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1.发明申请Delivery system and method for self-centering a Proximal end of a stent graft 审中-公开用于自动定心支架移植物近端的输送系统和方法公开(公告)号：US20070198078A1
公开(公告)日：2007-08-23
申请号：US11701876
申请日：2007-02-01
申请人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
发明人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
IPC分类号： A61F2/84
CPC分类号： A61F2/966 , A61F2/07 , A61F2/848 , A61F2/89 , A61F2/95 , A61F2002/075 , A61F2002/825 , A61F2002/91525 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9522 , A61F2002/9665 , A61F2230/008 , A61F2250/0048
摘要： A method for implanting a prosthesis centrally within a curved lumen includes loading a prosthesis into a delivery sheath, advancing the sheath in a patient towards the curved lumen to place at least the proximal end of the prosthesis within the curved lumen, and centering the proximal end of the prosthesis and/or the distal end of the sheath within the curved lumen. In a first advancing step, the outer catheter containing the inner sheath is advanced together towards the curved lumen to a location proximal of the curved lumen and, in a second advancing step, the inner sheath containing the prosthesis is advanced into the curved lumen to place at least the proximal end within the curved lumen while the outer catheter substantially remains at the location. After centering, the proximal end of the prosthesis is deployed centered within the curved lumen.
摘要翻译： 用于将假体植入在弯曲内腔内的方法包括将假体装载到输送鞘中，使患者中的护套向着弯曲的内腔移动，将假体的至少近端放置在弯曲的内腔内，并将近端 的假体和/或鞘的远端在弯曲管腔内。 在第一进行步骤中，包含内护套的外导管朝向弯曲内腔一起前进到靠近弯曲内腔的位置，并且在第二前进步骤中，将包含假体的内护套推入弯曲内腔以放置 至少在弯曲管腔内的近端，而外导管基本上保持在该位置。 在定中心之后，假体的近端在弯曲内腔中央展开。
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2.发明申请Delivery System and Method for Self-Centering a Proximal End of a Stent Graft 审中-公开用于自动定心支架植入物近端的输送系统和方法公开(公告)号：US20110313503A1
公开(公告)日：2011-12-22
申请号：US13024882
申请日：2011-02-10
申请人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
发明人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
IPC分类号： A61F2/84
CPC分类号： A61F2/966 , A61F2/07 , A61F2/848 , A61F2/89 , A61F2/95 , A61F2002/075 , A61F2002/825 , A61F2002/91525 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9522 , A61F2002/9665 , A61F2230/008 , A61F2250/0048
摘要： A method for implanting a prosthesis centrally within a curved lumen includes loading a prosthesis into a delivery sheath, advancing the sheath in a patient towards the curved lumen to place at least the proximal end of the prosthesis within the curved lumen, and centering the proximal end of the prosthesis and/or the distal end of the sheath within the curved lumen. In a first advancing step, the outer catheter containing the inner sheath is advanced together towards the curved lumen to a location proximal of the curved lumen and, in a second advancing step, the inner sheath containing the prosthesis is advanced into the curved lumen to place at least the proximal end within the curved lumen while the outer catheter substantially remains at the location. After centering, the proximal end of the prosthesis is deployed centered within the curved lumen.
摘要翻译： 用于将假体植入在弯曲内腔内的方法包括将假体装载到输送鞘中，使患者中的护套向着弯曲的内腔移动，将假体的至少近端放置在弯曲的内腔内，并将近端 的假体和/或鞘的远端在弯曲管腔内。 在第一进行步骤中，包含内护套的外导管朝向弯曲内腔一起前进到靠近弯曲内腔的位置，并且在第二前进步骤中，将包含假体的内护套推入弯曲内腔以放置 至少在弯曲管腔内的近端，而外导管基本上保持在该位置。 在定中心之后，假体的近端在弯曲内腔中央展开。
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公开(公告)号：US08449595B2
公开(公告)日：2013-05-28
申请号：US13295886
申请日：2011-11-14
IPC分类号： A61F2/06
CPC分类号： A61F2/962 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/826 , A61F2002/9505 , A61F2002/9517 , A61F2002/9522 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A delivery system for delivering and deploying a stent graft includes a curved guidewire catheter, an apex release catheter, an apex capture device, a relatively rigid, hollow catheter, and a distal nose. The apex capture device includes a distal capture portion fixedly connected to the distal end of the guidewire catheter and having a distal portion and a proximal stopper having an exposed side facing distally in a plane approximately perpendicular to a longitudinal axis of the curved guidewire catheter. The apex capture device also includes a proximal capture portion fixedly connected to the distal end of the apex release catheter and has fingers extending toward the distal capture portion in a distal direction that define an interior cavity to receive the proximal stopper. The proximal and distal capture portions of the apex capture device define a stent capture state.
摘要翻译： 用于递送和展开支架移植物的递送系统包括弯曲导丝导管，顶点释放导管，顶点捕获装置，相对刚性的中空导管和远端鼻。 顶点捕获装置包括固定地连接到导丝导管的远端的远侧捕获部分，并且具有远侧部分和近端止动器，该远端部分和近侧止动器具有面向远侧的大致垂直于弯曲导丝导管的纵向轴线的平面的暴露侧。 顶点捕获装置还包括固定地连接到顶点释放导管的远端的近端捕获部分，并且具有在远侧方向上朝向远端捕获部分延伸的指状物，该远端方向限定内腔以容纳近端塞。 顶点捕获装置的近端和远端捕获部分限定支架捕获状态。
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公开(公告)号：US20120123517A1
公开(公告)日：2012-05-17
申请号：US13295886
申请日：2011-11-14
IPC分类号： A61F2/84
CPC分类号： A61F2/962 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/826 , A61F2002/9505 , A61F2002/9517 , A61F2002/9522 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A delivery system for delivering and deploying a stent graft includes a curved guidewire catheter, an apex release catheter, an apex capture device, a relatively rigid, hollow catheter, and a distal nose. The apex capture device includes a distal capture portion fixedly connected to the distal end of the guidewire catheter and having a distal portion and a proximal stopper having an exposed side facing distally in a plane approximately perpendicular to a longitudinal axis of the curved guidewire catheter. The apex capture device also includes a proximal capture portion fixedly connected to the distal end of the apex release catheter and has fingers extending toward the distal capture portion in a distal direction that define an interior cavity to receive the proximal stopper. The proximal and distal capture portions of the apex capture device define a stent capture state.
摘要翻译： 用于递送和展开支架移植物的递送系统包括弯曲导丝导管，顶点释放导管，顶点捕获装置，相对刚性的中空导管和远端鼻。 顶点捕获装置包括固定地连接到导丝导管的远端的远侧捕获部分，并且具有远侧部分和近端止动器，该远端部分和近侧止动器具有面向远侧的大致垂直于弯曲导丝导管的纵向轴线的平面的暴露侧。 顶点捕获装置还包括固定地连接到顶点释放导管的远端的近端捕获部分，并且具有在远侧方向上朝向远端捕获部分延伸的指状物，该远端方向限定内腔以容纳近端塞。 顶点捕获装置的近端和远端捕获部分限定支架捕获状态。
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公开(公告)号：US20060188408A1
公开(公告)日：2006-08-24
申请号：US11353927
申请日：2006-02-13
IPC分类号： B01L3/02
CPC分类号： A61F2/07 , A61F2/844 , A61F2/89 , A61F2/90 , A61F2/915 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/828 , A61F2002/9505 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： An apex capture device for holding proximal apices of a stent to be implanted includes a distal capture portion to be fixedly connected to a distal end of a first hollow lumen. The distal capture portion has a longitudinal axis, a distal portion with a proximal end, and a stopper having a distal side disposed in a plane approximately perpendicular to the longitudinal axis, being disposed at a proximal distance from the proximal end of the distal portion, and defining stopping surface portions. A proximal capture portion is to be fixedly connected to a distal end of a second lumen and having fingers extending toward the distal capture portion in a distal direction, the fingers defining an interior cavity shaped to receive the stopper therein. The proximal and distal capture portions are formed to hold the proximal apices therebetween and, together, defining a stent captured state in which the stopper is received in the interior cavity and the distal capture portion closes off the interior cavity along the longitudinal axis.
摘要翻译： 用于保持待植入的支架的近侧顶点的顶点捕获装置包括固定地连接到第一中空腔的远端的远端捕获部分。 所述远端捕获部分具有纵向轴线，具有近端的远端部分和具有设置在与所述纵向轴线大致垂直的平面中的远端侧的止动件，所述远端侧部设置在距所述远端部分的近端的近端距离处， 并限定止挡表面部分。 近端捕获部分将被固定地连接到第二内腔的远端并且具有在远侧方向上朝着远端捕获部分延伸的指状物，所述指状物限定形成为在其中容纳止动器的内部空腔。 近端和远端捕获部分被形成为将近端顶点保持在其间，并且一起限定支架捕获状态，其中止动器被容纳在内腔中，并且远端捕获部分沿着纵向轴线封闭内腔。
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公开(公告)号：US08062345B2
公开(公告)日：2011-11-22
申请号：US11828675
申请日：2007-07-26
IPC分类号： A61F2/06
CPC分类号： A61F2/962 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/826 , A61F2002/9505 , A61F2002/9517 , A61F2002/9522 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A delivery system for delivering and deploying a stent graft includes a guidewire catheter, an apex release catheter, an apex capture device, a relatively rigid, hollow catheter, a sheath catheter, a relatively flexible, hollow stent graft sheath and a distal nose. The apex capture device includes a distal capture portion fixedly connected to the distal end of the guidewire catheter and having a distal portion and a proximal stopper having an exposed side facing distally in a plane approximately perpendicular to a longitudinal axis of the guidewire catheter. The apex capture device also includes a proximal capture portion fixedly connected to the distal end of the apex release catheter and has fingers extending toward the distal capture portion in a distal direction that define an interior cavity to receive the proximal stopper. The proximal and distal capture portions of the apex capture device define a stent capture state. In an embodiment, the delivery system further includes a hollow graft push catheter slidably disposed about the apex release catheter and a connected to the distal end of the graft push catheter.
摘要翻译： 用于递送和部署支架移植物的递送系统包括导丝导管，顶点释放导管，顶点捕获装置，相对刚性的中空导管，鞘导管，相对柔性的中空支架移植鞘和远端鼻。 顶点捕获装置包括固定地连接到导丝导管的远端的远侧捕获部分，并且具有远侧部分和近端止动器，该远端部分和近端止动器具有面向远端的暴露侧面，该平面大致垂直于导丝导管的纵向轴线。 顶点捕获装置还包括固定地连接到顶点释放导管的远端的近端捕获部分，并且具有在远侧方向上朝向远端捕获部分延伸的指状物，该远端方向限定内腔以容纳近端塞。 顶点捕获装置的近端和远端捕获部分限定支架捕获状态。 在一个实施例中，输送系统还包括可滑动地设置在顶点释放导管周围并连接到移植物推动导管的远端的中空移植物推送导管。
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公开(公告)号：US20080077227A1
公开(公告)日：2008-03-27
申请号：US11828675
申请日：2007-07-26
IPC分类号： A61F2/84
CPC分类号： A61F2/962 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/826 , A61F2002/9505 , A61F2002/9517 , A61F2002/9522 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A method for delivering a stent graft includes the steps of moving lumens retaining a stent graft within a multi-lumen stent-graft-delivery catheter towards an implantation site to place the stent graft at a first position prior to reaching the implantation site. The delivery catheter has at least one interior lumen holding the stent graft. A handle assembly of the delivery catheter is activated to extend distally the at least one interior lumen towards the implantation site to thereby place the stent graft at a second position substantially within the implantation site while a lumen surrounding the at least one interior lumen of the delivery catheter remains substantially at the first position. The handle assembly is activated to proximally retract a sheath holding the stent graft to at least partially deploy the stent graft at the implantation site.
摘要翻译： 用于输送支架移植物的方法包括以下步骤：将保持支架移植物的内腔移动到多腔支架移植物输送导管内朝向植入位置，以在到达植入部位之前将支架移植物置于第一位置。 输送导管具有至少一个保持支架移植物的内腔。 输送导管的手柄组件被激活以将至少一个内腔的远端向着注入部位延伸，从而将支架移植物放置在基本上在植入部位内的第二位置，而围绕输送的至少一个内腔的内腔 导管基本保持在第一位置。 手柄组件被激活以使夹持支架移植物的护套近端缩回以在植入部位至少部分展开支架移植物。
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公开(公告)号：US20050049667A1
公开(公告)日：2005-03-03
申请号：US10884136
申请日：2004-07-02
CPC分类号： A61F2/07 , A61F2/844 , A61F2/89 , A61F2/90 , A61F2/915 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/828 , A61F2002/9505 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A delivery system and kit for endovascularly delivering a prosthesis along a guidewire to an curved implantation site includes a control handle having a handle body with a prosthesis movement control assembly movably disposed thereto. A proximal end of a catheter is connected to the control handle. A prosthesis delivery assembly is movably disposed in the catheter. The delivery assembly has a guidewire lumen slidably receiving therein the guidewire and having a curved distal end orienting the delivery assembly when passing through a curved vessel portion. A method for automatic endovascular alignment of the prosthesis includes loading it in the distal delivery assembly, positioning the guidewire into the curved implantation site, and threading the guidewire lumen over the guidewire with the delivery assembly and into the implantation site to at least approximately align the curved distal portion to a curve of the curved implantation site and, thereby, orient the prosthesis.
摘要翻译： 用于沿着导丝将假体血管内输送到弯曲植入部位的输送系统和套件包括具有手柄本体的控制手柄，该手柄主体具有可移动地设置在其上的假体运动控制组件。 导管的近端连接到控制手柄。 假体输送组件可移动地设置在导管中。 输送组件具有可滑动地容纳导丝的导丝内腔，并且当穿过弯曲的血管部分时具有使输送组件定向的弯曲远端。 用于假体的自动血管内对准的方法包括将其装载在远端递送组件中，将导丝定位到弯曲的植入部位，以及将导丝管线与导出组件穿过导丝并进入植入部位以至少大致对准 弯曲的远端部分到弯曲植入部位的曲线，从而使假体定向。
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公开(公告)号：US20080077226A1
公开(公告)日：2008-03-27
申请号：US11828653
申请日：2007-07-26
IPC分类号： A61F2/06
CPC分类号： A61F2/962 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/826 , A61F2002/9505 , A61F2002/9517 , A61F2002/9522 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A system for implanting a prosthesis includes a prosthesis delivery device having a handle with a longitudinal axis and a lumen control assembly an intermediate lumen connected to the lumen control assembly and having a distal end, a prosthesis sheath at the distal end of the intermediate lumen for holding therein a prosthesis to be implanted, and an outer lumen fixedly connected to the handle with respect to the longitudinal axis about the intermediate lumen. The lumen control assembly is operable to selectively move the intermediate lumen with the prosthesis sheath between a retracted position in which, when a prosthesis is disposed within the prosthesis sheath, both the prosthesis sheath and the prosthesis are disposed within the outer lumen and an extended position in which, when the prosthesis is disposed within the prosthesis sheath, a portion of the prosthesis sheath containing the prosthesis is disposed outside the outer lumen.
摘要翻译： 用于植入假体的系统包括具有纵向轴线的手柄的修补物输送装置和与内腔控制组件连接并具有远端的中腔，并且具有远端，中间腔的远端处的假体护套， 在其中保持待植入的假体，以及相对于纵向轴线围绕中间腔固定地连接到手柄的外腔。 流明控制组件可操作以选择性地将具有假体护套的中间管腔移动到缩回位置，在缩回位置中，当假体设置在假体护套内时，假体护套和假体均设置在外腔内并且延伸位置 其中当假体设置在假体鞘内时，包含假体的假体鞘的一部分设置在外腔的外侧。
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公开(公告)号：US20060129224A1
公开(公告)日：2006-06-15
申请号：US11348176
申请日：2006-02-06
IPC分类号： A61F2/06
CPC分类号： A61F2/966 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/962 , A61F2002/075 , A61F2002/828 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2210/0014 , A61F2230/0091 , A61F2250/0098 , A61M25/0105 , A61M25/0108 , Y10T29/49799 , Y10T74/18392
摘要： A delivery system for endovascularly delivering a prosthesis along a guidewire to a curved implantation site includes a delivery device having control handle and an inner lumen slidably disposed in the handle between a retracted position and an extended position. The inner lumen has a distal end and a tip at the distal end of the inner lumen. An intermediate lumen is slidably disposed about the inner lumen and has a distal end. A relatively flexible prosthesis sheath is connected to the distal end of the intermediate lumen and a relatively stiff outer lumen is axially fixedly connected to the handle about the intermediate lumen. The outer lumen has a length only long enough to be inserted in a patient's aorta no further than the patient's celiac axis.
摘要翻译： 用于沿着导丝将假体血管内输送到弯曲植入部位的输送系统包括具有控制手柄的输送装置和在缩回位置和延伸位置之间可滑动地设置在手柄中的内腔。 内腔具有远端和位于内腔远端的尖端。 中间腔围绕内腔可滑动地设置并且具有远端。 相对柔性的假体护套连接到中间腔的远端，并且相对刚性的外腔与中间管腔周围固定地连接到手柄。 外腔具有足够长的长度以插入患者主动脉中，而不超过患者的腹腔轴线。
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