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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
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/IL2008/001645
Other languages
French (fr)
Other versions
WO2009081396A2 (en
Inventor
Amnon Zlotnick
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.)
Mor Research Applications Ltd
Original Assignee
Mor Research Applications 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 Mor Research Applications Ltd filed Critical Mor Research Applications 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
Anticipated expiration legal-status Critical
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
    • 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
    • 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
    • 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
    • A61B2017/0446—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
    • 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
    • A61B2017/048—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 Ceased 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 Ceased 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)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11766331B2 (en) 2020-05-27 2023-09-26 Politecnico Di Milano Device and assembly to repair a heart valve
US12171662B1 (en) 2023-10-26 2024-12-24 Approxima Srl Heart chamber reshaping and valve repair system

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EP1196093B1 (en) 1999-07-02 2006-06-14 Quickpass, Inc. Suturing device
JP5186366B2 (en) 2005-06-20 2013-04-17 スーチュラ，インコーポレイテッド Device for knotting sutures
JP5411125B2 (en) 2007-03-29 2014-02-12 ノーブルズ メディカル テクノロジーズ、インコーポレイテッド Suture device and system 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
EP2697721B1 (en) 2011-04-15 2019-09-18 Heartstitch, Inc. Suturing devices for suturing an anatomic valve
EP2717765A4 (en) * 2011-06-08 2015-05-06 Nader Najafi IMPLANTABLE WIRELESS SENSOR SYSTEMS
EP3395298B1 (en) 2011-06-27 2024-12-18 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
CA2900930A1 (en) * 2012-02-13 2013-08-22 Mitraspan, Inc. Method and apparatus for repairing a mitral valve
EP3597115B1 (en) 2012-05-11 2025-01-15 Heartstitch, Inc. Suturing devices for suturing an anatomic structure
EP3473189B1 (en) 2013-07-02 2024-11-20 Med-venture Investments, LLC Suturing devices for suturing an anatomic structure
EP3079602B1 (en) 2013-12-06 2020-01-22 Med-venture Investments, LLC Suturing 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
JP6717820B2 (en) 2014-12-02 2020-07-08 ４テック インコーポレイテッド Eccentric tissue anchor
CN107106747B (en) 2014-12-22 2020-12-22 赛恩泰克公司 Devices, systems and methods for anchoring to muscle tissue
CA2999513C (en) 2015-10-02 2022-03-22 Harpoon Medical, Inc. Distal anchor apparatus and methods for mitral valve repair
WO2017059426A1 (en) 2015-10-02 2017-04-06 Harpoon Medical, Inc. Distal anchor apparatus and methods for mitral valve repair
CN108289736B (en) * 2015-10-21 2020-10-16 核心医疗股份公司 Medical device 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
EP3641663B1 (en) 2017-06-19 2022-03-02 Heartstitch, Inc. Suturing systems and methods for suturing body tissue
WO2018236822A1 (en) 2017-06-19 2018-12-27 Heartstitch, Inc. SUTURE DEVICES AND METHODS OF SUTURING OPENING IN HEART APEX
EP3641699B1 (en) 2017-06-19 2023-08-30 Harpoon Medical, Inc. Apparatus for cardiac procedures
WO2019013994A1 (en) * 2017-07-10 2019-01-17 4Tech Inc. Tissue anchors with load-bearing features
WO2019035095A1 (en) 2017-08-18 2019-02-21 Nobles Medical Technologies Ii, Inc. Apparatus for applying a knot to a suture
US11786375B2 (en) 2017-09-13 2023-10-17 Mayo Foundation For Medical Education And Research Methods and devices for securing epicardial devices
CR20200141A (en) 2017-10-24 2020-08-27 Univ Maryland Method and apparatus for cardiac procedures
WO2019084102A1 (en) 2017-10-25 2019-05-02 Mayo Foundation For Medical Education And Research Devices and methods for cardiac pacing and resynchronization
WO2019195860A2 (en) 2018-04-04 2019-10-10 Vdyne, Llc Devices and methods for anchoring transcatheter heart valve
US11517435B2 (en) 2018-05-04 2022-12-06 Edwards Lifesciences Corporation Ring-based prosthetic cardiac valve
US11278437B2 (en) 2018-12-08 2022-03-22 Vdyne, Inc. Compression capable annular frames for side delivery of transcatheter heart valve replacement
US10321995B1 (en) 2018-09-20 2019-06-18 Vdyne, Llc Orthogonally delivered transcatheter heart valve replacement
US11344413B2 (en) 2018-09-20 2022-05-31 Vdyne, Inc. Transcatheter deliverable prosthetic heart valves and methods of delivery
US12186187B2 (en) 2018-09-20 2025-01-07 Vdyne, Inc. Transcatheter deliverable prosthetic heart valves and methods of delivery
US11071627B2 (en) 2018-10-18 2021-07-27 Vdyne, Inc. Orthogonally delivered transcatheter heart valve frame for valve in valve prosthesis
US10595994B1 (en) 2018-09-20 2020-03-24 Vdyne, Llc Side-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
WO2020146842A1 (en) 2019-01-10 2020-07-16 Vdyne, Llc Anchor hook for side-delivery 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
US11185409B2 (en) 2019-01-26 2021-11-30 Vdyne, Inc. Collapsible inner flow control component for side-delivered transcatheter heart valve prosthesis
WO2020167560A2 (en) 2019-02-12 2020-08-20 Edwards Lifesciences Corporation Controlled tissue anchor spacing
EP4364706B1 (en) 2019-03-05 2025-12-03 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
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AU2020334080B2 (en) 2019-08-20 2025-11-27 Vdyne, Inc. Delivery and retrieval devices and methods for side-deliverable transcatheter prosthetic valves
CN120531525A (en) 2019-08-26 2025-08-26 维迪内股份有限公司 Laterally deliverable transcatheter prosthetic valve and method for its delivery and anchoring
US11234813B2 (en) 2020-01-17 2022-02-01 Vdyne, Inc. Ventricular stability elements for side-deliverable prosthetic heart valves and methods of delivery
EP4138680B1 (en) 2020-04-22 2024-12-18 Edwards Lifesciences Corporation Controlled suture tensioning
WO2022055923A1 (en) 2020-09-10 2022-03-17 Edwards Lifesciences Corporation Closing tissue openings
US12458498B2 (en) 2021-02-10 2025-11-04 Edwards Lifesciences Corporation Implanting grafts to valve leaflets for cardiac procedures
WO2023003700A1 (en) * 2021-07-20 2023-01-26 Edwards Lifesciences Corporation Artificial chordae
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See also references of EP2231028A2 *

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11766331B2 (en) 2020-05-27 2023-09-26 Politecnico Di Milano Device and assembly to repair a heart valve
US12251310B2 (en) 2020-05-27 2025-03-18 Approxima Srl Device and assembly to repair a heart valve
US12290440B2 (en) 2020-05-27 2025-05-06 Approxima Srl Device and assembly to repair a heart valve
US12171662B1 (en) 2023-10-26 2024-12-24 Approxima Srl Heart chamber reshaping and valve repair system

Also Published As

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

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