公开(公告)号：US07578828B2

公开(公告)日：2009-08-25

申请号：US10441256

申请日：2003-05-19

申请人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

发明人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

IPC分类号： A61B17/08

CPC分类号： A61F2/95 ,  A61B17/11 ,  A61B2017/00243 ,  A61B2017/00252 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1205 ,  A61B2017/2923 ,  A61F2/064 ,  A61F2/07 ,  A61F2/86 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2002/9517 ,  A61F2220/0008 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2230/0054

摘要： Methods and devices for placing a conduit in fluid communication with a target vessel and a source of blood, such as the aorta or a heart chamber. The device may be actuated using one hand to place the conduit. The invention allows air in the conduit to be removed prior to placement of the conduit. The invention deploys the conduit in the target vessel by moving a sheath in a distal direction and then in a proximal direction. A conduit is provided with a reinforcing member to prevent kinking of the conduit, and a structure for preventing blockage of the conduit by tissue. A vessel coupling may be used to secure a conduit to a target vessel so as to preserve native blood flow through the vessel, and the conduit may be placed in fluid communication with a target vessel via a laparoscopic or endoscopic procedure.

公开(公告)号：US07025773B2

公开(公告)日：2006-04-11

申请号：US09850883

申请日：2001-05-07

申请人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

发明人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

IPC分类号： A61B17/08

CPC分类号： A61F2/915 ,  A61B17/11 ,  A61B2017/00243 ,  A61B2017/00252 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/2923 ,  A61F2/064 ,  A61F2/07 ,  A61F2/86 ,  A61F2/91 ,  A61F2/95 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2002/9517 ,  A61F2220/0008 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2230/0054 ,  A61F2230/0058 ,  A61F2230/0067 ,  A61F2230/0076

摘要： Methods and devices for placing a conduit in fluid communication with a target vessel and a source of blood, such as the aorta or a heart chamber. The device may be actuated using one hand to place the conduit. The invention allows air in the conduit to be removed prior to placement of the conduit. The invention deploys the conduit in the target vessel by moving a sheath in a distal direction and then in a proximal direction. A conduit is provided with a reinforcing member to prevent kinking of the conduit, and a structure for preventing blockage of the conduit by tissue. A vessel coupling may be used to secure a conduit to a target vessel so as to preserve native blood flow through the vessel, and the conduit may be placed in fluid communication with a target vessel via a laparoscopic or endoscopic procedure.

公开(公告)号：US07137962B2

公开(公告)日：2006-11-21

申请号：US10011630

申请日：2001-10-22

申请人： Darin C. Gittings ,  A. Adam Sharkawy ,  Alan R. Rapacki ,  Gilbert S. Laroya

发明人： Darin C. Gittings ,  A. Adam Sharkawy ,  Alan R. Rapacki ,  Gilbert S. Laroya

IPC分类号： A61N5/00 ,  A61F2/04

CPC分类号： A61F2/94 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61F2/24 ,  A61F2/2493 ,  A61F2/82 ,  A61F2210/009 ,  A61F2220/0016 ,  A61F2230/005 ,  A61F2230/0091 ,  A61F2250/0007

摘要： Devices and methods utilized in performing transmyocardial coronary bypass include retractors used to engage and support myocardial tissue, and mechanisms for supporting coronary vessels so as to allow precise entry into a vessel lumen. In addition, various conduits are provided having a configuration that permits their positioning in a heart wall to place a coronary vessel in communication with a heart chamber.

公开(公告)号：US20120004589A1

公开(公告)日：2012-01-05

申请号：US13187070

申请日：2011-07-20

申请人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

发明人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

IPC分类号： A61F2/06

CPC分类号： A61F2/064 ,  A61B17/3468 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61B2090/062 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/94 ,  A61F2/966 ,  A61F2002/30079 ,  A61F2002/30617 ,  A61F2002/9517 ,  A61F2210/009 ,  A61F2250/0097

摘要： Devices and methods for delivering conduits into the wall of a patient's heart to communicate a coronary vessel with a heart chamber. The devices are passed through the coronary vessel and the heart wall to place the conduit and establish a blood flow path between the vessel and the heart chamber. Additional devices and methods are provided for removing tissue from a coronary vessel or the heart wall to establish a flow path between the coronary vessel in communication with the heart chamber.

摘要翻译： 将导管输送到患者心脏的壁中以将冠状动脉血管与心脏腔室通信的装置和方法。 装置通过冠状血管和心脏壁以放置导管，并在容器和心脏腔室之间建立血流路径。 提供了附加的装置和方法，用于从冠状血管或心脏壁去除组织，以建立与心室连通的冠状血管之间的流动路径。

公开(公告)号：US06651670B2

公开(公告)日：2003-11-25

申请号：US09170994

申请日：1998-10-13

申请人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

发明人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

IPC分类号： A61B1700

CPC分类号： A61F2/064 ,  A61B17/3468 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61B2090/062 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/94 ,  A61F2/966 ,  A61F2002/30079 ,  A61F2002/30617 ,  A61F2002/9517 ,  A61F2210/009 ,  A61F2250/0097

摘要： Devices and methods for delivering conduits into the wall of a patient's heart to communicate a coronary vessel with a heart chamber. The devices are passed through the coronary vessel and the heart wall to place the conduit and establish a blood flow path between the vessel and the heart chamber. Additional devices and methods are provided for removing tissue from a coronary vessel or the heart wall to establish a flow path between the coronary vessel in communication with the heart chamber.

摘要翻译： 将导管输送到患者心脏的壁中以将冠状动脉血管与心脏腔室通信的装置和方法。 装置通过冠状血管和心脏壁以放置导管，并在容器和心脏腔室之间建立血流路径。 提供了附加的装置和方法，用于从冠状血管或心脏壁去除组织，以在与心室连通的冠状血管之间建立流路。

公开(公告)号：US07214234B2

公开(公告)日：2007-05-08

申请号：US10441257

申请日：2003-05-19

申请人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

发明人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

IPC分类号： A61B17/32 ,  A61B17/34 ,  A61N1/00

CPC分类号： A61F2/064 ,  A61B17/3468 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61B2090/062 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/94 ,  A61F2/966 ,  A61F2002/30079 ,  A61F2002/30617 ,  A61F2002/9517 ,  A61F2210/009 ,  A61F2250/0097

摘要： Devices and methods for delivering conduits into the wall of a patient's heart to communicate a coronary vessel with a heart chamber. The devices are passed through the coronary vessel and the heart wall to place the conduit and establish a blood flow path between the vessel and the heart chamber. Additional devices and methods are provided for removing tissue from a coronary vessel or the heart wall to establish a flow path between the coronary vessel in communication with the heart chamber.

公开(公告)号：US07993356B2

公开(公告)日：2011-08-09

申请号：US11540703

申请日：2006-09-29

申请人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

发明人： Alan R. Rapacki ,  Darin C. Gittings ,  Gilbert S. Laroya ,  Mark J. Foley

IPC分类号： A61B17/08

CPC分类号： A61F2/064 ,  A61B17/3468 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61B2090/062 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/94 ,  A61F2/966 ,  A61F2002/30079 ,  A61F2002/30617 ,  A61F2002/9517 ,  A61F2210/009 ,  A61F2250/0097

摘要： Devices and methods for delivering conduits into the wall of a patient's heart to communicate a coronary vessel with a heart chamber. The devices are passed through the coronary vessel and the heart wall to place the conduit and establish a blood flow path between the vessel and the heart chamber. Additional devices and methods are provided for removing tissue from a coronary vessel or the heart wall to establish a flow path between the coronary vessel in communication with the heart chamber.

摘要翻译： 将导管输送到患者心脏的壁中以将冠状动脉血管与心脏腔室通信的装置和方法。 装置通过冠状血管和心脏壁以放置导管，并在容器和心脏腔室之间建立血流路径。 提供了附加的装置和方法，用于从冠状血管或心脏壁去除组织，以建立与心室连通的冠状血管之间的流动路径。

公开(公告)号：US06808498B2

公开(公告)日：2004-10-26

申请号：US09170793

申请日：1998-10-13

申请人： Gilbert S. Laroya ,  A. Adam Sharkawy ,  Mark J. Foley

发明人： Gilbert S. Laroya ,  A. Adam Sharkawy ,  Mark J. Foley

IPC分类号： A61B500

CPC分类号： A61F2/24 ,  A61B17/3415 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61F2/2493 ,  A61F2/94 ,  A61F2002/30079 ,  A61F2210/009 ,  A61M25/01

摘要： A guide member positioned through a coronary vessel and the wall of the heart provides access to a heart chamber. A first end of the guide member is passed through the coronary vessel and the heart wall into the heart chamber, and then is passed back out of the heart chamber. The end of the guide member may then be used to deliver devices into the heart chamber to carry out various medical procedures. A conduit delivery system is coupled to the end of the guide member and is delivered into the heart chamber and then used to place a conduit in the heart wall to communicate the coronary vessel with the heart chamber.

公开(公告)号：US20080221657A1

公开(公告)日：2008-09-11

申请号：US11716478

申请日：2007-03-09

申请人： Gilbert S. Laroya ,  Gerald Ray Martin ,  Rainier Betelia ,  Edward A. Estrada

发明人： Gilbert S. Laroya ,  Gerald Ray Martin ,  Rainier Betelia ,  Edward A. Estrada

IPC分类号： A61F2/84

CPC分类号： A61F2/885 ,  A61F2/91 ,  A61F2/95 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2220/0058 ,  A61F2250/0039

摘要： A delivery system for an implantable vascular prosthesis is provided for a vascular prosthesis including at least first and second helical sections having alternating directions of rotation that are coupled to one another at apices. The delivery system includes an elongate body, a plurality of retainers and an outer sheath. The plurality of retainers are configured to temporarily retain a plurality of inner wound apices of the vascular prosthesis. The outer sheath is configured to retain the vascular prosthesis in a contracted state on the elongate body.

摘要翻译： 提供了一种用于可植入血管假体的输送系统，用于血管假体，其包括具有交替的旋转方向的至少第一和第二螺旋部分，其在顶点彼此连接。 输送系统包括细长体，多个保持器和外护套。 多个保持器构造成临时保持血管假体的多个内部缠绕顶点。 外护套构造成将细长体上的血管假体保持在收缩状态。

公开(公告)号：US06622367B1

公开(公告)日：2003-09-23

申请号：US09434390

申请日：1999-11-04

申请人： Lee R. Bolduc ,  Gilbert S. Laroya ,  B. Douglas Lewis

发明人： Lee R. Bolduc ,  Gilbert S. Laroya ,  B. Douglas Lewis

IPC分类号： B23P1102

CPC分类号： A61M25/0032 ,  A61B17/22 ,  A61B2017/22077 ,  A61B2017/22082 ,  A61B2017/22084 ,  A61M25/003 ,  A61M25/0068 ,  A61M25/007 ,  A61M25/008 ,  A61M25/0108 ,  A61M25/10 ,  A61M25/104 ,  A61M2025/0004 ,  A61M2025/0079 ,  A61M2025/0081 ,  A61M2025/0681 ,  A61M2025/1079 ,  A61M2025/1095 ,  A61M2202/0208 ,  A61M2210/0693 ,  Y10T29/49863 ,  Y10T29/49865 ,  Y10T29/49885 ,  Y10T29/49906

摘要： An intravascular device and method of constructing an intravascular device. The device has a proximal portion which is stiffer than a distal portion. The device of the present invention may also be advanced through small vessels without the aid of a guidewire although a guidewire may be used when necessary. The device may be manufactured in a number of different ways and a preferred method is to use an expanded PTFE liner at the distal portion and an etched PTFE liner along the proximal portion. The device also has a number of different jacket sections, preferably at least four, with increasing durometer towards the proximal end and a braided section with varying pic along the length.

摘要翻译： 血管内装置及构造血管内装置的方法。 该装置具有比远侧部分更硬的近端部分。 本发明的装置也可以在没有引导线的帮助下通过小容器进行，尽管可以在必要时使用导丝。 该装置可以以多种不同的方式制造，并且优选的方法是在远侧部分使用膨胀的PTFE衬垫和沿着近端部分的蚀刻PTFE衬垫。 该装置还具有多个不同的护套部分，优选至少四个，朝向近端具有增加的硬度，以及沿着长度具有变化的图案的编织部分。