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    ANNULUS RINGS WITH SUTURE CLIPS
    32.
    发明申请
    ANNULUS RINGS WITH SUTURE CLIPS 有权
    ANNULUS戒指与短裤

    公开(公告)号：US20160045313A1

    公开(公告)日：2016-02-18

    申请号：US14826054

    申请日：2015-08-13

    Applicant: Edwards Lifesciences Corporation

    Inventor： Manouchehr A. Miraki

    IPC: A61F2/24

    CPC classification number: A61F2/2448 ,  A61B17/0487 ,  A61F2/2445

    Abstract: Disclosed herein are annular prosthetic devices, such as annuloplasty rings, that include suture clips integrated into or mounted within an annular frame. The clips can quickly secure to sutures to obviate the need to tied knots in the sutures during implantation. Embodiments comprise an annular frame having an open central region and a plurality of suture clips spaced angularly apart around the frame. Each of the suture clips can comprise two opposing tabs that extend toward each other such that the suture clip forms a gripping region between ends of the tabs and the gripping region is configured to grip a suture inserted through the suture clip between the two tabs. The annular frame and the plurality of suture clips can be formed from a single piece of flat material with the suture clip tabs being formed by laser cutting the piece of flat material, or the suture clips can be movable along a track formed in the annular frame.

    Abstract translation: 本文公开了环形假体装置，例如瓣膜成形术环，其包括集成到环形框架中或安装在环形框架内的缝合夹。 剪辑可以快速固定到缝合线，以避免在植入期间在缝合线上缠结结的需要。 实施例包括具有开放中心区域和围绕框架成角度地间隔开的多个缝合夹的环形框架。 每个缝合夹可以包括两个彼此延伸的相对的突出部，使得缝合夹在突片的端部之间形成抓握区域，并且夹持区域构造成夹持插入穿过缝合夹之间的缝合线。 环形框架和多个缝合夹可以由单片扁平材料形成，其中缝合夹片通过激光切割该平片材料而形成，或者缝合线夹可以沿着形成在环形框架中的轨道移动 。

    TISSUE RETRACTOR
    33.
    发明申请
    TISSUE RETRACTOR 有权
    组织返回器

    公开(公告)号：US20150018625A1

    公开(公告)日：2015-01-15

    申请号：US14327440

    申请日：2014-07-09

    Applicant: Edwards Lifesciences Corporation

    Inventor： Manouchehr A. Miraki ,  Kevin Dang

    IPC: A61B17/02

    CPC classification number: A61B17/0206 ,  A61B17/0293 ,  A61B2017/0237 ,  A61B2017/0287 ,  A61F2/2427

    Abstract: A surgical site retractor is configured to retract tissue, such as in an intercostal procedure. The retractor may be formed from non-radiopaque material for improved monitoring via x-ray imaging. The retractor may have a rigid retractor and a soft tissue retractor, where the rigid retractor has a plurality of legs and the soft tissue retractor extends between the legs to prevent soft tissue from extending between said legs. The retractor may have a bendable arm with an implement holder, such as distal cuff or clip adapted to resiliently hold an implement such as a tube of an elongated port-access device. A method involves partly installing the surgical site retractor, expanding the surgical site retractor, deploying the surgical implement from outside the body through the incision and into the patient, resiliently capturing the implement with the holder of the arm, and bending the arm to hold the implement in a desired position.

    Abstract translation: 手术部位牵开器构造成缩回组织，例如在肋间手术中。 牵开器可以由不透射线材料形成，以通过X射线成像进行改进的监测。 牵开器可以具有刚性牵开器和软组织牵开器，其中刚性牵开器具有多个腿部，并且软组织牵开器在腿部之间延伸以防止软组织在所述腿部之间延伸。 牵开器可以具有可弯曲的臂，其具有工具保持器，例如适于弹性地保持诸如细长端口进入装置的管的工具的远端箍或夹子。 一种方法包括部分地安装手术部位牵开器，扩大手术部位牵开器，将外科手术器械从身体外部通过切口部署到患者身上，用手臂的支架弹性捕获器具，并弯曲手臂以保持 实现在期望的位置。

    CARDIAC IMPLANT WITH INTEGRATED SUTURE FASTENERS
    34.
    发明申请
    CARDIAC IMPLANT WITH INTEGRATED SUTURE FASTENERS 有权
    CARDIAC植入与集成紧固件

    公开(公告)号：US20140371842A1

    公开(公告)日：2014-12-18

    申请号：US14302733

    申请日：2014-06-12

    Applicant: Edwards Lifesciences Corporation

    Inventor： Salvador Marquez ,  Brian S. Conklin ,  Manouchehr A. Miraki ,  Yoon H. Kwon

    IPC: A61F2/24

    CPC classification number: A61F2/2445 ,  A61B17/02 ,  A61B17/0487 ,  A61B2017/0237 ,  A61B2017/0488 ,  A61F2/2409 ,  A61F2/2412 ,  A61F2/2448

    Abstract: A cardiac implant system including a cardiac implant such as an annuloplasty ring, a prosthetic heart valve, or a valved conduit pre-assembled at the time of manufacture with devices for securing the implant to a heart valve annulus using knotless suture fasteners. The knotless suture fasteners may be embedded within a pliant sealing edge of the cardiac implant, or they may be positioned adjacent to the sealing edge. The knotless suture fasteners are spring-biased so as to grip onto annulus anchoring sutures pass to therethrough upon removal of a restraining device, such as a hypotube inserted within the suture fasteners. Guide tubes are assembled in line with the suture fasteners to permit introduction of suture snares that pass through the suture fasteners and through the sealing edge to facilitate capture of the pre-installed annulus anchoring sutures.

    Abstract translation: 一种心脏植入系统，其包括心脏植入物，例如瓣膜成形术环，假体心脏瓣膜或在制造时预先组装的带阀的导管，其中装置使用无缝缝合紧固件将植入物固定到心脏瓣膜环。 无缝缝合紧固件可以嵌入在心脏植入物的柔性密封边缘内，或者它们可以邻近密封边缘定位。 无缝缝合紧固件被弹簧偏置，以便在去除限制装置（例如插入缝合线紧固件内的海波管）时夹紧到环形锚固缝合线上。 引导管与缝合线紧固件一起组装，以允许引入通过缝合线紧固件并穿过密封边缘的缝合线圈，以便于捕获预先安装的环形锚定缝合线。

    Suture clips, deployment devices therefor, and methods of use
    35.
    发明授权
    Suture clips, deployment devices therefor, and methods of use 有权

    公开(公告)号：US12193661B2

    公开(公告)日：2025-01-14

    申请号：US17195143

    申请日：2021-03-08

    Applicant: Edwards Lifesciences Corporation

    Inventor： Manouchehr A. Miraki ,  Bryan A. Janish ,  William T. Biller

    IPC: A61B17/04

    Abstract: A device for deploying a suture clip onto a suture can include a proximal handle portion that includes an actuation mechanism. The device can also include an outer shaft defining an inner lumen. A crimping assembly can be at least partially disposed within a distal end of the outer shaft. The crimping assembly can include a plurality of crimping members configured to receive and radially compress a suture clip. The actuating mechanism can be configured to move the plurality of crimping members radially inwardly from a first position, where the crimping members are configured to receive a suture clip, to a second position where the plurality of crimping members are configured to radially compress the suture clip, causing the suture clip to plastically deform and become secured around one or more sutures.

    Suture clips
    36.
    发明授权
    Suture clips 有权

    公开(公告)号：US12064105B2

    公开(公告)日：2024-08-20

    申请号：US17487257

    申请日：2021-09-28

    Applicant: Edwards Lifesciences Corporation

    Inventor： Manouchehr A. Miraki

    IPC: A61B17/04 ,  A61B17/122 ,  A61B17/128

    CPC classification number: A61B17/0487 ,  A61B17/0469 ,  A61B17/122 ,  A61B2017/0488 ,  A61B17/1285

    Abstract: Disclosed suture clips include a generally disk-shaped body having an annular outer body, first and second tabs extending radially inwardly from opposing sides of the annular outer body, first and second slots passing through a thickness of the suture clip and separating the annular outer body from lateral sides of the first and second tabs, and the first and second slots include stepped portions configured to align the suture clip on a rail of a clip deployment device. The stepped slots create bracketing surfaces that interface with the rail on which the clips are mounted, such that the bracketing surfaces prevent or limit the freedom of the clips from tilting or shifting relative to the rail. The disclosed clips can also include rounded edges on engagement surfaces of the tabs to minimize particulate formation.

    SUTURE CLIP DEPLOYMENT DEVICES WITH SUTURE TENSIONING SYSTEMS
    37.
    发明公开
    SUTURE CLIP DEPLOYMENT DEVICES WITH SUTURE TENSIONING SYSTEMS 审中-公开

    公开(公告)号：US20240173027A1

    公开(公告)日：2024-05-30

    申请号：US18542484

    申请日：2023-12-15

    Applicant: EDWARDS LIFESCIENCES CORPORATION

    Inventor： Jason Thai Le ,  Manouchehr A. Miraki

    IPC: A61B17/04 ,  A61B17/00

    CPC classification number: A61B17/0487 ,  A61B2017/00398 ,  A61B2017/00982 ,  A61B2017/0488

    Abstract: Disclosed are devices and methods for deploying securement devices onto sutures with precise and consistent tension levels in the sutures. Devices can include a handle portion having a trigger and a suture tensioning mechanism, and a shaft portion extending distally from the handle portion with at least one suture securement device positioned at a distal end portion of the shaft portion. The device can receive a suture or sutures extending through the suture securement device, across the trigger, and to the suture tensioning mechanism. Actuation of the suture tensioning mechanism gradually increases tension in the received suture until the trigger is actuated by pressure from the suture when a predetermined amount of tension is reached in the suture. Actuation of the trigger can cause the suture securement device to be deployed from the shaft portion onto the received suture with the predetermined amount of tension in the suture.

    SUTURE FASTENER HAVING SPACED-APART LAYERS
    38.
    发明公开
    SUTURE FASTENER HAVING SPACED-APART LAYERS 审中-公开

    公开(公告)号：US20240099712A1

    公开(公告)日：2024-03-28

    申请号：US18535985

    申请日：2023-12-11

    Applicant: EDWARDS LIFESCIENCES CORPORATION

    Inventor： Manouchehr A. Miraki

    IPC: A61B17/04 ,  A61F2/24

    CPC classification number: A61B17/0487 ,  A61B17/0467 ,  A61B17/0469 ,  A61F2/2409 ,  A61F2/2448 ,  A61B2017/00243 ,  A61B2017/0488

    Abstract: In one embodiment, a multi-layer suture fastener that includes a generally disc-shaped body defining a plurality of axially spaced-apart layers. Each layer can include an inner axial surface and an outer axial surface. A suture opening can extend from the inner axial surface to the outer axial surface of each layer. The suture openings can have an open configuration and a closed configuration. One or more lines of suture can be passed through the suture openings when in the open configuration. The suture openings can be placed in the closed configuration. In the closed configuration, the one or more lines of suture can be restricted by radial surfaces of the suture opening from sliding through the suture openings in at least one longitudinal direction of the one or more lines of suture.

    Heart valve implants with side slits
    39.
    发明授权
    Heart valve implants with side slits 有权

    公开(公告)号：US11464633B2

    公开(公告)日：2022-10-11

    申请号：US16435969

    申请日：2019-06-10

    Applicant: Edwards Lifesciences Corporation

    Inventor： Salvador Marquez ,  Brian S. Conklin ,  Manouchehr A. Miraki ,  Yoon Hee Kwon

    IPC: A61F2/24 ,  A61B17/04 ,  A61B17/02

    Abstract: A cardiac implant system including a cardiac implant such as an annuloplasty ring, a prosthetic heart valve, or a valved conduit pre-assembled at the time of manufacture with devices for securing the implant to a heart valve annulus using knotless suture fasteners. The knotless suture fasteners may be embedded within a pliant sealing edge of the cardiac implant, or they may be positioned adjacent to the sealing edge. The knotless suture fasteners are spring-biased so as to grip onto annulus anchoring sutures pass to therethrough upon removal of a restraining device, such as a hypotube inserted within the suture fasteners. Guide tubes are assembled in line with the suture fasteners to permit introduction of suture snares that pass through the suture fasteners and through the sealing edge to facilitate capture of the pre-installed annulus anchoring sutures.

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