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公开(公告)号:US11931528B2
公开(公告)日:2024-03-19
申请号:US16891395
申请日:2020-06-03
Applicant: Boston Scientific Scimed, Inc.
Inventor: James P. Rohl , Aaron Abbott , Daniel Shuey , Joel T. Eggert , James K. Cawthra, Jr. , Jay E. Daley , Christopher Nguyen
CPC classification number: A61M25/0147 , A61M25/0136 , A61M2025/0002 , A61M2025/0166 , A61M2210/125
Abstract: A catheter configured to dynamically compensate for the impact of internal and external forces that act upon the catheter during use is disclosed. The catheter may include sensors configured to measure received forces on control cables that extend within the catheter. A controller, coupled to the sensors, may record received force measurements associated with a working position of a distal end of the catheter. The controller may monitor subsequently received forces to identify force variances that may deflect the distal end of the catheter from its working position and may apply a driving force to one or more of the control cables to minimize the force variances. Monitoring received forces during use and applying compensating drive forces may reduce deflection of the distal end of the catheter, increasing the accuracy and precision of an annuloplasty procedure while minimizing potential damage to cardiac tissue.
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公开(公告)号:US20230404565A1
公开(公告)日:2023-12-21
申请号:US18211542
申请日:2023-06-19
Inventor: Daniel Shuey , Joel T. Eggert , Mitchell Nelson , Eric Jason Krause , Evan M Leingang , Greg Johnson , Greg Hoepfner
CPC classification number: A61B17/0401 , A61B17/00234 , A61B17/0487 , A61B2017/0409 , A61B2017/0496 , A61B2017/00243
Abstract: A delivery and deployment system having a control handle operable to deliver and/or deploy an implantable device, e.g., transluminally. A steering control system may include a steering control knob rotatable about the longitudinal axis of the handle to axially pull on a steering element to steer a flexible elongate member to deliver an implantable device to a desired site. An implantable device deployment system may include a slider selectively slidable with respect to the control handle to deploy an implantable device, and optionally to retain the implantable device in a delivery position. A tether adjustment system may include a knob rotatable about the handle's longitudinal axis to axially pull on a tether element to adjust the tension and/or length thereof. A tensioning and locking system may include a knob rotatable about the handle's longitudinal axis to shift a tensioning and locking device to set the tether element's tension and/or length.
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公开(公告)号:US11737875B2
公开(公告)日:2023-08-29
申请号:US16919769
申请日:2020-07-02
Applicant: Boston Scientific Scimed, Inc.
Inventor: Daniel Shuey , Joel T. Eggert , Aaron Abbott , James P. Rohl , Christopher J. Koudela
IPC: A61F2/24
CPC classification number: A61F2/2457 , A61F2/2466 , A61F2220/0016
Abstract: The present disclosure relates generally to the field of medical devices for delivering artificial chordae tendineae in a patient. A system for adjusting tension in an artificial chordae tendineae includes an artificial chordae tendineae coupleable between a clip and an anchor. The clip is engageable with a leaflet of a heart valve while the anchor is engageable with a papillary muscle or heart wall. The anchor includes a body portion, and a locking portion coupleable with the artificial chordae tendineae and configured to allow movement of the artificial chordae tendineae in a first direction while preventing movement of the artificial chordae tendineae in a second direction opposite the first direction. An actuator is coupled to the locking portion for selectively releasing the locking portion to enable selective movement of the artificial chordae tendineae in the second direction.
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公开(公告)号:US20230181318A1
公开(公告)日:2023-06-15
申请号:US18106871
申请日:2023-02-07
Inventor: Katherine L. Baldwin , James P. Rohl , James K. Cawthra, JR. , Joseph A. Dearani , Daniel Shuey , Dale Groth
IPC: A61F2/24 , A61B17/122 , A61B17/06 , A61B17/062 , A61B17/04
CPC classification number: A61F2/2442 , A61B17/06 , A61B17/062 , A61B17/0401 , A61B17/1227 , A61F2/2466 , A61B2017/00336
Abstract: A heart valve anchor apparatus may include a body having a proximal portion and a distal portion. The body may include a first radially expandable portion at the proximal portion of the body, a second radially expandable portion at the distal portion of the body, and a root portion extending from the first radially expandable portion to the second radially expandable portion, the root portion having an outer extent. The first radially expandable portion may be configured to self-expand to an outer extent greater than the outer extent of the root portion when radially unconstrained. The second radially expandable portion may be configured to self-expand to an outer extent greater than the outer extent of the root portion when radially unconstrained. In an unstressed configuration, the body may define a longitudinal centerline that extends away from a plane tangent to the root portion.
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公开(公告)号:US11020228B2
公开(公告)日:2021-06-01
申请号:US16104085
申请日:2018-08-16
Inventor: James P. Rohl , Joel T. Eggert , Katherine L. Baldwin , Craig M. Wilson , Lance A. Freeseman , James K. Cawthra, Jr. , Dennis B. Werner , Daniel Shuey , Jonathan P. Fettig , Todd College , Gurpreet S. Sandhu , Joseph A. Dearani , Aaron Abbott
IPC: A61F2/24 , A61B17/122 , A61B17/128 , A61B90/00 , A61B34/20 , A61B17/00 , A61B90/30 , A61B17/29
Abstract: Anchor delivery systems and methods for repairing a valve inside a body, such as a heart valve, may include a delivery catheter having a distal end comprised of two or more rotatably coupled knuckles. An anchor delivery mechanism is disposed distally of the two or more knuckles, and includes a first pincer arm having a distal end and a proximal end rotatably coupled to a distal end of the anchor delivery mechanism at a first connection point, and a second pincer arm having a distal end and a proximal end rotatably coupled to the distal end of the anchor delivery mechanism at a second connection point opposite the first connection point. In a closed position, the distal ends of the first and second pincer arms are positioned together. In an open position, the distal ends of the first and second pincer arms are rotated apart from each other.
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公开(公告)号:US20210007847A1
公开(公告)日:2021-01-14
申请号:US16919782
申请日:2020-07-02
Applicant: Boston Scientific Scimed, Inc.
Inventor: Joel T. Eggert , Aaron Abbott , Daniel Shuey , James P. Rohl
IPC: A61F2/24
Abstract: The present disclosure relates generally to the field of medical devices for clamping a leaflet of a heart valve. In particular, the present disclosure relates to medical devices, systems, and methods for delivering artificial chordae tendineae in a patient. In an embodiment, a system may include a clamp having a plurality of arms at a first end. The plurality of arms may have a closed configuration in which the arms are oriented toward each other, and an open configuration in which the arms are oriented away from each other. A spring portion may be coupled to the plurality of arms at a second end that is configured to bias the arms to the closed configuration. The arms of the clamp may be configured to fixedly engage with a leaflet of the heart valve. The second end of the clamp may be configured to couple to an artificial chordae tendineae.
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公开(公告)号:US20210000598A1
公开(公告)日:2021-01-07
申请号:US16919794
申请日:2020-07-02
Applicant: Boston Scientific Scimed, Inc.
Inventor: Daniel Shuey , Joel T. Eggert , Aaron Abbott , James P. Rohl , Christopher J. Koudela
IPC: A61F2/24
Abstract: The present disclosure relates generally to the field of medical devices for delivering artificial chordae tendineae in a patient. In an embodiment, an anchor is movable between a delivery configuration and a deployed configuration, the anchor being in the delivery configuration when disposed within a delivery catheter, the anchor being in the deployed configuration when the anchor is moved beyond a distal end of the delivery catheter. When the anchor is in the delivery configuration it has a first outer dimension and when the anchor is in the deployed configuration it has a second outer dimension, the first outer dimension being smaller than the second outer dimension. The anchor is engageable with a papillary muscle or a heart wall when the anchor is in the deployed configuration and is also coupleable to an artificial chordae tendineae to anchor the artificial chordae tendineae to the papillary muscle or heart wall.
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公开(公告)号:US20210000597A1
公开(公告)日:2021-01-07
申请号:US16919769
申请日:2020-07-02
Applicant: Boston Scientific Scimed, Inc.
Inventor: Daniel Shuey , Joel T. Eggert , Aaron Abbott , James P. Rohl , Christopher J. Koudela
IPC: A61F2/24
Abstract: The present disclosure relates generally to the field of medical devices for delivering artificial chordae tendineae in a patient. A system for adjusting tension in an artificial chordae tendineae includes an artificial chordae tendineae coupleable between a clip and an anchor. The clip is engageable with a leaflet of a heart valve while the anchor is engageable with a papillary muscle or heart wall. The anchor includes a body portion, and a locking portion coupleable with the artificial chordae tendineae and configured to allow movement of the artificial chordae tendineae in a first direction while preventing movement of the artificial chordae tendineae in a second direction opposite the first direction. An actuator is coupled to the locking portion for selectively releasing the locking portion to enable selective movement of the artificial chordae tendineae in the second direction.
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