公开(公告)号：US07044905B2

公开(公告)日：2006-05-16

申请号：US10278847

申请日：2002-10-24

申请人： Robert Vidlund ,  Thomas Paulson ,  Todd Mortier ,  Cyril Schweich, Jr. ,  Jeffrey LaPlante ,  David Kusz ,  Richard Schroeder

发明人： Robert Vidlund ,  Thomas Paulson ,  Todd Mortier ,  Cyril Schweich, Jr. ,  Jeffrey LaPlante ,  David Kusz ,  Richard Schroeder

IPC分类号： A61M31/00 ,  A61B17/12

CPC分类号： A61F2/2487 ,  A61B17/00234 ,  A61B17/0401 ,  A61B17/064 ,  A61B17/0682 ,  A61B90/39 ,  A61B2017/00243 ,  A61B2017/0404 ,  A61B2017/0412 ,  A61B2017/0437 ,  A61B2017/0464 ,  A61B2017/048 ,  A61B2017/0496

摘要： A splint assembly for placement transverse a heart chamber to reduce the heart chamber radius and improve cardiac function has a tension member formed of a braided cable with a covering. A fixed anchor assembly is attached to one end of the tension member and a leader for penetrating a heart wall and guiding the tension member through the heart is attached to the other end. An adjustable anchor assembly can be secured onto the tension member opposite to the side on which the fixed pad assembly is attached. The adjustable anchor assembly can be positioned along the tension member so as to adjust the length of the tension member extending between the fixed and adjustable anchor assemblies. The pad assemblies engage with the outside of the heart wall to hold the tension member in place transverse the heart chamber. A probe and marker delivery device is used to identify locations on the heart wall to place the splint assembly such that it will not interfere with internal heart structures. The device delivers a marker to these locations on the heart wall for both visual and tactile identification during implantation of the splint assembly in the heart.

公开(公告)号：US09198757B2

公开(公告)日：2015-12-01

申请号：US12498956

申请日：2009-07-07

申请人： Richard Schroeder ,  Robert Vidlund ,  Jason Kalgreen ,  Cyril Schweich, Jr. ,  Todd Mortier ,  Marc Simmon ,  Peter Keith

发明人： Richard Schroeder ,  Robert Vidlund ,  Jason Kalgreen ,  Cyril Schweich, Jr. ,  Todd Mortier ,  Marc Simmon ,  Peter Keith

IPC分类号： A61B1/00 ,  A61F2/24 ,  A61B17/00 ,  A61B17/122 ,  A61B17/04

CPC分类号： A61F2/2487 ,  A61B17/00234 ,  A61B17/1227 ,  A61B2017/00243 ,  A61B2017/0404 ,  A61B2017/048 ,  A61B2017/0496 ,  A61F2/2481

摘要： The various aspects of the invention pertain to devices and related methods for treating heart conditions, including, for example, dilatation, valve incompetencies, including mitral valve leakage, and other similar heart failure conditions. The devices and related methods of the present invention operate to assist in the apposition of heart valve leaflets to improve valve function. According to one aspect of the invention, a method improves the function of a valve of a heart by placing an elongate member transverse a heart chamber so that each end of the elongate member extends through a wall of the heart, and placing first and second anchoring members external the chamber. The first and second anchoring members are attached to first and second ends of the elongate member to fix the elongate member in a position across the chamber so as to reposition papillary muscles within the chamber. Also described herein is a method for placing a splint assembly transverse a heart chamber by advancing an elongate member through vasculature structure and into the heart chamber.

摘要翻译： 本发明的各个方面涉及用于治疗心脏病症的装置和相关方法，包括例如扩张，瓣膜无能力，包括二尖瓣渗漏和其它类似的心力衰竭病症。 本发明的装置和相关方法用于协助心脏瓣膜小叶的安置以改善瓣膜功能。 根据本发明的一个方面，一种方法通过将细长构件横向放置在心室中来改善心脏瓣膜的功能，使得细长构件的每个端部延伸穿过心脏的壁，并且将第一和第二锚定 会员外部室。 第一和第二锚固构件附接到细长构件的第一和第二端部，以将细长构件固定在穿过腔室的位置，以便重新定位腔室内的乳头肌肉。 本文还描述了通过使细长构件通过脉管系统结构并进入心脏腔室来放置夹板组件横向于心室的方法。

公开(公告)号：US07766812B2

公开(公告)日：2010-08-03

申请号：US11404093

申请日：2006-04-14

申请人： Richard Schroeder ,  Robert Vidlund ,  Jason Kalgreen ,  Cyril Schweich, Jr. ,  Todd Mortier ,  Marc Simmon ,  Peter Keith

发明人： Richard Schroeder ,  Robert Vidlund ,  Jason Kalgreen ,  Cyril Schweich, Jr. ,  Todd Mortier ,  Marc Simmon ,  Peter Keith

IPC分类号： A61M1/10

CPC分类号： A61F2/2487 ,  A61B17/00234 ,  A61B17/1227 ,  A61B2017/00243 ,  A61B2017/0404 ,  A61B2017/048 ,  A61B2017/0496 ,  A61F2/2481

摘要： The various aspects of the invention pertain to devices and related methods for treating heart conditions, including, for example, dilatation, valve incompetencies, including mitral valve leakage, and other similar heart failure conditions. The devices and related methods of the present invention operate to assist in the apposition of heart valve leaflets to improve valve function. According to one aspect of the invention, a method improves the function of a valve of a heart by placing an elongate member transverse a heart chamber so that each end of the elongate member extends through a wall of the heart, and placing first and second anchoring members external the chamber. The first and second anchoring members are attached to first and second ends of the elongate member to fix the elongate member in a position across the chamber so as to reposition papillary muscles within the chamber. Also described herein is a method for placing a splint assembly transverse a heart chamber by advancing an elongate member through vasculature structure and into the heart chamber.

摘要翻译： 本发明的各个方面涉及用于治疗心脏病症的装置和相关方法，包括例如扩张，瓣膜无能力，包括二尖瓣渗漏和其它类似的心力衰竭病症。 本发明的装置和相关方法用于协助心脏瓣膜小叶的安置以改善瓣膜功能。 根据本发明的一个方面，一种方法通过将细长构件横向放置在心室中来改善心脏瓣膜的功能，使得细长构件的每个端部延伸穿过心脏的壁，并且将第一和第二锚定 会员外部室。 第一和第二锚固构件附接到细长构件的第一和第二端部，以将细长构件固定在穿过腔室的位置，以便重新定位腔室内的乳头肌肉。 本文还描述了通过使细长构件通过脉管系统结构并进入心脏腔室来放置夹板组件横向于心室的方法。

公开(公告)号：US5372144A

公开(公告)日：1994-12-13

申请号：US983648

申请日：1992-12-01

申请人： Todd Mortier ,  Charles Euteneuer ,  Cyril Schweich, Jr.

发明人： Todd Mortier ,  Charles Euteneuer ,  Cyril Schweich, Jr.

IPC分类号： A61B5/02 ,  A61M25/09

CPC分类号： A61M25/09 ,  A61M25/09041 ,  A61M2025/09091 ,  A61M2025/09175

摘要： A medical guidewire includes a distal end for entering and navigating in a lumen. The distal end comprises a core having a length for navigating the guidewire in the lumen. A formable distal tip is included at the distal end of the core, and a sleeve element substantially surrounds the core over less than a majority of the length of the core. The sleeve element is rotatable with respect to the core, and is offset proximally of the formable distal tip such that the formable distal tip is movable independently of the sleeve element. The sleeve element is positively coupled to the core such that the sleeve element and the core move substantially conjointly axially within the lumen. An improvement for improving navigability of a medical guidewire in a lumen is also provided. The improvement comprises a sleeve element separate from and disposed around the core. The sleeve element is rotatable with respect to the core. Multiple sleeve elements may be provided on a single core. Further provided is a method of navigating a medical guidewire within a lumen having an interior surface. The method generally comprises the steps of: providing a medical guidewire having a core for navigating the guidewire within the lumen and a sleeve element surrounding the core and being rotatable with respect to the core; engaging the sleeve element with the interior surface; and rotating the core with respect to the sleeve element for navigating the guidewire within the lumen. The method also provides for effective decoupling of axial and rotational movements of the guidewire.

摘要翻译： 医疗导丝包括用于进入和导管内腔的远端。 远端包括具有用于导管内腔中的导丝的长度的芯。 可成形的远侧末端包括在芯的远端处，并且套筒元件基本上围绕芯的长度的大部分围绕芯。 套筒元件相对于芯可旋转，并且可向可成形的远侧末端向近侧偏移，使得可成形的远侧末端可独立于套筒元件移动。 套筒元件被牢固地联接到芯部，使得套筒元件和芯部在腔内基本上一致地轴向移动。 还提供了用于改善管腔中的医疗导丝的导航性的改进。 该改进包括与芯部分离并设置在芯部周围的套筒元件。 套筒元件可相对于芯部旋转。 可以在单个芯上提供多个套筒元件。 还提供了在具有内表面的内腔内导航医疗导丝的方法。 该方法通常包括以下步骤：提供具有用于在内腔内引导导丝的芯的医疗导丝和围绕芯并且可相对于芯旋转的套筒元件; 将所述套筒元件与所述内表面接合; 以及相对于所述套筒元件旋转所述芯，以在所述管腔内引导所述导丝。 该方法还提供导丝的轴向和旋转运动的有效解耦。