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公开(公告)号:US08016752B2
公开(公告)日:2011-09-13
申请号:US10402083
申请日:2003-03-28
CPC分类号: A61M25/0043 , A61F2/958 , A61M25/005 , A61M25/0052 , A61M25/10 , A61M2025/0183 , A61M2025/0188 , A61M2025/1056 , A61M2025/1081
摘要: A catheter provided with a guidewire catheter lumen having a thin covering that is easily punctured by a guidewire at virtually any desired point along the catheter length. The thin covering may be integral with the catheter shaft, or may be a separate component that covers only the portion of the catheter shaft immediately adjacent the outer portion of the guidewire lumen, or may be a thin tubular construct that surrounds the entire catheter shaft. The covering is preferably relatively translucent, allowing for good visualization of the location of the end of the guidewire to enable puncturing of the covering at the desired location along the length of the catheter shaft. The covering is also preferably tear resistant at puncture sites. The catheter shaft is preferably made of a material having a color that provides good visibility against an operating field, and more preferably is phosphorescent either entirely or in part. Materials suitable for the catheter shaft are polymeric materials well known in the art; the catheter shaft may optionally be provided with metallic stiffening components such as wires or hypotubes along all or part of the catheter length.
摘要翻译: 导管,其具有导线导管管腔,该导管管腔具有薄的覆盖层,其在导管长度的几乎任何所需点处被导丝容易地刺穿。 薄的覆盖物可以与导管轴成一体,或者可以是仅仅覆盖导管轴的直接邻近导丝管腔的外部的部分的单独部件,或者可以是围绕整个导管轴的薄的管状结构。 覆盖物优选地是相对半透明的,允许良好地可视化导丝端部的位置,以使得能够沿着导管轴的长度在期望的位置刺穿覆盖物。 覆盖物也优选在穿刺部位具有抗撕裂性。 导管轴优选由具有对操作场提供良好可见性的颜色的材料制成,更优选地,全部或部分地是磷光。 适用于导管轴的材料是本领域公知的聚合材料; 导管轴可以可选地沿着导管长度的全部或部分设置有金属加强部件,例如电线或海波管。
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公开(公告)号:US09119937B2
公开(公告)日:2015-09-01
申请号:US13186198
申请日:2011-07-19
CPC分类号: A61M25/0043 , A61F2/958 , A61M25/005 , A61M25/0052 , A61M25/10 , A61M2025/0183 , A61M2025/0188 , A61M2025/1056 , A61M2025/1081
摘要: A catheter provided with a guidewire catheter lumen having a thin covering that is easily punctured by a guidewire at virtually any desired point along the catheter length. The thin covering may be integral with the catheter shaft, or may be a separate component that covers only the portion of the catheter shaft immediately adjacent the outer portion of the guidewire lumen, or may be a thin tubular construct that surrounds the entire catheter shaft. The covering is preferably relatively translucent, allowing for good visualization of the location of the end of the guidewire to enable puncturing of the covering at the desired location along the length of the catheter shaft. The covering is also preferably tear resistant at puncture sites. The catheter shaft is preferably made of a material having a color that provides good visibility against an operating field, and more preferably is phosphorescent either entirely or in part. Materials suitable for the catheter shaft are polymeric materials well known in the art; the catheter shaft may optionally be provided with metallic stiffening components such as wires or hypotubes along all or part of the catheter length.
摘要翻译: 导管,其具有导线导管管腔,该导管管腔具有薄的覆盖层,其在导管长度的几乎任何所需点处被导丝容易地刺穿。 薄的覆盖物可以与导管轴成一体,或者可以是仅覆盖导管轴的紧邻导丝管腔的外部的部分的单独的部件,或者可以是围绕整个导管轴的薄的管状结构。 覆盖物优选地是相对半透明的,允许良好地可视化导丝端部的位置,以使得能够沿着导管轴的长度在期望的位置刺穿覆盖物。 覆盖物也优选在穿刺部位具有抗撕裂性。 导管轴优选由具有对操作场提供良好可见性的颜色的材料制成,更优选地,全部或部分地是磷光。 适用于导管轴的材料是本领域公知的聚合材料; 导管轴可以可选地沿着导管长度的全部或部分设置有金属加强部件,例如电线或海波管。
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公开(公告)号:US09005269B2
公开(公告)日:2015-04-14
申请号:US12181197
申请日:2008-07-28
申请人: Joseph R. Armstrong , Paul C. Begovac , Robert L. Cleek , Edward H. Cully , Charles Flynn , Byron K. Hayes , Ryan V. Peterson , Michael J. Vonesh , Charles F. White
发明人: Joseph R. Armstrong , Paul C. Begovac , Robert L. Cleek , Edward H. Cully , Charles Flynn , Byron K. Hayes , Ryan V. Peterson , Michael J. Vonesh , Charles F. White
CPC分类号: A61F2/01 , A61B17/12022 , A61B17/12118 , A61B17/1214 , A61B2017/1205 , A61F2/91 , A61F2/915 , A61F2002/016 , A61F2002/018 , A61F2002/30062 , A61F2002/91508 , A61F2002/91525 , A61F2002/91533 , A61F2002/9155 , A61F2210/0004 , A61F2210/0076 , A61F2220/0016 , A61F2230/005 , A61F2230/0054 , A61F2230/0069 , A61F2230/008 , A61F2250/003 , A61L31/06 , A61L31/148 , C08L67/04
摘要: Bioabsorbable self-expanding medical devices formed of an integral framework with a multiplicity of fenestrations are provided. The framework is continuous, non-filamentous, non-braided, and non-interlaced. The devices includes a non-blended hydrolysable co-polymeric material comprising an amorphous component with a glass transition temperature that is below ambient body temperature and a crystallizable component that possesses a crystalline melting point in excess of ambient body temperature. The devices radially expand from a compressed first diameter to an uncompressed second diameter equal to or greater than 1.5 times the first diameter within two minutes in an aqueous medium at 37° C. following release of a compressive force placed on the devices. Additionally, the medical device does not change axial length significantly as the radial dimensions of the devices are changed. Further, the medical devices may be constructed of different bioabsorbable polymers, polymer ratios, and/or different geometries and portions may bioabsorb at different rates.
摘要翻译: 提供由具有多个开窗的整体框架形成的生物可吸收的自扩张医疗装置。 框架是连续的,非丝状的,非编织的和非隔行的。 该装置包括非共混的可水解共聚物材料,其包含玻璃化转变温度低于环境体温的非晶组分和具有超过环境体温的结晶熔点的可结晶组分。 在放置在装置上的压缩力释放之后,装置在37℃下在含水介质中在两分钟内从压缩的第一直径径向膨胀至等于或大于第一直径的1.5倍的未压缩的第二直径。 此外,随着装置的径向尺寸改变,医疗装置不会显着改变轴向长度。 此外,医疗装置可以由不同的生物可吸收聚合物,聚合物比率和/或不同的几何形状构成,并且部分可以以不同的速率生物吸收。
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公开(公告)号:US07056336B2
公开(公告)日:2006-06-06
申请号:US10176929
申请日:2002-06-21
IPC分类号: A61F2/06
CPC分类号: A61F2/88 , A61F2/07 , A61F2/844 , A61F2/89 , A61F2/90 , A61F2002/072 , A61F2002/075 , A61F2230/0054
摘要: The present invention is an improved endovascular device particularly useful for use in transjugular intrahepatic portosystemic shunt (TIPS) procedures. The device employs a two-part stent-graft construction that provides a low permeability membrane to line the shunt and an uncovered stent portion designed to reside in the portal vein. The device provides numerous benefits over previous stents and stent-grafts used in TIPS procedures, including being more compact to deliver, being easier to accurately deploy, a controlled compacted surface with tucked apices, an improved stent winding pattern, and being more flexible in delivery and use.
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公开(公告)号:US20080281393A1
公开(公告)日:2008-11-13
申请号:US12181197
申请日:2008-07-28
申请人: Joseph R. Armstrong , Paul C. Begovac , Robert L. Cleek , Edward H. Cully , Charles Flynn , Byron K. Hayes , Ryan V. Peterson , Michael J. Vonesh , Charles F. White
发明人: Joseph R. Armstrong , Paul C. Begovac , Robert L. Cleek , Edward H. Cully , Charles Flynn , Byron K. Hayes , Ryan V. Peterson , Michael J. Vonesh , Charles F. White
IPC分类号: A61F2/92
CPC分类号: A61F2/01 , A61B17/12022 , A61B17/12118 , A61B17/1214 , A61B2017/1205 , A61F2/91 , A61F2/915 , A61F2002/016 , A61F2002/018 , A61F2002/30062 , A61F2002/91508 , A61F2002/91525 , A61F2002/91533 , A61F2002/9155 , A61F2210/0004 , A61F2210/0076 , A61F2220/0016 , A61F2230/005 , A61F2230/0054 , A61F2230/0069 , A61F2230/008 , A61F2250/003 , A61L31/06 , A61L31/148 , C08L67/04
摘要: The present invention is directed to bioabsorbable self-expanding medical devices for use inside or outside body conduits that self-expand at, or below, normal human body temperature without requisite for a polymeric thermal transition.
摘要翻译: 本发明涉及用于在正常人体温度下或在正常人体温度下自膨胀而不在聚合物热转变条件下自身膨胀的身体导管内部或外部的生物可吸收自膨胀医疗装置。
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公开(公告)号:US06673102B1
公开(公告)日:2004-01-06
申请号:US09489604
申请日:2000-01-20
IPC分类号: A61F206
CPC分类号: A61F2/90 , A61F2/07 , A61F2/89 , A61F2002/072 , A61F2002/075 , A61F2230/0013 , A61F2230/0054
摘要: The present invention is an improved endovascular device particularly useful for use in transjugular intrahepatic portosystemic shunt (TIPS) procedures. The device employs a two-part stent-graft construction that provides a low permeability membrane to line the shunt and an uncovered stent portion designed to reside in the portal vein. The device provides numerous benefits over previous stents and stent-grafts used in TIPS procedures, including being more compact to deliver, being easier to accurately deploy, a controlled compacted surface with tucked apices, an improved stent winding pattern, and being more flexible in delivery and use.
摘要翻译: 本发明是改进的血管内装置,特别适用于经颈静脉肝内门体分流术(TIPS)手术。 该装置采用两部分的支架移植结构,其提供低渗透性膜以分流并且设计为驻留在门静脉中的未覆盖的支架部分。 该设备与TIPS程序中使用的以前的支架和支架移植物相比具有许多优点,包括更紧凑的输送,更容易准确的部署,具有褶皱顶点的受控压实表面,改进的支架绕组模式,并且在运送中更灵活 并使用。
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公开(公告)号:US08177832B2
公开(公告)日:2012-05-15
申请号:US12876779
申请日:2010-09-07
IPC分类号: A61F2/82
CPC分类号: A61F2/958 , A61F2/95 , A61F2/97 , A61F2002/9511
摘要: An endoprosthesis expansion system having, in combination, a delivery component such as a length of catheter tubing having at its distal end an intermediate sheath component, and an inner tube within the full length of the delivery catheter and intermediate sheath component. The inner tube has a protrusion affixed to its distal end, and an expandable endoprosthesis is fitted in a compacted state about the intermediate sheath, immediately proximal to the protrusion. If the endoprosthesis is a self-expanding endoprosthesis (as is preferred), an exterior constraining sheath is required around the outer surface of the endoprosthesis. Following insertion of the endoprosthesis and delivery system into a body conduit (such as a blood vessel) and transport of the endoprosthesis to the desired site within the body conduit, the endoprosthesis is deployed by axially moving the protrusion against the system, thereby applying a radially directed outward force and causing simultaneous dilatation of the intermediate sheath and disruption of the exterior constraining sheath. Disruption of the exterior constraining sheath, in the case of a self-expanding prosthesis, releases the stored energy in the formerly constrained prosthesis, allowing it to expand and accomplish full deployment against the luminal surface of the body conduit at the desired site.
摘要翻译: 一种内置假体扩张系统,其组合具有输送部件,例如一段长度的导管,其远端具有中间护套部件,并且在输送导管和中间护套部件的整个长度内具有内管。 内管具有固定在其远端的突起,并且可伸缩的内假体围绕中间护套紧密地装配在紧固突起的近侧。 如果内置假体是自扩张的内置假体(如优选的),则需要在内假体的外表面周围的外约束护套。 在将内假体和输送系统插入身体导管(例如血管)中并将内假体运送到体导管内的期望部位之后,通过将凸起轴向移动抵靠系统来展开内假体,从而施加径向 引导向外的力并引起中间鞘的同时扩张和外部约束鞘的破坏。 在自扩张假体的情况下,外部约束护套的破坏释放在先前约束的假体中的储存能量,允许其膨胀并且在所需位置处对体导管的腔表面完全完全展开。
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公开(公告)号:US06981982B2
公开(公告)日:2006-01-03
申请号:US10083451
申请日:2002-02-25
IPC分类号: A61M29/00
CPC分类号: A61F2/07 , A61F2/844 , A61F2/86 , A61F2/89 , A61F2/90 , A61F2/91 , A61F2/954 , A61F2/97 , A61F2002/067 , A61F2002/072 , A61F2002/075 , A61F2002/825 , A61F2002/9505 , A61F2002/9511 , A61F2002/9522 , A61F2220/0075 , A61F2230/0054 , Y10T29/53987
摘要: Large diameter self-expanding endoprosthetic devices, such as stents and stent grafts for delivery to large diameter vessels, such as the aorta, are disclosed having very small compacted delivery dimensions. Devices with deployed dimensions of 26 to 40 mm or more are disclosed that are compacted to extremely small dimensions of 5 mm or less, enabling percutaneous delivery of said devices without the need for surgical intervention. Compaction efficiencies are achieved by combining unique material combinations with new forms of restraining devices, compaction techniques, and delivery techniques. These inventive devices permit consistent percutaneous delivery of large vessel treatment devices. Additionally, small endoprosthetic devices are disclosed that can be compacted to extremely small dimensions for delivery through catheter tubes of less than 1 mm diameter.
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公开(公告)号:US09056001B2
公开(公告)日:2015-06-16
申请号:US12567562
申请日:2009-09-25
IPC分类号: B30B11/22 , A61F2/07 , A61F2/844 , A61F2/86 , A61F2/954 , A61F2/97 , A61F2/90 , A61F2/91 , A61F2/06 , A61F2/82 , A61F2/95 , A61F2/89
CPC分类号: A61F2/07 , A61F2/844 , A61F2/86 , A61F2/89 , A61F2/90 , A61F2/91 , A61F2/954 , A61F2/97 , A61F2002/067 , A61F2002/072 , A61F2002/075 , A61F2002/825 , A61F2002/9505 , A61F2002/9511 , A61F2002/9522 , A61F2220/0075 , A61F2230/0054 , Y10T29/53987
摘要: Large diameter self-expanding endoprosthetic devices, such as stents and stent grafts for delivery to large diameter vessels, such as the aorta, are disclosed having very small compacted delivery dimensions. Devices with deployed dimensions of 26 to 40 mm or more are disclosed that are compacted to extremely small dimensions of 5 mm or less, enabling percutaneous delivery of said devices without the need for surgical intervention. Compaction efficiencies are achieved by combining unique material combinations with new forms of restraining devices, compaction techniques, and delivery techniques. These inventive devices permit consistent percutaneous delivery of large vessel treatment devices. Additionally, small endoprosthetic devices are disclosed that can be compacted to extremely small dimensions for delivery through catheter tubes of less than 1 mm diameter.
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公开(公告)号:US20100331956A1
公开(公告)日:2010-12-30
申请号:US12876779
申请日:2010-09-07
IPC分类号: A61F2/84
CPC分类号: A61F2/958 , A61F2/95 , A61F2/97 , A61F2002/9511
摘要: An endoprosthesis expansion system having, in combination, a delivery component such as a length of catheter tubing having at its distal end an intermediate sheath component, and an inner tube within the full length of the delivery catheter and intermediate sheath component. The inner tube has a protrusion affixed to its distal end, and an expandable endoprosthesis is fitted in a compacted state about the intermediate sheath, immediately proximal to the protrusion. If the endoprosthesis is a self-expanding endoprosthesis (as is preferred), an exterior constraining sheath is required around the outer surface of the endoprosthesis. Following insertion of the endoprosthesis and delivery system into a body conduit (such as a blood vessel) and transport of the endoprosthesis to the desired site within the body conduit, the endoprosthesis is deployed by axially moving the protrusion against the system, thereby applying a radially directed outward force and causing simultaneous dilatation of the intermediate sheath and disruption of the exterior constraining sheath. Disruption of the exterior constraining sheath, in the case of a self-expanding prosthesis, releases the stored energy in the formerly constrained prosthesis, allowing it to expand and accomplish full deployment against the luminal surface of the body conduit at the desired site.
摘要翻译: 一种内置假体扩张系统,其组合具有输送部件,例如一段长度的导管,其远端具有中间护套部件,并且在输送导管和中间护套部件的整个长度内具有内管。 内管具有固定在其远端的突起,并且可伸缩的内假体围绕中间护套紧密地装配在紧固突起的近侧。 如果内置假体是自扩张的内置假体(如优选的),则需要在内假体的外表面周围的外约束护套。 在将内假体和输送系统插入身体导管(例如血管)中并将内假体运送到体导管内的期望部位之后,通过将凸起轴向移动抵靠系统来展开内假体,从而施加径向 引导向外的力并引起中间鞘的同时扩张和外部约束鞘的破坏。 在自扩张假体的情况下,外部约束护套的破坏释放在先前约束的假体中的储存能量,允许其膨胀并且在所需位置处对体导管的腔表面完全完全展开。
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