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    • 51. 发明申请
    • FISTULA CATHETER
    • WO2012106200A2
    • 2012-08-09
    • PCT/US2012/022896
    • 2012-01-27
    • TYCO HEALTHCARE GROUP LPYAMOTO, NatsukoFUNAMURA, Shigeaki
    • YAMOTO, NatsukoFUNAMURA, Shigeaki
    • A61M25/04A61J15/00
    • A61M25/02A61J15/0038A61M2025/0293
    • To achieve a fistula catheter provided with an intracorporeal fixed part with minimal invasion into the wall of the alimentary canal. In a fistula catheter having a catheter part and an intracorporeal fixed part, the intracorporeal fixed part is provided with an inner tube and an outer tube which is provided on the outside of inner tube 10. The inner tube and the outer tube are configured with belts formed by dividing the tube wall a plurality of times in the circumferential direction, each of the inner and outer tubes have wing parts having sections that extend outwards radially. The respective wing parts of the inner tube and the outer tube are provided in corresponding positions in the axial direction and are also alternately disposed along the circumferential direction.
    • 为了实现具有体内固定部分的瘘导管,其最少侵入消化道壁。 在具有导管部和体内固定部的瘘导管中,体内固定部设置有设置在内管10的外侧的内管和外管。内管和外管配置有皮带 通过在圆周方向上分割管壁多次而形成,每个内管和外管具有翼部,其具有径向向外延伸的部分。 内管和外管的各翼部沿轴向设置在相对应的位置,并且也沿圆周方向交替设置。
    • 52. 发明申请
    • FLUOROSCOPY-INDEPENDENT, ENDOVASCULAR AORTIC OCCLUSION SYSTEM
    • 荧光独立,血管内血管造影系统
    • WO2011133736A2
    • 2011-10-27
    • PCT/US2011/033368
    • 2011-04-21
    • THE REGENTS OF THE UNIVERSITY OF MICHIGANGOVERNMENT OF THE UNITED STATESELIASON, Jonathan, L.RASMUSSEN, Todd, E.
    • ELIASON, Jonathan, L.RASMUSSEN, Todd, E.
    • A61M25/04A61M25/09A61M25/00
    • A61B17/12031A61B5/1072A61B5/1075A61B5/1076A61B5/6851A61B17/12109A61B90/39A61B2090/3937A61M25/04A61M25/09A61M2025/0008A61M2025/0081A61M2025/09183A61M2025/1052B42D15/0006B42D15/0086G01B3/1084
    • A system for deploying and selectively inflating a thoracic aortic balloon at a desired location within the thoracic aorta for resuscitative aortic occlusion, inferior to the left subclavian artery, without the aid of fluoroscopy is described. Using CT imaging data from a large pool of normal human subjects, a distance on each person between readily identifiable and consistently located external (i.e., bony) landmarks of torso extent is measured. Next, using the same CT imaging data, a second distance from the individual's femoral artery to a desired aortic occlusion location inferior to the left subclavian artery is determined. Using informatics and statistical modeling, a correlation between the external measure of torso extent and the desired intra-arterial (i.e. endovascular) distance within the torso is made. For the study population as a whole a nomogram is constructed. Using this nomogram, a calibrated endovascular resuscitative thoracic aortic occlusion system can be positioned to this desired location on any injured individual with end-stage shock and impending cardiovascular collapse or death without the aid of fluoroscopy for delivery or balloon inflation. Specifically, determination of the desired insertion length on any individual is provided by taking the measure of external torso extent and applying it to the nomogram. Once the desired insertion length is established, the marked or calibrated self- centering, J-tipped wire is inserted through a transfemoral percutaneous sheath to the determined distance. A similarly marked shaft containing the occlusion balloon is positioned over the wire at this same desired or predetermined location prior to inflation and occlusion of the aorta. Both the endovascular wire and balloon occlusion shaft are provided with major (5 cm) and minor (lcm) calibrated markers to assure correct distance of insertion. The balloon is then inflated using a pressure -regulated technique without fluoroscopy to occlude the thoracic aorta and allow resuscitation of the patient.
    • 描述了用于在胸主动脉内的期望位置部署和选择性地膨胀胸主动脉球囊的系统,用于复苏主动脉闭塞,不利于左锁骨下动脉,而不需要透视。 使用来自大量正常人类受试者的CT成像数据,测量每个人之间在容易识别和一致定位的躯干范围的外部(即,骨骼)标记之间的距离。 接下来,使用相同的CT成像数据,确定从个体的股动脉到低于左锁骨下动脉的期望的主动脉闭塞位置的第二距离。 使用信息学和统计学模型,进行躯干范围的外部测量与躯干内期望的动脉内(即血管内)距离之间的相关性。 对于整个研究人群,构建了一个列线图。 使用该列线图,校准的血管内复苏性胸主动脉闭塞系统可以定位在任何受伤个体的所需位置,具有终末期休克和即将发生的心血管塌陷或死亡,无需荧光透视辅助输送或气囊充气。 具体地说,通过采取外部躯干程度的量度并将其应用于列线图来提供对任何个体的所需插入长度的确定。 一旦建立了所需的插入长度,将标记或校准的自对中J尖端的导线通过经股经皮鞘插入确定的距离。 在充气和主动脉闭塞之前,含有闭塞气囊的类似标记的轴定位在该相同的期望或预定位置的线上方。 血管内丝线和球囊阻塞轴均设有主要(5厘米)和次要(lcm)校准标记,以确保插入的正确距离。 然后使用压力调节技术将球囊充气,而无荧光透视以阻塞胸主动脉并允许患者复苏。
    • 55. 发明申请
    • A CATHETER
    • 导演
    • WO2011010079A3
    • 2011-06-23
    • PCT/GB2010001235
    • 2010-06-23
    • MEDIPLUS LTDURIE ROBERT GRAHAM
    • URIE ROBERT GRAHAM
    • A61M25/04
    • A61M25/04A61M25/0054A61M25/0074A61M25/0075A61M2025/0004A61M2025/0006
    • A catheter comprising an inner sleeve and an outer sleeve surrounding the inner sleeve, the inner and the outer sleeves being longitudinally displaceable relative to one another to enable the catheter to move from an open state to a closed state, each sleeve having a distal portion and a proximal portion, the catheter further comprising a retainer which is open in the open state, and closed in the closed state, the catheter further comprising a lock mechanism comprising lock formed in a lock portion of the catheter for locking the catheter in the open state, and a releaser for releasing the lock, the releaser being adapted to remove at least a part of the lock portion from the catheter.
    • 一种导管,包括内套管和围绕内套管的外套管,内套管和外套管可相对于彼此纵向移动,以使导管能够从​​打开状态移动到闭合状态,每个套管具有远侧部分和 近侧部分,所述导管还包括保持器,所述保持器在所述打开状态下打开并且在所述关闭状态下闭合,所述导管还包括锁定机构,所述锁定机构包括形成在所述导管的锁定部分中的锁定部,用于将所述导管锁定在打开状态 以及用于释放锁的释放器,释放器适于从导管移除锁定部分的至少一部分。
    • 56. 发明申请
    • BALLOON CATHETER WITH DETACHABLE HUB, AND METHODS FOR SAME
    • 具有可拆卸集线器的气体导管及其方法
    • WO2011053500A1
    • 2011-05-05
    • PCT/US2010/053478
    • 2010-10-21
    • WILSON-COOK MEDICAL INC.DILLON, Travis, E.AGUIRRE, Andres, F.CHMURA, Kevin
    • DILLON, Travis, E.AGUIRRE, Andres, F.CHMURA, Kevin
    • A61M25/00A61M25/04A61M25/10
    • A61M25/04A61M25/0075A61M25/0097A61M25/10A61M25/10186A61M2025/0076
    • A balloon catheter (400) may include a distal anchoring balloon (404) and a proximal hub (410) that is removable from the catheter body. The catheter body may include a valve structure (420) providing for maintaining the balloon in an inflated state during and after removal of the proximal hub. The valve preferably is constructed such that removal of the hub provides a low-profile proximal catheter end that will allow that proximal catheter end to pass through an endoscopic surgical device such as, for example, through an accessory channel of a standard duodenoscope and/or an ultra- slim endoscope/ cholangioscope, facilitating a scope- exchange for use during, for example, a cholangioscopy or pancreatoscopy procedure. A method useful for scope exchange and/or introducing another elongate surgical device may utilize a balloon catheter with a distal anchoring balloon and a proximal hub that is removable from the catheter body.
    • 球囊导管(400)可以包括远离锚定球囊(404)和可从导管主体移除的近侧毂(410)。 导管主体可以包括阀结构(420),其提供在移除近侧毂时和之后将气囊保持在充气状态。 优选地,阀构造成使得轮毂的移除提供了一个低轮廓的近端导管端,其将允许近端导管端部穿过内窥镜手术装置,例如通过标准十二指肠造影仪的辅助通道和/或 一种超薄的内窥镜/胆管造影仪,便于在例如胆管镜检查或胰腺镜检查过程中使用的范围更换。 用于范围更换和/或引入另一细长外科手术装置的方法可以利用具有远端锚定球囊和可从导管主体移除的近侧毂的球囊导管。