WO2004019816A3 - Implantable devices for controlling the internal circumference of an anatomic orifice or lumen - Google Patents

Implantable devices for controlling the internal circumference of an anatomic orifice or lumen Download PDF

Info

Publication number
WO2004019816A3
WO2004019816A3 PCT/US2003/027278 US0327278W WO2004019816A3 WO 2004019816 A3 WO2004019816 A3 WO 2004019816A3 US 0327278 W US0327278 W US 0327278W WO 2004019816 A3 WO2004019816 A3 WO 2004019816A3
Authority
WO
WIPO (PCT)
Prior art keywords
implants
controlling
lumen
circumference
implantable devices
Prior art date
Application number
PCT/US2003/027278
Other languages
French (fr)
Other versions
WO2004019816A2 (en
Inventor
Richard G Cartledge
Leonard Y Lee
Original Assignee
Md3 Technologies Llc
Richard G Cartledge
Leonard Y Lee
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
Priority to DE60332117T priority Critical patent/DE60332117D1/en
Application filed by Md3 Technologies Llc, Richard G Cartledge, Leonard Y Lee filed Critical Md3 Technologies Llc
Priority to AT03791977T priority patent/ATE464028T1/en
Priority to AU2003265852A priority patent/AU2003265852A1/en
Priority to MXPA05002284A priority patent/MXPA05002284A/en
Priority to CN038235188A priority patent/CN1684644B/en
Priority to EP03791977A priority patent/EP1531762B1/en
Priority to JP2004531996A priority patent/JP4316503B2/en
Priority to CA002497042A priority patent/CA2497042A1/en
Priority to KR1020057003553A priority patent/KR101050626B1/en
Publication of WO2004019816A2 publication Critical patent/WO2004019816A2/en
Publication of WO2004019816A3 publication Critical patent/WO2004019816A3/en
Priority to IL167133A priority patent/IL167133A/en
Priority to NO20051147A priority patent/NO20051147L/en

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
    • A61F2/2442—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
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • 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
    • 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
    • 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
    • A61B17/00234—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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00455—Orientation indicators, e.g. recess on the handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • A61B2017/00783—Valvuloplasty
    • 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
    • A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single 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
    • 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
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • 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
    • 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/0076—Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves
    • A61F5/0079—Pyloric or esophageal obstructions

Abstract

An implantable device (10, 100, 800) for controlling the circumference of internal anatomic passages corrects physiologic dysfunctions resulting from a structural lumen which is either too large or too small. Implants are disclosed which employ various means for adjusting and maintaining the size of an orifice to which they are attached. Systems permit the implants to be implanted using minimally invasive procedures and permit final adjustments to the circumference of the implants after the resumption of normal flow of anatomic fluids in situ. Methods are disclosed for using the implants to treat heart valve abnormalities, gastroesophageal abnormalities, anal incontinence, and the like.
PCT/US2003/027278 2002-08-29 2003-08-29 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen WO2004019816A2 (en)

Priority Applications (11)

Application Number Priority Date Filing Date Title
EP03791977A EP1531762B1 (en) 2002-08-29 2003-08-29 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen
AT03791977T ATE464028T1 (en) 2002-08-29 2003-08-29 IMPLANTABLE DEVICES FOR CONTROLLING THE INNER DIAMETER OF AN OPENING IN THE BODY
AU2003265852A AU2003265852A1 (en) 2002-08-29 2003-08-29 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen
MXPA05002284A MXPA05002284A (en) 2002-08-29 2003-08-29 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen.
CN038235188A CN1684644B (en) 2002-08-29 2003-08-29 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen
DE60332117T DE60332117D1 (en) 2002-08-29 2003-08-29 IMPLANTABLE DEVICES FOR CONTROLLING THE INTERNAL DIAMETER OF AN OPENING IN THE BODY
JP2004531996A JP4316503B2 (en) 2002-08-29 2003-08-29 Implantable device for controlling an anatomical orifice or lumen
CA002497042A CA2497042A1 (en) 2002-08-29 2003-08-29 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen
KR1020057003553A KR101050626B1 (en) 2002-08-29 2003-08-29 Implantation device for controlling the inner circumference of the anatomical orifice or lumen
IL167133A IL167133A (en) 2002-08-29 2005-02-28 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen
NO20051147A NO20051147L (en) 2002-08-29 2005-03-03 Implantable device for controlling the inner circumference of an anatomical aperture or lumen

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US40684102P 2002-08-29 2002-08-29
US60/406,841 2002-08-29
US44400503P 2003-01-31 2003-01-31
US60/444,005 2003-01-31
US44738303P 2003-02-14 2003-02-14
US60/447,383 2003-02-14
US46243503P 2003-04-12 2003-04-12
US60/462,435 2003-04-12

Publications (2)

Publication Number Publication Date
WO2004019816A2 WO2004019816A2 (en) 2004-03-11
WO2004019816A3 true WO2004019816A3 (en) 2004-08-26

Family

ID=31982587

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2003/027268 WO2004019826A1 (en) 2002-08-29 2003-08-29 Apparatus for implanting surgical devices
PCT/US2003/027278 WO2004019816A2 (en) 2002-08-29 2003-08-29 Implantable devices for controlling the internal circumference of an anatomic orifice or lumen

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2003/027268 WO2004019826A1 (en) 2002-08-29 2003-08-29 Apparatus for implanting surgical devices

Country Status (16)

Country Link
US (8) US7297150B2 (en)
EP (2) EP1531762B1 (en)
JP (1) JP4316503B2 (en)
KR (1) KR101050626B1 (en)
CN (1) CN1684644B (en)
AT (1) ATE464028T1 (en)
AU (2) AU2003265850A1 (en)
CA (1) CA2497042A1 (en)
DE (1) DE60332117D1 (en)
ES (1) ES2349952T3 (en)
IL (1) IL167133A (en)
MX (1) MXPA05002284A (en)
NO (1) NO20051147L (en)
PT (1) PT1531762E (en)
RU (1) RU2005108673A (en)
WO (2) WO2004019826A1 (en)

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US9180005B1 (en) 2014-07-17 2015-11-10 Millipede, Inc. Adjustable endolumenal mitral valve ring
US9192471B2 (en) 2007-01-08 2015-11-24 Millipede, Inc. Device for translumenal reshaping of a mitral valve annulus

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Free format text: PEDIDO RETIRADO FACE A IMPOSSIBILIDADE DE ACEITACAO DA ENTRADA NA FASE NACIONAL POR TER SIDO INTEMPESTIVA. O PRAZO PARA ENTRADA NA FASE NACIONAL EXPIRAVA EM 29.04.2004 ( 20 MESES - BR DESIGNADO APENAS), ELEICAO NAO COMPROVADA, E A PRETENSA ENTRADA NA FASE NACIONAL SO OCORREU EM 28.02.2005.