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1. 发明申请

WO2013069019A3 CONTROLLED STEERING FUNCTIONALITY FOR IMPLANT-DELIVERY TOOL 审中-公开
标题翻译：用于植入式工具的控制转向功能
公开(公告)号：WO2013069019A3
公开(公告)日：2015-01-22
申请号：PCT/IL2012050451
申请日：2012-11-08
申请人： VALTECH CARDIO LTD , SHEPS TAL , HAMMER TAL , IFLAH EHUD , REICH TAL , HERMAN YARON , GROSS AMIR
发明人： SHEPS TAL , HAMMER TAL , IFLAH EHUD , REICH TAL , HERMAN YARON , GROSS AMIR
IPC分类号： A61F2/24
CPC分类号： A61F2/2427 , A61B17/068 , A61B17/105 , A61B2017/00305 , A61B2017/00314 , A61B2017/00323 , A61B2017/00367 , A61B2017/0649 , A61B2017/293 , A61B2090/0811 , A61F2/2445 , A61F2/2466 , A61F2210/0014 , A61F2250/001 , A61F2250/0098 , A61M25/005 , A61M25/0054 , A61M25/0068 , A61M25/01 , A61M25/0105 , A61M25/0108 , A61M25/0133 , A61M25/0136 , A61M25/0147 , A61M25/0662 , A61M2025/0004 , A61M2025/0006 , A61M2025/015 , A61M2025/0681
摘要： Apparatus for percutaneous access to a patient's body comprising a first steerable tube (12), shaped to define a first lumen, and a first coupling (152) at a longitudinal site of the first tube; and a second steerable tube (14), shaped to define a second lumen and a second coupling (154), the second coupling being intracorporeally couplable to the first coupling, the apparatus having (A) an unlocked state in which the second tube is rotatable within the first lumen, and (B) a locked state in which the second coupling is coupled to the first coupling, and rotation of the second tube is inhibited. The apparatus is configured such that when the second coupling becomes disposed at the longitudinal site in a given rotational orientation of the second tube, the apparatus moves into the locked state by the second coupling automatically coupling to the first coupling. Other embodiments are also described.
摘要翻译：用于经皮进入患者身体的装置，包括成形为限定第一内腔的第一可转向管（12）和在所述第一管的纵向位置处的第一联接器（152）; 以及第二可转向管（14），其被成形为限定第二内腔和第二联接器（154），所述第二联接器与所述第一联接件体内联接，所述设备具有（A）第二管可旋转的解锁状态在第一管腔内，和（B）第二联接器联接到第一联接器的锁定状态，并且禁止第二管的旋转。该装置被构造成使得当第二联接器以第二管的给定旋转方向设置在纵向位置时，该装置通过自动联接到第一联接器的第二联接器移动到锁定状态。还描述了其它实施例。

2. 发明申请

WO2015059699A2 ANCHOR MAGAZINE 审中-公开
标题翻译：锚杆杂志
公开(公告)号：WO2015059699A2
公开(公告)日：2015-04-30
申请号：PCT/IL2014050914
申请日：2014-10-21
申请人： VALTECH CARDIO LTD
发明人： ZIPORY YUVAL , KOIFMAN ALEXEI , IFLAH EHUD , REICH TAL
IPC分类号： A61B17/04
CPC分类号： A61B17/105 , A61B17/068 , A61B50/20 , A61B50/30 , A61B2017/00243 , A61B2017/0053 , A61B2017/0416 , A61B2017/0649 , A61B2017/0688
摘要： Apparatus is provided, the apparatus comprising (i) a housing (22, 222), shaped to define a channel (24, 224) having an anchor-storage zone (26, 226) and an opening (28, 228) configured to provide access for an anchor driver (60) to the anchor-storage zone; (ii) a tissue anchor (40), stored in the anchor-storage zone and slidable through the channel; and (iii) a retaining member (30, 230). The retaining member (a) has a retaining state in which the retaining member is configured to retain the tissue anchor in the anchor-storage zone, and (b) is configured, by moving in response to a proximally-directed force applied to the tissue anchor, to allow the tissue anchor to leave the anchor-storage zone in response to the proximally-directed force. The proximally-directed force is greater than a pre-determined threshold force. Other embodiments are described.
摘要翻译：提供了一种设备，该设备包括：（i）外壳（22,222），其形状设置成具有锚固储存区（26,226）的通道（24,224）和设置成提供锚固器驱动器（60）进入锚固储存区域; （ii）组织锚固件（40），其存储在所述锚定储存区域中并可滑动通过所述通道; 和（iii）保持构件（30,230）。保持构件（a）具有保持状态，其中保持构件被构造成将组织锚固体保持在锚定储存区域中，并且（b）通过响应于施加到组织的向近侧方向的力而移动锚杆，以允许组织锚固件响应于向近侧方向的力离开锚固储存区域。近端方向的力大于预定阈值力。描述其他实施例。

3. 发明申请

WO2014064695A2 PERCUTANEOUS TISSUE ANCHOR TECHNIQUES 审中-公开
标题翻译： PERCUTANEOUS组织锚固技术
公开(公告)号：WO2014064695A2
公开(公告)日：2014-05-01
申请号：PCT/IL2013050861
申请日：2013-10-23
申请人： VALTECH CARDIO LTD
发明人： HERMAN YARON , ZIPORY YUVAL , STAROBINSKY SLAVA , REICH TAL , IFLAH EHUD , KOIFMAN ALEXEI
IPC分类号： A61M25/04
CPC分类号： A61B17/12009 , A61B17/0401 , A61B2017/00477 , A61B2017/00681 , A61B2017/0409 , A61B2017/0411 , A61B2017/0441 , A61B2017/0464 , A61B2017/0496 , A61B2017/2937 , A61F2/2445
摘要： A first element (91) includes a first arm (92) and a second arm coupled thereto and having a concavity (103) facing the first arm and defining a space (96). In an open state, a tissue anchor portion (46) moves into the space through a gap between distal portions (94) of the first and second arms. In the closed state, the anchor portion is not movable through the gap. A second element (82) is movable with respect to the first element, such that, while the portion (46) of the anchor (40) is within the space, and the first element is in the closed state, in a first position of the second element, the portion of the anchor is movable within the space, and in a second position of the second element, the second element applies torque to the anchor by rotating the second element. Other embodiments are also described.
摘要翻译：第一元件（91）包括第一臂（92）和与其连接的第二臂，并且具有面向第一臂并且限定空间（96）的凹部（103）。在打开状态下，组织锚定部分（46）通过第一和第二臂的远端部分（94）之间的间隙移动到空间中。在关闭状态下，锚固部分不能通过间隙移动。第二元件（82）可相对于第一元件移动，使得当锚（40）的部分（46）在空间内并且第一元件处于关闭状态时，在第一元件所述第二元件，所述锚固件的所述部分在所述空间内是可移动的，并且在所述第二元件的第二位置中，所述第二元件通过旋转所述第二元件而将扭矩施加到所述锚固件。还描述了其它实施例。

4. 发明申请

WO2014064694A3 CONTROLLED STEERING FUNCTIONALITY FOR IMPLANT-DELIVERY TOOL 审中-公开
标题翻译：用于植入物递送工具的受控转向功能
公开(公告)号：WO2014064694A3
公开(公告)日：2014-06-19
申请号：PCT/IL2013050860
申请日：2013-10-23
申请人： VALTECH CARDIO LTD
发明人： SHEPS TAL , HAMMER TAL , REICH TAL , IFLAH EHUD , GROSS AMIR , HERMAN YARON , KOIFMAN ALEXEI , ZIPORY YUVAL
IPC分类号： A61B17/10 , A61F2/24
CPC分类号： A61F2/2436 , A61B17/068 , A61B2017/00039 , A61B2017/00044 , A61B2017/00199 , A61B2017/00327 , A61B2017/00398 , A61B2017/00477 , A61B2017/0649 , A61B2034/2051 , A61B2090/066 , A61B2090/0807 , A61B2090/0811 , A61B2090/3966 , A61F2/2427 , A61F2/2445 , A61F2/2466 , A61M25/0133 , A61M25/0147 , A61M25/04 , A61M25/06 , A61M25/0662 , A61M29/00 , A61M2025/015 , A61M2025/0681 , Y02E60/366
摘要： A catheter (14), advanced toward an anatomical site, has a proximal end and a steerable distal end. An anchor (32, 2332) is advanced through the catheter. An anchor driver (36) drives the anchor out of the catheter's distal end (104), anchoring the anchor at the site. A first constraining member (1602, 1652) engages tissue, and inhibits, after the anchor has been driven out of the catheter and before the anchoring, movement of at least the anchor driver's distal end, on a first axis between the anchor driver's distal end and a site at which the first constraining member engages the tissue. A second constraining member (26) inhibits, after the anchor has been driven out of the catheter and before the anchoring, movement of at least the anchor driver's distal end, on a second axis. Other embodiments are also described.
摘要翻译：朝向解剖部位前进的导管（14）具有近端和可转向的远端。锚（32,2332）前进通过导管。锚固件驱动器（36）将锚固件从导管的远端（104）驱出，将锚固件锚定在现场。第一约束构件（1602,1652）接合组织，并且在锚已经被驱出导管之后并且在锚定之前，抑制至少锚固驱动器的远端在锚固驱动器的远端以及第一约束构件接合组织的位置。在锚被驱出导管之后并且在锚定之前，第二约束构件（26）在第二轴线上抑制至少锚固驱动器的远端的运动。还描述了其他实施例。

5. 发明申请

WO2011154942A3 APPARATUS AND METHOD FOR GUIDE-WIRE BASED ADVANCEMENT OF A ROTATION ASSEMBLY 审中-公开
标题翻译：用于基于引导线的旋转组件优化的装置和方法
公开(公告)号：WO2011154942A3
公开(公告)日：2014-03-13
申请号：PCT/IL2011000446
申请日：2011-06-06
申请人： VALTECH CARDIO LTD , MILLER ERAN , CABIRI OZ , REICH TAL , SHEPS TAL
发明人： MILLER ERAN , CABIRI OZ , REICH TAL , SHEPS TAL
IPC分类号： A61F2/24
CPC分类号： A61F2/2457 , A61B17/0401 , A61B2017/00243 , A61B2017/0441 , A61B2017/0448 , A61B2017/0464 , A61B2017/0496 , A61F2/2466
摘要： Apparatus is provided for use with at least one implant (42), including a tissue-engaging element having a distal portion configured to engage at least a first portion of tissue of a patient, and having a proximal portion. At least one docking station (56) is coupled to the proximal portion of the tissue-engaging element and is configured to be coupled to the at least one implant (42). The docking station (56) includes a locking mechanism (57) configured to lock the implant (42) to the tissue-engaging element. At least one guide member (40) is reversibly coupled to the at least one docking station (56) and is configured for facilitating slidable advancement of the at least one implant (42) toward the tissue-engaging element. Other applications are also described.
摘要翻译：提供了用于与至少一个植入物（42）一起使用的装置，包括组织接合元件，所述组织接合元件具有构造成与患者的组织的至少第一部分接合并具有近端部分的远侧部分。至少一个对接站（56）联接到组织接合元件的近端部分，并且被配置为联接到至少一个植入物（42）。对接站（56）包括被配置为将植入物（42）锁定到组织接合元件上的锁定机构（57）。至少一个引导构件（40）可逆地联接到所述至少一个对接站（56）并且被配置为便于使所述至少一个植入物（42）朝向所述组织接合元件的滑动前进。还描述了其它应用。

6. 发明申请

WO2012176195A2 CLOSURE ELEMENT FOR USE WITH ANNULOPLASTY STRUCTURE 审中-公开
标题翻译：闭合元件与骨关节炎结构一起使用
公开(公告)号：WO2012176195A2
公开(公告)日：2012-12-27
申请号：PCT/IL2012000250
申请日：2012-06-21
申请人： VALTECH CARDIO LTD , GROSS AMIR , SHEPS TAL , HAMMER TAL , REICH TAL , IFLAH EHUD , HERMAN YARON , POMERANTZ URIEL ABA , CABIRI OZ
发明人： GROSS AMIR , SHEPS TAL , HAMMER TAL , REICH TAL , IFLAH EHUD , HERMAN YARON , POMERANTZ URIEL ABA , CABIRI OZ
IPC分类号： A61F2/24
CPC分类号： A61F2/2445 , A61B17/0401 , A61B17/064 , A61B17/068 , A61B2017/00243 , A61B2017/00867 , A61B2017/0437 , A61B2017/0464 , A61B2017/0649 , A61F2/2448 , A61F2250/001
摘要： Apparatus is provided including an implantable structure (22), including a flexible sleeve (26), having first and second sleeve ends (49, 51), a contracting assembly (40), which is configured to longitudinally contract the sleeve (26). The contracting assembly (40) includes a contracting mechanism (28), which is at a first site of the sleeve (26); and a longitudinal contracting member (30), having (a) a first member end, (b) a second member end (53), coupled to the sleeve (26) at a second site longitudinally between the first site and the second sleeve end (49 or 51), exclusive. A force -distributing element (540) is couplable to the sleeve (26) in a vicinity of the second sleeve end (49 or 51), element (540) is configured to distribute a contraction force by the contracting member (30) between the second member end (53) and the second sleeve end (49 or 51). Other applications are also described.
摘要翻译：提供了包括可植入结构（22）的装置，其包括具有第一和第二套筒端部（49,51）的柔性套筒（26），收缩组件（40），其构造成纵向收缩套筒（26）。收缩组件（40）包括在套筒（26）的第一位置处的收缩机构（28）; 和纵向收缩构件（30），其具有（a）第一构件端部，（b）第二构件端部（53），其在第一位置和第二套筒端部之间的第二位置处连接到套筒（26）（49或51），独家。力分配元件（540）可在第二套筒端部（49或51）附近与套筒（26）连接，元件（540）构造成将收缩构件（30）的收缩力分配在第二构件端部（53）和第二套筒端部（49或51）。还描述了其它应用。

7. 发明申请

WO2012014201A2 MULTIPLE ANCHOR DELIVERY TOOL 审中-公开
标题翻译：多重锚点交付工具
公开(公告)号：WO2012014201A2
公开(公告)日：2012-02-02
申请号：PCT/IL2011000600
申请日：2011-07-26
申请人： VALTECH CARDIO LTD , CABIRI OZ , GROSS AMIR , HAMMER TAL , REICH TAL , IFLAH EHUD
发明人： CABIRI OZ , GROSS AMIR , HAMMER TAL , REICH TAL , IFLAH EHUD
IPC分类号： A61B17/00
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/0649 , A61F2/2445
摘要： An anchor deployment tool (30) includes a flexible outer tube (34), within which is positioned a flexible inner shaft (36), and a rotating deployment element (38) coupled to a distal end (39) of the shaft. The tool (30) is configured to provide an anchor storage area (40), which initially stores a plurality of tissue anchors (32), such that the inner shaft (36) passes through channels of the anchors along entire longitudinal lengths of the anchors (32), and the anchors are within the outer tube (34). The rotating deployment element (38) is configured to directly engage the anchors (32) in the anchor storage area (40) one at a time, advance each of the anchors while engaged in a distal direction, and deploy each of the anchors through the distal tube end (42) and into tissue of a subject. Other embodiments are also described.
摘要翻译：锚定部署工具（30）包括柔性外管（34）和旋转展开元件（38），内部设置有柔性内轴（36），旋转展开元件（38）连接至轴的远端（39）。工具（30）构造成提供最初储存多个组织锚（32）的锚固储存区域（40），使得内轴（36）沿锚的整个纵向长度穿过锚的通道（32），并且锚固件在外管（34）内。旋转展开元件（38）被构造成一次一个地直接接合锚定件存储区域（40）中的锚定件（32），在沿远侧方向接合的同时推进每个锚定件，并且将每个锚定件穿过远端管端（42）并进入受试者的组织中。还描述了其他实施例。

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