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    • 6. 发明申请
    • BALLOON CATHETER WITH DURABLE TIP PORTION
    • 具有耐用提示部分的气泡导管
    • WO2009108816A1
    • 2009-09-03
    • PCT/US2009/035350
    • 2009-02-26
    • BOSTON SCIENTIFIC SCIMED, INC.GREGORICH, Daniel J.GUNDALE, Ben
    • GREGORICH, Daniel J.GUNDALE, Ben
    • A61M29/02
    • A61M25/104A61M2025/1093Y10T29/49826
    • A durable distal tip structure for an intravascular catheter that may include a distal portion comprising a ring of durable material configured to provide a durable distal tip to the catheter, and a proximal portion extending proximally from the distal portion and configured for connecting the distal tip structure to the catheter, wherein the proximal portion of the distal tip structure is more laterally flexible than the distal portion. In some cases, the durable distal tip structure comprises a metal or metal alloy, and in some cases, the distal ring portion and proximal portion of the durable distal tip structure comprise a single monolith of material. Also, catheters including such durable distal tip structures, and methods of making and using such catheters. In some cases, the catheter is a balloon catheter. In some other embodiments, the catheter is a stent delivery catheter for a self expanding stent.
    • 一种用于血管内导管的耐久的远侧末端结构,其可包括远侧部分,所述远端部分包括耐久材料环,构造成向导管提供耐久的远端尖端,以及近端部分,其从远端部分向近侧延伸并且构造成用于连接远端尖端结构 导管,其中远端尖端结构的近端部分比远侧部分更侧向地柔性。 在一些情况下,耐用的远侧末端结构包括金属或金属合金,并且在一些情况下,耐久的远侧末端结构的远端环部分和近端部分包括单个整料材料。 此外,包括这种耐久的远端尖端结构的导管以及制造和使用这种导管的方法。 在一些情况下,导管是球囊导管。 在一些其他实施例中,导管是用于自扩张支架的支架输送导管。
    • 8. 发明申请
    • PRESSURE SENSING GUIDEWIRE AND METHODS FOR CALCULATING FRACTIONAL FLOW RESERVE
    • 压力传感指南及计算流量储备的方法
    • WO2015057518A1
    • 2015-04-23
    • PCT/US2014/060117
    • 2014-10-10
    • BOSTON SCIENTIFIC SCIMED, INC.
    • GREGORICH, Daniel J.
    • A61B5/00A61B5/0215
    • A61B5/02007A61B5/02154A61B5/6851A61B5/7225A61B5/7278
    • Medical devices and methods for making and using medical devices are disclosed. An example method may include a method for calculating fractional flow reserve including providing a pressure sensing guidewire, advancing the pressure sensing guidewire through a blood vessel to a first position distal of an intravascular occlusion, determining a distal pressure within the body lumen with the pressure sensing guidewire, proximally shifting the pressure sensing guidewire to a second position proximal of the occlusion, determining a proximal pressure within the body lumen with the pressure sensing guidewire, measuring an aortic pressure, and calculating a pressure drift. The pressure drift may be the difference between the aortic pressure and the proximal pressure. The method may also include calculating a drift-compensated fractional flow reserve. The drift-compensated fraction flow reserve may correspond to (the distal pressure + the pressure drift) divided by the aortic pressure.
    • 公开了用于制造和使用医疗装置的医疗装置和方法。 示例性方法可以包括用于计算分数流量储备的方法,包括提供压力感测导线,将压力感测导线通过血管推进到血管内闭塞的远端的第一位置,利用压力感测确定体腔内的远侧压力 导线,将压力感测导丝向近侧移动到闭塞附近的第二位置,使用压力感测导线确定体腔内的近侧压力,测量主动脉压力并计算压力漂移。 压力漂移可能是主动脉压力和近端压力之间的差异。 该方法还可以包括计算漂移补偿分数流量储备。 漂移补偿分数流量储备可以对应于(远端压力+压力漂移)除以主动脉压力。