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公开(公告)号：US09005271B2
公开(公告)日：2015-04-14
申请号：US13529453
申请日：2012-06-21
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2220/0075
摘要： A fenestrated stent graft (1) with a tubular side arm (11) extending therefrom in which the side arm can be turned inside out to extend into the stent graft during deployment of the stent graft and extended out during deployment. Also disclosed is a deployment device (19) for such a side arm stent graft which has a deployment catheter (26) and a side arm guide (32), the side arm guide is releasably fastened at a proximal end to the branch tube (11) and is able to be moved independently of the deployment catheter such that the branch tube can be extended from the tubular body of the stent graft while it is fastened onto the side arm guide. The side arm guide can be formed from a side arm catheter (32) and a side arm guide wire (34) carried in the side arm catheter.
摘要翻译： 一种具有从其延伸的管状侧臂（11）的开窗式支架移植物（1），其中侧臂可以在展开支架移植物期间向内转出以延伸到支架移植物中并在展开期间延伸出来。 还公开了一种用于这种侧臂支架移植物的展开装置（19），其具有展开导管（26）和侧臂引导件（32），侧臂引导件在近端可释放地紧固到分支管（11 ），并且能够独立于展开导管移动，使得支管可以在其被固定到侧臂引导件上时从支架移植物的管状体延伸。 侧臂引导件可以由侧臂导管（32）和承载在侧臂导管中的侧臂导丝（34）形成。
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公开(公告)号：US08663310B2
公开(公告)日：2014-03-04
申请号：US13325737
申请日：2011-12-14
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/966 , A61F2002/061 , A61F2002/075 , A61F2002/30322 , A61F2220/0075 , A61F2250/0026 , A61F2250/0059
摘要： A hybrid stent graft device for treatment of a Type A dissection having a first tubular portion for placement into the ascending aorta and a second tubular portion for extending around the thoracic arch and down the descending aorta is disclosed. The first tubular portion is connectable to the aorta between the sinotubular junction and the brachiocephalic artery so that it essentially replaces the ascending aorta. A temporary bypass tube allows perfusion during an operation. The second tubular portion has an elongate recess outside of the second tubular portion and an aperture defining a fluid flow path into the recess. The recess is intended to engage an outer curve of the thoracic arch to enable blood flow into the arteries of the thoracic arch. An introduction device in combination with the hybrid stent graft described above is also disclosed.
摘要翻译： 公开了一种用于治疗具有用于放置在升主动脉中的第一管状部分的A型解剖的混合式支架移植装置和用于在胸弓周围延伸并且沿着降主动脉延伸的第二管状部分。 第一管状部分可连接到主管与中脑管结合部与头臂动脉之间，从而基本上替代升主动脉。 临时旁路管允许在手术期间进行灌注。 第二管状部分具有在第二管状部分外部的细长凹部和限定到凹部中的流体流动路径的孔。 该凹槽旨在接合胸廓的外曲线以使血液流入胸廓弓动脉。 还公开了与上述混合型支架移植物组合的引入装置。
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公开(公告)号：US08636789B2
公开(公告)日：2014-01-28
申请号：US13467330
申请日：2012-05-09
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2/958 , A61F2002/061 , A61F2002/075 , A61F2230/0019 , A61F2250/0037 , A61F2250/0039
摘要： A stent graft defining a main lumen bounded by a wall of graft material is disclosed. The stent graft has a valve portion between proximal and distal portions. The valve portion is formed by a wall portion having a part-circumferential double layer portion comprising an inner underlap portion and an outer overlap portion, the double layer portion forming a passageway parallel to the main lumen. The passageway has an entrance mouth and an exit mouth. The passageway has an open condition where the underlap and overlap portions are spaced apart to form a vent lumen. The wall portion is broken by a narrow cut. The cut is openable by relative radial movement between its edges. This allows re-perfusion of an aneurism and perfusion of blood from within the lumen out towards blood vessels such as intercostals and can assist in minimizing the chance of paraplegia.
摘要翻译： 公开了一种限定由移植材料的壁限定的主腔的支架移植物。 支架移植物在近端部分和远端部分之间具有阀部分。 阀部分由具有包括内部重叠部分和外部重叠部分的部分周向双层部分的壁部分形成，双层部分形成平行于主管腔的通道。 通道有一个入口和一个出口。 通道具有打开状态，其中下搭和重叠部分间隔开以形成排气腔。 壁部分被狭窄的切口打破。 切割可通过其边缘之间的相对径向运动打开。 这可以将动脉瘤再次灌注，并将血液从腔内灌注出血管，如肋间，并有助于最大限度地减少截瘫的机会。
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公开(公告)号：US08226706B2
公开(公告)日：2012-07-24
申请号：US11663520
申请日：2005-09-21
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2220/0075
摘要： A fenestrated stent graft with a tubular side arm extending there from in which the side arm can be turned inside out to extend into the stent graft during deployment of the stent graft and extended out during deployment. Also disclosed is a deployment device for such a side arm stent graft which has a deployment catheter and a side arm guide, the side arm guide is releasably fastened at a proximal end to the branch tube and is able to be moved independently of the deployment catheter such that the branch tube can be extended from the tubular body of the stent graft while it is fastened onto the side arm guide. The side arm guide can be formed from a side arm catheter and a side arm guide wire carried in the side arm catheter.
摘要翻译： 具有延伸到其中的管状侧臂的开窗支架移植物，其中侧臂可以向内转出，以在展开支架移植物期间延伸到支架移植物中并在展开期间延伸出来。 还公开了一种用于这种侧臂支架移植物的展开装置，其具有展开导管和侧臂引导件，侧臂引导件在近端可释放地紧固到分支管并且能够独立于展开导管移动 使得支管可以在其被固定到侧臂引导件上时从支架移植物的管状体延伸。 侧臂引导件可以由侧臂导管和携带在侧臂导管中的侧臂引导线形成。
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15.发明授权Fenestration for stent graft arrangements and stent graft including the same 有权开窗用于支架移植物装置和支架移植物包括相同公开(公告)号：US08167926B2
公开(公告)日：2012-05-01
申请号：US11983144
申请日：2007-11-07
IPC分类号： A61F2/06
CPC分类号： A61F2/856 , A61F2/07 , A61F2/2412 , A61F2/89 , A61F2/90 , A61F2002/075 , A61F2220/0016 , A61F2220/0075
摘要： A fenestration (32) for a stent graft (30). The fenestration is an aperture in the biocompatible graft material and has at least one flap (38, 40) of a biocompatible graft material covering the aperture on the inside whereby the flap closes off the aperture but can be displaced to allow access through the fenestration. An array of such fenestrations may be placed on a stent graft to facilitate alignment of a branch vessel with a fenestration. A slip knot (46, 46) which can be released by forcing a dilator between the flaps can be used to hold the flaps together.
摘要翻译： 用于支架移植物的开窗（32）（30）。 开窗是生物相容性移植物材料中的孔，并且具有覆盖内侧上的孔的生物相容性移植物材料的至少一个翼片（38,40），由此翼片封闭孔口，但可移位以允许通过开窗进入。 可以将这种窗孔的阵列放置在支架移植物上以促进分支血管与开窗的对准。 可以通过在翼片之间强迫扩张器而释放的滑结（46,46）可将翼片夹在一起。
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公开(公告)号：US07892275B2
公开(公告)日：2011-02-22
申请号：US11880804
申请日：2007-07-24
IPC分类号： A61F2/06
CPC分类号： A61F2/95 , A61F2/0095 , A61F2002/9517
摘要： A stent graft introducer has a nose cone dilator (8) and a distally opening capsule (18) on the nose cone dilator, a balloon guide (2, 30) extending into the capsule and affixed therein. Upon completion of deployment of a stent graft, a balloon catheter (96) including an inflatable balloon (98) thereon can be advanced over the balloon guide at least partially into the nose cone whereby the balloon can be inflated therein to provide a smooth transition from the nose cone to a delivery sheath (10) for retraction of the nose cone dilator through the deployed stent graft. The balloon guide can be a separate wire (30).
摘要翻译： 支架移植物导引器具有鼻锥扩张器（8）和鼻锥体扩张器上的远端开口囊（18），气囊引导件（2,30）延伸到胶囊中并固定在其中。 在完成展开支架移植物后，包括其上的可膨胀气囊（98）的球囊导管（96）能够至少部分地进入到鼻锥体中，从而球囊可在其中膨胀以提供平滑过渡 鼻锥体到达递送护套（10），用于通过展开的支架移植物缩回鼻锥扩张器。 气球引导件可以是单独的线（30）。
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公开(公告)号：US07753918B2
公开(公告)日：2010-07-13
申请号：US11725944
申请日：2007-03-20
申请人： David Ernest Hartley , Krasnodar Ivancev , Werner D. Ducke , Michael P. DeBruyne , Jarett Diamond , Mark R. Frye
发明人： David Ernest Hartley , Krasnodar Ivancev , Werner D. Ducke , Michael P. DeBruyne , Jarett Diamond , Mark R. Frye
IPC分类号： A61B17/08
CPC分类号： A61B17/221 , A61B2017/00867 , A61B2017/22035 , A61B2017/22038 , A61B2017/2215 , A61B2090/08021 , A61F2/95
摘要： A medical grasping device (1) has an elongate control member (9) with a grasping member (17) proximal to its distal tip. An outer sheath (3) with a passageway therethrough surrounds the elongate control member and is relatively movable with respect to the control member. A control assembly (2) disposed at a proximal end of said outer sheath has a fixed handle (5) and a sliding handle (7) and the proximal end of the elongate control member is fixed to the sliding handle to move the control member. The grasping member (17) has a plurality of pre-formed wire loops (50, 52, 54, 56) which self-deploy transversely upon emerging from said distal end of said outer sheath. Each wire loop is fastened to substantially opposite sides of the elongate control member so that each of said wire loops is substantially semi-circular upon full deployment and the respective ends (27, 29) of each wire loop extend substantially in opposite directions from the elongate control member.
摘要翻译： 医疗把持装置（1）具有细长的控制构件（9），其具有靠近其远端的抓握构件（17）。 具有穿过其的通道的外护套（3）围绕细长控制构件并且可相对于控制构件相对移动。 设置在所述外护套的近端处的控制组件（2）具有固定手柄（5）和滑动手柄（7），细长控制构件的近端固定到滑动手柄以移动控制构件。 抓握构件（17）具有多个预先形成的线环（50,52,54,56），其从所述外护套的所述远端出现时横向自动展开。 每个线环被紧固到细长控制构件的基本相对的两侧，使得每个线环在完全展开时基本上是半圆形的，并且每个导线环的相应端部（27,29）从细长的 控制成员。
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公开(公告)号：US20090254170A1
公开(公告)日：2009-10-08
申请号：US12454797
申请日：2009-05-22
申请人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L.G. Verhoeven
发明人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L.G. Verhoeven
IPC分类号： A61F2/84
CPC分类号： A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/9517 , A61F2220/0075 , A61F2250/006
摘要： A deployment system for introducing stent grafts which have a side arm or into which a side arm can be deployed. For instance the stent graft can be deployed into the thoracic arch of a patient. The deployment system including an introducer (1), an auxiliary catheter (13) disposed within the introducer and an auxiliary guide wire (14) disposed within the auxiliary catheter. The auxiliary guide wire extends to adjacent the proximal end (6) of the introducer an can be extended from the proximal end of the introducer so that it can be snared from a side branch artery (56) to assist with deployment of a side arm (23) of the stent graft into the side artery or for the deployment of a side arm stent graft into the stent graft.
摘要翻译： 用于引入具有侧臂的支架移植物的展开系统或侧臂能够展开的部署系统。 例如，支架移植物可以部署到患者的胸弓中。 所述展开系统包括导引器（1），设置在导引器内的辅助导管（13）和设置在辅助导管内的辅助导丝（14）。 辅助导丝线延伸到导引器的近端（6）附近，其可以从导引器的近端延伸，使得其可以从侧分支动脉（56）卷绕以辅助侧臂的展开 23）的支架移植到侧动脉或用于将侧臂支架移植物部署到支架移植物中。
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公开(公告)号：US09211183B2
公开(公告)日：2015-12-15
申请号：US13498492
申请日：2010-10-04
申请人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
发明人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/075 , A61F2210/0014 , A61F2230/0006 , A61F2230/0008
摘要： A stent graft (1) has at least one fenestration (13) or low profile side arm (34). A guide assembly (17) surrounds the fenestration or low profile side arm. The guide assembly has a continuous wall extending laterally away from the outer surface of the stent graft. The continuous wall is substantially elliptical or circular and extends distally of the fenestration at a distal end of the wall and being coincident with a proximal part (25) of the periphery of the fenestration or low profile side arm at a proximal end of the wall (23). The wall acts to define a guide area to guide a flexible probe extended from a side branch vessel to enter the fenestration or low profile side arm. Where there are two fenestrations or low profile side arms there can be a single continuous wall (50) around both or separate walls for each. The wall may have a peripheral wire reinforcement (19).
摘要翻译： 支架移植物（1）具有至少一个开窗（13）或低轮廓侧臂（34）。 引导组件（17）围绕开窗或薄型侧臂。 引导组件具有从支架移植物的外表面横向延伸的连续壁。 连续壁基本上是椭圆形或圆形的，并且在壁的远端处的开窗的远端延伸并且与壁的近端处的开窗或低轮廓侧臂的周边的近端部分（25）重合 23）。 壁用于限定引导区域，以引导从侧分支容器延伸的柔性探针进入开窗或低轮廓侧臂。 在有两个开窗或薄型侧臂的地方，每一个围绕两个或单独的墙壁都可以有一个单一的连续墙壁（50）。 壁可以具有外围钢丝加强件（19）。
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公开(公告)号：US08845708B2
公开(公告)日：2014-09-30
申请号：US11600655
申请日：2006-11-16
CPC分类号： A61F2/954 , A61F2/07 , A61F2002/065
摘要： A stent graft introducer has a pusher, a nose cone, a region between the pusher and the nose cone for a stent graft, a sleeve extending over the pusher and proximally to the nose cone to cover the stent graft when retained in the region. An indwelling auxiliary catheter with a pre-curved proximal end is fitted into the introducer. The nose cone has an elongate groove and the auxiliary catheter has its proximal end in the elongate groove. In a partially retracted position of the sleeve the curved proximal end of the indwelling auxiliary catheter is exposed and uncovered by the sleeve and in an advanced position of the sleeve the curved proximal end of the indwelling auxiliary catheter is straightened, extends along the length of the groove in the nose cone and is covered by the sleeve.
摘要翻译： 支架移植物导引器具有推动器，鼻锥体，用于支架移植物的推动器和鼻锥体之间的区域，在保持在该区域中时延伸到推动器上并且向近端延伸到鼻锥体的套筒以覆盖支架移植物。 具有预弯曲近端的留置辅助导管安装在导引器中。 鼻锥具有细长的凹槽，辅助导管的近端位于细长凹槽中。 在套管的部分缩回位置，留置辅助导管的弯曲近端由套筒暴露和未覆盖，并且在套筒的前进位置中，留置辅助导管的弯曲近端被拉直，沿着 凹槽在鼻锥中并被套筒覆盖。
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