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1. 发明授权

US07727253B2 Medical grasping device having embolic protection 有权
标题翻译：具有栓塞保护功能的医疗夹具
公开(公告)号：US07727253B2
公开(公告)日：2010-06-01
申请号：US10828094
申请日：2004-04-20
申请人： Andrew J. Ackerman , Roy Greenberg , Krasnodar Ivancev , Ram H. Paul
发明人： Andrew J. Ackerman , Roy Greenberg , Krasnodar Ivancev , Ram H. Paul
IPC分类号： A61M29/00
CPC分类号： A61B17/221 , A61B2017/00867 , A61B2017/22035 , A61B2017/22038 , A61B2017/2215 , A61B2090/08021 , A61F2/95
摘要： A medical grasping device (10) for vascular use, having an outer sheath (12), an elongate control member (50) extending within an outer sheath (12) to a distal tip section (54), and a proximal control assembly (22) including an actuation section (24) joined to the elongate control member (50). Adjacent to the distal tip section (54) is a grasping portion (70, 70′) that is extendable from the outer sheath (12) to create loops (74, 74′) for grasping a target object (T) for repositioning within the vascular system, or for removal from the patient, with loops being retractable into the outer sheath to hold the target object against the device (10) during movement of the device. Elongate control member (50) is preferably a cannula or tube having a lumen (58) extending completely therethrough for placement over a guide wire (28) already in the patient. One or more porous materials (120) are also provided to substantially cover at least one side of the grasping portion (74, 74′) in order to protect against distal embolization of particles which may be dislodged during a procedure using the device (10).
摘要翻译：一种用于血管使用的医疗夹持装置（10），具有外护套（12），在外护套（12）内延伸到远侧末端部分（54））的细长控制构件（50）和近端控制组件）包括连接到细长控制构件（50）的致动部分（24）。远侧末端部分（54）相邻的是抓握部分（70,70'），其可从外护套（12）延伸以产生用于抓握目标物体（T）的环（74,74'），用于重新定位血管系统或用于从患者移除的环，其中环可缩回到外护套中，以在装置移动期间将目标物体抵靠装置（10）保持。细长控制构件（50）优选地是具有完全延伸穿过其中的内腔（58）的插管或管，用于放置在已经在患者体内的引导线（28）上。还提供一个或多个多孔材料（120）以基本上覆盖抓握部分（74,74'）的至少一侧，以便防止在使用装置（10）的过程期间可能被移除的颗粒的远端栓塞。

2. 发明申请

US20050049612A1 Medical grasping device 有权
标题翻译：医疗夹具
公开(公告)号：US20050049612A1
公开(公告)日：2005-03-03
申请号：US10814018
申请日：2004-03-31
申请人： Jason Urbanski , Ram Paul , Roy Greenberg , Krasnodar Ivancev
发明人： Jason Urbanski , Ram Paul , Roy Greenberg , Krasnodar Ivancev
IPC分类号： A61B17/00 , A61B17/22 , A61B19/00 , A61F2/06 , A61F2/84
CPC分类号： A61B17/221 , A61B2017/00867 , A61B2017/22035 , A61B2017/22038 , A61B2017/2215 , A61B2090/08021 , A61F2/95
摘要： A medical grasping device (10) for vascular use, having an outer sheath (12), an elongate control member (50) extending within an outer sheath (12) to a distal tip section (54), and a proximal control assembly (22) including an actuation section (24) joined to the elongate control member (50). Adjacent to the distal tip section (54) is a grasping portion (70,70′) that is extendable from the outer sheath (12) to create loops (74,74′) for grasping a target object (T) for repositioning within the vascular system, or for removal from the patient, with loops being retractable into the outer sheath to hold the target object against the device (10) during movement of the device. Elongate control member (50) is preferably a cannula or tube having a lumen (58) extending completely therethrough for placement over a guide wire (28) already in the patient.
摘要翻译：一种用于血管使用的医疗夹持装置（10），具有外护套（12），在外护套（12）内延伸到远侧末端部分（54））的细长控制构件（50）和近端控制组件）包括连接到细长控制构件（50）的致动部分（24）。与远侧末端部分（54）相邻的是抓握部分（70,70'），其可从外部护套（12）延伸以产生用于抓握目标物体（T）的环（74,74'），用于重新定位血管系统或用于从患者移除的环，其中环可缩回到外护套中，以在装置移动期间将目标物体抵靠装置（10）保持。细长控制构件（50）优选地是具有完全延伸穿过其中的内腔（58）的插管或管，用于放置在已经在患者体内的导丝（28）上。

3. 发明申请

US20070123910A1 Stent graft introducer 有权
标题翻译：支架移植物导引器
公开(公告)号：US20070123910A1
公开(公告)日：2007-05-31
申请号：US11600655
申请日：2006-11-16
申请人： David Hartley , Krasnodar Ivancev , Roy Greenberg
发明人： David Hartley , Krasnodar Ivancev , Roy Greenberg
IPC分类号： A61F11/00
CPC分类号： A61F2/954 , A61F2/07 , A61F2002/065
摘要： A stent graft introducer has a pusher, a nose cone, a region between the pusher and the nose cone for a stent graft, a sleeve extending over the pusher and proximally to the nose cone to cover the stent graft when retained in the region. An indwelling auxiliary catheter with a pre-curved proximal end is fitted into the introducer. The nose cone has an elongate groove and the auxiliary catheter has its proximal end in the elongate groove. In a partially retracted position of the sleeve the curved proximal end of the indwelling auxiliary catheter is exposed and uncovered by the sleeve and in an advanced position of the sleeve the curved proximal end of the indwelling auxiliary catheter is straightened, extends along the length of the groove in the nose cone and is covered by the sleeve.
摘要翻译：支架移植物导引器具有推动器，鼻锥体，用于支架移植物的推动器和鼻锥体之间的区域，在保持在该区域中时延伸到推动器上并且向近端延伸到鼻锥体的套筒以覆盖支架移植物。具有预弯曲近端的留置辅助导管安装在导引器中。鼻锥具有细长的凹槽，辅助导管的近端位于细长凹槽中。在套管的部分缩回位置，留置辅助导管的弯曲近端由套筒暴露和未覆盖，并且在套筒的前进位置中，留置辅助导管的弯曲近端被拉直，沿着凹槽在鼻锥中并被套筒覆盖。

4. 发明申请

US20190001175A1 PORTABLE FUNCTIONAL TRAINING DEVICE 审中-公开
公开(公告)号：US20190001175A1
公开(公告)日：2019-01-03
申请号：US16024410
申请日：2018-06-29
申请人： Christopher Lee Wagner , Tania Greenberg , Roy Greenberg
发明人： Christopher Lee Wagner , Tania Greenberg , Roy Greenberg
IPC分类号： A63B21/018 , A63B21/00 , A63B21/16 , A63B21/22 , A63B21/068 , A63B21/04
摘要： A lightweight portable device allows a user to accomplish both the exercises of a functional cable machine and a bodyweight suspension trainer. The device can include at least one non-elastic cord or strap, each retractably attached to a reel. The reel has a locking mechanism and a variable resistance mechanism. When the locking mechanism is engaged, it keeps the strap or cord in a fixed location. This allows the user to perform bodyweight suspension training exercises. The variable resistance mechanism of the reel can increase or decrease the amount of force that is needed to be applied to move the reel, thus giving the user the ability to perform the variable resistance exercises of a functional cable machine. The resistance mechanism can be designed as compact and lightweight, thus making the device able to be portable and compact in size.

5. 发明申请

US20080109058A1 Intraoperative Anastomosis Method 审中-公开
标题翻译：术中吻合方法
公开(公告)号：US20080109058A1
公开(公告)日：2008-05-08
申请号：US11857725
申请日：2007-09-19
申请人： Roy Greenberg , Bruce Lytle , David Biggs , Lars Svensson , Ray Leonard
发明人： Roy Greenberg , Bruce Lytle , David Biggs , Lars Svensson , Ray Leonard
IPC分类号： A61F2/84 , A61F2/82
CPC分类号： A61F2/95 , A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/061 , A61F2002/075 , A61F2002/9517 , A61F2220/0066 , A61F2220/0075 , A61M2025/0006
摘要： An intraoperative anastomosis method is described and comprises the steps of providing an intraluminal prosthesis having a first end and a second end; suturing a first vessel to a second vessel to form a vessel junction; intraluminally delivering the prosthesis so that the first end of the prosthesis is disposed within the first vessel and the second end of the prosthesis is disposed within the second vessel; and deploying the prosthesis so that the prosthesis overlaps and reinforces the vessel junction. The vessel suturing, prosthesis delivering, and prosthesis deploying steps may be performed in a single operation. Other devices, systems, and methods are described.
摘要翻译：描述了术中吻合方法，并且包括提供具有第一端和第二端的管腔内假体的步骤; 将第一容器缝合到第二容器以形成血管结; 腔内递送假体，使得假体的第一端设置在第一容器内，假体的第二端设置在第二容器内; 并且展开假体，使得假体与血管结合部重叠并加强。容器缝合，假体递送和假体部署步骤可以在单个操作中进行。描述其他设备，系统和方法。

6. 发明申请

US20070250154A1 Twin bifurcated stent graft 有权
标题翻译：双分支支架移植
公开(公告)号：US20070250154A1
公开(公告)日：2007-10-25
申请号：US11788285
申请日：2007-04-19
申请人： Roy Greenberg , David Hartley , Michael Lawrence-Brown
发明人： Roy Greenberg , David Hartley , Michael Lawrence-Brown
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61B17/00234 , A61B2017/00243 , A61F2/07 , A61F2/24 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2220/0016 , A61F2220/0075
摘要： A stent graft (40) has a tubular body with a first bifurcation (54) with first and second legs (50, 52) extending from the bifurcation. One of the legs (52) has a further bifurcation (62) to define a side arm. The stent graft can be deployed into the vasculature of a patient with the tubular body being in an aorta of the patient, a first leg extending down an iliac artery, a second leg being directed towards a contralateral iliac artery and the side arm directed to an internal artery of one of the iliac arteries. One of the legs can include a valved aperture to enable the placement of an indwelling catheter therethrough
摘要翻译：支架移植物（40）具有带有第一分叉（54）的管状体，第一和第二腿（50,52）从分叉延伸。一个腿部（52）具有进一步的分叉（62）以限定侧臂。支架移植物可以部署到患者的脉管系统中，其中管状体位于患者的主动脉中，第一腿向下延伸到髂动脉，第二腿指向对侧髂动脉，并且侧臂指向一个一条髂动脉内动脉。其中一条腿可以包括一个有孔的孔，以便使一个留置导管穿过其中

7. 发明申请

US20070123972A1 Modular stent graft assembly and use thereof 审中-公开
标题翻译：模块化支架移植物组装及其应用
公开(公告)号：US20070123972A1
公开(公告)日：2007-05-31
申请号：US11638762
申请日：2006-12-14
申请人： Roy Greenberg , Jason Mead
发明人： Roy Greenberg , Jason Mead
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/95 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/9511 , A61F2230/0054 , A61F2230/0067 , A61F2250/0039
摘要： A modular stent graft assembly (10) for repairing a ruptured abdominal aorta aneurysm (90) and having an aortic section tubular graft (12) and an iliac section tubular graft (14). The aortic section graft has a proximal attachment stent (32) thereon for suprarenal attachment of the assembly (10) to the aorta. A proximal end portion (50) of the iliac section graft (14) underlies the distal end portion (28) of the aortic graft (12) and presses outwardly thereagainst forming a friction fit, at a telescoping region (64). The assembly (10) can be selected from an inventory (300) containing a set of delivery systems (100) of four size aortic section grafts (12) and a set of delivery systems (200) of four size iliac section grafts (14), that together accommodate a large majority of aneurysm sizes, and delivery systems (250) containing four standard sizes of occluders (80).
摘要翻译：一种用于修复破裂的腹主动脉瘤（90）并具有主动脉截面管状移植物（12）和髂骨节段移植物（14）的模块化支架移植物组件（10）。主动脉截面移植物具有其上的近端附接支架（32），用于将组件（10）的肾上附着到主动脉。髂骨移植物（14）的近端部分（50）位于主动脉移植物（12）的远端部分（28）的下方，并且在伸缩区域（64）处向外挤压形成摩擦配合。组件（10）可以选自包含四个尺寸主动脉截面移植物（12）的一组递送系统（100）和四个尺寸的髂骨移植物（14）的一组递送系统（200）的库存（300），一起容纳大部分动脉瘤大小，以及包含四种标准尺寸的封堵器（80）的输送系统（250）。

8. 发明申请

US20050182476A1 Introducer for an iliac side branch device 有权
标题翻译：髂侧分支装置的介绍人
公开(公告)号：US20050182476A1
公开(公告)日：2005-08-18
申请号：US10962763
申请日：2004-10-12
申请人： David Hartley , John Anderson , Roy Greenberg , Wolf Stelter
发明人： David Hartley , John Anderson , Roy Greenberg , Wolf Stelter
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/07 , A61F2/82 , A61F2/90 , A61F2/958 , A61F2/962 , A61F2/966 , A61F2002/067 , A61F2002/9511 , A61F2002/9583 , A61F2002/9665
摘要： An introduction arrangement for a fenestrated or branched stent graft (13) intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer (1) has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator (11) and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath (15) on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter (22) extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire (29) extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.
摘要翻译：用于开窗或分枝的支架移植物（13）的引入装置，其用于展开到具有从其延伸的盲血管的血管的内腔中。导引器（1）具有旨在在使用中保持在患者外部的远端和具有鼻锥形扩张器（11）的近端和用于将分支的支架移植物保持在鼻锥扩张器的远侧的布置。引导器上的护套（15）在分支支架移植物上延伸到鼻锥扩张器。留置导管（22）从引导器的远端延伸并进入开窗或侧臂并通过鼻锥扩张器，留置导管具有延伸通过其的导丝（29）。引导线可以延伸到使用中的鼻锥扩张器之外，然后将护套从分支的支架移植物中取出，使得其可以从对侧动脉中截获。

9. 发明申请

US20070088424A1 Endoluminal delivery assembly 有权
标题翻译：腔内输送组件
公开(公告)号：US20070088424A1
公开(公告)日：2007-04-19
申请号：US11524855
申请日：2006-09-21
申请人： Roy Greenberg , David Hartley
发明人： Roy Greenberg , David Hartley
IPC分类号： A61F2/84
CPC分类号： A61F2/954 , A61F2/07 , A61F2002/061 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2002/9665 , A61M25/0152
摘要： A stent graft delivery system in which a stent graft (6) is retained on a delivery device (2) such that a longitudinal portion of the stent graft is releasably retained on the delivery device to bend therewith. The delivery device (2) has a guide wire catheter (3) and the stent graft is retained onto the guide wire catheter by a release wire (24) which can be withdrawn. The release wire is wound around the guide wire catheter and through the stent graft or suture loops engage around the guide wire catheter and release wire.
摘要翻译：一种支架移植物输送系统，其中支架移植物（6）保持在输送装置（2）上，使得支架移植物的纵向部分可释放地保持在输送装置上以与其一起弯曲。输送装置（2）具有导丝导管（3），并且支架移植物通过可撤出的释放线（24）保持在导丝导管上。释放线卷绕在导丝导管上，并且通过支架移植物或缝合线环绕引导线导管和释放线。

10. 发明申请

US20070055365A1 Stent with integrated filter 审中-公开
标题翻译：支架与集成过滤器
公开(公告)号：US20070055365A1
公开(公告)日：2007-03-08
申请号：US11412465
申请日：2006-04-27
申请人： Roy Greenberg , John Deford
发明人： Roy Greenberg , John Deford
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/01 , A61F2/91 , A61F2/915 , A61F2/958 , A61F2002/018 , A61F2002/075 , A61F2002/91533 , A61F2002/91558 , A61F2230/0006 , A61F2230/005 , A61F2230/0054 , A61F2230/0069 , A61F2230/0078 , A61F2230/008 , A61F2250/0039
摘要： A medical device that may be implanted intraluminally in a patient includes a stent and a filter combination. In one variation, the device includes a stent with a distal portion adapted to capture particles during the placement of the device in a stenosed region within a blood vessel. In another variation, the device includes a collapsible filter positioned within the distal lumen of the stent.
摘要翻译：可以在患者中腔内植入的医疗装置包括支架和过滤器组合。在一个变型中，该装置包括具有远端部分的支架，其适于在将装置置于血管内的狭窄区域内捕获颗粒。在另一个变型中，该装置包括位于支架的远侧内腔内的可折叠过滤器。

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