Native valve repair devices and procedures

• US 10,105,222 B1
• Filed: 01/09/2018
• Issued: 10/23/2018
• Est. Priority Date: 01/09/2018
• Status: Active Grant

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Edwards Lifesciences Corporation
• Inventors: Metchik, Asher L., Tyler, II, Gregory Scott, Winston, Matthew T., Delgado, Sergio, Freschauf, Lauren R., Dixon, Eric R., Siegel, Alexander J.
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US15/865,962
• Time in Patent Office: 287 Days
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2/246 Devices for obstructing a leak through a native valve in a closed condition
• CPC Class Codes: A61F 2/2466 Delivery devices therefor
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable

Abstract

A system for implanting a repair device onto a native valve of a natural heart to repairing the native valve of a patient during a non-open-heart procedure. The system includes a paddle and a gripping member. The paddle is movable between an open position and a closed position. The gripping member has a weakened portion and a barbed portion. The barbed portion is configured to secure the gripping member to valve tissue of the native valve of the patient. A gripper control mechanism is configured to move the gripping member between an open position and a closed position. The gripper control mechanism comprises a suture removably attached to the gripping member at a first connection point and a pushing member configured to engage the gripping member at a second connection point. The weakened portion is between the first and second connection points. The pushing member is configured to push on the gripping member and the suture is configured to pull on the gripping member to flex the weakened portion and pivot the barbed portion.

Claims

1. A valve repair system for repairing a native valve of a patient, the valve repair system comprising:

a delivery device;

a valve repair device comprising;

a paddle that is movable between an open position and a closed position;

a gripping member having a weakened portion and a barbed portion;

wherein the barbed portion is configured to secure the gripping member to valve tissue of the native valve of the patient; and

a gripper control mechanism configured to move the gripping member between an open position and a closed position, the gripper control mechanism comprising a suture removably attached to the gripping member at a first connection point and a pushing member configured to engage the gripping member at a second connection point;

wherein the weakened portion is between the first and second connection points;

wherein the pushing member is configured to push on the gripping member and the suture is configured to pull on the gripping member to flex the weakened portion and pivot the barbed portion;

wherein the pushing member comprises at least one of a catheter, a hypotube, and a wire having a loop.

2. The valve repair system according to claim 1, wherein a thickness of the weakened portion is less than other portions of the gripping members.

3. The valve repair system according to claim 1, wherein barbed portion comprises a single row of barbs.

4. A valve repair system for repairing a native valve of a patient, the valve repair system comprising:

a delivery device;

a valve repair device comprising;

a paddle that is movable between an open position and a closed position;

a gripping member having a weakened portion and a barbed portion;

wherein the barbed portion is configured to secure the gripping member to valve tissue of the native valve of the patient; and

a gripper control mechanism configured to move the gripping member between an open position and a closed position, the gripper control mechanism comprising a suture removably attached to the gripping member at a first connection point and a pushing member configured to engage the gripping member at a second connection point;

wherein the weakened portion is between the first and second connection points;

wherein the pushing member is configured to push on the gripping member and the suture is configured to pull on the gripping member to flex the weakened portion and pivot the barbed portion;

wherein the suture extends from the delivery device, the suture connects to the gripping member at the first connection point, the suture connects to the gripping member at the second connection point, and wherein the pushing member is disposed over the suture between the delivery device and the second connection point.

5. The valve repair system according to claim 4, wherein a thickness of the weakened portion is less than other portions of the gripping members.

6. The valve repair system according to claim 4, wherein barbed portion comprises a single row of barbs.

7. The valve repair system according to claim 4, wherein the pushing member of the gripper control mechanism comprises a hypotube.

8. The valve repair system according to claim 4, wherein the pushing member of the gripper control mechanism comprises a catheter.

9. The valve repair system according to claim 4, wherein the pushing member of the gripper control mechanism comprises a wire having a loop.