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    • 1. 发明申请
    • EMBOLISM PROTECTION DEVICE
    • 嵌入式保护装置
    • US20140052170A1
    • 2014-02-20
    • US13670042
    • 2012-11-06
    • Richard R. HeuserFurqan Tejani
    • Richard R. HeuserFurqan Tejani
    • A61F2/01
    • A61F2/013A61F2/01A61F2002/018
    • Disclosed herein are systems and methods for protecting a subject from embolisms during TAVI percutaneous valve procedures, coronary bypass surgery and heart valve surgery. Various embodiments include an intravascular embolism protection device that includes an elongated, compliant frame made from a material having a shape-memory function, and a mesh material coupled to the elongated, compliant frame, the mesh material having a pore size selected to allow blood to pass therethrough while retaining potential emboli. In some embodiments, the embolism protection device has a collapsed state wherein device is configured to fit within the lumen of a support catheter and an expanded state wherein the embolism protection device is configured to cover a plurality of arterial branch ostias.
    • 本文公开了用于在TAVI经皮瓣膜手术,冠状动脉旁路手术和心脏瓣膜手术期间保护受试者免受栓塞的系统和方法。 各种实施方案包括血管内栓塞保护装置,其包括由具有形状记忆功能的材料制成的细长的柔性框架和联接到细长的柔性框架的网状材料,所述网状材料具有选择的孔径,以允许血液 通过,同时保留潜在的栓子。 在一些实施例中,栓塞保护装置具有折叠状态,其中装置被配置成装配在支撑导管的内腔中并且膨胀状态,其中栓塞保护装置构造成覆盖多个动脉分支口。
    • 2. 发明申请
    • DEVICES AND METHODS FOR SMALL VESSEL ACCESS
    • 小型船舶接入设备及方法
    • US20120116354A1
    • 2012-05-10
    • US12941952
    • 2010-11-08
    • Richard R. Heuser
    • Richard R. Heuser
    • A61M25/00
    • A61M29/00A61M2025/0687
    • Disclosed herein are methods and devices for small-vessel access to the vasculature for vascular and cardiac procedures such as diagnostics and interventions, particularly methods and devices for radial, brachial, popliteal, pedal, carotid and/or axillary access to the vasculature. These methods and devices permit vascular and cardiac procedures to be carried out through small vessels, such as the radial or brachial arteries, with a reduced number of steps for the physician and reduced pain and trauma for the patient. As such, the devices and methods may improve a number of outcomes for the patient, such as by reducing the risk of bleeding complications and increasing the speed with which the patient resumes ambulation and other activities following the procedure.
    • 本文公开了用于小血管进入脉管系统以用于血管和心脏手术的方法和装置,例如诊断和干预,特别是用于径向,肱动脉,po,脚踏,颈动脉和/或腋窝接近脉管系统的方法和装置。 这些方法和装置允许血管和心脏手术通过诸如桡动脉或肱动脉的小血管进行,并减少医生的步数,并减轻患者的疼痛和创伤。 因此,装置和方法可以改善患者的许多结果,例如通过降低出血并发症的风险并增加患者恢复行走的速度和随后的其他活动。
    • 3. 发明申请
    • CATHETER GUIDEWIRE SYSTEM USING CONCENTRIC WIRES
    • 使用集束线的导管指南系统
    • US20090012429A1
    • 2009-01-08
    • US12140183
    • 2008-06-16
    • Richard R. Heuser
    • Richard R. Heuser
    • A61M25/09
    • A61M25/09A61M25/01
    • A catheterization guidewire system provides a first wire for percutaneous insertion in a blood vessel. The first wire may include a lumen running from one end to the other, and a handle adjacent the proximal end for manipulation of the first wire about and along a central axis. A second wire may be inserted in the blood vessel over the first wire, and may have a handle adjacent a proximal end. With the first and second wires coupled together, either of the handles of the first and second wires may be used to manipulate both wires. The wires may be manipulated relative to one another by simultaneous use of both handles. The first wire may have a rigidity selected to allow crossing of a bifurcation in the blood vessel. A third wire, which may also have a handle, may be inserted in the blood vessel over the second wire. A catheter for insertion over at least one of the first, second, and third wires may be provided with a balloon and a stent placement apparatus.
    • 导管引导系统提供用于在血管中经皮插入的第一线。 第一线可以包括从一端延伸到另一端的内腔,以及与近端相邻的手柄,用于围绕并沿着中心轴线操纵第一线。 第二线可以在第一线上的血管中插入,并且可以具有邻近近端的手柄。 通过将第一和第二导线耦合在一起,第一和第二导线的手柄中的任一个可用于操纵两条导线。 可以通过同时使用两个把手相对于彼此来操纵电线。 第一线可以具有选择的刚性以允许血管中的分叉交叉。 也可以具有手柄的第三线可以插入第二线上的血管中。 用于插入第一,第二和第三线中的至少一个的导管可以设置有气囊和支架放置装置。
    • 7. 发明授权
    • Catheter system for connecting adjacent blood vessels
    • 用于连接相邻血管的导管系统
    • US07374567B2
    • 2008-05-20
    • US11340324
    • 2006-01-25
    • Richard R. Heuser
    • Richard R. Heuser
    • A61B17/34A61B17/08
    • A61B17/3478A61B17/11A61B2017/00252A61B2017/00876A61B2017/1107A61B2017/1139
    • A catheter system is provided for creating a fistula between blood vessels, using a first catheter with a piercing tool adjacent its distal end, and a second catheter with a receptor adjacent its distal end. The receptor includes an opening and a channel providing a guide surface for receiving the piercing tool. The receptor and piercing tool include one or more magnets to draw the piercing tool into the channel of the receptor. The piercing tool and the receptor are provided with a complementary configuration, such as a mating conical shapes. A third catheter may be provided with a double balloon for use in sealing off the fistula site. The piercing tool may be provided on a metal guidewire that includes a lumen with a distal opening. The piercing tool may include a base and a needle coupled to the base at a nominal angle of at least about 20-degrees. The piercing tool may be selectively moved between an extended position wherein the needle is positioned outside the guidewire at the nominal angle and a retracted position wherein the needle is positioned substantially within the guidewire.
    • 提供导管系统,用于在血管之间产生瘘管,使用具有邻近其远端的穿刺工具的第一导管和具有邻近其远端的受体的第二导管。 该接收器包括开口和通道,该通道提供用于接收穿孔工具的引导表面。 受体和刺穿工具包括一个或多个磁体,以将刺穿工具拉入受体的通道。 穿孔工具和接收器设置有互补配置,例如配合的圆锥形状。 第三导管可以设置有用于密封瘘位置的双气囊。 刺穿工具可以设置在包括具有远端开口的内腔的金属导丝上。 刺穿工具可以包括基部和以至少约20度的标称角度联接到基部的针。 刺穿工具可以选择性地在伸出位置之间移动,其中针以标称角度定位在导丝外部,并且缩回位置,其中针位于基本上在导丝内。
    • 9. 发明授权
    • Catheter for thermal evaluation of arteriosclerotic plaque
    • 导管用于动脉硬化斑块的热评估
    • US06536949B1
    • 2003-03-25
    • US09521091
    • 2000-03-07
    • Richard R. Heuser
    • Richard R. Heuser
    • G01K702
    • A61B5/01A61B5/6855A61B5/6856A61B5/6858A61B5/6885A61B8/12G01K13/002
    • A device for percutaneous insertion into a fluid passageway of a human body, such as an artery is provided with one or more thermocouples disposed on a flexible, resilient wire lead and coupled to a temperature monitor. The wire lead includes a distal portion formed in a single, oval, looped shape or a double, ovoid or basket-like, looped shape with the thermocouples disposed on a side or tip of the shape. The wire lead is configured, e.g., by insertion in a guidewire, for slidable movement through the artery to an area of interest, e.g., at a buildup of arteriosclerotic plaque, on an inner surface of the artery, to bring the thermocouple into resiliently biased contact with the inner surface at the area of interest for measurement of the temperature there.
    • 用于经皮插入诸如动脉的人体的流体通道中的装置设置有设置在柔性弹性导线上并耦合到温度监测器的一个或多个热电偶。 线引线包括形成为单个,椭圆形环形或双,卵形或篮状环形形状的远端部分,其中热电偶设置在形状的一侧或尖端。 引线例如通过插入导丝中,可以通过动脉可滑动地移动到感兴趣的区域,例如在动脉内的表面上形成动脉硬化斑块,以使热电偶进入弹性偏置 与感兴趣区域的内表面接触,以测量那里的温度。