CN116133715A - 用于环扎管腔系统的设备和方法 - Google Patents

用于环扎管腔系统的设备和方法 Download PDF

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Publication number
CN116133715A
CN116133715A CN202180049654.1A CN202180049654A CN116133715A CN 116133715 A CN116133715 A CN 116133715A CN 202180049654 A CN202180049654 A CN 202180049654A CN 116133715 A CN116133715 A CN 116133715A
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CN
China
Prior art keywords
guidewire
implant
catheter
tether
tensioning element
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202180049654.1A
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English (en)
Chinese (zh)
Inventor
R·J·莱德曼
C·G·布鲁斯
M·豪斯
N·拉菲
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Transmural Systems LLC
US Department of Health and Human Services
Original Assignee
Transmural Systems LLC
US Department of Health and Human Services
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Transmural Systems LLC, US Department of Health and Human Services filed Critical Transmural Systems LLC
Publication of CN116133715A publication Critical patent/CN116133715A/zh
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2493—Transmyocardial revascularisation [TMR] devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/0563—Transvascular endocardial electrode systems specially adapted for defibrillation or cardioversion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/37512—Pacemakers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/37518—Anchoring of the implants, e.g. fixation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00357—Endocardium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0066—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof shrinkable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0067—Means for introducing or releasing pharmaceutical products into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Pathology (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
  • Electrotherapy Devices (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)
CN202180049654.1A 2020-07-10 2021-07-12 用于环扎管腔系统的设备和方法 Pending CN116133715A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202063050270P 2020-07-10 2020-07-10
US63/050,270 2020-07-10
PCT/US2021/041310 WO2022011348A1 (en) 2020-07-10 2021-07-12 Devices and methods for cerclage of lumenal systems

Publications (1)

Publication Number Publication Date
CN116133715A true CN116133715A (zh) 2023-05-16

Family

ID=79552130

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202180049654.1A Pending CN116133715A (zh) 2020-07-10 2021-07-12 用于环扎管腔系统的设备和方法

Country Status (9)

Country Link
US (1) US20230233321A1 (https=)
EP (1) EP4178486A4 (https=)
JP (2) JP7780153B2 (https=)
KR (1) KR20230035654A (https=)
CN (1) CN116133715A (https=)
AU (1) AU2021304368A1 (https=)
CA (1) CA3184823A1 (https=)
IL (1) IL299587A (https=)
WO (1) WO2022011348A1 (https=)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2024508551A (ja) 2021-03-02 2024-02-27 トランスミューラル システムズ エルエルシー アクセスカテーテル
CN119136875A (zh) * 2022-05-06 2024-12-13 美国政府(由卫生和人类服务部的部长所代表) 用于同步周向心肌内再同步和起搏的系统和方法
US12514576B2 (en) 2024-04-02 2026-01-06 inQB8 Medical Technologies, LLC Catheter-based methods for remodeling a heart chamber

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100161041A1 (en) * 2008-12-22 2010-06-24 Valtech Caridio, Ltd. Adjustable repair chords and spool mechanism therefor
CN105473107A (zh) * 2013-06-14 2016-04-06 心脏解决方案有限公司 二尖瓣隔离物及其植入系统和方法
US20160120647A1 (en) * 2013-06-12 2016-05-05 The United States Of America, As Represented By The Secretary, Dept. Of Health And Human Services Encircling implant delivery systems and methods
US20170049568A1 (en) * 2010-05-20 2017-02-23 Jenavalve Technology, Inc. Catheter system for introducing an expandable heart valve stent into the body of a patient, insertion system with a catheter system and medical device for treatment of a heart valve defect
US20190240019A1 (en) * 2017-08-26 2019-08-08 Transmural Systems Llc Cardiac annuloplasty and pacing procedures, related devices and methods
CN110290754A (zh) * 2016-09-01 2019-09-27 微仙美国有限公司 临时主动脉闭塞装置
US20190298521A1 (en) * 2016-05-06 2019-10-03 Transmural Systems Llc Annuloplasty procedures, related devices and methods
CN110381887A (zh) * 2017-02-10 2019-10-25 魅尔皮德股份有限公司 用于重塑心脏瓣膜环的可植入装置和输送系统

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5107041B2 (ja) * 2004-09-01 2012-12-26 マイクロチップス・インコーポレーテッド レザバ内容物の制御された放出または曝露のための、マルチキャップレザバデバイス
EP1824545B1 (en) * 2004-10-15 2015-11-18 Cook Medical Technologies LLC Endobronchial blocking device having a replaceable snare
US7901431B2 (en) * 2007-01-17 2011-03-08 Arthrex, Inc. Lisfranc repair using suture-button construct
DE102007009716B4 (de) * 2007-02-28 2010-01-14 Osypka, Peter, Dr. Ing. Vorrichtung zur Defibrillation des Herzens
US20100016784A1 (en) * 2008-07-17 2010-01-21 Microcube Llc Positionable medical system for positioning medical components on or within a body
US10285809B2 (en) * 2015-03-06 2019-05-14 Boston Scientific Scimed Inc. TAVI anchoring assist device
KR102416646B1 (ko) * 2016-05-06 2022-07-06 더 유나이티드 스테이츠 오브 어메리카, 애즈 리프리젠티드 바이 더 세크러테리, 디파트먼트 오브 헬쓰 앤드 휴먼 서비씨즈 고리성형술 절차들, 관련된 기기들 및 방법들
CN114901212B (zh) * 2019-08-08 2025-06-27 透壁系统有限责任公司 心脏瓣膜成形术和起搏程序、相关装置和方法
US11337753B2 (en) * 2020-07-03 2022-05-24 Telltale Llc Tissue cutting systems and methods

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100161041A1 (en) * 2008-12-22 2010-06-24 Valtech Caridio, Ltd. Adjustable repair chords and spool mechanism therefor
US20170049568A1 (en) * 2010-05-20 2017-02-23 Jenavalve Technology, Inc. Catheter system for introducing an expandable heart valve stent into the body of a patient, insertion system with a catheter system and medical device for treatment of a heart valve defect
US20160120647A1 (en) * 2013-06-12 2016-05-05 The United States Of America, As Represented By The Secretary, Dept. Of Health And Human Services Encircling implant delivery systems and methods
CN105473107A (zh) * 2013-06-14 2016-04-06 心脏解决方案有限公司 二尖瓣隔离物及其植入系统和方法
US20190298521A1 (en) * 2016-05-06 2019-10-03 Transmural Systems Llc Annuloplasty procedures, related devices and methods
CN110290754A (zh) * 2016-09-01 2019-09-27 微仙美国有限公司 临时主动脉闭塞装置
CN110381887A (zh) * 2017-02-10 2019-10-25 魅尔皮德股份有限公司 用于重塑心脏瓣膜环的可植入装置和输送系统
US20190240019A1 (en) * 2017-08-26 2019-08-08 Transmural Systems Llc Cardiac annuloplasty and pacing procedures, related devices and methods

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
陆明;马华松;王晓平;牛晶;任冬云;郑蕊;张敬;: "腰椎退变性侧弯植入物置入的内固定治疗", 中国组织工程研究, no. 44, 28 October 2012 (2012-10-28) *

Also Published As

Publication number Publication date
JP7780153B2 (ja) 2025-12-04
KR20230035654A (ko) 2023-03-14
IL299587A (en) 2023-03-01
WO2022011348A1 (en) 2022-01-13
JP2023533524A (ja) 2023-08-03
CA3184823A1 (en) 2022-01-13
US20230233321A1 (en) 2023-07-27
AU2021304368A1 (en) 2023-02-16
EP4178486A1 (en) 2023-05-17
JP2026021579A (ja) 2026-02-10
EP4178486A4 (en) 2024-08-14

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