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    • 1. 发明申请
    • SYSTEM AND METHOD FOR DELIVERING A BIFURCATED STENT
    • 用于传递分支的系统和方法
    • WO2008004069A3
    • 2009-08-27
    • PCT/IB2007001792
    • 2007-06-29
    • MEDINOL LTDRICHTER JACOB
    • RICHTER JACOB
    • A61F2/82
    • A61F2/856A61F2/07A61F2/82A61F2/954A61F2/958A61F2230/001
    • A system and method for delivering and assembling a bifurcated stent in a bifurcated vessel having a first lumen and a second lumen. The system and method includes the use of three balloon catheters wherein at least one of the catheters is a fixed wire catheter. A first segment of the bifurcated stent having a stem portion, a first leg portion, a longitudinal bore extending therethrough and a branch aperture formed in the side wall is mounted on two of the balloon catheters and delivered to the treatment site where it is implanted into the first lumen. A second segment of the bifurcated stent having a proximal end, a distal end and a longitudinal bore extending therethrough is mounted on the third balloon catheter and is delivered to the treatment site such that the distal end extends into the second lumen and the proximal end extends into longitudinal bore of the first segment. The second segment is then implanted into the second lumen and secured to the branch aperture of the first segment to form a bifurcated stent.
    • 一种用于在具有第一腔和第二腔的分叉血管中输送和组装分叉支架的系统和方法。 该系统和方法包括使用三个气囊导管,其中至少一个导管是固定导线导管。 分叉支架的第一段具有杆部,第一腿部,延伸穿过其中的纵向孔和形成在侧壁中的分支孔安装在两个气囊导管上,并被输送到其植入的治疗部位 第一个流明。 具有近端,远端和延伸通过其延伸的纵向孔的分叉支架的第二段安装在第三气囊导管上并被输送到治疗部位,使得远端延伸到第二腔中,并且近端延伸 进入第一段的纵向孔。 然后将第二段植入第二腔并固定到第一段的分支孔,以形成分叉支架。
    • 2. 发明申请
    • A COVERING FOR AN ENDOPROSTHETIC DEVICE AND METHODS OF USING FOR ANEURYSM TREATMENT
    • 内窥镜装置的覆盖及其用于治疗神经病的方法
    • WO2006111801A3
    • 2008-11-27
    • PCT/IB2006000471
    • 2006-03-03
    • MEDINOL LTDRICHTER JACOB
    • RICHTER JACOB
    • A61M29/00A61F2/07A61F2/91
    • A61B17/12022A61B17/12118A61B17/1215A61F2/07A61F2/90A61F2/91A61F2002/075A61F2250/0023
    • The present invention relates to covered endoprosthetic devices. Covered endoprosthetic devices comprise an endoprosthesis and a sheath. The sheath comprises a central portion and outer portions, wherein the central portion preferentially restricts or causes a restriction of blood flow. Blood flow can be reduced by the central portion of the sheath by varying the permeability of the sheath or by having projections on the sheath that slow blood flow. Permeability may be provided by perforations or holes in the material of the sheath or by varying the polymer structure that makes up the sheath itself. The outer portions of the sheath do not substantially reduce blood flow. Methods of using sheath-covered endoprosthetic devices of the invention to treat aneurysms, especially aneurysms in proximity to small perforator vessels or arteries, are also encompassed.
    • 本发明涉及覆盖的假体内装置。 覆盖的假体内装置包括内假体和护套。 护套包括中心部分和外部部分,其中中心部分优先限制或导致血流的限制。 通过改变护套的渗透性或通过在鞘上具有减慢血液流动的突起,可以通过鞘的中心部分减少血液流动。 渗透性可以通过护套材料中的穿孔或孔提供,或通过改变构成护套本身的聚合物结构来提供。 护套的外部部分基本上不减少血流量。 还包括使用本发明的护套覆盖的假体内装置来治疗动脉瘤,特别是小穿孔器或动脉附近的动脉瘤的方法。
    • 3. 发明申请
    • STENT WITH VARIABLE FEATURES TO OPTIMIZE SUPPORT AND METHOD OF MAKING SUCH STENT
    • 具有可变特性以优化支持的STENT和制造这种支架的方法
    • WO2007099439A2
    • 2007-09-07
    • PCT/IB2007000482
    • 2007-02-28
    • MEDINOL LTDRICHTER JACOB
    • RICHTER JACOB
    • A61F2/84A61F2/00A61F2/02A61F2/06A61F2/82A61F2/90A61M5/00A61M29/00
    • A61F2/91A61F2/915A61F2002/91533A61F2002/91541A61F2002/91558A61F2230/0054A61F2250/0018A61F2250/0029
    • An intravascular stent especially suited for implanting in lumens having variable characteristics such as curvatures, changing diameters as found in ostial regions or variable wall compliance during systolic cycles. The stent can include an end region which is fabricated to have a greater radial strength than the remaining axial length of the stent. Such a stent is particularly suited for use in ostial regions, which require greater support near the end of the stent. The stent alternatively can include sections adjacent the end of the stent with greater bending flexibility than the remaining axial length of the stent. Such a stent is particularly suited for use in curved arteries. The stent can be constructed with an end that has greater radial strength and sections adjacent the end with greater bending flexibility. Such a stent prevents flaring of the stent end during insertion. The stent can also be constructed to have increased longitudinal flexibility when expanded such that it flexes with the vessel wall during systolic cycles.
    • 一种血管内支架,特别适用于植入具有可变特征(例如曲率),腔内变化的直径或在收缩期循环期间可变壁依从性的腔内。 支架可以包括制造成具有比支架的剩余轴向长度更大的径向强度的端部区域。 这种支架特别适用于在支架端部附近需要较大支撑的口部区域。 替代地,支架可以包括邻近支架的端部的部分,其具有比支架的剩余轴向长度更大的弯曲柔性。 这种支架特别适用于弯曲的动脉。 支架可以构造成具有较大径向强度的端部和邻近端部的部分,具有较大的弯曲柔性。 这种支架可防止插入期间支架端部的扩张。 支架也可以被构造成在膨胀时具有增加的纵向柔性,使得其在收缩期循环期间与血管壁弯曲。
    • 4. 发明申请
    • HYBRID STENT
    • 混合型
    • WO2005118971A3
    • 2006-06-22
    • PCT/IB2005001524
    • 2005-05-31
    • MEDINOL LTDRICHTER JACOB
    • RICHTER JACOB
    • A61F2/00A61F2/02A61F2/82E04B1/82E04B2/02F01N1/00
    • A61F2/82A61F2/91A61F2/915A61F2002/826A61F2002/828A61F2002/91541A61F2002/91558A61F2210/0004A61F2250/0031A61F2250/0071
    • A stent (30) is provided with a series of short pieces (34) or sections connected together by a bioresorbable polymer (36). The stent sections are designed to separate or articulate with time as the polymer biodegrades. The time of separation can be controlled by the characteristics of the bioresorbable polymer to allow the stent to be buried in neo-intima. By using a tube (32) made of a bioresorbable polymer, the continuous covering of the tubing may inhibit embolization in the first few weeks after stent implantation within the walls of a vessel and timing for removal of the tube through formulation of the bioresorbable polymer can be controlled to occur when embolization is no longer a risk. When the detachment of the stent pieces or sections occurs, they are fixedly secured within the vessel and each are able to flex with the vessel independently of the other stent segments.
    • 支架(30)设置有一系列短块(34)或通过生物可再吸收聚合物(36)连接在一起的部分。 支架部分设计成随着聚合物的生物降解而与时间分离或关节。 分离时间可以通过生物可吸收聚合物的特性来控制,以允许支架埋入新内膜。 通过使用由生物可再吸收的聚合物制成的管(32),管的连续覆盖物可以在支架植入在血管壁内的最初几周内抑制栓塞,并且通过制备可生物再吸收的聚合物罐来移除管的时机 当栓塞不再是风险时,控制发生。 当发生支架片或部分的分离时,它们被固定地固定在容器内,并且每个能够独立于其它支架段与血管弯曲。
    • 5. 发明申请
    • LONGITUDINALLY FLEXIBLE STENT
    • 长期灵活的STENT
    • WO2005076691A2
    • 2005-08-25
    • PCT/IB2004004283
    • 2004-12-21
    • MEDINOL LTDRICHTER JACOB
    • RICHTER JACOB
    • A61F2/00
    • A61F2/915A61F2/91A61F2002/91508A61F2002/91516A61F2002/91525A61F2002/91533A61F2002/91558A61F2230/0054
    • An intravascular stent especially suited for implanting in curved arterial portion. The stent retains longitudinal flexibility after expansion. The stent is formed of intertwined meander patterns forming triangular cells. The cells are adapted to provide radial support, and also provide longitudinal flexibility after expansion. The cells also provide increase coverage of a vessel wall. Loops in the stent are disposed and adapted to cooperate, so that after expansion of said stent within a curved lumen, the stent is curved and cells on the outside of the curve open in length, but narrow in width, whereas cells on the inside of the curve shorten in length, but thicken in width to maintain a density of the stent element area which is much more constant than otherwise between the inside and outside of the curve. The stent also minimizes flaring out by eliminating free loops of the radially supporting circumferential bands of loops.
    • 血管内支架,特别适用于植入弯曲的动脉部分。 支架在扩张后保持纵向弹性。 支架由形成三角形细胞的相互缠绕的曲折形图形成。 电池适于提供径向支撑,并且还在膨胀后提供纵向柔性。 细胞还提供了血管壁的增加的覆盖。 支架中的环路被布置并适于配合,使得在支架在弯曲内腔中膨胀之后,支架是弯曲的,并且曲线外侧的细胞的长度开放但宽度窄,而内侧的细胞 该曲线长度缩短,但是宽度增加以保持支架元件面积的密度,其在曲线的内部和外部之间比其它情况更加恒定。 支架还通过消除径向支撑的圆周环带的自由环来最小化扩口。