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    • 2. 发明申请
    • DEVICE FOR REMOVING AN ELONGATED STRUCTURE IMPLANTED IN BIOLOGICAL TISSUE
    • 用于移除生物组织中的延长结构的装置
    • WO2005084563A1
    • 2005-09-15
    • PCT/US2005/006212
    • 2005-02-24
    • COOK VASCULAR INCORPORATED
    • LUI, Chun, KeeGOODE, Louis, B.NORLANDER, Barry, E.
    • A61B17/22
    • A61B17/22031A61B17/221A61B2017/2215A61N1/056
    • 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.
    • 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。
    • 3. 发明授权
    • MEDICAL INTRODUCER APPARATUS
    • 医疗介绍设备
    • EP1259281B1
    • 2005-04-06
    • EP01920154.0
    • 2001-02-27
    • Cook Vascular Incorporated
    • NORLANDER, Barry, E.BOYLE, William, J.
    • A61M25/06A61M25/00
    • A61M25/0067A61B2017/3484A61B2017/3488A61M25/003A61M25/0041A61M25/0075A61M25/0152A61M25/04A61M25/0662A61M25/0668A61M25/10A61M39/0606A61M2025/0034A61M2025/0037A61M2025/0039A61M2025/004A61M2025/0183A61M2025/0681A61M2025/1052A61M2210/125
    • An introducer apparatus (10) comprising a pair of co-extending splittable introducer sheaths (11), (12) is disclosed. The unique properties (pushability, torqueability, length, shape, etc.) of the individual introducer sheaths yields an introducer apparatus with the additional navigational flexibility to reach a remote target that whose access would be more difficult or impossible with a single introducer sheath. One embodiment include a coaxial pair of introducer sheaths made of molecularly oriented (non-isotropic) polytetrafluoroethylene PTFE which are used for placement of a pacemaker or defibrillator lead into the coronary sinus. In this embodiment, the first introducer sheath (11) is introduced over a wire guide into ostium of the coronary sinus, which represents the first target site. The outer introducer sheath includes preformed bends (20) to facilitate passage through the vasculature. A second introducer sheath (12), which includes a curved distal portion (17), is introduced through the first introducer where it extends from the distal end of the outer introducer sheath to access the second, ultimate targer site, such as a coronary artery branching from the coronary sinus. After the pacemaker lead has been placed, both sheaths are split and removed from the patient.
    • 公开了一种包括一对共同延伸的可分开导引器鞘(11),(12)的导引器装置(10)。 独立导引器护套的独特性能(推力,扭矩,长度,形状等)产生导引器装置,具有附加的导航灵活性以到达远程目标,其使用单个导引器鞘可能更难或不可能进入。 一个实施例包括由分子取向(非各向同性)聚四氟乙烯PTFE制成的同轴对的导引器鞘,其用于将起搏器或除颤器引线放置到冠状窦中。 在该实施例中,第一导引器鞘(11)通过导丝器引入代表第一目标部位的冠状窦的窦口。 外部导引器鞘包括预成形的弯曲部(20)以促进通过脉管系统。 包括弯曲的远侧部分(17)的第二导引器鞘(12)通过第一导引器引入,其中它从外部导引器鞘的远端延伸以进入第二最终目标器官部位,例如冠状动脉 从冠状窦分支。 放置起搏器导线后,两个护套分开并从病人身上取下。
    • 4. 发明公开
    • DEVICE AND METHOD FOR REMOVING LUMENLESS LEADS
    • VORRICHTUNG ZUM ENTFERNEN VON LUMENLOSEN ZULEITUNGEN
    • EP1984072A2
    • 2008-10-29
    • EP07750422.3
    • 2007-02-09
    • Cook Vascular Incorporated
    • LUI, Chun, KeeNORLANDER, Barry, E.
    • A61N1/05
    • A61N1/056A61N1/057A61N2001/0578
    • A device for removing from a patient a previously implanted elongated structure, such as a cardiac lead. The device includes a gripping member having a receiving portion and a capturing portion. The receiving portion defines an eyelet for receiving a length of the elongated structure. The capturing portion is movable relative to at least the eyelet of the receiving portion, and is dimensioned such that upon relative movement, the receiving portion is constrictable around a length of the elongated structure length. The receiving portion may comprise a wire and the capturing portion may comprise a collar, wherein at least a portion of the collar is movable over the eyelet to constrict the wire around the length of the elongated structure length received in the eyelet.
    • 用于从患者移除先前植入的细长结构(例如心脏引线)的装置。 该装置包括具有接收部分和捕获部分的夹持部件。 接收部分限定用于接收细长结构的长度的孔眼。 捕获部分相对于至少接收部分的孔眼是可移动的,并且其尺寸使得在相对运动时,接收部分围绕细长结构长度的长度是可收缩的。 接收部分可以包括线,并且捕获部分可以包括轴环,其中轴环的至少一部分可以在孔眼上移动以围绕在孔眼中接收的细长结构长度的长度收缩线。