[go: up one dir, main page]

WO2007100268A3 - Catheter based mitral valve repair method and apparatus - Google Patents

Catheter based mitral valve repair method and apparatus Download PDF

Info

Publication number
WO2007100268A3
WO2007100268A3 PCT/RS2007/000006 RS2007000006W WO2007100268A3 WO 2007100268 A3 WO2007100268 A3 WO 2007100268A3 RS 2007000006 W RS2007000006 W RS 2007000006W WO 2007100268 A3 WO2007100268 A3 WO 2007100268A3
Authority
WO
WIPO (PCT)
Prior art keywords
leaflet
suture
implant
catheter
onto
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.)
Ceased
Application number
PCT/RS2007/000006
Other languages
French (fr)
Other versions
WO2007100268B1 (en
WO2007100268A2 (en
Inventor
Uros Babic
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to EP07709280A priority Critical patent/EP2023822A2/en
Publication of WO2007100268A2 publication Critical patent/WO2007100268A2/en
Anticipated expiration legal-status Critical
Publication of WO2007100268A3 publication Critical patent/WO2007100268A3/en
Publication of WO2007100268B1 publication Critical patent/WO2007100268B1/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods 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
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • A61B2017/00783—Valvuloplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0404—Buttons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0406—Pledgets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0474—Knot pushers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • 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
    • A61F2/2463—Implants forming part of the valve leaflets

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Medical Informatics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

Method and devices including novel suture composition, catheter type suture transporters, pushers -and tying instruments, implant-pledget for anchoring onto the mitral leaflet, myocardial free wall entry site occluder, and technique for catheter based treatment of mitral regurgitation are presented. In one embodiment, a leaflet tension apparatus is implanted to adjust the systolic leaflet amplitude excursion. A continuous guiding suture track is created from the direct left ventricular puncture site through one or two puncture sites of the leaflet (1114) via the transseptal catheter and femoral vein; a pledget-implant (84) is apposed onto the exteriorized distal (venous) suture end via its integrated suture part and is anchored onto the atrial leaflet surface (11141) by retracting the guiding suture from the epicardial end. Silicon tube (70) is interposed between the leaflet and the free myocardial wall (1113) covering the implant's integrated sutures (841) which are directed through the free myocardial wall oclluder (90) and secured to its epicardial segment by an adjustable knot (9021x841) so as to keep the leaflet at the wanted distance during systole whilst the valve opening remains unhindered.
PCT/RS2007/000006 2006-03-02 2007-02-26 Catheter based mitral valve repair method and apparatus Ceased WO2007100268A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP07709280A EP2023822A2 (en) 2006-03-02 2007-02-26 Catheter based mitral valve repair method and apparatus

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
RSP-06/0147 2006-03-02
RSP20060147 2006-03-02

Publications (3)

Publication Number Publication Date
WO2007100268A2 WO2007100268A2 (en) 2007-09-07
WO2007100268A3 true WO2007100268A3 (en) 2008-10-02
WO2007100268B1 WO2007100268B1 (en) 2008-11-13

Family

ID=38459455

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/RS2007/000006 Ceased WO2007100268A2 (en) 2006-03-02 2007-02-26 Catheter based mitral valve repair method and apparatus

Country Status (3)

Country Link
EP (1) EP2023822A2 (en)
RS (1) RS20060147A (en)
WO (1) WO2007100268A2 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US10864080B2 (en) 2015-10-02 2020-12-15 Harpoon Medical, Inc. Distal anchor apparatus and methods for mitral valve repair
US11065120B2 (en) 2017-10-24 2021-07-20 University Of Maryland, Baltimore Method and apparatus for cardiac procedures
US11517435B2 (en) 2018-05-04 2022-12-06 Edwards Lifesciences Corporation Ring-based prosthetic cardiac valve
US12201525B2 (en) 2015-10-02 2025-01-21 Harpoon Medical, Inc. Tissue anchor deployment

Families Citing this family (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3120811A3 (en) * 2009-09-17 2017-04-19 Abbott Vascular Methods, systems and devices for cardiac valve repair
EP2723277B1 (en) * 2011-06-27 2018-05-30 University of Maryland, Baltimore Transapical mitral valve repair device
US9681864B1 (en) 2014-01-03 2017-06-20 Harpoon Medical, Inc. Method and apparatus for transapical procedures on a mitral valve
WO2016126699A1 (en) 2015-02-02 2016-08-11 On-X Life Technologies, Inc. Rapid deployment artificial chordae tendinae system
WO2017066888A1 (en) * 2015-10-21 2017-04-27 Coremedic Ag Medical implant and method for heart valve repair
JP7002466B2 (en) 2015-12-30 2022-01-20 パイプライン メディカル テクノロジーズ，インコーポレイティド Mitral valve binding
WO2017210434A1 (en) 2016-06-01 2017-12-07 On-X Life Technologies, Inc. Pull-through chordae tendineae system
US9877833B1 (en) 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US11083580B2 (en) 2016-12-30 2021-08-10 Pipeline Medical Technologies, Inc. Method of securing a leaflet anchor to a mitral valve leaflet
US12472062B2 (en) 2016-12-30 2025-11-18 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
US10925731B2 (en) 2016-12-30 2021-02-23 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
CA3065223C (en) 2017-06-19 2024-05-07 Harpoon Medical, Inc. Method and apparatus for cardiac procedures
US10709443B2 (en) * 2018-03-01 2020-07-14 Durastat Llc Devices and methods for suture placement
CN110269725B (en) * 2018-03-15 2022-07-26 杭州德晋医疗科技有限公司 Artificial chordae tendineae capable of being developed
EP3796876B1 (en) 2018-05-22 2022-07-27 Boston Scientific Scimed, Inc. Percutaneous papillary muscle relocation
US11224418B2 (en) 2018-06-15 2022-01-18 Edwards Lifesciences Corporation Papillary muscle approximation pads
CN108904102B (en) * 2018-07-19 2023-12-12 上海诺强医疗科技有限公司 Transcatheter mitral valve systole system and method of use thereof
EP3893810A4 (en) 2018-12-12 2022-12-14 Pipeline Medical Technologies, Inc. METHOD AND DEVICE FOR REPAIRING MITRAL VALVE TENDONS
EP3923826A2 (en) 2019-02-12 2021-12-22 Edwards Lifesciences Corporation Controlled tissue anchor spacing
CN114430674B (en) * 2019-07-04 2025-08-29 堤乐哈修门医学研究基础建设及服务有限公司 Chordal replacement devices and methods
CN113729885B (en) * 2019-12-02 2023-01-20 北京领健医疗科技有限公司 Puncture needle, coupler, guide device and repair instrument
CN115666412A (en) 2020-04-22 2023-01-31 爱德华兹生命科学公司 Controlled suture tensioning
JP7701390B2 (en) 2020-06-17 2025-07-01 パイプライン メディカル テクノロジーズ， インコーポレイテッド Methods and devices for mitral valve chordae repair
US12029413B2 (en) * 2020-06-30 2024-07-09 Neurotect LLC Knotless sutures and anchoring clip for knotless sutures
WO2022055923A1 (en) 2020-09-10 2022-03-17 Edwards Lifesciences Corporation Closing tissue openings
CN114652364B (en) * 2020-12-23 2024-09-20 杭州德晋医疗科技有限公司 Implant, transcatheter wire locking device and wire locking method
US12458498B2 (en) 2021-02-10 2025-11-04 Edwards Lifesciences Corporation Implanting grafts to valve leaflets for cardiac procedures

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010025171A1 (en) * 1998-07-29 2001-09-27 Myocor, Inc. Transventricular implant tools and devices

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010025171A1 (en) * 1998-07-29 2001-09-27 Myocor, Inc. Transventricular implant tools and devices

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10864080B2 (en) 2015-10-02 2020-12-15 Harpoon Medical, Inc. Distal anchor apparatus and methods for mitral valve repair
US11672662B2 (en) 2015-10-02 2023-06-13 Harpoon Medical, Inc. Short-throw tissue anchor deployment
US12201525B2 (en) 2015-10-02 2025-01-21 Harpoon Medical, Inc. Tissue anchor deployment
US10624743B2 (en) 2016-04-22 2020-04-21 Edwards Lifesciences Corporation Beating-heart mitral valve chordae replacement
US11529233B2 (en) 2016-04-22 2022-12-20 Edwards Lifesciences Corporation Beating-heart mitral valve chordae replacement
US12295844B2 (en) 2016-04-22 2025-05-13 Edwards Lifesciences Corporation Artificial chordae deployment
US10765515B2 (en) 2017-04-06 2020-09-08 University Of Maryland, Baltimore Distal anchor apparatus and methods for mitral valve repair
US11944540B2 (en) 2017-04-06 2024-04-02 University Of Maryland, Baltimore Delivery devices for forming a distal anchor for mitral valve repair
US11065120B2 (en) 2017-10-24 2021-07-20 University Of Maryland, Baltimore Method and apparatus for cardiac procedures
US11833048B2 (en) 2017-10-24 2023-12-05 Harpoon Medical, Inc. Method and apparatus for cardiac procedures
US11517435B2 (en) 2018-05-04 2022-12-06 Edwards Lifesciences Corporation Ring-based prosthetic cardiac valve

Also Published As

Publication number Publication date
EP2023822A2 (en) 2009-02-18
WO2007100268B1 (en) 2008-11-13
RS20060147A (en) 2008-04-04
WO2007100268A2 (en) 2007-09-07

Similar Documents

Publication Publication Date Title
WO2007100268A3 (en) Catheter based mitral valve repair method and apparatus
US20230157821A1 (en) Inflatable Transcatheter Intracardiac Devices and Methods For Treating Incompetent Atrioventricular Valves
US12426890B2 (en) Systems for tissue grasping and assessment
US11045183B2 (en) Adjustable tether and epicardial pad system for prosthetic heart valve
US10314586B2 (en) Rotatable device and method for fixing tricuspid valve tissue
US8790394B2 (en) Adjustable artificial chordeae tendineae with suture loops
US8778016B2 (en) Method and apparatus for repairing or replacing chordae tendinae
JP5124274B2 (en) Method and apparatus for grasping and evaluating tissue
CA2597066C (en) Methods, systems and devices for cardiac valve repair
US7083628B2 (en) Single catheter mitral valve repair device and method for use
US7871368B2 (en) Apparatus, system, and method for applying and adjusting a tensioning element to a hollow body organ
US7381210B2 (en) Mitral valve repair system and method for use
US20130338764A1 (en) Methods, systems and devices for cardiac valve repair
US20100298929A1 (en) Methods, systems and devices for cardiac valve repair
US20090043381A1 (en) Atrioventricular valve annulus repair systems and methods including retro-chordal anchors
CN110582251A (en) Papillary muscle bundle
CA2822801A1 (en) Methods, systems and devices for cardiac valve repair
CN214387783U (en) Repair system for preventing valve regurgitation
CN114081670A (en) Repair system for preventing valve regurgitation
Laing et al. Beating-heart mitral valve chordal replacement

Legal Events

Date Code Title Description
NENP Non-entry into the national phase

Ref country code: DE

WWE Wipo information: entry into national phase

Ref document number: 2007709280

Country of ref document: EP

121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 07709280

Country of ref document: EP

Kind code of ref document: A2