Cerebral protection during carotid endarterectomy and downstream
vascular protection during other surgeries

    公开(公告)号:US5876367A

    公开(公告)日:1999-03-02

    申请号:US759591

    申请日:1996-12-05

    摘要: A shunt and method of use for maintaining distal blood flow during an arteriotomy procedure is disclosed. The shunt includes a first tubular member having a proximal end, a distal end, and a lumen therebetween. The proximal end has an opening in communication with the lumen, and the proximal opening is adapted to receive blood from a first region of an artery. The distal end has an opening in communication with the lumen, and the distal opening is adapted to release blood into a second region of the artery. The shunt includes a second tubular member having a proximal end, a distal end, and a lumen therebetween which either merges and communicates at its distal end with the lumen of the first tubular member, or rides separate and parallel to it. The shunt also includes a hemostatic valve attached to the proximal end of the second tubular member, the valve acting to prevent loss of blood from the lumen of the second tubular member and to permit the introduction of a medical device into the lumen of the second tubular member and into the artery. In use, the distal opening of the shunt is inserted into the second region of an artery and secured to the lumen of the artery. A blood filter device is deployed within the artery. The proximal opening of the shunt is inserted into the first region of the artery and secured to the lumen of the artery. Endarterectomy is performed on the region of the artery which lies between the proximal opening and the distal opening of the shunt, and embolic material dislodged during the procedure is captured by the filter.

    Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries
    2.
    发明授权
    Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries 有权
    颈动脉内膜切除术期间的脑保护及其他手术中的下游血管保护

    公开(公告)号:US06689084B2

    公开(公告)日:2004-02-10

    申请号:US10366117

    申请日:2003-02-12

    IPC分类号: A61M500

    摘要: A method for carotid endarterectomy. A blood filter is positioned within a carotid artery downstream of an atheromatous plaque. The filter is expanded. The carotid artery is clamped upstream and downstream of the atheromatous plaque while the filter is expanded. An endarterectomy procedure is performed on the region of the carotid artery having the atheromatous plaque. The carotid artery is unclamped while the filter is expanded. In certain cases a shunt is positioned in a region of the carotid artery having the atheromatous plaque and secured to the shunt by clamping, the shunt comprising a tubular member having a proximal opening, a distal opening, and a lumen therebetween.

    摘要翻译: 颈动脉内膜切除术的一种方法。 血液过滤器位于动脉粥样硬化斑块下游的颈动脉内。 过滤器扩展。 当过滤器膨胀时,颈动脉夹在动脉粥样硬化斑块的上游和下游。 在具有动脉粥样硬化斑块的颈动脉的区域进行内膜切除术。 当过滤器膨胀时,颈动脉松开。 在某些情况下,分流器位于具有动脉粥样硬化斑块的颈动脉的区域中,并通过夹紧固定到分流器,分流器包括具有近端开口,远端开口和其间的内腔的管状构件。

    Cerebral protection during carotid endarterectomy and downstream
vascular protection during other surgeries

    公开(公告)号:US6074357A

    公开(公告)日:2000-06-13

    申请号:US176145

    申请日:1998-10-21

    摘要: A shunt and method of use for maintaining distal blood flow during an arteriotomy procedure is disclosed. The shunt includes a first tubular member having a proximal end, a distal end, and a lumen therebetween. The proximal end has an opening in communication with the lumen, and the proximal opening is adapted to receive blood from a first region of an artery. The distal end has an opening in communication with the lumen, and the distal opening is adapted to release blood into a second region of the artery. The shunt includes a second tubular member having a proximal end, a distal end, and a lumen therebetween which either merges and communicates at its distal end with the lumen of the first tubular member, or rides separate and parallel to it. The shunt also includes a hemostatic valve attached to the proximal end of the second tubular member, the valve acting to prevent loss of blood from the lumen of the second tubular member and to permit the introduction of a medical device into the lumen of the second tubular member and into the artery. In use, the distal opening of the shunt is inserted into the second region of an artery and secured to the lumen of the artery. A blood filter device is deployed within the artery. The proximal opening of the shunt is inserted into the first region of the artery and secured to the lumen of the artery. Endarterectomy is performed on the region of the artery which lies between the proximal opening and the distal opening of the shunt, and embolic material dislodged during the procedure is captured by the filter.

    Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries
    4.
    发明授权
    Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries 有权
    颈动脉内膜切除术期间的脑保护及其他手术中的下游血管保护

    公开(公告)号:US06551268B1

    公开(公告)日:2003-04-22

    申请号:US09550356

    申请日:2000-04-14

    IPC分类号: A61M500

    摘要: A shunt and method of use for maintaining distal blood flow during an arteriotomy procedure is disclosed. The shunt includes a first tubular member having a proximal end, a distal end, and a lumen therebetween. The proximal end has an opening in communication with the lumen, and the proximal opening is adapted to receive blood from a first region of an artery. The distal end has an opening in communication with the lumen, and the distal opening is adapted to release blood into a second region of the artery. The shunt includes a second tubular member having a proximal end, a distal end, and a lumen therebetween which either merges and communicates at its distal end with the lumen of the first tubular member, or rides separate and parallel to it. The shunt also includes a hemostatic valve attached to the proximal end of the second tubular member, the valve acting to prevent loss of blood from the lumen of the second tubular member and to permit the introduction of a medical device into the lumen of the second tubular member and into the artery. In use, the distal opening of the shunt is inserted into the second region of an artery and secured to the lumen of the artery. A blood filter device is deployed within the artery. The proximal opening of the shunt is inserted into the first region of the artery and secured to the lumen of the artery. Endarterectomy is performed on the region of the artery which lies between the proximal opening and the distal opening of the shunt, and embolic material dislodged during the procedure is captured by the filter.

    摘要翻译: 公开了一种用于在动脉切开术过程中维持远端血流的分流和使用方法。 分流器包括具有近端,远端和其间的内腔的第一管状构件。 近端具有与内腔连通的开口,并且近端开口适于从动脉的第一区域接收血液。 远端具有与内腔连通的开口,并且远侧开口适于将血液释放到动脉的第二区域中。 分流器包括具有近端,远端和其间的腔的第二管状构件,其在其远端处与第一管状构件的内腔合并并连通,或者与其分开并平行。 所述分流器还包括附接到所述第二管状构件的近端的止血阀,所述止血阀用于防止来自所述第二管状构件的内腔的血液的损失并且允许将医疗装置引入到所述第二管状构件的内腔中 成员进入动脉。 在使用中,分流器的远端开口插入动脉的第二区域并固定到动脉的内腔。 血液过滤装置部署在动脉内。 分流器的近侧开口插入动脉的第一区域并固定到动脉的内腔。 在位于分流器的近端开口和远端开口之间的动脉区域进行内膜切除术,并且在手术过程中被移除的栓塞物质被过滤器捕获。

    Percutaneous catheter and guidewire for filtering during ablation of myocardial or vascular tissue
    7.
    发明授权
    Percutaneous catheter and guidewire for filtering during ablation of myocardial or vascular tissue 失效
    经皮导管和导丝,用于在心肌或血管组织消融期间过滤

    公开(公告)号:US06673090B2

    公开(公告)日:2004-01-06

    申请号:US09766940

    申请日:2001-01-22

    IPC分类号: A61M2900

    摘要: An ablation catheter system for capturing and removing necrotic tissue and thrombi generated during an ablative procedure is disclosed. The catheter typically includes an elongate member, a filtration assembly disposed within the distal region, and an ablation instrument at the distal end. Alternatively, the ablation instrument is carried on the distal end of an ablation catheter, which is disposed within a lumen of the catheter system. The catheter may further include an aspiration port and lumen. Methods of using the devices in preventing distal embolization during ablative procedures are disclosed.

    摘要翻译: 公开了一种用于捕获和去除消融过程中产生的坏死组织和血栓的消融导管系统。 导管通常包括细长构件,设置在远端区域内的过滤组件和远端处的消融器械。 或者,消融器械被承载在消融导管的远端,消融导管设置在导管系统的内腔内。 该导管还可以包括抽吸端口和内腔。 公开了在烧蚀过程中使用该装置防止远端栓塞的方法。

    Cannula with associated filter and methods of use during cardiac surgery
    10.
    发明授权
    Cannula with associated filter and methods of use during cardiac surgery 有权
    插管与相关过滤器和心脏手术中使用的方法

    公开(公告)号:US6136016A

    公开(公告)日:2000-10-24

    申请号:US352546

    申请日:1999-07-12

    摘要: Devices and methods for filtering blood. The devices generally comprise: a mesh for filtering blood flowing within a blood vessel, particularly within an artery such as the aorta; a structure adapted to open and close the mesh within the blood vessel; and a means to actuate the structure. The methods generally include the following steps: introducing a mesh into a blood vessel to entrap embolic material; adjusting the mesh, if necessary, during the course of filtration; and removing the mesh and the entrapped foreign matter from the blood vessel. Additionally, visualization techniques are used to ensure effective filtration.

    摘要翻译: 用于过滤血液的装置和方法 装置通常包括:用于过滤血管内血液流动的网格,特别是在诸如主动脉的动脉内的网; 适于打开和关闭血管内的网的结构; 以及启动结构的手段。 所述方法通常包括以下步骤:将网状物引入血管以捕获栓塞物质; 如果需要,在过滤过程中调整网孔; 并从血管中除去网状物和夹带的异物。 此外,可视化技术用于确保有效的过滤。