WO2009081396A3 - Methods and devices for treatment of a heart - Google Patents

Methods and devices for treatment of a heart Download PDF

Info

Publication number
WO2009081396A3
WO2009081396A3 PCT/IL2008/001645 IL2008001645W WO2009081396A3 WO 2009081396 A3 WO2009081396 A3 WO 2009081396A3 IL 2008001645 W IL2008001645 W IL 2008001645W WO 2009081396 A3 WO2009081396 A3 WO 2009081396A3
Authority
WO
WIPO (PCT)
Prior art keywords
heart
treatment
methods
devices
anchor
Prior art date
Application number
PCT/IL2008/001645
Other languages
French (fr)
Other versions
WO2009081396A2 (en
Inventor
Amnon Zlotnick
Original Assignee
Mor Research Applic Ltd
Amnon Zlotnick
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 Mor Research Applic Ltd, Amnon Zlotnick filed Critical Mor Research Applic Ltd
Priority to EP08864599A priority Critical patent/EP2231028A2/en
Publication of WO2009081396A2 publication Critical patent/WO2009081396A2/en
Publication of WO2009081396A3 publication Critical patent/WO2009081396A3/en
Priority to US12/809,641 priority patent/US9131928B2/en
Priority to PCT/IL2009/001203 priority patent/WO2010070649A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61F2/2451—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
    • A61F2/2478—Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
    • A61F2/2487—Devices within the heart chamber, e.g. splints
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/048—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery for reducing heart wall tension, e.g. sutures with a pad on each extremity
    • 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
    • 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
    • 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
    • A61F2/2478—Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
    • A61F2/2481—Devices outside the heart wall, e.g. bags, strips or bands

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)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Rheumatology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

Apparatus for treating a heart, comprising, a delivery tube sized for and adapted for insertion into a body; a sharp tip adapted to be pushed through cardiac muscle; an elongate tensioning element; and at least one anchor on said elongate tensioning element and adapted to couple said elongate tension element to cardiac muscle tissue, wherein said delivery tube encloses one or both of said element and said at least one anchor.
PCT/IL2008/001645 2007-12-20 2008-12-21 Methods and devices for treatment of a heart WO2009081396A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP08864599A EP2231028A2 (en) 2007-12-20 2008-12-21 Methods and devices for treatment of a heart
US12/809,641 US9131928B2 (en) 2007-12-20 2009-12-21 Elongated body for deployment in a heart
PCT/IL2009/001203 WO2010070649A1 (en) 2008-12-21 2009-12-21 Elongated body for deployment in a coronary sinus

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US1547107P 2007-12-20 2007-12-20
US61/015,471 2007-12-20
US7514308P 2008-06-24 2008-06-24
US61/075,143 2008-06-24

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/809,641 Continuation-In-Part US9131928B2 (en) 2007-12-20 2009-12-21 Elongated body for deployment in a heart

Publications (2)

Publication Number Publication Date
WO2009081396A2 WO2009081396A2 (en) 2009-07-02
WO2009081396A3 true WO2009081396A3 (en) 2009-08-20

Family

ID=40512529

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2008/001645 WO2009081396A2 (en) 2007-12-20 2008-12-21 Methods and devices for treatment of a heart

Country Status (2)

Country Link
EP (1) EP2231028A2 (en)
WO (1) WO2009081396A2 (en)

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WO2007001936A2 (en) 2005-06-20 2007-01-04 Sutura, Inc. Method and apparatus for applying a knot to a suture
WO2008121738A2 (en) 2007-03-29 2008-10-09 Sutura, Inc. Suturing devices and methods for closing a patent foramen ovale
WO2010070649A1 (en) 2008-12-21 2010-06-24 Mor Research Applications Ltd. Elongated body for deployment in a coronary sinus
US8771296B2 (en) 2008-05-09 2014-07-08 Nobles Medical Technologies Inc. Suturing devices and methods for suturing an anatomic valve
CN102892359A (en) * 2010-01-29 2013-01-23 麦德风险投资有限责任公司 Methods and apparatuses for suturing of cardiac openings
WO2012142338A2 (en) 2011-04-15 2012-10-18 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
WO2013003228A1 (en) 2011-06-27 2013-01-03 University Of Maryland, Baltimore Transapical mitral valve repair device
US10076414B2 (en) 2012-02-13 2018-09-18 Mitraspan, Inc. Method and apparatus for repairing a mitral valve
WO2013123059A1 (en) * 2012-02-13 2013-08-22 Mitraspan, Inc Method and apparatus for repairing a mitral valve
WO2013170081A1 (en) 2012-05-11 2013-11-14 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
EA032962B1 (en) 2013-07-02 2019-08-30 Мед-Венче Инвестментс, Ллс Suturing device for suturing an anatomic structure
US10512458B2 (en) 2013-12-06 2019-12-24 Med-Venture Investments, Llc Suturing methods and apparatuses
US9681864B1 (en) 2014-01-03 2017-06-20 Harpoon Medical, Inc. Method and apparatus for transapical procedures on a mitral valve
US10178993B2 (en) 2014-07-11 2019-01-15 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
CN106999178B (en) 2014-12-02 2019-12-24 4科技有限公司 Eccentric tissue anchor
US10779933B2 (en) 2014-12-22 2020-09-22 Syntach Ag Device, system and method for anchoring to muscle tissue
EP3753498B1 (en) 2015-10-02 2023-12-06 Harpoon Medical, Inc. Distal anchor apparatus for mitral valve repair
US10966830B2 (en) * 2015-10-21 2021-04-06 Coremedic Ag Medical apparatus and method for heart valve repair
US10583007B2 (en) 2015-12-02 2020-03-10 Edwards Lifesciences Corporation Suture deployment of prosthetic heart valve
US10687801B2 (en) 2016-04-11 2020-06-23 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
US10624743B2 (en) 2016-04-22 2020-04-21 Edwards Lifesciences Corporation Beating-heart mitral valve chordae replacement
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
EP3641660A1 (en) 2017-06-19 2020-04-29 Heartstitch, Inc. Suturing devices and methods for suturing an opening in the apex of the heart
WO2018236766A1 (en) 2017-06-19 2018-12-27 Heartstitch, Inc. Suturing systems and methods for suturing body tissue
WO2019013994A1 (en) * 2017-07-10 2019-01-17 4Tech Inc. Tissue anchors with load-bearing features
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Also Published As

Publication number Publication date
EP2231028A2 (en) 2010-09-29
WO2009081396A2 (en) 2009-07-02

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