Valve to myocardium tension members device and method
First Claim
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1. A method of passively treating an in situ mitral valve, the method comprising:
- securing a passive device to the in situ mitral valve, wherein the device includes a ring and a plurality of flexible elongate members extending therefrom into a left ventricle associated with the in situ mitral valve;
extending a first flexible elongate member of the plurality of flexible elongate members from the ring across the ventricular cavity to a papillary muscle within the left ventricle;
disposing a distal portion of the first flexible elongate member in direct contact with the papillary muscle;
securing a first anchoring structure at the papillary muscle to a distal end of the first flexible elongate member so as to establish tension in the first flexible elongate member directly between the papillary muscle and the passive device;
extending a second flexible elongate member of the plurality of flexible elongate members across the ventricular cavity directly to a second heart structure within the left ventricle other than a heart valve;
securing a second anchoring structure at the second heart structure to a distal end of the second flexible elongate member so as to establish tension in the second flexible elongate member directly between the second heart structure and the passive device, wherein the second anchoring structure is discrete from the first anchoring structure.
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Abstract
A device for heart valve repair including at least one tension member having a first end and second end. A basal anchor is disposed at the first end of the tension member and a secondary anchor at the second end. The method includes the steps of anchoring the basal anchor proximate a heart valve and anchoring the secondary anchor at a location spaced from the valve such that the chamber geometry is altered to reduce heart wall tension and/or stress on the valve leaflets.
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Citations
32 Claims
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1. A method of passively treating an in situ mitral valve, the method comprising:
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securing a passive device to the in situ mitral valve, wherein the device includes a ring and a plurality of flexible elongate members extending therefrom into a left ventricle associated with the in situ mitral valve; extending a first flexible elongate member of the plurality of flexible elongate members from the ring across the ventricular cavity to a papillary muscle within the left ventricle; disposing a distal portion of the first flexible elongate member in direct contact with the papillary muscle; securing a first anchoring structure at the papillary muscle to a distal end of the first flexible elongate member so as to establish tension in the first flexible elongate member directly between the papillary muscle and the passive device; extending a second flexible elongate member of the plurality of flexible elongate members across the ventricular cavity directly to a second heart structure within the left ventricle other than a heart valve; securing a second anchoring structure at the second heart structure to a distal end of the second flexible elongate member so as to establish tension in the second flexible elongate member directly between the second heart structure and the passive device, wherein the second anchoring structure is discrete from the first anchoring structure. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method of passively treating an in situ mitral valve, the method comprising:
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securing a passive device to an atrial side of the in situ mitral valve, wherein the device includes a ring and a plurality of flexible elongate members; extending a first flexible elongate member of the plurality of flexible elongate members from the ring across the ventricular cavity to a first anchor point at a first papillary muscle within a left ventricle associated with the in situ mitral valve; disposing a first anchoring structure at the first anchor point to secure the distal end of the first flexible elongate member and so as to establish tension in the first flexible elongate member directly between the first papillary muscle and the passive device; extending a second flexible elongate member of the plurality of flexible elongate members from the ring across the ventricular cavity to a second anchor point at a second papillary muscle within the left ventricle; securing a second anchoring structure to the second anchor point to secure the distal end of the second flexible elongate member and so as to establish tension in the second flexible elongate member directly between the second papillary muscle and the passive device. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32)
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Specification