CA3142466A1 - Delivery apparatus and methods for implanting prosthetic heart valves - Google Patents

Delivery apparatus and methods for implanting prosthetic heart valves Download PDF

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Publication number
CA3142466A1
CA3142466A1 CA3142466A CA3142466A CA3142466A1 CA 3142466 A1 CA3142466 A1 CA 3142466A1 CA 3142466 A CA3142466 A CA 3142466A CA 3142466 A CA3142466 A CA 3142466A CA 3142466 A1 CA3142466 A1 CA 3142466A1
Authority
CA
Canada
Prior art keywords
actuation
shaft
handle
delivery apparatus
coupled
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.)
Pending
Application number
CA3142466A
Other languages
English (en)
French (fr)
Inventor
Oren Cohen
Elazar Levi Schwarcz
Denis ZHMAKIN
Ofir Witzman
Noam Miller
Eitan ATIAS
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
Edwards Lifesciences Corp
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 Edwards Lifesciences Corp filed Critical Edwards Lifesciences Corp
Publication of CA3142466A1 publication Critical patent/CA3142466A1/en
Pending legal-status Critical Current

Links

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
    • A61F2/2427—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
    • 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
    • A61F2/2466—Delivery devices therefor
    • 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
    • A61F2/243—Deployment by mechanical expansion
    • 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
    • A61F2/243—Deployment by mechanical expansion
    • A61F2/2433—Deployment by mechanical expansion using balloon catheter
    • 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
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/001—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a diameter

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
CA3142466A 2020-03-16 2021-03-16 Delivery apparatus and methods for implanting prosthetic heart valves Pending CA3142466A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202062990299P 2020-03-16 2020-03-16
US62/990,299 2020-03-16
PCT/US2021/022467 WO2021188476A1 (en) 2020-03-16 2021-03-16 Delivery apparatus and methods for implanting prosthetic heart valves

Publications (1)

Publication Number Publication Date
CA3142466A1 true CA3142466A1 (en) 2021-09-23

Family

ID=75539902

Family Applications (1)

Application Number Title Priority Date Filing Date
CA3142466A Pending CA3142466A1 (en) 2020-03-16 2021-03-16 Delivery apparatus and methods for implanting prosthetic heart valves

Country Status (13)

Country Link
US (1) US20230024690A1 (https=)
EP (2) EP4470510A3 (https=)
JP (2) JP7633185B2 (https=)
KR (1) KR20220155251A (https=)
CN (2) CN113993484A (https=)
AU (1) AU2021236612A1 (https=)
BR (1) BR112021024115A2 (https=)
CA (1) CA3142466A1 (https=)
CL (1) CL2021003381A1 (https=)
CR (1) CR20210658A (https=)
IL (1) IL288463B2 (https=)
MX (1) MX2021014907A (https=)
WO (1) WO2021188476A1 (https=)

Families Citing this family (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA3142466A1 (en) * 2020-03-16 2021-09-23 Edwards Lifesciences Corporation Delivery apparatus and methods for implanting prosthetic heart valves
EP4185244B1 (en) 2020-07-23 2025-01-29 St. Jude Medical, Cardiology Division, Inc. Low profile expandable heart valve
JP7515637B2 (ja) 2020-08-18 2024-07-12 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド 磁気位置の追跡を伴う高密度電極カテーテル
CA3197045A1 (en) 2020-10-23 2022-04-28 Edwards Lifesciences Corporation Prosthetic valve docking device
EP4236875A1 (en) 2020-11-02 2023-09-06 Edwards Lifesciences Corporation Delivery apparatus for prosthetic implants
CN218106151U (zh) 2021-01-19 2022-12-23 爱德华兹生命科学公司 递送设备和对接套筒
CN115957046A (zh) 2021-10-08 2023-04-14 爱德华兹生命科学公司 假体瓣膜对接装置
US20230149164A1 (en) * 2021-11-17 2023-05-18 Neovasc Tiara Inc. Systems and methods for deploying and retrieving a prosthesis
WO2023091254A1 (en) 2021-11-19 2023-05-25 Edwards Lifesciences Corporation Prosthetic valve docking device
EP4436522A1 (en) * 2021-11-23 2024-10-02 Edwards Lifesciences Corporation Delivery apparatus for implanting prosthetic heart valves
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
CN220175318U (zh) 2022-04-14 2023-12-15 爱德华兹生命科学公司 一种用于构造成递送假体植入物的递送设备的柄部组件
WO2023212361A1 (en) 2022-04-29 2023-11-02 inQB8 Medical Technologies, LLC Systems, devices, and methods for controllably and selectively occluding, restricting, and diverting flow within a patient's vasculature
JP2025517397A (ja) 2022-05-19 2025-06-05 エドワーズ ライフサイエンシーズ コーポレイション 支持部材の段を有する人工弁
EP4543309A1 (en) * 2022-06-21 2025-04-30 Boston Scientific Scimed, Inc. Devices, systems, and methods for delivering and deploying an implantable device
CA3260151A1 (en) 2022-06-23 2023-12-28 Edwards Lifesciences Corporation IMPLANT PLANING DEVICE WITH TELESCOPIC ROD
JP2025523832A (ja) 2022-07-12 2025-07-25 エドワーズ ライフサイエンシーズ コーポレイション 人工心臓弁
CN120112250A (zh) * 2022-09-07 2025-06-06 爱德华兹生命科学公司 用于假体装置的递送设备
WO2024182354A1 (en) 2023-02-28 2024-09-06 Edwards Lifesciences Corporation Prosthetic heart valve
WO2024263683A1 (en) 2023-06-21 2024-12-26 Edwards Lifesciences Corporation Outer skirt for prosthetic heart valve
WO2025054204A1 (en) 2023-09-05 2025-03-13 Edwards Lifesciences Corporation Prosthetic heart valve
WO2025059537A1 (en) * 2023-09-14 2025-03-20 inQB8 Medical Technologies, LLC Systems, devices, and methods for implanting and/or retrieving devices for controllable enhancement of diuresis
CN120227208A (zh) * 2023-12-29 2025-07-01 杭州启明医疗器械股份有限公司 方便控制的人工植入物的输送系统
WO2025193940A1 (en) * 2024-03-15 2025-09-18 Edwards Lifesciences Corporation Delivery apparatus with removable clip
CN119925038B (zh) * 2024-11-19 2025-08-08 迈得诺医疗科技集团有限公司 用于操控植入物的鞘管组件和输送系统

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8287584B2 (en) * 2005-11-14 2012-10-16 Sadra Medical, Inc. Medical implant deployment tool
US9827093B2 (en) 2011-10-21 2017-11-28 Edwards Lifesciences Cardiaq Llc Actively controllable stent, stent graft, heart valve and method of controlling same
US12364596B2 (en) * 2011-10-21 2025-07-22 Edwards Lifesciences Cardiaq Llc Actively controllable stent, stent graft, heart valve and method of controlling same
EP3424469A1 (en) * 2012-02-22 2019-01-09 Syntheon TAVR, LLC Actively controllable stent, stent graft and heart valve
CA2934975A1 (en) 2013-11-11 2015-05-14 Edwards Lifesciences Cardiaq Llc Systems and methods for manufacturing a stent frame
US10603165B2 (en) 2016-12-06 2020-03-31 Edwards Lifesciences Corporation Mechanically expanding heart valve and delivery apparatus therefor
US10869759B2 (en) 2017-06-05 2020-12-22 Edwards Lifesciences Corporation Mechanically expandable heart valve
US10806573B2 (en) 2017-08-22 2020-10-20 Edwards Lifesciences Corporation Gear drive mechanism for heart valve delivery apparatus
JP7704689B2 (ja) * 2019-12-06 2025-07-08 エドワーズ ライフサイエンシーズ コーポレイション 人工心臓弁を植え込むための送達装置及び方法
CA3142466A1 (en) * 2020-03-16 2021-09-23 Edwards Lifesciences Corporation Delivery apparatus and methods for implanting prosthetic heart valves

Also Published As

Publication number Publication date
CL2021003381A1 (es) 2022-10-07
IL288463A (en) 2022-01-01
JP7633185B2 (ja) 2025-02-19
CN113993484A (zh) 2022-01-28
EP4120963B1 (en) 2024-09-04
CN216854954U (zh) 2022-07-01
JP2025072538A (ja) 2025-05-09
EP4470510A3 (en) 2025-01-08
WO2021188476A1 (en) 2021-09-23
JP2023519039A (ja) 2023-05-10
KR20220155251A (ko) 2022-11-22
US20230024690A1 (en) 2023-01-26
EP4120963A1 (en) 2023-01-25
MX2021014907A (es) 2022-01-18
IL288463B1 (en) 2025-05-01
AU2021236612A1 (en) 2022-01-06
IL288463B2 (en) 2025-09-01
EP4470510A2 (en) 2024-12-04
BR112021024115A2 (pt) 2022-12-06
CR20210658A (es) 2022-06-02

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