ADJUSTABLE ANNULOPLASTY RING AND SYSTEM
First Claim
1. An adjustable annuloplasty ring assembly comprising:
- a support ring,an adjustable ring nested at least partly within the support ring, anda plurality of pressing elements at different positions around an interface between the support ring and the adjustable ring, each pressing element deployable to deform the adjustable ring inwardly using the support ring as a support, for adjusting the shape of the adjustable ring.
1 Assignment
0 Petitions
Accused Products
Abstract
An adjustable annuloplasty ring assembly (10) comprises a support ring (30), an adjustable ring (32) nested at least partly within the support ring, and at least one deployable pressing element (34) for deforming the adjustable ring using the support ring (30) as support. Plural pressing elements (34) may be used at different positions around rings. Each pressing element (34) may have a variable extents of deployment, to vary the extent of deformation of the adjustable ring at the position of the pressing element. Each pressing element may comprise a deflectable blade (40), and the state of the blade may be retained by a ratchet (50). The pressing elements may be operated in a predetermined controlled sequence.
32 Citations
94 Claims
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1. An adjustable annuloplasty ring assembly comprising:
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a support ring, an adjustable ring nested at least partly within the support ring, and a plurality of pressing elements at different positions around an interface between the support ring and the adjustable ring, each pressing element deployable to deform the adjustable ring inwardly using the support ring as a support, for adjusting the shape of the adjustable ring. - View Dependent Claims (2, 3, 4, 5, 15, 26, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 76, 77, 78, 79, 80, 81, 82, 83, 86, 87, 88, 89, 90, 91, 92, 93, 94)
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6. An adjustable annulopasty ring assembly, the assembly comprising:
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a support ring, an adjustable ring nested at least partly within the support ring, and at least one pressing element deployable to deform the adjustable ring by using the support ring as a support, for adjusting the shape of the adjustable ring, wherein at least a portion of the at least one deployable pressing element is configured to remain, in use during deployment of the pressing element, generally at a predetermined position along a periphery of at least one of the rings. - View Dependent Claims (7, 58)
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8. An adjustable annuloplasty ring assembly, the assembly comprising:
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a support ring, an adjustable ring nested at least partly within the support ring, and at least one pressing element deployable to deform the adjustable ring by using the support ring as a support, for adjusting the shape of the adjustable ring, wherein the at least one pressing element is controllable to have a variable extent of deployment at the position of the pressing element, to define a variable deformation of the adjustable ring with respect to the support ring, - View Dependent Claims (9, 10, 11, 12, 13, 14, 59)
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16. An adjustable annuloplasty ring assembly, the assembly comprising:
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a support ring, an adjustable ring nested at least partly within the support ring, and at least one pressing element deployable to deform the adjustable ring by using the support ring as a support, for adjusting the shape of the adjustable ring, wherein the at least one deployable pressing element comprises a deflectable blade configured to bow in response to application of mechanical force to at least a portion of the deflectable blade. - View Dependent Claims (17, 18, 19, 20, 21, 22)
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23. An adjustable annuloplasty ring assembly, the assembly cornpnsing:
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a support ring, an adjustable ring nested at least partly within the support ring, and at least one pressing element deployable to deform the adjustable ring by using the support ring as a support, for adjusting the shape of the adjustable ring, wherein the at least one deployable pressing element comprises a fluid-deployable device. - View Dependent Claims (24, 25)
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- 27. An annuloplasty ring assembly comprising at least one sensor for sensing a parameter relating to performance of a valve to be treated by the assembly.
- 29. An annuloplasty ring assembly comprising at least one electrode for applying or sensing an electrical signal at the site of the cardiac valve.
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31. An annuloplasty ring assembly comprising a mechanical interface arranged to receive a prosthetic valve.
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32. An adjustable annuloplasty ring assembly, the assembly comprising:
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a support ring, an adjustable ring nested at least partly within the support ring, and at least one pressing element deployable to deform the adjustable ring by using the support ring as a support, for adjusting the shape of the adjustable ring, wherein the at least one deployable pressing element comprises a crick configured to extend in response to application of mechanical force to at least a portion of the crick. - View Dependent Claims (33)
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34. An adjustable annuloplasty ring assembly, the assembly comprising:
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a support ring, an adjustable ring nested at least partly within the support ring, and at least one pressing element deployable to deform the adjustable ring by using the support ring as a support, for adjusting the shape of the adjustable ring, wherein the at least one deployable pressing element comprises a pantograph configured to extend in response to application of mechanical force to at least a portion of the pantograph.
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35. A system comprising:
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an adjustable annuloplasty ring assembly; an actuator for generating a physical control signal for transmission to the ring assembly; and a transmission line for coupling the actuator to the ring assembly for transmitting the physical control signal from the actuator to the ring assembly, and the transmission line being made at least partly of material that is biodegradable and/or resorbable in the human body. - View Dependent Claims (36, 37, 39, 84)
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38. A system, comprising:
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an adjustable annuloplasty ring assernbly; an actuator for generating a physical control signal for transmission to the ring assembly; a transmission line for coupling the actuator to the ring assembly for transmitting the physical control signal from the actuator to the ring assembly; and a releasable coupling for releasably coupling the transmission line to the ring assembly. - View Dependent Claims (85)
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40. A system, comprising:
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an adjustable annuloplasty ring assembly having a plurality of actuatable adjusters for adjusting a shape of at least a portion of the ring assembly after implantation in the body; and an actuator for controlling actuation of the plurality of adjusters, - View Dependent Claims (41, 42, 43)
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44. A system, comprising:
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n adjustable annuloplasty ring assembly, having at least one fluid-deployable device for adjusting a shape of at east a portion of the ring assembly after implantation in the body; and a controllable actuator for controlling flow of fluid to and/or from the fluid-deployable device. - View Dependent Claims (45, 46, 47)
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Specification