Fixing device, in particular for fixing to vascular wall tissue

• US 8,142,496 B2
• Filed: 03/13/2009
• Issued: 03/27/2012
• Est. Priority Date: 05/25/1999
• Status: Expired due to Term

• Current Assignee: Daidalos Solutions B.V.
• Original Assignee: Daidalos Solutions B.V.
• Inventors: Berreklouw, Eric
• Primary Examiner(s): Willse, David H
• Assistant Examiner(s): BLANCO, JAVIER G
• Application Number:
  US12/403,495
• Publication Number:
  US 20090234446A1
• Time in Patent Office: 1,110 Days
• Field of Search: 623/1.26, 623 21- 242
• US Class Current: 623/2.37
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections
• CPC Class Codes: A61F 2/2403 with pivoting rigid closure members check valves with hinged closure members in general F16K15/03
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• CPC Class Codes: A61F 2/2412 with soft flexible valve members, e.g. tissue valves shaped like natural valves check valves with flexible valve members in general F16K15/14
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2445 Annuloplasty rings in direct contact with the valve annulus
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2250/001 for adjusting a diameter
• CPC Class Codes: A61F 2250/006 modular

Abstract

A device for narrowing the passage through surrounding vascular wall tissue, such as a ring prosthesis for reducing the size of the passage of a heart valve, includes a ring shaped element which is elastically contractile under influence of a resilient force for contracting the ring shaped element from an expanded, wide condition to a narrow condition to narrow the passage. A method of narrowing the passage through surrounding vascular wall tissue using such a device is also disclosed.

Claims

1. An implantable cardiac ring prosthesis for reducing the size of an annulus of a heart valve, said cardiac ring prosthesis comprising:

a ring shaped element which is elastically contractile under influence of a resilient force for radially contracting the ring shaped element from an expanded, wide condition to a narrow condition to narrow said annulus,

wherein the ring shaped element comprises a plurality of discrete ring segments, an individual connecting wire between each adjacent ring segment joining together the ring segments, and pins provided on the circumference of the ring segments for anchoring each ring segment to said annulus,

wherein said connecting wires are elastically contractile in a circumferential direction of the ring shaped element for radially contracting the ring shaped element from said expanded, wide condition to said narrow condition,

wherein the connecting wires are made from a shape memory metal,

wherein the ring shaped element is compressible to a compressed condition smaller than the narrow condition for feeding and positioning said ring shaped element within said annulus,

wherein the ring shaped element is expandable into said expanded, wide condition for bringing the ring shaped element into contact with the vascular wall tissue surrounding the annulus,

wherein each pin is radially movable for anchoring each ring segment to said vascular wall tissue surrounding the annulus therefore anchoring the implantable cardiac ring prosthesis to said annulus, and

wherein the ring shaped element is elastically contractible to return to said narrow condition therefore narrowing said annulus.

2. The ring prosthesis according to claim 1, further comprising an expandable instrument for expanding said ring shaped element to said expanded, wide condition upon expansion of said instrument and for allowing the ring shaped element to elastically contract to said narrow condition upon removal of said instrument.

3. The ring prothesis according to claim 2, wherein the expandable instrument comprises a balloon which can be inflated for expansion of said instrument and deflated for removal of said instrument.

4. The ring prosthesis according to claim 1, wherein the ring shaped element comprises a super elastic metal alloy capable of returning the ring shaped element from said expanded, wide condition into said narrow condition upon heating the ring shaped element.

5. The ring prothesis according to claim 1, wherein the ring shaped element comprises a metal alloy with shape memory capable of returning the ring shaped element from said expanded, wide condition into said narrow condition upon heating the ring shaped element.

6. The ring prothesis according to claim 1, wherein the ring shaped element is an open C-shaped ring, having an opening in its circumference.

7. The ring prothesis according to claim 6, wherein the ring shaped element can be brought into a ribbon-shaped condition for delivery to said passage.

8. The ring prothesis according to claim 1, wherein the ring shaped element can be brought into a ribbon-shaped condition for delivery to said passage.

9. The ring prosthesis according to claim 1, wherein the ring shaped element is in compressed condition and placed in a sleeve to keep the ring shaped element in the compressed condition.

10. The ring prothesis according to claim 1, wherein each pin is radially movable from an inwardly bent position, in which said pin lies, viewed in radial direction, entirely inside said ring shaped element, through an opening in said ring shaped element to an emerging position, in which the pin emerge through said opening at the radial outside of said ring shaped element.

11. The ring prosthesis according to claim 10, wherein the pins, when lying inside the ring shaped element, are in a pretensioned state pretensioned towards an emerging position.

12. The ring prosthesis according to claim 11, wherein the pins are frozen in said pretensioned state.

13. The ring prosthesis according to claim 10, further comprising removable impediments counteracting radial outward movement of said pins when in the inwardly bent position.

14. The ring prostheses according to claim 1, wherein said ring prosthesis is for a mitral heart valve.

15. The ring prosthesis according to claim 1, wherein said ring prosthesis is for an aortic valve and has a circular form.

16. The ring prosthesis according to claim 15, wherein said ring prosthesis has a sinusoidal form

17. The ring prosthesis according to claim 15, wherein said ring shaped element comprises three or a multiple of three said ring segments.

18. The ring prosthesis according to claim 1, wherein said ring prosthesis is for a tricusbid valve.