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    • 3. 发明授权
    • Apparatus for deploying body implantable stent
    • 用于部署植入式支架的装置
    • US5690644A
    • 1997-11-25
    • US603683
    • 1996-02-20
    • Matthew T. YurekSteven J. Healy
    • Matthew T. YurekSteven J. Healy
    • A61F2/82A61F2/06A61F2/84A61M25/12A61F11/00A61M29/00
    • A61F2/958A61F2/95A61F2/966A61F2002/9528A61F2002/9583A61F2002/9665
    • A stent deployment device includes a flexible, elongate interior catheter and a retaining structure cooperating with the catheter to support a stent along a distal end support region of the catheter. The stent is supported in a reduced radius delivery state to facilitate delivery to a treatment site in a body lumen, by advancing the device over a previously positioned guidewire. An opening at the distal end of the device receives the guidewire into a guidewire lumen of the interior catheter. A second opening through the catheter wall just proximally of the support region allows passage of the guidewire to the exterior of the catheter, whereby the guidewire is contained within the device only along the distal end region. A retainer for the stent can include an exterior catheter surrounding the interior catheter and stent, and moveable axially relative to the interior catheter. A portion of the guidewire proximally of the second opening is contained between the catheters, and can be removed from the exterior catheter through a slit running axially along the exterior catheter. Alternatively, the stent retainer can include a pair of spaced apart sleeves integral with the interior catheter and frictionally retaining opposite ends of the stent, to maintain the stent in the delivery state. In this case the catheter further supports a dilatation balloon surrounded by the stent. The balloon is expanded to free the stent from the sleeves.
    • 支架展开装置包括柔性细长的内部导管和与导管配合的保持结构,以沿着导管的远端支撑区域支撑支架。 通过将装置推进在先前定位的导丝上,支架以减小的半径递送状态被支撑以便于输送到体腔内的治疗部位。 设备远端处的开口将导丝接纳到内导管的导丝管腔中。 通过靠近支撑区域的导管壁的第二开口允许导丝通过导管的外部,由此导丝仅沿着远端区域容纳在装置内。 用于支架的保持器可以包括围绕内部导管和支架的外部导管,并且可相对于内部导管轴向移动。 在第二开口的近侧的导丝的一部分被容纳在导管之间,并且可以通过沿着外部导管轴向运动的狭缝从外部导管移除。 或者,支架保持器可以包括与内部导管成一体并且摩擦地保持支架的相对端的一对间隔开的套筒,以将支架保持在输送状态。 在这种情况下,导管还支撑由支架包围的扩张气囊。 将气囊膨胀以从袖子释放支架。
    • 5. 发明授权
    • Apparatus for deploying body implantable stents
    • 用于部署身体可植入支架的装置
    • US06755855B2
    • 2004-06-29
    • US10100944
    • 2002-03-19
    • Matthew T. YurekSteven J. Healy
    • Matthew T. YurekSteven J. Healy
    • A61F206
    • A61F2/958A61F2/95A61F2/966A61F2002/9528A61F2002/9583A61F2002/9665
    • A stent deployment device includes a flexible, elongate interior catheter and a retaining structure cooperating with the catheter to support a stent along a distal end support region of the catheter. The stent is supported in a reduced radius delivery state to facilitate delivery to a treatment site in a body lumen, by advancing the device over a previously positioned guidewire. An opening at the distal end of the device receives the guidewire into a guidewire lumen of the interior catheter. A second opening through the catheter wall just proximally of the support region allows passage of the guidewire to the exterior of the catheter, whereby the guidewire is contained within the device only along the distal end region. The retaining structure can include an exterior catheter surrounding the interior catheter and stent, and moveable axially relative to the interior catheter. A portion of the guidewire proximally of the second opening is contained between the catheters, and can be removed from the exterior catheter through a slit running axially along the exterior catheter. Alternatively, the retaining means can include a pair of spaced apart sleeves integral with the interior catheter and frictionally retaining opposite ends of the stent, to maintain the stent in the delivery state. In this case the catheter further supports a dilatation balloon surrounded by the stent. The balloon is expanded to free the stent from the sleeves.
    • 支架展开装置包括柔性细长的内部导管和与导管配合的保持结构,以沿着导管的远端支撑区域支撑支架。 通过将装置推进在先前定位的导丝上,支架以减小的半径递送状态被支撑以便于输送到体腔内的治疗部位。 设备远端处的开口将导丝接纳到内导管的导丝管腔中。 通过靠近支撑区域的导管壁的第二开口允许导丝通过导管的外部,由此导丝仅沿着远端区域容纳在装置内。 保持结构可以包括围绕内部导管和支架的外部导管,并且可相对于内部导管轴向移动。 在第二开口的近侧的导丝的一部分被容纳在导管之间,并且可以通过沿着外部导管轴向运动的狭缝从外部导管移除。 或者,保持装置可以包括与内部导管成一体的一对间隔开的套筒,并摩擦地保持支架的相对端部,以将支架保持在输送状态。 在这种情况下,导管还支撑由支架包围的扩张气囊。 将气囊膨胀以从袖子释放支架。
    • 6. 发明授权
    • Rolling membrane stent delivery device
    • 滚膜支架输送装置
    • US5662703A
    • 1997-09-02
    • US716052
    • 1996-09-19
    • Matthew T. YurekRichard S. Kusleika
    • Matthew T. YurekRichard S. Kusleika
    • A61F2/82A61F2/00A61F2/06A61F2/84
    • A61F2/966A61F2/95A61F2210/0019
    • A device for deploying radially self-expanded stents and other radially expandable stents includes an inner catheter, an outer catheter surrounding the inner catheter, and a tubular stent retaining sheath formed of a rolling membrane. The sheath is doubled over upon itself to provide an inner sheath layer attached to the inner catheter, and an outer sheath layer attached to the outer catheter. The sheath layers extend along and surround a radially self-expanding stent, to maintain the stent distally of the inner catheter and in a radially compressed, axially elongated state. Distally of the stent, the inner and outer sheath layers converge and are narrowed in the distal direction to define a tapered distal tip. To release the stent, the outer catheter is moved proximally to roll the membrane away from its surrounding relation to the stent, whereupon the stent radially self-expands progressively, beginning at its distal end. When completely retracted after stent release, the sheath surrounds a distal region of the inner catheter, and can provide a protective layer between arterial tissue and a dilatation balloon supported along the distal region. As an alternative, a stent formed of a recovery metal can be plastically deformed into a reduced radius state for delivery, which facilitates use of a more flexible stent retaining sheath. A further alternative involves securing the sheath proximally of the dilatation balloon, so that sheath retraction leaves the dilatation balloon exposed, rather than covered by the sheath.
    • 用于展开径向自扩张支架和其他可径向扩张的支架的装置包括内导管,围绕内导管的外导管和由滚动膜形成的管状支架护套。 护套自身加倍,以提供附接到内导管的内护套层和附接到外导管的外护套层。 护套层沿径向自扩张支架延伸并围绕径向自扩张支架,以将支架保持在远离内导管并且处于径向压缩的轴向细长状态。 在支架的远侧,内鞘层和外护套层在远端方向收敛并变窄以限定锥形远端尖端。 为了释放支架,外导管向近侧移动以使膜远离其与支架的周围关系滚动,于是支架从其远端开始逐渐自动扩张。 当支架释放后完全缩回时,护套围绕内导管的远端区域,并且可以在动脉组织与沿着远侧区域支撑的扩张球囊之间提供保护层。 作为替代方案,由回收金属形成的支架可以塑性变形到用于输送的减小的半径状态,这有助于使用更灵活的支架保持护套。 另外的替代方案是将护套固定在扩张球囊的近侧,使得护套缩回使膨胀气球暴露而不是被护套覆盖。
    • 7. 发明授权
    • Medial region deployment of radially self-expanding stents
    • 径向自扩张支架的内侧部位
    • US5201757A
    • 1993-04-13
    • US863231
    • 1992-04-03
    • Lawrence R. HeynLiann M. JohnsonMatthew T. YurekPeter A. BasileRobert L. Berger
    • Lawrence R. HeynLiann M. JohnsonMatthew T. YurekPeter A. BasileRobert L. Berger
    • A61F2/84A61F2/06A61F2/82
    • A61F2/95A61F2/97A61F2002/9511A61F2002/9517
    • An apparatus for deploying a radially self-expanding stent includes proximal and distal sleeves respectively containing proximal and distal end portions of the stent in a reduced radius delivery configuration. The sleeves can abut one another and thus contain the entire length of the stent, or may be used in combination with an outer catheter surrounding the sleeves and containing the medial region of the stent. In either event, once the stent and sleeves are positioned at the intended fixation site, the sleeves are moved axially with respect to one another to permit radial self-expansion of the stent only over its medial region, while the sleeves continue to contain the axially outward regions of the stent. Eventually, upon sufficient movement of the sleeves axially relative to one another, the stent becomes totally free of the sleeves, resulting in radial expansion over the entire stent length. The axial relative movement of the sleeves can be controlled by two or more catheters mounted movably with respect to one another, one catheter integral with each of the sleeves. Alternative arrangements for separating the sleeves include an externally threaded inner catheter, and a dilatation balloon or membrane expandable to force the sleeves apart from one another.
    • 用于部署径向自扩张支架的装置包括分别容纳缩小的半径递送构造的支架的近端部分和远端部分的近端和远端套管。 袖子可以彼此邻接并因此包含支架的整个长度,或者可以与围绕套管的外导管并且包含支架的内侧区域组合使用。 在任一情况下,一旦支架和套管定位在预期的固定位置,套筒就相对于彼此轴向移动,以允许支架径向自膨胀仅在其内侧区域上,而套筒继续容纳轴向 支架外侧区域。 最终,当套筒相对于彼此轴向地充分移动时,支架完全没有套筒,导致整个支架长度上的径向膨胀。 袖子的轴向相对运动可以通过相对于彼此可移动地安装的两个或更多个导管来控制,一个导管与每个套筒成一体。 用于分离套筒的替代布置包括外螺纹内导管和可膨胀以使套管彼此分开的膨胀球囊或膜。