WO2006116558A3 - Device and methods for endoscopic annuloplasty - Google Patents

Device and methods for endoscopic annuloplasty Download PDF

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Publication number
WO2006116558A3
WO2006116558A3 PCT/US2006/015941 US2006015941W WO2006116558A3 WO 2006116558 A3 WO2006116558 A3 WO 2006116558A3 US 2006015941 W US2006015941 W US 2006015941W WO 2006116558 A3 WO2006116558 A3 WO 2006116558A3
Authority
WO
WIPO (PCT)
Prior art keywords
valve
methods
atrioventricular
structures
temporarily
Prior art date
Application number
PCT/US2006/015941
Other languages
French (fr)
Other versions
WO2006116558A9 (en
WO2006116558A2 (en
Inventor
Goar Frederick St
James Fann
Mark Deem
Iii Hanson Gifford
Martin Dieck
Brian B Martin
Sylvia Fan
Eric Goldfarb
Kent Dell
Ferolyn Powell
Original Assignee
Evalve Inc
Goar Frederick St
James Fann
Mark Deem
Iii Hanson Gifford
Martin Dieck
Brian B Martin
Sylvia Fan
Eric Goldfarb
Kent Dell
Ferolyn Powell
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 claimed from US09/544,930 external-priority patent/US6629534B1/en
Application filed by Evalve Inc, Goar Frederick St, James Fann, Mark Deem, Iii Hanson Gifford, Martin Dieck, Brian B Martin, Sylvia Fan, Eric Goldfarb, Kent Dell, Ferolyn Powell filed Critical Evalve Inc
Priority to JP2008508003A priority Critical patent/JP2008538937A/en
Priority to EP06751584.1A priority patent/EP1874217A4/en
Priority to AU2006241065A priority patent/AU2006241065B2/en
Priority to CA002606101A priority patent/CA2606101A1/en
Publication of WO2006116558A2 publication Critical patent/WO2006116558A2/en
Publication of WO2006116558A9 publication Critical patent/WO2006116558A9/en
Publication of WO2006116558A3 publication Critical patent/WO2006116558A3/en

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Classifications

    • AHUMAN NECESSITIES
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    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • AHUMAN NECESSITIES
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    • AHUMAN NECESSITIES
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    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0643Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0644Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
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    • A61B2017/00238Type of minimally invasive operation
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    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
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    • A61B17/06066Needles, e.g. needle tip configurations
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    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
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    • A61F2/24Heart 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
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    • A61F2/24Heart 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
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2445Annuloplasty rings in direct contact with the valve annulus
    • AHUMAN NECESSITIES
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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
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    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2466Delivery devices therefor
    • AHUMAN NECESSITIES
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    • A61M25/00Catheters; Hollow probes
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    • A61M25/0133Tip steering devices
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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. The tissue structures can be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment. In one aspect, a structure is deployed in a gutter region of the valve annulus to modify the shape of the valve.
PCT/US2006/015941 1999-04-09 2006-04-25 Device and methods for endoscopic annuloplasty WO2006116558A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2008508003A JP2008538937A (en) 2005-04-25 2006-04-25 Apparatus and method for endovascular annuloplasty
EP06751584.1A EP1874217A4 (en) 2005-04-25 2006-04-25 Device and methods for endoscopic annuloplasty
AU2006241065A AU2006241065B2 (en) 2005-04-25 2006-04-25 Device and methods for endoscopic annuloplasty
CA002606101A CA2606101A1 (en) 2005-04-25 2006-04-25 Device and methods for endoscopic annuloplasty

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US12869099P 1999-04-09 1999-04-09
US09/544,930 US6629534B1 (en) 1999-04-09 2000-04-07 Methods and apparatus for cardiac valve repair
US10/635,776 US7704269B2 (en) 1999-04-09 2003-08-05 Methods and apparatus for cardiac valve repair
US10/820,581 US20050033446A1 (en) 1999-04-09 2004-04-07 Methods and apparatus for cardiac valve repair
US67493105P 2005-04-25 2005-04-25
US60/674,931 2005-04-25

Publications (3)

Publication Number Publication Date
WO2006116558A2 WO2006116558A2 (en) 2006-11-02
WO2006116558A9 WO2006116558A9 (en) 2006-12-21
WO2006116558A3 true WO2006116558A3 (en) 2007-09-27

Family

ID=56290815

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/015941 WO2006116558A2 (en) 1999-04-09 2006-04-25 Device and methods for endoscopic annuloplasty

Country Status (1)

Country Link
WO (1) WO2006116558A2 (en)

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7666193B2 (en) 2002-06-13 2010-02-23 Guided Delivery Sytems, Inc. Delivery devices and methods for heart valve repair
US7753922B2 (en) 2003-09-04 2010-07-13 Guided Delivery Systems, Inc. Devices and methods for cardiac annulus stabilization and treatment
US7753924B2 (en) 2003-09-04 2010-07-13 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
US7758637B2 (en) 2003-02-06 2010-07-20 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US7883538B2 (en) 2002-06-13 2011-02-08 Guided Delivery Systems Inc. Methods and devices for termination
US8287555B2 (en) 2003-02-06 2012-10-16 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US8388680B2 (en) 2006-10-18 2013-03-05 Guided Delivery Systems, Inc. Methods and devices for catheter advancement and delivery of substances therethrough
US8641727B2 (en) 2002-06-13 2014-02-04 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US8790367B2 (en) 2008-02-06 2014-07-29 Guided Delivery Systems Inc. Multi-window guide tunnel
US8795298B2 (en) 2008-10-10 2014-08-05 Guided Delivery Systems Inc. Tether tensioning devices and related methods
US8940044B2 (en) 2011-06-23 2015-01-27 Valtech Cardio, Ltd. Closure element for use with an annuloplasty structure
US9072513B2 (en) 2002-06-13 2015-07-07 Guided Delivery Systems Inc. Methods and devices for termination
US9125632B2 (en) 2007-10-19 2015-09-08 Guided Delivery Systems, Inc. Systems and methods for cardiac remodeling
US9173646B2 (en) 2009-01-20 2015-11-03 Guided Delivery Systems Inc. Diagnostic catheters, guide catheters, visualization devices and chord manipulation devices, and related kits and methods

Families Citing this family (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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