WO2001010340A1 - Corkscrew reinforced left ventricle to coronary artery channel - Google Patents
Corkscrew reinforced left ventricle to coronary artery channel Download PDFInfo
- Publication number
- WO2001010340A1 WO2001010340A1 PCT/US2000/021120 US0021120W WO0110340A1 WO 2001010340 A1 WO2001010340 A1 WO 2001010340A1 US 0021120 W US0021120 W US 0021120W WO 0110340 A1 WO0110340 A1 WO 0110340A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- channel
- coil
- coronary artery
- corkscrew
- left ventricle
- Prior art date
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
-
- 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
Abstract
A coil is screwed into the heart wall HW between the left ventricle and coronary artery, followed by forming of a channel with laser, plasma, electrical, or mechanical device therethrough.
Description
CORKSCREW REINFORCED LEFT VENTRICLE TO CORONARY ARTERY
CHANNEL
Background of the Invention Field of the Invention
This invention relates to method and apparatus for forming a channel to allow communication of fluids from one portion of a patient's body to another, and more particularly, to a device that can communicate blood between the left ventricle and coronary arteries or veins. Description of the Related Art
Currently there exists a shunting concept that establishes a passage from the left ventricle directly to the coronary artery by the placement of a stent or hollow tube in a channel formed therethrough. Other designs also suggested that it might be possible to have a stent-less channel (see U.S. Patent No. 5,662,124). Both designs have to deal with problems arising from the contraction and multidimensional movements of the heart wall in relation to the device. For a straight hollow tube the movement may create irritation between the tissue and the metal interface that may lead to a chronic inflammatory response, and maybe even to dislodgement of the tube. For a collapsible or expandable "wire" stent the constant movement can lead to fracture from cyclic fatigue (this has been documented in vivo humans - by Stent Medtronic). With respect to blood compatibility a solid tube presents maximum foreign surface to the blood of materials that are all relatively thrombogenic. While a wire or open stent design has less surface area exposed to blood, the profile of the stent in the flow field is less optimal and requires optimal placement.
Summary of the Invention
What is primarily needed is a device that can control the shape of the open channel between the left ventricle and coronary artery, and can withstand long and continuous complex movement without causing irritation, dislodgement. or fracture. An alternative approach to spikes, and stents. is the use of a screw in coil. The design of such a coil would be much like that of a corkscrew. This same design has been used on implantable pacemaker leads for years to anchor the electrode tips into the endocardium of the heart. This design yields very high stability in terms of pull out force and survival against mechanical
dislodgement. It is also well tolerated without chronic inflammatory responses. Another advantage is in placement of the device, as it can be removed with ease and without significant tissue trauma should the initial placement attempt be less than optimal.
Brief Description of the Drawings
FIGURE 1 illustrates a partial cross-sectional view of a coil screwed into the heart wall between the left ventricle and coronary artery.
FIGURE 2 illustrates a partial cross-sectional view of a channel formed through the coil of FIGURE 1.
Detailed Description of the Preferred Embodiment
FIGURES 1 and 2 roughly show the preferred design, which would comprise first screwing in a coil 10 into the heart wall HW between the left ventricle LV and coronary artery CA (FIGURE 1), and then followed by forming of a channel 12 by, for example, laser, plasma, electrical, or mechanical device (FIGURE 2). At this time it would be preferred to use the plasma ablation technique as the diameter of the channel can be controlled with considerable accuracy at the dimensions one would want, and also the asymmetry can be controlled.
In one embodiment, the corkscrew or coil 10 may be configured to have a desired pitch and spacing so that insertion of the coil 10 into the heart wall does not puncture through the coronary artery CA. This is accomplished by choosing an entry point for the coil 10 adjacent the coronary artery, and screwing the coil 10 into the heart wall such that the coronary artery is positioned in between the turns of the coil as the coil is inserted. In this embodiment, the spacing between the turns of the coil is greater than the diameter of the coronary artery.
Up until now it has been suggested that blood exposure to non endothelialized tissue surfaces would be a problem for a formed, stentless channel. In reality the challenge of the denatured proteins on the surface of a formed channel is certainly no more than that of a metal surface of a tube or stent concept.
It is further envisioned that the channel formed would be optimal for "paving" with a biocompatible polymer such as a PEG macromer (Focal of MA), and this could be a rapid and catheter-based method of in situ modification of the channel to improve blood compatibility .
It is also conceivable that the "corkscrew" can be placed on the distal tip of a catheter
- and also serves as a guide for the subsequent forming device to make the channel. Electrical circuits can be designed to operate within defined distances from the corkscrew, and can control the forming device that requires energy sources.
An additional advantage of the corkscrew is that a slight projection into the ventricle would not create dead spots for blood pooling like that of a hollow tube. It also would not be subject to rapid over insertion as is the case with puncture like devices.
Finally the corkscrew is not actually inside the channel and therefore presents no problems of profile and placement, as would be the case with an expanding stent design. The latter variable has been thought to be the most critical parameter in intravascular stent use.
It will be appreciated that although the above embodiments have been described as being used between the coronary artery and left ventricle, the methods and apparatus described above can be used between any heart chamber and blood vessel, or through an)' other body tissue between two body lumens in which a channel of blood is desired to be formed.
The embodiments illustrated and described above are provided merely as examples of certain preferred embodiments of the present invention. Various changes and modifications can be made from the embodiments presented herein by those skilled in the art without departure from the spirit and scope of the invention, as defined by the appended claims.
Claims
1. A method for forming a channel between a first body lumen and a second body- lumen through body tissue, comprising: screwing a coil into the body tissue between the first and second body lumens; and forming a channel through the coil.
2. The method of Claim 1, wherein the channel is formed using a device selected from the group consisting of a laser, plasma, an electrical device and a mechanical device.
3. The method of Claim 1 , wherein the first body lumen is a heart chamber, the second body lumen is a coronary artery or vein, and the body tissue is a heart wall.
4. A reinforced channel between a heart chamber and a blood vessel, comprising: a coil extending through the heart wall between the heart chamber and blood vessel; and a channel through the coil.
5. The reinforced channel of Claim 4, wherein the channel through the coil is formed by ablation.
6. The reinforced channel of Claim 4, wherein the coil does not contact the channel.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU63972/00A AU6397200A (en) | 1999-08-04 | 2000-08-03 | Corkscrew reinforced left ventricle to coronary artery channel |
US10/048,408 US7033372B1 (en) | 1999-08-04 | 2000-08-03 | Corkscrew reinforced left ventricle to coronary artery channel |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14721099P | 1999-08-04 | 1999-08-04 | |
US60/147,210 | 1999-08-04 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2001010340A1 true WO2001010340A1 (en) | 2001-02-15 |
Family
ID=22520671
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2000/021120 WO2001010340A1 (en) | 1999-08-04 | 2000-08-03 | Corkscrew reinforced left ventricle to coronary artery channel |
Country Status (2)
Country | Link |
---|---|
AU (1) | AU6397200A (en) |
WO (1) | WO2001010340A1 (en) |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7704222B2 (en) | 1998-09-10 | 2010-04-27 | Jenavalve Technology, Inc. | Methods and conduits for flowing blood from a heart chamber to a blood vessel |
US10993805B2 (en) | 2008-02-26 | 2021-05-04 | Jenavalve Technology, Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US11065138B2 (en) | 2016-05-13 | 2021-07-20 | Jenavalve Technology, Inc. | Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system |
US11185405B2 (en) | 2013-08-30 | 2021-11-30 | Jenavalve Technology, Inc. | Radially collapsible frame for a prosthetic valve and method for manufacturing such a frame |
US11337800B2 (en) | 2015-05-01 | 2022-05-24 | Jenavalve Technology, Inc. | Device and method with reduced pacemaker rate in heart valve replacement |
US11357624B2 (en) | 2007-04-13 | 2022-06-14 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
US11517431B2 (en) | 2005-01-20 | 2022-12-06 | Jenavalve Technology, Inc. | Catheter system for implantation of prosthetic heart valves |
US11564794B2 (en) | 2008-02-26 | 2023-01-31 | Jenavalve Technology, Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US11589981B2 (en) | 2010-05-25 | 2023-02-28 | Jenavalve Technology, Inc. | Prosthetic heart valve and transcatheter delivered endoprosthesis comprising a prosthetic heart valve and a stent |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5662124A (en) | 1996-06-19 | 1997-09-02 | Wilk Patent Development Corp. | Coronary artery by-pass method |
US5878751A (en) * | 1996-03-04 | 1999-03-09 | Myocardial Stents, Inc. | Method for trans myocardial revascularization (TMR) |
-
2000
- 2000-08-03 AU AU63972/00A patent/AU6397200A/en not_active Abandoned
- 2000-08-03 WO PCT/US2000/021120 patent/WO2001010340A1/en active Application Filing
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5878751A (en) * | 1996-03-04 | 1999-03-09 | Myocardial Stents, Inc. | Method for trans myocardial revascularization (TMR) |
US5662124A (en) | 1996-06-19 | 1997-09-02 | Wilk Patent Development Corp. | Coronary artery by-pass method |
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7704222B2 (en) | 1998-09-10 | 2010-04-27 | Jenavalve Technology, Inc. | Methods and conduits for flowing blood from a heart chamber to a blood vessel |
US7736327B2 (en) | 1998-09-10 | 2010-06-15 | Jenavalve Technology, Inc. | Methods and conduits for flowing blood from a heart chamber to a blood vessel |
US8216174B2 (en) | 1998-09-10 | 2012-07-10 | Jenavalve Technology, Inc. | Methods and conduits for flowing blood from a heart chamber to a blood vessel |
US8597226B2 (en) | 1998-09-10 | 2013-12-03 | Jenavalve Technology, Inc. | Methods and conduits for flowing blood from a heart chamber to a blood vessel |
US11517431B2 (en) | 2005-01-20 | 2022-12-06 | Jenavalve Technology, Inc. | Catheter system for implantation of prosthetic heart valves |
US11357624B2 (en) | 2007-04-13 | 2022-06-14 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
US11154398B2 (en) | 2008-02-26 | 2021-10-26 | JenaValve Technology. Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US10993805B2 (en) | 2008-02-26 | 2021-05-04 | Jenavalve Technology, Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US11564794B2 (en) | 2008-02-26 | 2023-01-31 | Jenavalve Technology, Inc. | Stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient |
US11589981B2 (en) | 2010-05-25 | 2023-02-28 | Jenavalve Technology, Inc. | Prosthetic heart valve and transcatheter delivered endoprosthesis comprising a prosthetic heart valve and a stent |
US11185405B2 (en) | 2013-08-30 | 2021-11-30 | Jenavalve Technology, Inc. | Radially collapsible frame for a prosthetic valve and method for manufacturing such a frame |
US11337800B2 (en) | 2015-05-01 | 2022-05-24 | Jenavalve Technology, Inc. | Device and method with reduced pacemaker rate in heart valve replacement |
US11065138B2 (en) | 2016-05-13 | 2021-07-20 | Jenavalve Technology, Inc. | Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system |
Also Published As
Publication number | Publication date |
---|---|
AU6397200A (en) | 2001-03-05 |
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