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公开(公告)号:US20180064916A1
公开(公告)日:2018-03-08
申请号:US15810721
申请日:2017-11-13
Applicant: Cook Medical Technologies LLC
Inventor: Brian L. Bates , Anthony O. Ragheb , Joseph M. Stewart, IV , William J. Bourdeau , Brian D. Choules , James D. Purdy , Neal E. Fearnot
CPC classification number: A61M25/10 , A61F2/82 , A61F2/844 , A61F2/86 , A61F2/958 , A61F2210/0014 , A61F2210/0076 , A61F2240/001 , A61F2250/0025 , A61F2250/0026 , A61F2250/0067 , A61F2250/0081 , A61F2250/0098 , A61F2310/00011 , A61L27/54 , A61L29/08 , A61L29/085 , A61L29/16 , A61L29/18 , A61L31/14 , A61L31/16 , A61L2300/416 , A61L2300/606 , A61L2400/18 , A61L2420/02 , A61L2420/06 , A61M25/1029 , A61M25/104 , A61M2025/1031 , A61M2025/105 , A61M2250/00
Abstract: A coated medical device (10) including a structure (12) adapted for introduction into a passage or vessel of a patient. The structure is formed of preferably a non-porous base material (14) having a bioactive material layer (18) disposed thereon. The medical device is preferably an implantable stent or balloon (26) of which the bioactive material layer is deposited thereon. The stent can be positioned around the balloon and another layer of the bioactive material posited over the entire structure and extending beyond the ends of the positioned stent. The ends of the balloon extend beyond the ends of the stent and include the bioactive material thereon for delivering the bioactive material to the cells of a vessel wall coming in contact therewith. The balloon further includes a layer of hydrophilic material (58) positioned between the base and bioactive material layers of the balloon.
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公开(公告)号:US20140178563A1
公开(公告)日:2014-06-26
申请号:US14193312
申请日:2014-02-28
Applicant: Cook Medical Technologies LLC
Inventor: Brian L. Bates , Anthony O. Ragheb , Joseph M. Stewart, IV , William J. Bourdeau , Brian D. Choules , James D. Purdy , Neal E. Fearnot
IPC: A61M25/10
CPC classification number: A61M25/10 , A61F2/82 , A61F2/844 , A61F2/86 , A61F2/958 , A61F2210/0014 , A61F2210/0076 , A61F2240/001 , A61F2250/0025 , A61F2250/0026 , A61F2250/0067 , A61F2250/0081 , A61F2250/0098 , A61F2310/00011 , A61L27/54 , A61L29/08 , A61L29/085 , A61L29/16 , A61L29/18 , A61L31/14 , A61L31/16 , A61L2300/416 , A61L2300/606 , A61L2400/18 , A61L2420/02 , A61L2420/06 , A61M25/1029 , A61M25/104 , A61M2025/1031 , A61M2025/105 , A61M2250/00
Abstract: A coated medical device (10) including a structure (12) adapted for introduction into a passage or vessel of a patient. The structure is formed of preferably a non-porous base material (14) having a bioactive material layer (18) disposed thereon. The medical device is preferably an implantable stent or balloon (26) of which the bioactive material layer is deposited thereon. The stent can be positioned around the balloon and another layer of the bioactive material posited over the entire structure and extending beyond the ends of the positioned stent. The ends of the balloon extend beyond the ends of the stent and include the bioactive material thereon for delivering the bioactive material to the cells of a vessel wall coming in contact therewith. The balloon further includes a layer of hydrophilic material (58) positioned between the base and bioactive material layers of the balloon.
Abstract translation: 一种涂覆的医疗装置(10),包括适于引入患者的通道或容器中的结构(12)。 该结构优选由其上设置有生物活性材料层(18)的无孔基材(14)形成。 该医疗装置优选为其上沉积有生物活性物质层的可植入支架或球囊(26)。 支架可以围绕气囊定位,另一层生物活性材料放置在整个结构上并延伸超过定位的支架的端部。 气囊的端部延伸超过支架的端部并且包括其上的生物活性材料,用于将生物活性材料输送到与其接触的血管壁的细胞。 气囊还包括位于气囊的基部和生物活性材料层之间的一层亲水材料(58)。
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公开(公告)号:US20130304119A1
公开(公告)日:2013-11-14
申请号:US13942187
申请日:2013-07-15
Applicant: COOK MEDICAL TECHNOLOGIES LLC , COOK BIOTECH, INC.
Inventor: David N. Armstrong , Brian L. Bates , Mark W. Bleyer , F. Joseph Obermiller , Umesh H. Patel
IPC: A61B17/00
CPC classification number: A61B17/0057 , A61B17/0401 , A61B17/06 , A61B17/06166 , A61B17/3468 , A61B50/30 , A61B2017/00004 , A61B2017/00628 , A61B2017/00641 , A61B2017/00646 , A61B2017/00654 , A61B2017/00659 , A61B2017/00898 , A61B2017/0404 , A61B2017/0464 , A61B2017/0496 , A61B2017/22038 , A61L27/227 , A61L27/24 , A61L27/3616 , A61L27/3629 , A61L27/3633 , A61L27/58 , A61M27/00
Abstract: An implantable graft, which may be inserted into a fistula tract to occlude the primary opening of the fistula, is provided. To prevent unintentional displacement of the graft or extrusion of the graft from the fistula of a patient, the graft may be provided with a cap that extends laterally from at least one end of the body of the graft, where the cap may be integral with the body of the graft, attachable to at least one end of the body of the graft, and/or moveable along the body of the graft. The graft may also have a tail that extends from one end of the body of the graft to assist in placement of the graft in a fistula tract. The graft may be an integral unit made of a single material, such as a heterograft material, or may include distinct components made of the same or different materials. Methods for closing a fistula tract are also provided.
Abstract translation: 提供了一种植入式移植物,其可以插入瘘道以封闭瘘的主要开口。 为了防止移植物的意外移位或将移植物从患者的瘘管挤出,移植物可以设置有从移植物的主体的至少一端侧向延伸的帽,其中帽可以与 移植物的主体,可附接到移植物的身体的至少一端,和/或沿着移植物的主体移动。 移植物还可以具有从移植物的身体的一端延伸的尾部,以帮助将移植物放置在瘘管道中。 移植物可以是由诸如异种移植材料的单一材料制成的整体单元,或者可以包括由相同或不同的材料制成的不同的部件。 还提供了关闭瘘管的方法。
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公开(公告)号:US20160262737A1
公开(公告)日:2016-09-15
申请号:US15062749
申请日:2016-03-07
Applicant: Cook Medical Technologies LLC , Cook Biotech Incorporated
Inventor: Ram H. Paul, JR. , Cleon Stanley , Brian L. Bates , F. Joseph Obermiller , Thomas A. Osborne , Sean D. Chambers
IPC: A61B17/00
Abstract: Among other things, there are disclosed apparatuses and methods for medically sealing an opening in a vessel or wall. For example, in medical applications, a delivery tube is provided for insertion through a sheath into a vessel (e.g. a blood vessel). A dome-shaped seal fixed to a filament, an absorbent and/or compressible buffer, and a locking member are provided in the delivery tube. The delivery tube is configured so that it can be inserted into the vessel through a sheath. Tension is maintained on the filament to hold the seal against the tube or sheath. The sheath is pulled out, which pulls out the tube at the same time, leaving the seal over the opening in the vessel wall. The locking member compresses the buffer against the outside of the vessel and with the filament holds the seal in place against the inside of a vessel.
Abstract translation: 除此之外,还公开了用于医疗密封容器或壁中的开口的装置和方法。 例如,在医疗应用中,提供输送管用于通过护套插入血管(例如血管)中。 固定在细丝上的圆顶形密封件,吸收性和/或可压缩缓冲器以及锁定构件设置在输送管中。 输送管被构造成使得其可以通过护套插入到容器中。 在灯丝上保持张力以将密封件保持在管或鞘上。 护套被拉出,同时拉出管子,将密封件留在血管壁的开口处。 锁定构件将缓冲器压靠在容器的外部,并且灯丝将密封件保持在与容器内部的适当位置。
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公开(公告)号:US20150150696A1
公开(公告)日:2015-06-04
申请号:US14622294
申请日:2015-02-13
Applicant: Cook Medical Technologies LLC
Inventor: Brian L. Bates , Anthony O. Ragheb , Neal E. Fearnot , Thomas G. Kozma , William D. Voorhees, III
CPC classification number: A61F2/82 , A61F2210/0076 , A61F2250/0067 , A61F2250/0068 , A61L31/10 , A61L31/16 , A61L2300/416 , A61L2420/06 , A61L2420/08 , C08L29/04
Abstract: Bioactive-coated medical devices are provided, including coated vascular stents. The medical device coating can include a coating layer posited over at least a portion of the medical device surface, and can include a butyl methacrylate polymer or an ethylene-vinyl acetate copolymer in combination with a bioactive material that can function as both an immunosuppressive agent and an antiproliferative agent. Optionally, multilayer coatings can further include an adhesion promoting layer comprising parylene positioned between the coating layer and the medical device surface, a porous layer comprising butyl methacrylate positioned over at least a portion of the coating layer, or both. The coating layer preferably comprises between about 0.5 and 2.0 μg/mm2 of the bioactive material on the outer surface of the medical device. The bioactive material can be absorbed into the coating layer, which can have a thickness of between about 0.5 μm to about 5 μm.
Abstract translation: 提供生物活性涂层医疗器械,包括涂层血管支架。 医疗器械涂层可以包括位于医疗器械表面的至少一部分上的涂层,并且可以包括甲基丙烯酸丁酯聚合物或乙烯 - 乙酸乙烯酯共聚物与可以用作免疫抑制剂和生物活性物质的生物活性材料 抗增生剂。 任选地,多层涂层还可以包括粘合促进层,其包括定位在涂层和医疗器件表面之间的聚对二甲苯,包含位于涂层的至少一部分上的甲基丙烯酸丁酯的多孔层,或两者。 涂层优选在医疗装置的外表面上包含约0.5至2.0μg/ mm 2的生物活性材料。 生物活性物质可以被吸收到涂层中,其可以具有约0.5μm至约5μm的厚度。
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公开(公告)号:US20140277116A1
公开(公告)日:2014-09-18
申请号:US14211513
申请日:2014-03-14
Applicant: Cook Medical Technologies LLC
Inventor: Cleon Stanley , Tyler J. Bunch , Jonathan Lee Bennett , Ram H. Paul, JR. , Brian L. Bates
IPC: A61B17/00
CPC classification number: A61B17/0057 , A61B17/0483 , A61B2017/00575 , A61B2017/0061 , A61B2017/00623 , A61B2017/0496 , A61B2090/037
Abstract: Among other things, methods and apparatus for inserting devices for closing tissue openings are disclosed. Examples may include a handle, sheath and/or sleeve for insertion into a patient and through or adjacent a tissue defect, fistula, or other tissue opening to be closed. Winding mechanisms for operation in or with such inserting devices are also described.
Abstract translation: 其中包括用于插入用于封闭组织开口的装置的方法和装置。 实例可以包括用于插入患者体内并通过或邻近组织缺损,瘘管或其他要关闭的组织开口的手柄,护套和/或套筒。 还描述了用于在这种插入装置中进行操作的绕线机构。
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公开(公告)号:US20200230372A1
公开(公告)日:2020-07-23
申请号:US16742372
申请日:2020-01-14
Applicant: Cook Medical Technologies LLC
Inventor: Brian L. Bates , Scott E. Boatman , David G. Burton , Michael C. Hoffa , Darin G. Schaeffer , Jason S. Sturgeon , Anthony O. Ragheb
IPC: A61M25/10 , A61F2/82 , A61L27/54 , A61L31/16 , A61L29/16 , A61F2/844 , A61F2/958 , A61L29/08 , A61L29/18 , A61L31/14
Abstract: A coated medical device (10) including a structure (12) adapted for introduction into a passage or vessel of a patient. The structure is formed of preferably a non-porous base material (14) having a bioactive material layer (18) disposed thereon. The medical device is preferably an implantable stent or balloon (26) of which the bioactive material layer is deposited thereon. The stent can be positioned around the balloon and another layer of the bioactive material posited over the entire structure and extending beyond the ends of the positioned stent. The ends of the balloon extend beyond the ends of the stent and include the bioactive material thereon for delivering the bioactive material to the cells of a vessel wall coming in contact therewith. The balloon further includes a layer of hydrophilic material (58) positioned between the base and bioactive material layers of the balloon.
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公开(公告)号:US20190351197A9
公开(公告)日:2019-11-21
申请号:US15810721
申请日:2017-11-13
Applicant: Cook Medical Technologies LLC
Inventor: Brian L. Bates , Anthony O. Ragheb , Joseph M. Stewart, IV , William J. Bourdeau , Brian D. Choules , James D. Purdy , Neal E. Fearnot
Abstract: A coated medical device (10) including a structure (12) adapted for introduction into a passage or vessel of a patient. The structure is formed of preferably a non-porous base material (14) having a bioactive material layer (18) disposed thereon. The medical device is preferably an implantable stent or balloon (26) of which the bioactive material layer is deposited thereon. The stent can be positioned around the balloon and another layer of the bioactive material posited over the entire structure and extending beyond the ends of the positioned stent. The ends of the balloon extend beyond the ends of the stent and include the bioactive material thereon for delivering the bioactive material to the cells of a vessel wall coming in contact therewith. The balloon further includes a layer of hydrophilic material (58) positioned between the base and bioactive material layers of the balloon.
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公开(公告)号:US10441256B2
公开(公告)日:2019-10-15
申请号:US15062749
申请日:2016-03-07
Applicant: Cook Medical Technologies LLC , Cook Biotech Incorporated
Inventor: Ram H. Paul, Jr. , Cleon Stanley , Brian L. Bates , F. Joseph Obermiller , Thomas A. Osborne , Sean D. Chambers
Abstract: Among other things, there are disclosed apparatuses and methods for medically sealing an opening in a vessel or wall. For example, in medical applications, a delivery tube is provided for insertion through a sheath into a vessel (e.g. a blood vessel). A dome-shaped seal fixed to a filament, an absorbent and/or compressible buffer, and a locking member are provided in the delivery tube. The delivery tube is configured so that it can be inserted into the vessel through a sheath. Tension is maintained on the filament to hold the seal against the tube or sheath. The sheath is pulled out, which pulls out the tube at the same time, leaving the seal over the opening in the vessel wall. The locking member compresses the buffer against the outside of the vessel and with the filament holds the seal in place against the inside of a vessel.
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公开(公告)号:US09814865B2
公开(公告)日:2017-11-14
申请号:US14193312
申请日:2014-02-28
Applicant: Cook Medical Technologies LLC
Inventor: Brian L. Bates , Anthony O. Ragheb , Joseph M. Stewart, IV , William J. Bourdeau , Brian D. Choules , James D. Purdy , Neal E. Fearnot
IPC: A61M25/10 , B05D3/02 , A61M31/00 , A61F2/82 , A61L27/54 , A61L29/16 , A61L31/16 , A61F2/844 , A61F2/958 , A61L29/08
CPC classification number: A61M25/10 , A61F2/82 , A61F2/844 , A61F2/86 , A61F2/958 , A61F2210/0014 , A61F2210/0076 , A61F2240/001 , A61F2250/0025 , A61F2250/0026 , A61F2250/0067 , A61F2250/0081 , A61F2250/0098 , A61F2310/00011 , A61L27/54 , A61L29/08 , A61L29/085 , A61L29/16 , A61L29/18 , A61L31/14 , A61L31/16 , A61L2300/416 , A61L2300/606 , A61L2400/18 , A61L2420/02 , A61L2420/06 , A61M25/1029 , A61M25/104 , A61M2025/1031 , A61M2025/105 , A61M2250/00
Abstract: A coated medical device (10) including a structure (12) adapted for introduction into a passage or vessel of a patient. The structure is formed of preferably a non-porous base material (14) having a bioactive material layer (18) disposed thereon. The medical device is preferably an implantable stent or balloon (26) of which the bioactive material layer is deposited thereon. The stent can be positioned around the balloon and another layer of the bioactive material posited over the entire structure and extending beyond the ends of the positioned stent. The ends of the balloon extend beyond the ends of the stent and include the bioactive material thereon for delivering the bioactive material to the cells of a vessel wall coming in contact therewith. The balloon further includes a layer of hydrophilic material (58) positioned between the base and bioactive material layers of the balloon.
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