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103 条记录 (耗时 0.031 秒)

    DEVICES, SYSTEMS AND METHODS TO IMPROVE PLACEMENT AND PREVENT HEART BLOCK WITH PERCUTANEOUS AORTIC VALVE REPLACEMENT
    61.
    发明申请
    DEVICES, SYSTEMS AND METHODS TO IMPROVE PLACEMENT AND PREVENT HEART BLOCK WITH PERCUTANEOUS AORTIC VALVE REPLACEMENT 审中-公开

    公开(公告)号：US20180153690A1

    公开(公告)日：2018-06-07

    申请号：US15873932

    申请日：2018-01-18

    申请人： Paul A. Spence

    发明人： Paul A. Spence

    IPC分类号： A61F2/24 ,  A61F2/00

    摘要： Devices, systems and methods to position a prosthetic heart valve such that the prosthetic valve does not compress conduction tissue and thereby produce heart block. Guide devices promote positioning the prosthetic valve within a native aortic valve to avoid the conduction tissue and, optionally, to center the prosthetic valve within the native heart valve. Prosthetic valves include one or more cut-outs, openings or recesses configured to align with the conduction tissue so that the conduction tissue is not contacted in a way that would lead to higher incidents of complete heart block.

    Cannula systems and methods
    62.
    发明授权
    Cannula systems and methods 有权
    插管系统和方法

    公开(公告)号：US09463268B2

    公开(公告)日：2016-10-11

    申请号：US13227272

    申请日：2011-09-07

    申请人： Paul A. Spence

    发明人： Paul A. Spence

    IPC分类号： A61M5/00 ,  A61M1/36 ,  A61B17/11

    CPC分类号： A61M1/3653 ,  A61B2017/1135 ,  A61M1/1008 ,  A61M1/12 ,  A61M1/3656 ,  A61M1/3659

    摘要： Disclosed herein is a cannula assembly for directing the flow of material from an organ chamber, e.g., blood from the left chamber of the heart, and methods of placing the cannula assembly in fluidic communication with the chamber. The cannula assembly includes an elongate tubular member and a coupling assembly disposed at the distal end of elongate tubular member. The elongate tubular member includes a lumen extending from a distal opening at the distal end to a proximal opening at the proximal end. The coupling assembly includes a retaining element and a retention member configured to cooperate with each other and with the portion of the organ wall surrounding the opening in the wall to couple or anchor cannula system to the wall and to provide fluidic communication between the distal opening of the elongate tubular member and the organ chamber.

    摘要翻译： 本文公开了用于引导来自器官腔室（例如来自心脏左室的血液）的材料流的插管组件，以及将插管组件放置成与腔室流体连通的方法。 插管组件包括细长的管状构件和设置在细长管状构件的远端处的联接组件。 细长管状构件包括从远端的远侧开口延伸到近端处的近端开口的内腔。 联接组件包括保持元件和保持构件，该保持构件构造成彼此协作并且与围绕壁中的开口的器官壁的部分相配合或将插管系统锚定到壁上并且在套管的远端开口之间提供流体连通 细长管状构件和器官腔室。

    Device to permit offpump beating heart coronary bypass surgery
    65.
    发明授权
    Device to permit offpump beating heart coronary bypass surgery 有权
    允许偏心跳动心脏冠状动脉旁路手术的装置

    公开(公告)号：US08162817B2

    公开(公告)日：2012-04-24

    申请号：US12331722

    申请日：2008-12-10

    申请人： Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

    发明人： Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

    IPC分类号： A61F2/00

    CPC分类号： A61B17/0218 ,  A61B17/00491 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0293 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/29 ,  A61B2017/00305 ,  A61B2017/00309 ,  A61B2017/0243 ,  A61B2017/308

    摘要： A suction cup adapted to engage a surface of a beating heart with sufficient force to move the beating heart to an unnatural position upon moving the suction cup, while the suction cup maintains engagement with the surface of the heart and the heart continues to heat. Various suction cups are described each including at least a first chamber having a flexible rim and configured to engage the surface of the beating heart and a second chamber smaller than the first chamber and fluidly connected therewith. A suspension device configured to engage a beating heart and maintain engagement via suction while moving the suspension device to move the beating heart to an unnatural position and maintain the beating heart in the unnatural position to perform a surgical procedure, while the heart continues to beat, includes a suction cup and a support arm connected thereto. The suction cup has a first chamber configured to engage the surface of the beating heart, and a second chamber smaller than the first chamber and fluidly connected therewith. The second chamber is adapted to fluidly connect the first chamber with a source of suction. The support arm is movable with the suction cup to effect movement of the beating heart after engagement of the suction cup to a surface of the heating heart.

    摘要翻译： 吸盘适于在跳动的吸盘上移动时将足够的力将跳动的心脏移动到不自然的位置，同时吸盘保持与心脏表面接合并且心脏继续加热。 描述了各种吸盘，每个吸盘至少包括具有柔性边缘的第一腔室，并且构造成与跳动心脏的表面接合，并且第二腔室小于第一腔室并与其流体连接。 一种悬挂装置，其构造成接合跳动的心脏并通过抽吸来保持接合，同时移动所述悬挂装置以使所述跳动的心脏移动到不自然的位置，并且将所述跳动的心脏保持在所述非自然位置以执行外科手术，同时所述心脏继续击打， 包括吸盘和与其连接的支撑臂。 吸盘具有构造成接合跳动心脏表面的第一腔室和小于第一腔室并与其流体连接的第二腔室。 第二室适于将第一室与吸入源流体连接。 支撑臂可随着吸盘移动以在吸盘与加热心脏的表面接合之后实现跳动心脏的运动。

    HEART VALVE REPAIR APPARATUS AND METHODS
    66.
    发明申请
    HEART VALVE REPAIR APPARATUS AND METHODS 审中-公开
    心瓣修复装置及方法

    公开(公告)号：US20120095552A1

    公开(公告)日：2012-04-19

    申请号：US13333724

    申请日：2011-12-21

    申请人： Paul A. Spence ,  Mark Ortiz

    发明人： Paul A. Spence ,  Mark Ortiz

    IPC分类号： A61F2/24

    CPC分类号： A61F2/2448 ,  A61F2/2412 ,  A61F2/2418 ,  A61F2/2445 ,  A61F2/2454 ,  A61F2/2457 ,  A61F2/2466 ,  A61F2220/0091

    摘要： Valve repair apparatus and methods for ensuring proper coaptation and operation of the leaflets of a heart valve. Main aspects of the disclosure relate to devices including a support member configured for attachment to the heart valve annulus, a post extending from the support member away from the plane of the annulus and a connector coupled with the post and configured for attachment to at least one of the leaflets. The various embodiments may include a replacement heart valve connected with the support member for facilitating full replacement as opposed to near repair of an existing native heart valve. Various other devices include support structure and one or more posts connected to opposite sides of the support structure and extending from one side of the valve annulus to another to modify the shape of the annulus.

    摘要翻译： 瓣膜修复装置和方法，用于确保心脏瓣膜单张的适当接合和操作。 本公开的主要方面涉及包括构造成用于附接到心脏瓣膜环的支撑构件的装置，从支撑构件远离环的平面延伸的柱以及与柱连接的连接件，并且构造成用于附接至至少一个 的传单。 各种实施例可以包括与支撑构件连接的替换心脏瓣膜，以便于完全替换，而不是现有天然心脏瓣膜的近修复。 各种其他装置包括支撑结构和连接到支撑结构的相对侧并且从阀环的一侧延伸到另一侧的一个或多个柱，以改变环的形状。

    Method Of Replacing Native Heart Valve Tissue
    67.
    发明申请
    Method Of Replacing Native Heart Valve Tissue 有权
    替代原生心脏瓣膜组织的方法

    公开(公告)号：US20110218621A1

    公开(公告)日：2011-09-08

    申请号：US13108876

    申请日：2011-05-16

    申请人： Per Antonsson ,  Paul A. Spence

    发明人： Per Antonsson ,  Paul A. Spence

    IPC分类号： A61F2/24

    CPC分类号： A61F2/2448 ,  A61F2/2427 ,  A61F2/2445 ,  A61F2/2466 ,  A61F2210/0033 ,  A61F2230/0091

    摘要： A device for repairing a heart valve comprises an implantation instrument. The implantation instrument comprises a first support ring, and a second support ring connected to said first support ring to form a coiled configuration. The first support ring is configured to abut one side of the valve and the second support ring is configured to abut an opposite side of the valve to thereby trap a portion of the valve tissue therebetween. The device further comprises an annuloplasty implant adapted to be attached to the heart valve annulus in order to reshape the annulus and allow the leaflets to open and close properly. The annuloplasty implant is connected to the implantation instrument for insertion to the annulus.

    摘要翻译： 用于修复心脏瓣膜的装置包括植入器械。 植入器械包括第一支撑环和连接到所述第一支撑环的第二支撑环，以形成线圈构型。 第一支撑环构造成邻接阀的一侧，并且第二支撑环构造成邻接阀的相对侧，从而将阀组织的一部分收集在其间。 该装置还包括适于附接到心脏瓣膜环的瓣环成形术植入物，以便重新形成环状物并允许传单正确地打开和关闭。 瓣环成形术植入物连接到植入器械以插入环形。

    Heart valve repair apparatus and methods
    69.
    发明授权
    Heart valve repair apparatus and methods 失效
    心脏瓣膜修复装置及方法

    公开(公告)号：US07527647B2

    公开(公告)日：2009-05-05

    申请号：US11553758

    申请日：2006-10-27

    申请人： Paul A. Spence

    发明人： Paul A. Spence

    IPC分类号： A61F2/24

    CPC分类号： A61F2/2448 ,  A61F2/2412 ,  A61F2/2418 ,  A61F2/2445 ,  A61F2/2454 ,  A61F2/2457 ,  A61F2/2466 ,  A61F2220/0091

    摘要： Valve repair apparatus and methods for ensuring proper coaptation and operation of the leaflets of a heart valve. Main aspects of the disclosure relate to devices including a support member configured for attachment to the heart valve annulus, a post extending from the support member away from the plane of the annulus and a connector coupled with the post and configured for attachment to at least one of the leaflets. The various embodiments may include a replacement heart valve connected with the support member for facilitating full replacement as opposed to near repair of an existing native heart valve. Various other devices include support structure and one or more posts connected to opposite sides of the support structure and extending from one side of the valve annulus to another to modify the shape of the annulus.

    摘要翻译： 瓣膜修复装置和方法，用于确保心脏瓣膜单张的适当接合和操作。 本公开的主要方面涉及包括构造成用于附接到心脏瓣膜环的支撑构件的装置，从支撑构件远离环空平面延伸的柱以及与柱连接的连接件，并且构造成用于附接至至少一个 的传单。 各种实施例可以包括与支撑构件连接的替换心脏瓣膜，以便于完全替换，而不是现有天然心脏瓣膜的近修复。 各种其他装置包括支撑结构和连接到支撑结构的相对侧并且从阀环的一侧延伸到另一侧的一个或多个柱，以改变环的形状。