Aortic insufficiency valve percutaneous valve anchoring

• US 10,363,131 B2
• Filed: 08/03/2017
• Issued: 07/30/2019
• Est. Priority Date: 03/18/2014
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Inventors: Eidenschink, Tracee, Buesseler, Ryan, Khouengboua, Sounthara
• Primary Examiner(s): Stewart, Alvin J
• Application Number:
  US15/668,099
• Publication Number:
  US 20170325947A1
• Time in Patent Office: 726 Days
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00783 Valvuloplasty
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0648 threaded, e.g. tacks with a screw thread
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2210/0061 swellable
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2250/006 modular
• CPC Class Codes: A61F 2250/0069 Sealing means

Abstract

A method of implanting a stented device in a cardiovascular system of a mammalian subject includes guiding a delivery device that has an anchoring device connected to a distal end thereof within the cardiovascular system to a target location. The anchoring device has a body and a mooring feature extending from the body. The anchoring device is anchored at the target location by penetrating tissue at the target location with the mooring feature. The mooring feature is configured to anchor the body to the tissue when penetrated therein. The stented device is then guided through the cardiovascular system to the target location and deployed such that a stent of the stented device engages the anchoring device so as to restrict movement of the stented device within the cardiovascular system.

Claims

1. A method of implanting a stented device in a cardiovascular system of a mammalian subject, the method comprising:

guiding a delivery device having an anchoring device connected to a distal end thereof within the cardiovascular system to a target location, the anchoring device having a body and a mooring feature extending from the body;

anchoring the anchoring device at the target location by penetrating tissue at the target location with the mooring feature, the mooring feature being configured to anchor the body to the tissue when penetrated therein;

guiding the stented device through the cardiovascular system to the target location; and

deploying the stented device such that a native valve leaflet is positioned between a stent of the stented device and the anchoring device and so that, when the native valve leaflet is positioned between the stented device and the anchoring device, the stented device and the anchoring device together pinch the native valve leaflet to create a pinching effect on the native valve leaflet so as to restrict movement of the stented device within the cardiovascular system.

2. The method of claim 1, further comprising guiding a guide cannula within the cardiovascular system to the target location, wherein the delivery device is guided to the target location through the guide cannula.

3. The method of claim 1, wherein the target location is within an aortic valve sinus of the mammalian subject.

4. The method of claim 1, wherein the target location is on the native valve leaflet of the mammalian subject such that when the mooring feature penetrates the native valve leaflet, a portion of the mooring feature extends from one side of the native valve leaflet while the body of the anchoring device is positioned on an opposite side of the native valve leaflet.

5. The method of claim 1, wherein the target location is on a vascular wall of the cardiovascular system.

6. The method of claim 1, wherein the mooring feature includes a first point facing away from the body of the anchoring device and is configured to penetrate the tissue, and a second point facing in a direction opposite the first point.

7. The method of claim 1, wherein the mooring feature extends helically about an axis of the anchoring device from the body to a penetrating point at a distal end of the anchoring device.

8. The method of claim 1, further comprising:

partially deploying the stented device at the target location;

assessing the transcatheter valve for positioning;

resheathing the transcatheter valve; and

repositioning the transcatheter valve relative to the target location and the anchoring device before the deploying step.

9. The method of claim 1, wherein the mooring feature extends distally from the body when the anchoring device is connected to the distal end of the delivery device.

10. A method of implanting a valvular prosthesis in a cardiovascular system of a mammalian subject, the method comprising:

percutaneously guiding first and second anchoring devices to respective first and second locations within the cardiovascular system, the first and second anchoring device each having a body and a mooring feature extending from the body;

anchoring the first anchoring device to tissue at the first location and the second anchoring device to tissue at the second location via the mooring feature of the respective first and second anchoring devices;

percutaneously guiding the valvular prosthesis within the cardiovascular system to a position between the first and second locations; and

deploying the valvular prosthesis so that a first native valve leaflet is positioned between a stent of the valvular prosthesis and the first anchoring device and a second native valve leaflet is positioned between the stent of the valvular prosthesis and the second anchoring device and so that, when the first and second native valve leaflets are positioned between the valvular prosthesis and first and second anchoring device, the stent and the first and second anchoring devices together pinch the first and second native leaflets to create a pinching effect on the first and second native valve leaflets, respectively, to restrict movement of the valvular prosthesis within the cardiovascular system.

11. The method of claim 10, further comprising guiding a guide cannula within the cardiovascular system to the first location and to the second location, wherein the first anchoring device is guided through the guide cannula to the first location and subsequently the second anchoring device is guided through the guide cannula to the second location.

12. The method of claim 11, wherein the first anchoring device is guided via a delivery device, the anchor being connected to an end of the delivery device such that the mooring feature of the first anchoring device extends in a distal direction therefrom.

13. The method of claim 10, wherein the first and second locations are within an aortic valve sinus of the mammalian subject.

14. The method of claim 10, wherein the first location is on the first native valve leaflet of the mammalian subject, and the second location is on the second native valve leaflet of the mammalian subject.

15. The method of claim 10 wherein the first and second locations are on a vascular wall of the cardiovascular system.

16. The method of claim 10, wherein the mooring feature of each of the first and second anchoring devices includes a pair of tines that extend from the body, and the anchoring step includes penetrating the tissue at the first location with the tines of the first anchoring device and penetrating the tissue at the second location with the tines of the second anchoring device.

17. The method of claim 16, wherein for each of the first and second anchoring devices the tines are moveable relative to the body such that when the tines penetrate the tissue, the tines move relative to one another and relative to the body to secure the body to the tissue.

18. The method of claim 16, wherein, for each of the first and second anchoring devices, the tines and body form a monolithic structure.