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19 条记录 (耗时 0.021 秒)

    Transseptal delivery instrument
    12.
    发明授权
    Transseptal delivery instrument 有权
    经验交付仪器

    公开(公告)号：US07976551B1

    公开(公告)日：2011-07-12

    申请号：US11763290

    申请日：2007-06-14

    申请人： Dan E. Gutfinger ,  Paul Hindrichs ,  Phong D. Doan

    发明人： Dan E. Gutfinger ,  Paul Hindrichs ,  Phong D. Doan

    IPC分类号： A61B19/00

    CPC分类号： A61B5/0215 ,  A61B90/11

    摘要： Access to the left side of the heart is gained through a heart wall. A delivery instrument includes a guide that may include or carry a puncturing instrument that is adapted to be directed toward the heart wall. In some embodiments a distal portion of the delivery instrument may be adapted to be co-located with the coronary sinus. In addition, the guide may be located a known distance from the portion of the delivery instrument that is co-located with the coronary sinus. Access to the left side of the heart may thus be readily gained by positioning the delivery instrument relative to the coronary sinus.

    摘要翻译： 通过心墙获得进入心脏的左侧。 递送器械包括可以包括或携带适于被引向心脏壁的穿刺器械的引导件。 在一些实施例中，递送器械的远侧部分可以适于与冠状窦共同定位。 此外，引导件可以位于与输送器具的与冠状窦共处的部分已知的距离处。 因此，可以通过将输送器械相对于冠状窦定位而容易获得心脏左侧的通路。

    Remote body tissue engaging methods and apparatus
    13.
    发明申请
    Remote body tissue engaging methods and apparatus 有权
    遥控身体组织接触方法和装置

    公开(公告)号：US20060200197A1

    公开(公告)日：2006-09-07

    申请号：US11361193

    申请日：2006-02-23

    申请人： Micheal Brenzel ,  Theodore Dale ,  David Costello ,  Paul Hindrichs

    发明人： Micheal Brenzel ,  Theodore Dale ,  David Costello ,  Paul Hindrichs

    IPC分类号： A61B17/08

    CPC分类号： A61B17/3403 ,  A61B17/0057 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/0061 ,  A61B2017/00623 ,  A61B2017/320052 ,  A61B2017/3482 ,  A61B2017/3484 ,  A61B2017/3488

    摘要： Apparatus is provided that can be delivered through a catheter to a remote location in a patient's body. The apparatus may include a first structure that can be positioned in all dimensions in a controlled manner and stabilized in that desired position, a second structure that can then position a lumen axis at a desired angle relative to the first structure, and a third member that can pass through the lumen and approach and engage with force (e.g., penetrate) a desired location on the anatomy without compromising maintaining the desired position. The apparatus effectively separates the forces needed for positioning and the forces needed for tissue engagement (e.g., penetration).

    摘要翻译： 提供了可以通过导管输送到患者体内的远程位置的装置。 该装置可以包括第一结构，该第一结构可以受控方式在所有维度中被定位并且在该期望位置处被稳定;第二结构，其然后可以使管腔轴线相对于第一结构定位在期望的角度;以及第三构件， 可以通过内腔并且接近和接合力（例如，穿透）解剖结构上的期望位置，而不会影响维持期望的位置。 该装置有效地分离了定位所需的力和组织接合所需的力（例如，穿透）。

    Medical grafting methods and apparatus
    14.
    发明申请
    Medical grafting methods and apparatus 有权
    医疗移植方法和装置

    公开(公告)号：US20050240205A1

    公开(公告)日：2005-10-27

    申请号：US11169114

    申请日：2005-06-27

    申请人： Todd Berg ,  Daniel Sullivan ,  William Swanson ,  Paul Hindrichs

    发明人： Todd Berg ,  Daniel Sullivan ,  William Swanson ,  Paul Hindrichs

    IPC分类号： A61B17/064 ,  A61B17/08 ,  A61B17/11 ,  A61F2/06

    CPC分类号： A61B17/064 ,  A61B17/11 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61F2/064

    摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is installed at the operative site primarily by providing at least one graft location with instrumentation inserted through the patient's existing tubular body organ structure. Assistance in installing the new tubing may be provided by minimally invasive surgical access openings in the patient's chest. The tubing may be delivered through the patient's existing tubular body structure or, alternatively, through the surgical access openings.

    摘要翻译： 用于在患者现有身体器官管的两个部分之间并且至少部分地位于该现有结构之外递送和安装新长度的管的方法和装置。 例如，新的管子长度可以用于为患者提供冠状动脉旁路。 新的管道可以是人造移植物，天然移植物（从患者的其他地方收获）或两者。 新的管道安装在手术部位，主要通过提供至少一个移植位置，通过患者现有的管状体器官结构插入仪器。 可以通过患者胸部的微创手术进入口来提供安装新管道的帮助。 管道可以通过患者现有的管状体结构输送，或者替代地通过外科进入口。

    Tissue anchor apparatus
    15.
    发明申请
    Tissue anchor apparatus 有权
    组织锚装置

    公开(公告)号：US20060196137A1

    公开(公告)日：2006-09-07

    申请号：US11361197

    申请日：2006-02-23

    申请人： Michael Brenzel ,  Theodore Dale ,  David Costello ,  Paul Hindrichs

    发明人： Michael Brenzel ,  Theodore Dale ,  David Costello ,  Paul Hindrichs

    IPC分类号： F27D1/00

    CPC分类号： A61B19/54 ,  A61B17/32053 ,  A61B90/39 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/00623 ,  A61B2017/00986

    摘要： A structure that can be used to provide an anchor in or adjacent to a patient's soft body tissue (rather than bone) includes an annular array of flexible members that extend between two axially spaced but aligned tubular members. The space between the tubular members can be selectively changed to affect the amount by which portions of the flexible members between the tubular member project radially outward relative to the tubular members. When the flexible members project radially out, the structure resists axial movement relative to adjacent tissue and therefore acts as an anchor. When the flexible members do not project radially out, they permit axial movement of the structure through adjacent tissue.

    摘要翻译： 可以用于在患者的软体组织（而不是骨骼）中或邻近提供锚的结构包括在两个轴向间隔开但对准的管状构件之间延伸的柔性构件的环形阵列。 可以选择性地改变管状构件之间的空间以影响管状构件之间的柔性构件的一部分相对于管状构件径向向外突出的量。 当柔性构件径向突出时，结构抵抗相对于相邻组织的轴向运动，因此用作锚固件。 当柔性构件不径向伸出时，它们允许结构体通过相邻组织的轴向运动。

    TRANSSEPTAL DELIVERY INSTRUMENT
    16.
    发明申请
    TRANSSEPTAL DELIVERY INSTRUMENT 审中-公开
    TRANSSEPTAL交付仪器

    公开(公告)号：US20110238102A1

    公开(公告)日：2011-09-29

    申请号：US13153203

    申请日：2011-06-03

    申请人： Dan E. Gutfinger ,  Paul Hindrichs ,  Phong D. Doan

    发明人： Dan E. Gutfinger ,  Paul Hindrichs ,  Phong D. Doan

    IPC分类号： A61B17/32

    CPC分类号： A61B5/0215 ,  A61B90/11

    摘要： Access to the left side of the heart is gained through a heart wall. A delivery instrument includes a guide that may include or carry a puncturing instrument that is adapted to be directed toward the heart wall. In some embodiments a distal portion of the delivery instrument may be adapted to be co-located with the coronary sinus. In addition, the guide may be located a known distance from the portion of the delivery instrument that is co-located with the coronary sinus. Access to the left side of the heart may thus be readily gained by positioning the delivery instrument relative to the coronary sinus.

    摘要翻译： 通过心墙获得进入心脏的左侧。 递送器械包括可以包括或携带适于被引向心脏壁的穿刺器械的引导件。 在一些实施例中，递送器械的远侧部分可以适于与冠状窦共同定位。 此外，引导件可以位于与输送器具的与冠状窦共处的部分已知的距离处。 因此，可以通过将输送器械相对于冠状窦定位而容易获得心脏左侧的通路。

    Soft body tissue remodeling methods and apparatus
    18.
    发明申请
    Soft body tissue remodeling methods and apparatus 有权
    软体组织重塑方法和装置

    公开(公告)号：US20070049942A1

    公开(公告)日：2007-03-01

    申请号：US11215341

    申请日：2005-08-30

    申请人： Paul Hindrichs ,  Steven Kruse ,  Todd Krinke ,  Michael Brenzel ,  Kenton Zehr ,  Paul Thompson ,  Theodore Dale ,  David Costello

    发明人： Paul Hindrichs ,  Steven Kruse ,  Todd Krinke ,  Michael Brenzel ,  Kenton Zehr ,  Paul Thompson ,  Theodore Dale ,  David Costello

    IPC分类号： A61B17/58

    CPC分类号： A61F2/2451 ,  A61B17/1285 ,  A61B2017/0409 ,  A61B2017/0441 ,  A61B2017/0488

    摘要： Soft body tissue structure can be remodeled by shortening the distance between first and second portions of that tissue structure. First and second anchor structures are respectively implanted in the first and second portions of the tissue structure. These anchor structures are linked by a linking structure, the length of which between the anchor structures can be shortened to pull the tissue structure portions toward one another. Each of the anchor structures may include two screw structures that are driven into the associated tissue structure portion transverse to the linking structure and with a spacer between the two screws. The entire prosthesis can be implanted percutaneously if desired. An illustrative use of the prosthesis is to shorten the annulus of a patient's mitral valve, with at least a portion of the prosthesis implanted in the patient's coronary sinus.

    摘要翻译： 柔软的身体组织结构可以通过缩短组织结构的第一和第二部分之间的距离来改造。 第一和第二锚结构分别植入组织结构的第一和第二部分。 这些锚结构通过连接结构连接，其锚固结构之间的长度可以被缩短以将组织结构部分朝向彼此拉。 每个锚结构可以包括两个螺旋结构，其被驱动到横向于连接结构的相关联的组织结构部分中，并且在两个螺钉之间具有间隔件。 如果需要，整个假体可以经皮植入。 假体的说明性使用是缩短患者二尖瓣的环，其中假体的至少一部分植入患者的冠状窦。