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1. 发明申请

WO2011116307A1 THORACIC STENT GRAFT 审中-公开
公开(公告)号：WO2011116307A1
公开(公告)日：2011-09-22
申请号：PCT/US2011/029035
申请日：2011-03-18
申请人： WILLIAM A. COOK AUSTRALIA PTY. LTD. , COOK MEDICAL TECHNOLOGIES LLC , HARTLEY, David, Ernest , DUCKE, Werner, Dieter , IVANCEV, Krasnodar
发明人： HARTLEY, David, Ernest , DUCKE, Werner, Dieter , IVANCEV, Krasnodar
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2220/0075 , A61F2230/0063 , A61F2250/0039
摘要： A thoracic arch stent graft (1) has a tubular body of a biocompatible graft material (3) and at least one fenestration (13, 15) in the wall on one side thereof. A combination guide and tubular side arm assembly (20, 22) is mounted into the or each fenestration. The combination guide and tubular side arm assembly comprises a tubular portion (24) and a funnel portion (26) extending from a distal end of the tubular portion. The funnel portion has an angled open end. The tubular portion and the funnel portion are formed from a biocompatible graft material wall and have a lightweight space frame (38 40) formed from a resilient wire and supporting the graft material and defining the combination guide and tubular side arm assembly.
摘要翻译：胸弓支架移植物（1）具有生物相容性移植材料（3）的管状体和在其一侧的壁中的至少一个开窗（13,15）。组合引导件和管状侧臂组件（20,22）安装在该开口或每个开窗中。组合引导件和管状侧臂组件包括管状部分（24）和从管状部分的远端延伸的漏斗部分（26）。漏斗部分具有倾斜的开口端。管状部分和漏斗部分由生物相容的移植材料壁形成，并且具有由弹性线形成并且支撑移植物材料并限定组合引导件和管状侧臂组件的轻质空间框架（38,40）。

2. 发明申请

WO2010111583A1 STENT GRAFT 审中-公开
公开(公告)号：WO2010111583A1
公开(公告)日：2010-09-30
申请号：PCT/US2010/028814
申请日：2010-03-26
申请人： COOK INCORPORATED , WILLIAM A. COOK AUSTRALIA PTY. LTD. , MED INSTITUTE, INC. , CHUTER, Timothy, A. , HARTLEY, David, Ernest , ROEDER, Blayne, A.
发明人： CHUTER, Timothy, A. , HARTLEY, David, Ernest , ROEDER, Blayne, A.
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/91 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2230/0013 , A61F2230/0067 , A61F2250/0039
摘要： A stent graft (10) for endovascular introduction into the pararenal region of the descending aorta, has an elongate tubular body with a proximal portion (12), a distal portion (16) of a diameter less than the proximal portion and a tapered central portion (14). A notional transverse clock face on the tubular body has 12 o'clock at a notional anterior longitudinal datum line and the graft has a scalloped cut out (26) centred at about 12:30 o'clock and a fenestration (28) at about 12:00 o'clock in the proximal portion and first and second fenestration assemblies which can be low profile side arms at about 2: 15 o'clock and about 10:00 o'clock in the tapered central portion. The tapered central portion can have an arcuate side wall (30) so that the tapered portion has an outer face which is concave.
摘要翻译：用于血管内引入下降主动脉的肾上腺区域的支架移植物（10）具有细长管状体，其具有近端部分（12），直径小于近端部分的远端部分（16）和锥形中心部分（14）。管状体上的名义横向钟表面在名义上的前纵向基准线上有12点钟，并且移植物具有以约12:30为中心的扇形切口（26）和大约12°的开窗（28）：近端部分的00点，以及第一和第二开窗组件，其可以是在锥形中心部分的大约2点15点和大约10:00点的低轮廓侧臂。锥形中心部分可以具有弓形侧壁（30），使得锥形部分具有凹面的外表面。

3. 发明申请

WO2010024879A1 THORACIC AORTA STENT GRAFT WITH ACCESS REGION 审中-公开
标题翻译： THORACIC AORTA STEGR GRAFT WITH ACCESS REGION
公开(公告)号：WO2010024879A1
公开(公告)日：2010-03-04
申请号：PCT/US2009/004827
申请日：2009-08-25
申请人： WILLIAM A. COOK AUSTRALIA PTY. LTD. , THE CLEVELAND CLINIC FOUNDATION , WILLIAM COOK EUROPE APS , HARTLEY, David, Ernest , GREENBERG, Roy, K. , IVANCEV, Krasnodar , LAWRENCE-BROWN, Michael
发明人： HARTLEY, David, Ernest , GREENBERG, Roy, K. , IVANCEV, Krasnodar , LAWRENCE-BROWN, Michael
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2250/0039
摘要： A stent graft (2) for placement in the thoracic arch of a patient has a first tubular body portion (6) with a first lumen therein for placement in the ascending aorta of a patient and a second tubular body portion (8) to extend along the thoracic arch and down the descending aorta. The second tubular body portion is of a lesser diameter than the first tubular body portion. There is a step portion (10) between the first body portion and the second body portion. The step portion is joined to and continuous with the first portion and the second portion. A first side of each of the first body portion, the step portion and the second body portion are substantially aligned so that there is a step (18) defined on a second side opposite to the first side of the body portion. There is an aperture (30) in the step portion and an internal tube (32) extending from the aperture towards the first body portion. The internal tube is divided along part of its length into at least two smaller internal tubes (34, 36) with the smaller internal tubes opening into the first lumen.
摘要翻译：用于放置在患者的胸廓弓中的支架移植物（2）具有第一管状体部分（6），其中具有第一内腔，用于放置在患者的升主动脉中，并且第二管状体部分（8）沿着胸廓弓下降主动脉。第二管状体部分的直径比第一管状体部分小。在第一主体部分和第二主体部分之间具有台阶部分（10）。台阶部分与第一部分和第二部分连接并连续。第一主体部分，台阶部分和第二主体部分中的每一个的第一侧基本上对齐，使得在与主体部分的第一侧相对的第二侧上限定有台阶（18）。台阶部分上有一个孔（30）和一个从孔向第一主体部分延伸的内管（32）。内管沿其长度的一部分被分成至少两个较小的内管（34,36），其中较小的内管开入第一管腔。

4. 发明申请

WO2009099632A2 STENT DESIGNS FOR USE WITH ONE OR MORE TRIGGER WIRES 审中-公开
标题翻译：使用一个或多个触发线的STENT设计
公开(公告)号：WO2009099632A2
公开(公告)日：2009-08-13
申请号：PCT/US2009/000747
申请日：2009-02-06
申请人： MED INSTITUTE, INC. , WILLIAM A. COOK AUSTRALIA PTY. LTD. , DIERKING, William, K. , HARTLEY, David, Ernest , ROEDER, Blayne, A.
发明人： DIERKING, William, K. , HARTLEY, David, Ernest , ROEDER, Blayne, A.
IPC分类号： A61F2/84
CPC分类号： A61F2/95 , A61F2/91 , A61F2002/8486 , A61F2002/9505 , A61F2002/9511 , A61F2002/9665 , A61F2220/0016 , A61F2220/0075 , A61F2230/0013 , A61F2250/0063
摘要： A stent (20) for use in a medical procedure that comprises a series of proximal apices (22a, 22b) disposed at a proximal end (22) of the stent and a series of distal apices (62a, 62b) disposed at a distal end (24) of the stent. A trigger wire (84) is arranged to be coupled to at least one of the proximal apices (22a, 22b) to restrain the proximal end of the stent (22) during delivery. In a first embodiment, a first proximal apex comprises a bore (31) for receiving the trigger wire (84), and a second proximal apex, disposed adjacent to the first proximal apex, comprises at least one barb (42). The trigger wire (84) therefore is only coupled to selected ones of the proximal apices. In another embodiment, a first proximal apex comprises a first bore (31) and a second, adjacent proximal apex comprises a second bore (41 ), such that a single trigger wire (84) may be disposed through the first and second bores to restrain the first and second proximal apices during delivery.
摘要翻译：一种用于医疗过程的支架（20），其包括设置在所述支架的近端（22）处的一系列近侧顶点（22a，22b）和设置在远端的一系列远侧顶点（62a，62b）（24）。触发线（84）布置成联接到近端顶点（22a，22b）中的至少一个，以在输送期间约束支架（22）的近端。在第一实施例中，第一近端顶点包括用于接纳触发线（84）的孔（31）和邻近第一近端顶点设置的第二近端顶点，包括至少一个倒钩（42）。因此，触发线（84）仅耦合到近端顶点中的选定的一个。在另一个实施例中，第一近端顶点包括第一孔（31），而第二邻近邻近顶点包括第二孔（41），使得单个触发线（84）可以穿过第一和第二孔设置以约束输送期间的第一和第二近端顶点。

5. 发明申请

WO2009023221A1 DEPLOYMENT DEVICE 审中-公开
标题翻译：部署设备
公开(公告)号：WO2009023221A1
公开(公告)日：2009-02-19
申请号：PCT/US2008/009685
申请日：2008-08-13
申请人： WILLIAM A. COOK AUSTRALIA PTY. LTD. , COOK INCORPORATED , HARTLEY, David, Ernest , DUCKE, Werner, Dieter
发明人： HARTLEY, David, Ernest , DUCKE, Werner, Dieter
IPC分类号： A61F2/84
CPC分类号： A61F2/95 , A61F2002/9505 , A61F2002/9517 , A61F2002/9665
摘要： A stent graft deployment device (10) has a tubular fixed handle (34, 36) to be gripped and held by a user and an elongate release handle (30) extending through the fixed handle so that the release handle can be moved through the fixed handle. The deployment device assembly has a pusher (38) and a sheath (18) to cover a stent graft (64) on the pusher. The pusher is connected to the fixed handle and the sheath is connected to the release handle so that retraction of the release handle through the fixed handle causes the sheath to be retracted from the stent graft on the pusher. The fixed handle includes a grip component (34) that grips the pusher and a rotator component (36) that grips a release clamp (48) on the pusher. The release clamp has trigger wires for the release of the stent graft attached to it. The rotator component has a screw thread (54) with a portion (52) of the release clamp engaged into the screw thread so that rotation of the rotator component causes longitudinal movement of the release clamp on the pusher which pulls the trigger wires.
摘要翻译：支架移植物展开装置（10）具有管状的固定手柄（34,36），用于被使用者握持和保持，并且延伸穿过固定手柄的伸长释放手柄（30），使得释放手柄能够移动通过固定处理。展开装置组件具有推动器（38）和护套（18）以覆盖推动器上的支架移植物（64）。推动器连接到固定手柄，并且护套连接到释放手柄，使得释放手柄通过固定手柄的缩回导致护套从推动器上的支架移植物缩回。固定手柄包括抓握推动器的夹持部件（34）和夹紧推动器上的释放夹具（48）的旋转部件（36）。释放夹具具有用于释放附着于其上的支架移植物的触发线。旋转器部件具有螺纹（54），其中释放夹具的部分（52）接合到螺纹中，使得旋转部件的旋转导致释放夹具在牵引触发线的推动器上的纵向移动。

6. 发明申请

WO2008094601A2 ENDOSCOPIC DELIVERY DEVICE 审中-公开
标题翻译：内窥镜输送装置
公开(公告)号：WO2008094601A2
公开(公告)日：2008-08-07
申请号：PCT/US2008001229
申请日：2008-01-30
申请人： COOK WILLIAM A AUSTRALIA , COOK INC , HARTLEY DAVID ERNEST , LAWRENCE-BROWN MICHAEL , JANSEN SHIRLEY
发明人： HARTLEY DAVID ERNEST , LAWRENCE-BROWN MICHAEL , JANSEN SHIRLEY
IPC分类号： A61F2/84
CPC分类号： A61F2/07 , A61B2017/00243 , A61F2/89 , A61F2/95 , A61F2002/9511 , A61F2250/0039
摘要： An endoscopic or laparoscopic conduit delivery device (1) comprises first and second separately manipulable introducers (3, 5) with a laparoscopic conduit (80) having first and second ends (83, 84) and an intermediate portion being mounted onto the introducers in a substantially U shape. The first end and a first portion of the laparoscopic conduit is retained onto the first introducer and the second end and a second portion of the laparoscopic conduit is retained on the second introducer and the intermediate portion extends between the first and second introducers. A main sheath (42) is over the first and second introducers. The endoscopic or laparoscopic conduit delivery device is introduced to a body cavity through an endoscopic or laparoscopic port (50).
摘要翻译：内窥镜或腹腔镜导管输送装置（1）包括具有第一和第二端（83,84）的腹腔镜导管（80）的第一和第二单独可操纵的导引器（3,5），并且中间部分以大致U形。腹腔镜导管的第一端和第一部分保持在第一导引器上，第二端和腹腔镜导管的第二部分保持在第二导引器上，中间部分在第一和第二导引器之间延伸。主护套（42）在第一和第二导引器之上。内窥镜或腹腔镜导管输送装置通过内窥镜或腹腔镜口（50）引入体腔。

7. 发明申请

WO2008051543A3 STENT MEMBER 审中-公开
公开(公告)号：WO2008051543A3
公开(公告)日：2008-06-12
申请号：PCT/US2007022488
申请日：2007-10-23
申请人： COOK INCORPORTED , COOK WILLIAM A AUSTRALIA , MELSHEIMER JEFFRY S , HARTLEY DAVID ERNEST , LAWRENCE-BROWN MICHAEL , VAN SCHIE GREGORY PAUL
发明人： MELSHEIMER JEFFRY S , HARTLEY DAVID ERNEST , LAWRENCE-BROWN MICHAEL , VAN SCHIE GREGORY PAUL
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/075
摘要： A stent member (2, 20) comprises stent elements (10, 12, 13) attached to a tubular body (4) of graft material, the stent elements being movable relative to each other to allow the stent member to move between straight and curved configurations. The stent elements may be attached to the tubular body with a greater distance (1 1 a) between the stents on the outer curved side than on the inner curved side. The stent elements (95, 100, 105) can have parallel ends or be tapered on one or both ends or have skewed ends. When mounted onto a deployment device a twist ( 152, 1 54) may be provided in the tubular body between adjacent stent elements.
摘要翻译：支架构件（2,20）包括附接到移植材料的管状本体（4）的支架元件（10,12,13），所述支架元件可相对于彼此移动以允许支架构件在直线和弯曲之间移动配置。支架元件可以在外弯曲侧上的支架之间与内弯曲侧上的支架之间的距离（11a）附接到管状体。支架元件（95,100,105）可以具有平行的端部或者在一个或两个端部上渐缩或者具有倾斜的端部。当安装到展开装置上时，可在相邻支架元件之间的管状主体中设置扭绞（152,154）。

8. 发明申请

WO2008051543A2 STENT MEMBER 审中-公开
标题翻译： STENT会员
公开(公告)号：WO2008051543A2
公开(公告)日：2008-05-02
申请号：PCT/US2007/022488
申请日：2007-10-23
申请人： COOK INCORPORTED , WILLIAM A. COOK AUSTRALIA PTY. LTD , MELSHEIMER, Jeffry, S. , HARTLEY, David, Ernest , LAWRENCE-BROWN, Michael , VAN SCHIE, Gregory, Paul
发明人： MELSHEIMER, Jeffry, S. , HARTLEY, David, Ernest , LAWRENCE-BROWN, Michael , VAN SCHIE, Gregory, Paul
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/075
摘要： A stent member (2, 20) comprises stent elements (10, 12, 13) attached to a tubular body (4) of graft material, the stent elements being movable relative to each other to allow the stent member to move between straight and curved configurations. The stent elements may be attached to the tubular body with a greater distance (1 1 a) between the stents on the outer curved side than on the inner curved side. The stent elements (95, 100, 105) can have parallel ends or be tapered on one or both ends or have skewed ends. When mounted onto a deployment device a twist ( 152, 1 54) may be provided in the tubular body between adjacent stent elements.
摘要翻译：支架构件（2,20）包括附接到移植材料的管状体（4）的支架元件（10,12,13），所述支架元件可相对于彼此移动，以允许支架构件在直线和弯曲之间移动配置。支架元件可以在外弯曲侧的支架之间与内弯曲侧上的支架之间具有更大的距离（11a）附接到管状体。支架元件（95,100,105）可以具有平行的端部或在一端或两端呈锥形或具有倾斜的端部。当安装到展开装置上时，扭转（152,154）可以设置在相邻支架元件之间的管状体中。

9. 发明申请

WO2008021556A1 STENT GRAFT EXTENSION 审中-公开
公开(公告)号：WO2008021556A1
公开(公告)日：2008-02-21
申请号：PCT/US2007/018409
申请日：2007-08-20
申请人： WILLIAM A. COOK AUSTRALIA PTY. LTD. , COOK INCORPORATED , HARTLEY, David, Ernest , DUCKE, Werner, D.
发明人： HARTLEY, David, Ernest , DUCKE, Werner, D.
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/067 , A61F2002/075 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2230/0067 , A61F2250/0039
摘要： A leg extension (10) for a stent grafting system to connect between an aortic graft (120) and an iliac graft (180). The leg extension is a tubular body (12) of a biocompatible graft material with self-expanding stents (15) connected along the length of the tubular body and the tubular body having a distal end (24) with a connection region (14). The connection region has a flared stent (16) defining an external frusto-conical surface to provide a connection arrangement to engage within an internally flared portion (90) of an iliac graft.
摘要翻译：用于支架移植系统连接主动脉移植物（120）和髂骨移植物（180）之间的腿部延伸部（10）。腿部延伸部是生物相容性移植材料的管状体（12），其具有沿管状体的长度连接的自扩张支架（15），管状体具有带有连接区域（14）的远端（24）。连接区域具有限定外部截头圆锥形表面的扩口支架（16），以提供连接装置以接合髂骨移植物的内部扩口部分（90）内。

10. 发明申请

WO2008021555A1 BALLOON FOR STENT MEMBER 审中-公开
标题翻译：用于STENT会员的气球
公开(公告)号：WO2008021555A1
公开(公告)日：2008-02-21
申请号：PCT/US2007/018408
申请日：2007-08-20
申请人： WILLIAM A. COOK AUSTRALIA PTY. LTD. , COOK INCORPORATED , HARTLEY, David, Ernest
发明人： HARTLEY, David, Ernest
IPC分类号： A61F2/84
CPC分类号： A61F2/958 , A61F2002/821
摘要： A balloon expandable stent (12) in its contracted condition is carried on an elongate balloon (10) so that a distal end (11) of the balloon extends beyond the stent, whereby, after deployment of the stent into a side vessel, the end (11) of the balloon is expanded to cause the end of the stent to flare to engage a stent member in a main vessel. The stent (12) and balloon (10) are provided in a balloon catheter having a balloon lumen (16) at a proximal end and a connection arrangement (4) for a source of inflation fluid at a distal end of the balloon catheter. The balloon comprises a compliant or semi-compliant material.
摘要翻译：处于收缩状态的球囊可扩张支架（12）承载在细长气囊（10）上，使得气囊的远端（11）延伸超过支架，由此，在将支架部署到侧容器中之后，端部（11）膨胀以使支架的端部扩张以将支架构件接合在主容器中。支架（12）和球囊（10）设置在球囊导管中，球囊导管在近端具有球囊腔（16），并且在球囊导管的远端处具有用于充气流体源的连接装置（4）。气球包括顺应性或半顺应性材料。

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