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公开(公告)号：US5141494A
公开(公告)日：1992-08-25
申请号：US481478
申请日：1990-02-15
CPC分类号： A61M25/104 , A61M2025/09183 , A61M2025/107 , A61M2025/1093 , A61M25/0068 , A61M25/1002
摘要： A dilatation balloon catheter is disclosed with an inelastic balloon wrapped about a smaller section of a guidewire. During introduction across a region of a stenosis, the balloon is wrapped around a guidewire in such a way that the guidewire contained therein can rotated freely, but cannot advance independently of the balloon. The wrapped configuration is maintained by means of a temporary bond. Inflation of the balloon, following proper positioning of the catheter breaks the bond, permitting the balloon to unwrap from the guidewire contained therein. Typically, the distal end of the guidewire is tapered and the guide wire is controllably clamped to the catheter for advancement into the patient.
摘要翻译： 公开了一种扩张球囊导管，其中包裹有导丝线的较小部分的非弹性球囊。 在穿过狭窄区域的引入期间，气球以导线所包围的方式缠绕在导丝上，使得其中的导丝可以自由旋转，但不能独立于气囊前进。 包裹的配置通过临时保固来维护。 在适当定位导管之后，气囊的充气破坏了接合，允许气囊从包含在其中的导丝展开。 通常，导丝的远端是锥形的并且导丝可控制地夹紧到导管以进入患者体内。
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2.发明授权Guidewire with reversible contact seal for releasable securement to catheter 失效导丝带可逆接触密封，可释放固定到导管
公开(公告)号：US5273052A
公开(公告)日：1993-12-28
申请号：US817939
申请日：1992-01-08
CPC分类号： A61M25/0905 , A61M25/09041 , A61M25/104 , A61M2025/0063 , A61M2025/1004
摘要： An exchangeable catheter-guidewire system is disclosed in which the guidewire can be manipulated to seize and to release itself from the catheter body while both are in place in a vasculature or other body vessel. For balloon dilatation catheters, this arrangement permits one to transmit the fluid used for perfusion and/or balloon inflation through the same lumen through which the guidewire passes. Balloon catheters which utilize the invention have the capacity to secure the position of the guidewire relative to the catheter body, as well as to seal the lumen and balloon to retain fluid under pressure, both by remote control from the proximal end of the catheter. The seizure and sealing are achieved by a deformable section on the guidewire, which expands upon deformation to seize a tubular section of the catheter body. Two examples of deformation are given, the first occurring with a deformable section which is sufficiently flexible to gather into folds upon longitudinal compression, the folds being bulky enough to expand outward, and the second occurring with a deformable section which is inflatable. In either case, the guidewire in preferred embodiments is constructed as a hollow tube with a central rod which in both cases serves to enhance the longitudinal strength of the guidewire and, in the first case, also serves as a means of compressing and re-extending the deformable section of the tube. Either mechanism permits the construction of an exchangeable catheter system with the crossing profile of non-exchangeable systems.
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3.发明授权Radially-expandable tubular elements for use in the construction of medical devices 失效用于构建医疗器械的径向可扩展的管状元件
公开(公告)号：US5201756A
公开(公告)日：1993-04-13
申请号：US846742
申请日：1992-03-06
CPC分类号： A61M25/0662 , A61M25/0023 , A61M2025/0024
摘要： A radially expandable intravascular medical device is disclosed. The device typically includes two members. The first member is an outer tube-shaped sheath which is radially expandable by being formed from elastic material or other means and having relatively low column strength. The second member is an inner portion extending throughout the outer tube. This inner portion includes a slit to allow it to expand radially as well. Using the structure diagnostic, therapeutic, or other desired objects may be conveyed through the device yet still enable the device to have a smaller cross-sectional area throughout most of its length than the object conveyed therethrough.
摘要翻译： 公开了一种可径向膨胀的血管内医疗装置。 设备通常包括两个成员。 第一构件是通过由弹性材料或其他装置形成且具有相对较低柱强度的径向可膨胀的外管状护套。 第二构件是贯穿整个外管延伸的内部部分。 该内部部分包括允许其径向膨胀的狭缝。 使用结构诊断，治疗或其他期望的物体可以通过该装置传送，但是仍然使得该装置在其大部分长度上具有比从其传送的物体更小的横截面积。
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4.发明授权Angioplasty dilatation balloon catheter/guidewire system 失效ANGIOPLASTY DILATATION BALLOON CATHETER / GUIDEWIRE SYSTEM
公开(公告)号：US5192295A
公开(公告)日：1993-03-09
申请号：US540957
申请日：1990-06-20
CPC分类号： A61M25/104 , A61M25/09 , A61M2025/0183 , A61M2025/09175 , A61M2025/1063 , A61M2025/1079 , A61M2025/1093
摘要： An angioplasty catheter system is disclosed which allows insertion and removal of a guidewire through the inner member of the catheter, yet which inner member includes a portion which is smaller than the cross-section of portions of the guidewire. Advancement and removal of the guidewire are achieved by forming the first portion of the inner member of the catheter shaft from material which is expandable, or which is sufficiently thin to be folded and temporarily secured in place using several techniques.
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5.发明授权Radially-expandable tubular elements for use in the construction of medical devices 失效用于构建医疗器械的径向可扩展的管状元件
公开(公告)号：US5318588A
公开(公告)日：1994-06-07
申请号：US14027
申请日：1993-02-05
CPC分类号： A61M25/0662 , A61M25/0023 , A61M2025/0024
摘要： A radially expandable intravascular medical device is disclosed. The device typically includes two members. The first member is an outer tube-shaped sheath which is radially expandable by being formed from elastic material or other means and having relatively low column strength. The second member is an inner portion extending throughout the outer tube. This inner portion includes a slit to allow it to expand radially as well. Using the structure diagnostic, therapeutic, or other desired objects may be conveyed through the device yet still enable the device to have a smaller cross-sectional area throughout most of its length than the object conveyed therethrough.
摘要翻译： 公开了一种可径向膨胀的血管内医疗装置。 设备通常包括两个成员。 第一构件是通过由弹性材料或其他装置形成且具有相对较低柱强度的径向可膨胀的外管状护套。 第二构件是延伸穿过外管的内部部分。 该内部部分包括允许其径向膨胀的狭缝。 使用结构诊断，治疗或其他期望的物体可以通过该装置传送，但是仍然使得该装置在其大部分长度上具有比从其传送的物体更小的横截面积。
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6.发明授权
公开(公告)号：US5718680A
公开(公告)日：1998-02-17
申请号：US700939
申请日：1996-08-21
CPC分类号： A61M25/0102 , A61M25/104 , A61M2025/0063 , A61M2025/0183 , A61M2025/107
摘要： An elongated rod terminating in an abutment device with a lumen for passage of a guidewire is used to push an angioplasty balloon along the guidewire and through a vasculature to a location where treatment is needed. The balloon is fed by an inflation tube which remains independent of the guidewire and need not have axial rigidity. This combination of components permits one to exchange balloons without the need for a guidewire extending 100 cm or more outside the patient's body. Guidewire exchanges are also possible in cetain embodiments of the concept, and possibilities for perfusion are also presented. The guidewire passes through a tube inside the balloon which can also be used for perfusion of the patient's blood when the guidewire is withdrawn.
摘要翻译： 使用终端于具有用于导丝通过的内腔的邻接装置的细长杆，以将血管成形术球囊沿着导丝推动并通过脉管系统到需要治疗的位置。 球囊由保持独立于导丝的充气管供给，并且不需要具有轴向刚性。 这种组合的组合允许一个人更换气球，而不需要在患者身体外部延伸100厘米或更长的导丝。 导管交换也可以在概念的切入点实施例中，并且还呈现灌注的可能性。 导丝穿过球囊内的管，当引导线被拉出时也可用于灌注患者的血液。
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7.发明授权Catheter adaptor with slitting blade and improved manual control and method of use 失效导管适配器带有切割刀片，改进了手动控制和使用方法
公开(公告)号：US5687727A
公开(公告)日：1997-11-18
申请号：US431592
申请日：1995-05-01
CPC分类号： A61M25/0169 , A61M25/00 , A61M25/0668
摘要： A proximal adaptor for an over-the-wire angioplasty catheter is disclosed which contains a retractable catheter slitting element and a releasable guidewire seizing element, both of which are controllable by a manually operated element or elements accessible from the exterior of the adaptor.
摘要翻译： 公开了一种用于线上血管成形术导管的近端适配器，其包括可伸缩的导管分切元件和可释放的导丝咬合元件，两者均可由手动操作的元件或可从适配器的外部接近的元件控制。
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8.发明授权
公开(公告)号：US5578009A
公开(公告)日：1996-11-26
申请号：US277878
申请日：1994-07-20
CPC分类号： A61M25/0102 , A61M25/104 , A61M2025/0063 , A61M2025/0183 , A61M2025/107
摘要： An elongated rod terminating in an abutment device with a lumen for passage of a guidewire is used to push an angioplasty balloon along the guidewire and through a vasculature to a location where treatment is needed. The balloon is fed by an inflation tube which remains independent of the guidewire and need not have axial rigidity. This combination of components permits one to exchange balloons without the need for a guidewire extending 100 cm or more outside the patient's body. Guidewire exchanges are also possible in certain embodiments of the concept, and possibilities for perfusion are also presented. The guidewire passes through a tube inside the balloon which can also be used for perfusion of the patient's blood when the guidewire is withdrawn.
摘要翻译： 使用终端于具有用于导丝通过的内腔的邻接装置的细长杆，以将血管成形术球囊沿着导丝推动并通过脉管系统到需要治疗的位置。 球囊由保持独立于导丝的充气管供给，并且不需要具有轴向刚性。 这种组合的组合允许一个人更换气球，而不需要在患者身体外部延伸100厘米或更长的导丝。 导丝交换在该概念的某些实施例中也是可能的，并且还呈现灌注的可能性。 导丝穿过球囊内的管，当引导线被拉出时也可用于灌注患者的血液。
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公开(公告)号：US5246420A
公开(公告)日：1993-09-21
申请号：US784841
申请日：1991-11-06
CPC分类号： A61M25/104 , A61M2025/0063 , A61M2025/1079 , A61M2025/1093
摘要： A dilatation balloon catheter with a non-removable guidewire is disclosed in which the guidewire is joined to the catheter tube through a distortable element, preferably a twistable tube. The element provides a strong fluid-tight connection between the guidewire and catheter tube and yet permits the guidewire to be rotated relative to the catheter tube over a wide range of rotation, with little torsional stress on either the catheter tube, the balloon or any other element of the catheter construction. In preferred embodiments, the catheter construction further includes a column support tube inside the balloon, surrounding a segment of the guidewire toward its distal end, to prevent collapse of the balloon along its longitudinal axis as the balloon is advanced into a stenosis. In these embodiments, the distortable element is joined to the catheter tube through the column support tube which thus serves as an intermediate linkage.
摘要翻译： 公开了一种具有不可移除的导丝的扩张球囊导管，其中导丝通过可变形元件（优选可扭转的管）连接到导管管。 该元件在导丝和导管之间提供了强大的流体密封连接，并且允许导线相对于导管在相当大的旋转范围内旋转，导管，球囊或任何其他 导管结构的元件。 在优选实施例中，导管构造还包括在球囊内部的柱支撑管，围绕引导线的一部分朝向其远端，以防止当球囊进入狭窄时球囊沿其纵向轴线的塌缩。 在这些实施例中，可变形元件通过柱支撑管连接到导管管，因此用作中间连杆。
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公开(公告)号：US20240277469A1
公开(公告)日：2024-08-22
申请号：US18583369
申请日：2024-02-21
CPC分类号： A61F2/2418 , A61F2/06 , A61F2/2436 , A61F2220/0008
摘要： Systems and methods for treatment of tricuspid valve disease. The systems and methods can anchor a supplemental valve apparatus in the vena cavae and provide a competent valve positioned in the right atrium or in or through the tricuspid annulus without requiring an anchor in the tricuspid annulus. The supplemental valve apparatus can include a supplemental valve coupled to at least one supplemental valve structure, which can extend into at least one of the inferior vena cava or superior vena cava with the supplemental valve positioned in or adjacent the right atrium. The valve apparatus can be delivered percutaneously by a delivery system, which can include the supplement valve apparatus positioned between an inner and outer shaft that can be retracted to deploy the supplemental valve apparatus in or adjacent the right atrium. Methods of delivery and treating a tricuspid valve by a supplement valve apparatus are also described herein.
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