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    • 5. 发明申请
    • COATED IMPLANTABLE MEDICAL DEVICE
    • 涂层可植入医疗器械
    • US20080183268A1
    • 2008-07-31
    • US11965385
    • 2007-12-27
    • Brian L. BatesAnthony O. RaghebNeal E. FearnotWilliam D. VoorheesThomas G. KozmaDavid D. GreweDarin G. SchaefferJiChao Sun
    • Brian L. BatesAnthony O. RaghebNeal E. FearnotWilliam D. VoorheesThomas G. KozmaDavid D. GreweDarin G. SchaefferJiChao Sun
    • A61F2/82
    • A61F2/885A61F2/0077A61F2250/0068
    • A coated implantable medical device 10 includes a structure 12 adapted for introduction into the vascular system, esophagus, trachea, colon, biliary tract, or urinary tract; at least one coating layer 16 posited on one surface of the structure; and at least one layer 18 of a bioactive material posited on at least a portion of the coating layer 16, where the coating layer 16 provides for the controlled release of the bioactive material from the coating layer. In addition, at least one porous layer 20 may be posited over the bioactive material layer 18, where the porous layer includes a polymer and provides for the controlled release of the bioactive material therethrough. Preferably, the structure 12 is a coronary stent. The porous layer 20 includes a polymer applied preferably by vapor or plasma deposition and provides for a controlled release of the bioactive material. It is particularly preferred that the polymer is a polyamide, parylene or a parylene derivative, which is deposited without solvents, heat or catalysts, and merely by condensation of a monomer vapor.
    • 涂覆的可植入医疗装置10包括适于引入到血管系统,食道,气管,结肠,胆道或尿道中的结构12; 至少一个涂层16位于该结构的一个表面上; 以及至少一层生物活性材料层18,其被定位在涂层16的至少一部分上,其中涂层16提供生物活性材料从涂层的受控释放。 此外,至少一个多孔层20可以位于生物活性材料层18上,其中多孔层包括聚合物,并且通过其提供生物活性材料的受控释放。 优选地,结构12是冠状动脉支架。 多孔层20包括优选通过蒸气或等离子体沉积施加的聚合物,并提供生物活性材料的受控释放。 特别优选的是,聚合物是聚酰胺,聚对二甲苯或聚对二甲苯衍生物,它们不经溶剂,热或催化剂沉积,并且仅通过单体蒸气的冷凝而沉积。
    • 6. 发明授权
    • Stent deployment device including splittable sleeve containing the stent
    • 支架展开装置,包括含支架的可拆卸套筒
    • US06447540B1
    • 2002-09-10
    • US08971113
    • 1997-11-14
    • Arthur B. FontaineSusan DosPassosBrian L. BatesScott E. BoatmanMichael C. HoffaThomas A. Osborne
    • Arthur B. FontaineSusan DosPassosBrian L. BatesScott E. BoatmanMichael C. HoffaThomas A. Osborne
    • A61F206
    • A61F2/97A61F2/95A61F2/958A61F2002/9511A61F2002/9583A61M25/0668A61M25/10
    • A stent deployment device (10) includes a catheter (12), a stent (14) positioned on the catheter (12), and a sleeve (16) carried on the catheter (12). The sleeve (16) has a portion (18) extending fully over and containing the stent (14). The stent deployment device (10) also includes a mechanism (20) for splitting at least the portion (18) of the sleeve (16) extending over the stent (14) and, preferably, for splitting the entire sleeve (16). Splitting of the sleeve portion (18) permits expansion of the stent (14). The mechanism (20) can include an inflatable, nondistending balloon (22) carried on the catheter (12), the stent (14) and the sleeve portion (18) being positioned over the balloon (22). The stent (14) can be self-expanding or can be expanded by the balloon (22) itself. Alternatively, the mechanism (20) can include a bulbous end (24) on the catheter (12). Longitudinal movement of the bulbous catheter end (24) with respect to the sleeve (16) splits at least the sleeve portion (18), permitting expansion of the stent (14). As further alternatives, the mechanism (20) can include a garrote (66) connected to the sleeve or a partial segment (62) of the sleeve (16) folded back alongside the stent (14). The sleeve (16) can be the same length as the catheter (12) or can be shorter than the catheter (12). In the former case, the mechanism (20) can include a pair of graspable wings (56) for splitting the full length of the sleeve (16). It is preferred that at least the portion (18) of the sleeve (16) extending over the stent (14) includes a longitudinally extending structure 46 for ensuring that the sleeve portion (18) will in fact split upon operation of the mechanism (20).
    • 支架展开装置(10)包括导管(12),定位在导管(12)上的支架(14)和承载在导管(12)上的套筒(16)。 套筒(16)具有完全延伸并且容纳支架(14)的部分(18)。 支架展开装置(10)还包括一个机构(20),用于至少分开延伸在支架(14)上的套筒(16)的部分(18),并且优选地用于分割整个套筒(16)。 套筒部分(18)的分裂允许支架(14)膨胀。 机构(20)可以包括承载在导管(12)上的可膨胀的非重排球囊(22),支架(14)和套筒部分(18)定位在球囊(22)上方。 支架(14)可以是自膨胀的,或者可以由气囊(22)自身扩张。 或者,机构(20)可以包括在导管(12)上的球根端(24)。 球根导管端部(24)相对于套筒(16)的纵向移动至少分开套筒部分(18),从而允许支架(14)的膨胀。 作为另外的替代方案,机构(20)可以包括连接到套筒的衣壳(66)或套管(16)的沿着支架(14)折回的部分段(62)。 套筒(16)可以与导管(12)的长度相同,或者可以比导管(12)短。 在前一种情况下,机构(20)可以包括用于分离套筒(16)的全长的一对可抓握翼(56)。 优选地,延伸在支架(14)上的套筒(16)的至少部分(18)包括纵向延伸的结构46,用于确保套筒部分(18)实际上将在
    • 7. 发明授权
    • Radially expandable stent
    • 径向扩张支架
    • US06231598B1
    • 2001-05-15
    • US09160122
    • 1998-09-24
    • Dale T. BerryCoy M. HeraldBrian L. BatesScott E. BoatmanMichael C. HoffaNeal E. FearnotWilliam D. Voorhees, III
    • Dale T. BerryCoy M. HeraldBrian L. BatesScott E. BoatmanMichael C. HoffaNeal E. FearnotWilliam D. Voorhees, III
    • A61F206
    • A61F2/915A61F2/88A61F2/91A61F2002/91508A61F2002/91516A61F2002/91525A61F2002/91533A61F2002/91558A61F2002/91566A61F2002/91575A61F2002/91583A61F2230/0054A61F2250/0036A61F2250/0098A61L31/022A61L31/18
    • A radially expandable stent (10) made from a cannula or sheet of biocompatible material that includes at least one longitudinal segment (14) comprised of a series of laterally interconnected closed cells (13). Each closed cell of a longitudinal segment is defined laterally by a pair of longitudinal struts (15, 16) that are interconnected at each end by a circumferentially adjustable member (19, 20). When the stent is expanded using a balloon (47), the opposing circumferentially adjustable members deform to allow circumferential expansion of the longitudinal segment, while the length of the segment, as defined by the longitudinal struts, is maintained. Self-expanding versions of the stent utilize a nickel-titanium alloy. Adjacent longitudinal segments are joined by flexible interconnection segments (21) that permit the stent to bend laterally. The flexible interconnection segment is comprised of curvilinear struts (22, 23) that form a series of serpentine bends (81) that distribute lateral bending forces. In a preferred embodiment, a short strut interconnects longitudinal segments and an adjacent interconnection segment. Each interconnection strut attaches to the longitudinal segment within a region (27) at the end (17) of a longitudinal strut (15) dividing two adjacent closed cells.
    • 一种由包括生物相容性材料的套管或片材制成的径向可扩张的支架(10),其包括由一系列横向互连的闭孔(13)构成的至少一个纵向段(14)。 纵向段的每个闭合单元由一对纵向支柱(15,16)侧向地限定,所述纵向支柱在每个端部由周向可调节构件(19,20)互连。 当使用球囊(47)扩张支架时,相对的周向可调部件变形以允许纵向段的周向膨胀,而由纵向支柱限定的段的长度保持。 自扩张型支架采用镍钛合金。 相邻的纵向段通过柔性互连段(21)连接,允许支架横向弯曲。 柔性互连部分由曲线支柱(22,23)组成,其形成分布横向弯曲力的一系列蛇形弯曲部(81)。 在优选实施例中,短支柱将纵向段和相邻互连段互连。 每个互连支柱在分开两个相邻闭孔的纵向支柱(15)的端部(17)处的区域(27)内附接到纵向段。