Adjustable cardiac valve implant with coupling mechanism
    71.
    发明授权
    Adjustable cardiac valve implant with coupling mechanism 有权
    可调节心脏瓣膜植入物与联接机构

    公开(公告)号:US07361190B2

    公开(公告)日:2008-04-22

    申请号:US11123851

    申请日:2005-05-06

    IPC分类号: A61F2/24

    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 tubular member configured to be attached to or near a cardiac valve annulus. The tubular member includes a receptacle end and an insert end configured to couple with the receptacle end of the tubular member such that the tubular member substantially forms a shape of a ring. The insert end is configured to move with respect to the receptacle end to change a circumference of the ring.

    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。 在某些实施例中,这些装置包括构造成附接到心脏瓣膜环上或附近的管状构件。 管状构件包括容置端和插入端,所述插入端构造成与管状构件的容置端相连,使得管状构件基本上形成环的形状。 插入端构造成相对于插座端移动以改变环的圆周。

    Shape memory devices and methods for reshaping heart anatomy
    72.
    发明授权
    Shape memory devices and methods for reshaping heart anatomy 有权
    形状记忆装置和重塑心脏解剖的方法

    公开(公告)号:US07285087B2

    公开(公告)日:2007-10-23

    申请号:US11142078

    申请日:2005-05-31

    IPC分类号: A61F2/00

    摘要: Systems, methods and devices are provided for treating heart failure patients suffering from various levels of heart dilation. Such heart dilation is treated by reshaping the heart anatomy with the use of shape memory elements. Such reshaping changes the geometry of portions of the heart, particularly the right or left ventricles, to increase contractibility of the ventricles thereby increasing the stroke volume which in turn increases the cardiac output of the heart. The shape memory elements have an original shape and at least one memory shape. The elements are implanted within the heart tissue or attached externally and/or internally to a surface of the heart when in the original shape. The elements are then activated to transition from the original shape to one of the at least one memory shapes. Transitioning of the elements cause the associated heart tissue areas to readjust position, such as to decrease the width of the ventricles. Such repositioning is maintained over time by the elements, allowing the damaging effects of heart dilation to slow in progression or reverse.

    摘要翻译: 提供了用于治疗患有各种心脏扩张水平的心力衰竭患者的系统,方法和装置。 通过使用形状记忆元件重建心脏解剖结构来治疗这种心脏扩张。 这种重塑改变了心脏的部分的几何形状,特别是右心室或左心室,以增加心室的收缩性,从而增加了行程体积,从而增加了心脏的心输出量。 形状记忆元件具有原始形状和至少一种存储器形状。 当原始形状时,将元件植入心脏组织内或外部和/或内部附着到心脏的表面。 元件然后被激活以从原始形状转换到至少一个存储器形状之一。 元件的过渡导致相关的心脏组织区域重新调整位置,例如减小心室的宽度。 这种重新定位由元素随时间推移而维持,从而允许心脏扩张的破坏性影响进展缓慢或逆转。

    Graft deployment system
    78.
    发明授权
    Graft deployment system 有权
    移植部署系统

    公开(公告)号:US08568466B2

    公开(公告)日:2013-10-29

    申请号:US13269332

    申请日:2011-10-07

    IPC分类号: A61F2/06

    摘要: A method for deploying a bifurcated endoluminal prosthesis at the junction of a main vessel and first and second branch vessels, comprising providing a deployment system containing a prosthesis having a main body section and first and second proximally extending branch sections, introducing the deployment system into the first branch vessel at a first access site, advancing the deployment system distally through at least a portion of the first branch vessel and into the main vessel, releasing the second branch section of the prosthesis by proximally retracting an outer sheath of the deployment system, expanding the main body section of the prosthesis from a radially compressed state within the deployment system to a radially expanded state within the main vessel by removing a first peelable sheath from the main branch section, and expanding the second branch section within the second branch vessel by proximally retracting a second branch release wire.

    摘要翻译: 一种用于在主血管和第一和第二分支血管的接合处部署分叉的腔内假体的方法,包括提供包含假体的展开系统,该假体具有主体部分和第一和第二近端延伸的分支部分,将展开系统引入 第一分支血管在第一进入位置,使所述展开系统向远侧推进通过所述第一分支血管的至少一部分并进入所述主血管,通过向近侧缩回所述展开系统的外鞘释放所述假体的所述第二分支部分, 所述假体的主体部分从所述展开系统内的径向压缩状态通过从所述主分支部分移除第一可剥离护套而在所述主容器内径向膨胀状态,以及通过近端扩张所述第二分支容器内的所述第二分支部分 缩回第二个分支线。

    Percutaneous transcatheter repair of heart valves
    79.
    发明授权
    Percutaneous transcatheter repair of heart valves 有权
    心脏瓣膜经皮经导管修复

    公开(公告)号:US08518107B2

    公开(公告)日:2013-08-27

    申请号:US13198582

    申请日:2011-08-04

    IPC分类号: A61F2/24

    摘要: Apparatus, systems, and methods are provided for repairing heart valves through percutaneous transcatheter delivery and fixation of annuloplasty rings to heart valves. An annuloplasty ring includes an outer hollow member including a plurality of segments. Adjacent segments cooperate with one another to change the outer hollow member from an elongate insertion geometry to an annular operable geometry. The annuloplasty ring also includes an internal anchor member located at least partially within the outer hollow member. The internal anchor member includes a plurality of anchors configured to attach the annuloplasty ring to tissue of a heart valve annulus. The internal anchor member is configured to move the plurality of anchors with respect to a plurality of windows in the outer hollow member to selectively deploy the plurality of anchors through the respective windows.

    摘要翻译: 提供装置,系统和方法用于通过经皮经导管递送和瓣膜成形术环固定到心脏瓣膜来修复心脏瓣膜。 瓣膜成形术环包括包括多个段的外部中空构件。 相邻的部分彼此协作以将外部空心构件从细长插入几何形状改变为环形可操作的几何形状。 瓣膜成形术环还包括至少部分地位于外部中空构件内部的内部锚定构件。 内部锚固构件包括构造成将瓣环成形术环附接到心脏瓣膜环的组织的多个锚固件。 内部锚固构件被构造成相对于外部中空构件中的多个窗口移动多个锚固件,以选择性地将多个锚定件展开通过相应的窗口。

    Percutaneously retrievable stent assembly with fluid draining capability
    80.
    发明授权
    Percutaneously retrievable stent assembly with fluid draining capability 有权
    具有流体排出能力的经皮回收的支架组件

    公开(公告)号:US08267917B2

    公开(公告)日:2012-09-18

    申请号:US11191745

    申请日:2005-07-27

    IPC分类号: A61M27/00

    CPC分类号: A61M27/00 A61F2/04 A61M27/008

    摘要: The present invention provides a stent assembly for expanding a bodily passage in a patient and draining a fluid therefrom. The assembly comprises at least one expandable stent and an elongated carrier for delivery or retrieval of the stent. The stent is circumferentially attached to a distal end of the carrier. The carrier defines at least two concentric lumens therethrough, a drainage lumen in fluid communication with the bodily passage for drainage of the fluid and an inflation lumen in fluid communication with the expandable stent. The invention also provides a method of expanding a bodily passage in a patient and draining a fluid therefrom. The method comprises providing a stent assembly of the present invention; inserting a guidewire into the bodily passage through the drainage lumen of the carrier; advancing the assembly along the guidewire until the assembly reaches a desired location; expanding the stent; and draining the fluid through drainage lumen of the carrier.

    摘要翻译: 本发明提供了一种用于在患者体内扩张身体通道并从其排出流体的支架组件。 该组件包括至少一个可扩张支架和用于支架的输送或回收的细长载体。 支架周向地附接到载体的远端。 载体限定穿过其中的至少两个同心腔,与身体通道流体连通以排出流体的排液腔和与可扩张支架流体连通的充气腔。 本发明还提供了一种在患者体内膨胀身体通道并从其排出流体的方法。 该方法包括提供本发明的支架组件; 将导丝插入穿过载体的排液腔的身体通道中; 沿着导丝推进组件直到组件到达期望的位置; 扩张支架; 并通过载体的排水腔排出流体。