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    • 1. 发明申请
    • SELF-ASSEMBLING MODULAR PERCUTANEOUS VALVE AND METHODS OF FOLDING, ASSEMBLY AND DELIVERY
    • 自组装模块式阀门及折叠,组装和运输方法
    • WO2011086401A1
    • 2011-07-21
    • PCT/IB2010/000049
    • 2010-01-13
    • VALVE MEDICAL LTDRICHTER, YoramRICHTER, JacobWEISZ, Ety
    • RICHTER, YoramRICHTER, JacobWEISZ, Ety
    • A61F2/24
    • A61F2/2415A61F2/24A61F2/2406A61F2/2409A61F2/2412A61F2/2418A61F2/2427A61F2/844A61F2210/0014A61F2230/0091A61F2250/006
    • The present invention provides a modular prosthetic valve device designed as two or more device modules that may be delivered to a body lumen unassembled and then assembled into the assembled valve device in the body at least in part using a self-assembly member at or near the site of valve implantation. The device modules may include a support structure and a valve module. The valve module may be delivered in an unassembled, folded delivery configuration, and unfolded and assembled into a working configuration via the self-assembly member. In its unassembled form, the valve module may be a single-piece leaflets substructure or a plurality of valve sections. The self-assembly member has a delivery configuration and a preset configuration, and may be triggered to revert to the preset configuration to assemble the valve module. The modular valve device may be folded in a manner not possible with current valve devices, for example, by rolling the unassembled valve module along its circumferential axis in the direction of its height, so that the diameter of the folded valve module may be equivalent to that of one rolled leaflet. This feature of the invention provides a percutaneous valve device having a smaller delivery diameter than pre-assembled valve devices. This in turn permits use of a delivery device of reduced diameter and increases the flexibility of the loaded delivery device compared to percutaneous valve devices in the art. The invention further provides a system for and method of folding and delivering such a modular valve device and assembling it using the self-assembly member, preferably in the body.
    • 本发明提供了一种设计为两个或更多个装置模块的模块化假体瓣膜装置,其可以被输送到未被组装的身体腔体,然后至少部分地使用位于或靠近该组件的自组装构件 瓣膜植入部位。 装置模块可以包括支撑结构和阀模块。 阀模块可以以未组装的折叠输送构造递送,并且经由自组装构件展开并组装成工作构型。 在其组装形式中,阀模块可以是单件式叶片子结构或多个阀部分。 自组装构件具有输送配置和预设配置,并且可以被触发以恢复到预设配置以组装阀模块。 模块化阀装置可以以当前阀装置不可能的方式进行折叠,例如通过沿着其周向轴线在其高度方向上滚动未组装的阀模块,使得折叠的阀模块的直径可以等于 一个滚动的小叶。 本发明的该特征提供了一种具有比预组装阀装置更小的输送直径的经皮瓣膜装置。 这又允许使用减小直径的输送装置,并且与本领域中的经皮瓣膜装置相比增加了装载的输送装置的灵活性。 本发明还提供了一种用于折叠和传送这种模块化阀装置的系统和方法,并且使用自组装构件优选地在身体中组装它。
    • 3. 发明申请
    • A PROSTHETIC HEART VALVE
    • 一个先天性心脏瓣膜
    • WO2014170870A2
    • 2014-10-23
    • PCT/IB2014060816
    • 2014-04-17
    • STRAIT ACCESS TECHNOLOGIES HOLDINGS PTY LTD
    • PARK KENNETH STUARTAPPA HARISHVISAGIE CLAUDEBEZUIDENHOUT DEONZILLA PETER PAUL
    • A61F2/2418A61F2/2406A61F2/2412A61F2/2415
    • A prosthetic heart valve (10) which includes a stent (14) having three leaflets (12) attached thereto is provided. The stent (14) is compressible so as to be capable of being introduced into a patient's body through a minimally invasive procedure and has a ring-like body (16) defining in its height three arch-shaped elements (18). Each element (18) includes an arc (20) and a pair of haunches (22) extending from opposite sides thereof, with three commissural posts (26) formed by the haunches (22) of adjacent elements (18). The leaflets (12) each have an attachment edge (28) and a free edge (30) with a belly (32) extending therebetween. The leaflets (12) are movable between a coapted condition, in which the free edges (30) abut and prevent fluid flow through the valve (10), and an open condition, in which fluid flow through the valve (10) is permitted. The leaflets (12) are made from a polymeric material and are moulded directly onto the stent (14) so as to provide for continuous attachment thereof.
    • 提供了一种假体心脏瓣膜(10),其包括具有附接到其上的三个小叶(12)的支架(14)。 支架(14)是可压缩的,以便能够通过微创程序被引入到患者体内,并且具有在其高度上限定三个拱形元件(18)的环形体(16)。 每个元件(18)包括弧形(20)和一对从其相对侧延伸的一对托架(22),由相邻元件(18)的托架(22)形成的三个连合柱(26)。 传单(12)各自具有附接边缘(28)和具有在其间延伸的腹部(32)的自由边缘(30)。 小叶(12)可以在其中自由边缘(30)抵接并防止流体流过阀门(10)的着色状态和允许通过阀门(10)的流体流动的打开状态之间移动。 传单(12)由聚合材料制成,并直接模制在支架(14)上,以便提供连续的连接。
    • 5. 发明申请
    • METHODS AND APPARATUS FOR REGULATING BLOOD PRESSURE
    • 调节血压的方法和装置
    • WO2013096548A1
    • 2013-06-27
    • PCT/US2012/070803
    • 2012-12-20
    • VOLCANO CORPORATIONSHEEHAN, DavidKINGHORN, Curt
    • SHEEHAN, David
    • A61F2/06A61B5/0215A61B5/021
    • A61B5/4836A61B5/0215A61B17/12036A61B17/12109A61B17/12136A61B17/12172A61B2017/00212A61B2017/00893A61F2/2403A61F2/2406A61F2/82A61F2002/068
    • A blood pressure control apparatus, system, and methods of modifying intravascular blood flow of a patient is disclosed. In one aspect, the blood pressure control apparatus comprises an intravascular flow-modifying device including an expandable, hollow, stent-like support member configured for implantation within the vasculature, which includes an upstream sensor, a downstream sensor, and a flow restrictor. The flow restrictor is configured to partially occlude a vessel lumen and thereby artificially create back pressure upstream of the device, which causes dilation of the vessel wall and activation of the baroreceptors upstream of the device. Activation of the baroreceptors may depress the activity of the sympathetic nervous system, thereby contributing to a decrease in systemic blood pressure. The flow restrictor is also configured to partially occlude the renal vein lumen, thereby artificially increasing renal perfusion and depressing the baroreceptor-mediated sympathetic and neurohormonal efforts to raise blood pressure.
    • 公开了一种血压控制装置,系统和改善患者血管内血流的方法。 一方面,血压控制装置包括血管内流动改变装置,其包括被构造用于植入脉管系统内的可扩张的,中空的支架状支撑构件,其包括上游传感器,下游传感器和限流器。 流量限制器构造成部分地封闭血管内腔,从而人为地在装置的上游产生背压,这导致血管壁的扩张和装置上游的压力感受器的激活。 压力感受器的激活可能会抑制交感神经系统的活动,从而有助于全身血压的降低。 流量限制器还构造成部分闭塞肾静脉管腔,从而人为地增加肾脏灌注并抑制压力感受器介导的交感神经和神经激素作用以提高血压。
    • 6. 发明申请
    • ARTIFICIAL HEART VALVE
    • 人工心脏瓣膜
    • WO2007054078A3
    • 2007-09-07
    • PCT/DE2006001961
    • 2006-11-09
    • ATRIMED MEDIZINTECHNIK GMBHKROGMANN MICHAELOTTO CORDELIA
    • KROGMANN MICHAELOTTO CORDELIA
    • A61F2/24
    • A61F2/2406A61F2/2403
    • The invention relates to a heart valve (1) with an annular member (2) to anchor the heart valve (1) in the human body along with a lumen (5) that is mounted in the center thereof by means of the annular member (2). At least one closing element (8) which can be rotated about a pivoting axis (13) from an open position into a closed position is mounted in the annular member (5). The closing element (8) is equipped with at least one bearing piece (16) and is mounted on the annular member (2) with the aid thereof, each bearing piece (16) being disposed in a bearing recess (14) of the annular member (2) allocated to the bearing piece (16). Each bearing recess (14) comprises a bearing bottom (9) on which the bearing piece (16) glides and which is embodied as a convex or concave surface rather than in a planar manner. The position of the pivoting axis of the closing element in relation to the annular member depends on the opening angle (lower case omega) of the closing element.
    • 心脏瓣膜(1)的环形本体(2)锚定在人体内心脏瓣膜(1)与所述环形体(2)夹持在其中心内腔(5)中的一个。 在环状体(5)至少一个封闭体(8)被安装时,它可绕的汾位置的枢转轴线(13)运动到闭合位置。 封闭体(8)具有至少一个支承件(16)并且其特征在于在所述环形本体(2)被安装时,各支承件(16)设置在所述环形主体的相关联的他容纳凹部(14)(2)。 每个轴承凹部(14)具有一个轴承座(9),在其上,其中,所述轴承基座被形成为凸形或凹形表面(9)的支承件(16)滑动时,是不平坦的,而是。 相对于所述封闭体的开度角(小的ω)的所述环形体的封闭构件的枢转轴线的位置依赖。
    • 7. 发明申请
    • PROSTHETIC HEART VALVE WITH PLANO-CONVEX DISK OCCLUDER
    • PROSTHETIC心脏瓣与PLANO-CONVEX DISK OCCLUDER
    • WO1984000882A1
    • 1984-03-15
    • PCT/US1983001368
    • 1983-09-06
    • ANGICOR LIMITED
    • ANGICOR LIMITEDKASTER, Robert, L.
    • A61F01/04
    • A61F2/2406
    • In a prosthetic heart valve having a free floating, rotatable, pivotable disk occluder for blocking a flow of fluid therethrough, an improvement comprising the provision of a disk occluder (12) having a substantially convex distal surface (39) and a substantially planar proximal surface (38) having a concentrically disposed well (42) formed therein. A proximal positioned control unit (21) and a distal positioned control unit (22) are provided for cooperative interaction with the disk occluder (12) to support the disk occluder (12) in the occlude and non-occlude mode and to provide a pivot guide for transition between the occlude to non-occlude mode and for the transition between the non-occlude to the occlude mode.
    • 在具有自由浮动的,可旋转的,可枢转的盘封闭器的假体心脏瓣膜中,用于阻止流体通过其中,改进包括提供具有基本上凸起的远侧表面(39)和基本平坦的近侧表面(30)的盘闭塞器 (38)具有形成在其中的同心设置的孔(42)。 提供近端定位的控制单元(21)和远侧定位的控制单元(22),用于与盘闭塞器(12)的协同相互作用,以将闭塞器(12)支撑在闭塞和非闭塞模式中,并提供枢轴 在闭塞到非闭塞模式之间以及不闭塞到闭塞模式之间的转换的指导。
    • 8. 发明申请
    • KÜNSTLICHE HERZKLAPPE
    • 人工心脏瓣膜
    • WO2007054078A2
    • 2007-05-18
    • PCT/DE2006/001961
    • 2006-11-09
    • ATRIMED MEDIZINTECHNIK GMBHKROGMANN, MichaelOTTO, Karl-Heinz
    • KROGMANN, MichaelOTTO, Karl-Heinz
    • A61F2/24
    • A61F2/2406A61F2/2403
    • Eine künstliche Herzklappe (1) soll eine Durchflusscharakteristik mit möglichst hohen laminaren Strömungsanteilen aufweisen und für den Träger eine geringere Thrombosegefahr bergen. Dazu weist die Herzklappe (1) einen ringförmigen Körper (2) zur Verankerung der Herzklappe (1) im menschlichen Körper auf mit einem von dem ringförmigen Körper (2) in seinem Zentrum aufgespannten Lumen (5). In dem ringförmigen Körper (5) ist mindestens ein Schließkörper (8) gelagert, der um eine Schwenkachse (13) von einer Offen-Stellung in eine Geschlossen-Stellung, drehbar ist. Der Schließkörper (8) weist zumindest ein Lagerstück (16) auf und ist dadurch am ringförmigen Körper (2) gelagert, wobei jedes Lagerstück (16) in einer ihm zugeordneten Lagervertiefung (14) des ringförmigen Körpers (2) angeordnet ist. Jede Lagervertiefung (14) weist einen Lagergrund (9) auf, auf dem das Lagerstück (16) gleitet, wobei der Lagergrund (9) nicht eben, sondern als konvexe oder konkave Fläche ausgebildet ist.
    • 人造心脏瓣膜(1)是具有与最高可能的层流部分的流动特性和姿势血栓形成为佩戴者的风险较低。 为了这个目的,心脏瓣膜(1)的环形本体(2)锚定在人体内心脏瓣膜(1)与所述环形体(2)夹持在其中心内腔(5)中的一个。 在环状体(5)至少一个封闭体(8)被安装时,大约从打开位置到关闭位置的枢转轴线(13),是可旋转的。 封闭体(8)具有至少一个支承件(16)并且其特征在于在所述环形本体(2)被安装时,各支承件(16)设置在所述环形主体的相关联的他容纳凹部(14)(2)。 每个轴承凹部(14)具有一个轴承座(9),在其上,其中,所述轴承基座被形成为凸形或凹形表面(9)的支承件(16)滑动时,是不平坦的,而是。
    • 9. 发明申请
    • PROSTHETIC HEART VALVE
    • 前置心脏瓣膜
    • WO01034068A1
    • 2001-05-17
    • PCT/IB1999/001816
    • 1999-11-10
    • A61F2/24
    • A61F2/2406
    • A multi-leaflet cardiovascular valve having a generally annular valve body (1) and at least two leaflets (4, 5) mounted within the valve body such that the leaflets rotate around a central axis (11) and a transverse pivoting axis (12) between an open configuration wherein blood is permitted to flow through the annular valve body and a closed configuration wherein blood is prevented from flowing in at least one direction through the annular valve body. During the open configuration, the leaflets rotate around the flow axis.
    • 一种具有大致环形的阀体(1)和安装在阀体内的至少两个小叶(4,5)的多瓣瓣心血管瓣,使得小叶围绕中心轴线(11)和横向枢转轴线(12)旋转, 在允许血液流过环形阀体的打开构造和其中防止血液在至少一个方向上流过环形阀体的封闭构造之间。 在打开配置期间,传单围绕流轴旋转。