CA2710360A1 - Dispositif et procede de reduction de taille de valve cardiaque - Google Patents
Dispositif et procede de reduction de taille de valve cardiaque Download PDFInfo
- Publication number
- CA2710360A1 CA2710360A1 CA2710360A CA2710360A CA2710360A1 CA 2710360 A1 CA2710360 A1 CA 2710360A1 CA 2710360 A CA2710360 A CA 2710360A CA 2710360 A CA2710360 A CA 2710360A CA 2710360 A1 CA2710360 A1 CA 2710360A1
- Authority
- CA
- Canada
- Prior art keywords
- valve
- medical device
- downsizing
- heart
- annulus
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
Links
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- 238000000034 method Methods 0.000 title claims description 101
- 239000007943 implant Substances 0.000 claims abstract description 48
- 238000003780 insertion Methods 0.000 claims abstract description 44
- 230000037431 insertion Effects 0.000 claims abstract description 44
- 210000002216 heart Anatomy 0.000 claims description 75
- 210000001519 tissue Anatomy 0.000 claims description 41
- 210000004165 myocardium Anatomy 0.000 claims description 29
- 230000008439 repair process Effects 0.000 claims description 28
- 210000003484 anatomy Anatomy 0.000 claims description 12
- 230000002950 deficient Effects 0.000 claims description 9
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- 230000000694 effects Effects 0.000 claims description 7
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- 210000002837 heart atrium Anatomy 0.000 claims description 5
- 230000007704 transition Effects 0.000 claims description 4
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- 210000004115 mitral valve Anatomy 0.000 description 48
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- 230000002861 ventricular Effects 0.000 description 14
- 210000003540 papillary muscle Anatomy 0.000 description 13
- 210000000591 tricuspid valve Anatomy 0.000 description 13
- 230000006870 function Effects 0.000 description 11
- 210000005240 left ventricle Anatomy 0.000 description 11
- ORQBXQOJMQIAOY-UHFFFAOYSA-N nobelium Chemical compound [No] ORQBXQOJMQIAOY-UHFFFAOYSA-N 0.000 description 11
- 206010027727 Mitral valve incompetence Diseases 0.000 description 9
- 210000003748 coronary sinus Anatomy 0.000 description 8
- 229920001746 electroactive polymer Polymers 0.000 description 8
- 230000001419 dependent effect Effects 0.000 description 7
- 238000002513 implantation Methods 0.000 description 7
- CNQCVBJFEGMYDW-UHFFFAOYSA-N lawrencium atom Chemical compound [Lr] CNQCVBJFEGMYDW-UHFFFAOYSA-N 0.000 description 7
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- 206010002329 Aneurysm Diseases 0.000 description 1
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- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
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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
- A61F2/2442—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
-
- 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
- A61F2/2442—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
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
-
- 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
- A61F2/2409—Support rings therefor, e.g. for connecting valves to tissue
-
- 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
- A61F2/2442—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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0091—Three-dimensional shapes helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgery (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Reproductive Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biophysics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
La présente invention concerne un dispositif destiné à réparer une valve cardiaque, lequel dispositif représente un dispositif médical (10). Le dispositif médical (10) comporte un élément permettant de réduire la taille de l'anneau lors de l'insertion et de permettre aux feuillets de s'ouvrir et de se fermer correctement. Le dispositif médical (10) assure une réduction de taille temporaire ou permanente de la valve cardiaque. Dans des modes de réalisation, un implant d'annuloplastie et/ou une prothèse de valve cardiaque sont fixés de manière amovible au dispositif médical en vue d'une insertion dans l'anneau et d'une fixation permanente de ce dernier dans une forme souhaitée.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CA2954826A CA2954826C (fr) | 2007-12-21 | 2008-12-20 | Dispositif de reduction de taille de valve cardiaque |
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US1633107P | 2007-12-21 | 2007-12-21 | |
| EP07124048.5 | 2007-12-21 | ||
| US61/016,331 | 2007-12-21 | ||
| EP07124048.5A EP2072027B1 (fr) | 2007-12-21 | 2007-12-21 | dispositif pré-annuloplastique et méthode |
| PCT/EP2008/068126 WO2009080801A1 (fr) | 2007-12-21 | 2008-12-20 | Dispositif et procédé de réduction de taille de valve cardiaque |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2954826A Division CA2954826C (fr) | 2007-12-21 | 2008-12-20 | Dispositif de reduction de taille de valve cardiaque |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2710360A1 true CA2710360A1 (fr) | 2009-07-02 |
| CA2710360C CA2710360C (fr) | 2017-02-21 |
Family
ID=39398927
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2710360A Active CA2710360C (fr) | 2007-12-21 | 2008-12-20 | Dispositif et procede de reduction de taille de valve cardiaque |
| CA2954826A Active CA2954826C (fr) | 2007-12-21 | 2008-12-20 | Dispositif de reduction de taille de valve cardiaque |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2954826A Active CA2954826C (fr) | 2007-12-21 | 2008-12-20 | Dispositif de reduction de taille de valve cardiaque |
Country Status (12)
| Country | Link |
|---|---|
| US (6) | US9867702B2 (fr) |
| EP (3) | EP2072027B1 (fr) |
| JP (2) | JP5518735B2 (fr) |
| KR (1) | KR20100120123A (fr) |
| CN (1) | CN102131479B (fr) |
| AU (2) | AU2008339967B2 (fr) |
| BR (1) | BRPI0820603B8 (fr) |
| CA (2) | CA2710360C (fr) |
| MX (1) | MX2010006969A (fr) |
| RU (1) | RU2491035C2 (fr) |
| WO (1) | WO2009080801A1 (fr) |
| ZA (1) | ZA201004285B (fr) |
Families Citing this family (152)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8784483B2 (en) * | 2007-11-19 | 2014-07-22 | The Cleveland Clinic Foundation | Apparatus and method for treating a regurgitant heart valve |
| EP2072027B1 (fr) * | 2007-12-21 | 2020-06-17 | Medtentia International Ltd Oy | dispositif pré-annuloplastique et méthode |
| US8323335B2 (en) | 2008-06-20 | 2012-12-04 | Edwards Lifesciences Corporation | Retaining mechanisms for prosthetic valves and methods for using |
| US20100100174A1 (en) * | 2008-09-15 | 2010-04-22 | Gurskis Donnell W | Tools, systems, and methods for remodeling tissue |
| US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
| US8870950B2 (en) | 2009-12-08 | 2014-10-28 | Mitral Tech Ltd. | Rotation-based anchoring of an implant |
| PT3335670T (pt) | 2010-03-05 | 2022-07-27 | Edwards Lifesciences Corp | Mecanismos de retenção para válvulas protéticas |
| WO2011111047A2 (fr) | 2010-03-10 | 2011-09-15 | Mitraltech Ltd. | Valvule mitrale prothétique avec ancrages de tissus |
| SE535140C2 (sv) * | 2010-03-25 | 2012-04-24 | Jan Otto Solem | En implanterbar anordning, kit och system för förbättring av hjärtfunktionen, innefattande medel för generering av longitudinell rörelse av mitralisklaffen |
| US8579964B2 (en) | 2010-05-05 | 2013-11-12 | Neovasc Inc. | Transcatheter mitral valve prosthesis |
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2007
- 2007-12-21 EP EP07124048.5A patent/EP2072027B1/fr not_active Revoked
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2008
- 2008-12-20 BR BRPI0820603A patent/BRPI0820603B8/pt not_active IP Right Cessation
- 2008-12-20 CN CN200880127390.1A patent/CN102131479B/zh not_active Expired - Fee Related
- 2008-12-20 AU AU2008339967A patent/AU2008339967B2/en not_active Ceased
- 2008-12-20 EP EP16157851.3A patent/EP3042636A1/fr active Pending
- 2008-12-20 CA CA2710360A patent/CA2710360C/fr active Active
- 2008-12-20 MX MX2010006969A patent/MX2010006969A/es active IP Right Grant
- 2008-12-20 EP EP08865711.9A patent/EP2222248B1/fr not_active Revoked
- 2008-12-20 US US12/808,174 patent/US9867702B2/en active Active
- 2008-12-20 RU RU2010130470/14A patent/RU2491035C2/ru not_active IP Right Cessation
- 2008-12-20 CA CA2954826A patent/CA2954826C/fr active Active
- 2008-12-20 JP JP2010538784A patent/JP5518735B2/ja active Active
- 2008-12-20 WO PCT/EP2008/068126 patent/WO2009080801A1/fr not_active Ceased
- 2008-12-20 KR KR1020107016394A patent/KR20100120123A/ko not_active Withdrawn
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2010
- 2010-06-17 ZA ZA2010/04285A patent/ZA201004285B/en unknown
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2014
- 2014-04-02 JP JP2014076336A patent/JP5844406B2/ja active Active
- 2014-09-10 AU AU2014221325A patent/AU2014221325B2/en not_active Ceased
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2017
- 2017-12-11 US US15/838,265 patent/US20180214268A1/en not_active Abandoned
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2021
- 2021-02-06 US US17/169,456 patent/US11865001B2/en active Active
- 2021-05-01 US US17/246,640 patent/US11337809B2/en active Active
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2023
- 2023-12-20 US US18/390,851 patent/US20240115385A1/en not_active Abandoned
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2025
- 2025-05-21 US US19/214,168 patent/US20250331988A1/en active Pending
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