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    • 2. 发明授权
    • Apparatus for fragmentation of a lung or heart embolus
    • 用于肺或心脏栓塞破裂的装置
    • US5630823A
    • 1997-05-20
    • US459272
    • 1995-06-02
    • Thomas Schmitz-RodeRolf W. Gunther
    • Thomas Schmitz-RodeRolf W. Gunther
    • A61B17/22A61M25/00
    • A61M25/0041A61B17/221A61B17/320725A61B17/320758A61B2017/320733
    • Method and apparatus for fragmentation of a lung embolus. The apparatus includes a catheter that is introduced over a guide wire to the site of the lung embolism in the vascular system of a patient. When the guide wire is withdrawn from the distal end segment of the catheter, the distal end segment bends back proximally. An opening in the bend of the catheter is in line with the central axis of the catheter when the distal end segment is in a curved configuration. The guide wire is then advanced to extend distally from the catheter opening past the embolism and stabilize the longitudinal position of the catheter in the blood vessel. The apparatus also includes a thread for pulling the bent distal end segment into a generally oval-shaped loop condition and stabilizing the loop about the embolism. The looped catheter is then rotated and moved longitudinally back and forth for mechanically destroying the embolism. To return the catheter to a straight condition, the rigid guide wire is withdrawn from the catheter, and a guide wire with a resilient J-tip is advanced to the distal end segment of the catheter. The J-tip guide wire follows the catheter past the catheter opening, thereby straightening the catheter for removal from the body. The apparatus optionally includes a handle or motor positioned at the proximal end of the apparatus.
    • 肺栓塞破裂的方法和装置。 该装置包括导管,导管穿过患者血管系统中的肺栓塞部位。 当引导线从导管的远端部分撤出时,远端部分向近侧弯曲。 当远端段处于弯曲形状时,导管弯曲处的开口与导管的中心轴线一致。 导丝然后前进以从导管开口向远侧延伸穿过栓塞,并将导管的纵向位置稳定在血管中。 该装置还包括用于将弯曲的远端段拉伸成大致椭圆形的环状并且围绕栓塞稳定环的螺纹。 然后将环形导管旋转并纵向前后移动以机械地破坏栓塞。 为了将导管返回到直线状态,刚性导丝从导管中取出,并且具有弹性J型尖端的引导线前进到导管的远端段。 J型引导线沿着导管穿过导管开口,从而矫正导管以从体内移除。 该设备可选地包括位于设备近端的手柄或马达。
    • 4. 发明授权
    • Endovascular graft prosthesis and an implantation method for such a
prosthesis
    • 血管内移植假体和这种假体的植入方法
    • US5562724A
    • 1996-10-08
    • US446761
    • 1995-06-02
    • Dierk VorwerkRolf W. GuntherThomas Schmitz-Rode
    • Dierk VorwerkRolf W. GuntherThomas Schmitz-Rode
    • A61F2/06A61F2/07
    • A61F2/07A61F2/90A61F2002/065A61F2230/001A61F2230/0054
    • An endovascular graft prosthesis for arrangement at or in the vicinity of a bifurcation in the arterial system of a patient, e.g. for the purpose of repairing an aneurysm or the aortic bifurcation comprises a substantially tubular main body for location in the principal upstream arteria above the bifurcation such as th aorta and substantially tubular legs joining said main body in a bifurcation and extending into each of two branch arteries such as the iliac arteries. The main body (8) is substantially bag-shaped with an open proximal upstream end and a distal downstream bottom region in which two outlet openings (9, 10) are provided and is attachable to the inner side of the principal arteria (2) by means of an expandable stent device (11). The legs are made as separate expandable leg stent devices (15, 16) which may be introduced in a collapsed condition through the branch arteries and into the outlet openings (9,10) of the main body by means of guide wires (13,14) to engage against the rim of the corresponding outlet opening to provide a leakage-free bifurcated graft prosthesis.
    • PCT No.PCT / DK94 / 00468 Sec。 371日期:1995年6月2日 102(e)日期1995年6月2日PCT 1994年12月15日PCT PCT。 WO95 / 16406 PCT公开号 1995年6月22日,用于在患者的动脉系统中的分叉处或附近布置的血管内移植假体。 为了修复动脉瘤或主动脉分叉包括基本上管状的主体,用于位于分叉上方的主要上游动脉中,例如主动脉和基本上管状的腿,将分叉部分连接到主体并延伸到两个分支动脉 如髂动脉。 主体(8)基本上是袋形的,具有开放的近端上游端和远侧下游底部区域,其中两个出口开口(9,10)设置在其中,并且可通过主要动脉(2)的内侧附接到主动脉(2)的内侧 可扩张支架装置(11)的装置。 腿部被制成单独的可扩张腿支架装置(15,16),其可以通过分支动脉以折叠状态引入,并通过导丝(13,14)进入主体的出口(9,10) )与相应的出口开口的边缘接合以提供无渗漏的分叉移植假体。