-
公开(公告)号:US07846168B2
公开(公告)日:2010-12-07
申请号:US10963371
申请日:2004-10-11
申请人: John R. Liddicoat , William E. Cohn , Roger Laham
发明人: John R. Liddicoat , William E. Cohn , Roger Laham
IPC分类号: A61B17/10
CPC分类号: A61B17/12013 , A61B17/00234 , A61B17/0467 , A61B17/12009 , A61B17/30 , A61B2017/00243 , A61B2017/00867 , A61B2017/00876 , A61B2017/12018 , A61B2017/308 , A61B2090/0811 , A61B2090/3966 , A61B2576/023 , A61F2/013 , A61F2230/0006 , A61F2230/005 , A61M25/0108 , A61M25/0127 , A61M25/10 , A61M29/02
摘要: A novel catheter-based system which ligates the left atrial appendage (LAA) on the outside of the heart, preferably using a combination of catheters and/or instruments, e.g., a guide catheter positioned inside the left atrial appendage which may assist in locating the left atrial appendage and/or assist in the optimal placement of a ligature on the outside of the appendage, and a ligating catheter and/or instrument outside the heart in the pericardial space to set a ligating element at the neck of the left atrial appendage.
-
公开(公告)号:US07828810B2
公开(公告)日:2010-11-09
申请号:US11600671
申请日:2006-11-15
申请人: John R. Liddicoat , William E. Cohn , Roger Laham
发明人: John R. Liddicoat , William E. Cohn , Roger Laham
IPC分类号: A61B17/10
CPC分类号: A61B17/12013 , A61B17/00234 , A61B17/0467 , A61B17/12009 , A61B17/30 , A61B2017/00243 , A61B2017/00867 , A61B2017/00876 , A61B2017/12018 , A61B2017/308 , A61B2090/0811 , A61B2090/3966 , A61B2576/023 , A61F2/013 , A61F2230/0006 , A61F2230/005 , A61M25/0108 , A61M25/0127 , A61M25/10 , A61M29/02
摘要: A novel catheter-based system which ligates the left atrial appendage (LAA) on the outside of the heart, preferably using a combination of catheters and/or instruments, e.g., a guide catheter positioned inside the left atrial appendage which may assist in locating the left atrial appendage and/or assist in the optimal placement of a ligature on the outside of the appendage, and a ligating catheter and/or instrument outside the heart in the pericardial space to set a ligating element at the neck of the left atrial appendage.
摘要翻译: 一种新颖的基于导管的系统,其将心脏外侧的左心耳(LAA)结合,优选地使用导管和/或器械的组合,例如位于左心耳内的引导导管,其可以协助定位 左心耳和/或辅助将附件最佳放置在附肢的外侧,以及在心包空间内的心脏外的结扎导管和/或器械,以将结扎元件设置在左心耳的颈部。
-
公开(公告)号:US20090188531A1
公开(公告)日:2009-07-30
申请号:US12359826
申请日:2009-01-26
申请人: Edward M. Boyle, JR. , Nathan J. Dale , Paul C. Leonard , Alan Marc Gillinov , Sam Kiderman , William E. Cohn
发明人: Edward M. Boyle, JR. , Nathan J. Dale , Paul C. Leonard , Alan Marc Gillinov , Sam Kiderman , William E. Cohn
CPC分类号: A61M25/00 , A61B90/70 , A61M27/00 , A61M2025/0019 , B08B9/0436
摘要: A device for clearing obstructions from a medical tube, such as a chest tube, is disclosed in various embodiments. The device features a shuttle member that is magnetically coupled to a guide wire within a guide tube, through the guide-tube wall, so that translation of the shuttle member induces a corresponding translation of the guide wire within the guide tube, without penetrating or compromising the guide-tube wall. In this manner, when the guide tube is coupled to a medical tube where obstructions have formed, the guide wire and clearance member may be inserted into and withdrawn from the medical tube, via actuation of the shuttle member, to engage and help clear such obstructions from the medical tube without compromising the sterile field. Methods of clearing a medical tube of obstructions are also disclosed.
摘要翻译: 在各种实施例中公开了用于清除诸如胸管的医疗管的障碍物的装置。 该装置具有往复运动构件,其通过引导管壁与引导管内的引导线磁耦合,使得往复运动构件的平移在引导管内引起相应的导丝平移,而不会渗透或损害 导管壁。 以这种方式,当导管联接到形成有障碍物的医疗管时,导丝和间隙构件可以通过梭子件的致动而被插入到医疗管中并从医用管中取出,以接合和帮助清除这些障碍物 从医疗管,而不损害无菌领域。 还公开了清除医疗管障碍物的方法。
-
84.
公开(公告)号:US20080215036A1
公开(公告)日:2008-09-04
申请号:US11851848
申请日:2007-09-07
申请人: Jean-Marie Vogel , William E. Cohn
发明人: Jean-Marie Vogel , William E. Cohn
IPC分类号: A61M25/10
CPC分类号: A61B17/12195 , A61B17/08 , A61B17/12031 , A61B17/1204 , A61B17/12045 , A61B17/12109 , A61B17/12131 , A61B17/12136 , A61B17/12186 , A61B2017/1205 , A61M29/02 , A61M2025/1052
摘要: One aspect of the present invention relates to catheters that can be placed in or around bodily conduits to occlude or widen a biological lumen without imparting significant trauma to the lumen. In certain embodiments, the invention particularly relates to the use of a polymer composition which can be made to gel upon insertion into said balloon or skirt. In certain embodiments, the inflating viscous polymer composition is a liquid at room temperature and a gel at mammalian physiological temperature. In certain embodiments, the inflating viscous polymer composition comprises an optionally purified inverse thermosensitive polymer.
摘要翻译: 本发明的一个方面涉及可以放置在身体管道中或周围的导管,以封闭或加宽生物腔,而不会对内腔产生显着的创伤。 在某些实施方案中,本发明特别涉及聚合物组合物的用途,所述聚合物组合物可以在插入所述气囊或裙部时使其凝胶化。 在某些实施方案中,充气粘性聚合物组合物在室温下为液体,在哺乳动物生理温度下为凝胶。 在某些实施方案中,充气粘性聚合物组合物包含任选纯化的反相热敏聚合物。
-
公开(公告)号:US20080154097A1
公开(公告)日:2008-06-26
申请号:US12045205
申请日:2008-03-10
IPC分类号: A61B1/32
CPC分类号: A61B17/0218 , A61B17/0281 , A61B2017/0237
摘要: A surgical retractor includes a “swivel” having a string extending from one end and a string extending from the midpoint between the two ends. The swivel is delivered by pushing it out of a tube which is inserted through a small incision between the ribs of the patient. After the swivel is deployed, the tube is removed and the string which is attached to the center of the swivel is pulled to lift the pericardium. When the procedure is complete, the swivel is removed from the patient by pulling the string attached to the end of the swivel. According to one embodiment, the swivel is a cylinder with a blunt conical end. According to another embodiment, the swivel has a sharp end which is covered by a spring loaded collar.
摘要翻译: 手术牵开器包括具有从一端延伸的绳和从两端之间的中点延伸的绳的“旋转”。 通过将其从穿过患者肋骨之间的小切口插入的管中推出来将其转运。 在旋转装置展开之后,将管子取出,并且将牵引到旋转中心的绳子被牵拉以提起心包。 当程序完成时,通过拉动附接到旋转端的连接器的绳索将患者的旋转体移除。 根据一个实施例,旋转件是具有钝锥形端的圆筒。 根据另一个实施例,旋转件具有由弹簧加载的套环覆盖的尖端。
-
公开(公告)号:US07201761B2
公开(公告)日:2007-04-10
申请号:US10414741
申请日:2003-04-16
IPC分类号: A61B17/32
CPC分类号: A61B17/320016 , A61B10/06 , A61B17/1604 , A61B17/1608 , A61B17/32002 , A61B17/32053 , A61B17/320725 , A61B17/32075 , A61B17/320783 , A61B2017/22034 , A61B2017/22097 , A61B2017/2937 , A61B2017/320064 , A61B2017/320733 , A61F2/2427
摘要: Apparatus for resecting a diseased heart valve, the apparatus comprising: a body portion; a first handle and a second handle; a cutting blade; a set of retaining arms; a pass-off tool having a first attachment device configured to selectively engage the first handle attached to the body portion so as to allow placement of the second handle of the body portion adjacent to the diseased heart valve; and a controller tool having a second attachment device at the distal end thereof, the second attachment device configured to selectively engage the second handle attached to the body portion so as to allow positioning of the body portion adjacent to the diseased heart valve, a cutting blade actuator configured to cause the cutting blade to selectively rotate, and a retaining arm actuator configured to selectively position the set of retaining arms from a contracted state to an expanded state.
摘要翻译: 用于切除患病心脏瓣膜的装置,该装置包括:主体部分; 第一手柄和第二手柄; 切割刀片 一套保留武器; 具有第一附接装置的通过工具,其被配置为选择性地接合附接到主体部分的第一手柄,以便允许主体部分的第二手柄邻近患病心脏瓣膜放置; 以及控制器工具,其具有在其远端处的第二附接装置,所述第二附接装置构造成选择性地接合附接到主体部分的第二手柄,以允许主体部分邻近患病心脏瓣膜定位,切割刀片 致动器,其构造成使得切割刀片选择性地旋转;以及保持臂致动器,其构造成选择性地将所述一组保持臂从收缩状态定位到展开状态。
-
公开(公告)号:US07186264B2
公开(公告)日:2007-03-06
申请号:US10112354
申请日:2002-03-29
申请人: John R. Liddicoat , Daniel C. Taylor , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport
发明人: John R. Liddicoat , Daniel C. Taylor , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport
IPC分类号: A61F2/24
CPC分类号: A61F2/2451 , A61F2/2466 , Y10S623/903 , Y10S623/904
摘要: A method and apparatus for reducing mitral regurgitation. The apparatus is inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the apparatus being adapted to straighten the natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet of the mitral valve, whereby to move the posterior annulus anteriorly and thereby improve leaflet coaptation and reduce mitral regurgitation.
-
公开(公告)号:US06790231B2
公开(公告)日:2004-09-14
申请号:US10068700
申请日:2002-02-05
IPC分类号: A61F206
CPC分类号: A61F2/2451
摘要: Apparatus for reducing mitral regurgitation, including a bendable elongated body adapted to be inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the elongated body being adjustable between a first configuration adapted to be delivered into the coronary sinus and a second configuration adapted to exert a force onto the posterior annulus. The body includes a flexible spine having a proximal end and a distal end, and a flexible wire mounted on the spine and having a distal end fixed to the spine proximate to the distal end of the spine, and having a proximal portion extending from the proximal end of the spine. Axial movement of the wire causes a change in the spine from the first configuration to the second configuration to exert the force on the posterior annulus and thereby reduce mitral regurgitation.
摘要翻译: 用于减少二尖瓣反流的装置,包括适于在二尖瓣后叶附近插入到患者的冠状窦内的可弯曲的细长体,所述细长体在适于被递送到冠状动脉的第一构型之间是可调节的 窦和适于向后环施加力的第二构造。 主体包括具有近端和远端的柔性脊柱和安装在脊柱上的柔性线,并且具有靠近脊柱远端固定到脊柱的远端,并且具有从近端延伸的近端部分 脊柱结束。 线的轴向运动导致脊柱从第一构型到第二构型的变化,以将力施加在后环上,从而减少二尖瓣反流。
-
公开(公告)号:US06656221B2
公开(公告)日:2003-12-02
申请号:US10068264
申请日:2002-02-05
申请人: Daniel C. Taylor , John R. Liddicoat , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport , Thomas F. Kordis
发明人: Daniel C. Taylor , John R. Liddicoat , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport , Thomas F. Kordis
IPC分类号: A61F224
CPC分类号: A61F2/2451
摘要: A method and apparatus for reducing mitral regurgitation. The apparatus is inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the apparatus being adapted to straighten the natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet of the mitral valve, whereby to move the posterior annulus anteriorly and thereby improve leaflet coaptation and reduce mitral regurgitation.
-
-
-
-
-
-
-
-