WO2005074367A3 - Device and method for controlling in-vivo pressure - Google Patents

Device and method for controlling in-vivo pressure Download PDF

Info

Publication number
WO2005074367A3
WO2005074367A3 PCT/IL2005/000131 IL2005000131W WO2005074367A3 WO 2005074367 A3 WO2005074367 A3 WO 2005074367A3 IL 2005000131 W IL2005000131 W IL 2005000131W WO 2005074367 A3 WO2005074367 A3 WO 2005074367A3
Authority
WO
WIPO (PCT)
Prior art keywords
shunt
controlling
lumens
regulation mechanism
flow regulation
Prior art date
Application number
PCT/IL2005/000131
Other languages
French (fr)
Other versions
WO2005074367A2 (en
Inventor
Dan Rottenberg
Ori Braun
Zakay Avraham Aba
Ascher Shmulewitz
Yoram Rozy
Gad Keren
Original Assignee
Atria Medical Inc
Dan Rottenberg
Ori Braun
Zakay Avraham Aba
Ascher Shmulewitz
Yoram Rozy
Gad Keren
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 JP2006552005A priority Critical patent/JP2007527742A/en
Priority to EP05703174.2A priority patent/EP1771132B1/en
Priority to CA2554595A priority patent/CA2554595C/en
Priority to AU2005211243A priority patent/AU2005211243A1/en
Priority to ES05703174T priority patent/ES2725721T3/en
Priority to US10/597,666 priority patent/US8070708B2/en
Application filed by Atria Medical Inc, Dan Rottenberg, Ori Braun, Zakay Avraham Aba, Ascher Shmulewitz, Yoram Rozy, Gad Keren filed Critical Atria Medical Inc
Priority to US10/597,666 priority patent/US20070282157A1/en
Publication of WO2005074367A2 publication Critical patent/WO2005074367A2/en
Priority to IL176973A priority patent/IL176973A0/en
Publication of WO2005074367A3 publication Critical patent/WO2005074367A3/en
Priority to US13/108,698 priority patent/US20110218480A1/en
Priority to US13/108,850 priority patent/US20110218481A1/en
Priority to US13/108,672 priority patent/US9724499B2/en
Priority to US14/154,093 priority patent/US20140163449A1/en
Priority to US15/668,622 priority patent/US10463490B2/en
Priority to US16/672,420 priority patent/US11266501B2/en
Priority to US16/878,228 priority patent/US10912645B2/en
Priority to US17/166,771 priority patent/US20210154012A1/en
Priority to US17/653,551 priority patent/US11382747B2/en
Priority to US17/811,476 priority patent/US20220338989A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • 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
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
    • A61M60/148—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
    • 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
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into 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
    • 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
    • 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
    • A61F2/2476—Valves implantable in the body not otherwise provided for
    • 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
    • A61F2/2493—Transmyocardial revascularisation [TMR] devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
    • 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
    • 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
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00592—Elastic or resilient implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections

Abstract

A differential pressure regulating device is provided for controlling in-vivo pressure in a body, and in particularly in a heart. The device may include a shunt being positioned between two or more lumens in a body, to enable fluids to flow between the lumens, and an adjustable flow regulation mechanism being configured to selectively cover an opening of the shunt, to regulate the flow of fluid through the shunt in relation to a pressure difference between the body lumens. In some embodiments a control mechanism coupled to the adjustable flow regulation mechanism may be provided, to remotely activate the adjustable flow regulation mechanism.
PCT/IL2005/000131 2001-04-20 2005-02-03 Device and method for controlling in-vivo pressure WO2005074367A2 (en)

Priority Applications (18)

Application Number Priority Date Filing Date Title
JP2006552005A JP2007527742A (en) 2004-02-03 2005-02-03 Apparatus and method for controlling pressure in a living body
EP05703174.2A EP1771132B1 (en) 2004-02-03 2005-02-03 Device and method for controlling in-vivo pressure
CA2554595A CA2554595C (en) 2004-02-03 2005-02-03 Device and method for controlling in-vivo pressure
AU2005211243A AU2005211243A1 (en) 2004-02-03 2005-02-03 Device and method for controlling in-vivo pressure
ES05703174T ES2725721T3 (en) 2004-02-03 2005-02-03 Device and method to control pressure in vivo
US10/597,666 US8070708B2 (en) 2004-02-03 2005-02-03 Device and method for controlling in-vivo pressure
US10/597,666 US20070282157A1 (en) 2004-02-03 2005-03-02 Device And Method For Controlling In-Vivo Pressure
IL176973A IL176973A0 (en) 2004-02-03 2006-07-20 Device and method for controlling in-vivo pressure
US13/108,672 US9724499B2 (en) 2001-04-20 2011-05-16 Device and method for controlling in-vivo pressure
US13/108,698 US20110218480A1 (en) 2001-04-20 2011-05-16 Device and method for controlling in-vivo pressure
US13/108,850 US20110218481A1 (en) 2001-04-20 2011-05-16 Device and method for controlling in-vivo pressure
US14/154,093 US20140163449A1 (en) 2004-02-03 2014-01-13 Device and method for controlling in-vivo pressure
US15/668,622 US10463490B2 (en) 2004-02-03 2017-08-03 Device and method for controlling in-vivo pressure
US16/672,420 US11266501B2 (en) 2004-02-03 2019-11-01 Device and method for controlling in-vivo pressure
US16/878,228 US10912645B2 (en) 2004-02-03 2020-05-19 Device and method for controlling in-vivo pressure
US17/166,771 US20210154012A1 (en) 2004-02-03 2021-02-03 Device and method for controlling in-vivo pressure
US17/653,551 US11382747B2 (en) 2004-02-03 2022-03-04 Device and method for controlling in-vivo pressure
US17/811,476 US20220338989A1 (en) 2004-02-03 2022-07-08 Device and method for controlling in-vivo pressure

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US54126704P 2004-02-03 2004-02-03
US60/541,267 2004-02-03
US57337804P 2004-05-24 2004-05-24
US60/573,378 2004-05-24

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09/839,643 Continuation-In-Part US8091556B2 (en) 2001-04-20 2001-04-20 Methods and apparatus for reducing localized circulatory system pressure

Related Child Applications (5)

Application Number Title Priority Date Filing Date
US10/597,666 A-371-Of-International US20070282157A1 (en) 2001-04-20 2005-03-02 Device And Method For Controlling In-Vivo Pressure
US11/597,666 A-371-Of-International US20070225192A1 (en) 2004-05-27 2005-05-26 Combined Chemical Oxidation/Assisted Bioremediation of Contaminats
US13/108,698 Continuation US20110218480A1 (en) 2001-04-20 2011-05-16 Device and method for controlling in-vivo pressure
US13/108,850 Continuation US20110218481A1 (en) 2001-04-20 2011-05-16 Device and method for controlling in-vivo pressure
US13/108,672 Continuation US9724499B2 (en) 2001-04-20 2011-05-16 Device and method for controlling in-vivo pressure

Publications (2)

Publication Number Publication Date
WO2005074367A2 WO2005074367A2 (en) 2005-08-18
WO2005074367A3 true WO2005074367A3 (en) 2008-12-31

Family

ID=34841124

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2005/000131 WO2005074367A2 (en) 2001-04-20 2005-02-03 Device and method for controlling in-vivo pressure

Country Status (8)

Country Link
US (13) US20050148925A1 (en)
EP (1) EP1771132B1 (en)
JP (1) JP2007527742A (en)
CN (1) CN104971390B (en)
AU (1) AU2005211243A1 (en)
CA (1) CA2554595C (en)
ES (1) ES2725721T3 (en)
WO (1) WO2005074367A2 (en)

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US20050148925A1 (en) 2005-07-07

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