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21. 发明申请

US20120041466A1 EXPANDABLE SPINAL SHEATH AND METHOD OF USE 审中-公开
标题翻译：可膨胀的脊髓和使用方法
公开(公告)号：US20120041466A1
公开(公告)日：2012-02-16
申请号：US13107184
申请日：2011-05-13
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen
IPC分类号： A61M29/00
CPC分类号： A61M29/02 , A61B17/1671 , A61B17/7083 , A61F2/4455 , A61F2/4611 , A61F2002/30787 , A61F2002/30904 , A61F2002/4435 , A61F2310/00011 , A61F2310/00023 , A61M25/1011 , A61M2025/1065 , Y10S606/90
摘要： Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a removable tubular restraint or by structural elements built into the wall of the expandable portion of the sheath. In one application, the sheath is utilized to introduce a formed in place orthopedic fixation rod such as for use in spinal fixation procedures, preparation of a spinal segment, or placement of a vertebral body spacer. The sheath can further comprise structural elements to permit re-collapse of the sheath under fluid pressure following completion of the procedure and prior to removal from the patient.
摘要翻译：公开了一种可膨胀的经皮鞘，用于在第一低截面区域构造中引入身体，并且随后膨胀至第二扩大横截面构造。护套通过可移除的管状约束件或内置于护套的可扩张部分的壁中的结构元件保持在第一，低横截面构造中。在一个应用中，护套用于引入形成的矫形固定杆，例如用于脊柱固定过程，脊柱节段的准备或椎体间隔物的放置。护套还可以包括结构元件，以允许在完成手术之后并且在从患者移除之前在流体压力下再次塌陷鞘。

22. 发明授权

US07713193B2 Expandable percutaneous sheath 有权
标题翻译：可膨胀经皮鞘
公开(公告)号：US07713193B2
公开(公告)日：2010-05-11
申请号：US11415659
申请日：2006-05-02
申请人： Edward J. Nance , Joseph Bishop , Jay Lenker , Onnik Tchulluian , George F. Kick
发明人： Edward J. Nance , Joseph Bishop , Jay Lenker , Onnik Tchulluian , George F. Kick
IPC分类号： A61B1/00
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B17/3439 , A61M25/0662 , A61M31/005 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a tubular restraint. In one application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as percutaneous nephrostomy or urinary bladder access.
摘要翻译：公开了一种可膨胀的经皮鞘，用于在第一低截面区域构造中引入身体，并且随后膨胀至第二扩大横截面构型。护套通过管状约束保持在第一低横截面形状。在一个应用中，护套用于提供用于诊断或治疗程序的通路，例如经皮肾造瘘术或膀胱通路。

23. 发明授权

US08668668B2 Expandable iliac sheath and method of use 有权
标题翻译：可扩展髂骨鞘及使用方法
公开(公告)号：US08668668B2
公开(公告)日：2014-03-11
申请号：US12258233
申请日：2008-10-24
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen , Mark T. Jones
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen , Mark T. Jones
IPC分类号： A61M31/00 , A61M37/00 , A61M5/178
CPC分类号： A61M29/02 , A61F2/2427 , A61M25/005 , A61M25/0662 , A61M25/104 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, small cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the femoral arteries and the iliac arteries into the aorta. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters. In an exemplary application, the sheath includes a supported proximal end, a supported distal end, and a collapsible center section. Certain configurations of the sheath are capable of being inserted in a first, small cross-sectional configuration, being expanded diametrically to a second, larger cross-sectional configuration, and then being reduced to a diametrically small size for removal.
摘要翻译：公开了一种可膨胀的经腔护套，用于在第一小截面区域构造中引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。鞘被配置为用于血管系统，并且可用于引入和移除植入物输送导管。进入路径是通过股动脉和髂动脉进入主动脉。护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀，该径向扩张装置在引入植入物输送导管之前被移除。在示例性应用中，护套包括支撑的近端，支撑的远端和可折叠的中心部分。护套的某些构造能够以第一小截面构造插入，沿直径扩大到第二较大横截面形状，然后被减小到径向较小的尺寸以便移除。

24. 发明申请

US20110306843A1 EXPANDABLE TRANSLUMINAL SHEATH 有权
标题翻译：可膨胀的斜面
公开(公告)号：US20110306843A1
公开(公告)日：2011-12-15
申请号：US13007280
申请日：2011-01-14
申请人： Jay Lenker , Edward J. Nance , Joseph Bishop , George F. Kick
发明人： Jay Lenker , Edward J. Nance , Joseph Bishop , George F. Kick
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/22 , A61B17/22031 , A61B17/3439 , A61B2017/0225 , A61M25/0017 , A61M25/0662 , A61M27/008 , A61M2025/0024 , A61M2025/0681 , A61M2025/1081
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The distal end of the sheath is maintained in the first, low cross-sectional configuration and expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as ureteroscopy or stone removal.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。护套的远端保持在第一低截面形状并且使用径向扩张装置膨胀。在示例性应用中，护套用于提供用于诊断或治疗过程的通路，例如输尿管镜检查或除石。

25. 发明授权

US07892203B2 Expandable transluminal sheath 有权
标题翻译：可扩展的腔内护套
公开(公告)号：US07892203B2
公开(公告)日：2011-02-22
申请号：US11199566
申请日：2005-08-08
申请人： Jay Lenker , Edward J. Nance , Joseph Bishop , George F. Kick
发明人： Jay Lenker , Edward J. Nance , Joseph Bishop , George F. Kick
IPC分类号： A61M31/00
CPC分类号： A61B17/0218 , A61B17/22 , A61B17/22031 , A61B17/3439 , A61B2017/0225 , A61M25/0017 , A61M25/0662 , A61M27/008 , A61M2025/0024 , A61M2025/0681 , A61M2025/1081
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The distal end of the sheath is maintained in the first, low cross-sectional configuration and expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as ureteroscopy or stone removal.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。护套的远端保持在第一低截面形状并且使用径向扩张装置膨胀。在示例性应用中，护套用于提供用于诊断或治疗过程的通路，例如输尿管镜检查或除石。

26. 发明授权

US08728153B2 Expandable transapical sheath and method of use 有权
标题翻译：可扩展的经皮鞘和使用方法
公开(公告)号：US08728153B2
公开(公告)日：2014-05-20
申请号：US12946799
申请日：2010-11-15
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen , Mark T. Jones
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen , Mark T. Jones
IPC分类号： A61F2/24
CPC分类号： A61M25/0662 , A61F2/2412 , A61F2/2418 , A61F2/2433 , A61F2/2436 , A61M25/0053 , A61M25/10 , A61M25/1011 , A61M25/104 , A61M29/02 , A61M2025/0024 , A61M2025/0681
摘要： The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the ventricular myocardium, more specifically at the left ventricular apex, into the aortic root. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters. In an exemplary application, the sheath includes a supported proximal end, a supported distal end, and a collapsible center section. Certain configurations of the sheath are capable of being inserted in a first, small cross-sectional configuration, being expanded diametrically to a second, larger cross-sectional configuration, and then being reduced to a diametrically small size for removal.
摘要翻译：鞘被配置为用于血管系统，并且可用于引入和移除植入物输送导管。进入路径是通过心室心肌，更具体地在左心室顶端进入主动脉根部。护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀，该径向扩张装置在引入植入物输送导管之前被移除。在示例性应用中，护套包括支撑的近端，支撑的远端和可折叠的中心部分。护套的某些构造能够以第一小截面构造插入，沿直径扩大到第二较大横截面形状，然后被减小到径向较小的尺寸以便移除。

27. 发明授权

US08282664B2 Expandable percutaneous sheath 有权
标题翻译：可膨胀经皮鞘
公开(公告)号：US08282664B2
公开(公告)日：2012-10-09
申请号：US11415764
申请日：2006-05-02
申请人： Edward J. Nance , Joseph Bishop , Jay Lenker , Onnik Tchulluian , George F. Kick
发明人： Edward J. Nance , Joseph Bishop , Jay Lenker , Onnik Tchulluian , George F. Kick
IPC分类号： A61M29/00
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B17/3439 , A61M25/0662 , A61M31/005 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a tubular restraint. In one application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as percutaneous nephrostomy or urinary bladder access.
摘要翻译：公开了一种可膨胀的经皮鞘，用于在第一低截面区域构造中引入身体，并且随后膨胀至第二扩大横截面构型。护套通过管状约束保持在第一低横截面形状。在一个应用中，护套用于提供用于诊断或治疗程序的通路，例如经皮肾造瘘术或膀胱通路。

28. 发明授权

US07951110B2 Expandable spinal sheath and method of use 有权
标题翻译：可扩展的脊髓鞘及使用方法
公开(公告)号：US07951110B2
公开(公告)日：2011-05-31
申请号：US12614715
申请日：2009-11-09
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen
IPC分类号： A61M29/00
CPC分类号： A61M29/02 , A61B17/1671 , A61B17/7083 , A61F2/4455 , A61F2/4611 , A61F2002/30787 , A61F2002/30904 , A61F2002/4435 , A61F2310/00011 , A61F2310/00023 , A61M25/1011 , A61M2025/1065 , Y10S606/90
摘要： Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a removable tubular restraint or by structural elements built into the wall of the expandable portion of the sheath. In one application, the sheath is utilized to introduce a formed in place orthopedic fixation rod such as for use in spinal fixation procedures, preparation of a spinal segment, or placement of a vertebral body spacer. The sheath can further comprise structural elements to permit re-collapse of the sheath under fluid pressure following completion of the procedure and prior to removal from the patient.
摘要翻译：公开了一种可膨胀的经皮鞘，用于在第一低截面区域构造中引入身体，并且随后膨胀至第二扩大横截面构型。护套通过可移除的管状约束件或内置于护套的可扩张部分的壁中的结构元件保持在第一，低横截面构造中。在一个应用中，护套用于引入形成的矫形固定杆，例如用于脊柱固定过程，脊柱节段的准备或椎体间隔物的放置。护套还可以包括结构元件，以允许在完成手术之后并且在从患者移除之前在流体压力下再次塌陷鞘。

29. 发明授权

US09440054B2 Expandable transapical sheath and method of use 有权
标题翻译：可扩展的经皮鞘和使用方法
公开(公告)号：US09440054B2
公开(公告)日：2016-09-13
申请号：US12258245
申请日：2008-10-24
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance
IPC分类号： A61F2/24 , A61M29/02 , A61M25/06 , A61M25/10 , A61M25/00
CPC分类号： A61M29/02 , A61F2/2427 , A61M25/005 , A61M25/0662 , A61M25/104 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, small cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the ventricular myocardium, more specifically at the left ventricular apex, into the aortic root. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters. In an exemplary application, the sheath includes a supported proximal end, a supported distal end, and a collapsible center section. Certain configurations of the sheath are capable of being inserted in a first, small cross-sectional configuration, being expanded diametrically to a second, larger cross-sectional configuration, and then being reduced to a diametrically small size for removal.
摘要翻译：公开了一种可膨胀的经腔护套，用于在第一小截面区域构造中引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。鞘被配置为用于血管系统，并且可用于引入和移除植入物输送导管。进入路径是通过心室心肌，更具体地在左心室顶端进入主动脉根部。护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀，该径向扩张装置在引入植入物输送导管之前被移除。在示例性应用中，护套包括支撑的近端，支撑的远端和可折叠的中心部分。护套的某些构造能够以第一小截面构造插入，沿直径扩大到第二较大横截面形状，然后被减小到径向较小的尺寸以便移除。

30. 发明授权

US08562559B2 Expandable iliac sheath and method of use 有权
标题翻译：可扩展髂骨鞘及使用方法
公开(公告)号：US08562559B2
公开(公告)日：2013-10-22
申请号：US12945801
申请日：2010-11-12
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance
IPC分类号： A61M31/00 , A61M37/00 , A61M5/178
CPC分类号： A61M29/00 , A61M25/005 , A61M25/0662 , A61M25/104 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, collapsed cross-sectional configuration, subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration, and subsequent removal in a third, collapsed cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the femoral arteries and the iliac arteries into the aorta. The distal end of the sheath is maintained in the first, collapsed cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is then expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters. The distal end of the sheath is subsequently reduced to a diametrically small size for removal.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一塌陷的横截面构型的情况下引入体内，随后将护套的远端的至少一部分膨胀成第二扩大横截面构造，并随后移除在第三个折叠的横截面构造中。鞘被配置为用于血管系统，并且可用于引入和移除植入物输送导管。进入路径是通过股动脉和髂动脉进入主动脉。护套的远端在进入动脉进入主动脉期间保持在第一塌陷的横截面构型。然后使用径向扩张装置使护套的远端膨胀，其在引入植入物输送导管之前被移除。护套的远端随后被还原成直径较小的尺寸以便移除。

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