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1.发明授权Catheter assembly with controlled release endoluminal prosthesis and method for placing 失效具有控制释放腔内假体的导管组件和放置方法公开(公告)号：US06238430B1
公开(公告)日：2001-05-29
申请号：US09400952
申请日：1999-09-22
IPC分类号： A61F206
CPC分类号： A61F2/958 , A61F2/07 , A61F2/88 , A61F2/954 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2250/0018 , A61F2250/0039
摘要： A catheter assembly includes a coiled endoluminal prosthesis (122, 190, 198) and a catheter (136) having at least first and second telescoping shafts (138, 140, 142). The prosthesis is releasably engaged to the distal ends (144, 146, 148) of the telescoping shafts. The prosthesis is capable of assuming a second, expanded diameter state from a first, reduced diameter state. The length and number of turns (128) of the coiled prosthesis can be changed by the relative translation and rotation of the shafts. The catheter assembly is especially useful for placing a coiled stent graft (122), in which one turn (132, 134) of the prosthesis has a greater pitch than the adjacent turns, at the intersection (184) of a bifurcation within a blood vessel (182). Remotely viewable marker elements (188, 190, 191, 192, 193, 195, 197) may be used and include a marker element (193, 190A, 197) configured to indicate orientation as well as axial position of the prosthesis. The ends of the prosthesis may be substantially less stiff than the remainder of the prosthesis and/or shaped to help prevent tissue trauma.
摘要翻译： 导管组件包括螺旋的腔内假体（122,190,198）和具有至少第一和第二伸缩轴（138,140,142）的导管（136）。 假体可释放地接合到伸缩轴的远端（144,146,148）。 该假体能够从第一直径减小状态来呈现第二扩张直径状态。 线圈假体的长度和匝数（128）可以通过轴的相对平移和旋转来改变。 所述导管组件特别适用于放置卷绕的支架移植物（122），其中所述假体的一匝（132,134）在相对于匝内的分叉处的距离（184）处具有比相邻匝更大的间距 （182）。 远程可见的标记元件（188,190,191,192,193,195,197）可以被使用并且包括构造成指示假体的取向以及轴向位置的标记元件（193,190A，197）。 假体的端部可能比假体的其余部分基本上较硬，和/或成形为有助于防止组织损伤。
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公开(公告)号：US06921414B2
公开(公告)日：2005-07-26
申请号：US10308574
申请日：2002-12-03
CPC分类号： A61F2/88 , A61F2/91 , A61F2/95 , A61F2002/9511
摘要： An endoluminal prosthesis includes a coiled body and a graft material covering at least part of the coiled body to create a coiled stent graft. The average stent graft diameter to turns width ratio may be about 0.8 to 1 to about 2.4 to 1 when expanded.
摘要翻译： 腔内假体包括螺旋体和覆盖线圈体的至少一部分的移植材料，以产生盘绕的支架移植物。 当扩张时，平均支架移植物直径与匝间宽度比可以为约0.8至1至约2.4至1。
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公开(公告)号：US06572648B1
公开(公告)日：2003-06-03
申请号：US09608281
申请日：2000-06-30
IPC分类号： A61F206
CPC分类号： A61F2/88 , A61F2/91 , A61F2/95 , A61F2002/9511
摘要： An endoluminal prosthesis includes a coiled body and a graft material covering at least part of the coiled body to create a coiled stent graft. The average stent graft diameter to turns width ratio may be about 0.8 to 1 to about 2.4 to 1 when expanded.
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公开(公告)号：US06660032B2
公开(公告)日：2003-12-09
申请号：US09834145
申请日：2001-04-12
IPC分类号： A61F206
CPC分类号： A61F2/958 , A61F2/07 , A61F2/88 , A61F2/954 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2250/0018 , A61F2250/0039
摘要： A coiled stent (196) has a coiled stent body with a main body portion (106) and end portions (108). The end portions may be substantially less stiff than the body portion to help prevent tissue trauma. A graft material (124) may be used to cover at least the main body portion to create a coiled stent graft (122) in which adjacent turns (128) have gaps defined therebetween to create a generally helical gap (130). The coiled stent may have side elements (10) separated by connector elements (112) and be placeable in a contracted, reduced diameter state and in a relaxed, expanded diameter state. The connector elements are preferably generally parallel to the stent axis when placed in the contracted, reduced-diameter state, typically tightly wrapped around a placement catheter (136).
摘要翻译： 螺旋支架（196）具有带有主体部分（106）和端部（108）的盘绕支架主体。 端部可以比主体部分基本上更加硬，以帮助防止组织创伤。 移植材料（124）可用于至少覆盖主体部分以形成卷绕的支架移植物（122），其中相邻的匝（128）之间具有间隙以形成大致螺旋的间隙（130）。 卷绕的支架可以具有由连接器元件（112）分开的侧部元件（10），并且可以以收缩的直径减小的状态并且处于松弛的扩径的状态。 当连接器元件处于收缩的缩径状态时，优选地大致平行于支架轴线，通常紧密地缠绕在放置导管（136）周围。
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公开(公告)号：US06645237B2
公开(公告)日：2003-11-11
申请号：US09400955
申请日：1999-09-22
IPC分类号： A61F206
CPC分类号： A61F2/958 , A61F2/07 , A61F2/88 , A61F2/954 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2250/0018 , A61F2250/0039
摘要： A coiled stent (196) has a coiled stent body with a main body portion (106) and end portions (108). The end portions may be substantially less stiff than the body portion to help prevent tissue trauma. A graft material (124) may be used to cover at least the main body portion to create a coiled stent graft (122) in which adjacent turns (128) have gaps defined therebetween to create a generally helical gap (130). The coiled stent may have side elements (10) separated by connector elements (112) and be placeable in a contracted, reduced diameter state and in a relaxed, expanded diameter state. The connector elements are preferably generally parallel to the stent axis when placed in the contracted, reduced-diameter state, typically tightly wrapped around a placement catheter (136).
摘要翻译： 螺旋支架（196）具有带有主体部分（106）和端部（108）的盘绕支架主体。 端部可以比主体部分基本上更加硬，以帮助防止组织创伤。 移植材料（124）可用于至少覆盖主体部分以形成卷绕的支架移植物（122），其中相邻的匝（128）之间具有间隙以形成大致螺旋的间隙（130）。 卷绕的支架可以具有由连接器元件（112）分开的侧部元件（10），并且可以以收缩的直径减小的状态并且处于松弛的扩径的状态。 当连接器元件处于收缩的缩径状态时，优选地大致平行于支架轴线，通常紧密地缠绕在放置导管（136）周围。
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公开(公告)号：US06488700B2
公开(公告)日：2002-12-03
申请号：US09826204
申请日：2001-04-04
IPC分类号： A61F206
CPC分类号： A61F2/958 , A61F2/07 , A61F2/88 , A61F2/954 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2220/005 , A61F2220/0058 , A61F2250/0018 , A61F2250/0039
摘要： A catheter assembly includes a coiled endoluminal prosthesis (122, 190, 198) and a catheter (136) having at least first and second telescoping shafts (138, 140, 142). The prosthesis is releasably engaged to the distal ends (144, 146, 148) of the telescoping shafts. The prosthesis is capable of assuming a second, expanded diameter state from a first, reduced diameter state. The length and number of turns (128) of the coiled prosthesis can be changed by the relative translation and rotation of the shafts. The catheter assembly is especially useful for placing a coiled stent graft (122), in which one turn (132, 134) of the prosthesis has a greater pitch than the adjacent turns, at the intersection (184) of a bifurcation within a blood vessel (182). Remotely viewable marker elements (188, 190, 191, 192, 193, 195, 197) may be used and include a marker element (193, 190A, 197) configured to indicate orientation as well as axial position of the prosthesis. The ends of the prosthesis may be substantially less stiff than the remainder of the prosthesis and/or shaped to help prevent tissue trauma.
摘要翻译： 导管组件包括螺旋的腔内假体（122,190,198）和具有至少第一和第二伸缩轴（138,140,142）的导管（136）。 假体可释放地接合到伸缩轴的远端（144,146,148）。 该假体能够从第一直径减小状态来呈现第二扩张直径状态。 线圈假体的长度和匝数（128）可以通过轴的相对平移和旋转来改变。 所述导管组件特别适用于放置卷绕的支架移植物（122），其中所述假体的一匝（132,134）在相对于匝内的分叉处的距离（184）处具有比相邻匝更大的间距 （182）。 远程可见的标记元件（188,190,191,192,193,195,197）可以被使用并且包括构造成指示假体的取向以及轴向位置的标记元件（193,190A，197）。 假体的端部可能比假体的其余部分基本上较硬，和/或成形为有助于防止组织损伤。
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公开(公告)号：US06248122B1
公开(公告)日：2001-06-19
申请号：US09258542
申请日：1999-02-26
IPC分类号： A61M2902
CPC分类号： A61F2/958 , A61F2/07 , A61F2/88 , A61F2/954 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2250/0018 , A61F2250/0039
摘要： A catheter (4) includes a hollow catheter shaft (18), an inflatable balloon (36) surrounding the catheter shaft distal portion, and an expandable endoluminal prosthesis, such as a stent graft (38, 40), surrounding the balloon. The stent is typically a coiled stent having distal ends (58, 48) slidably housed within stent end holders (56, 50) on the catheter shaft. The first stent end is released from its holder by inflating the balloon. The second stent end is selectively released from its holder by other than inflating the balloon, typically by a push wire (30) pushing the second stent end out of its holder. A sheath (8) is moveable between a first position surrounding the stent and a second position spaced-apart from the stent. The stent is prevented from assuming its expanded-diameter state by (1) the engagement of the stent ends with the catheter shaft through the stent end holders, and (2) the sheath being in its first position during the introducing step. The stent may be a straight stent (3 8) or a bifurcated stent (38D).
摘要翻译： 导管（4）包括中空的导管轴（18），围绕导管轴远端部分的可膨胀气囊（36）和围绕气囊的可扩张的腔内假体，例如支架移植物（38,40）。 支架通常是具有可滑动地容纳在导管轴上的支架端部保持器（56,50）内的远端（58,48）的盘绕支架。 通过使气囊膨胀，第一个支架端从其支架释放。 通常通过将第二支架端部推出其保持器的推动线（30）来使第二支架端部从其保持器选择性地释放，除了使气囊膨胀。 护套（8）可以在围绕支架的第一位置和与支架间隔开的第二位置之间移动。 通过（1）支架端部与导管轴通过支架端部保持器接合，防止支架呈现其扩径状态，以及（2）在引入步骤期间护套处于其第一位置。 支架可以是直支架（38）或分叉支架（38D）。
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