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    • 21. 发明申请
    • CATHETER SYSTEM FOR ACUTE NEUROMODULATION
    • 用于急性神经调节的导管系统
    • WO2013022543A2
    • 2013-02-14
    • PCT/US2012/046332
    • 2012-07-11
    • SYNECOR LLCRANSBURY, TerranceSANDERS, William, E.STACK, Richard, S.MASSON, Stephen, C.
    • RANSBURY, TerranceSANDERS, William, E.STACK, Richard, S.MASSON, Stephen, C.
    • A61N1/36114A61N1/0551A61N1/056A61N1/36053A61N1/36135A61N1/36139
    • A neuromodulation system includes a first therapy element adapted for positioning within a superior vena cava, and a second therapy element adapted for positioning with in a pulmonary artery. The first therapy element is carried on a first elongate flexible shaft, and the second therapy element is carried on a second elongate flexible shaft. One of the first and second shafts is slidably received within a lumen of the other of the first and second shafts - so that the second therapy element may be advanced within the body relative to the first therapy element. A stimulator is con figured to energize the first therapy element within the first blood vessel to deliver therapy to a first nerve fiber disposed external to the superior vena cava and to energize the second therapy element within the pulmonary artery to deliver sympathetic therapy to a second nerve fiber disposed external to the pulmonary artery. For treatment of heart failure, the first nerve fiber may be a vagus nerve and the second nerve fiber may be a sympathetic nerve fiber.
    • 神经调节系统包括适于定位在上腔静脉内的第一治疗元件和适于定位在肺动脉中的第二治疗元件。 第一治疗元件承载在第一细长柔性轴上,并且第二治疗元件承载在第二细长柔性轴上。 第一和第二轴中的一个可滑动地容纳在第一和第二轴中的另一个的内腔内,使得第二治疗元件可以相对于第一治疗元件在本体内前进。 设置刺激器以激励第一血管内的第一治疗元件,以将治疗传递至布置在上腔静脉外部的第一神经纤维,并激励肺动脉内的第二治疗元件以将交感神经治疗递送至第二神经 纤维布置在肺动脉的外部。 为了治疗心力衰竭,第一神经纤维可以是迷走神经,第二神经纤维可以是交感神经纤维。
    • 25. 发明申请
    • METHOD AND APPARATUS FOR TREATING DISEASED OR FRACTURED BONE
    • 用于治疗疾病或骨折的方法和设备
    • WO2005027734A3
    • 2005-05-26
    • PCT/US2004030771
    • 2004-09-17
    • SYNECOR LLCWILLIAMS MICHAEL SSMITH JEFFERY ASTACK RICHARD SHOLBROOK KEVIN DGLENN RICHARD A
    • WILLIAMS MICHAEL SSMITH JEFFERY ASTACK RICHARD SHOLBROOK KEVIN DGLENN RICHARD A
    • A61B20060101A61B17/00A61B17/70A61F2/00A61F2/44
    • A61B17/8858A61B17/70A61B2017/00867
    • An apparatus according to the invention may comprise one or more expandable structural support pylons (140), means for deploying said one or more structural support pylons (138, 141), and one or more therapeutic substances. Structural support pylons (20) may comprise an elastomeric core (22), or may comprise one or more suitable metals, and may be deployed by shortening the length and increasing the height of the pylon. Alternatively, scaffold (200) may comprise a delivery configuration in which first unit (202) and second unit (204) he generally end to end, and a deployed configuration in which superior surfaces (216) and (218) exert an upward force and inferior surfaces (220) and (222) exert a downward force on superior and inferior vertebral surfaces respectively. A method according to the invention may comprise accessing an interior of a diseased or injured bone in a minimally invasive manner, creating a semi-circular path within said bone, deploying one or more structural support pylons within said interior, introducing structural reinforcement material, and if desired, repeating with one or more subsequent structural support pylons.
    • 根据本发明的装置可以包括一个或多个可膨胀结构支撑塔架(140),用于展开所述一个或多个结构支撑塔架(138,141)以及一种或多种治疗物质的装置。 结构支撑塔架(20)可以包括弹性体芯(22),或者可以包括一种或多种适合的金属,并且可以通过缩短长度并增加塔架的高度来展开。 或者,支架(200)可以包括输送构造,其中第一单元(202)和第二单元(204)通常首尾相接,以及展开构造,其中上表面(216)和(218)施加向上的力,并且 下表面(220)和(222)分别向上和下椎骨表面施加向下的力。 根据本发明的方法可以包括以微创方式进入患病或受损骨骼的内部,在所述骨内创建半圆形路径,在所述内部中布置一个或多个结构支撑柱,引入结构增强材料,以及 如果需要,用一个或多个随后的结构支撑塔重复。
    • 26. 发明申请
    • METHOD AND APPARATUS FOR TREATING DISEASED OR FRACTURED BONE
    • 用于治疗疾病或破骨的方法和装置
    • WO2005027734A2
    • 2005-03-31
    • PCT/US2004/030771
    • 2004-09-17
    • SYNECOR, LLCWILLIAMS, Michael, S.SMITH, Jeffery, A.STACK, Richard, S.HOLBROOK, Kevin, D.GLENN, Richard, A.
    • WILLIAMS, Michael, S.SMITH, Jeffery, A.STACK, Richard, S.HOLBROOK, Kevin, D.GLENN, Richard, A.
    • A61B
    • A61B17/8858A61B17/70A61B2017/00867
    • An apparatus according to the invention may comprise one or more expandable structural support pylons (140), means for deploying said one or more structural support pylons (138, 141), and one or more therapeutic substances. Structural support pylons (20) may comprise an elastomeric core (22), or may comprise one or more suitable metals, and may be deployed by shortening the length and increasing the height of the pylon. Alternatively, scaffold (200) may comprise a delivery configuration in which first unit (202) and second unit (204) he generally end to end, and a deployed configuration in which superior surfaces (216) and (218) exert an upward force and inferior surfaces (220) and (222) exert a downward force on superior and inferior vertebral surfaces respectively. A method according to the invention may comprise accessing an interior of a diseased or injured bone in a minimally invasive manner, creating a semi-circular path within said bone, deploying one or more structural support pylons within said interior, introducing structural reinforcement material, and if desired, repeating with one or more subsequent structural support pylons.
    • 根据本发明的装置可以包括一个或多个可膨胀结构支撑塔(140),用于展开所述一个或多个结构支撑塔(138,141)的装置和一个或多个治疗物质。 结构支撑塔(20)可以包括弹性体芯(22),或者可以包括一种或多种合适的金属,并且可以通过缩短长度和增加塔的高度来展开。 或者,脚手架(200)可以包括其中大致端对端的第一单元(202)和第二单元(204)以及上表面(216)和(218)施加向上的力的展开构造的输送构型,以及 下表面(220)和(222)分别在上下椎体表面上施加向下的力。 根据本发明的方法可以包括以微创方式进入患病或受伤的骨骼的内部,在所述骨骼内产生半圆形路径,在所述内部内展开一个或多个结构支撑塔,引入结构增强材料,以及 如果需要,用一个或多个随后的结构支撑塔重复。
    • 28. 发明申请
    • BIOABSORBABLE STENT
    • 生物耐药性
    • WO1991017789A1
    • 1991-11-28
    • PCT/US1991003454
    • 1991-05-17
    • STACK, Richard, S.CLARK, Howard, G., IIIWALKER, William, F.
    • A61M29/02
    • A61F2/90A61F2/82A61F2/92A61F2/958A61F2210/0004A61F2250/0067A61L31/146A61L31/148A61L31/16
    • A bioabsorbable stent (10, 50, 80, 90) for placement at the locus of a stenotic portion of a body passage, such as a blood vessel, which is flexible and compliant for safe and effective delivery to the site of the stenotic portion of, for example, a blood vessel, so as to avoid the disadvantages of chronic implantation, such as arterial rupture or aneurism formation while exposed to the continuous stresses of a beating heart. The stent is formed from a bioabsorbable material and is porous or has apertures defined there through to facilitate tissue ingrowth and encapsulation of the stent. The stent is encapsulated and biodegrades or bioabsorbs within a period of days, weeks or months as desired following encapsulation to thereby minimize the likelihood of embolization or other risks of the dissolved material and to avoid the disavantages of chronic implantation.
    • 一种生物吸收性支架(10,50,80,90),用于放置在身体通道(例如血管)的狭窄部位的位置,该体动通道柔性且顺从地安全有效地输送到狭窄部位的位置 ,例如血管,以避免慢性植入的缺点,例如动脉破裂或动脉瘤形成,同时暴露于搏动心脏的持续压力。 支架由生物可吸收材料形成并且是多孔的或具有限定在其中的孔,以便于组织向内生长和包封支架。 在包囊后,根据需要在几天,几周或几个月的时间内将支架包封和生物降解或生物吸收,从而使栓塞的可能性或溶解的材料的其他风险最小化并避免慢性植入的缺点。
    • 29. 发明申请
    • CATHETER SYSTEM FOR ACUTE NEUROMODULATION
    • 用于急性神经修复的导管系统
    • WO2013022543A3
    • 2013-10-03
    • PCT/US2012046332
    • 2012-07-11
    • SYNECOR LLCRANSBURY TERRANCESANDERS WILLIAM ESTACK RICHARD SMASSON STEPHEN C
    • RANSBURY TERRANCESANDERS WILLIAM ESTACK RICHARD SMASSON STEPHEN C
    • A61N1/36A61B18/14A61B18/18A61M25/04A61N1/362
    • A61N1/36114A61N1/0551A61N1/056A61N1/36053A61N1/36135A61N1/36139
    • A neuromodulation system includes a first therapy element adapted for positioning within a superior vena cava, and a second therapy element adapted for positioning with in a pulmonary artery. The first therapy element is carried on a first elongate flexible shaft, and the second therapy element is carried on a second elongate flexible shaft. One of the first and second shafts is slidably received within a lumen of the other of the first and second shafts - so that the second therapy element may be advanced within the body relative to the first therapy element. A stimulator is con figured to energize the first therapy element within the first blood vessel to deliver therapy to a first nerve fiber disposed external to the superior vena cava and to energize the second therapy element within the pulmonary artery to deliver sympathetic therapy to a second nerve fiber disposed external to the pulmonary artery. For treatment of heart failure, the first nerve fiber may be a vagus nerve and the second nerve fiber may be a sympathetic nerve fiber.
    • 神经调节系统包括适于定位在上腔静脉内的第一治疗元件和适于定位在肺动脉中的第二治疗元件。 第一治疗元件承载在第一细长柔性轴上,并且第二治疗元件承载在第二细长柔性轴上。 第一和第二轴中的一个可滑动地容纳在第一和第二轴中的另一个的内腔中,使得第二治疗元件可相对于第一治疗元件在身体内前进。 刺激器被配置为激活第一血管内的第一治疗元件,以将治疗递送至布置在上腔静脉外部的第一神经纤维,并激励肺动脉内的第二治疗元件以向第二神经递送交感神经治疗 纤维布置在肺动脉外部。 为了治疗心力衰竭,第一神经纤维可能是迷走神经,第二神经纤维可能是交感神经纤维。
    • 30. 发明申请
    • NEUROMODULATION SYSTEMS AND METHODS FOR TREATING ACUTE HEART FAILURE SYNDROMES
    • 神经系统和治疗急性心力衰竭综合征的方法
    • WO2012149511A3
    • 2013-02-28
    • PCT/US2012035712
    • 2012-04-28
    • SYNECOR LLCRANSBURY TERRANCESANDERS WILLIAM ESTACK RICHARD SSTACK COLLEEN
    • RANSBURY TERRANCESANDERS WILLIAM ESTACK RICHARD SSTACK COLLEEN
    • A61N1/362A61B17/34A61B18/00A61M25/088A61N1/04
    • A61N1/3621A61B5/01A61B5/0215A61B5/024A61M25/0074A61M25/0125A61M25/0147A61M25/04A61M2025/0175A61N1/056A61N1/057A61N1/36114A61N1/3627
    • A neuromodulation system for treating acute heart failure syndromes includes a first catheter having a parasympathetic therapy element adapted for positioning within a first blood vessel such as a superior vena cava, and a second catheter sympathetic therapy element adapted for positioning with a second, different, blood vessel such as the pulmonary artery. The catheters comprise a system in which one of catheters is slidably disposed over the other of the catheters. The system may further be slidably disposed over a third elongate element such as a Swan-Ganz catheter positionable within a pulmonary artery, such that the Swan- Ganz may be used for monitoring parameters such as blood pressure and cardiac output during neuromodulation therapy. The parasympathetic therapy element is energized to deliver neuromodulation therapy to a parasympathetic nerve fiber such as a vagus nerve, while the sympathetic therapy element is energized to deliver neuromodulation therapy to a sympathetic nerve fiber such as a sympathetic cardiac nerve fiber. For treatment of acute heart failure syndromes, the neuromodulation therapy may be used to lower heart rate and increase cardiac inotropy.
    • 用于治疗急性心力衰竭综合征的神经调节系统包括具有适于定位在诸如上腔静脉的第一血管内的副交感神经治疗元件的第一导管和适于与第二不同血液定位的第二导管交感神经治疗元件 血管如肺动脉。 导管包括其中一个导管可滑动地设置在另一个导管上的系统。 系统还可以可滑动地设置在第三细长元件(例如可定位在肺动脉内的Swan-Ganz导管)之上,使得Swan-Ganz可用于监测神经调节治疗期间的血压和心输出量等参数。 副交感神经治疗元件被激励以将神经调节治疗递送到副交感神经纤维例如迷走神经,而交感神经治疗元件通电以将神经调节治疗递送至交感神经纤维如交感神经纤维。 对于急性心力衰竭综合征的治疗,神经调节治疗可用于降低心率并增加心脏内向性。