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1. 发明专利

JP2007105491A Transluminal method and apparatus for executing at least one of closure of anatomical lumen structure, formation of attachment section to anatomical lumen structure and formation of anastomosed region to anatomical lumen structure 有权
标题翻译：用于执行解剖学结构闭合的透视方法和装置，形成解剖结构的分解部分和形成解剖区域到解剖学结构
公开(公告)号：JP2007105491A
公开(公告)日：2007-04-26
申请号：JP2006336361
申请日：2006-12-13
申请人： Transvascular Inc , トランスバスキュラーインコーポレイテッドTransvascular,Inc.
发明人： MAKOWER JOSHUA , FLAHERTY J CHRISTOPHER , MACHOLD TIMOTHY R , GARIBOTTO JOHN THOMAS , WHITT JASON BRIAN
IPC分类号： A61B17/12 , A61B17/06
摘要： PROBLEM TO BE SOLVED: To provide an apparatus which effectively close a wall of an anatomical structure at a desired position and prevents the movement or the falling off from the wall. SOLUTION: The apparatus makes a fixing apparatus 20 (for example, a connection apparatus, a staple or the like) or a connection material (for example, a suture, a wire, a code, a filament, a monofilament or the like) pass through the anatomical lumen structure (for example, a blood vessel or the other anatomical passage) or penetrate the anatomical lumen structure for executing at least one of the closure of the lumen of the anatomical structure, the formation of the anastomosed region between the different anatomical structures (or between the adjacent parts of the same anatomical structure) and the fixation of an article (for example, an intra-lumenal grafting, an extra-lumenal grafting or a trans-lumenal grafting) or the other apparatus to the wall of the anatomical structure. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种在期望的位置有效地闭合解剖结构的壁并防止移动或从壁上脱落的装置。解决方案：该装置制造定影装置20（例如，连接装置，订书钉等）或连接材料（例如，缝合线，线，代码，细丝，单丝或通过解剖腔管结构（例如，血管或另一解剖通道）或穿透解剖腔管结构，用于执行解剖结构的内腔中的至少一个闭合，形成吻合区域不同的解剖结构（或相同解剖结构的相邻部分之间）和物品的固定（例如，腔内移植，腔内移植或经腔移植）或其他装置解剖结构的墙壁。版权所有（C）2007，JPO＆INPIT

2. 发明申请

WO02056937A3 DEVICES, SYSTEMS AND METHODS FOR ACUTE OR CHRONIC DELIVERY OF SUBSTANCES OR APPARATUS TO EXTRAVASCULAR TREATMENT SITES 审中-公开
标题翻译：用于急性或慢性输送物质或设备到体外治疗站点的设备，系统和方法
公开(公告)号：WO02056937A3
公开(公告)日：2003-04-03
申请号：PCT/US0201168
申请日：2002-01-17
申请人： TRANSVASCULAR INC , MAKOWER JOSHUA , LAMSON THEODORE C , FLAHERTY J CHRISTOPHER , REGGIE JOHN A , CHANG JOHN Y , CANTANESE III JOSEPH , THOLFSEN DAVID R
发明人： MAKOWER JOSHUA , LAMSON THEODORE C , FLAHERTY J CHRISTOPHER , REGGIE JOHN A , CHANG JOHN Y , CANTANESE III JOSEPH , THOLFSEN DAVID R
IPC分类号： A61M31/00 , A61B17/00 , A61B17/12 , A61B18/24 , A61M5/14 , A61M25/00 , A61M25/01 , A61M25/06 , A61M5/178
CPC分类号： A61M25/065 , A61B17/00491 , A61B17/0057 , A61B17/12022 , A61B17/12109 , A61B17/12122 , A61B17/12136 , A61B17/12186 , A61B18/24 , A61B2017/00243 , A61B2017/00247 , A61B2017/00575 , A61B2018/00392 , A61M25/0069 , A61M25/0084 , A61M25/0102 , A61M2025/018
摘要： Methods and apparatus for delivery of substances or apparatus to target sites. A vessel wall penetrating catheter (11) is inserted into the vasculature, positioned and oriented with a blood vessel near the target extravascular site and a penetrator (85) is advanced from the catheter so as to penetrate outwardly through the wall of the blood vessel in the direction of the target site. Thereafter, a delivery catheter (12) is passed through a lumen of the penetrator to the target site. A desired substance or apparatus is then delivered to or obtained from the target site.
摘要翻译：将物质或设备运送到目标地点的方法和装置。将血管壁穿透导管（11）插入脉管系统中，定位并定位在目标血管外部位附近的血管，并且穿透器（85）从导管前进，以便通过血管的壁向外穿过目标网站的方向。此后，输送导管（12）穿过穿透器的内腔到达目标部位。然后将所需的物质或装置输送到目标部位或从目标部位获得。

3. 发明申请

WO9949910A9 TISSUE PENETRATING CATHETHERS HAVING INTEGRAL IMAGING TRANSDUCERS AND THEIR METHODS OF USE 审中-公开
标题翻译：具有整体成像传感器的组织穿透导管及其使用方法
公开(公告)号：WO9949910A9
公开(公告)日：1999-11-25
申请号：PCT/US9907112
申请日：1999-03-31
申请人： TRANSVASCULAR INC
发明人： FLAHERTY J CHRISTOPHER , WHITT JASON B , CHANG JOHN Y , THOLFSEN DAVID R , EVARD PHILLIP C
IPC分类号： A61B8/12 , A61B17/00 , A61B17/11 , A61B17/22 , A61B17/32 , A61B17/34 , A61B19/00 , A61M25/00 , A61M25/01 , A61M
CPC分类号： A61M25/0108 , A61B17/22 , A61B17/3207 , A61B2017/00252 , A61B2017/00455 , A61B2017/22077 , A61B2090/3784 , A61B2090/3925
摘要： A catheter device that is useable to penetrate from a blood vessel in which the catheter device is positioned to a target location comprises a flexible catheter advanceable into the first blood vessel, a tissue penetrator lumen adapted to receive an operative tissue penetrator which is usable to penetrate from the blood vessel to the target location when properly aimed. Further said catheter including an imaging transducer fixedly mounted on or within the catheter body to provide an imaging signal from which an image of the target location can be obtained. The catheter device may include an imageable marker on the catheter to form on the image obtainable from the imaging signal a penetrator path indication that indicates the path that will be followed by the tissue penetrator when the tissue penetrator exits from the catheter. Alternatively, or in addition thereto, the imaging transducer may comprise a plurality of imaging elements which are located so that the penetrator path indication can be obtained. A method of utilizing such a catheter device to bypass an arterial obstruction is also disclosed.
摘要翻译：可用于从其中定位导管装置的血管渗透到目标位置的导管装置包括可推进到第一血管中的柔性导管，适于接收可用于穿透的可操作组织穿透器的组织穿透器内腔在适当瞄准时从血管到目标位置。此外，所述导管包括固定安装在导管主体上或导管主体内的成像换能器，以提供成像信号，从该成像信号可以获得目标位置的图像。导管装置可在导管上包括可成像标记以在可从成像信号获得的图像上形成穿透器路径指示，该穿透器路径指示指示当组织穿透器离开导管时组织穿透器将遵循的路径。可选地或附加地，成像换能器可以包括多个成像元件，这些成像元件被定位成使得可以获得穿透器路径指示。还公开了利用这种导管装置绕过动脉阻塞的方法。

4. 发明申请

WO9949910A3 TRANSVASCULAR CATHETERS HAVING IMAGING TRANSDUCERS 审中-公开
标题翻译：具有成像传感器的透射导管
公开(公告)号：WO9949910A3
公开(公告)日：2000-02-17
申请号：PCT/US9907112
申请日：1999-03-31
申请人： TRANSVASCULAR INC
发明人： FLAHERTY J CHRISTOPHER , WHITT JASON B , CHANG JOHN Y , THOLFSEN DAVID R , EVARD PHILLIP C
IPC分类号： A61B8/12 , A61B17/00 , A61B17/11 , A61B17/22 , A61B17/32 , A61B17/34 , A61B19/00 , A61M25/00 , A61M25/01 , A61B8/00 , A61B8/14
CPC分类号： A61M25/0108 , A61B17/22 , A61B17/3207 , A61B2017/00252 , A61B2017/00455 , A61B2017/22077 , A61B2090/3784 , A61B2090/3925
摘要： A catheter device (11) that is useable to penetrate from a blood vessel in which the catheter device (11) is positioned to a target location, comprises a flexible catheter advanced into the blood vessel, a tissue penetrator (85) which is useable to penetrate from the blood vessel to the target location when properly aimed. Further said catheter includes an imaging transducer (81) fixedly mounted on or within the catheter body (13) to provide an imaging signal from which an image of the target location can be obtained. The catheter device (11) may include an imaged marker (101) on the catheter to form on the image obtainable from the imaging signal a penetrator path indication that indicates the path that will be followed by the tissue penetrator when the tissue penetrator (85) exits from the catheter (11). Alternatively, or in addition thereto, the imaging transducer (81) may comprise a plurality of imaging elements.
摘要翻译：可用于从其中导管装置（11）定位到目标位置的血管穿透的导管装置（11）包括进入血管的柔性导管，组织穿透器（85），其可用于当正确瞄准时，从血管穿透到目标位置。此外，所述导管包括固定地安装在导管主体（13）上或导管主体（13）内的成像传感器（81），以提供可从其获得目标位置的图像的成像信号。导管装置（11）可以包括在导管上的成像标记（101），以形成可从成像信号获得的图像上的穿透器路径指示，其指示当组织穿透器（85）时组织穿透器将遵循的路径，从导管（11）出来。或者或除此之外，成像换能器（81）可以包括多个成像元件。

5. 发明专利

AU2003223583A1 DEVICES AND METHODS FOR TRANSLUMINAL OR TRANSTHORACIC INTERSTITIAL ELECTRODE PLACEMENT 未知
公开(公告)号：AU2003223583A1
公开(公告)日：2003-10-27
申请号：AU2003223583
申请日：2003-04-11
申请人： TRANSVASCULAR INC
发明人： LAMSOM THEODORE C , MAKOWER JOSHUA , FLAHERTY J CHRISTOPHER
IPC分类号： A61B19/00 , A61M20060101 , A61M1/00 , A61N1/05 , A61N1/362
摘要： Methods and devices for implanting pacing electrodes or other apparatus, or for delivering substances, to the heart of other tissues within the body. A guided tissue penetrating catheter is inserted into a body lumen (e.g., blood vessel) or into a body cavity or space (e.g., the pericardial space) and a penetrator is advanced from the catheter to a target location. In some embodiments, a substance or an apparatus (such as an electrode) may be delivered through a lumen in the penetrator. In other embodiments, a guidewire may be advanced through the penetrator, the penetrating catheter may then be removed and an apparatus (e.g., electrode) may then be advanced over that guidewire. Also disclosed are various implantable electrodes and electrode anchoring apparatus.

6. 发明专利

AU3816001A Sterility barriers for insertion of non-sterile apparatus into catheters or other medical devices 未知
公开(公告)号：AU3816001A
公开(公告)日：2001-08-27
申请号：AU3816001
申请日：2001-02-12
申请人： TRANSVASCULAR INC
发明人： FLAHERTY J CHRISTOPHER
IPC分类号： A61B8/12 , A61M25/00 , A61M25/01
摘要： Methods, apparatus and systems wherein the distal portion of an elongate apparatus (e.g., a catheter or cannula) having a sealed lumen (e.g., a blind lumen) formed therein is insertable into the body of a mammalian patient and a tubular sterility barrier is attached to or formed on the proximal portion of the elongate apparatus. The tubular sterility barrier is arranged so that it extends outside of a sterile field that is being maintained around the proximal portion of the elongate device. A non-sterile working apparatus (e.g., an intravascular ultrasound device or other imaging apparatus, etc.) may then be inserted through the sterility barrier and into the sealed lumen without causing contamination of the sterile field or the patient.

7. 发明专利

AU2628801A Apparatus for creating a channel between adjacent body lumens 未知
公开(公告)号：AU2628801A
公开(公告)日：2001-07-16
申请号：AU2628801
申请日：2001-01-03
申请人： TRANSVASCULAR INC
发明人： FLAHERTY J CHRISTOPHER , EVARD PHILIP C , ACOSTA PABLO G JR , MACAULAY PATRICK E , LAMSON THEODORE C
IPC分类号： A61B18/20 , A61B17/00 , A61B17/11 , A61B17/22 , A61B17/32 , A61B17/3201 , A61B17/3211 , A61B18/04 , A61B18/14 , A61B17/34

8. 发明专利

CA2395246A1 APPARATUS FOR CREATING A CHANNEL BETWEEN ADJACENT BODY LUMENS 未知
公开(公告)号：CA2395246A1
公开(公告)日：2001-07-12
申请号：CA2395246
申请日：2001-01-03
申请人： TRANSVASCULAR INC
发明人： ACOSTA PABLO G JR , EVARD PHILIP C , MACAULAY PATRICK E , FLAHERTY J CHRISTOPHER , LAMSON THEODORE C
IPC分类号： A61B18/20 , A61B17/00 , A61B17/11 , A61B17/22 , A61B17/32 , A61B17/3201 , A61B17/3211 , A61B18/04 , A61B18/14 , A61B17/34
摘要： Apparatus (10) for creating channels between adjacent blood vessels include a cutting element (22) fixed on a catheter (12) for creating a channel in a wa ll of a blood vessel. A clip (34) engages tissue thereunder for maintaining the cutting element (22) in contact with tissue being cut. Orientation markers (32, 33) may facilitate rotationally orienting the cutting element (22). The catheter (12) is advanced into a blood vessel, and a distal portion (24) of the catheter (12) is directed through a wall of the vessel towards an adjace nt vessel until the cutting element (22) is in contact with tissue therebetween . The catheter (12) is directed axially along the vessel, thereby creating a channel in the tissue using the cutting element (22). In another embodiment, the apparatus (310) may include first and second elongated elements (326a, 326b) pivotably coupled to one another having an aperture-creating assembly (322) disposed between them.

9. 发明专利

AU3547799A Catheters, systems and methods for percutaneous in situ arterio-venous bypass 未知
公开(公告)号：AU3547799A
公开(公告)日：1999-10-18
申请号：AU3547799
申请日：1999-03-31
申请人： TRANSVASCULAR INC
发明人： FLAHERTY J CHRISTOPHER , WHITT JASON B , MACAULAY PATRICK E , THOLFSEN DAVID R , GARIBOTTO JOHN T , EVARD PHILLIP C
IPC分类号： A61B8/12 , A61B17/00 , A61B17/11 , A61B17/22 , A61B17/32 , A61B17/34 , A61B19/00 , A61M25/00 , A61M25/01

10. 发明申请

WO0160427A3 STERILITY BARRIERS FOR INSERTION OF NON-STERILE APPARATUS INTO CATHETERS OR OTHER MEDICAL DEVICES 审中-公开
标题翻译：将非固定装置插入导管或其他医疗装置的无菌障碍物
公开(公告)号：WO0160427A3
公开(公告)日：2003-12-18
申请号：PCT/US0104472
申请日：2001-02-12
申请人： TRANSVASCULAR INC
发明人： FLAHERTY J CHRISTOPHER
IPC分类号： A61B8/12 , A61M25/00 , A61M25/01 , A61M5/00
CPC分类号： A61M25/0111 , A61B8/12 , A61M25/0017
摘要： Methods, and apparatus and systems wherein the distal portion (DP) of the elongated apparatus (10) (e.g., a catheter or cannula) having a sealed/blind lumen (18) formed therein is insertable into the body of a mammalian patient and a tubular sterility barrier (24) is attached to or formed on the proximal portion (PP) of the elongated apparatus (10). The tubular sterility barrier (24) is arranged so that it extends outside of a sterile field that is being maintained around the proximal portion (PP) of the elongate device (10). A non-sterile working apparatus (15) (e.g., an intravascular ultrasound device or other imaging apparatus, etc.) may then be inserted through the sterility barrier (24) and into the sealed lumen (18) without causing contamination of the sterile field (SF) or the patient.
摘要翻译：方法和装置和系统，其中具有形成在其中的密封/盲腔（18）的细长装置（10）的远侧部分（DP）（例如，导管或套管）可插入哺乳动物患者的身体中，管状无菌屏障（24）附接到细长装置（10）的近端部分（PP）上或形成在其上。管状无菌屏障（24）布置成使得其延伸到被保持在细长装置（10）的近端部分（PP）周围的无菌区域的外部。然后可以将非无菌工作装置（15）（例如，血管内超声装置或其他成像装置等）插入穿过无菌屏障（24）并进入密封腔（18），而不会引起无菌场的污染（SF）或患者。

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