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1. 发明授权

US07347852B2 Catheter retention 有权
标题翻译：导管保留
公开(公告)号：US07347852B2
公开(公告)日：2008-03-25
申请号：US09989261
申请日：2001-11-20
申请人： Eamonn P. Hobbs , William M. Appling , Angelo J. Tarricone , Theodore J. Beyer
发明人： Eamonn P. Hobbs , William M. Appling , Angelo J. Tarricone , Theodore J. Beyer
IPC分类号： A61M25/00
CPC分类号： A61M1/3653 , A61M1/3659 , A61M1/3661 , A61M2025/0031 , A61M2025/0034 , A61M2025/0037
摘要： A multiple tube catheter, such as a hemo-dialysis catheter, has first and second tubes which are attached to each other over a zone by one or more longitudinally extending wires which joins the two tubes over that zone. When a catheter is implanted in the patient, the attached zone is within the patient so that the catheter cannot be removed or advanced. When the catheter is to be removed, the longitudinally extending wire or wires are pulled proximally out of the tubes involved so that the two tubes can be separated and individually removed. A flexible separating prong within the patient and proximal of the zone holds the tubes apart to further assure that the catheter cannot be moved.
摘要翻译：诸如血液透析导管的多管导管具有第一和第二管，所述第一和第二管通过在该区域上连接两个管的一个或多个纵向延伸的线在区域上彼此连接。当将导管植入患者体内时，附着区域在患者体内，使得导管不能被移除或前进。当要取出导管时，纵向延伸的电线或电线从所涉及的管中向近侧拉出，使得两个管可以被分开并单独移除。患者内的柔性分离针头和区域的近端将管分开，以进一步确保导管不能移动。

2. 发明授权

US08057460B2 Catheter retention 有权
标题翻译：导管保留
公开(公告)号：US08057460B2
公开(公告)日：2011-11-15
申请号：US11876280
申请日：2007-10-22
申请人： Eamonn P. Hobbs , William M. Appling , Angelo J. Tarricone , Theodore J. Beyer
发明人： Eamonn P. Hobbs , William M. Appling , Angelo J. Tarricone , Theodore J. Beyer
IPC分类号： A61M25/00
CPC分类号： A61M1/3653 , A61M1/3659 , A61M1/3661 , A61M2025/0031 , A61M2025/0034 , A61M2025/0037
摘要： A multiple tube catheter, such as a hemo-dialysis catheter, has first and second tubes which are attached to each other over a zone by one or more longitudinally extending wires which joins the two tubes over that zone. When a catheter is implanted in the patient, the attached zone is within the patient so that the catheter cannot be removed or advanced. When the catheter is to be removed, the longitudinally extending wire or wires are pulled proximally out of the tubes involved so that the two tubes can be separated and individually removed. A flexible separating prong within the patient and proximal of the zone holds the tubes apart to further assure that the catheter cannot be moved.
摘要翻译：诸如血液透析导管的多管导管具有第一和第二管，所述第一和第二管通过在该区域上连接两个管的一个或多个纵向延伸的线在区域上彼此连接。当将导管植入患者体内时，附着区域在患者体内，使得导管不能被移除或前进。当要取出导管时，纵向延伸的电线或电线从所涉及的管中向近侧拉出，使得两个管可以被分开并单独移除。患者内的柔性分离针头和区域的近端将管分开，以进一步确保导管不能移动。

3. 发明授权

US08864755B2 Device and method for endovascular treatment for causing closure of a blood vessel 有权
标题翻译：用于引起血管闭塞的血管内治疗的装置和方法
公开(公告)号：US08864755B2
公开(公告)日：2014-10-21
申请号：US13566502
申请日：2012-08-03
申请人： William M. Appling , Ralph A. Meyer , Theodore J. Beyer , William C. Hamilton, Jr. , Joe D. Brown
发明人： William M. Appling , Ralph A. Meyer , Theodore J. Beyer , William C. Hamilton, Jr. , Joe D. Brown
IPC分类号： A61B18/20 , A61B18/24 , A61B19/00 , A61B18/00 , A61B17/22
CPC分类号： A61B18/24 , A61B90/39 , A61B90/94 , A61B2017/00526 , A61B2017/22068 , A61B2018/00101 , A61B2018/00404 , A61B2018/0063 , A61B2018/2205 , A61B2018/2244 , A61B2090/3925 , G02B6/262
摘要： An endovascular treatment method for causing closure of a blood vessel is provided. The method includes inserting into a blood vessel an optical fiber having a core through which a laser light travels and a spacer sleeve arranged around a distal portion of the core. A distal end of the core defines an enlarged light emitting face, which advantageously provides substantially lower power density while providing the same amount of total energy during a treatment session. After the insertion, laser light is applied through the light emitting face while the inserted optical fiber and spacer sleeve are longitudinally moved. The spacer sleeve positions the light emitting face away from an inner wall of the blood vessel and application of the laser light causes closure of the blood vessel.
摘要翻译：提供了用于引起血管闭合的血管内治疗方法。该方法包括向血管插入具有激光通过的芯的光纤和围绕芯的远端部分布置的间隔套筒。芯的远端限定放大的发光面，其有利地提供显着更低的功率密度，同时在治疗期间提供相同量的总能量。插入后，插入的光纤和间隔套筒纵向移动时，通过发光面施加激光。间隔套筒将发光面朝远离血管的内壁定位，并且施加激光导致血管闭合。

4. 发明申请

US20080154186A1 MULTIPLE LUMEN CATHETER WITH PROXIMAL PORT 审中-公开
标题翻译：多功能导管与前端口
公开(公告)号：US20080154186A1
公开(公告)日：2008-06-26
申请号：US12046926
申请日：2008-03-12
申请人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
发明人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
IPC分类号： A61M25/14
CPC分类号： A61M25/003 , A61M25/0068 , A61M25/0071 , A61M25/008 , A61M2025/0031 , A61M2025/0037
摘要： A vascular access catheter is disclosed that has a catheter shaft distal tip with an angled edge positioned at an acute angle relative to a longitudinal axis of the catheter shaft. A first, second, and third lumen extend longitudinally through the entire catheter shaft. The third lumen is configured for receiving a guidewire. The first lumen has an aperture located in the angled edge of the catheter next to the distal tip and communicates with the first lumen. The second lumen has an aperture that is positioned in the outer surface of the catheter shaft that is in communication with the second lumen, and is spaced proximally from the first lumen aperture. A port is positioned in the outer surface of the catheter shaft that is in communication with the third lumen and the outer surface of the catheter shaft, and is spaced proximally from the second lumen aperture.
摘要翻译：公开了一种血管通路导管，其具有导管轴远端，其具有相对于导管轴的纵向轴线以锐角定位的成角度的边缘。第一，第二和第三腔纵向延伸穿过整个导管轴。第三管腔构造成用于接收导丝。第一管腔具有位于导管的成角度边缘处的孔，邻近远侧末端并与第一管腔连通。第二管腔具有定位在导管轴的与第二内腔连通的外表面中并且与第一管腔开口向近侧间隔开的孔。端口位于导管轴的外表面中，其与第三腔和导管轴的外表面连通，并且与第二管腔开口向近侧间隔开。

5. 发明授权

US08585950B2 Multilumen catheters and method of manufacturing 有权
标题翻译：多元导管及其制造方法
公开(公告)号：US08585950B2
公开(公告)日：2013-11-19
申请号：US12648153
申请日：2009-12-28
申请人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
发明人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
IPC分类号： B31B37/00
CPC分类号： A61M25/0009 , A61M1/3661 , A61M25/0012 , A61M25/0029 , A61M25/003 , A61M25/0032 , A61M25/0043 , A61M25/005 , A61M25/0068 , A61M25/0071 , A61M2025/0031 , A61M2025/0034 , A61M2025/0037 , A61M2025/004 , A61M2025/0078 , A61M2025/0188 , B29C53/14 , B29C65/20 , B29C65/305 , B29C65/76 , B29C66/0044 , B29C66/1122 , B29C66/5227 , B29C66/63 , B29C66/71 , B29C66/72523 , B29C66/8122 , B29C66/836 , B29C66/91231 , B29C66/91421 , B29C66/91431 , B29C66/934 , B29C66/939 , B29L2031/602 , B29L2031/7542 , B29K2827/18 , B29K2019/00 , B29K2023/06 , B29K2075/00 , B29K2083/00
摘要： A multilumen catheter assembly and method of making the catheter assembly is provided that involves providing a plurality of tubes, each tube having a first end, a second end, at least one lumen, and at least one surface, selectively heating at least a portion of the surface of at least a first tube of the plurality of tubes, and contacting the selectively heated portion of the tube with a portion of the surface of a second tube to form a multilumen catheter shaft that is joined together along at least a portion of the length of the catheter shaft.
摘要翻译：提供了一种制造导管组件的多腔导管组件和方法，其包括提供多个管，每个管具有第一端，第二端，至少一个内腔和至少一个表面，选择性地加热至少一部分所述多个管中的至少第一管的表面，并且使所述管的选择性加热的部分与第二管的表面的一部分接触以形成多个导管轴，所述多个导管轴沿着所述多个管的至少一部分导管轴的长度。

6. 发明申请

US20120316546A1 Device and Method for Endovascular Treatment for Causing Closure of a Blood Vessel 有权
标题翻译：血管闭塞的血管内治疗装置及方法
公开(公告)号：US20120316546A1
公开(公告)日：2012-12-13
申请号：US13566502
申请日：2012-08-03
申请人： William M. Appling , Ralph A. Meyer , Theodore J. Beyer , William C. Hamilton, JR. , Joe D. Brown
发明人： William M. Appling , Ralph A. Meyer , Theodore J. Beyer , William C. Hamilton, JR. , Joe D. Brown
IPC分类号： A61B18/20
CPC分类号： A61B18/24 , A61B90/39 , A61B90/94 , A61B2017/00526 , A61B2017/22068 , A61B2018/00101 , A61B2018/00404 , A61B2018/0063 , A61B2018/2205 , A61B2018/2244 , A61B2090/3925 , G02B6/262
摘要： An endovascular treatment method for causing closure of a blood vessel is provided. The method includes inserting into a blood vessel an optical fiber having a core through which a laser light travels and a spacer sleeve arranged around a distal portion of the core. A distal end of the core defines an enlarged light emitting face, which advantageously provides substantially lower power density while providing the same amount of total energy during a treatment session. After the insertion, laser light is applied through the light emitting face while the inserted optical fiber and spacer sleeve are longitudinally moved. The spacer sleeve positions the light emitting face away from an inner wall of the blood vessel and application of the laser light causes closure of the blood vessel.
摘要翻译：提供了用于引起血管闭合的血管内治疗方法。该方法包括向血管插入具有激光通过的芯的光纤和围绕芯的远端部分布置的间隔套筒。芯的远端限定放大的发光面，其有利地提供显着更低的功率密度，同时在治疗期间提供相同量的总能量。插入后，插入的光纤和间隔套筒纵向移动时，通过发光面施加激光。间隔套筒将发光面朝远离血管的内壁定位，并且施加激光导致血管闭合。

7. 发明申请

US20080188843A1 DEVICE AND METHOD FOR ENDOVASCULAR TREATMENT FOR CAUSING CLOSURE OF A BLOOD VESSEL 有权
标题翻译：用于引起血管闭塞的血管内治疗的装置和方法
公开(公告)号：US20080188843A1
公开(公告)日：2008-08-07
申请号：US12100309
申请日：2008-04-09
申请人： William M. Appling , Ralph A. Meyer , Theodore J. Beyer , William C. Hamilton , Joe D. Brown
发明人： William M. Appling , Ralph A. Meyer , Theodore J. Beyer , William C. Hamilton , Joe D. Brown
IPC分类号： A61B18/20
CPC分类号： A61B18/24 , A61B90/39 , A61B90/94 , A61B2017/00526 , A61B2017/22068 , A61B2018/00101 , A61B2018/00404 , A61B2018/0063 , A61B2018/2205 , A61B2018/2244 , A61B2090/3925 , G02B6/262
摘要： An endovascular laser treatment device for causing closure of a blood vessel uses an optical fiber adapted to be inserted into a blood vessel. An inner sleeve is arranged around a distal portion of the optical fiber core such that both distal ends of the inner sleeve and the optical fiber core form an enlarged light emitting face. The enlarged emitting face provides substantially lower power density while providing the same amount of total energy during a treatment session. An outer sleeve arranged around the inner sleeve acts as a spacer to position the light emitting face away from an inner wall of the blood vessel. The enlarged light emitting face and the outer sleeve acting as a spacer reduces the possibility of thermal run-away and device damage, and reduce the possibility of vessel perforations, leading to less bruising, post-operative pain and other clinical complications. In yet another aspect of the present invention, a spacer comprises an inner sleeve and an outer sleeve both arranged around a distal portion of the core to prevent the laser light from traveling laterally and to position the light emitting face away from an inner wall of the vessel. The inner sleeve can be a heat resistive material such as ceramic and the outer sleeve can be, for example, a metallic sleeve to provide structural integrity and strength to the distal section of the treatment device.
摘要翻译：用于引起血管闭合的血管内激光治疗装置使用适于插入血管的光纤。内套筒围绕光纤芯的远端部分布置，使得内套管的远端和光纤芯形成放大的发光面。放大的发射面提供显着更低的功率密度，同时在治疗期间提供相同量的总能量。布置在内套筒周围的外套管用作间隔件，以将发光面定位成离开血管的内壁。放大的发光面和作为间隔物的外套筒减少了热损失和器件损坏的可能性，并减少了血管穿孔的可能性，导致较少的瘀伤，手术后疼痛和其他临床并发症。在本发明的另一方面，一种间隔件包括内套筒和外套筒，两个外套筒均布置在芯体的远端部分周围，以防止激光横向移动，并将发光面朝远离内壁船只。内套筒可以是诸如陶瓷的耐热材料，并且外套筒可以是例如金属套筒，以向治疗装置的远端部分提供结构完整性和强度。

8. 发明申请

US20110224618A1 Catheter retention assembly and method of use 审中-公开
公开(公告)号：US20110224618A1
公开(公告)日：2011-09-15
申请号：US13068748
申请日：2011-05-19
申请人： Joel E. Perchik , William M. Appling , Theodore J. Beyer
发明人： Joel E. Perchik , William M. Appling , Theodore J. Beyer
IPC分类号： A61M25/04
CPC分类号： A61M25/0194 , A61M25/10
摘要： A catheter retention assembly and method of use with a catheter. The assembly has a carrier system and a cuff positioning device with an in-growth cuff and a lumen having an inner wall adapted to be mounted on the outer surface of the catheter, and a carrier system with an inner surface and an outer surface in contact with the inner wall of the cuff positioning device. The carrier system holds the lumen in a first radial state. When the carrier system is removed, the lumen contracts to a second radial state, and the inner wall of the cuff positioning device provides sufficient surface adherence to the outer surface of the catheter, so as to maintain the position of the cuff positioning device relative to the catheter, and to allow for catheter exchange.

9. 发明申请

US20090157051A1 Catheter with open faced end portion 审中-公开
标题翻译：导管与开放的端部
公开(公告)号：US20090157051A1
公开(公告)日：2009-06-18
申请号：US12392220
申请日：2009-02-25
申请人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
发明人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
IPC分类号： A61M25/09
CPC分类号： A61M25/0071 , A61M25/003 , A61M25/0068 , A61M25/008 , A61M2025/0031 , A61M2025/0037
摘要： A vascular access catheter that has a substantially distal end portion that has a distal tip. The distal end portion has a sloped face in the distal portion of the catheter, an outflow lumen aperture, and a second inflow lumen aperture. The outflow lumen aperture is substantially completely open in the sloped face and exits the distal portion adjacent the distal tip. The catheter has a guidewire lumen that is located at least in the region of the distal portion of the catheter and is capable of receiving a guidewire. The guidewire lumen has a proximal aperture and a distal aperture that extends distally of the outflow lumen aperture. The guidewire distal aperture exits at the distal most edge of the distal end portion. The guidewire lumen may extend a partial length of the catheter or substantially the entire length of the catheter. The catheter distal portion may be substantially straight or curved.
摘要翻译：一种血管通路导管，其具有基本上具有远侧末端的远端部分。远端部分在导管的远端部分具有倾斜面，流出腔孔和第二流入腔孔。流出腔孔径在倾斜面基本上完全开放并且离开远侧末端的远侧部分离开。该导管具有至少位于导管的远端部分的区域中并能够接收导丝的导丝管腔。导丝管腔具有近端孔和远端开口，其远端流出流出腔孔径。导丝远端孔在远端部分的最远端出射。导丝腔可以延伸导管的部分长度或基本上导管的整个长度。导管远端部分可以是基本上直的或弯曲的。

10. 发明申请

US20080108975A1 CATHETER WITH OPEN FACED SLOPED END PORTION 有权
标题翻译：带开口的倾斜端部的导管
公开(公告)号：US20080108975A1
公开(公告)日：2008-05-08
申请号：US11557369
申请日：2006-11-07
申请人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
发明人： William M. Appling , Theodore J. Beyer , Carol L. Lancette
IPC分类号： A61M25/00 , A61M31/00 , A61M5/32
CPC分类号： A61M25/0071 , A61M25/003 , A61M25/0068 , A61M25/008 , A61M2025/0031 , A61M2025/0037
摘要： A vascular access catheter that has a substantially distal end portion that has a distal tip. The distal end portion has a sloped face in the distal portion of the catheter, an outflow lumen aperture, and a second inflow lumen aperture. The outflow lumen aperture is substantially completely open in the sloped face and exits the distal portion adjacent the distal tip. The catheter has a guidewire lumen that is located at least in the region of the distal portion of the catheter and is capable of receiving a guidewire. The guidewire lumen has a proximal aperture and a distal aperture that extends distally of the outflow lumen aperture. The guidewire distal aperture exits at the distal most edge of the distal end portion. The guidewire lumen may extend a partial length of the catheter or substantially the entire length of the catheter. The catheter distal portion may be substantially straight or curved.
摘要翻译：一种血管通路导管，其具有基本上具有远侧末端的远端部分。远端部分在导管的远端部分具有倾斜面，流出腔孔和第二流入腔孔。流出腔孔径在倾斜面基本上完全开放并且离开远侧末端的远侧部分离开。该导管具有至少位于导管的远端部分的区域中并能够接收导丝的导丝管腔。导丝管腔具有近端孔和远端开口，其远端流出流出腔孔径。导丝远端孔在远端部分的最远端出射。导丝腔可以延伸导管的部分长度或基本上导管的整个长度。导管远端部分可以是基本上直的或弯曲的。

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