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    • 8. 发明授权
    • System and method for introducing multiple medical devices
    • 引入多种医疗器械的系统和方法
    • US08206320B2
    • 2012-06-26
    • US10902625
    • 2004-07-29
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • A61B6/00
    • A61B1/018A61B6/12A61B17/221A61B2017/2212A61F2/95A61F2002/041A61F2002/9511A61M25/0029A61M25/0662A61M25/10A61M2025/0183A61M2025/0681
    • 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.
    • 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。
    • 9. 发明申请
    • BIOPSY DEVICE
    • 生物装置
    • US20120022398A1
    • 2012-01-26
    • US12842444
    • 2010-07-23
    • Tatjana DutovaShay LavelleKenneth C. Kennedy, IIArthur Thomas Henry
    • Tatjana DutovaShay LavelleKenneth C. Kennedy, IIArthur Thomas Henry
    • A61B10/02
    • A61B10/0275A61B2010/0208
    • A mechanism for sequentially loading and unloading a biopsy instrument includes a first wheel operatively connected with a cannula, the first wheel being rotatably mounted upon an axle such that the axle urges rotation of the first wheel in a first direction to transfer the cannula and the first wheel to a loaded position, the first wheel being configured for selective rotation with respect to the axle in a second direction to transfer the cannula and the first wheel to an unloaded position. A second wheel is operatively connected with a stylet, the second wheel being configured to be rotated by the axle in the first direction when the first wheel is in the loaded position, the second wheel configured for rotation relative to the axle to transfer the stylet and second wheel from the loaded to unloaded position. The second wheel is operatively engaged with the first wheel to allow partial rotation of the second wheel in the second direction with respect to the first wheel and urging similar rotation of the first wheel in the second direction after at least some duration of relative rotation of the second wheel with respect to the second wheel.
    • 用于顺序加载和卸载活检器械的机构包括与套管可操作地连接的第一轮,所述第一轮可旋转地安装在轴上,使得所述轴沿第一方向推动所述第一轮的旋转以转移所述套管和所述第一 轮到装载位置,第一轮被配置为在第二方向上相对于轴选择性旋转,以将套管和第一轮转移到卸载位置。 第二轮与探针可操作地连接,第二轮构造成当第一轮处于装载位置时由第一方向由轴旋转,第二轮被配置为相对于轴转动以转移探针,并且 第二轮从装载到卸载位置。 第二轮与第一轮可操作地接合,以允许第二轮相对于第一车轮在第二方向上的部分旋转,并且在第二车轮的相对旋转的至少一段持续时间之后,促使第一车轮在第二方向上的相似旋转 第二轮相对于第二轮。