摘要:
Systems and methods for treating a lung of a patient. One embodiment of a method comprises positioning a leadless marker in the lung of the patient relative to the target, and collecting position data of the marker. This method further comprises determining the location of the marker in an external reference frame outside of the patient based on the collected position data, and providing an objective output in the external reference frame that is responsive to movement of the marker. The objective output is provided at a frequency (i.e., periodicity) that results in a clinically acceptable tracking error. In addition, the objective output can also be provided at least substantially contemporaneously with collecting the position data used to determine the location of the marker.
摘要:
A stent-graft or prosthesis (10) with enhanced flexibility, in particular enhanced bending flexibility, includes a radially distensible stent (24) and at least one continuously uninterrupted ePTFE tubular graft or covering (18) having a node and fibril structure. The tubular stent (24) includes opposed open ends (12′, 14′) and a stent wall structure (26) having opposed exterior (28) and luminal surfaces (30). The ePTFE covering (18) is securably disposed to at least one of the stent surfaces (28, 30). The ePTFE graft or covering (18) includes a tubular wall (16) that is continuously uninterrupted and desirably substantially free of slits, apertures and folds. The ePTFE graft (18) further includes a first region (20) and a second region (22), where the first region (20) has a different bending flexibility from the second region (22).
摘要:
A low profile, implantable prosthesis includes (a) a tubular graft including opposed open ends and having yarns in a textile pattern to define a textile wall having a luminal surface and an exterior surface; and (b) a tubular, radially extensible member including a portion arranged in a closed zig-zag pattern, the pattern having a series of angled bends at proximal and distal ends thereof, and longitudinally extending members having opposed proximal and distal ends, the distal ends being disposed from the angled bends of the proximal end; the longitudinally extending members having a plurality of detents for securing the yarns within the textile pattern at one of the opposed open ends, wherein the yarns of the textile patterns are securably disposed to the detents. The detents may be holes, inwardly extending notches, outwardly extending protuberances, or combinations thereof in the longitudinally extending members. The textile pattern of the graft may be a braided textile pattern, a woven textile pattern, a knitted textile pattern, and combinations thereof. Desirably, the zigzag portion of the radially extensible member is disposed beyond the open end of the graft. The radially extensible member may be a stent or may be an anchoring device for securing the prosthesis against the wall of a bodily lumen.
摘要:
Method and system fiducials contained in removable a device for use in guided radiation therapy treatment. One embodiment includes an active marker configured to be pre-loaded into a catheter for removeably implanting in the tissue of a patient. Another embodiment of the implantable device includes a stability element coupled to the marker and further coupled to an explant line. In some embodiments, the stability element is configured to hold the marker at a fixed location within the catheter (e.g., known location) with respect to a target in the tissue. In other embodiments, the explant line has a first portion coupled to the marker and/or the stability element and a second portion configured to be at least proximate to the dermis of the patient.
摘要:
Systems and methods for treating a lung of a patient. One embodiment of a method comprises positioning a leadless marker in the lung of the patient relative to the target, and collecting position data of the marker. This method further comprises determining the location of the marker in an external reference frame outside of the patient based on the collected position data, and providing an objective output in the external reference frame that is responsive to movement of the marker. The objective output is provided at a frequency (i.e., periodicity) that results in a clinically acceptable tracking error. In addition, the objective output can also be provided at least substantially contemporaneously with collecting the position data used to determine the location of the marker.
摘要:
An implantable stent-graft (10) includes a radially distensible, tubular stent (20) having opposed open ends (12′, 14′) and a stent wall structure (16′) having opposed exterior and luminal surfaces (30, 32); and a segmented, non-textile polymeric tubular structure (16) including a plurality of graft segments (18) circumferentially disposed about one of the stent surfaces (30, 32), the graft segments (18) including first portions (24) securably disposed to the one the stent surfaces (30, 32) and second portions (26) not securably disposed to the one the stent surfaces (30, 32); wherein adjacent graft segments (18) are disposed over one and the other to define overlaps (26′), the overlaps (26′) forming a fluid tight seal when implanted in a body lumen.
摘要:
The present invention provides a sectional crimped graft that allows graft flexibility where required and limits the overall longitudinal extension. The present invention overcomes the disadvantage of fully crimped grafts by controlling the number of crimps per unit length, crimp height, crimp geometry and their location along the graft wall, dependent on the particular end-use application. In so doing, flexibility and elongation can be controllably tailored only in areas where significant anatomical angulation is present. It may also be useful in applications other than stent grafts such as surgical grafts for aortic and peripheral areas. Limiting the overall graft longitudinal extension also facilitates the deployment of the stent-graft into the blood vessel.