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1. 发明授权

US08025691B2 Single peel stent introducer apparatus 有权
标题翻译：单皮支架引导器设备
公开(公告)号：US08025691B2
公开(公告)日：2011-09-27
申请号：US11454607
申请日：2006-06-16
申请人： Mathew P. Carter , Victor D. Clark , John A. Karpiel , Gregory J. Skerven
发明人： Mathew P. Carter , Victor D. Clark , John A. Karpiel , Gregory J. Skerven
IPC分类号： A61F2/06
CPC分类号： A61F2/95 , A61F2/966 , A61F2002/9517
摘要： 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.
摘要翻译：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。

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. 发明申请

US20070270897A1 BALLOON CUFF 审中-公开
标题翻译：气球裤
公开(公告)号：US20070270897A1
公开(公告)日：2007-11-22
申请号：US11747570
申请日：2007-05-11
申请人： Gregory J. Skerven , John A Karpiel
发明人： Gregory J. Skerven , John A Karpiel
IPC分类号： A61M29/00 , A61B17/22
CPC分类号： A61B17/22032 , A61B1/00082 , A61B1/00165 , A61B1/018 , A61B1/307 , A61B17/22012 , A61B17/22022 , A61B17/2256 , A61B18/26 , A61B2017/22025 , A61B2017/22035 , A61B2017/22038 , A61B2017/22051 , A61B2017/22067 , A61B2017/22072
摘要： The present invention provides a balloon cuff comprising an attachment structure adapted to be disposed around an exterior surface of an endoscope, and a balloon coupled to the attachment structure. An inflation means is in fluid communication with the balloon. The balloon has a deflated state suitable for insertion into a body passage and an inflated state suitable for urging stone fragments along the body passage. Optionally, an intraductal shock wave lithotripsy procedure may be performed through the working lumen of the first endoscope while the balloon cuff is disposed, either inflated or deflated, about the exterior surface of the first endoscope. The first endoscope and balloon cuff may be used alone to remove stone fragments, or alternatively, may be used in conjunction with a second endoscope, such as a duodenoscope, having a working lumen sized to received the first endoscope having the balloon cuff disposed thereon.
摘要翻译：本发明提供了一种球囊，其包括适于围绕内窥镜的外表面设置的连接结构，以及联接到附接结构的气囊。通气手段与气球流体连通。气囊具有适于插入身体通道的放气状态和适于沿身体通道推动石块的膨胀状态。任选地，可以在围绕第一内窥镜的外表面设置充气或放气的气囊套囊的同时，通过第一内窥镜的工作腔进行管内冲击波碎石手术。可以单独使用第一内窥镜和气囊箍来去除石块，或者可以与诸如十二指肠镜的第二内窥镜一起使用，其具有工作腔，其尺寸被设计成容纳具有设置在其上的气囊套的第一内窥镜。

4. 发明授权

US08187172B2 Endoscope cap with aperture 有权
标题翻译：带孔径的内窥镜盖
公开(公告)号：US08187172B2
公开(公告)日：2012-05-29
申请号：US12250287
申请日：2008-10-13
申请人： Gregory J. Skerven , John A. Karpiel
发明人： Gregory J. Skerven , John A. Karpiel
IPC分类号： A61B1/00
CPC分类号： A61B1/273 , A61B1/0008 , A61B1/00089 , A61B1/00101
摘要： An end cap for an endoscope. The end cap is configured to allow the endoscope to be introduced into a patient body by a short-wire type of operation.
摘要翻译：内窥镜端盖。端盖构造成允许内窥镜通过短线型操作被引入患者体内。

5. 发明申请

US20120083804A1 MARKER CLIP DEVICE 审中-公开
标题翻译： MARKER CLIP设备
公开(公告)号：US20120083804A1
公开(公告)日：2012-04-05
申请号：US13080925
申请日：2011-04-06
申请人： Gregory J. Skerven
发明人： Gregory J. Skerven
IPC分类号： A61B17/10
CPC分类号： A61B17/08 , A61B17/083 , A61B17/10 , A61B90/39 , A61B90/92 , A61B90/94 , A61B2017/12004 , A61B2090/3937 , A61B2090/3987
摘要： A marker clip device and system for marking tissue within a body cavity comprising a plurality of deployable marker clips having unique markings or other indicia to thereby allow each clip to be individually identified subsequent to clip deployment. A clip delivery device configured to deploy the plurality of marker clips at various locations within a body cavity is also provided.
摘要翻译：一种用于在体腔内标记组织的标记夹装置和系统，包括具有独特标记或其它标记的多个可展开的标记夹，从而允许每个剪辑在剪辑展开之后被单独识别。还提供了构造成在体腔内的各个位置处展开多个标记夹的夹子传送装置。

6. 发明授权

US08002814B2 Over the endoscope introducer for stents 有权
标题翻译：用于支架的内窥镜导引器
公开(公告)号：US08002814B2
公开(公告)日：2011-08-23
申请号：US12709888
申请日：2010-02-22
申请人： Kenneth C. Kennedy, II , Gregory J. Skerven
发明人： Kenneth C. Kennedy, II , Gregory J. Skerven
IPC分类号： A61F2/84 , A61F2/06
CPC分类号： A61F2/95 , A61F2/966 , A61F2002/044 , A61F2002/9517 , A61F2002/9665
摘要： Over-the-scope stent introducers for detachably engaging at least a portion of the outside of an endoscope insert and for delivering a stent are provided. Embodiments include an inner member having a distal first end portion and a proximal second end portion and openings defining a channel. The inner member includes an outer surface, inner endoscope engaging surface, and stent abutting restraint disposed at the first end portion. Embodiments also include an outer member having a distal section and proximal section having openings defining a passageway sized to slideably receive at least a portion of the inner member, and a stent carrying inner chamber disposed at the distal section passageway and being configured to releasably contain a stent. In alternative embodiments, the inner and outer members are elongated to dispose substantially concentrically over a majority of an endoscope insert.
摘要翻译：提供了用于可拆卸地接合内窥镜插入件的外部的至少一部分并用于输送支架的超范围的支架引入器。实施例包括具有远端第一端部分和近端第二端部部分以及限定通道的开口的内部构件。内部构件包括设置在第一端部处的外表面，内部内窥镜接合表面和支架邻接约束件。实施例还包括外部构件，其具有远侧部分和近端部分，其具有限定通道的开口，所述开口限定为可滑动地容纳内部构件的至少一部分，以及支架内部室，其设置在远端区段通道处并且构造成可释放地容纳支架。在替代实施例中，内部和外部构件是细长的，以大致同心地配置在内窥镜插入件的大部分上。

7. 发明申请

US20100161024A1 OVER THE ENDOSCOPE INTRODUCER FOR STENTS 有权
标题翻译：在STENTS内窥镜介绍
公开(公告)号：US20100161024A1
公开(公告)日：2010-06-24
申请号：US12709888
申请日：2010-02-22
申请人： Kenneth C. Kennedy II , Gregory J. Skerven
发明人： Kenneth C. Kennedy II , Gregory J. Skerven
IPC分类号： A61F2/84
CPC分类号： A61F2/95 , A61F2/966 , A61F2002/044 , A61F2002/9517 , A61F2002/9665
摘要： Over-the-scope stent introducers for detachably engaging at least a portion of the outside of an endoscope insert and for delivering a stent are provided. Embodiments include an inner member having a distal first end portion and a proximal second end portion and openings defining a channel. The inner member includes an outer surface, inner endoscope engaging surface, and stent abutting restraint disposed at the first end portion. Embodiments also include an outer member having a distal section and proximal section having openings defining a passageway sized to slideably receive at least a portion of the inner member, and a stent carrying inner chamber disposed at the distal section passageway and being configured to releasably contain a stent. In alternative embodiments, the inner and outer members are elongated to dispose substantially concentrically over a majority of an endoscope insert.
摘要翻译：提供了用于可拆卸地接合内窥镜插入件的外部的至少一部分并用于输送支架的超范围的支架引入器。实施例包括具有远端第一端部分和近端第二端部部分以及限定通道的开口的内部构件。内部构件包括设置在第一端部处的外表面，内部内窥镜接合表面和支架邻接约束件。实施例还包括外部构件，其具有远侧部分和近端部分，其具有限定通道的开口，所述开口限定为可滑动地容纳内部构件的至少一部分，以及支架内部室，其设置在远端区段通道处并且构造成可释放地容纳支架。在替代实施例中，内部和外部构件是细长的，以大致同心地配置在内窥镜插入件的大部分上。

8. 发明授权

US08512389B2 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：US08512389B2
公开(公告)日：2013-08-20
申请号：US12973207
申请日：2010-12-20
申请人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
发明人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
IPC分类号： A61F2/06 , A61M25/09
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 separating member may be provided to remotely separate the wire guide from the elongate medical device.
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。可以设置分离构件以远程地将电线引导件与细长医疗装置分离。

9. 发明授权

US07967830B2 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：US07967830B2
公开(公告)日：2011-06-28
申请号：US10902438
申请日：2004-07-29
申请人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
发明人： Juan Carlos Ayala , Stephen E. Deal , Charles Agnew , Gregory J. Skerven
IPC分类号： A61M25/09
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 separating member may be provided to remotely separate the wire guide from the elongate medical device. 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. 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。可以设置分离构件以远程地将电线引导件与细长医疗装置分离。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。

10. 发明授权

US07691055B2 Endoscopic apparatus having an improved elevator 有权
标题翻译：内窥镜装置具有改进的电梯
公开(公告)号：US07691055B2
公开(公告)日：2010-04-06
申请号：US11404554
申请日：2006-04-14
申请人： Matthew P. Carter , Gregory J. Skerven
发明人： Matthew P. Carter , Gregory J. Skerven
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00087 , A61B1/00098 , A61B1/018 , A61B17/29 , A61B2017/00296 , A61B2017/003
摘要： A grasping apparatus for use with an elevator of an endoscope having enhanced grasping features for grasping an elongate medical device is disclosed. The apparatus comprises a body comprising a grasping surface and an opening formed through the grasping surface to receive the elevator. The opening of the body is configured to be disposed about the elevator of the endoscope. The grasping surface is configured to be disposed on the elevator for grasping of the elongate medical device.
摘要翻译：公开了一种与用于抓握细长医疗装置的具有增强的抓握特征的内窥镜用电梯一起使用的把持装置。该装置包括主体，该主体包括抓握表面和通过抓握表面形成以接收电梯的开口。身体的开口构造成围绕内窥镜的电梯设置。抓握表面被配置为设置在电梯上用于抓住细长医疗装置。

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