APPARATUS FOR REPAIRING HEART VALVES AND METHOD OF USE THEREOF

• US 20170065418A1
• Filed: 09/01/2016
• Published: 03/09/2017
• Est. Priority Date: 09/03/2015
• Status: Active Grant

• Current Assignee: Vesalius Cardiovascular, Inc.
• Original Assignee: Vesalius Cardiovascular, Inc.
• Inventors: SKARSGARD, Peter Lloyd
• Granted Patent: US 10,531,956 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/2454 Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
• CPC Class Codes: A61F 2/2487 Devices within the heart chamber, e.g. splints
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2250/0004 adjustable
• CPC Class Codes: A61F 2250/001 for adjusting a diameter
• CPC Class Codes: A61F 2250/0012 for adjusting elasticity, flexibility, spring rate or mechanical tension

Abstract

An apparatus for repairing a heart valve and methods of use thereof are provided. The apparatus includes a radially expandable body and a blood-permeable member attached to the body at a first end and having at least one cord at a second end. The length or tension of the at least one cord is adjustable when the apparatus is implanted in a heart such that that the extent of atrial displacement of the heart'"'"'s mitral leaflets during ventricular contraction can be adjusted. To implant the apparatus in a heart, the apparatus is inserted into a retaining sheath and the retaining sheath is then inserted into the heart. The retaining sheath is retracted from the apparatus and the apparatus is positioned inside the heart. The length or tension of the at least one cord is adjusted to adjust the extent of atrial displacement of the heart'"'"'s mitral leaflets during ventricular contraction.

Claims

1. An apparatus for repairing a heart valve, the apparatus comprising:

a radially expandable body; and

a blood-permeable member attached to the body at a first end and having at least one cord at a second end opposed to the first end.

2. An apparatus according to claim 1, wherein the length or tension of the at least one cord is adjustable when the apparatus is implanted in a heart such that the extent of atrial displacement of the heart'"'"'s mitral leaflets during ventricular contraction can be adjusted.

3. An apparatus according to claim 1, further comprising an encircling member connectable to the body for radially compressing and/or radially expanding the body.

4. An apparatus according to claim 3, wherein the body comprises a plurality of peaks and a plurality of troughs, the peaks and troughs defined along the length of the body.

5. An apparatus according to claim 4, wherein the body comprises a plurality of ring members, each ring member positioned on a corresponding peak.

6. An apparatus according to claim 5, wherein the encircling member passes through the plurality of ring members.

7. An apparatus according to claim 1, wherein the blood-permeable member comprises an anterior blood-permeable member attached to an anterior end of the body.

8. An apparatus according to claim 1, wherein the blood-permeable member comprises a posterior blood-permeable member attached to a posterior end of the body.

9. An apparatus according to claim 1, wherein the blood-permeable member is configured to extend from an atrial wall and a mitral annulus to a ventricular apex or a ventricular myocardium of the heart when the apparatus is implanted in the heart.

10. An apparatus according to claim 1, wherein the blood-permeable member is configured to cover an anterior mitral leaflet of the heart when the apparatus is implanted in the heart.

11. An apparatus according to claim 1, wherein the blood-permeable member is configured to cover a posterior mitral leaflet of the heart when the apparatus is implanted in the heart.

12. An apparatus according to claim 1, wherein the body comprises at least one fastener for securing the body to the atrial wall of the heart when the apparatus is implanted in the heart.

13. An apparatus according to claim 12, wherein the at least one fastener is positioned at one or more of a first end of the body and a second end of the body.

14. An apparatus according to claim 12, wherein each fastener comprises at least one barb or hook.

15. An apparatus according to claim 12, wherein each fastener comprises a material having tissue ingrowth qualities.

16. An apparatus according to claim 1, further comprising a retaining sheath, wherein the retaining sheath houses the body and blood-permeable member when the body is radially compressed.

17. An apparatus according to claim 16, wherein the retaining sheath includes one or more of an encircling member sheath, an inner sheath, and an outer sheath for staged deployment of the apparatus inside the heart.

18. A kit for repairing a heart valve, the kit comprising:

an apparatus including a radially expandable body, a blood-permeable member configured to cover a mitral leaflet of a heart when the apparatus is implanted in the heart, and at least one cord for adjusting the extent of atrial displacement of the mitral leaflet during ventricular contraction when the apparatus is implanted in the heart; and

a retaining sheath for implanting the apparatus inside a heart.

19. A kit according to claim 18 further comprising a guide wire for guiding the apparatus and the retaining sheath into the heart.

20. A method of repairing a heart valve using an apparatus comprising a radially expandable body and a blood-permeable member attached to the body at a first end and having at least one cord at a second end opposed to the first end, the method comprising:

inserting the apparatus inside a retaining sheath;

inserting the retaining sheath containing the apparatus into the heart;

retracting the retaining sheath from the apparatus;

positioning the apparatus inside the heart;

withdrawing the retaining sheath from the heart; and

adjusting the length or tension of the at least one cord of the apparatus to adjust the extent of atrial displacement of the heart'"'"'s mitral leaflets during ventricular contraction.