EP0836423A1 - Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques - Google Patents
Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaquesInfo
- Publication number
- EP0836423A1 EP0836423A1 EP96916756A EP96916756A EP0836423A1 EP 0836423 A1 EP0836423 A1 EP 0836423A1 EP 96916756 A EP96916756 A EP 96916756A EP 96916756 A EP96916756 A EP 96916756A EP 0836423 A1 EP0836423 A1 EP 0836423A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- holder
- handle
- heart
- valve
- annuloplasty
- 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.)
- Withdrawn
Links
- 238000000034 method Methods 0.000 title claims abstract description 105
- 210000003709 heart valve Anatomy 0.000 title claims abstract description 53
- 230000003601 intercostal effect Effects 0.000 claims abstract description 146
- 210000002216 heart Anatomy 0.000 claims abstract description 125
- 210000000115 thoracic cavity Anatomy 0.000 claims abstract description 59
- 238000005520 cutting process Methods 0.000 claims abstract description 17
- 230000035515 penetration Effects 0.000 claims abstract description 17
- 210000001562 sternum Anatomy 0.000 claims abstract description 11
- 230000008878 coupling Effects 0.000 claims description 110
- 238000010168 coupling process Methods 0.000 claims description 110
- 238000005859 coupling reaction Methods 0.000 claims description 110
- 238000004513 sizing Methods 0.000 claims description 104
- 210000000038 chest Anatomy 0.000 claims description 45
- 230000014759 maintenance of location Effects 0.000 claims description 28
- 231100000435 percutaneous penetration Toxicity 0.000 claims description 18
- 210000000709 aorta Anatomy 0.000 claims description 17
- 210000001519 tissue Anatomy 0.000 claims description 16
- 230000000747 cardiac effect Effects 0.000 claims description 15
- 210000001367 artery Anatomy 0.000 claims description 12
- 239000008280 blood Substances 0.000 claims description 12
- 210000004369 blood Anatomy 0.000 claims description 12
- 230000002612 cardiopulmonary effect Effects 0.000 claims description 11
- 230000002093 peripheral effect Effects 0.000 claims description 10
- 210000005003 heart tissue Anatomy 0.000 claims description 7
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 210000004165 myocardium Anatomy 0.000 claims description 6
- 210000003462 vein Anatomy 0.000 claims description 5
- 230000000717 retained effect Effects 0.000 claims description 4
- 239000000372 cardioplegic agent Substances 0.000 claims description 2
- 230000001706 oxygenating effect Effects 0.000 claims description 2
- 238000009434 installation Methods 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 abstract description 20
- 229920003266 Leaf® Polymers 0.000 description 37
- 230000008439 repair process Effects 0.000 description 35
- 210000004115 mitral valve Anatomy 0.000 description 28
- 210000005246 left atrium Anatomy 0.000 description 22
- 230000001101 cardioplegic effect Effects 0.000 description 15
- 239000012530 fluid Substances 0.000 description 13
- 238000009958 sewing Methods 0.000 description 12
- 208000014674 injury Diseases 0.000 description 9
- 230000008733 trauma Effects 0.000 description 9
- 238000012800 visualization Methods 0.000 description 9
- 210000003516 pericardium Anatomy 0.000 description 8
- 239000004744 fabric Substances 0.000 description 7
- 210000000591 tricuspid valve Anatomy 0.000 description 7
- 230000004217 heart function Effects 0.000 description 6
- 239000000463 material Substances 0.000 description 6
- 230000036407 pain Effects 0.000 description 6
- 210000001765 aortic valve Anatomy 0.000 description 5
- 229910002092 carbon dioxide Inorganic materials 0.000 description 5
- 210000005240 left ventricle Anatomy 0.000 description 5
- 238000011084 recovery Methods 0.000 description 5
- 238000012360 testing method Methods 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 230000001746 atrial effect Effects 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- 210000003748 coronary sinus Anatomy 0.000 description 4
- 210000004351 coronary vessel Anatomy 0.000 description 4
- 201000010099 disease Diseases 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 210000004072 lung Anatomy 0.000 description 4
- 229920002379 silicone rubber Polymers 0.000 description 4
- 239000004945 silicone rubber Substances 0.000 description 4
- 229920002725 thermoplastic elastomer Polymers 0.000 description 4
- 229920004934 Dacron® Polymers 0.000 description 3
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 3
- 238000004140 cleaning Methods 0.000 description 3
- 210000001105 femoral artery Anatomy 0.000 description 3
- 230000001939 inductive effect Effects 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 210000003540 papillary muscle Anatomy 0.000 description 3
- 229920000728 polyester Polymers 0.000 description 3
- 239000005020 polyethylene terephthalate Substances 0.000 description 3
- 210000003102 pulmonary valve Anatomy 0.000 description 3
- 238000002271 resection Methods 0.000 description 3
- 238000004904 shortening Methods 0.000 description 3
- 210000000779 thoracic wall Anatomy 0.000 description 3
- 239000010936 titanium Substances 0.000 description 3
- 229910052719 titanium Inorganic materials 0.000 description 3
- 238000011144 upstream manufacturing Methods 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 208000010496 Heart Arrest Diseases 0.000 description 2
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M Potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000001174 ascending effect Effects 0.000 description 2
- 229920000249 biocompatible polymer Polymers 0.000 description 2
- 238000002695 general anesthesia Methods 0.000 description 2
- 208000018578 heart valve disease Diseases 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 210000003492 pulmonary vein Anatomy 0.000 description 2
- 230000002829 reductive effect Effects 0.000 description 2
- 210000005245 right atrium Anatomy 0.000 description 2
- 230000000087 stabilizing effect Effects 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 230000002966 stenotic effect Effects 0.000 description 2
- 238000011477 surgical intervention Methods 0.000 description 2
- 238000013022 venting Methods 0.000 description 2
- 206010001526 Air embolism Diseases 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010058178 Aortic occlusion Diseases 0.000 description 1
- 208000027896 Aortic valve disease Diseases 0.000 description 1
- 241000282461 Canis lupus Species 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 208000011682 Mitral valve disease Diseases 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000002399 angioplasty Methods 0.000 description 1
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 230000004087 circulation Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000012282 endovascular technique Methods 0.000 description 1
- 229920000295 expanded polytetrafluoroethylene Polymers 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 210000003191 femoral vein Anatomy 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 229910002804 graphite Inorganic materials 0.000 description 1
- 239000010439 graphite Substances 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000012977 invasive surgical procedure Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 230000003836 peripheral circulation Effects 0.000 description 1
- 229920002492 poly(sulfone) Polymers 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 235000011164 potassium chloride Nutrition 0.000 description 1
- 239000001103 potassium chloride Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000001147 pulmonary artery Anatomy 0.000 description 1
- 239000002296 pyrolytic carbon Substances 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 210000005241 right ventricle Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 230000002537 thrombolytic effect Effects 0.000 description 1
- 239000012780 transparent material Substances 0.000 description 1
- 238000009966 trimming Methods 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
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
-
- 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
-
- 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
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
-
- 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, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
-
- 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
- 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
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
- A61B2090/401—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment using air flow
-
- 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
- A61F2/2403—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 pivoting rigid closure members
-
- 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
- A61F2/2448—D-shaped rings
-
- 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
- A61F2/2496—Devices for determining the dimensions of the prosthetic valve to be implanted, e.g. templates, sizers
Abstract
L'invention concerne des dispositifs et procédés permettant de réaliser un traitement chirurgical moins invasif des valvules cardiaques, ce qui rend inutiles les thoracotomies lourdes ou les sternotomies médianes. Dans un aspect de l'invention, un système d'implantation (10) d'une prothèse de valvule cardiaque, telle qu'une bague d'annuloplastie (90) ou une valvule prothétique (262), comprend une poignée allongée (28) conçue pour s'étendre à l'intérieur du coeur à travers un espace intercostal depuis l'extérieur de la cavité pulmonaire, ainsi qu'un support de prothèse (100) fixé à la poignée, afin de tenir une prothèse de façon libérable. Le support de prothèse (100) est fixé à la poignée (28) de telle sorte que le support (100), la prothèse (90) et la poignée (28) présentent un profil dont la hauteur est inférieure à la largeur d'un espace intercostal, quand les côtes contiguës ne sont pas écartées, de préférence, moins de 30 mm. Dans un autre aspect, l'invention concerne un procédé de réparation ou de remplacement d'une valvule cardiaque, qui consiste à introduire une prothèse (262) à travers un espace intercostal et par pénétration dans une paroi cardiaque, puis à fixer la prothèse (262) à une paroi interne du coeur, ces étapes étant exécutées sans couper, supprimer ou écarter considérablement les côtes ou le sternum.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US48560095A | 1995-06-07 | 1995-06-07 | |
US485600 | 1995-06-07 | ||
PCT/US1996/007970 WO1996039942A1 (fr) | 1995-06-07 | 1996-05-30 | Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques |
Publications (1)
Publication Number | Publication Date |
---|---|
EP0836423A1 true EP0836423A1 (fr) | 1998-04-22 |
Family
ID=23928763
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP96916756A Withdrawn EP0836423A1 (fr) | 1995-06-07 | 1996-05-30 | Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0836423A1 (fr) |
AU (1) | AU5951996A (fr) |
CA (1) | CA2239907A1 (fr) |
WO (1) | WO1996039942A1 (fr) |
Families Citing this family (37)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1999011200A1 (fr) * | 1997-08-28 | 1999-03-11 | Alfred Edward Wood | Appareil de selection d'un epaulement de dimension appropriee pour une valvule mitrale |
SE9704261L (sv) * | 1997-11-20 | 1999-05-21 | Cardia Innovation Ab | Förfarande och anordning för att skapa en väsentligen luftfri atmosfär i ett område |
US6001127A (en) * | 1998-03-31 | 1999-12-14 | St. Jude Medical, Inc. | Annuloplasty ring holder |
US6406492B1 (en) * | 1999-04-08 | 2002-06-18 | Sulzer Carbomedics Inc. | Annuloplasty ring holder |
US6319280B1 (en) | 1999-08-03 | 2001-11-20 | St. Jude Medical, Inc. | Prosthetic ring holder |
US9949829B2 (en) | 2002-06-13 | 2018-04-24 | Ancora Heart, Inc. | Delivery devices and methods for heart valve repair |
US6986775B2 (en) | 2002-06-13 | 2006-01-17 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
US20060122633A1 (en) | 2002-06-13 | 2006-06-08 | John To | Methods and devices for termination |
US8641727B2 (en) | 2002-06-13 | 2014-02-04 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
US9226825B2 (en) | 2002-06-13 | 2016-01-05 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
ITTO20040135A1 (it) | 2004-03-03 | 2004-06-03 | Sorin Biomedica Cardio Spa | Protesi valvolare cardiaca |
ITTO20050074A1 (it) | 2005-02-10 | 2006-08-11 | Sorin Biomedica Cardio Srl | Protesi valvola cardiaca |
US8006535B2 (en) | 2007-07-12 | 2011-08-30 | Sorin Biomedica Cardio S.R.L. | Expandable prosthetic valve crimping device |
US9848981B2 (en) | 2007-10-12 | 2017-12-26 | Mayo Foundation For Medical Education And Research | Expandable valve prosthesis with sealing mechanism |
EP3854315A1 (fr) | 2007-10-19 | 2021-07-28 | Ancora Heart, Inc. | Systèmes de remodelage cardiaque |
AU2009212393B2 (en) | 2008-02-06 | 2014-07-24 | Ancora Heart, Inc. | Multi-window guide tunnel |
CA2723810C (fr) | 2008-05-07 | 2015-06-30 | Guided Delivery Systems, Inc. | Guide pouvant etre inflechi |
WO2010042845A1 (fr) | 2008-10-10 | 2010-04-15 | Guided Delivery Systems Inc. | Dispositifs d'arrêt et procédés associés |
US8834563B2 (en) | 2008-12-23 | 2014-09-16 | Sorin Group Italia S.R.L. | Expandable prosthetic valve having anchoring appendages |
US20100198192A1 (en) | 2009-01-20 | 2010-08-05 | Eugene Serina | Anchor deployment devices and related methods |
JP5662353B2 (ja) | 2009-02-06 | 2015-01-28 | セント・ジュード・メディカル,インコーポレイテッド | 心臓弁輪サイザー |
US8715207B2 (en) | 2009-03-19 | 2014-05-06 | Sorin Group Italia S.R.L. | Universal valve annulus sizing device |
WO2010111621A1 (fr) | 2009-03-26 | 2010-09-30 | Sorin Group Usa, Inc. | Dispositifs de dimensionnement d'annuloplastie pour opérations à invasion minimale |
IT1400327B1 (it) | 2010-05-21 | 2013-05-24 | Sorin Biomedica Cardio Srl | Dispositivo di supporto per protesi valvolari e corrispondente corredo. |
WO2012031204A2 (fr) | 2010-09-03 | 2012-03-08 | Guided Delivery Systems Inc. | Dispositifs et procédés d'ancrage de tissu |
EP2486893B1 (fr) | 2011-02-14 | 2017-07-05 | Sorin Group Italia S.r.l. | Dispositif d'ancrage sans suture pour prothèses valvulaires cardiaques |
EP2486894B1 (fr) | 2011-02-14 | 2021-06-09 | Sorin Group Italia S.r.l. | Dispositif d'ancrage sans suture pour prothèses valvulaires cardiaques |
US10111663B2 (en) | 2011-02-18 | 2018-10-30 | Ancora Heart, Inc. | Implant retrieval device |
US10709449B2 (en) | 2011-02-18 | 2020-07-14 | Ancora Heart, Inc. | Systems and methods for variable stiffness tethers |
US9532837B2 (en) * | 2012-04-20 | 2017-01-03 | Jiwan Steven Singh | Repositionable medical instrument support systems, devices, and methods |
WO2016141358A1 (fr) | 2015-03-05 | 2016-09-09 | Guided Delivery Systems Inc. | Dispositifs et procédés de visualisation et de détermination de profondeur de pénétration dans un tissu cardiaque |
EP4074285A1 (fr) | 2015-05-12 | 2022-10-19 | Ancora Heart, Inc. | Dispositif de libération de cathéters à partir de structures cardiaques |
US10667914B2 (en) | 2016-11-18 | 2020-06-02 | Ancora Heart, Inc. | Myocardial implant load sharing device and methods to promote LV function |
EP3796874A1 (fr) | 2018-05-23 | 2021-03-31 | Sorin Group Italia S.r.l. | Système de chargement pour prothèse implantable et procédé de chargement associé |
AU2018424859B2 (en) | 2018-05-23 | 2024-04-04 | Corcym S.R.L. | A cardiac valve prosthesis |
CN112969431B (zh) * | 2018-11-01 | 2024-04-23 | 爱德华兹生命科学公司 | 具有可拆卸手柄的瓣环成形环组合件 |
WO2021011659A1 (fr) | 2019-07-15 | 2021-01-21 | Ancora Heart, Inc. | Dispositifs et procédés destinés à la coupe d'attache |
Family Cites Families (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4196966A (en) | 1978-05-01 | 1980-04-08 | Malis Leonard I | Binocular magnification system |
US4836188A (en) | 1986-05-06 | 1989-06-06 | Berry Yale J | Instrument for illuminated sterescopic viewing of body cavities |
CA1303298C (fr) | 1986-08-06 | 1992-06-16 | Alain Carpentier | Prothese souple pour soutenir les valvules cardiaques |
US4807987A (en) | 1986-10-27 | 1989-02-28 | Bastable David E | Deep cavity binocular loupe |
US4960424A (en) * | 1988-06-30 | 1990-10-02 | Grooters Ronald K | Method of replacing a defective atrio-ventricular valve with a total atrio-ventricular valve bioprosthesis |
US4917698A (en) | 1988-12-22 | 1990-04-17 | Baxter International Inc. | Multi-segmented annuloplasty ring prosthesis |
EP0457842B1 (fr) | 1989-02-13 | 1994-07-20 | Baxter International Inc. | Anneau d'annuloplastie selectivement flexible |
US5350420A (en) | 1989-07-31 | 1994-09-27 | Baxter International Inc. | Flexible annuloplasty ring and holder |
US5290300A (en) | 1989-07-31 | 1994-03-01 | Baxter International Inc. | Flexible suture guide and holder |
US5041130A (en) | 1989-07-31 | 1991-08-20 | Baxter International Inc. | Flexible annuloplasty ring and holder |
US5271385A (en) * | 1990-03-29 | 1993-12-21 | United States Surgical Corporation | Abdominal cavity organ retractor |
US5064431A (en) | 1991-01-16 | 1991-11-12 | St. Jude Medical Incorporated | Annuloplasty ring |
US5201880A (en) | 1992-01-27 | 1993-04-13 | Pioneering Technologies, Inc. | Mitral and tricuspid annuloplasty rings |
US5403305A (en) | 1993-04-08 | 1995-04-04 | Carbomedics, Inc. | Mitral valve prosthesis rotator |
US8194946B2 (en) | 2005-07-28 | 2012-06-05 | Fujifilm Corporation | Aligning apparatus, aligning method, and the program |
JP4869762B2 (ja) | 2006-03-31 | 2012-02-08 | 大成化工株式会社 | 塗布容器 |
US8227366B2 (en) | 2009-06-01 | 2012-07-24 | Uop Llc | Alkylation system including a catalyst regeneration zone, and a process relating thereto |
FR2946792A1 (fr) | 2009-06-10 | 2010-12-17 | Areva T & D Sa | Enroulement pour contact d'ampoule a vide a moyenne tension a endurance amelioree, ampoule a vide et disjoncteur, tel qu'un disjoncteur sectionneur d'alternateur associes. |
-
1996
- 1996-05-30 CA CA002239907A patent/CA2239907A1/fr not_active Abandoned
- 1996-05-30 EP EP96916756A patent/EP0836423A1/fr not_active Withdrawn
- 1996-05-30 AU AU59519/96A patent/AU5951996A/en not_active Abandoned
- 1996-05-30 WO PCT/US1996/007970 patent/WO1996039942A1/fr not_active Application Discontinuation
Non-Patent Citations (1)
Title |
---|
See references of WO9639942A1 * |
Also Published As
Publication number | Publication date |
---|---|
CA2239907A1 (fr) | 1996-12-19 |
WO1996039942A1 (fr) | 1996-12-19 |
AU5951996A (en) | 1996-12-30 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US6564805B2 (en) | Less-invasive devices and methods for treatment of cardiac valves | |
EP0836423A1 (fr) | Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques | |
US5571215A (en) | Devices and methods for intracardiac procedures | |
AU687232B2 (en) | Endoscopic retraction system and method | |
US6010531A (en) | Less-invasive devices and methods for cardiac valve surgery | |
US6962605B2 (en) | Minimally-invasive annuloplasty repair segment delivery template and system | |
US5728151A (en) | Intercostal access devices for less-invasive cardiovascular surgery | |
US6899704B2 (en) | Devices and methods for intracardiac procedures | |
US5718725A (en) | Devices and methods for intracardiac procedures | |
US5814097A (en) | Devices and methods for intracardiac procedures | |
EP1450732A1 (fr) | Gabarit de mise en place de segment de reparation pour annuloplastie faiblement infractive | |
AU2001295074A1 (en) | Minimally-invasive annuloplasty repair segment delivery template system | |
CA2177490C (fr) | Dispositifs et procedures de chirurgie intra-cardiaque |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
17P | Request for examination filed |
Effective date: 19971204 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LI LU MC NL PT SE |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
18D | Application deemed to be withdrawn |
Effective date: 19991201 |