公开(公告)号：US20130253347A1

公开(公告)日：2013-09-26

申请号：US13482923

申请日：2012-05-29

申请人： Erik C. Griswold ,  James Calvin Allan ,  Suruchi Anand ,  Rudolph A. Beasley ,  John V. Kelly ,  Sean Ward ,  Ronan P. Wood

发明人： Erik C. Griswold ,  James Calvin Allan ,  Suruchi Anand ,  Rudolph A. Beasley ,  John V. Kelly ,  Sean Ward ,  Ronan P. Wood

IPC分类号： A61M25/00 ,  A61B19/00 ,  A61B5/00 ,  A61M25/14 ,  A61B5/0215 ,  A61M25/10 ,  A61M25/02

CPC分类号： A61N1/37205 ,  A61B5/0215 ,  A61B17/3468 ,  A61B2560/066 ,  A61M25/01 ,  A61M2025/0004 ,  A61M2025/0681 ,  A61N1/0587 ,  A61N1/362 ,  A61N1/3756

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device within a patient comprising an elongated outer sheath forming an inner lumen with a distal opening, the outer sheath sized to traverse a vasculature of the patient, and an elongated inner sheath with a stopper. The inner sheath further includes a tether configured to form a loop on a distal side of the stopper, the loop being configured to engage a looped element of the implantable medical device to couple the implantable medical device to the inner sheath. The stopper is slidable relative to the outer sheath. The tether is configured to release the looped element of the implantable medical device from the inner sheath by opening the tether loop when a portion of the stopper is located distally relative to the distal opening of the outer sheath.

摘要翻译： 在一个示例中，本公开涉及一种用于在患者体内植入可植入医疗装置的套件，包括形成具有远端开口的内腔的细长外护套，所述外护套的尺寸设置成穿过患者的脉管系统， 细长的内护套带有塞子。 所述内护套还包括构造成在所述止动件的远侧上形成环的系绳，所述环被构造成与所述可植入医疗装置的环形元件接合以将所述可植入医疗装置连接到所述内护套。 止动器可相对于外护套滑动。 系绳构造成当止动器的一部分相对于外护套的远端开口位于远侧时，通过打开系绳环来从内护套释放可植入医疗装置的环形元件。

公开(公告)号：US09854982B2

公开(公告)日：2018-01-02

申请号：US13482880

申请日：2012-05-29

申请人： James Calvin Allan ,  Erik C. Griswold ,  William J. Havel ,  Steven L. Waldhauser ,  Kelly M. Wien ,  Kendra Yasger ,  Rudolph A. Beasley ,  Jon D. Schell ,  Don H. Tran

发明人： James Calvin Allan ,  Erik C. Griswold ,  William J. Havel ,  Steven L. Waldhauser ,  Kelly M. Wien ,  Kendra Yasger ,  Rudolph A. Beasley ,  Jon D. Schell ,  Don H. Tran

IPC分类号： A61B5/0215 ,  A61B6/00 ,  A61B5/00 ,  A61M25/04 ,  A61B5/042 ,  A61N1/365

CPC分类号： A61B5/0215 ,  A61B5/0031 ,  A61B5/042 ,  A61B5/686 ,  A61B6/00 ,  A61M25/04 ,  A61N1/36564

摘要： In one example, this disclosure is directed to a method for intravascular implantation of an implantable medical device comprising positioning a distal end of an elongated outer sheath forming an inner lumen adjacent a target site within a vasculature of a patient, and partially deploying an implantable medical device from the distal opening, wherein the implantable medical device includes an expandable fixation element. A portion of the expandable fixation element assumes an expanded position when the implantable medical device is partially deployed from the distal opening. The method including advancing the distal end of the outer sheath within the vasculature with the implantable medical device partially deployed from the distal opening, and monitoring at least one of the vasculature and the portion of the expandable fixation element for deflection to determine when the size of the portion of the expandable fixation element corresponds to the size of the vasculature.

公开(公告)号：US09717421B2

公开(公告)日：2017-08-01

申请号：US13482839

申请日：2012-05-29

申请人： Erik C. Griswold ,  James Calvin Allan ,  Rudolph A. Beasley ,  William Berthiaume ,  Arvind K. Srinivas ,  Don H. Tran ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Steven L. Waldhauser

发明人： Erik C. Griswold ,  James Calvin Allan ,  Rudolph A. Beasley ,  William Berthiaume ,  Arvind K. Srinivas ,  Don H. Tran ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Steven L. Waldhauser

IPC分类号： A61B5/0215 ,  A61N1/365 ,  A61N1/375 ,  A61N1/372 ,  A61B5/042 ,  A61B5/053

CPC分类号： A61B5/0215 ,  A61B5/042 ,  A61B5/0538 ,  A61N1/36564 ,  A61N1/37205 ,  A61N1/3756

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device within a patient, the kit comprising an elongated outer sheath forming an inner lumen with a distal opening, the outer sheath sized to traverse a vasculature of the patient, and an elongated inner sheath with an enlarged distal portion, wherein the enlarged distal portion is configured to substantially fill the inner lumen and close-off the distal opening of the outer sheath. The enlarged distal portion is slidable relative to the outer sheath. The inner sheath further includes a tether with a helical element that is remotely controllable from a proximal end of the inner sheath to release the implantable medical device from a distal portion of the outer sheath.

公开(公告)号：US09220906B2

公开(公告)日：2015-12-29

申请号：US13482923

申请日：2012-05-29

申请人： Erik C. Griswold ,  James Calvin Allan ,  Suruchi Anand ,  Rudolph A. Beasley ,  John V. Kelly ,  Sean Ward ,  Ronan P. Wood

发明人： Erik C. Griswold ,  James Calvin Allan ,  Suruchi Anand ,  Rudolph A. Beasley ,  John V. Kelly ,  Sean Ward ,  Ronan P. Wood

IPC分类号： A61M25/01 ,  A61N1/372 ,  A61N1/05 ,  A61B17/34 ,  A61B5/0215 ,  A61M25/06 ,  A61M25/00 ,  A61N1/375 ,  A61N1/362

CPC分类号： A61N1/37205 ,  A61B5/0215 ,  A61B17/3468 ,  A61B2560/066 ,  A61M25/01 ,  A61M2025/0004 ,  A61M2025/0681 ,  A61N1/0587 ,  A61N1/362 ,  A61N1/3756

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device within a patient comprising an elongated outer sheath forming an inner lumen with a distal opening, the outer sheath sized to traverse a vasculature of the patient, and an elongated inner sheath with a stopper. The inner sheath further includes a tether configured to form a loop on a distal side of the stopper, the loop being configured to engage a looped element of the implantable medical device to couple the implantable medical device to the inner sheath. The stopper is slidable relative to the outer sheath. The tether is configured to release the looped element of the implantable medical device from the inner sheath by opening the tether loop when a portion of the stopper is located distally relative to the distal opening of the outer sheath.

摘要翻译： 在一个示例中，本公开涉及一种用于在患者体内植入可植入医疗装置的套件，包括形成具有远端开口的内腔的细长外护套，所述外护套的尺寸设置成穿过患者的脉管系统， 细长的内护套带有塞子。 所述内护套还包括构造成在所述止动件的远侧上形成环的系绳，所述环被构造成与所述可植入医疗装置的环形元件接合以将所述可植入医疗装置连接到所述内护套。 止动器可相对于外护套滑动。 系绳构造成当止动器的一部分相对于外护套的远端开口位于远侧时，通过打开系绳环来从内护套释放可植入医疗装置的环形元件。

公开(公告)号：US20130253342A1

公开(公告)日：2013-09-26

申请号：US13482684

申请日：2012-05-29

申请人： Erik C. Griswold ,  James Calvin Allan ,  Don H. Tran

发明人： Erik C. Griswold ,  James Calvin Allan ,  Don H. Tran

IPC分类号： A61M25/14 ,  A61B5/0215 ,  A61B5/00 ,  A61M25/02 ,  A61M25/00 ,  A61B19/00

CPC分类号： A61N1/3627 ,  A61B5/0215 ,  A61B5/046 ,  A61B5/0464 ,  A61B17/1204 ,  A61B17/12109 ,  A61B17/12136 ,  A61N1/057 ,  A61N1/059 ,  A61N1/365 ,  A61N1/36585 ,  A61N1/37288 ,  A61N1/3756 ,  A61N2001/0578 ,  A61N2001/0585

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device within a patient, the kit comprising an elongated inner sheath with a distal end, a first coupling module slidably connected to the inner sheath, an elongated outer sheath forming an inner lumen with a distal opening and a proximal opening. The outer sheath sized to traverse a vasculature of the patient. The proximal opening is configured to receive the distal end of the inner sheath. The inner lumen is sized to receive the inner sheath and to contain the implantable medical device. The kit further includes a mating coupling module that connects to the first coupling module such that the inner sheath is axially aligned with the outer sheath. The inner sheath is slidable within the outer sheath while the first coupling module is connected to the mating coupling module.

摘要翻译： 在一个示例中，本公开涉及用于患者内的可植入医疗装置的血管内植入的套件，所述套件包括具有远端的细长内护套，可滑动地连接到内护套的第一联接模块，细长外护套 形成具有远端开口和近端开口的内腔。 外护套的尺寸适于穿过患者的脉管系统。 近端开口被构造成接纳内护套的远端。 内腔的尺寸设置成接收内护套并容纳可植入的医疗装置。 套件还包括配合联接模块，其连接到第一联接模块，使得内护套与外护套轴向对准。 内护套可在外护套内滑动，而第一联接模块连接到配合联接模块。

公开(公告)号：US09339197B2

公开(公告)日：2016-05-17

申请号：US13482816

申请日：2012-05-29

申请人： Erik C. Griswold ,  Rudolph A. Beasley ,  James Calvin Allan ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Arvind K. Srinivas ,  Steven L. Waldhauser ,  William Berthiaume

发明人： Erik C. Griswold ,  Rudolph A. Beasley ,  James Calvin Allan ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Arvind K. Srinivas ,  Steven L. Waldhauser ,  William Berthiaume

IPC分类号： A61B5/02 ,  A61B5/0215 ,  A61B19/00 ,  A61N1/365 ,  A61N1/375 ,  A61N1/05 ,  A61N1/372 ,  A61B5/042 ,  A61B5/053

CPC分类号： A61B5/0215 ,  A61B5/042 ,  A61B5/0538 ,  A61N1/05 ,  A61N1/057 ,  A61N1/0587 ,  A61N1/36564 ,  A61N1/37247 ,  A61N1/37264 ,  A61N1/3756

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device within a patient, the kit comprising an elongated outer sheath forming an inner lumen with a distal opening, the outer sheath sized to traverse a vasculature of the patient, and an elongated inner sheath with an inflatable member at its distal portion. The inflatable member is inflatable from a proximal end of the inner sheath to close-off the distal opening of the outer sheath when inflated. The inner sheath further includes a stopper proximally located relative to the inflatable member. The inflatable member is remotely controllable from a proximal end of the inner sheath to retract in a proximal direction towards the stopper. The inflatable member can be retracted in a proximal direction towards the stopper and past an implantable medical device positioned within a distal portion of the outer sheath.

摘要翻译： 在一个示例中，本公开涉及用于在患者体内植入可植入医疗装置的套件，所述套件包括形成具有远端开口的内腔的细长外护套，所述外护套的尺寸适于穿过患者的脉管系统 以及在其远端部分具有可膨胀构件的细长内护套。 充气构件可从内护套的近端充气，以在充气时关闭外护套的远端开口。 内护套还包括相对于可膨胀构件向近侧定位的塞子。 可膨胀构件可从内护套的近端远程控制，以朝向止挡件的近端方向缩回。 可膨胀构件可以朝向止动件的近端方向缩回，并通过位于外护套的远侧部分内的可植入医疗装置。

公开(公告)号：US20130253346A1

公开(公告)日：2013-09-26

申请号：US13482883

申请日：2012-05-29

申请人： Erik C. Griswold ,  James Calvin Allan ,  Rudolph A. Beasley ,  William J. Havel ,  Jon D. Schell ,  Don H. Tran ,  Steven L. Waldhauser

发明人： Erik C. Griswold ,  James Calvin Allan ,  Rudolph A. Beasley ,  William J. Havel ,  Jon D. Schell ,  Don H. Tran ,  Steven L. Waldhauser

IPC分类号： A61M25/00 ,  A61B5/0215 ,  A61B19/00 ,  A61M25/092 ,  A61M25/14

CPC分类号： A61B5/0215 ,  A61B5/042 ,  A61B5/0538 ,  A61M25/0169 ,  A61M2025/0175 ,  A61M2025/0183 ,  A61N1/057 ,  A61N1/36514 ,  A61N1/36564 ,  A61N1/3756 ,  A61N2001/0585

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device, the kit comprising an outer sheath, the outer sheath sized to traverse a vasculature of the patient, and an elongated inner sheath with a tapered distal end. The inner sheath is slidable within the inner lumen of the outer sheath and is selectably removable from the inner lumen of the outer sheath by sliding the inner sheath out of the proximal opening of the outer sheath. The kit includes an elongated deployment receptacle including a deployment bay slidable within the inner lumen of the outer sheath when the inner sheath is not within the inner lumen of the outer sheath. The deployment bay carries an implantable medical device through the inner lumen of the outer sheath and facilitates deployment of the implantable medical device from the distal end of the outer sheath.

摘要翻译： 在一个示例中，本公开涉及用于可植入医疗装置的血管内植入的套件，所述套件包括外护套，外护套的尺寸设置成穿过患者的脉管系统，以及具有锥形远端的细长内护套。 内护套可以在外护套的内腔内滑动，并且通过将内护套从外护套的近侧开口滑出，可选择地从外护套的内腔移除。 套件包括细长部署插座，其包括当内护套不在外护套的内腔内时可在外护套的内腔内滑动的展开室。 部署隔间通过外护套的内腔运送植入式医疗装置，并且便于从外护套的远端部署可植入医疗装置。

公开(公告)号：US20130253345A1

公开(公告)日：2013-09-26

申请号：US13482839

申请日：2012-05-29

申请人： Erik C. Griswold ,  James Calvin Allan ,  Rudolph A. Beasley ,  William Berthiaume ,  Arvind K. Srinivas ,  Don H. Tran ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Steven L. Waldhauser

发明人： Erik C. Griswold ,  James Calvin Allan ,  Rudolph A. Beasley ,  William Berthiaume ,  Arvind K. Srinivas ,  Don H. Tran ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Steven L. Waldhauser

IPC分类号： A61M25/092 ,  A61B5/0215 ,  A61B19/00 ,  A61B5/00

CPC分类号： A61B5/0215 ,  A61B5/042 ,  A61B5/0538 ,  A61N1/36564 ,  A61N1/37205 ,  A61N1/3756

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device within a patient, the kit comprising an elongated outer sheath forming an inner lumen with a distal opening, the outer sheath sized to traverse a vasculature of the patient, and an elongated inner sheath with an enlarged distal portion, wherein the enlarged distal portion is configured to substantially fill the inner lumen and close-off the distal opening of the outer sheath. The enlarged distal portion is slidable relative to the outer sheath. The inner sheath further includes a tether with a helical element that is remotely controllable from a proximal end of the inner sheath to release the implantable medical device from a distal portion of the outer sheath.

摘要翻译： 在一个示例中，本公开涉及用于在患者体内植入可植入医疗装置的套件，所述套件包括形成具有远端开口的内腔的细长外护套，所述外护套的尺寸设置成穿过患者的脉管系统 以及具有扩大的远端部分的细长内护套，其中所述扩大的远侧部分构造成基本上填充所述内腔并且关闭所述外护套的远端开口。 扩大的远端部分可相对于外护套滑动。 内护套还包括具有螺旋元件的系绳，其可从内护套的近端远程控制，以将可植入医疗装置从外护套的远端部分释放。

公开(公告)号：US20130253344A1

公开(公告)日：2013-09-26

申请号：US13482816

申请日：2012-05-29

申请人： Erik C. Griswold ,  Rudolph A. Beasley ,  James Calvin Allan ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Arvind K. Srinivas ,  Steven L. Waldhauser ,  William Berthiaume

发明人： Erik C. Griswold ,  Rudolph A. Beasley ,  James Calvin Allan ,  Suruchi Anand ,  Martha A. Barajas-Torres ,  Matthew S. Poole ,  Arvind K. Srinivas ,  Steven L. Waldhauser ,  William Berthiaume

IPC分类号： A61M25/092 ,  A61B5/0215 ,  A61B5/00 ,  A61M25/10 ,  A61B19/00

CPC分类号： A61B5/0215 ,  A61B5/042 ,  A61B5/0538 ,  A61N1/05 ,  A61N1/057 ,  A61N1/0587 ,  A61N1/36564 ,  A61N1/37247 ,  A61N1/37264 ,  A61N1/3756

摘要： In one example, this disclosure is directed to a kit for intravascular implantation of an implantable medical device within a patient, the kit comprising an elongated outer sheath forming an inner lumen with a distal opening, the outer sheath sized to traverse a vasculature of the patient, and an elongated inner sheath with an inflatable member at its distal portion. The inflatable member is inflatable from a proximal end of the inner sheath to close-off the distal opening of the outer sheath when inflated. The inner sheath further includes a stopper proximally located relative to the inflatable member. The inflatable member is remotely controllable from a proximal end of the inner sheath to retract in a proximal direction towards the stopper. The inflatable member can be retracted in a proximal direction towards the stopper and past an implantable medical device positioned within a distal portion of the outer sheath.

摘要翻译： 在一个示例中，本公开涉及用于在患者体内植入可植入医疗装置的套件，所述套件包括形成具有远端开口的内腔的细长外护套，所述外护套的尺寸设置成穿过患者的脉管系统 以及在其远端部分具有可膨胀构件的细长内护套。 充气构件可从内护套的近端充气，以在充气时关闭外护套的远端开口。 内护套还包括相对于可膨胀构件向近侧定位的塞子。 可膨胀构件可从内护套的近端远程控制，以朝向止挡件的近端方向缩回。 可膨胀构件可以朝向止动件的近端方向缩回，并通过位于外护套的远侧部分内的可植入医疗装置。

公开(公告)号：US20130253309A1

公开(公告)日：2013-09-26

申请号：US13482880

申请日：2012-05-29

申请人： James Calvin Allan ,  Erik C. Griswold ,  William J. Havel ,  Steven L. Waldhauser ,  Kelly M. Wien ,  Kendra Yasger ,  Rudolph A. Beasley ,  Jon D. Schell ,  Don H. Tran

发明人： James Calvin Allan ,  Erik C. Griswold ,  William J. Havel ,  Steven L. Waldhauser ,  Kelly M. Wien ,  Kendra Yasger ,  Rudolph A. Beasley ,  Jon D. Schell ,  Don H. Tran

IPC分类号： A61B5/0215 ,  A61B6/00 ,  A61M25/092 ,  A61M25/04

CPC分类号： A61B5/0215 ,  A61B5/0031 ,  A61B5/042 ,  A61B5/686 ,  A61B6/00 ,  A61M25/04 ,  A61N1/36564

摘要： In one example, this disclosure is directed to a method for intravascular implantation of an implantable medical device comprising positioning a distal end of an elongated outer sheath forming an inner lumen adjacent a target site within a vasculature of a patient, and partially deploying an implantable medical device from the distal opening, wherein the implantable medical device includes an expandable fixation element. A portion of the expandable fixation element assumes an expanded position when the implantable medical device is partially deployed from the distal opening. The method including advancing the distal end of the outer sheath within the vasculature with the implantable medical device partially deployed from the distal opening, and monitoring at least one of the vasculature and the portion of the expandable fixation element for deflection to determine when the size of the portion of the expandable fixation element corresponds to the size of the vasculature.

摘要翻译： 在一个示例中，本公开涉及一种用于可植入医疗装置的血管内植入的方法，包括将形成内腔的细长外护套的远端定位在患者的脉管系统内的目标部位附近，以及部分地部署可植入医疗 装置，其中所述可植入医疗装置包括可扩张的固定元件。 当可植入医疗装置从远侧开口部分展开时，可扩张固定元件的一部分呈现展开位置。 该方法包括使远端开口部分地展开的可植入医疗装置在脉管系统内前进外护套的远端，并且监测脉管系统和可扩张固定元件的至少一个用于偏转以确定何时 可扩张固定元件的部分对应于脉管系统的尺寸。