摘要:
A ring prosthesis which provides different flexibilities at various points about the circumference of an associated heart valve. Specifically, the annuloplasty ring prosthesis of the invention includes a segmented body formed by two or more segments. The individual segments form a body which is substantially circular and shaped proportional to fit about the annulus of the associated heart valve. The individual segments are held in position with respect to each by a flexible joint. This flexible joint is formed by covering the segments with a flexible material which fits snugly about the segments. The cover is tied off between the adjacent segments to further restrain movement of the segments with respect to each other.
摘要:
An anatomically approximate prosthetic heart valve includes dissimilar flexible leaflets, dissimilar commissures and/or a non-circular flow orifice. The heart valve may be implanted in the mitral position and have one larger leaflet oriented along the anterior aspect so as to mimic the natural anterior leaflet. Two other smaller leaflets extend around the posterior aspect of the valve. A basic structure providing peripheral support for the leaflets includes two taller commissures on both sides of the larger leaflet, with a third, smaller commissure between the other two leaflets. The larger leaflet may be thicker and/or stronger than the other two leaflets. The base structure defines a flow orifice intended to simulate the shape of the mitral annulus during the systolic phase. For example, the flow orifice may be elliptical. A relatively wide sewing ring has a contoured inflow end and is attached to the base structure in such a way that the valve can be implanted in an intra-atrial position and the taller commissures do not extend too far into the left ventricle, therefore avoiding injury to the ventricle.
摘要:
An annuloplasty ring prosthesis which is formed from a selectively flexible body element having at least one defined length about its circumference which is substantially rigid. The remainder of the body element gradually increases in flexibility. The body element is a substantially annular shaped body element which is designed to be sutured to the annulus of a heart valve. The body element is formed from a non-corrosive, anti-magnetic material, and is wrapped in a material through which sutures can be drawn to suture the prosthesis to the heart valve annulus.
摘要:
Disclosed is a method for producing a hemocompatible article. A non-thermally stabilized polytetrafluoroethylene membrane comprised of non-oriented fibers is heated to a temperature of around 400° C. and above the gel point of the polytetrafluoroethylene, while the membrane is being applied against a forming mold. The membrane is applied against the forming mold by generating a pressure differential between opposing faces of the membrane to form a conformed membrane. The conformed membrane is then cooled, thereby producing the hemocompatible article.
摘要:
Implantable one-piece heart prosthesis. According to the invention, the prosthesis comprises a main hydraulic actuator (13t) arranged between the artificial ventricles (2 and 8) and designed to actuate, with desired flow rates, one (8) of said artificial ventricles, and also an auxiliary hydraulic actuator (7t) designed to correct the diastolic and systolic flow rates of the other (2) of said ventricles.
摘要:
One-piece heart prosthesis implantable in an anatomical position. According to the invention, the artificial left and right ventricles (2,8) have general directions (14, 15) arranged in an asymmetrical V shape, such that said ventricles approach each other as they move away from the means (6, 12) of connection to the natural left and right auricles, and the individual hydraulic actuators (7, 13), associated respectively with said artificial left and light ventricles (2, 8), are arranged near each other, in proximity to said artificial left ventricle (2).
摘要:
A set of annuloplasty rings progressively sized to take into account more of the common pathologies. The proportional shapes of each ring as the orifice size changes vary. For instance, the larger rings have larger minor axis dimensions relative to their major axis dimensions.
摘要:
A method for fixation of biological tissues, and bioprosthetic devices prepared by such method. The method generally comprises the steps of A) fixing the tissue, B) treating the tissue with a mixture of i) a denaturant, ii) a surfactant and iii) a crosslinking agent, C) fabricating or forming the bioprosthesis (e.g., forming the tissue and attaching any non-biological components thereto) and D) subjecting the bioprosthesis to terminal sterilization.
摘要:
The invention is an apparatus and method to perform a surgical procedure within the beating heart. The instrument provides a seal to surround cardiac tissue, thereby defining a segregated surgical field within the body of the instrument. A suction device is preferred to remove blood and fluids from the surgical field so that a surgical procedure can be performed while the heart continues to beat. The instrument is particularly suitable for a procedure to repair defective or diseased cardiac valves, such as the mitral valve; a procedure which previously required that the heart be stopped so that the corrective surgical procedure could be performed.
摘要:
An activating system is provided for a heart valve having a seat (1) and at least one pivoting flap (2a, 2b) mounted on the seat (1). The activating system includes at least one mobile magnetic element (4) connected with said flap (2a, 2b) and at least one fixed magnetic element (3) on the seat (1), with the magnetic elements (3, 4) producing interacting fields that create a force which is exerted on said flap (2a, 2b) during its opening and/or closing movements.