公开(公告)号：US20200060855A1

公开(公告)日：2020-02-27

申请号：US16107082

申请日：2018-08-21

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Kevin Wilger ,  Stephan Haulon ,  Jarin Andrew Kratzberg ,  Blayne A. Roeder

IPC: A61F2/954 ,  A61F2/07 ,  A61F2/89

Abstract: Methods and apparatuses to place a prosthesis within a receiving structure are provided. A delivery apparatus includes an elongated support member including a support member distal end. A stop cap is disposed at the support member distal end and includes a stop cap transverse dimension larger than an inner diameter of a receiving lumen of the receiving structure. An elongated prosthesis-positioning member extends along the support member and stop cap so a distal surface of the prosthesis-positioning member is disposed at a position longitudinally coincident with a portion of the stop cap. A sheath comprises a sheath lumen receiving the prosthesis-positioning member so the sheath translates longitudinally relative to the prosthesis-positioning member. The delivery apparatus has a loaded configuration in which the prosthesis is received in the sheath lumen with a proximal end of the prosthesis abutting the prosthesis-positioning member distal surface.

公开(公告)号：US10426646B2

公开(公告)日：2019-10-01

申请号：US15041433

申请日：2016-02-11

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Blayne A. Roeder ,  Stephan Haulon

IPC: A61F2/95 ,  A61F2/966 ,  A61F2/07 ,  A61F2/06

Abstract: A pre-loaded prosthesis delivery device is described. In one example, the prosthesis delivery device is pre-loaded with a single wire that allows the device to be tracked into place within a vessel and also facilitates cannulation of a branch vessel. The delivery device further comprises a prosthesis that is releasably coupled to a delivery catheter by using two attachment wires to secure the proximal end of the prosthesis to the delivery device in a tri-fold configuration.

公开(公告)号：US20180263796A1

公开(公告)日：2018-09-20

申请号：US15982523

申请日：2018-05-17

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： David Brocker ,  William K. Dierking ,  Alan R. Leewood ,  Blayne A. Roeder ,  Jarin A. Kratzberg ,  Erik E. Rasmussen

IPC: A61F2/89 ,  A61F2/07 ,  A61F2/915

Abstract: Various stents and stent-graft systems for treatment of medical conditions are disclosed. In one embodiment, an exemplary stent-graft system may be used for endovascular treatment of a thoracic aortic aneurysm. The stent-graft system may comprise proximal and distal components, each comprising a graft having proximal and distal ends, where upon deployment the proximal and distal components at least partially overlap with one another to provide a fluid passageway therebetween. The proximal component may comprise a proximal stent having a plurality of proximal and distal apices connected by a plurality of generally straight portions, where a radius of curvature of at least one of the proximal apices may be greater than the radius of curvature of at least one of the distal apices. The distal component may comprise a proximal z-stent coupled to the graft, where the proximal end of the graft comprises at least scallop formed therein that generally follows the shape of the proximal z-stent. Further, the distal component may comprise at least one z-stent stent coupled to the distal end of the graft and extending distally therefrom that reduces proximal migration of the distal component.

公开(公告)号：US20180071122A1

公开(公告)日：2018-03-15

申请号：US15814952

申请日：2017-11-16

Applicant: Cook Medical Technologies LLC

Inventor： William K. Dierking ,  David Ernest Hartley ,  Blayne A. Roeder

IPC: A61F2/95 ,  A61F2/91

CPC classification number: A61F2/95 ,  A61F2/91 ,  A61F2002/8486 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2002/9665 ,  A61F2220/0016 ,  A61F2220/0075 ,  A61F2230/0013 ,  A61F2250/0063

Abstract: The present embodiments provide a stent for use in a medical procedure that comprises a series of proximal apices disposed at a proximal end of the stent and a series of distal apices disposed at a distal end of the stent. A trigger wire is adapted to be coupled to at least one of the proximal apices to restrain a proximal end of the stent during delivery. In a first embodiment, a first proximal apex comprises a bore for receiving the trigger wire, and a second proximal apex, disposed adjacent to the first proximal apex, comprises at least one barb. The trigger wire therefore is only coupled to selected ones of the proximal apices. In an alternative embodiment, a first proximal apex comprises a first bore and a second, adjacent proximal apex comprises a second bore, such that a single trigger wire may be disposed through the first and second bores to restrain the first and second proximal apices during delivery.

公开(公告)号：US09808364B2

公开(公告)日：2017-11-07

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 ,  A61F2/07 ,  A61F2/24 ,  A61F2/844 ,  A61F2/06 ,  A61F2/95

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.

公开(公告)号：US09763816B2

公开(公告)日：2017-09-19

申请号：US13837051

申请日：2013-03-15

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder

IPC: A61F2/97 ,  A61F2/954 ,  A61F2/966 ,  A61F2/07 ,  A61F2/89 ,  A61F2/06 ,  A61F2/95

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.

公开(公告)号：US09687336B2

公开(公告)日：2017-06-27

申请号：US14876429

申请日：2015-10-06

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： David Brocker ,  William K. Dierking ,  Alan R. Leewood ,  Timothy A. M. Chuter ,  Blayne A. Roeder ,  Steven J. Charlebois ,  Richard A. Swift ,  Sharath Gopalakrishnamurthy ,  Matthew S. Huser

IPC: A61F2/82 ,  A61F2/07 ,  A61F2/856 ,  A61F2/86 ,  A61F2/915 ,  A61F2/852 ,  A61F2/89 ,  A61F2/06 ,  A61F2/848

CPC classification number: A61F2/07 ,  A61F2/852 ,  A61F2/856 ,  A61F2/86 ,  A61F2/89 ,  A61F2/915 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/825 ,  A61F2002/8486 ,  A61F2002/91516 ,  A61F2002/91566 ,  A61F2220/0016 ,  A61F2220/0075 ,  A61F2230/0013

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.

公开(公告)号：US09498361B2

公开(公告)日：2016-11-22

申请号：US14132903

申请日：2013-12-18

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  Krasnodar Ivancev

IPC: A61F2/06 ,  A61F2/95 ,  A61F2/07

CPC classification number: A61F2/95 ,  A61F2/07 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2002/9534 ,  A61F2250/001

Abstract: An endoluminal prosthesis includes an expandable stent graft that includes a cannula extending through a lumen of the stent graft. A suture is threaded along the perimeter of the graft through openings therein, with an inner end of the suture mounted to the cannula. The cannula is rotatable relative to the graft to wind or unwind the suture around the cannula and cause the graft to become compressed when wound or allow the graft to expand when unwound. The cannula includes an attachment member for retaining an inner end of the suture, and the attachment member can release the inner end of the suture when adjustment of the graft diameter is no longer desired.

Abstract translation: 腔内假体包括可扩张的支架移植物，其包括延伸穿过支架移植物的内腔的套管。 缝合线沿着移植物的周边穿过其中的开口，其中缝合线的内端安装到插管。 套管可相对于移植物旋转，以使缝合线围绕套管缠绕或退绕，并且使得移植物在伤口时变得压缩，或者当解开时允许移植物膨胀。 套管包括用于保持缝合线的内端的附接构件，并且当不再需要调节移植物直径时，附接构件可释放缝合线的内端。

公开(公告)号：US09468544B2

公开(公告)日：2016-10-18

申请号：US14494809

申请日：2014-09-24

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  Matthew S. Huser ,  David E. Hartley

IPC: A61F2/06 ,  A61F2/82 ,  A61F2/856 ,  A61F2/07 ,  A61F2/89

CPC classification number: A61F2/07 ,  A61F2/856 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/821 ,  A61F2210/0057 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0067

Abstract: The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, and a second perimeter attached to and surrounding the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape. In one aspect, the prosthesis includes at least three pivotable fenestrations.

Abstract translation: 本公开涉及一种腔内假体，例如包括一个或多个开窗以适应血管内疾病的支架移植物，例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面，假体包括可枢转以适应主动脉分支的动态几何形状的开窗。 在另一方面，可枢转的窗口包括第一周边，附接并围绕第一周边的柔性材料带，以及附接到柔性材料带并围绕柔性材料带的第二周边。 第一周边的柔性材料带和第二周边具有几何形状。 在一个方面，假体包括至少三个可枢转的开窗。

公开(公告)号：US20160262919A1

公开(公告)日：2016-09-15

申请号：US15044558

申请日：2016-02-16

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Joel Ondersma ,  Blayne A. Roeder ,  Edwin E. Macatangay ,  Siddharth Vad ,  Davorin K. Skender

IPC: A61F2/966 ,  A61F2/844 ,  A61F2/95 ,  A61F2/856

CPC classification number: A61F2/966 ,  A61F2/07 ,  A61F2/844 ,  A61F2/856 ,  A61F2/95 ,  A61F2/954 ,  A61F2002/065 ,  A61F2002/9505 ,  A61F2230/0069

Abstract: A delivery device and methods for deploying an endovascular prosthesis within the common and internal iliac arteries are described. The device comprises a pusher catheter having a proximal end and a pusher extension extending proximally therefrom. A tubular prosthesis having a side branch is releasably coupled to the pusher extension. An extension dilator extends proximally from the proximal end of the pusher catheter, extends at least partially along an external surface of the main tubular body, into a distal end of the side branch and exits a proximal end of the tubular prosthesis. The extension dilator can be tracked over a guide wire which serves to both position the device within a vessel and also to facilitate cannulation of an internal iliac artery.

Abstract translation: 描述了用于在髂内共同和髂内动脉内部部署血管内假体的递送装置和方法。 该装置包括具有近端的推动器导管和从其向近侧延伸的推动器延伸部。 具有侧分支的管状假体可释放地联接到推动器延伸部。 延伸扩张器从推动器导管的近端向近侧延伸，至少部分地沿着主管状体的外表面延伸到侧分支的远端并离开管状假体的近端。 延伸扩张器可以在用于将装置定位在容器内并且还有助于插入髂内动脉的导丝上。