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公开(公告)号:US20060116625A1
公开(公告)日:2006-06-01
申请号:US11155628
申请日:2005-06-20
申请人: Richard Renati , Mark Bowen , Stephen Evans , Margaret McCabe , Marvin Guiles , Fernando Alvarez de Toledo , Gerald Melsky
发明人: Richard Renati , Mark Bowen , Stephen Evans , Margaret McCabe , Marvin Guiles , Fernando Alvarez de Toledo , Gerald Melsky
IPC分类号: A61M5/00
CPC分类号: A61F2/915 , A61F2/24 , A61F2/2493 , A61F2/848 , A61F2/91 , A61F2/94 , A61F2/958 , A61F2002/821 , A61F2002/826 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/91575 , A61F2220/0008 , A61F2220/0016 , A61F2230/0013 , A61F2230/005 , A61F2230/006
摘要: A conduit is provided to provide a bypass around a blockage in the coronary artery. The conduit is adapted to be positioned in the myocardium or heart wall to provide a passage for blood to flow between a chamber of the heart such as the left ventricle and the coronary artery, distal to the blockage. The stent is self-expanding or uses a balloon to expand the stent in the heart wall. Various attachment means are provided to anchor the stent and prevent its migration. In one embodiment, a conduit is provided having a distal top which is more preferably a ball top, wire top, flare top or flip-down top. These top configurations anchor the shunt at one end in the coronary artery.
摘要翻译: 提供导管以提供围绕冠状动脉阻塞的旁路。 导管适于定位在心肌或心脏壁中,以提供血液在心脏室之间流动的通道,例如左心室和冠状动脉之间,远离阻塞。 支架是自扩张的,或者使用气囊来扩张心脏壁中的支架。 提供各种附接装置以锚定支架并防止其移动。 在一个实施例中,提供具有远侧顶部的导管,其更优选地是球顶,线顶,火炬顶部或翻转顶部。 这些顶部构型在冠状动脉的一端锚定分流。
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公开(公告)号:US08187217B2
公开(公告)日:2012-05-29
申请号:US11155628
申请日:2005-06-20
申请人: Richard J. Renati , Mark A. Bowen , Stephen C. Evans , Margaret G. McCabe , Marvin Guiles , Fernando Alvarez de Toledo , Gerald Melsky
发明人: Richard J. Renati , Mark A. Bowen , Stephen C. Evans , Margaret G. McCabe , Marvin Guiles , Fernando Alvarez de Toledo , Gerald Melsky
IPC分类号: A61M5/00
CPC分类号: A61F2/915 , A61F2/24 , A61F2/2493 , A61F2/848 , A61F2/91 , A61F2/94 , A61F2/958 , A61F2002/821 , A61F2002/826 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/91575 , A61F2220/0008 , A61F2220/0016 , A61F2230/0013 , A61F2230/005 , A61F2230/006
摘要: A conduit is provided to provide a bypass around a blockage in the coronary artery. The conduit is adapted to be positioned in the myocardium or heart wall to provide a passage for blood to flow between a chamber of the heart such as the left ventricle and the coronary artery, distal to the blockage. The stent is self-expanding or uses a balloon to expand the stent in the heart wall. Various attachment means are provided to anchor the stent and prevent its migration. In one embodiment, a conduit is provided having a distal top which is more preferably a ball top, wire top, flare top or flip-down top. These top configurations anchor the shunt at one end in the coronary artery.
摘要翻译: 提供导管以提供围绕冠状动脉阻塞的旁路。 导管适于定位在心肌或心脏壁中,以提供血液在心脏室之间流动的通道,例如左心室和冠状动脉之间,远离阻塞。 支架是自扩张的,或者使用气囊来扩张心脏壁中的支架。 提供各种附接装置以锚定支架并防止其移动。 在一个实施例中,提供具有远侧顶部的导管,其更优选地是球顶,线顶,火炬顶部或翻转顶部。 这些顶部构型在冠状动脉的一端锚定分流。
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公开(公告)号:US06964652B2
公开(公告)日:2005-11-15
申请号:US10617176
申请日:2003-07-11
申请人: Marvin Guiles , Gerald Melsky
发明人: Marvin Guiles , Gerald Melsky
CPC分类号: A61F2/94 , A61B2017/00252 , A61F2/2493 , A61F2/82 , A61F2220/0016 , A61F2230/0091
摘要: Conduits are provided to direct blood flow from the left ventricle to a coronary artery at a location distal to a blockage in the coronary artery. Threaded and nonthreaded conduits are delivered using a guidewire delivered through the posterior and anterior walls of a coronary artery and into the heart wall. A dilator may be provided over the guidewire into the heart wall, and the conduit delivered over the dilator. An introducer sleeve may be provided over the dilator into the heart wall, the dilator removed, and the conduit delivered through the introducer sleeve. A hollow needle also may be inserted into the posterior and anterior walls of the coronary artery prior to inserting the guidewire. A depth measuring tool may determine the appropriate length of the conduit prior to delivery. The depth measuring tool can include the hollow needle with an access port on a proximal end of the needle and an opening on the distal end of the needle in flow communication with the access port so that when the needle is inserted through the heart wall and into the heart chamber, blood flow through the opening.
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公开(公告)号:US06638237B1
公开(公告)日:2003-10-28
申请号:US09630385
申请日:2000-08-01
申请人: Marvin Guiles , Gerald Melsky
发明人: Marvin Guiles , Gerald Melsky
IPC分类号: A61B1900
CPC分类号: A61F2/94 , A61B2017/00252 , A61F2/2493 , A61F2/82 , A61F2220/0016 , A61F2230/0091
摘要: Conduits are provided to direct blood flow from the left ventricle to a coronary artery at a location distal to a blockage in the coronary artery. Threaded and nonthreaded conduits are delivered using a guidewire delivered through the posterior and anterior walls of a coronary artery and into the heart wall. A dilator may be provided over the guidewire into the heart wall, and the conduit delivered over the dilator. An introducer sleeve may be provided over the dilator into the heart wall, the dilator removed, and the conduit delivered through the introducer sleeve. A hollow needle also may be inserted into the posterior and anterior walls of the coronary artery prior to inserting the guidewire. A depth measuring tool may determine the appropriate length of the conduit prior to delivery. The depth measuring tool can include the hollow needle with an access port on a proximal end of the needle and an opening on the distal end of the needle in flow communication with the access port so that when the needle is inserted through the heart wall and into the heart chamber, blood flow through the opening.
摘要翻译: 提供导管以将血液从左心室引导至冠状动脉远端冠状动脉阻塞位置。 螺纹和无螺纹管道使用通过冠状动脉的后壁和前壁递送并进入心脏壁的导丝来递送。 可以将引导线上的扩张器提供到心脏壁中,并且导管在扩张器上传送。 引导器套筒可以在扩张器上方设置到心脏壁中,移除扩张器,并且导管通过引导器套管输送。 在插入导丝之前,也可以将中空针插入冠状动脉的后壁和前壁。 深度测量工具可以在输送之前确定导管的适当长度。 深度测量工具可以包括具有针的近端上的进入口的中空针和针的远端上的开口,其与进入口流动连通,使得当针穿过心脏壁并进入 心室,血液流过开口。
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