Percutaneous Mitral Annular Stitch to Decrease Mitral Regurgitation

• US 20110288637A1
• Filed: 02/11/2010
• Published: 11/24/2011
• Est. Priority Date: 02/11/2009
• Status: Abandoned Application

• Current Assignee: Tendyne Medical, Inc. (Abbott Laboratories Incorporated)
• Original Assignee: Tendyne Medical, Inc. (Abbott Laboratories Incorporated)
• Inventors: De Marchena, Eduardo
• Application Number:
  US13/141,498
• Publication Number:
  US 20110288637A1
• Time in Patent Office: Days
• US Class Current: 623/2.11
• CPC Class Codes: A61B 17/0466 Suture bridges
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61F 2/2454 Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
• CPC Class Codes: A61M 2210/125 Heart

Abstract

This invention relates to methods and devices for treatment of regurgitation by connecting the anterior and posterior mitral annulus with a plurality of stitches or anchors called “mitral annulus bands”, instead of anchoring via the coronary sinus.

Claims

1. A catheter system, comprising:

a catheter defining a lumen therethrough;

a band deployment unit that is structured to deploy a mitral annulus band through said lumen of said catheter; and

a mitral annulus band adapted to be deployed through said lumen of said catheter by said band deployment unit,

wherein said mitral annulus band is structured to attach to a posterior portion of a mitral annulus or posterior portion of mitral valve tissue of a mitral valve of a heart of a patient and said mitral annulus band is structured to also attach to an anterior portion of said mitral annulus or anterior portion of mitral valve tissue of said mitral valve, and

wherein said mitral annulus band is structured to decrease a distance between said posterior and anterior portions of said mitral annulus while in operation to alleviate mitral regurgitation in said heart of said patient.

2. The catheter system according to claim 1, further comprising wherein said mitral annulus band comprises a first clip structured to attach to said posterior portion of said mitral annulus and a second clip structured to attach to said anterior portion of said mitral annulus.

3. The catheter system according to claim 2, further comprising wherein said mitral annulus band comprises a cross member between said first clip and said second clip,

wherein a length of said cross member is adjustable when said first clip is attached to said posterior portion of said mitral annulus and when said second clip is attached to said anterior portion of said mitral annulus to thereby decrease said distance between said posterior and anterior portions of said mitral annulus to decrease an amount of mitral regurgitation.

4. The catheter system according to claim 3, further comprising wherein said cross member of said mitral annulus band comprises suture.

5. The catheter system according to claim 3, further comprising wherein said band deployment unit is also structured to adjust said length of said cross member of said mitral annulus band.

6. The catheter system according to claim 3, further comprising a band tightening unit that is structured to adjust said length of said cross member of said mitral annulus band through said catheter.

7. The catheter system according to claim 3, further comprising wherein said band deployment unit is also structured to trim portions of said cross member of said mitral annulus band.

8. The catheter system according to claim 3, further comprising a band trimming unit that is structured to trim portions of said cross member of said mitral annulus band through said catheter.

9. A mitral annulus band, comprising:

a first clip structured to attach to a posterior portion of a mitral annulus of a patient'"'"'s heart;

second clip structured to attach to an anterior portion of said mitral annulus of said patient'"'"'s heart; and

a cross member between said first clip and said second clip,

wherein a length of said cross member is adjustable when said first clip is attached to said posterior portion of said mitral annulus and when said second clip is attached to said anterior portion of sad mitral annulus to thereby decrease a distance between said posterior and anterior portions of said mitral annulus to decrease an amount of mitral regurgitation.