JP2021530258A - 植え込み可能な心臓弁改善デバイス、システムおよび手順 - Google Patents

植え込み可能な心臓弁改善デバイス、システムおよび手順 Download PDF

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Publication number
JP2021530258A
JP2021530258A JP2020561017A JP2020561017A JP2021530258A JP 2021530258 A JP2021530258 A JP 2021530258A JP 2020561017 A JP2020561017 A JP 2020561017A JP 2020561017 A JP2020561017 A JP 2020561017A JP 2021530258 A JP2021530258 A JP 2021530258A
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Japan
Prior art keywords
unit
anchor
heart valve
coupling
lock
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Pending
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JP2020561017A
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English (en)
Japanese (ja)
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JP2021530258A5 (https=
JPWO2020011879A5 (https=
Inventor
ソレム,クリスチャン
オット ソレム,ジャン
エングバル,ダニエル
クルーガー,ヴィクトリア
ウルフ,マーティン
ベルク,ジョナサン
シュパンベルク,アンドレ
Original Assignee
シンタック エージー
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Filing date
Publication date
Priority claimed from US16/031,732 external-priority patent/US10792153B2/en
Priority claimed from EP18182804.7A external-priority patent/EP3593758A1/en
Application filed by シンタック エージー filed Critical シンタック エージー
Publication of JP2021530258A publication Critical patent/JP2021530258A/ja
Publication of JP2021530258A5 publication Critical patent/JP2021530258A5/ja
Publication of JPWO2020011879A5 publication Critical patent/JPWO2020011879A5/ja
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10Location thereof with respect to the patient's body
    • A61M60/122Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/165Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
    • A61M60/187Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart mechanically acting upon the inside of the patient's native heart, e.g. contractile structures placed inside the heart
    • 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
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10Location thereof with respect to the patient's body
    • A61M60/122Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/126Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
    • A61M60/148Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20Type thereof
    • A61M60/247Positive displacement blood pumps
    • A61M60/253Positive displacement blood pumps including a displacement member directly acting on the blood
    • A61M60/268Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20Type thereof
    • A61M60/289Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40Details relating to driving
    • A61M60/465Details relating to driving for devices for mechanical circulatory actuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/80Constructional details other than related to driving
    • A61M60/855Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/861Connections or anchorings for connecting or anchoring pumps or pumping devices to parts of the patient's body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/80Constructional details other than related to driving
    • A61M60/855Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/865Devices for guiding or inserting pumps or pumping devices into the patient's body
    • 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
    • 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0091Connections 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Mechanical Engineering (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Prostheses (AREA)
JP2020561017A 2018-07-10 2019-07-10 植え込み可能な心臓弁改善デバイス、システムおよび手順 Pending JP2021530258A (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US16/031,732 US10792153B2 (en) 2018-07-10 2018-07-10 Implantable cardiac valve improvement device, system and procedure
EP18182804.7 2018-07-10
EP18182804.7A EP3593758A1 (en) 2018-07-10 2018-07-10 An implantable cardiac valve device and system
US16/031,732 2018-07-10
PCT/EP2019/068595 WO2020011879A1 (en) 2018-07-10 2019-07-10 An implantable cardiac valve improvement device, system and procedure

Publications (3)

Publication Number Publication Date
JP2021530258A true JP2021530258A (ja) 2021-11-11
JP2021530258A5 JP2021530258A5 (https=) 2022-07-14
JPWO2020011879A5 JPWO2020011879A5 (https=) 2022-07-14

Family

ID=67352513

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020561017A Pending JP2021530258A (ja) 2018-07-10 2019-07-10 植え込み可能な心臓弁改善デバイス、システムおよび手順

Country Status (11)

Country Link
EP (4) EP4140449A3 (https=)
JP (1) JP2021530258A (https=)
KR (1) KR20210030926A (https=)
CN (1) CN112292101A (https=)
AU (1) AU2019303001A1 (https=)
BR (1) BR112020025118A2 (https=)
CA (1) CA3109076A1 (https=)
IL (1) IL279337A (https=)
MX (1) MX2020014313A (https=)
SG (1) SG11202010732WA (https=)
WO (1) WO2020011879A1 (https=)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050070999A1 (en) * 2000-02-02 2005-03-31 Spence Paul A. Heart valve repair apparatus and methods
JP2013523208A (ja) * 2010-03-25 2013-06-17 シナージオ エージー 僧帽弁の移動を制御可能に補助する装置及び方法
JP2014533972A (ja) * 2011-09-16 2014-12-18 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 弁輪形成リングを保持するシステム及び方法
JP2017531547A (ja) * 2014-10-23 2017-10-26 ケーソン・インターヴェンショナル・エルエルシー 心臓弁治療法のためのシステムおよび方法

Family Cites Families (16)

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WO2006116558A2 (en) 1999-04-09 2006-11-02 Evalve, Inc. Device and methods for endoscopic annuloplasty
US7811296B2 (en) 1999-04-09 2010-10-12 Evalve, Inc. Fixation devices for variation in engagement of tissue
US8052751B2 (en) * 2003-07-02 2011-11-08 Flexcor, Inc. Annuloplasty rings for repairing cardiac valves
WO2005099374A2 (en) * 2004-04-05 2005-10-27 Genesee Biomedical, Inc. Method and apparatus for the surgical treatment of congestive heart failure
AU2006212750B2 (en) 2005-02-07 2011-11-17 Evalve, Inc. Methods, systems and devices for cardiac valve repair
US20100298929A1 (en) * 2005-02-07 2010-11-25 Thornton Troy L Methods, systems and devices for cardiac valve repair
WO2011034973A2 (en) * 2005-02-07 2011-03-24 Abbott Vascular Methods, systems and devices for cardiac valve repair
EP2633821B1 (en) * 2009-09-15 2016-04-06 Evalve, Inc. Device for cardiac valve repair
SE535690C2 (sv) 2010-03-25 2012-11-13 Jan Otto Solem En implanterbar anordning och kit för hjärtunderstöd, innefattande medel för generering av longitudinell rörelse av mitralisklaffen
US8945177B2 (en) 2011-09-13 2015-02-03 Abbott Cardiovascular Systems Inc. Gripper pusher mechanism for tissue apposition systems
US9427315B2 (en) * 2012-04-19 2016-08-30 Caisson Interventional, LLC Valve replacement systems and methods
EP3206629B1 (en) * 2014-10-14 2021-07-14 Valtech Cardio, Ltd. Apparatus for heart valve leaflet restraining
US9750605B2 (en) * 2014-10-23 2017-09-05 Caisson Interventional, LLC Systems and methods for heart valve therapy
US10667815B2 (en) 2015-07-21 2020-06-02 Evalve, Inc. Tissue grasping devices and related methods
CN108992210B (zh) * 2015-11-06 2021-08-27 麦克尔有限公司 二尖瓣假体
US10548614B2 (en) 2016-11-29 2020-02-04 Evalve, Inc. Tricuspid valve repair system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050070999A1 (en) * 2000-02-02 2005-03-31 Spence Paul A. Heart valve repair apparatus and methods
JP2013523208A (ja) * 2010-03-25 2013-06-17 シナージオ エージー 僧帽弁の移動を制御可能に補助する装置及び方法
JP2014533972A (ja) * 2011-09-16 2014-12-18 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 弁輪形成リングを保持するシステム及び方法
JP2017531547A (ja) * 2014-10-23 2017-10-26 ケーソン・インターヴェンショナル・エルエルシー 心臓弁治療法のためのシステムおよび方法

Also Published As

Publication number Publication date
CA3109076A1 (en) 2020-01-16
WO2020011879A1 (en) 2020-01-16
MX2020014313A (es) 2021-03-09
KR20210030926A (ko) 2021-03-18
EP4140449A3 (en) 2023-05-10
SG11202010732WA (en) 2020-11-27
IL279337A (en) 2021-01-31
BR112020025118A2 (pt) 2021-03-23
CN112292101A (zh) 2021-01-29
AU2019303001A1 (en) 2021-01-28
EP4140448A1 (en) 2023-03-01
EP3820405A1 (en) 2021-05-19
EP3878410A1 (en) 2021-09-15
EP4140449A2 (en) 2023-03-01

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