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    • 1. 发明授权
    • Cardiac constraint jacket construction
    • 心脏约束夹克结构
    • US6155972A
    • 2000-12-05
    • US241706
    • 1999-02-02
    • Kay A. NauertzJames E. CoxMichael J. Girard
    • Kay A. NauertzJames E. CoxMichael J. Girard
    • A61F2/00A61F13/00
    • A61F2/2481A61F2002/0068
    • A jacket for placement over a heart to constrain congestive heart failure related expansion includes a biocompatible fabric formed into a pouch having a base end and an apical end with an interior of the pouch sized to receive a patient's heart. The base end has a peripheral edge defining a base opening sized to pass an apex of the heart through the base opening. The heart is slipped into the interior of the pouch with the apical end facing the apex of the heart and with the base end facing toward a base of the heart. At the base end, the fabric is folded over for the peripheral edge to have at least a double layer of the fabric. The double layer terminates at a free edge on an outer surface of the pouch and is spaced from the peripheral edge. In an additional embodiment, the fabric includes a side edge of opposing fabric surfaces extending from the apical end to the base end. The opposing fabric surfaces are joined by a stitch assembly. The stitch assembly includes a first stitch line spaced from free edges of the surfaces to define a junction of the fabric surfaces. The free edges are folded back onto the fabric surfaces to define at least a double layer of fabric on opposite sides of the junction. A second stitch line is placed over the junction and through the double layers on the opposite sides of the junction.
    • 用于放置在心脏上以限制充血性心力衰竭相关扩张的护套包括形成为具有基端和顶端的生物相容性织物,其具有尺寸适于接纳患者心脏的袋的内部。 基端具有限定基部开口的外围边缘,该基部开口的尺寸适于使心脏的顶点通过基部开口。 心脏被滑入袋的内部,其顶端面向心脏的顶点,并且基端朝向心脏的基部。 在基端,将织物折叠成外围边缘以至少具有双层织物。 双层在袋的外表面上的自由边缘终止并且与周边边缘隔开。 在另外的实施例中,织物包括从顶端延伸到基端的相对织物表面的侧边缘。 相对的织物表面通过缝合组件接合。 缝合组件包括与表面的自由边缘间隔开以限定织物表面的接合处的第一缝合线。 自由边缘被折回到织物表面上以在结的相对侧上限定至少一层双层织物。 第二针迹线放置在结点上方,并穿过连接处相对两侧的双层。