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    • 1. 发明授权
    • Cardiac compression band-stay-pad assembly and method of replacing the
same
    • 心脏压迫带 - 垫组件及其替代方法
    • US5558617A
    • 1996-09-24
    • US341188
    • 1994-11-18
    • Marlin S. HeilmanSteve A. KolenikChristopher D. CaponeCarl M. ParisiEdward K. PremVernon L. Speicher
    • Marlin S. HeilmanSteve A. KolenikChristopher D. CaponeCarl M. ParisiEdward K. PremVernon L. Speicher
    • A61M1/10A61H31/00
    • A61M1/1068A61M1/1046
    • A ventricular assist device for a heart includes a compression band-stay-pad assembly for encircling substantially the heart perimeter and comprising an elongated band member or chain disposed in a sealed protective structure filled with a lubricating medium. The band member may be fixed at one end and wound upon, or unwound from, a rotatable spool by a drive motor through a speed reducer. Force-transmitting support or stay assemblies are disposed in the protective structure between the band member and a resilient pad assembly for encircling the heart and promoting heart tissue ingrowth therein. The force-transmitting stay assemblies are biased circumferentially, and thus radially outward, by compression return springs disposed therebetween. The resilient pad assembly includes a corrugated surface provided with vertical coil springs, which help prevent damage to heart tissue and facilitate return of the pad assembly to an initial condition, embedded defibrillator electrodes and relatively soft portions to prevent damage to coronary arteries. The device may be constructed so that it can be surgically removed, except for a sealing film and an ingrown pad assembly, which remain in situ on the heart. A net structure suspended below the device supports the apical portion of the heart. In certain embodiments, power or motor devices are provided between respective ones of the force-transmitting stay assemblies to contract and expand the device. The circumferential length of the assembly may be adjustable and/or may comprise two band members movable in opposite directions.
    • 用于心脏的心室辅助装置包括用于围绕心脏周边环绕的压缩带状拉杆组件,并且包括设置在填充有润滑介质的密封保护结构中的细长带状构件或链条。 带构件可以固定在一端,并通过驱动电动机通过减速器缠绕在可旋转的卷轴上或从其释放。 力传递支撑件或支撑组件设置在带构件和弹性垫组件之间的保护结构中,用于环绕心脏并促进其中的心脏组织向内生长。 力传递支柱组件通过设置在它们之间的压缩复位弹簧周向地偏置,并因此被径向向外偏压。 弹性垫组件包括具有垂直螺旋弹簧的波纹表面,其有助于防止对心脏组织的损伤并且便于将垫组件返回到初始状态,嵌入的除颤器电极和相对较软的部分以防止损伤冠状动脉。 该装置可以被构造成使得其可被外科手术除去,除了保留在心脏上的原位的密封膜和内嵌垫组件。 悬挂在装置下面的网状结构支撑心脏的顶端部分。 在某些实施例中,功率或电动机装置设置在相应的力传递支架组件之间以收缩并膨胀该装置。 组件的圆周长度可以是可调节的和/或可以包括可沿相反方向移动的两个带状构件。
    • 2. 发明授权
    • Biocompatible ventricular assist and arrhythmia control device including
cardiac compression band-stay-pad assembly
    • 生物相容性心室辅助和心律失常控制装置,包括心脏压迫带 - 垫组件
    • US5383840A
    • 1995-01-24
    • US920732
    • 1992-07-28
    • Marlin S. HeilmanSteve A. KolenikChristopher D. CaponeCarl M. ParisiEdward K. PremVernon L. Speicher
    • Marlin S. HeilmanSteve A. KolenikChristopher D. CaponeCarl M. ParisiEdward K. PremVernon L. Speicher
    • A61M1/10A61H31/00
    • A61M1/1068A61M1/1046
    • A ventricular assist device for a heart includes a compression band-stay-pad assembly for encircling substantially the entire heart perimeter and comprising an elongated band member or chain disposed in a sealed protective structure filled with a lubricating medium. The band member may be fixed at one end and wound upon, or unwound from, a rotatable spool by a drive motor through a speed reducer. Force-transmitting support or stay assemblies are disposed in the protective structure between the band member and a resilient pad assembly for encircling the heart and promoting heart tissue ingrowth therein. The force-transmitting stay assemblies are biased circumferentially, and thus radially outward, by compression return springs disposed therebetween. The resilient pad assembly includes a corrugated surface provided with vertical coil springs, which help prevent damage to heart tissue and facilitate return of the pad assembly to an initial condition, embedded defibrillator electrodes and relatively soft portions to prevent damage to coronary arteries. The device may be constructed so that it can be surgically removed, except for a sealing film and an ingrown pad of the resilient pad assembly, which remain in situ on the heart. A net structure suspended below the device supports the apical portion of the heart.
    • 用于心脏的心室辅助装置包括用于围绕基本上整个心脏周边的压缩带状支架组件,并且包括设置在填充有润滑介质的密封保护结构中的细长带状构件或链条。 带构件可以固定在一端,并通过驱动电动机通过减速器缠绕在可旋转的卷轴上或从其释放。 力传递支撑件或支撑组件设置在带构件和弹性垫组件之间的保护结构中,用于环绕心脏并促进其中的心脏组织向内生长。 力传递支柱组件通过设置在它们之间的压缩复位弹簧周向地偏置,并因此被径向向外偏压。 弹性垫组件包括具有垂直螺旋弹簧的波纹表面,其有助于防止对心脏组织的损伤并且便于将垫组件返回到初始状态,嵌入的除颤器电极和相对较软的部分以防止损伤冠状动脉。 除了保留在心脏上的弹性垫组件的密封膜和内衬垫之外,该装置可被构造成能够手术除去。 悬挂在装置下面的网状结构支撑心脏的顶端部分。
    • 3. 发明授权
    • Biocompatible ventricular assist and arrhythmia control device including
cardiac compression pad and compression assembly
    • 生物相容性心室辅助和心律失常控制装置,包括心脏压缩垫和压缩组件
    • US5098369A
    • 1992-03-24
    • US522956
    • 1990-05-14
    • Marlin S. HeilmanSteve A. KolenikChristopher D. CaponeCarl M. ParisiEdward K. PremVernon L. Speicher
    • Marlin S. HeilmanSteve A. KolenikChristopher D. CaponeCarl M. ParisiEdward K. PremVernon L. Speicher
    • A61M1/10A61M1/12A61N1/362
    • A61M1/1068A61M1/1046A61M1/127A61N1/3627
    • A ventricular assist device may include a cardiac compression assembly which comprises a gel-filled pad of generally concave configuration, mounted on a pressure plate with peripheral portions of the pad extending beyond the periphery of the plate, to preclude damage to the heart by the peripheral edges of the plate. The gel-filled pad may have undulating opposite sides formed by intersecting rows of raised dimples. The pad also includes portions for suturing the pad to a heart ventricle, and at least some of the dimples on the side of the pad facing the heart ventricle are provided with ventricle tissue growth-promoting islands. An electrode, in the form of a grid having intersecting strips which define dimple-receiving openings therebetween, also may be mounted on the venticle side of the pad. As many as eight circumferentially arranged cardiac compression assemblies, having lower ends pivotally mounted on a support member adapted to be located adjacent the apex of a heart ventricle, may be provided. Operating systems for operating the cardiac compression assemblies may include a motor-driven camming mechanism; a mechanism comprising a device for converting electrical energy to hydraulic fluid energy, two sealed fluid systems, a reversible pump, two bellows and a safety solenoid pump-bypass fluid return valve; or a closed loop system comprising a reversible pump in a fluid supply casing, a hydraulic fluid manifold including a plurality of miniature fluid actuators which may be of arcuate construction to conserve space, and a mechanism for collecting fluid leaking from the actuators and returning it to the fluid supply casing.
    • 心室辅助装置可以包括心脏压缩组件,该心脏压缩组件包括一个大致凹形构型的凝胶填充垫,安装在压板上,垫的周边部分延伸超过板的周边,以排除周边的心脏损伤 板的边缘。 凝胶填充的垫可以具有由凸起的凹坑的相交行形成的起伏的相对侧。 衬垫还包括用于将垫缝合到心室的部分,并且面向心室的衬垫侧面上的至少一些凹窝设置有心室组织生长促进岛。 具有在其间限定凹坑接收开口的相交条带的网格形式的电极也可以安装在垫的通气面上。 可以提供多达八个周向布置的心脏压缩组件,其具有可枢转地安装在适于邻近心脏心尖的位置定位的支撑构件上的下端。 用于操作心脏压缩组件的操作系统可以包括马达驱动的凸轮机构; 包括用于将电能转换成液压流体能量的装置的机构,两个密封流体系统,可逆泵,两个波纹管和安全螺线管泵旁通流体回流阀; 或包括流体供应壳体中的可逆泵的闭环系统,包括可以具有弓形结构以节省空间的多个微型流体致动器的液压流体歧管以及用于收集从致动器泄漏的流体并将其返回到 流体供应套管。