公开(公告)号：US07435253B1

公开(公告)日：2008-10-14

申请号：US09449270

申请日：1999-11-24

申请人： David Hartley ,  Michael Lawrence-Brown

发明人： David Hartley ,  Michael Lawrence-Brown

IPC分类号： A61F2/06

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2/954 ,  A61F2/958 ,  A61F2/966 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2002/9517 ,  A61F2002/9665 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0067

摘要： An introducer (1) adapted for the introduction of a self-expanding endovascular prosthesis (20) in a lumen of a patient. The introducer has attachment devices (10,30) to hold each end of the prosthesis so that each can be moved independently. An end ovascular prosthesis (20) is also claimed with stents at the proximal and distal ends being within the graft. The remainder of the stents are positioned on the outside of the graft body.

摘要翻译： 适于在患者的内腔中引入自扩张血管内假体（20）的导引器（1）。 引导器具有用于保持假体的每个端部的附接装置（10,30），使得每个可以独立地移动。 还要求端部血管假体（20），其中近端和远端处于移植物内的支架。 其余的支架位于移植体的外侧。

公开(公告)号：US06695875B2

公开(公告)日：2004-02-24

申请号：US09808251

申请日：2001-03-14

申请人： Wolf Stelter ,  Michael Lawrence-Brown ,  David Hartley

发明人： Wolf Stelter ,  Michael Lawrence-Brown ,  David Hartley

IPC分类号： A61F206

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2220/0033 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0067

摘要： An endovascular stent graft assembly (10) for use with abdominal aorta aneurysms (70) and having a main stent graft body (12) and a separate attachment graft tube (14) that extends proximally therefrom having the proximal attachment stent (50) thereon for infrarenal attachment of the assembly (10) to the aorta (74). A distal end portion (44) of the attachment graft tube (14) underlies the proximal end portion (30) of the main stent graft body (12) and presses outwardly there against forming a a friction fit, at an overlapping region (64). The main stent graft body (12) has an ipsilateral leg (22) and a contralateral stump (24) at the bifurcation (26); and prior to deployment of the attachment graft tube (14), the main stent graft body is pulled against the vessel bifurcation (72). After deployment of the attachment graft tube (14), the contralateral leg (16) is deployed at the contralateral stump to complete the stent graft assembly (10). Preferably, an additional intragraft stent graft tube (18) is deployed to underlie and press outwardly and support the overlapping region (64) of the attachment graft tube and the main stent graft body.

公开(公告)号：US20080033354A1

公开(公告)日：2008-02-07

申请号：US11880804

申请日：2007-07-24

申请人： David Hartley ,  Krasnodar Ivancev ,  Michael Lawrence-Brown

发明人： David Hartley ,  Krasnodar Ivancev ,  Michael Lawrence-Brown

IPC分类号： A61M25/10 ,  A61F2/00

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）。

公开(公告)号：US20050131518A1

公开(公告)日：2005-06-16

申请号：US10962765

申请日：2004-10-12

申请人： David Hartley ,  John Anderson ,  Michael Lawrence-Brown

发明人： David Hartley ,  John Anderson ,  Michael Lawrence-Brown

IPC分类号： A61F2/00 ,  A61F2/06 ,  A61F2/82

CPC分类号： A61F2/856 ,  A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/821 ,  A61F2002/828 ,  A61F2220/0075 ,  A61F2230/0069 ,  A61F2230/0078 ,  A61F2250/001 ,  A61F2250/0039

摘要： A stent graft (1) including a tubular wall (3) with at least one fenestration (40) including a peripheral (37) reinforcement around at least part of the fenestration. There can also be a tubular extension (15). The side arm includes a stent (19) and a cover (17) and extends from and is in fluid communication with the fenestration and the stent graft. The stent may be a self expanding stent. The ring and/or tubular extension provides better support and sealing for an extension arm. The fenestration (40) can be circular or if towards the ends of the stent graft may be in the form of a U-shape (50) with an open end.

摘要翻译： 一种包括具有至少一个开窗（40）的管状壁（3）的支架移植物（1），其包括围绕所述开窗的至少一部分的周边（37）加强件。 还可以有管状延伸部（15）。 侧臂包括支架（19）和盖（17），并从开窗和支架移植物延伸并与开窗和支架移植物流体连通。 支架可以是自扩张支架。 环和/或管状延伸部为延伸臂提供更好的支撑和密封。 开窗（40）可以是圆形的，或者如果朝向支架移植物的端部可以是具有开口端的U形（50）的形式。

公开(公告)号：US20050182476A1

公开(公告)日：2005-08-18

申请号：US10962763

申请日：2004-10-12

申请人： David Hartley ,  John Anderson ,  Roy Greenberg ,  Wolf Stelter

发明人： David Hartley ,  John Anderson ,  Roy Greenberg ,  Wolf Stelter

IPC分类号： A61F2/06

CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/82 ,  A61F2/90 ,  A61F2/958 ,  A61F2/962 ,  A61F2/966 ,  A61F2002/067 ,  A61F2002/9511 ,  A61F2002/9583 ,  A61F2002/9665

摘要： An introduction arrangement for a fenestrated or branched stent graft (13) intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer (1) has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator (11) and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath (15) on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter (22) extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire (29) extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.

摘要翻译： 用于开窗或分枝的支架移植物（13）的引入装置，其用于展开到具有从其延伸的盲血管的血管的内腔中。 导引器（1）具有旨在在使用中保持在患者外部的远端和具有鼻锥形扩张器（11）的近端和用于将分支的支架移植物保持在鼻锥扩张器的远侧的布置。 引导器上的护套（15）在分支支架移植物上延伸到鼻锥扩张器。 留置导管（22）从引导器的远端延伸并进入开窗或侧臂并通过鼻锥扩张器，留置导管具有延伸通过其的导丝（29）。 引导线可以延伸到使用中的鼻锥扩张器之外，然后将护套从分支的支架移植物中取出，使得其可以从对侧动脉中截获。

公开(公告)号：US20070088424A1

公开(公告)日：2007-04-19

申请号：US11524855

申请日：2006-09-21

申请人： Roy Greenberg ,  David Hartley

发明人： Roy Greenberg ,  David Hartley

IPC分类号： A61F2/84

CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2002/061 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2002/9517 ,  A61F2002/9665 ,  A61M25/0152

摘要： A stent graft delivery system in which a stent graft (6) is retained on a delivery device (2) such that a longitudinal portion of the stent graft is releasably retained on the delivery device to bend therewith. The delivery device (2) has a guide wire catheter (3) and the stent graft is retained onto the guide wire catheter by a release wire (24) which can be withdrawn. The release wire is wound around the guide wire catheter and through the stent graft or suture loops engage around the guide wire catheter and release wire.

摘要翻译： 一种支架移植物输送系统，其中支架移植物（6）保持在输送装置（2）上，使得支架移植物的纵向部分可释放地保持在输送装置上以与其一起弯曲。 输送装置（2）具有导丝导管（3），并且支架移植物通过可撤出的释放线（24）保持在导丝导管上。 释放线卷绕在导丝导管上，并且通过支架移植物或缝合线环绕引导线导管和释放线。

公开(公告)号：US20070123910A1

公开(公告)日：2007-05-31

申请号：US11600655

申请日：2006-11-16

申请人： David Hartley ,  Krasnodar Ivancev ,  Roy Greenberg

发明人： David Hartley ,  Krasnodar Ivancev ,  Roy Greenberg

IPC分类号： A61F11/00

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。

公开(公告)号：USD643745S1

公开(公告)日：2011-08-23

申请号：US29388390

申请日：2011-03-29

申请人： David Hartley

设计人： David Hartley

公开(公告)号：US20080114446A1

公开(公告)日：2008-05-15

申请号：US11983144

申请日：2007-11-07

申请人： David Hartley ,  Krasnodar Ivancev

发明人： David Hartley ,  Krasnodar Ivancev

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。

公开(公告)号：US20070219621A1

公开(公告)日：2007-09-20

申请号：US11706114

申请日：2007-02-13

申请人： David Hartley ,  Susan Morriss ,  Werner Ducke ,  Timothy Chuter

发明人： David Hartley ,  Susan Morriss ,  Werner Ducke ,  Timothy Chuter

IPC分类号： A61F2/06 ,  A61F2/88

CPC分类号： A61F2/07 ,  A61F2/88 ,  A61F2/89 ,  A61F2/954 ,  A61F2002/061 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/30327 ,  A61F2002/30461 ,  A61F2002/9665 ,  A61F2220/0075 ,  A61F2250/0039

摘要： A stent graft (10) has a tubular body (12) of a biocompatible material and at least one fenestration (18, 20). The or each fenestration has a tubular side branch stitched into it with a portion of the tubular side branch extending within the tubular body and a portion of the tubular side branch extending exteriorly of the tubular body. The stitching by which the tubular side branch is mounted into the fenestration extends circumferentially and diagonally from one end of the tubular side branch to the other such that the tubular side branch extends from the tubular body at an angle thereto. The tubular side branch has a resilient ring around at least one and preferably both ends thereof and a self expanding stent in between them. The tubular side branch can have a circumferential linear portion (46) at an inner end to engage against the inner wall (58) of the tubular body. The tubular side branch can have a stent made from a single wire forming a first ring (45), a second ring (47), the second ring defining a plane which is substantially parallel to and spaced axially apart from the plane of the first ring and a number of helical wire portions (49) extending between the first and second ring. Preferably the wire is a shape memory wire such as Nitinol™wire.

摘要翻译： 支架移植物（10）具有生物相容性材料的管状体（12）和至少一个开窗（18,20）。 该开口或每个开窗部具有管状侧分支，其中管状侧分支的一部分在管状体内延伸，并且管状侧分支的一部分延伸到管状体的外部。 管状侧分支被安装在开窗中的缝合从管状侧分支的一端沿圆周和对角地延伸到另一端，使得管状侧分支以一定角度从管状体延伸。 管状侧分支具有围绕其至少一个且优选两端的弹性环和位于它们之间的自扩张支架。 管状侧分支可以在内端具有圆周直线部分（46），以与管状体的内壁（58）接合。 管状侧分支可以具有由形成第一环（45）的单个线制成的支架，第二环（47），第二环限定与第一环的平面基本上平行并与其轴向隔开的平面 以及在第一和第二环之间延伸的多个螺旋形线部分（49）。 优选地，导线是诸如Nitinol TM线的形状记忆线。