公开(公告)号：US09277991B2

公开(公告)日：2016-03-08

申请号：US14144916

申请日：2013-12-31

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Amr Salahieh ,  Brian D. Brandt ,  Dwight P. Morejohn ,  Ulrich R. Haug ,  Jean-Pierre Dueri ,  Hans F. Valencia ,  Robert A. Geshlider ,  Jeff A. Krolik

IPC: A61F2/06 ,  A61F2/24 ,  A61F2/95

CPC classification number: A61F2/2418 ,  A61F2/2427 ,  A61F2/2433 ,  A61F2/2436 ,  A61F2/2439 ,  A61F2002/9528 ,  A61F2220/0016 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0065 ,  A61F2230/0078 ,  A61F2250/006

Abstract: Apparatus for endovascularly replacing a patient's heart valve, including: a delivery catheter having a diameter of 21 french or less; an expandable anchor disposed within the delivery catheter; and a replacement valve disposed within the delivery catheter. The invention also includes a method for endovascularly replacing a heart valve of a patient. In some embodiments the method includes the steps of: inserting a catheter having a diameter no more than 21 french into the patient; endovascularly delivering a replacement valve and an expandable anchor to a vicinity of the heart valve through the catheter; and deploying the anchor and the replacement valve.

Abstract translation: 用于血管内替换患者心脏瓣膜的装置，包括：直径为21法郎或更小的输送导管; 布置在输送导管内的可扩张锚; 以及设置在输送导管内的置换瓣膜。 本发明还包括用于血管内置换患者心脏瓣膜的方法。 在一些实施例中，该方法包括以下步骤：将具有不超过21个法兰的直径的导管插入患者体内; 通过导管将血管内递送更换瓣膜和可扩张锚固件到心脏瓣膜附近; 并部署锚杆和更换阀。

公开(公告)号：US20230270492A1

公开(公告)日：2023-08-31

申请号：US18313219

申请日：2023-05-05

Applicant: Boston Scientific Scimed, Inc.

Inventor： Amr Salahieh ,  John P. Claude ,  Tom Saul

IPC: A61B18/14 ,  A61B8/12 ,  A61B8/00 ,  A61B1/00 ,  A61B1/05 ,  A61B1/06 ,  A61B1/313 ,  A61M25/10

CPC classification number: A61B18/1492 ,  A61B8/12 ,  A61B8/445 ,  A61B8/4494 ,  A61B1/00082 ,  A61B1/00096 ,  A61B1/05 ,  A61B1/0676 ,  A61B1/313 ,  A61M25/10 ,  A61M25/1011 ,  A61B2018/0022

Abstract: An ablation catheter including an elongate shaft, an inflatable balloon positioned at a distal region of the elongate shaft, a first ablation electrode disposed outside of and carried by an outer surface of the inflatable balloon, a first ultrasound transducer disposed outside of the inflatable balloon, and a flexible circuit. The flexible circuit includes a first conductor and a second conductor and is disposed outside of and carried by the outer surface of the inflatable balloon. The first conductor is in electrical communication with the first ablation electrode, and the second conductor in electrical communication with the first ultrasound transducer.

公开(公告)号：US11684415B2

公开(公告)日：2023-06-27

申请号：US16157940

申请日：2018-10-11

Applicant: Boston Scientific Scimed, Inc.

Inventor： Amr Salahieh ,  John P. Claude ,  Tom Saul

IPC: A61B18/14 ,  A61B8/12 ,  A61B8/00 ,  A61B1/00 ,  A61B1/05 ,  A61B1/06 ,  A61B1/313 ,  A61M25/10 ,  A61B18/00 ,  A61B5/00 ,  A61N1/05 ,  A61B5/01 ,  A61B5/0538 ,  A61B18/12 ,  A61B18/18 ,  A61M25/01 ,  A61M25/04 ,  A61B17/00 ,  A61B17/22 ,  A61M25/06 ,  A61B90/00 ,  A61B90/30

CPC classification number: A61B18/1492 ,  A61B1/00082 ,  A61B1/00096 ,  A61B1/05 ,  A61B1/0676 ,  A61B1/313 ,  A61B8/12 ,  A61B8/445 ,  A61B8/4494 ,  A61M25/10 ,  A61M25/1011 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/6853 ,  A61B5/6858 ,  A61B18/1206 ,  A61B18/1815 ,  A61B90/30 ,  A61B90/361 ,  A61B90/37 ,  A61B2017/003 ,  A61B2017/0011 ,  A61B2017/00106 ,  A61B2017/00867 ,  A61B2017/22038 ,  A61B2018/00011 ,  A61B2018/0016 ,  A61B2018/0022 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00083 ,  A61B2018/0088 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00238 ,  A61B2018/00267 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00351 ,  A61B2018/00357 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2018/00613 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00744 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00839 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/00982 ,  A61B2018/124 ,  A61B2018/1465 ,  A61B2090/0454 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/309 ,  A61B2090/364 ,  A61B2090/3614 ,  A61B2090/371 ,  A61B2090/373 ,  A61B2090/3784 ,  A61B2090/3937 ,  A61B2090/3966 ,  A61B2217/007 ,  A61B2218/002 ,  A61B2562/125 ,  A61B2562/164 ,  A61M25/0108 ,  A61M25/0133 ,  A61M25/0147 ,  A61M25/04 ,  A61M2025/0681 ,  A61N1/05 ,  C08L2201/12

Abstract: An ablation catheter including an elongate shaft, an inflatable balloon positioned at a distal region of the elongate shaft, a first ablation electrode disposed outside of and carried by an outer surface of the inflatable balloon, a first ultrasound transducer disposed outside of the inflatable balloon, and a flexible circuit. The flexible circuit includes a first conductor and a second conductor and is disposed outside of and carried by the outer surface of the inflatable balloon. The first conductor is in electrical communication with the first ablation electrode, and the second conductor in electrical communication with the first ultrasound transducer.

公开(公告)号：US11285002B2

公开(公告)日：2022-03-29

申请号：US16539112

申请日：2019-08-13

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Amr Salahieh ,  Jean-Pierre Dueri ,  Hans F. Valencia ,  Brian D. Brandt ,  Dwight P. Morejohn ,  Claudio Argento ,  Tom Saul ,  Ulrich R. Haug

IPC: A61F2/24 ,  A61F2/90 ,  A61F2/95

Abstract: The invention includes methods of and apparatus for endovascularly replacing a heart valve of a patient. One aspect of the invention provides a method including the steps of endovascularly delivering a replacement valve and an expandable anchor to a vicinity of the heart valve in an unexpanded configuration; and applying an external non-hydraulically expanding or non-pneumatically expanding actuation force on the anchor to change the shape of the anchor, such as by applying proximally and/or distally directed force on the anchor using a releasable deployment tool to expand and contract the anchor or parts of the anchor. Another aspect of the invention provides an apparatus including a replacement valve; an anchor; and a deployment tool comprising a plurality of anchor actuation elements adapted to apply a non-hydraulically expanding or non-pneumatically expanding actuation force on the anchor to reshape the anchor.

公开(公告)号：US10716663B2

公开(公告)日：2020-07-21

申请号：US15174590

申请日：2016-06-06

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Amr Salahieh ,  Dwight P. Morejohn ,  Daniel K. Hildebrand ,  Tom Saul

IPC: A61F2/24 ,  A61B17/00 ,  A61F2/95

Abstract: The present invention relates to apparatus and methods for performing valvuloplasty. In some embodiments, the apparatus includes an expandable braid valvuloplasty device. In some embodiments, the methods and apparatus may be used as an adjunct to percutaneous heart valve replacement. In some embodiments, the apparatus and methods may provide a medical practitioner with feedback, monitoring or measurement information, e.g., information relevant to percutaneous transcatheter heart valve replacement.

公开(公告)号：US20200060817A1

公开(公告)日：2020-02-27

申请号：US16667261

申请日：2019-10-29

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Amr Salahieh ,  Ulrich R. Haug ,  Claudio Argento ,  Dwight Morejohn ,  Daniel Hildebrand ,  Tom Saul

IPC: A61F2/24 ,  A61M25/01

Abstract: A medical implant deployment tool and deployment method are disclosed. One aspect of the invention provides an implant system including an implant adapted for endovascular delivery and deployment; and a deployment tool adapted to deploy the implant, with the deployment tool having an actuation controller; a plurality of actuation elements adapted to apply forces to one or more implant deployment mechanisms and each adapted to extend along an actuation element path within a patient's vasculature; and an actuation element compensation mechanism adapted to compensate for differences in length between the actuation element paths.

公开(公告)号：US10478289B2

公开(公告)日：2019-11-19

申请号：US15675978

申请日：2017-08-14

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Amr Salahieh ,  Brian D. Brandt ,  Dwight P. Morejohn ,  Ulrich R. Haug ,  Jean-Pierre Dueri ,  Hans F. Valencia ,  Robert A. Geshlider

IPC: A61F2/24

Abstract: Apparatus for endovascularly replacing a patient's heart valve, including: a replacement valve adapted to be delivered endovascularly to a vicinity of the heart valve; an expandable anchor adapted to be delivered endovascularly to the vicinity of the heart valve; and a lock mechanism configured to maintain a minimum amount of anchor expansion. The invention also includes a method for endovascularly replacing a patient's heart valve. In some embodiments the method includes the steps of: endovascularly delivering a replacement valve and an expandable anchor to a vicinity of the heart valve; expanding the anchor to a deployed configuration; and locking the anchor in the deployed configuration.

公开(公告)号：US10413409B2

公开(公告)日：2019-09-17

申请号：US15395569

申请日：2016-12-30

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Amr Salahieh ,  Hans F. Valencia ,  Brian D. Brandt ,  Claudio Argento ,  Ulrich R. Haug ,  Jean-Pierre Dueri ,  Daniel K. Hildebrand ,  Dwight P. Morejohn ,  Tom Saul

IPC: A61F2/24 ,  A61B17/064 ,  A61B17/068 ,  A61F2/90 ,  A61B17/221 ,  A61B17/22 ,  A61F2/95

Abstract: The present invention relates to apparatus and methods for endovascularly delivering and releasing a prosthesis, e.g., an aortic prosthesis, within and/or across a patient's native heart valve, referred to hereinafter as replacing the patient's heart valve. In some embodiments the delivery system comprises a plurality of first actuatable element adapted to engage a plurality of second elements in a first configuration to capture the implant within the delivery system, and wherein the plurality of first actuatable element are adapted to engage the plurality of second elements in a second configuration and to release the implant from the delivery system.

公开(公告)号：US20190240008A1

公开(公告)日：2019-08-08

申请号：US16385121

申请日：2019-04-16

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Amr Salahieh ,  Daniel K. Hildebrand ,  Tom Saul

IPC: A61F2/24

CPC classification number: A61F2/2418 ,  A61F2/24 ,  A61F2/2412 ,  A61F2/243 ,  A61F2/2433 ,  A61F2/2436 ,  A61F2/2439 ,  A61F2/86 ,  A61F2/885 ,  A61F2002/9528 ,  A61F2210/0014 ,  A61F2210/0019 ,  A61F2210/0057 ,  A61F2220/0008 ,  A61F2220/0033 ,  A61F2220/0058 ,  A61F2220/0083 ,  A61F2230/005 ,  A61F2230/0054 ,  A61F2230/0078 ,  A61F2250/0017 ,  A61F2250/0039 ,  A61F2250/0048 ,  A61F2250/006 ,  A61F2250/0069

Abstract: A method for endovascularly replacing a patient's heart valve including the following steps: endovascularly delivering an anchor and a replacement valve supported within the anchor to a vicinity of the heart valve in a collapsed delivery configuration, the anchor having grasping elements adapted to grasp tissue in a vicinity of the heart valve; expanding the anchor, thereby rotating the grasping elements; and grasping the tissue with the rotating grasping elements.

公开(公告)号：US10357359B2

公开(公告)日：2019-07-23

申请号：US15380135

申请日：2016-12-15

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Ulrich R. Haug ,  Hans F. Valencia ,  Robert A. Geshlider ,  Tom Saul ,  Amr Salahieh ,  Dwight P. Morejohn

IPC: A61F2/24

Abstract: The present invention provides methods and apparatus for endovascularly replacing a patient's heart valve. The apparatus includes a replacement valve and an anchor having an expandable braid. In some embodiments, the expandable braid is fabricated from a single strand of wire. In some embodiments, the expandable braid comprises at least one turn feature. The anchor and the valve preferably are configured for endovascular delivery and deployment.