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公开(公告)号：US5824041A
公开(公告)日：1998-10-20
申请号：US683806
申请日：1996-06-28
申请人： Jay A. Lenker , Kirsten Freislinger , Michael A. Evans , Gwendolyn A. Watanabe , Timothy J. Ryan , Christopher K. Zarins , Richard O. Murphy
发明人： Jay A. Lenker , Kirsten Freislinger , Michael A. Evans , Gwendolyn A. Watanabe , Timothy J. Ryan , Christopher K. Zarins , Richard O. Murphy
CPC分类号： A61F2/07 , A61F2/91 , A61F2/915 , A61F2/966 , A61F2/97 , A61F2/0095 , A61F2/848 , A61F2/89 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/826 , A61F2002/91541 , A61F2002/9511 , A61F2002/9522 , A61F2002/9534 , A61F2002/9665 , A61F2210/0019 , A61F2220/0058 , A61F2220/0075 , A61F2230/0054 , A61F2240/001 , A61F2250/0098
摘要： A delivery catheter for a radially compressible tubular prosthesis comprises an elongate shaft slidably received within an elongate sheath. The prosthesis is carried over the distal end of the shaft where it is contained in a radially compressed configuration by the sheath. After introducing the catheter to a desired target location within a body lumen, the prosthesis may be released by proximally retracting the sheath. The prosthesis will remain anchored to the shaft during at least part of the release procedure, permitting the user to recapture the prosthesis by distally advancing the sheath.
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公开(公告)号：US5749921A
公开(公告)日：1998-05-12
申请号：US603755
申请日：1996-02-20
CPC分类号： A61F2/95 , A61F2/07 , A61F2002/9511 , A61F2002/9522 , A61F2002/9528
摘要： The present invention provides devices and methods to promote the compression and/or recapture of endoluminal prostheses. An endoluminal prosthesis system generally comprises a tubular body and a radially compressible endoluminal prosthesis. The tubular body includes a lumen, while the prosthesis has a proximal end with a plurality of engageable structures radially disbursed thereabout. Each of a plurality of filaments extends distally from the lumen of the tubular body to an engageable structure so that tensioning of the filaments radially compresses the proximal end of the prosthesis. Preferably, a sheath then slides over the prosthesis, the sheath ideally having a plurality of axially oriented runners which form a radially flared structure to smoothly compress the prosthesis therebetween.
摘要翻译： 本发明提供了用于促进腔内假体的压缩和/或再捕获的装置和方法。 腔内假体系统通常包括管状体和径向可压缩的腔内假体。 管状体包括内腔，而假体具有近端，多个可接合结构在其周围径向分布。 多根细丝中的每一根从管状体的内腔向远端延伸到可接合的结构，使得细丝的张紧径向地压缩假体近端。 优选地，护套然后在假体上滑动，护套理想地具有多个轴向定向的流道，其形成径向展开的结构以在其间平滑地压缩假体。
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公开(公告)号：US5074855A
公开(公告)日：1991-12-24
申请号：US639921
申请日：1991-01-10
CPC分类号： A61F13/47209 , A61F2/0009 , A61F5/4401 , A61F5/48 , A61F13/82
摘要： A device for controlling urinary incontinence in a human female, comprising a resilient pad, configured to seal against and occlude the urethral meatus of the user. The pad includes a base that is adapted to seat against the vestibule of the user's vulva, anteriorly of the vaginal orifice, thereby covering the urethral meatus. An adhesive is provided on the base to seal against and occlude the urethral meatus, and to retain the pad in place against the vestibule. The pad has lateral edges that fit inside the labia minora of the user, to aid in retention of the device. The surface of the pad opposite the base is formed into a longitudinal stiffening ridge that extends into the interlabial space. A handle is attached to the ridge to facilitate removal.
摘要翻译： 一种用于控制人类雌性尿失禁的装置，包括弹性垫，其构造成密封和封闭使用者的尿道口。 该垫包括适于抵靠使用者外阴前庭的阴道的阴前口的底座，从而覆盖尿道口。 在基部上设置粘合剂以密封和封闭尿道口，并将垫保持在与前庭相对的位置。 垫具有适合使用者阴唇内侧的侧边缘，以帮助保持装置。 与基座相对的垫的表面形成为延伸到阴唇间空间的纵向加强脊。 手柄连接到脊以便于移除。
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公开(公告)号：US5030227A
公开(公告)日：1991-07-09
申请号：US360088
申请日：1989-06-01
CPC分类号： A61M25/1011 , A61M29/02 , A61M2025/0004 , A61M2025/1072
摘要： Disclosed is an apparatus and method for the treatment of the symptoms of obstructive prostatism. The apparatus comprises an expandable dilation catheter and preferably an axially elongate sheath, adapted for transurethral insertion via the external opening of the urethra. The sheath is ellipsoid in cross-section, and provides an initial path through which the catheter and a standard cystoscope lens is guided. The dilation catheter or the sheath are provided with a non-radiological locating means for positioning the dilation portion of the catheter with respect to an anatomical landmark. Once the catheter has been properly positioned with respect to both the bladder neck and the sphincter, the dilation balloon may be inflated to force open the affected prostatic urethra and eliminate the obstruction.
摘要翻译： 公开了一种治疗阻塞性前列腺症症状的装置和方法。 该装置包括可膨胀的扩张导管，优选地是轴向细长的护套，适于经由尿道的外部开口经尿道插入。 护套是椭圆形的横截面，并且提供了导管和标准的膀胱镜镜片被引导通过的初始路径。 扩张导管或护套设置有非放射性定位装置，用于相对于解剖学标记定位导管的扩张部分。 一旦导管已经相对于膀胱颈和括约肌适当地定位，则膨胀气球可以被充气以迫使打开受影响的前列腺尿道并消除阻塞。
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公开(公告)号：US4629459A
公开(公告)日：1986-12-16
申请号：US566133
申请日：1983-12-28
申请人： Marian I. Ionescu , Jay A. Lenker , Philip S. Yang
发明人： Marian I. Ionescu , Jay A. Lenker , Philip S. Yang
CPC分类号： A61F2/2412 , A61F2220/0075 , Y10S623/90
摘要： A prosthetic heart valve comprising a stent having an annular base and a plurality of legs extending upwardly from said base; a valve element circumscribing said stent and attached thereto, said valving element comprising a number of cooperating valve leaflets equal to the number of said legs; and a layer of biologically-compatible material secured to said stent and positioned between said stent and said leaflets, said layer having a smooth, non-abrasive outer surface and covering all of the surfaces of said stent that, in the absence of said layer, would contact the mobile portions of said leaflets during the normal function of the valve.
摘要翻译： 一种假体心脏瓣膜，包括具有环形基部和从所述基部向上延伸的多个腿的支架; 围绕所述支架并附接到其上的阀元件，所述阀元件包括多个等于所述支腿数量的配合的瓣叶; 以及固定到所述支架并定位在所述支架和所述小叶之间的生物相容材料层，所述层具有光滑的非研磨性外表面并且覆盖所述支架的所有表面，所述表面在没有所述层的情况下， 将在阀的正常功能期间接触所述传单的移动部分。
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公开(公告)号：US08900191B2
公开(公告)日：2014-12-02
申请号：US12781916
申请日：2010-05-18
申请人： Jay A. Lenker , Joseph Bishop , George F. Kick , Edward J. Nance
发明人： Jay A. Lenker , Joseph Bishop , George F. Kick , Edward J. Nance
CPC分类号： A61M25/0662 , A61M2025/0024
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of balloon counterpulsation catheters. The access route is through the femoral arteries and the iliac arteries into the aorta, where an intra-aortic balloon pump catheter is positioned to provide cardiac support. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device.
摘要翻译： 公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。 鞘被配置为用于血管系统，并且可用于引入和移除球囊反搏导管。 进入路径是通过股动脉和髂动脉进入主动脉，其中主动脉内球囊泵导管被定位成提供心脏支持。 护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。 随后使用径向扩张装置使护套的远端膨胀。
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公开(公告)号：US08759602B2
公开(公告)日：2014-06-24
申请号：US13596246
申请日：2012-08-28
IPC分类号： A61F13/00
CPC分类号： A61B17/1325 , A61F13/00034 , A61F13/022 , A61F13/0246 , A61F13/0273 , A61F13/36 , A61F2013/00387 , A61F2013/00463 , A61F2013/00468 , A61F2013/0054 , A61F2013/00548 , A61F2013/00565 , A61F2013/0074
摘要： Devices and methods are disclosed for achieving hemostasis in traumatized patients. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery or military setting. The patient may have received trauma to abdominal viscera, the thoracic cavity or the periphery. The devices utilize fluid impermeable outer surfaces and distributed pressure to achieve tamponade and hemostasis, primarily by exertion of pressure. The devices come in a variety of configurations including sheet, rolled sheet, folded sheet and polygonal solids including extruded shapes. The devices are capable of serving as carriers for thrombogenic or anti-pathogenic agents. The devices are flexible, bendable, and conformable in their wet or dry state so that they exert distributed pressure on the wound. The hemostatic packing devices may be placed and removed by open surgery or laparoscopic access without generating excessive re-bleeding, and may further comprise antimicrobial or thrombogenic regions.
摘要翻译： 公开了用于实现创伤患者止血的装置和方法。 这种止血性包装装置和方法在紧急，创伤手术或军事设置中特别有用。 患者可能已经受到腹部脏器，胸腔或周边的创伤。 这些装置利用流体不可渗透的外表面和分布的压力来实现填塞和止血，主要是通过施加压力。 这些装置具有各种构造，包括片材，轧制板，折叠片和包括挤出形状的多边形固体。 该装置能够作为血栓形成或抗病原体的载体。 这些装置在湿或干燥状态下是柔性的，可弯曲的并且适应，使得它们对伤口施加分布的压力。 止血包装装置可以通过开放手术或腹腔镜进入而放置和移除，而不会产生过度的再出血，并且还可以包括抗微生物或血栓形成区域。
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公开(公告)号：US08556933B2
公开(公告)日：2013-10-15
申请号：US13385170
申请日：2012-02-06
申请人： Robert F. Buckman , Jay A. Lenker
发明人： Robert F. Buckman , Jay A. Lenker
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B6/12 , A61B6/485 , A61B2017/081 , A61B2017/088
摘要： Surgical bolts are useful for solid visceral wound hemostasis. The devices utilize flexible, variable depth transfixing bolts that penetrate the viscera. These bolts bring the tissue into apposition and hold said tissue in apposition while the wound heals. These bolts, or soft tissue rivets, overcome the limitations of sutures that are currently used for the same purposes. The devices are flexible, bendable, and conformable in their wet or dry state. The bolts include pressure plates that are capable of exerting compressive pressure over broad areas of visceral wounds without causing tearing of the friable parenchyma. The bolts are placed and removed by open surgery or laparoscopic access. The bolts can be placed into tissue where both sides of the bolt are exposed, or they can be placed blindly into tissue where the bolt does not protrude out of the tissue at its distal end.
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公开(公告)号：US08480606B2
公开(公告)日：2013-07-09
申请号：US12925922
申请日：2010-11-02
申请人： David W. Wieting , Jay A. Lenker
发明人： David W. Wieting , Jay A. Lenker
CPC分类号： A61M1/3633 , A61M1/1658 , A61M1/3626 , A61M1/3627 , A61M1/3666 , A61M1/3667 , A61M5/36 , A61M2205/75 , A61M2205/7527 , A61M2206/16 , B01D19/0031 , B01D19/0057 , B01D19/0094 , B01D2247/10 , B01D2247/101 , B01D2247/108 , B04C3/00 , B04C3/06 , B04C5/02 , B04C5/04 , B04C5/08 , B04C5/107 , B04C9/00 , B04C2009/004 , B04C2009/007
摘要： A system is disclosed for removing gas bubbles from blood during circulatory assist procedures. Such bubbles are generated, along with particulate matter, in an extracorporeal circulatory bypass system by the pump, oxygenator and other components. Current filters are inefficient at removing small bubbles that can cause neurological defects and renal and other organ failures in the patient. An active filter apparatus and method is disclosed that forces the bubbles to the center of the system where they are removed from the blood before the blood exits the filter. The filter comprises an axially elongate cylindrical shell with a blood inlet, a blood outlet and a gas outlet. A motor driven impeller spins the blood within the shell and forces the gas toward the center by centripetal force, utilizing the buoyancy effects of the bubbles in blood, whereby the bubbles can be bled off at the center of the filter.
摘要翻译： 公开了一种在循环辅助过程中从血液中除去气泡的系统。 这些气泡与颗粒物质一起通过泵，氧合器和其它组分在体外循环旁路系统中产生。 电流过滤器在去除可能导致神经缺陷和患者中肾脏和其他器官衰竭的小气泡方面效率不高。 公开了一种有源过滤装置和方法，其将气泡迫使系统的中心，在血液离开过滤器之前将其从血液中取出。 过滤器包括具有血液入口，血液出口和气体出口的轴向细长的圆柱形壳体。 电机驱动的叶轮将壳体内的血液旋转并通过向心力将气体推向中心，利用气泡在血液中的浮力作用，从而可以在过滤器的中心排出气泡。
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公开(公告)号：US20120323155A1
公开(公告)日：2012-12-20
申请号：US13596246
申请日：2012-08-28
IPC分类号： A61F13/00
CPC分类号： A61B17/1325 , A61F13/00034 , A61F13/022 , A61F13/0246 , A61F13/0273 , A61F13/36 , A61F2013/00387 , A61F2013/00463 , A61F2013/00468 , A61F2013/0054 , A61F2013/00548 , A61F2013/00565 , A61F2013/0074
摘要： Devices and methods are disclosed for achieving hemostasis in traumatized patients. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery or military setting. The patient may have received trauma to abdominal viscera, the thoracic cavity or the periphery. The devices utilize fluid impermeable outer surfaces and distributed pressure to achieve tamponade and hemostasis, primarily by exertion of pressure. The devices come in a variety of configurations including sheet, rolled sheet, folded sheet and polygonal solids including extruded shapes. The devices are capable of serving as carriers for thrombogenic or anti-pathogenic agents. The devices are flexible, bendable, and conformable in their wet or dry state so that they exert distributed pressure on the wound. The hemostatic packing devices may be placed and removed by open surgery or laparoscopic access without generating excessive re-bleeding, and may further comprise antimicrobial or thrombogenic regions.
摘要翻译： 公开了用于实现创伤患者止血的装置和方法。 这种止血性包装装置和方法在紧急，创伤手术或军事设置中特别有用。 患者可能已经受到腹部脏器，胸腔或周边的创伤。 这些装置利用流体不可渗透的外表面和分布的压力来实现填塞和止血，主要是通过施加压力。 这些装置具有各种构造，包括片材，轧制板，折叠片和包括挤出形状的多边形固体。 该装置能够作为血栓形成或抗病原体的载体。 这些装置在湿或干燥状态下是柔性的，可弯曲的并且适应，使得它们对伤口施加分布的压力。 止血包装装置可以通过开放手术或腹腔镜进入而放置和移除，而不会产生过度的再出血，并且还可以包括抗微生物或血栓形成区域。
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