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    • 5. 发明授权
    • Method and apparatus for catheter exchange
    • 用于导管交换的方法和装置
    • US06299628B1
    • 2001-10-09
    • US07931695
    • 1992-08-18
    • Kent D. HarrisonScott P. ThomePeter T. KeithDaniel O. AdamsWilliam H. Penny
    • Kent D. HarrisonScott P. ThomePeter T. KeithDaniel O. AdamsWilliam H. Penny
    • A61M2510
    • A61M25/0105A61M25/0169A61M2025/0098
    • An apparatus and method for exchanging a first intravascular catheter of the over-the-wire type, such as an angioplasty balloon dilation catheter, with a second intravascular catheter of the over-the-wire type while leaving a guide wire in position in a desired vascular site. The apparatus is used in conjunction with a conventional guide catheter, a guide wire, and an interventional catheter that can be positioned intravascularly through a lumen of the guide catheter over the guide wire and past a distal end of the guide catheter to a desired vascular site. The apparatus includes an elongate shaft that can be removably positioned in the lumen of the guide catheter and has an actuation capability therein. A trapping member is located at a distal portion of the elongate shaft for releasably fixing the relative position of the guide wire with respect to the guide catheter. The fixing and releasing of the trapping member is effected by the actuation capability from outside the body of the patient so that a first interventional catheter can be exchanged for a second interventional catheter by trapping the guide wire position relative to the guide catheter while withdrawing the first interventional device and replacing it with another.
    • 一种用于与线上类型的第二血管内导管(例如血管成形术球囊扩张导管)交换诸如血管成形术球囊扩张导管的第一血管内导管的装置和方法,同时将引导线留在期望的位置 血管部位。 该装置与传统的导向导管,导丝和介入导管一起使用,其可以通过引导导管的导管血管内定位并且经过引导导管的远端定位到期望的血管部位 。 该装置包括细长轴,其可移除地定位在引导导管的内腔中并且在其中具有致动能力。 捕获构件位于细长轴的远侧部分,用于可释放地固定导丝相对于导向导管的相对位置。 捕获构件的固定和释放通过来自患者体外的致动能力来实现,使得可以通过相对于引导导管捕获引导线位置而将第一介入导管更换为第二介入导管,同时撤回第一介入导管 介入装置,并用另一种装置代替。
    • 9. 发明授权
    • Closure device and method
    • 封闭装置和方法
    • US5964782A
    • 1999-10-12
    • US932990
    • 1997-09-18
    • Daniel M. LafontaineKent D. Harrison
    • Daniel M. LafontaineKent D. Harrison
    • A61B17/04A61B17/00A61B17/10A61B18/04A61B18/14
    • A61B18/148A61B17/0057A61B2017/00637A61B2017/00663A61B2017/00668A61B2017/00672A61B2018/00196A61B2018/0022A61B2018/00273A61B2018/00279
    • An apparatus is provided for closing a perforation in a wall of a patient's blood vessel or other organs, and a method of introducing the apparatus and causing the closure are described. The apparatus includes an elongated support member having a distal end supporting one or more tissue engaging hooks configured to engage fibrous vessel tissue when moved in a first direction and to disengage the tissue when moved in a second direction, and a proximal end for applying rotational torque to the support member to cause the hooks to engage collagen fibrous tissue in the adventitia of the blood vessel or fibrous tissue in other body organs. The hooks engaging the collagen fiber causes the blood vessel tissue surrounding the perforation to be drawn into close proximity such that the perforation can be closed. The apparatus can be removed by applying reverse rotation of the support member, whereby the hooks are disengaged. The apparatus is deployed in an outer sheath with the hooks encased until a selected engaging location has been achieved. When positioned in the aperture to be closed, the hooks are exposed to allow interaction with the adventitia. Puncture closure can be accomplished by various techniques, including stasis, cauterizing, or by clamping. Various embodiments of the apparatus are described.
    • 提供了用于封闭患者血管或其他器官的壁中的穿孔的装置,并且描述了引入该装置并引起闭合件的方法。 该装置包括细长的支撑构件,其具有支撑一个或多个组织接合钩的远端,所述组织接合钩构造成当沿第一方向移动时接合纤维血管组织,并且在沿第二方向移动时使组织脱离,以及用于施加旋转扭矩的近端 到支撑构件以引起钩将胶原纤维组织接合在血管的外膜或其他身体器官中的纤维组织中。 接合胶原纤维的钩使得穿孔周围的血管组织被拉近,使得穿孔可以闭合。 可以通过施加支撑构件的反向旋转来移除该装置,由此钩脱开。 该装置部署在外护套中,钩被包住,直到达到选定的接合位置。 当定位在要关闭的孔中时,钩暴露以允许与外膜相互作用。 穿刺闭合可以通过各种技术来实现,包括瘀斑,烧灼或夹紧。 描述该装置的各种实施例。