JP2018519895A - 置換弁を受け取るための弁形成術用リング - Google Patents
置換弁を受け取るための弁形成術用リング Download PDFInfo
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Abstract
Description
本願は、2015年6月8日に出願された米国仮特許出願第62/172,722号(発明の名称「Annuloplasty Ring for Receiving a Replacement Valve」)および2015年10月14日に出願された米国仮特許出願第62/241,664号(発明の名称「Annuloplasty Ring for Receiving a Replacement Valve」)の利益およびこれらに基づく優先権を主張し、これにより、これらの両方は、これらの全体が参照により本明細書に援用される。
本発明は、僧帽弁疾患および三尖弁疾患を含む、心臓弁逆流のための処置に関し、大動脈および肺動脈弁疾患にも適用可能であり得る。
心臓弁障害の処置のための弁形成術用リングおよびそのようなリングを埋め込む種々の方法が、ここ数年にわたって公知となっており、心臓病の処置における有意な進歩を表している。弁形成術用リングは、患者弁輪に縫合される、クリップ留めされる、または別様に固着され、弁形成術用リングは、拡大または罹患心臓弁の直径を縮小させるために使用され、それによって、弁尖が癒合を確立または再確立することを可能にし、それによって、弁を通した逆流を低減または排除する。
本発明は、罹患弁の初期処置成功と、本明細書では「リング内弁」または「VIR」手技とも称される、置換弁を受け取るためのプラットフォームの両方を提供する、弁形成術用リングに関する前述の必要性を満たすことを対象とする。本発明は、人工弁の周囲で伸展および変形し、次いで、いったん解放されると、ゴムバンドのように人工弁を圧搾する、弁形成術用リングを提供することによって、これを遂行する。
次に、付随の図面を参照して、本発明の特定の実施形態について説明する。しかしながら、本発明は、多くの異なる形態において具現化されてもよく、本明細書に記載される実施形態に限定されるものと解釈されるべきではない。むしろ、これらの実施形態は、本開示が、徹底的かつ完全となり、発明の範囲が当業者に完全に伝達されるように提供される。付随の図面で図示される実施形態の詳細な説明において使用される用語は、本発明を限定するものとして意図されるものではない。図面中、同様の番号は、同様の要素を指す。
Claims (20)
- 弁形成術用リングであって、前記弁形成術用リングは、循環系内に埋め込まれるとヒト血液弁のための最適周界を確立するように構成される形状を有する細長いコアを備え、前記コアが静置状態から伸展状態に伸展されることを可能にする少なくとも1つの弾性特徴を含み、前記コアは、前記静置状態に向かって付勢されている、弁形成術用リング。
- 前記形状は、不完全な円形を備える、請求項1に記載の弁形成術用リング。
- 前記形状は、完全な円形を備える、請求項1に記載の弁形成術用リング。
- 前記形状は、健康な僧帽弁周界を模倣する不完全「D」形状を備える、請求項1に記載の弁形成術用リング。
- 前記形状は、健康な僧帽弁周界を模倣する不完全「D」形状を備える、請求項1に記載の弁形成術用リング。
- 前記少なくとも1つの弾性特徴は、前記細長いコアの少なくとも1つのテーパ状区分を備える、請求項1に記載の弁形成術用リング。
- 前記少なくとも1つのテーパ状区分は、円形、正方形、長方形、コイル形状を含む群から選択された断面を備える、請求項6に記載の弁形成術用リング。
- 前記少なくとも1つの弾性特徴は、前記細長いコアの少なくとも1つのアコーディオン状区分を備える、請求項1に記載の弁形成術用リング。
- 前記アコーディオン状区分は、前記細長いコアの実質的に全体に沿って延在する、請求項8に記載の弁形成術用リング。
- 前記細長いコアを通って延在する内側ワイヤをさらに備える、請求項1に記載の弁形成術用リング。
- 前記内側ワイヤは、前記少なくとも1つの弾性特徴の場所において中断される、請求項10に記載の弁形成術用リング。
- 前記内側ワイヤは、前記少なくとも1つの弾性特徴の場所に縮小直径の区域を有する、請求項10に記載の弁形成術用リング。
- 設置された弁形成術用リングを有する心臓弁を置換する方法であって、前記リングを弾性的に伸展させながら、前記弁形成術用リング内に人工心臓弁を設置することを含む方法。
- 前記弁形成術用リング内に人工心臓弁を設置することは、前記弁形成術用リングに前記人工心臓弁を取り付けることを含む、請求項13に記載の方法。
- 罹患心臓弁を処置する方法であって、
弁形成術用リングを罹患心臓弁の周囲に埋め込むことにより、前記罹患心臓弁の弁尖を癒合させることであって、前記弁形成術用リングは、少なくとも1つの弾性特徴を含み、少なくとも1つの弾性特徴は、前記リングが静置状態から伸展状態に伸展されることを可能にし、前記リングは、前記静置状態に向かって付勢される、ことと、
長期間にわたって前記弁を周期的に監視することと、
前記天然弁が罹患状態を再発する場合、前記リング内に人工弁を設置することと
を含む、方法。 - 前記少なくとも1つの弾性特徴は、前記細長いコアの少なくとも1つのテーパ状区分を備える、請求項15に記載の方法。
- 前記少なくとも1つのテーパ状区分は、円形、正方形、長方形、コイル形状を含む群から選択された断面を備える、請求項16に記載の方法。
- 前記少なくとも1つの弾性特徴は、前記細長いコアの少なくとも1つのアコーディオン状区分を備える、請求項15に記載の方法。
- 前記アコーディオン状区分は、前記細長いコアの実質的に全体に沿って延在する、請求項18に記載の方法。
- 前記細長いコアを通って延在する内側ワイヤをさらに備える、請求項15に記載の方法。
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US62/241,664 | 2015-10-14 | ||
PCT/US2016/036515 WO2016200993A1 (en) | 2015-06-08 | 2016-06-08 | Annuloplasty ring for receiving a replacement valve |
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Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9345573B2 (en) | 2012-05-30 | 2016-05-24 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
JP2018519895A (ja) * | 2015-06-08 | 2018-07-26 | ノースウェスタン ユニバーシティ | 置換弁を受け取るための弁形成術用リング |
CN111263622A (zh) | 2017-08-25 | 2020-06-09 | 内奥瓦斯克迪亚拉公司 | 顺序展开的经导管二尖瓣假体 |
MX2020007331A (es) * | 2018-01-08 | 2020-10-07 | Medtentia Int Ltd Oy | Dispositivo de anuloplastia. |
US11517435B2 (en) * | 2018-05-04 | 2022-12-06 | Edwards Lifesciences Corporation | Ring-based prosthetic cardiac valve |
CN113271890A (zh) | 2018-11-08 | 2021-08-17 | 内奥瓦斯克迪亚拉公司 | 经导管二尖瓣假体的心室展开 |
JP7430732B2 (ja) | 2019-03-08 | 2024-02-13 | ニオバスク ティアラ インコーポレイテッド | 回収可能補綴物送達システム |
CN113811265A (zh) | 2019-04-01 | 2021-12-17 | 内奥瓦斯克迪亚拉公司 | 能够以可控的方式部署的假体瓣膜 |
AU2020279750B2 (en) | 2019-05-20 | 2023-07-13 | Neovasc Tiara Inc. | Introducer with hemostasis mechanism |
JP2022537559A (ja) | 2019-06-20 | 2022-08-26 | ニオバスク ティアラ インコーポレイテッド | 薄型人工補綴僧帽弁 |
JP1679249S (ja) * | 2020-06-04 | 2021-02-15 | ||
WO2022036358A1 (en) * | 2020-08-11 | 2022-02-17 | Edwards Lifesciences Corporation | Expandable annuloplasty rings |
CN113440311A (zh) * | 2021-07-23 | 2021-09-28 | 上海欣吉特生物科技有限公司 | 一种瓣膜成形环 |
CA3238585A1 (en) * | 2021-11-17 | 2023-05-25 | Beijing Balance Medical Technology Co., Ltd. | Split type precisely-anchorable transcatheter valve-in-ring system |
WO2023235518A1 (en) * | 2022-06-02 | 2023-12-07 | Edwards Lifesciences Corporation | Adjustable annuloplasty ring |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010021874A1 (en) * | 1994-07-29 | 2001-09-13 | Alexandre Carpentier | Expandable annuloplasty ring |
US20050256569A1 (en) * | 2004-05-14 | 2005-11-17 | St. Jude Medical, Inc. | Flexible, non-planar annuloplasty rings |
US20130331864A1 (en) * | 2012-06-12 | 2013-12-12 | Medtronic, Inc. | Method and Device for Percutaneous Valve Annuloplasty |
Family Cites Families (40)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4042979A (en) * | 1976-07-12 | 1977-08-23 | Angell William W | Valvuloplasty ring and prosthetic method |
US4489446A (en) * | 1982-07-14 | 1984-12-25 | Reed Charles C | Heart valve prosthesis |
US4917698A (en) * | 1988-12-22 | 1990-04-17 | Baxter International Inc. | Multi-segmented annuloplasty ring prosthesis |
US5593435A (en) * | 1994-07-29 | 1997-01-14 | Baxter International Inc. | Distensible annuloplasty ring for surgical remodelling of an atrioventricular valve and nonsurgical method for post-implantation distension thereof to accommodate patient growth |
US6174332B1 (en) * | 1997-12-05 | 2001-01-16 | St. Jude Medical, Inc. | Annuloplasty ring with cut zone |
US6102945A (en) * | 1998-10-16 | 2000-08-15 | Sulzer Carbomedics, Inc. | Separable annuloplasty ring |
US6805711B2 (en) * | 2000-06-02 | 2004-10-19 | 3F Therapeutics, Inc. | Expandable medical implant and percutaneous delivery |
US7935145B2 (en) * | 2001-05-17 | 2011-05-03 | Edwards Lifesciences Corporation | Annuloplasty ring for ischemic mitral valve insuffuciency |
US6726716B2 (en) * | 2001-08-24 | 2004-04-27 | Edwards Lifesciences Corporation | Self-molding annuloplasty ring |
US6749630B2 (en) * | 2001-08-28 | 2004-06-15 | Edwards Lifesciences Corporation | Tricuspid ring and template |
KR100581361B1 (ko) * | 2003-05-09 | 2006-05-17 | 주식회사 엠아이텍 | 판륜성형용 고정구 |
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 |
US7879087B2 (en) | 2006-10-06 | 2011-02-01 | Edwards Lifesciences Corporation | Mitral and tricuspid annuloplasty rings |
CA2671966A1 (en) * | 2006-12-05 | 2008-06-12 | Valtech Cardio, Ltd. | Segmented ring placement |
US7993395B2 (en) * | 2008-01-25 | 2011-08-09 | Medtronic, Inc. | Set of annuloplasty devices with varying anterior-posterior ratios and related methods |
US9295553B2 (en) * | 2008-04-09 | 2016-03-29 | Georgia Tech Research Corporation | Annuloplasty rings and methods for heart valve repair |
CA2728078A1 (en) * | 2008-06-16 | 2010-01-14 | Valtech Cardio, Ltd. | Annuloplasty devices and methods of delivery therefor |
US8287591B2 (en) * | 2008-09-19 | 2012-10-16 | Edwards Lifesciences Corporation | Transformable annuloplasty ring configured to receive a percutaneous prosthetic heart valve implantation |
US9314335B2 (en) * | 2008-09-19 | 2016-04-19 | Edwards Lifesciences Corporation | Prosthetic heart valve configured to receive a percutaneous prosthetic heart valve implantation |
US20100152844A1 (en) * | 2008-12-15 | 2010-06-17 | Couetil Jean-Paul A | Annuloplasty ring with directional flexibilities and rigidities to assist the mitral annulus dynamics |
US8241351B2 (en) * | 2008-12-22 | 2012-08-14 | Valtech Cardio, Ltd. | Adjustable partial annuloplasty ring and mechanism therefor |
EP3848002A1 (en) * | 2008-12-22 | 2021-07-14 | Valtech Cardio, Ltd. | Adjustable annuloplasty devices and adjustment mechanisms therefor |
US8715342B2 (en) | 2009-05-07 | 2014-05-06 | Valtech Cardio, Ltd. | Annuloplasty ring with intra-ring anchoring |
CA2808885C (en) * | 2010-08-24 | 2017-01-10 | John F. Migliazza | Flexible annuloplasty ring with select control points |
BR122019025550B1 (pt) * | 2010-08-31 | 2020-09-29 | Edwards Lifesciences Corporation | Anel de anuloplastia tricúspide protético |
US8932350B2 (en) * | 2010-11-30 | 2015-01-13 | Edwards Lifesciences Corporation | Reduced dehiscence annuloplasty ring |
US10123868B2 (en) * | 2011-10-19 | 2018-11-13 | Hilton Becker | Hybrid breast implant, method for making and using same |
US9078747B2 (en) * | 2011-12-21 | 2015-07-14 | Edwards Lifesciences Corporation | Anchoring device for replacing or repairing a heart valve |
US8961602B2 (en) * | 2012-01-27 | 2015-02-24 | St. Jude Medical, Cardiology Division, Inc. | Adjustment suture markers for adjustable annuloplasty ring |
WO2013130641A1 (en) * | 2012-02-29 | 2013-09-06 | Valcare, Inc. | Percutaneous annuloplasty system with anterior-posterior adjustment |
SG11201504377TA (en) * | 2012-12-31 | 2015-07-30 | Edwards Lifesciences Corp | Post-implant expandable surgical heart valve configurations |
FR3004335A1 (fr) * | 2013-04-11 | 2014-10-17 | Cormove | Prothese d'annuloplastie partiellement deformable |
CN103735337B (zh) * | 2013-12-31 | 2016-08-17 | 金仕生物科技(常熟)有限公司 | 人工心脏瓣膜成形环 |
JP2018519895A (ja) * | 2015-06-08 | 2018-07-26 | ノースウェスタン ユニバーシティ | 置換弁を受け取るための弁形成術用リング |
US20190343631A1 (en) * | 2015-06-08 | 2019-11-14 | Northwestern University | Circumferentially constrictive annuloplasty ring |
US20200015970A1 (en) * | 2018-07-10 | 2020-01-16 | Synergio Ag | Chain annuloplasty ring, delivery system and related methods |
US11559397B2 (en) * | 2018-12-13 | 2023-01-24 | Medtronic Vascular, Inc. | Heart valve repair |
WO2022026219A1 (en) * | 2020-07-30 | 2022-02-03 | Edwards Lifesciences Corporation | Adjustable annuloplasty ring and delivery system |
WO2022036358A1 (en) * | 2020-08-11 | 2022-02-17 | Edwards Lifesciences Corporation | Expandable annuloplasty rings |
CN117042727A (zh) * | 2021-03-11 | 2023-11-10 | 爱德华兹生命科学公司 | 可调整的三维瓣环成形术环 |
-
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- 2016-06-08 JP JP2017564010A patent/JP2018519895A/ja active Pending
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Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010021874A1 (en) * | 1994-07-29 | 2001-09-13 | Alexandre Carpentier | Expandable annuloplasty ring |
US20050256569A1 (en) * | 2004-05-14 | 2005-11-17 | St. Jude Medical, Inc. | Flexible, non-planar annuloplasty rings |
US20130331864A1 (en) * | 2012-06-12 | 2013-12-12 | Medtronic, Inc. | Method and Device for Percutaneous Valve Annuloplasty |
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US11337808B2 (en) | 2022-05-24 |
ES2951890T3 (es) | 2023-10-25 |
JP2023166441A (ja) | 2023-11-21 |
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EP4265226A2 (en) | 2023-10-25 |
CN116898633A (zh) | 2023-10-20 |
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US20180168808A1 (en) | 2018-06-21 |
EP3302367A1 (en) | 2018-04-11 |
CN107847325A (zh) | 2018-03-27 |
WO2016200993A1 (en) | 2016-12-15 |
EP3302367B1 (en) | 2023-06-07 |
JP7334883B2 (ja) | 2023-08-29 |
US20220249231A1 (en) | 2022-08-11 |
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