1. A method for reducing tissue damage following ischemic injury in a patient, the method comprising:
administering to the patient an anti-ischemic agent which reduces tissue damage due to ischemia and one or more anti-restenotic agent that reduces or prevents restenosis, wherein the anti-ischemic agent and the one or more anti-restenotic agent are administered locally to or near the site of ischemic injury, and wherein the anti-restenotic agent does not reduce the beneficial effects provided by the anti-ischemic agent.
2. The method of claim 1, wherein at least one of the anti-ischemic agent and anti-restenotic agent are administered in a medical device implanted at or near the site of ischemic injury.
3. The method of claim 2, wherein the device is selected from the group consisting of stents, polymeric delivery devices, polymeric particles and polymeric coatings.
4. The method of claim 3, wherein the at least one of anti-ischemic agent and one or more anti-restenotic agent is administered into a blood vessel.
5. The method of claim 4, wherein the at least one of anti-ischemic agent is administered for periods of time sufficient to reduce ischemic injury.
6. The method of claim 4, wherein the anti-restenotic drug is delivered primarily from a mural side of the medical device, and wherein the anti-ischemic agent is delivered primarily from a luminal side of the medical device.
7. The method of claim 1, wherein the anti-restenotic agent and anti-ischemic agent are delivered from an implanted biodegradable polymer.
8. The method of claim 2, wherein the medical device is a stent.
9. The method of claim 1, wherein the anti-ischemic agent is insulin.
10. The method of claim 1, wherein the anti-restenotic agent is selected from the group of compounds consisting of antineoplastics, antimitotics, antiangiogenics, angiogenic factors, anti-thrombotics, antiproliferatives, and anti-inflammatories.
11. The method of claim 1 wherein the anti-restenotic agent is pimecrolimus, sirolimus or paclitaxel.
12. The method of claim 1, wherein the anti-ischemic and anti-restenotic agent are delivered from a polymer.
13. The method of claim 12, wherein the polymer is in the form of polymeric coatings or particles located at or near an occlusion site.
14. The method of claim 12, wherein the anti-ischemic agent, anti-restenotic agent and a biocompatible polymer matrix are deposited within openings in an implantable medical device for local delivery to an occlusion site.
15. The method of claim 12, wherein the anti-ischemic agent, anti-restenotic agent and a biocompatible polymer are deposited within openings in an implantable medical device and wherein a barrier region is provided which substantially prevents delivery of the anti-ischemic agent to the artery wall.
16. The method of claim 14, wherein the anti-ischemic agent is delivered over a period of about 1 to 72 hours.
17. The method of claim 16, wherein the anti-restenotic agent is delivered over a period of about 30 days or longer.
18. The method of claim 17, wherein the anti-ischemic agent and the anti-restenotic agent are delivered at different rates.
19. An implantable stent for reducing tissue damage following ischemic injury in a patient, comprising:
an expandable stent structure:
an anti-ischemic agent affixed to the stent structure, wherein the anti-ischemic agent reduces tissue damage due to ischemia; and
one or more anti-restenotic agent that reduces or prevents restenosis wherein the anti-restenotic agent does not reduce the beneficial effects provided by the anti-ischemic agent.
20. The stent of claim 19, wherein the anti-ischemic agent and anti-restenotic agent are released for at least one hour.
21. The stent of claim 19, wherein the anti-ischemic agent is released for about 10 to about 48 hours.
22. The stent of claim 19, wherein the anti-ischemic agent is insulin and the therapeutic dosage is about 5 to about 800 micrograms.
23. The stent of claim 22, wherein the insulin is affixed to the stent by depositing in holes in the stent.
24. The stent of claim 19, wherein the stent further comprises one or more drug sensitizers.
25. The stent of claim 24, wherein the drug sensitizer is an insulin sensitizer.
26. The stent of claim 25, wherein the insulin sensitizer is selected from the group consisting of biguanides, thiazolidinediones, and glitazars.
27. The stent of claim 23, wherein the anti-restenotic agent is affixed to the stent by depositing in holes in the stent.
28. The stent of claim 19, wherein the anti-restenotic agent and anti-ischemic agent are delivered from an implanted biodegradable polymer.
29. The method of claim 19, wherein the anti-ischemic agent is delivered over a period of about 1 to 72 hours.
30. The method of claim 29, wherein the anti-restenotic agent is delivered over a period of about 30 days or longer.
The claims below are in addition to those above.
All refrences to claim(s) which appear below refer to the numbering after this setence.
1. A method for processing an input signal having signal edges, the method comprising the steps of:
in respective reference signal active periods, generating a time stamp that locates a signal edge of the input signal in relation to the reference signal active period;
generating an output bit from the time stamp; and in which
generating a time stamp is carried out in a first portion of each respective reference signal active period; and
generating an output bit from the time stamp is carried out in a second portion of each respective reference signal active period.
2. The method of claim 1 in which the time stamp locates the signal edge in relation to a falling edge of the reference signal active period.
3. A method for processing an input signal having signal edges, the method comprising the steps of:
in respective reference signal active periods, generating a time stamp that locates a signal edge of the input signal in relation to the reference signal active period;
generating an output bit from the time stamp; and
in which generating the time stamp comprises applying the input signal to a hierarchical delay propagation stage, in which successive layers of the hierarchical delay propagation stage increase resolution of the time stamp.
4. The method of claim 3 in which the resolution of each successive layers increases by one-half from layer to layer.
5. The method of claim 3 in which the number of hierarchy levels is scalable with semiconductor process technology.
6. The method of claim 3 in which the number of hierarchy levels is scalable with the number of TDC output bits.
7. The method of claim 3 in which signal transition edges are created as a signal propagates through the hierarchical delay propagation stage.
8. The method of claim 7 in which each signal transition is used as a measure of how close the falling edge of a signal is to a falling edge of the reference signal active period.
9. The method of claim 3 in which signal edges are time stamped by registering their logic level at a falling edge of the reference signal active period.
10. The method of claim 3 in which generating an output bit comprises decoding the time stamps in a decoder.
11. The method of claim 3 in which the input signal is a delay modulated signal.
12. The method of claim 3 in which the reference signal active period is the active period of a clock.
13. The method of claim 3 in which each output bit comprises a digital bit representing the digital value of the time difference between the input signal and the reference signal.
14. The method of claim 3 in which the reference signal active period is the active period of a clock and the time period for the time difference to be converted to a digital output is less than or equal to one clock cycle.
15. The method of claim 1 in which generating an output bit comprises decoding the time stamps in a decoder.
16. A method for processing an input signal having signal edges, the method comprising the steps of:
in respective reference signal active periods, generating a time stamp that locates a signal edge of the input signal in relation to the reference signal active period;
generating an output bit from each time stamp by decoding the respective time stamp in a decoder, and in which;
the time stamps are generated by latches, and the decoder is connected to the latches.
17. The method of claim 1 in which the input signal is a delay modulated signal.
18. The method of claim 1 in which the reference signal active period is the active period of a clock.
19. The method of claim 1 in which the outputs are a digital bit stream representing the digital value of the time difference between the input signal and the reference signal.
20. A method for processing an input signal having signal edges, the method comprising the steps of:
in respective reference signal active periods, generating a time stamp that locates a signal edge of the input signal in relation to the reference signal active period;
generating an output bit from the time stamp, and in which;
the reference signal active period is the active period of a clock and the time period for the time difference to be converted to a digital output is less than or equal to one clock cycle.
21. The method of claim 1 applied in an analog to digital converter or high speed measurement device.
22. Apparatus configured to carry out the method steps of claim 1.
23. A time to digital converter, comprising:
a delay propagation stage connected to an input signal and having time stamps as output, the time stamps being representative of the location of edges of the input signal in relation to a reference signal;
a decoder connected to receive the time stamps and generate output bits; and
in which the delay propagation stage operates to locate a signal edge within a first portion of an active period of the reference signal and the decoder operates within a second portion of the active period to decode the time stamps generated within the first portion of the active period.