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    • 6. 发明授权
    • Method of using a catheter for traversing total occlusions
    • 使用导管穿过全部闭塞的方法
    • US08377084B1
    • 2013-02-19
    • US13249952
    • 2011-09-30
    • Spencer B. King, IIIMatt D. Pursley
    • Spencer B. King, IIIMatt D. Pursley
    • A61B17/22A61D1/02
    • A61B17/22A61B2017/22044A61B2017/22049A61B2017/22069A61B2017/22094A61B2090/034A61M25/0097A61M25/0152A61M2025/0681A61M2025/09125
    • A medical device and method for traversing an occlusion in a vessel includes a straightening sleeve positioned at a distal aspect of a catheter, a steering sleeve having an arcuate distal end, and a guidewire disposed through the steering sleeve. The steering sleeve has a first position in which the arcuate distal end is straightened within the straightening sleeve, and a second position in which the steering sleeve extends distally past the straightening sleeve to expose the arcuate distal end. The tip of the arcuate distal end of the steering sleeve or the guidewire can be used to pierce the occlusion. An arrangement of hub assemblies with locking mechanisms and motion limiting structures facilitates adjusting and locking the relative positions of the straightening sleeve, the steering sleeve, and the guidewire. Detent mechanisms are associated with the motion limiting structures for providing controlled incremental movement of the sleeves and the guidewire.
    • 用于横穿容器中的闭塞的医疗装置和方法包括定位在导管的远侧方面的矫直套筒,具有弓形远端的转向套管和穿过转向套筒的导丝。 转向套筒具有第一位置,其中弓形远端在矫直套筒内矫直,以及第二位置,转向套筒向远侧延伸穿过矫直套筒以暴露弓形远端。 转向套筒或导丝的弓形远端的尖端可用于刺穿闭塞。 具有锁定机构和运动限制结构的轮毂组件的布置有助于调节和锁定矫直套筒,转向套筒和导丝的相对位置。 止动机构与运动限制结构相关联,用于提供套筒和导丝的受控的增量运动。
    • 7. 发明授权
    • Catheter device, hub assembly and method for traversing total occlusions
    • 导管装置,轮毂组件和穿过全部闭塞的方法
    • US08109953B1
    • 2012-02-07
    • US11838313
    • 2007-08-14
    • Spencer B. King, IIIMatt D. Pursley
    • Spencer B. King, IIIMatt D. Pursley
    • A61B17/22A61D1/02
    • A61B17/22A61B2017/22044A61B2017/22049A61B2017/22069A61B2017/22094A61B2090/034A61M25/0097A61M25/0152A61M2025/0681A61M2025/09125
    • A medical device for traversing an occlusion in a vessel includes a straightening sleeve positioned at a distal aspect of a catheter, a steering sleeve having an arcuate distal end, and a guidewire disposed through the steering sleeve. The steering sleeve has a first position in which the arcuate distal end is straightened within the straightening sleeve, and a second position in which the steering sleeve extends distally past the straightening sleeve to expose the arcuate distal end. The tip of the arcuate distal end of the steering sleeve or the guidewire can be used to pierce the occlusion. An arrangement of hub assemblies with locking mechanisms and motion limiting structures facilitates adjusting and locking the relative positions of the straightening sleeve, the steering sleeve, and the guidewire. Detent mechanisms are associated with the motion limiting structures for providing controlled incremental movement of the sleeves and the guidewire.
    • 用于穿过容器中的闭塞的医疗装置包括定位在导管的远侧方面的矫直套筒,具有弓形远端的转向套管和穿过转向套筒的导丝。 转向套筒具有第一位置,其中弓形远端在矫直套筒内矫直,以及第二位置,转向套筒向远侧延伸穿过矫直套筒以暴露弓形远端。 转向套筒或导丝的弓形远端的尖端可用于刺穿闭塞。 具有锁定机构和运动限制结构的轮毂组件的布置有助于调节和锁定矫直套筒,转向套筒和导丝的相对位置。 止动机构与运动限制结构相关联,用于提供套筒和导丝的受控的增量运动。