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1.发明授权Connection systems for two piece prosthetic heart valve assemblies and methods for making and using them 有权用于两件式假体心脏瓣膜组件的连接系统及其制造和使用方法公开(公告)号：US08323337B2
公开(公告)日：2012-12-04
申请号：US12477861
申请日：2009-06-03
IPC分类号： A61F2/24
CPC分类号： A61F2/2409 , A61F2/2415 , A61F2/2418 , A61F2250/006
摘要： A heart valve assembly includes a prosthesis and a prosthetic valve to replace a preexisting natural or prosthetic heart valve within a biological annulus. The prosthesis includes an annular member, a flexible core at least partially defining a sewing cuff extending radially outwardly from the annular member, a rail ring disposed between the flexible core and the annular member, and a plurality of guide rails extending from the rail ring through respective openings in the flexible core. A fabric covering covers the prosthesis, and the guide rails extend through respective openings in the fabric covering. The prosthetic valve includes a frame including receptacles for receiving respective guide rails. After implanting the prosthesis within a biological annulus, the prosthetic valve is advanced along the guide rails until retention elements on the guide rails engage the receptacles to secure the prosthetic valve relative to the prosthesis.
摘要翻译： 心脏瓣膜组件包括假体和假体瓣膜，以替代生物环内的预先存在的天然或假体心脏瓣膜。 所述假体包括环形构件，柔性芯，至少部分地限定从所述环形构件径向向外延伸的缝合箍，设置在所述柔性芯和所述环形构件之间的轨道环，以及从所述轨道环延伸穿过的多个导轨 柔性芯中的相应开口。 织物覆盖物覆盖假体，并且导轨延伸穿过织物覆盖物中的相应开口。 假体瓣膜包括框架，该框架包括用于接收相应导轨的插座。 在将假体植入生物环境之后，人造瓣膜沿着导轨前进，直到导轨上的保持元件接合插座以相对于假体固定人造瓣膜。
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2.发明申请CONNECTION SYSTEMS FOR TWO PIECE PROSTHETIC HEART VALVE ASSEMBLIES AND METHODS FOR MAKING AND USING THEM 有权用于两个前置式心脏瓣膜组件的连接系统及其制造和使用它们的方法公开(公告)号：US20090319038A1
公开(公告)日：2009-12-24
申请号：US12477861
申请日：2009-06-03
IPC分类号： A61F2/24
CPC分类号： A61F2/2409 , A61F2/2415 , A61F2/2418 , A61F2250/006
摘要： A heart valve assembly includes a prosthesis and a prosthetic valve to replace a preexisting natural or prosthetic heart valve within a biological annulus. The prosthesis includes an annular member, a flexible core at least partially defining a sewing cuff extending radially outwardly from the annular member, a rail ring disposed between the flexible core and the annular member, and a plurality of guide rails extending from the rail ring through respective openings in the flexible core. A fabric covering covers the prosthesis, and the guide rails extend through respective openings in the fabric covering. The prosthetic valve includes a frame including receptacles for receiving respective guide rails. After implanting the prosthesis within a biological annulus, the prosthetic valve is advanced along the guide rails until retention elements on the guide rails engage the receptacles to secure the prosthetic valve relative to the prosthesis.
摘要翻译： 心脏瓣膜组件包括假体和假体瓣膜，以替代生物环内的预先存在的天然或假体心脏瓣膜。 所述假体包括环形构件，柔性芯，至少部分地限定从所述环形构件径向向外延伸的缝合箍，设置在所述柔性芯和所述环形构件之间的轨道环，以及从所述轨道环延伸穿过的多个导轨 柔性芯中的相应开口。 织物覆盖物覆盖假体，并且导轨延伸穿过织物覆盖物中的相应开口。 假体瓣膜包括框架，该框架包括用于接收相应导轨的插座。 在将假体植入生物环境之后，人造瓣膜沿着导轨前进，直到导轨上的保持元件接合插座以相对于假体固定人造瓣膜。
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公开(公告)号：US20100070029A1
公开(公告)日：2010-03-18
申请号：US12574611
申请日：2009-10-06
IPC分类号： A61F2/24
CPC分类号： A61F2/2409 , A61F2/2412 , A61F2250/006 , A61F2250/0097 , A61F2250/0098
摘要： A heart valve assembly includes a base including a multi-lobular annular shape within a plane, a valve member or other annular body including a multi-lobular shape complementary to the shape of the base, and cooperating connectors on the base and the annular body for connecting the annular body to the base. The base includes an anchoring ring, and a flexible cuff for attaching the base to a biological annulus. The base and the annular body include guides for aligning their multi-lobular shapes, e.g., visual, tactile, or other markers, or tethers that extend from the base that are slidable through the annular body. During use, the base is attached to a biological annulus, the annular body is directed adjacent the annulus, oriented such that the multi-lobular shape of the annular body valve member is aligned with the base, and the annular body is attached to the base.
摘要翻译： 心脏瓣膜组件包括在平面内包括多小叶状环状的基部，阀构件或包括与基部的形状互补的多小叶形状的其它环形体，以及基部和环形体上的配合连接器， 将环形体连接到基座。 底座包括一个固定环，和一个用于将基座连接到生物环的柔性箍。 基部和环形体包括用于对准其多小叶形状的引导件，例如从底部延伸的视觉，触觉或其它标记或系绳，其可滑动通过环形体。 在使用过程中，基座附接到生物环形区域，环形体被定向成邻近环形区域，定向成使得环形体阀构件的多小叶形状与基部对准，并且环形体附接到基部 。
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公开(公告)号：US08603161B2
公开(公告)日：2013-12-10
申请号：US12498195
申请日：2009-07-06
IPC分类号： A61B17/10
CPC分类号： A61B17/064 , A61B17/0682 , A61B17/083 , A61B17/1227 , A61B2017/0641 , A61F2/2427 , Y10S623/904
摘要： Devices for attaching a first mass and a second mass and methods of making and using the same are disclosed. The devices can be made from an resilient, elastic or deformable materials. The devices can be used to attach a heart valve ring to a biological annulus. The devices can also be used for wound closure or a variety of other procedures such as anchoring a prosthesis to surrounding tissue or another prosthesis, tissue repair, such as in the closure of congenital defects such as septal heart defects, tissue or vessel anastomosis, fixation of tissue with or without a reinforcing mesh for hernia repair, orthopedic anchoring such as in bone fusing or tendon or muscle repair, ophthalmic indications, laparoscopic or endoscopic tissue repair or placement of prostheses, or use by robotic devices for procedures such as those above performed remotely.
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公开(公告)号：US20100010616A1
公开(公告)日：2010-01-14
申请号：US12498195
申请日：2009-07-06
CPC分类号： A61B17/064 , A61B17/0682 , A61B17/083 , A61B17/1227 , A61B2017/0641 , A61F2/2427 , Y10S623/904
摘要： Devices for attaching a first mass and a second mass and methods of making and using the same are disclosed. The devices can be made from an resilient, elastic or deformable materials. The devices can be used to attach a heart valve ring to a biological annulus. The devices can also be used for wound closure or a variety of other procedures such as anchoring a prosthesis to surrounding tissue or another prosthesis, tissue repair, such as in the closure of congenital defects such as septal heart defects, tissue or vessel anastomosis, fixation of tissue with or without a reinforcing mesh for hernia repair, orthopedic anchoring such as in bone fusing or tendon or muscle repair, ophthalmic indications, laparoscopic or endoscopic tissue repair or placement of prostheses, or use by robotic devices for procedures such as those above performed remotely.
摘要翻译： 公开了用于附接第一质量块和第二质量块的装置及其制造和使用方法。 设备可以由弹性，弹性或可变形材料制成。 该装置可用于将心脏瓣膜环附接到生物环。 该装置还可以用于伤口闭合或各种其他程序，例如将假体锚定到周围组织或另一假体，组织修复，例如闭合先天性缺陷，例如中隔心脏缺陷，组织或血管吻合，固定 具有或不具有用于疝修补的加强网的组织，矫形锚固例如骨融合或肌腱或肌肉修复，眼科适应症，腹腔镜或内窥镜组织修复或假体放置，或由机器人装置用于上述方法 远程
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公开(公告)号：US07556647B2
公开(公告)日：2009-07-07
申请号：US10681700
申请日：2003-10-08
CPC分类号： A61B17/064 , A61B17/0682 , A61B17/083 , A61B17/1227 , A61B2017/0641 , A61F2/2427 , Y10S623/904
摘要： Devices for attaching a first mass and a second mass and methods of making and using the same are disclosed. The devices can be made from an resilient, elastic or deformable materials. The devices can be used to attach a heart valve ring to a biological annulus. The devices can also be used for wound closure or a variety of other procedures such as anchoring a prosthesis to surrounding tissue or another prosthesis, tissue repair, such as in the closure of congenital defects such as septal heart defects, tissue or vessel anastomosis, fixation of tissue with or without a reinforcing mesh for hernia repair, orthopedic anchoring such as in bone fusing or tendon or muscle repair, ophthalmic indications, laparoscopic or endoscopic tissue repair or placement of prostheses, or use by robotic devices for procedures such as those above performed remotely.
摘要翻译： 公开了用于附接第一质量块和第二质量块的装置及其制造和使用方法。 设备可以由弹性，弹性或可变形材料制成。 该装置可用于将心脏瓣膜环附接到生物环。 该装置还可以用于伤口闭合或各种其他程序，例如将假体锚定到周围组织或另一假体，组织修复，例如闭合先天性缺陷，例如中隔心脏缺陷，组织或血管吻合，固定 具有或不具有用于疝修补的加强网的组织，矫形锚固例如骨融合或肌腱或肌肉修复，眼科适应症，腹腔镜或内窥镜组织修复或假体放置，或由机器人装置用于上述方法 远程
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公开(公告)号：US08377119B2
公开(公告)日：2013-02-19
申请号：US12574611
申请日：2009-10-06
IPC分类号： A61F2/24
CPC分类号： A61F2/2409 , A61F2/2412 , A61F2250/006 , A61F2250/0097 , A61F2250/0098
摘要： A heart valve assembly includes a base including a multi-lobular annular shape within a plane, a valve member or other annular body including a multi-lobular shape complementary to the shape of the base, and cooperating connectors on the base and the annular body for connecting the annular body to the base. The base includes an anchoring ring, and a flexible cuff for attaching the base to a biological annulus. The base and the annular body include guides for aligning their multi-lobular shapes, e.g., visual, tactile, or other markers, or tethers that extend from the base that are slidable through the annular body. During use, the base is attached to a biological annulus, the annular body is directed adjacent the annulus, oriented such that the multi-lobular shape of the annular body valve member is aligned with the base, and the annular body is attached to the base.
摘要翻译： 心脏瓣膜组件包括在平面内包括多小叶状环状的基部，阀构件或包括与基部的形状互补的多小叶形状的其它环形体，以及基部和环形体上的配合连接器， 将环形体连接到基座。 底座包括一个固定环，和一个用于将基座连接到生物环的柔性箍。 基部和环形体包括用于对准其多小叶形状的引导件，例如从底部延伸的视觉，触觉或其它标记或系绳，其可滑动通过环形体。 在使用过程中，基座附接到生物环形区域，环形体被定向成邻近环形区域，定向成使得环形体阀构件的多小叶形状与基部对准，并且环形体附接到基部 。
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公开(公告)号：US07597711B2
公开(公告)日：2009-10-06
申请号：US10765725
申请日：2004-01-26
IPC分类号： A61F2/24
CPC分类号： A61F2/2409 , A61F2/2412 , A61F2250/006 , A61F2250/0097 , A61F2250/0098
摘要： A heart valve assembly includes a base including a multi-lobular annular shape within a plane, a valve member or other annular body including a multi-lobular shape complementary to the shape of the base, and cooperating connectors on the base and the annular body for connecting the annular body to the base. The base includes an anchoring ring, and a flexible cuff for attaching the base to a biological annulus. The base and the annular body include guides for aligning their multi-lobular shapes, e.g., visual, tactile, or other markers, or tethers that extend from the base that are slidable through the annular body. During use, the base is attached to a biological annulus, the annular body is directed adjacent the annulus, oriented such that the multi-lobular shape of the annular body valve member is aligned with the base, and the annular body is attached to the base.
摘要翻译： 心脏瓣膜组件包括在平面内包括多小叶状环状的基部，阀构件或包括与基部的形状互补的多小叶形状的其它环形体，以及基部和环形体上的配合连接器， 将环形体连接到基座。 底座包括一个固定环，和一个用于将基座连接到生物环的柔性箍。 基部和环形体包括用于对准其多小叶形状的引导件，例如从底部延伸的视觉，触觉或其它标记或系绳，其可滑动通过环形体。 在使用过程中，基座附接到生物环形区域，环形体被定向成邻近环形区域，定向成使得环形体阀构件的多小叶形状与基部对准，并且环形体附接到基部 。
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公开(公告)号：US06071283A
公开(公告)日：2000-06-06
申请号：US92609
申请日：1998-06-05
申请人： Paul C. Nardella , Thomas A. Wrublewski , Piush Vidyarthi , Trinh N. Nguyen , Dai T. Ton , Steven R. Bacich
发明人： Paul C. Nardella , Thomas A. Wrublewski , Piush Vidyarthi , Trinh N. Nguyen , Dai T. Ton , Steven R. Bacich
IPC分类号： A61B18/14
CPC分类号： A61B18/1485 , A61B18/148 , A61B18/149 , A61B2018/00011 , A61B2018/00083 , A61B2018/1472 , A61B2018/1861 , A61B2218/002 , A61B2218/007
摘要： An electrosurgical instrument having an active electrode with a portion that is coated with an insulative material. An exposed portion of the electrode is effective to treat tissue while the insulative coating minimizes energy dissipation into surrounding isotonic solution.
摘要翻译： 一种电外科器械，具有具有被绝缘材料涂覆的部分的活性电极。 电极的暴露部分对于处理组织是有效的，而绝缘涂层将能量耗散最小化到周围的等渗溶液中。
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公开(公告)号：US5807236A
公开(公告)日：1998-09-15
申请号：US630121
申请日：1996-04-08
申请人： Steven R. Bacich , Tuoc Tan Nguyen
发明人： Steven R. Bacich , Tuoc Tan Nguyen
CPC分类号： A61B1/018 , A61B1/00087 , A61B1/303 , A61B1/32 , A61M25/01 , A61B2017/4233 , A61M2025/09183
摘要： A catheter comprising an elongated catheter body having a distal end and an elongated flexible guidewire having proximal and distal ends. The guidewire includes a rounded enlargement between the ends of the guidewire. The guidewire is mounted on the catheter body for movement longitudinally relative to the catheter body between a first position in which the rounded enlargement is adjacent the distal end of the catheter body and a second position in which the rounded enlargement is located distally of the position the rounded enlargement occupies in the first position.
摘要翻译： 导管，其包括具有远端的细长导管主体和具有近端和远端的细长柔性导丝。 导丝线在引导线的端部之间包括圆形的放大。 导丝安装在导管主体上，用于相对于导管主体纵向移动，在第一位置和第二位置之间，第二位置与圆形放大部分邻近导管主体的远端，其中圆形放大部分位于导管主体的远端位置， 圆形扩大占据首位。
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