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公开(公告)号:US20070129737A1
公开(公告)日:2007-06-07
申请号:US11623585
申请日:2007-01-16
申请人: Eric Goldfarb , Alfred Raschdorf , Jaime Sarabia , Sylvia Wen Chin Fan , Kent Dell , Jan Komtebedde , Ferolyn Powell
发明人: Eric Goldfarb , Alfred Raschdorf , Jaime Sarabia , Sylvia Wen Chin Fan , Kent Dell , Jan Komtebedde , Ferolyn Powell
CPC分类号: A61B17/122 , A61B8/10 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0625 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B50/30 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00588 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00783 , A61B2017/00867 , A61B2017/0406 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0429 , A61B2017/0435 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/06057 , A61B2017/06076 , A61B2017/061 , A61B2017/06171 , A61B2017/0641 , A61B2017/088 , A61B2017/2908 , A61B2017/2926 , A61F2/24 , A61F2/2442 , A61F2/2445 , A61F2/2463 , A61F2/2466 , A61M25/0136 , A61M25/0138 , A61M25/0147 , A61M25/04 , A61M2025/0161
摘要: The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.
摘要翻译: 本发明提供了用于在治疗部位组织近似和修复的装置,系统和方法。 本发明的装置,系统和方法将用于各种治疗方法,包括血管内,微创和开放性外科手术,并可用于各种解剖学领域,包括腹部,胸部,心血管系统,心脏 ,肠道,胃,尿道,膀胱,肺和其他器官,血管和组织。 本发明在需要微创或血管内进入远程组织位置的那些程序中特别有用,其中所使用的仪器必须协商到治疗部位的长,窄和曲折的路径。 此外,本发明的许多装置和系统适于在任何点处可逆地从患者移除,而不会干扰或损伤内部组织。
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公开(公告)号:US20070118155A1
公开(公告)日:2007-05-24
申请号:US11623590
申请日:2007-01-16
申请人: Eric Goldfarb , Alfred Raschdorf , Jaime Sarabia , Sylvia Wen Chin Fan , Kent Dell , Jan Komtebedde , Ferolyn Powell
发明人: Eric Goldfarb , Alfred Raschdorf , Jaime Sarabia , Sylvia Wen Chin Fan , Kent Dell , Jan Komtebedde , Ferolyn Powell
IPC分类号: A61B17/122 , A61B17/128
CPC分类号: A61B17/122 , A61B8/10 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0625 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B50/30 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00588 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00783 , A61B2017/00867 , A61B2017/0406 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0429 , A61B2017/0435 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/06057 , A61B2017/06076 , A61B2017/061 , A61B2017/06171 , A61B2017/0641 , A61B2017/088 , A61B2017/2908 , A61B2017/2926 , A61F2/24 , A61F2/2442 , A61F2/2445 , A61F2/2466 , A61M25/0136 , A61M25/0138 , A61M25/0147 , A61M25/02 , A61M2025/0161
摘要: The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.
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公开(公告)号:US20070197858A1
公开(公告)日:2007-08-23
申请号:US11237213
申请日:2005-09-27
申请人: Eric Goldfarb , Troy Thornton , Alfred Raschdorf , Jaime Sarabia , John Madden , Ferolyn Powell , Brian Martin , Sylvia Wen-Chin Fan , Jan Komtebedde , Yen Liao
发明人: Eric Goldfarb , Troy Thornton , Alfred Raschdorf , Jaime Sarabia , John Madden , Ferolyn Powell , Brian Martin , Sylvia Wen-Chin Fan , Jan Komtebedde , Yen Liao
CPC分类号: A61B17/0401 , A61B17/08 , A61B17/29 , A61B17/3478 , A61B2017/00243 , A61B2017/00783 , A61B2017/081 , A61B2017/22088 , A61B2017/22089 , A61B2017/22098 , A61B2017/2825 , A61B2017/2926 , A61B2017/2931 , A61B2017/306 , A61B2090/3908 , A61B2090/3925
摘要: Devices, systems and methods are provided for stabilizing and grasping tissues such as valve leaflets, assessing the grasp of these tissues, approximating and fixating the tissues, and assessing the fixation of the tissues to treat cardiac valve regurgitation, particularly mitral valve regurgitation.
摘要翻译: 提供的装置,系统和方法用于稳定和抓握诸如瓣叶的组织,评估这些组织的抓握,近似和固定组织,以及评估组织的固定以治疗心脏瓣膜反流,特别是二尖瓣反流。
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公开(公告)号:US20060089671A1
公开(公告)日:2006-04-27
申请号:US10975555
申请日:2004-10-27
申请人: Eric Goldfarb , Alfred Raschdorf , Jaime Sarabia , Sylvia Fan , Kent Dell , Jan Komtebedde , Ferolyn Powell
发明人: Eric Goldfarb , Alfred Raschdorf , Jaime Sarabia , Sylvia Fan , Kent Dell , Jan Komtebedde , Ferolyn Powell
IPC分类号: A61B17/08
CPC分类号: A61B17/1285 , A61B17/122 , A61B2017/00243 , A61B2017/00783 , A61B2017/081
摘要: Devices, systems and methods are provided for tissue approximation and repair at treatment sites, particularly in those procedures requiring minimally-invasive or endovascular access to remote tissue locations. Fixation devices are provided to fix tissue in approximation with the use of distal elements. In some embodiments, the fixation devices have at least two distal elements and an actuatable feature wherein actuation of the feature varies a dimension of the at least two distal elements. In other embodiments, the fixation devices have at least two pairs of distal elements wherein the pairs of distal elements are moveable to engage tissue between opposed pairs of distal elements. Systems are also provided comprising fixation devices and accessories.
摘要翻译: 提供了装置,系统和方法用于组织在治疗部位的近似和修复,特别是在需要微创或血管内进入远程组织位置的那些手术中。 提供固定装置以通过使用远端元件来近似固定组织。 在一些实施例中,固定装置具有至少两个远侧元件和可致动特征,其中特征的致动改变至少两个远端元件的尺寸。 在其他实施例中,固定装置具有至少两对远侧元件,其中远端元件组可移动以在相对的远侧元件对之间接合组织。 还提供了包括固定装置和附件的系统。
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公开(公告)号:US20060229708A1
公开(公告)日:2006-10-12
申请号:US11349742
申请日:2006-02-07
申请人: Ferolyn Powell , Troy Thornton , Eric Goldfarb , Jan Komtebedde , Kent Dell , Pedro Lucatero , Francisco Valencia , Murli Srinivasan , Roger Goodgion , Sandra Saenz , Sylvia Fan , Sylvester Lucatero , Yen Liao , John Madden , Jaime Sarabia
发明人: Ferolyn Powell , Troy Thornton , Eric Goldfarb , Jan Komtebedde , Kent Dell , Pedro Lucatero , Francisco Valencia , Murli Srinivasan , Roger Goodgion , Sandra Saenz , Sylvia Fan , Sylvester Lucatero , Yen Liao , John Madden , Jaime Sarabia
IPC分类号: A61F2/24
CPC分类号: A61F2/2457 , A61B17/00234 , A61B17/0401 , A61B17/0487 , A61B17/29 , A61B2017/00243 , A61B2017/00783 , A61B2017/00876 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/0427 , A61B2017/0435 , A61B2017/0445 , A61B2017/0454 , A61B2017/0464 , A61B2017/0496 , A61F2/2412 , A61F2/2445 , A61F2/2454 , A61F2/246 , A61F2/2463 , A61F2/2478 , A61F2/2487 , A61F2210/009 , A61F2220/0016
摘要: Disclosed are methods, systems, and devices for the endovascular repair of cardiac valves, particularly the atrioventricular valves which inhibit back flow of blood from a heart ventricle during contraction. The procedures described herein can be performed with interventional tools, guides and supporting catheters and other equipment introduced to the heart chambers from the patient's arterial or venous vasculature remote from the heart. The interventional tools and other equipment may be introduced percutaneously or may be introduced via a surgical cut down, and then advanced from the remote access site through the vasculature until they reach the heart.
摘要翻译: 公开了用于心脏瓣膜的血管内修复的方法,系统和装置,特别是在收缩期间抑制血液从心室逆流的房室瓣膜。 本文描述的程序可以使用从心脏远离病人的动脉或静脉血管引入心室的介入工具,引导件和辅助导管以及其他设备进行。 介入工具和其他设备可以经皮引入,也可以通过手术切口引入,然后从远程访问位置通过脉管系统进入,直到达到心脏。
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公开(公告)号:US20060020275A1
公开(公告)日:2006-01-26
申请号:US11130818
申请日:2005-05-16
申请人: Eric Goldfarb , Jaime Sarabia , Alfred Raschdorf , John Madden
发明人: Eric Goldfarb , Jaime Sarabia , Alfred Raschdorf , John Madden
IPC分类号: A61B17/08
CPC分类号: A61B17/08 , A61B17/00234 , A61B17/10 , A61B17/122 , A61B17/1285 , A61B17/2909 , A61B2017/00243 , A61B2017/00783 , A61B2017/2946 , A61F2/2442
摘要: Devices, systems and methods are provided for tissue approximation and repair at treatment sites. In particular, fixation devices are provided comprising a pair of elements each having a first end, a free end opposite the first end, and an engagement surface therebetween for engaging the tissue, the first ends being moveable between an open position wherein the free ends are spaced apart and a closed position wherein the free ends are closer together with the engagement surfaces generally facing each other. The fixation devices also include a locking mechanism coupled to the elements for locking the elements in place. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site.
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公开(公告)号:US20050021056A1
公开(公告)日:2005-01-27
申请号:US10927263
申请日:2004-08-25
申请人: Frederick St. Goar , James Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
发明人: Frederick St. Goar , James Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
IPC分类号: A61B17/00 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/128 , A61F2/24
CPC分类号: A61B17/00234 , A61B8/10 , A61B17/04 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0625 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/08 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00588 , A61B2017/00592 , A61B2017/00606 , A61B2017/00623 , A61B2017/00783 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0443 , A61B2017/045 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/06057 , A61B2017/06076 , A61B2017/061 , A61B2017/06171 , A61B2017/0641 , A61B2017/0649 , A61B2017/088 , A61B2017/2926 , A61B2018/00291 , A61F2/2445 , A61F2/2457
摘要: The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. Preferably, the tissue structures will be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment.
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公开(公告)号:US20070038293A1
公开(公告)日:2007-02-15
申请号:US11411441
申请日:2006-04-25
申请人: Frederick St.Goar , James Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
发明人: Frederick St.Goar , James Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
IPC分类号: A61F2/24
CPC分类号: A61B17/00234 , A61B17/0487 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/07207 , A61B17/08 , A61B17/29 , A61B17/2909 , A61B2017/00243 , A61B2017/00783 , A61B2017/00867 , A61B2017/0409 , A61B2017/0417 , A61B2017/045 , A61B2017/0474 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/06076 , A61B2017/06171 , A61B2017/0641 , A61B2017/0649 , A61B2017/088 , A61B2017/2905 , A61B2017/2927 , A61B2017/2932 , A61B2017/2944 , A61B2017/2946 , A61B2017/306 , A61F2/2427 , A61F2/2445 , A61F2/2466 , A61M25/0147 , A61M25/0152
摘要: The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. The tissue structures can be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment. In one aspect, a structure is deployed in a gutter region of the valve annulus to modify the shape of the valve.
摘要翻译: 提供的方法,装置和系统用于执行心脏中房室结和其他心脏瓣膜的血管内修复。 房室瓣,特别是二尖瓣的反流可以通过修改选自瓣膜小叶,瓣膜环,瓣膜腱索和乳头肌的组织结构来修复。 这些结构可以通过使用引入心脏室的介入工具通过缝合,缝合,痉挛或缩短来改变。 组织结构可以在永久性修改之前暂时修改。 例如,相对的瓣叶可以在永久性附着之前被暂时抓住并保持就位。 在一个方面,结构被布置在阀环的沟槽区域中以改变阀的形状。
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公开(公告)号:US20050021057A1
公开(公告)日:2005-01-27
申请号:US10927589
申请日:2004-08-25
申请人: Frederick St. Goar , James Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
发明人: Frederick St. Goar , James Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
IPC分类号: A61B17/00 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/128 , A61F2/24
CPC分类号: A61B17/00234 , A61B8/10 , A61B17/04 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0625 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/08 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00588 , A61B2017/00592 , A61B2017/00606 , A61B2017/00623 , A61B2017/00783 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0443 , A61B2017/045 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/06057 , A61B2017/06076 , A61B2017/061 , A61B2017/06171 , A61B2017/0641 , A61B2017/0649 , A61B2017/088 , A61B2017/2926 , A61B2018/00291 , A61F2/2445 , A61F2/2457
摘要: The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. Preferably, the tissue structures will be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment.
摘要翻译: 提供的方法,装置和系统用于执行心脏中房室结和其他心脏瓣膜的血管内修复。 房室瓣,特别是二尖瓣的反流可以通过修改选自瓣膜小叶,瓣膜环,瓣膜腱索和乳头肌的组织结构来修复。 这些结构可以通过使用引入心脏室的介入工具通过缝合,缝合,痉挛或缩短来改变。 优选地,组织结构将在永久性修饰之前临时修改。 例如,相对的瓣叶可以在永久性附着之前被暂时抓住并保持就位。
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公开(公告)号:US20080051807A1
公开(公告)日:2008-02-28
申请号:US11926828
申请日:2007-10-29
申请人: Frederick St. Goar , James I-Lin Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
发明人: Frederick St. Goar , James I-Lin Fann , Mark Deem , Hanson Gifford , Martin Dieck , Brian Martin , Sylvia Fan , Eric Goldfarb , Kent Dell , Ferolyn Powell
CPC分类号: A61B17/00234 , A61B8/10 , A61B17/04 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0625 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/08 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00588 , A61B2017/00592 , A61B2017/00606 , A61B2017/00623 , A61B2017/00783 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0443 , A61B2017/045 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/06057 , A61B2017/06076 , A61B2017/061 , A61B2017/06171 , A61B2017/0641 , A61B2017/0649 , A61B2017/088 , A61B2017/2926 , A61B2018/00291 , A61F2/2445 , A61F2/2457
摘要: The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. Preferably, the tissue structures will be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment.
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