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    • 1. 发明申请
    • AGENT DELIVERY SYSTEMS
    • 代理交付系统
    • WO0069504A9
    • 2002-02-21
    • PCT/US0013119
    • 2000-05-12
    • BARD INC C RGAMBALE RICHARD ASHAH CHIRAG BWEISER MICHAEL FFORCUCCI STEPHEN JFORDE SEAN
    • GAMBALE RICHARD ASHAH CHIRAG BWEISER MICHAEL FFORCUCCI STEPHEN JFORDE SEAN
    • A61M36/04A61F2/00A61F2/02A61M31/00
    • A61M37/0069A61F2/2493A61F2250/0067
    • The present invention provides a system for delivering a therapeutic agent into tissue in combination with an implant device (2). Preferably the therapeutic substance is contained within a pellet form (14) that is deliverable into the interior of the device (2) after it has been implanted. In a preferred embodiment the implant device (2) comprises a flexible coiled spring body, the coils (4) of which have a diameter and spacing to contain the pellet (14) within the interior of the device (2). A cavity (18) provided by the interior of the device (2) permits blood to pool around the pellet (14) and mix with the therapeutic agent. In treatment of ischemic tissue such as the of the myocardium of the heart, the mechanical irritation of the tissue caused by the implanted device (2) can help to provide an angiogenic effect. Several delivery systems have provided for delivering the implant and pellet (14) sequentially or simultaneously.
    • 本发明提供了一种用于将治疗剂与植入装置(2)组合递送到组织中的系统。 优选地,治疗物质包含在颗粒形式(14)中,其在植入之后可输送到装置(2)的内部。 在优选实施例中,植入装置(2)包括柔性螺旋弹簧体,其线圈(4)具有直径和间距以在装置(2)的内部内容纳颗粒(14)。 由装置(2)的内部提供的空腔(18)允许血液围绕颗粒(14)聚集并与治疗剂混合。 在治疗缺血组织如心脏的心肌时,由植入装置(2)引起的组织的机械刺激有助于提供血管生成作用。 已经提供了几个递送系统来顺序地或同时地递送植入物和颗粒(14)。
    • 2. 发明申请
    • AGENT DELIVERY SYSTEMS
    • 代理交付系统
    • WO0069504A8
    • 2001-11-08
    • PCT/US0013119
    • 2000-05-12
    • BARD INC C RGAMBALE RICHARD ASHAH CHIRAG BWEISER MICHAEL FFORCUCCI STEPHEN JFORDE SEAN
    • GAMBALE RICHARD ASHAH CHIRAG BWEISER MICHAEL FFORCUCCI STEPHEN JFORDE SEAN
    • A61M36/04A61F2/00A61F2/02A61M31/00
    • A61M37/0069A61F2/2493A61F2250/0067
    • The present invention provides a system for delivering a therapeutic agent into tissue in combination with an implant device (2). Preferably the therapeutic substance is contained within a pellet form (14) that is deliverable into the interior of the device (2) after it has been implanted. In a preferred embodiment the implant device (2) comprises a flexible coiled spring body, the coils (4) of which have a diameter and spacing to contain the pellet (14) within the interior of the device (2). A cavity (18) provided by the interior of the device (2) permits blood to pool around the pellet (14) and mix with the therapeutic agent. In treatment of ischemic tissue such as the of the myocardium of the heart, the mechanical irritation of the tissue caused by the implanted device (2) can help to provide an angiogenic effect. Several delivery systems have provided for delivering the implant and pellet (14) sequentially or simultaneously.
    • 本发明提供了一种用于将治疗剂与植入装置(2)组合递送到组织中的系统。 优选地,治疗物质包含在颗粒形式(14)中,其在植入之后可输送到装置(2)的内部。 在优选实施例中,植入装置(2)包括柔性螺旋弹簧体,其线圈(4)具有直径和间距以在装置(2)的内部内容纳颗粒(14)。 由装置(2)的内部提供的空腔(18)允许血液围绕颗粒(14)聚集并与治疗剂混合。 在治疗缺血组织如心脏的心肌时,由植入装置(2)引起的组织的机械刺激有助于提供血管生成作用。 已经提供了几个递送系统来顺序地或同时地递送植入物和颗粒(14)。
    • 6. 发明申请
    • CATHETER POSITIONING SYSTEMS
    • 导管定位系统
    • WO0108741A9
    • 2002-09-12
    • PCT/US0020575
    • 2000-07-28
    • BARD INC C R
    • GAMBALE RICHARD AFORCUCCI STEPHEN JSHAH CHIRAG BWEISER MICHAEL FFORDE SEAN
    • A61M25/00A61M25/01A61M25/04A61M29/00
    • A61M25/04A61B2017/3488A61M25/0084A61M2025/0087
    • The present invention provides a catheter positioning system which serves to control and stabilize a distal end (12) of a catheter (10) at a treatment site within a patient so that a medical procedure can be performed with accuracy. Generally, the positioning system operates by providing deformable mechanical members at the distal end of the catheter which can be operated from the proximal end of the catheter (10) to extend radially outward to engage surrounding tissue adjacent to treatment site. In one embodiment of the invention a flexible superstructure comprising the plurality of flexible veins (16) extending longitudinally along the distal end of the catheter can be deformed to bow radially outward to engage surrounding tissue. The distal tip of the catheter joined to one of the veins was correspondingly displaced or rotated angularly as the veins bow outward. In another embodiment radially projecting fingers (50) are joined to the distal end of the catheter.
    • 本发明提供了一种导管定位系统,其用于控制​​和稳定患者内的治疗部位处的导管(10)的远端(12),使得可以精确地执行医疗程序。 通常,定位系统通过在导管的远端处提供可变形的机械构件来操作,其可以从导管(10)的近端操作以径向向外延伸以接合邻近治疗部位的周围组织。 在本发明的一个实施例中,包括沿着导管的远端纵向延伸的多个柔性静脉(16)的柔性上部结构可以变形以径向向外弯曲以接合周围的组织。 当静脉向外弯曲时,连接到静脉中的一个静脉的导管的远端相应地位移或旋转。 在另一个实施例中,径向突出的指状物(50)连接到导管的远端。
    • 7. 发明申请
    • TRANSTHORACIC DRUG DELIVERY DEVICE
    • TRANSTHORACIC药物递送装置
    • WO0018462A3
    • 2000-08-17
    • PCT/US9922541
    • 1999-09-30
    • BARD INC C R
    • GAMBALE RICHARD AFORCUCCI STEPHEN JCHOH RICHARD TCAFFERATA ROBERT
    • A61M5/14A61B17/00A61M25/00
    • A61M25/0068A61B2017/00247A61B2018/00392A61M25/008A61M25/0084A61M25/0133A61M25/0147A61M2025/0002A61M2025/0003A61M2025/0034A61M2025/0036A61M2025/0086A61M2210/10A61M2230/005
    • The present invention provides a transthoracic drug delivery device (10) that utilizes pressure to determine the precise location of the distal tip (18) of the delivery tube (14) of the device to insure that therapeutic substances are ejected into the myocardium (4) and not dissipated in unintended tissue locations. In one embodiment the drug delivery device (10) comprises a pressure sensing tube (12) mounted in parallel to a drug delivery tube (14) wherein the tubes are staggered so that the pressure tube (12) extends beyond the delivery tube (14). In another embodiment, a steerable syringe is provided so that multiple sites in the myocardium can be treated with a therapeutic substance with only one penetration into the heart. Once the delivery tube (28) of the syringe penetrates the left ventricle, its distal tip (32) can be deflected back toward the endocardial surface (6) and the tube (28) withdrawn proximally to cause penetration of the tip (32) into the myocardium (4). The deflectable tip (32) can be adjusted to a different deflection angle and the delivery tube (28) rotated to make available a circular array of points that may be accessed by the syringe.
    • 本发明提供了经胸廓药物输送装置(10),其利用压力来确定装置的输送管(14)的远端尖端(18)的精确位置,以确保将治疗物质喷射到心肌(4)中, 并且不会在非预期的组织位置消散。 在一个实施方案中,药物输送装置(10)包括平行于药物输送管(14)安装的压力感测管(12),其中管交错,使得压力管(12)延伸超出输送管(14) 。 在另一个实施例中,提供可转向注射器,使得心肌中的多个部位可以用仅具有一次穿透入心脏的治疗物质来治疗。 一旦注射器的输送管(28)穿过左心室,其远端尖端(32)可被偏转回到心内膜表面(6),并且管(28)向近端撤回以引起尖端(32)的穿透 心肌(4)。 可偏转尖端(32)可以被调节到不同的偏转角度,并且输送管(28)旋转以提供可由注射器访问的点的圆形阵列。