Mitral valve annuloplasty ring
First Claim
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1. An annuloplasty ring for repairing a valve in a patient'"'"'s heart, said annuloplasty ring comprising:
- (a) a first section for implanting adjacent to the valve; and
(b) a second flexible section for implanting within a fat pad of an atrioventricular groove in the heart.
1 Assignment
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Accused Products
Abstract
A mitral valve annuloplasty ring and method for implanting a mitral valve annuloplasty ring to treat mitral insufficiency by reestablishing the normal shape and contour of the mitral valve annulus. The annuloplasty ring is flexible and can be readily adjusted to different sizes and shapes. The method substantially eliminates scarring subsequent to the annuloplasty procedure to maintain flexibility of the ring and the annulus indefinitely.
345 Citations
30 Claims
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1. An annuloplasty ring for repairing a valve in a patient'"'"'s heart, said annuloplasty ring comprising:
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(a) a first section for implanting adjacent to the valve; and
(b) a second flexible section for implanting within a fat pad of an atrioventricular groove in the heart. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A method for implanting an annuloplasty ring in a patient'"'"'s heart, comprising:
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implanting a flexible section of the annuloplasty ring in the fat pad of the atrioventricular groove of the heart;
positioning a rigid section of the annuloplasty ring adjacent to the valve annulus; and
forming the annuloplasty ring into a closed loop. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20)
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21. A kit for an annuloplasty ring comprising:
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(a) a first section;
(b) a second flexible section having a proximal end and a distal end;
(c) a means for joining the distal end of the second flexible section to a needle. - View Dependent Claims (22, 23, 24, 25, 26, 27)
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28. An annuloplasty ring for use in an annuloplasty surgical procedure to correct mitral insufficiency in a patient by restoring the mitral valve annulus to a normal shape and flexibility which is determined by the movement of the left ventricle, the mitral valve and the mitral valve annulus, wherein said annuloplasty ring comprises:
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a first rigid section having a first end, a second end and a length, said first and second ends having an outer diameter;
a second flexible section having a distal end, a proximal end, a length, a means for sizing the ring, and at least one hollow inner portion with an exterior opening at the proximal and distal ends and an inner diameter;
a round-tip needle having a tip and an attaching end with an outer diameter;
a first means for joining the distal end of the second section to the second end of the first section;
a second means for joining the proximal end of the second section to the first end of the first section;
a third means for joining the distal end of the second section to the needle;
wherein said outer diameters of the first section and the outer diameter of the attaching end are approximately equal to the inner diameter of the hollow inner portion and said length of said second flexible section is greater than said length of said first rigid section;
said first means for joining comprising a frictional engagement between the inner diameter of the hollow inner portion at the distal end and the outer diameter of the second end;
said second means for joining comprising a frictional engagement between the inner diameter of the hollow inner portion at the proximal end and the outer diameter of the first end; and
said third means for joining comprising a frictional engagement between the inner diameter of the hollow inner portion at the distal end and the outer diameter of the attaching end of the needle;
said means for sizing the ring further comprising measurement indicia on the distal end of the second section;
said first rigid section is substantially straight and further comprises a bow positioned between the first and second ends;
the annuloplasty ring further comprising;
(1) an open configuration defined by said first section being joined to said second section by said second means for joining, wherein the exterior opening and hollow inner portion at the proximal end of the second section receive the first end of the first section therein, the first end and the proximal end are held together by said frictional engagement, and said second end and said distal end being unattached;
(2) a surgical configuration defined by said first section being joined to said second section and said needle by said second and third means for joining, wherein said exterior opening and hollow inner portion at the proximal end of the second section receive the first end of said first section therein, the first end and proximal end are held together by said frictional engagement of said second means for joining and said distal end of said second section, and the exterior opening and hollow inner portion at the distal end of the second section receive the attaching end of the needle therein, the distal end and the attaching end are held together by said frictional engagement of the third means for joining; and
(3) a closed configuration defined by said first section being joined to said second section by said first and second means for joining, wherein the exterior opening and the hollow inner portion at the proximal end of said second section receive the first end of said first section therein, the proximal end and the first end are held by said frictional engagement of said second means for joining, and said exterior opening and the hollow inner portion at the distal end of the second section receive the second end of the first section therein, the distal end and the second end are held by said frictional engagement of said first means for joining;
wherein said first rigid section for implantation adjacent to an anterior portion of the mitral valve annulus and said second section for implantation in the fat pad of the atrioventricular groove.
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29. A method for implanting an annuloplasty ring in a patient'"'"'s heart to correct mitral insufficiency in which the mitral valve annulus is restored to a normal shape and flexibility as determined by the movement of the left ventricle, the mitral valve and the mitral valve annulus, the steps comprising:
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(1) providing an annuloplasty ring having an elongated flexible section attached at one end to a rigid section with a bow and attached at an opposite end to a round tipped-needle;
(2) inserting the tip of the needle through the endocardium and the left atrial myocardial wall of the heart from the endocardial aspect, at the right fibrous trigone;
(3) passing the needle and a portion of the annuloplasty ring through the endocardium and the left atrial myocardial wall of the heart from the endocardial aspect, at the right fibrous trigone;
(4) passing the needle and a portion of the annuloplasty ring in a posterior direction just external to and parallel to the mitral valve annulus;
(5) passing the needle and a portion of the annuloplasty ring around the outside of the mitral valve annulus in the fat pad of the atrioventricular groove in a clockwise direction to the left fibrous trigone;
(6) inserting the tip of the needle back through the left atrial myocardial wall and the endocardium from the epicardial aspect at the left fibrous trigone;
(7) passing the needle and a portion of the annuloplasty ring back through the left atrial myocardial wall from the epicardial aspect and back through the endocardium at the left fibrous trigone;
(8) positioning the flexible section substantially parallel to a posterior portion of the mitral valve annulus;
(9) aligning the rigid section along an anterior portion of the mitral valve annulus, (10) positioning the bow of the rigid section conforms to a contour of the mitral valve annulus adjacent the aortic valve root and further positioning the flexible section around a posterior portion of the mitral vale annulus;
(11) detaching the needle from the flexible section;
(12) determining the appropriate size of the annuloplasty ring;
(13) cutting the flexible section of the annuloplasty to the appropriate size;
(14) closing the annuloplasty ring by affixing the distal end of the flexible section to the second end of the rigid section by inserting the rigid section into the inner hollow portion of the flexible section;
(15) suturing the annuloplasty ring to valve annulus which at the left and right fibrous trigones;
(16) suturing one point along the posterior section of the mitral valve annulus to the flexible section of the annuloplasty ring.
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30. A kit for an annuloplasty ring to be used in an annuloplasty surgical procedure to correct mitral insufficiency in a patient by restoring the mitral valve annulus to a normal shape and flexibility which is determined by the movement of the left ventricle, the mitral valve and the mitral valve annulus, wherein said annuloplasty ring comprises:
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a first rigid section having a first end, a second end, a length and an outer diameter;
a second flexible section having a distal end, a proximal end, a length, a means for sizing the ring, and at least one hollow inner portion with an exterior opening at the distal and proximal ends and an inner diameter;
a round-tip needle having a tip and an attaching end with an outer diameter;
a first means for joining the distal end of the second section to the second end of the first section;
a second means for joining the proximal end of the second section to the first end of the first section;
a third means for joining the distal end of the second section to the needle;
wherein said outer diameter of the first section and the outer diameter of the attaching end are approximately equal to the inner diameter of the hollow inner portion;
said first means for joining comprising a frictional engagement between the inner diameter of the hollow inner portion at the distal end and the outer diameter of the second end when the two ends are joined;
said second means for joining comprising a frictional engagement between the inner diameter of the hollow inner portion at the proximal end and the outer diameter of the first end when the two ends are joined; and
said third means for joining comprising a frictional engagement between the inner diameter of the hollow inner portion at the distal end and the outer diameter of the attaching end of the needle when the two ends are joined.
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Specification