摘要:
A delivery catheter for a radially compressible tubular prosthesis comprises an elongate shaft slidably received within an elongate sheath. The prosthesis is carried over the distal end of the shaft where it is contained in a radially compressed configuration by the sheath. After introducing the catheter to a desired target location within a body lumen, the prosthesis may be released by proximally retracting the sheath. The prosthesis will remain anchored to the shaft during at least part of the release procedure, permitting the user to recapture the prosthesis by distally advancing the sheath.
摘要:
A delivery catheter for a radially compressible tubular prosthesis comprises an elongate shaft slidably received within an elongate sheath. The prosthesis is carried over the distal end of the shaft where it is contained in a radially compressed configuration by the sheath. After introducing the catheter to a desired target location within a body lumen, the prosthesis may be released by proximally retracting the sheath. The prosthesis will remain anchored to the shaft during at least part of the release procedure, permitting the user to recapture the prosthesis by distally advancing the sheath.
摘要:
A delivery catheter for a radially compressible tubular prosthesis comprises an elongate shaft slidably received within an elongate sheath. The prosthesis is carried over the distal end of the shaft where it is contained in a radially compressed configuration by the sheath. After introducing the catheter to a desired target location within a body lumen, the prosthesis may be released by proximally retracting the sheath. The prosthesis will remain anchored to the shaft during at least part of the release procedure, permitting the user to recapture the prosthesis by distally advancing the sheath.
摘要:
A remote endarterectomy ring stripper (1) includes an elongate shaft (8), having distal (36) and proximal (32) ends, an intima stripping ring (4, 34) mounted to the distal end of the elongate shaft and an intima cutter assembly having an intima cutting element (22, 42, 56, 60), at the stripping ring, operated by a user-operated cutting element actuator (10; 12, 50). Movement of the cutting element severs a length of intima (26), which has been separated from the wall (28) of the blood vessel (23), passing through the stripping ring.
摘要:
A medical device comprising a tubular member having a proximal end, a distal end, and a lumen extending therebetween. An adjustable filter is provided having a frame and a mesh disposed about the frame. The frame is generally circular when deployed and has a first point, a first arc extending 180° from the first point to a second point on the circular frame that is opposite the first point, and a second arc extending 180° from the first point to the second point. The filter is deployed by advancing the frame distally through the tubular member with the second point leading and the first point trailing.
摘要:
A filter comprising a porous material is arranged in a generally conical shape having an expandable base and a vertex. A reservoir tip is located at the vertex for collecting filtered embolic material. The tip communicates with a distal port and lumen of an aspiration tube for removing embolic material under vacuum. A vessel occluding device comprising a non-permeable material having an expandable conical shape and communicating with an aspiration tube is also disclosed. Methods of using the filter and occluding devices for protecting a patient from embolization during cardiovascular procedures are described.
摘要:
A medical device for filtering embolic material. The device comprises a cannula having a lumen, the lumen communicating with a port at the distal end. A port is located on an outer surface of the cannula adjacent a distal region of the cannula, the port having a passage extending distally and communicating with a distal opening in the port. A filter is removably insertable through the passage of the port, the filter comprising a flexible tubular member, a flexible shaft extending through the tubular member, and an expansion frame mounted on the distal end of the shaft. A filter mesh attached to the expansion frame. The expansion frame may optionally include a cantilever beam to support the far end of the frame, and in certain cases the cantilever beam is flexible to avoid scraping the vessel wall during use. Methods of use are also described.
摘要:
An introducer having an elongate tubular member and a device connector releasably attached to a proximal end of the tubular member. The introducer allows exchange of medical instruments, such as a blood filter and cardioplegia catheter, through a single lumen. An obturator having a retractable blade for making incision on a tissue is insertable through the lumen of the introducer. Methods of using the obturator and the introducer for introducing medical device(s) into body cavity, such as a vessel or cardiac tissue, are also disclosed.
摘要:
An endoluminal device having an elongate tubular member and a filter slideably received within a lumen of the tubular member. An obturator tip is carried by the filter and shaped to rest against the distal end of the elongate tubular member when the filter is within the lumen of the tubular member. Methods of using the obturator and the introducer for introducing the filter into a vessel, such as an aorta, are also disclosed.
摘要:
A cannula is described that includes a diverter mechanism in the form of a blast plate deployable from within the lumen of the cannula and retractable from the lumen of the cannula. The blast plate may take the form of a planar surface, a curved surface, a membrane mounted on a wire ring, or a conical sleeve, or any other suitable shape. In use, the cannula is inserted in a vessel, the blast plate is deployed in the lumen of the cannula beyond the distal end of the cannula, and blood flow is passed through the cannula and against the blast plate. Alternative devices and methods are also described.