WO2018008019A3 - Apparatus for delivering electrical signals to the heart - Google Patents

Apparatus for delivering electrical signals to the heart Download PDF

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Publication number
WO2018008019A3
WO2018008019A3 PCT/IL2017/050743 IL2017050743W WO2018008019A3 WO 2018008019 A3 WO2018008019 A3 WO 2018008019A3 IL 2017050743 W IL2017050743 W IL 2017050743W WO 2018008019 A3 WO2018008019 A3 WO 2018008019A3
Authority
WO
WIPO (PCT)
Prior art keywords
heart
cardiac
anchor
implanted
feature
Prior art date
Application number
PCT/IL2017/050743
Other languages
French (fr)
Other versions
WO2018008019A2 (en
Inventor
Boris Orlov
Ehud RAANANI
Hernan Altman
Original Assignee
Tel Hashomer Medical Research, Infrastructure And Services Ltd.
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 Tel Hashomer Medical Research, Infrastructure And Services Ltd. filed Critical Tel Hashomer Medical Research, Infrastructure And Services Ltd.
Publication of WO2018008019A2 publication Critical patent/WO2018008019A2/en
Publication of WO2018008019A3 publication Critical patent/WO2018008019A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head 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
    • A61F2/2412—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 soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A61N2001/0578—Anchoring means; Means for fixing the head inside the heart having means for removal or extraction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A61N2001/058—Fixing tools

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)

Abstract

Apparatus for delivering an electrical signal to the heart comprising: a first electrode configured to electrically couple to a cardiac signal generator for stimulating heart muscle; a second electrode configured to be implanted in a region of the heart muscle on an antegrade side of a cardiac valve; and a bridging member configured to be mounted to the annulus of the cardiac valve and electrically connect the first and second electrodes. A myocardial helical connector for delivering an electrical signal to the heart, comprising: a magnetized socket plug contact configured to electrically couple to an electrical signal generator and to receive a signal therefrom; a helical contact electrically connected to said socket plug contact and configured to be screwed into cardiac tissue; and a bridging member that electrically connects the socket plug contact to the helical contact. A cardiac culvert configured to be implanted in cardiac tissue, comprising: a tube having first and second ends and a wall having internal and external surfaces wherein the internal surface defines a lumen having an opening at each of the first and second ends; and at least one feature on the external surface configured to anchor the tube in cardiac tissue in which the culvert is implanted. Apparatus for performing a procedure in a heart, the apparatus comprising: an anchor configured to be inserted into a chamber of the heart and controlled to anchor to a feature of the chamber; and an implementer configured to be inserted into the heart chamber to perform a procedure in a target region of the heart and to be constrained by a location of the feature to which the anchor is attached.
PCT/IL2017/050743 2016-07-03 2017-07-03 Apparatus for delivering electrical signals to the heart WO2018008019A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201662358027P 2016-07-03 2016-07-03
US201662358037P 2016-07-03 2016-07-03
US62/358,037 2016-07-03
US62/358,027 2016-07-03

Publications (2)

Publication Number Publication Date
WO2018008019A2 WO2018008019A2 (en) 2018-01-11
WO2018008019A3 true WO2018008019A3 (en) 2018-03-22

Family

ID=59579798

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2017/050743 WO2018008019A2 (en) 2016-07-03 2017-07-03 Apparatus for delivering electrical signals to the heart

Country Status (1)

Country Link
WO (1) WO2018008019A2 (en)

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019195860A2 (en) 2018-04-04 2019-10-10 Vdyne, Llc Devices and methods for anchoring transcatheter heart valve
US11344413B2 (en) 2018-09-20 2022-05-31 Vdyne, Inc. Transcatheter deliverable prosthetic heart valves and methods of delivery
US11278437B2 (en) 2018-12-08 2022-03-22 Vdyne, Inc. Compression capable annular frames for side delivery of transcatheter heart valve replacement
US10595994B1 (en) 2018-09-20 2020-03-24 Vdyne, Llc Side-delivered transcatheter heart valve replacement
US11071627B2 (en) 2018-10-18 2021-07-27 Vdyne, Inc. Orthogonally delivered transcatheter heart valve frame for valve in valve prosthesis
US10321995B1 (en) 2018-09-20 2019-06-18 Vdyne, Llc Orthogonally delivered transcatheter heart valve replacement
US11109969B2 (en) 2018-10-22 2021-09-07 Vdyne, Inc. Guidewire delivery of transcatheter heart valve
US11253359B2 (en) 2018-12-20 2022-02-22 Vdyne, Inc. Proximal tab for side-delivered transcatheter heart valves and methods of delivery
US11185409B2 (en) 2019-01-26 2021-11-30 Vdyne, Inc. Collapsible inner flow control component for side-delivered transcatheter heart valve prosthesis
US11273032B2 (en) 2019-01-26 2022-03-15 Vdyne, Inc. Collapsible inner flow control component for side-deliverable transcatheter heart valve prosthesis
WO2020181154A2 (en) 2019-03-05 2020-09-10 Vdyne, Inc. Tricuspid regurgitation control devices for orthogonal transcatheter heart valve prosthesis
US11173027B2 (en) 2019-03-14 2021-11-16 Vdyne, Inc. Side-deliverable transcatheter prosthetic valves and methods for delivering and anchoring the same
US11076956B2 (en) 2019-03-14 2021-08-03 Vdyne, Inc. Proximal, distal, and anterior anchoring tabs for side-delivered transcatheter mitral valve prosthesis
WO2020227249A1 (en) 2019-05-04 2020-11-12 Vdyne, Inc. Cinch device and method for deployment of a side-delivered prosthetic heart valve in a native annulus
WO2021035032A1 (en) 2019-08-20 2021-02-25 Vdyne, Inc. Delivery and retrieval devices and methods for side-deliverable transcatheter prosthetic valves
JP2022545728A (en) 2019-08-26 2022-10-28 ブイダイン，インコーポレイテッド Transcatheter prosthetic valves capable of lateral delivery and methods for their delivery and fixation
US11234813B2 (en) 2020-01-17 2022-02-01 Vdyne, Inc. Ventricular stability elements for side-deliverable prosthetic heart valves and methods of delivery

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5551427A (en) * 1995-02-13 1996-09-03 Altman; Peter A. Implantable device for the effective elimination of cardiac arrhythmogenic sites
US20030065307A1 (en) * 1997-05-09 2003-04-03 Lesh Michael D. Device and method for forming a circumferential conduction block in a pulmonary vein
EP1790304A2 (en) * 1999-05-11 2007-05-30 Atrionix, Inc. Tissue ablation system including a balloon anchor wire
US20070293904A1 (en) * 2006-06-20 2007-12-20 Daniel Gelbart Self-powered resonant leadless pacemaker
US20140148675A1 (en) * 2012-11-27 2014-05-29 Biotronik Se & Co. Kg Detachable electrode and anchor
US20150157268A1 (en) * 2012-07-04 2015-06-11 Vectorious Medical Technologies Ltd Organ wall retention mechanism for implants
US20150164637A1 (en) * 2011-01-28 2015-06-18 Middle Peak Medical, Inc. Device, system, and method for transcatheter treatment of valve regurgitation
WO2016066180A1 (en) * 2014-10-30 2016-05-06 Osypka Stiftung Peter Transmyocardial insertion unit and its use

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5551427A (en) * 1995-02-13 1996-09-03 Altman; Peter A. Implantable device for the effective elimination of cardiac arrhythmogenic sites
US20030065307A1 (en) * 1997-05-09 2003-04-03 Lesh Michael D. Device and method for forming a circumferential conduction block in a pulmonary vein
EP1790304A2 (en) * 1999-05-11 2007-05-30 Atrionix, Inc. Tissue ablation system including a balloon anchor wire
US20070293904A1 (en) * 2006-06-20 2007-12-20 Daniel Gelbart Self-powered resonant leadless pacemaker
US20150164637A1 (en) * 2011-01-28 2015-06-18 Middle Peak Medical, Inc. Device, system, and method for transcatheter treatment of valve regurgitation
US20150157268A1 (en) * 2012-07-04 2015-06-11 Vectorious Medical Technologies Ltd Organ wall retention mechanism for implants
US20140148675A1 (en) * 2012-11-27 2014-05-29 Biotronik Se & Co. Kg Detachable electrode and anchor
WO2016066180A1 (en) * 2014-10-30 2016-05-06 Osypka Stiftung Peter Transmyocardial insertion unit and its use

Also Published As

Publication number Publication date
WO2018008019A2 (en) 2018-01-11

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