CN108289662B - 用于心脏瓣膜修复的医疗器械和方法 - Google Patents

用于心脏瓣膜修复的医疗器械和方法 Download PDF

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Publication number
CN108289662B
CN108289662B CN201680061670.1A CN201680061670A CN108289662B CN 108289662 B CN108289662 B CN 108289662B CN 201680061670 A CN201680061670 A CN 201680061670A CN 108289662 B CN108289662 B CN 108289662B
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arm
leaflet
heart valve
surgical instrument
minimally invasive
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Chinese (zh)
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CN108289662A (zh
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S.沙夫纳
T.阿伊施里曼恩
O.沃斯里奇
T.鲍尔
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Coremedic AG
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Coremedic AG
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    • 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
    • A61F2/2454—Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
    • A61F2/2457—Chordae tendineae prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods 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
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00336—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0437—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 anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
CN201680061670.1A 2015-10-21 2016-10-19 用于心脏瓣膜修复的医疗器械和方法 Active CN108289662B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CH01535/15 2015-10-21
CH15352015 2015-10-21
PCT/CH2016/000138 WO2017066890A1 (en) 2015-10-21 2016-10-19 Medical instrument and method for heart valve repair

Publications (2)

Publication Number Publication Date
CN108289662A CN108289662A (zh) 2018-07-17
CN108289662B true CN108289662B (zh) 2021-03-12

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Country Status (5)

Country Link
US (1) US10799357B2 (enExample)
EP (1) EP3364884B1 (enExample)
JP (1) JP6933421B2 (enExample)
CN (1) CN108289662B (enExample)
WO (1) WO2017066890A1 (enExample)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110996851A (zh) * 2017-03-28 2020-04-10 伊曼纽尔迪亚科尼有限公司 心脏瓣膜植入物和心脏瓣膜植入物系统

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2536538B (en) 2014-09-17 2018-07-18 Cardiomech As Anchor for implantation in body tissue
CN108778187A (zh) 2015-12-30 2018-11-09 管道医疗技术股份有限公司 二尖瓣瓣叶拴系
US9877833B1 (en) 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US11083580B2 (en) 2016-12-30 2021-08-10 Pipeline Medical Technologies, Inc. Method of securing a leaflet anchor to a mitral valve leaflet
US10925731B2 (en) 2016-12-30 2021-02-23 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US12472062B2 (en) 2016-12-30 2025-11-18 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
WO2019072412A1 (de) * 2017-10-12 2019-04-18 Christoph Miethke Gmbh & Co Kg Perikardgreifer und verfahren zur implantation eines temporären herzunterstützungssystems
US11376127B2 (en) * 2017-12-20 2022-07-05 W. L. Gore & Associates, Inc. Artificial chordae tendineae repair devices and delivery thereof
CN109009490B (zh) * 2018-09-13 2023-11-24 中国医科大学附属盛京医院 柔性可回收穿刺锚及其固定器
CA3120462A1 (en) 2018-11-29 2020-06-04 Cardiomech As Device for heart repair
WO2020109579A1 (en) * 2018-11-29 2020-06-04 Cardiomech As Device for heart repair
JP2022513793A (ja) 2018-12-12 2022-02-09 パイプライン メディカル テクノロジーズ， インコーポレイテッド 僧帽弁腱索修復のための方法及び装置
US20200188115A1 (en) * 2018-12-13 2020-06-18 Medtronic Vascular, Inc. Heart valve repair tool and techniques
WO2020187944A1 (en) 2019-03-19 2020-09-24 Coremedic Gmbh Instrument for repairing an atrioventricular heart valve
JP7318013B2 (ja) * 2019-07-03 2023-07-31 ボストン サイエンティフィック サイムド，インコーポレイテッド 人工腱索のための装置、システム及び方法
EP3993709B1 (en) 2019-07-03 2024-08-28 Boston Scientific Scimed, Inc. System for anchoring an artificial chordae tendineae to a papillary muscle or heart wall
JP7375050B2 (ja) 2019-07-03 2023-11-07 ボストン サイエンティフィック サイムド，インコーポレイテッド 弁尖と乳頭筋または心臓壁の間の人工腱索に調節可能に張力付与するためのデバイス、システム、および方法
US11850152B2 (en) 2019-07-03 2023-12-26 Boston Scientific Scimed, Inc. Devices, systems, and methods for artificial chordae tendineae
EP3996606B1 (en) 2019-07-12 2025-09-10 Boston Scientific Scimed, Inc. Systems for clamping an artificial chordae tendineae to a leaflet of a heart valve
US12208008B2 (en) 2019-12-09 2025-01-28 Boston Scientific Scimed, Inc. Edge to edge repair device for valves
US12350155B2 (en) 2020-06-17 2025-07-08 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
JP7784416B2 (ja) * 2020-09-30 2025-12-11 ボストン サイエンティフィック サイムド，インコーポレイテッド 心臓内において人工腱索にかかるテンションを調整可能にするための装置及びシステム
GB2601146B (en) * 2020-11-19 2023-02-22 Cardiomech As Device for heart repair
CN113017923B (zh) * 2021-03-05 2025-04-08 上海骊霄医疗技术有限公司 一种直接穿刺可调节的二尖瓣修复装置
EP4629904A1 (en) 2022-12-06 2025-10-15 Boston Scientific Scimed Inc. Medical device for cutting a suture during a minimally invasive procedure
CN119097471B (zh) * 2023-06-08 2025-11-14 杭州德晋医疗科技有限公司 人工腱索植入器械
CN117017573A (zh) * 2023-07-12 2023-11-10 金仕生物科技（常熟）有限公司 可实现对腱索进行滑动调节的辅助器件
CN117243654B (zh) * 2023-10-10 2024-05-28 上海声拓医疗科技有限公司 用于修复装置的装载输送组件

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1988860A (zh) * 2004-07-19 2007-06-27 安普尔医药公司 用于整形心脏瓣膜环的设备、系统和方法
CN102869318A (zh) * 2010-01-22 2013-01-09 4科技有限公司 利用张力的三尖瓣修复
CN103826570A (zh) * 2011-09-26 2014-05-28 爱德华兹生命科学公司 具有心室系绳的人造二尖瓣以及用于植入该人造二尖瓣的方法
CN104220027A (zh) * 2012-01-31 2014-12-17 米特拉尔维尔福科技公司 二尖瓣停放装置、系统和方法
AU2014234126A1 (en) * 2013-03-20 2015-10-01 Bernard Pain Device for carrying out a transapical mitral valve annuloplasty

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6520974B2 (en) * 1997-06-30 2003-02-18 Eva Corporation Surgical fastener
EP2055244B1 (en) * 1998-12-31 2012-02-01 Kensey Nash Corporation Tissue fastening devices
US7316706B2 (en) * 2003-06-20 2008-01-08 Medtronic Vascular, Inc. Tensioning device, system, and method for treating mitral valve regurgitation
US20070004995A1 (en) 2005-06-30 2007-01-04 Horn Jeffrey L Swab device and kit for the delivery of blood clotting materials to a wound site
US20070049952A1 (en) * 2005-08-30 2007-03-01 Weiss Steven J Apparatus and method for mitral valve repair without cardiopulmonary bypass, including transmural techniques
WO2007062054A2 (en) * 2005-11-21 2007-05-31 The Brigham And Women's Hospital, Inc. Percutaneous cardiac valve repair with adjustable artificial chordae
US20110011917A1 (en) 2008-12-31 2011-01-20 Hansen Medical, Inc. Methods, devices, and kits for treating valve prolapse
WO2012040865A1 (en) 2010-10-01 2012-04-05 Alberto Weber Medical apparatus and method for heart valve repair
EP3395298B1 (en) 2011-06-27 2024-12-18 University of Maryland, Baltimore Transapical mitral valve repair device
US9301842B2 (en) * 2013-01-31 2016-04-05 St. Jude Medical, Inc. Method and device for heart valve repair

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1988860A (zh) * 2004-07-19 2007-06-27 安普尔医药公司 用于整形心脏瓣膜环的设备、系统和方法
CN102869318A (zh) * 2010-01-22 2013-01-09 4科技有限公司 利用张力的三尖瓣修复
CN103826570A (zh) * 2011-09-26 2014-05-28 爱德华兹生命科学公司 具有心室系绳的人造二尖瓣以及用于植入该人造二尖瓣的方法
CN104220027A (zh) * 2012-01-31 2014-12-17 米特拉尔维尔福科技公司 二尖瓣停放装置、系统和方法
AU2014234126A1 (en) * 2013-03-20 2015-10-01 Bernard Pain Device for carrying out a transapical mitral valve annuloplasty

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110996851A (zh) * 2017-03-28 2020-04-10 伊曼纽尔迪亚科尼有限公司 心脏瓣膜植入物和心脏瓣膜植入物系统
CN110996851B (zh) * 2017-03-28 2021-12-17 伊曼纽尔阿尔伯蒂宁迪亚科尼有限公司 心脏瓣膜植入物和心脏瓣膜植入物系统

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Publication number Publication date
EP3364884A1 (en) 2018-08-29
CN108289662A (zh) 2018-07-17
US10799357B2 (en) 2020-10-13
JP2018533398A (ja) 2018-11-15
WO2017066890A1 (en) 2017-04-27
US20180303614A1 (en) 2018-10-25
EP3364884B1 (en) 2020-02-05
JP6933421B2 (ja) 2021-09-08

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