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    Catheter-based fastener implantation apparatus and methods
    2.
    发明申请
    Catheter-based fastener implantation apparatus and methods 审中-公开
    基于导管的紧固件植入装置和方法

    公开(公告)号：US20090082852A1

    公开(公告)日：2009-03-26

    申请号：US12315015

    申请日：2008-11-26

    申请人： Lee Bolduc ,  Juan C. Parodi

    发明人： Lee Bolduc ,  Juan C. Parodi

    IPC分类号： A61F2/06

    CPC分类号： A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/10 ,  A61B2017/00398 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/00734 ,  A61B2017/0647 ,  A61B2017/0648 ,  A61B2017/0649 ,  A61B2017/2905 ,  A61F2/064 ,  A61F2/07 ,  A61F2/848 ,  A61F2/89 ,  A61F2002/065

    摘要： Apparatus and methods utilize an intraluminal fastener applier having a guide body with a longitudinal axis. The guide body is sized and configured for intraluminal deployment in a hollow body organ. An actuated assembly is carried by the guide body that is selectively operable to generate an implantation force to implant at least one fastener into tissue within the hollow body organ. The actuated assembly includes a driven member extending generally along the longitudinal axis, which is sized and configured to engage a selected fastener. The actuated assembly also includes a drive member coupled to the driven member to impart the implantation force to the driven element in a direction that is at an angle to the longitudinal axis of the guide body.

    摘要翻译： 装置和方法利用具有纵向轴线的引导体的腔内紧固件敷贴器。 引导体的大小和构造用于腔内部署在中空身体器官中。 引导组件由导向体承载，所述引导体可选择性地操作以产生植入力，以将至少一个紧固件植入到空心体器官内的组织中。 致动组件包括大致沿着纵向轴线延伸的从动构件，该从动构件的尺寸和构造与所选定的紧固件接合。 致动组件还包括联接到从动构件的驱动构件，以沿与导向体的纵向轴线成一定角度的方向向被驱动元件赋予植入力。

    Prosthesis delivery systems and methods
    3.
    发明授权
    Prosthesis delivery systems and methods 有权
    假体输送系统和方法

    公开(公告)号：US08080050B2

    公开(公告)日：2011-12-20

    申请号：US11633724

    申请日：2006-12-05

    申请人： Andrew L. Chiang ,  Lee Bolduc

    发明人： Andrew L. Chiang ,  Lee Bolduc

    IPC分类号： A61F2/06

    CPC分类号： A61F2/07 ,  A61F2/954 ,  A61F2/966 ,  A61F2002/065 ,  A61F2002/9511 ,  A61F2002/9517 ,  A61F2002/9665 ,  A61F2220/0075

    摘要： Apparatus and method deliver a prosthesis into a hollow body organ or blood vessel. The systems and methods make use of a catheter. A carrier on the distal end of the catheter is sized and configured to carry the prosthesis. A release mechanism and an enclosure mechanism on the distal end are operable to retain and enclose the prosthesis on the carrier. The release mechanism and the enclosure mechanism are also operable to selectively expose and release the prosthesis from the carrier for deployment in the hollow body organ or blood vessel.

    摘要翻译： 装置和方法将假体递送到中空身体器官或血管中。 系统和方法利用导管。 在导管的远端上的载体的尺寸和构造用于承载假体。 远端上的释放机构和封闭机构可操作以将假体保持并包围在载体上。 释放机构和封闭机构还可操作以选择性地将假体从载体上释放并释放，以展开在中空体器官或血管中。

    Devices, systems, and methods for prosthesis delivery and implantation
    4.
    发明授权
    Devices, systems, and methods for prosthesis delivery and implantation 有权
    用于假体输送和植入的装置，系统和方法

    公开(公告)号：US07637932B2

    公开(公告)日：2009-12-29

    申请号：US11255116

    申请日：2005-10-20

    申请人： Lee Bolduc ,  Gilbert Laroya ,  Joshua Stafford

    发明人： Lee Bolduc ,  Gilbert Laroya ,  Joshua Stafford

    IPC分类号： A61F2/06

    CPC分类号： A61B17/064 ,  A61B17/068 ,  A61B50/20 ,  A61B50/30 ,  A61B2017/0649 ,  A61B2017/0688 ,  A61B2017/2905 ,  A61F2/07 ,  A61F2/86 ,  A61F2/88 ,  A61F2/89 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2002/9517 ,  A61F2002/9534 ,  A61F2220/0075 ,  Y10T29/49947

    摘要： Devices, systems, and methods use a catheter device sized and configured for introduction to a targeted site in a hollow body organ or blood vessel. The catheter device includes a first release mechanisms coupled to the prosthesis to secure at least one region of the prosthesis to the catheter shaft, and a second release mechanism coupled to the prosthesis in cooperation with the first release mechanism to prevent full release of the at least one region of the at least one region of the prosthesis from the catheter shaft after actuation of the first release mechanism. A fastening device sized and configured for introduction to the targeted site in the hollow body organ or blood vessel occupied by the catheter device, includes an actuator to deploy a fastener in the at least one region of the prosthesis after actuation of the first release mechanism and before actuation of the second release mechanism.

    摘要翻译： 装置，系统和方法使用尺寸和构造用于引入中空身体器官或血管中的目标部位的导管装置。 导管装置包括联接到假体的第一释放机构以将假体的至少一个区域固定到导管轴，以及与第一释放机构协作地联接到假体的第二释放机构，以防止至少完全释放 在第一释放机构致动之后，从导管轴将假体的至少一个区域的一个区域。 紧固装置的尺寸和构造用于引入到由导管装置占据的中空体器官或血管中的目标部位，包括在第一释放机构致动之后将紧固件展开在假体的至少一个区域中的致动器，以及 在第二释放机构的致动之前。

    Endovascular aneurysm repair method
    7.
    发明申请
    Endovascular aneurysm repair method 有权
    血管内动脉瘤修复方法

    公开(公告)号：US20070021829A1

    公开(公告)日：2007-01-25

    申请号：US11540427

    申请日：2006-09-29

    申请人： Lee Bolduc

    发明人： Lee Bolduc

    IPC分类号： A61F2/06

    CPC分类号： A61B17/10 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  A61B2017/00292 ,  A61B2017/00778 ,  A61B2017/0646 ,  A61B2017/0649 ,  A61F2/06 ,  A61F2/064 ,  A61F2/07 ,  A61F2/848 ,  A61F2/90 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  Y10S623/903

    摘要： A method for repairing a diseased or damaged section of an aorta (i) introduces an intraluminal directing device from a remote access site to a location within a prosthesis at a target site in an aorta where the diseased or damaged section exists, the intraluminal directing device including a deflectable distal region; (ii) establishes a path to a desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the desired fastening site; (iii) introduces from an intraluminal fastener applier, that is introduced along the path established in (ii), at least one tissue-piercing fastener into tissue at the desired fastening site to anchor the prosthesis; (iv) establishes a path to a different desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the different desired fastening site; (v) introduces from an intraluminal fastener applier, that is introduced through the path established in (iv), at least one tissue-piercing fastener into tissue at the different desired fastening site to further anchor the prosthesis; and (vi) repeats (iv) and (v) until a desired plurality of tissue-piercing fasteners are introduced into tissue to anchor the prosthesis.

    摘要翻译： 用于修复主动脉的病变或损伤部分的方法（i）将管腔内引导装置从远程进入位置引入到患有或受损部分的主动脉中的靶位置处的假体内的位置，管腔内引导装置 包括可偏转的远端区域; （ii）通过操纵假体内的管腔内引导装置来建立相对于期望的紧固位置定向远侧区域的通向假体上期望的紧固部位的路径; （iii）从沿着所述（ii）中建立的路径引入的腔内紧固件敷贴器引入至少一个组织刺穿紧固件到达期望的紧固位置处的组织以锚定假体; （iv）通过操纵所述假体内的管腔内引导装置来建立相对于所述不同所需紧固位置定向所述远侧区域的通向所述假体上的不同期望紧固部位的路径; （v）从通过（iv）中建立的路径引入的管腔内紧固件施加器将至少一个组织刺穿紧固件引入到不同所需紧固位置处的组织中以进一步锚定假体; 和（vi）重复（iv）和（v），直到将期望的多个组织刺穿紧固件引入组织以锚定假体。

    Endovascular aneurysm repair system
    9.
    发明申请
    Endovascular aneurysm repair system 有权
    血管内动脉瘤修复系统

    公开(公告)号：US20050240260A1

    公开(公告)日：2005-10-27

    申请号：US11166411

    申请日：2005-06-24

    申请人： Lee Bolduc

    发明人： Lee Bolduc

    IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/068 ,  A61F2/06

    CPC分类号： A61B17/10 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  A61B2017/00292 ,  A61B2017/00778 ,  A61B2017/0646 ,  A61B2017/0649 ,  A61F2/06 ,  A61F2/064 ,  A61F2/07 ,  A61F2/848 ,  A61F2/90 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  Y10S623/903

    摘要： Method and apparatus for implanting radially expandable prostheses in the body lumens rely on tacking or anchoring of the prostheses with separately introduced fasteners. The prostheses may be self-expanding or balloon expandable. After initial placement, a fastener applier system is introduced within the expanded prostheses to deploy a plurality of fasteners at least one prosthesis end, usually as each end of the prosthesis. The fasteners are usually helical fasteners which are delivered from a helical track in the fastener applier by rotation with a rotator wire. The fasteners will be applied singly, typically in circumferentially spaced-apart patterns about the interior of each end of the prosthesis.

    摘要翻译： 用于将可径向扩张的假体植入体腔内的方法和装置依赖于使用单独引入的紧固件来修补或锚定假体。 假体可以是自膨胀的或球囊可膨胀的。 在初始放置之后，将紧固件施加器系统引入到扩展的假体内以将至少一个假体端部（通常作为假体的每个端部）展开多个紧固件。 紧固件通常是螺旋形紧固件，其通过旋转线旋转而从紧固件施加器中的螺旋轨道输送。 紧固件将单独施加，通常围绕假体的每个端部的内部沿周向间隔开的图案。