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公开(公告)号：US07811300B2
公开(公告)日：2010-10-12
申请号：US11662816
申请日：2005-09-16
IPC分类号： A61B17/08
CPC分类号： A61B17/12022 , A61B17/12036 , A61B17/12109 , A61B17/12172 , A61B2017/00867 , A61B2017/1205 , A61B2017/12054
摘要： Thin film devices implantable within a human subject for occlusion of an aneurysm or body vessel are provided. The devices are movable from an elongated, collapsed configuration for delivery to a deployed configuration within the body. Open slots in selected portions of the device telescope as the device moves to its deployed configuration, which causes the associated portions to longitudinally foreshorten and radially expand, while also decreasing in porosity for preventing blood flow. Closed slits in other portions of the device open as the device moves to its deployed configuration, which causes the associated portions to longitudinally foreshorten and radially expand, while remaining open for fluid flow or endothelialization. The occlusion devices may be either self-supporting or supported by a strut structure. Additionally, the occlusion devices may comprise a plurality of mesh layers having unaligned pore systems which further reduce porosity in desired portions of the deployed configuration.
摘要翻译： 提供了植入人体受试者内用于闭塞动脉瘤或体内血管的薄膜装置。 这些装置可以从细长的，折叠的构型移动，以便输送到主体内的展开构型。 当设备移动到其展开的构型时，在设备望远镜的选定部分中开放狭槽，这导致相关部分纵向缩短并且径向膨胀，同时孔隙度也降低以防止血液流动。 当装置移动到其展开构型时，装置的其它部分中的封闭狭缝打开，这导致相关部分纵向缩短并径向膨胀，同时保持打开以用于流体流动或内皮化。 闭塞装置可以是自支撑的或由支柱结构支撑。 另外，闭塞装置可以包括具有未对准孔系统的多个网眼层，其进一步降低展开构型的期望部分中的孔隙率。
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公开(公告)号：US07875044B2
公开(公告)日：2011-01-25
申请号：US11663489
申请日：2005-10-14
IPC分类号： A61B17/08
CPC分类号： A61B17/12022 , A61B17/12118 , A61B17/12172 , A61B2017/12054 , A61F2002/823
摘要： A method of occluding a defect in the wall of a body vessel is provided. An outlet portion of a microcatheter is delivered to the defect, then at least a body portion of a thin film occlusion device is radially expanded from a collapsed orientation to a deployed orientation for engaging the microcatheter and covering at least a portion of the defect. Thereafter, an embolic media is released into the defect from the microcatheter for facilitating thrombosis. The body portion of the occlusion device is substantially porous in the collapsed orientation, but substantially non-porous in the deployed orientation for preventing prolapse of the embolic media into the body vessel.
摘要翻译： 提供了一种在身体容器的壁中闭塞缺陷的方法。 微导管的出口部分被输送到缺陷，然后薄膜闭塞装置的至少主体部分从收缩方向径向扩张到展开方向，以便与微导管接合并覆盖缺陷的至少一部分。 此后，栓塞介质从微导管释放到缺陷中以便于血栓形成。 闭塞装置的主体部分在塌缩方向上基本上是多孔的，但是在展开方向上基本上是无孔的，以防止栓塞介质向身体容器脱垂。
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公开(公告)号：US08444668B2
公开(公告)日：2013-05-21
申请号：US11662847
申请日：2005-09-16
CPC分类号： A61B17/12022 , A61B17/12113 , A61B17/1214 , A61B17/12172 , A61B2017/00867
摘要： A vascular occlusion device that includes an inner embolic member at least partially covered by an expandable generally tubular mesh. The expandable tubular mesh typically comprises a unitary wall with apertures through the wall to assist in the expansion of the generally tubular mesh.
摘要翻译： 一种血管闭塞装置，其包括至少部分被可扩张的大体管状网状物覆盖的内部栓塞构件。 可膨胀的管状网通常包括具有穿过壁的孔的整体壁，以有助于大体上管状的网状物的膨胀。
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公开(公告)号：US20080195136A1
公开(公告)日：2008-08-14
申请号：US11662816
申请日：2005-09-16
IPC分类号： A61M29/02
CPC分类号： A61B17/12022 , A61B17/12036 , A61B17/12109 , A61B17/12172 , A61B2017/00867 , A61B2017/1205 , A61B2017/12054
摘要： Thin film devices implantable within a human subject for occlusion of an aneurysm or body vessel are provided. The devices are movable from an elongated, collapsed configuration for delivery to a deployed configuration within the body. Open slots in selected portions of the device telescope as the device moves to its deployed configuration, which causes the associated portions to longitudinally foreshorten and radially expand, while also decreasing in porosity for preventing blood flow. Closed slits in other portions of the device open as the device moves to its deployed configuration, which causes the associated portions to longitudinally foreshorten and radially expand, while remaining open for fluid flow or endothelialization. The occlusion devices may be either self-supporting or supported by a strut structure. Additionally, the occlusion devices may comprise a plurality of mesh layers having unaligned pore systems which further reduce porosity in desired portions of the deployed configuration.
摘要翻译： 提供了植入人体受试者内用于闭塞动脉瘤或体内血管的薄膜装置。 这些装置可以从细长的，折叠的构型移动，以便输送到主体内的展开构型。 当设备移动到其展开的构型时，在设备望远镜的选定部分中开放狭槽，这导致相关部分纵向缩短并且径向膨胀，同时孔隙度也降低以防止血液流动。 当装置移动到其展开构型时，装置的其它部分中的封闭狭缝打开，这导致相关部分纵向缩短并径向膨胀，同时保持开放以用于流体流动或内皮化。 闭塞装置可以是自支撑的或由支柱结构支撑。 另外，闭塞装置可以包括具有未对准孔系统的多个网眼层，其进一步降低展开构型的期望部分中的孔隙率。
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5.发明授权Stretch resistant embolic coil delivery system with mechanical release mechanism 有权具有机械释放机制的抗拉伸栓塞线圈输送系统公开(公告)号：US07371252B2
公开(公告)日：2008-05-13
申请号：US11301664
申请日：2005-12-13
申请人： Keith Balgobin , Donald K. Jones , Vladimir Mitelberg , Darren R. Sherman , John H. Thinnes, Jr.
发明人： Keith Balgobin , Donald K. Jones , Vladimir Mitelberg , Darren R. Sherman , John H. Thinnes, Jr.
CPC分类号： A61B17/12022 , A61B17/12113 , A61B17/12154 , A61B2017/00477 , A61B2017/00867 , A61B2017/12054
摘要： A medical device for placing an embolic device, such as an embolic coil at a predetermined site within a vessel of the body including a delivery catheter and a flexible pusher member slidably disposed within the lumen of the catheter. An embolic device is retained within the delivery catheter by a mechanical interlocking mechanism which includes a deflectable engagement member attached to the distal end of the pusher member and extends through a retaining ring at the proximal end of the embolic device. A detachment member extends through an aperture at the distal end of the engagement member thereby locking the embolic device onto the pusher member. When the detachment member is withdrawn from the aperture of the engagement member the engagement member deflects to release the embolic device.
摘要翻译： 一种用于将栓塞装置（例如栓塞线圈）放置在主体容器内的预定位置处的医疗装置，包括输送导管和可滑动地设置在导管内腔内的柔性推动器构件。 栓塞装置通过机械互锁机构保持在输送导管内，该机械联锁机构包括附接到推动器构件的远端的可偏转接合构件，并且延伸穿过栓塞装置的近端处的保持环。 分离构件延伸穿过接合构件的远端处的孔，从而将栓塞装置锁定到推动器构件上。 当分离构件从接合构件的孔中取出时，接合构件偏转以释放栓塞装置。
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6.发明授权Stretch resistant embolic coil delivery system with mechanical release mechanism 有权具有机械释放机制的抗拉伸栓塞线圈输送系统公开(公告)号：US07367987B2
公开(公告)日：2008-05-06
申请号：US11301865
申请日：2005-12-12
申请人： Keith Balgobin , Donald K. Jones , Vladimir Mitelberg , Darren R. Sherman , John H. Thinnes, Jr.
发明人： Keith Balgobin , Donald K. Jones , Vladimir Mitelberg , Darren R. Sherman , John H. Thinnes, Jr.
CPC分类号： A61B17/12022 , A61B17/12113 , A61B17/12154 , A61B2017/00477 , A61B2017/00862 , A61B2017/12054
摘要： A medical device for placing an embolic device at a predetermined site within a vessel of the body including a delivery catheter and a flexible pusher member slidably disposed within the lumen of the catheter. An embolic device is retained within the delivery catheter by a mechanical interlocking mechanism which includes an engagement member attached to the distal end of the pusher member and extends through a retaining ring at the proximal end of the embolic device. A detachment member extends through an aperture at the distal end of the engagement member thereby locking the embolic device onto the pusher member. A kicker member extends from the distal end of the pusher member and is biased so as to lift the retaining ring off of the engagement member to ensure the release of the embolic device when the detachment member is withdrawn from the aperture of the engagement member.
摘要翻译： 一种用于将栓塞装置放置在主体容器内的预定位置处的医疗装置，包括输送导管和可滑动地设置在导管内腔内的柔性推动器构件。 栓塞装置通过机械互锁机构保持在输送导管内，该机械互锁机构包括附接到推动器构件的远端的接合构件并延伸穿过栓塞装置的近端处的保持环。 分离构件延伸穿过接合构件的远端处的孔，从而将栓塞装置锁定到推动器构件上。 推动器构件从推动器构件的远端延伸并且被偏压以便将保持环从接合构件提起，以确保当分离构件从接合构件的孔中取出时栓塞装置的释放。
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公开(公告)号：US08313504B2
公开(公告)日：2012-11-20
申请号：US11171560
申请日：2005-06-30
申请人： Hiep Q. Do , Richard Champion Davis, III , Donald K. Jones , Juan A. Lorenzo , Vladimir Mitelberg , Darren R. Sherman , Murty Vyakarnam
发明人： Hiep Q. Do , Richard Champion Davis, III , Donald K. Jones , Juan A. Lorenzo , Vladimir Mitelberg , Darren R. Sherman , Murty Vyakarnam
IPC分类号： A61M29/00
CPC分类号： A61B17/12022 , A61B17/12145 , A61B17/1215 , A61B17/12163 , A61B17/12181 , A61B17/1219 , A61B2017/0053 , A61B2017/1205 , A61L31/10 , A61L31/146 , A61L2430/36 , C08L67/04
摘要： The present invention relates to a medical device for placement at a predetermined location within a passageway of the human body, and more particularly, relates to a flexible embolization device which may be delivered by a catheter to a pre-selected position within a blood vessel to thereby embolize a blood vessel or a blood vessel defect, such as an aneurysm or fistula. Specifically, the embolization device comprises an elongated coil having a lumen, the coil and lumen being at least partially embedded in an elongated foam member comprising, in some embodiments, a flexible, biodegradable, water insoluble, open, interconnecting-cell foam material having embolic characteristics, and capable of allowing cell proliferation into the open cell foam interior.
摘要翻译： 本发明涉及一种用于放置在人体通道内的预定位置处的医疗装置，更具体地涉及一种柔性栓塞装置，其可以由导管递送到血管内的预选位置， 从而栓塞血管或血管缺损，例如动脉瘤或瘘。 具体地，栓塞装置包括具有内腔的细长线圈，线圈和内腔至少部分地嵌入细长的泡沫构件，其在一些实施例中包括具有栓塞的柔性，可生物降解的水不溶性，开放的互连泡沫材料 特征，并且能够允许细胞增殖进入开孔泡沫内部。
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公开(公告)号：US20080161936A1
公开(公告)日：2008-07-03
申请号：US11663489
申请日：2005-10-14
IPC分类号： A61F2/02
CPC分类号： A61B17/12022 , A61B17/12118 , A61B17/12172 , A61B2017/12054 , A61F2002/823
摘要： A method of occluding a defect in the wall of a body vessel is provided. An outlet portion of a microcatheter is delivered to the defect, then at least a body portion of a thin film occlusion device is radially expanded from a collapsed orientation to a deployed orientation for engaging the microcatheter and covering at least a portion of the defect. Thereafter, an embolic media is released into the defect from the microcatheter for facilitating thrombosis. The body portion of the occlusion device is substantially porous in the collapsed orientation, but substantially non-porous in the deployed orientation for preventing prolapse of the embolic media into the body vessel.
摘要翻译： 提供了一种在身体容器的壁中闭塞缺陷的方法。 微导管的出口部分被输送到缺陷，然后薄膜闭塞装置的至少主体部分从收缩方向径向扩张到展开方向，以便与微导管接合并覆盖缺陷的至少一部分。 此后，栓塞介质从微导管释放到缺陷中以便于血栓形成。 闭塞装置的主体部分在塌缩方向上基本上是多孔的，但是在展开方向上基本上是无孔的，以防止栓塞介质向身体容器脱垂。
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公开(公告)号：US11083364B2
公开(公告)日：2021-08-10
申请号：US13539661
申请日：2012-07-02
IPC分类号： A61B1/018 , A61B17/04 , A61B1/04 , A61B17/06 , A61B17/062 , A61B17/068 , A61B17/00 , A61B17/064 , A61B17/29
摘要： An endoscopic tissue grasper device includes a flexible tubular member, a flexible shaft extending through the tubular member, a proximal handle for moving the shaft and tubular member relative to each other, and a distal helical coil having a sharpened end for engaging tissue. The tissue grasper is advanced through a working channel of an endoscope, engaged relative to tissue, and retracted to pull tissue into a path of a movable needle coupled at a distal end of the endoscope so that the needle can be passed through the tissue. The needle is preferably provided with a suture so that as the needle is passed through the tissue a stitch is formed.
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公开(公告)号：US09943313B2
公开(公告)日：2018-04-17
申请号：US14759053
申请日：2014-01-02
CPC分类号： A61B17/12109 , A61B17/1214 , A61B17/12145 , A61B17/12154 , A61B2017/00367 , A61B2017/1205 , A61B2017/12054
摘要： A medical implant deployment system for placing an implant at a preselected site comprising a deployment system that includes a mechanical coupling assembly at the distal end of a delivery member that engages the proximal end of the implant and a release member having an extended configuration in which the release member cooperatively maintains the coupling assembly engagement with the implant proximal end and a retracted configuration where the release member allows the coupling assembly to disengage from the implant proximal end. An attachable handle assembly is provided to place the release member in the retracted configuration allowing the coupling assembly to disengage from the implant proximal end, thereby releasing the implant.
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