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    • 3. 发明授权
    • Heart valve holder that resist suture looping
    • 心脏瓣膜支架阻止缝合环
    • US06964682B2
    • 2005-11-15
    • US09745386
    • 2000-12-21
    • Diana Nguyen-Thien-NhonMyron Howanec, Jr.Ralph KafesjianDelos M. CosgroveRobert StobieHung Ly Lam
    • Diana Nguyen-Thien-NhonMyron Howanec, Jr.Ralph KafesjianDelos M. CosgroveRobert StobieHung Ly Lam
    • 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。