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    • 1. 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。
    • 7. 发明申请
    • POROUS THREE DIMENSIONAL NEST SCAFFOLDING
    • 多孔三维NEST SCAFFOLDING
    • WO2007084320A3
    • 2008-10-30
    • PCT/US2007000707
    • 2007-01-11
    • MAYO FOUNDATIONHOLMES DAVID R JRSANDHU GURPREET SSIMARI ROBERT D
    • HOLMES DAVID R JRSANDHU GURPREET SSIMARI ROBERT D
    • A61L27/38A61L27/54A61L31/00A61L31/16
    • A61L27/38A61L27/54A61L31/005A61L31/16A61L2300/00
    • The invention provides porous three dimensional scaffold structures that may be used to deliver a bioactive agent, such as cells, into a location within the body. In one example form, the porous three dimensional structure may be a stent. In another example form, the porous three dimensional structure may be a microscale or nanoscale device for the delivery of the bioactive agent. The scaffold may include a substrate and one or more nests connected to the substrate. The nest(s) extend away from the substrate to define an enclosed volume on the substrate within each nest. The nests have openings that extend from an outer surface of the nest to the enclosed volume within each nest. The scaffold includes a bioactive agent disposed within the enclosed volume of at least one nest on the substrate. The bioactive agent is delivered to the patient when the scaffold is located within the patient.
    • 本发明提供了可用于将生物活性剂(例如细胞)输送到体内的位置的多孔三维支架结构。 在一个示例形式中,多孔三维结构可以是支架。 在另一个示例形式中,多孔三维结构可以是用于递送生物活性剂的微尺度或纳米级装置。 支架可以包括基底和连接到基底的一个或多个巢。 嵌套从衬底延伸离开,以在每个嵌套内的衬底上限定封闭的体积。 巢具有从巢的外表面延伸到每个窝内的封闭体积的开口。 支架包括设置在衬底上的至少一个嵌套的封闭体积内的生物活性剂。 当支架位于患者体内时,将生物活性剂递送至患者。
    • 9. 发明申请
    • METHODS FOR SELF-CENTERING A GUIDE CATHETER
    • 自引导导管的方法
    • WO2015013238A3
    • 2015-04-09
    • PCT/US2014047541
    • 2014-07-22
    • MAYO FOUNDATIONSANDHU GURPREET SSPOON DANIEL BTEFFT BRANDON J
    • SANDHU GURPREET SSPOON DANIEL BTEFFT BRANDON J
    • A61M25/01A61M25/04A61M25/09
    • A61F2/2427A61M25/0108A61M25/04A61M25/09
    • A guide catheter can align itself with a blood flow stream to thereby help direct a guidewire or other elongate device transmitted from the guide catheter through an orifice of a heart valve, for treatment of heart conditions such as valvular stenosis. For example, a guide catheter can align itself with a blood flow stream to thereby help direct a guidewire or other elongate device transmitted from the guide catheter through an orifice of a heart valve, or any other normal or abnormal passage in the body against the direction flow. This device can also be used to localize and repair leaks where a fluid flow jet is present in submerged or fluid-filled chambers. A device for centering a medical instrument in a body conduit includes a framework of frame members, defining a lumen with open ends; and a covering.
    • 引导导管可以使其自身与血液流对齐,从而有助于引导从导引导管传递的导丝或其它细长装置通过心脏瓣膜的孔,用于治疗心脏状况如瓣膜狭窄。 例如,引导导管可以使其自身与血液流对准,从而有助于引导从引导导管传递的导丝或其它细长装置通过心脏瓣膜的孔或身体中相对于方向的任何其它正常或异常通道 流。 该装置还可以用于定位和修复在浸没或流体填充的室中存在流体流动喷射的泄漏。 用于将医疗器械定心在体导管中的装置包括框架构件的框架,其限定具有开口端的内腔; 和覆盖物。