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    • 32. 发明授权
    • Expandable ablation burr
    • 可扩展消融毛刺
    • US06685718B1
    • 2004-02-03
    • US09629771
    • 2000-07-31
    • Mark H. WyzgalaEric B. HamiltonThomas J. HiblarLixiao WangJohn J. ChenIrina NazarovaNancy L. HaigSheng-Ping Zhong
    • Mark H. WyzgalaEric B. HamiltonThomas J. HiblarLixiao WangJohn J. ChenIrina NazarovaNancy L. HaigSheng-Ping Zhong
    • A61B1732
    • A61B17/320725A61B17/320758A61B2017/00557A61B2017/00867A61B2017/320004A61B2017/320733
    • An atherectomy burr has an operating diameter that is larger than the diameter of a catheter in which the burr is routed. The burr may include a polymeric balloon that is coated with an abrasive and that expands when the burr is rotated. When the burr is rotated, the polymeric tube expands by centrifugal force. The maximum expansion of the burr is controlled by an expansion mechanism. Various mechanisms are disclosed for controlling the maximum diameter of the burr thus preventing the burr from over expanding. In addition, the present invention includes a system for preventing the loose ablated particulate from reembolizing in the distal vasculature. The system includes an ablation burr that has abrasive disposed on the proximal end that is pulled back toward the guide catheter to ablate the lesion. The burr creates a seal when expanded to block the ablated particulate so that the aspiration system can remove the particulate from the patient vessel or stent. Alternatively, the burr system may include a self expanding seal that is deployed out of the aspiration sheath so that a slight vacuum can remove the large loose particulate form, the patient's vessel or stent.
    • 粥样斑块切除术毛刺的操作直径大于其中布置毛刺的导管的直径。 毛刺可以包括涂覆有磨料的聚合物气球,并且当毛刺旋转时膨胀。 当毛刺旋转时,聚合物管通过离心力膨胀。 毛刺的最大膨胀由膨胀机构控制。 公开了用于控制毛刺的最大直径的各种机构,从而防止毛刺过度膨胀。 此外,本发明还包括一种用于防止松散的消融颗粒在远端脉管系统中再栓塞的系统。 该系统包括消融毛刺,其具有设置在近端上的磨料,其被拉回导向导管以烧蚀病变。 当膨胀时,毛刺产生密封以阻挡消融的颗粒,使得吸气系统可以从患者的血管或支架中移除颗粒。 或者,毛刺系统可以包括从抽吸鞘部署出来的自膨胀密封,使得轻微的真空可以从患者的血管或支架中移除大的松散颗粒。
    • 37. 发明授权
    • Surface protection method for stents and balloon catheters for drug delivery
    • 用于药物输送的支架和球囊导管的表面保护方法
    • US06419692B1
    • 2002-07-16
    • US09243580
    • 1999-02-03
    • Duchuan YangJoel StanslaskiLixiao Wang
    • Duchuan YangJoel StanslaskiLixiao Wang
    • A61F206
    • A61L31/16A61F2/0077A61F2/91A61F2/915A61F2/958A61F2002/91541A61F2002/91558A61F2250/0067A61L29/085A61L29/16A61L31/10A61L2300/416A61L2300/608A61L2420/08
    • A medical device, such as a stent or balloon of a balloon catheter which includes a body portion which has an exterior surface which contacts, at least in part, a vessel wall during treatment. The body portion is expandable from a first position, wherein the body portion is sized for insertion into the vessel lumen, to a second position, wherein at least a portion of the exterior surface is in contact with the lumen wall. The medical device includes a first coating disposed over at least a portion of the exterior surface of the body portion with the first coating including a drug or therapeutic substance which is intended for controlled release from the surface. The medical device further includes a second coating overlying at least a substantial portion of the first coating. The second coating includes a material that is generally impervious to elution of the drug or therapeutic substance therethrough when the body portion is in a first position when inserted into the vessel lumen. The material of the second coating is relatively inelastic so that the second coating fractures during expansion of the body portion to the second position to allow elution of therapeutic substance through a multiplicity of fissures formed through the second coating.
    • 一种医疗装置,例如球囊导管的支架或球囊,其包括主体部分,该主体部分具有在治疗期间至少部分地与血管壁接触的外表面。 主体部分从第一位置可膨胀,其中主体部分的尺寸适于插入血管腔,到达第二位置,其中外表面的至少一部分与内腔壁接触。 医疗装置包括设置在主体部分的外表面的至少一部分上的第一涂层,第一涂层包括用于从表面受控释放的药物或治疗物质。 医疗装置还包括覆盖第一涂层的至少大部分的第二涂层。 第二涂层包括当插入血管内腔时主体部分处于第一位置时通常不透过药物或治疗物质的洗脱的材料。 第二涂层的材料相对无弹性,使得第二涂层在主体部分膨胀到第二位置期间断裂,以允许通过穿过第二涂层形成的多个裂缝洗脱治疗物质。