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公开(公告)号：US06984240B1
公开(公告)日：2006-01-10
申请号：US08736896
申请日：1996-10-25
IPC分类号： A61M29/00
CPC分类号： A61B17/12022 , A61B17/12109 , A61B17/12113 , A61B17/1214 , A61B2017/1205
摘要： A vasoocclusive helical coil having a proximal end that carries a coupling member for attaching the coil to the distal end of a wire and a proximal winding that has a smaller diameter than adjacent windings whereby the proximal end of the coil is positioned radially inwardly of the main body of the coil.
摘要翻译： 一种血管闭塞性螺旋线圈，其具有近端，其具有用于将线圈附接到线的远端的联接构件和具有比相邻绕组更小的直径的近侧绕组，由此线圈的近端位于主体的径向内侧 线圈体。
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公开(公告)号：US06936055B1
公开(公告)日：2005-08-30
申请号：US09523585
申请日：2000-03-10
CPC分类号： A61B17/12113 , A61B17/12022 , A61B17/1214 , A61B17/12172 , A61B2017/12063
摘要： This is a device for bridging the neck of either a wide-necked or narrow-necked aneurysm in the vasculature. In general, it is a device used to stabilize the presence of vaso-occlusive devices (such as helically wound coils) in the aneurysm. The device preferably is delivered by a core wire which terminates in an electrolytically severable joint. The core wire will often be insulated. The retainer assembly itself is also attached to the electrolytic joint and typically has a number of array elements which are intended to be resident within the aneurysm after the device is deployed from the distal end of a catheter. After deployment of this retainer, the aneurysm is at least partially filled with a vaso-occlusive device such as helically wound coils.
摘要翻译： 这是用于桥接脉管系统中的宽颈或窄颈动脉瘤的颈部的装置。 通常，它是用于稳定动脉瘤中血管闭塞装置（例如螺旋缠绕线圈）的存在的装置。 该装置优选地通过终止于电解可分割接头的芯线输送。 芯线通常是绝缘的。 保持器组件本身也附接到电解接头，并且通常具有许多阵列元件，其在器械从导管的远端部署之后旨在驻留在动脉瘤内。 在部署该保持器之后，动脉瘤至少部分地填充有血管闭塞装置，例如螺旋缠绕的线圈。
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公开(公告)号：US06458139B1
公开(公告)日：2002-10-01
申请号：US09599146
申请日：2000-06-21
IPC分类号： A61B1724
CPC分类号： A61B17/221 , A61B17/22 , A61B2017/00526 , A61B2017/22034 , A61B2017/22038 , A61B2017/2212
摘要： An extraction device for the removal of clots and foreign bodies from vasculature. The extractor device is connected to an elongate mandrel and is located within a longitudinally extending lumen defined by a catheter. A clot or foreign material extracted from a vessel by moving the extraction device and catheter proximally until the clot or foreign material does not perfuse a critical organ.
摘要翻译： 用于从脉管系统中去除血块和异物的提取装置。 提取器装置连接到细长心轴并且位于由导管限定的纵向延伸的内腔内。 通过将提取装置和导管向近端移动直到凝块或外来物质不灌注关键器官从血管提取的凝块或异物。
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24.发明授权Catheter with shape memory polymer distal tip for deployment of therapeutic devices 失效具有形状记忆聚合物远端的导管用于部署治疗装置公开(公告)号：US06293960B1
公开(公告)日：2001-09-25
申请号：US09083297
申请日：1998-05-22
IPC分类号： A61M2900
CPC分类号： A61B17/12136 , A61B17/12113 , A61M2025/1054
摘要： The occlusion balloon catheter includes an elongated tubular catheter body having a fluid lumen for inflation of an occlusion balloon detachably mounted to the catheter body by a tubular shape memory collar. The occlusion balloon includes a valve for sealing the occlusion balloon when it is inflated, and the collar of shape memory material clamps onto a stem of the valve. The shape memory collar can be heated by a fiber optic pusher member threaded through the catheter body to cause the collar to assume an enlarged configuration disconnecting the occlusion balloon. A method of detaching the occlusion balloon from the occlusion balloon catheter involves the steps of placing the occlusion balloon catheter within a guiding catheter, and placing the guiding catheter within the vasculature so that the distal opening of the guiding catheter extends into an aneurysm or other deformation to be treated. The fiber optic pusher is then used to expel the device into the aneurysm.
摘要翻译： 闭塞气囊导管包括细长的管状导管体，其具有用于通过管状形状记忆颈可拆卸地安装到导管体的闭塞球囊的充气的流体腔。 闭塞气囊包括用于在闭塞气囊膨胀时密封闭塞气囊的阀，并且形状记忆材料的颈圈夹在阀杆上。 形状记忆轴环可以通过螺纹穿过导管主体的光纤推动器构件加热，以使套环呈现放大的构型，从而切断闭塞球囊。 将阻塞气囊从闭塞球囊导管分离的方法包括以下步骤：将闭塞气囊导管放置在引导导管内，并将引导导管置于脉管系统内，使导引导管的远侧开口延伸成动脉瘤或其他变形 待处理 然后使用光纤推动器将装置排出到动脉瘤中。
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公开(公告)号：US06193728B1
公开(公告)日：2001-02-27
申请号：US09433766
申请日：1999-11-04
IPC分类号： A61M2900
CPC分类号： A61B17/12022 , A61B17/12113 , A61B17/12145 , A61B17/1215 , A61B17/12154 , A61B2017/00867 , A61B2017/1205 , A61B2017/12063 , A61B2090/3937 , A61F2002/30093 , A61F2210/0019
摘要： This is an implantable vaso-occlusive device. It is typically a vaso-occlusive coil comprising a primary helically wound coil which may then be wound into a secondary shape. Central to the invention is the use of a stretch-resisting member extending through the lumen formed, which stretch-resisting member is fixedly attached, directly or indirectly, to the coil in at least two locations. The stretch-resisting member is preferably somewhat loose within the interior of the lumen so to prevent the coil from collapsing, binding, and therefore stiffening during passage of turns through the human body. The coil should bend easily. In some variations of the invention, the stretch-resisting member may be formed into coil tips at the ends of the coil using simple equipment such as soldering irons or the like. The tips are typically of the same diameter as is the coil body itself. This stretch-resisting member is for the primary purpose of preventing stretching of the coil during movement of that coil, e.g., by retrieval or repositioning after deployment. The device may have a self-forming secondary shape made from a pre-formed primary linear helically wound coil, although it need not have the secondary form. Desirably, the coil is extremely flexible and is controllaby released using a severable or mechanical joint such as an electrolytically detachable joint. External fibers may be attached to the device and affixed to the pre-formed linear member to increase thrombogenicity. The extremely flexible variation of the invention may be hydraulically delivered through the lumen of a catheter and is so flexible that it may be retrievably delivered therethrough a flow-directed catheter. The vaso-occlusive member may be also be covered with a fibrous braid. The device is typically introduced into the body through a catheter. The device is passed axially through the catheter sheath and assumes its secondary form upon exiting the catheter.
摘要翻译： 这是一种植入式血管闭塞装置。 它通常是包括初级螺旋缠绕线圈的血管闭塞线圈，然后可以将其缠绕成次级形状。 本发明的中心在于在至少两个位置上使用延伸穿过形成的内腔的拉伸抵抗构件，该拉伸抵抗构件直接地或间接地固定到线圈上。 拉伸阻力构件优选在内腔的内部稍微松动，从而防止线圈在匝穿过人体期间塌陷，结合并因此加强。 线圈应弯曲容易。 在本发明的一些变型中，可以使用诸如烙铁等的简单设备在线圈的端部处形成线圈尖端。 尖端通常具有与线圈体本身相同的直径。 该抗拉伸构件的主要目的是防止在线圈移动过程中线圈的拉伸，例如通过在展开后的取回或重新定位。 该装置可以具有由预先形成的初级线性螺旋缠绕线圈制成的自成形次级形状，尽管它不需要具有二次形式。 理想地，线圈非常柔软，并且使用可分离或机械接头（例如电解可拆卸接头）进行控制释放。 外部纤维可以附着到装置上并固定到预先形成的线性构件上以增加血栓形成。 本发明的极其灵活的变化可以通过导管的内腔液压输送，并且是如此柔性的，使得其可被可逆地递送通过其中的导向导管。 血管闭塞性构件也可以用纤维编织物覆盖。 该装置通常通过导管引入身体。 该装置轴向穿过导管护套，并在离开导管时呈现其次级形式。
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公开(公告)号：US06168615A
公开(公告)日：2001-01-02
申请号：US09072314
申请日：1998-05-04
IPC分类号： A61F206
CPC分类号： A61B17/12022 , A61B17/12036 , A61B17/12113 , A61B17/12168 , A61B17/12172 , A61B2017/12072 , A61B2017/12077
摘要： The vasoocclusive apparatus can be used in a method of interventional therapy and vascular surgery by inserting the apparatus into a portion of a vasculature, for treatment of a body vessel such as an aneurysm in conjunction with a secondary vasoocclusive device to be placed within the vessel. The vasoocclusive apparatus includes a plurality of strut members connected together at a central hub that extend from a collapsed position to an expanded configuration to cross the neck of the aneurysm, dividing the neck into smaller openings, allowing the deployment of the secondary vasoocclusive device within the aneurysm but preventing migration of the secondary vasoocclusive device from the aneurysm. The strut members can be made from a twisted cable of strands of a superelastic material, such as a shape memory nickel titanium alloy, with at least one radiopaque strand. A shape memory collar is provided for detachably mounting the vasoocclusive apparatus to a pusher member and for detaching the vasoocclusive apparatus for deployment when a desired placement within an aneurysm to be treated and out of a parent vessel is achieved.
摘要翻译： 血管收缩装置可以用于介入治疗和血管手术的方法，将装置插入脉管系统的一部分中，用于与放置在血管内的第二血管收容装置结合使用动脉瘤等体内血管。 血管收缩装置包括在中心毂处连接在一起的多个支柱构件，所述支柱构件从折叠位置延伸到扩张构型以跨越动脉瘤的颈部，将颈部分成更小的开口，允许将第二血管收缩装置部署在内 动脉瘤，但阻止二次血管收缩装置从动脉瘤的迁移。 支柱构件可以由具有至少一个不透射线的超弹性材料（例如形状记忆镍钛合金）的股线的扭绞电缆制成。 提供了一种形状记忆轴环，用于将血管收缩性装置可拆卸地安装到推动器构件上，并且当需要在待治疗的动脉瘤中并且从母体血管获得期望的位置时，用于分离用于展开的血管收缩性装置。
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公开(公告)号：US6086577A
公开(公告)日：2000-07-11
申请号：US126705
申请日：1998-07-30
CPC分类号： A61B17/12022 , A61B17/12113 , A61B17/12172 , A61B2017/12063
摘要： This is a device for bridging the neck of either a wide-necked or narrow-necked aneurysm in the vasculature. In general, it is a device used to stabilize the presence of vaso-occlusive devices (such as helically wound coils) in the aneurysm. The device preferably is delivered by a core wire which terminates in an electrolytically severable joint. The core wire will often be insulated. The retainer assembly itself is also attached to the electrolytic joint and typically has a number of array elements which are intended to be resident within the aneurysm after the device is deployed from the distal end of a catheter. After deployment of this retainer, the aneurysm is at least partially filled with a vaso-occlusive device such as helically wound coils.
摘要翻译： 这是用于桥接脉管系统中的宽颈或窄颈动脉瘤的颈部的装置。 通常，它是用于稳定动脉瘤中血管闭塞装置（例如螺旋缠绕线圈）的存在的装置。 该装置优选地通过终止于电解可分割接头的芯线输送。 芯线通常是绝缘的。 保持器组件本身也附接到电解接头，并且通常具有许多阵列元件，其在器械从导管的远端部署之后旨在驻留在动脉瘤内。 在部署该保持器之后，动脉瘤至少部分地填充有血管闭塞装置，例如螺旋缠绕的线圈。
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