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1. 发明授权

US5860998A Deployment device for tubular expandable prosthesis 失效
标题翻译：用于管状可扩张假体的部署装置
公开(公告)号：US5860998A
公开(公告)日：1999-01-19
申请号：US756061
申请日：1996-11-25
申请人： Timothy Robinson , Michael F. Weiser , Dennis Kujawski , Clifford J. Dwyer
发明人： Timothy Robinson , Michael F. Weiser , Dennis Kujawski , Clifford J. Dwyer
IPC分类号： A61F2/06 , A61F2/82 , A61M29/00
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2002/065 , A61F2002/075 , A61F2002/826 , A61F2220/0058 , A61F2220/0075
摘要： An endoprosthetic implant is formed from a plurality of separate individual components that are inserted sequentially and transluminally into a bifurcated vascular region with each component being deployed in sequence by a sequence of catheter-like deployment devices. The separate components are placed relative to each other to define a bifurcated endoprosthesis. In one embodiment the deployment device includes a tubular sheath for maintaining the radially expandable tubular implant in a contracted configuration and a gripping device including a cup and a gripping member that cooperate to define an annular space by which the trailing end of the implant can be securely held by the deployment device during positioning of the device.
摘要翻译：内置假体植入物由多个单独的单个部件形成，这些单独的部件依次插入并分裂成分叉的血管区域，每个部件通过一系列导管状展开装置依次展开。单独的部件相对于彼此放置以限定分叉的内置假体。在一个实施例中，展开装置包括用于将可径向膨胀的管状植入物保持在收缩构造中的管状护套，以及夹持装置，其包括杯和夹持构件，其协作以限定植入物的后端可靠地环形空间在设备定位期间由部署设备保持。

2. 发明授权

US5902334A Method and apparatus for recapture of hooked endoprosthesis 失效
标题翻译：钩状内假体重新捕获的方法和装置
公开(公告)号：US5902334A
公开(公告)日：1999-05-11
申请号：US832703
申请日：1997-04-11
申请人： Clifford J. Dwyer , Timothy Robinson , Michael Weiser
发明人： Clifford J. Dwyer , Timothy Robinson , Michael Weiser
IPC分类号： A61F2/82 , A61F2/06
CPC分类号： A61F2/07 , A61F2/95 , A61F2/848 , A61F2002/075 , A61F2002/825 , A61F2002/8486 , A61F2002/9522 , A61F2002/9528 , A61F2220/0008 , A61F2220/0016 , A61F2220/0058 , A61F2220/0075 , A61F2230/0054
摘要： An endoprosthesis assembly adapted to be positioned within a body lumen includes a resilient, self-expanding anchor attached to a tubular graft. The endoprosthesis can be recaptured in a delivery device to enable repositioning or removal of the endoprosthesis at any time prior to complete deployment of the endoprosthesis in the patient. The delivery device includes an outer tubular member that carries the endoprosthesis in a radially contracted configuration and an elongate inner tubular member that extends through the prosthesis and beyond the distal end of the outer tubular member. A retainer is carried by the inner member that engages and retains the proximal end of the endoprosthesis relative to the inner member until the endoprosthesis is released. The inner member is formed from an alloy that has superelastic characteristics throughout the range of body temperatures to which it will be exposed to enhance the column strength and pushability of the device while providing a high level of longitudinal flexibility.
摘要翻译：适于定位在体腔内的内假体装置包括附接到管状移植物的弹性自扩张锚。可以在输送装置中重新获得内假体，以使得能够在完成内部假体在患者体内展开之前的任何时间重新定位或移除内用假体。输送装置包括外管状构件，该外管状构件以径向收缩构造承载内假体，以及延伸穿过假体并且超出外管状构件的远端的细长内管状构件。保持器由内部构件承载，内部构件相对于内部构件接合并保持内部假体的近端，直到内部假体被释放。内部构件由合金形成，该合金在其暴露的体温范围内具有超弹性特性，以提供装置的柱强度和推力，同时提供高水平的纵向柔性。

3. 发明授权

US06395017B1 Endoprosthesis delivery catheter with sequential stage control 失效
标题翻译：具有顺序阶段控制的内置假体输送导管
公开(公告)号：US06395017B1
公开(公告)日：2002-05-28
申请号：US08751087
申请日：1996-11-15
申请人： Clifford J. Dwyer , Timothy Robinson
发明人： Clifford J. Dwyer , Timothy Robinson
IPC分类号： A61F206
CPC分类号： A61F2/962 , A61F2002/9517 , A61F2002/9665
摘要： A delivery device for intraluminally positioning and controllably releasing a vascular prosthesis includes an elongate delivery sheath and a control handle at the proximal end of the device. The handle has components movable and arranged to define at least three relative positions including (1) an implant capture position in which the sheath fully encloses and contains the implant, (2) an intermediate position in which the implant is partially deployed but in which the trailing end of the implant remains attached to the delivery device, and (3) a release position in which the implant has been freed from the delivery device and fully released within the blood vessel. The movable parts of the handle include a shifting mechanism that must be operated deliberately through a detent by the physician to enable the handle to be manipulated from one position to the other.
摘要翻译：用于腔内定位和可控地释放血管假体的输送装置包括细长输送鞘和在装置的近端处的控制手柄。手柄具有可移动和布置的部件，其定义至少三个相对位置，包括（1）植入物捕获位置，其中护套完全包围并包含植入物，（2）植入物部分展开的中间位置，植入物的后端保持附着于输送装置，和（3）释放位置，其中植入物已经从输送装置中释放并在血管内完全释放。手柄的可移动部分包括移动机构，该换档机构必须通过医师的制动器故意操作，以使手柄能够从一个位置操纵到另一个位置。

4. 发明授权

US5843167A Method and apparatus for recapture of hooked endoprosthesis 失效
公开(公告)号：US5843167A
公开(公告)日：1998-12-01
申请号：US803839
申请日：1997-02-24
申请人： Clifford J. Dwyer , Timothy Robinson , Michael Weiser
发明人： Clifford J. Dwyer , Timothy Robinson , Michael Weiser
IPC分类号： A61F2/82 , A61F2/06
CPC分类号： A61F2/07 , A61F2/95 , A61F2/848 , A61F2002/075 , A61F2002/825 , A61F2002/8486 , A61F2002/9522 , A61F2002/9528 , A61F2220/0008 , A61F2220/0016 , A61F2220/0058 , A61F2220/0075 , A61F2230/0054
摘要： An endoprosthesis assembly adapted to be securely positioned within a body lumen is provided with one or more hooks adapted to engage tissue that defines the body lumen. The endoprosthesis includes a resilient self-expanding anchor attached to the tubular graft. The anchor and hooks carried by the anchor are constructed to enable the endoprosthesis to be recaptured in a delivery device to enable repositioning or removal of the endoprosthesis and any time prior to complete deployment of the endoprosthesis in the patient.

5. 发明授权

US06773446B1 Delivery apparatus for a self-expanding stent 有权
标题翻译：用于自扩张支架的输送装置
公开(公告)号：US06773446B1
公开(公告)日：2004-08-10
申请号：US09631026
申请日：2000-08-02
申请人： Clifford J. Dwyer , Luis A. Davila , Frederick Feller, III , Mark L. Mathis , David J. Wilson
发明人： Clifford J. Dwyer , Luis A. Davila , Frederick Feller, III , Mark L. Mathis , David J. Wilson
IPC分类号： A61M2900
CPC分类号： A61F2/95 , A61F2/958 , A61F2/966
摘要： A delivery apparatus for a self-expanding stent is disclosed. The apparatus has an outer sheath forming an elongated tubular member having distal and proximal ends and an inside and outside diameter. The apparatus also includes an inner shaft located coaxially within the outer sheath. The inner shaft has a distal end, a proximal end and longitudinal axis extending therebetween. At least a portion of the inner shaft is made from a flexible coiled member. The shaft preferably includes a stop attached thereto, the stop being proximal to the distal end of the sheath. Lastly, the apparatus includes a self-expanding stent located within the outer sheath, wherein the stent makes frictional contact with the outer sheath and the shaft is disposed coaxially within a lumen of the stent. During deployment of the stent, the stent makes contact with the stop.
摘要翻译：公开了一种用于自扩张支架的输送装置。该装置具有形成具有远端和近端以及内径和外径的细长管状构件的外护套。该装置还包括同轴地位于外护套内的内轴。内轴具有在其间延伸的远端，近端和纵向轴线。内轴的至少一部分由柔性卷绕构件制成。轴优选地包括附接到其上的止动件，止动件靠近护套的远端。最后，该装置包括位于外护套内的自扩张支架，其中支架与外护套摩擦接触，并且轴同轴地设置在支架内腔内。在展开支架期间，支架与止动器接触。

6. 发明授权

US08088156B2 Graft material attachment device and method 有权
标题翻译：接枝材料附着装置及方法
公开(公告)号：US08088156B2
公开(公告)日：2012-01-03
申请号：US10680805
申请日：2003-10-07
申请人： Juan Borges , Clifford J. Dwyer , William L. Howat
发明人： Juan Borges , Clifford J. Dwyer , William L. Howat
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/91 , A61F2002/075 , A61F2002/828 , A61F2002/9522 , A61F2250/0039
摘要： A stent-graft fabricated from a thin-walled, high strength material provides for a more durable and lower profile endoprosthesis. The stent-graft comprises one or more stent segments covered with a fabric formed by the weaving, knitting or braiding of a biocompatible, high tensile strength, abrasion resistant, highly durable yarn such as ultra high molecular weight polyethylene. The one or more stent segments may be balloon expandable or self-expanding. The fabric may be attached to the stent segments utilizing any number of known materials and techniques. The fabric may be attached to the stent segments utilizing an attachment device that secures the fabric to a strut of the stent segment by sandwiching the fabric between itself and the stent strut.
摘要翻译：由薄壁，高强度材料制成的支架移植物提供更耐用和更低轮廓的内置假体。支架移植物包括一个或多个支架段，其覆盖有通过编织，编织或编织生物相容性，高抗拉强度，耐磨损，高耐用性的纱线（例如超高分子量聚乙烯）形成的织物。一个或多个支架段可以是气囊扩张的或自膨胀的。织物可以利用任何数量的已知材料和技术附接到支架段上。织物可以利用附接装置附接到支架段，该附接装置通过将织物夹在其与支架支柱之间来将织物固定到支架段的支柱上。

7. 发明授权

US07326237B2 Supra-renal anchoring prosthesis 有权
标题翻译：超肾固定假体
公开(公告)号：US07326237B2
公开(公告)日：2008-02-05
申请号：US10041116
申请日：2002-01-08
申请人： Donald F. DePalma , Clifford J. Dwyer , Robert P. Letendre
发明人： Donald F. DePalma , Clifford J. Dwyer , Robert P. Letendre
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/848 , A61F2/89 , A61F2/915 , A61F2002/061 , A61F2002/067 , A61F2002/075 , A61F2230/0013 , A61F2230/005 , A61F2230/0067 , A61F2230/0078 , A61F2250/0037
摘要： A system, apparatus, and method for treating, repairing, an aneurysm, preferably an aortic aneurysm, and most preferably, an abdominal aortic aneurysm as described herein. The systems, devices, and methods described herein include a first prosthesis or stent gasket, and at least one second prosthesis for bypassing the aneurysm. The first prosthesis is configured and adapted to accommodate a section of artery upstream of the aneurysm, wherein the section is unsuitable for anchoring a typical first prosthesis.
摘要翻译：用于治疗，修复动脉瘤，优选主动脉瘤，最优选如本文所述的腹主动脉瘤的系统，装置和方法。本文所述的系统，装置和方法包括第一假体或支架垫片以及用于绕过动脉瘤的至少一个第二假体。第一假体被配置和适于适应动脉瘤上游的动脉的一部分，其中该部分不适于锚固典型的第一假体。

8. 发明授权

US07229472B2 Thoracic aneurysm repair prosthesis and system 有权
标题翻译：胸腔动脉瘤修复假体和系统
公开(公告)号：US07229472B2
公开(公告)日：2007-06-12
申请号：US10041174
申请日：2002-01-08
申请人： Donald F. DePalma , Clifford J. Dwyer , Robert P. Letendre , Kenneth S. Solovay
发明人： Donald F. DePalma , Clifford J. Dwyer , Robert P. Letendre , Kenneth S. Solovay
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61B17/064 , A61B17/0682 , A61F2/064 , A61F2/848 , A61F2/88 , A61F2/89 , A61F2/91 , A61F2/915 , A61F2/95 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/825 , A61F2220/005 , A61F2220/0058 , A61F2220/0066 , A61F2220/0075 , A61F2230/001 , A61F2230/0013 , A61F2230/005 , A61F2250/006
摘要： The invention is a system, apparatus, and method for treating or repairing, an aneurysm in a large vessel, such as a thoracic aneurysm. The systems, devices, and methods of the present invention include a first prosthesis for anchoring a proximal end of the system in the blood vessel, a second prosthesis for anchoring a distal end of the system, and at least one third second prosthesis for bypassing the aneurysm, the first prosthesis optionally further comprising a seat or the like adapted and configured to receive the third prosthesis.
摘要翻译：本发明是用于治疗或修复诸如胸动脉瘤的大血管中的动脉瘤的系统，装置和方法。本发明的系统，装置和方法包括用于将系统的近端锚定在血管中的第一假体，用于锚定系统的远端的第二假体和用于绕过该系统的至少一个第三假肢动脉瘤，第一假体可选地进一步包括适于并构造成接收第三假体的座位或类似物。

9. 发明授权

US06743219B1 Delivery apparatus for a self-expanding stent 有权
标题翻译：用于自扩张支架的输送装置
公开(公告)号：US06743219B1
公开(公告)日：2004-06-01
申请号：US09631002
申请日：2000-08-02
申请人： Clifford J. Dwyer , Luis A. Davila , Frederick Feller, III , Mark L. Mathis , David J. Wilson
发明人： Clifford J. Dwyer , Luis A. Davila , Frederick Feller, III , Mark L. Mathis , David J. Wilson
IPC分类号： A61M2500
CPC分类号： A61F2/95 , A61F2/958 , A61F2/966
摘要： A delivery apparatus for self-expanding stents may be utilized to safely deliver stents to a target site. The apparatus has an outer sheath forming an elongated tubular member having distal and proximal ends and an inside and outside diameter. The apparatus also includes an inner shaft located coaxially within the outer sheath. The inner shaft has a distal end, a proximal end and a longitudinal axis extending therebetween. At least a portion of the inner shaft is made from a flexible coiled member. The shaft preferably includes a stop attached thereto, the stop being proximal to the distal end of the sheath. Lastly, the apparatus includes a self-expanding stent located within the outer sheath, wherein the stent makes frictional contact with the outer sheath and the shaft is disposed coaxially within a lumen of the stent. During deployment of the stent, the stent makes contact with the stop.
摘要翻译：用于自扩张支架的输送装置可用于将支架安全地输送到目标部位。该装置具有形成具有远端和近端以及内径和外径的细长管状构件的外护套。该装置还包括同轴地位于外护套内的内轴。内轴具有远端，近端和在其间延伸的纵向轴线。内轴的至少一部分由柔性卷绕构件制成。轴优选地包括附接到其上的止动件，止动件靠近护套的远端。最后，该装置包括位于外护套内的自扩张支架，其中支架与外护套摩擦接触，并且轴同轴地设置在支架内腔内。在展开支架期间，支架与止动器接触。

10. 发明授权

US08551153B2 Prosthesis comprising a coiled stent and method of use thereof 有权
标题翻译：包括螺旋支架的假体及其使用方法
公开(公告)号：US08551153B2
公开(公告)日：2013-10-08
申请号：US11312073
申请日：2005-12-20
申请人： Alfredo Castaneda , Donald Francis DePalma , Clifford J. Dwyer , Kirk L. Johnson
发明人： Alfredo Castaneda , Donald Francis DePalma , Clifford J. Dwyer , Kirk L. Johnson
IPC分类号： A61F2/06
CPC分类号： A61F2/88 , A61F2/064 , A61F2/07 , A61F2/89 , A61F2002/067 , A61F2002/075 , A61F2002/826 , A61F2220/0033 , A61F2220/005 , A61F2220/0058 , A61F2220/0066 , A61F2220/0075 , A61F2230/0034 , A61F2230/0058 , A61F2250/0067
摘要： The present invention is directed to a prosthesis and method for treating, repairing, and/or replacing an abdominal aortic aneurysm. The prosthesis includes a coiled stent comprised of shape memory material having first and second anchoring zones and an intermediate zone. The prosthesis also includes graft material engaging at least a portion of the stent. During delivery of the prosthesis, the stent is in a substantially straight longitudinal configuration, and after delivery of the prosthesis the stent is returned to a coiled configuration. The diameter of the prosthesis may be adjusted by controlling the degree to which the stent is coiled.
摘要翻译：本发明涉及用于治疗，修复和/或替代腹主动脉瘤的假体和方法。假体包括由具有第一和第二锚定区域和中间区域的形状记忆材料构成的盘绕支架。假体还包括接合支架的至少一部分的移植材料。在假体递送期间，支架处于基本上直的纵向构造，并且在输送假体之后，支架返回到盘绕构型。可以通过控制支架卷绕的程度来调节假体的直径。

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