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公开(公告)号：US08460239B2
公开(公告)日：2013-06-11
申请号：US12901652
申请日：2010-10-11
申请人： Gary A. Jordan , Gary J Leanna , George T. Roberts
发明人： Gary A. Jordan , Gary J Leanna , George T. Roberts
CPC分类号： A61F2/966 , A61F2/844 , A61F2/90 , A61F2/95 , A61M25/00 , A61M2025/0063 , A61M2025/018 , A61M2025/0183 , A61M2210/1042
摘要： Devices for palliating gastrointestinal strictures using rapid exchange type enteral stent placement catheters. The catheter may include an inner member and an outer member, with the two members being slidable with respect to one another. In various device embodiments, a ramp for directing a guidewire out from within the catheter is provided using portions of the outer member or a shaped mandrel. The inner member may take a number of forms, including a tubular distal portion, a skived or integrally attached elongate midsection, and a proximal portion. A mandrel can be used in a portion proximal of the guidewire ramp, with the mandrel taking one of several disclosed forms.
摘要翻译： 使用快速交换型肠内支架放置导管缓解胃肠狭窄的装置。 导管可以包括内部构件和外部构件，其中两个构件可相对于彼此滑动。 在各种装置实施例中，使用外部构件或成形心轴的部分来提供用于将导线从导管内引出的斜面。 内部构件可以采取多种形式，包括管状远端部分，切割或整体连接的细长中心部分和近端部分。 心轴可用于导丝斜面近端的一部分，心轴采用几种公开形式之一。
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公开(公告)号：US07815601B2
公开(公告)日：2010-10-19
申请号：US12022337
申请日：2008-01-30
IPC分类号： A61M31/00
CPC分类号： A61F2/966 , A61F2/844 , A61F2/90 , A61F2/95 , A61M25/00 , A61M2025/0063 , A61M2025/018 , A61M2025/0183 , A61M2210/1042
摘要： Methods of and devices for palliating gastrointestinal strictures using rapid exchange type enteral stent placement catheters. The catheter may include an inner member and an outer member, with the two members being slidable with respect to one another. In various device embodiments, a ramp for directing a guidewire out from within the catheter is provided using portions of the outer member or a shaped mandrel. The inner member may take a number of forms, including a tubular distal portion, a skived or integrally attached elongate midsection, and a proximal portion. A mandrel can be used in a portion proximal of the guidewire ramp, with the mandrel taking one of several disclosed forms.
摘要翻译： 使用快速交换型肠内支架置入导管缓解胃肠狭窄的方法和装置。 导管可以包括内部构件和外部构件，其中两个构件可相对于彼此滑动。 在各种装置实施例中，使用外部构件或成形心轴的部分来提供用于将导线从导管内引出的斜面。 内部构件可以采取多种形式，包括管状远端部分，切割或整体连接的细长中心部分和近端部分。 心轴可用于导丝斜面近端的一部分，心轴采用几种公开形式之一。
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公开(公告)号：US20110028984A1
公开(公告)日：2011-02-03
申请号：US12901652
申请日：2010-10-11
IPC分类号： A61F2/84
CPC分类号： A61F2/966 , A61F2/844 , A61F2/90 , A61F2/95 , A61M25/00 , A61M2025/0063 , A61M2025/018 , A61M2025/0183 , A61M2210/1042
摘要： Devices for palliating gastrointestinal strictures using rapid exchange type enteral stent placement catheters. The catheter may include an inner member and an outer member, with the two members being slidable with respect to one another. In various device embodiments, a ramp for directing a guidewire out from within the catheter is provided using portions of the outer member or a shaped mandrel. The inner member may take a number of forms, including a tubular distal portion, a skived or integrally attached elongate midsection, and a proximal portion. A mandrel can be used in a portion proximal of the guidewire ramp, with the mandrel taking one of several disclosed forms.
摘要翻译： 使用快速交换型肠内支架放置导管缓解胃肠狭窄的装置。 导管可以包括内部构件和外部构件，其中两个构件可相对于彼此滑动。 在各种装置实施例中，使用外部构件或成形心轴的部分来提供用于将导线从导管内引出的斜面。 内部构件可以采取多种形式，包括管状远端部分，切割或整体连接的细长中心部分和近端部分。 心轴可用于导丝斜面近端的一部分，心轴采用几种公开形式之一。
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公开(公告)号：US20080188804A1
公开(公告)日：2008-08-07
申请号：US12022337
申请日：2008-01-30
IPC分类号： A61M25/01
CPC分类号： A61F2/966 , A61F2/844 , A61F2/90 , A61F2/95 , A61M25/00 , A61M2025/0063 , A61M2025/018 , A61M2025/0183 , A61M2210/1042
摘要： Methods of and devices for palliating gastrointestinal strictures using rapid exchange type enteral stent placement catheters. The catheter may include an inner member and an outer member, with the two members being slidable with respect to one another. In various device embodiments, a ramp for directing a guidewire out from within the catheter is provided using portions of the outer member or a shaped mandrel. The inner member may take a number of forms, including a tubular distal portion, a skived or integrally attached elongate midsection, and a proximal portion. A mandrel can be used in a portion proximal of the guidewire ramp, with the mandrel taking one of several disclosed forms.
摘要翻译： 使用快速交换型肠内支架置入导管缓解胃肠狭窄的方法和装置。 导管可以包括内部构件和外部构件，其中两个构件可相对于彼此滑动。 在各种装置实施例中，使用外部构件或成形心轴的部分来提供用于将导线从导管内引出的斜面。 内部构件可以采取多种形式，包括管状远端部分，切割或整体连接的细长中心部分和近端部分。 心轴可用于导丝斜面近端的一部分，心轴采用几种公开形式之一。
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公开(公告)号：US07938853B2
公开(公告)日：2011-05-10
申请号：US12121907
申请日：2008-05-16
IPC分类号： A61F2/06
CPC分类号： A61F2/90 , A61F2002/065 , A61F2002/821 , A61F2220/0008 , A61F2230/0067 , A61F2250/0036 , A61F2250/0039 , D04C1/06 , D04C3/48 , D10B2509/06
摘要： A stent comprising a plurality of continuous filaments braided together, at least one filament comprising a tapered filament having at least one first region having a first, relatively-larger cross-sectional area and at least one second region having a second, relatively-smaller cross-sectional area. The stent itself may have a tapered diameter, such as from one end to the other. A method for treating a lumen with the stent is also claimed.
摘要翻译： 包括编织在一起的多个连续细丝的支架，至少一根灯丝，包括具有至少一个具有第一相对较大横截面面积的第一区域的至少一个第一区域和至少一个具有第二相对较小横截面的第二区域的锥形灯丝 区域。 支架本身可以具有锥形直径，例如从一端到另一端。 还要求保护用于治疗内腔的方法。
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公开(公告)号：US06325822B1
公开(公告)日：2001-12-04
申请号：US09494980
申请日：2000-01-31
IPC分类号： A61F206
CPC分类号： A61F2/90 , A61F2002/065 , A61F2002/821 , A61F2220/0008 , A61F2230/0067 , A61F2250/0036 , A61F2250/0039 , D04C1/06 , D04C3/48 , D10B2509/06
摘要： A method and stent for treating a lumen, the stent comprising a plurality of continuous filaments braided together, at least one filament comprising a tapered filament having at least one first region having a first, relatively-larger cross-sectional area and at least one second region having a second, relatively-smaller cross-sectional area. The stent itself may have a tapered diameter, such as from one end to the other.
摘要翻译： 一种用于治疗腔的方法和支架，所述支架包括编织在一起的多个连续细丝，至少一根细丝，其包括具有至少一个具有第一相对较大横截面积的第一区域和至少一个第二 区域具有第二相对较小的横截面积。 支架本身可以具有锥形直径，例如从一端到另一端。
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公开(公告)号：US06251132B1
公开(公告)日：2001-06-26
申请号：US09175791
申请日：1998-10-20
IPC分类号： A61F202
CPC分类号： A61F2/90 , A61F2/95 , A61F2002/9505 , A61F2002/9511 , A61F2210/0019 , A61F2230/0013 , A61F2250/0098
摘要： This invention provides smooth delivery and accurate positioning of prostheses in the body. In embodiments, systems are provided that include elongate members extending generally along the axis of a supporting catheter to a free ends. The elongate members extend through openings in the prosthesis to maintain the position of the prosthesis on the catheter. The prosthesis can be released from the catheter by relative axial motion of the catheter and the elongate members such that the free ends are removed from the openings in the prosthesis. In embodiments, the elongate members hold the distal end of a self-expanding stent at a desired axial location and in radial compaction as a restraining sheath is withdrawn. The friction between the sheath and stent puts the stent under tension, which reduces the radial force on the sheath wall, allowing smoother retraction. Proximal portions of the stent radially expand and axially shorten. The distal end, however, is maintained at the desired axial location and released from the catheter to contact the body lumen wall without substantial axial shortening.
摘要翻译： 本发明提供了假体在体内的平稳输送和精确定位。 在实施例中，提供了包括通常沿着支撑导管的轴线延伸到自由端的细长构件的系统。 细长构件延伸穿过假体中的开口，以维持假体在导管上的位置。 假体可以通过导管和细长构件的相对轴向运动从导管释放，使得自由端从假体中的开口移除。 在实施例中，细长构件将自膨胀支架的远端保持在期望的轴向位置处，并且随着约束护套被拉出而将其径向压紧。 护套和支架之间的摩擦力使支架处于张力状态，从而降低了护套壁上的径向力，从而实现了更平滑的收缩。 支架的近端部分径向扩张并轴向缩短。 然而，远端保持在期望的轴向位置并且从导管释放以接触体腔壁而没有显着的轴向缩短。
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公开(公告)号：US5366442A
公开(公告)日：1994-11-22
申请号：US13339
申请日：1993-02-04
CPC分类号： A61M25/1029 , A61L29/06 , A61M25/1034 , A61B2017/00783 , A61M2025/1075 , A61M25/1038 , Y10T428/1334 , Y10T428/1393
摘要： A sleeve for attaching a medical balloon to a catheter utilizing a balloon (8). The sleeve comprises a plurality of co-extruded and coextensive layers of different polymeric materials (20A, 20B) at least one of which is a base structural layer (20B) and the other of which (20A) is formed of polyethylene and copolymers thereof or of Selar. The base structural layer is thicker than the other layer. The diameter of the catheter at the joint (10, 11) is substantially the same as the tube.
摘要翻译： 一种用于使用气囊（8）将医疗气球附接到导管的套筒。 套筒包括多个共挤出和共同延伸的不同聚合物材料层（20A，20B），其中至少一个是基底结构层（20B），另一个由（20A）组成的聚乙烯及其共聚物或 的Selar。 底层结构层比另一层厚。 接头（10,11）处的导管的直径与管基本相同。
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公开(公告)号：US06685738B2
公开(公告)日：2004-02-03
申请号：US09949586
申请日：2001-09-10
IPC分类号： A61F206
CPC分类号： A61F2/90 , A61F2002/065 , A61F2002/821 , A61F2220/0008 , A61F2230/0067 , A61F2250/0036 , A61F2250/0039 , D04C1/06 , D04C3/48 , D10B2509/06
摘要： A stent comprising a plurality of continuous filaments braided together, at least one filament comprising a tapered filament having at least one first region having a first, relatively-larger cross-sectional area and at least one second region having a second, relatively-smaller cross-sectional area. The stent itself may have a tapered diameter, such as from one end to the other. A method for treating a lumen with the stent is also claimed
摘要翻译： 包括编织在一起的多个连续细丝的支架，至少一根灯丝，包括具有至少一个具有第一相对较大横截面面积的第一区域的至少一个第一区域和至少一个具有第二相对较小横截面的第二区域的锥形灯丝 区域。 支架本身可以具有锥形直径，例如从一端到另一端。 还要求保护用于治疗内腔的方法
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公开(公告)号：US06296660B1
公开(公告)日：2001-10-02
申请号：US09048953
申请日：1998-03-26
IPC分类号： A61F200
CPC分类号： A61F2/958 , A61M25/10 , A61M25/1002 , A61M2025/1059 , A61M2025/1068 , A61M2025/1081 , A61M2210/125
摘要： A prosthesis delivery system having a balloon catheter with an inflatable balloon on its exterior. The balloon is inflatable by injection of fluid through a lumen in the catheter and the balloon is initially partially constrained against inflation by a constraint. A tubular prosthesis is disposed on the catheter over at least a portion of the balloon and a portion of the constraint. The tubular prosthesis has a contracted condition and an expanded condition. The tubular prosthesis is initially disposed on the catheter in the contracted condition. Further, a balloon catheter includes a constraint so that the balloon may be sequentially inflated for dilatation purposes such as in a valvuloplasty operation.
摘要翻译： 一种假体递送系统，其具有在其外部具有可充气气囊的气囊导管。 通过在导管中的内腔注入流体来使球囊充气，并且球囊初始部分地通过约束来限制抵抗充气。 管状假体在气囊的至少一部分和约束的一部分上设置在导管上。 管状假体具有收缩状态和扩张状态。 管状假体最初在收缩状态下设置在导管上。 此外，球囊导管包括约束，使得球囊可以顺序地膨胀以用于扩张目的，例如在瓣膜成形术操作中。
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