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    Direct stream hydrodynamic catheter system
    1.
    发明授权
    Direct stream hydrodynamic catheter system 有权
    直流流体动力导管系统

    公开(公告)号：US08647294B2

    公开(公告)日：2014-02-11

    申请号：US12933520

    申请日：2009-03-20

    申请人： Michael J. Bonnette ,  Eric J. Thor ,  Debra M. Kozak ,  Douglas J. Ball ,  Stephen E. Weisel ,  David B. Morris

    发明人： Michael J. Bonnette ,  Eric J. Thor ,  Debra M. Kozak ,  Douglas J. Ball ,  Stephen E. Weisel ,  David B. Morris

    IPC分类号： A61B17/20 ,  A61M31/00 ,  A61M37/00 ,  A61M5/00 ,  A61M25/00 ,  A61M5/32

    CPC分类号： A61M25/0068 ,  A61B17/32037 ,  A61M25/10

    摘要： A direct stream hydrodynamic catheter system is provided for the removal of thrombus, lesions and the like including provisions for the infusion of drugs, lysing fluids and the like into a blood vessel. Physician controlled high powered direct fluid jet streams emanate from a fluid jet emanator in the form of robust radially directed fluid jet streams to impinge upon and ablate difficult and strong thrombus or lesions within a blood vessel. Effluent aspiration is controlled by an exhaust regulator in the form of a roller pump, but effluent removal can be assistingly influenced by the fluid pressure associated with the radially directed fluid jet streams.

    摘要翻译： 提供了一种用于去除血栓，病变等的直流流体动力导管系统，包括用于将药物输注，将流体等裂解成血管的规定。 医师控制的高功率直接流体射流从流体喷射发射器发出，形式为坚固的径向指向的流体射流，以冲击和消融血管内的困难和强烈的血栓或病变。 流出物抽吸由辊式泵的排气调节器控制，但流出物的去除可能受到与径向定向的流体喷流相关联的流体压力的帮助。

    Catheter for removal of an organized embolic thrombus
    2.
    发明申请
    Catheter for removal of an organized embolic thrombus 有权
    导管用于去除有组织的栓塞性血栓

    公开(公告)号：US20080312681A1

    公开(公告)日：2008-12-18

    申请号：US12152367

    申请日：2008-05-14

    申请人： Gary M. Ansel ,  Michael J. Bonnette ,  Eric J. Thor ,  David B. Morris ,  Stephen D. Weisel

    发明人： Gary M. Ansel ,  Michael J. Bonnette ,  Eric J. Thor ,  David B. Morris ,  Stephen D. Weisel

    IPC分类号： A61M29/00

    CPC分类号： A61M25/0662 ,  A61B17/22031 ,  A61B17/221 ,  A61B2017/00867 ,  A61B2017/22044 ,  A61B2017/22067 ,  A61B2017/22094 ,  A61F2002/011 ,  A61M25/005 ,  A61M2025/0175 ,  A61M2025/1052

    摘要： The general purpose of the present invention is to provide a catheter for removal of an organized embolic thrombus, preferably in conjunction with a distal occlusion balloon guidewire. The present invention consists of three main components including a capture/delivery sheath, a capture sleeve of mesh attached to a tube and a grasping mechanism attached to another tube which is central to the other components. Operative structures in the form of manifolds are connected to such components in order to manipulate and control the relative positions of the capture/delivery sheath, the capture sleeve and the grasping mechanism. An embolic thrombus is engaged by the deployable automatically expanding serrated fingers of a grasping mechanism in combination with a deployable automatically expanding mesh capture sleeve. The capture/delivery sheath is maneuvered to cause compression of the serrated fingers and of the mesh capture sleeve for subsequent removal of the embolic thrombus.

    摘要翻译： 本发明的总体目的是提供一种用于去除有组织的栓塞性血栓的导管，优选与远端阻塞气囊导丝结合。 本发明包括三个主要部件，包括捕获/传送鞘，连接到管的网的捕获套管和附接到另一个组件中心的另一管的抓握机构。 歧管形式的操作结构连接到这些部件上，以便操纵和控制捕获/传送鞘，捕获套管和把持机构的相对位置。 栓塞血栓由可部署的自动扩张的抓握机构的锯齿状手指与可展开的自动扩张的网状捕获套管结合。 捕获/传送鞘被操纵以引起锯齿状手指和网状物捕获套筒的压缩，以便随后去除栓塞血栓。

    Direct Stream Hydrodynamic Catheter System
    4.
    发明申请
    Direct Stream Hydrodynamic Catheter System 有权
    直流流体动力导管系统

    公开(公告)号：US20110015564A1

    公开(公告)日：2011-01-20

    申请号：US12933520

    申请日：2009-03-20

    申请人： Michael J. Bonnette ,  Eric J. Thor ,  Debra M. Kozak ,  Douglas J. Ball ,  Stephen E. Weisel ,  Richard R. Prather ,  David B. Morris

    发明人： Michael J. Bonnette ,  Eric J. Thor ,  Debra M. Kozak ,  Douglas J. Ball ,  Stephen E. Weisel ,  Richard R. Prather ,  David B. Morris

    IPC分类号： A61B17/22 ,  A61M25/00

    CPC分类号： A61M25/0068 ,  A61B17/32037 ,  A61M25/10

    摘要： A direct stream hydrodynamic catheter system is provided for the removal of thrombus, lesions and the like including provisions for the infusion of drugs, lysing fluids and the like into a blood vessel. Physician controlled high powered direct fluid jet streams emanate from a fluid jet emanator in the form of robust radially directed fluid jet streams to impinge upon and ablate difficult and strong thrombus or lesions within a blood vessel. Effluent aspiration is controlled by an exhaust regulator in the form of a roller pump, but effluent removal can be assistingly influenced by the fluid pressure associated with the radially directed fluid jet streams.

    摘要翻译： 提供了一种用于去除血栓，病变等的直流流体动力导管系统，包括用于将药物输注，将流体等裂解成血管的规定。 医师控制的高功率直接流体射流从流体喷射发射器发出，形式为坚固的径向指向的流体射流，以冲击和消融血管内的困难和强烈的血栓或病变。 流出物抽吸由辊式泵的排气调节器控制，但流出物的去除可能受到与径向定向的流体喷流相关联的流体压力的帮助。

    Forwardly directable fluid jet crossing catheter
    5.
    发明申请
    Forwardly directable fluid jet crossing catheter 审中-公开
    向心指向的流体射流交叉导管

    公开(公告)号：US20080319386A1

    公开(公告)日：2008-12-25

    申请号：US11891450

    申请日：2007-08-10

    申请人： Michael J. Bonnette ,  Eric J. Thor ,  David B. Morris ,  Debra M. Kozak

    发明人： Michael J. Bonnette ,  Eric J. Thor ,  David B. Morris ,  Debra M. Kozak

    IPC分类号： A61M25/085

    CPC分类号： A61B17/32037 ,  A61B2017/003 ,  A61B2017/00331 ,  A61B2017/00867 ,  A61B2017/22094

    摘要： A forwardly directable fluid jet crossing catheter having a positionable jet body which can be longitudinally and rotationally positioned in order to direct a fluid jet stream to impinge, break through, and cross a chronic total occlusion. The distal end of the catheter includes a tip of super-elastic material having a flexible bend aligned within the distal portion of a sheath which tip is directable in response to the longitudinal and rotational orientation of a positionable jet body, whereby a fluid jet stream can be controlled in angular and rotational directions.

    摘要翻译： 可向前可定向的流体喷射交叉导管，其具有可定位的喷射体，其可以纵向和旋转地定位，以便引导流体喷射流冲击，穿透并穿过慢性完全闭塞。 导管的远端包括超弹性材料的尖端，其具有在护套的远端部分内对准的柔性弯曲部，该尖端可响应于可定位的喷射体的纵向和旋转取向而被定向，由此流体喷射流可 在角度和旋转方向上进行控制。

    Forwardly directed fluid jet crossing catheter
    6.
    发明申请
    Forwardly directed fluid jet crossing catheter 有权
    导向流体射流穿过导管

    公开(公告)号：US20080312672A1

    公开(公告)日：2008-12-18

    申请号：US12009807

    申请日：2008-01-22

    申请人： Michael J. Bonnette ,  David B. Morris ,  Eric J. Thor

    发明人： Michael J. Bonnette ,  David B. Morris ,  Eric J. Thor

    IPC分类号： A61B17/22

    CPC分类号： A61B17/32037 ,  A61B2017/32032

    摘要： The present invention provides a forwardly directed fluid jet crossing catheter having a distally directed cylindrical flow fluid jet stream to cross a chronic total occlusion. The distal end of the device includes a formable catheter tip region having flexible internal components. Low and high pressure cavities are formed substantially by joined proximal and distal catheter tubes having an adhesive plug seal in common therebetween which partially defines one end of each of the low pressure and high pressure cavities. A guidewire tube and a high pressure tube are aligned along and within the low pressure and high pressure cavities and through the adhesive plug seal. The high pressure tube openly terminates in the high pressure cavity, whereby pressurized fluid transfers from the high pressure cavity in the guidewire tube entry hole to subsequently pass along the guidewire lumen and co-located guidewire to exit as a cylindrical fluid jet stream.

    摘要翻译： 本发明提供了一种向前定向的流体射流交叉导管，其具有远端定向的圆柱形流动流体喷射流以横穿慢性完全闭塞。 该装置的远端包括具有柔性内部部件的可成形导管尖端区域。 基本上通过连接的近端和远端导管管形成低压腔和高压腔，所述导管具有共同的粘合剂塞密封件，其部分地限定每个低压腔和高压腔的一端。 导丝管和高压管在低压和高压腔内并通过粘合剂塞密封件对准。 高压管在高压腔体中公开地终止，由此加压流体从导丝管入口孔中的高压腔转移，随后沿着导丝管腔和共同定位的导丝线流过圆柱形流体喷射流。

    Forwardly directed fluid jet crossing catheter
    7.
    发明授权
    Forwardly directed fluid jet crossing catheter 有权
    导向流体射流穿过导管

    公开(公告)号：US08974418B2

    公开(公告)日：2015-03-10

    申请号：US12009807

    申请日：2008-01-22

    申请人： Michael J. Bonnette ,  David B. Morris ,  Eric J. Thor

    发明人： Michael J. Bonnette ,  David B. Morris ,  Eric J. Thor

    IPC分类号： A61M5/178 ,  A61B17/3203

    CPC分类号： A61B17/32037 ,  A61B2017/32032

    摘要： A forwardly directed fluid jet crossing catheter having a distally directed cylindrical flow fluid jet stream to cross a chronic total occlusion is set forth. The distal end of the device includes a formable catheter tip region having flexible internal components. Low and high pressure cavities are formed substantially by joined proximal and distal catheter tubes having an adhesive plug seal in common therebetween which partially defines one end of each of the low pressure and high pressure cavities. A guidewire tube and a high pressure tube are aligned along and within the low pressure and high pressure cavities and through the adhesive plug seal. The high pressure tube openly terminates in the high pressure cavity, whereby pressurized fluid transfers from the high pressure cavity in the guidewire tube entry hole to subsequently pass along the guidewire lumen and co-located guidewire to exit as a cylindrical fluid jet stream.

    摘要翻译： 阐述了具有远端定向的圆柱形流动流体射流以横穿慢性完全闭塞的向前导向的流体射流交叉导管。 该装置的远端包括具有柔性内部部件的可成形的导管尖端区域。 基本上通过连接的近端和远端导管管形成低压腔和高压腔，所述导管具有共同的粘合剂塞密封件，其部分地限定每个低压腔和高压腔的一端。 导丝管和高压管在低压和高压腔内并通过粘合剂塞密封件对准。 高压管在高压腔体中公开地终止，由此加压流体从导丝管入口孔中的高压腔转移，随后沿着导丝管腔和共同定位的导丝线流过圆柱形流体喷射流。

    Catheter including composite guide and methods for use of the same
    8.
    发明授权
    Catheter including composite guide and methods for use of the same 有权
    导管包括复合指南及其使用方法

    公开(公告)号：US08398579B2

    公开(公告)日：2013-03-19

    申请号：US12968853

    申请日：2010-12-15

    申请人： David B. Morris ,  Eric J. Thor ,  Michael J. Bonnette ,  Jason M. Bronstad ,  Corey Rasch ,  Brian D. Bruckner ,  Jason Anderson ,  Laszlo T. Farago ,  Diana Dutcher

    发明人： David B. Morris ,  Eric J. Thor ,  Michael J. Bonnette ,  Jason M. Bronstad ,  Corey Rasch ,  Brian D. Bruckner ,  Jason Anderson ,  Laszlo T. Farago ,  Diana Dutcher

    IPC分类号： A61B17/20 ,  A61B17/22

    CPC分类号： A61B17/32037 ,  A61B2017/00849 ,  A61M2025/0062 ,  Y10T29/49826

    摘要： A catheter including a catheter body having a catheter lumen is disclosed. A manifold assembly is coupled with a proximal catheter portion. A manifold lumen extends through the manifold assembly and includes an assembly cavity extending around the proximal catheter portion. A fluid jet loop including fluid jet orfices along a tapered loop guide surface is coupled with a distal catheter portion. The catheter further includes a composite guide having a proximal guide insert and a distal guide. The proximal guide insert is positioned within the assembly cavity and includes a guide insert surface flush with a catheter body interior wall. The distal guide includes a tapered loop guide surface, and an intermediate guide surface of the catheter lumen is flushly engaged with a leading edge of the tapered loop guide surface, the distal guide continuously tapering inwardly and distally along the tapered loop guide surface.

    摘要翻译： 公开了一种包括具有导管内腔的导管主体的导管。 歧管组件与近端导管部分联接。 歧管腔延伸穿过歧管组件并且包括围绕近侧导管部分延伸的组件腔。 包括沿着锥形环引导表面的流体喷射流体的流体喷射回路与远端导管部分联接。 导管还包括具有近侧引导插入件和远侧引导件的复合引导件。 近侧引导插入件定位在组件腔内，并且包括与导管主体内壁齐平的引导插入表面。 远侧引导件包括锥形环引导表面，并且导管管腔的中间引导表面与锥形环引导表面的前缘齐平地接合，远端引导件沿锥形环引导表面向内和向远端逐渐变细。