公开(公告)号：US20160184117A1

公开(公告)日：2016-06-30

申请号：US14972891

申请日：2015-12-17

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Siddharth Vad ,  Edwin Macatangay

IPC: A61F2/95

CPC classification number: A61F2/95 ,  A61F2/07 ,  A61F2/966 ,  A61F2002/9517 ,  A61F2002/9528 ,  A61F2002/9534

Abstract: The present invention relates to a prosthesis delivery device and to a handle assembly at the distal end of the delivery device. The handle assembly comprises a main handle and a nut disposed on the main handle. The nut comprises a first configuration in which the nut is engaged with the outer surface of the main handle and a second configuration in which the nut is disengaged from the outer surface of the main handle. Disengaging the nut from the main handle facilitates quick sheath retraction and deployment of at least the distal end of the prosthesis as well as recapturing the proximal end of the device within the sheath.

Abstract translation: 本发明涉及一种假体输送装置以及在输送装置的远端处的手柄组件。 手柄组件包括主把手和设置在主把手上的螺母。 螺母包括其中螺母与主把手的外表面接合的第一构造和其中螺母从主把手的外表面脱离的第二构造。 从主把手分离螺母有助于至少假体远端的鞘缩回和展开，以及在护套内重新捕获装置的近端。

公开(公告)号：US09220620B2

公开(公告)日：2015-12-29

申请号：US13669145

申请日：2012-11-05

Applicant: Cook Medical Technologies LLC

Inventor： Rick Hadley ,  William J. Havel ,  Jeffry S. Melsheimer ,  Matthew S. Huser ,  William K. Dierking ,  Per Hendriksen ,  Siddharth Vad ,  Michael P. DeBruyne

IPC: A61F2/06 ,  A61F2/966 ,  A61F2/07 ,  A61F2/848 ,  A61F2/95

CPC classification number: A61F2/966 ,  A61F2/07 ,  A61F2002/8486 ,  A61F2002/9534 ,  A61F2002/9665

Abstract: An endoluminal prosthesis introducer may include a rotatable inner cannula including a proximal end. The introducer may include a proximal tip disposed at the proximal end of the inner cannula and including a distal end. The introducer may include a retaining member including an engaging member extending radially outward. The retaining member may be disposed about the proximal end of the inner cannula. In response to rotation of the inner cannula with respect to the retaining member, the proximal tip may be longitudinally movable relative to the engaging member between a retaining configuration and a releasing configuration. The proximal tip and the engaging member may be spaced from one another by a greater longitudinal distance in the releasing configuration than in the retaining configuration.

Abstract translation: 腔内假体导引器可以包括可旋转的内套管，其包括近端。 引导器可以包括设置在内套管的近端处并且包括远端的近端。 引导器可以包括保持构件，该保持构件包括径向向外延伸的接合构件。 保持构件可以围绕内套管的近端设置。 响应于内套管相对于保持构件的旋转，近端头可以在保持构造和释放构造之间相对于接合构件纵向移动。 近端和接合构件可以在释放构造中比在保持构造中彼此间隔更大的纵向距离。

公开(公告)号：US20150034217A1

公开(公告)日：2015-02-05

申请号：US14520796

申请日：2014-10-22

Applicant: Cook Medical Technologies LLC

Inventor： Siddharth Vad

IPC: A61F2/94 ,  C22F1/10

CPC classification number: A61F2/94 ,  A61F2/86 ,  A61F2/89 ,  A61F2/958 ,  A61F2002/821 ,  A61F2002/825 ,  A61F2220/0075 ,  A61F2250/0018 ,  A61F2250/0048 ,  C22F1/10

Abstract: A hybrid prosthesis for deployment in a body vessel includes a tubular stent body comprising a wire comprising a shape memory alloy, where the tubular stent body has a self-expanding portion comprising a distal portion of the wire and a balloon-expandable portion comprising a proximal portion of the wire. The shape memory alloy comprises an Af of less than 37° C. in the self-expanding portion and an As of greater than 37° C. in the balloon-expandable portion.

Abstract translation: 用于部署在身体容器中的混合假体包括管状支架主体，其包括包括形状记忆合金的线，其中管状支架主体具有包括线的远端部分的自扩张部分和包括近端 电线的一部分。 形状记忆合金包括在自膨胀部分中小于37℃的Af，在球囊可膨胀部分中具有大于37℃的As。

公开(公告)号：US20130131775A1

公开(公告)日：2013-05-23

申请号：US13669145

申请日：2012-11-05

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Rick Hadley ,  William J. Havel ,  Jeffry S. Melsheimer ,  Matthew S. Huser ,  William K. Dierking ,  Per Hendriksen ,  Siddharth Vad ,  Michael P. DeBruyne

IPC: A61F2/966

CPC classification number: A61F2/966 ,  A61F2/07 ,  A61F2002/8486 ,  A61F2002/9534 ,  A61F2002/9665

Abstract: An endoluminal prosthesis introducer may include a rotatable inner cannula including a proximal end. The introducer may include a proximal tip disposed at the proximal end of the inner cannula and including a distal end. The introducer may include a retaining member including an engaging member extending radially outward. The retaining member may be disposed about the proximal end of the inner cannula. In response to rotation of the inner cannula with respect to the retaining member, the proximal tip may be longitudinally movable relative to the engaging member between a retaining configuration and a releasing configuration. The proximal tip and the engaging member may be spaced from one another by a greater longitudinal distance in the releasing configuration than in the retaining configuration.

Abstract translation: 腔内假体导引器可以包括可旋转的内套管，其包括近端。 引导器可以包括设置在内套管的近端处并且包括远端的近端。 引导器可以包括保持构件，该保持构件包括径向向外延伸的接合构件。 保持构件可以围绕内套管的近端设置。 响应于内套管相对于保持构件的旋转，近端头可以在保持构造和释放构造之间相对于接合构件纵向移动。 近端和接合构件可以在释放构造中比在保持构造中彼此间隔更大的纵向距离。

公开(公告)号：US10058441B2

公开(公告)日：2018-08-28

申请号：US15156959

申请日：2016-05-17

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Siddharth Vad ,  James A. Teague

IPC: A61F2/95 ,  A61F2/966 ,  A61F2/954

CPC classification number: A61F2/954 ,  A61F2/95 ,  A61F2/966 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2002/9517

Abstract: A delivery system for delivering an endovascular prosthesis is disclosed. A handle assembly is disposed at the distal end of the delivery system. The handle assembly includes a main handle and a second handle disposed at least partially on the main handle and longitudinally moveable relative to the main handle. A trigger wire release mechanism is disposed in the interior or the main handle. A sheath is operatively connected to the second handle, such that longitudinal movement of the second handle relative to the main handle retracts the sheath in a distal direction. Movement of the trigger wire release mechanism from a first position to a second deployed position is prevented when the sheath is in the first position. Methods for accessing the iliac arteries and deploying an endovascular prosthesis therein using the delivery system and handle assembly are also disclosed.

公开(公告)号：US20180078358A1

公开(公告)日：2018-03-22

申请号：US15824597

申请日：2017-11-28

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Michael P. DeBruyne ,  Siddharth Vad

IPC: A61F2/07 ,  A61F2/95 ,  A61F2/966 ,  A61F2/848

CPC classification number: A61F2/07 ,  A61F2/848 ,  A61F2/95 ,  A61F2002/075 ,  A61F2002/8486 ,  A61F2002/9511 ,  A61F2002/9665 ,  A61F2220/0016

Abstract: The present embodiments provide stent-grafts. In one embodiment, a stent has proximal and distal ends, a plurality of strut segments disposed between the proximal and distal ends that enable expansion of the stent from a compressed state to a deployed state, and a series of distal apices disposed at the distal end of the stent. At least a portion of a first distal apex overlaps with graft material. First and second sutures are each coupled between a portion of the first distal apex and the graft material. The first and second sutures are positioned at different longitudinal zones that lack an axial overlap with one another.

公开(公告)号：US09655756B2

公开(公告)日：2017-05-23

申请号：US14105921

申请日：2013-12-13

Applicant: Cook Medical Technologies LLC

Inventor： Johnny LeBlanc ,  William J. Havel ,  Siddharth Vad

IPC: A61F2/966 ,  A61F2/95

CPC classification number: A61F2/966 ,  A61F2/844 ,  A61F2/95 ,  A61F2002/9505 ,  A61F2210/0014

Abstract: The present embodiments provide systems and methods for deploying at least a portion of a stent. In one embodiment, the system comprises a cannula having an outer surface, and an auger having a plurality of turns coupled to the outer surface of the cannula. A stent has a portion dimensioned to be disposed within a valley of the auger. Rotation of the cannula and the auger advances the portion of the stent in a predetermined longitudinal direction.

公开(公告)号：US20160262919A1

公开(公告)日：2016-09-15

申请号：US15044558

申请日：2016-02-16

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Joel Ondersma ,  Blayne A. Roeder ,  Edwin E. Macatangay ,  Siddharth Vad ,  Davorin K. Skender

IPC: A61F2/966 ,  A61F2/844 ,  A61F2/95 ,  A61F2/856

CPC classification number: A61F2/966 ,  A61F2/07 ,  A61F2/844 ,  A61F2/856 ,  A61F2/95 ,  A61F2/954 ,  A61F2002/065 ,  A61F2002/9505 ,  A61F2230/0069

Abstract: A delivery device and methods for deploying an endovascular prosthesis within the common and internal iliac arteries are described. The device comprises a pusher catheter having a proximal end and a pusher extension extending proximally therefrom. A tubular prosthesis having a side branch is releasably coupled to the pusher extension. An extension dilator extends proximally from the proximal end of the pusher catheter, extends at least partially along an external surface of the main tubular body, into a distal end of the side branch and exits a proximal end of the tubular prosthesis. The extension dilator can be tracked over a guide wire which serves to both position the device within a vessel and also to facilitate cannulation of an internal iliac artery.

Abstract translation: 描述了用于在髂内共同和髂内动脉内部部署血管内假体的递送装置和方法。 该装置包括具有近端的推动器导管和从其向近侧延伸的推动器延伸部。 具有侧分支的管状假体可释放地联接到推动器延伸部。 延伸扩张器从推动器导管的近端向近侧延伸，至少部分地沿着主管状体的外表面延伸到侧分支的远端并离开管状假体的近端。 延伸扩张器可以在用于将装置定位在容器内并且还有助于插入髂内动脉的导丝上。

公开(公告)号：US20160095725A1

公开(公告)日：2016-04-07

申请号：US14969281

申请日：2015-12-15

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  Siddharth Vad

IPC: A61F2/848 ,  A61F2/915 ,  A61F2/844

CPC classification number: A61F2/848 ,  A61F2/844 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2002/8486 ,  A61F2002/9505 ,  A61F2220/0016 ,  A61F2250/0037 ,  A61F2250/0063 ,  A61F2250/0098

Abstract: The present embodiments provide a method for delivering a stent comprising providing a stent in a delivery state, where the stent comprises a plurality of interconnected strut segments that enable expansion of the stent from a delivery state to a deployed state. Stacking a frontal surface of a first strut segment at least partially behind a rear surface of a second strut segment in the delivery state. Aligning a sharpened tip of a first barb at least partially circumferentially behind at least one strut segment in the delivery state such that the sharpened tip is not radially exposed. Expanding the stent from the delivery state to a deployed state, wherein the first barb is exposed to a patient in the deployed state.

Abstract translation: 本实施例提供了一种用于递送支架的方法，包括在输送状态下提供支架，其中支架包括多个互连的支柱段，其能够将支架从输送状态扩展到展开状态。 在输送状态下至少部分地将第一支柱段的前表面堆叠在第二支柱段的后表面之后。 在输送状态下将至少部分地圆周地至少部分地沿着至少一个支柱段对准第一倒钩的尖锐尖端，使得尖锐的尖端不被径向暴露。 将支架从输送状态扩展到展开状态，其中第一倒钩在展开状态下暴露于患者。

公开(公告)号：US09254204B2

公开(公告)日：2016-02-09

申请号：US13836772

申请日：2013-03-15

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Blayne A. Roeder ,  Siddharth Vad

IPC: A61F2/06 ,  A61F2/848 ,  A61F2/95 ,  A61F2/91 ,  A61F2/07

CPC classification number: A61F2/848 ,  A61F2/844 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2002/8486 ,  A61F2002/9505 ,  A61F2220/0016 ,  A61F2250/0037 ,  A61F2250/0063 ,  A61F2250/0098

Abstract: The present embodiments provide a stent comprising a plurality of interconnected strut segments that enable expansion of the stent from a delivery state to a deployed state. A first strut segment and a second strut segment, of the plurality of strut segments, each comprise frontal surfaces facing radially inward in the deployed state and rear surfaces facing radially outward in the deployed state. The frontal surface of the first strut segment is at least partially stacked behind the rear surface of the second strut segment in the delivery state. A first barb coupled to at least a portion of the first strut segment. A sharpened tip of the first barb is aligned at least partially circumferentially behind at least one strut segment in the delivery state such that the sharpened tip is not radially exposed.

Abstract translation: 本实施例提供一种支架，其包括多个互连的支柱段，其能够将支架从输送状态扩展到展开状态。 多个支柱段中的第一支柱段和第二支柱段各自包括在展开状态下面向径向内侧的前表面和在展开状态下面向径向向外的后表面。 第一支柱段的前表面在输送状态下至少部分地堆叠在第二支柱段的后表面之后。 耦合到第一支柱段的至少一部分的第一倒钩。 在输送状态下，第一倒钩的尖锐尖端至少部分地圆周地对准至少一个支柱段，使得尖锐的尖端不被径向暴露。