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公开(公告)号:US09839540B2
公开(公告)日:2017-12-12
申请号:US13298060
申请日:2011-11-16
申请人: Joseph R. Armstrong , Edward H. Cully , Michael W. Franklin , Mark Y. Hansen , Brandon A. Lurie , Craig R. McMurray , William D. Montgomery , Wendy J. Terry , Eric M. Tittelbaugh
发明人: Joseph R. Armstrong , Edward H. Cully , Michael W. Franklin , Mark Y. Hansen , Brandon A. Lurie , Craig R. McMurray , William D. Montgomery , Wendy J. Terry , Eric M. Tittelbaugh
CPC分类号: A61F2/88 , A61F2/07 , A61F2/915 , A61F2/966 , A61F2002/075 , A61F2002/91558 , A61F2002/91575 , A61F2002/9583 , A61F2220/005 , A61F2220/0075 , A61F2230/0054
摘要: The invention relates to a medical device and a method of using it. The device is a stent which can be percutaneously deliverable with (or on) an endovascular catheter or via other surgical or other techniques and then expanded. The stent is configured to have a central portion defined by “open” cells and at least two end portions, defined by “closed” cells, spaced apart and directly connected to the distal and proximal ends of the central portion of the stent. The stent may also optionally have a covering or a lattice with openings.
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公开(公告)号:US09597172B2
公开(公告)日:2017-03-21
申请号:US11864354
申请日:2007-09-28
CPC分类号: A61F2/013 , A61B2017/22039 , A61F2/958 , A61F2002/011 , A61F2002/9528 , A61F2002/9534 , A61F2230/0006 , A61M2025/018 , A61M2025/0183
摘要: A retrieval catheter operable by a single clinician that will neither displace a deployed stent nor cause undue trauma to the vascular lumen or lesion. The retrieval catheter may be sized to accommodate both a guidewire and a balloon wire. The retrieval catheter is easy to navigate through tortuous passageways and will cross a previously deployed stent or stent-graft easily with minimal risk of snagging on the deployed stent or stent graft. The sheath and dilator are adapted to allow a guidewire or balloon wire to pass through the walls of both and to allow the sheath and dilator to move axially with respect to each other.
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公开(公告)号:US09119937B2
公开(公告)日:2015-09-01
申请号:US13186198
申请日:2011-07-19
CPC分类号: A61M25/0043 , A61F2/958 , A61M25/005 , A61M25/0052 , A61M25/10 , A61M2025/0183 , A61M2025/0188 , A61M2025/1056 , A61M2025/1081
摘要: A catheter provided with a guidewire catheter lumen having a thin covering that is easily punctured by a guidewire at virtually any desired point along the catheter length. The thin covering may be integral with the catheter shaft, or may be a separate component that covers only the portion of the catheter shaft immediately adjacent the outer portion of the guidewire lumen, or may be a thin tubular construct that surrounds the entire catheter shaft. The covering is preferably relatively translucent, allowing for good visualization of the location of the end of the guidewire to enable puncturing of the covering at the desired location along the length of the catheter shaft. The covering is also preferably tear resistant at puncture sites. The catheter shaft is preferably made of a material having a color that provides good visibility against an operating field, and more preferably is phosphorescent either entirely or in part. Materials suitable for the catheter shaft are polymeric materials well known in the art; the catheter shaft may optionally be provided with metallic stiffening components such as wires or hypotubes along all or part of the catheter length.
摘要翻译: 导管,其具有导线导管管腔,该导管管腔具有薄的覆盖层,其在导管长度的几乎任何所需点处被导丝容易地刺穿。 薄的覆盖物可以与导管轴成一体,或者可以是仅覆盖导管轴的紧邻导丝管腔的外部的部分的单独的部件,或者可以是围绕整个导管轴的薄的管状结构。 覆盖物优选地是相对半透明的,允许良好地可视化导丝端部的位置,以使得能够沿着导管轴的长度在期望的位置刺穿覆盖物。 覆盖物也优选在穿刺部位具有抗撕裂性。 导管轴优选由具有对操作场提供良好可见性的颜色的材料制成,更优选地,全部或部分地是磷光。 适用于导管轴的材料是本领域公知的聚合材料; 导管轴可以可选地沿着导管长度的全部或部分设置有金属加强部件,例如电线或海波管。
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公开(公告)号:US09056001B2
公开(公告)日:2015-06-16
申请号:US12567562
申请日:2009-09-25
IPC分类号: B30B11/22 , A61F2/07 , A61F2/844 , A61F2/86 , A61F2/954 , A61F2/97 , A61F2/90 , A61F2/91 , A61F2/06 , A61F2/82 , A61F2/95 , A61F2/89
CPC分类号: A61F2/07 , A61F2/844 , A61F2/86 , A61F2/89 , A61F2/90 , A61F2/91 , A61F2/954 , A61F2/97 , A61F2002/067 , A61F2002/072 , A61F2002/075 , A61F2002/825 , A61F2002/9505 , A61F2002/9511 , A61F2002/9522 , A61F2220/0075 , A61F2230/0054 , Y10T29/53987
摘要: Large diameter self-expanding endoprosthetic devices, such as stents and stent grafts for delivery to large diameter vessels, such as the aorta, are disclosed having very small compacted delivery dimensions. Devices with deployed dimensions of 26 to 40 mm or more are disclosed that are compacted to extremely small dimensions of 5 mm or less, enabling percutaneous delivery of said devices without the need for surgical intervention. Compaction efficiencies are achieved by combining unique material combinations with new forms of restraining devices, compaction techniques, and delivery techniques. These inventive devices permit consistent percutaneous delivery of large vessel treatment devices. Additionally, small endoprosthetic devices are disclosed that can be compacted to extremely small dimensions for delivery through catheter tubes of less than 1 mm diameter.
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公开(公告)号:US08932315B2
公开(公告)日:2015-01-13
申请号:US13273111
申请日:2011-10-13
IPC分类号: A61B17/34 , A61B17/3207 , A61B17/22 , A61B17/00 , A61M25/00
CPC分类号: A61B17/3207 , A61B17/22 , A61B2017/00309 , A61B2017/00867 , A61B2017/22042 , A61B2017/22044 , A61B2017/22077 , A61B2017/22094 , A61B2017/22095 , A61M25/0054 , A61M25/0082 , A61M25/0194 , A61M2025/018 , A61M2025/0197
摘要: The present invention provides methods and apparatuses for crossing or bypassing total or near total occlusions of vessels through the use of elongate members and specialized catheters that include a piercing catheter, a reentry catheter, a multi-lumen, reentry catheter, and combinations thereof. A piercing catheter comprises a distal tip used to pierce an occlusion in a crossing procedure and can be configured to microdissect the occlusion or provide support for an elongate member. A reentry catheter comprises a distal side port and ramp to facilitate the reentry or perforation of a vessel wall. A multi-lumen, reentry catheter comprises a tearable lumen divider and a distal side port and ramp.
摘要翻译: 本发明提供了通过使用细长构件和包括穿刺导管,再入导管,多腔再折返导管及其组合的专用导管来横穿或绕过血管的总体或近似完全闭塞的方法和装置。 穿刺导管包括用于在交叉程序中刺穿闭塞的远侧末端,并且可以被配置为显微解剖闭塞或为细长构件提供支撑。 再入式导管包括远端侧端口和斜面以便于容器壁的再入或穿孔。 多腔重入导管包括可撕开的管腔分隔器和远端侧端口和斜坡。
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公开(公告)号:US08556921B2
公开(公告)日:2013-10-15
申请号:US12944623
申请日:2010-11-11
申请人: Cody L. Bliss , Edward H. Cully , Michael D. Dake , Joel M. Greene , Joshua J. Lovekamp , Michael C. Nilson , Himanshu Jagdish Patel , David M. Williams , William P. Witort
发明人: Cody L. Bliss , Edward H. Cully , Michael D. Dake , Joel M. Greene , Joshua J. Lovekamp , Michael C. Nilson , Himanshu Jagdish Patel , David M. Williams , William P. Witort
IPC分类号: A61B17/22
CPC分类号: A61B18/18 , A61B17/320016 , A61B17/3201 , A61B17/32075 , A61B18/1492 , A61B2017/00778 , A61B2017/22052 , A61B2017/22069
摘要: The present invention relates to methods of using medical cutting tools for treating aortic septal dissections.
摘要翻译: 本发明涉及使用医疗切割工具治疗主动脉间隔解剖的方法。
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公开(公告)号:US20130096606A1
公开(公告)日:2013-04-18
申请号:US13448277
申请日:2012-04-16
申请人: William C. Bruchman , Edward H. Cully , Cody L. Hartman , Joshua J. Lovekamp , Benjamin M. Trapp
发明人: William C. Bruchman , Edward H. Cully , Cody L. Hartman , Joshua J. Lovekamp , Benjamin M. Trapp
IPC分类号: A61F2/01
CPC分类号: A61F2/013 , A61F2002/016 , A61F2002/018 , A61F2210/0014 , A61F2230/0006 , A61F2230/0067 , A61F2230/0069 , A61F2230/008 , A61F2250/0023
摘要: According to one aspect of the disclosure, an embolic protection device is provided comprising an elongate element having a deflector at its distal end. The embolic protection device is generally configured to redirect and/or funnel embolic debris and permit at least a portion of the blood, no longer containing the redirected and/or funneled embolic debris, to perfuse the surrounding vasculature and/or tissue.
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公开(公告)号:US08326437B2
公开(公告)日:2012-12-04
申请号:US12397886
申请日:2009-03-04
IPC分类号: A61N1/05
CPC分类号: A61N1/05 , A61N1/0587 , A61N2001/0578
摘要: An implantable device for the atraumatic removal of chronically implanted medical devices.
摘要翻译: 一种用于无创消除长期植入的医疗装置的可植入装置。
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公开(公告)号:US20120283763A1
公开(公告)日:2012-11-08
申请号:US13465354
申请日:2012-05-07
申请人: Edward H. Cully , Keith M. Flury
发明人: Edward H. Cully , Keith M. Flury
CPC分类号: A61B8/0841 , A61B90/39 , A61B2090/3925 , A61L27/34 , A61L27/50 , A61L31/10 , A61L31/18 , C08L27/12
摘要: Devices with enhanced visualization in ultrasound imaging are provided.
摘要翻译: 提供超声成像增强可视化设备。
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公开(公告)号:US08231650B2
公开(公告)日:2012-07-31
申请号:US11020809
申请日:2004-12-22
申请人: Edward H. Cully , Michael J. Vonesh
发明人: Edward H. Cully , Michael J. Vonesh
IPC分类号: A61M29/00
CPC分类号: A61F2/013 , A61F2002/018 , A61F2230/0006 , A61F2230/0067 , B23P11/00 , Y10T29/49826
摘要: An improved embolic filter frame having looped support struts. The frame configuration provides enhanced longitudinal compliance, improved sealing against a vessel wall, low profile delivery, and a short deployed length. The looped support struts have a high degree of “radial” stiffness with a low degree of “longitudinal” stiffness. In the deployed state, the frame exerts a relatively high stress onto a vessel wall to maintain an effective seal, yet remains compliant in the longitudinal direction. Minor displacements of the support wire or catheter are therefore not translated to the filter. The looped support struts elongate when tensioned and assume a compressed and essentially linear form. While constrained in this linear state by a delivery catheter, the support struts exert minimal stress onto the delivery system. The overall delivery profile and stiffness are therefore reduced. When the delivery catheter constraint is removed during deployment, the struts “snap open” and assume a looped configuration which exert a high degree of force onto the vessel wall, creating an enhanced filter to vessel wall seal. In addition, the looped struts and the central collar connecting the support struts to the support wire, are positioned essentially within the plane of the filter opening. The overall deployed length of the embolic filter is therefore reduced.
摘要翻译: 一种改进的栓塞过滤器框架,具有环形支撑支柱。 框架结构提供增强的纵向顺应性,改进的针对血管壁的密封,薄型输送和短部署长度。 环形支撑支柱具有高度的“径向”刚度,具有低度的“纵向”刚度。 在展开状态下,框架在容器壁上施加相当高的应力以保持有效的密封,但在长度方向保持柔顺。 因此,支撑线或导管的较小位移不会转换为过滤器。 环形支撑件在张紧时伸长并呈现压缩且基本线性的形式。 虽然通过输送导管在这种线性状态下被约束,但是支撑支柱对输送系统施加最小的压力。 因此,总体输送轮廓和刚度降低。 当在展开期间移除输送导管约束时,支柱“卡扣开放”并且采取环形结构,其向血管壁施加高度的力,从而产生增强的血管壁密封过滤器。 此外,环形支柱和将支撑支柱连接到支撑线的中心轴环基本上位于过滤器开口的平面内。 因此,栓塞过滤器的整体部署长度减小。
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