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    • 8. 发明申请
    • DELIVERY AND RETRIEVAL SYSTEMS FOR COLLAPSIBLE/EXPANDABLE PROSTHETIC HEART VALVES
    • 可拆卸/可扩展的心脏瓣膜输送和检测系统
    • WO2009091509A1
    • 2009-07-23
    • PCT/US2009/000104
    • 2009-01-08
    • ST. JUDE MEDICAL, INC.ALKHATIB, Yousef, F.
    • ALKHATIB, Yousef, F.
    • A61F2/24A61F2/84
    • A61F2/2436A61F2/2418A61F2/2427A61F2/2439A61F2002/9511
    • A system for delivering a collapsible and re-expandable prosthetic heart valve into a patient includes a valve support structure (140) around which the valve (10) is disposed in a collapsed condition. A sheath structure (110) surrounds the collapsed valve, but can be moved relative to the valve to uncover it for expansion at the desired implant site in the patient. The sheath structure may be variously mounted and moved to deploy the valve in various ways. For example, the sheath structure may include multiple parts, each of which can be moved separately to separately deploy various parts of the valve. The apparatus may have other aspects, such as the ability to reverse deployment of the valve, the ability to pass other instrumentation through the valve delivery apparatus, the ability to be smoothly withdrawn from the patient after deployment of the valve, etc.
    • 用于将可折叠和可再膨胀的假体心脏瓣膜递送到患者中的系统包括阀支撑结构(140),阀(10)围绕该阀支撑结构设置在折叠状态。 护套结构(110)围绕塌缩的瓣膜,但是可以相对于瓣膜移动以露出,以便在患者的期望的植入部位处展开。 护套结构可以以各种方式进行各种安装和移动以展开阀。 例如,护套结构可以包括多个部件,每个部件可以单独移动以分开地部署阀的各个部件。 该装置可以具有其他方面,例如逆向部署阀的能力,通过其他仪器通过阀输送装置的能力,在部署阀之后能够平稳地从患者撤出的能力等。
    • 9. 发明申请
    • PROSTHETIC AORTIC HEART VALVES
    • 先天性心脏瓣膜
    • WO2009029199A1
    • 2009-03-05
    • PCT/US2008/009950
    • 2008-08-21
    • ST. JUDE MEDICAL, INC.ALKHATIB, Yousef, F.
    • ALKHATIB, Yousef, F.
    • A61F2/24
    • A61F2/2418A61F2/2409A61F2/2445A61F2220/0016A61F2220/0075A61F2230/0054A61F2230/0076
    • A prosthetic aortic valve includes an annular, annulus inflow portion that is designed to reside in or near the patient's native aortic valve annulus, and an annular, aortic outflow portion that is designed to reside in the patient's aorta downstream from at least a portion of the valsalva sinus. The annulus inflow portion and the aortic outflow portion are connected to one another by a plurality of connecting struts that are confined to regions near the commissures of the patient's native aortic valve. The connecting struts are designed to bulge out into the valsalva sinus to help anchor the prosthetic valve in place. The valve is circumferentially collapsible to a relatively small diameter for less-invasive delivery into the patient. The valve circumferentially expands to a larger operational diameter when deployed at the implant site.
    • 假体主动脉瓣包括环形环形流入部分,其被设计为驻留在患者的天然主动脉瓣膜环内或附近,以及环形主动脉流出部分,其被设计为驻留在患者主动脉中的至少一部分 valsalva窦。 环形流入部分和主动脉流出部分通过多个连接支柱彼此连接,所述多个连接支柱被限制在患者天然主动脉瓣的连合处附近的区域。 连接支柱被设计成凸出到瓦尔萨瓦窦中,以帮助将假肢瓣锚定到位。 瓣膜周向可折叠到相对较小的直径,用于较少侵入性地输送到患者体内。 当部署在植入部位时,阀周向地膨胀到更大的操作直径。
    • 10. 发明申请
    • PROSTHETIC HEART VALVES
    • 先天性心脏瓣膜
    • WO2008150529A1
    • 2008-12-11
    • PCT/US2008/007015
    • 2008-06-04
    • ST. JUDE MEDICAL, INC.BRAIDO, Peter N.ALKHATIB, Yousef, F.
    • BRAIDO, Peter N.ALKHATIB, Yousef, F.
    • A61F2/24
    • A61F2/2418A61F2210/0076A61F2220/0016A61F2220/0075A61F2230/0054A61F2230/008A61L27/3604A61L27/54
    • A prosthetic heart valve (10) (e.g., a prosthetic aortic valve) is designed to be somewhat circumf erentially collapsible and then re-expandable. The collapsed condition may be used for less invasive delivery of the valve into a patient. When the valve reaches the implant site in the patient, it re-expands to normal operating size, and also to engage surrounding tissue of the patient. The valve includes a stent portion (200) and a ring portion (100) that is substantially concentric with the stent portion but downstream from the stent portion in the direction of blood flow through the implanted valve. When the valve is implanted, the stent portion engages the patient's tissue at or near the native valve annulus, while the ring portion engages tissue downstream from the native valve site (e.g., the aorta).
    • 假体心脏瓣膜(10)(例如,假体主动脉瓣)被设计成在某种程度上是可折叠的并且然后再膨胀。 折叠状态可以用于将瓣膜侵入性较差的患者。 当阀门到达病人的植入部位时,它会重新扩大到正常的操作大小,并且还可以接合病人的周围组织。 所述阀包括支架部分(200)和环状部分(100),所述支架部分(100)与所述支架部分大致同心,但在所述支架部分的下游沿着通过所述植入瓣膜的血流方向。 当植入瓣膜时,支架部分在天然瓣膜环处或附近接合患者组织,而环部分接合自然瓣膜部位(例如,主动脉)下游的组织。