公开(公告)号：US20070265637A1

公开(公告)日：2007-11-15

申请号：US11735392

申请日：2007-04-13

申请人： Bernard Andreas ,  Matthew McDonald ,  Jay Daulton ,  Chris Kilgus ,  Andrew Leopold ,  Philip Leopold ,  Matt Maulding

发明人： Bernard Andreas ,  Matthew McDonald ,  Jay Daulton ,  Chris Kilgus ,  Andrew Leopold ,  Philip Leopold ,  Matt Maulding

IPC分类号： A61F2/06

CPC分类号： A61F2/962 ,  A61F2002/826 ,  A61F2002/9511

摘要： Apparatus and methods for delivering stents or stent segments to body lumens include one or more tubular prostheses carried at the distal end of a catheter shaft, a sheath slidably disposed over the prostheses, and a guidewire tube extending from within the sheath to the exterior of the sheath through an exit port in a sidewall thereof. A guidewire extends slidably through the guidewire tube. The sheath can be moved relative to the catheter shaft and the guidewire tube to expose the prostheses for deployment. Mechanisms are described for measuring the distance that the sheath is moved relative to the catheter shaft and/or the guidewire tube, or for counting the number of stents exposed and/or deployed by operation of the device. These mechanisms include optical counting mechanisms, inductive, resistive, and/or magnetic resonating counters, electrical contact counters, and mechanical counters.

摘要翻译： 用于将支架或支架段递送到体腔的装置和方法包括在导管轴的远端处承载的一个或多个管状假体，可滑动地设置在假体上的护套，以及从护套内延伸到外部的导丝管 护套穿过其侧壁中的出口。 导丝可滑动地延伸穿过导丝管。 护套可以相对于导管轴和导丝管移动以暴露假体以进行展开。 描述了用于测量护套相对于导管轴和/或导丝管移动的距离的机构，或用于计数通过操作该装置而暴露和/或部署的支架的数量。 这些机制包括光学计数机构，电感，电阻和/或磁共振计数器，电接触计数器和机械计数器。

公开(公告)号：US08652198B2

公开(公告)日：2014-02-18

申请号：US11687885

申请日：2007-03-19

申请人： Bernard Andreas ,  Sunmi Chew ,  Jeremy Dittmer ,  Jeff Grainger ,  Stephen Kao ,  David Lowe ,  Bryan Mao ,  Steve Olson ,  David Snow ,  Craig Welk

发明人： Bernard Andreas ,  Sunmi Chew ,  Jeremy Dittmer ,  Jeff Grainger ,  Stephen Kao ,  David Lowe ,  Bryan Mao ,  Steve Olson ,  David Snow ,  Craig Welk

IPC分类号： A61F2/06

CPC分类号： A61F2/89 ,  A61B17/12022 ,  A61B2017/1205 ,  A61B2017/12068 ,  A61F2/852 ,  A61F2/91 ,  A61F2/915 ,  A61F2/95 ,  A61F2/958 ,  A61F2002/30329 ,  A61F2002/30545 ,  A61F2002/30599 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/91508 ,  A61F2002/91525 ,  A61F2002/91533 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2002/91575 ,  A61F2002/91591 ,  A61F2002/9665 ,  A61F2220/0008 ,  A61F2220/0025 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2230/0013 ,  A61F2230/0067 ,  A61F2250/001 ,  A61F2250/0063 ,  A61F2250/0071

摘要： A luminal prosthesis comprises a plurality of radially expandable prosthetic stent segments arranged axially. Two or more of the prosthetic stent segments are separable upon expansion from the remaining prosthetic stent segments and a coupling structure connects at least some of the adjacent prosthetic stent segments to each other. The coupling structure permits a first group of the adjacent prosthetic stent segments to separate from a second group of the prosthetic stent segments upon differential radial expansion of the first group relative to the second group and the coupling structure maintains or forms an attachment between the adjacent prosthetic stent segments in the first group which have been expanded together. A delivery system and methods for deploying the multiple coupled prosthetic stent segments are also disclosed.

摘要翻译： 管腔假体包括轴向布置的多个可径向扩张的假体支架段。 两个或更多个假体支架段在与剩余的假体支架段扩张时可分离，并且联接结构将至少一些相邻的假体支架段彼此连接。 耦合结构允许第一组相邻的假体支架段在第一组相对于第二组的差异径向膨胀时与第二组假体支架段分离，并且联接结构维持或形成相邻假体之间的附接 第一组中的支架段已经一起扩张。 还公开了用于部署多个联合的假体支架段的递送系统和方法。

公开(公告)号：US08460358B2

公开(公告)日：2013-06-11

申请号：US11952644

申请日：2007-12-07

申请人： Bernard Andreas ,  Jeffry J. Grainger

发明人： Bernard Andreas ,  Jeffry J. Grainger

IPC分类号： A61F2/06

CPC分类号： A61M25/0169 ,  A61F2/958 ,  A61M25/10 ,  A61M2025/0183

摘要： Wire-guided interventional devices and methods are provided which enable faster and easier catheter exchanges. The interventional devices include a catheter shaft and a guidewire tube wherein the catheter shaft and the guidewire tube each have a length sufficient to extend to the vascular penetration when the interventional device is positioned at the treatment site. In some embodiments, a collar is disposed around the catheter shaft and guidewire tube that automatically inserts or removes the guidewire from the guidewire tube or automatically collapses or extends the guidewire tube as the catheter is introduced or withdrawn.

摘要翻译： 提供导线介入装置和方法，其能够更快和更容易地进行导管交换。 介入装置包括导管轴和导丝管，其中当介入装置位于治疗部位时，导管轴和导丝管各自具有足以延伸到血管穿透的长度。 在一些实施例中，环绕导管轴和导丝管设置套环，其自动地从导丝管插入或移除导丝线，或者当导管被引入或取出时自动地塌缩或延伸导丝管。

公开(公告)号：US08080048B2

公开(公告)日：2011-12-20

申请号：US10814593

申请日：2004-03-30

申请人： Bernard Andreas ,  Jeffry J. Grainger

发明人： Bernard Andreas ,  Jeffry J. Grainger

IPC分类号： A61F2/82

CPC分类号： A61F2/856 ,  A61F2/91 ,  A61F2/915 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/067 ,  A61F2002/825 ,  A61F2002/826 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91533 ,  A61F2002/9155 ,  A61F2002/91558 ,  A61F2002/9517 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2250/006 ,  A61F2250/0071 ,  A61F2250/0097

摘要： Apparatus and methods for delivering stents to bifurcated vessels involve delivering a first stent in a main branch of a vessel using a stent delivery catheter and delivering a second stent in a side branch of the vessel, without removing the stent delivery catheter from the patient. In various embodiments, multiple stents may be placed in either or both of the main and side branches. In some embodiments, stents in main and side branches are separate and do not touch, while in other embodiments a side branch stent may extend through a sidewall opening in a main branch stent. Stent length may optionally be adjusted in situ, and some embodiments provide for predilatation of one or more lesions.

摘要翻译： 用于将支架输送到分叉血管的装置和方法包括使用支架输送导管在血管的主分支中输送第一支架，并在血管的侧支中输送第二支架，而不从患者移除支架输送导管。 在各种实施例中，多个支架可以放置在主分支和侧分支中的任一个或两个中。 在一些实施例中，主支路和侧支路中的支架是分离的并且不接触，而在其他实施例中，侧支支架可延伸通过主支路支架中的侧壁开口。 可以可选地原位调整支架长度，并且一些实施例提供一个或多个损伤的预稀释。

公开(公告)号：US20110152996A1

公开(公告)日：2011-06-23

申请号：US13037140

申请日：2011-02-28

申请人： Pablo Acosta ,  Bernard Andreas ,  Steve Landreville ,  David W. Snow

发明人： Pablo Acosta ,  Bernard Andreas ,  Steve Landreville ,  David W. Snow

IPC分类号： A61F2/84

CPC分类号： A61F2/966 ,  A61F2/0095 ,  A61F2/82 ,  A61F2/91 ,  A61F2/915 ,  A61F2/95 ,  A61F2/958 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91533 ,  A61F2002/91541 ,  A61F2002/9155 ,  A61F2002/91558 ,  A61F2002/91591 ,  A61F2002/9505 ,  A61F2002/9583 ,  A61F2210/0033 ,  A61F2210/0042 ,  A61F2250/006 ,  A61F2250/0071 ,  A61M25/0068 ,  A61M25/0075 ,  A61M25/008 ,  A61M25/0082 ,  A61M25/10 ,  A61M25/104 ,  A61M2025/0681 ,  H01Q3/2676

摘要： Delivery catheters and systems are adapted for delivering multiple discreet prostheses in body lumens. An exemplary delivery catheter comprises a sheath, a pusher for moving the prostheses relative to the sheath, and a valve member for selectively retaining the prostheses in the sheath. For balloon expandable stents, an elongated shaft and an expandable member are slidably disposed in the sheath, and the prostheses are positionable on the expandable member for deployment in the body lumen. The valve member allows a selected number of prostheses to be deployed from the sheath while retaining other prostheses within the sheath.

摘要翻译： 输送导管和系统适于在体腔内递送多个离散的假体。 示例性递送导管包括护套，用于相对于护套移动假体的推动器和用于选择性地将假体保持在护套中的阀构件。 对于气囊可扩张支架，细长轴和可扩张构件可滑动地设置在护套中，并且假体可定位在可扩张构件上以展开在体腔中。 阀构件允许选择数量的假体从护套展开，同时将其它假体保持在护套内。

公开(公告)号：US07892274B2

公开(公告)日：2011-02-22

申请号：US11560739

申请日：2006-11-16

申请人： Allan Will ,  Bernard Andreas ,  Sunmi Chew

发明人： Allan Will ,  Bernard Andreas ,  Sunmi Chew

IPC分类号： A61F2/06

CPC分类号： A61F2/915 ,  A61F2/0095 ,  A61F2/91 ,  A61F2/95 ,  A61F2/958 ,  A61F2/966 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91533 ,  A61F2002/9155 ,  A61F2002/91558 ,  A61F2002/91591 ,  A61F2002/9583 ,  A61F2210/0033 ,  A61F2210/0042 ,  A61F2250/0071 ,  A61M25/10182 ,  A61M25/10187 ,  A61M2025/0183 ,  H01Q3/2676

摘要： Apparatus for delivering stents to body lumens include one or more tubular prostheses carried at the distal end of a catheter shaft, a sheath slidably disposed over the prostheses, and a guidewire tube extending from within the sheath to the exterior of the sheath through an exit port in a sidewall thereof. A guidewire extends slidably through the guidewire tube. The sheath can be moved relative to the catheter shaft and the guidewire tube to expose the prostheses for deployment. Methods of delivering stents are also provided.

摘要翻译： 用于将支架输送到体腔的装置包括在导管轴的远端处承载的一个或多个管状假体，可滑动地设置在假体上的护套，以及从护套内的护套延伸穿过护套的外部的导丝管， 在其侧壁中。 导丝可滑动地延伸穿过导丝管。 护套可以相对于导管轴和导丝管移动以暴露假体以进行展开。 还提供了交付支架的方法。

公开(公告)号：US20080208311A1

公开(公告)日：2008-08-28

申请号：US12109477

申请日：2008-04-25

申请人： Stephen Kao ,  Bernard Andreas ,  Hanson S. Gifford ,  Mark E. Deem ,  David W. Snow ,  Jeffry J. Grainger

发明人： Stephen Kao ,  Bernard Andreas ,  Hanson S. Gifford ,  Mark E. Deem ,  David W. Snow ,  Jeffry J. Grainger

IPC分类号： A61F2/84 ,  A61F2/82

CPC分类号： A61F2/95 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/826 ,  A61F2002/828 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91533 ,  A61F2002/9155 ,  A61F2002/9583

摘要： Blood vessels and other body lumens are stented using stent structures comprising a plurality of radially expansible rings where at least some of the rings comprise axially extending elements which interleave with axially extending elements on adjacent unconnected rings. The ring structures may be open cell structures or closed cell structures, and the axially extending elements will typically be formed as part of the open cell or closed cell structure.

摘要翻译： 使用包括多个可径向扩张的环的支架结构对血管和其他体腔进行支架，其中至少一些环包括轴向延伸的元件，其与相邻未连接的环上的轴向延伸的元件交错。 环结构可以是开孔结构或闭孔结构，并且轴向延伸的元件通常将形成为开孔或闭孔结构的一部分。

公开(公告)号：US20080091257A1

公开(公告)日：2008-04-17

申请号：US11953242

申请日：2007-12-10

申请人： Bernard Andreas ,  Joseph Karratt ,  James Flom ,  Bradley Blackwood

发明人： Bernard Andreas ,  Joseph Karratt ,  James Flom ,  Bradley Blackwood

IPC分类号： A61F2/06

CPC分类号： A61F2/966 ,  A61F2/95 ,  A61F2002/9517 ,  A61F2250/0097 ,  A61M25/0136 ,  A61M2025/0008 ,  A61M2025/1068

摘要： Devices and methods are provided for controlling and indicating the deployed length of an interventional element on an interventional catheter. The interventional element may be a stent or series of stents, a balloon, or any other interventional element for which length control is necessary or desirable. Devices for controlling the length of the interventional element include gear driven actuators, motors, and other mechanisms. Devices for indicating length of an interventional element to the user include sensors, detents, visual displays and other mechanisms providing visual, audible, and tangible indications of length to the user. The control and indication devices preferably work in tandem to enable highly precise adjustment of interventional element length.

摘要翻译： 提供了装置和方法，用于控制和指示在介入导管上介入元件的部署长度。 介入元件可以是支架或一系列支架，球囊或其长度控制是必要或期望的任何其它介入元件。 用于控制介入元件的长度的装置包括齿轮驱动致动器，马达和其它机构。 用于指示介入元件的长度的设备包括传感器，棘爪，视觉显示器以及向用户提供长度可视，可听和有形的指示的其它机构。 控制和指示装置优选地串联工作以实现介入元件长度的高精度调节。

公开(公告)号：US20070249892A1

公开(公告)日：2007-10-25

申请号：US11821480

申请日：2007-06-21

申请人： Mark Deem ,  Hanson Gifford ,  Bernard Andreas ,  Sunmi Chew ,  Ron French ,  Doug Sutton

发明人： Mark Deem ,  Hanson Gifford ,  Bernard Andreas ,  Sunmi Chew ,  Ron French ,  Doug Sutton

IPC分类号： A61B19/00 ,  A61F2/02

CPC分类号： A61B17/12013 ,  A61B17/12 ,  A61B17/12022 ,  A61B17/12099 ,  A61B17/12186 ,  A61B17/3478 ,  A61B2017/00805 ,  A61B2017/00827 ,  A61B2017/00876 ,  A61B2017/1205 ,  A61N2/02 ,  A61N2/06

摘要： Devices and methods for augmenting or otherwise enhancing closure of body lumens comprise magnetic or magnetizable components or particles which are implanted in the wall of the lumen. The magnet fields exerted by the components or particles act to close the body lumen with a desired force.

公开(公告)号：US20070167963A1

公开(公告)日：2007-07-19

申请号：US11716902

申请日：2007-03-12

申请人： Mark Deem ,  Douglas Sutton ,  Hanson Gifford ,  Bernard Andreas ,  Ronald French

发明人： Mark Deem ,  Douglas Sutton ,  Hanson Gifford ,  Bernard Andreas ,  Ronald French

IPC分类号： A61B17/08

CPC分类号： A61B17/1114 ,  A61B17/00234 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/122 ,  A61B2017/00557 ,  A61B2017/306 ,  A61B2090/395 ,  A61F5/0083 ,  A61F5/0086

摘要： Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using atraumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods.