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    Catheter system for connecting adjacent blood vessels
    21.
    发明授权
    Catheter system for connecting adjacent blood vessels 有权
    用于连接相邻血管的导管系统

    公开(公告)号：US08062321B2

    公开(公告)日：2011-11-22

    申请号：US11735382

    申请日：2007-04-13

    Applicant: Richard R. Heuser ,  James D. Joye

    Inventor： Richard R. Heuser ,  James D. Joye

    IPC: A61B17/34

    CPC classification number: A61F2/90 ,  A61B2017/00778 ,  A61B2017/00876 ,  A61B2017/06071 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/22054 ,  A61B2017/22069 ,  A61F2/2493 ,  A61F2002/8486 ,  A61F2250/0018

    Abstract: The catheter apparatus may be used to assist in creating a fistula between two adjacent blood vessels. The apparatus includes a catheter for inserting into a first blood vessel which lies adjacent to a second blood vessel, the catheter having a plurality of openings through which a physician may navigate a piercing tool. The physician maneuvers the tip of the catheter to a position within the first blood vessel adjacent to a portion of the first blood vessel wall in which the physician intends to create an opening. The physician may then rotate the piercing tool within the catheter and extend the piercing tool through one opening at a time, without rotating the catheter, until the physician chooses an opening that is properly aimed at the second blood vessel. Such a configuration allows for a wide arc of potential firing space.

    Abstract translation: 导管装置可以用于辅助在两个相邻血管之间产生瘘。 该装置包括用于插入位于第二血管附近的第一血管中的导管，该导管具有多个开口，医师可通过该开口导航刺穿工具。 医生将导管的尖端操纵到与第一血管壁的一部分相邻的第一血管内的位置，其中医师打算创建一个开口。 医生然后可以在导管内旋转穿刺工具，并且一次将穿刺工具延伸穿过一个开口，而不旋转导管，直到医生选择适当地瞄准第二血管的开口。 这种配置允许广泛的潜在发射空间。

    Catheter Introducer System
    22.
    发明申请
    Catheter Introducer System 有权
    导管介绍系统

    公开(公告)号：US20100160863A1

    公开(公告)日：2010-06-24

    申请号：US12646901

    申请日：2009-12-23

    Applicant: Richard R. Heuser

    Inventor： Richard R. Heuser

    IPC: A61M29/00 ,  A61B17/34

    CPC classification number: A61M25/0662 ,  A61B17/3415 ,  A61B17/3417 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/3441 ,  A61M29/00 ,  A61M39/0613 ,  A61M2025/0004 ,  A61M2025/0681 ,  A61M2025/0687 ,  A61M2039/062 ,  A61M2039/0626 ,  A61M2039/0633

    Abstract: A catheter introducer system is provided with a catheter sheath having a valve providing for a friction fit around a catheter. The friction fit is selectively adjustable to vary between a first configuration for longitudinal movement of the catheter through the valve and a second configuration for holding the catheter longitudinally in place. The valve may include a chuck to grip the catheter radially. The chuck may include an annular base and an opposed annular clamp, and a washer disposed between the base and the clamp. At least one of the base and the clamp may include a beveled surface that forces the washer radially inwardly as the base and the clamp are drawn together. The system also includes one or more dilators layered within the sheath. One or more of the dilators may include a preformed arcuate portion configured to access a targeted branched vessel. The layered dilators and sheaths are typically softer and more hydrophilic proceeding from the innermost dilator out to the sheath. The dilator may be reinforced by a wire embedded in the body of the dilator. The distal tip of the sheath may be stiffened by a ring affixed adjacent the distal end. The sheath may include in the innermost dilator a trocar formed of a flexible, hollow outer wire and an inner stiff needle, which can extend beyond the wire for piercing and be withdrawn to relax the wire for advancement of the dilator.

    Abstract translation: 导管导引器系统设置有导管鞘，其具有提供围绕导管的摩擦配合的阀。 摩擦配合可选择性地可调节，以在导管通过阀的纵向移动的第一构型和用于将导管纵向保持在适当位置的第二构型之间变化。 阀可以包括卡盘以径向地夹持导管。 卡盘可以包括环形基座和相对的环形夹具，以及设置在基座和夹具之间的垫圈。 基座和夹具中的至少一个可以包括斜面，当基部和夹具被拉在一起时迫使垫圈径向向内。 该系统还包括在鞘内分层的一个或多个扩张器。 一个或多个扩张器可以包括构造成进入目标分支血管的预成形弓形部分。 层状扩张器和护套通常比最内侧的扩张器向护套更软和更亲水。 扩张器可以通过嵌入在扩张器的体内的线来加强。 护套的远端可以通过邻近远端固定的环来加固。 护套可以在最内侧的扩张器中包括由柔性的中空的外部线和内部刚性针形成的套针针，该针可以延伸超过线以刺穿并被撤回以松弛线来推进扩张器。

    Embolism prevention device
    23.
    发明授权
    Embolism prevention device 有权
    栓塞预防装置

    公开(公告)号：US06364900B1

    公开(公告)日：2002-04-02

    申请号：US09353104

    申请日：1999-07-14

    Applicant: Richard R. Heuser

    Inventor： Richard R. Heuser

    IPC: A61F206

    CPC classification number: A61F2/97 ,  A61B17/12109 ,  A61B17/12136 ,  A61B2017/22067 ,  A61F2/958 ,  A61F2002/9528 ,  A61M25/10 ,  A61M25/1002 ,  A61M25/1011 ,  A61M25/104 ,  A61M2025/1052 ,  A61M2025/1072 ,  A61M2025/1093 ,  A61M2025/1097

    Abstract: An apparatus for preventing embolisms resulting from an operation being performed in a body conduit by an instrument. The apparatus includes a selectively actuable conduit blocking mechanism that is actuated prior to performing the operation to thereby block the conduit while the operation is being performed upon an interior wall of the conduit, wherein the conduit blocking mechanism is de-actuated subsequent to the operation being performed. A transporting mechanism is movable within the conduit. The conduit blocking mechanism and the instrument are disposed at separate positions upon the transporting mechanism. The apparatus may be used for stent delivery, vessel predilation, or other operations.

    Abstract translation: 一种用于防止由仪器在体导管中进行手术导致的栓塞的装置。 该装置包括可选择性致动的导管阻塞机构，其在执行操作之前被致动，从而当在导管的内壁上执行操作时阻塞导管，其中在操作之后导管阻塞机构被解除驱动 执行。 输送机构可在导管内移动。 导管阻塞机构和仪器设置在输送机构上的分离位置。 该装置可用于支架输送，容器预处理或其它操作。

    Method and apparatus for treating body tissues and bodily fluid vessels
    24.
    发明授权
    Method and apparatus for treating body tissues and bodily fluid vessels 有权
    用于治疗身体组织和体液容器的方法和装置

    公开(公告)号：US6159197A

    公开(公告)日：2000-12-12

    申请号：US397806

    申请日：1999-09-17

    Applicant: Richard R. Heuser

    Inventor： Richard R. Heuser

    IPC: A61B17/00 ,  A61F2/958 ,  A61M31/00

    CPC classification number: A61M25/1011 ,  A61B17/0057 ,  A61B17/00491 ,  A61B2017/00557 ,  A61B2017/00575 ,  A61M2025/1052

    Abstract: Methods for treating bodily tissues and fluid vessels are disclosed. According to a method of repairing a perforation in a bodily fluid vessel, a viscous, moldable substance is inserted into the vessel at the location of the perforation. A path is opened through the moldable substance to permit fluid flow through the vessel. According to a method of introducing a tissue-killing substance into a bodily fluid vessel, a catheter is provided that has a blocking mechanism configured to selectively block and unblock the vessel. The catheter also has a delivery system that is configured to introduce the tissue-killing substance into the vessel. The vessel is substantially blocked upstream of a selected tissue using the blocking mechanism. The tissue-killing substance is introduced into the vessel through the delivery system, and the vessel is unblocked when the tissue-killing substance has substantially traveled toward the selected tissue. According to a method of occluding a bodily fluid vessel, a catheter is provided that has a first passage. The first passage has an occlusion element housed therein. The catheter is positioned in the vessel, and the occlusion element is moved out of the passage and into the vessel to thereby occlude the vessel. A catheter is also disclosed that may be used with the above methods.

    Abstract translation: 公开了用于治疗身体组织和流体血管的方法。 根据在体液容器中修复穿孔的方法，在穿孔的位置将粘性可成型物质插入容器中。 通过可模制物质打开通道，以允许流体流过容器。 根据将组织杀伤物质引入体液容器的方法，提供具有阻挡机构的导管，所述阻塞机构构造成选择性地阻断和解除容器的阻塞。 导管还具有配置成将组织杀伤物质引入血管的输送系统。 使用阻塞机构，在所选择的组织的上游基本上阻塞血管。 组织杀伤物质通过输送系统引入血管，并且当组织杀伤物质基本上朝向所选择的组织移动时，血管被解除封闭。 根据封闭体液容器的方法，提供具有第一通道的导管。 第一通道具有容纳在其中的遮挡元件。 导管定位在容器中，并且阻塞元件移出通道并进入容器中，从而封闭容器。 还公开了可以与上述方法一起使用的导管。

    Systems and methods for ablation of occlusions within blood vessels
    26.
    发明授权
    Systems and methods for ablation of occlusions within blood vessels 有权
    消融血管内阻塞的系统和方法

    公开(公告)号：US08545418B2

    公开(公告)日：2013-10-01

    申请号：US12356446

    申请日：2009-01-20

    Applicant: Richard R. Heuser

    Inventor： Richard R. Heuser

    IPC: A61B5/00

    CPC classification number: A61M25/09 ,  A61B18/1492 ,  A61B2018/00422 ,  A61B2018/144 ,  A61M25/01

    Abstract: Wire systems for the ablation of occlusions within blood vessels are provided. Systems include one or more wires configured for percutaneous insertion in a blood vessel, the wires configured to ablate an occlusion within the blood vessel. In some embodiments, a wire is gradually tapered near its distal end so that it can be used to pierce occlusions. In some cases, it may be used to dilate existing microchannels within occlusions. In some embodiments, a capture device is inserted towards the occlusion from either the same or opposite side as the tapered wire, and is used to draw the wire through the occlusion.

    Abstract translation: 提供了用于消融血管内闭塞的线系统。 系统包括配置用于经皮插入血管中的一根或多根线，该线被配置为消除血管内的闭塞。 在一些实施例中，线在其远端附近逐渐变细，使得其可用于刺穿闭塞。 在某些情况下，它可能用于扩张内部存在的微通道。 在一些实施例中，将俘获装置从与锥形线相同或相反的一侧插入到闭塞中，并用于将线穿过闭塞。

    BIFURCATED STENT AND METHOD OF USE
    27.
    发明申请
    BIFURCATED STENT AND METHOD OF USE 审中-公开
    双歧杆和使用方法

    公开(公告)号：US20120203329A1

    公开(公告)日：2012-08-09

    申请号：US13022351

    申请日：2011-02-07

    Applicant: Richard R. Heuser

    Inventor： Richard R. Heuser

    IPC: A61F2/82

    CPC classification number: A61F2/07 ,  A61F2/90 ,  A61F2002/061 ,  A61F2002/067

    Abstract: A stent system is provided for percutaneous insertion in an artery of a main stent which may include at least one peripheral fenestration defined through the stent wall. The peripheral fenestration may be configured to be expanded in situ to receive a peripheral stent. The stent system also may include a peripheral stent configured to be inserted into the peripheral fenestration of the main stent. The peripheral stent may extend, when inserted in the peripheral fenestration, generally perpendicular to the longitudinal axis of the main stent. The stent system may further include a guidewire, insertable through the peripheral aperture, for maneuvering the main stent into place in the artery. The guidewire may be tapered toward its distal end. The stent system may also include a dilation device for dilating the peripheral stent within the peripheral aperture.

    Abstract translation: 提供支架系统用于经皮插入主支架的动脉中，其可以包括通过支架壁限定的至少一个外围开窗。 周边开窗可以被配置为在现场扩张以接收外围支架。 支架系统还可以包括构造成插入到主支架的周边开窗中的外围支架。 当外周支架插入外围开窗时，外周支架可以延伸，大致垂直于主支架的纵向轴线。 支架系统还可以包括可插入通过周边孔的导丝，用于将主支架操纵到动脉中的适当位置。 导丝可以朝向其远端渐缩。 支架系统还可以包括用于在外围孔内扩张外围支架的扩张装置。

    SYSTEMS AND METHODS FOR ABLATION OF OCCLUSIONS WITHIN BLOOD VESSELS
    28.
    发明申请
    SYSTEMS AND METHODS FOR ABLATION OF OCCLUSIONS WITHIN BLOOD VESSELS 有权
    血管内血栓消融的系统和方法

    公开(公告)号：US20090125045A1

    公开(公告)日：2009-05-14

    申请号：US12356446

    申请日：2009-01-20

    Applicant: Richard R. Heuser

    Inventor： Richard R. Heuser

    IPC: A61B17/22

    CPC classification number: A61M25/09 ,  A61B18/1492 ,  A61B2018/00422 ,  A61B2018/144 ,  A61M25/01

    Abstract: Wire systems for the ablation of occlusions within blood vessels are provided. Systems include one or more wires configured for percutaneous insertion in a blood vessel, the wires configured to ablate an occlusion within the blood vessel. In some embodiments, a wire is gradually tapered near its distal end so that it can be used to pierce occlusions. In some cases, it may be used to dilate existing microchannels within occlusions. In some embodiments, a capture device is inserted towards the occlusion from either the same or opposite side as the tapered wire, and is used to draw the wire through the occlusion.

    Abstract translation: 提供了用于消融血管内闭塞的线系统。 系统包括配置用于经皮插入血管中的一根或多根线，该线被配置为消除血管内的闭塞。 在一些实施例中，线在其远端附近逐渐变细，使得其可用于刺穿闭塞。 在某些情况下，它可能用于扩张内部存在的微通道。 在一些实施例中，将俘获装置从与锥形线相同或相反的一侧插入到闭塞中，并用于将线穿过闭塞。

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