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    • 63. 发明授权
    • Catheter devices and methods for their use in the treatment of calcified vascular occlusions
    • 导管装置及其用于治疗钙化血管闭塞的方法
    • US06730063B2
    • 2004-05-04
    • US09911529
    • 2001-07-23
    • Dave DelaneyPeter JohanssonBrent R. Constantz
    • Dave DelaneyPeter JohanssonBrent R. Constantz
    • A61M300
    • A61B5/14539A61B17/22A61B2017/22084A61M29/02A61M2025/0004A61M2025/0034A61M2025/1052A61M2025/1093A61M2025/1095
    • Catheter devices and methods for their use in enhancing fluid flow through a vascular site occupied by a vascular occlusion are provided. The subject catheter devices include at least a first, second and third lumen, where: (a) the first lumen is used for delivery of an acidic dissolution solution to the vascular site; (b) the second lumen is used for delivery of a buffer solution to the vascular site; and (c) the third lumen is used for removal of fluid from the vascular site. In many preferred embodiments, the first, second and third lumens are coaxial. In practicing the subject methods, the vascular site is flushed simultaneously with an acidic dissolution fluid and a buffer solution, where flushing is carried out in a manner such that only a surface of the vascular occlusion is contacted with the acidic dissolution fluid and the remainder of the vascular site is not contacted with fluid having a pH that is lower than about 4. Flushing is carried out in this manner for a period of time sufficient for fluid flow through the vascular site to be enhanced, e.g. increased or established. The subject catheter devices and methods find use in the treatment of a variety of different vascular diseases characterized by the presence of calcified vascular occlusions, including peripheral and coronary vascular diseases.
    • 提供了用于增强通过血管闭塞占据的血管部位的流体流动的导管装置和方法。 主题导管装置包括至少第一,第二和第三腔,其中:(a)第一腔用于将酸性溶解溶液递送至血管部位; (b)第二管腔用于将缓冲溶液递送至血管部位; 和(c)第三腔用于从血管部位去除流体。 在许多优选实施例中,第一,第二和第三管腔是同轴的。 在实施本发明的方法中,血管部位与酸性溶解液和缓冲溶液同时冲洗,其中以如下方式进行冲洗,使得只有血管闭塞的表面与酸性溶解液接触,其余部分 血管部位不与pH低于约4的液体接触。以这种方式进行冲洗足以使液体流过血管部位以增强的时间,例如 增加或建立 主题导管装置和方法可用于治疗各种不同血管疾病,其特征在于存在钙化血管闭塞,包括外周和冠状动脉血管疾病。
    • 65. 发明授权
    • Method and apparatus for treatment of cardiovascular tissue mineralization
    • 治疗心血管组织矿化的方法和装置
    • US06394096B1
    • 2002-05-28
    • US09118193
    • 1998-07-15
    • Brent R. Constantz
    • Brent R. Constantz
    • A61B1900
    • A61B17/22A61B2017/22084A61B2017/22098
    • A method and several assemblies for the reducing of mineralization of cardiovascular tissue in vivo is provided. The method involves contacting cardiovascular tissue, such as a valve or a vessel, with an acidic treatment solution. One apparatus is a balloon catheter assembly for the infusion of an acidic treatment solution into a define area of a cardiovascular tissue. A second apparatus is a flexible cup which forms a defined area with the wall of a vessel for the introduction of an acidic treatment solution for the reduction of mineralization of a vessel. A third apparatus is an assembly for the introduction of an acidic treatment solution on one side of a valve, and the removal of the acidic treatment solution from the opposite side of the valve. Each apparatus can take the form of an elongated catheter for use in minimally invasive procedures or as hand held devices for use in an open surgical field.
    • 提供了一种用于体内减少心血管组织矿化的方法和几个装置。 该方法包括将心血管组织如阀或血管与酸性处理溶液接触。 一种装置是用于将酸性处理溶液输注到心血管组织的限定区域中的气囊导管组件。 第二装置是柔性杯,其与容器的壁形成限定的区域,用于引入用于还原矿化矿化的酸性处理溶液。 第三装置是用于在阀的一侧引入酸性处理溶液并从阀的相对侧除去酸性处理溶液的组件。 每个装置可以采用细长导管的形式用于微创手术或用作在开放手术领域中使用的手持装置。