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1. 发明申请

US20090132021A1 APPARATUS AND METHOD FOR DELIVERY, SPREADING AND DOUBLE-ENDED FIXATION OF VASCULAR GRAFTS 审中-公开
标题翻译：装置和方法，用于输送，扩张和双重固定血管植入
公开(公告)号：US20090132021A1
公开(公告)日：2009-05-21
申请号：US12159662
申请日：2006-01-01
申请人： Edward G. Shifrin , Gennady S. Nickelshpur , Arkady S. Nickelshpur , Wesley S. Moore
发明人： Edward G. Shifrin , Gennady S. Nickelshpur , Arkady S. Nickelshpur , Wesley S. Moore
IPC分类号： A61F2/06 , A61B19/00
CPC分类号： A61B17/0682 , A61B17/115 , A61B50/20 , A61B2017/1157 , A61F2/07 , A61F2/95
摘要： The present invention relates to medical techniques, more particularly to methods and apparatus for delivery and double-ended fixation of vascular prosthesis—grafts or stent-grafts to blood vessel walls in direction from inside these vessels to their outer surface. The apparatus comprises a tubular body with two expandable working heads at the free end, means for securing thereon the prosthesis end. The heads have eight cartridges each, and each of these cartridges is provided with one basic and one standby fastener means, substantially U-shaped staples. A control mechanism is provided consisting of two control modules joined together. The apparatus is also provided with means for positioning inside a blood vessel. There is further proposed a method for delivery and double-ended fixation of an endovascular prosthesis to a blood vessel wall.
摘要翻译：本发明涉及医疗技术，更具体地涉及用于将血管假体移植物或支架移植物递送和双端固定到血管壁的方法和装置，所述方法和装置在从这些容器内部到外表面的方向上。该装置包括在自由端具有两个可扩展工作头的管状体，用于固定假体端的装置。头部具有八个盒，并且每个盒具有一个基本和一个待机紧固件装置，基本上为U形的钉。提供了由两个连接在一起的控制模块组成的控制机构。该装置还设置有用于定位在血管内的装置。还提出了一种将血管内假体递送和双端固定到血管壁的方法。

2. 发明授权

US07694866B2 Method and apparatus for laparoscopic aortic repair by intravascular devices 失效
标题翻译：通过血管内装置进行腹腔镜主动脉修复的方法和装置
公开(公告)号：US07694866B2
公开(公告)日：2010-04-13
申请号：US10593758
申请日：2005-02-23
申请人： Edward G. Shifrin , Mark A. Umansky , Mordehy D. Shvartsman , Gennady S. Nickelshpur , Wesley S. Moore
发明人： Edward G. Shifrin , Mark A. Umansky , Mordehy D. Shvartsman , Gennady S. Nickelshpur , Wesley S. Moore
IPC分类号： A61B17/115
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/1157 , A61B2017/2904 , A61B2017/2905
摘要： Medical methods and apparatus for locating and securing intravascular devices, substantially grafts or stents-grafts, via a laparoscopic duct created by a surgical procedure to approach a blood vessel lumen. A stapler including a tubular body having at its distal end a head with a die and die lid and at is proximal end a control mechanism with a retaining handle and a control lever pivotally thereto. The lever is operatively connected via a spring-loaded pressure rod with a fastener located in the die. The movement of lever is transformed into radial forces necessary for punching through the wall of the intravascular device and the surrounding blood vessel wall with a fastener and simultaneously bending ends of the fastener apart. Securing the ends of the intravascular device to the wall of a blood vessel is performed via a set of at least two staplers, each having several simultaneously deliverable fasteners.
摘要翻译：用于通过由手术过程产生的接近血管腔的腹腔镜导管来定位和固定血管内装置，基本上移植物或支架移植物的医疗方法和装置。包括管状主体的订书机具有在其远端具有模具和模具盖的头部，并且在近端具有带有保持手柄的控制机构和与其枢转的控制杆。杠杆通过弹簧加载的压力杆与位于模具中的紧固件可操作地连接。杠杆的运动转变成通过紧固件穿过血管内装置的壁和周围血管壁冲压所需的径向力，同时将紧固件的端部分开。将血管内装置的端部固定在血管壁上通过一组至少两个缝合器进行，每个吻合器具有几个可同时传递的紧固件。

3. 发明授权

US07776082B2 Method and extravenous corrector for simultaneous repair of multiple incompetent valves 失效
标题翻译：同时修复多个不适用阀门的方法和外部校正器
公开(公告)号：US07776082B2
公开(公告)日：2010-08-17
申请号：US10545938
申请日：2003-02-28
申请人： Edward Shifrin , Gennady S. Nichelshpur , Andrew Nicolaides , Wesley S. Moore
发明人： Edward Shifrin , Gennady S. Nichelshpur , Andrew Nicolaides , Wesley S. Moore
IPC分类号： A61F2/06
CPC分类号： A61B17/12 , A61B17/12013 , A61B2017/00862 , A61B2017/00867 , A61F2/2475
摘要： A method and device for repairing incompetent venous valves and more specifically relates to repair method and an implantable support device—extravenous corrector (3), which is positionable about a dilated veins of the Sapheno-Femoral Junction (SFJ) (1) with the aim to apply an external compression force on the insufficient veins of SFJ and especially in the area of the venous valves. There are proposed several embodiments of a extravenous corrector for external correction of insufficient valves in venous junctions. The corrector is adapted to be placed immediately around the junction with venous valves, in abutting contact with its external area. The extravenous corrector comprises a central support member (11) and at least three band lengths (13, 15, 17), connected to the member, adapted for placement around at least two veins of the venous junction in area of location of their insufficient valves, these band lengths possessing different rigidity and compressing force in direction from their proximal end to the distal end.
摘要翻译：更具体地涉及修复方法和修复方法和植入式支撑装置 - 静态矫正器（3），其可以关于Sapheno-Femoral Junction（SFJ）（1）的扩张静脉定位，目的是对SFJ的静脉不足，特别是在静脉瓣区域施加外部压缩力。提出了用于外部校正静脉结中的不充分阀的外部校正器的几个实施例。校正器适于立即放置在与静脉瓣的接合处，与其外部区域邻接。所述外部校正器包括中心支撑构件（11）和连接到所述构件的至少三个带状长度（13,15,17），适于围绕其不充分阀的位置的静脉结的至少两个静脉放置，这些带长度在从近端到远端的方向上具有不同的刚性和压缩力。

4. 发明申请

US20090228096A1 FIXATION OF ENDOVASCULAR GRAFTS OR STENT-GRAFTS 审中-公开
标题翻译：内固定或固定植骨的固定
公开(公告)号：US20090228096A1
公开(公告)日：2009-09-10
申请号：US12094083
申请日：2005-11-17
申请人： Edward G. Shifrin , Gennady S. Nickelshpur , Arkady S. Nickelshpur , Wesley S. Moore
发明人： Edward G. Shifrin , Gennady S. Nickelshpur , Arkady S. Nickelshpur , Wesley S. Moore
IPC分类号： A61F2/06
CPC分类号： A61B17/11 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/07214 , A61B2017/1107 , A61B2017/1157 , A61F2/95 , A61F2002/9517
摘要： The present invention relates to medical techniques, more particularly, to methods and apparatus for delivery of endovasular devices, such as grafts or stent-grafts, and their oversew fixation to the walls of blood vessels in direction from inside these vessels to their outer surface. There is proposed an apparatus for delivery and oversew fixation of grafts or stent-grafts. the apparatus comprises a tubular body with an expandable working head at the free end having eight cartridges, each of them being provided by one basic and at least one standby fastener means, substantially U-shaped staples, a control mechanism, as well as first and second connecting means. The apparatus is also provided with means for positioning inside a blood vessel. Besides, there is proposed a method for delivery and fixation of a graft or stent-graft to the wall of a blood vessel, substantially the aorta, from inside the latter.
摘要翻译：本发明涉及医疗技术，更具体地说，涉及用于递送诸如移植物或支架移植物的囊状装置的方法和装置，以及它们在从这些血管内部到外表面的方向上的血管壁的过度固定。提出了用于移植物或支架移植物的递送和过度固定的装置。该装置包括管状主体，其自由端具有可扩展工作头，其具有八个盒，其中的每一个由一个基本和至少一个待机紧固装置，基本上U形的订书钉，控制机构以及第一和第二连接装置。该装置还设置有用于定位在血管内的装置。此外，提出了一种用于将移植物或支架移植物从内部的血管壁（主要为主动脉）输送和固定的方法。

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