[미국특허]
Implantation of repair devices in the heart
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61F-002/82
A61F-002/24
A61B-017/064
A61B-017/00
출원번호
US-0249782
(2016-08-29)
등록번호
US-9883943
(2018-02-06)
발명자
/ 주소
Gross, Amir
Beinart, Iftah
Miller, Eran
Cabiri, Oz
Eliachar, Eliahu
Lilach, Nir
Grossfeld, Ram
Golom, Dmitry
Meyer-Brodnitz, Gideon
Mousaiuf, Arnon
출원인 / 주소
Valtech Cardio, Ltd.
대리인 / 주소
Richardson, Thomas C.
인용정보
피인용 횟수 :
4인용 특허 :
343
초록▼
Apparatus is provided, including a plurality of helical tissue anchors and an intracardiac annuloplasty structure defining a plane for placement on a heart valve annulus. The annuloplasty structure includes a plurality of compressible subunits, and a plurality of anchor mounts alternately disposed w
Apparatus is provided, including a plurality of helical tissue anchors and an intracardiac annuloplasty structure defining a plane for placement on a heart valve annulus. The annuloplasty structure includes a plurality of compressible subunits, and a plurality of anchor mounts alternately disposed with respect to the plurality of compressible subunits. Each anchor mount (a) defines at least one opening for passage therethrough of a respective helical tissue anchor, (b) defines a path for passage therethrough of the helical tissue anchor, the path being aligned along an axis that is at a non-zero angle with respect to the plane of the annuloplasty structure, and (c) provides a structural element in the path for corkscrewing a distal portion of the helical tissue anchor therearound. Other embodiments are also described.
대표청구항▼
1. Apparatus, comprising: a plurality of helical tissue anchors; andan intracardiac annuloplasty structure defining a plane of the annuloplasty structure for placement on an annulus of a heart valve, the annuloplasty structure comprising: a plurality of compressible subunits, anda plurality of ancho
1. Apparatus, comprising: a plurality of helical tissue anchors; andan intracardiac annuloplasty structure defining a plane of the annuloplasty structure for placement on an annulus of a heart valve, the annuloplasty structure comprising: a plurality of compressible subunits, anda plurality of anchor mounts alternately disposed with respect to the plurality of compressible subunits, each anchor mount (a) defining at least one opening for passage therethrough of a respective one of the plurality of helical tissue anchors, (b) defining a path for passage therethrough of the respective one of the plurality of helical 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, and (c) providing a structural element in the path for corkscrewing a distal portion of the respective one of the plurality of helical tissue anchors therearound. 2. The apparatus according to claim 1, wherein the structural element comprises a bar that is disposed in parallel with the plane of the annuloplasty structure. 3. The apparatus according to claim 1, wherein the structural element is configured to restrict continued corkscrewing of the respective one of the plurality of helical tissue anchors into tissue. 4. The apparatus according to claim 1, wherein the annuloplasty structure comprises a contracting wire configured to control a structural configuration 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 is rotatable to contract the annuloplasty structure while the second rotatable ring remains stationary, and (b) the second rotatable ring is rotatable to contract the annuloplasty structure while the first rotatable ring remains stationary. 8. 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. 9. 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. 10. The apparatus according to claim 9, 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, and 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. 11. The apparatus according to claim 1, 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. 12. The apparatus according to claim 11, wherein the distal portion of the respective one of the plurality of helical tissue anchors is arranged to corkscrew around the structural element before moving through the second opening. 13. The apparatus according to claim 1, wherein a proximal portion of the respective one of the plurality of helical tissue anchors is shaped so as to restrict continued corkscrewing of the helical tissue anchor into tissue. 14. A method, comprising: advancing into a heart of a patient:a plurality of helical tissue anchors; andan intracardiac annuloplasty structure defining a plane of the annuloplasty structure for placement on an annulus of a heart valve, the annuloplasty structure including: a plurality of compressible subunits, anda plurality of anchor mounts alternately disposed with respect to the plurality of compressible subunits, each anchor mount (a) defining at least one opening for passage therethrough of a respective one of the plurality of helical tissue anchors, (b) defining a path for passage therethrough of the respective one of the plurality of helical 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, and (c) providing a structural element in the path for corkscrewing a distal portion of the respective one of the plurality of helical tissue anchors therearound; andanchoring the annuloplasty structure to the annulus of the heart valve by moving the respective one of the plurality of helical tissue anchors through the path. 15. The method according to claim 14, further comprising, by the structural element, facilitating restricting of continued moving of the respective one of the plurality of helical tissue anchors into tissue of the annulus beyond a predetermined distance. 16. The method according to claim 14, further comprising contracting the annuloplasty structure by pulling a portion of a contracting wire coupled to the annuloplasty structure. 17. The method according to claim 14, further comprising: contracting the annuloplasty structure;and maintaining a perimeter of the annuloplasty structure following the contracting, using a ratchet coupled to the annuloplasty structure. 18. The method according to claim 14, wherein the at least one opening defines first and second openings, and wherein moving the respective one of the plurality of helical tissue anchors through the path comprises moving the respective one of the plurality of helical tissue anchors through the first and second openings. 19. The method according to claim 18, wherein moving the respective one of the plurality of helical tissue anchors through the first and second openings comprises corkscrewing the distal portion of the respective one of the plurality of helical tissue anchors around the structural element before moving the distal portion through the second opening. 20. The method according to claim 14, wherein the annuloplasty structure is coupled to first and second rotatable rings, and wherein the method further comprises: using the first rotatable ring coupled to the annuloplasty structure, contracting the annuloplasty structure while the second rotatable ring remains stationary; andusing the second rotatable ring coupled to the annuloplasty structure, contracting the annuloplasty structure while the first rotatable ring remains stationary.
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.