WO1996039942A1 - Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques - Google Patents
Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques Download PDFInfo
- Publication number
- WO1996039942A1 WO1996039942A1 PCT/US1996/007970 US9607970W WO9639942A1 WO 1996039942 A1 WO1996039942 A1 WO 1996039942A1 US 9607970 W US9607970 W US 9607970W WO 9639942 A1 WO9639942 A1 WO 9639942A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- holder
- handle
- heart
- valve
- annuloplasty
- Prior art date
Links
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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
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
-
- 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
-
- 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
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
-
- 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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
-
- 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
- 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
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
- A61B2090/401—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment using air flow
-
- 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
- A61F2/2403—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 with pivoting rigid closure members
-
- 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
- A61F2/2448—D-shaped rings
-
- 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
- A61F2/2496—Devices for determining the dimensions of the prosthetic valve to be implanted, e.g. templates, sizers
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Pathology (AREA)
- Prostheses (AREA)
- External Artificial Organs (AREA)
Abstract
L'invention concerne des dispositifs et procédés permettant de réaliser un traitement chirurgical moins invasif des valvules cardiaques, ce qui rend inutiles les thoracotomies lourdes ou les sternotomies médianes. Dans un aspect de l'invention, un système d'implantation (10) d'une prothèse de valvule cardiaque, telle qu'une bague d'annuloplastie (90) ou une valvule prothétique (262), comprend une poignée allongée (28) conçue pour s'étendre à l'intérieur du coeur à travers un espace intercostal depuis l'extérieur de la cavité pulmonaire, ainsi qu'un support de prothèse (100) fixé à la poignée, afin de tenir une prothèse de façon libérable. Le support de prothèse (100) est fixé à la poignée (28) de telle sorte que le support (100), la prothèse (90) et la poignée (28) présentent un profil dont la hauteur est inférieure à la largeur d'un espace intercostal, quand les côtes contiguës ne sont pas écartées, de préférence, moins de 30 mm. Dans un autre aspect, l'invention concerne un procédé de réparation ou de remplacement d'une valvule cardiaque, qui consiste à introduire une prothèse (262) à travers un espace intercostal et par pénétration dans une paroi cardiaque, puis à fixer la prothèse (262) à une paroi interne du coeur, ces étapes étant exécutées sans couper, supprimer ou écarter considérablement les côtes ou le sternum.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU59519/96A AU5951996A (en) | 1995-06-07 | 1996-05-30 | Less invasive devices and methods for treatment of cardiac valves |
| EP96916756A EP0836423A1 (fr) | 1995-06-07 | 1996-05-30 | Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US48560095A | 1995-06-07 | 1995-06-07 | |
| US08/485,600 | 1995-06-07 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1996039942A1 true WO1996039942A1 (fr) | 1996-12-19 |
Family
ID=23928763
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/US1996/007970 WO1996039942A1 (fr) | 1995-06-07 | 1996-05-30 | Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP0836423A1 (fr) |
| AU (1) | AU5951996A (fr) |
| CA (1) | CA2239907A1 (fr) |
| WO (1) | WO1996039942A1 (fr) |
Cited By (38)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1999011200A1 (fr) * | 1997-08-28 | 1999-03-11 | Alfred Edward Wood | Appareil de selection d'un epaulement de dimension appropriee pour une valvule mitrale |
| WO1999029249A1 (fr) * | 1997-11-20 | 1999-06-17 | Cardia Innovation Ab | Procede et dispositif de production d'une atmosphere dans une zone, et utilisation de dioxyde de carbone pour la fabrication d'un medicament |
| WO1999049816A1 (fr) * | 1998-03-31 | 1999-10-07 | St. Jude Medical, Inc. | Support d'anneau pour annuloplastie |
| WO2000059408A1 (fr) * | 1999-04-08 | 2000-10-12 | Sulzer Carbomedics Inc. | Dispositif de retenue d'anneau d'annuloplastie |
| US6319280B1 (en) | 1999-08-03 | 2001-11-20 | St. Jude Medical, Inc. | Prosthetic ring holder |
| WO2010090720A1 (fr) * | 2009-02-06 | 2010-08-12 | St. Jude Medical, Inc. | Calibreur robotisé d'annulus de valvule cardiaque |
| WO2010111621A1 (fr) * | 2009-03-26 | 2010-09-30 | Sorin Group Usa, Inc. | Dispositifs de dimensionnement d'annuloplastie pour opérations à invasion minimale |
| US8006535B2 (en) | 2007-07-12 | 2011-08-30 | Sorin Biomedica Cardio S.R.L. | Expandable prosthetic valve crimping device |
| US8096985B2 (en) | 2008-05-07 | 2012-01-17 | Guided Delivery Systems Inc. | Deflectable guide |
| US8715207B2 (en) | 2009-03-19 | 2014-05-06 | Sorin Group Italia S.R.L. | Universal valve annulus sizing device |
| CN104736077A (zh) * | 2012-04-20 | 2015-06-24 | 基万·史蒂文·辛格 | 可复位的医疗器械支撑系统、设备和方法 |
| US9072513B2 (en) | 2002-06-13 | 2015-07-07 | Guided Delivery Systems Inc. | Methods and devices for termination |
| US9125632B2 (en) | 2007-10-19 | 2015-09-08 | Guided Delivery Systems, Inc. | Systems and methods for cardiac remodeling |
| US9161836B2 (en) | 2011-02-14 | 2015-10-20 | Sorin Group Italia S.R.L. | Sutureless anchoring device for cardiac valve prostheses |
| US9173646B2 (en) | 2009-01-20 | 2015-11-03 | Guided Delivery Systems Inc. | Diagnostic catheters, guide catheters, visualization devices and chord manipulation devices, and related kits and methods |
| US9226825B2 (en) | 2002-06-13 | 2016-01-05 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
| US9248017B2 (en) | 2010-05-21 | 2016-02-02 | Sorin Group Italia S.R.L. | Support device for valve prostheses and corresponding kit |
| US9289289B2 (en) | 2011-02-14 | 2016-03-22 | Sorin Group Italia S.R.L. | Sutureless anchoring device for cardiac valve prostheses |
| US9468528B2 (en) | 2002-06-13 | 2016-10-18 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
| US9486313B2 (en) | 2005-02-10 | 2016-11-08 | Sorin Group Italia S.R.L. | Cardiac valve prosthesis |
| US9636106B2 (en) | 2008-10-10 | 2017-05-02 | Ancora Heart, Inc. | Termination devices and related methods |
| US9636107B2 (en) | 2002-06-13 | 2017-05-02 | Ancora Heart, Inc. | Devices and methods for heart valve repair |
| US9706996B2 (en) | 2008-02-06 | 2017-07-18 | Ancora Heart, Inc. | Multi-window guide tunnel |
| US9848981B2 (en) | 2007-10-12 | 2017-12-26 | Mayo Foundation For Medical Education And Research | Expandable valve prosthesis with sealing mechanism |
| US9861350B2 (en) | 2010-09-03 | 2018-01-09 | Ancora Heart, Inc. | Devices and methods for anchoring tissue |
| US9867695B2 (en) | 2004-03-03 | 2018-01-16 | Sorin Group Italia S.R.L. | Minimally-invasive cardiac-valve prosthesis |
| US9949829B2 (en) | 2002-06-13 | 2018-04-24 | Ancora Heart, Inc. | Delivery devices and methods for heart valve repair |
| US10058321B2 (en) | 2015-03-05 | 2018-08-28 | Ancora Heart, Inc. | Devices and methods of visualizing and determining depth of penetration in cardiac tissue |
| US10098733B2 (en) | 2008-12-23 | 2018-10-16 | Sorin Group Italia S.R.L. | Expandable prosthetic valve having anchoring appendages |
| US10111663B2 (en) | 2011-02-18 | 2018-10-30 | Ancora Heart, Inc. | Implant retrieval device |
| WO2020092422A1 (fr) * | 2018-11-01 | 2020-05-07 | Edwards Lifesciences Corporation | Ensemble anneau d'annuloplastie muni d'une poignée détachable |
| US10667914B2 (en) | 2016-11-18 | 2020-06-02 | Ancora Heart, Inc. | Myocardial implant load sharing device and methods to promote LV function |
| US10709449B2 (en) | 2011-02-18 | 2020-07-14 | Ancora Heart, Inc. | Systems and methods for variable stiffness tethers |
| US10980973B2 (en) | 2015-05-12 | 2021-04-20 | Ancora Heart, Inc. | Device and method for releasing catheters from cardiac structures |
| US11504231B2 (en) | 2018-05-23 | 2022-11-22 | Corcym S.R.L. | Cardiac valve prosthesis |
| US11672524B2 (en) | 2019-07-15 | 2023-06-13 | Ancora Heart, Inc. | Devices and methods for tether cutting |
| US11819406B2 (en) | 2018-05-23 | 2023-11-21 | Corcym S.R.L. | Loading system for an implantable prosthesis and related loading method |
| US11969341B2 (en) | 2022-11-18 | 2024-04-30 | Corcym S.R.L. | Cardiac valve prosthesis |
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| WO1999029249A1 (fr) * | 1997-11-20 | 1999-06-17 | Cardia Innovation Ab | Procede et dispositif de production d'une atmosphere dans une zone, et utilisation de dioxyde de carbone pour la fabrication d'un medicament |
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| US6689163B2 (en) | 1999-04-08 | 2004-02-10 | Carbomedics Inc. | Annuloplasty ring holder |
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Also Published As
| Publication number | Publication date |
|---|---|
| AU5951996A (en) | 1996-12-30 |
| EP0836423A1 (fr) | 1998-04-22 |
| CA2239907A1 (fr) | 1996-12-19 |
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