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1. 发明授权

US08211087B2 Distal wire stop 有权
标题翻译：远端电线停止
公开(公告)号：US08211087B2
公开(公告)日：2012-07-03
申请号：US11006496
申请日：2004-12-07
申请人： Matthew P. Carter , Frederick B. Haller , Kenneth C. Kennedy, II , Brian K. Rucker , Stephen E. Deal , Juan Carlos Ayala
发明人： Matthew P. Carter , Frederick B. Haller , Kenneth C. Kennedy, II , Brian K. Rucker , Stephen E. Deal , Juan Carlos Ayala
IPC分类号： A61M25/00 , A61M5/178
CPC分类号： A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0662 , A61M25/10 , A61M2025/0006 , A61M2025/0025 , A61M2025/0059 , A61M2025/0177 , A61M2025/0183 , A61M2025/0681 , A61M2025/09125
摘要： A method and apparatus for releasably securing a wire guide to an elongate medical device for introduction into a work site with the bodily lumen of a patient. An elongate engagement member is configured to engage the wire guide while it is coupled to the elongate medical device and is configured so as to prevent relative movement between the wire guide and the elongate medical device.
摘要翻译：一种用于将线引导件可释放地固定到细长医疗装置用于引入患者体腔的工作现场的方法和装置。细长接合构件构造成在线引导件联接到细长医疗装置的同时接合线引导件，并且构造成防止线引导件与细长医疗装置之间的相对运动。

2. 发明授权

US08070693B2 Articulating steerable wire guide 有权
标题翻译：铰接导向导轨
公开(公告)号：US08070693B2
公开(公告)日：2011-12-06
申请号：US11599522
申请日：2006-11-14
申请人： Juan Carlos Ayala , Matthew P. Carter , David M. Hardin
发明人： Juan Carlos Ayala , Matthew P. Carter , David M. Hardin
IPC分类号： A61B5/00
CPC分类号： A61M25/09 , A61M25/0147 , A61M25/09033 , A61M2025/0163 , A61M2025/09175
摘要： A steerable wire guide comprises first and second members interconnected to form a unitary composite structure. The members slide relative to each other such that the leading portion of the composite structure bends in a first or second direction. The composite structure comprises a soft body portion at its distal end and a rigid body portion at its proximal end. Various cross-sections are disclosed. In an alternate embodiment, the wire guide comprises a first guiding wire section, a wire loop section and a second guiding wire section, the wire component being folded back on itself to form a generally central wire loop section; and a tubular sheath surrounding the first guiding wire section and the second guiding wire section. The first and second members or guiding wire sections can be connected to a removable handle to facilitate control and maneuverability of the wire guide.
摘要翻译：可导向的导线器包括互连以形成整体复合结构的第一和第二构件。这些构件相对于彼此滑动，使得复合结构的引导部分沿第一或第二方向弯曲。复合结构包括在其远端处的软体部分和其近端处的刚体部分。公开了各种横截面。在替代实施例中，电线引导件包括第一引导线部分，线环部分和第二引导线部分，线部件自身折回以形成大致中心的线环部分; 以及围绕所述第一引导线部分和所述第二引导线部分的管状护套。第一和第二构件或引导线段可以连接到可移除的手柄以便于导线器的控制和机动性。

3. 发明授权

US07520881B2 Loop tip wire guide 有权
标题翻译：环形导线导轨
公开(公告)号：US07520881B2
公开(公告)日：2009-04-21
申请号：US10719764
申请日：2003-11-21
申请人： Jason D. Foushee , Juan Carlos Ayala , David M. Hardin, Jr.
发明人： Jason D. Foushee , Juan Carlos Ayala , David M. Hardin, Jr.
IPC分类号： A61B17/24
CPC分类号： A61M25/09 , A61M2025/09175
摘要： A wire guide has first and second portions with first and second diameters, respectively. A resilient loop positions a distal end of the wire guide adjacent another section of the wire guide. A closure member maintains the distal end in a fixed position relative to the remainder of the wire guide. A covering may be positioned around one or more parts of the wire guide.
摘要翻译：导线器分别具有第一和第二直径的第一和第二部分。弹性环将电线引导件的远端定位成与电线引导件的另一部分相邻。闭合构件将远端保持在相对于导线引导件的其余部分的固定位置。覆盖物可以围绕导线器的一个或多个部分定位。

4. 发明授权

US08512389B2 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：US08512389B2
公开(公告)日：2013-08-20
申请号：US12973207
申请日：2010-12-20
申请人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
发明人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
IPC分类号： A61F2/06 , A61M25/09
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 separating member may be provided to remotely separate the wire guide from the elongate medical device.
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。可以设置分离构件以远程地将电线引导件与细长医疗装置分离。

5. 发明授权

US07967830B2 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：US07967830B2
公开(公告)日：2011-06-28
申请号：US10902438
申请日：2004-07-29
申请人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
发明人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
IPC分类号： A61M25/09
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 separating member may be provided to remotely separate the wire guide from the elongate medical device. 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. 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。可以设置分离构件以远程地将电线引导件与细长医疗装置分离。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。

6. 发明授权

US08702625B2 Steerable loop tip wire-guide 有权
标题翻译：导向环尖线导轨
公开(公告)号：US08702625B2
公开(公告)日：2014-04-22
申请号：US11234990
申请日：2005-09-26
申请人： Juan Carlos Ayala , David M. Hardin , Jason D. Foushee
发明人： Juan Carlos Ayala , David M. Hardin , Jason D. Foushee
IPC分类号： A61B5/00
CPC分类号： A61M25/0147 , A61B17/32056 , A61M25/0136 , A61M25/09 , A61M25/09025 , A61M2025/0163 , A61M2025/09116 , A61M2025/09175
摘要： A steerable wire-guide comprises an elongate member having a longitudinal axis. The elongate member comprises a leading portion and a body portion. The leading portion comprises a loop and the body portion comprises a first wire and a second wire. The first and second wires are movable relative to each other such that relative movement of the first wire with respect to the second wire directs the leading portion in a first direction, which is at an angle relative to the longitudinal axis, and relative movement of the second wire with respect to the first wire directs the leading portion in a second direction different from the first direction.
摘要翻译：可导向的导线器包括具有纵向轴线的细长构件。细长构件包括引导部分和主体部分。前导部分包括环，并且主体部分包括第一线和第二线。第一和第二导线可以相对于彼此移动，使得第一线相对于第二线的相对运动将引导部分沿相对于纵向轴线成一定角度的第一方向和相对于纵向轴线的相对运动第二线相对于第一线引导引导部分沿与第一方向不同的第二方向。

7. 发明申请

US20110087234A1 SYSTEM AND METHOD FOR INTRODUCING MULTIPLE MEDICAL DEVICES 有权
标题翻译：用于介绍多种医疗设备的系统和方法
公开(公告)号：US20110087234A1
公开(公告)日：2011-04-14
申请号：US12973207
申请日：2010-12-20
申请人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
发明人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
IPC分类号： A61M25/01
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 separating member may be provided to remotely separate the wire guide from the elongate medical 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。可以设置分离构件以远程地将电线引导件与细长医疗装置分离。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。

8. 发明授权

US07758592B2 Loop tip wire guide 有权
标题翻译：环形导线导轨
公开(公告)号：US07758592B2
公开(公告)日：2010-07-20
申请号：US11234992
申请日：2005-09-26
申请人： Juan Carlos Ayala , David M. Hardin , Jason D. Foushee
发明人： Juan Carlos Ayala , David M. Hardin , Jason D. Foushee
IPC分类号： A61B17/24
CPC分类号： A61M25/09 , A61B90/39 , A61B2017/00849 , A61B2017/22042 , A61M2025/09175
摘要： A wire guide has first and second portions with first and second diameters, respectively. A resilient loop positions a distal end of the wire guide adjacent another section of the wire guide. A closure member comprising at least one attachment tab maintains the distal end in a fixed position relative to the remainder of the wire guide. A covering may be positioned around one or more parts of the wire guide.
摘要翻译：导线器分别具有第一和第二直径的第一和第二部分。弹性环将电线引导件的远端定位成与电线引导件的另一部分相邻。包括至少一个附接凸片的闭合构件将远端相对于导线器的其余部分保持在固定位置。覆盖物可以围绕导线器的一个或多个部分定位。

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