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    • 1. 发明申请
    • Extendible stent apparatus
    • 可扩展支架装置
    • US20070032855A1
    • 2007-02-08
    • US11545254
    • 2006-10-10
    • Charles DavidsonEric WilliamsGil VardiStuart Lin
    • Charles DavidsonEric WilliamsGil VardiStuart Lin
    • A61F2/06
    • A61F2/82A61F2/064A61F2/07A61F2/856A61F2/91A61F2/915A61F2/954A61F2/958A61F2002/065A61F2002/067A61F2002/821A61F2002/91508A61F2002/91516A61F2002/91525A61F2002/91533A61F2002/91558A61F2002/91575A61F2002/91583A61F2250/006A61F2250/0098
    • The present invention concerns novel stent apparatuses for use in treating lesions at or near the bifurcation point in bifurcated cardiac, coronary, renal, peripheral vascular, gastrointestinal, pulmonary, urinary and neurovascular vessels and brain vessels. More particularly, the invention concerns a stent apparatus with at least one side opening which may further comprise an extendable stent portion laterally extending from the side opening and at least partly in registry with the wall of the side opening. Devices constructed in accordance with the invention include, singularly or in combination, a main expandable stent comprising at least one substantially circular side opening located between its proximal and distal end openings, which side opening may further comprise an expandable portion extending radially outward from the edges of the side opening; and a branch stent comprising proximal and distal end openings and which may further comprise a contacting portion at its proximal end, and which may optionally be constructed to form either a perpendicular branch or a non-perpendicular branch when inserted through a side opening of the main stent. The stents of the invention are marked with, or at least partially constructed of, a material which is imageable during intraluminal catheterization techniques, most preferably but not limited to ultrasound and x-ray.
    • 本发明涉及用于治疗分叉的心脏,冠状动脉,肾脏,外周血管,胃肠,肺,尿和神经血管血管和脑血管中的分叉点处或附近的病变的新型支架装置。 更具体地说,本发明涉及具有至少一个侧面开口的支架装置,所述至少一个侧面开口还可以包括从所述侧面开口横向延伸并且至少部分地与所述侧面开口的壁对齐的可延伸支架部分。 根据本发明构造的装置包括单独地或组合地包括主扩展支架,其包括位于其近端和远端开口之间的至少一个基本上圆形的侧开口,该侧开口还可包括从边缘径向向外延伸的可扩张部分 的侧面开口; 以及分支支架,其包括近端和远端开口,并且其可以在其近端处进一步包括接触部分,并且其可以可选地被构造成当插入通过主体的侧开口插入时垂直分支或非垂直分支 支架。 本发明的支架由管腔内导管插入技术中可成像的材料标记或至少部分地构成,最优选但不限于超声和x射线。
    • 2. 发明申请
    • Catheter with attached flexible side sheath
    • 导管附有柔性侧护套
    • US20050245941A1
    • 2005-11-03
    • US10762562
    • 2004-01-23
    • Gil VardiCharles DavidsonEric Williams
    • Gil VardiCharles DavidsonEric Williams
    • A61B5/05A61F2/00A61F2/06A61F2/84A61F11/00
    • A61F2/954A61F2/856A61F2/958A61F2250/006A61F2250/0097Y10S623/903
    • A method of positioning a main stent at a vessel bifurcation such that a side opening in the main stent is positioned at the ostium of a branch vessel, comprising: positioning a main guidewire in the main vessel such that a distal end of the main guidewire extends past the bifurcation; advancing a stent delivery system to a position proximate the bifurcation, the stent delivery system comprising a catheter with a flexible side sheath attached thereto, wherein the catheter is received over the main guidewire, and wherein the main stent is positioned over the catheter with the flexible side sheath positioned to pass through the interior of the main stent and out of the side opening in the main stent; advancing a branch guidewire through the flexible side sheath attached to the catheter and into the branch vessel; and subsequently, advancing the catheter over the main guidewire while advancing the flexible side sheath over the branch guidewire while viewing relative movement of a marker positioned on the flexible side sheath with respect to at least one marker positioned on the catheter, wherein the relative movement indicates that a portion of the flexible side sheath adjacent the side opening in the main stent is advancing into the ostium of the branch vessel, thereby indicating the position of the side opening of the main stent with respect to the ostium of the branch vessel.
    • 一种将主支架定位在血管分叉处的方法,使得主支架中的侧开口位于分支容器的口处,包括:将主导丝定位在主容器中,使得主导丝的远端延伸 过了分岔; 将支架输送系统推进到靠近分叉处的位置,所述支架输送系统包括具有附接到其上的柔性侧鞘的导管,其中所述导管被接纳在所述主导丝上,并且其中所述主支架位于所述导管上方, 侧护套定位成穿过主支架的内部并离开主支架的侧开口; 使分支导丝穿过附接到导管的柔性侧鞘进入分支容器; 并且随后在将所述柔性侧护套推进所述分支导丝的同时使所述导管前进,同时观察位于所述柔性侧鞘上的标记相对于位于所​​述导管上的至少一个标记的相对运动,其中所述相对运动指示 与主支架中的侧开口相邻的柔性侧鞘的一部分前进到分支容器的口中,从而指示主支架的侧开口相对于分支容器的口的位置。