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公开(公告)号：US09198668B2
公开(公告)日：2015-12-01
申请号：US13198521
申请日：2011-08-04
CPC分类号： A61B17/12031 , A61B17/12113 , A61B17/12172 , A61B2017/00867
摘要： The present invention provides a closure device for blocking blood flow into an aneurysm. The closure device includes a frame for positioning the closure device in the aneurysm and a cover supported by the frame to block blood flow through the frame into the aneurysm. The present invention also provides a method of blocking blood flow into an aneurysm using the closure device of the present invention.
摘要翻译： 本发明提供一种用于阻断血液流入动脉瘤的闭合装置。 闭合装置包括用于将闭合装置定位在动脉瘤中的框架和由框架支撑以阻止通过框架进入动脉瘤的血液的盖子。 本发明还提供了使用本发明的闭合装置阻断血液流入动脉瘤的方法。
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公开(公告)号：US20110054379A1
公开(公告)日：2011-03-03
申请号：US12551030
申请日：2009-08-31
申请人： Michael W. Hardert , Michael R. Kurrus , Amy Lee Hruska , Tyson L. Rugenstein , Elizabeth A. Theobald
发明人： Michael W. Hardert , Michael R. Kurrus , Amy Lee Hruska , Tyson L. Rugenstein , Elizabeth A. Theobald
IPC分类号： A61M1/34
CPC分类号： A61M25/0068 , A61M25/0075 , A61M2025/0019 , A61M2025/0031 , A61M2025/0037 , A61M2025/004
摘要： The present disclosure provides apparatus and methods for removing thrombus outside of a hemodialysis. The hemodialysis catheter comprises an elongate shaft comprising a plurality of lumens. A first lumen has a first distal port. The first lumen is configured for the flow of a fluid in a first direction. A second lumen has a second distal port proximal to the first distal port. The second lumen is configured for the flow of the fluid in a second direction opposite to the first direction. A third lumen has a third distal port proximal to the second distal port. An elongate device is disposed through the third lumen. The elongate device has an operable member on a distal end or a device to connect to an operable member disposed on the elongate shaft. The operable member is configured to engage and remove thrombus from an exterior surface on the elongate shaft.
摘要翻译： 本公开提供了用于去除血液透析以外的血栓的装置和方法。 血液透析导管包括包括多个腔的细长轴。 第一管腔具有第一远端口。 第一管腔构造成用于沿第一方向流动流体。 第二管腔具有靠近第一远端口的第二远端口。 第二管腔构造成用于在与第一方向相反的第二方向上流动流体。 第三管腔具有靠近第二远端口的第三远端端口。 细长装置设置穿过第三腔。 细长装置具有在远端上的可操作构件或连接到设置在细长轴上的可操作构件的装置。 可操作构件构造成从细长轴上的外表面接合和去除血栓。
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公开(公告)号：US20130041286A1
公开(公告)日：2013-02-14
申请号：US13650279
申请日：2012-10-12
IPC分类号： A61B10/02
CPC分类号： A61B10/0266 , A61B2010/0225
摘要： There is shown and described embodiments of a biopsy needle that is simpler to make and use than existing devices. An inner and outer cannula are provided, with the outer cannula having a superelastic finger that lies along the length of the inner cannula in a retracted position and partially covers the lumen of the inner cannula in an extended position. The finger is pointed and in the form of a triangle in a particular embodiment, and does not extend beyond the outer extent of the inner cannula in the extended position.
摘要翻译： 示出并描述了比现有装置更容易制造和使用的活检针的实施例。 提供内套管和外插管，其中外套管具有超弹性手指，其在内套管的长度处处于缩回位置，并且在延伸位置部分地覆盖内插管的内腔。 在特定实施例中，手指是尖的并且是三角形的形式，并且在延伸位置不延伸超出内套管的外部范围。
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公开(公告)号：US09724104B2
公开(公告)日：2017-08-08
申请号：US14241921
申请日：2012-08-30
IPC分类号： A61B17/12 , A61B17/128 , A61B17/122 , A61B17/00
CPC分类号： A61B17/128 , A61B17/12022 , A61B17/12113 , A61B17/12145 , A61B17/1215 , A61B17/122 , A61B2017/00584 , A61B2017/00606 , A61B2017/00615 , A61B2017/12054
摘要： An aneurysm closure clip along with a system and method for use by a physician in delivering the closure clip into the vasculature of a patient is disclosed. The closure clip delivery system comprises a delivery tube in the form of a catheter, a guide wire, and a detachable closure clip. The closure clip includes a proximal side and a distal side. The distal side comprises at least two winged elements that interact with the wall of the body vessel to hold the clip in place after delivery. The proximal side includes a seal element and a guide bar. The guide bar is in communication with the guide wire during delivery. The seal element forms a barrier between the aneurysm and the rest of the body vessel, thereby, reducing any pressure exerted on the aneurysm. The seal element and optionally the winged elements include a material layer comprised of bioremodelable material, such as an extracellular matrix material (ECM).
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公开(公告)号：US20130123620A1
公开(公告)日：2013-05-16
申请号：US13297447
申请日：2011-11-16
CPC分类号： A61B17/3478 , A61B2017/00247 , A61B2017/00323 , A61B2090/064
摘要： A method of puncturing an interatrial septum between a right atrium and a left atrium may include introducing a distal end of a catheter endoluminally into the right atrium. The method also may include introducing a distal end of a cannula into the right atrium. The cannula may include a proximal first segment and a distal second segment. The distal second segment may be deflectable away from a linear configuration relative to the proximal first segment. A needle tip may be provided at a distal end of the distal second segment. At least a portion of the cannula may be received within a lumen of the catheter. The method also may include deflecting the distal second segment in the right atrium to a deflected configuration by actuating a mechanism at a proximal end of the cannula to align the needle tip with a target point on the interatrial septum.
摘要翻译： 在右心房和左心房之间刺穿房间隔的方法可包括将导管的远端导入右心房。 该方法还可以包括将插管的远端引入右心房。 套管可以包括近端第一段和远端第二段。 远端第二段可以偏离相对于近端第一段的线性构型。 针尖可以设置在远端第二段的远端。 插管的至少一部分可以被容纳在导管的内腔内。 该方法还可以包括通过致动在套管的近端处的机构使针尖与房间隔间上的目标点对准来将右心房中的远端第二区段偏转到偏转构造。
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公开(公告)号：US08956391B2
公开(公告)日：2015-02-17
申请号：US12909371
申请日：2010-10-21
CPC分类号： A61B17/0401 , A61B17/0218 , A61B17/0487 , A61B2017/0414 , A61B2017/0417 , A61B2017/042 , A61B2017/0424 , A61B2017/0445 , A61B2017/0446 , A61B2017/0448 , A61B2017/045 , A61B2017/0458 , A61B2017/0461 , A61B2017/0496
摘要： Among other things, embodiments of a retaining mechanism for holding a portion of the suture of a suture anchor are disclosed. When a suture anchor is inserted into a patient, the portion of the suture extending from the body is held in tension by a two-piece snap-fit mechanism. One piece has a base with an extending shaft portion and a bulbous head, and a lumen runs through the shaft. The second piece has a hole or space for snapping the second piece onto the first piece. The extending portion of the suture runs through the lumen in the first piece and can be wrapped around the shaft. Snapping the second piece onto the first contains the suture and prevents loss of tension in it.
摘要翻译： 其中，公开了用于保持缝合线锚的缝合线的一部分的保持机构的实施例。 当将缝合线锚固件插入患者体内时，从主体延伸的缝合部分通过两件式卡扣配合机构保持张紧。 一件具有带有延伸的轴部分和球根头部的基部，并且内腔贯穿轴。 第二件具有用于将第二件卡在第一件上的孔或空间。 缝合线的延伸部分穿过第一件中的内腔，并且可以缠绕在轴上。 将第二块卡在第一块上时，可以缝合缝线并防止其中的张力下降。
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公开(公告)号：US20140207155A1
公开(公告)日：2014-07-24
申请号：US14241921
申请日：2012-08-30
IPC分类号： A61B17/12 , A61B17/122 , A61B17/128
CPC分类号： A61B17/128 , A61B17/12022 , A61B17/12113 , A61B17/12145 , A61B17/1215 , A61B17/122 , A61B2017/00584 , A61B2017/00606 , A61B2017/00615 , A61B2017/12054
摘要： An aneurysm closure clip along with a system and method for use by a physician in delivering the closure clip into the vasculature of a patient is disclosed. The closure clip delivery system comprises a delivery tube in the form of a catheter, a guide wire, and a detachable closure clip. The closure clip includes a proximal side and a distal side. The distal side comprises at least two winged elements that interact with the wall of the body vessel to hold the clip in place after delivery. The proximal side includes a seal element and a guide bar. The guide bar is in communication with the guide wire during delivery. The seal element forms a barrier between the aneurysm and the rest of the body vessel, thereby, reducing any pressure exerted on the aneurysm. The seal element and optionally the winged elements include a material layer comprised of bioremodelable material, such as an extracellular matrix material (ECM).
摘要翻译： 公开了一种动脉瘤闭合夹以及由医生将闭合夹递送到患者脉管系统中的系统和方法。 闭合夹子递送系统包括导管形式的输送管，导丝和可拆卸闭合夹。 闭合夹包括近侧和远侧。 远侧包括至少两个与身体容器的壁相互作用的翼形元件，以在输送后将夹子保持在适当的位置。 近侧包括密封元件和引导杆。 导杆在运输过程中与导丝线连通。 密封元件在动脉瘤和身体血管的其余部分之间形成屏障，从而减少施加在动脉瘤上的压力。 密封元件和任选的翼状元件包括由生物可重塑材料（例如细胞外基质材料（ECM））组成的材料层。
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公开(公告)号：US08831707B2
公开(公告)日：2014-09-09
申请号：US13297447
申请日：2011-11-16
IPC分类号： A61M25/00
CPC分类号： A61B17/3478 , A61B2017/00247 , A61B2017/00323 , A61B2090/064
摘要： A method of puncturing an interatrial septum between a right atrium and a left atrium may include introducing a distal end of a catheter endoluminally into the right atrium. The method also may include introducing a distal end of a cannula into the right atrium. The cannula may include a proximal first segment and a distal second segment. The distal second segment may be deflectable away from a linear configuration relative to the proximal first segment. A needle tip may be provided at a distal end of the distal second segment. At least a portion of the cannula may be received within a lumen of the catheter. The method also may include deflecting the distal second segment in the right atrium to a deflected configuration by actuating a mechanism at a proximal end of the cannula to align the needle tip with a target point on the interatrial septum.
摘要翻译： 在右心房和左心房之间刺穿房间隔的方法可包括将导管的远端导入右心房。 该方法还可以包括将插管的远端引入右心房。 套管可以包括近端第一段和远端第二段。 远端第二段可以偏离相对于近端第一段的线性构型。 针尖可以设置在远端第二段的远端。 插管的至少一部分可以被容纳在导管的内腔内。 该方法还可以包括通过致动在套管的近端处的机构使针尖与房间隔间上的目标点对准来将右心房中的远端第二区段偏转到偏转构造。
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公开(公告)号：US20120290072A1
公开(公告)日：2012-11-15
申请号：US13106560
申请日：2011-05-12
IPC分类号： A61F2/82
CPC分类号： A61F2/064 , A61F2/06 , A61F2/07 , A61F2/82 , A61F2002/826 , A61F2002/828
摘要： A prosthesis system for repair of a transected body vessel is provided. The system can include first and second prostheses each including a tubular graft body and a support structure. Each prosthesis can be expandable between a compressed and an expanded configuration. In the expanded configuration, outer surfaces of the first and second prostheses can engage walls of the body vessel. The system can include a sleeve member formable into a tubular body. The first and second prostheses can be coupled to one another at a joint to form a coupled prosthesis. The sleeve member can receive the coupled prosthesis and cover the joint to inhibit leakage therefrom. The prosthesis system can connect first and second portions of the body vessel to permit blood flow therethrough. The sleeve member can be discrete to the coupled prosthesis or can have one end fixedly attached to the coupled prosthesis.
摘要翻译： 提供了一种用于修补横断身体血管的假体系统。 该系统可以包括第一和第二假体，每个假体包括管状移植体和支撑结构。 每个假体可以在压缩和扩张配置之间扩展。 在扩展构造中，第一和第二假体的外表面可以接合身体容器的壁。 该系统可以包括可成形为管状体的套筒构件。 第一和第二假体可以在关节处彼此联接以形成联接假体。 套筒构件可以接收联接的假体并覆盖接头以防止其泄漏。 假体系统可以连接身体血管的第一和第二部分以允许血液流过其中。 套筒构件可以离散到联接的假体，或者可以具有固定地附接到联接假体的一端。
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公开(公告)号：US08246568B2
公开(公告)日：2012-08-21
申请号：US12551030
申请日：2009-08-31
申请人： Michael W. Hardert , Michael R. Kurrus , Amy Lee Hruska , Tyson L. Rugenstein , Elizabeth A. Theobald
发明人： Michael W. Hardert , Michael R. Kurrus , Amy Lee Hruska , Tyson L. Rugenstein , Elizabeth A. Theobald
CPC分类号： A61M25/0068 , A61M25/0075 , A61M2025/0019 , A61M2025/0031 , A61M2025/0037 , A61M2025/004
摘要： The present disclosure provides apparatus and methods for removing thrombus outside of a hemodialysis. The hemodialysis catheter comprises an elongate shaft comprising a plurality of lumens. A first lumen has a first distal port. The first lumen is configured for the flow of a fluid in a first direction. A second lumen has a second distal port proximal to the first distal port. The second lumen is configured for the flow of the fluid in a second direction opposite to the first direction. A third lumen has a third distal port proximal to the second distal port. An elongate device is disposed through the third lumen. The elongate device has an operable member on a distal end or a device to connect to an operable member disposed on the elongate shaft. The operable member is configured to engage and remove thrombus from an exterior surface on the elongate shaft.
摘要翻译： 本公开提供了用于去除血液透析以外的血栓的装置和方法。 血液透析导管包括包括多个腔的细长轴。 第一管腔具有第一远端口。 第一管腔构造成用于沿第一方向流动流体。 第二管腔具有靠近第一远端口的第二远端口。 第二管腔构造成用于在与第一方向相反的第二方向上流动流体。 第三管腔具有靠近第二远端口的第三远端端口。 细长装置设置穿过第三腔。 细长装置具有在远端上的可操作构件或连接到设置在细长轴上的可操作构件的装置。 可操作构件构造成从细长轴上的外表面接合和去除血栓。
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