公开(公告)号：US09044231B2

公开(公告)日：2015-06-02

申请号：US13794096

申请日：2013-03-11

申请人： BioVentrix, Inc.

发明人： Lon S. Annest ,  Arthur A. Bertolero ,  Sing-Fatt Chin ,  David K. Swanson

IPC分类号： A61N1/362 ,  A61B17/08 ,  A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/22 ,  A61B18/00 ,  A61F2/24

CPC分类号： A61F2/2487 ,  A61B17/00234 ,  A61B17/0401 ,  A61B17/0467 ,  A61B17/0487 ,  A61B17/08 ,  A61B2017/00022 ,  A61B2017/00044 ,  A61B2017/00247 ,  A61B2017/003 ,  A61B2017/00867 ,  A61B2017/00893 ,  A61B2017/00986 ,  A61B2017/0412 ,  A61B2017/0417 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/048 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06176 ,  A61B2017/22054 ,  A61B2017/22069 ,  A61B2018/00392

摘要： Devices, systems, and methods for treating a heart of a patient may make use of one or more implant structures which limit a size of a chamber of the heart, such as by deploying a tensile member to bring a wall of the heart toward (optionally into contact with) a septum of the heart.

摘要翻译： 用于治疗患者心脏的装置，系统和方法可以利用限制心脏室的尺寸的一个或多个植入物结构，例如通过展开拉伸构件以将心脏的壁朝向（任选地 接触）心脏的隔膜。

公开(公告)号：US20150142101A1

公开(公告)日：2015-05-21

申请号：US14541601

申请日：2014-11-14

申请人： James E. Coleman ,  Christy Cummins

发明人： James E. Coleman ,  Christy Cummins

IPC分类号： A61F2/24

CPC分类号： A61B17/12031 ,  A61B17/0057 ,  A61B17/12109 ,  A61B2017/00247 ,  A61B2017/00389 ,  A61B2017/00606 ,  A61B2017/00623 ,  A61B2017/00654 ,  A61B2017/00778 ,  A61B2017/00986 ,  A61B2017/12004 ,  A61B2017/12054 ,  A61B2017/4233 ,  A61F2/2418 ,  A61F2/2436 ,  A61F2/2457 ,  A61F2/2487 ,  A61F5/0079 ,  A61F2220/0008 ,  A61F2220/0075 ,  A61F2250/0008 ,  A61F2250/001 ,  A61F2250/0098

摘要： Systems and methods are provided for repairing a heart valve, such as a mitral, tricuspid or aortic valve, using an adjustable and removable implant that can be delivered to the heart through the apex in a simplified and non-invasive manner. The implant can include a prosthetic valve portion coupled to a proximal end of a shaft, and an anchor portion coupled to a distal end of the shaft. The prosthetic valve can be suspended within an opening of the heart valve while the anchor portion is affixed to the apex of the heart. When the implant is deployed, a distance between the prosthetic valve portion and the anchor portion can be adjusted, and/or the implant or a portion thereof can be rotated to thereby change the position of the prosthetic valve within the heart valve. This can allow correcting for post-implantation movements of the implant to mitigate potential complications.

摘要翻译： 提供了用于修复心脏瓣膜（例如二尖瓣，三尖瓣或主动脉瓣）的系统和方法，其使用可调节和可移除的植入物，其可以以简化和非侵入性方式通过顶点递送至心脏。 植入物可以包括联接到轴的近端的假体瓣膜部分和联接到轴的远端的锚定部分。 假体瓣膜可以悬挂在心脏瓣膜的开口内，同时将锚定部分固定到心脏的顶点。 当植入物被展开时，可以调节人造瓣膜部分和锚定部分之间的距离，和/或植入物或其一部分可以旋转，从而改变心脏瓣膜内的人造瓣膜的位置。 这可以允许修正植入物的植入后移动以减轻潜在的并发症。

公开(公告)号：US20150080932A1

公开(公告)日：2015-03-19

申请号：US14551831

申请日：2014-11-24

申请人： TERUMO KABUSHIKI KAISHA

发明人： Masakatsu KAWAURA ,  Shigeki Ariura

IPC分类号： A61B17/34

CPC分类号： A61B17/3468 ,  A61B17/3417 ,  A61B2017/00805 ,  A61B2017/00986 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2017/346 ,  A61F2/0045

摘要： A tissue separation device includes: a sheath; a tube having a deformation part; a restriction member; and an inner structure. The tissue separation device is used in an assembled state where the tube is movably inserted in the sheath, the restriction member is inserted in the tube, and the inner structure is movably inserted in the restriction member. The inner structure includes: wires and which are expandable and contractible; an operation unit which operates expansion of the wires; a tubular body; and a traction shaft. The wires are expanded by being curved so as to protrude in opposite directions. When dissecting a biological tissue, the wires in an expanded state are moved within the tube in relation to the tube, without moving the tube relative to the living body.

摘要翻译： 组织分离装置包括：鞘; 具有变形部的管; 限制成员; 和内部结构。 组织分离装置在组装状态下使用，其中管可移动地插入鞘中，限制构件插入管中，并且内部结构可移动地插入限制构件中。 内部结构包括：电线，其可扩张和收缩; 操作所述电线的膨胀的操作单元; 管状体 和牵引轴。 电线通过弯曲而膨胀以沿相反方向突出。 当解剖生物组织时，膨胀状态的线相对于管在管内移动，而不相对于活体移动管。

公开(公告)号：US20150073439A1

公开(公告)日：2015-03-12

申请号：US14020131

申请日：2013-09-06

申请人： Ethicon Endo-Surgery, Inc.

发明人： William D. Dannaher

IPC分类号： A61B17/128

CPC分类号： A61B17/1285 ,  A61B17/083 ,  A61B17/10 ,  A61B17/122 ,  A61B2017/00309 ,  A61B2017/00986 ,  A61B2017/00991 ,  A61B2017/2902 ,  A61B2017/2908 ,  A61B2017/2927 ,  A61B2017/2936

摘要： An instrument for clamping a surgical clip has a handle assembly, a shaft assembly, and an end effector. The handle assembly has a trigger and an articulation knob. The shaft assembly has an outer ground tube, a middle articulation tube, and a push/pull tube disposed within the middle articulation tube. The trigger is operable to cause longitudinal translation of the push/pull tube. The outer ground tube and the middle articulation tube present mating angled faces sloped in opposing directions. Rotation of the articulation knob causes rotation of the middle articulation tube. Rotation of the middle articulation tube changes the orientation of the angled faces and thus causes articulation of the middle articulation tube and the push/pull tube. The end effector has a pair of jaws configured to apply a surgical clip to a vessel. Longitudinal translation of the push/pull tube causes closure of the pair of jaws.

摘要翻译： 用于夹紧手术夹具的装置具有手柄组件，轴组件和端部执行器。 手柄组件具有扳机和铰接旋钮。 轴组件具有外接地管，中间铰接管和设置在中间铰接管内的推/拉管。 触发器可操作以引起推/拉管的纵向平移。 外接地管和中间连接管呈现相反方向倾斜的配合角度面。 铰接旋钮的旋转引起中间铰接管的旋转。 中间铰接管的旋转改变了倾斜面的方向，从而引起了中间连接管和推/拉管的铰接。 末端执行器具有一对夹爪，其构造成将外科夹子施加到血管。 推/拉管的纵向平移导致一对夹爪闭合。

公开(公告)号：US08926663B2

公开(公告)日：2015-01-06

申请号：US14084288

申请日：2013-11-19

申请人： KFx Medical Corporation

发明人： Michael L. Green ,  Joseph C. Tauro ,  Bart Bojanowski

IPC分类号： A61B17/04 ,  A61B17/064 ,  A61B17/00

CPC分类号： A61B17/0401 ,  A61B17/064 ,  A61B17/0642 ,  A61B2017/00986 ,  A61B2017/0408 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/042 ,  A61B2017/0422 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0464 ,  A61F2/0811 ,  A61F2002/0817

摘要： Methods and devices for securing soft tissue to a rigid material such as bone are disclosed herein. A bone anchor is described that comprises a base and a top such that suture material may be compressed between surfaces on the base and top to secure the suture to the anchor. Also described is an inserter that can be used to insert the bone anchor into bone and move the anchor top relative to the anchor base to clamp suture material there between. Also described is a soft-tissue and bone piercing anchor and associated inserter. Methods are described that allow use of the bone anchors to provide multiple lengths of suture material to compress a large area of soft tissue against bone.

公开(公告)号：US08870916B2

公开(公告)日：2014-10-28

申请号：US11773933

申请日：2007-07-05

申请人： Richard C. Ewers ,  Tracy D. Maahs ,  Shirley Vong

发明人： Richard C. Ewers ,  Tracy D. Maahs ,  Shirley Vong

IPC分类号： A61B17/04 ,  A61B17/00 ,  A61B17/28 ,  A61B17/29 ,  A61B17/06 ,  A61B17/22

CPC分类号： A61B17/0401 ,  A61B17/0487 ,  A61B17/06166 ,  A61B17/22031 ,  A61B17/282 ,  A61B17/29 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/00862 ,  A61B2017/00986 ,  A61B2017/0403 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0451 ,  A61B2017/0458 ,  A61B2017/048 ,  A61B2017/0496 ,  A61B2017/061

摘要： Tissue anchors include a flat, broad, and large contact surface for engagement with a portion of tissue. Several embodiments of composite tissue anchors include a support element and an overlay element. Tissue anchor assemblies include two or more tissue anchors, a connector, and a cinching mechanism. In some embodiments, the tissue anchors included in the tissue anchor assemblies are of different types, sizes, and/or shapes.

摘要翻译： 组织锚固件包括平坦的，宽的和大的接触表面，用于与一部分组织接合。 复合组织锚的几个实施例包括支撑元件和覆盖元件。 组织锚组件包括两个或多个组织锚，连接器和收紧机构。 在一些实施例中，包括在组织锚组件中的组织锚固件具有不同类型，尺寸和/或形状。

公开(公告)号：US20140309686A1

公开(公告)日：2014-10-16

申请号：US14312339

申请日：2014-06-23

申请人： Integrated Vascular Systems, Inc.

发明人： Richard S. Ginn ,  William N. Aldrich ,  William Martin Belef ,  Steven N. Roe ,  Michael T. Carley ,  Ronald J. Jabba ,  Stephen M. Salmon ,  Anthony J. Pantages ,  Fransisco Javier Sagastegui

IPC分类号： A61B17/08

CPC分类号： A61B17/083 ,  A61B17/0057 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/1285 ,  A61B18/148 ,  A61B2017/00623 ,  A61B2017/00654 ,  A61B2017/00668 ,  A61B2017/00672 ,  A61B2017/00862 ,  A61B2017/00986 ,  A61B2017/081 ,  A61B2018/00595 ,  A61B2018/0063

摘要： A closure system and methods of use are provided for use in sealing an opening in a body tissue, such as a vascular puncture site. A method of closing the opening in the body tissue can be performed with the closure system having a closure clip. The method can include positioning the closure clip in a first closure clip position adjacent to the opening in the body tissue such that a plurality of spikes of the closure clip are inserted into the tissue at a location outward from a central axis of the opening. Subsequently, the closure clip can be positioned in a second closure clip position such that the plurality of spikes are pulled inward toward the central axis of the opening so as to pull the tissue between the opening and each of the spikes together and close the opening.

摘要翻译： 提供封闭系统和使用方法用于密封诸如血管穿刺部位的身体组织中的开口。 可以在具有闭合夹的封闭系统中执行关闭身体组织中的开口的方法。 该方法可以包括将闭合夹定位在与身体组织中的开口相邻的第一闭合夹具位置中，使得闭合夹的多个尖峰在从开口的中心轴线向外的位置插入到组织中。 随后，闭合夹可以被定位在第二闭合夹夹位置中，使得多个钉被向内朝向开口的中心轴线向内拉，以便将开口和每个钉之间的组织拉到一起并关闭开口。

公开(公告)号：US08858594B2

公开(公告)日：2014-10-14

申请号：US12642319

申请日：2009-12-18

申请人： Ian J. Clark

发明人： Ian J. Clark

IPC分类号： A61B17/08 ,  A61B17/00 ,  A61B17/064 ,  A61B17/068 ,  A61B19/00

CPC分类号： A61B17/0057 ,  A61B17/064 ,  A61B17/068 ,  A61B90/39 ,  A61B2017/00637 ,  A61B2017/00668 ,  A61B2017/00867 ,  A61B2017/00986 ,  A61B2017/0641

摘要： Devices and methods are disclosed herein for a closure device. A closure device includes a body movable from a pre-deployed configuration towards a deployed configuration, a plurality of tissue-engaging portions extending from the body. At least two of the tissue-engaging portions are separated by a first distance in the deployed configuration and a second distance in the pre-deployed configuration in which the first distance is smaller than the second distance. The closure device also includes a plurality of device capture features secured to the body. The device capture features are configured to move the tissue-engaging portions to a separation greater than the first distance.

摘要翻译： 本文公开了封闭装置的装置和方法。 闭合装置包括可从预先展开的构型朝向展开构型移动的主体，从主体延伸的多个组织接合部。 组织接合部分中的至少两个在展开构造中分开第一距离，并且预先布置的构造中的第二距离，其中第一距离小于第二距离。 闭合装置还包括固定到身体的多个装置捕获特征。 设备捕获特征被配置为将组织接合部分移动到大于第一距离的分离。

公开(公告)号：US20140142685A1

公开(公告)日：2014-05-22

申请号：US14165140

申请日：2014-01-27

申请人： Thomas J. FOGARTY

发明人： Steven W. KIM ,  Brian K. SHIU

IPC分类号： A61F2/954

CPC分类号： A61F2/07 ,  A61B17/12022 ,  A61B17/12036 ,  A61B17/12118 ,  A61B17/12136 ,  A61B17/12186 ,  A61B17/1219 ,  A61B17/12195 ,  A61B2017/00898 ,  A61B2017/00986 ,  A61B2017/1205 ,  A61B2017/3484 ,  A61F2/90 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/065 ,  A61F2002/077 ,  A61F2002/823 ,  A61F2250/0003

摘要： The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

公开(公告)号：US20140142677A1

公开(公告)日：2014-05-22

申请号：US13868804

申请日：2013-04-23

申请人： Richard R. Heuser ,  James D. Joye ,  Kumar Ganesan Jambunathan ,  Eugene E. Reis ,  Richard A. Lotti

发明人： Richard R. Heuser ,  James D. Joye ,  Kumar Ganesan Jambunathan ,  Eugene E. Reis ,  Richard A. Lotti

IPC分类号： A61F2/95 ,  A61M25/01

CPC分类号： A61F2/95 ,  A61B17/12045 ,  A61B17/12136 ,  A61B17/22 ,  A61B2017/00252 ,  A61B2017/00986 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/22044 ,  A61B2017/22095 ,  A61B2090/3966 ,  A61M25/0032 ,  A61M25/0108 ,  A61M25/0194 ,  A61M25/04 ,  A61M25/1011 ,  A61M2025/0096 ,  A61M2025/0197

摘要： A system for deploying a stent-graft from the femoral artery into the femoral vein and back into the femoral artery in order to bypass a femoral occlusion comprises a penetration catheter and a guidewire capture and stabilization catheter. The penetration catheter may be advanced contralaterally to a location above the occlusion and the capture and stabilization catheter may be introduced upwardly through the femoral vein. The penetration tool on the penetration catheter is used in multiple steps to deploy guidewires which are then used to deploy the stent-graft in the desired location.

摘要翻译： 用于将支架移植物从股动脉部署到股静脉并且回到股动脉以绕过股骨闭塞的系统包括穿透导管和导丝捕获和稳定导管。 穿透导管可以在对侧前进到阻塞上方的位置，并且捕获和稳定导管可以向上通过股静脉引入。 穿透导管上的穿透工具用于多个步骤以部署导丝，然后将导线用于将支架移植物部署到期望的位置。