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公开(公告)号：US5938670A
公开(公告)日：1999-08-17
申请号：US890691
申请日：1997-07-11
CPC分类号： A61B17/3207 , A61B17/320758 , A61B2017/00473 , A61B2017/00902 , A61B2017/320004 , A61B2017/320766 , A61B2090/08021 , Y10S604/905
摘要： According to the invention, a novelly improved ablation device includes releasably joinable drive and catheter assemblies. The drive assembly includes a tachometer assembly and a regulator for monitoring and controlling ablating burr speed. A bifurcated drive shaft includes a coiled distal portion and a tubular proximal portion for facilitating force transfer from the proximal portion to the distal portion. A dilating member is provided in addition to an ablating burr on the catheter assembly. The catheter tube may have multiple independent lumens having axes of elongation offset parallelly in the tube. Additionally, the ablating burr may be operatively connected to the catheter tube by drive gears or releasable threads. A radiopaque member is included on the distal end of the catheter tube, thereby rendering it visible to an observer. Novel, improved methods of ablating intravascular deposits are also provided.
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公开(公告)号：US6080171A
公开(公告)日：2000-06-27
申请号：US271190
申请日：1999-03-17
CPC分类号： A61B17/3207 , A61B17/320758 , A61B2017/00473 , A61B2017/00902 , A61B2017/320004 , A61B2017/320766 , A61B2090/08021 , Y10S604/905
摘要： According to the invention, a novelly improved ablation device includes releasably joinable drive and catheter assemblies. The drive assembly includes a tachometer assembly and a regulator for monitoring and controlling ablating burr speed. A bifurcated drive shaft includes a coiled distal portion and a tubular proximal portion for facilitating force transfer from the proximal portion to the distal portion. A dilating member is provided in addition to an ablating burr on the catheter assembly. The catheter tube may have multiple independent lumens having axes of elongation offset parallelly in the tube. Additionally, the ablating burr may be operatively connected to the catheter tube by drive gears or releasable threads. A radiopaque member is included on the distal end of the catheter tube, thereby rendering it visible to an observer. Novel, improved methods of ablating intravascular deposits are also provided.
摘要翻译： 根据本发明，新颖改进的消融装置包括可释放地连接的驱动和导管组件。 驱动组件包括转速计组件和用于监测和控制切割毛刺速度的调节器。 分叉的驱动轴包括盘绕的远端部分和管状近端部分，用于促进从近端部分到远端部分的力传递。 除了导管组件上的烧蚀毛刺之外还提供扩张构件。 导管可具有多个独立的管腔，其具有平行于管中的伸长轴线偏移。 此外，烧蚀毛刺可以通过驱动齿轮或可释放螺纹可操作地连接到导管管。 不透射线的部件被包括在导管的远端，从而使观察者可见。 还提供了一种改进的消融血管内沉积物的方法。
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公开(公告)号：US5916227A
公开(公告)日：1999-06-29
申请号：US891560
申请日：1997-07-11
CPC分类号： A61B17/3207 , A61B17/320758 , A61B2017/00473 , A61B2017/00902 , A61B2017/320004 , A61B2017/320766 , A61B2090/08021 , Y10S604/905
摘要： According to the invention, a novelly improved ablation device includes releasably joinable drive and catheter assemblies. The drive assembly includes a tachometer assembly and a regulator for monitoring and controlling ablating burr speed. A bifurcated drive shaft includes a coiled distal portion and a tubular proximal portion for facilitating force transfer from the proximal portion to the distal portion. A dilating member is provided in addition to an ablating burr con the catheter assembly. The catheter tube may have multiple independent lumens having axes of elongation offset parallelly in the tube. Additionally, the ablating burr may be operatively connected to the catheter tube by drive gears or releasable threads. A radiopaque member is included on the distal end of the catheter tube, thereby rendering it visible to an observer. Novel, improved methods of ablating intravascular deposits are also provided.
摘要翻译： 根据本发明，新颖改进的消融装置包括可释放地连接的驱动和导管组件。 驱动组件包括转速计组件和用于监测和控制烧蚀毛刺速度的调节器。 分叉的驱动轴包括盘绕的远端部分和管状近端部分，用于促进从近端部分到远端部分的力传递。 除了与导管组件接合的烧蚀毛刺之外还设置有扩张构件。 导管可具有多个独立的管腔，其具有平行于管中的伸长轴线偏移。 此外，烧蚀毛刺可以通过驱动齿轮或可释放螺纹可操作地连接到导管管。 不透射线的部件被包括在导管的远端，从而使观察者可见。 还提供了一种改进的消融血管内沉积物的方法。
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公开(公告)号：US5667490A
公开(公告)日：1997-09-16
申请号：US415759
申请日：1995-04-03
CPC分类号： A61B17/3207 , A61B17/320758 , A61B2017/00473 , A61B2017/00902 , A61B2017/320004 , A61B2017/320766 , A61B2090/08021 , Y10S604/905
摘要： A drive assembly for an ablation device. The drive assembly including a housing and a connector for coupling a catheter assembly including a rotatable drive shaft to the housing. The connector including a first coupling rotatably connected to the housing and a second coupling fixably connected to the housing.
摘要翻译： 用于消融装置的驱动组件。 所述驱动组件包括壳体和连接器，用于将包括可旋转驱动轴的导管组件联接到所述壳体。 连接器包括可旋转地连接到壳体的第一联接器和可固定地连接到壳体的第二联接件。
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公开(公告)号：US20120253382A1
公开(公告)日：2012-10-04
申请号：US13525047
申请日：2012-06-15
IPC分类号： A61M29/00
CPC分类号： A61B17/12136 , A61B17/12045 , A61B17/12109 , A61B90/39 , A61B2017/12127 , A61B2017/22067 , A61F2/95
摘要： An embolic protection system and method of treating occluded vessels which reduces the risk of distal embolization during vascular interventions is provided. The embolic protection system includes a guide catheter, a multi-lumen tube having a sealing surface on the distal end and an interventional device. A method of treating a blood vessel includes providing a guide catheter and a multi-lumen elongate member having proximal and distal ends, evacuation and inflation lumens extending therebetween and a sealing surface on the distal end. The elongate member is advanced through the guide catheter into a blood vessel that supplies blood to the heart proximal a lesion. The sealing surface is expanded to engage the endoluminal surface of the blood vessel and stop antegrade flow. An interventional device is advanced through the evacuation lumen to treat the lesion.
摘要翻译： 提供了栓塞保护系统和治疗闭塞血管的方法，其减少血管干预期间远端栓塞的风险。 栓塞保护系统包括引导导管，具有远端密封表面的多腔管和介入装置。 治疗血管的方法包括提供导向导管和具有近端和远端的多腔细长构件，在其间延伸的抽空和充气腔以及远端上的密封表面。 细长构件通过引导导管前进到血管，该血管将血液提供给病灶附近的心脏。 密封表面被膨胀以与血管的内腔表面接合并停止顺行流动。 介入装置通过疏散腔前进以治疗病变。
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公开(公告)号：US20110288477A1
公开(公告)日：2011-11-24
申请号：US13197639
申请日：2011-08-03
IPC分类号： A61M25/092
CPC分类号： G06F17/30516 , A61B17/24 , A61F2/186 , A61F2/82 , A61F2230/0017 , A61M25/0012 , A61M25/0041 , A61M25/0102 , A61M25/09041 , A61M29/02 , A61M2025/0008 , A61M2025/0213 , A61M2025/0226 , A61M2025/0681 , A61M2025/105 , A61M2025/1061
摘要： A system for manipulating a guide catheter within a patient's nasal passages or sinus cavities includes a guide catheter formed from an elongate flexible member having a lumen passing there through. A wire guide is slidably disposed within the lumen of the guide catheter. The system further includes a steering member fixedly secured to a proximal end of the wire guide and a proximal hub secured to a proximal end of the guide catheter. The system further includes a recessed handle having a first recess for fixedly receiving the proximal hub of the guide catheter and a second recess for receiving the steering member, the second recess being dimensioned to permit axial and rotational movement of the steering member while disposed in the second recess.
摘要翻译： 用于在患者的鼻腔或窦腔内操作引导导管的系统包括由细长的柔性构件形成的引导导管，其具有通过其的内腔。 线引导件可滑动地设置在引导导管的内腔内。 系统还包括固定地固定到线引导件的近端的转向构件和固定到引导导管的近端的近侧毂。 所述系统还包括凹入的手柄，其具有用于固定地容纳所述导向导管的近侧毂的第一凹部和用于接纳所述转向构件的第二凹部，所述第二凹部的尺寸被设计成允许所述转向构件在轴向和旋转运动的同时设置在 第二个休息
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公开(公告)号：US07678099B2
公开(公告)日：2010-03-16
申请号：US12391129
申请日：2009-02-23
CPC分类号： A61M29/02 , A61B17/12022 , A61B17/12104 , A61B17/12136 , A61B17/24 , A61B17/3421 , A61B17/3468 , A61B90/30 , A61B90/50 , A61B2017/1205 , A61B2090/3945 , A61F2/82 , A61M2029/025 , A61M2210/0618 , A61M2210/0681
摘要： A method for treating a natural drainage passageway in a subject includes forming a cannulated artificial passageway into a subject's sinus cavity through the canine fossa region with a piercing member, the piercing member containing a hollow cannula thereon, the cannula comprising an elongate flexible member having a lumen passing therethrough. The piercing member is removed so as to leave the cannula in place. A balloon dilation catheter is then advanced within the lumen of the cannula so as to place the dilation balloon at least partially across the natural drainage passage in the sinus cavity. The dilation balloon is dilated so as to at least partially expand the natural drainage passageway.
摘要翻译： 用于治疗受试者中的自然引流通道的方法包括通过具有刺穿构件的犬窝区域将被插入的人造通道形成到受试者的窦腔中，穿刺构件在其上包含中空插管，该套管包括细长的柔性构件， 管腔通过。 移除刺穿构件以使套管保持在适当的位置。 然后，球囊扩张导管在套管的内腔中前进，以使扩张球囊至少部分地穿过窦腔内的自然排出通道。 膨胀气囊膨胀以至少部分地膨胀天然排水通道。
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公开(公告)号：US07654978B2
公开(公告)日：2010-02-02
申请号：US11034824
申请日：2005-01-14
IPC分类号： A61M29/00
CPC分类号： A61B17/12136 , A61B17/12045 , A61B17/12109 , A61B90/39 , A61B2017/12127 , A61B2017/22067 , A61F2/95
摘要： An evacuation sheath assembly and method of treating occluded vessels which reduces the risk of distal embolization during vascular interventions is provided. The evacuation sheath assembly includes an elongated tube defining an evacuation lumen having proximal and distal ends. A proximal sealing surface is provided on a proximal portion of the tube and is configured to form a seal with a lumen of a guided catheter. A distal sealing surface is provided on a distal portion of the tube and is configured to form a seal with a blood vessel. A method of treatment of a blood vessel using the evacuation sheath assembly includes advancing the evacuation sheath assembly into the blood vessel through a guide catheter. Prior to advancing a device across a stenosis to be treated, normal antegrade blood flow in the blood vessel proximate to the stenosis is stopped. While blood flow is stopped, the stenosis is treated. Retrograde blood flow is induced within the blood vessel to carry embolic material dislodged during treating into the evacuation sheath assembly.
摘要翻译： 提供疏散鞘组件和治疗闭塞血管的方法，其减少血管干预期间远端栓塞的风险。 抽真空组件包括限定具有近端和远端的抽空腔的细长管。 近侧密封表面设置在管的近端部分上，并被构造成与引导导管的内腔形成密封。 远端密封表面设置在管的远端部分上并构造成与血管形成密封。 使用排气鞘组件治疗血管的方法包括通过引导导管将排空鞘组件推进到血管中。 在将装置推进通过待治疗的狭窄之前，停止在狭窄附近的血管中的正常顺行血流。 当血流停止时，狭窄处理。 在血管内引起逆行血流，以便在处理进入抽真空鞘组件期间将栓塞物移走。
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公开(公告)号：US6129756A
公开(公告)日：2000-10-10
申请号：US39776
申请日：1998-03-16
申请人： Chad J. Kugler , John R. Drontle , Peter T. Keith , Thomas V. Ressemann , Matthew J. Olson , Thomas K. Heiland
发明人： Chad J. Kugler , John R. Drontle , Peter T. Keith , Thomas V. Ressemann , Matthew J. Olson , Thomas K. Heiland
CPC分类号： A61F2/07 , A61F2/848 , A61F2/89 , A61F2/90 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/826 , A61F2220/0016 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2230/0034 , A61F2250/0007
摘要： An endovascular graft system used to repair aneurysms in arteries which bifurcate such as the aorta which bifurcates at the aortoiliac junction. The graft system includes two legs, each defining a lumen. Each leg comprises an aortic stent, a graft component and an iliac stent. The graft component is affixed at one end to the aortic stent and at the other end to the iliac stent. Each leg of the graft system is preferably a mirror image of the other with the exception of the aortic stents. The graft component of each leg includes a means for allowing in situ adjustment of the length of the leg to accommodate the different sizes required for different patients.
摘要翻译： 用于修复分叉的动脉中的动脉瘤的血管内移植物系统，例如在主动脉交界处分叉的主动脉。 移植物系统包括两个腿，每个腿限定内腔。 每条腿包括主动脉支架，移植物组件和髂骨支架。 移植物组件一端固定在主动脉支架上，另一端固定在髂骨支架上。 除了主动脉支架之外，移植物系统的每个腿优选是另一个的镜像。 每个腿的移植部件包括用于允许原位调节腿的长度以适应不同患者所需的不同尺寸的装置。
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公开(公告)号：US6004291A
公开(公告)日：1999-12-21
申请号：US13111
申请日：1998-01-26
CPC分类号： A61M25/104 , A61M25/0662 , A61M2025/0034 , A61M2025/0047 , A61M2025/0063 , A61M2025/0079 , A61M2025/0098 , A61M2025/0183 , A61M2025/09191 , A61M2025/1056 , A61M2025/1061 , A61M2025/1077 , A61M2025/1079 , A61M2025/1093 , A61M25/003 , A61M25/0032 , A61M25/0054
摘要： An over-the-wire balloon dilatation catheter of the short guide wire lumen type has a stainless steel hypotube catheter shaft section, a distal plastic shaft section attached to the hypotube and a balloon connected to the distal plastic shaft section. A relatively short guide wire lumen extends throughout the length of the balloon. The distal shaft section includes a reinforcing and kink-resistant transition member extending throughout the length of the distal shaft section. The transition member allows the proximal guide wire lumen aperture to be placed distally from the distal end of the hypotube. This configuration permits the length of the guide wire lumen to be minimized.
摘要翻译： 短导丝管腔型的超线球囊扩张导管具有不锈钢海波管导管轴部分，附接到海波管的远端塑料轴部分和连接到远端塑料轴部分的气囊。 相对较短的导丝腔在气囊的整个长度上延伸。 远侧轴部分包括延伸穿过远侧轴部分的整个长度的加强和扭结过渡部件。 过渡构件允许近端导丝管腔孔从海波管的远端向远侧放置。 这种构造允许导丝管腔的长度最小化。
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