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1. 发明申请

US20050059890A1 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：US20050059890A1
公开(公告)日：2005-03-17
申请号：US10902625
申请日：2004-07-29
申请人： Stephen Deal , Matthew Carter , Victor Clark , Frederick Haller , David Hardin , John Karpiel , Kenneth Kennedy , Brian Rucker , Gregory Skerven , David Waller
发明人： Stephen Deal , Matthew Carter , Victor Clark , Frederick Haller , David Hardin , John Karpiel , Kenneth Kennedy , Brian Rucker , Gregory Skerven , David Waller
IPC分类号： A61B1/01 , A61B1/018 , A61B6/12 , A61B17/22 , A61F2/04 , A61M25/00 , A61M25/06 , 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。

2. 发明申请

US20050070821A1 System and method for introducing a prosthesis 审中-公开
标题翻译：用于引入假体的系统和方法
公开(公告)号：US20050070821A1
公开(公告)日：2005-03-31
申请号：US10902492
申请日：2004-07-29
申请人： Stephen Deal , Gregory Skerven , Victor Clark , David Waller
发明人： Stephen Deal , Gregory Skerven , Victor Clark , David Waller
IPC分类号： A61B1/01 , A61B1/018 , A61B6/12 , A61B17/22 , A61F2/04 , A61M25/00 , A61M25/06 , A61B5/00
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, permits 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. 发明申请

US20070010867A1 Single peel stent introducer apparatus 有权
标题翻译：单皮支架引导器设备
公开(公告)号：US20070010867A1
公开(公告)日：2007-01-11
申请号：US11454607
申请日：2006-06-16
申请人： Mathew Carter , Victor Clark , John Karpiel , Gregory Skerven
发明人： Mathew Carter , Victor Clark , John Karpiel , Gregory Skerven
IPC分类号： A61F2/06
CPC分类号： A61F2/95 , A61F2/966 , A61F2002/9517
摘要： A stent introducer apparatus includes a handle having a housing and a rotatable reel. An inner stent carrier having a proximal end and a distal end is provided, with the proximal end being connected to the housing of the handle. An outer sheath movably disposed about the inner stent carrier and having a proximal end and a distal end is provided, with the proximal end being connected to the reel of the handle. Rotation of the reel relative to the housing peels the outer sheath away from the inner stent carrier so as to move the outer sheath proximally relative to the inner stent carrier, thereby exposing the distal end of the inner stent carrier. The inner stent carrier has a stent carrying portion at its distal end to carry a stent that is deployed when the distal end of the inner stent carrier is exposed.
摘要翻译：支架引入装置包括具有壳体和可旋转卷轴的把手。提供具有近端和远端的内部支架载体，其中近端连接到手柄的外壳。提供了可移动地围绕内部支架托架设置并且具有近端和远端的外护套，其近端连接到手柄的卷轴。卷轴相对于壳体的旋转将外护套远离内支架托架剥离，以便相对于内支架托架向外侧移动外护套，从而暴露内支架托架的远端。内部支架载体在其远端具有支架承载部分，以承载当内部支架载体的远端暴露时展开的支架。

4. 发明申请

US20070239103A1 Stylet markings 审中-公开
标题翻译：探针标记
公开(公告)号：US20070239103A1
公开(公告)日：2007-10-11
申请号：US11635267
申请日：2006-12-07
申请人： David Hardin , Victor Clark , Rig Patel
发明人： David Hardin , Victor Clark , Rig Patel
IPC分类号： A61M1/00
CPC分类号： A61B17/3417 , A61B17/3496 , A61B2090/062 , A61B2090/0811 , A61B2090/3937 , A61M25/0102 , A61M2025/0008
摘要： The present invention provides a medical system comprising an elongated medical device having a longitudinal lumen, such as a catheter or a needle, and a stylet configured to be inserted into and subsequently removed from the longitudinal lumen. The stylet is configured to have at least one indicator that indicates that the distal end of the stylet is about to exit the lumen as the stylet is being withdrawn during use. Each indicator alerts the user that the stylet is almost completely withdrawn from the lumen such that the user may take proper precautions and prevent the stylet from inadvertently and uncontrollably exiting the lumen. Each indicator may be located in the proximity of the distal end of the stylet and present either a visual, physical, or audible indication. Additionally, the present invention provides a method that indicates the longitudinal position of a stylet relative to an elongated medical device.
摘要翻译：本发明提供了一种医疗系统，其包括具有诸如导管或针的纵向腔的细长医疗装置和构造成插入并随后从纵向腔排出的探针。探针被配置为具有至少一个指示器，其指示在使用期间当探针被取出时，探针的远端将要离开管腔。每个指示器警告用户探针几乎完全从腔中撤出，使得使用者可以采取适当的预防措施并防止探针不经意地和不可控地离开管腔。每个指示器可以位于探针的远端附近，并呈现视觉，物理或听觉指示。另外，本发明提供一种指示探针相对于细长医疗装置的纵向位置的方法。

5. 发明申请

US20050273150A1 Stent introducer system 审中-公开
标题翻译：支架引导系统
公开(公告)号：US20050273150A1
公开(公告)日：2005-12-08
申请号：US11095208
申请日：2005-03-31
申请人： Douglas Howell , William Gibbons , Matthew Carter , Victor Clark
发明人： Douglas Howell , William Gibbons , Matthew Carter , Victor Clark
IPC分类号： A61F2/00 , A61F2/04 , A61F2/06 , A61M25/06
CPC分类号： A61F2/958 , A61F2/95 , A61F2/954 , A61F2/966 , A61F2/97 , A61F2002/041 , A61F2002/067 , A61F2250/0071
摘要： A stent delivery system for positioning a first and second stent the first and second branch lumens of a bifurcation. The stent delivery system includes stent introducers and a sheath or catheter having a frangible wall. A method of delivering stents to anatomies such as bifurcated ducts or vessels.
摘要翻译：一种用于将第一和第二支架定位成分叉的第一和第二分支腔的支架输送系统。支架输送系统包括支架引入器和具有易碎壁的护套或导管。将支架输送到诸如分叉管或血管的解剖结构的方法。

6. 发明申请

US20050125050A1 Biliary stent introducer system 审中-公开
标题翻译：胆道支架引导器系统
公开(公告)号：US20050125050A1
公开(公告)日：2005-06-09
申请号：US10728589
申请日：2003-12-04
申请人： Matthew Carter , Victor Clark
发明人： Matthew Carter , Victor Clark
IPC分类号： A61F2/04 , A61F2/06 , A61F11/00
CPC分类号： A61F2/966 , A61F2/954 , A61F2002/041 , A61F2002/067
摘要： A stent delivery system and method for positioning a first and second stent in the main lumen and the first and second branch lumens of a bifurcation.
摘要翻译：一种用于将第一和第二支架定位在主腔和分叉的第一和第二分支腔中的支架输送系统和方法。

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