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    IMPLANTABLE MEDICAL DEVICE
    2.
    发明申请
    IMPLANTABLE MEDICAL DEVICE 审中-公开
    可植入医疗器械

    公开(公告)号：WO2011019546A1

    公开(公告)日：2011-02-17

    申请号：PCT/US2010/044244

    申请日：2010-08-03

    Applicant: WILLIAM COOK EUROPE APS ,  COOK INCORPORATED ,  RASMUSSEN, Erik ,  OEHLENSCHLAEGER, Bent ,  JENSEN, Kim, Moegelvang ,  PETERSEN, Jesper, Schade

    Inventor： RASMUSSEN, Erik ,  OEHLENSCHLAEGER, Bent ,  JENSEN, Kim, Moegelvang ,  PETERSEN, Jesper, Schade

    IPC: A61F2/06

    CPC classification number: A61F2/07 ,  A61F2/844 ,  A61F2/86 ,  A61F2/89 ,  A61F2/90 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2210/0014 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2310/00023

    Abstract: A stent graft (10) includes a tubular graft element (12) to which there are attached a plurality of stent rings (14). The stent rings (14) are formed of a plurality of stent struts (16) arranged in a zig-zag arrangement with alternating peaks (18) and valleys (20). The end-most stent (22) is located at the proximal end (24) of the graft tube (12). Between adjacent peaks (18) of the end-most stent (22), there is provided a series of bridging elements (28). These are preferably formed of Nitinol wire and to be substantially more flexible than the stent struts (14). The bridging elements (28) extend in the region of graft material between adjacent stent peaks (18) and are attached to the graft material, for example by suturing. The bridging elements (28) are substantially more flexible than the stent ring (22) and therefore impart little opening force on the graft material in comparison to the force produced by the stent ring (22). However, the bridging elements (28) impart enough force on the flaps (26) of graft material between the peaks (18) of the stent ring (28) keep these flaps (26) open, that is against the vessel wall. The bridging elements (28) can provide integral barbs (30).

    Abstract translation: 支架移植物（10）包括管状移植物元件（12），其上附接有多个支架环（14）。 支架环（14）由布置成具有交替的峰（18）和谷（20）的之字形布置的多个支架支柱（16）形成。 最终的支架（22）位于移植管（12）的近端（24）处。 在最终支架（22）的相邻峰（18）之间，提供一系列桥接元件（28）。 这些优选由镍钛诺丝形成，并且比支架支柱（14）基本上更具柔性。 桥接元件（28）在相邻支架顶部（18）之间的移植材料区域中延伸并且例如通过缝合附接到移植物材料。 桥接元件（28）比支架环（22）大得多的柔性，因此与支架环（22）产生的力相比，在接枝材料上施加很小的打开力。 然而，桥接元件（28）在支架环（28）的峰（18）之间的移植材料的翼片（26）上赋予足够的力，使得这些翼片（26）打开，即抵靠血管壁。 桥接元件（28）可以提供整体倒钩（30）。

    APPARATUS FOR CURVING AN IMPLANTABLE MEDICAL DEVICE IN A LUMEN
    3.
    发明申请
    APPARATUS FOR CURVING AN IMPLANTABLE MEDICAL DEVICE IN A LUMEN 审中-公开
    用于在LUMEN中弯曲可植入医疗装置的装置

    公开(公告)号：WO2010042210A1

    公开(公告)日：2010-04-15

    申请号：PCT/US2009/005545

    申请日：2009-10-09

    Applicant: WILLIAM COOK EUROPE APS ,  COOK INCORPORATED ,  RASMUSSEN, Erik, E. ,  OEHLENSCHLAEGER, Bent ,  JENSEN, Kim, Moegelvang

    Inventor： RASMUSSEN, Erik, E. ,  OEHLENSCHLAEGER, Bent ,  JENSEN, Kim, Moegelvang

    IPC: A61F2/84

    CPC classification number: A61F2/95 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2002/9517

    Abstract: An introducer assembly (100) including at its distal end a dilator tip (20) and an inner catheter for supporting an implantable medical device (1) for deployment, is provided with a plurality of strut elements (102, 202) extending from the dilator tip (20) to the proximal end of the medical device (1 ). The strut elements (102, 202) act to apply both a pulling and a pushing force against the proximal end of the medical device (1), having the effect of assisting in the correct positioning of the proximal end of the medical device in a patient's lumen, particularly where this is curved such as with the aortic arch. The strut elements (102, 202) form part of the introducer assembly and are removed from the patient following the deployment procedure. The device avoids the need for bare stents at the end of a stent graft.

    Abstract translation: 导引器组件（100）在其远端包括扩张器尖端（20）和用于支撑用于展开的可植入医疗装置（1）的内导管，其具有从扩张器延伸的多个支柱元件（102,202） 尖端（20）到医疗装置（1）的近端。 支撑元件（102,202）用于将拉力和推力施加到医疗装置（1）的近端上，其作用是帮助将医疗装置的近端正确定位在患者体内 特别是在弯曲的地方，如主动脉弓。 支撑元件（102,202）形成导引器组件的一部分，并且在部署过程之后从患者身上移除。 该装置避免了在支架移植物末端需要裸支架。

    INTRODUCER ASSEMBLY AND METHOD OF MANUFACTURING AN INTRODUCER ASSEMBLY
    5.
    发明申请
    INTRODUCER ASSEMBLY AND METHOD OF MANUFACTURING AN INTRODUCER ASSEMBLY 审中-公开
    引言组件和制造引言组件的方法

    公开(公告)号：WO2010126964A1

    公开(公告)日：2010-11-04

    申请号：PCT/US2010/032704

    申请日：2010-04-28

    Applicant: WILLIAM COOK EUROPE APS ,  COOK INCORPORATED ,  RASMUSSEN, Erik, Edelboe ,  OEHLENSCHLAEGER, Bent ,  PETERSEN, Jesper, Schade

    Inventor： RASMUSSEN, Erik, Edelboe ,  OEHLENSCHLAEGER, Bent ,  PETERSEN, Jesper, Schade

    IPC: A61F2/84

    CPC classification number: A61F2/95 ,  A61F2250/0071 ,  Y10T29/49826

    Abstract: An introducer assembly (10) includes a guide wire catheter (12), a pusher element (16), an external manipulation unit (28) and an external sheath (30). The distal end (18) of the pusher element (16) is bonded, with adhesive or other bonding agent (32), to the guide wire catheter (12) so as to fix these components together at the distal end (18) of the pusher element (16). This reduces twisting of the pusher element (16) relative to the guide wire catheter (12) and thus twisting of any implantable medical device carried on the introducer assembly (10). This can reduce incorrect deployment of the implantable medical device and reduce instances of an abortive medical procedure. In addition, such bonding increases the torque resistance of the guide wire catheter (12) and pusher element (16) to reduce overall twisting at the distal end of the introducer assembly (10).

    Abstract translation: 导引器组件（10）包括导丝导管（12），推动元件（16），外部操纵单元（28）和外护套（30）。 推动器元件（16）的远端（18）用粘合剂或其它粘合剂（32）与导丝导管（12）接合，以便将这些部件固定在一起的远端（18）处 推动元件（16）。 这减少了推动器元件（16）相对于导丝导管（12）的扭转，从而扭转承载在导引器组件（10）上的任何可植入医疗装置。 这可以减少可植入医疗装置的不正确部署并减少堕胎医疗过程的实例。 此外，这种接合增加了导丝导管（12）和推动元件（16）的扭矩阻力，以减小导引器组件（10）的远端处的整体扭转。

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