Tissue anchor for annuloplasty device

• US 9,414,921 B2
• Filed: 03/24/2015
• Issued: 08/16/2016
• Est. Priority Date: 10/29/2009
• Status: Active Grant

• Current Assignee: Valtech Cardio Ltd (Edwards Lifesciences Corporation)
• Original Assignee: Valtech Cardio Ltd (Edwards Lifesciences Corporation)
• Inventors: Miller, Eran, Cabiri, Oz
• Primary Examiner(s): Stewart, Jason-Dennis
• Application Number:
  US14/667,090
• Publication Number:
  US 20150230924A1
• Time in Patent Office: 511 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0441 the shaft being a rigid coil or spiral
• CPC Class Codes: A61B 2017/0448 Additional elements on or within the anchor
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• CPC Class Codes: A61F 2/2445 Annuloplasty rings in direct contact with the valve annulus
• CPC Class Codes: A61F 2/2466 Delivery devices therefor

Abstract

A method is provided, including positioning a tissue anchor along an annulus of a patient'"'"'s valve. The anchor includes a distal tissue coupling element including (1) a pointed tip to puncture tissue of the annulus, and (2) a longitudinal element extending proximally from the distal tissue coupling element and including an implant-restraining element at a proximal end of the longitudinal element. The tissue coupling element couples the anchor to the patient'"'"'s tissue. The method includes restraining a valve-repair implant from separating from the annulus by the implant-restraining element, by, subsequently to the positioning of the anchor, facilitating movement between (1) the implant, and (2) the longitudinal element of the anchor, such that the implant-restraining element extends around at least a portion of the implant. The longitudinal element facilitates sliding between the implant and the tissue anchor. Other applications of the present invention are also described.

Claims

1. A method, comprising:

positioning along an annulus of a valve of a patient at least one tissue anchor including;

a distal tissue coupling element including a pointed tip configured to puncture tissue of the annulus, the tissue coupling element being configured to couple the tissue anchor to the cardiac tissue of the patient; and

a longitudinal element including an implant-restraining element at a proximal end of the longitudinal element, the longitudinal element extending proximally from the distal tissue coupling element; and

restraining a valve-repair implant from separating from the annulus by the implant-restraining element, by, subsequently to the positioning of the at least one tissue anchor, facilitating movement between (1) the valve-repair implant, and (2) the longitudinal element of the tissue anchor, such that the implant-restraining element extends around at least a portion of the implant, the longitudinal element facilitating a slidable coupling arrangement between the valve-repair implant and the tissue anchor.

2. The method according to claim 1, wherein changing the positioning of the valve-repair implant along the longitudinal element of the tissue anchor comprises pushing the valve-repair implant distally along the longitudinal element.

3. The method according to claim 1, further comprising subsequently to the positioning of the at least one tissue anchor:

puncturing a portion of the valve-repair implant by the proximal end of the implant-restraining element; and

passing a portion of the longitudinal element through a lumen of the valve-repair implant.

4. The method according to claim 1, wherein positioning the at least one tissue anchor comprises positioning at least one tissue anchor removably coupled to at least one cord.

5. The method according claim 1, wherein the longitudinal element and the distal tissue-coupling element are fabricated from a single piece.

6. The method according claim 1, wherein the valve-repair implant includes a valve-repair implant selected from the group consisting of:

a full annuloplasty ring and a partial annuloplasty ring.

7. The method according claim 6, further comprising tightening the selected valve-repair implant by winding a flexible contracting member of the selected valve-repair implant around a spool coupled to the selected valve-repair implant.

8. The method according to claim 6, wherein the selected valve-repair implant includes a sleeve having a lumen therethrough, and a contracting member coupled to the sleeve.

9. The method according claim 1, wherein the valve-repair implant includes a prosthetic valve.

10. The method according to claim 9, wherein the valve-repair implant includes a sleeve having a lumen therethrough, and a contracting member coupled to the sleeve.

11. The method according to claim 1, wherein the implant-restraining element includes at least one arm extending distally away from a proximal end of the implant restraining element.

12. The method according to claim 11, wherein the at least one arm comprises a radially-expandable arm that is compressible and expandable along a longitudinal axis of the at least one tissue anchor.

13. The method according to claim 11, wherein, subsequently to the facilitating the movement, the at least one arm extends around at least the portion of the implant.

14. The method according to claim 11, wherein, subsequently to the facilitating the movement, the at least one arm extends around at least a portion of an external surface of the implant.

15. The method according claim 1, wherein the valve-repair implant includes a docking station for a prosthetic valve.

16. The method according to claim 15, wherein the valve-repair implant includes a sleeve having a lumen therethrough, and a contracting member coupled to the sleeve.

17. A method, comprising:

positioning along an annulus of a valve of a patient at least one tissue anchor including;

a distal tissue coupling element including a pointed tip configured to puncture tissue of the annulus, the tissue coupling element being configured to couple the tissue anchor to the cardiac tissue of the patient; and

a longitudinal element including an implant-restraining element at a proximal end of the longitudinal element, the longitudinal element extending proximally from the distal tissue coupling element; and

restraining a cardiac implant from separating from the annulus by the implant-restraining element, by, subsequently to the positioning of the at least one tissue anchor, facilitating movement between (1) the cardiac implant, and (2) the longitudinal element of the tissue anchor, such that the implant-restraining element extends around at least a portion of the implant, the longitudinal element facilitating a slidable coupling arrangement between the cardiac implant and the tissue anchor.

18. The method according to claim 17, wherein the cardiac implant comprises an annular implant.

19. The method according claim 17, further comprising tightening the cardiac implant.

20. The method according to claim 17, wherein changing the positioning of the cardiac implant along the longitudinal element of the tissue anchor comprises pushing the cardiac implant distally along the longitudinal element.

21. The method according claim 17, wherein the cardiac implant includes a cardiac implant selected from the group consisting of:

a full annuloplasty ring and a partial annuloplasty ring.

22. The method according claim 17, wherein the cardiac implant includes a docking station for a prosthetic valve.