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公开(公告)号:US20220133404A1
公开(公告)日:2022-05-05
申请号:US17574122
申请日:2022-01-12
发明人: Kok-Hwee NG
摘要: A catheter apparatus for assessing denervation comprises: an elongated catheter body; a deployable structure coupled to the catheter body, the deployable structure being deployable outwardly from and contractible inwardly toward the longitudinal axis of the catheter body; one or more ablation elements disposed on the deployable structure to move outwardly and inwardly with the deployable structure; one or more stimulation elements spaced from each other and disposed on the deployable structure to move with the deployable structure, the stimulation elements being powered to supply nerve stimulating signals to the vessel; and one or more recording elements spaced from each other and from the stimulation elements, the recording elements being disposed on the deployable structure to move with the deployable structure, the recording elements configured to record response of the vessel to the nerve stimulating signals.
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公开(公告)号:US09700411B2
公开(公告)日:2017-07-11
申请号:US13211486
申请日:2011-08-17
CPC分类号: A61F2/2436 , A61B17/00234 , A61B2017/00314 , A61F2/966 , Y10T156/1043
摘要: A delivery system for delivering a collapsible prosthetic heart valve includes a valve support structure for supporting a collapsible prosthetic heart valve, and a distal sheath movable in a longitudinal direction relative to the valve support structure between a first position in which the distal sheath is adapted to surround a collapsible prosthetic heart valve supported on the valve support structure, and a second position in which the distal sheath is adapted to expose the collapsible prosthetic heart valve for deployment. The distal sheath is at least partially formed of an inner polymer layer, an outer polymer layer, and a tubular supporting member sandwiched between the inner polymer layer and the outer polymer layer.
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公开(公告)号:US09636221B2
公开(公告)日:2017-05-02
申请号:US15088535
申请日:2016-04-01
CPC分类号: A61F2/2409 , A61F2/2403 , A61F2/2412 , A61F2/2415 , A61F2/2418 , A61F2/2433 , A61F2/89 , A61F2220/0008 , A61F2220/0075 , A61F2230/0006 , A61F2230/0054 , A61F2230/0069
摘要: A prosthetic heart valve includes an annularly collapsible and re-expandable supporting structure extending between an inflow end and an outflow end and including a plurality of struts and a plurality of posts, each post having an elongated opening, a plurality of leaflets disposed inside the supporting structure and operative to allow flow in a first direction from the inflow end to the outflow end and to substantially block flow in an opposite direction from the outflow end to the inflow end, each of the plurality of leaflets including flaps, and a first patch covering the opening of a first post, the first patch being attached to a first flap of a first leaflet.
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公开(公告)号:US09615921B2
公开(公告)日:2017-04-11
申请号:US14850018
申请日:2015-09-10
IPC分类号: A61F2/24
CPC分类号: A61F2/2409 , A61F2/2412 , A61F2/2418 , A61F2230/0006 , A61F2230/0054 , A61F2230/0069 , A61F2230/0076
摘要: A prosthetic heart valve includes an annular frame that is adapted for (1) delivery into a patient's native heart valve annulus in a circumferentially collapsed condition, and (2) circumferential re-expansion when in the annulus, the frame, in an expanded condition. The frame having a longitudinal axis, an inflow end and an outflow end, a first portion of the frame adjacent the inflow end inclining radially outwardly in a direction toward the inflow end, and a second portion of the frame between the first portion and the outflow end bulging radially outwardly, the second portion of the frame being positioned between a first axial distance from the inflow end and a second axial distance from the inflow end. The frame also includes a plurality of commissure members. The heart valve further includes a flexible leaflet structure disposed in the frame.
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公开(公告)号:US09532887B2
公开(公告)日:2017-01-03
申请号:US14124092
申请日:2012-06-12
CPC分类号: A61F2/2418 , A61F2/2436 , A61F2/82 , A61F2/90 , A61F2210/0076 , A61F2220/0058 , A61F2230/005 , A61F2230/0054 , A61F2230/0067 , A61F2230/0069 , A61F2230/008 , A61F2250/0039
摘要: A collapsible prosthetic heart valve includes a stent and a valve assembly. The stent includes an annulus section and at least one foldable section. The stent is movable between an unfolded condition in which the foldable section is longitudinally spaced from the annulus section, and a folded condition in which the foldable section is at least partially positioned radially adjacent the annulus section. The valve assembly is positioned within the annulus section of the stent in the folded condition of the stent.
摘要翻译: 可折叠假体心脏瓣膜包括支架和阀组件。 支架包括环形部分和至少一个可折叠部分。 支架可在可折叠部分与环形部分纵向间隔开的展开状态和折叠状态之间移动,其中折叠部分至少部分地位于环形部分的径向附近。 瓣膜组件在支架的折叠状态下定位在支架的环形部分内。
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公开(公告)号:US20160331533A1
公开(公告)日:2016-11-17
申请号:US15218220
申请日:2016-07-25
发明人: Daniel J. Klima , Huisun Wang , Ralph J. Thomas , Gary W. Geiger
CPC分类号: A61F2/2436 , A61B17/00234 , A61B2017/00314 , A61F2/966 , Y10T156/1043
摘要: A delivery system for delivering a collapsible prosthetic heart valve includes a valve support structure for supporting a collapsible prosthetic heart valve, and a distal sheath movable in a longitudinal direction relative to the valve support structure between a first position in which the distal sheath is adapted to surround a collapsible prosthetic heart valve supported on the valve support structure, and a second position in which the distal sheath is adapted to expose the collapsible prosthetic heart valve for deployment. The distal sheath is at least partially formed of an inner polymer layer, an outer polymer layer, and a tubular supporting member sandwiched between the inner polymer layer and the outer polymer layer.
摘要翻译: 用于递送可折叠的假体心脏瓣膜的递送系统包括用于支撑可折叠的假体心脏瓣膜的瓣膜支撑结构,以及远侧护套,其可在第一位置和第二位置之间沿纵向方向相对于所述瓣膜支撑结构移动,所述远端护套适于 围绕支撑在所述阀支撑结构上的可折叠假体心脏瓣膜,以及第二位置,其中所述远侧护套适于暴露可折叠的假体心脏瓣膜用于展开。 远侧护套至少部分地由内聚合物层,外聚合物层和夹在内聚合物层和外聚合物层之间的管状支撑构件形成。
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公开(公告)号:US20160310272A1
公开(公告)日:2016-10-27
申请号:US15201746
申请日:2016-07-05
发明人: Huisun Wang , Valerie J. Glazier
IPC分类号: A61F2/24
CPC分类号: A61F2/2436 , A61F2/2433 , A61F2/966 , A61F2250/0018 , A61F2250/0019
摘要: A delivery system for delivering and deploying a medical implant, such as a prosthetic heart valve, includes an elongated support member, a sheath, and a tip. The sheath is movable relative to the elongated support member between a distal position overlying the medical implant and a proximal position exposing the medical implant for release from the delivery system. The tip is attached to the elongated support member and is positioned at a distal end of the sheath when the sheath is in the distal position. The tip has a compressed condition and an expanded condition, and a maximum diameter in the expanded condition that is larger than the outer diameter of the sheath.
摘要翻译: 用于递送和部署诸如假体心脏瓣膜的医疗植入物的递送系统包括细长的支撑构件,护套和尖端。 护套可以在覆盖医疗植入物的远侧位置和暴露医疗植入物以远离输送系统的近端位置之间相对于细长支撑构件移动。 当护套处于远侧位置时,尖端附接到细长的支撑构件并且定位在护套的远端。 尖端具有压缩状态和膨胀状态,并且膨胀状态中的最大直径大于护套的外径。
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公开(公告)号:US20160199183A1
公开(公告)日:2016-07-14
申请号:US15079244
申请日:2016-03-24
IPC分类号: A61F2/24
CPC分类号: A61F2/2409 , A61F2/2403 , A61F2/2412 , A61F2/2415 , A61F2/2418 , A61F2/2433 , A61F2/89 , A61F2220/0008 , A61F2220/0075 , A61F2230/0006 , A61F2230/0054 , A61F2230/0069
摘要: A prosthetic heart valve includes an annularly collapsible and re-expandable supporting structure extending between an inflow end and an outflow end and including a plurality of struts, the inflow end having an inflow edge, a plurality of leaflets disposed inside the supporting structure and operative to allow flow in an antegrade direction from the inflow end to the outflow end but to substantially block flow in a retrograde direction from the outflow end to the inflow end, a first material disposed on a luminal surface of the supporting structure adjacent the inflow end, and a second material disposed on an abluminal surface of the supporting structure adjacent the inflow end, the first material and the second material being secured to selected struts of the supporting structure, and separately secured to each other adjacent the inflow edge.
摘要翻译: 假体心脏瓣膜包括在流入端和流出端之间延伸并且包括多个支柱的环形可折叠和可重新扩张的支撑结构,所述流入端具有流入边缘,多个传单设置在支撑结构内并且可操作以 允许从流入端到流出端的顺流方向流动,但是基本上阻挡从流出端到流入端的逆行方向的流动,设置在与流入端相邻的支撑结构的腔表面上的第一材料,以及 第二材料,其布置在邻近流入端的支撑结构的外腔表面上,第一材料和第二材料固定到支撑结构的选定的支柱上,并且在流入边缘附近彼此独立地固定。
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公开(公告)号:US09351828B2
公开(公告)日:2016-05-31
申请号:US14943521
申请日:2015-11-17
IPC分类号: A61F2/24
CPC分类号: A61F2/2409 , A61F2/2403 , A61F2/2412 , A61F2/2415 , A61F2/2418 , A61F2/2433 , A61F2/89 , A61F2220/0008 , A61F2220/0075 , A61F2230/0006 , A61F2230/0054 , A61F2230/0069
摘要: Prosthetic heart valves, which are collapsible to a relatively small circumferential size for less invasive delivery into a patient and which then re-expand to operating size at an implant site in the patient, include a collapsible/expandable stent-like supporting structure and various components of flexible, sheet-like material that are attached to the supporting structure. For example, these sheet-like other components may include prosthetic valve leaflets, layers of buffering material, cuff material, etc. Improved structures and techniques are provided for securing such other components to the stent-like supporting structure of the valve.
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公开(公告)号:US09301842B2
公开(公告)日:2016-04-05
申请号:US13755169
申请日:2013-01-31
发明人: Eric E. Bielefeld
CPC分类号: A61F2/2463 , A61B17/0401 , A61B17/0466 , A61B17/0487 , A61B2017/00243 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0488 , A61B2017/06052 , A61F2/2466
摘要: A repair device for repairing a heart valve leaflet in a patient includes a hollow body with a capture tool and a tissue puncture element at the distal end thereof. The capture tool may be used to capture and stabilize the heart valve leaflet tissue. The tissue puncture element may puncture the leaflet tissue and deploy at least one anchor having a length of suture attached thereto. By tensioning the suture, the leaflet tissue may become plicated. The tensioned suture may then be cinched to maintain the plication.
摘要翻译: 用于修复患者心脏瓣膜小叶的修复装置包括在其远端具有捕获工具和组织穿刺元件的中空体。 捕获工具可用于捕获和稳定心脏瓣膜小叶组织。 组织穿刺元件可以刺穿小叶组织并且展开至少一个具有连接到其上的缝线长度的锚定件。 通过张紧缝合线,小叶组织可能会变薄。 然后可以将张紧的缝合线夹紧以维持折皱。
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