阅读说明：本技术 医疗装置的稳定设备和使用方法 (The stabilizing equipment and application method of medical device ) 是由 G·S·泰勒二世 A·C·托森 D·M·泰勒 M·T·维斯特 A·J·赛格 G·J·冈珍妮 于 2018-04-27 设计创作，主要内容包括：本公开提供了一种用于医疗装置的稳定单元。所述稳定单元包括保持臂,所述保持臂具有被配置为邻接医疗装置的表面的表面。所述稳定单元还包括稳定叉状物,所述稳定叉状物具有被配置为接收所述医疗装置的狭槽。偏置构件与所述稳定叉状物接触,并且被配置为迫使所述稳定叉状物的所述狭槽朝向所述保持臂。当所述医疗装置被放置在所述稳定叉状物的所述狭槽中时,所述偏置构件迫使所述稳定叉状物倚着所述医疗装置的相邻表面,并且迫使所述医疗装置的相对表面倚着所述保持臂。(Present disclose provides a kind of stabilization units for medical device.The stable unit includes retaining arm, and the retaining arm has the surface on the surface for being configured as adjacent medical device.The stable unit further includes stablizing skewer, and the stable skewer has the slit for being configured as receiving the medical device.Biasing member is contacted with the stable skewer, and is configured as forcing the slit of the stable skewer towards the retaining arm.When in the slit that the medical device is placed on the stable skewer, the biasing member forces the adjacent surface of the stable skewer against medical device, and forces the apparent surface of the medical device against retaining arm.)

1. a kind of stabilizing equipment for medical device, includes:

Retaining arm；

Stablize skewer, the stable skewer includes the slit for being configured as receiving the medical device；And

Biasing member, the biasing member are configured as forcing the slit of the stable skewer towards the retaining arm；

Wherein, when in the slit that the medical device is placed on the stable skewer, the biasing member is forced The adjacent surface of the stable skewer against medical device, and force the apparent surface of the medical device against institute State retaining arm.

2. stabilizing equipment according to claim 1, wherein the slit of the stable skewer includes to be configured as connecing Close multiple ridges of the handle of the medical device.

3. according to claim 1 or stabilizing equipment as claimed in claim 2, wherein the retaining arm is in the stable skewer The slit above slidably.

4. according to claim 1 or stabilizing equipment as claimed in claim 2, wherein the retaining arm is pivotly couple to Shell, the stable skewer are arranged in the shell.

5. stabilizing equipment described in any one of -4 according to claim 1, the stabilizing equipment combination workbench, wherein described steady Locking equipment is set on the workbench, and the base portion of the stabilizing equipment is coupled to the workbench.

6. stabilizing equipment according to claim 5, wherein the stabilizing equipment is coupled to the work using clamp Platform.

7. according to claim 5 or stabilizing equipment as claimed in claim 6, wherein the base portion includes the arm with recess, institute It states recess and is suitable for receiving coupler member so that the stabilizing equipment is couple to the workbench.

8. according to claim 5 or stabilizing equipment as claimed in claim 6, wherein the base portion includes the arm with recess, institute It states recess to be suitable for receiving coupler member, and the workbench bag contains ridge, wherein when the arm is placed on the ridge When below shape object, the side of the recess is aligned with the outer edge of the ridge.

9. the stabilizing equipment according to any one of claim 5-8, wherein the workbench is by the slender member shape that folds At.

10. the stabilizing equipment according to any one of claim 5-9, wherein packet of the workbench bag containing medical device Dress.

11. a kind of method using the stabilization unit for medical device, which comprises

Medical device is placed in the slit of the skewer of the stable unit；

It resists and the promotion of the bias force on the skewer skewer is applied to by bias unit；

The retaining arm of the stable unit is placed on above the medical device；And

Discharge the skewer；

Wherein, when the skewer is released, the bias force of the bias unit forces the skewer against described Medical device simultaneously forces the medical device against retaining arm.

12. according to the method for claim 11, further includes:

The skewer is pushed to compress the bias unit and mitigate the pressure in the medical device；

Adjust the position of the medical device；And

Discharge the skewer.

13. according to the method for claim 12, wherein the adjustment is held in the case where not removing the retaining arm Row.

14. method described in any one of 1-13 according to claim 1, wherein the retaining arm includes being configured as described in adjoining The slit of the outer surface of medical device, the method also includes making the ridge of the slit of the retaining arm and the medical treatment The surface characteristics of device is aligned.

15. according to the method for claim 14, wherein the surface characteristics includes ridge or groove.

16. a kind of method of platform of building for being used together with medical device, which comprises

The slender member of at least general planar is folded, at multiple positions to provide at least one supporting member and at least one peace Fill surface；And

Medical device is placed in the mounting surface.

17. according to the method for claim 16, wherein the medical device includes that medical device stablizes unit.

18. according to claim 16 or claim 17 described in method, wherein the slender member include be used for the medical treatment The packaging of device.

19. method described in any one of 6-18 according to claim 1, wherein the slender member includes being suitable for by described thin At least one convex tongue of at least one slot acceptance of long component.

20. described to include for the packaging that can be used as supporting workbench of medical device:

At least generally flat slender member is well-suited for the medical device and provides support surface, the slender member limit Determine the recess for receiving the medical device；And

At least one supporting member, at least part of at least one supporting member are suitable for being set in the medical device A part of the recess is covered when setting in the recess, and is suitable for being removed in the medical device from the recess When support the support surface.

21. a kind of stabilizing equipment for medical device, includes:

Supporting member, the supporting member have lumen；

Rotatable locking component, the locking component are at least partially disposed in the lumen of the supporting member, institute Stating locking component includes that lumen and side are open, and the side opening is sized to that medical device is allowed to open by described Mouth is inserted into the lumen of the locking component；

Wherein the locking component can rotate between the first latched position and the second unlocked position, wherein when the locking component When in the latched position, the locking component has first diameter and prevents the medical device relative to the locking The movement of component, and wherein when the locking component in the unlocked position when, the locking component has than described the The big second diameter of one diameter and allow the medical device relative to the movement of the locking component.

22. stabilizing equipment according to claim 21, wherein the locking component includes to be configured as towards described second Unlocked position biases the biasing member of the rotatable locking component.

23. stabilizing equipment according to claim 22, wherein the biasing member is included in the circumference of the locking component The unitary spring formed in part.

24. the stabilizing equipment according to any one of claim 21-23, wherein the lumen packet of the supporting member Containing at least one track, and the locking component includes to be arranged on what at least one of described track extended radially outwardly It is prominent, wherein described in the track is shaped as when the locking component is rotated to the latched position and radially-inwardly pushes It protrudes with locking component described in radial compression.

25. stabilizing equipment according to claim 24, wherein the track includes for receiving at least one described protrusion At least one recess, wherein the recess is positioned as maintaining the rotatable locking component in the unlocked position.

26. according to stabilizing equipment described in claim 24 or claim 25, wherein the track is oval.

27. the stabilizing equipment according to any one of claim 24-26, wherein at least one described track includes first Track and the second track, and at least one described protrusion is comprising being respectively set at first track and second track In it is first prominent and second is prominent.

28. stabilizing equipment according to claim 27, wherein the track limits the long axis with first diameter and has The short axle of second diameter, the second diameter are less than the first diameter.

29. the stabilizing equipment according to any one of claim 21-28, wherein the locking component further include to A few protrusion extended radially inwardly, the protrusion extended radially inwardly are configured as when the locking component is in the lock Adjacent medical device when positioning sets middle.

30. the stabilizing equipment according to any one of claim 21-29, wherein the locking component is configured as working as institute It is clamped on the outer surface of the medical device when stating locking component in the latched position.

31. the stabilizing equipment according to any one of claim 21-30 further includes base component, the support structure Part is installed on the base component, and the supporting member can longitudinal translation relative to the base component.

32. stabilizing equipment according to claim 31, wherein the supporting member includes the skewer with arm, and The base component limits the slit for receiving the distal end of the arm, wherein the arm is translatable in the slit.

33. stabilizing equipment according to claim 32, wherein the arm includes the ridge being laterally extended, the transverse direction The ridge of extension is configured as that the arm being maintained in the slit by the transverse side of the adjoining slit.

34. the stabilizing equipment according to any one of claim 21-33, wherein the locking component further includes diameter To handle outstanding, the radially projecting handle is configured as the pipe for allowing the locking component in the supporting member Intracavitary can be manually rotated.

35. the stabilizing equipment according to any one of claim 21-34, wherein the locking component can surround the doctor It rotates with treating the intraluminal partial concentric for being positioned in the locking component of device.

36. a kind of support workbench for being used together with medical device, the support workbench bag contains:

Generally U-shaped or C-shaped frame, the frame has to be laterally extended from the first end and second end of side frame member Upper frame members and lower frame member, wherein there is the frame side opposite with the side frame member to be open, It is dimensioned to that the leg of patient is allowed to be placed in the frame, wherein the lower frame member extends below leg And the upper frame members extend on the leg.

37. support workbench according to claim 36, further includes installation component, the upper installation component is matched It is set at least part for being at least fixed to the upper frame members.

38. the support workbench according to claim 37, wherein the installation component includes for receiving stabilizing equipment Recess, the stabilizing equipment during medical procedure for keeping medical instrument.

39. the support workbench according to any one of claim 36-38, the support workbench combination claim Stabilizing equipment described in any one of 21-35.

Technical field

The disclosure relates generally to the equipment that can be used to support or stablize medical device.It is passive that specific embodiment is related to having The stabilising arrangement and support workbench usable therewith of locking mechanism or rotatable locking mechanism.

Background technique

For many years, heart valve prosthesis has been used to treatment heart valve obstacle.Native heart valve (such as aorta Valve, pulmonary valve and bicuspid valve) provided in terms of guaranteeing abundant blood supply flow forward by cardiovascular system it is important Function.Due to inborn, inflammatory or communicable condition, these heart valves may be presented with being less effective.Valve this Kind damage can lead to serious cardiovascular risk or death.It for many years, is straight in heart to the definitive treatment of this obstacle Depending on the operation reparation or replacement of valve during operation, but easily there are many complication for this surgical operation.Recently, menses have been researched and developed Manifold technology, for using flexible conduit to introduce in a manner of infringement smaller than cardiac operation under direct vision and implanted prosthetic heart valve.

In the art, the prosthetic valve in rolled state is installed on the end section of flexible conduit and is pushed away Into the blood vessel by patient until prosthetic valve reaches implant site.Prosthetic valve at catheter tip is then in defective day Its functional dimension, such as balloon inflation by making to install prosthetic valve thereon are expanded at the position of right valve.Alternatively, Prosthetic valve can have the bracket or frame of elasticity, self expandable, when delivering sheath of the prosthetic valve from distal end of catheter promotes When, prosthetic valve is expanded to its functional dimension by the bracket or frame.

Can balloon expandable prosthetic valve be generally preferable for replacement calcification natural valve because catheter-balloon can be applied Add enough expansionary forces to make the frame of prosthetic valve be anchored to calcified tissue around.On the other hand, although the vacation of self expandable Body valve can be used for replacing narrow valve, but they be preferred for replacing sometimes it is defective, non-narrow (non-calcified ) natural valve.

Other than valve replacement, it can be used to repair heart valve through microcatheter technology.In some instances, prosthetic device (such as leaflet clip) can be used to improve the engagement of valve leaflet.In other instances, it can be used to through microcatheter technology Surgically change heart valve, it is excessive to reduce such as surgically to remove a part of primary heart valve leaflets Relaxation.

Because conduit must be guided through the vascular system of patient, it is often advantageous that operator can accurately control The operation of conduit, including allow conduit be curved to help navigate vascular system mechanism and control prosthetic valve deployment machine Structure.During program, operator is able to use handle to control conduit, and the handle can be extension, retraction and bending conduit Control is provided, including during the vascular system of patient to be navigate to delivering or repairs position.

There can be the long duration through conduit program, and operator manually maintains conduit hand during entire program The position of handle can be inconvenient.Although some moment during program can wish to adjust position of the modular catheter relative to patient It sets, but can wish the position for maintaining modular catheter relative to patient, such as insertion depth to maintain conduit at other moment Or the rotation position of handle.

Modular catheter is able to use locking mechanism in the workbench for being fixed to neighbouring patient.In general, locking mechanism needs User's active engagement or separation locking device, to be fixed from rack or installation part or release catheter handle.For example, clamp system It can such as be promoted by promoting clamp on thread spindle, with against modular catheter stationary clamp and therefore in the program phase Between fixed catheter handle.If it is desired to adjust the position of modular catheter, clamp can be released, modular catheter and/or installation part Position be adjusted, and clamp is retightened.However, these processes can be time-consuming and inconvenient.

In addition, some locking mechanisms, which need medical device to be inserted through in locking mechanism, is configured as surrounding medical dress The opening set.The axial end of the medical device conduit of long axis (particularly with) is inserted by opening or from such locking machine It can be troublesome that structure, which removes device,.

Summary of the invention

In in all fields, present disclose provides for medical device stabilizing equipment and support usable therewith Workbench.The embodiment of stabilizing equipment includes retaining arm.The retaining arm can slideably or be pivotly couple to shell Body.The stabilizing equipment further includes stable skewer, and the stable skewer, which has, is configured as receiving the medical treatment dress The slit set.The slit of the stable skewer can engage the handle of the slit Yu the medical device comprising help Surface characteristics, such as ridge.Biasing member is contacted with the stable skewer, and is configured as forcing the stable fork Shape object is towards the retaining arm.It is described inclined when in the slit that the medical device is placed on the stable skewer It sets component and forces the adjacent surface of the stable skewer against (against) described medical device, and force the medical treatment The apparent surface of the device against retaining arm.

In certain aspects, the stabilizing equipment can be used together with workbench.For example, the apparatus can be by It places on the workbench, and is such as fixed to the workbench using clamp.The stabilizing equipment can include tool There is the arm of recess, the recess is configured as below the ridge for being placed on the workbench, this is capable of providing more evenly Clamping surface.

In other embodiments, present disclose provides a kind of for stablizing the method for medical device.The medical device energy It is enough placed in the skewer of stable unit.The skewer can be resisted such as by medical practitioner and is applied to by bias unit Bias force on the skewer pushes.The retaining arm of the stable unit can be placed on above the medical device.Institute Stating skewer can be released, and the bias force of the bias unit forces the skewer against medical device And force the medical device against retaining arm.If it is desired to the position of the medical device is adjusted, the skewer energy Enough to be compressed and be released from the engagement with the medical device, the medical device is relocated, and the fork Shape object is released.

In another aspect, the method for the platform present disclose provides a kind of building for being used together with medical device. The component of elongated general planar is folded to provide at least one supporting member and at least one installation table at multiple positions Face.The medical device (stabilising arrangement as described above) is placed in the mounting surface.In specific embodiment party In formula, the slender member can be a part for being used to the packaging for transporting or storing medical device.The slender member of folding Segment can be such as coupled to each other using convex tongue and groove.

In further, present disclose provides the packagings that can be used as supporting workbench.The packaging is comprising elongated General planar component, the component of the elongated general planar is well-suited for medical device (stabilization as described above Device) support surface is provided.The platform can limit the recess for receiving medical device.The packaging can also be comprising extremely A few supporting member.When it is in the recess, at least part of at least one supporting member can cover institute State medical device.When the medical device is removed from the recess, at least part of at least one supporting member It can be used to support the support surface.

In further, present disclose provides a kind of stabilizing equipment, the stabilizing equipment, which has, limits lumen Supporting member.Rotatable locking component is at least partially disposed in the lumen of the supporting member.The locking structure Part includes that lumen and side are open, and the side opening is sized to that medical device is allowed to be inserted into institute by the opening It states in the lumen of locking component.The locking component can rotate between the first latched position and the second unlocked position.When When the locking component is in the latched position, the locking component has first diameter, and prevents the medical device Movement relative to the locking component.When the locking component in the unlocked position when, the locking component have than The bigger second diameter of the first diameter, and allow the medical device relative to the movement of the locking component.

In certain aspects, the lumen of the supporting member can limit at least one track.The locking component It can include one or more protrusions to extend radially outwardly being arranged in the track.The track, which is shaped as, works as Radially-inwardly push the protrusion with locking component described in radial compression when the locking component is rotated to the latched position. In some instances, the track can have elliptical shape.

The locking component can have the unitary spring machine that the locking component is biased towards second unlocked position Structure.

In another aspect, the support workbench of one kind substantially U- or C-shaped is provided.The support workbench can have The upper frame members and lower frame member being laterally extended from the first end and second end of side frame member.The frame tool There is the side opening opposite with the side frame member, the side opening is sized to that the leg of patient is allowed to be placed In the frame, wherein the lower frame member extends below the leg and the upper frame members are on the leg Face extends.

The various embodiments of the disclosure also have other features and advantages.From the below disclosure, they will become bright It is aobvious.

In this regard, it should be appreciated that this is the general introduction of various embodiments described herein.The disclosure it is any given Embodiment does not need to provide all features mentioned above, and the institute also necessarily solved in prior art mentioned above is in distress Topic or reply all problems.

Detailed description of the invention

Various embodiments have shown and described in conjunction with attached drawing, in which:

Fig. 1 is the perspective view for supporting the example embodiment of workbench and the stabilization unit that can be used together with medical device.

Fig. 2 is the perspective view of the stabilization unit of Fig. 1.

Fig. 3 is the decomposition perspective view of the stabilization unit of Fig. 1.

Fig. 4 is the perspective view of another example embodiment for the stabilization unit that can be used together with medical device.

Fig. 5 a-5c presents the perspective view of process of the diagram for constructing support workbench from medical device package.

Fig. 6 is the perspective view that can be used to building for the medical device package of the support workbench of medical device.

Fig. 7 is the perspective view for the support workbench that can be formed by the packaging of Fig. 6.

Fig. 8 is another example embodiment for the support workbench that can be used together with medical device or its stable unit Perspective view.

Fig. 9 is the systems stabilisation for supporting workbench and being used together and have rotatable locking component with medical device Embodiment perspective view.

Figure 10 is the workbench of Fig. 9 and the decomposition perspective view of systems stabilisation.

Figure 11 and Figure 12 is that the perspective view of unit is stablized in the distal side of the systems stabilisation of Fig. 9.

Figure 13 is that the cross-sectional view of unit is stablized in the distal side of the systems stabilisation of Fig. 9 in unlocking structure.

Figure 14 is that the cross-sectional view of unit is stablized in the distal side of the systems stabilisation of Fig. 9 in locked configuration.

Figure 15 is can to stablize the perspective view of rotatable locking component used in unit in the systems stabilisation distal side of Fig. 9.

Figure 16 is the cross-sectional view for the upper part that the supporting member of unit is stablized in the distal side of Figure 11 and Figure 12.

Specific embodiment

Present disclose provides the examples of the stabilization unit for medical device.The stable unit can include passive locking Mechanism, thus when not separated actively by doctor, the locking mechanism engages medical device.In further, institute Stating stable unit includes the rotatable locking mechanism that can be rotated between locking and unlocking structure.The disclosure additionally provides can The support workbench being used together with one or more stable units, including the support work that can be constructed by medical device package Platform or the support workbench that can be placed on around a part of patient.

With reference first to Fig. 1, the example systems stabilisation 100 for medical device 102 is shown, the medical device 102 is all It for example include conduit 103 through catheter delivery system, the conduit 103 has the handle for being coupled to axially extending axis 105 104, the distal end of the axis 105 can be inserted into the vascular system of patient.Systems stabilisation 100 is shown to have stable unit 106 (also referred herein as stabilising arrangements or stabilizing equipment) and stablizes unit and can be placed or work mounted thereto The example embodiment of platform or platform 108.The handle 104 of conduit 103 can be releasably attached to stablize on unit 106.

Conduit 103 can be used for the body that any one of various types of implantable medical devices are delivered to patient Interior, the implantable medical device includes but is not limited to prosthetic valve (for example, prosthetic heart valve), bracket, stent graft With various types of leaflets or valve reparation device (such as annuloplasty devic, leaflet clip etc.).In some embodiments In, medical device 102 may include the component being made of the intracorporal multiple conduits of the body that can be plugged into patient.The hand of each conduit Handle, which can be installed in, individually to be stablized on unit 106, wherein all stable units 106 are supported on identical platform 108 Or on individual platform.

Workbench 108 can include approximate horizontal part 109 and multiple supporting members 119.Horizontal component 109 can limit Stablize the mounting surface 110 that unit 106 can be placed or be mounted to general planar thereon.Workbench 108 can have The vertical side 112 upwardly extended from the longitudinal edge of horizontal component 109.Side 112 can limit the lip laterally inwardly extended Portion 114, the lip 114 laterally inwardly extended can limit the installation ridge that stable unit 106 can be fixed to, such as It is described further below.

Workbench 108 can be included in the semi-circular cut-out section 118 at the longitudinal end part of horizontal component 109.It cuts Mouth region section 118 can enter stable unit 106 convenient for operator, the handle 104 including being fixed on conduit 103 therein.In In other examples, otch section 118 can have different shapes, can be located in another part of workbench 108, or can It is omitted.Although workbench 108 is shown to have rectangle mounting surface 110, mounting surface can have other shapes, packet Include square, triangle, round or ellipse shape.

Multiple supporting members 119 can be comprising vertical member or supporting leg 120 and horizontal part or stabilizer blade 124.Each Leg 120 can extend downwardly (lower surface of such as adjacent horizontal component 109) from the lower surface of horizontal component 109, and orthogonal In the lower surface of horizontal component 109.Horizontal component 109 can include threaded mounting hole 122, and the threaded mounting hole 122 receives The axially extending threaded upper end part (not shown) of supporting leg 120.Stabilizer blade 124 can be from the axial end in the bottom of each supporting leg 120 End extends transversely with.

Each supporting leg 120 can include external screw thread end portion, and the external screw thread end portion may threadedly engage its phase Answer the mate with threaded holes of stabilizer blade 124.Alternatively, stabilizer blade 124 can include axially extending thread pillar, and the thread pillar prolongs It reaches in the internal thread hole in the bottom axial end of supporting leg 120.In yet another embodiment, stabilizer blade 124 and supporting leg 120 can It is fixedly coupled in another way, such as by welding or the use of suitable adhesive, fastener (for example, screw), or Supporting member 119 can have overall structure (for example, supporting leg 120 and stabilizer blade 124 are molded as a unit).124 energy of stabilizer blade It is enough dimensioned and is so shaped that they can be placed on surface (such as operation element platform), to provide resistance work That makees platform 108 tumbles or reverses mobile resistance, thus maintains mounting surface 110 at least general horizontal position.

In specific example, the component of workbench 108 can be dimensioned relative to each other and be positioned, so that work Platform can be placed between the leg for lying in the patient on operation element platform.For example, supporting leg 120 can be placed on patient's Between leg, wherein stabilizer blade 124 is rested on operation element platform.The leg of patient can be placed on above stabilizer blade 124, to help Workbench 108 is maintained in desired position, including prevents translation and torsion movement.Stabilizer blade 124 can have sufficiently small Size (including width and thickness) does not cause patient uncomfortable so that the leg of patient is placed on above stabilizer blade.124 energy of stabilizer blade Enough have sufficiently long length to extend below the leg of patient, the leg of patient rested on the top of stabilizer blade, And in helping during program to be secured in place workbench 108 relative to patient.If necessary, workbench 108 can against patient and/or operation element platform further be anchored in place, such as by using fastener, viscous Crossed belt, suture or other clamp devices.

Referring to Fig. 2 and Fig. 3, stablizing unit 106 can include base component 128, lower housing section 130, upper case portion 134, stablize skewer 136 and retaining arm 138.The handle 104 of medical device 102 can be fixed by bar, the yoke Shape object is by the semicircle or U-shaped slit 140 that are formed in stablizing skewer 136 and 196 shape of slit formed in retaining arm 138 At.

Base component 128 can include broad U-shaped main body, and the U-shaped main body includes multiple 144 Hes of arm longitudinally extended The slit 152 being laterally extended.The main body of base component 128 can have at least generally flat bottom surface, described at least big The flat bottom surface of body is suitable for being installed in the mounting surface 110 of workbench 108.Arm 144 can extend comprising longitudinal Otch section 146.In at least some examples, otch section 146 can extend through the upper and lower surface of arm 144 (that is, cutting The entire height of mouth region section adjutage 144).In other instances, a part of the bottom of base portion 128 can be in otch section 146 lower sections extend, so that otch section 146 does not extend through the bottom surface of arm 144 (that is, otch section is the upper table of arm 144 Concave portion in face).Otch section 146, which can be used to assist in, is fixed to workbench 108 for base component 128.

For example, as illustrated in fig. 1, clamp 148 can be used to for arm 144 to be fixed to the vertical side of workbench 108 Face 112.The width for the side 150 (Fig. 2) of the outside of arm 144 longitudinally extended can be selected as the width with lip 114 (Fig. 1) It spends at least about identical.Therefore, when the transverse side 112 of against workbench 108 is placed, the inner edge of the side 150 of arm 144 Edge can be at least substantially flush with the installation ridge provided by adjacent lip 114, this can be pressed from both sides convenient for that will stablize unit 106 It is tight or be otherwise fixedly secured to workbench 108.As illustrated in fig. 1, a clamp arm or component 148a energy for clamp 148 The outer surface of enough against adjacent transverse sides 112 is placed, and another clamp arm of clamp or component 148b can be leaned on The inner surface of side 150 be placed in otch section 146.

In other embodiments, other than using individual clamp 148, stablizing unit 106 can include clamp system.Example Such as, the outer lateral surfaces of arm 144 can include the clamp that can be fixed to the transverse side 112 of workbench 108.Other In embodiment, clamp does not need and stablizes unit 106 and be used together.If necessary, stablize the bottom surface energy of unit 106 It is enough to be formed by the material with big coefficient of friction, or the liner of the material with big coefficient of friction can be attached and (such as glued It is attached) to the bottom surface for stablizing unit.Workbench can be maintained at by having to be enough to help to stablize unit by stablizing unit 106 The material of the weight of desired locations on 108 is constituted.

As the slit 152 best seen from, being laterally extended in Fig. 3 can prolong from a side 154 of base component 128 It stretches.Slit 152 can have reduced width in the near top of base component 128, limit the ridge 156 longitudinally extended. Lower housing section 130 can be arranged in slit 152.Lower housing section 130 can have than the gap between ridge 156 Bigger width.Therefore, when being inserted into slit 152 by the side 154 of base component 128,130 energy of lower housing section It is enough fixed, resists the movement moved up and resist the length perpendicular to slit 152 relative to base component.

Lower housing section 130 can include lower part 158, upper installation section 166 and multiple vertical post members 168.Such as In Fig. 3 best seen from, lower part 158 can include multiple holes 160, upper surface of the multiple hole 160 from lower part 158 Extend the bottom surface of logical lower part 158.Each in hole 160 can receive fastener 162, all screws as shown.Fastening Part 162 can be received by the threaded hole (not shown) of upper case portion 134.Fastener 162 therefore can be by lower housing section 130 It is fixed to each other with upper case portion 134.

As further shown in Fig. 3, installation section 166 can be upwardly extended from the upper surface of lower part 158, and There can be oblong horizontal cross-sectional shapes, but other shapes can be used (for example, rectangle).168 energy of pillar component It is enough to be upwardly extended from installation section 166, so that the longitudinal axis of pillar component is orthogonal to the upper surface of installation section.Each pillar 168 can be configured and be sized to receive biasing member 170, all helical springs as shown.Each pillar 168 can Extend coaxially through the end portion of corresponding biasing member 170.Each pillar 168 can be by 172 ring of well portion or concave portion Around the well portion or concave portion 172 are formed in the upper surface of installation section 166 and are configured as receiving corresponding biasing The end portion of component 170.Well portion 172 can help to maintain its corresponding biasing member 170 relative to 168 He of respective strut component The position of section 166 is installed.The upper part of each biasing member 170 can be extended through in the bottom for stablizing skewer 136 The corresponding aperture (not shown) formed in surface, and being capable of inner surface in supporting stabilizer skewer 136.By this method, it biases Component 170 applies bias force of the bias stabilization skewer 136 far from lower housing section 130.

Stablizing skewer 136 can include widened lower part 174, and the widened lower part 174 is sized to match It closes on the installation section 166 of lower housing section 130.For example, when stablize skewer 136 be hoped adjustment it is thus fixed When the user of the position of medical device presses downwards, lower part 174 can extend around installation section 166, adjacent lower case Lower part 158 upper surface, as described further below.In at least some aspects, the height of section 166 is installed under The height of part 174 can be selected based on desired row process degree of the skewer 136 between its compression and releasing position is stablized. That is, height can correspond to the traveling degree for stablizing skewer.

Stablizing skewer 136 can include the arm 176 separated by U-shaped slit 140.The base portion of slit 140 can be included in Stablize the multiple ridges 178 extended transversely between the vertical plane of skewer 136.Ridge 178 can limit crenation peace Dress recess 180, the crenation installation recess 180 can be configured as surface characteristics (such as conduit 103 of engagement medical device Handle 104), with help fixed handle resist relative to the moving in rotation for stablizing skewer 136.

Upper case portion 134 can include in the vertical sidewall 183 of upper case portion the U-shaped longitudinally extended that is formed it is narrow Slot 142 and the inverted T-shaped slit 184 being laterally extended formed in the upper part of upper case portion.142 energy of U-shaped slit Enough at least approximately uniform width of U-shaped slit 140 for having and stablizing skewer 136.Inverted T-shaped slit 184 can have Upper part 192 (stem of T), the upper part 192 have width more smaller than the width of lower part 191 (cross bar of T).Side wall 183, the side of slit 184 and the upper end of upper case portion 134 182 can be spaced apart, in the arm for stablizing skewer 136 Vertical hole 186 is provided between 176 surfaces that can be extended through.

Retaining arm 138 can include guide rail 188, slit 196 and retainer 198.Slit 184 can be configured as connecing Receive the lower part 194 of the guide rail 188 of retaining arm 138.Lower part 194 is configured as extending to 191 shape of lower part by slit 184 At slit 194 recess in.The upper part 195 of guide rail 188 is configured as the upper end 182 of adjacent upper case portion 134.Guide rail 182 upper part 195 and lower part 194 can have the width bigger than the middle section of guide rail, form the groove faced out 197。

What the upper part that guide rail 188 can be spaced apart the arm 176 for stablizing skewer 136 with offer can extend through Hole 190.The upper part 192 of slit 184 can have the smaller width in lower part 194 and upper part 195 than guide rail 188, because This prevents from removing guide rail from slit and making them move upwardly away from upper case portion 134.That is, groove 197 can be narrow It is slided above the upper part 192 of slot 184.

Retainer 198 can be extended downwardly from the bottom surface of retaining arm 138.Retainer 198 can be configured as engaging The transverse side of upper case portion 134 limits movement of the retaining arm 138 relative to upper case portion.

Guide rail 188 can limit semicircle (or in some instances, U-shaped) slit 196.Slit 196 can include carinate Object 178 and installation 180 (slits 140 as stablizing skewer 136) of recess.The slit 196 of retaining arm 138 can be with upper housing portion The slit 142 for dividing 134 and the slit 140 for stablizing skewer 136 cooperate, and can be used to fixation with formation and have been placed through doctor therein Treat the bar of device.

In use, supporting member 119 (Fig. 1) can be placed on operation element platform, and wherein supporting leg 120 is patient's Between leg.The leg of patient can be placed on stabilizer blade 124 above to help stationary work-table 108.Stablizing unit 106 can It is placed on the support surface 110 of workbench 108.It is vertical that stable unit 106 can be moved to the expectation on support surface 110 To position, and laterally moved to abut the transverse side 112 of workbench 108.Then stablizing unit 106 can be fixed In in place, such as pass through side 150 that clamp 148 is attached to the outer arm 144 of base portion 128 and lateral surfaces 112 Around outer surface.The side 150 of arm 144 can be positioned in the lower section of lip 114, so that the inward flange of recess 146 and lip Outer edge flushes, this can help to provide uniform clamping surface for clamp 148.Although a clamp is shown in FIG. 1 148, but in fact, multiple clamps can be used, or stable unit 106 is fixed to workbench 108 by other devices.

Referring to Fig. 2 and Fig. 3, the retaining arm 138 for stablizing unit 106 can be removed from unit is stablized, or from upper case portion 134 slit 184 retracts, to allow the handle 104 of conduit 103 to be placed in slit 140 and 142.When handle 104 When being placed in slit 140 and 142, the bias force of biasing member 170 can be resisted towards bottom housing part by stablizing skewer 136 130 are divided manually to be depressed, to move slit 140 lower relative to upper case portion 134.

Since handle 104 is inserted in slit 140 and 142, retaining arm 138 can be slided towards upper case portion 134 It is dynamic, slit 196 is placed on slit 140 and 142.Then stablizing the Manual pressure on skewer 136 can be released, this The lower circumferential surface of the against handle 104 of conduit 103 of biasing member 170 is allowed to push the lower surface of slit 140 and against narrow The upper circumferential surface of 196 driving handle 104 of slot.The power of biasing member 170 being directed upwards towards keeps the handle 104 of conduit 103 Stablizing between skewer 136 and the arm of stability 138, and is preventing conduit 103 relative to the unintentionally axial and rotation for stablizing unit Transfer is dynamic.Ridge 178 and installation recess 180 can cooperate with the character pair on handle 104, to help fixed handle to resist Moving in rotation in slit 140 and 196.

If operator wishes to adjust the position (axial direction of medical device and/or rotation position) of medical device 102, operation Person can depress stable skewer 136 manually slit 140 to be moved from the engagement with handle 104.It is steady when against When determining the maintenance compressing force of skewer 136, operator can adjust the position of modular catheter 104, including distally relative to patient Or nearside rotates it or moves it.When operator is satisfied with the position of medical device 102, operator can be from stablizing skewer 136 remove compressing force, and thus biasing member 170 will force stable skewer 136 upwards again, so that slit 140 abuts hand Handle is fixed between the slit 140 of retaining arm 138 and slit 196 by handle 104.Operator can during medical procedure root This adjustment is repeated according to needing.

Although showing a stable unit 106 to be placed on workbench 108, multiple stable units 106 can It is placed on identical workbench 108 and is used to fix corresponding medical device during medical procedure.For example, if doctor Treating component includes being inserted coaxially by mutual multiple conduits, and stablizing unit 106 can be along the length of platform 108 by one It is a to be placed behind another, wherein the handle of each conduit is installed in one in stable unit.In another example In, if medical components include the multiple conduits abreast placed, stable unit 106 can abreast be placed or be crossed over flat The width of platform 108 is laterally spaced, wherein the handle of each conduit is installed in one in stable unit.

Fig. 4, which is illustrated, is capable of the another of stabilization unit 200 that the medical device 102 of Fig. 1 is used together with workbench 108 and shows Example.Stablizing unit 200 can be comprising base component 204, shell 210, stable skewer 222 and pivotable retaining arm 230.Base portion Component 204 can have the arm 206 (one of them in Fig. 4) to extend back from the elongated portion 207 of base component.To the greatest extent Manage not shown in FIG. 4, but in some instances, arm 206 can include the notch with the arm 144 of the base component 128 of Fig. 2 The similar otch section of section 146.Otch section can be used to help fixing-stable unit 200 during medical procedure, all Such as support workbench is clamped to by the way that unit will be stablized.

Shell 210 can limit vertical U-shaped slit 214, before the vertical U-shaped slit 214 is formed on shell In rear vertical sidewall.U-shaped slit 214 can be aligned with the U-shaped slit 218 formed in stablizing skewer 222.U-shaped slit 218 can limit the vertically extending arm 226 of stable skewer 222, and the vertically extending arm 226 can extend upward through Retaining arm 230.Stablizing skewer 222 can be installed in the space between the opposite front and rear vertical sidewall of shell 210.

Pivotable retaining arm 230 can include installation end part 232 and actuating convex tongue 234.Installation end part 232 can be by It is hingeably connected to the installation prominent 236 extended vertically from the transverse side of the upper end of shell 210.For example, mounting end Points 232 be able to use be inserted through the hole 240 (one of them is shown in FIG. 4) formed in installation end part 232 and The pin 238 or similar coupled connection mechanism of the matching hole (invisible in Fig. 4) formed in installation prominent 236 are connected to installation Prominent 236.

Actuating convex tongue 234 can limit the ligule to extend internally from the lower end of lower surface towards the shell 210 of actuating convex tongue Object 242.The upper part of shell 210 can limit the groove 250 for receiving tongue 242, allow retaining arm 230 that can be released It is fixed to shell 210 with putting.

The lower longitudinal surface of retaining arm 230 can limit semicircle (or in some instances, U-shaped) slit 258.Retaining arm The slit 218 of 230 slit 258, the slit 214 of shell 210 and stable skewer 222 can cooperate to be formed to abut and prolonged Extend through the bar of medical device therein.Stablizing skewer 222 can be biased towards retaining arm 230, such as using bullet Spring or other biasing members with the bias unit 170 with Fig. 2 and Fig. 3 and can stablize 136 similar fashion of skewer and are placed in It is contacted with skewer is stablized.

Stablizing unit 200 can be used in the mode similar with unit 106 is stablized.When medical device will be inserted into surely When in order member 200, it can be moved from groove 250 by pulling actuating convex tongue 234 and pivoting retaining arm 230 far from shell 210 Except tongue 242.Stablizing skewer 222 can manually be depressed, and medical device can be inserted in slit 214,218 It is interior.Then retaining arm 230 can be pivoted towards shell 210 and the tongue being fixed in groove 250 242.Stablize forked Compressing force on object 222 can be removed, and allowed to stablize skewer and moved up towards retaining arm 230, and force slit 218 The against lower surface of medical device, and the bottom of medical device against slit 258 is pushed in turn.The position of medical device can It is adjusted and stablizing skewer 222 by manually depressing again, so that slit 218 is moved from the engagement with medical device Out.

The component (such as medical device 102 stablizes unit 106 (or unit 200) and workbench 108) of systems stabilisation is usually It is transported to the medical procedure position to be performed (such as clinic or hospital).In at least some examples, be used to transport or The packaging of storage system component can be used to all or part of of building other systems component.Specifically, packaging can be by For construct workbench that stable unit can be placed thereon all or part of.

Fig. 5 a-5c illustrates medical device (such as introducer sheath or guidance sheath) can be transported to position wherein The package sheet material 300 of (such as in box, carton or other kinds of packaging).Package sheet material 300 can be comprising for receiving doctor Treat recess 308, multiple supporting members 312 and the multiple holding members 324 (such as bracket or band) of the handle 304 of device.Packaging Sheet material can be made of the material (such as polycarbonate or high density polyethylene (HDPE) (HDPE)) for the suitable rigid that can be sterilized.Recess 308 can be configured and be sized to keep medical device 304 and protect it from damage during transport.

Supporting member 312 can be relative to sheet material 300 pivotably, and can have and be connected by connection pillar 322 It is connected to mutual upper supporting leg 320 and lower supporting leg 326.The upper supporting leg 320 of each supporting member 312 can pass through holding member 324 Be fixed to the bottom surface 316 of package sheet material 300, the holding member 324 can such as using suitable adhesive, pass through Welding and/or fastener are fixed to the bottom surface of package sheet material.Although being not shown, transporting and storage construct 328 In, a part of recess 308 can be arranged in above in the lower supporting leg 326 of one or two of supporting member 312, therefore helps The handle 304 of medical device is fixed in recess and protects it from damage.

It is referred to construction 332, when medical device 304 is to be used or wishes that package sheet material 300 is otherwise turned Become in medical procedure when used workbench, supporting member 312 can and rotating outward lower supporting leg 326 by It pivots, so that supporting member 312 is extended vertically from the bottom surface 316 of package sheet material 300.

Package sheet material 300 can be reversed, and lower supporting leg 326 is placed on support surface (such as operation element platform is not ( Show)) on provide expansion and it is operable construction 340, as shown in fig. 5 c.One or more stable units 344a, 344b (the stabilization unit 106 of such as Fig. 1 or the stabilization unit 200 of Fig. 4) can be placed on the upper of package sheet material 300 On surface 348.Upper surface 348 can provide support surface to stablize unit 344a, 344b.Medical device 350a, 350b (its energy Enough include handle 304) it can be installed on stable unit 344a, 344b.

Fig. 6 illustrates the stabilization unit that can be used to building and be shown in FIG. 7 (for example, stablizing unit 106 or stablizing single Another example of all or part of package sheet material 400 of 200) workbench or platform 406 that member can be placed thereon. Package sheet material 400 can include base portion 404, turnover panel 408, longitudinal ridge 416, multiple holding members 422, multiple folding points 436, slit 452, slit 456 and convex tongue 460.Such as package sheet material 300, package sheet material 400 can be suitable rigid by what can be sterilized Property material (such as polycarbonate or high density polyethylene (HDPE) (HDPE)) constitute.Base portion 404 can be elongated, general planar And it is substantially rectangular.

It can extend from the side of the longitudinal end part of base portion 404 for substantially rectangular turnover panel 408.Turnover panel 408 Guard block (such as prosthetic valve, the delivery components, stabilization for prosthetic valve during transport can be for example used to assist in Unit or its component) it is against damages.In some instances, turnover panel 408 can from 400 construction work platform 406 of package sheet material it It is preceding to be removed.Turnover panel 408 for example can be cut off or tear, and turnover panel can include the feature of its removal of help.From base portion The side 412 of 404 turnover panels 408 extended can help to remove turnover panel from base portion comprising perforation, scratch or folding line.In other realities In example, turnover panel 408 can be folded in behind base portion 404, and be used to assist in and provided structural support for workbench 406, all Such as by make workbench 406 across more rigid.

Longitudinal ridge 416 can extend vertically from the horizontal component 415 of base portion 404 and be orthogonal to base portion 404 Horizontal component 415.Ridge 416 can be formed by folding the side of base portion 404.Base portion 404 can be comprising helping to be formed The folding line of ridge 416 or other features.In other instances, package sheet material 400 can include preforming ridge 416, It is such as molded as comprising both horizontal component 415 and ridge.

Holding member 422 (such as turnover panel, ring, band and recess) can form or be coupled to base portion 404 by base portion 404. Holding member 422 can be used to help fixed and planning prosthetic valve, delivery components or the portion for stablizing unit during transport Part.For example, holding member 422 (such as ring) can be used to fixing pipe 432.Pipe 432 can be used to accommodate in storage tube Prosthetic valve (not shown).Other holding members 422 (for example, band and recess) can be used to the component of fixed delivery components, Such as guide sheath (for example, guidance sheath 304 of Fig. 5 a) and pipe extending therefrom and axis.

Base portion 404 can be folded to construction work platform 406 at folding point 436, and the folding point 436 can be laterally Extend across base portion.Folding point 436 can by wrinkle, be scored or perforated, to help user to identify correct folding position It sets, folds base portion 404 along being correctly oriented, and base portion is allowed to be easier to fold about folding point.In the illustrated embodiment, Base portion 404 includes three folding points 436.Base portion can be divided into multiple segments 442,444,446 and 448 by folding point 436.Depend on How to be fabricated in workbench 406, more or fewer folding points 436 can be included or be used.For example, 404 energy of base portion Enough U-shaped workbench is generated using two folding points.

In some constructions of workbench 406, one in segment 442,444,446,448 may require that by or be fixed To another segment.For example, the end section of segment 448 can be configured as being inserted through in segment additionally referring to Fig. 7 The slit 452 formed in 442 end section and the slit 456 formed in the centre portion of segment 444.Back to Fig. 6, In In some examples, slit 452,456 can be pre-formed in segment 442,444 and (such as be cut in advance).In other realities In example, slit 452,456 can be by cutting during the assembling of workbench 406 from segment 442,444 or otherwise moving It is formed except material.For example, segment 442,444 can include the score line or perforation line of restriction slit 452,456.In workbench During assembling, user can go out perforation or scribed material to generate slit 452,456.

As best seen from, segment 448 can include convex tongue 460, and the convex tongue 460, which can be inserted into, matches in Fig. 6 In the slit 452,456 of conjunction.Convex tongue 460 can be formed by folding the material of segment 448 or by removing material from segment. As shown, each convex tongue 460 can include the fold line 464 longitudinally extended.Longitudinal slit 468 can be formed on fold line Between 464.For example, slit 468 can be cut by user, or can be pre-formed in segment 448 (such as by preparatory Cut slit, including perforation or folding line come help user formed slit).When workbench 406 is assembled, the cross of convex tongue 460 The convex tongue that can be folded about the longitudinal axis of base portion 404 to side, and be consequently formed can be inserted through slit 452,456.After being inserted through slit 452,456, the material around the segment 448 that convex tongue 460 folds can be unfolded, The part 472 (Fig. 7) wherein widened helps to prevent convex tongue from sliding backward to pass through slit.

In another aspect, other than folding segment 446 to generate convex tongue 460, material strips are (for example, between fold line 464 Material) can from segment 448 remove to form convex tongue.For the ease of the removal of material strips, fold line 464 can be scored or It is perforated.

Segment 442 can limit turnover panel 476.The side of turnover panel 476 can by wrinkle, be scored or perforated, in work User is helped to fold out turnover panel (for example, by transverse axis swivel flap about base portion 404) during making platform assembling.Turnover panel 476 can be used to help to stablize during medical procedure unit fixed to workbench 406.

Fig. 7 illustrates the workbench 406 in its assembling form.It is rolled over clockwise below segment 442 segment 444 It is at least about 135 degree folded.Segment 446 is folded at least about 135 degree clockwise below segment 444, so that segment 446 It is arranged on segment 442 below and is parallel to segment 442.The ridge 416 of segment 446 can be folded in above segment or (for example, longitudinal axis about segment 446) below.Segment 448 is folded at least about above segment 446 clockwise 135 degree.

Segment 448 can longitudinal midpoint at least about in segment 444 intersect with segment 444.The convex tongue of segment 448 460 are illustrated as being inserted through the slit 452 of the slit 456 of segment 444 and segment 442.Ridge 416 is illustrated as passing through upwards Slit 456 is crossed to be folded downwardly later.Fold-down ridge 416 is capable of providing the part 472 widened, the portion widened Divide 472 convex tongue 460 can be helped prevent to slide backward through slit 456, helps to keep workbench 406 more rigid and more firm Gu.Similarly, the part 472 of adjacent slots 452 widened can help prevent convex tongue 460 to slide backward to pass through slit.

Turnover panel 476 is illustrated as upwardly extending from the surface of segment 442.Mentioning for segment 442 can be placed on by stablizing unit For on the surface of support surface, and it is fixed to turnover panel 476.It can be with the stabilization unit 106 with Fig. 1 for example, stablizing unit The similar mode of the lip 114 how to be fixed to workbench 108 using clamp 148 is fixed to turnover panel 476.446 energy of segment The supporting member of workbench 406 is enough provided.

The use for generating the packaging of the workbench or platform for medical device (such as stable unit) is capable of providing many Advantage.For example, it can be than being provided as individual discrete parts more little waste material and less valuableness for workbench.In addition, At least partially due to its is cheapness, workbench can be component that is disposable, can drop after.Although showing list A workbench, but packaging can be provided one or more energy to provide multiple workbench, in the multiple workbench It is enough to be used in medical procedure.

Fig. 8 is illustrated can be with medical device or its supporting element (the stabilization unit 106 of Fig. 1 or the stabilization unit 200 of Fig. 4) Another example embodiment for the workbench 800 being used together.Workbench 800 have elongate surface 810, from elongate surface vertically Two transverse sides 814 and multiple supporting members or supporting leg 818 extended.If necessary, transverse side 814 can Comprising lip, the lip can be similar to the lip 114 of the workbench 108 of Fig. 1.Although elongate surface 810 and transverse side 814 are illustrated as whole continuous surface, but elongate surface, transverse side or both can be more by what can be fixed together Part is constituted.For example, elongate surface 810 can be formed by two or more parts that can hingedly couple or more than one piece can be with card The mode of button is combined.

Workbench 800 can include multiple coupler members 822 (one of them is visible in fig. 8).Coupler member 822 can It is extended transversely with from one or two of the transverse side 814 of workbench 800, and can be integrally formed with transverse side, Or transverse side is coupled to by welding, bonding etc..Coupler member 822 can include from ring gear 828 laterally, The cylindrical body or bar 824 axially extended.The tooth of ring gear 828 can be configured as that the diameter in annular holder 836 is matingly engaged The tooth 832 formed on inner surface, the annular holder 836 are arranged at the upper end 838 of each supporting member 818.Holder 836 can have the inside dimension for being selected as receiving ring gear 828, and can include being sized to receive coupler member 822 Cylindrical body 824 axially open 844.

In some embodiments, holder 836 can be removed selectively from coupler member 822, and coupler member energy Fixed position (for example, coupler member does not rotate) enough is maintained at relative to transverse side 814 or coupler member is able to maintain that Fixed position (for example, they can be locked in desired locations).Therefore, by manipulation supporting member 818 relative to It the position of lateral surfaces and is then inserted on its corresponding coupler member 822 when lateral surfaces are at desired position Holder 836, the height and angle of the elongate surface 810 of workbench 800 can be adjusted.By rotating branch relative to elongate surface Component 818 is supportted, but supporting member is maintained into identical rotational position, the height of elongate surface 810 can be adjusted, still It is maintained in horizontal position.If it is desired to which workbench 800 is maintained at angled or obliquity, in supporting member 818 One can be rotated in the degree different from another supporting member.

Arm 852 can extend from the lower end 848 of each supporting member 818.Stabilizer blade 856 can be arranged in arm 852 Around each, such as pass through the opening 860 that is axially formed in arm by being inserted into corresponding arm.Stabilizer blade 856 can be relative to Arm 852 is rotatable, so that even if stabilizer blade can also rest on surface when supporting member 818 is not maintained in vertical orientation On (such as horizontal surface).Stabilizer blade 856 can be formed by elastic material, and patient is cosily lain on stabilizer blade, be helped Workbench 800 is fixed in desired position.

Various changes can be carried out to workbench 800.For example, one or two of coupler member 822 and holder 836 energy It is enough rotatable.When one or two of connection member 822 and holder 836 are rotatable, if necessary, component It can be fixed to each other or integrated component.Locking/relieving mechanism (such as spring-loaded pawl) can be used to engage Tooth associated with supporting member 818, to maintain each supporting member at desired position.In some embodiments, It the upper part of each supporting member 818 can be such as via the upper part and work for extending through each supporting member 818 The pivotal pin of the adjacent part of platform is pivotably connected to workbench 800.

Fig. 9 illustrates the another embodiment of systems stabilisation, in the form of the systems stabilisation 900 for medical device 902. Systems stabilisation 900 includes the U-shaped workbench or platform 918 that one or more stable units can be mounted on.Diagram Embodiment include that nearside stablizes unit 954 and distal side and stablizes unit 970, both of which can be fixed to workbench 918.

Medical device 902 can be through catheter delivery system, it is described have through catheter delivery system drawing including handle 906 Conduit 904 and the elongated shaft 908 distally extended from handle 906.The distal end of axis 908 can be inserted into the vascular system of patient In system.Medical device 902 can further comprise delivery catheter 910, and the delivery catheter 910 includes handle 912 and from handle 912 elongated shafts 914 distally extended.Axis 914 can extend through the lumen of axis 908.Implantable prosthesis device 916 can be by Releasedly it is couple to the distal end of axis 914.Handle 906 is able to use rotatable locking component 998 by fixedly and releasedly It is maintained at distal side to stablize in unit 970, as described further below.Handle 912 can be supported on nearside and stablize unit 954 C-shaped supporting member 958 in.

It is used together while shown as with workbench 918, it can be with other support surfaces but stablize unit 954,970 (workbench 108 of such as Fig. 1, the workbench being made of the package sheet material 400 of the package sheet material 300 of Fig. 5 a-5c or Fig. 6, or figure 8 workbench 800) it is used together.Similarly, workbench 918 can be with other stable unit (stabilization units 106 including Fig. 1 Or the stabilization unit 200 of Fig. 4) be used together.In addition, in an alternative embodiment, system 900 can include single stable unit Multiple stable units of (stablizing unit 954 or 970) or same type are (for example, multiple stable units 954 or multiple stable units 970).Moreover, stablizing unit 954,970 does not need to be positioned in workbench proximally and distally.One or more stabilizations Unit replace or in addition to by position position proximally and distally can also be positioned in workbench proximally and distally between At any desired position.

Medical device 902 can be used for any one of various types of implantable medical devices being delivered to patient's In body, the implantable medical device includes but is not limited to prosthetic valve (for example, prosthetic heart valve), bracket, bracket shifting Plant and various types of leaflets or valve reparation device (annuloplasty devic), leaflet clip etc.).In the reality of diagram It applies in example, implantable device 916 includes to be implanted on the opposite leaflet of native valve (for example, mitral valve) to reduce and lead to Cross the valve reparation device of native valve to backflow.In some embodiments, medical device 902 may include (such as in Fig. 9 Show) component or single conduit that are constituted by can be plugged into the intracorporal multiple conduits of the body of patient.

Referring to Fig. 9 and Figure 10, workbench 918 can include the upper member 920 being installed on base component 922.Base portion Component 922 can include upper part 924, lower part 926 and the lateral parts 928 extended between upper part and lower part point.It is all Such as when on the surface for resting on operation element platform, lower part 926 potentially acts as the support for workbench 918.920 He of upper member Base component 922 can be by material (such as polycarbonate or high density polyethylene (HDPE)), other plastics for the suitable rigid that can be sterilized Or metal is constituted.

Base component 922 has approximately C-shaped cross-sectional profiles, wherein the open side opposite with lateral parts 928 is by scale The very little leg to receive patient.As shown in figure, lateral parts 928 can be arc, to conform better to patient's Leg.In use, the leg of patient is placed on the space delimited by upper part 924, lower part 926 and lateral parts 928 In.Workbench 918 can be maintained at by weight of the leg of patient on lower part 926 relative to operation element platform suitable When in position.In other embodiments, specific program is depended on, base component 922 can be sized to be placed on trouble Around another body part of person.For example, base component can be sized to be placed on around the arm of patient.

A pair of of bracket 930 can be used to upper member 920 being fixed to base component 922.Such as by being inserted into fastener 934 (for example, screws) pass through the hole 936 that is formed within the carrier and the hole 937 formed in outer corner 932, and bracket 930 can be by Outer corner 932 fixed to upper part 924.The upper member 920 of workbench 918 can have in its lower surface and can be placed Slit 938 on the ridge 940 of bracket 930.Slit 938 and ridge 940 are at frictional engagement, so that upper structure Part 920, which is fixed, resists the movement relative to base component 922 in a horizontal plane.In some instances, slit 938 and carinate Object 940 is capable of providing the engagement of " being clasped ".Passed through by the prominent (not shown) of insertion oblong in the side of base component The oblong hole 942 formed in part 928, upper member 920 can be optionally further secured base component 922.In other examples In, it can be fixed using fastener (for example, screw) instead of or in addition to other attachment mechanisms for describing before, upper member 924 To base component 922.

Upper member 920 can include concave portion 944, and the concave portion 944 limits single for stablizing in installation distal side Inverted T-shaped slit 946 used in member 970.The longitudinal side 948 of concave portion 944 can be limited for receiving fastener The hole 950 of 952 (such as holding screws or bolt).

It can include the base segments 956 being supported to supporting member 958 that nearside, which stablizes unit 954,.It is tight by being inserted into Firmware (not shown) passes through the hole 960 (Figure 10) that is formed in upper member 920 and enters the matching hole of base segments 956 (not Show), nearside stablizes the upper member 920 that unit 954 can be fixed to workbench 918.Supporting member 958 can include limiting The upper part 962 of arcuate slot 964 and in the lower part 966 in the form of inverted T-shaped arm.When being inserted into base segments When in the cooperation slit 968 formed in 956 longitudinal upper surface, the bottom side of arm 966 more broader than the stem of arm, which potentially acts as, is led Rail.Although not showing in figure 9 and in figure 10, in some instances, by being inserted into fastener (such as holding screw or spiral shell Bolt) screw thread that makes the adjacent surface of its engagement arm 966 by the hole in the side of base segments 956 or be screwed into arm 966 In hole, supporting member 958 can be fixed at the expectation lengthwise position in slit 968.

Upper part 962 can have approximately C-shaped cross-sectional profiles, and can open wide at top to connect medical device It is received in slit 964.For example, upper part 962 can be sized to receive the handle 912 of delivery catheter 910, such as in Fig. 9 Describe.The diameter of slit 968 can be slightly less than the outer diameter of handle 912.By this method, when handle 912 is placed on slit When in 968, the side of upper part can bend or deflect away from each other, and frictionally engage the side of handle 912.

Workbench 918 is set to have the advantages that removable upper member 920 is capable of providing various.For example, upper member 920 can be Sterile disposable unit, and base component 922 can be reusable.Or, upper member 920 also can be reusable, and And the ability for dismantling workbench 918 can be in order to the sterilizing of upper member 920 or other worktable parts.As further showing Example, base component 922 can be provided in a manner of multiple sizes.Medical practitioner can select the base component of appropriate size 922, and workbench 918 is assembled by snapping fit onto upper member 920 on selected base component 922.

In an alternative embodiment, workbench 918 does not need have individual upper member 920, and opposite basic portions component 922 upper part 920 can have the feature (for example, concave portion 944) for installing stable unit 954,970.Or, nearside Stablize unit 954 or distal side stablizes unit 970 and can be mounted to workbench 918 in another way.For example, being used for receiving arm 966 slit 968 can be molded into the upper member 922 or upper part 924 of base component 922.In the assembling of workbench 918 Period, arm 966 can be inserted into slit 968.Arm 966 can be made of elastic material, allow it to snap fit onto slit Appropriate location in 968.

In certain aspects, surgical operation valance can be fixed between upper member 920 and base component 922, such as By the way that the multiple portions of valance are placed between slit 938 and ridge 940.Surgical operation valance can pass through slit 938 It is fixed with ridge 940, and can help that slit and ridge is maintained to be in frictional engagement.Surgery hand as described The use of art valance can help to maintain the sterile visual area above valance.

Figure 11 and Figure 12 is the perspective view that unit 970 is stablized in distal side.The base segments 972 for stablizing unit can be comprising limiting The lower part 974 of side guide 976 and the upper mounting portion upwardly extended from lower part 974 point 978.Stablize 970 energy of unit in distal side It enough further comprise the supporting member 980 being supported on installation section 978.Supporting member 980 is configured as receiving and support The handle 906 of guiding catheter 904, as described further below.

Supporting member 980 can include the lower part 982 in the form of the skewer to limit U-shaped slit 984.Passing through will Lower part 982 is placed on installation section 978 and extends to installation section 978 in slit 984 (Figure 12), supporting member 980 can be installed on installation section 978.Supporting member 980 can relative to installation section 978 can longitudinal translation, and By insertion fastener (for example, screw；It is not shown) (such as holding screw or bolt) pass through the arm 988 in lower part 982 Fastener is screwed into mounting portion by hole 986 in transverse side and against the adjacent surface tightening fastener parts of installation section 978 Divide the threaded hole in 978, the desired locations that can be fixed on installation section 978.

Referring to Fig.1 1, what the arm 988 of lower part 982 can be formed in the lower part 974 of base segments 972 longitudinal extends Slit 990 in longitudinally translated.The end portion of arm 988 can include the ridge 992 being laterally extended, and the transverse direction is prolonged The ridge 992 stretched is capable of the lower surface of engagement base part 972 and prevents supporting member 980 relative to base segments 972 It moves up.In some instances, slit 990 can include such as the part (not shown) widened, institute in the end of slit The end portion (part including ridge 992) for being partially larger than arm 988 widened is stated to allow arm 988 to be inserted into base portion portion The slit 990 in 972 slit 990 and from base segments 972 is divided to be removed.

Supporting member 980 being capable of the approximately C-shaped upper part 994 comprising restriction lumen or slit 996, the lumen or slit 996 open wide in side to receive handle 906 (Fig. 9).With further reference to Figure 13 and Figure 14, rotatable locking component 998 can be by It is mounted in lumen 996.Locking component 998 is sized to when it is placed in lumen 996 at least partly around hand Handle 906 extends.Rotatable locking component 998 is configured as between first unlocked position and the second latched position being rotated, In Handle 906 can be inserted easily in rotatable locking component 998 in the first unlocked position, in second locking Rotatable locking component 998 engages handle 906 and prevents handle 906 from stablizing being not intended to for unit 970 relative to distal side in position It is mobile.The upper part 994 of supporting member 980 is configured as cooperating with rotatable locking component 998, to work as rotatable locking component 998 generate the radial compression of rotatable locking component 998 against handle 906 when being rotated to latched position from unlocked position, such as It is described further below.

Referring to Fig.1 5, in the illustrated embodiment, rotatable locking component 998 includes approximately C-shaped main body, the substantially C Shape main body has a bowed semicircle arms 1000 of two connected by spring hinge 1002, the spring hinge 1002 such as in In the form of the radially projecting hair clip or loop section of main body.Rotatable locking component 998 can also include from the outer of arm 1000 Two handle portions 1004 and two blocks or prominent 1006 that surface projects radially outwardly.Handle portion 1004 is convenient for revolve Turn can be manually rotated in supporting member 980 of locking component 998.Spring hinge 1002 allows arm 1000 towards that during locking This is radially compressed to radial compression, and arm 1000 is biased to radial direction away from each other during the unlock of locking component Extended mode.Prominent 1006 cooperates with the feature in the lumen 996 of supporting member 980, with when it lock and unlocked position it Between when being rotated, the radial compression of locking component is generated under the biasing of spring hinge 1002 and allows rotatable locking component 998 radial expansion, as described further below.

Although in the illustrated embodiment, rotatable locking component 998 includes single type entirety main body, it can have There are other constructions.For example, arm 1000 can connect to be coupled to each other using various types of hinges with spring hinge 1002 Separate part.For example, arm 1000 can be pivotably connected to that using the pivotal pin for the adjacent end for extending through arm This, and individually spring (for example, torque spring) or other kinds of biasing element can be coupled to arm to bias arm To radial expansion state.

Rotatable locking component 998 is received as best seen from, the inner surface of lumen 996 can be formed in Figure 16 Protrusion 1006 slit or rail portion 1008,1010.Rail portion 1008,1010 can be so shaped that in orbit Relative position between the distance that measures along orbit transfer, with the production when prominent 1006 are rotated in track 1008,1010 The radial compression of raw locking component 998.In the illustrated embodiment, for example, track 1008,1010 follows elliptical shape.Rail Therefore road 1008,1010 can be referred to as locally ellipticity shape track.Track 1008,1010 can have limitation prominent 1006 in-orbit The opposite end face 1012,1014 of rotation in road.

By means of its elliptical shape, the track measured along the First Line 1016 that the central axis C with track intersects 1008, the distance between relative position on 1010 is greater than the track measured along the second line 1018 intersect with central axis C On the distance between relative position.First Line 1016 can be referred to as the long axis of track 1008,1010, have first diameter, And the second line 1018 can be referred to as the short axle of track 1008,1010, have the second diameter less than first diameter.

As best seen from, lumen 996 can further limit cut out portion 1020, the notch in figs. 13 and 14 Part 1020 is circumferentially located between rail portion 1008,1010 and has the diameter bigger than the adjacent part of lumen.In In at least some examples, cut out portion 1020 can extend the lumen 996 between the axial face 1022,1024 of supporting member 980 Whole length, and in other instances, cut out portion 1020 can extend less than the whole length of lumen, and do not need with The axial face 1022,1024 (Figure 12) of supporting member intersects.Cut out portion 1020 can be sized to receive rotatable locking The spring hinge 1002 of component 998.

As mentioned above, locking component 998 is in lumen 996 along the direction indicated by the double-headed arrow 1026 in Figure 13 It is rotatable.When locking component 998 in unlocked position (in figure 13 illustrates) when, prominent 1006 can be located at rail portion 1008, (protrusion is aligned along long axis 1016) in 1010 part with maximum gauge.In this position, spring hinge 1002 are in decompression states, and locking component 998 is opened to its maximum gauge and allows the handle of guiding catheter 904 906 are easy to be inserted into locking component between arm 1000.When locking component 998 be rotated to latched position (this It is clockwise in Figure 13) when, prominent 1006 are radially-inwardly pushed away by means of the reduced diameter of rail portion 1008,1010 It is dynamic.Spring hinge 1002 allows the diameter of locking component 998 to be reduced, and reaches in the latched position being shown in FIG. 14 minimum straight Diameter.

In latched position, prominent 1006 are aligned along the short axle 1018 of rail portion 1008,1010, and lock structure The arm 1000 of part 998 frictionally engages the outer surface of handle 906.In a particular embodiment, locking component 998 and handle 906 it Between frictional engagement be enough to prevent handle 906 from stablizing the unintentionally rotation and axial movement of unit 970 relative to distal side.Work as locking When component 998 is rotated to unlocked position (in Figure 14 counterclockwise) from latched position, arm 1000 can be in spring hinge 1002 Biasing under radially extend the outer surface with handle 906 away from each other.

If necessary, locking component 998 can be including helping the additional spy in being secured in place handle 906 Sign.For example, rotatable locking component 998 can include the protrusion being directed radially inwardly toward as shown in Figure 11 and Figure 12 1028.Prominent 1028 can be made by elastic material, and can provide additional frictional engagement for handle 906.Further Aspect in, prominent 1028 can be positioned and be sized to the feature in the outer surface of engagement handle 906.For example, hand Handle 906 can include for receiving prominent 1028 slit or other openings.

In some embodiments, the arm 1000 of locking component 998 does not need to frictionally engage the outer surface of handle 906, and And arm can include cooperating with the character pair on conduit 904 to prevent conduit relative to the movement for stablizing unit 970 instead Prominent or other features.It can be in the case where against handle 906 applies clamping force to no arm 1000 for example, stablizing unit 970 Conduit 904 is kept in the respective slots or opening extended on handle 906 by means of prominent 1028.

In some embodiments, locking component 998 can have a more than two prominent 1006, and lumen 996 can be by It is formed with more than two track, wherein each track is configured as receiving corresponding protrusion.Moreover, in some embodiments, rail One in road 1008,1010 can have the shape different from another.For example, one in track 1008,1010 can It is elliptical orbit as shown in the figure, and another in track 1008,1010 can be circuit orbit.In this example, when Locking component is rotated to latched position but the movement of an arm is not enough to clamp and/or engage the cooperation spy on handle 906 When sign, the arm 1000 of neighbouring elliptical orbit is moved radially inwardly, and the arm 1000 of neighbouring circuit orbit is not by radially-inwardly It is mobile.

Locking component 998 can include the feature for helping to maintain to lock or unlock construction.It is best such as in Figure 11 and Figure 12 It shows, elliptical orbit part 1008 can include the recess 1030 to extend radially outwardly.1030 energy of recess radially extended It is enough configured as connecing when rotatable locking component 998 is rotated to (for example, as in figure 13 illustrates) complete unlocking structure It receives block 1006 and is in unlocking structure to assist in keeping locking component 998.Manually compress rotatable locking component 998, such as apply the power being directed radially inwardly toward by using handle 1004, block 1006 can be removed from recess 1030. In some constructions, only one in track 1008,1010 can include receiving block 1006 and helping to maintain unlock structure The recess made or similar feature.Alternatively, both track 1008,1010 can include helping to maintain rotatable locking component 998 recesses in unlocking structure or similar feature.In further, the lumen of supporting member 980 can include It engages with the block 1006 or other parts of locking component 998 or cooperates and be in the locked position with assisting in keeping locking component Feature.

In use, workbench 918 can be placed on around the leg of patient (for example, wherein under the leg of patient Or upper part rests on the lower part 926 of workbench).By workbench 918 be located in around the leg of patient allow conduit 904, 910 is substantially aligned with the femoribus internus of patient, in order to which conduit is inserted into the femoral vein or femoral artery of identical leg.

In slit 946 by the concave portion 944 that side guide 976 is slided into upper member 920, unit is stablized in distal side 970 can be mounted to the upper member 920 of workbench 918.It is made to frictionally engage adjacent side by tightening fastener parts 952 Face guide rail 976 extends in the threaded hole in adjacent side guide, and unit 970 is stablized in distal side can be fixed on concave portion Divide in 944.As best seen from, the lower part 982 of supporting member 980 can be on installation section 978 in Figure 11 and Figure 12 Face is slid to desired lengthwise position along the length of installation section.By being inserted into holding screw (not shown) through hole 986 So that it frictionally engages installation section 978 or extends in the threaded hole in installation section, lower part 982 can be fixed on At desired lengthwise position.

It should be noted that depending on certain components is component that is disposable, can drop after or in each medical procedure Be sterilized and be easily reused later, workbench 918 and stablize in the component of unit 954,970 it is one or more can be by Manufacturer and/or terminal user are assembled.In some examples, workbench 918 and stablize unit 954,970 and can be wrapped It fills and is fully assembled and sell, and stable unit can be adjusted as required in terminal user before medical procedure 954,970 lengthwise position.In some instances, workbench 918 can be packaged and separately sell with any stable unit, One or more stable units 954,970 needed for this can allow for terminal user to select specific procedure.

In addition, in certain aspects, workbench 918, which can be provided with, to be had between upper part 924 and lower part 926 A series of height multiple base components 922.Base component 922 can be stacked to inside each other, in order to pack and transport It send.The size selection that medical practitioner is capable of such as leg based on patient has the base component 922 of appropriate height.For example, logical The base component 922 of selection appropriate size is crossed, medical practitioner can control stock of the medical device (such as conduit) relative to patient The insertion angle of artery.Workbench 918 then can by upper member 920 is snapped fit on selected base component 922 come into Row assembling.

In further, base component 922 can have adjustable between upper part 924 and lower part 926 Highly, including mechanical adjustable height.For example, upper part 924 and lower part 926 can be slidable substantially L relative to each other Shape component.During the assembling of workbench 918, upper part 924 and lower part 926 can be slided relative to each other, to provide Expectation between upper part 924 and lower part 926 separates.Then upper part 924 and lower part 926 can be consolidated relative to each other It is fixed, such as by using fastener (for example, holding screw), clamp, or by the way that the prominent of part is inserted into another portion In the cooperation slit divided.In further, 918 height of workbench can be adjusted in another way.

3 and Figure 14 referring to Fig.1, during medical procedure, when locking component 998 is in unlock or " opening " position (Figure 13) When, the handle 906 of conduit 904 can be placed in stable unit 970 by medical practitioner.If necessary, medical practitioner's energy It is enough that locking component 998 is rotated into unlocked position.Then handle 906 can be inserted through the side opening of supporting member 980 984, and be placed between the arm of locking component 998.When conduit 904 is the case where locking component 998 is in the unlocked position It is lower stablized unit 970 support when, user can distally move the vascular system that conduit enters into and through patient, and/or It is moved proximally conduit 904 and recalls or retract conduit with the vascular system relative to patient.Once the distal portions quilt of conduit 904 The desired locations of (for example, if executing the indoor program of cardiac chambers in heart) are advanced in the body of patient, by that will lock Determine that component 998 rotates to locking or " closed " position clamps locking component 998 as described above or with its other party Formula limits movement (rotation and/or axial movement) of the handle 906 in locking component, and the position of conduit 904 can be kept. Medical practitioner can repeat the locking and unlocking process as needed during medical procedure, to relocate (for example, rotation Turn or translate) conduit 904.

Stable unit 970 is described in the case where keeping the background of handle 906 of conduit 904 above.It should be noted that stablizing unit The lumen 984 of 970 component and specifically supporting member 980 and locking component 998 can be properly sized to keep Another part (for example, axis 908) of conduit 904 or another type of medical device.

It is general to consider

For the purpose of the description, this document describes some aspects of embodiment of the disclosure, advantage and novel features.Institute Disclosed methods, devices and systems should not be construed as being limited in any way.On the contrary, this disclosure relates to various open real All novel and non-obvious features and aspect of example are applied, these features and aspect are individually and each other in various combinations And sub-portfolio.Methods, devices and systems are not limited to any specific aspect or feature or combinations thereof, and disclosed embodiment also should not Ask any one of advantage or solution that there is a problem of that any one or more is specific or more specific.

In conjunction with certain aspects of the present disclosure, the feature of embodiment or example description, integer, characteristic, compound, chemical part Or group is construed as being suitable for any other aspect as described herein, embodiment or example, unless incompatible with it.At this All features disclosed in specification, any accompanying claims, abstracts and figures and/or disclosed any method or mistake All steps of journey can be with any other than the mutually exclusive combination of wherein at least some of this category feature and/or step Combination is combined.The present invention is not limited to the details of any previous embodiment.The present invention extends to this specification, any appended power Benefit requires, any novel one or any novel combination disclosed in abstract and attached drawing in feature, or extend to as Any novel one of the step of any method or process of the displosure or any novel combination.

Although describing some operations in disclosed method for the ease of presenting with specific sequential order, answering The understanding, this describing mode includes rearranging, unless concrete syntax requires specific sequence.For example, describe in order Operation can be rearranged or be performed simultaneously in some cases.In addition, for simplicity, disclosed method is not shown in attached drawing It can be in conjunction with the various modes that other methods use.As used in this article, term "one", "an" and "at least one" packet It includes one or more in specified element.That is, if there is two particular elements, then one in these elements there is also and Therefore there are "one" elements.Term " multiple " and " a variety of " mean two or more in specified element.

As used in this article, listed element is meant in the term "and/or" of a column element most used between latter two Any one of or more.For example, phrase " A, B and/or C " mean " A ", " B ", " C ", " A and B ", " A and C ", " B and C " or " A, B and C ".

As used in this article, term " being coupled to " is generally meant that physical couplings or link, and specific lacking Opposite language in the case where, however not excluded that there are intermediary elements between the item coupled.

In view of the principle of disclosed invention may be used on its many possible embodiments, it should be appreciated that illustrated Embodiment be only preferable example of the invention, and should not be considered as limiting the scope of the invention.Therefore, the scope of the present invention It is limited by appended claims.Therefore we require our invention in these scope and spirit of the claims.