110 results about "Cardiac auricle" patented technology

A device for containing emboli within a left atrial appendage of a patient includes a frame that is expandable from a reduced cross section to an enlarged cross section and a slider assembly. The frame extends between a proximal hub and a distal hub, and the slider assembly is coupled to the distal hub of the frame. The slider assembly includes a guide tube that has a channel extending proximally away from the distal hub, and a nut. The nut is longitudinally moveable within the channel of the guide tube over a predetermined distance relative to the guide tube. The nut is operable to be releasably coupled with an elongate core, and movement of the nut relative to the guide tube is at least partially limited by interference between a portion of the nut and a portion of the guide tube.

Methods and systems for transvenously accessing the pericardial space via the vascular system and atrial wall, particularly through the superior vena cava and right atrial wall, to deliver treatment in the pericardial space are disclosed. A steerable instrument is advanced transvenously into the right atrium of the heart, and a distal segment is deflected into the right atrial appendage. A fixation catheter is advanced employing the steerable instrument to affix a distal fixation mechanism to the atrial wall. A distal segment of an elongated medical device, e.g., a therapeutic catheter or an electrical medical lead, is advanced through the fixation catheter lumen, through the atrial wall, and into the pericardial space. The steerable guide catheter is removed, and the elongated medical device is coupled to an implantable medical device subcutaneously implanted in the thoracic region. The fixation catheter may be left in place.

Methods and apparatus for intraluminally or transluminally closing a left atrial appendage while under direct visualization are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Additionally, any number of therapeutic tools can also be passed through the deployment catheter and into the imaging hood for performing any number of procedures on the tissue for accessing and closing the left atrial appendage.

A method for planning left atrial appendage (LAA) occlusion for a patient includes obtaining acquisition data from a medical imaging system, and generating a 3D model of the left atrium of the patient. One or more left atrial anatomical landmarks are identified on the 3D model, and saved views of the 3D model are registered on an interventional system. One or more of the registered saved views are visualized with the interventional system.

A system and method for retrieving an implantable device includes a delivery catheter, a recapture section, and a sheath. The delivery catheter has a proximal end and a distal end. The recapture section is axially extendable from the distal end of the delivery catheter. The sheath has a proximal end and a distal end and a lumen sized to receive the delivery catheter. A portion of the lumen of the sheath is actuatable from an enlarged inside diameter to a reduced inside diameter to apply an inwardly directed force to the recapture section. The delivery catheter can be actuated with respect to the sheath to extend or retract the recapture section with respect to the delivery catheter.

A left atrial appendage occlusion device including an occluder disk configured to substantially prevent blood from at least one of entering and exiting the left atrial appendage, a middle portion including a coiled element and a first anchoring element. The coiled element connects to the occluder disk, has a substantially constant cross section and allows for variable length, variable orientation, and/or varied angles. The first anchoring element connects to the coiled element and includes scalloped edges that are configured to anchor the occlusion device to inner walls of the left atrial appendage and reduce the risk of one of penetration and perforation of walls of the left atrial appendage. The left atrial appendage occlusion device may also include a self-centering element that connects to the occluder disk and middle portion and is configured to center the occlusion device within the orifice of the left atrial appendage.

Disclosed is a closure catheter, for closing a tissue opening such as an atrial septal defect, patent foreman ovale, or the left atrial appendage of the heart. The closure catheter carries a plurality of tissue anchors, which may be deployed into tissue surrounding the opening, and used to draw the opening closed. Methods are also disclosed.

Systems and methods for occluding a left atrial appendage are disclosed. A left atrial appendage may be covered with a first occluder device to obstruct the passage of blood out of the left atrial appendage. The first occluder device may include an expandable member, a cover attached to and covering an end of the expandable member, and a one-way valve disposed in the cover. The cover may form a flexible pocket between the cover and the expandable member. The cover may be made of bioprosthetic material. A second occluder device may also be disposed within the left atrial appendage by inserting the second occluder device through the one-way valve in the cover of the first occluder device. The second occluder device may be used to stretch the left atrial appendage to obliterate the left atrial appendage.

A medical device implant for the left atrial appendage of a patient's heart to prevent strokes. The device includes a cap that overlies the opening of the LAA connected to a bulb in the LAA. Discontinuous segmented sails attached to the cap promote tissue growth over the device. The device maybe repositioned and redeployed during implantation.

The invention discloses a left auricle plugging device and a transport system. The left auricle plugging device comprises a stent and a plugging device body. Firstly, the stent is implanted and fixed on the left auricle inlet position, the double-tray-shaped plugging device body is released on the stent for plugging a left auricle, and therefore the problem of cerebral apoplexy caused by left auricle thrombus because of atrial fibrillation can be solved. The left auricle plugging device is provided with the self-expandable nitinol stent, the stent is firmly fixed on the left auricle inlet position by depending on anchoring thorns, and then the appropriate plugging device body is released on the stent. The transport system transports the left auricle plugging device to the left auricle position. Compared with the prior art, the stent is firstly fixed on the left auricle inlet position, then the double-tray-shaped plugging device body is released on the stent, and therefore release accuracy and implanting stability of the plugging device body are improved, and the plugging device body has selectivity. After release, the stent and the the plugging device body can be recovered to a catheter for relocation or replacement.

The invention discloses a left auricle plugging device locating position automatically in left auricle, solving problems of irrational combination, damaging the left auricle when fixing and residual cavity in left auricle opening place existing in current left auricle plugging device, comprising cradle (1) woven with nickel-tantalum alloy and with net structure in the surface, and insulating membrane (3) installed in cradle (1), the said cradle (1) is formed by connection of hollow plate-like plugging head (6) and hollow cylindrical locating column (5), the outer diameter of the plate-like plugging head (6) is larger than that of cylindrical locating column (5); the center of (5) and (6) are equipped with insulating membrane (3); on the surface which (5)and (6) are not connected is equipped with delivery connector (2). The device is characterized by the rational structure, automatic locating in the left auricle, no occur of applications, and suitable for left auricle of different size.

The invention discloses a left auricle occluding device. The left auricle occluding device comprises a sealing disc and an anchoring device, both of which are connected. The position where the anchoring device is matched with a left auricle is an anchoring net of a boneless structure. The overall anchoring device is of a boneless structure and formed by weaving of hyper-elastic metal wires or memory alloy metal wires. The far end of the anchoring device is in the shape of an opening. The near end of the anchoring device is collected and connected with the sealing disc to form a conical net. The far end of the anchoring device is opened and turned up towards the near end to form the anchoring net surrounding the conical net. The anchoring net is joined with the conical net by means of a circular transition area. The left auricle occluding device has following beneficial effects: force can be uniformly distributed to be anchored in the interior of the left auricle in order to eliminate concentration of local stress and can also be repeatedly released; and an opening part of the left auricle is effectively and reliably blocked.

Devices, systems, and methods for inverting and closing the left atrial appendage. In at least one embodiment of a method for closing a left atrial appendage of the present disclosure, the method comprises the steps of inverting a distal portion of a left atrial appendage, and constraining the inverted distal portion of the left atrial appendage using a device configured to fit within an interior of the left atrial appendage.

A method and system for segmentation and removal of pulmonary arteries, pulmonary veins, and a left atrial appendage from 3D medical image data, such as 3D computed tomography (CT) volumes, is disclosed. A global shape model is segmented for each of pulmonary arteries, pulmonary veins, and a left atrial appendage in a 3D volume. The segmented global shape model for each of the pulmonary arteries, pulmonary veins, and left atrial appendage is locally refined based in local voxel intensities in the 3D volume, resulting in a respective mask for each structure. The mask is used to remove voxels belonging to the pulmonary arteries, pulmonary veins, and left atrial appendage from the 3D volume in order to better visualize coronary arteries and bypass arteries.

The invention relates to an occluder for occluding a left aurcle. The novel left aurcle occluder comprises a left aurcle packing column of the occluder, upper barbs of the left aurcle packing column of the occluder, a fixed steering connecting device, a left aurcle cover plate of the occluder, a blood flow barrier membrane, and the like. The novel left aurcle occluder is implanted into the human body by utilizing a minimally invasive therapy method and used for preventing the forming of a thrombus in the left aurcle of a patient with atrial fibrillation by occluding the left aurcle, so that the risk that long-term disability or death due to thromboembolism happens to the patient with atrial fibrillation is lowered. Meanwhile, long-term dependence of the patient with atrial fibrillation on anticoagulant drugs can be eliminated by occluding the left aurcle to provide a new treatment choice for the patient. The occluder is woven by nickel-titanium alloy wires, has a preset extensional appearance, and is used for connecting the left aurcle packing column of the occluder with the left aurcle cover plate of the occluder by virtue of the fixed steering connecting device; the upper barbs of the left aurcle packing column of the occluder are woven on the left aurcle packing column, and the blood flow barrier membrane is sewn in the left aurcle cover plate of the occluder. The novel left aurcle occluder can be used for occluding and blocking the blood flow from entering the left aurcle, the whole left aurcle occluder is smooth and flat in surface and beneficial to epithelization after being implanted.

The invention provides a left auricle ligation device which comprises an outer sheath tube, an inner sheath tube, a push rod, a lock sleeve and a ligature. The ligature is in the shape of a 'jade pendant', a line knot is tied every section, the ligature penetrates the lock sleeve, and a circular ring is formed at one end of the lock sleeve. The left auricle ligation device is used for firmly and reliably ligating a left auricle without opening a chest, and blood flow is completely blocked.

An apparatus for performing myocardial revascularization in a beating heart and left ventricular assistance condition comprises an arterial cannula, of a per se known type, arranged in the descending aorta, a novel arterial draining cannula, of a two cannula stage type, so arranged that the draining occurs from the left auricle and left ventricle, and a centrifugal pump allowing blood flow from the left ventricle to the aorta. The apparatus allow the patients to be operated on with the safety of a conventional extra-corporeal circulation and with a risk and cost reduction due to the off-pump technique.

The invention discloses a computer-assisted ultrasonic diagnosis method for a left atrium/left auricle thrombus. The technical scheme includes that data mining technology, a pattern recognition theory and medical clinical information are combined, a gray-scale video and a real-time three-dimensional dynamic video serve as research objects, all-dimensional information in an image is accurately acquired, potential disease association rules in the image information are mined, and multiclass characteristics are comprehensively analyzed to obtain a detection method for automatically detecting and classifying the left atrium/left auricle thrombus. A thrombus recognition method can avoid missed diagnosis and misdiagnosis caused by subjective reasons such as inadequate experience or visual fatigue of doctors, and patients with suspected left atrium/left auricle thrombi clinically detected by transesophageal echocardiography can be confirmed as early as possible, so that the patients without thrombosis can receive cardioversion treatment of atrial fibrillation as early as possible. The method is simple and convenient to operate and high in practicability, and has important guiding significance for diagnosis and treatment of the left atrium/left auricle thrombus and ventricular fibrillation.

Apparatus (610) for closure of a left atrial appendage (220) of a heart, comprising a deployment device (520) configured to enter a pericardial region of the heart and to be advanced toward an outer surface of the left atrial appendage; and first and second rigid longitudinal rod elements (630) coupled to each other by at least one coupling suture (552), the first and second rigid longitudinal rod elements (630) being deployable by the deployment device on opposing external surfaces of the left atrial appendage, and configured to compress tissue of the left atrial appendage due to pulling of at least one proximal portion of the coupling suture (552). Other applications are also described.

The invention discloses an improved left auricle occluder. The improved left auricle occluder comprises a sealing disc and an anchoring device, wherein the sealing disc is connected with the anchoring device; at least two flow stopping membranes are arranged in the sealing disc; a portion, which is matched with a left auricle, of the anchoring device is an anchoring net; and the anchoring net is a boneless structure. The whole anchoring device is a boneless structure. The anchoring device is knitted by metal wires, a far end of the anchoring device is in the shape of an opening, and a near end of the anchoring device is tucked, is connected with the sealing disc and is in the shape of a conical net; the far end of the anchoring device is opened and turned up towards the near end to form the anchoring net; and the anchoring net surrounds the conical net. By the improved left auricle occluder, a left auricle opening can be occluded in a multi-layered manner, force is uniformly distributed in the left auricle during anchoring, local stress concentration is eliminated, repeated release can be implemented, and the left auricle opening can be occluded effectively and reliably.