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    • 2. 发明申请
    • APPARATUS, SYSTEM, AND METHOD FOR SHIELDING THE SHARP TIP OF A TRANSSEPTAL GUIDEWIRE
    • 用于屏蔽转移指南的夏普提示的装置,系统和方法
    • WO2009091684A1
    • 2009-07-23
    • PCT/US2009/030703
    • 2009-01-12
    • PRESSURE PRODUCTS MEDICAL SUPPLIES, INC.KURTH, PaulARMOUR, Andrew, W.
    • KURTH, PaulARMOUR, Andrew, W.
    • A61M25/01A61M25/09
    • A61M25/09041A61B17/3478A61B17/3496A61B2017/00247A61B2017/22044A61M25/0113
    • Apparatus, system, and methods for introducing a sharp tip (29) of a transseptal guidewire (20) through a hub (60) of a transseptal needle (80) and into a lumen (81) of a transseptal needle (80) are provided. The apparatus (100) includes a holder (150) that contains the transseptal guidewire and a shield (110) coupled to the holder. The shield has a wall (111) defining a lumen (115) that accommodates the sharp tip (29) of the transseptal guidewire (20). The cross-sectional shape of the wall is substantially constant along at least a portion of its length and sized to fit within the lumen (81) of the transseptal needle (80), thereby inhibiting contact between the sharp tip (29) of the transseptal guidewire and the hub of the transseptal needle (80) when the wall of the shield is positioned to extend into the lumen of the transseptal needle. The lumen (115) of the shield (110) has a substantially constant cross-sectional area along at least a portion of its length and an outer surface of the wall (111) of the shield is cylindrical along the same length.
    • 提供了用于将经导管(20)的尖锐尖端(29)通过经口腔针(80)的毂(60)引入经口针(80)的内腔(81)中的装置,系统和方法 。 该设备(100)包括一个包含经外导丝的保持器(150)和一个联接到支架的屏蔽(110)。 屏蔽件具有壁(111),其限定容纳经导管(20)的尖锐尖端(29)的内腔(115)。 壁的横截面形状沿着其长度的至少一部分基本上是恒定的,并且其尺寸适于配合在经心脏针(80)的内腔(81)内,从而阻止经口的锋利尖端(29)之间的接触 导丝和经壁穿刺针(80)的中心,当护罩的壁定位成延伸到经肠针的内腔中时。 屏蔽件(110)的管腔(115)沿着其长度的至少一部分具有基本上恒定的横截面积,并且屏蔽件的壁(111)的外表面沿着相同的长度是圆柱形的。
    • 3. 发明申请
    • AN IMPROVED APPARATUS AND METHOD FOR ACHIEVING MICROPUNCTURE
    • 改进的装置和实现微波的方法
    • WO2009094089A1
    • 2009-07-30
    • PCT/US2008/088056
    • 2008-12-22
    • PRESSURE PRODUCTS MEDICAL SUPPLIES, INC.KURTH, PaulARMOUR, Andrew
    • KURTH, PaulARMOUR, Andrew
    • A61M5/178
    • A61M25/09A61M25/06A61M25/0606A61M25/09041A61M2025/09083A61M2025/09133
    • A method comprises inserting a microneedle or micropuncture device into a body cavity to achieve a micropuncture into the cavity while reducing tissue trauma at a puncture site A stepped or tapered guidewire having a reduced diameter distal portion is telescopically disposed through the inner diameter of the microneedle or Micropuncture device A proximal portion of the guidewire has a diameter larger than the inner diameter of the microneedle or Micropuncture device and extends to a proximal end of the guidewire The proximal portion is adapted for guiding a larger diameter instrument into and through the vascular system While leaving the distal portion of the guidewire extending through the micropuncture, the microneedle or micropuncture device is withdrawn from the micropuncture and is removed from the guidewire without removing the microneedle or Micropuncture device over the proximal end of the guidewire, substantially reducing tissue trauma at the puncture site.
    • 一种方法包括将微针或微穿刺装置插入体腔以实现对腔内的微穿刺,同时减少穿刺部位处的组织损伤。具有减小直径的远侧部分的阶梯式或锥形导丝通过微针的内径可伸缩地设置,或 微针装置导丝的近端部分的直径大于微针或微针装置的内径,并且延伸到导丝的近端。近端部分适于将较大直径的器械引导进入并穿过血管系统,同时离开 引导线的远端部分延伸穿过微穿刺,微针或微穿刺装置从微穿刺中取出,并从引导线上移除,而不会在导丝的近端移除微针或微穿刺装置,从而大大减少穿刺部位的组织损伤 。
    • 9. 发明申请
    • A TELESCOPIC INTRODUCER WITH A COMPOUND CURVATURE FOR INDUCING ALIGNMENT AND METHOD OF USING THE SAME
    • 具有用于诱导对准的化合物曲线的电视引言及其使用方法
    • WO2004009150A2
    • 2004-01-29
    • PCT/US2003/019945
    • 2003-06-26
    • PRESSURE PRODUCTS MEDICAL SUPPLIES, INC.WORLEY, Seth, J.KURTH, Paul
    • WORLEY, Seth, J.KURTH, Paul
    • A61M
    • A61M25/0041A61N2001/0578A61N2001/0585
    • An introducer system for implantation of pacemaker leads into the venous system of the human heart through the coronary sinus is comprised of a flexible, elongate, outer elongate element having a first shape or bias along a portion. The first shape on the outer element may be prebiased or may be initially straight and subsequently biased once deployed in the body chamber. A flexible, elongate, telescopic inner elongate element has a second shape or bias on its distal portion and has the first shape or bias on a more proximal portion. The inner elongate element is telescopically disposed in the outer sheath. The outer and inner elongate elements are rotatable with respect to each other, such that when the inner elongate element is distally extended from the outer sheath, there exists an angular orientation between the inner and outer sheaths which is congruent, when there is at least partial alignment between the distal portion of the outer elongate element and the more proximal portion of the inner sheath, both having the first shape or bias. This results in the rotation of the distal second shape or curve of the inner elongate element into a predetermined three dimensional location.
    • 用于通过冠状窦将心脏起搏器引入人心脏的静脉系统的导引器系统由沿着一部分具有第一形状或偏压的柔性细长外部细长元件组成。 外部元件上的第一形状可以是预偏置的,或者可以是初始直的,并且一旦展开在身体腔室中并随后被偏置。 柔性,细长的伸缩内部细长元件在其远侧部分上具有第二形状或偏压,并且在更近端部分上具有第一形状或偏置。 内部细长元件可伸缩地设置在外护套中。 外部细长元件和内部细长元件可相对于彼此旋转,使得当内部细长元件从外部护套向远侧延伸时,在内部和外部护套之间存在一致的角度取向,当与至少部分 外部细长元件的远端部分和内部护套的较近端部分之间的对准均具有第一形状或偏倚。 这导致内部细长元件的远端第二形状或曲线的旋转到预定的三维位置。