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81. 发明申请

WO2009026528A1 UTERINE THERAPY DEVICE AND METHOD 审中-公开
标题翻译：子宫治疗装置和方法
公开(公告)号：WO2009026528A1
公开(公告)日：2009-02-26
申请号：PCT/US2008/074039
申请日：2008-08-22
申请人： AEGEA MEDICAL, INC. , SHARKEY, Hugh, R. , REYES, Ramiro , SPARKS, Kurt, D.
发明人： SHARKEY, Hugh, R. , REYES, Ramiro , SPARKS, Kurt, D.
IPC分类号： A61B18/04 , A61B18/00
CPC分类号： A61B18/04 , A61B2017/3425 , A61B2017/4216 , A61B2017/4225 , A61B2018/00005 , A61B2018/00285 , A61B2018/00559 , A61B2018/048
摘要： A method and system of providing therapy to a patient's uterus. The method includes the steps of inserting an access tool through a cervix and a cervical canal into the uterus; actively cooling the cervical canal; delivering vapor through the access tool lumen into the uterus; and condensing the vapor on tissue within the uterus. The system has an access tool with a lumen, the access tool being adapted to be inserted through a human cervical canal to place an opening of the lumen within a uterus when the access tool is inserted through the cervical canal; an active cooling mechanism adapted to cool the cervical canal, the active cooling mechanism having a coolant source; and a vapor delivery mechanism adapted to deliver condensable vapor through the access tool to the uterus, the condensable vapor being adapted to condense within the uterus.
摘要翻译：为患者子宫提供治疗的方法和系统。该方法包括将进入工具通过子宫颈和子宫颈管插入子宫的步骤; 积极冷却宫颈管; 通过进入工具内腔将蒸气输送到子宫中; 并将蒸气冷凝在子宫内的组织上。该系统具有内腔的进入工具，当进入工具插入通过子宫颈管道时，进入工具适于插入人宫颈管以将管腔的开口放置在子宫内; 主动冷却机构，其适于冷却颈管，主动冷却机构具有冷却剂源; 以及适于将可冷凝蒸气通过所述进入工具输送到子宫的蒸汽递送机构，所述可冷凝蒸气适于在子宫内冷凝。

82. 发明申请

WO2008088662A3 APPARATUS AND METHOD FOR TREATMENT OF SINUSITIS 审中-公开
标题翻译：装置及其治疗方法
公开(公告)号：WO2008088662A3
公开(公告)日：2009-02-26
申请号：PCT/US2007088834
申请日：2007-12-26
申请人： ENTELLUS MEDICAL INC , KEITH PETER T , TRUITT THEODORE O , RESSEMANN THOMAS V , DRONTLE JOHN R , MUNSINGER JOEL R , HANSON ANTHONY J
发明人： KEITH PETER T , TRUITT THEODORE O , RESSEMANN THOMAS V , DRONTLE JOHN R , MUNSINGER JOEL R , HANSON ANTHONY J
IPC分类号： A61F2/06
CPC分类号： A61M29/02 , A61B1/00078 , A61B1/00135 , A61B1/00154 , A61B1/01 , A61B1/018 , A61B1/126 , A61B1/233 , A61B17/24 , A61B17/3421 , A61B17/3431 , A61B17/3496 , A61B2017/246 , A61B2017/3425 , A61B2017/3445 , A61M2210/0681
摘要： A method of treating a constricted sinus passageway of a patient includes traversing the canine fossa region of the patient so as to form a passageway in the sinus cavity. A cannula is positioned in the passageway. A visualization tool such as an endoscope is passed through a lumen or channel in the cannula to aid in visualization of the anatomical site of interest. A balloon dilation catheter is then deployed through or along the cannula so as to place the balloon within or across the constricted anatomical space (e.g., ostium). The balloon is then expanded so as to expand at least a portion of the constricted anatomical space. Alternative embodiments include the use of an optional guide wire and incorporating an endoscope lumen through the balloon dilation catheter.
摘要翻译：治疗患者的收缩性窦通道的方法包括横穿病人的犬窝区域，以在窦腔中形成通道。套管位于通道内。诸如内窥镜的可视化工具通过套管中的内腔或通道以帮助感兴趣的解剖部位的可视化。然后将球囊扩张导管穿过或沿着套管展开，以将气囊放置在收缩的解剖空间内（例如，口）。然后使气囊膨胀，以便扩张缩小的解剖空间的至少一部分。替代实施例包括使用可选的引导线并且通过球囊扩张导管并入内窥镜腔。

83. 发明申请

WO2008121888A1 EXPANDABLE TRANS-SEPTAL SHEATH 审中-公开
标题翻译：可膨胀转印
公开(公告)号：WO2008121888A1
公开(公告)日：2008-10-09
申请号：PCT/US2008/058771
申请日：2008-03-28
申请人： ONSET MEDICAL CORPORATION , NANCE, Edward, J. , LENKER, Jay , NGUYEN, Hyun, T.
发明人： NANCE, Edward, J. , LENKER, Jay , NGUYEN, Hyun, T.
IPC分类号： A61M25/06 , A61F11/00
CPC分类号： A61M25/0662 , A61B17/3439 , A61B17/3478 , A61B2017/00243 , A61B2017/00247 , A61B2017/00278 , A61B2017/3425 , A61B2018/00392 , A61F2/2427 , A61M2025/0024
摘要： Disclosed is an expandable transluminal sheath 1400, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end 1404 of the sheath 1400 to a second, enlarged cross-sectional configuration. The sheath 1400 is configured for use in the vascular system and has utility in the performance of procedures in the left atrium. The access route is through the inferior vena cava to the right atrium, where a trans- septal puncture, followed by advancement of the catheter is completed. The distal end 1404 of the sheath 1400 is maintained in the first, low cross-sectional configuration during advancement to the right atrium and through the atrial septum into the left atrium. The distal end 1404 of the sheath 1400 is subsequently expanded using a radial dilatation device 1600. In an exemplary application, the sheath 1400 is utilized to provide access for a diagnostic or therapeutic procedure such as electrophysiological mapping of the heart, radio-frequency ablation of left atrial tissue, placement of left atrial implants, mitral valve repair, or the like.
摘要翻译：公开了一种可扩张的腔内护套1400，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套1400的远端1404的至少一部分膨胀到第二扩大横截面组态。护套1400构造成用于血管系统中，并且可用于执行左心房中的手术。进入路径是通过下腔静脉到右心房，其中间隔穿刺，随后导管的进展完成。护套1400的远端1404在推进到右心房并通过心房隔膜进入左心房期间保持在第一，低横截面构造。护套1400的远端1404随后使用径向扩张装置1600膨胀。在示例性应用中，护套1400用于提供用于诊断或治疗程序的通路，例如心脏的电生理映射，射频消融左心房组织，左心房植入物的放置，二尖瓣修复等。

84. 发明申请

WO2008070224A2 INTRAVENTRICULAR CARDIAC PROSTHESIS 审中-公开
标题翻译：心室心室假体
公开(公告)号：WO2008070224A2
公开(公告)日：2008-06-12
申请号：PCT/US2007/076487
申请日：2007-08-22
申请人： GABBAY, Shlomo
发明人： GABBAY, Shlomo
IPC分类号： A61F2/24
CPC分类号： A61F2/24 , A61B17/32053 , A61B17/32075 , A61B17/3417 , A61B17/3478 , A61B2017/00252 , A61B2017/3425 , A61F2/07 , A61F2/2403 , A61F2/2412 , A61F2/2418 , A61F2250/0003 , A61M27/008
摘要： An intraventricular apparatus (10) includes an elongated body (12) having a substantially tubular sidewall (14) that extends substantially axially between spaced apart first and second ends (16, 18), an opening (20) located proximal the first end (16). A valve (30) is located adjacent the first end (16) to provide for substantially unidirectional flow of blood therethrough. At least one aperture (40) extends through the tubular sidewall (14) at an axial location between the valve (30) and the second end (18) to provide for substantially free flow of blood between an interior and an exterior of the sidewall (14).
摘要翻译：（10）包括细长主体（12），细长主体（12）具有在间隔开的第一端和第二端（16,18）之间基本上轴向延伸的大致管状侧壁（14），开口）位于第一端（16）的近侧。阀（30）位于第一端（16）附近，以提供基本上单向的血液流动通过。至少一个孔（40）在阀（30）和第二端（18）之间的轴向位置处延伸通过管状侧壁（14），以提供血液在侧壁的内部和外部之间的基本上自由的流动 14）。

85. 发明申请

WO2007038109A3 CANNULA SYSTEMS AND METHODS OF USE 审中-公开
标题翻译：肛门系统及其使用方法
公开(公告)号：WO2007038109A3
公开(公告)日：2007-08-02
申请号：PCT/US2006036586
申请日：2006-09-20
申请人： ABIOMED INC , PRASAD JAYANTHI G , ZARINETCHI FARHAD , ILONGO EMMANUEL N
发明人： PRASAD JAYANTHI G , ZARINETCHI FARHAD , ILONGO EMMANUEL N
IPC分类号： A61M1/10 , A61B17/34 , A61M1/36 , A61M25/06
CPC分类号： A61M1/3653 , A61B2017/00247 , A61B2017/00252 , A61B2017/3425 , A61M1/10 , A61M1/1008 , A61M1/101 , A61M1/122 , A61M1/3659
摘要： Systems and methods for coupling devices such as a ventricular assist device (10) to vascular tissues, such as a heart. In one version/ a method is provided for attaching a device to vascular tissue for fluid flow. The device includes a cannula (28) coupled to a cuff (20), and the method includes coupling the cuff to the vascular tissue, penetrating the vascular tissue by inserting a penetration device (44) through the cannula, and inserting a first end of the cannula through the cuff and into the vascular tissue.
摘要翻译：用于将诸如心室辅助装置（10）的装置耦合到血管组织例如心脏的系统和方法。在一种版本中，提供了用于将装置附着到血管组织以进行流体流动的方法。所述装置包括联接到袖带（20）的套管（28），并且所述方法包括将所述袖带联接到血管组织，通过插入穿透装置（44）穿过所述套管穿透所述血管组织，并且将套管穿过袖口并进入血管组织。

86. 发明申请

WO03049619A9 TREATMENTS FOR A PATIENT WITH CONGESTIVE HEART FAILURE 审中-公开
标题翻译：患有心绞痛的患者的治疗
公开(公告)号：WO03049619A9
公开(公告)日：2006-10-05
申请号：PCT/US0239087
申请日：2002-12-06
申请人： LATTOUF OMAR M
发明人： LATTOUF OMAR M
IPC分类号： A61B17/00 , A61B17/064 , A61B17/068 , A61B17/08 , A61B17/122 , A61B17/128 , A61B17/30 , A61B17/34 , A61F2/02 , A61F2/06 , A61F2/24 , A61N1/05
CPC分类号： A61B17/00234 , A61B17/0401 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/08 , A61B17/10 , A61B17/122 , A61B17/1285 , A61B17/29 , A61B17/3421 , A61B17/3423 , A61B2017/00243 , A61B2017/00247 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/0647 , A61B2017/0649 , A61B2017/22068 , A61B2017/22069 , A61B2017/306 , A61B2017/320064 , A61B2017/3425 , A61B2017/3488 , A61B2018/00392 , A61F2/06 , A61F2/24 , A61N1/056 , A61N1/0573 , A61N1/0587 , A61N2001/0578 , A61N2001/058 , Y10S623/904
摘要： The invention is directed to two minimally invasive therapeutic procedures, particularly for patients with congestive heart failure, and devices and systems for such procedures. One procedure involves providing a valved passageway through the patient's left ventricular wall at the apex of the patient's heart and advancing instruments through the valved passageway to connect the valve leaflets of the patient's heart valve, e.g. the mitral valve, in a "Bow-Tie" configuration to prevent or minimize regurgitation through the valve. The second procedure involves advancing a pacing lead and a pacing lead implanting device through a trocar in the patient's chest and implanting the pacing lead on an exposed epicardial region of the patient's heart wall. The pacing lead has a penetrating electrode which is secured within the heart wall. One or both procedures may be performed on a patient with CHF.Improved devices for these procedures include a minimally invasive grasping device having an inner lumen for advancing connecting members and other instruments through the device to the distal end thereof. Other improved devices include a pacing lead implant instrument which is releasably secured by its distal end to the exposed heart wall to facilitate penetration of the pacing lead electrode into the heart wall. Other improved instruments include a leaflet connector with an artificial cordae tendenae strand secured to an end of the leaflet connector.
摘要翻译：本发明涉及两种微创治疗方法，特别是对于患有充血性心力衰竭的患者，以及用于这种程序的装置和系统。一个过程涉及通过患者的心脏的顶点处的患者的左心室壁提供带阀的通道，并且使器械通过阀门通道前进，以连接患者心脏瓣膜的瓣膜，例如，二尖瓣，采用“弓形”结构，通过阀门防止或最小化反流。第二个步骤包括通过患者胸部的套管针推进起搏引线和起搏引线植入装置，并将起搏引线植入患者心脏壁的暴露的心外膜区域。起搏引线具有固定在心脏壁内的穿透电极。可以对具有CHF的患者执行一个或两个程序。用于这些程序的改进的装置包括具有用于将连接构件和其他器械通过装置前进到其远端的内腔的微创抓取装置。其他改进的装置包括起搏引线植入器械，其通过其远端可释放地固定到暴露的心壁，以促进起搏引线电极穿入心脏壁。其他改进的仪器包括具有固定到小叶连接器的端部的人造绳腱绳的小叶连接器。

87. 发明申请

WO2005058408A1 UNIVERSAL CARDIAC INTRODUCER 审中-公开
标题翻译：通用心脏介绍
公开(公告)号：WO2005058408A1
公开(公告)日：2005-06-30
申请号：PCT/CA2004/002014
申请日：2004-11-23
申请人： GUIRAUDON, Gerald
发明人： GUIRAUDON, Gerald
IPC分类号： A61M39/02
CPC分类号： A61B17/3423 , A61B17/32053 , A61B17/3431 , A61B90/40 , A61B2017/00243 , A61B2017/00247 , A61B2017/00477 , A61B2017/3425 , A61B2017/3435 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , A61B2017/3488 , A61B2018/00392 , A61F2/2454 , A61F2/2466
摘要： The present invention may be characterized as a heart access manifold having a manifold wall and at least one exit port and one entry port. The exit port through the manifold wall is adapted to be sealably engaged about an opening in the wall of a heart for communication with the interior of the heart and with the interior of the manifold to be under the same pressure as the interior of the heart. At least one entry port is provided through the manifold wall to provide access through the manifold wall into the interior heart via the exit port. Each entry port is sealable to maintain pressure on an interior side of the manifold wall. The entry port is adapted for passage therethrough to the interior side of the manifold wall of at least one implement in sealed relation so as to maintain pressure on the interior side of the manifold. The implement may be one which is selected to perform any operation that is desired or necessary within the interiors of the manifold or the heart. Suitable implements include microwave or ultrasonic probes, knives, cutters, staplers, holders, clamps, suturing devices, lasers and the like which are useful for carrying out procedures within the interior of the heart.
摘要翻译：本发明可以被表征为具有歧管壁和至少一个出口和一个入口的心脏进入歧管。通过歧管壁的出口适于围绕心脏壁的开口密封地接合，以与心脏的内部连通并且与歧管的内部处于与心脏内部相同的压力。通过歧管壁提供至少一个入口，以通过出口端口提供通过歧管壁进入内心脏的通路。每个入口可密封，以保持歧管壁内侧的压力。进入口适于以密封的关系通过至少一个工具的歧管壁的内侧，以便保持歧管内侧的压力。该器具可以是被选择为执行在歧管或心脏的内部期望或必需的任何操作的器具。适用的工具包括用于在心脏内部执行手术的微波或超声波探头，刀具，切割器，吻合器，保持器，夹具，缝合器件，激光器等。

88. 发明申请

WO2003105670A2 DEVICES AND METHODS FOR HEART VALVE REPAIR 审中-公开
标题翻译：用于心脏瓣膜修复的装置和方法
公开(公告)号：WO2003105670A2
公开(公告)日：2003-12-24
申请号：PCT/US2003/018874
申请日：2003-06-13
申请人： GUIDED DELIVERY SYSTEMS, INC.
发明人： MORALES, Rodolfo, A. , STARKSEN, Niel, F.
IPC分类号： A61B
CPC分类号： A61B17/0487 , A61B1/00082 , A61B1/00096 , A61B1/04 , A61B8/12 , A61B17/00234 , A61B17/0401 , A61B17/0644 , A61B17/0684 , A61B17/083 , A61B17/10 , A61B17/1285 , A61B17/3421 , A61B17/3423 , A61B2017/00243 , A61B2017/0488 , A61B2017/0496 , A61B2017/06023 , A61B2017/3425 , A61B2017/3484 , A61B2017/3488 , A61F2/2445 , A61F2/2451
摘要： Methods and devices provide constriction of a heart valve annulus to treat cardiac valve regurgitation and other conditions. Embodiments typically include a device for attaching a cinching or tightening apparatus to a heart valve annulus to reduce the circumference of the annulus, thus reducing valve regurgitation. Tightening devices may include multiple tethered clips, multiple untethered crimping clips, stabilizing devices, visualization devices, and the like. In one embodiment, a plurality of tethered clips is secured circumferentially to a valve annulus, and the tether coupling the clips is cinched to reduce the circumference of at least a portion of the annulus. Methods and devices may be used in open heart surgical procedures, minimally invasive procedures, catheter-based procedures, and/or procedures on beating hearts or stopped hearts.
摘要翻译：方法和装置提供心脏瓣膜环的收缩以治疗心脏瓣膜反流和其他状况。实施例通常包括用于将收紧或紧固装置附接到心脏瓣膜环的装置以减小环的周长，从而减少瓣膜反流。紧固装置可以包括多个系绳夹，多个未卷绕的压接夹，稳定装置，可视化装置等。在一个实施例中，多个系留夹紧件被周向地固定到阀环上，并且联接夹子的系链被收紧以减小环空的至少一部分的圆周。方法和装置可以用于开心手术，微创手术，基于导管的手术，和/或跳动心脏或停止的心脏的程序。

89. 发明申请

WO03049619A2 TREATMENTS FOR A PATIENT WITH CONGESTIVE HEART FAILURE 审中-公开
标题翻译：患有心绞痛的患者的治疗
公开(公告)号：WO03049619A2
公开(公告)日：2003-06-19
申请号：PCT/US0239087
申请日：2002-12-06
申请人： LATTOUF OMAR M
发明人： LATTOUF OMAR M
IPC分类号： A61B17/00 , A61B17/064 , A61B17/068 , A61B17/08 , A61B17/122 , A61B17/128 , A61B17/30 , A61B17/34 , A61F2/02 , A61F2/06 , A61F2/24 , A61N1/05
CPC分类号： A61B17/00234 , A61B17/0401 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/08 , A61B17/10 , A61B17/122 , A61B17/1285 , A61B17/29 , A61B17/3421 , A61B17/3423 , A61B2017/00243 , A61B2017/00247 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/0647 , A61B2017/0649 , A61B2017/22068 , A61B2017/22069 , A61B2017/306 , A61B2017/320064 , A61B2017/3425 , A61B2017/3488 , A61B2018/00392 , A61F2/06 , A61F2/24 , A61N1/056 , A61N1/0573 , A61N1/0587 , A61N2001/0578 , A61N2001/058 , Y10S623/904
摘要： The invention is directed to two minimally invasive therapeutic procedures, particularly for patients with congestive heart failure, and devices and systems for such procedures. One procedure involves providing a valved passageway through the patient's left ventricular wall at the apex of the patient's heart and advancing instruments through the valved passageway to connect the valve leaflets of the patient's heart valve, e.g. the mitral valve, in a "Bow−Tie" configuration to prevent or minimize regurgitation through the valve. The second procedure involves advancing a pacing lead and a pacing lead implanting device through a trocar in the patient's chest and implanting the pacing lead on an exposed epicardial region of the patient's heart wall. The pacing lead has a penetrating electrode which is secured within the heart wall. One or both procedures may be performed on a patient with CHF.Improved devices for these procedures include a minimally invasive grasping device having an inner lumen for advancing connecting members and other instruments through the device to the distal end thereof. Other improved devices include a pacing lead implant instrument which is releasably secured by its distal end to the exposed heart wall to facilitate penetration of the pacing lead electrode into the heart wall. Other improved instruments include a leaflet connector with an artificial cordae tendenae strand secured to an end of the leaflet connector.
摘要翻译：本发明涉及两种微创治疗方法，特别是对于患有充血性心力衰竭的患者，以及用于这种程序的装置和系统。一个过程涉及通过患者的心脏的顶点处的患者的左心室壁提供带阀的通道，并且使器械通过阀门通道前进，以连接患者心脏瓣膜的瓣膜，例如，二尖瓣，采用“弓形”结构，通过阀门防止或最小化反流。第二个步骤包括通过患者胸部的套管针推进起搏引线和起搏引线植入装置，并将起搏引线植入患者心脏壁的暴露的心外膜区域。起搏引线具有固定在心脏壁内的穿透电极。可以对具有CHF的患者执行一个或两个程序。用于这些程序的改进的装置包括具有用于将连接构件和其他器械通过装置前进到其远端的内腔的微创抓取装置。其他改进的装置包括起搏引线植入器械，其通过其远端可释放地固定到暴露的心壁，以促进起搏引线电极穿入心脏壁。其他改进的仪器包括具有固定到小叶连接器的端部的人造绳腱绳的小叶连接器。

90. 发明申请

WO2018218017A1 DEVICES AND METHODS FOR MULTI-LUMEN ACCESS AND DRAINAGE 审中-公开
公开(公告)号：WO2018218017A1
公开(公告)日：2018-11-29
申请号：PCT/US2018/034382
申请日：2018-05-24
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： FOLAN, Martyn , WALSH, Michael , PALOMAR-MORENO, Javier , MOONEY, Emma-Jane , FINNEGAN, Cormac , WALSH, Michael G. , KEATING, Thomas M.
IPC分类号： A61F2/06 , A61F2/04
CPC分类号： A61F2/856 , A61B17/3423 , A61B2017/00278 , A61B2017/0034 , A61B2017/3425 , A61F2/04 , A61F2/064 , A61F2/966 , A61F2002/041 , A61F2002/045 , A61F2002/061 , A61M27/002 , A61M39/22
摘要： The present disclosure relates generally to the field of medical devices and establishing fluid communication between body lumens. In particular, the present disclosure relates to minimally invasive endoscopy devices and methods for body lumen access and/or drainage, and devices and methods for creating an open flow passage between two or more body lumens.

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