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1. 发明授权

US08591563B2 Catheter with splittable wall shaft and peel tool 有权
标题翻译：导管与可裂壁墙和剥皮工具
公开(公告)号：US08591563B2
公开(公告)日：2013-11-26
申请号：US11235016
申请日：2005-09-26
申请人： John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
发明人： John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
IPC分类号： A61F2/84 , A61M25/01
CPC分类号： A61F2/97 , A61F2/954 , A61F2/962 , A61F2002/065 , A61F2002/9517 , A61M25/0009 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0668 , A61M2025/004 , A61M2025/0079 , A61M2025/0183 , A61M2025/09116
摘要： A method and apparatus for uncoupling a wire guide from and elongate medical device comprising a catheter shaft having a wire guide lumen extending there through, wherein the material surrounding the wire guide lumen is selected or adapted to facilitate splittability for removal of the wire guide. The catheter shaft is coextruded and comprises a plurality of materials. The portion of the shaft adjacent the wire guide lumen is formed from a first material and the balance of the shaft is formed from a second material. The first material is selected or adapted to facilitate splittability as compared to the second material. The first material may have a lower durometer than the second material. A peel tool for separating the wire guide from the catheter shaft is also provided.
摘要翻译：一种用于使导线器从细长医疗装置脱离的细长医疗装置的方法和装置，其包括具有在其中延伸的线引导腔的导管轴，其中围绕导线管内腔的材料被选择或适于促进用于移除导线器的分裂性。导管轴是共挤出的并且包括多个材料。轴的邻近线引导腔的部分由第一材料形成，并且轴的平衡部由第二材料形成。与第二材料相比，选择或调整第一材料以便于分裂性。第一材料可以具有比第二材料低的硬度。还提供了用于将导线器与导管轴分离的剥离工具。

2. 发明授权

US08206320B2 System and method for introducing multiple medical devices 有权
标题翻译：引入多种医疗器械的系统和方法
公开(公告)号：US08206320B2
公开(公告)日：2012-06-26
申请号：US10902625
申请日：2004-07-29
申请人： Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
发明人： Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
IPC分类号： A61B6/00
CPC分类号： A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0662 , A61M25/10 , A61M2025/0183 , A61M2025/0681
摘要： A method and apparatus for introducing a first elongate medical device and short wire guide that are coupled together into a work site and remotely disconnecting them within the work site such that a secondary device comprising a catheter member can be introduced over the wire guide to the work site, and/or a second wire guide can be introduced to the work site via a passageway of the primary access device. A system of indicia, such as radiopaque or viewable markers, permit the operator to monitor the relative alignment of the devices within the work site to determine when uncoupling has occurred. In one example of the method, a wire guide and primary access device (e.g., a sphincterotome) is coupled to the wire guide and introduced via a duodenoscope into the biliary system. After performing a first medical operation, the devices are uncoupled with the wire guide being left within the biliary system such that a secondary access device, such as a balloon, biopsy device, stent delivery catheter, dilator, etc., can be introduced to perform a second medical operation without a traditional over-the-wire exchange being required. In another example of the method, a prosthesis, such as a valve or stent, is placed within the work site coupled to a wire guide which is remotely disconnected within the work site and a secondary device, such as a dilation balloon or second prosthesis, is introduced into the work site after the first delivery system is removed.
摘要翻译：一种用于引入第一细长医疗装置和短线引导件的方法和装置，所述第一细长医疗装置和短导线引导件联接在一起成为工作现场并在工作现场内远程地断开它们，使得包括导管部件的辅助装置可以被引导到导线器上，现场和/或第二导线引导件可以经由主接入设备的通道引入到工作现场。诸如不透射线或可见标记的标记系统允许操作者监视工作现场内的设备的相对对准以确定何时发生解偶联。在该方法的一个示例中，线导向器和主入口装置（例如括约肌切开机）联接到线导引件并经十二指肠镜引入胆道系统。在执行第一次医疗操作之后，将装置与线引导件脱离在胆汁系统内，使得可以引入二次进入装置，例如气囊，活检装置，支架输送导管，扩张器等，以执行不需要传统的线上交换即可进行第二次医疗。在该方法的另一示例中，诸如阀或支架的假体被放置在工作部位内，该工作部位与工作部位远程断开的线引导件相连，并且辅助装置（例如扩张气囊或第二假体）在第一个传送系统被删除之后被引入工作现场。

3. 发明授权

US08211087B2 Distal wire stop 有权
标题翻译：远端电线停止
公开(公告)号：US08211087B2
公开(公告)日：2012-07-03
申请号：US11006496
申请日：2004-12-07
申请人： Matthew P. Carter , Frederick B. Haller , Kenneth C. Kennedy, II , Brian K. Rucker , Stephen E. Deal , Juan Carlos Ayala
发明人： Matthew P. Carter , Frederick B. Haller , Kenneth C. Kennedy, II , Brian K. Rucker , Stephen E. Deal , Juan Carlos Ayala
IPC分类号： A61M25/00 , A61M5/178
CPC分类号： A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0662 , A61M25/10 , A61M2025/0006 , A61M2025/0025 , A61M2025/0059 , A61M2025/0177 , A61M2025/0183 , A61M2025/0681 , A61M2025/09125
摘要： A method and apparatus for releasably securing a wire guide to an elongate medical device for introduction into a work site with the bodily lumen of a patient. An elongate engagement member is configured to engage the wire guide while it is coupled to the elongate medical device and is configured so as to prevent relative movement between the wire guide and the elongate medical device.
摘要翻译：一种用于将线引导件可释放地固定到细长医疗装置用于引入患者体腔的工作现场的方法和装置。细长接合构件构造成在线引导件联接到细长医疗装置的同时接合线引导件，并且构造成防止线引导件与细长医疗装置之间的相对运动。

4. 发明授权

US07731652B2 Scope dock 有权
标题翻译：范围码头
公开(公告)号：US07731652B2
公开(公告)日：2010-06-08
申请号：US11129009
申请日：2005-05-13
申请人： Vihar C. Surti , Eric Young , Kenneth C. Kennedy, II , Frederick B. Haller , Matthew P. Carter , Antoine Clark , Stephen E. Deal
发明人： Vihar C. Surti , Eric Young , Kenneth C. Kennedy, II , Frederick B. Haller , Matthew P. Carter , Antoine Clark , Stephen E. Deal
IPC分类号： A61B1/00 , A61M5/32
CPC分类号： A61B1/00147 , A45F2005/008 , A61B90/53
摘要： A medical device for allowing a physician to unhand a scope or other instruments while maintaining control of the scope or other instruments during a medical procedure. The medical device includes at least one docks and a harness for attaching the dock to the physician's body. The harness can be adjustable, or sized to fit a specific physician. During a procedure, a physician outfitted with the medical device can place a scope and/or other instrument in the dock(s). Once the scope and/or other instrument is placed in the dock(s), the physicians hands are free to perform other procedures, while the physician continually controls the relative position of the scope with respect to the physician or the patient.
摘要翻译：一种医疗设备，用于允许医生在医疗过程中保持对范围或其他器械的控制，以免手指范围或其他器械。医疗设备包括至少一个基座和用于将码头附接到医师身体的线束。线束可以是可调整的或尺寸适合特定的医生。在手术过程中，配有医疗设备的医生可以将一个或多个放置在其中的仪器放置在基座中。一旦将示波器和/或其他器械放置在码头中，医生手就可以自由执行其他程序，而医师不断控制范围相对于医师或患者的相对位置。

5. 发明授权

US07976496B2 Balloon folding control mechanism 有权
标题翻译：气球折叠控制机构
公开(公告)号：US07976496B2
公开(公告)日：2011-07-12
申请号：US12168450
申请日：2008-07-07
申请人： Kenneth C. Kennedy, II , Matthew P. Carter
发明人： Kenneth C. Kennedy, II , Matthew P. Carter
IPC分类号： A61M29/00
CPC分类号： A61M25/10 , A61M25/1027 , A61M25/1029 , A61M25/1038 , A61M2025/1004 , A61M2025/1047 , A61M2025/1068 , A61M2025/1084 , A61M2025/1093
摘要： A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is affixed to the distal end of the catheter so as to provide an air tight seal there between. A stiffening member extends distally of the distal end of the catheter and forms a slip joint connection with the distal end of the balloon to permit the distal end of the balloon to axially move or translate relative to the distal end of the catheter. The slip joint allows the axial length of balloon to change during inflation or deflation without transferring tensile or compressive forces between the balloon and the catheter. A balloon folding control mechanism is disposed about the portion of the stiffening member traversing the interior of the balloon, and is configured to promote refolding of the balloon into a predetermined and desired folding configuration upon deflation.
摘要翻译：气囊导管，其包括固定在导管上的可膨胀气囊。气囊的近端固定在导管的远端，以便在其间提供气密封。加强构件在导管的远端的远侧延伸并且与气囊的远端形成滑动关节连接，以允许气囊的远端相对于导管的远端轴向移动或平移。滑动关节允许气囊的轴向长度在充气或放气期间改变，而不会在气囊和导管之间传递拉伸或压缩力。气球折叠控制机构设置在穿过气球内部的加强构件的部分周围，并且被构造成在放气时促进气囊重折叠成预定和期望的折叠构型。

6. 发明申请

US20090018500A1 BALLOON CATHETER WITH DEFLATION MECHANISM 有权
标题翻译：带缺陷机构的气球导管
公开(公告)号：US20090018500A1
公开(公告)日：2009-01-15
申请号：US12168432
申请日：2008-07-07
申请人： Matthew P. Carter , Kenneth C. Kennedy, II
发明人： Matthew P. Carter , Kenneth C. Kennedy, II
IPC分类号： A61M25/10
CPC分类号： A61M25/10 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/1025 , A61M25/1027 , A61M25/1034 , A61M2025/1004 , A61M2025/1052 , A61M2025/1061 , A61M2025/1093
摘要： A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is fixedly connected to the distal end of the catheter, and the distal end of the balloon is supported by stiffening member that extends distally from the distal end of the catheter and through the interior of the balloon. The distal end of the catheter comprises one or more apertures that are in fluid communication with an inflation lumen extending through the catheter. A deflation mechanism is disposed about the stiffening member and is configured to facilitate the flow of an inflation fluid through the interior volume of the balloon and towards the aperture.
摘要翻译：气囊导管，其包括固定在导管上的可膨胀气囊。球囊的近端固定地连接到导管的远端，并且球囊的远端由从导管的远端向远侧延伸并且穿过气囊内部的加强构件支撑。导管的远端包括与延伸穿过导管的充气腔流体连通的一个或多个孔。放气机构围绕加强构件设置，并且构造成便于充气流体流过球囊的内部空间并朝向孔径的流动。

7. 发明授权

US07972299B2 Balloon catheter with deflation mechanism 有权
标题翻译：气囊导管带放气机制
公开(公告)号：US07972299B2
公开(公告)日：2011-07-05
申请号：US12168432
申请日：2008-07-07
申请人： Matthew P. Carter , Kenneth C. Kennedy, II
发明人： Matthew P. Carter , Kenneth C. Kennedy, II
IPC分类号： A61M29/00
CPC分类号： A61M25/10 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/1025 , A61M25/1027 , A61M25/1034 , A61M2025/1004 , A61M2025/1052 , A61M2025/1061 , A61M2025/1093
摘要： A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is fixedly connected to the distal end of the catheter, and the distal end of the balloon is supported by stiffening member that extends distally from the distal end of the catheter and through the interior of the balloon. The distal end of the catheter comprises one or more apertures that are in fluid communication with an inflation lumen extending through the catheter. A deflation mechanism is disposed about the stiffening member and is configured to facilitate the flow of an inflation fluid through the interior volume of the balloon and towards the aperture.
摘要翻译：气囊导管，其包括固定在导管上的可膨胀气囊。球囊的近端固定地连接到导管的远端，并且球囊的远端由从导管的远端向远侧延伸并且穿过气囊内部的加强构件支撑。导管的远端包括与延伸穿过导管的充气腔流体连通的一个或多个孔。放气机构围绕加强构件设置，并且构造成便于充气流体流过球囊的内部空间并朝向孔径的流动。

8. 发明申请

US20090024087A1 BALLOON FOLDING CONTROL MECHANISM 有权
标题翻译：气球折叠控制机构
公开(公告)号：US20090024087A1
公开(公告)日：2009-01-22
申请号：US12168450
申请日：2008-07-07
申请人： Kenneth C. Kennedy, II , Matthew P. Carter
发明人： Kenneth C. Kennedy, II , Matthew P. Carter
IPC分类号： A61M25/10
CPC分类号： A61M25/10 , A61M25/1027 , A61M25/1029 , A61M25/1038 , A61M2025/1004 , A61M2025/1047 , A61M2025/1068 , A61M2025/1084 , A61M2025/1093
摘要： A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is affixed to the distal end of the catheter so as to provide an air tight seal there between. A stiffening member extends distally of the distal end of the catheter and forms a slip joint connection with the distal end of the balloon to permit the distal end of the balloon to axially move or translate relative to the distal end of the catheter. The slip joint allows the axial length of balloon to change during inflation or deflation without transferring tensile or compressive forces between the balloon and the catheter. A balloon folding control mechanism is disposed about the portion of the stiffening member traversing the interior of the balloon, and is configured to promote refolding of the balloon into a predetermined and desired folding configuration upon deflation.
摘要翻译：气囊导管，其包括固定在导管上的可膨胀气囊。气囊的近端固定在导管的远端，以便在其间提供气密封。加强构件在导管的远端的远侧延伸并且与气囊的远端形成滑动关节连接，以允许气囊的远端相对于导管的远端轴向移动或平移。滑动关节允许气囊的轴向长度在充气或放气期间改变，而不会在气囊和导管之间传递拉伸或压缩力。气球折叠控制机构设置在穿过气球内部的加强构件的部分周围，并且被构造成在放气时促进气囊重折叠成预定和期望的折叠构型。

9. 发明授权

US09307891B2 Endoscope rotational and positioning apparatus and method 有权
标题翻译：内镜旋转定位装置及方法
公开(公告)号：US09307891B2
公开(公告)日：2016-04-12
申请号：US11796525
申请日：2007-04-27
申请人： Matthew P. Carter , Brian K. Jones
发明人： Matthew P. Carter , Brian K. Jones
IPC分类号： A61B1/00 , A61B1/04 , A61M16/00 , A62B9/06 , A61B19/00 , A61B1/24 , A61B17/34
CPC分类号： A61B1/0014 , A61B1/00039 , A61B1/00149 , A61B1/00154 , A61B1/24 , A61B90/50 , A61B2017/347
摘要： An endoscope securing and positioning device is provided for adjusting or maintaining the position of an endoscope. The device allows the medical professional to easily rotate an endoscope or maintain its position without having to maintain a grip on the endoscope.
摘要翻译：提供内窥镜固定和定位装置，用于调节或维持内窥镜的位置。该装置允许医疗专业人员容易地旋转内窥镜或保持其位置，而不必保持对内窥镜的握持。

10. 发明申请

US20080051721A1 Loop Tip Wire Guide 有权
标题翻译：环形导线导轨
公开(公告)号：US20080051721A1
公开(公告)日：2008-02-28
申请号：US11841175
申请日：2007-08-20
申请人： Matthew P. Carter , David M. Hardin , Jeffry S. Melsheimer , Vihar C. Surti
发明人： Matthew P. Carter , David M. Hardin , Jeffry S. Melsheimer , Vihar C. Surti
IPC分类号： A61M25/09 , B21F45/00
CPC分类号： A61M25/0905 , A61M25/09 , A61M2025/09175 , B21F45/00
摘要： An elongate medical device configured for navigation through a lumen is provided. The device includes an elongate shaft having a proximal portion and a distal portion. The distal portion includes a first interlocking connector. The device further includes a loop portion operably connected to the distal portion. The loop portion includes a second interlocking connector configured for connecting to the first interlocking connector. A medical system is also provided including a catheter and a wire guide. A method of making a wire guide is provided.
摘要翻译：提供了构造成通过管腔导航的细长医疗装置。该装置包括具有近端部分和远端部分的细长轴。远侧部分包括第一互锁连接器。该装置还包括可操作地连接到远端部分的环部分。环路部分包括被配置为连接到第一互锁连接器的第二互锁连接器。还提供了包括导管和导线导管的医疗系统。提供了一种制作导线器的方法。

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