CN107920862B - 用于心脏瓣膜疗法的系统和方法 - Google Patents

用于心脏瓣膜疗法的系统和方法 Download PDF

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Publication number
CN107920862B
CN107920862B CN201580068145.8A CN201580068145A CN107920862B CN 107920862 B CN107920862 B CN 107920862B CN 201580068145 A CN201580068145 A CN 201580068145A CN 107920862 B CN107920862 B CN 107920862B
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China
Prior art keywords
valve
assembly
mitral valve
anchor
anchor assembly
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Application number
CN201580068145.8A
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English (en)
Chinese (zh)
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CN107920862A (zh
Inventor
K·加内桑
R·T·文卡塔苏布磊曼聂
A·T·福斯伯格
C·J·小施魏希
T·J·莫笛尔
E·O·马茨
D·J·科隆
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Caisson Interventional LLC
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Caisson Interventional LLC
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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
Publication of CN107920862A publication Critical patent/CN107920862A/zh
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart 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
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2445Annuloplasty rings in direct contact with the valve annulus
    • A61F2/2448D-shaped rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart 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
    • A61F2/2403Heart 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart 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
    • A61F2/2409Support rings therefor, e.g. for connecting valves to tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart 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
    • A61F2/2412Heart 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
    • A61F2/2418Scaffolds therefor, e.g. support stents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart 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
    • A61F2/2427Devices for manipulating or deploying heart valves during implantation
    • A61F2/2436Deployment by retracting a sheath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart 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
    • A61F2/2427Devices for manipulating or deploying heart valves during implantation
    • A61F2/2439Expansion controlled by filaments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0073Quadric-shaped
    • A61F2230/0078Quadric-shaped hyperboloidal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063Nested prosthetic parts
CN201580068145.8A 2014-10-23 2015-10-22 用于心脏瓣膜疗法的系统和方法 Active CN107920862B (zh)

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 2015-03-27
US14/671,577 US9750605B2 (en) 2014-10-23 2015-03-27 Systems and methods for heart valve therapy
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

Publications (2)

Publication Number Publication Date
CN107920862A CN107920862A (zh) 2018-04-17
CN107920862B true CN107920862B (zh) 2023-03-14

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Country Status (6)

Country Link
JP (1) JP6727218B2 (fr)
CN (1) CN107920862B (fr)
AU (1) AU2015335808B2 (fr)
BR (1) BR112017008423B1 (fr)
CA (2) CA2964935C (fr)
IL (1) IL251852B (fr)

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* 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
CA3204182A1 (fr) * 2020-12-04 2022-06-09 Hangzhou Sequoia Medical Device Co., Ltd Dispositif de valvule cardiaque prothetique, systeme et procedes
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

Citations (2)

* Cited by examiner, † Cited by third party
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CN102256568A (zh) * 2008-12-19 2011-11-23 爱德华兹生命科学公司 快速连接的人工心脏瓣膜和方法
CN103491901A (zh) * 2011-04-04 2014-01-01 特拉维夫医学中心医学研究,基础设施及健康服务基金 心脏瓣膜修补的设备和方法

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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
EP2745805B2 (fr) * 2003-12-23 2022-05-18 Boston Scientific Scimed, Inc. Valvule cardiaque repositionnable
US7445631B2 (en) * 2003-12-23 2008-11-04 Sadra Medical, Inc. Methods and apparatus for endovascularly replacing a patient's heart valve
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
WO2010117471A2 (fr) * 2009-04-10 2010-10-14 Lon Southerland 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
US9039757B2 (en) * 2011-10-19 2015-05-26 Twelve, Inc. Prosthetic heart valve devices, prosthetic mitral valves and associated systems and methods

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102256568A (zh) * 2008-12-19 2011-11-23 爱德华兹生命科学公司 快速连接的人工心脏瓣膜和方法
CN103491901A (zh) * 2011-04-04 2014-01-01 特拉维夫医学中心医学研究,基础设施及健康服务基金 心脏瓣膜修补的设备和方法

Also Published As

Publication number Publication date
JP6727218B2 (ja) 2020-07-22
CA2964935A1 (fr) 2016-04-28
CN107920862A (zh) 2018-04-17
IL251852A0 (en) 2017-06-29
BR112017008423A2 (pt) 2017-12-26
BR112017008423B1 (pt) 2022-07-12
AU2015335808B2 (en) 2020-08-06
CA2964935C (fr) 2023-10-24
IL251852B (en) 2021-07-29
AU2015335808A1 (en) 2017-04-27
CA3214673A1 (fr) 2016-04-28
JP2017531547A (ja) 2017-10-26

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