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公开(公告)号:US20080208324A1
公开(公告)日:2008-08-28
申请号:US12033935
申请日:2008-02-20
申请人: Jason I. Glithero , Livyn O. Okorocha , James G. Tappel , Eric E. Bielefeld , Michael W. Goldenbogen , Chadd R. Tyler , Todd A. Hall , Stephen C. Robinson , Greg R. Furnish
发明人: Jason I. Glithero , Livyn O. Okorocha , James G. Tappel , Eric E. Bielefeld , Michael W. Goldenbogen , Chadd R. Tyler , Todd A. Hall , Stephen C. Robinson , Greg R. Furnish
CPC分类号: A61B17/122 , A61B17/00491 , A61B17/0643 , A61B17/12122 , A61B17/12136 , A61B17/12186 , A61B17/1227 , A61B17/1327 , A61B2017/00243 , A61B2017/0641
摘要: Methods and apparatus for occluding an anatomical structure including a device having at least first and second clamp portions adapted to cooperate to move from an open position adjacent an anatomical structure to a closed position engaging and occluding the anatomical structure. A system for delivery of a fluid to affect occlusion of an anatomical structure is provided, as well as an applicator for deploying occlusion devices having different sizes.
摘要翻译: 用于闭塞解剖结构的方法和装置,包括具有至少第一和第二夹持部分的装置,所述装置适于协调从邻近解剖结构的打开位置移动到接合和阻塞解剖结构的闭合位置。 提供了一种用于输送流体以影响解剖结构的闭塞的系统,以及用于部署具有不同尺寸的闭塞装置的施用器。
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公开(公告)号:US07125414B2
公开(公告)日:2006-10-24
申请号:US10336646
申请日:2003-01-02
申请人: Victor R. Blackledge , Charles H. Whatley, Jr. , Benjamin E. Morris , Todd A. Hall , William A. Reuss, Jr.
发明人: Victor R. Blackledge , Charles H. Whatley, Jr. , Benjamin E. Morris , Todd A. Hall , William A. Reuss, Jr.
IPC分类号: A61M29/00
CPC分类号: A61F2/013 , A61F2002/018 , A61F2230/0006 , A61F2230/0067
摘要: An emboli filter for deployment in a body lumen to capture emboli entrained in a fluid flowing through the lumen includes a flexible elongated member sized to be passed through the lumen. A filter media is carried on and substantially surrounding the elongated member. The filter media has a first end secured to the elongated member adjacent the distal end. A second end of the filter media has a periphery movable toward and away from the elongated member. Opposing internal surfaces of the filter media define a volume into which emboli may flow through the second end when the periphery is moved away from the elongated member. The emboli are trapped within the volume when the periphery is moved toward the elongated member. An actuator moves the periphery toward and way from the elongated member. The actuator includes a plurality of elastic loops. The loops are biased to an open loop configuration with the loops urging the periphery away from the elongated member. The actuator is adapted to be manipulated by an operator to urge the loops against the bias to a closed position permitting movement of the periphery toward the elongated member without interference from the loops.
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公开(公告)号:US06641610B2
公开(公告)日:2003-11-04
申请号:US09368393
申请日:1999-08-04
申请人: Scott J. Wolf , Greg R. Furnish , Todd A. Hall , David Y. Phelps , Peter J. Wilk , Nancy C. Briefs , William Santamore , Daniel Burkhoff
发明人: Scott J. Wolf , Greg R. Furnish , Todd A. Hall , David Y. Phelps , Peter J. Wilk , Nancy C. Briefs , William Santamore , Daniel Burkhoff
IPC分类号: A61F206
CPC分类号: A61F2/94 , A61F2/06 , A61F2/2493 , A61F2/848 , A61F2/958 , A61F2002/821 , A61F2230/0067 , A61F2230/0078 , A61F2230/008 , A61M39/24
摘要: Disclosed is a conduit that provides a bypass around a stenosis or occlusion in a coronary artery. The conduit is adapted to be positioned in the myocardium to provide a passage for blood to flow from a heart chamber to a coronary artery, at a site distal to the blockage or stenosis in the coronary artery. The conduit has a one-way valve positioned therein to prevent the backflow of blood from the coronary artery into the heart chamber.
摘要翻译: 公开了一种导管,其围绕冠状动脉狭窄或闭塞提供旁路。 导管适于定位在心肌中以提供血液从冠状动脉血管流过冠状动脉的阻塞或狭窄位置的通道。 导管具有定位在其中的单向阀,以防止血液从冠状动脉回流进心室。
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公开(公告)号:US06520978B1
公开(公告)日:2003-02-18
申请号:US09570659
申请日:2000-05-15
申请人: Victor R. Blackledge , Charles H. Whatley, Jr. , Benjamin E. Morris , Todd A. Hall , William A. Reuss, Jr.
发明人: Victor R. Blackledge , Charles H. Whatley, Jr. , Benjamin E. Morris , Todd A. Hall , William A. Reuss, Jr.
IPC分类号: A61M2900
CPC分类号: A61F2/013 , A61F2002/018 , A61F2230/0006 , A61F2230/0067
摘要: An emboli filter for deployment in a body lumen to capture emboli entrained in a fluid flowing through the lumen includes a flexible elongated member sized to be passed through the lumen. A filter media is carried on and substantially surrounding the elongated member. The filter media has a first end secured to the elongated member adjacent the distal end. A second end of the filter media has a periphery movable toward and away from the elongated member. Opposing internal surfaces of the filter media define a volume into which emboli may flow through the second end when the periphery is moved away from the elongated member. The emboli are trapped within the volume when the periphery is moved toward the elongated member. An actuator moves the periphery toward and way from the elongated member. The actuator includes a plurality of elastic loops. The loops are biased to an open loop configuration with the loops urging the periphery away from the elongated member. The actuator is adapted to be manipulated by an operator to urge the loops against the bias to a closed position permitting movement of the periphery toward the elongated member without interference from the loops.
摘要翻译: 用于部署在体腔中的栓塞过滤器以捕获夹带在流过管腔的流体中的栓塞,包括尺寸适于通过内腔的柔性细长构件。 过滤介质被承载并且基本上围绕细长构件。 过滤介质的第一端固定在与远端相邻的细长构件上。 过滤介质的第二端具有朝向和远离细长构件移动的周边。 过滤介质的相对的内表面限定了一个体积,当周边移动离开细长构件时,栓塞可以流经第二端。 当周边朝向细长构件移动时,栓塞被捕获在体积内。 致动器使周边朝向和远离细长构件移动。 致动器包括多个弹性环。 这些环被偏压到开环构型,其中环使得周边远离细长构件。 致动器适于由操作者操纵以将回路抵抗偏压推动到关闭位置,允许周边朝向细长构件移动而不受到环的干扰。
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公开(公告)号:US06261304B1
公开(公告)日:2001-07-17
申请号:US09368868
申请日:1999-08-04
申请人: Todd A. Hall , Greg R. Furnish , Simon M. Furnish , Scott J. Wolf , Peter J. Wilk , David Y. Phelps
发明人: Todd A. Hall , Greg R. Furnish , Simon M. Furnish , Scott J. Wolf , Peter J. Wilk , David Y. Phelps
IPC分类号: A61M2900
CPC分类号: A61M25/0147 , A61B2017/00247 , A61B2017/00252 , A61B2017/22071 , A61B2017/22095 , A61B2018/00392 , A61F2/2493 , A61F2/86 , A61F2/95 , A61F2/958 , A61M25/0152 , A61M25/0155 , A61M25/0194 , A61M25/10 , A61M25/1006 , A61M25/1011 , A61M2025/0096 , A61M2025/0197 , A61M2025/1095 , A61M2025/1097 , A61M2210/125
摘要: Described herein are various methods and apparatuses for delivering stents or conduits and other devices into the myocardium of a patient. One preferred stent delivery system provides access to the insertion site in the myocardium by advancing a delivery catheter through a blockage in a coronary artery, or around the blockage through a coronary vein or through a channel or tunnel formed around the blockage. In one embodiment, once the distal end of the delivery catheter is adjacent the myocardium, an angled bend is created in the catheter by actuating expandable steering guides mounted to the catheter which cooperate with the walls of the blood vessel to cause the catheter to turn. Then, a guidewire is advanced through the delivery catheter and into the myocardium. In another embodiment, a tip-deflecting pull wire extends from the distal end of the delivery catheter which may be actuated to turn towards and then inserted into the myocardium. In another embodiment, an exit port facing the insertion site is provided within the catheter or a balloon mounted on the catheter so that a guidewire may be directed through a lumen and out the exit port into the myocardium. Once the guidewire punctures into the myocardium, the guidewire is anchored using barbs, balloons or other actuatable members to secure the guidewire to the myocardium. Subsequently, using a push-pull mechanism, stents and other medical devices can be advanced over the guidewire into the myocardium.
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公开(公告)号:US06196230B1
公开(公告)日:2001-03-06
申请号:US09150181
申请日:1998-09-10
申请人: Todd A. Hall , Greg R. Furnish , Simon M. Furnish , Scott J. Wolf , Peter J. Wilk , David Y. Phelps , Vincent Pompili
发明人: Todd A. Hall , Greg R. Furnish , Simon M. Furnish , Scott J. Wolf , Peter J. Wilk , David Y. Phelps , Vincent Pompili
IPC分类号: A61B1900
CPC分类号: A61F2/958 , A61B2017/00247 , A61B2017/00252 , A61B2018/00392 , A61F2/2493 , A61F2/86 , A61M25/10 , A61M25/1006 , A61M2025/0096 , A61M2025/0197 , A61M2025/1095 , Y10S623/903
摘要: Described herein are various methods and apparatuses for delivering stents and other devices into the myocardium of a patient. One preferred stent delivery system provides access to the insertion site in the myocardium by advancing a delivery catheter through a blockage in a coronary artery, or around the blockage through a coronary vein or through a channel or tunnel formed around the blockage. In one embodiment, once the distal end of the delivery catheter is adjacent the myocardium, an angled bend is created in the catheter by actuating expandable steering guides mounted to the catheter which cooperate with the walls of the blood vessel to cause the catheter to turn. Then, a guidewire is advanced through the delivery catheter and into the myocardium. In another embodiment, a tip-deflecting pull wire extends from the distal end of the delivery catheter which may be actuated to turn towards and then inserted into the myocardium. In another embodiment, an exit port facing the insertion site is provided within the catheter or a balloon mounted on the catheter so that a guidewire may be directed through a lumen and out the exit port into the myocardium. Once the guidewire punctures into the myocardium, the guidewire is anchored using barbs, balloons or other actuatable members to secure the guidewire to the myocardium. Subsequently, using a push-pull mechanism, stents and other medical devices can be advanced over the guidewire into the myocardium.
摘要翻译: 这里描述了用于将支架和其他装置输送到患者的心肌中的各种方法和装置。 一个优选的支架递送系统通过使输送导管通过冠状动脉阻塞或通过冠状静脉或通过在阻塞周围形成的通道或隧道周围的阻塞来推进进入心肌中的插入部位。 在一个实施例中,一旦输送导管的远端与心肌相邻,则通过致动安装到导管的可扩展转向引导件,在导管中产生成角度的弯曲部,其与血管的壁配合以使导管转动。 然后,导丝通过输送导管进入心肌。 在另一个实施例中,尖端偏转拉线从输送导管的远端延伸,可以被致动以转向然后插入心肌。 在另一个实施例中,面向插入部位的出口端设置在导管内或安装在导管上的球囊上,使得导丝可以被引导通过内腔并离开出口进入心肌。 一旦导丝穿刺入心肌,就使用倒刺,气球或其他可致动部件来固定导丝,以将导丝固定到心肌。 随后,使用推拉机构,支架和其他医疗装置可以在导丝上前进进入心肌。
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