Systems of heart valve delivery
    1.
    发明授权

    公开(公告)号:US12274616B2

    公开(公告)日:2025-04-15

    申请号:US17958105

    申请日:2022-09-30

    Abstract: A delivery system and method for delivering a prosthetic heart valve to the aortic valve. The system includes a delivery catheter having a steering mechanism thereon for delivering a balloon-expandable prosthetic heart valve to the aortic valve through an introducer passing into the left ventricle through its apex. The introducer may have a more floppy distal section than a proximal section to reduce trauma to the heart wall while preserving good operating field stability. The delivery catheter includes a deflecting segment just proximal to a distal balloon to facilitate positioning of the prosthetic heart valve in the proper orientation. A trigger in a catheter handle may be coupled to a deflection wire that actuates the deflecting segment, while a slider in the handle controls retraction of a valve pusher. The prosthetic heart valve may be installed over the existing calcified leaflets, and a pre-dilation valvuloplasty procedure may also be utilized.

    ENDOVASCULAR DELIVERY APPARATUS HAVING VARIABLE LENGTH BALLOON

    公开(公告)号:US20230053985A1

    公开(公告)日:2023-02-23

    申请号:US18046078

    申请日:2022-10-12

    Abstract: A delivery apparatus comprises a handle, a first shaft, and a second shaft. The first shaft extends through and is movable axially relative to the second shaft. The delivery apparatus comprises an inflatable balloon having a proximal end portion coupled to the second shaft and a distal end portion of the balloon coupled to the first shaft. An inflation hub assembly comprises an inflation manifold and a piston, wherein the inflation manifold comprises a main body defining a main lumen and an inflation port defining an inflation port lumen. The piston extends into the main lumen and is slidable relative to the inflation manifold. A proximal end portion of the first shaft is coupled to the piston. The piston is moveable relative to the inflation manifold in proximal and distal directions to produce movement of the first shaft and adjust the length of the balloon.

    LOW PROFILE DELIVERY SYSTEM FOR TRANSCATHETER HEART VALVE

    公开(公告)号:US20200060822A1

    公开(公告)日:2020-02-27

    申请号:US16668315

    申请日:2019-10-30

    Abstract: A method of delivery a prosthetic heart valve includes inserting a delivery apparatus and a prosthetic heart valve into a patient's vasculature. The delivery apparatus includes a steerable guide catheter, a balloon catheter, and a flex indicator. The balloon catheter extends coaxially through the guide catheter, the prosthetic heart valve is mounted on a distal end portion of the balloon catheter, and the flex indicator is movably coupled to a handle of the guide catheter. The method further includes adjusting flexion of a steerable section of the guide catheter to position the prosthetic heart valve. The flex indicator moves relative to the handle of the guide catheter as the flexion of the steerable section is adjusted, and the handle comprises one or more visual indicators adjacent the flex indicator to provide visual indication of an amount of flexion of the steerable section of the guide catheter.

    METHODS OF VALVE DELIVERY ON A BEATING HEART
    7.
    发明申请
    METHODS OF VALVE DELIVERY ON A BEATING HEART 有权
    阀门输送方法

    公开(公告)号:US20130345798A1

    公开(公告)日:2013-12-26

    申请号:US13922129

    申请日:2013-06-19

    Abstract: A delivery system and method for delivering a prosthetic heart valve to the aortic valve annulus. The system includes a delivery catheter having a steering mechanism thereon for delivering a balloon-expandable prosthetic heart valve to the aortic annulus in an antegrade fashion through an introducer passing into the left ventricle through its apex. The introducer may have a more floppy distal section than a proximal section to reduce trauma to the heart wall while preserving good operating field stability. The delivery catheter includes a deflecting segment just proximal to a distal balloon to facilitate positioning of the prosthetic heart valve in the proper orientation within the aortic annulus. A trigger in a catheter handle may be coupled to a deflection wire that actuates the deflecting segment, while a slider in the handle controls retraction of a valve pusher. The prosthetic heart valve may be installed over the existing calcified leaflets, and a pre-dilation valvuloplasty procedure may also be utilized.

    Abstract translation: 用于将假体心脏瓣膜递送到主动脉瓣环的输送系统和方法。 该系统包括具有其上的转向机构的输送导管,用于通过穿过其顶点进入左心室的导引器以顺行方式将球囊可扩张的假体心脏瓣膜递送至主动脉环。 导引器可以具有比近端部分更软的远侧部分,以减少对心脏壁的创伤,同时保持良好的操作场稳定性。 输送导管包括刚好靠近远端气囊的偏转部分,以便于在主动脉瓣环内的正确取向中定位假体心脏瓣膜。 导管手柄中的触发器可以联接到致动偏转段的偏转线,而手柄中的滑块控制阀推动器的缩回。 假体心脏瓣膜可以安装在现有的钙化小叶上,并且还可以使用预扩张瓣膜成形术程序。

Patent Agency Ranking