RU2018145502A - Устройство и система доставки для аневризмы - Google Patents
Устройство и система доставки для аневризмы Download PDFInfo
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- RU2018145502A RU2018145502A RU2018145502A RU2018145502A RU2018145502A RU 2018145502 A RU2018145502 A RU 2018145502A RU 2018145502 A RU2018145502 A RU 2018145502A RU 2018145502 A RU2018145502 A RU 2018145502A RU 2018145502 A RU2018145502 A RU 2018145502A
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- occlusal
- aneurysm
- bag
- product
- microcatheter
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- 206010002329 Aneurysm Diseases 0.000 claims 30
- 230000015572 biosynthetic process Effects 0.000 claims 9
- 230000017531 blood circulation Effects 0.000 claims 4
- 238000000034 method Methods 0.000 claims 4
- 238000005452 bending Methods 0.000 claims 2
- 239000003550 marker Substances 0.000 claims 2
- 230000002792 vascular Effects 0.000 claims 2
- 238000007789 sealing Methods 0.000 claims 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
- A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/12031—Type of occlusion complete occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- 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
- A61F2/852—Two or more distinct overlapping 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
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
- A61B2017/12081—Details concerning the detachment of the occluding device from the introduction device detachable by inflation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3983—Reference marker arrangements for use with image guided surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
- A61F2002/9665—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod with additional retaining means
-
- 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
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0023—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M2025/0042—Microcatheters, cannula or the like having outside diameters around 1 mm or less
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Reproductive Health (AREA)
- Neurosurgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Pathology (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Claims (44)
1. Окклюзирующее устройство для лечения аневризмы, содержащее
плетеное изделие, выполненное с возможностью размещения и поступательного перемещения в микрокатетере из сложенного состояния в раскрытое состояние, причем плетеное изделие содержит дистальный конец и проксимальный конец;
причем в раскрытом состоянии плетеное изделие содержит:
наружный окклюзирующий мешок, выполненный с возможностью его проталкивания вплотную к стенке аневризмы; и
внутренний окклюзирующий мешок, расположенный внутри наружного окклюзирующего мешка.
2. Устройство по п. 1, в котором пористость внутреннего окклюзирующего мешка больше пористости наружного окклюзирующего мешка.
3. Устройство по п. 2, в котором в раскрытом состоянии наружный окклюзирующий мешок выполнен с возможностью герметизации шейки аневризмы.
4. Устройство по п. 1, в котором поступательное перемещение плетеного изделия в дистальном направлении после образования наружного окклюзирующего мешка приводит к тому, что внутренний слой плетеного изделия внутри наружного окклюзирующего мешка радиально расширяется внутри наружного окклюзирующего мешка и образует внутренний окклюзирующий мешок.
5. Устройство по п. 4, в котором внутренний слой плетеного изделия выполнен с возможностью радиального расширения внутри наружного оклюзирующего мешка, в то время как наружный окклюзирующий мешок проталкивают вплотную к стенке аневризмы и шейке аневризмы.
6. Устройство по п. 4, дополнительно содержащее маркерную полосу в соединении с проксимальным концом плетеного изделия,
причем внутренний слой, который радиально расширяется внутри наружного окклюзирующего мешка, образован посредством заворачивания проксимального конца за маркерную полосу.
7. Устройство по п. 1, в котором плетеное изделие в раскрытом состоянии может быть отсоединено от системы доставки в аневризме.
8. Устройство по п. 7, в котором система доставки содержит
микрокатетер; и
доставочную трубку, содержащую дистальный конец и проксимальный конец, при этом дистальный конец доставочной трубки соединен с проксимальным концом плетеного изделия с возможностью отсоединения, причем доставочная трубка выполнена с возможностью размещения и поступательного перемещения в микрокатетере;
причем доставочная трубка выполнена с возможностью обеспечения поступательного перемещения плетеного изделия в дистальном направлении внутри микрокатетера из сложенного состояния в раскрытое состояние.
9. Устройство по п. 1, в котором наружный окклюзирующий мешок содержит меньшее число сетчатых участков, чем внутренний окклюзирующий мешок.
10. Плетеное изделие для лечения аневризмы, содержащее
первый радиально расширяющийся участок, выполненный с возможностью перемещения из сложенного состояния внутри микрокатетера в раскрытое состояние дистально по отношению к микрокатетеру, причем первый радиально расширяющийся участок выполнен с возможностью радиального расширения с образованием наружного окклюзирующего мешка в аневризме в раскрытом состоянии, который выполнен с возможностью герметизации шейки аневризмы;
второй радиально расширяющийся участок, выполненный с возможностью перемещения из сложенного состояния внутри микрокатетера в раскрытое состояние дистально по отношению к микрокатетеру, причем второй радиально расширяющийся участок выполнен с возможностью радиального расширения внутри наружного окклюзирующего мешка с образованием внутреннего окклюзирующего мешка в наружном окклюзирующем мешке в раскрытом состоянии.
11. Плетеное изделие по п. 10, выполненное с возможностью отсоединения и развертывания в аневризме с помощью системы доставки.
12. Плетеное изделие по п. 10, дополнительно содержащее участок изгиба, расположенный между первым и вторым радиально расширяющимися участками, причем участок изгиба обеспечивает образование внутреннего окклюзирующего мешка внутри наружного окклюзирующего мешка, его перекрытие им и его расширение в нем.
13. Плетеное изделие по п. 10, в котором размеры зазоров плетеного изделия различаются около проксимального конца и дистального конца таким образом, что пористость наружного окклюзирующего мешка меньше пористости внутреннего окклюзирующего мешка, при расположении поперек шейки аневризмы.
14. Способ окклюдирования аневризмы, включающий
расположение радиально расширяющегося плетеного изделия по п. 10 внутри сосудистой системы с аневризмой;
образование первого радиально расширяющегося участка плетеного изделия с меньшей пористостью, чем пористость второго радиально расширяющегося участка;
проталкивание плетеного изделия в аневризму в дистальном направлении, причем первый радиально расширяющийся участок радиально расширяется с образованием наружного окклюзирующего мешка;
дальнейшее проталкивание плетеного изделия в дистальном направлении и таким образом расширение второго радиально расширяющегося участка внутри наружного окклюзирующего мешка;
размещение первого радиально расширяющегося участка в соединении с шейкой аневризмы или смежно с ней;
отклонение, перенаправление кровотока от аневризмы или замедление кровотока в аневризму поперек шейки аневризмы при образовании наружного окклюзирующего мешка поперек шейки и образования в нем внутреннего окклюзирующего мешка.
15. Способ доставки окклюзирующего устройства к аневризме, включающий
расположение доставочной трубки внутри микрокатетера с возможностью скольжения;
расположение радиально расширяющегося плетеного изделия внутри микрокатетера, причем плетеное изделие находится в сложенном состоянии внутри микрокатетера и содержит дистальный конец и проксимальный конец;
прикрепление проксимального конца плетеного изделия к дистальному концу доставочной трубки;
селективное расположение микрокатетера, доставочной трубки и плетеного изделия в сосудистой системе с аневризмой;
перемещение плетеного изделия в дистальном направлении с возможностью скольжения от микрокатетера к аневризме с помощью доставочной трубки;
проталкивание плетеного изделия в аневризму в дистальном направлении с помощью доставочной трубки, причем первый радиально расширяющийся участок плетеного изделия радиально расширяется с образованием наружного окклюзирующего мешка, причем наружный окклюзирующий мешок выполнен с возможностью расположения поперек шейки аневризмы;
дальнейшее проталкивание плетеного изделия в дистальном направлении и таким образом расширение второго радиально расширяющегося участка внутри наружного окклюзирующего мешка при проталкивании наружного окклюзирующего мешка вплотную к стенке аневризмы и шейке аневризмы в дистальном направлении; и
высвобождение плетеного изделия, включающего в себя наружный и внутренний окклюзирующие мешки, и извлечение доставочной трубки и микрокатетера из аневризмы.
16. Способ по п. 15, дополнительно включающий
образование первого радиально расширяющегося участка с меньшей пористостью, чем пористость второго радиально расширяющегося участка;
размещение первого радиально расширяющегося участка в соединении с шейкой аневризмы или смежно с ней; и
отклонение, перенаправление кровотока от аневризмы или замедление кровотока в аневризму поперек шейки аневризмы при образовании наружного окклюзирующего мешка поперек шейки и образования в нем внутреннего окклюзирующего мешка.
17. Способ по п. 15, в котором внутренний окклюзирующий мешок содержит внутренний слой плетеного изделия.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US15/852,829 | 2017-12-22 | ||
| US15/852,829 US10751065B2 (en) | 2017-12-22 | 2017-12-22 | Aneurysm device and delivery system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| RU2018145502A true RU2018145502A (ru) | 2020-06-22 |
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| EP3435917B1 (en) | 2016-03-31 | 2024-04-24 | Medtronic Vascular Inc. | Endoluminal prosthetic devices having fluid-absorbable compositions for repair of a vascular tissue defect |
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-
2017
- 2017-12-22 US US15/852,829 patent/US10751065B2/en active Active
-
2018
- 2018-12-19 IL IL263833A patent/IL263833A/en unknown
- 2018-12-20 EP EP18214377.6A patent/EP3501429A1/en not_active Withdrawn
- 2018-12-20 CA CA3028198A patent/CA3028198A1/en active Pending
- 2018-12-21 AU AU2018282470A patent/AU2018282470A1/en not_active Abandoned
- 2018-12-21 RU RU2018145502A patent/RU2018145502A/ru not_active Application Discontinuation
- 2018-12-21 TW TW107146493A patent/TWI801475B/zh not_active IP Right Cessation
- 2018-12-21 BR BR102018076824-7A patent/BR102018076824A2/pt not_active Application Discontinuation
- 2018-12-21 JP JP2018239178A patent/JP7282514B2/ja active Active
- 2018-12-24 CN CN201811580086.4A patent/CN109984799A/zh not_active Withdrawn
- 2018-12-24 KR KR1020180168520A patent/KR20190076917A/ko not_active Withdrawn
-
2019
- 2019-01-07 MX MX2019000155A patent/MX2019000155A/es unknown
-
2020
- 2020-08-21 US US16/999,141 patent/US20200375607A1/en not_active Abandoned
Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11284901B2 (en) | 2014-04-30 | 2022-03-29 | Cerus Endovascular Limited | Occlusion device |
| US11389174B2 (en) | 2014-04-30 | 2022-07-19 | Cerus Endovascular Limited | Occlusion device |
| US12029431B2 (en) | 2014-04-30 | 2024-07-09 | Stryker Ireland Technology, Ltd. | Occlusion device |
| US12414775B1 (en) | 2014-04-30 | 2025-09-16 | Stryker Ireland Technology LTD | Occlusion device |
| US11471162B2 (en) | 2015-12-07 | 2022-10-18 | Cerus Endovascular Limited | Occlusion device |
| US12076022B2 (en) | 2015-12-07 | 2024-09-03 | Stryker Ireland Technology Ltd. | Occlusion device |
| US11648013B2 (en) | 2016-03-11 | 2023-05-16 | Cerus Endovascular Limited | Occlusion device |
| US12285175B2 (en) | 2016-03-11 | 2025-04-29 | Stryker Ireland Technology Ltd. | Occlusion device |
| US11812971B2 (en) | 2017-08-21 | 2023-11-14 | Cerus Endovascular Limited | Occlusion device |
| US12251112B2 (en) | 2017-08-21 | 2025-03-18 | Stryker Ireland Technology Ltd. | Occlusion device |
| US11406404B2 (en) | 2020-02-20 | 2022-08-09 | Cerus Endovascular Limited | Clot removal distal protection methods |
| US12303153B2 (en) | 2020-02-20 | 2025-05-20 | Stryker Ireland Technology Ltd. | Clot removal distal protection methods |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2019111343A (ja) | 2019-07-11 |
| IL263833A (en) | 2019-03-31 |
| KR20190076917A (ko) | 2019-07-02 |
| MX2019000155A (es) | 2019-09-04 |
| CA3028198A1 (en) | 2019-06-22 |
| TWI801475B (zh) | 2023-05-11 |
| US20200375607A1 (en) | 2020-12-03 |
| US20190192167A1 (en) | 2019-06-27 |
| TW201936124A (zh) | 2019-09-16 |
| CN109984799A (zh) | 2019-07-09 |
| AU2018282470A1 (en) | 2019-07-11 |
| BR102018076824A2 (pt) | 2019-07-09 |
| US10751065B2 (en) | 2020-08-25 |
| EP3501429A1 (en) | 2019-06-26 |
| JP7282514B2 (ja) | 2023-05-29 |
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