CA2979817A1 - Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire - Google Patents

Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire Download PDF

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Publication number
CA2979817A1
CA2979817A1 CA2979817A CA2979817A CA2979817A1 CA 2979817 A1 CA2979817 A1 CA 2979817A1 CA 2979817 A CA2979817 A CA 2979817A CA 2979817 A CA2979817 A CA 2979817A CA 2979817 A1 CA2979817 A1 CA 2979817A1
Authority
CA
Canada
Prior art keywords
tissue
tissue anchor
anchor
annulus
wire
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.)
Granted
Application number
CA2979817A
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English (en)
Other versions
CA2979817C (fr
Inventor
Steven Cahalane
Jason Robinson
Morgan House
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.)
Edwards Lifesciences Corp
Original Assignee
Mitralign Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Mitralign Inc filed Critical Mitralign Inc
Publication of CA2979817A1 publication Critical patent/CA2979817A1/fr
Application granted granted Critical
Publication of CA2979817C publication Critical patent/CA2979817C/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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • A61B2017/00783—Valvuloplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00876—Material properties magnetic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0406—Pledgets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419—H-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft 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
    • A61F2/2442—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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Rheumatology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne des dispositifs et des procédés de traitement de régurgitation de valve tricuspide. De manière spécifique, un aspect de la présente invention concerne des dispositifs et des procédés pour identifier un emplacement approprié sur l'anneau tricuspide, placer un fil à travers l'anneau tricuspide audit emplacement identifié, déployer un ancrage tissulaire à travers ledit emplacement identifié, déployer au moins deux ancrages tissulaires et accoupler les ancrages tissulaires à un élément de tension souple, et appliquer une tension à un élément de tension souple qui est accouplé à au moins deux ancrages tissulaires, plisser des tissus entre chaque paire des au moins deux ancrages tissulaires, et réduire la circonférence de l'anneau tricuspide. En conséquence, un jet de régurgitation est réduit ou éliminé.
CA2979817A 2015-03-18 2015-03-18 Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire Active CA2979817C (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2015/021346 WO2016148714A1 (fr) 2015-03-18 2015-03-18 Ancrages tissulaires et réparation de valve tricuspide percutanée utilisant un ancrage tissulaire

Publications (2)

Publication Number Publication Date
CA2979817A1 true CA2979817A1 (fr) 2016-09-22
CA2979817C CA2979817C (fr) 2023-03-28

Family

ID=52823804

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2979817A Active CA2979817C (fr) 2015-03-18 2015-03-18 Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire

Country Status (4)

Country Link
EP (1) EP3270794A1 (fr)
CN (1) CN107427296B (fr)
CA (1) CA2979817C (fr)
WO (1) WO2016148714A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10912644B2 (en) 2018-10-05 2021-02-09 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US11471282B2 (en) 2019-03-19 2022-10-18 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US11833034B2 (en) 2016-01-13 2023-12-05 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US12053371B2 (en) 2020-08-31 2024-08-06 Shifamed Holdings, Llc Prosthetic valve delivery system

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3579761A2 (fr) * 2017-02-08 2019-12-18 4Tech Inc. Mise sous tension post-implantation dans des implants cardiaques
US20210361277A1 (en) * 2018-05-17 2021-11-25 Implament Pty Ltd Suture anchor
IT202000012562A1 (it) 2020-05-27 2021-11-27 Milano Politecnico Dispositivo e assieme per riparare una valvola cardiaca
US20240238093A1 (en) * 2021-05-21 2024-07-18 Shanghai Shape Memory Alloy Co., Ltd. Ring contraction apparatus for mitral valve annulus
US20230346545A1 (en) 2022-04-29 2023-11-02 Tangent Biotech Inc. Percutaneous tricuspid valve repair devices and methods
WO2024155877A1 (fr) * 2023-01-20 2024-07-25 Pipeline Medical Technologies, Inc. Système d'ancrage péricardique

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060069429A1 (en) * 2001-04-24 2006-03-30 Spence Paul A Tissue fastening systems and methods utilizing magnetic guidance
US8979923B2 (en) * 2002-10-21 2015-03-17 Mitralign, Inc. Tissue fastening systems and methods utilizing magnetic guidance
US8951285B2 (en) * 2005-07-05 2015-02-10 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
US8945211B2 (en) * 2008-09-12 2015-02-03 Mitralign, Inc. Tissue plication device and method for its use
EP2779913B1 (fr) * 2011-11-14 2021-03-31 ArthroCare Corporation Ensemble de réparation de tissu
US9724084B2 (en) * 2013-02-26 2017-08-08 Mitralign, Inc. Devices and methods for percutaneous tricuspid valve repair
CN104000627B (zh) * 2013-02-26 2017-04-12 米特拉利根公司 组织锚及锚固系统

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11833034B2 (en) 2016-01-13 2023-12-05 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US10912644B2 (en) 2018-10-05 2021-02-09 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US11672657B2 (en) 2018-10-05 2023-06-13 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US11986389B2 (en) 2018-10-05 2024-05-21 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US11471282B2 (en) 2019-03-19 2022-10-18 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US12053371B2 (en) 2020-08-31 2024-08-06 Shifamed Holdings, Llc Prosthetic valve delivery system

Also Published As

Publication number Publication date
WO2016148714A1 (fr) 2016-09-22
CN107427296B (zh) 2021-12-28
CA2979817C (fr) 2023-03-28
CN107427296A (zh) 2017-12-01
EP3270794A1 (fr) 2018-01-24

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