摘要:
A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.
摘要:
In one embodiment, the present invention provides a prosthesis that can be implanted within a heart to at least partially block gaps that may be present between the two mitral valve leaflets. In one preferred embodiment, the prosthesis includes an anchoring ring that expands within the left atrium to anchor the prosthesis and a pocket member fixed to the anchoring ring. The pocket member is positioned within the mitral valve, between the leaflets so that an open end of the pocket member is positioned within the left ventricle. When the mitral valve is open, blood flows past the pocket member, maintaining the pocket member in a collapsed state. When the mitral valve closes, the backpressure of the blood pushes into the pocket member, expanding the pocket member to an inflated shape. The mitral valve leaflets contact the expanded pocket member, allowing the prosthesis to block at least a portion of the openings between the leaflets, thereby minimizing regurgitated blood flow into the left atrium.
摘要:
Device for treating mitral insufficiency and a method for producing the device. The device comprises a proximal stent section (222); a distal stent section (224); a central stent section (226) interconnecting said proximal stent section (222) and said distal stent section (226); and at least one biodegradable structure (228), disposed on the central stent section (226). Said proximal stent section (222) and said distal stent section (226) being radially expandable by deployment of said device. Moreover said biodegradable structure (228) is arranged to retain the central section (226) in a contracted shape for a predetermined period after deployment of the device.
摘要:
A device for reshaping a mitral valve annulus (25), said device being elongate and having such dimensions as to be insertable into a coronary sinus (24). The device comprises fixing means (22, 23; 22a, 23a) for fixing the ends of the device within the coronary sinus (24); anda shape changing member (20a; 7; 7a; 9) extending between the fixing means (22, 23; 22a, 23a). The shape changing member (20a; 7; 7a; 9) includes a plurality of adjacent structural cells. The device includes resorbable delay means (21 a; 8; 8a; 10) that in a first configuration retrains at least two of said plurality of adjacent structural elements in a first, relatively elongate state of shape (K; D; E) and wherein the delay means in a second configuration releases said at least two adjacent structural elements to assume a second, relatively shortened state of shape (K'; D'; E'), thereby reducing a length of the shape-changing member (20a; 7; 7a; 9). The delay means (21 a; 8; 8a; 10) moves from its first configuration to its second configuration upon resorbtion of the delay means.
摘要:
Device for treating mitral annulus dilatation. The device comprises a balloon catheter (214) having proximal and distal ends; a lumen (213) extending therethrough; and a balloon (215); the balloon catheter (214) having contracted and deployed states, wherein the balloon (215) comprises a predetermined shape in the deployed state; and a stent (212) having contracted and deployed states, wherein the stent (212) is plastically deformable by the balloon catheter (214) and substantially conforms to the predetermined shape of the balloon (215) in the deployed state of the balloon catheter (214), wherein the stent (212) is configured to apply a compressive load on the mitral valve annulus in the deployed state.
摘要:
A medical apparatus and method for remodeling a mitral valve annulus adjacent to the coronary sinus (22) includes an elongate body (40) having a proximal end (42) and a distal end (44). The elongate body (40) is movable from a first, flexible configuration for transluminal delivery to at least a portion of the coronary sinus (22) to a second configuration for remodeling the mitral valve annulus.