公开(公告)号：EP0964636A1

公开(公告)日：1999-12-22

申请号：EP98920833.0

申请日：1998-04-10

申请人： Transvascular, Inc. ,  Makower, Joshua

发明人： MAKOWER, Joshua ,  FLAHERTY, J., Christopher ,  MACHOLD, Timothy, R. ,  WHITT, Jason, Brian ,  EVARD, Philip, Christopher ,  MACAULAY, Patrick, Edward ,  GARIBOTTO, John, Thomas ,  TUMAS, Margaret, W. ,  SELFRIDGE, Alan, Robert

IPC分类号： A61B17 ,  A61B1 ,  A61B8 ,  A61B18 ,  A61M25 ,  A61B19 ,  A61F2 ,  A61M29

CPC分类号： A61B17/3439 ,  A61B8/12 ,  A61B8/445 ,  A61B8/4488 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/12022 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12136 ,  A61B17/3207 ,  A61B17/3417 ,  A61B18/00 ,  A61B18/1477 ,  A61B18/1492 ,  A61B90/39 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/00504 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/12127 ,  A61B2017/22067 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61B2017/22072 ,  A61B2017/306 ,  A61B2017/347 ,  A61B2018/00392 ,  A61B2018/1425 ,  A61B2090/0811 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61F2/2493 ,  A61F2002/30079 ,  A61F2210/009 ,  A61M25/0084 ,  A61M25/0141 ,  A61M25/0147 ,  A61M25/0155 ,  A61M29/00 ,  A61M29/02 ,  A61M2025/0076 ,  A61M2025/009 ,  A61M2025/1052

摘要： The inventions described in this patent application include i) a torqueable introducer sheath which is useable in conjunction with a transvascular passageway forming catheter to effect precise rotational control of the catheter; ii) an anchorable guide catheter which is useable in conjunction with an intravascular imaging catheter and a transvascular passageway-forming catheter to effect precise positioning and aiming of the passageway-forming catheter; iii) a passageway forming catheter having a torqueable proximal portion to facilitate precise rotational positioning of the distal portion of the catheter; iv) a deflectable-tipped passageway forming catheter, v) various markers and other apparatus useable in conjunction with any of the passageway-forming catheters to facilitate precise positioning and aiming of the catheter, and vi) an apparatus which may be formed within a catheter to prevent a member, apparatus of flow of material from being inadvertently advanced through a lumen of the catheter.

公开(公告)号：EP0964636B1

公开(公告)日：2007-08-22

申请号：EP98920833.5

申请日：1998-04-10

申请人： Medtronic Vascular, Inc. ,  Makower, Joshua

发明人： MAKOWER, Joshua ,  FLAHERTY, J., Christopher ,  MACHOLD, Timothy, R. ,  WHITT, Jason, Brian ,  EVARD, Philip, Christopher ,  MACAULAY, Patrick, Edward ,  GARIBOTTO, John, Thomas ,  TUMAS, Margaret, W. ,  SELFRIDGE, Alan, Robert

IPC分类号： A61B1/00 ,  A61B1/04 ,  A61B1/06 ,  A61B1/12 ,  A61B5/00 ,  A61B5/04 ,  A61B8/00 ,  A61B8/12 ,  A61B17/20 ,  A61B17/22 ,  A61M25/06 ,  A61B17/34

CPC分类号： A61B17/3439 ,  A61B8/12 ,  A61B8/445 ,  A61B8/4488 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/12022 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12136 ,  A61B17/3207 ,  A61B17/3417 ,  A61B18/00 ,  A61B18/1477 ,  A61B18/1492 ,  A61B90/39 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/00504 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/12127 ,  A61B2017/22067 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61B2017/22072 ,  A61B2017/306 ,  A61B2017/347 ,  A61B2018/00392 ,  A61B2018/1425 ,  A61B2090/0811 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61F2/2493 ,  A61F2002/30079 ,  A61F2210/009 ,  A61M25/0084 ,  A61M25/0141 ,  A61M25/0147 ,  A61M25/0155 ,  A61M29/00 ,  A61M29/02 ,  A61M2025/0076 ,  A61M2025/009 ,  A61M2025/1052

摘要： The inventions described in this patent application include i) a torqueable introducer sheath which is useable in conjunction with a transvascular passageway forming catheter to effect precise rotational control of the catheter; ii) an anchorable guide catheter which is useable in conjunction with an intravascular imaging catheter and a transvascular passageway-forming catheter to effect precise positioning and aiming of the passageway-forming catheter; iii) a passageway forming catheter having a torqueable proximal portion to facilitate precise rotational positioning of the distal portion of the catheter; iv) a deflectable-tipped passageway forming catheter, v) various markers and other apparatus useable in conjunction with any of the passageway-forming catheters to facilitate precise positioning and aiming of the catheter, and vi) an apparatus which may be formed within a catheter to prevent a member, apparatus of flow of material from being inadvertently advanced through a lumen of the catheter.

公开(公告)号：EP2299918A2

公开(公告)日：2011-03-30

申请号：EP09739229.4

申请日：2009-04-30

申请人： Moximed, Inc. ,  Clifford, Anton G. ,  Landry, Michael E. ,  Slone, Clinton N. ,  Makower, Joshua

发明人： CLIFFORD, Anton, G. ,  LANDRY, Michael, E. ,  SLONE, Clinton, N. ,  MAKOWER, Joshua

IPC分类号： A61B17/68 ,  A61B17/80 ,  A61F2/08

CPC分类号： A61B17/68 ,  A61B17/6425 ,  A61B17/8004 ,  A61B2017/567

摘要： A mount usable with an implantable extra-articular system including a body having a first end opposite a second end. The mount includes a coupling connection positioned at the first end of the mount for attaching the mount to a base component. The mount also includes a multi¬ dimensional articulating connection component configured at the second end of the mount. The body of the mount offsets the articulating connection component away from body anatomy when coupled to the base component. The mount also orients and aligns a link absorber that is coupled to the articulating connection component.

公开(公告)号：EP2111167A1

公开(公告)日：2009-10-28

申请号：EP08729001.1

申请日：2008-02-05

申请人： Neotract, Inc. ,  Catanese, Joseph ,  Mclean, Matt ,  Lamson, Theodore C. ,  Nagpurkar, Amik ,  Merrick, Daniel ,  Makower, Joshua ,  Vidal, Claude ,  Redmond, Russell J. ,  Collinson, Michael ,  Barham, Mitchell C. ,  West, Scott

发明人： CATANESE, Joseph ,  MCLEAN, Matt ,  LAMSON, Theodore, C. ,  NAGPURKAR, Amik ,  MERRICK, Daniel ,  MAKOWER, Joshua ,  VIDAL, Claude ,  REDMOND, Russell, J. ,  COLLINSON, Michael ,  BARHAM, Mitchell, C. ,  WEST, Scott

IPC分类号： A61B17/10 ,  A61M29/00

CPC分类号： A61B17/0401 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/0625 ,  A61B17/32 ,  A61B17/3468 ,  A61B17/3478 ,  A61B17/42 ,  A61B2017/00022 ,  A61B2017/00274 ,  A61B2017/0046 ,  A61B2017/00792 ,  A61B2017/00805 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/045 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0488 ,  A61B2017/06052 ,  A61B2017/06176 ,  A61B2017/0688 ,  A61B2018/00547

摘要： Integrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

公开(公告)号：EP1047341A1

公开(公告)日：2000-11-02

申请号：EP98931643.5

申请日：1998-06-25

申请人： Transvascular, Inc.

发明人： MAKOWER, Joshua ,  FLAHERTY, Christopher, J. ,  MACHOLD, Timothy, R. ,  GARIBOTTO, John, Thomas ,  WHITT, Jason, Brian

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/06 ,  A61B17/064 ,  A61B17/12 ,  A61B17/12013 ,  A61B2017/00292 ,  A61B2017/00557 ,  A61B2017/00946 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/0454 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/06047 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139

摘要： A method and apparatus for passing attachment apparatus (20), (e.g., connector devices, staples, etc.) or connector material (88), (e.g., suture thread, wire, cord, filament, monofilament, etc.) into or through the wall of a luminal anatomical structure (e.g., a blood vessel or other anatomical conduit), for the purpose of closing the lumen of the anatomical structure, forming an anastomotic junction between separate anatomical structures (or between approximated segments of the same anatomical structure), and/or attaching an article (e.g., an endoluminal, extraluminal or transluminal graft) or other apparatus to the wall of the anatomical structure.

公开(公告)号：EP1069869A1

公开(公告)日：2001-01-24

申请号：EP99916412.2

申请日：1999-04-06

申请人： Transvascular, Inc.

发明人： ROTH, ALEX, T. ,  FLAHERTY, J., Christopher ,  JOHNSON, Adrian, E. ,  MAKOWER, Joshua ,  WHITT, Jason, Brian

IPC分类号： A61D17/00

CPC分类号： A61B17/32075 ,  A61B17/32002 ,  A61B18/1482 ,  A61B18/245 ,  A61B2017/00252 ,  A61B2017/22069 ,  A61B2018/2255 ,  A61B2018/2266 ,  A61B2018/2272 ,  A61B2090/036 ,  A61B2090/065 ,  A61M25/104

摘要： This invention is methods, apparatus, and systems for enlarging interstitial penetration tracts which have been formed between blood vessels or elsewhere within the body of a mammalian patient. Included are de-bulking type tract enlarging systems (10, 10a), dilation-type tract enlarging systems (10b), tissue-sclicing-type tract enlarging systems (10c), and two-catheter-type tract enlarging systems (17).

公开(公告)号：EP1359967A2

公开(公告)日：2003-11-12

申请号：EP02718838.2

申请日：2002-01-17

申请人： Transvascular, Inc.

发明人： MAKOWER, Joshua ,  LAMSON, Theodore, C. ,  FLAHERTY, J., Christopher ,  REGGIE, John, A. ,  CHANG, John, Y. ,  CANTANESE, III., Joseph ,  THOLFSEN, David, R.

IPC分类号： A61M31/00

CPC分类号： A61M25/065 ,  A61B17/00491 ,  A61B17/0057 ,  A61B17/12022 ,  A61B17/12109 ,  A61B17/12122 ,  A61B17/12136 ,  A61B17/12186 ,  A61B18/24 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00575 ,  A61B2018/00392 ,  A61M25/0069 ,  A61M25/0084 ,  A61M25/0102 ,  A61M2025/018

摘要： Methods and apparatus for delivery of substances or apparatus to target sites. A vessel wall penetrating catheter (11) is inserted into the vasculature, positioned and oriented with a blood vessel near the target extravascular site and a penetrator (85) is advanced from the catheter so as to penetrate outwardly through the wall of the blood vessel in the direction of the target site. Thereafter, a delivery catheter (12) is passed through a lumen of the penetrator to the target site. A desired substance or apparatus is then delivered to or obtained from the target site.

公开(公告)号：EP1006916A1

公开(公告)日：2000-06-14

申请号：EP97940595.8

申请日：1997-08-25

申请人： Transvascular, Inc.

发明人： MAKOWER, Joshua ,  MACHOLD, Timothy ,  FLAHERTY, Christopher, J. ,  WHITT, Jason, Brian

IPC分类号： A61B19/00

CPC分类号： A61F2/94 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61F2/07 ,  A61F2/2412 ,  A61F2/2493 ,  A61F2220/0008

摘要： This invention is methods and apparatus for direct coronary revascularization wherein a transmyocardial passageway (10) is formed between a chamber of the heart (LV) and a coronary blood vessel (CBV) to permit blood to flow therebetween. In some embodiments, the transmyocardial passageway (10) is formed between a chamber of the heart (LV) and a coronary vein (CV). The invention includes unstent transmyocardial passageways (10), as well as transmyocardial passageways (10) wherein protrusive stent devices (90) extend from the transmyocardial passageway (10) into an adjacent coronary vessel (CBV) or chamber of the heart (LV). The apparatus of the present invention includes protrusive stent devices (90) for stent of transmyocardial passageways (10), intraluminal valve devices (40) for valving of transmyocardial passageways (10), intra-cardiac valve devices (80) for valving of transmyocardial passageways (10), endogenous tissue valves (50) for valving of transmyocardial passageways (10), and ancillary apparatus for use in conjunction therewith.

公开(公告)号：EP0955933A1

公开(公告)日：1999-11-17

申请号：EP96938622.0

申请日：1996-10-11

申请人： Transvascular, Inc.

发明人： MAKOWER, Joshua

IPC分类号： A61B17 ,  A61B1 ,  A61B18 ,  A61F2 ,  A61M29 ,  A61B19 ,  A61M25

CPC分类号： A61B17/12022 ,  A61B1/3137 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/0057 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12131 ,  A61B17/12136 ,  A61B17/12181 ,  A61B17/1219 ,  A61B17/320725 ,  A61B17/3417 ,  A61B17/3496 ,  A61B18/00 ,  A61B18/1445 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/24 ,  A61B90/361 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/00504 ,  A61B2017/00641 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/12127 ,  A61B2017/22038 ,  A61B2017/22077 ,  A61B2017/306 ,  A61B2017/347 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2018/00869 ,  A61B2018/1425 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61B2090/3958 ,  A61F2/07 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/95 ,  A61F2002/30079 ,  A61F2002/8486 ,  A61F2210/009 ,  A61M2025/0076 ,  A61M2025/018 ,  A61M2025/1052

摘要： Method and apparatus for utilizing the vascular system as a conduit to reach other vascular and extravascular locations within the body. Included are methods for revascularization wherein the extravascular passageways are formed to permit blood flow between vascular locations. Also included are methods for performing transvascular interstitial surgery (TVIS) wherein extravascular passageways are formed from a blood vessel to another vascular or non-vascular intracorporeal location. Also disclosed are devices usable for forming extravascular passageways in accordance with the invention, or for modifying, valving, maintaining or closing such passageways.

公开(公告)号：EP0954248A1

公开(公告)日：1999-11-10

申请号：EP96936499.0

申请日：1996-10-11

申请人： Transvascular, Inc.

发明人： EVARD, Philip, C. ,  FLAHERTY, J., C. ,  GARIBOTTO, John, T. ,  MACAULAY, Patrick, E. ,  MACHOLD, Timothy, R. ,  MAKOWER, Joshua ,  WHITT, Jason, B. ,  VIDAL, Clade, A. ,  REDMOND, Russel, J. ,  BANKS, Thomas

IPC分类号： A61B ,  A61B17 ,  A61B1 ,  A61B18 ,  A61F2 ,  A61B19 ,  A61M25

CPC分类号： A61B1/3137 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/0057 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/12022 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12131 ,  A61B17/12136 ,  A61B17/320725 ,  A61B17/3417 ,  A61B17/3496 ,  A61B18/00 ,  A61B18/1445 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/24 ,  A61B90/361 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/00331 ,  A61B2017/00504 ,  A61B2017/00637 ,  A61B2017/00668 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/12127 ,  A61B2017/22038 ,  A61B2017/22077 ,  A61B2017/22095 ,  A61B2017/306 ,  A61B2017/347 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2018/00404 ,  A61B2018/00869 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61B2090/3958 ,  A61F2/07 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/95 ,  A61F2002/30079 ,  A61F2002/8486 ,  A61F2210/009 ,  A61M2025/0076 ,  A61M2025/0096 ,  A61M2025/018 ,  A61M2025/1052

摘要： This invention is methods, devices, and systems for re-vascularization, and/or performing other medical procedures at a vascular or non-vascular intra-corporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway from a blood vessel to a vascular or non-vascular target location. In the re-vascularization methods the extravascular passageway is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices (100, 103) and systems (138) which are usable to form the extravascular passageways of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.