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    • 4. 发明授权
    • Apparatus for curving an implantable medical device in a lumen
    • 用于在内腔中弯曲可植入医疗装置的装置
    • US09237960B2
    • 2016-01-19
    • US13122646
    • 2009-10-09
    • Erik E. RasmussenBent OehlenschlaegerKim Moegelvang Jensen
    • Erik E. RasmussenBent OehlenschlaegerKim Moegelvang Jensen
    • A61F2/06A61F2/95
    • A61F2/95A61F2002/9505A61F2002/9511A61F2002/9517
    • An introducer assembly (100) including at its distal end a dilator tip (20) and an inner catheter for supporting an implantable medical device (1) for deployment, is provided with a plurality of strut elements (102, 202) extending from the dilator tip (20) to the proximal end of the medical device (1). The strut elements (102, 202) act to apply both a pulling and a pushing force against the proximal end of the medical device (1), having the effect of assisting in the correct positioning of the proximal end of the medical device in a patient's lumen, particularly where this is curved such as with the aortic arch. The strut elements (102, 202) form part of the introducer assembly and are removed from the patient following the deployment procedure. The device avoids the need for bare stents at the end of a stent graft.
    • 导引器组件(100)在其远端包括扩张器尖端(20)和用于支撑用于展开的可植入医疗装置(1)的内导管,其具有从扩张器延伸的多个支柱元件(102,202) 尖端(20)到医疗装置(1)的近端。 支撑元件(102,202)用于将拉力和推力施加到医疗装置(1)的近端上,其作用是帮助将医疗装置的近端正确定位在患者体内 特别是在弯曲的地方,如主动脉弓。 支撑元件(102,202)形成导引器组件的一部分,并且在部署过程之后从患者身上移除。 该装置避免了在支架移植物末端需要裸支架。
    • 7. 发明申请
    • Stent-graft and apparatus and fitting method
    • 支架移植及装置及装配方法
    • US20090259291A1
    • 2009-10-15
    • US12384362
    • 2009-04-03
    • Tilo KolbelMartin MalinaKim Moegelvang JensenBent OhlenschlaegerErik E. Rasmussen
    • Tilo KolbelMartin MalinaKim Moegelvang JensenBent OhlenschlaegerErik E. Rasmussen
    • A61F2/06
    • A61F2/07A61F2/89A61F2/95A61F2002/075A61F2002/9511A61F2002/9517
    • A stent-graft (100) is provided with a tightenable loop element (104) having a first end terminated in a slip knot or self-tightening knot (112) and a second end which is received in and can slide in the knot (112). The knot (112) is tied by a suture to the stent-graft (100) so as to be fixed thereto. The loop (104) is fitted to the stent-graft (100) in a manner as to pass between the inside to the outside of the graft material and in such a manner that controlled curvature of the stent-graft (100) is possible, in particular control of the overlapping of adjacent stents held within the zone of the loop (104). An introducer assembly is also disclosed which includes a control cannula (120) able to the fixed to the stent-graft (100) during the deployment procedure, as well as a mechanism of suture loops (150, 152) at the proximal end of the stent-graft (100) for retaining this in a constricted form during the process of curving the latter during the deployment process.
    • 支架移植物(100)设置有可收紧的环形元件(104),其具有终止于滑结或自紧结(112)的第一端,以及容纳在结中并可在结中滑动的第二端(112) )。 结(112)通过缝合线绑定到支架移植物(100)上,以便固定在其上。 将环(104)以能够在移植物材料的内部到外部之间通过的方式以可能的支架移植物(100)的受控曲率的方式装配到支架移植物(100) 特别是控制保持在环(104)的区域内的相邻支架的重叠。 还公开了一种导引器组件,其包括能够在展开过程期间固定到支架移植物(100)的控制套管(120),以及在该近端处的缝线环(150,152)的机构 支架移植物(100),用于在展开过程中使其在弯曲过程中将其保持在收缩形式中。
    • 9. 发明授权
    • Stent-graft and apparatus and fitting method
    • 支架移植及装置及装配方法
    • US08043356B2
    • 2011-10-25
    • US12384362
    • 2009-04-03
    • Tilo KölbelMartin MalinaKim Moegelvang JensenBent ØhlenschlaegerErik E. Rasmussen
    • Tilo KölbelMartin MalinaKim Moegelvang JensenBent ØhlenschlaegerErik E. Rasmussen
    • A61F2/82
    • A61F2/07A61F2/89A61F2/95A61F2002/075A61F2002/9511A61F2002/9517
    • A stent-graft (100) is provided with a tightenable loop element (104) having a first end terminated in a slip knot or self-tightening knot (112) and a second end which is received in and can slide in the knot (112). The knot (112) is tied by a suture to the stent-graft (100) so as to be fixed thereto. The loop (104) is fitted to the stent-graft (100) in a manner as to pass between the inside to the outside of the graft material and in such a manner that controlled curvature of the stent-graft (100) is possible, in particular control of the overlapping of adjacent stents held within the zone of the loop (104). An introducer assembly is also disclosed which includes a control cannula (120) able to the fixed to the stent-graft (100) during the deployment procedure, as well as a mechanism of suture loops (150, 152) at the proximal end of the stent-graft (100) for retaining this in a constricted form during the process of curving the latter during the deployment process.
    • 支架移植物(100)设置有可收紧的环形元件(104),其具有终止于滑结或自紧结(112)的第一端,以及容纳在结中并可在结中滑动的第二端(112) )。 结(112)通过缝合线绑定到支架移植物(100)上,以便固定在其上。 将环(104)以能够在移植物材料的内部到外部之间通过的方式以可能的支架移植物(100)的受控曲率的方式装配到支架移植物(100) 特别是控制保持在环(104)的区域内的相邻支架的重叠。 还公开了一种导引器组件,其包括能够在展开过程期间固定到支架移植物(100)的控制套管(120),以及在该近端处的缝线环(150,152)的机构 支架移植物(100),用于在展开过程中使其在弯曲过程中将其保持在收缩形式中。
    • 10. 发明申请
    • Introducer for Deploying a Stent Graft in a Curved Lumen and Stent Graft Therefor
    • 介入器在弯曲流明和支架移植中部署支架移植
    • US20100114291A1
    • 2010-05-06
    • US12609066
    • 2009-10-30
    • Tilo KölbelErik E. RasmussenBent ØhlenschlaegerKim Moegelvang Jensen
    • Tilo KölbelErik E. RasmussenBent ØhlenschlaegerKim Moegelvang Jensen
    • A61F2/84A61F2/06
    • A61F2/07A61F2/89A61F2/95A61F2002/9505A61F2002/9511A61F2002/9517A61F2230/0067
    • A stent graft (18) for deployment in a curved lumen such as the aortic or thoracic arch (130) comprises a constraining mechanism at its proximal end. A stent (4′) provided at the proximal end of the stent graft (18) includes loops of material (11) that co-operate with restraining wires (42) that extend between a central guide wire carrier (24) and a restraining wire cannula (8). The constraining mechanism acts to maintain the proximal stent (4′) constrained at three points around its circumference at both the proximal and distal ends of the proximal stent (4′). The proximal stent (4′) is thus allowed to expand after expansion of the remainder of the stent graft (18) during deployment. In an embodiment, the constraining mechanism acts to constrain two adjacent struts of the proximal stent (4′) at three points radially therearound, at the proximal end of the stent (4′) and at the distal end of the stent (4′). The proximal stent (4′) may then overlap with the interior of an adjacent stent at an inner part (31) of a curved vessel.
    • 用于展开在诸如主动脉或胸廓弓(130)的弯曲内腔中的支架移植物(18)在其近端处包括约束机构。 设置在支架移植物(18)的近端处的支架(4')包括与限制线(42)配合的材料环(11),所述限制线(42)在中心导丝架(24)和限制线 套管(8)。 约束机构用于使近端支架(4')在近端支架(4')的近端和远端处围绕其圆周的三个点处被约束。 因此,在展开期间,近端支架(4')在扩张支架移植物(18)的其余部分之后允许膨胀。 在一个实施例中,约束机构用于约束近侧支架(4')的两个相邻的支柱,其位于其周围的径向周围的三个点处,在支架(4')的近端处并且在支架(4')的远端处, 。 近端支架(4')然后可以在弯曲容器的内部部分(31)处与相邻支架的内部重叠。