CA2979817C - Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire - Google Patents

Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire Download PDF

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Publication number
CA2979817C
CA2979817C CA2979817A CA2979817A CA2979817C CA 2979817 C CA2979817 C CA 2979817C CA 2979817 A CA2979817 A CA 2979817A CA 2979817 A CA2979817 A CA 2979817A CA 2979817 C CA2979817 C CA 2979817C
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CA
Canada
Prior art keywords
tissue anchor
tissue
annulus
catheter
wire
Prior art date
Legal status (The legal status 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 status listed.)
Active
Application number
CA2979817A
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English (en)
Other versions
CA2979817A1 (fr
Inventor
Steven Cahalane
Jason Robinson
Morgan House
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Edwards Lifesciences Corp
Original Assignee
Edwards Lifesciences Corp
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
Application filed by Edwards Lifesciences Corp filed Critical Edwards Lifesciences Corp
Publication of CA2979817A1 publication Critical patent/CA2979817A1/fr
Application granted granted Critical
Publication of CA2979817C publication Critical patent/CA2979817C/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods 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
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/00831—Material properties
    • A61B2017/00876—Material properties magnetic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0406—Pledgets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419—H-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Rheumatology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne des dispositifs et des procédés de traitement de régurgitation de valve tricuspide. De manière spécifique, un aspect de la présente invention concerne des dispositifs et des procédés pour identifier un emplacement approprié sur l'anneau tricuspide, placer un fil à travers l'anneau tricuspide audit emplacement identifié, déployer un ancrage tissulaire à travers ledit emplacement identifié, déployer au moins deux ancrages tissulaires et accoupler les ancrages tissulaires à un élément de tension souple, et appliquer une tension à un élément de tension souple qui est accouplé à au moins deux ancrages tissulaires, plisser des tissus entre chaque paire des au moins deux ancrages tissulaires, et réduire la circonférence de l'anneau tricuspide. En conséquence, un jet de régurgitation est réduit ou éliminé.
CA2979817A 2015-03-18 2015-03-18 Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire Active CA2979817C (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2015/021346 WO2016148714A1 (fr) 2015-03-18 2015-03-18 Ancrages tissulaires et réparation de valve tricuspide percutanée utilisant un ancrage tissulaire

Publications (2)

Publication Number Publication Date
CA2979817A1 CA2979817A1 (fr) 2016-09-22
CA2979817C true CA2979817C (fr) 2023-03-28

Family

ID=52823804

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2979817A Active CA2979817C (fr) 2015-03-18 2015-03-18 Ancrages tissulaires et reparation de valve tricuspide percutanee utilisant un ancrage tissulaire

Country Status (4)

Country Link
EP (1) EP3270794A1 (fr)
CN (1) CN107427296B (fr)
CA (1) CA2979817C (fr)
WO (1) WO2016148714A1 (fr)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11833034B2 (en) 2016-01-13 2023-12-05 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
EP3579761A2 (fr) * 2017-02-08 2019-12-18 4Tech Inc. Mise sous tension post-implantation dans des implants cardiaques
US20210361277A1 (en) * 2018-05-17 2021-11-25 Implament Pty Ltd Suture anchor
EP4442226A3 (fr) 2018-08-21 2025-01-01 Shifamed Holdings, LLC Dispositifs, systèmes et procédés de valvule cardiaque prothétique
CA3115270A1 (fr) 2018-10-05 2020-04-09 Shifamed Holdings, Llc Dispositifs, systemes et methodes pour valvule cardiaque prothetique
AU2019362078B2 (en) 2018-10-19 2025-08-07 Tioga Cardiovascular, Inc. Adjustable medical device
US11471282B2 (en) 2019-03-19 2022-10-18 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
IT202000012562A1 (it) 2020-05-27 2021-11-27 Milano Politecnico Dispositivo e assieme per riparare una valvola cardiaca
US12053371B2 (en) 2020-08-31 2024-08-06 Shifamed Holdings, Llc Prosthetic valve delivery system
EP4255351A4 (fr) 2020-12-04 2024-10-16 Shifamed Holdings, LLC Dispositifs et systèmes de pose de valvule cardiaque prothétique évasée
CN113017927A (zh) * 2021-03-22 2021-06-25 上海骊霄医疗技术有限公司 一种可捕捉和固定的二尖瓣修复装置
US12201521B2 (en) 2021-03-22 2025-01-21 Shifamed Holdings, Llc Anchor position verification for prosthetic cardiac valve devices
WO2022241755A1 (fr) * 2021-05-21 2022-11-24 上海形状记忆合金材料有限公司 Appareil de contraction d'anneau mitral
WO2023212245A1 (fr) 2022-04-29 2023-11-02 Tangent Biotech Inc. Dispositifs et procédés de réparation de valve tricuspide percutanée
EP4651805A1 (fr) * 2023-01-20 2025-11-26 Pipeline Medical Technologies, Inc. Système d'ancrage péricardique
US12171662B1 (en) 2023-10-26 2024-12-24 Approxima Srl Heart chamber reshaping and valve repair system

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060069429A1 (en) * 2001-04-24 2006-03-30 Spence Paul A Tissue fastening systems and methods utilizing magnetic guidance
US20050119735A1 (en) * 2002-10-21 2005-06-02 Spence Paul A. Tissue fastening systems and methods utilizing magnetic guidance
US8951285B2 (en) * 2005-07-05 2015-02-10 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
US8945211B2 (en) * 2008-09-12 2015-02-03 Mitralign, Inc. Tissue plication device and method for its use
GB2509679B (en) * 2011-11-14 2018-09-05 Arthrocare Corp Tissue repair assembly
WO2014134183A1 (fr) * 2013-02-26 2014-09-04 Mitralign, Inc. Dispositif et procédés pour réparation percutanée de valve tricuspide
CN104000627B (zh) * 2013-02-26 2017-04-12 米特拉利根公司 组织锚及锚固系统

Also Published As

Publication number Publication date
CN107427296A (zh) 2017-12-01
WO2016148714A1 (fr) 2016-09-22
EP3270794A1 (fr) 2018-01-24
CA2979817A1 (fr) 2016-09-22
CN107427296B (zh) 2021-12-28

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