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公开(公告)号：US20190150906A1
公开(公告)日：2019-05-23
申请号：US16259253
申请日：2019-01-28
Applicant: Edwards Lifesciences Corporation
Inventor： Manouchehr A. Miraki , Kevin K. Dang
IPC: A61B17/02
Abstract: A surgical site retractor is configured to retract tissue, such as in an intercostal procedure. The retractor may be formed from non-radiopaque material for improved monitoring via x-ray imaging. The retractor may have a rigid retractor and a soft tissue retractor, where the rigid retractor has a plurality of legs and the soft tissue retractor extends between the legs to prevent soft tissue from extending between said legs. The retractor may have a bendable arm with an implement holder, such as distal cuff or clip adapted to resiliently hold an implement such as a tube of an elongated port-access device. A method involves partly installing the surgical site retractor, expanding the surgical site retractor, deploying the surgical implement from outside the body through the incision and into the patient, resiliently capturing the implement with the holder of the arm, and bending the arm to hold the implement in a desired position.
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公开(公告)号：US10226595B2
公开(公告)日：2019-03-12
申请号：US15107404
申请日：2015-06-16
Applicant: Edwards Lifesciences Corporation
Inventor： Manouchehr A. Miraki , Bryan Janish , Raymond J. McManus , Brent K. Hoffman
Abstract: Disclosed herein are embodiments of spring cannulae, including one or more holes in the sidewall of the cannula. Some disclosed cannulae include a wire, helically wound to form coils, and at least one hole in the cannula that interrupts one or more of the coils. Some embodiments further include a fused region of the coils through which the hole passes. Some embodiments include a ring attached to ends of the interrupted coils, where the hole is surrounded by the ring. Some embodiments include a sheath that is attached to a radial surface of the interrupted coils, where the hole passes radially though the sheath. Some embodiments include an elongated coil with a hole passing between the elongated coil and an adjacent coil. Further embodiments disclose cannulae that include a wire helically wound to form coils, and an insert having a porous section with at least one hole.
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公开(公告)号：US10188383B2
公开(公告)日：2019-01-29
申请号：US14757938
申请日：2015-12-23
Applicant: Edwards Lifesciences Corporation
Inventor： Manouchehr A. Miraki , Bryan A. Janish , Kevin K. Dang
Abstract: Disclosed herein are suture clip delivery devices that can be loaded with several flat, disk-shaped suture clips and can deploy the suture clips one after another onto respective sutures without reloading the device with additional suture clips. An exemplary device includes a handle portion with an actuation mechanism that is coupled to a shaft portion that holds and deploys the suture clips. The shaft portion includes a mandrel on which the suture clips are mounted and a retainer that restricts the suture clips from moving proximally when the actuation mechanism pulls the mandrel proximally, which causes a distal-most suture clip to slide off the mandrel and be deployed onto one or more suture. The mandrel and remaining suture clips can them move distally to prepare to deploy the next suture clip.
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公开(公告)号：US20180177503A1
公开(公告)日：2018-06-28
申请号：US15847690
申请日：2017-12-19
Applicant: Edwards Lifesciences Corporation
Inventor： Manouchehr A. Miraki
IPC: A61B17/04
CPC classification number: A61B17/0487 , A61B17/0467 , A61B17/0469 , A61B2017/00243 , A61B2017/0488 , A61F2/2409 , A61F2/2448
Abstract: In one embodiment, a multi-layer suture fastener that includes a generally disc-shaped body defining a plurality of axially spaced-apart layers. Each layer can include an inner axial surface and an outer axial surface. A suture opening can extend from the inner axial surface to the outer axial surface of each layer. The suture openings can have an open configuration and a closed configuration. One or more lines of suture can be passed through the suture openings when in the open configuration. The suture openings can be placed in the closed configuration. In the closed configuration, the one or more lines of suture can be restricted by radial surfaces of the suture opening from sliding through the suture openings in at least one longitudinal direction of the one or more lines of suture.
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公开(公告)号：US20180049876A1
公开(公告)日：2018-02-22
申请号：US15796599
申请日：2017-10-27
Applicant: Edwards Lifesciences Corporation
Inventor： Manouchehr A. Miraki
Abstract: Disclosed herein are annular prosthetic devices, such as annuloplasty rings, that include suture clips integrated into or mounted within an annular frame. The clips can quickly secure to sutures to obviate the need to tied knots in the sutures during implantation. Embodiments comprise an annular frame having an open central region and a plurality of suture clips spaced angularly apart around the frame. Each of the suture clips can comprise two opposing tabs that extend toward each other such that the suture clip forms a gripping region between ends of the tabs and the gripping region is configured to grip a suture inserted through the suture clip between the two tabs. The annular frame and the plurality of suture clips can be formed from a single piece of flat material with the suture clip tabs being formed by laser cutting the piece of flat material, or the suture clips can be movable along a track formed in the annular frame.
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Patent Agency Ranking
公开(公告)号：US09808231B2
公开(公告)日：2017-11-07
申请号：US14327440
申请日：2014-07-09
Applicant: Edwards Lifesciences Corporation
Inventor： Manouchehr A. Miraki , Kevin Dang
CPC classification number: A61B17/0206 , A61B17/0293 , A61B2017/0237 , A61B2017/0287 , A61F2/2427
Abstract: A surgical site retractor is configured to retract tissue, such as in an intercostal procedure. The retractor may be formed from non-radiopaque material for improved monitoring via x-ray imaging. The retractor may have a rigid retractor and a soft tissue retractor, where the rigid retractor has a plurality of legs and the soft tissue retractor extends between the legs to prevent soft tissue from extending between said legs. The retractor may have a bendable arm with an implement holder, such as distal cuff or clip adapted to resiliently hold an implement such as a tube of an elongated port-access device. A method involves partly installing the surgical site retractor, expanding the surgical site retractor, deploying the surgical implement from outside the body through the incision and into the patient, resiliently capturing the implement with the holder of the arm, and bending the arm to hold the implement in a desired position.
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公开(公告)号：US20170281346A1
公开(公告)日：2017-10-05
申请号：US15625801
申请日：2017-06-16
Applicant: Edwards Lifesciences Corporation
Inventor： Salvador Marquez , Brian S. Conklin , Manouchehr A. Miraki , Yoon H. Kwon
CPC classification number: A61F2/2445 , A61B17/02 , A61B17/0487 , A61B2017/0237 , A61B2017/0488 , A61F2/2409 , A61F2/2412 , A61F2/2448
Abstract: A cardiac implant system including a cardiac implant such as an annuloplasty ring, a prosthetic heart valve, or a valved conduit pre-assembled at the time of manufacture with devices for securing the implant to a heart valve annulus using knotless suture fasteners. The knotless suture fasteners may be embedded within a pliant sealing edge of the cardiac implant, or they may be positioned adjacent to the sealing edge. The knotless suture fasteners are spring-biased so as to grip onto annulus anchoring sutures pass to therethrough upon removal of a restraining device, such as a hypotube inserted within the suture fasteners. Guide tubes are assembled in line with the suture fasteners to permit introduction of suture snares that pass through the suture fasteners and through the sealing edge to facilitate capture of the pre-installed annulus anchoring sutures.
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公开(公告)号：US09549730B2
公开(公告)日：2017-01-24
申请号：US14658575
申请日：2015-03-16
Applicant: Edwards Lifesciences Corporation
Inventor： Travis Zenyo Oba , Michael C. Murad , Manouchehr A. Miraki , Anthony Peter Carcia , Fabian Daniel Schroeder , Raffaele Mazzei , Tyler Douglas Smith
IPC: A61B17/04
CPC classification number: A61B17/0487 , A61B1/04 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B90/30 , A61B2017/00526 , A61B2017/00561 , A61B2017/00783 , A61B2017/00867 , A61B2017/0488
Abstract: Suture clip deployment devices for applying suture clips to sutures are described. Some embodiments can include a generally tubular main body and a vacuum port located at the distal end, a hollow inner body longitudinally slidable within the main body and extending from the main body at its distal end, and a suture recess located in the generally tubular main body. At least one suture clip configured to frictionally fit on an outer surface of the inner body is deployed during use. Clip deployment can occur after a vacuum source is applied to the device so as to draw the suture into the device. The suture lines can be retrieved through the suture recess, and the device can be actuated so as to deliver the suture clip off the delivery device and onto the suture, locking the suture in place.
Abstract translation: 描述了将缝合夹施加到缝合线的缝线夹部署装置。 一些实施例可以包括大致管状的主体和位于远端的真空端口，可在主体内纵向滑动并在其远端处从主体延伸的中空内体，以及位于大致管状主体中的缝合凹槽 身体。 构造成摩擦配合在内体的外表面上的至少一个缝合夹在使用期间展开。 在将真空源施加到设备上以便将缝合线拉入设备之后，可以进行夹持部署。 缝合线可以通过缝合线凹槽回收，并且该装置可以被致动以便将缝线夹从输送装置输送到缝合线上，将缝合线锁定就位。
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公开(公告)号：US20160213371A1
公开(公告)日：2016-07-28
申请号：US14773129
申请日：2015-05-22
Applicant: EDWARDS LIFESCIENCES CORPORATION
Inventor： Manouchehr A. Miraki
Abstract: Described herein are systems and methods for securing sutures that obviate the need for tying knots. Disclosed suture clips can comprise a first part and a second part that are attachable together to secure one or more sutures in a suture engagement region between the first and second parts. The first and second parts can include locking projections and slots at opposing ends of the suture engagement region to align the two parts, contain sutures, and/or secure the clip onto sutures. When the first and second parts are attached together, first engagement features of the first part inter-engage with second engagement features of the second part to grip and secure sutures within suture engagement region. An exemplary delivery device has hold a plurality of such suture clips in an elongated shaft portion and deploy the clips successively to sutures via actuation of a handle portion.
Abstract translation: 这里描述的是用于固定缝合线的系统和方法，其消除了结束结的需要。 公开的缝合夹可以包括第一部分和第二部分，第一部分和第二部分可附接在一起以将一个或多个缝合线固定在第一和第二部分之间的缝合线接合区域中。 第一和第二部分可以包括在缝合线接合区域的相对端处的锁定突起和狭槽，以对准两个部分，包含缝合线和/或将夹子固定在缝合线上。 当第一和第二部分附接在一起时，第一部分的第一接合特征与第二部分的第二接合特征相互啮合，以将缝合线夹紧并固定在缝合线接合区域内。 示例性递送装置将多个这样的缝合夹保持在细长的轴部分中，并且通过手柄部分的致动将夹子顺序地布置到缝合线上。
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公开(公告)号：US09017347B2
公开(公告)日：2015-04-28
申请号：US13715640
申请日：2012-12-14
Applicant: Edwards Lifesciences Corporation
Inventor： Travis Zenyo Oba , Michael C. Murad , Manouchehr A. Miraki , Anthony Peter Carcia , Fabian Daniel Schroeder , Raffaele Mazzei , Tyler Douglas Smith
CPC classification number: A61B17/0487 , A61B1/04 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B90/30 , A61B2017/00526 , A61B2017/00561 , A61B2017/00783 , A61B2017/00867 , A61B2017/0488
Abstract: Suture clip deployment devices for applying suture clips to sutures are described. Some embodiments can include a generally tubular main body and a vacuum port located at the distal end, a hollow inner body longitudinally slidable within the main body and extending from the main body at its distal end, and a suture recess located in the generally tubular main body. At least one suture clip configured to frictionally fit on an outer surface of the inner body is deployed during use. Clip deployment can occur after a vacuum source is applied to the device so as to draw the suture into the device. The suture lines can be retrieved through the suture recess, and the device can be actuated so as to deliver the suture clip off the delivery device and onto the suture, locking the suture in place.
Abstract translation: 描述了将缝合夹施加到缝合线的缝线夹部署装置。 一些实施例可以包括大致管状的主体和位于远端的真空端口，可在主体内纵向滑动并在其远端处从主体延伸的中空内体，以及位于大致管状主体中的缝合凹槽 身体。 构造成摩擦配合在内体的外表面上的至少一个缝合夹在使用期间展开。 在将真空源施加到设备上以便将缝合线拉入设备之后，可以进行夹持部署。 缝合线可以通过缝合线凹槽回收，并且该装置可以被致动以便将缝线夹从输送装置输送到缝合线上，将缝合线锁定就位。
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