Method and device for percutaneous surgical ventricular repair
First Claim
1. An apparatus for reinforcing at least a portion of an endocardial surface of a ventricle in a human heart, comprising:
- a reinforcing element configured to have a first predetermined shape and a second predetermined shape, wherein the reinforcing element is configured to change from the first predetermined shape to the second predetermined shape while in a left or right ventricle of a human heart, wherein the first predetermined shape is configured to allow the reinforcing element to be moved through a human vasculature to the heart, and wherein the second predetermined shape is configured to reinforce at least a portion of an endocardial surface of a ventricle of the human heart during use.
6 Assignments
0 Petitions
Accused Products
Abstract
Embodiments disclose a method for repairing a heart of a human. A method may include introducing a collapsed reinforcing element through the skin into the vascular system of the human. The method may include delivering the reinforcing element into a left ventricle through the arteries. Once inside the left ventricle, the reinforcing element may be expanded to an expanded shape. In certain embodiments, a reinforcing element may be used to structurally reinforce a portion of an endocardial surface of a heart. The reinforcing element may include a preshaped patch and/or a plurality of preshaped flexible conduits. The method may include deploying the reinforcing element soon after a myocardial infarction to inhibit naturally occurring remodeling of the heart. The reinforcing element may be deployed with or without the use of a shaper. In some embodiments, a reinforcing element may include an externally positioned apparatus configured to substantially reshape a portion of an interior chamber of a heart.
256 Citations
117 Claims
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1. An apparatus for reinforcing at least a portion of an endocardial surface of a ventricle in a human heart, comprising:
a reinforcing element configured to have a first predetermined shape and a second predetermined shape, wherein the reinforcing element is configured to change from the first predetermined shape to the second predetermined shape while in a left or right ventricle of a human heart, wherein the first predetermined shape is configured to allow the reinforcing element to be moved through a human vasculature to the heart, and wherein the second predetermined shape is configured to reinforce at least a portion of an endocardial surface of a ventricle of the human heart during use. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27)
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28. An apparatus for reinforcing at least a portion of a human heart, comprising a reinforcing element having a first predetermined shape and second predetermined shape, wherein the reinforcing element is configured to attach to a portion of an endocardial surface of the heart to inhibit expansion of an average of an endocardial surface over a cardiac cycle of the heart.
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29-52. -52. (cancelled)
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53. An apparatus for reinforcing at least a portion of a human heart, comprising:
a reinforcing element having a predetermined shape, wherein the reinforcing element is configured to inhibit expansion of an average of an endocardial surface over a cardiac cycle of the heart during use, and wherein the reinforcing element comprises;
a plurality of conduits that form the predetermined shape during use; and
at least one elongated member positionable in one or more of the plurality of conduits, wherein at least one such elongated member is configured to at least partially extend beyond a distal end of the corresponding conduit when activated to engage the portion of the endocardial surface.
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54-74. -74. (cancelled)
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75. A system for reinforcing at least a portion of a human heart, comprising:
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a flexible conduit comprising a distal end configured to be inserted in a vasculature of a human body and positioned in a ventricle of the human heart;
a guidewire positionable in the flexible conduit, wherein the guidewire is configured to extend beyond the distal end of the flexible conduit during use, and wherein the guidewire is configured to releasably attach to an endocardial surface of the heart; and
a reinforcing element comprising a first predetermined shape positionable in the flexible conduit, wherein the reinforcing element is configured to change to a second predetermined shape and attach to a portion of the endocardial surface of a left or right ventricle of the heart, and wherein the reinforcing element is configured to inhibit expansion of an average of an endocardial surface over a cardiac cycle.
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76-96. -96. (cancelled)
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97. A method for reinforcing at least a portion of an endocardial-surface of a human heart, comprising:
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accessing an interior of a left or right ventricle of the human heart;
positioning a reinforcing element on at least a portion of the endocardial surface of the ventricle; and
releasably attaching the reinforcing element to a portion of the endocardial surface such that expansion of an average of an endocardial surface over a cardiac cycle is inhibited.
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98-115. -115. (cancelled)
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116. A method of reinforcing at least a portion of a ventricle of a human heart, comprising attaching a reinforcing element to a region of an endocardial surface of the ventricle, wherein the reinforcing element is attached such that at least a portion of a natural contour of the region is maintained.
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117-139. -139. (cancelled)
Specification