Valve annulus reduction system

• US 20060282161A1
• Filed: 06/21/2004
• Published: 12/14/2006
• Est. Priority Date: 06/20/2003
• Status: Abandoned Application

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Inventors: Huynh, Rany, Ryan, Timothy R., Bloom, Eliot, Lemmon, Jack
• Application Number:
  US10/561,113
• Publication Number:
  US 20060282161A1
• Time in Patent Office: Days
• US Class Current: 623/2.110
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00783 Valvuloplasty
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0451 Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2017/0461 with features cooperating with special features on the suture, e.g. protrusions on the suture
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/06052 Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
• CPC Class Codes: A61B 2017/06176 with protrusions, e.g. barbs
• CPC Class Codes: A61F 2/2451 Inserts in the coronary sinus for correcting the valve shape
• CPC Class Codes: A61F 2/2481 Devices outside the heart wall, e.g. bags, strips or bands

Abstract

System (10) for treating a dilated heart valve includes a dilivery device. Tension device (12) is slidably received within the lumen of delivery device (14) for delivery to and deployment at the treatment area. Delivery device (14) includes a plurality of arranged catheters including an inner catheter (26) within the lumen of an outer catheter (22). Tension device (12) includes a first anchor (16) attached to a second anchor (18).

Claims

1. A system for treating a dilated cardiac valve, comprising:

a delivery device including an inner catheter received in an outer catheter; and

a tension device slidably disposed within the inner catheter, the tension device including a first anchor connected to a second anchor by a tension member, the second anchor including a portion complementary to the wall of a cardiac vessel, wherein, when the tension device is delivered proximate the cardiac valve, the first anchor is inserted into a first cardiac wall and the second anchor expands within the cardiac vessel to apply tension across heart chamber via the tension member and the first anchor to reduce an annulus of the dilated cardiac valve.

2. The system of claim 1 wherein the first anchor is selected from the group consisting of a coil barbed anchor, a hooked anchor and a harpoon barbed anchor.

3. The system of claim 2 wherein the first anchor is rotatable to facilitate controlled insertion into the first cardiac wall.

4. The system of claim 1 wherein the first cardiac wall comprises an annulus of the dilated valve.

5. The system of claim 1 wherein the second anchor comprises a stent selected from the group consisting of a self-expanding stent and a balloon-expanding stent.

6. The system of claim 1 wherein the second anchor comprises an arcuate tubular body having an arc that complements a curve of at least a portion of the cardiac vessel.

7. The system of claim 1 wherein the second anchor comprises a tubular body having a first portion hingedly attached to a second portion.

8. The system of claim 1 wherein the cardiac vessel is the coronary sinus.

9. The system of claim 1 wherein the first anchor comprises a material selected from the group consisting of:

stainless steel, nitinol, cobalt-based alloy, platinum, titanium, a thermoset plastic, a biocompatible alloy, a biocompatible material, and a combination thereof.

10. The system of claim 1 wherein the tension member comprises a material selected from the group consisting of:

a thin wire or rod of stainless steel, nitinol, another flexible and strong material, rayon, nylon, polyester, or other similar material, and a combination thereof.

11. The system of claim 1 wherein the second anchor comprises a material selected from:

flexible stainless steel, nitinol, cobalt-based alloy, biocompatible durable shape-memory polymers, and a combination thereof.

12. The system of claim 1 wherein the Inner catheter is a pushrod.

13. The system of claim 1 wherein the tension device further comprises a locking mechanism.

14. The system of claim 13 wherein the locking mechanism comprises a plurality of locking members disposed on the tension member.

15. A device for treating a dilated heart valve, the device comprising:

a first anchor disposed on a first end of a tension member; and

a second anchor slidably mounted on a second end of the tension member, the second anchor comprising an arcuate tubular body having an arc that complements a curve of at least a portion of a cardiac vessel adjacent the dilated valve.

16. The device of claim 15 wherein the first anchor is selected from the group consisting of a coil barbed anchor, a hooked anchor and a harpoon barbed anchor.

17. The system of claim 15 wherein the first anchor is rotatable to facilitate controlled insertion into the first cardiac wall.

18. The system of claim 15 wherein the second anchor comprises a stent selected from the group consisting of a self-expanding stent and a balloon-expanding stent.

19. The system of claim 15 wherein the second anchor comprises a tubular body having a first portion hingedly attached to a second portion.

20. A system for treating a dilated heart valve comprising:

means for inserting a first anchor into a first atrial wall proximate the dilated heart valve;

means for connecting the first anchor to a second anchor;

means for disposing the second anchor within a cardiac vessel proximate the dilated heart valve; and

means for applying tension across the connecting means.

21. The system of claim 20 further comprising:

means for locking the means for applying tension.

22. The system of claim 20 wherein the dilated heart valve is a dilated mitral valve.

23. A method of treating a dilated heart valve, the method comprising:

delivering a tension device comprising a first anchor connected to a second anchor by a tension member to a location within a cardiac vessel proximate the dilated heart valve;

inserting the first anchor into a heart wall proximate the dilated heart valve;

positioning the second anchor upon a cardiac vessel wall opposite the heart wall, wherein an arcuate portion of the second anchor is complementary to the cardiac vessel wall;

reducing an annulus of the dilated heart valve via the tension device.

24. The method of claim 23, wherein delivering the tension device comprises inserting the tension device within a catheter;

and

delivering the catheter and the tension device to a location within the cardiac vessel proximate the dilated heart valve.

25. The method of claim 24 wherein delivering the catheter and tension device comprises:

positioning the catheter adjacent the cardiac vessel wall to insert the first anchor through the cardiac vessel wall;

pushing the first anchor through a heart chamber and into the heart wall opposite the cardiac vessel with an inner catheter;

retracting the catheter to release the second anchor within the cardiac vessel.

26. The method of claim 23 wherein the dilated heart valve is the mitral valve.

27. The method of claim 23 wherein positioning the second anchor comprises cinching a locking mechanism along a portion of the tension member proximal the second anchor to adjust a length of the tension member.