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    • 2. 发明申请
    • ACTIVATION DEVICE FOR DYNAMIC RING MANIPULATION
    • 用于动态环控制的激活装置
    • WO2007111972A3
    • 2008-08-07
    • PCT/US2007007194
    • 2007-03-23
    • MICARDIA CORPSHAOLIAN SAMUELTRAN JASONMOADDEB SHAHRAMBUCHBINDER MAURICEZARBATANY DAVID
    • SHAOLIAN SAMUELTRAN JASONMOADDEB SHAHRAMBUCHBINDER MAURICEZARBATANY DAVID
    • A61N1/00
    • A61F2/2445A61F2/2466A61F2250/0001
    • An activation device for applying energy to an implanted annuloplasty ring is described. The activation device includes an outer elongate member having an outer elongate member distal end and an outer elongate member proximal end, and a lumen therebetween, wherein the inner elongate member is slidably insertable through the lumen of the outer member. The activation device further includes at least one adjustable spline having spline proximal and spline distal ends, the spline distal end connected to the inner tubular member distal end and the spline proximal end connected to the outer tubular member distal end, wherein the adjustable spline is configured to flex as the inner tubular member distal end is drawn proximally toward the outer tubular member distal end while the inner elongate member resides in the lumen of the outer elongate member. The activation device further includes at least one energy-transfer element coupled to the adjustable spline.
    • 描述了一种用于向植入的瓣膜成形术环施加能量的激活装置。 激活装置包括具有外部细长构件远端和外部细长构件近端的外部细长构件和其间的内腔,其中内部细长构件可滑动地插入通过外部构件的内腔。 激活装置还包括具有花键近端和花键远端的至少一个可调节花键,所述花键远端连接到内管状构件远端,花键近端连接到外管状构件远端,其中可调节花键配置 当内部细长构件位于外部细长构件的内腔中时,内部管状构件远端朝向外侧管状构件远端被拉近。 激活装置还包括耦合到可调节花键的至少一个能量传递元件。
    • 3. 发明申请
    • LEFT ATRIAL BALLOON CATHETER
    • 左侧气囊导管
    • WO2007033360A2
    • 2007-03-22
    • PCT/US2006035981
    • 2006-09-13
    • MICARDIA CORPMOADDEB SHAWNRHEE RICHARDANDERSON STEVE
    • MOADDEB SHAWNRHEE RICHARDANDERSON STEVE
    • A61F2/24A61F2/958
    • A61F2/2448A61F2/2466A61F2250/0004
    • Systems, methods and devices are provided for activation of an adjustable annuloplasty device. The devices may include a catheter system (3020) for percutaneously activating an adjustable annuloplasty device (3000), including a handle assembly (3052), a shaft assembly (3050) having at least one fluid lumen (3084), and a distal element (3004). The shaft assembly (3050) extends between the handle assembly (3052) and the distal element (3004), the distal element (3004) being in fluid communication with the handle assembly (3052) via the at least one fluid lumen (3084). The distal element (3004) includes an elongated core (3074) having a first port (3381) and an expandable member (3070). The core (3074) extends through the expandable member (3070) and the expandable member (3070) is movable between a collapsed position and an inflated position.
    • 提供了用于激活可调节瓣环成形术装置的系统,方法和装置。 装置可以包括用于经皮激活可调节瓣环成形术装置(3000)的导管系统(3020),包括手柄组件(3052),具有至少一个流体腔(3084)的轴组件(3050)和远端元件 3004)。 轴组件(3050)在手柄组件(3052)和远侧元件(3004)之间延伸,远端元件(3004)经由至少一个流体腔(3084)与手柄组件(3052)流体连通。 远侧元件(3004)包括具有第一端口(3381)和可膨胀构件(3070)的细长芯(3074)。 芯(3074)延伸穿过可膨胀构件(3070),并且可膨胀构件(3070)可在折叠位置和膨胀位置之间移动。
    • 9. 发明申请
    • METHODS AND SYSTEMS FOR CARDIAC REMODELING VIA RESYNCHRONIZATION
    • 通过再次心脏再造的方法和系统
    • WO2008006002A3
    • 2008-12-31
    • PCT/US2007072786
    • 2007-07-03
    • MICARDIA CORPMOADDEB SHAHRAMSHAOLIAN SAMUEL MSHAOULIAN EMANUEL
    • MOADDEB SHAHRAMSHAOLIAN SAMUEL MSHAOULIAN EMANUEL
    • A61N1/00
    • A61N1/3627A61N1/0597A61N1/3622A61N1/3968
    • Systems, methods and devices are provided for improving the hemodynamic efficiency of a patient's heart by implanting one or more reinforcement elements on or with the heart and providing electrical stimulation to the heart. The reinforcement elements may include magnetic and/or shape memory material and are configured to reshape the heart so as to boost the heart's mechanical energy during a response to the electrical stimulation. In some embodiments, at least one reinforcement element includes an electrode configured to sense electrocardiogram signals within the heart. An electrical stimulation device such as an implantable or external pacemaker/defibrillator may be configured to control delivery of electrical pulses to the heart based on the sensed electrocardiogram signals. In addition, or in other embodiments, at least one reinforcement element includes an electrode configured to deliver the electrical pulses to the heart.
    • 提供了系统,方法和装置,用于通过在心脏上或与心脏一起植入一个或多个增强元件并向心脏提供电刺激来改善患者心脏的血液动力学效率。 加强元件可以包括磁性和/或形状的记忆材料,并且被配置成重塑心脏,以便在对电刺激的响应期间增强心脏的机械能。 在一些实施例中,至少一个加强元件包括被配置为感测心脏内的心电图信号的电极。 诸如植入式或外部起搏器/除颤器之类的电刺激装置可以被配置成基于感测到的心电图信号来控制向心脏的电脉冲的传递。 另外或在其它实施例中,至少一个加强元件包括被配置为将电脉冲传送到心脏的电极。
    • 10. 发明申请
    • ADJUSTABLE CARDIAC VALVE IMPLANT WITH SELECTIVE DIMENSIONAL ADJUSTMENT
    • 可调心脏瓣膜植入物选择性尺寸调整
    • WO2006012013A3
    • 2006-12-28
    • PCT/US2005021141
    • 2005-06-15
    • MICARDIA CORPRHEE RICHARDSHAOULIAN EMANUELMOADDEB SHAHRAMSHAOLIAN SAMUEL
    • RHEE RICHARDSHAOULIAN EMANUELMOADDEB SHAHRAMSHAOLIAN SAMUEL
    • A61F2/24A61F2/00A61F2/02
    • A61F2/2448A61F2/2445A61F2210/0014A61F2210/0023A61F2250/0001A61F2250/0004A61F2250/0082
    • Methods and devices are provided for support of a body structure. The devices can be adjusted within the body of a patient in a minimally invasive or non-invasive manner such as by applying energy percutaneously or external to the patient's body. The energy may include, for example, acoustic energy, radio frequency energy, light energy and magnetic energy. Thus, as the body structure changes size and/or shape, the size and/or shape of the devices can be adjusted to provide continued reinforcement. In one embodiment, an annuloplasty ring (1826) includes an anterior portion, a posterior portion and two lateral portions corresponding to intersections of the anterior portion and the posterior portion. The annuloplasty ring (1826) has a first shape in a first configuration and a second shape in a second configuration and is configured to transform from the first configuration to the second configuration in response to an activation energy applied thereto. The transformation is configured to reduce a distance between the anterior portion and the posterior portion without substantially decreasing a distance between the two lateral portions.
    • 提供了用于支持身体结构的方法和设备。 可以以微创或非侵入方式在患者身体内调整装置,例如通过经皮或外部施加能量到患者身体。 能量可以包括例如声能,射频能量,光能和磁能。 因此,随着身体结构改变尺寸和/或形状,可以调整装置的尺寸和/或形状以提供连续的增强。 在一个实施例中,瓣环成形术环(1826)包括前部,后部和对应于前部和后部的交点的两个侧部。 瓣环成形术环(1826)具有第一构型的第一形状和第二构型的第二形状,并且构造成响应于施加到其上的激活能量从第一构型转变为第二构型。 该变换被配置成减小前部和后部之间的距离而基本上不减小两个侧部之间的距离。