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    • 7. 发明授权
    • Apparatus and method for vascular embolization
    • 血管栓塞的装置和方法
    • US06375669B1
    • 2002-04-23
    • US09471507
    • 1999-12-23
    • Robert F. RosenbluthBrian J. CoxGeorge R. Green, Jr.
    • Robert F. RosenbluthBrian J. CoxGeorge R. Green, Jr.
    • A61M2900
    • A61B17/12022A61B17/12113A61B17/1214A61B17/12163A61B17/12186A61B17/12195A61B2017/1205A61B2017/12063
    • Apparatus for vascular embolization, deployable through a microcatheter, includes a flexible, elongate deployment tube dimensioned for insertion through the microcatheter, and a filamentous embolic device releasably attached to the distal end of the tube. The embolic device is controllably transformable from a soft, compliant state to a rigid or semi-rigid state. The embolic device may include a polymeric material that is transformable by contact with vascular blood or with a liquid that is cooler than vascular blood, or it may include a metallic material that is transformable by electrolytic corrosion. The embolic device may be a continuous filamentous polymeric extrusion; an elongate microcoil filled with polymeric material; an elongate, multi-segmented chain including polymeric interconnecting portions; or an elongate chain of metal segments that are fused together by electrolytic corrosion. An aneurysm is embolized with this apparatus by deploying a microcatheter so that its distal end is adjacent the aneurysm; deploying the embolic device through the microcatheter and into the aneurysm so that the embolic device forms a web-like mass in the aneurysm; and transforming the embolic device from its soft, compliant state to its rigid or semi-rigid state. The embolic device is advantageously deployed by releasably attaching it to a flexible, elongate deployment tube that is passed through the microcatheter, and then detaching the embolic device from the tube when the embolic device is suitably situated.
    • 用于通过微导管展开的血管栓塞的装置包括尺寸适于插入通过微导管的柔性细长展开管和可释放地附接到管的远端的丝状栓塞装置。 栓塞装置可以从柔软的柔顺状态可控地变形成刚性或半刚性状态。 栓塞装置可以包括通过与血管或与血液血液更冷的液体接触可变形的聚合材料,或者它可以包括可通过电解腐蚀转化的金属材料。 栓塞装置可以是连续的丝状聚合物挤出物; 填充有聚合物材料的细长的微线圈; 包括聚合物互连部分的细长多段链; 或通过电解腐蚀熔合在一起的金属段的细长链。 通过部署微导管使其远端邻近动脉瘤,将动脉瘤栓塞在该装置上; 将栓塞装置通过微导管部署到动脉瘤中,使得栓塞装置在动脉瘤中形成网状质量; 并将栓塞装置从其柔软的柔顺状态转变为刚性或半刚性状态。 栓塞装置有利地通过将其可释放地附接到穿过微导管的柔性细长的展开管来展开,然后当栓塞装置适当地定位时将栓塞装置从管中分离出来。
    • 10. 发明授权
    • Vascular embolization with an expansible implant
    • 血管栓塞与可扩展植入物
    • US07483558B2
    • 2009-01-27
    • US11733697
    • 2007-04-10
    • George R. Greene, Jr.Robert F. RosenbluthBrian J. Cox
    • George R. Greene, Jr.Robert F. RosenbluthBrian J. Cox
    • G06T7/60A61F2/06B22C7/02
    • A61L31/146A61B17/12022A61B17/12113A61B17/12186A61B17/1219A61B34/10A61B2017/00526A61B2017/1205A61F2/06A61L31/145A61L31/18A61L2430/36B33Y50/00B33Y80/00Y10S623/901Y10S623/903Y10T29/49
    • A vascular implant formed of a compressible foam material has a compressed configuration from which it is expansible into a configuration substantially conforming to the shape and size of a vascular site to be embolized. Preferably, the implant is formed of a hydrophilic, macroporous foam material, having an initial configuration of a scaled-down model of the vascular site, from which it is compressible into the compressed configuration. The implant is made by scanning the vascular site to create a digitized scan data set; using the scan data set to create a three-dimensional digitized virtual model of the vascular site; using the virtual model to create a scaled-down physical mold of the vascular site; and using the mold to create a vascular implant in the form of a scaled-down model of the vascular site. To embolize a vascular site, the implant is compressed and passed through a microcatheter, the distal end of which has been passed into a vascular site. Upon entering the vascular site, the implant expands in situ substantially to fill the vascular site. A retention element is contained within the microcatheter and has a distal end detachably connected to the implant. A flexible, tubular deployment element is used to pass the implant and the retention element through the microcatheter, and then to separate the implant from the retention element when the implant has been passed out of the microcatheter and into the vascular site.
    • 由可压缩泡沫材料形成的血管植入物具有压缩构型,其可膨胀到基本上符合要栓塞的血管部位的形状和尺寸的构造。 优选地,植入物由亲水的大孔泡沫材料形成,具有血管部位的缩小模型的初始构型,从而可压缩成压缩构型。 通过扫描血管部位来创建植入物以产生数字化的扫描数据集; 使用扫描数据集创建血管部位的三维数字化虚拟模型; 使用虚拟模型创建血管部位的缩小物理模具; 并使用模具以血管部位的缩小模型的形式产生血管植入物。 为了栓塞血管部位,植入物被压缩并通过微导管,其远端已经进入血管部位。 在进入血管部位时,植入物基本上扩张以填充血管部位。 保持元件容纳在微导管内并且具有可拆卸地连接到植入物的远端。 使用柔性的管状展开元件将植入物和保持元件通过微导管,然后当植入物从微导管通过并进入血管部位时,将植入物与保留元件分离。