摘要:
A method and apparatus stabilize a vascular wall or vascular tissue during a surgical procedure. A stiffening member is inserted in a vessel to be accessed. The stiffening member is formed of a material having sufficient rigidity to significantly dampen movement of the vessel caused by normal heart action.
摘要:
The invention provides a device having first and second balloons. Each of the first and second balloons communicates with an inflation lumen. A differential pressure gauge communicates with both inflation lumens. Each of the inflation lumens also communicates independently with a pump for inflating the balloon. The pressure gauge may include a shut-off valve for terminating inflation in the second balloon when the pressure within the first balloon exceeds the pressure in the second balloon. The pressure gauge may also include a pressure limiter. Methods of using the devices for measuring diameter and pressure of a balloon occluder deployed in a vessel or body cavity are disclosed.
摘要:
A surgical device for cleaning and removing obstructing material from within a vascular conduit or other bodily passageway. The device comprises a balloon catheter having an independently operable outer woven sleeve having a plurality of mesh openings. The woven sleeve surrounds the radially expandable and contractible balloon. In one embodiment, the outer woven sleeve is configured into a predetermined shape through manipulation of the catheter and used to maintain the inflated balloon within that predetermined configuration. In another embodiment, the woven sleeve is radially expanded by the inflated balloon such that the woven mesh is driven into the vascular conduit. The woven sleeve may be used to abrade the surface of the vascular conduit and increase the flow passage or alternatively as traction for various other surgical procedures within the vascular conduit.
摘要:
An atherectomy device for treating obstructions in vessels or small openings in the body, includes a rotatable ablator tip which is guided to the obstruction in a reduced diameter configuration, expanded and rotated to remove the obstruction, and contracted to remove the device from the body. The atherectomy device may be combined with a balloon angioplasty device employing either a fixed or variable diameter rotatable abrasive burr and an angioplasty balloon disposed on the distal end of the catheter proximal to the atherectomy device. The atherectomy device may also be combined with a stent implantation device employing either a fixed or variable diameter rotatable abrasive burr and a stent with balloon catheter disposed on the distal end of its catheter proximal to the atherectomy device.
摘要:
An intraluminal grafting system having a balloon catheter assembly, a capsule catheter assembly and capsule jacket assembly is used for deploying a graft having attachment means in the vessel of an animal body. The system contains a proximal capsule means and a distal capsule means, wherein the graft is disposed within the two capsule means and a removable sheath covers the graft and capsule means. The graft is comprised of a tubular member having superior and inferior ends, having attachment means with wall engaging members secured thereto. The balloon catheter is disposed within the capsule catheter to provide relative movement between the balloon catheter and the capsule catheter, whereby the graft can be removed from the capsule means. The balloon is inflated to firmly implant the graft and attachment means within the vessel. The graft and attachment means remain in the vessel after the intraluminal grafting system is withdrawn.
摘要:
A vascular dilatation device for enlarging a flow passage in an obstruction in a vessel carrying flowing blood. A flexible cylindrical dilatation member having first and second ends is placed in the flow passage in the obstruction. An intermediate portion lies between the first and second ends. The flexible cylindrical dilatation member also has an interior flow passage with a diameter and a longitudinally extending central axis extending therethrough. The diameter of the flow passage is variable with movement of the first and second ends relative to each other along the longitudinally extending central axis from a contracted to an expanded condition. A control mechanism causes relative axial movement between the first and second ends towards each other from an extended position to a contracted position. The control mechanism includes an inner flexible elongate tubular member between the first and second ends of the flexible cylindrical dilatation member. The inner flexible elongate tubular member is sufficiently rigid and causes elongation of the cylindrical dilatation member to decrease its diameter and to advance the cylindrical dilatation member through the obstruction in the vessel while preventing axial contraction of the cylindrical dilatation member.
摘要:
Endovascular grafting system having a capsule catheter comprising a flexible elongate tubular member having proximal and distal extremities and a capsule mounted on the distal extremity of the tubular member. The capsule is generally cylindrical in shape and is formed of a helical wrap of a metal ribbon. The wraps are bonded into a unitary capsule permitting bending of said unitary capsule. A graft is disposed within the capsule. The graft is comprised of a tubular member having proximal and distal ends. Hooks are secured to the proximal and distal ends of the tubular member and face in a direction outwardly towards the inner wall of the capsule. A push rod is disposed within the capsule catheter and engages the graft whereby upon relative movement between the push rod and the capsule catheter, the graft can be forced out of the capsule.
摘要:
A balloon dilatation catheter for the dilatation of a prostatic urethra having a reinforcing element extending through the elongated shaft of the catheter to prevent significant elongation or failure of the catheter and a traction member for assisting in the resistance to substantial tensile stresses. The balloon dilatation catheter also includes an expandable means between the balloon and catheter shaft to extend the length of the balloon when it is deflated. The extension of the deflated balloon prevents the balloon from bunching up and interfering with the withdrawal of the balloon through the working channel of the cystoscopic sheath upon the completion of the dilatation. The catheter has a marker for easy visualization so that the balloon can be positioned reliably and a tip construction so that the catheter can be advanced into the bladder safely.
摘要:
A stent delivery system having an expandable stent in a contracted condition positioned on an expandable member, such as an inflatable balloon, disposed on the distal portion of an elongated catheter body. A guidewire extends through an inner lumen within the elongated catheter body and out its distal end. A tubular protective sheath is secured by its distal end to the portion of the guidewire which extends out of the distal end of the catheter body and fits over the rolled up stent mounted on the expandable member on the distal end of the catheter body. The catheter assembly is advanced to a desired location within a patient's body lumen, such as the patient's arterial system, with the sheath in place over the stent. Once in proper position, the guidewire is advanced distally in order to remove the attached sheath and completely expose the stent. The expandable member on the catheter is expanded to expand the stent. The stent is preferably self-locking in the expanded condition so that the expanded expandable member can be contracted and the catheter can be removed therefrom.
摘要:
Endovascular grafting system having a capsule catheter comprising a flexible elongate tubular member having proximal and distal extremities and a capsule mounted on the distal extremity of the tubular member. The capsule is generally cylindrical in shape and is formed of a helical wrap of a metal ribbon. The wraps are bonded into a unitary capsule permitting bending of said unitary capsule. A graft is disposed within the capsule. The graft is comprised of a tubular member having proximal and distal ends. Hooks are secured to the proximal and distal ends of the tubular member and face in a direction outwardly towards the inner wall of the capsule. A push rod is disposed within the capsule catheter and engages the graft whereby upon relative movement between the push rod and the capsule catheter, the graft can be forced out of the capsule.