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Expandable epicardial pads and devices and methods for delivery of same

  • US 10,610,356 B2
  • Filed: 07/19/2017
  • Issued: 04/07/2020
  • Est. Priority Date: 02/05/2015
  • Status: Active Grant
First Claim
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1. An apparatus, comprising:

  • an epicardial pad configured to engage an outside surface of a heart to secure a prosthetic heart valve in position within the heart, the prosthetic heart valve having a tether extending therefrom and outside the heart when the prosthetic heart valve is disposed within the heart, the epicardial pad defining a lumen configured to receive the tether therethrough,the epicardial pad being movable between a first configuration in which the epicardial pad has a first outer perimeter and is configured to be disposed within a lumen of a delivery sheath and a second configuration in which the epicardial pad has a second outer perimeter greater than the first outer perimeter,the epicardial pad configured to be disposed against the outside surface of the heart when in the second configuration to secure the prosthetic valve and tether in a desired position within the heart,the apparatus also including an internal anchor coupleable to the epicardial pad, the internal anchor configured to be disposed within a ventricle of the heart when the epicardial pad is disposed against the outside surface of the heart to secure the prosthetic valve and tether in a desired position within the heart,wherein the internal anchor is coupleable to the epicardial pad with sutures that extend through an opening in the apex of the heart, the internal anchor and epicardial pad configured to close the opening.

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