GUIDE WIRE CONTROL CATHETERS FOR CROSSING OCCLUSIONS AND RELATED METHODS OF USE
    1.
    发明申请
    GUIDE WIRE CONTROL CATHETERS FOR CROSSING OCCLUSIONS AND RELATED METHODS OF USE 审中-公开
    导线控制导管及相关使用方法

    公开(公告)号:WO2004047901A3

    公开(公告)日:2004-09-23

    申请号:PCT/US0336783

    申请日:2003-11-18

    Abstract: A wire control catheter for aligning and guiding a guide wire through a lesion in a vessel is provided. The wire control catheter includes a shaft having a guide wire lumen and a control wire lumen. A control wire passes through the control wire lumen and is used in combination with an articulation structure to deflect or curve a distal tip portion of the catheter. The distal catheter shaft may include a centering device for centering the catheter within the vessel. The distal catheter shaft also may include a pre-dilation balloon for dilating the lesion prior to performing angioplasty or other treatment on the lesion. Additionally, a sliding sheath catheter may be used to provide additional support to the guide wire. The sliding sheath catheter is sized to fit within the guide wire lumen of the control catheter and to allow the guide wire to pass through it. A method of treatment of a blood vessel includes inserting a guide wire into the blood vessel and advancing a control catheter over the guide wire until the distal tip of catheter is near the occlusion in the blood vessel. The tip of the catheter then is deflected via a control wire and an articulation structure. The guide wire is then advanced across the occlusion. The control catheter also may be advanced across the occlusion simultaneously with the guide wire or subsequent to the guide wire crossing. Prior to crossing the occlusion, the wire control catheter may be centered using a centering device. Subsequent to crossing the occlusion, the occlusion may be pre-dilated with a pre-dilation balloon of the wire control catheter.

    Abstract translation: 提供了用于将引导线对准和引导通过血管中的病变的线控导管。 线控制导管包括具有导丝管腔和控制线腔的轴。 控制线穿过控制线腔,并且与关节运动结构组合使用以偏转或弯曲导管的远侧末端部分。 远端导管轴可以包括用于将导管定心在血管内的定心装置。 远端导管轴还可以包括用于在进行血管成形术或对病变进行其它治疗之前扩张病变的预扩张球囊。 另外,可以使用滑动护套导管来为引导线提供额外的支撑。 滑动护套导管的尺寸设置成装配在控制导管的导丝管腔内并允许导丝通过。 一种治疗血管的方法包括将导丝插入血管并将控制导管推进导丝上,直到导管的远端顶端靠近血管内的闭塞。 然后,导管的尖端经由控制线和铰接结构偏转。 然后,导丝穿过遮挡物前进。 控制导管也可以与引导线同时前进,或者在引导线交叉之后进行遮挡。 在穿过闭塞之前,电线控制导管可以使用定心装置居中。 在穿过闭塞之后,闭塞可以用导线控制导管的预扩张气球预扩张。

    BALLOON CATHETER INFLATION APPARATUS AND METHODS
    2.
    发明申请
    BALLOON CATHETER INFLATION APPARATUS AND METHODS 审中-公开
    气球导管装置和方法

    公开(公告)号:WO2010096294A1

    公开(公告)日:2010-08-26

    申请号:PCT/US2010/023479

    申请日:2010-02-08

    Abstract: An inflation device includes a syringe body containing a bore. The bore holds a fluid that is used to inflate a dilation balloon. A plunger assembly slides within the syringe bore and contains a sealing member that forms a fluid tight seal with the syringe body. A shut-off valve is disposed within the distal end of the syringe body. The distal end of the syringe body has a fluid bypass channel fluidically coupled to the aperture of a connector. The shut-off valve has a spring-biased moveable piston with a bypass lumen contained therein, wherein the bypass lumen forms a fluid path between the bore and the fluid bypass channel when the pressure of the fluid is below a threshold value. The fluid path between the bore and the fluid bypass channel is interrupted when the pressure of the fluid is above the threshold value.

    Abstract translation: 膨胀装置包括包含孔的注射器主体。 孔保持用于膨胀膨胀气球的流体。 柱塞组件在注射器孔内滑动并且包含与注射器主体形成流体密封的密封构件。 截止阀设置在注射器主体的远端内。 注射器主体的远端具有流体连接到连接器的孔的流体旁路通道。 截止阀具有弹簧偏压的可移动活塞,其中容纳有旁路腔,其中当流体的压力低于阈值时,旁路内腔在孔和流体旁路通道之间形成流体路径。 当流体的压力高于阈值时,孔和流体旁路通道之间的流体路径被中断。

    GUIDE WIRE CONTROL CATHETERS FOR CROSSING OCCLUSIONS AND RELATED METHODS OF USE
    3.
    发明申请
    GUIDE WIRE CONTROL CATHETERS FOR CROSSING OCCLUSIONS AND RELATED METHODS OF USE 审中-公开
    用于交叉闭塞的导丝控制导管及相关使用方法

    公开(公告)号:WO2004047901A2

    公开(公告)日:2004-06-10

    申请号:PCT/US2003/036783

    申请日:2003-11-18

    Abstract: A wire control catheter for aligning and guiding a guide wire through a lesion in a vessel is provided. The wire control catheter includes a shaft having a guide wire lumen and a control wire lumen. A control wire passes through the control wire lumen and is used in combination with an articulation structure to deflect or curve a distal tip portion of the catheter. The distal catheter shaft may include a centering device for centering the catheter within the vessel. The distal catheter shaft also may include a pre-dilation balloon for dilating the lesion prior to performing angioplasty or other treatment on the lesion. Additionally, a sliding sheath catheter may be used to provide additional support to the guide wire. The sliding sheath catheter is sized to fit within the guide wire lumen of the control catheter and to allow the guide wire to pass through it. A method of treatment of a blood vessel includes inserting a guide wire into the blood vessel and advancing a control catheter over the guide wire until the distal tip of catheter is near the occlusion in the blood vessel. The tip of the catheter then is deflected via a control wire and an articulation structure. The guide wire is then advanced across the occlusion. The control catheter also may be advanced across the occlusion simultaneously with the guide wire or subsequent to the guide wire crossing. Prior to crossing the occlusion, the wire control catheter may be centered using a centering device. Subsequent to crossing the occlusion, the occlusion may be pre-dilated with a pre-dilation balloon of the wire control catheter.

    Abstract translation: 提供了一种用于对准和引导导丝穿过血管中的病变的导线控制导管。 线控制导管包括具有导丝内腔和控制线内腔的轴。 控制线穿过控制线腔并且与关节结构结合使用以偏转或弯曲导管的远侧末端部分。 远侧导管轴可以包括用于使导管在血管内居中的定心装置。 远端导管杆还可以包括用于在对损伤进行血管成形术或其他治疗之前扩张病变的预扩张球囊。 另外,可以使用滑动护套导管来为导丝提供额外的支撑。 滑动护套导管的尺寸适合安装在控制导管的导丝腔内并且允许导丝穿过它。 一种治疗血管的方法包括将导丝插入血管中,并将控制导管推进到导丝上,直到导管的远侧尖端靠近血管中的闭塞。 然后导管的尖端通过控制线和关节结构偏转。 导丝然后前进穿过闭塞。 控制导管也可以与导丝同时或者在导丝交叉之后与阻塞同时前进。 在穿过阻塞之前,可以使用对中装置使导丝控制导管居中。 在穿过闭塞之后,闭塞可以用线控导管的预扩张球囊预先扩张。

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