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    • 84. 发明授权
    • Devices and methods for controlling expandable prostheses during deployment
    • 在展开期间控制可扩张假体的装置和方法
    • US08486132B2
    • 2013-07-16
    • US11689927
    • 2007-03-22
    • David W. SnowDenise DemaraisStuart Lin
    • David W. SnowDenise DemaraisStuart Lin
    • A61F2/06
    • A61F2/966A61F2/91A61F2/915A61F2/95A61F2002/826A61F2002/91541A61F2002/91558A61F2002/91591A61F2002/9517
    • A catheter for delivering a prosthesis to a treatment site in a body lumen comprises an elongate flexible member and a sheath slidably disposed thereover. A plurality of self-expanding tubular prostheses are carried in axially spaced apart locations along the elongate member, within the sheath. The prostheses may be selectively interlocked with one another and are constrained by the sheath in a radially contracted configuration. The prostheses are separately releasable from the sheath when the sheath is retracted relative to the elongate member. The catheter also has a pusher member slidably disposed along the elongate member within the sheath. The pusher is adapted to move past the prostheses in a first direction without displacing the prostheses, while in a second direction the pusher engages a selected prosthesis so as to move the prosthesis with the pusher to interlock the selected prosthesis with a second prosthesis.
    • 用于将假体递送到体腔内的治疗部位的导管包括细长的柔性构件和可滑动地设置在其上的护套。 多个自膨胀管状假体在护套内沿着细长构件在轴向间隔开的位置被承载。 假体可以选择性地互锁地互锁并且以径向收缩的构造被护套约束。 当护套相对于细长构件缩回时,假体分开地从护套释放。 该导管还具有推动器构件,该推动构件沿着护套内的细长构件可滑动地设置。 推动器适于在第一方向上移动经过假体而不移动假体,而在第二方向上,推动器接合所选择的假体,以便借助于推动器移动假体以使所选择的假体与第二假体互锁。
    • 85. 发明授权
    • Devices for percutaneous remote endarterectomy
    • 用于经皮远端内膜切除术的装置
    • US07517352B2
    • 2009-04-14
    • US09820084
    • 2001-03-27
    • Michael EvansDenise DemaraisGwendolyn WatanabeStephen Leeflang
    • Michael EvansDenise DemaraisGwendolyn WatanabeStephen Leeflang
    • A61M29/00
    • A61B17/3207A61B17/22A61B17/221A61B17/32002A61B17/320725A61B17/32075A61B17/320783A61B2017/00287A61B2017/00362A61B2017/320004A61B2017/320044A61B2017/320741A61M25/1002A61M25/1027A61M29/02A61M2025/1015A61M2025/1088A61M2025/109
    • The present invention provides devices, systems, methods and kits for the percutaneous removal of unwanted tissue or obstructive matter from body cavities or lumens, particularly from the vasculature. Blood vessels, including the coronary, peripheral and neurovascular circulation, which are narrowed or blocked by atheromatous material or plaque are often treated with traditional endarterectomy procedures. The present invention allows the benefits of such a procedure with an intraluminal approach, particularly a percutaneous approach. Generally, the present invention provides a set of catheters or tools which are percutaneously introduceable to the site of the blockage or occlusion. The tools dissect or cut through the innermost tissue layer of the lumen to an underlying tissue layer. The innermost tissue layer is then stripped away from the underlying layer with the occlusive material thereattached. The detached tissue layer and occlusive material is then removed from the lumen; this may include additional cutting, maceration and removal through mechanical aspiration. In any case, the resulting lumen is free of obstruction.
    • 本发明提供用于经皮去除不想要的组织或阻塞物质的装置,系统,方法和试剂盒,所述装置,系统,方法和试剂盒用于从体腔或腔,特别是脉管系统中去除。 通常使用传统的内膜切除手术治疗包括动脉粥样硬化材料或斑块变窄或阻塞的冠状动脉,周围和神经血管循环的血管。 本发明允许使用腔内方法,特别是经皮方法的这种手术的益处。 通常,本发明提供一组导管或工具,其经皮可引入阻塞部位或闭塞部位。 该工具将内腔的最内层组织切割或切割到下面的组织层。 然后将最内侧的组织层从附近的闭塞材料剥离下来的层。 然后从管腔移除脱离的组织层和封闭材料; 这可能包括通过机械抽吸进行额外的切割,浸渍和去除。 在任何情况下,所得到的内腔没有阻塞。