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公开(公告)号:US08758325B2
公开(公告)日:2014-06-24
申请号:US11409147
申请日:2006-04-21
申请人: Mark W. I. Webster , Jason A. Galdonik , Matthew F. Ogle , Edward Anderson , Gregory A. Boldenow
发明人: Mark W. I. Webster , Jason A. Galdonik , Matthew F. Ogle , Edward Anderson , Gregory A. Boldenow
IPC分类号: A61M31/00
CPC分类号: A61M25/0041 , A61B17/22 , A61B2017/22039 , A61B2217/005 , A61M25/005 , A61M25/0052 , A61M25/0054 , A61M25/0068 , A61M25/007 , A61M25/0074 , A61M25/008 , A61M25/10 , A61M2025/0063 , A61M2025/0183 , A61M2025/1052
摘要: Thrombectomy catheters are presented that have curved tip portions. A suction lumen extends from at or near the proximal end of the catheter to a suction port at or near the tip portion of the catheter. The curves of the thrombectomy catheter can be selected to place a suction port at or near a vessel wall for the more effective removal of thrombus resulting from directing the suction in the direction of the thrombus. In some embodiments, the tip portion of the catheter can be transitioned from a first configuration for delivery of the catheter into the vessel to a second more curved configuration with a desired design for application of suction. The catheter can be moved in a circumferential and/or lateral direction to cover selected portions of the inner vessel wall. In some embodiments, a partially occlusive structure can be used to reduce and/or redirect flow within the vessel to improve performance of the thrombectomy.
摘要翻译: 呈现出具有弯曲尖端部分的血栓切除导管。 吸入腔从导管的近端处或附近延伸到导管尖端部分处或附近的吸入口。 可以选择血栓切除术导管的曲线以将血管口置于血管壁或血管壁附近,以便更有效地从血栓方向引导吸引血栓。 在一些实施例中,导管的尖端部分可以从用于将导管输送到容器中的第一构型转变成具有用于施加抽吸的期望设计的第二更弯曲构造。 导管可以在周向和/或横向移动以覆盖内部血管壁的选定部分。 在一些实施方案中,可以使用部分封闭结构来减少和/或重定向血管内的流动,以改善血栓切除术的性能。
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公开(公告)号:US06866674B2
公开(公告)日:2005-03-15
申请号:US10084010
申请日:2002-02-27
申请人: Jason A. Galdonik , William J. Swanson , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
发明人: Jason A. Galdonik , William J. Swanson , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
IPC分类号: A61B17/00 , A61B17/064 , A61B17/11 , A61B17/115 , A61B17/04
CPC分类号: A61B17/115 , A61B17/0644 , A61B17/11 , A61B46/17 , A61B2017/00557 , A61B2017/0641 , A61B2090/0801
摘要: Methods and apparatus for making an anastomotic connection between a first conduit and a second conduit. A connector structure having a first end portion and a second end portion is positioned about a balloon catheter, which when pressurized, expands to a significant extent at the distal end thereof. The balloon enlarges the connector structure when positioned at the distal end portion of the balloon to create the anastomosis, and at the same time reduces the axial length of the connector, thereby compressing the first conduit to the second conduit, creating a hemodynamic seal and a firm attachment of the two conduits. After enlargement, the connector structure remains in place and adds structure to the anastomosis. During introduction, the second end portion of the connector is covered by a nosecone assembly to prevent trauma to the second conduit while the apparatus is being introduced. The nosecone assembly has a flexible structure which may change configuration to expose the second set of members after insertion into the second conduit and to allow removal of the nosecone after deployment.
摘要翻译: 用于在第一导管和第二导管之间进行吻合连接的方法和装置。 具有第一端部部分和第二端部部分的连接器结构围绕球囊导管定位,当加压时,其在其远端处显着扩张。 当定位在球囊的远端部分时,气囊扩大连接器结构以产生吻合,并且同时减小连接器的轴向长度,从而将第一导管压缩到第二导管,产生血流动力学密封和 坚固的连接两个管道。 放大后,连接器结构保持原位,并将结构添加到吻合中。 在引入期间,连接器的第二端部被鼻锥组件覆盖,以在装置被引入时防止对第二导管的创伤。 鼻锥组件具有柔性结构,其可以改变配置以在插入第二导管之后暴露第二组构件,并且在展开之后允许去除鼻锥。
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公开(公告)号:US06602263B1
公开(公告)日:2003-08-05
申请号:US09693578
申请日:2000-10-20
申请人: William J. Swanson , Jason A. Galdonik , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
发明人: William J. Swanson , Jason A. Galdonik , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
IPC分类号: A61B1712
CPC分类号: A61B17/115 , A61B17/0644 , A61B17/11 , A61B46/17 , A61B2017/00557 , A61B2017/0641 , A61B2090/0801
摘要: Methods and apparatus for making an anastomotic connection between a first conduit and a second conduit. A connector structure having a first end portion and a second end portion is positioned about a balloon catheter, which when pressurized, expands to a significant extent at the distal end thereof. The balloon enlarges the connector structure when positioned at the distal end portion of the balloon to create the anastomosis, and at the same time reduces the axial length of the connector, thereby compressing the first conduit to the second conduit, creating a hemodynamic seal and a firm attachment of the two conduits. After enlargement, the connector structure remains in place and adds structure to the anastomosis. During introduction, the second end portion of the connector is covered by a nosecone assembly to prevent trauma to the second conduit while the apparatus is being introduced. The nosecone assembly has a flexible structure which may change configuration to expose the second set of members after insertion into the second conduit and to allow removal of the nosecone after deployment.
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公开(公告)号:US08021351B2
公开(公告)日:2011-09-20
申请号:US11207169
申请日:2005-08-18
IPC分类号: A61M25/00
CPC分类号: A61B17/22 , A61B90/39 , A61B2017/22039 , A61B2217/005 , A61M25/0068 , A61M25/007 , A61M25/008 , A61M2025/0024 , A61M2025/0081
摘要: In general, aspiration catheters have a suction device, a proximal portion and a shaft with a proximal end and a distal end. Improvements in the aspiration catheter design provide for improved tracking and/or reduced chance of snagging during delivery of the aspiration catheter. In some embodiments, the tip of the shaft has a curve relative to the neutral orientation of the remaining portions of the shaft. In other embodiments, the aspiration catheter further comprises a tracking portion that has a guide lumen. A guide structure can extend through the guide lumen to limit the motion of the tip of the catheter relative to the guide structure during delivery of the aspiration catheter within a patient's vessel. In further embodiments, the aspiration catheter comprises a deflection structure having a tether and a bumper. Improved methods for using the aspiration catheter to recover an embolism protection device are described.
摘要翻译: 通常,抽吸导管具有抽吸装置,近端部分和具有近端和远端的轴。 抽吸导管设计的改进提供了在抽吸导管递送期间改善的跟踪和/或减少的障碍机会。 在一些实施例中,轴的尖端相对于轴的剩余部分的中性取向具有曲线。 在其它实施例中,抽吸导管还包括具有引导内腔的跟踪部分。 引导结构可以延伸穿过引导腔,以在抽吸导管在患者的血管内递送期间限制导管的尖端相对于引导结构的运动。 在另外的实施例中,抽吸导管包括具有系绳和保险杠的偏转结构。 描述了使用吸引导管恢复栓塞保护装置的改进方法。
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公开(公告)号:US07879062B2
公开(公告)日:2011-02-01
申请号:US10795131
申请日:2004-03-06
IPC分类号: A61M29/00
CPC分类号: A61F2/01 , A61F2/013 , A61F2230/0006 , A61F2230/005 , A61M25/09 , A61M2025/09175 , B33Y80/00
摘要: Improved embolism protection devices comprises fibers that can have one configuration for delivery of the device and a second configuration in which the device is deployed for filtering of flow within a vessel. In some embodiments, the fibers can be connected to a fiber support, which is connected to an actuating element. The actuating element controls the transition from the delivery configuration to the deployed configuration. The embolism protection device can comprise a guidewire. The fibers can be attached at one end to a fiber support structure and at another end to the guidewire. A hypotube can be attached to the proximal end of the fibers while the guidewire is attached at the distal end of the fibers with the guidewire extending within a central channel of the hypotube. The hypotube can be used to guide the delivery of treatment structures, such as a balloon and/or a stent.
摘要翻译: 改进的栓塞保护装置包括可以具有用于装置的输送的一种配置的纤维和其中部署用于过滤容器内的流动的装置的第二配置。 在一些实施例中,纤维可以连接到连接到致动元件的纤维支撑件。 致动元件控制从传送配置到部署配置的过渡。 栓塞保护装置可以包括导丝。 纤维的一端可以连接到纤维支撑结构,另一端可以连接到导丝。 海波管可以附着在纤维的近端,而导丝被连接在纤维的远端,导丝延伸在海波管的中心通道内。 海波管可用于引导治疗结构的传送,例如气囊和/或支架。
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公开(公告)号:US07674411B2
公开(公告)日:2010-03-09
申请号:US10816429
申请日:2004-04-01
申请人: Todd A. Berg , Jason A. Galdonik
发明人: Todd A. Berg , Jason A. Galdonik
IPC分类号: B32B38/10
CPC分类号: A61M25/0013 , A61M25/0021 , A61M25/0043 , A61M25/0045 , A61M25/005 , A61M25/0051 , A61M25/0053 , A61M25/0054 , A61M2025/006 , A61M2025/0098 , F16L9/147 , F16L11/081
摘要: A guiding catheter for use in coronary angioplasty and other cardiovascular interventions which incorporates a plurality of segment of selected flexural modulus in the shaft of the device. The segments which have a different flexibility than the sections immediately proximal and distal to them, creating zones in the catheter shaft which are either more or less flexible than other zones of the shaft. The flexibility and length of the shaft in a given zone is then matched to its clinical function and role. A mid-shaft zone is significantly softer than a proximal shaft or distal secondary curve to better traverse the aortic arch shape without storing too much energy. A secondary zone section is designed to have maximum stiffness to provide optimum backup support and stability.
摘要翻译: 用于冠状动脉血管成形术和其他心血管干预的引导导管,其在装置的轴中并入多个选定的弯曲模量段。 这些段具有与紧邻的部分不同的部分,在导管轴中产生与轴的其它区域或多或少柔性的区域。 然后在给定区域中的轴的柔性和长度与其临床功能和作用相匹配。 中轴区域比近侧轴或远端二级曲线显着更软,以更好地横穿主动脉弓形状而不存储太多的能量。 次级区域设计为具有最大的刚度,以提供最佳的后备支撑和稳定性。
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公开(公告)号:US06858024B1
公开(公告)日:2005-02-22
申请号:US09313672
申请日:1999-05-18
申请人: Todd A. Berg , Jason A. Galdonik
发明人: Todd A. Berg , Jason A. Galdonik
IPC分类号: A61M25/00 , A61M25/088 , F16L9/147 , F16L11/08
CPC分类号: A61M25/0013 , A61M25/0021 , A61M25/0043 , A61M25/0045 , A61M25/005 , A61M25/0051 , A61M25/0053 , A61M25/0054 , A61M2025/006 , A61M2025/0098 , F16L9/147 , F16L11/081
摘要: A guiding catheter for use in coronary angioplasty and other cardiovascular interventions which incorporates a plurality of segment of selected flexural modulus in the shaft of the device. The segments which have a different flexibility than the sections immediately proximal and distal to them, creating zones in the catheter shaft which are either more or less flexible than other zones of the shaft. The flexibility and length of the shaft in a given zone is then matched to its clinical function and role. A mid-shaft zone is significantly softer than a proximal shaft or distal secondary curve to better traverse the aortic arch shape without storing too much energy. A secondary zone section is designed to have maximum stiffness to provide optimum backup support and stability.
摘要翻译: 用于冠状动脉血管成形术和其他心血管干预的引导导管,其在装置的轴中并入多个选定的弯曲模量段。 这些段具有与紧邻的部分不同的部分,在导管轴中产生与轴的其它区域或多或少柔性的区域。 然后在给定区域中的轴的柔性和长度与其临床功能和作用相匹配。 中轴区域比近侧轴或远端二级曲线显着更软,以更好地横穿主动脉弓形状而不存储太多的能量。 次级区域设计为具有最大刚度以提供最佳的后备支撑和稳定性。
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公开(公告)号:US5680873A
公开(公告)日:1997-10-28
申请号:US398214
申请日:1995-03-02
IPC分类号: A61M25/00 , A61M25/06 , A61M25/08 , A61M25/088 , A61B5/00
CPC分类号: A61M25/0662 , A61M25/09 , A61M2025/09083
摘要: Guide catheter incorporating a braidless construction having increased performance characteristics for catheterization procedures. The guide catheter may include a tracking wire, inner or outer guide for positioning the guide catheter within the patient's vascular system.
摘要翻译: 引导导管包括具有增加的用于导管插入术的性能特征的无编织结构。 引导导管可以包括跟踪线,用于将引导导管定位在患者的血管系统内的内部或外部引导件。
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公开(公告)号:US08382788B2
公开(公告)日:2013-02-26
申请号:US13218183
申请日:2011-08-25
IPC分类号: A61M29/00
CPC分类号: A61F2/013 , A61B17/12045 , A61B17/12109 , A61B17/12136 , A61F2/01 , A61F2/24 , A61F2002/011 , A61F2002/018 , A61F2230/0006 , A61F2230/0065 , A61F2230/0067 , A61F2230/0069 , A61F2230/008 , A61F2230/0093
摘要: Various devices are described to provide filtering of flow from the aorta to the left carotid artery and the right carotid artery. The filters can be brought into a desired position through one or more peripheral arteries. A single filter device can provide the desired filtering or a plurality of devices can be used. In particular a single filter device can span between the brachiocephalic artery and the left carotid artery. These filter devices can be used effectively to capture emboli generated during procedures on the heart so that emboli do not travel to the patient's brain where the emboli can cause a stroke or other adverse event. In particular, these filters can be used during percutaneous procedures on the heart, such as endovascular heart valve replacement.
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公开(公告)号:US20120253313A1
公开(公告)日:2012-10-04
申请号:US13467798
申请日:2012-05-09
申请人: Jason A. Galdonik , Edward Anderson , Kavitha Ganesan , Greg Boldenow , John Kirchgessner , Grazyna Wlodarski
发明人: Jason A. Galdonik , Edward Anderson , Kavitha Ganesan , Greg Boldenow , John Kirchgessner , Grazyna Wlodarski
IPC分类号: A61M25/00 , A61M25/098 , A61M1/00 , A61M25/16
CPC分类号: A61B17/22 , A61B17/221 , A61B17/2833 , A61B17/2909 , A61B2017/0046 , A61B2017/22079 , A61B2017/292 , A61B2017/2923 , A61F2/013 , A61M25/0108 , A61M2025/0008
摘要: Systems for less invasive medical procedures comprise a filter device mounted on an integrated guiding structure and an aspiration catheter. These components can be used together or separately, and the system can be used with other medical devices that are designed for less invasive procedures, such as procedures in a patient's vasculature. The catheter can have a radiopaque band that is held in place under metal wire embedded within the polymer forming the tube of the catheter. In some embodiments, the aspiration catheter has a small diameter distal portion that can access into small diameter vessels in which the distal portion has a smaller average diameter than the remaining tube of the catheter.
摘要翻译: 用于较少侵入性医疗程序的系统包括安装在集成引导结构和抽吸导管上的过滤装置。 这些组件可以一起使用或分开使用,并且该系统可以与其他设计用于较小侵入性程序的医疗设备一起使用,例如病人脉管系统中的程序。 导管可以具有不透射线的带,其被保持在嵌入在形成导管的管的聚合物内的金属线下的适当位置。 在一些实施例中,抽吸导管具有小直径远端部分,其可以进入小直径血管,其中远侧部分具有比导管的剩余管更小的平均直径。
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