公开(公告)号：US07547317B2

公开(公告)日：2009-06-16

申请号：US11386451

申请日：2006-03-21

申请人： Andrew H. Cragg

发明人： Andrew H. Cragg

IPC分类号： A61F5/00 ,  A61M31/00 ,  A61B19/00

CPC分类号： A61B17/1671 ,  A61B1/3135 ,  A61B17/1642 ,  A61B17/1757 ,  A61B17/22032 ,  A61B17/32002 ,  A61B17/320725 ,  A61B17/70 ,  A61B17/7055 ,  A61B17/7061 ,  A61B17/7097 ,  A61B17/7098 ,  A61B17/8805 ,  A61B17/8811 ,  A61B17/8819 ,  A61B17/8855 ,  A61B2017/00261 ,  A61B2017/003 ,  A61B2017/00557 ,  A61B2017/00734 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2017/320012 ,  A61B2017/320733 ,  A61F2/30723 ,  A61F2/441 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4465 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/2821 ,  A61F2002/2835 ,  A61F2002/30075 ,  A61F2002/30092 ,  A61F2002/30291 ,  A61F2002/3055 ,  A61F2002/30563 ,  A61F2002/30566 ,  A61F2002/30677 ,  A61F2002/30774 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30892 ,  A61F2002/30925 ,  A61F2002/3097 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4495 ,  A61F2002/4627 ,  A61F2210/0014 ,  A61F2210/0061 ,  A61F2230/0091 ,  A61F2310/00353 ,  A61N5/1027

摘要： Disclosed are methods of accessing and treating the spine, while minimizing trauma to surrounding tissue. A device is introduced through tissue, to an access point on the spine. The device is thereafter advanced axially within the spine, from the access point across a treatment zone. In one application, the access point is on the anterior surface of the spine, and, in another application, the access point is on the posterior surface of the spine. The lumen created through the spine across the treatment zone may be either substantially linear, or curved.

公开(公告)号：US07175646B2

公开(公告)日：2007-02-13

申请号：US10107539

申请日：2002-03-25

申请人： Rodney Brenneman ,  Andrew H. Cragg

发明人： Rodney Brenneman ,  Andrew H. Cragg

IPC分类号： A61B17/08 ,  A61M25/00 ,  A61M29/00

CPC分类号： A61M25/04 ,  A61B17/0057 ,  A61B17/085 ,  A61B90/39 ,  A61B2017/00557 ,  A61B2017/00672 ,  A61M25/0662 ,  A61M25/1011

摘要： A device for promoting hemostasis in a blood vessel puncture is employed with an introducer that accesses the puncture through an incision. The introducer has an open distal end positionable at the puncture, an external portion with an open proximal end, and an axial channel therebetween. The device includes a hollow catheter, dimensioned to pass through the introducer channel, having a distal end to which is attached an expansible compression element, which may be an inflatable balloon, a collapsible prong assembly, or a resilient foam pad. The compression element is collapsed when the distal end of the catheter is enclosed within the introducer. When the catheter and the introducer are located at the desired distance from the puncture, the introducer is displaced axially relative to the catheter to expose the compression element to the subcutaneous tissue, whereupon the compression element is expanded.

摘要翻译： 用于促进血管穿刺止血的装置与导入器一起使用，导引器通过切口进入穿刺。 引导器具有可定位于穿刺处的开口远端，具有开放近端的外部部分和其间的轴向通道。 该装置包括中空导管，其尺寸适于穿过导引器通道，其具有远端，远端附接有可膨胀的压缩元件，可膨胀的压缩元件，其可以是可充气气囊，可折叠插脚组件或弹性泡沫垫。 当导管的远端封闭在导引器内时，压缩元件被折叠。 当导管和引导器位于距离穿刺所需距离处时，导引器相对于导管轴向移位，以将压缩元件暴露于皮下组织，于是压缩元件膨胀。

公开(公告)号：US07087058B2

公开(公告)日：2006-08-08

申请号：US10459149

申请日：2003-06-10

申请人： Andrew H. Cragg

发明人： Andrew H. Cragg

IPC分类号： A61F5/00

CPC分类号： A61F2/4611 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/32002 ,  A61B17/320725 ,  A61B17/3421 ,  A61B17/3472 ,  A61B17/66 ,  A61B17/70 ,  A61B17/7055 ,  A61B17/8805 ,  A61B2017/00261 ,  A61B2017/00734 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2017/320048 ,  A61B2017/320064 ,  A61B2017/320733 ,  A61B2017/349 ,  A61F2/441 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4465 ,  A61F2/4601 ,  A61F2002/2821 ,  A61F2002/2835 ,  A61F2002/30092 ,  A61F2002/30291 ,  A61F2002/3055 ,  A61F2002/30563 ,  A61F2002/30566 ,  A61F2002/30677 ,  A61F2002/30774 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30892 ,  A61F2002/30925 ,  A61F2002/3097 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4627 ,  A61F2210/0014 ,  A61F2230/0091 ,  A61F2310/00353 ,  A61N5/1027 ,  Y10S606/90 ,  Y10S606/914

摘要： Methods and apparatus for providing percutaneous access to vertebrae in alignment with a visualized, trans-sacral axial instrumentation/fusion (TASIF) line in a minimally invasive, low trauma, manner are disclosed. A number of related TASIF methods and surgical tool sets are provided by the present invention that are employed to form a percutaneous pathway from an anterior or posterior skin incision to a respective anterior or posterior target point of a sacral surface. The percutaneous pathway is generally axially aligned with an anterior or posterior axial instrumentation/fusion line extending from the respective anterior or posterior target point through at least one sacral vertebral body and one or more lumbar vertebral bodies in the cephalad direction. The provision of the percutaneous pathway described herein allows for the formation of the anterior or posterior TASIF bore(s) and/or the introduction of spinal implants and instruments.

公开(公告)号：US06849086B2

公开(公告)日：2005-02-01

申请号：US10087320

申请日：2002-03-01

申请人： Andrew H. Cragg

发明人： Andrew H. Cragg

IPC分类号： A61F2/00 ,  A61F2/88 ,  A61F2/90 ,  A61L31/06 ,  A61F2/06

CPC分类号： A61F2/95 ,  A61F2/07 ,  A61F2/88 ,  A61F2/90 ,  A61F2/966 ,  A61F2002/075 ,  A61F2002/30093 ,  A61F2002/30462 ,  A61F2210/0019 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00131 ,  A61L31/06 ,  A61L2400/16 ,  C08L67/00

摘要： An intraluminal stent and graft includes a stent made of a continuous helix of zig-zag wire and loops which connect adjacent apices of the wire. The stent is compressible and self-expandable substantially to a pre-compressed configuration. The device also includes a graft secured to the stent and made of a suitable biocompatible material.

公开(公告)号：US06740090B1

公开(公告)日：2004-05-25

申请号：US09710369

申请日：2000-11-10

申请人： Andrew H. Cragg ,  Jonathan Kagan

发明人： Andrew H. Cragg ,  Jonathan Kagan

IPC分类号： A61B1732

CPC分类号： A61B17/320758 ,  A61B17/1617 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/32002 ,  A61B17/320725 ,  A61B17/66 ,  A61B17/70 ,  A61B17/7055 ,  A61B17/8805 ,  A61B2017/00261 ,  A61B2017/00734 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2017/320733 ,  A61F2/441 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4465 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/2821 ,  A61F2002/2835 ,  A61F2002/30092 ,  A61F2002/30291 ,  A61F2002/3055 ,  A61F2002/30563 ,  A61F2002/30566 ,  A61F2002/30677 ,  A61F2002/30774 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30892 ,  A61F2002/30925 ,  A61F2002/3097 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2210/0014 ,  A61F2230/0091 ,  A61F2310/00353 ,  A61N5/1027 ,  Y10S606/914

摘要： One or more shaped axial bore extending from an accessed posterior or anterior target point are formed in the cephalad direction through vertebral bodies and intervening discs, if present, in general alignment with a visualized, trans-sacral axial instrumentation/fusion (TASIF) line in a minimally invasive, low trauma, manner. An anterior axial instrumentation/fusion line (AAIFL) or a posterior axial instrumentation/fusion line (PAIFL) that extends from the anterior or posterior target point, respectively, in the cephalad direction following the spinal curvature through one or more vertebral body is visualized by radiographic or fluoroscopic equipment. Preferably, curved anterior or posterior TASIF axial bores are formed in axial or parallel or diverging alignment with the visualized AAIFL or PAIFL, respectively, employing bore forming tools that can be manipulated from proximal portions thereof that are located outside the patient's body to adjust the curvature of the anterior or posterior TASIF axial bores as they are formed in the cephalad direction. Further bore enlarging tools are employed to enlarge one or more selected section of the anterior or posterior TASIF axial bore(s), e.g., the cephalad bore end or a disc space, so as to provide a recess therein that can be employed for various purposes, e.g., to provide anchoring surfaces for spinal implants inserted into the anterior or posterior TASIF axial bore(s).

摘要翻译： 从被访问的后部或前部目标点延伸的一个或多个成形轴向孔通过椎体和中间盘（如果存在）形成在头部方向上，与可视化的跨骶骨轴向仪器/融合（TASIF）线一致 微创，低创伤的方式。 通过一个或多个椎体通过脊柱弯曲后分别从头前方向延伸的前部轴向仪器/融合线（AAIFL）或后向轴向仪器/融合线（PAIFL）分别在头部方向延伸， 射线照相或荧光检查设备。 优选地，弯曲的前部或后部TASIF轴向孔分别与可视化的AAIFL或PAIFL分别形成为轴向或平行或发散的对准，使用可由位于患者身体外部的近侧部分操纵的孔形成工具以调节曲率 的前后TASIF轴向孔，因为它们形成在头部方向。 使用更大的孔扩大工具来扩大前或后TASIF轴向孔的一个或多个选定部分，例如头部孔端或椎间盘空间，以便在其中提供可用于各种目的的凹部 例如，以提供插入到前或后TASIF轴向孔中的脊柱植入物的固定表面。

公开(公告)号：US5716365A

公开(公告)日：1998-02-10

申请号：US461513

申请日：1995-06-05

申请人： George Goicoechea ,  John Hudson ,  Claude Mialhe ,  Andrew H. Cragg ,  Michael D. Dake

发明人： George Goicoechea ,  John Hudson ,  Claude Mialhe ,  Andrew H. Cragg ,  Michael D. Dake

IPC分类号： A61F2/00 ,  A61F2/06 ,  A61F2/07 ,  A61F2/82 ,  A61F2/848 ,  A61F2/90 ,  A61F2/954 ,  A61F2/958 ,  A61M25/12 ,  A61M29/00 ,  A61F11/00

CPC分类号： A61F2/852 ,  A61F2/07 ,  A61F2/82 ,  A61F2/90 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/075 ,  A61F2002/828 ,  A61F2002/8486 ,  A61F2210/0019 ,  A61F2220/0008 ,  A61F2220/0016 ,  A61F2220/0033 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2230/0067 ,  A61F2240/001 ,  A61F2250/0098 ,  A61M25/0662 ,  Y10S623/903 ,  Y10T29/49826

摘要： An introducer for delivering into the vasculature a straight or bifurcated stent or prosthesis; a method for delivering into the vasculature a straight or bifurcated stent or prosthesis; a method of treating and angeological disease using a bifurcated stent; an endoluminal stent having perpendicular hoop members, each hoop member formed of wire in a sinuous configuration, at least some of juxtaposed apices in neighboring hoops being secured to one another, such stents also forming axially aligned segments in straight stents, and segments of bifurcated stents in particular embodiments. Certain embodiments of such stents also include barbs, fabric covering and radiopaque markers.

公开(公告)号：US5683448A

公开(公告)日：1997-11-04

申请号：US344524

申请日：1994-11-23

申请人： Andrew H. Cragg

发明人： Andrew H. Cragg

IPC分类号： A61F2/00 ,  A61F2/88 ,  A61F2/90 ,  A61L31/06 ,  A61F2/06 ,  A61F2/04

CPC分类号： A61F2/95 ,  A61F2/88 ,  A61F2/90 ,  A61F2/966 ,  A61L31/06 ,  A61F2/07 ,  A61F2002/075 ,  A61F2002/30093 ,  A61F2002/30462 ,  A61F2210/0019 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00131 ,  A61L2400/16

摘要： An intraluminal stent and graft includes a stent made of a continuous helix of zig-zag wire and loops which connect adjacent apices of the wire. The stent is compressible and self-expandable substantially to a pre-compressed configuration. The device also includes a graft secured to the stent and made of a suitable biocompatible material.

摘要翻译： 管腔内支架和移植物包括由连续螺旋的之字形线和环连接的支架，其连接线的相邻顶点。 支架是可压缩的并且基本上可自膨胀到预压缩构型。 该装置还包括固定到支架并由合适的生物相容性材料制成的移植物。

公开(公告)号：US5645566A

公开(公告)日：1997-07-08

申请号：US528892

申请日：1995-09-15

申请人： Rodney Brenneman ,  Andrew H. Cragg

发明人： Rodney Brenneman ,  Andrew H. Cragg

IPC分类号： A61B17/12 ,  A61B17/00 ,  A61B17/08 ,  A61B17/34 ,  A61B19/00 ,  A61M25/00 ,  A61M25/04

CPC分类号： A61B17/0057 ,  A61B17/085 ,  A61B2017/00557 ,  A61B2017/00672 ,  A61B90/39

摘要： A device for promoting hemostasis in a blood vessel puncture is employed with an introducer that accesses the puncture through an incision. The introducer has an open distal end positionable at the puncture, an external portion with an open proximal end, and an axial channel therebetween. The device includes a hollow catheter, dimensioned to pass through the introducer channel, having a distal end to which is attached an expansible compression element, which may be an inflatable balloon, a collapsible prong assembly, or a resilient foam pad. The compression element is collapsed when the distal end of the catheter is enclosed within the introducer. When the catheter and the introducer are located the desired distance from the puncture, the introducer is displaced axially relative to the catheter to expose the compression element to the subcutaneous tissue, whereupon the compression element is expanded. Pressure is applied to the compression element through the introducer to promote hemostasis by the compression of subcutaneous tissue adjacent the puncture. The device preferably includes a locator member passing through the catheter and into the blood vessel through the puncture. The locator member may be either a guide wire, or a hollow tube with a locating balloon, disposed near the portion of the tube insertable into the vessel. The guide wire may be viewed fluoroscopically to determine the proper distance from the vessel for deployment of the compression element, while the balloon-type locator element uses the inflated locating balloon for determining proper deployment position.

摘要翻译： 用于促进血管穿刺止血的装置与导入器一起使用，导引器通过切口进入穿刺。 引导器具有可定位于穿刺处的开口远端，具有开放近端的外部部分和其间的轴向通道。 该装置包括中空导管，其尺寸适于穿过导引器通道，其具有远端，远端附接有可膨胀的压缩元件，可膨胀的压缩元件，其可以是可充气气囊，可折叠插脚组件或弹性泡沫垫。 当导管的远端封闭在导引器内时，压缩元件被折叠。 当导管和引导器位于距离穿刺的期望距离时，导引器相对于导管轴向移位，以将压缩元件暴露于皮下组织，于是压缩元件膨胀。 通过导引器对压缩元件施加压力，以通过邻近穿刺的皮下组织的压缩促进止血。 该装置优选地包括穿过导管并通过穿刺进入血管的定位器构件。 定位器构件可以是导丝或具有定位气囊的中空管，其设置在可插入到容器中的管的部分附近。 可以透视地观察导丝，以确定与用于展开压缩元件的容器的适当距离，而气球型定位器元件使用膨胀的定位气囊来确定正确的展开位置。

公开(公告)号：US5405377A

公开(公告)日：1995-04-11

申请号：US839911

申请日：1992-02-21

申请人： Andrew H. Cragg

发明人： Andrew H. Cragg

IPC分类号： A61F2/00 ,  A61F2/82 ,  A61F2/88 ,  A61F2/90 ,  A61F2/06

CPC分类号： A61F2/95 ,  A61F2/88 ,  A61F2/89 ,  A61F2/90 ,  A61F2/07 ,  A61F2002/075 ,  A61F2002/30093 ,  A61F2002/30462 ,  A61F2002/823 ,  A61F2210/0019 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00131

摘要： An intraluminal stent includes a continuous helix of zig-zag wire and loops which connect adjacent apices of the wire. The stent is compressible and self-expandable substantially to a pre-compressed configuration. A method of forming the stent includes bending a length of wire into a zig-zag configuration and a helix and connecting adjacent apices of the wire. A method implanting this stent includes compressing the stent radially, implanting it in a predetermined location of a body vessel, and allowing it to recoil to the configuration it had before compression.

摘要翻译： 管腔内支架包括连接螺线的锯齿形线和连接线的相邻顶点的环。 支架是可压缩的并且基本上可自膨胀到预压缩构型。 形成支架的方法包括将一段长度的线弯曲成Z字形配置和螺旋并连接线的相邻顶点。 植入该支架的方法包括径向压缩支架，将其植入身体容器的预定位置，并允许其回缩到压缩前的构型。

公开(公告)号：US5085635A

公开(公告)日：1992-02-04

申请号：US524851

申请日：1990-05-18

申请人： Andrew H. Cragg

发明人： Andrew H. Cragg

IPC分类号： A61M25/00

CPC分类号： A61M25/0075 ,  A61M25/007

摘要： An angiographic catheter is described with a valve covering the end-hole on the distal end. The valve will allow the catheter to be passed over a guidewire but will prevent an injected fluid (e.g., a contrast medium) from being discharged from the end hole. The valved-end catheter has side-holes near the distal end that provide for lateral discharge of the fluid thereby preventing the creation of an end-hole jet and the resulting undesirable effects of the jet.

摘要翻译： 用覆盖远端端孔的阀描述血管造影导管。 该阀将允许导管穿过导丝，但将防止注入的流体（例如造影剂）从端孔排出。 阀端导管具有靠近远端的侧孔，用于横向排出流体，从而防止端孔射流的产生以及由此产生的喷射不良影响。