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公开(公告)号：US20240335287A1
公开(公告)日：2024-10-10
申请号：US18745063
申请日：2024-06-17
发明人： Mark Chau , Travis Zenyo Oba , Sam Shafigh , Jean-Pierre Michel Rabbah , David M. Taylor , Philippe Marchand , Madison Paige Kukura , Cristobal R. Hernandez , Nancy Hoang Khuu , Florian Georg Deuschl , Biswa P. Das , Andrew Charles May , Bhumica A. Amin
IPC分类号： A61F2/24
CPC分类号： A61F2/2463 , A61F2/2466 , A61F2220/0008 , A61F2230/0008
摘要： Systems and methods are disclosed for use with a valve of a heart. An implant (100) includes a wing (120); a flexible frame (124); and a pair of anchor receivers (150). A pair of shafts (660) are transluminally advanced through a catheter (40), while the shafts are each engaged with a respective anchor receiver (150), to deploy the implant out of the catheter such that the wing extends away from the anchor receivers and over a first leaflet of the valve and toward an opposing leaflet of the valve, with a contact face (122) of the wing facing the first leaflet. A pair of drivers (70) secure the implant using a pair of anchors (30) to anchor each anchor receiver to tissue at respective sites of the heart. Other implementations are also described.
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公开(公告)号：US10278815B2
公开(公告)日：2019-05-07
申请号：US16017465
申请日：2018-06-25
发明人： Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
摘要： An assembly includes a prosthetic heart valve and a delivery apparatus for implanting the prosthetic heart valve within the native aortic valve of a patient. The prosthetic heart valve has a radially compressible and expandable metallic stent and a flexible valvular structure mounted within the stent. The delivery apparatus has a handle, a first shaft having a proximal end portion and a distal end portion, a second shaft extending co-axially through the first shaft and having a proximal end portion and a distal end portion, the proximal end portions of the first and second shafts extending distally from the handle, a valve cover coupled to the distal end portion of the first shaft, and a nose piece coupled to the distal end portion of the second shaft.
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公开(公告)号：US20190008633A1
公开(公告)日：2019-01-10
申请号：US16130726
申请日：2018-09-13
摘要： An apparatus for delivering a prosthetic device through the vasculature of a patient includes a radially expandable member coupled to the distal end of an elongate shaft. The expandable member has an open frame configuration and an outer mounting surface for mounting the prosthetic device in a collapsed state thereon. The expandable member expands radially outwards from a first configuration to a second configuration to expand a prosthetic device mounted thereon.
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公开(公告)号：US08784480B2
公开(公告)日：2014-07-22
申请号：US13910348
申请日：2013-06-05
发明人： David Taylor , Philippe Marchand , Larry Wood , Robert Bowes
CPC分类号： A61F2/243 , A61F2/24 , A61F2/2412 , A61F2/2418 , A61F2/2439 , A61F2/95 , A61F2/97 , A61F2230/0076 , A61F2250/0008 , A61F2250/0029 , A61F2250/0036 , A61F2250/0059
摘要： An apparatus and method for delivering a prosthetic device through the vasculature of a patient includes a radially expandable member coupled to the distal end of an elongate shaft. The expandable member has an open frame configuration and an outer mounting surface for mounting the prosthetic device in a collapsed state thereon. The expandable member expands radially outwards from a first configuration to a second configuration to expand a prosthetic device mounted thereon.
摘要翻译： 用于通过患者的脉管系统递送假体装置的装置和方法包括联接到细长轴的远端的可径向扩张的构件。 可扩张构件具有开放框架构造和用于将假体装置安装在其中的折叠状态的外部安装表面。 可膨胀构件从第一构型径向向外扩展到第二构型，以扩展安装在其上的假体装置。
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公开(公告)号：US20140058502A1
公开(公告)日：2014-02-27
申请号：US14066259
申请日：2013-10-29
发明人： Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo Cayabyab , Robert Bowes
IPC分类号： A61F2/24
CPC分类号： A61F2/2433 , A61F2/2436 , A61F2/958 , A61F2002/9517 , A61M25/0045 , A61M25/005 , A61M25/0136 , A61M25/0662 , A61M39/0613
摘要： Embodiments of the present disclosure provide a delivery apparatus for delivering a prosthetic heart valve to a native valve site via the human vasculature without the need for a separate introducer sheath. The delivery apparatus is particularly well-suited for advancing a prosthetic valve through the aorta (i.e., in a retrograde approach) for replacing a stenotic aortic valve.
摘要翻译： 本公开的实施例提供了一种用于经由人类脉管系统将假体心脏瓣膜递送至自然瓣膜部位而不需要单独导引鞘的输送装置。 输送装置特别适用于通过主动脉推进人造瓣膜（即逆行方法），以更换狭窄的主动脉瓣。
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公开(公告)号：US20130310918A1
公开(公告)日：2013-11-21
申请号：US13910348
申请日：2013-06-05
发明人： David Taylor , Philippe Marchand , Larry Wood , Robert Bowes
IPC分类号： A61F2/97
CPC分类号： A61F2/243 , A61F2/24 , A61F2/2412 , A61F2/2418 , A61F2/2439 , A61F2/95 , A61F2/97 , A61F2230/0076 , A61F2250/0008 , A61F2250/0029 , A61F2250/0036 , A61F2250/0059
摘要： An apparatus and method for delivering a prosthetic device through the vasculature of a patient includes a radially expandable member coupled to the distal end of an elongate shaft. The expandable member has an open frame configuration and an outer mounting surface for mounting the prosthetic device in a collapsed state thereon. The expandable member expands radially outwards from a first configuration to a second configuration to expand a prosthetic device mounted thereon.
摘要翻译： 用于通过患者的脉管系统递送假体装置的装置和方法包括联接到细长轴的远端的可径向扩张的构件。 可扩张构件具有开放框架构造和用于将假体装置安装在其中的折叠状态的外部安装表面。 可膨胀构件从第一构型径向向外扩展到第二构型，以扩展安装在其上的假体装置。
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公开(公告)号：US11883285B2
公开(公告)日：2024-01-30
申请号：US17003836
申请日：2020-08-26
发明人： Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
CPC分类号： A61F2/2433 , A61F2/2436 , A61M25/0136 , A61M25/0662 , A61F2/958 , A61F2/9517 , A61M25/005 , A61M25/0045 , A61M25/0147 , A61M39/0613
摘要： Embodiments of the present disclosure provide an introducer device and methods for introducing a medical device into a patient's vasculature. In one embodiment, a method of using an introducer device including a housing, a hemostatic seal mounted within the housing, and a tube extending into the housing and movable longitudinally relative to the hemostatic seal between a proximal position and a distal position, includes moving the tube to the distal position such that the distal end of the tube extends through the hemostatic seal. The method further includes inserting a distal end portion of the medical device through the tube and into the patient's vasculature without contacting the hemostatic seal.
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公开(公告)号：US20230074408A1
公开(公告)日：2023-03-09
申请号：US17985009
申请日：2022-11-10
发明人： Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
摘要： A method for replacing a stenotic native aortic valve of a patient can include inserting a delivery apparatus into a femoral artery of the patient, the delivery apparatus having a first shaft extending from the handle, a second shaft disposed around the first shaft, a third shaft extending through the second shaft, and a valve cover coupled to the first shaft. The valve cover can be in a first state housing an entirety of a prosthetic heart valve and retaining the prosthetic heart valve in a radially compressed state during the act of inserting. The method can further include advancing the delivery apparatus through the aorta of the patient to position the valve cover and the prosthetic heart valve within the native aortic valve, and moving the valve cover longitudinally from the first state to a second state in which the entirety of the prosthetic heart valve is uncovered.
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公开(公告)号：US20210386540A1
公开(公告)日：2021-12-16
申请号：US17460183
申请日：2021-08-28
摘要： A method for deploying an expandable prosthetic heart valve in a patient includes introducing a guidewire into a patient and advancing the guidewire through a vasculature of a patient to a deployment site. A distal end portion of a delivery apparatus and the prosthetic heart valve mounted in a radially compressed configuration along the distal end portion are advanced over the guidewire. The prosthetic heart valve is positioned at the deployment site. A screw mechanism is rotated, which exerts an axially directed onto the prosthetic heart valve, causing the prosthetic heart valve to radially expand from the radially compressed configuration to a radially expanded configuration.
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公开(公告)号：US20210030540A1
公开(公告)日：2021-02-04
申请号：US17073076
申请日：2020-10-16
发明人： Philippe Marchand , David M. Taylor , Robert Milich , David J. Evans , Christopher Chia , Ronaldo C. Cayabyab , Robert Bowes
摘要： Embodiments of the present disclosure provide an introducer device and method for introducing a delivery apparatus into a patient's vasculature. Disclosed methods can include positioning a sleeve of an introducer sheath in a blood vessel of a patient, the sleeve having a lattice layer with a lumen therethrough, inserting a distal end portion of the delivery apparatus and a prosthetic heart valve into the lumen, and advancing the distal end portion of the delivery apparatus through the lumen from the proximal end to the distal end. The method can then include expanding the lumen from a first diameter smaller to a second diameter at least equal to the diameter of the prosthetic heart valve to allow passage of the prosthetic heart valve through the lumen, and returning the lumen of the sleeve to a diameter smaller than the second diameter after advancing the prosthetic heart valve through the lumen.
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