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    • 16. 发明授权
    • Therectomy device having a light weight drive shaft and an imaging device
    • 动脉粥样硬化切除装置具有重量轻的驱动轴和成像装置
    • US06497711B1
    • 2002-12-24
    • US09639873
    • 2000-08-16
    • Mark PlaiaRobert L. BarryDaniel M. Lafontaine
    • Mark PlaiaRobert L. BarryDaniel M. Lafontaine
    • A61B1722
    • A61B17/320758A61B17/221A61B17/320725A61B90/37A61B2017/320004A61B2017/320733A61B2090/378
    • An atherectomy device having the ability to create variably sized lumens in a vessel. An ablation burr rotated by a drive shaft is routed through a control shaft having a bend in its distal end. The control shaft is in turn routed through a surrounding guide catheter. By extending or retracting the bend of the control shaft into the distal end of the guide catheter, the lateral displacement of the ablation burr is varied. A lumen in a vessel is created by rotating the control shaft within the surrounding guide catheter. In addition, the atherectomy device may include an integrated imaging sensor contained within a separate lumen of the catheter surrounding the drive shaft. The imaging sensor provides images of the interior of the vessel wall to determine if an occlusion has been removed by operation of the ablation burr. The catheter may include a self-expanding stent at its distal end to force the ablation burr against a vessel wall in order to create various sized lumens in a patient's vasculature. Finally, the drive shaft that rotates the ablation burr is made of a lightweight polymeric material such as a liquid crystal polymer having fibers that are braided to provide desired torque and flexibility characteristics of the drive shaft.
    • 具有在血管中产生可变大小的腔的能力的粥样斑块切除装置。 由驱动轴旋转的消融毛刺通过其远端具有弯曲部的控制轴布置。 控制轴又穿过周围的引导导管。 通过将控制轴的弯曲部延伸或缩回到导向导管的远端,消融毛刺的横向位移变化。 通过在周围的引导导管内旋转控制轴来产生容器中的内腔。 另外,粥样斑块切除装置可以包括集成的成像传感器,其包含在围绕驱动轴的导管的分开的内腔内。 成像传感器提供血管壁内部的图像,以确定是否通过消融毛刺的操作去除了闭塞。 导管可以在其远端包括自扩张支架,以迫使消融毛刺抵靠血管壁,以在患者的脉管系统中产生各种尺寸的腔。 最后,旋转消融毛刺的驱动轴由轻质的聚合物材料制成,例如具有编织纤维的液晶聚合物,以提供驱动轴的期望的扭矩和柔性特性。
    • 18. 发明授权
    • Balloon catheter with improved pressure source
    • 球囊导管具有改善的压力源
    • US5728064A
    • 1998-03-17
    • US619375
    • 1996-05-21
    • Matthew M. BurnsDaniel M. Lafontaine
    • Matthew M. BurnsDaniel M. Lafontaine
    • A61M25/00A61F2/958A61M29/00
    • A61M25/10187A61M25/1018A61M2025/0063A61M2025/0098A61M2025/1077
    • A balloon catheter having a long shaft with an inflatable balloon connected to its distal end with a pressure source connected to the shaft at an invivo point which operates to inflate and deflate the balloon. The balloon catheter may be a fixed-wire type, an over-the-wire type, or an single-operator-exchange type catheter. The pressure source may include a piston and a chamber with an actuation member attached to the piston. The actuation member may be a solid rod or a hollow robe. In the case where the actuation member is a hollow tube, the tube may be used to introduce inflation fluid into the pressure source and the inflation lumen. A receptacle such as a reel or tubular hoop may be used to contain the actuation member when pulled proximally. A pressure sensor/gauge and a balloon sizing scale may be incorporated into the catheter assembly to assist the treating physician in monitoring the procedure. A longitudinally oscillating drive, such as a solenoid, may be operatively connected to the pressure source.
    • 具有长轴的球囊导管,其具有连接到其远端的可膨胀气囊,压力源在操作以使气囊膨胀和放气的invivo点处连接到轴。 球囊导管可以是固定线型,线上型或单操作者交换型导管。 压力源可以包括活塞和具有附接到活塞的致动构件的室。 致动构件可以是实心杆或中空长袍。 在致动构件是中空管的情况下,管可用于将充气流体引入压力源和膨胀腔。 诸如卷轴或管状环的容器可以用于在向近侧拉动时容纳致动构件。 可以将压力传感器/量规和气囊尺寸标尺结合到导管组件中,以帮助治疗医师监测该过程。 诸如螺线管的纵向振荡驱动器可以可操作地连接到压力源。
    • 19. 发明授权
    • Balloon catheter with improved pressure source
    • 球囊导管具有改善的压力源
    • US5647847A
    • 1997-07-15
    • US334831
    • 1994-11-04
    • Daniel M. LafontaineDaniel O. AdamsJohn W. Humphrey
    • Daniel M. LafontaineDaniel O. AdamsJohn W. Humphrey
    • A61M25/00A61F2/958A61M29/00
    • A61M25/10185A61M25/1018A61M25/10188A61M2025/0063A61M2025/0098A61M2025/1077
    • A balloon catheter which has an elongate shaft with an inflatable balloon connected to its distal end and a manifold connected to its proximal end. The manifold may be fixedly or removably attached to the shaft and includes a barrel with a plunger movably disposed inside it. The manifold may be held with one hand and the plunger may be actuated with one finger or thumb on the same hand. The barrel may have an internal volume of less than 5 cc and an internal diameter of less than 0.25 inches. The catheter also has a prep port which may be connected at or near the proximal end of the catheter. The prep port facilitates prepping of the catheter system. A seal (e.g. a releasable cap or a valve) may be connected to the prep port for sealing off the prep port during use. A pressure transducer may be mounted to the catheter (e.g. on the shaft, the manifold, the prep port, or the seal) to permit measurement of the pressure within the inflation lumen and the balloon. The pressure transducer may be operably connected to a pressure display and the display may be connected to the proximal end of the catheter or may be remotely located from the catheter. Data may be transmitted to the remote display by wire or wireless transmission (e.g. infrared, radio frequency, or magnetic transmission). Alternate embodiments and methods of use are also disclosed.
    • 一种气囊导管,其具有连接到其远端的可膨胀气囊的细长轴和连接到其近端的歧管。 歧管可以固定地或可移除地附接到轴上并且包括具有可移动地设置在其内的柱塞的筒。 歧管可以用一只手握住,并且柱塞可以用一只手指或拇指在同一只手上致动。 枪管可具有小于5cc的内部容积和小于0.25英寸的内径。 该导管还具有可在导管的近端处或其附近连接的制备端口。 准备端口有利于导管系统的准备。 可以将密封件(例如可释放盖或阀)连接到准备端口,以在使用期间密封准备端口。 压力换能器可以安装到导管(例如在轴,歧管,制备端口或密封件上),以允许测量充气腔和气囊内的压力。 压力传感器可以可操作地连接到压力显示器,并且显示器可以连接到导管的近端,或者可以远离导管定位。 数据可以通过有线或无线传输(例如红外线,射频或磁性传输)发送到远程显示器。 还公开了替代实施例和使用方法。