对于管的近端部分并且围绕设备的近侧平面下方的弯曲区域基本上偏心定位。在膨胀时，这种构造提供气囊围绕管的远端部分的扩张和管的近端部分在器械的近侧平面下方的密封，以将气管密封在气管造口下方，并且避免将气管密封在气管气管造口气囊的这种配置应该允许分泌物离开造口，使得它们不会积聚并成为呼吸机获得性肺炎的可能来源。

2. 发明申请

US20090090365A1 BALLOON CUFF TRACHEOSTOMY TUBE WITH GREATER EASE OF INSERTION 审中-公开
标题翻译：气球冲洗管与更大的插入
公开(公告)号：US20090090365A1
公开(公告)日：2009-04-09
申请号：US12206560
申请日：2008-09-08
申请人： Brian J. Cuevas , James F. Schumacher , Michael A. Kenowski , Sam C. Chan , Ryan C. Frank
发明人： Brian J. Cuevas , James F. Schumacher , Michael A. Kenowski , Sam C. Chan , Ryan C. Frank
IPC分类号： A62B9/06 , A61M16/00
CPC分类号： A61M16/0465 , A61M16/0434 , A61M16/0443 , A61M16/0445 , A61M16/0479 , A61M16/0488
摘要： There is provided a balloon cuffed tracheostomy tube with a balloon designed so as to enhance the tube's anchorability without sealing the tracheal stoma and to allow for an easier insertion into the trachea than a comparable tube with a thicker balloon. The tracheostomy tube device includes a conventional hollow tube having a proximal end portion, a distal end portion, and a bend region intermediate of the end portions. The distal end portion of the tube is arranged for insertion through a patient's throat and tracheal stoma and into the tracheal lumen. The device further includes an inflatable balloon enveloping a portion of the tube. More particularly, the balloon is equal to or less than 30 microns in thickness, allowing for a greater ease of insertion and insertion through a smaller stoma opening, than a comparable tube with a balloon having a thickness greater than 30 microns.
摘要翻译：提供了一种气球袖套气管造口管，其气囊被设计成在不密封气管造口的情况下增强管的可固定性，并且允许比具有较厚球囊的相当的管更容易插入气管。气管切开管装置包括具有近端部分，远端部分和端部中间的弯曲区域的常规中空管。管的远端部分布置成通过患者的喉部和气管造口插入气管腔。该装置还包括包封管的一部分的可充气气囊。更具体地，气囊的厚度等于或小于30微米，允许通过较小的造口开口更容易地插入和插入，具有厚度大于30微米的球囊的相当的管。

3. 发明申请

US20110098687A1 Cam Action Detachment for Tracheostomy Tube 有权
标题翻译：气管造口管的凸轮动作分离器
公开(公告)号：US20110098687A1
公开(公告)日：2011-04-28
申请号：US12603859
申请日：2009-10-22
申请人： Sam C. Chan , Nathan C. Griffith , Michael A. Kenowski , James F. Schumacher
发明人： Sam C. Chan , Nathan C. Griffith , Michael A. Kenowski , James F. Schumacher
IPC分类号： A61B19/00
CPC分类号： A61M16/0472 , A61B2017/0046 , A61M16/0434 , A61M16/0443 , A61M16/0465 , A61M16/0497 , A61M25/00 , A61M29/00
摘要： There is provided a mechanism for gently detaching a loading catheter from a tracheostomy tube once the tube is placed in the trachea of a patient. After dilating the trachea, a loading catheter is inserted into a tracheostomy tube with which it desirably engages. Once the loading catheter and tracheostomy tube are attached to each other, the entire unit is passed through the stoma until the flange of the tracheostomy tube is in contact with the throat. The loading catheter may then be removed by rotating or twisting the loading catheter handle. The loading catheter and tracheostomy tube have a cam-action mechanism that gently forces the two parts apart as they are rotated relative to each other. This “cam action” disengagement allows for the removal of the loading catheter without subjecting the trachea or throat to undue pressure or forces that might cause trauma or increase recovery time. Other accessories like cannulas and obturators may attach and detach from the tracheostomy tube in a like manner.
摘要翻译：一旦将管置于患者的气管中，就提供了一种用于从气管造口管轻轻分离装载导管的机构。在扩张气管之后，将装载导管插入气管切开管中，使其与其合作。一旦装载导管和气管造口管相互连接，整个单元通过造口直到气管切开管的凸缘与喉部接触。然后可以通过旋转或扭转加载导管手柄来移除装载导管。装载导管和气管造口管具有凸轮作用机构，当它们相对于彼此旋转时，两个部分分开地轻轻地推动。这种“凸轮动作”脱离允许移除加载导管而不使气管或喉管受到可能引起创伤或增加恢复时间的不适当的压力或力。其他配件如插管和闭孔器可以以类似的方式附着和分离气管造口管。

4. 发明申请

US20120017913A1 Tracheostomy Tube Loading Catheter 审中-公开
标题翻译：气管造口管加载导管
公开(公告)号：US20120017913A1
公开(公告)日：2012-01-26
申请号：US12843449
申请日：2010-07-26
申请人： James F. Schumacher , Sam C. Chan , Nathan C. Griffith , F. Anthony Headley, JR.
发明人： James F. Schumacher , Sam C. Chan , Nathan C. Griffith , F. Anthony Headley, JR.
IPC分类号： A61M16/04
CPC分类号： A61M16/0472 , A61M16/0427 , A61M16/0434 , A61M16/0465 , A61M16/0488 , A61M16/0497 , A61M2205/0222 , A61M2205/0238 , A61M2209/06 , A61M2210/1032
摘要： There is provided a tracheostomy tube loading catheter with a handle, mid-section, tip portion and guiding catheter portion, where the guiding catheter and tip portions are non-detachably attached to the mid-section, and where the loading catheter has a cannula therethrough.
摘要翻译：提供了一种具有手柄，中间部分，末端部分和引导导管部分的气管造口管加载导管，其中引导导管和尖端部分不可拆卸地附接到中间部分，并且其中装载导管具有穿过其的套管。

5. 发明申请

US20100300449A1 Position Indicator for Tracheostomy Tube 审中-公开
标题翻译：气管造口管位置指示器
公开(公告)号：US20100300449A1
公开(公告)日：2010-12-02
申请号：US12635822
申请日：2009-12-11
申请人： Sam C. Chan , Nathan C. Griffith , Michael A. Kenowski , James F. Schumacher
发明人： Sam C. Chan , Nathan C. Griffith , Michael A. Kenowski , James F. Schumacher
IPC分类号： A61M16/04
CPC分类号： A61M16/0465 , A61M16/0443 , A61M16/0445 , A61M2205/32
摘要： There is provided an improved tracheostomy tube having a proximal section over-molded by a distal section, where the sections have a differential in the degree of radio-opacity. The radio-opaque material allows a medical professional to determine the location of the tube in the trachea non-invasively, using an x-ray or similar device. In addition, aligning the top (proximal end) of the balloon with the transition between the distal and proximal sections of the tube allows a medical professional to know the exact location of the balloon. The length of the proximal section may be set so that the balloon is place in a pre-determined position so that the transition point between the distal and proximal sections may be used as a position indicator.
摘要翻译：提供了一种改进的气管切开管，其具有由远侧部分过度模制的近端部分，其中部分具有无线电透明度程度的差异。不透射线的材料允许医疗专业人员使用X射线或类似装置非侵入性地确定管在气管中的位置。此外，将球囊的顶部（近端）与管的远侧和近端部分之间的过渡相对准允许医疗专业人员知道气囊的确切位置。近端部分的长度可以被设置成使得气囊位于预定位置，使得远端部分和近侧部分之间的转变点可以用作位置指示器。

6. 发明申请

US20120017916A1 Dilator With Integrated Guiding Catheter 审中-公开
标题翻译：具有综合导向导管的扩张器
公开(公告)号：US20120017916A1
公开(公告)日：2012-01-26
申请号：US12843425
申请日：2010-07-26
申请人： James F. Schumacher , Sam C. Chan , Nathan C. Griffith , F. Anthony Headley, JR.
发明人： James F. Schumacher , Sam C. Chan , Nathan C. Griffith , F. Anthony Headley, JR.
IPC分类号： A61M16/00
CPC分类号： A61M16/0472 , A61M16/0465 , A61M16/0488
摘要： There is provided a device for performing a tracheotomy. The tracheostomy dilator has a body, tip and guiding catheter which are non-detachably attached to each other. The dilator has a cannula sized to accommodate a guide wire. After the trachea has been dilated, the entire device may be removed, leaving only the guide wire in the stoma, and a tracheostomy tube may be inserted over the guide wire and into the trachea. This substantially reduces the number of components and steps required for a successful tracheostomy procedure.
摘要翻译：提供了用于执行气管切开术的装置。气管造口术扩张器具有不可拆卸地彼此附接的主体，尖端和引导导管。扩张器具有尺寸适于容纳导丝的套管。在气管扩张后，整个装置可能被移除，只留下导丝在造口中，气管切开管可插入引导线上并进入气管。这大大减少了成功进行气管造口术所需的组件数量和步骤。

7. 发明申请

US20100300451A1 Punch Dilator 审中-公开
标题翻译：打孔器
公开(公告)号：US20100300451A1
公开(公告)日：2010-12-02
申请号：US12475754
申请日：2009-06-01
申请人： Nathan C. Griffith , Michael A. Kenowski , Sam C. Chan , James F. Schumacher
发明人： Nathan C. Griffith , Michael A. Kenowski , Sam C. Chan , James F. Schumacher
IPC分类号： A61M29/00 , A61B17/34
CPC分类号： A61M16/0472 , A61M16/0429 , A61M29/00
摘要： There is provided a device for performing an initial piercing and dilating of a patient's trachea. The device has a needle within and extending beyond a sheath which in turn is within and extends beyond an introducer dilator. After the needle is used to pierce the trachea, it may be removed and a guide wire (J-wire) inserted through the introducer dilator and sheath in its place. The sheath is slidable within the introducer dilator once the needle is removed. The introducer dilator is then moved forward, into the site of the initial piercing to expand it. As the introducer dilator is moved forward, the sheath may remain stationary, sliding within the introducer dilator and thus reducing trauma to the stoma site.
摘要翻译：提供了用于执行患者气管的初始穿刺和扩张的装置。该装置具有针并且延伸超过护套，护套又在导引器扩张器内并且延伸超出导引器扩张器。在使用针刺穿气管后，可以将其取出，并将引导线（J线）插入穿过导引器扩张器和护套的位置。一旦移除针，鞘可以在导引器扩张器内滑动。然后将导引器扩张器向前移动到初始穿孔的位置以使其膨胀。当引导器扩张器向前移动时，护套可以保持静止，在引入器扩张器内滑动，从而减少造口部位的创伤。

8. 外观设计

USD609335S1 Stoma pad 有权
标题翻译：口腔垫
公开(公告)号：USD609335S1
公开(公告)日：2010-02-02
申请号：US29320500
申请日：2008-06-27
申请人： Brian J. Cuevas , Joseph A. Cesa , Michael Sleva , Sam C. Chan , Marjory J. Greenhalgh
设计人： Brian J. Cuevas , Joseph A. Cesa , Michael Sleva , Sam C. Chan , Marjory J. Greenhalgh

9. 发明授权

US08795360B2 Cam action detachment for tracheostomy tube 有权
标题翻译：用于气管造口管的凸轮动作分离
公开(公告)号：US08795360B2
公开(公告)日：2014-08-05
申请号：US12603859
申请日：2009-10-22
申请人： Sam C. Chan , Nathan C. Griffith , Michael A. Kenowski , James F. Schumacher
发明人： Sam C. Chan , Nathan C. Griffith , Michael A. Kenowski , James F. Schumacher
IPC分类号： A61F2/20 , A61M29/00 , A61M16/04 , A61M25/00 , A61B17/00
CPC分类号： A61M16/0472 , A61B2017/0046 , A61M16/0434 , A61M16/0443 , A61M16/0465 , A61M16/0497 , A61M25/00 , A61M29/00
摘要： There is provided a mechanism for gently detaching a loading catheter from a tracheostomy tube once the tube is placed in the trachea of a patient. After dilating the trachea, a loading catheter is inserted into a tracheostomy tube with which it desirably engages. Once the loading catheter and tracheostomy tube are attached to each other, the entire unit is passed through the stoma until the flange of the tracheostomy tube is in contact with the throat. The loading catheter may then be removed by rotating or twisting the loading catheter handle. The loading catheter and tracheostomy tube have a cam-action mechanism that gently forces the two parts apart as they are rotated relative to each other. This “cam action” disengagement allows for the removal of the loading catheter without subjecting the trachea or throat to undue pressure or forces that might cause trauma or increase recovery time. Other accessories like cannulas and obturators may attach and detach from the tracheostomy tube in a like manner.
摘要翻译：一旦将管置于患者的气管中，就提供了一种用于从气管造口管轻轻分离装载导管的机构。在扩张气管之后，将装载导管插入气管切开管中，使其与其合作。一旦装载导管和气管造口管相互连接，整个单元通过造口直到气管切开管的凸缘与喉部接触。然后可以通过旋转或扭转加载导管手柄来移除装载导管。装载导管和气管造口管具有凸轮作用机构，当它们相对于彼此旋转时，两个部分分开地轻轻地推动。这种“凸轮动作”脱离允许移除加载导管而不使气管或喉管受到可能引起创伤或增加恢复时间的不适当的压力或力。其他配件如插管和闭孔器可以以类似的方式附着和分离气管造口管。

10. 发明申请

US20090090366A1 BALLOON CUFF TRACHEOSTOMY TUBE 有权
标题翻译：气球FF Y Y Y。。
公开(公告)号：US20090090366A1
公开(公告)日：2009-04-09
申请号：US12206517
申请日：2008-09-08
申请人： Brian J. Cuevas , Michael Sleva , James F. Schumacher , Michael A. Kenowski , Sam C. Chan , Ryan C. Frank
发明人： Brian J. Cuevas , Michael Sleva , James F. Schumacher , Michael A. Kenowski , Sam C. Chan , Ryan C. Frank
IPC分类号： A62B9/06
CPC分类号： A61M16/0465 , A61M16/0434 , A61M16/0445 , A61M16/0479 , A61M16/0488
摘要： There is provided a balloon cuffed tracheostomy tube with a balloon designed so as to enhance the tube's anchorability without sealing the tracheal stoma. The tracheostomy tube device includes a conventional curved hollow tube. The distal end of the tube is adapted for insertion through a tracheal stoma and into the tracheal lumen of a patient's throat. The device further includes an inflatable balloon enveloping a portion of the tube. The balloon has a distal portion substantially centered about and attached to the distal end portion of the tube. The balloon also has a proximal portion attached to the bend region of the tube and positioned substantially off-center relative to the proximal portion of the tube and about the bend region below the proximal plane of the device. Upon inflation, this configuration provides for expansion of the balloon around the distal end portion of the tube and the proximal end portion of the tube below the proximal plane of the device to seal the trachea below the tracheal stoma and to avoid sealing the trachea above the tracheal stoma. This configuration of the balloon should allow secretions to exit the stoma so that they do not accumulate and become a possible source of ventilator acquired pneumonia.
摘要翻译：提供了一种气囊带气管气管造口管，其气囊被设计成在不密封气管造口的情况下增强管的可固定性。气管切开管装置包括传统的弯曲中空管。管的远端适于插入穿过气管造口并进入患者喉部的气管腔。该装置还包括包封管的一部分的可充气气囊。气球具有基本上位于管的远端部分周围并附接到管的远端部分的远侧部分。球囊还具有附接到管的弯曲区域的近端部分，并且相对于管的近端部分并且围绕设备的近侧平面下方的弯曲区域基本上偏心定位。在膨胀时，这种构造提供气囊围绕管的远端部分的扩张和管的近端部分在器械的近侧平面下方的密封，以将气管密封在气管造口下方，并且避免将气管密封在气管气管造口气囊的这种配置应该允许分泌物离开造口，使得它们不会积聚并成为呼吸机获得性肺炎的可能来源。

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