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公开(公告)号：US09211116B2
公开(公告)日：2015-12-15
申请号：US13525161
申请日：2012-06-15
CPC分类号： A61B17/0057 , A61B17/0401 , A61B50/30 , A61B2017/00641 , A61B2017/0404 , A61B2017/0406 , A61B2017/0409 , A61B2017/0412 , A61B2017/0464 , A61B2017/0496 , A61B2017/320012 , A61B2218/002
摘要： Disclosed herein are implantable fistula treatment devices and related methods. The fistula closure device comprises a distal anchor and a proximal anchor attached by a connecting member, such as a suture. Individual porous bodies are threaded directly or indirectly over the connecting member. The distal anchor comprises a plurality of foldable members threaded onto the connecting member. The foldable members are arranged in increasing surface area from distal to proximal, and each is further configured to form a mechanical interfit with adjacent foldable members to reduce sliding between members when they are tensioned together.
摘要翻译： 本文公开了可植入式瘘治疗装置和相关方法。 瘘闭合装置包括远端锚固件和通过诸如缝合线的连接构件附接的近端锚固件。 单独的多孔体直接或间接地穿过连接构件。 远侧锚固件包括螺纹连接在连接构件上的多个可折叠构件。 可折叠构件被布置成从远侧到近侧的增加的表面积，并且每个还被构造成与相邻的可折叠构件形成机械相互配合，以减少当构件被张紧在一起时构件之间的滑动。
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公开(公告)号：US08784421B2
公开(公告)日：2014-07-22
申请号：US10793185
申请日：2004-03-03
IPC分类号： A61B17/56
CPC分类号： A61B17/1671 , A61B17/1604 , A61B17/1615 , A61B17/1617 , A61B17/1631 , A61B17/1633 , A61B17/1662 , A61B17/221 , A61B17/32002 , A61B17/320725 , A61B2017/00261 , A61B2017/003 , A61B2017/22038 , A61B2017/320028 , A61B2017/320032 , A61B2217/005 , A61B2217/007
摘要： Tissue removal probes comprise an elongated member, a drive shaft rotatably disposed within the member, and a rotatable tissue removal element mounted to the distal end of the drive shaft. One tissue removal element comprises a plurality of tissue-cutting filaments affixed at proximal and distal ends of the tissue removal element. The cutting filaments may have optional hinge points that allow the distal end of the tissue removal element to be inverted, thereby transforming the tissue removal element from a tissue-cutting device to a tissue-grasping device. Another tissue removal element may have a blunted tip to prevent distal tissue trauma and an irrigation port to provide irrigation fluid to the removed tissue and/or tissue removal element. Another tissue removal element has a proximal and distal spiral grooves that are oppositely pitched, so that removed tissue can be collected in the middle of the tissue removal element.
摘要翻译： 组织移除探针包括细长构件，可旋转地设置在构件内的驱动轴和安装到驱动轴的远端的可旋转的组织去除元件。 一个组织去除元件包括固定在组织去除元件的近端和远端的多个组织切割细丝。 切割细丝可以具有允许组织去除元件的远端反转的任选的铰链点，从而将组织去除元件从组织切割装置转变成组织抓取装置。 另一个组织去除元件可以具有钝的尖端以防止远端组织创伤和冲洗端口向被去除的组织和/或组织去除元件提供冲洗流体。 另一组织去除元件具有相对地倾斜的近端和远端螺旋槽，使得去除的组织可以被收集在组织移除元件的中间。
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公开(公告)号：US08372062B2
公开(公告)日：2013-02-12
申请号：US13586280
申请日：2012-08-15
申请人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
发明人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
IPC分类号： A61B17/00
CPC分类号： A61B17/12113 , A61B17/12022 , A61B17/1214 , A61B17/12168 , A61B17/12172 , A61B90/39 , A61B2017/1205 , A61B2017/12063
摘要： In one embodiment, a neck bridge for bridging the neck of an aneurysm includes a junction region, a number of radially extending array elements attached to the junction region, and a cover attached to one or both of the junction region and an array element. The array elements are configured to be positioned within the aneurysm after the neck bridge is deployed from a delivery device. In a second embodiment, the neck bridge includes a junction region and a braided or mesh-like structure secured to the junction region. The braided or mesh-like structure is made from an elastic material.
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4.发明授权Apparatus and methods for reducing compression bone fractures using high strength ribbed members 失效使用高强度肋骨构件减少压缩性骨折的装置和方法公开(公告)号：US07513900B2
公开(公告)日：2009-04-07
申请号：US10674723
申请日：2003-09-29
申请人： Harold F. Carrison , Lex P. Jansen
发明人： Harold F. Carrison , Lex P. Jansen
IPC分类号： A61B17/56
CPC分类号： A61B17/885 , A61B17/7097 , A61B17/8858
摘要： Devices and methods are provided for treating a bone structure (such as, e.g., reducing a bone fracture, e.g., a vertebral compression fracture, or stabilizing adjacent bone structure, e.g., vertebrae) is provided. The device comprises rigid or semi-rigid members, each of which comprises a common base and a plurality of ribs that extent along the a longitudinal portion of the common base. The device is configured to be placed in a collapsed state by engaging the pluralities of ribs of the members in an interposed arrangement, and configured to be placed in a deployed state by disengaging the pluralities of ribs. The ribs can be any shape, e.g., flutes, that allows opposing ribs to intermesh with one another. In this manner, the device has a relatively small profile when placed in the collapsed state, so that it can be introduced through small openings within the bone structure, while preserving the shear strength of the members during deployment of the device.
摘要翻译： 提供了用于治疗骨结构的装置和方法（例如，例如减少骨折，例如椎骨压缩性骨折，或稳定相邻的骨结构，例如椎骨）。 该装置包括刚性或半刚性构件，每个构件包括公共底座和沿公共底座的纵向部分延伸的多个肋。 该装置被构造成通过以插入的方式接合构件的多个肋而被置于折叠状态，并且构造成通过分离多个肋而被放置在展开状态。 肋可以是允许相对的肋相互啮合的任何形状，例如凹槽。 以这种方式，当设置在折叠状态时，该装置具有相对较小的轮廓，使得其可以通过骨结构内的小开口引入，同时在装置展开期间保持构件的剪切强度。
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公开(公告)号：US06576000B2
公开(公告)日：2003-06-10
申请号：US09800155
申请日：2001-03-06
申请人： Harold F. Carrison
发明人： Harold F. Carrison
IPC分类号： A61N100
CPC分类号： A61N5/062 , A61B2018/1807 , A61N5/0601 , A61N2005/0661
摘要： Disclosed herein catheters, assemblies comprising a single-lumen catheter having one or more sources of electro-magnetic radiation disposed within the wall of said catheter. Methods of using these catheters and assemblies are also provided.
摘要翻译： 本文公开了包括设置在所述导管的壁内的具有一个或多个电磁辐射源的单腔导管的组件。 还提供了使用这些导管和组件的方法。
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公开(公告)号：US6066149A
公开(公告)日：2000-05-23
申请号：US941514
申请日：1997-09-30
申请人： Gene Samson , Harold F. Carrison
发明人： Gene Samson , Harold F. Carrison
CPC分类号： A61F2/013 , A61B17/221 , A61F2/01 , A61B2017/22034 , A61B2017/22045 , A61B2017/22084 , A61B2017/2212 , A61B2090/376 , A61B90/39 , A61F2002/011 , A61F2002/016 , A61F2230/0006 , A61F2230/005 , A61F2230/0067 , A61F2230/0071
摘要： This is a surgical device usually delivered through an intravascular catheter. It may be used in several ways. It may, for instance, be used to open a clear passageway adjacent thrombus to allow both blood and medication to bypass the clot. It may be used to pierce and to remove thrombus. These thrombus are often found in tortuous vasculature. The device includes several sections. The device has a core element, typically a core wire. Placed around the distal end of the core element is a collapsible but preferably self expanding proximal cage assembly and a distal filter, preferably a self-expanding cage assembly or other filter component. The various portions of those components are preferably radio-opaque. The proximal end of the proximal cage is typically is affixed to an actuator in such a way as to allow expansion of the cage after deployment. The proximal cage assembly may be used for collecting emboli or for displacing them to allow blood flow to resume, either with or without concurrent clot-dissolving drug treatment. The distal sector, whether a self-expanding cage or fan, is placed distally of the thrombus to collect portions of the thrombus which may loosen during the treatment or removal procedure.
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公开(公告)号：US09131941B2
公开(公告)日：2015-09-15
申请号：US13525081
申请日：2012-06-15
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/0469 , A61B17/08 , A61B2017/00641 , A61B2017/0404 , A61B2017/0417 , A61B2017/0464
摘要： Disclosed herein are implantable fistula treatment devices and related methods. In some embodiments, an anorectal fistula treatment device may comprise a disc-shaped distal anchor comprising a concave side and a convex side, an outer edge region, an inner sealing region protruding from the concave side, and an attachment region configured for attachment to a connecting member. The inner sealing region may have a greater thickness than at least a portion of the attachment region and the outer edge region may be oriented at an acute angle to the inner sealing region. The distal anchor may have a tapered edge and the outer edge region and inner sealing region may be configured to form separate seals against tissue about a distal opening of an anorectal fistula.
摘要翻译： 本文公开了可植入式瘘治疗装置和相关方法。 在一些实施例中，肛门直肠瘘治疗装置可以包括盘形远端锚，其包括凹侧和凸侧，外缘区域，从凹侧突出的内密封区域和被配置为附接到 连接构件。 内密封区域可以具有比附接区域的至少一部分更大的厚度，并且外边缘区域可以与内密封区域成锐角。 远端锚固件可以具有锥形边缘，并且外边缘区域和内部密封区域可以被配置成在肛门直肠瘘的远端开口处形成针对组织的分开的密封。
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公开(公告)号：US20130006283A1
公开(公告)日：2013-01-03
申请号：US13525161
申请日：2012-06-15
CPC分类号： A61B17/0057 , A61B17/0401 , A61B50/30 , A61B2017/00641 , A61B2017/0404 , A61B2017/0406 , A61B2017/0409 , A61B2017/0412 , A61B2017/0464 , A61B2017/0496 , A61B2017/320012 , A61B2218/002
摘要： Disclosed herein are implantable fistula treatment devices and related methods. In some embodiments, a distal anchor for an implantable fistula treatment device may comprise a suture and a plurality of foldable members including at least a distal-most foldable member and a proximal-most foldable member. The distal-most foldable member may comprise a suture attachment structure. The distal-most foldable member may comprise a distal first average dimension substantially parallel to the longitudinal axis of the suture, a distal second average dimension orthogonal to the distal first average dimension, and a distal third average dimension orthogonal to the distal first and second average dimensions. The distal first average dimension may be no greater than 30% of the greater of the distal second and third average dimensions. The proximal-most foldable member may be configured to couple to a surface of a body lumen at a distal opening of a fistula. The proximal-most foldable member may also be configured to occlude the fistula at the distal opening and may also be configured to slide along the suture attached to the suture attachment structure. The proximal-most foldable member may comprise a proximal first average dimension substantially parallel to a longitudinal axis of the suture, a proximal second average dimension orthogonal to the proximal first average dimension, and a proximal third average dimension orthogonal to the proximal first and second average dimensions, where the proximal first average dimension may be no greater than 10% of the greater of the proximal second and third average dimensions.
摘要翻译： 本文公开了可植入式瘘治疗装置和相关方法。 在一些实施例中，用于可植入式瘘治疗装置的远侧锚固件可以包括缝合线和多个可折叠构件，其包括至少最远侧折叠构件和最近侧折叠构件。 最远侧折叠构件可以包括缝合线附接结构。 最远侧折叠构件可以包括基本上平行于缝合线的纵向轴线的远端第一平均尺寸，与远侧第一平均尺寸正交的远端第二平均尺寸，以及与第一和第二平均远端正交的远端第三平均尺寸 尺寸。 远端第一平均尺寸可以不大于远端第二和第三平均尺寸中较大者的30％。 最近端可折叠构件可构造成在瘘的远端开口处联接到体腔的表面。 最近端可折叠构件还可以构造成在远侧开口处封闭瘘，并且还可以被配置为沿着附接到缝合线附接结构的缝合线滑动。 近端可折叠构件可以包括基本上平行于缝合线的纵向轴线的近端第一平均尺寸，与近端第一平均尺寸正交的近端第二平均尺寸以及与近端第一和第二平均度正交的近端第三平均尺寸 尺寸，其中近端第一平均尺寸可以不大于近端第二和第三平均尺寸中较大者的10％。
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公开(公告)号：US20110282378A1
公开(公告)日：2011-11-17
申请号：US13194730
申请日：2011-07-29
申请人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
发明人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
IPC分类号： A61M29/00
CPC分类号： A61B17/12113 , A61B17/12022 , A61B17/1214 , A61B17/12168 , A61B17/12172 , A61B90/39 , A61B2017/1205 , A61B2017/12063
摘要： A device for bridging a neck of an aneurysm, comprises a junction region, one or more radially extending array elements secured to the junction region, each array element having an unfolded shape and a delivery shape; and a cover attached to the junction region, and extending over the delivery shape of the array elements, wherein each array element is attached at one end to the junction region and the array elements are constructed and arranged to unfold the cover when assuming their unfolded shape, and wherein the device further comprises a tip, and each array element is attached at another end to the tip, the tip comprising an opening through which a vaso-occlusive device or occlusion fluid may be delivered.
摘要翻译： 用于桥接动脉瘤颈部的装置包括接合区域，固定到接合区域的一个或多个径向延伸的阵列元件，每个阵列元件具有展开形状和递送形状; 以及附接到接合区域并且延伸在阵列元件的输送形状上的盖子，其中每个阵列元件在一端附接到接合区域，并且阵列元件被构造和布置成在假设其展开形状时展开盖子 并且其中所述装置还包括尖端，并且每个阵列元件在另一端附接到所述尖端，所述尖端包括可以输送血管闭塞装置或闭塞液的开口。
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公开(公告)号：US20110082493A1
公开(公告)日：2011-04-07
申请号：US12966311
申请日：2010-12-13
申请人： Gene Samson , Harold F. Carrison
发明人： Gene Samson , Harold F. Carrison
IPC分类号： A61F2/01
CPC分类号： A61F2/013 , A61B17/221 , A61B90/39 , A61B2017/22034 , A61B2017/22045 , A61B2017/22084 , A61B2017/2212 , A61B2090/376 , A61F2/01 , A61F2002/011 , A61F2002/016 , A61F2230/0006 , A61F2230/005 , A61F2230/0067 , A61F2230/0071
摘要： This is a surgical device usually delivered through an intravascular catheter. It may be used in several ways. It may, for instance, be used to open a clear passageway adjacent thrombus to allow both blood and medication to bypass the clot. It may be used to pierce and to remove thrombus. These thrombus are often found in tortuous vasculature. The device includes several sections. The device has a core element, typically a core wire. Placed around the distal end of the core element is a collapsible but preferably self expanding proximal cage assembly and a distal filter, preferably a self-expanding cage assembly or other filter component. The various portions of those components are preferably radio-opaque. The proximal end of the proximal cage is typically is affixed to an actuator in such a way as to allow expansion of the cage after deployment. The proximal cage assembly may be used for collecting emboli or for displacing them to allow blood flow to resume, either with or without concurrent clot-dissolving drug treatment. The distal sector, whether a self-expanding cage or fan, is placed distally of the thrombus to collect portions of the thrombus which may loosen during the treatment or removal procedure.
摘要翻译： 这是通常通过血管内导管递送的手术装置。 它可以以几种方式使用。 例如，它可以用于打开邻近血栓的清晰通道，以允许血液和药物绕过凝块。 它可以用于刺穿和去除血栓。 这些血栓通常在曲折的脉管系统中发现。 该设备包括几个部分。 该装置具有核心元件，通常为芯线。 围绕芯元件的远端放置的是可折叠但优选自扩张的近端保持器组件和远端过滤器，优选自膨胀笼组件或其它过滤器部件。 这些部件的各个部分优选地是不透射线的。 近端保持架的近端通常被固定到致动器上，以允许在展开之后使笼膨胀。 近端笼组件可用于收集栓塞或用于置换它们以允许血流恢复，无论是否伴有凝血溶解药物治疗。 远端部分，无论是自膨胀笼或风扇，是否位于血栓的远端，以收集在治疗或移除手术过程中可能松动的部分血栓。
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