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公开(公告)号：US08172895B2
公开(公告)日：2012-05-08
申请号：US11507247
申请日：2006-08-18
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/9505 , A61F2002/9511 , A61F2230/005 , A61F2230/0054 , A61F2230/0067 , A61F2250/0039
摘要： A method of sizing of a stent graft (20) including placement of fenestrations (30, 32) to ensure access to side branch vessels (13, 15) through the fenestrations when the stent graft is introduced into a body vessel and an assembly method for a stent graft including temporary diameter reduction arrangements to enable partial release of a stent graft to assist with positioning of fenestrations with respect to side branch vessels. The method includes spacing the fenestrations to be the same circumferential distance as the side branch vessels irrespective of the diameter of the stent graft.
摘要翻译： 一种支架移植物（20）的尺寸选择方法，包括放置开窗（30,32）以确保当将支架移植物引入体内容器时通过开窗通入侧分支血管（13,15），以及组装方法 支架移植物，其包括临时直径减小装置，以使部分释放支架移植物有助于相对于侧分支血管定位开窗。 该方法包括将开窗间隔成与侧分支血管相同的圆周距离，而与支架移植物的直径无关。
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公开(公告)号：US07413573B2
公开(公告)日：2008-08-19
申请号：US10962765
申请日：2004-10-12
IPC分类号： A61F2/06
CPC分类号： A61F2/856 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/828 , A61F2220/0075 , A61F2230/0069 , A61F2230/0078 , A61F2250/001 , A61F2250/0039
摘要： A stent graft (1) including a tubular wall (3) with at least one fenestration (40) including a peripheral (37) reinforcement around at least part of the fenestration. There can also be a tubular extension (15). The side arm includes a stent (19) and a cover (17) and extends from and is in fluid communication with the fenestration and the stent graft. The stent may be a self expanding stent. The ring and/or tubular extension provides better support and sealing for an extension arm. The fenestration (40) can be circular or if towards the ends of the stent graft may be in the form of a U-shape (50) with an open end.
摘要翻译： 一种包括具有至少一个开窗（40）的管状壁（3）的支架移植物（1），其包括围绕所述开窗的至少一部分的周边（37）加强件。 还可以有管状延伸部（15）。 侧臂包括支架（19）和盖（17），并从开窗和支架移植物延伸并与开窗和支架移植物流体连通。 支架可以是自扩张支架。 环和/或管状延伸部为延伸臂提供更好的支撑和密封。 开窗（40）可以是圆形的，或者如果朝向支架移植物的端部可以是具有开口端的U形（50）的形式。
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公开(公告)号：US09060887B2
公开(公告)日：2015-06-23
申请号：US12228453
申请日：2008-08-13
CPC分类号： A61F2/856 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/828 , A61F2220/0075 , A61F2230/0069 , A61F2230/0078 , A61F2250/001 , A61F2250/0039
摘要： A stent graft (1) including a tubular wall (3) with at least one fenestration (40) including a peripheral (37) reinforcement around at least part of the fenestration. There can also be a tubular extension (15). The side arm includes a stent (19) and a cover (17) and extends from and is in fluid communication with the fenestration and the stent graft. The stent may be a self expanding stent. The ring and/or tubular extension provides better support and sealing for an extension arm. The fenestration (40) can be circular or if towards the ends of the stent graft may be in the form of a U-shape (50) with an open end.
摘要翻译： 一种包括具有至少一个开窗（40）的管状壁（3）的支架移植物（1），其包括围绕所述开窗的至少一部分的周边（37）加强件。 还可以有管状延伸部（15）。 侧臂包括支架（19）和盖（17），并从开窗和支架移植物延伸并与开窗和支架移植物流体连通。 支架可以是自扩张支架。 环和/或管状延伸部为延伸臂提供更好的支撑和密封。 开窗（40）可以是圆形的，或者如果朝向支架移植物的端部可以是具有开口端的U形（50）的形式。
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公开(公告)号：US20080312732A1
公开(公告)日：2008-12-18
申请号：US12228453
申请日：2008-08-13
IPC分类号： A61F2/06
CPC分类号： A61F2/856 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/828 , A61F2220/0075 , A61F2230/0069 , A61F2230/0078 , A61F2250/001 , A61F2250/0039
摘要： A stent graft (1) including a tubular wall (3) with at least one fenestration (40) including a peripheral (37) reinforcement around at least part of the fenestration. There can also be a tubular extension (15). The side arm includes a stent (19) and a cover (17) and extends from and is in fluid communication with the fenestration and the stent graft. The stent may be a self expanding stent. The ring and/or tubular extension provides better support and sealing for an extension arm. The fenestration (40) can be circular or if towards the ends of the stent graft may be in the form of a U-shape (50) with an open end.
摘要翻译： 一种包括具有至少一个开窗（40）的管状壁（3）的支架移植物（1），其包括围绕所述开窗的至少一部分的周边（37）加强件。 还可以有管状延伸部（15）。 侧臂包括支架（19）和盖（17），并从开窗和支架移植物延伸并与开窗和支架移植物流体连通。 支架可以是自扩张支架。 环和/或管状延伸部为延伸臂提供更好的支撑和密封。 开窗（40）可以是圆形的，或者如果朝向支架移植物的端部可以是具有开口端的U形（50）的形式。
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公开(公告)号：US08012193B2
公开(公告)日：2011-09-06
申请号：US10962763
申请日：2004-10-12
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/07 , A61F2/82 , A61F2/90 , A61F2/958 , A61F2/962 , A61F2/966 , A61F2002/067 , A61F2002/9511 , A61F2002/9583 , A61F2002/9665
摘要： An introduction arrangement for a fenestrated or branched stent graft (13) intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer (1) has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator (11) and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath (15) on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter (22) extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire (29) extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.
摘要翻译： 用于开窗或分枝的支架移植物（13）的引入装置，其用于展开到具有从其延伸的盲血管的血管的内腔中。 导引器（1）具有旨在在使用中保持在患者外部的远端和具有鼻锥形扩张器（11）的近端和用于将分支的支架移植物保持在鼻锥扩张器的远侧的布置。 引导器上的护套（15）在分支支架移植物上延伸到鼻锥扩张器。 留置导管（22）从引导器的远端延伸并进入开窗或侧臂并通过鼻锥扩张器，留置导管具有延伸通过其的导丝（29）。 引导线可以延伸到使用中的鼻锥扩张器之外，然后将护套从分支的支架移植物中取出，使得其可以从对侧动脉中截获。
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公开(公告)号：US20110270375A1
公开(公告)日：2011-11-03
申请号：US13181249
申请日：2011-07-12
IPC分类号： A61F2/84
CPC分类号： A61F2/954 , A61F2/07 , A61F2/82 , A61F2/90 , A61F2/958 , A61F2/962 , A61F2/966 , A61F2002/067 , A61F2002/9511 , A61F2002/9583 , A61F2002/9665
摘要： An introduction arrangement for a fenestrated or branched stent graft (13) intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer (1) has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator (11) and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath (15) on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter (22) extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire (29) extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.
摘要翻译： 用于开窗或分枝的支架移植物（13）的引入装置，其用于展开到具有从其延伸的盲血管的血管的内腔中。 导引器（1）具有旨在在使用中保持在患者外部的远端和具有鼻锥形扩张器（11）的近端和用于将分支的支架移植物保持在鼻锥扩张器的远侧的布置。 引导器上的护套（15）在分支支架移植物上延伸到鼻锥扩张器。 留置导管（22）从引导器的远端延伸并进入开窗或侧臂并通过鼻锥扩张器，留置导管具有延伸通过其的导丝（29）。 引导线可以延伸到使用中的鼻锥扩张器之外，然后将护套从分支的支架移植物中取出，使得其可以从对侧动脉中截获。
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公开(公告)号：US09707113B2
公开(公告)日：2017-07-18
申请号：US11788285
申请日：2007-04-19
CPC分类号： A61F2/954 , A61B17/00234 , A61B2017/00243 , A61F2/07 , A61F2/24 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2220/0016 , A61F2220/0075
摘要： A stent graft has a tubular body with a first bifurcation with first and second legs extending from the bifurcation. One of the legs has a further bifurcation to define a side arm. The stent graft can be deployed into the vasculature of a patient with the tubular body being in an aorta of the patient, a first leg extending down an iliac artery, a second leg being directed towards a contralateral iliac artery and the side arm directed to an internal artery of one of the iliac arteries. One of the legs can include a valved aperture to enable the placement of an indwelling catheter therethrough.
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公开(公告)号：US08357190B2
公开(公告)日：2013-01-22
申请号：US11429684
申请日：2006-05-08
IPC分类号： A61F2/06
摘要： A laparoscopic vascular conduit arrangement has an elongate graft tube (1, 10) which is placed through a body cavity into a body vessel using a laparoscopic port sheath (70) with a distal valve (73) and a second sheath (80) with distal valve (86, 87). The graft tube (1, 10) extends through the laparoscopic port sheath so that the distal end (108) of the graft tube extends out of its valve and the proximal end of the graft tube extends out of the proximal end of the laparoscopic port sheath. The second sheath (80) is deployed into the distal end (108) of the graft tube (1, 10) such that the first valve (73) seals around the graft tube and the second sheath (84). The proximal end of the graft tube can be deployed into the vessel of the body to allow access into the vessel through the graft tube via the second valve. The conduit can be removed after use or used to provide vascular bypass.
摘要翻译： 腹腔镜血管导管装置具有细长的移植管（1,10），其通过使用具有远端瓣膜（73）的腹腔镜护套（70）和具有远端的第二护套（80），通过体腔放置在体腔中 阀（86,87）。 移植管（1,10）延伸穿过腹腔镜口鞘，使得移植管的远端（108）延伸出其瓣膜，并且移植管的近端延伸出腹腔镜端口护套的近端 。 第二护套（80）被展开到移植管（1,10）的远端（108）中，使得第一阀（73）围绕移植管和第二护套（84）密封。 移植管的近端可以部署到身体的容器中，以允许经由第二阀通过移植管进入血管。 导管可以在使用后取出或用于提供血管旁路。
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公开(公告)号：US08506616B2
公开(公告)日：2013-08-13
申请号：US11975949
申请日：2007-10-23
IPC分类号： A61F2/06
CPC分类号： A61F2/962 , A61F2/954 , A61F2/966 , A61F2002/065 , A61F2002/9511
摘要： An endoluminal stent graft deployment system incorporating an anchor wire system for temporary anchoring of a stent graft on a delivery device. The anchor wire system has an anchor wire extending from the distal end of the device and releasably retained to the portion of the stent graft by a releasable retention system. The releasable retention system includes a bead on the proximal end of the anchor wire and an anchor release wire which has fastening arrangement to retain the release wire distally of the bead. The anchor release wire extends to a distal end of the deployment system so that the anchor wire release wire can be withdrawn thereby releasing the anchor wire.
摘要翻译： 一种内腔支架移植物展开系统，其包括用于将支架移植物暂时锚定在输送装置上的锚线系统。 锚线系统具有从装置的远端延伸的锚线，并且通过可释放的保持系统可释放地保持在支架移植物的该部分上。 可释放的保持系统包括在锚线的近端上的胎圈和具有紧固装置的固定器释放线，以沿着胎圈的远端保持释放线。 锚定释放线延伸到展开系统的远端，使得锚索释放线可以被拉出，从而释放锚网。
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公开(公告)号：US07537606B2
公开(公告)日：2009-05-26
申请号：US10818538
申请日：2004-04-05
申请人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L. G. Verhoeven
发明人： David Ernest Hartley , Michael Lawrence-Brown , Wolf Stelter , Krasnodar Ivancev , Eric L. G. Verhoeven
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/821 , A61F2002/9517 , A61F2220/0075 , A61F2250/006
摘要： A deployment system for introducing stent grafts which have a side arm or into which a side arm can be deployed. For instance the stent graft can be deployed into the thoracic arch of a patient. The deployment system including an introducer (1), an auxiliary catheter (13) disposed within the introducer and an auxiliary guide wire (14) disposed within the auxiliary catheter. The auxiliary guide wire extends to adjacent the proximal end (6) of the introducer and can be extended from the proximal end of the introducer so that it can be snared from a side branch artery (56) to assist with deployment of a side arm (23) of the stent graft into the side artery or for the deployment of a side arm stent graft into the stent graft.
摘要翻译： 用于引入具有侧臂的支架移植物的展开系统或侧臂能够展开的部署系统。 例如，支架移植物可以部署到患者的胸弓中。 所述展开系统包括导引器（1），设置在导引器内的辅助导管（13）和设置在辅助导管内的辅助导丝（14）。 辅助导丝线延伸到导引器的近端（6）附近，并且可以从引导器的近端延伸，使得其可以从侧分支动脉（56）被卷绕以辅助侧臂的展开 23）的支架移植到侧动脉或用于将侧臂支架移植物部署到支架移植物中。
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