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WO2012018779A3 - Valvule extensible et son procédé d'utilisation - Google Patents

Valvule extensible et son procédé d'utilisation Download PDF

Info

Publication number
WO2012018779A3
WO2012018779A3 PCT/US2011/046216 US2011046216W WO2012018779A3 WO 2012018779 A3 WO2012018779 A3 WO 2012018779A3 US 2011046216 W US2011046216 W US 2011046216W WO 2012018779 A3 WO2012018779 A3 WO 2012018779A3
Authority
WO
WIPO (PCT)
Prior art keywords
expandable
valve
stent
attached
sutured
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/US2011/046216
Other languages
English (en)
Other versions
WO2012018779A2 (fr
Inventor
James Lock
Jesse Lock
Doff Mcelhinney
Pedro J. Del Nido
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.)
Boston Childrens Hospital
Original Assignee
Boston Childrens Hospital
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 Boston Childrens Hospital filed Critical Boston Childrens Hospital
Publication of WO2012018779A2 publication Critical patent/WO2012018779A2/fr
Publication of WO2012018779A3 publication Critical patent/WO2012018779A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

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
    • A61F2/2412—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
    • A61F2/2418—Scaffolds therefor, e.g. support stents
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
    • 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
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/001—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a diameter

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Les procédés et appareils faisant l'objet de l'invention se rapportent à une valvule extensible qui peut être implantée dans le corps, par exemple à une position semi-lunaire du cœur. La valvule peut comprendre une structure de valvule extensible située autour d'un certain nombre de valves de valvule et peut être implantée chez de jeunes patients. Le diamètre de la structure de valvule extensible peut augmenter de manière appropriée afin de s'adapter à la croissance des patients, la valvule s'étirant en même temps que la structure de valvule. Selon certains modes de réalisation, une valvule extensible se trouve dans une endoprothèse vasculaire recouverte qui présente des manchons extensibles fixés aux extrémités opposées de l'endoprothèse vasculaire. Les manchons extensibles du dispositif peuvent être fixés chirurgicalement à des zones distinctes du tissu afin d'assurer une communication fluidique entre les zones du tissu. Selon un mode de réalisation, un manchon extensible fixé à une extrémité d'une endoprothèse vasculaire est suturé à une paroi extérieure d'un ventricule droit, et un manchon extensible fixé à l'extrémité opposée de l'endoprothèse vasculaire est suturé à une paroi extérieure de l'artère pulmonaire principale, ce qui crée un passage pour la circulation du fluide (c'est-à-dire du sang) entre le ventricule droit et l'artère pulmonaire principale, par l'intermédiaire de la valvule. Le dispositif implantable peut être extensible afin de s'adapter à la croissance des jeunes patients. Dans certains cas, la forme du dispositif peut être modifiée pour permettre le placement du conduit de valvule extensible à l'intérieur du corps.
PCT/US2011/046216 2010-08-02 2011-08-02 Valvule extensible et son procédé d'utilisation Ceased WO2012018779A2 (fr)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US36977510P 2010-08-02 2010-08-02
US61/369,775 2010-08-02
US39072510P 2010-10-07 2010-10-07
US61/390,725 2010-10-07
US41220910P 2010-11-10 2010-11-10
US61/412,209 2010-11-10

Publications (2)

Publication Number Publication Date
WO2012018779A2 WO2012018779A2 (fr) 2012-02-09
WO2012018779A3 true WO2012018779A3 (fr) 2012-05-10

Family

ID=45560019

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2011/046216 Ceased WO2012018779A2 (fr) 2010-08-02 2011-08-02 Valvule extensible et son procédé d'utilisation

Country Status (1)

Country Link
WO (1) WO2012018779A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
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CN110831547B (zh) * 2017-06-21 2022-07-15 爱德华兹生命科学公司 双丝型件有限扩张心脏瓣膜

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AU2012290221B2 (en) 2011-07-29 2017-02-23 Carnegie Mellon University Artificial valved conduits for cardiac reconstructive procedures and methods for their production
US10543085B2 (en) 2012-12-31 2020-01-28 Edwards Lifesciences Corporation One-piece heart valve stents adapted for post-implant expansion
CN104884001B (zh) * 2012-12-31 2018-06-22 爱德华兹生命科学公司 植入后可扩展的外科心脏瓣膜构造
CN111772877A (zh) 2013-03-08 2020-10-16 卡内基梅隆大学 可扩展的可植入导管
US10441415B2 (en) * 2013-09-20 2019-10-15 Edwards Lifesciences Corporation Heart valves with increased effective orifice area
EP2853237A1 (fr) * 2013-09-25 2015-04-01 Universität Zürich Remplacement de valvule cardiaque biologique, en particulier pour des patients pédiatriques et procédé de fabrication
WO2015081175A1 (fr) 2013-11-26 2015-06-04 Children's Medical Center Corporation Valve d'endoprothèse extensible
CA2914094C (fr) * 2014-06-20 2021-01-05 Edwards Lifesciences Corporation Valvules cardiaques identifiables apres la mise en place
USD867594S1 (en) 2015-06-19 2019-11-19 Edwards Lifesciences Corporation Prosthetic heart valve
US10507101B2 (en) 2014-10-13 2019-12-17 W. L. Gore & Associates, Inc. Valved conduit
CA2989437C (fr) 2015-07-02 2023-08-08 Edwards Lifesciences Corporation Valvules cardiaques hybrides adaptees a dilatation post-implantation
US10080653B2 (en) 2015-09-10 2018-09-25 Edwards Lifesciences Corporation Limited expansion heart valve
US11000370B2 (en) 2016-03-02 2021-05-11 Peca Labs, Inc. Expandable implantable conduit
US10631979B2 (en) 2016-10-10 2020-04-28 Peca Labs, Inc. Transcatheter stent and valve assembly
WO2018148714A1 (fr) * 2017-02-13 2018-08-16 Regents Of The University Minnesota Conduit de fluide présentant une expansibilité circonférentielle améliorée
US11523940B2 (en) 2017-03-17 2022-12-13 W. L. Gore & Associates, Inc. Delivery aids for glaucoma shunts
WO2019060533A1 (fr) * 2017-09-21 2019-03-28 The Cleveland Clinic Foundation Appareil de stent à dilatation progressive et procédé
AU2018362080B2 (en) 2017-10-31 2021-09-30 Edwards Lifesciences Corporation Valved conduit
US10966826B2 (en) 2017-11-16 2021-04-06 Children's Medical Center Corporation Geometrically-accommodating heart valve replacement device
US11071626B2 (en) 2018-03-16 2021-07-27 W. L. Gore & Associates, Inc. Diametric expansion features for prosthetic valves
EP3556323B1 (fr) * 2018-04-18 2023-07-19 St. Jude Medical, Cardiology Division, Inc. Valve cardiaque prothétique
JP7100718B2 (ja) * 2018-06-11 2022-07-13 ダブリュ．エル．ゴア アンド アソシエイツ，インコーポレイティド 生体内調節機構、並びに関連システム
USD944398S1 (en) 2018-06-13 2022-02-22 Edwards Lifesciences Corporation Expanded heart valve stent
CN112996468B (zh) 2018-08-29 2025-03-18 W.L.戈尔及同仁股份有限公司 药物治疗递送系统和方法
USD977642S1 (en) 2018-10-29 2023-02-07 W. L. Gore & Associates, Inc. Pulmonary valve conduit
US11678983B2 (en) 2018-12-12 2023-06-20 W. L. Gore & Associates, Inc. Implantable component with socket
EP3920848A1 (fr) * 2019-02-04 2021-12-15 Edwards Lifesciences Corporation Valvules cardiaques régénératrices renforcées
US11559415B2 (en) 2019-03-26 2023-01-24 Edwards Lifesciences Corporation Radially self-expanding stents
AU2020267416B2 (en) * 2019-05-06 2023-11-02 Edwards Lifesciences Corporation Valved conduit with expandable frame
US11382741B2 (en) * 2019-12-18 2022-07-12 St. Jude Medical, Cardiology Division, Inc. Devices and methods for surgical valve expansion
CN115300177B (zh) * 2021-09-16 2024-06-11 武汉创而研之科技发展有限公司 一种新型带可降解单瓣叶的术中支架
CN115813607A (zh) * 2021-11-15 2023-03-21 南京圣德医疗科技有限公司 一种自膨式生物瓣膜
EP4480451A4 (fr) * 2022-02-15 2025-09-24 Beijing Balance Medical Tech Co Ltd Valvule cardiaque biologique artificielle expansible à limitation unidirectionnelle
US11969342B2 (en) 2022-08-03 2024-04-30 The Children's Medical Center Corporation Geometrically-accommodating heart valve replacement device

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US5469868A (en) * 1992-02-12 1995-11-28 Reger Medical Inc. Method of making an artificial heart valve stent
WO2002049540A2 (fr) * 2000-12-21 2002-06-27 The Cleveland Clinic Foundation Systeme de valve cardio-vasculaire bioprothetique
US20040030381A1 (en) * 2002-07-16 2004-02-12 Shu Mark C.S. Heart valve prosthesis
US20060195184A1 (en) * 2005-02-28 2006-08-31 Ernest Lane Conformable prosthesis for implanting two-piece heart valves and methods for using them

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5469868A (en) * 1992-02-12 1995-11-28 Reger Medical Inc. Method of making an artificial heart valve stent
WO2002049540A2 (fr) * 2000-12-21 2002-06-27 The Cleveland Clinic Foundation Systeme de valve cardio-vasculaire bioprothetique
US20040030381A1 (en) * 2002-07-16 2004-02-12 Shu Mark C.S. Heart valve prosthesis
US20060195184A1 (en) * 2005-02-28 2006-08-31 Ernest Lane Conformable prosthesis for implanting two-piece heart valves and methods for using them

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110831547B (zh) * 2017-06-21 2022-07-15 爱德华兹生命科学公司 双丝型件有限扩张心脏瓣膜

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