RU2014142246A - Устройство и способ для управляемой поддержки перемещения митрального клапана - Google Patents

Устройство и способ для управляемой поддержки перемещения митрального клапана Download PDF

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RU2014142246A
RU2014142246A RU2014142246A RU2014142246A RU2014142246A RU 2014142246 A RU2014142246 A RU 2014142246A RU 2014142246 A RU2014142246 A RU 2014142246A RU 2014142246 A RU2014142246 A RU 2014142246A RU 2014142246 A RU2014142246 A RU 2014142246A
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heart
mitral valve
movement
specified
support unit
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RU2014142246A
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RU2692227C2 (ru
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Ян-Отто СОЛЕМ
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Синерджио Аг
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40—Details relating to driving
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/165—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
    • A61M60/187—Implantable 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
    • 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
    • A61F2/2451—Inserts in the coronary sinus for correcting the valve shape
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
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    • A61H31/004—Heart stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/004—Heart stimulation
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    • A61M60/126—Implantable 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
    • A61M60/135—Implantable 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 inside a blood vessel, e.g. using grafting
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    • A61M60/126—Implantable 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
    • A61M60/148—Implantable 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/165—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
    • A61M60/191—Implantable 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 outside of the patient's native heart, e.g. compressive structures placed around the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20—Type thereof
    • A61M60/247—Positive displacement blood pumps
    • A61M60/253—Positive displacement blood pumps including a displacement member directly acting on the blood
    • A61M60/268—Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
    • A—HUMAN NECESSITIES
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    • A61M—DEVICES 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20—Type thereof
    • A61M60/289—Devices 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40—Details relating to driving
    • A61M60/424—Details relating to driving for positive displacement blood pumps
    • A61M60/438—Details relating to driving for positive displacement blood pumps the force acting on the blood contacting member being mechanical
    • A61M60/441—Details relating to driving for positive displacement blood pumps the force acting on the blood contacting member being mechanical generated by an electromotor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40—Details relating to driving
    • A61M60/465—Details relating to driving for devices for mechanical circulatory actuation
    • A61M60/47—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being mechanical, e.g. mechanically driven members clamping a blood vessel
    • A61M60/473—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being mechanical, e.g. mechanically driven members clamping a blood vessel generated by an electromotor
    • A61M60/476—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being mechanical, e.g. mechanically driven members clamping a blood vessel generated by an electromotor with means converting the rotation into a translational movement of the displacement member
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    • A61M60/465—Details relating to driving for devices for mechanical circulatory actuation
    • A61M60/489—Details relating to driving for devices for mechanical circulatory actuation the force acting on the actuation means being magnetic
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    • A—HUMAN NECESSITIES
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    • A—HUMAN NECESSITIES
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    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
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Abstract

1. Система для усиления насосного действия желудочков сердца пациента, содержащая блок поддержания перемещения для управляемого поддерживаемого перемещения митрального клапана синхронно с сердечным циклом указанного сердца.2. Система по п.1, в которой блок поддержания перемещения содержит блок формирования усилия для формирования усилия для обеспечения поддерживаемого перемещения митрального клапана.3. Система по п.1 или 2, включающая имплантат, выполненный с возможностью расположения в сердечном сосуде вблизи соединения и в соединении ткани с митральным клапаном левого желудочка сердца, причем указанный блок поддержания перемещения выполнен с возможностью приложения усилия к указанному имплантату, при расположении в сердечном сосуде, для обеспечения поддерживаемого митрального клапана при перемещении указанного имплантата и, следовательно, указанного митрального клапана в плоскости митрального клапана в направлении к верхушке и/или от верхушки сердца.4. Система по п.1 или 2, в которой блок поддержания перемещения выполнен с возможностью перемещения указанного митрального клапана в плоскости митрального клапана по существу вдоль длинной оси левого желудочка сердца.5. Система по п.1 или 2, в которой блок поддержания перемещения выполнен с возможностью перемещения указанного митрального клапана возвратно-поступательным образом в течение систолы по направлению к верхушке сердца и в течение диастолы от упомянутой верхушки, так чтобы поддерживать насосное действие сердца.6. Система по п.1 или 2, в которой указанный блок поддержания перемещения выполнен с возможностью формирования указанного перемещения синхронно с серде

Claims (10)

1. Система для усиления насосного действия желудочков сердца пациента, содержащая блок поддержания перемещения для управляемого поддерживаемого перемещения митрального клапана синхронно с сердечным циклом указанного сердца.
2. Система по п.1, в которой блок поддержания перемещения содержит блок формирования усилия для формирования усилия для обеспечения поддерживаемого перемещения митрального клапана.
3. Система по п.1 или 2, включающая имплантат, выполненный с возможностью расположения в сердечном сосуде вблизи соединения и в соединении ткани с митральным клапаном левого желудочка сердца, причем указанный блок поддержания перемещения выполнен с возможностью приложения усилия к указанному имплантату, при расположении в сердечном сосуде, для обеспечения поддерживаемого митрального клапана при перемещении указанного имплантата и, следовательно, указанного митрального клапана в плоскости митрального клапана в направлении к верхушке и/или от верхушки сердца.
4. Система по п.1 или 2, в которой блок поддержания перемещения выполнен с возможностью перемещения указанного митрального клапана в плоскости митрального клапана по существу вдоль длинной оси левого желудочка сердца.
5. Система по п.1 или 2, в которой блок поддержания перемещения выполнен с возможностью перемещения указанного митрального клапана возвратно-поступательным образом в течение систолы по направлению к верхушке сердца и в течение диастолы от упомянутой верхушки, так чтобы поддерживать насосное действие сердца.
6. Система по п.1 или 2, в которой указанный блок поддержания перемещения выполнен с возможностью формирования указанного перемещения синхронно с сердечным циклом указанного сердца путем регистрации естественной активности сердца, например, посредством измерения электрокардиограммы, волны артериального давления, кровотока и/или акустических сигналов сердца, и, тем самым, усиления естественного перемещения вверх и вниз митрального клапана в течение сердечного цикла.
7. Система по п.3, в которой указанный имплантат выполнен с размером для размещения в венечном синусе сердца вблизи кольца митрального клапана и содержит расширяемый дистальный фиксирующий блок, расширяемый проксимальный фиксирующий блок, соединительный элемент, продолжающийся от проксимального фиксирующего блока до дистального фиксирующего блока, и указанный блок поддержания перемещения включает приводной блок, выполненный с возможностью управляемого изменения длины упомянутого соединительного элемента, так что перемещение митрального клапана поддерживается указанным перемещением, а указанное насосное действие усиливается.
8. Система по п.7, в котором соединительный элемент выполнен с возможностью изменения по указанной длине вдоль короткой оси указанного левого желудочка, поперечно упомянутой длинной оси, для поддержки естественного перемещения внутрь и наружу боковой стенки левого желудочка относительно межжелудочковой перегородки.
9. Система по п.7, в которой приводной блок является блоком формирования усилия.
10. Система по п.7, в которой соединительный элемент выполнен с возможностью изменения длины во время одного сердечного цикла сердца.
RU2014142246A 2010-03-25 2014-10-20 Устройство и способ для управляемой поддержки перемещения митрального клапана RU2692227C2 (ru)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US31761910P 2010-03-25 2010-03-25
US61/317,619 2010-03-25
SE1050282A SE535690C2 (sv) 2010-03-25 2010-03-25 En implanterbar anordning och kit för hjärtunderstöd, innefattande medel för generering av longitudinell rörelse av mitralisklaffen
SE1050282-1 2010-03-25

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