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    • 2. 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。
    • 6. 发明授权
    • Catheter with a plurality of wire guide access parts
    • 导管带有多个导丝器入口
    • US07141050B2
    • 2006-11-28
    • US10688846
    • 2003-10-17
    • Stephen E. DealDavid F. Waller
    • Stephen E. DealDavid F. Waller
    • A61B18/18
    • A61M25/01A61B1/018A61M2025/0183A61M2025/1056
    • A physician access system comprising a catheter for use with an endoscope, the catheter including a wire guide lumen having a plurality of access ports disposed along an intermediate portion thereof to permit the insertion of a wire guide at different locations. The location of each access port corresponds to a specific length of the catheter exiting from the distal end of the endoscope. The access ports are located so that at least one of the access ports will be positioned near the endoscope handle when the distal end of the catheter, and any operational tool attached thereto, has been extended a short distance past the distal end of the endoscope. A physician may select the access port which best allows simultaneous control of the wire guide and the endoscope depending on the length of the catheter that the physician desires to have extend from the end of the endoscope.
    • 一种医生进入系统,包括用于内窥镜的导管,所述导管包括线引导管腔,所述导丝腔具有沿着其中间部分设置的多个进入口,以允许在不同位置插入导线器。 每个进入口的位置对应于从内窥镜远端排出的导管的特定长度。 进入口的位置使得当导管的远端和附接到其上的任何操作工具已经在内窥镜的远端延伸一短距离时,至少一个进入口将位于内窥镜手柄附近。 医生可以根据医生期望从内窥镜的端部延伸的导管的长度来选择最佳地同时控制线引导件和内窥镜的进入口。
    • 8. 发明授权
    • Catheter connector assemblies and methods for attaching a catheter and luer assembly
    • 导管连接器组件和用于附接导管和路厄组件的方法
    • US07601147B2
    • 2009-10-13
    • US11645324
    • 2006-12-22
    • David F. WallerJeremy A. Thomas
    • David F. WallerJeremy A. Thomas
    • A61M39/10A61M25/14A61M31/00A61M37/00
    • A61M25/0014A61M25/0026
    • Luer assemblies are provided having first and second connectors operatively coupled and securing tails of a proximal end section of a catheter disposed therebetween. A method for cutting a proximal end section of a catheter having distal and proximal ends is provided, a slit in the proximal end section exposing a catheter lumen and forming first and second tails having inner, outer, and peripheral engaging surfaces. Another method secures catheter tails disposed between operatively coupled first and second connectors, the first connector having a distal insert inserted into the exposed catheter lumen and a catheter engaging body about which the catheter tails are disposed, and the second connector having a catheter engaging body disposed about the catheter tails, wherein the connectors are configured to be operatively coupled to each other and to operatively couple the catheter tails disposed between the catheter engaging bodies of the first and second connectors.
    • 鲁尔组件设置有第一和第二连接器,所述第一和第二连接器可操作地联接并固定在其间的导管的近端部分的尾部。 提供了一种用于切割具有远端和近端的导管的近端部分的方法,所述近端部分中的狭缝暴露导管内腔并且形成具有内,外和周边接合表面的第一和第二尾部。 另一种方法将设置在可操作耦合的第一和第二连接器之间的导管尾部固定,第一连接器具有插入到暴露的导管腔中的远端插入件和导管接合体,导管尾部围绕该导管接合体设置,并且第二连接器具有布置的导管接合体 关于导管尾部,其中连接器被配置为可操作地彼此连接并且可操作地连接设置在第一和第二连接器的导管接合体之间的导管尾部。
    • 10. 发明授权
    • Medical device packaging assembly and method for medical device orientation
    • 医疗器械包装组装及医疗器械取向方法
    • US07640714B2
    • 2010-01-05
    • US11527821
    • 2006-09-27
    • David F. WallerVihar C. Surti
    • David F. WallerVihar C. Surti
    • B65B63/04B65B55/02
    • A61M25/002
    • Methods of packaging a medical device to orient at least a portion of the medical device and a medical device packaging assembly are provided. A method includes providing an elongate holder having a lumen extending through at least a portion of the holder and providing the medical device including an elongate shaft where the shaft includes a first cross-sectional area having a rotational orientation and a second cross-sectional area having a second rotational orientation. The method further includes aligning the first and second areas so that the first and second rotational orientations are aligned along a longitudinal region of the shaft and inserting at least a portion of the medical device into the lumen of the holder Radial rotation of the first area with respect to the second area is substantially prevented.
    • 提供包装医疗装置以使至少一部分医疗装置和医疗装置包装组件定向的方法。 一种方法包括提供细长保持器,其具有延伸穿过保持器的至少一部分的内腔,并且提供包括细长轴的医疗装置,其中该轴包括具有旋转取向的第一横截面区域和具有第二横截面积的第二横截面区域, 第二旋转方位。 该方法还包括对准第一和第二区域,使得第一和第二旋转取向沿着轴的纵向区域排列,并将医疗装置的至少一部分插入到保持器的内腔中。第一区域的径向旋转与 基本上防止了对第二区域的影响。