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公开(公告)号：US20230218398A1
公开(公告)日：2023-07-13
申请号：US18180786
申请日：2023-03-08
发明人： Tal Reich , Eran Miller , Tal Sheps
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/00243
摘要： A tissue-engaging element is advanced to a heart, while coupled to a guide member. The tissue-engaging element is then coupled to tissue of the heart. An elongate implant is subsequently slid distally along the guide member toward the tissue-engaging element, and the elongate implant is subsequently locked to the tissue-engaging element. Other embodiments are also described.
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公开(公告)号：US11844665B2
公开(公告)日：2023-12-19
申请号：US16751685
申请日：2020-01-24
发明人： Yuval Zipory , Oz Cabiri , Yosef Gross , Tal Hammer , Amir Gross , Francesco Maisano , Eran Miller , Yoseph Weitzman , Aram Ayvazian
IPC分类号： A61F2/24 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/072 , A61B17/00 , A61B17/12 , A61B17/29 , A61F2/30
CPC分类号： A61F2/2436 , A61B17/0401 , A61B17/064 , A61B17/068 , A61B17/072 , A61F2/2445 , A61F2/2451 , A61F2/2457 , A61F2/2466 , A61B17/00234 , A61B2017/00243 , A61B2017/0409 , A61B2017/0414 , A61B2017/0441 , A61B2017/0443 , A61B2017/0464 , A61B2017/0496 , A61B2017/0647 , A61B2017/0648 , A61B2017/0649 , A61B2017/12095 , A61B2017/2923 , A61F2/2409 , A61F2/2412 , A61F2002/30537 , A61F2220/0016 , A61F2250/0004
摘要： A first part of an annuloplasty structure is anchored to an annulus of a valve of a heart by using a driver to screw a tissue-coupling element of a first anchor into a first site of the annulus, such that the tissue-coupling element enters cardiac tissue in a direction parallel to a central longitudinal axis of the driver through the distal end of the anchor driver. The same is subsequently done for second and third parts of the annuloplasty structure using second and third anchors at second and third sites of the annulus, mutatis mutandis. Between anchors, the driver is retracted out of the heart. Subsequently, the valve is treated by reducing a distance between the first site and the second site, and a distance between the second site and the third site, by tightening a flexible and elongate contracting member of the annuloplasty structure.
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公开(公告)号：US11766327B2
公开(公告)日：2023-09-26
申请号：US16714547
申请日：2019-12-13
发明人： Eran Miller , Oz Cabiri , Yosef Gross , Amir Gross , Tal Reich
IPC分类号： A61F2/24 , A61B17/04 , A61B17/00 , A61B17/12 , A61B17/064
CPC分类号： A61F2/2427 , A61B17/0401 , A61F2/2457 , A61F2/2466 , A61F2/2487 , A61B2017/00243 , A61B2017/0409 , A61B2017/0414 , A61B2017/0441 , A61B2017/0464 , A61B2017/0496 , A61B2017/0649 , A61B2017/12095
摘要： Systems and apparatuses herein include a longitudinal member having opposite first and second end portions, a tension of the longitudinal member being adjustable to repair an atrioventricular valve of the patient. A delivery tool can be configured to couple the first end portion of the longitudinal member to a first portion of heart tissue, couple the second end portion of the longitudinal member to the leaflet, adjust tension of the longitudinal member, assume a first diameter at a portion of the delivery tool that passes between the leaflets of the atrioventricular valve, during coupling of the first end portion of the longitudinal member to the first portion of heart tissue, and assume a second diameter that is smaller than the first diameter, at the portion of the delivery tool that passes between the leaflets of the atrioventricular valve, during adjusting of the tension of the longitudinal member.
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公开(公告)号：US12097118B2
公开(公告)日：2024-09-24
申请号：US17496512
申请日：2021-10-07
发明人： Eran Miller , Oz Cabiri
IPC分类号： A61F2/24
CPC分类号： A61F2/2445 , A61F2220/0016
摘要： An anchor of an implant is transluminally advanced to a heart of a subject, the anchor including a distal helical element, and a post extending proximally from the distal helical element. The implant is anchored to tissue of the heart by driving the distal helical element into tissue of the heart, and compressing a fabric tube against the tissue by moving an annular member, coupled to the post, toward the tissue such that the fabric tube becomes sandwiched between the annular member and the tissue. Other embodiments are also described.
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公开(公告)号：US11602434B2
公开(公告)日：2023-03-14
申请号：US16701054
申请日：2019-12-02
发明人： Eran Miller , Uriel Aba Pomerantz , Oz Cabiri , Yaron Herman , Yoseph Weitzman , Yosef Gross
摘要： Apparatus is provided, including an implant including a tissue-adjusting member including a longitudinal member, and a tissue anchor coupled to the tissue-adjusting member and configured to be anchored into the tissue of the patient. A tissue-coupling element is coupled to the longitudinal member. A delivery tool is reversibly couplable to the implant and is configured to deliver the implant to the tissue of the patient. The delivery tool includes an elongate shaft, a tissue-coupling-element holder coupled to a portion of the elongate shaft, the tissue-coupling-element holder being configured to hold the tissue-coupling element during delivery of the implant to the tissue of the patient, and an actuating element configured to rotate the tissue anchor so as to facilitate anchoring of the tissue anchor into the tissue of the patient while not rotating the tissue-coupling-element holder with respect to the shaft.
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公开(公告)号：US11583400B2
公开(公告)日：2023-02-21
申请号：US16796262
申请日：2020-02-20
发明人： Tal Reich , Eran Miller
IPC分类号： A61F2/24 , A61B17/04 , A61B17/3209 , A61M25/04 , A61B17/00 , A61B17/22 , A61B17/34 , A61M25/09
摘要： A sheath is transluminally introduced a sheath into an atrium of a heart of a subject. A guide member is advanced out of the sheath and to a chorda tendinea of the heart, the guide member having a proximal portion that includes a longitudinal element, and a distal portion that includes a helical chord-engaging element. The chord-engaging element is wrapped around the chorda tendinea. While the chord-engaging element remains wrapped around the chorda tendinea, (i) the chord-engaging element is slid over the chorda tendinea toward a papillary muscle that is coupled to the chorda tendinea; and (ii) subsequently, a tool is moved out of the sheath and toward the papillary muscle by sliding the tool along the longitudinal element. Other embodiments are also described.
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公开(公告)号：US20230218393A1
公开(公告)日：2023-07-13
申请号：US18166757
申请日：2023-02-09
发明人： Tal Reich , Eran Miller
IPC分类号： A61F2/24 , A61B17/04 , A61B17/3209 , A61M25/09 , A61B17/00 , A61B17/34 , A61B17/22 , A61M25/04
CPC分类号： A61F2/2427 , A61F2/2457 , A61B17/0401 , A61B17/3209 , A61F2/2466 , A61M2025/09183 , A61B2017/00243 , A61M25/09 , A61B2017/3488 , A61B2017/0464 , A61B2017/0441 , A61B2017/044 , A61B2017/00247 , A61B2017/22042 , A61B2017/0409 , A61B2017/0443 , A61M25/04 , A61B2017/22047
摘要： An anchor is shaped to define a helix. A deployment tool is reversibly coupled to the anchor, and includes a lance. The deployment tool is configured to transluminally advance the anchor to the heart, and to stabilize the anchor at the tissue by driving the lance into the tissue. The deployment tool is also configured to anchor the anchor to the tissue, for example, by driving the tissue-penetrating helix into the tissue while the anchor remains stabilized at the tissue by the lance in the tissue, and to subsequently retract the lance from the tissue while leaving the anchor anchored to the tissue. Other embodiments are also described.
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公开(公告)号：US11617652B2
公开(公告)日：2023-04-04
申请号：US17001566
申请日：2020-08-24
发明人： Tal Reich , Eran Miller , Tal Sheps
摘要： A tissue-engaging element has a distal portion configured to engage a portion of tissue of the heart. A guide member is reversibly coupled to the tissue-engaging element. An elongate implant has a distal end and a proximal end, at least the distal end being slidably coupled to the guide member. A tool is slidable along the guide member distally toward the tissue-engaging element while (i) the tool is coupled to at least the distal end of the elongate implant, and (ii) the guide member is coupled to the tissue-engaging element, such that sliding of the tool along the guide member distally toward the tissue-engaging element while (i) the tool is coupled to at least the distal end of the elongate implant, and (ii) the guide member is coupled to the tissue-engaging element, slides at least the distal end of the elongate implant toward the tissue-engaging element.
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