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    • 2. 发明申请
    • Rapid-exchange balloon catheter shaft and method
    • 快速交换球囊导管轴和方法
    • US20080147001A1
    • 2008-06-19
    • US12008509
    • 2008-01-11
    • Laila Al-MarashiDavid GreweStephen GriffinElaine LimDavid MajercakRoger Stevens
    • Laila Al-MarashiDavid GreweStephen GriffinElaine LimDavid MajercakRoger Stevens
    • A61M25/10A61F2/84
    • A61M25/10A61F2/915A61F2/958A61F2002/91558A61F2230/0054A61F2250/0018A61M25/0054A61M2025/0183
    • A balloon catheter or stent delivery system for medical treatment of a patient has a proximal hub, a balloon, and an improved shaft design. The catheter shaft has a rapid-exchange configuration, and a tubular outer body that includes a hypotube extending from the catheter proximal end to a position at or near a proximal leg of the balloon. An inner tubular body defines a guidewire lumen extending from a distal guidewire port at the catheter distal end to a proximal port located at a position between the balloon and the hub. A distal leg of the balloon is directly or indirectly affixed to the inner body, and a proximal leg of the balloon is affixed to the distal end of the outer body. The hypotube has an aperture for accepting the inner body proximal end, and a circumferential cut pattern. The cut pattern adds flexibility, and may extend from the hypotube distal end to a position proximal of the proximal guidewire port. The cut pattern may have any desired shape, including a spiral, a helical undulating path, or an overlapping serpentine path with inflection points, for example. The hypotube has a fluid-tight covering such as a heat-shrink polymer, so the outer body supports pressure of an inflation medium. The proximal guidewire port may be positioned on or between the individual portions of the cut pattern, or at a position beyond the cut pattern.
    • 用于患者医疗的球囊导管或支架输送系统具有近端毂,球囊和改进的轴设计。 导管轴具有快速交换构造,以及管状外体,其包括从导管近端延伸到球囊的近端腿处或附近的位置的海波管。 内部管状体限定从导管远端处的远端导丝端口延伸到位于气囊和轮毂之间的位置的近端口的导丝管腔。 球囊的远端腿直接或间接地固定到内体上,并且气球的近端腿固定到外体的远端。 海波管具有用于接纳内体近端的孔和圆周切割图案。 切割图案增加了柔性,并且可以从海波管远端延伸到近端导丝端口的近端。 切割图案可以具有任何期望的形状,例如包括螺旋形,螺旋形起伏路径或具有拐点的重叠蛇形路径。 海波管具有流体密封的覆盖物,例如热收缩聚合物,因此外壳支撑膨胀介质的压力。 近端导丝端口可以定位在切割图案的各个部分之间或之间,或位于切割图案之外的位置。
    • 4. 发明申请
    • Novel stent for treatment of bifurcated lesions
    • 用于治疗分叉病变的新型支架
    • US20050288771A1
    • 2005-12-29
    • US10863192
    • 2004-06-08
    • David MajercakMatthew KreverJin ParkRobert BurgermeisterHikmat HojeibaneMartin Leon
    • David MajercakMatthew KreverJin ParkRobert BurgermeisterHikmat HojeibaneMartin Leon
    • A61F2/00A61F2/02A61F2/82A61M29/02A61F2/06
    • A61F2/856A61F2/91A61F2/915A61F2002/821A61F2002/91533A61F2002/91558A61F2210/0004A61F2250/0067
    • A stent includes a lattice defining a substantially cylindrical configuration having a proximal end portion and a distal end portion, and a middle portion between the proximal end and the distal end. The lattice being moveable from a crimped state to an expanded state, and a plurality of adjacent hoops. Each hoop has a plurality of adjacent loops. Additionally, the stent further includes a plurality of bridges connecting adjacent hoops and a plurality of extensions on the lattice. Each of the hoops and bridges define a cell. The proximal end portion and the distal end portion of the lattice have at least one cell respectively and the middle portion of the lattice has at least one cell. The plurality of extensions are on the middle portion of the lattice. The plurality of extensions are cantilevered projections from the bridges and/or hoops of the lattice. The plurality of extensions are movably deformable in a direction away from the lattice, for example, at least some of the extensions are movably deformable in a direction away from the bridges and at least some of the extensions are movably deformable in a direction away from the hoops.
    • 支架包括限定具有近端部分和远端部分的基本上圆柱形构造的格子,以及近端和远端之间的中间部分。 格子可以从卷曲状态移动到展开状态,并且多个相邻的环。 每个箍具有多个相邻的环。 此外,支架还包括连接相邻环的多个桥和在晶格上的多个延伸部。 每个环和桥定义一个单元格。 晶格的近端部分和远端部分分别具有至少一个电池,并且晶格的中间部分具有至少一个电池。 多个延伸部位于格子的中间部分。 多个延伸部是从网格的桥和/或环的悬臂突起。 所述多个延伸部在远离格子的方向上可移动地变形,例如,至少一些延伸部在远离桥梁的方向上可移动地变形,并且至少一些延伸部分沿着远离网格的方向可移动地变形 箍
    • 5. 发明申请
    • RAPID-EXCHANGE BALLOON CATHETER SHAFT AND METHOD
    • 快速交换气囊导管轴和方法
    • US20110034989A1
    • 2011-02-10
    • US12906976
    • 2010-10-18
    • Laila Al-MarashiDavid GreweStephen GriffinElaine LimDavid MajercakRoger Stevens
    • Laila Al-MarashiDavid GreweStephen GriffinElaine LimDavid MajercakRoger Stevens
    • A61F2/84
    • A61M25/10A61F2/915A61F2/958A61F2002/91558A61F2230/0054A61F2250/0018A61M25/0054A61M2025/0183
    • A balloon catheter or stent delivery system for medical treatment of a patient has a proximal hub, a balloon, and an improved shaft design. The catheter shaft has a rapid-exchange configuration, and a tubular outer body that includes a hypotube extending from the catheter proximal end to a position at or near a proximal leg of the balloon. An inner tubular body defines a guidewire lumen extending from a distal guidewire port at the catheter distal end to a proximal port located at a position between the balloon and the hub. A distal leg of the balloon is directly or indirectly affixed to the inner body, and a proximal leg of the balloon is affixed to the distal end of the outer body. The hypotube has an aperture for accepting the inner body proximal end, and a circumferential cut pattern. The cut pattern adds flexibility, and may extend from the hypotube distal end to a position proximal of the proximal guidewire port. The cut pattern may have any desired shape, including a spiral, a helical undulating path, or an overlapping serpentine path with inflection points, for example. The hypotube has a fluid-tight covering such as a heat-shrink polymer, so the outer body supports pressure of an inflation medium. The proximal guidewire port may be positioned on or between the individual portions of the cut pattern, or at a position beyond the cut pattern.
    • 用于患者医疗的球囊导管或支架输送系统具有近端毂,球囊和改进的轴设计。 导管轴具有快速交换构造,以及管状外体,其包括从导管近端延伸到球囊的近端腿处或附近的位置的海波管。 内部管状体限定从导管远端处的远端导丝端口延伸到位于气囊和轮毂之间的位置的近端口的导丝管腔。 球囊的远端腿直接或间接地固定到内体上,并且气球的近端腿固定到外体的远端。 海波管具有用于接纳内体近端的孔和圆周切割图案。 切割图案增加了柔性,并且可以从海波管远端延伸到近端导丝端口的近端。 切割图案可以具有任何期望的形状,例如包括螺旋形,螺旋形起伏路径或具有拐点的重叠蛇形路径。 海波管具有流体密封的覆盖物,例如热收缩聚合物,因此外壳支撑膨胀介质的压力。 近端导丝端口可以定位在切割图案的各个部分之间或之间,或位于切割图案之外的位置。
    • 8. 发明申请
    • Spiral centering catheter
    • 螺旋定心导管
    • US20050171592A1
    • 2005-08-04
    • US10973583
    • 2004-10-26
    • David Majercak
    • David Majercak
    • A61F2/82A61F2/84A61M25/00A61F2/06A61N5/00
    • A61M25/0069A61F2/958A61M25/0043A61M2025/1047
    • A catheter with proximal and distal ends having a spiral centering device attached near the catheter distal end. The spiral centering device has at least one spiral strut having a proximal end and a distal end. The spiral centering device resiliently tends to center the distal end portion of the catheter, steering the catheter away from the vessel wall during insertion through the vasculature and toward the treatment site. The spiral centering catheter may facilitate access to tortuous anatomy by preventing the distal catheter tip from catching on irregularities in the lumenal surface. If a stent is provided on the catheter, the spiral centering catheter may also facilitate uniform stent expansion by stabilizing the catheter during stent deployment.
    • 具有近端和远端的导管具有附接在导管远端附近的螺旋定心装置。 螺旋定心装置具有至少一个具有近端和远端的螺旋支柱。 螺旋定心装置弹性地倾向于使导管的远端部分居中,在插入通过脉管系统并朝向治疗部位时将导管转向血管壁。 螺旋定心导管可以通过防止远侧导管尖端捕获内腔表面的不规则性来促进进入曲折的解剖结构。 如果在导管上设置支架,则螺旋定心导管还可以通过在支架展开期间稳定导管来促进均匀的支架扩张。
    • 10. 发明授权
    • Rapid-exchange balloon catheter shaft and method
    • 快速交换球囊导管轴和方法
    • US08454673B2
    • 2013-06-04
    • US12906976
    • 2010-10-18
    • Laila Al-MarashiDavid GreweStephen GriffinElaine LimDavid MajercakRoger Stevens
    • Laila Al-MarashiDavid GreweStephen GriffinElaine LimDavid MajercakRoger Stevens
    • A61F2/84
    • A61M25/10A61F2/915A61F2/958A61F2002/91558A61F2230/0054A61F2250/0018A61M25/0054A61M2025/0183
    • A balloon catheter or stent delivery system for medical treatment of a patient has a proximal hub, a balloon, and an improved shaft design. The catheter shaft has a rapid-exchange configuration, and a tubular outer body that includes a hypotube extending from the catheter proximal end to a position at or near a proximal leg of the balloon. An inner tubular body defines a guidewire lumen extending from a distal guidewire port at the catheter distal end to a proximal port located at a position between the balloon and the hub. A distal leg of the balloon is directly or indirectly affixed to the inner body, and a proximal leg of the balloon is affixed to the distal end of the outer body. The hypotube has an aperture for accepting the inner body proximal end, and a circumferential cut pattern. The cut pattern adds flexibility, and may extend from the hypotube distal end to a position proximal of the proximal guidewire port. The cut pattern may have any desired shape, including a spiral, a helical undulating path, or an overlapping serpentine path with inflection points, for example. The hypotube has a fluid-tight covering such as a heat-shrink polymer, so the outer body supports pressure of an inflation medium. The proximal guidewire port may be positioned on or between the individual portions of the cut pattern, or at a position beyond the cut pattern.
    • 用于患者医疗的球囊导管或支架输送系统具有近端毂,球囊和改进的轴设计。 导管轴具有快速交换构造,以及管状外体,其包括从导管近端延伸到球囊的近端腿处或附近的位置的海波管。 内部管状体限定从导管远端处的远端导丝端口延伸到位于气囊和轮毂之间的位置的近端口的导丝管腔。 球囊的远端腿直接或间接地固定到内体上,并且气球的近端腿固定到外体的远端。 海波管具有用于接纳内体近端的孔和圆周切割图案。 切割图案增加了柔性,并且可以从海波管远端延伸到近端导丝端口的近端。 切割图案可以具有任何期望的形状,例如包括螺旋形,螺旋形起伏路径或具有拐点的重叠蛇形路径。 海波管具有流体密封的覆盖物,例如热收缩聚合物,因此外壳支撑膨胀介质的压力。 近端导丝端口可以定位在切割图案的各个部分之间或之间,或位于切割图案之外的位置。