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    • 1. 发明申请
    • ATHERECTOMY, ANGIOPLASTY AND STENT METHOD AND APPARATUS
    • 手术,手术和手术方法和装置
    • WO1997014470A1
    • 1997-04-24
    • PCT/US1996016724
    • 1996-10-18
    • ZACCA, Nadim, M.
    • A61M29/00
    • A61F2/958A61B17/320725A61B17/320758A61B2017/320004A61F2/885A61F2220/0058A61M2025/1068
    • An atherectomy device for treating obstructions in vessels or small openings in the body, comprising a rotatable ablator tip (16) which is guided to the obstruction in a reduced diameter configuration, expanded and rotated to remove the obstruction, and contracted to remove the device from the body. The atherectomy device may be combined with a balloon (240) angioplasty device employing either a fixed or variable diameter rotatable abrasive burr and an angioplasty balloon (240) disposed on the distal end of the catheter (14) proximal to the atherectomy device. The atherectomy device may also be combined with a stent (230) implantation device employing either a fixed or variable diameter rotatable abrasive burr and a stent (230) with balloon catheter disposed on the distal end of its catheter (14) proximal to the atherectomy device.
    • 一种用于治疗体内容器或小开口中的障碍物的粥样斑块切除装置,包括可旋转的消融器尖端(16),所述可旋转的消融器尖端(16)被引导至直径减小的构型的障碍物,并被扩张和旋转以移除所述障碍物,并收缩以将所述装置从 身体。 动脉粥样组织切除装置可以与使用固定或可变直径的可旋转磨料毛刺的球囊(240)血管成形术装置和设置在靠近于动脉粥样斑块切除装置的导管(14)的远端上的血管成形术球囊(240)组合。 动脉粥样斑块切除装置还可以与使用固定或可变直径的可旋转磨料毛刺的支架(230)植入装置和具有球囊导管的支架(230)组合,所述支架(230)设置在其导管(14)的远端与动脉粥样斑块切除装置 。
    • 2. 发明申请
    • ATHERECTOMY AND ANGIOPLASTY METHOD AND APPARATUS
    • 手术和放射治疗方法和装置
    • WO1993001753A2
    • 1993-02-04
    • PCT/US1992005993
    • 1992-07-15
    • ZACCA, Nadim, M.JASSO, Martin, R.
    • A61B17/22
    • A61B17/320725A61B17/22A61B2017/00553A61B2017/22062A61B2017/22082A61B2017/22092A61B2017/320004
    • A device for treating obstructions in vessels or small openings in the body, comprising a rotatable ablator tip which is guided to the obstruction in a reduced diameter configuration, expanded and rotated to remove the obstruction, and contracted to remove the device from the body. The variably expandable abrasive tip coil in one embodiment is actuated by piston means within the coil. A pair of collars is attached to the ends of the coil, and the piston effects relative longitudinal axial movement of the collars and the respective ends of the coil tip. When the ends of the coil tip are so moved, expansion and contraction of the diameter of the coil tip results. In another embodiment, the expansion tip coil is actuated by an expandable and contractible bellows disposed within the coil. In another embodiment, the expansion and contraction of the coil tip are affected by longitudinal axial movement of an internal coil attached to one end of the coil tip, within an outer coil attached to its other end. In another embodiment, expansion and contraction of the coil tip are effected by an inflatable balloon disposed within the coil tip. The balloon expansion means enlarges preferably at the central portion of the coil to make a bulge. In alternative embodiments, there is provided a combined atherectomy and balloon angioplasty device employing either a fixed or variable diameter rotatable abrasive burr, and an angioplasty balloon disposed proximal to the burr.
    • 一种用于处理体内的容器或小开口中的障碍物的装置,包括可旋转的消音器尖端,所述可旋转的消音器尖端以缩径的构型被引导到所述障碍物,被扩张和旋转以移除所述障碍物,并收缩以从所述身体移除所述装置。 在一个实施例中,可变膨胀的研磨尖端线圈由线圈内的活塞装置驱动。 一对轴环附接到线圈的端部,并且活塞影响轴环和线圈末端的相应端部的相对纵向轴向运动。 当线圈尖端的端部如此移动时,线圈尖端的直径的膨胀和收缩导致。 在另一个实施例中,膨胀尖端线圈由设置在线圈内的可膨胀和可收缩的波纹管致动。 在另一个实施例中,线圈尖端的膨胀和收缩受连接到线圈末端的一端的内部线圈在连接到另一端的外部线圈内的纵向轴向运动的影响。 在另一个实施例中,线圈尖端的膨胀和收缩由设置在线圈尖端内的可充气球体来实现。 球囊膨胀装置优选地在线圈的中心部分扩大以形成凸起。 在替代实施例中,提供了使用固定或可变直径的可旋转磨料毛刺的组合的粥样斑块切除术和球囊血管成形术装置,以及靠近毛刺设置的血管成形术球囊。
    • 3. 发明申请
    • EXPANDABLE TIP ATHERECTOMY METHOD AND APPARATUS
    • 可扩展提示方法和设备
    • WO1993001849A1
    • 1993-02-04
    • PCT/US1991006381
    • 1991-09-05
    • ZACCA, Nadim, M.JASSO, Martin
    • A61M05/178
    • A61B17/320725A61B17/22A61B2017/00553A61B2017/22062A61B2017/22082A61B2017/22092A61B2017/320004
    • A device (10) for removing obstructions from vessels or small openings in the body, comprising a rotatable ablator tip (16) which is guided to the obstruction in a reduced diameter configuration, expanded and rotated to remove the obstruction, and contracted to remove the device from the body. The variably expandable abrasive tip coil (16) in one embodiment of the invention is actuated by a piston means (62) disposed within the coil. A pair of collars is attached to the ends of the coil, and the piston effects relative longitudinal axial movement of the collars and, hence, the respective ends of the coil tip. When the ends of the coil tip are so moved with respect to one another, expansion and contraction of the diameter of the coil tip results. In another embodiment of the invention, the expansion tip coil (16) is actuated by an expandable and contractible bellows means (128) disposed within the coil, instead of the piston means. In another embodiment of the invention, the expansion and contraction of the coil tip are effected by longitudinal axial movement of an internal coil attached to one end of the coil tip, within an outer coil attached to the other end of the coil tip. In another embodiment of the invention, expansion and contraction of the coil tip are effected by an inflatable balloon (80) disposed within the coil tip (16). The balloon expansion means (80) enlarges preferably at the central portion of the coil (16) to make a bulge.
    • 一种用于从身体中的容器或小开口移除障碍物的装置(10),包括可旋转的消音器尖端(16),其以直径减小的形式被引导到障碍物,并被扩展和旋转以移除阻塞物,并收缩以消除 装置从身体。 本发明的一个实施例中的可变膨胀的研磨尖端线圈(16)由设置在线圈内的活塞装置(62)致动。 一对轴环附接到线圈的端部,并且活塞影响轴环的相对纵向轴向运动,并且因此影响线圈末端的相应端部。 当线圈末端的端部相对于彼此移动时,导致线圈尖端的直径的膨胀和收缩。 在本发明的另一个实施例中,膨胀尖端线圈(16)由设置在线圈内的可膨胀和可收缩的波纹管装置(128)来驱动,而不是活塞装置。 在本发明的另一个实施例中,线圈尖端的膨胀和收缩是通过连接到线圈末端的一端的内部线圈在连接到线圈尖端的另一端的外部线圈内的纵向轴向运动来实现的。 在本发明的另一个实施例中,线圈尖端的膨胀和收缩由设置在线圈尖端(16)内的可膨胀球囊(80)来实现。 球囊膨胀装置(80)优选地在线圈(16)的中心部分扩大以形成凸起。