Device and a method for treatment of atrioventricular regurgitation

• US 6,719,767 B1
• Filed: 09/26/2000
• Issued: 04/13/2004
• Est. Priority Date: 08/11/2000
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Edwards Lifesciences Corporation
• Inventors: Kimblad, Per Ola
• Primary Examiner(s): Calvert, John J.
• Assistant Examiner(s): MORAN, KATHERINE M
• Application Number:
  US09/670,082
• Time in Patent Office: 1,295 Days
• Field of Search: 606/151, 606/157, 606/158, 606/120
• US Class Current: 606/151
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00783 Valvuloplasty
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/0641 having at least three legs as part of one single body
• CPC Class Codes: A61F 2/2442 Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve

Abstract

A device for treatment of atrioventricular regurgitation comprises a suturing means. The suturing means has such dimensions as to be introducible, via blood vessels leading to the heart, to two leaflets of the atrioventricular valve between an atrium and a corresponding ventricle of the heart. Further, the suturing means is designed for binding together the two leaflets in a position along the free edges of the leaflets. As a result, the closing of the valve is improved.

A method of using the device comprises the steps of inserting the suturing means into a catheter, introducing the catheter to the heart, so as to position a distal end of the catheter close to two leaflets of an atrioventricular valve, capturing the free edges of the two leaflets with the suturing means in its open state, binding together the two leaflets by transition of the suturing means into its closed state, and retracting the catheter from the heart.

Claims

1. A device for treatment of atrioventricular regurgitation in a heart, comprising

a suturing means having such dimensions as to be introducible, via blood vessels leading to the heart, to two leaflets of an atrioventricular valve between an atrium and a corresponding ventricle of the heart and being capable of binding together the two leaflets in a position along the free edges of the leaflets, whereby the closing of the atrioventricular valve is improved,

said suturing means being transitional between two states, being open in a first state and substantially closed in a second state, and

said suturing means being biased towards its second state.

2. The device according to claim 1, wherein the suturing means comprises a clip.

3. The device according to claim 2, wherein the clip has two arms pivotally connected to each other at a first end thereof, the arms forming a V in the first state of the clip and being substantially parallel in the second state of the clip.

4. The device according to claim 3, wherein the two pairs of arms of the clip are connected to each other by two crossbars near the connected first ends of the arms.

5. The device according to claim 3, further comprising a catheter for introduction of the clip via the blood vessels to the heart, said catheter having an outermost sheet covering the clip and being retractable:

therefrom.

6. The device according to claim 5, wherein the catheter has a rod for holding the clip substantially in the open state within the outermost sheet and an applicator for pushing the clip off the rod for transition thereof into the closed state when the outermost sheet is retracted from the clip.

7. The device according to claim 6, wherein the rod holds the free ends of the arms of the clip distal to the connected ends thereof during the introduction via the blood vessels.

8. The device according to claim 5, wherein the catheter has a rod for holding the clip substantially in the open state within the outermost sheet, said rod also having a puncturing means at a distal tip thereof.

9. The device according to claim 8, wherein the rod holds the connected ends of the arms of the clip distal to the free ends thereof during the introduction via the blood vessels.

10. The device according to claim 3, wherein the arms have second, free ends bent towards each other.

11. The device according to claim 10, wherein the second end of each one of the arms is sharp.

12. The device according to claim 1, wherein the suturing means consists of a memory material biasing the suturing means towards its second, closed state.

13. A device for the treatment of atrioventricular regurgitation in a heart, comprising

a suturing means having such dimensions as to be introducible, via blood vessels leading to the heart, to two leaflets of an atrioventricular valve between an atrium and a corresponding ventricle of the heart and being designed for binding together the two leaflets in a position along the free edges of the leaflets, whereby the closing of the atrioventricular valve is improved,

wherein the suturing means is transitional between two states, being open in a first state and substantially closed in a second state,

wherein the suturing means comprises a clip,

wherein the clip has two arms pivotally connected to each other at a first end thereof, the arms forming a V in the first state of the clip and being substantially parallel in the second state of the clip, and

wherein the two pairs of arms of the clip are connected to each other by two crossbars near the connected first ends of the arms.

14. A device for the treatment of atrioventricular regurgitation in a heart, comprising a suturing means having such dimensions as to be introducible, via blood vessels leading to the heart, to two leaflets of an atrioventricular valve between an atrium and a corresponding ventricle of the heart and being designed for binding together the two leaflets in a position along the free edges of the leaflets, whereby the closing of the atrioventricular valve is improved,

wherein the suturing means is transitional between two states, being open in a first state and substantially closed in a second state,

wherein the suturing means comprises a clip, and

further comprising a catheter for introduction of the clip via the blood vessels to the heart, said catheter having an outermost sheet covering the clip and being retractable therefrom.