-
公开(公告)号:US08702703B2
公开(公告)日:2014-04-22
申请号:US12769345
申请日:2010-04-28
申请人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
发明人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B1/00087 , A61B1/05 , A61B1/06 , A61B34/20 , A61B2017/00057 , A61B2017/2945 , A61B2018/00107 , A61B2018/00142 , A61B2018/0022 , A61B2018/00375 , A61B2018/00982 , A61B2018/1432 , A61N1/362
摘要: Device and method for sub-xiphoid ablation of patient tissue. A sub-xiphoid access clamp has a handle, an elongate neck coupled to the handle and first and second opposing jaws. The first and second opposing jaws have first and second opposing relief segments being generally co-planar and concave with respect to one another to form a void therebetween, and first and second opposing elongate ablation elements positioned along the first and second opposing jaws and distal of the first and second opposing relief segments relative to the handle. The first and second opposing jaws are articulate between a closed position and an open position to admit, at least in part, a second portion of tissue of the patient within the void created by the first and second opposing relief segments while the first portion of tissue is positioned between the first and second ablation elements in the closed position.
摘要翻译: 患者组织亚硬膜切除术的装置及方法。 副剑杆通道夹具具有手柄,连接到手柄的细长颈部以及第一和第二相对的夹爪。 第一和第二相对的钳口具有第一和第二相对的浮雕段,它们大致共面并相对于彼此凹入以在它们之间形成空隙,并且第一和第二相对的细长消融元件沿着第一和第二相对的夹爪定位, 第一和第二相对的释放段相对于把手。 第一和第二相对的夹爪在关闭位置和打开位置之间铰接,以至少部分地允许患者在由第一和第二相对的浮雕段产生的空隙内的组织的第二部分,同时组织的第一部分 位于第一和第二消融元件之间处于关闭位置。
-
公开(公告)号:US20100292749A1
公开(公告)日:2010-11-18
申请号:US12769345
申请日:2010-04-28
申请人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
发明人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
CPC分类号: A61B18/1445 , A61B1/00087 , A61B1/05 , A61B1/06 , A61B34/20 , A61B2017/00057 , A61B2017/2945 , A61B2018/00107 , A61B2018/00142 , A61B2018/0022 , A61B2018/00375 , A61B2018/00982 , A61B2018/1432 , A61N1/362
摘要: Device and method for sub-xiphoid ablation of patient tissue. A sub-xiphoid access clamp has a handle, an elongate neck coupled to the handle and first and second opposing jaws. The first and second opposing jaws have first and second opposing relief segments being generally co-planar and concave with respect to one another to form a void therebetween, and first and second opposing elongate ablation elements positioned along the first and second opposing jaws and distal of the first and second opposing relief segments relative to the handle. The first and second opposing jaws are articulate between a closed position and an open position to admit, at least in part, a second portion of tissue of the patient within the void created by the first and second opposing relief segments while the first portion of tissue is positioned between the first and second ablation elements in the closed position.
摘要翻译: 患者组织亚硬膜切除术的装置及方法。 副剑杆通道夹具具有手柄,连接到手柄的细长颈部以及第一和第二相对的夹爪。 第一和第二相对的钳口具有第一和第二相对的浮雕段,它们大致共面并相对于彼此凹入以在它们之间形成空隙,并且第一和第二相对的细长消融元件沿着第一和第二相对的夹爪定位, 第一和第二相对的释放段相对于把手。 第一和第二相对的夹爪在关闭位置和打开位置之间铰接,以至少部分地允许患者在由第一和第二相对的浮雕段产生的空隙内的组织的第二部分,同时组织的第一部分 位于第一和第二消融元件之间处于关闭位置。
-
公开(公告)号:US08236050B2
公开(公告)日:2012-08-07
申请号:US11959206
申请日:2007-12-18
申请人: Steven F. Bolling , Richard S. Rhee
发明人: Steven F. Bolling , Richard S. Rhee
IPC分类号: A61F2/44
CPC分类号: A61F2/2448 , A61F2/2445
摘要: Methods of implanting an annuloplasty ring to correct maladies of the mitral annulus that not only reshapes the annulus but also reconfigures the adjacent left ventricular muscle wall. The ring may be continuous and is made of a relatively rigid material, such as Stellite. The ring has a generally oval shape that is three-dimensional at least on the posterior side. A posterior portion of the ring rises or bows upward from adjacent sides to pull the posterior aspect of the native annulus farther up than its original, healthy shape. In doing so, the ring also pulls the ventricular wall upward which helps mitigate some of the effects of congestive heart failure. Further, one or both of the posterior and anterior portions of the ring may also bow inward.
摘要翻译: 植入环形成形术环以纠正二尖瓣环的疾病的方法,其不仅重塑环形,而且重新配置邻近的左心室肌壁。 环可以是连续的,并且由相对刚性的材料制成,例如Stellite。 该环具有至少在后侧三维的大致椭圆形状。 环的后部从相邻的侧面向上升起或向上弯曲,从而使天然环的后方比原来的健康形状更远。 在这样做的同时,环也向上拉动心室壁,这有助于减轻充血性心力衰竭的一些影响。 此外,环的后部和前部中的一个或两个也可以向内弯曲。
-
公开(公告)号:US20120109288A1
公开(公告)日:2012-05-03
申请号:US13347051
申请日:2012-01-10
申请人: Steven F. Bolling
发明人: Steven F. Bolling
IPC分类号: A61F2/24
CPC分类号: A61F2/2445 , A61B17/00234 , A61B17/0401 , A61B17/0644 , A61B17/068 , A61B2017/00243 , A61B2017/00783 , A61B2017/00862 , A61B2017/00867 , A61B2017/0409 , A61B2017/0414 , A61B2017/0647 , A61B2017/12018 , A61F2/243 , A61F2/2466
摘要: Among other things, a heart tissue support has gripping elements, each element having a free end that is sharp enough to penetrate heart tissue when pushed against the tissue, and a feature to resist withdrawal from the tissue after the sharp free end has penetrated the tissue. Among other things, the shape of a heart valve annulus is corrected in a catheter laboratory by orienting a tip of a catheter holding a heart tissue support that has gripping elements at the valve annulus, applying a radial force from the catheter against the annulus by opening a structure at the tip of the catheter, and while the structure is opened, forcing the support onto the annulus. Among other things, the shape of a heart valve annulus is corrected during a surgical procedure by pushing a heart tissue support that has gripping elements onto the annulus.
摘要翻译: 除其他之外,心脏组织支撑具有夹持元件,每个元件具有足够尖锐的自由端,以便在被推向组织时穿透心脏组织,以及在尖锐的自由端已经穿透组织之后抵抗从组织退出的特征 。 除其他之外,心导管环形体的形状在导管实验室中通过将保持具有夹紧元件的心脏组织支撑物的导管的尖端定位在瓣膜环上来对导管实验室进行校正,通过打开通过导管将来自导管的径向力施加在环上 在导管的尖端处的结构,并且当结构打开时,将支撑件迫使到环形空间。 除此之外,通过将具有夹紧元件的心脏组织支撑件推动到环带上,在手术过程中校正心脏瓣膜环的形状。
-
公开(公告)号:US20110206378A1
公开(公告)日:2011-08-25
申请号:US12877596
申请日:2010-09-08
IPC分类号: H04B10/02
CPC分类号: G08B21/245 , G06F19/00 , G16H40/20
摘要: Among other things, systems to encourage compliance with hand washing procedures can include: an infrared emitter that projects a first infrared beam with a transverse cross-section having a first axis and a second axis that is shorter than the first axis, the transverse cross-section having a maximum length along the first axis, the infrared emitter modulating the first infrared beam to transmit a first identification signal; wherein the infrared emitter projecting the first infrared beam is placed such that the first axis of the transverse cross-section of the first infrared beam is substantially parallel to a boundary.
摘要翻译: 除其他之外,鼓励符合洗手过程的系统可以包括:红外发射器,其投射具有第一轴线和第二轴线的横截面的第一红外光束,该第一轴线和第二轴线比第一轴线短, 所述红外线发射器调制所述第一红外光束以发射第一识别信号; 其中投射第一红外光束的红外发射器被放置成使得第一红外光束的横截面的第一轴线基本上平行于边界。
-
公开(公告)号:US07513863B2
公开(公告)日:2009-04-07
申请号:US10878591
申请日:2004-06-28
IPC分类号: A61N1/362
CPC分类号: A61M1/101 , A61M1/10 , A61M1/1005 , A61M1/1008 , A61M1/1034 , A61M1/107 , A61M1/1086 , A61M1/12 , A61M1/122 , A61M1/125 , A61M1/3621 , A61M1/3653 , A61M1/3655 , A61M1/3659 , A61M25/0026 , A61M25/003 , A61M25/007 , A61M2230/04
摘要: An extracardiac pumping system and method for using it supplement the circulation of blood, including the cardiac output, in a patient without any component thereof being connected to the patient's heart. A battery powered pump may be implanted subcutaneously and attached to an inflow conduit fluidly coupled to a patient's femoral artery via a subcutaneous anastomosis connection. The pump draws blood from the inflow conduit and discharges it through an outflow conduit fluidly coupled to a second peripheral artery via another subcutaneous anastomosis connection. The battery may be charged extracorporeally and the pump may be operated in either a continuous or pulsatile fashion in synchronization with the patient's heart. The conduits can be housed in a multi-lumen catheter and a reservoir may be provided which fluidly communicates with the inflow conduits. An additional feature may keep blood traveling extracorporeally within the system at or near body temperature. The system is capable of adjusting outflow from the pump to optimize the mixing of red blood cells in the aorta and thereby enhance oxygen delivery to tissues by minimizing blood cell concentration in the center of the aorta.
-
公开(公告)号:US06685621B2
公开(公告)日:2004-02-03
申请号:US10171023
申请日:2002-06-11
申请人: Steven F. Bolling , Ken Charhut
发明人: Steven F. Bolling , Ken Charhut
IPC分类号: A61M110
CPC分类号: A61M1/3621 , A61M1/10 , A61M1/1005 , A61M1/1008 , A61M1/101 , A61M1/1034 , A61M1/107 , A61M1/1086 , A61M1/122 , A61M1/125 , A61M1/3655 , A61M25/0026 , A61M25/007
摘要: A method for further reducing the load on a heart suffering (ventricular size maintenance) from congestive heart failure comprising the application of a subcardiac pump having inflow and outflow conduits configured to fluidly connect to non-primary vessels in such a manner as to reduce the load on and/or the size of the heart prior to applying a device intended to reduce the stress on a wall of the ailing heart.
摘要翻译: 一种用于进一步减轻患有充血性心力衰竭(心室尺寸维持)的心脏负荷的方法,其包括施加具有流入和流出导管的亚心脏泵,其构造成以减少负载的方式流体连接至非主血管 在使用旨在减轻疲劳心脏的壁上的压力的装置之前和/或心脏的大小。
-
公开(公告)号:US09192471B2
公开(公告)日:2015-11-24
申请号:US11620955
申请日:2007-01-08
申请人: Steven F. Bolling
发明人: Steven F. Bolling
IPC分类号: A61F2/06 , A61F2/24 , A61B17/00 , A61B17/064 , A61B17/068 , A61B17/04 , A61B17/12
CPC分类号: A61F2/2445 , A61B17/00234 , A61B17/0401 , A61B17/0644 , A61B17/068 , A61B2017/00243 , A61B2017/00783 , A61B2017/00862 , A61B2017/00867 , A61B2017/0409 , A61B2017/0414 , A61B2017/0647 , A61B2017/12018 , A61F2/243 , A61F2/2466
摘要: In general, in an aspect, an annulus of a heart valve is caused to dilate to a predetermined configuration by pushing a delivery tool distally through the annulus from one heart chamber to another heart chamber. A valve support is attached to the delivery tool. The valve support has a plurality of barbs or hooks attached thereon. While the annulus is dilated, the valve support is attached to tissue at locations along the annulus by attaching the barbs or hooks to the tissue. After attachment, the support is caused to contract.
摘要翻译: 通常,在一个方面,通过将输送工具向远侧推动通过环从一个心脏腔室到另一个心脏腔室,将心脏瓣膜的环扩张至预定的构型。 一个阀门支架连接到输送工具上。 阀支撑件具有附接在其上的多个倒钩或钩。 当环带膨胀时,通过将倒钩或钩子附接到组织上,阀支撑件沿着环带的位置附接到组织。 附件后,支持合同。
-
公开(公告)号:US20120068843A1
公开(公告)日:2012-03-22
申请号:US13184988
申请日:2011-07-18
申请人: Steven F. Bolling
发明人: Steven F. Bolling
IPC分类号: G08B1/08
CPC分类号: G08B21/245 , G07C9/00031 , G07C2009/00095 , G08B23/00 , G16H40/20
摘要: Among other things, an entry monitor has circuitry to detect when a person enters a monitored space and an indicator perceptible to other people in the space to indicate a cleanliness state of the hands of the person who has entered the space.
摘要翻译: 除其他之外,入场监视器具有检测人何时进入监视空间的电路,以及空间中其他人感知到的指示进入空间的人的手的清洁状态的电路。
-
公开(公告)号:US07591778B2
公开(公告)日:2009-09-22
申请号:US11417889
申请日:2006-05-03
申请人: Steven F. Bolling , Anthony Viole , Shawn O'Leary
发明人: Steven F. Bolling , Anthony Viole , Shawn O'Leary
IPC分类号: A61M1/10
CPC分类号: A61M1/101 , A61M1/10 , A61M1/1005 , A61M1/1008 , A61M1/1034 , A61M1/107 , A61M1/1086 , A61M1/12 , A61M1/122 , A61M1/125 , A61M1/3621 , A61M1/3653 , A61M1/3655 , A61M1/3659 , A61M25/0026 , A61M25/003 , A61M25/007 , A61M2230/04
摘要: An extracardiac pumping for supplementing the circulation of blood, including the cardiac output, in a patient without any component thereof being connected to the patient's heart, and methods of using same. One embodiment provides a vascular graft that has a first end that is sized and configured to couple to a non-primary blood vessel and a second end that is fluidly coupled to a pump to conduct blood between the pump and the non-primary blood vessel. An outflow conduit is also provided that has a first end sized and configured to be positioned within the same or different blood vessel, whether primary or non-primary, through the vascular graft. The outflow conduit is fluidly coupled to the pump to conduct blood between the pump and the patient. The vascular graft may be connected to the blood vessel subcutaneously to permit application of the extracardiac pumping system in a minimally-invasive procedure.
-
-
-
-
-
-
-
-
-