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公开(公告)号：US07753918B2
公开(公告)日：2010-07-13
申请号：US11725944
申请日：2007-03-20
申请人： David Ernest Hartley , Krasnodar Ivancev , Werner D. Ducke , Michael P. DeBruyne , Jarett Diamond , Mark R. Frye
发明人： David Ernest Hartley , Krasnodar Ivancev , Werner D. Ducke , Michael P. DeBruyne , Jarett Diamond , Mark R. Frye
IPC分类号： A61B17/08
CPC分类号： A61B17/221 , A61B2017/00867 , A61B2017/22035 , A61B2017/22038 , A61B2017/2215 , A61B2090/08021 , A61F2/95
摘要： A medical grasping device (1) has an elongate control member (9) with a grasping member (17) proximal to its distal tip. An outer sheath (3) with a passageway therethrough surrounds the elongate control member and is relatively movable with respect to the control member. A control assembly (2) disposed at a proximal end of said outer sheath has a fixed handle (5) and a sliding handle (7) and the proximal end of the elongate control member is fixed to the sliding handle to move the control member. The grasping member (17) has a plurality of pre-formed wire loops (50, 52, 54, 56) which self-deploy transversely upon emerging from said distal end of said outer sheath. Each wire loop is fastened to substantially opposite sides of the elongate control member so that each of said wire loops is substantially semi-circular upon full deployment and the respective ends (27, 29) of each wire loop extend substantially in opposite directions from the elongate control member.
摘要翻译： 医疗把持装置（1）具有细长的控制构件（9），其具有靠近其远端的抓握构件（17）。 具有穿过其的通道的外护套（3）围绕细长控制构件并且可相对于控制构件相对移动。 设置在所述外护套的近端处的控制组件（2）具有固定手柄（5）和滑动手柄（7），细长控制构件的近端固定到滑动手柄以移动控制构件。 抓握构件（17）具有多个预先形成的线环（50,52,54,56），其从所述外护套的所述远端出现时横向自动展开。 每个线环被紧固到细长控制构件的基本相对的两侧，使得每个线环在完全展开时基本上是半圆形的，并且每个导线环的相应端部（27,29）从细长的 控制成员。
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公开(公告)号：US08709061B2
公开(公告)日：2014-04-29
申请号：US13153753
申请日：2011-06-06
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2002/9583 , A61F2002/9665
摘要： A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. Indwelling access sheaths are provided within auxiliary lumens of a pusher catheter and dilators are preloaded into the access sheaths along with the indwelling guide wire. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft into the vasculature of a patient, the indwelling guide wire can be used to facilitate catheterization of a side branch or target vessel through the fenestration or be used to stabilize the access sheath during catheterization, advancement of the access sheath into the target vessel and deployment of a covered or uncovered stent therein through the access sheath.
摘要翻译： 一种预加载支架移植物输送装置和支架移植物，支架移植物输送装置。 支架移植物具有至少一个开窗或侧臂，开窗预留有留置导丝。 留置入口护套设置在推进器导管的辅助腔内，并且扩张器与留置导丝一起被预先载入进入护套。 在导丝导管的远端处的手柄组件。 手柄包括多通口歧管，其具有到推动器导管中的辅助腔的通路口。 在将支架移植物部署到患者的脉管系统中时，留置导丝可用于便于通过开窗进行侧支或靶血管的导管插入，或用于在导管插入期间稳定进入护套，使进入鞘进入 目标血管和通过通路护套在其中展开覆盖或未覆盖的支架。
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公开(公告)号：US20110307048A1
公开(公告)日：2011-12-15
申请号：US13153753
申请日：2011-06-06
IPC分类号： A61F2/84
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2002/9583 , A61F2002/9665
摘要： A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. Indwelling access sheaths are provided within auxiliary lumens of a pusher catheter and dilators are preloaded into the access sheaths along with the indwelling guide wire. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft into the vasculature of a patient, the indwelling guide wire can be used to facilitate cathertisation of a side branch or target vessel through the fenestration or be used to stabilise the access sheath during catheterisation, advancement of the access sheath into the target vessel and deployment of a covered or uncovered stent therein through the access sheath.
摘要翻译： 一种预加载支架移植物输送装置和支架移植物，支架移植物输送装置。 支架移植物具有至少一个开窗或侧臂，开窗预留有留置导丝。 留置入口护套设置在推进器导管的辅助腔内，并且扩张器与留置导丝一起被预先载入进入护套。 在导丝导管的远端处的手柄组件。 手柄包括多通口歧管，其具有到推动器导管中的辅助腔的通路口。 在将支架移植物部署到患者的脉管系统中时，留置引导线可以用于促进侧分支或靶容器通过开窗的连接，或用于在导管插入期间稳定进入护套，使进入鞘进入 目标血管和通过通路护套在其中展开覆盖或未覆盖的支架。
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公开(公告)号：US09005268B2
公开(公告)日：2015-04-14
申请号：US13635579
申请日：2011-03-18
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039
摘要： A thoracic arch stent graft (1) has a tubular body of a biocompatible graft material (3) and at least one fenestration (13, 15) in the wall on one side thereof. A combination guide and tubular side arm assembly (20, 22) is mounted into the or each fenestration. The combination guide and tubular side arm assembly comprises a tubular portion (24) and a funnel portion (26) extending from a distal end of the tubular portion. The funnel portion has an angled open end. The tubular portion and the funnel portion are formed from a biocompatible graft material wall and have a lightweight space frame (38 40) formed from a resilient wire and supporting the graft material and defining the combination guide and tubular side arm assembly.
摘要翻译： 胸弓支架移植物（1）具有生物相容性移植材料（3）的管状体和在其一侧的壁中的至少一个开窗（13,15）。 组合引导件和管状侧臂组件（20,22）安装在该开口或每个开窗中。 组合引导件和管状侧臂组件包括管状部分（24）和从管状部分的远端延伸的漏斗部分（26）。 漏斗部分具有倾斜的开口端。 管状部分和漏斗部分由生物相容的移植材料壁形成，并且具有由弹性线形成并且支撑移植材料并限定组合引导件和管状侧臂组件的轻质空间框架（38,40）。
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5.发明申请Fenestration for Stent Graft Arrangements and Stent Graft Including the Same 有权用于支架植入装置和支架移植的开窗术包括它公开(公告)号：US20120191180A1
公开(公告)日：2012-07-26
申请号：US13437347
申请日：2012-04-02
IPC分类号： A61F2/82
CPC分类号： A61F2/856 , A61F2/07 , A61F2/2412 , A61F2/89 , A61F2/90 , A61F2002/075 , A61F2220/0016 , A61F2220/0075
摘要： A fenestration (32) for a stent graft (30). The fenestration is an aperture in the biocompatible graft material and has at least one flap (38, 40) of a biocompatible graft material covering the aperture on the inside whereby the flap closes off the aperture but can be displaced to allow access through the fenestration. An array of such fenestrations may be placed on a stent graft to facilitate alignment of a branch vessel with a fenestration. A slip knot (46, 46) which can be released by forcing a dilator between the flaps can be used to hold the flaps together.
摘要翻译： 用于支架移植物的开窗（32）（30）。 开窗是生物相容性移植物材料中的孔，并且具有覆盖内侧上的孔的生物相容性移植物材料的至少一个翼片（38,40），由此翼片封闭孔口，但可移位以允许通过开窗进入。 可以将这种窗孔的阵列放置在支架移植物上以促进分支血管与开窗的对准。 可以通过在翼片之间强迫扩张器而释放的滑结（46,46）可将翼片夹在一起。
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公开(公告)号：US07846194B2
公开(公告)日：2010-12-07
申请号：US11444688
申请日：2006-06-01
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2220/005 , A61F2220/0075 , A61F2250/0039
摘要： A side branch stent graft (1) suitable for the iliac arteries has a main tubular body (3) of a biocompatible graft material and a tubular side branch (5). The tubular side branch is affixed into the main tubular body so that a side branch lumen is in fluid communication with a main lumen. There is at least one external zig-zag stent (13) on the main tubular body proximal of the tubular side branch, one central external stent (14) which also encompasses the side arm, at least one external zig-zag stent (16) on the main tubular body distal of the tubular side branch and one internal zig-zag stent (15) at the distal end of the main tubular body. A reinforcing ring (9) is around the proximal end of the main tubular body and stitched thereto.
摘要翻译： 适用于髂动脉的侧分支支架移植物（1）具有生物相容性移植材料的主管状体（3）和管状侧枝（5）。 管状侧分支固定在主管体中，使得侧支管腔与主腔流体连通。 至少一个外管形支架（13）位于管状侧分支近侧的主管体上，一个中央外支架（14）也包围侧臂，至少一个外部之字形支架（16） 在管状侧分支的远端的主管状体和位于主管体的远端的一个内部之字形支架（15）。 加强环（9）在主管体的近端周围并缝合到其上。
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公开(公告)号：US07537606B2
公开(公告)日：2009-05-26
申请号：US10818538
申请日：2004-04-05
申请人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L. G. Verhoeven
发明人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L. G. Verhoeven
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/9517 , A61F2220/0075 , A61F2250/006
摘要： A deployment system for introducing stent grafts which have a side arm or into which a side arm can be deployed. For instance the stent graft can be deployed into the thoracic arch of a patient. The deployment system including an introducer (1), an auxiliary catheter (13) disposed within the introducer and an auxiliary guide wire (14) disposed within the auxiliary catheter. The auxiliary guide wire extends to adjacent the proximal end (6) of the introducer and can be extended from the proximal end of the introducer so that it can be snared from a side branch artery (56) to assist with deployment of a side arm (23) of the stent graft into the side artery or for the deployment of a side arm stent graft into the stent graft.
摘要翻译： 用于引入具有侧臂的支架移植物的展开系统或侧臂能够展开的部署系统。 例如，支架移植物可以部署到患者的胸弓中。 所述展开系统包括导引器（1），设置在导引器内的辅助导管（13）和设置在辅助导管内的辅助导丝（14）。 辅助导丝线延伸到导引器的近端（6）附近，并且可以从引导器的近端延伸，使得其可以从侧分支动脉（56）被卷绕以辅助侧臂的展开 23）的支架移植到侧动脉或用于将侧臂支架移植物部署到支架移植物中。
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公开(公告)号：US20130013053A1
公开(公告)日：2013-01-10
申请号：US13635579
申请日：2011-03-18
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039
摘要： A thoracic arch stent graft (1) has a tubular body of a biocompatible graft material (3) and at least one fenestration (13, 15) in the wall on one side thereof. A combination guide and tubular side arm assembly (20, 22) is mounted into the or each fenestration. The combination guide and tubular side arm assembly comprises a tubular portion (24) and a funnel portion (26) extending from a distal end of the tubular portion. The funnel portion has an angled open end. The tubular portion and the funnel portion are formed from a biocompatible graft material wall and have a lightweight space frame (38 40) formed from a resilient wire and supporting the graft material and defining the combination guide and tubular side arm assembly.
摘要翻译： 胸弓支架移植物（1）具有生物相容性移植材料（3）的管状体和在其一侧的壁中的至少一个开窗（13,15）。 组合引导件和管状侧臂组件（20,22）安装在该开口或每个开窗中。 组合引导件和管状侧臂组件包括管状部分（24）和从管状部分的远端延伸的漏斗部分（26）。 漏斗部分具有倾斜的开口端。 管状部分和漏斗部分由生物相容的移植材料壁形成，并且具有由弹性线形成并且支撑移植材料并限定组合引导件和管状侧臂组件的轻质空间框架（38,40）。
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公开(公告)号：US08308791B2
公开(公告)日：2012-11-13
申请号：US11600655
申请日：2006-11-16
IPC分类号： A61F2/06
摘要： A stent graft introducer has a pusher, a nose cone, a region between the pusher and the nose cone for a stent graft, a sleeve extending over the pusher and proximally to the nose cone to cover the stent graft when retained in the region. An indwelling auxiliary catheter with a pre-curved proximal end is fitted into the introducer. The nose cone has an elongate groove and the auxiliary catheter has its proximal end in the elongate groove. In a partially retracted position of the sleeve the curved proximal end of the indwelling auxiliary catheter is exposed and uncovered by the sleeve and in an advanced position of the sleeve the curved proximal end of the indwelling auxiliary catheter is straightened, extends along the length of the groove in the nose cone and is covered by the sleeve.
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公开(公告)号：US20120197383A1
公开(公告)日：2012-08-02
申请号：US13498492
申请日：2010-10-04
申请人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
发明人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/075 , A61F2210/0014 , A61F2230/0006 , A61F2230/0008
摘要： A stent graft (1) has at least one fenestration (13) or low profile side arm (34). A guide assembly (17) surrounds the fenestration or low profile side arm. The guide assembly has a continuous wall extending laterally away from the outer surface of the stent graft. The continuous wall is substantially elliptical or circular and extends distally of the fenestration at a distal end of the wall and being coincident with a proximal part (25) of the periphery of the fenestration or low profile side arm at a proximal end of the wall (23). The wall acts to define a guide area to guide a flexible probe extended from a side branch vessel to enter the fenestration or low profile side arm. Where there are two fenestrations or low profile side arms there can be a single continuous wall (50) around both or separate walls for each. The wall may have a peripheral wire reinforcement (19).
摘要翻译： 支架移植物（1）具有至少一个开窗（13）或低轮廓侧臂（34）。 引导组件（17）围绕开窗或薄型侧臂。 引导组件具有从支架移植物的外表面横向延伸的连续壁。 连续壁基本上是椭圆形或圆形的，并且在壁的远端处的开窗的远端延伸并且与壁的近端处的开窗或低轮廓侧臂的周边的近端部分（25）重合 23）。 壁用于限定引导区域，以引导从侧分支容器延伸的柔性探针进入开窗或低轮廓侧臂。 在有两个开窗或薄型侧臂的地方，每一个围绕两个或单独的墙壁都可以有一个单一的连续墙壁（50）。 壁可以具有外围钢丝加强件（19）。
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