COMPRESSIBLE HEART VALVE ANNULUS SIZING TEMPLATES

    公开(公告)号:US20220117738A1

    公开(公告)日:2022-04-21

    申请号:US17645940

    申请日:2021-12-23

    Abstract: Compressible heart valve annulus sizing templates suitable for minimally-invasive or otherwise reduced accessibility surgeries. The sizing templates may be folded, rolled, or otherwise compressed into a reduced configuration for passage through an access tube or other such access channel. Once expelled from the access tube the sizing templates expand to their original shape for use in sizing the annulus. The templates may be formed of an elastomeric polymer material such as silicone, a highly elastic metal such as NITINOL, or both. Grasping tabs or connectors for handles permit manipulation from outside the body. A NITINOL wireform may be compressed for passage through an access tube and expelled from the distal end thereof into a cloth cover to assume a sizer shape.

    HEART VALVE WITH REDUCED CALCIFICATION
    13.
    发明申请

    公开(公告)号:US20190151083A1

    公开(公告)日:2019-05-23

    申请号:US16253051

    申请日:2019-01-21

    Abstract: A method for manufacturing a heart valve using bioprosthetic tissue that exhibits reduced in vivo calcification. The method includes applying a calcification mitigant such as a capping agent or an antioxidant to the tissue to specifically inhibit oxidation in tissue. Also, the method can be used to inhibit oxidation in dehydrated tissue. The capping agent suppresses the formation of binding sites in the tissue that are exposed or generated by the oxidation and otherwise would, upon implant, attract calcium, phosphate, immunogenic factors, or other precursors to calcification. In one method, tissue leaflets in assembled bioprosthetic heart valves are pretreated with an aldehyde capping agent prior to dehydration and sterilization.

    Self-cinching surgical clips and delivery system

    公开(公告)号:US10245037B2

    公开(公告)日:2019-04-02

    申请号:US15600072

    申请日:2017-05-19

    Abstract: A device and method for deploying self-cinching surgical clips. The device accesses at least two layers of tissue or material from only one side of the tissue or material and punctures through the two layers of tissue or material. The various configurations of clips disclosed herein are made of a superelastic material such as Nitinol, and have a constrained and a relaxed state, and no sharp edges or tips so as to reduce tissue irritation following deployment. The clip is disposed within the housing of the delivery device and held in a constrained state by a tube assembly until deployment wherein the clip assumes its relaxed state, where the ends of the clip are brought into close approximation, thereby securing the layers of tissue or material together.

    PRE-STRESSING AND CAPPING BIOPROSTHETIC TISSUE

    公开(公告)号:US20180147323A1

    公开(公告)日:2018-05-31

    申请号:US15879339

    申请日:2018-01-24

    Abstract: A treatment for bioprosthetic tissue used in implants or for assembled bioprosthetic heart valves to reduce in vivo calcification is disclosed. The method includes preconditioning, pre-stressing, or pre-damaging fixed bioprosthetic tissue in a manner that mimics the damage associated with post-implant use, while, and/or subsequently applying a calcification mitigant such as a capping agent or a linking agent to the damaged tissue. The capping agent suppresses the formation of binding sites in the tissue that are exposed or generated by the damage process (service stress) and otherwise would, upon implant, attract calcium, phosphate, immunogenic factors, or other precursors to calcification. The linking agent will act as an elastic reinforcement or shock-absorbing spring element in the tissue structure at the site of damage from the pre-stressing. In one method, tissue leaflets in assembled bioprosthetic heart valves are preconditioned by simulating actual flow conditions for a predetermined number of cycles, during or after which the valve is exposed to the capping agent.

    SELF-CINCHING SURGICAL CLIPS AND DELIVERY SYSTEM
    18.
    发明申请
    SELF-CINCHING SURGICAL CLIPS AND DELIVERY SYSTEM 有权
    自我修复手术和输送系统

    公开(公告)号:US20150173759A1

    公开(公告)日:2015-06-25

    申请号:US14637177

    申请日:2015-03-03

    Abstract: A device and method for deploying self-cinching surgical clips. The device accesses at least two layers of tissue or material from only one side of the tissue or material and punctures through the two layers of tissue or material. The various configurations of clips disclosed herein are made of a superelastic material such as Nitinol, and have a constrained and a relaxed state, and no sharp edges or tips so as to reduce tissue irritation following deployment. The clip is disposed within the housing of the delivery device and held in a constrained state by a tube assembly until deployment wherein the clip assumes its relaxed state, where the ends of the clip are brought into close approximation, thereby securing the layers of tissue or material together.

    Abstract translation: 一种用于部署自闭式手术夹的装置和方法。 该装置仅从组织或材料的一侧接近至少两层组织或材料,并穿刺穿过两层组织或材料。 本文公开的夹子的各种构造由超弹性材料(例如镍钛诺)制成,并且具有约束和松弛状态,并且没有锋利的边缘或尖端,以便在部署之后减少组织刺激。 夹子设置在输送装置的壳体内,并通过管组件保持在约束状态,直到展开为止,其中夹子呈现其松弛状态,其中夹子的端部被近似近似,从而固定组织层或 材料在一起

    Capping bioprosthetic tissue to reduce calcification
    19.
    发明授权
    Capping bioprosthetic tissue to reduce calcification 有权
    盖住生物假体组织以减少钙化

    公开(公告)号:US09029418B2

    公开(公告)日:2015-05-12

    申请号:US14139367

    申请日:2013-12-23

    Abstract: A treatment for bioprosthetic tissue used in implants or for assembled bioprosthetic heart valves to reduce in vivo calcification. The method includes applying a calcification mitigant such as a capping agent or an antioxidant to the tissue to specifically inhibit oxidation in tissue. Also, the method can be used to inhibit oxidation in dehydrated tissue. The capping agent suppresses the formation of binding sites in the tissue that are exposed or generated by the oxidation and otherwise would, upon implant, attract calcium, phosphate, immunogenic factors, or other precursors to calcification. In one method, tissue leaflets in assembled bioprosthetic heart valves are pretreated with an aldehyde capping agent prior to dehydration and sterilization.

    Abstract translation: 用于植入物或组装的生物假体心脏瓣膜中用于减少体内钙化的生物假体组织的治疗。 该方法包括将钙化缓解剂如封端剂或抗氧化剂施用于组织以特异性抑制组织中的氧化。 此外,该方法可用于抑制脱水组织中的氧化。 封端剂抑制由氧化暴露或产生的组织中的结合位点的形成,否则在植入时会吸引钙,磷酸盐,免疫原性因子或钙化的其它前体。 在一种方法中,组装的生物假体心脏瓣膜中的组织小叶在脱水和灭菌之前用醛封端剂预处理。

    Self-cinching surgical clips and delivery system
    20.
    发明授权
    Self-cinching surgical clips and delivery system 有权
    自体手术夹子和输送系统

    公开(公告)号:US08968336B2

    公开(公告)日:2015-03-03

    申请号:US13693952

    申请日:2012-12-04

    Abstract: A device and method for deploying self-cinching surgical clips. The device accesses at least two layers of tissue or material from only one side of the tissue or material and punctures through the two layers of tissue or material. The various configurations of clips disclosed herein are made of a superelastic material such as Nitinol, and have a constrained and a relaxed state, and no sharp edges or tips so as to reduce tissue irritation following deployment. The clip is disposed within the housing of the delivery device and held in a constrained state by a tube assembly until deployment wherein the clip assumes its relaxed state, where the ends of the clip are brought into close approximation, thereby securing the layers of tissue or material together.

    Abstract translation: 一种用于部署自闭式手术夹的装置和方法。 该装置仅从组织或材料的一侧接近至少两层组织或材料,并穿刺穿过两层组织或材料。 本文公开的夹子的各种构造由超弹性材料(例如镍钛诺)制成,并且具有约束和松弛状态,并且没有锋利的边缘或尖端,以便在部署之后减少组织刺激。 夹子设置在输送装置的壳体内,并通过管组件保持在约束状态,直到展开为止,其中夹子呈现其松弛状态,其中夹子的端部被近似逼近,由此固定组织层或 材料在一起

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