公开(公告)号：US20070244542A1

公开(公告)日：2007-10-18

申请号：US11379112

申请日：2006-04-18

Applicant: Trevor Greenan ,  James Machek

Inventor： Trevor Greenan ,  James Machek

IPC: A61F2/06 ,  A61F2/82

CPC classification number: A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/075

Abstract: A stent graft and method for positioning and deploying the stent graft within a vessel system that includes a main vessel and a branch vessel emanating from the main vessel. The stent graft includes a tubular shaped main body formed from graft material, a branch opening (aperture)(ring) in the graft material of the main body whose position can be varied. A tubular shaped branch graft can extend from the main graft. A side wall of the main body may be configured as a series of connected annular corrugations or pleats, and coupled to the main body to define and provide variable positioning of its branch opening (aperture).

Abstract translation: 一种用于将支架移植物定位和展开在血管系统内的支架移植物和方法，所述血管系统包括从主血管发出的主血管和分支血管。 支架移植物包括由移植材料形成的管状主体，主体的移植材料中的分支开口（孔）可以改变位置。 管状分枝移植物可以从主移植物延伸。 主体的侧壁可以被构造成一系列连接的环形波纹或褶皱，并且联接到主体以限定和提供其分支开口（孔）的可变定位。

公开(公告)号：US20100241163A1

公开(公告)日：2010-09-23

申请号：US12409272

申请日：2009-03-23

Applicant: Josiah Wilcox ,  Julie Trudel ,  James Machek

Inventor： Josiah Wilcox ,  Julie Trudel ,  James Machek

IPC: A61B17/03

CPC classification number: A61B17/00491 ,  A61B17/0057 ,  A61B2017/0065 ,  A61B2017/00654 ,  A61B2017/00659 ,  A61B2017/22069 ,  A61B2017/308

Abstract: An aortic dissection treatment system and method of use including a treatment system for an aortic dissection having a catheter defining a suction lumen and a sealant lumen; a flexible cup defining an isolation region within the flexible cup, the isolation region being in communication with the suction lumen and the sealant lumen; and a sealant fluid deliverable to the aortic dissection through the sealant lumen and the isolation region. The flexible cup is sized to fit over at least one end of the aortic dissection and the suction lumen applies suction to maintain the flexible cup over the at least one end of the aortic dissection.

Abstract translation: 主动脉夹层治疗系统和使用方法，包括用于主动脉夹层的治疗系统，其具有限定吸入腔和密封腔的导管; 柔性杯，其限定所述柔性杯内的隔离区域，所述隔离区域与所述吸入腔和所述密封剂内腔连通; 以及密封剂流体，其通过密封剂腔和隔离区输送到主动脉夹层。 柔性杯的尺寸适合于主动脉夹层的至少一端，并且抽吸腔施加抽吸以将柔性杯保持在主动脉夹层的至少一端上。

公开(公告)号：US20100179632A1

公开(公告)日：2010-07-15

申请号：US12352254

申请日：2009-01-12

Applicant: Walter Bruszewski ,  James Machek

Inventor： Walter Bruszewski ,  James Machek

IPC: A61F2/84 ,  A61B5/053 ,  A61B19/00

CPC classification number: A61B5/0536 ,  A61B5/6855 ,  A61B18/1206 ,  A61B18/1492 ,  A61B2018/00875 ,  A61B2034/301 ,  A61B2562/02 ,  A61F2/07 ,  A61F2002/061

Abstract: A method and system for real-time continuous impedance monitoring along the surface of a graft implanted within a main vessel to aid in optimally positioning an electrode at a branch vessel ostium. Due to the conductivity differences among various kinds of solid tissue and blood, a fenestration catheter system uses impedance monitoring as a tool to detect the location of branch ostia through graft cloth. Such information enables the fenestration electrode to be properly positioned for creation of a fenestration in the graft cloth in situ. In addition, the fenestration catheter system may utilize impedance information to avoid contact between the electrode and metal stent structures used to anchor the graft during an in situ fenestration procedure. The fenestration catheter system includes a catheter shaft, an electrode, one or more reference or indifferent electrodes, an impedance analyzer, a power source and an electrode position reference to record impedance measurements in relation to position.

Abstract translation: 一种用于实时连续阻抗监测的方法和系统，其沿着植入在主容器内的移植物的表面，以帮助最佳地将电极定位在分支血管口处。 由于各种固体组织和血液之间的电导率差异，开窗导管系统使用阻抗监测作为工具，通过移植布检测分支口的位置。 这样的信息使得开窗电极能够适当地定位，以便在移植布中原位创建开窗。 此外，开窗导管系统可以利用阻抗信息来避免在原位开窗过程期间用于锚定移植物的电极和金属支架结构之间的接触。 开窗导管系统包括导管轴，电极，一个或多个参考或无关电极，阻抗分析器，电源和电极位置，用于记录与位置相关的阻抗测量。

公开(公告)号：US20100125282A1

公开(公告)日：2010-05-20

申请号：US12271493

申请日：2008-11-14

Applicant: James Machek ,  Michael Francis

Inventor： James Machek ,  Michael Francis

IPC: A61B19/00 ,  A61M5/00

CPC classification number: A61B34/30 ,  A61B18/1492 ,  A61B2017/00703 ,  A61B2034/2051 ,  A61B2034/2065 ,  A61B2034/301 ,  A61B2090/364

Abstract: A distal end of a stent graft fenestration or other special purpose catheter is guided to a location in a patient's vasculature based on input from a surgeon using a pre-operatively generated image of the patient's vasculature—this can be in proximity to an already implanted device. The movement of the catheter is controlled by a robotic surgical system based upon the input from the surgeon. The distal end of the catheter, at the location, is synchronized to the patient's cardiac cycle so the robotic surgical system maintains the distal end of the catheter at the location throughout a cardiac cycle of the patient. The surgeon is not required to precisely manipulate the catheter to maintain the distal end in the proper location throughout the cardiac cycle. The surgeon can focus on performing the desired procedure such as fenestrating the stent graft, endostapling or endosuturing, for example.

Abstract translation: 基于来自外科医生的使用患者血管系统的预先产生的图像的输入，将支架移植物开窗或其它专用导管的远端导引到患者的脉管系统中的位置 - 这可以在已经植入的装置 。 导管的移动由基于外科医生的输入的机器人手术系统来控制。 在该位置的导管的远端与患者的心脏周期同步，因此机器人手术系统将导管的远端保持在患者心脏周期的位置。 外科医生不需要精确地操纵导管，以将远端保持在整个心脏周期的适当位置。 外科医生可以专注于执行所需的程序，例如开窗支架移植物，内包囊或内插管。

公开(公告)号：US20090012597A1

公开(公告)日：2009-01-08

申请号：US12209291

申请日：2008-09-12

Applicant: Scott Doig ,  James Machek

Inventor： Scott Doig ,  James Machek

IPC: A61F2/06

CPC classification number: A61F2/90 ,  A61F2/07 ,  A61F2/852 ,  A61F2/856 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/826 ,  A61F2220/0033 ,  A61F2250/0008 ,  A61F2250/006 ,  A61F2250/0065

Abstract: Universal modular stented graft assemblies are assembled, on site, and often in a patient's parent artery, from at least two components; a first component and a second component. The first and second components each include a window, or fenestration. The second component couples with the first component by fitting at least partially in the first component to form the universal modular stent graft assembly with an adjustable collateral opening. As the first and second components are assembled, the first and second components are adjusted relative to each other so that the first and second component windows overlap to form a collateral opening whose size is selectable, depending on the overlap, with the desired position and dimensions in the universal modular stent graft assembly.

Abstract translation: 通用模块化支架移植组件在现场并经常在患者的母体动脉中从至少两个组件组装; 第一组件和第二组件。 第一和第二组件各自包括窗口或开窗。 第二部件通过至少部分地配合在第一部件中而与第一部件联接以形成具有可调节的侧支开口的通用模块化支架移植物组件。 当组装第一和第二部件时，第一和第二部件相对于彼此进行调节，使得第一和第二部件窗口重叠以形成侧面开口，其尺寸可根据重叠与期望的位置和尺寸可选择 在通用模块化支架移植组件中。

公开(公告)号：US20070239252A1

公开(公告)日：2007-10-11

申请号：US11279206

申请日：2006-04-10

Applicant: Darren Hopkins ,  Jack Chu ,  Jonathan Morris ,  James Machek ,  Prema Ganesan ,  Matthew Rust ,  Trevor Greenan ,  James Moriarty

Inventor： Darren Hopkins ,  Jack Chu ,  Jonathan Morris ,  James Machek ,  Prema Ganesan ,  Matthew Rust ,  Trevor Greenan ,  James Moriarty

IPC: A61F2/06

CPC classification number: A61F2/95 ,  A61F2002/821 ,  A61F2250/0039

Abstract: A method of using a delivery system includes advancing a stent to be located within an ostium of a vessel; advancing a basket actuation button of a handle to deploy a basket of the basket assembly; moving the basket into engagement with a parent vessel, the basket having a larger diameter than a diameter of the ostium; deploying the stent within an ostial lesion of the vessel; and contracting the basket.

Abstract translation: 使用输送系统的方法包括推进位于血管口内的支架; 推动手柄的篮子致动按钮以部署一篮篮组件; 将篮子移动到与父母船只接合，篮子具有比口的直径更大的直径; 将支架部署在血管的口腔损伤中; 并承包篮子。

公开(公告)号：US08715336B2

公开(公告)日：2014-05-06

申请号：US11737432

申请日：2007-04-19

Applicant: Jack Chu ,  David R. Erickson ,  Jonathon Morris ,  Prema Ganesan ,  Curtis Hanson ,  Matthew Rust ,  Charles Thomas ,  James Machek

Inventor： Jack Chu ,  David R. Erickson ,  Jonathon Morris ,  Prema Ganesan ,  Curtis Hanson ,  Matthew Rust ,  Charles Thomas ,  James Machek

IPC: A61F2/06

CPC classification number: A61F2/962 ,  A61F2/064 ,  A61F2/07 ,  A61F2/89 ,  A61F2/954 ,  A61F2002/061 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/821 ,  A61F2002/9511 ,  A61F2220/005 ,  A61F2220/0075

Abstract: A stent graft includes at least one aperture extending through the main body thereof, into which an extension portion may be deployed for positioning within an adjacent branch flow lumen. The extension portions include self biasing features, wherein the extension is biased into engagement with the main body to seal the interface thereof. Additionally, the extension portion may be configured for tortuous or deviated anatomy, to enable sealing of the extension portion with the body while extending the extension portion in a substantially non-radial direction from the main body.

Abstract translation: 支架移植物包括延伸穿过其主体的至少一个孔，延伸部分可以布置在其中以便在相邻的分支流动腔内定位。 延伸部分包括自偏压特征，其中延伸部被偏置成与主体接合以密封其接口。 另外，延伸部分可以被构造成用于曲折或偏离解剖结构，以使得延伸部分能够与本体密封，同时使延伸部分在基本上非径向方向上从主体延伸。

公开(公告)号：US08052736B2

公开(公告)日：2011-11-08

申请号：US12209291

申请日：2008-09-12

Applicant: Scott Doig ,  James Machek

Inventor： Scott Doig ,  James Machek

IPC: A61F2/06

CPC classification number: A61F2/90 ,  A61F2/07 ,  A61F2/852 ,  A61F2/856 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/826 ,  A61F2220/0033 ,  A61F2250/0008 ,  A61F2250/006 ,  A61F2250/0065

Abstract: Universal modular stented graft assemblies are assembled, on site, and often in a patient's parent artery, from at least two components; a first component and a second component. The first and second components each include a window, or fenestration. The second component couples with the first component by fitting at least partially in the first component to form the universal modular stent graft assembly with an adjustable collateral opening. As the first and second components are assembled, the first and second components are adjusted relative to each other so that the first and second component windows overlap to form a collateral opening whose size is selectable, depending on the overlap, with the desired position and dimensions in the universal modular stent graft assembly.

Abstract translation: 通用模块化支架移植组件在现场并经常在患者的母体动脉中从至少两个组件组装; 第一组件和第二组件。 第一和第二组件各自包括窗口或开窗。 第二部件通过至少部分地配合在第一部件中而与第一部件联接以形成具有可调节的侧支开口的通用模块化支架移植物组件。 当组装第一和第二部件时，第一和第二部件相对于彼此进行调节，使得第一和第二部件窗口重叠以形成侧面开口，其尺寸可根据重叠与期望的位置和尺寸可选择 在通用模块化支架移植组件中。

公开(公告)号：US20090270966A1

公开(公告)日：2009-10-29

申请号：US12109186

申请日：2008-04-24

Applicant: Nareak Douk ,  Nasser Rafiee ,  Morgan House ,  Jia Hua Xiao ,  Walter Bruszewski ,  Peggy Grills ,  James Machek

Inventor： Nareak Douk ,  Nasser Rafiee ,  Morgan House ,  Jia Hua Xiao ,  Walter Bruszewski ,  Peggy Grills ,  James Machek

IPC: A61F2/82 ,  A61F2/84

CPC classification number: A61F2/954 ,  A61B17/064 ,  A61B17/068 ,  A61B2017/0649 ,  A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2002/9528 ,  A61F2220/0075

Abstract: A stent graft system and method of use includes a stent graft for fixation at an attachment site with graft material defining at least one opening having an opening perimeter; a support attached to the graft material; a guide rail attached around the opening perimeter; and a helical anchor having a plurality of coils with a point at one end. The plurality of coils are rotatable around the guide rail to cause the pointed end of the coils to penetrate the graft material and the adjacent tissue in contact with the stent graft to sew the stent graft to the attachment site.

Abstract translation: 支架移植系统和使用方法包括用于在附着部位固定的支架移植物，其中移植材料限定具有开口周边的至少一个开口; 附着于移植材料的支撑物; 围绕开口周边的导轨; 以及螺旋锚，其具有在一端具有点的多个线圈。 多个线圈可围绕导轨旋转，以使线圈的尖端穿透移植材料和与支架移植物接触的相邻组织，将支架移植物缝合到附着部位。

公开(公告)号：US20070032852A1

公开(公告)日：2007-02-08

申请号：US11464591

申请日：2006-08-15

Applicant: James Machek ,  Scott Doig

Inventor： James Machek ,  Scott Doig

IPC: A61F2/06 ,  A61F2/90

CPC classification number: A61F2/07 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/821

Abstract: A stent graft includes a pair of generally opposed windows alignable with the superior mesentery artery, the celiac trunk and separated by graft material. A stent is provided spanning the window and in contact with the adjacent graft material and the stent presses the adjacent graft material into engagement with the adjacent wall of the flow lumen. A branch graft connection into the renal arteries may also be provided.

Abstract translation: 支架移植物包括一对大致相对的窗口，其可与上肠系膜动脉，腹腔干和可移植材料分离。 提供跨越窗口并与相邻的移植材料接触的支架，并且支架将相邻移植物材料压入与流动腔的相邻壁接合。 还可以提供到肾动脉中的分支移植物连接。