Device for translumenal reshaping of a mitral valve annulus
First Claim
Patent Images
1. A method comprising:
- causing a catheter to traverse a body lumen to place a delivery tool with a valve support attached to the delivery tool at an annulus of a heart valve, the valve support having a plurality of barbs or hooks attached thereto, and the delivery tool comprising a tapered outer surface having interconnected struts defining apertures;
pushing the delivery tool distally through the annulus from one heart chamber to another heart chamber causing the delivery tool to radially dilate the annulus to a configuration determined by the delivery tool;
while the annulus is dilated, attaching the hooks or barbs into tissue at locations along the annulus;
after the support is attached into the tissue, moving a tip of the delivery tool proximally to rotate the barbs or hooks about the support to embed the barbs or hooks more securely into the tissue; and
causing the valve support to contract to a smaller diameter.
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Abstract
In general, in an aspect, an annulus of a heart valve is caused to dilate to a predetermined configuration by pushing a delivery tool distally through the annulus from one heart chamber to another heart chamber. A valve support is attached to the delivery tool. The valve support has a plurality of barbs or hooks attached thereon. While the annulus is dilated, the valve support is attached to tissue at locations along the annulus by attaching the barbs or hooks to the tissue. After attachment, the support is caused to contract.
272 Citations
12 Claims
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1. A method comprising:
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causing a catheter to traverse a body lumen to place a delivery tool with a valve support attached to the delivery tool at an annulus of a heart valve, the valve support having a plurality of barbs or hooks attached thereto, and the delivery tool comprising a tapered outer surface having interconnected struts defining apertures; pushing the delivery tool distally through the annulus from one heart chamber to another heart chamber causing the delivery tool to radially dilate the annulus to a configuration determined by the delivery tool; while the annulus is dilated, attaching the hooks or barbs into tissue at locations along the annulus; after the support is attached into the tissue, moving a tip of the delivery tool proximally to rotate the barbs or hooks about the support to embed the barbs or hooks more securely into the tissue; and causing the valve support to contract to a smaller diameter. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A method comprising:
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causing a catheter to traverse a body lumen to place a delivery tool with a valve support attached to the delivery tool at an annulus of a heart valve, the valve support having a plurality of barbs or hooks attached thereto, and the delivery tool comprising a self-expanding, semi-rigid net; pushing the delivery tool distally through the annulus from one heart chamber to another heart chamber causing the delivery tool to radially dilate the annulus to a configuration determined by the delivery tool; while the annulus is dilated, attaching the hooks or barbs into tissue at locations along the annulus; after the support is attached into the tissue, moving a tip of the delivery tool proximally to rotate the barbs or hooks about the support to embed the barbs or hooks more securely into the tissue; and causing the valve support to contract to a smaller diameter. - View Dependent Claims (8, 9, 10, 11, 12)
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Specification