CA2964935C - Systemes et methodes pour therapie valvulaire cardiaque - Google Patents

Systemes et methodes pour therapie valvulaire cardiaque Download PDF

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Publication number
CA2964935C
CA2964935C CA2964935A CA2964935A CA2964935C CA 2964935 C CA2964935 C CA 2964935C CA 2964935 A CA2964935 A CA 2964935A CA 2964935 A CA2964935 A CA 2964935A CA 2964935 C CA2964935 C CA 2964935C
Authority
CA
Canada
Prior art keywords
valve
anchor assembly
assembly
anchor
mitral valve
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CA2964935A
Other languages
English (en)
Other versions
CA2964935A1 (fr
Inventor
Kavitha Ganesan
Ramji T. VENKATASUBRAMANIAN
Andrew T. Forsberg
Cyril J. Schweich, Jr.
Todd J. Mortier
Erik O. Martz
Douglas J. Krone
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Caisson Interventional LLC
Original Assignee
Caisson Interventional LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US14/671,577 external-priority patent/US9750605B2/en
Priority claimed from US14/674,349 external-priority patent/US9750607B2/en
Application filed by Caisson Interventional LLC filed Critical Caisson Interventional LLC
Priority to CA3214673A priority Critical patent/CA3214673A1/fr
Publication of CA2964935A1 publication Critical patent/CA2964935A1/fr
Application granted granted Critical
Publication of CA2964935C publication Critical patent/CA2964935C/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2445—Annuloplasty rings in direct contact with the valve annulus
    • A61F2/2448—D-shaped rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2403—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with pivoting rigid closure members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2409—Support rings therefor, e.g. for connecting valves to tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support stents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2436—Deployment by retracting a sheath
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2439—Expansion controlled by filaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0073—Quadric-shaped
    • A61F2230/0078—Quadric-shaped hyperboloidal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063—Nested prosthetic parts

Abstract

L'invention concerne des valvules mitrales prothétiques pouvant être déployées au moyen d'un système de mise en place trans-cathéter de valvule mitrale et d'une technique d'interface et d'ancrage en coopération avec les structures anatomiques d'une valvule mitrale native. Ce document décrit des conceptions de valvules cardiaques prothétiques qui servent d'interface avec des structures de valvules mitrales natives pour créer un joint d'étanchéité aux liquides, réduisant ainsi au minimum la régurgitation mitrale et les fuites para-valvulaires. Ce document décrit également des conceptions de valvules cardiaques prothétiques et des techniques pour gérer le flux sanguin à travers le tractus d'écoulement en sortie du ventricule gauche. De plus, ce document décrit des conceptions de valvules cardiaques prothétiques et des techniques qui réduisent le risque d'interférence entre les valvules prothétiques et le cordage tendineux.
CA2964935A 2014-10-23 2015-10-22 Systemes et methodes pour therapie valvulaire cardiaque Active CA2964935C (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA3214673A CA3214673A1 (fr) 2014-10-23 2015-10-22 Systemes et methodes pour therapie valvulaire cardiaque

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201462067907P 2014-10-23 2014-10-23
US62/067,907 2014-10-23
US14/671,577 US9750605B2 (en) 2014-10-23 2015-03-27 Systems and methods for heart valve therapy
US14/671,577 2015-03-27
US14/673,055 US9750606B2 (en) 2014-10-23 2015-03-30 Systems and methods for heart valve therapy
US14/673,055 2015-03-30
US14/674,349 2015-03-31
US14/674,349 US9750607B2 (en) 2014-10-23 2015-03-31 Systems and methods for heart valve therapy
PCT/US2015/056935 WO2016065158A1 (fr) 2014-10-23 2015-10-22 Systèmes et méthodes pour thérapie valvulaire cardiaque

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA3214673A Division CA3214673A1 (fr) 2014-10-23 2015-10-22 Systemes et methodes pour therapie valvulaire cardiaque

Publications (2)

Publication Number Publication Date
CA2964935A1 CA2964935A1 (fr) 2016-04-28
CA2964935C true CA2964935C (fr) 2023-10-24

Family

ID=58553627

Family Applications (2)

Application Number Title Priority Date Filing Date
CA3214673A Pending CA3214673A1 (fr) 2014-10-23 2015-10-22 Systemes et methodes pour therapie valvulaire cardiaque
CA2964935A Active CA2964935C (fr) 2014-10-23 2015-10-22 Systemes et methodes pour therapie valvulaire cardiaque

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CA3214673A Pending CA3214673A1 (fr) 2014-10-23 2015-10-22 Systemes et methodes pour therapie valvulaire cardiaque

Country Status (6)

Country Link
JP (1) JP6727218B2 (fr)
CN (1) CN107920862B (fr)
AU (1) AU2015335808B2 (fr)
BR (1) BR112017008423B1 (fr)
CA (2) CA3214673A1 (fr)
IL (1) IL251852B (fr)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SG11202107734TA (en) * 2019-02-12 2021-08-30 Edwards Lifesciences Corp Controlled tissue anchor spacing
CN113599022A (zh) * 2020-10-12 2021-11-05 宁波健世科技股份有限公司 一种便于操控的瓣膜假体输送系统
EP4255348A1 (fr) * 2020-12-04 2023-10-11 Hangzhou Sequoia Medical Device Co., Ltd Dispositif de valvule cardiaque prothétique, système et procédés
CN116407356A (zh) * 2021-12-31 2023-07-11 杭州德晋医疗科技有限公司 防滑脱的人工腱索植入装置及系统

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DK124690D0 (da) * 1990-05-18 1990-05-18 Henning Rud Andersen Klapprotes til implantering i kroppen for erstatning af naturlig klap samt kateter til brug ved implantering af en saadan klapprotese
US7445631B2 (en) * 2003-12-23 2008-11-04 Sadra Medical, Inc. Methods and apparatus for endovascularly replacing a patient's heart valve
EP2745805B2 (fr) * 2003-12-23 2022-05-18 Boston Scientific Scimed, Inc. Valvule cardiaque repositionnable
US8323335B2 (en) * 2008-06-20 2012-12-04 Edwards Lifesciences Corporation Retaining mechanisms for prosthetic valves and methods for using
CN102438546B (zh) * 2008-11-21 2015-07-15 经皮心血管解决方案公司 人工心脏瓣膜
US8308798B2 (en) * 2008-12-19 2012-11-13 Edwards Lifesciences Corporation Quick-connect prosthetic heart valve and methods
EP2416739B1 (fr) * 2009-04-10 2016-06-08 Lon Sutherland Annest Echafaudage implantable à orifice utilisé avec une prothèse ou bioprothèse cardiaque
US8795354B2 (en) * 2010-03-05 2014-08-05 Edwards Lifesciences Corporation Low-profile heart valve and delivery system
US9132009B2 (en) * 2010-07-21 2015-09-15 Mitraltech Ltd. Guide wires with commissural anchors to advance a prosthetic valve
CA2830828A1 (fr) * 2011-04-04 2012-10-11 The Medical Research, Infrastructure, And Health Services Fund Of The Tel Aviv Medical Center Dispositif et procede pour la reparation de valvule cardiaque
US9039757B2 (en) * 2011-10-19 2015-05-26 Twelve, Inc. Prosthetic heart valve devices, prosthetic mitral valves and associated systems and methods

Also Published As

Publication number Publication date
BR112017008423A2 (pt) 2017-12-26
JP2017531547A (ja) 2017-10-26
CN107920862A (zh) 2018-04-17
CA2964935A1 (fr) 2016-04-28
IL251852A0 (en) 2017-06-29
JP6727218B2 (ja) 2020-07-22
AU2015335808B2 (en) 2020-08-06
BR112017008423B1 (pt) 2022-07-12
IL251852B (en) 2021-07-29
CA3214673A1 (fr) 2016-04-28
CN107920862B (zh) 2023-03-14
AU2015335808A1 (en) 2017-04-27

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