摘要:
A medical apparatus (100) is provided, comprising a closure device (102), which comprises a locking member (130) and a tubular member (121) having two sets of struts (122, 123) being provided with a hinge section, and an insertion assembly (101), which comprises a holder (106) and an actuator (107), the holder being releasably engaged in the locking member and the actuator being releasably engaged with the tubular member. The insertion assembly further comprises a spring (105) which effectuates a relative movement between the holder and the actuator, which causes the closure device to move from a first elongated introduction configuration via a second positioning configuration to the third closed configuration, during which the tubular member is compressed such that the hinge sections have moved radially away from a longitudinal central axis of the closure device. The compression of the device can be reversed if needed, yet the device can not be compressed further without providing force in excess of the spring force, whereby the final irreversibly locked state is achieved.
摘要:
A device for sealing a patent foramen ovale (PFO) in the heart is provided. The device includes a left atrial anchor adapted to be placed in a left atrium of the heart, a right atria) anchor adapted to be placed in a right atrium of the heart, and an elongate member adapted to extend through the passageway and connect the left and right atrial anchors. A system for delivering the closure device includes side-by-side tubes. A device for retrieving a mis-deployed closure device includes a shaft portion and an expandable retrieval portion.
摘要:
A device for closing a defect, such as a patent foramen ovale (PFO) or an atrial septal defect (ASD), has first and second sides on either side of the defect, a center joint that passes through the defect, and end pieces at the outer ends of the sides. One or both sides of the device have a plurality of petals. At least one petal on each side extends away from the center joint, and at least one petal on each side extends away from an end piece. Adjacent petals are coupled together with hinges.
摘要:
The over-the-wire interlock attachment/detachment mechanism includes a cylindrical lock receiving section of a small diameter attached to an implantable medical device such as a blood clot filter, a stent, or a septal occluder. This cylindrical lock receiving section has a plurality of spaced, curved cutouts to receive both the guide fingers and contoured locking fingers formed on a cylindrical locking section. The locking fingers are angled outwardly from the cylindrical body of the cylindrical locking section, and are moved inwardly into engagement with the curved cutouts of the cylindrical lock receiving section by a sheath which slides over the cylindrical locking section or other suitable operator.
摘要:
A septal occluder, such as one made from a polymer tube, can have portions on either side of a patent foramen ovale (PFO) or other septal defect. The portions on either side can be held in place with a catching mechanism that can take one of many forms. The tube can be made of bioresorbable materials.
摘要:
A device for sealing a patent foramen ovale (PFO) in the heart is provided. The device includes a left atrial anchor (12) adapted to be placed in a left atrium of the heart, a right atrial anchor (14) adapted to be placed in a right atrium of the heart, and an elongate member (16) adapted to extend through the passageway and connect the left and right atrial anchors (12, 14). The right atrial anchor (14) preferably includes a plurality of arms (50) and a cover (52) attached to the arms (50). The left atrial anchor (12) also includes a plurality of arms (40) and preferably does not include a cover. Preferably, the elongate member (16) has a first end of fixedly connected to the left atrial anchor (12) and a portion, proximal to the first end, releasably connected to the right atrial anchor (14). Preferably the elongate member (16) is flexible.
摘要:
Apparatus for permanent placement across an ostium of a left atrial appendage in a patient, which includes a filtering membrane configured to extend across the ostium of the left atrial appendage. The filtering membrane has a permeable structure which allows blood to flow through but substantially inhibits thrombus from passing therethrough. The apparatus also includes a support structure attached to the filtering membrane which retains the filtering membrane in position across the ostium of the left atrial appendage by permanently engaging a portion of the interior wall of the left atrial appendage. The support structure may be radially expandable from a first configuration to a second configuration which engages the ostium or the interior wall of the left atrial appendage. The filtering membrane may define an opening therethrough that is configured to expand from a first size which inhibits the passage of thrombus therethrough to a second size which allows an interventional device, e.g., an expansion balloon, to pass therethrough, and wherein the opening is resiliently biased towards the first size.
摘要:
An adjustable occlusion device and a method of implanting the device in a body lumen such as the left atrial appendage. The occlusion device is removably carried by a deployment catheter. The device may be enlarged or reduced to facilitate optimal placement or removal. Methods are also disclosed.
摘要:
An implant for the closing of defect openings in the body of a human or animal is proposed, with a load-bearing structure which, in a first operating state (primary form), has a great ratio of length to transverse extent along an axis (9) and, at least in a further operating state (secondary form), has a much smaller ratio of length to transverse extent along the axis (9), the load-bearing structure (1) being capable of being reversibly transformed from the secondary form into the primary form by exertion of a force against elastic material forces, the secondary form assuming approximately the form of a double disc with a proximal disc element (7) and a distal disc element (6) for receiving the surroundings of the defect opening between the disc elements, and the load-bearing structure (1) being formed essentially in one piece without joining connections, and a placement system.
摘要:
The present invention relates to the field of medicine, more precisely to the field of micro-surgery, and may be used to expand narrowed sections of tubular organs or vessels. This invention may also be used for attaching edges on openings in tissues as well as for attaching prostheses such as obstruction, valve or filtration prostheses on wall defects and on the anastomoses of hollow or tubular organs. This invention may be used to increase the scope of applications and the functional capacities of this micro-surgery fixation device as well as to enhance reliability and safety when installing the same. In one embodiment, the micro-surgery device comprises two or more springs, each spring being in the shape of a truncated cone or flat ring made of a zigzag-shaped rod defining a closed loop. The mobile springs are connected with each other at the zigzag summits located on the circumference. The springs may be biased under the action of an external load and recover their initial position. In another embodiment, the micro-surgery device comprises a single spring which is in the shape of a truncated cone or flat ring made of a zigzag-shaped rod forming a closed loop. The zigzag summits are located on the circumference and connected to mobile fixations which are each in the form of a resilient rod fitted with a hook. The manipulation push-bar includes rods with guides connected to a catheter tube via a coupling. The rods are mounted inside the catheter tube and the coupling are capable of longitudinal displacement within the latter and along the guides.