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1.
公开(公告)号:US06769434B2
公开(公告)日:2004-08-03
申请号:US09896259
申请日:2001-06-29
申请人: John R. Liddicoat , Gregory H. Lambrecht , Todd F. Davenport , William E. Cohn , Steven B. Woolfson , Daniel C. Taylor
发明人: John R. Liddicoat , Gregory H. Lambrecht , Todd F. Davenport , William E. Cohn , Steven B. Woolfson , Daniel C. Taylor
IPC分类号: A61B1900
CPC分类号: A61F2/2427 , Y10S623/902
摘要: A method for deploying an aortic valve prosthesis includes the steps of: making a first opening leading to the left atrium; passing the valve prosthesis through the opening and into a cardiac chamber of the left side of the heart using a first manipulation instrument; making a second opening in the arterial system and advancing one end of a second manipulation instrument through the arterial opening and into the cardiac chamber; securing the second manipulation instrument to the valve prosthesis; and using the second manipulation instrument to retract at least a portion of the valve prosthesis out of the cardiac chamber.
摘要翻译: 用于部署主动脉瓣假体的方法包括以下步骤:制造通向左心房的第一开口; 使用第一操纵器具将阀门假体穿过开口并进入心脏左侧的心室; 在动脉系统中形成第二个开口,并使第二个操纵器械的一端通过动脉开口进入心室; 将第二操纵仪器固定到瓣膜假体上; 以及使用所述第二操纵器械使所述瓣膜假体的至少一部分从所述心室收回。
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公开(公告)号:US07186264B2
公开(公告)日:2007-03-06
申请号:US10112354
申请日:2002-03-29
申请人: John R. Liddicoat , Daniel C. Taylor , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport
发明人: John R. Liddicoat , Daniel C. Taylor , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport
IPC分类号: A61F2/24
CPC分类号: A61F2/2451 , A61F2/2466 , Y10S623/903 , Y10S623/904
摘要: A method and apparatus for reducing mitral regurgitation. The apparatus is inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the apparatus being adapted to straighten the natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet of the mitral valve, whereby to move the posterior annulus anteriorly and thereby improve leaflet coaptation and reduce mitral regurgitation.
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公开(公告)号:US06656221B2
公开(公告)日:2003-12-02
申请号:US10068264
申请日:2002-02-05
申请人: Daniel C. Taylor , John R. Liddicoat , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport , Thomas F. Kordis
发明人: Daniel C. Taylor , John R. Liddicoat , Richard B. Streeter , Steven B. Woolfson , William E. Cohn , Todd F. Davenport , Thomas F. Kordis
IPC分类号: A61F224
CPC分类号: A61F2/2451
摘要: A method and apparatus for reducing mitral regurgitation. The apparatus is inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the apparatus being adapted to straighten the natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet of the mitral valve, whereby to move the posterior annulus anteriorly and thereby improve leaflet coaptation and reduce mitral regurgitation.
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公开(公告)号:US07241310B2
公开(公告)日:2007-07-10
申请号:US10342034
申请日:2003-01-14
申请人: Daniel C. Taylor , William E. Cohn , John R. Liddicoat , Steven B. Woolfson , Todd F. Davenport , Richard B. Streeter , Thomas F. Kordis , Jonathan Rourke
发明人: Daniel C. Taylor , William E. Cohn , John R. Liddicoat , Steven B. Woolfson , Todd F. Davenport , Richard B. Streeter , Thomas F. Kordis , Jonathan Rourke
IPC分类号: A61F2/24
CPC分类号: A61F2/2451 , A61B17/3468 , A61B17/3478 , A61B2017/00247 , A61B2018/00392 , A61F2250/0007 , A61F2250/0063 , Y10S623/904
摘要: A method and device for reducing mitral regurgitation. An elongated body is positioned in a coronary sinus of a patient in a vicinity of a heart mitral valve posterior leaflet. The body is adapted to straighten a natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet to move a posterior annulus anteriorly, which in turn moves the posterior leaflet anteriorly, thereby to improve leaflet coaptation.
摘要翻译: 一种减少二尖瓣反流的方法和装置。 细长的身体位于心脏二尖瓣后叶附近的患者的冠状窦内。 身体适于矫正在后小叶附近的冠状窦的至少一部分的自然曲率,以向前移动后环,这又使前叶向前移动,从而改善小叶接合。
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公开(公告)号:US07052487B2
公开(公告)日:2006-05-30
申请号:US10280401
申请日:2002-10-25
申请人: William E. Cohn , John R. Liddicoat , Steven B. Woolfson , Todd F. Davenport , Richard B. Streeter
发明人: William E. Cohn , John R. Liddicoat , Steven B. Woolfson , Todd F. Davenport , Richard B. Streeter
IPC分类号: A61M29/02
CPC分类号: A61F2/2451 , A61B17/3468 , A61B17/3478 , A61B2017/00247 , A61B2018/00392 , A61F2250/0007 , A61F2250/0063 , Y10S623/904
摘要: A method for reducing mitral regurgitation includes deploying deforming matter into a selected one of (i) a mitral valve annulus adjacent a posterior leaflet, and (ii) tissue adjacent the mitral valve annulus and proximate the posterior leaflet, to cause conformational change in the mitral valve annulus to increase mitral valve leaflet coaptation.
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公开(公告)号:US07749245B2
公开(公告)日:2010-07-06
申请号:US10713386
申请日:2003-11-13
申请人: William E. Cohn , Gregory H. Lambrecht , John R. Liddicoat , Robert Kevin Moore , Richard B. Streeter , Todd F. Davenport
发明人: William E. Cohn , Gregory H. Lambrecht , John R. Liddicoat , Robert Kevin Moore , Richard B. Streeter , Todd F. Davenport
IPC分类号: A61M29/00
CPC分类号: A61F2/2412 , A61F2/2427 , A61F2220/0016 , A61F2250/0059
摘要: Devices and methods for performing intravascular procedures without cardiac bypass include embodiments of temporary filter devices, temporary valves, and prosthetic valves. The temporary filter devices have a cannula which provides access for surgical tools for effecting repair of cardiac valves. The cannula may have filters which prevent embolitic material from entering the coronary arteries and aorta. The valve devices may also have a cannula for insertion of the valve into the aorta. The valve devices expand in the aorta to occupy the entire flow path of the vessel and operate to prevent blood flow and to permit flow through the valve. The prosthetic valves include valve fixation devices which secure the prosthetic valve to the wall of the vessel. The prosthetic valves are introduced into the vascular system in a compressed state, advanced to the site of implantation, and expanded and secured to the vessel wall.
摘要翻译: 不用心脏旁路进行血管内手术的装置和方法包括临时过滤装置,临时阀和人工瓣膜的实施例。 临时过滤装置具有套管,该套管为进行心脏瓣膜修复的外科手术工具提供通路。 套管可以具有防止栓塞材料进入冠状动脉和主动脉的过滤器。 瓣膜装置还可以具有用于将瓣膜插入主动脉的插管。 瓣膜装置在主动脉中膨胀以占据血管的整个流动路径,并且操作以防止血液流动并允许流过瓣膜。 假体瓣膜包括固定假体瓣膜至血管壁的瓣膜固定装置。 假体瓣膜以压缩状态引入血管系统中,前进到植入部位,并且扩张并固定到血管壁。
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公开(公告)号:US08951280B2
公开(公告)日:2015-02-10
申请号:US12797283
申请日:2010-06-09
申请人: William E. Cohn , Gregory H. Lambrecht , John R. Liddicoat , Robert Kevin Moore , Richard B. Streeter , Todd F. Davenport
发明人: William E. Cohn , Gregory H. Lambrecht , John R. Liddicoat , Robert Kevin Moore , Richard B. Streeter , Todd F. Davenport
CPC分类号: A61F2/2412 , A61F2/2427 , A61F2220/0016 , A61F2250/0059
摘要: Devices and methods for performing intravascular procedures without cardiac bypass include embodiments of temporary filter devices, temporary valves, and prosthetic valves. The temporary filter devices have a cannula which provides access for surgical tools for effecting repair of cardiac valves. The cannula may have filters which prevent embolitic material from entering the coronary arteries and aorta. The valve devices may also have a cannula for insertion of the valve into the aorta. The valve devices expand in the aorta to occupy the entire flow path of the vessel and operate to prevent blood flow and to permit flow through the valve. The prosthetic valves include valve fixation devices which secure the prosthetic valve to the wall of the vessel. The prosthetic valves are introduced into the vascular system in a compressed state, advanced to the site of implantation, and expanded and secured to the vessel wall.
摘要翻译: 不用心脏旁路进行血管内手术的装置和方法包括临时过滤装置,临时阀和人工瓣膜的实施例。 临时过滤装置具有套管,该套管为进行心脏瓣膜修复的外科手术工具提供通路。 套管可以具有防止栓塞材料进入冠状动脉和主动脉的过滤器。 瓣膜装置还可以具有用于将瓣膜插入主动脉的插管。 瓣膜装置在主动脉中膨胀以占据血管的整个流动路径,并且操作以防止血液流动并允许流过瓣膜。 假体瓣膜包括固定假体瓣膜至血管壁的瓣膜固定装置。 假体瓣膜以压缩状态引入血管系统中,前进到植入部位,并且扩张并固定到血管壁。
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公开(公告)号:US20100249921A1
公开(公告)日:2010-09-30
申请号:US12797283
申请日:2010-06-09
申请人: William E. Cohn , Gregory H. Lambrecht , John R. Liddicoat , Robert Kevin Moore , Richard B. Streeter , Todd F. Davenport
发明人: William E. Cohn , Gregory H. Lambrecht , John R. Liddicoat , Robert Kevin Moore , Richard B. Streeter , Todd F. Davenport
CPC分类号: A61F2/2412 , A61F2/2427 , A61F2220/0016 , A61F2250/0059
摘要: Devices and methods for performing intravascular procedures without cardiac bypass include embodiments of temporary filter devices, temporary valves, and prosthetic valves. The temporary filter devices have a cannula which provides access for surgical tools for effecting repair of cardiac valves. The cannula may have filters which prevent embolitic material from entering the coronary arteries and aorta. The valve devices may also have a cannula for insertion of the valve into the aorta. The valve devices expand in the aorta to occupy the entire flow path of the vessel and operate to prevent blood flow and to permit flow through the valve. The prosthetic valves include valve fixation devices which secure the prosthetic valve to the wall of the vessel. The prosthetic valves are introduced into the vascular system in a compressed state, advanced to the site of implantation, and expanded and secured to the vessel wall.
摘要翻译: 不用心脏旁路进行血管内手术的装置和方法包括临时过滤装置,临时阀和人工瓣膜的实施例。 临时过滤装置具有套管,该套管为进行心脏瓣膜修复的外科手术工具提供通路。 套管可以具有防止栓塞材料进入冠状动脉和主动脉的过滤器。 瓣膜装置还可以具有用于将瓣膜插入主动脉的插管。 瓣膜装置在主动脉中膨胀以占据血管的整个流动路径,并且操作以防止血液流动并允许流过瓣膜。 假体瓣膜包括固定假体瓣膜至血管壁的瓣膜固定装置。 假体瓣膜以压缩状态引入血管系统中,前进到植入部位,并且扩张并固定到血管壁。
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公开(公告)号:US06890353B2
公开(公告)日:2005-05-10
申请号:US10104720
申请日:2002-03-22
申请人: William E. Cohn , John R. Liddicoat , Richard B. Streeter , Daniel C. Taylor , Steven B. Woolfson
发明人: William E. Cohn , John R. Liddicoat , Richard B. Streeter , Daniel C. Taylor , Steven B. Woolfson
IPC分类号: A61F2/24
CPC分类号: A61F2/2451 , Y10S623/903
摘要: Apparatus for reducing mitral regurgitation, by applying a force to the wall of the coronary sinus so as to force the posterior leaflet anteriorly and thereby reduce mitral regurgitation.
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公开(公告)号:US06913608B2
公开(公告)日:2005-07-05
申请号:US10004474
申请日:2001-10-23
IPC分类号: A61B17/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61F2/24 , A61B17/08
CPC分类号: A61F2/2445 , A61B17/00234 , A61B17/0401 , A61B17/0466 , A61B17/064 , A61B17/0644 , A61B17/0684 , A61B2017/00004 , A61B2017/00243 , A61B2017/00783 , A61B2017/0414 , A61B2017/0496 , A61B2017/0641 , A61F2/2454
摘要: A novel system for performing a heart valve annuloplasty. The system involves the use of a plication band. In one embodiment, the annulus of the valve is reduced by constriction of the plication band itself. More particularly, each plication band enters the tissue at two or more points which are spaced from one other by a distance which is dictated by the geometry of the plication band. Subsequent constriction of the plication band causes these points to move toward each other, thereby constricting the tissue trapped between these points and thus reducing the overall circumference of the valve annulus. In a second embodiment, the annulus of the valve is reduced by linking multiple plication bands to one other, using a linkage construct, and then using a shortening of the length of the linkage construct between each plication band so as to gather the tissue between each plication band, whereby to reduce the overall circumference of the valve annulus.
摘要翻译: 一种执行心脏瓣膜瓣膜成形术的新型系统。 该系统涉及到使用柔性带。 在一个实施例中,阀的环通过压扁带本身的收缩而减小。 更具体地,每个折叠带在彼此间隔开一定距离的两个或多个点处进入组织,该距离由施放带的几何形状决定。 随后的屈曲带的收缩使得这些点彼此移动,从而收缩这些点之间的组织,从而减小瓣膜环的整体周长。 在第二实施例中,通过使用连杆结构将多个折叠带彼此连接,然后使用缩短每个折叠带之间的连杆结构的长度,以便在每个折叠带之间收集组织来减小瓣膜的环 从而减小阀环的整体周长。
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