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1. 发明申请

US20100174139A1 Guide Wire Insertion and Re-Insertion Tools and Methods of Use 有权
标题翻译：导线插入和重新插入工具及使用方法
公开(公告)号：US20100174139A1
公开(公告)日：2010-07-08
申请号：US12724168
申请日：2010-03-15
申请人： James E. Windheuser , James Yearick , Oscar Carrillo, JR. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
发明人： James E. Windheuser , James Yearick , Oscar Carrillo, JR. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
IPC分类号： A61M25/09 , A61B1/00
CPC分类号： A61M25/0097 , A61M25/0169 , A61M25/0172 , A61M25/02 , A61M25/09041 , A61M2025/0183 , A61M2025/09125
摘要： An insertion tool for use in inserting a guide wire into a guide wire lumen of a catheter for use in a lumen of an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension connected to and disposed atop the main body. The funnel-shaped extension having a funnel lumen. The funnel lumen has a top opening and a bottom opening. The funnel lumen tapering from the top opening to the bottom opening. The bottom opening positioned and sized to communicate with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the top opening of the funnel lumen and into the guide wire lumen of the catheter.
摘要翻译：一种插入工具，用于将导丝插入到用于内窥镜的内腔中的导管的导丝管腔中。插入工具包括主体，主体具有连接到并设置在主体顶部的主内腔和漏斗形延伸部。漏斗状延伸部具有漏斗腔。漏斗腔具有顶部开口和底部开口。漏斗内腔从顶部开口逐渐变细到底部开口。所述底部开口定位并定尺寸成与导管的导丝管腔连通，使得当导管设置在主腔内时，导丝可以容易地插入漏斗腔的顶部开口并进入导丝管腔的导管。

2. 发明授权

US07076285B2 Guide wire insertion and re-insertion tools and methods of use 失效
标题翻译：导丝插入和重新插入工具及使用方法
公开(公告)号：US07076285B2
公开(公告)日：2006-07-11
申请号：US11100946
申请日：2005-04-07
申请人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
发明人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
IPC分类号： A61M25/00
CPC分类号： A61M25/0097 , A61M25/0169 , A61M25/0172 , A61M25/02 , A61M25/09041 , A61M2025/0183 , A61M2025/09125
摘要： An insertion tool for use in inserting a guide wire into a guide wire lumen of a catheter for use in a lumen of an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension connected to and disposed atop the main body. The funnel-shaped extension having a funnel lumen. The funnel lumen has a top opening and a bottom opening. The funnel lumen tapering from the top opening to the bottom opening. The bottom opening positioned and sized to communicate with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the top opening of the funnel lumen and into the guide wire lumen of the catheter.
摘要翻译：一种插入工具，用于将导丝插入到用于内窥镜的内腔中的导管的导丝管腔中。插入工具包括主体，主体具有连接到并设置在主体顶部的主内腔和漏斗形延伸部。漏斗状延伸部具有漏斗腔。漏斗腔具有顶部开口和底部开口。漏斗内腔从顶部开口逐渐变细到底部开口。该底部开口定位并定尺寸成与导管的导丝管腔连通，使得当导管设置在主腔内时，导丝可以容易地插入漏斗腔的顶部开口并进入导丝管腔的导管。

3. 发明授权

US07706861B2 Guide wire insertion and re-insertion tools and methods of use 失效
标题翻译：导丝插入和重新插入工具及使用方法
公开(公告)号：US07706861B2
公开(公告)日：2010-04-27
申请号：US11477407
申请日：2006-06-28
申请人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
发明人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
IPC分类号： A61M25/00 , A61B6/00
CPC分类号： A61M25/0097 , A61M25/0169 , A61M25/0172 , A61M25/02 , A61M25/09041 , A61M2025/0183 , A61M2025/09125
摘要： An insertion tool for use in inserting a guide wire into a guide wire lumen of a catheter for use in a lumen of an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension connected to and disposed atop the main body. The funnel-shaped extension having a funnel lumen. The funnel lumen has a top opening and a bottom opening. The funnel lumen tapering from the top opening to the bottom opening. The bottom opening positioned and sized to communicate with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the top opening of the funnel lumen and into the guide wire lumen of the catheter.
摘要翻译：一种插入工具，用于将导丝插入到用于内窥镜的内腔中的导管的导丝管腔中。插入工具包括主体，主体具有连接到并设置在主体顶部的主内腔和漏斗形延伸部。漏斗状延伸部具有漏斗腔。漏斗腔具有顶部开口和底部开口。漏斗内腔从顶部开口逐渐变细到底部开口。该底部开口定位并定尺寸成与导管的导丝管腔连通，使得当导管设置在主腔内时，导丝可以容易地插入漏斗腔的顶部开口并进入导丝管腔的导管。

4. 发明授权

US06879854B2 Guide wire insertion and re-insertion tools and methods of use 有权
标题翻译：导丝插入和重新插入工具及使用方法
公开(公告)号：US06879854B2
公开(公告)日：2005-04-12
申请号：US10447370
申请日：2003-05-28
申请人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
发明人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
IPC分类号： A61B1/00 , A61M20060101 , A61M25/00 , A61M25/01 , A61M25/09 , A61M29/02 , A61B6/00
CPC分类号： A61M25/0097 , A61M25/0169 , A61M25/0172 , A61M25/02 , A61M25/09041 , A61M2025/0183 , A61M2025/09125
摘要： An insertion tool and method for easily inserting a guide wire into a guide wire lumen of a catheter, particularly a rapid exchange catheter, for use in an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension having a funnel lumen that merges with the main lumen. The funnel lumen has a first large opening and a second smaller opening aligned with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the large opening of the funnel-shaped extension and into the guide wire lumen of the catheter. Also, a re-insertion tool and method for re-inserting a guide wire into a channel of a catheter. The re-insertion tool is particularly useful in combination with an endoscope and an SOE catheter disposed therein.
摘要翻译：一种插入工具和方法，用于将导丝容易地插入导管的导丝管腔中，特别是用于内窥镜的快速交换导管。插入工具包括具有主腔的主体和具有与主腔融合的漏斗腔的漏斗形延伸部。漏斗腔具有与导管的导丝管腔对准的第一大开口和第二较小的开口，使得当导管设置在主腔内时，导丝可以容易地插入漏斗形的大开口中，并延伸到导管的导丝管腔中。另外，用于将导丝重新插入导管的通道中的重新插入工具和方法。再插入工具与内窥镜和置于其中的SOE导管组合是特别有用的。

5. 发明授权

US06606515B1 Guide wire insertion and re-insertion tools and methods of use 有权
标题翻译：导丝插入和重新插入工具及使用方法
公开(公告)号：US06606515B1
公开(公告)日：2003-08-12
申请号：US09312438
申请日：1999-05-14
申请人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
发明人： James E. Windheuser , James Yearick , Oscar Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
IPC分类号： A61M2500
CPC分类号： A61M25/0097 , A61M25/0169 , A61M25/0172 , A61M25/02 , A61M25/09041 , A61M2025/0183 , A61M2025/09125
摘要： An insertion tool and method for easily inserting a guide wire into a guide wire lumen of a catheter, particularly a rapid exchange catheter, for use in an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension having a funnel lumen that merges with the main lumen. The funnel lumen has a first large opening and a second smaller opening aligned with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the large opening of the funnel-shaped extension and into the guide wire lumen of the catheter. The insertion tool may include a tongue or key disposed in the main lumen that is sized to fit in a slot of the catheter to thereby maintain alignment between the funnel lumen and the slot of the catheter. The insertion tool may alternatively include a non-round surface disposed in the main lumen that engages a non-round surface on the exterior of the catheter to thereby maintain alignment between the funnel lumen and the slot of the catheter. The insertion tool may further include a longitudinal slot in the funnel-shaped extension and/or main body to allow removal of the guide wire from the insertion tool while the guide wire remains in the guide wire lumen of the catheter.
摘要翻译：一种插入工具和方法，用于将导丝容易地插入导管的导丝管腔中，特别是用于内窥镜的快速交换导管。插入工具包括具有主腔的主体和具有与主腔融合的漏斗腔的漏斗形延伸部。漏斗腔具有与导管的导丝管腔对准的第一大开口和第二较小的开口，使得当导管设置在主腔内时，导丝可以容易地插入漏斗形的大开口中，并延伸到导管的导丝管腔中。插入工具可以包括设置在主内腔中的舌或键，其尺寸设置成装配在导管的狭槽中，从而保持漏斗腔和导管的狭槽之间的对准。插入工具可以可选地包括设置在主腔内的非圆形表面，其接合导管外部上的非圆形表面，从而保持漏斗腔和导管狭槽之间的对准。插入工具还可包括漏斗形延伸部和/或主体中的纵向狭槽，以允许导丝从插入工具移除，同时导丝保留在导管的导丝管腔中。

6. 发明授权

US08043208B2 Guide wire insertion and re-insertion tools and methods of use 有权
标题翻译：导丝插入和重新插入工具及使用方法
公开(公告)号：US08043208B2
公开(公告)日：2011-10-25
申请号：US12724168
申请日：2010-03-15
申请人： James E. Windheuser , James Yearick , Oscar R. Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
发明人： James E. Windheuser , James Yearick , Oscar R. Carrillo, Jr. , Robert C. Allman , Fernando Alvarez de Toledo , Stephen C. Evans , Norman C. May
IPC分类号： A61M25/09 , A61B1/00
CPC分类号： A61M25/0097 , A61M25/0169 , A61M25/0172 , A61M25/02 , A61M25/09041 , A61M2025/0183 , A61M2025/09125
摘要： An insertion tool for use in inserting a guide wire into a guide wire lumen of a catheter for use in a lumen of an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension connected to and disposed atop the main body. The funnel-shaped extension having a funnel lumen. The funnel lumen has a top opening and a bottom opening. The funnel lumen tapering from the top opening to the bottom opening. The bottom opening positioned and sized to communicate with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the top opening of the funnel lumen and into the guide wire lumen of the catheter.
摘要翻译：一种插入工具，用于将导丝插入到用于内窥镜的内腔中的导管的导丝管腔中。插入工具包括主体，主体具有连接到并设置在主体顶部的主内腔和漏斗形延伸部。漏斗状延伸部具有漏斗腔。漏斗腔具有顶部开口和底部开口。漏斗内腔从顶部开口逐渐变细到底部开口。所述底部开口定位并定尺寸成与导管的导丝管腔连通，使得当导管设置在主腔内时，导丝可以容易地插入漏斗腔的顶部开口并进入导丝管腔的导管。

7. 发明授权

US06997908B2 Rapid exchange catheter with detachable hood 失效
标题翻译：快速交换导管与可拆卸的罩
公开(公告)号：US06997908B2
公开(公告)日：2006-02-14
申请号：US10327379
申请日：2002-12-20
申请人： Oscar R. Carrillo, Jr. , James Yearick , Robert C. Allman , Fernando Alvarez de Toledo , Michael Ciannella , Stephen C. Evans
发明人： Oscar R. Carrillo, Jr. , James Yearick , Robert C. Allman , Fernando Alvarez de Toledo , Michael Ciannella , Stephen C. Evans
IPC分类号： A61M5/178
CPC分类号： A61M25/0169 , A61M25/0075 , A61M25/0097 , A61M2025/018 , A61M2025/0183 , A61M2025/09125
摘要： A single operator exchange biliary catheter having a common distal lumen. The biliary catheter includes an elongate shaft having a proximal portion defining an ancillary lumen and a distal portion defining a common guidewire and ancillary lumen. The common distal lumen reduces the profile of the distal portion of the shaft. The elongate shaft also includes a proximal guidewire port disposed between the proximal end of the shaft and the distal end of the shaft to facilitate single operator use. A seal may be disposed adjacent the proximal guidewire port to thereby seal the port. Preferably, the shaft includes a single lumen distal portion and a bi-lumen proximal portion. The single lumen distal portion of the shaft may be curved and may include a tapered or spherically shaped distal tip.
摘要翻译：单个操作者交换具有共同远端内腔的胆管导管。胆管导管包括细长轴，其具有限定辅助内腔的近端部分和限定公共导丝和辅助管腔的远端部分。共同的远端腔减小轴的远侧部分的轮廓。细长轴还包括设置在轴的近端和轴的远端之间的近端导丝端口，以便于单个操作者使用。密封件可以邻近近端导丝端口设置，从而密封端口。优选地，所述轴包括单腔远端部分和双腔近端部分。轴的单腔远侧部分可以是弯曲的并且可以包括锥形或球形的远端。

8. 发明授权

US06520951B1 Rapid exchange catheter with detachable hood 有权
公开(公告)号：US06520951B1
公开(公告)日：2003-02-18
申请号：US09519649
申请日：2000-03-06
申请人： Oscar R. Carrillo, Jr. , James Yearick , Robert C. Allman , Fernando Alvarez de Toledo , Michael Ciannella , Stephen C. Evans
发明人： Oscar R. Carrillo, Jr. , James Yearick , Robert C. Allman , Fernando Alvarez de Toledo , Michael Ciannella , Stephen C. Evans
IPC分类号： A61M3100
CPC分类号： A61M25/0169 , A61M25/0075 , A61M25/0097 , A61M2025/018 , A61M2025/0183 , A61M2025/09125
摘要： A single operator exchange biliary catheter having a common distal lumen. The biliary catheter includes an elongate shaft having a proximal portion defining an ancillary lumen and a distal portion defining a common guidewire and ancillary lumen. The common distal lumen reduces the profile of the distal portion of the shaft. The elongate shaft also includes a proximal guidewire port disposed between the proximal end of the shaft and the distal end of the shaft to facilitate single operator use. A seal may be disposed adjacent the proximal guidewire port to thereby seal the port. Preferably, the shaft includes a single lumen distal portion and a bitumen proximal portion. The single lumen distal portion of the shaft may be curved and may include a tapered or spherically shaped distal tip.

9. 发明授权

US06346093B1 Single operator exchange biliary catheter with common distal lumen 有权
标题翻译：单个操作者交换胆道导管与共同的远端管腔
公开(公告)号：US06346093B1
公开(公告)日：2002-02-12
申请号：US09312340
申请日：1999-05-14
申请人： Robert C. Allman , Fernando Alvarez de Toledo , Michael Ciannella , Stephen C. Evans
发明人： Robert C. Allman , Fernando Alvarez de Toledo , Michael Ciannella , Stephen C. Evans
IPC分类号： A61M5178
CPC分类号： A61M25/0169 , A61M25/0075 , A61M25/0097 , A61M2025/018 , A61M2025/0183 , A61M2025/09125
摘要： A single operator exchange biliary catheter having a common distal lumen. The biliary catheter includes an elongate shaft having a proximal portion defining an ancillary lumen and a distal portion defining a common guidewire and ancillary lumen. The common distal lumen reduces the profile of the distal portion of the shaft. The elongate shaft also includes a proximal guidewire port disposed between the proximal end of the shaft and the distal end of the shaft to facilitate single operator use. A seal may be disposed adjacent the proximal guidewire port to thereby seal the port. Preferably, the shaft includes a single lumen distal portion and a bi-lumen proximal portion. The single lumen distal portion of the shaft may be curved and may include a tapered or spherically shaped distal tip.
摘要翻译：单个操作者交换具有共同远端内腔的胆管导管。胆管导管包括细长轴，其具有限定辅助内腔的近端部分和限定公共导丝和辅助管腔的远端部分。共同的远端腔减小轴的远侧部分的轮廓。细长轴还包括设置在轴的近端和轴的远端之间的近端导丝端口，以便于单个操作者使用。密封件可以邻近近端导丝端口设置，从而密封端口。优选地，所述轴包括单腔远端部分和双腔近端部分。轴的单腔远侧部分可以是弯曲的并且可以包括锥形或球形的远端。

10. 发明授权

US08187217B2 TMR shunt 失效
标题翻译： TMR分流器
公开(公告)号：US08187217B2
公开(公告)日：2012-05-29
申请号：US11155628
申请日：2005-06-20
申请人： Richard J. Renati , Mark A. Bowen , Stephen C. Evans , Margaret G. McCabe , Marvin Guiles , Fernando Alvarez de Toledo , Gerald Melsky
发明人： Richard J. Renati , Mark A. Bowen , Stephen C. Evans , Margaret G. McCabe , Marvin Guiles , Fernando Alvarez de Toledo , Gerald Melsky
IPC分类号： A61M5/00
CPC分类号： A61F2/915 , A61F2/24 , A61F2/2493 , A61F2/848 , A61F2/91 , A61F2/94 , A61F2/958 , A61F2002/821 , A61F2002/826 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/91575 , A61F2220/0008 , A61F2220/0016 , A61F2230/0013 , A61F2230/005 , A61F2230/006
摘要： A conduit is provided to provide a bypass around a blockage in the coronary artery. The conduit is adapted to be positioned in the myocardium or heart wall to provide a passage for blood to flow between a chamber of the heart such as the left ventricle and the coronary artery, distal to the blockage. The stent is self-expanding or uses a balloon to expand the stent in the heart wall. Various attachment means are provided to anchor the stent and prevent its migration. In one embodiment, a conduit is provided having a distal top which is more preferably a ball top, wire top, flare top or flip-down top. These top configurations anchor the shunt at one end in the coronary artery.
摘要翻译：提供导管以提供围绕冠状动脉阻塞的旁路。导管适于定位在心肌或心脏壁中，以提供血液在心脏室之间流动的通道，例如左心室和冠状动脉之间，远离阻塞。支架是自扩张的，或者使用气囊来扩张心脏壁中的支架。提供各种附接装置以锚定支架并防止其移动。在一个实施例中，提供具有远侧顶部的导管，其更优选地是球顶，线顶，火炬顶部或翻转顶部。这些顶部构型在冠状动脉的一端锚定分流。

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