Method to reduce mitral regurgitation by cinching the commissure of the mitral valve
First Claim
1. A method of repairing a mitral heart valve, the mitral heart valve having posterior and anterior leaflets forming an orifice therebetween, an annulus surrounding the posterior and anterior leaflets, and posterior and anterior commissures where the posterior and anterior leaflets join the annulus, the method comprising:
- (a) providing at least first and second tissue anchors, wherein each of the first and second tissue anchors includes a plurality of discrete, flat, flexible anchor elements coupled by at least one tensile member;
(b) securing the first tissue anchor to a position on a posterior portion of the annulus between the posterior and anterior commissures by advancing at least two of the plurality of discrete, flat, flexible anchor elements through to one side of the annulus with at least one of the discrete, flat, flexible anchor elements disposed on the other side of the annulus;
(c) securing the second tissue anchor to a position on an anterior portion of the annulus between the posterior and anterior commissures by advancing at least two of the plurality of discrete, flat, flexible anchor elements through to one side of the annulus with at least one of the discrete, flat, flexible anchor elements disposed on the other side of the annulus;
(d) drawing the at least two of the plurality of discrete, flat, flexible anchor elements of each of the first and second anchors along their respective tensile members and into contact with each other;
(e) spanning at least one of the tensile members between the first and second tissue anchors and across the orifice of the mitral valve; and
(f) applying tension to the at least one tensile member, thereby pulling the posterior portion of the annulus toward the anterior portion of the annulus.
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Accused Products
Abstract
Methods of repairing the mitral valve and reducing mitral regurgitation. One method includes securing a first tissue anchor to a position on a posterior portion of the annular tissue of the mitral valve and a second tissue anchor to a position on an anterior portion of the annular tissue of the mitral valve. At least one tensile member spans between the first and second tissue anchors and across the orifice of the mitral valve. When tension is applied to the at least one tensile member, the posterior portion of the annular tissue is pulled toward the anterior portion.
276 Citations
17 Claims
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1. A method of repairing a mitral heart valve, the mitral heart valve having posterior and anterior leaflets forming an orifice therebetween, an annulus surrounding the posterior and anterior leaflets, and posterior and anterior commissures where the posterior and anterior leaflets join the annulus, the method comprising:
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(a) providing at least first and second tissue anchors, wherein each of the first and second tissue anchors includes a plurality of discrete, flat, flexible anchor elements coupled by at least one tensile member; (b) securing the first tissue anchor to a position on a posterior portion of the annulus between the posterior and anterior commissures by advancing at least two of the plurality of discrete, flat, flexible anchor elements through to one side of the annulus with at least one of the discrete, flat, flexible anchor elements disposed on the other side of the annulus; (c) securing the second tissue anchor to a position on an anterior portion of the annulus between the posterior and anterior commissures by advancing at least two of the plurality of discrete, flat, flexible anchor elements through to one side of the annulus with at least one of the discrete, flat, flexible anchor elements disposed on the other side of the annulus; (d) drawing the at least two of the plurality of discrete, flat, flexible anchor elements of each of the first and second anchors along their respective tensile members and into contact with each other; (e) spanning at least one of the tensile members between the first and second tissue anchors and across the orifice of the mitral valve; and (f) applying tension to the at least one tensile member, thereby pulling the posterior portion of the annulus toward the anterior portion of the annulus. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method of repairing a mitral heart valve, the mitral heart valve having posterior and anterior leaflets forming an orifice therebetween, an annulus surrounding the posterior and anterior leaflets, and posterior and anterior commissures where the posterior and anterior leaflets join the annulus, the method comprising:
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(a) directing a first guide-wire into the right atrium, across an intra-atrial septum, into the left atrium, and to a position on a posterior portion of the annulus between the posterior and anterior commissures; (b) advancing a first tissue anchor along the first guide-wire to the position on the posterior portion of the annulus, the first tissue anchor including a plurality of discrete, flat, flexible anchor elements coupled by at least one tensile member; (c) securing the first tissue anchor to the position on the posterior portion of the annulus by advancing at least two of the plurality of discrete, flat, flexible anchor elements through to one side of the annulus with at least one of the discrete, flat, flexible anchor elements disposed on the other side of the annulus; (d) directing a second guide-wire into the right atrium, across the intra-atrial septum, into the left atrium, and to a position on an anterior portion of the annulus between the posterior and anterior commissures; (e) advancing a second tissue anchor along the second guidewire to the position on the anterior portion of the annulus, the first tissue anchor including a plurality of discrete, flat, flexible anchor elements coupled by at least one tensile member; (f) securing the second tissue anchor to the position on the anterior portion of the annulus by advancing at least two of the plurality of discrete, flat, flexible anchor elements through to one side of the annulus with at least one of the discrete flat flexible anchor elements disposed on the other side of the annulus; (g) drawing the at least two of the plurality of discrete, flat, flexible anchor elements of each of the first and second anchors along their respective tensile members and into contact with each other; (h) spanning at least one of the tensile members between the first and second tissue anchors and across the orifice of the mitral valve; and (i) applying tension to the at least one tensile member, thereby pulling the posterior portion of the annulus toward the anterior portion of the annulus. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17)
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Specification