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公开(公告)号：US09532772B2
公开(公告)日：2017-01-03
申请号：US12843788
申请日：2010-07-26
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12109 , A61B17/12122 , A61B17/12172 , A61B2017/00004 , A61B2017/00526 , A61B2017/00575 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00623 , A61B2017/00867 , D04C1/06 , D04C3/48 , D10B2509/08
摘要： The present invention relates to an occlusion device (1) consisting of a braiding (2) of thin wires or threads (4) which is given a suitable form in a molding and heat treatment procedure. The occlusion device (1) has a proximal retention area (6) and a distal retention area (8), whereby the ends of the wires or threads (4) converge into a holder (5) in distal retention area (8). A cylindrical crosspiece (10) is furthermore disposed between the proximal and distal retention areas (6, 8). With the objective of providing an occlusion device which positions as flat as possible against the septum at the proximal side of a septal defect in the inserted state, the invention provides for the proximal retention area (6) of the braiding (2) to exhibit a completely closed proximal wall (112) disposed with a continuous surface at the proximal end of the occlusion device (1) which forms the proximal end (12) of said occlusion device (1).
摘要翻译： 本发明涉及一种闭塞装置（1），它由细线或螺纹（4）的编织物（2）组成，其在模制和热处理程序中被给予合适的形式。 闭塞装置（1）具有近端保持区域（6）和远端保持区域（8），由此电线或螺纹（4）的端部会聚到远侧保持区域（8）中的保持器（5）中。 此外，在近端和远端保持区域（6,8）之间还设置圆柱形横档（10）。 为了提供一种在插入状态下在隔膜缺损的近端处尽可能地平坦地抵靠隔膜的闭塞装置的目的，本发明提供了编织物（2）的近端保留区域（6） 完全封闭的近侧壁（112），其设置成在闭塞装置（1）的近端处具有形成所述闭塞装置（1）的近端（12）的连续表面。
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公开(公告)号：US20070225760A1
公开(公告)日：2007-09-27
申请号：US11689550
申请日：2007-03-22
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12109 , A61B17/12122 , A61B17/12172 , A61B2017/00004 , A61B2017/00526 , A61B2017/00575 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00623 , A61B2017/00867 , D04C1/06 , D04C3/48 , D10B2509/08
摘要： The present invention relates to an occlusion device (1) consisting of a braiding (2) of thin wires or threads (4) which is given a suitable form in a molding and heat treatment procedure. The occlusion device (1) has a proximal retention area (6) and a distal retention area (8), whereby the ends of the wires or threads (4) converge into a holder (5) in distal retention area (8). A cylindrical crosspiece (10) is furthermore disposed between the proximal and distal retention areas (6, 8). With the objective of providing an occlusion device which positions as flat as possible against the septum at the proximal side of a septal defect in the inserted state, the invention provides for the proximal retention area (6) of the braiding (2) to exhibit a completely closed proximal wall (112) disposed with a continuous surface at the proximal end of the occlusion device (1) which forms the proximal end (12) of said occlusion device (1).
摘要翻译： 本发明涉及一种闭塞装置（1），它由细线或螺纹（4）的编织物（2）组成，其在模制和热处理程序中被给予合适的形式。 闭塞装置（1）具有近端保持区域（6）和远端保持区域（8），由此电线或螺纹（4）的端部会聚到远侧保持区域（8）中的保持器（5）中。 此外，在近端和远端保持区域（6,8）之间还设置圆柱形横档（10）。 为了提供一种在插入状态下在隔膜缺损的近端处尽可能平坦地抵靠隔膜的闭塞装置的目的，本发明提供了编织物（2）的近端保留区域（6） 完全封闭的近侧壁（112），其设置成在闭塞装置（1）的近端处具有形成所述闭塞装置（1）的近端（12）的连续表面。
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公开(公告)号：US20110046662A1
公开(公告)日：2011-02-24
申请号：US12843788
申请日：2010-07-26
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12109 , A61B17/12122 , A61B17/12172 , A61B2017/00004 , A61B2017/00526 , A61B2017/00575 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00623 , A61B2017/00867 , D04C1/06 , D04C3/48 , D10B2509/08
摘要： The present invention relates to an occlusion device (1) consisting of a braiding (2) of thin wires or threads (4) which is given a suitable form in a molding and heat treatment procedure. The occlusion device (1) has a proximal retention area (6) and a distal retention area (8), whereby the ends of the wires or threads (4) converge into a holder (5) in distal retention area (8). A cylindrical crosspiece (10) is furthermore disposed between the proximal and distal retention areas (6, 8). With the objective of providing an occlusion device which positions as flat as possible against the septum at the proximal side of a septal defect in the inserted state, the invention provides for the proximal retention area (6) of the braiding (2) to exhibit a completely closed proximal wall (112) disposed with a continuous surface at the proximal end of the occlusion device (1) which forms the proximal end (12) of said occlusion device (1).
摘要翻译： 本发明涉及一种闭塞装置（1），它由细线或螺纹（4）的编织物（2）组成，其在模制和热处理程序中被给予合适的形式。 闭塞装置（1）具有近端保持区域（6）和远端保持区域（8），由此电线或螺纹（4）的端部会聚到远侧保持区域（8）中的保持器（5）中。 此外，在近端和远端保持区域（6,8）之间还设置圆柱形横档（10）。 为了提供一种在插入状态下在隔膜缺损的近端处尽可能地平坦地抵靠隔膜的闭塞装置的目的，本发明提供了编织物（2）的近端保留区域（6） 完全封闭的近侧壁（112），其设置成在闭塞装置（1）的近端处具有形成所述闭塞装置（1）的近端（12）的连续表面。
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4.发明申请公开(公告)号：US20120271337A1
公开(公告)日：2012-10-25
申请号：US13453950
申请日：2012-04-23
CPC分类号： A61B17/12122 , A61B17/0057 , A61B17/12022 , A61B17/12031 , A61B17/12168 , A61B17/12172 , A61B2017/00575 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00615 , A61B2017/00867 , A61B2017/12054
摘要： An occlusion device and a production process for it are described. The occlusion device consists of a mesh or braiding of at least one wire or thread wherein the occlusion device has been given a suitable design using a reshaping and/or heat-treatment process, is self-expandable, and is configured for secure anchoring in an atrial appendage of the left or right atrium of a heart. The occlusion device comprises a proximal retention region on a proximal end of the occlusion device a distal retention region and a central region between the proximal retention region and said distal retention region and wherein the occlusion device has a closed distal end without a holder, and wherein the occlusion device is at least partly of essentially spherical form, and hollow.
摘要翻译： 描述遮挡装置及其制造方法。 闭塞装置由至少一根线或线的网或编织物组成，其中闭塞装置已经通过重塑和/或热处理工艺被给予合适的设计，是可自膨胀的，并且被构造成用于牢固地固定在 心脏左心房或右心房的心房附属物。 闭塞装置包括在闭塞装置的近端上的近端保持区域，远侧保持区域和近端保持区域和所述远端保持区域之间的中心区域，并且其中闭塞装置具有没有保持器的封闭远端，并且其中 闭塞装置至少部分地是基本上是球形的，并且是中空的。
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公开(公告)号：US20090234443A1
公开(公告)日：2009-09-17
申请号：US11795590
申请日：2006-01-12
CPC分类号： A61F2/2427 , A61F2/2418 , A61F2/2436 , A61F2002/9517 , A61F2240/008
摘要： The invention relates to a catheter for the transvascular implantation of prosthetic heart valves, in particular comprising self-expanding anchorage supports (10), which allow a minimally invasive implantation of prosthetic heart valves. The aim of the invention is to reduce the risk to the patient during the implantation. To achieve this, according to the invention a prosthetic heart valve comprising anchorage supports is temporarily housed in a folded form in a cartridge-type unit (4) during the implantation. The cartridge-type unit can be fixed on the proximal end of a guide system (1), which comprises a flexible region (9) that can be guided through the aorta. Actuating elements (2, 3) run through the interior of the hollow guide system, said elements permitting sections of the cartridge-type unit to be displaced radially about their longitudinal axis and/or laterally in a proximal direction, thus allowing individual sections of the anchorage support and the associated prosthetic heart valve to be sequentially released.
摘要翻译： 本发明涉及一种用于假体心脏瓣膜的经血管植入的导管，特别地包括允许假体心脏瓣膜的微创植入的自膨胀锚固支撑件（10）。 本发明的目的是降低在植入期间患者的风险。 为了实现这一点，根据本发明，在植入期间，包括锚固支撑件的假体心脏瓣膜在植入期间以折叠形式暂时容纳在盒式单元（4）中。 药筒型单元可以固定在引导系统（1）的近端上，引导系统（1）包括可以被引导通过主动脉的柔性区域（9）。 致动元件（2,3）穿过中空导向系统的内部，所述元件允许盒式单元的部分围绕其纵向轴线径向偏移和/或在近端方向上横向移动，从而允许 锚固支撑件和相关联的假体心脏瓣膜被顺序释放。
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6.发明授权公开(公告)号：US09161758B2
公开(公告)日：2015-10-20
申请号：US13453950
申请日：2012-04-23
CPC分类号： A61B17/12122 , A61B17/0057 , A61B17/12022 , A61B17/12031 , A61B17/12168 , A61B17/12172 , A61B2017/00575 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00615 , A61B2017/00867 , A61B2017/12054
摘要： An occlusion device and a production process for it are described. The occlusion device consists of a mesh or braiding of at least one wire or thread wherein the occlusion device has been given a suitable design using a reshaping and/or heat-treatment process, is self-expandable, and is configured for secure anchoring in an atrial appendage of the left or right atrium of a heart. The occlusion device comprises a proximal retention region on a proximal end of the occlusion device a distal retention region and a central region between the proximal retention region and said distal retention region and wherein the occlusion device has a closed distal end without a holder, and wherein the occlusion device is at least partly of essentially spherical form, and hollow.
摘要翻译： 描述遮挡装置及其制造方法。 闭塞装置由至少一根线或丝线的网或编织物组成，其中闭塞装置已经通过重塑和/或热处理工艺被给予合适的设计，是可自膨胀的，并且被构造成用于牢固地固定在 心脏左心房或右心房的心房附属物。 闭塞装置包括在闭塞装置的近端上的近端保持区域，远侧保持区域和近端保持区域和所述远端保持区域之间的中心区域，并且其中闭塞装置具有没有保持器的封闭远端，并且其中 闭塞装置至少部分地是基本上是球形的，并且是中空的。
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公开(公告)号：US08679174B2
公开(公告)日：2014-03-25
申请号：US11795590
申请日：2006-01-12
IPC分类号： A61F2/24
CPC分类号： A61F2/2427 , A61F2/2418 , A61F2/2436 , A61F2002/9517 , A61F2240/008
摘要： A catheter for the transvascular implantation of prosthetic heart valves, including self-expanding anchorage supports, which allow a minimally invasive implantation of prosthetic heart valves to reduce the risk to the patient during the implantation. A prosthetic heart valve including anchorage supports is temporarily housed in a folded form in a cartridge-type unit during the implantation. The cartridge-type unit can be fixed on the proximal end of a guide system, which includes a flexible region that can be guided through the aorta. Actuating elements run through the interior of the hollow guide system, permitting sections of the cartridge-type unit to be displaced radially about their longitudinal axis and/or laterally in a proximal direction, thus allowing individual sections of the anchorage support and the associated prosthetic heart valve to be sequentially released.
摘要翻译： 用于人造心脏瓣膜的经血管植入的导管，包括自扩张锚固支架，其允许假体心脏瓣膜的微创植入以减少在植入期间对患者的风险。 包括锚固支撑件的假体心脏瓣膜在植入期间以折叠的形式暂时容纳在盒式单元中。 药筒型单元可以固定在导向系统的近端，其包括可以被引导通过主动脉的柔性区域。 驱动元件穿过中空引导系统的内部，允许盒型单元的部分围绕其纵向轴线径向移动和/或在近端方向上横向移动，从而允许锚固支撑件和相关联的假体心脏的各个部分 阀门顺序释放。
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公开(公告)号：USRE45130E1
公开(公告)日：2014-09-09
申请号：US12213991
申请日：2008-06-26
摘要： This invention relates to a device for fastening and anchoring heart valve prostheses which is essentially formed of wire-shaped interconnected elements. The aim of the invention is to be able to be implant, in a minimally invasive manner, a device of this type via the aorta by compressing the device to make it smaller, and by extending the same at the site of implantation, whereby ensuring a secure retention and a secure sealing with regard to the aorta wall. To this end, the invention provides that for fastening and supporting a cardiac valve prosthesis, three identical pairs of arched elements are interconnected, with a configuration that is offset by 120°, by means of solid body articulations. These solid body articulations carry out the function of pivot bearings.
摘要翻译： 本发明涉及一种用于紧固和锚定心脏瓣膜假体的装置，其基本上由线状互连元件形成。 本发明的目的是能够以微创的方式通过压缩该装置以使其更小并通过在植入部位延伸而将该装置以微创方式植入到主动脉中，从而确保 保持固定和对主动脉壁的安全密封。 为此，本发明提供了用于紧固和支撑心脏瓣膜假体的三个相同的拱形元件对，通过固体关节连接，其构造被偏移120°。 这些实心铰接件具有枢轴轴承的功能。
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公开(公告)号：US08685085B2
公开(公告)日：2014-04-01
申请号：US13030708
申请日：2011-02-18
申请人： Volker Guyenot , Thomas Peschel , Christoph Damm , Hans-Reiner Figulla , Markus Ferrari , Johannes Jung
发明人： Volker Guyenot , Thomas Peschel , Christoph Damm , Hans-Reiner Figulla , Markus Ferrari , Johannes Jung
IPC分类号： A61F2/24
CPC分类号： A61F2/2418 , A61F2/2442 , A61F2210/0014 , A61F2220/0008 , A61F2220/0016 , A61F2220/0075 , A61F2230/0013 , A61F2230/0054 , Y10T29/5116
摘要： A medical device for treating a heart valve insufficiency, with an endoprosthesis which can be introduced into a patient's body and expanded to secure a heart valve prosthesis in the patient's aorta. In an embodiment, the endoprosthesis has at plurality of positioning arches configured to be positioned with respect to a patient's aorta and a plurality of retaining arches to support a heart valve prosthesis. The endoprosthesis includes a first collapsed mode during the process of introducing it into the patient's body and a second expanded mode when it is implanted.
摘要翻译： 用于治疗心脏瓣膜不全的医疗装置，其具有可被引入患者体内并扩张以将患者主动脉中的心脏瓣膜假体固定的内假体。 在一个实施例中，内假体具有多个定位弓，其构造成相对于患者主动脉定位并且具有多个保持弓以支撑心脏瓣膜假体。 内置假体包括在将其插入患者体内的过程中的第一折叠模式，以及植入时的第二扩张模式。
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10.发明授权公开(公告)号：US08062355B2
公开(公告)日：2011-11-22
申请号：US11592369
申请日：2006-11-03
IPC分类号： A61F2/06
CPC分类号： A61F2/2418 , A61F2/2436 , A61F2002/9528 , A61F2230/0078 , A61F2230/008
摘要： The invention relates to a self-expandable medical instrument (100) for treating defects in a patient's heart, in particular for the transvascular implantation of a prosthetic heart valve (30), wherein the medical instrument (100) is introducible into the body of a patient in a minimally-invasive procedure using a catheter system (40) and comprises a stent (1) made of a flexible mesh (2) of thin wires or filaments (2′). In order to realize a positioning of medical instrument (100) in the patient's heart which is as precise as possible and to securely anchor same there, it is provided for the stent (1) composed of the flexible mesh (2) to exhibit in the expanded state of the medical instrument (100) a distal retention area (10) with a laterally-inverted beaded portion (12) which is engageable in at least one pocket (51) of the patient's defective heart valve (50), a proximal retention area (20), and a center area (15) positioned between the distal and the proximal retention area (10, 20).
摘要翻译： 本发明涉及一种用于治疗患者心脏中的缺陷的自扩张型医疗器械（100），特别是用于假体心脏瓣膜（30）的经血管植入，其中所述医疗器械（100）被引入到体内 患者在使用导管系统（40）的微创手术中，并且包括由细丝或细丝（2'）的柔性网（2）制成的支架（1）。 为了实现医疗器械（100）在患者心脏中尽可能精确地定位并且可靠地固定在那里，为由柔性网（2）组成的支架（1）提供在 医疗器械（100）的扩张状态具有横向倒置的串珠部分（12）的远侧保持区域（10），其可接合在患者的有缺陷心脏瓣膜（50）的至少一个口袋（51）中，近端保持 区域（20）和位于远端和近端保持区域（10,20）之间的中心区域（15）。
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