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公开(公告)号：US20180303608A1
公开(公告)日：2018-10-25
申请号：US16017465
申请日：2018-06-25
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 , A61F2/958 , A61F2002/9517 , A61M25/0045 , A61M25/005 , A61M25/0136 , A61M25/0662 , A61M39/0613
Abstract: An assembly includes a prosthetic heart valve and a delivery apparatus for implanting the prosthetic heart valve within the native aortic valve of a patient. The prosthetic heart valve has a radially compressible and expandable metallic stent and a flexible valvular structure mounted within the stent. The delivery apparatus has a handle, a first shaft having a proximal end portion and a distal end portion, a second shaft extending co-axially through the first shaft and having a proximal end portion and a distal end portion, the proximal end portions of the first and second shafts extending distally from the handle, a valve cover coupled to the distal end portion of the first shaft, and a nose piece coupled to the distal end portion of the second shaft.
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公开(公告)号：US20160235532A1
公开(公告)日：2016-08-18
申请号：US15136735
申请日：2016-04-22
Applicant: Edwards Lifesciences Corporation
Inventor： Tri D. Tran , Ronaldo C. Cayabyab , David J. Evans , Sean Chow , Christopher Chia
IPC: A61F2/24
CPC classification number: A61F2/2433 , A61F2/958 , A61F2002/485 , A61F2002/9517 , A61F2002/9586 , A61F2250/0003 , A61F2250/0021 , A61M25/1002 , A61M25/10184 , A61M2025/1013 , A61M2025/1084
Abstract: Described herein are systems and methods from delivering prosthetic devices, such as prosthetic heart valves, through the body and into the heart for implantation therein. The prosthetic devices delivered with the delivery systems disclosed herein are, for example, radially expandable from a radially compressed state mounted on the delivery system to a radially expanded state for implantation using an inflatable balloon of the delivery system. Exemplary delivery routes through the body and into the heart include transfemoral routes, transapical routes, and transaortic routes, among others.
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公开(公告)号：US20160158009A1
公开(公告)日：2016-06-09
申请号：US15042049
申请日：2016-02-11
Applicant: Edwards Lifesciences Corporation
Inventor： Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
IPC: A61F2/24
CPC classification number: A61F2/2433 , A61F2/2436 , A61F2/958 , A61F2002/9517 , A61M25/0045 , A61M25/005 , A61M25/0136 , A61M25/0662 , A61M39/0613
Abstract: Embodiments of the present disclosure provide a delivery apparatus for delivering a prosthetic heart valve to a native valve site via the human vasculature without the need for a separate introducer sheath. The delivery apparatus is particularly well-suited for advancing a prosthetic valve through the aorta (i.e., in a retrograde approach) for replacing a stenotic aortic valve.
Abstract translation: 本公开的实施例提供了一种用于经由人类脉管系统将假体心脏瓣膜递送至自然瓣膜部位而不需要单独导引鞘的输送装置。 输送装置特别适用于通过主动脉推进人造瓣膜（即逆行方法），以更换狭窄的主动脉瓣。
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公开(公告)号：US11883285B2
公开(公告)日：2024-01-30
申请号：US17003836
申请日：2020-08-26
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 , A61F2/958 , A61F2/9517 , A61M25/005 , A61M25/0045 , A61M25/0147 , A61M39/0613
Abstract: Embodiments of the present disclosure provide an introducer device and methods for introducing a medical device into a patient's vasculature. In one embodiment, a method of using an introducer device including a housing, a hemostatic seal mounted within the housing, and a tube extending into the housing and movable longitudinally relative to the hemostatic seal between a proximal position and a distal position, includes moving the tube to the distal position such that the distal end of the tube extends through the hemostatic seal. The method further includes inserting a distal end portion of the medical device through the tube and into the patient's vasculature without contacting the hemostatic seal.
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公开(公告)号：US20230074408A1
公开(公告)日：2023-03-09
申请号：US17985009
申请日：2022-11-10
Applicant: Edwards Lifesciences Corporation
Inventor： Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
Abstract: A method for replacing a stenotic native aortic valve of a patient can include inserting a delivery apparatus into a femoral artery of the patient, the delivery apparatus having a first shaft extending from the handle, a second shaft disposed around the first shaft, a third shaft extending through the second shaft, and a valve cover coupled to the first shaft. The valve cover can be in a first state housing an entirety of a prosthetic heart valve and retaining the prosthetic heart valve in a radially compressed state during the act of inserting. The method can further include advancing the delivery apparatus through the aorta of the patient to position the valve cover and the prosthetic heart valve within the native aortic valve, and moving the valve cover longitudinally from the first state to a second state in which the entirety of the prosthetic heart valve is uncovered.
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Patent Agency Ranking
公开(公告)号：US20210030540A1
公开(公告)日：2021-02-04
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：US20200375735A1
公开(公告)日：2020-12-03
申请号：US16994945
申请日：2020-08-17
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 steerable catheters can include a handle, a steerable shaft extending from the handle, and a pull wire. The shaft can include a main lumen, an inner polymeric layer surrounding the main lumen, a braided layer surrounding the inner polymeric layer, and an outer polymeric layer surrounding the braided layer, the outer polymeric layer defining a pull wire lumen. The pull wire can extend from the handle and through the pull wire lumen and can have a distal end portion coupled to a distal end portion of the shaft.
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公开(公告)号：US10478296B2
公开(公告)日：2019-11-19
申请号：US16197244
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
Abstract: An apparatus for delivering a prosthetic heart valve includes a steerable guide catheter, a balloon catheter, and a flex indicator. The guide catheter has a handle and a guide tube extending from the handle. The guide tube has a distal end portion comprising a steerable section. The guide catheter further includes an adjustment mechanism on the handle and a pull wire connecting the adjustment mechanism to the steerable section for changing flexion of the steerable section. The balloon catheter includes a shaft extending coaxially through the guide tube. The shaft includes a proximal end portion and a distal end portion. The balloon catheter further includes a balloon mounted on the distal end portion of the shaft. The flex indicator moves relative to the handle upon adjustment of the adjustment mechanism. The handle includes visual indicia adjacent the flex indicator to provide visual indication of the flexion of the steerable section.
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公开(公告)号：US10456253B2
公开(公告)日：2019-10-29
申请号：US14736117
申请日：2015-06-10
Applicant: Edwards Lifesciences Corporation
Inventor： Thanh Huy Le , Tri D. Tran , Ronaldo C. Cayabyab , David M. Taylor , Antonio O. Vidal , Robert Bowes
Abstract: A heart valve delivery apparatus includes a valve carrying member. A prosthetic valve is crimped onto the valve carrying member at a location that is distal or proximal to the balloon member, thereby providing a smaller profile delivery apparatus.
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公开(公告)号：US10076638B2
公开(公告)日：2018-09-18
申请号：US14949707
申请日：2015-11-23
Applicant: Edwards Lifesciences Corporation
Inventor： Tri D. Tran , Sean Chow , Ronaldo C. Cayabyab
CPC classification number: A61M25/0147 , A61F2/2427 , A61F2/2436 , A61M25/0071 , A61M25/0136 , A61M2025/0161
Abstract: In one representative embodiment, a steerable catheter device comprises a shaft comprising a proximal portion, a distal portion, and a pull-wire lumen that extends at least partially through the proximal and distal portions. A pull wire extends through the pull-wire lumen and has a proximal end portion and a distal end portion, wherein the distal end portion of pull wire is fixed to the distal end portion of the shaft. An adjustment mechanism is operatively connected to the proximal end portion of the pull wire and configured to increase and decrease tension in the pull wire to adjust the curvature of the distal portion of the shaft. An axially non-compressible pull-wire sleeve extends co-axially through the pull-wire lumen and over the pull wire.
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