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公开(公告)号：US08821570B2
公开(公告)日：2014-09-02
申请号：US13386331
申请日：2010-07-20
申请人： Jeffrey P. DuMontelle , Maurice Buchbinder , Samuel M. Shaolian , Ninh H. Dang , Paul A. Molloy , Ross Tsukashima , Brian C. Gray , Daniel C. Anderson
发明人： Jeffrey P. DuMontelle , Maurice Buchbinder , Samuel M. Shaolian , Ninh H. Dang , Paul A. Molloy , Ross Tsukashima , Brian C. Gray , Daniel C. Anderson
CPC分类号： A61L27/50 , A61F2/2445 , A61F2210/0023 , A61F2210/0033 , A61F2250/001 , A61L27/507
摘要： Annuloplasty rings are employed to treat heart valve defects, such as regurgitation. Synching the heart tissue to the ring restores the valve opening to its approximate original size and operating efficiency. Adjustable annuloplasty rings allow for a proper degree of synching both during open heart surgery and over the patient's lifetime. A subcutaneous port may be coupled to an adjustable annuloplasty ring such that an external activation energy generator can be used to heat the adjustable annuloplasty ring and thereby adjust the size of the annuloplasty ring.
摘要翻译： 使用瓣环成形术来治疗心脏瓣膜缺损，例如反流。 将心脏组织同步到环将瓣膜开口恢复到其近似的原始尺寸和操作效率。 可调环形成形术环允许在心脏开放心脏手术期间和患者生命周期内均匀适应程度的同步。 皮下端口可以联接到可调节瓣环成形术环，使得外部激活能量发生器可以用于加热可调节瓣环成形术环，从而调节瓣环成形术环的尺寸。
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公开(公告)号：US08579968B1
公开(公告)日：2013-11-12
申请号：US13111179
申请日：2011-05-19
申请人： Frank Shannon , Samuel M. Shaolian , Brian C. Gray , Vincent Yeh
发明人： Frank Shannon , Samuel M. Shaolian , Brian C. Gray , Vincent Yeh
IPC分类号： A61F2/24
CPC分类号： A61F2/2445 , A61F2/2448 , A61F2/2466 , A61F2210/0014 , A61F2230/0013 , A61F2250/0004
摘要： Annuloplasty rings reduce or eliminate tricuspid regurgitation and/or tricuspid annulus dilation. An adjustable annuloplasty device includes a ring body having a first free end and a second free end. The ring body includes a shape memory material to provide a shape change to the adjustable annuloplasty device upon activation. The ring body includes a first segment including the first free end and following a curved path corresponding to an anterior leaflet region of a tricuspid annulus, a second segment following a curved path corresponding to a posterior leaflet region of the tricuspid annulus, and a third segment including the second free end and at least partially following a linear path corresponding to a portion of a septal leaflet region of the tricuspid annulus. Activation of the shape memory material changes a dimension of the adjustable annuloplasty device.
摘要翻译： 瓣环成形术减少或消除三尖瓣反流和/或三尖瓣环扩张。 可调节瓣环成形术装置包括具有第一自由端和第二自由端的环体。 环体包括形状记忆材料，以在激活时向可调节瓣环成形术装置提供形状变化。 环体包括包括第一自由端并且跟随对应于三尖瓣环的前小叶区域的弯曲路径的第一区段，跟随与三尖瓣环的后叶片区域相对应的弯曲路径的第二区段，以及第三区段 包括第二自由端并且至少部分地跟随对应于三尖瓣环的隔膜小叶区域的一部分的线性路径。 形状记忆材料的激活改变了可调环形成形术装置的尺寸。
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公开(公告)号：US08048081B2
公开(公告)日：2011-11-01
申请号：US10607494
申请日：2003-06-25
IPC分类号： A61B17/70
CPC分类号： A61B17/1617 , A61B17/1642 , A61B17/1675 , A61B17/1757 , A61B17/320016 , A61B17/7097 , A61B2017/00261 , A61B2017/00867 , A61B2017/564 , A61F2/442 , A61F2002/444
摘要： Methods and devices for treating diseases and conditions that change the spacial relationship between the vertebral bodies and the intervertebral disks, or that cause instability of the vertebral column, or both, and a method and devices that allow the surgeon to access the intervertebral space to restore a more normal three-dimensional configuration of the space, with or without additionally fusing two adjacent vertebrae.
摘要翻译： 用于治疗改变椎体和椎间盘之间的空间关系或导致椎体柱的不稳定性或两者的疾病和病症的方法和装置，以及允许外科医生进入椎间空间以恢复的方法和装置 更加正常的三维空间配置，有或没有额外地融合两个相邻的椎骨。
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公开(公告)号：US20110257751A1
公开(公告)日：2011-10-20
申请号：US13153136
申请日：2011-06-03
IPC分类号： A61F2/44
CPC分类号： A61F2/44 , A61F2/30965 , A61F2/4465 , A61F2/4684 , A61F2002/3008 , A61F2002/30369 , A61F2002/30411 , A61F2002/30507 , A61F2002/30525 , A61F2002/3055 , A61F2002/30596 , A61F2002/30601 , A61F2002/30677 , A61F2002/30785 , A61F2002/30787 , A61F2002/30843 , A61F2002/30845 , A61F2220/0025 , A61F2220/0033 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00329
摘要： Embodiments of the invention include expandable, implantable devices and methods having internally contained expansion mechanisms. Devices expand linearly to provide secure fixation between or among anatomical structures. In some embodiments, an implant replaces one or more vertebral bodies of the spine.
摘要翻译： 本发明的实施例包括具有内部包含的扩张机构的可扩展的可植入装置和方法。 设备线性扩展以在解剖结构之间或之间提供牢固的固定。 在一些实施例中，植入物代替脊柱的一个或多个椎体。
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公开(公告)号：US20110237872A1
公开(公告)日：2011-09-29
申请号：US13063736
申请日：2009-09-24
IPC分类号： A61F2/00
CPC分类号： A61F2/2481 , A61N2/06
摘要： A reversibly adjustable heart harness is configured to surround at least a portion of a heart and to provide a compressive force to the heart during at least a portion of a cardiac cycle. The heart harness includes a plurality of wires forming a mesh structure, and one or more tensioning motors connected to the mesh structure. The one or more tensioning motors are configured to selectively increase or reduce tension in the mesh structure to readjust the compressive force provided that the heart harness provides to the heart.
摘要翻译： 可逆调节的心脏线束构造成围绕心脏的至少一部分并且在心脏周期的至少一部分期间向心脏提供压缩力。 心形线束包括多个形成网状结构的线，以及连接到网状结构的一个或多个张紧马达。 一个或多个张紧马达构造成选择性地增加或减小网状结构中的张力，以重新调整心脏线束提供给心脏的压缩力。
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公开(公告)号：US20100274223A1
公开(公告)日：2010-10-28
申请号：US12765158
申请日：2010-04-22
IPC分类号： A61M5/32
CPC分类号： A61B17/068 , A61B17/064 , A61B17/11 , A61B2017/0647 , A61B2017/0649 , A61B2017/1107 , A61M5/3287 , A61M39/0208 , A61M39/0247
摘要： A subcutaneous needle conduit attaches directly to a blood vessel or other biological boundary structure. The subcutaneous needle conduit is tapered such that a proximal end is wider than a distal end. A body of the subcutaneous needle conduit guides the tip of a needle or other canula from the proximal end to the distal end. The subcutaneous needle conduit may be funnel-shaped. An elongated funnel shape may be used to selectively provide access to a plurality of desired access sites along an axis of a blood vessel. Other shapes, such as sluice-shaped, may also be used. The subcutaneous needle conduit may be located beneath the skin surface using, for example, tactile sensation, magnetism, metal detection, detection of a signal emitted from a minute transponder, detection of light emission, or through other detection methods.
摘要翻译： 皮下针导管直接附着在血管或其他生物边界结构上。 皮下针管是锥形的，使得近端比远端更宽。 皮下针管的主体将针或其他套管的尖端从近端引导到远端。 皮下针管可以是漏斗形的。 可以使用细长的漏斗形状来选择性地提供沿着血管的轴线进入多个期望的进入位置。 也可以使用其它形状，例如闸门形状。 皮下针管可以使用例如触觉，磁性，金属检测，从微小的应答器发射的信号的检测，发光的检测，或通过其他检测方法，位于皮肤表面下方。
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公开(公告)号：US20100179638A1
公开(公告)日：2010-07-15
申请号：US12732095
申请日：2010-03-25
CPC分类号： A61F2/07 , A61F2/90 , A61F2/954 , A61F2/966 , A61F2002/065 , A61F2002/072 , A61F2002/075 , A61F2002/9511 , A61F2220/005 , A61F2220/0058 , A61F2220/0075
摘要： The present invention relates to the endoluminal repair of abdominal aortic aneurysms at the aortic and iliac bifurcation. In particular, a deployment system and graft are disclosed for deploying the bifurcated graft within both iliac branches, as well as the aortic trunk, from a single vascular access.
摘要翻译： 本发明涉及在主动脉和髂骨分叉处腹主动脉瘤的腔内修复。 特别地，公开了一种部署系统和移植物，用于从单个血管通路部署两个髂骨分支以及主动脉干中的分叉移植物。
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公开(公告)号：US07473267B2
公开(公告)日：2009-01-06
申请号：US10462098
申请日：2003-06-13
IPC分类号： A61B17/88
CPC分类号： A61B17/1671 , A61B17/1615 , A61B17/1642 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B17/7001 , A61B17/7004 , A61B17/7005 , A61B17/7011 , A61B17/7019 , A61B17/702 , A61B17/704 , A61B17/7082 , A61B17/7083 , A61B17/7086 , A61B17/7089 , A61B17/861 , A61B17/864 , A61B17/8861 , A61B17/8897 , A61B2017/90
摘要： The present invention relates generally to systems and methods for aligning and implanting orthopedic fixation or stabilization implants within the body. In one embodiment, the system includes at least two bone anchors, at least one of which is provided with an angularly adjustable connector. In one aspect, the system also includes at least one linkage rod, for linking two or more bone anchors through their respective adjustable connectors. The bone anchors and the linkage rod may be locked into place to form a spinal fusion or fixation prosthesis. An alignment tool is provided, for guiding a guidewire through one or more connectors.
摘要翻译： 本发明总体上涉及用于在整个身体内对准和植入矫形外科固定或稳定植入物的系统和方法。 在一个实施例中，系统包括至少两个骨锚，其中至少一个具有角度可调的连接器。 在一个方面，该系统还包括至少一个连杆，用于通过其相应的可调连接器来连接两个或多个骨锚。 骨锚和连接杆可以锁定就位以形成脊柱融合或固定假体。 提供了一个对准工具，用于通过一个或多个连接器引导导丝。
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公开(公告)号：US20080215145A1
公开(公告)日：2008-09-04
申请号：US12032476
申请日：2008-02-15
IPC分类号： A61F2/24
CPC分类号： A61F2/2448 , A61F2/2445 , A61F2210/0014 , A61F2210/0023 , A61F2250/0001 , A61F2250/0004 , A61F2250/0082
摘要： Methods and devices are provided for support of a body structure. The devices can be adjusted within the body of a patient in a minimally invasive or non-invasive manner such as by applying energy percutaneously or external to the patient's body. The energy may include, for example, acoustic energy, radio frequency energy, light energy and magnetic energy. Thus, as the body structure changes size and/or shape, the size and/or shape of the annuloplasty rings can be adjusted to provide continued reinforcement. In certain embodiments, the devices include a body member including a shape memory material, and an energy absorption enhancement material configured to absorb energy in response to an activation energy. The energy absorption enhancement material is in thermal communication with said shape memory material. The body member has a first size of a dimension in a first configuration and a second size of the dimension in a second configuration, and is configured to be implanted in the first configuration into a heart. The body member is configured to transform from the first configuration to the second configuration in response to the activation energy. The second configuration is configured to reduce a dimension of a cardiac valve annulus in the heart.
摘要翻译： 提供了用于支撑身体结构的方法和装置。 可以以微创或非侵入性方式在患者体内调节装置，例如通过经皮或外部给患者的身体施加能量。 能量可以包括例如声能，射频能量，光能和磁能。 因此，随着身体结构改变尺寸和/或形状，可以调节瓣膜成形术环的尺寸和/或形状以提供持续的加强。 在某些实施方案中，所述装置包括包括形状记忆材料的主体构件和被配置为响应于活化能吸收能量的能量吸收增强材料。 能量吸收增强材料与所述形状记忆材料热连通。 主体构件具有第一构造的尺寸的第一尺寸和第二构造中的尺寸的第二尺寸，并且构造成以第一构造植入心脏。 身体构件被配置为响应于激活能量从第一配置变换到第二配置。 第二配置被配置为减小心脏中的心脏瓣膜环的尺寸。
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60.发明授权公开(公告)号：US07377941B2
公开(公告)日：2008-05-27
申请号：US11124405
申请日：2005-05-06
IPC分类号： A61F2/24
CPC分类号： A61F2/2448 , A61F2/2445 , A61F2210/0014 , A61F2210/0023 , A61F2250/0001 , A61F2250/0004 , A61F2250/0082
摘要： Methods and devices are provided for support of a body structure. The devices can be adjusted within the body of a patient in a minimally invasive or non-invasive manner. Thus, as the body structure changes size and/or shape, the size and/or shape of the annuloplasty rings can be adjusted to provide continued reinforcement. In certain embodiments, the devices include an anterior portion, a posterior portion and two lateral portions corresponding to intersections of the anterior portion and the posterior portion. The devices have a first shape in a first configuration and a second shape in a second configuration and are configured to transform from the first configuration to the second configuration in response to an activation energy applied thereto. The transformation is configured to reduce a distance between the anterior portion and the posterior portion without substantially decreasing a distance between the two lateral portions.
摘要翻译： 提供了用于支撑身体结构的方法和装置。 可以以微创或非侵入方式在装置体内调节装置。 因此，随着身体结构改变尺寸和/或形状，可以调节瓣膜成形术环的尺寸和/或形状以提供持续的加强。 在某些实施例中，装置包括前部，后部和对应于前部和后部的交叉点的两个侧部。 这些装置具有第一配置的第一形状和第二配置的第二形状，并且被配置为响应于施加到其上的激活能量而从第一配置变换到第二配置。 该变换被配置为减小前部和后部之间的距离，而基本上不减小两个侧部之间的距离。
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