DE29724206U1 - Vorrichtung zur Einschränkung des Herzvolumens - Google Patents
Vorrichtung zur Einschränkung des HerzvolumensInfo
- Publication number
- DE29724206U1 DE29724206U1 DE29724206U DE29724206U DE29724206U1 DE 29724206 U1 DE29724206 U1 DE 29724206U1 DE 29724206 U DE29724206 U DE 29724206U DE 29724206 U DE29724206 U DE 29724206U DE 29724206 U1 DE29724206 U1 DE 29724206U1
- Authority
- DE
- Germany
- Prior art keywords
- heart
- strengthening
- sheath
- epicardial surface
- predetermined size
- 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.)
- Expired - Lifetime
Links
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
- A61F2/2478—Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
- A61F2/2481—Devices outside the heart wall, e.g. bags, strips or bands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/161—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel mechanically acting upon the outside of the patient's blood vessel structure, e.g. compressive structures placed around a vessel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/247—Positive displacement blood pumps
- A61M60/253—Positive displacement blood pumps including a displacement member directly acting on the blood
- A61M60/268—Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/40—Details relating to driving
- A61M60/465—Details relating to driving for devices for mechanical circulatory actuation
- A61M60/47—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being mechanical, e.g. mechanically driven members clamping a blood vessel
-
- 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
- A61F2/2478—Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
- A61F2/2481—Devices outside the heart wall, e.g. bags, strips or bands
- A61F2002/2484—Delivery devices therefor
-
- 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
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
Description
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Claims (19)
1. Vorrichtung zur Verstärkung einer Herzwand,
welche ein Material (16) umfasst, das auf eine Oberfläche des
Herzens aufgebracht werden kann,
dadurch gekennzeichnet, dass das Material ein biomedizinisches
Material (16) ist, das sich auf eine Vorbestimmte Grösse
ausdehnen kann, und die vorbestimmte Grösse so gewählt ist,
dass die Ausdehnung des Herzens über eine vorbestimmte Grenze
hinaus eingeschränkt wird.
2. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 1,
dadurch gekennzeichnet, dass die Vorrichtung eine Ummantelung
(15; 30; 40; 61; 71) umfasst, die so über die epikardiale
Oberfläche des Herzens gelegt werden kann, dass sie sich um
den Umfang reichend über das Herz erstreckt.
3. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 2,
dadurch gekennzeichnet, dass die Ummantelung (15; 30; 40)
ein spitzenseitiges (apikales) Ende (24; 32; 50) aufweist, so
dass wenn die Ummantelung (15; 30; 40; 61; 71) auf die
epikardiale Oberfläche aufgebracht wird, das spitzenseitige
Ende (24; 32; 50) zur Spitze (Apex) des Herzens gerichtet ist.
4. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 3,
dadurch gekennzeichnet, dass das spitzenseitige Ende (32; 50)
der Ummantelung (30; 40) eine Öffnung aufweist, durch welche
die Spitze (Apex) des Herzens hervorragt.
5. Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 2 bis 4,
dadurch gekennzeichnet, dass die Ummantelung (15; 30; 40; 61;
71) ein basisseitiges Ende (18; 31; 42; 76) mit einer Öffnung
zum Aufbringen der Ummantelung auf die epikardiale Oberfläche
des Herzens aufweist, wobei die Ummantelung so über die
epikardiale Oberfläche des Herzens gestreift wird, dass wenn
sie auf die epikardiale Oberfläche aufgebracht ist, das
basisseitige Ende (18; 31; 42; 76) der Ummantelung zur Basis
der Herzens gerichtet ist.
6. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 5,
dadurch gekennzeichnet, dass das basisseitige Ende (18; 31;
42; 76) der Ummantelung (15; 30; 40; 61; 71) ferner eine
Befestigungsanordnung zum Befestigen der Ummantelung an der
epikardialen Oberfläche des Herzens umfasst.
7. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 6,
dadurch gekennzeichnet, dass die Befestigungsanordnung zum
Befestigen der Ummantelung (15; 30; 40; 61; 71) an der
epikardialen Oberfläche des Herzens ein um den Umfang
reichendes Befestigungselement (17; 33; 43) ist, das die
Öffnung an dem basisseitigen Ende (18; 31; 42; 76) der
Ummantelung (15; 30; 40; 61; 71) umgibt.
8. Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 5 bis 7,
dadurch gekennzeichnet, dass die Ummantelung einen Mechanismus
(19; 22; 23; 34; 38; 54; 80) zur selektiven Einstellung der
vorbestimmten Grösse der die epikardiale Oberfläche des
Herzens umgebenden Ummantelung umfasst.
9. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 8,
dadurch gekennzeichnet, dass der Mechanismus zur selektiven
Einstellung der vorbestimmten Grösse der Ummantelung aus einem
Schlitz (19; 34) mit gegenüberliegenden seitlichen Rändern
(20; 21; 35; 36) besteht, wobei die gegenüberliegenden
seitlichen Ränder die vorbestimmte Grösse verringern, indem
sie näher zueinander bewegt werden.
10. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 9,
dadurch gekennzeichnet, dass der Mechanismus ein seitliches
Befestigungselement (22; 23; 38) aufweist, um die seitlichen
gegenüberliegenden Ränder (20; 21; 35; 36) des Schlitzes
miteinander zu verbinden.
11. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 8,
dadurch gekennzeichnet, dass der Mechanismus zur selektiven
Einstellung der vorbestimmten Grösse der Ummantelung ein
zwischen der Ummantelung (53) und der epikardialen Oberfläche
angebrachtes aufblasbares Element (54) ist.
12. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 1,
dadurch gekennzeichnet, dass sie einen kegelförmigen Rumpf aus
biomedizinischem Material (16) mit einem spitzenseitigen
(apikalen) Ende (24; 32; 50) und einem basisseitigen Ende (18;
31; 42; 76) aufweist, welcher im allgemeinen der äusseren
Geometrie des Herzens eines Patienten entspricht.
13. Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 1 bis 12,
dadurch gekennzeichnet, dass das biomedizinische Material ein
elastisches Material ist.
14. Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 1 bis 12,
dadurch gekennzeichnet, dass das biomedizinische Material ein
im wesentlichen nicht-elastisches Material ist.
15. Die Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 1 bis 14,
dadurch gekennzeichnet, dass das biomedizinische Material (16)
ein perforiertes Material, wie zum Beispiel ein offenmaschiges
Material, ist.
16. Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 1 bis 15,
dadurch gekennzeichnet, dass das biomedizinische Material ein
maschiges Polyester ist.
17. Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 1 bis 16,
dadurch gekennzeichnet, dass das biomedizinische Material
Silikongummi ist.
18. Vorrichtung zur Verstärkung des Herzens nach
einem der Ansprüche 1 bis 17,
dadurch gekennzeichnet, dass das biomedizinische Material eine
strahlendichte Markierung aufweist.
19. Vorrichtung zur Verstärkung des Herzens nach
Anspruch 18,
dadurch gekennzeichnet, dass die strahlendichte Markierung ein
Platindraht ist.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/720,556 US5702343A (en) | 1996-10-02 | 1996-10-02 | Cardiac reinforcement device |
PCT/US1997/017898 WO1998014136A1 (en) | 1996-10-02 | 1997-10-01 | Heart volume limiting device |
Publications (1)
Publication Number | Publication Date |
---|---|
DE29724206U1 true DE29724206U1 (de) | 2000-08-10 |
Family
ID=24894428
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE69731890T Expired - Lifetime DE69731890T2 (de) | 1996-10-02 | 1997-10-01 | Vorrichtung zur limitierung des herzvolumens |
DE29724206U Expired - Lifetime DE29724206U1 (de) | 1996-10-02 | 1997-10-01 | Vorrichtung zur Einschränkung des Herzvolumens |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE69731890T Expired - Lifetime DE69731890T2 (de) | 1996-10-02 | 1997-10-01 | Vorrichtung zur limitierung des herzvolumens |
Country Status (9)
Country | Link |
---|---|
US (16) | US5702343A (de) |
EP (1) | EP0930856B1 (de) |
AR (1) | AR013611A1 (de) |
AT (1) | ATE284180T1 (de) |
AU (1) | AU723460B2 (de) |
CA (2) | CA2451964A1 (de) |
DE (2) | DE69731890T2 (de) |
NZ (3) | NZ335051A (de) |
WO (1) | WO1998014136A1 (de) |
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