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1. 发明授权

US08343181B2 Method and apparatus for treating stenoses at bifurcated regions 有权
标题翻译：用于治疗分叉区狭窄的方法和装置
公开(公告)号：US08343181B2
公开(公告)日：2013-01-01
申请号：US11680834
申请日：2007-03-01
申请人： Niall Duffy , Noreen Moloney , Terry Guinan
发明人： Niall Duffy , Noreen Moloney , Terry Guinan
IPC分类号： A61M29/00
CPC分类号： A61F2/958 , A61M25/1011 , A61M25/104 , A61M2025/1045
摘要： A bifurcated catheter includes a first catheter branch having a first distal portion and a second catheter branch having a second distal portion. The first and second distal portions are releasably linked together for delivery to a bifurcated region of a body vessel. Upon delivery to the bifurcated region, the first and second distal portions are released from each other such that the first and second catheter branches may be tracked into first and second vessel branches, respectively.
摘要翻译：分叉导管包括具有第一远端部分的第一导管分支和具有第二远端部分的第二导管分支。第一和第二远端部分可释放地连接在一起以输送到身体血管的分叉区域。在分配到分叉区域时，第一和第二远端部分彼此分离，使得第一和第二导管分支可以分别跟踪到第一和第二血管分支中。

2. 发明申请

US20080215018A1 Method and Apparatus for Treating Stenoses at Bifurcated Regions 有权
标题翻译：在分叉区域治疗狭窄的方法和装置
公开(公告)号：US20080215018A1
公开(公告)日：2008-09-04
申请号：US11680834
申请日：2007-03-01
申请人： Niall Duffy , Noreen Moloney , Terry Guinan
发明人： Niall Duffy , Noreen Moloney , Terry Guinan
IPC分类号： A61M25/10
CPC分类号： A61F2/958 , A61M25/1011 , A61M25/104 , A61M2025/1045
摘要： A bifurcated catheter includes a first catheter branch having a first distal portion and a second catheter branch having a second distal portion. The first and second distal portions are linked together for delivery to the bifurcated region. Upon delivery to the bifurcated region, the first and second distal portions are released from each other such that the first and second catheter branches may be tracked into first and second vessel branches, respectively. The first and second distal portions can be linked together by an appendage disposed on the first distal portion that is sized and shaped such that the appendage fits snugly within a distal opening of the second distal portion, a cup disposed on the first distal portion that is sized and shaped to snugly receive the second distal portion, moving pocket disposed on the first distal portion and slidable relative to the first distal portion that is sized and shaped to snugly receive the second distal portion, or a sheath coupled to the first distal portion and wrapped around the second distal portion.
摘要翻译：分叉导管包括具有第一远端部分的第一导管分支和具有第二远端部分的第二导管分支。第一和第二远端连接在一起以输送到分叉区域。在分配到分叉区域时，第一和第二远端部分彼此分离，使得第一和第二导管分支可以分别跟踪到第一和第二血管分支中。第一远端部分和第二远端部分可以通过设置在第一远端部分上的附属物连接在一起，其尺寸和形状使得附属物紧密地配合在第二远端部分的远侧开口内，杯子设置在第一远端部分上，尺寸和形状适于接纳第二远端部分，移动口袋设置在第一远端部分上并且可相对于第一远端部分滑动，第一远端部分的尺寸和形状适于紧密地容纳第二远端部分，或者耦合到第一远端部分的鞘，缠绕在第二远端部分。

3. 发明申请

US20090259285A1 Bifurcated Delivery System 审中-公开
标题翻译：分岔运送系统
公开(公告)号：US20090259285A1
公开(公告)日：2009-10-15
申请号：US12100954
申请日：2008-04-10
申请人： Patrick Duane , Catherine Maresh , Brendan Gallagher , Terry Guinan , Colm McCormack , Irene Tully , Brendan Hanley
发明人： Patrick Duane , Catherine Maresh , Brendan Gallagher , Terry Guinan , Colm McCormack , Irene Tully , Brendan Hanley
IPC分类号： A61F2/84 , A61F2/82 , A61M25/09
CPC分类号： A61F2/954 , A61F2/856 , A61F2/86 , A61F2/958 , A61F2002/065 , A61M25/0021 , A61M25/0023 , A61M25/1011 , A61M2025/018 , A61M2025/0183 , A61M2025/1045
摘要： A delivery system for a stent to a bifurcated region includes an elongated shaft with first and second branches extending from the elongated shaft. First and second branches have first and second balloons mounted thereon, respectively. A first guidewire extends the entire length of the delivery system and into the first branch for an “over-the-wire” configuration. A second guidewire extends into the second branch, but enters the elongated shaft near a distal end thereof for a “rapid-exchange” configuration. A guideway is formed in the elongated shaft and extends into the first guidewire lumen. The guideway may be forced open by a guide member slidably coupled to the elongated shaft, thereby adjusting the effective over-the-wire length of the first guidewire.
摘要翻译：用于支架到分叉区域的递送系统包括细长轴，其具有从细长轴延伸的第一和第二分支。第一和第二分支分别具有安装在其上的第一和第二气球。第一引导线将输送系统的整个长度延伸到第一分支中用于“超线”配置。第二导线延伸到第二分支中，但是在其远端附近进入细长轴以进行“快速更换”配置。在细长轴中形成导轨并延伸到第一导丝管腔中。可以通过可滑动地联接到细长轴的引导构件来将导轨强制打开，从而调整第一导丝的有效的线上长度。

4. 发明申请

US20080114390A1 Catheter Device for Support of a Guidewire in Crossing a Lesion 有权
标题翻译：用于支撑导丝穿过病变的导管装置
公开(公告)号：US20080114390A1
公开(公告)日：2008-05-15
申请号：US11559043
申请日：2006-11-13
申请人： Terry Guinan
发明人： Terry Guinan
IPC分类号： A61M29/00
CPC分类号： A61M25/09041 , A61M2025/09125
摘要： A catheter device selectively provides additional support to a guidewire for aiding the guidewire in crossing a narrowing in a body lumen. The catheter device includes an elongate outer tubular member having a tapered distal end. An elongate guidewire gripping member is slidably disposed within the outer tubular member. The guidewire gripping member has a lumen for slidably receiving the guidewire and a distal end having a plurality of longitudinal fingers. When the guidewire gripping member is advanced distally against the tapered distal end of the outer tubular member, a the fingers of the guidewire gripping member are forced to engage with the guidewire to thereby prevent movement of the guidewire relative to the catheter device. The catheter device may include a steering mechanism for steering the combined catheter device and guidewire component to an optinum starting point for crossing the lesion.
摘要翻译：导管装置选择性地为引导线提供额外的支撑，以帮助导丝横穿体腔内的狭窄。导管装置包括具有锥形远端的细长外管状构件。细长导丝夹持构件可滑动地设置在外管状构件内。导线夹持构件具有用于可滑动地容纳导丝的内腔和具有多个纵向手指的远端。当导线夹持构件向远侧远离外管状构件的锥形远端推进时，导丝夹持构件的指状物被迫与导丝接合，从而防止导丝相对于导管装置的移动。导管装置可以包括用于将组合的导管装置和导丝组件转向用于穿过病变的光学起始点的转向机构。

5. 发明申请

US20070191767A1 Bifurcated Catheter Joints 审中-公开
标题翻译：分叉导管接头
公开(公告)号：US20070191767A1
公开(公告)日：2007-08-16
申请号：US11695697
申请日：2007-04-03
申请人： Joe Hennessy , Ashish Varma , Robert Murray , Gerry Clarke , Terry Guinan , Patrick Duane
发明人： Joe Hennessy , Ashish Varma , Robert Murray , Gerry Clarke , Terry Guinan , Patrick Duane
IPC分类号： A61M29/00 , A61M31/00 , A61M37/00
CPC分类号： A61M25/0009 , A61F2/95 , A61F2240/001 , A61M25/0023 , A61M25/0029 , A61M25/0032 , A61M25/10 , A61M2025/0183 , A61M2025/1045
摘要： A rapid exchange catheter includes an exchange joint that is coupled between a proximal shaft and first and second distal shafts. The exchange joint includes a proximal end that is configured to be coupled to the proximal shaft, and a distal end that is configured to be coupled to the first distal shaft and the second distal shaft. The distal end includes a first portion that includes a first guidewire lumen, and a second portion that includes a second guidewire lumen. The exchange joint also includes a guidewire port that is configured to provide access for a first guidewire into the first distal inner lumen via the first guidewire lumen and a second guidewire into the second distal inner lumen via the second guidewire lumen.
摘要翻译：快速交换导管包括耦合在近端轴和第一和第二远端轴之间的交换接头。交换接头包括构造成联接到近侧轴的近端，以及构造成联接到第一远端轴和第二远端轴的远端。远端包括包括第一导丝管腔的第一部分和包括第二导丝管腔的第二部分。所述交换接头还包括导丝端口，所述导丝端口被构造成经由所述第一导丝管线将第一导丝提供到所述第一远端内腔中，并且经由所述第二导丝管线将第二导丝提供到所述第二远端内腔中。

6. 发明申请

US20070142779A1 Catheter for guidewire placement 审中-公开
标题翻译：导管用于导丝放置
公开(公告)号：US20070142779A1
公开(公告)日：2007-06-21
申请号：US11314942
申请日：2005-12-20
申请人： Patrick Duane , Terry Guinan
发明人： Patrick Duane , Terry Guinan
IPC分类号： A61M29/00 , A61M5/178 , A61M31/00 , A61M37/00
CPC分类号： A61M25/0172 , A61M25/09041
摘要： A catheter that has a proximal portion, a transition portion, a distal portion, and a guide member. The guide member is slideably coupled to the proximal portion and provides access to a guidewire lumen within the catheter through a guideway that extends from an outer surface of the proximal portion to the guidewire lumen. The distal portion may include a branch lumen that exits the catheter through the wall of the distal portion so that a guidewire may be guided through a particularly tortuous vessel.
摘要翻译：具有近端部分，过渡部分，远侧部分和引导部件的导管。引导构件可滑动地联接到近端部分并且通过从近端部分的外表面延伸到导丝管腔的导轨提供对导管内的导丝管腔的通路。远侧部分可以包括通过远侧部分的壁离开导管的分支腔，使得导丝可以被引导通过特别曲折的血管。

7. 发明授权

US07682365B2 Catheter device for support of a guidewire in crossing a lesion 有权
标题翻译：用于支撑导丝穿过病变的导管装置
公开(公告)号：US07682365B2
公开(公告)日：2010-03-23
申请号：US11559043
申请日：2006-11-13
申请人： Terry Guinan
发明人： Terry Guinan
IPC分类号： A61F11/00
CPC分类号： A61M25/09041 , A61M2025/09125
摘要： A catheter device selectively provides additional support to a guidewire for aiding the guidewire in crossing a narrowing in a body lumen. The catheter device includes an elongate outer tubular member having a tapered distal end. An elongate guidewire gripping member is slidably disposed within the outer tubular member. The guidewire gripping member has a lumen for slidably receiving the guidewire and a distal end having a plurality of longitudinal fingers. When the guidewire gripping member is advanced distally against the tapered distal end of the outer tubular member, a the fingers of the guidewire gripping member are forced to engage with the guidewire to thereby prevent movement of the guidewire relative to the catheter device. The catheter device may include a steering mechanism for steering the combined catheter device and guidewire component to an optimum starting point for crossing the lesion.
摘要翻译：导管装置选择性地为引导线提供额外的支撑，以帮助导丝横穿体腔内的狭窄。导管装置包括具有锥形远端的细长外管状构件。细长导丝夹持构件可滑动地设置在外管状构件内。导线夹持构件具有用于可滑动地容纳导丝的内腔和具有多个纵向手指的远端。当导线夹持构件向远侧远离外管状构件的锥形远端推进时，导丝夹持构件的指状物被迫与导丝接合，从而防止导丝相对于导管装置的移动。导管装置可以包括用于将组合的导管装置和导丝部件转向用于穿过病变的最佳起始点的转向机构。

8. 发明申请

US20050256532A1 Cardiovascular defect patch device and method 审中-公开
标题翻译：心血管缺损补片装置及方法
公开(公告)号：US20050256532A1
公开(公告)日：2005-11-17
申请号：US10845439
申请日：2004-05-12
申请人： Asha Nayak , Sean Saint , Terry Guinan , Ronan Thornton , Patrick Hanley , Hilda Mulvihill
发明人： Asha Nayak , Sean Saint , Terry Guinan , Ronan Thornton , Patrick Hanley , Hilda Mulvihill
IPC分类号： A61B17/00 , A61F2/06 , A61F2/82 , A61F2/04
CPC分类号： A61B17/0057 , A61B2017/00575 , A61B2017/00579 , A61B2017/0061
摘要： The present invention provides a defect patch device and method that patches a defect in the heart or other cardiovascular tissue. One aspect provides a PFO closure device and method that patches a PFO in the right atrium without the device extending through the PFO into the left atrium. The patch device includes a patch and a heart tissue engaging member for attaching the device over the defect. A deployment device and method includes a device positioner to advance the device out of a catheter and to position the device over the defect to attach the device to the tissue around the defect. The positioner may include a device expander or opener that opens the device for deployment.
摘要翻译：本发明提供一种补片在心脏或其他心血管组织中的缺陷的缺陷补丁装置和方法。一个方面提供了一种PFO闭合装置和方法，其在右心房中修补PFO，而不将装置延伸穿过PFO进入左心房。补片装置包括补片和心脏组织接合构件，用于将装置附接在缺陷上。部署装置和方法包括：装置定位器，用于将装置推出导管并将装置定位在缺陷上以将装置附接到缺陷周围的组织。定位器可以包括打开用于部署的设备的设备扩展器或开启器。

9. 发明授权

US06893416B2 Tip seal tip attach 有权
标题翻译：尖端密封头附着
公开(公告)号：US06893416B2
公开(公告)日：2005-05-17
申请号：US09881080
申请日：2001-06-12
申请人： Terry Guinan , John Connolly , Pat Duane , Donagh O'Shaughnessy , Michael Bannon
发明人： Terry Guinan , John Connolly , Pat Duane , Donagh O'Shaughnessy , Michael Bannon
IPC分类号： A61M25/00 , A61F2/958 , A61M29/00
CPC分类号： A61M25/1006 , A61M2025/0081 , A61M2025/0183 , A61M2025/1013
摘要： The present invention is a catheter having an elongated tubular member having a proximal and a distal end. A balloon is positioned at the distal end of the tubular member. A guidewire tubular member extends from a position proximal the balloon through the balloon to a position distal the balloon, the guidewire tubular member has a proximal segment having a first flexibility and a distal segment having a second flexibility. The distal segment is more flexible than the proximal segment. A bond joins the balloon distal end to the proximal segment and the distal segment.
摘要翻译：本发明是具有细长管状构件的导管，其具有近端和远端。气囊位于管状构件的远端。导丝管状构件从靠近球囊的位置延伸穿过球囊到远离球囊的位置，导丝管状构件具有具有第一柔性的近侧段和具有第二柔性的远端段。远端段比近端段更灵活。粘合剂将气囊远端连接到近端段和远端段。

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