CN104363862A - 血管假体输送装置及使用方法 - Google Patents

血管假体输送装置及使用方法 Download PDF

Info

Publication number
CN104363862A
CN104363862A CN201380030516.4A CN201380030516A CN104363862A CN 104363862 A CN104363862 A CN 104363862A CN 201380030516 A CN201380030516 A CN 201380030516A CN 104363862 A CN104363862 A CN 104363862A
Authority
CN
China
Prior art keywords
handle body
handle portion
push rod
proximal
proximal handle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201380030516.4A
Other languages
English (en)
Other versions
CN104363862B (zh
Inventor
S·亚贝弗伊尔
F·克里斯蒂安
J·C·坎宁
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bolton Medical Inc
Original Assignee
Bolton Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bolton Medical Inc filed Critical Bolton Medical Inc
Publication of CN104363862A publication Critical patent/CN104363862A/zh
Application granted granted Critical
Publication of CN104363862B publication Critical patent/CN104363862B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
    • A61F2002/9665—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod with additional retaining means

Abstract

一种输送装置，其包括导丝导管和绕导丝导管延伸的输送总成。该输送总成包括将输送总成的近侧柄部与推杆选择性地接合的锁定机构，血管假体直接地或间接地附接至所述推杆。当致动器将近侧柄部从柄体选择性地脱离时，近侧柄部的旋转独立于血管假体相对于柄体的纵向运动，由此近侧柄部可以沿柄体带有旋转地运动。

Description

血管假体输送装置及使用方法
相关申请
本申请要求于2012年4月12日提交的美国临时申请No.61/623,235的优先权。上述申请的全部教导通过引用合并于此。
背景技术
主动脉瘤是一部分动脉的扩大或膨胀，其可以是危及生命的。主动脉瘤的治疗仍然是一个挑战。腔内修复术已成为替代打开修复主动脉瘤的可行的选择。血管内的治疗方法导致血管内移植物的插入以从血流中逐出动脉瘤囊。一旦到位，血管内移植物展开为血流生成新的路径。血管内移植物通过金属支架的使用永久地保留在主动脉内，该金属支架形成靠在主动脉壁上的紧密配合和密封。目前，血管内输送装置在医生将移植物放置在动脉瘤部位的精确控制上有限制。因此，有必要开发新的和改进的输送装置以及使用输送装置治疗主动脉瘤的方法。
发明内容
本发明整体涉及一种用于植入血管假体的输送装置，以及使用该输送装置的方法。
在一种实施例中，输送装置包括具有近端和远端的导丝导管，并且输送总成绕导丝导管延伸。输送总成包括柄体、输送导管、推杆、近侧柄部以及锁定机构。柄体具有主纵向轴线、近端以及远端。输送导管具有从柄体的远端内绕导丝导管延伸的远端。推杆在输送导管内绕导丝导管延伸。推杆在柄体近侧的导丝导管的近端固定至导丝导管。近侧柄部绕柄体延伸并轴向地固定至输送导管，其中近侧柄部选择性地固定至推杆，并且其中近侧柄部能够绕柄体旋转，并且近侧柄部绕柄体的旋转转化成输送导管和推杆(选择性地)相对于柄体的纵向运动。在柄体处的锁定机构将近侧柄部与推杆选择性地接合。
在一种实施例中，输送装置包括将近侧柄部从柄体选择性地脱离的在近侧柄部处的致动器，由此近侧柄部的旋转是独立于输送导管相对于柄体的纵向运动的。在另一种实施例中，近侧柄部包括限定当近侧柄部绕柄体旋转时相对于柄体的主纵向轴线横向地运动的齿的一端。在这种实施例中，输送装置还包括沿柄体的主纵向轴线延伸的齿条、与近侧柄端的齿接合的联接齿轮(该联接齿轮能够绕与近侧柄部的旋转轴线横向的轴线旋转)以及小齿轮。小齿轮与齿条以及联接齿轮接合，由此近侧柄部绕柄体的旋转转化成输送导管和推杆(选择性地)相对于柄体的纵向运动。致动器将联接齿轮从小齿轮选择性地脱离，从而将近侧柄部的旋转从近侧柄部沿柄体的纵向运动选择性地脱离。
在又一实施例中，输送装置的致动器包括致动器外壳、按钮、小齿轮延伸部分、滚珠轴承以及截头圆锥中心销。致动器外壳绕柄体延伸并可旋转地连接至近侧柄部，由此当近侧柄部绕柄体旋转时，致动器外壳沿柄体是可运动的而不绕柄体旋转。按钮定位于致动器外壳。小齿轮延伸部分限定与小齿轮同轴的同轴开口并限定从同轴开口横向地延伸的至少一个横向开口。滚珠轴承至少部分地位于横向开口内，并且当其位移以径向地延伸越过小齿轮延伸部分时，锁定联接齿轮和小齿轮的相关旋转。截头圆锥中心销从柄体的主纵向轴线径向向外偏置并邻接按钮，由此截头圆锥中心销径向地向外位移滚珠轴承通过横向开口并通过向外偏置锁定联接齿轮和小齿轮的相关旋转，从而当近侧柄部绕柄体旋转时引起近侧柄部沿柄体的纵向运动，并且当按下按钮时，将联接齿轮从小齿轮选择性地脱离，从而将近侧柄部的旋转从近侧柄部沿柄体的纵向运动选择性地脱离。
本发明的输送装置的另一实施例包括在柄体的远端处的远侧把手，并且锁定机构包括转换旋钮、驱动轴、驱动齿轮以及第一锁定组件。转换旋钮定位在远侧把手处并能够绕柄体旋转，并且限定当转换旋钮绕柄体旋转时与柄体的主纵向轴线横向地运动的、沿转换旋钮内侧的齿。锁定机构具有相对于柄体的至少两个固定位置。驱动轴具有近端和远端，其中远端限定与转换旋钮的齿直接地或间接地接合的并沿驱动轴的主纵向轴线延伸的齿。驱动齿轮沿驱动轴并限定与沿驱动轴的齿直接地或间接地接合的齿，由此转换旋钮在转换旋钮的所有位置与驱动齿轮接合。第一锁定组件绕推杆延伸并连接至近侧柄部和驱动齿轮，从而，在转换旋钮的第一位置，第一锁定组件将近侧柄部与推杆接合，并且从第一位置到第二位置的转换旋钮的旋转引起驱动轴的旋转，其接下来引起驱动齿轮的旋转以及第一锁定组件从推杆的脱离，从而当近侧柄部沿柄体的主纵向轴线运动时，允许输送导管沿柄体的纵向轴线相对于推杆的独立运动。
在本发明的另一实施例中，锁定机构还包括第二锁定组件。第二锁定组件绕推杆延伸，固定至柄体，并通过驱动轴连接至转换旋钮，由此转换旋钮从第一位置到第二位置的旋转引起柄体与推杆之间的接合，从而防止当近侧柄部沿主纵向轴线运动时推杆相对于柄体的纵向运动。
在又一实施例中，本发明的输送装置包括尖端输送装置，其包括尖端卡扣总成和近侧卡扣总成。尖端卡扣总成包括在导丝导管的远端的远侧捕捉组件，近侧捕捉组件与远侧捕捉组件是可配合的关系，并且尖端释放导管具有近端，其中尖端释放导管绕导丝导管延伸并固定至近侧捕捉组件。近侧卡扣总成包括在导丝导管的近端处的固定组件以及在尖端释放导管的近端处的外部联结装置，其与近侧卡扣总成的固定组件是可配合的关系，由此外部连接装置相对于固定组件从第一位置到第二位置的运动将会引起近侧捕捉组件相对于尖端卡扣总成的远侧捕捉组件的相关运动。
在又一实施例中，本发明包括输送装置，其包括齿条、柄部(其绕齿条延伸并限定在柄部一端的齿，所述柄部能够绕齿条旋转)、小齿轮(其可绕与柄部的旋转轴线相交的轴线旋转，并与齿条接合)、联接齿轮(其随小齿轮的旋转而选择性地旋转)、致动器(其将小齿轮与联接齿轮选择性地接合)以及固定至柄部的输送导管，从而根据小齿轮通过致动器与联接齿轮的接合，柄部的旋转相对于齿条选择性地运动输送导管。
在又一实施例中，本发明为用于将血管假体输送至患者的治疗部位的方法。该方法包括，当假体的近端安装到固定至导丝导管的远端的输送装置时，将血管假体推进至患者的血管治疗部位远侧的位置。近侧柄部绕输送装置的具有远端的柄体以第一方向旋转，导丝导管通过所述柄体延伸。导丝导管设置在也延伸穿过柄体的推杆内，其中导丝导管固定至推杆，由此近侧柄部的旋转引起导丝导管和推杆沿柄体的纵向运动，从而将假体至少部分地推进至治疗部位，假体在从柄体的远端绕假体延伸的外部导管内推进。第一锁定组件将近侧柄部固定至推杆的位置从第一位置转换到第二位置，其中第一锁定组件将近侧柄部从推杆脱离，并且第二锁定组件将推杆与柄体接合。然后近侧柄部以第二方向旋转，由此具有远端的并且绕推杆延伸的输送导管沿推杆撤回，并且从输送导管的远端延伸的输送护套至少部分地从假体缩回。然后假体的近端从尖端输送装置释放。第二锁定组件转换以将推杆从柄体脱离，并且推杆和导丝导管从假体内撤回，从而将血管假体输送至治疗部位。
本发明的输送装置及其使用方法具有很多优点。例如，在治疗部位的植入期间，近侧柄部的旋转从而推进推杆和在推杆端部的血管假体为血管假体的运动提供了增加的控制。另外，近侧柄部和推杆的选择性的接合能够实现近侧柄部从推杆的脱离，从而通过近侧柄部的与将血管假体推进至治疗部位所使用的相反的方向的旋转，提供输送护套从血管假体的控制的缩回。此外，输送装置的致动器能够实现近侧柄部从柄体的选择性的脱离，由此近侧柄部可在不旋转的情况下沿柄体运动，从而在血管假体到治疗部位的推送期间和在假体已被推进至治疗部位且输送护套从假体的缩回期间，提供血管假体的运动的另外的自由度。本发明的输送装置还具有这样的优点，根据近侧柄部从推杆的脱离引起推杆与柄体的接合，从而在输送护套通过近侧柄部的运动正在从血管假体缩回时，能够实现输送护套从血管假体的撤回而没有血管假体的夹带。另外，尖端输送装置在推杆和导丝导管的近端处是可控制的，从而在输送装置的剩余组件维持静止时，能够实现血管假体的近端在治疗部位处的选择性的释放。此外，推杆可从柄体和近侧柄部脱离，从而能够实现一旦血管假体在输送装置处被植入，推杆、导丝导管以及尖端输送装置从血管假体内的缩回，从而最小化一旦血管假体被植入，血管假体潜在的破坏。
附图说明
图1为本发明的输送装置的一种实施例的透视图。
图2为本发明的转换旋钮、驱动轴以及致动器的一种实施例的透视图。
图3为图2中所示的转换旋钮和驱动轴的透视图。
图4为本发明的另一实施例的转换旋钮、远侧柄部、远侧柄部鼻部的透视图，以及柄体和输送导管的部分横截面视图。
图5为图4中所示的本发明的输送装置的实施例的一部分的局部剖面图。
图6为柄体、中间齿轮、减速齿轮以及连接齿轮的一部分的细节的局部剖面图，所有这些将转换旋钮与图4中所示的本发明的实施例的驱动轴连接。
图7为图4的实施例的局部剖面图，示出了远侧柄部以及在远侧柄部鼻部处的基座(外部导管连接至其上)的横截面视图。
图8为图4的实施例的局部剖面图，示出了绕输送导管延伸的约束环。
图9为图1的输送装置的另一实施例的局部剖面图，示出了在由柄体限定的狭槽的近端处的致动器和按钮。
图10为图1中所示的实施例的第一锁定组件、第二锁定组件以及它们与驱动轴的关系的透视图。
图11为第一锁定组件与第二锁定组件，以及稳固第一锁定组件与第二锁定组件之间各自关于图1的实施例的驱动轴的空间关系的第一锁定组件外壳与第二锁定组件外壳的另一种表示。
图12A为图1的实施例的另一透视图，示出了近侧柄部和致动器沿柄体的位移，其是由于近侧柄部绕柄体的旋转，或者是由于致动器的按钮的按压从而允许在近侧柄部不旋转的情况下致动器和近侧柄部的纵向运动。
图12B为图1的实施例的另一透视图，其中近侧柄部已沿输送系统的柄体推送。
图13为在图1所示的本发明的实施例的柄体处的近侧柄部和致动器的细节，此时不带有致动器外壳。
图14为图13的细节的透视图，不带有图13中所示的致动器的按钮。
图15为图1的实施例的局部剖面图，示出了小齿轮总成和联接齿轮总成相对于第一锁定组件外壳的关系，以及第一锁定组件外壳与在外壳内的输送导管的关系。
图16为柄体的剖面图内的第一锁定组件外壳和第二锁定组件外壳的透视图，连同致动器的联接齿轮总成和小齿轮总成的透视图。
图17为图16中所示的本发明的表示的侧视图。
图18为图16和图17中所示的柄体的远端和第二锁定组件的局部剖面图。
图19为图17中所示的致动器的局部剖面的透视图。
图20为图1中所示的实施例的齿条和近侧柄部的透视图，以及在缺少联接齿轮总成时本发明的致动器的替代实施例。
图21为图20的小齿轮总成的实施例的部分透明的透视图。
图22为图21中所示的实施例的另一视图。
图23为缺少图21和图22中所示的上部小齿轮时这些图中所示的实施例的透视图。
图24为图23中所示的表示的另一实施例。
图25为本发明的一种实施例的近侧卡扣总成的一种实施例的透视图。
图26为图25中所示的近侧卡扣总成的局部剖面图。
图27A-27C为图1中所示的输送装置的远端的剖面透视图。
图28A为处于第一位置的转换旋钮的透视图，其中推杆固定至近侧柄部并且未部署假体。
图28B为处于第一位置的近侧卡扣总成的详细透视图，由此，尖端卡扣总成是未打开的。
图28C为处于第一位置的转换旋钮的详细透视图。
图29A为图28A-28C的输送装置的透视图，示出了当转换旋钮处于第二位置时，含有假体的输送护套的前进，其中推杆固定至柄体。
图29B为图29A的输送护套的前进的详细透视图。
图30A为示出了输送护套的前进的图29A、29B的输送装置的透视图。
图30B为处于第二位置的图30A的转换旋钮的详细透视图。
图31A为图30A、30B的输送装置的透视图，其中输送护套已经部分地从假体缩回。
图31B为处于关闭位置的本发明的一种实施例的尖端卡扣总成的表示。
图32A为图31A的输送装置的透视图，其中尖端卡扣总成由近侧卡扣总成的致动打开，从而释放图32C中所示的假体的近侧支架的尖端。
图32B为图25、26的近侧卡扣总成的表示，借以尖端卡扣总成(未示出)已经打开。
图32C为处于打开位置的本发明的一种实施例的尖端卡扣总成的表示。
图33A为图32A的输送装置的透视图，其中转换旋钮已经运动至第三位置，借以推杆已经从近侧柄部和柄体释放，并且其中推杆已经从完全部署的假体缩回。
图33B为如图33A所示的处于第三位置的转换旋钮的透视图。
具体实施方式
虽然本发明已参考其示例性实施例具体地示出和描述，本领域的技术人员可以理解，在其中可做出的形式和细节上的各种改变都不脱离由所附权利要求书所包含的本发明的范围。
图1示出了本发明的输送装置10的一种实施例。输送装置10包括具有近端和远端的导丝导管12(图10、11)。本文所使用的关于输送装置及其组件的术语“近侧”的意思是相对地接近操作输送装置的医生。本文所使用的关于输送装置及其组件的术语“远侧”的意思是相对地远离操作输送装置的医生。本文所使用的关于假体、支架移植物以及组件的术语“近侧”的意思是相对地接近患者的心脏。本文所使用的关于假体、支架移植物以及组件的术语“远侧”的意思是相对地远离患者的心脏。回到图1，输送装置10包括绕导丝导管(未示出)延伸的输送总成18。输送总成18包括具有主纵向轴线22、近端24以及远端26的柄体20。输送导管28(图9)具有远端30(图27A)，其从柄体20的远端26内绕导丝导管(未示出)延伸。推杆32在导丝导管28内绕导丝导管12延伸(图10、11)。推杆32在销192(图25)处在柄体近侧的推杆32的近端34处固定至导丝导管12。回来参照图1，近侧柄部36绕柄体20延伸并轴向地固定至输送导管28。近侧柄部36选择性地固定至推杆32，其中，如通过比较图12A与图12B可以看到，近侧柄部36能够绕柄体20旋转，并且近侧柄部36绕柄体20的旋转转化成输送导管28沿纵向轴线22和推杆32(选择性地)相对于柄体20的纵向运动。在柄体20处的第一锁定机构38(图15)将近侧柄部36(图12A和12B)与推杆32选择性地接合。
远侧柄部40在柄体20的远端26处绕柄体20延伸，并且在第一锁定机构38(图15)的转换旋钮42的远侧。远侧柄部鼻部44(图1)从远侧柄部40远侧地延伸并且包括用于在溶液源(未示出)与输送装置10的内部组件之间提供流体连通的冲洗孔46，如必要，以在患者中的血管假体的植入期间，水化输送装置10的组件与患者内的血管假体(未示出)之间的接触。外部导管48从远侧柄部鼻部44(图1)延伸。
致动器80连接至近侧柄部36，由此当致动器80的在外壳81处的按钮82维持对准柄体20限定的狭槽84时，近侧柄部36可绕柄体20旋转。致动器80的按钮82的按压将近侧柄部36从柄体20选择性地脱离，由此近侧柄部20的旋转独立于输送导管12沿纵向轴线22相对于柄体20的纵向运动。
从图2中可以看到，转换旋钮42通过驱动轴88连接至驱动齿轮86。驱动轴88具有近端90和远端92，并且沿柄体20(未示出)的内部行进。从图3中可以看到，在一种实施例中，转换旋钮42通过中间齿轮94A连接至驱动轴88，由此转换旋钮42绕柄体20的旋转凭借转换旋钮42与驱动轴88之间通过中间齿轮94A的联接，引起驱动轴88的旋转。在这种实施例中，转换旋钮42间接地连接至驱动轴88，与直接联接相反。“直接联接”是彼此直接接触。如图1所示，转换旋钮42可旋转地连接至远侧柄部40，其固定至柄体20的远端26。
如图4和图5所示，在另一实施例中，转换旋钮42与驱动轴88之间的联接包括在中间齿轮94B处连接至同轴减速齿轮96的齿轮减速，接着，同轴减速齿轮96连接至同轴地连接至驱动轴88的连接齿轮98。利用减速齿轮，转换旋钮42相对于驱动轴88的旋转速率可由减速齿轮96和连接齿轮98的相对尺寸控制(图5、6、7)。典型地，转换旋钮42：驱动轴88的旋转比或减速比为约1:2与约1:6之间的比率。从图6中可以更详细地看出减速齿轮96与连接齿轮98之间的关系。
从图7中可以更详细地看出，输送导管28延伸穿过柄体20、远侧柄部40以及远侧柄部鼻部44。回来参考图5，外部导管48连接至基座102，由此外部导管48可独立于柄体20旋转。如图8中所示，约束环104沿在柄体20内的输送导管28延伸。如图8和图9所示，约束环104具有大于狭槽84宽度的外径，由此约束环104会防止近侧柄部36将纵向压缩力施加在输送导管28上而引起输送导管28弯曲或从而运动通过狭槽84来到柄体20外面。约束环104还具有比输送导管28的外径稍小的内径，由此约束环104与输送导管28会具有过盈配合，使得约束环104在被引导的情况下可沿输送导管28纵向地运动，而在其它情况下则相对于输送导管28保持就位。齿条106在柄体20内纵向地延伸。在柄体20的远端处的销108从柄体20的远端26延伸，并且选择性地位于转换旋钮42的狭槽110、112、114内。转换旋钮42可沿柄体20充分地纵向运动并可绕柄体20充分地旋转，以允许转换旋钮42运动销108在转换旋钮42的任何狭槽110、112、114内的放置，从而引起中间齿轮94的旋转。因此，驱动轴88绕驱动轴88的纵向轴线116旋转。转换旋钮42通过弹簧118(图7)偏倚在销108上。
从图9中可以看到，齿条106和驱动轴88延伸狭槽84的长度。图10示出了驱动轴88、推杆32以及第一锁定机构38之间的关系。推杆32延伸穿过第一锁定机构38，接着第一锁定机构38在第一锁定机构38的驱动齿轮86处与驱动轴88接合。第一锁定机构38在远侧轴承120处相对于近侧柄部(未示出)是固定的，推杆32延伸穿过远侧轴承120。远侧轴承120由销122连接至第一锁定组件外壳150。第一锁定机构38的第一锁定组件124在远端126处相对于远侧轴承120是固定的并且在近端128连接至驱动齿轮86，由此驱动轴88的旋转以及随之发生的驱动齿轮86的旋转会进一步盘绕第一锁定组件124、或减少盘绕第一锁定组件124，因此，造成推杆32分别与锁定机构38和因此与近侧柄部(未示出)接合或脱离。如通过比较图12A和12B可以看到，当第一锁定机构38与推杆32接合时，近侧柄部(未示出)沿驱动轴88和柄体20的纵向运动会引起推杆32沿驱动轴88和柄体20的纵向运动。
回来参考图10、11，驱动轴88在驱动轴轴承130处可旋转地固定至柄体20(图9)，驱动轴轴承130是在驱动轴88的近端90处的第二近侧锁定组件外壳152的一部分。第二锁定机构132包括变换齿轮134，变换齿轮134在驱动轴88的近端90处与驱动轴88接合并且与机构轴承136(图11)可旋转地接合，机构轴承136包括近侧轴承138(图10)和远侧轴承140(图10)，接着机构轴承136在销142处相对于柄体20固定。近侧轴承138径向地和轴向地固定至柄体20。远侧轴承140轴向地固定至柄体20。第二锁定机构132的第二锁定组件144在第二锁定组件144的近端146处与近侧轴承138之一接合，并且在第二锁定组件144的远端148处与变换齿轮134接合，由此驱动轴88的旋转和随之发生的变换齿轮134的旋转会使第二锁定组件144变紧并使其与推杆32接合，或使第二锁定组件144变松并使其与推杆32脱离。当与推杆32接合时，第二锁定组件144使推杆32相对于柄体(未示出)固定在位置上。当变松并从推杆32脱离时，推杆32能够相对于柄体(未示出)纵向运动。第一锁定组件124与第二锁定组件144的定向是相反的，由此驱动轴88在一个方向的旋转会同时地引起第一锁定组件124和第二锁定组件144与推杆32的相应的接合和脱离。第一锁定组件124从推杆32的脱离是由转换旋钮42从第一位置(在转换旋钮42的狭槽110处由销108限定)到第二位置112(在转换旋钮42(图9)的狭槽112处由销108限定)的运动引起的。从转换旋钮42的第一位置到第二位置的同样的运动会同时地引起第二锁定组件144与推杆32的接合，由此不管近侧柄部36沿柄体20的纵向轴线116的运动，推杆32将相对于柄体20在第二锁定组件144处固定就位。回来参考图8和图9，定位转换旋钮42，使得销108处于转换旋钮42的第一狭槽110与第二狭槽112之间的中间狭槽114处，将会使第一锁定组件124和第二锁定组件144二者从推杆32脱离。
从图11中可以看到，相应地，第一锁定组件外壳150固定第一锁定组件124和驱动轴88的横向运动，并且第二锁定组件外壳152固定第二锁定组件144和轴承138、140相对于驱动轴88的近端90的位置。另外，也可从图11中看到，尖端释放导管154在推杆32内延伸并且导丝导管12在尖端释放导管154内延伸。
图12A和12B标示了致动器80和近侧柄部36沿柄体20的相对运动。如图12A和12B所示，当按钮82处于第一位置时，近侧柄部36绕柄体20的旋转将会引起近侧柄部36和致动器80沿柄体20的纵向运动。根据按钮82至基本与致动器外壳81平齐的第二位置的按压，近侧柄部36的旋转将不会引起近侧柄部36或致动器沿柄体20的纵向运动。更确切地说，在近侧柄部36不绕柄体20旋转的情况下，近侧柄部36和致动器80能够沿柄体20运动。
从图13-15中可以看到，近侧柄部36的齿156与联接齿轮总成158的上部联接齿轮160接合。联接齿轮总成158与小齿轮总成164接合。联接齿轮总成158的下部联接齿轮162与小齿轮总成164的上部小齿轮166接合。小齿轮总成164通过狭槽84连接至第一锁定组件外壳150(图11)。相对参照图1，联接齿轮总成158和小齿轮总成164为致动器80的组件。图16为图1(不带有外壳81或按钮82)的致动器80、第一锁定组件外壳150以及第二锁定组件外壳152的透视图。
从图17中可以看到，上部小齿轮166与下部小齿轮168同轴，接着下部小齿轮168与齿条106接合。回来参考图16和17，输送导管28连接至第一锁定组件外壳150，并从而将通过如图1中所示的近侧柄部36和致动器80的运动而沿外壳150纵向地运动，无论第一锁定组件124是否与推杆32接合。因此，当上部小齿轮166与下部小齿轮168接合时，近侧柄部36(如图1所示)绕柄体20的旋转将引起联接齿轮总成158(图13)的旋转，并且从而引起小齿轮总成164(图13)的旋转和小齿轮总成164(图13)沿齿条106(图16和17)的运动，以及近侧柄部36(图1)和致动器80(图17)沿柄体20的运动。另外，当第一锁定组件124与推杆32接合时，近侧柄部36的旋转将引起推杆32沿柄体20的纵向运动。在所有情况下，近侧柄部36和致动器80沿柄体20的运动将总是一起发生，并且将引起输送导管28沿柄体20的纵向运动。
然而，如下面将进一步说明的，中心销170的下压将上部小齿轮166从下部小齿轮168脱离。当上部小齿轮166从下部小齿轮168脱离时，近侧柄部36绕柄体20的旋转不会引起近侧柄部36和致动器80沿柄体20的纵向运动。另外，近侧柄部36和致动器80沿柄体20的纵向运动可简单地通过沿柄体20运动近侧柄部36和致动器80而不需要近侧柄部36绕柄体20旋转获得(图1、12A和12B)。
图18示出了在柄体20的近端24内的第二锁定组件外壳152和在轴承138、140之间延伸的第二锁定组件144的布置。如上面描述的，凭借驱动轴88的旋转的变换齿轮134的旋转(图10、11)将引起第二锁定组件144与延伸穿过第二锁定组件144的推杆32之间的接合和脱离，并且从而引起推杆32与柄体20的近端24的接合和脱离。
图19为致动器80(图1)的联接齿轮总成158和小齿轮总成164的另一透视图。
如图20中所示的可替代实施例，按钮82位于中心销170顶部，其延伸穿过上部小齿轮166。从图20和21中可以看到，下部小齿轮168与齿条106接合并且包括小齿轮延伸部分169，小齿轮延伸部分169轴向地对准与上部小齿轮166轴向地对准的下部小齿轮168。小齿轮168的下部部分172延伸进入由第一锁定组件外壳150(图11)限定的开口174(图11)，从而固定小齿轮总成164相对于第一锁定组件外壳150(图11)、远侧轴承120(图11)、第一锁定组件124以及驱动齿轮86的位置，所有这些在之前的实施例中示出在图11中。
图21为示出了下部小齿轮168与齿条106的接合和中心销170的截头圆锥部分176的透视图。从图22和23中可以看到，滚珠轴承178延伸穿过由小齿轮延伸部分169限定的开口180，并且当中心销170处于延伸位置时，如图22所示，中心销170的截头圆锥部分176向外地推动滚珠轴承178并与由上部小齿轮166(图21和22)限定的开口182(图21)成为干涉关系，从而使上部小齿轮166与下部小齿轮168接合。如图23所示，当中心销170通过下压按钮82(图1)致动时，滚珠轴承178被上部小齿轮166(图22)相对于下部小齿轮168(图22)的旋转向内推动，由此上部小齿轮166不再与下部小齿轮168接合。中心销170被偏置于向外的位置，由此上部小齿轮166被定位于中心销170基座的弹簧184引导与下部小齿轮168接合(图22或23中未示出)。
从如32C中可以看到，鼻锥50固定至位于导丝导管12的远端16处的导丝导管12。血管假体组件58在鼻锥50近侧设置在输送装置10内(图27A)。
图25和26相应地示出了本发明的近侧卡扣总成184组件的透视图和剖视图。从图25中可以看到，外部联结装置186能够沿推杆32的近端34滑动。固定组件188通过销192固定至导丝导管的近端。外部联结装置186和固定组件188在接缝190处为匹配关系。外部联结装置186内的弹簧194将外部联结装置186偏靠在固定组件188上。近侧卡扣总成184从如图25、28B所示的第一位置运动至第二位置，示出了通过向外部联结装置186两侧的舌196施加压力并向远侧引导外部联结装置186足够的程度，以允许外部联结装置186旋转九十(90)度并接着缩回外部联结装置186，使得外部联结装置186的舌196在固定组件188的舌198之间对准，如图32B所示。外部联结装置186的从图25所示的第一位置到图32B所示的位置的运动使尖端卡扣总成52打开，由此近侧捕捉组件从与图31B所示的尖端卡扣总成52的远侧捕捉组件56相匹配的第一位置缩回至图32C所示的第二位置，其中近侧捕捉组件54与远侧捕捉组件56不再是匹配关系。近侧卡扣总成184的外部联结装置186相对于固定组件188的近侧运动(图25、28B、32B)将近侧捕捉组件54(图31B)从远侧捕捉组件56(图31B、32C)分离，释放位于血管假体组件58的近端60处的支架66的尖端68。
图27A-27C为本发明的输送装置10的一部分的横截面视图，示出了在输送装置10的远端202内的处于未部署状态的血管假体组件58。具体地，如图27A所示，血管假体组件58在输送护套200内。血管假体组件58的远端62邻接扶壁204。接着，扶壁204匹配至位于远端206的推杆32，如图27A所示，当尖端卡扣总成52处于关闭位置时，血管假体组件58的近端60通过尖端卡扣总成52被捕捉在近侧支架66的尖端68处。尖端卡扣总成52包括位于导丝导管12的远端16处的远侧捕捉组件56，并且近侧捕捉组件54与远侧捕捉组件56成匹配关系，并附接至尖端释放导管154的远端210。尖端释放导管154绕导丝导管12延伸，并且尖端释放导管154和导丝导管12都延伸经过血管假体组件58和推杆32至近侧卡扣总成184(图26)。从图27C中可以看到，输送护套200在其近端处固定至输送导管28的远端30并绕血管假体组件58延伸至尖端卡扣总成52。回到图27，鼻锥50在尖端卡扣总成52的远侧捕捉组件56远侧固定在导丝导管12处。外部导管48从远侧柄部鼻部44(图1)绕输送导管28和输送护套200延伸至鼻锥50。
如图28A-33B所示，一种用于使用本发明的输送装置将血管假体输送至患者的治疗部位的方法包括，当假体58在假体58的近端60处安装至尖端卡扣总成52时，推进血管假体58。如图28B所示，近侧尖端卡扣总成184处于第一位置，由此尖端卡扣总成52是关闭的(图31B)。当近侧卡扣总成184位于第一位置时，血管假体58的尖端固定在尖端卡扣总成52。接着，尖端卡扣总成52固定至导丝导管12的远端16，当销108在狭槽110中时转换旋钮42位于第一位置(图28C)，使推杆32随着近侧柄部36的纵向运动而运动。假体58被近侧柄部36绕输送装置10的柄体20(具有远端26)沿第一方向的旋转推进至在患者血管治疗部位远侧的位置，导丝导管12延伸穿过所述输送装置10。导丝导管12设置在也延伸穿过柄体20的推杆32内，其中导丝导管12在诸如导丝导管12或推杆32的远端处被销192固定至推杆32(图25)，可从图29A-29B看到，由此近侧柄部36的旋转引起导丝导管12和推杆32沿柄体20的纵向运动，从而至少部分地从外部导管48推进假体58。可选择地，致动器80的按钮82可被按下以将近侧柄部36的旋转从近侧柄部36沿柄体20的纵向运动脱离，从而允许血管假体58到患者血管治疗部位的人工推进而不需要近侧柄部36绕柄体20的旋转。
转换旋钮42从第一位置(其中第一锁定组件124(图10、11)将近侧柄部36固定至推杆32)转换至第二位置(由此第一锁定组件124(图10、11)将近侧柄部36从推杆32脱离并且第二锁定组件144(图10、11)将推杆32与柄体20在柄体20的近端24处接合)。
从图31A和31B中可以看到，当致动器按钮82没有被按下时，近侧柄部36可以第二方向旋转，由此具有远端30(图24A)并绕推杆32延伸的输送导管28沿推杆32撤回，并且从输送导管(图4-9)的远端延伸的输送护套200至少从假体52附近部分地缩回。可选择地，致动器80的按钮82可被按下，从而将近侧柄部36的旋转从柄体20脱离，从而将输送护套200从血管假体58完全地缩回而不需要近侧柄部36绕柄体20的旋转，如图32A所示。
接着，近侧卡扣总成184由以下致动：首先按压外部联结装置186并远侧地运动外部联结装置186，接着将外部联结装置186旋转九十度，并且在这之后将外部联结装置186缩回至第二位置，如图32B所示，从而将尖端释放导管154缩回推杆32(图10、11)内并且将近侧捕捉组件54从远侧捕获组件56缩回。从图32C可以看到，在血管假体58的近端60处的支架66的尖端68从尖端卡扣总成52释放，并且从而假体58从输送装置10释放。接着，从图33B可以看到，转换旋钮42从第二位置运动至第三位置，其中销108定位在第一狭槽110与第二狭槽112之间的狭槽114中，从而将推杆32从柄体20脱离。接着，从图33A可以看到，推杆32和导丝导管12通过拉动推杆32穿过柄体20从血管假体58撤回，从而完成血管假体58到治疗部位的输送。
虽然本发明已参考其示例性实施例进行了具体地示出和描述，但本领域中的技术人员可以理解，这里可做出的形式和细节上的各种改变都不脱离所附权利要求书所包括的本发明的范围。
本文引用的所有参考文献和美国专利No.8,070,790和美国专利申请No.12/459,387(公开号No.20100030255)和No.12/723,431(公开号No.20100234932)的相关部分通过引用整体合并于此。

Claims (30)

1.一种输送装置，其包括：
a)导丝导管，其具有近端和远端；以及
b)输送总成，其绕导丝导管延伸，其包括：
i)柄体，其具有主纵向轴线、近端和远端，
ii)输送导管，其具有从柄体的远端内绕导丝导管延伸的远端，
iii)推杆，其在输送导管内绕导丝导管延伸，该推杆在柄体近侧的导丝导管的近端处固定至导丝导管，
iv)近侧柄部，其绕柄体延伸并且轴向地固定至输送导管，近侧柄部选择性地固定至推杆，其中近侧柄部能够绕柄体旋转，并且近侧柄部绕柄体的旋转转化成输送导管和选择性地推杆相对于柄体的纵向运动，以及
v)在柄体处的锁定机构，其将近侧柄部与推杆选择性地接合。
2.根据权利要求1所述的输送装置，还包括在近侧柄部的致动器，其将近侧柄部从柄体选择性地脱离，由此近侧柄部的旋转独立于输送导管相对于柄体的纵向运动。
3.根据权利要求2所述的输送装置，其中，近侧柄部包括限定齿的一端，齿在近侧柄部绕柄体旋转时与柄体的主纵向轴线横向地运动，其还包括，
a)齿条，其沿柄体的主纵向轴线延伸；
b)联接齿轮，其与近侧柄端的齿接合，该联接齿轮能够绕横向于近侧柄部的旋转轴线的轴线旋转；以及
c)小齿轮，其将齿条与联接齿轮接合，由此近侧柄部绕柄体的旋转转化成输送导管和选择性地推杆相对于柄体的纵向运动，使得致动器将联接齿轮从小齿轮选择性地脱离，从而将近侧柄部的旋转从近侧柄部沿柄体的纵向运动选择性地脱离。
4.根据权利要求3所述的输送装置，其中致动器包括:
a)致动器外壳，其绕柄体延伸并且能够旋转地连接至近侧柄部，由此当近侧柄部绕柄体旋转时，致动器外壳能够沿柄体运动而不绕柄体旋转；
b)按钮，其位于致动器外壳处；
c)小齿轮延伸部分，其限定与小齿轮同轴的同轴开口，并且限定从该同轴开口横向地延伸的至少一个横向开口；
d)滚珠轴承，其至少部分地位于横向开口内，并且当其位移以径向地延伸越过小齿轮延伸部分时锁定联接齿轮与小齿轮的相对旋转；以及
e)截头圆锥中心销，其从柄体的主纵向轴线径向地向外偏置并且邻接按钮，由此截头圆锥中心销将滚珠轴承径向地向外位移穿过横向开口并通过向外偏置锁定联接齿轮与小齿轮的相对旋转，从而当近侧柄部绕柄体旋转时，引起近侧柄部沿柄体的纵向运动，并且当按钮被按下时，将联接齿轮从小齿轮选择性地脱离，从而将近侧柄部的旋转从近侧柄部沿柄体的纵向运动选择性地脱离。
5.根据权利要求4所述的输送装置，其中，还包括在柄体的远端的远侧把手，并且其中锁定机构包括：
a)位于远侧把手处的转换旋钮，其能够绕柄体旋转并限定沿转换旋钮内侧的齿，当所述转换旋钮绕柄体旋转时齿与柄体的主纵向轴线横向地运动，并且其中锁定机构具有相对于柄体的至少两个固定位置；
b)驱动轴，其具有近端和远端，其中远端限定与转换旋钮的齿接合并沿驱动轴的主纵向轴线延伸的齿；
c)沿驱动轴的驱动齿轮，其限定与沿驱动轴的齿接合的齿，由此转换旋钮在转换旋钮的所有位置与驱动齿轮接合；以及
d)第一锁定组件，其绕推杆延伸，该锁定组件连接至近侧柄部和驱动齿轮，由此，在转换旋钮的第一位置，第一锁定组件将近侧柄部与推杆接合，并且转换旋钮从第一位置到第二位置的旋转引起驱动轴的旋转，接着，驱动轴的旋转引起驱动齿轮的旋转和第一锁定组件从推杆的脱离，从而当近侧柄部沿柄体的主纵向轴线运动时，允许输送导管沿柄体的主纵向轴线相对于推杆的独立运动。
6.根据权利要求5所述的输送装置，其中，锁定机构还包括第二锁定组件，该第二锁定组件绕推杆延伸，固定至柄体并通过驱动轴连接至转换旋钮，由此转换旋钮从第一位置到第二位置的旋转引起柄体与推杆之间的接合，从而当近侧柄部沿主纵向轴线运动时防止推杆相对于柄体的纵向运动。
7.根据权利要求6所述的输送装置，还包括尖端输送装置，其包括：
a)尖端卡扣总成，其具有：
i)远侧捕捉组件，其位于导丝导管的远端，
ii)近侧捕捉组件，其能够与远侧捕捉组件为匹配关系，以及
iii)尖端释放导管，其具有近端，该尖端释放导管绕导丝导管延伸并固定至近侧捕捉组件，以及
b)近侧卡扣总成，其具有，
i)固定组件，其位于导丝导管的近端，以及
ii)外部联结装置，其位于尖端释放导管的近端并且能够与近侧卡扣总成的固定组件为匹配关系，由此外部联结装置相对于固定组件的从第一位置到第二位置的运动将引起近侧捕捉组件相对于尖端卡扣总成的远侧捕捉组件的相对运动。
8.根据权利要求7所述的输送装置，其中，转换旋钮包括第三位置，其中，第一锁定组件和第二锁定组件从推杆脱离，由此推杆能够通过推杆的纵向运动相对于柄体和近侧柄部纵向地运动，从而独立于近侧柄部和柄体运动导丝导管。
9.根据权利要求8所述的输送装置，其中，推杆能够径向地旋转。
10.根据权利要求8所述的输送装置，其中，柄体限定致动器所延伸穿过的狭槽，其还包括绕柄体内的输送导管延伸的多个约束环，该约束环具有比狭槽的外径大的外径，由此约束环将防止由于近侧柄部将纵向压缩力施加在输送导管上而引起输送导管弯曲并从而运动穿过狭槽来到柄体外面。
11.根据权利要求10所述的输送装置，其中，约束环限定小于输送导管外径的内径，从而在它们之间形成过盈配合，并由此约束环能够沿输送导管纵向地运动。
12.根据权利要求10所述的输送装置，还包括外部导管，其固定至柄体的远端并从柄体的远端延伸。
13.根据权利要求12所述的输送装置，其中，外部导管能够相对于柄体旋转。
14.根据权利要求13所述的输送装置，还包括输送护套，其从输送导管的远端远侧地延伸。
15.根据权利要求14所述的输送装置，还包括血管假体，其径向地约束在输送护套内，并且在假体的近端处能够释放地固定至尖端输送装置。
16.根据权利要求15所述的输送装置，还包括在假体近端处的至少一个支架，借以假体的近端在支架处能够释放地固定至尖端输送装置。
17.一种输送装置，其包括：
a)齿条；
b)柄部，其绕齿条延伸并在柄端处限定齿，该柄能够绕齿条旋转；
c)小齿轮，其能够绕与所述柄部的旋转轴线相交的轴线旋转并与齿条接合；
d)联接齿轮，其选择性地随着小齿轮的旋转而旋转；
e)致动器，其将小齿轮与联接齿轮选择性地接合；以及
f)输送导管，其固定至所述柄部，由此柄部的旋转根据小齿轮通过致动器与联接齿轮的接合，相对于齿条选择性地运动输送导管。
18.一种用于将血管假体输送至患者的治疗部位的方法，其包括以下步骤：
a)当尖端输送装置固定至导丝导管的远端，血管假体在假体的近端处安装至尖端输送装置时，将血管假体推进至在患者血管治疗部位远侧的位置；
b)以第一方向绕输送装置的具有远端的柄体旋转近侧柄部，导丝导管延伸穿过所述柄体，所述导丝导管设置在也延伸穿过柄体的推杆内，其中，导丝导管固定至推杆，由此近侧柄部的旋转引起导丝导管和推杆沿柄体的纵向运动，从而将假体至少部分地推进至治疗部位，所述假体在从柄体的远端绕假体延伸的外部导管内推进；
c)第一锁定组件将近侧柄部固定至推杆，将第一锁定组件的位置从第一位置转换至第二位置，由此第一锁定组件将近侧柄部从推杆脱离，并且第二锁定组件将推杆与柄体接合；
d)以第二方向旋转近侧柄部，由此具有远端并绕推杆延伸的输送导管沿推杆退回，并且从输送导管的远端延伸的输送护套从假体附近至少部分地缩回；
e)从尖端输送装置释放假体的近端；
f)转换第二锁定组件以将推杆从柄体脱离；以及
g)从假体内退回推杆和导丝导管，从而将血管假体输送至治疗部位。
19.根据权利要求18所述的方法，还包括将近侧柄部从柄体脱离的步骤，由此近侧柄部能够独立于近侧柄部的旋转沿柄体滑动。
20.根据权利要求19所述的方法，其中，当将假体推进至治疗部位时，近侧柄部从柄体脱离。
21.根据权利要求20所述的方法，其中，当输送护套从假体附近缩回时，近侧柄部从柄体脱离。
22.根据权利要求18所述的方法，其中，尖端输送装置为尖端卡扣总成，由此假体的支架的尖端由尖端卡扣总成保持直到释放。
23.根据权利要求22所述的方法，其中，通过缩回绕导丝导管延伸的尖端释放导管使假体从尖端卡扣总成释放，所述尖端释放导管固定至尖端卡扣总成的近侧捕捉组件，由此尖端卡扣总成的近侧捕捉组件从尖端卡扣总成的远侧捕捉组件分离，从而将假体的支架的尖端从近侧捕捉组件和远侧捕捉组件之间释放。
24.根据权利要求23所述的方法，其中，通过启动在近侧柄部处的致动器，近侧柄部的旋转从近侧柄部沿柄体的运动脱离。
25.根据权利要求24所述的方法，其中，通过将具有绕柄体延伸的齿的转换旋钮从第一位置旋转至第二位置，获得第一锁定组件的位置转换，使近侧柄部从推杆脱离。
26.根据权利要求25所述的方法，其中，将转换旋钮从第一位置旋转至第二位置同时地引起第二锁定组件将推杆与柄体接合。
27.根据权利要求26所述的方法，其中，转换旋钮接近柄体或者在柄体的远端。
28.根据权利要求27所述的方法，其中，转换旋钮通过具有近端和远端的驱动轴连接至近侧柄部，其中所述远端限定与转换旋钮的齿直接地或间接地接合的齿，所述转换旋钮限定在近端处的沿驱动轴的主纵向轴线的一排齿。
29.根据权利要求28所述的方法，其中，驱动轴在驱动轴的近端处与驱动齿轮接合，由此转换旋钮在转换旋钮的所有位置与驱动齿轮接合。
30.根据权利要求29所述的方法，其中，驱动齿轮在近侧柄部沿柄体的所有位置与驱动轴接合。
CN201380030516.4A 2012-04-12 2013-03-14 血管假体输送装置及使用方法 Active CN104363862B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261623235P 2012-04-12 2012-04-12
US61/623,235 2012-04-12
PCT/US2013/031702 WO2013154749A1 (en) 2012-04-12 2013-03-14 Vascular prosthetic delivery device and method of use

Publications (2)

Publication Number Publication Date
CN104363862A true CN104363862A (zh) 2015-02-18
CN104363862B CN104363862B (zh) 2016-10-05

Family

ID=48045735

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201380030516.4A Active CN104363862B (zh) 2012-04-12 2013-03-14 血管假体输送装置及使用方法

Country Status (7)

Country Link
US (5) US8998970B2 (zh)
EP (2) EP3141223A1 (zh)
JP (3) JP6238959B2 (zh)
CN (1) CN104363862B (zh)
BR (1) BR112014025430A2 (zh)
ES (1) ES2618221T3 (zh)
WO (1) WO2013154749A1 (zh)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106963528A (zh) * 2017-05-02 2017-07-21 陈安富 医疗器械手柄操作端及介入治疗系统
CN107405196A (zh) * 2015-03-13 2017-11-28 美敦力瓦斯科尔勒公司 用于带有容器调整装置的假体心脏瓣膜的递送装置
WO2018120750A1 (zh) * 2016-12-28 2018-07-05 苏州茵络医疗器械有限公司 自膨胀支架输送系统及其相关组件
CN111132638A (zh) * 2017-07-27 2020-05-08 波士顿科学国际有限公司 用于形成具有抗迁移特征的支架的可调节芯轴

Families Citing this family (54)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US11596537B2 (en) 2003-09-03 2023-03-07 Bolton Medical, Inc. Delivery system and method for self-centering a proximal end of a stent graft
US11259945B2 (en) 2003-09-03 2022-03-01 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
US20070198078A1 (en) 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
WO2010005524A2 (en) 2008-06-30 2010-01-14 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
ES2812228T3 (es) 2009-03-13 2021-03-16 Bolton Medical Inc Sistema para desplegar una prótesis endoluminal en un sitio quirúrgico
EP2775958B1 (en) 2011-11-11 2017-01-04 Bolton Medical, Inc. Universal endovascular grafts
CN106420107B (zh) 2011-11-16 2019-02-05 波顿医疗公司 用于主动脉分支血管的修复的装置和方法
US10376362B2 (en) 2012-04-05 2019-08-13 Medtronic Vascular Galway Valve introducers with adjustable deployment mechanism and implantation depth gauge
EP3141223A1 (en) 2012-04-12 2017-03-15 Bolton Medical, Inc. Vascular prosthetic delivery device
US9539130B2 (en) * 2012-10-29 2017-01-10 Cook Medical Technologies Llc Low profile stepped delivery system
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
GB201323008D0 (en) 2013-12-24 2014-02-12 Amazentis As Compounds and uses thereof
US9486350B2 (en) * 2014-03-31 2016-11-08 Medtronic Vascular, Inc. Stent-graft delivery system having handle mechanism for two-stage tip release
CN103961194B (zh) 2014-05-21 2016-05-18 苏州茵络医疗器械有限公司 一种高回缩性血管支架输送系统
EP3539507B1 (en) 2014-09-23 2023-11-22 Bolton Medical, Inc. Vascular repair devices
CN104546243B (zh) * 2015-01-04 2016-05-25 苏州茵络医疗器械有限公司 单手握持式的血管支架输送系统及其使用方法
US10327899B2 (en) * 2015-03-13 2019-06-25 Medtronic Vascular, Inc. Delivery device for prosthetic heart valve with capsule adjustment device
US11504236B2 (en) 2015-03-13 2022-11-22 Medtronic Vascular, Inc. Delivery device for prosthetic heart valve with capsule adjustment device
CN113244032B (zh) * 2015-09-18 2023-06-27 泰尔茂株式会社 可推动的植入物传送系统
WO2017156352A1 (en) * 2016-03-11 2017-09-14 Medtronic Vascular Inc. Delivery device for prosthetic heart valve with capsule adjustment device
WO2017176678A1 (en) 2016-04-05 2017-10-12 Bolton Medical, Inc. Delivery device with filler tubes
CN109069282A (zh) 2016-04-05 2018-12-21 波顿医疗公司 具有导引器和远侧护套的递送系统及使用方法
EP3439583B1 (en) 2016-04-05 2020-09-09 Bolton Medical, Inc. Stent graft with internal tunnels and fenestrations
ES2905193T3 (es) 2016-05-25 2022-04-07 Bolton Medical Inc Injertos de endoprótesis para el tratamiento de aneurismas
US20180206972A1 (en) 2016-08-10 2018-07-26 Bolton Medical, Inc. Graft prosthesis coupler, modular system, and methods of use
US10603198B2 (en) 2016-09-09 2020-03-31 Cook Medical Technologies Llc Prosthesis deployment system and method
WO2018156847A1 (en) 2017-02-24 2018-08-30 Bolton Medical, Inc. Delivery system and method to radially constrict a stent graft
WO2018156849A1 (en) 2017-02-24 2018-08-30 Bolton Medical, Inc. Vascular prosthesis with fenestration ring and methods of use
ES2935516T3 (es) 2017-02-24 2023-03-07 Bolton Medical Inc Sistema de suministro para constreñir radialmente un injerto de stent
EP3838220A1 (en) 2017-02-24 2021-06-23 Bolton Medical, Inc. System to radially constrict a stent graft
WO2018156851A1 (en) 2017-02-24 2018-08-30 Bolton Medical, Inc. Vascular prosthesis with moveable fenestration
JP7112393B2 (ja) 2017-02-24 2022-08-03 ボルトン メディカル インコーポレイテッド シースが収縮されたステントグラフト送達システムおよび使用方法
JP7065091B2 (ja) 2017-02-24 2022-05-11 ボルトン メディカル インコーポレイテッド 半径方向に調整可能なステントグラフト送達システム
WO2018156850A1 (en) 2017-02-24 2018-08-30 Bolton Medical, Inc. Stent graft with fenestration lock
WO2018156848A1 (en) 2017-02-24 2018-08-30 Bolton Medical, Inc. Vascular prosthesis with crimped adapter and methods of use
EP3534837A1 (en) 2017-02-24 2019-09-11 Bolton Medical, Inc. Constrainable stent graft, delivery system and methods of use
KR101939256B1 (ko) * 2017-03-08 2019-01-16 재단법인 아산사회복지재단 카테터 이송 장치
US10959846B2 (en) * 2017-05-10 2021-03-30 Edwards Lifesciences Corporation Mitral valve spacer device
WO2018208704A1 (en) 2017-05-10 2018-11-15 St. Jude Medical, Cardiology Division, Inc. Integrated sheath interface feature
CN111107810B (zh) * 2017-07-28 2022-06-07 波士顿科学国际有限公司 具有直接驱动机构的手柄
WO2019089071A1 (en) 2017-10-31 2019-05-09 Bolton Medical, Inc. Distal torque component, delivery system and method of using same
CN108371573B (zh) * 2018-01-31 2023-12-26 常州乐奥医疗科技股份有限公司 自膨支架输送系统及其输送手柄
CN108371574A (zh) * 2018-01-31 2018-08-07 常州乐奥医疗科技股份有限公司 自膨支架输送系统及其输送手柄
JP7245682B2 (ja) * 2018-03-30 2023-03-24 Ｓｂカワスミ株式会社 医療デバイス
JP2022518927A (ja) 2019-02-01 2022-03-17 ボルトン メディカル インコーポレイテッド 拡張可能な管腔ステントおよび使用方法
JP2023533437A (ja) * 2020-06-24 2023-08-03 ボルトン メディカル インコーポレイテッド 脈管プロテーゼ送達デバイスのための逆回転防止構成要素
CN113855354A (zh) * 2020-06-30 2021-12-31 上海微创心脉医疗科技(集团)股份有限公司 一种输送装置
JP2023548040A (ja) 2020-11-09 2023-11-15 ボルトン メディカル インコーポレイテッド 大動脈プロテーゼ送達システムおよび使用方法
CN117693324A (zh) 2021-05-11 2024-03-12 波顿医疗公司 主动脉假体递送装置及其使用方法

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030191516A1 (en) * 2002-04-04 2003-10-09 James Weldon Delivery system and method for deployment of foreshortening endoluminal devices
US20080262590A1 (en) * 2007-04-19 2008-10-23 Medtronic Vascular, Inc. Delivery System for Stent-Graft
US20110251664A1 (en) * 2010-04-08 2011-10-13 Medtronic Vascular, Inc. Short Legged Bifurcated Stent Graft Distal Capture Element and Method

Family Cites Families (453)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3416531A (en) 1964-01-02 1968-12-17 Edwards Miles Lowell Catheter
US3502069A (en) 1965-10-20 1970-03-24 Daniel Silverman Method and apparatus for placing in and retrieving a tubular probe from a body cavity
US3485234A (en) 1966-04-13 1969-12-23 Cordis Corp Tubular products and method of making same
US3868956A (en) 1972-06-05 1975-03-04 Ralph J Alfidi Vessel implantable appliance and method of implanting it
US4351333A (en) 1975-10-28 1982-09-28 Harrison Lazarus Peritoneal fluid treatment apparatus, package and method
US4425919A (en) 1981-07-27 1984-01-17 Raychem Corporation Torque transmitting catheter apparatus
US4515593A (en) 1981-12-31 1985-05-07 C. R. Bard, Inc. Medical tubing having exterior hydrophilic coating for microbiocide absorption therein and method for using same
US4516972A (en) 1982-01-28 1985-05-14 Advanced Cardiovascular Systems, Inc. Guiding catheter and method of manufacture
US4487808A (en) 1982-04-22 1984-12-11 Astra Meditec Aktiebolag Medical article having a hydrophilic coating
US4534363A (en) 1982-04-29 1985-08-13 Cordis Corporation Coating for angiographic guidewire
SE445884B (sv) 1982-04-30 1986-07-28 Medinvent Sa Anordning for implantation av en rorformig protes
US5067957A (en) 1983-10-14 1991-11-26 Raychem Corporation Method of inserting medical devices incorporating SIM alloy elements
US5190546A (en) 1983-10-14 1993-03-02 Raychem Corporation Medical devices incorporating SIM alloy elements
US4665906A (en) 1983-10-14 1987-05-19 Raychem Corporation Medical devices incorporating sim alloy elements
US4572186A (en) 1983-12-07 1986-02-25 Cordis Corporation Vessel dilation
US6221102B1 (en) 1983-12-09 2001-04-24 Endovascular Technologies, Inc. Intraluminal grafting system
US5669936A (en) 1983-12-09 1997-09-23 Endovascular Technologies, Inc. Endovascular grafting system and method for use therewith
US7166125B1 (en) 1988-03-09 2007-01-23 Endovascular Technologies, Inc. Intraluminal grafting system
US5104399A (en) 1986-12-10 1992-04-14 Endovascular Technologies, Inc. Artificial graft and implantation method
US5693083A (en) 1983-12-09 1997-12-02 Endovascular Technologies, Inc. Thoracic graft and delivery catheter
US4787899A (en) 1983-12-09 1988-11-29 Lazarus Harrison M Intraluminal graft device, system and method
US4580568A (en) 1984-10-01 1986-04-08 Cook, Incorporated Percutaneous endovascular stent and method for insertion thereof
US4634432A (en) 1985-05-13 1987-01-06 Nuri Kocak Introducer sheath assembly
US4705511A (en) 1985-05-13 1987-11-10 Bipore, Inc. Introducer sheath assembly
US4665918A (en) 1986-01-06 1987-05-19 Garza Gilbert A Prosthesis system and method
US5041126A (en) 1987-03-13 1991-08-20 Cook Incorporated Endovascular stent and delivery system
US4817613A (en) 1987-07-13 1989-04-04 Devices For Vascular Intervention, Inc. Guiding catheter
US5254105A (en) 1988-05-26 1993-10-19 Haaga John R Sheath for wound closure caused by a medical tubular device
SE8803444D0 (sv) 1988-09-28 1988-09-28 Medinvent Sa A device for transluminal implantation or extraction
US5290300A (en) 1989-07-31 1994-03-01 Baxter International Inc. Flexible suture guide and holder
US5292331A (en) 1989-08-24 1994-03-08 Applied Vascular Engineering, Inc. Endovascular support device
US5176660A (en) 1989-10-23 1993-01-05 Cordis Corporation Catheter having reinforcing strands
US5019057A (en) 1989-10-23 1991-05-28 Cordis Corporation Catheter having reinforcing strands
US5176652A (en) 1989-12-22 1993-01-05 Cordis Corporation Hemostasis valve
US5057092A (en) 1990-04-04 1991-10-15 Webster Wilton W Jr Braided catheter with low modulus warp
DE9117152U1 (de) 1990-10-09 1996-07-11 Cook Inc Stent
US5158543A (en) 1990-10-30 1992-10-27 Lazarus Harrison M Laparoscopic surgical system and method
US6682557B1 (en) 1991-04-11 2004-01-27 Endovascular Technologies, Inc. Bifurcated multicapsule intraluminal grafting system and method
US5628783A (en) 1991-04-11 1997-05-13 Endovascular Technologies, Inc. Bifurcated multicapsule intraluminal grafting system and method
CA2202800A1 (en) 1991-04-11 1992-10-12 Alec A. Piplani Endovascular graft having bifurcation and apparatus and method for deploying the same
US5205831A (en) 1991-04-22 1993-04-27 Burron Medical, Inc. Compression gasket for y-connector
US5154701A (en) 1991-06-26 1992-10-13 Adam Spence Corporation Hemostasis valve
US5380304A (en) 1991-08-07 1995-01-10 Cook Incorporated Flexible, kink-resistant, introducer sheath and method of manufacture
ES2109969T3 (es) 1991-10-11 1998-02-01 Angiomed Ag Procedimiento para la dilatacion de una estenosis.
US5338295A (en) 1991-10-15 1994-08-16 Scimed Life Systems, Inc. Dilatation catheter with polyimide-encased stainless steel braid proximal shaft
US5720776A (en) 1991-10-25 1998-02-24 Cook Incorporated Barb and expandable transluminal graft prosthesis for repair of aneurysm
US5456713A (en) 1991-10-25 1995-10-10 Cook Incorporated Expandable transluminal graft prosthesis for repairs of aneurysm and method for implanting
AU669338B2 (en) 1991-10-25 1996-06-06 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm and method for implanting
US5387235A (en) 1991-10-25 1995-02-07 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm
US5290310A (en) 1991-10-30 1994-03-01 Howmedica, Inc. Hemostatic implant introducer
US5334164A (en) 1992-01-03 1994-08-02 United States Surgical Corporation Variable interior dimension cannula assembly
US5405377A (en) 1992-02-21 1995-04-11 Endotech Ltd. Intraluminal stent
US5201757A (en) 1992-04-03 1993-04-13 Schneider (Usa) Inc. Medial region deployment of radially self-expanding stents
US5533987A (en) 1992-04-09 1996-07-09 Scimed Lifesystems, Inc. Dilatation catheter with polymide encased stainless steel braid proximal shaft
US5540712A (en) 1992-05-01 1996-07-30 Nitinol Medical Technologies, Inc. Stent and method and apparatus for forming and delivering the same
US5306263A (en) 1992-05-01 1994-04-26 Jan Voda Catheter
US5507771A (en) 1992-06-15 1996-04-16 Cook Incorporated Stent assembly
US5290295A (en) 1992-07-15 1994-03-01 Querals & Fine, Inc. Insertion tool for an intraluminal graft procedure
US5707376A (en) 1992-08-06 1998-01-13 William Cook Europe A/S Stent introducer and method of use
US5342384A (en) 1992-08-13 1994-08-30 Brigham & Women's Hospital Surgical dilator
DK0723429T3 (da) 1992-09-30 2002-07-29 Vladimir Feingold Intraokulært linseindsættelsessystem
US5417699A (en) 1992-12-10 1995-05-23 Perclose Incorporated Device and method for the percutaneous suturing of a vascular puncture site
US5358493A (en) 1993-02-18 1994-10-25 Scimed Life Systems, Inc. Vascular access catheter and methods for manufacture thereof
US5474563A (en) 1993-03-25 1995-12-12 Myler; Richard Cardiovascular stent and retrieval apparatus
AU689094B2 (en) 1993-04-22 1998-03-26 C.R. Bard Inc. Non-migrating vascular prosthesis and minimally invasive placement system therefor
US5843167A (en) 1993-04-22 1998-12-01 C. R. Bard, Inc. Method and apparatus for recapture of hooked endoprosthesis
US5531715A (en) 1993-05-12 1996-07-02 Target Therapeutics, Inc. Lubricious catheters
US5480423A (en) 1993-05-20 1996-01-02 Boston Scientific Corporation Prosthesis delivery
US5334168A (en) 1993-06-11 1994-08-02 Catheter Research, Inc. Variable shape guide apparatus
US5458615A (en) 1993-07-06 1995-10-17 Advanced Cardiovascular Systems, Inc. Stent delivery system
US5464449A (en) 1993-07-08 1995-11-07 Thomas J. Fogarty Internal graft prosthesis and delivery system
US5549565A (en) 1993-07-13 1996-08-27 Symbiosis Corporation Reusable surgical trocar with disposable valve assembly
CA2125258C (en) 1993-08-05 1998-12-22 Dinah B Quiachon Multicapsule intraluminal grafting system and method
US5951495A (en) 1993-12-22 1999-09-14 Scimed Life Systems, Inc. Catheter having an adhesive braid wire constraint and method of manufacture
US5954651A (en) 1993-08-18 1999-09-21 Scimed Life Systems, Inc. Catheter having a high tensile strength braid wire constraint
DE4428914C2 (de) 1993-08-18 2000-09-28 Scimed Life Systems Inc Dünnwandiger mehrschichtiger Katheter
DE69433617T2 (de) 1993-09-30 2005-03-03 Endogad Research Pty Ltd. Intraluminales transplantat
US6689158B1 (en) 1993-09-30 2004-02-10 Endogad Research Pty Limited Intraluminal graft
US5639278A (en) 1993-10-21 1997-06-17 Corvita Corporation Expandable supportive bifurcated endoluminal grafts
US5571135A (en) 1993-10-22 1996-11-05 Scimed Life Systems Inc. Stent delivery apparatus and method
EP0657147B1 (en) 1993-11-04 1999-08-04 C.R. Bard, Inc. Non-migrating vascular prosthesis
AU1091095A (en) 1993-11-08 1995-05-29 Harrison M. Lazarus Intraluminal vascular graft and method
FR2714816B1 (fr) 1994-01-12 1996-02-16 Braun Celsa Sa Prothèse vasculaire implantable dans un organisme vivant pour le traitement des anévrismes.
US6051020A (en) 1994-02-09 2000-04-18 Boston Scientific Technology, Inc. Bifurcated endoluminal prosthesis
US6165213A (en) 1994-02-09 2000-12-26 Boston Scientific Technology, Inc. System and method for assembling an endoluminal prosthesis
US5609627A (en) 1994-02-09 1997-03-11 Boston Scientific Technology, Inc. Method for delivering a bifurcated endoluminal prosthesis
US6039749A (en) 1994-02-10 2000-03-21 Endovascular Systems, Inc. Method and apparatus for deploying non-circular stents and graftstent complexes
US5911715A (en) 1994-02-14 1999-06-15 Scimed Life Systems, Inc. Guide catheter having selected flexural modulus segments
US5569218A (en) 1994-02-14 1996-10-29 Scimed Life Systems, Inc. Elastic guide catheter transition element
US5591194A (en) 1994-02-18 1997-01-07 C. R. Bard, Inc. Telescoping balloon catheter and method of use
AU6765694A (en) 1994-02-28 1995-09-11 Querals & Fine, Inc. Insertion tool for an intraluminal graft procedure having locking features
US5415664A (en) 1994-03-30 1995-05-16 Corvita Corporation Method and apparatus for introducing a stent or a stent-graft
FR2718345B1 (fr) 1994-04-11 1997-04-04 Braun Celsa Sa Poignée pour un coulissement relatif contrôlé d'une gaine et d'une tige et appareillage d'implantation d'un dispositif médical, tel qu'un filtre, utilisant une telle poignée.
US5824044A (en) 1994-05-12 1998-10-20 Endovascular Technologies, Inc. Bifurcated multicapsule intraluminal grafting system
DE4418336A1 (de) 1994-05-26 1995-11-30 Angiomed Ag Stent
US5683451A (en) 1994-06-08 1997-11-04 Cardiovascular Concepts, Inc. Apparatus and methods for deployment release of intraluminal prostheses
US5824041A (en) 1994-06-08 1998-10-20 Medtronic, Inc. Apparatus and methods for placement and repositioning of intraluminal prostheses
US5522881A (en) 1994-06-28 1996-06-04 Meadox Medicals, Inc. Implantable tubular prosthesis having integral cuffs
FR2722678B1 (fr) 1994-07-25 1996-12-27 Braun Celsa Sa B Prothese medicale a embranchement utilisable pour le traitement des anevrismes, dispositif comprenant une telle prothese
US5575816A (en) 1994-08-12 1996-11-19 Meadox Medicals, Inc. High strength and high density intraluminal wire stent
US5575817A (en) 1994-08-19 1996-11-19 Martin; Eric C. Aorto femoral bifurcation graft and method of implantation
US5723003A (en) 1994-09-13 1998-03-03 Ultrasonic Sensing And Monitoring Systems Expandable graft assembly and method of use
US5702419A (en) 1994-09-21 1997-12-30 Wake Forest University Expandable, intraluminal stents
US5545210A (en) 1994-09-22 1996-08-13 Advanced Coronary Technology, Inc. Method of implanting a permanent shape memory alloy stent
US5522882A (en) 1994-10-21 1996-06-04 Impra, Inc. Method and apparatus for balloon expandable stent-graft delivery
AU3783195A (en) 1994-11-15 1996-05-23 Advanced Cardiovascular Systems Inc. Intraluminal stent for attaching a graft
NL9500094A (nl) 1995-01-19 1996-09-02 Industrial Res Bv Y-vormige stent en werkwijze van het plaatsen daarvan.
US5755770A (en) 1995-01-31 1998-05-26 Boston Scientific Corporatiion Endovascular aortic graft
US5662675A (en) 1995-02-24 1997-09-02 Intervascular, Inc. Delivery catheter assembly
US5683449A (en) 1995-02-24 1997-11-04 Marcade; Jean Paul Modular bifurcated intraluminal grafts and methods for delivering and assembling same
US6053943A (en) 1995-12-08 2000-04-25 Impra, Inc. Endoluminal graft with integral structural support and method for making same
EP0813397A4 (en) 1995-03-10 1999-10-06 Cardiovascular Concepts Inc TUBULAR ENDOLUMINAR PROSTHESIS WITH BEVELED ENDS
US6306144B1 (en) 1996-11-01 2001-10-23 Scimed Life Systems, Inc. Selective coating of a balloon catheter with lubricious material for stent deployment
US5571168A (en) 1995-04-05 1996-11-05 Scimed Lifesystems Inc Pull back stent delivery system
US5534007A (en) 1995-05-18 1996-07-09 Scimed Life Systems, Inc. Stent deployment catheter with collapsible sheath
US5658263A (en) 1995-05-18 1997-08-19 Cordis Corporation Multisegmented guiding catheter for use in medical catheter systems
WO1996036297A1 (fr) 1995-05-19 1996-11-21 Kanji Inoue Instrument de transplantation, procede pour le courber et procede pour le transplanter
US5618270A (en) 1995-05-26 1997-04-08 Orejola; Wilmo C. Transthoracic aortic sleeve
JPH11506369A (ja) 1995-06-01 1999-06-08 サイムド ライフ システム インコーポレイテッド 液流推進式カテーテル
DE69635659T2 (de) 1995-06-01 2006-07-06 Meadox Medicals, Inc. Implantierbare intraluminale prothese
US5700269A (en) 1995-06-06 1997-12-23 Corvita Corporation Endoluminal prosthesis deployment device for use with prostheses of variable length and having retraction ability
US5788707A (en) 1995-06-07 1998-08-04 Scimed Life Systems, Inc. Pull back sleeve system with compression resistant inner shaft
US6814748B1 (en) 1995-06-07 2004-11-09 Endovascular Technologies, Inc. Intraluminal grafting system
US5628754A (en) 1995-08-01 1997-05-13 Medtronic, Inc. Stent delivery guide catheter
FR2737404B1 (fr) 1995-08-03 1997-09-19 Braun Celsa Sa Prothese implantable dans un conduit humain ou animal, telle qu'un elargisseur de paroi, ou une prothese pour anevrisme
US6814747B2 (en) 1995-09-08 2004-11-09 Anthony Walter Anson Surgical graft/stent system
WO1999037242A1 (en) 1998-01-26 1999-07-29 Anson Medical Limited Reinforced graft
JPH11511363A (ja) 1995-09-18 1999-10-05 ダブリュ．エル．ゴア アンド アソシエイツ，インコーポレイティド 管腔内脈管移植片の送出装置
US5824036A (en) 1995-09-29 1998-10-20 Datascope Corp Stent for intraluminal grafts and device and methods for delivering and assembling same
US5824037A (en) 1995-10-03 1998-10-20 Medtronic, Inc. Modular intraluminal prostheses construction and methods
US6193745B1 (en) 1995-10-03 2001-02-27 Medtronic, Inc. Modular intraluminal prosteheses construction and methods
US6099558A (en) 1995-10-10 2000-08-08 Edwards Lifesciences Corp. Intraluminal grafting of a bifuricated artery
US5591195A (en) 1995-10-30 1997-01-07 Taheri; Syde Apparatus and method for engrafting a blood vessel
US6287315B1 (en) 1995-10-30 2001-09-11 World Medical Manufacturing Corporation Apparatus for delivering an endoluminal prosthesis
US5607442A (en) 1995-11-13 1997-03-04 Isostent, Inc. Stent with improved radiopacity and appearance characteristics
DE69508592T2 (de) 1995-11-14 1999-09-16 Schneider Europ Gmbh Vorrichtung zur Stentimplantierung
US6576009B2 (en) 1995-12-01 2003-06-10 Medtronic Ave, Inc. Bifurcated intraluminal prostheses construction and methods
US5824040A (en) 1995-12-01 1998-10-20 Medtronic, Inc. Endoluminal prostheses and therapies for highly variable body lumens
US6042605A (en) 1995-12-14 2000-03-28 Gore Enterprose Holdings, Inc. Kink resistant stent-graft
FR2742994B1 (fr) 1995-12-28 1998-04-03 Sgro Jean-Claude Ensemble de traitement chirurgical d'une lumiere intracorporelle
US5843158A (en) 1996-01-05 1998-12-01 Medtronic, Inc. Limited expansion endoluminal prostheses and methods for their use
US5749921A (en) 1996-02-20 1998-05-12 Medtronic, Inc. Apparatus and methods for compression of endoluminal prostheses
US6039759A (en) 1996-02-20 2000-03-21 Baxter International Inc. Mechanical prosthetic valve with coupled leaflets
CA2192520A1 (en) 1996-03-05 1997-09-05 Ian M. Penn Expandable stent and method for delivery of same
ATE193820T1 (de) 1996-03-13 2000-06-15 Medtronic Inc Endoluminale prothesen für mehrfachabzweigungen aufweisende körperlumensysteme
US5843160A (en) 1996-04-01 1998-12-01 Rhodes; Valentine J. Prostheses for aneurysmal and/or occlusive disease at a bifurcation in a vessel, duct, or lumen
US5824042A (en) 1996-04-05 1998-10-20 Medtronic, Inc. Endoluminal prostheses having position indicating markers
US5782811A (en) 1996-05-30 1998-07-21 Target Therapeutics, Inc. Kink-resistant braided catheter with distal side holes
US5899892A (en) 1996-05-31 1999-05-04 Scimed Life Systems, Inc. Catheter having distal fiber braid
US7238197B2 (en) 2000-05-30 2007-07-03 Devax, Inc. Endoprosthesis deployment system for treating vascular bifurcations
US5741234A (en) 1996-07-16 1998-04-21 Aboul-Hosn; Walid Nagib Anatomical cavity access sealing condit
US5800517A (en) 1996-08-19 1998-09-01 Scimed Life Systems, Inc. Stent delivery system with storage sleeve
US5944726A (en) 1996-08-23 1999-08-31 Scimed Life Systems, Inc. Stent delivery system having stent securement means
JP3968444B2 (ja) 1996-08-23 2007-08-29 ボストン サイエンティフィック サイムド，インコーポレイテッド ステント固定装置を具備するステント搬送機構
US5910101A (en) 1996-08-29 1999-06-08 Advanced Cardiovascular Systems, Inc. Device for loading and centering a vascular radiation therapy source
US5968068A (en) 1996-09-12 1999-10-19 Baxter International Inc. Endovascular delivery system
US6520951B1 (en) 1996-09-13 2003-02-18 Scimed Life Systems, Inc. Rapid exchange catheter with detachable hood
US6432127B1 (en) 1996-10-11 2002-08-13 Transvascular, Inc. Devices for forming and/or maintaining connections between adjacent anatomical conduits
US5755778A (en) 1996-10-16 1998-05-26 Nitinol Medical Technologies, Inc. Anastomosis device
US6692483B2 (en) 1996-11-04 2004-02-17 Advanced Stent Technologies, Inc. Catheter with attached flexible side sheath
US6682536B2 (en) 2000-03-22 2004-01-27 Advanced Stent Technologies, Inc. Guidewire introducer sheath
US6395017B1 (en) 1996-11-15 2002-05-28 C. R. Bard, Inc. Endoprosthesis delivery catheter with sequential stage control
US5860998A (en) 1996-11-25 1999-01-19 C. R. Bard, Inc. Deployment device for tubular expandable prosthesis
US6827710B1 (en) 1996-11-26 2004-12-07 Edwards Lifesciences Corporation Multiple lumen access device
US5776142A (en) 1996-12-19 1998-07-07 Medtronic, Inc. Controllable stent delivery system and method
US6551350B1 (en) 1996-12-23 2003-04-22 Gore Enterprise Holdings, Inc. Kink resistant bifurcated prosthesis
BE1010858A4 (fr) 1997-01-16 1999-02-02 Medicorp R & D Benelux Sa Endoprothese luminale pour ramification.
US5735859A (en) 1997-02-14 1998-04-07 Cathco, Inc. Distally attachable and releasable sheath for a stent delivery system
US5893868A (en) 1997-03-05 1999-04-13 Scimed Life Systems, Inc. Catheter with removable balloon protector and stent delivery system with removable stent protector
US6152944A (en) 1997-03-05 2000-11-28 Scimed Life Systems, Inc. Catheter with removable balloon protector and stent delivery system with removable stent protector
US6059812A (en) 1997-03-21 2000-05-09 Schneider (Usa) Inc. Self-expanding medical device for centering radioactive treatment sources in body vessels
US5824055A (en) 1997-03-25 1998-10-20 Endotex Interventional Systems, Inc. Stent graft delivery system and methods of use
US5792144A (en) 1997-03-31 1998-08-11 Cathco, Inc. Stent delivery catheter system
US5957949A (en) 1997-05-01 1999-09-28 World Medical Manufacturing Corp. Percutaneous placement valve stent
AUPO700897A0 (en) 1997-05-26 1997-06-19 William A Cook Australia Pty Ltd A method and means of deploying a graft
AU738244B2 (en) 1997-05-29 2001-09-13 Edwards Lifesciences Corporation Shape-adjustable surgical implement handle
US6168616B1 (en) 1997-06-02 2001-01-02 Global Vascular Concepts Manually expandable stent
US6004328A (en) 1997-06-19 1999-12-21 Solar; Ronald J. Radially expandable intraluminal stent and delivery catheter therefore and method of using the same
US5904713A (en) 1997-07-14 1999-05-18 Datascope Investment Corp. Invertible bifurcated stent/graft and method of deployment
US5906619A (en) 1997-07-24 1999-05-25 Medtronic, Inc. Disposable delivery device for endoluminal prostheses
GB9716497D0 (en) 1997-08-05 1997-10-08 Bridport Gundry Plc Occlusion device
US5984955A (en) 1997-09-11 1999-11-16 Wisselink; Willem System and method for endoluminal grafting of bifurcated or branched vessels
US5891114A (en) 1997-09-30 1999-04-06 Target Therapeutics, Inc. Soft-tip high performance braided catheter
US5891110A (en) 1997-10-15 1999-04-06 Scimed Life Systems, Inc. Over-the-wire catheter with improved trackability
US6224625B1 (en) 1997-10-27 2001-05-01 Iowa-India Investments Company Limited Low profile highly expandable stent
US6120480A (en) 1997-10-28 2000-09-19 Medtronic Ave, Inc. Catheter introducer
US6416490B1 (en) 1997-11-04 2002-07-09 Scimed Life Systems, Inc. PMR device and method
DE19753123B4 (de) 1997-11-29 2006-11-09 B. Braun Melsungen Ag Gefäßstütze
AUPP083597A0 (en) 1997-12-10 1998-01-08 William A Cook Australia Pty Ltd Endoluminal aortic stents
EP0961598B1 (fr) 1997-12-16 2004-09-08 B. Braun Celsa Ensemble medicale pour le traitement d'une affection de conduit anatomique
US6651670B2 (en) 1998-02-13 2003-11-25 Ventrica, Inc. Delivering a conduit into a heart wall to place a coronary vessel in communication with a heart chamber and removing tissue from the vessel or heart wall to facilitate such communication
US6338709B1 (en) 1998-02-19 2002-01-15 Medtronic Percusurge, Inc. Intravascular radiation therapy device and method of use
US6280467B1 (en) 1998-02-26 2001-08-28 World Medical Manufacturing Corporation Delivery system for deployment and endovascular assembly of a multi-stage stented graft
US6425898B1 (en) 1998-03-13 2002-07-30 Cordis Corporation Delivery apparatus for a self-expanding stent
US6019778A (en) 1998-03-13 2000-02-01 Cordis Corporation Delivery apparatus for a self-expanding stent
US6129756A (en) 1998-03-16 2000-10-10 Teramed, Inc. Biluminal endovascular graft system
US6224609B1 (en) 1998-03-16 2001-05-01 Teramed Inc. Bifurcated prosthetic graft
US6524336B1 (en) 1998-04-09 2003-02-25 Cook Incorporated Endovascular graft
US6099559A (en) 1998-05-28 2000-08-08 Medtronic Ave, Inc. Endoluminal support assembly with capped ends
JP4399585B2 (ja) 1998-06-02 2010-01-20 クック インコーポレイティド 多辺管内医療器具
US6224627B1 (en) 1998-06-15 2001-05-01 Gore Enterprise Holdings, Inc. Remotely removable covering and support
US6004310A (en) 1998-06-17 1999-12-21 Target Therapeutics, Inc. Multilumen catheter shaft with reinforcement
FR2779939B1 (fr) 1998-06-17 2000-09-15 Perouse Implant Lab Dispositif de traitement d'un vaisseau sanguin
US6285903B1 (en) 1998-06-30 2001-09-04 Eclipse Surgical Technologies, Inc. Intracorporeal device with radiopaque marker
US20020007193A1 (en) 1998-07-01 2002-01-17 Howard Tanner Method and apparatus for the surgical repair of aneurysms
US6245052B1 (en) 1998-07-08 2001-06-12 Innerdyne, Inc. Methods, systems, and kits for implanting articles
EP1097728A1 (en) 1998-07-10 2001-05-09 Shin Ishimaru Stent (or stent graft) indwelling device
US6099548A (en) 1998-07-28 2000-08-08 Taheri; Syde A. Apparatus and method for deploying an aortic arch graft
US5954694A (en) 1998-08-07 1999-09-21 Embol-X, Inc. Nested tubing sections and methods for making same
US6168623B1 (en) 1998-08-31 2001-01-02 Cardiothoracic Systems, Inc. Deformable conduits and methods for shunting bodily fluid during surgery
US6755856B2 (en) 1998-09-05 2004-06-29 Abbott Laboratories Vascular Enterprises Limited Methods and apparatus for stenting comprising enhanced embolic protection, coupled with improved protection against restenosis and thrombus formation
US6464684B1 (en) 1998-09-09 2002-10-15 Scimed Life Systems, Inc. Catheter having regions of differing braid densities and methods of manufacture therefor
US6093173A (en) 1998-09-09 2000-07-25 Embol-X, Inc. Introducer/dilator with balloon protection and methods of use
US6248112B1 (en) 1998-09-30 2001-06-19 C. R. Bard, Inc. Implant delivery system
US6368345B1 (en) 1998-09-30 2002-04-09 Edwards Lifesciences Corporation Methods and apparatus for intraluminal placement of a bifurcated intraluminal garafat
US6071307A (en) 1998-09-30 2000-06-06 Baxter International Inc. Endoluminal grafts having continuously curvilinear wireforms
US6849088B2 (en) 1998-09-30 2005-02-01 Edwards Lifesciences Corporation Aorto uni-iliac graft
US6203550B1 (en) 1998-09-30 2001-03-20 Medtronic, Inc. Disposable delivery device for endoluminal prostheses
US6273909B1 (en) 1998-10-05 2001-08-14 Teramed Inc. Endovascular graft system
US6051014A (en) 1998-10-13 2000-04-18 Embol-X, Inc. Percutaneous filtration catheter for valve repair surgery and methods of use
US6193705B1 (en) 1998-10-28 2001-02-27 Scimed Life Systems, Inc. Flow assisted catheter
US6508252B1 (en) 1998-11-06 2003-01-21 St. Jude Medical Atg, Inc. Medical grafting methods and apparatus
US6322585B1 (en) 1998-11-16 2001-11-27 Endotex Interventional Systems, Inc. Coiled-sheet stent-graft with slidable exo-skeleton
AU1609299A (en) 1998-11-25 2000-06-13 Endovascular Technologies, Inc. Aortoiliac grafting system and method
US6733523B2 (en) 1998-12-11 2004-05-11 Endologix, Inc. Implantable vascular graft
US6660030B2 (en) 1998-12-11 2003-12-09 Endologix, Inc. Bifurcation graft deployment catheter
US6254609B1 (en) 1999-01-11 2001-07-03 Scimed Life Systems, Inc. Self-expanding stent delivery system with two sheaths
US7025773B2 (en) 1999-01-15 2006-04-11 Medtronic, Inc. Methods and devices for placing a conduit in fluid communication with a target vessel
US6171295B1 (en) 1999-01-20 2001-01-09 Scimed Life Systems, Inc. Intravascular catheter with composite reinforcement
US6517571B1 (en) 1999-01-22 2003-02-11 Gore Enterprise Holdings, Inc. Vascular graft with improved flow surfaces
US6592526B1 (en) 1999-01-25 2003-07-15 Jay Alan Lenker Resolution ultrasound devices for imaging and treatment of body lumens
US6200339B1 (en) 1999-02-23 2001-03-13 Datascope Investment Corp. Endovascular split-tube bifurcated graft prosthesis and an implantation method for such a prosthesis
US6248122B1 (en) 1999-02-26 2001-06-19 Vascular Architects, Inc. Catheter with controlled release endoluminal prosthesis
WO2000049973A2 (en) 1999-02-26 2000-08-31 Vascular Architects, Inc. Coiled stent and catheter assembly
US6183505B1 (en) 1999-03-11 2001-02-06 Medtronic Ave, Inc. Method of stent retention to a delivery catheter balloon-braided retainers
US6443980B1 (en) 1999-03-22 2002-09-03 Scimed Life Systems, Inc. End sleeve coating for stent delivery
US20010000801A1 (en) 1999-03-22 2001-05-03 Miller Paul J. Hydrophilic sleeve
US6478818B1 (en) 1999-04-01 2002-11-12 Syde A. Taheri Arterial bypass procedure
US6319275B1 (en) 1999-04-07 2001-11-20 Medtronic Ave, Inc. Endolumenal prosthesis delivery assembly and method of use
US6183512B1 (en) 1999-04-16 2001-02-06 Edwards Lifesciences Corporation Flexible annuloplasty system
US6287335B1 (en) 1999-04-26 2001-09-11 William J. Drasler Intravascular folded tubular endoprosthesis
US6726712B1 (en) 1999-05-14 2004-04-27 Boston Scientific Scimed Prosthesis deployment device with translucent distal end
US6375676B1 (en) 1999-05-17 2002-04-23 Advanced Cardiovascular Systems, Inc. Self-expanding stent with enhanced delivery precision and stent delivery system
US6858034B1 (en) 1999-05-20 2005-02-22 Scimed Life Systems, Inc. Stent delivery system for prevention of kinking, and method of loading and using same
US6270521B1 (en) 1999-05-21 2001-08-07 Cordis Corporation Stent delivery catheter system for primary stenting
US6398802B1 (en) 1999-06-21 2002-06-04 Scimed Life Systems, Inc. Low profile delivery system for stent and graft deployment
ES2209929T3 (es) 1999-07-16 2004-07-01 Med Institute, Inc. Stent destinado a desplegarse sin enredarse.
US6213976B1 (en) 1999-07-22 2001-04-10 Advanced Research And Technology Institute, Inc. Brachytherapy guide catheter
US6706033B1 (en) 1999-08-02 2004-03-16 Edwards Lifesciences Corporation Modular access port for device delivery
DE19936980C1 (de) 1999-08-05 2001-04-26 Aesculap Ag & Co Kg Einführkatheter für Gefäßprothesen
US6102931A (en) 1999-08-09 2000-08-15 Embol-X, Inc. Intravascular device for venting an inflatable chamber
US6221079B1 (en) 1999-08-31 2001-04-24 Cardiac Assist Technologies, Inc. Method and apparatus for vessel repair in a patient
US6458151B1 (en) 1999-09-10 2002-10-01 Frank S. Saltiel Ostial stent positioning device and method
US6183481B1 (en) 1999-09-22 2001-02-06 Endomed Inc. Delivery system for self-expanding stents and grafts
WO2001021102A1 (en) 1999-09-23 2001-03-29 Edwards Lifesciences Corporation Double layer intraluminal graft
US6344052B1 (en) 1999-09-27 2002-02-05 World Medical Manufacturing Corporation Tubular graft with monofilament fibers
US6458867B1 (en) 1999-09-28 2002-10-01 Scimed Life Systems, Inc. Hydrophilic lubricant coatings for medical devices
US6533806B1 (en) 1999-10-01 2003-03-18 Scimed Life Systems, Inc. Balloon yielded delivery system and endovascular graft design for easy deployment
US6514282B1 (en) 1999-10-04 2003-02-04 Kanji Inoue Method of folding transplanting instrument and transplanting instrument
US6302907B1 (en) 1999-10-05 2001-10-16 Scimed Life Systems, Inc. Flexible endoluminal stent and process of manufacture
US7226475B2 (en) 1999-11-09 2007-06-05 Boston Scientific Scimed, Inc. Stent with variable properties
US6264671B1 (en) 1999-11-15 2001-07-24 Advanced Cardiovascular Systems, Inc. Stent delivery catheter and method of use
JP4185226B2 (ja) 1999-11-19 2008-11-26 テルモ株式会社 湿潤時に表面が潤滑性を発現する医療用具およびその製造方法
US6280466B1 (en) 1999-12-03 2001-08-28 Teramed Inc. Endovascular graft system
US6443979B1 (en) 1999-12-20 2002-09-03 Advanced Cardiovascular Systems, Inc. Expandable stent delivery sheath and method of use
US6450988B1 (en) 1999-12-29 2002-09-17 Advanced Cardiovascular Systems, Inc. Centering catheter with improved perfusion
US6533752B1 (en) 2000-01-05 2003-03-18 Thomas C Waram Variable shape guide apparatus
US6312458B1 (en) 2000-01-19 2001-11-06 Scimed Life Systems, Inc. Tubular structure/stent/stent securement member
US6652571B1 (en) 2000-01-31 2003-11-25 Scimed Life Systems, Inc. Braided, branched, implantable device and processes for manufacture thereof
US6402781B1 (en) 2000-01-31 2002-06-11 Mitralife Percutaneous mitral annuloplasty and cardiac reinforcement
US20010049547A1 (en) 2000-02-04 2001-12-06 Moore Scott T. Stent introducer apparatus
US6344044B1 (en) 2000-02-11 2002-02-05 Edwards Lifesciences Corp. Apparatus and methods for delivery of intraluminal prosthesis
US6942688B2 (en) 2000-02-29 2005-09-13 Cordis Corporation Stent delivery system having delivery catheter member with a clear transition zone
US6319278B1 (en) 2000-03-03 2001-11-20 Stephen F. Quinn Low profile device for the treatment of vascular abnormalities
DK1263349T3 (da) 2000-03-14 2009-10-19 Cook Inc Endovaskulær stentgraft
US6533753B1 (en) 2000-04-07 2003-03-18 Philip Haarstad Apparatus and method for the treatment of an occluded lumen
US6517573B1 (en) 2000-04-11 2003-02-11 Endovascular Technologies, Inc. Hook for attaching to a corporeal lumen and method of manufacturing
US7722663B1 (en) 2000-04-24 2010-05-25 Scimed Life Systems, Inc. Anatomically correct endoluminal prostheses
US7226474B2 (en) 2000-05-01 2007-06-05 Endovascular Technologies, Inc. Modular graft component junctions
US6454796B1 (en) 2000-05-05 2002-09-24 Endovascular Technologies, Inc. Vascular graft
US20030139803A1 (en) 2000-05-30 2003-07-24 Jacques Sequin Method of stenting a vessel with stent lumenal diameter increasing distally
JP2002035135A (ja) 2000-07-31 2002-02-05 Manii Kk ステント及びステントの製造方法
US20020016597A1 (en) 2000-08-02 2002-02-07 Dwyer Clifford J. Delivery apparatus for a self-expanding stent
US6773454B2 (en) 2000-08-02 2004-08-10 Michael H. Wholey Tapered endovascular stent graft and method of treating abdominal aortic aneurysms and distal iliac aneurysms
AU2001286731A1 (en) 2000-08-25 2002-03-04 Kensey Nash Corporation Covered stents, systems for deploying covered stents
DE10044043A1 (de) 2000-08-30 2002-03-14 Biotronik Mess & Therapieg Reponierbarer Stent
US6945989B1 (en) 2000-09-18 2005-09-20 Endotex Interventional Systems, Inc. Apparatus for delivering endoluminal prostheses and methods of making and using them
EP1320639B1 (en) 2000-09-28 2010-03-24 Vascutek Limited Needleloom and weaving method
CN2451136Y (zh) 2000-09-30 2001-10-03 张旋 一种血管内支架
US6589273B1 (en) 2000-10-02 2003-07-08 Impra, Inc. Apparatus and method for relining a blood vessel
US7163552B2 (en) 2000-10-13 2007-01-16 Medtronic Vascular, Inc. Stent delivery system with hydraulic deployment
WO2002035984A2 (en) 2000-10-31 2002-05-10 Prodesco, Inc. Leak and tear resistant grafts
US6582460B1 (en) 2000-11-20 2003-06-24 Advanced Cardiovascular Systems, Inc. System and method for accurately deploying a stent
US6540719B2 (en) 2000-12-08 2003-04-01 Advanced Cardiovascular Systems, Inc. Catheter with rotatable balloon
US6562022B2 (en) 2000-12-13 2003-05-13 Advanced Cardiovascular Systems, Inc. Catheter with enhanced reinforcement
US6692458B2 (en) 2000-12-19 2004-02-17 Edwards Lifesciences Corporation Intra-pericardial drug delivery device with multiple balloons and method for angiogenesis
US6616626B2 (en) 2000-12-21 2003-09-09 Scimed Life Systems, Inc. Infusion devices and method
US6500130B2 (en) 2000-12-21 2002-12-31 Scimed Life Systems, Inc. Steerable guidewire
WO2002076346A1 (en) 2001-03-23 2002-10-03 Hassan Tehrani Branched aortic arch stent graft
EP1245202B1 (en) 2001-03-27 2004-08-04 William Cook Europe ApS An aortic graft device
AU2002248765B2 (en) 2001-03-28 2006-11-30 Cook Medical Technologies Llc Modular stent graft assembly and use thereof
US6821291B2 (en) 2001-06-01 2004-11-23 Ams Research Corporation Retrievable stent and method of use thereof
US6994722B2 (en) 2001-07-03 2006-02-07 Scimed Life Systems, Inc. Implant having improved fixation to a body lumen and method for implanting the same
JP4512362B2 (ja) 2001-07-06 2010-07-28 アンギオメット ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コムパニー メディツィンテヒニク コマンデイトゲゼルシャフト 自己拡張式ステントの迅速プッシャ組立体及びステント交換形態を備えた運搬システム
US7011647B2 (en) 2001-07-13 2006-03-14 Scimed Life Systems, Inc. Introducer sheath
DE50204695D1 (en) 2001-08-08 2005-12-01 Alexander Ruebben Magnetresonanzkompatible metallische endoprothese
US6939352B2 (en) 2001-10-12 2005-09-06 Cordis Corporation Handle deployment mechanism for medical device and method
US6866669B2 (en) 2001-10-12 2005-03-15 Cordis Corporation Locking handle deployment mechanism for medical device and method
US20030083734A1 (en) 2001-10-25 2003-05-01 Curative Ag Stent
AUPR847301A0 (en) 2001-10-26 2001-11-15 Cook Incorporated Endoluminal prostheses for curved lumens
US8231639B2 (en) 2001-11-28 2012-07-31 Aptus Endosystems, Inc. Systems and methods for attaching a prosthesis within a body lumen or hollow organ
US7147657B2 (en) 2003-10-23 2006-12-12 Aptus Endosystems, Inc. Prosthesis delivery systems and methods
US6902575B2 (en) 2001-12-18 2005-06-07 Linvatec Biomaterials, Inc. Stent delivery apparatus and method
US7014653B2 (en) 2001-12-20 2006-03-21 Cleveland Clinic Foundation Furcated endovascular prosthesis
US6641606B2 (en) 2001-12-20 2003-11-04 Cleveland Clinic Foundation Delivery system and method for deploying an endovascular prosthesis
EP2135583B1 (en) 2001-12-20 2012-04-18 TriVascular, Inc. Advanced endovascular graft
US6682537B2 (en) 2001-12-20 2004-01-27 The Cleveland Clinic Foundation Apparatus and method for capturing a wire in a blood vessel
US20030135269A1 (en) 2002-01-16 2003-07-17 Swanstrom Lee L. Laparoscopic-assisted endovascular/endoluminal graft placement
US6939368B2 (en) 2002-01-17 2005-09-06 Scimed Life Systems, Inc. Delivery system for self expanding stents for use in bifurcated vessels
GB0203177D0 (en) 2002-02-11 2002-03-27 Anson Medical Ltd An improved control mechanism for medical catheters
US7169170B2 (en) 2002-02-22 2007-01-30 Cordis Corporation Self-expanding stent delivery system
US7708771B2 (en) 2002-02-26 2010-05-04 Endovascular Technologies, Inc. Endovascular graft device and methods for attaching components thereof
US6989024B2 (en) 2002-02-28 2006-01-24 Counter Clockwise, Inc. Guidewire loaded stent for delivery through a catheter
AU2003224769B2 (en) 2002-03-25 2007-10-18 Cook Incorporated Branched vessel prothesis
US7105016B2 (en) 2002-04-23 2006-09-12 Medtronic Vascular, Inc. Integrated mechanical handle with quick slide mechanism
US6911039B2 (en) 2002-04-23 2005-06-28 Medtronic Vascular, Inc. Integrated mechanical handle with quick slide mechanism
US6830575B2 (en) 2002-05-08 2004-12-14 Scimed Life Systems, Inc. Method and device for providing full protection to a stent
US7351256B2 (en) 2002-05-10 2008-04-01 Cordis Corporation Frame based unidirectional flow prosthetic implant
WO2003094789A1 (en) 2002-05-13 2003-11-20 Salviac Limited Retrieval catheter for an embolic filter
US7887575B2 (en) 2002-05-22 2011-02-15 Boston Scientific Scimed, Inc. Stent with segmented graft
US20040117003A1 (en) 2002-05-28 2004-06-17 The Cleveland Clinic Foundation Minimally invasive treatment system for aortic aneurysms
US7803177B2 (en) 2002-05-29 2010-09-28 Cook Incorporated Trigger wire system
US7264632B2 (en) 2002-06-07 2007-09-04 Medtronic Vascular, Inc. Controlled deployment delivery system
US20030236565A1 (en) 2002-06-21 2003-12-25 Dimatteo Kristian Implantable prosthesis
US6932829B2 (en) 2002-06-24 2005-08-23 Cordis Corporation Centering catheter
US6761731B2 (en) 2002-06-28 2004-07-13 Cordis Corporation Balloon-stent interaction to help reduce foreshortening
DK1517652T3 (da) 2002-06-28 2012-03-19 Cook Medical Technologies Llc Thorax-indfører
US7001420B2 (en) 2002-07-01 2006-02-21 Advanced Cardiovascular Systems, Inc. Coil reinforced multilayered inner tubular member for a balloon catheter
DK1521603T3 (da) 2002-07-12 2011-04-18 Cook Inc Coated medicinsk anordning
US7115134B2 (en) 2002-07-22 2006-10-03 Chambers Technology, Llc. Catheter with flexible tip and shape retention
US7070582B2 (en) 2002-08-09 2006-07-04 Boston Scientific Scimed, Inc. Injection devices that provide reduced outflow of therapeutic agents and methods of delivering therapeutic agents
US6863668B2 (en) 2002-08-16 2005-03-08 Edwards Lifesciences Corporation Articulation mechanism for medical devices
WO2004017868A1 (en) 2002-08-23 2004-03-04 William A. Cook Australia Pty. Ltd. Asymmetric stent graft attachment
DE60325395D1 (de) 2002-08-23 2009-01-29 Cook Inc Zusammengesetzte prosthese
AU2002951147A0 (en) 2002-09-02 2002-09-19 Cook Incorporated Branch grafting device and method
US7838119B2 (en) 2002-09-19 2010-11-23 Medtronic, Inc. Medical assembly suitable for long-term implantation and method for fabricating the same
US6871085B2 (en) 2002-09-30 2005-03-22 Medtronic, Inc. Cardiac vein lead and guide catheter
AU2003293267B2 (en) 2002-12-04 2008-02-28 Cook Incorporated Device and method for treating thoracid aorta
US6849084B2 (en) 2002-12-31 2005-02-01 Intek Technology L.L.C. Stent delivery system
WO2004062458A2 (en) 2003-01-15 2004-07-29 Angiomed Gmbh & C0. Medizintechnik Kg Trans-luminal surgical device
US7309349B2 (en) 2003-01-23 2007-12-18 Cordis Corporation Friction reducing lubricant for stent loading and stent delivery systems
US7611528B2 (en) 2003-01-24 2009-11-03 Medtronic Vascular, Inc. Stent-graft delivery system
US20040260382A1 (en) 2003-02-12 2004-12-23 Fogarty Thomas J. Intravascular implants and methods of using the same
WO2004071352A1 (en) 2003-02-14 2004-08-26 Salviac Limited Stent delivery and deployment system
US20040193141A1 (en) 2003-02-14 2004-09-30 Leopold Eric W. Intravascular flow modifier and reinforcement device and deployment system for same
US6859986B2 (en) 2003-02-20 2005-03-01 Cordis Corporation Method system for loading a self-expanding stent
JP2006519654A (ja) 2003-03-10 2006-08-31 ウィルソン−クック・メディカル・インコーポレーテッド ステントイントロデューサー装置
US7220274B1 (en) 2003-03-21 2007-05-22 Quinn Stephen F Intravascular stent grafts and methods for deploying the same
WO2004093746A1 (en) 2003-03-26 2004-11-04 The Foundry Inc. Devices and methods for treatment of abdominal aortic aneurysm
US6984244B2 (en) 2003-03-27 2006-01-10 Endovascular Technologies, Inc. Delivery system for endoluminal implant
GB0310714D0 (en) 2003-05-09 2003-06-11 Angiomed Ag Fluid flow management in stent delivery system
US7947070B2 (en) 2003-05-16 2011-05-24 Boston Scientific Scimed, Inc. Dilatation and stent delivery system and related methods
US20040267281A1 (en) 2003-06-25 2004-12-30 Eran Harari Delivery system for self-expandable diverter
US20050033406A1 (en) 2003-07-15 2005-02-10 Barnhart William H. Branch vessel stent and graft
US6945990B2 (en) 2003-08-16 2005-09-20 Medtronic Vascular, Inc. Double sheath deployment system
US7794489B2 (en) 2003-09-02 2010-09-14 Abbott Laboratories Delivery system for a medical device
US20070198078A1 (en) 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US7758625B2 (en) * 2003-09-12 2010-07-20 Abbott Vascular Solutions Inc. Delivery system for medical devices
US8088156B2 (en) 2003-10-07 2012-01-03 Cordis Corporation Graft material attachment device and method
US7967829B2 (en) 2003-10-09 2011-06-28 Boston Scientific Scimed, Inc. Medical device delivery system
US7413573B2 (en) 2003-10-10 2008-08-19 William A. Cook Australia Pty. Ltd. Fenestrated stent grafts
US8734501B2 (en) 2003-10-10 2014-05-27 Cook Medical Technologies Llc Composite stent graft
US7335224B2 (en) 2003-10-10 2008-02-26 William Cook Europe Aps Stent graft retention system
US9078780B2 (en) 2003-11-08 2015-07-14 Cook Medical Technologies Llc Balloon flareable branch vessel prosthesis and method
DE602004031974D1 (de) 2003-12-11 2011-05-05 Cook Inc Hämostaseventilanordnung
DE602004028863D1 (de) 2003-12-17 2010-10-07 Cook Inc Verbundene beinverlängerungen für eine endoluminal-prothese
JP4887159B2 (ja) 2004-01-20 2012-02-29 クック・インコーポレイテッド 腔内人工器官装置およびその形成方法
AU2005206193B2 (en) 2004-01-20 2010-04-22 Cook Medical Technologies Llc Endoluminal stent graft with sutured attachment
WO2005072245A2 (en) 2004-01-23 2005-08-11 Eva Corporation Apparatus and method for the articulation of a catheter
US7225518B2 (en) 2004-02-23 2007-06-05 Boston Scientific Scimed, Inc. Apparatus for crimping a stent assembly
US9770320B2 (en) 2004-04-12 2017-09-26 Cook Medical Technologies Llc Stent graft repair device
AU2005244993B2 (en) 2004-05-20 2011-03-31 Cook Medical Technologies Llc Enhanced biological fixation of grafts
AU2005262541B2 (en) 2004-06-16 2011-04-21 Cook Incorporated Thoracic deployment device and stent graft
US20050288766A1 (en) 2004-06-28 2005-12-29 Xtent, Inc. Devices and methods for controlling expandable prostheses during deployment
US7758626B2 (en) 2004-07-20 2010-07-20 Medtronic Vascular, Inc. Device and method for delivering an endovascular stent-graft having a longitudinally unsupported portion
CN100352406C (zh) 2004-08-17 2007-12-05 微创医疗器械(上海)有限公司 组合式可任意方向弯曲的覆膜支架
US7699883B2 (en) 2004-10-25 2010-04-20 Myles Douglas Vascular graft and deployment system
WO2006055047A2 (en) 2004-11-18 2006-05-26 Mark Adler Intra-bronchial apparatus for aspiration and insufflation of lung regions distal to placement or cross communication and deployment and placement system therefor
US7402151B2 (en) 2004-12-17 2008-07-22 Biocardia, Inc. Steerable guide catheters and methods for their use
JP2008532573A (ja) 2005-01-21 2008-08-21 ジェン ４，リミティド ライアビリティー カンパニー 二股グラフト及び脚部取付けステント要素を採用したモジュール式ステントグラフト
US7918880B2 (en) 2005-02-16 2011-04-05 Boston Scientific Scimed, Inc. Self-expanding stent and delivery system
JP2008531213A (ja) 2005-03-02 2008-08-14 クック インコーポレイテッド 挿入器シース
CN2817768Y (zh) 2005-05-24 2006-09-20 微创医疗器械(上海)有限公司 一种覆膜支架的主体支架段及覆膜支架
US7938851B2 (en) * 2005-06-08 2011-05-10 Xtent, Inc. Devices and methods for operating and controlling interventional apparatus
CA2613330C (en) 2005-07-07 2014-08-26 Med Institute, Inc. Branch vessel stent graft
US7833259B2 (en) 2005-07-25 2010-11-16 Cook Incorporated Fenestrated endoluminal stent system
US20070055341A1 (en) 2005-08-26 2007-03-08 Vascular And Endovascular Surgical Technologies, Inc. Endograft
US7914809B2 (en) 2005-08-26 2011-03-29 Boston Scientific Scimed, Inc. Lubricious composites for medical devices
DE602006019753D1 (de) 2005-09-01 2011-03-03 Medtronic Vascular Inc Verfahren und gerät zur behandlung von aneurysmen der a. thoracica
US8702787B2 (en) 2005-09-02 2014-04-22 Medtronic Vascular, Inc. Endoluminal prosthesis
US8968379B2 (en) 2005-09-02 2015-03-03 Medtronic Vascular, Inc. Stent delivery system with multiple evenly spaced pullwires
US20070053952A1 (en) 2005-09-07 2007-03-08 Medtronic Vascular, Inc. Nitric oxide-releasing polymers derived from modified polymers
US20070083252A1 (en) 2005-09-27 2007-04-12 Mcdonald Michael B Method for placing a stent through a constricted lumen, and medical device
US20070156228A1 (en) 2006-01-03 2007-07-05 Majercak David C Prosthetic stent graft for treatment of abdominal aortic aneurysm
US20070162109A1 (en) 2006-01-11 2007-07-12 Luis Davila Intraluminal stent graft
EP2727564B1 (en) * 2006-01-13 2023-05-03 C. R. Bard, Inc. Stent delivery system
US8083792B2 (en) 2006-01-24 2011-12-27 Cordis Corporation Percutaneous endoprosthesis using suprarenal fixation and barbed anchors
US8585753B2 (en) 2006-03-04 2013-11-19 John James Scanlon Fibrillated biodegradable prosthesis
US20070244545A1 (en) 2006-04-14 2007-10-18 Medtronic Vascular, Inc. Prosthetic Conduit With Radiopaque Symmetry Indicators
US20070250151A1 (en) 2006-04-24 2007-10-25 Scimed Life Systems, Inc. Endovascular aortic repair delivery system with anchor
US8439961B2 (en) 2006-07-31 2013-05-14 Boston Scientific Scimed, Inc. Stent retaining mechanisms
US20080269865A1 (en) 2006-08-07 2008-10-30 Xtent, Inc. Custom Length Stent Apparatus
JP5392655B2 (ja) 2006-08-18 2014-01-22 クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニー ステントグラフティングシステム
ATE556673T1 (de) 2006-09-08 2012-05-15 Edwards Lifesciences Corp Integriertes herzklappenabgabesystem
US20080071343A1 (en) 2006-09-15 2008-03-20 Kevin John Mayberry Multi-segmented graft deployment system
WO2008042266A2 (en) 2006-09-28 2008-04-10 Cook Incorporated Thoracic aortic aneurysm repair apparatus and method
DE102006053748B3 (de) 2006-11-09 2008-04-10 Jotec Gmbh Stenteinführsystem
US7655034B2 (en) 2006-11-14 2010-02-02 Medtronic Vascular, Inc. Stent-graft with anchoring pins
US7615072B2 (en) 2006-11-14 2009-11-10 Medtronic Vascular, Inc. Endoluminal prosthesis
AU2007325652B2 (en) 2006-11-30 2012-07-12 Cook Medical Technologies Llc Implant release mechanism
US20080140175A1 (en) 2006-12-07 2008-06-12 Boucher Donald D Spring stop for stent delivery system and delivery system provided with same
US8523931B2 (en) 2007-01-12 2013-09-03 Endologix, Inc. Dual concentric guidewire and methods of bifurcated graft deployment
BRPI0807260A2 (pt) 2007-02-09 2014-06-10 Taheri Laduca Llc "stent implantável e método de fabricação de um enxerto tubular"
US8075482B2 (en) 2007-02-22 2011-12-13 Ethicon Endo-Surgery, Inc. IRIS valve with control ring
WO2009023221A1 (en) 2007-08-13 2009-02-19 William A. Cook Australia Pty. Ltd. Deployment device
US20090163951A1 (en) 2007-12-19 2009-06-25 Sara Simmons Medical devices including sutures with filaments comprising naturally derived collagenous material
US9393115B2 (en) 2008-01-24 2016-07-19 Medtronic, Inc. Delivery systems and methods of implantation for prosthetic heart valves
WO2010005524A2 (en) 2008-06-30 2010-01-14 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US8652202B2 (en) * 2008-08-22 2014-02-18 Edwards Lifesciences Corporation Prosthetic heart valve and delivery apparatus
US9192497B2 (en) 2008-09-05 2015-11-24 Cook Medical Technologies Llc Apparatus and methods for improved stent deployment
CA2739961A1 (en) * 2008-10-10 2010-04-15 Sadra Medical, Inc. Medical devices and delivery systems for delivering medical devices
WO2010080427A1 (en) 2008-12-18 2010-07-15 Med Institute, Inc. Stents and stent grafts
ES2812228T3 (es) 2009-03-13 2021-03-16 Bolton Medical Inc Sistema para desplegar una prótesis endoluminal en un sitio quirúrgico
US20110071614A1 (en) 2009-09-24 2011-03-24 David Christopher Majercak Stent - graft suture locks
US8579963B2 (en) 2010-04-13 2013-11-12 Medtronic, Inc. Transcatheter prosthetic heart valve delivery device with stability tube and method
US9301864B2 (en) 2010-06-08 2016-04-05 Veniti, Inc. Bi-directional stent delivery system
US8778019B2 (en) 2010-09-17 2014-07-15 St. Jude Medical, Cardiology Division, Inc. Staged deployment devices and method for transcatheter heart valve delivery
EP2775958B1 (en) 2011-11-11 2017-01-04 Bolton Medical, Inc. Universal endovascular grafts
CN106420107B (zh) 2011-11-16 2019-02-05 波顿医疗公司 用于主动脉分支血管的修复的装置和方法
EP3141223A1 (en) 2012-04-12 2017-03-15 Bolton Medical, Inc. Vascular prosthetic delivery device
US10098767B2 (en) 2012-04-27 2018-10-16 Medtronic Vascular, Inc. Reconfigurable stent-graft delivery system and method of use
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
EP3539507B1 (en) 2014-09-23 2023-11-22 Bolton Medical, Inc. Vascular repair devices
EP3439583B1 (en) 2016-04-05 2020-09-09 Bolton Medical, Inc. Stent graft with internal tunnels and fenestrations
CN109069282A (zh) 2016-04-05 2018-12-21 波顿医疗公司 具有导引器和远侧护套的递送系统及使用方法
ES2905193T3 (es) 2016-05-25 2022-04-07 Bolton Medical Inc Injertos de endoprótesis para el tratamiento de aneurismas
US20180206972A1 (en) 2016-08-10 2018-07-26 Bolton Medical, Inc. Graft prosthesis coupler, modular system, and methods of use
JP2023533437A (ja) 2020-06-24 2023-08-03 ボルトン メディカル インコーポレイテッド 脈管プロテーゼ送達デバイスのための逆回転防止構成要素

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030191516A1 (en) * 2002-04-04 2003-10-09 James Weldon Delivery system and method for deployment of foreshortening endoluminal devices
US20080262590A1 (en) * 2007-04-19 2008-10-23 Medtronic Vascular, Inc. Delivery System for Stent-Graft
US20110251664A1 (en) * 2010-04-08 2011-10-13 Medtronic Vascular, Inc. Short Legged Bifurcated Stent Graft Distal Capture Element and Method

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107405196A (zh) * 2015-03-13 2017-11-28 美敦力瓦斯科尔勒公司 用于带有容器调整装置的假体心脏瓣膜的递送装置
CN107405196B (zh) * 2015-03-13 2020-08-28 美敦力瓦斯科尔勒公司 用于带有容器调整装置的假体心脏瓣膜的递送装置
WO2018120750A1 (zh) * 2016-12-28 2018-07-05 苏州茵络医疗器械有限公司 自膨胀支架输送系统及其相关组件
CN106963528A (zh) * 2017-05-02 2017-07-21 陈安富 医疗器械手柄操作端及介入治疗系统
CN111132638A (zh) * 2017-07-27 2020-05-08 波士顿科学国际有限公司 用于形成具有抗迁移特征的支架的可调节芯轴
CN111132638B (zh) * 2017-07-27 2022-03-29 波士顿科学国际有限公司 用于形成具有抗迁移特征的支架的可调节芯轴

Also Published As

Publication number Publication date
US20150173922A1 (en) 2015-06-25
US8998970B2 (en) 2015-04-07
EP2846743A1 (en) 2015-03-18
CN104363862B (zh) 2016-10-05
US10299951B2 (en) 2019-05-28
EP3141223A1 (en) 2017-03-15
US9554929B2 (en) 2017-01-31
JP6846470B2 (ja) 2021-03-24
WO2013154749A1 (en) 2013-10-17
JP2015512746A (ja) 2015-04-30
JP2019193862A (ja) 2019-11-07
JP2018033998A (ja) 2018-03-08
US20130274856A1 (en) 2013-10-17
ES2618221T8 (es) 2022-02-08
ES2618221T3 (es) 2017-06-21
US20220257398A1 (en) 2022-08-18
JP6238959B2 (ja) 2017-11-29
US11351049B2 (en) 2022-06-07
US20170100271A1 (en) 2017-04-13
EP2846743B1 (en) 2016-12-14
BR112014025430A2 (pt) 2020-03-10
US20190269539A1 (en) 2019-09-05
JP6556210B2 (ja) 2019-08-07

Similar Documents

Publication Publication Date Title
CN104363862A (zh) 血管假体输送装置及使用方法
CN205729576U (zh) 具有近侧限位器和在近侧限位器远侧的环状锁的可再约束支架输送系统
US9937070B2 (en) Delivery device handle assembly for the sequential deployment of a prosthesis
CN105050549B (zh) 支架输送系统以及相关方法
CA2412638C (en) Stent delivery device
US6755854B2 (en) Control device and mechanism for deploying a self-expanding medical device
CN107206212A (zh) 带有转向机构的引导导管
US20130035636A1 (en) Delivery and Deployment Catheter for an Implantable Medical Device
US20030191516A1 (en) Delivery system and method for deployment of foreshortening endoluminal devices
JP2023533437A (ja) 脈管プロテーゼ送達デバイスのための逆回転防止構成要素
US20210298934A1 (en) Variable rate prosthesis delivery system providing prosthesis alterations
JP2022140037A (ja) 展開物デリバリーシステム

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant