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    • 2. 发明申请
    • DEVICES AND METHODS FOR CROSSING CHRONIC TOTAL OCCLUSIONS
    • 用于交叉治疗慢性阻塞性疾病的装置和方法
    • WO2007139799A3
    • 2008-10-16
    • PCT/US2007012214
    • 2007-05-22
    • MAYO FOUNDATIONSANDHU GURPREET SRIHAL CHARANJIT S
    • SANDHU GURPREET SRIHAL CHARANJIT S
    • A61M29/00
    • A61B17/3207A61B2017/00858A61B2017/22094A61M25/0043A61M25/0662A61M29/00A61M2025/006
    • Devices and methods for crossing total chronic occlusions in body lumens which may involve guidewire assisted delivery of a device to traverse a chronic total occlusion (CTO) and create a passageway through the CTO for a treatment device. Some devices of the present invention may include an expandable sleeve that expands in response to temperature changes. In other devices, an expandable sleeve is provided in which interlocking sections are arranged such that they have a first, smaller diameter enabling insertion through a CTO. The expandable sleeve can assume a second, larger diameter by moving the interlocking cylindrical sections relative to each other. In other aspects, a guide catheter may include a friction-enhanced outer surface to assist in maintaining the guide catheter in a selected location during use. The friction-enhanced property may be provided using, e.g., materials with an increased coefficient of friction, adding features to an otherwise smooth surface, etc.
    • 用于穿过体腔内的全部慢性闭塞的装置和方法,其可以涉及导丝辅助递送装置以横穿慢性完全闭塞(CTO)并且通过用于治疗装置的CTO创建通道。 本发明的一些装置可以包括响应于温度变化而膨胀的可膨胀套筒。 在其它装置中,提供了一种可膨胀套筒,其中互锁部分布置成使得它们具有能够穿过CTO插入的第一较小直径。 可膨胀套筒可以相对于彼此移动互锁的圆柱形部分而呈现第二较大的直径。 在其他方面,引导导管可以包括摩擦增强的外表面,以在使用期间辅助将引导导管保持在选定的位置。 可以使用例如具有增加的摩擦系数的材料,将特征添加到其它光滑表面等来提供摩擦增强特性。