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    • 1. 发明申请
    • A METHOD OF MAKING A LEFT VENTRICULAR ASSIST DEVICE
    • 制造左心室辅助装置的方法
    • WO1996040312A1
    • 1996-12-19
    • PCT/US1996009759
    • 1996-06-07
    • W.L. GORE & ASSOCIATES, INC.
    • W.L. GORE & ASSOCIATES, INC.CAMPBELL, Michael, L.DAUGHERTY, John, R.SHAW, Edward, E.VILLALPANDO, Pete, L.
    • A61M01/10
    • A61M1/1037A61M1/1001A61M1/1003A61M1/1018A61M1/106A61M1/1068A61M1/107A61M1/1074A61M1/1086A61M1/1087A61M1/12A61M1/127A61M2205/33A61M2205/3303
    • A method of making a left ventricular assist device (LVAD) using muscle wrapped around a mandrel to form a muscle pouch, the open end of which is sewn to a circular sheet of patch material having connections to one end of each of a pair of vascular grafts, or alternatively to one end of a single vascular graft. The second ends of these vascular grafts are used to connect the LVAD to the aorta. After the muscle pouch has been formed around the mandrel, the mandrel is removed and replaced by a balloon which is inserted into the muscle pouch and inflated to maintain the desired shape of the muscle pouch during healing and stimulation of the pouch. The balloon is subsequently removed preceding activation of theLVAD to allow it to begin pumping blood. Alternatively, various other shape-maintaining forms which are expandable and collapsible may be used in place of the balloon. In another alternative embodiment, an additional strip of latissimus dorsi or other appropriate muscle or a mechanical clamping device may be used to synchronously compress the aorta between the ends of the vascular grafts anastomosed to the aorta.
    • 使用围绕心轴缠绕的肌肉来制造左心室辅助装置(LVAD)的方法,以形成肌肉袋,其开口端被缝合到具有与一对血管的每一个的一端连接的补片材料的圆形片 移植物,或者替代为单个血管移植物的一端。 这些血管移植物的第二端用于连接LVAD与主动脉。 在心轴周围形成肌肉袋之后,心轴被移除,并被插入肌肉袋中的气球代替,并且在愈合和刺激小袋期间充气以保持肌肉袋的所需形状。 随后在激活VAD之前移除气囊,以使其开始抽血。 或者,可以使用可膨胀和可折叠的各种其它形状保持形式来代替气球。 在另一替代实施例中,可以使用额外的背阔肌或其他适当的肌肉或机械夹紧装置的条带来同步地压缩主动脉在与主动脉吻合的血管移植物的端部之间。