Remotely adjustable coronary sinus implant
First Claim
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1. A method of treating a patient, comprising the steps of:
- identifying a patient having an implant residing within the patient, wherein the implant comprises an associated connector, and an elongate flexible tubular sleeve connecting the connector to the implant, wherein the elongate flexible tubular sleeve has at least one control line therein, the at least one control line extending from the connector to the implant;
after identifying the patient, the method further comprising;
removing a cover over the connector;
accessing the connector;
connecting an adjustment tool to the connector, the adjustment tool located at least partially outside the patient'"'"'s body; and
actuating the adjustment tool to adjust an amount of force, exerted by at least a portion of the implant against adjacent tissue, from a first force to a second force;
wherein actuating the adjustment tool comprises rotating the adjustment tool in a first direction within the connector and changing the direction of rotation, within the connector, to drive the at least one control line in a second direction of rotation, different than the first direction,wherein, after the actuating of the adjustment tool, and after the adjustment tool is entirely outside the patient'"'"'s body, the connector remains connected to the implant by the tubular sleeve, the at least one control line remains extending from the connector to the implant, and the at least a portion of the implant continues to exert substantially the second force against the adjacent tissue.
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Abstract
Disclosed are methods and devices for applying pressure to an adjacent tissue structure, such as the annulus of the mitral valve. An adjustable implant is provided with an elongate control line having a distal end connected to the implant and a proximal end spaced apart from the implant. The device enables post implantation adjustment, by accessing the proximal end of the control line and manipulating the control line to adjust the implant.
300 Citations
26 Claims
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1. A method of treating a patient, comprising the steps of:
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identifying a patient having an implant residing within the patient, wherein the implant comprises an associated connector, and an elongate flexible tubular sleeve connecting the connector to the implant, wherein the elongate flexible tubular sleeve has at least one control line therein, the at least one control line extending from the connector to the implant; after identifying the patient, the method further comprising; removing a cover over the connector; accessing the connector; connecting an adjustment tool to the connector, the adjustment tool located at least partially outside the patient'"'"'s body; and actuating the adjustment tool to adjust an amount of force, exerted by at least a portion of the implant against adjacent tissue, from a first force to a second force; wherein actuating the adjustment tool comprises rotating the adjustment tool in a first direction within the connector and changing the direction of rotation, within the connector, to drive the at least one control line in a second direction of rotation, different than the first direction, wherein, after the actuating of the adjustment tool, and after the adjustment tool is entirely outside the patient'"'"'s body, the connector remains connected to the implant by the tubular sleeve, the at least one control line remains extending from the connector to the implant, and the at least a portion of the implant continues to exert substantially the second force against the adjacent tissue. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A method, of treating a patient, comprising:
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identifying a patient having a control line coupled to an implant that resides in the patient, the control line extending through a tubular sleeve that extends from the implant to a housing implanted at a site in the patient that is remote from the implant, the implant exerting, in a first configuration, a first pressure on an extravascular target site within the patient; accessing, with an access device located at least partially within the body, the control line, via the implanted housing, at the site; and transmitting energy, with the access device, through the control line, to a motor, located with the implant, that changes, upon receipt of the transmitted energy, the implant from the first configuration to a second configuration, thereby adjusting a pressure, exerted by the implant, to a second pressure, different from the first pressure; wherein, after the transmitting energy through the control line and after removing the access device from the body, the control line remains coupled to the implant and extends from the implant to the housing through the tubular sleeve, and the implant maintains exertion of substantially the second pressure on the extravascular target site. - View Dependent Claims (25, 26)
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Specification