摘要:
In one embodiment, the present invention includes a connector ring assembly 220 to attach a VAD to a heart. The assembly 220 includes a clamp 224 which can rotate completely about the annular wall 222 in a first state and is fixed relative to the annular wall 222 in a second state. The clamp 224 transitions from the first state to the second state via an actuator 234. The actuator 234 can be configured with an axis of rotation 138 generally parallel to the opening 50 of the annular wall 222, thereby allowing manipulation of the actuator 234 through the same surgical accessway as that used to implant the connector ring assembly 220. At least one embodiment provides a connector flange 172 separately from an annular wall 122 to provide greater access to the connector flange 172 during implantation. The annular wall 122 and clamp 124 are attached to the connector flange 172 after the flange is fixed to the heart.
摘要:
In one embodiment, the present invention includes a percutaneous skin connector 1 including a base 3 and a cap 2. The base 3 has a channel 31 extending through it and a plurality of base magnets 24, 29 are positioned around the channel 31 and exposed at a base surface 30. A skirt 21 which allows tissue ingrowth extends from the base 3 to further secure the base 3 to the patient. The connector 1 also includes a cap 2 with a bore 61 extending through it and a plurality of cap magnets 47, 48 positioned around the bore 61 and exposed at a cap surface 42. The base magnets 24, 29 and cap magnets 47, 48 attract and align the cap surface 42 to the base surface 30. The connector 1 further includes a release mechanism adapted to at least partially separate the cap 2 from the base 3 when the cap 2 is rotated relative to the base 3 and out of alignment with the base 3.
摘要:
A mounting structure for connecting a device to an organ. The mounting structure includes a mounting element defining a bore. The mounting element is adapted for mounting to an exterior surface of the organ of a living subject. The mounting element includes a collar having a deformable wall defining a main bore. A gimbal ring disposed within the main bore and within the collar is included, the gimbal ring defining a gimbal bore co-axial with the main bore and including a plurality of separate arcuate elements cooperatively disposed in a circumferential direction around the gimbal bore, the plurality of separate arcuate elements being movable toward one another to constrict the gimbal bore.
摘要:
An apparatus for protecting heart tissue from an implanted inlet element of a blood pump. The apparatus includes a flange member having a first radially constricted configuration and a second radially expanded configuration, the flange member being biased in its second radially expanded configuration. The flange member defines an opening there through sized to receiving the inlet element of the blood pump. A retaining element extending from the flange member is included, the retaining element being flexible and sized to be disposed about at least a portion of the inlet element.
摘要:
A mounting element defining a bore, the mounting element being configured to mount to an exterior surface of an organ of a patient. A one way valve sized to be received and retained within the bore of the mounting element is included, the one way valve having an open position and a closed position. The one way valve substantially occludes the bore when the valve is in the closed position. The one way valve is biased in the closed position. A plug having a lumen extending there through is included, the plug being configured to be releasably inserted through at least a portion of the one way valve. The plug is configured to transition the one way valve from the closed position to the open position and to maintain the one way valve in the open position when the plug is inserted within the bore.
摘要:
A mounting ring for a ventricular assist device or other device used in the heart includes a plate 10 adapted to be secured to the exterior of the heart by rigid anchors such as hook 61, pin 173, or screw 181. When hooks 61 are used, they can be pivotally mounted to the plate 10 so that the hooks 61 can rotate from retracted positions to advanced positions. A tool 70 can be included in a mounting ring kit to move the hooks 61 from their retracted positions to their advanced positions so that the hooks 61 secure the plate 10 to the heart. Preferably, all of the hooks 61 are advanced simultaneously. The VAD or other device is then secured to the plate 10. The plate 10 can be mounted to the heart in less time than required to install a traditional mounting ring by suturing to the heart.