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公开(公告)号：US07909863B2
公开(公告)日：2011-03-22
申请号：US11710718
申请日：2007-02-26
CPC分类号： A61F2/07 , A61F2/848 , A61F2/86 , A61F2/89 , A61F2002/075 , A61F2002/30461 , A61F2002/8486 , A61F2002/9511 , A61F2220/0016 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2230/0067
摘要： A stent graft (10) is retained on an introducer (38) by retention of an exposed stent (16) of the stent graft to the introducer with trigger wires (44). The introducer has a trigger wire catheter (40) and four trigger wires and each trigger wire extending in a loop from the trigger wire catheter. The stent graft has a tubular body (12) of a graft material and an exposed stent joined to and extending from one end of the tubular body. The exposed stent is a self expanding Z stent with struts (20) and bends (22, 28, 30) between them. A pair of struts and a bend between define an apex a selected distance to the bend away from the tubular body. Adjacent apices of the exposed stent are different distances to the bends from the tubular body so that they stack under the trigger wires in an neat fashion. Distally extending barbs (26) on alternate struts of the exposed stent are spaced selected distances from their respective apices to prevent tangling during deployment.
摘要翻译： 通过用触发线（44）将支架移植物的暴露支架（16）保持在引导器上，将支架移植物（10）保持在导引器（38）上。 引导器具有触发线导管（40）和四个触发线，并且每个触发线从触发线导管以环路延伸。 支架移植物具有移植材料的管状体（12）和暴露的支架，其接合并从管状体的一端延伸。 暴露的支架是自扩张的Z支架，其支柱（20）和它们之间的弯曲（22,28,30）。 一对支柱和一个弯曲部分之间限定了与管状体远离弯曲部分的选定距离的顶点。 暴露的支架的相邻顶点与管状体的弯曲距离不同，使得它们以整齐的方式堆叠在触发线下方。 在暴露的支架的替代支柱上的远端延伸倒钩（26）与它们各自的顶点间隔一定距离，以防止在展开期间发生缠结。
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公开(公告)号：US20100316830A1
公开(公告)日：2010-12-16
申请号：US12713988
申请日：2010-02-26
IPC分类号： B32B3/02
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075 , A61F2220/0075 , Y10T428/21
摘要： A reinforcing ring (10) for a fenestration (32) of a stent graft which can be surface treated such as by passivation and/or electropolishing. The reinforcing ring has several turns of a substantially inextensible resilient wire (12) in a circular two dimensional planar shape and terminal ends (14) at each end of the wire. The terminal ends each comprising a loop (14) and a tail (16). The tail is folded back and extends around the circular shape. Each of the tails of the terminal loops can have an enlarged end. The reinforcing ring can be straightened out for surface treatment such as passivation and/or electropolishing with substantially no part of the circular shape, the loops or tails touching each other.
摘要翻译： 一种用于支架移植的开窗（32）的加强环（10），其可以通过钝化和/或电解抛光进行表面处理。 加强环具有数圈的基本上不可伸长的弹性线（12），其具有圆形二维平面形状，并且在线的每个端部处具有终端（14）。 终端每个包括环路（14）和尾部（16）。 尾巴折回并围绕圆形延伸。 终端回路的每个尾部可以有一个放大的末端。 加强环可以被拉直以进行表面处理，例如钝化和/或电解抛光，基本上没有圆形的一部分，环或尾部彼此接触。
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公开(公告)号：US07846194B2
公开(公告)日：2010-12-07
申请号：US11444688
申请日：2006-06-01
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2220/005 , A61F2220/0075 , A61F2250/0039
摘要： A side branch stent graft (1) suitable for the iliac arteries has a main tubular body (3) of a biocompatible graft material and a tubular side branch (5). The tubular side branch is affixed into the main tubular body so that a side branch lumen is in fluid communication with a main lumen. There is at least one external zig-zag stent (13) on the main tubular body proximal of the tubular side branch, one central external stent (14) which also encompasses the side arm, at least one external zig-zag stent (16) on the main tubular body distal of the tubular side branch and one internal zig-zag stent (15) at the distal end of the main tubular body. A reinforcing ring (9) is around the proximal end of the main tubular body and stitched thereto.
摘要翻译： 适用于髂动脉的侧分支支架移植物（1）具有生物相容性移植材料的主管状体（3）和管状侧枝（5）。 管状侧分支固定在主管体中，使得侧支管腔与主腔流体连通。 至少一个外管形支架（13）位于管状侧分支近侧的主管体上，一个中央外支架（14）也包围侧臂，至少一个外部之字形支架（16） 在管状侧分支的远端的主管状体和位于主管体的远端的一个内部之字形支架（15）。 加强环（9）在主管体的近端周围并缝合到其上。
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公开(公告)号：US07537606B2
公开(公告)日：2009-05-26
申请号：US10818538
申请日：2004-04-05
申请人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L. G. Verhoeven
发明人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L. G. Verhoeven
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/9517 , A61F2220/0075 , A61F2250/006
摘要： A deployment system for introducing stent grafts which have a side arm or into which a side arm can be deployed. For instance the stent graft can be deployed into the thoracic arch of a patient. The deployment system including an introducer (1), an auxiliary catheter (13) disposed within the introducer and an auxiliary guide wire (14) disposed within the auxiliary catheter. The auxiliary guide wire extends to adjacent the proximal end (6) of the introducer and can be extended from the proximal end of the introducer so that it can be snared from a side branch artery (56) to assist with deployment of a side arm (23) of the stent graft into the side artery or for the deployment of a side arm stent graft into the stent graft.
摘要翻译： 用于引入具有侧臂的支架移植物的展开系统或侧臂能够展开的部署系统。 例如，支架移植物可以部署到患者的胸弓中。 所述展开系统包括导引器（1），设置在导引器内的辅助导管（13）和设置在辅助导管内的辅助导丝（14）。 辅助导丝线延伸到导引器的近端（6）附近，并且可以从引导器的近端延伸，使得其可以从侧分支动脉（56）被卷绕以辅助侧臂的展开 23）的支架移植到侧动脉或用于将侧臂支架移植物部署到支架移植物中。
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公开(公告)号：US07488344B2
公开(公告)日：2009-02-10
申请号：US10726962
申请日：2003-12-03
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/06 , A61F2/95 , A61F2002/061 , A61F2002/8486 , A61F2002/9511 , A61F2002/9517 , A61F2250/0039
摘要： A prosthesis, introducer device and a method for repair of an aortic aneurysm which is positioned at least partially in the ascending aorta (62). The prosthesis (3) has a proximal end (15) and a distal end (5) and is formed from a biocompatible material, the proximal end is adapted to be surgically fastened adjacent and around the aortic heart valve (60) of a patient and the distal end is adapted to extend into the descending aorta (66). The distal end has a distally extending exposed self-expanding stent (9). The introducer device can be deployed through an incision (75) in the thoracic arch (64) and extend down the descending aorta to place the distal end of the prosthesis first and then removed so that the proximal end of the prosthesis can be sutured in place around the aortic heart valve (60).
摘要翻译： 假体，导引器装置和用于修复至少部分地位于升主动脉（62）中的主动脉瘤的方法。 假体（3）具有近端（15）和远端（5）并且由生物相容性材料形成，所述近端适于被外科紧固在患者的主动脉心脏瓣膜（60）周围和周围， 远端适于延伸到降主动脉（66）。 远端具有远端突出的自扩张支架（9）。 导引器装置可以通过胸廓（64）中的切口（75）展开并且沿下降的主动脉向下延伸以首先放置假体的远端，然后移除，使得假体的近端可缝合就位 围绕主动脉心脏瓣膜（60）。
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公开(公告)号：US20080312732A1
公开(公告)日：2008-12-18
申请号：US12228453
申请日：2008-08-13
IPC分类号： A61F2/06
CPC分类号： A61F2/856 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/828 , A61F2220/0075 , A61F2230/0069 , A61F2230/0078 , A61F2250/001 , A61F2250/0039
摘要： A stent graft (1) including a tubular wall (3) with at least one fenestration (40) including a peripheral (37) reinforcement around at least part of the fenestration. There can also be a tubular extension (15). The side arm includes a stent (19) and a cover (17) and extends from and is in fluid communication with the fenestration and the stent graft. The stent may be a self expanding stent. The ring and/or tubular extension provides better support and sealing for an extension arm. The fenestration (40) can be circular or if towards the ends of the stent graft may be in the form of a U-shape (50) with an open end.
摘要翻译： 一种包括具有至少一个开窗（40）的管状壁（3）的支架移植物（1），其包括围绕所述开窗的至少一部分的周边（37）加强件。 还可以有管状延伸部（15）。 侧臂包括支架（19）和盖（17），并从开窗和支架移植物延伸并与开窗和支架移植物流体连通。 支架可以是自扩张支架。 环和/或管状延伸部为延伸臂提供更好的支撑和密封。 开窗（40）可以是圆形的，或者如果朝向支架移植物的端部可以是具有开口端的U形（50）的形式。
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公开(公告)号：US07238198B2
公开(公告)日：2007-07-03
申请号：US10602930
申请日：2003-06-24
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/075 , A61F2230/005 , A61F2230/0054 , A61F2230/0067 , A61F2250/0039
摘要： A fastening for fixing an exposed stent (2) to a graft material (1). At least two spaced apart fastenings (7, 8) are used, each fastening has at least one turn and preferably two turns of an elongate flexible fiber through the graft material and around a portion of the stent. Each fastening has a knot (9) which is at least two thumb knots and preferably four thumb knots.
摘要翻译： 用于将暴露的支架（2）固定到移植材料（1）上的紧固件。 使用至少两个间隔开的紧固件（7,8），每个紧固件具有通过移植材料和围绕支架的一部分的至少一匝和优选两匝细长柔性纤维。 每个紧固件具有至少两个拇指结并且优选地四个拇指结的结（9）。
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公开(公告)号：US06974471B2
公开(公告)日：2005-12-13
申请号：US10280486
申请日：2002-10-25
CPC分类号： A61F2/07 , A61F2/06 , A61F2/89 , A61F2/90 , A61F2/91 , A61F2002/075 , A61F2250/0029 , A61F2250/0037
摘要： A prosthetic device (1) adapted for the carriage of fluids therethrough within a human or animal body and to be placed in or replace a curved lumen. The prosthetic device has a control arrangement to control the length of one side with respect to the other side so that the device can be curved insitu to fit the curved lumen. The control arrangement can be an expansion restriction arrangement or a length reduction arrangement. The prosthesis can be stented or unstented and be formed from a tubular or corrugated material.
摘要翻译： 一种修复装置（1），适于在人体或动物体内运送通过其的液体，并被放置在或替换弯曲内腔。 假体装置具有控制装置，以控制相对于另一侧的一侧的长度，使得该装置可以弯曲成适合弯曲内腔。 控制装置可以是膨胀限制装置或长度缩减装置。 该假体可被支架固定或不支撑，并由管状或波纹材料形成。
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公开(公告)号：US06860463B2
公开(公告)日：2005-03-01
申请号：US10309485
申请日：2002-12-04
申请人： David Ernest Hartley
发明人： David Ernest Hartley
CPC分类号： F16K7/06 , A61B17/3462 , A61M39/0613 , A61M2039/0673
摘要： An access valve (2) for a laparoscopic device or a intraluminal deployment device has a cylindrical diaphragm (8) with a longitudinal aperture (3), a flexible member (14) is passed circumferentially around the cylindrical diaphragm and an extension arrangement to pull the flexible member radially and/or tangentially to constrict the diaphragm to at least partially close off the longitudinal aperture. A rotary actuator may be used (12).
摘要翻译： 用于腹腔镜装置或管腔内展开装置的进入阀（2）具有带有纵向孔（3）的圆柱形隔膜（8），柔性构件（14）围绕圆柱形隔膜沿周向通过，并且延伸装置 径向和/或切向地弯曲的柔性构件以收缩隔膜至少部分地关闭纵向孔。 可以使用旋转致动器（12）。
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公开(公告)号：US09649188B2
公开(公告)日：2017-05-16
申请号：US13576348
申请日：2011-02-09
申请人： David Ernest Hartley
发明人： David Ernest Hartley
CPC分类号： A61F2/07 , A61F2/89 , A61F2/915 , A61F2002/061 , A61F2002/075 , A61F2210/0014
摘要： A stent graft for placement in the thoracic arch of a patient has a tubular body defining a main lumen therethrough, a plurality of zig zag stents along the tubular body, each of the stents comprising a plurality of struts and bends, the bends being between adjacent struts. At least a first stent and an adjacent second stent having at least a pair of adjacent bends on the first stent aligned with an adjacent pair of bends on the second stent, whereby a first pair of adjacent struts of the first stent and a second pair of adjacent struts of the second adjacent stent together define a diamond shape region. A recess is within the diamond shaped region with the recess extending into the lumen of the tubular body. A fenestration extending into the tubular body within the recess in the diamond shaped region and a graft tube leading from the fenestration into the main lumen. There can be one, two or three diamond shaped regions, recesses, fenestrations and graft tubes Proximally of the or each diamond shaped region the tubular body has a first diameter, distally of the diamond shaped region the tubular body has a second diameter and in the region of the tubular body around the diamond shaped region the tubular body has a third diameter, the first diameter being greater than the second diameter and both the first and second diameter being greater than the third diameter whereby a central region is defined which will allow circumferential blood flow during an operation out of the graft tube into the recess and then into the central region.
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