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公开(公告)号:US20120330352A1
公开(公告)日:2012-12-27
申请号:US13531534
申请日:2012-06-23
申请人: Farhad Khosravi , Andy Uchida , Jose Garcia , Brandon Fell
发明人: Farhad Khosravi , Andy Uchida , Jose Garcia , Brandon Fell
IPC分类号: A61B17/03
CPC分类号: A61B17/0057 , A61B2017/00243 , A61B2017/00455 , A61B2017/00575 , A61B2017/00601 , A61B2017/00623 , A61B2017/00676 , A61B2017/00893 , A61B2017/00898 , A61B2017/00942 , A61B2017/22069 , A61B2017/22072
摘要: Apparatus and methods are provided for sealing a puncture through the wall of a patient's heart into a heart chamber, e.g., at the apex of the heart into the left ventricle. A positioning member is advanced into the puncture until a positioning element thereon is disposed within the chamber, the positioning element is expanded within the chamber, and the positioning member is withdrawn until the expanded positioning element contacts the endocardial wall of the chamber. A cartridge carrying a solid sealant is advanced over the positioning member, and the sealant is deployed within the puncture, e.g., offset proximally from the endocardial wall, the sealant expanding upon exposure to fluid within the puncture to seal the puncture.
摘要翻译: 提供了一种装置和方法,用于将通过患者心脏的壁的穿刺密封到心脏室,例如在心脏的顶点进入左心室。 定位构件前进穿刺,直到其中的定位元件设置在腔室内,定位元件在腔室内扩张,并且定位构件被抽出直到扩张的定位元件接触腔室的心内膜壁。 携带固体密封剂的药筒在定位部件上推进,并且密封剂部署在穿刺之内,例如从心内膜壁向近侧偏移,密封剂在暴露于穿刺内的流体时膨胀以密封穿刺。
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公开(公告)号:US08414604B2
公开(公告)日:2013-04-09
申请号:US12578204
申请日:2009-10-13
申请人: Darren Doud , Tomislav Huljev , Ralph McNall , Brandon Fell , Priyanshu Gupta , Ryan Olivera , Thomas C. Pham
发明人: Darren Doud , Tomislav Huljev , Ralph McNall , Brandon Fell , Priyanshu Gupta , Ryan Olivera , Thomas C. Pham
IPC分类号: A61B17/22
CPC分类号: A61B17/320783 , A61B2017/003 , A61B2017/00318 , A61B2017/00331 , A61B2017/00389 , A61B2017/00469 , A61B2017/00778 , A61B2017/22038 , A61B2017/320791 , A61M25/0152 , A61M2025/0161
摘要: A catheter for performing a procedure at a treatment site in the lumen of a blood vessel. The catheter includes an elongate tubular shaft having a proximal bend, a distal bend and a hinge element. A distal portion of the shaft includes a window extending through the sidewall of the shaft between the hinge element and the distal end of the elongate tubular shaft. A working element is disposed within the lumen of the elongate tubular shaft and is configured for performing the procedure through the window at the treatment site. The bends and hinge element are configured to urge the window against a wall of the vessel at the treatment site.
摘要翻译: 一种用于在血管内腔的治疗部位进行手术的导管。 导管包括具有近端弯曲部,远端弯曲部和铰链部件的细长管状轴。 轴的远侧部分包括在铰链元件和细长管状轴的远端之间延伸穿过轴的侧壁的窗口。 工作元件设置在细长管状轴的内腔内,并被构造成用于在治疗部位通过窗口执行该过程。 弯曲和铰链元件构造成在处理部位将窗户推向容器的壁。
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公开(公告)号:US09386968B2
公开(公告)日:2016-07-12
申请号:US13105822
申请日:2011-05-11
申请人: Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
发明人: Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
IPC分类号: A61B17/00
CPC分类号: A61B17/0057 , A61B17/00491 , A61B2017/0065 , A61B2017/00654 , A61B2017/00778 , A61B2017/00898 , A61M39/06
摘要: An apparatus for sealing a puncture through tissue having an introducer sheath therein includes an elongate positioning member including a housing on a proximal end and an expandable member on a distal end, and a cartridge advanceable along the positioning member from a proximal position to a distal position. The cartridge includes a tubular member including a sealant and an advancer member disposed within lumen of the tubular member. A sleeve is slidably disposed over the tubular member distal end such that, when the tubular member is advanced over the positioning member, the tubular member distal end enters the introducer sheath while the sleeve is stopped and slides over the tubular member to expose the tubular member distal end within the introducer sheath. The introducer sheath and cartridge are then withdrawn, exposing the sealant within the puncture.
摘要翻译: 一种用于密封通过其中具有引导器护套的组织穿刺的装置,其中包括细长定位构件,其包括在近端上的壳体和在远端上的可扩张构件,以及可沿着定位构件从近侧位置向远侧位置可前进的盒 。 所述筒包括管状构件,所述管状构件包括密封剂和设置在所述管状构件的内腔内的推进构件。 套管可滑动地设置在管状构件远端上方,使得当管状构件推进到定位构件上时,管状构件远端在套管停止时进入导引器护套,并在管状构件上滑动以暴露管状构件 引导器鞘内的远端。 然后引导器护套和药筒被抽出,使穿刺中的密封剂暴露。
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公开(公告)号:US20120290001A1
公开(公告)日:2012-11-15
申请号:US13105822
申请日:2011-05-11
申请人: Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
发明人: Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
IPC分类号: A61B17/03
CPC分类号: A61B17/0057 , A61B17/00491 , A61B2017/0065 , A61B2017/00654 , A61B2017/00778 , A61B2017/00898 , A61M39/06
摘要: An apparatus for sealing a puncture through tissue having an introducer sheath therein includes an elongate positioning member including a housing on a proximal end and an expandable member on a distal end, and a cartridge advanceable along the positioning member from a proximal position to a distal position. The cartridge includes a tubular member including a sealant and an advancer member disposed within lumen of the tubular member. A sleeve is slidably disposed over the tubular member distal end such that, when the tubular member is advanced over the positioning member, the tubular member distal end enters the introducer sheath while the sleeve is stopped and slides over the tubular member to expose the tubular member distal end within the introducer sheath. The introducer sheath and cartridge are then withdrawn, exposing the sealant within the puncture.
摘要翻译: 一种用于密封通过其中具有引导器护套的组织穿刺的装置,其中包括细长定位构件,其包括在近端上的壳体和在远端上的可扩张构件,以及可沿着定位构件从近侧位置向远侧位置可前进的盒 。 所述筒包括管状构件,其包括密封剂和设置在所述管状构件的内腔内的推进器构件。 套管可滑动地设置在管状构件远端上方,使得当管状构件推进到定位构件上时,管状构件远端在套管停止时进入导引器护套,并在管状构件上滑动以暴露管状构件 引导器鞘内的远端。 然后引导器护套和药筒被抽出,使穿刺中的密封剂暴露。
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公开(公告)号:US20100130996A1
公开(公告)日:2010-05-27
申请号:US12578204
申请日:2009-10-13
申请人: Darren Doud , Tomislav Huljev , Ralph McNall , Brandon Fell , Priyanshu Gupta , Ryan Olivera , Thomas C. Pham
发明人: Darren Doud , Tomislav Huljev , Ralph McNall , Brandon Fell , Priyanshu Gupta , Ryan Olivera , Thomas C. Pham
IPC分类号: A61B17/22
CPC分类号: A61B17/320783 , A61B2017/003 , A61B2017/00318 , A61B2017/00331 , A61B2017/00389 , A61B2017/00469 , A61B2017/00778 , A61B2017/22038 , A61B2017/320791 , A61M25/0152 , A61M2025/0161
摘要: A catheter for performing a procedure at a treatment site in the lumen of a blood vessel. The catheter includes an elongate tubular shaft having a proximal bend, a distal bend and a hinge element. A distal portion of the shaft includes a window extending through the sidewall of the shaft between the hinge element and the distal end of the elongate tubular shaft. A working element is disposed within the lumen of the elongate tubular shaft and is configured for performing the procedure through the window at the treatment site. The bends and hinge element are configured to urge the window against a wall of the vessel at the treatment site.
摘要翻译: 一种用于在血管内腔的治疗部位进行手术的导管。 导管包括具有近端弯曲部,远端弯曲部和铰链部件的细长管状轴。 轴的远侧部分包括在铰链元件和细长管状轴的远端之间延伸穿过轴的侧壁的窗口。 工作元件设置在细长管状轴的内腔内,并被构造成用于在治疗部位通过窗口执行该过程。 弯曲和铰链元件构造成在处理部位将窗户推向容器的壁。
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