EP3790509A4 - Systeme und verfahren zur transkatheterherzklappenreparatur - Google Patents

Systeme und verfahren zur transkatheterherzklappenreparatur Download PDF

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Publication number
EP3790509A4
EP3790509A4 EP19800632.2A EP19800632A EP3790509A4 EP 3790509 A4 EP3790509 A4 EP 3790509A4 EP 19800632 A EP19800632 A EP 19800632A EP 3790509 A4 EP3790509 A4 EP 3790509A4
Authority
EP
European Patent Office
Prior art keywords
systems
methods
valve repair
transcatheter valve
transcatheter
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.)
Withdrawn
Application number
EP19800632.2A
Other languages
English (en)
French (fr)
Other versions
EP3790509A1 (de
Inventor
Alexei Smirnov
Graham GARVIN
Tim CROWLEY
Tom BROOME
Daryl Edmiston
Joel Helgerson
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.)
Neochord Inc
Original Assignee
Neochord Inc
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 US16/406,736 external-priority patent/US11253360B2/en
Priority claimed from US16/406,764 external-priority patent/US11173030B2/en
Priority claimed from US16/406,799 external-priority patent/US20190343634A1/en
Application filed by Neochord Inc filed Critical Neochord Inc
Publication of EP3790509A1 publication Critical patent/EP3790509A1/de
Publication of EP3790509A4 publication Critical patent/EP3790509A4/de
Withdrawn legal-status Critical Current

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
    • A61F2/2454—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
    • 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
    • A61B17/04—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
    • A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
    • 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
    • A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0435—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 anchoring barbs or pins extending outwardly from the anchor body the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
    • 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
    • A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0437—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 anchoring barbs or pins extending outwardly from the anchor body the barbs being resilient or spring-like
    • 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
    • A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
    • 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
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0448—Additional elements on or within the anchor
    • 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
    • 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
    • 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
    • A61F2250/0007—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting length

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Rheumatology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Transplantation (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)
EP19800632.2A 2018-05-09 2019-05-09 Systeme und verfahren zur transkatheterherzklappenreparatur Withdrawn EP3790509A4 (de)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201862669115P 2018-05-09 2018-05-09
US201862669123P 2018-05-09 2018-05-09
US201862669096P 2018-05-09 2018-05-09
US16/406,736 US11253360B2 (en) 2018-05-09 2019-05-08 Low profile tissue anchor for minimally invasive heart valve repair
US16/406,764 US11173030B2 (en) 2018-05-09 2019-05-08 Suture length adjustment for minimally invasive heart valve repair
US16/406,799 US20190343634A1 (en) 2018-05-09 2019-05-08 Radial arm tissue anchor for minimally invasive heart valve repair
PCT/US2019/031451 WO2019217638A1 (en) 2018-05-09 2019-05-09 Systems and methods for transcatheter heart valve repair

Publications (2)

Publication Number Publication Date
EP3790509A1 EP3790509A1 (de) 2021-03-17
EP3790509A4 true EP3790509A4 (de) 2022-03-09

Family

ID=68467765

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19800632.2A Withdrawn EP3790509A4 (de) 2018-05-09 2019-05-09 Systeme und verfahren zur transkatheterherzklappenreparatur

Country Status (2)

Country Link
EP (1) EP3790509A4 (de)
WO (1) WO2019217638A1 (de)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3768176B1 (de) 2018-03-23 2024-03-20 NeoChord, Inc. Vorrichtung zur nahtbefestigung für minimalinvasive herzklappenreparatur
US11173030B2 (en) 2018-05-09 2021-11-16 Neochord, Inc. Suture length adjustment for minimally invasive heart valve repair
US11253360B2 (en) 2018-05-09 2022-02-22 Neochord, Inc. Low profile tissue anchor for minimally invasive heart valve repair
CA3112020C (en) 2018-09-07 2023-10-03 Neochord, Inc. Device for suture attachment for minimally invasive heart valve repair
WO2020214818A1 (en) 2019-04-16 2020-10-22 Neochord, Inc. Transverse helical cardiac anchor for minimally invasive heart valve repair
CA3165008A1 (en) 2020-01-16 2021-07-22 Daryl Edmiston Helical cardiac anchors for minimally invasive heart valve repair
IT202000012562A1 (it) 2020-05-27 2021-11-27 Milano Politecnico Dispositivo e assieme per riparare una valvola cardiaca
CN114680968B (zh) * 2020-12-31 2024-12-17 深圳市健心医疗科技有限公司 心尖闭合装置
US12171662B1 (en) 2023-10-26 2024-12-24 Approxima Srl Heart chamber reshaping and valve repair system

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080195126A1 (en) * 2007-02-14 2008-08-14 Jan Otto Solem Suture and method for repairing a heart
WO2012137208A1 (en) * 2011-04-04 2012-10-11 The Medical Research, Infrastructure, And Health Services Fund Of The Tel Aviv Medical Center Device and method for heart valve repair
WO2013011502A2 (en) * 2011-07-21 2013-01-24 4Tech Inc. Method and apparatus for tricuspid valve repair using tension
US20130158600A1 (en) * 2011-12-19 2013-06-20 Edwards Lifesciences Corporation Knotless suture anchoring devices and tools for implants
US20140121763A1 (en) * 2012-10-31 2014-05-01 Medtronic Vascular Galway Limited Prosthetic Mitral Valve and Delivery Method
WO2015193728A2 (en) * 2014-06-19 2015-12-23 4Tech Inc. Cardiac tissue cinching

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10327743B2 (en) * 1999-04-09 2019-06-25 Evalve, Inc. Device and methods for endoscopic annuloplasty
JP4960262B2 (ja) 2005-01-21 2012-06-27 メイヨ フオンデーシヨン フオー メデイカル エジユケーシヨン アンド リサーチ 胸腔鏡心臓弁修復方法および装置
EP2219530B1 (de) 2007-10-18 2013-06-19 Neochord Inc. Vorrichtung zur minimal invasiven reparatur eines klappensegels in einem schlagenden herzen
US20130035757A1 (en) 2011-06-01 2013-02-07 John Zentgraf Minimally invasive repair of heart valve leaflets
US10499941B2 (en) * 2012-12-14 2019-12-10 Mayo Foundation For Medical Education And Research Mitral valve repair devices
EP3013253B1 (de) * 2013-06-28 2021-01-06 ValCare, Inc. Vorrichtung zur sicherung eines gegenstandes an einem gewebe
US9877833B1 (en) * 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080195126A1 (en) * 2007-02-14 2008-08-14 Jan Otto Solem Suture and method for repairing a heart
WO2012137208A1 (en) * 2011-04-04 2012-10-11 The Medical Research, Infrastructure, And Health Services Fund Of The Tel Aviv Medical Center Device and method for heart valve repair
WO2013011502A2 (en) * 2011-07-21 2013-01-24 4Tech Inc. Method and apparatus for tricuspid valve repair using tension
US20130158600A1 (en) * 2011-12-19 2013-06-20 Edwards Lifesciences Corporation Knotless suture anchoring devices and tools for implants
US20140121763A1 (en) * 2012-10-31 2014-05-01 Medtronic Vascular Galway Limited Prosthetic Mitral Valve and Delivery Method
WO2015193728A2 (en) * 2014-06-19 2015-12-23 4Tech Inc. Cardiac tissue cinching

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2019217638A1 *

Also Published As

Publication number Publication date
EP3790509A1 (de) 2021-03-17
WO2019217638A9 (en) 2020-01-02
WO2019217638A1 (en) 2019-11-14

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