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    • 11. 发明公开
    • An improved cobalt-nickel-chromium biocompatible alloy for implantable medical devices
    • Kobalt-Nickel-Chrom-Legierungfürimplantierbare medizinische Artikel
    • EP1604692A2
    • 2005-12-14
    • EP05253420.3
    • 2005-06-03
    • Cordis Corporation
    • Burgermeister, RobertGrishaber, Randy-David Bruce
    • A61L27/04A61L31/02A61L31/18
    • A61L31/022A61L27/047A61L31/18
    • A biocompatible solid-solution alloy which may be formed into any number of implantable medical devices is described. The solid-solution alloy comprises a combination of elements in specific ratios that make it magnetic resonance imaging compatible while retaining the characteristics required for implantable medical devices. The biocompatible solid-solution alloy is a cobalt-chromium alloy having substantially reduced iron and/or Silicon content.
      In one embodiment, the alloy comprises nickel in the range from about 20 weight percent to about 24 weight percent, chromium in the range from about 21 weight percent to about 23 weight percent, tungsten in the range from about 13 weight percent to about 15 weight percent, manganese in the range from about 0 weight percent to about 1.25 weight percent, carbonl in the range from about 0.05 weight percent to about 0.15 weight percent, lanthanum in the range from about 0.02 weight percent to about 0.12 weight percent, boron in the range from about 0 weight percent to about 0.015 weight percent, iron in an amount not to exceed 0.12 weight percent, Silicon in an amount not to exceed 0.12 weight percent and the remainder cobalt.
    • 描述了可形成任意数量的可植入医疗装置的生物相容性固溶体合金。 固溶体合金包括特定比例的元件的组合,使得磁共振成像兼容,同时保持可植入医疗装置所需的特性。 生物相容性固溶体合金是具有显着降低的铁和/或硅含量的钴铬合金。 在一个实施方案中,合金包含约20重量%至约24重量%的镍,约21重量%至约23重量%的铬,约13重量%至约15重量%的钨 在约0重量%至约1.25重量%的范围内的锰,约0.05重量%至约0.15重量%的碳,约0.02重量%至约0.12重量%的镧,在约0.02重量%至约0.12重量%的范围内的硼, 范围为约0重量%至约0.015重量%,铁不超过0.12重量%,硅不超过0.12重量%,其余为钴。
    • 13. 发明公开
    • Means and method for stenting bifurcated vessels
    • Katheteranordnung und Verfahren zur Behandlung verzweigterGefässe
    • EP1475054A2
    • 2004-11-10
    • EP04252580.8
    • 2004-05-04
    • Cordis Corporation
    • Fischell, Robert E.Burgermeister, RobertFischell, David R.Fischell, Tim A.Trotta, Thomas N.Sidwall, Scott
    • A61F2/06
    • A61F2/954A61F2/856A61F2/958A61F2002/821
    • A system for placing a stent into the side branch of an arterial bifurcation. The system includes:

      (i) An inflatable balloon (15') located at a distal portion of a stent delivery system (16'), the stent delivery system having an outer shaft (11) with a longitudinal length, the outer shaft having a distal end that is fixedly attached to the proximal end of the balloon.
      (ii) A pre-deployed side branch stent (14) mounted coaxially onto the balloon for placement into the side branch of an arterial bifurcation, the stent having a proximal end and a distal end.
      (iii) A guide wire (6); and
      (iv) A main guide wire tube (12) having a proximal end and a distal end and having an interior lumen (19) that allows the stent delivery system to be moved slideably over the guide wire, the main guide wire tube being fixedly attached to the balloon at a location that is in close proximity to the proximal end of the stent.
    • 用于将支架放置在动脉分叉的侧支中的系统。 该系统包括:(i)位于支架输送系统(16')的远端部分处的可膨胀气囊(15'),所述支架输送系统具有纵向长度的外轴(11),所述外轴具有 固定地附接到气囊的近端的远端。 (ii)同轴地安装在气囊上用于放置在动脉分叉的侧分支中的预先展开的侧分支支架(14),所述支架具有近端和远端。 (iii)导丝(6); 以及(iv)主导丝管(12),其具有近端和远端并且具有允许支架输送系统可滑动地移动到导丝上的内腔(19),主导丝管固定地 在靠近支架近端的位置处附接到气囊。
    • 14. 发明公开
    • Flexible stent
    • Flexibler支架
    • EP1236449A2
    • 2002-09-04
    • EP02251431.9
    • 2002-02-28
    • Cordis Corporation
    • Burgermeister, Robert
    • A61F2/06
    • A61F2/915A61F2/91A61F2002/3008A61F2002/30112A61F2002/30324A61F2002/91508A61F2002/91516A61F2002/91525A61F2002/91533A61F2002/91558A61F2002/91566A61F2002/91575A61F2002/91583A61F2230/0004A61F2230/0054A61F2250/0036A61F2250/0098
    • A preferred embodiment of a stent provides a folded strut section that provides both structural rigidity and reduction in foreshortening of the stent mechanism. A flexible section provides flexibility for delivery of the stent mechanism. In a second embodiment, flexible section columns are angled with respect to each other, and to the longitudinal axis of the stent. These relatively flexible sections are oppositely phased in order to negate any torsion along their length. In yet another embodiment, the flexible connector can take on an undulating shape (like an "N"), but such that the longitudinal axis of the connector is not parallel with the longitudinal axis of the stent. Finally, a new method is disclosed for making stents. The method consists of performing a standard photochemical machining process of cutting, cleaning and coating the tube with a photoresist. However, unlike former methods, the photoresist image is developed on the surface of the cylindrical metallic tube, which results in a controlled variable etching rate at selected sites on the cylindrical metallic tube during the etching process. Further embodiments provide living hinge connectors and connections along the length of the radial strut member.
    • 支架的优选实施例提供了提供支架机构的缩短的结构刚度和减少的折叠支柱部分(20)。 柔性部分(30)为支架机构的传送提供灵活性。 在第二实施例中,柔性部分柱(130)相对于彼此成角度并且与支架的纵向轴线成一定角度。 这些相对柔性的部分相反地定位,以便否定沿其长度的任何扭转。 在另一个实施例中,柔性连接器(310)可以呈波状形状(如“N”),但是使得连接器的纵向轴线不与支架的纵向轴线平行。 另外的实施例提供活动铰链连接器(330)和沿着径向支柱构件的长度的连接。
    • 20. 发明公开
    • Intraluminal medical device having varialble axial flexibility about the circumference of the device
    • Intraluminale medizinische Vorrichtung mit variabler Axialbeweglichkeit um den Umfang desGeräts
    • EP1941848A1
    • 2008-07-09
    • EP08250014.1
    • 2008-01-03
    • Cordis Corporation
    • Marrey, Ramesh VKrever, MatthewOlsen, DanielBurgermeister, Robert
    • A61F2/90
    • A61F2/915A61F2/91A61F2002/91558A61F2250/0018A61F2250/0029
    • This invention concerns expandable intraluminal medical devices for use within a body passageway or duct, wherein the devices exhibit differing degrees of flexibility around the circumference of the device.
      In one embodiment the device comprises a plurality of components in a tubular configuration positioned between first and second open ends, the tubular configuration having a longitudinal axis extending between the ends, the plurality of components comprised of a plurality of hoop components being formed as a continuous series of substantially longitudinally oriented radial strut members and a plurality of radial arc members connecting circumferentially adjacent radial struts, and a plurality of connecting elements having first and second ends, which first and second ends bridge adjacent radial strut members and/or radial arc members, wherein the tubular configuration of the device has a first circumferential segment substantially extending the length of the device, the first circumferential segment exhibiting relatively greater axial stiffness and a second circumferential segment substantially extending the length of the device, the second circumferential segment exhibiting relatively greater axial flexibility.
    • 本发明涉及在身体通道或管道内使用的可扩张的管腔内医疗装置,其中装置在装置周围表现出不同程度的柔性。 在一个实施例中,该装置包括定位在第一和第二开放端之间的多个管状构件部件,该管状构造具有在两端之间延伸的纵向轴线,该多个部件由多个箍部件构成, 一系列基本上纵向定向的径向支柱构件和连接周向相邻的径向支柱的多个径向弧形构件,以及具有第一和第二端的多个连接元件,该第一和第二端桥接相邻的径向支柱构件和/或径向弧形构件, 其中所述装置的管状构造具有基本上延伸所述装置的长度的第一周向段,所述第一周向段呈现相对较大的轴向刚度,以及第二周向段,其大致延伸所述装置的长度,所述第二周向段相对 更大的轴向灵活性。