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公开(公告)号：US07022064B2
公开(公告)日：2006-04-04
申请号：US10794319
申请日：2004-03-05
CPC分类号： A61F2/2481 , A61F2002/0068
摘要： A jacket of biological compatible material has an internal volume dimensioned for an apex of the heart to be inserted into the volume and for the jacket to be slipped over the heart. The jacket has a longitudinal dimension between upper and lower ends sufficient for the jacket to surround a lower portion of the heart with the jacket surrounding a valvular annulus of the heart and further surrounding the lower portion to cover at least the ventricular lower extremities of the heart. The jacket is adapted to be secured to the heart with the jacket surrounding at least the valvular annulus and the ventricular lower extremities. The jacket is adjustable on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole.
摘要翻译： 生物相容材料的护套具有尺寸设计用于心脏顶点的内部容积，以将其插入体积中并使护套滑过心脏。 护套具有在上下端之间的纵向尺寸，足以使护套围绕心脏的下部围绕心脏的瓣膜环并且进一步围绕下部以至少覆盖心脏的心室下端 。 护套适于固定在心脏上，护套至少围绕瓣膜环和心室下肢。 护套在心脏上是可调节的，以贴合地符合心脏的外部几何形状，并假设护套的最大调节体积以约束舒张期心脏超过最大调节体积的周向扩张，并允许心脏收缩期间不受阻碍的收缩 。
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公开(公告)号：US06951534B2
公开(公告)日：2005-10-04
申请号：US10165504
申请日：2002-06-07
CPC分类号： A61F2/2481
摘要： A highly compliant and elastic cardiac support device is provided. The device is constructed from a biocompatible material is applied to an external surface of a heart. The device can be used to resist dilatation of the heart, to provide acute wall support, or to enhance reduction in the size of the heart using stored potential energy, without interfering with systolic contraction.
摘要翻译： 提供高度兼容和弹性的心脏支持装置。 该装置由生物相容性材料构成，被施加到心脏的外表面。 该装置可以用于抵抗心脏的扩张，提供急性壁支持，或者使用储存的势能增强心脏尺寸的减小，而不会干扰收缩期的收缩。
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公开(公告)号：US20050197528A1
公开(公告)日：2005-09-08
申请号：US11109528
申请日：2005-04-18
申请人： John Vanden Hoek , Jody Rivers
发明人： John Vanden Hoek , Jody Rivers
CPC分类号： A61F2/2481 , A61B17/00491 , A61B2017/0649 , A61F2002/0072 , A61F2002/2484
摘要： A cardiac constraint jacket is formed of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of a patient's heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. A delivery device is used to place the jacket on the heart. The delivery device includes a plurality of attachment locations. Each of the attachment locations is releasably secured to separate positions surrounding a periphery of the open upper end of the jacket. The delivery device also includes a control arrangement which is selectively movable between an open position and a closed position. The control arrangement is connected to the attachment locations such that the attachment locations are in a compact array urging the open upper end of the jacket into a collapsed configuration when the control member is in the closed position. When the control arrangement is in the open position, the attachment locations are in an open array. The attachment locations urge the open upper end of the jacket into an open configuration sufficient for the heart to be inserted into the jacket volume through the open upper end and for the jacket to be slipped over said heart.
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公开(公告)号：US06902522B1
公开(公告)日：2005-06-07
申请号：US09591754
申请日：2000-06-12
CPC分类号： A61F2/2481
摘要： A device for treating cardiac disease of a heart having an upper portion and a lower portion divided by an A–V groove, the device including a jacket adapted to be secured to the heart, and a delivery source for the delivery of one or more therapeutic agents to the surface of the heart. The jacket is fabricated from a flexible material defining a volume between an upper and a lower end, the jacket being adapted to be adjusted on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain expansion of the heart beyond the maximum adjusted volume during diastole and permit substantially unimpeded contraction of the heart during systole. As a result of the flexible material, the jacket allows unimpeded diastolic filling of the heart. Also described is a method for treating cardiac disease including surgically accessing the heart, applying the treatment device of the invention, securing the treatment device to the heart, and surgically closing access to the heart while leaving the treatment device on the heart.
摘要翻译： 一种用于治疗心脏的心脏疾病的装置，其具有由AV凹槽分隔的上部和下部，所述装置包括适于固定到心脏的护套，以及用于将一种或多种治疗剂递送至 心脏的表面。 护套由限定上下端之间的体积的柔性材料制成，护套适于在心脏上调节以紧密地符合心脏的外部几何形状，并假设用于护套约束的最大调节体积 舒张期心脏扩张超出最大调节体积，并允许心脏在收缩期间基本无阻碍地收缩心脏。 作为柔性材料的结果，护套可以无阻碍地舒张心脏填充心脏。 还描述了一种治疗心脏疾病的方法，包括手术进入心脏，施用本发明的治疗装置，将治疗装置固定到心脏，以及在将治疗装置留在心脏上时手术闭合进入心脏。
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公开(公告)号：US06896652B2
公开(公告)日：2005-05-24
申请号：US10251193
申请日：2002-09-20
CPC分类号： A61F2/2481 , A61F2002/0068
摘要： A jacket of biological compatible material has an internal volume dimensioned for an apex of the heart to be inserted into the volume and for the jacket to be slipped over the heart. The jacket has a longitudinal dimension between upper and lower ends sufficient for the jacket to surround a lower portion of the heart with the jacket surrounding a valvular annulus of the heart and further surrounding the lower portion to cover at least the ventricular lower extremities of the heart. The jacket is adapted to be secured to the heart with the jacket surrounding at least the valvular annulus and the ventricular lower extremities. The jacket is adjustable on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole.
摘要翻译： 生物相容材料的护套具有尺寸设计用于心脏顶点的内部容积，以将其插入体积中并使护套滑过心脏。 护套具有在上下端之间的纵向尺寸，足以使护套围绕心脏的下部围绕心脏的瓣膜环并且进一步围绕下部以至少覆盖心脏的心室下端 。 护套适于固定在心脏上，护套至少围绕瓣膜环和心室下肢。 护套在心脏上是可调节的，以贴合地符合心脏的外部几何形状，并假设护套的最大调节体积以约束舒张期心脏超过最大调节体积的周向扩张，并允许心脏收缩期间不受阻碍的收缩 。
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公开(公告)号：US20040171907A1
公开(公告)日：2004-09-02
申请号：US10794311
申请日：2004-03-05
IPC分类号： A61F002/00
CPC分类号： A61F2/2481 , A61F2002/0068
摘要： A jacket of biological compatible material has an internal volume dimensioned for an apex of the heart to be inserted into the volume and for the jacket to be slipped over the heart. The jacket has a longitudinal dimension between upper and lower ends sufficient for the jacket to surround a lower portion of the heart with the jacket surrounding a valvular annulus of the heart and further surrounding the lower portion to cover at least the ventricular lower extremities of the heart. The jacket is adapted to be secured to the heart with the jacket surrounding at least the valvular annulus and the ventricular lower extremities. The jacket is adjustable on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole.
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公开(公告)号：US20040102678A1
公开(公告)日：2004-05-27
申请号：US10703709
申请日：2003-11-07
发明人： Hans Haindl
IPC分类号： A61F013/00
CPC分类号： A61F2/2481 , A61F2002/0068 , A61F2250/0018
摘要： A pouch to at least partly enclose a heart (1), the wall of the pouch (2) being elastic. The purpose of the pouch is to enclose at least part of a heart (1) and to oppose excessive dilation of the heart (1) that might be due to infectious disease of the heart muscle, for instance a viral infection or an autoimmune process. In many cases the use of such a pouch (2) may circumvent the need for a heart transplant.
摘要翻译： 至少部分地包围心脏（1）的袋子，袋（2）的壁是弹性的。 小袋的目的是包封至少一部分心脏（1）并且反对可能由于心脏肌肉的感染性疾病（例如病毒感染或自身免疫过程）引起的心脏（1）的过度扩张。 在许多情况下，使用这种袋（2）可以避免对心脏移植的需要。
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公开(公告)号：US20020151766A1
公开(公告)日：2002-10-17
申请号：US10172523
申请日：2002-06-13
IPC分类号： A61F002/00
CPC分类号： A61L31/148 , A61F2/2481 , A61F2250/0031 , A61L31/005 , A61L31/022 , A61L31/042 , A61L31/048 , A61L31/06 , A61L31/14 , A61L31/146 , C08L27/16
摘要： A cardiac constraint device comprising a jacket of biological compatible material and an adjustment member. The jacket is adapted to be secured to the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole. The adjustment mechanism is configured to alter the internal volume defined by the jacket after the jacket is secured to the heart. The invention also provides a method for treating cardiac disease.
摘要翻译： 一种心脏约束装置，其包括生物相容性材料夹套和调节构件。 护套适于固定在心脏上，以紧密地符合心脏的外部几何形状，并采取最大调节体积，以限制心脏周围的舒张超过舒张期的最大调节体积，并允许心脏收缩期间不受阻碍的收缩 。 调整机构被配置成在护套被固定到心脏之后改变由夹克限定的内部容积。 本发明还提供了治疗心脏病的方法。
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公开(公告)号：US20020103511A1
公开(公告)日：2002-08-01
申请号：US10060655
申请日：2002-01-30
IPC分类号： A61N001/39
CPC分类号： A61N1/0563 , A61F2/2481 , A61F2002/0068
摘要： A device for treating cardiac disease of a heart includes a jacket of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of the heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. The jacket is adapted to be secured to the heart with the jacket having portions disposed on opposite sides of the heart. The jacket is adjustable to snugly conform to an external geometry of the heart and to constrain circumferential expansion of the heart during diastole and permit substantially unimpeded contraction of the heart during systole. A first and a second grid of electrodes are carried on the jacket. The grids are disposed to be in overlying relation to individual ones of the opposite sides of the heart when the jacket is secured to the heart. The first and second grids are connectable to a source of a defibrillating waveform.
摘要翻译： 用于治疗心脏心脏病的装置包括限定在开放的上端和下端之间的体积的柔性材料的护套。 外套的尺寸适用于通过开放的上端插入体积的心脏的顶点，并且夹套被滑过心脏。 护套适于固定在心脏上，护套具有设置在心脏的相对侧上的部分。 护套是可调节的，以贴合地符合心脏的外部几何形状，并且在舒张期期间约束心脏的周向扩张，并且允许心脏在收缩期间基本上不受阻碍地收缩心脏。 电极的第一和第二格栅承载在护套上。 当护套被固定在心脏上时，网格被布置成与心脏的相对侧中的个体相对重叠。 第一和第二栅极可连接到除颤波形的源。
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公开(公告)号：US20020068850A1
公开(公告)日：2002-06-06
申请号：US09728761
申请日：2000-12-01
IPC分类号： A61F002/00
CPC分类号： A61F2/2481 , A61F2002/2484
摘要： A cardiac constraint jacket is formed of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of a patient's heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. The jacket includes a receiving member along its upper end for engagement to a delivery apparatus, the apparatus used in positioning the jacket on the heart. The delivery apparatus includes a handle and a band. The band is generally hoop shaped having a first end and a second end attached to the handle, the first end fixedly attached to the handle and the second end releasably attached to the handle. Alternatively, the first end can be attached to a releasable end cap of the handle. In use, the second end of the band is released from the handle and inserted into the jacket receiving member. The jacket is threaded onto the band and the band end re-attached to the handle. The band is deformed to fit over the circumference of the heart, and then manipulated to position the jacket on the heart. Once positioned, the band is released from the handle and removed from the jacket receiving member.
摘要翻译： 心脏约束护套由限定开口上端和下端之间的体积的柔性材料形成。 外套的尺寸适合患者心脏的顶点，以通过开放的上端插入体积中，并且夹克被滑过心脏。 护套包括沿着其上端的接收构件，用于与输送装置接合，所述装置用于将护套定位在心脏上。 输送装置包括手柄和带子。 该带通常为环形，其具有附接到手柄的第一端和第二端，第一端固定地附接到手柄，第二端可释放地附接到手柄。 或者，第一端可以附接到手柄的可释放的端盖。 在使用中，带的第二端从手柄释放并插入护套接收构件。 夹套穿过带子，带端重新连接到手柄上。 该带变形以适应心脏的周围，然后操作以将夹套定位在心脏上。 一旦定位，带从手柄释放并从夹套接收构件移除。
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