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公开(公告)号:US12127938B2
公开(公告)日:2024-10-29
申请号:US18212102
申请日:2023-06-20
Applicant: EDWARDS LIFESCIENCES CORPORATION
Inventor: Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
CPC classification number: A61F2/2433 , A61F2/2436 , A61M25/0136 , A61M25/0662 , A61F2/9517 , A61F2/958 , A61M25/0045 , A61M25/005 , A61M25/0147 , A61M39/0613
Abstract: Assemblies and delivery apparatus for delivering a medical device into a patient's vasculature are disclosed. In some examples, an assembly includes a delivery apparatus and a radially compressible and expandable prosthetic heart valve. The delivery apparatus includes a handle, a first shaft and a second shaft extending from the handle, and a locking mechanism to prevent axial movement of the second shaft relative to first shaft. The second shaft extends coaxially through the first shaft and includes, at a distal end portion thereof, a balloon, one or more radiopaque markers, and the prosthetic valve radially compressed over the balloon. A flared end piece extending from the first shaft covers a proximal portion of the balloon during advancing of the delivery apparatus through a patient's vasculature. The first shaft is retractable relative to the second shaft to expose the balloon from the flared end piece.
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公开(公告)号:US20240024067A1
公开(公告)日:2024-01-25
申请号:US18476857
申请日:2023-09-28
Applicant: EDWARDS LIFESCIENCES CORPORATION
Inventor: Robert Bowes , Sergio Delgado , Ismail Thazhapilavil , Mindy Lee Ann Black , Waina Michelle Chu , Michael J. Popp , Hsingching C. Hsu , Raffi Sempad Pinedjian , Scot Herbst , Jeffrey William Servaites , Carl Hermann James Poppe
IPC: A61B90/57
CPC classification number: A61B90/57 , A61B2090/571 , A61M25/0113
Abstract: A stabilizing base includes one or more legs and a platform attached to the one or more legs. One or more of a height of the platform relative to an operating table, a position of the platform along a width of the operating table, a position of the platform along a length of the operating table, and an angular position of the platform relative to the operating table can be adjusted.
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公开(公告)号:US20230380966A1
公开(公告)日:2023-11-30
申请号:US18231186
申请日:2023-08-07
Applicant: EDWARDS LIFESCIENCES CORPORATION
Inventor: Thanh Huy Le , Tri D. Tran , Ronaldo C. Cayabyab , David M. Taylor , Antonio O. Vidal , Robert Bowes , Tram Ngoc Nguyen , Walter Lee
CPC classification number: A61F2/2433 , A61M25/01 , A61M25/10 , A61M25/1011 , A61M25/0147 , A61F2/2427 , A61F2/2418 , A61M25/0105 , A61M2025/0681
Abstract: A method of delivery a prosthetic heart valve includes inserting a delivery apparatus and a prosthetic heart valve into a patient's vasculature. The delivery apparatus includes a steerable guide catheter, a balloon catheter, and a flex indicator. The balloon catheter extends coaxially through the guide catheter, the prosthetic heart valve is mounted on a distal end portion of the balloon catheter, and the flex indicator is movably coupled to a handle of the guide catheter. The method further includes adjusting flexion of a steerable section of the guide catheter to position the prosthetic heart valve. The flex indicator moves relative to the handle of the guide catheter as the flexion of the steerable section is adjusted, and the handle comprises one or more visual indicators adjacent the flex indicator to provide visual indication of an amount of flexion of the steerable section of the guide catheter.
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公开(公告)号:US11589986B2
公开(公告)日:2023-02-28
申请号:US16991508
申请日:2020-08-12
Applicant: Edwards Lifesciences Corporation
Inventor: Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
Abstract: Embodiments of the present disclosure provide a delivery apparatus for a prosthetic heart valve. Disclosed delivery apparatuses can include a handle, a first shaft extending from the handle, a second shaft disposed around the first shaft, and a valve cover. The valve cover can be coupled to a distal end portion of the first shaft and can be configured to house a prosthetic heart valve in a radially compressed state. The valve cover can have an outer diameter greater than an outer diameter of the second shaft, and the first shaft and valve cover can be movable together in an axial direction relative to the second shaft.
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公开(公告)号:US20220168096A1
公开(公告)日:2022-06-02
申请号:US17651667
申请日:2022-02-18
Applicant: Edwards Lifesciences Corporation
Inventor: Hamid Rafi , Russell T. Joseph , Robert Bowes , Uy D. Trinh , Emil Karapetian , Gregory Bak-Boychuk
IPC: A61F2/24
Abstract: Pinch devices and access systems that can be used to secure a prosthetic heart valve to a heart valve annulus and to treat valvular insufficiency. A pinch device can be a separate expandable element from the prosthetic heart valve that is first advanced to the annulus and deployed, after which an expandable prosthetic heart valve can be advanced to within the annulus and deployed. The two elements can clamp/pinch the heart valve leaflets to hold the prosthetic heart valve in place. The pinch device can have a flexible, expandable annular frame. A combined delivery system can deliver the pinch device and prosthetic heart valve with just a single access point and aid more accurate coaxial deployment. The pinch device can be mounted near distal end of an access sheath, and a catheter for delivering the prosthetic heart valve can be passed through a lumen of the same access sheath.
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公开(公告)号:US11129715B2
公开(公告)日:2021-09-28
申请号:US17073076
申请日:2020-10-16
Applicant: Edwards Lifesciences Corporation
Inventor: Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
Abstract: Embodiments of the present disclosure provide an introducer device and method for introducing a delivery apparatus into a patient's vasculature. Disclosed methods can include positioning a sleeve of an introducer sheath in a blood vessel of a patient, the sleeve having a lattice layer with a lumen therethrough, inserting a distal end portion of the delivery apparatus and a prosthetic heart valve into the lumen, and advancing the distal end portion of the delivery apparatus through the lumen from the proximal end to the distal end. The method can then include expanding the lumen from a first diameter smaller to a second diameter at least equal to the diameter of the prosthetic heart valve to allow passage of the prosthetic heart valve through the lumen, and returning the lumen of the sleeve to a diameter smaller than the second diameter after advancing the prosthetic heart valve through the lumen.
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公开(公告)号:US11123185B2
公开(公告)日:2021-09-21
申请号:US17014496
申请日:2020-09-08
Applicant: Edwards Lifesciences Corporation
Inventor: Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
Abstract: Embodiments of the present disclosure provide a delivery apparatus for a prosthetic heart valve. Disclosed delivery apparatuses can include a housing, a steerable shaft, a slide nut, and a threaded shaft disposed over the slide nut. The slide nut can have an external threaded surface and an internal surface comprising a slot. The threaded shaft can have an internal threaded surface engaging the external threaded surface of the slide nut. The delivery apparatus can further include an elongated nut guide extending into the slot of the nut to restrain the slide nut against rotation relative to the housing, and a pull wire having a proximal end portion extending into the housing and coupled to the slide nut, and a distal end portion coupled to a distal end portion of the steerable shaft. The threaded shaft can be rotatable relative to the housing to produce axial movement of the slide nut within the threaded shaft.
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公开(公告)号:US20200368021A1
公开(公告)日:2020-11-26
申请号:US16991508
申请日:2020-08-12
Applicant: Edwards Lifesciences Corporation
Inventor: Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
Abstract: Embodiments of the present disclosure provide a delivery apparatus for a prosthetic heart valve. Disclosed delivery apparatuses can include a handle, a first shaft extending from the handle, a second shaft disposed around the first shaft, and a valve cover. The valve cover can be coupled to a distal end portion of the first shaft and can be configured to house a prosthetic heart valve in a radially compressed state. The valve cover can have an outer diameter greater than an outer diameter of the second shaft, and the first shaft and valve cover can be movable together in an axial direction relative to the second shaft.
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公开(公告)号:US20190110895A1
公开(公告)日:2019-04-18
申请号:US16216246
申请日:2018-12-11
Applicant: Edwards Lifesciences Corporation
Inventor: Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
Abstract: Embodiments of the present disclosure provide an introducer device for introducing a medical device into a patient's vasculature. In one embodiment, the introducer device comprises a housing, a distal sheath adapted to be inserted into a patient's vasculature with the housing positioned outside of the patient's vasculature, a hemostatic seal mounted within the housing, and a tube positioned within the housing and movable longitudinally relative to the hemostatic seal between a proximal position and a distal position. In the proximal position, a distal end of the tube is positioned proximal to the hemostatic seal with the hemostatic seal closed. In the distal position, the distal end of the tube extends through the hemostatic seal and permits the medical device to be inserted through the housing and into the patient's vasculature without contacting the hemostatic seal.
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公开(公告)号:US20190083260A1
公开(公告)日:2019-03-21
申请号:US16197245
申请日:2018-11-20
Applicant: Edwards Lifesciences Corporation
Inventor: Thanh Huy Le , Tri D. Tran , Ronaldo C. Cayabyab , David M. Taylor , Antonio O. Vidal , Robert Bowes
CPC classification number: A61F2/2433 , A61F2/2418 , A61F2/2427 , A61F2/2436 , A61F2002/9517 , A61M25/01 , A61M25/0105 , A61M25/0147 , A61M25/10 , A61M25/1011 , A61M2025/0681 , A61M2025/1081 , A61M2025/1093
Abstract: A method of delivery a prosthetic heart valve includes inserting a delivery apparatus and a prosthetic heart valve into a patient's vasculature. The delivery apparatus includes a steerable guide catheter, a balloon catheter, and a flex indicator. The balloon catheter extends coaxially through the guide catheter, the prosthetic heart valve is mounted on a distal end portion of the balloon catheter, and the flex indicator is movably coupled to a handle of the guide catheter. The method further includes adjusting flexion of a steerable section of the guide catheter to position the prosthetic heart valve. The flex indicator moves relative to the handle of the guide catheter as the flexion of the steerable section is adjusted, and the handle comprises one or more visual indicators adjacent the flex indicator to provide visual indication of an amount of flexion of the steerable section of the guide catheter.
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