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1. 发明授权

US5415639A Sheath and method for intravascular treatment 失效
标题翻译：鞘和血管内治疗方法
公开(公告)号：US5415639A
公开(公告)日：1995-05-16
申请号：US45019
申请日：1993-04-08
申请人： David A. VandenEinde , Peter T. Keith , Daniel O. Adams , Robert E. Atkinson
发明人： David A. VandenEinde , Peter T. Keith , Daniel O. Adams , Robert E. Atkinson
IPC分类号： A61M25/06 , A61M29/02 , A61M25/00
CPC分类号： A61M25/104 , A61M25/0668 , A61M25/09041 , A61M2025/0008 , A61M2025/0183 , A61M2025/107 , A61M2025/1079
摘要： A sheath for facilitating a guide wire exchange is defined by an elongated tubular member having a proximal end, a distal end and a single thru lumen. The sheath also has a proximal insertion opening and a distal insertion opening in communication with the thru lumen. The sheath includes a distal guide segment for "single operator" insertion and a peelable extent for peelably removing the sheath after use. The distal guide segment is formed along a distal portion of the elongated tubular member. The sheath is inserted along a pre-inserted guide wire by inserting a proximal end of the pre-inserted guide wire through a guide lumen of the distal guide segment. The sheath is advanced distally along the pre-inserted guide wire to a desired position and thereafter the pre-inserted guide wire is withdrawn. A re-shaped guide wire or substitute guide wire is inserted through the proximal insertion opening and advanced through the thru lumen of the sheath to a treatment site. The sheath is withdrawn while peelably removing the tubular member from the inserted guide wire.
摘要翻译：用于促进导丝交换的护套由具有近端，远端和单通道的细长管状构件限定。护套还具有近端插入开口和与穿过腔连通的远侧插入开口。鞘包括用于“单操作者”插入的远侧引导部分和用于在使用后可剥离地去除鞘的可剥离范围。远侧引导段沿着细长管状构件的远端部分形成。通过将预先插入的导丝的近端插入远侧引导段的引导内腔，沿着预先插入的导丝插入护套。护套沿着预插入的导丝线向远侧推进到期望的位置，此后将预先插入的导丝线取出。重新形状的导丝或替代导丝插入穿过近侧插入口并穿过鞘的通过腔进入治疗部位。护套被取出，同时从插入的导丝上可剥离地移除管状构件。

2. 发明授权

US06299628B1 Method and apparatus for catheter exchange 失效
标题翻译：用于导管交换的方法和装置
公开(公告)号：US06299628B1
公开(公告)日：2001-10-09
申请号：US07931695
申请日：1992-08-18
申请人： Kent D. Harrison , Scott P. Thome , Peter T. Keith , Daniel O. Adams , William H. Penny
发明人： Kent D. Harrison , Scott P. Thome , Peter T. Keith , Daniel O. Adams , William H. Penny
IPC分类号： A61M2510
CPC分类号： A61M25/0105 , A61M25/0169 , A61M2025/0098
摘要： An apparatus and method for exchanging a first intravascular catheter of the over-the-wire type, such as an angioplasty balloon dilation catheter, with a second intravascular catheter of the over-the-wire type while leaving a guide wire in position in a desired vascular site. The apparatus is used in conjunction with a conventional guide catheter, a guide wire, and an interventional catheter that can be positioned intravascularly through a lumen of the guide catheter over the guide wire and past a distal end of the guide catheter to a desired vascular site. The apparatus includes an elongate shaft that can be removably positioned in the lumen of the guide catheter and has an actuation capability therein. A trapping member is located at a distal portion of the elongate shaft for releasably fixing the relative position of the guide wire with respect to the guide catheter. The fixing and releasing of the trapping member is effected by the actuation capability from outside the body of the patient so that a first interventional catheter can be exchanged for a second interventional catheter by trapping the guide wire position relative to the guide catheter while withdrawing the first interventional device and replacing it with another.
摘要翻译：一种用于与线上类型的第二血管内导管（例如血管成形术球囊扩张导管）交换诸如血管成形术球囊扩张导管的第一血管内导管的装置和方法，同时将引导线留在期望的位置血管部位。该装置与传统的导向导管，导丝和介入导管一起使用，其可以通过引导导管的导管血管内定位并且经过引导导管的远端定位到期望的血管部位。该装置包括细长轴，其可移除地定位在引导导管的内腔中并且在其中具有致动能力。捕获构件位于细长轴的远侧部分，用于可释放地固定导丝相对于导向导管的相对位置。捕获构件的固定和释放通过来自患者体外的致动能力来实现，使得可以通过相对于引导导管捕获引导线位置而将第一介入导管更换为第二介入导管，同时撤回第一介入导管介入装置，并用另一种装置代替。

3. 发明授权

US5702364A Fixed-wire dilatation balloon catheter 失效
标题翻译：固定线膨胀球囊导管
公开(公告)号：US5702364A
公开(公告)日：1997-12-30
申请号：US796901
申请日：1991-11-22
申请人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
发明人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
IPC分类号： A61M25/00 , A61M25/06 , A61M29/02 , A61M29/00
CPC分类号： A61M25/0029 , A61M25/0662 , A61M25/104 , A61M2025/0034 , A61M2025/0063 , A61M2025/0079 , A61M2025/0183 , A61M2025/1061 , A61M2025/1077 , A61M2025/1093 , A61M25/0032 , A61M25/0054
摘要： A fixed wire balloon catheter for use in angioplasty includes an elongated flexible thin walled metal tube which carries an inflatable balloon at its distal end. A metal core member of smaller outer diameter meter than the metal tube is attached to the distal end of the tube to provide support for and guiding of the balloon section. The proximal end of the balloon is connected either to the distal end of the metal tube or to an intermediate waist tube, with the core extending distally from the metal tube through the balloon. The distal end of the balloon is secured to the core. A vent arrangement is provided to purge the catheter of gases prior to use.
摘要翻译：用于血管成形术的固定丝球囊导管包括细长的柔性薄壁金属管，其在其远端处携带可充气气囊。与金属管相比较小的外径计的金属芯构件附接到管的远端以提供球囊部分的支撑和引导。球囊的近端连接到金属管的远端或中间腰管，其中芯从金属管向远侧延伸穿过球囊。气囊的远端固定在芯体上。提供排气装置以在使用之前吹扫气体导管。

4. 发明授权

US06443912B1 Method and apparatus for catheter exchange by guide wire-captivation 失效
标题翻译：通过引导线捕获导管交换的方法和装置
公开(公告)号：US06443912B1
公开(公告)日：2002-09-03
申请号：US07789183
申请日：1991-11-08
申请人： Christian L. Mazzola , Peter T. Keith , Daniel O. Adams
发明人： Christian L. Mazzola , Peter T. Keith , Daniel O. Adams
IPC分类号： A61M2902
CPC分类号： A61M25/0105 , A61M2025/0098
摘要： An apparatus for exchanging over-the-wire balloon catheters engages a guide wire within a guide catheter. In one embodiment the engagement is by an inflatable balloon in the guide catheter. Alternatively, the engagement is accomplished by a captivation wire in the guide catheter that has a collapsible loop portion through which the guide wire extends. Inflation of the balloon or closing the loop portion of the captivation wire within the guide catheter traps the guide wire and restricts its movement relative to the guide catheter. Once the guide wire position is fixed, withdrawal of a first balloon catheter and subsequent introduction of a second balloon catheter over the guide wire is possible without moving the guide wire longitudinally. Thus, the positioning of the guide wire over a stenosis to be dilated is not disturbed.
摘要翻译：用于更换线上气球导管的装置与导向导管内的导丝接合。在一个实施例中，接合是通过引导导管中的可充气气囊。或者，通过引导导管中的捕捉线实现接合，该引导导管具有导丝延伸穿过的可折叠环部分。引导导管中的气囊充气或闭合吸引线的环部分会捕获导丝并限制其相对于导向导管的运动。一旦引导线位置固定，就可以在不使导丝纵向移动的情况下取出第一气囊导管并且随后将第二气囊导管引导到引导线上。因此，引导线在狭窄处的扩张定位不会受到干扰。

5. 发明授权

US5733248A Universal guide catheter 失效
标题翻译：通用导管
公开(公告)号：US5733248A
公开(公告)日：1998-03-31
申请号：US564819
申请日：1995-11-29
申请人： Daniel O. Adams , Peter T. Keith , David A. VandenEinde , Timothy M. Stivland
发明人： Daniel O. Adams , Peter T. Keith , David A. VandenEinde , Timothy M. Stivland
IPC分类号： A61M25/00 , A61M25/01 , A61M25/06 , A61M25/088 , A61M29/00
CPC分类号： A61M25/0041 , A61M25/0662 , A61M25/0021 , A61M25/01
摘要： Guide catheter incorporating a braidless construction having increased performance characteristics for catheterization procedures. The guide catheter may be universally usable in most anatomical situations with the use of a shaping mandrel. The shape of the guide catheter may be changed during a catheter procedure without removal of the guide catheter from the patient's vascular system.
摘要翻译：引导导管包括具有增加的用于导管插入术的性能特征的无编织结构。引导导管可以在大多数解剖情况下通用使用成形心轴。可以在导管过程期间改变导向导管的形状，而不用从患者的血管系统中移除引导导管。

6. 发明授权

US6071273A Fixed wire dilatation balloon catheter 失效
标题翻译：固定线膨胀球囊导管
公开(公告)号：US6071273A
公开(公告)日：2000-06-06
申请号：US782242
申请日：1991-10-23
申请人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
发明人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
IPC分类号： A61M25/00 , A61M25/06 , A61M29/02
CPC分类号： A61M25/0029 , A61M25/0662 , A61M25/104 , A61M2025/0034 , A61M2025/0063 , A61M2025/0079 , A61M2025/0183 , A61M2025/1061 , A61M2025/1077 , A61M2025/1093 , A61M25/0032 , A61M25/0054
摘要： A fixed wire balloon catheter for use in angioplasty includes an elongated flexible thin walled metal tube which carries an inflatable balloon at its distal end. A metal core member of smaller outer diameter than the metal tube is attached to the distal end of the tube to provide support for and guiding of the balloon section. The proximal end of the balloon is connected either to the distal end of the metal tube or to an intermediate waist tube, with the core extending distally from the metal tube through the balloon. The distal end of the balloon is secured to the core. A vent arrangement is provided to purge the catheter of gases prior to use.
摘要翻译：用于血管成形术的固定丝球囊导管包括细长的柔性薄壁金属管，其在其远端处携带可充气气囊。具有比金属管小的外径的金属芯构件附接到管的远端以提供球囊部分的支撑和引导。球囊的近端连接到金属管的远端或中间腰管，其中芯从金属管向远侧延伸穿过球囊。气囊的远端固定在芯体上。提供排气装置以在使用之前吹扫气体导管。

7. 发明授权

US5567203A Balloon dilatation catheter with proximal hypotube 失效
标题翻译：球囊扩张导管与近端海波
公开(公告)号：US5567203A
公开(公告)日：1996-10-22
申请号：US473477
申请日：1995-06-07
申请人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
发明人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
IPC分类号： A61M25/00 , A61M25/06 , A61M29/02 , A61M29/00
CPC分类号： A61M25/0029 , A61M25/0662 , A61M25/104 , A61M2025/0034 , A61M2025/0063 , A61M2025/0079 , A61M2025/0183 , A61M2025/1061 , A61M2025/1077 , A61M2025/1093 , A61M25/0032 , A61M25/0054
摘要： An intravascular balloon catheter is disclosed which includes a proximal hypotube shaft segment, a distal polymer shaft segment, a distally-mounted inflatable balloon segment, and a hollow tubular member having a proximal end connected to the distal end of the hypotube shaft segment such that the lumen of the hollow tubular member is in communication with the exterior of the balloon catheter and the distal end of the hollow tubular member is connected to the distal end of the balloon.
摘要翻译：公开了一种血管内气囊导管，其包括近端海波管轴段，远端聚合物轴段，远侧安装的可充气球囊段和中空管状构件，其具有连接到海波管轴段的远端的近端，使得中空管状构件的内腔与气囊导管的外部连通，并且中空管状构件的远端连接到气囊的远端。

8. 发明授权

US4943278A Dilatation balloon catheter 失效
标题翻译：扩张气囊导管
公开(公告)号：US4943278A
公开(公告)日：1990-07-24
申请号：US162004
申请日：1988-02-29
申请人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
发明人： Charles L. Euteneuer , Richard C. Mattison , Daniel O. Adams , Thomas R. Hektner , Peter T. Keith
IPC分类号： A61M25/00 , A61M25/06 , A61M29/02
CPC分类号： A61M25/104 , A61M25/0662 , A61M2025/0034 , A61M2025/0063 , A61M2025/0079 , A61M2025/0183 , A61M2025/1061 , A61M2025/1077 , A61M2025/1093 , A61M25/0054
摘要： A balloon catheter for use in angioplasty includes an elongated flexible thin walled metal tube which carries an inflatable balloon at its distal end. A core member of smaller outer diameter than the metal tube is attached to the distal end of the tube to provide support for and guiding of the balloon section.
摘要翻译：用于血管成形术的气囊导管包括细长的柔性薄壁金属管，其在其远端处携带可充气气囊。具有比金属管小的外径的芯构件附接到管的远端，以提供气囊部分的支撑和引导。

9. 发明授权

US06270465B1 Method and apparatus for catheter exchange by guide wire-captivation 失效
标题翻译：通过引导线捕获导管交换的方法和装置
公开(公告)号：US06270465B1
公开(公告)日：2001-08-07
申请号：US07830479
申请日：1992-02-04
申请人： Peter T. Keith , Daniel O. Adams
发明人： Peter T. Keith , Daniel O. Adams
IPC分类号： A61M2902
CPC分类号： A61M25/0105 , A61M2025/0098
摘要： An apparatus for exchanging over-the-wire balloon catheters engages a guide wire within a guide catheter. In one embodiment the engagement is by an inflatable balloon in the guide catheter. Alternatively, the engagement is accomplished by a captivation wire in the guide catheter that has a collapsible loop portion through which the guide wire extends. Inflation of the balloon or closing the loop portion of the captivation wire within the guide catheter traps the guide wire and restricts its movement relative to the guide catheter. Once the guide wire position is fixed, withdrawal of a first balloon catheter and subsequent introduction of a second balloon catheter over the guide wire is possible without moving the guide wire longitudinally. Thus, the positioning of the guide wire over a stenosis to be dilated is not disturbed.
摘要翻译：用于更换线上气球导管的装置与导向导管内的导丝接合。在一个实施例中，接合是通过引导导管中的可充气气囊。或者，通过引导导管中的捕捉线实现接合，该引导导管具有导丝延伸穿过的可折叠环部分。引导导管中的气囊充气或闭合吸引线的环部分会捕获导丝并限制其相对于导向导管的运动。一旦引导线位置固定，就可以在不使导丝纵向移动的情况下取出第一气囊导管并随后将第二气囊导管引导到引导线上。因此，引导线在狭窄处的扩张定位不会受到干扰。

10. 发明申请

US20120053615A1 RAPID EXCHANGE CATHETERS USABLE WITH EMBOLIC PROTECTION DEVICES 有权
标题翻译：快速交换电缆可用于嵌入式保护装置
公开(公告)号：US20120053615A1
公开(公告)日：2012-03-01
申请号：US13223774
申请日：2011-09-01
申请人： Daniel O. Adams , Marwane Berrada , Cathleen M. von Lehe , Richard S. Kusleika
发明人： Daniel O. Adams , Marwane Berrada , Cathleen M. von Lehe , Richard S. Kusleika
IPC分类号： A61B17/22
CPC分类号： A61F2/013 , A61F2002/011 , A61F2002/018 , A61F2230/0008 , A61F2230/008
摘要： Catheters, assemblies, and methods for delivering and recovering embolic protection devices. Catheters are provided that can be advanced over single length guide wires and which can be retracted over single length wire shafts of distal embolic protection devices. One catheter is a two-port catheter having two sidewall ports, a distal end port, and a proximal end port. The two-port catheter can be advanced over a guide wire threaded between the distal end port and the distal sidewall port. An embolic protection device wire shaft can be back loaded into the distal end port and out the proximal sidewall port. A three-port catheter includes a distal end port, and distal, intermediate, and proximal sidewall ports.
摘要翻译：用于输送和恢复栓塞保护装置的导管，组件和方法。提供导管，其可以在单长导丝上前进，并且可以在远端栓塞保护装置的单长丝线轴上缩回。一个导管是具有两个侧壁端口，远端端口和近端端口的双端口导管。双端口导管可以在远端端口和远端侧壁端口之间的引导线上前进。栓塞保护装置线轴可以被背负载到远端端口中并且从近端侧壁端口出来。三端口导管包括远端端口以及远端，中间和近端侧壁端口。

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