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41. 发明申请

US20080234717A1 Helical Screw Puncture Tip 审中-公开
标题翻译：螺旋螺丝穿刺提示
公开(公告)号：US20080234717A1
公开(公告)日：2008-09-25
申请号：US11688503
申请日：2007-03-20
申请人： Walter Bruszewski
发明人： Walter Bruszewski
IPC分类号： A61M29/00 , A61B17/56 , A61B17/04 , A61B17/32
CPC分类号： A61M29/00 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075
摘要： A helical screw dilator system and method including a helical screw dilator having a proximal end, a distal end, and an axial length, the helical screw dilator including a piercing tip at the distal end; a threaded dilation portion operably connected to the piercing tip along the axial length, the threaded dilation portion having an outer surface increasing in circumference with distance from the distal end and having threads disposed about the outer surface; and a shaft between the threaded dilation portion and the proximal end and a guidewire lumen through the center to guide the system to its destination.
摘要翻译：一种螺旋螺旋扩张器系统和方法，包括具有近端，远端和轴向长度的螺旋螺旋扩张器，所述螺旋形螺旋扩张器在远端包括穿刺尖端; 螺纹扩张部分，其沿着轴向长度可操作地连接到穿刺尖端，所述螺纹扩张部分具有外表面，其周长随距离远端的距离增加并具有围绕外表面设置的螺纹; 以及在所述螺纹扩张部分和所述近端之间的轴和穿过所述中心的导丝管腔，以将所述系统引导到其目的地。

42. 发明申请

US20080108987A1 Cutting Radio Frequency Catheter for Creating Fenestrations in Graft Cloth 有权
标题翻译：切割射频导管，用于在移植布中创建开窗
公开(公告)号：US20080108987A1
公开(公告)日：2008-05-08
申请号：US11557204
申请日：2006-11-07
申请人： Walter Bruszewski , Patrick Macaulay
发明人： Walter Bruszewski , Patrick Macaulay
IPC分类号： A61F2/84 , A61B18/18 , A61B18/14
CPC分类号： A61B18/1492 , A61B17/3478 , A61B18/042 , A61B2017/00867 , A61B2017/22038 , A61B2018/1407 , A61B2018/141 , A61B2018/144 , A61B2090/3966 , A61F2/07 , A61F2002/061 , C08L2201/12
摘要： RF power is applied to a circular RF electrode cutting a side opening in a graft material of a main stent-graft in situ. As the side opening is formed by the applied RF power and the associated plasma discharge, the side opening is formed with a minimal application of force to the graft material. Further, the side opening is circular and has a fused edge.
摘要翻译：将RF功率施加到圆形RF电极，其切割主要支架移植物的移植材料中的侧开口。由于侧开口由所施加的RF功率和相关联的等离子体放电形成，所以侧开口形成为对移植材料施加最小的力。此外，侧开口是圆形的并且具有熔融边缘。

43. 发明授权

US09393136B2 Variable zone high metal to vessel ratio stent and method 有权
标题翻译：可变区高金属与血管比支架及方法
公开(公告)号：US09393136B2
公开(公告)日：2016-07-19
申请号：US13430907
申请日：2012-03-27
申请人： Keith Perkins , Samuel Robaina , Jeffery Argentine , Walter Bruszewski , Andrew Kiehl
发明人： Keith Perkins , Samuel Robaina , Jeffery Argentine , Walter Bruszewski , Andrew Kiehl
IPC分类号： A61F2/06 , A61F2/04 , A61F2/915 , A61F2/07 , A61F2/90 , A61F2/91 , A61F2/848
CPC分类号： A61F2/915 , A61F2/07 , A61F2/90 , A61F2/91 , A61F2002/061 , A61F2002/065 , A61F2002/8486 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2230/0013 , A61F2250/0018 , A61F2250/0029
摘要： A variable zone high metal to vessel ratio stent includes a proximal high metal to vessel ratio zone, a central low metal to vessel ratio zone, and a distal high metal to vessel ratio zone. The proximal high metal to vessel ratio zone is deployed with fixation and sealing to healthy tissue of a main vessel superior to branch vessels and an aneurysm. The central low metal to vessel ratio zone is deployed directly on ostai of the branch vessels. However, as the central low metal to vessel ratio zone is highly permeable, blood flows from the main vessel through the central low metal to vessel ratio zone and into branch vessels.
摘要翻译：可变区高金属与血管比例支架包括近端高金属与血管比例区域，中心低金属与血管比例区域和远端高金属与血管比例区域。近端高金属与血管比例区域以固定和密封方式部署在主血管的优于分支血管和动脉瘤的健康组织上。中心的低金属与血管比例区域直接部署在分支血管的Ostai上。然而，由于中心的低金属与血管比例区域是高度可渗透的，血液从主血管通过中心的低金属到血管比例区域流入分支血管。

44. 发明授权

US08419782B2 Precise positioning prosthesis delivery system and method 有权
标题翻译：精确定位假体输送系统及方法
公开(公告)号：US08419782B2
公开(公告)日：2013-04-16
申请号：US12420951
申请日：2009-04-09
申请人： Walter Bruszewski
发明人： Walter Bruszewski
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/07 , A61F2/966 , A61F2002/061 , A61F2002/9511 , A61F2002/9665
摘要： A method of prosthesis delivery comprises advancing first, second and third guidewires through a first vessel, positioning the second guidewire in a second vessel that branches from the first vessel, positioning the third guidewire in a third vessel that branches from the first vessel, advancing a prosthesis over the first, second, and third guidewires to the vicinity of one of the second and third vessels, and deploying the prosthesis. The prosthesis can comprise a tubular stent-graft having a first eyelet adapted to receive a guidewire and a second eyelet adapted to receive a guidewire. A prosthesis delivery system comprises prosthesis delivery apparatus comprising a sheath, a prosthesis having a plurality of eyelets and being disposed in the sheath, a first guidewire tube for receiving a first guidewire and being positioned inside the prosthesis; a second guidewire tube for receiving a second guidewire and being positioned inside the prosthesis, and a third guidewire tube for receiving a third guidewire and being positioned inside the prosthesis.
摘要翻译：一种假体递送方法包括使第一，第二和第三导线穿过第一容器，将第二导线定位在从第一容器分支的第二容器中，将第三导丝定位在第三容器中，第三容器从第一容器分支，在第一，第二和第三导丝上的假体到第二和第三血管之一附近，以及部署假体。假体可以包括具有适于接收导丝的第一孔眼和适于接收导丝的第二孔眼的管状支架移植物。假体递送系统包括假体递送装置，其包括护套，具有多个孔眼并被布置在护套中的假体，用于接收第一导丝并位于假体内部的第一导丝管; 用于接收第二导丝并位于假体内部的第二导丝管，以及用于接纳第三导丝并位于假体内部的第三导丝管。

45. 发明申请

US20120271409A1 Helical Radiopaque Marker 审中-公开
标题翻译：螺旋射线斑点标记
公开(公告)号：US20120271409A1
公开(公告)日：2012-10-25
申请号：US13093165
申请日：2011-04-25
申请人： Walter Bruszewski
发明人： Walter Bruszewski
IPC分类号： A61F2/82
CPC分类号： A61B90/39 , A61B6/12 , A61B6/481 , A61B6/487 , A61B2090/3904 , A61B2090/3966 , A61F2/07 , A61F2/95 , A61F2002/061 , A61M25/09 , A61M2025/09166
摘要： A radiopaque marker includes a core wire having a proximal portion and a distal portion, and a coil wrapped around the distal portion of the core wire. The core wire is formed from a shape memory material and the coil is formed from a radiopaque material. The radiopaque marker includes a delivery configuration wherein the radiopaque marker is substantially elongated and a deployed configuration wherein the distal portion of the raadiopaque marker forms a substantially helical tube.
摘要翻译：不透射线的标记包括具有近端部分和远端部分的芯线，以及缠绕在芯线的远端部分的线圈。芯线由形状记忆材料形成，线圈由不透射线材料形成。不透射线的标记包括其中不透射线的标记物基本上是细长的递送构型，以及展开构型，其中，不透射线标记物的远端部分形成基本上螺旋管。

46. 发明授权

US08197475B2 Method and structure for ameliorating side-effects of performing in situ fenestration using a plasma RF catheter 有权
标题翻译：使用等离子体RF导管进行原位开窗改善副作用的方法和结构
公开(公告)号：US08197475B2
公开(公告)日：2012-06-12
申请号：US12049522
申请日：2008-03-17
申请人： Walter Bruszewski , Trevor Greenan
发明人： Walter Bruszewski , Trevor Greenan
IPC分类号： A61B18/18 , A61B18/04
CPC分类号： A61B18/18
摘要： When a main stent-graft is placed in a vessel of a patient and a branch vessel is blocked by the main stent-graft, a RF plasma catheter is used to cut out a portion of the graft cloth of the main-stent graft adjacent to an ostium of the branch vessel to be perfused. To ameliorate possible adverse effects associated with the use of the RF plasma catheter, e.g., creation of coagulum, (desiccated, coagulated blood) or perhaps a cut stent strut, a special process using saline flushing, a novel RF plasma catheter with an insulated tip, or a combination of the two is used.
摘要翻译：当将主支架移植物放置在患者的血管中并且分支血管被主支架移植物阻挡时，使用RF等离子体导管切除邻近的主支架移植物的移植布的一部分要灌注的分支血管的口。为了改善与使用RF等离子导管相关的可能的副作用，例如，产生凝血块（干燥，凝血的血液）或可能的切割支架支架，使用盐水冲洗的特殊方法，具有绝缘尖端的新型RF等离子体导管，或两者的组合使用。

47. 发明授权

US08052741B2 Branch vessel prosthesis with a roll-up sealing assembly 有权
标题翻译：具有卷起密封组件的分支血管假体
公开(公告)号：US08052741B2
公开(公告)日：2011-11-08
申请号：US12409012
申请日：2009-03-23
申请人： Walter Bruszewski , Masoumeh Mafi , Shahram Shamlou
发明人： Walter Bruszewski , Masoumeh Mafi , Shahram Shamlou
IPC分类号： A61F2/06
CPC分类号： A61F2/064 , A61F2/07 , A61F2/89 , A61F2/90 , A61F2002/061 , A61F2002/072 , A61F2002/075 , A61F2002/821 , A61F2002/8486 , A61F2220/0058 , A61F2240/001 , A61F2250/0039 , A61F2250/006 , D04C1/06 , D10B2509/06
摘要： A branch prosthesis configured for placement in a branch vessel includes an expandable tubular body portion, an expandable annular flange attached to a proximal end of the body portion, and a sealing sleeve proximally extending from the annular flange. The sealing sleeve is adapted to deform to a generally straight cylindrical hollow shape during implantation. When deployed, the sealing sleeve rolls up to a tightly-wound coil that bears against the annular flange. When used in conjunction with a main prosthesis having a side opening and deployed within in a main vessel, the annular flange of the branch prosthesis engages an outer surface of the main prosthesis around a perimeter of the side opening and the sealing sleeve engages an inner surface of the main prosthesis around the perimeter of the side opening to form a fluid-tight seal between the main prosthesis and the branch prosthesis.
摘要翻译：构造成用于放置在分支容器中的分支假体包括可扩张管状主体部分，附接到主体部分的近端的可扩张环形凸缘以及从环形凸缘向近侧延伸的密封套筒。密封套筒适于在植入期间变形为大致直的圆柱形中空形状。当展开时，密封套筒卷起成紧紧缠绕的线圈，该线圈靠在环形凸缘上。当与具有侧开口并且展开在主容器内的主假体结合使用时，分支假体的环形凸缘接合主假体的围绕侧开口的周边的外表面，并且密封套与内表面接合的主要假体围绕侧开口的周边形成在主假体和分支假体之间的流体密封。

48. 发明申请

US20110270380A1 Mobile External Coupling for Branch Vessel Connection 有权
标题翻译：分支船连接的移动外耦合
公开(公告)号：US20110270380A1
公开(公告)日：2011-11-03
申请号：US12770566
申请日：2010-04-29
申请人： Walter Bruszewski
发明人： Walter Bruszewski
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075 , A61F2002/821 , A61F2220/005 , A61F2220/0058 , A61F2220/0075
摘要： An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto which forms a lumen therethrough. The mobile external coupling extends outwardly from the tubular body. The mobile external coupling includes a graft material and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top, wherein the coupling lumen is in flow communication with the body lumen. A coupling deployment device is coupled to the coupling graft material to provide an extension force to extend the mobile external coupling from a collapsed configuration against the tubular body to an extended position wherein the mobile external coupling extends from the tubular body.
摘要翻译：血管内假体包括管状主体和移动外部联接器。管状体包括移植材料和与其结合的支架，其形成通过其中的腔。移动外部联接件从管状体向外延伸。移动外部联接件包括移植材料并且通常是截头圆锥形的。移动外部联接器包括联接到管状体的基部，与管状体间隔开的顶部以及设置在基部和顶部之间的联接腔，其中联接腔与体腔流动连通。耦合部署装置联接到联接移植材料以提供延伸力，以将可移动外部联接器从折叠构型延伸到管状主体到延伸位置，其中可移动外部联接件从管状体延伸。

49. 发明申请

US20110270379A1 Mobile External Coupling for Branch Vessel Connection 审中-公开
公开(公告)号：US20110270379A1
公开(公告)日：2011-11-03
申请号：US12770548
申请日：2010-04-29
申请人： Walter Bruszewski
发明人： Walter Bruszewski
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075 , A61F2220/005 , A61F2220/0058 , A61F2250/006
摘要： An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto which forms a lumen therethrough. The mobile external coupling extends outwardly from the tubular body. The mobile external coupling includes a graft material and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top, wherein the coupling lumen is in flow communication with the body lumen. A coupling deployment device is coupled to the coupling graft material to provide an extension force to extend the mobile external coupling from a collapsed configuration against the tubular body to an extended position wherein the mobile external coupling extends from the tubular body.

50. 发明申请

US20110270378A1 Mobile External Coupling with Internal Sealing Cuff for Branch Vessel Connection 有权
标题翻译：用于分支船连接的内部密封袖口的移动外部耦合
公开(公告)号：US20110270378A1
公开(公告)日：2011-11-03
申请号：US12770536
申请日：2010-04-29
申请人： Walter Bruszewski , Heath Muzslay , Emilie Johnson , Kevin Boyle , Mohammed Iftekhar , Samuel Robaina
发明人： Walter Bruszewski , Heath Muzslay , Emilie Johnson , Kevin Boyle , Mohammed Iftekhar , Samuel Robaina
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/075 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2250/006
摘要： An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto, a forms a lumen therethrough. The mobile external coupling extends outwardly from the tubular body. The mobile external coupling includes a graft material and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top, wherein the coupling lumen is in flow communication with the body lumen. A cylindrical sealing cuff of graft material is attached to and extends from the top of the mobile external coupling towards the tubular body within the coupling lumen. The sealing cuff is configured to contact a portion of a branch vessel prosthesis and thereby provides an elongated interference seal between the branch vessel prosthesis and the mobile external coupling.
摘要翻译：血管内假体包括管状主体和移动外部联接器。管状体包括移植材料和与其连接的支架，a形成通过其中的腔。移动外部联接件从管状体向外延伸。移动外部联接件包括移植材料并且通常是截头圆锥形的。移动外部联接器包括联接到管状体的基部，与管状体间隔开的顶部以及设置在基部和顶部之间的联接腔，其中联接腔与体腔流动连通。移植材料的圆柱形密封套连接到移动外部联接器的顶部并且在联接腔内朝向管状体延伸。密封套构造成接触分支血管假体的一部分，从而在分支血管假体和移动外部联接器之间提供细长的干涉密封。

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