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    Catheter system and method for boring through blocked vascular passages
    6.
    发明授权
    Catheter system and method for boring through blocked vascular passages 有权
    导管系统和通过阻塞血管通道钻孔的方法

    公开(公告)号：US08361097B2

    公开(公告)日：2013-01-29

    申请号：US13277167

    申请日：2011-10-19

    申请人： Himanshu N. Patel ,  John B. Simpson

    发明人： Himanshu N. Patel ,  John B. Simpson

    IPC分类号： A61B17/22 ,  A61D1/02

    CPC分类号： A61B17/32002 ,  A61B17/22012 ,  A61B17/32075 ,  A61B17/320758 ,  A61B18/1492 ,  A61B18/24 ,  A61B2017/00336 ,  A61B2017/00398 ,  A61B2017/22094

    摘要： A rotating cutting head catheter for passage through chronic total occlusions or other refractory atherosclerotic plaque from diseased arteries is disclosed. The catheter's rotating cutting head is designed to reside safely within an outer protective sheath when not in use. The outer protective sheath contains one or more helical grooves or slots, and the cutting head contains protruding blades or projections that fit into these helical grooves or slots. Application of torque to an inner catheter or wire attached to the cutting head applies spin to the cutting head, and the force of the sheath's helical grooves or slots against the cutting head's protruding blades or projections advances the cutting head outward from the protective sheath. Once extended, the cutting head may now rotate freely. The device may use a guidewire to direct the cutting head to the desired position.

    摘要翻译： 公开了用于通过慢性完全闭塞或其它难治性动脉粥样硬化斑块从患病动脉穿过的旋转切割头导管。 导管的旋转切割头设计成在不使用时安全地驻留在外部保护护套内。 外保护套包含一个或多个螺旋槽或槽，并且切割头包含装配到这些螺旋槽或槽中的突出的叶片或凸起。 将扭矩施加到附接到切割头上的内导管或线将旋转旋转到切割头，并且护套的螺旋槽或狭槽抵靠切割头的突出的刀片或突起的力将切割头从保护护套向外移动。 一旦延伸，切割头现在可以自由旋转。 该装置可以使用导丝将切割头引导到期望的位置。

    Catheter system and method for boring through blocked vascular passages
    7.
    发明授权
    Catheter system and method for boring through blocked vascular passages 有权
    导管系统和通过阻塞血管通道钻孔的方法

    公开(公告)号：US08062316B2

    公开(公告)日：2011-11-22

    申请号：US12108433

    申请日：2008-04-23

    申请人： Himanshu N. Patel ,  John B. Simpson

    发明人： Himanshu N. Patel ,  John B. Simpson

    IPC分类号： A61B17/22 ,  A61D1/02

    CPC分类号： A61B17/32002 ,  A61B17/22012 ,  A61B17/32075 ,  A61B17/320758 ,  A61B18/1492 ,  A61B18/24 ,  A61B2017/00336 ,  A61B2017/00398 ,  A61B2017/22094

    摘要： A rotating cutting head catheter for passage through chronic total occlusions or other refractory atherosclerotic plaque from diseased arteries is disclosed. The catheter's rotating cutting head is designed to reside safely within an outer protective sheath when not in use. The outer protective sheath contains one or more helical grooves or slots, and the cutting head contains protruding blades or projections that fit into these helical grooves or slots. Application of torque to an inner catheter or wire attached to the cutting head applies spin to the cutting head, and the force of the sheath's helical grooves or slots against the cutting head's protruding blades or projections advances the cutting head outward from the protective sheath. Once extended, the cutting head may now rotate freely. The device may use a guidewire to direct the cutting head to the desired position.

    摘要翻译： 公开了用于通过慢性完全闭塞或其它难治性动脉粥样硬化斑块从患病动脉穿过的旋转切割头导管。 导管的旋转切割头设计成在不使用时安全地驻留在外部保护护套内。 外保护套包含一个或多个螺旋槽或槽，并且切割头包含装配到这些螺旋槽或槽中的突出的叶片或凸起。 将扭矩施加到附接到切割头上的内导管或线将旋转旋转到切割头，并且护套的螺旋槽或狭槽抵靠切割头的突出的刀片或突起的力将切割头从保护护套向外移动。 一旦延伸，切割头现在可以自由旋转。 该装置可以使用导丝将切割头引导到期望的位置。

    CATHETER SYSTEM AND METHOD FOR BORING THROUGH BLOCKED VASCULAR PASSAGES
    8.
    发明申请
    CATHETER SYSTEM AND METHOD FOR BORING THROUGH BLOCKED VASCULAR PASSAGES 有权
    通过堵塞的血管通道进行穿孔的导管系统和方法

    公开(公告)号：US20120041307A1

    公开(公告)日：2012-02-16

    申请号：US13277167

    申请日：2011-10-19

    申请人： Himanshu N. Patel ,  John B. Simpson

    发明人： Himanshu N. Patel ,  John B. Simpson

    IPC分类号： A61B17/34 ,  A61B18/00 ,  A61B18/18 ,  A61M25/09 ,  A61B6/00

    CPC分类号： A61B17/32002 ,  A61B17/22012 ,  A61B17/32075 ,  A61B17/320758 ,  A61B18/1492 ,  A61B18/24 ,  A61B2017/00336 ,  A61B2017/00398 ,  A61B2017/22094

    摘要： A rotating cutting head catheter for passage through chronic total occlusions or other refractory atherosclerotic plaque from diseased arteries is disclosed. The catheter's rotating cutting head is designed to reside safely within an outer protective sheath when not in use. The outer protective sheath contains one or more helical grooves or slots, and the cutting head contains protruding blades or projections that fit into these helical grooves or slots. Application of torque to an inner catheter or wire attached to the cutting head applies spin to the cutting head, and the force of the sheath's helical grooves or slots against the cutting head's protruding blades or projections advances the cutting head outward from the protective sheath. Once extended, the cutting head may now rotate freely. The device may use a guidewire to direct the cutting head to the desired position.

    摘要翻译： 公开了用于通过慢性完全闭塞或其它难治性动脉粥样硬化斑块从患病动脉穿过的旋转切割头导管。 导管的旋转切割头设计成在不使用时安全地驻留在外部保护护套内。 外保护套包含一个或多个螺旋槽或槽，并且切割头包含装配到这些螺旋槽或槽中的突出的叶片或凸起。 将扭矩施加到附接到切割头上的内导管或线将旋转旋转到切割头，并且护套的螺旋槽或狭槽抵靠切割头的突出的刀片或突起的力将切割头从保护护套向外移动。 一旦延伸，切割头现在可以自由旋转。 该装置可以使用导丝将切割头引导到期望的位置。

    Catheter System and Method for Boring through Blocked Vascular Passages
    9.
    发明申请
    Catheter System and Method for Boring through Blocked Vascular Passages 有权
    导管系统和通过阻塞血管通道镗孔的方法

    公开(公告)号：US20090270888A1

    公开(公告)日：2009-10-29

    申请号：US12108433

    申请日：2008-04-23

    申请人： Himanshu N. Patel ,  John B. Simpson

    发明人： Himanshu N. Patel ,  John B. Simpson

    IPC分类号： A61B17/22

    CPC分类号： A61B17/32002 ,  A61B17/22012 ,  A61B17/32075 ,  A61B17/320758 ,  A61B18/1492 ,  A61B18/24 ,  A61B2017/00336 ,  A61B2017/00398 ,  A61B2017/22094

    摘要： A rotating cutting head catheter for passage through chronic total occlusions or other refractory atherosclerotic plaque from diseased arteries is disclosed. The catheter's rotating cutting head is designed to reside safely within an outer protective sheath when not in use. The outer protective sheath contains one or more helical groves or slots, and the cutting head contains protruding blades or projections that fit into these helical groves or slots. Application of torque to an inner catheter or wire attached to the cutting head applies spin to the cutting head, and the force of the sheath's helical groves or slots against the cutting head's protruding blades or projections advances the cutting head outward from the protective sheath. Once extended, the cutting head may now rotate freely. The device may use a guidewire to direct the cutting head to the desired position.

    摘要翻译： 公开了用于通过慢性完全闭塞或其它难治性动脉粥样硬化斑块从患病动脉穿过的旋转切割头导管。 导管的旋转切割头设计成在不使用时安全地驻留在外部保护护套内。 外护套包含一个或多个螺旋槽或槽，并且切割头包含装配到这些螺旋槽或槽中的突出的叶片或凸起。 将扭矩施加到附接到切割头的内部导管或线将旋转旋转到切割头，并且护套的螺旋槽或狭槽抵靠切割头的突出的刀片或突起的力使切割头从保护护套向外移动。 一旦延伸，切割头现在可以自由旋转。 该装置可以使用导丝将切割头引导到期望的位置。

    Guidewire positioning catheter
    10.
    发明授权
    Guidewire positioning catheter 有权
    导丝定位导管

    公开(公告)号：US08696695B2

    公开(公告)日：2014-04-15

    申请号：US12689748

    申请日：2010-01-19

    申请人： Himanshu N. Patel ,  John B. Simpson

    发明人： Himanshu N. Patel ,  John B. Simpson

    IPC分类号： A61B17/22 ,  A61D1/02

    CPC分类号： A61B5/066 ,  A61B17/320758 ,  A61B2017/003 ,  A61B2017/00309 ,  A61B2017/22038 ,  A61B2017/320775 ,  A61M25/01 ,  A61M25/0138 ,  A61M25/0147 ,  A61M25/0155 ,  A61M25/0172

    摘要： Described herein are guidewire positioning and support devices, method for using them, method of treating a subject using them, and systems including such guidewire positioning and support devices. These devices typically include a rotatable distal tip region that may include one or more wedges. The wedges may be extendable from the rotatable distal tip. The distal end of the device may be steerable, and may be steered while still rotating the distal end of the device. The wedges (which may include sharp forward-cutting blades and blunt lateral portions) can be extended from the distal housing and locked in any position (extended, partially extended or retracted) and rotated clockwise and/or counterclockwise while locked in a retracted, extended or partially extended position. The distal region of the device may also be controllable steered from the proximal end of the device. Systems including these guidewire support catheters are also described, as are method of using them, including methods of treating chronic total occlusions.

    摘要翻译： 这里描述的是导丝定位和支撑装置，使用它们的方法，使用它们处理对象的方法，以及包括这种导丝定位和支撑装置的系统。 这些装置通常包括可旋转的远侧末梢区域，其可以包括一个或多个楔形物。 楔形物可以从可旋转的远端延伸。 装置的远端可以是可操纵的，并且可以在仍然旋转装置的远端的同时转向。 可以从远侧壳体延伸楔形物（其可以包括锋利的前切割刀片和钝的侧面部分）并且锁定在任何位置（延伸，部分延伸或缩回）并且在锁定在缩回的延伸部中时顺时针和/或逆时针旋转 或部分延伸位置。 装置的远端区域也可以从装置的近端受到控制。 还描述了包括这些导丝支撑导管的系统，以及使用它们的方法，包括治疗慢性完全闭塞的方法。