公开(公告)号：US09687336B2

公开(公告)日：2017-06-27

申请号：US14876429

申请日：2015-10-06

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： David Brocker ,  William K. Dierking ,  Alan R. Leewood ,  Timothy A. M. Chuter ,  Blayne A. Roeder ,  Steven J. Charlebois ,  Richard A. Swift ,  Sharath Gopalakrishnamurthy ,  Matthew S. Huser

IPC: A61F2/82 ,  A61F2/07 ,  A61F2/856 ,  A61F2/86 ,  A61F2/915 ,  A61F2/852 ,  A61F2/89 ,  A61F2/06 ,  A61F2/848

CPC classification number: A61F2/07 ,  A61F2/852 ,  A61F2/856 ,  A61F2/86 ,  A61F2/89 ,  A61F2/915 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/825 ,  A61F2002/8486 ,  A61F2002/91516 ,  A61F2002/91566 ,  A61F2220/0016 ,  A61F2220/0075 ,  A61F2230/0013

Abstract: A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition.

公开(公告)号：US09468544B2

公开(公告)日：2016-10-18

申请号：US14494809

申请日：2014-09-24

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  Matthew S. Huser ,  David E. Hartley

IPC: A61F2/06 ,  A61F2/82 ,  A61F2/856 ,  A61F2/07 ,  A61F2/89

CPC classification number: A61F2/07 ,  A61F2/856 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/821 ,  A61F2210/0057 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0067

Abstract: The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, and a second perimeter attached to and surrounding the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape. In one aspect, the prosthesis includes at least three pivotable fenestrations.

Abstract translation: 本公开涉及一种腔内假体，例如包括一个或多个开窗以适应血管内疾病的支架移植物，例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面，假体包括可枢转以适应主动脉分支的动态几何形状的开窗。 在另一方面，可枢转的窗口包括第一周边，附接并围绕第一周边的柔性材料带，以及附接到柔性材料带并围绕柔性材料带的第二周边。 第一周边的柔性材料带和第二周边具有几何形状。 在一个方面，假体包括至少三个可枢转的开窗。

公开(公告)号：US08870939B2

公开(公告)日：2014-10-28

申请号：US13729933

申请日：2012-12-28

Applicant: Cook Medical Technologies LLC

Inventor： Blayne A. Roeder ,  Matthew S. Huser ,  David E. Hartley

IPC: A61F2/06 ,  A61F2/82 ,  A61F2/07 ,  A61F2/856 ,  A61F2/89

CPC classification number: A61F2/07 ,  A61F2/856 ,  A61F2/89 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/821 ,  A61F2210/0057 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0067

Abstract: The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, and a second perimeter attached to and surrounding the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape. In one aspect, the prosthesis includes at least three pivotable fenestrations.

Abstract translation: 本公开涉及一种腔内假体，例如包括一个或多个开窗以适应血管内疾病的支架移植物，例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面，假体包括可枢转以适应主动脉分支的动态几何形状的开窗。 在另一方面，可枢转的窗口包括第一周边，附接并围绕第一周边的柔性材料带，以及附接到柔性材料带并围绕柔性材料带的第二周边。 第一周边的柔性材料带和第二周边具有几何形状。 在一个方面，假体包括至少三个可枢转的开窗。

公开(公告)号：US20140180386A1

公开(公告)日：2014-06-26

申请号：US13970861

申请日：2013-08-20

Applicant: Cook Medical Technologies LLC

Inventor： Matthew S. Huser

IPC: A61F2/966

CPC classification number: A61F2/966 ,  A61F2002/9511 ,  A61F2002/9665

Abstract: Apparatus and methods for facilitating deployment of an implantable medical device including a stent graft. A restraining device, such as cord or suture, holds at least the proximal end of the stent in a radially inwardly compressed configuration during delivery to a desired location within the lumen of a patient's vessel. Withdrawal of one or more trigger wires facilitates the release and removal of the restraining cord from the proximal end of the stent so as to allow the stent to become fully deployed within vessel.

Abstract translation: 用于促进包括支架移植物在内的可植入医疗装置的展开的装置和方法。 限制装置，例如绳索或缝合线，在输送到患者血管内腔内的所需位置时，至少将支架的近端保持在径向向内压缩的构造中。 一个或多个触发线的拔出有助于从支架的近端释放和去除约束绳，以便允许支架完全展开在血管内。

公开(公告)号：US09675439B2

公开(公告)日：2017-06-13

申请号：US14105979

申请日：2013-12-13

Applicant: Cook Medical Technologies LLC

Inventor： William J. Havel ,  Matthew S. Huser ,  Jarin Kratzberg ,  Shuo Yang

IPC: A61F2/91 ,  A61F2/07 ,  A61F2/848

CPC classification number: A61F2/07 ,  A61F2/91 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2220/0075 ,  A61F2250/0063

Abstract: A stent-graft comprises a substantially tubular graft material, and a stent coupled to the graft material. The stent has proximal and distal ends and further has compressed and deployed states. The proximal end is disposed proximally beyond a proximal edge of the graft material, and the distal end has at least one portion overlapping with the proximal edge of the graft material. In one example, the stent comprises at least one distal apex having a bifurcation extending into first and second leg regions. A distal end of the first leg region is positioned to overlap the graft material at a location circumferentially spaced apart from a location at which a distal end of the second leg region overlaps the graft material in the deployed state.

公开(公告)号：US20170049588A1

公开(公告)日：2017-02-23

申请号：US14830399

申请日：2015-08-19

Applicant: Cook Medical Technologies LLC

Inventor： Brandon Davis ,  Matthew S. Huser ,  Jarin Kratzberg ,  Kimberly Ringenberger

IPC: A61F2/856

CPC classification number: A61F2/856 ,  A61F2/07 ,  A61F2002/061 ,  A61F2210/0071 ,  A61F2230/0069

Abstract: An endovascular prosthesis and method of constructing said prosthesis device for implantation into the lumen of a body vessel. The endovascular prosthesis comprises a fenestration in the device surrounded by an inner edge, and the inner edge further surrounded by an outer edge of larger diameter. A shaped protrusion of semi-rigid graft material spans the distance between the inner edge and the outer edge connecting the two edges. The shape protrusion has a surface area larger than the plane of the tubular body between the edges and therefore will have excess material. This excess material allows the inner edge and the fenestration to move within the circumference of the outer edge. The shaped protrusion may also form a semi-rigid dome.

Abstract translation: 一种血管内假体和构造用于植入人体血管的腔的所述假体装置的方法。 血管内假体包括由内边缘包围的装置中的开窗，并且内边缘进一步被较大直径的外边缘包围。 半刚性移植材料的成形突起跨越连接两边缘的内边缘和外边缘之间的距离。 形状突起具有比边缘之间的管状体的平面大的表面积，因此将具有多余的材料。 这种多余的材料允许内边缘和开窗在外边缘的圆周内移动。 成形的突起也可以形成半刚性的圆顶。

公开(公告)号：US20140277341A1

公开(公告)日：2014-09-18

申请号：US13835877

申请日：2013-03-15

Applicant: Cook Medical Technologies LLC

Inventor： William J. Havel ,  Matthew S. Huser ,  Richard D. Hadley

IPC: A61F2/962

CPC classification number: A61F2/966 ,  A61F2002/9528 ,  A61F2002/9534 ,  A61F2002/9665

Abstract: A wireless medical device release system may reduce the overall diameter of the medical device delivery system. The medical device delivery system may include a medical device with a looped portion at a section of the medical device. A capture element may be located on a delivery tool that is distal to the medical device. The looped portion of the medical device may be located in the capture element and held in the capture element by a sheath covering the delivery tool. Removal of the sheath may release the looped portion of the medical device from the capture element and delivery tool.

Abstract translation: 无线医疗装置释放系统可以减小医疗装置输送系统的总体直径。 医疗装置输送系统可以包括在医疗装置的一部分处具有环形部分的医疗装置。 捕获元件可以位于远离医疗装置的输送工具上。 医疗装置的环形部分可以位于捕获元件中并且通过覆盖输送工具的护套保持在捕获元件中。 去除护套可以从捕获元件和递送工具释放医疗装置的环形部分。

公开(公告)号：US20130123907A1

公开(公告)日：2013-05-16

申请号：US13718915

申请日：2012-12-18

Applicant: COOK MEDICAL TECHNOLOGIES LLC

Inventor： Blayne A. Roeder ,  Matthew S. Huser ,  Kelly Coverdale

IPC: A61F2/06

CPC classification number: A61F2/07 ,  A61F2/06 ,  A61F2/954 ,  A61F2/958 ,  A61F2/966 ,  A61F2002/061 ,  A61F2002/9511 ,  A61M25/09

Abstract: A system may include an endoluminal prosthesis and a guide wire. The prosthesis may include a tubular body including a graft material wall, a proximal end opening, a distal end opening, and a lumen extending longitudinally therein. The prosthesis may include first and second fenestrations in the graft material wall. The first and second fenestrations may be spaced from one another circumferentially about the tubular body. The guide wire may have a first end and a second end both extending from a region proximal of the proximal end opening. The guide wire may enter the proximal end opening, exit the first fenestration, partially traverse an exterior surface of the prosthesis, enter the second fenestration, and exit the proximal end opening. No portion of the guide wire may extend distally beyond the distal end opening.

公开(公告)号：US10821012B2

公开(公告)日：2020-11-03

申请号：US15924953

申请日：2018-03-19

Applicant: Cook Medical Technologies LLC

Inventor： Matthew S. Huser ,  Blayne A. Roeder

IPC: A61F2/966 ,  A61F2/954 ,  A61F2/07 ,  A61F2/958 ,  A61F2/06 ,  A61F2/95

Abstract: Devices for delivering and deploying an endoluminal prosthesis are disclosed and comprise a delivery catheter, an endoluminal prosthesis disposed at a distal end portion of the delivery catheter, and a wire. The prosthesis comprises a tubular graft having at least one fenestration. The wire extends distally from a first wire end through an axial lumen of the delivery catheter and the prosthesis, and through the fenestration in the graft. The wire extends proximally through a lumen of the prosthesis and through an axial lumen of the delivery catheter towards a second wire end. Additional devices, systems, and methods are disclosed.

公开(公告)号：US20190192320A1

公开(公告)日：2019-06-27

申请号：US16292456

申请日：2019-03-05

Applicant: Cook Medical Technologies LLC ,  The Cleveland Clinic Foundation

Inventor： Roy K. Greenberg ,  Blayne A. Roeder ,  Matthew S. Huser ,  William J. Havel

IPC: A61F2/856 ,  A61F2/07 ,  A61F2/954

CPC classification number: A61F2/856 ,  A61F2/07 ,  A61F2/954 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2250/0039

Abstract: The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, a second perimeter attached to and surrounding the band of flexible material and a support frame disposed about a surface of the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape. The support frame includes a plurality of support units having curved segments. The curved segments of the support units may be concave with respect to an exterior surface of the prosthesis.