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    APPARATUS AND METHOD OF PLACEMENT OF A GRAFT OR GRAFT SYSTEM
    1.
    发明申请
    APPARATUS AND METHOD OF PLACEMENT OF A GRAFT OR GRAFT SYSTEM 审中-公开
    装置和放置方法的格子或格子系统

    公开(公告)号：US20120109279A1

    公开(公告)日：2012-05-03

    申请号：US13287907

    申请日：2011-11-02

    申请人： Kevin Mayberry ,  Craig Welk ,  Richard Monetti

    发明人： Kevin Mayberry ,  Craig Welk ,  Richard Monetti

    IPC分类号： A61F2/84

    CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/89 ,  A61F2/97 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/821 ,  A61F2220/0075 ,  A61F2250/0008

    摘要： A fenestrated graft deployment system, with a delivery catheter having a catheter body, An endoluminal prosthesis having a main graft body, the main graft body having a lumen therethrough and a first opening laterally through a wall of the main graft body. A first guidewire prepositioned within the delivery catheter extending through at least a portion of the catheter body into a main lumen of the endoluminal prosthesis and through the first opening in the wall of the prosthesis when the delivery catheter is in a predeployed configuration. A first fenestration alignment device is configured to extend through at least a portion of the delivery catheter and is configured to be axially moveable relative to the first guidewire. The first fenestration alignment device has an end portion having an outside perimeter configured such that when an end portion of the fenestration alignment device moves toward the first opening of said main graft body the outside perimeter of the first opening is smaller than the outside perimeter of the first fenestration alignment device and prevents it from passing through the first opening and causes the main graft body adjacent to the first opening to move with the end of the first fenestration alignment device to act as alignment tool to allow an operator to align the first opening in the side of the endoluminal prosthesis with an ostium of a target branch vessel into which said first opening is to extend and act as a guide and seal for a subsequently delivered branch graft endoluminal prosthesis.

    摘要翻译： 一种开窗移植物部署系统，具有导管主体的输送导管，具有主移植体的腔内假体，所述主移植体具有穿过其中的腔，并且横向穿过主移植体的壁的第一开口。 介于输送导管内的第一导丝延伸穿过导管主体的至少一部分进入腔内假体的主腔，并且当输送导管处于预先部署的构型时，穿过假体的壁中的第一开口。 第一开窗对准装置构造成延伸通过至少一部分输送导管，并且被构造成可相对于第一导丝轴向移动。 第一开窗对准装置具有外周边的端部，该外周配置成使得当开窗对准装置的端部朝向所述主移植体的第一开口移动时，第一开口的外周小于 第一开窗对准装置，并防止其穿过第一开口并且使得与第一开口相邻的主移植体与第一开窗对准装置的端部一起移动以用作对准工具，以允许操作者将第一开口对准 所述腔内假体的侧面具有目标分支血管的口，所述第一开口将延伸并用作随后递送的分支移植物腔内假体的引导件和密封件。

    FENESTRATED PROSTHESIS
    2.
    发明申请
    FENESTRATED PROSTHESIS 有权
    精心制作

    公开(公告)号：US20110054594A1

    公开(公告)日：2011-03-03

    申请号：US12769581

    申请日：2010-04-28

    申请人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    发明人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    IPC分类号： A61F2/82 ,  B23P11/02

    CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/856 ,  A61F2/89 ,  A61F2/90 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2250/0039 ,  Y10T29/49863

    摘要： Some embodiments of the present disclosure are directed to endoluminal prostheses having one or more reinforced fenestrations therein. The one or more reinforced fenestrations can have improved sealing capabilities with respect to branch grafts deployed within the fenestrations, improved tear resistance and expandability, and improved pull-out resistance for branch grafts. In some embodiments, the endoluminal prosthesis can have a main graft body defining a flow lumen therethrough, a first opening passing through a wall of the main graft body, and a first support member supported by the main graft body and overlapping an edge of the first opening, the first support member being configured to at least increase the tear resistance of the main graft body adjacent to the first opening. The support member can be stitched or otherwise attached to the main graft adjacent to the fenestration.

    摘要翻译： 本公开的一些实施例涉及其中具有一个或多个增强开窗的腔内假体。 一个或多个增强的开窗可以相对于在开窗内部署的分支移植物具有改进的密封能力，改善的抗撕裂性和可扩展性，以及改善分枝移植物的拔出阻力。 在一些实施例中，腔内假体可以具有限定穿过其中的流动腔的主移植体，穿过主移植物主体的壁的第一开口和由主移植体支撑并与第一 所述第一支撑构件构造成至少增加所述主移植体相邻于所述第一开口的抗撕裂性。 支撑构件可以缝合或以其他方式附接到邻近开窗的主移植体。

    APPARATUS AND METHOD OF PLACEMENT OF A GRAFT OR GRAFT SYSTEM
    3.
    发明申请
    APPARATUS AND METHOD OF PLACEMENT OF A GRAFT OR GRAFT SYSTEM 审中-公开
    装置和放置方法的格子或格子系统

    公开(公告)号：US20110054587A1

    公开(公告)日：2011-03-03

    申请号：US12769546

    申请日：2010-04-28

    申请人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    发明人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    IPC分类号： A61F2/84

    CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/856 ,  A61F2/89 ,  A61F2/90 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2250/0039 ,  Y10T29/49863

    摘要： Some embodiments of the present disclosure are directed to a method of deploying a graft in a patient's blood vessel having at least a first and a second branch blood vessel, comprising advancing a delivery catheter into a blood vessel, the delivery catheter supporting a fenestrated prosthesis therein, wherein the prosthesis comprises a main graft body, exposing at least one branch sheath, the branch sheath being positioned within the delivery catheter so as to project from a main lumen of the prosthesis through a first opening formed through a wall of the prosthesis, and advancing an angiographic catheter into the branch sheath and cannulating a first target branch vessel before expanding the main graft body of the prosthesis.

    摘要翻译： 本公开的一些实施例涉及一种在具有至少第一和第二分支血管的患者血管中部署移植物的方法，包括将输送导管推进到血管中，所述输送导管在其中支撑开窗假体 ，其中所述假体包括主移植体，暴露至少一个分支护套，所述分支护套位于所述输送导管内，以便从所述假体的主腔突出穿过穿过所述假体的壁形成的第一开口，以及 在扩张假体的主移植物体之前将血管造影导管推进到分支鞘中并插管第一目标分支血管。

    Fenestrated prosthesis
    4.
    发明授权
    Fenestrated prosthesis 有权
    开窗假体

    公开(公告)号：US08945202B2

    公开(公告)日：2015-02-03

    申请号：US12769581

    申请日：2010-04-28

    申请人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    发明人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    IPC分类号： A61F2/06 ,  A61F2/954 ,  A61F2/89 ,  A61F2/966 ,  A61F2/90 ,  A61F2/07 ,  A61F2/95

    CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/856 ,  A61F2/89 ,  A61F2/90 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2250/0039 ,  Y10T29/49863

    摘要： Some embodiments of the present disclosure are directed to endoluminal prostheses having one or more reinforced fenestrations therein. The one or more reinforced fenestrations can have improved sealing capabilities with respect to branch grafts deployed within the fenestrations, improved tear resistance and expandability, and improved pull-out resistance for branch grafts. In some embodiments, the endoluminal prosthesis can have a main graft body defining a flow lumen therethrough, a first opening passing through a wall of the main graft body, and a first support member supported by the main graft body and overlapping an edge of the first opening, the first support member being configured to at least increase the tear resistance of the main graft body adjacent to the first opening. The support member can be stitched or otherwise attached to the main graft adjacent to the fenestration.

    摘要翻译： 本公开的一些实施例涉及其中具有一个或多个增强开窗的腔内假体。 一个或多个增强的开窗可以相对于在开窗内部署的分支移植物具有改进的密封能力，改善的抗撕裂性和可扩展性，以及改善分枝移植物的拔出阻力。 在一些实施例中，腔内假体可以具有限定穿过其中的流动腔的主移植体，穿过主移植物主体的壁的第一开口和由主移植体支撑并与第一 所述第一支撑构件构造成至少增加所述主移植体相邻于所述第一开口的抗撕裂性。 支撑构件可以缝合或以其他方式附接到邻近开窗的主移植体。

    APPARATUS AND METHOD OF PLACEMENT OF A GRAFT OR GRAFT SYSTEM
    5.
    发明申请
    APPARATUS AND METHOD OF PLACEMENT OF A GRAFT OR GRAFT SYSTEM 审中-公开
    装置和放置方法的格子或格子系统

    公开(公告)号：US20110054586A1

    公开(公告)日：2011-03-03

    申请号：US12769506

    申请日：2010-04-28

    申请人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    发明人： Kevin Mayberry ,  Daniel Clair ,  Craig Welk ,  Stefan G. Schreck

    IPC分类号： A61F2/84 ,  A61F2/82

    CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/856 ,  A61F2/89 ,  A61F2/90 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2250/0039 ,  Y10T29/49863

    摘要： Some embodiments relate to endoluminal prostheses having a first stent portion and a second stent portion, a main graft body comprising first, second, and third portions, the second portion having a cross-sectional size that is significantly larger than a cross-sectional size of the first or third portions, and also significantly larger than a cross-sectional size of the target vessel. In some embodiments, the first portion of the main graft body can be attached to the first stent portion and the third portion of the main graft body can be attached to the second stent portion. The prostheses can be configured such that the second portion of the main graft body is not directly attached to the first stent portion, the second stent portion, or any other internal support structure. In some embodiments, one or more openings can be formed in the second portion of the main graft body.

    摘要翻译： 一些实施例涉及具有第一支架部分和第二支架部分的腔内假体，主移植体包括第一，第二和第三部分，第二部分的横截面尺寸明显大于横截面尺寸 第一或第三部分，并且还显着大于靶容器的横截面尺寸。 在一些实施例中，主移植体的第一部分可以附接到第一支架部分，并且主移植体的第三部分可以附接到第二支架部分。 假体可以构造成使得主移植体的第二部分不直接附接到第一支架部分，第二支架部分或任何其它内部支撑结构。 在一些实施例中，可以在主移植体的第二部分中形成一个或多个开口。

    Self-constrained segmented stents and methods for their deployment
    10.
    发明申请
    Self-constrained segmented stents and methods for their deployment 审中-公开
    自我约束的分段支架及其部署方法

    公开(公告)号：US20060069424A1

    公开(公告)日：2006-03-30

    申请号：US10952568

    申请日：2004-09-27

    申请人： Pablo Acosta ,  Craig Welk ,  Jeffry Grainger

    发明人： Pablo Acosta ,  Craig Welk ,  Jeffry Grainger

    IPC分类号： A61F2/06

    CPC分类号： A61F2/95 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/91508 ,  A61F2002/91533 ,  A61F2002/9155 ,  A61F2002/91591 ,  A61F2002/9505 ,  A61F2220/0008 ,  A61F2220/0016 ,  A61F2220/0025 ,  A61F2250/0071

    摘要： A self-expanding stent includes a plurality of segments having a collapsed configuration and an expanded configuration. Preferably, the segments are unconnected to each other in at least the expanded configuration. The segments include restraining structures that temporarily restrain them from expansion until activated. This allows the user to position the desired number of segments at a treatment site and to deploy them simultaneously, thereby avoiding misalignment, overlap, and excessive spacing between segments. In preferred embodiments, multiple segmented stents of user-selectable length may be deployed at multiple locations in a single intervention.

    摘要翻译： 自扩张支架包括具有折叠构型和扩张构型的多个段。 优选地，片段至少在扩展配置中彼此不连接。 这些片段包括限制结构，其暂时限制它们在被激活之前不被扩展。 这允许用户将期望数量的片段定位在治疗部位并同时展开，从而避免片段之间的不对准，重叠和间隔过大。 在优选实施例中，可以在单个干预中的多个位置部署用户可选长度的多个分段支架。