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公开(公告)号:US20110054594A1
公开(公告)日:2011-03-03
申请号:US12769581
申请日:2010-04-28
申请人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
发明人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
CPC分类号: A61F2/954 , A61F2/07 , A61F2/856 , A61F2/89 , A61F2/90 , A61F2/966 , A61F2/97 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2250/0039 , Y10T29/49863
摘要: Some embodiments of the present disclosure are directed to endoluminal prostheses having one or more reinforced fenestrations therein. The one or more reinforced fenestrations can have improved sealing capabilities with respect to branch grafts deployed within the fenestrations, improved tear resistance and expandability, and improved pull-out resistance for branch grafts. In some embodiments, the endoluminal prosthesis can have a main graft body defining a flow lumen therethrough, a first opening passing through a wall of the main graft body, and a first support member supported by the main graft body and overlapping an edge of the first opening, the first support member being configured to at least increase the tear resistance of the main graft body adjacent to the first opening. The support member can be stitched or otherwise attached to the main graft adjacent to the fenestration.
摘要翻译: 本公开的一些实施例涉及其中具有一个或多个增强开窗的腔内假体。 一个或多个增强的开窗可以相对于在开窗内部署的分支移植物具有改进的密封能力,改善的抗撕裂性和可扩展性,以及改善分枝移植物的拔出阻力。 在一些实施例中,腔内假体可以具有限定穿过其中的流动腔的主移植体,穿过主移植物主体的壁的第一开口和由主移植体支撑并与第一 所述第一支撑构件构造成至少增加所述主移植体相邻于所述第一开口的抗撕裂性。 支撑构件可以缝合或以其他方式附接到邻近开窗的主移植体。
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公开(公告)号:US20110054587A1
公开(公告)日:2011-03-03
申请号:US12769546
申请日:2010-04-28
申请人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
发明人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
IPC分类号: A61F2/84
CPC分类号: A61F2/954 , A61F2/07 , A61F2/856 , A61F2/89 , A61F2/90 , A61F2/966 , A61F2/97 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2250/0039 , Y10T29/49863
摘要: Some embodiments of the present disclosure are directed to a method of deploying a graft in a patient's blood vessel having at least a first and a second branch blood vessel, comprising advancing a delivery catheter into a blood vessel, the delivery catheter supporting a fenestrated prosthesis therein, wherein the prosthesis comprises a main graft body, exposing at least one branch sheath, the branch sheath being positioned within the delivery catheter so as to project from a main lumen of the prosthesis through a first opening formed through a wall of the prosthesis, and advancing an angiographic catheter into the branch sheath and cannulating a first target branch vessel before expanding the main graft body of the prosthesis.
摘要翻译: 本公开的一些实施例涉及一种在具有至少第一和第二分支血管的患者血管中部署移植物的方法,包括将输送导管推进到血管中,所述输送导管在其中支撑开窗假体 ,其中所述假体包括主移植体,暴露至少一个分支护套,所述分支护套位于所述输送导管内,以便从所述假体的主腔突出穿过穿过所述假体的壁形成的第一开口,以及 在扩张假体的主移植物体之前将血管造影导管推进到分支鞘中并插管第一目标分支血管。
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公开(公告)号:US08945202B2
公开(公告)日:2015-02-03
申请号:US12769581
申请日:2010-04-28
申请人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
发明人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
CPC分类号: A61F2/954 , A61F2/07 , A61F2/856 , A61F2/89 , A61F2/90 , A61F2/966 , A61F2/97 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2250/0039 , Y10T29/49863
摘要: Some embodiments of the present disclosure are directed to endoluminal prostheses having one or more reinforced fenestrations therein. The one or more reinforced fenestrations can have improved sealing capabilities with respect to branch grafts deployed within the fenestrations, improved tear resistance and expandability, and improved pull-out resistance for branch grafts. In some embodiments, the endoluminal prosthesis can have a main graft body defining a flow lumen therethrough, a first opening passing through a wall of the main graft body, and a first support member supported by the main graft body and overlapping an edge of the first opening, the first support member being configured to at least increase the tear resistance of the main graft body adjacent to the first opening. The support member can be stitched or otherwise attached to the main graft adjacent to the fenestration.
摘要翻译: 本公开的一些实施例涉及其中具有一个或多个增强开窗的腔内假体。 一个或多个增强的开窗可以相对于在开窗内部署的分支移植物具有改进的密封能力,改善的抗撕裂性和可扩展性,以及改善分枝移植物的拔出阻力。 在一些实施例中,腔内假体可以具有限定穿过其中的流动腔的主移植体,穿过主移植物主体的壁的第一开口和由主移植体支撑并与第一 所述第一支撑构件构造成至少增加所述主移植体相邻于所述第一开口的抗撕裂性。 支撑构件可以缝合或以其他方式附接到邻近开窗的主移植体。
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公开(公告)号:US20110054586A1
公开(公告)日:2011-03-03
申请号:US12769506
申请日:2010-04-28
申请人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
发明人: Kevin Mayberry , Daniel Clair , Craig Welk , Stefan G. Schreck
CPC分类号: A61F2/954 , A61F2/07 , A61F2/856 , A61F2/89 , A61F2/90 , A61F2/966 , A61F2/97 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2250/0039 , Y10T29/49863
摘要: Some embodiments relate to endoluminal prostheses having a first stent portion and a second stent portion, a main graft body comprising first, second, and third portions, the second portion having a cross-sectional size that is significantly larger than a cross-sectional size of the first or third portions, and also significantly larger than a cross-sectional size of the target vessel. In some embodiments, the first portion of the main graft body can be attached to the first stent portion and the third portion of the main graft body can be attached to the second stent portion. The prostheses can be configured such that the second portion of the main graft body is not directly attached to the first stent portion, the second stent portion, or any other internal support structure. In some embodiments, one or more openings can be formed in the second portion of the main graft body.
摘要翻译: 一些实施例涉及具有第一支架部分和第二支架部分的腔内假体,主移植体包括第一,第二和第三部分,第二部分的横截面尺寸明显大于横截面尺寸 第一或第三部分,并且还显着大于靶容器的横截面尺寸。 在一些实施例中,主移植体的第一部分可以附接到第一支架部分,并且主移植体的第三部分可以附接到第二支架部分。 假体可以构造成使得主移植体的第二部分不直接附接到第一支架部分,第二支架部分或任何其它内部支撑结构。 在一些实施例中,可以在主移植体的第二部分中形成一个或多个开口。
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公开(公告)号:US08672989B2
公开(公告)日:2014-03-18
申请号:US13546950
申请日:2012-07-11
IPC分类号: A61F2/06
CPC分类号: A61F2/954 , A61F2/064 , A61F2/07 , A61F2/844 , A61F2/852 , A61F2/90 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/30308 , A61F2002/30327 , A61F2002/30611 , A61F2002/821 , A61F2002/826 , A61F2220/005 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039 , A61F2250/0063
摘要: An endoluminal prosthesis system deployable in a region of a patient's vasculature having one or more branch vessels, having a main graft body having a first opening in a wall portion of the main graft body and a pre-loaded guidewire positioned inside the main graft body and advanced through the first opening. One or more branch grafts can be attached to the main graft body to cover one or more openings in the main graft body.
摘要翻译: 可以在具有一个或多个分支血管的患者脉管系统的区域中展开的腔内假体系统,其具有在主移植物主体的壁部分中具有第一开口的主移植体和位于主移植体内部的预加载导丝, 通过第一次开放。 一个或多个分支移植物可以附接到主移植物体以覆盖主移植物体中的一个或多个开口。
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公开(公告)号:US20090216315A1
公开(公告)日:2009-08-27
申请号:US12390346
申请日:2009-02-20
IPC分类号: A61F2/06
CPC分类号: A61F2/954 , A61F2/064 , A61F2/07 , A61F2/844 , A61F2/852 , A61F2/90 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/30308 , A61F2002/30327 , A61F2002/30611 , A61F2002/821 , A61F2002/826 , A61F2220/005 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039 , A61F2250/0063
摘要: An endoluminal prosthesis system deployable in a region of a patient's vasculature having one or more branch vessels, having a first main graft body having at least a first and second opening therein and a second main graft body having at least a first and a second opening therein. The first openings can be smaller than the second openings. The second main graft body can be expandable substantially within the first main graft body such that the second openings of each graft body do not substantially cover the first openings of the other graft body. The resulting graft system can have two openings therein, each being defined by the first openings in each of the first and second main graft bodies. One or more branch grafts can be attached to cover the openings in the main graft bodies, and the main graft bodies can have one or more cutouts therein.
摘要翻译: 可以在具有一个或多个分支血管的患者脉管系统的区域中展开的腔内假体系统,其具有至少第一和第二开口的第一主移植体和在其中至少具有第一和第二开口的第二主移植体 。 第一开口可以小于第二开口。 第二主移植物体可以基本上在第一主移植物体内扩张,使得每个移植物体的第二开口基本上不覆盖另一移植物体的第一开口。 所得到的移植物系统可以在其中具有两个开口,每个由第一和第二主移植物体中的每一个中的第一开口限定。 可以将一个或多个分支移植物附接以覆盖主移植物体中的开口,并且主移植体可以在其中具有一个或多个切口。
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公开(公告)号:US20110224772A1
公开(公告)日:2011-09-15
申请号:US13046541
申请日:2011-03-11
申请人: Kevin Mayberry , Trinh Pham , Stefan G. Schreck
发明人: Kevin Mayberry , Trinh Pham , Stefan G. Schreck
IPC分类号: A61F2/84
CPC分类号: A61F2/954 , A61F2/07 , A61F2/856 , A61F2/90 , A61F2/97 , A61F2002/065 , A61F2002/072 , A61F2002/9511
摘要: A method for deploying an endoluminal vascular prosthesis using a deployment catheter that has at least a main graft portion and a first branch graft portion. The deployment catheter preferably comprises an elongate, flexible catheter body having a proximal end and a distal end, and an outer sheath and an inner core that is axially moveable with respect to the outer sheath. The catheter preferably comprises a main graft restraint that has a main graft release mechanism comprising a main graft sheath and a suture threaded through a plurality of the openings in the main graft sheath. The catheter further comprises at least one branch graft restraint comprising at least one branch graft release mechanism.
摘要翻译: 一种使用至少具有主移植部分和第一分支移植部分的部署导管展开腔内血管假体的方法。 展开导管优选地包括具有近端和远端的细长的柔性导管主体,以及可相对于外护套轴向移动的外护套和内芯。 导管优选地包括主移植物约束,其具有主移植物释放机构,其包括主移植鞘和穿过主移植鞘中的多个开口的缝合线。 导管还包括至少一个分支移植物约束装置,其包括至少一个分枝移植物释放机构。
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公开(公告)号:US08357192B2
公开(公告)日:2013-01-22
申请号:US13046541
申请日:2011-03-11
申请人: Kevin Mayberry , Trinh Pham , Stefan G. Schreck
发明人: Kevin Mayberry , Trinh Pham , Stefan G. Schreck
IPC分类号: A61F2/06
CPC分类号: A61F2/954 , A61F2/07 , A61F2/856 , A61F2/90 , A61F2/97 , A61F2002/065 , A61F2002/072 , A61F2002/9511
摘要: A method for deploying an endoluminal vascular prosthesis using a deployment catheter that has at least a main graft portion and a first branch graft portion. The deployment catheter preferably comprises an elongate, flexible catheter body having a proximal end and a distal end, and an outer sheath and an inner core that is axially moveable with respect to the outer sheath. The catheter preferably comprises a main graft restraint that has a main graft release mechanism comprising a main graft sheath and a suture threaded through a plurality of the openings in the main graft sheath. The catheter further comprises at least one branch graft restraint comprising at least one branch graft release mechanism.
摘要翻译: 一种使用至少具有主移植部分和第一分支移植部分的部署导管展开腔内血管假体的方法。 展开导管优选地包括具有近端和远端的细长的柔性导管主体,以及可相对于外护套轴向移动的外护套和内芯。 导管优选地包括主移植物约束,其具有主移植物释放机构,其包括主移植鞘和穿过主移植鞘中的多个开口的缝合线。 导管还包括至少一个分支移植物约束装置,其包括至少一个分枝移植物释放机构。
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公开(公告)号:US08221494B2
公开(公告)日:2012-07-17
申请号:US12390346
申请日:2009-02-20
IPC分类号: A61F2/82
CPC分类号: A61F2/954 , A61F2/064 , A61F2/07 , A61F2/844 , A61F2/852 , A61F2/90 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/30308 , A61F2002/30327 , A61F2002/30611 , A61F2002/821 , A61F2002/826 , A61F2220/005 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039 , A61F2250/0063
摘要: An endoluminal prosthesis system deployable in a region of a patient's vasculature having one or more branch vessels, having a first main graft body having at least a first and second opening therein and a second main graft body having at least a first and a second opening therein. The first openings can be smaller than the second openings. The second main graft body can be expandable substantially within the first main graft body such that the second openings of each graft body do not substantially cover the first openings of the other graft body. The resulting graft system can have two openings therein, each being defined by the first openings in each of the first and second main graft bodies. One or more branch grafts can be attached to cover the openings in the main graft bodies, and the main graft bodies can have one or more cutouts therein.
摘要翻译: 可以在具有一个或多个分支血管的患者脉管系统的区域中展开的腔内假体系统,其具有至少第一和第二开口的第一主移植体和在其中至少具有第一和第二开口的第二主移植体 。 第一开口可以小于第二开口。 第二主移植物体可以基本上在第一主移植物体内扩张,使得每个移植物体的第二开口基本上不覆盖另一移植物体的第一开口。 所得到的移植物系统可以在其中具有两个开口,每个由第一和第二主移植物体中的每一个中的第一开口限定。 可以将一个或多个分支移植物附接以覆盖主移植物体中的开口,并且主移植体可以在其中具有一个或多个切口。
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公开(公告)号:US20120277846A1
公开(公告)日:2012-11-01
申请号:US13546950
申请日:2012-07-11
IPC分类号: A61F2/84
CPC分类号: A61F2/954 , A61F2/064 , A61F2/07 , A61F2/844 , A61F2/852 , A61F2/90 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/30308 , A61F2002/30327 , A61F2002/30611 , A61F2002/821 , A61F2002/826 , A61F2220/005 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039 , A61F2250/0063
摘要: An endoluminal prosthesis system deployable in a region of a patient's vasculature having one or more branch vessels, having a main graft body having a first opening in a wall portion of the main graft body and a pre-loaded guidewire positioned inside the main graft body and advanced through the first opening. One or more branch grafts can be attached to the main graft body to cover one or more openings in the main graft body.
摘要翻译: 可以在具有一个或多个分支血管的患者脉管系统的区域中展开的腔内假体系统,其具有在主移植物主体的壁部分中具有第一开口的主移植体和位于主移植体内部的预加载导丝, 通过第一次开放。 一个或多个分支移植物可以附接到主移植物体以覆盖主移植物体中的一个或多个开口。
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