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公开(公告)号：US08709061B2
公开(公告)日：2014-04-29
申请号：US13153753
申请日：2011-06-06
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2002/9583 , A61F2002/9665
摘要： A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. Indwelling access sheaths are provided within auxiliary lumens of a pusher catheter and dilators are preloaded into the access sheaths along with the indwelling guide wire. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft into the vasculature of a patient, the indwelling guide wire can be used to facilitate catheterization of a side branch or target vessel through the fenestration or be used to stabilize the access sheath during catheterization, advancement of the access sheath into the target vessel and deployment of a covered or uncovered stent therein through the access sheath.
摘要翻译： 一种预加载支架移植物输送装置和支架移植物，支架移植物输送装置。 支架移植物具有至少一个开窗或侧臂，开窗预留有留置导丝。 留置入口护套设置在推进器导管的辅助腔内，并且扩张器与留置导丝一起被预先载入进入护套。 在导丝导管的远端处的手柄组件。 手柄包括多通口歧管，其具有到推动器导管中的辅助腔的通路口。 在将支架移植物部署到患者的脉管系统中时，留置导丝可用于便于通过开窗进行侧支或靶血管的导管插入，或用于在导管插入期间稳定进入护套，使进入鞘进入 目标血管和通过通路护套在其中展开覆盖或未覆盖的支架。
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公开(公告)号：US08308791B2
公开(公告)日：2012-11-13
申请号：US11600655
申请日：2006-11-16
IPC分类号： A61F2/06
摘要： A stent graft introducer has a pusher, a nose cone, a region between the pusher and the nose cone for a stent graft, a sleeve extending over the pusher and proximally to the nose cone to cover the stent graft when retained in the region. An indwelling auxiliary catheter with a pre-curved proximal end is fitted into the introducer. The nose cone has an elongate groove and the auxiliary catheter has its proximal end in the elongate groove. In a partially retracted position of the sleeve the curved proximal end of the indwelling auxiliary catheter is exposed and uncovered by the sleeve and in an advanced position of the sleeve the curved proximal end of the indwelling auxiliary catheter is straightened, extends along the length of the groove in the nose cone and is covered by the sleeve.
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公开(公告)号：US20120197383A1
公开(公告)日：2012-08-02
申请号：US13498492
申请日：2010-10-04
申请人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
发明人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/075 , A61F2210/0014 , A61F2230/0006 , A61F2230/0008
摘要： A stent graft (1) has at least one fenestration (13) or low profile side arm (34). A guide assembly (17) surrounds the fenestration or low profile side arm. The guide assembly has a continuous wall extending laterally away from the outer surface of the stent graft. The continuous wall is substantially elliptical or circular and extends distally of the fenestration at a distal end of the wall and being coincident with a proximal part (25) of the periphery of the fenestration or low profile side arm at a proximal end of the wall (23). The wall acts to define a guide area to guide a flexible probe extended from a side branch vessel to enter the fenestration or low profile side arm. Where there are two fenestrations or low profile side arms there can be a single continuous wall (50) around both or separate walls for each. The wall may have a peripheral wire reinforcement (19).
摘要翻译： 支架移植物（1）具有至少一个开窗（13）或低轮廓侧臂（34）。 引导组件（17）围绕开窗或薄型侧臂。 引导组件具有从支架移植物的外表面横向延伸的连续壁。 连续壁基本上是椭圆形或圆形的，并且在壁的远端处的开窗的远端延伸并且与壁的近端处的开窗或低轮廓侧臂的周边的近端部分（25）重合 23）。 壁用于限定引导区域，以引导从侧分支容器延伸的柔性探针进入开窗或低轮廓侧臂。 在有两个开窗或薄型侧臂的地方，每一个围绕两个或单独的墙壁都可以有一个单一的连续墙壁（50）。 壁可以具有外围钢丝加强件（19）。
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公开(公告)号：US20120158121A1
公开(公告)日：2012-06-21
申请号：US13325737
申请日：2011-12-14
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/966 , A61F2002/061 , A61F2002/075 , A61F2002/30322 , A61F2220/0075 , A61F2250/0026 , A61F2250/0059
摘要： A hybrid stent graft device for treatment of a Type A dissection having a first tubular portion for placement into the ascending aorta and a second tubular portion for extending around the thoracic arch and down the descending aorta is disclosed. The first tubular portion is connectable to the aorta between the sinotubular junction and the brachiocephalic artery so that it essentially replaces the ascending aorta. A temporary bypass tube allows perfusion during an operation. The second tubular portion has an elongate recess outside of the second tubular portion and an aperture defining a fluid flow path into the recess. The recess is intended to engage an outer curve of the thoracic arch to enable blood flow into the arteries of the thoracic arch. An introduction device in combination with the hybrid stent graft described above is also disclosed.
摘要翻译： 公开了一种用于治疗具有用于放置在升主动脉中的第一管状部分的A型解剖的混合式支架移植装置和用于在胸弓周围延伸并且沿着降主动脉延伸的第二管状部分。 第一管状部分可连接到主管与中脑管结合部与头臂动脉之间，从而基本上替代升主动脉。 临时旁路管允许在手术期间进行灌注。 第二管状部分具有在第二管状部分外部的细长凹部和限定到凹部中的流体流动路径的孔。 该凹槽旨在接合胸廓的外曲线以使血液流入胸廓弓动脉。 还公开了与上述混合型支架移植物组合的引入装置。
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公开(公告)号：US20110307048A1
公开(公告)日：2011-12-15
申请号：US13153753
申请日：2011-06-06
IPC分类号： A61F2/84
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2/966 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/9511 , A61F2002/9517 , A61F2002/9583 , A61F2002/9665
摘要： A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. Indwelling access sheaths are provided within auxiliary lumens of a pusher catheter and dilators are preloaded into the access sheaths along with the indwelling guide wire. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft into the vasculature of a patient, the indwelling guide wire can be used to facilitate cathertisation of a side branch or target vessel through the fenestration or be used to stabilise the access sheath during catheterisation, advancement of the access sheath into the target vessel and deployment of a covered or uncovered stent therein through the access sheath.
摘要翻译： 一种预加载支架移植物输送装置和支架移植物，支架移植物输送装置。 支架移植物具有至少一个开窗或侧臂，开窗预留有留置导丝。 留置入口护套设置在推进器导管的辅助腔内，并且扩张器与留置导丝一起被预先载入进入护套。 在导丝导管的远端处的手柄组件。 手柄包括多通口歧管，其具有到推动器导管中的辅助腔的通路口。 在将支架移植物部署到患者的脉管系统中时，留置引导线可以用于促进侧分支或靶容器通过开窗的连接，或用于在导管插入期间稳定进入护套，使进入鞘进入 目标血管和通过通路护套在其中展开覆盖或未覆盖的支架。
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公开(公告)号：US08663310B2
公开(公告)日：2014-03-04
申请号：US13325737
申请日：2011-12-14
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/966 , A61F2002/061 , A61F2002/075 , A61F2002/30322 , A61F2220/0075 , A61F2250/0026 , A61F2250/0059
摘要： A hybrid stent graft device for treatment of a Type A dissection having a first tubular portion for placement into the ascending aorta and a second tubular portion for extending around the thoracic arch and down the descending aorta is disclosed. The first tubular portion is connectable to the aorta between the sinotubular junction and the brachiocephalic artery so that it essentially replaces the ascending aorta. A temporary bypass tube allows perfusion during an operation. The second tubular portion has an elongate recess outside of the second tubular portion and an aperture defining a fluid flow path into the recess. The recess is intended to engage an outer curve of the thoracic arch to enable blood flow into the arteries of the thoracic arch. An introduction device in combination with the hybrid stent graft described above is also disclosed.
摘要翻译： 公开了一种用于治疗具有用于放置在升主动脉中的第一管状部分的A型解剖的混合式支架移植装置和用于在胸弓周围延伸并且沿着降主动脉延伸的第二管状部分。 第一管状部分可连接到主管与中脑管结合部与头臂动脉之间，从而基本上替代升主动脉。 临时旁路管允许在手术期间进行灌注。 第二管状部分具有在第二管状部分外部的细长凹部和限定到凹部中的流体流动路径的孔。 该凹槽旨在接合胸廓的外曲线以使血液流入胸廓弓动脉。 还公开了与上述混合型支架移植物组合的引入装置。
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公开(公告)号：US09211183B2
公开(公告)日：2015-12-15
申请号：US13498492
申请日：2010-10-04
申请人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
发明人： Krasnodar Ivancev , Michael Lawrence-Brown , David Ernest Hartley , Werner Dieter Ducke , Roy K. Greenberg
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/075 , A61F2210/0014 , A61F2230/0006 , A61F2230/0008
摘要： A stent graft (1) has at least one fenestration (13) or low profile side arm (34). A guide assembly (17) surrounds the fenestration or low profile side arm. The guide assembly has a continuous wall extending laterally away from the outer surface of the stent graft. The continuous wall is substantially elliptical or circular and extends distally of the fenestration at a distal end of the wall and being coincident with a proximal part (25) of the periphery of the fenestration or low profile side arm at a proximal end of the wall (23). The wall acts to define a guide area to guide a flexible probe extended from a side branch vessel to enter the fenestration or low profile side arm. Where there are two fenestrations or low profile side arms there can be a single continuous wall (50) around both or separate walls for each. The wall may have a peripheral wire reinforcement (19).
摘要翻译： 支架移植物（1）具有至少一个开窗（13）或低轮廓侧臂（34）。 引导组件（17）围绕开窗或薄型侧臂。 引导组件具有从支架移植物的外表面横向延伸的连续壁。 连续壁基本上是椭圆形或圆形的，并且在壁的远端处的开窗的远端延伸并且与壁的近端处的开窗或低轮廓侧臂的周边的近端部分（25）重合 23）。 壁用于限定引导区域，以引导从侧分支容器延伸的柔性探针进入开窗或低轮廓侧臂。 在有两个开窗或薄型侧臂的地方，每一个围绕两个或单独的墙壁都可以有一个单一的连续墙壁（50）。 壁可以具有外围钢丝加强件（19）。
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公开(公告)号：US08845708B2
公开(公告)日：2014-09-30
申请号：US11600655
申请日：2006-11-16
CPC分类号： A61F2/954 , A61F2/07 , A61F2002/065
摘要： A stent graft introducer has a pusher, a nose cone, a region between the pusher and the nose cone for a stent graft, a sleeve extending over the pusher and proximally to the nose cone to cover the stent graft when retained in the region. An indwelling auxiliary catheter with a pre-curved proximal end is fitted into the introducer. The nose cone has an elongate groove and the auxiliary catheter has its proximal end in the elongate groove. In a partially retracted position of the sleeve the curved proximal end of the indwelling auxiliary catheter is exposed and uncovered by the sleeve and in an advanced position of the sleeve the curved proximal end of the indwelling auxiliary catheter is straightened, extends along the length of the groove in the nose cone and is covered by the sleeve.
摘要翻译： 支架移植物导引器具有推动器，鼻锥体，用于支架移植物的推动器和鼻锥体之间的区域，在保持在该区域中时延伸到推动器上并且向近端延伸到鼻锥体的套筒以覆盖支架移植物。 具有预弯曲近端的留置辅助导管安装在导引器中。 鼻锥具有细长的凹槽，辅助导管的近端位于细长凹槽中。 在套管的部分缩回位置，留置辅助导管的弯曲近端由套筒暴露和未覆盖，并且在套筒的前进位置中，留置辅助导管的弯曲近端被拉直，沿着 凹槽在鼻锥中并被套筒覆盖。
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公开(公告)号：US07753917B2
公开(公告)日：2010-07-13
申请号：US10814018
申请日：2004-03-31
IPC分类号： A61F11/00
CPC分类号： A61B17/221 , A61B2017/00867 , A61B2017/22035 , A61B2017/22038 , A61B2017/2215 , A61B2090/08021 , A61F2/95
摘要： A medical grasping device (10) for vascular use, having an outer sheath (12), an elongate control member (50) extending within an outer sheath (12) to a distal tip section (54), and a proximal control assembly (22) including an actuation section (24) joined to the elongate control member (50). Adjacent to the distal tip section (54) is a grasping portion (70, 70′) that is extendable from the outer sheath (12) to create loops (74, 74′) for grasping a target object (T) for repositioning within the vascular system, or for removal from the patient, with loops being retractable into the outer sheath to hold the target object against the device (10) during movement of the device. Elongate control member (50) is preferably a cannula or tube having a lumen (58) extending completely therethrough for placement over a guide wire (28) already in the patient.
摘要翻译： 一种用于血管使用的医疗夹持装置（10），具有外护套（12），在外护套（12）内延伸到远侧末端部分（54））的细长控制构件（50）和近端控制组件 ）包括连接到细长控制构件（50）的致动部分（24）。 远侧末端部分（54）相邻的是抓握部分（70,70'），其可从外护套（12）延伸以产生用于抓握目标物体（T）的环（74,74'），用于重新定位 血管系统或用于从患者移除的环，其中环可缩回到外护套中，以在装置移动期间将目标物体抵靠装置（10）保持。 细长控制构件（50）优选地是具有完全延伸穿过其中的内腔（58）的插管或管，用于放置在已经在患者体内的导丝（28）上。
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公开(公告)号：US09101456B2
公开(公告)日：2015-08-11
申请号：US13061065
申请日：2009-08-25
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2250/0039
摘要： A stent graft (2) for placement in the thoracic arch of a patient has a first tubular body portion (6) with a first lumen therein for placement in the ascending aorta of a patient and a second tubular body portion (8) to extend along the thoracic arch and down the descending aorta. The second tubular body portion is of a lesser diameter than the first tubular body portion. There is a step portion (10) between the first body portion and the second body portion. The step portion is joined to and continuous with the first portion and the second portion. A first side of each of the first body portion, the step portion and the second body portion are substantially aligned so that there is a step (18) defined on a second side opposite to the first side of the body portion. There is an aperture (30) in the step portion and an internal tube (32) extending from the aperture towards the first body portion. The internal tube is divided along part of its length into at least two smaller internal tubes (34, 36) with the smaller internal tubes opening into the first lumen.
摘要翻译： 用于放置在患者的胸廓弓中的支架移植物（2）具有第一管状体部分（6），其中具有第一内腔，用于放置在患者的升主动脉中，并且第二管状体部分（8）沿着 胸廓弓下降主动脉。 第二管状体部分的直径比第一管状体部分小。 在第一主体部分和第二主体部分之间具有台阶部分（10）。 台阶部分与第一部分和第二部分连接并连续。 第一主体部分，台阶部分和第二主体部分中的每一个的第一侧基本上对齐，使得在与主体部分的第一侧相对的第二侧上限定有台阶（18）。 台阶部分上有一个孔（30）和一个从孔向第一主体部分延伸的内管（32）。 内管沿其长度的一部分被分成至少两个较小的内管（34,36），其中较小的内管开入第一管腔。
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