Apparatus and method for reducing mitral regurgitation
First Claim
1. Apparatus for reducing mitral regurgitation, the apparatus comprising:
- a bendable elongated body adapted to be inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the elongated body being adjustable between a first configuration adapted to be delivered into the coronary sinus and a second configuration adapted to exert a force onto the posterior annulus, the body comprising;
a flexible spine having a proximal end and a distal end; and
a flexible wire mounted on said spine and having a distal end fixed to said spine proximate to the distal end of said spine, and having a proximal portion extending from the proximal end of said spine;
whereby axial movement of said wire causes a change in said spine from the first configuration to the second configuration to exert the force on the posterior annulus and thereby reduce mitral regurgitation.
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Abstract
Apparatus for reducing mitral regurgitation, including a bendable elongated body adapted to be inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the elongated body being adjustable between a first configuration adapted to be delivered into the coronary sinus and a second configuration adapted to exert a force onto the posterior annulus. The body includes a flexible spine having a proximal end and a distal end, and a flexible wire mounted on the spine and having a distal end fixed to the spine proximate to the distal end of the spine, and having a proximal portion extending from the proximal end of the spine. Axial movement of the wire causes a change in the spine from the first configuration to the second configuration to exert the force on the posterior annulus and thereby reduce mitral regurgitation.
67 Citations
17 Claims
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1. Apparatus for reducing mitral regurgitation, the apparatus comprising:
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a bendable elongated body adapted to be inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the elongated body being adjustable between a first configuration adapted to be delivered into the coronary sinus and a second configuration adapted to exert a force onto the posterior annulus, the body comprising;
a flexible spine having a proximal end and a distal end; and
a flexible wire mounted on said spine and having a distal end fixed to said spine proximate to the distal end of said spine, and having a proximal portion extending from the proximal end of said spine;
whereby axial movement of said wire causes a change in said spine from the first configuration to the second configuration to exert the force on the posterior annulus and thereby reduce mitral regurgitation. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. Apparatus for reducing mitral regurgitation, the apparatus comprising:
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a bendable elongated body adapted to be inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the elongated body being adjustable between a first configuration adapted to be delivered into the coronary sinus and a second configuration adapted to exert a force onto the posterior annulus, the body comprising;
a flexible spine having a proximal end and a distal end; and
a flexible wire mounted on said spine and having a distal end fixed to said spine proximate to the distal end of said spine, and having a proximal portion extending from the proximal end of said spine;
whereby pulling of said wire causes straightening of said spine to move said spine from the first configuration to the second configuration to exert the force on the posterior annulus and thereby reduce mitral regurgitation. - View Dependent Claims (11, 12)
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13. A method for reducing mitral regurgitation, the method comprising the steps of:
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positioning a prosthesis in a coronary sinus, the prosthesis comprising;
a bendable elongated body adapted to be inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the elongated body being adjustable between a first configuration adapted to be delivered into the coronary sinus and a second configuration adapted to exert a force onto the posterior annulus, the body comprising;
a flexible spine having a proximal end and a distal end; and
a flexible wire mounted on said spine and having a distal end fixed to said spine proximate to the distal end of said spine, and having a proximal portion extending from the proximal end of said spine; and
moving the wire axially to cause a change in the spine from the first configuration to the second configuration to exert the force on the posterior annulus and thereby reduce mitral regurgitation.
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14. A method for reducing mitral regurgitation, the method comprising the steps of:
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positioning a prosthesis in a coronary sinus, the prosthesis comprising;
a bendable elongated body adapted to be inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the elongated body being adjustable between a first configuration adapted to be delivered into the coronary sinus and a second configuration adapted to exert a force onto the posterior annulus, the body comprising;
a flexible spine having a proximal end and a distal end; and
a flexible wire mounted on said spine and having a distal end fixed to said spine proximate to the distal end of said spine, and having a proximal portion extending from the proximal end of said spine; and
pulling the wire to straighten the spine to move the spine from the first configuration to the second configuration to exert the force on the posterior annulus and thereby reduce mitral regurgitation.
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- 15. A method for reducing mitral regurgitation, the method comprising scarring the mitral valve annulus to cause contraction thereof.
Specification