摘要:
Delivery devices for placement of therapeutic devices relative a heart valve annulus of a beating heart that are delivered to the heart via minimally invasive surgical procedures and can be used in the heart during a therapeutic procedure that can be visualized in real time and be guided to specific locations within the heart. The systems and methods can be used to determine the exact location of the implantation delivery devices and therapeutic devices relative to a valve annulus and to determine that any therapeutic device is implanted in the correct location.
摘要:
An image guided navigation system for mapping at least one of the shape, size and location of a structure within a heart of a patient, including a catheter system having a first catheter with a longitudinally extending lumen, a second catheter having a longitudinally extending lumen and positioned at least partially within and moveable relative to the lumen of the first catheter, an elongated member positioned at least partially within and moveable relative to a lumen of the second catheter, a first detectable marker located at a generally distal end of the first catheter, a second detectable marker located at a generally distal end of the second catheter, and a third detectable marker located at a generally distal end of the elongated member, wherein at least one of the three detectable markers is axially moveable relative to at least one of the other detectable markers.
摘要:
A device, a system and a method for contracting tissue in a mammalian body. The contracting device comprises a body and a plurality of legs radially splayed there from. Each leg includes a snap-acting spring tip. When a force is applied to the device, the tips operate to transform the device from a deployment state into a treatment state. Each leg may also be bent at one or more deformation elements in response to the application of force. The system comprises a contracting device slidably received within a delivery catheter. The method of contracting tissue in a mammalian body comprises delivering a contracting device in a lumen of a catheter proximate a treatment area, releasing the contracting device from the catheter, positioning legs of the contracting device on tissue to be contracted, exerting a force on the contracting device, transforming the device into a treatment state, and reducing a compass of the tissue in response to the attainment of the treatment state.
摘要:
A catheter based system for treating mitral valve regurgitation includes a restraining device having a flexible member, a plurality of movable anchor members attached to the outer surface of the flexible member, and an adjustment filament attached to the ends of the flexible member. One embodiment of the invention includes a method for attaching a flexible restraining device to the annulus of a mitral valve, and adjusting the length of the adjustment filament attached to the flexible member of the restraining device, thereby reshaping the mitral valve annulus so that the anterior and posterior leaflets of the mitral valve close during ventricular contraction.
摘要:
A guidewire apparatus for use during percutaneous catheter interventions, such as angioplasty or stent deployment. A protection element comprising a filter or an occluder is mounted near the distal end of a steerable guidewire, which guides a therapeutic catheter. The guidewire apparatus comprises a hollow shaft movably disposed about a core wire and, optionally, a slippery liner interfitted there between. The shaft and core wire control relative displacement of the ends of the protection element, causing transformation of the protection element between a deployed configuration and a collapsed configuration.
摘要:
A venous graft for replacement of a section of an artery and methods of making the graft. The graft comprises a flexible, resilient, generally tubular external support and a vein segment carried within and having an ablumenal surface in contact with and supported by the tubular support, the venous graft being capable of resilient radial expansion in a manner mimicking the radial compliance properties of an artery.
摘要:
A sheath catheter includes a positioning wire fixedly attached at its distal end to a distal tube. A proximal tube is slidably disposed on the positioning wire proximal of the distal tube and sized so that the distal tube may be nested therein. In one embodiment, a series of coordinating stops are fixed on the tubes so that the distal tube can slide back and forth within the proximal tube but cannot be extracted from the proximal tube. As such, the over-the-wire length of the catheter can be varied. In another embodiment, an additional telescoping portion can be added between the distal tube and the proximal tube for greater control over the length of the sheath catheter. In this embodiment, the tubes are sized so that the middle tube may be nested within the proximal tube and the distal tube may be nested in the middle tube.
摘要:
The invention relates to a catheter device and method of use for exchanging a catheter having a full-length guidewire lumen over a conventional-length guidewire without the use of a guidewire extension or an exchange wire. The catheter device includes an elongated shaft defining an inflation lumen and a guidewire lumen extending longitudinally throughout its length, and a hydraulic exchange lumen extending from the proximal end of the shaft and terminating proximal the distal end of the shaft, wherein the hydraulic exchange lumen is in fluid communication with the guidewire lumen. A balloon is coupled to the distal section of the shaft and is in fluid communication with the inflation lumen. A flow guiding member is disposed within the guiding catheter and functions to redirect the distal flow of pressurized fluid traveling through the hydraulic exchange lumen in a proximal direction through the guidewire lumen.
摘要:
Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.
摘要:
A venous graft for replacement of a section of an artery and methods of making the graft. The graft comprises a flexible, resilient, generally tubular external support and a vein segment carried within and having an ablumenal surface in contact with and supported by the tubular support, the venous graft being capable of resilient radial expansion in a manner mimicking the radial compliance properties of an artery.