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公开(公告)号：US08709061B2
公开(公告)日：2014-04-29
申请号：US13153753
申请日：2011-06-06
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2002/9583 , A61F2002/9665
摘要： A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. Indwelling access sheaths are provided within auxiliary lumens of a pusher catheter and dilators are preloaded into the access sheaths along with the indwelling guide wire. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft into the vasculature of a patient, the indwelling guide wire can be used to facilitate catheterization of a side branch or target vessel through the fenestration or be used to stabilize the access sheath during catheterization, advancement of the access sheath into the target vessel and deployment of a covered or uncovered stent therein through the access sheath.
摘要翻译： 一种预加载支架移植物输送装置和支架移植物，支架移植物输送装置。 支架移植物具有至少一个开窗或侧臂，开窗预留有留置导丝。 留置入口护套设置在推进器导管的辅助腔内，并且扩张器与留置导丝一起被预先载入进入护套。 在导丝导管的远端处的手柄组件。 手柄包括多通口歧管，其具有到推动器导管中的辅助腔的通路口。 在将支架移植物部署到患者的脉管系统中时，留置导丝可用于便于通过开窗进行侧支或靶血管的导管插入，或用于在导管插入期间稳定进入护套，使进入鞘进入 目标血管和通过通路护套在其中展开覆盖或未覆盖的支架。
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公开(公告)号：US20130013053A1
公开(公告)日：2013-01-10
申请号：US13635579
申请日：2011-03-18
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039
摘要： A thoracic arch stent graft (1) has a tubular body of a biocompatible graft material (3) and at least one fenestration (13, 15) in the wall on one side thereof. A combination guide and tubular side arm assembly (20, 22) is mounted into the or each fenestration. The combination guide and tubular side arm assembly comprises a tubular portion (24) and a funnel portion (26) extending from a distal end of the tubular portion. The funnel portion has an angled open end. The tubular portion and the funnel portion are formed from a biocompatible graft material wall and have a lightweight space frame (38 40) formed from a resilient wire and supporting the graft material and defining the combination guide and tubular side arm assembly.
摘要翻译： 胸弓支架移植物（1）具有生物相容性移植材料（3）的管状体和在其一侧的壁中的至少一个开窗（13,15）。 组合引导件和管状侧臂组件（20,22）安装在该开口或每个开窗中。 组合引导件和管状侧臂组件包括管状部分（24）和从管状部分的远端延伸的漏斗部分（26）。 漏斗部分具有倾斜的开口端。 管状部分和漏斗部分由生物相容的移植材料壁形成，并且具有由弹性线形成并且支撑移植材料并限定组合引导件和管状侧臂组件的轻质空间框架（38,40）。
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公开(公告)号：US08308791B2
公开(公告)日：2012-11-13
申请号：US11600655
申请日：2006-11-16
IPC分类号： A61F2/06
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.
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公开(公告)号：US20120158121A1
公开(公告)日：2012-06-21
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：US20110307048A1
公开(公告)日：2011-12-15
申请号：US13153753
申请日：2011-06-06
IPC分类号： A61F2/84
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2002/9583 , A61F2002/9665
摘要： A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. Indwelling access sheaths are provided within auxiliary lumens of a pusher catheter and dilators are preloaded into the access sheaths along with the indwelling guide wire. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft into the vasculature of a patient, the indwelling guide wire can be used to facilitate cathertisation of a side branch or target vessel through the fenestration or be used to stabilise the access sheath during catheterisation, advancement of the access sheath into the target vessel and deployment of a covered or uncovered stent therein through the access sheath.
摘要翻译： 一种预加载支架移植物输送装置和支架移植物，支架移植物输送装置。 支架移植物具有至少一个开窗或侧臂，开窗预留有留置导丝。 留置入口护套设置在推进器导管的辅助腔内，并且扩张器与留置导丝一起被预先载入进入护套。 在导丝导管的远端处的手柄组件。 手柄包括多通口歧管，其具有到推动器导管中的辅助腔的通路口。 在将支架移植物部署到患者的脉管系统中时，留置引导线可以用于促进侧分支或靶容器通过开窗的连接，或用于在导管插入期间稳定进入护套，使进入鞘进入 目标血管和通过通路护套在其中展开覆盖或未覆盖的支架。
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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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20.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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