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HRP20211570T1 - Uređaj i sustav za pripomoć srcu - Google Patents

Uređaj i sustav za pripomoć srcu Download PDF

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Publication number
HRP20211570T1
HRP20211570T1 HRP20211570TT HRP20211570T HRP20211570T1 HR P20211570 T1 HRP20211570 T1 HR P20211570T1 HR P20211570T T HRP20211570T T HR P20211570TT HR P20211570 T HRP20211570 T HR P20211570T HR P20211570 T1 HRP20211570 T1 HR P20211570T1
Authority
HR
Croatia
Prior art keywords
implantable
heart
fixing element
sternum
energy
Prior art date
Application number
HRP20211570TT
Other languages
English (en)
Inventor
Peter Forsell
Original Assignee
Medicaltree Patent Ltd.
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 Medicaltree Patent Ltd. filed Critical Medicaltree Patent Ltd.
Publication of HRP20211570T1 publication Critical patent/HRP20211570T1/hr

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Classifications

    • 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
    • A61N1/362—Heart stimulators
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/04—Artificial pneumothorax apparatus
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3627—Degassing devices; Buffer reservoirs; Drip chambers; Blood filters
    • 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
    • A61M60/148—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 in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
    • 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
    • A61M60/165—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
    • A61M60/191—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart mechanically acting upon the outside of the patient's native heart, e.g. compressive structures placed around the heart
    • 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
    • A61M60/289—Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
    • 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
    • A61M60/468—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being hydraulic or pneumatic
    • 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
    • A61M60/473—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 generated by an electromotor
    • A61M60/476—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 generated by an electromotor with means converting the rotation into a translational movement of the displacement member
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    • 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
    • A61M60/473—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 generated by an electromotor
    • A61M60/476—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 generated by an electromotor with means converting the rotation into a translational movement of the displacement member
    • A61M60/478—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 generated by an electromotor with means converting the rotation into a translational movement of the displacement member the axis of both movements being parallel, e.g. roller screw actuators or cylindrical cam transmissions
    • 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
    • A61M60/489—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being magnetic
    • A61M60/495—Electromagnetic force
    • 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
    • A61M60/50—Details relating to control
    • 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
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • 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
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • A61M60/515—Regulation using real-time patient data
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/861—Connections or anchorings for connecting or anchoring pumps or pumping devices to parts of the patient's body
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/865—Devices for guiding or inserting pumps or pumping devices into the patient's body
    • A61M60/867—Devices for guiding or inserting pumps or pumping devices into the patient's body using position detection during deployment, e.g. for blood pumps mounted on and driven through a catheter
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/871—Energy supply devices; Converters therefor
    • A61M60/873—Energy supply devices; Converters therefor specially adapted for wireless or transcutaneous energy transfer [TET], e.g. inductive charging
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/89—Valves
    • A61M60/894—Passive valves, i.e. valves actuated by the blood
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/32—General characteristics of the apparatus with radio-opaque indicia
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A—HUMAN NECESSITIES
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    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3303—Using a biosensor
    • A—HUMAN NECESSITIES
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    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/82—Internal energy supply devices
    • A61M2205/8237—Charging means
    • A61M2205/8243—Charging means by induction
    • A—HUMAN NECESSITIES
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    • 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
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/04—Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • 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
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Mechanical Engineering (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Hospice & Palliative Care (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Electromagnetism (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Pulmonology (AREA)
  • External Artificial Organs (AREA)
  • Prostheses (AREA)

Claims (15)

1. Usadivi uređaj za pripomoć srcu koji pripomaže funkcioniranju srca kao crpke vršenjem vanjske sile na srce, pri čemu navedeni usadivi uređaj sadrži: • prvi učvršćujući element (241), prilagođen za pričvršćivanje navedenog uređaja na prsnu kost, • drugi učvršćujući element (185), • najmanje jedan spojni krak (244), i • najmanje jedan uređaj srčane crpke (3), pri čemu je navedeni spojni krak konfiguriran za stupanje u kontakt s navedenim drugim učvršćujućim elementom i navedenim uređajem srčane crpke, te pri čemu je navedeni drugi učvršćujući element konfiguriran da se može pomicati u odnosu na navedeni prvi učvršćujući element radi mijenjanja položaja navedenog uređaja srčane crpke.
2. Usadivi uređaj u skladu s patentnim zahtjevom 1, pri čemu se navedeni spojni krak može u najmanju ruku: • rotacijski pomicati u odnosu na navedeni prvi učvršćujući element, po najmanje jednoj osi, • linearno pomicati u odnosu na navedeni prvi učvršćujući element, po najmanje jednoj osi, • pomicati u odnosu na prvi navedeni učvršćujući element po u najmanju ruku prvoj i drugoj osi, • rotacijski pomicati u odnosu na navedeni prvi učvršćujući element, po najmanje jednoj od najmanje dvije osi, • linearno pomicati u odnosu na navedeni prvi učvršćujući element, po najmanje jednoj od najmanje dvije osi, • linearno ili rotacijski pomicati po prvoj osi, te linearno ili rotacijski pomicati po drugoj osi, u odnosu na navedeni prvi učvršćujući element, • pomicati u odnosu na prvi navedeni učvršćujući element po u najmanju ruku prvoj, drugoj i trećoj osi.
3. Usadivi uređaj za pripomoć srcu u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu navedeni usadivi uređaj za pripomoć srcu dodatno sadrži zabravljujući element, prilagođen za zabravljivanje navedenog drugog učvršćujućeg elementa na mjestu u odnosu na navedeni prvi učvršćujući element.
4. Usadivi uređaj za pripomoć srcu u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu je navedeni spojni krak savinut kako bi mogao doći u kontakt s navedenim prvim učvršćujućim elementom kada je pričvršćen na prednjoj strani prsne kosti i za stupanje u kontakt s navedenim uređajem srčane crpke koji se nalazi na stražnjoj strani prsnog koša.
5. Usadivi uređaj za pripomoć srcu u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu navedeni prvi učvršćujući element sadrži prvu ploču, prilagođenu za pričvršćivanje na prsnu kost, te pri čemu navedeni drugi učvršćujući element sadrži drugu ploču, prilagođenu za pričvršćivanje na prsnu kost.
6. Usadivi uređaj za pripomoć srcu u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu je navedeni spojni krak prilagođen za, kada je usađen, postavljanje kroz ošit, čime pripomaže kod učvršćivanja uređaja srčane crpke koji se nalazi na prsnoj strani ošita, pri čemu navedeni uređaj dodatno sadrži najmanje jedan od radnog uređaja prilagođenog za stavljanje u trbuh ljudskog pacijenta.
7. Uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu navedeni uređaj za pripomoć srcu može tako raditi da mijenja položaj vanjske sile koju se vrši na srce.
8. Usadivi uređaj za pripomoć srcu u skladu s patentnim zahtjevom 7, pri čemu navedeni uređaj za pripomoć srcu može tako raditi da upotrebljava usadivi motor koji je motor kojeg se bira između: • električnog motora, • magnetskog motora, koji sadrži prvi dio koji sadrži namote, te drugi dio koji sadrži magnete, prilagođen za stvaranje sile uzastopnim napajanjem navedenih namota u sprezi s magnetima, • elektromagneta, • hidrauličnog motora, • pneumatskog motora, te • servomotor.
9. Usadivi uređaj za pripomoć srcu u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu je navedeni najmanje jedan učvršćujući element prilagođen za pričvršćivanje navedenog uređaja na stražnju stranu prsne kosti uz pomoć najmanje jedan od: najmanje jednog vijka, najmanje jedne slijepe zakovice, te najmanje jednog prolaznog uređenja, prilagođenog za najmanje jedno od: pričvršćivanje navedenog uređaja na stražnju koru prsne kosti, pričvršćivanje navedenog uređaja i na stražnju i na prednju koru navedene prsne kosti, te pričvršćivanje navedenog usadivog uređaja za pripomoć srcu na prsnu kost u više točaka.
10. Usadivi uređaj za pripomoć srcu u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu je navedeni spojni krak u kontaktu s navedenim drugim učvršćujućim elementom i navedenim uređajem srčane crpke, te pri čemu se navedeni drugi učvršćujući element može pomicati u odnosu na navedeni prvi učvršćujući element radi kalibriranja lokacije vanjske sile koju se primjenjuje na srce ljudskog pacijenta.
11. Usadivi uređaj za pripomoć srcu u skladu s patentnim zahtjevom 5, pri čemu navedeni prvi i drugi učvršćujući element su prilagođeni za međusobno spajanje na suprotnim stranama prsne kosti.
12. Usadivi uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu učvršćujući element sadrži najmanje jedno od: keramičkog materijala, titanija, te nehrđajućeg čelika.
13. Usadivi uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, pri čemu je navedeni usadivi uređaj prilagođen za vršenje vanjske sile na najmanje jednu od: • lijeve srčane klijetke, • dvije različite strane lijeve srčane klijetke, • desne srčane klijetke, • dvije različite strane desne srčane klijetke.
14. Usadivi uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, koji dodatno sadrži sustav koji sadrži unutarnji prijemnik energije, prilagođen za neinvazivno i bežično napajanje iz uređaja za odašiljanje energije na vanjskoj strani pacijentovog tijela, prilagođen za odašiljanje bežične energije najmanje jednom od: • usadivog unutarnjeg izvora energije kojeg sadrži sustav, kojeg se može puniti energijom koju odašilje uređaj za odašiljanje energije, te • najmanje jedne usadive komponente sustava koja troši energiju, prilagođenoj za najmanje jedno od: • izravne upotrebe bežične energije u njezinom bežičnom stanju, te • upotrebe energije kojom je napaja uređaj za pretvorbu energije kojeg sadrži sustav, prilagođen za prijem bežične energije.
15. Usadivi uređaj u skladu s bilo kojim od prethodnih patentnih zahtjeva, koji sadrži senzor i/ili mjerni uređaj detektira ili mjeri najmanje jedan od: najmanje jednog fizičkog parametra pacijenta, te najmanje jedan funkcionalni parametar koji se odnosi na uređaj, koji uključuje najmanje jedno od: funkcionalnog parametra u korelaciji s prijenosom energije za punjenje unutarnjeg izvora energije, u skladu s patentnim zahtjevom 14, te bilo kojeg drugog funkcionalnog parametra koji se odnosi na uređaj, pri čemu uređaj dodatno sadrži uzvratni uređaj, koji odašilje povratne informacije iz unutrašnjosti pacijentovog tijela prema najmanje jednom od: – usadivoj unutarnjoj upravljačkoj jedinici koju sadrži uređaj, te – vanjštini pacijentovog tijela, pri čemu povratne informacije se odnose na najmanje jedno od: najmanje jednog fizičkog parametra pacijenta i najmanje jednog funkcionalnog parametra koji se odnosi na uređaj.
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US20240709P 2009-02-25 2009-02-25
US20240509P 2009-02-25 2009-02-25
EP09819467.3A EP2349383B1 (en) 2008-10-10 2009-10-12 Heart help device and system
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