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    • 2. 发明申请
    • GASTROSTOMY DEVICE PACKAGE AND METHOD OF ASSEMBLY
    • 气体装置包装和组装方法
    • WO2003049665A1
    • 2003-06-19
    • PCT/US2002/037963
    • 2002-11-27
    • APPLIED MEDICAL RESEARCH
    • PICHA, George, J.MANDIC, Davor, G.
    • A61J15/00
    • A61J15/0015A61J15/0038A61J15/0061
    • A gastrostomy device having a tubular portion with a longitudinal axis and an internal bolster having a radial wing secured to the tubular portion. The bolster is capable of elastic deformation between a first orientation with the wing wrapped into a generally cylindrical configuration aligned with the axis and a second orientation with the wing unfurled transverse to the axis. A constraining member retains the bolster in the first orientation and covers a major portion of the wrapped wing. The removal of the constraining member permits the bolster to deploy, such that it moves from the first orientation to the second orientation. The constraining member may be removed by the use of a ripcord to tear through the constraining member, deploying the bolster within a patient's stomach. Alternatively, the bolster may be deployed within the stomach by the constraining member being dissolved by the patient's gastrointestinal fluids.
    • 一种胃造口术装置,其具有具有纵向轴线的管状部分和具有固定到管状部分的径向翼片的内部枕垫。 枕头能够在第一方向与翼部之间弹性变形,该方向被包裹成与轴线对准的大致圆柱形构型,并且第二方向与翼部横向于轴线展开。 约束构件将枕头保持在第一取向并且覆盖被包裹翼的主要部分。 约束构件的移除允许支架展开,使得其从第一取向移动到第二定向。 约束构件可以通过使用撕开来移除,以撕开约束构件,将枕垫部署在病人的胃中。 或者,垫块可以由约束构件在胃中部署,由约束构件被患者的胃肠液体溶解。
    • 4. 发明申请
    • PERCUTANEOUS TRACT MEASURING DEVICE
    • PERCUTANEOUS TRACT测量装置
    • WO1995012429A1
    • 1995-05-11
    • PCT/US1993011118
    • 1993-11-03
    • APPLIED MEDICAL RESEARCH, INC.
    • APPLIED MEDICAL RESEARCH, INC.PICHA, George, J.NGUYEN, Angela, P.GELBKE, Jim
    • A61M29/00
    • A61J15/0019A61B17/3415A61B2017/3484A61B2090/061A61J15/0023A61J15/0034A61J15/0065
    • A surgical tool (10) for use in initial placement of a gastrostomy device in a patient includes an obturator (20), a cannula (14) and an outer flexible tubular member (16). A pointed end (38) of the obturator and an adjacent dilator (18) cooperate to incise a tract through the abdominal and stomach walls of the patient. The obturator is removed, leaving the cannula and outer tubular member in place. A deformable section (44) of the flexible tubular member is expanded by movement of the cannula. The outwardly deformed section is then pulled up against the inner wall of the stomach wherein the thickness of the stomach and abdominal walls can be measured by use of visible scale indicia (48) carried on the external surface of the flexible tubular member. Subsequent to the noted measurement, a guide wire or pull wire (108) is passed through a lumen provided by the cannula. The guide wire is used for placing a gastrostomy device of suitable size in the incised tract.
    • 用于胃造口术装置初始放置在患者中的手术工具(10)包括闭孔器(20),套管(14)和外部柔性管状构件(16)。 闭塞器的尖端(38)和相邻的扩张器(18)配合以切开穿过患者的腹壁和胃壁的管道。 去除封闭器,使插管和外管状部件保持在适当的位置。 柔性管状构件的变形部分(44)通过套管的移动而膨胀。 然后向外变形的部分被拉到胃内壁上,其中胃和腹壁的厚度可以通过使用承载在柔性管状构件的外表面上的可见尺度标记(48)来测量。 在所述测量之后,引导线或拉线(108)穿过由插管提供的内腔。 引导线用于将适当大小的胃造口术装置放置在切口中。