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1. 发明专利

JP2007105491A Transluminal method and apparatus for executing at least one of closure of anatomical lumen structure, formation of attachment section to anatomical lumen structure and formation of anastomosed region to anatomical lumen structure 有权
标题翻译：用于执行解剖学结构闭合的透视方法和装置，形成解剖结构的分解部分和形成解剖区域到解剖学结构
公开(公告)号：JP2007105491A
公开(公告)日：2007-04-26
申请号：JP2006336361
申请日：2006-12-13
申请人： Transvascular Inc , トランスバスキュラーインコーポレイテッドTransvascular,Inc.
发明人： MAKOWER JOSHUA , FLAHERTY J CHRISTOPHER , MACHOLD TIMOTHY R , GARIBOTTO JOHN THOMAS , WHITT JASON BRIAN
IPC分类号： A61B17/12 , A61B17/06
摘要： PROBLEM TO BE SOLVED: To provide an apparatus which effectively close a wall of an anatomical structure at a desired position and prevents the movement or the falling off from the wall. SOLUTION: The apparatus makes a fixing apparatus 20 (for example, a connection apparatus, a staple or the like) or a connection material (for example, a suture, a wire, a code, a filament, a monofilament or the like) pass through the anatomical lumen structure (for example, a blood vessel or the other anatomical passage) or penetrate the anatomical lumen structure for executing at least one of the closure of the lumen of the anatomical structure, the formation of the anastomosed region between the different anatomical structures (or between the adjacent parts of the same anatomical structure) and the fixation of an article (for example, an intra-lumenal grafting, an extra-lumenal grafting or a trans-lumenal grafting) or the other apparatus to the wall of the anatomical structure. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种在期望的位置有效地闭合解剖结构的壁并防止移动或从壁上脱落的装置。解决方案：该装置制造定影装置20（例如，连接装置，订书钉等）或连接材料（例如，缝合线，线，代码，细丝，单丝或通过解剖腔管结构（例如，血管或另一解剖通道）或穿透解剖腔管结构，用于执行解剖结构的内腔中的至少一个闭合，形成吻合区域不同的解剖结构（或相同解剖结构的相邻部分之间）和物品的固定（例如，腔内移植，腔内移植或经腔移植）或其他装置解剖结构的墙壁。版权所有（C）2007，JPO＆INPIT

2. 发明专利

JP2006181370A Method and apparatus for bypassing arterial obstructions and/or performing other transvascular procedures 有权
标题翻译：用于穿过椎间盘阻滞和/或执行其他横向程序的方法和装置
公开(公告)号：JP2006181370A
公开(公告)日：2006-07-13
申请号：JP2006017775
申请日：2006-01-26
申请人： Transvascular Inc , トランスバスキュラーインコーポレイテッドTransvascular,Inc.
发明人： EVARD PHILIP C , FLAHERTY J C , GARIBOTTO JOHN T , MACAULAY PATRICK E , MACHOLD TIMOTHY R , MAKOWER JOSHUA , WHITT JASON B , VIDAL CLAUDE A , REDMOND RUSSELL J , BANKS THOMAS
IPC分类号： A61B17/00 , A61B20060101 , A61B1/313 , A61B5/055 , A61B8/00 , A61B17/064 , A61B17/11 , A61B17/12 , A61B17/22 , A61B17/30 , A61B17/34 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/14 , A61B18/20 , A61B18/24 , A61B19/00 , A61F2/00 , A61F2/02 , A61F2/90 , A61M25/00
CPC分类号： A61B1/3137 , A61B17/00234 , A61B17/00491 , A61B17/0057 , A61B17/0643 , A61B17/11 , A61B17/12022 , A61B17/12045 , A61B17/12109 , A61B17/12131 , A61B17/12136 , A61B17/320725 , A61B17/3417 , A61B17/3496 , A61B18/00 , A61B18/1445 , A61B18/1477 , A61B18/1492 , A61B18/24 , A61B90/361 , A61B90/40 , A61B2017/00243 , A61B2017/00247 , A61B2017/00252 , A61B2017/003 , A61B2017/00331 , A61B2017/00504 , A61B2017/00637 , A61B2017/00668 , A61B2017/0641 , A61B2017/1107 , A61B2017/1139 , A61B2017/12127 , A61B2017/22038 , A61B2017/22077 , A61B2017/22095 , A61B2017/306 , A61B2017/347 , A61B2017/3488 , A61B2018/00392 , A61B2018/00404 , A61B2018/00869 , A61B2018/1425 , A61B2018/1475 , A61B2090/378 , A61B2090/3925 , A61B2090/3929 , A61B2090/3958 , A61F2/07 , A61F2/2493 , A61F2/90 , A61F2/95 , A61F2002/30079 , A61F2002/8486 , A61F2210/009 , A61M2025/0076 , A61M2025/0096 , A61M2025/018 , A61M2025/1052
摘要： PROBLEM TO BE SOLVED: To provide new method and device for accessing tumor, organs and tissues in order to implement surgical or intervention method without surgical incision in the body. SOLUTION: This method generally includes formation of at least one extravascular path from a blood vessel or to a vascular or non-vascular target position. In the revascularization methods, the extravascular path is used as a conduit for accessing or implementing the method in the vascular or non-vascular target position. Further, in order to form the extravascular path, catheter instruments 100, 103, a system 138 and a device for deforming, holding and/or closing the extravascular path are used in combination. COPYRIGHT: (C)2006,JPO&NCIPI
摘要翻译：要解决的问题：提供用于访问肿瘤，器官和组织的新方法和装置，以便在体内实施外科手术或干预方法而无需手术切口。解决方案：该方法通常包括从血管或血管或非血管目标位置形成至少一条血管外途径。在血运重建方法中，血管外路径被用作在血管或非血管目标位置获取或实施该方法的导管。此外，为了形成血管外路径，组合使用导管器械100,103，系统138和用于变形，保持和/或关闭血管外路径的装置。版权所有（C）2006，JPO＆NCIPI

3. 发明专利

JP2004524893A Inductively tube 腔貫 through intervention using the vessel wall through catheters and other devices 有权
公开(公告)号：JP2004524893A
公开(公告)日：2004-08-19
申请号：JP2002562274
申请日：2002-02-06
申请人：トランスバスキュラーインコーポレイテッドTransvascular,Inc.
发明人：ハンジュンキム、アイザック , アール．ベッキー、ブライアン , イー．マコーレー、パトリック , マコワー、ジョシュア , シー．ラムソン、セオドア
IPC分类号： A61B17/34 , A61B5/042 , A61B5/06 , A61B6/12 , A61B8/08 , A61B8/12 , A61B19/00 , A61M25/01 , A61M25/06
CPC分类号： A61B5/06 , A61B5/042 , A61B5/061 , A61B5/062 , A61B5/064 , A61B5/6853 , A61B5/6859 , A61B5/6886 , A61B6/12 , A61B6/508 , A61B6/5247 , A61B8/0833 , A61B8/12 , A61B8/5238 , A61B17/3478 , A61B34/20 , A61B2017/00252 , A61B2034/107 , A61B2034/2051 , A61B2034/2072 , A61B2090/3954 , A61M25/0105 , A61M25/0662
摘要：電気的解剖学的誘導カテーテル（例、マッピングカテーテル、組織貫通カテーテル、搬送カテーテル、および／またはシース）、およびそれに関連する方法。装置または物質が患者または患蓄の体内の特定位置に搬送されて、および／または解剖学的構造間の特定位置に、管路または通路が形成され得る。カテーテル上にセンサが塔載されて、患者または患蓄の体の周囲に検出フィールドを形成する。その後センサ塔載カテーテルを患者または患蓄の体内に挿入して、検出フィールドを表示するディスプレイ上に、カテーテルに取り付けられたセンサの位置が観測される。装置は、カテーテルを患者または患蓄の体内において、特定の位置および／または特定の回転配向に推進するよう働く。

5. 发明专利

JP2004528062A Apparatus for emergency or long-term delivery of substances or instrument extravascular treatment site, the systems and methods 有权
公开(公告)号：JP2004528062A
公开(公告)日：2004-09-16
申请号：JP2002557444
申请日：2002-01-17
申请人：トランスバスキュラーインコーポレイテッドTransvascular,Inc.
发明人：サード．ジョゼフカンタニーズ、ザ , ワイ．チャン、ジョン , アール．トルフセン、デイビッド , フラハーティー、ジェイ．クリストファー , マコワー、ジョシュア , シー．ラムソン、セオドア , エイ．レジー、ジョン
IPC分类号： A61M31/00 , A61B17/00 , A61B17/12 , A61B18/24 , A61M5/14 , A61M25/00 , A61M25/01 , A61M25/06
CPC分类号： A61M25/065 , A61B17/00491 , A61B17/0057 , A61B17/12022 , A61B17/12109 , A61B17/12122 , A61B17/12136 , A61B17/12186 , A61B18/24 , A61B2017/00243 , A61B2017/00247 , A61B2017/00575 , A61B2018/00392 , A61M25/0069 , A61M25/0084 , A61M25/0102 , A61M2025/018
摘要：物質または器具を標的部位に送出するための方法および装置。血管壁穿刺カテーテル（１１）を脈管構造に挿入し、標的血管外部位近くの血管内に配置、配向し、穿刺装置（８５）を、血管壁を貫通して外側に標的部位方向に穿刺するようにカテーテルから進める。その後で、デリバリーカテーテル（１２）を穿刺装置の管腔を通って標的部位に進める。次いで、所望の物質または器具を標的部位に送出するか、標的部位から得る。

6. 发明申请

WO2003086502A3 DEVICES AND METHODS FOR TRANSLUMINAL OR TRANSTHORACIC INTERSTITIAL ELECTRODE PLACEMENT 审中-公开
公开(公告)号：WO2003086502A3
公开(公告)日：2003-10-23
申请号：PCT/US2003/011284
申请日：2003-04-11
申请人： TRANSVASCULAR, INC.
发明人： LAMSOM, Theodore, C. , MAKOWER, Joshua , FLAHERTY, J., Christopher
IPC分类号： A61B19/00
摘要： Methods and devices for implanting pacing electrodes or other apparatus, or for delivering substances, to the heart of other tissues within the body. A guided tissue penetrating catheter (10) is inserted into a body lumen (e.g., blood vessel) or into a body cavity or space (e.g., the pericardial space) and a penetrator (14) is advanced from the catheter to a target location. In some embodiments, a substance or an apparatus (such as an electrode) may be delivered through a lumen in the penetrator. In other embodiments, a guidewire (GW) may be advanced through the penetrator, the penetrating catheter may then be removed and an apparatus (e.g., electrode) may then be advanced over that guidewire. Also disclosed are various implantable electrodes and electrode anchoring apparatus.

7. 发明申请

WO1997013471A1 A DEVICE, SYSTEM AND METHOD FOR INTERSTITIAL TRANSVASCULAR INTERVENTION 审中-公开
标题翻译：一种用于间质性转移性干预的装置，系统和方法
公开(公告)号：WO1997013471A1
公开(公告)日：1997-04-17
申请号：PCT/US1996016268
申请日：1996-10-11
申请人： TRANSVASCULAR, INC.
发明人： TRANSVASCULAR, INC. , MAKOWER, Joshua
IPC分类号： A61B19/00
CPC分类号： A61B17/12022 , A61B1/3137 , A61B17/00234 , A61B17/00491 , A61B17/0057 , A61B17/0643 , A61B17/11 , A61B17/12045 , A61B17/12109 , A61B17/12131 , A61B17/12136 , A61B17/12181 , A61B17/1219 , A61B17/320725 , A61B17/3417 , A61B17/3496 , A61B18/00 , A61B18/1445 , A61B18/1477 , A61B18/1492 , A61B18/24 , A61B90/361 , A61B90/40 , A61B2017/00243 , A61B2017/00247 , A61B2017/00252 , A61B2017/003 , A61B2017/00504 , A61B2017/00641 , A61B2017/0641 , A61B2017/1107 , A61B2017/1139 , A61B2017/12127 , A61B2017/22038 , A61B2017/22077 , A61B2017/306 , A61B2017/347 , A61B2017/3488 , A61B2018/00392 , A61B2018/00869 , A61B2018/1425 , A61B2090/378 , A61B2090/3925 , A61B2090/3929 , A61B2090/3958 , A61F2/07 , A61F2/2493 , A61F2/90 , A61F2/95 , A61F2002/30079 , A61F2002/8486 , A61F2210/009 , A61M2025/0076 , A61M2025/018 , A61M2025/1052
摘要： Method and apparatus for utilizing the vascular system as a conduit to reach other vascular and extravascular locations within the body. Included are methods for revascularization wherein the extravascular passageways are formed to permit blood flow between vascular locations. Also included are methods for performing transvascular interstitial surgery (TVIS) wherein extravascular passageways are formed from a blood vessel to another vascular or non-vascular intracorporeal location. Also disclosed are devices usable for forming extravascular passageways in accordance with the invention, or for modifying, valving, maintaining or closing such passageways.
摘要翻译：用于利用血管系统作为导管到达体内其它血管和血管外位置的方法和装置。包括血管重建的方法，其中形成血管外通道以允许血管位置之间的血液流动。还包括执行经血管间质手术（TVIS）的方法，其中血管内通道由血管形成至另一血管或非血管体内位置。还公开了可用于形成根据本发明的血管外通道或用于修改，阀门，维持或关闭这种通道的装置。

8. 发明申请

WO02056937A3 DEVICES, SYSTEMS AND METHODS FOR ACUTE OR CHRONIC DELIVERY OF SUBSTANCES OR APPARATUS TO EXTRAVASCULAR TREATMENT SITES 审中-公开
标题翻译：用于急性或慢性输送物质或设备到体外治疗站点的设备，系统和方法
公开(公告)号：WO02056937A3
公开(公告)日：2003-04-03
申请号：PCT/US0201168
申请日：2002-01-17
申请人： TRANSVASCULAR INC , MAKOWER JOSHUA , LAMSON THEODORE C , FLAHERTY J CHRISTOPHER , REGGIE JOHN A , CHANG JOHN Y , CANTANESE III JOSEPH , THOLFSEN DAVID R
发明人： MAKOWER JOSHUA , LAMSON THEODORE C , FLAHERTY J CHRISTOPHER , REGGIE JOHN A , CHANG JOHN Y , CANTANESE III JOSEPH , THOLFSEN DAVID R
IPC分类号： A61M31/00 , A61B17/00 , A61B17/12 , A61B18/24 , A61M5/14 , A61M25/00 , A61M25/01 , A61M25/06 , A61M5/178
CPC分类号： A61M25/065 , A61B17/00491 , A61B17/0057 , A61B17/12022 , A61B17/12109 , A61B17/12122 , A61B17/12136 , A61B17/12186 , A61B18/24 , A61B2017/00243 , A61B2017/00247 , A61B2017/00575 , A61B2018/00392 , A61M25/0069 , A61M25/0084 , A61M25/0102 , A61M2025/018
摘要： Methods and apparatus for delivery of substances or apparatus to target sites. A vessel wall penetrating catheter (11) is inserted into the vasculature, positioned and oriented with a blood vessel near the target extravascular site and a penetrator (85) is advanced from the catheter so as to penetrate outwardly through the wall of the blood vessel in the direction of the target site. Thereafter, a delivery catheter (12) is passed through a lumen of the penetrator to the target site. A desired substance or apparatus is then delivered to or obtained from the target site.
摘要翻译：将物质或设备运送到目标地点的方法和装置。将血管壁穿透导管（11）插入脉管系统中，定位并定位在目标血管外部位附近的血管，并且穿透器（85）从导管前进，以便通过血管的壁向外穿过目标网站的方向。此后，输送导管（12）穿过穿透器的内腔到达目标部位。然后将所需的物质或装置输送到目标部位或从目标部位获得。

9. 发明申请

WO9949910A9 TISSUE PENETRATING CATHETHERS HAVING INTEGRAL IMAGING TRANSDUCERS AND THEIR METHODS OF USE 审中-公开
标题翻译：具有整体成像传感器的组织穿透导管及其使用方法
公开(公告)号：WO9949910A9
公开(公告)日：1999-11-25
申请号：PCT/US9907112
申请日：1999-03-31
申请人： TRANSVASCULAR INC
发明人： FLAHERTY J CHRISTOPHER , WHITT JASON B , CHANG JOHN Y , THOLFSEN DAVID R , EVARD PHILLIP C
IPC分类号： A61B8/12 , A61B17/00 , A61B17/11 , A61B17/22 , A61B17/32 , A61B17/34 , A61B19/00 , A61M25/00 , A61M25/01 , A61M
CPC分类号： A61M25/0108 , A61B17/22 , A61B17/3207 , A61B2017/00252 , A61B2017/00455 , A61B2017/22077 , A61B2090/3784 , A61B2090/3925
摘要： A catheter device that is useable to penetrate from a blood vessel in which the catheter device is positioned to a target location comprises a flexible catheter advanceable into the first blood vessel, a tissue penetrator lumen adapted to receive an operative tissue penetrator which is usable to penetrate from the blood vessel to the target location when properly aimed. Further said catheter including an imaging transducer fixedly mounted on or within the catheter body to provide an imaging signal from which an image of the target location can be obtained. The catheter device may include an imageable marker on the catheter to form on the image obtainable from the imaging signal a penetrator path indication that indicates the path that will be followed by the tissue penetrator when the tissue penetrator exits from the catheter. Alternatively, or in addition thereto, the imaging transducer may comprise a plurality of imaging elements which are located so that the penetrator path indication can be obtained. A method of utilizing such a catheter device to bypass an arterial obstruction is also disclosed.
摘要翻译：可用于从其中定位导管装置的血管渗透到目标位置的导管装置包括可推进到第一血管中的柔性导管，适于接收可用于穿透的可操作组织穿透器的组织穿透器内腔在适当瞄准时从血管到目标位置。此外，所述导管包括固定安装在导管主体上或导管主体内的成像换能器，以提供成像信号，从该成像信号可以获得目标位置的图像。导管装置可在导管上包括可成像标记以在可从成像信号获得的图像上形成穿透器路径指示，该穿透器路径指示指示当组织穿透器离开导管时组织穿透器将遵循的路径。可选地或附加地，成像换能器可以包括多个成像元件，这些成像元件被定位成使得可以获得穿透器路径指示。还公开了利用这种导管装置绕过动脉阻塞的方法。

10. 发明申请

WO1998016161A1 METHODS AND APPARATUS FOR BYPASSING ARTERIAL OBSTRUCTIONS AND/OR PERFORMING OTHER TRANSVASCULAR PROCEDURES 审中-公开
标题翻译：用于穿过椎间盘手术和/或执行其他横向手术的方法和装置
公开(公告)号：WO1998016161A1
公开(公告)日：1998-04-23
申请号：PCT/US1996019093
申请日：1996-11-27
申请人： TRANSVASCULAR, INC.
发明人： TRANSVASCULAR, INC. , EVARD, Philip, C. , FLAHERTY, J., C. , GARIBOTTO, John, T. , MACAULAY, Patrick, E. , MACHOLD, Timothy, R. , MAKOWER, Joshua , WHITT, Jason, B. , VIDAL, Clade, A. , REDMOND, Russel, J. , BANKS, Thomas
IPC分类号： A61B17/36
CPC分类号： A61B17/3417 , A61B17/00491 , A61B17/0643 , A61B17/11 , A61B17/12022 , A61B17/12045 , A61B17/12109 , A61B17/12136 , A61B18/00 , A61B18/1477 , A61B18/1492 , A61B90/40 , A61B2017/00243 , A61B2017/00247 , A61B2017/00252 , A61B2017/00504 , A61B2017/1107 , A61B2017/1139 , A61B2017/12127 , A61B2017/306 , A61B2017/347 , A61B2018/00392 , A61B2018/1425 , A61F2/2493 , A61F2002/30079 , A61F2210/009 , A61M2025/0076 , A61M2025/009 , A61M2025/1052
摘要： This invention concerns methods, devices, and systems for re-vascularization, and/or performing other medical procedures at vascular or non-vascular intra-corporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway (10a) from a blood vessel to a vascular or non-vascular target location. In the re-vascularization methods the extravascular passageway is utilized for blood flow. In the medical procedure methods the extravascular passageway (10a) is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices and systems which are useable to form the extravascular passageways (10a, 10b) of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.
摘要翻译：本发明涉及在哺乳动物体内的血管或非血管内体内再次血管化和/或执行其它医学过程的方法，装置和系统。所述方法通常包括从血管到血管或非血管目标位置形成至少一个血管外通道（10a）。在再血管化方法中，血管外通路用于血流。在医疗程序方法中，血管外通路（10a）用作在血管或非血管目标位置处进入或执行手术的导管。还公开了可用于形成本发明的血管外通道（10a，10b）的导管装置和系统，以及用于修改，维持和/或关闭这种血管外通道的装置。

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