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11. 发明申请

US20130006283A1 FISTULA TREATMENT DEVICES AND RELATED METHODS 有权
标题翻译： FISTULA治疗装置及相关方法
公开(公告)号：US20130006283A1
公开(公告)日：2013-01-03
申请号：US13525161
申请日：2012-06-15
申请人： Harold F. Carrison , Yolanda Pacho Huynh
发明人： Harold F. Carrison , Yolanda Pacho Huynh
IPC分类号： A61M29/00 , A61B17/22
CPC分类号： A61B17/0057 , A61B17/0401 , A61B50/30 , A61B2017/00641 , A61B2017/0404 , A61B2017/0406 , A61B2017/0409 , A61B2017/0412 , A61B2017/0464 , A61B2017/0496 , A61B2017/320012 , A61B2218/002
摘要： Disclosed herein are implantable fistula treatment devices and related methods. In some embodiments, a distal anchor for an implantable fistula treatment device may comprise a suture and a plurality of foldable members including at least a distal-most foldable member and a proximal-most foldable member. The distal-most foldable member may comprise a suture attachment structure. The distal-most foldable member may comprise a distal first average dimension substantially parallel to the longitudinal axis of the suture, a distal second average dimension orthogonal to the distal first average dimension, and a distal third average dimension orthogonal to the distal first and second average dimensions. The distal first average dimension may be no greater than 30% of the greater of the distal second and third average dimensions. The proximal-most foldable member may be configured to couple to a surface of a body lumen at a distal opening of a fistula. The proximal-most foldable member may also be configured to occlude the fistula at the distal opening and may also be configured to slide along the suture attached to the suture attachment structure. The proximal-most foldable member may comprise a proximal first average dimension substantially parallel to a longitudinal axis of the suture, a proximal second average dimension orthogonal to the proximal first average dimension, and a proximal third average dimension orthogonal to the proximal first and second average dimensions, where the proximal first average dimension may be no greater than 10% of the greater of the proximal second and third average dimensions.
摘要翻译：本文公开了可植入式瘘治疗装置和相关方法。在一些实施例中，用于可植入式瘘治疗装置的远侧锚固件可以包括缝合线和多个可折叠构件，其包括至少最远侧折叠构件和最近侧折叠构件。最远侧折叠构件可以包括缝合线附接结构。最远侧折叠构件可以包括基本上平行于缝合线的纵向轴线的远端第一平均尺寸，与远侧第一平均尺寸正交的远端第二平均尺寸，以及与第一和第二平均远端正交的远端第三平均尺寸尺寸。远端第一平均尺寸可以不大于远端第二和第三平均尺寸中较大者的30％。最近端可折叠构件可构造成在瘘的远端开口处联接到体腔的表面。最近端可折叠构件还可以构造成在远侧开口处封闭瘘，并且还可以被配置为沿着附接到缝合线附接结构的缝合线滑动。近端可折叠构件可以包括基本上平行于缝合线的纵向轴线的近端第一平均尺寸，与近端第一平均尺寸正交的近端第二平均尺寸以及与近端第一和第二平均度正交的近端第三平均尺寸尺寸，其中近端第一平均尺寸可以不大于近端第二和第三平均尺寸中较大者的10％。

12. 发明申请

US20110282378A1 DETACHABLE ANEURYSM NECK BRIDGE 有权
标题翻译：可拆卸的ANEURYSM NECK BRIDGE
公开(公告)号：US20110282378A1
公开(公告)日：2011-11-17
申请号：US13194730
申请日：2011-07-29
申请人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
发明人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
IPC分类号： A61M29/00
CPC分类号： A61B17/12113 , A61B17/12022 , A61B17/1214 , A61B17/12168 , A61B17/12172 , A61B90/39 , A61B2017/1205 , A61B2017/12063
摘要： A device for bridging a neck of an aneurysm, comprises a junction region, one or more radially extending array elements secured to the junction region, each array element having an unfolded shape and a delivery shape; and a cover attached to the junction region, and extending over the delivery shape of the array elements, wherein each array element is attached at one end to the junction region and the array elements are constructed and arranged to unfold the cover when assuming their unfolded shape, and wherein the device further comprises a tip, and each array element is attached at another end to the tip, the tip comprising an opening through which a vaso-occlusive device or occlusion fluid may be delivered.
摘要翻译：用于桥接动脉瘤颈部的装置包括接合区域，固定到接合区域的一个或多个径向延伸的阵列元件，每个阵列元件具有展开形状和递送形状; 以及附接到接合区域并且延伸在阵列元件的输送形状上的盖子，其中每个阵列元件在一端附接到接合区域，并且阵列元件被构造和布置成在假设其展开形状时展开盖子并且其中所述装置还包括尖端，并且每个阵列元件在另一端附接到所述尖端，所述尖端包括可以输送血管闭塞装置或闭塞液的开口。

13. 发明申请

US20110082493A1 MEDICAL CLOT TREATMENT DEVICE WITH DISTAL FILTER 有权
标题翻译：具有远程过滤器的医疗衣物处理设备
公开(公告)号：US20110082493A1
公开(公告)日：2011-04-07
申请号：US12966311
申请日：2010-12-13
申请人： Gene Samson , Harold F. Carrison
发明人： Gene Samson , Harold F. Carrison
IPC分类号： A61F2/01
CPC分类号： A61F2/013 , A61B17/221 , A61B90/39 , A61B2017/22034 , A61B2017/22045 , A61B2017/22084 , A61B2017/2212 , A61B2090/376 , A61F2/01 , A61F2002/011 , A61F2002/016 , A61F2230/0006 , A61F2230/005 , A61F2230/0067 , A61F2230/0071
摘要： This is a surgical device usually delivered through an intravascular catheter. It may be used in several ways. It may, for instance, be used to open a clear passageway adjacent thrombus to allow both blood and medication to bypass the clot. It may be used to pierce and to remove thrombus. These thrombus are often found in tortuous vasculature. The device includes several sections. The device has a core element, typically a core wire. Placed around the distal end of the core element is a collapsible but preferably self expanding proximal cage assembly and a distal filter, preferably a self-expanding cage assembly or other filter component. The various portions of those components are preferably radio-opaque. The proximal end of the proximal cage is typically is affixed to an actuator in such a way as to allow expansion of the cage after deployment. The proximal cage assembly may be used for collecting emboli or for displacing them to allow blood flow to resume, either with or without concurrent clot-dissolving drug treatment. The distal sector, whether a self-expanding cage or fan, is placed distally of the thrombus to collect portions of the thrombus which may loosen during the treatment or removal procedure.
摘要翻译：这是通常通过血管内导管递送的手术装置。它可以以几种方式使用。例如，它可以用于打开邻近血栓的清晰通道，以允许血液和药物绕过凝块。它可以用于刺穿和去除血栓。这些血栓通常在曲折的脉管系统中发现。该设备包括几个部分。该装置具有核心元件，通常为芯线。围绕芯元件的远端放置的是可折叠但优选自扩张的近端保持器组件和远端过滤器，优选自膨胀笼组件或其它过滤器部件。这些部件的各个部分优选地是不透射线的。近端保持架的近端通常被固定到致动器上，以允许在展开之后使笼膨胀。近端笼组件可用于收集栓塞或用于置换它们以允许血流恢复，无论是否伴有凝血溶解药物治疗。远端部分，无论是自膨胀笼或风扇，是否位于血栓的远端，以收集在治疗或移除手术过程中可能松动的部分血栓。

14. 发明授权

US07713264B2 Detachable aneurysm neck bridge 失效
标题翻译：可拆卸动脉瘤颈桥
公开(公告)号：US07713264B2
公开(公告)日：2010-05-11
申请号：US12178364
申请日：2008-07-23
申请人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
发明人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
IPC分类号： A61B17/00
CPC分类号： A61B17/12113 , A61B17/12022 , A61B17/1214 , A61B17/12168 , A61B17/12172 , A61B90/39 , A61B2017/1205 , A61B2017/12063
摘要： In one embodiment, a neck bridge for bridging the neck of an aneurysm includes a junction region, a number of radially extending array elements attached to the junction region, and a cover attached to one or both of the junction region and an array element. The array elements are configured to be positioned within the aneurysm after the neck bridge is deployed from a delivery device. In a second embodiment, the neck bridge includes a junction region and a braided or mesh-like structure secured to the junction region. The braided or mesh-like structure is made from an elastic material.
摘要翻译：在一个实施例中，用于桥接动脉瘤颈部的颈桥包括连接区域，连接到接合区域的多个径向延伸的阵列元件以及附接到接合区域和阵列元件中的一个或两者的盖。阵列元件构造成在颈桥从输送装置部署之后定位在动脉瘤内。在第二实施例中，颈桥包括固定到接合区域的连接区域和编织或网状结构。编织或网状结构由弹性材料制成。

15. 发明授权

US06409721B1 Process for forming an occlusion in a body cavity 失效
标题翻译：在体腔中形成闭塞的方法
公开(公告)号：US06409721B1
公开(公告)日：2002-06-25
申请号：US09523540
申请日：2000-03-10
申请人： E. Thomas Wheelock , Erik T. Engelson , Harold F. Carrison
发明人： E. Thomas Wheelock , Erik T. Engelson , Harold F. Carrison
IPC分类号： A61B1814
CPC分类号： A61B17/12022 , A61B17/1214 , A61B2017/12063
摘要： This invention is an apparatus for the formation of occlusions in spaces in the human body, occluding such as thrombi in arteries, veins, aneurysms, vascular malformations and arteriovenous fistulas. In particular, it deals with a one piece assembly having an improved electrolytically erodable link to an occlusive member and further having an incorporated return electrode in the assembly. The occlusion-forming member is introduced to and is intended to remain at the desired occlusion site. The invention also relates to the joint itself. The invention further includes a method for introduction and electrolytic separation of the device.
摘要翻译：本发明是一种用于在人体空间中形成闭塞的装置，阻塞动脉，静脉，动脉瘤，血管畸形和动静脉瘘等血栓。特别地，它涉及具有改进的电解腐蚀性连接到闭塞构件的一体式组件，并且在组件中还具有并入的返回电极。将闭塞形成构件引入并且旨在保留在期望的闭塞部位。本发明还涉及接头本身。本发明还包括用于引入和电解分离该装置的方法。

16. 发明授权

US06383205B1 Mechanical clot treatment device with distal filter 有权
标题翻译：机械凝血治疗装置与远端过滤器
公开(公告)号：US06383205B1
公开(公告)日：2002-05-07
申请号：US09452528
申请日：1999-12-01
申请人： Gene Samson , Harold F. Carrison
发明人： Gene Samson , Harold F. Carrison
IPC分类号： A61M2900
CPC分类号： A61F2/013 , A61B17/221 , A61B90/39 , A61B2017/22034 , A61B2017/22045 , A61B2017/22084 , A61B2017/2212 , A61B2090/376 , A61F2/01 , A61F2002/011 , A61F2002/016 , A61F2230/0006 , A61F2230/005 , A61F2230/0067 , A61F2230/0071
摘要： A surgical device for opening a passageway adjacent a thrombus to allow both blood and medication to bypass a clot. The surgical device may also be used to pierce and remove a thrombus. The device includes a core element or wire having an expanding proximal cage assembly and a distal filter or expanding cage assembly placed around the core wire. Components of the device are preferably radio-opaque. The proximal end of the proximal cage may be affixed to an actuator to allow expansion of the cage after deployment. The proximal cage assembly may be used for collecting emboli or for displacing emboli to allow blood flow to resume, either with or without concurrent clot-dissolving drug treatment. The distal section is placed distally of the thrombus to collect portions of the thrombus which may loosen during the treatment or removal procedure.
摘要翻译：用于打开邻近血栓的通道以允许血液和药物绕过凝块的手术装置。手术装置也可以用于刺穿和去除血栓。该装置包括具有扩展的近侧保持架组件和放置在芯线周围的远端过滤器或扩展笼组件的芯元件或线。该装置的组件优选地是不透射线的。近端保持架的近端可以固定到致动器以允许在展开之后使笼延伸。近端笼组件可用于收集栓塞或用于置换栓塞以允许血流恢复，无论是否伴有凝血溶解药物治疗。远侧部分放置在血栓的远端，以收集在治疗或移除手术过程中可能松动的血栓部分。

17. 发明授权

US08328810B2 Slidable sheaths for tissue removal devices 有权
标题翻译：用于组织去除装置的可滑动护套
公开(公告)号：US08328810B2
公开(公告)日：2012-12-11
申请号：US10872097
申请日：2004-06-17
申请人： Mukund Patel , Harold F. Carrison
发明人： Mukund Patel , Harold F. Carrison
IPC分类号： A61B17/00
CPC分类号： A61B17/1633 , A61B17/1671 , A61B17/32002 , A61B17/320783 , A61B17/3496 , A61B2017/00261 , A61B2017/320004 , A61B2090/0801 , A61B2090/08021
摘要： A tissue removal device and method of using the device to remove tissue from a patient is provided. The tissue removal device comprises a tissue removal probe and a sheath slidable relative to the probe. The probe has a tissue removal element, and the sheath has a portion that exposes the tissue removal element. The sheath distal end may be pre-shaped to bend when slid distal to the probe. The probe may have a window through which the tissue removal element is exposed.
摘要翻译：提供了一种组织去除装置和使用该装置从患者去除组织的方法。组织去除装置包括组织去除探针和相对于探针可滑动的护套。探针具有组织去除元件，护套具有暴露组织去除元件的部分。当远离探针时，护套远端可以被预形成弯曲。探针可以具有暴露组织去除元件的窗口。

18. 发明申请

US20120310270A1 DETACHABLE ANEURYSM NECK BRIDGE 有权
标题翻译：可拆卸的ANEURYSM NECK BRIDGE
公开(公告)号：US20120310270A1
公开(公告)日：2012-12-06
申请号：US13586280
申请日：2012-08-15
申请人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
发明人： Richard Murphy , Michael P. Wallace , Tri Tran , Kim Nguyen , Hanh Ho , My Doan , Robert M. Abrams , Harold F. Carrison
IPC分类号： A61M29/00
CPC分类号： A61B17/12113 , A61B17/12022 , A61B17/1214 , A61B17/12168 , A61B17/12172 , A61B90/39 , A61B2017/1205 , A61B2017/12063
摘要： In one embodiment, a neck bridge for bridging the neck of an aneurysm includes a junction region, a number of radially extending array elements attached to the junction region, and a cover attached to one or both of the junction region and an array element. The array elements are configured to be positioned within the aneurysm after the neck bridge is deployed from a delivery device. In a second embodiment, the neck bridge includes a junction region and a braided or mesh-like structure secured to the junction region. The braided or mesh-like structure is made from an elastic material.
摘要翻译：在一个实施例中，用于桥接动脉瘤颈部的颈桥包括连接区域，连接到接合区域的多个径向延伸的阵列元件以及附接到接合区域和阵列元件中的一个或两者的盖。阵列元件构造成在颈桥从输送装置部署之后定位在动脉瘤内。在第二实施例中，颈桥包括固定到接合区域的连接区域和编织或网状结构。编织或网状结构由弹性材料制成。

19. 发明申请

US20110125248A1 CUSTOM LENGTH STENT APPARATUS 有权
标题翻译：定制长度装置
公开(公告)号：US20110125248A1
公开(公告)日：2011-05-26
申请号：US13015389
申请日：2011-01-27
申请人： Robert George , David W. Snow , Harold F. Carrison , Pablo Acosta
发明人： Robert George , David W. Snow , Harold F. Carrison , Pablo Acosta
IPC分类号： A61F2/84
CPC分类号： H04B10/2575 , A61F2/0095 , A61F2/91 , A61F2/915 , A61F2/95 , A61F2/958 , A61F2002/826 , A61F2002/828 , A61F2002/91508 , A61F2002/91533 , A61F2002/9583 , A61F2210/0033 , A61F2210/0042 , A61F2230/0091 , H01Q3/2676
摘要： Apparatus and methods for delivering prosthetic segments to a body lumen, utilize a device having an elongated flexible member including proximal and distal ends, a plurality of prosthetic segments releasably arranged axially along the elongated flexible member near the distal end and an outer sheath slidably disposed over at least a portion of the prosthetic segments. The apparatus further includes a separator disposed on the outer sheath and adapted to engage the prosthetic segments. The separator is also adapted to be retracted proximally over the prosthetic segments and advanced distally to separate a proximal group of the prosthetic segments from a distal group of the prosthetic segments which are to be deployed in the body lumen.
摘要翻译：用于将假肢段递送到体腔的装置和方法利用具有细长的柔性构件的装置，所述装置包括近端和远端，沿着远端附近沿着细长柔性构件可释放地布置的多个假肢段，以及可滑动地设置在其上的外护套假体段的至少一部分。该装置还包括设置在外护套上并适于接合假肢段的分离器。分离器还适于在近端侧向后缩回到假肢段上并向远侧推进，以将假体段的近端组与待部署在体腔内的假体段的远侧组分离开。

20. 发明授权

US07892273B2 Custom length stent apparatus 有权
标题翻译：定制长度支架装置
公开(公告)号：US07892273B2
公开(公告)日：2011-02-22
申请号：US11469773
申请日：2006-09-01
申请人： Robert George , David W. Snow , Harold F. Carrison , Pablo Acosta
发明人： Robert George , David W. Snow , Harold F. Carrison , Pablo Acosta
IPC分类号： A61F2/06
CPC分类号： H04B10/2575 , A61F2/0095 , A61F2/91 , A61F2/915 , A61F2/95 , A61F2/958 , A61F2002/826 , A61F2002/828 , A61F2002/91508 , A61F2002/91533 , A61F2002/9583 , A61F2210/0033 , A61F2210/0042 , A61F2230/0091 , H01Q3/2676
摘要： Apparatus and methods for delivering prosthetic segments to a body lumen, utilize a device having an elongated flexible member including proximal and distal ends, a plurality of prosthetic segments releasably arranged axially along the elongated flexible member near the distal end and an outer sheath slidably disposed over at least a portion of the prosthetic segments. The apparatus further includes a separator disposed on the outer sheath and adapted to engage the prosthetic segments. The separator is also adapted to be retracted proximally over the prosthetic segments and advanced distally to separate a proximal group of the prosthetic segments from a distal group of the prosthetic segments which are to be deployed in the body lumen.
摘要翻译：用于将假肢段递送到体腔的装置和方法利用具有细长的柔性构件的装置，所述装置包括近端和远端，沿着远端附近沿着细长柔性构件可释放地布置的多个假肢段，以及可滑动地设置在其上的外护套假体段的至少一部分。该装置还包括设置在外护套上并适于接合假肢段的分离器。分离器还适于在近端侧向后缩回到假肢段上并向远侧推进，以将假体段的近端组与待部署在体腔内的假体段的远侧组分离开。

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