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    • 5. 发明申请
    • Medical Device Delivery System Having Integrated Introducer
    • 具有综合介绍者的医疗器械输送系统
    • US20100081867A1
    • 2010-04-01
    • US12565669
    • 2009-09-23
    • Matthew G. FishlerAlan R. KlenkJoshua WallinPeter M. Martin
    • Matthew G. FishlerAlan R. KlenkJoshua WallinPeter M. Martin
    • A61F2/00
    • A61B17/00234A61B17/0293A61B17/3468A61B2017/00243A61B2017/308A61F2/2481A61F2002/2484
    • An apparatus for delivering a medical device onto a heart includes a housing within which is releasably disposed the medical device. The housing in one embodiment comprises inner and outer deflectors between which is delivered the medical device. Both deflectors are self-expanding. A deflector compression sheath is slidable longitudinally over the housing to a delivery position at which it moves the deflectors to a collapsed configuration. The compression sheath is retracted to a deployment position to permit the deflectors to deploy by self-expanding to their larger diameters. The outer deflector has an expanded diameter sufficient to engage the inner surface of the pericardium to hold it away from the delivery site while the second deflector guides the medical device into position over the heart while protecting the heart. In another embodiment, the housing includes only an outer deflector. The apparatus also functions as an introducer when the compression sheath is moved to the delivery or “introducer” position at which configuration, the apparatus functions as an introducer.
    • 用于将医疗装置递送到心脏上的装置包括壳体,其中可释放地设置在医疗装置上。 一个实施例中的壳体包括内部和外部偏转器,在其间输送医疗装置。 两个导流板都是自扩展的。 偏转器压缩护套可以在壳体上纵向滑动到输送位置,在该输送位置,偏转器将偏转器移动到收缩构型。 压缩护套缩回到展开位置,以允许偏转器通过自扩张而展开成较大的直径。 外导流器具有足以接合心包内表面的扩张直径以将其远离输送部位,而第二导流器将医疗装置引导到心脏上方的位置,同时保护心脏。 在另一个实施例中,壳体仅包括外部偏转器。 当压缩护套移动到输送或“导引器”位置时,该装置还用作导引器,在该位置处,该装置用作导引器。
    • 7. 发明申请
    • Introducer for a cardiac harness delivery
    • 导管员用于心脏线束传送
    • US20050256368A1
    • 2005-11-17
    • US11187276
    • 2005-07-21
    • Alan KlenkJoshua Wallin
    • Alan KlenkJoshua Wallin
    • A61B17/00A61B17/30A61F2/00A61F13/00
    • A61B17/00234A61B2017/00238A61B2017/00243A61B2017/00247A61B2017/308A61B2018/00392A61F2/2481A61F2002/2484
    • A system for creating a passage through the pericardium of a patient to permit access of a cardiac harness delivery device, including a tubular introducer sleeve and a tubular dilator sleeve insertable into the introducer sleeve. The introducer sleeve has a slot and a distal portion biased in a reduced opening. The distal end being positioned within an incision through the pericardium. Insertion of the dilator sleeve into the introducer sleeve causes it to push outwardly against the reduced opening, thereby expanding the reduced opening of the introducer sleeve sufficiently to permit a cardiac harness delivery device to access the epicardium. The introducer sleeve is releasably locked to the dilator sleeve by operation of a slot on the introducer sleeve and a protrusion on the dilator sleeve, which slides within the slot. The slot has detents that releasably lock the dilator sleeve at alternative positions within the introducer sleeve, thereby maintaining the reduced opening or, alternatively, the expanded opening to facilitate operation of a cardiac harness delivery device.
    • 一种用于创建穿过患者心包通道的系统,以允许进入心脏线束输送装置,包括管状导引器套筒和可插入导引套筒的管状扩张器套筒。 引导器套筒具有狭槽和偏置在减小的开口中的远端部分。 远端位于穿过心包的切口内。 将扩张器套筒插入引导器套筒中使其向外推动减小的开口,从而充分地扩大导引套筒的减小的开口,以允许心脏线束递送装置进入心外膜。 引导器套筒通过操作导引器套管上的狭缝和扩张器套筒上的突起而可释放地锁定到扩张器套筒,该突起部在狭槽内滑动。 狭槽具有可释放地将扩张器套管锁定在引导器套筒内的替代位置处的棘爪,从而保持减小的开口,或者替换地,扩张开口以便于心脏线束递送装置的操作。