公开(公告)号：US20080171944A1

公开(公告)日：2008-07-17

申请号：US12017437

申请日：2008-01-22

Applicant: Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

Inventor： Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

IPC: A61M31/00 ,  A61M5/178

CPC classification number: A61M1/3655 ,  A61B17/083 ,  A61B17/10 ,  A61B17/11 ,  A61B17/32053 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61M39/0247 ,  A61M2039/0258 ,  A61M2039/0273 ,  A61M2039/0276 ,  A61M2039/0279

Abstract: Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include an apparatus for the creation, modification and maintenance of a fistula, including the modification of an existing dialysis fistula; and a method of supplying oxygenated blood to the venous circulation of a patient. A kit of anastomotic implants is described which supports a broad base of patient anatomies and fistula locations. The devices, systems and methods can be used to treat patients with one or more numerous ailments including chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypotension, respiratory failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome.

Abstract translation: 公开了用于在患者肢体中形成动静脉瘘的装置，系统和方法。 实施例包括用于创建，修改和维持瘘的装置，包括修改现有的透析瘘; 以及向患者的静脉循环供给氧合血液的方法。 描述了一套吻合植入物，其支持患者解剖结构和瘘位置的广泛基础。 装置，系统和方法可用于治疗患有一种或多种许多疾病的患者，包括慢性阻塞性肺病，充血性心力衰竭，高血压，低血压，呼吸衰竭，肺动脉高压，肺纤维化和成人呼吸窘迫综合征。

公开(公告)号：US20080119879A1

公开(公告)日：2008-05-22

申请号：US11946454

申请日：2007-11-28

Applicant: Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

Inventor： Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

IPC: A61B17/08 ,  B65D69/00

CPC classification number: A61B17/11 ,  A61B8/488 ,  A61B17/083 ,  A61B17/122 ,  A61B17/3403 ,  A61B17/3468 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/3413 ,  A61M25/09

Abstract: Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include a device for the creation, modification and maintenance of a fistula that includes an integral fistula creation assembly near its distal end that passes through the skin of the patient, through a first vessel such as an artery, and into a second vessel such as a vein. The fistula creation assembly preferably includes an anastomotic implant that is placed within the fistula to maintain long-term blood flow therethrough. The devices, systems and methods can be used to treat patients with one or more numerous ailments including chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypotension, respiratory failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome.

Abstract translation: 公开了用于在患者肢体中形成动静脉瘘的装置，系统和方法。 实施例包括用于创建，修改和维护瘘的装置，其包括在其远端附近的整体瘘产生组件，其通过患者的皮肤穿过患者的皮肤，并通过第一容器例如动脉，并进入第二容器，例如 静脉 瘘产生组件优选地包括置于瘘管内以保持长期血液流过其中的吻合植入物。 装置，系统和方法可用于治疗患有一种或多种许多疾病的患者，包括慢性阻塞性肺病，充血性心力衰竭，高血压，低血压，呼吸衰竭，肺动脉高压，肺纤维化和成人呼吸窘迫综合征。

公开(公告)号：US06508805B1

公开(公告)日：2003-01-21

申请号：US09684819

申请日：2000-10-10

Applicant: Robert J. Garabedian ,  John Griego ,  Earl Bardsley ,  Dean A. Schaefer ,  Cang D. Dao ,  Steven M. Anderson

Inventor： Robert J. Garabedian ,  John Griego ,  Earl Bardsley ,  Dean A. Schaefer ,  Cang D. Dao ,  Steven M. Anderson

IPC: A61M2500

CPC classification number: A61M25/005 ,  A61M25/0053

Abstract: An intravascular catheter that exhibits the combined features of superior flexibility, softness, radiopacity and oval/kink resistance. The catheter includes an elongate shaft having a proximal region, a distal region and a lumen extending therethrough. The proximal region of the shaft includes an inner lubricious polymer layer, a reinforcement layer and an outer layer. The reinforcement layer comprises a braid having one or more metallic members and a plurality of polymer members wherein each polymer member comprises a plurality of monofilaments, preferably formed of LCP. The polymer members of the braid provide improved flexibility and softness in addition to high burst pressure. The metallic member(s) of the braid provide improved radiopacity and oval/kink resistance. The catheter may also include a longitudinal member extending along the reinforcement layer.

公开(公告)号：US20140188028A1

公开(公告)日：2014-07-03

申请号：US13748397

申请日：2013-01-23

Applicant: Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

Inventor： Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

IPC: A61M1/36

CPC classification number: A61M1/3655 ,  A61B17/083 ,  A61B17/10 ,  A61B17/11 ,  A61B17/32053 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61M39/0247 ,  A61M2039/0258 ,  A61M2039/0273 ,  A61M2039/0276 ,  A61M2039/0279

Abstract: Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include an apparatus for the creation, modification and maintenance of a fistula, including the modification of an existing dialysis fistula; and a method of supplying oxygenated blood to the venous circulation of a patient. A kit of anastomotic implants is described which supports a broad base of patient anatomies and fistula locations. The devices, systems and methods can be used to treat patients with one or more numerous ailments including chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypotension, respiratory failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome.

Abstract translation: 公开了用于在患者肢体中形成动静脉瘘的装置，系统和方法。 实施例包括用于创建，修改和维持瘘的装置，包括修改现有的透析瘘; 以及向患者的静脉循环供给氧合血液的方法。 描述了一套吻合植入物，其支持患者解剖结构和瘘位置的广泛基础。 装置，系统和方法可用于治疗患有一种或多种许多疾病的患者，包括慢性阻塞性肺病，充血性心力衰竭，高血压，低血压，呼吸衰竭，肺动脉高压，肺纤维化和成人呼吸窘迫综合征。

公开(公告)号：US08641724B2

公开(公告)日：2014-02-04

申请号：US11946454

申请日：2007-11-28

Applicant: Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

Inventor： Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

IPC: A61F11/00

CPC classification number: A61B17/11 ,  A61B8/488 ,  A61B17/083 ,  A61B17/122 ,  A61B17/3403 ,  A61B17/3468 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/3413 ,  A61M25/09

Abstract: Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include a device for the creation, modification and maintenance of a fistula that includes an integral fistula creation assembly near its distal end that passes through the skin of the patient, through a first vessel such as an artery, and into a second vessel such as a vein. The fistula creation assembly preferably includes an anastomotic implant that is placed within the fistula to maintain long-term blood flow therethrough. The devices, systems and methods can be used to treat patients with one or more numerous ailments including chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypotension, respiratory failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome.

Abstract translation: 公开了用于在患者肢体中形成动静脉瘘的装置，系统和方法。 实施例包括用于创建，修改和维护瘘的装置，其包括在其远端附近的整体瘘产生组件，其通过患者的皮肤穿过患者的皮肤，并通过第一容器例如动脉，并进入第二容器，例如 静脉 瘘产生组件优选地包括置于瘘管内以保持长期血液流过其中的吻合植入物。 装置，系统和方法可用于治疗患有一种或多种许多疾病的患者，包括慢性阻塞性肺病，充血性心力衰竭，高血压，低血压，呼吸衰竭，肺动脉高压，肺纤维化和成人呼吸窘迫综合征。

公开(公告)号：US06171295B2

公开(公告)日：2001-01-09

申请号：US09234203

申请日：1999-01-20

Applicant: Robert J. Garabedian ,  John Griego ,  Earl Bardsley ,  Dean A. Schaefer ,  Cang D. Dao ,  Steven M. Anderson

Inventor： Robert J. Garabedian ,  John Griego ,  Earl Bardsley ,  Dean A. Schaefer ,  Cang D. Dao ,  Steven M. Anderson

IPC: A61M2500

CPC classification number: A61M25/005 ,  A61M25/0053

Abstract: An intravascular catheter that exhibits the combined features of superior flexibility, softness, radiopacity and oval/kink resistance. The catheter includes an elongate shaft having a proximal region, a distal region and a lumen extending therethrough. The proximal region of the shaft includes an inner lubricious polymer layer, a reinforcement layer and an outer layer. The reinforcement layer comprises a braid having one or more metallic members and a plurality of polymer members wherein each polymer member comprises a plurality of monofilaments, preferably formed of LCP. The polymer members of the braid provide improved flexibility and softness in addition to high burst pressure. The metallic member(s) of the braid provide improved radiopacity and oval/kink resistance. The catheter may also include a longitudinal member extending along the reinforcement layer.

Abstract translation: 一种血管内导管，其具有优异的柔韧性，柔软性，不透射线性和椭圆形/扭结阻力的组合特征。 导管包括细长轴，其具有近端区域，远侧区域和延伸穿过其中的内腔。 轴的近侧区域包括内部光滑聚合物层，加强层和外层。 加强层包括具有一个或多个金属构件和多个聚合物构件的编织物，其中每个聚合物构件包括多个单丝，优选由LCP形成。 除了高爆裂压力之外，编织物的聚合物构件提供了改善的柔韧性和柔软性。 编织物的金属构件提供了改善的射线不透性和椭圆形/扭结阻力。 导管还可以包括沿加强层延伸的纵向构件。

公开(公告)号：US08382697B2

公开(公告)日：2013-02-26

申请号：US12017437

申请日：2008-01-22

Applicant: Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

Inventor： Rodney Brenneman ,  Dean A. Schaefer ,  J. Christopher Flaherty

IPC: A61M5/00

CPC classification number: A61M1/3655 ,  A61B17/083 ,  A61B17/10 ,  A61B17/11 ,  A61B17/32053 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61M39/0247 ,  A61M2039/0258 ,  A61M2039/0273 ,  A61M2039/0276 ,  A61M2039/0279

Abstract: Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include an apparatus for the creation, modification and maintenance of a fistula, including the modification of an existing dialysis fistula; and a method of supplying oxygenated blood to the venous circulation of a patient. A kit of anastomotic implants is described which supports a broad base of patient anatomies and fistula locations. The devices, systems and methods can be used to treat patients with one or more numerous ailments including chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypotension, respiratory failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome.

Abstract translation: 公开了用于在患者肢体中形成动静脉瘘的装置，系统和方法。 实施例包括用于创建，修改和维持瘘的装置，包括修改现有的透析瘘; 以及向患者的静脉循环供给氧合血液的方法。 描述了一套吻合植入物，其支持患者解剖结构和瘘位置的广泛基础。 装置，系统和方法可用于治疗患有一种或多种许多疾病的患者，包括慢性阻塞性肺病，充血性心力衰竭，高血压，低血压，呼吸衰竭，肺动脉高压，肺纤维化和成人呼吸窘迫综合征。

公开(公告)号：US07985214B2

公开(公告)日：2011-07-26

申请号：US11040018

申请日：2005-01-19

Applicant: Robert J. Garabedian ,  John Griego ,  Earl Bardsley ,  Dean A. Schaefer ,  Cang D. Dao ,  Steven M. Anderson

Inventor： Robert J. Garabedian ,  John Griego ,  Earl Bardsley ,  Dean A. Schaefer ,  Cang D. Dao ,  Steven M. Anderson

IPC: A61M25/00

CPC classification number: A61M25/005 ,  A61M25/0053

Abstract: An intravascular catheter that exhibits the combined features of superior flexibility, softness, radiopacity and oval/kink resistance. The catheter includes an elongate shaft having a proximal region, a distal region and a lumen extending therethrough. The proximal region of the shaft includes an inner lubricious polymer layer, a reinforcement layer and an outer layer. The reinforcement layer comprises a braid having one or more metallic members and a plurality of polymer members wherein each polymer member comprises a plurality of monofilaments, preferably formed of LCP. The polymer members of the braid provide improved flexibility and softness in addition to high burst pressure. The metallic member(s) of the braid provide improved radiopacity and oval/kink resistance. The catheter may also include a longitudinal member extending along the reinforcement layer.

Abstract translation: 一种血管内导管，其具有优异的柔韧性，柔软性，不透射线性和椭圆形/扭结阻力的组合特征。 导管包括细长轴，其具有近端区域，远侧区域和延伸穿过其中的内腔。 轴的近侧区域包括内部光滑聚合物层，加强层和外层。 加强层包括具有一个或多个金属构件和多个聚合物构件的编织物，其中每个聚合物构件包括多个单丝，优选由LCP形成。 除了高爆裂压力之外，编织物的聚合物构件提供了改善的柔韧性和柔软性。 编织物的金属构件提供了改善的射线不透性和椭圆形/扭结阻力。 导管还可以包括沿加强层延伸的纵向构件。

公开(公告)号：US06709429B1

公开(公告)日：2004-03-23

申请号：US09487353

申请日：2000-01-19

Applicant: Dean A. Schaefer ,  David Paulk ,  Steven M. Anderson

Inventor： Dean A. Schaefer ,  David Paulk ,  Steven M. Anderson

IPC: A61M2500

CPC classification number: D04C1/06 ,  A61M25/005 ,  A61M25/0053

Abstract: An intravascular catheter having a shaft, at least a portion of which includes a braid reinforcement with a plurality of axial members disposed between the helical members that form the braid. The axial members provide a number of advantages including: maintaining one-to-one correspondence in axial manipulation; maintaining uniform flexibility in several planes of flexure; reducing the likelihood of causing a curling effect; increasing the strength of connections between shaft segments; uniformly increasing stiffness of the catheter; and increasing the burst strength of the catheter. By positioning the axial members between the helical members, the axial members do not create a protrusion and do not become fixed to any adjacent polymer layer. Thus, the benefits of axial members are retained, without creating the undesirable effects of friction caused by an axial protrusion and without creating the undesirable effects of limited flexure caused by an adjacent polymer layer becoming fixed to the axial member.

Abstract translation: 一种具有轴的血管内导管，其轴的至少一部分包括编织带加强件，其具有设置在形成编织物的螺旋构件之间的多个轴向构件。 轴向构件提供了许多优点，包括：在轴向操纵中保持一一对应; 在几个弯曲平面保持均匀的柔韧性; 降低引起卷曲效应的可能性; 增加轴段之间的连接强度; 均匀增加导管的刚度; 并增加导管的爆裂强度。 通过将轴向构件定位在螺旋构件之间，轴向构件不产生突起并且不会固定到任何相邻的聚合物层。 因此，保持轴向构件的益处，而不产生由轴向突起引起的摩擦的不期望的影响，并且不产生由邻近的聚合物层变得固定到轴向构件引起的有限挠曲的不良影响。

公开(公告)号：US06638277B2

公开(公告)日：2003-10-28

申请号：US09897483

申请日：2001-07-02

Applicant: Dean A. Schaefer ,  David Paulk ,  John Sherry

Inventor： Dean A. Schaefer ,  David Paulk ,  John Sherry

IPC: A61B1818

CPC classification number: A61B18/1477 ,  A61B2018/00577 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1475

Abstract: The present invention relates to an apparatus and method for utilizing energy, such as radio frequency (RF) energy, to treat defined areas of tissue and more particularly to ablate tumors with RF energy through the use of a needle having a spreading array of individually traversing conductive tines which are independently positioned and activated.