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11. 发明授权

US5628789A Apparatus for attachment of heart valve holder to heart valve prosthesis 失效
标题翻译：用于将心脏瓣膜支架附接到心脏瓣膜假体的装置
公开(公告)号：US5628789A
公开(公告)日：1997-05-13
申请号：US526528
申请日：1995-09-11
申请人： Guy P. Vanney , Kurt D. Krueger
发明人： Guy P. Vanney , Kurt D. Krueger
IPC分类号： A61F2/24
CPC分类号： A61F2/2427
摘要： A device for engaging a heart valve prosthesis during implantation includes a mechanism for attaching the device to the heart valve prosthesis. The heart valve prosthesis includes a circular valve body having an annulus with a substantially annular aperture therein. At least one movable occluder is carried in the aperture and is movable between an open position and a closed position. The attachment mechanism includes a member which couples to the circular valve body thereby affixing the device to the heart valve prosthesis. The thickness of the device which extends in a direction above the heart valve prosthesis is reduced. The device is selectively removable from the heart valve prosthesis following implantation of the prosthesis in the heart tissue annulus of a patient.
摘要翻译：用于在植入期间接合心脏瓣膜假体的装置包括用于将装置附接到心脏瓣膜假体的机构。心脏瓣膜假体包括圆形阀体，其具有在其中具有大致环形孔的环。至少一个可动闭塞器被携带在孔中并且可以在打开位置和关闭位置之间移动。附接机构包括联接到圆形阀体的构件，从而将装置固定到心脏瓣膜假体。沿着心脏瓣膜假体上方的方向延伸的装置的厚度减小。在将假体植入患者的心脏组织环之后，该装置可选择性地从心脏瓣膜假体移除。

12. 发明授权

US5713952A Apparatus for attachment of heart valve holder to heart valve prosthesis 失效
公开(公告)号：US5713952A
公开(公告)日：1998-02-03
申请号：US526854
申请日：1995-09-11
申请人： Guy P. Vanney , Kurt D. Krueger
发明人： Guy P. Vanney , Kurt D. Krueger
IPC分类号： A61F2/00 , A61F2/24
CPC分类号： A61F2/0095 , A61F2/2403 , A61F2/2427 , Y10S623/90
摘要： A holder for engaging a heart valve prosthesis during implantation includes a mechanism for attaching the holder to the heart valve prosthesis. The heart valve prosthesis includes a circular valve body having an annulus with a substantially annular aperture therein. At least one movable occluder is carried in the aperture and is movable between an open position and a closed position. The attachment mechanism attaches to the occluder thereby securing the holder to the heart valve prosthesis.

13. 发明授权

US5843177A Apparatus for attaching a handle to an annuloplasty ring implantation device 失效
标题翻译：用于将手柄附接到瓣环成形术植入装置的装置
公开(公告)号：US5843177A
公开(公告)日：1998-12-01
申请号：US641914
申请日：1996-05-02
申请人： Guy P. Vanney , Kimberly A. Anderson
发明人： Guy P. Vanney , Kimberly A. Anderson
IPC分类号： A61B19/00 , A61F2/24 , F16B21/04
CPC分类号： F16B21/04 , A61B90/06 , A61F2/2448 , A61F2/2466 , A61F2/2496
摘要： An apparatus for manipulating an annuloplasty ring implantation device during implantation includes an elongated handle having a proximal end for grasping by a surgeon and a distal end. A locking surface is provided adjacent the distal end of the elongated handle. The elongated handle carries an engaging tip which extends distally from the locking surface. A locking key extends radially from the engaging tip. The annuloplasty ring implantation device includes an engaging tip opening formed therein adapted for receiving the engaging tip. A key slot is defined in the implantation device and extends radially from the engaging tip opening. The engaging tip and locking key may be inserted into the device at the engaging tip opening and key slot. The elongated handle is locked to the device by inserting the engaging tip and rotating the handle relative to the device such that the locking key and key slot are not aligned. This causes the device to be locked between the locking key and the locking surface. The annuloplasty ring implantation device is an annuloplasty ring holder or a annuloplasty ring sizer template.
摘要翻译：用于在植入期间操作瓣环成形术植入装置的装置包括具有用于由外科医生和远端抓握的近端的细长手柄。在细长手柄的远端附近提供锁定表面。细长手柄具有从锁定表面向远侧延伸的接合尖端。锁定键从接合尖端径向延伸。瓣膜成形术环植入装置包括形成在其中的接合尖端开口，其适于接收接合尖端。关键槽被限定在植入装置中并且从接合尖端开口径向延伸。接合尖端和锁定键可以在接合尖端开口和键槽处插入设备中。细长手柄通过插入接合尖端并相对于装置旋转手柄而锁定到装置上，使得锁定键和键槽不对准。这使得装置被锁定在锁定键和锁定表面之间。瓣环成形术环植入装置是瓣环成形术环形支架或瓣环成形术环形筛分模板。

14. 发明授权

US08864758B2 Catheter design that facilitates positioning at tissue to be diagnosed or treated 有权
标题翻译：导管设计，便于定位在待诊断或治疗的组织
公开(公告)号：US08864758B2
公开(公告)日：2014-10-21
申请号：US12127666
申请日：2008-05-27
申请人： Guy P. Vanney , Jeremy D. Dando
发明人： Guy P. Vanney , Jeremy D. Dando
IPC分类号： A61B18/14 , A61B18/00 , A61B17/00 , A61M25/00
CPC分类号： A61B18/1492 , A61B2017/00867 , A61B2018/00065 , A61B2018/00375 , A61B2018/1472 , A61M25/0041 , C08L2201/12
摘要： A catheter used for diagnosing and treating, for example, atrial fibrillation. The catheter includes a catheter shaft that has a proximal portion and a distal portion. The distal portion is adapted to be inserted into a body cavity having tissue to be diagnosed or treated and is disposed remotely from the proximal portion. The distal portion, which may be curved or straight, comprises an outer peripheral wall having an active region, and the distal portion has a cross-sectional configuration along the active region. The cross-sectional configuration is adapted to bias the active region against the tissue to be diagnosed or treated.
摘要翻译：用于诊断和治疗例如心房颤动的导管。导管包括具有近端部分和远端部分的导管轴。远侧部分适于插入具有要被诊断或治疗的组织的体腔中并远离近端部分设置。远侧部分可以是弯曲的或直的，包括具有活动区域的外周壁，并且远端部分沿着活动区域具有横截面构造。横截面构造适于将活动区域偏压到待诊断或治疗的组织上。

15. 发明授权

US08182467B2 Deflectable variable radius catheters 有权
标题翻译：可变半径导管
公开(公告)号：US08182467B2
公开(公告)日：2012-05-22
申请号：US12569786
申请日：2009-09-29
申请人： Duy Nguyen , Sheldon Nelson , Elizabeth Nee , Guy P. Vanney
发明人： Duy Nguyen , Sheldon Nelson , Elizabeth Nee , Guy P. Vanney
IPC分类号： A61B5/04 , A61B18/18 , A61M25/00 , A61M31/00 , A61M37/00
CPC分类号： A61M25/0152 , A61M25/0043 , A61M25/0136 , A61M25/0141 , A61M25/0147 , A61M2025/015 , A61M2025/0161 , A61M2025/105
摘要： The invention provides a deflectable catheter capable of forming many variable radius spiral forms from a single, flexible, distal end section. In one aspect, the catheter employs a variable radius control wire to extend or deform a pre-formed loop structure into a three dimensional spiral-like form or geometry. The ability of a single catheter to create a multitude of shapes and sizes allows users to access to a number of anatomical areas without changing the catheter during a procedure or treatment. In another aspect, the invention encompasses methods of producing deflectable variable radius catheters, where two or more regions of the catheter having common control wires are fused or formed onto one another.
摘要翻译：本发明提供了一种能够从单个柔性远端部分形成许多可变半径螺旋形状的可偏转导管。在一个方面，导管使用可变半径控制线来将预成形的环结构延伸或变形为三维螺旋形的形状或几何形状。单个导管创建多种形状和尺寸的能力允许用户在手术或治疗期间不改变导管的情况下进入多个解剖区域。在另一方面，本发明包括生产可偏转可变半径导管的方法，其中具有公共控制线的导管的两个或更多个区域彼此熔合或形成。

16. 发明授权

US6029672A Transmyocardial implant procedure and tools 失效
标题翻译：经心肌植入手术和工具
公开(公告)号：US6029672A
公开(公告)日：2000-02-29
申请号：US63160
申请日：1998-04-20
申请人： Guy P. Vanney , Thomas L. Odland , Eric E. Solien
发明人： Guy P. Vanney , Thomas L. Odland , Eric E. Solien
IPC分类号： A61F2/02 , A61F2/94 , A61B19/00
CPC分类号： A61F2/94 , A61F2/2493 , A61F2220/0008 , Y10S623/904
摘要： A blood flow path is formed from a heart chamber to a coronary vessel on an exterior surface of a heart wall. A hollow conduit has a vessel portion and a myocardial portion. The vessel portion has an open leading end sized to be inserted into the coronary vessel. The myocardial portion has an open leading end and the myocardium portion is sized to extend through a thickness of the heart wall. The myocardial portion is placed in the heart wall with the open leading end of the myocardial portion protruding into the heart chamber. Blood flow through the conduit from the heart chamber is at least partially blocked. The leading end of the vessel portion is placed in the coronary vessel. Blood flow through the conduit from the heart chamber and into the vessel is then opened.
摘要翻译：血流通道从心室形成到心壁外表面上的冠状血管。中空导管具有血管部分和心肌部分。容器部分具有敞开的前端，其尺寸设置成插入冠状血管。心肌部分具有开放的前端，并且心肌部分的尺寸设置成延伸穿过心壁的厚度。将心肌部分放置在心脏壁中，心肌部分的开放前端突出到心室中。至少部分阻塞从心脏腔穿过导管的血流。将血管部分的前端置于冠状血管内。然后打开通过导管从心室进入血管的血流。

17. 发明授权

US08777929B2 Auto lock for catheter handle 有权
标题翻译：自动锁定导管手柄
公开(公告)号：US08777929B2
公开(公告)日：2014-07-15
申请号：US11646744
申请日：2006-12-27
申请人： Clint Schneider , Joshua L. Dudney , Richard E. Stehr , Troy Tegg , Michael C. Bednarek , Guy P. Vanney , James Jensen , Michael Stine
发明人： Clint Schneider , Joshua L. Dudney , Richard E. Stehr , Troy Tegg , Michael C. Bednarek , Guy P. Vanney , James Jensen , Michael Stine
IPC分类号： A61M25/00
CPC分类号： A61M25/0136 , A61M25/0147 , A61M2025/0186
摘要： The present invention is a catheter actuation handle for deflecting a distal end of a tubular catheter body, the handle including an auto-locking mechanism. The handle comprises upper and lower grip portions, an actuator, and an auto-locking mechanism. The auto-locking mechanism is adapted to hold a deflected distal end of the catheter in place without input from the operator. When the distal end of the catheter is deflected from its zero position, it typically will seek a return to its zero position, and as a result exerts a force on the actuator. The auto-locking mechanism acts by providing a second force that resists this force from the distal end and holds the distal end in place. As a result, the operator does not need to maintain contact with the buttons to maintain the distal end in a set position once placed there by actuating the actuator.
摘要翻译：本发明是用于偏转管状导管体的远端的导管致动手柄，手柄包括自动锁定机构。把手包括上下把手部分，致动器和自动锁定机构。自动锁定机构适于将导管的偏转的远端保持在适当的位置，而无需操作者的输入。当导管的远端从其零位偏转时，通常将寻求返回到其零位置，并且因此对致动器施加力。自动锁定机构通过提供抵抗来自远端的该力并将远端保持在适当位置的第二力来起作用。结果，操作者不需要保持与按钮的接触，以便通过致动致动器将远端保持在设置位置。

18. 发明授权

US06984232B2 Ablation catheter assembly having a virtual electrode comprising portholes 有权
标题翻译：消融导管组件，其具有包括孔的虚拟电极
公开(公告)号：US06984232B2
公开(公告)日：2006-01-10
申请号：US10347034
申请日：2003-01-17
申请人： Guy P. Vanney , Jeremy D. Dando , Joshua L. Dudney
发明人： Guy P. Vanney , Jeremy D. Dando , Joshua L. Dudney
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B2017/00867 , A61B2018/00041 , A61B2018/00375 , A61B2018/1472 , C08L2201/12
摘要： An ablation catheter having a catheter shaft and a virtual electrode, the virtual electrode comprising portholes through an outer peripheral wall of the catheter shaft and a metal electrode, the catheter being used for treatment of cardiac arrhythmia, for example, atrial fibrillation, by electrically isolating a vessel, such as a pulmonary vein, from a chamber, such as the left atrium. The catheter shaft includes a proximal portion and a distal portion. The distal portion includes an active region, which is either a looped structure transverse to the longitudinal axis of the catheter shaft, or a linear structure that extends parallel to the longitudinal axis of the catheter shaft. During use, the active region is directed into contact with, for example, the wall of a pulmonary vein. Upon energization, the virtual electrode creates a continuous lesion on an inner wall of the pulmonary vein, thereby electrically isolating the pulmonary vein from the left atrium.
摘要翻译：一种具有导管轴和虚拟电极的消融导管，所述虚拟电极包括穿过导管轴的外周壁的舷孔和金属电极，所述导管用于治疗心律失常，例如心房颤动，通过电隔离来自诸如左心房的腔室的血管，例如肺静脉。导管轴包括近端部分和远端部分。远侧部分包括活动区域，其是横向于导管轴的纵向轴线的环形结构，或者平行于导管轴的纵向轴线延伸的线性结构。在使用期间，有源区域被引导与例如肺静脉的壁接触。在通电时，虚拟电极在肺静脉的内壁上产生连续的病变，从而将肺静脉与左心房电隔离。

19. 发明授权

US06454760B2 Insertion tool for transmyocardial implant 失效
标题翻译：用于经心肌植入的插入工具
公开(公告)号：US06454760B2
公开(公告)日：2002-09-24
申请号：US09793318
申请日：2001-02-26
申请人： Guy P. Vanney
发明人： Guy P. Vanney
IPC分类号： A61B1700
CPC分类号： A61F2/2493 , A61B17/3415 , A61B2017/00252
摘要： An insertion tool facilitates insertion of a vessel end of a transmyocardial implant into a coronary vessel. The insertion tool has a hollow sheath and mating dilator. The sheath has an external dimension sized for the sheath to be received within a lumen of an expanded size of the coronary vessel. A tapered portion extends from the dilator coaxially with an axis of the sheath. The tapered portion narrows from a cylindrical body portion to a leading tip of the tapered portion. The leading tip of the tapered portion is sized to be received within the lumen of a constricted size of the coronary vessel. The tapered portion and body portion are retractable from the sheath. After such retraction, the leading end of the implant is placed within the sheath. The sheath is split at a part-line such that the sheath can be pulled rearwardly from the vessel without disrupting the coronary vessel following placement of the implant within the sheath.
摘要翻译：插入工具有利于将经心肌植入物的血管端插入冠状血管。插入工具具有中空护套和配合扩张器。护套具有尺寸适于护套的外部尺寸，以容纳在冠状血管扩张尺寸的管腔内。锥形部分从扩张器与护套的轴线同轴地延伸。锥形部分从圆柱形主体部分变窄到锥形部分的前端。锥形部分的引导尖端的尺寸被设计成容纳在冠状血管狭窄尺寸的内腔内。锥形部分和主体部分可从护套缩回。在这种缩回之后，将植入物的前端置于护套内。护套以部分线分开，使得护套可以在将植入物放置在护套内之后从容器向后拉，而不破坏冠状动脉血管。

20. 发明授权

US06409697B1 Transmyocardial implant with forward flow bias 有权
公开(公告)号：US06409697B1
公开(公告)日：2002-06-25
申请号：US09304730
申请日：1999-05-04
申请人： Robert A. Eno , Guy P. Vanney
发明人： Robert A. Eno , Guy P. Vanney
IPC分类号： A61M500
摘要： A transmyocardial implant establishes a blood flow path through a heart wall between a heart chamber and a lumen of a coronary vessel on the heart wall. The implant includes a hollow conduit having an open first end and an open second end. The conduit is dimensioned so as to extend at least from the vessel through said heart wall and into said chamber. The conduit has a conduit wall defining a blood flow pathway within an interior of said conduit between the first and second ends. The first and second ends are mutually positioned for the first end to reside within the vessel and opposing a wall of the vessel when the conduit is placed within the heart wall with the second end protruding into the chamber. The conduit wall is formed of a material sufficiently rigid to resist deformation and closure of the pathway in response to contraction of the heart wall. A flow restriction is formed in the pathway for reducing a discharge velocity of blood flow discharged from the first end.

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