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公开(公告)号：US08740963B2
公开(公告)日：2014-06-03
申请号：US11449337
申请日：2006-06-08
IPC分类号： A61F2/06
CPC分类号： A61F2/966 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/962 , A61F2002/075 , A61F2002/828 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2210/0014 , A61F2230/0091 , A61F2250/0098 , A61M25/0105 , A61M25/0108 , Y10T29/49799 , Y10T74/18392
摘要： A method of implanting a prosthesis in a patient at a treatment site includes providing a prosthesis delivery system with an inner sheath and an outer sheath. The prosthesis is loaded inside the inner sheath. The inner sheath containing the prosthesis is loaded within the outer sheath. The outer sheath is advanced in a patient towards the treatment site up to a given position at a distance from the treatment site. While retaining the outer sheath in the given position, the inner sheath is advanced out from the outer sheath to the treatment site to align the prosthesis with the treatment site and the inner sheath is retracted to at least partially implant the prosthesis at the treatment site. Upon completion of prosthesis implantation, both of the inner and outer sheaths are retracted from the patient.
摘要翻译： 将假体植入治疗部位的患者的方法包括提供具有内护套和外护套的假体输送系统。 假体装载在内护套内。 包含假体的内护套被装载在外护套内。 外护套在患者身上向治疗部位前进到治疗部位一定距离的给定位置。 在将外护套保持在给定位置的同时，内护套从外护套推进到治疗部位，以将假体与治疗部位对准，并且内护套缩回以至少部分地将假体植入治疗部位。 在假体植入完成时，内护套和外护套都从患者收回。
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公开(公告)号：US20120296413A1
公开(公告)日：2012-11-22
申请号：US13566412
申请日：2012-08-03
IPC分类号： A61F2/84
CPC分类号： A61F2/966 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/962 , A61F2002/075 , A61F2002/828 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2210/0014 , A61F2230/0091 , A61F2250/0098 , A61M25/0105 , A61M25/0108 , Y10T29/49799 , Y10T74/18392
摘要： A method of implanting a prosthesis in a patient at a treatment site includes advancing an outer catheter of a prosthesis delivery system in the patient and advancing an inner sheath and a guidewire lumen of the delivery system from the outer catheter to the treatment site along a guidewire while the outer catheter remains stationary relative to the patient. The method also includes locking an apex release lumen, a sheath lumen and a guidewire lumen within the apex release lumen, with respect to an outer catheter and rotationally locking the apex release lumen, the sheath lumen and the guidewire lumen. The apex release lumen, the sheath lumen and the guidewire lumen are threaded onto a guidewire and directed into a patient and the apex release lumen and the sheath lumen are unlocked with respect to the outer catheter.
摘要翻译： 将假体植入治疗部位的患者的方法包括使患者中的假体输送系统的外导管前进，并将输送系统的内护套和导丝管腔从外导管沿着导丝推进到治疗部位 而外导管相对于患者保持静止。 该方法还包括相对于外导管锁定顶点释放腔，鞘腔和导管内腔，并且旋转地锁定顶点释放腔，鞘腔和导丝腔。 顶点释放腔，鞘腔和导丝管腔被拧到导丝上并引导到患者体内，并且顶点释放腔和鞘腔相对于外导管解锁。
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公开(公告)号：US08636788B2
公开(公告)日：2014-01-28
申请号：US13566412
申请日：2012-08-03
IPC分类号： A61F2/06
CPC分类号： A61F2/966 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/962 , A61F2002/075 , A61F2002/828 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2210/0014 , A61F2230/0091 , A61F2250/0098 , A61M25/0105 , A61M25/0108 , Y10T29/49799 , Y10T74/18392
摘要： A method of implanting a prosthesis in a patient at a treatment site includes advancing an outer catheter of a prosthesis delivery system in the patient and advancing an inner sheath and a guidewire lumen of the delivery system from the outer catheter to the treatment site along a guidewire while the outer catheter remains stationary relative to the patient. The method also includes locking an apex release lumen, a sheath lumen and a guidewire lumen within the apex release lumen, with respect to an outer catheter and rotationally locking the apex release lumen, the sheath lumen and the guidewire lumen. The apex release lumen, the sheath lumen and the guidewire lumen are threaded onto a guidewire and directed into a patient and the apex release lumen and the sheath lumen are unlocked with respect to the outer catheter.
摘要翻译： 将假体植入治疗部位的患者的方法包括使患者中的假体输送系统的外导管前进，并将输送系统的内护套和导丝管腔从外导管沿着导丝推进到治疗部位 而外导管相对于患者保持静止。 该方法还包括相对于外导管锁定顶点释放腔，鞘腔和导管内腔，并且旋转地锁定顶点释放腔，鞘腔和导丝腔。 顶点释放腔，鞘腔和导丝管腔被拧到导丝上并引导到患者体内，并且顶点释放腔和鞘腔相对于外导管解锁。
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4.发明申请Method for implanting a prosthesis with a two-part expanding delivery system 有权用于植入具有两部分扩张输送系统的假体的方法公开(公告)号：US20060276872A1
公开(公告)日：2006-12-07
申请号：US11449337
申请日：2006-06-08
IPC分类号： A61F2/06
CPC分类号： A61F2/966 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/962 , A61F2002/075 , A61F2002/828 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2210/0014 , A61F2230/0091 , A61F2250/0098 , A61M25/0105 , A61M25/0108 , Y10T29/49799 , Y10T74/18392
摘要： A method of implanting a prosthesis in a patient at a treatment site includes providing a prosthesis delivery system with an inner sheath and an outer sheath. The prosthesis is loaded inside the inner sheath. The inner sheath containing the prosthesis is loaded within the outer sheath. The outer sheath is advanced in a patient towards the treatment site up to a given position at a distance from the treatment site. While retaining the outer sheath in the given position, the inner sheath is advanced out from the outer sheath to the treatment site to align the prosthesis with the treatment site and the inner sheath is retracted to at least partially implant the prosthesis at the treatment site. Upon completion of prosthesis implantation, both of the inner and outer sheaths are retracted from the patient.
摘要翻译： 将假体植入治疗部位的患者的方法包括提供具有内护套和外护套的假体输送系统。 假体装载在内护套内。 包含假体的内护套被装载在外护套内。 外护套在患者身上向治疗部位前进到治疗部位一定距离的给定位置。 在将外护套保持在给定位置的同时，内护套从外护套推进到治疗部位，以将假体与治疗部位对准，并且内护套缩回以至少部分地将假体植入治疗部位。 在假体植入完成时，内护套和外护套都从患者收回。
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5.发明申请Delivery system and method for self-centering a Proximal end of a stent graft 审中-公开用于自动定心支架移植物近端的输送系统和方法公开(公告)号：US20070198078A1
公开(公告)日：2007-08-23
申请号：US11701876
申请日：2007-02-01
申请人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
发明人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
IPC分类号： A61F2/84
CPC分类号： A61F2/966 , A61F2/07 , A61F2/848 , A61F2/89 , A61F2/95 , A61F2002/075 , A61F2002/825 , A61F2002/91525 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9522 , A61F2002/9665 , A61F2230/008 , A61F2250/0048
摘要： A method for implanting a prosthesis centrally within a curved lumen includes loading a prosthesis into a delivery sheath, advancing the sheath in a patient towards the curved lumen to place at least the proximal end of the prosthesis within the curved lumen, and centering the proximal end of the prosthesis and/or the distal end of the sheath within the curved lumen. In a first advancing step, the outer catheter containing the inner sheath is advanced together towards the curved lumen to a location proximal of the curved lumen and, in a second advancing step, the inner sheath containing the prosthesis is advanced into the curved lumen to place at least the proximal end within the curved lumen while the outer catheter substantially remains at the location. After centering, the proximal end of the prosthesis is deployed centered within the curved lumen.
摘要翻译： 用于将假体植入在弯曲内腔内的方法包括将假体装载到输送鞘中，使患者中的护套向着弯曲的内腔移动，将假体的至少近端放置在弯曲的内腔内，并将近端 的假体和/或鞘的远端在弯曲管腔内。 在第一进行步骤中，包含内护套的外导管朝向弯曲内腔一起前进到靠近弯曲内腔的位置，并且在第二前进步骤中，将包含假体的内护套推入弯曲内腔以放置 至少在弯曲管腔内的近端，而外导管基本上保持在该位置。 在定中心之后，假体的近端在弯曲内腔中央展开。
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6.发明申请Delivery System and Method for Self-Centering a Proximal End of a Stent Graft 审中-公开用于自动定心支架植入物近端的输送系统和方法公开(公告)号：US20110313503A1
公开(公告)日：2011-12-22
申请号：US13024882
申请日：2011-02-10
申请人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
发明人： Humberto Berra , Samuel Arbefeuille , Fletcher Christian , Timothy Lostetter , Frank Borrego , Gerry Ouellette , Michael Moore
IPC分类号： A61F2/84
CPC分类号： A61F2/966 , A61F2/07 , A61F2/848 , A61F2/89 , A61F2/95 , A61F2002/075 , A61F2002/825 , A61F2002/91525 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9522 , A61F2002/9665 , A61F2230/008 , A61F2250/0048
摘要： A method for implanting a prosthesis centrally within a curved lumen includes loading a prosthesis into a delivery sheath, advancing the sheath in a patient towards the curved lumen to place at least the proximal end of the prosthesis within the curved lumen, and centering the proximal end of the prosthesis and/or the distal end of the sheath within the curved lumen. In a first advancing step, the outer catheter containing the inner sheath is advanced together towards the curved lumen to a location proximal of the curved lumen and, in a second advancing step, the inner sheath containing the prosthesis is advanced into the curved lumen to place at least the proximal end within the curved lumen while the outer catheter substantially remains at the location. After centering, the proximal end of the prosthesis is deployed centered within the curved lumen.
摘要翻译： 用于将假体植入在弯曲内腔内的方法包括将假体装载到输送鞘中，使患者中的护套向着弯曲的内腔移动，将假体的至少近端放置在弯曲的内腔内，并将近端 的假体和/或鞘的远端在弯曲管腔内。 在第一进行步骤中，包含内护套的外导管朝向弯曲内腔一起前进到靠近弯曲内腔的位置，并且在第二前进步骤中，将包含假体的内护套推入弯曲内腔以放置 至少在弯曲管腔内的近端，而外导管基本上保持在该位置。 在定中心之后，假体的近端在弯曲内腔中央展开。
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公开(公告)号：US09198786B2
公开(公告)日：2015-12-01
申请号：US11701867
申请日：2007-02-01
CPC分类号： A61F2/962 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/826 , A61F2002/9505 , A61F2002/9517 , A61F2002/9522 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A vascular repair device includes a tubular graft body having upstream and downstream ends, and an interior surface and a clasping stent partially attached to the interior surface. The clasping stent circumference defines upstream and downstream apices, and struts connecting respective adjacent apices. The struts each have upstream and downstream portions. The upstream portion of some of the struts is unattached from the interior surface and some of the upstream apices adjacent the unattached struts are also unattached. A crown stent can be attached circumferentially to the graft body adjacent the upstream end as a part of the support framework. The downstream apices and the downstream portion of the struts can be attached to the interior surface of the graft body with only some of the upstream halves and the upstream apices attached to the interior surface of the graft body.
摘要翻译： 血管修复装置包括具有上游和下游端的管状移植体，以及内表面和与内表面部分连接的夹紧支架。 夹紧支架圆周限定上游和下游顶点，以及连接各个相邻顶点的支柱。 支柱各具有上游和下游部分。 一些支柱的上游部分从内表面未附着，并且与未附着的支柱相邻的一些上游顶点也不附着。 作为支撑框架的一部分，冠状支架可以周向地附接到邻近上游端的移植物体。 支柱的下游顶点和下游部分可以仅附接到移植物体的内表面，只有一些上游半部和上游顶点附着到移植物体的内表面。
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公开(公告)号：US20070135889A1
公开(公告)日：2007-06-14
申请号：US11701867
申请日：2007-02-01
IPC分类号： A61F2/06
CPC分类号： A61F2/962 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2/95 , A61F2/966 , A61F2002/075 , A61F2002/825 , A61F2002/826 , A61F2002/9505 , A61F2002/9517 , A61F2002/9522 , A61F2002/9528 , A61F2002/9665 , A61F2220/0008 , A61F2220/0016 , A61F2230/0054 , A61F2230/0067 , A61F2250/0098
摘要： A vascular repair device includes a tubular graft body having upstream and downstream ends, and an interior surface and a clasping stent partially attached to the interior surface. The clasping stent circumference defines upstream and downstream apices, and struts connecting respective adjacent apices. The struts each have upstream and downstream portions. The upstream portion of some of the struts is unattached from the interior surface and some of the upstream apices adjacent the unattached struts are also unattached. A crown stent can be attached circumferentially to the graft body adjacent the upstream end as a part of the support framework. The downstream apices and the downstream portion of the struts can be attached to the interior surface of the graft body with only some of the upstream halves and the upstream apices attached to the interior surface of the graft body.
摘要翻译： 血管修复装置包括具有上游和下游端的管状移植体，以及内表面和与内表面部分连接的夹紧支架。 夹紧支架圆周限定上游和下游顶点，以及连接各个相邻顶点的支柱。 支柱各具有上游和下游部分。 一些支柱的上游部分从内表面未附着，并且与未附着的支柱相邻的一些上游顶点也不附着。 作为支撑框架的一部分，冠状支架可以周向地附接到邻近上游端的移植物体。 支柱的下游顶点和下游部分可以仅附接到移植物体的内表面，只有一些上游半部和上游顶点附着到移植物体的内表面。
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公开(公告)号：US20070142894A1
公开(公告)日：2007-06-21
申请号：US11700510
申请日：2007-01-31
申请人： Michael Moore , Samuel Arbefeuille
发明人： Michael Moore , Samuel Arbefeuille
IPC分类号： A61F2/84
CPC分类号： A61F2/966 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/962 , A61F2002/075 , A61F2002/828 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2210/0014 , A61F2230/0091 , A61F2250/0098 , A61M25/0105 , A61M25/0108 , Y10T29/49799 , Y10T74/18392
摘要： A method of implanting a prosthesis in a patient at a treatment site includes the steps of providing a prosthesis delivery sheath with an alignment device, loading a prosthesis into the sheath, advancing the sheath in a patient up to the treatment site, and viewing at least one of a rotational and an axial position of the alignment device at the treatment site and, if the sheath is not in a desired position, moving the sheath to the desired position based upon the position of the alignment device. The alignment device can be a pair of markers on opposing sides of a longitudinal axis of the sheath such that, when viewed from a side of the sheath, the pair forms a given shape that communicates to a user a direction in which the sheath needs to rotate minimally to align the markers and form the given shape.
摘要翻译： 将假体植入治疗部位的患者的方法包括以下步骤：提供具有对准装置的假体输送护套，将假体装载到护套中，将患者的护套推进到治疗部位，并至少观察 位于处理部位的对准装置的旋转和轴向位置中的一个，并且如果护套不在期望位置，则基于对准装置的位置将护套移动到期望位置。 对准装置可以是在护套的纵向轴线的相对侧上的一对标记，使得当从护套的侧面观察时，该对形成给定的形状，该形状与使用者需要护套所需的方向 最小旋转以对齐标记并形成给定的形状。
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公开(公告)号：US09320631B2
公开(公告)日：2016-04-26
申请号：US11700609
申请日：2007-01-31
申请人： Michael Moore , Samuel Arbefeuille
发明人： Michael Moore , Samuel Arbefeuille
CPC分类号： A61F2/966 , A61F2/07 , A61F2/89 , A61F2/95 , A61F2/962 , A61F2002/075 , A61F2002/828 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9528 , A61F2002/9665 , A61F2210/0014 , A61F2230/0091 , A61F2250/0098 , A61M25/0105 , A61M25/0108 , Y10T29/49799 , Y10T74/18392
摘要： A prosthesis implanting system includes a delivery sheath for receiving the prosthesis and delivering it to the treatment site and an alignment device on the sheath visible to a user for indicating a rotational and an axial position of the sheath with respect to the treatment site. The alignment device is part of a delivery assembly slidably disposed in a handle. The delivery assembly has a hollow first lumen for slidably receiving therein a guidewire, a hollow second lumen slidably disposed about the first lumen, a hollow third lumen slidably disposed about the second lumen and having a distal end at which the sheath is connected and is disposed about the first and second lumen. The sheath holds the prosthesis therein prior to implantation and the alignment device is connected to the sheath. A relatively stiff outer lumen is slidably disposed about the third lumen and sheath.
摘要翻译： 假体植入系统包括用于接收假体并将其递送到治疗部位的输送护套和护套可见的护套上的对准装置，用于指示护套相对于治疗部位的旋转和轴向位置。 对准装置是可滑动地设置在手柄中的输送组件的一部分。 输送组件具有中空的第一内腔，用于在其中可滑动地容纳导丝，围绕第一腔可滑动地设置的中空第二腔，围绕第二腔可滑动地设置的中空第三腔，并具有远端，护套连接并设置在该远端 关于第一和第二管腔。 在植入之前，护套将假体保持在其中，并且对准装置连接到护套。 相对较硬的外腔围绕第三内腔和护套可滑动地设置。
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