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    • 14. 发明申请
    • RECONFIRMATION OF ECG-ASSISTED CATHETER TIP PLACEMENT
    • 心电图辅助导管尖端放置重建
    • US20120046562A1
    • 2012-02-23
    • US13213622
    • 2011-08-19
    • Kelly B. PowersJim C. Beasley
    • Kelly B. PowersJim C. Beasley
    • A61B5/0402
    • A61M25/0105A61B5/042A61B5/04525A61B5/065A61B5/6851A61B5/7246A61B8/0841A61B8/085A61M2025/0166
    • Reconfirmation of the position of a catheter intravascularly placed with the assistance of ECG signals of the patient is disclosed, thus assisting in determination of subsequent catheter displacement within the patient vasculature. In one embodiment a method for reconfirming a position of an indwelling medical device within a body of a patient comprises first placing the medical device within the body of the patient using ECG signals of the patient. A first ECG signal profile relating to an initial position of the indwelling medical device after initial placement of the medical device is stored. A second ECG signal profile relating to the position of the indwelling medical device at a time subsequent to initial placement of the medical device is then acquired. The first ECG signal profile is compared with the second ECG signal profile to determine whether displacement of the indwelling medical device has occurred.
    • 公开了借助于患者的ECG信号的血管内放置的导管的位置的再确认,从而有助于确定患者脉管系统中随后的导管置换。 在一个实施例中,用于重新确认患者体内的留置医疗装置的位置的方法包括首先使用患者的ECG信号将医疗装置放置在患者体内。 存储与初始放置医疗装置之后的居留医疗装置的初始位置相关的第一ECG信号轮廓。 然后获取与医疗设备的初始放置之后的时间相关的与居留医疗设备的位置相关的第二ECG信号轮廓。 将第一ECG信号轮廓与第二ECG信号轮廓进行比较,以确定是否发生了留置医疗装置的位移。
    • 18. 发明授权
    • Multi-lumen catheter with separate distal tips
    • 多腔导管带有独立的远端尖端
    • US07393339B2
    • 2008-07-01
    • US10371774
    • 2003-02-21
    • John A. ZawackiKelly B. PowersJohn G. EvansGuy Rome
    • John A. ZawackiKelly B. PowersJohn G. EvansGuy Rome
    • A61M3/00A61M37/00
    • A61M25/0026A61M1/3653A61M1/3659A61M1/3661A61M25/0009A61M25/007A61M25/0074A61M2025/0031A61M2025/0037
    • A multi-lumen catheter defined by at least two separate tip sections distal to a dividing point includes strategic placement of openings in the tip sections to facilitate fluid flow and minimize typical problems associated with catheters. In a multi-lumen catheter having tip sections with a releasably joined or splittable region, the bond strength between the tip sections is varied along their length such that an increasing separation force is required to separate the tip sections from one another distal to the dividing point. Delivery of a multi-lumen catheter is improved with respect to both sheathed and non-sheathed delivery methods, in which a friction reducing structure is provided on either the catheter, delivery sheath or both to provide a buffer for a sheathed delivery and in which a unique guidewire aperture or additional lumen is provided in at least one of the tip sections for a non-sheathed delivery.
    • 由远离分割点的至少两个分离的尖端部分限定的多腔导管包括在尖端部分中的开口的战略放置以便于流体流动并且最小化与导管相关联的典型问题。 在具有具有可释放地接合或可分开区域的末端部分的多腔导管中,末端部分之间的粘合强度沿其长度变化,使得需要增加的分离力以将尖端部分彼此远离分割点 。 相对于护套和非护套递送方法,多腔导管的输送得到改进,其中在导管,输送护套或两者上设置减摩结构以提供用于护套输送的缓冲器,其中 在至少一个尖端部分中提供独特的导丝孔或额外的内腔用于非护套输送。
    • 19. 发明授权
    • Dual reservoir vascular access port with two-piece housing and compound
septum
    • 双层血管通道,两片式住房和复合隔膜
    • US6086555A
    • 2000-07-11
    • US25695
    • 1998-02-18
    • Kenneth A. EliasenKelly B. PowersRonald O. CampbellGuy T. RomeKelly J. Christian
    • Kenneth A. EliasenKelly B. PowersRonald O. CampbellGuy T. RomeKelly J. Christian
    • A61M37/00A61M5/14A61M39/02A61M39/12A61M5/00
    • A61M39/0208A61M2039/0036A61M2039/0072A61M2039/0211A61M2205/32A61M39/12A61M5/1408
    • A vascular access port enclosing a pair of distinct fluid reservoirs includes a two-piece housing that captures an integrally-formed compound septum to seal both of the fluid reservoirs for selective access with a hypodermic needle. The housing includes a base that defines the fluid reservoirs and a cap in which the base is received with the compound septum therebetween. The compound septum includes two distinct target domes that are exposed to the exterior of the housing through respective access apertures in the cap, when the compound septum is captured in the housing. A planar septum web interconnects and encircles the target domes. The side of the septum web opposite from the target domes is formed into a recessed isolation groove that traverses the septum web between the target domes. Sealing ridges depend from this side of the septum web on either side of the isolation groove. The outlet stem of the access port is integrally formed with the base of the housing. In the base an open-topped fluid channel communicates from each fluid reservoir to a corresponding enclosed fluid passageway in the outlet stem. The open top of each fluid channel is closed by a portion of the compound septum captured in the housing.
    • 封闭一对不同流体储存器的血管通路口包括两件式壳体,其捕获整体形成的复合隔膜以密封两个流体储存器,以便用皮下注射针进行选择性进入。 壳体包括限定流体储存器的基部和盖,其中基部与其间的复合隔膜接收。 复合隔膜包括两个不同的目标圆顶,当化合物隔膜被捕获在壳体中时,两个不同的目标圆顶通过盖中的相应的进入孔暴露于外壳的外部。 平面隔膜腹板互连并围绕目标圆顶。 与目标圆顶相反的隔膜的侧面形成为在目标圆顶之间穿过隔膜网的凹进的隔离凹槽。 密封脊依靠隔离槽的两侧的隔膜的这一侧。 进出口的出口杆与外壳的基座一体形成。 在基座中,开放顶部的流体通道从每个流体储存器连通到出口阀杆中相应的封闭流体通道。 每个流体通道的敞开的顶部由在壳体中捕获的化合物隔膜的一部分封闭。
    • 20. 发明授权
    • Longitudinally aligned dual reservoir access port
    • 纵向对准双油藏通道
    • US5833654A
    • 1998-11-10
    • US784580
    • 1997-01-17
    • Kelly B. PowersKelly J. ChristianKenneth A. EliasenMel Rosenblatt
    • Kelly B. PowersKelly J. ChristianKenneth A. EliasenMel Rosenblatt
    • A61M37/00A61M5/14A61M39/00A61M39/02A61M39/12A61M11/00
    • A61M39/0208A61M2039/0072A61M2039/0211A61M2205/32A61M39/12A61M5/1408
    • A dual reservoir access port includes a metal casing having a top surface with recessed, open proximal and distal fluid reservoirs. Projecting from the casing on the side of the distal fluid reservoir opposite from the proximal fluid reservoir is a dual prong metal outlet stem. The distal fluid reservoir is carried within an open-topped basket that is disposed in a cup formed in the top surface of the casing. A first fluid flow pathway extends from the proximal fluid reservoir, between the basket and the wall of the distal cup, to the outlet stem. A second fluid flow pathway extends directly from the distal fluid reservoir to the outlet stem. A needle-penetrable compound septum is disposed against the casing simultaneously closing the top of the proximal fluid reservoir and the top of the distal fluid reservoir. A plastic jacket clamps the septum against the casing and compresses the periphery of the septum to effect a fluid seal by the septum of each of the fluid reservoirs. An annular sleeve mechanically locks and fluid couples a dual lumen catheter to the outlet stem. The catheter may be chosen from among three dual lumen catheters, each having a combination of material composition and lumen configuration that is distinct from those of the others of the catheters.
    • 双储存器进入端口包括具有顶表面的金属外壳,该顶表面具有凹入的,开放的近端和远端流体储存器。 从远端液体储存器与近侧流体储存器相对的一侧的套管突出是双尖头金属出口阀杆。 远侧流体储存器被承载在敞开的篮状物中,所述敞开的篮子设置在形成在所述壳体的顶表面中的杯中。 第一流体流动路径从近侧流体储存器,在篮子和远端杯的壁之间延伸到出口杆。 第二流体流动路径直接从远端流体储存器延伸到出口阀杆。 针头穿透的化合物隔膜被设置在套筒上,同时封闭近端流体储存器的顶部和远侧流体储存器的顶部。 塑料外套将隔垫夹在套管上并压缩隔膜的周边,以通过每个流体储存器的隔膜进行流体密封。 环形套筒机械地锁定并将双腔导管流体连接到出口杆。 导管可以从三个双腔导管中选择,每个导管具有不同于其它导管的材料组成和管腔构型的组合。