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    • 2. 发明申请
    • System and method for removal of material from a blood vessel using a small diameter catheter
    • 使用小直径导管从血管中去除材料的系统和方法
    • US20070118165A1
    • 2007-05-24
    • US11583873
    • 2006-10-19
    • Jonathan DeMelloMaureen FinlaysonRichard DeMelloJon BurkhardtBruce Flight
    • Jonathan DeMelloMaureen FinlaysonRichard DeMelloJon BurkhardtBruce Flight
    • A61B17/22
    • A61B17/32056A61B17/221A61B2017/00867A61B2017/22034A61B2017/22035A61B2017/22094A61B2017/2212
    • This invention provides a small diameter snare device and device for thrombus removal consisting of a hollow, elongate, thin-walled outer sheath constructed from polymer, at least at a distal part thereof. A single central core wire extends through the entire length of the sheath. The outer diameter of the core wire is sized close to the inner diameter of the sheath while allowing for axial sliding, in order to maximize the support to the body portion of the snare device. The distal end of the core wire has a tapered section of reduced diameter or cross section to provide a “guidewire-like” flexibility to the distal portion of the device. A second wire (or wires) of about fifty percent or less of the inner diameter of the sheath is (are) shaped to form a snare loop or radially extended tool tip that is attached to the distal most portion of the central core wire. The snare loop is typically circular or oval shaped and can also be multiplanar (for example, a twisted, figure eight shape) so as to increase the ability to ensnare and capture objects. The tool tip can be a planar or multi-planar, proximally directed structure that, when deployed, is adapted to engage the thrombus from behind after piercing the thrombus with the sheath while the tool tip is retracted.
    • 本发明提供了一种用于血栓消除的小直径圈套装置和装置,其由至少在其远端部分由聚合物构成的中空细长的薄壁外护套组成。 单个中心芯线延伸穿过护套的整个长度。 芯线的外径尺寸接近护套的内径,同时允许轴向滑动,以便最大限度地提供对圈套装置的主体部分的支撑。 芯线的远端具有减小直径或横截面的锥形部分,以向装置的远端部分提供“导丝状”柔性。 外壳的内径大约百分之五十以下的第二丝线(或线)被成形为形成环绕或径向延伸的工具尖端,其附接到中心芯线的最远端部分。 圈套环通常为圆形或椭圆形,并且也可以是多平面的(例如,扭曲的八角形状),以增加捕获和捕获物体的能力。 工具尖端可以是平面或多平面的近端定向的结构,当部署时,其适于在工具尖端缩回时用护套刺穿血栓之后从后面接合血栓。
    • 4. 发明授权
    • Kink resistant balloon catheter and method for use
    • 抗扭结球囊导管及使用方法
    • US5429597A
    • 1995-07-04
    • US204626
    • 1994-03-01
    • Richard DeMelloAndrew KapravyGeorge T. RobertsSally Thornton
    • Richard DeMelloAndrew KapravyGeorge T. RobertsSally Thornton
    • A61M25/00A61M31/00
    • A61M25/005A61M25/09033
    • A kink resistant balloon catheter for insertion into a bodily conduit. The catheter (10) includes a shaft (20), a radiopaque distal tip (35), a dilatation balloon (33) between the shaft and the distal tip, and a removable core wire (40). The shaft includes a kink resistant, cross-wound multifilar (CWMF) coil (21) enclosed by a polymeric sleeve (22) and defining a central lumen (28) for delivery of a fluid inflation medium for inflating the balloon. A fixed core wire (36) interconnects the CWMF coil and the distal tip. In a method for widening constricted bodily passages using the novel balloon catheter, the removable core wire is inserted to assist positioning of the catheter, and is removed to permit rapid inflation and deflation of the balloon.
    • 用于插入身体导管的抗扭结球囊导管。 导管(10)包括轴(20),不透射线的远侧末端(35),在轴和远侧末端之间的扩张球囊(33)和可移除的芯线(40)。 所述轴包括由聚合物套筒(22)包围并且限定用于输送用于使球囊膨胀的流体膨胀介质的中心腔(28)的扭结抗性交叉卷绕多针(CWMF)线圈(21)。 固定芯线(36)将CWMF线圈和远端尖端互连。 在使用新型气囊导管加宽收缩的身体通道的方法中,插入可移除的芯线以帮助导管的定位,并且被移除以允许气囊的快速充气和放气。
    • 5. 发明申请
    • Small-diameter snare
    • 小径圈套
    • US20050234474A1
    • 2005-10-20
    • US11074827
    • 2005-03-07
    • Richard DeMelloMaureen FinlaysonBruce FlightJon Burkhardt
    • Richard DeMelloMaureen FinlaysonBruce FlightJon Burkhardt
    • A61B17/22A61B17/24A61B17/28A61B17/32A61B19/00
    • A61B17/32056A61B17/221A61B90/39A61B2017/22035A61B2017/22042A61B2017/22045A61B2017/2212A61B2017/2924
    • This invention provides a small diameter snare device consisting of a hollow, elongate, thin-walled polymer outer sheath. A single central core wire extends through the entire length of the sheath. The outer diameter of the core wire is sized close to the inner diameter of the sheath while allowing for axial sliding, in order to maximize the support to the body portion of the snare device. The distal end of the core wire has a tapered section of reduced diameter or cross section to provide a “guidewire-like” flexibility to the distal portion of the device. A second wire of about fifty percent of the inner diameter of the sheath is shaped to form a snare loop and the two ends are attached to the distal most portion of the central core wire via welding, soldering, or brazing. After assembly of the core and sheath, a second short, hollow tube is fitted over the proximal end of the central core and attached thereto to provide an actuating handle to slideably move the central core within the sheath, thus exposing and retracting the snare loop from the open distal end of the sheath. The loop is typically circular or oval shaped and can also be multiplanar (for example, a twisted, figure eight shape) so as to increase the ability to ensnare and capture objects. The loop attachment to the core wire is facilitated and strengthened by a wrapped coupling coil formed typically of 0.001-inch platinum wire applied to secure the loop prior to soldering (brazing or other metal-flowing joining techniques), and through which solder flows to permanently secure the loop to the core wire.
    • 本发明提供一种由中空细长的薄壁聚合物外护套组成的小直径圈套装置。 单个中心芯线延伸穿过护套的整个长度。 芯线的外径尺寸接近护套的内径,同时允许轴向滑动,以便最大限度地提供对圈套装置的主体部分的支撑。 芯线的远端具有减小直径或横截面的锥形部分,以向装置的远端部分提供“导丝状”柔性。 护套内径大约百分之五十的第二根线被成形为形成一个圈套环,两端通过焊接,焊接或钎焊连接到中心芯线的最远端部分。 在组装芯和护套之后,将第二短的中空管装配在中心芯的近端并附接到其上以提供致动手柄以使中心芯在护套内可滑动地移动,从而使圈套环从 护套的开口远端。 该环通常是圆形或椭圆形,并且也可以是多平面的(例如,扭曲的八字形状),以增加捕获和捕获物体的能力。 通过一个通常用0.001英寸铂线形成的缠绕的耦合线圈来促进和加强与芯线的连接,以在焊接之前固定环(钎焊或其它金属流动接合技术),并且焊料通过其流动到永久 将环路固定到芯线。