公开(公告)号：US07753918B2

公开(公告)日：2010-07-13

申请号：US11725944

申请日：2007-03-20

申请人： David Ernest Hartley ,  Krasnodar Ivancev ,  Werner D. Ducke ,  Michael P. DeBruyne ,  Jarett Diamond ,  Mark R. Frye

发明人： David Ernest Hartley ,  Krasnodar Ivancev ,  Werner D. Ducke ,  Michael P. DeBruyne ,  Jarett Diamond ,  Mark R. Frye

IPC分类号： A61B17/08

CPC分类号： A61B17/221 ,  A61B2017/00867 ,  A61B2017/22035 ,  A61B2017/22038 ,  A61B2017/2215 ,  A61B2090/08021 ,  A61F2/95

摘要： A medical grasping device (1) has an elongate control member (9) with a grasping member (17) proximal to its distal tip. An outer sheath (3) with a passageway therethrough surrounds the elongate control member and is relatively movable with respect to the control member. A control assembly (2) disposed at a proximal end of said outer sheath has a fixed handle (5) and a sliding handle (7) and the proximal end of the elongate control member is fixed to the sliding handle to move the control member. The grasping member (17) has a plurality of pre-formed wire loops (50, 52, 54, 56) which self-deploy transversely upon emerging from said distal end of said outer sheath. Each wire loop is fastened to substantially opposite sides of the elongate control member so that each of said wire loops is substantially semi-circular upon full deployment and the respective ends (27, 29) of each wire loop extend substantially in opposite directions from the elongate control member.

摘要翻译： 医疗把持装置（1）具有细长的控制构件（9），其具有靠近其远端的抓握构件（17）。 具有穿过其的通道的外护套（3）围绕细长控制构件并且可相对于控制构件相对移动。 设置在所述外护套的近端处的控制组件（2）具有固定手柄（5）和滑动手柄（7），细长控制构件的近端固定到滑动手柄以移动控制构件。 抓握构件（17）具有多个预先形成的线环（50,52,54,56），其从所述外护套的所述远端出现时横向自动展开。 每个线环被紧固到细长控制构件的基本相对的两侧，使得每个线环在完全展开时基本上是半圆形的，并且每个导线环的相应端部（27,29）从细长的 控制成员。

公开(公告)号：US08845708B2

公开(公告)日：2014-09-30

申请号：US11600655

申请日：2006-11-16

申请人： David Ernest Hartley ,  Krasnodar Ivancev ,  Roy K. Greenberg

发明人： David Ernest Hartley ,  Krasnodar Ivancev ,  Roy K. Greenberg

IPC分类号： A61F2/06 ,  A61F2/954 ,  A61F2/07

CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2002/065

摘要： A stent graft introducer has a pusher, a nose cone, a region between the pusher and the nose cone for a stent graft, a sleeve extending over the pusher and proximally to the nose cone to cover the stent graft when retained in the region. An indwelling auxiliary catheter with a pre-curved proximal end is fitted into the introducer. The nose cone has an elongate groove and the auxiliary catheter has its proximal end in the elongate groove. In a partially retracted position of the sleeve the curved proximal end of the indwelling auxiliary catheter is exposed and uncovered by the sleeve and in an advanced position of the sleeve the curved proximal end of the indwelling auxiliary catheter is straightened, extends along the length of the groove in the nose cone and is covered by the sleeve.

摘要翻译： 支架移植物导引器具有推动器，鼻锥体，用于支架移植物的推动器和鼻锥体之间的区域，在保持在该区域中时延伸到推动器上并且向近端延伸到鼻锥体的套筒以覆盖支架移植物。 具有预弯曲近端的留置辅助导管安装在导引器中。 鼻锥具有细长的凹槽，辅助导管的近端位于细长凹槽中。 在套管的部分缩回位置，留置辅助导管的弯曲近端由套筒暴露和未覆盖，并且在套筒的前进位置中，留置辅助导管的弯曲近端被拉直，沿着 凹槽在鼻锥中并被套筒覆盖。

公开(公告)号：US08470018B2

公开(公告)日：2013-06-25

申请号：US13437347

申请日：2012-04-02

申请人： David Ernest Hartley ,  Krasnodar Ivancev

发明人： David Ernest Hartley ,  Krasnodar Ivancev

IPC分类号： A61F2/06

CPC分类号： A61F2/856 ,  A61F2/07 ,  A61F2/2412 ,  A61F2/89 ,  A61F2/90 ,  A61F2002/075 ,  A61F2220/0016 ,  A61F2220/0075

摘要： A fenestration (32) for a stent graft (30). The fenestration is an aperture in the biocompatible graft material and has at least one flap (38, 40) of a biocompatible graft material covering the aperture on the inside whereby the flap closes off the aperture but can be displaced to allow access through the fenestration. An array of such fenestrations may be placed on a stent graft to facilitate alignment of a branch vessel with a fenestration. A slip knot (46, 46) which can be released by forcing a dilator between the flaps can be used to hold the flaps together.

摘要翻译： 用于支架移植物的开窗（32）（30）。 开窗是生物相容性移植物材料中的孔，并且具有覆盖内侧上的孔的生物相容性移植物材料的至少一个翼片（38,40），由此翼片封闭孔口，但可移位以允许通过开窗进入。 可以将这种窗孔的阵列放置在支架移植物上以促进分支血管与开窗的对准。 可以通过在翼片之间强迫扩张器而释放的滑结（46,46）可将翼片夹持在一起。

公开(公告)号：US20120290069A1

公开(公告)日：2012-11-15

申请号：US13467330

申请日：2012-05-09

申请人： Krasnodar Ivancev ,  Piotr Miroslaw Kasprzak ,  David Ernest Hartley

发明人： Krasnodar Ivancev ,  Piotr Miroslaw Kasprzak ,  David Ernest Hartley

IPC分类号： A61F2/06 ,  A61F2/84

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2230/0019 ,  A61F2250/0037 ,  A61F2250/0039

摘要： A stent graft defining a main lumen bounded by a wall of graft material is disclosed. The stent graft has a valve portion between proximal and distal portions. The valve portion is formed by a wall portion having a part-circumferential double layer portion comprising an inner underlap portion and an outer overlap portion, the double layer portion forming a passageway parallel to the main lumen. The passageway has an entrance mouth and an exit mouth. The passageway has an open condition where the underlap and overlap portions are spaced apart to form a vent lumen. The wall portion is broken by a narrow cut. The cut is openable by relative radial movement between its edges. This allows re-perfusion of an aneurism and perfusion of blood from within the lumen out towards blood vessels such as intercostals and can assist in minimising the chance of paraplegia.

摘要翻译： 公开了一种限定由移植材料的壁限定的主腔的支架移植物。 支架移植物在近端部分和远端部分之间具有阀部分。 阀部分由具有包括内部重叠部分和外部重叠部分的部分周向双层部分的壁部分形成，双层部分形成平行于主管腔的通道。 通道有一个入口和一个出口。 通道具有打开状态，其中下搭和重叠部分间隔开以形成排气腔。 壁部分被狭窄的切口打破。 切割可通过其边缘之间的相对径向运动打开。 这可以将动脉瘤再次灌注，并将血液从腔内灌注出血管，如肋间，并有助于最大限度地减少截瘫的机会。

公开(公告)号：US20120253448A1

公开(公告)日：2012-10-04

申请号：US13529453

申请日：2012-06-21

申请人： David Ernest Hartley ,  Erik E. Rasmussen ,  Krasnodar Ivancev

发明人： David Ernest Hartley ,  Erik E. Rasmussen ,  Krasnodar Ivancev

IPC分类号： A61F2/84

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2220/0075

摘要： A fenestrated stent graft (1) with a tubular side arm (11) extending therefrom in which the side arm can be turned inside out to extend into the stent graft during deployment of the stent graft and extended out during deployment. Also disclosed is a deployment device (19) for such a side arm stent graft which has a deployment catheter (26) and a side arm guide (32), the side arm guide is releasably fastened at a proximal end to the branch tube (11) and is able to be moved independently of the deployment catheter such that the branch tube can be extended from the tubular body of the stent graft while it is fastened onto the side arm guide. The side arm guide can be formed from a side arm catheter (32) and a side arm guide wire (34) carried in the side arm catheter.

摘要翻译： 一种具有从其延伸的管状侧臂（11）的开窗式支架移植物（1），其中侧臂可以在展开支架移植物期间向内转出以延伸到支架移植物中并在展开期间延伸出来。 还公开了一种用于这种侧臂支架移植物的展开装置（19），其具有展开导管（26）和侧臂引导件（32），侧臂引导件在近端可释放地紧固到分支管（11 ），并且能够独立于展开导管移动，使得支管可以在其被固定到侧臂引导件上时从支架移植物的管状体延伸。 侧臂引导件可以由侧臂导管（32）和承载在侧臂导管中的侧臂导丝（34）形成。

公开(公告)号：US20110288627A1

公开(公告)日：2011-11-24

申请号：US11663520

申请日：2005-09-21

申请人： David Ernest Hartley ,  Erik E. Rasmussen ,  Krasnodar Ivancev

发明人： David Ernest Hartley ,  Erik E. Rasmussen ,  Krasnodar Ivancev

IPC分类号： A61F2/06

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2220/0075

摘要： A fenestrated stent graft with a tubular side arm extending there from in which the side arm can be turned inside out to extend into the stent graft during deployment of the stent graft and extended out during deployment. Also disclosed is a deployment device for such a side arm stent graft which has a deployment catheter and a side arm guide, the side arm guide is releasably fastened at a proximal end to the branch tube and is able to be moved independently of the deployment catheter such that the branch tube can be extended from the tubular body of the stent graft while it is fastened onto the side arm guide. The side arm guide can be formed from a side arm catheter and a side arm guide wire carried in the side arm catheter.

摘要翻译： 具有延伸到其中的管状侧臂的开窗支架移植物，其中侧臂可以向内转出，以在展开支架移植物期间延伸到支架移植物中并在展开期间延伸出来。 还公开了一种用于这种侧臂支架移植物的展开装置，其具有展开导管和侧臂引导件，侧臂引导件在近端可释放地紧固到分支管并且能够独立于展开导管移动 使得支管可以在其被固定到侧臂引导件上时从支架移植物的管状体延伸。 侧臂引导件可以由侧臂导管和携带在侧臂导管中的侧臂引导线形成。

公开(公告)号：US09707113B2

公开(公告)日：2017-07-18

申请号：US11788285

申请日：2007-04-19

申请人： Roy K. Greenberg ,  David Ernest Hartley ,  Michael Lawrence-Brown

发明人： Roy K. Greenberg ,  David Ernest Hartley ,  Michael Lawrence-Brown

IPC分类号： A61F2/954 ,  A61F2/07 ,  A61B17/00 ,  A61F2/24 ,  A61F2/06 ,  A61F2/89

CPC分类号： A61F2/954 ,  A61B17/00234 ,  A61B2017/00243 ,  A61F2/07 ,  A61F2/24 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2220/0016 ,  A61F2220/0075

摘要： A stent graft has a tubular body with a first bifurcation with first and second legs extending from the bifurcation. One of the legs has a further bifurcation to define a side arm. 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 one of the iliac arteries. One of the legs can include a valved aperture to enable the placement of an indwelling catheter therethrough.

公开(公告)号：US08357190B2

公开(公告)日：2013-01-22

申请号：US11429684

申请日：2006-05-08

申请人： Shirley Jane Fearn ,  David Ernest Hartley ,  Michael Lawrence-Brown

发明人： Shirley Jane Fearn ,  David Ernest Hartley ,  Michael Lawrence-Brown

IPC分类号： A61F2/06

CPC分类号： A61F2/966 ,  A61F2/07 ,  A61F2/95

摘要： A laparoscopic vascular conduit arrangement has an elongate graft tube (1, 10) which is placed through a body cavity into a body vessel using a laparoscopic port sheath (70) with a distal valve (73) and a second sheath (80) with distal valve (86, 87). The graft tube (1, 10) extends through the laparoscopic port sheath so that the distal end (108) of the graft tube extends out of its valve and the proximal end of the graft tube extends out of the proximal end of the laparoscopic port sheath. The second sheath (80) is deployed into the distal end (108) of the graft tube (1, 10) such that the first valve (73) seals around the graft tube and the second sheath (84). The proximal end of the graft tube can be deployed into the vessel of the body to allow access into the vessel through the graft tube via the second valve. The conduit can be removed after use or used to provide vascular bypass.

摘要翻译： 腹腔镜血管导管装置具有细长的移植管（1,10），其通过使用具有远端瓣膜（73）的腹腔镜护套（70）和具有远端的第二护套（80），通过体腔放置在体腔中 阀（86,87）。 移植管（1,10）延伸穿过腹腔镜口鞘，使得移植管的远端（108）延伸出其瓣膜，并且移植管的近端延伸出腹腔镜端口护套的近端 。 第二护套（80）被展开到移植管（1,10）的远端（108）中，使得第一阀（73）围绕移植管和第二护套（84）密封。 移植管的近端可以部署到身体的容器中，以允许经由第二阀通过移植管进入血管。 导管可以在使用后取出或用于提供血管旁路。

公开(公告)号：US09060887B2

公开(公告)日：2015-06-23

申请号：US12228453

申请日：2008-08-13

申请人： David Ernest Hartley ,  John Lennon Anderson ,  Michael Lawrence-Brown

发明人： David Ernest Hartley ,  John Lennon Anderson ,  Michael Lawrence-Brown

IPC分类号： A61F2/06 ,  A61F2/856 ,  A61F2/07 ,  A61F2/82 ,  A61F2/89

CPC分类号： 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

摘要： 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.

摘要翻译： 一种包括具有至少一个开窗（40）的管状壁（3）的支架移植物（1），其包括围绕所述开窗的至少一部分的周边（37）加强件。 还可以有管状延伸部（15）。 侧臂包括支架（19）和盖（17），并从开窗和支架移植物延伸并与开窗和支架移植物流体连通。 支架可以是自扩张支架。 环和/或管状延伸部为延伸臂提供更好的支撑和密封。 开窗（40）可以是圆形的，或者如果朝向支架移植物的端部可以是具有开口端的U形（50）的形式。

公开(公告)号：US08506616B2

公开(公告)日：2013-08-13

申请号：US11975949

申请日：2007-10-23

申请人： David Ernest Hartley ,  Wolf Stelter ,  Michael Lawrence-Brown

发明人： David Ernest Hartley ,  Wolf Stelter ,  Michael Lawrence-Brown

IPC分类号： A61F2/06

CPC分类号： A61F2/962 ,  A61F2/954 ,  A61F2/966 ,  A61F2002/065 ,  A61F2002/9511

摘要： An endoluminal stent graft deployment system incorporating an anchor wire system for temporary anchoring of a stent graft on a delivery device. The anchor wire system has an anchor wire extending from the distal end of the device and releasably retained to the portion of the stent graft by a releasable retention system. The releasable retention system includes a bead on the proximal end of the anchor wire and an anchor release wire which has fastening arrangement to retain the release wire distally of the bead. The anchor release wire extends to a distal end of the deployment system so that the anchor wire release wire can be withdrawn thereby releasing the anchor wire.

摘要翻译： 一种内腔支架移植物展开系统，其包括用于将支架移植物暂时锚定在输送装置上的锚线系统。 锚线系统具有从装置的远端延伸的锚线，并且通过可释放的保持系统可释放地保持在支架移植物的该部分上。 可释放的保持系统包括在锚线的近端上的胎圈和具有紧固装置的固定器释放线，以沿着胎圈的远端保持释放线。 锚定释放线延伸到展开系统的远端，使得锚索释放线可以被拉出，从而释放锚网。