JP6933421B2 - 心臓弁修復用の医療器具および方法 - Google Patents

心臓弁修復用の医療器具および方法 Download PDF

Info

Publication number
JP6933421B2
JP6933421B2 JP2018518491A JP2018518491A JP6933421B2 JP 6933421 B2 JP6933421 B2 JP 6933421B2 JP 2018518491 A JP2018518491 A JP 2018518491A JP 2018518491 A JP2018518491 A JP 2018518491A JP 6933421 B2 JP6933421 B2 JP 6933421B2
Authority
JP
Japan
Prior art keywords
arm
implant
distal
valve
proximal
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
Application number
JP2018518491A
Other languages
English (en)
Japanese (ja)
Other versions
JP2018533398A5 (enExample
JP2018533398A (ja
Inventor
シルヴィオ シャッフナー，
シルヴィオ シャッフナー，
トバイアス エシュリマン，
トバイアス エシュリマン，
オリヴァー ビュートリッヒ，
オリヴァー ビュートリッヒ，
トーマス バウアー，
トーマス バウアー，
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Coremedic AG
Original Assignee
Coremedic AG
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Coremedic AG filed Critical Coremedic AG
Publication of JP2018533398A publication Critical patent/JP2018533398A/ja
Publication of JP2018533398A5 publication Critical patent/JP2018533398A5/ja
Application granted granted Critical
Publication of JP6933421B2 publication Critical patent/JP6933421B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61F2/2454—Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
    • A61F2/2457—Chordae tendineae prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2466—Delivery devices therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00336—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0437—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
JP2018518491A 2015-10-21 2016-10-19 心臓弁修復用の医療器具および方法 Active JP6933421B2 (ja)

Applications Claiming Priority (3)

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

Publications (3)

Publication Number Publication Date
JP2018533398A JP2018533398A (ja) 2018-11-15
JP2018533398A5 JP2018533398A5 (enExample) 2019-11-28
JP6933421B2 true JP6933421B2 (ja) 2021-09-08

Family

ID=57199849

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018518491A Active JP6933421B2 (ja) 2015-10-21 2016-10-19 心臓弁修復用の医療器具および方法

Country Status (5)

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

Families Citing this family (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2536538B (en) 2014-09-17 2018-07-18 Cardiomech As Anchor for implantation in body tissue
CN121796784A (zh) 2015-12-30 2026-04-07 管道医疗技术股份有限公司 二尖瓣瓣叶拴系
US9877833B1 (en) 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US12472062B2 (en) 2016-12-30 2025-11-18 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
US12636153B2 (en) 2016-12-30 2026-05-26 Pipeline Medical Technologies, Inc. Leaflet capture and anchor deployment system
US10925731B2 (en) 2016-12-30 2021-02-23 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US11083580B2 (en) 2016-12-30 2021-08-10 Pipeline Medical Technologies, Inc. Method of securing a leaflet anchor to a mitral valve leaflet
DE102017002974B4 (de) * 2017-03-28 2024-08-08 Immanuel Albertinen Diakonie Ggmbh Herzklappen-Implantat, geeignet für den Einsatz in der minimal-invasiven Chirurgie zur Reparatur einer Herzklappe und/oder eines Herzklappensegels am schlagenden Herzen und Herzklappen-lmplantat-System
JP7237953B2 (ja) * 2017-10-12 2023-03-13 クリストフ ミートケ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディトゲゼルシャフト 心膜把持装置
US11376127B2 (en) * 2017-12-20 2022-07-05 W. L. Gore & Associates, Inc. Artificial chordae tendineae repair devices and delivery thereof
CN109009490B (zh) * 2018-09-13 2023-11-24 中国医科大学附属盛京医院 柔性可回收穿刺锚及其固定器
WO2020109576A1 (en) * 2018-11-29 2020-06-04 Cardiomech As Device for heart repair
US20220015904A1 (en) * 2018-11-29 2022-01-20 Cardiomech As Device for Heart Repair
CN113286566B (zh) 2018-12-12 2025-12-05 管道医疗技术公司 用于二尖瓣腱索修复的方法和装置
US20200188115A1 (en) * 2018-12-13 2020-06-18 Medtronic Vascular, Inc. Heart valve repair tool and techniques
CN113613595B (zh) 2019-03-19 2025-06-27 科尔曼迪克股份有限公司 用于修复房室心脏瓣膜的器械
EP4529860A3 (en) 2019-07-03 2025-04-30 Boston Scientific Scimed, Inc. Systems for adjustably tensioning an artificial chordae tendineae between a leaflet and a papillary muscle or heart wall
US11903831B2 (en) 2019-07-03 2024-02-20 Boston Scientific Scimed, Inc. Devices, systems, and methods for anchoring an artificial chordae tendineae to a papillary muscle or heart wall
US11850152B2 (en) 2019-07-03 2023-12-26 Boston Scientific Scimed, Inc. Devices, systems, and methods for artificial chordae tendineae
WO2021003387A1 (en) * 2019-07-03 2021-01-07 Boston Scientific Scimed, Inc. Devices, systems, and methods for artificial chordae tendineae
WO2021011206A2 (en) 2019-07-12 2021-01-21 Boston Scientific Scimed, Inc. Devices, systems, and methods for clamping a leaflet of a heart valve
US12208008B2 (en) 2019-12-09 2025-01-28 Boston Scientific Scimed, Inc. Edge to edge repair device for valves
AU2021292434A1 (en) 2020-06-17 2023-02-02 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
US12419745B2 (en) * 2020-09-30 2025-09-23 Boston Scientific Scimed, Inc. Devices, systems, and methods for adjustably tensioning artificial chordae tendineae in a heart
GB2601146B (en) * 2020-11-19 2023-02-22 Cardiomech As Device for heart repair
CN113017923B (zh) * 2021-03-05 2025-04-08 上海骊霄医疗技术有限公司 一种直接穿刺可调节的二尖瓣修复装置
US20220339437A1 (en) 2021-04-25 2022-10-27 Pipeline Medical Technologies, Inc. Pericardial anchoring system
JP7728963B2 (ja) 2021-09-01 2025-08-25 ボストン サイエンティフィック サイムド，インコーポレイテッド 心臓弁の弁尖をクランプするためのデバイス、システム、および方法
CN120569163A (zh) 2022-12-06 2025-08-29 波士顿科学国际有限公司 微创手术期间用于切割缝合线的医疗装置
CN119097471B (zh) * 2023-06-08 2025-11-14 杭州德晋医疗科技有限公司 人工腱索植入器械
CN117017573A (zh) * 2023-07-12 2023-11-10 金仕生物科技（常熟）有限公司 可实现对腱索进行滑动调节的辅助器件
CN117243654B (zh) * 2023-10-10 2024-05-28 上海声拓医疗科技有限公司 用于修复装置的装载输送组件

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6520974B2 (en) * 1997-06-30 2003-02-18 Eva Corporation Surgical fastener
CA2358387C (en) * 1998-12-31 2007-11-13 Jeffrey E. Yeung Tissue fastening devices and delivery means
US8956407B2 (en) * 2000-09-20 2015-02-17 Mvrx, Inc. Methods for reshaping a heart valve annulus using a tensioning implant
US7316706B2 (en) * 2003-06-20 2008-01-08 Medtronic Vascular, Inc. Tensioning device, system, and method for treating mitral valve regurgitation
US20070004995A1 (en) 2005-06-30 2007-01-04 Horn Jeffrey L Swab device and kit for the delivery of blood clotting materials to a wound site
US20070049952A1 (en) * 2005-08-30 2007-03-01 Weiss Steven J Apparatus and method for mitral valve repair without cardiopulmonary bypass, including transmural techniques
WO2007062054A2 (en) 2005-11-21 2007-05-31 The Brigham And Women's Hospital, Inc. Percutaneous cardiac valve repair with adjustable artificial chordae
US20110011917A1 (en) 2008-12-31 2011-01-20 Hansen Medical, Inc. Methods, devices, and kits for treating valve prolapse
US8475525B2 (en) * 2010-01-22 2013-07-02 4Tech Inc. Tricuspid valve repair using tension
WO2012040865A1 (en) 2010-10-01 2012-04-05 Alberto Weber Medical apparatus and method for heart valve repair
WO2013003228A1 (en) 2011-06-27 2013-01-03 University Of Maryland, Baltimore Transapical mitral valve repair device
US8900295B2 (en) * 2011-09-26 2014-12-02 Edwards Lifesciences Corporation Prosthetic valve with ventricular tethers
EP2809263B1 (en) * 2012-01-31 2017-08-23 Mitral Valve Technologies Sàrl Mitral valve docking devices, systems
US9301842B2 (en) * 2013-01-31 2016-04-05 St. Jude Medical, Inc. Method and device for heart valve repair
FR2998167B1 (fr) * 2013-03-20 2015-01-09 Marco Vola Dispositif pour realiser une annuloplastie par voie transapicale de la valve mitrale

Also Published As

Publication number Publication date
CN108289662B (zh) 2021-03-12
EP3364884B1 (en) 2020-02-05
EP3364884A1 (en) 2018-08-29
US20180303614A1 (en) 2018-10-25
US10799357B2 (en) 2020-10-13
JP2018533398A (ja) 2018-11-15
WO2017066890A1 (en) 2017-04-27
CN108289662A (zh) 2018-07-17

Similar Documents

Publication Publication Date Title
CN108289662B (zh) 用于心脏瓣膜修复的医疗器械和方法
JP6935927B2 (ja) 心臓弁の修復用の医療インプラントおよび方法
US20240108327A1 (en) Suturing devices and methods for suturing an anatomic valve
JP6798753B2 (ja) 心臓弁修復用の医療器具および方法
EP3169245B1 (en) Medical apparatus for heart valve repair
US11020230B2 (en) Device for performing or preparing for a mitral valve annuloplasty by a transfemoral approach
JP2018531092A6 (ja) 心臓弁の修復用の医療インプラントおよび方法
JP6595197B2 (ja) 狭い領域内で使用されるようになった縫合糸パッサ
JP2018531093A6 (ja) 心臓弁修復用の医療器具および方法
CN113613595B (zh) 用于修复房室心脏瓣膜的器械
CN120752008A (zh) 用于改进的夹持器致动的具有螺旋多管腔挤出件的夹式输送导管及其制造和使用方法
CN113274167B (zh) 缘对缘修复装置及缘对缘修复系统

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20180522

RD04 Notification of resignation of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7424

Effective date: 20190919

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20191016

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20191016

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20200918

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20201020

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20210120

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20210319

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: 20210813

R150 Certificate of patent or registration of utility model

Ref document number: 6933421

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250