Valve to myocardium tension members device and method
First Claim
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1. A method of treating an in situ mitral valve, comprising:
- providing a valve repair device to be secured to a mitral valve annulus, the device including a basal anchor adapted to attach around at least a portion of the mitral valve annulus and having a pylon fixed thereto that extends through the mitral valve opening into the left ventricle associated with the mitral valve, the device further including tension members attached to the pylon within the left ventricle and each having a length sufficient to extend to a papillary muscle within the left ventricle, the device further including an anchor corresponding to each tension member for securing the tension member to the respective papillary muscle;
delivering the device to the mitral valve annulus;
anchoring the tension members to respective papillary muscles using the corresponding anchors;
securing the basal anchor to the mitral valve annulus; and
establishing tension in the tension members between the respective papillary muscles and the basal anchor.
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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.
790 Citations
35 Claims
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1. A method of treating an in situ mitral valve, comprising:
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providing a valve repair device to be secured to a mitral valve annulus, the device including a basal anchor adapted to attach around at least a portion of the mitral valve annulus and having a pylon fixed thereto that extends through the mitral valve opening into the left ventricle associated with the mitral valve, the device further including tension members attached to the pylon within the left ventricle and each having a length sufficient to extend to a papillary muscle within the left ventricle, the device further including an anchor corresponding to each tension member for securing the tension member to the respective papillary muscle; delivering the device to the mitral valve annulus; anchoring the tension members to respective papillary muscles using the corresponding anchors; securing the basal anchor to the mitral valve annulus; and establishing tension in the tension members between the respective papillary muscles and the basal anchor. - 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 treating an in situ mitral valve, comprising:
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providing a valve repair device to be secured to a mitral valve annulus, the device including a generally planar basal anchor adapted to attach around at least a portion of the mitral valve annulus and having a pylon fixed to at least two points on the basal anchor and having a spanning portion that spans between the two points and across the mitral valve opening above the planar basal anchor, the pylon further including a descending portion that extends through the mitral valve opening into the left ventricle associated with the mitral valve; delivering the device to the mitral valve annulus; tethering a distal end of the pylon descending portion within the left ventricle to a papillary muscle using a flexible elongate member; securing the basal anchor to the mitral valve annulus; and establishing tension in the flexible elongate member between the papillary muscle and the basal anchor. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35)
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Specification