Abstract:
A repair device (100) for repair of regurgitant mitral valves includes a body (108) having a perimeter defining an upper side and a lower side. An annular groove (106) is disposed along a posterior section of the perimeter of the device and is configured to receive posterior rim tissue of a mitral valve annulus. First and second anchors (102, 104) extend from the body (108) in an anterior direction. The first and second anchors are configured to engage with respective commissures of the mitral valve to assist in securing the repair device in position. The repair device is structured to minimize or eliminate imparting or transmitting radially outward forces along an anterior section so as to avoid imparting forces to the septum to avoid hindering the function of the aortic valve and the left ventricular outflow tract.
Abstract:
The present disclosure provides embodiments of an assembly that can be used in a method for improving coaptation of the anterior and posterior mitral valve leaflets by applying a remodeling force to the posterior leaflet. In particular embodiments, the assembly includes an elongate delivery catheter having at least one lumen and an elongate flexible tension member having first and second ends. The tension member is deployable from the delivery catheter. The assembly further includes a closure member configured to be implanted in the interatrial septum of a patient' s heart, and a deployable fastener configured to be secured on the tension member adjacent to the closure member. Once secured to the heart, tension can be applied to the tension member in a direction superiorly and anteriorly toward the interatrial septum, providing a remodeling force pulling the posterior leaflet superiorly and anteriorly to improve coaptation with the anterior leaflet.
Abstract:
The invention relates to a device for use in the transcatheter treatment of mitral valve regurgitation, specifically a coaptation assistance element for implantation across the valve; a system including the coaptation assistance element and anchors for implantation; a system including the coaptation assistance element and delivery catheter; and a method for transcatheter implantation of a coaptation element across a heart valve.
Abstract:
The present disclosure relates to devices for repairing native heart valves restoring their functionality by remodelling a geometry of the native heart valve. In one embodiment a device for repairing a native heart valve includes a reinforcing structure (800A) configured to be coupled to a portion of the native heart valve to remodel a geometry of the native heart valve, and at least one supporting member (825) connected to the reinforcing structure. In another embodiment a device for repairing a native heart valve includes at least one tether and an anchor assembled to the tether to couple the tether to heart tissue, whereby movement of the anchor along the length of the tether is operable to remodel the geometry of a native heart valve.
Abstract:
A method and a device for implantation in or near an annulus of a tricuspid valve comprising at least one blood flow control element adapted to capture a volume of blood therein. Optionally or alternatively, the blood flow control element is adapted to allow at least some volume of blood to regurgitate through the annulus during at least some part of systole. Optionally or alternatively, the device comprises a relatively rigid annulus with an arc length of less than 300 degrees. Optionally or alternatively, the relatively rigid annulus comprises a plurality of tissue fixation elements positioned along no more than 300 degrees of a circumference of the annulus, for example to avoid damaging conduction pathways between an atria and a chamber.
Abstract:
Tissue restraining systems and devices as well as methods of using these devices are disclosed herein. According to aspects illustrated herein, there is provided a tissue restraining device that may include an annuloplasty member having one or more contact points along a portion of the annuloplasty member in a spaced relation to one another. The tissue restraining device may also include a second anchor for placement in a substantially opposing, spaced relation to the annuloplasty member. A restraining matrix may extend from the contact points of the annuloplasty member to the second anchor.
Abstract:
The systems, devices and methods relate surgical and percutaneous replacement of a valve. The devices may include a frame and artificial leaflets. The devices may include one frame or two frames. The devices may also include a stent device in which the implant valve device may be implanted. The devices may also include a valve retainer device.
Abstract:
The invention provides a device (50) and system for treating a heart valve having an anchor (54, 56) and one or more sutures attached to the anchor. The anchor has an expanded deployed configuration and a low caliber undeployed configuration. A delivery in a heart includes catheter and a needle slidable in the lumen of the catheter. The distal end of the catheter is inserted through the myocardium of the heart until the catheter tip is juxtaposed to the underside of the valve leaflet to be treated. The leaflet is then pierced with tip of the needle. The needle is pushed until the anchor in its undeployed configuration passes through the needle tip and is released from the catheter. The anchor is then brought to its deployed configuration on one or both surfaces of the valve leaflet.
Abstract:
The systems, devices and methods relate surgical and percutaneous replacement of a valve. The devices may include a frame and artificial leaflets. The devices may include one frame or two frames. The devices may also include a stent device in which the implant valve device may be implanted. The devices may also include a valve retainer device.
Abstract:
Tissue restraining systems and devices as well as methods of using these devices are disclosed herein. According to aspects illustrated herein, there is provided a tissue restraining device that may include a first anchor having one or more contact points along a portion of the first anchor in a spaced relation to one another. The tissue restraining device may also include a second anchor for placement in a substantially opposing relation to the first anchor. A restraining matrix may extend from the contact points of the first anchor to the second anchor.