JP6930035B2 - 僧帽弁逸脱の経皮的修復 - Google Patents
僧帽弁逸脱の経皮的修復 Download PDFInfo
- Publication number
- JP6930035B2 JP6930035B2 JP2020537456A JP2020537456A JP6930035B2 JP 6930035 B2 JP6930035 B2 JP 6930035B2 JP 2020537456 A JP2020537456 A JP 2020537456A JP 2020537456 A JP2020537456 A JP 2020537456A JP 6930035 B2 JP6930035 B2 JP 6930035B2
- Authority
- JP
- Japan
- Prior art keywords
- mitral valve
- anchor
- valve leaflet
- elements
- pairs
- 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.)
- Active
Links
Images
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
- A61F2/2442—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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- 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
-
- 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
- A61F2/2463—Implants forming part of the valve leaflets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0466—Suture bridges
-
- 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
- A61B2017/00783—Valvuloplasty
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00876—Material properties magnetic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0408—Rivets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0412—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 suture anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0448—Additional elements on or within the anchor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0645—Surgical staples, i.e. penetrating the tissue being elastically deformed for insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/009—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof magnetic
-
- 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
- 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
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
-
- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0067—Means for introducing or releasing pharmaceutical products into 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Rheumatology (AREA)
- Prostheses (AREA)
Description
追加的にまたは代替的に、第4の態様では、複数のアンカー要素のうちの少なくとも1つは、リベットを備える。
追加的にまたは代替的に、第6の態様では、複数のアンカー要素のうちの少なくとも1つは、スクリュー型のファスナーを備え、回転可能な挿入具の回転により、アンカー要素それぞれの遠位部は拡張する。
追加的にまたは代替的に、第10の態様では、固定要素は、複数のアンカー要素のうちの少なくとも2つの外周囲に閉じたループを形成する。
追加的にまたは代替的に、第12の態様では、僧帽弁逸脱の治療方法は、心臓の左心房に搬送カテーテルを経皮的に挿入する工程と、搬送カテーテル内を貫通して延びる吸引ルーメンを用いて僧帽弁弁尖に搬送カテーテルの遠位端を固定する工程と、間隔をあけた部位に搬送カテーテルの遠位端から僧帽弁弁尖の中に複数のアンカー要素を挿入する工程と、複数のアンカー要素のうちの2つを接近させる工程と、僧帽弁弁尖の片側に複数のアンカー要素のうちの少なくとも2つをともに固定する工程とを含む。
全ての数値は、明示されているか否かに拘わらず、「約」という用語で修飾されることが想定されている。「約」という用語は、数値の文脈では、一般に当業者が、記載された値に等しいと考える(例えば、同一の機能または結果を有する)数値範囲を指す。多くの例において、「約」という用語は、最も近い有効数字に四捨五入される複数の数値を含む。「約」という用語の別の使用(例えば、数値以外の文脈)は、明示されていない限り、本明細書の文脈から理解することができ且つ本明細書の文脈に一致する一般的且つ慣習上の定義を有するものと想定される。
Claims (11)
- 搬送カテーテルの遠位端から近位方向に延びる少なくとも4つのアンカールーメンを有する搬送カテーテルと、
前記少なくとも4つのアンカールーメン内に配置される2つ以上の対のアンカー要素であって、それぞれが僧帽弁弁尖組織の1つの層を貫通して延びる、前記2つ以上の対のアンカー要素と、
前記2つ以上の対のアンカー要素のうちの少なくとも2つのアンカー要素を前記僧帽弁弁尖組織の片側に固定する固定要素と
を備え、
前記少なくとも4つのルーメンのうちの少なくとも1つのルーメンは、前記2つ以上の対のアンカー要素を前記僧帽弁弁尖組織の1つの層を貫通して延ばすのに先立ち、僧帽弁弁尖を把持する吸引ルーメンからなり、
前記固定要素は、前記2つ以上の対のアンカー要素のうちの2つのアンカー要素のそれぞれの外周の少なくとも一部の周囲に配置される、僧帽弁弁尖修復システム。 - 前記2つ以上の対のアンカー要素のうちの少なくとも1つのアンカー要素は、前記少なくとも4つのアンカールーメンのうちの2つ以上のそれぞれの内部に配置される、請求項1に記載の僧帽弁弁尖修復システム。
- 前記2つ以上の対のアンカー要素のうちの少なくとも1つのアンカー要素は、前記吸引ルーメン内に配置される、請求項1または2に記載の僧帽弁弁尖修復システム。
- 前記2つ以上の対のアンカー要素のうちの少なくとも1つのアンカー要素は、リベットを備える、請求項1〜3のいずれか一項に記載の僧帽弁弁尖修復システム。
- 前記2つ以上の対のアンカー要素のうちの少なくとも1つのアンカー要素は、自己拡張するフレームを備える、請求項1〜3のいずれか一項に記載の僧帽弁弁尖修復システム。
- 前記2つ以上の対のアンカー要素のうちの少なくとも1つのアンカー要素は、スクリュー型のファスナーを備え、回転可能なインサートの回転によりアンカー要素の遠位部分は延ばされる、請求項1〜3のいずれか一項に記載の僧帽弁弁尖修復システム。
- 前記2つ以上の対のアンカー要素のうちの2つのアンカー要素を固定することにより、僧帽弁弁尖組織の1つの層に折り畳みを形成し、前記折り畳みは、前記2つ以上の対のアンカー要素のうちの2つのアンカー要素の間に配置される、請求項1〜6のいずれか一項に記載の僧帽弁弁尖修復システム。
- 前記固定要素は、前記2つ以上の対のアンカー要素のうちの2つのアンカー要素のそれぞれの外周の少なくとも一部の周囲に配置される、請求項1〜7のいずれか一項に記載の僧帽弁弁尖修復システム。
- 前記固定要素は、形状記憶材料を含有する、請求項8に記載の僧帽弁弁尖修復システム。
- 前記固定要素は、前記2つ以上の対のアンカー要素のうちの少なくとも2つのアンカー要素の周囲に閉じたループを形成する、請求項8の記載の僧帽弁弁尖修復システム。
- 前記固定要素は、前記2つ以上の対のアンカー要素のうちの2つのアンカー要素のそれぞれの間に磁性引力を備える、請求項1〜7のいずれか一項に記載の僧帽弁弁尖修復システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762560508P | 2017-09-19 | 2017-09-19 | |
US62/560,508 | 2017-09-19 | ||
PCT/US2018/051752 WO2019060415A1 (en) | 2017-09-19 | 2018-09-19 | PERCUTANEOUS REPAIR OF A MITRAL PROLAPSUS |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2020534131A JP2020534131A (ja) | 2020-11-26 |
JP6930035B2 true JP6930035B2 (ja) | 2021-09-01 |
Family
ID=63794692
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020537456A Active JP6930035B2 (ja) | 2017-09-19 | 2018-09-19 | 僧帽弁逸脱の経皮的修復 |
Country Status (5)
Country | Link |
---|---|
US (2) | US11141275B2 (ja) |
EP (1) | EP3684296B1 (ja) |
JP (1) | JP6930035B2 (ja) |
CN (1) | CN111386090B (ja) |
WO (1) | WO2019060415A1 (ja) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3681439B1 (en) * | 2017-09-12 | 2021-07-28 | Boston Scientific Scimed, Inc. | Percutaneous papillary muscle relocation |
CN111568605A (zh) * | 2020-05-29 | 2020-08-25 | 迈特锐吉(北京)医疗科技有限公司 | 修复组件和修复组件植入装置 |
WO2022027231A1 (zh) * | 2020-08-04 | 2022-02-10 | 丁海雁 | 一种心脏瓣膜置线器 |
Family Cites Families (52)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0697841B2 (en) * | 1993-05-10 | 2007-05-23 | ArthroCare Corporation | Apparatus for surgical cutting |
US5634936A (en) | 1995-02-06 | 1997-06-03 | Scimed Life Systems, Inc. | Device for closing a septal defect |
US5853422A (en) | 1996-03-22 | 1998-12-29 | Scimed Life Systems, Inc. | Apparatus and method for closing a septal defect |
EP0930845B1 (en) | 1997-06-27 | 2009-10-14 | The Trustees Of Columbia University In The City Of New York | Apparatus for circulatory valve repair |
FR2768324B1 (fr) | 1997-09-12 | 1999-12-10 | Jacques Seguin | Instrument chirurgical permettant, par voie percutanee, de fixer l'une a l'autre deux zones de tissu mou, normalement mutuellement distantes |
US6752813B2 (en) | 1999-04-09 | 2004-06-22 | Evalve, Inc. | Methods and devices for capturing and fixing leaflets in valve repair |
DE60045429D1 (de) | 1999-04-09 | 2011-02-03 | Evalve Inc | Vorrichtung zur Herzklappenoperation |
US20090287179A1 (en) * | 2003-10-01 | 2009-11-19 | Ample Medical, Inc. | Devices, systems, and methods for reshaping a heart valve annulus, including the use of magnetic tools |
US20070129755A1 (en) | 2005-12-05 | 2007-06-07 | Ovalis, Inc. | Clip-based systems and methods for treating septal defects |
US6575971B2 (en) | 2001-11-15 | 2003-06-10 | Quantum Cor, Inc. | Cardiac valve leaflet stapler device and methods thereof |
US20030120341A1 (en) | 2001-12-21 | 2003-06-26 | Hani Shennib | Devices and methods of repairing cardiac valves |
US7087064B1 (en) * | 2002-10-15 | 2006-08-08 | Advanced Cardiovascular Systems, Inc. | Apparatuses and methods for heart valve repair |
US8979923B2 (en) | 2002-10-21 | 2015-03-17 | Mitralign, Inc. | Tissue fastening systems and methods utilizing magnetic guidance |
US7335213B1 (en) | 2002-11-15 | 2008-02-26 | Abbott Cardiovascular Systems Inc. | Apparatus and methods for heart valve repair |
US7404824B1 (en) | 2002-11-15 | 2008-07-29 | Advanced Cardiovascular Systems, Inc. | Valve aptation assist device |
DE10255797A1 (de) * | 2002-11-28 | 2004-06-17 | Daimlerchrysler Ag | Verfahren zur Erfassung der vorausliegenden Umgebung eines Strassenfahrzeugs mittels eines Umgebungserfassungssystems |
US6997950B2 (en) | 2003-01-16 | 2006-02-14 | Chawla Surendra K | Valve repair device |
US7758586B2 (en) | 2003-05-02 | 2010-07-20 | Atrium Medical Corporation | Method and apparatus for introducing catheters |
US20050240202A1 (en) | 2004-04-21 | 2005-10-27 | Hani Shennib | Devices and methods of repairing cardiac valves |
US7678135B2 (en) | 2004-06-09 | 2010-03-16 | Usgi Medical, Inc. | Compressible tissue anchor assemblies |
AU2005289474B2 (en) | 2004-09-27 | 2010-12-09 | Evalve, Inc. | Methods and devices for tissue grasping and assessment |
US8052592B2 (en) | 2005-09-27 | 2011-11-08 | Evalve, Inc. | Methods and devices for tissue grasping and assessment |
ES2792450T3 (es) | 2004-09-29 | 2020-11-11 | Usgi Medical Inc | Aparato para manipular y fijar tejido |
US8333777B2 (en) | 2005-04-22 | 2012-12-18 | Benvenue Medical, Inc. | Catheter-based tissue remodeling devices and methods |
US7632308B2 (en) | 2005-11-23 | 2009-12-15 | Didier Loulmet | Methods, devices, and kits for treating mitral valve prolapse |
US7799038B2 (en) * | 2006-01-20 | 2010-09-21 | Boston Scientific Scimed, Inc. | Translumenal apparatus, system, and method |
US7635386B1 (en) | 2006-03-07 | 2009-12-22 | University Of Maryland, Baltimore | Methods and devices for performing cardiac valve repair |
JP4945186B2 (ja) | 2006-07-28 | 2012-06-06 | 株式会社東芝 | 記憶装置およびこれを含むメモリシステム |
US20080228266A1 (en) * | 2007-03-13 | 2008-09-18 | Mitralign, Inc. | Plication assistance devices and methods |
US8454632B2 (en) | 2008-05-12 | 2013-06-04 | Xlumena, Inc. | Tissue anchor for securing tissue layers |
DE102008045877A1 (de) * | 2008-09-06 | 2010-03-11 | Bauernschmitt, Robert, Prof. | Vorrichtung zum Fixieren von Gewebe unter Unterdruck |
US20110011917A1 (en) | 2008-12-31 | 2011-01-20 | Hansen Medical, Inc. | Methods, devices, and kits for treating valve prolapse |
JP5535313B2 (ja) | 2009-05-29 | 2014-07-02 | エックスルミナ, インコーポレイテッド | 隣接する組織層にわたってステントを展開するための装置および方法 |
WO2011033508A1 (en) * | 2009-09-15 | 2011-03-24 | Transcardia Ltd. | Heart valve remodeling |
US8961596B2 (en) | 2010-01-22 | 2015-02-24 | 4Tech Inc. | Method and apparatus for tricuspid valve repair using tension |
US9241702B2 (en) | 2010-01-22 | 2016-01-26 | 4Tech Inc. | Method and apparatus for tricuspid valve repair using tension |
US9795482B2 (en) | 2010-04-27 | 2017-10-24 | Medtronic, Inc. | Prosthetic heart valve devices and methods of valve repair |
US20120296349A1 (en) | 2011-05-17 | 2012-11-22 | Boston Scientific Scimed, Inc. | Percutaneous Mitral Annulus Mini-Plication |
US9532874B2 (en) | 2011-06-21 | 2017-01-03 | St. Jude Medical, Inc | Apparatus and method for heart valve repair |
US9486315B2 (en) | 2011-07-05 | 2016-11-08 | Surendra K. Chawla | Valve repair instrument |
ES2597754T3 (es) | 2012-02-01 | 2017-01-20 | St. Jude Medical, Inc. | Sistema de administración de sujetador para reparación de válvula cardiaca y método de uso |
US8961594B2 (en) | 2012-05-31 | 2015-02-24 | 4Tech Inc. | Heart valve repair system |
US9066710B2 (en) | 2012-10-19 | 2015-06-30 | St. Jude Medical, Cardiology Division, Inc. | Apparatus and method for heart valve repair |
US10499941B2 (en) * | 2012-12-14 | 2019-12-10 | Mayo Foundation For Medical Education And Research | Mitral valve repair devices |
US10034667B2 (en) | 2013-02-28 | 2018-07-31 | St. Jude Medical, Cardiology Division, Inc. | Apparatus and method for heart valve repair |
US9788842B2 (en) | 2013-03-06 | 2017-10-17 | St. Jude Medical, Cardiology Division, Inc. | PMVR clip configurations for mitral leaflet |
US9999425B2 (en) | 2013-03-13 | 2018-06-19 | St. Jude Medical, Cardiology Division, Inc. | Mitral valve leaflet clip |
WO2015020816A1 (en) | 2013-08-06 | 2015-02-12 | Lc Therapeutics, Inc. | Synthetic chord for cardiac valve repair applications |
WO2015123597A1 (en) | 2014-02-14 | 2015-08-20 | Edwards Lifesciences Corporation | Percutaneous leaflet augmentation |
US9572666B2 (en) | 2014-03-17 | 2017-02-21 | Evalve, Inc. | Mitral valve fixation device removal devices and methods |
US10105225B2 (en) * | 2014-10-22 | 2018-10-23 | Medtronic, Inc. | Devices, systems and methods for tissue approximation, including approximating mitral valve leaflets |
EP3681439B1 (en) * | 2017-09-12 | 2021-07-28 | Boston Scientific Scimed, Inc. | Percutaneous papillary muscle relocation |
-
2018
- 2018-09-19 EP EP18783260.5A patent/EP3684296B1/en active Active
- 2018-09-19 WO PCT/US2018/051752 patent/WO2019060415A1/en unknown
- 2018-09-19 JP JP2020537456A patent/JP6930035B2/ja active Active
- 2018-09-19 US US16/135,560 patent/US11141275B2/en active Active
- 2018-09-19 CN CN201880074575.4A patent/CN111386090B/zh active Active
-
2021
- 2021-10-11 US US17/498,289 patent/US11918470B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
CN111386090A (zh) | 2020-07-07 |
WO2019060415A1 (en) | 2019-03-28 |
CN111386090B (zh) | 2022-05-17 |
US20190083264A1 (en) | 2019-03-21 |
EP3684296B1 (en) | 2024-02-14 |
EP3684296A1 (en) | 2020-07-29 |
JP2020534131A (ja) | 2020-11-26 |
US20220023044A1 (en) | 2022-01-27 |
US11918470B2 (en) | 2024-03-05 |
US11141275B2 (en) | 2021-10-12 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
EP3697346B1 (en) | Heart valve repair implant for treating tricuspid regurgitation | |
US10799356B2 (en) | Percutaneous papillary muscle relocation | |
US10828154B2 (en) | Heart valve implant commissure support structure | |
EP3796876B1 (en) | Percutaneous papillary muscle relocation | |
US20180250126A1 (en) | Replacement heart valve system having docking station with sacrificial valve | |
US11918470B2 (en) | Percutaneous repair of mitral prolapse | |
US11026719B2 (en) | Radially expandable introducer sheath | |
US20200178981A1 (en) | Left atrial appendage implant with sealing balloon | |
US20230063142A1 (en) | Replacement Heart Valve Implant and Expandable Framework for Replacement Heart Valve Implant | |
CN117120002A (zh) | 医疗植入物的旋转对准 | |
US20230020981A1 (en) | Mitral valve leaflet clip | |
US20230057553A1 (en) | Replacement heart valve implant | |
JP2024524670A (ja) | 僧帽弁尖クリップ |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20200327 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20210224 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20210524 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20210625 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20210720 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20210811 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6930035 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |