公开(公告)号：US07806928B2

公开(公告)日：2010-10-05

申请号：US11689310

申请日：2007-03-21

申请人： Stanton J. Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Otto Solem

发明人： Stanton J. Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Otto Solem

IPC分类号： A61F2/24

CPC分类号： A61F2/2451 ,  A61B1/00082 ,  A61B5/064 ,  A61B8/06 ,  A61B8/12

摘要： A diagnostic device for determining the amount of change required in a coronary sinus to reduce valve regurgitation. The device includes a distal tube having a distal anchor at a distal end portion of the distal tube, a proximal tube having a proximal anchor at a distal end portion of the proximal tube, and an adjustor to move the distal tube relative to the proximal tube. The proximal tube and the distal tube together form a telescoping elongate body adapted to fit within the coronary sinus, and the device includes a scale to measure the movement of the distal anchor relative to the proximal anchor.

摘要翻译： 用于确定冠状窦所需的变化量以减少瓣膜反流的诊断装置。 该装置包括远端管，远侧管位于远端管的远端部分处，近端管具有位于近端管的远端部分处的近端锚固件，以及用于相对于近端管移动远侧管的调节器 。 近端管和远端管一起形成适于装配在冠状窦内的伸缩式细长体，并且该装置包括用于测量远端锚固体相对于近端锚的运动的标尺。

公开(公告)号：US07211110B2

公开(公告)日：2007-05-01

申请号：US11008055

申请日：2004-12-09

申请人： Stanton J. Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Otto Solem

发明人： Stanton J. Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Otto Solem

IPC分类号： A61F2/24

CPC分类号： A61F2/2451 ,  A61B1/00082 ,  A61B5/064 ,  A61B8/06 ,  A61B8/12

摘要： A diagnostic device for determining the amount of change required in a coronary sinus to reduce valve regurgitation. The device includes a distal tube having a distal anchor at a distal end portion of the distal tube, a proximal tube having a proximal anchor at a distal end portion of the proximal tube, and an adjustor to move the distal tube relative to the proximal tube. The proximal tube and the distal tube together form a telescoping elongate body adapted to fit within the coronary sinus, and the device includes a scale to measure the movement of the distal anchor relative to the proximal anchor.

摘要翻译： 用于确定冠状窦所需的变化量以减少瓣膜反流的诊断装置。 该装置包括远端管，远侧管位于远端管的远端部分处，近端管具有位于近端管的远端部分处的近端锚固件，以及用于相对于近端管移动远侧管的调节器 。 近端管和远端管一起形成适于装配在冠状窦内的伸缩式细长体，并且该装置包括用于测量远端锚固体相对于近端锚的运动的标尺。

公开(公告)号：US20080255581A1

公开(公告)日：2008-10-16

申请号：US12140900

申请日：2008-06-17

申请人： Henry Bourang ,  Gil M. Vardi ,  Eric Williams ,  Sepehr Fariabi ,  Udayan Patel ,  Javier Sagastegui

发明人： Henry Bourang ,  Gil M. Vardi ,  Eric Williams ,  Sepehr Fariabi ,  Udayan Patel ,  Javier Sagastegui

IPC分类号： A61F2/84

CPC分类号： A61F2/958 ,  A61F2/856 ,  A61F2/954

摘要： A stent delivery catheter comprises a catheter body having a proximal end, a distal end, and a guidewire lumen extending from the distal end to at least part way between the proximal end and the distal end. A balloon is disposed over the catheter body near the distal end, and a stent is positioned over the balloon. The stent has a proximal end, a distal end, and a side opening between the proximal end and the distal end. A side sheath is coupled to the catheter body and has a proximal end, a distal end, and a guidewire lumen extending between the proximal end and the distal end. The proximal end of the side sheath is located between the proximal end of the catheter body and the balloon, and the side sheath exits out of the side opening of the stent.

摘要翻译： 支架输送导管包括具有近端，远端和从远端延伸到近端和远端之间至少部分方向的导丝管的导管主体。 气囊在远端附近设置在导管主体上方，支架位于气囊上方。 支架具有近端，远端和在近端和远端之间的侧开口。 侧护套耦合到导管主体并且具有近端，远端和在近端和远端之间延伸的导丝管腔。 侧护套的近端位于导管主体的近端和气囊之间，侧鞘从支架的侧开口离开。

公开(公告)号：US20060129051A1

公开(公告)日：2006-06-15

申请号：US11008055

申请日：2004-12-09

申请人： Stanton Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Solem

发明人： Stanton Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Solem

IPC分类号： A61B5/02

CPC分类号： A61F2/2451 ,  A61B1/00082 ,  A61B5/064 ,  A61B8/06 ,  A61B8/12

摘要： A diagnostic device for determining the amount of change required in a coronary sinus to reduce valve regurgitation. The device includes a distal tube having a distal anchor at a distal end portion of the distal tube, a proximal tube having a proximal anchor at a distal end portion of the proximal tube, and an adjustor to move the distal tube relative to the proximal tube. The proximal tube and the distal tube together form a telescoping elongate body adapted to fit within the coronary sinus, and the device includes a scale to measure the movement of the distal anchor relative to the proximal anchor.

摘要翻译： 用于确定冠状窦所需的变化量以减少瓣膜反流的诊断装置。 该装置包括远端管，远侧管位于远端管的远端部分处，近端管具有位于近端管的远端部分处的近端锚固件，以及用于相对于近端管移动远侧管的调节器 。 近端管和远端管一起形成适于装配在冠状窦内的伸缩式细长体，并且该装置包括用于测量远端锚固体相对于近端锚的运动的标尺。

公开(公告)号：US07387639B2

公开(公告)日：2008-06-17

申请号：US09860744

申请日：2001-05-18

申请人： Henry Bourang ,  Udayan G. Patel ,  Gil M. Vardi ,  Sepehr Fariabi ,  Eric Williams ,  Javier Sagastegui ,  Charles Davidson

发明人： Henry Bourang ,  Udayan G. Patel ,  Gil M. Vardi ,  Sepehr Fariabi ,  Eric Williams ,  Javier Sagastegui ,  Charles Davidson

IPC分类号： A61F2/82

CPC分类号： A61F2/958 ,  A61F2/856 ,  A61F2/954

摘要： A stent delivery catheter comprises a catheter body having a proximal end, a distal end, and a guidewire lumen extending from the distal end to at least part way between the proximal end and the distal end. A balloon is disposed over the catheter body near the distal end, and a stent is positioned over the balloon. The stent has a proximal end, a distal end, and a side opening between the proximal end and the distal end. A side sheath is coupled to the catheter body and has a proximal end, a distal end, and a guidewire lumen extending between the proximal end and the distal end. The proximal end of the side sheath is located between the proximal end of the catheter body and the balloon, and the side sheath exits out of the side opening of the stent.

摘要翻译： 支架输送导管包括具有近端，远端和从远端延伸到近端和远端之间至少部分方向的导丝管的导管主体。 气囊在远端附近设置在导管主体上方，支架位于气囊上方。 支架具有近端，远端和在近端和远端之间的侧开口。 侧护套耦合到导管主体并且具有近端，远端和在近端和远端之间延伸的导丝管腔。 侧护套的近端位于导管主体的近端和气囊之间，侧鞘从支架的侧开口离开。

公开(公告)号：US20070168023A1

公开(公告)日：2007-07-19

申请号：US11689310

申请日：2007-03-21

申请人： Stanton Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Solem

发明人： Stanton Rowe ,  Henry Bourang ,  Sepehr Fariabi ,  Jan Solem

IPC分类号： A61F2/24

CPC分类号： A61F2/2451 ,  A61B1/00082 ,  A61B5/064 ,  A61B8/06 ,  A61B8/12

摘要： A diagnostic device for determining the amount of change required in a coronary sinus to reduce valve regurgitation. The device includes a distal tube having a distal anchor at a distal end portion of the distal tube, a proximal tube having a proximal anchor at a distal end portion of the proximal tube, and an adjustor to move the distal tube relative to the proximal tube. The proximal tube and the distal tube together form a telescoping elongate body adapted to fit within the coronary sinus, and the device includes a scale to measure the movement of the distal anchor relative to the proximal anchor.

摘要翻译： 用于确定冠状窦所需的变化量以减少瓣膜反流的诊断装置。 该装置包括远端管，远侧管位于远端管的远端部分处，近端管具有位于近端管的远端部分处的近端锚固件，以及用于相对于近端管移动远侧管的调节器 。 近端管和远端管一起形成适于装配在冠状窦内的伸缩式细长体，并且该装置包括用于测量远端锚固体相对于近端锚的运动的标尺。

公开(公告)号：US20070073391A1

公开(公告)日：2007-03-29

申请号：US11238853

申请日：2005-09-28

申请人： Henry Bourang ,  Rafael Pintor ,  Jan Solem ,  Per Kimblad ,  Jan Harnek ,  Sepehr Fariabi

发明人： Henry Bourang ,  Rafael Pintor ,  Jan Solem ,  Per Kimblad ,  Jan Harnek ,  Sepehr Fariabi

IPC分类号： A61F2/24 ,  A61F2/84

CPC分类号： A61F2/2451 ,  A61F2/2466 ,  A61F2210/0004

摘要： A system and method is provided for treating a mitral valve. The method preferably includes advancing a guide catheter to an ostium of the coronary sinus and advancing a delivery catheter containing a medical implant through the guide catheter and into the coronary sinus. The delivery catheter has an inner member on which the medical implant is held and an outer sheath which is retractable for deploying and releasing the medical implant. In one embodiment, the medical implant has proximal and distal anchors and a bridge containing resorbable material. The inner member may have a flexible sleeve for gripping and holding a portion of the outer sheath, thereby providing a releasable attachment mechanism. In another embodiment, the inner member may include an inflatable balloon having a tapered distal region which extends from the outer sheath for providing an atraumatic tip. The inflatable balloon may also be used to expand the medical implant and to grip the outer sheath.

摘要翻译： 提供了一种用于治疗二尖瓣的系统和方法。 该方法优选地包括将引导导管推进到冠状窦的口，并且将包含医用植入物的输送导管通过引导导管推入冠状窦。 输送导管具有保持医用植入物的内部构件和可伸缩以用于展开和释放医用植入物的外护套。 在一个实施例中，医疗植入物具有近端和远端锚固件以及包含可再吸收材料的桥。 内部构件可以具有用于夹持和保持外护套的一部分的柔性套筒，从而提供可释放的附接机构。 在另一个实施例中，内部构件可以包括具有锥形远侧区域的可膨胀气囊，该远端区域从外护套延伸以提供无创尖端。 可充气气囊也可以用于扩展医用植入物并且夹紧外护套。

公开(公告)号：US08500798B2

公开(公告)日：2013-08-06

申请号：US11441406

申请日：2006-05-24

申请人： Stanton J. Rowe ,  Larry Wood ,  Henry Bourang ,  George Bakis ,  Benjamin Spenser ,  Netanel Benichou ,  Yaron Keidar ,  Assaf Bash

发明人： Stanton J. Rowe ,  Larry Wood ,  Henry Bourang ,  George Bakis ,  Benjamin Spenser ,  Netanel Benichou ,  Yaron Keidar ,  Assaf Bash

IPC分类号： A61F2/24

CPC分类号： A61F2/2418 ,  A61F2/2409 ,  A61F2/2412 ,  A61F2/2445 ,  A61F2/90 ,  A61F2220/0008 ,  A61F2220/0016 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2220/0083 ,  A61F2230/0078 ,  A61F2250/006 ,  A61F2250/0098 ,  A61L27/3625

摘要： A two-stage or component-based valve prosthesis that can be quickly and easily implanted during a surgical procedure is provided. The prosthetic valve comprises a support structure that is deployed at a treatment site. The prosthetic valve further comprises a valve member configured to be quickly connected to the support structure. The support structure may take the form of a stent that is expanded at the site of a native valve. If desired, the native leaflets may remain and the stent may be used to hold the native valve open. In this case, the stent may be balloon expandable and configured to resist the powerful recoil force of the native leaflets. The support structure is provided with a coupling means for attachment to the valve member, thereby fixing the position of the valve member in the body. The valve member may be a non-expandable type, or may be expandable from a compressed state to an expanded state. The system is particularly suited for rapid deployment of heart valves in a conventional open-heart surgical environment.

摘要翻译： 提供了一种可在外科手术过程中快速，容易地植入的两级或基于部件的瓣膜假体。 假体瓣膜包括部署在治疗部位的支撑结构。 假体瓣膜还包括构造成快速连接到支撑结构的阀构件。 支撑结构可以采取在天然瓣膜部位扩张的支架的形式。 如果需要，天然传单可以保留，并且支架可以用于保持天然瓣膜打开。 在这种情况下，支架可以是球囊可扩张的并且被配置为抵抗天然传单的强大后坐力。 支撑结构设置有用于附接到阀构件的联接装置，从而将阀构件的位置固定在主体中。 阀构件可以是不可膨胀型，或者可以从压缩状态扩展到膨胀状态。 该系统特别适用于在常规开心手术环境中快速部署心脏瓣膜。

公开(公告)号：US07708775B2

公开(公告)日：2010-05-04

申请号：US11441405

申请日：2006-05-24

申请人： Stanton J. Rowe ,  Larry Wood ,  Henry Bourang ,  George Bakis ,  Benjamin Spenser ,  Netanel Benichou ,  Yaron Keidar ,  Assaf Bash

发明人： Stanton J. Rowe ,  Larry Wood ,  Henry Bourang ,  George Bakis ,  Benjamin Spenser ,  Netanel Benichou ,  Yaron Keidar ,  Assaf Bash

IPC分类号： A61F2/24

CPC分类号： A61F2/2427 ,  A61F2/2409 ,  A61F2/2412 ,  A61F2/2418 ,  A61F2220/0008 ,  A61F2220/0016 ,  A61F2220/0083 ,  A61F2230/0054 ,  A61F2230/0067 ,  A61F2230/0078 ,  A61F2250/006

摘要： A two-stage or component-based valve prosthesis that can be quickly and easily implanted during a surgical procedure is provided. The prosthetic valve comprises a support structure that is deployed at a treatment site. The prosthetic valve further comprises a valve member configured to be quickly connected to the support structure. The support structure may take the form of a stent that is expanded at the site of a native valve. If desired, the native leaflets may remain and the stent may be used to hold the native valve open. In this case, the stent may be balloon expandable and configured to resist the powerful recoil force of the native leaflets. The support structure is provided with a coupling means for attachment to the valve member, thereby fixing the position of the valve member in the body. The valve member may be a non-expandable type, or may be expandable from a compressed state to an expanded state. The system is particularly suited for rapid deployment of heart valves in a conventional open-heart surgical environment.

摘要翻译： 提供了一种可在外科手术过程中快速，容易地植入的两级或基于部件的瓣膜假体。 假体瓣膜包括部署在治疗部位的支撑结构。 假体瓣膜还包括构造成快速连接到支撑结构的阀构件。 支撑结构可以采取在天然瓣膜部位扩张的支架的形式。 如果需要，天然传单可以保留，并且支架可以用于保持天然瓣膜打开。 在这种情况下，支架可以是球囊可扩张的并且被配置为抵抗天然传单的强大后坐力。 支撑结构设置有用于附接到阀构件的联接装置，从而将阀构件的位置固定在主体中。 阀构件可以是不可膨胀型，或者可以从压缩状态扩展到膨胀状态。 该系统特别适用于在常规开心手术环境中快速部署心脏瓣膜。

公开(公告)号：US20110307044A1

公开(公告)日：2011-12-15

申请号：US13071162

申请日：2011-03-24

申请人： Henry Bourang ,  Mehran KHORSANDI

发明人： Henry Bourang ,  Mehran KHORSANDI

IPC分类号： A61F2/84

CPC分类号： A61F2/954 ,  A61F2/856 ,  A61F2/958 ,  A61F2/97 ,  A61F2002/061 ,  A61F2002/9522 ,  A61F2230/001 ,  A61F2250/0039 ,  A61F2250/006 ,  A61L31/16 ,  A61M2025/1045 ,  A61M2025/1079 ,  Y10T29/49908 ,  Y10T29/49913

摘要： A system for treating a bifurcation includes first and second delivery catheters, each having an expandable member. A stent having a side hole is disposed on the second delivery catheter. A portion of the first delivery catheter is disposed under a portion of the stent. The first delivery catheter is slidable relative to the second delivery catheter, and the first delivery catheter passes through the side hole. Expansion of the first expandable member expands a proximal portion of the stent in a main branch vessel, and expansion of the second expandable member expands a distal portion of the stent in a side branch vessel.

摘要翻译： 用于治疗分叉的系统包括第一和第二输送导管，每个导管具有可扩张构件。 具有侧孔的支架设置在第二输送导管上。 第一输送导管的一部分设置在支架的一部分下方。 第一输送导管相对于第二输送导管可滑动，并且第一输送导管穿过侧孔。 第一可膨胀构件的膨胀在主分支容器中扩张支架的近端部分，并且第二可膨胀构件的膨胀在支侧容器中扩张支架的远端部分。