公开(公告)号：WO2019079788A1

公开(公告)日：2019-04-25

申请号：PCT/US2018/056853

申请日：2018-10-22

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： JARRAL, Omar ,  FLANAGAN, Aiden ,  MCAFEE, Patricia ,  O'CONNOR, Tim ,  WEBER, Jan

IPC: A61F2/24 ,  A61B17/064 ,  A61B17/122

CPC classification number: A61F2/246 ,  A61B17/0401 ,  A61B17/0487 ,  A61B2017/00243 ,  A61B2017/00783 ,  A61B2017/0406 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0437 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61F2/2409 ,  A61F2/2427 ,  A61F2/2463 ,  A61F2/2466

Abstract: A heart valve repair implant may include a first implant section having a first axial core, and a plurality of spines extending radially outward from the first axial core in an expanded configuration; a second implant section having a second axial core configured to slide over the first axial core, and a mesh portion configured to extend radially outward from the second axial core in an expanded configuration; a third implant section having a central tensioning element extending through the first axial core, and a plurality of arms extending radially outward from the central tensioning element and configured to extend axially between the plurality of spines and through the mesh portion; and a securement element disposed on the central tensioning element.

公开(公告)号：WO2017066890A1

公开(公告)日：2017-04-27

申请号：PCT/CH2016/000138

申请日：2016-10-19

Applicant: COREMEDIC AG

Inventor： SCHAFFNER, Silvio ,  AESCHLIMANN, Tobias ,  WÜTHRICH, Oliver ,  BAUER, Thomas

IPC: A61B17/04 ,  A61F2/24

CPC classification number: A61B17/0401 ,  A61B17/00234 ,  A61B17/0482 ,  A61B2017/00243 ,  A61B2017/00336 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0437 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2090/036 ,  A61B2090/0807 ,  A61F2/2457 ,  A61F2/2466

Abstract: A surgical instrument implementing a leaflet grabbing mechanism by a leaflet grabbing structure is provided, in which the leaflet can be grabbed and clamped between a first and a second abutment surface. The first, proximally facing abutment surface in this belongs to a swivel-out portion of the leaflet grabbing structure. More in particular, swivel-out portion comprises at least a first arm (111) and a second arm (112). In a released state, when the leaflet grabbing structure is released from a catheter, the arms are capable of swiveling: the first arm is capable of swiveling out with respect to a main body (101) to which it is attached, and the second arm is capable of swiveling relative to the first arm so that in a leaflet grabbing position the first abutment surface faces proximally. The second arm comprises a recess arranged so that a chord extending between a released distal implant part and a proximal implant part can extend therethrough and be released by a lateral relative movement. The second abutment surface may be constituted by a press pad formed by a distal end face of the counterportion (80) that is releasable from the catheter and axially movable relative to the main body.

Abstract translation: 提供了一种通过小叶抓取结构实现小叶抓取机构的手术器械，其中小叶可以被抓住并夹紧在第一和第二邻接表面之间。 其中第一个面向近侧的邻接表面属于小叶抓取结构的转出部分。 更特别地，转出部分包括至少第一臂（111）和第二臂（112）。 在释放状态下，当小叶抓取结构从导管释放时，臂能够旋转：第一臂能够相对于其附接的主体（101）旋转出来，并且第二臂 能够相对于第一臂旋转，使得在小叶抓握位置中第一抵接表面面向近侧。 第二臂包括凹部，该凹部布置成使得在释放的远侧植入物部分和近侧植入物部分之间延伸的弦可以延伸穿过其中并且通过横向相对运动而被释放。 第二抵接表面可由通过可从导管释放并且可相对于主体轴向移动的相对部分（80）的远端面形成的压垫构成。

公开(公告)号：WO2016155665A1

公开(公告)日：2016-10-06

申请号：PCT/CN2016/078336

申请日：2016-04-01

Applicant: VERSITECH LIMITED

Inventor： KULPER, Sloan Austin ,  LU, William Weijia ,  LEUNG, Frankie Ka Li ,  FANG, Christian Xinshuo

IPC: A61B17/68 ,  A61B17/88

CPC classification number: A61B17/86 ,  A61B17/0401 ,  A61B17/7001 ,  A61B17/8625 ,  A61B17/8635 ,  A61B2017/00858 ,  A61B2017/00862 ,  A61B2017/042 ,  A61B2017/0429 ,  A61B2017/0432 ,  A61B2017/0437 ,  A61B2017/044 ,  A61B2017/8655

Abstract: A device for engagement with a bone includes a dynamically expandable tip (12), a dynamically expandable ring (40), or other dynamically expandable insert (60, 62, 401L) that reacts to forces pushing the implant into bone tissue. The tip (12), ring (40) or insert (60, 62, 401L) expands at least normal to the direction of motion, increasing contact area between the surrounding bone tissue and the material and thereby reducing the occurrence of high areas of contact stress in the adjacent bone tissue. The tip (12), ring (40) or insert (60, 62, 401L) translates forces along an axis of motion into lateral frictional forces that can resist penetration into the bone tissue without the need for additional operator or patient interaction. A method of reducing migration of the device for engagement includes the steps of providing the device and inserting the device within bone tissue.

Abstract translation: 用于与骨骼接合的装置包括动态可扩展的尖端（12），动态可扩张的环（40）或其它可动态可扩张的插入物（60,62,401L），所述插入物反作用力推动植入物进入骨组织。 尖端（12），环（40）或插入物（60,62,401L）至少垂直于运动方向膨胀，增加周围骨组织与材料之间的接触面积，从而减少高接触面积的发生 相邻骨组织中的应力。 尖端（12），环（40）或插入物（60,62,401L）将沿运动轴线的力转化为侧向摩擦力，其能够抵抗穿透到骨组织中，而不需要额外的操作者或患者相互作用。 减少用于接合的装置的移动的方法包括提供装置并将装置插入骨组织的步骤。

公开(公告)号：WO2016019349A1

公开(公告)日：2016-02-04

申请号：PCT/US2015/043312

申请日：2015-07-31

Applicant: VASOSTITCH, INC. ,  SCHALLER, Michael

Inventor： SCHALLER, Michael ,  BELSON, Amir ,  CLAUSON, Luke

IPC: A61B17/062

CPC classification number: A61B17/0469 ,  A61B17/0057 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/06166 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00367 ,  A61B2017/00575 ,  A61B2017/00663 ,  A61B2017/0406 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0427 ,  A61B2017/0437 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0472 ,  A61B2017/06052 ,  A61B2017/06076 ,  A61B2017/06171

Abstract: Systems and methods for providing transapical access to a heart chamber for performing an intra cardiac procedure are described. The systems include a helical needle driver and a dilator. The helical needle driver rotates and translates a shuttle member which advances one or more helical needles to place a helical suture within the myocardium. After removing the needles, the dilator is advanced through the pre-placed helical suture, dilating both a passage and the circumscribing suture. After performing procedure, the pre-placed suture may be closed by proximally retracting an external end of the suture.

Abstract translation: 描述了用于提供经心脏进入心室的用于执行心脏心脏手术的系统和方法。 系统包括螺旋针驱动器和扩张器。 螺旋针驱动器旋转并平移穿过一个或多个螺旋针的往复运动构件，以将螺旋缝合线置于心肌内。 去除针后，扩张器前进穿过预先安装的螺旋缝合线，扩张通道和外接缝合线。 在执行手术之后，可以通过近端缩回缝合线的外端来关闭预先放置的缝合线。

公开(公告)号：WO2015193881A1

公开(公告)日：2015-12-23

申请号：PCT/IL2015/050599

申请日：2015-06-14

Applicant: ANCHORA MEDICAL LTD.

Inventor： LORE, Avraham Rami ,  GONEN, Yuval

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0491 ,  A61B17/06066 ,  A61B2017/00004 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0427 ,  A61B2017/0437 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/06052 ,  A61B2017/061

Abstract: Embodiments of the invention are related to an apparatus for suturing a tissue. The apparatus includes an outer tube, a thread threaded in the outer tube and at least one anchoring element located inside the outer tube and configured to be inserted into the tissue from an outlet end of the outer tube. The outer tube is configured to freely accommodate the thread and the at least one anchoring element, and the anchoring element includes a body adapted to be threaded on the thread and having at least locking element for locking the thread to the anchoring element.

Abstract translation: 本发明的实施例涉及用于缝合组织的装置。 该装置包括外管，螺纹连接在外管中的螺纹和位于外管内部的至少一个锚定元件，并且构造成从外管的出口端插入组织。 外管构造成自由地容纳螺纹和至少一个锚定元件，并且锚定元件包括适于螺纹连接在螺纹上的主体，并且至少具有用于将螺纹锁定到锚定元件的锁定元件。

公开(公告)号：WO2015191923A1

公开(公告)日：2015-12-17

申请号：PCT/US2015/035427

申请日：2015-06-11

Applicant: MICRO INTERVENTIONAL DEVICES, INC.

Inventor： WHITMAN, Michael, P.

IPC: A61F2/00 ,  A61F2/24 ,  A61F2/848

CPC classification number: A61F2/2412 ,  A61B17/068 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0437 ,  A61B2017/0464 ,  A61B2017/0647 ,  A61F2/243 ,  A61F2/2448 ,  A61F2220/0016

Abstract: A system and method for percutaneous heart valve replacement includes implanting a heart valve replacement prosthetic into tissue and driving anchors into the heart valve replacement to affix the prosthetic to the tissue.

Abstract translation: 用于经皮心脏瓣膜置换的系统和方法包括将心脏瓣膜置换假体植入组织中并将锚定件驱动到心脏瓣膜置换中以将假体附着到组织。

公开(公告)号：WO2013078114A1

公开(公告)日：2013-05-30

申请号：PCT/US2012/065787

申请日：2012-11-19

Applicant: DEPUY SPINE, INC.

Inventor： MICHIELLI, Michael

IPC: A61F2/44

CPC classification number: A61F2/4455 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0427 ,  A61B2017/0437 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0496 ,  A61B2017/06176 ,  A61F2/4611

Abstract: A kit for stabilizing an intervertebral disc space, wherein the kit includes a cage, a suture and a plurality of suture anchors. The suture anchors are pressed into the anterior faces of the vertebral bodies holding the cage, while the ends of the suture are formed into a loose, preformed Giant Knot to allow their tightening to be accomplished through a minimally invasive portal.

Abstract translation: 一种用于稳定椎间盘间隙的试剂盒，其中所述试剂盒包括笼，缝线和多个缝线锚。 缝合锚被压入保持笼的椎体的前表面，而缝合线的端部形成松散的预成形的巨型结，以通过微创入口实现紧固。

公开(公告)号：WO2013049218A1

公开(公告)日：2013-04-04

申请号：PCT/US2012/057352

申请日：2012-09-26

Applicant: EDWARDS LIFESCIENCES CORPORATION

Inventor： MIGLIAZZA, John, F. ,  LAFRANCE, Hugues ,  CHEN, Harvey, H. ,  OBA, Travis, Zenyo

IPC: A61F2/24 ,  A61M39/22 ,  A61F2/76

CPC classification number: A61F2/2412 ,  A61B17/0401 ,  A61B17/0487 ,  A61B2017/0417 ,  A61B2017/0437 ,  A61B2017/0441 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06176 ,  A61F2/2409 ,  A61F2/2418 ,  A61F2/2457 ,  A61F2250/0007

Abstract: A prosthetic valve assembly and method of implanting same is disclosed. The prosthetic valve assembly includes a prosthetic valve formed by support frame and valve leaflets, with one or more tethers each having a first end secured to the support frame and the second end attached to, or configured for attachment to, to papillary muscles or other ventricular tissue. The tether is configured and positioned so as to avoid contact or other interference with movement of the valve leaflets, while at the same time providing a tethering action between the support frame and the ventricular tissue. The valve leaflets may be flexible (e.g., so-called tissue or synthetic leaflets) or mechanical.

Abstract translation: 公开了一种人造瓣膜组件及其植入方法。 假体瓣膜组件包括由支撑框架和瓣膜小叶形成的假体瓣，其中一个或多个系绳各自具有固定到支撑框架的第一端和附接到乳突肌或其它心室的第二端 组织。 系绳的构造和定位是为了避免接触或其他干扰瓣叶片的移动，同时在支撑框架和心室组织之间提供束缚作用。 瓣膜小叶可以是柔性的（例如，所谓的组织或合成小叶）或机械的。

公开(公告)号：WO2012176195A2

公开(公告)日：2012-12-27

申请号：PCT/IL2012000250

申请日：2012-06-21

Applicant: VALTECH CARDIO LTD ,  GROSS AMIR ,  SHEPS TAL ,  HAMMER TAL ,  REICH TAL ,  IFLAH EHUD ,  HERMAN YARON ,  POMERANTZ URIEL ABA ,  CABIRI OZ

Inventor： GROSS AMIR ,  SHEPS TAL ,  HAMMER TAL ,  REICH TAL ,  IFLAH EHUD ,  HERMAN YARON ,  POMERANTZ URIEL ABA ,  CABIRI OZ

IPC: A61F2/24

CPC classification number: A61F2/2445 ,  A61B17/0401 ,  A61B17/064 ,  A61B17/068 ,  A61B2017/00243 ,  A61B2017/00867 ,  A61B2017/0437 ,  A61B2017/0464 ,  A61B2017/0649 ,  A61F2/2448 ,  A61F2250/001

Abstract: Apparatus is provided including an implantable structure (22), including a flexible sleeve (26), having first and second sleeve ends (49, 51), a contracting assembly (40), which is configured to longitudinally contract the sleeve (26). The contracting assembly (40) includes a contracting mechanism (28), which is at a first site of the sleeve (26); and a longitudinal contracting member (30), having (a) a first member end, (b) a second member end (53), coupled to the sleeve (26) at a second site longitudinally between the first site and the second sleeve end (49 or 51), exclusive. A force -distributing element (540) is couplable to the sleeve (26) in a vicinity of the second sleeve end (49 or 51), element (540) is configured to distribute a contraction force by the contracting member (30) between the second member end (53) and the second sleeve end (49 or 51). Other applications are also described.

Abstract translation: 提供了包括可植入结构（22）的装置，其包括具有第一和第二套筒端部（49,51）的柔性套筒（26），收缩组件（40），其构造成纵向收缩套筒（26）。 收缩组件（40）包括在套筒（26）的第一位置处的收缩机构（28）; 和纵向收缩构件（30），其具有（a）第一构件端部，（b）第二构件端部（53），其在第一位置和第二套筒端部之间的第二位置处连接到套筒（26） （49或51），独家。 力分配元件（540）可在第二套筒端部（49或51）附近与套筒（26）连接，元件（540）构造成将收缩构件（30）的收缩力分配在 第二构件端部（53）和第二套筒端部（49或51）。 还描述了其它应用。

公开(公告)号：WO2012006375A1

公开(公告)日：2012-01-12

申请号：PCT/US2011/043102

申请日：2011-07-06

Applicant: PAVILION MEDICAL INNOVATIONS ,  CHIN, Albert K. ,  AKLOG, Lishan ,  DE Guzman, Brian ,  ANDREWS, Rich ,  GLENNON, Michael

Inventor： CHIN, Albert K. ,  AKLOG, Lishan ,  DE Guzman, Brian ,  ANDREWS, Rich ,  GLENNON, Michael

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B17/0467 ,  A61B17/0485 ,  A61B17/0487 ,  A61B17/320783 ,  A61B2017/00004 ,  A61B2017/00867 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0437 ,  A61B2017/0446 ,  A61B2017/0461 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2090/08021

Abstract: A system is disclosed including a first expandable anchor and a second expandable anchors. The anchors may be delivered to opposing sides of a fascial opening and expanding to a predetermined size to secure the anchor at the site of delivery. A strap, designed to pull the anchors together, may extend from the first anchor to the second anchor. Upon deployment, a tension force may be exerted on the strap in order to pull the anchors toward one another and close the fascial opening. Methods and apparatus for closing the fascial opening are also disclosed.

Abstract translation: 公开了一种包括第一可膨胀锚固件和第二可膨胀锚固件的系统。 锚固件可以被输送到筋开口的相对侧并且扩展到预定尺寸以将锚定件固定在输送部位。 设计成将锚固件拉在一起的带子可以从第一锚固件延伸到第二锚固件。 在部署时，张紧力可以施加在带上，以便将锚定件朝向彼此拉动并且关闭筋膜开口。 还披露了关闭筋膜开口的方法和装置。