WO2008103722A3 - Mitral valve system - Google Patents

Mitral valve system Download PDF

Info

Publication number
WO2008103722A3
WO2008103722A3 PCT/US2008/054410 US2008054410W WO2008103722A3 WO 2008103722 A3 WO2008103722 A3 WO 2008103722A3 US 2008054410 W US2008054410 W US 2008054410W WO 2008103722 A3 WO2008103722 A3 WO 2008103722A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
respect
ring
anatomical structure
corresponding areas
Prior art date
Application number
PCT/US2008/054410
Other languages
French (fr)
Other versions
WO2008103722A2 (en
Inventor
David G Lamphere
Tuan Anh Nguyen
Howard C Herrmann
Todd C Tomba
Robert C Gorman
Joseph H Gorman Iii
Original Assignee
Endovalve Inc
Univ Pennsylvania
David G Lamphere
Tuan Anh Nguyen
Howard C Herrmann
Todd C Tomba
Robert C Gorman
Joseph H Gorman Iii
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 US11/869,972 external-priority patent/US7753949B2/en
Application filed by Endovalve Inc, Univ Pennsylvania, David G Lamphere, Tuan Anh Nguyen, Howard C Herrmann, Todd C Tomba, Robert C Gorman, Joseph H Gorman Iii filed Critical Endovalve Inc
Priority to CA002678940A priority Critical patent/CA2678940A1/en
Priority to JP2009550619A priority patent/JP2010518947A/en
Priority to AU2008218700A priority patent/AU2008218700A1/en
Priority to EP08730251A priority patent/EP2124827A2/en
Publication of WO2008103722A2 publication Critical patent/WO2008103722A2/en
Publication of WO2008103722A3 publication Critical patent/WO2008103722A3/en
Priority to IL200475A priority patent/IL200475A0/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
    • 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
    • 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
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
    • 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
    • A61F2230/008—Quadric-shaped paraboloidal

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Valve prostheses for secure, aligned placement to a heart annulus, placed with transcatheter techniques Includes resilient ring, plural leaflet membranes mounted with respect to the ring, plural positioning elements movably mounted with respect to the ring Each positioning element defines proximal, intermediate, distal tissue engaging regions configured and dimensioned to engage separate corresponding areas of anatomical structure, including first, second, third elongate tissue-piercing elements The proximal, distal intermediate tissue-engaging regions configured and dimensioned to engage separate corresponding areas of tissue of anatomical structure to stabilize position of the valve with respect to anatomical structure, simultaneously engaging corresponding areas of tissue, one of the elongate tissue-piercing elements is pointed opposite the direction of blood flow, another is pointed along the direction Includes skirt mounted with respect to the ring, seals periphery of valve against reverse flow of blood.
PCT/US2008/054410 2007-02-23 2008-02-20 Mitral valve system WO2008103722A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
CA002678940A CA2678940A1 (en) 2007-02-23 2008-02-20 Mitral valve system
JP2009550619A JP2010518947A (en) 2007-02-23 2008-02-20 Mitral valve system
AU2008218700A AU2008218700A1 (en) 2007-02-23 2008-02-20 Mitral valve system
EP08730251A EP2124827A2 (en) 2007-02-23 2008-02-20 Mitral valve system
IL200475A IL200475A0 (en) 2007-02-23 2009-08-18 Mitral valve system

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US90298807P 2007-02-23 2007-02-23
US60/902,988 2007-02-23
US11/869,972 US7753949B2 (en) 2007-02-23 2007-10-10 Valve prosthesis systems and methods
US11/869,972 2007-10-10
US12/028,572 2008-02-08
US12/028,572 US8070802B2 (en) 2007-02-23 2008-02-08 Mitral valve system

Publications (2)

Publication Number Publication Date
WO2008103722A2 WO2008103722A2 (en) 2008-08-28
WO2008103722A3 true WO2008103722A3 (en) 2008-10-23

Family

ID=39710720

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/054410 WO2008103722A2 (en) 2007-02-23 2008-02-20 Mitral valve system

Country Status (7)

Country Link
US (1) US8070802B2 (en)
EP (1) EP2124827A2 (en)
JP (1) JP2010518947A (en)
AU (1) AU2008218700A1 (en)
CA (1) CA2678940A1 (en)
IL (1) IL200475A0 (en)
WO (1) WO2008103722A2 (en)

Cited By (8)

* Cited by examiner, † Cited by third party
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US9241790B2 (en) 2010-05-05 2016-01-26 Neovasc Tiara Inc. Transcatheter mitral valve prosthesis
US9308087B2 (en) 2011-04-28 2016-04-12 Neovasc Tiara Inc. Sequentially deployed transcatheter mitral valve prosthesis
US9333074B2 (en) 2009-04-15 2016-05-10 Edwards Lifesciences Cardiaq Llc Vascular implant and delivery system
US9339377B2 (en) 2008-09-29 2016-05-17 Edwards Lifesciences Cardiaq Llc Body cavity prosthesis
US9480560B2 (en) 2009-09-29 2016-11-01 Edwards Lifesciences Cardiaq Llc Method of securing an intralumenal frame assembly
US9554897B2 (en) 2011-04-28 2017-01-31 Neovasc Tiara Inc. Methods and apparatus for engaging a valve prosthesis with tissue
US9597183B2 (en) 2008-10-01 2017-03-21 Edwards Lifesciences Cardiaq Llc Delivery system for vascular implant
US11844691B2 (en) 2013-01-24 2023-12-19 Cardiovalve Ltd. Partially-covered prosthetic valves

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