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公开(公告)号：US06355060B1
公开(公告)日：2002-03-12
申请号：US09421202
申请日：1999-10-15
IPC分类号： A61F200
CPC分类号： A61F2/07 , A61F2/0095 , A61F2/848 , A61F2/89 , A61F2/91 , A61F2/915 , A61F2/954 , A61F2/97 , A61F2002/067 , A61F2002/075 , A61F2002/826 , A61F2002/91541 , A61F2002/9511 , A61F2002/9517 , A61F2002/9522 , A61F2002/9534 , A61F2002/9665 , A61F2210/0019 , A61F2220/0058 , A61F2220/0075 , A61F2230/0054 , A61F2240/001 , A61F2250/0098
摘要： A delivery catheter for a radially compressible tubular prosthesis comprises an elongate shaft slidably received within a tubular cover. The prosthesis is carried within a plurality of elongate, relatively hard runners, and is restrained in a radially compressed configuration by the cover. After introducing the catheter to a desired target location within a body lumen, the prosthesis may be released by proximally retracting the cover. The runners may optionally remain disposed about the prosthesis to be retracted separately, or, alternatively, the runners retract proximally with the cover as the prosthesis slides over the hard runner surfaces.
摘要翻译： 用于可径向压缩的管状假体的输送导管包括可滑动地容纳在管状盖内的细长轴。 假体承载在多个细长的相对硬的流道中，并且被盖子限制在径向压缩的构型中。 在将导管引入体腔内的期望的目标位置之后，假体可以通过近端缩回盖来释放。 滑动件可以可选地保持围绕假体单独地缩回，或者替代地，当假体在硬流道表面上滑动时，滑动件可随着盖向近侧缩回。
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公开(公告)号：US06283991B1
公开(公告)日：2001-09-04
申请号：US09121226
申请日：1998-07-22
申请人： Brian Cox , Michael A. Evans , Allan Will , Jay A. Lenker , Steven W. Kim , Kirsten Freislinger
发明人： Brian Cox , Michael A. Evans , Allan Will , Jay A. Lenker , Steven W. Kim , Kirsten Freislinger
IPC分类号： A61F200
CPC分类号： A61F2/88 , A61F2/07 , A61F2/848 , A61F2/885 , A61F2/89 , A61F2/90 , A61F2/91 , A61F2/915 , A61F2/92 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2002/041 , A61F2002/044 , A61F2002/046 , A61F2002/047 , A61F2002/048 , A61F2002/065 , A61F2002/075 , A61F2002/30199 , A61F2002/30327 , A61F2002/30604 , A61F2002/828 , A61F2220/0041 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2230/001 , A61F2230/0054 , A61F2230/0063 , A61F2230/0067 , A61F2230/0095 , A61F2250/0039 , A61F2250/006 , A61L27/34 , A61L31/10 , A61L31/18 , C08L67/00
摘要： The present invention provides a branching endoluminal prosthesis for use in branching body lumen systems which includes a trunk lumen and first and second branch lumens. The prostheses comprises a radially expandable tubular trunk portion having a prosthetic trunk lumen, and radially expandable tubular first and second branch portions with first and second prosthetic branch lumens, respectively. A radially expandable tubular Y-connector portion provides fluid communication between the prosthetic trunk lumen and the first and second prosthetic branch lumens. Although it is often considered desirable to maximize the column strength of endoluminal prostheses, and although the trunk portion will generally have a larger cross-section than much of the remainder of a branching endoluminal prostheses, the expanded trunk portion is more axially flexible than the expanded Y-connector portion, as insufficient flexibility along the trunk portion may result in leakage between the prosthesis and the trunk lumen of the body lumen system. In contrast, the Y-connector portion benefits form a less axially flexible structure to avoid distortion of the flow balance between the luminal branches.
摘要翻译： 本发明提供一种用于分支体腔系统的分支腔内假体，其包括躯干腔和第一和第二分支腔。 假体包括具有假肢躯干腔的径向可扩张的管状躯干部分，以及分别具有第一和第二假肢分支腔的可径向扩张的管状第一和第二分支部分。 径向可扩张的管状Y形连接器部分提供假体躯干腔与第一和第二假肢分支腔之间的流体连通。 尽管通常认为最大化腔内假体的柱强度是理想的，并且虽然躯干部分通常具有比分支腔内假体的剩余部分更大的横截面，但是扩张的躯干部分比扩张的 Y连接器部分，因为沿躯干部分的柔韧性不足可能导致假体和体腔系统的躯干腔之间的泄漏。 相比之下，Y型连接器部分有利于形成较小的轴向柔性结构，以避免管腔分支之间的流动平衡变形。
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公开(公告)号：US5824040A
公开(公告)日：1998-10-20
申请号：US615697
申请日：1996-03-13
申请人： Brian Cox , Michael A. Evans , Allan Will , Jay A. Lenker , Steven W. Kim , Kirsten Freislinger
发明人： Brian Cox , Michael A. Evans , Allan Will , Jay A. Lenker , Steven W. Kim , Kirsten Freislinger
IPC分类号： A61F2/00 , A61F2/04 , A61F2/06 , A61F2/82 , A61F2/88 , A61F2/90 , A61F2/92 , A61L27/34 , A61L31/10 , A61L31/18
CPC分类号： A61F2/88 , A61F2/07 , A61F2/90 , A61F2/91 , A61L27/34 , A61L31/10 , A61L31/18 , A61F2/848 , A61F2/885 , A61F2/89 , A61F2/915 , A61F2/92 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2002/041 , A61F2002/044 , A61F2002/046 , A61F2002/047 , A61F2002/048 , A61F2002/065 , A61F2002/075 , A61F2002/30199 , A61F2002/30327 , A61F2002/30604 , A61F2002/828 , A61F2220/0041 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2230/001 , A61F2230/0054 , A61F2230/0063 , A61F2230/0067 , A61F2230/0095 , A61F2250/0039 , A61F2250/006
摘要： The present invention provides a branching endoluminal prosthesis for use in branching body lumen systems which includes a trunk lumen and first and second branch lumens. The prostheses comprises a radially expandable tubular trunk portion having a prosthetic trunk lumen, and radially expandable tubular first and second branch portions with first and second prosthetic branch lumens, respectively. A radially expandable tubular Y-connector portion provides fluid communication between the prosthetic trunk lumen and the first and second prosthetic branch lumens. Although it is often considered desirable to maximize the column strength of endoluminal prostheses, and although the trunk portion will generally have a larger cross-section than much of the remainder of a branching endoluminal prostheses, the expanded trunk portion is more axially flexible than the expanded Y-connector portion, as insufficient flexibility along the trunk portion may result in leakage between the prosthesis and the trunk lumen of the body lumen system. In contrast, the Y-connector portion benefits form a less axially flexible structure to avoid distortion of the flow balance between the luminal branches.
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84.发明授权Large-diameter introducer sheath having hemostasis valve and removable steering mechanism 失效具有止血阀和可拆卸转向机构的大直径导引套管
公开(公告)号：US5599305A
公开(公告)日：1997-02-04
申请号：US330140
申请日：1994-10-24
CPC分类号： A61M25/0138 , A61B17/12036 , A61B17/12109 , A61B17/12118 , A61B17/12136 , A61M25/0045 , A61M25/0144 , A61M25/0147 , A61M25/0662 , A61M39/0606 , A61F2/07 , A61F2/958 , A61F2002/065 , A61M2025/0046 , A61M2025/0681 , A61M2025/1052 , A61M2025/1061 , A61M2039/062 , A61M2039/0633 , A61M2039/0646 , A61M2039/066 , A61M2039/0686 , A61M2210/127 , A61M25/005 , A61M25/0051 , A61M25/0053
摘要： A catheter introducing system includes an introducer catheter comprising a flexible sheath having a hemostasis valve and an obturator having a steering mechanism operated by a proximal actuator handle. The catheter introducer system will usually be introduced with the obturator inside of the flexible sheath so that the obturator can effect steering by laterally deflecting the distal end of the combined sheath and obturator. Such catheter introducing systems are particularly useful for large diameter sheaths which are not readily introduced over guide wires. A first exemplary hemostasis valve comprises a compressed foam insert having an axial lumen therein. A second exemplary hemostasis valve comprises an elastomeric insert which receives and seals over the catheter.
摘要翻译： 导管引入系统包括引导器导管，其包括具有止血阀和闭塞器的柔性护套，该止血阀具有由近侧致动器手柄操作的转向机构。 导管导引器系统通常将在柔性护套内部带有闭孔器，使得闭孔器可以通过横向偏转组合护套和闭孔器的远端来实现转向。 这种导管引入系统对于不容易在引导线上引入的大直径护套特别有用。 第一示例性止血阀包括其中具有轴向腔的压缩泡沫插入件。 第二示例性止血阀包括在导管上接收和密封的弹性体插入件。
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公开(公告)号：US5007898A
公开(公告)日：1991-04-16
申请号：US201686
申请日：1988-06-02
IPC分类号： A61M29/02
CPC分类号： A61M29/02 , A61M2025/0004 , A61M2025/1072
摘要： Disclosed is an apparatus and method for the treatment of the symptoms of obstructive prostatism. The apparatus comprises an expandable dilatation catheter and an axially elongate sheath, adapted for transurethral insertion via the external opening of the urethra. The sheath is ellipsoid in cross-section, and provides an initial path through which the catheter and a standard cystoscope lens is guided. Disposed near the proximal end of the expandable dilation portion of the catheter is a plurality of irrigation ports. A saline solution travels through an irrigation conduit and is secreted through the irrigation ports so as to flush away blood, etc., away from the lens of a cystoscope and provides the urologist with an unobstructed view of the dilation catheter and external urethral sphincter muscle. Once the catheter has been properly positioned with respect to both the bladder neck and the sphincter, the dilation balloon may be inflated to force open the affected prostatic urethra and eliminate the obstruction.
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公开(公告)号：US08574258B2
公开(公告)日：2013-11-05
申请号：US12936666
申请日：2009-04-08
申请人： Michael Braun , John S. Geis , Brian M. Strauss , Jay A. Lenker
发明人： Michael Braun , John S. Geis , Brian M. Strauss , Jay A. Lenker
IPC分类号： A61M29/00
CPC分类号： A61B17/12022 , A61B17/1204 , A61B17/12045 , A61B17/12109 , A61B17/12172 , A61B2017/0042 , A61B2017/00862 , A61B2017/00867 , A61B2017/00986 , A61B2017/00995 , A61B2017/12127 , A61B2017/22038 , A61B2217/005
摘要： A device for protecting cerebral vessels or brain tissue during treatment of a carotid vessel includes a catheter having a distal portion, a proximal portion and a lumen extending therebetween, the catheter including first and second expandable areas provided over the length of the catheter. The device includes a first elongate member insertable longitudinally through the lumen of the catheter, the first elongate member being configured for stretching at least a portion of the catheter and causing one of the first and second expandable areas to transition from an expanded state to a collapsed state. The device further includes a second elongate member insertable longitudinally through the lumen of the catheter, the second elongate member being configured for stretching at least a portion of the catheter and causing the other of the first and second expandable areas to transition from an expanded state to a collapsed state.
摘要翻译： 用于在颈动脉血管治疗期间保护脑血管或脑组织的装置包括具有远侧部分，近端部分和在其间延伸的内腔的导管，该导管包括设置在导管长度上的第一和第二可扩张区域。 所述装置包括纵向通过所述导管的内腔插入的第一细长构件，所述第一细长构件构造成用于拉伸所述导管的至少一部分，并且使所述第一和第二可膨胀区域中的一个从膨胀状态转变为折叠状态 州。 所述装置还包括纵向延伸穿过所述导管的内腔的第二细长构件，所述第二细长构件被构造成用于拉伸所述导管的至少一部分并使所述第一和第二可扩张区域中的另一个从扩张状态转变为 崩溃状态
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公开(公告)号：US08480693B2
公开(公告)日：2013-07-09
申请号：US12070697
申请日：2008-02-19
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B2017/1107
摘要： A device and method for achieving hemostasis and leakage control in vascular structures and other body ducts or vessels in an emergency room or trauma situation. The device has at least one shunt that contains an obturator on an end of the shunt. The shunt is inserted into a damaged vessel or lumen for sealing the leak or hemorrhage. Two shunts that both contain obturators on one of their ends can be inserted into two different vessels or lumens when the vessel or lumen has been severed. The obturators allow for the improved ease of insertion into the vessel or lumen. The two shunts are then releasably attached to restore fluid communication through the vessel or lumen. The shunt is placed temporarily within the patient and then removed when definitive repair can be achieved by a qualified physician.
摘要翻译： 用于在急诊室或创伤情况下在血管结构和其他身体导管或血管中实现止血和泄漏控制的装置和方法。 该装置具有至少一个在分路端部包含闭孔器的分路器。 分流器插入损伤的血管或腔内以密封泄漏或出血。 当血管或内腔已被切断时，两个分流器都可以插入到两个不同的血管或腔内。 闭孔器允许改进容易插入血管或内腔。 然后将两个分流器可释放地连接以恢复通过容器或内腔的流体连通。 分流器临时放置在患者体内，然后在由合格医师进行确定性修复时取出。
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公开(公告)号：US20130053693A1
公开(公告)日：2013-02-28
申请号：US13568778
申请日：2012-08-07
CPC分类号： A61M5/36 , A61M1/3627 , A61M25/0097 , A61M39/0613
摘要： A system for preventing air from entering a first catheter of a multi-catheter system. Air is prevented from entering the proximal end of the first catheter by an axially elongate chamber having an impeller, the chamber being affixed to the proximal end of the first catheter. The air is removed through a port near the centerline of the chamber. Liquid removed with the air is returned to the chamber to minimize liquid loss during the procedure. A second catheter inserted through the chamber and into the first catheter is unable to entrain gas into the first catheter because any gas that enters the chamber is routed to the centerline of the chamber where it is removed. Inflow of fluid from an external pump scrubs the second catheter shaft of air bubbles attached by surface tension.
摘要翻译： 一种用于防止空气进入多导管系统的第一导管的系统。 通过具有叶轮的轴向细长室防止空气进入第一导管的近端，该腔室固定到第一导管的近端。 空气通过靠近室的中心线的端口移除。 用空气除去的液体返回到室中，以最小化在该过程中的液体损失。 插入通过腔室并进入第一导管的第二导管不能将气体夹带到第一导管中，因为进入腔室的任何气体被引导到其被移除的腔室的中心线。 来自外部泵的流体的流入通过表面张力擦拭附着的气泡的第二导管轴。
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公开(公告)号：US20120221101A1
公开(公告)日：2012-08-30
申请号：US13405002
申请日：2012-02-24
IPC分类号： A61F2/24
CPC分类号： A61F2/2445 , A61F2/2448 , A61F2210/0038 , A61F2210/009 , A61F2250/0001 , A61F2250/0004
摘要： An adjustable annuloplasty device is described. The device includes a body member comprising a shape memory material, the body member configured to be placed at or near a base of a valve of a heart. The device further includes a hysteretic material configured to undergo magnetic hysteresis in response to a first activation energy, the hysteretic material being in thermal communication with the shape memory material. The body member may have a first size of a body member dimension in a first configuration and a second size of the body member dimension in a second configuration. When the body member is in position in the heart, a change from the first configuration to the second configuration changes a size of a dimension of the annulus of the valve.
摘要翻译： 描述了可调环形成形术装置。 所述装置包括主体部件，所述主体部件包括形状记忆材料，所述主体部件构造成放置在心脏的阀的基部处或附近。 该器件还包括缓冲材料，其被配置成响应于第一激活能量而经历磁滞，所述滞后材料与形状记忆材料热连通。 主体构件可以具有第一构造的主体构件尺寸的第一尺寸和具有第二构造的主体构件尺寸的第二尺寸。 当身体构件在心脏中的位置时，从第一构型到第二构造的变化改变了瓣膜的环的尺寸的大小。
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公开(公告)号：US20120116350A1
公开(公告)日：2012-05-10
申请号：US13178381
申请日：2011-07-07
申请人： Brian M. Strauss , Lynn Shimada , Serefino Torres , Jay A. Lenker
发明人： Brian M. Strauss , Lynn Shimada , Serefino Torres , Jay A. Lenker
CPC分类号： A61B17/22 , A61B2017/00305 , A61B2017/00309 , A61B2017/22084
摘要： Systems and methods for delivering implantable devices, catheters, or substances in or near and/or restoring flow through body lumens, such as blood vessel lumens are described. A catheter having a proximal portion of a first diameter and a distal portion of a second diameter (smaller than the first diameter) is advanced into a body lumen. The distal portion of the catheter is caused to expand to a diameter that is larger than the second diameter but no larger than the first diameter. A working device is then advanced out of the distal end of the catheter and used to remove obstructive matter, deliver an implantable device or substance and/or restore flow. The distal portion can be reduced in diameter prior to removal from the body. A stand alone, guide catheter is also disclosed possessing high resistance to kinking even with a very thin wall.
摘要翻译： 描述了用于在体内流经或接近和/或恢复体内流体（例如血管腔）中输送可植入装置，导管或物质的系统和方法。 具有第一直径的近端部分和第二直径（小于第一直径的远端部分）的导管进入体腔。 引导导管的远端部扩大到比第二直径大但不大于第一直径的直径。 然后将工作装置从导管的远端推出并用于去除阻塞物质，递送可植入装置或物质和/或恢复流动。 远端部分可以在从身体移除之前直径减小。 还公开了独立的引导导管，即使具有非常薄的壁也具有高抗扭结性。
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