Abstract:
Annuloplasty device for implantation adjacent an annulus of a tricuspid valve, the annulus comprising anterior, posterior and septal aspects adjacent anterior, posterior and septal leaflets, respectively, of the tricuspid valve, the device comprising: a ring body comprising: an anterior portion (50c), a posterior portion (50b) and a septal portion (50a) shaped to conform to, and for implantation adjacent, the anterior, posterior and septal aspects of the annulus, respectively; and first (51) and second (52) ends; wherein the ring body is curvilinear, with substantially no flat portions, forming a shape, and the ends are configured such that when the device is implanted, the first end will be located near the junction of the septal and anterior aspects of the annulus and the second end will be located near the septal aspect of the annulus. Related methods.
Abstract:
A replacement prosthetic heart valve for engagement with a structure of a previously implanted prosthetic heart valve. The replacement heart valve includes a stent structure (250) including a generally tubular body portion with an interior area and a series of wire portions arranged in a mesh-like configuration, and at least one stent post engaging structure (252) extending radially outwardly from the body portion for engaging with an outer surface o a stent post (16) of the previously implanted prosthetic heart valve. The stent structure further includes at least two leaflets attached within the interior area of the tubular body portion of the stent structure.
Abstract:
A method of placing a valve in a tubular organ including the steps of delivering an expandable tubular adapter (200) to a site within the tubular organ, wherein the adapter includes an enclosed volume surrounded by an outer wall (208) that is spaced from an inner wall (206), and first and second end walls. The method further includes expanding the outer wall relative to the inner wall so that the outer wall contacts the tubular organ, and placing a valve (54) within the inner wall of the adapter. The method may further include inserting material into the enclosed volume of the adapter to expand the outer wall relative to the inner wall, which material may include liquid or gel. Alternatively, the valve (54) may be positioned within the inner wall prior to the adapter being delivered to the desired site.
Abstract:
A prosthetic heart or venous valve (16), the valve including a central tissue structure with multiple tissue lobes extending from a common central area, wherein each of the lobes includes a longitudinal slot (8). The valve further includes a plurality of leaflets (2), each extending from the central tissue structure and positioned between two adjacent lobes, wherein each of the leaflets has a free end (6) spaced from the central tissue structure, and also has a compressible and expandable stent (18) frame with a plurality of extending arms (20), wherein each of the extending arms of the stent frame is positioned at least partially within one of the longitudinal slots of the central tissue structure.
Abstract:
System (10) for treating a dilated heart valve includes a dilivery device. Tension device (12) is slidably received within the lumen of delivery device (14) for delivery to and deployment at the treatment area. Delivery device (14) includes a plurality of arranged catheters including an inner catheter (26) within the lumen of an outer catheter (22). Tension device (12) includes a first anchor (16) attached to a second anchor (18).
Abstract:
A tension device for reducing the annulus of a dilated heart valve. The tension device includes a first anchor connected to a second anchor by a tension member. The invention also includes a delivery system comprising a delivery catheter received in an outer catheter, an inner catheter received in the delivery catheter and a push rod disposed within the inner catheter. A tension device is disposed within the delivery system. A treatment method comprises delivering the tension device proximate the heart valve and inserting the first anchor into a first cardiac wall while the second anchor contacts an inner wall of a cardiac vessel to reduce an annulus of the dilated heart valve.
Abstract:
A stented valve including a stent structure including a generally tubular body portion that has a first end and a second end, wherein an area adjacent the first end has a first stiffness, an area adjacent the second end has a second stiffness, and a central region between the areas at the first and second ends has a third stiffness that is less than the stiffness adjacent the first and second ends, wherein the stent structure can be reconfigured in its central area to match a curved patient anatomical region. The stented valve further includes a valve structure attached within the generally tubular portion.
Abstract:
A compressible and expandable stent assembly for implantation in a body lumen such as a mitral valve, the stent assembly including at least one stent barrel that is shaped and sized so that it allows for normal operation of adjacent heart structures. One or more stent barrels can be included in the stent assembly, where one or more of the stent barrels can include a cylinder with a tapered edge.
Abstract:
A compressible and expandable stent assembly for implantation in a body lumen such as a mitral valve, the stent assembly including at least one stent barrel that is shaped and sized so that it allows for normal operation of adjacent heart structures. One or more stent barrels can be included in the stent assembly, where one or more of the stent barrels can include a cylinder with a tapered edge.