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公开(公告)号：US20090082802A1
公开(公告)日：2009-03-26
申请号：US11861726
申请日：2007-09-26
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/0218 , A61B17/068 , A61B17/29 , A61B2017/0065 , A61B2017/00663 , A61B2017/00668
摘要： Devices and methods for closing an arteriotomy by gripping surfaces of tissue disposed about the arteriotomy, without piercing the tissue, and drawing the gripped tissue together to approximate the edges of the arteriotomy, and, while holding the tissue, applying a more permanent closure to the tissue.
摘要翻译： 用于通过夹持设置在动脉切开术周围的组织的表面来闭合动脉切开术的装置和方法，而不刺穿组织，并将夹持的组织拉近在一起以近似于动脉切开术的边缘，并且在保持组织的同时，向 组织。
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公开(公告)号：US20090228040A1
公开(公告)日：2009-09-10
申请号：US12041777
申请日：2008-03-04
IPC分类号： A61B17/08 , A61B17/064
CPC分类号： A61B17/0057 , A61B17/1227 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/12018 , A61B2017/22047 , A61B2017/306
摘要： Devices and methods for closing an arteriotomy include a percutaneously placeable central tube deployable about the arteriotomy by which an array of radially expandable fingers having suction ports can be engaged with the surface of tissue about the arteriotomy enabling the fingers to grip the tissue without piercing it. A delivery tube can advance a closure element along the outside surface of the central tube, thereby radially contracting the fingers and puckering the gripped tissue to approximate the edges of the arteriotomy. The closure element is further advanced until it is forced off of the distal tips of the fingers such that the closure element surrounds the puckered tissue and secures permanent closure of the arteriotomy.
摘要翻译： 用于闭合动脉切开术的装置和方法包括可围绕动脉切开术展开的经皮放置的中心管，具有吸入口的可径向扩张的指状物阵列可以通过其与动脉切开术的组织表面接合，使得手指能够抓住组织而不刺穿它。 输送管可以沿着中心管的外表面前进闭合元件，从而使手指径向收缩并使夹持的组织皱褶以接近动脉切开术的边缘。 闭合元件进一步前进，直到其被迫离开手指的远端，使得闭合元件围绕折叠组织并确保动脉切开术的永久闭合。
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公开(公告)号：US08162975B2
公开(公告)日：2012-04-24
申请号：US12437652
申请日：2009-05-08
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B2017/00004 , A61B2017/00557 , A61B2017/00597 , A61B2017/00623 , A61B2017/00659 , A61B2017/00672
摘要： A system and method for closing a percutaneous vessel puncture at the conclusion of a vascular catheterization procedure includes placement of an intravascular closure device having a radially and axially expandable tubular membrane and a radially expandable anchor at the distal end of the membrane. The closure device is placed, by a delivery catheter extending through the puncture site, with its anchor radially expanded in a location upstream of the puncture site to enable the force of a patient's blood flow to deploy the tubular membrane to a proximally extended configuration closing the puncture from within the vessel.
摘要翻译： 在血管导管术过程结束时关闭经皮血管穿刺的系统和方法包括在膜的远端放置具有径向和轴向可扩张的管状膜和可径向扩张的锚固体的血管内闭合装置。 闭合装置通过延伸穿过穿刺部位的输送导管放置，其锚固件在穿刺部位的上游位置径向扩张，以使得患者的血液流动的力能够将管状膜展开至近端延伸的构型， 从船内穿刺。
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公开(公告)号：US07727251B2
公开(公告)日：2010-06-01
申请号：US11739980
申请日：2007-04-25
IPC分类号： A61M29/00
CPC分类号： A61B17/0057 , A61B2017/00637 , A61B2090/062
摘要： A low profile, two lumen dilator is provided for an arteriotomy closure system. The dilator includes a first lumen adapted to receive a guidewire and a second lumen having a proximal segment that defines a blood marking lumen and a distal segment that receives the distal ends of stabilizers in a common pocket. The blood marking lumen and pocket are arranged in tandem. The guidewire lumen may extend the full length of the dilator or may be shortened to provide rapid exchange capability.
摘要翻译： 为动脉切开术闭合系统提供了一种低调的两腔扩张器。 扩张器包括适于接收导丝的第一腔和具有限定血液标记腔的近侧段的第二腔和在普通口袋中容纳稳定器的远端的远端段。 血液标记腔和口袋串联排列。 导丝管腔可以延伸扩张器的全长，或者可以缩短以提供快速的交换能力。
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公开(公告)号：US20080262541A1
公开(公告)日：2008-10-23
申请号：US11738605
申请日：2007-04-23
申请人： Ghaleb Sater , Matthew Spurchise , Juan-Pablo Mas
发明人： Ghaleb Sater , Matthew Spurchise , Juan-Pablo Mas
IPC分类号： A61B17/064
CPC分类号： A61B17/0644 , A61B17/0057 , A61B2017/00668 , A61B2017/0412 , A61B2017/0641 , A61B2090/036
摘要： A stapling arrangement and method for closing a percutaneously formed arteriotomy includes a plurality of staple prongs commonly connected at their proximal ends and having distal ends adapted to engage tissue on opposite sides of the arteriotomy. The prongs have an arrangement of stops configured to present different degrees of resistance to advancement through tissue.
摘要翻译： 用于闭合经皮形成的动脉切开术的吻合装置和方法包括通常在其近端处连接的多个钉叉，并且具有适于接合在所述动脉切开术的相对侧上的组织的远端。 尖头具有配置成呈现不同程度的抵抗通过组织前进的止挡件的布置。
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公开(公告)号：US20080269800A1
公开(公告)日：2008-10-30
申请号：US11739398
申请日：2007-04-24
IPC分类号： A61B17/08
CPC分类号： A61M25/0662 , A61B17/0057 , A61B17/08 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22042 , A61B2017/320044 , A61M25/0029 , A61M2025/0034 , A61M2025/0037
摘要： An arteriotomy closure system includes a double barrel sheath having parallel dedicated lumens that merge at a distal juncture into a single common lumen. One of the dedicated lumens receives a dilator and the other a stapler. One of the dilator or stapler can be advanced from its dedicated lumen distally through the common lumen and beyond the distal end of the sheath while the other of the dilator or stapler is retracted into its dedicated lumen.
摘要翻译： 动脉切开术闭合系统包括具有平行的专用腔的双筒护套，其在远端接合处合并成单个共同管腔。 其中一个专用流明接收扩张器，另一个是吻合器。 扩张器或吻合器中的一个可以从其专门的腔内远离通过共同的内腔并超出护套的远端，而另一个扩张器或吻合器缩回到其专用管腔中。
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公开(公告)号：US20080269794A1
公开(公告)日：2008-10-30
申请号：US11739980
申请日：2007-04-25
IPC分类号： A61M29/00
CPC分类号： A61B17/0057 , A61B2017/00637 , A61B2090/062
摘要： A low profile, two lumen dilator is provided for an arteriotomy closure system. The dilator includes a first lumen adapted to receive a guidewire and a second lumen having a proximal segment that defines a blood marking lumen and a distal segment that receives the distal ends of stabilizers in a common pocket. The blood marking lumen and pocket are arranged in tandem. The guidewire lumen may extend the full length of the dilator or may be shortened to provide rapid exchange capability.
摘要翻译： 为动脉切开术闭合系统提供了一种低调的两腔扩张器。 扩张器包括适于接收导丝的第一腔和具有限定血液标记腔的近侧段的第二腔和在普通口袋中容纳稳定器的远端的远端段。 血液标记腔和口袋串联排列。 导丝管腔可以延伸扩张器的全长，或者可以缩短以提供快速的交换能力。
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公开(公告)号：US20100286725A1
公开(公告)日：2010-11-11
申请号：US12437652
申请日：2009-05-08
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B2017/00004 , A61B2017/00557 , A61B2017/00597 , A61B2017/00623 , A61B2017/00659 , A61B2017/00672
摘要： A system and method for closing a percutaneous vessel puncture at the conclusion of a vascular catheterization procedure includes placement of an intravascular closure device having a radially and axially expandable tubular membrane and a radially expandable anchor at the distal sad of the membrane. The closure device is placed, by a delivery catheter extending through the puncture site, with its anchor radially expanded in a location upstream of the puncture site to enable the force of a patient's blood flow to deploy the tubular membrane to a proximally extended configuration closing the puncture from within the vessel.
摘要翻译： 在血管导管插入术结束时闭合经皮血管穿刺的系统和方法包括在膜的远端伤口处放置具有径向和轴向可扩张的管状膜和径向可扩张的锚固体的血管内闭合装置。 闭合装置通过延伸穿过穿刺部位的输送导管放置，其锚固件在穿刺部位的上游位置径向扩张，以使得患者的血液流动的力能够将管状膜展开至近端延伸的构型， 从船内穿刺。
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公开(公告)号：US20090270807A1
公开(公告)日：2009-10-29
申请号：US12108082
申请日：2008-04-23
IPC分类号： A61M1/00
CPC分类号： A61B17/22 , A61B2017/22039 , A61B2017/22079 , A61B2217/005 , A61M1/0031
摘要： An aspiration catheter is provided in which vacuum may be accumulated within the catheter and released suddenly within a distal region of the catheter to induce ingestion of intravascular matter into the catheter through an open distal port while avoiding large losses of suction common with catheters having long aspiration lumens. Conventional aspiration using the same catheter can subsequently complement the procedure by fully removing the ingested matter from the catheter.
摘要翻译： 提供了一种抽吸导管，其中真空可以积聚在导管内并突然在导管的远端区域内释放，以通过开放的远端端口诱导将血管内物质摄取入导管，同时避免与具有长抽吸的导管相同的大量吸入损失 流明 使用相同导管的常规抽吸可以随后通过从导管中完全去除摄取的物质来补充该过程。
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公开(公告)号：US07552853B2
公开(公告)日：2009-06-30
申请号：US11626633
申请日：2007-01-24
申请人： Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Scott J. Epperly , Kenneth A. Eliasen
发明人： Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Scott J. Epperly , Kenneth A. Eliasen
IPC分类号： A61B17/068
CPC分类号： A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/0684 , A61B17/0686 , A61B17/07292 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22038 , A61B2090/037 , A61B2090/0801 , A61B2090/08021
摘要： A closure device for an arteriotomy includes an elongate tube having a distal opening. The elongate tube has least two opposing longitudinal slots and a pair of opposing corners defined where each slot meets the distal opening. A staple is disposed within the tube, the staple having at least two opposing legs aligned with the at least two slots. Each slot is pinched together adjacent the distal opening such that the opposing corners of each slot converge to cover the tip of the respective staple leg to guard the staple tips against contact with the tissue track. The corners of each slot are separable to permit the respective staple leg to pass there between.
摘要翻译： 用于动脉切开术的闭合装置包括具有远端开口的细长管。 细长管具有至少两个相对的纵向狭槽和一对相对的拐角，其中每个狭槽都与远端开口相接合。 订书针设置在管内，订书针具有与至少两个狭槽对准的至少两个相对的支脚。 每个狭槽被夹在邻近远端开口处，使得每个狭槽的相对的角部会聚以覆盖相应的钉腿的尖端，以保护钉末端免受与组织轨迹的接触。 每个槽的角部是可分离的，以允许相应的短纤维腿在其间通过。
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