Devices, systems, and methods for reshaping a heart valve annulus, including the use of magnetic tools
First Claim
1. A method comprisingproviding a system comprising a first catheter, a second catheter, the first and second catheters each including a guide lumen having a distal opening, and magnetic or ferromagnetic materials placed adjacent the distal openings of both guide lumens, the magnetic or ferromagnetic materials being sized and configured to magnetically couple the distal opening of the first catheter to the distal opening of the second catheter in an alignment that accommodates passage of an operative component between the guide lumens of the first and second catheters,deploying the first catheter in a left atrium of a heart,deploying the second catheter in a great cardiac vein adjacent a posterior annulus of a mitral valve,magnetically coupling the distal opening of the first catheter in the left atrium to the distal opening of the second catheter within the great cardiac vein,penetrating tissue between the magnetically coupled distal openings, andpassing a guide wire through the penetrated tissue from the guide lumen of one of the first and second catheters into the guide lumen of the other one of the first and second catheters.
6 Assignments
0 Petitions
Accused Products
Abstract
Implants or systems of implants and methods apply a selected force vector or a selected combination of force vectors within or across the left atrium, which allow mitral valve leaflets to better coapt. The implants or systems of implants and methods make possible rapid deployment, facile endovascular delivery, and full intra-atrial retrievability. The implants or systems of implants and methods also make use of strong fluoroscopic landmarks. The implants or systems of implants and methods make use of an adjustable implant and a fixed length implant. The implants or systems of implants and methods may also utilize a bridge stop to secure the implant, and the methods of implantation employ various tools.
59 Citations
9 Claims
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1. A method comprising
providing a system comprising a first catheter, a second catheter, the first and second catheters each including a guide lumen having a distal opening, and magnetic or ferromagnetic materials placed adjacent the distal openings of both guide lumens, the magnetic or ferromagnetic materials being sized and configured to magnetically couple the distal opening of the first catheter to the distal opening of the second catheter in an alignment that accommodates passage of an operative component between the guide lumens of the first and second catheters, deploying the first catheter in a left atrium of a heart, deploying the second catheter in a great cardiac vein adjacent a posterior annulus of a mitral valve, magnetically coupling the distal opening of the first catheter in the left atrium to the distal opening of the second catheter within the great cardiac vein, penetrating tissue between the magnetically coupled distal openings, and passing a guide wire through the penetrated tissue from the guide lumen of one of the first and second catheters into the guide lumen of the other one of the first and second catheters.
Specification