-
公开(公告)号:US20230355389A1
公开(公告)日:2023-11-09
申请号:US18354566
申请日:2023-07-18
IPC分类号: A61F2/24
CPC分类号: A61F2/2436 , A61F2002/9623
摘要: An expandable sheath including an elongated inner member defining a central lumen extending therethrough. The inner member includes a first circumferential portion including a first and second longitudinal edges, and a second circumferential portion extending between the first and second longitudinal edges. The wall thickness of the first circumferential portion is greater than the wall thickness of the second circumferential portion. The elongated inner member is configured to transition from an unexpanded configuration to an expanded configuration in response to a radially outward force on an inner surface of the central lumen. In the unexpanded configuration, the elongated inner member is creased proximate the first and second longitudinal edges into a folded configuration such that the second circumferential portion is positioned at least partially radially inward of the first circumferential portion.
-
公开(公告)号:US10537431B2
公开(公告)日:2020-01-21
申请号:US16149947
申请日:2018-10-02
发明人: Pu Zhou , Yong Gao , Erik Bulman , Baigui Bian , Yidong M. Zhu , David D. Williams , Timothy A. Geiser , Michael G. Valdez , Sonny Tran , Richard D. White , Thanh Huy Le , Tung T. Le , Alpana K. Gowdar
摘要: An expandable introducer sheath for passage of implant delivery catheters, such as catheters for delivery of prosthetic heart valves. The expandable sheath balances the amounts, shapes and positions of various stiff and elastic structures in the sheath to selectively program the expandability and buckling stiffness of the sheath. The expandable sheath can include, for example, an expandable tubular layer that includes alternating stiff and elastic wall portions of a single radial thickness. The combination of stiff and elastic wall portions allow for torque and push strength to advance the expandable sheath while at the same time accommodating temporary expansion. The expandable sheath can also be reinforced with a tubular layer of braided fibers or a stent structure for additional strength. Other embodiments include selective use of slots or gaps at the distal end of a stiff wall portion to enhance expandability and distribute strain.
-
公开(公告)号:US20190030299A1
公开(公告)日:2019-01-31
申请号:US16149697
申请日:2018-10-02
发明人: Pu Zhou , Erik Bulman , Timothy A. Geiser , Michael G. Valdez , Yidong M. Zhu , Baigui Bian , Sonny Tran , Richard D. White , Thanh Huy Le , Tung T. Le , Alpana K. Gowdar , Yong Gao , David D. Williams
摘要: A delivery sheath includes an outer tubular layer and an initially folded inner tubular layer. When an implant passes therethrough, the outer tubular layer expands and the inner tubular layer unfolds into an expanded lumen diameter. The sheath may also include selectively placed longitudinal support rods that mediate friction between the inner and outer tubular layers to facilitate easy expansion, thereby reducing the push force needed to advance the implant through the sheath's lumen.
-
公开(公告)号:US20190030296A1
公开(公告)日:2019-01-31
申请号:US16149650
申请日:2018-10-02
发明人: Pu Zhou , Erik Bulman , Timothy A. Geiser , Michael G. Valdez , Yidong M. Zhu , Baigui Bian , Sonny Tran , Richard D. White , Thanh Huy Le , Tung T. Le , Alpana K. Gowdar , Yong Gao , David D. Williams
CPC分类号: A61M25/0662 , A61F2/2433 , A61F2/958 , A61F2002/011 , A61M25/0023 , A61M2025/0024
摘要: A delivery sheath includes an outer tubular layer and an initially folded inner tubular layer. When an implant passes therethrough, the outer tubular layer expands and the inner tubular layer unfolds into an expanded lumen diameter. The sheath may also include selectively placed longitudinal support rods that mediate friction between the inner and outer tubular layers to facilitate easy expansion, thereby reducing the push force needed to advance the implant through the sheath's lumen.
-
公开(公告)号:US11931259B2
公开(公告)日:2024-03-19
申请号:US16865656
申请日:2020-05-04
发明人: Thanh Huy Le , Tung T. Le , Sovanpheap Mak , Alpana Kiran Gowdar , Richard D. White , Sonny Tran
CPC分类号: A61F2/2436 , A61M25/0009 , B29C65/00 , B29D23/00 , A61F2250/0003 , A61F2250/0098 , A61M39/06 , A61M2039/0626
摘要: Disclosed herein are expandable introducer sheaths and methods of making and using the same. The sheaths minimize trauma to a patient's vasculature by allowing for temporary expansion of a portion of the sheath to accommodate passage of a delivery system for an implant, then return to a non-expanded state after the passage of the device. The sheath includes a foldable inner member having a detached flap structure at its distal tip that facilitates expansion of the sheath lumen to increased diameters, and an elastomeric distal end that reduces push and retrieval forces therethrough. The sheath can include a hemostasis seal on its proximal end to prevent the leakage of blood out of the sheath and prevent ballooning of outer layer of the sheath.
-
公开(公告)号:US20230301783A1
公开(公告)日:2023-09-28
申请号:US18206013
申请日:2023-06-05
发明人: Kevin D. Rupp , Tung T. Le , Thanh Huy Le , Brian C. Gray , Alejandro J. Froimovich Rosenberg , Jeff Lindstrom , Kim D. Nguyen , Sonny Tran
IPC分类号: A61F2/24
CPC分类号: A61F2/2433 , A61F2/2418 , A61M25/0136
摘要: A delivery apparatus for implanting a radially compressible and expandable prosthetic heart valve in a native heart valve of the heart includes a handle portion and a balloon catheter assembly comprising an elongated balloon catheter shaft extending from the handle portion. The balloon catheter shaft includes a proximal end portion coupled to the handle portion and a distal end portion. The balloon catheter assembly further includes a balloon coupled to the distal end portion and configured to mount a prosthetic heart valve in a radially compressed state. A protective cover encapsulates the balloon, the cover defining a cavity shaped to accommodate the balloon.
-
公开(公告)号:US20230056245A1
公开(公告)日:2023-02-23
申请号:US17981395
申请日:2022-11-05
发明人: Maxwell Harrison Fine , Ilan Tamir , Jeong Soo Lee , Sonny Tran , Leah Paige Gaffney , Erik Bulman , Nasser William Saleh
IPC分类号: A61F2/24
摘要: Examples of an expandable sheath can be used in conjunction with a catheter assembly to introduce a prosthetic device, such as a heart valve, into a patient. Such examples can minimize trauma to the vessel by allowing for temporary expansion of a portion of the introducer sheath to accommodate the delivery apparatus, followed by a return to the original diameter once the prosthetic device passes through. Some examples can include a sheath with inner and outer layers, where a folded portion of the inner layer extends through a slit in the outer layer and a portion of the outer layer overlaps the folded portion of the inner layer. Some examples include an elastic outer cover positioned outside the outer layer. Examples of the present expandable sheath can avoid the need for multiple insertions for the dilation of the vessel, thus offering advantages over prior art introducer sheaths.
-
公开(公告)号:US20220000618A1
公开(公告)日:2022-01-06
申请号:US17479225
申请日:2021-09-20
发明人: Brian C. Gray , Tung T. Le , Andrew Oien , Sonny Tran , Thanh Huy Le , Robert Bowes , Maria L. Saravia , Uy D. Trinh , Hamid Rafi , Alejandro J. Froimovich Rosenberg
IPC分类号: A61F2/24
摘要: Disclosed embodiments of introducer devices provide hemostatic sealing and allow a delivery catheter to be inserted through the introducer seals without the use of a separate loader device that covers a medical device that is mounted on the catheter. Some disclosed introducers comprise a housing, a distal sheath extending distally from the housing and adapted to be inserted into a patient's vasculature, a distal hemostatic seal mounted within the housing and a proximal hemostatic seal mounted within the housing, and a slidable tube positioned within the housing that is movable longitudinally relative to the distal hemostatic seal between a proximal position and a distal position, wherein in the proximal position a distal end of the tube is positioned proximal to the distal hemostatic seal with the distal hemostatic seal closed, and wherein in the distal position the distal end of the tube extends through the distal hemostatic seal.
-
公开(公告)号:US20200261227A1
公开(公告)日:2020-08-20
申请号:US16865656
申请日:2020-05-04
发明人: Thanh Huy Le , Tung T. Le , Sovanpheap Mak , Alpana Kiran Gowdar , Richard D. White , Sonny Tran
IPC分类号: A61F2/24
摘要: Disclosed herein are expandable introducer sheaths and methods of making and using the same. The sheaths minimize trauma to a patient's vasculature by allowing for temporary expansion of a portion of the sheath to accommodate passage of a delivery system for an implant, then return to a non-expanded state after the passage of the device. The sheath includes a foldable inner member having a detached flap structure at its distal tip that facilitates expansion of the sheath lumen to increased diameters, and an elastomeric distal end that reduces push and retrieval forces therethrough. The sheath can include a hemostasis seal on its proximal end to prevent the leakage of blood out of the sheath and prevent ballooning of outer layer of the sheath.
-
公开(公告)号:US10391281B2
公开(公告)日:2019-08-27
申请号:US16149671
申请日:2018-10-02
发明人: Pu Zhou , Erik Bulman , Timothy A. Geiser , Michael G. Valdez , Yidong M. Zhu , Baigui Bian , Sonny Tran , Richard D. White , Thanh Huy Le , Tung T. Le , Alpana K. Gowdar , Yong Gao , David D. Williams
摘要: A delivery sheath includes an outer tubular layer and an initially folded inner tubular layer. When an implant passes therethrough, the outer tubular layer expands and the inner tubular layer unfolds into an expanded lumen diameter. The sheath may also include selectively placed longitudinal support rods that mediate friction between the inner and outer tubular layers to facilitate easy expansion, thereby reducing the push force needed to advance the implant through the sheath's lumen.
-
-
-
-
-
-
-
-
-