Methods and apparatus for endovascularly replacing a heart valve
    7.
    发明授权
    Methods and apparatus for endovascularly replacing a heart valve 有权
    血管内置换心脏瓣膜的方法和装置

    公开(公告)号:US07824442B2

    公开(公告)日:2010-11-02

    申请号:US10982692

    申请日:2004-11-05

    IPC分类号: A61F2/24

    摘要: The invention includes methods of and apparatus for endovascularly replacing a heart valve of a patient. One aspect of the invention provides a method including the steps of endovascularly delivering a replacement valve and an expandable anchor in an unexpanded configuration within a sheath to a vicinity of the heart valve; deploying the anchor from the sheath; expanding the anchor with a deployment tool comprising a plurality of actuation elements to contact tissue at an anchor site; and retrieving the anchor into the sheath. Another aspect of the invention provides apparatus including a sheath; a deployment tool comprising a plurality of anchor actuation elements; a replacement valve configured to be disposed within the sheath for delivery to a vicinity of the heart valve; and an expandable anchor configured to be disposed within the sheath for delivery to the vicinity of the heart valve, to be deployed from the sheath, to be expanded by the deployment tool to contact tissue at an anchor site and to be retrieved back into the sheath after having been expanded.

    摘要翻译: 本发明包括用于血管内置换患者心脏瓣膜的方法和装置。 本发明的一个方面提供了一种方法,包括以下步骤:血管内递送替代瓣膜和可膨胀锚固件,所述替换瓣膜和可扩张锚固件处于护套内的未膨胀构型至心脏瓣膜附近; 从护套部署锚; 使用包括多个致动元件的展开工具来扩展锚,以在锚定位置处接触组织; 并将锚固件收回到护套中。 本发明的另一方面提供了一种包括护套的装置; 包括多个锚致动元件的展开工具; 配置成设置在所述护套内用于输送到所述心脏瓣膜附近的置换瓣膜; 以及被构造成设置在所述护套内以用于输送到所述心脏瓣膜附近的可扩张锚,以从所述鞘部署,以由所述展开工具扩张以在锚定位置处接触组织并被回收到所述鞘中 在扩大后。

    Stent and catheter assembly and method for treating bifurcations
    9.
    发明授权
    Stent and catheter assembly and method for treating bifurcations 有权
    支架和导管组装及治疗分叉的方法

    公开(公告)号:US06749628B1

    公开(公告)日:2004-06-15

    申请号:US09861473

    申请日:2001-05-17

    IPC分类号: A61F206

    摘要: The present invention provides for an improved stent design and stent delivery catheter assembly for repairing a main vessel and a side branch vessel forming a bifurcation. The present invention includes a trap door stent design, a stent delivery catheter assembly, an apparatus for crimping the stent and the method for crimping the stent onto the catheter assembly, and the method for delivering and implanting the stent in a bifurcated vessel. More particularly, the invention relates to a stent having rings aligned along a common longitudinal axis and connected by links, where the stent has a proximal section, a distal section and a central section. The number of rings and the expanded diameter of the sections is varied to create a “trap door” capable of expanding to a slightly larger diameter than the proximal section and distal section of the stent. The stent is implanted at a bifurcation so that the proximal section and distal section are in the main vessel, and the central section covers at least a portion of the opening to the side branch vessel. A second stent can be implanted in the side branch vessel and abut the expanded central section to provide full coverage of the bifurcated area in the main vessel and the side branch vessel.

    摘要翻译: 本发明提供了用于修复形成分叉的主血管和侧分支血管的改进的支架设计和支架输送导管组件。 本发明包括捕获门支架设计,支架输送导管组件,用于卷曲支架的装置和用于将支架卷曲到导管组件上的方法,以及用于将支架输送和植入分叉容器中的方法。 更具体地说,本发明涉及一种支架,其具有沿着共同的纵向轴线对齐并通过连接件连接的环,其中支架具有近端部分,远侧部分和中心部分。 改变环的数量和扩大的​​直径以产生能够扩展到比支架的近端部分和远端部分稍大的直径的“诱捕门”。 支架以分叉植入,使得近端部分和远端部分在主血管中,并且中心部分覆盖至侧支血管的开口的至少一部分。 第二支架可以植入侧支血管并且邻接扩张的中心部分以提供主血管和侧支血管中的分叉区域的全面覆盖。