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    • 4. 发明授权
    • Exchangeable guidewire
    • 可交换导丝
    • US5511559A
    • 1996-04-30
    • US346628
    • 1994-11-30
    • Jeffrey D. Vance
    • Jeffrey D. Vance
    • A61M25/01A61B5/00A61M25/09
    • A61M25/0905
    • A guidewire for guiding and exchanging body insertable catheters includes a body insertable guide section and an exchange section, both formed of flexible wire. In one embodiment, a pin connector at the distal end of the exchange section includes a truncated conical head, a shank, and a groove between the head and the shank. A socket connector is attached to the proximal end of the guide section. Four indentations are formed in the socket connector, spaced apart angularly 90.degree. from one another. The maximum diameter of the conical head is greater than the distance between opposed nodules. As, the pin connector is insertable into the socket, it temporarily elastically deforms the socket as the head moves past the nodules. The nodules become captured within the groove, to allow rotation of the exchange section relative to the guide section while preventing any substantial axial relative movement of the sections. The exchange section can be disconnected from the guide section by withdrawing the pin connector proximally, again elastically deforming the socket as the head passes the nodules. The connectors permit repeated connections and disconnections, so the guidewire sections are reusable. In another embodiment, the pin connector has a cylindrical head and a narrower recess adjacent the head, and an indentation is formed in the socket connector with a gradually inclined wall that terminates in a steeply inclined edge.
    • 用于引导和更换主体可插入导管的导丝线包括由柔性线形成的主体可插入引导部分和交换部分。 在一个实施例中,在交换部分的远端处的销连接器包括截头锥形头部,柄部以及头部和柄部之间的凹槽。 插座连接器附接到引导部分的近端。 在插座连接器中形成四个凹口,彼此间隔成90°角。 锥形头部的最大直径大于相对的结节之间的距离。 因为针式连接器可以插入插座,当头部移动通过结节时,它会使插座暂时弹性变形。 结节被捕获在凹槽内,以允许交换部分相对于引导部分旋转,同时防止部分的任何实质的轴向相对运动。 交换部分可以通过将销连接器向近端拔出而与引导部分断开,当头部通过结节时,再次使插座弹性变形。 连接器允许重复连接和断开连接,因此导线部分是可重复使用的。 在另一个实施例中,销连接器具有圆柱形头部和邻近头部的较窄凹槽,并且凹口在插座连接器中形成为具有终止于陡峭倾斜边缘的逐渐倾斜的壁。
    • 7. 发明授权
    • Collapsible and slidable cart
    • 可折叠和可滑动的推车
    • US4521030A
    • 1985-06-04
    • US406291
    • 1982-08-09
    • Jeffrey D. Vance
    • Jeffrey D. Vance
    • B62B1/12B62B5/02B62B1/04
    • B62B1/12B62B2202/12B62B5/025
    • The collapsible and slidable cart provides for the transport of articles on both horizontal and oblique surfaces. The cart includes a pair of spacially parallel support members, each having a handle portion at the upper end and a wheel mounted for rotation at the lower end. At least one tray member for supporting articles extends outwardly from and is rotationally connected to the support members. Lock means which permit or prevent the rotational movement of the parallel support members relative to the tray member provides the cart user with means to collapse the cart for storage. The parallel support members have a curved, outwardly extending lower end portion so that the wheels extend outwardly from the remaining upper length. The curved lower ends having a low friction contact surface permits the cart to be transported on oblique surfaces, such as stairs. Also provided is a light-weight tubular cart construction which permits tray/support member rotation, as well as a hinged, tray perimeter member which permits the cart to be collapsed into a second configuration. Additionally, handle portion, curved lower portion, tray member, brace member, pouch member, elastic member, brake member, and hinged leg elements or configurations are provided to further enhance the use and function of the collapsible and slidable cart.
    • 可折叠和可滑动的推车提供在水平和倾斜表面上运输物品。 推车包括一对空间平行的支撑构件,每个支撑构件具有在上端的手柄部分和安装用于在下端旋转的轮子。 用于支撑制品的至少一个托盘构件向外延伸并且旋转地连接到支撑构件。 允许或防止平行支撑构件相对于托盘构件的旋转运动的锁定装置为小车用户提供了折叠推车用于存储的装置。 平行支撑构件具有弯曲的向外延伸的下端部分,使得车轮从剩余的上部长度向外延伸。 具有低摩擦接触表面的弯曲下端允许推车在诸如楼梯的倾斜表面上运输。 还提供了允许托盘/支撑构件旋转的轻质管状推车结构,以及允许推车折叠成第二构造的铰接托盘周边构件。 此外,提供手柄部分,弯曲下部,托盘构件,支撑构件,小袋构件,弹性构件,制动构件和铰接腿元件或构造以进一步增强可折叠和可滑动的推车的使用和功能。
    • 8. 发明授权
    • Exchangeable guidewire
    • 可交换导丝
    • US5404886A
    • 1995-04-11
    • US61083
    • 1993-05-14
    • Jeffrey D. Vance
    • Jeffrey D. Vance
    • A61M25/01A61B5/00A61M25/09
    • A61M25/0905
    • A guidewire for guiding and exchanging body insertable catheters includes a body insertable guide section and an exchange section, both formed of flexible wire. In one embodiment, a pin connector at the distal end of the exchange section includes a truncated conical head, a shank, and a groove between the head and the shank. A socket connector is attached to the proximal end of the guide section. Four indentations are formed in the socket connector, spaced apart angularly 90.degree. from one another. The maximum diameter of the conical head is greater than the distance between opposed nodules, as the pin connector is insertable into the, it temporarily elastically deforms the socket as the head moves past the nodules. The nodules become captured within the groove, to allow rotation of the exchange section relative to the guide section while preventing any substantial axial relative movement of the sections. The exchange section can be disconnected from the guide section by withdrawing the pin connector proximally, again elastically deforming the socket as the head passes the nodules. The connectors permit repeated connections and disconnections, so the guidewire sections are reusable. In another embodiment, the pin connector has a cylindrical head and a narrower recess adjacent the head, and an indentation is formed in the socket connector with a gradually inclined wall that terminates in a steeply inclined edge.
    • 用于引导和更换主体可插入导管的导丝线包括由柔性线形成的主体可插入引导部分和交换部分。 在一个实施例中,在交换部分的远端处的销连接器包括截头锥形头部,柄部以及头部和柄部之间的凹槽。 插座连接器附接到引导部分的近端。 在插座连接器中形成四个凹口,彼此间隔成90°角。 锥形头部的最大直径大于相对的结节之间的距离,因为销连接器可插入,当头部移动通过结节时,它使套管暂时弹性变形。 结节被捕获在凹槽内,以允许交换部分相对于引导部分旋转,同时防止部分的任何实质的轴向相对运动。 交换部分可以通过将销连接器向近端拔出而与引导部分断开,当头部通过结节时,再次使插座弹性变形。 连接器允许重复连接和断开连接,因此导线部分是可重复使用的。 在另一个实施例中,销连接器具有圆柱形头部和邻近头部的较窄凹槽,并且凹口在插座连接器中形成为具有终止于陡峭倾斜边缘的逐渐倾斜的壁。
    • 9. 发明授权
    • Guidewire atherectomy catheter and method of using the same
    • 导丝粥样斑块切除术导管及其使用方法
    • US5358472A
    • 1994-10-25
    • US118949
    • 1993-09-09
    • Jeffrey D. VanceRick L. Shockey
    • Jeffrey D. VanceRick L. Shockey
    • A61B17/00A61B17/22
    • A61B17/320758A61B2017/22041A61M2025/0183
    • An atherectomy catheter device includes an improved guidewire system including a guidewire port member secured to the distal tip portion of the outer tubular member of an atherectomy catheter of the coaxial type having large and small concentrically disposed elongated flexible tubular members with a rotating cutter member fixed to the distal end of the inner tubular member. The guidewire is spaced from the cutter head yet controls the cutter disposition relative to the vessel lumen of interest. The inner and outer tubular members are constructed to simultaneously provide flushing liquid and aspirate the cutting site. A method of using the improved catheter is also disclosed.
    • 粥样斑块切除术导管装置包括改进的导丝系统,该导丝系统包括固定到具有大的和小的同心设置的细长柔性管状构件的具有同轴型的具有大的和小的同心设置的细长柔性管状构件的外部管状构件的外部管状构件的远侧末端部分的导丝构件, 内管状构件的远端。 引导线与切割头间隔开,并且相对于感兴趣的血管管腔控制切割器配置。 内部和外部管状构件被构造成同时提供冲洗液体并抽吸切割部位。 还公开了使用改进的导管的方法。