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1. 发明授权

US06398756B2 Embolic protection system and method including an emboli-capturing catheter 有权
标题翻译：栓塞保护系统及方法包括栓塞导管
公开(公告)号：US06398756B2
公开(公告)日：2002-06-04
申请号：US09855430
申请日：2001-05-14
申请人： Charles R. Peterson , John A. Simpson
发明人： Charles R. Peterson , John A. Simpson
IPC分类号： A61M2900
CPC分类号： A61F2/013 , A61F2002/018 , A61F2230/0006 , A61F2230/0069 , A61M2025/109 , A61M2025/1095
摘要： A system used in a blood vessel when an interventional procedure is being performed in a stenosed or occluded region to capture any embolic material which may be created and released into the bloodstream during the procedure. The system includes an emboli-capturing catheter which is capable of occluding a blood vessel distal to or at an interventional procedure site, perfusing the blood to enable blood to flow past the occlusion, and filtering the blood to capture embolic material which may be released into the blood during a therapeutic interventional procedure. The emboli-capturing catheter includes an expandable member which is capable of being expanded distal to or at the area of treatment at the interventional procedure site for occluding the blood vessel. The catheter further includes a plurality of perfusion inlet openings for enabling blood and emboli to pass therethrough, and an outlet opening or openings which, in cooperation with the filter media, are adapted to enable blood to pass therethrough while preventing emboli from passing therethrough. The catheter also includes filter media located in the distal end of the catheter or capable of being deployed outside and distal of the catheter for filtering the blood to capture any released embolic material.
摘要翻译：当在狭窄或闭塞区域进行介入手术以捕获在手术期间可能产生和释放到血流中的任何栓塞物质时，在血管中使用的系统。该系统包括栓塞捕获导管，该导管能够封闭远端或介入手术部位的血管，灌注血液以使血液能够流过闭塞，并过滤血液以捕获可释放的栓塞物质治疗介入手术期间的血液。栓塞捕获导管包括可扩张构件，该可膨胀构件能够在介入手术部位的远端处或在处理区域处扩张以封闭血管。导管还包括多个用于使血液和血栓通过的灌注入口，并且与过滤介质配合使得血液能够通过其中的出口开口或开口，同时防止栓塞通过。该导管还包括位于导管远端的过滤介质，或者可以将导管的外部和远端展开，以过滤血液以捕获任何释放的栓塞材料。

2. 发明授权

US07867271B2 Rapid-exchange delivery systems for self-expanding stents 有权
标题翻译：用于自扩张支架的快速交换输送系统
公开(公告)号：US07867271B2
公开(公告)日：2011-01-11
申请号：US10720032
申请日：2003-11-20
申请人： Timothy A. Geiser , Charles R. Peterson , Andy Denison , Stephanie Klocke , Samir Patel , Joanna Lubas , Joanne Lumauig , Kathy Lind , Keif Fitzgerald
发明人： Timothy A. Geiser , Charles R. Peterson , Andy Denison , Stephanie Klocke , Samir Patel , Joanna Lubas , Joanne Lumauig , Kathy Lind , Keif Fitzgerald
IPC分类号： A61F2/06
CPC分类号： A61F2/95 , A61F2/966 , A61M2025/0183
摘要： A catheter assembly is provided having an inner member and an outer member extending along a longitudinal axis, the inner member and the outer member having a coaxial configuration and dimensioned for relative axial movement. The outer member may include an anti rotation member adapted to engage with a longitudinal slot formed on the inner member so as to maintain rotational alignment between inner member and outer member. The inner member can be made with a proximal portion made from a tubing such as hypotubing or a coil tubing. The inner member also may be made with a proximal portion made with a support mandrel. A coil tubing can be utilized to form the guide wire receiving member which is attached to the inner member.
摘要翻译：提供导管组件，其具有内部构件和沿着纵向轴线延伸的外部构件，内部构件和外部构件具有同轴构造并且被设计成用于相对轴向移动。外部构件可以包括防旋转构件，其适于与形成在内部构件上的纵向狭槽接合，以便保持内部构件和外部构件之间的旋转对准。内部构件可以由具有诸如假面或管线管的管子制成的近端部分制成。内部构件也可以由具有支撑心轴的近端部分制成。可以使用线圈管来形成附接到内部构件的导丝接收构件。

3. 发明授权

US08672991B2 Delivery and recovery sheaths for medical devices 失效
标题翻译：用于医疗器械的输送和恢复护套
公开(公告)号：US08672991B2
公开(公告)日：2014-03-18
申请号：US12724140
申请日：2010-03-15
申请人： William J. Boyle , Andy E. Denison , Benjamin C. Huter , Scott J. Huter , John E. Papp , Charles R. Peterson , Kent C. B. Stalker
发明人： William J. Boyle , Andy E. Denison , Benjamin C. Huter , Scott J. Huter , John E. Papp , Charles R. Peterson , Kent C. B. Stalker
IPC分类号： A61F2/06
CPC分类号： A61F2/013 , A61F2/95 , A61F2002/011 , A61F2002/018 , A61F2230/0006 , A61F2230/008
摘要： A deployment control system provides controlled deployment of an embolic protection device which may include a guide wire, an expandable filter attached to the guide wire near its distal end, and a restraining sheath that maintains the expanded filter in a collapsed position. The deployment control system includes a torque control device which allows the physician to torque the guide wire into the patient's anatomy and a mechanism for preventing the guide wire from buckling as the restraining sheath is being retracted to deploy the expandable filter. A recovery control system for recovering the embolic protection device includes an inner catheter which extends within a lumen of an outer recovery sheath in a coaxial arrangement. A distal portion of the inner catheter extends beyond another recovery sheath during advancement of the recovery system into the vasculature. The recovery sheath can be advanced over the inner catheter to collapse the expandable filter. The proximal ends of the inner catheter and recovery sheath include handle portions having snap mechanisms which hold the components together as the recovery system is being advanced into the patient's vasculature.
摘要翻译：部署控制系统提供栓塞保护装置的可控部署，该栓塞保护装置可以包括引导线，在其远端附近附接到导丝的可扩张过滤器，以及将扩张过滤器保持在折叠位置的限制护套。部署控制系统包括扭矩控制装置，该扭矩控制装置允许医师将导丝扭转到患者的解剖结构中，以及用于防止导线在收缩护套以展开可膨胀过滤器时弯曲的机构。用于回收栓塞保护装置的恢复控制系统包括在同轴布置中在外部恢复护套的内腔内延伸的内导管。在将回收系统推进脉管系统期间，内导管的远端部分延伸超过另一恢复护套。恢复护套可以在内导管上推进以使可膨胀过滤器折叠。内导管和恢复护套的近端包括手柄部分，其具有卡扣机构，当回收系统进入患者的脉管系统时，该部件将部件保持在一起。

4. 发明授权

US08126570B2 Telescoping guide catheter with peel-away outer sheath 失效
标题翻译：伸缩导管与剥离外护套
公开(公告)号：US08126570B2
公开(公告)日：2012-02-28
申请号：US12759379
申请日：2010-04-13
申请人： Frank E. Manning , Charles R. Peterson , Howard P. Graham
发明人： Frank E. Manning , Charles R. Peterson , Howard P. Graham
IPC分类号： A61N1/00
CPC分类号： A61M25/0668 , A61M2025/0175 , A61N1/056 , A61N2001/0578
摘要： A guide catheter includes an outer guide having an open lumen and a longitudinal pre-stress line extending between a distal end and a proximal end of the outer guide. The outer guide has a longitudinal stiffness that facilitates transmission of forces and prevention of kinking during steering of the outer guide within cardiac vasculature and structures. An inner guide has an open lumen and is movably displaceable within the open lumen of the outer guide. At least a distal end of the outer guide and inner guide are dimensioned for passage into the patient's coronary sinus. A guide handle is connected to the proximal end of the outer guide and includes a longitudinal pre-stress line separable into at least two sections such that guide handle separation splits the outer guide along the longitudinal pre-stress line at the proximal end of the outer guide.
摘要翻译：引导导管包括具有开口腔和在外引导件的远端和近端之间延伸的纵向预应力线的外引导件。外引导件具有纵向刚度，其有助于力的传递并且防止在心脏血管和结构内的外导向器的转向期间的扭结。内部引导件具有开放的内腔并且可在外部引导件的开口腔内移动地移位。外引导件和内引导件的至少远端的尺寸被设计成通过患者的冠状窦。引导手柄连接到外引导件的近端，并且包括可分成至少两个部分的纵向预应力线，使得引导手柄分离在外部引导件处沿着纵向预应力线在外部的近端分开指南。

5. 发明授权

US07493156B2 Steerable guide catheter with pre-shaped rotatable shaft 有权
标题翻译：带可预先转动轴的导向导管
公开(公告)号：US07493156B2
公开(公告)日：2009-02-17
申请号：US10041911
申请日：2002-01-07
申请人： Frank E. Manning , Charles R. Peterson , Howard P. Graham
发明人： Frank E. Manning , Charles R. Peterson , Howard P. Graham
IPC分类号： A61B6/00 , A61B5/00 , A61M25/00
CPC分类号： A61M25/0147 , A61B5/0422 , A61B5/6852 , A61M25/0041 , A61M25/0152 , A61M2025/0161 , A61N2001/0578 , A61N2001/0585
摘要： A guide catheter employs a retractable inner sheath movably disposed within an open lumen of an outer sheath. The inner sheath includes a pre-formed distal end and an open lumen adapted to receive a payload. The inner sheath is translatable and rotatable relative to the outer sheath. The inner sheath conforms to the outer sheath shape until it is distally extended beyond the outer sheath. The outer sheath contains a steering tendon that can be used to adjustably deflect the outer sheath. The guide catheter further includes a proximally attached guide handle. A steering handle can be pivotably connected to the guide handle. The steering handle is connected to the steering tendon and can apply a tensile force to the steering tendon for adjustably deflecting the outer sheath. A catheter according to the present invention provides an improved system for locating and cannulating cardiac venous structures, particularly the coronary sinus via the right atrium.
摘要翻译：引导导管使用可移动地设置在外护套的开口腔内的可缩回内护套。内护套包括预先形成的远端和适于接收有效载荷的开口腔。内护套可相对于外护套平移和旋转。内护套符合外护套形状，直到其远离外护套延伸。外护套包含可用于可调节地偏转外护套的转向腱。引导导管还包括近端附接的导向手柄。转向手柄可以可枢转地连接到导向手柄。转向手柄连接到转向腱上，并且可以向转向腱施加张力，以可调节地偏转外护套。根据本发明的导管提供了一种用于定位和插管心脏静脉结构，特别是通过右心房的冠状动脉窦的插管的改进系统。

6. 发明申请

US20080071178A1 ANCHOR FOR AN IMPLANTABLE SENSOR 有权
标题翻译：可植入传感器的锚杆
公开(公告)号：US20080071178A1
公开(公告)日：2008-03-20
申请号：US11855725
申请日：2007-09-14
申请人： John S. Greenland , Peter J. D'Aquanni , William S. Chin , Charles R. Peterson , Kevin M. Magrini , Jessie Delgado , Benjamin R. Fruland
发明人： John S. Greenland , Peter J. D'Aquanni , William S. Chin , Charles R. Peterson , Kevin M. Magrini , Jessie Delgado , Benjamin R. Fruland
IPC分类号： A61B5/0215
CPC分类号： A61B5/076 , A61B5/0031 , A61B5/0215 , A61B5/6882 , A61B5/6885 , A61B2018/00279 , A61N1/36564 , A61N1/37288 , A61N1/3962
摘要： An anchor for an implantable medical device, for example, and implantable physiologic sensor, includes a proximal hub portion, an intermediate portion extending radially and distally from the hub portion, and a distal portion extending distally from the proximal portion and adapted to engage an inner surface of a target vessel for securing the implantable medical device therein. The anchor can assume a collapsed configuration for delivery through a catheter, and an expanded configuration for fixation within the vessel once deployed. The intermediate portion extends from the proximal portion at an oblique angle, allowing the anchor to be retracted and re-collapsed within the delivery catheter after initial deployment, if re-positioning or removal of the implantable medical device is necessary or desired.
摘要翻译：用于可植入医疗装置的锚固件，例如植入式生理传感器，包括近端毂部分，从轮毂部分径向延伸并远离延伸的中间部分，以及从近端部分向远端延伸的远端部分，用于将可植入医疗装置固定在其中的目标血管的表面。锚固体可以采取折叠构型以通过导管递送，以及扩展构型，用于在部署之后在容器内固定。中间部分从近端部分以倾斜角度延伸，如果需要或期望重新定位或移除可植入医疗装置，则允许锚固件在初始展开之后在输送导管内缩回并重新折叠。

7. 发明授权

US06695820B1 Bleed back control assembly 有权
标题翻译：后背控制组件
公开(公告)号：US06695820B1
公开(公告)日：2004-02-24
申请号：US09990853
申请日：2001-11-16
申请人： Kenneth K. Armstrong , Vito Foggetti , Charles R. Peterson , Albert A. Quinones
发明人： Kenneth K. Armstrong , Vito Foggetti , Charles R. Peterson , Albert A. Quinones
IPC分类号： A61M2500
CPC分类号： A61M39/06 , A61M39/0693 , A61M2039/0633 , A61M2039/064 , A61M2039/0686
摘要： A bleed back control assembly for controlling blood loss during catheterization procedures includes a side arm body having a proximal end engaging and retaining a cap assembly and a seal assembly. The seal assembly includes a single elastomeric bleed back seal. The bleed back seal has an aperture and is normally closed. The bleed back seal self-sizes to devices introduced through the aperture. The cap assembly includes a funnel cap having a dilator. Depressing the funnel cap causes the dilator to open the aperture in the bleed back seal. A spring, wound around the dilator, biases the funnel cap to its original position. The side arm body includes a secondary branch having a lumen, and a finger rest on the exterior of the secondary branch.
摘要翻译：用于在导管插入术过程中控制失血的排泄回控制组件包括具有近端接合和保持盖组件和密封组件的侧臂体。密封组件包括单个弹性体渗漏背封。排泄口密封件具有孔径并且通常是关闭的。通过孔径引入的装置的自回归密封自身尺寸。盖组件包括具有扩张器的漏斗帽。压下漏斗盖会导致扩张器打开放回密封的孔。围绕扩张器缠绕的弹簧将漏斗盖偏压到其原始位置。侧臂体包括具有内腔的次级分支和在第二分支的外部上的手指支撑。

8. 发明授权

US08591540B2 Embolic filtering devices 有权
标题翻译：栓塞过滤装置
公开(公告)号：US08591540B2
公开(公告)日：2013-11-26
申请号：US10675611
申请日：2003-09-29
申请人： William J. Boyle , John E. Papp , Charles R. Peterson , Paul F. Muller , Donald Schwarten , Kathern J. Lind
发明人： William J. Boyle , John E. Papp , Charles R. Peterson , Paul F. Muller , Donald Schwarten , Kathern J. Lind
IPC分类号： A61M29/00
CPC分类号： A61F2/013 , A61F2/97 , A61F2002/011 , A61F2002/015 , A61F2002/018 , A61F2230/0006 , A61F2230/008
摘要： An embolic filtering system includes a guide wire, a filter device disposed on the guide wire, a sheath adapted to maintain the filter device in an unexpanded position and a torque device having a lumen for receiving the guide wire and a locking mechanism for locking the torque device to the guide wire. The torque device may include a side port adapted to receive the proximal end of the sheath to allow a portion of the guide wire to shear the sheath from the guide wire through retraction of the sheath through the side port. The torque device may include an extension arm having a distal opening adapted to receive both the guide wire and the sheath. A second lumen may be used to allow a portion of the guide wire to shear the sheath away from the guide wire through retraction of the sheath through the second lumen.
摘要翻译：栓塞过滤系统包括引导线，设置在引导线上的过滤器装置，适于将过滤装置保持在未膨胀位置的护套和具有用于容纳引导线的内腔的扭矩装置和用于锁定扭矩的锁定机构设备到导丝。扭矩装置可以包括适于容纳护套的近端的侧端口，以允许导线的一部分通过护套通过侧端部缩回而从引导线剪切护套。扭矩装置可以包括延伸臂，其具有适于接纳导丝和护套的远端开口。可以使用第二内腔来允许引导线的一部分通过使护套通过第二内腔缩回而将护套从引导线上剪切。

9. 发明授权

US08057399B2 Anchor for an implantable sensor 有权
标题翻译：可植入传感器的锚点
公开(公告)号：US08057399B2
公开(公告)日：2011-11-15
申请号：US11855725
申请日：2007-09-14
申请人： John S. Greenland , Peter J. D'Aquanni , William S. Chin , Charles R. Peterson , Kevin M. Magrini , Jessie Delgado , Benjamin R. Fruland
发明人： John S. Greenland , Peter J. D'Aquanni , William S. Chin , Charles R. Peterson , Kevin M. Magrini , Jessie Delgado , Benjamin R. Fruland
IPC分类号： A61B5/02 , A61F2/06
CPC分类号： A61B5/076 , A61B5/0031 , A61B5/0215 , A61B5/6882 , A61B5/6885 , A61B2018/00279 , A61N1/36564 , A61N1/37288 , A61N1/3962
摘要： An anchor for an implantable medical device, for example, and implantable physiologic sensor, includes a proximal hub portion, an intermediate portion extending radially and distally from the hub portion, and a distal portion extending distally from the proximal portion and adapted to engage an inner surface of a target vessel for securing the implantable medical device therein. The anchor can assume a collapsed configuration for delivery through a catheter, and an expanded configuration for fixation within the vessel once deployed. The intermediate portion extends from the proximal portion at an oblique angle, allowing the anchor to be retracted and re-collapsed within the delivery catheter after initial deployment, if re-positioning or removal of the implantable medical device is necessary or desired.
摘要翻译：用于可植入医疗装置的锚固件，例如植入式生理传感器，包括近端毂部分，从轮毂部分径向延伸并远离延伸的中间部分，以及从近端部分向远端延伸的远端部分，用于将可植入医疗装置固定在其中的目标血管的表面。锚固体可以采取折叠构型以通过导管递送，以及扩展构型，用于在部署之后在容器内固定。中间部分从近端部分以倾斜角度延伸，如果需要或期望重新定位或移除可植入医疗装置，则允许锚固件在初始展开之后在输送导管内缩回并重新折叠。

10. 发明授权

US07117039B2 Methods of using a telescoping guide catheter with peel-away outer sheath 有权
标题翻译：使用具有剥离外护套的伸缩导向导管的方法
公开(公告)号：US07117039B2
公开(公告)日：2006-10-03
申请号：US10980698
申请日：2004-11-03
申请人： Frank E. Manning , Charles R. Peterson , Howard P. Graham
发明人： Frank E. Manning , Charles R. Peterson , Howard P. Graham
IPC分类号： A61N1/00
CPC分类号： A61M25/0668 , A61M2025/0175 , A61N1/056 , A61N2001/0578
摘要： Methods of using a guide catheter employ a retractable inner guide movably disposed within an open lumen of a splittable outer guide. The outer guide includes a longitudinal pre-stress line extending from distal to proximal ends. The inner guide includes an open lumen adapted to receive a payload. The inner guide is translatable and rotatable relative to the outer guide. The guide catheter further includes a proximally attached guide handle which is separable into at least two sections. Separation of the guide handle splits the proximal end of the outer guide. Proximal outer guide retraction continues the splitting of the outer guide along the longitudinal pre-stress line.
摘要翻译：使用引导导管的方法采用可移动地设置在可分开的外引导件的开口腔内的可缩回内引导件。外引导件包括从远端到近端延伸的纵向预应力线。内部引导件包括适于接收有效载荷的开口腔。内部引导件可相对于外部引导件平移并且可旋转。引导导管还包括可近似分成至少两个部分的近侧附接的引导手柄。导向手柄的分离分离外导向件的近端。近端外引导回缩继续沿着纵向预应力线分离外引导件。

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