MINIMALLY-INVASIVE LOW STRAIN ANNULOPLASTY RING

    公开(公告)号:US20230125047A1

    公开(公告)日:2023-04-20

    申请号:US18069082

    申请日:2022-12-20

    IPC分类号: A61F2/24

    摘要: A minimally-invasive annuloplasty ring for implant at a mitral annulus. The annuloplasty ring has an inner core member with a C-shaped plan view that generally defines an oval with a major axis and a minor axis, and is symmetric about the minor axis. A posterior portion of the core member bisected by the minor axis has a thicker radial dimension than a pair of free end regions terminating on an anterior side of the core member. The radial thickness smoothly transitions between the posterior portion and the end regions. The inner core member may be covered with a fabric, and is a superelastic metal so that it can be straightened out and delivered through an access tube. The curvatures and thicknesses around the core member are selected so that the strain experienced when straightened does not exceed 7-8%.

    SYSTEMS FOR DEPLOYING KNOTLESS SUTURE ANCHORING CLAMPS
    2.
    发明申请
    SYSTEMS FOR DEPLOYING KNOTLESS SUTURE ANCHORING CLAMPS 有权
    用于配置无缝固定锚固系统的系统

    公开(公告)号:US20170071600A1

    公开(公告)日:2017-03-16

    申请号:US15362529

    申请日:2016-11-28

    IPC分类号: A61B17/04 A61F2/24

    摘要: Suture locking clamps for securing prostheses such as heart valves or annuloplasty rings with sutures and without knots improve the ease of implantation. The clamps have opposed clamp halves separated by a slot opening to one side and surrounded by a biasing member such as one or more C-clip springs. Sutures pass laterally into the slot which is held open by a retention member positioned between the clamp halves. The locking clamp slides along the sutures into position, the tension of the sutures is adjusted, and the retention member removed to allow the biasing member to clamp the sutures between the clamp halves. A delivery tool used to deliver and deploy the locking clamps contains a number of clamps within a delivery tube in a stack and bonded together for safety and a common retention member. The tool has a longitudinal channel on one side for entry of sutures.

    摘要翻译: 用于固定假体(例如心脏瓣膜或带有缝线和瓣环的瓣环成形术环)的缝合线锁定件提高了植入的容易性。 夹具具有相对的夹具半部,该半部由通向一侧的狭槽分开,并被诸如一个或多个C形夹弹簧的偏置构件包围。 缝合线横向穿过狭槽,狭槽由位于夹子半部之间的保持构件保持打开。 锁定夹具沿着缝合线滑动到适当位置,调节缝合线的张力,并且移除保持构件以允许偏置构件将缝合线夹在夹具半部之间。 用于传送和展开锁定夹具的输送工具在堆叠中的输送管内包含多个夹具,并且为了安全而将其粘合在一起并具有公共保持构件。 该工具在一侧具有用于进入缝合线的纵向通道。

    METHODS OF ANCHORING CARDIAC IMPLANTS USING KNOTLESS SUTURE FASTENERS
    3.
    发明申请
    METHODS OF ANCHORING CARDIAC IMPLANTS USING KNOTLESS SUTURE FASTENERS 有权
    使用无关紧固件锚固心脏植入物的方法

    公开(公告)号:US20150320414A1

    公开(公告)日:2015-11-12

    申请号:US14797162

    申请日:2015-07-12

    IPC分类号: A61B17/04 A61F2/24

    摘要: Devices and methods for securing prostheses such as heart valves or annuloplasty rings with sutures and without using knots are disclosed. The devices are particularly well suited for traditional surgery or minimally invasive surgery, and improve the ease of implantation by eliminating surgical knots a clinician would normally tie in the limited space in and around the implant site. The devices have opposed the clamp halves surrounded by a coil spring. Sutures pass between the clamp halves and the coil spring has an inner coil diameter sufficient to compress the sutures between the clamp. A retention member positioned between the clamp halves maintains a minimum space and therebetween to enable the locking device to be slid along the sutures into position, and to adjust the tension of the sutures therethrough. A delivery tool may be used to deliver and deploy the locking devices.

    摘要翻译: 公开了用于固定假体的装置和方法,例如具有缝合线并且不使用结的心脏瓣膜或瓣环成形术环。 该装置特别适用于传统手术或微创手术,并通过消除手术结,提高植入的容易程度,临床医生通常会将植入部位内部和周围的有限空间结合在一起。 这些装置相对于由螺旋弹簧包围的夹子半部。 缝线穿过钳夹半部之间并且螺旋弹簧具有足以压缩夹具之间的缝合线的内线圈直径。 定位在夹钳半部之间的保持构件保持最小空间并且在其间,使得锁定装置能够沿着缝线滑动到位,并且通过其调节缝合线的张力。 传送工具可用于传送和部署锁定装置。

    Minimally-invasive low strain annuloplasty ring

    公开(公告)号:US11554015B2

    公开(公告)日:2023-01-17

    申请号:US17159668

    申请日:2021-01-27

    IPC分类号: A61F2/24

    摘要: A minimally-invasive annuloplasty ring for implant at a mitral annulus. The annuloplasty ring has an inner core member with a C-shaped plan view that generally defines an oval with a major axis and a minor axis, and is symmetric about the minor axis. A posterior portion of the core member bisected by the minor axis has a thicker radial dimension than a pair of free end regions terminating on an anterior side of the core member. The radial thickness smoothly transitions between the posterior portion and the end regions. The inner core member may be covered with a fabric, and is a superelastic metal so that it can be straightened out and delivered through an access tube. The curvatures and thicknesses around the core member are selected so that the strain experienced when straightened does not exceed 7-8%.

    Heart valve implants with side slits

    公开(公告)号:US11464633B2

    公开(公告)日:2022-10-11

    申请号:US16435969

    申请日:2019-06-10

    IPC分类号: A61F2/24 A61B17/04 A61B17/02

    摘要: A cardiac implant system including a cardiac implant such as an annuloplasty ring, a prosthetic heart valve, or a valved conduit pre-assembled at the time of manufacture with devices for securing the implant to a heart valve annulus using knotless suture fasteners. The knotless suture fasteners may be embedded within a pliant sealing edge of the cardiac implant, or they may be positioned adjacent to the sealing edge. The knotless suture fasteners are spring-biased so as to grip onto annulus anchoring sutures pass to therethrough upon removal of a restraining device, such as a hypotube inserted within the suture fasteners. Guide tubes are assembled in line with the suture fasteners to permit introduction of suture snares that pass through the suture fasteners and through the sealing edge to facilitate capture of the pre-installed annulus anchoring sutures.

    METHODS OF DEPLOYING KNOTLESS SUTURE ANCHORING CLAMPS
    8.
    发明申请
    METHODS OF DEPLOYING KNOTLESS SUTURE ANCHORING CLAMPS 有权
    分配无缝锚固锚杆的方法

    公开(公告)号:US20150313590A1

    公开(公告)日:2015-11-05

    申请号:US14797112

    申请日:2015-07-11

    IPC分类号: A61B17/04 A61F2/24

    摘要: Methods of deploying knotless suture locking clamps for securing prostheses such as heart valves or annuloplasty rings to facilitate implantation. The clamps have opposed clamp halves separated by a slot opening to one side and surrounded by a biasing member such as one or more C-clip springs. Sutures pass laterally into the slot which is held open by a retention member positioned between the clamp halves. The locking clamp slides along the sutures into position, the tension of the sutures is adjusted, and the retention member removed to allow the biasing member to clamp the sutures between the clamp halves. A delivery tool used to deliver and deploy the locking clamps contains a number of clamps within a delivery tube in a stack and bonded together for safety and a common retention member. The tool has a longitudinal channel on one side for entry of sutures.

    摘要翻译: 部署用于固定假体(例如心脏瓣膜或瓣环成形术环)的无缝缝合锁定夹具的方法以便于植入。 夹具具有相对的夹具半部,该半部由通向一侧的狭槽分开,并被诸如一个或多个C形夹弹簧的偏置构件包围。 缝合线横向穿过狭槽,狭槽由位于夹子半部之间的保持构件保持打开。 锁定夹具沿着缝合线滑动到适当位置,调节缝合线的张力,并且移除保持构件以允许偏置构件将缝合线夹在夹具半部之间。 用于传送和展开锁定夹具的输送工具在堆叠中的输送管内包含多个夹具,并且为了安全而将其粘合在一起并具有公共保持构件。 该工具在一侧具有用于进入缝合线的纵向通道。

    Methods of securing a cardiac implant using knotless suture clamps

    公开(公告)号:US11576667B2

    公开(公告)日:2023-02-14

    申请号:US16859946

    申请日:2020-04-27

    IPC分类号: A61B17/04 A61F2/24

    摘要: Suture locking clamps for securing prostheses such as heart valves or annuloplasty rings with sutures and without using knots improve the ease of implantation. The clamps have opposed clamp halves separated by a slot opening to one side and surrounded by a biasing member such as one or more C-clip springs. Sutures pass laterally into the slot which is held open by a retention member positioned between the clamp halves. The locking clamp slides along the sutures into position, the tension of the sutures is adjusted, and the retention member removed to allow the biasing member to clamp the sutures between the clamp halves. A delivery tool used to deliver and deploy the locking clamps contains a number of clamps within a delivery tube in a stack and bonded together for safety and a common retention member. The tool has a longitudinal channel on one side for entry of sutures.