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    • 4. 发明授权
    • System and method for introducing multiple medical devices
    • 引入多种医疗器械的系统和方法
    • US08206320B2
    • 2012-06-26
    • US10902625
    • 2004-07-29
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • A61B6/00
    • A61B1/018A61B6/12A61B17/221A61B2017/2212A61F2/95A61F2002/041A61F2002/9511A61M25/0029A61M25/0662A61M25/10A61M2025/0183A61M2025/0681
    • 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 system of indicia, such as radiopaque or viewable markers, permit 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.
    • 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。 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。
    • 7. 发明授权
    • Stapling device for closing perforations
    • 用于封闭穿孔的装订装置
    • US08764768B2
    • 2014-07-01
    • US12548868
    • 2009-08-27
    • John A. Karpiel
    • John A. Karpiel
    • A61B17/10A61B17/08
    • A61B17/0057A61B17/0643A61B17/068A61B17/08A61B17/10A61B17/12013A61B2017/00668
    • Medical devices and systems for easily and reliably closing a perforation in tissue. One embodiment of a medical device for use with a scope includes a tubular member having a distal end, an exterior surface and an interior space. A carrier element extends along the exterior surface and around the distal end of the tubular member. An elastic band is positioned on the carrier element around the exterior surface of the tubular member. A staple is positioned within the interior space of a tubular member and includes first and second prongs which are spaced apart and translatable relative to one another. The carrier element is structured to deliver the elastic band beyond the distal end of the tubular member where upon the elastic band contracts and engages the staple to translate the first and second prongs towards each other.
    • 用于容易且可靠地封闭组织穿孔的医疗装置和系统。 用于范围的医疗装置的一个实施例包括具有远端,外表面和内部空间的管状构件。 载体元件沿着外表面并且围绕管状构件的远端延伸。 弹性带围绕管状构件的外表面定位在载体元件上。 钉子定位在管状构件的内部空间内,并且包括相对于彼此间隔开并且可平移的第一和第二叉。 载体元件被构造成将弹性带递送超过管状构件的远端,其中弹性带收缩并接合订书钉以将第一和第二插脚朝向彼此平移。
    • 9. 发明授权
    • Single peel stent introducer apparatus
    • 单皮支架引导器设备
    • US08025691B2
    • 2011-09-27
    • US11454607
    • 2006-06-16
    • Mathew P. CarterVictor D. ClarkJohn A. KarpielGregory J. Skerven
    • Mathew P. CarterVictor D. ClarkJohn A. KarpielGregory J. Skerven
    • A61F2/06
    • A61F2/95A61F2/966A61F2002/9517
    • A stent introducer apparatus includes a handle having a housing and a rotatable reel. An inner stent carrier having a proximal end and a distal end is provided, with the proximal end being connected to the housing of the handle. An outer sheath movably disposed about the inner stent carrier and having a proximal end and a distal end is provided, with the proximal end being connected to the reel of the handle. Rotation of the reel relative to the housing peels the outer sheath away from the inner stent carrier so as to move the outer sheath proximally relative to the inner stent carrier, thereby exposing the distal end of the inner stent carrier. The inner stent carrier has a stent carrying portion at its distal end to carry a stent that is deployed when the distal end of the inner stent carrier is exposed.
    • 支架引入装置包括具有壳体和可旋转卷轴的把手。 提供具有近端和远端的内部支架载体,其中近端连接到手柄的外壳。 提供了可移动地围绕内部支架托架设置并且具有近端和远端的外护套,其近端连接到手柄的卷轴。 卷轴相对于壳体的旋转将外护套远离内支架托架剥离,以便相对于内支架托架向外侧移动外护套,从而暴露内支架托架的远端。 内部支架载体在其远端具有支架承载部分,以承载当内部支架载体的远端暴露时展开的支架。