WO2000015146A8 - Shunt de revascularisation transmyocardique - Google Patents

Shunt de revascularisation transmyocardique

Info

Publication number
WO2000015146A8
WO2000015146A8 PCT/US1999/020484 US9920484W WO0015146A8 WO 2000015146 A8 WO2000015146 A8 WO 2000015146A8 US 9920484 W US9920484 W US 9920484W WO 0015146 A8 WO0015146 A8 WO 0015146A8
Authority
WO
WIPO (PCT)
Prior art keywords
conduits
coronary artery
variety
disclosed
allowing
Prior art date
Application number
PCT/US1999/020484
Other languages
English (en)
Other versions
WO2000015146A1 (fr
Inventor
Peter J Wilk
Roger D Kamm
Eun Bo Shim
Original Assignee
Percardia Inc
Peter J Wilk
Roger D Kamm
Eun Bo Shim
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
Priority claimed from PCT/US1999/003484 external-priority patent/WO2000015275A2/fr
Application filed by Percardia Inc, Peter J Wilk, Roger D Kamm, Eun Bo Shim filed Critical Percardia Inc
Priority to EP99951404A priority Critical patent/EP1112043B1/fr
Priority to JP2000569732A priority patent/JP2003524444A/ja
Priority to DE69930756T priority patent/DE69930756T2/de
Priority to AU63846/99A priority patent/AU6384699A/en
Publication of WO2000015146A1 publication Critical patent/WO2000015146A1/fr
Publication of WO2000015146A8 publication Critical patent/WO2000015146A8/fr

Links

Classifications

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    • A61F2/24Heart 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
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    • A61F2250/0067Means for introducing or releasing pharmaceutical products into the body

Abstract

L'invention concerne des canaux ventriculaires gauches et des méthodes afférentes de réalisation d'un pontage d'une artère coronaire partiellement ou totalement occluse. Plus généralement, l'invention concerne des canaux permettant la communication de liquides organiques entre une partie du corps d'un patient et une autre partie, et des méthodes afférentes, y compris des canaux destinés à former un circuit d'écoulement du sang d'un compartiment du coeur à un vaisseau ou d'un vaisseau à un autre. Dans d'autres modes de réalisation, les canaux permettent de réaliser un pontage aortocoronarien en facilitant le passage du sang entre le ventricule gauche et l'artère coronaire ou entre une partie proximale de l'artère coronaire et une partie distale de l'artère coronaire. Les canaux peuvent être placés entièrement dans la paroi cardiaque ou s'étendre seulement en partie dans cette paroi. Les canaux peuvent présenter plusieurs configurations pour permettre la régulation du flux sanguin, y compris des formes courbées ou effilées. Les canaux peuvent également suivre plusieurs trajectoires, y compris une trajectoire de communication transmyocardique directe entre le ventricule gauche et l'artère coronaire, ou un passage à travers le myocarde dans l'espace intrapéricardique puis dans l'artère coronaire. Les canaux peuvent être implantés selon plusieurs méthodes, y compris au moyen de techniques avec effraction minimale. L'invention concerne également dans plusieurs modes de réalisation préférés, des appareils médicaux et des méthodes afférentes d'implantation des canaux y compris des tiges d'introduction rigides destinées à pénétrer dans les tissus organiques. Les tiges d'introduction peuvent être solides, donc en forme de trocart, ou creuses pour former un canal auto-implantable. Dans d'autres modes de réalisation préférés, les canaux sont montés sur les tiges et prennent la forme d'un stylet ou analogue. Les canaux peuvent être monoblocs et continus, ou peuvent être formés de plusieurs sections réunies. L'invention concerne en outre plusieurs dispositifs d'anastomose.
PCT/US1999/020484 1998-09-10 1999-09-10 Shunt de revascularisation transmyocardique WO2000015146A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP99951404A EP1112043B1 (fr) 1998-09-10 1999-09-10 Shunt de revascularisation transmyocardique
JP2000569732A JP2003524444A (ja) 1998-09-10 1999-09-10 Tmrシャント
DE69930756T DE69930756T2 (de) 1998-09-10 1999-09-10 Tmr vorrichtung
AU63846/99A AU6384699A (en) 1998-09-10 1999-09-10 Tmr shunt

Applications Claiming Priority (12)

Application Number Priority Date Filing Date Title
US9969198P 1998-09-10 1998-09-10
US9972098P 1998-09-10 1998-09-10
US9976798P 1998-09-10 1998-09-10
US60/099,720 1998-09-10
US60/099,691 1998-09-10
US60/099,767 1998-09-10
US10439798P 1998-10-15 1998-10-15
US60/104,397 1998-10-15
USPCT/US99/03484 1999-02-17
PCT/US1999/003484 WO2000015275A2 (fr) 1998-09-10 1999-02-17 Dispositif de derivation pour fluides corporels et procede d'utilisation
US36903999A 1999-08-04 1999-08-04
US09/369,039 1999-08-04

Publications (2)

Publication Number Publication Date
WO2000015146A1 WO2000015146A1 (fr) 2000-03-23
WO2000015146A8 true WO2000015146A8 (fr) 2000-07-20

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Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6045565A (en) 1997-11-04 2000-04-04 Scimed Life Systems, Inc. Percutaneous myocardial revascularization growth factor mediums and method
US6749617B1 (en) 1997-11-04 2004-06-15 Scimed Life Systems, Inc. Catheter and implants for the delivery of therapeutic agents to tissues
US6261304B1 (en) 1998-09-10 2001-07-17 Percardia, Inc. Delivery methods for left ventricular conduit
US6254564B1 (en) 1998-09-10 2001-07-03 Percardia, Inc. Left ventricular conduit with blood vessel graft
US6458092B1 (en) * 1998-09-30 2002-10-01 C. R. Bard, Inc. Vascular inducing implants
US6302892B1 (en) 1999-08-04 2001-10-16 Percardia, Inc. Blood flow conduit delivery system and method of use
US6605053B1 (en) * 1999-09-10 2003-08-12 Percardia, Inc. Conduit designs and related methods for optimal flow control
US6595958B1 (en) 2000-08-08 2003-07-22 Scimed Life Systems, Inc. Tortuous path injection device and method
US6893421B1 (en) 2000-08-08 2005-05-17 Scimed Life Systems, Inc. Catheter shaft assembly
US6613017B1 (en) 2000-08-08 2003-09-02 Scimed Life Systems, Inc. Controlled depth injection device and method
US6530914B1 (en) 2000-10-24 2003-03-11 Scimed Life Systems, Inc. Deflectable tip guide in guide system
US6582400B1 (en) 2000-10-24 2003-06-24 Scimed Life Systems, Inc. Variable tip catheter
US6616626B2 (en) 2000-12-21 2003-09-09 Scimed Life Systems, Inc. Infusion devices and method
AU2003901345A0 (en) * 2003-03-21 2003-04-03 Ventracor Limited Improved cannula
DE102005003632A1 (de) 2005-01-20 2006-08-17 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Katheter für die transvaskuläre Implantation von Herzklappenprothesen
US20070163353A1 (en) * 2005-12-07 2007-07-19 Drexel University Detection of blood pressure and blood pressure waveform
US7896915B2 (en) 2007-04-13 2011-03-01 Jenavalve Technology, Inc. Medical device for treating a heart valve insufficiency
US9044318B2 (en) 2008-02-26 2015-06-02 Jenavalve Technology Gmbh Stent for the positioning and anchoring of a valvular prosthesis
ES2903231T3 (es) 2008-02-26 2022-03-31 Jenavalve Tech Inc Stent para el posicionamiento y anclaje de una prótesis valvular en un sitio de implantación en el corazón de un paciente
AU2011257298B2 (en) 2010-05-25 2014-07-31 Jenavalve Technology Inc. Prosthetic heart valve and transcatheter delivered endoprosthesis comprising a prosthetic heart valve and a stent
EP3038567B1 (fr) 2013-08-30 2022-09-07 JenaValve Technology, Inc. Cadre radialement repliable pour valvule prothétique et procédé de fabrication dudit cadre
EP3632378A1 (fr) 2015-05-01 2020-04-08 JenaValve Technology, Inc. Dispositif et procédé à faible débit de stimulateur cardiaque dans le remplacement de valvule cardiaque
EP3454795B1 (fr) 2016-05-13 2023-01-11 JenaValve Technology, Inc. Système d'implantation de prothèse de valve cardiaque pour la pose d'une prothèse de valve cardiaque avec une gaine d'introduction et système de chargement
EP3573579B1 (fr) 2017-01-27 2023-12-20 JenaValve Technology, Inc. Mimétisme de valve cardiaque

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1006916A4 (fr) * 1996-08-26 2004-11-10 Transvascular Inc Procedes et dispositifs de revascularisation transmyocardique coronarienne directe
US5655548A (en) * 1996-09-16 1997-08-12 Circulation, Inc. Method for treatment of ischemic heart disease by providing transvenous myocardial perfusion
CN1321619C (zh) * 1997-05-08 2007-06-20 C·R·巴德有限公司 Tmr移植片固定物和输送系统
WO1998053759A2 (fr) * 1997-05-28 1998-12-03 Yadav Jay S Stent carotidien

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