公开(公告)号：US06786918B1

公开(公告)日：2004-09-07

申请号：US09691650

申请日：2000-10-17

申请人： Mike Krivoruchko ,  William Berthiaume ,  Don Tran ,  Kris Kristofferson ,  Erik Griswold ,  Vance Swanson ,  Somboune Singkeo ,  Fertac Bilge ,  Sean Miller

发明人： Mike Krivoruchko ,  William Berthiaume ,  Don Tran ,  Kris Kristofferson ,  Erik Griswold ,  Vance Swanson ,  Somboune Singkeo ,  Fertac Bilge ,  Sean Miller

IPC分类号： A61F206

CPC分类号： A61F2/95 ,  A61F2002/9517 ,  A61F2002/9522 ,  Y10T29/49863 ,  Y10T29/49872 ,  Y10T29/49908 ,  Y10T29/49925 ,  Y10T29/53917

摘要： The present invention is a device for delivering a self-expanding stent. The device has an inner and an outer shaft moveable with respect to the inner shaft. The self expanding stent is received on the inner shaft adjacent its distal end. A tapered tip is located on the inner shaft distal end and it forms a smooth transition from the deliver y device to the guide wire extending therethrough. A handle allows the practitioner to deploy the stent single handedly. The stent may have its segments in a first radial configuration for deliver of the stent or the stent may have a plurality of segments in a first radial configuration and a plurality of second segments in a second radial position.

摘要翻译： 本发明是用于输送自膨胀支架的装置。 该装置具有可相对于内轴移动的内轴和外轴。 自扩张支架在其远端附近被接收在内轴上。 锥形尖端位于内轴远端，并且其形成从输送装置到延伸穿过的导丝的平滑过渡。 手柄允许从业者单手部署支架。 支架可以具有其第一径向构造的段以用于输送支架，或者支架可以具有处于第一径向构造的多个段和处于第二径向位置的多个第二段。

公开(公告)号：US07356903B2

公开(公告)日：2008-04-15

申请号：US10903757

申请日：2004-07-30

申请人： Mike Krivoruchko ,  William Berthiaume ,  Don Tran ,  Kris Kristoffersen ,  Erik Griswold ,  Vance Swanson ,  Somboune Singkeo ,  Fertac Bilge ,  Sean Miller

发明人： Mike Krivoruchko ,  William Berthiaume ,  Don Tran ,  Kris Kristoffersen ,  Erik Griswold ,  Vance Swanson ,  Somboune Singkeo ,  Fertac Bilge ,  Sean Miller

IPC分类号： B23P11/02 ,  B21D39/00 ,  B25B27/14 ,  A61F2/06

CPC分类号： A61F2/95 ,  A61F2002/9517 ,  A61F2002/9522 ,  Y10T29/49863 ,  Y10T29/49872 ,  Y10T29/49908 ,  Y10T29/49925 ,  Y10T29/53917

摘要： The present invention is a device for delivering a self-expanding stent. The device has an inner shaft and an outer shaft moveable with respect to the inner shaft. The self expanding stent is received on the inner shaft adjacent its distal end. A tapered tip is located on the inner shaft distal end and it forms a smooth transition from the delivery device to the guide wire extending therethrough. A handle allows the practitioner to deploy the stent single handedly. The stent may have its segments in a first radial configuration for deliver of the stent or the stent may have a plurality of segments in a first radial configuration and a plurality of second segments in a second radial position.

摘要翻译： 本发明是用于输送自膨胀支架的装置。 该装置具有内轴和可相对于内轴移动的外轴。 自扩张支架在其远端附近被接收在内轴上。 锥形尖端位于内轴远端，并且其形成从输送装置到穿过其延伸的导丝的平滑过渡。 手柄允许从业者单手部署支架。 支架可以具有其第一径向构造的段以用于输送支架，或者支架可以具有处于第一径向构造的多个段和处于第二径向位置的多个第二段。

公开(公告)号：US20050027306A1

公开(公告)日：2005-02-03

申请号：US10903757

申请日：2004-07-30

申请人： Mike Krivoruchko ,  William Berthiaume ,  Don Tran ,  Kris Kristoffersen ,  Erik Griswold ,  Vance Swanson ,  Somboune Singkeo ,  Fertac Bilge ,  Sean Miller

发明人： Mike Krivoruchko ,  William Berthiaume ,  Don Tran ,  Kris Kristoffersen ,  Erik Griswold ,  Vance Swanson ,  Somboune Singkeo ,  Fertac Bilge ,  Sean Miller

IPC分类号： A61F2/06 ,  A61F2/84 ,  A61F11/00

CPC分类号： A61F2/95 ,  A61F2002/9517 ,  A61F2002/9522 ,  Y10T29/49863 ,  Y10T29/49872 ,  Y10T29/49908 ,  Y10T29/49925 ,  Y10T29/53917

摘要： The present invention is a device for delivering a self-expanding stent. The device has an inner shaft and an outer shaft moveable with respect to the inner shaft. The self expanding stent is received on the inner shaft adjacent its distal end. A tapered tip is located on the inner shaft distal end and it forms a smooth transition from the delivery device to the guide wire extending therethrough. A handle allows the practitioner to deploy the stent single handedly. The stent may have its segments in a first radial configuration for deliver of the stent or the stent may have a plurality of segments in a first radial configuration and a plurality of second segments in a second radial position.

摘要翻译： 本发明是用于输送自膨胀支架的装置。 该装置具有内轴和可相对于内轴移动的外轴。 自扩张支架在其远端附近被接收在内轴上。 锥形尖端位于内轴远端，并且其形成从输送装置到穿过其延伸的导丝的平滑过渡。 手柄允许从业者单手部署支架。 支架可以具有其第一径向构造的段以用于输送支架，或者支架可以具有处于第一径向构造的多个段和处于第二径向位置的多个第二段。

公开(公告)号：US20060074477A1

公开(公告)日：2006-04-06

申请号：US10954123

申请日：2004-09-29

申请人： William Berthiaume ,  Christopher Collins ,  Don Tran ,  Martha Barajas-Torres

发明人： William Berthiaume ,  Christopher Collins ,  Don Tran ,  Martha Barajas-Torres

IPC分类号： A61F2/06

CPC分类号： A61F2/966 ,  A61F2/95 ,  A61F2002/9517

摘要： A catheter for a self-expanding stent includes a proximal shaft with a longitudinal guide way along the length of the proximal shaft, a guide member for accessing a guidewire lumen defined by the proximal shaft and for drawing a guidewire into and out of the guidewire lumen along the proximal shaft. In one aspect, the catheter includes a proximal sliding mechanism coupled to a link, which is coupled to a distal outer shaft retaining a self-expanding stent in a compressed state. The sliding mechanism draws the link proximally, which draws the distal outer shaft proximally thereby allowing the stent to radially expand. In another aspect, the proximal sliding mechanism is coupled to a proximal shaft, which is coupled to the distal outer shaft. The sliding mechanism draws the proximal shaft proximally, which draws the distal outer shaft proximally to thereby allow the stent to radial expand.

摘要翻译： 用于自扩张支架的导管包括：近轴，其具有沿着近端轴的长度的纵向引导方式;导向构件，用于接近由近端轴限定的导丝腔，并用于将导丝拉入和拉出导丝管腔 沿近轴。 在一个方面，导管包括联接到连杆的近侧滑动机构，其联接到保持处于压缩状态的自扩张支架的远侧外轴。 滑动机构向近侧拉伸连杆，其将远端外轴向近侧拉出，从而允许支架径向扩张。 在另一方面，近侧滑动机构联接到近端轴，该近端轴联接到远侧外轴。 滑动机构向近侧拉近近端轴，其将近端外轴向近侧拉动，从而允许支架径向膨胀。

公开(公告)号：US20090270838A1

公开(公告)日：2009-10-29

申请号：US12109265

申请日：2008-04-24

申请人： William Berthiaume ,  Don Tran ,  Chris Collins

发明人： William Berthiaume ,  Don Tran ,  Chris Collins

IPC分类号： A61M25/00

CPC分类号： A61M25/00 ,  A61F2/95 ,  A61M25/0017 ,  A61M25/01 ,  A61M25/0102 ,  A61M2025/0079 ,  A61M2025/0183

摘要： A mandrel includes a mandrel body with a proximal major diameter barrel section, a diameter reducing/tapered portion and a distal minor diameter barrel section. The tapered portion connects the proximal major diameter barrel section and distal minor diameter barrel section. The proximal major diameter barrel section has a major diameter, the distal minor diameter barrel section has a minor diameter, the minor diameter less than the major diameter. The minor diameter is less than a diameter of an inner lumen of a coaxial catheter, and the major diameter exceeds the inner diameter of the outer lumen guidewire exit port of the coaxial catheter, and the tapered portion is sized to form a fluid seal the inner diameter of the outer lumen guidewire exit port. The distal minor diameter barrel section of the mandrel occupies and substantially seals and prevent flow through it to the catheter distal end guidewire entry port.

摘要翻译： 心轴包括具有近端大直径圆筒部分，直径减小/锥形部分和远端小直径圆筒部分的心轴本体。 锥形部分连接近端大直径筒部和远端小直径筒部。 近端大直径筒部分具有大直径，远端较小直径筒部分具有小直径，小直径小于主直径。 小直径小于同轴导管的内腔的直径，并且大直径超过同轴导管的外腔导丝出口的内径，并且锥形部分的尺寸设定成形成流体密封内 外腔导丝出口的直径。 心轴的远端较小直径的筒部分占据并基本上密封并防止流过其到导管远端导丝入口。

公开(公告)号：US08926588B2

公开(公告)日：2015-01-06

申请号：US13176193

申请日：2011-07-05

申请人： William Berthiaume ,  Don Tran ,  Maria Valdovinos ,  Brent Locsin

发明人： William Berthiaume ,  Don Tran ,  Maria Valdovinos ,  Brent Locsin

IPC分类号： A61M25/00 ,  A61M25/01 ,  A61F2/966 ,  A61F2/24 ,  A61F2/01 ,  A61B5/0215 ,  A61N1/372

CPC分类号： A61M25/0147 ,  A61B5/0215 ,  A61F2/2466 ,  A61F2/966 ,  A61F2002/011 ,  A61M25/0136 ,  A61M25/0141 ,  A61M2025/0161 ,  A61N1/37205

摘要： A steerable delivery catheter includes an outer sheath with a housing disposed at a distal end thereof to define a chamber for a medical device, the chamber having an open distal end and a proximal inner shelf. An inner shaft is slidably disposed within the sheath and has an abutment attached to the distal end of the shaft, the abutment being slidably contained within the chamber. During navigation of the catheter, when the inner shaft is tensioned the abutment engages the shelf to apply a compressive force to the sheath to selectively deflect a distal region of the catheter. When the catheter has been navigated to the deployment site the sheath is withdrawn while the abutment maintains the medical device in place as it is deployed. A delivery method also is disclosed.

摘要翻译： 可导向的输送导管包括外护套，其外壳设置在其远端，以限定用于医疗装置的腔室，所述腔室具有敞开的远端和近端内侧架。 内轴可滑动地设置在护套内并且具有附接到轴的远端的邻接部，该抵接件可滑动地容纳在腔室内。 在导管的导航期间，当内轴被张紧时，支座接合搁架，以向护套施加压缩力以选择性地偏转导管的远侧区域。 当导管已经被导航到展开部位时，护套被取出，同时当邻接部分将医疗装置维持在适当的位置时，护套被取出。 还公开了传送方法。

公开(公告)号：US20130012925A1

公开(公告)日：2013-01-10

申请号：US13176193

申请日：2011-07-05

申请人： William Berthiaume ,  Don Tran ,  Maria Valdovinos ,  Brent Locsin

发明人： William Berthiaume ,  Don Tran ,  Maria Valdovinos ,  Brent Locsin

IPC分类号： A61M25/098 ,  A61M25/00

CPC分类号： A61M25/0147 ,  A61B5/0215 ,  A61F2/2466 ,  A61F2/966 ,  A61F2002/011 ,  A61M25/0136 ,  A61M25/0141 ,  A61M2025/0161 ,  A61N1/37205

摘要： A steerable delivery catheter includes an outer sheath with a housing disposed at a distal end thereof to define a chamber for a medical device, the chamber having an open distal end and a proximal inner shelf. An inner shaft is slidably disposed within the sheath and has an abutment attached to the distal end of the shaft, the abutment being slidably contained within the chamber. During navigation of the catheter, when the inner shaft is tensioned the abutment engages the shelf to apply a compressive force to the sheath to selectively deflect a distal region of the catheter. When the catheter has been navigated to the deployment site the sheath is withdrawn while the abutment maintains the medical device in place as it is deployed. A delivery method also is disclosed.

摘要翻译： 可导向的输送导管包括外护套，其外壳设置在其远端，以限定用于医疗装置的腔室，所述腔室具有敞开的远端和近端内侧架。 内轴可滑动地设置在护套内并且具有附接到轴的远端的邻接部，该抵接件可滑动地容纳在腔室内。 在导管的导航期间，当内轴被张紧时，支座接合搁架，以向护套施加压缩力以选择性地偏转导管的远侧区域。 当导管已经被导航到展开部位时，护套被取出，同时当邻接部分将医疗装置维持在适当的位置时，护套被取出。 还公开了传送方法。

公开(公告)号：US08002763B2

公开(公告)日：2011-08-23

申请号：US12862505

申请日：2010-08-24

申请人： William Berthiaume ,  Don Tran ,  Chris Collins

发明人： William Berthiaume ,  Don Tran ,  Chris Collins

IPC分类号： A61M31/00 ,  A61M25/00 ,  A61M29/00 ,  A61B5/00

CPC分类号： A61M25/00 ,  A61F2/95 ,  A61M25/0017 ,  A61M25/01 ,  A61M25/0102 ,  A61M2025/0079 ,  A61M2025/0183

摘要： A mandrel includes a mandrel body with a proximal major diameter barrel section, a diameter reducing/tapered portion and a distal minor diameter barrel section. The tapered portion connects the proximal major diameter barrel section and distal minor diameter barrel section. The proximal major diameter barrel section has a major diameter, the distal minor diameter barrel section has a minor diameter, the minor diameter less than the major diameter. The minor diameter is less than a diameter of an inner lumen of a coaxial catheter, and the major diameter exceeds the inner diameter of the outer lumen guidewire exit port of the coaxial catheter, and the tapered portion is sized to form a fluid seal the inner diameter of the outer lumen guidewire exit port. The distal minor diameter barrel section of the mandrel occupies and substantially seals and prevent flow through it to the catheter distal end guidewire entry port.

摘要翻译： 心轴包括具有近端大直径圆筒部分，直径减小/锥形部分和远端小直径圆筒部分的心轴本体。 锥形部分连接近端大直径筒部和远端小直径筒部。 近端大直径筒部分具有大直径，远端较小直径筒部分具有小直径，小直径小于主直径。 小直径小于同轴导管的内腔的直径，并且大直径超过同轴导管的外腔导丝出口的内径，并且锥形部分的尺寸设定成形成流体密封内 外腔导丝出口的直径。 心轴的远端较小直径的筒部分占据并基本上密封并防止流过其到导管远端导丝入口。

公开(公告)号：US20100324537A1

公开(公告)日：2010-12-23

申请号：US12862505

申请日：2010-08-24

申请人： William Berthiaume ,  Don Tran ,  Chris Collins

发明人： William Berthiaume ,  Don Tran ,  Chris Collins

IPC分类号： A61M25/00

CPC分类号： A61M25/00 ,  A61F2/95 ,  A61M25/0017 ,  A61M25/01 ,  A61M25/0102 ,  A61M2025/0079 ,  A61M2025/0183

摘要： A mandrel includes a mandrel body with a proximal major diameter barrel section, a diameter reducing/tapered portion and a distal minor diameter barrel section. The tapered portion connects the proximal major diameter barrel section and distal minor diameter barrel section. The proximal major diameter barrel section has a major diameter, the distal minor diameter barrel section has a minor diameter, the minor diameter less than the major diameter. The minor diameter is less than a diameter of an inner lumen of a coaxial catheter, and the major diameter exceeds the inner diameter of the outer lumen guidewire exit port of the coaxial catheter, and the tapered portion is sized to form a fluid seal the inner diameter of the outer lumen guidewire exit port. The distal minor diameter barrel section of the mandrel occupies and substantially seals and prevent flow through it to the catheter distal end guidewire entry port.

摘要翻译： 心轴包括具有近端大直径圆筒部分，直径减小/锥形部分和远端小直径圆筒部分的心轴本体。 锥形部分连接近端大直径筒部和远端小直径筒部。 近端大直径筒部分具有大直径，远端较小直径筒部分具有小直径，小直径小于主直径。 小直径小于同轴导管的内腔的直径，并且大直径超过同轴导管的外腔导丝出口的内径，并且锥形部分的尺寸设定成形成流体密封内 外腔导丝出口的直径。 心轴的远端较小直径的筒部分占据并基本上密封并防止流过其到导管远端导丝入口。

公开(公告)号：US20100125324A1

公开(公告)日：2010-05-20

申请号：US12271524

申请日：2008-11-14

申请人： Chris Collins ,  Don Tran ,  Bijan Nafea ,  William Berthiaume ,  Jeremy Kinkade

发明人： Chris Collins ,  Don Tran ,  Bijan Nafea ,  William Berthiaume ,  Jeremy Kinkade

IPC分类号： A61F2/84 ,  A61M25/14

CPC分类号： A61M25/007 ,  A61F2/95 ,  A61F2002/9517 ,  A61M25/0029 ,  A61M2025/0004 ,  A61M2025/0019 ,  A61M2025/0037 ,  A61M2025/0183

摘要： A catheter inner member includes an inner member body, including a first side and a second side, the second side opposing the first side. The inner member body includes an inner surface defining an inner member inner lumen and an outer surface defining a surrounding environment. The inner member further includes at least a first flush port and a second flush port in the inner member body. The first flush port and second flush port provide fluid communication between the inner lumen and a surrounding environment. The first flush port disposed on the first side and the second flush port disposed on the second side, wherein the first flush port is axially displaced from the second flush port.

摘要翻译： 导管内部构件包括内部构件主体，其包括第一侧和第二侧，第二侧与第一侧相对。 内部构件主体包括限定内部构件内腔的内表面和限定周围环境的外表面。 内部构件还包括内部构件主体中的至少第一冲洗口和第二冲洗口。 第一冲洗口和第二冲洗口提供内腔和周围环境之间的流体连通。 设置在第一侧的第一冲洗口和设置在第二侧的第二冲洗口，其中第一冲洗口从第二冲洗口轴向移位。