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公开(公告)号:US06251061B1
公开(公告)日:2001-06-26
申请号:US09149941
申请日:1998-09-09
IPC分类号: A61F202
CPC分类号: A61M1/1055 , A61M1/1068 , A61M1/1086 , A61M1/12 , A61M2205/33 , A61M2205/3303
摘要: A cardiac assist device and method of use for assisting the function of a heart. The assist device includes a compressor positioned against the epicardial wall of the heart and a field generator for driving a fluid coupled to the compressor to exert pressure on the heart. The field generator may be a magnetic field generator and the fluid coupled to the compressor may be a ferrofluid. The compressor may include two containment regions containing ferrofluid on opposite sides of the heart, and a pair of compression portions coupled to the containment regions. The filled generator may be electromagnetic which includes two electromagnets having corresponding core portions and corresponding coils. The electromagnets may be disposed with their north and south poles in alignment and separated by a gap to allow relative movement. The electromagnets may be external or internal to the body.
摘要翻译: 一种用于辅助心脏功能的心脏辅助装置和方法。 所述辅助装置包括抵靠心脏心外壁的压缩机和用于驱动与压缩机相连的流体以对心脏施加压力的场发生器。 场发生器可以是磁场发生器,并且耦合到压缩机的流体可以是铁磁流体。 压缩机可以包括在心脏的相对侧上包含铁磁流体的两个容纳区域和耦合到容纳区域的一对压缩部分。 填充发电机可以是电磁的,其包括具有对应的芯部分和相应线圈的两个电磁体。 电磁铁可以配置成使它们的北极和南极对齐并且被间隙分开以允许相对运动。 电磁铁可以是外部的或内部的。
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公开(公告)号:US5860938A
公开(公告)日:1999-01-19
申请号:US707829
申请日:1996-09-06
IPC分类号: A61B5/0215 , A61B5/021
CPC分类号: A61B5/6851 , A61B5/0215 , A61B5/02158 , A61M25/09 , A61M2025/09175
摘要: A guide wire that is capable of sensing the phasic pressure at the distal end of the guide wire. The guide wire has a central lumen which provides a non-compliant fluid path from the distal end of the guide wire to a pressure transducer at the proximal end of the guide wire.
摘要翻译: 能够感测导丝末端的相位压力的导丝。 引导线具有中心腔,其提供从导丝的远端到导丝近端处的压力传感器的不顺从的流体路径。
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公开(公告)号:US06253769B1
公开(公告)日:2001-07-03
申请号:US09391112
申请日:1999-09-07
申请人: Daniel M. LaFontaine , Kent D. Harrison , Charles L. Euteneuer , Roger N. Hastings , Lixiao Wang
发明人: Daniel M. LaFontaine , Kent D. Harrison , Charles L. Euteneuer , Roger N. Hastings , Lixiao Wang
IPC分类号: A61B1900
CPC分类号: A61F2/82 , A61B17/32053 , A61B2017/00243 , A61B2017/00252 , A61B2017/1135 , A61B2017/306 , A61B2090/3929 , A61B2090/3945 , A61B2090/3958 , A61F2/06 , A61F2/064 , A61F2/90 , A61F2/958 , A61F2250/0098 , Y10S623/902
摘要: A percutaneous system for bypassing a restriction in an artery of a mammal having an aorta includes providing a graft having a body portion with a first end, a second end and a lumen therebetween. First and second expandable stents are provided at the first and second ends of the graft, respectively. Apertures are formed in the artery, distal of the restriction, and in the aorta and the graft is inserted between the apertures. At least a portion of the first stent is inserted through the aperture in the artery and the stent is deployed to connect the first end of the graft within the artery. The second stent is positioned such that a first expandable portion is outside the aorta and a second expandable portion is within the aorta. The first and second expandable portions of the second stent are expanded to have outer diameters at least as large as the aperture in the aorta to anchor the first end of the graft in the aorta such that the lumen in the graft communicates with the aorta and the artery.
摘要翻译: 用于绕过具有主动脉的哺乳动物的动脉中的限制的经皮系统包括提供具有主体部分的移植物,其具有第一端,第二端和内腔。 第一和第二可扩张支架分别设置在移植物的第一和第二端。 孔径形成在动脉的远端,在主动脉的远侧,移植物插入孔之间。 第一支架的至少一部分插入通过动脉中的孔,并且支架被展开以将移植物的第一端连接在动脉内。 第二支架定位成使得第一可膨胀部分在主动脉外侧,第二可膨胀部分在主动脉内。 第二支架的第一和第二可膨胀部分被扩张以具有至少与主动脉中的孔相同的外径,以将移植物的第一端锚定在主动脉中,使得移植物中的内腔与主动脉连通,并且 动脉。
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公开(公告)号:US5873835A
公开(公告)日:1999-02-23
申请号:US527815
申请日:1995-09-13
申请人: Roger N. Hastings , Paul T. Feld , Daniel M. Lafontaine , Kenneth R. Larson , Richard R. Prather
发明人: Roger N. Hastings , Paul T. Feld , Daniel M. Lafontaine , Kenneth R. Larson , Richard R. Prather
CPC分类号: A61B5/6851 , A61B5/0215 , A61B5/028 , A61M25/104 , G01F1/68 , G01F1/69 , G01F1/698 , G01P5/12 , H01F1/447 , H01F21/06 , A61M2025/0002 , A61M2205/3331 , A61M2205/36
摘要: An intravascular device for measuring blood pressure and flow is disclosed, which includes an elongate shaft having a pressure transducer and a flow transducer connected to its distal end. The pressure transducer may be a ferrofluid-type pressure transducer and the flow transducer may be an anemometer-type flow transducer. Measurement circuitry is also disclosed which provides a means for simultaneous measurement of both blood pressure and blood flow parameters. A sensor shield may be employed to isolate radial blood flow which is indicative of turbulent blood flow. An alternative blood flow measurement device is also disclosed which utilizes a thin metal film anemometer to measure flow in a vascular lumen.
摘要翻译: 公开了一种用于测量血压和血流的血管内装置,其包括具有压力换能器和连接到其远端的流量传感器的细长轴。 压力传感器可以是铁磁流体型压力传感器,并且流量传感器可以是风速计型流量变换器。 还公开了测量电路,其提供用于同时测量血压和血流参数的手段。 可以使用传感器屏蔽来分离指示湍流血流的径向血流。 还公开了一种替代的血流测量装置,其利用薄金属薄膜风速计来测量血管腔中的流动。
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公开(公告)号:US08478408B2
公开(公告)日:2013-07-02
申请号:US11683577
申请日:2007-03-08
申请人: Roger N. Hastings , William J. Drassler , Daniel M. Lafontaine , Scott R. Smith , Anupama Sadasiva
发明人: Roger N. Hastings , William J. Drassler , Daniel M. Lafontaine , Scott R. Smith , Anupama Sadasiva
CPC分类号: A61N1/3756 , A61N1/0587 , A61N1/059 , A61N1/08 , A61N1/3627 , A61N1/365 , A61N1/37205 , A61N1/37217 , A61N1/37223 , A61N1/37229 , A61N1/37241 , A61N1/37288 , A61N1/375 , A61N1/3787
摘要: Various configurations of systems that employ leadless electrodes to provide pacing therapy are provided. In one example, a system that provides multiple sites for pacing of myocardium of a heart includes wireless pacing electrodes that are implantable at sites proximate the myocardium using a percutaneous, transluminal, catheter delivery system. Each of the electrodes contains a source of electrical energy for pacing the myocardium and is adapted to receive electromagnetic energy from a source outside the myocardium. The system also includes a source adapted for placement outside the myocardium and that uses locally measured electrocardiograms to synchronize pacing of the heart by sending electromagnetic commands to the electrodes to pace the myocardium surrounding the electrodes. Also disclosed is various configurations of such systems, wireless electrode assemblies, and delivery catheters for delivering and implanting the electrode assemblies.
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公开(公告)号:US08332036B2
公开(公告)日:2012-12-11
申请号:US11683584
申请日:2007-03-08
申请人: Roger N. Hastings , William J. Drassler , Daniel M. Lafontaine , Scott R. Smith , Anupama Sadasiva
发明人: Roger N. Hastings , William J. Drassler , Daniel M. Lafontaine , Scott R. Smith , Anupama Sadasiva
CPC分类号: A61N1/3756 , A61N1/0587 , A61N1/059 , A61N1/08 , A61N1/3627 , A61N1/365 , A61N1/37205 , A61N1/37217 , A61N1/37223 , A61N1/37229 , A61N1/37241 , A61N1/37288 , A61N1/375 , A61N1/3787
摘要: Various configurations of systems that employ leadless electrodes to provide pacing therapy are provided. In one example, a system that provides multiple sites for pacing of myocardium of a heart includes wireless pacing electrodes that are implantable at sites proximate the myocardium using a percutaneous, transluminal, catheter delivery system. Each of the electrodes contains a source of electrical energy for pacing the myocardium and is adapted to receive electromagnetic energy from a source outside the myocardium. The system also includes a source adapted for placement outside the myocardium and that uses locally measured electrocardiograms to synchronize pacing of the heart by sending electromagnetic commands to the electrodes to pace the myocardium surrounding the electrodes. Also disclosed is various configurations of such systems, wireless electrode assemblies, and delivery catheters for delivering and implanting the electrode assemblies.
摘要翻译: 提供了使用无引线电极来提供起搏治疗的各种构造的系统。 在一个示例中,提供用于心脏心肌的多个部位的系统包括使用经皮,经腔,导管递送系统可植入位于心肌附近的位置的无线起搏电极。 每个电极包含用于起搏心肌的电能源,并且适于从心肌外部的源接收电磁能。 该系统还包括适于放置在心肌外部的源,并且使用局部测量的心电图来通过向电极发送电磁命令来同步心脏的起搏,以对电极周围的心肌进行加速。 还公开了用于递送和植入电极组件的这种系统,无线电极组件和输送导管的各种配置。
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公开(公告)号:US07832406B2
公开(公告)日:2010-11-16
申请号:US11191056
申请日:2005-07-28
CPC分类号: A61B17/3207 , A61B18/1492 , A61B90/39 , A61B2017/00247 , A61B2017/22077 , A61B2017/3488 , A61B2018/00273 , A61B2018/00291 , A61B2018/00392 , A61B2018/144 , A61B2090/395 , A61M2210/125
摘要: Devices and methods for creating a series of percutaneous myocardial revascularization (PMR) channels in the heart. One method includes forming a pattern of channels in the myocardium leading from healthy tissue to hibernating tissue. Suitable channel patterns include lines and arrays. One method includes anchoring a radiopaque marker to a position in the ventricle wall, then using fluoroscopy repeatedly to guide positioning of a cutting tip in the formation of multiple channels. Another method uses radiopaque material injected into each channel formed, as a marker. Yet another method utilizes an anchorable, rotatable cutting probe for channel formation about an anchor member, where the cutting probe can vary in radial distance from the anchor. Still another method utilizes a multiple wire radio frequency burning probe, for formation of multiple channels simultaneously. Still another method utilizes liquid nitrogen to cause localized tissue death.
摘要翻译: 在心脏中创建一系列经皮心肌血运重建(PMR)通道的装置和方法。 一种方法包括在从健康组织导向冬眠组织的心肌中形成通道图案。 合适的渠道模式包括线和阵列。 一种方法包括将不透射线标记物固定在心室壁中的位置,然后重复使用荧光透视来引导切割尖端在形成多个通道中的定位。 另一种方法使用注射到形成的每个通道中的不透射线材料作为标记。 另一种方法利用可锚定的,可旋转的切割探针,用于围绕锚定构件的通道形成,其中切割探针可以与锚固件的径向距离变化。 另一种方法是利用多线射频燃烧探头,同时形成多个通道。 另一种方法利用液氮引起局部组织死亡。
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公开(公告)号:US06575168B2
公开(公告)日:2003-06-10
申请号:US09759996
申请日:2001-01-12
申请人: Daniel M. LaFontaine , Kent D. Harrison , Charles L. Euteneuer , Roger N. Hastings , Lixiao Wang
发明人: Daniel M. LaFontaine , Kent D. Harrison , Charles L. Euteneuer , Roger N. Hastings , Lixiao Wang
IPC分类号: A61B1900
CPC分类号: A61F2/82 , A61B17/32053 , A61B2017/00243 , A61B2017/00252 , A61B2017/1135 , A61B2017/306 , A61B2090/3929 , A61B2090/3945 , A61B2090/3958 , A61F2/06 , A61F2/064 , A61F2/90 , A61F2/958 , A61F2250/0098 , Y10S623/902
摘要: A percutaneous system for bypassing a restriction in a native vessel of a mammal having an aorta includes providing a graft having a body portion with a first end, a second end and a lumen therebetween. An aperture is formed in the aorta. The graft is inserted into the aorta and the first end of the graft is connected to the aorta about the aperture in the aorta. An aperture is then formed in the native vessel distal of the restriction. The second end of the graft is connected to the native vessel about the aperture therein such that the lumen in the graft communicates with the aorta and the native vessel.
摘要翻译: 用于绕过具有主动脉的哺乳动物的天然血管中的限制的经皮系统包括提供具有主体部分的移植物,其具有第一端,第二端和其间的内腔。 在主动脉中形成孔。 将移植物插入主动脉,并且移植物的第一端围绕主动脉的孔连接到主动脉。 然后在限制器的远端的天然血管中形成孔。 移植物的第二端围绕其中的孔连接到天然血管,使得移植物中的内腔与主动脉和天然血管连通。
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公开(公告)号:US6092526A
公开(公告)日:2000-07-25
申请号:US878804
申请日:1997-06-19
CPC分类号: A61B17/11 , A61F2/2493 , A61B2017/00243 , A61B2017/00247 , A61B2017/1107 , A61B2017/1135 , A61B2018/00392
摘要: A vessel lies adjacent heart tissue, and a restriction in the vessel is bypassed. A chamber in the heart is accessed and a lumen is formed through the heart tissue which communicates with the vessel and a region distal to the restriction. Blood flows from the heart chamber into the vessel distal the restriction, thus bypassing the restriction.
摘要翻译: 血管位于心脏组织附近,并绕过血管中的限制。 进入心脏中的腔室,通过与容器连通的心脏组织和远离限制区域的区域形成管腔。 血液从心脏腔室流入远离限制的血管,从而绕过限制。
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公开(公告)号:US06390098B1
公开(公告)日:2002-05-21
申请号:US09471591
申请日:1999-12-23
IPC分类号: A61B1900
CPC分类号: A61F2/958 , A61B17/064 , A61B18/1492 , A61B2017/00243 , A61B2017/00252 , A61B2017/1135 , A61B2018/00214 , A61B2018/00386 , A61B2090/3929 , A61B2090/3958 , A61F2/064 , A61F2/07 , A61F2/90 , A61F2/954 , A61F2002/065 , A61F2002/828 , A61M25/0082 , Y10S623/901
摘要: In order to bypass a restriction in a parent vessel, a first site in a branch vessel branching from the aorta is accessed intraluminally. An occlusion is formed at the first site, and the aperture is formed in the branching vessel, intraluminally, proximal of the first site. An aperture is formed in the parent vessel distal of the restriction, and a lumen is formed which communicates between the branching vessel proximal of the occlusion, and the parent vessel distal of the restriction.
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