CN109310500B - 心脏瓣膜修复设备及其植入方法 - Google Patents

心脏瓣膜修复设备及其植入方法 Download PDF

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Publication number
CN109310500B
CN109310500B CN201780036727.7A CN201780036727A CN109310500B CN 109310500 B CN109310500 B CN 109310500B CN 201780036727 A CN201780036727 A CN 201780036727A CN 109310500 B CN109310500 B CN 109310500B
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heart
leaflet
valve
heart valve
stent
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Chinese (zh)
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CN109310500A (zh
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杨孔健
N·D·M·福因
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Singapore Health Services Pte Ltd
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Singapore Health Services Pte Ltd
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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
    • A61F2/2412—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
    • 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
    • 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
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/246—Devices for obstructing a leak through a native valve in a closed condition
    • 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
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • 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
    • 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
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • 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
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • 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
    • A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)
CN201780036727.7A 2016-06-13 2017-06-12 心脏瓣膜修复设备及其植入方法 Active CN109310500B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
SG10201604791X 2016-06-13
SG10201604791X 2016-06-13
PCT/SG2017/050296 WO2017217932A1 (en) 2016-06-13 2017-06-12 Device for cardiac valve repair and method of implanting the same

Publications (2)

Publication Number Publication Date
CN109310500A CN109310500A (zh) 2019-02-05
CN109310500B true CN109310500B (zh) 2021-11-19

Family

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Country Status (10)

Country Link
US (1) US11116635B2 (https=)
EP (1) EP3468506B1 (https=)
JP (1) JP7055992B2 (https=)
KR (1) KR102393787B1 (https=)
CN (1) CN109310500B (https=)
AU (1) AU2017285993B2 (https=)
CA (1) CA3027355A1 (https=)
GB (1) GB2566222B (https=)
SG (2) SG11201811019TA (https=)
WO (1) WO2017217932A1 (https=)

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US12138167B2 (en) * 2016-06-13 2024-11-12 Singapore Health Services Pte. Ltd. Device for cardiac valve repair and method of implanting the same
WO2019195860A2 (en) 2018-04-04 2019-10-10 Vdyne, Llc Devices and methods for anchoring transcatheter heart valve
EP3829487A4 (en) 2018-07-29 2022-04-20 Cuspa Ltd. TRANSCATHETER PLASTIC CUPS IN VALVE INSUFFICIENCY
CA3110408A1 (en) 2018-08-22 2020-02-27 Apparent Llc Valve implant, delivery system and method
US11071627B2 (en) 2018-10-18 2021-07-27 Vdyne, Inc. Orthogonally delivered transcatheter heart valve frame for valve in valve prosthesis
US11344413B2 (en) 2018-09-20 2022-05-31 Vdyne, Inc. Transcatheter deliverable prosthetic heart valves and methods of delivery
US12186187B2 (en) 2018-09-20 2025-01-07 Vdyne, Inc. Transcatheter deliverable prosthetic heart valves and methods of delivery
US10321995B1 (en) 2018-09-20 2019-06-18 Vdyne, Llc Orthogonally delivered transcatheter heart valve replacement
US10595994B1 (en) 2018-09-20 2020-03-24 Vdyne, Llc Side-delivered transcatheter heart valve replacement
US11278437B2 (en) 2018-12-08 2022-03-22 Vdyne, Inc. Compression capable annular frames for side delivery of transcatheter heart valve replacement
US11109969B2 (en) 2018-10-22 2021-09-07 Vdyne, Inc. Guidewire delivery of transcatheter heart valve
JP2022511082A (ja) * 2018-12-06 2022-01-28 エドワーズ ライフサイエンシーズ コーポレイション 一方向弁インプラント
US11253359B2 (en) 2018-12-20 2022-02-22 Vdyne, Inc. Proximal tab for side-delivered transcatheter heart valves and methods of delivery
WO2020146842A1 (en) 2019-01-10 2020-07-16 Vdyne, Llc Anchor hook for side-delivery transcatheter heart valve prosthesis
US11185409B2 (en) 2019-01-26 2021-11-30 Vdyne, Inc. Collapsible inner flow control component for side-delivered transcatheter heart valve prosthesis
US11273032B2 (en) 2019-01-26 2022-03-15 Vdyne, Inc. Collapsible inner flow control component for side-deliverable transcatheter heart valve prosthesis
EP3920851A4 (en) * 2019-02-06 2022-10-05 Orsus, LLC ANCHORED SAIL DEVICE AND METHOD OF REPAIRING A TRANSCATHETER VALVE
EP4729034A2 (en) 2019-03-05 2026-04-22 VDyne, Inc. Tricuspid regurgitation control devices for orthogonal transcatheter heart valve prosthesis
US11173027B2 (en) 2019-03-14 2021-11-16 Vdyne, Inc. Side-deliverable transcatheter prosthetic valves and methods for delivering and anchoring the same
US11076956B2 (en) 2019-03-14 2021-08-03 Vdyne, Inc. Proximal, distal, and anterior anchoring tabs for side-delivered transcatheter mitral valve prosthesis
CN114072106B (zh) 2019-05-04 2025-09-19 维迪内股份有限公司 用于在自体瓣环中部署侧面递送的假体心脏瓣膜的束紧装置和方法
KR102268993B1 (ko) * 2019-05-16 2021-06-24 (주) 타우피엔유메디칼 위치고정튜브를 구비한 삼첨판막 역류증 시술용 기구
EP3972534A4 (en) * 2019-05-22 2023-08-02 Triflo Cardiovascular Inc. HEART VALVE RETENTION DEVICE
WO2020251700A1 (en) * 2019-06-12 2020-12-17 Edwards Lifesciences Corporation Fluid bypass conduit for left atrial pressure management
CN121101808A (zh) 2019-08-20 2025-12-12 维迪内股份有限公司 用于可侧面递送经导管人工瓣膜的递送和取回装置和方法
CN114269293A (zh) * 2019-08-22 2022-04-01 爱德华兹生命科学公司 心脏瓣膜小叶束缚
EP4021445B8 (en) 2019-08-26 2025-12-10 VDyne, Inc. Side-deliverable transcatheter prosthetic valves
US11234813B2 (en) 2020-01-17 2022-02-01 Vdyne, Inc. Ventricular stability elements for side-deliverable prosthetic heart valves and methods of delivery
IT202000012562A1 (it) 2020-05-27 2021-11-27 Milano Politecnico Dispositivo e assieme per riparare una valvola cardiaca
JP7659054B2 (ja) * 2020-09-28 2025-04-08 シンガポール ヘルス サービシズ ピーティーイー． リミテッド 補綴インプラント、送達システム及び送達装置
CN116710029A (zh) * 2020-11-20 2023-09-05 半月医疗有限公司 三尖瓣修复装置及相关系统和方法
CN119816268A (zh) * 2022-06-28 2025-04-11 新加坡保健服务集团有限公司 接合装置
JP2025534210A (ja) 2022-10-14 2025-10-15 ブイダイン，インコーポレイテッド 弁輪上支持体を使用して人工心臓弁を送達するデバイス及び方法
US12171662B1 (en) 2023-10-26 2024-12-24 Approxima Srl Heart chamber reshaping and valve repair system

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US4994077A (en) * 1989-04-21 1991-02-19 Dobben Richard L Artificial heart valve for implantation in a blood vessel
CN1596090A (zh) * 2001-10-29 2005-03-16 格拉斯哥大学管理处 僧帽瓣假体
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
WO2007078772A1 (en) * 2005-12-15 2007-07-12 The Cleveland Clinic Foundation Apparatus and method for treating a regurgitant valve
CN101980670A (zh) * 2008-01-24 2011-02-23 麦德托尼克公司 用于假体心脏瓣膜的递送系统及植入方法
CN103338726A (zh) * 2011-01-28 2013-10-02 中峰医疗公司 接合增强的植入物、系统和方法
DE102013017750A1 (de) * 2013-10-28 2015-04-30 Universität Duisburg-Essen Implantierbare Vorrichtung zur Verbesserung oder Behebung einer Herzklappeninsuffizienz
CN105451688A (zh) * 2013-06-14 2016-03-30 哈祖有限公司 用于治疗瓣膜反流的方法和装置

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Patent Citations (8)

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Publication number Priority date Publication date Assignee Title
US4994077A (en) * 1989-04-21 1991-02-19 Dobben Richard L Artificial heart valve for implantation in a blood vessel
CN1596090A (zh) * 2001-10-29 2005-03-16 格拉斯哥大学管理处 僧帽瓣假体
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
WO2007078772A1 (en) * 2005-12-15 2007-07-12 The Cleveland Clinic Foundation Apparatus and method for treating a regurgitant valve
CN101980670A (zh) * 2008-01-24 2011-02-23 麦德托尼克公司 用于假体心脏瓣膜的递送系统及植入方法
CN103338726A (zh) * 2011-01-28 2013-10-02 中峰医疗公司 接合增强的植入物、系统和方法
CN105451688A (zh) * 2013-06-14 2016-03-30 哈祖有限公司 用于治疗瓣膜反流的方法和装置
DE102013017750A1 (de) * 2013-10-28 2015-04-30 Universität Duisburg-Essen Implantierbare Vorrichtung zur Verbesserung oder Behebung einer Herzklappeninsuffizienz

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Publication number Publication date
EP3468506B1 (en) 2024-07-31
US20190142590A1 (en) 2019-05-16
US11116635B2 (en) 2021-09-14
JP2019517346A (ja) 2019-06-24
EP3468506A4 (en) 2020-04-29
GB2566222B (en) 2022-04-06
KR20190020038A (ko) 2019-02-27
AU2017285993A1 (en) 2019-01-03
AU2017285993B2 (en) 2021-12-16
SG10202012104VA (en) 2021-01-28
SG11201811019TA (en) 2019-01-30
CA3027355A1 (en) 2017-12-21
JP7055992B2 (ja) 2022-04-19
EP3468506A1 (en) 2019-04-17
KR102393787B1 (ko) 2022-05-03
GB2566222A (en) 2019-03-06
WO2017217932A1 (en) 2017-12-21
CN109310500A (zh) 2019-02-05

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