JP2018126602A - 心臓弁の修復および置換 - Google Patents
心臓弁の修復および置換 Download PDFInfo
- Publication number
- JP2018126602A JP2018126602A JP2018096010A JP2018096010A JP2018126602A JP 2018126602 A JP2018126602 A JP 2018126602A JP 2018096010 A JP2018096010 A JP 2018096010A JP 2018096010 A JP2018096010 A JP 2018096010A JP 2018126602 A JP2018126602 A JP 2018126602A
- Authority
- JP
- Japan
- Prior art keywords
- anchor
- spring
- loop
- housing
- tissue
- 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
- 210000003709 heart valve Anatomy 0.000 title abstract description 17
- 230000008439 repair process Effects 0.000 title abstract description 13
- 239000000463 material Substances 0.000 claims abstract description 142
- 238000002513 implantation Methods 0.000 claims abstract description 25
- 210000001519 tissue Anatomy 0.000 claims description 93
- 239000007943 implant Substances 0.000 claims description 88
- 210000005003 heart tissue Anatomy 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 44
- 210000004115 mitral valve Anatomy 0.000 abstract description 34
- 210000000591 tricuspid valve Anatomy 0.000 abstract description 7
- 238000000605 extraction Methods 0.000 abstract 1
- 230000007246 mechanism Effects 0.000 description 64
- 238000010304 firing Methods 0.000 description 53
- 230000008467 tissue growth Effects 0.000 description 30
- 230000001737 promoting effect Effects 0.000 description 14
- 238000013459 approach Methods 0.000 description 10
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 9
- 230000006870 function Effects 0.000 description 7
- 210000002837 heart atrium Anatomy 0.000 description 7
- 239000002184 metal Substances 0.000 description 6
- 229910052751 metal Inorganic materials 0.000 description 6
- 238000004873 anchoring Methods 0.000 description 5
- 230000006835 compression Effects 0.000 description 5
- 238000007906 compression Methods 0.000 description 5
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- WABPQHHGFIMREM-BJUDXGSMSA-N lead-206 Chemical compound [206Pb] WABPQHHGFIMREM-BJUDXGSMSA-N 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 230000001746 atrial effect Effects 0.000 description 4
- 239000002775 capsule Substances 0.000 description 4
- 230000035876 healing Effects 0.000 description 4
- 230000002861 ventricular Effects 0.000 description 4
- 238000003466 welding Methods 0.000 description 4
- 229910000851 Alloy steel Inorganic materials 0.000 description 3
- 210000001765 aortic valve Anatomy 0.000 description 3
- 239000000919 ceramic Substances 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 238000009826 distribution Methods 0.000 description 3
- 230000002401 inhibitory effect Effects 0.000 description 3
- 210000005240 left ventricle Anatomy 0.000 description 3
- 150000002739 metals Chemical class 0.000 description 3
- 229910001000 nickel titanium Inorganic materials 0.000 description 3
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 3
- 239000004033 plastic Substances 0.000 description 3
- 229920003023 plastic Polymers 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 206010027727 Mitral valve incompetence Diseases 0.000 description 2
- 206010067171 Regurgitation Diseases 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 210000000038 chest Anatomy 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000005538 encapsulation Methods 0.000 description 2
- 239000004744 fabric Substances 0.000 description 2
- 230000005764 inhibitory process Effects 0.000 description 2
- 210000005246 left atrium Anatomy 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 210000005166 vasculature Anatomy 0.000 description 2
- 239000011800 void material Substances 0.000 description 2
- 208000010496 Heart Arrest Diseases 0.000 description 1
- 206010019280 Heart failures Diseases 0.000 description 1
- OAICVXFJPJFONN-UHFFFAOYSA-N Phosphorus Chemical compound [P] OAICVXFJPJFONN-UHFFFAOYSA-N 0.000 description 1
- 235000014676 Phragmites communis Nutrition 0.000 description 1
- 208000012287 Prolapse Diseases 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 210000003748 coronary sinus Anatomy 0.000 description 1
- 238000002316 cosmetic surgery Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000002788 crimping Methods 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- WABPQHHGFIMREM-OUBTZVSYSA-N lead-208 Chemical compound [208Pb] WABPQHHGFIMREM-OUBTZVSYSA-N 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000002445 nipple Anatomy 0.000 description 1
- 229910052698 phosphorus Inorganic materials 0.000 description 1
- 239000011574 phosphorus Substances 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 230000003014 reinforcing effect Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- 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
- 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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
- A61B2017/0437—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 anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
-
- 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
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Abstract
Description
本願は、2013年6月6日に出願された米国特許仮出願第61/831,632号に基づく利益を主張するものである。この仮出願は、参照により本明細書に組み込まれる。
V 心室
M 僧帽弁
P 心尖
C 送達カテーテル
10 僧帽弁調節/修復インプラント
12 組織係合部材
14 ワイヤループ
16 組織アンカ
16a アンカ
16b アンカ
16c アンカ
16d アンカ
17 細長スロット
18 インプラント位置決めデバイス
20 支持アーム
22 アンカ発射機構
24 ハウジング
26 コイルばね
28 作動ワイヤ
29 遠位端部
30 開口
32 開口端部
34 ばね保持端部
36 クリンプ加工部分
38 フック状近位端部
40 細長凹部
42 近位部分
44 平坦ショルダ
46 先鋭端部
48 返し
48a 返し
50 鳩目
52 組織成長促進チューブ
54 組織成長抑制表面
56 予備ループ
58 近位部分
60 締上げ機構
62 自由端部
64 自由端部
66 同軸チューブ
68 保持フック
70 発射土台リング
72 作動ワイヤ鳩目
74 凹部
76 ループ設定/アンカ配向機構
78 リード
80 交点
82 膨張可能バルーン
84 中間点
86 スロット不在部分
100 デバイス
101 送達システム
102 封入シリンダ
120 第1の材料パネル
122 第2の材料パネル
125 リング形状部分
128 切欠部
130 タブ
140 アーム
145 アーム
150 リンク部材
152 中間部材
155 材料ストリップ
160 材料ループ
200 締上げケーブル
201 主要ループ
202 締上げカラー
204 締上げ部材
206 締上げリード
208 締上げスリーブ
210 締上げチューブ
214 押し部材
216 一方向フラップまたはステップ
230 機構
232 スピンドル
235 ばね要素
250 ノーズコーン
260 アンカ位置決めリード
314 ワイヤループ
316 アンカ
316a 頂部部分
316b 遠位先端部
324 発射機構ハウジング
326 ばね
350 アクチュエータ
355 遠位部分
400 ハウジング
402 チャネル
404 ショルダ
406 圧縮ばね
408 タブ
420 プルワイヤ分散カラー
Claims (7)
- 心臓の組織に材料ループを固着するための装置であって、
第2のセクションの正面に配置された第1のセクションおよび前記第2のセクションを備える円筒状内空部を有する、開口前方端部を有するハウジングと、
先鋭の前方端部および後方端部を有し、円筒状に湾曲した外方表面を有する第1の材料パネル、円筒状に湾曲した外方表面を有する第2の材料パネル、および前後方向に延在した前記第1の材料パネルと前記第2の材料パネルとの間に配設されるスロットを有する、前記円筒状内空部の前記第1のセクションに配設されたアンカであって、前記アンカの前記前方端部は、前方へと前記組織内に植え込まれるように構成され、前記アンカは、植込み後に、後方への前記組織からの引抜きに抵抗するように構成される、アンカと、
圧縮状態で前記円筒状内空部の第2の部分に配設されたばねと、
(a)作動される前に前記ばねが前記圧縮状態から拡張するのを防止し、(b)作動時に前記ばねが前記圧縮状態から拡張するのを可能にするように構成されたアクチュエータと、
を備え、
前記ハウジング、前記ばね、前記アンカ、および前記アクチュエータは、前記アクチュエータが作動された場合に、前記ばねが前記第1のセクション内に拡張し前方に前記アンカを押すことにより、前記アンカの少なくとも一部分をハウジングの前方端部から出すように構成され、前記ばねは、前記組織内に前記アンカを植え込むのに十分な力で前記アンカを押す、装置。 - 前記ハウジングは、側壁部に開口を有し、前記アクチュエータは、遠位部分を有する部材を備え、前記アクチュエータは、(a)作動される前に、前記部材の前記遠位部分が、前記開口内に延在し、前記ばねが前記圧縮状態から拡張するのを防止するように、および(b)作動時に、前記部材の前記遠位部分が前記開口から引っ込められ、それにより前記ばねが前記圧縮状態から拡張するのを可能にするように構成される、請求項1に記載の装置。
- 前記アクチュエータの作動は、前記部材の前記遠位部分が前記開口から引っ込められるように、後方に前記部材を引くことによって実現される、請求項2に記載の装置。
- 前記アンカは、前記第2の材料パネルに前記第1の材料パネルを連結する前記アンカの後方端部に配設されたリング形状部分を有し、前記リング形状部分の前方表面が、切欠部を有し、前記スロットおよびリングの切欠部は、前記リング形状部分の径方向に両側に配設され、
前記アンカは、作動される前に、前記部材の前記遠位部分が前記リングの前記切欠部を貫通するように前記ハウジングに対して配向される、請求項3に記載の装置。 - 前記ハウジングは、前記ハウジングの前記前方端部に細長凹部を有し、前記ハウジングの前記細長凹部は、前記開口に位置合わせされた、請求項4に記載の装置。
- 前記ばねは、後方端部を有し、前記ばねの前記後方端部は、前記ハウジングに固着された、請求項5に記載の装置。
- 前記材料ループは閉ループを備える、請求項1に記載の装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361831632P | 2013-06-06 | 2013-06-06 | |
US61/831,632 | 2013-06-06 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016517696A Division JP6440694B2 (ja) | 2013-06-06 | 2014-06-03 | 心臓弁の修復および置換 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018126602A true JP2018126602A (ja) | 2018-08-16 |
JP6676100B2 JP6676100B2 (ja) | 2020-04-08 |
Family
ID=51211803
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016517696A Active JP6440694B2 (ja) | 2013-06-06 | 2014-06-03 | 心臓弁の修復および置換 |
JP2018096010A Active JP6676100B2 (ja) | 2013-06-06 | 2018-05-18 | 心臓弁の修復および置換 |
JP2018096011A Active JP6560399B2 (ja) | 2013-06-06 | 2018-05-18 | 心臓弁の修復および置換 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016517696A Active JP6440694B2 (ja) | 2013-06-06 | 2014-06-03 | 心臓弁の修復および置換 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018096011A Active JP6560399B2 (ja) | 2013-06-06 | 2018-05-18 | 心臓弁の修復および置換 |
Country Status (6)
Country | Link |
---|---|
US (3) | US10206776B2 (ja) |
EP (3) | EP3003221B1 (ja) |
JP (3) | JP6440694B2 (ja) |
CN (2) | CN106618802B (ja) |
CA (2) | CA2914408C (ja) |
WO (1) | WO2014195786A2 (ja) |
Families Citing this family (132)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050137687A1 (en) | 2003-12-23 | 2005-06-23 | Sadra Medical | Heart valve anchor and method |
US7959666B2 (en) * | 2003-12-23 | 2011-06-14 | Sadra Medical, Inc. | Methods and apparatus for endovascularly replacing a heart valve |
DE102005003632A1 (de) | 2005-01-20 | 2006-08-17 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Katheter für die transvaskuläre Implantation von Herzklappenprothesen |
WO2006097931A2 (en) | 2005-03-17 | 2006-09-21 | Valtech Cardio, Ltd. | Mitral valve treatment techniques |
US8951285B2 (en) | 2005-07-05 | 2015-02-10 | Mitralign, Inc. | Tissue anchor, anchoring system and methods of using the same |
WO2007097983A2 (en) * | 2006-02-14 | 2007-08-30 | Sadra Medical, Inc. | Systems and methods for delivering a medical implant |
US9974653B2 (en) | 2006-12-05 | 2018-05-22 | Valtech Cardio, Ltd. | Implantation of repair devices in the heart |
US11259924B2 (en) | 2006-12-05 | 2022-03-01 | Valtech Cardio Ltd. | Implantation of repair devices in the heart |
US11660190B2 (en) | 2007-03-13 | 2023-05-30 | Edwards Lifesciences Corporation | Tissue anchors, systems and methods, and devices |
US7896915B2 (en) | 2007-04-13 | 2011-03-01 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
US9044318B2 (en) | 2008-02-26 | 2015-06-02 | Jenavalve Technology Gmbh | Stent for the positioning and anchoring of a valvular prosthesis |
WO2011104269A1 (en) | 2008-02-26 | 2011-09-01 | Jenavalve Technology Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US8382829B1 (en) | 2008-03-10 | 2013-02-26 | Mitralign, Inc. | Method to reduce mitral regurgitation by cinching the commissure of the mitral valve |
US9192472B2 (en) | 2008-06-16 | 2015-11-24 | Valtec Cardio, Ltd. | Annuloplasty devices and methods of delivery therefor |
US8147542B2 (en) | 2008-12-22 | 2012-04-03 | Valtech Cardio, Ltd. | Adjustable repair chords and spool mechanism therefor |
US9011530B2 (en) | 2008-12-22 | 2015-04-21 | Valtech Cardio, Ltd. | Partially-adjustable annuloplasty structure |
US8911494B2 (en) | 2009-05-04 | 2014-12-16 | Valtech Cardio, Ltd. | Deployment techniques for annuloplasty ring |
EP2379008B1 (en) | 2008-12-22 | 2021-02-17 | Valtech Cardio, Ltd. | Adjustable annuloplasty devices |
US10517719B2 (en) | 2008-12-22 | 2019-12-31 | Valtech Cardio, Ltd. | Implantation of repair devices in the heart |
US8241351B2 (en) | 2008-12-22 | 2012-08-14 | Valtech Cardio, Ltd. | Adjustable partial annuloplasty ring and mechanism therefor |
US8715342B2 (en) | 2009-05-07 | 2014-05-06 | Valtech Cardio, Ltd. | Annuloplasty ring with intra-ring anchoring |
US8353956B2 (en) | 2009-02-17 | 2013-01-15 | Valtech Cardio, Ltd. | Actively-engageable movement-restriction mechanism for use with an annuloplasty structure |
US9968452B2 (en) | 2009-05-04 | 2018-05-15 | Valtech Cardio, Ltd. | Annuloplasty ring delivery cathethers |
US10098737B2 (en) | 2009-10-29 | 2018-10-16 | Valtech Cardio, Ltd. | Tissue anchor for annuloplasty device |
US9011520B2 (en) | 2009-10-29 | 2015-04-21 | Valtech Cardio, Ltd. | Tissue anchor for annuloplasty device |
US9180007B2 (en) | 2009-10-29 | 2015-11-10 | Valtech Cardio, Ltd. | Apparatus and method for guide-wire based advancement of an adjustable implant |
WO2011067770A1 (en) | 2009-12-02 | 2011-06-09 | Valtech Cardio, Ltd. | Delivery tool for implantation of spool assembly coupled to a helical anchor |
US8870950B2 (en) | 2009-12-08 | 2014-10-28 | Mitral Tech Ltd. | Rotation-based anchoring of an implant |
US8579964B2 (en) | 2010-05-05 | 2013-11-12 | Neovasc Inc. | Transcatheter mitral valve prosthesis |
CN103002833B (zh) | 2010-05-25 | 2016-05-11 | 耶拿阀门科技公司 | 人工心脏瓣及包括人工心脏瓣和支架的经导管输送的内假体 |
US11653910B2 (en) | 2010-07-21 | 2023-05-23 | Cardiovalve Ltd. | Helical anchor implantation |
US9554897B2 (en) | 2011-04-28 | 2017-01-31 | Neovasc Tiara Inc. | Methods and apparatus for engaging a valve prosthesis with tissue |
US9308087B2 (en) | 2011-04-28 | 2016-04-12 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US9402721B2 (en) | 2011-06-01 | 2016-08-02 | Valcare, Inc. | Percutaneous transcatheter repair of heart valves via trans-apical access |
US9918840B2 (en) | 2011-06-23 | 2018-03-20 | Valtech Cardio, Ltd. | Closed band for percutaneous annuloplasty |
US10792152B2 (en) | 2011-06-23 | 2020-10-06 | Valtech Cardio, Ltd. | Closed band for percutaneous annuloplasty |
US8858623B2 (en) | 2011-11-04 | 2014-10-14 | Valtech Cardio, Ltd. | Implant having multiple rotational assemblies |
EP2775896B1 (en) | 2011-11-08 | 2020-01-01 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
US10398555B2 (en) | 2011-12-12 | 2019-09-03 | Cardiac Implants Llc | Magnetically coupled cinching of a loop installed in a valve annulus |
JP6153938B2 (ja) | 2011-12-12 | 2017-06-28 | デイヴィッド・アロン | 心臓弁修復デバイス |
US9180008B2 (en) | 2012-02-29 | 2015-11-10 | Valcare, Inc. | Methods, devices, and systems for percutaneously anchoring annuloplasty rings |
WO2013130641A1 (en) | 2012-02-29 | 2013-09-06 | Valcare, Inc. | Percutaneous annuloplasty system with anterior-posterior adjustment |
US9345573B2 (en) | 2012-05-30 | 2016-05-24 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
US10849755B2 (en) | 2012-09-14 | 2020-12-01 | Boston Scientific Scimed, Inc. | Mitral valve inversion prostheses |
US10543088B2 (en) | 2012-09-14 | 2020-01-28 | Boston Scientific Scimed, Inc. | Mitral valve inversion prostheses |
US9216018B2 (en) | 2012-09-29 | 2015-12-22 | Mitralign, Inc. | Plication lock delivery system and method of use thereof |
EP3517052A1 (en) | 2012-10-23 | 2019-07-31 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
WO2014064695A2 (en) | 2012-10-23 | 2014-05-01 | Valtech Cardio, Ltd. | Percutaneous tissue anchor techniques |
US9730793B2 (en) | 2012-12-06 | 2017-08-15 | Valtech Cardio, Ltd. | Techniques for guide-wire based advancement of a tool |
EP4166111A1 (en) | 2013-01-24 | 2023-04-19 | Cardiovalve Ltd. | Ventricularly-anchored prosthetic valves |
WO2014134183A1 (en) | 2013-02-26 | 2014-09-04 | Mitralign, Inc. | Devices and methods for percutaneous tricuspid valve repair |
US10449333B2 (en) | 2013-03-14 | 2019-10-22 | Valtech Cardio, Ltd. | Guidewire feeder |
CN105283214B (zh) | 2013-03-15 | 2018-10-16 | 北京泰德制药股份有限公司 | 平移导管、***及其使用方法 |
EP3804646A1 (en) | 2013-03-15 | 2021-04-14 | Valcare, Inc. | Systems for delivery of annuloplasty rings |
US9572665B2 (en) | 2013-04-04 | 2017-02-21 | Neovasc Tiara Inc. | Methods and apparatus for delivering a prosthetic valve to a beating heart |
US10813751B2 (en) | 2013-05-22 | 2020-10-27 | Valcare, Inc. | Transcatheter prosthetic valve for mitral or tricuspid valve replacement |
US20160120642A1 (en) | 2013-05-24 | 2016-05-05 | Valcare, Inc. | Heart and peripheral vascular valve replacement in conjunction with a support ring |
CA2914408C (en) | 2013-06-06 | 2019-02-26 | David Alon | Heart valve repair and replacement |
EP3013253B1 (en) | 2013-06-28 | 2021-01-06 | ValCare, Inc. | Device for securing an article to a tissue |
WO2015028209A1 (en) | 2013-08-30 | 2015-03-05 | Jenavalve Technology Gmbh | Radially collapsible frame for a prosthetic valve and method for manufacturing such a frame |
US10070857B2 (en) | 2013-08-31 | 2018-09-11 | Mitralign, Inc. | Devices and methods for locating and implanting tissue anchors at mitral valve commissure |
US10299793B2 (en) | 2013-10-23 | 2019-05-28 | Valtech Cardio, Ltd. | Anchor magazine |
US9610162B2 (en) | 2013-12-26 | 2017-04-04 | Valtech Cardio, Ltd. | Implantation of flexible implant |
USD790705S1 (en) * | 2014-03-29 | 2017-06-27 | Cormatrix Cardiovascular, Inc | Prosthetic tissue valve |
USD790706S1 (en) * | 2014-03-29 | 2017-06-27 | Cormatrix Cardiovascular, Inc. | Prosthetic tissue valve |
WO2016001382A2 (en) * | 2014-07-02 | 2016-01-07 | Medtentia International Ltd Oy | Clip for a medical implant |
US9180005B1 (en) | 2014-07-17 | 2015-11-10 | Millipede, Inc. | Adjustable endolumenal mitral valve ring |
US10195030B2 (en) | 2014-10-14 | 2019-02-05 | Valtech Cardio, Ltd. | Leaflet-restraining techniques |
CA2973940C (en) | 2015-02-05 | 2022-08-23 | Mitraltech Ltd. | Prosthetic valve with axially-sliding frames |
WO2016130991A1 (en) | 2015-02-13 | 2016-08-18 | Millipede, Inc. | Valve replacement using rotational anchors |
US20160256269A1 (en) | 2015-03-05 | 2016-09-08 | Mitralign, Inc. | Devices for treating paravalvular leakage and methods use thereof |
EP3288496B1 (en) | 2015-04-30 | 2024-05-29 | Edwards Lifesciences Innovation (Israel) Ltd. | Annuloplasty technologies |
EP3632378B1 (en) | 2015-05-01 | 2024-05-29 | JenaValve Technology, Inc. | Device with reduced pacemaker rate in heart valve replacement |
DE102015107242B4 (de) * | 2015-05-08 | 2022-11-03 | Highlife Sas | System zum Implantieren eines Implantats um eine umfängliche Gewebestruktur in einem Herz und Verfahren zum Anordnen und Vorbringen eines Implantats auf einem Führungsdraht eines solchen Systems |
EP3313296B1 (en) * | 2015-06-23 | 2019-07-31 | Heartware, Inc. | Anchor or staple with barbs |
US10335275B2 (en) | 2015-09-29 | 2019-07-02 | Millipede, Inc. | Methods for delivery of heart valve devices using intravascular ultrasound imaging |
EP3377000B1 (en) | 2015-11-17 | 2023-02-01 | Boston Scientific Scimed, Inc. | Implantable device and delivery system for reshaping a heart valve annulus |
JP7001595B2 (ja) * | 2015-12-07 | 2022-01-19 | マイクロ インターベンショナル デバイシズ,インコーポレイティド | 人工装具の組織への固定 |
US10751182B2 (en) | 2015-12-30 | 2020-08-25 | Edwards Lifesciences Corporation | System and method for reshaping right heart |
US10828160B2 (en) | 2015-12-30 | 2020-11-10 | Edwards Lifesciences Corporation | System and method for reducing tricuspid regurgitation |
CN108882981B (zh) | 2016-01-29 | 2021-08-10 | 内奥瓦斯克迪亚拉公司 | 用于防止流出阻塞的假体瓣膜 |
US10531866B2 (en) | 2016-02-16 | 2020-01-14 | Cardiovalve Ltd. | Techniques for providing a replacement valve and transseptal communication |
EP4183371A1 (en) | 2016-05-13 | 2023-05-24 | JenaValve Technology, Inc. | Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system |
US9517130B1 (en) * | 2016-05-24 | 2016-12-13 | Cardiac Implants Llc | Implanting a cinching cord into a cardiac valve annulus |
US10702274B2 (en) | 2016-05-26 | 2020-07-07 | Edwards Lifesciences Corporation | Method and system for closing left atrial appendage |
GB201611910D0 (en) | 2016-07-08 | 2016-08-24 | Valtech Cardio Ltd | Adjustable annuloplasty device with alternating peaks and troughs |
CN109789018B (zh) | 2016-08-10 | 2022-04-26 | 卡迪尔维尔福股份有限公司 | 具有同轴框架的人工瓣膜 |
CN107753153B (zh) | 2016-08-15 | 2022-05-31 | 沃卡尔有限公司 | 用于治疗心脏瓣膜关闭不全的装置和方法 |
US11337811B2 (en) * | 2016-09-15 | 2022-05-24 | Cardiac Implants Llc | Apparatus for delivering a constricting cord to a cardiac valve annulus with spooling feature |
CN110072491B (zh) * | 2016-10-31 | 2020-06-26 | 心脏植入物有限公司 | 用于在安装到心脏瓣膜环上之前揭示收缩绳索或环圈的位置的不透射线的柔性突起 |
WO2018090148A1 (en) | 2016-11-21 | 2018-05-24 | Neovasc Tiara Inc. | Methods and systems for rapid retraction of a transcatheter heart valve delivery system |
FR3060292B1 (fr) * | 2016-12-15 | 2019-01-25 | Cmi'nov | Dispositif pour realiser ou preparer une annuloplastie mitrale par voie transfemorale |
WO2018138658A1 (en) | 2017-01-27 | 2018-08-02 | Jenavalve Technology, Inc. | Heart valve mimicry |
JP6788746B2 (ja) | 2017-02-10 | 2020-11-25 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 心臓弁輪を再形成するための埋め込み可能な機器および送達システム |
CN108618871A (zh) * | 2017-03-17 | 2018-10-09 | 沃卡尔有限公司 | 具有多方向锚部的二尖瓣或三尖瓣修复*** |
DE102017002976B4 (de) | 2017-03-28 | 2021-08-26 | Immanuel Albertinen Diakonie Ggmbh | Minimal-invasiv implantierbare Vorrichtung zur Beseitigung einer Mitralklappeninsuffizienz am schlagenden Herzen und Mitralklappen-Implantat-System |
US10694934B2 (en) * | 2017-03-29 | 2020-06-30 | Boston Scientific Scimed, Inc. | Devices and methods for tissue retraction |
US11045627B2 (en) | 2017-04-18 | 2021-06-29 | Edwards Lifesciences Corporation | Catheter system with linear actuation control mechanism |
WO2018231280A1 (en) | 2017-06-14 | 2018-12-20 | Cardiac Implants Llc | Constricting a cardiac valve annulus and installing a ring onto a cardiac valve annulus |
US20230137909A1 (en) | 2017-08-03 | 2023-05-04 | Cardiovalve Ltd. | Prosthetic heart valve |
US10856984B2 (en) | 2017-08-25 | 2020-12-08 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US10835221B2 (en) | 2017-11-02 | 2020-11-17 | Valtech Cardio, Ltd. | Implant-cinching devices and systems |
CN108013953B (zh) * | 2017-11-08 | 2020-01-17 | 中国医学科学院阜外医院 | 瓣膜成形环调节装置及其成形环 |
US11135062B2 (en) | 2017-11-20 | 2021-10-05 | Valtech Cardio Ltd. | Cinching of dilated heart muscle |
JP7244524B2 (ja) | 2018-01-03 | 2023-03-22 | カーディアック・インプランツ・エルエルシー | 心臓弁輪の周りに縮径状態で締付コードを保持するための留め具、および留め具の取り付け |
US10980635B2 (en) * | 2018-01-07 | 2021-04-20 | William Joseph Drasler | Annuloplasty device and methods |
EP3743015A1 (en) | 2018-01-24 | 2020-12-02 | Valtech Cardio, Ltd. | Contraction of an annuloplasty structure |
WO2019145941A1 (en) | 2018-01-26 | 2019-08-01 | Valtech Cardio, Ltd. | Techniques for facilitating heart valve tethering and chord replacement |
CN110101486B (zh) * | 2018-02-01 | 2024-02-27 | 上海微创心通医疗科技有限公司 | 心脏瓣膜假体及其输送器 |
EP3793483B1 (en) * | 2018-05-18 | 2023-09-20 | Elixir Medical Corporation | Devices for heart valve repair |
EP3820406B1 (en) | 2018-07-12 | 2023-12-20 | Edwards Lifesciences Innovation (Israel) Ltd. | Annuloplasty systems and locking tools therefor |
EP3876870B1 (en) | 2018-11-08 | 2023-12-20 | Neovasc Tiara Inc. | Ventricular deployment of a transcatheter mitral valve prosthesis |
CN113613593A (zh) | 2018-12-03 | 2021-11-05 | 沃卡尔有限公司 | 用于控制微创二尖瓣/三尖瓣修复***的稳定和调节工具 |
CA3132873A1 (en) | 2019-03-08 | 2020-09-17 | Neovasc Tiara Inc. | Retrievable prosthesis delivery system |
AU2020256195B2 (en) | 2019-04-01 | 2022-10-13 | Neovasc Tiara Inc. | Controllably deployable prosthetic valve |
WO2020210652A1 (en) | 2019-04-10 | 2020-10-15 | Neovasc Tiara Inc. | Prosthetic valve with natural blood flow |
WO2020236931A1 (en) | 2019-05-20 | 2020-11-26 | Neovasc Tiara Inc. | Introducer with hemostasis mechanism |
US11311376B2 (en) | 2019-06-20 | 2022-04-26 | Neovase Tiara Inc. | Low profile prosthetic mitral valve |
CN114173713A (zh) * | 2019-07-15 | 2022-03-11 | 沃卡尔有限公司 | 经导管生物假体构件和支撑结构 |
JP2022534251A (ja) * | 2019-08-05 | 2022-07-28 | ボストン サイエンティフィック サイムド,インコーポレイテッド | 弁修復装置のフレーム解放機構 |
US11672661B2 (en) | 2019-08-22 | 2023-06-13 | Silara Medtech Inc. | Annuloplasty systems and methods |
US20210085461A1 (en) | 2019-09-25 | 2021-03-25 | Cardiac Implants Llc | Constricting a Cardiac Valve Annulus Using a Cord That Has a Loop Portion and a Single Second Portion |
EP4051182A1 (en) | 2019-10-29 | 2022-09-07 | Edwards Lifesciences Innovation (Israel) Ltd. | Annuloplasty and tissue anchor technologies |
CN110772357A (zh) * | 2019-12-03 | 2020-02-11 | 青岛阜外心血管病医院有限公司 | 一种瓣环成形环用锚固装置及其锚固方法 |
WO2021111451A1 (en) * | 2019-12-03 | 2021-06-10 | Vvital Biomed Ltd | Device, system and method for transcatheter mitral and tricuspid valve repair |
CN115916114A (zh) | 2020-05-20 | 2023-04-04 | 心脏植入物有限公司 | 通过独立控制发射到心脏瓣膜瓣环中的每个锚定件来减小瓣环的直径 |
US11173028B1 (en) | 2020-09-09 | 2021-11-16 | Cardiac Implants Llc | Positioning a medical device in the right atrium or right ventricle using a non-flexible catheter |
WO2022086769A1 (en) * | 2020-10-19 | 2022-04-28 | Silara Medtech Inc. | Annuloplasty device, cinching device and method of annuloplasty |
GB2601146B (en) * | 2020-11-19 | 2023-02-22 | Cardiomech As | Device for heart repair |
WO2023091419A1 (en) * | 2021-11-16 | 2023-05-25 | Edwards Lifesciences Corporation | Device for folding valve leaflets |
WO2023105523A1 (en) * | 2021-12-07 | 2023-06-15 | Endomatic Ltd. | Anchors for a collapsing implant |
US12036120B1 (en) | 2023-08-30 | 2024-07-16 | Vesalius Cardiovascular Inc. | Lock delivery system |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010511469A (ja) * | 2006-12-05 | 2010-04-15 | バルテック カーディオ,リミティド | セグメント化リング配置 |
WO2011153408A1 (en) * | 2010-06-04 | 2011-12-08 | Millipede Llc | Reconfiguring heart features |
Family Cites Families (60)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US688592A (en) | 1900-12-03 | 1901-12-10 | Robert Chadwick | Fire-escape. |
US4042979A (en) | 1976-07-12 | 1977-08-23 | Angell William W | Valvuloplasty ring and prosthetic method |
US6277112B1 (en) | 1996-07-16 | 2001-08-21 | Arthrocare Corporation | Methods for electrosurgical spine surgery |
US5683366A (en) | 1992-01-07 | 1997-11-04 | Arthrocare Corporation | System and method for electrosurgical tissue canalization |
US20020095175A1 (en) * | 1998-02-24 | 2002-07-18 | Brock David L. | Flexible instrument |
US6306163B1 (en) | 1998-08-04 | 2001-10-23 | Advanced Cardiovascular Systems, Inc. | Assembly for collecting emboli and method of use |
US20050283189A1 (en) | 1999-03-31 | 2005-12-22 | Rosenblatt Peter L | Systems and methods for soft tissue reconstruction |
US7192442B2 (en) | 1999-06-30 | 2007-03-20 | Edwards Lifesciences Ag | Method and device for treatment of mitral insufficiency |
US6365203B2 (en) * | 1999-08-16 | 2002-04-02 | Warner-Lambert Company | Continuous coating of chewing gum materials |
US6626930B1 (en) | 1999-10-21 | 2003-09-30 | Edwards Lifesciences Corporation | Minimally invasive mitral valve repair method and apparatus |
US6716243B1 (en) | 2000-09-13 | 2004-04-06 | Quickie, Inc. | Concentric passive knotless suture terminator |
US6723038B1 (en) | 2000-10-06 | 2004-04-20 | Myocor, Inc. | Methods and devices for improving mitral valve function |
JPWO2002062781A1 (ja) | 2001-02-02 | 2004-06-10 | メルシャン株式会社 | イソクマリン誘導体の製造及びそのための合成中間体 |
US6656221B2 (en) | 2001-02-05 | 2003-12-02 | Viacor, Inc. | Method and apparatus for improving mitral valve function |
US6619291B2 (en) | 2001-04-24 | 2003-09-16 | Edwin J. Hlavka | Method and apparatus for catheter-based annuloplasty |
US20060069429A1 (en) | 2001-04-24 | 2006-03-30 | Spence Paul A | Tissue fastening systems and methods utilizing magnetic guidance |
US6575971B2 (en) | 2001-11-15 | 2003-06-10 | Quantum Cor, Inc. | Cardiac valve leaflet stapler device and methods thereof |
US8123801B2 (en) * | 2001-12-21 | 2012-02-28 | QuickRing Medical Technologies, Ltd. | Implantation system for annuloplasty rings |
US7125420B2 (en) | 2002-02-05 | 2006-10-24 | Viacor, Inc. | Method and apparatus for improving mitral valve function |
US20040243227A1 (en) | 2002-06-13 | 2004-12-02 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
US7588582B2 (en) | 2002-06-13 | 2009-09-15 | Guided Delivery Systems Inc. | Methods for remodeling cardiac tissue |
US6986775B2 (en) | 2002-06-13 | 2006-01-17 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
US20050216078A1 (en) | 2002-06-13 | 2005-09-29 | Guided Delivery Systems, Inc. | Delivery 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 |
US7753858B2 (en) | 2002-06-13 | 2010-07-13 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
US7666193B2 (en) * | 2002-06-13 | 2010-02-23 | Guided Delivery Sytems, Inc. | Delivery devices and methods for heart valve repair |
PT1531762E (pt) | 2002-08-29 | 2010-07-21 | St Jude Medical Cardiology Div | DISPOSITIVOS IMPLANTáVEIS PARA CONTROLAR A CIRCUNFERNCIA INTERNA DE UM ORIFICIO OU LUMEN ANATËMICO |
US7335213B1 (en) | 2002-11-15 | 2008-02-26 | Abbott Cardiovascular Systems Inc. | Apparatus and methods for heart valve repair |
US7314485B2 (en) | 2003-02-03 | 2008-01-01 | Cardiac Dimensions, Inc. | Mitral valve device using conditioned shape memory alloy |
WO2004082532A1 (en) | 2003-03-17 | 2004-09-30 | Ev3 Sunnyvale, Inc. | Thin film composite lamination |
EP1653888B1 (en) | 2003-07-21 | 2009-09-09 | The Trustees of The University of Pennsylvania | Percutaneous heart valve |
US7314465B2 (en) | 2003-07-22 | 2008-01-01 | Kimberly-Clark Worldwide, Inc. | Disposable undergarment having a slit |
US7534204B2 (en) | 2003-09-03 | 2009-05-19 | Guided Delivery Systems, Inc. | Cardiac visualization devices and methods |
US8394114B2 (en) | 2003-09-26 | 2013-03-12 | Medtronic, Inc. | Surgical connection apparatus and methods |
US20050273138A1 (en) | 2003-12-19 | 2005-12-08 | Guided Delivery Systems, Inc. | Devices and methods for anchoring tissue |
JP2006019858A (ja) * | 2004-06-30 | 2006-01-19 | Audio Technica Corp | マイクロホン装置 |
WO2006052687A1 (en) | 2004-11-03 | 2006-05-18 | North Carolina State University | Fixation device and associated apparatus |
CN2782049Y (zh) | 2005-01-21 | 2006-05-24 | 金磊 | 瓣膜成形环持环器 |
US8864823B2 (en) | 2005-03-25 | 2014-10-21 | StJude Medical, Cardiology Division, Inc. | Methods and apparatus for controlling the internal circumference of an anatomic orifice or lumen |
US8454683B2 (en) | 2006-04-12 | 2013-06-04 | Medtronic Vascular, Inc. | Annuloplasty device having a helical anchor and methods for its use |
US8187297B2 (en) | 2006-04-19 | 2012-05-29 | Vibsynt, Inc. | Devices and methods for treatment of obesity |
US8430926B2 (en) | 2006-08-11 | 2013-04-30 | Japd Consulting Inc. | Annuloplasty with enhanced anchoring to the annulus based on tissue healing |
US20100121433A1 (en) | 2007-01-08 | 2010-05-13 | Millipede Llc, A Corporation Of Michigan | Reconfiguring heart features |
US20080177380A1 (en) | 2007-01-19 | 2008-07-24 | Starksen Niel F | Methods and devices for heart tissue repair |
US20090076597A1 (en) | 2007-09-19 | 2009-03-19 | Jonathan Micheal Dahlgren | System for mechanical adjustment of medical implants |
US20090093890A1 (en) | 2007-10-04 | 2009-04-09 | Daniel Gelbart | Precise control of orthopedic actuators |
WO2009120764A2 (en) | 2008-03-25 | 2009-10-01 | Ellipse Technologies, Inc. | Systems and methods for adjusting an annuloplasty ring with an integrated magnetic drive |
US20090287304A1 (en) | 2008-05-13 | 2009-11-19 | Kardium Inc. | Medical Device for Constricting Tissue or a Bodily Orifice, for example a mitral valve |
US8337390B2 (en) * | 2008-07-30 | 2012-12-25 | Cube S.R.L. | Intracardiac device for restoring the functional elasticity of the cardiac structures, holding tool for the intracardiac device, and method for implantation of the intracardiac device in the heart |
JP5530455B2 (ja) | 2008-12-04 | 2014-06-25 | ジョージア テック リサーチ コーポレーション | 低侵襲心臓弁処置のための装置 |
WO2010091383A2 (en) | 2009-02-09 | 2010-08-12 | St. Jude Medical | Inflatable minimally invasive system for delivering and securing an annular implant |
CN102438552A (zh) * | 2009-03-19 | 2012-05-02 | 米利佩德有限责任公司 | 重构心脏特征 |
WO2010117471A2 (en) | 2009-04-10 | 2010-10-14 | Lon Southerland Annest | An implantable scaffolding containing an orifice for use with a prosthetic or bio-prosthetic valve |
US8277502B2 (en) * | 2009-10-29 | 2012-10-02 | Valtech Cardio, Ltd. | Tissue anchor for annuloplasty device |
US20110230961A1 (en) | 2010-01-05 | 2011-09-22 | Micardia Corporation | Dynamically adjustable annuloplasty ring and papillary muscle repositioning suture |
US8408214B2 (en) | 2010-07-08 | 2013-04-02 | Benjamin Spenser | Method for implanting prosthetic valve |
EP2468215A1 (en) | 2010-12-22 | 2012-06-27 | Centre Hospitaller Universitaire Vaudois (CHUV) | Annuloplasty ring |
JP6153938B2 (ja) | 2011-12-12 | 2017-06-28 | デイヴィッド・アロン | 心臓弁修復デバイス |
US9504571B2 (en) | 2012-06-07 | 2016-11-29 | Edwards Lifesciences Corporation | Systems for implanting annuloplasty rings with microanchors |
CA2914408C (en) | 2013-06-06 | 2019-02-26 | David Alon | Heart valve repair and replacement |
-
2014
- 2014-06-03 CA CA2914408A patent/CA2914408C/en active Active
- 2014-06-03 EP EP14741656.4A patent/EP3003221B1/en active Active
- 2014-06-03 JP JP2016517696A patent/JP6440694B2/ja active Active
- 2014-06-03 CN CN201710068162.2A patent/CN106618802B/zh active Active
- 2014-06-03 CA CA3005848A patent/CA3005848C/en active Active
- 2014-06-03 EP EP19193911.5A patent/EP3597151A1/en active Pending
- 2014-06-03 EP EP19193908.1A patent/EP3597150A1/en active Pending
- 2014-06-03 CN CN201480041117.2A patent/CN105392449B/zh active Active
- 2014-06-03 US US14/895,711 patent/US10206776B2/en active Active
- 2014-06-03 WO PCT/IB2014/000949 patent/WO2014195786A2/en active Application Filing
-
2018
- 2018-05-11 US US15/977,263 patent/US10357364B2/en active Active
- 2018-05-18 JP JP2018096010A patent/JP6676100B2/ja active Active
- 2018-05-18 JP JP2018096011A patent/JP6560399B2/ja active Active
- 2018-12-18 US US16/223,365 patent/US10893940B2/en active Active
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010511469A (ja) * | 2006-12-05 | 2010-04-15 | バルテック カーディオ,リミティド | セグメント化リング配置 |
WO2011153408A1 (en) * | 2010-06-04 | 2011-12-08 | Millipede Llc | Reconfiguring heart features |
Also Published As
Publication number | Publication date |
---|---|
EP3597151A1 (en) | 2020-01-22 |
US10893940B2 (en) | 2021-01-19 |
CA2914408C (en) | 2019-02-26 |
CA3005848A1 (en) | 2014-12-11 |
EP3003221A2 (en) | 2016-04-13 |
US10206776B2 (en) | 2019-02-19 |
US20160120645A1 (en) | 2016-05-05 |
CN105392449A (zh) | 2016-03-09 |
EP3597150A1 (en) | 2020-01-22 |
CN106618802B (zh) | 2018-02-06 |
WO2014195786A2 (en) | 2014-12-11 |
EP3003221B1 (en) | 2019-09-04 |
JP6560399B2 (ja) | 2019-08-14 |
US10357364B2 (en) | 2019-07-23 |
CN106618802A (zh) | 2017-05-10 |
CA2914408A1 (en) | 2014-12-11 |
WO2014195786A3 (en) | 2015-04-16 |
JP6440694B2 (ja) | 2018-12-19 |
JP2016520398A (ja) | 2016-07-14 |
US20190117397A1 (en) | 2019-04-25 |
JP2018153669A (ja) | 2018-10-04 |
CA3005848C (en) | 2020-03-24 |
US20180256328A1 (en) | 2018-09-13 |
CN105392449B (zh) | 2017-09-05 |
JP6676100B2 (ja) | 2020-04-08 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6560399B2 (ja) | 心臓弁の修復および置換 | |
US11969348B2 (en) | Cardiac valve replacement | |
US9844435B2 (en) | Transapical mitral valve replacement | |
CN111818877B (zh) | 在部署后用于辅助置换瓣膜重新捕获和重新定位的递送*** | |
CN114173714A (zh) | 用于瓣膜修复装置的框架释放机构 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20180521 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20190624 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20190924 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20200210 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20200311 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6676100 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |