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公开(公告)号:US20230293176A1
公开(公告)日:2023-09-21
申请号:US18323350
申请日:2023-05-24
IPC分类号: A61B17/08 , A61B17/122 , A61F2/24 , A61B17/128 , A61B17/10
CPC分类号: A61B17/083 , A61B17/1227 , A61F2/2463 , A61B17/1285 , A61B17/10 , A61B2017/00349
摘要: Valve repair systems and clips attachable to one or more leaflets of a heart valve. The systems and clips can have center member, first and second clipping arms, and a tubular member. The first and second clipping arms are movable between an open position and a closed position. The clipping arms including respective first end portions coupled together and respective second end portions extendable axially and radially outward. The tubular member is disposed about the first end portion of the center member and first end portions of the first and second clipping arms. Axial motion of the tubular member relative to the center member or axial motion of the center member relative to the tubular member causes corresponding movement of the clipping arms between the open and closed positions. Other implementations are also disclosed.
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公开(公告)号:US11678981B2
公开(公告)日:2023-06-20
申请号:US17018804
申请日:2020-09-11
CPC分类号: A61F2/2427 , A61F2/0095 , A61F2/2409 , A61F2/2412 , A61F2220/0075 , A61F2230/0006 , A61F2250/001
摘要: An improved holder and storage system for a tissue-type prosthetic mitral heart valve that constricts the commissure posts of the valve and prevents suture looping. A rod axially movable relative to the holder tensions lengths of attachment sutures that extend between the commissure post tips to create a tent and flex the tips inward, thus helping to prevent looping of any of an array of pre-implanted sutures around the leading tips during delivery of the valve. The holder has a safety mechanism that prevents valve delivery before the rod is deployed. One embodiment automatically deploys the rod upon opening a storage jar. One embodiment permits a delivery handle to directly deploy the rod, while another uses a separate worm screw and coupling. A holder clip that attaches to a packaging sleeve may be formed of flexible members meshed together from which the heart valve and holder are easily pulled free to eliminate a step of decoupling the clip from the sleeve.
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公开(公告)号:US11337810B2
公开(公告)日:2022-05-24
申请号:US16181858
申请日:2018-11-06
发明人: Emil Karapetian , Maria Charles Vija Stanislaus , Gregory Bak-Boychuk , Christopher J. Olson , Cristobal R. Hernandez , William C. Brunnett , Netanel Benichou , Lauren R. Freschauf , Alexander J. Siegel , Stanton J. Rowe , Alison S. Curtis
摘要: This application relates to methods, systems, and apparatus for replacing native heart valves with prosthetic heart valves and treating valvular insufficiency. In a representative embodiment, a support frame configured to be implanted in a heart valve comprises a main body formed by formed by a plurality of inner members forming an inner clover and a plurality of outer members forming an outer clover. The support frame can include gaps located between inner members of the plurality of inner members and outer members of the plurality of outer members. The inner clover can be radially inside the outer clover, and the outer clover can have larger dimensions than the inner clover. The support frames herein can be radially expandable and collapsible.
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公开(公告)号:US11026781B2
公开(公告)日:2021-06-08
申请号:US16691244
申请日:2019-11-21
发明人: Dustin P. Armer , Sean Chow , Jenny Nguyen , Emil Karapetian , Tri D. Tran
IPC分类号: A61F2/24
摘要: Anchor devices and methods can be used to secure a prosthetic valve to a native valve annulus. The anchor device can be a separate expandable element from the prosthetic valve that is first advanced to the annulus and deployed, after which an expandable prosthetic valve is advanced to within the annulus and deployed. The combination of the two elements can apply a clamping force to the valve leaflets which holds the prosthetic valve in place. The anchor device can have a lower or ventricular portion and an upper or atrial portion. The anchor device can include one or more leaflet clamping portions. One, two, or more upstanding vertical posts between the clamping portions can extend upward at the valve commissures and support the upper portion, which can include one or more structures for leak prevention.
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公开(公告)号:US20190269509A1
公开(公告)日:2019-09-05
申请号:US16415590
申请日:2019-05-17
发明人: David Maimon , Ron Sharoni , Tamir S. Levi , Emil Karapetian , Tri D. Tran , Tung Le
IPC分类号: A61F2/24 , B23P19/04 , A61F2/00 , B25B27/10 , A61B50/30 , B21D41/04 , B21D41/00 , B23P11/00 , A61B17/06
摘要: A device for crimping a radially expandable and collapsible prosthetic valve comprises a crimping loop having a first end portion, a second end portion, and a loop portion extending between the first and second end portions and defining an opening configured to receive the prosthetic valve. The crimping loop is movable between a first state in which the opening has a first diameter and a second state in which the opening has a second diameter smaller than the first diameter such that when the prosthetic valve is positioned within the loop portion, movement of the crimping loop from the first state to the second state is effective to reduce a diameter of the prosthetic valve. A method for crimping a prosthetic valve comprises reducing a diameter of an opening of a crimping loop, thereby radially compressing an at least partially expanded prosthetic valve disposed within the opening.
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公开(公告)号:US10039905B1
公开(公告)日:2018-08-07
申请号:US15335891
申请日:2016-10-27
摘要: Disclosed are cardiac shunts and method of delivery, and in particular, to a shunt to reduce elevated left atrial pressure (LAP). The methods include forming a puncture hole between the left atrium and the coronary sinus, widening the puncture hole, and placing an expandable shunt within the widened puncture hole. A first catheter having a side-extending needle may be used to form a puncture into the left atrium. A second catheter extends along a guidewire and an expandable shunt with distal and proximal flanges is expelled therefrom into the puncture. The shunt defines a blood flow passage therethrough that permits shunting of blood from the left atrium to the coronary sinus when the LAP is elevated. The shunt is desirable formed of a super-elastic material and manipulated with control rods. The shunt defines a tilted flow tube that facilitates collapse into the catheter.
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公开(公告)号:US20170209265A1
公开(公告)日:2017-07-27
申请号:US15482555
申请日:2017-04-07
发明人: Emil Karapetian , Maria Charles Vija Stanislaus , Gregory Bak-Boychuk , Christopher J. Olson , Cristobal R. Hernandez , William C. Brunnett , Netanel Benichou , Lauren R. Freschauf , Alexander J. Siegel
CPC分类号: A61F2/246 , A61F2/07 , A61F2/2409 , A61F2/2418 , A61F2/2436 , A61F2/2454 , A61F2/2466 , A61F2/88 , A61F2/91 , A61F2/958 , A61F2002/077 , A61F2002/825 , A61F2210/0061 , A61F2220/0016 , A61F2230/001 , A61F2230/0065 , A61F2230/0091 , A61F2250/0004 , A61F2250/0063
摘要: This application relates to methods, systems, and apparatus for replacing native heart valves with prosthetic heart valves and treating valvular insufficiency. In a representative embodiment, a support frame configured to be implanted in a heart valve comprises an annular main body formed by a plurality of angled struts, the main body including a plurality of peaks formed by the intersection of respective adjacent struts. The support frame further comprises one or more leaflet-engaging mechanisms configured to engage leaflets of the heart valve. The support frame can be radially expandable and collapsible.
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公开(公告)号:US20170106176A1
公开(公告)日:2017-04-20
申请号:US15287369
申请日:2016-10-06
CPC分类号: A61M27/002 , A61B17/11 , A61B17/3403 , A61B17/3468 , A61B17/3478 , A61B90/39 , A61B2017/00247 , A61B2017/00252 , A61B2017/1107 , A61B2017/1139 , A61B2017/22069 , A61B2090/3966 , A61M25/007 , A61M25/0108 , A61M25/0113 , A61M25/0194 , A61M25/04 , A61M25/06 , A61M25/1002 , A61M27/008 , A61M2025/0004 , A61M2025/0197 , A61M2025/0681 , A61M2025/1047 , A61M2205/0216 , A61M2205/32 , A61M2210/125
摘要: Disclosed are cardiac shunts and method of delivery, and in particular, to a shunt to reduce elevated left atrial pressure (LAP). The methods include forming a puncture hole between the left atrium and the coronary sinus, widening the puncture hole, and placing an expandable shunt within the widened puncture hole. A first catheter having a side-extending needle may be used to form a puncture into the left atrium. A second catheter extends along a guidewire and an expandable shunt with distal and proximal flanges is expelled therefrom into the puncture. The shunt defines a blood flow passage therethrough that permits shunting of blood from the left atrium to the coronary sinus when the LAP is elevated. The shunt is desirable formed of a super-elastic material and manipulated with control rods. The shunt defines a tilted flow tube that facilitates collapse into the catheter.
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公开(公告)号:US20150190225A1
公开(公告)日:2015-07-09
申请号:US14665677
申请日:2015-03-23
发明人: David Maimon , Ron Sharoni , Tamir S. Levi , Emil Karapetian , Tri D. Tran , Tung T. Le
CPC分类号: A61F2/2427 , A61B50/30 , A61F2/0095 , A61F2/243 , A61F2/2433 , A61F2002/9522 , B21D41/04 , B23P19/04 , B25B27/10 , Y10T29/53552 , Y10T29/53578 , Y10T29/5367
摘要: A device for crimping a radially expandable and collapsible prosthetic valve comprises a coiled wire frame having a longitudinal opening extending from a proximal end to a distal end thereof The opening has a first state and a second state, the opening in the first state having a first diameter dimensioned to receive the prosthetic valve in an expanded or partially crimped configuration therein, and the opening in the second state having a second diameter dimensioned to receive the prosthetic valve in a crimped configuration. The coiled wire frame has a first end coupled to a first member and a second end coupled to a second member. The first member is movable relative to the second member to convert the coiled wire frame from the first state to the second state.
摘要翻译: 用于卷曲径向可膨胀和可折叠的人工瓣膜的装置包括具有从近端延伸到其远端的纵向开口的螺旋线框架。开口具有第一状态和第二状态,第一状态下的开口具有第一状态 直径的尺寸设计成接收处于其中的膨胀或部分卷曲构造的人造瓣膜,并且在第二状态下的开口具有第二直径,其尺寸被设计成接收处于卷曲构型的假体瓣膜。 盘绕的线框架具有联接到第一构件的第一端和联接到第二构件的第二端。 第一构件可相对于第二构件移动,以将盘绕的线框架从第一状态转换到第二状态。
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公开(公告)号:US20150148896A1
公开(公告)日:2015-05-28
申请号:US14549431
申请日:2014-11-20
发明人: Emil Karapetian , Charles Stanislaus , Gregory Bak-Boychuk , Christopher Olson , Cristobal Hernandez , William Brunnett , Netanel Benichou , Lauren Freschauf , Alex Siegel
IPC分类号: A61F2/24
CPC分类号: A61F2/246 , A61F2/07 , A61F2/2409 , A61F2/2418 , A61F2/2436 , A61F2/2454 , A61F2/2466 , A61F2/88 , A61F2/91 , A61F2/958 , A61F2002/077 , A61F2002/825 , A61F2210/0061 , A61F2220/0016 , A61F2230/001 , A61F2230/0065 , A61F2230/0091 , A61F2250/0004 , A61F2250/0063
摘要: This application relates to methods, systems, and apparatus for replacing native heart valves with prosthetic heart valves and treating valvular insufficiency. In a representative embodiment, a support frame configured to be implanted in a heart valve comprises an annular main body formed by a plurality of angled struts, the main body including a plurality of peaks formed by the intersection of respective adjacent struts. The support frame further comprises one or more leaflet-engaging mechanisms configured to engage leaflets of the heart valve. The support frame can be radially expandable and collapsible.
摘要翻译: 本申请涉及用假体心脏瓣膜替换天然心脏瓣膜并治疗瓣膜功能不全的方法,系统和装置。 在代表性的实施例中,构造成植入心脏瓣膜的支撑框架包括由多个成角度的支柱形成的环形主体,主体包括由各个相邻的支柱相交而形成的多个峰。 支撑框架还包括配置成接合心脏瓣膜的小叶的一个或多个传单接合机构。 支撑框架可以是径向可扩张和可折叠的。
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