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    STENT STRUCTURES FOR USE WITH VALVE REPLACEMENTS
    71.
    发明公开
    STENT STRUCTURES FOR USE WITH VALVE REPLACEMENTS 审中-公开

    公开(公告)号：US20230255759A1

    公开(公告)日：2023-08-17

    申请号：US18154573

    申请日：2023-01-13

    Applicant: Cook Medical Technologies LLC

    Inventor： Timothy A. Chuter ,  Blayne A. Roeder ,  Sharath Gopalakrishnamurthy ,  Alan R. Leewood

    IPC: A61F2/24

    CPC classification number: A61F2/2418 ,  A61F2/2412 ,  A61F2230/0019 ,  A61F2220/0016 ,  A61F2230/0078

    Abstract: The present embodiments provide a medical device for implantation in a patient comprising a stent and a valve. The stent comprises a proximal region comprising a cylindrical shape having a first outer diameter in an expanded state, and a distal region comprising a cylindrical shape having a second outer diameter in the expanded state. The second outer diameter is greater than the first outer diameter. A proximal region of the valve is at least partially positioned within the proximal region of the stent, and the distal region of the valve is at least partially positioned within one of tapered and distal regions of the stent. When implanted, the proximal region of the stent and the proximal region of the valve are aligned with a native valve, and the distal region of the valve is distally spaced-apart from the native valve.

    Apparatuses to facilitate prosthesis placement
    73.
    发明授权
    Apparatuses to facilitate prosthesis placement 有权

    公开(公告)号：US11484423B2

    公开(公告)日：2022-11-01

    申请号：US16107082

    申请日：2018-08-21

    Applicant: COOK MEDICAL TECHNOLOGIES LLC

    Inventor： Kevin Wilger ,  Stephan Haulon ,  Jarin Andrew Kratzberg ,  Blayne A. Roeder

    IPC: A61F2/954 ,  A61F2/06 ,  A61F2/856 ,  A61F2/07 ,  A61F2/89 ,  A61F2/966 ,  A61F2/962

    Abstract: Methods and apparatuses to place a prosthesis within a receiving structure are provided. A delivery apparatus includes an elongated support member including a support member distal end. A stop cap is disposed at the support member distal end and includes a stop cap transverse dimension larger than an inner diameter of a receiving lumen of the receiving structure. An elongated prosthesis-positioning member extends along the support member and stop cap so a distal surface of the prosthesis-positioning member is disposed at a position longitudinally coincident with a portion of the stop cap. A sheath comprises a sheath lumen receiving the prosthesis-positioning member so the sheath translates longitudinally relative to the prosthesis-positioning member. The delivery apparatus has a loaded configuration in which the prosthesis is received in the sheath lumen with a proximal end of the prosthesis abutting the prosthesis-positioning member distal surface.

    Systems and methods to position a prosthesis
    74.
    发明授权
    Systems and methods to position a prosthesis 有权

    公开(公告)号：US11376144B2

    公开(公告)日：2022-07-05

    申请号：US16600987

    申请日：2019-10-14

    Applicant: COOK MEDICAL TECHNOLOGIES LLC

    Inventor： Blayne A. Roeder ,  Stephan Haulon ,  Jarin Andrew Kratzberg ,  Kevin Wilger

    IPC: A61F2/966 ,  A61F2/07 ,  A61F2/06

    Abstract: Systems and methods to place a prosthesis to have a preselected overlap with a receiving structure are provided. In one embodiment, a delivery system may include a primary sheath comprising a primary sheath lumen. The delivery system may further include a secondary sheath comprising a secondary sheath lumen. The primary sheath may be at least partially received within the secondary sheath lumen such that the primary sheath may translate longitudinally within the secondary sheath lumen. The delivery system may further include a prosthesis having proximal and distal ends and being received within the primary sheath lumen adjacent to the primary sheath distal end in a contracted delivery state. The delivery system may further include a length reference mechanism that indicates a length of the primary sheath distal end that extends distal to the secondary sheath distal end during the contracted delivery state of the prosthesis.

    Preloaded wire for endoluminal device
    76.
    发明授权
    Preloaded wire for endoluminal device 有权

    公开(公告)号：US10806563B2

    公开(公告)日：2020-10-20

    申请号：US15855796

    申请日：2017-12-27

    Applicant: Cook Medical Technologies LLC

    Inventor： Blayne A. Roeder ,  Matthew S. Huser ,  Kelly Coverdale

    IPC: A61F2/07 ,  A61F2/06 ,  A61F2/954 ,  A61F2/958 ,  A61F2/966 ,  A61M25/09 ,  A61F2/95

    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. One or more of the fenestrations may include a branch.

    Endoluminal prosthesis with steerable branch
    77.
    发明授权
    Endoluminal prosthesis with steerable branch 有权

    公开(公告)号：US10779930B2

    公开(公告)日：2020-09-22

    申请号：US15603575

    申请日：2017-05-24

    Applicant: Cook Medical Technologies LLC ,  The Cleveland Clinic Foundation

    Inventor： Blayne A. Roeder ,  Roy K. Greenberg ,  Jarin Kratzberg ,  Matthew S. Huser

    IPC: A61F2/07 ,  A61F2/954 ,  A61F2/06 ,  A61F2/95 ,  A61F2/89

    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.

    Fenestrated endoluminal prosthesis and system and method of deployment thereof
    78.
    发明授权
    Fenestrated endoluminal prosthesis and system and method of deployment thereof 有权

    公开(公告)号：US10772751B2

    公开(公告)日：2020-09-15

    申请号：US15695409

    申请日：2017-09-05

    Applicant: Cook Medical Technologies LLC

    Inventor： Brandon J. Davis ,  Jarin A. Kratzberg ,  Blayne A. Roeder

    IPC: A61F2/962 ,  A61F2/06 ,  A61F2/07 ,  A61F2/954 ,  A61F2/95 ,  A61F2/89

    Abstract: The present embodiments provide an endoluminal prosthesis deployment system and method for deploying the prosthesis for cannulation of branch vessels. The prosthesis includes an anterior fenestration and a posterior opening. A guide is disposed to exit the prosthesis lumen through a lateral fenestration, enter through the anterior fenestration, and exit the prosthesis lumen through the posterior opening. A sheath can be preloaded over the branch wire at the lateral fenestration for vessel cannulation, such as in renal arteries. The sheath can include another branch wire that extends from the lateral fenestration to another lateral fenestration. An end of the guide is retracted after partial expansion of the prosthesis, and another sheath is inserted over the retracted guide and moved through the posterior opening and to the anterior fenestration. A separate branch guide wire is then directed through the sheath for vessel cannulation, such as the SMA.

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