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1. 发明申请

US20080114303A1 GUIDEWIRE 审中-公开
公开(公告)号：US20080114303A1
公开(公告)日：2008-05-15
申请号：US11869195
申请日：2007-10-09
申请人： Anthony Tremaglio
发明人： Anthony Tremaglio
IPC分类号： A61M25/09
CPC分类号： A61M25/09 , A61M2025/0915
摘要： A guidewire may include opposing tip portions and two mid-shaft portions adjacent each other and the tip portions. The tip portions each may be relatively less stiff than either mid-shaft portion. The outer cross-sectional profile dimension may be generally uniform across the length of mid-shaft portions. The opposing tip portions may have about the same or smaller cross-sectional profile dimension relative to either mid-shaft portion. The guidewire may have a length and stiffness for each mid-shaft portion that enables the guidewire to be reversibly inserted, with one or the other opposing tip portion leading the way, into a predetermined body passage of a patient. The inventive subject matter is further directed to methods of using a reversible guidewire in a procedure conducted on a patient.
摘要翻译：引导线可以包括彼此相邻的相对的尖端部分和两个中间轴部分以及尖端部分。每个尖端部分可以比中间轴部分相对较硬。外横截面轮廓尺寸可以在中轴部分的长度上大致均匀。相对的末端部分可以具有相对于任一中轴部分具有大致相同或更小的横截面轮廓尺寸。导丝可以具有每个中轴部分的长度和刚度，使得导线能够以一个或另一个相对的末端部分引导到患者的预定身体通道中，使其能够可逆地插入。本发明的主题还涉及在对患者进行的过程中使用可逆导丝的方法。

2. 发明申请

US20070203455A1 Apparatus and methods for guiding a needle 有权
公开(公告)号：US20070203455A1
公开(公告)日：2007-08-30
申请号：US11715467
申请日：2007-03-08
申请人： Anthony Tremaglio , Michael Chu , Tim Ward
发明人： Anthony Tremaglio , Michael Chu , Tim Ward
IPC分类号： A61M5/178 , A61M31/00
CPC分类号： A61M5/427 , A61B10/0045 , A61B17/3401 , A61B17/3403 , A61B17/3417 , A61B17/3496 , A61B90/11 , A61B90/39 , A61B2017/00455 , A61B2017/3405 , A61B2090/0807 , A61B2090/0811
摘要： A needle guiding apparatus includes a base, a guide assembly, and an imaging sight. The base defines an opening that extends through the base. The guide assembly includes at least one passage, and the guide assembly is disposed within the opening of the base. The guide assembly also is rotatable about at least one axis. The imaging sight is disposed adjacent the passage. An entry needle can be inserted through the needle guiding apparatus and into a body. Devices and methods according to the present invention allow a medical professional to accurately and rapidly place a probe, such as a needle, in a patient.

3. 发明申请

US20050250983A1 Endoscopic instrument having reduced diameter flexible shaft 有权
标题翻译：内窥镜仪器具有减径的柔性轴
公开(公告)号：US20050250983A1
公开(公告)日：2005-11-10
申请号：US11109041
申请日：2005-04-18
申请人： Anthony Tremaglio , Salvatore Castro
发明人： Anthony Tremaglio , Salvatore Castro
IPC分类号： A61B1/00 , A61B1/005 , A61B1/012 , A61B1/05 , A61B17/22 , A61B19/00
CPC分类号： A61B1/05 , A61B1/0052 , A61B1/012 , A61B1/018 , A61B1/0676 , A61B17/221 , A61B90/361 , A61B2017/22038 , A61B2017/22042 , A61B2017/2212
摘要： A medical instrument comprising a flexible, filamentous shaft slideably disposed in a sheath, the instrument including an electronic imaging system comprising an image sensor carried on a distal end portion of the instrument. The shaft may be used as a guidewire for a complementary guided device, or it may be used to carry a functional element for performing a procedure at a target site in a patient's body. In other embodiments, the present invention contemplates a flexible sheath, preferably having a simple tubular construction, with an electronic imaging system at its distal end. The sheath is adapted to slideably receive a shaft, preferably a filamentous shaft, that closely fits the sheath. The shaft carries functional element at its distal end. The instruments according to the present invention may include one or more filaments along their length for deflecting an insertable portion of the instrument.
摘要翻译：一种医疗器械，包括可滑动地设置在鞘中的柔性丝状轴，所述仪器包括电子成像系统，所述电子成像系统包括承载在所述器械的远端部分上的图像传感器。轴可以用作互补引导装置的导丝，或者可以用于携带用于在患者体内的目标部位执行手术的功能元件。在其它实施例中，本发明考虑了一种柔性护套，优选地具有简单的管状结构，其远端处具有电子成像系统。护套适于可滑动地容纳紧密地配合护套的轴，优选为丝状轴。轴在其远端承载功能元件。根据本发明的仪器可以包括沿其长度的一个或多个细丝，用于偏转仪器的可插入部分。

4. 发明申请

US20050228361A1 Atraumatic ureteral access sheath 有权
标题翻译：无创输尿管通路鞘
公开(公告)号：US20050228361A1
公开(公告)日：2005-10-13
申请号：US11105808
申请日：2005-04-13
申请人： Anthony Tremaglio
发明人： Anthony Tremaglio
IPC分类号： A61M25/00 , A61M25/01
CPC分类号： A61M25/0045 , A61M25/0017 , A61M25/0053 , A61M25/0054 , A61M25/0108 , A61M2025/0004
摘要： A ureteral access sheath having nonuniform axial-stiffness adapted for proximal pushability needed for placement while also having distal flexibility to minimize trauma to the body lumen and ureter. Embodiments in accordance with the present invention provide a nonuniform axial-stiffness ureteral access sheath comprising a nonuniform axial-stiffness jacket encapsulating the reinforcement layer with the inner liner. Other embodiments in accordance with the present invention provide a nonuniform axial-stiffness ureteral access sheath comprising a nonuniform axial-stiffness reinforcement layer encapsulated between a single axial-stiffness jacket and the inner liner. Other embodiments in accordance with the present invention provide a nonuniform axial-stiffness ureteral access sheath comprising a nonuniform axial-stiffness jacket encapsulating a nonuniform axial-stiffness reinforcement layer with the inner liner.
摘要翻译：输尿管进入护套具有不均匀的轴向刚度，适用于放置所需的近端推进性，同时还具有远端柔性以最小化对体腔和输尿管的创伤。根据本发明的实施例提供了一种不均匀的轴向刚度输尿管进入护套，其包括将增强层与内衬层包封的不均匀的轴向刚性护套。根据本发明的其它实施例提供了一种不均匀的轴向刚度输尿管进入护套，其包含一个包封在单个轴向刚度护套和内衬之间的不均匀的轴向刚度增强层。根据本发明的其它实施例提供了一种不均匀的轴向刚度输尿管进入护套，其包括将不均匀的轴向刚度加强层与内衬层包封的不均匀的轴向刚度护套。

5. 发明申请

US20130324972A1 Atraumatic Ureteral Access Sheath 审中-公开
标题翻译：无创性输尿管接触护套
公开(公告)号：US20130324972A1
公开(公告)日：2013-12-05
申请号：US13961950
申请日：2013-08-08
申请人： Rich Faherty , Anthony Tremaglio
发明人： Rich Faherty , Anthony Tremaglio
IPC分类号： A61M25/00
CPC分类号： A61M25/0053 , A61M25/0012 , A61M25/0017 , A61M25/0045 , A61M25/0054 , A61M25/0108 , A61M25/0662 , A61M2025/0004
摘要： Ureteral access sheaths can have a nonuniform axial-stiffness. A nonuniform axial-stiffness ureteral access sheath can have an inner liner defining a longitudinally extending and generally uniform bore. A non-uniform axial-stiffness outer jacket can define a longitudinally tapered outer surface, and a reinforcement layer can be encapsulated between the inner liner and the non-uniform axial-stiffness outer jacket. The reinforcement layer can have a non-uniform axial-stiffness. For example, a proximal portion of the reinforcement layer can be thicker than a distal portion of the reinforcement layer. A coil of wire can be included in the reinforcement layer, and a diameter of the wire in a proximal portion of the reinforcement layer can be larger than a diameter of the wire in a distal portion of the reinforcement layer. In some instances, the diameter of the wire tapers from the proximal portion to the distal portion.
摘要翻译：输尿管通路鞘可能具有不均匀的轴向刚度。不均匀的轴向刚度输尿管进入护套可以具有限定纵向延伸且大致均匀的孔的内衬。不均匀的轴向刚度外护套可以限定纵向渐缩的外表面，并且加强层可以封装在内衬和不均匀的轴向刚度外护套之间。加强层可以具有不均匀的轴向刚度。例如，加强层的近侧部分可以比加强层的远侧部分更厚。线圈可以包括在加强层中，并且加强层的近端部分中的线的直径可以大于加强层的远侧部分中的线的直径。在一些情况下，线的直径从近端部分到远端部分变细。

6. 发明授权

US07507218B2 Stent with flexible elements 有权
标题翻译：支架具有弹性元件
公开(公告)号：US07507218B2
公开(公告)日：2009-03-24
申请号：US10832859
申请日：2004-04-26
申请人： Peter Aliski , Vasu Nishtala , Benedict Shia , Anthony Tremaglio
发明人： Peter Aliski , Vasu Nishtala , Benedict Shia , Anthony Tremaglio
IPC分类号： A61F2/04 , A61M5/00
CPC分类号： A61F2/04 , A61M27/008
摘要： In accordance with the invention, there are provided medical devices for providing a fluid passage between two areas in the body. An embodiment of the present invention relates to a stent comprising a tubular member comprising a distal transition region and a proximal transition region adapted to provide the ability for the stent to accommodate the dynamic urinary tract anatomy that stretches and relaxes. The distal transition region and the proximal transition region is adapted to exhibit a physical property that provides both longitudinal elasticity, allowing for stretch and recoil, as well as radial elasticity, allowing for bending and recovery.
摘要翻译：根据本发明，提供了用于在体内的两个区域之间提供流体通道的医疗装置。本发明的实施例涉及一种支架，其包括管状构件，该管状构件包括远侧过渡区域和近端过渡区域，其适于提供支架适应伸展和松弛的动态尿道解剖体的能力。远端过渡区域和近侧过渡区域适于表现出提供纵向弹性，允许拉伸和反冲以及径向弹性，允许弯曲和恢复的物理性质。

7. 发明申请

US20050240277A1 Stent with flexible elements 有权
标题翻译：支架具有弹性元件
公开(公告)号：US20050240277A1
公开(公告)日：2005-10-27
申请号：US10832859
申请日：2004-04-26
申请人： Peter Aliski , Vasu Nishtala , Benedict Shia , Anthony Tremaglio
发明人： Peter Aliski , Vasu Nishtala , Benedict Shia , Anthony Tremaglio
IPC分类号： A61F2/04 , A61M29/02
CPC分类号： A61F2/04 , A61M27/008
摘要： In accordance with the invention, there are provided medical devices for providing a fluid passage between two areas in the body. An embodiment of the present invention relates to a stent comprising a tubular member comprising a distal transition region and a proximal transition region adapted to provide the ability for the stent to accommodate the dynamic urinary tract anatomy that stretches and relaxes. The distal transition region and the proximal transition region is adapted to exhibit a physical property that provides both longitudinal elasticity, allowing for stretch and recoil, as well as radial elasticity, allowing for bending and recovery.
摘要翻译：根据本发明，提供了用于在体内的两个区域之间提供流体通道的医疗装置。本发明的实施例涉及一种支架，其包括管状构件，该管状构件包括远侧过渡区域和近端过渡区域，其适于提供支架适应伸展和松弛的动态尿道解剖体的能力。远端过渡区域和近侧过渡区域适于表现出提供纵向弹性，允许拉伸和反冲以及径向弹性，允许弯曲和恢复的物理性质。

8. 发明授权

US06547724B1 Flexible sleeve slidingly transformable into a large suction sleeve 有权
公开(公告)号：US06547724B1
公开(公告)日：2003-04-15
申请号：US09579995
申请日：2000-05-26
申请人： Jon Soble , Anthony Tremaglio
发明人： Jon Soble , Anthony Tremaglio
IPC分类号： A61B112
CPC分类号： A61M25/0028 , A61B1/00142 , A61B1/005 , A61B1/12 , A61B1/307 , A61M1/008 , A61M25/0075 , A61M2025/0039 , A61M2025/004
摘要： A sleeve is provided for placing over a flexible endoscope. The sleeve has a port between its distal and proximal openings and the port is connected to a vacuum source. Once the endoscope is retracted proximal to the suction port, the sleeve's proximal opening is sealed off and the entire sleeve is turned into a suction lumen. Devices and methods in accordance with the invention provide improvement in removing materials from body cavities, especially in removing stones from the upper urinary tract.

9. 发明授权

US06375651B2 Laser lithotripsy device with suction 有权
标题翻译：激光碎石装置抽吸
公开(公告)号：US06375651B2
公开(公告)日：2002-04-23
申请号：US09507029
申请日：2000-02-18
申请人： Michael Grasso, III , Douglas Goodshall , Clifford Liu , Anthony Tremaglio , George Bourne
发明人： Michael Grasso, III , Douglas Goodshall , Clifford Liu , Anthony Tremaglio , George Bourne
IPC分类号： A61B1818
CPC分类号： A61B18/26 , A61B17/22012 , A61B18/1492 , A61B18/245 , A61B2017/22038 , A61B2018/2216 , A61B2018/2244 , A61B2018/2272 , A61B2090/306 , A61B2090/3614 , A61B2090/3937
摘要： A medical device is provided which includes a suction conduit and an energy-transmitting conduit wherein at least some of the transmitted energy is directed to the distal region of the suction conduit. The device may include an optical apparatus for directing the energy. The device has applications in lithotripsy and tissue-removal in a patient.
摘要翻译：提供了一种医疗装置，其包括抽吸管道和能量传输管道，其中至少一些所传输的能量被引导到吸入管道的远端区域。该装置可以包括用于引导能量的光学装置。该装置具有用于病人碎石术和组织清除的应用。

10. 发明授权

US08535293B2 Atraumatic ureteral access sheath 有权
标题翻译：无创输尿管通路鞘
公开(公告)号：US08535293B2
公开(公告)日：2013-09-17
申请号：US13170060
申请日：2011-06-27
申请人： Rich Faherty , Anthony Tremaglio
发明人： Rich Faherty , Anthony Tremaglio
IPC分类号： A61M25/00
CPC分类号： A61M25/0053 , A61M25/0012 , A61M25/0017 , A61M25/0045 , A61M25/0054 , A61M25/0108 , A61M25/0662 , A61M2025/0004
摘要： Ureteral access sheaths can have a nonuniform axial-stiffness. A nonuniform axial-stiffness ureteral access sheath can have an inner liner defining a longitudinally extending and generally uniform bore. A non-uniform axial-stiffness outer jacket can define a longitudinally tapered outer surface, and a reinforcement layer can be encapsulated between the inner liner and the non-uniform axial-stiffness outer jacket. The reinforcement layer can have a non-uniform axial-stiffness. For example, a proximal portion of the reinforcement layer can be thicker than a distal portion of the reinforcement layer. A coil of wire can be included in the reinforcement layer, and a diameter of the wire in a proximal portion of the reinforcement layer can be larger than a diameter of the wire in a distal portion of the reinforcement layer. In some instances, the diameter of the wire tapers from the proximal portion to the distal portion.
摘要翻译：输尿管通路鞘可能具有不均匀的轴向刚度。不均匀的轴向刚度输尿管进入护套可以具有限定纵向延伸且大致均匀的孔的内衬。不均匀的轴向刚度外护套可以限定纵向渐缩的外表面，并且加强层可以封装在内衬和不均匀的轴向刚度外护套之间。加强层可以具有不均匀的轴向刚度。例如，加强层的近侧部分可以比加强层的远侧部分更厚。线圈可以包括在加强层中，并且加强层的近端部分中的线的直径可以大于加强层的远侧部分中的线的直径。在一些情况下，线的直径从近端部分到远端部分变细。

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