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    • 5. 发明申请
    • Stent-Graft and Method for Percutaneous Access and Closure of Vessels
    • 支架移植物和经皮通气和闭合血管的方法
    • US20140114391A1
    • 2014-04-24
    • US13654662
    • 2012-10-18
    • MEDTRONIC, INC.
    • Charles Tabor
    • A61F2/84
    • A61F2/07A61F2/958A61F2002/061A61F2002/075
    • In a method of accessing and closing a vessel, a vessel is percutaneously accessed through a first opening in the vessel wall at a first location. A stent-graft is delivered through the first opening to a second location. The stent-graft is deployed at the second location. The vessel is then accessed through a second opening through the vessel wall at the second location, wherein the second opening is generally aligned with a fenestration through the graft material of the stent-graft. A delivery device is advanced through the second opening, the fenestration, and the stent-graft lumen to a third location spaced from the first location and the second location. After the delivery device is retracted through the lumen of the stent-graft and out of the fenestration and the second opening, the stent graft is rotated or translated such that the fenestration is not aligned with the second opening.
    • 在进入和关闭血管的方法中,容器在第一位置通过血管壁中的第一开口被经皮地进入。 支架移植物通过第一开口输送到第二位置。 支架移植物部署在第二位置。 然后通过在第二位置处的血管壁的第二开口进入容器,其中第二开口通常与通过支架移植物的移植材料的开窗对齐。 递送装置通过第二开口,开窗和支架移植物内腔前进到与第一位置和第二位置间隔开的第三位置。 在输送装置通过支架移植物的内腔缩回到开窗和第二开口之后,支架移植物被旋转或平移,使得开窗不与第二开口对齐。
    • 6. 发明申请
    • METHOD OF PLACING MULTIPLE BILIARY STENTS WITHOUT RE-INTERVENTION, AND DEVICE FOR SAME
    • 放置多个双重手术的方法,无需再干预,同时也可进行装置
    • US20140025149A1
    • 2014-01-23
    • US13553165
    • 2012-07-19
    • Paul DevereuxCiarán ToomeySharon White
    • Paul DevereuxCiarán ToomeySharon White
    • A61F2/84
    • A61F2/94A61F2/848A61F2/852A61F2/95A61F2002/8483A61M27/002
    • A dual lumen catheter may be provided with one or more stents in a stent-deployment lumen and a wire guide disposed through a wire guide lumen. The wire guide may be directed to a target site in a patient body such as a biliary stricture. The catheter may be directed along the wire guide until it is in or adjacent the target site. A distalmost stent may be advanced out a distal side-facing aperture of the stent-deployment lumen into the target site by a pusher member that advances the stent or that holds the stent in place while the catheter is proximally withdrawn from around the stent. With the wire guide remaining substantially in place, the stent-deployment lumen can be reoriented and the steps repeated to place a second (and, if desired, subsequent) stent(s) next to—and generally parallel with—the first stent.
    • 双腔导管可以在支架展开腔中设置有一个或多个支架,并且通过线引导腔设置导线引导件。 线引导件可以被引导到患者身体中的目标部位,例如胆道狭窄。 导管可以沿导线导向器导向,直到其位于或邻近靶部位。 最远端的支架可以通过推进器的推进器构件将支架展开腔的远侧侧面的孔推进到支架展开腔内,该推动器构件使支架前进,或者当导管从支架周围近端退出时将支架保持在适当位置。 在线引导件保持基本上就位的情况下,可以重新定向支架展开腔,并且重复步骤以将第二支架(以及如果需要的话)放置在第一支架的旁边并且大致平行于第一支架。
    • 8. 发明申请
    • CATHETER HAVING HYDRAULIC ACTUATOR WITH TANDEM CHAMBERS
    • 带有台架的液压执行机构的导管
    • US20130304181A1
    • 2013-11-14
    • US13467715
    • 2012-05-09
    • Michael L. GreenMichael R. Bialas
    • Michael L. GreenMichael R. Bialas
    • A61F2/84A61L29/14A61M25/00
    • A61F2/966A61F2/95A61F2/962A61F2002/9517A61M25/0119A61M25/0122A61M25/0155A61M2025/0024A61M2025/1059
    • Catheter including an inner tubular member having a fluid lumen defined therein and an exterior surface. The exterior surface defining a first distal flow port and a second distal flow port. An outer tubular member is movable relative to the inner tubular member in a proximal direction and having an interior surface. A first pressure chamber is defined between the exterior surface and the interior surface, and between a first distal seal assembly and a first proximal seal assembly. A second pressure chamber is defined between the exterior surface and the interior surface, and between a second distal seal assembly and a second proximal seal assembly. Fluid introduced through the fluid lumen pressurizes the first pressure chamber and the second pressure chamber to generate a respective force at the first proximal seal assembly and to the second proximal seal assembly to urge the outer tubular member in the proximal direction.
    • 导管包括具有限定在其中的流体腔的内部管状构件和外部表面。 所述外表面限定第一远端流动端口和第二远端流动端口。 外部管状构件可以在近端方向上相对于内部管状构件移动并且具有内部表面。 第一压力室被限定在外表面和内表面之间以及在第一远端密封组件和第一近端密封组件之间。 第二压力室限定在外表面和内表面之间以及在第二远端密封组件和第二近端密封组件之间。 通过流体腔引入的流体对第一压力室和第二压力室加压,以在第一近端密封组件和第二近端密封组件处产生相应的力,以沿近端方向推动外管状构件。
    • 9. 发明申请
    • CATHETER HAVING DUAL BALLOON HYDRAULIC ACTUATOR
    • 双缸液压执行器导管
    • US20130304180A1
    • 2013-11-14
    • US13467679
    • 2012-05-09
    • Michael L. GreenMichael R Bialas
    • Michael L. GreenMichael R Bialas
    • A61F2/84A61M25/10
    • A61F2/966A61F2/958A61F2002/9522A61M25/09A61M25/10182A61M25/10185A61M2025/0079A61M2025/0183A61M2025/1079A61M2025/1081
    • Catheter comprising an inner tubular member defining a fluid lumen and inflation lumen therein. An exterior surface of the inner tubular member defines a fluid flow port in fluid communication with the fluid lumen and located along a region of the inner tubular member. Catheter further includes an outer member having a distal section movable relative to the inner tubular member and having an interior surface. A piston balloon is coupled to the inner tubular member distal to the fluid flow port and is in fluid communication with the inflation lumen. A pressure chamber is in fluid communication with the fluid flow port. Fluid introduced through the inflation lumen inflates the piston balloon to seal against the interior surface and fluid introduced through the fluid flow port and into the pressure chamber applies a force to urge at least the distal section of the outer member in a proximal direction.
    • 导管包括在其中限定流体腔和充气腔的内部管状构件。 内部管状构件的外表面限定与流体腔流体连通并沿着内部管状构件的区域定位的流体流动端口。 导管还包括外部构件,其具有可相对于内部管状构件移动并具有内表面的远侧区段。 活塞气囊在远离流体流动端口的内部管状构件连接并与膨胀腔流体连通。 压力室与流体流动端口流体连通。 通过膨胀腔引入的流体使活塞气囊膨胀以密封内表面,并且通过流体流动端口引入并进入压力室的流体施加力以沿近侧方向推动至少外部构件的远端部分。