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81. 发明申请

US20090149863A1 FIXED STENT DELIVERY DEVICES AND METHODS 审中-公开
标题翻译：固定支架装置和方法
公开(公告)号：US20090149863A1
公开(公告)日：2009-06-11
申请号：US12388343
申请日：2009-02-18
申请人： Bernard Andreas , Jeffry J. Grainger
发明人： Bernard Andreas , Jeffry J. Grainger
IPC分类号： A61F2/86
CPC分类号： A61F2/958 , A61F2002/826 , A61F2002/9583
摘要： Stent delivery devices and methods include multiple stents or stent segments mounted at fixed positions on an expandable member of the stent delivery catheter. One or more of the fixed-position stents may be selectively deployed in a body lumen such as a blood vessel by positioning one or more sheaths to constrain some stents while exposing others for deployment. Some embodiments include two axially movable sheaths for serially deploying stents while containing a portion of the expandable balloon from which stents have been deployed. Other embodiments include inner and outer balloon shafts to allow the balloon to be retracted into the delivery catheter as stents are deployed. Devices and methods of the invention provide enhanced serial deployment of multiple stents or stent segments while reducing the risk of damage to an expandable deployment member.
摘要翻译：支架递送装置和方法包括安装在支架输送导管的可扩张构件上的固定位置处的多个支架或支架段。固定位置支架中的一个或多个可以通过定位一个或多个护套来限制一些支架，同时暴露其他支架以进行部署，可选择性地部署在诸如血管的体腔内。一些实施例包括用于串联展开支架的两个可轴向移动的护套，同时包含展开支架已部署的可膨胀气囊的一部分。其他实施例包括内和外球囊轴，以允许气囊在支架展开时缩回到输送导管中。本发明的装置和方法提供了多个支架或支架段的增强的连续部署，同时降低了对可扩展展开构件的损害风险。

82. 发明申请

US20080208318A1 MULTIPLE INDEPENDENT NESTED STENT STRUCTURES AND METHODS FOR THEIR PREPARATION AND DEPLOYMENT 审中-公开
公开(公告)号：US20080208318A1
公开(公告)日：2008-08-28
申请号：US12061951
申请日：2008-04-03
申请人： Stephen Kao , Bernard Andreas , David W. Snow
发明人： Stephen Kao , Bernard Andreas , David W. Snow
IPC分类号： A61F2/82
CPC分类号： A61F2/95 , A61F2/91 , A61F2/915 , A61F2002/826 , A61F2002/828 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/9155 , A61F2002/9583
摘要： Blood vessels and other body lumens are stented using stent structures comprising a plurality of radially expansible rings where at least some of the rings comprise axially extending elements which interleave with axially extending elements on adjacent unconnected rings. The ring structures may be open cell structures or closed cell structures, and the axially extending elements will typically be formed as part of the open cell or closed cell structure.

83. 发明申请

US20080077229A1 CUSTOM-LENGTH SELF-EXPANDING STENT DELIVERY SYSTEMS WITH STENT BUMPERS 审中-公开
标题翻译：自定义自动膨胀系统与STEN BUMPERS
公开(公告)号：US20080077229A1
公开(公告)日：2008-03-27
申请号：US11945142
申请日：2007-11-26
申请人： Bernard Andreas , Jeffry Grainger
发明人： Bernard Andreas , Jeffry Grainger
IPC分类号： A61F2/06
CPC分类号： A61F2/966 , A61F2/95 , A61F2/958 , A61F2/97 , A61F2002/826 , A61F2002/9505 , A61F2002/9511 , A61F2002/9583 , A61F2002/9665
摘要： Custom-length self-expanding stent delivery systems and methods enable precise control of prosthesis position during deployment. The stent delivery systems carry multiple stent segments and include a stent bumper for helping control the axial position of the stent segments during deployment. This enables the deployment of multiple prostheses at a target site with precision and predictability, preventing stent segment recoil and ejection from the delivery device and thus eliminating excessive spacing or overlap between prostheses. In particular embodiments, the prostheses of the invention are deployed in stenotic lesions in coronary or peripheral arteries or in other vascular locations.
摘要翻译：定制长度的自扩张支架输送系统和方法能够在部署期间精确控制假体位置。支架输送系统携带多个支架段，并且包括支架缓冲器，用于在部署期间帮助控制支架段的轴向位置。这使得能够以精确和可预测性在目标部位部署多个假体，从而防止支架段反冲和从输送装置喷射，从而消除假体之间的过大的间隔或重叠。在具体实施方案中，本发明的假体部署在冠状动脉或外周动脉或其它血管位置的狭窄病变中。

84. 发明授权

US07323006B2 Rapid exchange interventional devices and methods 有权
标题翻译：快速交流介入装置和方法
公开(公告)号：US07323006B2
公开(公告)日：2008-01-29
申请号：US10814581
申请日：2004-03-30
申请人： Bernard Andreas , Jeffry J. Grainger
发明人： Bernard Andreas , Jeffry J. Grainger
IPC分类号： A61F2/06
CPC分类号： A61M25/0169 , A61F2/958 , A61M25/10 , A61M2025/0183
摘要： Wire-guided interventional devices and methods are provided which enable faster and easier catheter exchanges. The interventional devices include a catheter shaft and a guidewire tube wherein the catheter shaft and the guidewire tube each have a length sufficient to extend to the vascular penetration when the interventional device is positioned at the treatment site. In some embodiments, a collar is disposed around the catheter shaft and guidewire tube that automatically inserts or removes the guidewire from the guidewire tube or automatically collapses or extends the guidewire tube as the catheter is introduced or withdrawn.
摘要翻译：提供导线介入装置和方法，其能够更快和更容易地进行导管交换。介入装置包括导管轴和导丝管，其中当介入装置位于治疗部位时，导管轴和导丝管各自具有足以延伸到血管穿透的长度。在一些实施例中，环绕导管轴和导丝管设置套环，其自动地从导丝管插入或移除导丝线，或者当导管被引入或取出时自动地塌缩或延伸导丝管。

85. 发明申请

US20070265637A1 DEVICES AND METHODS FOR CONTROLLING AND COUNTING INTERVENTIONAL ELEMENTS 审中-公开
标题翻译：用于控制和计数传统元素的设备和方法
公开(公告)号：US20070265637A1
公开(公告)日：2007-11-15
申请号：US11735392
申请日：2007-04-13
申请人： Bernard Andreas , Matthew McDonald , Jay Daulton , Chris Kilgus , Andrew Leopold , Philip Leopold , Matt Maulding
发明人： Bernard Andreas , Matthew McDonald , Jay Daulton , Chris Kilgus , Andrew Leopold , Philip Leopold , Matt Maulding
IPC分类号： A61F2/06
CPC分类号： A61F2/962 , A61F2002/826 , A61F2002/9511
摘要： Apparatus and methods for delivering stents or stent segments to body lumens include one or more tubular prostheses carried at the distal end of a catheter shaft, a sheath slidably disposed over the prostheses, and a guidewire tube extending from within the sheath to the exterior of the sheath through an exit port in a sidewall thereof. A guidewire extends slidably through the guidewire tube. The sheath can be moved relative to the catheter shaft and the guidewire tube to expose the prostheses for deployment. Mechanisms are described for measuring the distance that the sheath is moved relative to the catheter shaft and/or the guidewire tube, or for counting the number of stents exposed and/or deployed by operation of the device. These mechanisms include optical counting mechanisms, inductive, resistive, and/or magnetic resonating counters, electrical contact counters, and mechanical counters.
摘要翻译：用于将支架或支架段递送到体腔的装置和方法包括在导管轴的远端处承载的一个或多个管状假体，可滑动地设置在假体上的护套，以及从护套内延伸到外部的导丝管护套穿过其侧壁中的出口。导丝可滑动地延伸穿过导丝管。护套可以相对于导管轴和导丝管移动以暴露假体以进行展开。描述了用于测量护套相对于导管轴和/或导丝管移动的距离的机构，或用于计数通过操作该装置而暴露和/或部署的支架的数量。这些机制包括光学计数机构，电感，电阻和/或磁共振计数器，电接触计数器和机械计数器。

86. 发明授权

US07241308B2 Stent deployment systems and methods 有权
公开(公告)号：US07241308B2
公开(公告)日：2007-07-10
申请号：US10458062
申请日：2003-06-09
申请人： Bernard Andreas , David W. Snow , Jeffry J. Grainger
发明人： Bernard Andreas , David W. Snow , Jeffry J. Grainger
IPC分类号： A61F2/06
CPC分类号： A61F2/958 , A61F2/91 , A61F2002/826 , A61F2002/9583 , A61F2250/0039
摘要： A stent deployment system includes a catheter shaft, an expandable member mounted to the catheter shaft, and one or more stents or stent segments slidably positioned on the expandable member. The stent deployment system is adapted for deployment of stents or stent segments in very long lesions and in tapered and curved vessels. The stent deployment system facilitates slidable movement of a stent in a distal direction relative to the expandable member while inhibiting slidable movement in a proximal direction relative to the expandable member.

87. 发明申请

US20070118158A1 Obesity treatment tools and methods 有权
标题翻译：肥胖治疗工具和方法
公开(公告)号：US20070118158A1
公开(公告)日：2007-05-24
申请号：US11654709
申请日：2007-01-18
申请人： Mark Deem , Douglas Sutton , Hanson Gifford , Bernard Andreas , Ronald French
发明人： Mark Deem , Douglas Sutton , Hanson Gifford , Bernard Andreas , Ronald French
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B17/00234 , A61B17/064 , A61B17/0644 , A61B17/122 , A61B2017/00557 , A61B2017/306 , A61B2090/395 , A61F5/0083 , A61F5/0086
摘要： Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using atraumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods.
摘要翻译：本文描述了各种肥胖治疗工具和方法，以及用于其它胃相关疾病例如GERD的治疗。治疗包括减小胃袋的尺寸以限制热量摄入以及提供较早的饱腹感。这可以通过在胃内部直接从胃内部产生较小的胃袋来完成。较小的袋可以通过使用单独的锚定装置，旋转探针或体积减小装置来制造。还可以进行幽门成形术以使幽门括约肌无能力。另外可以使用无创伤的磁性吻合装置进行胃旁路手术，使得糖和脂肪在绕过胃时直接通过肠。这些程序中的许多可以以各种组合进行。治疗可能会通过阻止摄入高热量食物而产生强制行为改变。

88. 发明申请

US20070106365A1 Stent deployment systems and methods 有权
公开(公告)号：US20070106365A1
公开(公告)日：2007-05-10
申请号：US11538923
申请日：2006-10-05
申请人： Bernard Andreas , David Snow , Jeffry Grainger
发明人： Bernard Andreas , David Snow , Jeffry Grainger
IPC分类号： A61F2/84
CPC分类号： A61F2/958 , A61F2/91 , A61F2002/826 , A61F2002/9583 , A61F2250/0039
摘要： A stent deployment system includes a catheter shaft, an expandable member mounted to the catheter shaft, and one or more stents or stent segments slidably positioned on the expandable member. The stent deployment system is adapted for deployment of stents or stent segments in very long lesions and in tapered and curved vessels. The stent deployment system facilitates slidable movement of a stent in a distal direction relative to the expandable member while inhibiting slidable movement in a proximal direction relative to the expandable member.

89. 发明申请

US20070100423A1 APPARATUS AND METHODS FOR POSITIONING PROSTHESES FOR DEPLOYMENT FROM A CATHETER 有权
标题翻译：用于定位从导管部署的前景的装置和方法
公开(公告)号：US20070100423A1
公开(公告)日：2007-05-03
申请号：US11563793
申请日：2006-11-28
申请人： Pablo Acosta , Bernard Andreas , Stephen Kao , Joe Karratt , Steve Landreville , Eric Lang , David Sanderson , Craig Welk , David Snow
发明人： Pablo Acosta , Bernard Andreas , Stephen Kao , Joe Karratt , Steve Landreville , Eric Lang , David Sanderson , Craig Welk , David Snow
IPC分类号： A61F2/84
CPC分类号： A61F2/91 , A61F2/915 , A61F2/958 , A61F2002/826 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/9155 , A61F2002/91558 , A61F2002/9583 , A61F2230/0013
摘要： Apparatus for delivering stents to body lumens include a flexible catheter shaft, an expandable member, a tubular prosthesis selectively movable in an axial direction over the expandable member, and a stop member disposed on the catheter shaft near the distal end of the catheter shaft for stopping the prosthesis at a deployment position on the expandable member. A variety of different stop members are provided according to various embodiments, such as stop members disposed outside the expandable member, stop members disposed inside the expandable member, movable stop members, and the like. Methods of delivering stents are also provided.
摘要翻译：用于将支架输送到体腔的装置包括柔性导管轴，可扩张构件，可在可扩张构件上沿轴向选择性移动的管状假体，以及设置在导管轴上的导管轴附近的止动构件，用于停止所述假体位于所述可扩张构件上的展开位置。根据各种实施例提供各种不同的止动构件，例如设置在可膨胀构件外部的止动构件，设置在可扩张构件内部的止动构件，可动止动构件等。还提供了交付支架的方法。

90. 发明申请

US20050171561A1 Device and method for suturing tissue 失效
标题翻译：用于缝合组织的装置和方法
公开(公告)号：US20050171561A1
公开(公告)日：2005-08-04
申请号：US10737668
申请日：2003-12-16
申请人： Ronald Songer , James Vetter , Enrique Klein , Bernard Andreas , Michael Barrett , Mark Foley , Brian Gore , Lewis Isbell , T. Gross , Tomoaki Hinohara
发明人： Ronald Songer , James Vetter , Enrique Klein , Bernard Andreas , Michael Barrett , Mark Foley , Brian Gore , Lewis Isbell , T. Gross , Tomoaki Hinohara
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/11 , A61B17/34 , A61F2/00
CPC分类号： A61B17/11 , A61B17/0057 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/06066 , A61B17/3417 , A61B17/3421 , A61B2017/00004 , A61B2017/00637 , A61B2017/00641 , A61B2017/00663 , A61B2017/00867 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0496 , A61B2017/06057 , A61F2002/30093 , A61F2210/0019
摘要： Systems for suturing a tissue layer having two sides with a suture be releasably retaining at least a portion of the suture in a stationary position on one side of the tissue layer. The portion of the suture is retrieved through the tissue layer from the opposite side whereby the suture is drawn from one side to the opposite side. Systems for suturing the wall of a tubular graft having two sides is also provided using a suture by releasably retaining at least a portion of the suture on one side of the wall. the portion of the length of suture is retrieved through the wall of the graft to the opposite side of the wall.
摘要翻译：通过可靠地将至少一部分缝合线保持在组织层的一侧上的静止位置来提供用于用缝合线缝合具有两侧的组织层的系统。缝线的部分从相对侧通过组织层回收，由此将缝合线从一侧拉到相对侧。也可以使用缝合线通过可释放地将缝合线的至少一部分保持在壁的一侧上来缝合具有两侧的管状移植物的壁的系统。缝合长度的一部分通过移植物的壁回收到壁的相对侧。

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