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公开(公告)号：US07407509B2
公开(公告)日：2008-08-05
申请号：US11403605
申请日：2006-04-13
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/068 , A61F2002/075 , A61F2250/0063
摘要： An endoluminal prosthesis comprises a prosthetic trunk comprising a trunk lumen extending therethrough, a wall, an anastomosis in the wall, and a first fenestration in the wall, wherein the prosthetic trunk has a circumference. The endoluminal prosthesis further comprises a prosthetic branch comprising a branch lumen extending therethrough. The branch lumen is in fluid communication with the trunk lumen through the anastomosis. The prosthetic branch is disposed longitudinally along and circumferentially about the prosthetic trunk.
摘要翻译： 腔内假体包括假肢躯干，其包括延伸穿过其中的躯干腔，壁，壁中的吻合以及壁中的第一开窗，其中所述假肢躯干具有圆周。 腔内假体还包括假肢分支，其包括延伸穿过其中的分支腔。 分支内腔通过吻合与躯干腔流体连通。 假肢分支沿着假肢躯干纵向并沿周向设置。
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12.发明授权Endoluminal prosthesis having multiple branches or fenestrations and methods of deployment 有权具有多个分支或开窗和部署方法的腔内假体公开(公告)号：US09149382B2
公开(公告)日：2015-10-06
申请号：US13457092
申请日：2012-04-26
CPC分类号： A61F2/07 , A61F2/06 , A61F2/82 , A61F2/86 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/072 , A61F2002/075 , A61F2002/821 , A61F2002/826 , A61F2002/9665 , A61F2220/0075 , A61F2230/0091 , A61F2250/0007 , A61F2250/0017 , A61F2250/0018 , A61F2250/0039
摘要： A system for facilitating deployment of an endoluminal prosthesis may include a main tubular graft body including a proximal end opening, a distal end opening, a lumen, and a sidewall. A branch may extend from the sidewall and may include a first end opening, a second end opening, and a lumen. A fenestration may be disposed in the sidewall and positioned distal of the second end opening of the branch. A wire segment may include a proximal portion positioned proximal of the proximal end opening and a distal portion positioned distal of the distal end opening. The wire segment extend through the fenestration and through the lumen of the branch in a preloaded configuration.
摘要翻译： 用于促进内腔假体的展开的系统可以包括主管状移植物体，其包括近端开口，远端开口，内腔和侧壁。 分支可以从侧壁延伸并且可以包括第一端部开口，第二端部开口和内腔。 开窗可以设置在侧壁中并且定位在分支的第二端开口的远侧。 线段可以包括位于近端开口的近侧的近端部分和位于远端开口远端的远端部分。 线段以预加载的配置延伸穿过开窗并通过分支的内腔。
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公开(公告)号：US09101456B2
公开(公告)日：2015-08-11
申请号：US13061065
申请日：2009-08-25
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2250/0039
摘要： A stent graft (2) for placement in the thoracic arch of a patient has a first tubular body portion (6) with a first lumen therein for placement in the ascending aorta of a patient and a second tubular body portion (8) to extend along the thoracic arch and down the descending aorta. The second tubular body portion is of a lesser diameter than the first tubular body portion. There is a step portion (10) between the first body portion and the second body portion. The step portion is joined to and continuous with the first portion and the second portion. A first side of each of the first body portion, the step portion and the second body portion are substantially aligned so that there is a step (18) defined on a second side opposite to the first side of the body portion. There is an aperture (30) in the step portion and an internal tube (32) extending from the aperture towards the first body portion. The internal tube is divided along part of its length into at least two smaller internal tubes (34, 36) with the smaller internal tubes opening into the first lumen.
摘要翻译： 用于放置在患者的胸廓弓中的支架移植物（2）具有第一管状体部分（6），其中具有第一内腔，用于放置在患者的升主动脉中，并且第二管状体部分（8）沿着 胸廓弓下降主动脉。 第二管状体部分的直径比第一管状体部分小。 在第一主体部分和第二主体部分之间具有台阶部分（10）。 台阶部分与第一部分和第二部分连接并连续。 第一主体部分，台阶部分和第二主体部分中的每一个的第一侧基本上对齐，使得在与主体部分的第一侧相对的第二侧上限定有台阶（18）。 台阶部分上有一个孔（30）和一个从孔向第一主体部分延伸的内管（32）。 内管沿其长度的一部分被分成至少两个较小的内管（34,36），其中较小的内管开入第一管腔。
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14.发明授权Apparatus and methods for repairing the function of a diseased valve and method for making same 有权用于修复患病阀的功能的装置和方法及其制造方法公开(公告)号：US08979924B2
公开(公告)日：2015-03-17
申请号：US12847047
申请日：2010-07-30
申请人： Roy K. Greenberg
发明人： Roy K. Greenberg
IPC分类号： A61F2/24
CPC分类号： A61F2/2418 , A61F2/2409 , A61F2/2475 , A61F2/856 , A61F2220/0008 , A61F2220/0016 , A61F2220/0066 , A61F2230/0017
摘要： An apparatus for repairing the function of a diseased valve includes an annular first support member expandable to a first diameter. An annular second support member is spaced axially apart from the first support member and is expandable to a second diameter that is independent of the first diameter. A tubular graft section interconnects the first and second support members. The graft section defines an annulus having a third diameter that is independent of each of the first and second diameters. A prosthetic valve is secured within the annulus of the graft section. The bioprosthetic valve has at least two valve leaflets that are coaptable to permit the unidirectional flow of blood. Methods for repairing the function of a diseased valve and for making the apparatus are also provided.
摘要翻译： 用于修复患病阀的功能的装置包括可扩展到第一直径的环形第一支撑构件。 环形第二支撑构件与第一支撑构件轴向隔开并且可扩张到独立于第一直径的第二直径。 管状移植部分将第一和第二支撑构件相互连接。 移植部分限定具有独立于第一和第二直径中的每一个的第三直径的环带。 假体瓣膜固定在移植物部分的环空中。 生物假体瓣膜具有至少两个适合于允许血液单向流动的瓣膜小叶。 还提供了用于修复患病阀的功能和制造该装置的方法。
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公开(公告)号：US08911488B2
公开(公告)日：2014-12-16
申请号：US13059499
申请日：2009-08-24
CPC分类号： A61M25/09 , A61F2/07 , A61F2/95 , A61F2002/9517 , A61M29/00 , A61M2025/0681
摘要： A stent graft delivery device (30) has a pull wire arrangement with a pull wire (46) fastened to the distal end of a nose cone dilator (45) and extending to a wire pull mechanism (60) for the pull wire associated with a handle (52) of the stent graft delivery device. The pull wire can be pulled by the wire pull mechanism to induce a curve in a guide wire catheter (44) distally of the nose cone dilator such that the proximal end of the delivery device more closely fits the shape of a portion of the vasculature of a patient into which the device is deployed.
摘要翻译： 支架移植物输送装置（30）具有牵引线装置，其具有紧固到鼻锥扩张器（45）的远端的拉线（46）并且延伸到用于与线的拉线相关联的拉线的拉线机构（60） 支架移植物输送装置的手柄（52）。 拉线可以通过拉线机构拉动，以引导鼻锥形扩张器远端的导丝导管（44）中的曲线，使得输送装置的近端更紧密地配合脉管系统的一部分的形状 设备部署到的患者。
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16.发明申请公开(公告)号：US20130046371A1
公开(公告)日：2013-02-21
申请号：US13457092
申请日：2012-04-26
CPC分类号： A61F2/07 , A61F2/06 , A61F2/82 , A61F2/86 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/072 , A61F2002/075 , A61F2002/821 , A61F2002/826 , A61F2002/9665 , A61F2220/0075 , A61F2230/0091 , A61F2250/0007 , A61F2250/0017 , A61F2250/0018 , A61F2250/0039
摘要： A system for facilitating deployment of an endoluminal prosthesis may include a main tubular graft body including a proximal end opening, a distal end opening, a lumen, and a sidewall. A branch may extend from the sidewall and may include a first end opening, a second end opening, and a lumen. A fenestration may be disposed in the sidewall and positioned distal of the second end opening of the branch. A wire segment may include a proximal portion positioned proximal of the proximal end opening and a distal portion positioned distal of the distal end opening. The wire segment extend through the fenestration and through the lumen of the branch in a preloaded configuration.
摘要翻译： 用于促进内腔假体的展开的系统可以包括主管状移植物体，其包括近端开口，远端开口，内腔和侧壁。 分支可以从侧壁延伸并且可以包括第一端部开口，第二端部开口和内腔。 开窗可以设置在侧壁中并且定位在分支的第二端开口的远侧。 线段可以包括位于近端开口的近侧的近端部分和位于远端开口远端的远端部分。 线段以预加载的配置延伸穿过开窗并通过分支的内腔。
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公开(公告)号：US20120197383A1
公开(公告)日：2012-08-02
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
IPC分类号： A61F2/06
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：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：US20120010696A1
公开(公告)日：2012-01-12
申请号：US13240339
申请日：2011-09-22
IPC分类号： A61F2/84
CPC分类号： A61F2/07 , A61F2/89 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2230/005 , A61F2230/0054 , A61F2230/0067
摘要： A stent graft introducer for intraluminal deployment of a stent graft (26), the introducer comprising a stent graft release mechanism (6) to allow partial release of the stent graft (26) when carried on the introducer, whereby control of the stent graft can be maintained while allowing access into the lumen of the stent graft from at least one end of the stent graft. The partial release can comprise partial release of one end of the stent graft.
摘要翻译： 一种用于腔内部署支架移植物（26）的支架移植物引导器，所述导引器包括支架移植物释放机构（6），以在承载在所述导引器上时允许所述支架移植物（26）的部分释放，由此所述支架植入物的控制 保持同时允许从支架移植物的至少一端进入支架移植物的内腔。 部分释放可以包括部分释放支架移植物的一端。
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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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