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公开(公告)号:US08544474B2
公开(公告)日:2013-10-01
申请号:US12809197
申请日:2008-12-19
申请人: Gurpreet S. Sandhu , David R. Holmes, Jr. , Robert D. Simari , Nicole P. Sandhu , David R. Holmes, III
发明人: Gurpreet S. Sandhu , David R. Holmes, Jr. , Robert D. Simari , Nicole P. Sandhu , David R. Holmes, III
IPC分类号: A61B19/00
CPC分类号: A61M37/00 , A61K9/5094 , A61N2/002 , A61N2/06
摘要: Systems and methods that provide magnetically-enhanced delivery of therapeutic agents to selected tissue are disclosed. The systems and methods involve the use of carrier devices and release devices and two different magnetic fields to move magnetic particles into selected tissue. Movement of the magnetic particles (and any associated therapeutic agent) into the tissue may be assisted by both magnetic attractive forces as well as magnetic repulsive forces.
摘要翻译: 公开了向选定组织提供治疗剂磁力增强递送的系统和方法。 系统和方法涉及使用载体装置和释放装置以及两个不同的磁场以将磁性颗粒移动到选定的组织中。 磁性颗粒(和任何相关联的治疗剂)进入组织的移动可以通过磁性吸引力以及磁性排斥力来辅助。
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公开(公告)号:US20110178539A1
公开(公告)日:2011-07-21
申请号:US13003707
申请日:2009-07-08
申请人: David R. Holmes, Jr. , David R. Holmes, III , Paul A. Friedman , Charles J. Bruce , Samuel J. Asirvatham , Susan B. Johnson , Rebecca B. Fountain
发明人: David R. Holmes, Jr. , David R. Holmes, III , Paul A. Friedman , Charles J. Bruce , Samuel J. Asirvatham , Susan B. Johnson , Rebecca B. Fountain
IPC分类号: A61F2/00
CPC分类号: A61B17/0057 , A61B17/12013 , A61B17/12022 , A61B17/12122 , A61B17/12136 , A61B17/12159 , A61B17/12172 , A61B2017/00575 , A61B2017/0061 , A61B2017/00659 , A61B2017/00663 , A61M29/02
摘要: This document provides methods and materials related to minimally invasive techniques for reducing the volume of and/or occluding left atrial appendages.
摘要翻译: 本文档提供了与减少左心耳和/或闭塞左心耳的微创技术相关的方法和材料。
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公开(公告)号:US06913762B2
公开(公告)日:2005-07-05
申请号:US09843295
申请日:2001-04-25
CPC分类号: A61F2/90 , A61F2250/0067 , A61L31/14 , B33Y70/00 , B33Y80/00
摘要: Implantable medical devices that include a non-woven framework are described, as well as methods of using such devices to deliver therapeutic compounds to a patient.
摘要翻译: 描述了包括无纺织框架的植入式医疗装置,以及使用这种装置将治疗化合物递送至患者的方法。
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公开(公告)号:US06949087B2
公开(公告)日:2005-09-27
申请号:US10855026
申请日:2004-05-26
IPC分类号: C12N15/09 , A61K31/711 , A61K48/00 , A61M5/158 , A61M5/32 , A61M25/00 , A61M31/00 , A61P43/00
CPC分类号: A61M5/3286 , A61M5/3291 , A61M25/0068 , A61M2025/0057 , A61M2025/0073
摘要: The invention provides surgical needles with a porous distal portion from which a liquid injectate will weep or ooze multidirectionally under injection pressure while the porous distal portion of the needle is inserted into a body surface. The porous distal portion of the needle can be fabricated from a porous carbon, metal, ceramic or polymer and preferably has a decreasing gradient of impedance to fluid flowing to the point of the needle to compensate for the falling off of injection pressure as fluid moves towards the point, thereby ensuring uniform weeping of the injectate along the injection course. The needle is adapted for attachment to a catheter or syringe. In another embodiment, a surgical assemblage is provided wherein a porous distal portion having similar fluid flow characteristics is located along the distal end of a catheter, and a needle point is attached to the distal end of the catheter (e.g., a steerable catheter) for piercing tissue. A guidance catheter can be used to direct the invention devices to a remote internal injection site. The invention devices and methods can be used to inject fluids (including those containing nucleic acids for gene therapy) into interior body walls or tissue, such as a beating heart, without substantial loss of fluid and without substantial damage to tissue caused by injectate.
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公开(公告)号:US07252654B2
公开(公告)日:2007-08-07
申请号:US11218700
申请日:2005-09-02
CPC分类号: A61M5/3286 , A61M5/3291 , A61M25/0068 , A61M2025/0057 , A61M2025/0073
摘要: The invention provides surgical needles with a porous distal portion from which a liquid injectate will weep or ooze multidirectionally under injection pressure while the porous distal portion of the needle is inserted into a body surface. The porous distal portion of the needle can be fabricated from a porous carbon, metal, ceramic or polymer and preferably has a decreasing gradient of impedance to fluid flowing to the point of the needle to compensate for the falling off of injection pressure as fluid moves towards the point, thereby ensuring uniform weeping of the injectate along the injection course. The needle is adapted for attachment to a catheter or syringe. In another embodiment, a surgical assemblage is provided wherein a porous distal portion having similar fluid flow characteristics is located along the distal end of a catheter, and a needle point is attached to the distal end of the catheter (e.g., a steerable catheter) for piercing tissue. A guidance catheter can be used to direct the invention devices to a remote internal injection site. The invention devices and methods can be used to inject fluids (including those containing nucleic acids for gene therapy) into interior body walls or tissue, such as a beating heart, without substantial loss of fluid and without substantial damage to tissue caused by injectate.
摘要翻译: 本发明提供具有多孔远端部分的手术针头,其中注射的液体将在注射压力下多次地渗漏或渗出,同时针的多孔远端部分插入体表面。 针的多孔远端部分可以由多孔碳,金属,陶瓷或聚合物制成,并且优选地具有减小的流向梯度的流体流向针的位置以补偿注射压力随着流体朝向 这点,从而确保注射过程中注射剂的均匀渗漏。 该针适于附接到导管或注射器。 在另一个实施例中,提供了一种手术组合件,其中具有类似流体流动特征的多孔远侧部分沿着导管的远端定位,并且针尖附接到导管的远端(例如,可导向的导管),用于 刺穿组织。 引导导管可用于将本发明装置引导到远程内部注射部位。 本发明的装置和方法可用于将流体(包括含有用于基因治疗的核酸的那些)注射到内部体壁或组织(例如打浆心脏)中,而没有明显的流体损失,并且对注射造成的组织没有实质的损害。
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公开(公告)号:US07235096B1
公开(公告)日:2007-06-26
申请号:US09382275
申请日:1999-08-25
IPC分类号: A61F2/06
CPC分类号: A61F2/82 , A61B5/0031 , A61B5/028 , A61B5/6862 , A61B5/6876 , A61F2/0077 , A61F2/91 , A61L31/14
摘要: An implantable stent having surface features adapted to promote an organized growth pattern of infiltrating cells when implanted in a tubular organ is provided. The surface features comprise depressions, pores, projections, pleats, channels or grooves in the stent body and are designed to increase turbulence or stagnation in the flow of a liquid, such as blood through the stent, and/or to promote the growth of infiltrating cells in an organized pattern. Alternatively, the invention stent can be populated with living cells prior to implant and can be heatable from an external source of energy, thereby inducing production of therapeutic bioactive agents from ingrowing cells. The invention also provides an implantable heatable stent for transcutaneously monitoring the flow of fluid through a lumen into which the stent is implanted by measuring the rate at which the heated stent cools in response to blood flow when the source of heat is removed.
摘要翻译: 提供了一种植入式支架,其具有适于在植入管状器官时促进浸润细胞的有组织生长模式的表面特征。 表面特征包括支架主体中的凹陷,孔,突起,褶皱,通道或凹槽,并且被设计成增加液体如血液通过支架的流动中的湍流或停滞,和/或促进渗透的生长 细胞以有组织的模式。 或者,本发明支架可以在植入之前填充活细胞,并且可以从外部能量源加热,从而从向内生长细胞诱导治疗性生物活性剂的产生。 本发明还提供了一种可植入的可加热支架,用于通过测量当热源移除时响应于血液流动而被加热的支架冷却的速率,通过测量支架植入其中的内腔来经皮监测流体的流动。
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公开(公告)号:US06699280B2
公开(公告)日:2004-03-02
申请号:US10282691
申请日:2002-10-29
IPC分类号: A61F206
CPC分类号: A61F2/88 , A61F2/07 , A61F2/82 , A61F2/86 , A61F2/89 , A61F2/90 , A61F2002/826 , A61F2002/828 , A61F2210/0004 , A61F2250/0031 , A61F2250/0039 , A61F2250/0067 , A61F2250/0071 , A61F2250/0098
摘要: A stent includes a first stent section, a second stent section, and at least one connecting member. The connecting member has a first end attached to the first stent section, a second end attached to the second stent section and a physically separable portion.
摘要翻译: 支架包括第一支架部分,第二支架部分和至少一个连接部件。 连接构件具有附接到第一支架部分的第一端,附接到第二支架部分的第二端和物理上可分离的部分。
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公开(公告)号:US06485510B1
公开(公告)日:2002-11-26
申请号:US09549681
申请日:2000-04-14
IPC分类号: A61F206
CPC分类号: A61F2/88 , A61F2/07 , A61F2/82 , A61F2/86 , A61F2/89 , A61F2/90 , A61F2002/826 , A61F2002/828 , A61F2210/0004 , A61F2250/0031 , A61F2250/0039 , A61F2250/0067 , A61F2250/0071 , A61F2250/0098
摘要: A stent includes a first stent section, a second stent section, and at least one connecting member. The connecting member has a first end attached to the first stent section, a second end attached to the second stent section and a physically separable portion.
摘要翻译: 支架包括第一支架部分,第二支架部分和至少一个连接部件。 连接构件具有附接到第一支架部分的第一端,附接到第二支架部分的第二端和物理上可分离的部分。
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公开(公告)号:US06258117B1
公开(公告)日:2001-07-10
申请号:US09292558
申请日:1999-04-15
IPC分类号: A61F206
CPC分类号: A61F2/88 , A61F2/07 , A61F2/82 , A61F2/86 , A61F2/89 , A61F2/90 , A61F2002/826 , A61F2002/828 , A61F2210/0004 , A61F2250/0031 , A61F2250/0039 , A61F2250/0067 , A61F2250/0071 , A61F2250/0098
摘要: A multi-section stent includes a connecting structure that allows the stent sections to move and flex relative to one another. For deployment and positioning, the connecting structure connects the multiple stent sections and holds the stent sections substantially stationary relative to one another. Following deployment, the connecting structure allows the multiple stent sections to move relative to one another. Movable stent sections enable flexure of the stent upon deployment within a body lumen. This flexing structure allows better conformance of the stent to the shape of the body lumen, and exerts less overall pressure against the lumen wall, reducing the potential for trauma. Upon deployment, the multiple stent sections may be completely detached from one another. Alternatively, the stent sections may remain partially connected in a manner that allows substantial independent movement. The connecting structure can be manufactured to separate upon deployment, for example, by breaking or degrading within the body lumen in which the stent is positioned.
摘要翻译: 多部分支架包括允许支架部分相对于彼此移动和弯曲的连接结构。 为了部署和定位,连接结构连接多个支架部分并且将支架部分相对于彼此基本上保持固定。 在部署之后,连接结构允许多个支架部分相对于彼此移动。 可移动支架部分能够在展开在体腔内时使支架挠曲。 该弯曲结构允许支架更好地符合体腔的形状,并且对腔壁施加较小的整体压力,降低创伤的可能性。 在部署时,多个支架部分可以彼此完全分离。 或者,支架部分可以以允许基本独立运动的方式保持部分连接。 连接结构可以被制造成在展开时分离,例如通过在支架所在的体腔内破碎或降解。
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公开(公告)号:US07727184B2
公开(公告)日:2010-06-01
申请号:US11750131
申请日:2007-05-17
IPC分类号: A61M31/00
CPC分类号: A61B17/3207 , A61B17/22 , A61B18/1477 , A61B18/1492 , A61B2017/00252 , A61B2017/22044 , A61B2017/22067 , A61B2017/22077 , A61B2017/22082 , A61B2017/22084 , A61B2018/1425
摘要: A catheter delivery system for delivering a treatment substance to an occlusion in a lumen of a tubular vessel includes a tubular catheter and a treatment substance. The tubular catheter includes a central lumen passing between a proximal end and a distal end adjacent to an inflatable balloon. The treatment substance is in a form that is configured to be deliverable through the central lumen of the catheter into the lumen of the tubular vessel and to solidify in the vessel.
摘要翻译: 用于将处理物质输送到管状容器的内腔中的闭塞的导管输送系统包括管状导管和处理物质。 管状导管包括中心腔,其通过邻近可膨胀气囊的近端和远端之间。 治疗物质是被构造成可以通过导管的中央腔输送到管状血管的腔中并在血管中固化的形式。
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