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公开(公告)号：US08945160B2
公开(公告)日：2015-02-03
申请号：US12843004
申请日：2010-07-23
申请人： Jeffrey A. Krolik , Gwendolyn Watanabe , Juan Domingo , Ray Betelia , James H. Dreher , Daryush Mirzaee , Lucas Fernandez
发明人： Jeffrey A. Krolik , Gwendolyn Watanabe , Juan Domingo , Ray Betelia , James H. Dreher , Daryush Mirzaee , Lucas Fernandez
IPC分类号： A61M25/10 , A61B17/22 , A61B17/221 , A61B17/3207 , A61F2/958 , A61B17/3205 , A61M25/00
CPC分类号： A61M25/10185 , A61B17/22032 , A61B17/221 , A61B17/32056 , A61B17/320725 , A61B2017/22034 , A61B2017/22061 , A61B2017/22082 , A61B2017/2212 , A61B2017/2215 , A61F2/958 , A61M25/0075 , A61M25/0097 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/104 , A61M29/02 , A61M2025/0008 , A61M2025/1068 , A61M2025/1077 , A61M2025/1084 , A61M2025/1086 , A61M2025/109
摘要： An apparatus is provided that is operable in different modes to perform various functions for treating a body lumen. The apparatus includes a shaft including proximal and distal ends, a lumen extending therebetween, and a balloon on the distal end. The apparatus includes a valve on the distal end that selectively opens or closes an outlet communicating with the lumen. With the valve open, fluid introduced into the lumen exits the outlet into a body lumen. With the valve closed, fluid introduced into the lumen expands the balloon. The valve may be biased to be closed, e.g., by a spring element disposed within the balloon. Optionally, the apparatus also includes an actuator for expanding a helical member within the balloon interior, e.g., either before or after expanding the balloon, such that the helical member and balloon may adopt an expanded helical shape for removing material within a body lumen.
摘要翻译： 提供一种能够以不同模式操作以执行用于治疗体腔的各种功能的装置。 该装置包括轴，该轴包括近端和远端，在其间延伸的内腔和远端上的气囊。 该装置包括在远端上的选择性地打开或关闭与内腔连通的出口的阀。 当阀门打开时，引入管腔的流体将出口排出到体腔内。 随着阀关闭，引入内腔的流体膨胀气囊。 阀可以被偏置为关闭，例如通过设置在气囊内的弹簧元件来关闭。 可选地，该装置还包括用于在球囊内部扩张螺旋构件的致动器，例如在膨胀囊之前或之后，使得螺旋构件和球囊可采用扩展的螺旋形状以去除体腔内的材料。
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公开(公告)号：US20110125132A1
公开(公告)日：2011-05-26
申请号：US12843004
申请日：2010-07-23
申请人： Jeffrey A. Krolik , Gwendolyn Watanabe , Juan Domingo , Ray Betelia , James H. Dreher , Daryush Mirzaee , Lucas Fernandez
发明人： Jeffrey A. Krolik , Gwendolyn Watanabe , Juan Domingo , Ray Betelia , James H. Dreher , Daryush Mirzaee , Lucas Fernandez
CPC分类号： A61M25/10185 , A61B17/22032 , A61B17/221 , A61B17/32056 , A61B17/320725 , A61B2017/22034 , A61B2017/22061 , A61B2017/22082 , A61B2017/2212 , A61B2017/2215 , A61F2/958 , A61M25/0075 , A61M25/0097 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/104 , A61M29/02 , A61M2025/0008 , A61M2025/1068 , A61M2025/1077 , A61M2025/1084 , A61M2025/1086 , A61M2025/109
摘要： An apparatus is provided that is operable in different modes to perform various functions for treating a body lumen. The apparatus includes a shaft including proximal and distal ends, a lumen extending therebetween, and a balloon on the distal end. The apparatus includes a valve on the distal end that selectively opens or closes an outlet communicating with the lumen. With the valve open, fluid introduced into the lumen exits the outlet into a body lumen. With the valve closed, fluid introduced into the lumen expands the balloon. The valve may be biased to be closed, e.g., by a spring element disposed within the balloon. Optionally, the apparatus also includes an actuator for expanding a helical member within the balloon interior, e.g., either before or after expanding the balloon, such that the helical member and balloon may adopt an expanded helical shape for removing material within a body lumen.
摘要翻译： 提供一种能够以不同模式操作以执行用于治疗体腔的各种功能的装置。 该装置包括轴，该轴包括近端和远端，在其间延伸的内腔和远端上的气囊。 该装置包括在远端上的选择性地打开或关闭与内腔连通的出口的阀。 当阀门打开时，引入管腔的流体将出口排出到体腔内。 随着阀关闭，引入内腔的流体膨胀气囊。 阀可以被偏置为关闭，例如通过设置在气囊内的弹簧元件来关闭。 可选地，该装置还包括用于在球囊内部扩张螺旋构件的致动器，例如在膨胀囊之前或之后，使得螺旋构件和球囊可采用扩展的螺旋形状以去除体腔内的材料。
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公开(公告)号：US09101382B2
公开(公告)日：2015-08-11
申请号：US13216208
申请日：2011-08-23
IPC分类号： A61M25/10 , A61B17/22 , A61M25/00 , A61B17/221 , A61F2/958 , A61M29/02 , A61B17/3205 , A61B17/3207
CPC分类号： A61B17/22032 , A61B5/6853 , A61B17/221 , A61B17/32056 , A61B17/3207 , A61B17/320725 , A61B2017/22034 , A61B2017/22061 , A61B2017/22082 , A61B2017/22084 , A61B2017/2212 , A61B2017/2215 , A61F2/958 , A61M5/007 , A61M25/0075 , A61M25/0097 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/10185 , A61M29/02 , A61M2025/0008 , A61M2025/105 , A61M2025/1068 , A61M2025/1077 , A61M2025/1084 , A61M2025/1086 , A61M2025/109
摘要： Apparatus and methods are provided for delivering fluid into a body lumen during a medical procedure. A distal end of an apparatus may be introduced into a body lumen, and a valve on the distal end may be opened to deliver fluid through a first lumen into the body lumen, e.g., contrast and/or other diagnostic or therapeutic agents. The valve may be closed, and a procedure may be performed within the body lumen, e.g., using a treatment element carried on the distal end. For example, the treatment element may include a balloon that may be inflated when fluid is delivered through the first lumen with the valve closed. Optionally, a prosthesis, energy source, drug platform, and the like may be carried by the balloon for treating the body lumen. In various embodiments, the valve may be located proximal or distal to the treatment element.
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公开(公告)号：US20120197193A1
公开(公告)日：2012-08-02
申请号：US13444739
申请日：2012-04-11
IPC分类号： A61M25/10
CPC分类号： A61B17/22032 , A61B5/6853 , A61B17/221 , A61B17/32056 , A61B17/3207 , A61B17/320725 , A61B2017/22034 , A61B2017/22061 , A61B2017/22082 , A61B2017/22084 , A61B2017/2212 , A61B2017/2215 , A61F2/958 , A61M5/007 , A61M25/0075 , A61M25/0097 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/10185 , A61M29/02 , A61M2025/0008 , A61M2025/105 , A61M2025/1068 , A61M2025/1077 , A61M2025/1084 , A61M2025/1086 , A61M2025/109
摘要： Apparatus and methods are provided for delivering fluid into a body lumen during a medical procedure. A distal end of an apparatus may be introduced into a body lumen, and a valve on the distal end may be opened to deliver fluid through a first lumen into the body lumen, e.g., contrast and/or other diagnostic or therapeutic agents. The valve may be closed, and a procedure may be performed within the body lumen, e.g., using a treatment element carried on the distal end. For example, the treatment element may include a balloon that may be inflated when fluid is delivered through the first lumen with the valve closed. Optionally, a prosthesis, energy source, drug platform, and the like may be carried by the balloon for treating the body lumen. In various embodiments, the valve may be located proximal or distal to the treatment element.
摘要翻译： 提供了设备和方法，用于在医疗过程中将流体输送到体腔中。 装置的远端可以被引入体腔，并且可以打开远端上的阀，以将流体通过第一腔输送到体腔，例如造影剂和/或其它诊断或治疗剂。 可以关闭阀，并且可以在体腔内执行程序，例如使用在远端承载的治疗元件。 例如，治疗元件可以包括当阀关闭时流体通过第一内腔输送时可膨胀的球囊。 任选地，假体，能量源，药物平台等可以由球囊承载以用于处理体腔。 在各种实施例中，阀可以位于治疗元件的近侧或远侧。
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公开(公告)号：US08926649B2
公开(公告)日：2015-01-06
申请号：US13444739
申请日：2012-04-11
IPC分类号： A61M25/10 , A61B17/22 , A61B17/221 , A61B17/3207 , A61F2/958 , A61M29/02 , A61B17/3205 , A61M25/00
CPC分类号： A61B17/22032 , A61B5/6853 , A61B17/221 , A61B17/32056 , A61B17/3207 , A61B17/320725 , A61B2017/22034 , A61B2017/22061 , A61B2017/22082 , A61B2017/22084 , A61B2017/2212 , A61B2017/2215 , A61F2/958 , A61M5/007 , A61M25/0075 , A61M25/0097 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/10185 , A61M29/02 , A61M2025/0008 , A61M2025/105 , A61M2025/1068 , A61M2025/1077 , A61M2025/1084 , A61M2025/1086 , A61M2025/109
摘要： Apparatus and methods are provided for delivering fluid into a body lumen during a medical procedure. A distal end of an apparatus may be introduced into a body lumen, and a valve on the distal end may be opened to deliver fluid through a first lumen into the body lumen, e.g., contrast and/or other diagnostic or therapeutic agents. The valve may be closed, and a procedure may be performed within the body lumen, e.g., using a treatment element carried on the distal end. For example, the treatment element may include a balloon that may be inflated when fluid is delivered through the first lumen with the valve closed. Optionally, a prosthesis, energy source, drug platform, and the like may be carried by the balloon for treating the body lumen. In various embodiments, the valve may be located proximal or distal to the treatment element.
摘要翻译： 提供了设备和方法，用于在医疗过程中将流体输送到体腔中。 装置的远端可以被引入体腔，并且可以打开远端上的阀，以将流体通过第一腔输送到体腔，例如造影剂和/或其它诊断或治疗剂。 可以关闭阀，并且可以在体腔内执行程序，例如使用在远端承载的治疗元件。 例如，治疗元件可以包括当阀关闭时流体通过第一内腔输送时可膨胀的球囊。 任选地，假体，能量源，药物平台等可以由球囊承载以用于处理体腔。 在各种实施例中，阀可以位于治疗元件的近侧或远侧。
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公开(公告)号：US20120078096A1
公开(公告)日：2012-03-29
申请号：US13216208
申请日：2011-08-23
CPC分类号： A61B17/22032 , A61B5/6853 , A61B17/221 , A61B17/32056 , A61B17/3207 , A61B17/320725 , A61B2017/22034 , A61B2017/22061 , A61B2017/22082 , A61B2017/22084 , A61B2017/2212 , A61B2017/2215 , A61F2/958 , A61M5/007 , A61M25/0075 , A61M25/0097 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/10185 , A61M29/02 , A61M2025/0008 , A61M2025/105 , A61M2025/1068 , A61M2025/1077 , A61M2025/1084 , A61M2025/1086 , A61M2025/109
摘要： Apparatus and methods are provided for delivering fluid into a body lumen during a medical procedure. A distal end of an apparatus may be introduced into a body lumen, and a valve on the distal end may be opened to deliver fluid through a first lumen into the body lumen, e.g., contrast and/or other diagnostic or therapeutic agents. The valve may be closed, and a procedure may be performed within the body lumen, e.g., using a treatment element carried on the distal end. For example, the treatment element may include a balloon that may be inflated when fluid is delivered through the first lumen with the valve closed. Optionally, a prosthesis, energy source, drug platform, and the like may be carried by the balloon for treating the body lumen. In various embodiments, the valve may be located proximal or distal to the treatment element.
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7.发明申请Delivery catheter that controls foreshortening of ribbon-type prostheses and methods of making and use 有权用于控制带状假体的缩短的输送导管及其制造和使用方法公开(公告)号：US20050246010A1
公开(公告)日：2005-11-03
申请号：US10836909
申请日：2004-04-30
申请人： Miles Alexander , Todd Thompson , Tim Huynh , Ray Betelia
发明人： Miles Alexander , Todd Thompson , Tim Huynh , Ray Betelia
摘要： The present invention is directed to a delivery catheter for use in deploying a vascular prosthesis having a self-expanding helical section for use in a wide range of interventional applications. The delivery catheter comprises an elongated member having a helical ledge with a pitch selected to impose a predetermined amount of foreshortening on the vascular prosthesis during deployment. Methods of making and using the delivery catheter of the present invention also are provided.
摘要翻译： 本发明涉及用于部署具有自扩张螺旋段的血管假体的输送导管，用于广泛的介入应用。 递送导管包括细长构件，该细长构件具有螺旋凸缘，所述螺旋凸缘具有间距，其在展开期间在血管假体上施加预定量的缩短。 还提供了制造和使用本发明的输送导管的方法。
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公开(公告)号：US20050171478A1
公开(公告)日：2005-08-04
申请号：US10823416
申请日：2004-04-12
申请人： Matthew Selmon , Kurt Sparks , Ray Betelia , Ben Clark , Jason Kaiser , Rob Deckman , Erik Thai
发明人： Matthew Selmon , Kurt Sparks , Ray Betelia , Ben Clark , Jason Kaiser , Rob Deckman , Erik Thai
CPC分类号： A61B17/3207 , A61B2017/00247 , A61B2017/00252 , A61B2017/003 , A61B2017/22044 , A61B2017/22077 , A61B2017/22095 , A61B2018/00392 , A61B2090/3925 , A61M25/01 , A61M2025/0096
摘要： Medical devices/methods are described that include catheter systems for crossing total occlusions in vasculature. The catheter systems are for use with numerous guide wires to direct the wires from the extraluminal or subintimal space back into a blood vessel lumen after the wire has entered the subintimal space. The catheter systems comprise a catheter body having at least one lumen configured to track over a wire. An endpiece that includes at least one port in communication with the lumen couples to the distal region of the catheter body. A working element is configured to deploy through the port for delivery from a location within the extraluminal space to locations within the vessel true lumen when advanced distally through the port. A distal region of the catheter body assumes first or second configurations when the working element is retracted into the catheter body.
摘要翻译： 描述了医疗装置/方法，其包括用于在血管系统中穿过全闭塞的导管系统。 导管系统用于许多引导线，以在导线进入子膜内空间之后将电线从管腔内或内膜下空间引导回血管腔。 所述导管系统包括具有至少一个内腔的导管主体，所述至少一个腔被配置为在线上跟踪。 包括与腔内连通的至少一个端口的端件与导管主体的远端区域联接。 工作元件被配置为通过端口部署以从远离外部空间的位置传送到远端通过端口向前延伸到容器真腔内的位置。 当工作元件缩回到导管主体中时，导管主体的远侧区域呈现第一或第二构造。
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9.发明授权Delivery catheter that controls foreshortening of ribbon-type prostheses and methods of making and use 有权用于控制带状假体的缩短的输送导管及其制造和使用方法公开(公告)号：US07766960B2
公开(公告)日：2010-08-03
申请号：US10836909
申请日：2004-04-30
申请人： Miles Alexander , Todd Thompson , Tim Huynh , Ray Betelia
发明人： Miles Alexander , Todd Thompson , Tim Huynh , Ray Betelia
摘要： The present invention is directed to a delivery catheter for use in deploying a vascular prosthesis having a self-expanding helical section for use in a wide range of interventional applications. The delivery catheter comprises an elongated member having a helical ledge with a pitch selected to impose a predetermined amount of foreshortening on the vascular prosthesis during deployment. Methods of making and using the delivery catheter of the present invention also are provided.
摘要翻译： 本发明涉及用于部署具有自扩张螺旋段的血管假体的输送导管，用于广泛的介入应用。 递送导管包括细长构件，该细长构件具有螺旋凸缘，所述螺旋凸缘具有间距，其在展开期间在血管假体上施加预定量的缩短。 还提供了制造和使用本发明的输送导管的方法。
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公开(公告)号：US20060276749A1
公开(公告)日：2006-12-07
申请号：US11393623
申请日：2006-03-30
申请人： Matthew Selmon , Kurt Sparks , Ray Betelia , Ben Clark , Jason Kaiser , Rob Deckman , Erik Thai
发明人： Matthew Selmon , Kurt Sparks , Ray Betelia , Ben Clark , Jason Kaiser , Rob Deckman , Erik Thai
IPC分类号： A61M5/178
CPC分类号： A61B17/3415 , A61B6/12 , A61B6/485 , A61B17/3207 , A61B17/3478 , A61B2017/00252 , A61B2017/22077 , A61B2017/22094 , A61B2017/22095 , A61B2090/3925 , A61M25/001 , A61M25/0023 , A61M2025/018
摘要： Medical devices and methods are described that include catheter systems for use in vasculature. The catheter systems include a re-entry catheter for use with numerous guide wires to direct the guide wire from the extraluminal or subintimal space back into a true lumen after the guide wire has entered the subintimal space. An example of the re-entry catheter is a single lumen catheter configured to facilitate placement and positioning of guide wires and catheters within vasculature. An embodiment places and positions guide wires and catheters within peripheral vasculature. More specifically, the re-entry catheter provides for re-entry of a guide wire back into the true lumen of peripheral vasculature from a subintimal space.
摘要翻译： 描述了包括用于脉管系统的导管系统的医疗装置和方法。 导管系统包括用于与多根引导线一起使用的再进入导管，用于在引导线进入内膜下空间之后将引导线从管腔内或内膜下空间引导回真腔。 再输入导管的一个例子是构造成便于导管和导管在脉管系统内的放置和定位的单腔导管。 一个实施例将引导线和导管放置并定位在外周脉管系统内。 更具体地，重入导管提供将导丝从副内膜空间重新进入外周脉管系统的真腔。
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