RS20060147A - Implant, apparatus and implantation method for catheter based mitral valve repair - Google Patents

Implant, apparatus and implantation method for catheter based mitral valve repair

Info

Publication number
RS20060147A
RS20060147A YUP-2006/0147A YUP20060147A RS20060147A RS 20060147 A RS20060147 A RS 20060147A YU P20060147 A YUP20060147 A YU P20060147A RS 20060147 A RS20060147 A RS 20060147A
Authority
RS
Serbia
Prior art keywords
leaflet
suture
implant
free
catheter
Prior art date
Application number
YUP-2006/0147A
Other languages
Serbian (sr)
Inventor
Uroš Babić
Original Assignee
Uroš Babić
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 Uroš Babić filed Critical Uroš Babić
Publication of RS20060147A publication Critical patent/RS20060147A/en

Links

Classifications

    • 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
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic 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
    • A61B17/0482—Needle or suture guides
    • 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
    • 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
    • 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
    • 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
    • A61B2017/0404—Buttons
    • 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
    • A61B2017/0406—Pledgets
    • 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
    • A61B2017/0414—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 a suture-receiving opening, e.g. lateral opening
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0474—Knot pushers
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • 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
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Rheumatology (AREA)
  • Transplantation (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

Method and devices include novel suture composition, catheter type suture transporters, pushers " and tying instruments, implant for anchoring ono mitral leaflet, myocardial free wall entry site, occluder, and technique for catheter based treatment of mitral regurgiation is represented. In one embodiment, a leaflet tension apparatus is implanted to adjust the systolic leaflet aplitude excursion. A continuous guiding suture track is created from teh direct left ventricular puncture site through one or two puncture sites of the leaflet (1114) via the transseptal catheter to the exit of femoral vein, a pledget-implant (84) is apposed onto the exeriorsized distal (venous) suture end via its integrated suture part and is anchored onto the atrial leaflet surface (11141) by retracting the guiding suture from the epicardial end. Silicon tube (70 ) is interposed between the leaflet and the free myocardiall wall (1113) covering the implant's integrated suture (841) which are directed through the free myocardial wall oclluder (90) and secured to its epicardial segment by an adjustable knot (9021 x 841) so as to keep the leaflet at the wanted distance during systole whilst the valve opening remains unhindered.
YUP-2006/0147A 2006-03-02 2006-03-02 Implant, apparatus and implantation method for catheter based mitral valve repair RS20060147A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RSP20060147 2006-03-02

Publications (1)

Publication Number Publication Date
RS20060147A true RS20060147A (en) 2008-04-04

Family

ID=38459455

Family Applications (1)

Application Number Title Priority Date Filing Date
YUP-2006/0147A RS20060147A (en) 2006-03-02 2006-03-02 Implant, apparatus and implantation method for catheter based mitral valve repair

Country Status (3)

Country Link
EP (1) EP2023822A2 (en)
RS (1) RS20060147A (en)
WO (1) WO2007100268A2 (en)

Families Citing this family (30)

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Publication number Priority date Publication date Assignee Title
EP3120811A3 (en) * 2009-09-17 2017-04-19 Abbott Vascular Methods, systems and devices for cardiac valve repair
WO2013003228A1 (en) 2011-06-27 2013-01-03 University Of Maryland, Baltimore Transapical mitral valve repair device
US9681864B1 (en) 2014-01-03 2017-06-20 Harpoon Medical, Inc. Method and apparatus for transapical procedures on a mitral valve
WO2016126699A1 (en) 2015-02-02 2016-08-11 On-X Life Technologies, Inc. Rapid deployment artificial chordae tendinae system
EP3355804B1 (en) 2015-10-02 2020-07-15 Harpoon Medical, Inc. Distal anchor apparatus for mitral valve repair
CN109152573B (en) 2015-10-02 2021-04-13 哈珀恩医疗有限公司 Distal anchor device and method for mitral valve repair
EP4241697A3 (en) * 2015-10-21 2024-01-17 Coremedic AG Medical implant for heart valve repair
CN108778187A (en) 2015-12-30 2018-11-09 管道医疗技术股份有限公司 tethered mitral valve leaflets
US10624743B2 (en) 2016-04-22 2020-04-21 Edwards Lifesciences Corporation Beating-heart mitral valve chordae replacement
US11103350B2 (en) 2016-06-01 2021-08-31 On-X Life Technologies, Inc. Pull-through chordae tendineae system
US9877833B1 (en) * 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
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
US10765515B2 (en) 2017-04-06 2020-09-08 University Of Maryland, Baltimore Distal anchor apparatus and methods for mitral valve repair
CA3065223C (en) 2017-06-19 2024-05-07 Harpoon Medical, Inc. Method and apparatus for cardiac procedures
WO2019083894A1 (en) 2017-10-24 2019-05-02 University Of Maryland, Baltimore Method and apparatus for cardiac procedures
US10709443B2 (en) * 2018-03-01 2020-07-14 Durastat Llc Devices and methods for suture placement
CN110269725B (en) * 2018-03-15 2022-07-26 杭州德晋医疗科技有限公司 Artificial chordae tendineae capable of being developed
US11517435B2 (en) 2018-05-04 2022-12-06 Edwards Lifesciences Corporation Ring-based prosthetic cardiac valve
WO2019226803A1 (en) 2018-05-22 2019-11-28 Boston Scientific Scimed, Inc. Percutaneous papillary muscle relocation
US11224418B2 (en) 2018-06-15 2022-01-18 Edwards Lifesciences Corporation Papillary muscle approximation pads
CN108904102B (en) * 2018-07-19 2023-12-12 上海诺强医疗科技有限公司 Transcatheter mitral valve systole system and method of use thereof
JP2022513793A (en) 2018-12-12 2022-02-09 パイプライン メディカル テクノロジーズ， インコーポレイテッド Methods and equipment for mitral valve chordae tendineae repair
EP3993739A4 (en) * 2019-07-04 2023-11-01 Tel Hashomer Medical Research, Infrastructure and Services Ltd. TENDON SUTH REPLACEMENT APPARATUS AND METHOD
CN113729885B (en) * 2019-12-02 2023-01-20 北京领健医疗科技有限公司 Puncture needle, coupler, guide device and repair instrument
CA3178711A1 (en) 2020-04-22 2021-10-28 Edwards Lifesciences Corporation Controlled suture tensioning
JP7701390B2 (en) 2020-06-17 2025-07-01 パイプライン メディカル テクノロジーズ， インコーポレイテッド Methods and devices for mitral valve chordae repair
US12029413B2 (en) * 2020-06-30 2024-07-09 Neurotect LLC Knotless sutures and anchoring clip for knotless sutures
WO2022055923A1 (en) 2020-09-10 2022-03-17 Edwards Lifesciences Corporation Closing tissue openings
CN114652364B (en) * 2020-12-23 2024-09-20 杭州德晋医疗科技有限公司 Implant, transcatheter wire locking device and wire locking method

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US6260552B1 (en) * 1998-07-29 2001-07-17 Myocor, Inc. Transventricular implant tools and devices

Also Published As

Publication number Publication date
EP2023822A2 (en) 2009-02-18
WO2007100268A2 (en) 2007-09-07
WO2007100268A3 (en) 2008-10-02
WO2007100268B1 (en) 2008-11-13

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