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公开(公告)号：US08663306B2
公开(公告)日：2014-03-04
申请号：US13635573
申请日：2011-03-18
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/9511 , A61F2002/9665 , A61M25/09041 , A61M29/02
摘要： A stent graft delivery device (1) has an elongated extension piece (20) extending from its proximal end of the introducer portion (3). The elongate extension piece is selectively separable from the introducer portion. A plurality of auxiliary guide wires (50) extend from through the stent graft delivery device and through the elongate extension piece. The auxiliary guide wires can cross over at the proximal end of the extension piece and return. The stent graft delivery device can be introduced into a patient via a femoral artery and the elongated extension piece can extend out an artery of the thoracic arch whereby to extend the auxiliary guide wires out of such an artery to give through and through guide wires. Catheterization of pararenal arteries is then possible via a brachial route.
摘要翻译： 支架移植物输送装置（1）具有从其引导器部分（3）的近端延伸的细长延伸件（20）。 细长延伸件可选择性地与导引器部分分离。 多个辅助导丝（50）从穿过支架移植物递送装置延伸并且通过细长延伸件延伸。 辅助导丝可以在延伸件的近端处交叉并返回。 支架移植物输送装置可以经由股动脉引入患者体内，并且细长的延伸件可以延伸出胸廓弓的动脉，从而将辅助导丝延伸出这样的动脉以通过并通过导丝。 然后可以通过肱动脉途径对肾动脉进行导管。
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公开(公告)号：US20130030514A1
公开(公告)日：2013-01-31
申请号：US13635573
申请日：2011-03-18
IPC分类号： A61B17/84
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/9511 , A61F2002/9665 , A61M25/09041 , A61M29/02
摘要： A stent graft delivery device (1) has an elongated extension piece (20) extending from its proximal end of the introducer portion (3). The elongate extension piece is selectively separable from the introducer portion. A plurality of auxiliary guide wires (50) extend from through the stent graft delivery device and through the elongate extension piece. The auxiliary guide wires can cross over at the proximal end of the extension piece and return. The stent graft delivery device can be introduced into a patient via a femoral artery and the elongated extension piece can extend out an artery of the thoracic arch whereby to extend the auxiliary guide wires out of such an artery to give through and through guide wires. Catheterization of pararenal arteries is then possible via a brachial route.
摘要翻译： 支架移植物输送装置（1）具有从其引导器部分（3）的近端延伸的细长延伸件（20）。 细长延伸件可选择性地与导引器部分分离。 多个辅助导丝（50）从穿过支架移植物递送装置延伸并且通过细长延伸件延伸。 辅助导丝可以在延伸件的近端处交叉并返回。 支架移植物输送装置可以经由股动脉引入患者体内，并且细长的延伸件可以延伸出胸廓弓的动脉，从而将辅助导丝延伸出这样的动脉以通过并通过导丝。 然后可以通过肱动脉途径对肾动脉进行导管。
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公开(公告)号：US20120221094A1
公开(公告)日：2012-08-30
申请号：US13405919
申请日：2012-02-27
申请人： Kylie F. Cunningham , Werner Dieter Ducke , David Ernest Hartley , Chantelle King , Blayne A. Roeder
发明人： Kylie F. Cunningham , Werner Dieter Ducke , David Ernest Hartley , Chantelle King , Blayne A. Roeder
IPC分类号： A61F2/84
CPC分类号： A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075 , A61F2002/9511 , A61F2250/0059 , A61F2250/006
摘要： A stent graft (10) has a tubular body with a side aperture (16) covered by a valve arrangement (18) and an arrangement to hold the valve open (32) with a release wire (30). Retraction of the release wire closes the valve. The stent graft can have a tubular body with a first bifurcation (134) with first and second legs (130, 132) extending from the bifurcation. The side aperture and valve arrangement can be in one of the legs. One of the legs (132) has a further bifurcation (142) to define a side arm (140). The stent graft can be deployed into the vasculature of a patient with the tubular body being in an aorta of the patient, a first leg extending down an iliac artery, a second leg being directed towards a contralateral iliac artery and the side arm directed to an internal artery of the contralateral iliac artery.
摘要翻译： 支架移植物（10）具有管状体，其具有由阀装置（18）覆盖的侧孔（16），以及用于将释放线（30）保持在阀（32）上的装置。 释放线的回缩将关闭阀门。 支架移植物可以具有带有第一分叉（134）的管状体，第一和第二腿（130,132）从分叉延伸。 侧孔和阀布置可以在一个腿中。 腿部（132）中的一个具有进一步的分叉（142）以限定侧臂（140）。 支架移植物可以部署到患者的脉管系统中，其中管状体位于患者的主动脉中，第一腿向下延伸到髂动脉，第二腿指向对侧髂动脉，并且侧臂指向一个 髂内动脉内侧动脉。
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公开(公告)号：US09011517B2
公开(公告)日：2015-04-21
申请号：US12912175
申请日：2010-10-26
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2220/0075
摘要： A stent graft has a tubular side arm which can be angled proximally and distally and from side to side. The wall of the stent graft in the vicinity of the side arm has a loose fold of the graft material and the side arm is fastened to the loose fold of graft material. The tubular side arm has an inner end and an outer end and is fastened into the loose fold of graft material by a circumferential fastening around the tubular side arm between the inner end and the outer end so that the tubular side arm extends partially within the tubular body of the stent graft and partially outside the tubular body of the stent graft. The loose fold of graft material can be formed by the graft material defining a recess in the wall of the stent graft. To enable movement or angulation proximally and distally and from side to side the loose fold of graft material is provided both proximally and distally of the tubular side arm and circumferentially to each side of the tubular side arm.
摘要翻译： 支架移植物具有管状侧臂，其能够在近端和远端并且从一侧到另一侧成角度。 在侧臂附近的支架移植物的壁具有移植材料的松散折叠，并且侧臂被紧固到移植物材料的松散褶皱上。 管状侧臂具有内端和外端，并且通过在内端和外端之间围绕管状侧臂的周向紧固而紧固到移植材料的松动折叠中，使得管状侧臂部分地在管状侧壁内延伸 支架植入物的主体和部分在支架移植物的管状体外部。 接枝材料的松散折叠可以通过在支架移植物的壁中限定凹部的移植材料形成。 为了使近端和远端以及从一侧到另一侧的移动或角度，移植材料的松散折叠被提供在管状侧臂的近端和远端，并且周向地设置在管状侧臂的每一侧。
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公开(公告)号：US08480726B2
公开(公告)日：2013-07-09
申请号：US13405919
申请日：2012-02-27
申请人： Kylie F. Cunningham , Werner Dieter Ducke , David Ernest Hartley , Chantelle King , Blayne A. Roeder
发明人： Kylie F. Cunningham , Werner Dieter Ducke , David Ernest Hartley , Chantelle King , Blayne A. Roeder
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075 , A61F2002/9511 , A61F2250/0059 , A61F2250/006
摘要： A stent graft (10) has a tubular body with a side aperture (16) covered by a valve arrangement (18) and an arrangement to hold the valve open (32) with a release wire (30). Retraction of the release wire closes the valve. The stent graft can have a tubular body with a first bifurcation (134) with first and second legs (130, 132) extending from the bifurcation. The side aperture and valve arrangement can be in one of the legs. One of the legs (132) has a further bifurcation (142) to define a side arm (140). The stent graft can be deployed into the vasculature of a patient with the tubular body being in an aorta of the patient, a first leg extending down an iliac artery, a second leg being directed towards a contralateral iliac artery and the side arm directed to an internal artery of the contralateral iliac artery.
摘要翻译： 支架移植物（10）具有管状体，其具有由阀装置（18）覆盖的侧孔（16），以及用于将释放线（30）保持在阀（32）上的装置。 释放线的回缩将关闭阀门。 支架移植物可以具有带有第一分叉（134）的管状体，第一和第二腿（130,132）从分叉延伸。 侧孔和阀布置可以在一个腿中。 腿部（132）中的一个具有进一步的分叉（142）以限定侧臂（140）。 支架移植物可以部署到患者的脉管系统中，其中管状体位于患者的主动脉中，第一腿向下延伸到髂动脉，第二腿指向对侧髂动脉，并且侧臂指向一个 髂内动脉内侧动脉。
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公开(公告)号：US20110313512A1
公开(公告)日：2011-12-22
申请号：US12912175
申请日：2010-10-26
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2220/0075
摘要： A stent graft has a tubular side arm which can be angled proximally and distally and from side to side. The wall of the stent graft in the vicinity of the side arm has a loose fold of the graft material and the side arm is fastened to the loose fold of graft material. The tubular side arm has an inner end and an outer end and is fastened into the loose fold of graft material by a circumferential fastening around the tubular side arm between the inner end and the outer end so that the tubular side arm extends partially within the tubular body of the stent graft and partially outside the tubular body of the stent graft. The loose fold of graft material can be formed by the graft material defining a recess in the wall of the stent graft. To enable movement or angulation proximally and distally and from side to side the loose fold of graft material is provided both proximally and distally of the tubular side arm and circumferentially to each side of the tubular side arm.
摘要翻译： 支架移植物具有管状侧臂，其能够在近端和远端并且从一侧到另一侧成角度。 在侧臂附近的支架移植物的壁具有移植材料的松散折叠，并且侧臂被紧固到移植物材料的松散褶皱上。 管状侧臂具有内端和外端，并且通过在内端和外端之间围绕管状侧臂的周向紧固而紧固到移植材料的松动折叠中，使得管状侧臂部分地在管状侧壁内延伸 支架植入物的主体和部分位于支架移植物的管状体外部。 接枝材料的松散折叠可以通过在支架移植物的壁中限定凹部的移植材料形成。 为了使近端和远端以及从一侧到另一侧的移动或角度，移植材料的松散折叠被提供在管状侧臂的近端和远端，并且周向地设置在管状侧臂的每一侧。
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公开(公告)号：US08636789B2
公开(公告)日：2014-01-28
申请号：US13467330
申请日：2012-05-09
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2/958 , A61F2002/061 , A61F2002/075 , A61F2230/0019 , A61F2250/0037 , A61F2250/0039
摘要： A stent graft defining a main lumen bounded by a wall of graft material is disclosed. The stent graft has a valve portion between proximal and distal portions. The valve portion is formed by a wall portion having a part-circumferential double layer portion comprising an inner underlap portion and an outer overlap portion, the double layer portion forming a passageway parallel to the main lumen. The passageway has an entrance mouth and an exit mouth. The passageway has an open condition where the underlap and overlap portions are spaced apart to form a vent lumen. The wall portion is broken by a narrow cut. The cut is openable by relative radial movement between its edges. This allows re-perfusion of an aneurism and perfusion of blood from within the lumen out towards blood vessels such as intercostals and can assist in minimizing the chance of paraplegia.
摘要翻译： 公开了一种限定由移植材料的壁限定的主腔的支架移植物。 支架移植物在近端部分和远端部分之间具有阀部分。 阀部分由具有包括内部重叠部分和外部重叠部分的部分周向双层部分的壁部分形成，双层部分形成平行于主管腔的通道。 通道有一个入口和一个出口。 通道具有打开状态，其中下搭和重叠部分间隔开以形成排气腔。 壁部分被狭窄的切口打破。 切割可通过其边缘之间的相对径向运动打开。 这可以将动脉瘤再次灌注，并将血液从腔内灌注出血管，如肋间，并有助于最大限度地减少截瘫的机会。
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公开(公告)号：US20120290069A1
公开(公告)日：2012-11-15
申请号：US13467330
申请日：2012-05-09
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2/958 , A61F2002/061 , A61F2002/075 , A61F2230/0019 , A61F2250/0037 , A61F2250/0039
摘要： A stent graft defining a main lumen bounded by a wall of graft material is disclosed. The stent graft has a valve portion between proximal and distal portions. The valve portion is formed by a wall portion having a part-circumferential double layer portion comprising an inner underlap portion and an outer overlap portion, the double layer portion forming a passageway parallel to the main lumen. The passageway has an entrance mouth and an exit mouth. The passageway has an open condition where the underlap and overlap portions are spaced apart to form a vent lumen. The wall portion is broken by a narrow cut. The cut is openable by relative radial movement between its edges. This allows re-perfusion of an aneurism and perfusion of blood from within the lumen out towards blood vessels such as intercostals and can assist in minimising the chance of paraplegia.
摘要翻译： 公开了一种限定由移植材料的壁限定的主腔的支架移植物。 支架移植物在近端部分和远端部分之间具有阀部分。 阀部分由具有包括内部重叠部分和外部重叠部分的部分周向双层部分的壁部分形成，双层部分形成平行于主管腔的通道。 通道有一个入口和一个出口。 通道具有打开状态，其中下搭和重叠部分间隔开以形成排气腔。 壁部分被狭窄的切口打破。 切割可通过其边缘之间的相对径向运动打开。 这可以将动脉瘤再次灌注，并将血液从腔内灌注出血管，如肋间，并有助于最大限度地减少截瘫的机会。
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公开(公告)号：US08574288B2
公开(公告)日：2013-11-05
申请号：US13069008
申请日：2011-03-22
IPC分类号： A61F2/16
CPC分类号： A61F2/07 , A61F2/88 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2002/30327 , A61F2002/30461 , A61F2002/9665 , A61F2220/0075 , A61F2250/0039
摘要： A stent graft has a tubular body of a biocompatible material and at least one fenestration. A tubular side branch is stitched into the fenestration with a portion of the side branch extending within the tubular body and a portion of the side branch extending exteriorly of the tubular body. The stitching by which the side branch is mounted into the fenestration extends circumferentially and diagonally from one end of the side branch to the other such that the side branch extends from the tubular body at an angle thereto. The tubular side branch may have a reinforcement stent having at least one helical wire segment.
摘要翻译： 支架移植物具有生物相容性材料的管状体和至少一个开窗。 管状侧分支被缝合到开窗中，侧分支的一部分在管状体内延伸并且侧分支的一部分延伸到管状体的外部。 侧分支被安装在开窗中的缝合从侧分支的一端沿圆周和对角地延伸到另一侧，使得侧分支以一定角度从管状体延伸。 管状侧分支可以具有至少一个螺旋线段的加强支架。
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公开(公告)号：US20130013053A1
公开(公告)日：2013-01-10
申请号：US13635579
申请日：2011-03-18
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039
摘要： A thoracic arch stent graft (1) has a tubular body of a biocompatible graft material (3) and at least one fenestration (13, 15) in the wall on one side thereof. A combination guide and tubular side arm assembly (20, 22) is mounted into the or each fenestration. The combination guide and tubular side arm assembly comprises a tubular portion (24) and a funnel portion (26) extending from a distal end of the tubular portion. The funnel portion has an angled open end. The tubular portion and the funnel portion are formed from a biocompatible graft material wall and have a lightweight space frame (38 40) formed from a resilient wire and supporting the graft material and defining the combination guide and tubular side arm assembly.
摘要翻译： 胸弓支架移植物（1）具有生物相容性移植材料（3）的管状体和在其一侧的壁中的至少一个开窗（13,15）。 组合引导件和管状侧臂组件（20,22）安装在该开口或每个开窗中。 组合引导件和管状侧臂组件包括管状部分（24）和从管状部分的远端延伸的漏斗部分（26）。 漏斗部分具有倾斜的开口端。 管状部分和漏斗部分由生物相容的移植材料壁形成，并且具有由弹性线形成并且支撑移植材料并限定组合引导件和管状侧臂组件的轻质空间框架（38,40）。
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