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1.发明授权Expandable intravascular occlusion material removal devices and methods of use 失效可扩张的血管内阻塞材料去除装置及使用方法
公开(公告)号：US5540707A
公开(公告)日：1996-07-30
申请号：US261813
申请日：1994-06-17
CPC分类号： A61B17/320725 , A61B2017/22042 , A61B2017/22075 , A61B2017/320012 , A61B90/39
摘要： An improved expandable removal element for an atherectomy device wherein the expandable removal element is movable between an expanded position and a contracted position. In one embodiment of the present invention, a single drive shaft is operatively connected to the distal end of the expandable material removal element for rotating the removal element. A catheter surrounds a portion of the drive shaft. The catheter is shiftable with respect to the drive shaft for moving the material removal element between the expanded position and the contracted position. In another embodiment of the present invention, dual coaxial drive shafts are employed. The inner drive shaft and the outer drive are shiftable with respect to one another for moving the removal element between the expanded position and the contracted position. The present invention also describes several embodiments for an improved removal element. One embodiment or the present invention is to provide a braid pattern wherein each single primary braid wire within the braid pattern is individually radially wrapped with a second "wrapping" wire. The "wrapping" wire, which is coated with an abrasive, primarily performs the removal function. Finally, a number of novel methods for removing vascular occlusion material are provided.
摘要翻译： 一种用于粥样斑块切除装置的改进的可扩张去除元件，其中所述可扩张移除元件可在扩张位置和收缩位置之间移动。 在本发明的一个实施例中，单个驱动轴可操作地连接到可膨胀材料去除元件的远端，用于旋转移除元件。 导管围绕驱动轴的一部分。 导管可相对于驱动轴移动，以便在扩张位置和收缩位置之间移动材料移除元件。 在本发明的另一实施例中，采用双同轴驱动轴。 内部驱动轴和外部驱动器可相对于彼此移动，用于使移除元件在扩张位置和收缩位置之间移动。 本发明还描述了改进的去除元件的几个实施例。 一个实施例或本发明是提供一种编织图案，其中编织图案内的每个单个主编织线用第二“缠绕”线单独径向包裹。 涂有研磨剂的“包裹”线主要执行去除功能。 最后，提供了许多用于去除血管闭塞材料的新方法。
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公开(公告)号：US5836868A
公开(公告)日：1998-11-17
申请号：US621350
申请日：1996-03-25
CPC分类号： A61B17/22 , A61B17/32 , A61B17/320758 , A61B2017/320004
摘要： An improved expandable removal element (16) for an atherectomy device wherein the expandable removal element (16) is movable between an expanded position and a contracted position. In one embodiment of the present invention, a single drive shaft (92) is operatively connected to the distal end of the expandable material removal element (16) for rotating the removal element (16). A catheter (178) may surround a portion of the drive shaft (92). The catheter (178) is shiftable with respect to the drive shaft (92) for moving the material removal element between the expanded position and the contracted position. In another embodiment of the present invention, dual coaxial drive shafts are employed. The inner drive shaft (312) and the outer drive (314) are shiftable with respect to one another for moving the removal element (252) between the expanded position and the contracted position. The present invention also describes several embodiments for an improved removal element (252). One embodiment of the removal element of the present invention comprised a plurality of braided wires having an abrasive disposed thereon. Another embodiment of a removal element is to provide a plurality of individual wires within each "braid" to increase the abrasive surface area of the removal element. In this "multi-ended" configuration, a plurality of wires are bundled together to form a single multi-ended strand (330). These single multi-ended strands are then braided together and an abrasive is disposed thereon to form the removal element (252). In another embodiment or the present invention is to provide a braid pattern wherein each single primary braid wire within the braid pattern is individually radially wrapped with a second "wrapping" wire (342). The "wrapping" wire (342), which may be coated with an abrasive (344), primarily performs the removal function. Finally, a number of novel methods for removing vascular occlusion material are provided.
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3.发明授权Expandable intravascular occlusion material removal devices and methods of use 失效可扩张的血管内阻塞材料去除装置及使用方法
公开(公告)号：US5897567A
公开(公告)日：1999-04-27
申请号：US924850
申请日：1997-09-09
IPC分类号： A61B17/32
CPC分类号： A61B17/32
摘要： An improved expandable removal element (16) for an atherectomy device wherein the expandable removal element (16) is movable between an expanded position and a contracted position. In one embodiment of the present invention, a single drive shaft (92) is operatively connected to the distal end of the expandable material removal element (16) for rotating the removal element (16). A catheter (178) may surround a portion of the drive shaft (92). The catheter (178) is shiftable with respect to the drive shaft (92) for moving the material removal element between the expanded position and the contracted position. In another embodiment of the present invention, dual coaxial drive shafts are employed. The inner drive shaft (312) and the outer drive (314) are shiftable with respect to one another for moving the removal element (252) between the expanded position and the contracted position. The present invention also describes several embodiments for an improved removal element (252).
摘要翻译： 一种用于粥样斑块切除装置的改进的可扩张去除元件（16），其中所述可扩张移除元件（16）可在展开位置和收缩位置之间移动。 在本发明的一个实施例中，单个驱动轴（92）可操作地连接到可膨胀材料移除元件（16）的远端，用于旋转移除元件（16）。 导管（178）可围绕驱动轴（92）的一部分。 导管（178）可相对于驱动轴（92）移动，用于在扩张位置和收缩位置之间移动材料移除元件。 在本发明的另一实施例中，采用双同轴驱动轴。 内部驱动轴（312）和外部驱动器（314）可以相对于彼此移动，以在移动元件（252）之间在扩张位置和收缩位置之间移动。 本发明还描述了改进的去除元件（252）的几个实施例。
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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：US07112217B1
公开(公告)日：2006-09-26
申请号：US09652548
申请日：2000-08-31
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
IPC分类号： A61F2/06
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.
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公开(公告)号：US20130103070A1
公开(公告)日：2013-04-25
申请号：US13660919
申请日：2012-10-25
IPC分类号： A61B17/34
CPC分类号： A61B17/3403 , A61B17/00008 , A61B17/22031 , A61B17/221 , A61B17/32053 , A61B17/32075 , A61B17/320758 , A61B17/3415 , A61B17/3417 , A61B17/3476 , A61B2017/00252 , A61B2017/003 , A61B2017/00455 , A61B2017/00685 , A61B2017/22034 , A61B2017/22038 , A61B2017/22044 , A61B2017/22077 , A61B2017/22094 , A61B2017/22095 , A61B2017/2212 , A61B2017/320004 , A61B2017/320044 , A61B2017/320064 , A61B2017/320741 , A61B2017/3405 , A61B2017/3454 , A61F2/88 , A61M25/003 , A61M25/0032 , A61M25/0045 , A61M25/0069 , A61M25/007 , A61M25/0074 , A61M25/0082 , A61M25/0152 , A61M25/04 , A61M25/10 , A61M2025/006 , A61M2025/018 , A61M2025/09175 , A61M2025/09191 , A61M2025/105
摘要： Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes inserting an intramural crossing device into the vascular lumen, positioning at least the distal tip of the crossing device in the vascular wall, advancing an orienting device over the crossing device such that an orienting element of the orienting device resides in the vascular wall, inserting a re-entry device, and re-entering the true vascular lumen.
摘要翻译： 提供了用于治疗慢性完全闭塞的装置和方法。 一个公开的实施例包括一种便于通过限定其中包含闭塞的血管腔的血管壁进行治疗的方法。 所述方法包括将血管内腔插入壁内交叉装置，至少将交叉装置的远端定位在血管壁中，使取向装置在交叉装置上方推进，使定向装置的定向元件驻留在血管壁 插入再输入装置，并重新进入真正的血管腔。
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7.发明授权公开(公告)号：US08187164B2
公开(公告)日：2012-05-29
申请号：US12610633
申请日：2009-11-02
CPC分类号： A61B17/12009 , A61B17/12013 , A61B2017/00827 , A61B2017/00876 , A61B2017/12018 , A61F2/0036 , A61F5/005 , A61F5/0069
摘要： A plurality of structures that resiliently attract one another are provided for implanting in a patient around a body tissue structure of the patient. For example, the body tissue structure may be the esophagus, and the plurality of structures may be implanted in an annulus around the outside of the esophagus, the annulus being substantially coaxial with the esophagus. The attraction may be between annularly adjacent ones of the structures in the annulus, and it may be provided, for example, by magnets or springs. The array of structures is preferably self-limiting with respect to the smallest area that it can encompass, and this smallest area is preferably large enough to prevent the apparatus from applying excessive pressure to tissue passing through that area.
摘要翻译： 提供弹性地彼此吸引的多个结构，用于将患者周围的身体组织结构植入患者体内。 例如，身体组织结构可以是食道，并且可以将多个结构植入围绕食管外侧的环带中，环与食道基本上同轴。 吸引物可以在环形结构中的环形相邻结构之间，并且其可以例如由磁体或弹簧提供。 结构的阵列优选地相对于其可以包围的最小面积是自限制的，并且该最小面积优选地足够大以防止装置对通过该区域的组织施加过大的压力。
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公开(公告)号：US20100076573A1
公开(公告)日：2010-03-25
申请号：US12610633
申请日：2009-11-02
CPC分类号： A61B17/12009 , A61B17/12013 , A61B2017/00827 , A61B2017/00876 , A61B2017/12018 , A61F2/0036 , A61F5/005 , A61F5/0069
摘要： A plurality of structures that resiliently attract one another are provided for implanting in a patient around a body tissue structure of the patient. For example, the body tissue structure may be the esophagus, and the plurality of structures may be implanted in an annulus around the outside of the esophagus, the annulus being substantially coaxial with the esophagus. The attraction may be between annularly adjacent ones of the structures in the annulus, and it may be provided, for example, by magnets or springs. The array of structures is preferably self-limiting with respect to the smallest area that it can encompass, and this smallest area is preferably large enough to prevent the apparatus from applying excessive pressure to tissue passing through that area.
摘要翻译： 提供弹性地彼此吸引的多个结构，用于将患者周围的身体组织结构植入患者体内。 例如，身体组织结构可以是食道，并且可以将多个结构植入围绕食管外侧的环带中，环与食道基本上同轴。 吸引物可以在环形结构中的环形相邻结构之间，并且其可以例如由磁体或弹簧提供。 结构的阵列优选地相对于其可以包围的最小面积是自限制的，并且该最小面积优选地足够大以防止装置对通过该区域的组织施加过大的压力。
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公开(公告)号：US06790222B2
公开(公告)日：2004-09-14
申请号：US10341814
申请日：2003-01-14
IPC分类号： A61F206
CPC分类号： A61F2/07 , A61F2/848 , A61F2/89 , A61F2/90 , A61F2/91 , A61F2/95 , A61F2/954 , A61F2002/067 , A61F2002/075 , A61F2220/0033 , A61F2220/0075 , A61F2230/0054 , A61F2230/008
摘要： The invention provides an endovascular graft system for repair of aneurysms. The graft system includes a trunk component and first and second leg components. The graft components include graft material supported by a plurality of stents which are spaced apart and affixed to the graft material in a manner that allows articulation of the graft system without excessive wear of the graft material. The stents are formed by intersecting struts which may be tapered to relieve stress. A stabilizing mechanism is provided to stabilize the position of the legs with respect to the trunk when the graft system is deployed.
摘要翻译： 本发明提供了用于修复动脉瘤的血管内移植物系统。 移植物系统包括躯干部件和第一和第二腿部部件。 移植物组分包括由多个支架支撑的移植材料，所述支架间隔开并且以允许移植物系统的关节连接并且固定到移植物材料上而不会过度磨损移植材料的方式。 支架由相交的支柱形成，支柱可以是锥形的以减轻压力。 提供了一种稳定机构，用于在移植系统展开时使腿相对于躯干的位置稳定。
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公开(公告)号：US06652572B2
公开(公告)日：2003-11-25
申请号：US09928790
申请日：2001-08-13
申请人： Chad J. Kugler , John R. Drontle , Peter T. Keith
发明人： Chad J. Kugler , John R. Drontle , Peter T. Keith
IPC分类号： A61F206
CPC分类号： A61F2/07 , A61F2/90 , A61F2/91 , A61F2002/065 , A61F2002/075 , A61F2002/8486 , A61F2230/0054 , A61F2250/0039
摘要： The invention provides an attachment member for anchoring a graft system at a desired location in a vessel of a patient's vascular system. The attachment member comprises a cranial zone having a first radial strength, a caudal zone having a second radial strength, and an intermediate zone having multiple joining longitudinal struts located between and connecting the cranial and caudal zones. The intermediate zone has a third radial strength which is less than the first and second radial strengths, and the cranial and caudal zones are formed from a self-expanding material capable of expanding from a first delivery configuration to a second deployed configuration. The invention also provides an endovascular graft system, a method for deploying an aortic attachment member, and a method for repairing an aneurysm in an aorta.
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