公开(公告)号：US08333800B2

公开(公告)日：2012-12-18

申请号：US12770536

申请日：2010-04-29

申请人： Walter Bruszewski ,  Heath Muzslay ,  Emilie Johnson ,  Kevin Boyle ,  Mohammed Iftekhar ,  Samuel Robaina

发明人： Walter Bruszewski ,  Heath Muzslay ,  Emilie Johnson ,  Kevin Boyle ,  Mohammed Iftekhar ,  Samuel Robaina

IPC分类号： A61F2/06

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2250/006

摘要： An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto, a forms a lumen therethrough. The mobile external coupling extends outwardly from the tubular body. The mobile external coupling includes a graft material and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top, wherein the coupling lumen is in flow communication with the body lumen. A cylindrical sealing cuff of graft material is attached to and extends from the top of the mobile external coupling towards the tubular body within the coupling lumen. The sealing cuff is configured to contact a portion of a branch vessel prosthesis and thereby provides an elongated interference seal between the branch vessel prosthesis and the mobile external coupling.

摘要翻译： 血管内假体包括管状主体和移动外部联接器。 管状体包括移植材料和与其连接的支架，a形成通过其中的腔。 移动外部联接件从管状体向外延伸。 移动外部联接件包括移植材料并且通常是截头圆锥形的。 移动外部联接器包括联接到管状体的基部，与管状体间隔开的顶部以及设置在基部和顶部之间的联接腔，其中联接腔与体腔流动连通。 移植材料的圆柱形密封套连接到移动外部联接器的顶部并且在联接腔内朝向管状体延伸。 密封套构造成接触分支血管假体的一部分，从而在分支血管假体和移动外部联接器之间提供细长的干涉密封。

公开(公告)号：US08622934B2

公开(公告)日：2014-01-07

申请号：US13093631

申请日：2011-04-25

申请人： Heath Muzslay ,  Emilie Johnson ,  Matthew Haggard

发明人： Heath Muzslay ,  Emilie Johnson ,  Matthew Haggard

IPC分类号： A61B5/00 ,  A61B19/00 ,  A61M25/00 ,  A61F2/06

CPC分类号： A61M25/09

摘要： A guidewire having flexible or floppy proximal and distal end portions is used for percutaneously accessing a branch vessel through a deployed prosthesis having at least one fenestration near an ostium of the branch vessel. The prosthesis is delivered and deployed via a first percutaneous access site. The guidewire extends over the outside surface of the deployed prosthesis and extends through the at least one fenestration. The flexible distal end portion is snared via a second percutaneous access site and is pulled in a direction towards the second percutaneous access site until the flexible proximal end of the guidewire is located adjacent to the branch vessel. A guide catheter is then advanced over the guidewire until it cannulates the branch vessel. The flexible proximal end of the guidewire may then be advanced into the branch vessel and used for delivery of a branch vessel prosthesis.

摘要翻译： 具有柔性或柔软的近端和远端部分的导线用于通过在分支容器的口附近具有至少一个开窗的部署假体经皮访问分支血管。 假体通过第一经皮进入部位进行传送和部署。 导丝延伸穿过部署的假体的外表面并延伸通过至少一个开窗。 柔性远端部分经由第二经皮进入部位被卷绕，并且沿着朝向第二经皮进入部位的方向被拉动，直到导丝的柔性近端位于分支容器附近。 引导导管然后在导丝上前进，直到其插管分支血管。 然后可以将导丝的柔性近端推进到分支容器中并用于输送分支血管假体。

公开(公告)号：US20100274339A1

公开(公告)日：2010-10-28

申请号：US12428619

申请日：2009-04-23

申请人： Heath Muzslay

发明人： Heath Muzslay

IPC分类号： A61F2/06

CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/89 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/9665

摘要： A delivery device for a bifurcated stent-graft includes a first catheter portion with a first tip and a second catheter portion with a second tip. The first and second tips each include a generally curved and tapered outer surface and complementary surfaces that face each other. The first and second tips together form a generally continuous substantially smooth shaped outer surface, for example a bullet-shaped combined tip. An outer sleeve is disposed around the first catheter portion and the second catheter portion such that at least a portion of the first tip and a portion of the second tip extend distally beyond a distal end of the outer sleeve. An inner sleeve maintains the stent-graft in a compressed configuration during delivery to the target site. The delivery device is tracked over two guidewires to the target location with the tips acting as a unit. The outer sleeve is retracted to release the first catheter portion from the second catheter portion, and the tips are tracked over a respective one of the guidewires into its respective branch vessel. The inner sleeve is retracted to deploy the stent-graft from its compressed configuration to its expanded configuration.

摘要翻译： 用于分叉支架移植物的递送装置包括具有第一末端的第一导管部分和具有第二末端的第二导管部分。 第一和第二尖端各自包括大致弯曲和渐缩的外表面和彼此相对的互补表面。 第一和第二尖端一起形成大致连续的基本光滑的外表面，例如子弹形组合尖端。 外套筒围绕第一导管部分和第二导管部分设置，使得第一末端和第二末端的一部分的至少一部分向远侧延伸超过外套筒的远端。 内套筒在输送到目标部位期间将支架移植物保持在压缩构型。 输送装置通过两个导丝线跟踪到目标位置，其中尖端作为一个单元。 外套筒缩回以从第二导管部分释放第一导管部分，并且将尖端在相应的一条导线上跟踪到其相应的分支容器中。 将内套筒缩回以将支架移植物从其压缩构型展开至其扩张构型。

公开(公告)号：US20120271397A1

公开(公告)日：2012-10-25

申请号：US13093631

申请日：2011-04-25

申请人： Heath Muzslay ,  Emilie Johnson ,  Matthew Haggard

发明人： Heath Muzslay ,  Emilie Johnson ,  Matthew Haggard

IPC分类号： A61F2/84

CPC分类号： A61M25/09

摘要： A guidewire having flexible or floppy proximal and distal end portions is used for percutaneously accessing a branch vessel through a deployed prosthesis having at least one fenestration near an ostium of the branch vessel. The prosthesis is delivered and deployed via a first percutaneous access site. The guidewire extends over the outside surface of the deployed prosthesis and extends through the at least one fenestration. The flexible distal end portion is snared via a second percutaneous access site and is pulled in a direction towards the second percutaneous access site until the flexible proximal end of the guidewire is located adjacent to the branch vessel. A guide catheter is then advanced over the guidewire until it cannulates the branch vessel. The flexible proximal end of the guidewire may then be advanced into the branch vessel and used for delivery of a branch vessel prosthesis.

摘要翻译： 具有柔性或柔软的近端和远端部分的导线用于通过在分支容器的口附近具有至少一个开窗的部署假体经皮访问分支血管。 假体通过第一经皮进入部位进行传送和部署。 导丝延伸穿过部署的假体的外表面并延伸通过至少一个开窗。 柔性远端部分经由第二经皮进入部位被卷绕，并且沿着朝向第二经皮进入部位的方向被拉动，直到导丝的柔性近端位于分支容器附近。 引导导管然后在导丝上前进，直到其插管分支血管。 然后可以将导丝的柔性近端推进到分支容器中并用于输送分支血管假体。

公开(公告)号：US08052732B2

公开(公告)日：2011-11-08

申请号：US11559754

申请日：2006-11-14

申请人： James Mitchell ,  Robert Murray ,  Matthew Rust ,  Trevor Greenan ,  Frank Yang ,  Heath Muzslay

发明人： James Mitchell ,  Robert Murray ,  Matthew Rust ,  Trevor Greenan ,  Frank Yang ,  Heath Muzslay

IPC分类号： A61F2/06

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2/95 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2002/8486 ,  A61F2002/9505 ,  A61F2230/0054

摘要： A delivery system for an endoprosthesis includes a spindle having a spindle body and spindle pins extending radially outward from the spindle body. The delivery system further comprises a tip comprising a sleeve, the spindle pins extending from the spindle body toward the sleeve. The endoprosthesis includes a proximal anchor stent ring having spindle pin catches and anchor pins. The spindle pins of the spindle extend into the spindle pin catches and the sleeve radially constrains the anchor pins.

摘要翻译： 用于内用假体的输送系统包括具有主轴主体的心轴和从心轴主体径向向外延伸的心轴销。 输送系统还包括一个包括一个套筒的尖端，该主轴销从主轴体向着套筒延伸。 内假体包括具有心轴销扣和锚针的近端锚固支架环。 主轴的主轴销延伸到主轴销卡扣中，套筒径向地约束锚定销。

公开(公告)号：US20110270385A1

公开(公告)日：2011-11-03

申请号：US12770556

申请日：2010-04-29

申请人： Heath Muzslay

发明人： Heath Muzslay

IPC分类号： A61F2/82

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/9505

摘要： A method includes tethering a first pop up branch structure of a tethered pop up branch structure stent graft to a second pop up branch structure of the tethered pop up branch structure stent graft with a tether. The tethered pop up branch structure stent graft is deployed into a main vessel such that the first pop up branch structure is near a first branch vessel emanating from the main vessel and the second pop up branch structure is near a second branch vessel emanating from the main vessel. A first guide is passed through a first collateral opening in the first pop up branch structure and into the first branch vessel. A second guide is passed through a second collateral opening in the second pop up branch structure and into the second branch vessel. The tether is then removed such that the first pop up branch structure slides outwards on the first guide and into a first ostium of the first branch vessel and the second pop up branch structure slides outwards on the second guide into a second ostium of the second branch vessel.

摘要翻译： 一种方法包括将系留式弹出式支架结构支架移植物的第一弹出分支结构系绳连接到具有系绳的系留式弹起分支结构支架移植物的第二弹起分支结构。 系留式弹出分支结构支架移植物被部署到主容器中，使得第一弹起分支结构靠近从主容器发出的第一分支容器，并且第二弹起分支结构靠近从主体发出的第二分支容器 船只。 第一引导件通过第一弹起分支结构中的第一抵押开口并进入第一分支容器。 第二引导件通过第二弹出分支结构中的第二辅助开口并进入第二分支容器。 然后移除系绳，使得第一弹起分支结构在第一引导件上向外滑动并进入第一分支容器的第一口，而第二弹出分支结构在第二引导件上向外滑动到第二分支的第二口中 船只。

公开(公告)号：US08292941B2

公开(公告)日：2012-10-23

申请号：US12428619

申请日：2009-04-23

申请人： Heath Muzslay

发明人： Heath Muzslay

IPC分类号： A61F2/06 ,  A61M29/00 ,  A61M31/00

CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/89 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/9665

摘要： A delivery device for a bifurcated stent-graft includes a first catheter portion with a first tip and a second catheter portion with a second tip. The first and second tips each include a generally curved and tapered outer surface and complementary surfaces that face each other. The first and second tips together form a generally continuous substantially smooth shaped outer surface, for example a bullet-shaped combined tip. An outer sleeve is disposed around the first catheter portion and the second catheter portion such that at least a portion of the first tip and a portion of the second tip extend distally beyond a distal end of the outer sleeve. An inner sleeve maintains the stent-graft in a compressed configuration during delivery to the target site. The delivery device is tracked over two guidewires to the target location with the tips acting as a unit. The outer sleeve is retracted to release the first catheter portion from the second catheter portion, and the tips are tracked over a respective one of the guidewires into its respective branch vessel. The inner sleeve is retracted to deploy the stent-graft from its compressed configuration to its expanded configuration.

摘要翻译： 用于分叉支架移植物的递送装置包括具有第一末端的第一导管部分和具有第二末端的第二导管部分。 第一和第二尖端各自包括大致弯曲和渐缩的外表面和彼此相对的互补表面。 第一和第二尖端一起形成大致连续的基本光滑的外表面，例如子弹形组合尖端。 外套筒围绕第一导管部分和第二导管部分设置，使得第一末端和第二末端的一部分的至少一部分向远侧延伸超过外套筒的远端。 内套筒在输送到目标部位期间将支架移植物保持在压缩构型。 输送装置通过两个导丝线跟踪到目标位置，其中尖端作为一个单元。 外套筒缩回以从第二导管部分释放第一导管部分，并且将尖端在相应的一条导线上跟踪到其相应的分支容器中。 将内套筒缩回以将支架移植物从其压缩构型展开至其扩张构型。

公开(公告)号：US20110270378A1

公开(公告)日：2011-11-03

申请号：US12770536

申请日：2010-04-29

申请人： Walter Bruszewski ,  Heath Muzslay ,  Emilie Johnson ,  Kevin Boyle ,  Mohammed Iftekhar ,  Samuel Robaina

发明人： Walter Bruszewski ,  Heath Muzslay ,  Emilie Johnson ,  Kevin Boyle ,  Mohammed Iftekhar ,  Samuel Robaina

IPC分类号： A61F2/82

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2250/006

摘要： An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto, a forms a lumen therethrough. The mobile external coupling extends outwardly from the tubular body. The mobile external coupling includes a graft material and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top, wherein the coupling lumen is in flow communication with the body lumen. A cylindrical sealing cuff of graft material is attached to and extends from the top of the mobile external coupling towards the tubular body within the coupling lumen. The sealing cuff is configured to contact a portion of a branch vessel prosthesis and thereby provides an elongated interference seal between the branch vessel prosthesis and the mobile external coupling.

摘要翻译： 血管内假体包括管状主体和移动外部联接器。 管状体包括移植材料和与其连接的支架，a形成通过其中的腔。 移动外部联接件从管状体向外延伸。 移动外部联接件包括移植材料并且通常是截头圆锥形的。 移动外部联接器包括联接到管状体的基部，与管状体间隔开的顶部以及设置在基部和顶部之间的联接腔，其中联接腔与体腔流动连通。 移植材料的圆柱形密封套连接到移动外部联接器的顶部并且在联接腔内朝向管状体延伸。 密封套构造成接触分支血管假体的一部分，从而在分支血管假体和移动外部联接器之间提供细长的干涉密封。

公开(公告)号：US20080114442A1

公开(公告)日：2008-05-15

申请号：US11559754

申请日：2006-11-14

申请人： James Mitchell ,  Robert Murray ,  Matthew Rust ,  Trevor Greenan ,  Frank Yang ,  Heath Muzslay

发明人： James Mitchell ,  Robert Murray ,  Matthew Rust ,  Trevor Greenan ,  Frank Yang ,  Heath Muzslay

IPC分类号： A61F2/06

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2/95 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2002/8486 ,  A61F2002/9505 ,  A61F2230/0054

摘要： A delivery system for an endoprosthesis includes a spindle having a spindle body and spindle pins extending radially outward from the spindle body. The delivery system further comprises a tip comprising a sleeve, the spindle pins extending from the spindle body toward the sleeve. The endoprosthesis includes a proximal anchor stent ring having spindle pin catches and anchor pins. The spindle pins of the spindle extend into the spindle pin catches and the sleeve radially constrains the anchor pins.

摘要翻译： 用于内用假体的输送系统包括具有主轴主体的心轴和从心轴主体径向向外延伸的心轴销。 输送系统还包括一个包括一个套筒的尖端，该主轴销从主轴体向着套筒延伸。 内假体包括具有心轴销扣和锚针的近端锚固支架环。 主轴的主轴销延伸到主轴销卡扣中，套筒径向地约束锚定销。

公开(公告)号：US08292951B2

公开(公告)日：2012-10-23

申请号：US12770556

申请日：2010-04-29

申请人： Heath Muzslay

发明人： Heath Muzslay

IPC分类号： A61F2/06

CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/9505

摘要： A method includes tethering a first pop up branch structure of a tethered pop up branch structure stent graft to a second pop up branch structure of the tethered pop up branch structure stent graft with a tether. The tethered pop up branch structure stent graft is deployed into a main vessel such that the first pop up branch structure is near a first branch vessel emanating from the main vessel and the second pop up branch structure is near a second branch vessel emanating from the main vessel. A first guide is passed through a first collateral opening in the first pop up branch structure and into the first branch vessel. A second guide is passed through a second collateral opening in the second pop up branch structure and into the second branch vessel. The tether is then removed such that the first pop up branch structure slides outwards on the first guide and into a first ostium of the first branch vessel and the second pop up branch structure slides outwards on the second guide into a second ostium of the second branch vessel.

摘要翻译： 一种方法包括将系留式弹出式支架结构支架移植物的第一弹出分支结构系绳连接到具有系绳的系留式弹起分支结构支架移植物的第二弹起分支结构。 系留式弹出分支结构支架移植物被部署到主容器中，使得第一弹起分支结构靠近从主容器发出的第一分支容器，并且第二弹起分支结构靠近从主体发出的第二分支容器 船只。 第一引导件通过第一弹起分支结构中的第一抵押开口并进入第一分支容器。 第二引导件通过第二弹出分支结构中的第二辅助开口并进入第二分支容器。 然后移除系绳，使得第一弹起分支结构在第一引导件上向外滑动并进入第一分支容器的第一口，而第二弹出分支结构在第二引导件上向外滑动到第二分支的第二口中 船只。