CN1158051C - 用于治疗动脉疾病的假体 - Google Patents
用于治疗动脉疾病的假体 Download PDFInfo
- Publication number
- CN1158051C CN1158051C CNB988118521A CN98811852A CN1158051C CN 1158051 C CN1158051 C CN 1158051C CN B988118521 A CNB988118521 A CN B988118521A CN 98811852 A CN98811852 A CN 98811852A CN 1158051 C CN1158051 C CN 1158051C
- Authority
- CN
- China
- Prior art keywords
- prosthese
- material pipe
- biocompatible material
- shaped stent
- perforation
- 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.)
- Expired - Lifetime
Links
Images
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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—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
-
- 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
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
-
- 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
- A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
-
- 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
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
- A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
-
- 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
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
- A61F2002/8483—Barbs
-
- 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
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
- A61F2002/8486—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs provided on at least one of the ends
-
- 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
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
-
- 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
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/005—Rosette-shaped, e.g. star-shaped
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/0054—V-shaped
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0067—Three-dimensional shapes conical
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
Abstract
本发明涉及动脉疾病的治疗。其要解决的技术问题是,在主动脉和其它动脉的相交处或该相交处周围使用一移植物来治疗动脉疾病。因此,本发明提供了一种假体,它包括缝合于一移植物上的两个或多个Z形斯滕特固定模,所述移植物包括一生物相容材料管,其特点是,所述的两个或多个Z形斯滕特固定模附着于所述生物相容材料管的内表面以及所述生物相容材料管上有至少一个与一相交动脉的开口相对应的穿孔。借助本发明,例如可以在肾下主动脉动脉瘤疾病的治疗中,将所述斯滕特固定模精确地展开和定位在肾脏动脉的上方。
Description
技术领域
本发明总的涉及动脉疾病的治疗领域,特别涉及主动脉内腔斯滕特固定模和展开斯滕特固定模的使用方法,它可以将一被覆盖的斯滕特固定模精确地放置在主动脉内。更具体地说,它可以在肾下主动脉动脉瘤疾病的治疗中,将所述斯滕特固定模精确地展开和定位在肾脏动脉的上方。
背景技术
根据已有技术,主动脉疾病通常是藉助包括使用斯滕特固定模和移植物在内的手术技术来加以治疗的。例如,在本技术领域中众所周知的是,在一动脉的异常狭窄部分内部,采用一由不锈钢或其它材料制成的斯滕特固定模,该斯滕特固定模能像气球那样膨胀,从而可以增强一异常狭窄或闭塞的动脉的各壁面的强度。此外,在已有技术中还众所周知的是,采用一移植物来修复高度受损的部分,例如,主动脉或其它动脉,从而可以确保血液流动并降低动脉瘤或血管破裂的危险。所述移植物、由诸如涤纶之类的材料制成的中空管通常是插设在一受损动脉的各壁面内,并且可以缝制就位或借助使用一斯滕特固定模式的带气囊导管加以膨胀。
当必需在一主要动脉(例如,主动脉)和相连(相交)动脉(例如,肾动脉、颈动脉或短头畸形动脉)的相交处或该相交处周围使用移植物时,会发生更为严重的问题。虽然很明确要用所述移植物来加强和确保血液流过例如主动脉,但是,移植物的使用恰恰密封或堵塞了血液至肾脏或脑的循环。因此,在主动脉和其它动脉的相交处或该相交处周围使用一移植物来治疗主动脉疾病通常就变成不太可能或不切实际的。为此,医生必须试图利用其它的手术技术对这种动脉的脆弱壁面加以修复,但这样做具有很高的失败率和有限的成功率。例如,虽然全世界的几个中心已常规地采用了用于肾下主动脉瘤治疗的内腔移植物,但是,由于无动脉瘤的肾下主动脉的长度不足以将所述移植物或斯滕特固定模牢固地固定,因此,高达30%的腹部主动脉瘤不适用于这种治疗方法。
发明内容
本发明藉助采用上肾主动脉将一主动脉移植物适当固定,与此同时将一穿孔的、覆盖的斯滕特固定模非常精确地定位在与相交动脉起始处的精确位置相对应的位置,来解决已有技术的上述问题,
本发明总的涉及一种穿有孔的主动脉内腔斯滕特固定模,它是一包括两个或多个不锈钢或镍钛金属互化物Z形斯滕特固定模的单构件式装置,所述Z形斯滕特固定模具有一些面朝着尾部的倒刺,并缝合于一长度可变的生物相容材料管上,在所述生物相容材料管内,Z形斯滕特固定模附着于所述生物相容材料管的内表面,并可根据需要覆盖的相交动脉的几何形状,将定制的各穿孔精确地设置在与相交动脉开口相对应的所述生物相容材料管上。
因此,可以说本发明一方面旨在提供一种假体,它包括缝合于一移植物上的两个或多个Z形斯滕特固定模,所述移植物包括一生物相容材料管,其特点是,所述的两个或多个Z形斯滕特固定模附着于所述生物相容材料管的内表面以及所述生物相容材料管上有至少一个与一相交动脉的开口相对应的穿孔。
还可以有另一个Z形斯滕特固定模,该Z形斯滕特固定模固定于所述生物相容材料管并自所述生物相容材料管邻近地延伸出来。
所述Z形斯滕特固定模的至少其中之一上可以具有一些面朝着尾部的倒刺,以在该固定模完全插入时有助于精确地固定假体。
所述邻近地延伸的Z形斯滕特固定模上可以是具有一些面朝着尾部的倒刺的斯滕特固定模。
在一实施例中,所述生物相容材料管可以是一涤纶材料管。
可以根据相交动脉的个数设置两个或多个穿孔。
所述穿孔可以包括一个或多个能在所述穿孔的周缘形成不透射线的标记。
所述Z形斯滕特固定模的最末端可以包括一在所述移植物末端延伸的环。
所述假体还包括一用于所述假体的释放机构,它包括一根或多根触发金属线,其中所述生物相容材料管的一部分可纵向地折叠起来,并且所述的一根或多根触发金属线分别在折边处纵向地穿过所述生物相容材料管,以将所述假体保持在部分压缩状态。
所述Z形斯滕特固定模的至少其中之一可以包括一根或多根可根据需要对各穿孔进行定位的短环。
主动脉分支的精确定位可以藉助计算机轴向X线断层摄影术(CT)和血管造影术来实现,本发明可为每一病人根据与CT相对应的各位置定制。这些穿孔标记有一些不透射线的小珠,从而便于在展开之前、在X射线控制之下对它们进行定位。
本发明的另一方面可以说是提供了一种用来在两动脉相交处对动脉疾病进行治疗的方法,它包括以下步骤:
用X射线照射待治疗的各动脉,从而可以精确地确定各动脉的相交位置;在一包括一具有选定长度的生物相容材料管的假体上定制一个或多个穿孔;将一些不透射线的标记设置在所述各穿孔或每一穿孔周围;将两个或多个Z形斯滕特固定模放入所述生物相容材料管内,并且如果需要,以一种不会将各穿孔覆盖住的方式、将Z形斯滕特固定模内的弯曲处弄短;用手将一顶部Z形斯滕特固定模收拢起来,用一顶帽将所述顶部Z形斯滕特固定模覆盖住,并用一触发金属线将所述Z形斯滕特固定模保持在所述顶帽内的适当位置;将一穿过一纵向折边的所述触发金属线或另一触发金属线缝制在所述生物相容材料管内,以使所述假体的直径变窄;由此可将一定制的、穿孔的、被覆盖的移植物插入待治疗的动脉内。
所述方法还可以包括以下步骤:将另一Z形斯滕特固定模缝合于所述生物相容材料管的顶圈,使所述的另一Z形斯滕特固定模可以在邻近处、从所述生物相容材料管上延伸出来。
根据相交动脉的个数,可以有两个以上的所述Z形斯滕特固定模附着于所述生物相容材料管内并且可以有两个或两个以上的穿孔。
插入所述移植物的过程可以包括以下步骤:对所述移植物进行压缩,并将它放入一护套内,所述护套紧紧地安装在所述顶帽、所述假体、所述Z形斯滕特固定模和一填塞体周围;利用一包括所述顶帽、所述护套、所述填塞体和导向金属线的传送装置,通过一腹股沟内的股动脉将假体插入;将所述护套取出,以使所述移植体露出并处于半展开位置;对所述假体进行定位;将所述护套和填塞体部分地取出,以便能插入血管造影导管和导向金属线;通过一对侧腹股沟将所述血管造影导管和导向金属线插入待治疗的动脉内,从而可藉助对穿过各穿孔而插入所述相交动脉内的左、右血管造影导管和导向金属线对假体加以精确定位;释放所述触发金属线,从而可以将所述移植物完全展开;取出所述血管造影导管;将所述护套和填塞体通过所述斯滕特固定模向上推,并与所述顶帽对接(接合),从而可将所述传送装置完全取出;这样,所述完全展开的斯滕特固定模可确保血液在待治疗动脉的相交处的流动。
将本发明假体在完全展开之前就位的方法是可藉助左、右血管造影导管和导向金属线来进行的。
所述不透射线标记可以由金或能其它能使所述标记藉助X射线或其它方法而显形的生物相容材料制成。
以上对本发明作了总的描述,但是为了更好地理解本发明,下面将结合附图,对本发明的几个较佳实施例加以描述。
附图说明
下面将结合附图,对本发明的一实施例进行具体描述。在各附图中:
图1是本发明一实施例的外形图,它示出了顶部Z形斯滕特固定模、具有一些穿孔和不透射线小珠的生物相容材料管,以及位于所述生物相容材料管底部的金属环;
图2是本发明所述实施例的内部结构图,它示出了一些内部Z形斯滕特固定模,以及它们与那些用于相交动脉的各穿孔之间的相互关系;
图3是本发明所述实施例的外部立体图,它示出了生物相容材料管的材料是如何藉助一穿过的触发金属线向后收折并保持在位的。与生物相容材料管的材料内表面相连的所述Z形斯滕特固定模其后部是不完整的,从而可以利用一通过所述材料的触发金属线而将所述生物相容材料管材料的一部分折合起来并加以保持;
图4是本发明所述实施例在释放所述触发金属线之前的剖视图;
图5是本发明所述实施例在释放所述触发金属线之后的剖视图。所述触发金属线已被拔出,并且被折合起来的生物相容材料管已展开,从而可以使所述斯滕特固定模最大程度地扩张,由此可借助一径向力将它保持在动脉壁上;
图6是所述主动脉和肾动脉的视图,其中,本发明所述实施例的假体位于所述传送装置内。本发明的顶部Z形斯滕特固定模已藉助用手而聚拢在一起,并被一顶帽所覆盖,而本发明的下部则紧贴地位于所述填塞体上方和护套内部,所述填塞体和护套都套一导向金属线上,所述导向金属线可将本发明安装在正确位置;
图7是本发明该实施例的假体在它脱离所述护套而处于与两肾动脉相对的半展开位置、也就是在释放触发金属线之前的视图;
图8是本发明该实施例的假体处于一半展开位置时的视图,其中,本发明的各穿孔已被一来自于对侧腹股沟的导向金属线穿过,两个血管造影导管则套在所述导向金属线上,以在完全展开之前,也就是在所述触发金属线释放之前将所述斯滕特固定模牢固地固定在正确位置;
图9是本发明该实施例的假体处于完全展开状态,也就是在释放了所述触发金属线之后但血管造影导管和顶帽仍保持在适当位置时的视图;
图10是本发明该实施例假体处于完全展开状态、且血管造影导管和它们的导向金属线已取出、所述传送装置的护套和填塞体被向上推而与所述顶帽相接合以准备取出所述传送装置时的视图;以及
图11是本发明该实施例的假体处于完全展开状态的视图,血液已可流至肾动脉,此时已取出了所述护套、填塞体和顶帽。
具体实施方式
本发明总的涉及主动脉疾病的治疗领域,特别涉及可将一穿孔的、被覆盖的斯滕特固定模精确地放置在主动脉内的主动脉内腔斯滕特固定模。更具体地说,它可以在肾下主动脉动脉瘤疾病的治疗中,将所述斯滕特固定模精确地展开和定位在肾脏动脉的上方。
各附图示出了包括所述方法在内的几个基本步骤,并示出了本发明一实施例的特征。
图1和图2是本发明一实施例的外形视图。一由不锈钢或镍钛金属互化物制成的、近端Z形斯滕特固定模1缝制于一生物相容材料管5的顶圈4上,所述斯滕特固定模具有一些面朝着尾侧的倒刺2。该近端Z形斯滕特固定模1在邻近端处、从生物相容材料管5延伸出来。另有两个不锈钢或镍钛金属互化物Z形斯滕特固定模7和8安装在生物相容材料管5的内部。这些Z形斯滕特固定模以一定的间隔缝制于所述生物相容材料管上,但部分的所述生物相容材料管没有缝制,以便能在所述生物相容材料管内进行纵向折合,这将在下文中予以描述。穿孔10设置在生物相容材料管5上,穿孔为所述材料管上提供开口从而可以在使用时与肾动脉或其它动脉对准。各穿孔10的尺寸和相对于肾动脉的位置是根据计算机X线体层摄影术和血管造影术来定制的,而且它们的周缘标记有一些金制的不透射线的小珠11,这些小珠有助于利用X射线来对各穿孔进行辨认。在Z形斯滕特固定模8的其中一个有一较长的环12,它在所述生物相容材料管5的末端延伸,并可将所述斯滕特固定模的前部保持在所述传送装置内部,这将在下文中予以描述。
图2是所述假体的内部结构视图,从图2中可以看到,有一作为顶部内Z形斯滕特固定模7的一缩短的环13,它可以使那些用于肾动脉的各穿孔设置在所需位置。
图3是所述假体的立体图,其中,Z形斯滕特固定模的那些邻端环状物14已被用手聚拢在一起,以便于将它们插入到一近端的囊(capsule)(未示)内。一触发金属线17用来将各环状物保持在所述囊的内部。该触发金属线或另一触发金属线15可以用来将一纵向褶缝保持在生物相容材料管5内,从而可以使所述直径变窄,并可将多余材料折边16留在所述假体的侧面。触发金属线17还穿过长环12,从而有助于在拔出护套之后对所述假体的末端的保持,这将在下文中予以描述。这样就能使所述假体在动脉内部作旋转,以便在最终释放之前将它精确定位。触发金属线15间隔地插入并穿过涤纶或其它材料的表面,从而产生了一系列缝线脚,由此形成了缝状的材料折边16,这在图4中可以清楚地看到。
图4是在将触发金属线15从材料折边16中释放之前的所述假体的剖视图。藉助缝制上去的触发金属线15而保持在位的缝状折边16,提供了一小于主动脉直径的直径,从而在将本发明从护套上取下来并在插入导管之后可使所述假体上、下运动并作360度旋转,这将结合图8在下文中予以描述,以确保各穿孔相对于肾动脉精确定位。
图5示出了在释放触发金属线之后、所述假体处于完全展开状态的剖视图。
图6示出了主动脉30、延伸伸入肾脏35的肾动脉32和34、股动脉36、38和借助一腹股沟切口而将本发明的假体18导入主动脉30的所述传送装置。
以编号20总的标示的所述传送装置插套在一覆盖塑料层的金属导向线22上,并包括一安装在柔性钢管23上的、不锈钢制成的近端帽24。近端帽24将近端的Z形斯滕特固定模的顶部和一护套26覆盖住,所述护套可将包括生物相容材料管5和Z形斯滕特固定模的其余部分在内的假体覆盖住,并且在插入过程中在一部分近端帽24上延伸。护套26套在一塑料填塞体28上,所述填塞体足够长,从而可从股动脉和腹股沟切口中突伸出来,由此用手可使其移动。塑料填塞体28滑动配合在柔性钢管23上。填塞体28紧贴地设置在所述护套之下,当插入并随后在所述填塞体上将所述护套拉回时,可将所述假体保持在位,如图7所示,从而可以使穿孔的斯滕特固定模暴露呈图3所示的半展开状态。
在图7中,护套26已藉助不让柔性钢管23和填塞体28之间作相对运动而退回到填塞体28上,同时将填塞体28和近端帽24留在原来的位置上。假体18然后就可以藉助柔性管23的移动而自由旋转和纵向移动,一直到穿孔10和11相对于肾动脉32和34正确定位为止。
图8示出了主动脉30、延伸伸入肾脏35的肾动脉32和34、股动脉36和38以及传送装置20,其中,填塞体28和护套26已后退至其中一根股动脉36。这是藉助将柔性钢管23保持固定并使护套26和填塞体28相对于柔性钢管移动来实现的。触发金属线15保持在适当位置。这样就给导向金属线40和42以及血管造影导管44和46留出了进入的地方,所述血管造影导管已借助对侧的腹股沟切口(未示)插入并向上通过对侧股动脉38,所示置于所述肾动脉内,这些都是由左、右血管造影导管44和46导向的。这些血管造影导管44和46设计成分别具有左、右弯曲颈部,从而可以将所述金属线从主动脉30导引至适当的肾动脉32和34。将导向金属线40、42和血管造影导管44、46插入肾动脉32和34内,从而可以对本发明该实施例的假体的穿孔10和11进行安全和精确地定位。
图9是在将触发金属线15和17或能实现所述两个触发金属线功能的单根触发金属线释放之后、而导向金属线40和42、血管造影导管44和46以及传送装置20仍保持在适当位置时、本发明处于完全展开状态的视图。在这种状态时,近端Z形斯滕特固定模1向外扩张至主动脉30的壁,并且各倒刺2与所述主动脉壁啮合,从而可将假体18保持在所述正确位置。
在图10中,血管造影导管44、46和导向金属线40、42已通过对侧的股动脉38而取出,而且填塞体28和护套26已被向上推从而可与近端的帽24进行接合,以准备取出整个传送装置20。这是藉助将柔性钢管23保持不动并使填塞体28和护套26相对于柔性钢管并朝着所述近端帽移动来实现的。
图11是本发明假体18处于完全展开状态并且传送装置20已取出从而可使血液自由地流过主动脉30并借助穿孔10和11而流入肾动脉32和34的视图。
应该在展开后进行血管造影术以确定假体是否正确展开。各穿孔是否正确定位。
下面是可以对本发明作出的种种可能是有利的改进。
例如可以将2个以上的Z形斯滕特固定模与所述生物相容材料管相连并安装在其内。如果要求本发明的移植物更长些,就要采用两个以上的Z形斯滕特固定模。
可以分别用一根或两根触发金属线、(a)事后或(b)事先和事后、在内部将所述释放机构收折起来。
在所述生物相容材料管内、在有两个以上相交动脉之处可以有两个以上的穿孔。
在本申请文件中,除非文中有特殊要求,术语“包含”和“包括”以及诸如“含有”和“包括有”之类的有所变化的术语的应理解成是指包含一确定的整体或整体组,但不将其它的整体或整体组排除在外。
Claims (9)
1.一种假体,它包括缝合于一移植物上的两个或多个Z形斯滕特固定模,所述移植物包括一生物相容材料管,其特征在于,所述的两个或多个Z形斯滕特固定模附着于所述生物相容材料管的内表面,并且在与一相交动脉开口相对应的所述生物相容材料管上有至少一个穿孔。
2.如权利要求1所述的假体,其特征在于,它还包括另一个Z形斯滕特固定模,该Z形斯滕特固定模固定于所述生物相容材料管并自所述生物相容材料管近端延伸出来。
3.如权利要求1所述的假体,其特征在于,所述Z形斯滕特固定模的至少其中之一上具有一些面朝着尾部的倒刺。
4.如权利要求2所述的假体,其特征在于,所述近端地延伸的Z形斯滕特固定模上具有一些面朝着尾部的倒刺。
5.如权利要求1所述的假体,其特征在于,根据相交动脉的个数,有两个或多个穿孔。
6.如权利要求1所述的假体,其特征在于,所述穿孔包括一个或多个在所述穿孔的周缘的不透射线的标记。
7.如权利要求1所述的假体,其特征在于,所述Z形斯滕特固定模的最末端包括一在所述移植物末端延伸的环。
8.如权利要求1所述的假体,其特征在于,它还包括一用于所述假体的释放机构,该释放机构包括一根或多根触发金属线,其中所述生物相容材料管的一部分可纵向地折叠起来,此时,所述的一根或多根触发金属线分别在折边处纵向地穿过所述生物相容材料管,以将所述假体保持在部分压缩状态。
9.如权利要求1所述的假体,其特征在于,所述Z形斯滕特固定模的至少其中之一包括一根或多根可根据需要对各穿孔进行定位的短环。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AUPP0835 | 1997-12-10 | ||
AUPP0835A AUPP083597A0 (en) | 1997-12-10 | 1997-12-10 | Endoluminal aortic stents |
Publications (2)
Publication Number | Publication Date |
---|---|
CN1280475A CN1280475A (zh) | 2001-01-17 |
CN1158051C true CN1158051C (zh) | 2004-07-21 |
Family
ID=3805120
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CNB988118521A Expired - Lifetime CN1158051C (zh) | 1997-12-10 | 1998-12-09 | 用于治疗动脉疾病的假体 |
Country Status (13)
Country | Link |
---|---|
US (1) | US6524335B1 (zh) |
EP (1) | EP1039845B1 (zh) |
JP (1) | JP4152072B2 (zh) |
KR (1) | KR100580781B1 (zh) |
CN (1) | CN1158051C (zh) |
AU (1) | AUPP083597A0 (zh) |
BR (1) | BR9813436A (zh) |
CA (1) | CA2313080C (zh) |
CZ (1) | CZ296708B6 (zh) |
EA (1) | EA002292B1 (zh) |
NZ (1) | NZ504600A (zh) |
PL (1) | PL190012B1 (zh) |
WO (1) | WO1999029262A1 (zh) |
Families Citing this family (267)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6951572B1 (en) * | 1997-02-20 | 2005-10-04 | Endologix, Inc. | Bifurcated vascular graft and method and apparatus for deploying same |
US20100318174A1 (en) * | 1998-12-11 | 2010-12-16 | Endologix, Inc. | Implantable vascular graft |
US8034100B2 (en) * | 1999-03-11 | 2011-10-11 | Endologix, Inc. | Graft deployment system |
US6261316B1 (en) | 1999-03-11 | 2001-07-17 | Endologix, Inc. | Single puncture bifurcation graft deployment system |
DK1113764T3 (da) * | 1999-07-16 | 2004-01-26 | Cook Inc | Stent egnet til sammenfiltringsfri udfoldning |
KR200207213Y1 (ko) * | 2000-02-07 | 2000-12-15 | 주식회사에스앤지바이오텍 | 인조혈관 스텐트 및 스텐트 삽입 장치 |
JP2003532878A (ja) * | 2000-05-08 | 2003-11-05 | キューティエル・バイオシステムズ・リミテッド・ライアビリティ・カンパニー | バイオセンシングに対する蛍光ポリマー−qtlアプローチの改良 |
DE10040630A1 (de) * | 2000-08-16 | 2002-03-07 | Thomas Hupp | Stent zur Implantation in die Halsschlagader |
EP1333787B1 (en) * | 2000-11-15 | 2009-12-23 | Endologix, Inc. | Implantable vascular graft |
AU2002236790B2 (en) * | 2001-01-19 | 2006-08-17 | Boston Scientific Limited | Introducer for deployment of branched prosthesis |
US6663663B2 (en) * | 2001-05-14 | 2003-12-16 | M.I. Tech Co., Ltd. | Stent |
FR2828263B1 (fr) * | 2001-08-03 | 2007-05-11 | Philipp Bonhoeffer | Dispositif d'implantation d'un implant et procede d'implantation du dispositif |
US20040111147A1 (en) * | 2002-12-03 | 2004-06-10 | Rabkin Dmitry J. | Temporary, repositionable or retrievable intraluminal devices |
US7147661B2 (en) * | 2001-12-20 | 2006-12-12 | Boston Scientific Santa Rosa Corp. | Radially expandable stent |
US7147660B2 (en) * | 2001-12-20 | 2006-12-12 | Boston Scientific Santa Rosa Corp. | Advanced endovascular graft |
WO2003079935A1 (en) * | 2002-03-18 | 2003-10-02 | Eva Corporation | Method and apparatus to attach an unsupported surgical component |
US6918926B2 (en) * | 2002-04-25 | 2005-07-19 | Medtronic Vascular, Inc. | System for transrenal/intraostial fixation of endovascular prosthesis |
WO2003101518A1 (en) * | 2002-05-29 | 2003-12-11 | William A. Cook Australia Pty. Ltd. | Trigger wire system for a prosthesis deployment device |
EP1517651B1 (en) | 2002-06-28 | 2010-05-26 | Cook Incorporated | Thoracic aortic aneurysm stent graft |
US11890181B2 (en) | 2002-07-22 | 2024-02-06 | Tmt Systems, Inc. | Percutaneous endovascular apparatus for repair of aneurysms and arterial blockages |
US7722657B2 (en) | 2002-08-23 | 2010-05-25 | William A. Cook Australia Pty. Ltd. | Asymmetric stent graft attachment |
DK1545396T3 (da) | 2002-08-23 | 2009-03-02 | Cook William A Australia | Kompositprotese |
AU2002951147A0 (en) | 2002-09-02 | 2002-09-19 | Cook Incorporated | Branch grafting device and method |
US20040059406A1 (en) * | 2002-09-20 | 2004-03-25 | Cully Edward H. | Medical device amenable to fenestration |
US7331986B2 (en) * | 2002-10-09 | 2008-02-19 | Boston Scientific Scimed, Inc. | Intraluminal medical device having improved visibility |
US7695446B2 (en) * | 2002-12-02 | 2010-04-13 | Gi Dynamics, Inc. | Methods of treatment using a bariatric sleeve |
JP4980569B2 (ja) * | 2002-12-02 | 2012-07-18 | ジーアイ・ダイナミックス・インコーポレーテッド | 胃腸内埋込装置および該装置を体内に配置する送入システム |
US7608114B2 (en) | 2002-12-02 | 2009-10-27 | Gi Dynamics, Inc. | Bariatric sleeve |
US20070032879A1 (en) * | 2002-12-02 | 2007-02-08 | Levine Andy H | Anti-buckling sleeve |
US7678068B2 (en) * | 2002-12-02 | 2010-03-16 | Gi Dynamics, Inc. | Atraumatic delivery devices |
US7025791B2 (en) | 2002-12-02 | 2006-04-11 | Gi Dynamics, Inc. | Bariatric sleeve |
DE60326000D1 (de) | 2002-12-04 | 2009-03-12 | Cook Inc | Verfahren und vorrichtung zur behandlung bei aortasektion |
EP1583487B1 (en) * | 2003-01-14 | 2016-11-02 | The Cleveland Clinic Foundation | Branched vessel endoluminal device |
US9125733B2 (en) | 2003-01-14 | 2015-09-08 | The Cleveland Clinic Foundation | Branched vessel endoluminal device |
US7611528B2 (en) * | 2003-01-24 | 2009-11-03 | Medtronic Vascular, Inc. | Stent-graft delivery system |
ATE454864T1 (de) * | 2003-03-28 | 2010-01-15 | Gi Dynamics Inc | Schlauch zur verzögerten einleitung von enzymen in den darm |
JP4743889B2 (ja) | 2003-04-03 | 2011-08-10 | ウイリアム エー クック オーストラリア ピィティワイ リミテッド | 分岐ステントグラフの留置装置と方法 |
US8083791B2 (en) | 2003-04-14 | 2011-12-27 | Tryton Medical, Inc. | Method of treating a lumenal bifurcation |
US8109987B2 (en) * | 2003-04-14 | 2012-02-07 | Tryton Medical, Inc. | Method of treating a lumenal bifurcation |
US7717953B2 (en) * | 2004-10-13 | 2010-05-18 | Tryton Medical, Inc. | Delivery system for placement of prosthesis at luminal OS |
US7972372B2 (en) * | 2003-04-14 | 2011-07-05 | Tryton Medical, Inc. | Kit for treating vascular bifurcations |
US7481834B2 (en) * | 2003-04-14 | 2009-01-27 | Tryton Medical, Inc. | Stent for placement at luminal os |
US7758630B2 (en) * | 2003-04-14 | 2010-07-20 | Tryton Medical, Inc. | Helical ostium support for treating vascular bifurcations |
US7731747B2 (en) * | 2003-04-14 | 2010-06-08 | Tryton Medical, Inc. | Vascular bifurcation prosthesis with multiple thin fronds |
US20050033416A1 (en) * | 2003-05-02 | 2005-02-10 | Jacques Seguin | Vascular graft and deployment system |
US20040225349A1 (en) * | 2003-05-09 | 2004-11-11 | Thistle Robert C. | Eversible locking mechanism for modular stents |
US8721710B2 (en) * | 2003-08-11 | 2014-05-13 | Hdh Medical Ltd. | Anastomosis system and method |
DE10337739B4 (de) | 2003-08-12 | 2009-11-26 | Jotec Gmbh | Stent zur Implantation in ein Blutgefäß, insbesondere im Bereich des Aortenbogens |
US9198786B2 (en) | 2003-09-03 | 2015-12-01 | Bolton Medical, Inc. | Lumen repair device with capture structure |
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 |
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 |
AU2012200481B2 (en) * | 2003-09-03 | 2014-04-17 | Bolton Medical, Inc. | Stent graft delivery system and vascular repair device |
US20080264102A1 (en) | 2004-02-23 | 2008-10-30 | Bolton Medical, Inc. | Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same |
US7763063B2 (en) | 2003-09-03 | 2010-07-27 | Bolton Medical, Inc. | Self-aligning stent graft delivery system, kit, and method |
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 |
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 |
US7651519B2 (en) | 2003-09-16 | 2010-01-26 | Cook Incorporated | Prosthesis deployment system |
ATE440564T1 (de) * | 2003-10-10 | 2009-09-15 | Cleveland Clinic Foundation | Endoluminale prothese mit verbindbaren modulen |
US8043357B2 (en) | 2003-10-10 | 2011-10-25 | Cook Medical Technologies Llc | Ring stent |
EP1673039B1 (en) * | 2003-10-10 | 2008-12-03 | William A. Cook Australia Pty. Ltd. | Stent graft fenestration |
CA2540830C (en) * | 2003-10-10 | 2012-08-14 | William A. Cook Australia Pty. Ltd. | Fenestrated stent grafts |
DE602004015486D1 (de) * | 2003-10-10 | 2008-09-11 | Cook Inc | Dehnbares prothesenfenster |
WO2005034807A1 (en) | 2003-10-10 | 2005-04-21 | William A. Cook Australia Pty. Ltd | Composite stent graft |
US7998186B2 (en) | 2003-10-14 | 2011-08-16 | William A. Cook Australia Pty. Ltd. | Introducer for a side branch device |
EP1691719B1 (en) | 2003-10-14 | 2016-09-14 | Cook Medical Technologies LLC | Introducer for an iliac side branch device |
WO2005037142A2 (en) | 2003-10-15 | 2005-04-28 | Cook Incorporated | Prosthesis deployment system retention device |
US20050096725A1 (en) * | 2003-10-29 | 2005-05-05 | Pomeranz Mark L. | Expandable stent having removable slat members |
US20050171597A1 (en) * | 2003-11-08 | 2005-08-04 | Boatman Scott E. | Helical stent for branched vessel prosthesis |
US8057420B2 (en) | 2003-12-09 | 2011-11-15 | Gi Dynamics, Inc. | Gastrointestinal implant with drawstring |
WO2005060882A1 (en) | 2003-12-09 | 2005-07-07 | Gi Dynamics, Inc. | Apparatus to be anchored within the gastrointestinal tract and anchoring method |
US20060212042A1 (en) * | 2005-03-17 | 2006-09-21 | Lamport Ronald B | Removal and repositioning device |
EP1696828B1 (en) | 2003-12-17 | 2010-08-25 | Cook Incorporated | Interconnected leg extensions for an endoluminal prostehsis |
US7674284B2 (en) * | 2004-03-31 | 2010-03-09 | Cook Incorporated | Endoluminal graft |
US9498322B2 (en) | 2004-03-31 | 2016-11-22 | Cook Medical Technologies Llc | Multi-portion endoluminal prosthesis |
DE602005025324D1 (de) | 2004-03-31 | 2011-01-27 | Cook Inc | Stentablagevorrichtung |
US8048140B2 (en) | 2004-03-31 | 2011-11-01 | Cook Medical Technologies Llc | Fenestrated intraluminal stent system |
US8465536B2 (en) | 2004-04-06 | 2013-06-18 | Cook Medical Technologies Llc | Prosthesis deployment system |
AU2005232726B2 (en) | 2004-04-12 | 2010-07-15 | Cook Medical Technologies Llc | Stent graft repair device |
US20070179426A1 (en) * | 2004-05-11 | 2007-08-02 | Selden Nathan R | Interfacial stent and method of maintaining patency of surgical fenestrations |
US8043354B2 (en) | 2004-06-16 | 2011-10-25 | William A. Cook Australia Pty. Ltd. | Thoracic deployment device and stent graft |
US20060064064A1 (en) * | 2004-09-17 | 2006-03-23 | Jang G D | Two-step/dual-diameter balloon angioplasty catheter for bifurcation and side-branch vascular anatomy |
AU2005287010B2 (en) * | 2004-09-17 | 2010-04-15 | Gi Dynamics, Inc. | Gastrointestinal anchor |
DE602005024585D1 (de) * | 2004-09-28 | 2010-12-16 | Cook William Europ | Vorrichtung zur behandlung von aortendissektion |
US7156871B2 (en) * | 2004-10-28 | 2007-01-02 | Cordis Neurovascular, Inc. | Expandable stent having a stabilized portion |
US7147659B2 (en) * | 2004-10-28 | 2006-12-12 | Cordis Neurovascular, Inc. | Expandable stent having a dissolvable portion |
WO2006072835A2 (en) * | 2004-11-03 | 2006-07-13 | Jacques Seguin | Vascular graft and deployment system |
DE102005003632A1 (de) | 2005-01-20 | 2006-08-17 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Katheter für die transvaskuläre Implantation von Herzklappenprothesen |
US20080188803A1 (en) * | 2005-02-03 | 2008-08-07 | Jang G David | Triple-profile balloon catheter |
US20060224232A1 (en) * | 2005-04-01 | 2006-10-05 | Trivascular, Inc. | Hybrid modular endovascular graft |
WO2006113501A1 (en) | 2005-04-13 | 2006-10-26 | The Cleveland Clinic Foundation | Endoluminal prosthesis |
US8043323B2 (en) | 2006-10-18 | 2011-10-25 | Inspiremd Ltd. | In vivo filter assembly |
US8961586B2 (en) | 2005-05-24 | 2015-02-24 | Inspiremd Ltd. | Bifurcated stent assemblies |
CA2843097C (en) | 2005-05-24 | 2015-10-27 | Inspire M.D Ltd. | Stent apparatuses for treatment via body lumens and methods of use |
KR100691506B1 (ko) * | 2005-06-01 | 2007-03-09 | (주) 태웅메디칼 | 설치된 내강에서 제거가 가능한 스텐트 |
WO2006130755A2 (en) * | 2005-06-01 | 2006-12-07 | William A. Cook Australia Pty. Ltd. | Side branch stent graft |
US7976488B2 (en) | 2005-06-08 | 2011-07-12 | Gi Dynamics, Inc. | Gastrointestinal anchor compliance |
DE102006020687A1 (de) | 2005-07-19 | 2007-02-08 | Aesculap Ag & Co. Kg | Stentgraft-Prothese |
WO2007014088A2 (en) | 2005-07-25 | 2007-02-01 | Cook Incorporated | Intraluminal prosthesis and stent |
EP1922029B1 (en) | 2005-08-18 | 2014-11-19 | Cook Medical Technologies LLC | Assembly of stent grafts |
ES2360185T3 (es) | 2005-09-01 | 2011-06-01 | Medtronic Vascular, Inc. | Métodos y aparato para el tratamiento de aneurismas de aorta torácica. |
US8663307B2 (en) * | 2005-09-02 | 2014-03-04 | Medtronic Vascular, Inc. | Endoluminal prosthesis |
US20070055346A1 (en) * | 2005-09-02 | 2007-03-08 | Medtronic Vascular, Inc. | Method and apparatus for delivery of a treatment element in a blood vessel |
US8709060B2 (en) | 2005-12-23 | 2014-04-29 | Cook Medical Technologies Llc | Prosthesis deployment system |
US9757260B2 (en) | 2006-03-30 | 2017-09-12 | Medtronic Vascular, Inc. | Prosthesis with guide lumen |
US20070244547A1 (en) * | 2006-04-18 | 2007-10-18 | Medtronic Vascular, Inc., A Delaware Corporation | Device and Method for Controlling the Positioning of a Stent Graft Fenestration |
CN101484090B (zh) * | 2006-04-19 | 2011-04-27 | 威廉A·库克澳大利亚有限公司 | 双分叉支架移植物 |
AU2007258592B2 (en) | 2006-06-06 | 2012-10-25 | Cook Incorporated | Stent with a crush-resistant zone |
US8414637B2 (en) | 2006-09-08 | 2013-04-09 | Boston Scientific Scimed, Inc. | Stent |
US20080071343A1 (en) * | 2006-09-15 | 2008-03-20 | Kevin John Mayberry | Multi-segmented graft deployment system |
AU2007299934B2 (en) * | 2006-09-28 | 2013-09-12 | Hlt, Inc. | Delivery tool for percutaneous delivery of a prosthesis |
EP2076212B1 (en) | 2006-10-18 | 2017-03-29 | Inspiremd Ltd. | Knitted stent jackets |
US20080114437A1 (en) * | 2006-11-13 | 2008-05-15 | Boston Scientific Scimed, Inc. | Self-expanding side branch bifurcated stent |
CA3013758C (en) | 2006-11-22 | 2021-09-14 | Inspiremd Ltd. | Intravascular aneurysm treatment device and methods |
US8523931B2 (en) * | 2007-01-12 | 2013-09-03 | Endologix, Inc. | Dual concentric guidewire and methods of bifurcated graft deployment |
JP5662683B2 (ja) | 2007-02-09 | 2015-02-04 | タヘリ ラドュカ エルエルシー | 体内に植込型デバイスを展開する装置および方法 |
US8801647B2 (en) * | 2007-02-22 | 2014-08-12 | Gi Dynamics, Inc. | Use of a gastrointestinal sleeve to treat bariatric surgery fistulas and leaks |
US7896915B2 (en) | 2007-04-13 | 2011-03-01 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
EP2146669B1 (en) | 2007-05-11 | 2014-07-30 | Cook Medical Technologies LLC | Stent grafts for the thoracic aorta |
US7810223B2 (en) | 2007-05-16 | 2010-10-12 | Boston Scientific Scimed, Inc. | Method of attaching radiopaque markers to intraluminal medical devices, and devices formed using the same |
US20090030502A1 (en) * | 2007-07-26 | 2009-01-29 | Jichao Sun | Socket For Fenestrated Tubular Prosthesis |
US8226701B2 (en) | 2007-09-26 | 2012-07-24 | Trivascular, Inc. | Stent and delivery system for deployment thereof |
US8663309B2 (en) | 2007-09-26 | 2014-03-04 | Trivascular, Inc. | Asymmetric stent apparatus and method |
US8066755B2 (en) | 2007-09-26 | 2011-11-29 | Trivascular, Inc. | System and method of pivoted stent deployment |
EP2194921B1 (en) | 2007-10-04 | 2018-08-29 | TriVascular, Inc. | Modular vascular graft for low profile percutaneous delivery |
US8328861B2 (en) | 2007-11-16 | 2012-12-11 | Trivascular, Inc. | Delivery system and method for bifurcated graft |
US8083789B2 (en) | 2007-11-16 | 2011-12-27 | Trivascular, Inc. | Securement assembly and method for expandable endovascular device |
US20090164001A1 (en) * | 2007-12-21 | 2009-06-25 | Biggs David P | Socket For Fenestrated Tubular Prosthesis |
WO2009082654A1 (en) * | 2007-12-21 | 2009-07-02 | Cleveland Clinic Foundation | Prosthesis for implantation in aorta |
US9226813B2 (en) | 2007-12-26 | 2016-01-05 | Cook Medical Technologies Llc | Low profile non-symmetrical stent |
US9180030B2 (en) | 2007-12-26 | 2015-11-10 | Cook Medical Technologies Llc | Low profile non-symmetrical stent |
GB2475494B (en) | 2009-11-18 | 2011-11-23 | Cook William Europ | Stent graft and introducer assembly |
US8574284B2 (en) | 2007-12-26 | 2013-11-05 | Cook Medical Technologies Llc | Low profile non-symmetrical bare alignment stents with graft |
GB2476451A (en) * | 2009-11-19 | 2011-06-29 | Cook William Europ | Stent Graft |
WO2009105699A1 (en) | 2008-02-22 | 2009-08-27 | Endologix, Inc. | Design and method of placement of a graft or graft system |
US9044318B2 (en) | 2008-02-26 | 2015-06-02 | Jenavalve Technology Gmbh | Stent for the positioning and anchoring of a valvular prosthesis |
WO2011104269A1 (en) | 2008-02-26 | 2011-09-01 | Jenavalve Technology Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US8236040B2 (en) | 2008-04-11 | 2012-08-07 | Endologix, Inc. | Bifurcated graft deployment systems and methods |
US20090264990A1 (en) * | 2008-04-21 | 2009-10-22 | Medtronic Vascular, Inc. | Radiopaque Imprinted Ink Marker for Stent Graft |
US20090270971A1 (en) * | 2008-04-24 | 2009-10-29 | Medtronic Vascular, Inc. | Prosthesis Fixation Apparatus and Methods |
US8932340B2 (en) | 2008-05-29 | 2015-01-13 | Boston Scientific Scimed, Inc. | Bifurcated stent and delivery system |
BRPI0913877A2 (pt) | 2008-06-30 | 2015-10-27 | Bolton Medical Inc | aneurismas da aorta abdominal: sistemas e métodos de uso |
EP2520320B1 (en) | 2008-07-01 | 2016-11-02 | Endologix, Inc. | Catheter system |
US8353943B2 (en) * | 2008-08-29 | 2013-01-15 | Cook Medical Technologies Llc | Variable weave graft with metal strand reinforcement for in situ fenestration |
EP2331011B1 (en) * | 2008-08-29 | 2015-01-14 | Cook Medical Technologies LLC | Prosthesis with moveable fenestration |
US8876807B2 (en) | 2009-01-19 | 2014-11-04 | W. L. Gore & Associates, Inc. | Forced deployment sequence |
US8858610B2 (en) | 2009-01-19 | 2014-10-14 | W. L. Gore & Associates, Inc. | Forced deployment sequence |
AU2010223953B2 (en) | 2009-03-13 | 2014-05-01 | Bolton Medical, Inc. | System and method for deploying an endoluminal prosthesis at a surgical site |
US20100249898A1 (en) * | 2009-03-24 | 2010-09-30 | Medtronic Vascular, Inc. | Stent Graft |
US8672993B2 (en) * | 2009-03-26 | 2014-03-18 | Cook Medical Technologies Llc | Pararenal stent graft |
US20100256735A1 (en) * | 2009-04-03 | 2010-10-07 | Board Of Regents, The University Of Texas System | Intraluminal stent with seam |
US8419782B2 (en) * | 2009-04-09 | 2013-04-16 | Medtronic Vascular, Inc. | Precise positioning prosthesis delivery system and method |
EP2429452B1 (en) * | 2009-04-28 | 2020-01-15 | Endologix, Inc. | Endoluminal prosthesis system |
JP2012525239A (ja) * | 2009-05-01 | 2012-10-22 | エンドロジックス、インク | 解離を治療するための経皮的な方法および装置(優先権情報および参照による組み入れ) |
US10772717B2 (en) | 2009-05-01 | 2020-09-15 | Endologix, Inc. | Percutaneous method and device to treat dissections |
US20100305590A1 (en) * | 2009-05-29 | 2010-12-02 | Gi Dynamics, Inc. | Transpyloric Anchoring |
US8366763B2 (en) | 2009-07-02 | 2013-02-05 | Tryton Medical, Inc. | Ostium support for treating vascular bifurcations |
WO2011008989A2 (en) | 2009-07-15 | 2011-01-20 | Endologix, Inc. | Stent graft |
WO2011017123A2 (en) | 2009-07-27 | 2011-02-10 | Endologix, Inc. | Stent graft |
US9095456B2 (en) | 2009-10-13 | 2015-08-04 | Cook Medical Technologies Llc | Paraplegia prevention stent graft |
WO2011047004A1 (en) | 2009-10-13 | 2011-04-21 | William Cook Europe Aps | Paraplegia prevention stent graft |
CN107260367B (zh) * | 2009-11-02 | 2019-11-29 | 西美蒂斯股份公司 | 主动脉生物假体及用于其递送的系统 |
KR101137896B1 (ko) * | 2009-11-12 | 2012-05-02 | 연세대학교 산학협력단 | 분지부 병변에서의 분지혈관 보호용 스텐트 |
US9757263B2 (en) * | 2009-11-18 | 2017-09-12 | Cook Medical Technologies Llc | Stent graft and introducer assembly |
DE102010008360A1 (de) * | 2010-02-17 | 2011-09-29 | Transcatheter Technologies Gmbh | Medizinisches Implantat, in welchem beim Crimpen bzw. Falten Lücken verbleiben, Verfahren und Einrichtung zum Verbringen |
US20110218617A1 (en) * | 2010-03-02 | 2011-09-08 | Endologix, Inc. | Endoluminal vascular prosthesis |
AU2010201676B1 (en) | 2010-04-23 | 2010-07-22 | Cook Medical Technologies Llc | Curve forming stent graft |
CN103002833B (zh) | 2010-05-25 | 2016-05-11 | 耶拿阀门科技公司 | 人工心脏瓣及包括人工心脏瓣和支架的经导管输送的内假体 |
US10010439B2 (en) | 2010-06-13 | 2018-07-03 | Synerz Medical, Inc. | Intragastric device for treating obesity |
US10420665B2 (en) | 2010-06-13 | 2019-09-24 | W. L. Gore & Associates, Inc. | Intragastric device for treating obesity |
US8628554B2 (en) | 2010-06-13 | 2014-01-14 | Virender K. Sharma | Intragastric device for treating obesity |
US9526648B2 (en) | 2010-06-13 | 2016-12-27 | Synerz Medical, Inc. | Intragastric device for treating obesity |
US9101455B2 (en) | 2010-08-13 | 2015-08-11 | Cook Medical Technologies Llc | Preloaded wire for endoluminal device |
CA2747610C (en) | 2010-08-13 | 2014-09-16 | Cook Medical Technologies Llc | Precannulated fenestration |
US8702786B2 (en) | 2010-08-21 | 2014-04-22 | Cook Medical Technologies Llc | Prosthesis having pivoting fenestration |
US8771336B2 (en) | 2010-08-21 | 2014-07-08 | Cook Medical Technologies Llc | Endoluminal prosthesis comprising a valve replacement and at least one fenestration |
CA2748206C (en) | 2010-08-21 | 2015-06-23 | Blayne A. Roeder | Prosthesis having pivoting fenestration |
US8870939B2 (en) | 2010-08-21 | 2014-10-28 | Cook Medical Technologies Llc | Prosthesis having pivoting fenestration |
EP2525742B1 (en) | 2010-10-29 | 2015-03-18 | Cook Medical Technologies LLC | Medical device delivery system and deployment method |
US20120109279A1 (en) | 2010-11-02 | 2012-05-03 | Endologix, Inc. | Apparatus and method of placement of a graft or graft system |
CA2815897C (en) * | 2010-11-15 | 2017-10-17 | Endovascular Development AB | An assembly with a guide wire and a fixator for attaching to a blood vessel |
US20120130475A1 (en) * | 2010-11-16 | 2012-05-24 | Shaw Edward E | Sleeves for expandable medical devices |
WO2012068298A1 (en) | 2010-11-17 | 2012-05-24 | Endologix, Inc. | Devices and methods to treat vascular dissections |
EP2642946B1 (en) | 2010-11-24 | 2023-08-16 | Poseidon Medical Inc. | Support for treating vascular bifurcations |
EP2658484A1 (en) | 2010-12-30 | 2013-11-06 | Boston Scientific Scimed, Inc. | Multi stage opening stent designs |
EP2680915B1 (en) | 2011-03-01 | 2021-12-22 | Endologix LLC | Catheter system |
CA2823535A1 (en) | 2011-03-03 | 2012-09-07 | Boston Scientific Scimed, Inc. | Low strain high strength stent |
WO2012119037A1 (en) | 2011-03-03 | 2012-09-07 | Boston Scientific Scimed, Inc. | Stent with reduced profile |
US9744033B2 (en) | 2011-04-01 | 2017-08-29 | W.L. Gore & Associates, Inc. | Elastomeric leaflet for prosthetic heart valves |
EP2517671B1 (en) | 2011-04-28 | 2016-05-11 | Cook Medical Technologies LLC | Apparatus for facilitating deployment of an endoluminal prosthesis |
US10117765B2 (en) | 2011-06-14 | 2018-11-06 | W.L. Gore Associates, Inc | Apposition fiber for use in endoluminal deployment of expandable implants |
US10213329B2 (en) | 2011-08-12 | 2019-02-26 | W. L. Gore & Associates, Inc. | Evertable sheath devices, systems, and methods |
US9554806B2 (en) | 2011-09-16 | 2017-01-31 | W. L. Gore & Associates, Inc. | Occlusive devices |
US8728148B2 (en) | 2011-11-09 | 2014-05-20 | Cook Medical Technologies Llc | Diameter reducing tie arrangement for endoluminal prosthesis |
CN102488575A (zh) * | 2011-11-11 | 2012-06-13 | 许尚栋 | 主动脉开窗支架 |
US9782282B2 (en) | 2011-11-14 | 2017-10-10 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
US9877858B2 (en) | 2011-11-14 | 2018-01-30 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
EP2985007B1 (en) | 2011-12-22 | 2019-11-13 | Cook Medical Technologies LLC | Preloaded wire for endoluminal device |
DE112012005518T5 (de) * | 2011-12-29 | 2014-09-18 | Beijing Percutek Therapeutics Co. Ltd. | Ein Aorten-Stent-Graft |
GB2499377B (en) | 2012-02-01 | 2014-04-30 | Cook Medical Technologies Llc | Implantable medical device |
EP2821030B1 (en) * | 2012-02-27 | 2017-12-06 | Hiroshima University | Stent graft |
US9375308B2 (en) | 2012-03-13 | 2016-06-28 | W. L. Gore & Associates, Inc. | External steerable fiber for use in endoluminal deployment of expandable devices |
US8992595B2 (en) | 2012-04-04 | 2015-03-31 | Trivascular, Inc. | Durable stent graft with tapered struts and stable delivery methods and devices |
US9498363B2 (en) | 2012-04-06 | 2016-11-22 | Trivascular, Inc. | Delivery catheter for endovascular device |
EP3141223A1 (en) | 2012-04-12 | 2017-03-15 | Bolton Medical, Inc. | Vascular prosthetic delivery device |
US10500077B2 (en) | 2012-04-26 | 2019-12-10 | Poseidon Medical Inc. | Support for treating vascular bifurcations |
US10098767B2 (en) | 2012-04-27 | 2018-10-16 | Medtronic Vascular, Inc. | Reconfigurable stent-graft delivery system and method of use |
US9737394B2 (en) * | 2012-04-27 | 2017-08-22 | Medtronic Vascular, Inc. | Stent-graft prosthesis for placement in the abdominal aorta |
US9452069B2 (en) | 2012-04-27 | 2016-09-27 | Medtronic Vascular, Inc. | Reconfigurable stent-graft delivery system and method of use |
US9393140B2 (en) | 2012-04-27 | 2016-07-19 | Medtronic Vascular, Inc. | Reconfigurable stent-graft delivery system and method of use |
US8968384B2 (en) | 2012-04-27 | 2015-03-03 | Medtronic Vascular, Inc. | Circumferentially constraining sutures for a stent-graft |
US20130289701A1 (en) * | 2012-04-27 | 2013-10-31 | Medtronic Vascular, Inc. | Stent-graft prosthesis for placement in the abdominal aorta |
US9811613B2 (en) | 2012-05-01 | 2017-11-07 | University Of Washington Through Its Center For Commercialization | Fenestration template for endovascular repair of aortic aneurysms |
US9233015B2 (en) | 2012-06-15 | 2016-01-12 | Trivascular, Inc. | Endovascular delivery system with an improved radiopaque marker scheme |
KR101424201B1 (ko) | 2012-08-14 | 2014-08-13 | 이종훈 | 스텐트 및 이를 포함하는 인조혈관 |
CN103040542B (zh) * | 2012-12-04 | 2015-05-13 | 中国人民解放军第三军医大学第三附属医院 | T型覆膜支架 |
GB201222852D0 (en) | 2012-12-18 | 2013-01-30 | Vascutek Ltd | Modular Fenestrated Assembly |
EP2745813A1 (en) | 2012-12-18 | 2014-06-25 | Cook Medical Technologies LLC | Preloaded wire for endoluminal device |
GB201222854D0 (en) | 2012-12-18 | 2013-01-30 | Vascutek Ltd | Graft with Leg |
US9622893B2 (en) * | 2012-12-20 | 2017-04-18 | Cook Medical Technologies Llc | Apparatus and method for improved deployment of endovascular grafts |
US9763819B1 (en) * | 2013-03-05 | 2017-09-19 | W. L. Gore & Associates, Inc. | Tapered sleeve |
US10265202B2 (en) | 2013-03-14 | 2019-04-23 | Cook Medical Technologies Llc | Prosthesis having an everting pivoting fenestration |
US9439751B2 (en) | 2013-03-15 | 2016-09-13 | Bolton Medical, Inc. | Hemostasis valve and delivery systems |
PL222867B1 (pl) | 2013-03-19 | 2016-09-30 | Balton Spółka Z Ograniczoną Odpowiedzialnością | Wewnątrznaczyniowy system, w postaci cewnika, do wprowadzania i mocowania autogenicznej protezy naczyniowej |
US11911258B2 (en) | 2013-06-26 | 2024-02-27 | W. L. Gore & Associates, Inc. | Space filling devices |
JP6563394B2 (ja) | 2013-08-30 | 2019-08-21 | イェーナヴァルヴ テクノロジー インコーポレイテッド | 人工弁のための径方向に折り畳み自在のフレーム及び当該フレームを製造するための方法 |
CN103462732A (zh) * | 2013-09-12 | 2013-12-25 | 中国人民解放军第二军医大学 | 一种带支架回收线的单侧冀胆管内支架 |
US9907641B2 (en) | 2014-01-10 | 2018-03-06 | W. L. Gore & Associates, Inc. | Implantable intraluminal device |
US10966850B2 (en) | 2014-03-06 | 2021-04-06 | W. L. Gore & Associates, Inc. | Implantable medical device constraint and deployment apparatus |
US10959826B2 (en) | 2014-10-16 | 2021-03-30 | Cook Medical Technology LLC | Support structure for scalloped grafts |
US10433990B2 (en) | 2014-12-23 | 2019-10-08 | Cook Medical Technologies Llc | Introducer with side opening |
CN107530168B (zh) | 2015-05-01 | 2020-06-09 | 耶拿阀门科技股份有限公司 | 在心脏瓣膜替换中具有降低的起搏器比例的装置和方法 |
WO2016181249A2 (en) * | 2015-05-08 | 2016-11-17 | Jayandiran Pillai | Stent and stent set |
US20160324670A1 (en) * | 2015-05-08 | 2016-11-10 | Dean Jared Yamaguchi | Branched Stent Grafts And Stent Graft Delivery System And Methods |
ES2908460T3 (es) | 2015-05-14 | 2022-04-29 | Gore & Ass | Dispositivos para la oclusión de un apéndice auricular |
CN107624056B (zh) | 2015-06-30 | 2020-06-09 | 恩朵罗杰克斯股份有限公司 | 锁定组件及其相关系统和方法 |
US10610393B2 (en) | 2016-03-24 | 2020-04-07 | Cook Medical Technologies Llc | Wire retention and release mechanisms |
US10779980B2 (en) | 2016-04-27 | 2020-09-22 | Synerz Medical, Inc. | Intragastric device for treating obesity |
EP4183371A1 (en) | 2016-05-13 | 2023-05-24 | JenaValve Technology, Inc. | Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system |
ES2860458T3 (es) * | 2016-06-13 | 2021-10-05 | Aortica Corp | Sistemas y dispositivos para marcar y/o reforzar fenestraciones en implantes protésicos |
CN113229998A (zh) | 2016-08-02 | 2021-08-10 | 主动脉公司 | 用于将假体植入物联接到开窗体的系统、装置和方法 |
ES2810401T3 (es) | 2016-08-24 | 2021-03-08 | Gore & Ass | Manguitos para dispositivos médicos expandibles |
US10772751B2 (en) | 2016-09-09 | 2020-09-15 | Cook Medical Technologies Llc | Fenestrated endoluminal prosthesis and system and method of deployment thereof |
US20180185178A1 (en) | 2016-12-29 | 2018-07-05 | Cook Medical Technologies Llc | Articular vascular implants using polymagnets |
JP7094965B2 (ja) | 2017-01-27 | 2022-07-04 | イエナバルブ テクノロジー インク | 心臓弁模倣 |
US10729532B2 (en) | 2017-02-14 | 2020-08-04 | Cook Medical Technologies Llc | Bifurcated prosthesis with an internal limb |
US10772719B2 (en) | 2017-02-14 | 2020-09-15 | Cook Medical Technologies Llc | Method of making a contoured internal limb for a prosthesis and prosthesis with a contoured internal limb |
WO2018156849A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Vascular prosthesis with fenestration ring and methods of use |
WO2018156848A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Vascular prosthesis with crimped adapter and methods of use |
CN109890331B (zh) * | 2017-02-24 | 2022-07-12 | 波顿医疗公司 | 具有收缩护套的支架移植物递送系统和使用方法 |
CN110022795B (zh) | 2017-02-24 | 2023-03-14 | 波顿医疗公司 | 能够受约束的支架移植物、递送系统及使用方法 |
WO2018156851A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Vascular prosthesis with moveable fenestration |
ES2863978T3 (es) | 2017-02-24 | 2021-10-13 | Bolton Medical Inc | Sistema para constreñir radialmente un injerto de stent |
WO2018156847A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Delivery system and method to radially constrict a stent graft |
WO2018156850A1 (en) | 2017-02-24 | 2018-08-30 | Bolton Medical, Inc. | Stent graft with fenestration lock |
EP3369401A1 (en) | 2017-02-28 | 2018-09-05 | Cook Medical Technologies LLC | Delivery system for a preloaded fenestrated device having a ratcheted wire release |
US10709541B2 (en) | 2017-04-28 | 2020-07-14 | Cook Medical Technologies Llc | Systems and methods for adjusting the diameter of an endoluminal prosthesis and an endoluminal prosthesis configured for the same |
CN111148484B (zh) | 2017-09-25 | 2022-12-30 | 波尔顿医疗公司 | 用于将假体植入物联接到开窗体的系统、装置和方法 |
US11540933B2 (en) | 2017-10-11 | 2023-01-03 | W. L. Gore & Associates, Inc. | Implantable medical device constraint and deployment apparatus |
US11173023B2 (en) | 2017-10-16 | 2021-11-16 | W. L. Gore & Associates, Inc. | Medical devices and anchors therefor |
ES2910187T3 (es) | 2017-10-31 | 2022-05-11 | Bolton Medical Inc | Componente de torque distal, sistema de colocación y método de uso del mismo |
CN107837130A (zh) * | 2017-11-28 | 2018-03-27 | 严中亚 | 一种快速制备用于治疗主动脉弓部夹层的术中个体化覆膜支架的方法 |
CN108078658A (zh) * | 2017-12-12 | 2018-05-29 | 内蒙古工业大学 | 一种弓形主动脉覆膜支架 |
CN108310652B (zh) * | 2018-04-10 | 2021-09-28 | 创领心律管理医疗器械(上海)有限公司 | 心脏植入装置及起搏系统 |
US11291570B2 (en) | 2018-04-27 | 2022-04-05 | Cook Medical Technologies Llc | Hybrid stent and delivery system |
CN110037828B (zh) * | 2019-04-15 | 2023-12-22 | 中南大学湘雅二医院 | 一种可调节式肾动脉开窗腹主动脉覆膜支架系统 |
ES1261204Y (es) * | 2020-12-10 | 2021-05-14 | Fundacion Instituto De Investig Sanitaria Fundacion Jimenez Diaz Fiis Fjd | Endoprotesis fenestrada para reparacion de arterias, dotada deguia de posicionamiento de fenestracion |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5425765A (en) * | 1993-06-25 | 1995-06-20 | Tiefenbrun; Jonathan | Surgical bypass method |
DE9319267U1 (de) * | 1993-12-15 | 1994-02-24 | Vorwerk Dierk Dr | Aortenendoprothese |
IL122904A0 (en) * | 1996-05-31 | 1998-08-16 | Bard Galway Ltd | Bifurcated endovascular stents and method and apparatus for their placement |
US5617878A (en) | 1996-05-31 | 1997-04-08 | Taheri; Syde A. | Stent and method for treatment of aortic occlusive disease |
US6325826B1 (en) * | 1998-01-14 | 2001-12-04 | Advanced Stent Technologies, Inc. | Extendible stent apparatus |
WO1998036709A1 (en) | 1997-02-25 | 1998-08-27 | Scimed Life Systems, Inc. | Stents and stent delivery and dilatation system for bifurcation lesions |
AUPO700897A0 (en) * | 1997-05-26 | 1997-06-19 | William A Cook Australia Pty Ltd | A method and means of deploying a graft |
US5984955A (en) * | 1997-09-11 | 1999-11-16 | Wisselink; Willem | System and method for endoluminal grafting of bifurcated or branched vessels |
US6030414A (en) * | 1997-11-13 | 2000-02-29 | Taheri; Syde A. | Variable stent and method for treatment of arterial disease |
US6395018B1 (en) * | 1998-02-09 | 2002-05-28 | Wilfrido R. Castaneda | Endovascular graft and process for bridging a defect in a main vessel near one of more branch vessels |
US6077296A (en) * | 1998-03-04 | 2000-06-20 | Endologix, Inc. | Endoluminal vascular prosthesis |
-
1997
- 1997-12-10 AU AUPP0835A patent/AUPP083597A0/en not_active Abandoned
-
1998
- 1998-12-09 CN CNB988118521A patent/CN1158051C/zh not_active Expired - Lifetime
- 1998-12-09 CZ CZ20002114A patent/CZ296708B6/cs not_active IP Right Cessation
- 1998-12-09 KR KR1020007006377A patent/KR100580781B1/ko not_active IP Right Cessation
- 1998-12-09 PL PL98340917A patent/PL190012B1/pl not_active IP Right Cessation
- 1998-12-09 EA EA200000504A patent/EA002292B1/ru not_active IP Right Cessation
- 1998-12-09 JP JP2000523941A patent/JP4152072B2/ja not_active Expired - Lifetime
- 1998-12-09 EP EP98960876A patent/EP1039845B1/en not_active Expired - Lifetime
- 1998-12-09 BR BR9813436-1A patent/BR9813436A/pt not_active IP Right Cessation
- 1998-12-09 NZ NZ504600A patent/NZ504600A/xx not_active IP Right Cessation
- 1998-12-09 CA CA002313080A patent/CA2313080C/en not_active Expired - Lifetime
- 1998-12-09 WO PCT/AU1998/001019 patent/WO1999029262A1/en active IP Right Grant
- 1998-12-09 US US09/581,671 patent/US6524335B1/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
JP2001525218A (ja) | 2001-12-11 |
CA2313080C (en) | 2007-12-18 |
EP1039845A1 (en) | 2000-10-04 |
US6524335B1 (en) | 2003-02-25 |
EA200000504A1 (ru) | 2000-12-25 |
EP1039845A4 (en) | 2008-06-18 |
PL340917A1 (en) | 2001-03-12 |
CN1280475A (zh) | 2001-01-17 |
AUPP083597A0 (en) | 1998-01-08 |
CA2313080A1 (en) | 1999-06-17 |
CZ296708B6 (cs) | 2006-05-17 |
KR100580781B1 (ko) | 2006-05-23 |
EP1039845B1 (en) | 2010-06-23 |
BR9813436A (pt) | 2000-10-10 |
PL190012B1 (pl) | 2005-10-31 |
CZ20002114A3 (cs) | 2001-01-17 |
NZ504600A (en) | 2002-10-25 |
WO1999029262A1 (en) | 1999-06-17 |
JP4152072B2 (ja) | 2008-09-17 |
KR20010024712A (ko) | 2001-03-26 |
EA002292B1 (ru) | 2002-02-28 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN1158051C (zh) | 用于治疗动脉疾病的假体 | |
CN102202606B (zh) | 在弯曲管腔中展开支架移植物的导引器及其支架移植物 | |
CN201216663Y (zh) | 组合支架移植物和释放系统 | |
JP4222481B2 (ja) | グラフト | |
US7435253B1 (en) | Prosthesis and a method and means of deploying a prosthesis | |
DE69434140T2 (de) | Vorrichtung zum Reparieren eines Bauchaortenaneurysmas. | |
EP1765222B1 (en) | Stent graft with internal tube | |
DE69822220T2 (de) | System zum endoluminalen transplantieren von gefässen mit bifurkation oder abzweigung | |
CN1535660B (zh) | 用于减少骨头骨折和治疗脊椎的可扩张的装置 | |
CN102413794B (zh) | 用于在手术部位部署腔内假体的系统和方法 | |
RU2179421C2 (ru) | Способ размещения внутрипросветного трансплантата с использованием направляющей проволоки и катетера для него | |
CN103860292B (zh) | 用于腔内装置的预载式丝 | |
US8133267B2 (en) | Apparatus for engrafting a blood vessel | |
CN103260548B (zh) | 模块化内移植物设备以及相关系统和方法 | |
CN1248157A (zh) | 分叉脉管移植物及其展开方法和装置 | |
CN105916468A (zh) | 串联模块化腔内移植物 | |
RU2814372C1 (ru) | Способ протезирования магистральных ветвей аорты | |
AU735811B2 (en) | Endoluminal aortic stents | |
AU671910B2 (en) | Multicapsule intraluminal grafting system and method | |
AU699279B2 (en) | Balloon device for use in repairing an abdominal aortic aneurysm | |
CN1901964A (zh) | 血管杈的处理 |
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 | ||
CX01 | Expiry of patent term |
Granted publication date: 20040721 |
|
CX01 | Expiry of patent term |