WO2012061809A3 - Methods and systems for delivering prostheses using rail techniques - Google Patents

Methods and systems for delivering prostheses using rail techniques Download PDF

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Publication number
WO2012061809A3
WO2012061809A3 PCT/US2011/059586 US2011059586W WO2012061809A3 WO 2012061809 A3 WO2012061809 A3 WO 2012061809A3 US 2011059586 W US2011059586 W US 2011059586W WO 2012061809 A3 WO2012061809 A3 WO 2012061809A3
Authority
WO
WIPO (PCT)
Prior art keywords
systems
methods
rail
target location
delivering
Prior art date
Application number
PCT/US2011/059586
Other languages
French (fr)
Other versions
WO2012061809A2 (en
Inventor
Nasser Rafiee
Original Assignee
Mehr Medical Llc
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 US13/240,793 external-priority patent/US20120078360A1/en
Application filed by Mehr Medical Llc filed Critical Mehr Medical Llc
Publication of WO2012061809A2 publication Critical patent/WO2012061809A2/en
Publication of WO2012061809A3 publication Critical patent/WO2012061809A3/en
Priority to US13/887,043 priority Critical patent/US9579193B2/en
Priority to US13/886,983 priority patent/US10321998B2/en
Priority to AU2013205892A priority patent/AU2013205892B2/en
Priority to AU2016204097A priority patent/AU2016204097C1/en
Priority to US15/413,017 priority patent/US10398551B2/en
Priority to AU2018260891A priority patent/AU2018260891B2/en
Priority to US16/399,956 priority patent/US11135061B2/en
Priority to US17/390,962 priority patent/US20220039950A1/en
Priority to US17/745,188 priority patent/US20220331104A1/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
    • A61F2/2412—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 with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support 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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2436—Deployment by retracting a sheath
    • 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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2439—Expansion controlled by filaments
    • 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
    • A61F2/2454—Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
    • A61F2/2457—Chordae tendineae prostheses
    • 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
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/005—Rosette-shaped, e.g. star-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0054—V-shaped
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0073—Quadric-shaped
    • A61F2230/0078—Quadric-shaped hyperboloidal
    • 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
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Abstract

Exemplary embodiments provide methods and systems for delivering a prosthesis to a target location in a lumenal system of a patient. At least one tether is secured proximate the target location to serve as a rail, and a prosthesis is advanced along the rail to the target location and secured in place. Exemplary methods and systems provide for repair of the mitral and tricuspid valves, as well as abdominal aortic aneurysms, stomach valves, fallopian tubes and the pulmonary system, among others. Also disclosed are various prostheses suitable for use with the disclosed methods and systems.
PCT/US2011/059586 2010-09-23 2011-11-07 Methods and systems for delivering prostheses using rail techniques WO2012061809A2 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
US13/887,043 US9579193B2 (en) 2010-09-23 2013-05-03 Methods and systems for delivering prostheses using rail techniques
US13/886,983 US10321998B2 (en) 2010-09-23 2013-05-03 Methods and systems for delivering prostheses using rail techniques
AU2013205892A AU2013205892B2 (en) 2010-11-06 2013-05-16 Methods and Systems for Delivering Prostheses Using Rail Techniques
AU2016204097A AU2016204097C1 (en) 2010-11-06 2016-06-17 Methods And Systems For Delivering Prostheses Using Rail Techniques
US15/413,017 US10398551B2 (en) 2011-09-22 2017-01-23 Devices, systems and methods for repairing lumenal systems
AU2018260891A AU2018260891B2 (en) 2010-11-06 2018-11-08 Methods and Systems For Delivering Prostheses Using Rail Techniques
US16/399,956 US11135061B2 (en) 2010-09-23 2019-04-30 Methods and systems for delivering prostheses using rail techniques
US17/390,962 US20220039950A1 (en) 2010-09-23 2021-07-31 Methods and systems for delivering prostheses using rail techniques
US17/745,188 US20220331104A1 (en) 2010-09-23 2022-05-16 Methods and systems for delivering prostheses using rail techniques

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US41087710P 2010-11-06 2010-11-06
US61/410,877 2010-11-06
US201161431384P 2011-01-10 2011-01-10
US61/431,384 2011-01-10
US201161451899P 2011-03-11 2011-03-11
US61/451,899 2011-03-11
US13/240,793 2011-09-22
US13/240,793 US20120078360A1 (en) 2010-09-23 2011-09-22 Prosthetic devices, systems and methods for replacing heart valves

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US13/240,793 Continuation-In-Part US20120078360A1 (en) 2010-09-23 2011-09-22 Prosthetic devices, systems and methods for replacing heart valves

Related Child Applications (3)

Application Number Title Priority Date Filing Date
US13/886,983 Continuation-In-Part US10321998B2 (en) 2010-09-23 2013-05-03 Methods and systems for delivering prostheses using rail techniques
US13/887,043 Continuation-In-Part US9579193B2 (en) 2010-09-23 2013-05-03 Methods and systems for delivering prostheses using rail techniques
AU2013205892A Division AU2013205892B2 (en) 2010-11-06 2013-05-16 Methods and Systems for Delivering Prostheses Using Rail Techniques

Publications (2)

Publication Number Publication Date
WO2012061809A2 WO2012061809A2 (en) 2012-05-10
WO2012061809A3 true WO2012061809A3 (en) 2012-07-19

Family

ID=46025154

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2011/059586 WO2012061809A2 (en) 2010-09-23 2011-11-07 Methods and systems for delivering prostheses using rail techniques

Country Status (1)

Country Link
WO (1) WO2012061809A2 (en)

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9579193B2 (en) 2010-09-23 2017-02-28 Transmural Systems Llc Methods and systems for delivering prostheses using rail techniques
US10321998B2 (en) 2010-09-23 2019-06-18 Transmural Systems Llc Methods and systems for delivering prostheses using rail techniques
US8888843B2 (en) 2011-01-28 2014-11-18 Middle Peak Medical, Inc. Device, system, and method for transcatheter treatment of valve regurgitation
US8845717B2 (en) 2011-01-28 2014-09-30 Middle Park Medical, Inc. Coaptation enhancement implant, system, and method
US9549817B2 (en) 2011-09-22 2017-01-24 Transmural Systems Llc Devices, systems and methods for repairing lumenal systems
WO2015020971A1 (en) * 2013-08-04 2015-02-12 Mehr Medical Llc Devices, systems and methods for repairing lumenal systems
US9526610B2 (en) 2012-06-12 2016-12-27 Medtronic, Inc. Method and device for percutaneous valve annuloplasty
US9232995B2 (en) 2013-01-08 2016-01-12 Medtronic, Inc. Valve prosthesis and method for delivery
US10206775B2 (en) 2012-08-13 2019-02-19 Medtronic, Inc. Heart valve prosthesis
WO2014197839A2 (en) 2013-06-07 2014-12-11 Cedars-Sinai Medical Center Vascular graft device placement system and method
US9662202B2 (en) 2013-10-24 2017-05-30 Medtronic, Inc. Heart valve prosthesis
US10166098B2 (en) 2013-10-25 2019-01-01 Middle Peak Medical, Inc. Systems and methods for transcatheter treatment of valve regurgitation
US20170014115A1 (en) 2014-03-27 2017-01-19 Transmural Systems Llc Devices and methods for closure of transvascular or transcameral access ports
ES2908178T3 (en) 2014-06-18 2022-04-28 Polares Medical Inc Mitral valve implants for the treatment of valvular regurgitation
EP3160396B1 (en) 2014-06-24 2022-03-23 Polares Medical Inc. Systems for anchoring an implant
WO2016133950A1 (en) * 2015-02-17 2016-08-25 Medtronic Vascular Inc. Methods for anchoring a heart valve prosthesis in a transcatheter valve implantation procedure
GB2539444A (en) 2015-06-16 2016-12-21 Ucl Business Plc Prosthetic heart valve
WO2017049003A1 (en) 2015-09-15 2017-03-23 Nasser Rafiee Devices and methods for effectuating percutaneous glenn and fontan procedures
US10456243B2 (en) 2015-10-09 2019-10-29 Medtronic Vascular, Inc. Heart valves prostheses and methods for percutaneous heart valve replacement
US9592121B1 (en) 2015-11-06 2017-03-14 Middle Peak Medical, Inc. Device, system, and method for transcatheter treatment of valvular regurgitation
US10398553B2 (en) 2016-11-11 2019-09-03 Evalve, Inc. Opposing disk device for grasping cardiac valve tissue
US10478303B2 (en) 2017-03-13 2019-11-19 Polares Medical Inc. Device, system, and method for transcatheter treatment of valvular regurgitation
CN110913801B (en) 2017-03-13 2022-04-15 宝来瑞斯医疗有限公司 Coaptation assistance element for treating an adverse coaptation of a heart valve of a heart and system for delivering the same
US10653524B2 (en) 2017-03-13 2020-05-19 Polares Medical Inc. Device, system, and method for transcatheter treatment of valvular regurgitation
US11464634B2 (en) 2020-12-16 2022-10-11 Polares Medical Inc. Device, system, and method for transcatheter treatment of valvular regurgitation with secondary anchors
US11759321B2 (en) 2021-06-25 2023-09-19 Polares Medical Inc. Device, system, and method for transcatheter treatment of valvular regurgitation

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US20100249923A1 (en) * 2007-09-28 2010-09-30 St Jude Medical Inc. Collapsible/expandable prosthetic heart valves with native calcified leaflet retention features

Patent Citations (10)

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US20050143809A1 (en) * 2003-12-23 2005-06-30 Sadra Medical A Delaware Corporation Methods and apparatus for endovascularly replacing a heart valve
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US20090005863A1 (en) * 2006-02-16 2009-01-01 Goetz Wolfgang Minimally invasive heart valve replacement
US20080221672A1 (en) * 2007-02-23 2008-09-11 Endovalve, Inc. Mitral Valve System
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US20100036479A1 (en) * 2008-04-23 2010-02-11 Medtronic, Inc. Stented Heart Valve Devices

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