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公开(公告)号:US20050154252A1
公开(公告)日:2005-07-14
申请号:US10754182
申请日:2004-01-09
CPC分类号: A61B17/12022 , A61B17/12122 , A61B17/12136 , A61B17/12172 , A61B17/12186 , A61B2017/12095 , A61F2/2487
摘要: This invention is directed to a partitioning device for separating a patient's heart chamber into a productive portion and a non-productive portion. The device is particularly suitable for treating patients with congestive heart failure. The partitioning device has a reinforced, expandable membrane which separates the productive and non-productive portions of the heart chamber and a support or spacing member extending between the reinforced membrane and the wall of the patient's heart chamber. The support or spacing member has a non-traumatic distal end to engage the ventricular wall.
摘要翻译: 本发明涉及一种用于将患者的心室分离成生产部分和非生产性部分的分隔装置。 该装置特别适用于治疗充血性心力衰竭患者。 分隔装置具有加强的可扩张的膜,其分离心室的生产和非生产部分以及在增强膜和患者心室的壁之间延伸的支撑或间隔构件。 支撑或间隔构件具有非创伤性远端以接合心室壁。
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公开(公告)号:US20060229491A1
公开(公告)日:2006-10-12
申请号:US11199633
申请日:2005-08-09
CPC分类号: A61B17/0057 , A61B17/12022 , A61B17/12122 , A61B17/12172 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00615 , A61B2017/00632 , A61B2017/00867 , A61B2017/00898 , A61B2017/00942 , A61B2017/12095
摘要: A method and device for the treatment of a patient with heart disease and particularly a heart chamber having a myocardial rupture or characteristics of an incipient myocardial rupture. The heart chamber is partitioned so as to isolate a non-productive portion having a rupture or a region of an incipient rupture from a productive portion. The heart chamber is preferably partitioned with a reinforced membrane which has a pressure receiving surface that defines part of the productive portion of the heart chamber. The peripheral base of the reinforced membrane may have an eccentric configuration.
摘要翻译: 用于治疗患有心脏病的患者的方法和装置,特别是具有心肌破裂或初始心肌破裂特征的心室。 将心脏腔室分隔开以分离具有破裂的非生产性部分或从生产部分开始的初始区域。 心室优选用加强膜分隔,该增强膜具有限定心室的生产部分的一部分的压力接收表面。 增强膜的周边基底可以具有偏心构造。
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公开(公告)号:US20070213815A1
公开(公告)日:2007-09-13
申请号:US11801075
申请日:2007-05-07
IPC分类号: A61M1/10
CPC分类号: A61B17/0057 , A61B17/12022 , A61B17/12122 , A61B17/12172 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00615 , A61B2017/00632 , A61B2017/00867 , A61B2017/0649 , A61B2017/12095
摘要: A system for improving cardiac function is provided. A foldable and expandable frame having at least one anchoring formation is attached to an elongate manipulator and placed in a catheter tube while folded. The tube is inserted into a left ventricle of a heart where the frame is ejected from the tube and expands in the left ventricle. Movements of the elongate manipulator cause the anchor to penetrate the heart muscle and the elongate manipulator to release the frame. The installed frame minimizes the effects of an akinetic portion of the heart forming an aneurysmic bulge.
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公开(公告)号:US20060014998A1
公开(公告)日:2006-01-19
申请号:US11151156
申请日:2005-06-10
CPC分类号: A61N1/3627 , A61B17/12022 , A61B17/12122 , A61B17/12168 , A61B17/12172 , A61B2017/0084 , A61B2017/12095
摘要: This invention is directed to a system and method for partitioning a patient's heart chamber into a productive portion and a non-productive portion which are particularly suitable for treating patients with congestive heart failure. The partitioning system has a plurality of partitioning devices with reinforced, expandable membranes which separate the productive and non-productive portions of the heart chamber. When deployed within the patient's heart chamber, the second partitioning device is off-set from the deployed first partitioning device to cover a region of the wall defining the patient's heart chamber which is not covered by the first partitioning device. The multiple partitioning devices may be independent from each other or may be interconnected, e.g. a tether or strand.
摘要翻译: 本发明涉及一种用于将患者的心脏室分成生产部分和非生产性部分的系统和方法,其特别适用于治疗患有充血性心力衰竭的患者。 分隔系统具有多个具有加强的可扩张膜的分隔装置,其分离心室的生产和非生产性部分。 当部署在患者的心室内时,第二分隔装置从展开的第一分隔装置偏离,以覆盖限定不被第一分隔装置覆盖的患者心室的壁的区域。 多个分割装置可以彼此独立,或者可以相互连接。 系绳或股绳。
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公开(公告)号:US20070213578A1
公开(公告)日:2007-09-13
申请号:US11800998
申请日:2007-05-07
IPC分类号: A61F2/24
CPC分类号: A61B17/0057 , A61B17/12022 , A61B17/12122 , A61B17/12172 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00615 , A61B2017/00632 , A61B2017/00867 , A61B2017/0649 , A61B2017/12095
摘要: A system for improving cardiac function is provided. A foldable and expandable frame having at least one anchoring formation is attached to an elongate manipulator and placed in a catheter tube while folded. The tube is inserted into a left ventricle of a heart where the frame is ejected from the tube and expands in the left ventricle. Movements of the elongate manipulator cause the anchor to penetrate the heart muscle and the elongate manipulator to release the frame. The installed frame minimizes the effects of an akinetic portion of the heart forming an aneurysmic bulge.
摘要翻译: 提供了一种改善心脏功能的系统。 具有至少一个锚固结构的可折叠和可扩张的框架附接到细长的操纵器并且在折叠时放置在导管中。 将管插入心脏的左心室,其中框架从管中弹出并在左心室中扩张。 细长机械手的运动导致锚固体穿透心脏肌肉和细长操纵器以释放框架。 安装的框架最小化形成动脉瘤隆起的心脏的运动部分的影响。
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公开(公告)号:US20060281965A1
公开(公告)日:2006-12-14
申请号:US11151164
申请日:2005-06-10
IPC分类号: A61F2/00
CPC分类号: A61B17/12022 , A61B17/12122 , A61B17/12172 , A61B17/1219 , A61B2017/00243 , A61B2017/12095 , A61B2017/22061
摘要: This invention is directed to a partitioning device for separating a patient's heart chamber into a productive portion and a non-productive portion which is suitable for treating patients with heart disease, particularly congestive heart failure. The partitioning device has a reinforced membrane with outwardly biased members to help seal the periphery of the membrane against the wall of the patient's heart chamber. In one embodiment, the outwardly biased member is an expansive strand that extends between adjacent ribs of an expandable frame which reinforces the membrane. In another embodiment, the outwardly biased member is a hydrophilic body such as foam which swells upon contact with body fluid such as blood in the heart chamber. The reinforced membrane has a central hub with a distally extending support stem with a plurality of feet which extend radially from a centerline axis and preferably have ends that are aligned in a common plane. The ends of the pods which extend radially away from the centerline axis may be interconnected by flexible struts and/or webs.
摘要翻译: 本发明涉及一种用于将患者心室分离成生产部分和非生产性部分的分隔装置,其适用于治疗患有心脏病,特别是充血性心力衰竭的患者。 分隔装置具有增强的膜,其具有向外偏置的构件,以帮助将膜的周边密封抵靠患者心室的壁。 在一个实施例中,向外偏置的构件是在可扩展框架的相邻肋之间延伸的膨胀股线,其可加强膜。 在另一个实施方案中,向外偏压的构件是亲水体,例如泡沫,当与心液室中的体液如血液接触时膨胀。 加强膜具有中心毂,其具有远端延伸的支撑杆,多个脚从中心线径向延伸,并且优选地具有在公共平面中对准的端部。 从径向远离中心线轴线延伸的荚的端部可通过柔性支柱和/或腹板相互连接。
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公开(公告)号:US20060264980A1
公开(公告)日:2006-11-23
申请号:US10436959
申请日:2003-05-12
IPC分类号: A61B17/08
CPC分类号: A61B17/0057 , A61B17/12022 , A61B17/12122 , A61B17/12172 , A61B2017/00243 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00615 , A61B2017/00632 , A61B2017/00867 , A61B2017/0649 , A61B2017/12095
摘要: A system for improving cardiac function is provided. A foldable and expandable frame having at least one anchoring formation is attached to an elongate manipulator and placed in a catheter tube while folded. The tube is inserted into a left ventricle of a heart where the frame is ejected from the tube and expands in the left ventricle. Movements of the elongate manipulator cause the anchor to penetrate the heart muscle and the elongate manipulator to release the frame. The installed frame minimizes the effects of an akinetic portion of the heart forming an aneurysmic bulge.
摘要翻译: 提供了一种改善心脏功能的系统。 具有至少一个锚固结构的可折叠和可扩张的框架附接到细长的操纵器并且在折叠时放置在导管中。 将管插入心脏的左心室,其中框架从管中弹出并在左心室中扩张。 细长机械手的运动导致锚固体穿透心脏肌肉和细长操纵器以释放框架。 安装的框架最小化形成动脉瘤隆起的心脏的运动部分的影响。
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公开(公告)号:US20060030881A1
公开(公告)日:2006-02-09
申请号:US10913608
申请日:2004-08-05
IPC分类号: A61B17/08
CPC分类号: A61B17/12172 , A61B17/12122 , A61B2017/00526 , A61B2017/12095
摘要: This invention is directed to a partitioning device for separating a patient's heart chamber into a productive portion and a non-productive portion. The device is particularly suitable for treating patients with congestive heart failure. The partitioning device has a frame-reinforced, expandable membrane which separates the productive and non-productive portions of the heart chamber. The proximal ends of the ribs of the frame have tissue penetrating elements about the periphery thereof which are configured to penetrate tissue lining the heart wall at an angle approximately perpendicular to a longitudinal axis of the partitioning device. The partitioning device has a hub with a non-traumatic distal end to engage the ventricular wall.
摘要翻译: 本发明涉及一种用于将患者的心室分离成生产部分和非生产性部分的分隔装置。 该装置特别适用于治疗充血性心力衰竭患者。 分隔装置具有框架增强的可扩张膜,其分离心室的生产性和非生产性部分。 框架的肋的近端具有围绕其周边的组织穿透元件,其被构造成以大致垂直于分隔装置的纵向轴线的角度穿过围绕心脏壁的组织。 分隔装置具有带有非创伤性远端的毂以接合心室壁。
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公开(公告)号:US20050197716A1
公开(公告)日:2005-09-08
申请号:US10791916
申请日:2004-03-03
IPC分类号: A61F2/04
CPC分类号: A61F2/2487
摘要: This invention is directed to a device and method of using the device for partitioning a patient's heart chamber into a productive portion and a non-productive portion. The device is particularly suitable for treating patients with congestive heart failure. The device has an inflatable partitioning element which separates the productive and non-productive portions of the heart chamber and in some embodiments also has a supporting element, which may also be inflatable, extending between the inflatable partitioning element and the wall of the non-productive portion of the patient's heart chamber. The supporting element may have a non-traumatic distal end to engage the ventricular wall or a tissue penetrating anchoring element to secure the device to the patient's heart wall.
摘要翻译: 本发明涉及一种使用该装置将患者的心室分成生产部分和非生产性部分的装置和方法。 该装置特别适用于治疗充血性心力衰竭患者。 该装置具有可分离心室的生产性和非生产性部分的可充气的分隔元件,并且在一些实施例中还具有支撑元件,该支撑元件也可以是可充气的,该可支撑元件在可膨胀的分隔元件和非生产性的壁之间延伸 患者心室的一部分。 支撑元件可以具有非创伤性远端以接合心室壁或组织穿透锚固元件以将装置固定到患者的心脏壁。
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公开(公告)号:US20080051859A1
公开(公告)日:2008-02-28
申请号:US11929644
申请日:2007-10-30
申请人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
发明人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: A method of treating an intervertebral disc includes inserting an introducer into an intervertebral disc, inserting a catheter through the introducer and into the intervertebral disc, advancing a distal region of the catheter through a nucleus pulposus of the intervertebral disc to an annular wall of an annulus fibrosus, delivering energy to material of the intervertebral disc using an electrode disposed at the distal region of the catheter, and removing the material with the delivered energy, wherein removing material with the delivered energy reduces pressure in the intervertebral disc.
摘要翻译: 治疗椎间盘的方法包括将导引器插入椎间盘,将导管穿过导引器插入椎间盘中,将导管的远侧区域推进通过椎间盘的髓核到环形的环形壁 纤维,使用设置在导管的远端区域的电极向椎间盘的材料输送能量,并且用所输送的能量去除材料,其中用所输送的能量去除材料减少了椎间盘中的压力。
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