公开(公告)号：US20150216694A1

公开(公告)日：2015-08-06

申请号：US14612682

申请日：2015-02-03

Applicant: Cook Medical Technologies LLC

Inventor： Werner D. Ducke ,  David Ernest Hartley ,  David Sean O'Brien ,  Blayne A. Roeder

IPC: A61F2/962

CPC classification number: A61F2/966 ,  A61F2/07 ,  A61F2/95 ,  A61F2002/9665

Abstract: A capsule assembly for an endograft introducer is disclosed. The assembly comprises: a capsule retriever having a plug portion and a tail portion, the plug portion having a lead-in surface, the tail portion having an elongate body extending proximally from the plug portion to an end stop feature receiver; a capsule tube having an end stop feature at a proximal end thereof and terminating in a distal end, the end stop feature and the end stop receiver arranged such that proximal movement of the capsule tube relative to the plug portion is limited; and a capsule cavity inside the capsule tube, a proximal end of a prosthesis being receivable in the cavity. The capsule tube is slidably movable with respect to the capsule retriever to a position in which the distal end of the capsule tube is adjacent to the lead-in surface of the plug portion.

Abstract translation: 公开了一种用于内移植物导引器的胶囊组件。 所述组件包括：具有插头部分和尾部的胶囊回收器，所述插头部分具有引入表面，所述尾部具有从所述插塞部分向端部停止特征接收器向近侧延伸的细长主体; 胶囊管，其在其近端处具有端部止动部件并且终止于远端，所述端部止动部件和端部止动器接收器被布置成使得胶囊管相对于插塞部分的近侧运动受到限制; 以及胶囊腔内的胶囊腔，假体的近端可接收在腔中。 胶囊管可相对于胶囊回收器可滑动地移动到胶囊管的远端与插塞部分的引入表面相邻的位置。

公开(公告)号：US20140277370A1

公开(公告)日：2014-09-18

申请号：US14293286

申请日：2014-06-02

Applicant: Cook Medical Technologies LLC

Inventor： David Brocker ,  William K. Dierking ,  Alan R. Leewood ,  Timothy A.M. Chuter ,  Blayne A. Roeder ,  Steven J. Charlesbois ,  Richard A. Swift ,  Sharath Gopalakrishnamurthy ,  Matthew Huser ,  Jarin Kratzberg ,  Erik E. Rasmussen ,  Bent Oehlenschlaeger ,  Kim Møgelvang Jensen

IPC: A61F2/86 ,  A61F2/07

CPC classification number: A61F2/07 ,  A61F2/856 ,  A61F2/86 ,  A61F2/89 ,  A61F2/915 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/8486 ,  A61F2002/91516 ,  A61F2002/91558 ,  A61F2210/0014 ,  A61F2220/0016 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/0013 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0067

Abstract: A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition.

Abstract translation: 一种用于医疗过程的支架，其具有相对的一组曲面顶点，其中一组顶点的弯曲部分的曲率半径大于另一组顶点的弯曲部分。 一个或多个这样的支架可以附着到移植物材料上，以用于血管内治疗例如动脉瘤，胸部解剖或其它身体血管状态。

公开(公告)号：US20140277369A1

公开(公告)日：2014-09-18

申请号：US13843075

申请日：2013-03-15

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  David Hartley

IPC: A61F2/856 ,  A61F2/07

CPC classification number: A61F2/856 ,  A61B17/12118 ,  A61B17/12131 ,  A61B2017/00004 ,  A61F2/07 ,  A61F2002/065 ,  A61F2210/0004

Abstract: A prosthesis having a tubular body of a biocompatible graft material having a proximal end, a distal end, a lumen therethrough, and a sidewall. The prosthesis includes at least one perfusion branch extending from the sidewall of the tubular body and having a proximal end, a distal end, and a lumen therethrough, where the lumen of the perfusion branch is in temporary fluid communication with the lumen of the tubular body. The perfusion branch comprises a self-sealing component, that after predetermined period of time precludes fluid flow out of the distal end of the perfusion branch.

Abstract translation: 具有生物相容性移植材料的管状体的假体具有近端，远端，通过其中的内腔和侧壁。 所述假体包括至少一个从所述管状体的侧壁延伸的灌注分支，所述至少一个灌注分支具有近端，远端和穿过其中的腔，其中所述灌注分支的内腔与所述管状体的内腔临时流体连通 。 灌注分支包括自密封组件，其在预定时间段之后排除流体从灌注分支的远端流出。

公开(公告)号：US20140277362A1

公开(公告)日：2014-09-18

申请号：US13837051

申请日：2013-03-15

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder

IPC: A61F2/954

CPC classification number: A61F2/954 ,  A61F2/07 ,  A61F2/89 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/067 ,  A61F2002/9522 ,  A61F2230/0054

Abstract: A first endoluminal prosthesis coupled to an inner catheter and a dilator tip is delivered to the body vessel via a guidewire and a delivery sheath in a conventional manner. After deployment of the first endoluminal prosthesis at the target site, the dilator and catheter are retracted from the body, leaving the delivery sheath in place. A second endoluminal prosthesis is housed within a peel-away sheath without a catheter or dilator tip, and is mated to the delivery sheath outside the patient. The second prosthesis is advanced from the peel-away sheath into the delivery sheath without the use of a dilator tip or catheter. As the second prosthesis is advanced into the delivery sheath from the peel-away sheath, the peel-away sheath is peeled away. The second prosthesis is advanced through the delivery sheath and delivered into an overlapping engagement with the first prosthesis.

Abstract translation: 耦合到内导管和扩张器尖端的第一腔内假体以常规方式通过导丝和输送鞘输送到身体容器。 在目标部位部署第一腔内假体之后，扩张器和导管从身体缩回，将输送护套留在原位。 第二个腔内假体容纳在剥离鞘内，而没有导管或扩张器尖端，并且与患者外部的输送鞘匹配。 第二假体从剥皮鞘进入输送鞘，而不使用扩张器尖端或导管。 当第二假体从剥离皮鞘推进到输送鞘中时，剥离的鞘被剥离。 第二假体通过输送护套前进并且被递送到与第一假体的重叠接合。

公开(公告)号：US20140277342A1

公开(公告)日：2014-09-18

申请号：US13838013

申请日：2013-03-15

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  Zach Wagner

IPC: A61F2/962

CPC classification number: A61F2/966 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2002/9522 ,  A61F2002/9534 ,  A61F2002/9665

Abstract: An automatic wireless medical device release system may reduce the overall diameter of the medical device delivery system. The medical device delivery system may include a medical device with a looped portion at a distal end of the medical device. A capture wire may be located on a delivery tool that is distal to the medical device. The looped portion of the medical device may be attached to a bend in the capture wire. The bend in the capture wire may be maintained by a sheath covering the delivery tool. Removal of the sheath may automatically remove the bend in the capture wire, which may release the looped portion of the medical device from the capture wire.

Abstract translation: 自动无线医疗装置释放系统可以减小医疗装置传送系统的总体直径。 医疗装置输送系统可以包括在医疗装置的远端具有环形部分的医疗装置。 捕获线可以位于远离医疗装置的输送工具上。 医疗装置的环形部分可以附接到捕获线中的弯曲处。 捕获线中的弯曲可以由覆盖输送工具的护套来维持。 护套的移除可以自动地去除捕获线中的弯曲部，这可以将捕获线的医疗装置的环形部分释放出来。

公开(公告)号：US20140257474A1

公开(公告)日：2014-09-11

申请号：US13793726

申请日：2013-03-11

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Blayne A. Roeder

IPC: A61F2/24

CPC classification number: A61F2/2412 ,  A61F2/04 ,  A61F2/07 ,  A61F2/2418 ,  A61F2230/0071

Abstract: The present embodiments provide a prosthesis comprising first and second segments, and an axially extendable segment coupled to the first and second segments. A valve is coupled to at least one of the axially extendable segment or the second segment. The axially extendable segment comprises a first state in which the valve at least partially overlaps with the first segment, and the axially extendable segment comprises a second state in which the valve lacks an overlap with the first segment.

Abstract translation: 本实施例提供一种假体，其包括第一和第二段，以及联接到第一和第二段的可轴向延伸段。 阀被联接到轴向可延伸段或第二段中的至少一个。 轴向可延伸段包括第一状态，其中阀至少部分地与第一段重叠，并且可轴向延伸的段包括第二状态，其中阀缺少与第一段的重叠。

公开(公告)号：US20140257464A1

公开(公告)日：2014-09-11

申请号：US13793878

申请日：2013-03-11

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Blayne A. Roeder

IPC: A61F2/856

CPC classification number: A61F2/856 ,  A61F2/07 ,  A61F2/954 ,  A61F2/966 ,  A61F2002/061 ,  A61F2002/067

Abstract: This invention relates generally to medical devices, and more particularly, to endovascular grafts and methods for treating branched vessels in diverse patient populations including those with shorter than average common iliac arteries. A bifurcated stent graft as described herein comprises adjacent facing fenestrations formed in the graft legs in order to permit proper placement of an “up-and-over sheath” and a side branch which may be proximally located in order to properly align the side branch with the opening of the branch vessel such as the internal iliac artery while keeping the graft bifurcation seated near the aortic bifurcation.

Abstract translation: 本发明一般涉及医疗装置，更具体地涉及血管内移植物和用于治疗不同患者群体中的分支血管的方法，包括具有髂总动脉平均较短的那些。 如本文所述的分叉支架移植物包括形成在移植腿中的相邻的面孔，以便允许适当地放置“上下鞘”和侧分支，该侧分支可以位于近侧，以便使侧分支与 分支血管如髂内动脉的开放，同时保持移植物分叉位于主动脉分叉附近。

公开(公告)号：US20140257453A1

公开(公告)日：2014-09-11

申请号：US13793695

申请日：2013-03-11

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Blayne A. Roeder

IPC: A61F2/954 ,  A61F2/82 ,  A61F2/856

CPC classification number: A61F2/954 ,  A61F2/07 ,  A61F2/2418 ,  A61F2/82 ,  A61F2/844 ,  A61F2/856 ,  A61F2002/061 ,  A61F2002/067 ,  A61F2002/9511

Abstract: An endoluminal prosthesis comprises a graft having a tubular body comprising proximal and distal ends, inner and outer surfaces, and partially and fully deployed states. A temporary channel is disposed external to the outer surface of the graft in the partially deployed state. The temporary channel begins at one of the proximal and distal ends of the graft, and extends along only a portion of a longitudinal length of the graft. The temporary channel is removed when the graft is in a fully deployed state.

Abstract translation: 腔内假体包括具有管状主体的移植物，该管状体包括近端和远端，内表面和外表面以及部分和完全展开的状态。 临时通道在部分展开状态下设置在移植物外表面的外部。 临时通道从移植物的近端和远端中的一个开始，并且仅沿着移植物的纵向长度的一部分延伸。 当移植物处于完全展开状态时，移除临时通道。

公开(公告)号：US20140039601A1

公开(公告)日：2014-02-06

申请号：US14056502

申请日：2013-10-17

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  Erik E. Rasmussen ,  Sharath Gopalakrishnamurthy ,  William K. Dierking

IPC: A61F2/07

CPC classification number: A61F2/07 ,  A61F2/82 ,  A61F2/915 ,  A61F2/95 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2002/8486 ,  A61F2002/91575 ,  A61F2002/9511 ,  A61F2220/0016 ,  A61F2220/0075 ,  A61F2230/0013

Abstract: The present embodiments provide stents and stent-grafts for use in medical procedures. In one embodiment, a stent comprises a series of proximal apices, a series of distal apices, and at least one imaging element. A first suture bore is disposed in a surface of the stent at a location distal to the imaging element, and is adapted to receive a suture for coupling a portion of the stent to a graft material. A distal region of the stent, including the series of distal apices and the first suture bore, overlaps with the graft material, while a proximal region of the stent, including the series of proximal apices and at least one barb, is disposed proximally beyond the graft material. In an alternative embodiment, a stent-graft comprises a graft, a first stent and a second stent, in which a series of proximal apices of the first stent are each disposed distal to the proximal end of the graft, and a series of proximal apices of the second stent are each disposed proximally beyond the proximal end of the graft.

Abstract translation: 本实施例提供用于医疗过程的支架和支架移植物。 在一个实施例中，支架包括一系列近端顶点，一系列远端顶点和至少一个成像元件。 第一缝合孔设置在远离成像元件的位置处的支架的表面中，并且适于接收用于将支架的一部分联接到移植材料的缝合线。 包括一系列远侧顶点和第一缝合线孔的支架的远端区域与移植材料重叠，而包括一系列近端顶端和至少一个倒钩的支架的近端区域被设置在近侧 移植材料。 在替代实施例中，支架移植物包括移植物，第一支架和第二支架，其中第一支架的一系列近端顶端各自设置在移植物近端的远侧，以及一系列近端顶点 的第二支架每个都设置在近端超过移植物的近端。

公开(公告)号：US20130331655A1

公开(公告)日：2013-12-12

申请号：US13798522

申请日：2013-03-13

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Piotr Miroslaw Kasprzak ,  Werner Dieter Ducke ,  Blayne A. Roeder

IPC: A61B17/02

CPC classification number: A61B17/0218 ,  A61M39/0606 ,  A61M2039/0626 ,  A61M2039/064 ,  A61M2039/066 ,  F04C2270/0421

Abstract: An endoscopic access port and sheath assembly or laparoscopic port (10) comprises a sheath (12) and a haemostatic valve. The sheath has an elongate tubular body and a sheath lumen through it. The haemostatic valve comprising a housing (14), the housing comprises a tubular body with an internal lumen (18) and a first end and a second end. The first end is connected to the sheath and the sheath lumen and the internal lumen are in fluid communication. The second end of the housing has an access port. There is a substantially cylindrical valve assembly (27) within the housing at the second end of the housing. The substantially cylindrical valve assembly is formed from a plurality of valve segments (28). Each valve segment has an elongate body being in cross section a sector of a circle. Each valve segment is formed from a resilient material. The plurality of valve segments when assembled form the substantially cylindrical valve assembly and define between each other a plurality resilient interface regions (29) to receive and grip a medical device between them in use.

Abstract translation: 内窥镜入口和护套组件或腹腔镜口（10）包括护套（12）和止血阀。 护套具有细长的管状体和穿过其的鞘管。 止血阀包括壳体（14），壳体包括具有内腔（18）和第一端和第二端的管状体。 第一端连接到护套和鞘腔，并且内腔与流体连通。 外壳的第二端有一个进出口。 在壳体的壳体的第二端处具有基本上圆柱形的阀组件（27）。 基本上圆柱形的阀组件由多个阀段（28）形成。 每个阀段具有细长体，其截面为圆形扇形。 每个阀段由弹性材料形成。 多个阀段当组装形成基本上圆柱形的阀组件并且在彼此之间形成多个弹性界面区域（29），以在使用中在它们之间接纳和夹持医疗装置。