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1. 发明申请

US20080188866A1 APPARATUS AND METHODS FOR REMOVING RELATIVELY LARGE AND SMALL STONES FROM A BODY PASSAGE 审中-公开
标题翻译：从身体通过中移除相对大的和小的石头的装置和方法
公开(公告)号：US20080188866A1
公开(公告)日：2008-08-07
申请号：US12024503
申请日：2008-02-01
申请人： John A. Karpiel , Wenfeng Lu , Brian K. Rucker
发明人： John A. Karpiel , Wenfeng Lu , Brian K. Rucker
IPC分类号： A61B17/22
CPC分类号： A61B17/22032 , A61B1/018 , A61B17/221 , A61B90/39 , A61B2017/22035 , A61B2017/22051 , A61B2017/2212 , A61M25/0068 , A61M25/007 , A61M25/008 , A61M25/10 , A61M2025/109
摘要： The present invention provides apparatus and methods suitable for removing at least one stone in a body passage. The apparatus comprises a balloon catheter having at least one working lumen adapted to receive an extraction basket. In use, the extraction basket may be used to capture and remove relatively large stones, and/or crush relatively large stones into smaller stone fragments. The balloon may then be inflated and maneuvered to engage the stone fragments and urge at least one of the stone fragments out of the body passage.
摘要翻译：本发明提供了适于去除身体通道中的至少一块石头的装置和方法。该装置包括球囊导管，其具有适于接收提取篮的至少一个工作腔。在使用中，提取篮可以用于捕获和去除相对较大的石头，和/或将相对较大的石头压碎成更小的石块。然后可以将气球膨胀和操纵以接合石碎片并将至少一个石碎片推出身体通道。

2. 发明授权

US08206320B2 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：US08206320B2
公开(公告)日：2012-06-26
申请号：US10902625
申请日：2004-07-29
申请人： Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
发明人： Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
IPC分类号： A61B6/00
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 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.
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。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。

3. 发明授权

US08216268B2 Intragastric bag for treating obesity 有权
标题翻译：用于治疗肥胖的胃内袋
公开(公告)号：US08216268B2
公开(公告)日：2012-07-10
申请号：US11643436
申请日：2006-12-21
申请人： Frederick B. Haller , John A. Karpiel , Donagh O'Sullivan , Brian K. Rucker , Maximiliano Soetermans , William D. Voorhees, III
发明人： Frederick B. Haller , John A. Karpiel , Donagh O'Sullivan , Brian K. Rucker , Maximiliano Soetermans , William D. Voorhees, III
IPC分类号： A61M29/00
CPC分类号： A61F5/0003 , A61F5/0036
摘要： An apparatus and method comprising at least one intragastric member made of a digestive-resistant or substantially indigestible material that is introduced into a bag located in the gastric lumen of a mammal for the treatment of obesity. One or more intragastric members are loaded into a delivery tube in a partially compacted first configuration and delivered to an overtube. The overtube includes a proximal end, a distal end and a lumen configured to receive the intragastric members in the first configuration for delivery to the bag located in the gastric lumen wherein the intragastric member is expanded to a second configuration. The apparatus further comprises a constraining element engaged with the bag to secure the intragastric member upon delivery into the gastric lumen.
摘要翻译：一种装置和方法，包括至少一个由消化不良或基本上不可消化的材料制成的胃内部件，所述胃内部件被引入位于哺乳动物的胃腔中的用于治疗肥胖症的袋中。将一个或多个胃内部件以部分压实的第一构型装载到输送管中并输送到外套管。所述外套管包括近端，远端和构造成在所述第一构造中接收所述胃内构件的内腔，用于输送到位于胃腔内的囊，其中所述胃内构件被扩张至第二构型。所述装置还包括与所述袋接合的约束元件，以在输送到胃管腔中时固定胃内部件。

4. 发明授权

US07637863B2 Wire guide holder 有权
标题翻译：导线架
公开(公告)号：US07637863B2
公开(公告)日：2009-12-29
申请号：US10903679
申请日：2004-07-29
申请人： Stephen E. Deal , David F. Waller , Kenneth C. Kennedy, II , Brian K. Rucker , David M. Hardin , John A. Karpiel
发明人： Stephen E. Deal , David F. Waller , Kenneth C. Kennedy, II , Brian K. Rucker , David M. Hardin , John A. Karpiel
IPC分类号： A61B1/00
CPC分类号： A61B1/012 , A61M25/00 , A61M25/02 , A61M25/09041 , A61M2025/09125
摘要： A wire guide holder having a body for securing an elongate medical wire or tube, such as a wire guide or catheter. The body is adapted to be attached to a scope or a bite block. The body can be provided with protrusions and/or grooves for holding a wire guide. The wire guide holder may be affixed to the medical scope by clamping. The wire guide holder can also be provided with a seal.
摘要翻译：线引导器保持器，其具有用于固定细长医疗线或管的主体，例如电线引导件或导管。身体适合连接到一个范围或咬合块。主体可以设置有用于保持导线器的突起和/或沟槽。导线架可以通过夹紧固定在医疗用具上。电线导向架也可设有密封。

5. 发明申请

US20090216319A1 MEDICAL IMPLANT HAVING IMPROVED DRUG ELUTING FEATURES 有权
标题翻译：具有改进药物特性的医用植入物
公开(公告)号：US20090216319A1
公开(公告)日：2009-08-27
申请号：US12200971
申请日：2008-08-29
申请人： Kenneth C. Kennedy, II , Wenfeng Lu , Brian K. Rucker , Vihar C. Surti
发明人： Kenneth C. Kennedy, II , Wenfeng Lu , Brian K. Rucker , Vihar C. Surti
IPC分类号： A61F2/86
CPC分类号： A61L27/34 , A61F2/94 , A61F2002/041 , A61F2250/0056 , A61F2250/0067 , A61L27/50 , A61L31/10 , A61L31/14 , A61L31/18 , A61M25/0045 , A61M27/002 , A61M27/008
摘要： An implantable drainage device for treatment of a stricture of a body vessel is disclosed. The device comprises a drainage tube including an inlet and extending to an outlet to define a drainage lumen formed through the inlet and the outlet. The drainage tube includes a swell layer and a cast layer formed about the swell layer. The swell layer has a first agent dispersed thereabout for regulated drug elution through the cast layer. The cast layer has a second agent disposed thereabout for drug elution therefrom.
摘要翻译：公开了一种用于治疗身体血管狭窄的可植入排液装置。该装置包括排水管，其包括入口并延伸到出口以限定通过入口和出口形成的排水腔。引流管包括溶胀层和围绕溶胀层形成的流延层。溶胀层具有分散在其中的第一试剂，以通过流延层调节药物洗脱。流延层具有设置在其周围的用于药物洗脱的第二药剂。

6. 发明授权

US07993411B2 Medical implant having improved drug eluting features 有权
标题翻译：具有改善的药物洗脱特征的医疗植入物
公开(公告)号：US07993411B2
公开(公告)日：2011-08-09
申请号：US12200971
申请日：2008-08-29
申请人： Kenneth C. Kennedy, II , Wenfeng Lu , Brian K. Rucker , Vihar C. Surti
发明人： Kenneth C. Kennedy, II , Wenfeng Lu , Brian K. Rucker , Vihar C. Surti
IPC分类号： A61F2/06 , A61K9/22
CPC分类号： A61L27/34 , A61F2/94 , A61F2002/041 , A61F2250/0056 , A61F2250/0067 , A61L27/50 , A61L31/10 , A61L31/14 , A61L31/18 , A61M25/0045 , A61M27/002 , A61M27/008
摘要： An implantable drainage device for treatment of a stricture of a body vessel is disclosed. The device comprises a drainage tube including an inlet and extending to an outlet to define a drainage lumen formed through the inlet and the outlet. The drainage tube includes a swell layer and a cast layer formed about the swell layer. The swell layer has a first agent dispersed thereabout for regulated drug elution through the cast layer. The cast layer has a second agent disposed thereabout for drug elution therefrom.
摘要翻译：公开了一种用于治疗身体血管狭窄的可植入排液装置。该装置包括排水管，其包括入口并延伸到出口以限定通过入口和出口形成的排水腔。引流管包括溶胀层和围绕溶胀层形成的流延层。溶胀层具有分散在其中的第一试剂，以通过流延层调节药物洗脱。流延层具有设置在其周围的用于药物洗脱的第二药剂。

7. 发明申请

US20090082780A1 WIRE CAPTURE SURGICAL DEVICE WITH FIXABLE HANDLE 审中-公开
标题翻译：具有可固定手柄的线束手术装置
公开(公告)号：US20090082780A1
公开(公告)日：2009-03-26
申请号：US12211591
申请日：2008-09-16
申请人： Wenfeng Lu , Brian K. Rucker
发明人： Wenfeng Lu , Brian K. Rucker
IPC分类号： A61B17/221 , A61B5/107
CPC分类号： A61B17/221 , A61B2017/2212 , A61B2017/2924 , A61B2090/061
摘要： A medical device including a wire capture member such as, for example, a lithotripsy basket or a snare member, as well as a motion limiting means configured to limit a maximum expanded diameter of the wire capture member.
摘要翻译：一种医疗装置，其包括例如碎石篮或圈套构件的线捕获构件，以及配置为限制线捕获构件的最大扩径的运动限制装置。

8. 发明申请

US20100256659A1 DELIVERY SYSTEM FOR MAGNETIC ANASTOMOSIS DEVICE 有权
标题翻译：磁性分析装置输送系统
公开(公告)号：US20100256659A1
公开(公告)日：2010-10-07
申请号：US12753583
申请日：2010-04-02
申请人： Andres F. Aguirre , Brian K. Rucker , Kevin Chmura
发明人： Andres F. Aguirre , Brian K. Rucker , Kevin Chmura
IPC分类号： A61B17/03
CPC分类号： A61B17/1114 , A61B2017/00818 , A61B2017/00876 , A61B2017/1139
摘要： A magnet delivery system for forming an anastomosis that comprises a wire guide; a catheter having a delivery portion for advancement into a jejunal space, the delivery portion having a lumen extending at least partially therethrough, a first port and a second port through which the wire guide is disposed; a magnet comprising a lumen therethrough wherein the magnet is removably secured to the delivery portion of the catheter between the first and second ports by disposing the wire guide through the lumen of the magnet, the first port, and the second port.
摘要翻译：一种用于形成包括线引导件的吻合的磁体传送系统; 具有用于推进到空肠空间的输送部分的导管，所述输送部分具有至少部分地延伸穿过其中的腔;第一端口和第二端口，所述线引导件通过所述第一端口和第二端口布置; 包括其中的内腔的磁体，其中，所述磁体通过将所述导线引导件穿过所述磁体，所述第一端口和所述第二端口的内腔而可移除地固定到所述第一和第二端口之间的所述导管的传送部分。

9. 发明授权

US07833281B2 Method and apparatus for augmentation of a sphincter 有权
标题翻译：括约肌增大的方法和装置
公开(公告)号：US07833281B2
公开(公告)日：2010-11-16
申请号：US11300911
申请日：2005-12-15
申请人： Glen A. Lehman , Brian K. Rucker
发明人： Glen A. Lehman , Brian K. Rucker
IPC分类号： A61F2/04
CPC分类号： A61F2/0036 , A61B17/00234 , A61B17/0401 , A61B17/12022 , A61B17/12099 , A61B17/12145 , A61B17/1215 , A61B17/3468 , A61B2017/00867 , A61B2017/0649 , A61B2017/1205
摘要： A system and method for delivering one or more implantable members, such as metal coils, via an introducer member, such as an endoscopic needle, into a space created within the submucosal layers of the LES to augment and bulk the sphincter to improve compliance in patients with gastroesophageal reflux disease. The implantable member comprises a first substantially straightened configuration when carried by the introducer member, whereby it assumes a more curvilinear or coiled configuration following deployment such that it expands against adjacent submucosal tissue, creating a bulge at the implantation site. In another embodiment, the implantable member can serve as an anchoring port for sutures or other elements introduced for gastroplication of the LES to create tissue folds that increase sphincter compliance. The implantable members may be configured to include an external portion that interconnects with an adjacent implantable member, thereby creating tension that also increases compliance of the LES.
摘要翻译：一种用于将一个或多个可植入构件（例如金属线圈）经由诸如内窥镜针的导引器构件递送到在LES的粘膜下层内产生的空间中的装置和方法，以增加和扩大括约肌以改善患者的顺应性伴有胃食管反流病。可植入构件包括由导入构件承载时的第一基本矫直构造，由此在展开之后，其呈现更曲线或卷曲构造，使得其相对于相邻的粘膜下组织扩张，在植入位置处产生凸起。在另一个实施例中，可植入构件可以用作用于缝合线或用于LES胃肠引入的其它元件的锚定端口，以产生增加括约肌顺应性的组织折叠。可植入构件可以被配置为包括与相邻的可植入构件互连的外部部分，从而产生也增加LES的顺应性的张力。

10. 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。

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