Single catheter mitral valve repair device and method for use
First Claim
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1. An apparatus for fastening a tissue segment within the heart of a patient in vivo, comprising:
- an elongated body having a proximal end and a distal end;
a fastener deployment housing at the distal end of the elongated body, the fastener deployment housing having at least one vacuum port and at least one fastener deployment port formed thereon;
an extendable engagement tip capable of moving in telescopic relation to the fastener deployment housing, the extendable engagement tip having at least one fastener receiving port formed thereon;
at least one deployable fastener disposed within the fastener deployment housing, the deployable fastener capable of engaging the tissue segment when positioned proximal to the engagement tip; and
at least one fastener deployment actuator in communication with the deployable fastener and capable of causing the fastener to engage the tissue segment.
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Abstract
A single catheter mitral valve repair device for stabilizing a tissue portion and selectively applying a tissue fastener thereto. The single catheter mitral valve repair device of the present invention includes an extendable engagement tip having at least one vacuum port formed thereon, at least one deployable fastener in communication with the engagement tip, and at least one actuator member in communication with the port. The deployable fastener is capable of controllably engaging and fastening a tissue segment located proximal to the engagement tip.
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Citations
23 Claims
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1. An apparatus for fastening a tissue segment within the heart of a patient in vivo, comprising:
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an elongated body having a proximal end and a distal end;
a fastener deployment housing at the distal end of the elongated body, the fastener deployment housing having at least one vacuum port and at least one fastener deployment port formed thereon;
an extendable engagement tip capable of moving in telescopic relation to the fastener deployment housing, the extendable engagement tip having at least one fastener receiving port formed thereon;
at least one deployable fastener disposed within the fastener deployment housing, the deployable fastener capable of engaging the tissue segment when positioned proximal to the engagement tip; and
at least one fastener deployment actuator in communication with the deployable fastener and capable of causing the fastener to engage the tissue segment. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A system for repairing tissue within the body of a patient, comprising
a handle comprising: -
a stationary handle body;
a engagement tip actuator connected to the stationary handle body;
a fastener deployment actuator coupled to the stationary handle body; and
a vacuum connector;
an elongated body comprising;
a flexible body member;
at least one vacuum lumen integral with the body member;
at least one actuation lumen integral with the body member, wherein the actuation lumen is capable of receiving at least one actuation member therein; and
at least one fastener lumen integral with the body member, wherein the fastener lumen is capable of receiving at least one deployable fastener therein; and
,an engagement tip comprising;
a fastener deployment housing capable of attaching to the elongated body;
an actuation flange attached to the fastener deployment housing;
an extendable tip attached to the actuation flange and in communication with the engagement tip actuator;
a vacuum port in communication with the vacuum connector; and
,at least one deployable fastener in communication with the fastener deployment actuator.
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22. A method of repairing tissue within the heart of a patient in vivo, comprising:
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grasping a first tissue portion with a vacuum force;
stabilizing the first tissue portion with a mechanical force;
deploying a tissue fastener into the stabilized first tissue portion;
disengaging the first tissue portion;
grasping a second tissue portion with a vacuum force;
stabilizing the second tissue portion with a mechanical force;
deploying a second tissue fastener into the second stabilized tissue portion;
disengaging the second tissue portion; and
coapting the first tissue portion and the second tissue portion by coupling the first and second tissue fasteners. - View Dependent Claims (23)
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Specification