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    Apparatus and Methods for Occluding a Hallow Anatomical Structure
    2.
    发明申请
    Apparatus and Methods for Occluding a Hallow Anatomical Structure 审中-公开
    用于封闭万圣节解剖结构的装置和方法

    公开(公告)号：US20090012545A1

    公开(公告)日：2009-01-08

    申请号：US11994725

    申请日：2006-07-14

    申请人： Warren P. Williamson, IV ,  Jason I. Glithero ,  Michael W. Goldenbogen ,  Chadd R. Tyler ,  Todd A. Hall

    发明人： Warren P. Williamson, IV ,  Jason I. Glithero ,  Michael W. Goldenbogen ,  Chadd R. Tyler ,  Todd A. Hall

    IPC分类号： A61B17/122

    CPC分类号： A61B17/083 ,  A61B17/10 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/00004

    摘要： A clamp (10) having at least first and second elongate clamping portions (2, 4) adapted to be placed on opposite sides of the hollow anatomical structure (40). The first and second elongate clamping portions (2, 4) respectively include ends coupled together with respective resilient urging members (6, 8) configured to urge at least one of the first and second elongate clamping portions (2, 4) toward the other of the first and second elongate clamping portions (2, 4) from an open position into a clamping position to occlude the hollow anatomical structure (40). The clamp (10) is shaped annularly such that it may surround the hollow anatomical structure (40) in the open position and reorient into a flattened shape in the clamping position to occlude the hollow interior of the hollow anatomical structure (40). Apparatus of the invention further include clamp delivery and actuation devices (80, 200) adapted to deploy the clamp (10).

    摘要翻译： 具有适于放置在中空解剖结构（40）的相对侧上的至少第一和第二细长夹紧部分（2,4）的夹具（10）。 第一和第二细长夹紧部分（2,4）分别包括与相应的弹性推动构件（6,8）联接在一起的端部，其构造成将第一和第二细长夹紧部分（2,4）中的至少一个朝向另一个 所述第一和第二细长夹持部分（2,4）从打开位置进入夹紧位置以封闭所述中空解剖结构（40）。 夹具（10）环形地成形，使得其可以围绕处于打开位置的中空解剖结构（40）并且在夹紧位置中重新定向成扁平形状以闭塞中空解剖结构（40）的中空内部。 本发明的装置还包括适于展开夹具（10）的夹具输送和致动装置（80,200）。

    Stent delivery system and method of use
    6.
    发明授权
    Stent delivery system and method of use 失效
    支架输送系统及使用方法

    公开(公告)号：US06409751B1

    公开(公告)日：2002-06-25

    申请号：US09710884

    申请日：2000-11-14

    申请人： Todd A. Hall ,  Greg R. Furnish ,  Simon M. Furnish ,  Scott J. Wolf ,  Peter J. Wilk ,  David Y. Phelps ,  Vincent Pompili

    发明人： Todd A. Hall ,  Greg R. Furnish ,  Simon M. Furnish ,  Scott J. Wolf ,  Peter J. Wilk ,  David Y. Phelps ,  Vincent Pompili

    IPC分类号： A61F206

    CPC分类号： A61F2/958 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61F2/2493 ,  A61F2/86 ,  A61M25/10 ,  A61M25/1006 ,  A61M2025/0096 ,  A61M2025/0197 ,  A61M2025/1095 ,  Y10S623/903

    摘要： Described herein are various methods and apparatuses for delivering stents and other devices into the myocardium of a patient. One preferred stent delivery system provides access to the insertion site in the myocardium by advancing a delivery catheter through a blockage in a coronary artery, or around the blockage through a coronary vein or through a channel or tunnel formed around the blockage. In one embodiment, once the distal end of the delivery catheter is adjacent the myocardium, an angled bend is created in the catheter by actuating expandable steering guides mounted to the catheter which cooperate with the walls of the blood vessel to cause the catheter to turn. Then, a guidewire is advanced through the delivery catheter and into the myocardium. In another embodiment, a tip-deflecting pull wire extends from the distal end of the delivery catheter which may be actuated to turn towards and then inserted into the myocardium. In another embodiment, an exit port facing the insertion site is provided within the catheter or a balloon mounted on the catheter so that a guidewire may be directed through a lumen and out the exit port into the myocardium. Once the guidewire punctures into the myocardium, the guidewire is anchored using barbs, balloons or other actuatable members to secure the guidewire to the myocardium. Subsequently, using a push-pull mechanism, stents and other medical devices can be advanced over the guidewire into the myocardium.

    摘要翻译： 这里描述了用于将支架和其他装置输送到患者的心肌中的各种方法和装置。 一个优选的支架递送系统通过使输送导管通过冠状动脉阻塞或通过冠状静脉或通过在阻塞周围形成的通道或隧道周围的阻塞来推进进入心肌中的插入部位。 在一个实施例中，一旦输送导管的远端与心肌相邻，则通过致动安装到导管的可扩展转向引导件，在导管中产生成角度的弯曲部，其与血管的壁配合以使导管转动。 然后，导丝通过输送导管进入心肌。 在另一个实施例中，尖端偏转拉线从输送导管的远端延伸，可以被致动以转向然后插入心肌。 在另一个实施例中，面向插入部位的出口端设置在导管内或安装在导管上的球囊上，使得导丝可以被引导通过内腔并离开出口进入心肌。 一旦导丝穿刺入心肌，就使用倒刺，气球或其他可致动部件来固定导丝，以将导丝固定到心肌。 随后，使用推拉机构，支架和其他医疗装置可以在导丝上前进进入心肌。