Cook Medical Technologies LLC

Wilson-Cook Medical Incorporated

Cook Incorporated

Cook Ireland Limited

Gregory J Skerven

Kenneth C Kennedy, Ii

John A Karpiel

Matthew P Carter

Stephen E Deal

Charles W Agnew

Juan Carlos Ayala

Victor D Clark, Jr

David M Hardin, Jr

David F Waller

Brian K Rucker

Frederick B Haller

William S Gibbons

Mathew P Carter

Max Soetermans

Per-Jonas Blind

Donagh O'SULLIVAN

Jr William S Gibbons

Donagh O'sullivan

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 separating member may be provided to remotely separate the wire guide from the elongate medical device.

System and method for introducing multiple medical devices

Disclosed is a pressure sensitive prosthesis that includes a tubular member having a passageway extending therethrough and a sleeve attached about one end of the tubular member. The sleeve functions as a one-way valve to permit fluid flowing through the sleeve lumen in a first, distal direction and under a first pressure, while collapsing in response to fluid flowing in a second direction when the pressure thereof exceeds that of the first direction or pressure. One aspect of the invention includes a first opening and a second opening configured for allowing fluid flow from the passage to the lumen in the first direction.

Prosthesis having a sleeve valve

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.

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.

Endoscope cap with aperture

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.

Single peel stent introducer apparatus

Over-the-scope stent introducers for detachably engaging at least a portion of the outside of an endoscope insert and for delivering a stent are provided. Embodiments include an inner member having a distal first end portion and a proximal second end portion and openings defining a channel. The inner member includes an outer surface, inner endoscope engaging surface, and stent abutting restraint disposed at the first end portion. Embodiments also include an outer member having a distal section and proximal section having openings defining a passageway sized to slideably receive at least a portion of the inner member, and a stent carrying inner chamber disposed at the distal section passageway and being configured to releasably contain a stent. In alternative embodiments, the inner and outer members are elongated to dispose substantially concentrically over a majority of an endoscope insert.

Over the endoscope introducer for stents

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 separating member may be provided to remotely separate the wire guide from the elongate medical device. 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. 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.

A grasping apparatus for use with an elevator of an endoscope having enhanced grasping features for grasping an elongate medical device is disclosed. The apparatus comprises a body comprising a grasping surface and an opening formed through the grasping surface to receive the elevator. The opening of the body is configured to be disposed about the elevator of the endoscope. The grasping surface is configured to be disposed on the elevator for grasping of the elongate medical device.

Endoscopic apparatus having an improved elevator

A medical device including an inflation element, such as a syringe, and a balloon catheter in which the inflation element includes a series of indicia to which an operative portion of the inflation device can be aligned. The indicia directly correspond to a particular balloon diameter. A method of inflating a balloon to at least two desired diameters in a body lumen and determining the inflation diameter of the balloon within the body lumen. A method of calibrating the inflation device to allow a user to inflate a balloon to a desired diameter.

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Kernersville, NC, United States of America

Gregory J Skerven