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1. 发明授权

US07731697B2 Apparatus and method for percutaneous catheter implantation and replacement 有权
标题翻译：用于经皮导管植入和置换的装置和方法
公开(公告)号：US07731697B2
公开(公告)日：2010-06-08
申请号：US11708445
申请日：2007-02-20
申请人： Christopher H. Porter , Claude A. Vidal , Russ J Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
发明人： Christopher H. Porter , Claude A. Vidal , Russ J Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
IPC分类号： A61M5/32
CPC分类号： A61M39/0247 , A61F2/0077
摘要： A medical apparatus and method of use for implanting a catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve comprising a wall surrounding an interior passageway extending from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin to place the sleeve distal end subcutaneously. The sleeve distal end outer surface carries porous material intended to contact the patient's dermis to promote tissue ingrowth. The sleeve passageway is dimensioned to snugly accommodate the outer surface of the catheter while permitting the catheter to slide relative to the sleeve. A split ring locking member is selectively operable in an unlocked state for permitting axial and rotational movement of said catheter relative to said sleeve and operable in a locked state for preventing such relative movement.
摘要翻译：一种用于将导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。该装置包括细长的套筒，其包括围绕从套筒近端延伸到套管远端的内部通道的壁。套筒旨在通过患者皮肤中的切口经皮植入以将套管远端皮下放置。套管远端外表面承载用于接触患者真皮的多孔材料以促进组织向内生长。套筒通道的尺寸被设计成紧密地容纳导管的外表面，同时允许导管相对于套筒滑动。解锁环锁定构件可选择性地在解锁状态下操作，以允许所述导管相对于所述套筒的轴向和旋转运动，并且可在锁定状态下操作以防止这种相对移动。

2. 发明授权

US07604617B2 Percutaneously implantable medical device configured to promote tissue ingrowth 有权
标题翻译：构造成促进组织向内生长的经皮植入式医疗装置
公开(公告)号：US07604617B2
公开(公告)日：2009-10-20
申请号：US10821383
申请日：2004-04-09
申请人： Christopher H. Porter , Claude A. Vidal , Russ J. Redmond , Byron L. Moran
发明人： Christopher H. Porter , Claude A. Vidal , Russ J. Redmond , Byron L. Moran
IPC分类号： A61M5/32
CPC分类号： A61M39/0247 , A61F2/0077 , A61L29/146 , A61M2039/0261 , H04R25/65 , H04R25/658 , H04R2225/67
摘要： An implantable device including a housing having a stud projecting percutaneously through an incision in the patient's skin. The stud defines a peripheral surface extending longitudinally inwardly from the stud outer end. The longitudinal peripheral surface is used as a substrate to carry a peripheral fibrous layer which extends longitudinally along the stud from its outer end adjacent to the skin incision to below the patient's epidermal and dermal skin layers for promoting laterally directed soft tissue ingrowth. The housing also defines a lateral shoulder surface oriented substantially perpendicular to the longitudinal peripheral surface. The shoulder surface also carries a porous layer conducive to promoting tissue ingrowth. The porous layers on the device allows tissue ingrowth into the interstices of both porous layers to form an enhanced infection resistant barrier while also providing improved device anchoring.
摘要翻译：一种可植入装置，其包括壳体，所述壳体具有通过患者皮肤中的切口经皮穿透的螺柱。螺柱限定了从螺柱外端纵向向内延伸的外周表面。纵向外周表面用作基底以携带周边纤维层，其周边纤维层沿着螺柱从其邻近皮肤切口的外端纵向延伸到患者的表皮和皮肤皮肤层下方，用于促进横向指向的软组织向内生长。外壳还限定了一个大致垂直于纵向周边表面定向的侧肩表面。肩表面还带有有助于促进组织向内生长的多孔层。设备上的多孔层允许组织向上生长进入两个多孔层的间隙以形成增强的感染抗性屏障，同时还提供改进的装置锚定。

3. 发明申请

US20100234814A1 Method and Subcutaneous Apparatus for Facilitating the Replacement of an Implanted Catheter 审中-公开
标题翻译：用于促进植入式导管更换的方法和皮下装置
公开(公告)号：US20100234814A1
公开(公告)日：2010-09-16
申请号：US12223047
申请日：2007-01-29
申请人： Christopher H. Porter , Claude A. Vidal , Russ J. Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
发明人： Christopher H. Porter , Claude A. Vidal , Russ J. Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
IPC分类号： A61L15/46
CPC分类号： A61M25/0111 , A61M1/3661 , A61M25/0194 , A61M25/0668 , A61M39/0247 , A61M2025/0293 , A61M2025/0681 , A61M2039/0261 , A61M2039/0273
摘要： A medical apparatus and method of use for implanting a catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve intended to be subcutaneously implanted. The sleeve comprises a wall surrounding an interior elongate passageway which extends from a sleeve proximal end to a sleeve distal end. The sleeve outer peripheral surface carries a layer of porous material intended to be placed just under the patient's outer skin layer in contact with the dermis to promote tissue ingrowth for anchoring the sleeve and forming an infection resistant barrier. The sleeve passageway includes a sealing nib dimensioned to engage the outer surface of the catheter while permitting the catheter to slide relative to the sleeve. The sealing nib prevents deleterious material from migrating into the patient's body along the catheter outer surface.
摘要翻译：一种用于将导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。该装置包括旨在皮下植入的细长套筒。套筒包括围绕从套筒近端延伸到套管远端的内部细长通道的壁。套筒外周表面带有一层多孔材料，其旨在被放置在与真皮接触的患者外皮层正下方，以促进组织向内生长以锚定套筒并形成感染抗性屏障。套筒通道包括密封笔尖，其尺寸适于与导管的外表面接合，同时允许导管相对于套筒滑动。密封笔尖防止有害材料沿着导管外表面迁移到患者体内。

4. 发明授权

US07794431B2 Apparatus and method for facilitating the replacement of an implanted catheter 有权
标题翻译：便于更换植入导管的装置和方法
公开(公告)号：US07794431B2
公开(公告)日：2010-09-14
申请号：US11650795
申请日：2007-01-06
申请人： Christopher H. Porter , Claude A. Vidal , Russ J. Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
发明人： Christopher H. Porter , Claude A. Vidal , Russ J. Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
IPC分类号： A61M5/00
CPC分类号： A61F2/0077 , A61L29/146 , A61M39/0247 , A61M2039/0261 , H04R2225/67
摘要： A medical apparatus and method of use for implanting a percutaneous catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve comprising a wall surrounding an interior elongate passageway. The passageway extends from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin so that the sleeve distal end resides subcutaneously. The sleeve outer peripheral surface carries a layer of porous material intended to be placed just under the patient's outer skin layer in contact with the dermis to promote tissue ingrowth for anchoring the sleeve and forming an infection resistant barrier. The sleeve passageway is dimensioned to snugly accommodate the outer surface of catheter while permitting the catheter to slide relative to the sleeve. A sealing device is mounted around the catheter adjacent to the sleeve proximal end to prevent deleterious material from migrating into the patient's body along the catheter outer surface.
摘要翻译：一种用于将经皮导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。该装置包括细长套筒，其包括围绕内部细长通道的壁。通道从套筒近端延伸到套筒远端。套筒旨在通过患者皮肤中的切口经皮植入，使得套管远端皮下注入。套筒外周表面带有一层多孔材料，其旨在被放置在与真皮接触的患者外皮层正下方，以促进组织向内生长以锚定套筒并形成感染抗性屏障。套筒通道的尺寸被设计成紧密地容纳导管的外表面，同时允许导管相对于套筒滑动。密封装置围绕导管邻近套管近端安装，以防止有害材料沿着导管外表面迁移到患者体内。

5. 发明授权

US08021340B2 Enhanced apparatus for percutaneous catheter implantation and replacement 有权
标题翻译：用于经皮导管植入和置换的增强装置
公开(公告)号：US08021340B2
公开(公告)日：2011-09-20
申请号：US12321962
申请日：2009-01-26
申请人： Christopher H. Porter , Claude A. Vidal , Russell J. Redmond , Byron L. Moran , Abram D. Janis , Kelly A. Chapman
发明人： Christopher H. Porter , Claude A. Vidal , Russell J. Redmond , Byron L. Moran , Abram D. Janis , Kelly A. Chapman
IPC分类号： A61M5/32
CPC分类号： A61F2/0077 , A61M39/0247 , A61M2039/0261 , A61M2039/0273 , A61M2039/0294
摘要： A medical apparatus and method of use for implanting a percutaneous catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve having a tapered forward portion to facilitate its insertion through an undersized incision. The sleeve provides an interior elongate passageway which extends from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin so that the sleeve distal end resides subcutaneously. The sleeve outer peripheral surface carries a layer of porous material intended to be placed under the patient's outer skin layer in contact with the dermis to promote tissue ingrowth for anchoring the sleeve and forming an infection resistant barrier. The sleeve passageway is dimensioned to snugly accommodate the outer surface of catheter while permitting the catheter to slide relative to the sleeve. A sealing device is mounted around the catheter adjacent to the sleeve proximal end to prevent deleterious material from migrating into the patient's body along the catheter outer surface. A locking member secured to the sleeve can be pivoted to an unlocked portion for permitting axial and rotational movement of said catheter relative to said sleeve and or to a locked position for preventing such relative movement.
摘要翻译：一种用于将经皮导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。该装置包括具有锥形向前部分的细长套筒，以便于其插入通过较小的切口。套筒提供从套筒近端延伸到套管远端的内部细长通道。套筒旨在通过患者皮肤中的切口经皮植入，使得套管远端皮下注入。套筒外周表面带有一层多孔材料，其旨在放置在与真皮接触的患者外表层下方，以促进组织向内生长以锚定套筒并形成感染抗性屏障。套筒通道的尺寸被设计成紧密地容纳导管的外表面，同时允许导管相对于套筒滑动。密封装置围绕导管邻近套管近端安装，以防止有害材料沿着导管外表面迁移到患者体内。固定到套筒上的锁定构件可以枢转到解锁部分，以允许所述导管相对于所述套筒的轴向和旋转运动，或者可以锁定到锁定位置，以防止这种相对运动。

6. 发明申请

US20090171295A1 Enhanced apparatus for percutaneous catheter implantation and replacement 有权
标题翻译：用于经皮导管植入和置换的增强装置
公开(公告)号：US20090171295A1
公开(公告)日：2009-07-02
申请号：US12321962
申请日：2009-01-26
申请人： Christopher H. Porter , Claude A. Vidal , Russell J. Redmond , Byron L. Moran , Abram D. Janis , Kelly A. Chapman
发明人： Christopher H. Porter , Claude A. Vidal , Russell J. Redmond , Byron L. Moran , Abram D. Janis , Kelly A. Chapman
IPC分类号： A61M25/04 , A61M25/16 , A61M25/00
CPC分类号： A61F2/0077 , A61M39/0247 , A61M2039/0261 , A61M2039/0273 , A61M2039/0294
摘要： A medical apparatus and method of use for implanting a percutaneous catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve having a tapered forward portion to facilitate its insertion through an undersized incision. The sleeve provides an interior elongate passageway which extends from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin so that the sleeve distal end resides subcutaneously. The sleeve outer peripheral surface carries a layer of porous material intended to be placed under the patient's outer skin layer in contact with the dermis to promote tissue ingrowth for anchoring the sleeve and forming an infection resistant barrier. The sleeve passageway is dimensioned to snugly accommodate the outer surface of catheter while permitting the catheter to slide relative to the sleeve. A sealing device is mounted around the catheter adjacent to the sleeve proximal end to prevent deleterious material from migrating into the patient's body along the catheter outer surface. A locking member secured to the sleeve can be pivoted to an unlocked portion for permitting axial and rotational movement of said catheter relative to said sleeve and or to a locked position for preventing such relative movement.
摘要翻译：一种用于将经皮导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。该装置包括具有锥形向前部分的细长套筒，以便于其插入通过较小的切口。套筒提供从套筒近端延伸到套管远端的内部细长通道。套筒旨在通过患者皮肤中的切口经皮植入，使得套管远端皮下注入。套筒外周表面带有一层多孔材料，其旨在放置在与真皮接触的患者外表层下方，以促进组织向内生长以锚定套筒并形成感染抗性屏障。套筒通道的尺寸被设计成紧密地容纳导管的外表面，同时允许导管相对于套筒滑动。密封装置围绕导管邻近套管近端安装，以防止有害材料沿着导管外表面迁移到患者体内。固定到套筒上的锁定构件可以枢转到解锁部分，以允许所述导管相对于所述套筒的轴向和旋转运动，或者可以锁定到锁定位置，以防止这种相对运动。

7. 发明申请

US20090069786A1 Medical apparatus and method for facilitating the management of long term tunneled conduits 审中-公开
标题翻译：促进长期隧道管道管理的医疗仪器和方法
公开(公告)号：US20090069786A1
公开(公告)日：2009-03-12
申请号：US12286821
申请日：2008-10-01
申请人： Thomas M. Vesely , Christopher H. Porter , Claude A. Vidal , Russell J. Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
发明人： Thomas M. Vesely , Christopher H. Porter , Claude A. Vidal , Russell J. Redmond , Byron L. Moran , Paul Kaluzniak , Abram D. Janis
IPC分类号： A61M5/32
CPC分类号： A61F2/0077 , A61M25/0662 , A61M39/0247 , A61M2039/0273 , A61M2039/0279 , A61M2039/0294
摘要： A method and apparatus for facilitating the management of indwelling conduits to avoid and/or treat infections associated with long term implantation. A sleeve carrying a layer of porous material on its outer surface is percutaneous implanted to place the layer of porous material just under the patient's outer skin in contact with the patient's dermis where it functions to promote soft tissue ingrowth. A catheter passes through the sleeve passageway and along an interior body path to an interior destination site, e.g., an opening into a vein, i.e., venotomy site. Within about 3-6 weeks after implantation, the patient's dermal tissue integrates sufficiently with the sleeve porous material to physically anchor the sleeve and create an infection resistant barrier. Further, a tunnel, characterized by an epithelialized capsule, typically forms around the catheter along the interior body path extending to the interior destination site. After sufficient integration of the patient's soft tissue into the porous layer, the sleeve passageway can be used to pass various procedural tools to the tunnel and interior destination site without disturbing the tissue integrating barrier.
摘要翻译：一种便于管理留置管道以避免和/或治疗与长期植入有关的感染的方法和装置。在其外表面上承载多孔材料层的套管是经皮植入的，以将多孔材料层恰好放置在病人的外皮下方，与病人的真皮接触，其中它促进软组织向内生长。导管穿过套管通道并沿着内部身体路径到达内部目的地，例如，进入静脉的开口，即静脉切开部位。在植入后约3-6周内，患者的皮肤组织与套管多孔材料充分结合以物理地锚定套筒并产生感染抗性屏障。此外，特征在于上皮化胶囊的隧道通常沿着延伸到内部目的地位置的内部主体路径围绕导管形成。在将患者的软组织充分融合到多孔层中之后，可以使用套管通道将各种程序工具传递到隧道和内部目的地，而不会干扰组织整合屏障。

8. 发明申请

US20110004287A1 Bifurcated Stent and Delivery System 失效
标题翻译：分叉支架和分娩系统
公开(公告)号：US20110004287A1
公开(公告)日：2011-01-06
申请号：US12882726
申请日：2010-09-15
申请人： Gregory G. Brucker , Enrique Malaret , Todd Hall , David Byrd , Gerald Hubbs , Gregory Furnish , Josh Barber , Indaka Gunasekara , Benjamin Morris , Valerie Futral , Sava A. Chernomordik , William C. Mers Kelly , William A. Reuss, JR. , Simon Furnish , Michael W. Wilson , Hacene Bouadi , John C. Muskivitch , Matthew L. Pease , David A. Rahdert , Travis Rowe , Gregory M. Ruhf , Brandon G. Walsh , Claude A. Vidal , Thomas Banks , Russ J. Redmond
发明人： Gregory G. Brucker , Enrique Malaret , Todd Hall , David Byrd , Gerald Hubbs , Gregory Furnish , Josh Barber , Indaka Gunasekara , Benjamin Morris , Valerie Futral , Sava A. Chernomordik , William C. Mers Kelly , William A. Reuss, JR. , Simon Furnish , Michael W. Wilson , Hacene Bouadi , John C. Muskivitch , Matthew L. Pease , David A. Rahdert , Travis Rowe , Gregory M. Ruhf , Brandon G. Walsh , Claude A. Vidal , Thomas Banks , Russ J. Redmond
IPC分类号： A61F2/84 , A61F2/82
CPC分类号： A61F2/856 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2/97 , A61F2002/061 , A61F2002/821 , A61F2002/9583 , A61F2250/006
摘要： Systems for delivering a bifurcated stent to a bifurcation site comprise catheters and/or bifurcated stents delivered therefrom.
摘要翻译：将分叉支架输送到分叉部位的系统包括从其输送的导管和/或分叉支架。

9. 发明授权

US07799064B2 Bifurcated stent and delivery system 有权
标题翻译：分叉支架和分娩系统
公开(公告)号：US07799064B2
公开(公告)日：2010-09-21
申请号：US10083707
申请日：2002-02-26
申请人： Gregory G. Brucker , Enrique Malaret , Todd Hall , David Byrd , Gerald Hubbs , Gregory Furnish , Josh Barber , Indaka Gunasekara , Benjamin Morris , Valerie Futral , Sava A. Chernomordik , William C. Mers Kelly , William A. Reuss, Jr. , Simon Furnish , Michael W. Wilson , Hacene Bouadi , John C. Muskivitch , Matthew L. Pease , David A. Rahdert , Travis Rowe , Gregory M. Ruhf , Brandon G. Walsh , Claude A. Vidal , Thomas Banks , Russ J. Redmond
发明人： Gregory G. Brucker , Enrique Malaret , Todd Hall , David Byrd , Gerald Hubbs , Gregory Furnish , Josh Barber , Indaka Gunasekara , Benjamin Morris , Valerie Futral , Sava A. Chernomordik , William C. Mers Kelly , William A. Reuss, Jr. , Simon Furnish , Michael W. Wilson , Hacene Bouadi , John C. Muskivitch , Matthew L. Pease , David A. Rahdert , Travis Rowe , Gregory M. Ruhf , Brandon G. Walsh , Claude A. Vidal , Thomas Banks , Russ J. Redmond
IPC分类号： A61F2/06
CPC分类号： A61F2/958 , A61F2/856 , A61F2/954 , A61F2/97 , A61F2002/821 , A61F2002/9583 , A61F2250/006
摘要： Systems for delivering a bifurcated stent to a bifurcation site comprise catheters and/or bifurcated stents delivered therefrom.
摘要翻译：将分叉支架输送到分叉部位的系统包括从其输送的导管和/或分叉支架。

10. 发明授权

US08632579B2 Bifurcated stent and delivery system 失效
标题翻译：分叉支架和分娩系统
公开(公告)号：US08632579B2
公开(公告)日：2014-01-21
申请号：US12882726
申请日：2010-09-15
申请人： Gregory G. Brucker , Enrique Malaret , Todd Hall , David Byrd , Gerald Hubbs , Gregory Furnish , Josh Barber , Indaka Gunasekara , Benjamin Morris , Valerie Futral Maron , Sava A. Chernomordik , William C. Mers Kelly , William A. Reuss, Jr. , Simon Furnish , Michael W. Wilson , Hacene Bouadi , John C. Muskivitch , Matthew L. Pease , David A. Rahdert , Travis Rowe , Gregory M. Ruhf , Brandon G. Walsh , Claude A. Vidal , Thomas Banks , Russ J. Redmond
发明人： Gregory G. Brucker , Enrique Malaret , Todd Hall , David Byrd , Gerald Hubbs , Gregory Furnish , Josh Barber , Indaka Gunasekara , Benjamin Morris , Valerie Futral Maron , Sava A. Chernomordik , William C. Mers Kelly , William A. Reuss, Jr. , Simon Furnish , Michael W. Wilson , Hacene Bouadi , John C. Muskivitch , Matthew L. Pease , David A. Rahdert , Travis Rowe , Gregory M. Ruhf , Brandon G. Walsh , Claude A. Vidal , Thomas Banks , Russ J. Redmond
IPC分类号： A61F2/06
CPC分类号： A61F2/856 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2/97 , A61F2002/061 , A61F2002/821 , A61F2002/9583 , A61F2250/006
摘要： Systems for delivering a bifurcated stent to a bifurcation site include catheters and/or bifurcated systems delivered therefrom. A catheter includes a balloon with a bulge region that allows a portion of the stent to be expanded.
摘要翻译：将分叉支架输送到分叉部位的系统包括从其输送的导管和/或分叉系统。导管包括具有允许支架的一部分扩张的凸起区域的气囊。

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