公开(公告)号：EP1865887A1

公开(公告)日：2007-12-19

申请号：EP06748728.0

申请日：2006-03-27

申请人： Ample Medical, Inc.

发明人： SCOTT, David, J. ,  MACHOLD, Timothy, R. ,  RAHDERT, David, A. ,  CHANG, Robert, T. ,  THOLFSEN, David, R.

IPC分类号： A61F2/24

CPC分类号： A61B17/3478 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/0485 ,  A61B17/0487 ,  A61B17/320016 ,  A61B17/32053 ,  A61B17/3207 ,  A61B17/320725 ,  A61B2017/00252 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/00606 ,  A61B2017/00619 ,  A61B2017/00867 ,  A61B2017/00876 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0451 ,  A61B2017/0458 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06176 ,  A61B2017/22044 ,  A61B2090/062 ,  A61B2090/0811 ,  A61F2/2451 ,  A61F2/2487 ,  A61F2002/30079 ,  A61F2210/009

摘要： Implants or systems of implants and methods apply a selected force vector or a selected combination of force vectors within or across the left atrium, which allow mitral valve leaflets to better coapt . The implants or systems of implants and methods make possible rapid deployment, facile endovascular delivery, and full intra - atrial adjustability and retrievability years after implant . The implants or systems of implants and methods also make use of strong fluoroscopic landmarks. The implants or systems of implants and methods make use of an adjustable implant and a fixed length implant. The implants or systems of implants and methods may also utilize an adjustable bridge stop to secure the implant, and the methods of implantation employ various tools.

公开(公告)号：EP1119387B1

公开(公告)日：2007-02-14

申请号：EP99942548.1

申请日：1999-08-27

申请人： Lumend, Inc.

发明人： SELMON, Matthew, R. ,  MILO, Charles, F. ,  CO, Fred ,  CAMPELLO, Mark ,  FRENCH, Ronald ,  AGUILAR, Amiel

IPC分类号： A61M25/01

CPC分类号： A61B17/3207 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/22044 ,  A61B2017/22077 ,  A61B2017/22095 ,  A61B2018/00392 ,  A61B2090/3925 ,  A61M25/01 ,  A61M2025/018 ,  A61M2025/0197

摘要： Methods and apparatus for crossing totally to substantially occluded blood vessels by passing a redirectable wire such as a guidewire from a relatively proximal point past the occlusion within a subintimal space formed between the intimal layer and the adventitial layer of a blood vessel wall. The wire may be advanced to a point distal to the occlusion, and thereafter deflected back into the blood vesel lumen, typically using a deflecting catheter which is advanced over the guidewire after it has been positioned within the subintimal space. The deflecting catheter may include a flapper valve assembly or preformed actuator wire for redirecting the guidewire. After the guidewire is returned to the blood vessel lumen, the deflecting catheter may be withdrawn, and the guidewire may be available for introduction of other inverventional and diagnostic catheters for performing procedures such as stenting.

公开(公告)号：EP1355692A4

公开(公告)日：2005-12-21

申请号：EP01904798

申请日：2001-01-09

申请人： MICROVENTION INC

发明人： ROSENBLUTH ROBERT F ,  GREEN GEORGE R JR ,  COX BRIAN J ,  STERNWEILER THOMAS R ,  CHOW SEAN L ,  MONETTI RICHARD R

IPC分类号： A61B17/00 ,  A61B17/22 ,  A61M25/00 ,  A61M29/00

CPC分类号： A61B17/22 ,  A61B17/221 ,  A61B17/320725 ,  A61B17/32075 ,  A61B2017/00367 ,  A61B2017/00778 ,  A61B2017/22034 ,  A61B2017/22038 ,  A61B2017/22042 ,  A61B2017/22044 ,  A61B2017/22084 ,  A61B2017/2212 ,  A61M25/0068 ,  A61M25/008 ,  A61M2025/109

摘要： Embolectomy catheters (10, 10', 10'', 10''', 10''''), rapid exchange microcatheters, systems and methods for removing clots or other obstructive material (e.g., thrombus, thromboemboli, embolic fragments of atherosclerotic plaque, foreign objects, etc.) from blood vessels. This invention is particularly useable for percuatneous removal of thromboemboli or other obstructive matter from small blood vessels of the brain, during an evolving stroke or period of cerebral ischemia. In some embodiments, the embolectomy catheters (10, 10', 10'', 10''', 10'''') of this invention are advanceable with or over a guidewire (GW) which has been pre-inserted through or around the clot. Also, in some embodiments, the embolectomy catheters include clot removal devices which are deployable from the catheter after the catheter has been advanced at least partially through the clot. The clot removal device may include a deployable wire nest (14) that is designed to prevent a blood clot from passing therethrough. The delivery catheter may include telescoping inner and outer tubes, with the clot removal device being radially constrained by the outer tube. Retraction of the outer tube removes the constraint on the clot removal device and permits it to expand to its deployed configuration. An infusion guidewire is particularly useful in conjunction with the embolectomy catheter, and permits infusion of medicants or visualization fluids distal to the clot.

公开(公告)号：EP1083835A1

公开(公告)日：2001-03-21

申请号：EP99922479.3

申请日：1999-05-30

申请人： By-Pass, Inc.

发明人： DEROWE, Ari ,  LOSHAKOVE, Amir

IPC分类号： A61B17/56

CPC分类号： A61B17/11 ,  A61B17/0057 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/22012 ,  A61B17/320758 ,  A61B2017/00252 ,  A61B2017/00557 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/00668 ,  A61B2017/00867 ,  A61B2017/0641 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/22042 ,  A61B2017/22044

摘要： An anastomotic connector (60) for attaching two blood vessels, comprising a cylinder-like portion having a lumen, two ends, and an array of cells elements, and a tissue engaging portion (60) comprising at least one set of spikes (64) wherein at least one spike arranged adjacent one of the two ends of said cylinder-like portion. The connector (60) may comprise at least a second set of spikes (66) adjacent the other of the two ends.

公开(公告)号：EP0981384A1

公开(公告)日：2000-03-01

申请号：EP98920000.1

申请日：1998-04-30

申请人： Beth Israel Deaconess Medical Center

发明人： WAXMAN, Sergio ,  VERRIER, Richard, L.

IPC分类号： A61M25/00

CPC分类号： A61M25/0105 ,  A61B2017/00247 ,  A61B2017/22044 ,  A61B2017/347 ,  A61B2018/00392 ,  A61M25/0084 ,  A61M25/0662 ,  A61M2025/0089 ,  A61M2025/091 ,  A61M2210/122 ,  A61N1/0587

摘要： A method for placing various types of catheters into the pericardial space takes advantage of the fact that the right auricle is a thin walled, low-pressure structure which can be readily penetrated without damaging the pericardium or the epicardium. A guide catheter (401) is passed through a selected peripheral vein to establish a trans-venous route to the right auricle of the heart. A needle catheter (401) is then passe through guide catheter and into the right auricle so that a distal end of the needle catheter (402) is positioned against a wall of the right auricle. The wall of the right auricle is than pierced with the needle catheter (402). A guide wire (403) is advanced through the needle catheter and into the pericardial space. Once in position the guide wire (403) can be used as a conduit over which a desired catheter may be introduced for performing a specific medical procedure.

公开(公告)号：EP0834287A1

公开(公告)日：1998-04-08

申请号：EP97306105.4

申请日：1997-08-11

申请人： INTERVENTIONAL TECHNOLOGIES INC

发明人： Lary, Banning Gray ,  Radisch, Herbert R., Jr.

IPC分类号： A61B17/22 ,  A61B17/32

CPC分类号： A61B17/3207 ,  A61B17/32002 ,  A61B17/320725 ,  A61B17/320783 ,  A61B17/3209 ,  A61B17/3478 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/22044 ,  A61B2017/22069 ,  A61B2017/22072 ,  A61B2018/00392

摘要： The present invention is a device and a method for boring a perfusion channel into the myocardial tissue of a patient. Structurally, the present invention includes a positioning catheter and a cutting catheter. The positioning catheter is formed with an inflation lumen and a deployment lumen and has an inflatable balloon mounted at its distal end. The cutting catheter has a sharpened distal end and is advanceable through the deployment lumen of the positioning catheter. Advancement of the cutting catheter through the deployment lumen causes the distal end of the cutting catheter to be directed radially outward from the positioning catheter. In use, the positioning catheter is positioned within a target vessel. The inflatable balloon is then expanded to anchor the distal end of the positioning catheter. The cutting catheter is then advanced through the deployment lumen, projecting the distal end of the cutting catheter radially outward from the positioning catheter, boring a perfusion channel in the tissue adjacent to the target vessel.

摘要翻译： 本发明是一种用于将灌注通道浸入患者的心肌组织的装置和方法。 在结构上，本发明包括定位导管和切割导管。 定位导管形成有充气腔和展开腔，并且具有安装在其远端的可充气气囊。 切割导管具有锋利的远端，并且能够通过定位导管的展开腔而前进。 通过展开腔导入切割导管，导致切割导管的远端从定位导管径向向外引导。 在使用中，定位导管位于靶容器内。 然后将可膨胀气囊膨胀以锚定定位导管的远端。 切割导管然后前进通过展开腔，将切割导管的远端从定位导管径向向外突出，使邻近靶血管的组织中的灌注通道钻孔。

公开(公告)号：EP0442137B1

公开(公告)日：1996-02-14

申请号：EP90125332.8

申请日：1990-12-22

申请人： ANGIOMED GmbH & Co. Medizintechnik KG

发明人： Schnepp-Pesch, Wolfram ,  Lindenberg, Josef ,  Starck, Erhard Dr.

IPC分类号： A61B17/32 ,  A61B17/22

CPC分类号： A61B17/320725 ,  A61B2017/22042 ,  A61B2017/22044

公开(公告)号：EP0657140A1

公开(公告)日：1995-06-14

申请号：EP93309280.1

申请日：1993-11-22

申请人： Fischell, Robert E.

发明人： Fischell, Robert E.

IPC分类号： A61B17/22

CPC分类号： A61B17/320758 ,  A61B17/22012 ,  A61B17/3207 ,  A61B17/3476 ,  A61B90/39 ,  A61B2017/00685 ,  A61B2017/0084 ,  A61B2017/22038 ,  A61B2017/22044 ,  A61B2017/22051 ,  A61B2017/22094 ,  A61B2090/061 ,  A61B2090/3933

摘要： The catheter system is designed for penetration of tight stenoses or total occlusions (called blockages) as a precursor to balloon angioplasty, atherectomy, or any other vessel opening means that requires an initial passageway, and comprises a catheter (20) carrying at its distal end a pointed tool, e.g. an auger (30) that may be used to open up plastic deformation of the plaque rather than by excision.

摘要翻译： 导管系统设计用于将狭窄狭窄或完全闭塞（称为阻塞）作为球囊血管成形术，粥样斑块切除术的前体或需要初始通道的任何其它容器开口装置的渗透，并且包括在其远端承载的导管（20） 一个尖锐的工具，例如 螺旋钻（30）可用于打开斑块的塑性变形而不是切除。

公开(公告)号：EP0538271B1

公开(公告)日：1994-12-21

申请号：EP91910515.5

申请日：1991-05-17

申请人： SCHNEIDER (USA) INC.

发明人： SHOCKEY, Rick, L.

IPC分类号： A61M29/00 ,  A61M25/01

CPC分类号： A61M25/09025 ,  A61B2017/22042 ,  A61B2017/22044 ,  A61M29/00 ,  A61M2025/09175

摘要： A guidewire and guidewire assembly (10) for placement within a blood vessel for penetrating an occlusion therein. The guidewire comprises a length of flexible wire (12) having a concentric lumen (14) running its entire length and a distal end portion (20) having an arcuate tip (22) and a diameter greater than that of the wire immediately proximal thereto. The guidewire assembly comprises the guidewire described along with a flexible stylet (32) substantially the same length as the flexible wire and disposed within the lumen of the wire. In operation, the distal end portion is positioned in the blood vessel against an occlusion, and a dottering action is thereafter provided whereby the distal end portion repeatedly impinges on the occlusion until penetration of the occlusion occurs.

公开(公告)号：EP0556316A1

公开(公告)日：1993-08-25

申请号：EP92900843.0

申请日：1991-11-07

申请人： BOSTON SCIENTIFIC CORPORATION

发明人： ABELE, John, E. ,  HEATH, Kevin, R. ,  LANDMAN, Mark, S. ,  MCLAUGHLIN, Paul, D.

IPC分类号： A61M25 ,  A61B17 ,  A61M29

CPC分类号： A61M29/00 ,  A61B17/22 ,  A61B2017/22038 ,  A61B2017/22042 ,  A61B2017/22044 ,  A61M25/09 ,  A61M25/104 ,  A61M29/02 ,  A61M2025/09175

摘要： Un fil de guidage (10) destiné à pénétrer dans une occlusion (62) se trouvant à l'intérieur d'un conduit ou d'un vaisseau, tel qu'un vaisseau sanguin, présente un corps de fil de guidage principal allongé (20) d'un premier diamètre réduit. Le fil de guidage se termine, en son extrémité distale, par une partie extrême souple élargie (24) présentant une surface extérieure lisse (22) et il est formé et construit pour pénétrer l'occlusion. Le corps du fil de guidage est construit pour être relativement souple dasn l'extrémité distale corrspondant au bout élargi, et relativement plus rigide dans ses parties proximales afin de permettre la manipulation du fil à partir de son extrémité proximale et afin de permettre à ladite partie extrême distale de pénétrer l'occlusion ainsi que d'y former un passage. Dans un mode de réalisation, un manchon extérieur (100, 206) glisse sur le corps principal, et venant en aboutement contre l'extrémité proximale de la partie extrême élargie il contribue à la rigidité axiale de la combinaison afin de permettre une manipulation à travers l'occlusion. Après la mise en place on retire ce manchon et l'on glisse un cathéter de dilatation (50) sur le corps principal, ledit cathéter pénétrant l'occlusion derrière la partie extrême élargie.