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公开(公告)号:US08728145B2
公开(公告)日:2014-05-20
申请号:US13335142
申请日:2011-12-22
IPC分类号: A61F2/06
CPC分类号: A61F2/915 , A61F2/07 , A61F2/856 , A61F2/86 , A61F2/89 , A61F2002/065 , A61F2002/075 , A61F2002/8486 , A61F2002/91516 , A61F2230/0013 , A61F2230/005 , A61F2230/0054 , A61F2230/0067
摘要: Various stents and stent-graft systems for treatment of medical conditions are disclosed. In one embodiment, an exemplary stent-graft comprises first and second stents, which each may comprise a series of distal apices disposed distal to a proximal end of the graft, and a series of proximal apices disposed proximally beyond the proximal end of the graft. In one example, the first stent comprises a first uniform segment, and the second stent comprises a second uniform wire segment, where the first uniform segment comprises portions disposed both internal and external to the second uniform wire segment.
摘要翻译: 公开了用于治疗医疗条件的各种支架和支架移植系统。 在一个实施例中,示例性支架移植物包括第一和第二支架,每个支架可以包括远离移植物的近端设置的一系列远侧顶点,以及近侧顶点,其位于移植物的近端附近。 在一个示例中,第一支架包括第一均匀区段,并且第二支架包括第二均匀线段,其中第一均匀区段包括设置在第二均匀线段内部和外部的部分。
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公开(公告)号:US08480726B2
公开(公告)日:2013-07-09
申请号:US13405919
申请日:2012-02-27
申请人: Kylie F. Cunningham , Werner Dieter Ducke , David Ernest Hartley , Chantelle King , Blayne A. Roeder
发明人: Kylie F. Cunningham , Werner Dieter Ducke , David Ernest Hartley , Chantelle King , Blayne A. Roeder
IPC分类号: A61F2/06
CPC分类号: A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075 , A61F2002/9511 , A61F2250/0059 , A61F2250/006
摘要: A stent graft (10) has a tubular body with a side aperture (16) covered by a valve arrangement (18) and an arrangement to hold the valve open (32) with a release wire (30). Retraction of the release wire closes the valve. The stent graft can have a tubular body with a first bifurcation (134) with first and second legs (130, 132) extending from the bifurcation. The side aperture and valve arrangement can be in one of the legs. One of the legs (132) has a further bifurcation (142) to define a side arm (140). The stent graft can be deployed into the vasculature of a patient with the tubular body being in an aorta of the patient, a first leg extending down an iliac artery, a second leg being directed towards a contralateral iliac artery and the side arm directed to an internal artery of the contralateral iliac artery.
摘要翻译: 支架移植物(10)具有管状体,其具有由阀装置(18)覆盖的侧孔(16),以及用于将释放线(30)保持在阀(32)上的装置。 释放线的回缩将关闭阀门。 支架移植物可以具有带有第一分叉(134)的管状体,第一和第二腿(130,132)从分叉延伸。 侧孔和阀布置可以在一个腿中。 腿部(132)中的一个具有进一步的分叉(142)以限定侧臂(140)。 支架移植物可以部署到患者的脉管系统中,其中管状体位于患者的主动脉中,第一腿向下延伸到髂动脉,第二腿指向对侧髂动脉,并且侧臂指向一个 髂内动脉内侧动脉。
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公开(公告)号:US20120290068A1
公开(公告)日:2012-11-15
申请号:US13460036
申请日:2012-04-30
申请人: Blayne A. Roeder , Matthew S. Huser
发明人: Blayne A. Roeder , Matthew S. Huser
IPC分类号: A61F2/06
CPC分类号: A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/9511 , A61F2220/0066 , A61F2220/0075 , A61F2250/0006 , A61F2250/001
摘要: A prosthesis may be used for treatment of an aneurysmal body vessel. The prosthesis may include a prosthetic trunk and a prosthetic branch. The prosthetic trunk may include a graft body, an open first end, an open second end, and a trunk lumen extending therebetween. The prosthetic branch may include a graft body, an open first end, an open second end, and a branch lumen extending therebetween. The first end of the prosthetic branch may be attached to the prosthetic trunk, and the branch lumen may be in fluid communication with the trunk lumen. The prosthetic branch may be movable in relation to the prosthetic trunk between neutral, right biased, and left biased configurations. First and second releasable steering members may be associated with the respective first and second biased configurations and may cooperatively retain the prosthetic branch in the neutral configuration.
摘要翻译: 假体可用于治疗动脉瘤体血管。 假体可以包括假肢躯干和假肢分支。 假体躯干可以包括移植物体,开放的第一端,开放的第二端和在它们之间延伸的躯干腔。 假肢分支可以包括移植物体,开放的第一端,开放的第二端和在它们之间延伸的分支腔。 假肢分支的第一端可以附接到假肢躯干,并且分支腔可以与躯干腔流体连通。 假肢分支可以在中性,右偏压和左偏置构型之间相对于假肢干线移动。 第一和第二可释放的转向构件可以与相应的第一和第二偏置构造相关联,并且可以协调地将假肢支撑保持在中立构型中。
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公开(公告)号:US20120259408A1
公开(公告)日:2012-10-11
申请号:US13517954
申请日:2010-12-09
申请人: Blayne A. Roeder , Alan R. Leewood
发明人: Blayne A. Roeder , Alan R. Leewood
IPC分类号: A61F2/82
CPC分类号: A61F2/848 , A61F2/915 , A61F2002/075 , A61F2002/8483 , A61F2220/0016 , A61F2220/0058
摘要: An implantable medical support frame (104) having a central longitudinally extending axis is expandable from a collapsed configuration having a first diameter to an expanded configuration having a second diameter. The frame also includes an anchoring mechanism with an elongate member (110). At least a portion of the elongate member is slidably disposed within a retaining structure when the frame is in the collapsed configuration. When the frame expands from the collapsed configuration to the expanded configuration, a portion of the elongate member is advanced out of the retaining structure such that the portion of the elongate member protrudes radially outward of the frame at an angle to the axis, thereby forming an anchor. A length of the protruding portion of the anchor increases as the frame expands from the collapsed configuration to the expanded configuration.
摘要翻译: 具有中心纵向延伸轴线的可植入医疗支撑框架(104)从具有第一直径的收缩构造可扩展至具有第二直径的扩张构型。 框架还包括具有细长构件(110)的锚固机构。 当框架处于折叠构型时,细长构件的至少一部分可滑动地设置在保持结构内。 当框架从折叠构型膨胀到扩展构型时,细长构件的一部分从保持结构中推出,使得细长构件的该部分以与轴线成一定角度的径向向外突出地突出,从而形成 锚。 锚的突出部分的长度随着框架从折叠构型扩展到扩展构型而增加。
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25.
公开(公告)号:US20120172965A1
公开(公告)日:2012-07-05
申请号:US13331935
申请日:2011-12-20
CPC分类号: A61F2/962 , A61F2/07 , A61F2002/9511 , A61F2002/9665
摘要: A delivery system may include a stent-graft, a locking member, and one or more diameter reducing members. The stent-graft may include a tubular graft comprising first and second longitudinally extending sides disposed opposite each other and connected at a tangent line. When the locking member is in a locked position, the locking member restrains a surface of the graft against the cannula. The first diameter reducing member may be slidably connected to a first portion of the graft that is disposed proximate the tangent line and may be slidably connected to a second portion of the graft that is spaced circumferentially away from the tangent line. When the first diameter reducing member is in a restrained position, the second portion of the graft is drawn toward the first portion of the graft and the proximal portion of the stent-graft has a reduced diameter configuration with at least two lobes.
摘要翻译: 递送系统可以包括支架移植物,锁定构件和一个或多个直径减小构件。 支架移植物可以包括管状移植物,其包括彼此相对设置并且以切线连接的第一和第二纵向延伸的侧面。 当锁定构件处于锁定位置时,锁定构件将移植物的表面限制在套管上。 第一直径减小构件可以可滑动地连接到邻近切线设置的移植物的第一部分,并且可以可滑动地连接到移植物的第二部分,该移植物的第二部分周向地远离切线。 当第一直径减小构件处于约束位置时,移植物的第二部分被拉向移植物的第一部分,并且支架移植物的近端部分具有至少两个瓣的直径减小的构型。
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公开(公告)号:US20120116496A1
公开(公告)日:2012-05-10
申请号:US13286407
申请日:2011-11-01
IPC分类号: A61F2/82
CPC分类号: A61F2/2418 , A61F2/2412 , A61F2220/0016 , A61F2230/0019 , A61F2230/0078
摘要: The present embodiments provide a medical device for implantation in a patient comprising a stent and a valve. The stent comprises a proximal region comprising a cylindrical shape having a first outer diameter in an expanded state, and a distal region comprising a cylindrical shape having a second outer diameter in the expanded state. The second outer diameter is greater than the first outer diameter. A proximal region of the valve is at least partially positioned within the proximal region of the stent, and the distal region of the valve is at least partially positioned within one of tapered and distal regions of the stent. When implanted, the proximal region of the stent and the proximal region of the valve are aligned with a native valve, and the distal region of the valve is distally spaced-apart from the native valve.
摘要翻译: 本实施例提供了用于植入患者的医疗装置,其包括支架和阀。 所述支架包括近端区域,所述近端区域包括具有处于展开状态的第一外径的圆柱形形状,以及远侧区域,所述远端区域包括处于展开状态的具有第二外径的圆柱形形状。 第二外径大于第一外径。 瓣膜的近端区域至少部分地定位在支架的近侧区域内,并且瓣膜的远端区域至少部分地定位在支架的锥形和远端区域之一内。 当植入时,支架的近端区域和瓣膜的近侧区域与天然瓣膜对准,并且瓣膜的远端区域与天然瓣膜远离间隔开。
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公开(公告)号:US08163007B2
公开(公告)日:2012-04-24
申请号:US12364162
申请日:2009-02-02
IPC分类号: A61F2/86
CPC分类号: A61F2/95 , A61F2/91 , A61F2002/8486 , A61F2002/9505 , A61F2002/9511 , A61F2002/9665 , A61F2220/0016 , A61F2220/0075 , A61F2230/0013 , A61F2250/0063
摘要: The present embodiments provide a stent for use in a medical procedure that comprises a series of proximal apices disposed at a proximal end of the stent and a series of distal apices disposed at a distal end of the stent. A trigger wire is adapted to be coupled to at least one of the proximal apices to restrain a proximal end of the stent during delivery. In a first embodiment, a first proximal apex comprises a bore for receiving the trigger wire, and a second proximal apex, disposed adjacent to the first proximal apex, comprises at least one barb. The trigger wire therefore is only coupled to selected ones of the proximal apices. In an alternative embodiment, a first proximal apex comprises a first bore and a second, adjacent proximal apex comprises a second bore, such that a single trigger wire may be disposed through the first and second bores to restrain the first and second proximal apices during delivery.
摘要翻译: 本实施例提供了一种用于医疗过程的支架,其包括设置在支架近端的一系列近侧顶点和设置在支架远端的一系列远端顶点。 触发线适于联接到近端顶点中的至少一个,以在输送期间约束支架的近端。 在第一实施例中,第一近端顶点包括用于接收触发线的孔,以及邻近第一近端顶点设置的第二近端顶点,包括至少一个倒钩。 因此,触发线仅耦合到近端顶点中的选定的一个。 在替代实施例中,第一近端顶点包括第一孔,并且第二相邻近端顶点包括第二孔,使得单个触发器线可以穿过第一孔和第二孔布置以在输送期间约束第一和第二近端顶点 。
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公开(公告)号:US20120046728A1
公开(公告)日:2012-02-23
申请号:US13213349
申请日:2011-08-19
IPC分类号: A61F2/82
CPC分类号: A61F2/07 , A61F2/856 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/821 , A61F2220/005 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2230/0067
摘要: The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches.
摘要翻译: 本公开涉及一种腔内假体,例如包括一个或多个开窗以适应血管内疾病的支架移植物,例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面,假体包括可枢转以适应主动脉分支的动态几何形状的开窗。
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公开(公告)号:US20120029624A1
公开(公告)日:2012-02-02
申请号:US13257073
申请日:2010-03-15
摘要: A hybrid stent (100) includes at least one resilient ring (105) comprising a superelastic wire (102) formed in a sinusoidal pattern of alternating crests (110) and troughs (115) about a circumference of the ring (105). A plurality of malleable cannula segments (120) overlie the superelastic wire at the crests and troughs. Each of the cannula segments (120) includes a bend (125) and has an inner diameter sized to allow relative motion between the wire (102) and the cannula segment (120). The hybrid stent (100) may also include a plurality of gaps (130), where each gap (130) is defined by a spacing between opposing cannula segments (120). Deformation of the malleable cannula segments (120) dominates a response of the stent to substantially uniform radial forces, and deformation of the resilient ring (105) dominates a response of the stent to radially nonuniform crushing forces.
摘要翻译: 混合支架(100)包括至少一个弹性环(105),弹性环包括围绕环(105)的圆周以交替的波峰(110)和槽(115)形成的正弦图案的超弹性线(102)。 多个可延展的套管段(120)覆盖在顶部和凹槽处的超弹性线。 插管段(120)中的每一个包括弯曲部(125),并具有尺寸设定成允许线(102)和套管段(120)之间的相对运动的内径。 混合支架(100)还可以包括多个间隙(130),其中每个间隙(130)由相对的套管段(120)之间的间隔限定。 可塑性插管段(120)的变形支配支架基本上均匀的径向力的响应,并且弹性环(105)的变形支配支架对径向不均匀的破碎力的响应。
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公开(公告)号:US20110313512A1
公开(公告)日:2011-12-22
申请号:US12912175
申请日:2010-10-26
IPC分类号: A61F2/82
CPC分类号: A61F2/07 , A61F2/89 , A61F2002/061 , A61F2220/0075
摘要: A stent graft has a tubular side arm which can be angled proximally and distally and from side to side. The wall of the stent graft in the vicinity of the side arm has a loose fold of the graft material and the side arm is fastened to the loose fold of graft material. The tubular side arm has an inner end and an outer end and is fastened into the loose fold of graft material by a circumferential fastening around the tubular side arm between the inner end and the outer end so that the tubular side arm extends partially within the tubular body of the stent graft and partially outside the tubular body of the stent graft. The loose fold of graft material can be formed by the graft material defining a recess in the wall of the stent graft. To enable movement or angulation proximally and distally and from side to side the loose fold of graft material is provided both proximally and distally of the tubular side arm and circumferentially to each side of the tubular side arm.
摘要翻译: 支架移植物具有管状侧臂,其能够在近端和远端并且从一侧到另一侧成角度。 在侧臂附近的支架移植物的壁具有移植材料的松散折叠,并且侧臂被紧固到移植物材料的松散褶皱上。 管状侧臂具有内端和外端,并且通过在内端和外端之间围绕管状侧臂的周向紧固而紧固到移植材料的松动折叠中,使得管状侧臂部分地在管状侧壁内延伸 支架植入物的主体和部分位于支架移植物的管状体外部。 接枝材料的松散折叠可以通过在支架移植物的壁中限定凹部的移植材料形成。 为了使近端和远端以及从一侧到另一侧的移动或角度,移植材料的松散折叠被提供在管状侧臂的近端和远端,并且周向地设置在管状侧臂的每一侧。
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