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    Apparatus and Methods for Occluding a Hallow Anatomical Structure
    2.
    发明申请
    Apparatus and Methods for Occluding a Hallow Anatomical Structure 审中-公开
    用于封闭万圣节解剖结构的装置和方法

    公开(公告)号：US20090012545A1

    公开(公告)日：2009-01-08

    申请号：US11994725

    申请日：2006-07-14

    申请人： Warren P. Williamson, IV ,  Jason I. Glithero ,  Michael W. Goldenbogen ,  Chadd R. Tyler ,  Todd A. Hall

    发明人： Warren P. Williamson, IV ,  Jason I. Glithero ,  Michael W. Goldenbogen ,  Chadd R. Tyler ,  Todd A. Hall

    IPC分类号： A61B17/122

    CPC分类号： A61B17/083 ,  A61B17/10 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/00004

    摘要： A clamp (10) having at least first and second elongate clamping portions (2, 4) adapted to be placed on opposite sides of the hollow anatomical structure (40). The first and second elongate clamping portions (2, 4) respectively include ends coupled together with respective resilient urging members (6, 8) configured to urge at least one of the first and second elongate clamping portions (2, 4) toward the other of the first and second elongate clamping portions (2, 4) from an open position into a clamping position to occlude the hollow anatomical structure (40). The clamp (10) is shaped annularly such that it may surround the hollow anatomical structure (40) in the open position and reorient into a flattened shape in the clamping position to occlude the hollow interior of the hollow anatomical structure (40). Apparatus of the invention further include clamp delivery and actuation devices (80, 200) adapted to deploy the clamp (10).

    摘要翻译： 具有适于放置在中空解剖结构（40）的相对侧上的至少第一和第二细长夹紧部分（2,4）的夹具（10）。 第一和第二细长夹紧部分（2,4）分别包括与相应的弹性推动构件（6,8）联接在一起的端部，其构造成将第一和第二细长夹紧部分（2,4）中的至少一个朝向另一个 所述第一和第二细长夹持部分（2,4）从打开位置进入夹紧位置以封闭所述中空解剖结构（40）。 夹具（10）环形地成形，使得其可以围绕处于打开位置的中空解剖结构（40）并且在夹紧位置中重新定向成扁平形状以闭塞中空解剖结构（40）的中空内部。 本发明的装置还包括适于展开夹具（10）的夹具输送和致动装置（80,200）。

    Guide for localizing a nonpalpable breast lesion
    3.
    发明授权
    Guide for localizing a nonpalpable breast lesion 失效
    本地化不可接受的乳腺炎指南

    公开(公告)号：US5221269A

    公开(公告)日：1993-06-22

    申请号：US597575

    申请日：1990-10-15

    申请人： Richard H. Miller ,  Brian L. Bates ,  Todd A. Hall ,  Thomas A. Osborne

    发明人： Richard H. Miller ,  Brian L. Bates ,  Todd A. Hall ,  Thomas A. Osborne

    IPC分类号： A61M25/01 ,  A61B17/00 ,  A61B19/00 ,  A61F2/00

    CPC分类号： A61B90/39 ,  A61B2017/00349 ,  A61B2090/3908 ,  A61B2090/3987 ,  A61F2210/0019

    摘要： A medical device for localizing a nonpalpable breast lesion. The device includes a tubular introducer needle and a wire guide positioned therein for inserting into a breast to the site of the lesion. The wire guide includes a distal portion having a preformed, resilient helical coil configuration for locking into position about the lesion. The distal portion includes a superelastic metallic alloy for maintaining the helical coil configuration after repeated extensions from and retractions into the needle passageway. The needle is inserted with the wire guide positioned therein into the breast to the site of the lesion and from the distal portion of the needle. The distal end of the needle includes a plurality of indentations for enhancing the ultrasound visualization thereof. As the distal portion of the wire guide emerges from the needle, the acuate distal end of the wire guide cuts into and scribes a helical path about the tissue distal to the lesion. The remainder of the distal portion of the wire guide follows the path scribed by the acuate distal tip and locks about the tissue distal to the lesion. Should the needle and wire guide not be appropriately positioned, the distal portion of the wire guide is retracted into the passageway of the needle to reposition the needle and guide. After desired positioning, the needle is removed with the wire guide remaining in a locked position distally about the lesion for guiding the surgeon to the lesion site during subsequent surgery.

    Stent delivery system and method of use
    6.
    发明授权
    Stent delivery system and method of use 失效
    支架输送系统及使用方法

    公开(公告)号：US06409751B1

    公开(公告)日：2002-06-25

    申请号：US09710884

    申请日：2000-11-14

    申请人： Todd A. Hall ,  Greg R. Furnish ,  Simon M. Furnish ,  Scott J. Wolf ,  Peter J. Wilk ,  David Y. Phelps ,  Vincent Pompili

    发明人： Todd A. Hall ,  Greg R. Furnish ,  Simon M. Furnish ,  Scott J. Wolf ,  Peter J. Wilk ,  David Y. Phelps ,  Vincent Pompili

    IPC分类号： A61F206

    CPC分类号： A61F2/958 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2018/00392 ,  A61F2/2493 ,  A61F2/86 ,  A61M25/10 ,  A61M25/1006 ,  A61M2025/0096 ,  A61M2025/0197 ,  A61M2025/1095 ,  Y10S623/903

    摘要： Described herein are various methods and apparatuses for delivering stents and other devices into the myocardium of a patient. One preferred stent delivery system provides access to the insertion site in the myocardium by advancing a delivery catheter through a blockage in a coronary artery, or around the blockage through a coronary vein or through a channel or tunnel formed around the blockage. In one embodiment, once the distal end of the delivery catheter is adjacent the myocardium, an angled bend is created in the catheter by actuating expandable steering guides mounted to the catheter which cooperate with the walls of the blood vessel to cause the catheter to turn. Then, a guidewire is advanced through the delivery catheter and into the myocardium. In another embodiment, a tip-deflecting pull wire extends from the distal end of the delivery catheter which may be actuated to turn towards and then inserted into the myocardium. In another embodiment, an exit port facing the insertion site is provided within the catheter or a balloon mounted on the catheter so that a guidewire may be directed through a lumen and out the exit port into the myocardium. Once the guidewire punctures into the myocardium, the guidewire is anchored using barbs, balloons or other actuatable members to secure the guidewire to the myocardium. Subsequently, using a push-pull mechanism, stents and other medical devices can be advanced over the guidewire into the myocardium.

    摘要翻译： 这里描述了用于将支架和其他装置输送到患者的心肌中的各种方法和装置。 一个优选的支架递送系统通过使输送导管通过冠状动脉阻塞或通过冠状静脉或通过在阻塞周围形成的通道或隧道周围的阻塞来推进进入心肌中的插入部位。 在一个实施例中，一旦输送导管的远端与心肌相邻，则通过致动安装到导管的可扩展转向引导件，在导管中产生成角度的弯曲部，其与血管的壁配合以使导管转动。 然后，导丝通过输送导管进入心肌。 在另一个实施例中，尖端偏转拉线从输送导管的远端延伸，可以被致动以转向然后插入心肌。 在另一个实施例中，面向插入部位的出口端设置在导管内或安装在导管上的球囊上，使得导丝可以被引导通过内腔并离开出口进入心肌。 一旦导丝穿刺入心肌，就使用倒刺，气球或其他可致动部件来固定导丝，以将导丝固定到心肌。 随后，使用推拉机构，支架和其他医疗装置可以在导丝上前进进入心肌。

    Intravascular treatment system and percutaneous release mechanism therefor
    8.
    发明授权
    Intravascular treatment system and percutaneous release mechanism therefor 失效
    血管内治疗系统及其经皮释放机制

    公开(公告)号：US5417708A

    公开(公告)日：1995-05-23

    申请号：US208766

    申请日：1994-03-09

    申请人： Todd A. Hall ,  Fred T. Parker

    发明人： Todd A. Hall ,  Fred T. Parker

    IPC分类号： A61B17/00 ,  A61B17/12 ,  A61F2/00 ,  A61M25/00

    CPC分类号： A61B17/1215 ,  A61B17/12022 ,  A61B17/12109 ,  A61B17/12172 ,  A61B17/12177 ,  A61M25/09 ,  A61B2017/2215 ,  A61M2025/09175

    摘要： A percutaneous release mechanism (57) for use with an intravascular treatment device (11) in an intravascular treatment system (10). The release mechanism includes an inner member (17) having a connection mechanism (18) positioned about the distal end (14) thereof for interconnection with another connection mechanism (12) positioned on an intravascular treatment device. The release mechanism also includes an outer member tube (13) of which the inner member is positioned therein. The first and second connection mechanisms are interconnectable and positionable in the passage (16) of the tube for delivering the treatment device in a delivery state to the treatment site. The release mechanism also includes a handle (37) having parts (38, 39) connected to the inner member and outer tube, whereby movement of the proximal end of the inner member is translated to the distal end thereof for extending the interconnected connection mechanisms from the passage of the outer member tube and positioning the treatment device in a treatment state. The intravascular treatment system includes the percutaneous release mechanism along with the intravascular treatment device. The treatment device includes an occlusion coil (23) and a rigid tube (36) connected to the flexible outer member tube (35) for maintaining the delivery coil in a delivery state. In another example, the treatment device includes a blood clot filter (40) in which the percutaneous delivery mechanism is adapted for connection thereto.

    摘要翻译： 一种与血管内治疗系统（10）中的血管内治疗装置（11）一起使用的经皮释放机构（57）。 释放机构包括具有围绕其远端（14）定位的连接机构（18）的内部构件（17），用于与位于血管内治疗装置上的另一连接机构（12）互连。 释放机构还包括内部构件定位在其中的外部构件管（13）。 第一和第二连接机构可互连并定位在管的通道（16）中，用于将处理装置递送到处理部位。 释放机构还包括具有连接到内部构件和外部管的部分（38,39）的手柄（37），由此内部构件的近端的移动被转换到其远端，用于将互连的连接机构从 外部构件管的通过并将处理装置定位在处理状态。 血管内治疗系统包括经皮释放机制以及血管内治疗装置。 治疗装置包括闭塞线圈（23）和连接到柔性外部构件管（35）的刚性管（36），用于将输送线圈保持在输送状态。 在另一个实例中，治疗装置包括血块过滤器（40），其中经皮递送机构适于与其连接。

    Helical surgical snare
    9.
    发明授权
    Helical surgical snare 失效
    螺旋手术圈套

    公开(公告)号：US5342371A

    公开(公告)日：1994-08-30

    申请号：US158008

    申请日：1993-11-24

    申请人： Lawrence H. Welter ,  Scott D. Downey ,  Todd A. Hall

    发明人： Lawrence H. Welter ,  Scott D. Downey ,  Todd A. Hall

    IPC分类号： A61B17/28 ,  A61B17/32 ,  A61B17/50 ,  A61B19/00

    CPC分类号： A61B17/29 ,  A61B17/32056 ,  A61B17/50 ,  A61B90/39

    摘要： A helical surgical snare (10) for engaging and capturing a foreign body for example in the vascular system of a human or animal body. The helical surgical snare includes an elongated tubular member (11) with the distal portion (34) of a filament wire (17) wrapped around the exterior surface (15) of the distal portion of the tube. The filament wire is positioned within the passage (14) of the tubular member and exits about the distal portion (25) thereof via inclined side ports. The distal end (18) of the filament wire is attached in the passage to the distal end (13) of the tubular member. A helical snare loop (19) is formed externally around the tubular member between the two side ports (16, 20). A handle (30) positioned at the proximal end of the tubular member pushes and pulls the distal portion of the filament wire to operate the snare loop between various open and collapsed positions.

    摘要翻译： 用于接合和捕获例如在人或动物体的血管系统中的异物的螺旋形手术圈套（10）。 螺旋形手术圈套包括细长管状构件（11），其中缠绕在管的远端部分的外表面（15）上的细丝线（17）的远端部分（34）。 细丝线定位在管状构件的通道（14）内，并经由倾斜的侧端口绕其远端部分（25）离开。 细丝线的远端（18）在通向管状构件的远端（13）的附近。 在两个侧端口（16,20）之间的管状构件的外部形成螺旋形圈环（19）。 定位在管状构件的近端处的手柄（30）推动并拉动细丝线的远端部分，以在各种打开和折叠位置之间操作圈套环。

    Joint, a laminate, and a method of preparing a nickel-titanium alloy member surface for bonding to another layer of metal
    10.
    发明授权
    Joint, a laminate, and a method of preparing a nickel-titanium alloy member surface for bonding to another layer of metal 失效
    接头，层压板和制备镍 - 钛合金构件表面的方法，用于与另一层金属接合

    公开(公告)号：US5242759A

    公开(公告)日：1993-09-07

    申请号：US703493

    申请日：1991-05-21

    申请人： Todd A. Hall

    发明人： Todd A. Hall

    IPC分类号： B23K1/19 ,  B23K1/20 ,  B23K35/00 ,  B23K35/36

    CPC分类号： B23K35/004 ,  B23K35/3603 ,  A61M25/09 ,  Y10T428/12458 ,  Y10T428/12806

    摘要： A joint and a laminate including a nickel-titanium alloy such as nitinol and a method for preparing the surface of a nickel-titanium alloy member for bonding solder material and, electively, another similar or dissimilar member thereto. The method includes applying an aluminum paste flux to the titanium oxide coated surface of a nickel-titanium alloy member and heating the flux to its activation temperature. The flux removes and suspends the titanium oxide therein along with leaching titanium from the base alloy member surface to form a nickel-rich interface surface. The activated flux also coats the nickel-rich interface layer for protection from further oxidation. A bonding material such as a tin-silver solder is flowed onto the nickel-rich interface surface to displace the activated flux. Electively, another member is applied to the molten solder to form a joint between the two members. The residual flux is cleaned from the joint to prevent further deterioration of the base metal. The solder joint includes the base nickel-titanium alloy metal, the nickel-rich interface surface, and the solder material. Electively, any other member may be applied to this joint in the molten state to form a metallic bond therebetween.