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    • 6. 发明授权
    • Radially expandable fixation member constructed of recovery metal
    • 由回收金属构成的径向可扩张固定件
    • US5378239A
    • 1995-01-03
    • US80749
    • 1993-06-22
    • Paul L. TerminChristopher H. Porter
    • Paul L. TerminChristopher H. Porter
    • A61F2/90A61M25/04A61M29/00
    • A61F2/90A61F2/95A61M25/04A61F2230/0091A61M2025/0293
    • An open weave fixation device is secured to a distal end region of a catheter or other diagnostic or treatment device, for either temporarily or permanently fixing the device within a body cavity. In one approach, the fixation element is constructed of braided, helically wound filaments of resilient stainless steel. A sheath surrounds the catheter and fixation element to elastically deform the element into a reduced radius configuration to facilitate insertion and deployment. With the fixation element positioned as desired, the sheath is withdrawn to permit the fixation element to self-expand against body tissue, thus to secure the fixation element and catheter. In an alternative arrangement, a dilatation balloon surrounds a catheter near its distal end, and in turn is surrounded by a plastically deformable fixation element. Following desired positioning, the balloon is dilated to permanently deform the fixation element into contact with body tissue. In either case, the fixation element can be mounted at its distal end, its proximal end or medially, depending upon the particular treatment and the expected duration of fixation. Another approach employs a recovery metal in the fixation element.
    • 开放的编织固定装置固定到导管或其它诊断或治疗装置的远端区域,用于临时或永久地将装置固定在体腔内。 在一种方法中,固定元件由弹性不锈钢的编织的螺旋缠绕的细丝构成。 护套围绕导管和固定元件以将元件弹性变形成减小的半径构型以便于插入和展开。 当固定元件根据需要定位时,护套被抽出以允许固定元件自身膨胀抵抗身体组织,从而固定固定元件和导管。 在替代布置中,扩张气囊围绕其远端附近的导管围绕,并且由塑性可变形的固定元件围绕。 按照期望的定位,气囊膨胀以将固定元件永久变形成与身体组织接触。 在任一情况下,固定元件可以安装在其远端,其近端或中间,这取决于特定治疗和预期的固定持续时间。 另一种方法在固定元件中采用回收金属。
    • 8. 发明授权
    • Enhanced apparatus for percutaneous catheter implantation and replacement
    • 用于经皮导管植入和置换的增强装置
    • US08021340B2
    • 2011-09-20
    • US12321962
    • 2009-01-26
    • Christopher H. PorterClaude A. VidalRussell J. RedmondByron L. MoranAbram D. JanisKelly A. Chapman
    • Christopher H. PorterClaude A. VidalRussell J. RedmondByron L. MoranAbram D. JanisKelly A. Chapman
    • A61M5/32
    • A61F2/0077A61M39/0247A61M2039/0261A61M2039/0273A61M2039/0294
    • 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.
    • 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。