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公开(公告)号:US20190151073A1
公开(公告)日:2019-05-23
申请号:US16256623
申请日:2019-01-24
Inventor: David Ernest Hartley , John Lennon Anderson , Roy K. Greenberg , Wolf Stelter
Abstract: An introduction arrangement for a fenestrated or branched stent graft intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter 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 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 The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.
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公开(公告)号:US20180008396A1
公开(公告)日:2018-01-11
申请号:US15710255
申请日:2017-09-20
Applicant: Cook Medical Technologies LLC
Inventor: David Ernest Hartley
CPC classification number: A61F2/07 , A61F2/89 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/9511
Abstract: 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 (21) 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 The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.
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公开(公告)号:US09788982B2
公开(公告)日:2017-10-17
申请号:US14469268
申请日:2014-08-26
Inventor: David Ernest Hartley , John Lennon Anderson , Roy K. Greenberg , Wolf Stelter
IPC: A61F2/06 , A61F2/954 , A61F2/07 , A61F2/82 , A61F2/966 , A61F2/90 , A61F2/958 , A61F2/962 , A61F2/95
CPC classification number: A61F2/954 , A61F2/07 , A61F2/82 , A61F2/90 , A61F2/958 , A61F2/962 , A61F2/966 , A61F2002/067 , A61F2002/9511 , A61F2002/9583 , A61F2002/9665
Abstract: 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.
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公开(公告)号:US09724217B2
公开(公告)日:2017-08-08
申请号:US13740662
申请日:2013-01-14
Inventor: David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L. G. Verhoeven
CPC classification number: A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/9517 , A61F2220/0075 , A61F2250/006
Abstract: A deployment device for deploying a self-expanding fenestrated stent graft. The device includes a fenestrated stent graft retained on an introducer. The introducer includes a main catheter and an auxiliary catheter preloaded within the introducer and extending from distal the distal end of the stent graft, into the lumen of the stent graft and through the fenestration.
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公开(公告)号:US20160135970A1
公开(公告)日:2016-05-19
申请号:US15008631
申请日:2016-01-28
Applicant: COOK MEDICAL TECHNOLOGIES LLC
Inventor: Darin G. Schaeffer , Scott E. Boatman , Jay A. Dittman , David Ernest Hartley
CPC classification number: A61F2/86 , A61F2/07 , A61F2/856 , A61F2/91 , A61F2/915 , A61F2/92 , A61F2/954 , A61F2/958 , A61F2002/065 , A61F2002/072 , A61F2002/075 , A61F2002/821 , A61F2002/91525 , A61F2002/91558 , A61F2002/91566 , A61F2220/0016 , A61F2220/0025 , A61F2220/0075 , A61F2250/0018 , A61F2250/0029 , A61F2250/0039 , A61F2250/0073
Abstract: An endoluminal prosthesis system for a branched body lumen comprises a branch vessel prosthesis. The branch vessel prosthesis is deployable within a branch vessel body lumen and comprises a stent having a generally tubular body portion, a flareable proximal end portion, and a coupling portion disposed intermediate the body portion and the flareable portion. The coupling portion is more crush-resistant than the body portion. The flareable proximal end may be disposed within a fenestrated stent graft wit with coupling portion disposed in the fenestration of the fenestrated stent graft.
Abstract translation: 用于分支体腔的腔内假体系统包括分支血管假体。 分支血管假体可展开在分支血管体腔内,并且包括具有大致管状的主体部分,可扩张的近端部分和设置在主体部分和可扩张部分之间的联接部分的支架。 联接部分比主体部分更耐压。 可扩张的近端可以设置在开窗式支架移植物中,其中配置在开窗支架移植物的开窗中的联接部分。
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公开(公告)号:US09072621B2
公开(公告)日:2015-07-07
申请号:US13759461
申请日:2013-02-05
Inventor: David Ernest Hartley , John Lennon Anderson , Michael Lawrence-Brown
CPC classification number: 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
Abstract: 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.
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公开(公告)号:US20140236277A1
公开(公告)日:2014-08-21
申请号:US14263633
申请日:2014-04-28
Applicant: Cook Medical Technologies LLC
Inventor: Roy K. Greenberg , Krasnodar Ivancev , David Ernest Hartley , Werner D. Ducke , Erik Rasmussen
CPC classification number: 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
Abstract: 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.
Abstract translation: 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,或者用于在导管插入期间稳定进入护套,将进入护套推进到 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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公开(公告)号:US08597346B2
公开(公告)日:2013-12-03
申请号:US13764092
申请日:2013-02-11
Applicant: Cook Medical Technologies LLC , William A. Cook Pty. Ltd.
Inventor: David Ernest Hartley , Werner Dieter Ducke
IPC: A61F2/06
CPC classification number: A61F2/95 , A61F2/07 , A61F2/89 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/075 , A61F2002/9511 , A61F2220/0075 , A61F2250/001
Abstract: A method of temporarily reducing the diameter of a stent graft (10) and a stent graft with its diameter reduced. The stent graft has a tubular body and self expanding stents. The method comprising extending a release wire (18, 20) part helically along the graft material tube from substantially one side of the graft material tube at one end (14) of the graft material tube to substantially the opposite side of the graft material tube at the other end (12) of the graft material tube along the stent graft and stitching the release wire into the graft material tube, at each of a number of positions along the release wire looping flexible threads (22, 24) around the release wire and extending the flexible threads laterally around the circumference of the stent graft in each direction to a position away from the release wire, engaging the first flexible threads into the graft material or around struts of the stent, and drawing the ends of the thread together and tying ends of the thread to thereby temporarily reduce the overall diameter of the stent graft.
Abstract translation: 一种临时减小支架移植物(10)的直径的方法和其直径减小的支架移植物。 支架移植物具有管状体和自扩张支架。 该方法包括将移植材料管的一个端部(14)上的接枝材料管的基本上一侧的移植材料管螺旋地延伸到释放线(18,20),基本上与移植材料管的相对侧 所述移植材料管的另一端(12)沿着所述支架移植并且将释放线缝合到移植材料管中,在围绕释放线的释放线环绕的柔性线(22,24)的多个位置中的每一个处,以及 将柔性纱线沿着每个方向在支架移植物的周边横向延伸到远离释放线的位置,将第一柔性线接合到移植物材料中或围绕支架的支柱附近,并将线的一端拉紧在一起并捆扎 从而临时减小支架移植物的总直径。
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公开(公告)号:US20130150946A1
公开(公告)日:2013-06-13
申请号:US13759461
申请日:2013-02-05
Inventor: David Ernest Hartley , John Lennon Anderson , Michael Lawrence-Brown
IPC: A61F2/07
CPC classification number: 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
Abstract: 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.
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公开(公告)号:US11771573B2
公开(公告)日:2023-10-03
申请号:US17543303
申请日:2021-12-06
Applicant: Cook Medical Technologies LLC
Inventor: David Ernest Hartley
CPC classification number: A61F2/856 , A61F2/07 , A61F2/844 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/072 , A61F2002/075 , A61F2002/821 , A61F2002/828 , A61F2210/0014 , A61F2220/0075 , A61F2230/0008 , A61F2230/0019 , A61F2230/0023
Abstract: A joining arrangement between a main tube and a side arm (5) in a side arm stent graft (1). The side arm (5) is stitched into an aperture (11) in the main tube and is in fluid communication with it. The aperture is triangular, elliptical or rectangular and the side arm is cut off at an angle to leave an end portion having a circumferential length equal to the circumference of the aperture. The side arm can also include a connection socket (76) comprising a first resilient ring (79) around the arm at its end, a second resilient ring (80) spaced apart along the arm from the first ring and a zig zag resilient stent (82) between the first and second rings. The zig-zag resilient stent can be a compression stent. Both the main tube and the side arm are formed from seamless tubular biocompatible graft material.
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