Apparatus is provided, including an intracardiac annuloplasty structure. A first adjustment member has an end at a first location at first portions of the annuloplasty structure that are opposite each other. A second adjustment member has an end at a second location at the second portions of the ann
Apparatus is provided, including an intracardiac annuloplasty structure. A first adjustment member has an end at a first location at first portions of the annuloplasty structure that are opposite each other. A second adjustment member has an end at a second location at the second portions of the annuloplasty structure that are opposite each other. The annuloplasty structure, the first-adjustment-member end, and the second-adjustment-member end are disposed within a catheter during delivery. After delivery, the first-adjustment-member end is moveable with respect to the annuloplasty structure toward and away from a plane of the annuloplasty structure to adjust a relative disposition of the first portions, and the second-adjustment-member end is moveable independently of the first-adjustment-member end and with respect to the annuloplasty structure toward and away from the plane to adjust a relative disposition of the second portions. Other embodiments are also described.
대표청구항▼
1. Apparatus, comprising: a catheter;an intracardiac annuloplasty structure having respective first portions that are disposed opposite each other and respective second portions that are disposed opposite each other, the annuloplasty structure deployable to define a plane of the annuloplasty structu
1. Apparatus, comprising: a catheter;an intracardiac annuloplasty structure having respective first portions that are disposed opposite each other and respective second portions that are disposed opposite each other, the annuloplasty structure deployable to define a plane of the annuloplasty structure for placement on an annulus of a heart valve;a first adjustment member having a first-adjustment-member end at a first location of the annuloplasty structure at which the first portions of the annuloplasty structure are disposed; anda second adjustment member having a second-adjustment-member end at a second location of the annuloplasty structure at which the second portions of the annuloplasty structure are disposed;wherein: the annuloplasty structure has a delivery state and a deployed state;in the delivery state, during delivery of the annuloplasty structure through the catheter, the annuloplasty structure, the first-adjustment-member end, and the second-adjustment-member end are disposed within the catheter;in the deployed state, following the delivery, the first-adjustment-member end of the first adjustment member is moveable with respect to the annuloplasty structure toward and away from the plane to adjust a relative disposition of the first portions of the annuloplasty structure, andthe second-adjustment-member end of the second adjustment member is moveable independently of the first-adjustment-member end and with respect to the annuloplasty structure toward and away from the plane to adjust a relative disposition of the second portions of the annuloplasty structure. 2. The apparatus according to claim 1, wherein the first and second adjustment members comprise respective first and second adjustment wires. 3. The apparatus according to claim 1, wherein the annuloplasty structure comprises a contracting wire configured to control a structural configuration of the annuloplasty structure. 4. The apparatus according to claim 1, further comprising a ratchet coupled to the annuloplasty structure, wherein the ratchet maintains a perimeter of the annuloplasty structure following contracting of the annuloplasty structure. 5. The apparatus according to claim 1, further comprising a rotatable ring coupled to the annuloplasty structure, such that rotation of the rotatable ring contracts the annuloplasty structure. 6. The apparatus according to claim 5, further comprising a lock ring arranged to lock the rotatable ring. 7. The apparatus according to claim 1, further comprising first and second rotatable rings coupled to the annuloplasty structure, arranged such that (a) the first rotatable ring may be rotated to contract the annuloplasty structure while the second rotatable ring remains stationary, and (b) the second rotatable ring may be rotated to contract the annuloplasty structure while the first rotatable ring remains stationary. 8. The apparatus according to claim 1, further comprising one or more longitudinal members reversibly coupled to the annuloplasty structure at respective locations of the annuloplasty structure, wherein the one or more longitudinal members are arranged such that the one or more longitudinal members are moveable to adjust a configuration of respective parts of the annuloplasty structure at the respective locations of the annuloplasty structure. 9. The apparatus according to claim 8, wherein the one or more longitudinal members comprise at least first and second longitudinal members coupled to the annuloplasty structure at respective first and second locations of the annuloplasty structure, wherein movement of the first one of the longitudinal members moves a first part of the annuloplasty structure at the first location with respect to a second part of the annuloplasty structure at the second location. 10. The apparatus according to claim 1, wherein the annuloplasty structure comprises a plurality of anchor mounts configured to facilitate anchoring of the annuloplasty structure to tissue of a patient, and wherein the annuloplasty structure comprises at least one anchor-restricting element configured to restrict motion of a portion of a tissue anchor beyond the anchor-restricting element. 11. The apparatus according to claim 1, wherein the annuloplasty structure comprises a plurality of anchor mounts configured to facilitate anchoring of the annuloplasty structure to tissue of a patient, the plurality of anchor mounts each defining (a) at least one opening for passage therethrough of a respective one of a plurality of tissue anchors, and (b) a path for passage therethrough of the respective one of the plurality of tissue anchors, the path being aligned along an axis that is at a non-zero angle with respect to the plane of the annuloplasty structure. 12. The apparatus according to claim 11, further comprising the plurality of tissue anchors, each respective one of the plurality of tissue anchors configured for passage through a respective one of the plurality of anchor mounts. 13. The apparatus according to claim 12, wherein the plurality of tissue anchors comprises a plurality of helical tissue anchors, each respective one of the plurality of helical tissue anchors being configured for passage through a respective one of the plurality of anchor mounts. 14. The apparatus according to claim 13, wherein the at least one opening of each anchor mount defines first and second openings, and wherein each respective one of the plurality of helical tissue anchors is moveable through the first and second openings of each anchor mount.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (344)
Miller, Eran; Gross, Amir; Cabiri, Oz; Beinart, Iftah; Baum, Aviram, Actively-engageable movement-restriction mechanism for use with an annuloplasty structure.
Solem, Jan Otto; Kimblad, Per Ola; von Oepen, Randolf; Quint, Bodo; Seibold, Gerd; Michlitsch, Kenneth J.; Ha, Suk-Woo; Eckert, Karl-Ludwig; Joergensen, Ib; Nielsen, Stevan, Apparatus for applying a compressive load on body tissue.
Cartledge,Richard G.; Lee,Leonard Y., Apparatus for implanting surgical devices for controlling the internal circumference of an anatomic orifice or lumen.
Salahieh, Amr; Brandt, Brian D.; Morejohn, Dwight P.; Haug, Ulrich R.; Dueri, Jean-Pierre; Valencia, Hans F.; Geshlider, Robert A.; Krolik, Jeff, Assessing the location and performance of replacement heart valves.
Stein Jeffrey A. ; Allen William J. ; Markus Richard L. ; Bachman Alan B. ; Bryan Deborah M. ; Holsten Henry E. ; DeFonzo Stephen A. ; Savage Robert C., Coil fastener applier.
Middleman Lee M. (Portola Valley CA) Pyka Walter R. (Redwood City CA) Buhler Michael (Madeira Beach FL) Poncet Philippe (Fremont CA) Van Dyk Karl (Fremont CA) Jervis James E. (Atherton CA) Zadno Reza, Device or apparatus for manipulating matter having a elastic ring clip.
Vidlund, Robert M.; Kalgreen, Jason E.; Mortier, Todd J.; Schweich, Jr., Cyril J.; Schroeder, Richard; Kusz, David, Devices and methods for heart valve treatment.
Spence, Paul A.; Baim, Donald S.; McNamara, Edward I.; Sugimoto, Hiroatsu; Call, Aaron M.; Cahalane, Steven D.; Maguire, Mark; Morrill, Richard J., Devices and methods for introducing elements into tissue.
Solem,Jan Otto; Kimblad,Per Ola; Fariabi,Sepehr; Schreck,Stefan; Adzich,Vaso; Iancea,Octavian, Devices and methods for percutaneous repair of the mitral valve via the coronary sinus.
Machold, Timothy R.; Chang, Robert T.; Macoviak, John A.; Rahdert, David A., Devices, systems, and methods for reshaping a heart valve annulus, including the use of magnetic tools.
Mortier Todd J. ; Schweich ; Jr. Cyril J. ; Vidlund Robert M. ; Keith Peter T. ; Paulson Thomas M. ; Kusz David A., External stress reduction device and method.
VanTassel, Robert A.; Hauser, Robert G.; Schwartz, Robert; Holmes, David; Sutton, Gregg S.; Borillo, Thomas E.; Welch, Jeffrey, Filter apparatus for ostium of left atrial appendage.
Goldfarb, Eric A.; Raschdorf, Alfred H.; Sarabia, Jaime E.; Fan, Sylvia Wen-Chin; Dell, Kent D.; Komtebedde, Jan; Powell, Ferolyn T., Fixation devices for variation in engagement of tissue.
Goldfarb, Eric A.; Raschdorf, Alfred H.; Sarabia, Jaime E.; Erickson, Sylvia Wen-Chin; Dell, Kent D.; Komtebedde, Jan; Powell, Ferolyn T., Fixation devices, systems and methods for engaging tissue.
Goldfarb, Eric A.; Raschdorf, Jr., Alfred H.; Sarabia, Jaime E.; Wen Chin Fan, Sylvia; Dell, Kent D.; Komtebedde, Jan; Powell, Ferolyn T., Fixation devices, systems and methods for engaging tissue.
Goldfarb, Eric A.; Raschdorf, Jr., Alfred H.; Sarabia, Jaime E.; Wen Chin Fan, Sylvia; Dell, Kent D.; Komtebedde, Jan; Powell, Ferolyn T., Fixation devices, systems and methods for engaging tissue.
Goldfarb, Eric A.; Raschdorf, Jr., Alfred H.; Sarabia, Jaime E.; Wen Chin Fan, Sylvia; Dell, Kent D.; Komtebedde, Jan; Powell, Ferolyn T., Fixation devices, systems and methods for engaging tissue.
William N. Aldrich ; Michael V. Morejohn ; Richard A. Helkowski ; Ivan Sepetka, Instruments and methods employing thermal energy for the repair and replacement of cardiac valves.
Donlon, Brian S.; Peters, William S.; Garrison, Michi E.; Rosenman, Daniel C.; Stevens, John H., Lens-invasive devices and methods for cardiac valve surgery.
Goble E. Marlowe (Logan UT) Luman David P. (Logan UT) Chervitz Alan (Logan UT) Story C. Brad (Liberty UT) Gundlalpalli Ramarao (Logan UT), Ligament bone anchor and method for its use.
Warren P. Williamson, IV ; Paul A. Spence ; George T. Chistakis CA; Mark Ortiz, Means and method of replacing a heart valve in a minimally invasive manner.
Paul, David; Sutton, Benjamin; McCollum, Brian; Brandt, Brian D.; Leung, Emma; Martin, Kenneth M.; Salahieh, Amr; Hildebrand, Daniel, Medical devices and delivery systems for delivering medical devices.
Northrup ; III William F. ; Northrup Joanne B., Method and apparatus for sizing, stabilizing and/or reducing the circumference of an anatomical structure.
Goldfarb, Eric A.; Deem, Mark E.; Dell, Kent D.; Dieck, Martin S.; Fan, Sylvia Wen Chin; Gifford, III, Hanson S.; Martin, Brain B.; Powell, Ferolyn T.; St. Goar, Frederick G., Methods and apparatus for cardiac valve repair.
Goldfarb, Eric A.; Deem, Mark E.; Dell, Kent D.; Dieck, Martin S.; Fan, Sylvia Wen-Chin; Gifford, III, Hanson S.; Martin, Brian B.; Powell, Ferolyn T.; St. Goar, Frederick G., Methods and apparatus for cardiac valve repair.
St. Goar, Frederick G.; Fann, James I-Lin; Deem, Mark E.; Gifford, III, Hanson S.; Dieck, Martin S.; Martin, Brian B.; Fan, Sylvia Wen-Chin; Goldfarb, Eric A.; Dell, Kent D.; Powell, Ferolyn T., Methods and apparatus for cardiac valve repair.
Goldfarb, Eric A.; Dell, Kent D.; Fan, Sylvia Wen Chin; Martin, Brian B.; Powell, Ferolyn T.; Raschdorf, Alfred H.; Thornton, Troy L., Methods and devices for capturing and fixing leaflets in valve repair.
Goldfarb, Eric A.; Dell, Kent D.; Fan, Sylvia Wen-Chin; Martin, Brian B.; Powell, Ferolyn T.; Raschdorf, Alfred H.; Thornton, Troy L., Methods and devices for capturing and fixing leaflets in valve repair.
Starksen, Niel F.; Im, Karl S.; Fabro, Mariel; Serina, Eugene; Meier, Anne T., Methods and devices for catheter advancement and delivery of substances therethrough.
McCarthy,Patrick M.; Schweich, Jr.,Cyril J.; Mortier,Todd J.; Keith,Peter T.; Kallok,Michael J., Methods and devices for improving cardiac function in hearts.
Patrick M. McCarthy ; Cyril J. Schweich, Jr. ; Todd J. Mortier ; Peter T. Keith ; Michael J. Kallok, Methods and devices for improving cardiac function in hearts.
Schroeder, Richard F.; Vidlund, Robert M.; Kalgreen, Jason E.; Schweich, Jr., Cyril J.; Mortler, Todd J., Methods and devices for improving mitral valve function.
Goldfarb, Eric A.; Thornton, Troy L.; Raschdorf, Alfred H.; Sarabia, Jaime E.; Maddan, John P.; Powell, Ferolyn; Martin, Brian B.; Wen Chin Fan, Sylvia; Komtebedde, Jan; Liao, Yen C., Methods and devices for tissue grasping and assessment.
Goldfarb, Eric A.; Thornton, Troy L.; Raschdorf, Alfred H.; Sarabia, Jaime E.; Maddan, John P.; Powell, Ferolyn; Martin, Brian B.; Wen-Chin Fan, Sylvia; Komtebedde, Jan; Liao, Yen C., Methods and devices for tissue grasping and assessment.
Stevens, John H.; Bolduc, Lee R.; Boyd, Stephen W.; Donlon, Brian S.; Gifford, III, Hanson S.; Houle, Philip R.; Rosenman, Daniel C., Minimally-invasive devices and methods for treatment of congestive heart failure.
Kuehn, Stephen T.; Hinnenkamp, Thomas F.; Holmberg, William R.; Bergman, Darrin J.; Moore, Scott D.; Shepherd, Terry L., Mitral and tricuspid valve repair.
Thornton, Troy L.; Martin, Brian B.; Raatikka, Amy R.; Liao, Yen C.; Kolosi, William D.; Lucatero, Pedro, Multi-catheter steerable guiding system and methods of use.
Tsukashima, Ross; Shaolian, Samuel M.; Buchbinder, Maurice; Gray, Brian C.; Packham, Victor S.; Cao, Hung H., Percutaneous transcatheter repair of heart valves.
Gardiner Barry N. ; McDonald Paul T. ; Phipps Richard D., Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery.
Aranguren Duo Iker (Estraunza ; 10-60 Bilbao ESX), Process for installing mitral valves in their anatomical space by attaching cords to an artificial stent.
Salahieh, Amr; Brandt, Brian D.; Morejohn, Dwight P.; Haug, Ulrich R.; Dueri, Jean-Pierre; Valencia, Hans F.; Geshlider, Robert A., Replacement valve and anchor.
Sparer Randall V. ; Untereker Darrel F. ; Ebner Elizabeth A. ; Grailer Thomas P. ; Vegoe Brett R. ; Shim Hong S. ; Duran Carlos M. G., Rigid annuloplasty device that becomes compliant after implantation.
Traynor, Kate E.; Cahalane, Steven D.; McNamara, Edward I.; Meranda, Joseph A.; Modoono, Paul T.; Lane, Joseph P.; Call, Aaron M., Suture cutter and method of cutting suture.
Hirotsuka, Mark; Jackson, Jasper; Frazier, Andrew; Roue, Chad C.; van der Burg, Erik; Dineen, Michael, System and method for percutaneous glossoplasty.
Spence, Paul A.; Baim, Donald S.; McNamara, Edward I.; Sugimoto, Hiroatsu; Lane, Joseph P.; Lee, Christopher C.; Robinson, Jason H.; Call, Aaron M.; Morrill, Richard J., Systems and methods for introducing elements into tissue.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.