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公开(公告)号：US20110230951A1
公开(公告)日：2011-09-22
申请号：US13149696
申请日：2011-05-31
申请人： Edward H. Cully , Jeffrey B. Duncan , Keith M. Flury , Paul D. Goodman , Wayne D. House , Vrad W. Levering , Philip P. Off , Daniel M. O'Shea , Michael J. Vonesh , Jason M. Wiersdorf
发明人： Edward H. Cully , Jeffrey B. Duncan , Keith M. Flury , Paul D. Goodman , Wayne D. House , Vrad W. Levering , Philip P. Off , Daniel M. O'Shea , Michael J. Vonesh , Jason M. Wiersdorf
CPC分类号： A61F2/07 , A61B17/06166 , A61B17/11 , A61B2017/1107 , A61F2/064 , A61F2/844 , A61F2/848 , A61F2/88 , A61F2/89 , A61F2/958 , A61F2/97 , A61F2002/075 , A61F2002/30713 , A61F2220/0075 , A61F2220/0091 , A61F2250/0087
摘要： A self-expanding stent-graft provided in a diametrically compacted state for implantation and retained preferably by a constraining sheath, useful for the temporary or permanent repair of injured, partially or entirely transected body conduits including blood vessels. It may be used under direct visualization to quickly stop or substantially reduce loss of blood from such damaged vessels and to quickly re-establish perfusion distal to the injury site. The device would typically be implanted under emergency room conditions but also be used in field situations by trained medical technicians. After an end of the device is inserted into a blood vessel through the injury access, deployment preferably initiates from the device end in a direction moving toward the middle of the length of the device by directionally releasing the constraining sheath. In a preferred embodiment, the two opposing ends of the device are individually deployable from the compacted, small diameter intended for insertion into a vessel, to the larger diameter at which they fit interferably into a portion of the vessel.
摘要翻译： 自扩张的支架移植物以径向压实状态提供用于植入，并且优选地由约束护套保持，其用于临时或永久性修复包括血管的受损部分或全部横断的身体导管。 它可以在直接可视化下使用，以快速停止或显着减少来自这些受损血管的血液损失，并迅速重建在损伤部位远端的灌注。 该设备通常将在急诊室条件下植入，但也由经过培训的医疗技术人员在现场使用。 在装置的一端通过伤口进入插入血管之后，展开优选地通过定向释放约束护套从朝向装置长度方向移动的方向从装置端开始。 在优选实施例中，装置的两个相对的端部可单独地从用于插入容器的压实的小直径扩展到可干燥地配合到容器的一部分中的较大的直径。
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公开(公告)号：US09381018B2
公开(公告)日：2016-07-05
申请号：US13149696
申请日：2011-05-31
申请人： Edward H. Cully , Jeffrey B. Duncan , Keith M. Flury , Paul D. Goodman , Wayne D. House , Vrad W. Levering , Philip P. Off , Daniel M. O'Shea , Michael J. Vonesh , Jason M. Wiersdorf
发明人： Edward H. Cully , Jeffrey B. Duncan , Keith M. Flury , Paul D. Goodman , Wayne D. House , Vrad W. Levering , Philip P. Off , Daniel M. O'Shea , Michael J. Vonesh , Jason M. Wiersdorf
CPC分类号： A61F2/07 , A61B17/06166 , A61B17/11 , A61B2017/1107 , A61F2/064 , A61F2/844 , A61F2/848 , A61F2/88 , A61F2/89 , A61F2/958 , A61F2/97 , A61F2002/075 , A61F2002/30713 , A61F2220/0075 , A61F2220/0091 , A61F2250/0087
摘要： A self-expanding stent-graft provided in a diametrically compacted state for implantation and retained preferably by a constraining sheath, useful for the temporary or permanent repair of injured, partially or entirely transected body conduits including blood vessels. It may be used under direct visualization to quickly stop or substantially reduce loss of blood from such damaged vessels and to quickly re-establish perfusion distal to the injury site. The device would typically be implanted under emergency room conditions but also be used in field situations by trained medical technicians. After an end of the device is inserted into a blood vessel through the injury access, deployment preferably initiates from the device end in a direction moving toward the middle of the length of the device by directionally releasing the constraining sheath. In a preferred embodiment, the two opposing ends of the device are individually deployable from the compacted, small diameter intended for insertion into a vessel, to the larger diameter at which they fit interferably into a portion of the vessel.
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公开(公告)号：US09375215B2
公开(公告)日：2016-06-28
申请号：US11624513
申请日：2007-01-18
申请人： Edward H. Cully , Jeffrey B. Duncan , Keith M. Flury , Paul D. Goodman , Wayne D. House , Vrad W. Levering , Philip P. Off , Daniel M. O'Shea , Michael J. Vonesh , Jason M. Wiersdorf
发明人： Edward H. Cully , Jeffrey B. Duncan , Keith M. Flury , Paul D. Goodman , Wayne D. House , Vrad W. Levering , Philip P. Off , Daniel M. O'Shea , Michael J. Vonesh , Jason M. Wiersdorf
CPC分类号： A61F2/07 , A61B17/06166 , A61B17/11 , A61B2017/1107 , A61F2/064 , A61F2/844 , A61F2/848 , A61F2/88 , A61F2/89 , A61F2/958 , A61F2/97 , A61F2002/075 , A61F2002/30713 , A61F2220/0075 , A61F2220/0091 , A61F2250/0087
摘要： A self-expanding stent-graft provided in a diametrically compacted state for implantation and retained preferably by a constraining sheath, useful for the temporary or permanent repair of injured, partially or entirely transected body conduits including blood vessels. It may be used under direct visualization to quickly stop or substantially reduce loss of blood from such damaged vessels and to quickly re-establish perfusion distal to the injury site. The device would typically be implanted under emergency room conditions but also be used in field situations by trained medical technicians. After an end of the device is inserted into a blood vessel through the injury access, deployment preferably initiates from the device end in a direction moving toward the middle of the length of the device by directionally releasing the constraining sheath. In a preferred embodiment, the two opposing ends of the device are individually deployable from the compacted, small diameter intended for insertion into a vessel, to the larger diameter at which they fit interferably into a portion of the vessel.
摘要翻译： 自扩张的支架移植物以径向压实状态提供用于植入，并且优选地由约束护套保持，其用于临时或永久性修复包括血管的受损部分或全部横断的身体导管。 它可以在直接可视化下使用，以快速停止或显着减少来自这些受损血管的血液损失，并迅速重建在损伤部位远端的灌注。 该设备通常将在急诊室条件下植入，但也由经过培训的医疗技术人员在现场使用。 在装置的一端通过伤口进入插入血管之后，展开优选地通过定向释放约束护套从朝向装置长度方向移动的方向从装置端开始。 在优选实施例中，装置的两个相对的端部可单独地从用于插入容器的压实的小直径扩展到可干燥地配合到容器的一部分中的较大的直径。
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公开(公告)号：US20100137928A1
公开(公告)日：2010-06-03
申请号：US12605302
申请日：2009-10-23
申请人： Jeffrey B. Duncan , Aaron J. Hopkinson , Thomas R. McDaniel , Michael J. Vonesh , Jason M. Wiersdorf
发明人： Jeffrey B. Duncan , Aaron J. Hopkinson , Thomas R. McDaniel , Michael J. Vonesh , Jason M. Wiersdorf
CPC分类号： A61N1/05 , A61N1/0563 , Y10T29/49204
摘要： A highly flexible implantable lead that offers improved flexibility, fatigue life and fatigue and abrasion resistance improved reliability, effective electrode tissue contact with a small diameter and low risk of tissue damage during extraction. In one embodiment the lead is provided with both defibrillation electrodes and pacing/sensing electrodes. For defibrillation/pacing leads, the lead diameter may be as small as six French or smaller. The construction utilizes helically wound conductors. For leads incorporating multiple separate conductors, many of the helically wound conductors are arranged in a multi-filar relationship. Preferably, each conductor is a length of wire that is uninsulated at about the middle of its length to create an electrode, wherein the conductor is folded in half at about the middle of the length to create first and second length segments that constitute parallel conductors.
摘要翻译： 高度灵活的可植入引线，提供更好的灵活性，疲劳寿命和疲劳和耐磨性，提高了可靠性，有效的电极组织接触具有小直径和低抽提时的组织损伤风险。 在一个实施例中，引线设置有除颤电极和起搏/感测电极。 对于除颤/起搏引线，引线直径可以小至六法国或更小。 该结构采用螺旋缠绕导体。 对于并入多个独立导体的引线，许多螺旋缠绕导体以多丝状关系布置。 优选地，每个导体是在其长度的大约中间部分未绝缘的导线的长度以产生电极，其中导体在大约中间的长度处折叠成一半，以形成构成平行导体的第一和第二长度段。
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公开(公告)号：US08364281B2
公开(公告)日：2013-01-29
申请号：US12605302
申请日：2009-10-23
申请人： Jeffrey B. Duncan , Aaron J. Hopkinson , Thomas R. McDaniel , Michael J. Vonesh , Jason M. Wiersdorf
发明人： Jeffrey B. Duncan , Aaron J. Hopkinson , Thomas R. McDaniel , Michael J. Vonesh , Jason M. Wiersdorf
IPC分类号： A61N1/00
CPC分类号： A61N1/05 , A61N1/0563 , Y10T29/49204
摘要： A highly flexible implantable lead that offers improved flexibility, fatigue life and fatigue and abrasion resistance improved reliability, effective electrode tissue contact with a small diameter and low risk of tissue damage during extraction. In one embodiment the lead is provided with both defibrillation electrodes and pacing/sensing electrodes. For defibrillation/pacing leads, the lead diameter may be as small as six French or smaller. The construction utilizes helically wound conductors. For leads incorporating multiple separate conductors, many of the helically wound conductors are arranged in a multi-filar relationship. Preferably, each conductor is a length of wire that is uninsulated at about the middle of its length to create an electrode, wherein the conductor is folded in half at about the middle of the length to create first and second length segments that constitute parallel conductors.
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公开(公告)号：US08996134B2
公开(公告)日：2015-03-31
申请号：US12615122
申请日：2009-11-09
申请人： Jeffrey B. Duncan , Aaron J. Hopkinson , Thomas R. McDaniel , Michael J. Vonesh , Jason M. Wiersdorf
发明人： Jeffrey B. Duncan , Aaron J. Hopkinson , Thomas R. McDaniel , Michael J. Vonesh , Jason M. Wiersdorf
CPC分类号： A61N1/0563 , A61N1/05 , Y10T29/49117
摘要： A highly flexible implantable lead that offers improved flexibility, fatigue life and fatigue and abrasion resistance improved reliability, effective electrode tissue contact with a small diameter and low risk of tissue damage during extraction. In one embodiment the lead is provided with both defibrillation electrodes and pacing/sensing electrodes. For defibrillation/pacing leads, the lead diameter may be as small as six French or smaller. The construction utilizes helically wound conductors. For leads incorporating multiple separate conductors, many of the helically wound conductors are arranged in a multi-filar relationship. Preferably, each conductor is a length of wire that is uninsulated at about the middle of its length to create an electrode, wherein the conductor is folded in half at about the middle of the length to create first and second length segments that constitute parallel conductors.
摘要翻译： 高度灵活的可植入引线，提供更好的灵活性，疲劳寿命和疲劳和耐磨性，提高了可靠性，有效的电极组织接触具有小直径和低抽提时的组织损伤风险。 在一个实施例中，引线设置有除颤电极和起搏/感测电极。 对于除颤/起搏引线，引线直径可以小至六法国或更小。 该结构采用螺旋缠绕导体。 对于并入多个独立导体的引线，许多螺旋缠绕的导体以多丝状关系布置。 优选地，每个导体是在其长度的大约中间部分未绝缘的导线的长度以产生电极，其中导体在大约中间的长度处折叠成一半，以形成构成平行导体的第一和第二长度段。
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公开(公告)号：US20130116655A1
公开(公告)日：2013-05-09
申请号：US13645414
申请日：2012-10-04
申请人： John E. Bacino , Carey V. Campbell , Edward H. Cully , Jeffrey B. Duncan , Douglas S. Paget , John M. Squeri , Benjamin M. Trapp , Michael J. Vonesh , Edward E. Shaw
发明人： John E. Bacino , Carey V. Campbell , Edward H. Cully , Jeffrey B. Duncan , Douglas S. Paget , John M. Squeri , Benjamin M. Trapp , Michael J. Vonesh , Edward E. Shaw
IPC分类号： A61M25/10 , A61B17/3207
CPC分类号： A61B17/320725 , A61M25/1002 , A61M25/10184 , A61M25/1027 , A61M25/1029 , A61M25/104 , A61M2025/1031 , A61M2025/105 , A61M2025/1059 , A61M2025/1084 , A61M2025/1086 , Y10T29/49826 , Y10T29/49888
摘要： Various embodiments provide a device comprising a balloon disposed at least partially along a template, the template including an aperture, wherein the template has a substantially cylindrical portion that resists deformation in a radial direction, wherein the balloon expands radially during inflation, wherein a portion of the balloon at least partially protrudes about the aperture. Other embodiments are directed toward balloons having textured surfaces.
摘要翻译： 各种实施例提供了一种装置，其包括至少部分地沿着模板设置的气囊，模板包括孔，其中模板具有抵抗径向变形的大致圆柱形部分，其中气囊在充气期间径向膨胀，其中一部分 气球至少部分地围绕孔突出。 其他实施例针对具有纹理表面的气球。
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公开(公告)号：US20100228262A1
公开(公告)日：2010-09-09
申请号：US12397886
申请日：2009-03-04
CPC分类号： A61N1/05 , A61N1/0587 , A61N2001/0578
摘要： The present invention is an implantable device for the atraumatic removal of chronically implanted medical devices.
摘要翻译： 本发明是一种用于无损伤去除长期植入的医疗装置的可植入装置。
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公开(公告)号：US08326437B2
公开(公告)日：2012-12-04
申请号：US12397886
申请日：2009-03-04
IPC分类号： A61N1/05
CPC分类号： A61N1/05 , A61N1/0587 , A61N2001/0578
摘要： An implantable device for the atraumatic removal of chronically implanted medical devices.
摘要翻译： 一种用于无创消除长期植入的医疗装置的可植入装置。
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公开(公告)号：US08932315B2
公开(公告)日：2015-01-13
申请号：US13273111
申请日：2011-10-13
IPC分类号： A61B17/34 , A61B17/3207 , A61B17/22 , A61B17/00 , A61M25/00
CPC分类号： A61B17/3207 , A61B17/22 , A61B2017/00309 , A61B2017/00867 , A61B2017/22042 , A61B2017/22044 , A61B2017/22077 , A61B2017/22094 , A61B2017/22095 , A61M25/0054 , A61M25/0082 , A61M25/0194 , A61M2025/018 , A61M2025/0197
摘要： The present invention provides methods and apparatuses for crossing or bypassing total or near total occlusions of vessels through the use of elongate members and specialized catheters that include a piercing catheter, a reentry catheter, a multi-lumen, reentry catheter, and combinations thereof. A piercing catheter comprises a distal tip used to pierce an occlusion in a crossing procedure and can be configured to microdissect the occlusion or provide support for an elongate member. A reentry catheter comprises a distal side port and ramp to facilitate the reentry or perforation of a vessel wall. A multi-lumen, reentry catheter comprises a tearable lumen divider and a distal side port and ramp.
摘要翻译： 本发明提供了通过使用细长构件和包括穿刺导管，再入导管，多腔再折返导管及其组合的专用导管来横穿或绕过血管的总体或近似完全闭塞的方法和装置。 穿刺导管包括用于在交叉程序中刺穿闭塞的远侧末端，并且可以被配置为显微解剖闭塞或为细长构件提供支撑。 再入式导管包括远端侧端口和斜面以便于容器壁的再入或穿孔。 多腔重入导管包括可撕开的管腔分隔器和远端侧端口和斜坡。
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