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1. 发明授权

US08597277B2 Expandable transluminal sheath 有权
标题翻译：可扩展的腔内护套
公开(公告)号：US08597277B2
公开(公告)日：2013-12-03
申请号：US13046519
申请日：2011-03-11
申请人： Jay Lenker , Onnik Tchulluian , Edward J. Nance
发明人： Jay Lenker , Onnik Tchulluian , Edward J. Nance
IPC分类号： A61M25/16
CPC分类号： A61M25/0662 , A61B17/3439 , A61M25/0026 , A61M25/0045 , A61M25/005 , A61M25/0052 , A61M25/0108 , A61M29/02 , A61M2025/0024 , A61M2025/0681 , A61M2025/1081
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The distal end of the sheath is maintained in the first, low cross-sectional configuration and expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for diagnostic or therapeutic procedures such as ureteroscopy, cardiac electrophysiology, gastroenterology, and spinal access.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。护套的远端保持在第一低截面形状并且使用径向扩张装置膨胀。在示例性应用中，护套用于提供用于诊断或治疗过程的通路，例如输尿管镜检查，心脏电生理学，胃肠病学和脊柱通路。

2. 发明授权

US08337518B2 Expandable trans-septal sheath 有权
标题翻译：可扩展的跨隔皮
公开(公告)号：US08337518B2
公开(公告)日：2012-12-25
申请号：US11958885
申请日：2007-12-18
申请人： Edward J. Nance , Jay Lenker , George F. Kick , Hyun T. Nguyen
发明人： Edward J. Nance , Jay Lenker , George F. Kick , Hyun T. Nguyen
IPC分类号： A61M29/00
CPC分类号： A61M29/02 , A61B17/12022 , A61B17/12122 , A61B17/12159 , A61B17/3423 , A61B17/3468 , A61B18/1492 , A61B2017/00243 , A61B2017/00278 , A61B2017/00292 , A61B2017/00575 , A61B2017/00592 , A61B2017/00632 , A61B2017/1205 , A61B2017/3486 , A61B2018/00351 , A61B2018/1407 , A61M25/0045 , A61M25/0053 , A61M25/1011
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the performance of procedures in the left atrium. The access route is through the inferior vena cava to the right atrium, where a trans-septal puncture, followed by advancement of the catheter is completed. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the right atrium and through the atrial septum into the left atrium. The distal end of the sheath is subsequently expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as electrophysiological mapping of the heart, radio-frequency ablation of left atrial tissue, placement of left atrial implants, mitral valve repair, or the like.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。护套被配置为用于血管系统，并且可用于执行左心房中的手术。进入路径是通过下腔静脉到右心房，其中穿透穿刺，随后导管的前进完成。鞘的远端在前进到右心房并通过心房隔膜进入左心房时保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀。在示例性应用中，护套用于提供用于诊断或治疗过程的通路，例如心脏的电生理映射，左心房组织的射频消融，左心房植入物的放置，二尖瓣修复等。

3. 发明授权

US07780692B2 Expandable percutaneous sheath 有权
公开(公告)号：US07780692B2
公开(公告)日：2010-08-24
申请号：US10884017
申请日：2004-07-02
申请人： Edward J. Nance , Joseph Bishop , Jay Lenker , Onnik Tchulluian , George F. Kick
发明人： Edward J. Nance , Joseph Bishop , Jay Lenker , Onnik Tchulluian , George F. Kick
IPC分类号： A61M29/00
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B17/3439 , A61M25/0662 , A61M31/005 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a tubular restraint. In one application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as percutaneous nephrostomy or urinary bladder access.

4. 发明申请

US20100145267A1 EXPANDABLE SPINAL SHEATH AND METHOD OF USE 有权
标题翻译：可膨胀的脊髓和使用方法
公开(公告)号：US20100145267A1
公开(公告)日：2010-06-10
申请号：US12614715
申请日：2009-11-09
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen
IPC分类号： A61M29/00 , A61B1/32
CPC分类号： A61M29/02 , A61B17/1671 , A61B17/7083 , A61F2/4455 , A61F2/4611 , A61F2002/30787 , A61F2002/30904 , A61F2002/4435 , A61F2310/00011 , A61F2310/00023 , A61M25/1011 , A61M2025/1065 , Y10S606/90
摘要： Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a removable tubular restraint or by structural elements built into the wall of the expandable portion of the sheath. In one application, the sheath is utilized to introduce a formed in place orthopedic fixation rod such as for use in spinal fixation procedures, preparation of a spinal segment, or placement of a vertebral body spacer. The sheath can further comprise structural elements to permit re-collapse of the sheath under fluid pressure following completion of the procedure and prior to removal from the patient.
摘要翻译：公开了一种可膨胀的经皮鞘，用于在第一低截面区域构造中引入身体，并且随后膨胀至第二扩大横截面构型。护套通过可移除的管状约束件或内置于护套的可扩张部分的壁中的结构元件保持在第一，低横截面构造中。在一个应用中，护套用于引入形成的矫形固定杆，例如用于脊柱固定过程，脊柱节段的准备或椎体间隔物的放置。护套还可以包括结构元件，以允许在完成手术之后并且在从患者移除之前在流体压力下再次塌陷鞘。

5. 发明申请

US20090287183A1 EXPANDABLE TRANSAPICAL SHEATH AND METHOD OF USE 有权
标题翻译：可膨胀的透水性和使用方法
公开(公告)号：US20090287183A1
公开(公告)日：2009-11-19
申请号：US12258245
申请日：2008-10-24
申请人： Joseph Bishop , Jay Lenker , Edward J. Nance
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance
IPC分类号： A61M31/00 , A61M5/32
CPC分类号： A61M29/02 , A61F2/2427 , A61M25/005 , A61M25/0662 , A61M25/104 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, small cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the ventricular myocardium, more specifically at the left ventricular apex, into the aortic root. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters. In an exemplary application, the sheath includes a supported proximal end, a supported distal end, and a collapsible center section. Certain configurations of the sheath are capable of being inserted in a first, small cross-sectional configuration, being expanded diametrically to a second, larger cross-sectional configuration, and then being reduced to a diametrically small size for removal.
摘要翻译：公开了一种可膨胀的经腔护套，用于在第一小截面区域构造中引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。鞘被配置为用于血管系统，并且可用于引入和移除植入物输送导管。进入路径是通过心室心肌，更具体地在左心室顶端进入主动脉根部。护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀，该径向扩张装置在引入植入物输送导管之前被移除。在示例性应用中，护套包括支撑的近端，支撑的远端和可折叠的中心部分。护套的某些构造能够以第一小截面构造插入，沿直径扩大到第二较大横截面形状，然后被减小到径向较小的尺寸以便移除。

6. 发明申请

US20080183136A1 EXPANDABLE INTRA-AORTIC BALLOON PUMP SHEATH 有权
标题翻译：可膨胀的内部气泡泵
公开(公告)号：US20080183136A1
公开(公告)日：2008-07-31
申请号：US12021097
申请日：2008-01-28
申请人： Jay A. Lenker , Joseph Bishop , George F. Kick , Edward J. Nance
发明人： Jay A. Lenker , Joseph Bishop , George F. Kick , Edward J. Nance
IPC分类号： A61M25/01
CPC分类号： A61M25/0662 , A61M2025/0024
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of balloon counterpulsation catheters. The access route is through the femoral arteries and the iliac arteries into the aorta, where an intra-aortic balloon pump catheter is positioned to provide cardiac support. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。鞘被配置为用于血管系统，并且可用于引入和移除球囊反搏导管。进入路径是通过股动脉和髂动脉进入主动脉，其中主动脉内球囊泵导管被定位成提供心脏支持。护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀。

7. 发明授权

US09433766B2 Expandable iliac sheath and method of use 有权
标题翻译：可扩展髂骨鞘及使用方法
公开(公告)号：US09433766B2
公开(公告)日：2016-09-06
申请号：US14136743
申请日：2013-12-20
申请人： Onset Medical Corporation
发明人： Joseph Bishop , Jay Lenker , Edward J. Nance , Huan T. Nguyen , Mark T. Jones
IPC分类号： A61M31/00 , A61M37/00 , A61M29/02 , A61M25/06 , A61M25/10 , A61F2/24 , A61M25/00
CPC分类号： A61M29/02 , A61F2/2427 , A61M25/005 , A61M25/0662 , A61M25/104 , A61M2025/0024 , A61M2025/0681
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, small cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the femoral arteries and the iliac arteries into the aorta. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters.
摘要翻译：公开了一种可膨胀的经腔护套，用于在第一小截面区域构造中引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。鞘被配置为用于血管系统，并且可用于引入和移除植入物输送导管。进入路径是通过股动脉和髂动脉进入主动脉。护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀，该径向扩张装置在引入植入物输送导管之前被移除。

8. 发明授权

US08939931B2 Intravascular access catheter 有权
标题翻译：血管内导管
公开(公告)号：US08939931B2
公开(公告)日：2015-01-27
申请号：US13549857
申请日：2012-07-16
申请人： Gerard von Hoffmann
发明人： Gerard von Hoffmann
IPC分类号： A61M29/00 , A61M31/00 , A61B17/22 , A61M25/00 , A61B17/34 , A61M27/00
CPC分类号： A61M25/0021 , A61B17/22 , A61B17/3439 , A61B2217/005 , A61M25/0023 , A61M25/0043 , A61M27/002
摘要： Disclosed is an access catheter, having a distal segment which is moveable from a reduced outside diameter for positioning at a target site, and an enlarged outside diameter to create an enlarged internal working lumen. In one application, the catheter is configured for use as an intracranial aspiration catheter. Methods are also disclosed.
摘要翻译：公开了一种进入导管，其具有可从减小的外径移动以远程定位在目标位置处的远侧段和扩大的外径，以产生扩大的内部工作腔。在一个应用中，导管构造成用作颅内抽吸导管。还公开了方法。

9. 发明授权

US08900214B2 Expandable trans-septal sheath 有权
标题翻译：可扩展的跨隔皮
公开(公告)号：US08900214B2
公开(公告)日：2014-12-02
申请号：US12058455
申请日：2008-03-28
申请人： Edward J. Nance , Jay Lenker , Hyun T. Nguyen
发明人： Edward J. Nance , Jay Lenker , Hyun T. Nguyen
IPC分类号： A61M31/00 , A61M25/06 , A61B18/00 , A61M25/00 , A61B17/34 , A61B17/00
CPC分类号： A61M25/0662 , A61B17/3439 , A61B17/3478 , A61B2017/00243 , A61B2017/00247 , A61B2017/00278 , A61B2017/3425 , A61B2018/00392 , A61F2/2427 , A61M2025/0024
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the performance of procedures in the left atrium. The access route is through the inferior vena cava to the right atrium, where a trans-septal puncture, followed by advancement of the catheter is completed. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the right atrium and through the atrial septum into the left atrium. The distal end of the sheath is subsequently expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as electrophysiological mapping of the heart, radio-frequency ablation of left atrial tissue, placement of left atrial implants, mitral valve repair, or the like.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。护套被配置为用于血管系统，并且可用于执行左心房中的手术。进入路径是通过下腔静脉到右心房，其中穿透穿刺，随后导管的前进完成。鞘的远端在前进到右心房并通过心房隔膜进入左心房时保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀。在示例性应用中，护套用于提供用于诊断或治疗过程的通路，例如心脏的电生理映射，左心房组织的射频消融，左心房植入物的放置，二尖瓣修复等。

10. 发明申请

US20140257042A1 Expandable Transluminal Sheath 审中-公开
标题翻译：可展开式阴囊护套
公开(公告)号：US20140257042A1
公开(公告)日：2014-09-11
申请号：US14286944
申请日：2014-05-23
申请人： Onset Medical Corporation
发明人： Jay Lenker , Edward J. Nance , Joseph Bishop , George F. Kick
IPC分类号： A61B17/02
CPC分类号： A61B17/0218 , A61B17/22 , A61B17/22031 , A61B17/3439 , A61B2017/0225 , A61M25/0017 , A61M25/0662 , A61M27/008 , A61M2025/0024 , A61M2025/0681 , A61M2025/1081
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The distal end of the sheath is maintained in the first, low cross-sectional configuration and expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as ureteroscopy or stone removal.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。护套的远端保持在第一低截面形状并且使用径向扩张装置膨胀。在示例性应用中，护套用于提供用于诊断或治疗过程的通路，例如输尿管镜检查或除石。

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