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    KNOTLESS SUTURE ANCHORING DEVICES AND TOOLS FOR IMPLANTS
    131.
    发明申请
    KNOTLESS SUTURE ANCHORING DEVICES AND TOOLS FOR IMPLANTS 有权
    无缝固定锚固装置和工具

    公开(公告)号：US20130158600A1

    公开(公告)日：2013-06-20

    申请号：US13719009

    申请日：2012-12-18

    Applicant: Edwards Lifesciences Corporation

    Inventor： Brian S. Conklin ,  Louis A. Campbell ,  Salvador Marquez

    IPC: A61B17/04

    CPC classification number: A61F2/2427 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0483 ,  A61B17/0487 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61F2/2412 ,  A61F2/2466

    Abstract: Devices for securing prostheses such as heart valves or annuloplasty rings with sutures and without using knots are disclosed. The devices are particularly well suited for traditional surgery or minimally invasive surgery, and improve the ease of implantation by eliminating surgical knots a clinician would normally tie in the limited space in and around the implant site. The devices have opposed the clamp halves surrounded by a coil spring. Sutures pass between the clamp halves and the coil spring has an inner coil diameter sufficient to compress the sutures between the clamp. A retention member positioned between the clamp halves maintains a minimum space and therebetween to enable the locking device to be slid along the sutures into position, and to adjust the tension of the sutures therethrough. A delivery tool may be used to deliver and deploy the locking devices.

    Abstract translation: 公开了用于固定假体的装置，例如具有缝合线并且不使用结的心脏瓣膜或瓣环成形术环。 该装置特别适用于传统手术或微创手术，并通过消除手术结，提高植入的容易程度，临床医生通常会将植入部位内部和周围的有限空间结合在一起。 这些装置相对于由螺旋弹簧包围的夹子半部。 缝线穿过钳夹半部之间并且螺旋弹簧具有足以压缩夹具之间的缝合线的内线圈直径。 定位在夹钳半部之间的保持构件保持最小空间并且在其间，使得锁定装置能够沿着缝线滑动到位，并且通过其调节缝合线的张力。 传送工具可用于传送和部署锁定装置。

    Methods of dynamic annuloplasty ring sizing
    133.
    发明授权
    Methods of dynamic annuloplasty ring sizing 有权

    公开(公告)号：US11883295B2

    公开(公告)日：2024-01-30

    申请号：US16935555

    申请日：2020-07-22

    Applicant: Edwards Lifesciences Corporation

    Inventor： Brian S. Conklin

    IPC: A61F2/24 ,  A61B5/107 ,  A61B5/00 ,  A61B90/00

    CPC classification number: A61F2/2496 ,  A61B5/1076 ,  A61B5/6869 ,  A61F2/2445 ,  A61F2/2472 ,  A61B5/107 ,  A61B5/6852 ,  A61B90/06 ,  A61B2090/0807 ,  A61F2250/001 ,  A61F2250/0097

    Abstract: A dynamic, adjustable annuloplasty ring sizer can include an adjustable ring replica, which can be adjusted through a range of sizes corresponding to available prosthetic annuloplasty repair ring sizes. Actuation of an adjustment trigger on a handle portion of the ring sizer can displace tension wires that extend through a malleable shaft and through a plurality of articulating segments that form the ring replica. Displacement of the tension wires causes flexion of the joints between adjacent articulating segments, thereby reducing the overall size of the ring replica. Releasing the tension wires can allow an elastic extension wire to act on the ring replica, enlarging the ring replica to its maximum, at-rest size. In this manner, the appropriate size of annuloplasty ring prosthesis can be determined with a single device, without requiring a plurality of static ring sizers that require individual insertion and placement for the conventional trial-and-error sizing methods.

    Prosthetic mitral valve holders
    135.
    发明授权
    Prosthetic mitral valve holders 有权

    公开(公告)号：US11717404B2

    公开(公告)日：2023-08-08

    申请号：US16936364

    申请日：2020-07-22

    Applicant: Edwards Lifesciences Corporation

    Inventor： Brian S. Conklin ,  Derrick Johnson

    IPC: A61F2/24 ,  A61B17/00 ,  A61F2/95

    CPC classification number: A61F2/2427 ,  A61B17/00234 ,  A61B2017/00398 ,  A61B2017/00407 ,  A61B2017/00477 ,  A61F2/2418 ,  A61F2/9517

    Abstract: Valve holders and introducers for delivering a prosthetic heart valve to an implant site are in various embodiments configured to facilitate insertion of prosthetic valves through small incisions or access sites on a patient's body. The valve holders can also be configured to reduce or eliminate the occurrence of suture looping or other damage to the prosthetic valve during implantation. A valve holder according to embodiments of the invention includes features that reduce or eliminate mistakes during implantation of the prosthetic valves, such as a removable activator dial and a removable handle that prevent implantation of the valve prior to proper deployment or adjustment of the holder. An introducer is provided which can facilitate passing of a prosthetic valve between adjacent ribs of a patient. Valve holders and introducers according to the various embodiments can be used in minimally invasive procedures, such as thoracotomy procedures.

    EXPANDABLE ANNULOPLASTY RINGS
    138.
    发明公开
    EXPANDABLE ANNULOPLASTY RINGS 审中-公开

    公开(公告)号：US20230181320A1

    公开(公告)日：2023-06-15

    申请号：US18167720

    申请日：2023-02-10

    Applicant: EDWARDS LIFESCIENCES CORPORATION

    Inventor： Louis A. Campbell ,  Rodolfo Rodriguez ,  Da-Yu Chang ,  Gregory Bak-Boychuk ,  Brian S. Conklin ,  Amy E. Munnelly

    IPC: A61F2/24

    CPC classification number: A61F2/2448 ,  A61F2250/0029 ,  A61F2250/0036

    Abstract: A mitral repair annuloplasty ring that will accommodate implantation of a transcatheter valve therein for a valve-in-ring reoperation. The ring has a semi-rigid core with features that allow the ring to better conform to the cylindrical geometry of a transcatheter valve when implanted. The inner core defines a continuous peripheral D-shape with a substantially straight anterior side diametrically across from a more rounded posterior side with arcuate lateral sides therebetween. Segments of the ring core are subject to differing rates of bending due to variable radial thicknesses or radial slits opening to both inner and outer edges around the core periphery. One or more expansion joints may also be used to create the more circular final expanded shape. A plastically expandable sealing sleeve may surround the transcatheter valve for sealing gaps between the valve and annuloplasty ring.

    Hybrid heart valves
    140.
    发明授权
    Hybrid heart valves 有权

    公开(公告)号：US11654020B2

    公开(公告)日：2023-05-23

    申请号：US16666331

    申请日：2019-10-28

    Applicant: Edwards Lifesciences Corporation

    Inventor： Brian S. Conklin ,  Qinggang Zeng ,  Myron Howanec, Jr. ,  Grace Myong Kim

    IPC: A61F2/24

    CPC classification number: A61F2/2418 ,  A61F2/2409 ,  A61F2210/0057 ,  A61F2220/0075 ,  A61F2230/0069 ,  A61F2250/001 ,  A61F2250/006 ,  A61F2250/0018 ,  A61F2250/0048 ,  A61F2250/0097

    Abstract: A prosthetic heart valve configured to replace a native heart valve and having a support frame configured to be reshaped into an expanded form in order to receive and/or support an expandable prosthetic heart valve therein is disclosed, together with methods of using same. The prosthetic heart valve may be configured to have a generally rigid and/or expansion-resistant configuration when initially implanted to replace a native valve (or other prosthetic heart valve), but to assume a generally expanded form when subjected to an outward force such as that provided by a dilation balloon or other mechanical expander. An inflow stent frame is expandable for anchoring the valve in place, and may have an outflow end that is collapsible to a limited degree for delivery and expandable post-implant to facilitate valve-in-valve (ViV) procedures. The hybrid heart valves eliminate earlier structural bands, which both reduces manufacturing time and facilitates ViV procedures.

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