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1. 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。

2. 发明授权

US08591563B2 Catheter with splittable wall shaft and peel tool 有权
标题翻译：导管与可裂壁墙和剥皮工具
公开(公告)号：US08591563B2
公开(公告)日：2013-11-26
申请号：US11235016
申请日：2005-09-26
申请人： John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
发明人： John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
IPC分类号： A61F2/84 , A61M25/01
CPC分类号： A61F2/97 , A61F2/954 , A61F2/962 , A61F2002/065 , A61F2002/9517 , A61M25/0009 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0668 , A61M2025/004 , A61M2025/0079 , A61M2025/0183 , A61M2025/09116
摘要： A method and apparatus for uncoupling a wire guide from and elongate medical device comprising a catheter shaft having a wire guide lumen extending there through, wherein the material surrounding the wire guide lumen is selected or adapted to facilitate splittability for removal of the wire guide. The catheter shaft is coextruded and comprises a plurality of materials. The portion of the shaft adjacent the wire guide lumen is formed from a first material and the balance of the shaft is formed from a second material. The first material is selected or adapted to facilitate splittability as compared to the second material. The first material may have a lower durometer than the second material. A peel tool for separating the wire guide from the catheter shaft is also provided.
摘要翻译：一种用于使导线器从细长医疗装置脱离的细长医疗装置的方法和装置，其包括具有在其中延伸的线引导腔的导管轴，其中围绕导线管内腔的材料被选择或适于促进用于移除导线器的分裂性。导管轴是共挤出的并且包括多个材料。轴的邻近线引导腔的部分由第一材料形成，并且轴的平衡部由第二材料形成。与第二材料相比，选择或调整第一材料以便于分裂性。第一材料可以具有比第二材料低的硬度。还提供了用于将导线器与导管轴分离的剥离工具。

3. 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。

4. 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。

5. 发明申请

US20090043259A1 Sphincterotome 有权
标题翻译：脊柱括约肌
公开(公告)号：US20090043259A1
公开(公告)日：2009-02-12
申请号：US11835837
申请日：2007-08-08
申请人： David M. Hardin, JR. , John A. Karpiel
发明人： David M. Hardin, JR. , John A. Karpiel
IPC分类号： A61M5/178 , A61B17/22 , A61B17/32 , A61B18/18
CPC分类号： A61B18/1492 , A61B17/32056 , A61B2017/003 , A61B2017/22039 , A61B2018/00553 , A61B2018/1407 , A61B2018/144
摘要： A medical sphincterotome and a method of its use are described. The sphincterotome has structural elements that are capable of directing a wire guide through a selected body passageway. One structural element includes a distal port and deflection member that can deflect the wire guide into the desired passageway. Another structural element includes an offset nose-shaped end that can bend towards a passageway desired to be blocked. The wire guide is prevented from entering the blocked passageway, thereby enabling the wire guide to cannulate the desired passageway. The sphincterotome also includes a cutting wire to access a patient's sphincter and perform various other medical procedures.
摘要翻译：描述了一种医疗性括约肌切开术及其使用方法。括约肌切开术具有能够引导导线通过所选择的身体通道的结构元件。一个结构元件包括远端口和偏转构件，该远端口和偏转构件可将导线引导件偏转到所需的通道中。另一种结构元件包括偏移的鼻形端，其可朝向期望被阻挡的通道弯曲。导线导线被阻止进入阻塞的通道，从而使导线器能够插入所需的通道。括约肌切开术还包括切割线以访问患者的括约肌并执行各种其他医疗程序。

6. 发明授权

US08535310B2 Sphincterotome 有权
公开(公告)号：US08535310B2
公开(公告)日：2013-09-17
申请号：US11835837
申请日：2007-08-08
申请人： David M. Hardin, Jr. , John A. Karpiel
发明人： David M. Hardin, Jr. , John A. Karpiel
IPC分类号： A61B18/18 , A61B17/22
CPC分类号： A61B18/1492 , A61B17/32056 , A61B2017/003 , A61B2017/22039 , A61B2018/00553 , A61B2018/1407 , A61B2018/144
摘要： A medical sphincterotome and a method of its use are described. The sphincterotome has structural elements that are capable of directing a wire guide through a selected body passageway. One structural element includes a distal port and deflection member that can deflect the wire guide into the desired passageway. Another structural element includes an offset nose-shaped end that can bend towards a passageway desired to be blocked. The wire guide is prevented from entering the blocked passageway, thereby enabling the wire guide to cannulate the desired passageway. The sphincterotome also includes a cutting wire to access a patient's sphincter and perform various other medical procedures.

7. 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。

8. 发明申请

US20080242934A1 ENDOSCOPIC SUCTION DEVICE FOR MUCOSECTOMY 审中-公开
标题翻译：用于造影的内窥镜检查装置
公开(公告)号：US20080242934A1
公开(公告)日：2008-10-02
申请号：US12056639
申请日：2008-03-27
申请人： GREGORY J. SKERVEN , John A. Karpiel
发明人： GREGORY J. SKERVEN , John A. Karpiel
IPC分类号： A61B1/015
CPC分类号： A61B17/320016 , A61B17/32056 , A61B2017/00269 , A61B2017/00296 , A61B2017/306
摘要： An endoscopic suction device of an endoscope for mucosectomy is disclosed. The device comprises a connecting base having an open end attachable to the distal end of the endoscope. The device further comprises a distal tip extending from the connecting base and having a closed distal end. The distal tip comprises a suction chamber formed therein and in fluid communication with the open end. The suction chamber has a suction opening formed laterally therethrough for suctioning lesions during mucosectomy.
摘要翻译：公开了一种用于粘膜切除术的内窥镜的内窥镜吸引装置。该装置包括具有可连接到内窥镜的远端的开口端的连接基座。该装置还包括从连接底座延伸并具有封闭的远端的远端。远侧末端包括形成在其中并与开口端流体连通的吸入室。吸入室具有横向形成的吸入口，用于在粘膜切除术期间吸入病变。

9. 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。

10. 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。

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