公开(公告)号：US6081738A

公开(公告)日：2000-06-27

申请号：US7434

申请日：1998-01-15

申请人： Tomoaki Hinohara ,  Matthew R. Selmon ,  James W. Vetter ,  Charles F. Milo

发明人： Tomoaki Hinohara ,  Matthew R. Selmon ,  James W. Vetter ,  Charles F. Milo

IPC分类号： A61B8/12 ,  A61B17/00 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B19/00 ,  A61M25/01 ,  A61M29/02 ,  A61B5/05

CPC分类号： A61B17/3207 ,  A61B8/12 ,  A61B17/320725 ,  A61B17/320758 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/22077 ,  A61B2017/308 ,  A61B2017/320004 ,  A61B2017/320044 ,  A61B2018/00392 ,  A61B2090/3784 ,  A61M2025/1097 ,  A61M25/0147

摘要： Described herein is a catheter method and apparatus for the guided intraluminal bypass of a coronary occlusion. A method is described employing an intraluminally operable catheter shaft including an optionally steerable working element, combined with an extraluminally operable locator including an imaging device, to selectively direct the working element to create a fluid path from the artery proximal to the occlusion into the vein and further from the vein back into the artery distal to the occlusion, to perfuse myocardium distal to the occlusion. Methods are described for creating a fluid path from the artery proximal to the occlusion into an adjacent vein and thereafter either stent grafting the fluid path to the vein, directing arterial blood distally within the vein, or stenting the fluid path and occluding the vein proximal thereto, in either case arterializing the venous system distal to the stent or stent graft. A catheter shaft is described for creating and perfusing the fluid path. Conical, guide wire and tissue-penetrating working elements are described. A scanning acoustic transducer and flexible imaging tube, and suction devices for anchoring are described for the locator. A signal-emitting working element and signal-detecting locator cooperating therewith are described.

摘要翻译： 本文描述了用于冠状动脉闭塞引导的腔内旁路的导管方法和装置。 描述了一种采用可腔内操作的导管轴的方法，该导管轴包括可选择的可操纵的工作元件，与包括成像装置的外部可操作的定位器组合，以选择性地引导工作元件以创建从靠近闭塞到静脉的动脉的流体路径， 进一步从静脉回到动脉远端闭塞，将心肌远端灌注到闭塞。 描述了用于创建从靠近闭塞的动脉到相邻静脉的流体路径的方法，之后任一支架将流体路径移植到静脉，将动脉血液定向在静脉内远端，或支架化流体路径并闭塞其附近的静脉 在任何一种情况下动脉化远端支架或支架植入物的静脉系统。 描述了用于创建和灌注流体路径的导管轴。 描述了锥形，导丝和组织穿透工作元件。 描述了扫描声换能器和柔性成像管，以及用于锚定的抽吸装置。 描述与之配合的信号发射工作元件和信号检测定位器。

公开(公告)号：US5860991A

公开(公告)日：1999-01-19

申请号：US916353

申请日：1997-08-22

申请人： Enrique J. Klein ,  T. Daniel Gross ,  Tomoaki Hinohara ,  James W. Vetter

发明人： Enrique J. Klein ,  T. Daniel Gross ,  Tomoaki Hinohara ,  James W. Vetter

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/12 ,  A61F2/00

CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/06066 ,  A61B2017/00004 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00867 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0474 ,  A61B2017/06057 ,  A61F2002/30093 ,  A61F2210/0019 ,  Y10S604/90

摘要： A suture applying device comprises a shaft which carries a pair of needles near its distal end. The needles are joined by a length of suture, and the shaft is used to both introduce the needles into a lumen of a body structure and to push the needles back through tissue on either side of the puncture site. After the needles have passed through the tissue, they are captured on the shaft and drawn outward through the tract, leaving a loop of suture behind to close the puncture site near the body lumen. The suture can then be tied and the knot pushed back through the tract to complete the closure. Alternatively, a locking fastener formed of a resorbable material can be placed into the penetration over the sutures and the sutures tied over the fastener.

摘要翻译： 缝合施加装置包括在其远端附近承载一对针的轴。 针通过一定长度的缝合线连接，并且该轴用于将针引入体结构的内腔并将针推回穿刺部位两侧的组织。 针穿过组织后，它们被捕获在轴上并向外穿过管道，留下一条缝合线，以闭合身体内腔附近的穿刺部位。 然后可以将缝合线缝合，并将结通过管道推回以完成闭合。 或者，由可再吸收材料形成的锁定紧固件可以被放置在缝合线上的穿透物中，并且缝合线被绑在紧固件上。