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    Annuloplasty Rings for Repair of Abnormal Mitral Valves
    33.
    发明申请
    Annuloplasty Rings for Repair of Abnormal Mitral Valves 审中-公开
    用于修复异常二尖瓣的瓣环成形术环

    公开(公告)号：US20110301704A1

    公开(公告)日：2011-12-08

    申请号：US13094145

    申请日：2011-04-26

    Applicant: Ottavio Alfieri ,  Alain F. Carpentier ,  Francesco Maisano ,  Patrick McCarthy ,  Alberto Redaelli

    Inventor： Ottavio Alfieri ,  Alain F. Carpentier ,  Francesco Maisano ,  Patrick McCarthy ,  Alberto Redaelli

    IPC: A61F2/24

    CPC classification number: A61F2/2448 ,  A61F2/2409 ,  A61F2/246

    Abstract: A remodeling mitral annuloplasty ring with a reduced anterior-to-posterior dimension to restore coaptation between the mitral leaflets in mitral valve insufficiency (IMVI). The ring has a generally oval shaped body with a major axis perpendicular to a minor axis, both perpendicular to a blood flow axis. An anterior section lies between anteriolateral and posteriomedial trigones, while a posterior section defines the remaining ring body and is divided into P1, P2, and P3 segments corresponding to the three scallops of the same nomenclature in the posterior leaflet of the mitral valve. The anterior-to-posterior dimension of the ring body is reduced from conventional rings; such as by providing, in atrial plan view, a pulled-in P3 segment. Viewed another way, the convexity of the P3 segment is less pronounced than the convexity of the P1 segment. In addition, the ring body may have a downwardly deflected portion in the posterior section, preferably within the P2 and P3 segments. The downwardly deflected portion may have an apex which is the lowest elevation of the ring body and may be offset with respect to the center of the downwardly deflected portion toward the P1 segment. A sewing cuff may have an enlarged radial dimension of between 5-10 cm, or only a portion of the sewing cuff may be enlarged.

    Abstract translation: 重建二尖瓣瓣环成形术环，具有减小的前后尺寸，以恢复二尖瓣关闭不全（IMVI）中的二尖瓣小叶之间的接合。 环具有大致椭圆形的主体，其长轴垂直于短轴，两者垂直于血流轴线。 前部位于前外侧和后内侧三角形之间，而后段限定剩余的环体，并分为对应于二尖瓣后叶中相同命名的三扇贝的P1，P2和P3段。 环体的前后尺寸从常规环减少; 例如通过在心房平面图中提供一个拉入的P3段。 换句话说，P3段的凸度比P1段的凸度更不明显。 此外，环体可以在后部中具有向下偏转的部分，优选地在P2和P3段内。 向下偏转的部分可以具有作为环主体的最低高度的顶点，并且可以相对于朝向P1段的向下偏转部分的中心偏移。 缝制袖口可以具有在5-10cm之间的放大的径向尺寸，或者仅可以扩大一部分缝合袖口。

    SYSTEM, METHOD AND PROGRAM FOR DETERMINING COMPLIANCE WITH A SERVICE LEVEL AGREEMENT
    34.
    发明申请
    SYSTEM, METHOD AND PROGRAM FOR DETERMINING COMPLIANCE WITH A SERVICE LEVEL AGREEMENT 审中-公开
    用于确定符合服务水平协议的系统，方法和程序

    公开(公告)号：US20100299153A1

    公开(公告)日：2010-11-25

    申请号：US12785878

    申请日：2010-05-24

    Applicant: Richard S. Curtis ,  Paul Kontogiorgis ,  Patrick McCarthy ,  Srinivas Babu Tummalapcnta

    Inventor： Richard S. Curtis ,  Paul Kontogiorgis ,  Patrick McCarthy ,  Srinivas Babu Tummalapcnta

    IPC: G06Q99/00 ,  G06F17/30

    CPC classification number: H04L43/0817 ,  H04L41/5009 ,  H04L41/5012 ,  H04L41/5032 ,  H04L41/5096

    Abstract: System, method and program product for monitoring a computer program or database maintained by a service provider for a customer. A multiplicity of failures of the computer program or data base during a reporting interval are identified. The times of the multiplicity of failures are compared to one or more scheduled maintenance windows. A determination is made that at least one of the multiplicity of failures occurred during the one or more scheduled maintenance windows. A determination is also made that the customer was responsible for at least another one of the multiplicity of failures. A determination is made that the service provider was responsible for a plurality of the failures not including the at least one failure occurring during the one or more scheduled maintenance windows and the at least another one failure for which the customer was responsible. A determination is made whether the service provider complied with a service level agreement based on the plurality of the outages. This may be based on a percent time each reporting interval that the computer program had failed based on durations of the plurality of failures. The computer program may need information from another computer program or other database to function normally. If this other computer program or other database failed during the reporting interval, and the customer was responsible for the failure of the other computer program or other database, the service provider is not charged for the failure of the first said computer program. A determination is made as to a monetary cost to a business of the customer for the plurality of said failures.

    Abstract translation: 用于监视由服务提供商为客户维护的计算机程序或数据库的系统，方法和程序产品。 识别在报告间隔期间计算机程序或数据库的多次故障。 将多个故障的时间与一个或多个计划的维护窗口进行比较。 确定在一个或多个预定维护窗口期间发生多个故障中的至少一个故障。 还决定客户至少负责多个故障中的另一个。 确定服务提供商负责在不包括在一个或多个预定的维护窗口期间发生的至少一个故障的多个故障以及客户负责的至少另一个故障。 确定服务提供商是否遵守基于多个中断的服务级别协议。 这可以基于计算机程序基于多个故障的持续时间而失败的每个报告间隔的百分比时间。 计算机程序可能需要来自另一个计算机程序或其他数据库的信息才能正常运行。 如果这个其他计算机程序或其他数据库在报告间隔期间失败，并且客户对其他计算机程序或其他数据库的故障负责，则服务提供商不会因第一个所述计算机程序的故障而收费。 确定针对多个所述故障的客户的业务的货币成本。

    MITRAL VALVE ANNULOPLASTY RING HAVING AN OFFSET POSTERIOR BOW
    36.
    发明申请
    MITRAL VALVE ANNULOPLASTY RING HAVING AN OFFSET POSTERIOR BOW 有权
    具有偏心枕头的MITRAL VALVE ANNULOPLASTY戒指

    公开(公告)号：US20100010625A1

    公开(公告)日：2010-01-14

    申请号：US12563847

    申请日：2009-09-21

    Applicant: Patrick McCarthy

    Inventor： Patrick McCarthy

    IPC: A61F2/24

    CPC classification number: A61F2/2448 ,  A61F2/2445 ,  A61F2250/0018

    Abstract: A mitral heart valve annuloplasty ring having a posterior bow that conforms to an abnormal posterior aspect of the mitral annulus. The ring may be generally oval having a major axis and a minor axis, wherein the posterior bow may be centered along the minor axis or offset in a posterior section. The ring may be substantially planar, or may include upward bows on either side of the posterior bow. The ring may include a ring body surrounded by a suture-permeable fabric sheath formed of a plurality of concentric ring elements or bands. The posterior bow is stiff enough to withstand deformation once implanted and subjected to normal physiologic stresses. A method of repairing an abnormal mitral heart valve annulus having a depressed posterior aspect includes providing a ring with a posterior bow and implanting the ring to support the annulus without unduly stressing the attachment sutures.

    Abstract translation: 二尖瓣瓣膜瓣环成形术环具有符合二尖瓣环的异常后方的后弓。 环可以是具有长轴和短轴的大致椭圆形，其中后弓可以沿着短轴对中或在后部中偏移。 环可以是基本上平面的，或者可以包括在后弓的任一侧的向上弓。 环可以包括由多个同心环元件或带形成的由缝合线可渗透的织物护套包围的环体。 后弓足够坚硬，一旦植入就能承受变形，并经受正常的生理应力。 修复具有凹陷后方面的异常二尖瓣心瓣膜的方法包括提供具有后弓的环和植入环以支撑环，而不会不适当地施加附接缝线。

    Asset-backed investment instrument and related methods
    37.
    发明申请
    Asset-backed investment instrument and related methods 审中-公开
    资产支持投资工具及相关方法

    公开(公告)号：US20090187512A1

    公开(公告)日：2009-07-23

    申请号：US11141551

    申请日：2005-05-31

    Applicant: Jeffrey A. Giroux ,  Philip Prince ,  Patrick McCarthy ,  Janet Wiener ,  John Cho ,  Mark Sun

    Inventor： Jeffrey A. Giroux ,  Philip Prince ,  Patrick McCarthy ,  Janet Wiener ,  John Cho ,  Mark Sun

    IPC: G06Q40/00

    CPC classification number: G06Q40/06 ,  G06Q40/10

    Abstract: An asset-backed investment instrument that increases deferred tax liabilities for an investor and, therefore, is attractive to any investor that benefits from deferred tax liabilities, such as certain insurance companies. Ownership of an asset underlying the investment instrument is transferred to an investing entity. The transferred asset is leased from the investing entity for a predetermined period. The lease may include a like-kind exchange feature to lengthen the predetermined period of the lease and to allow the accrued deferred tax liabilities to remain outstanding for a longer period of time. The lease may also include a Terminal Rental Adjustment Clause to remove the risk of a change in an estimated residual value from the investing entity.

    Abstract translation: 一项资产支持投资工具，用于增加投资者的递延所得税负债，因此对某些保险公司等递延所得税负债的投资者具有吸引力。 投资工具背后的资产所有权转让给投资实体。 转出资产预计从投资单位出租。 租赁可能包括类似交换功能，以延长租赁的预定期限，并允许应计递延税负债在较长时间内保持未偿还。 租赁还可以包括终端租赁调整条款，以消除投资实体估计剩余价值变动的风险。

    Three-dimensional annuloplasty ring and template
    40.
    发明申请
    Three-dimensional annuloplasty ring and template 有权
    三维瓣膜成形术环和模板

    公开(公告)号：US20050182487A1

    公开(公告)日：2005-08-18

    申请号：US11106421

    申请日：2005-04-14

    Applicant: Patrick McCarthy ,  Richard Rhee ,  Stefan Schreck

    Inventor： Patrick McCarthy ,  Richard Rhee ,  Stefan Schreck

    IPC: A61F2/24

    CPC classification number: A61F2/2445 ,  A61F2/2448 ,  A61F2/2466 ,  A61F2230/0091 ,  A61F2250/0029 ,  A61F2250/0036 ,  A61F2250/0037 ,  Y10S623/90

    Abstract: An annuloplasty ring having a three-dimensional discontinuous form generally arranged about an axis with two free ends that are axially offset. The ring is particularly suited for repair of the tricuspid valve, and more closely conforms to the annulus shape. The ring is more flexible in bending about radially extending axes than about the central axis. The ring may have an inner structural support covered by a pliable sleeve and/or a fabric tube. The structural support may have a varying cross-section, such as a C-shaped cross-section in a mid-section between two free ends and a rectangular cross-section at the free ends. A deliver template having a mounting ring with about the same shape as the ring facilitates implant, and may be releasably attached to a delivery handle. The deliver template may include a plurality of cutting guides for releasably attaching the annuloplasty ring thereto while presenting maximum outer surface area of the ring. The template may have an outwardly-facing groove to receive and retain the ring.

    Abstract translation: 具有三维不连续形状的瓣环成形术环通常围绕具有轴向偏移的两个自由端的轴线布置。 该环特别适用于修复三尖瓣，并且更接近于环形。 环绕径向延伸的轴弯曲比围绕中心轴更弯曲。 环可以具有由柔韧的套筒和/或织物管覆盖的内部结构支撑。 结构支撑件可以具有变化的横截面，例如两个自由端之间的中间部分中的C形横截面和在自由端处的矩形横截面。 具有与环具有大致相同形状的安装环的输送模板便于植入，并且可以可释放地附接到递送手柄。 递送模板可以包括多个切割引导件，用于可释放地将瓣环成形术环附接到其上，同时具有环的最大外表面面积。 模板可以具有向外的凹槽以接收和保持环。

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