摘要:
A dual guidewire exchange catheter system and methods are provided herein. The dual guidewire exchange catheter system includes two lumens for receiving therethrough a main vessel guidewire and a branch vessel guidewire, respectively. The catheter includes an exit port for each guidewire, at least one of which is a shorter distance from the distal end of the catheter system than the distance from the distal end to the proximal end of the catheter. This allows for management of relatively short guidewire lengths outside the body.
摘要:
A catheter system comprises a catheter having a catheter body with a distal end, a proximal end, a main vessel guidewire lumen for receiving a main vessel guidewire and a balloon disposing at the distal end of the catheter body. The catheter further includes a side member that is disposed adjacent to the catheter body. The side member has a distal end, a proximal end, and a branch vessel guidewire lumen for receiving a branch vessel guidewire. A stent having a side hole is disposed over the balloon, and a distal portion of the side member is disposed beneath at least a portion of the stent while being adjacent to and movable with respect to the balloon.
摘要:
The present invention is directed to a stent for use in a bifurcated body lumen having a main branch and a side branch. The stent comprises a radially expandable generally tubular stent body having proximal and distal opposing ends with a body wall having a surface extending therebetween. The surface has a geometrical configuration defining a first pattern, and the first pattern has first pattern struts and connectors arranged in a predetermined configuration. The stent also comprises a branch portion comprised of a second pattern, wherein the branch portion is at least partially detachable from the stent body.
摘要:
The present invention is directed to a stent for use in a bifurcated body lumen having a main branch and a side branch. The stent comprises a radially expandable generally tubular stent body having proximal and distal opposing ends with a body wall having a surface extending therebetween. The surface has a geometrical configuration defining a first pattern, and the first pattern has first pattern struts and connectors arranged in a predetermined configuration. The stent also comprises a branch portion comprised of a second pattern, wherein the branch portion is at least partially detachable from the stent body.
摘要:
A method for placing a stent into a main vessel such that the stent side hole aligns with a branch vessel ostium comprises inserting a main vessel guidewire into the main vessel and a branch vessel guidewire into the main vessel until a distal end of the branch vessel guidewire passes into the branch vessel. A catheter system is positioned over the main vessel guidewire and the branch vessel guidewire. The catheter system is advanced over the guidewires until the catheter body passes beyond the ostium of the branch vessel and the side member extends into the branch vessel. Marker separation is observed to indicate the catheter body passed beyond the ostium and the side member extends into the branch vessel. The balloon is inflated to deploy the stent with the side hole being aligned with the ostium. The balloon is deflated, and the catheter system is withdrawn.
摘要:
The present invention concerns novel stent apparatuses for use in treating lesions at or near the bifurcation point in bifurcated cardiac, coronary, renal, peripheral vascular, gastrointestinal, pulmonary, urinary and neurovascular vessels and brain vessels. More particularly, the invention concerns a stent apparatus with at least one side opening which may further comprise an extendable stent portion laterally extending from the side opening and at least partly in registry with the wall of the side opening. Devices constructed in accordance with the invention include, singularly or in combination, a main expandable stent comprising at least one substantially circular side opening located between its proximal and distal end openings, which side opening may further comprise an expandable portion extending radially outward from the edges of the side opening; and a branch stent comprising proximal and distal end openings and which may further comprise a contacting portion at its proximal end, and which may optionally be constructed to form either a perpendicular branch or a non-perpendicular branch when inserted through a side opening of the main stent. The stents of the invention are marked with, or at least partially constructed of, a material which is imageable during intraluminal catheterization techniques, most preferably but not limited to ultrasound and x-ray.
摘要:
A system for configuring objects such as buttons for screens presented in a touch screen display. The configuration may be automatically based on preset styles. The graphical elements or icons and textual elements may be created once but used multiple times in various places. Multiple graphical and textual elements may be displayed on any button of the screens. The system may be based on the use of a predefined set of button styles that define the layout of each textual and graphical element in basic terms, such as left, right, and center. These styles do not necessarily prescribe a size, but a layout of the elements. The sizing, layout, justification, and clipping of each element may be determined by the button style. For each button style, the assigned textual and graphical elements may be automatically placed for the best or optimal layout and fit.
摘要:
An apparatus for treatment of a bifurcation of a body lumen, the bifurcation having a main vessel and a branch vessel, the apparatus includes a bifurcated balloon with a first branch portion and a second branch portion, the second branch portion including an inflatable portion adapted to extend toward the branch vessel, the bifurcated balloon also having a proximal shaft portion and a distal shaft portion connected to the inflatable portion of the second branch portion, and wherein the first branch portion and the second branch portion each have a longitudinal axis, the axis of the first branch portion being substantially parallel to the longitudinal axis of the second branch portion.
摘要:
A handheld computing device includes a housing, a processor supported by the housing, a wireless telephony device coupled to the processor, a display having a graphical user interface coupled to the processor, and a plurality of input keys. The device is programmed to effectuate a predetermined communications connection when a user depresses two or more input keys simultaneously.