公开(公告)号：US20130123904A1

公开(公告)日：2013-05-16

申请号：US13601902

申请日：2012-08-31

申请人： Andrew H. Cragg ,  Claude Mialhe ,  George Goicoechea ,  John Hudson ,  Michael D. Dake

发明人： Andrew H. Cragg ,  Claude Mialhe ,  George Goicoechea ,  John Hudson ,  Michael D. Dake

IPC分类号： A61F2/852 ,  A61F2/07

CPC分类号： A61F2/852 ,  A61F2/07 ,  A61F2/82 ,  A61F2/90 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/828 ,  A61F2002/8486 ,  A61F2210/0019 ,  A61F2220/0008 ,  A61F2220/0016 ,  A61F2220/0033 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2230/0067 ,  A61F2240/001 ,  A61F2250/0098 ,  A61M25/0662 ,  Y10S623/903 ,  Y10T29/49826

摘要： The present disclosure provides a bifurcated stent for use in juxtaposition with an angiological bifurcation. The disclosure provides a bifurcated stent that includes a proximal portion adapted to be disposed within a blood vessel in juxtaposition with a bifurcation, a first distal stent portion adapted to extend across the bifurcation into one of the branched blood vessels, and a second distal stent portion adapted to allow blood to flow from the proximal portion into the other branch blood vessel. The disclosure also provides a bifurcated prosthesis including such a bifurcated stent and a tubular graft layer formed from a biocompatible fabric in juxtaposition with the stent. The disclosure also provides a stent joining means for joining two stents one to the other to define a continuous lumen through the two stents.

摘要翻译： 本公开提供了用于与血管分叉并置的分叉支架。 本公开提供了一种分叉支架，其包括适于布置在血管内的近端部分，其与分叉并置，第一远端支架部分，其适于延伸穿过分叉进入支支血管之一;以及第二远端支架部分 适于允许血液从近端部分流入另一分支血管。 本公开还提供了包括这种分叉支架的分叉假体和由与支架并置的生物相容性织物形成的管状移植层。 本公开还提供了一种支架接合装置，用于将两个支架彼此连接以限定通过两个支架的连续内腔。

公开(公告)号：US20120277851A1

公开(公告)日：2012-11-01

申请号：US13534720

申请日：2012-06-27

申请人： Gil M. Vardi ,  Charles J. Davidson ,  Eric Williams

发明人： Gil M. Vardi ,  Charles J. Davidson ,  Eric Williams

IPC分类号： A61F2/82

CPC分类号： A61F2/954 ,  A61F2/856 ,  A61F2/958 ,  A61F2250/006 ,  A61F2250/0097 ,  Y10S623/903

摘要： A method of positioning a main stent at a vessel bifurcation includes positioning a main guidewire in the main vessel; and advancing a stent delivery system to a position proximate the bifurcation. The stent delivery system includes a catheter with a flexible side sheath attached thereto and a main stent positioned over the catheter. The flexible side sheath is positioned to pass through the side opening in the main stent. The method also includes advancing a branch guidewire through the flexible side sheath and into the branch vessel; and subsequently, advancing the catheter over the main guidewire while advancing the flexible side sheath over the branch guidewire while viewing relative movement of a marker positioned on the flexible side sheath with respect to at least one marker positioned on the catheter.

摘要翻译： 将主支架定位在血管分叉处的方法包括将主导丝定位在主血管中; 并将支架输送系统推进到靠近分叉的位置。 支架输送系统包括其上附着柔性侧鞘的导管和位于导管上的主支架。 柔性侧护套被定位成穿过主支架中的侧开口。 该方法还包括使分支导丝穿过柔性侧鞘并进入分支容器; 并且随后，当相对于位于导管上的至少一个标记物观察位于柔性侧护套上的标记物的相对运动时，将导管推进主导丝上，同时使柔性侧鞘超过分支导丝。

公开(公告)号：US20120221090A1

公开(公告)日：2012-08-30

申请号：US13465085

申请日：2012-05-07

申请人： Yehuda G. WOLF

发明人： Yehuda G. WOLF

IPC分类号： A61F2/84 ,  A61F2/82 ,  A61M5/00

CPC分类号： A61F2/06 ,  A61F2/064 ,  A61F2/07 ,  A61F2/89 ,  A61F2/90 ,  A61F2/954 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/821 ,  A61F2220/0075 ,  Y10S623/903

摘要： Described is a removable shunt adapted for deployment along a brain-supplying artery into an aorta to supply blood to the artery during deployment of a stent-graft in the aorta, the removable shunt including a stiff segment that is stiff enough to remain at least partially open when between the aorta and the stent-graft and large enough to allow sufficient blood supply to the brain during the deployment of the stent-graft; and a mechanism for facilitating safe removal of the shunt from between the stent-graft and the aorta. Also described is a method of deploying a branch stent graft having a flaring portion in a blood vessel branching at a bifurcation from an aorta to connect to an aortic stent graft deployed in the aorta across the bifurcation, a branch stent-graft useful in the method, and a delivery system useful in the method.

摘要翻译： 描述了可拆卸分流器，其适于沿着供脑动脉部署到主动脉中，以在支架移植物在主动脉中展开期间向血管供应血液，所述可移除分流器包括刚性足够坚硬的段，以至少部分保持 在主动脉和支架移植物之间开放，并且足够大以在展开支架移植物期间允许足够的血液供应给大脑; 以及用于促进从支架移植物和主动脉之间的分流的安全移除的机构。 还描述了一种在分支从主动脉分支的血管中展开具有扩口部分的分支支架移植物连接到横跨分叉部分在主动脉中的主动脉支架移植物的方法，用于该方法的分支支架移植物 ，以及在该方法中有用的递送系统。

公开(公告)号：US08202311B2

公开(公告)日：2012-06-19

申请号：US11493076

申请日：2006-07-26

申请人： Demetrios Demetriades ,  Bruce Gingles ,  James B. Hunt ,  Charles L. McIntosh

发明人： Demetrios Demetriades ,  Bruce Gingles ,  James B. Hunt ,  Charles L. McIntosh

IPC分类号： A61F2/06

CPC分类号： A61F2/07 ,  A61F2/064 ,  A61F2/89 ,  A61F2/90 ,  A61F2/97 ,  A61F2002/075 ,  A61F2002/8483 ,  Y10S623/903

摘要： A method and a stent/graft device for intraoperative repair of a damaged portion of a body vessel. The stent/graft device has a length at least as long as the length of the damaged portion of the vessel undergoing repair, and is positioned within the vessel such that the device at least spans the length of the damaged vessel portion. The stent/graft device is securely engaged with the vessel at the site of the damage in a manner such that migration of the device in said vessel is inhibited.

摘要翻译： 一种用于术中修复身体血管的损伤部分的方法和支架/移植装置。 支架/移植装置的长度至少等于容器经受修复的损坏部分的长度，并且被定位在容器内，使得该装置至少跨过受损血管部分的长度。 支架/移植装置在损伤部位牢固地与容器接合，使得装置在所述容器中的迁移被抑制。

公开(公告)号：US08092519B2

公开(公告)日：2012-01-10

申请号：US11166411

申请日：2005-06-24

申请人： Lee Bolduc

发明人： Lee Bolduc

IPC分类号： A61F2/06

CPC分类号： A61B17/10 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  A61B2017/00292 ,  A61B2017/00778 ,  A61B2017/0646 ,  A61B2017/0649 ,  A61F2/06 ,  A61F2/064 ,  A61F2/07 ,  A61F2/848 ,  A61F2/90 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  Y10S623/903

摘要： Method and apparatus for implanting radially expandable prostheses in the body lumens rely on tacking or anchoring of the prostheses with separately introduced fasteners. The prostheses may be self-expanding or balloon expandable. After initial placement, a fastener applier system is introduced within the expanded prostheses to deploy a plurality of fasteners at least one prosthesis end, usually as each end of the prosthesis. The fasteners are usually helical fasteners which are delivered from a helical track in the fastener applier by rotation with a rotator wire. The fasteners will be applied singly, typically in circumferentially spaced-apart patterns about the interior of each end of the prosthesis.

摘要翻译： 用于将可径向扩张的假体植入体腔内的方法和装置依赖于使用单独引入的紧固件来修补或锚定假体。 假体可以是自膨胀的或球囊可膨胀的。 在初始放置之后，将紧固件施加器系统引入到扩展的假体内以将至少一个假体端部（通常作为假体的每个端部）展开多个紧固件。 紧固件通常是螺旋形紧固件，其通过旋转线旋转而从紧固件施加器中的螺旋轨道输送。 紧固件将单独施加，通常围绕假体的每个端部的内部沿周向间隔开的图案。

公开(公告)号：US07922759B1

公开(公告)日：2011-04-12

申请号：US11112663

申请日：2005-04-22

申请人： Fred T. Parker

发明人： Fred T. Parker

IPC分类号： A61F2/06 ,  A61M31/00

CPC分类号： A61F2/04 ,  A61F2/07 ,  A61F2/90 ,  A61F2/958 ,  A61F2002/072 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2230/0013 ,  A61F2230/0067 ,  A61F2250/0069 ,  A61M25/09 ,  A61M2025/09175 ,  Y10S623/903

摘要： According to one embodiment there is disclosed a device including a shield member including an ECM material and a retaining member conformable to maintain at least a portion of the shield member in a desired relationship with respect to an area of a blood vessel to be treated or repaired.

摘要翻译： 根据一个实施例，公开了一种装置，其包括包括ECM材料的屏蔽构件和保持构件，保持构件适合于将屏蔽构件的至少一部分保持在相对于待治疗或修复的血管的区域的期望的关系 。

公开(公告)号：US07578829B2

公开(公告)日：2009-08-25

申请号：US10680036

申请日：2003-10-06

申请人： David S. Goldsteen ,  Thomas J. Bachinski ,  Rudy Mazzocchi ,  Daniel J. Sullivan

发明人： David S. Goldsteen ,  Thomas J. Bachinski ,  Rudy Mazzocchi ,  Daniel J. Sullivan

IPC分类号： A61B17/08

CPC分类号： A61B1/0058 ,  A61B17/0057 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/221 ,  A61B17/32056 ,  A61B2017/003 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2017/2212 ,  A61B2017/2939 ,  A61B2090/306 ,  A61B2090/3614 ,  A61F2/06 ,  A61F2/064 ,  A61F2/07 ,  A61F2/90 ,  A61F2/95 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/3008 ,  A61F2002/30092 ,  A61F2002/826 ,  A61F2002/8486 ,  A61F2210/0014 ,  A61F2240/001 ,  A61F2250/0098 ,  A61M25/0041 ,  A61M25/0108 ,  A61M25/0133 ,  A61M25/0147 ,  A61M25/0152 ,  A61M25/04 ,  A61M25/09025 ,  A61M2025/0293 ,  A61M2025/1052 ,  Y10S623/903

摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is delivered to and installed at the operative site primarily by working through the patient's existing tubular body organ structure. This avoids the need for any significant surgery on the patient. The artificial grafts may have shapes other than tubular. Certain procedural and apparatus aspects of the invention have uses other than in connection with grafting in general or tubular grafting in particular.

公开(公告)号：US20090112250A1

公开(公告)日：2009-04-30

申请号：US12337520

申请日：2008-12-17

申请人： George R. Greene, JR. ,  Robert F. Rosenbluth ,  Brian J. Cox

发明人： George R. Greene, JR. ,  Robert F. Rosenbluth ,  Brian J. Cox

IPC分类号： A61M29/04

CPC分类号： A61L31/146 ,  A61B17/12022 ,  A61B17/12113 ,  A61B17/12186 ,  A61B17/1219 ,  A61B34/10 ,  A61B2017/00526 ,  A61B2017/1205 ,  A61F2/06 ,  A61L31/145 ,  A61L31/18 ,  A61L2430/36 ,  B33Y50/00 ,  B33Y80/00 ,  Y10S623/901 ,  Y10S623/903 ,  Y10T29/49

摘要： A vascular implant formed of a compressible foam material has a compressed configuration from which it is expansible into a configuration substantially conforming to the shape and size of a vascular site to be embolized. Preferably, the implant is formed of a hydrophilic, macroporous foam material, having an initial configuration of a scaled-down model of the vascular site, from which it is compressible into the compressed configuration. The implant is made by scanning the vascular site to create a digitized scan data set; using the scan data set to create a three-dimensional digitized virtual model of the vascular site; using the virtual model to create a scaled-down physical mold of the vascular site; and using the mold to create a vascular implant in the form of a scaled-down model of the vascular site. To embolize a vascular site, the implant is compressed and passed through a microcatheter, the distal end of which has been passed into a vascular site. Upon entering the vascular site, the implant expands in situ substantially to fill the vascular site. A retention element is contained within the microcatheter and has a distal end detachably connected to the implant. A flexible, tubular deployment element is used to pass the implant and the retention element through the microcatheter, and then to separate the implant from the retention element when the implant has been passed out of the microcatheter and into the vascular site.

摘要翻译： 由可压缩泡沫材料形成的血管植入物具有压缩构型，其可膨胀到基本上符合要栓塞的血管部位的形状和尺寸的构造。 优选地，植入物由亲水的大孔泡沫材料形成，具有血管部位的缩小模型的初始构型，从而可压缩成压缩构型。 通过扫描血管部位来创建植入物以产生数字化的扫描数据集; 使用扫描数据集创建血管部位的三维数字化虚拟模型; 使用虚拟模型创建血管部位的缩小物理模具; 并使用模具以血管部位的缩小模型的形式产生血管植入物。 为了栓塞血管部位，植入物被压缩并通过微导管，其远端已经进入血管部位。 在进入血管部位时，植入物基本上扩张以填充血管部位。 保持元件容纳在微导管内并且具有可拆卸地连接到植入物的远端。 使用柔性的管状展开元件将植入物和保持元件通过微导管，然后当植入物从微导管通过并进入血管部位时，将植入物与保留元件分离。

公开(公告)号：US07524329B2

公开(公告)日：2009-04-28

申请号：US11348278

申请日：2006-02-06

申请人： Brian K. Rucker

发明人： Brian K. Rucker

IPC分类号： A61F2/06

CPC分类号： C22F1/00 ,  A61F2/88 ,  A61F2/90 ,  A61F2002/9528 ,  C22F1/006 ,  Y10S623/903

摘要： A self-contracting stent for use at a treatment site comprising shape memory material is provided. The stent may have an initial diameter for delivery to the treatment site and an expanded diameter when deployed at the treatment site. The stent further may have a contracted diameter when subjected to a temperature at or above a transition temperature. The contracted diameter is less than the expanded diameter and permits repositioning or removal of the stent from the treatment site. Additionally, a method for delivering and recovering the stent from a treatment site is provided. The method includes delivering a stent to a treatment site and expanding the stent at the treatment site so that the stent is deployed at the treatment site. The method further includes changing the temperature of the stent at the treatment site to at least a transition temperature to cause the stent to contract.

摘要翻译： 提供了一种在包括形状记忆材料的治疗部位使用的自体收缩支架。 支架可以具有用于输送到治疗部位的初始直径，并且在部署在治疗部位时具有扩大的直径。 当经受等于或高于转变温度的温度时，支架还可具有收缩直径。 收缩直径小于扩张直径，并允许支架从治疗部位重新定位或移除。 另外，提供了用于从治疗部位输送和回收支架的方法。 该方法包括将支架输送到治疗部位并在治疗部位扩张支架，使得支架部署在治疗部位。 该方法还包括将处置部位的支架的温度改变至至少转变温度以使支架收缩。

公开(公告)号：US07468052B2

公开(公告)日：2008-12-23

申请号：US11757960

申请日：2007-06-04

申请人： Balbir S. Brar ,  Harvinder Sahota

发明人： Balbir S. Brar ,  Harvinder Sahota

IPC分类号： A61M29/00 ,  A61M37/00

CPC分类号： A61F2/88 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12136 ,  A61B17/2202 ,  A61B17/320758 ,  A61B2017/1205 ,  A61B2017/22001 ,  A61B2017/22051 ,  A61B2017/22054 ,  A61B2017/22061 ,  A61F2/885 ,  A61F2/90 ,  A61F2/91 ,  A61F2/958 ,  A61F2002/9583 ,  A61F2220/005 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2250/0039 ,  A61F2250/0067 ,  A61M25/10 ,  A61M2025/0096 ,  Y10S623/903 ,  Y10S623/921

摘要： An improved method and devices for preventing restenosis are provided. The method may include delivering a stent configured to contain a stenosis to a body vessel. The method may also include using atherectomy at the site prior to stent delivery. In one embodiment, the stent has a proximal end, a distal end, and a center portion arranged such that the diameters of the proximal and distal ends are greater than the diameter of the center portion. In one embodiment, the atherectomy device includes a housing to prevent injury to the unaffected areas of the body vessels but the cutter is extendible beyond the housing. In one embodiment, the stent may be impregnated with at least one drug after stent deployment.

摘要翻译： 提供了一种用于预防再狭窄的改进方法和装置。 该方法可以包括将构造成容纳狭窄的支架输送到身体血管。 该方法还可以包括在支架递送之前的部位使用粥样斑块切除术。 在一个实施例中，支架具有近端，远端和布置成使得近端和远端的直径大于中心部分的直径的中心部分。 在一个实施例中，粥样斑块切除装置包括壳体，以防止对身体血管的未受影响区域的伤害，但刀具可延伸超出外壳。 在一个实施方案中，支架可以在支架展开后用至少一种药物浸渍。