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    Method and apparatus for performing a procedure on a cardiac valve
    5.
    发明申请
    Method and apparatus for performing a procedure on a cardiac valve 审中-公开
    用于在心脏瓣膜上执行手术的方法和装置

    公开(公告)号：US20050055088A1

    公开(公告)日：2005-03-10

    申请号：US10895272

    申请日：2004-07-20

    申请人： John Liddicoat ,  Gregory Lambrecht ,  Todd Davenport ,  William Cohn ,  Steven Woolfson ,  Daniel Taylor

    发明人： John Liddicoat ,  Gregory Lambrecht ,  Todd Davenport ,  William Cohn ,  Steven Woolfson ,  Daniel Taylor

    IPC分类号： A61F2/24 ,  A61F2/06

    CPC分类号： A61F2/2427 ,  Y10S623/902

    摘要： The present invention comprises a method for deploying an aortic valve prosthesis. This valve prosthesis may include any of the known aortic valves including, but not limited to, stented and unstented bioprosthetic valves, stented mechanical valves, and expandable or self-expanding valves, whether biological or artificial. The method involves the steps of: making a first opening leading to the left atrium; passing a valve prosthesis through the opening and into a cardiac chamber of the left side of the heart using a first manipulation instrument; making a second opening in the arterial system and advancing one end of a second manipulation instrument through the arterial opening and into the aforementioned cardiac chamber; securing the second manipulation instrument to the valve prosthesis; and using the second manipulation instrument to retract at least some portion of the valve prosthesis out of the aforementioned cardiac chamber.

    摘要翻译： 本发明包括用于展开主动脉瓣假体的方法。 该瓣膜假体可以包括任何已知的主动脉瓣，包括但不限于支架化和不连续的生物假体瓣膜，支架式机械瓣膜，以及可膨胀或自膨胀阀，无论是生物还是人造的。 该方法包括以下步骤：使通向左心房的第一开口; 使用第一操纵仪器使阀门假体穿过开口进入心脏左侧的心室; 在所述动脉系统中形成第二开口，并使第二操纵器具的一端通过所述动脉开口并进入所述心室; 将第二操纵仪器固定到瓣膜假体上; 以及使用所述第二操纵器械使所述瓣膜假体的至少一部分从所述心室收回。

    Apparatus and method for reducing mitral regurgitation
    7.
    发明申请
    Apparatus and method for reducing mitral regurgitation 审中-公开
    减少二尖瓣反流的装置和方法

    公开(公告)号：US20050071000A1

    公开(公告)日：2005-03-31

    申请号：US10914618

    申请日：2004-08-09

    申请人： John Liddicoat ,  Steven Woolfson ,  Richard Streeter ,  William Cohn

    发明人： John Liddicoat ,  Steven Woolfson ,  Richard Streeter ,  William Cohn

    IPC分类号： A61F2/24

    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。

    Cardiac valve procedure methods and devices
    8.
    发明申请
    Cardiac valve procedure methods and devices 有权
    心脏瓣膜手术方法和装置

    公开(公告)号：US20050015112A1

    公开(公告)日：2005-01-20

    申请号：US10713386

    申请日：2003-11-13

    申请人： William Cohn ,  Gregory Lambrecht ,  John Liddicoat ,  Robert Moore ,  Richard Streeter ,  Todd Davenport

    发明人： William Cohn ,  Gregory Lambrecht ,  John Liddicoat ,  Robert Moore ,  Richard Streeter ,  Todd Davenport

    IPC分类号： A61F2/06 ,  A61F2/24

    CPC分类号： A61F2/2412 ,  A61F2/2427 ,  A61F2220/0016 ,  A61F2250/0059

    摘要： Devices and methods for performing intravascular procedures without cardiac bypass include embodiments of temporary filter devices, temporary valves, and prosthetic valves. The temporary filter devices have a cannula which provides access for surgical tools for effecting repair of cardiac valves. The cannula may have filters which prevent embolitic material from entering the coronary arteries and aorta. The valve devices may also have a cannula for insertion of the valve into the aorta. The valve devices expand in the aorta to occupy the entire flow path of the vessel and operate to prevent blood flow and to permit flow through the valve. The prosthetic valves include valve fixation devices which secure the prosthetic valve to the wall of the vessel. The prosthetic valves are introduced into the vascular system in a compressed state, advanced to the site of implantation, and expanded and secured to the vessel wall.

    摘要翻译： 不用心脏旁路进行血管内手术的装置和方法包括临时过滤装置，临时阀和人工瓣膜的实施例。 临时过滤装置具有套管，该套管为进行心脏瓣膜修复的外科手术工具提供通路。 套管可以具有防止栓塞材料进入冠状动脉和主动脉的过滤器。 瓣膜装置还可以具有用于将瓣膜插入主动脉的插管。 瓣膜装置在主动脉中膨胀以占据血管的整个流动路径，并且操作以防止血液流动并允许流过瓣膜。 假体瓣膜包括固定假体瓣膜至血管壁的瓣膜固定装置。 假体瓣膜以压缩状态引入血管系统中，前进到植入部位，并且扩张并固定到血管壁。

    Method and apparatus for resecting and replacing an aortic valve
    9.
    发明申请
    Method and apparatus for resecting and replacing an aortic valve 有权
    切除和更换主动脉瓣的方法和装置

    公开(公告)号：US20070185513A1

    公开(公告)日：2007-08-09

    申请号：US11784438

    申请日：2007-04-06

    申请人： Steven Woolfson ,  Richard Streeter ,  Daniel Taylor ,  William Cohn

    发明人： Steven Woolfson ,  Richard Streeter ,  Daniel Taylor ,  William Cohn

    IPC分类号： A61B17/32

    CPC分类号： A61F2/2427 ,  A61B10/06 ,  A61B17/32002 ,  A61B17/32053 ,  A61B17/320725 ,  A61B17/320783 ,  A61B2017/00243 ,  A61B2017/00349 ,  A61B2017/00685 ,  A61B2017/00783 ,  A61B2017/22097 ,  A61B2017/320004 ,  A61B2017/32006 ,  A61B2017/320064 ,  A61F2/24

    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 the contracted state to the 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，其具有第二附件 装置，其远端处，所述第二附接装置构造成选择性地接合附接到所述主体部分的所述第二手柄，以允许所述主体部分邻近所述患病心脏瓣膜定位;切割刀片致动器，其被配置为使所述切割刀片 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。

    Method and apparatus for improving mitral valve function
    10.
    发明申请
    Method and apparatus for improving mitral valve function 审中-公开
    改善二尖瓣功能的方法和装置

    公开(公告)号：US20070156235A1

    公开(公告)日：2007-07-05

    申请号：US11582157

    申请日：2006-10-17

    申请人： Jonathan Rourke ,  John Liddicoat ,  Daniel Taylor ,  William Cohn

    发明人： Jonathan Rourke ,  John Liddicoat ,  Daniel Taylor ,  William Cohn

    IPC分类号： A61F2/24

    CPC分类号： A61F2/2451 ,  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.

    摘要翻译： 一种减少二尖瓣反流的方法和装置。 将该装置插入到二尖瓣后叶附近的病人的冠状窦中，该装置适于矫正冠状窦的至少一部分在其后部小叶附近的自然曲率 二尖瓣，从而向前移动后部环，从而改善小叶接合并减少二尖瓣反流。