Implant having multiple rotational assemblies
First Claim
1. A method for use with a valve of a heart of a subject, the method comprising:
- securing an annuloplasty ring around an annulus of the valve by securing;
an anterior-configured portion of the annuloplasty ring to an anterior portion of the annulus,a posterior-configured portion of the annuloplasty ring to a posterior portion of the annulus,a first commissural portion of the annuloplasty ring to a first commissural portion of the annulus, anda second commissural portion of the annuloplasty ring to a second commissural portion of the annulus; and
subsequently, and while the heart is beating;
moving the first commissural portion of the annuloplasty ring downwardly with respect to an other portion of the annuloplasty ring by rotating a first adjusting mechanism of the annuloplasty ring structure using an elongate rotation tool, while (a) a distal portion of the elongate rotation tool is coupled to the first adjusting mechanism and (b) a proximal portion of the first elongate rotation tool is disposed outside the subject; and
moving the second commissural portion of the annuloplasty ring downwardly with respect to the other portion of the annuloplasty ring by rotating a second adjusting mechanism of the annuloplasty ring structure.
1 Assignment
0 Petitions
Accused Products
Abstract
An annuloplasty ring is secured around an annulus of a heart valve of a subject by securing an anterior-configured portion of the annuloplasty ring, a posterior-configured portion of the annuloplasty ring, a first commissural portion of the annuloplasty ring, and a second commissural portion of the annuloplasty ring, to respective portion of the annulus. Subsequently, and while the heart is beating, the first commissural portion of the annuloplasty ring is moved inferiorly downwardly with respect to another portion of the annuloplasty ring by rotating a respective first adjusting mechanism of the annuloplasty ring structure, and the second commissural portion of the annuloplasty ring is moved inferiorly downwardly with respect to the other portion of the annuloplasty by rotating a respective second adjusting mechanism of the annuloplasty ring structure. Other embodiments are also described.
734 Citations
14 Claims
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1. A method for use with a valve of a heart of a subject, the method comprising:
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securing an annuloplasty ring around an annulus of the valve by securing; an anterior-configured portion of the annuloplasty ring to an anterior portion of the annulus, a posterior-configured portion of the annuloplasty ring to a posterior portion of the annulus, a first commissural portion of the annuloplasty ring to a first commissural portion of the annulus, and a second commissural portion of the annuloplasty ring to a second commissural portion of the annulus; and subsequently, and while the heart is beating; moving the first commissural portion of the annuloplasty ring downwardly with respect to an other portion of the annuloplasty ring by rotating a first adjusting mechanism of the annuloplasty ring structure using an elongate rotation tool, while (a) a distal portion of the elongate rotation tool is coupled to the first adjusting mechanism and (b) a proximal portion of the first elongate rotation tool is disposed outside the subject; and moving the second commissural portion of the annuloplasty ring downwardly with respect to the other portion of the annuloplasty ring by rotating a second adjusting mechanism of the annuloplasty ring structure. - View Dependent Claims (2, 3, 4, 5)
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6. A method for use with a valve of a heart of a subject, the method comprising:
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securing an annuloplasty ring around an annulus of the valve; and subsequently, and while the heart is beating; adjusting a first dimension of the annuloplasty ring by rotating a respective first adjusting mechanism of the annuloplasty ring structure using a respective first elongate rotation tool while a distal portion of the first elongate rotation tool is coupled to the first adjusting mechanism and a proximal portion of the first elongate rotation tool is disposed outside the subject; and adjusting a second dimension of the annuloplasty ring by rotating a respective second adjusting mechanism of the annuloplasty ring structure using a respective second elongate rotation tool while (i) a distal portion of the second elongate rotation tool is coupled to the second adjusting mechanism and a proximal portion of the second elongate rotation tool is disposed outside the subject, and (ii) the distal portion of the first elongate rotation tool is coupled to the first adjusting mechanism and the proximal portion of the first elongate rotation tool is disposed outside the subject. - View Dependent Claims (7, 8, 9, 10, 11, 12, 13, 14)
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Specification