摘要:
A band-shaped annuloplasty device (e.g., C- or D-shaped ring) that is relatively rigid during handling and implantation and becomes relatively complaint after implantation. Preferably, the device includes a core material that softens after implantation.
摘要:
An implantable prosthetic heart valve with a suturing ring having an impermeable or semi-impermeable coating over at least a portion of the surface thereof to prevent tissue ingrowth in the coated area or areas. The suturing ring is formed of a biocompatible fabric tube of a mesh weave having interstices permeable to tissue ingrowth and first and second axial ends fastened into a torus shaped, suturing ring body having an interior directed minor surface adapted to be fitted against the exterior annular wall of a valve body and an outward directed major surface. An upper ring shaped surface is formed adjacent the upper edge of the valve body and a lower ring shaped surface adjacent the lower edge of the valve body. The intermediate band is intended to be sutured into contact with the heart tissue orifice. First and second impermeable layer of biocompatible material fill the interstices of the mesh weave in the upper and lower ring shaped surface area. A smooth transition is formed at the junction of the suturing ring with the valve body by filling the gaps at the suturing ring/valve body juncture with the same or similar type of blood compatible material.
摘要:
An improved artificial mechanical heart valve prosthesis having an improved leaflet hinge mechanism which improves washing of the hinge recess, reduces leaflet closing impact force and decreases noise and wear. A generally annular valve body having an annular interior surface extending between an inflow rim and an outflow rim thereof defines an annular orifice therethrough. A pair of leaflets are supported on said annular valve body for alternately blocking blood flow in an inflow direction when seated against the annular interior side wall in a closed position and then allowing the flow of blood through said annular orifice in a predetermined blood outflow direction when rotated into an open position. Each leaflet is supported for pivotal movement by a pair of hinge mechanisms comprising a pair of convexly extending leaflet ears that each fit within a hinge recess formed in parallel planar surfaces of the annular interior side wall. A relatively shallow inflow or entrance ramp is achieved in an inflow portion of the hinge recess employing an inwardly curved inflow transition surface from the planar surface at the arcuate inflow end edge into the inflow portion of the leaflet ear bearing surface. An open outflow or exit ramp is achieved employing a curved outflow transition surface of the leaflet ear bearing surface in the outflow portion of the hinge recess meeting the arcuate outflow end edge which itself joins a recessed outflow flat in the planar surface that the hinge recess is formed in. The hinge recess side walls are shaped to minimize blood cell damage. Inflow rim transition zones deflect blood flow centrally through the annular orifice. Planar inflow chamfers extending between the planar surfaces and the inflow rim deflect blood compomnents away from the hinge recesses.
摘要:
A prosthetic mechanical heart valve, and in particular, a bi-leaflet and/or a trileaflet mechanical valve formed with rigid frame and hinge elements for providing a stable reliable hinge mechanism with flexible leaflets formed of a thin elastomeric material adhering to and extending from the valve frame to form leaflet occluding sections bounded by outer peripheral edges for softening the opening and closing action of the valve leaflets. In one embodiment, the valve leaflet is formed of a rigid pyrolytic carbon frame supporting hinge elements and defining a leaflet pivot axis and a flexible leaflet body attached to the frame and defining a leaflet abutting section extending from one side of the valve frame and an occluding section extending from the other side of the valve frame to an arcuate leaflet seat. In the closing phase of operation, the abutting sections of the leaflet bodies contact one another in an abutting contact band, and the arcuate leaflet seats bear against arcuate seat regions of the valve body The seat regions of the valve body may also be coated with an elastomeric material.
摘要:
An improved artificial mechanical heart valve prosthesis having an improved leaflet hinge mechanism which improves washing of the hinge recess, reduces leaflet closing impact force and decreases noise and wear. A generally annular valve body having an annular interior surface extending between an inflow rim and an outflow rim thereof defines an annular orifice therethrough. A pair of leaflets are supported on said annular valve body for alternately blocking blood flow in an inflow direction when seated against the annular interior side wall in a closed position and then allowing the flow of blood through said annular orifice in a predetermined blood outflow direction when rotated into an open position.
摘要:
Artificial vascular and patch grafts comprising a flexible elastic fabric substrate of predetermined shape fabricated from small diameter fiber having a tensile modulus of at least about 2.times.10.sup.6 psi, and a thin, smooth, adherent, isotropic carbon coating on the substrate fiber having particular properties including a tensile fracture strain of at least about 5%.
摘要:
The present invention provides a method for modifying a pyrolytic carbon surface to improve adhesion between it and a subsequently added polymer and/or a bio-active compound. In particular, plasma depositing an oxygen-containing, silicon-containing film forming monomer on a pyrolytic carbon surface improves adhesion of a polymer thereto, wherein the modified pyrolytic carbon surface and silicone rubber has a wet adhesion peel force greater than the wet adhesion peel force between an unmodified pyrolytic carbon and silicone rubber as measured by ASTM D 903-49 after 28 days in an aqueous environment, typically, at least 10 times greater.
摘要翻译:本发明提供了一种改性热解碳表面以改善其与随后加入的聚合物和/或生物活性化合物之间的粘合性的方法。 特别地,在热解碳表面上等离子体沉积含氧的含硅膜形成单体改善了聚合物对其的粘合性,其中改性热解碳表面和硅橡胶具有大于湿粘合剥离力的湿粘合剥离力 在未经改性的热解碳和硅橡胶之间,在水性环境中28天后通过ASTM D 903-49测量,通常为至少10倍以上。
摘要:
Multistrand carbon coated sutures comprising a plurality of small diameter fibers having a tensile modulus of at least about 2.times.10.sup.6 psi, and a thin, smooth, adherent, isotropic carbon coating on the substrate fiber having particular properties including a tensile fracture strain of at least about 5%.