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21. 发明申请

WO2010138411A1 TWO-STAGE METHOD OF COMPRESSING A STENT 审中-公开
标题翻译：压缩方法的两阶段方法
公开(公告)号：WO2010138411A1
公开(公告)日：2010-12-02
申请号：PCT/US2010/035750
申请日：2010-05-21
申请人： COOK INCORPORATED , CHAMBERS, Sean, D. , MAGNUSON, Mark, A. , PARKER, Fred, T.
发明人： CHAMBERS, Sean, D. , MAGNUSON, Mark, A. , PARKER, Fred, T.
IPC分类号： A61F2/84
CPC分类号： A61F2/95 , A61F2/958 , A61F2002/9522 , Y10T29/49908
摘要： A two-stage method of compressing a stent entails providing an expandable stent (100,105) in a radially expanded state. An outward pressure is applied to an inner surface of the tubular framework to support the stent, and a diameter of the stent is reduced to a first compressed diameter (Dl) while applying the outward pressure. The outward pressure is halted after reaching the first compressed diameter. According to an embodiment in which the stent is balloon-expandable, a delivery balloon catheter (130) comprising an uninflated balloon in a delivery configuration is inserted into the lumen after halting the outward pressure. The diameter of the stent is reduced to a second compressed diameter (D2) smaller than the first compressed diameter to crimp the stent onto the delivery balloon catheter.
摘要翻译：压缩支架的两级方法需要提供处于放大状态的可扩张支架（100,105）。向管状框架的内表面施加向外的压力以支撑支架，并且在施加向外的压力的同时将支架的直径减小到第一压缩直径（D1）。达到第一压缩直径后，向外的压力停止。根据其中支架是球囊可膨胀的实施例，包括具有输送构型的未膨胀气囊的输送气囊导管（130）在停止向外的压力之后插入腔内。支架的直径减小到小于第一压缩直径的第二压缩直径（D2），以将支架卷曲到输送球囊导管上。

22. 发明申请

WO2010120644A3 FLEXIBLE SHEATH WITH POLYMER COIL 审中-公开
公开(公告)号：WO2010120644A3
公开(公告)日：2010-10-21
申请号：PCT/US2010/030520
申请日：2010-04-09
申请人： COOK INCORPORATED , PARKER, Fred, T.
发明人： PARKER, Fred, T.
IPC分类号： A61L29/12
摘要： A medical device including a tube having a coil fitted around at least a part of an inner liner, such as PTFE, and a braid extending over at least part of the coil. A polymeric layer is positioned over the braid to adhere to the inner liner. A portion of the coil advantageously comprises a polymer, such as PEEK, while the coil may also have a metal portion. The polymer coil may extend along at least at the proximal region of the tube, and the metal coil may extend along at least at the distal region of the tube. A polymer coil, a metal coil or any combination thereof can extend along the intermediate region of the tube. The polymer coil can be configured so that the tube is longitudinally splittable with a cutting instrument.

23. 发明申请

WO2006014768A1 STENT WITH AN END MEMBER HAVING A LATERAL EXTENSION 审中-公开
标题翻译：具有具有横向延伸的最终成员的STENT
公开(公告)号：WO2006014768A1
公开(公告)日：2006-02-09
申请号：PCT/US2005/025825
申请日：2005-07-22
申请人： COOK INCORPORATED , PARKER, Fred, T.
发明人： PARKER, Fred, T.
IPC分类号： A61F2/06
CPC分类号： A61F2/91 , A61F2/915 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/91575 , A61F2002/91591 , A61F2230/0054 , A61F2250/0098
摘要： A marker and pushing member are provided with lateral extensions connected to a connecting portion. The connecting portion connects the marker/pushing member to a proximal or distal end of the stent. The lateral extensions distribute forces applied to the marker/pushing member so that part of the force is applied to the connecting member and part of the force is applied to a portion of the stent structure that is not directly connected to the connecting member.
摘要翻译：标记和推动构件设置有连接到连接部分的侧向延伸部。连接部分将标记/推动构件连接到支架的近端或远端。横向延伸部分布施加到标记/推动构件的力，使得一部分力被施加到连接构件，并且一部分力被施加到未直接连接到连接构件的支架结构的一部分。

24. 发明申请

WO2004096335A1 DELIVERY CATHETER 审中-公开
标题翻译：递送导管
公开(公告)号：WO2004096335A1
公开(公告)日：2004-11-11
申请号：PCT/US2004/012837
申请日：2004-04-26
申请人： COOK INCORPORATED , PARKER, Fred, T.
发明人： PARKER, Fred, T.
IPC分类号： A61M25/00
CPC分类号： A61M25/0045 , A61M25/005 , A61M25/0052
摘要： A flexible, kink-resistant, delivery catheter or sheath (83) for percutaneously delivering implantable medical devices. The delivery catheter sheath includes a flat wire coil (95) with uniform spacing between the turns, which is compression fitted about and proximal the distal portion of an inner, lubricous material polytetrafluoroethylene tube (84). The delivery catheter or sheath further includes an outer tube (85) of a heat formable polyamide material, which is heat formed and compressed through the spaces between the turns of the wire coil to mechanically connect to the roughened outer surface of the inner tube. The distal portion (87) of the innertube is expanded and everted or folded-back over itself and connected to the distal end of the outer tube to form a lumen having a larger diameter than the rest of the catheter.
摘要翻译：一种用于经皮输送可植入医疗装置的柔性，扭结输送导管或护套（83）。输送导管鞘包括在匝之间具有均匀间隔的扁平线圈（95），其在内部润滑的材料聚四氟乙烯管（84）的远侧部分附近压缩配合。输送导管或护套还包括可热成型聚酰胺材料的外管（85），其通过线圈的匝之间的空间热形成和压缩，以机械地连接到内管的粗糙化的外表面。内管的远端部分（87）被膨胀和旋转或折叠回自身并且连接到外管的远端以形成具有比导管的其余部分更大的直径的管腔。

25. 发明申请

WO2004047687A1 STENT TISSUE GRAFT PROSTHESIS 审中-公开
公开(公告)号：WO2004047687A1
公开(公告)日：2004-06-10
申请号：PCT/US2003/037365
申请日：2003-11-21
申请人： COOK INCORPORATED , COOK BIOTECH, INC. , OREGON HEALTH AND SCIENCE UNIVERSITY
发明人： PAVCNIK, Dusan , FETTE, Clay, D. , MEAD, Jason, A. , OBERMILLER, Joseph, F. , PARKER, Fred, T.
IPC分类号： A61F2/06
CPC分类号： A61L27/3633 , A61F2/07 , A61F2/852 , A61F2/89 , A61F2/91 , A61F2/95 , A61F2002/065 , A61F2002/075 , A61F2230/0054 , A61F2250/0063 , A61L27/3629
摘要： A stent tissue graft prosthesis (20) for repairing, excluding and/or reinforcing a vessel, duct and the like in a patient. The prosthesis includes an inner expandable stent (21) of which a tissue graft (24) and preferably a multilayered tissue construct (33) is disposed thereon for application to the host tissue of a vessel, duct and the like. The tissue construct includes an extracellular matrix material (36) such as small intestine submucosa (37) for remodeling the host tissue into the prosthesis. The prosthesis further includes an outer tubular member (25) such as an outer expandable stent (44) for retaining the tissue graft on the inner stent. The ends of the inner and outer stents are coincident with or extend beyond the ends of the tissue graft to prevent eversion or fold back of the tissue graft during withdrawal of a delivery catheter in a placement procedure.
摘要翻译：一种用于在患者体内修复，排除和/或加强血管，导管等的支架组织移植假体（20）。假体包括内部可扩张支架（21），其上设置有组织移植物（24）并且优选地多层组织构建体（33），用于施用到血管，管道等的宿主组织。组织构建体包括细胞外基质材料（36），例如用于将宿主组织重塑成假体的小肠粘膜下层（37）。假体还包括外部管状构件（25），例如用于将组织移植物保持在内部支架上的外部可扩张支架（44）。内部和外部支架的端部与组织移植物的端部重合或延伸超过组织移植物的端部，以防止在放置过程中递送导管撤出期间组织移植物的外翻或折回。

26. 发明申请

WO1995024158A1 AN INTRAVASCULAR TREATMENT SYSTEM AND PERCUTANEOUS RELEASE MECHANISM THEREFOR 审中-公开
标题翻译：血管内治疗系统及其释放机制
公开(公告)号：WO1995024158A1
公开(公告)日：1995-09-14
申请号：PCT/US1995002960
申请日：1995-03-08
申请人： COOK INCORPORATED
发明人： COOK INCORPORATED , HALL, Todd, A. , PARKER, Fred, T.
IPC分类号： A61B17/12
CPC分类号： A61B17/1215 , A61B17/12022 , A61B17/12109 , A61B17/12172 , A61B17/12177 , A61B2017/2215 , A61M25/09 , A61M2025/09175
摘要： A percutaneous release mechanism (57) for use with an intravascular treatment device (11) in an intravascular treatment system (10). The release mechanism includes an inner member (17) having a connection mechanism (18) positioned about the distal end (14) thereof for interconnection with another connection mechanism (12) positioned on an intravascular treatment device. The release mechanism also includes an outer member tube (13) of which the inner member is positioned therein. The first and second connection mechanisms are interconnectable and positionable in the passage (16) of the tube for delivering the treatment device in a delivery state to the treatment site. The release mechanism also includes a handle (37) having parts (38, 39) connected to the inner member and outer tube, whereby movement of the proximal end of the inner member is translated to the distal end thereof for extending the interconnected connection mechanisms from the passage of the outer member tube and positioning the treatment device in a treatment state. The intravascular treatment system includes the percutaneous release mechanism along with the intravascular treatment device. The treatment device includes an occlusion coil (23) and a rigid tube (36) connected to the flexible outer member tube (35) for maintaining the delivery coil in a delivery state. In another example, the treatment device includes a blood clot filter (40) in which the percutaneous delivery mechanism is adapted for connection thereto.
摘要翻译：一种与血管内治疗系统（10）中的血管内治疗装置（11）一起使用的经皮释放机构（57）。释放机构包括具有围绕其远端（14）定位的连接机构（18）的内部构件（17），用于与位于血管内治疗装置上的另一连接机构（12）互连。释放机构还包括内部构件定位在其中的外部构件管（13）。第一和第二连接机构可互连并定位在管的通道（16）中，用于将处理装置递送到处理部位。释放机构还包括具有连接到内部构件和外部管的部分（38,39）的手柄（37），由此内部构件的近端的移动被转换到其远端，用于将互连的连接机构从外部构件管的通过并将处理装置定位在处理状态。血管内治疗系统包括经皮释放机制以及血管内治疗装置。治疗装置包括闭塞线圈（23）和连接到柔性外部构件管（35）的刚性管（36），用于将输送线圈保持在输送状态。在另一个实例中，治疗装置包括血块过滤器（40），其中经皮递送机构适于与其连接。

27. 发明公开

EP2148639A2 APPARATUS AND METHODS FOR DEPLOYING SELF-EXPANDING STENTS 审中-公开
标题翻译：装置和方法用于安装自膨式支架
公开(公告)号：EP2148639A2
公开(公告)日：2010-02-03
申请号：EP08767869.4
申请日：2008-05-23
申请人： Cook Incorporated
发明人： PARKER, Fred, T.
IPC分类号： A61F2/84
CPC分类号： A61F2/95 , A61F2/966
摘要： Apparatus and methods are provided for improved deployment of self-expanding stents. One advantage of the improved delivery system is that energy storage within a portion of an outer sheath and/or an inner tube may be reduced during the deployment of the stent. In a first embodiment, the outer sheath and the inner tube may be coupled together using a plurality of engaging threaded members, such that circumferential rotation of the inner tube with respect to the outer sheath retracts the outer sheath to deploy the stent. In an alternative embodiment, a fluid reservoir may be provided between the inner tube and the outer sheath. A proximal sealing ring may be disposed annularly between the inner tube and the outer sheath, such that when the fluid reservoir is filled, the proximal sealing ring is urged proximally to engage and retract the outer sheath. Using these techniques, energy build-up in the outer sheath and/or inner tube may be substantially reduced and improved accuracy in deploying the stent may be achieved.

28. 发明公开

EP1773247A1 STENT DELIVERY SYSTEM ALLOWING CONTROLLED RELEASE OF A STENT 失效转让
标题翻译：支架输送系统，受控电源支架允许的
公开(公告)号：EP1773247A1
公开(公告)日：2007-04-18
申请号：EP05773429.5
申请日：2005-07-22
申请人： Cook Incorporated
发明人： PARKER, Fred, T.
IPC分类号： A61F2/06
CPC分类号： A61F2/91 , A61F2/86 , A61F2/915 , A61F2/95 , A61F2002/91533 , A61F2002/91575 , A61F2002/9665 , A61F2220/0041 , A61F2230/0054 , A61F2250/0039
摘要： A stent delivery system includes a stept having at least one eyelet and at feast one rivet and a holder supporting the stept, wherein the holder includes a first section having a first diameter and a second section having a second diameter. A sheath covers the stept and the holder. The rivets are attached to each of the eyelets. A first inner diameter of the stent at the position of the rivets is smaller than a second inner diameter of the stept at other positions because the rivets protrude inwardly. A shoulder is formed on the holder due to the difference between the first diameter and the second diameter of the holder. The shoulder is positioned distally adjacent the rivets. The shoulder interferes with the protruding rivets, thereby restraining the longitudinal movement of the stept relative to the holder. Although the sheath is pulled back, the stem does not jump out of the stem delivery system. As a result, the stem delivery system allows the stem to be released in a controlled manner upon its deployment.

29. 发明公开

EP1140268A2 FINISHING TECHNIQUE FOR A GUIDING CATHETER 审中-公开
标题翻译：整理技术导引导管
公开(公告)号：EP1140268A2
公开(公告)日：2001-10-10
申请号：EP99961964.6
申请日：1999-12-16
申请人： Cook Incorporated
发明人： PARKER, Fred, T.
IPC分类号： A61M25/00
CPC分类号： A61M25/0068 , A61M25/005 , A61M25/0069 , A61M25/008 , A61M25/0662 , A61M2025/0081
摘要： Disclosed is a catheter, more particularly a guiding catheter (10). The guiding catheter (10) comprises an inner layer (46), a reinforcement layer (24), and an outer layer (16). The reinforcement layer (46) generally extends from the proximal end (14) of the guiding catheter (10) and terminates proximal to the distal end (18) of the guiding catheter. The distal portion of the guiding catheter (10) comprises a soft material to facilitate manipulation. The reinforcement layer (24) can be attached to the inner layer (46) and the outer layer (16) attaches to both the reinforcement layer (24) and the inner layer (46). Proximal portion of the guiding catheter can have a folded cuff (52).

30. 发明公开

EP0748186A1 AN INTRAVASCULAR TREATMENT SYSTEM AND PERCUTANEOUS RELEASE MECHANISM THEREFOR 失效
标题翻译：血管内治疗系统经皮释放机构
公开(公告)号：EP0748186A1
公开(公告)日：1996-12-18
申请号：EP95913994.0
申请日：1995-03-08
申请人： Cook Incorporated
发明人： HALL, Todd, A. , PARKER, Fred, T.
IPC分类号： A61B17 , A61F2
CPC分类号： A61B17/1215 , A61B17/12022 , A61B17/12109 , A61B17/12172 , A61B17/12177 , A61B2017/2215 , A61M25/09 , A61M2025/09175
摘要： A percutaneous release mechanism (57) for use with an intravascular treatment device (11) in an intravascular treatment system (10). The release mechanism includes an inner member (17) having a connection mechanism (18) positioned about the distal end (14) thereof for interconnection with another connection mechanism (12) positioned on an intravascular treatment device. The release mechanism also includes an outer member tube (13) of which the inner member is positioned therein. The first and second connection mechanisms are interconnectable and positionable in the passage (16) of the tube for delivering the treatment device in a delivery state to the treatment site. The release mechanism also includes a handle (37) having parts (38, 39) connected to the inner member and outer tube, whereby movement of the proximal end of the inner member is translated to the distal end thereof for extending the interconnected connection mechanisms from the passage of the outer member tube and positioning the treatment device in a treatment state. The intravascular treatment system includes the percutaneous release mechanism along with the intravascular treatment device. The treatment device includes an occlusion coil (23) and a rigid tube (36) connected to the flexible outer member tube (35) for maintaining the delivery coil in a delivery state. In another example, the treatment device includes a blood clot filter (40) in which the percutaneous delivery mechanism is adapted for connection thereto.

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