摘要:
A transmyocardial implant establishes a blood flow path through a myocardium between a heart chamber and a lumen of a coronary vessel residing on an exterior of the heart. The implant includes a coronary portion sized to be received with the vessel. A myocardial portion is sized to pass through the myocardium into the heart chamber. A transition portion connecting the coronary and myocardial portion for directing blood flow from the myocardial portion and into the coronary portion. The transition portion is an arcuate bend and at least a portion of the arcuate bend terminates at the vessel opening at a point of tangency of the arcuate bend.
摘要:
The transmyocardial implant for establishing blood flow through the myocardium between a heart chamber and a lumen of a coronary vessel includes a hollow rigid conduit extending between the lumen and the heart chamber. The conduit includes a first portion for placement in the vessel. The first portion includes an attachment location spaced from an open end for securing a suture around the vessel overlying the first portion at the attachment location. The conduit is formed of a rigid material to resist deformation in response to contraction of the myocardium and the conduit is resistant to thrombus. A tissue growth-inducing material is secured to an exterior of the first portion at the attachment location.
摘要:
The transmyocardial implant for establishing blood flow through the myocardium between a heart chamber and a lumen of a coronary vasculature includes a hollow rigid conduit extending between the lumen and the heart chamber. The conduit is formed of a rigid material to resist deformation in response to contraction of the myocardium and the conduit is resistant to thrombus. A tissue growth-inducing material is secured to an exterior of the conduit. The tissue growth-inducing material is positioned to discourage tissue growth over openings of the implant.
摘要:
An apparatus for manipulating an annuloplasty ring implantation device during implantation includes an elongated handle having a proximal end for grasping by a surgeon and a distal end. A locking surface is provided adjacent the distal end of the elongated handle. The elongated handle carries an engaging tip which extends distally from the locking surface. A locking key extends radially from the engaging tip. The annuloplasty ring implantation device includes an engaging tip opening formed therein adapted for receiving the engaging tip. A key slot is defined in the implantation device and extends radially from the engaging tip opening. The engaging tip and locking key may be inserted into the device at the engaging tip opening and key slot. The elongated handle is locked to the device by inserting the engaging tip and rotating the handle relative to the device such that the locking key and key slot are not aligned. This causes the device to be locked between the locking key and the locking surface. The annuloplasty ring implantation device is an annuloplasty ring holder or a annuloplasty ring sizer template.
摘要:
A holder for engaging a heart valve prosthesis during implantation includes a holder body and stem. The stem is adapted to receive a handle used to manipulate the prostheses during implantation. The stem is moveable between a standard implantation position and a low profile delivery position.
摘要:
A holder for engaging a heart valve prosthesis during implantation includes a mechanism for attaching the holder to the heart valve prosthesis. The heart valve prosthesis includes a circular valve body having an annulus with a substantially annular aperture therein. At least one movable occluder is carried in the aperture and is movable between an open position and a closed position. The attachment mechanism attaches to the occluder thereby securing the holder to the heart valve prosthesis.