CA2239907A1 - Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques - Google Patents
Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques Download PDFInfo
- Publication number
- CA2239907A1 CA2239907A1 CA002239907A CA2239907A CA2239907A1 CA 2239907 A1 CA2239907 A1 CA 2239907A1 CA 002239907 A CA002239907 A CA 002239907A CA 2239907 A CA2239907 A CA 2239907A CA 2239907 A1 CA2239907 A1 CA 2239907A1
- Authority
- CA
- Canada
- Prior art keywords
- holder
- handle
- heart
- valve
- annuloplasty
- 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.)
- Abandoned
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
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
- A61B2090/401—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment using air flow
-
- 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
- A61F2/2403—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 pivoting rigid closure members
-
- 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
- A61F2/2496—Devices for determining the dimensions of the prosthetic valve to be implanted, e.g. templates, sizers
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Prostheses (AREA)
- External Artificial Organs (AREA)
Abstract
L'invention concerne des dispositifs et procédés permettant de réaliser un traitement chirurgical moins invasif des valvules cardiaques, ce qui rend inutiles les thoracotomies lourdes ou les sternotomies médianes. Dans un aspect de l'invention, un système d'implantation (10) d'une prothèse de valvule cardiaque, telle qu'une bague d'annuloplastie (90) ou une valvule prothétique (262), comprend une poignée allongée (28) conçue pour s'étendre à l'intérieur du coeur à travers un espace intercostal depuis l'extérieur de la cavité pulmonaire, ainsi qu'un support de prothèse (100) fixé à la poignée, afin de tenir une prothèse de façon libérable. Le support de prothèse (100) est fixé à la poignée (28) de telle sorte que le support (100), la prothèse (90) et la poignée (28) présentent un profil dont la hauteur est inférieure à la largeur d'un espace intercostal, quand les côtes contiguës ne sont pas écartées, de préférence, moins de 30 mm. Dans un autre aspect, l'invention concerne un procédé de réparation ou de remplacement d'une valvule cardiaque, qui consiste à introduire une prothèse (262) à travers un espace intercostal et par pénétration dans une paroi cardiaque, puis à fixer la prothèse (262) à une paroi interne du coeur, ces étapes étant exécutées sans couper, supprimer ou écarter considérablement les côtes ou le sternum.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US48560095A | 1995-06-07 | 1995-06-07 | |
US08/485,600 | 1995-06-07 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2239907A1 true CA2239907A1 (fr) | 1996-12-19 |
Family
ID=23928763
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002239907A Abandoned CA2239907A1 (fr) | 1995-06-07 | 1996-05-30 | Dispositifs et procedes moins invasifs pour le traitement des valvules cardiaques |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0836423A1 (fr) |
AU (1) | AU5951996A (fr) |
CA (1) | CA2239907A1 (fr) |
WO (1) | WO1996039942A1 (fr) |
Families Citing this family (39)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1999011200A1 (fr) * | 1997-08-28 | 1999-03-11 | Alfred Edward Wood | Appareil de selection d'un epaulement de dimension appropriee pour une valvule mitrale |
SE9704261L (sv) | 1997-11-20 | 1999-05-21 | Cardia Innovation Ab | Förfarande och anordning för att skapa en väsentligen luftfri atmosfär i ett område |
US6001127A (en) * | 1998-03-31 | 1999-12-14 | St. Jude Medical, Inc. | Annuloplasty ring holder |
US6406492B1 (en) | 1999-04-08 | 2002-06-18 | Sulzer Carbomedics Inc. | Annuloplasty ring holder |
US6319280B1 (en) | 1999-08-03 | 2001-11-20 | St. Jude Medical, Inc. | Prosthetic ring holder |
US20060122633A1 (en) | 2002-06-13 | 2006-06-08 | John To | Methods and devices for termination |
US9949829B2 (en) | 2002-06-13 | 2018-04-24 | Ancora Heart, Inc. | Delivery devices and methods for heart valve repair |
US6986775B2 (en) | 2002-06-13 | 2006-01-17 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
US9226825B2 (en) | 2002-06-13 | 2016-01-05 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
US8641727B2 (en) | 2002-06-13 | 2014-02-04 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
ITTO20040135A1 (it) | 2004-03-03 | 2004-06-03 | Sorin Biomedica Cardio Spa | Protesi valvolare cardiaca |
ITTO20050074A1 (it) | 2005-02-10 | 2006-08-11 | Sorin Biomedica Cardio Srl | Protesi valvola cardiaca |
US8006535B2 (en) | 2007-07-12 | 2011-08-30 | Sorin Biomedica Cardio S.R.L. | Expandable prosthetic valve crimping device |
US9848981B2 (en) | 2007-10-12 | 2017-12-26 | Mayo Foundation For Medical Education And Research | Expandable valve prosthesis with sealing mechanism |
WO2009052427A1 (fr) | 2007-10-19 | 2009-04-23 | Guided Delivery Systems Inc. | Systèmes et procédés pour la remodélisation cardiaque |
CA2713934C (fr) | 2008-02-06 | 2015-10-20 | Guided Delivery Systems, Inc. | Tunnel de guidage a fenetres multiples |
US8096985B2 (en) | 2008-05-07 | 2012-01-17 | Guided Delivery Systems Inc. | Deflectable guide |
EP2349019B1 (fr) | 2008-10-10 | 2020-03-25 | Ancora Heart, Inc. | Dispositifs d'arrêt et procédés associés |
EP2201911B1 (fr) | 2008-12-23 | 2015-09-30 | Sorin Group Italia S.r.l. | Valve prothétique extensible dotée d'appendices d'ancrage |
WO2010085456A1 (fr) | 2009-01-20 | 2010-07-29 | Guided Delivery Systems Inc. | Dispositifs de déploiement d'ancrage et procédés apparentés |
US9028544B2 (en) | 2009-02-06 | 2015-05-12 | St. Jude Medical, Inc. | Robotic heart valve annulus sizer |
US8715207B2 (en) | 2009-03-19 | 2014-05-06 | Sorin Group Italia S.R.L. | Universal valve annulus sizing device |
US20100262043A1 (en) | 2009-03-26 | 2010-10-14 | Sorin Group Usa, Inc. | Annuloplasty sizers for minimally invasive procedures |
IT1400327B1 (it) | 2010-05-21 | 2013-05-24 | Sorin Biomedica Cardio Srl | Dispositivo di supporto per protesi valvolari e corrispondente corredo. |
WO2012031204A2 (fr) | 2010-09-03 | 2012-03-08 | Guided Delivery Systems Inc. | Dispositifs et procédés d'ancrage de tissu |
EP2486894B1 (fr) | 2011-02-14 | 2021-06-09 | Sorin Group Italia S.r.l. | Dispositif d'ancrage sans suture pour prothèses valvulaires cardiaques |
EP2486893B1 (fr) | 2011-02-14 | 2017-07-05 | Sorin Group Italia S.r.l. | Dispositif d'ancrage sans suture pour prothèses valvulaires cardiaques |
WO2012112967A1 (fr) | 2011-02-18 | 2012-08-23 | Guided Delivery Systems Inc. | Systèmes et procédés pour attaches à rigidité variable |
WO2012161769A1 (fr) | 2011-02-18 | 2012-11-29 | Guided Delivery Systems Inc. | Dispositif d'extraction d'implant |
WO2013159019A1 (fr) * | 2012-04-20 | 2013-10-24 | Surgitools Usa Llc | Systèmes, dispositifs et procédés de support d'un instrument médical repositionnable |
US10058321B2 (en) | 2015-03-05 | 2018-08-28 | Ancora Heart, Inc. | Devices and methods of visualizing and determining depth of penetration in cardiac tissue |
EP3294218B1 (fr) | 2015-05-12 | 2022-02-09 | Ancora Heart, Inc. | Dispositif de libération de cathéters à partir de structures cardiaques |
CA3043891A1 (fr) | 2016-11-18 | 2018-05-24 | Ancora Heart, Inc. | Dispositif et procedes de partage de charge d'implant myocardique pour favoriser une fonction lv |
JP7074929B2 (ja) | 2018-05-23 | 2022-05-24 | コーシム・ソチエタ・ア・レスポンサビリタ・リミタータ | 心臓弁プロテーゼ用ホルダ、心臓弁プロテーゼ用収納装置、ならびに圧着キットおよび方法 |
EP3796874A1 (fr) | 2018-05-23 | 2021-03-31 | Sorin Group Italia S.r.l. | Système de chargement pour prothèse implantable et procédé de chargement associé |
CA3101165A1 (fr) | 2018-05-23 | 2019-11-28 | Sorin Group Italia S.R.L. | Prothese de valvule cardiaque |
EP3852684A1 (fr) * | 2018-11-01 | 2021-07-28 | Edwards Lifesciences Corporation | Ensemble anneau d'annuloplastie muni d'une poignée détachable |
CN114727830A (zh) | 2019-07-15 | 2022-07-08 | 复心公司 | 系绳切割装置和方法 |
US20210386324A1 (en) * | 2020-06-11 | 2021-12-16 | Lsi Solutions, Inc. | Surgical sizer sound |
Family Cites Families (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4196966A (en) | 1978-05-01 | 1980-04-08 | Malis Leonard I | Binocular magnification system |
US4836188A (en) | 1986-05-06 | 1989-06-06 | Berry Yale J | Instrument for illuminated sterescopic viewing of body cavities |
CA1303298C (fr) | 1986-08-06 | 1992-06-16 | Alain Carpentier | Prothese souple pour soutenir les valvules cardiaques |
US4807987A (en) | 1986-10-27 | 1989-02-28 | Bastable David E | Deep cavity binocular loupe |
US4960424A (en) * | 1988-06-30 | 1990-10-02 | Grooters Ronald K | Method of replacing a defective atrio-ventricular valve with a total atrio-ventricular valve bioprosthesis |
US4917698A (en) | 1988-12-22 | 1990-04-17 | Baxter International Inc. | Multi-segmented annuloplasty ring prosthesis |
JP3174883B2 (ja) | 1989-02-13 | 2001-06-11 | バクスター インターナショナル インコーポレーテッド | 選択的に可撓性の弁輪形成リング |
US5041130A (en) | 1989-07-31 | 1991-08-20 | Baxter International Inc. | Flexible annuloplasty ring and holder |
US5290300A (en) | 1989-07-31 | 1994-03-01 | Baxter International Inc. | Flexible suture guide and holder |
US5350420A (en) | 1989-07-31 | 1994-09-27 | Baxter International Inc. | Flexible annuloplasty ring and holder |
US5271385A (en) * | 1990-03-29 | 1993-12-21 | United States Surgical Corporation | Abdominal cavity organ retractor |
US5064431A (en) | 1991-01-16 | 1991-11-12 | St. Jude Medical Incorporated | Annuloplasty ring |
US5201880A (en) | 1992-01-27 | 1993-04-13 | Pioneering Technologies, Inc. | Mitral and tricuspid annuloplasty rings |
US5403305A (en) | 1993-04-08 | 1995-04-04 | Carbomedics, Inc. | Mitral valve prosthesis rotator |
US8194946B2 (en) | 2005-07-28 | 2012-06-05 | Fujifilm Corporation | Aligning apparatus, aligning method, and the program |
JP4869762B2 (ja) | 2006-03-31 | 2012-02-08 | 大成化工株式会社 | 塗布容器 |
US8227366B2 (en) | 2009-06-01 | 2012-07-24 | Uop Llc | Alkylation system including a catalyst regeneration zone, and a process relating thereto |
FR2946792A1 (fr) | 2009-06-10 | 2010-12-17 | Areva T & D Sa | Enroulement pour contact d'ampoule a vide a moyenne tension a endurance amelioree, ampoule a vide et disjoncteur, tel qu'un disjoncteur sectionneur d'alternateur associes. |
-
1996
- 1996-05-30 EP EP96916756A patent/EP0836423A1/fr not_active Withdrawn
- 1996-05-30 WO PCT/US1996/007970 patent/WO1996039942A1/fr not_active Application Discontinuation
- 1996-05-30 CA CA002239907A patent/CA2239907A1/fr not_active Abandoned
- 1996-05-30 AU AU59519/96A patent/AU5951996A/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
WO1996039942A1 (fr) | 1996-12-19 |
EP0836423A1 (fr) | 1998-04-22 |
AU5951996A (en) | 1996-12-30 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
FZDE | Dead |