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    • 2. 发明专利
    • Stentless bioprosthetic heart valve with coronary protuberances
    • 具有冠状动脉粥样硬化的无菌生物心脏瓣膜
    • JP2005230580A
    • 2005-09-02
    • JP2005147913
    • 2005-05-20
    • Edwards Lifesciences Corpエドワーズ ライフサイエンシーズ コーポレイションEdwards Lifesciences Corporation
    • NGUYEN-THIEN-NHON DIANA
    • A61F2/24
    • A61F2/2412A61F2250/0097
    • PROBLEM TO BE SOLVED: To provide a new stentless bioprosthesis which includes non-ligated coronary artery segments fixed in an unligated, natural configuration, such that patient's endogenous coronary arteries may be anastomosed directly thereto. SOLUTION: This is a tanned stentless bioprosthetic heart valve: collected from an animal of mammal donor and tanned organization which includes an aorta having a wall, an inlet end, an outlet end, a lumen extended therethrough, and right and left coronary segments outward extended from the aorta segment which coronary segments have opening coronary lumens fixed by an almost natural anatomical structure and extended in the longitudinal direction therethrough, as a result, is equipped with an organ in which some blood flowing into the aorta segment can flow outward through the coronary lumen: and a plurality of valve leaflets placed in the aorta segment. COPYRIGHT: (C)2005,JPO&NCIPI
    • 要解决的问题:提供一种新的无支架生物假体,其包括固定为未经配置的自然构型的非结扎冠状动脉段,使得患者的内源性冠状动脉可以直接与其吻合。

      解决方案:这是一种鞣制的无支架生物假体心脏瓣膜:从哺乳动物供体和鞣制组织的动物收集,其包括具有壁,入口端,出口端,延伸穿过其的内腔和左冠状动脉和左冠状动脉的主动脉 从主动脉段向外延伸的部分,冠状动脉段具有通过几乎天然的解剖结构固定的开放性冠状动脉腔,并且在纵向方向上延伸,结果,配备有流入主动脉段的一些血液可以向外流动的器官 通过冠状动脉腔和多个放置在主动脉段中的瓣叶。 版权所有(C)2005,JPO&NCIPI

    • 5. 发明申请
    • HEART VALVE HOLDER THAT RESISTS SUTURE LOOPING
    • 心脏保持器,能抵抗环绕
    • WO0249545A2
    • 2002-06-27
    • PCT/US0149025
    • 2001-12-13
    • EDWARDS LIFESCIENCES CORP
    • NGUYEN-THIEN-NHON DIANAHOWANEC MYRON JRKAFESJIAN RALPHCOSGROVE DELOS MSTOBIE ROBERTLAM HUNG LY
    • A61F2/24A61F2/48
    • A61F2/2427A61F2/2412
    • An improved holder, system and method for implanting a tissue-type prosthetic mitral heart valve that prevents suture looping and may also constrict the commissure posts of the valve. The holder may include two relatively movable plates, one of which attaches to the valve sewing on the inflow end of the valve ring and the other which attaches via sutures or similar expedient to the valve commissures on the outflow end. Separation of the plates places the sutures in tension and constricts the commissures. The sutures may be strands or filaments, or may be wider bands of flexible biocompatible material. If bands are used, they desirably cover the commissure post tips to further help prevent suture looping thereover. The flexible lengths of material extend directly between commissures of the valve, or may extending radially inward from each commissure to a central upstanding member. Desirably, a slide is created by the flexible lengths of material adjacent each commissure post, for example by crossing over suture filaments at or radially inward from the commissure posts. If an upstanding member is used, the lengths of suture extend axially beyond the commissure post tips to create a tent that wards off sutures that otherwise might loop around the tips during advancement of the valve along an array of pre-implanted sutures.
    • 改进的用于植入组织型假体二尖瓣心脏瓣膜的保持器,系统和方法,其防止缝合线环绕并且还可以约束瓣膜的连合柱。 保持器可以包括两个相对可移动的板,其中一个连接到阀环的流入端上的阀缝合,另一个通过缝合线或类似的方式附接到流出端上的阀连接。 板的分离使缝合线处于紧张状态并限制合缝。 缝合线可以是股线或长丝,或者可以是更宽的柔性生物相容性材料带。 如果使用条带,它们理想地覆盖连合后端,以进一步有助于防止缝合在其上。 柔性长度的材料在阀的连合之间直接延伸,或者可以从每个连接处径向向内延伸到中心直立构件。 期望地,通过邻近每个连合柱的柔性长度的材料产生滑块,例如通过在接合柱上或径向向内穿过缝合线。 如果使用直立的构件,则缝合线的长度轴向延伸超过连合后端,以产生防止缝合线的帐篷,否则,可以沿着预先植入的缝合线阵列推进阀门周围的尖端。
    • 6. 发明申请
    • FLEXIBLE HEART VALVE
    • 灵活的心脏瓣膜
    • WO0042950A3
    • 2000-11-30
    • PCT/US0001855
    • 2000-01-26
    • EDWARDS LIFESCIENCES CORP
    • CARPENTIER ALAIN FSCHRECK STEFAN GRHEE RICHARD SNGUYEN-THIEN-NHON DIANALAM HUNG LYRECKTENWALD WILLIAM
    • A61F2/24
    • A61F2/2418A61F2/2412A61F2/2427A61F2220/005A61F2220/0066A61F2230/0013A61F2230/0023Y10S623/904
    • A highly flexible tissue-type heart valve is disclosed having a structural stent in a generally cylindrical configuration with cusps and commissures that are permitted to move radially. The stent commissures are constructed so that the cusps are pivotably or flexibly coupled together at the commissures to permit relative movement therebetween. The stent may be cloth-covered and may be a single element or may be made in three separate elements for a three cusp valve, each element having a cusp portion and two commissure portions; adjacent commissure portions for each pair of adjacent stent element combining to form the stent commissures. If the stent has separate elements their commissure portions may be pivotably or flexibly coupled, or may be designed to completely separate into independent leaflets at bioresorbable couples. The cloth covering may have an outwardly projecting flap that mates with valve leaflets (e.g., pericardial leaflets) along the cusps and commissures. A connecting band may be provided that follows the cusps and commissures and extends outwardly. The valve is connected to the natural tissue along the undulating connecting band using conventional techniques, such as sutures. The connecting band may be a cloth-covered silicon member and attaches to the underside of the valve at the cusps to provide support to the stent and to the outer side of the valve at the commissures. A multi-legged holder is used to implant the valve, with the legs serving to maintain an implant shape to the valve. The holder may have six legs with one releasably connected to each cusp and one releasably connected to each commissure. A method of implantation of the flexible valve using the holder is also disclosed.
    • 公开了一种高度灵活的组织型心脏瓣膜,其具有大致圆柱形构造的结构支架,其具有允许径向移动的尖端和连合。 支架接合构造成使得尖端在连合处可枢转地或柔性地联接在一起以允许它们之间的相对运动。 支架可以是布覆盖的,并且可以是单个元件,或者可以用于三个阀瓣的三个单独的元件,每个元件具有尖部和两个连合部分; 每对相邻支架元件的相邻连合部分组合以形成支架连合。 如果支架具有单独的元件,则其连合部分可以可枢转地或柔性地联接,或者可以被设计成在生物可再吸收的对处完全分离成独立的叶片。 布覆盖物可以具有向外突出的翼片,其与沿着尖端和连合处的瓣叶(例如心包传单)配合。 可以提供连接带,其沿着尖端和连接并且向外延伸。 使用诸如缝合线的常规技术,瓣膜沿起伏的连接带连接到天然组织。 连接带可以是布覆盖的硅构件,并且在尖端处附接到阀的下侧,以在连合处向支架和阀的外侧提供支撑。 多腿支架用于植入瓣膜,腿部用于保持植入物的形状。 保持器可以具有六个腿,一个可释放地连接到每个尖端,并且一个可释放地连接到每个连合部。 还公开了使用保持器植入柔性阀的方法。
    • 9. 发明专利
    • FLEXIBLE HEART VALVE
    • CA2358521C
    • 2009-12-29
    • CA2358521
    • 2000-01-26
    • EDWARDS LIFESCIENCES CORP
    • SCHRECK STEFAN GCARPENTIER ALAIN FRECKTENWALD WILLIAMRHEE RICHARD SLAM HUNG LYNGUYEN-THIEN-NHON DIANA
    • A61F2/24A61L27/38
    • A highly flexible tissue-type heart valve is disclosed having a structural stent in a generally cylindrical configuration with cusps and commissures that are permitted to move radially. The stent commissures are constructed so that the cusps are pivotably or flexibly coupled together at the commissures to permit relative movement therebetween. The stent may be cloth- covered and may be a single element or may be made in three separate elements for a three cusp valve, each element having a cusp portion and two commissure portions; adjacent commissure portions for each pair of adjacent stent element combining to form the stent commissures. If the stent has separate elements their commissure portions may be pivotably or flexibly coupled, or may be designed to completely separate into independent leaflets at bioresorbable couples. The cloth covering may have an outwardly projecting flap that mates with valve leaflets (e.g., peri- cardial leaflets) along the cusps and commissures. A connecting band may be provided that follows the cusps and commissures and extends outwardly. The valve is connected to the natural tissue along the undulating connecting band using conventional techniques, such as sutures. The connecting band may be a cloth-covered silicon member and attaches to the underside of the valve at the cusps to provide support to the stent and to the outer side of the valve at the commissures. A multi-legged holder is used to implant the valve, with the legs serving to maintain an implant shape to the valve. The holder may have six legs with one releasably connected to each cusp and one releasably connected to each commissure. A method of implantation of the flexible valve using the holder is also disclosed.