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    Robotic Fenestration Device Having Impedance Measurement
    3.
    发明申请
    Robotic Fenestration Device Having Impedance Measurement 审中-公开
    具有阻抗测量的机器人开窗装置

    公开(公告)号：US20100179632A1

    公开(公告)日：2010-07-15

    申请号：US12352254

    申请日：2009-01-12

    Applicant: Walter Bruszewski ,  James Machek

    Inventor： Walter Bruszewski ,  James Machek

    IPC: A61F2/84 ,  A61B5/053 ,  A61B19/00

    CPC classification number: A61B5/0536 ,  A61B5/6855 ,  A61B18/1206 ,  A61B18/1492 ,  A61B2018/00875 ,  A61B2034/301 ,  A61B2562/02 ,  A61F2/07 ,  A61F2002/061

    Abstract: A method and system for real-time continuous impedance monitoring along the surface of a graft implanted within a main vessel to aid in optimally positioning an electrode at a branch vessel ostium. Due to the conductivity differences among various kinds of solid tissue and blood, a fenestration catheter system uses impedance monitoring as a tool to detect the location of branch ostia through graft cloth. Such information enables the fenestration electrode to be properly positioned for creation of a fenestration in the graft cloth in situ. In addition, the fenestration catheter system may utilize impedance information to avoid contact between the electrode and metal stent structures used to anchor the graft during an in situ fenestration procedure. The fenestration catheter system includes a catheter shaft, an electrode, one or more reference or indifferent electrodes, an impedance analyzer, a power source and an electrode position reference to record impedance measurements in relation to position.

    Abstract translation: 一种用于实时连续阻抗监测的方法和系统，其沿着植入在主容器内的移植物的表面，以帮助最佳地将电极定位在分支血管口处。 由于各种固体组织和血液之间的电导率差异，开窗导管系统使用阻抗监测作为工具，通过移植布检测分支口的位置。 这样的信息使得开窗电极能够适当地定位，以便在移植布中原位创建开窗。 此外，开窗导管系统可以利用阻抗信息来避免在原位开窗过程期间用于锚定移植物的电极和金属支架结构之间的接触。 开窗导管系统包括导管轴，电极，一个或多个参考或无关电极，阻抗分析器，电源和电极位置，用于记录与位置相关的阻抗测量。

    High metal to vessel ratio stent and method
    4.
    发明授权
    High metal to vessel ratio stent and method 有权
    高金属与血管比支架和方法

    公开(公告)号：US09005270B2

    公开(公告)日：2015-04-14

    申请号：US13430942

    申请日：2012-03-27

    Applicant: Keith Perkins ,  Samuel Robaina ,  Jeffery Argentine ,  Walter Bruszewski ,  Andrew Kiehl

    Inventor： Keith Perkins ,  Samuel Robaina ,  Jeffery Argentine ,  Walter Bruszewski ,  Andrew Kiehl

    IPC: A61F2/82 ,  A61F2/915

    CPC classification number: A61F2/915 ,  A61F2002/91525

    Abstract: A method includes covering ostai of branch vessels emanating from a main vessel and an aneurysm with a high metal to vessel ratio stent. A metal to vessel ratio of the high metal to vessel ratio stent is sufficiently high to encourage tissue ingrowth around the high metal to vessel ratio stent yet is sufficiently low to ensure perfusion of the branch vessels through the high metal to vessel ratio stent. The ingrowth of tissue provides secure fixation and sealing of the high metal to vessel ratio stent to the main vessel and remodels and essentially eliminates the aneurysm. Further, as the entire high metal to vessel ratio stent is permeably, the high metal to vessel ratio stent is deployed without having to rotationally position the high metal to vessel ratio stent.

    Abstract translation: 一种方法包括覆盖从主血管发出的分支血管和具有高金属与血管比例支架的动脉瘤。 高金属与血管比支架的金属与血管比例足够高以促使组织向内生长高金属与血管比例支架，但足够低以确保分支血管通过高金属与血管比例的支架灌注。 组织的向内生长提供了高金属与血管比例支架到主血管的牢固固定和密封，并且改造并且基本上消除了动脉瘤。 此外，随着整个高金属与血管比例的支架是可渗透的，高金属与血管比例的支架被展开，而不必旋转地定位高金属与血管比例的支架。

    Mobile external coupling for branch vessel connection
    5.
    发明授权
    Mobile external coupling for branch vessel connection 有权
    用于分支船舶连接的移动外部耦合

    公开(公告)号：US08506622B2

    公开(公告)日：2013-08-13

    申请号：US12425628

    申请日：2009-04-17

    Applicant: Walter Bruszewski ,  Kevin Boyle ,  Masoumeh Mafi

    Inventor： Walter Bruszewski ,  Kevin Boyle ,  Masoumeh Mafi

    IPC: A61F2/06

    CPC classification number: A61F2/07 ,  A61F2/88 ,  A61F2/89 ,  A61F2/954 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/30125 ,  A61F2002/30327 ,  A61F2002/30604 ,  A61F2002/9665 ,  A61F2230/0008 ,  A61F2250/0039 ,  A61F2250/006

    Abstract: An endovascular prosthesis includes a tubular body and a flexible springy mobile external coupling. The tubular body includes a graft material and stents coupled thereto with a forms a lumen therethrough. The mobile external coupling extends outwardly from the tubular body. The mobile external coupling includes a graft material and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top, wherein the coupling lumen is in flow communication with the body lumen. A helically shaped stent may be coupled to the coupling graft material to make it flexible and springy.

    Abstract translation: 血管内假体包括管状主体和柔性弹性移动外部联接器。 管状体包括移植材料和与其结合的支架，其形成通过其中的腔。 移动外部联接件从管状体向外延伸。 移动外部联接件包括移植材料并且通常是截头圆锥形的。 移动外部联接器包括联接到管状体的基部，与管状体间隔开的顶部以及设置在基部和顶部之间的联接腔，其中联接腔与体腔流动连通。 螺旋形支架可以联接到联接移植物材料，以使其柔性和弹性。

    Mobile External Coupling for Branch Vessel Connection
    7.
    发明申请
    Mobile External Coupling for Branch Vessel Connection 有权
    分支船连接的移动外耦合

    公开(公告)号：US20120271401A1

    公开(公告)日：2012-10-25

    申请号：US13089545

    申请日：2011-04-19

    Applicant: Walter Bruszewski ,  Malhar Desai

    Inventor： Walter Bruszewski ,  Malhar Desai

    IPC: A61F2/82

    CPC classification number: A61F2/954 ,  A61F2/07 ,  A61F2/89 ,  A61F2/90 ,  A61F2/966 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/9505 ,  A61F2002/9517 ,  A61F2002/9665 ,  A61F2220/0075

    Abstract: An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto, and forms a lumen therethrough. The mobile external coupling includes a graft material, extends outwardly from the tubular body, and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top that is in flow communication with the body lumen. An annular support wireform is coupled to the mobile external coupling, and is formed into a sinusoidal configuration having a plurality of opposing first crowns and second crowns, the first crowns of the support wireform extending around of the top of the mobile external coupling. The coupling graft material extending between the second crowns of the support wireform and the tubular body is unsupported.

    Abstract translation: 血管内假体包括管状主体和移动外部联接器。 管状体包括移植材料和与其连接的支架，并且形成通过其中的内腔。 移动外部联接器包括从管状体向外延伸的移植材料，并且通常为截头圆锥形状。 移动外部联接器包括联接到管状体的基部，与管状体间隔开的顶部，以及设置在基部和顶部之间的与体腔流动连通的联接腔。 环形支撑线形联接到移动外部联接器，并且形成为具有多个相对的第一冠部和第二冠部的正弦构造，支撑线形模的第一冠部围绕可移动外部联接器的顶部延伸。 在支撑线形的第二冠和管状体之间延伸的联接移植物材料是不受支撑的。

    Sheath Introducer System with Exchangeable Hemostatic Valves
    8.
    发明申请
    Sheath Introducer System with Exchangeable Hemostatic Valves 有权
    护套介绍系统与可替换止血阀

    公开(公告)号：US20120271236A1

    公开(公告)日：2012-10-25

    申请号：US13089592

    申请日：2011-04-19

    Applicant: Walter Bruszewski

    Inventor： Walter Bruszewski

    IPC: A61B17/34 ,  A61M39/06

    CPC classification number: A61M39/0613 ,  A61M39/0606 ,  A61M2039/0633 ,  A61M2039/0673 ,  A61M2039/0686

    Abstract: A sheath introducer system with exchangeable hemostatic valve modules is disclosed. A first valve module includes a single entry port to ensure hemostasis during the introduction of an interventional device, such as a main graft delivery system for treatment of an abdominal aortic aneurysm (AAA). A second valve module includes multiple entry ports to ensure hemostasis during the simultaneous introduction and manipulation of multiple interventional devices, such as multiple guiding catheters for use in delivering various intravascular graft components for completion of branch perfusion, for instance, during treatment of the AAA.

    Abstract translation: 公开了一种具有可更换止血阀模块的护套导引器系统。 第一阀模块包括单个进入口，以在引入介入装置期间确保止血，例如用于治疗腹主动脉瘤（AAA）的主移植物递送系统。 第二阀模块包括多个输入端口，以在同时引入和操纵多个介入装置期间确保止血，例如用于递送各种血管内移植物组分以完成分支灌注的多个引导导管，例如在治疗AAA期间。

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