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公开(公告)号：US06299628B1
公开(公告)日：2001-10-09
申请号：US07931695
申请日：1992-08-18
IPC分类号： A61M2510
CPC分类号： A61M25/0105 , A61M25/0169 , A61M2025/0098
摘要： An apparatus and method for exchanging a first intravascular catheter of the over-the-wire type, such as an angioplasty balloon dilation catheter, with a second intravascular catheter of the over-the-wire type while leaving a guide wire in position in a desired vascular site. The apparatus is used in conjunction with a conventional guide catheter, a guide wire, and an interventional catheter that can be positioned intravascularly through a lumen of the guide catheter over the guide wire and past a distal end of the guide catheter to a desired vascular site. The apparatus includes an elongate shaft that can be removably positioned in the lumen of the guide catheter and has an actuation capability therein. A trapping member is located at a distal portion of the elongate shaft for releasably fixing the relative position of the guide wire with respect to the guide catheter. The fixing and releasing of the trapping member is effected by the actuation capability from outside the body of the patient so that a first interventional catheter can be exchanged for a second interventional catheter by trapping the guide wire position relative to the guide catheter while withdrawing the first interventional device and replacing it with another.
摘要翻译： 一种用于与线上类型的第二血管内导管（例如血管成形术球囊扩张导管）交换诸如血管成形术球囊扩张导管的第一血管内导管的装置和方法，同时将引导线留在期望的位置 血管部位。 该装置与传统的导向导管，导丝和介入导管一起使用，其可以通过引导导管的导管血管内定位并且经过引导导管的远端定位到期望的血管部位 。 该装置包括细长轴，其可移除地定位在引导导管的内腔中并且在其中具有致动能力。 捕获构件位于细长轴的远侧部分，用于可释放地固定导丝相对于导向导管的相对位置。 捕获构件的固定和释放通过来自患者体外的致动能力来实现，使得可以通过相对于引导导管捕获引导线位置而将第一介入导管更换为第二介入导管，同时撤回第一介入导管 介入装置，并用另一种装置代替。
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公开(公告)号：US5843051A
公开(公告)日：1998-12-01
申请号：US602920
申请日：1996-03-21
申请人： Daniel O. Adams , Scott P. Thome
发明人： Daniel O. Adams , Scott P. Thome
CPC分类号： A61M25/0102 , A61M25/0172 , A61M2025/0004 , A61M2025/0047 , A61M25/104
摘要： An intravascular device having an elongated flexible tube sized for insertion into a coronary vessel beyond a distal end of a guide catheter. In use, the flexible tube has its proximal end within a guide catheter and has its distal end extending to a treatment site in a coronary artery. The device also including a push rod attached to a proximal end of the flexible tube to facilitate placement of the flexible tube within the coronary artery requiring treatment. In certain applications, the intravascular device is used as a drug (or other fluid) delivery device or as an aspiration device. In other applications, the intravascular device is used as a guiding means for placement of an angioplasty device, such as a guide wire or a balloon catheter. Additionally, an attachment tube may be provided which is designed to couple with a proximal end of the flexible tube to provide a continuous conduit for aspiration or fluid delivery to a treatment site in a coronary artery.
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公开(公告)号：US5527292A
公开(公告)日：1996-06-18
申请号：US303590
申请日：1994-09-09
申请人： Daniel O. Adams , Scott P. Thome
发明人： Daniel O. Adams , Scott P. Thome
CPC分类号： A61M25/0102 , A61M25/0172 , A61M2025/0004 , A61M2025/0047 , A61M25/104
摘要： An intravascular device having an elongated flexible tube sized for insertion into a coronary vessel beyond a distal end of a guide catheter. In use, the flexible tube has its proximal end within a guide catheter and has its distal end extending to a treatment site in a coronary artery. The device also including a push rod attached to a proximal end of the flexible tube to facilitate placement of the flexible tube within the coronary artery requiring treatment. In certain applications, the intravascular device is used as a drug (or other fluid) delivery device or as an aspiration device. In other applications, the intravascular device is used as a guiding means for placement of an angioplasty device, such as a guide wire or a balloon catheter. Additionally, an attachment tube may be provided which is designed to couple with a proximal end of the flexible tube to provide a continuous conduit for aspiration or fluid delivery to a treatment site in a coronary artery.
摘要翻译： 一种具有细长柔性管的血管内装置，其尺寸适于插入超过引导导管的远端的冠状血管。 在使用中，柔性管的近端具有导引导管，其远端延伸到冠状动脉的治疗部位。 该装置还包括附接到柔性管的近端的推杆，以便于将柔性管置于需要治疗的冠状动脉内。 在某些应用中，血管内装置用作药物（或其他流体）递送装置或用作抽吸装置。 在其他应用中，血管内装置用作用于放置血管成形术装置（例如导丝或气囊导管）的引导装置。 另外，可以设置附接管，其设计成与柔性管的近端连接以提供用于抽吸或液体输送到冠状动脉的治疗部位的连续导管。
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公开(公告)号：US20120053615A1
公开(公告)日：2012-03-01
申请号：US13223774
申请日：2011-09-01
IPC分类号： A61B17/22
CPC分类号： A61F2/013 , A61F2002/011 , A61F2002/018 , A61F2230/0008 , A61F2230/008
摘要： Catheters, assemblies, and methods for delivering and recovering embolic protection devices. Catheters are provided that can be advanced over single length guide wires and which can be retracted over single length wire shafts of distal embolic protection devices. One catheter is a two-port catheter having two sidewall ports, a distal end port, and a proximal end port. The two-port catheter can be advanced over a guide wire threaded between the distal end port and the distal sidewall port. An embolic protection device wire shaft can be back loaded into the distal end port and out the proximal sidewall port. A three-port catheter includes a distal end port, and distal, intermediate, and proximal sidewall ports.
摘要翻译： 用于输送和恢复栓塞保护装置的导管，组件和方法。 提供导管，其可以在单长导丝上前进，并且可以在远端栓塞保护装置的单长丝线轴上缩回。 一个导管是具有两个侧壁端口，远端端口和近端端口的双端口导管。 双端口导管可以在远端端口和远端侧壁端口之间的引导线上前进。 栓塞保护装置线轴可以被背负载到远端端口中并且从近端侧壁端口出来。 三端口导管包括远端端口以及远端，中间和近端侧壁端口。
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公开(公告)号：US20110283871A1
公开(公告)日：2011-11-24
申请号：US13197526
申请日：2011-08-03
申请人： Daniel O. Adams
发明人： Daniel O. Adams
IPC分类号： D04C1/00
CPC分类号： A61F2/90 , A61F2/06 , A61F2002/065 , A61F2220/0075 , A61F2230/001 , D04C1/06 , D04C3/48 , D10B2509/06
摘要： Branched braided stent or graft devices and processes for fabrication of the devices are disclosed in which a trunk portion and two hinge leg portions are fabricated in one piece braided from a single plurality of filaments, whereby the legs contain the full plurality of filaments and the trunk portion contains a subset of the same plurality of filaments. The fabrication process involves braiding the hinged legs on a mandrel while retaining loops of filament between the hinged leg portions for subsequent braiding of the trunk portion of the stent or graft.
摘要翻译： 公开了分支编织支架或移植装置以及用于制造装置的方法，其中主体部分和两个铰链腿部由单个多根细丝编成一体制成，由此腿部包含完整的多根细丝，躯干 部分包含相同多个细丝的子集。 制造过程包括将铰链腿编织在心轴上，同时将细丝圈保持在铰链腿部之间，以便随后编织支架或移植物的躯干部分。
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公开(公告)号：US20090082803A1
公开(公告)日：2009-03-26
申请号：US11861954
申请日：2007-09-26
申请人： Daniel O. Adams , Paul Pignato
发明人： Daniel O. Adams , Paul Pignato
IPC分类号： A61B17/03
CPC分类号： A61B17/12113 , A61B17/0057 , A61B17/12022 , A61B17/12036 , A61B17/12109 , A61B17/12172 , A61B17/12177 , A61B2017/00575 , A61B2017/00615 , A61B2017/00623 , A61B2017/00867 , A61B2017/12054 , A61B2017/12095
摘要： In some embodiments, a medical device may include one or more of the following features: (a) a metal fabric formed of braided metal strands, (b) the medical device having a collapsed configuration for delivery through a channel in a patient's body and having a generally dumbbell-shaped expanded configuration with two expanded diameter portions separated by a reduced diameter portion formed between opposed ends of the device and unsecured metal strand ends at the opposed ends, and (d) a thrombogenic agent located on the metal fabric.
摘要翻译： 在一些实施例中，医疗装置可以包括以下特征中的一个或多个：（a）由编织的金属线形成的金属织物，（b）医疗装置具有用于通过患者体内的通道递送的收缩构型， 通常哑铃形的扩张构型具有两个扩展直径部分，该两个扩展直径部分由形成在装置的相对端部之间的直径减小的部分和在相对端处的不牢固的金属股末端分开，以及（d）位于金属织物上的血栓形成剂。
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公开(公告)号：US20090005847A1
公开(公告)日：2009-01-01
申请号：US11823430
申请日：2007-06-27
申请人： Daniel O. Adams
发明人： Daniel O. Adams
IPC分类号： A61F2/06
CPC分类号： A61F2/90 , A61F2/06 , A61F2002/065 , A61F2220/0075 , A61F2230/001 , D04C1/06 , D04C3/48 , D10B2509/06
摘要： Branched braided stent or graft devices and processes for fabrication of the devices are disclosed in which a trunk portion and two hinge leg portions are fabricated in one piece braided from a single plurality of filaments, whereby the legs contain the full plurality of filaments and the trunk portion contains a subset of the same plurality of filaments. The fabrication process involves braiding the hinged legs on a mandrel while retaining loops of filament between the hinged leg portions for subsequent braiding of the trunk portion of the stent or graft.
摘要翻译： 公开了分支编织支架或移植装置以及用于制造装置的方法，其中主体部分和两个铰链腿部由单个多根细丝编成一体制成，由此腿部包含完整的多根细丝，躯干 部分包含相同多个细丝的子集。 制造过程包括将铰链腿编织在心轴上，同时将细丝圈保持在铰链腿部之间，以便随后编织支架或移植物的躯干部分。
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公开(公告)号：US07192434B2
公开(公告)日：2007-03-20
申请号：US10132562
申请日：2002-04-25
IPC分类号： A61M29/00
CPC分类号： A61F2/013 , A61B17/12022 , A61B17/12172 , A61B17/221 , A61B2017/00867 , A61B2017/22045 , A61F2002/015 , A61F2002/018 , A61F2230/0006 , A61F2230/0008 , A61F2230/0067 , A61F2230/008 , A61F2230/0093 , A61M25/0074 , A61M25/0082 , A61M25/09 , A61M2025/0079 , A61M2025/09183
摘要： An embolic protection device or system for use in a lumen of a vessel in a patient's vascular system. The device filters debris and blood clots in a body lumen and/or prevents them from moving distally from a treatment site in a vessel and causing emboli. The device may include a filter placed distally of the treatment site. The device may include an occlusive element placed either distally or proximally of the treatment site.
摘要翻译： 一种用于患者血管系统中血管内腔的栓塞保护装置或系统。 该装置过滤器体内的碎屑和血块，和/或阻止它们远离血管内的治疗部位并引起栓塞。 该装置可以包括放置在治疗部位的远侧的过滤器。 该装置可以包括放置在治疗部位的远侧或近端的闭塞元件。
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公开(公告)号：US5647847A
公开(公告)日：1997-07-15
申请号：US334831
申请日：1994-11-04
CPC分类号： A61M25/10185 , A61M25/1018 , A61M25/10188 , A61M2025/0063 , A61M2025/0098 , A61M2025/1077
摘要： A balloon catheter which has an elongate shaft with an inflatable balloon connected to its distal end and a manifold connected to its proximal end. The manifold may be fixedly or removably attached to the shaft and includes a barrel with a plunger movably disposed inside it. The manifold may be held with one hand and the plunger may be actuated with one finger or thumb on the same hand. The barrel may have an internal volume of less than 5 cc and an internal diameter of less than 0.25 inches. The catheter also has a prep port which may be connected at or near the proximal end of the catheter. The prep port facilitates prepping of the catheter system. A seal (e.g. a releasable cap or a valve) may be connected to the prep port for sealing off the prep port during use. A pressure transducer may be mounted to the catheter (e.g. on the shaft, the manifold, the prep port, or the seal) to permit measurement of the pressure within the inflation lumen and the balloon. The pressure transducer may be operably connected to a pressure display and the display may be connected to the proximal end of the catheter or may be remotely located from the catheter. Data may be transmitted to the remote display by wire or wireless transmission (e.g. infrared, radio frequency, or magnetic transmission). Alternate embodiments and methods of use are also disclosed.
摘要翻译： 一种气囊导管，其具有连接到其远端的可膨胀气囊的细长轴和连接到其近端的歧管。 歧管可以固定地或可移除地附接到轴上并且包括具有可移动地设置在其内的柱塞的筒。 歧管可以用一只手握住，并且柱塞可以用一只手指或拇指在同一只手上致动。 枪管可具有小于5cc的内部容积和小于0.25英寸的内径。 该导管还具有可在导管的近端处或其附近连接的制备端口。 准备端口有利于导管系统的准备。 可以将密封件（例如可释放盖或阀）连接到准备端口，以在使用期间密封准备端口。 压力换能器可以安装到导管（例如在轴，歧管，制备端口或密封件上），以允许测量充气腔和气囊内的压力。 压力传感器可以可操作地连接到压力显示器，并且显示器可以连接到导管的近端，或者可以远离导管定位。 数据可以通过有线或无线传输（例如红外线，射频或磁性传输）发送到远程显示器。 还公开了替代实施例和使用方法。
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公开(公告)号：US5415639A
公开(公告)日：1995-05-16
申请号：US45019
申请日：1993-04-08
CPC分类号： A61M25/104 , A61M25/0668 , A61M25/09041 , A61M2025/0008 , A61M2025/0183 , A61M2025/107 , A61M2025/1079
摘要： A sheath for facilitating a guide wire exchange is defined by an elongated tubular member having a proximal end, a distal end and a single thru lumen. The sheath also has a proximal insertion opening and a distal insertion opening in communication with the thru lumen. The sheath includes a distal guide segment for "single operator" insertion and a peelable extent for peelably removing the sheath after use. The distal guide segment is formed along a distal portion of the elongated tubular member. The sheath is inserted along a pre-inserted guide wire by inserting a proximal end of the pre-inserted guide wire through a guide lumen of the distal guide segment. The sheath is advanced distally along the pre-inserted guide wire to a desired position and thereafter the pre-inserted guide wire is withdrawn. A re-shaped guide wire or substitute guide wire is inserted through the proximal insertion opening and advanced through the thru lumen of the sheath to a treatment site. The sheath is withdrawn while peelably removing the tubular member from the inserted guide wire.
摘要翻译： 用于促进导丝交换的护套由具有近端，远端和单通道的细长管状构件限定。 护套还具有近端插入开口和与穿过腔连通的远侧插入开口。 鞘包括用于“单操作者”插入的远侧引导部分和用于在使用后可剥离地去除鞘的可剥离范围。 远侧引导段沿着细长管状构件的远端部分形成。 通过将预先插入的导丝的近端插入远侧引导段的引导内腔，沿着预先插入的导丝插入护套。 护套沿着预插入的导丝线向远侧推进到期望的位置，此后将预先插入的导丝线取出。 重新形状的导丝或替代导丝插入穿过近侧插入口并穿过鞘的通过腔进入治疗部位。 护套被取出，同时从插入的导丝上可剥离地移除管状构件。
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