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    • 4. 发明申请
    • DEVICES AND METHODS FOR CROSSING CHRONIC TOTAL OCCLUSIONS
    • 用于交叉治疗慢性阻塞性疾病的装置和方法
    • US20100030251A1
    • 2010-02-04
    • US12302142
    • 2007-05-22
    • Gurpreet S. SandhuCharanjit S. Rihal
    • Gurpreet S. SandhuCharanjit S. Rihal
    • A61M29/00A61M25/00
    • A61B17/3207A61B2017/00858A61B2017/22094A61M25/0043A61M25/0662A61M29/00A61M2025/006
    • Devices and methods for crossing total chronic occlusions in body lumens (e.g., blood vessels, etc.). The devices and methods may involve guidewire assisted delivery of a device designed to both traverse a chronic total occlusion (CTO) and create a passageway through the CTO for a treatment device (e.g., an angioplasty balloon, stent, etc.). Some devices of the present invention may include an expandable sleeve constructed of material that expands in response to temperature changes. In other devices, an expandable sleeve may be provided in which two or more interlocking cylindrical sections can be arranged such that the cylindrical sections have a first, smaller diameter at which the expandable sleeve can be inserted through a CTO. The expandable sleeve also has a second, larger diameter that can be achieved by moving the two or more interlocking cylindrical sections relative to each other such that the expandable sleeve moves from the first diameter to the second diameter when the expandable sleeve is located across the CTO. In other aspects, a guide catheter may include a friction-enhanced outer surface to assist in maintaining the guide catheter in a selected location during use. The friction-enhanced property may be provided using, e.g., materials with an increased coefficient of friction, adding features to the surface of an otherwise smooth guide catheter, etc.
    • 用于穿过体腔(例如血管等)中的全部慢性闭塞的装置和方法。 装置和方法可以包括设计成横穿慢性完全闭塞(CTO)并且通过用于治疗装置(例如血管成形术球囊,支架等)的CTO的通道的导丝辅助递送。 本发明的一些装置可以包括由可响应于温度变化而膨胀的材料构成的可膨胀套筒。 在其他装置中,可以提供可膨胀套筒,其中可以布置两个或更多个互锁圆柱形部分,使得圆柱形部分具有第一较小直径,在该直径下,可扩张套筒可以穿过CTO插入。 可膨胀套筒还具有第二较大直径,其可以通过相对于彼此移动两个或更多个互锁的圆柱形部分来实现,使得当可膨胀套筒位于CTO周围时,可膨胀套筒从第一直径移动到第二直径 。 在其他方面,引导导管可以包括摩擦增强的外表面,以在使用期间辅助将引导导管保持在选定的位置。 摩擦增强特性可以使用例如具有增加的摩擦系数的材料来提供,在另外平滑的引导导管的表面上增加特征等。