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公开(公告)号:US10799242B2
公开(公告)日:2020-10-13
申请号:US16795082
申请日:2020-02-19
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
摘要: Systems and methods are provided for repairing a heart valve, such as a mitral, tricuspid or aortic valve, using an adjustable and removable implant that can be delivered to the heart through the apex in a simplified and non-invasive manner. The implant can include a prosthetic valve portion coupled to a proximal end of a shaft, and an anchor portion coupled to a distal end of the shaft. The prosthetic valve can be suspended within an opening of the heart valve while the anchor portion is affixed to the apex of the heart. When the implant is deployed, a distance between the prosthetic valve portion and the anchor portion can be adjusted, and/or the implant or a portion thereof can be rotated to thereby change the position of the prosthetic valve within the heart valve. This can allow correcting for post-implantation movements of the implant to mitigate potential complications.
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公开(公告)号:US20160157841A1
公开(公告)日:2016-06-09
申请号:US15010080
申请日:2016-01-29
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
CPC分类号: A61B17/0057 , A61B17/0401 , A61B17/0487 , A61B17/11 , A61B17/12022 , A61B17/1204 , A61B17/24 , A61B18/1492 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00986 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0422 , A61B2017/0424 , A61B2017/0464 , A61B2017/0496 , A61B2017/1107 , A61B2017/1135 , A61B2017/12004 , A61B2017/22044 , A61B2017/22047 , A61B2017/4233 , A61B2018/00279 , A61B2018/00351 , A61B2018/00357 , F04C2270/041
摘要: Devices and methods for occluding or promoting fluid flow through openings are disclosed. In one exemplary embodiment an occlusion device is provided having an expandable outer elongate tubular body, a guide member extending from a distal end of the outer body, and a slide tube disposed within the outer body, the proximal portions of the outer body and the slide tube being fixedly mated. The slide tube is configured to slide distally within the outer tubular body when the tubular body is expanded to form wings. A tether can be included as part of the device and it can be used to assist in positioning and locking a location of the device in an opening. Exemplary methods for delivering devices disclosed herein are also provided.
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公开(公告)号:US09301761B2
公开(公告)日:2016-04-05
申请号:US11876131
申请日:2007-10-22
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
CPC分类号: A61B17/11 , A61B17/1114 , A61B17/12031 , A61B17/12036 , A61B17/12118 , A61B17/12131 , A61B17/12159 , A61B2017/00004 , A61B2017/00986 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/12054 , A61F2/064 , A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2220/0058 , A61F2250/0007
摘要: Methods and devices are provided for anastomosing tissue in the body. In one exemplary embodiment, an anastomotic device is provided having an elongate tubular body that is disposable through a body lumen and that includes proximal and distal portions. The proximal and distal portions can each include a plurality of asymmetrical s-shaped slits and can each be adapted to expand upon rotation to form proximal and distal wings. The proximal and distal wings can extend toward one another to engage tissue therebetween and thereby form a passageway through the tissue.
摘要翻译: 提供用于吻合体内组织的方法和装置。 在一个示例性实施例中,提供了具有细长管状体的吻合装置,所述细长管状体通过身体内腔是一次性的并且包括近端部分和远端部分。 近端部分和远端部分可以各自包括多个不对称的S形狭缝,并且每个可以适于在旋转时扩张以形成近端和远侧翼。 近端和远端翼可以彼此延伸以在其间接合组织,从而形成穿过组织的通道。
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公开(公告)号:US09289580B2
公开(公告)日:2016-03-22
申请号:US14167351
申请日:2014-01-29
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
CPC分类号: A61M27/002 , A61B17/11 , A61B17/1114 , A61B2017/00243 , A61B2017/00986 , A61B2017/0419 , A61B2017/1139 , A61F2/064 , A61F2/2445 , A61F2/2493 , A61F5/0076 , A61F2002/045
摘要: Methods and devices for treating obesity are provided, and more particularly, methods and devices for performing gastric bypasses are disclosed. In one exemplary embodiment a gastric bypass procedure is provided that includes forming a gastro-entero anastomosis between a stomach and an intestine and forming an entero-entero anastomosis between a portion of the intestine distal to the gastro-entero anastomosis and a portion of the intestine proximal to the gastro-entero anastomosis. A surrogate path is formed between the esophagus and the gastro-entero anastomosis to at least partially direct fluid from the esophagus to the intestine by way of the gastro-entero anastomosis, thereby bypassing the stomach. A variety of devices that are particularly useful in gastric bypass procedures are also disclosed. The devices include anastomotic devices that can be coupled to or integrally formed with a shunt. The devices can include a plurality of tubular bodies that are configured to have an adjustable length. Still further, methods for repairing an abdominal aortic aneurysm and leaking heart valve are also disclosed.
摘要翻译: 提供了用于治疗肥胖症的方法和装置,更具体地,公开了用于进行胃旁路的方法和装置。 在一个示例性实施例中,提供了胃旁路手术,其包括在胃和肠之间形成胃肠吻合并且在远离胃肠吻合的肠的一部分和肠的一部分之间形成肠肠吻合 靠近胃肠吻合。 在食道和胃肠吻合之间形成替代路径,以通过胃肠吻合至少部分地将流体从食道引导到肠,从而绕过胃。 还公开了在胃旁路手术中特别有用的各种装置。 这些装置包括能够与分路耦合或一体形成的吻合装置。 这些装置可以包括被配置为具有可调节长度的多个管状体。 此外,还公开了修复腹主动脉瘤和泄漏心脏瓣膜的方法。
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公开(公告)号:US08936608B2
公开(公告)日:2015-01-20
申请号:US13736623
申请日:2013-01-08
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
CPC分类号: A61B17/08 , A61B17/0057 , A61B2017/00637 , A61B2017/00659 , A61B2017/00986
摘要: Methods and devices are provided for closing a puncture wound. In one exemplary embodiment, a puncture closure device is provided having an elongate tubular body that is disposable through a puncture in tissue and that includes proximal and distal portions. The proximal portion can be adapted to expand to form proximal wings upon rotation of the elongate tubular body, preferably in a first direction. The distal portion can be adapted to expand to form distal wings upon rotation of the elongate tubular body, preferably in a second, opposite direction. The proximal and distal portions can also be adapted to be moved toward one another as they expand upon rotation. As a result, the proximal and distal wings can engage tissue therebetween.
摘要翻译: 提供了用于封闭穿刺伤口的方法和装置。 在一个示例性实施例中,提供了具有细长管状体的穿刺闭合装置,所述细长管状体通过组织中的穿刺而是一次性的,并且包括近端部分和远端部分。 近端部分可以适于在优选沿第一方向旋转细长管状体时扩张以形成近端翼。 远端部分可以适于在细长管状体的旋转时优选地在相反的第二方向上膨胀以形成远侧翼。 近端部分和远端部分也可以适于在旋转时它们彼此移动。 结果,近端和远端翼可以接合它们之间的组织。
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公开(公告)号:US20140221900A1
公开(公告)日:2014-08-07
申请号:US14167351
申请日:2014-01-29
申请人: Christy Cummins , James E. Coleman
发明人: James E. Coleman , Christy Cummins
CPC分类号: A61M27/002 , A61B17/11 , A61B17/1114 , A61B2017/00243 , A61B2017/00986 , A61B2017/0419 , A61B2017/1139 , A61F2/064 , A61F2/2445 , A61F2/2493 , A61F5/0076 , A61F2002/045
摘要: Methods and devices for treating obesity are provided, and more particularly, methods and devices for performing gastric bypasses are disclosed. In one exemplary embodiment a gastric bypass procedure is provided that includes forming a gastro-entero anastomosis between a stomach and an intestine and forming an entero-entero anastomosis between a portion of the intestine distal to the gastro-entero anastomosis and a portion of the intestine proximal to the gastro-entero anastomosis. A surrogate path is formed between the esophagus and the gastro-entero anastomosis to at least partially direct fluid from the esophagus to the intestine by way of the gastro-entero anastomosis, thereby bypassing the stomach. A variety of devices that are particularly useful in gastric bypass procedures are also disclosed. The devices include anastomotic devices that can be coupled to or integrally formed with a shunt. The devices can include a plurality of tubular bodies that are configured to have an adjustable length. Still further, methods for repairing an abdominal aortic aneurysm and leaking heart valve are also disclosed.
摘要翻译: 提供了用于治疗肥胖症的方法和装置,更具体地,公开了用于进行胃旁路的方法和装置。 在一个示例性实施例中,提供了胃旁路手术,其包括在胃和肠之间形成胃肠吻合并且在远离胃肠吻合的肠的一部分和肠的一部分之间形成肠肠吻合 靠近胃肠吻合。 在食道和胃肠吻合之间形成替代路径,以通过胃肠吻合至少部分地将流体从食道引导到肠,从而绕过胃。 还公开了在胃旁路手术中特别有用的各种装置。 这些装置包括能够与分路耦合或一体形成的吻合装置。 这些装置可以包括被配置为具有可调节长度的多个管状体。 此外,还公开了修复腹主动脉瘤和泄漏心脏瓣膜的方法。
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公开(公告)号:US08672958B2
公开(公告)日:2014-03-18
申请号:US13491133
申请日:2012-06-07
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
IPC分类号: A61B17/08
CPC分类号: A61M27/002 , A61B17/11 , A61B17/1114 , A61B2017/00243 , A61B2017/00986 , A61B2017/0419 , A61B2017/1139 , A61F2/064 , A61F2/2445 , A61F2/2493 , A61F5/0076 , A61F2002/045
摘要: Methods and devices for treating obesity are provided, and more particularly, methods and devices for performing gastric bypasses are disclosed. In one exemplary embodiment a gastric bypass procedure is provided that includes forming a gastro-entero anastomosis between a stomach and an intestine and forming an entero-entero anastomosis between a portion of the intestine distal to the gastro-entero anastomosis and a portion of the intestine proximal to the gastro-entero anastomosis. A surrogate path is formed between the esophagus and the gastro-entero anastomosis to at least partially direct fluid from the esophagus to the intestine by way of the gastro-entero anastomosis, thereby bypassing the stomach. Still further, methods for repairing an abdominal aortic aneurysm and leaking heart valve are also disclosed.
摘要翻译: 提供了用于治疗肥胖症的方法和装置,更具体地,公开了用于进行胃旁路的方法和装置。 在一个示例性实施例中,提供了胃旁路手术,其包括在胃和肠之间形成胃肠吻合并且在远离胃肠吻合的肠的一部分和肠的一部分之间形成肠肠吻合 靠近胃肠吻合。 在食道和胃肠吻合之间形成替代路径,以通过胃肠吻合至少部分地将流体从食道引导到肠,从而绕过胃。 此外,还公开了修复腹主动脉瘤和泄漏心脏瓣膜的方法。
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公开(公告)号:US20120245625A1
公开(公告)日:2012-09-27
申请号:US13487699
申请日:2012-06-04
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
IPC分类号: A61B17/03
CPC分类号: A61B17/08 , A61B17/0057 , A61B2017/00637 , A61B2017/00659 , A61B2017/00986
摘要: Methods and devices are provided for closing a puncture wound. In one exemplary embodiment, a puncture closure device is provided having an elongate tubular body that is disposable through a puncture in tissue and that includes proximal and distal portions. The proximal portion can be adapted to expand to form proximal wings upon rotation of the elongate tubular body, preferably in a first direction. The distal portion can be adapted to expand to form distal wings upon rotation of the elongate tubular body, preferably in a second, opposite direction. The proximal and distal portions can also be adapted to be moved toward one another as they expand upon rotation. As a result, the proximal and distal wings can engage tissue therebetween.
摘要翻译: 提供了用于封闭穿刺伤口的方法和装置。 在一个示例性实施例中,提供了具有细长管状体的穿刺闭合装置,所述细长管状体通过组织中的穿刺而是一次性的,并且包括近端部分和远端部分。 近端部分可以适于在优选沿第一方向旋转细长管状体时扩张以形成近端翼。 远端部分可以适于在细长管状体的旋转时优选地在相反的第二方向上膨胀以形成远侧翼。 近端部分和远端部分也可以适于在旋转时它们彼此移动。 结果,近端和远端翼可以接合它们之间的组织。
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公开(公告)号:US08197498B2
公开(公告)日:2012-06-12
申请号:US12266174
申请日:2008-11-06
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
IPC分类号: A61B17/08
CPC分类号: A61M27/002 , A61B17/11 , A61B17/1114 , A61B2017/00243 , A61B2017/00986 , A61B2017/0419 , A61B2017/1139 , A61F2/064 , A61F2/2445 , A61F2/2493 , A61F5/0076 , A61F2002/045
摘要: Methods and devices for treating obesity are provided, and more particularly, methods and devices for performing gastric bypasses are disclosed. In one exemplary embodiment a gastric bypass procedure is provided that includes forming a gastro-entero anastomosis between a stomach and an intestine and forming an entero-entero anastomosis between a portion of the intestine distal to the gastro-entero anastomosis and a portion of the intestine proximal to the gastro-entero anastomosis. A surrogate path is formed between the esophagus and the gastro-entero anastomosis to at least partially direct fluid from the esophagus to the intestine by way of the gastro-entero anastomosis, thereby bypassing the stomach. Devices useful in gastric bypass procedures that include anastomotic devices coupled to or integrally formed with a shunt. The devices can include a plurality of tubular bodies that are configured to have an adjustable length.
摘要翻译: 提供了用于治疗肥胖症的方法和装置,更具体地,公开了用于进行胃旁路的方法和装置。 在一个示例性实施例中,提供了胃旁路手术,其包括在胃和肠之间形成胃肠吻合并且在远离胃肠吻合的肠的一部分和肠的一部分之间形成肠肠吻合 靠近胃肠吻合。 在食道和胃肠吻合之间形成替代路径,以通过胃肠吻合至少部分地将流体从食道引导到肠,从而绕过胃。 可用于胃旁路手术的装置,其包括联接到或与分流器一体形成的吻合装置。 这些装置可以包括被配置为具有可调节长度的多个管状体。
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公开(公告)号:US20100004681A1
公开(公告)日:2010-01-07
申请号:US12558842
申请日:2009-09-14
申请人: James E. Coleman , Christy Cummins
发明人: James E. Coleman , Christy Cummins
IPC分类号: A61B17/03
CPC分类号: A61B17/08 , A61B17/0057 , A61B2017/00637 , A61B2017/00659 , A61B2017/00986
摘要: Methods and devices are provided for closing a puncture wound. In one exemplary embodiment, a puncture closure device is provided having an elongate tubular body that is disposable through a puncture in tissue and that includes proximal and distal portions. The proximal portion can be adapted to expand to form proximal wings upon rotation of the elongate tubular body, preferably in a first direction. The distal portion can be adapted to expand to form distal wings upon rotation of the elongate tubular body, preferably in a second, opposite direction. The proximal and distal portions can also be adapted to be moved toward one another as they expand upon rotation. As a result, the proximal and distal wings can engage tissue therebetween.
摘要翻译: 提供了用于封闭穿刺伤口的方法和装置。 在一个示例性实施例中,提供了具有细长管状体的穿刺闭合装置,所述细长管状体通过组织中的穿刺而是一次性的,并且包括近端部分和远端部分。 近端部分可以适于在优选沿第一方向旋转细长管状体时扩张以形成近端翼。 远端部分可以适于在细长管状体的旋转时优选地在相反的第二方向上膨胀以形成远侧翼。 近端部分和远端部分也可以适于在旋转时它们彼此移动。 结果,近端和远端翼可以接合它们之间的组织。
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