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公开(公告)号：US20150327983A1
公开(公告)日：2015-11-19
申请号：US14807333
申请日：2015-07-23
Applicant: Cook Medical Technologies LLC
Inventor： Blayne A. Roeder , Matthew S. Huser , Kelly Coverdale
CPC classification number: A61F2/07 , A61F2/06 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/9511 , A61M25/09
Abstract: A system may include an endoluminal prosthesis and a guide wire. The prosthesis may include a tubular body including a graft material wall, a proximal end opening, a distal end opening, and a lumen extending longitudinally therein. The prosthesis may include first and second fenestrations in the graft material wall. The first and second fenestrations may be spaced from one another circumferentially about the tubular body. The guide wire may have a first end and a second end both extending from a region proximal of the proximal end opening. The guide wire may enter the proximal end opening, exit the first fenestration, partially traverse an exterior surface of the prosthesis, enter the second fenestration, and exit the proximal end opening. No portion of the guide wire may extend distally beyond the distal end opening.
Abstract translation: 系统可以包括腔内假体和导丝。 假体可以包括管状体，其包括移植材料壁，近端开口，远端开口和在其中纵向延伸的内腔。 假体可以包括移植材料壁中的第一和第二开窗。 第一和第二开窗可以围绕管状体沿周向间隔开。 引导线可以具有从近端开口的近侧区域延伸的第一端和第二端。 导丝可以进入近端开口，离开第一开窗，部分地穿过假体的外表面，进入第二开窗，并离开近端开口。 引导线的任何部分可以远离远端开口延伸。
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公开(公告)号：US09101455B2
公开(公告)日：2015-08-11
申请号：US13718915
申请日：2012-12-18
Applicant: Cook Medical Technologies LLC
Inventor： Blayne A. Roeder , Matthew S. Huser , Kelly Coverdale
CPC classification number: A61F2/07 , A61F2/06 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/9511 , A61M25/09
Abstract: A system may include an endoluminal prosthesis and a guide wire. The prosthesis may include a tubular body including a graft material wall, a proximal end opening, a distal end opening, and a lumen extending longitudinally therein. The prosthesis may include first and second fenestrations in the graft material wall. The first and second fenestrations may be spaced from one another circumferentially about the tubular body. The guide wire may have a first end and a second end both extending from a region proximal of the proximal end opening. The guide wire may enter the proximal end opening, exit the first fenestration, partially traverse an exterior surface of the prosthesis, enter the second fenestration, and exit the proximal end opening. No portion of the guide wire may extend distally beyond the distal end opening.
Abstract translation: 系统可以包括腔内假体和导丝。 假体可以包括管状体，其包括移植材料壁，近端开口，远端开口和在其中纵向延伸的内腔。 假体可以包括移植材料壁中的第一和第二开窗。 第一和第二开窗可以围绕管状体沿周向间隔开。 引导线可以具有从近端开口的近侧区域延伸的第一端和第二端。 导丝可以进入近端开口，离开第一开窗，部分地穿过假体的外表面，进入第二开窗，并离开近端开口。 引导线的任何部分可以远离远端开口延伸。
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公开(公告)号：US20140277335A1
公开(公告)日：2014-09-18
申请号：US13826289
申请日：2013-03-14
Applicant: Cook Medical Technologies LLC
Inventor： Roy K. Greenberg , Blayne A. Roeder , Matthew S. Huser , William J. Havel
CPC classification number: A61F2/856 , A61F2/07 , A61F2/954 , A61F2002/061 , A61F2002/075 , A61F2250/0039
Abstract: The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, a second perimeter attached to and surrounding the band of flexible material and a support frame disposed about a surface of the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape. The support frame includes a plurality of support units having curved segments. The curved segments of the support units may be concave with respect to an exterior surface of the prosthesis.
Abstract translation: 本公开涉及一种腔内假体，例如包括一个或多个开窗以适应血管内疾病的支架移植物，例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面，假体包括可枢转以适应主动脉分支的动态几何形状的开窗。 在另一方面，可枢转的窗口包括第一周边，附接并围绕第一周边的柔性材料带，附接到柔性材料带并围绕柔性材料带的第二周边和围绕柔性材料带的表面设置的支撑框架 。 第一周边的柔性材料带和第二周边具有几何形状。 支撑框架包括具有弯曲段的多个支撑单元。 支撑单元的弯曲段可以相对于假体的外表面是凹的。
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64.发明申请公开(公告)号：US20140180394A1
公开(公告)日：2014-06-26
申请号：US14139381
申请日：2013-12-23
Applicant: CLEVELAND CLINIC FOUNDATION , COOK MEDICAL TECHNOLOGIES LLC
Inventor： Roy K. Greenberg , Blayne A. Roeder
IPC: A61F2/07
CPC classification number: A61F2/07 , A61F2002/061 , A61F2002/067
Abstract: The present embodiments provide an endoluminal prosthesis having modular branches, and systems and methods for facilitating deployment of the endoluminal prosthesis. In one example, the endoluminal prosthesis comprises a graft including a bifurcated body of a biocompatible material. The bifurcated body includes distally extending limbs. Limb extensions can be longitudinally and circumferentially adjusted prior to mating with the limbs to enable an “off-the-shelf” prosthesis that can conform to various complex anatomy. When adjusted and mated, fenestrations in the limb extensions can align with branch vessels.
Abstract translation: 本实施例提供具有模块分支的腔内假体，以及用于促进内腔假体的展开的系统和方法。 在一个实例中，腔内假体包括包含生物相容性材料的分叉体的移植物。 分叉体包括向前延伸的四肢。 肢体延伸部可以在与四肢配合之前进行纵向和周向调整，以实现能够符合各种复杂解剖结构的“现成”假体。 当调整和配合时，肢体延伸部的开窗可以与分支血管对齐。
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公开(公告)号：US20140172069A1
公开(公告)日：2014-06-19
申请号：US14132903
申请日：2013-12-18
Applicant: Cook Medical Technologies LLC
Inventor： Blayne A. Roeder , Krasnodar Ivancev
CPC classification number: A61F2/95 , A61F2/07 , A61F2002/075 , A61F2002/9511 , A61F2002/9534 , A61F2250/001
Abstract: An endoluminal prosthesis includes an expandable stent graft that includes a cannula extending through a lumen of the stent graft. A suture is threaded along the perimeter of the graft through openings therein, with an inner end of the suture mounted to the cannula. The cannula is rotatable relative to the graft to wind or unwind the suture around the cannula and cause the graft to become compressed when wound or allow the graft to expand when unwound. The cannula includes an attachment member for retaining an inner end of the suture, and the attachment member can release the inner end of the suture when adjustment of the graft diameter is no longer desired.
Abstract translation: 腔内假体包括可扩张的支架移植物，其包括延伸穿过支架移植物的内腔的套管。 缝合线沿着移植物的周边穿过其中的开口，其中缝合线的内端安装到插管。 套管可相对于移植物旋转，以使缝合线围绕套管缠绕或退绕，并且使得移植物在伤口时变得压缩，或者当解开时允许移植物膨胀。 套管包括用于保持缝合线的内端的附接构件，并且当不再需要调节移植物直径时，附接构件可释放缝合线的内端。
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Patent Agency Ranking
公开(公告)号：US20140121749A1
公开(公告)日：2014-05-01
申请号：US14064625
申请日：2013-10-28
Applicant: Cook Medical Technologies LLC
Inventor： Blayne A. Roeder
IPC: A61F2/954
CPC classification number: A61F2/954 , A61F2/07 , A61F2/962 , A61F2002/061 , A61F2002/065 , A61F2230/0091
Abstract: A delivery system for a medical device includes a proximal tip having a curved groove formed therein and a pre-loaded catheter disposed in the groove such that the pre-loaded catheter is disposed at least partly circumferentially with regard to the proximal tip. A guidewire can be advanced through the pre-loaded catheter and extended laterally from the delivery system.
Abstract translation: 用于医疗装置的递送系统包括具有形成在其中的弯曲凹槽的近端尖端和设置在凹槽中的预加载导管，使得预加载导管相对于近端尖端至少部分地周向设置。 导丝可以穿过预加载的导管并且从输送系统横向延伸。
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公开(公告)号：US20130158646A1
公开(公告)日：2013-06-20
申请号：US13713517
申请日：2012-12-13
Applicant: Cook Medical Technologies LLC
Inventor： Blayne A. Roeder
IPC: A61F2/95
CPC classification number: A61F2/95 , A61F2/844 , A61F2/848 , A61F2/90 , A61F2/966 , A61F2002/8483 , A61F2002/9665
Abstract: A deployment device for deploying an expandable endoluminal prosthesis within a body vessel may include an elongate member extending longitudinally along at least a portion of a length of the deployment device. The deployment device may include at least one engagement member coupled to the elongate member and extending outwardly from the elongate member. The deployment device may include a circumferential trigger wire extending at least partially circumferentially around the elongate member and removably received between the engagement member and the elongate member. The circumferential trigger wire may be manipulatable from a distal end of the deployment device, whereby the circumferential trigger wire is removable from between the engagement member and the elongate member.
Abstract translation: 用于在体容器内展开可扩张腔内假体的展开装置可以包括沿着展开装置长度的至少一部分纵向延伸的细长构件。 展开装置可以包括联接到细长构件并从细长构件向外延伸的至少一个接合构件。 展开装置可以包括围绕细长构件至少部分地周向延伸的周向触发线，并且可移除地容纳在接合构件和细长构件之间。 周向触发线可以从展开装置的远端可操纵，由此周向触发线可从接合构件和细长构件之间移除。
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公开(公告)号：US20130138199A1
公开(公告)日：2013-05-30
申请号：US13707323
申请日：2012-12-06
Applicant: Cook Medical Technologies LLC
Inventor： Krasnodar Ivancev , Blayne A. Roeder
CPC classification number: A61F2/07 , A61F2/82 , A61F2/89 , A61F2/95 , A61F2002/061 , A61F2002/075 , A61F2220/005 , A61F2220/0075 , A61F2250/0039 , A61F2250/006
Abstract: A stent graft for deployment into the aorta of a patient has a tubular body with a proximal portion of a selected diameter; preferably a reduced diameter portion, distal of the proximal portion, having a diameter less than the selected diameter; a tapered portion, extending between the proximal portion and the reduced diameter portion; and optionally a distal portion, distal of the reduced diameter portion. At least three, preferably four or five, low profile side arms are provided, preferably in the reduced diameter portion and/or the tapered portion, for connection of an arm extension to an aortic branch vessel. All but one of the side arms are to be connected at the physician's choice, depending on the anatomy of the patient. One side arm is to provide temporary perfusion to external of the stent graft after deployment of the stent graft into the aorta, and is subsequently blocked.
Abstract translation: 用于展开到患者主动脉中的支架移植物具有管状体，其具有所选直径的近端部分; 优选地，近端部分的远侧的直径减小的部分具有小于所选直径的直径; 在所述近端部分和所述直径减小部分之间延伸的锥形部分; 以及可选地在缩小直径部分的远侧的远端部分。 提供至少三个，优选四个或五个低轮廓侧臂，优选地在直径减小部分和/或锥形部分中，用于将臂延伸部连接到主动脉分支血管。 根据患者的解剖结构，除了一个侧臂之外，所有的旁路臂都要根据医生的选择进行连接。 一侧臂是在将支架移植物部署到主动脉之后临时灌注到支架移植物的外部，随后被阻断。
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公开(公告)号：US20130079870A1
公开(公告)日：2013-03-28
申请号：US13626166
申请日：2012-09-25
Inventor： Blayne A. Roeder , Roy K. Greenberg , Jarin Kratzberg , Matthew S. Huser
IPC: A61F2/82
CPC classification number: A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/075 , A61F2002/9511 , A61F2220/0025 , A61F2220/0033 , A61F2220/005 , A61F2220/0066 , A61F2220/0075 , A61F2230/0006 , A61F2250/0006
Abstract: An endoluminal prosthesis may include a tubular main graft body including a sidewall and proximal and distal ends. A first stent may be positioned near the proximal end of the main graft body. A second stent may be positioned adjacent to and distal of the first stent. An opening in the sidewall may be positioned longitudinally between a peak of the first stent and a valley of the second stent. A tubular branch may be disposed in the opening. The branch may include first and second end openings. The branch may be flexibly orientable between a retrograde configuration in which the first end opening is oriented toward the distal end and the second end opening is oriented toward the proximal end and an antegrade configuration in which the first end opening is oriented toward the proximal end and the second end opening is oriented toward the distal end.
Abstract translation: 腔内假体可以包括管状主移植体，其包括侧壁和近端和远端。 第一支架可以位于主移植体的近端附近。 第二支架可以定位成与第一支架相邻并远离第一支架。 侧壁中的开口可以纵向定位在第一支架的峰部和第二支架的谷部之间。 管状分支可以设置在开口中。 分支可以包括第一和第二端部开口。 分支可以在其中第一端开口朝向远端定向并且第二端开口朝向近端定向的逆行构造之间可柔性地定向，并且顺向构造，其中第一端开口朝向近端定向， 第二端开口朝向远端。
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公开(公告)号：US20230277296A1
公开(公告)日：2023-09-07
申请号：US18074730
申请日：2022-12-05
Applicant: Cook Medical Technologies LLC
Inventor： Jarin A. Kratzberg , Blayne A. Roeder , Jennifer Stacy
CPC classification number: A61F2/07 , A61F2/856 , A61F2/82 , A61F2/966 , A61F2002/075 , A61F2002/061 , A61F2230/0054 , A61F2240/002 , A61F2250/0098 , A61F2/89 , A61F2002/826 , A61F2220/0075 , A61F2240/001 , A61F2002/067 , A61F2/958
Abstract: Examples of prostheses are provided having an internal branch. A tubular graft body of the prosthesis defines a main lumen extending between an inflow end and an outflow end of the graft body. A stent structure is coupled along the graft body. A trough is at least partially defined by a trough wall extending into the main lumen from a sidewall of the graft body. A side branch defines a branch lumen and extends from the trough within the main lumen towards one of the inflow or outflow ends of the graft body. A branch lumen facing surface of the trough wall is a continuous surface with an outer surface of the sidewall of the graft body. A boundary of the trough may be configured to provide a smooth transition surface between the trough and the sidewall.
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