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    • 10. 发明授权
    • Cardiac valve procedure methods and devices
    • 心脏瓣膜手术方法和装置
    • US09101470B2
    • 2015-08-11
    • US11115064
    • 2005-04-26
    • Gregory H. LambrechtJohn LiddicoatRobert Kevin Moore
    • Gregory H. LambrechtJohn LiddicoatRobert Kevin Moore
    • A61F2/24
    • A61F2/2418A61F2/2412A61F2/2427A61F2220/0016A61F2250/0059
    • The present invention discloses devices and methods for performing intravascular procedures without cardiac bypass. The devices include various embodiments of temporary filter devices, temporary valves, and prosthetic valves.The temporary filter devices have one or more cannulae which provide access for surgical tools for effecting repair of the cardiac valves. A cannula may have filters of various configurations encircling the distal region of the cannula, which prevent embolitic material from entering the coronary arteries and aorta.The temporary valve devices may also have one or more cannulae which guide the insertion of the valve into the aorta. The valve devices expand in the aorta to occupy the entire flow path of the vessel. In one embodiment, the temporary valve is a disc of flexible, porous, material that acts to filter blood passing therethrough. A set of valve leaflets extend peripherally from the disc. These leaflets can alternately collapse to prevent blood flow through the valve and extend to permit flow.The prosthetic valves include valve fixation devices which secure the prosthetic valve to the wall of the vessel. In one embodiment, the prosthetic valves have at least one substantially rigid strut, at least two expandable fixation rings located about the circumference of the base of the apex of the valve, and one or more commissures and leaflets. The prosthetic valves are introduced into the vascular system a compressed state, advanced to the site of implantation, expanded and secured to the vessel wall.
    • 本发明公开了一种在没有心脏旁路的情况下执行血管内手术的装置和方法。 这些装置包括临时过滤装置,临时阀和假肢阀的各种实施例。 临时过滤器装置具有一个或多个套管,其提供用于外科手术工具的进入以实现心脏瓣膜的修复。 套管可以具有围绕套管的远侧区域的各种构造的过滤器,其防止栓塞材料进入冠状动脉和主动脉。 临时阀装置还可以具有一个或多个引导阀插入主动脉的套管。 瓣膜装置在主动脉中扩张以占据血管的整个流动路径。 在一个实施例中,临时阀是柔性多孔材料的盘,其用于过滤血液中的血液。 一组瓣叶从圆盘外围延伸。 这些传单可以交替塌缩,以防止血液流过阀门并延伸以允许流动。 假体瓣膜包括固定假体瓣膜至血管壁的瓣膜固定装置。 在一个实施例中,人造瓣膜具有至少一个基本上刚性的支柱,围绕阀的顶点的基部的圆周定位的至少两个可扩张的固定环,以及一个或多个连合和传单。 人造瓣膜被引入血管系统中的压缩状态,前进到植入部位,扩张并固定到血管壁。