Rapid deployment artificial chordae tendinae system
First Claim
1. An artificial chordae tendineae kit comprising:
- a hollow first needle including a first proximal end portion having a first proximal aperture, a first distal end portion having a first distal aperture, and a first middle portion coupling the first proximal end portion to the first distal end portion;
a flexible first chord coupled to both a first proximal conduit and a first distal conduit;
wherein the first proximal end portion includes a first proximal inner diameter directly adjacent the first proximal aperture, the first distal end portion includes a first distal inner diameter directly adjacent the first distal aperture, the first middle portion includes a first narrowed portion with a first middle inner diameter that is less than either of the first proximal inner diameter and the first distal inner diameter;
wherein the first chord, the first proximal conduit, and the first distal conduit are all included within the first needle with the first distal conduit distal to the first narrowed portion and the first proximal conduit proximal to the first narrowed portion;
wherein the first needle includes a long axis, the first chord includes a long axis, the first proximal conduit includes a long axis, and the first distal conduit includes a long axis;
wherein the long axes of the first proximal and distal conduits are substantially parallel to the long axis of the first needle when the first chord is included within the first needle;
wherein the first proximal and distal conduits are each configured to rotate when deployed from the first needle such that the long axes of the first proximal and distal conduits are each orthogonal to the long axis of the first chord when the first chord is fully extended into a linear orientation;
wherein the first proximal conduit is deformable and configured to deform to slide past the first narrowed portion.
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Accused Products
Abstract
An embodiment includes an apparatus comprising: a hollow needle with a narrowed inner diameter in a distal third of the needle; and a flexible chord coupled to proximal and distal conduits; wherein the distal conduit is in the needle and distal to the narrowed inner diameter and the proximal conduit is in the needle and proximal to the narrowed inner diameter; wherein: (a)(i) long axes of the proximal and distal conduits are substantially parallel to a long axis of the needle when the proximal and distal conduits are in the needle, and (a)(ii) the proximal and distal conduits are configured to rotate when deployed from the needle such that their long axes are not parallel to a long axis of the chord when the chord is fully extended. Other embodiments are described herein.
67 Citations
18 Claims
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1. An artificial chordae tendineae kit comprising:
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a hollow first needle including a first proximal end portion having a first proximal aperture, a first distal end portion having a first distal aperture, and a first middle portion coupling the first proximal end portion to the first distal end portion; a flexible first chord coupled to both a first proximal conduit and a first distal conduit; wherein the first proximal end portion includes a first proximal inner diameter directly adjacent the first proximal aperture, the first distal end portion includes a first distal inner diameter directly adjacent the first distal aperture, the first middle portion includes a first narrowed portion with a first middle inner diameter that is less than either of the first proximal inner diameter and the first distal inner diameter; wherein the first chord, the first proximal conduit, and the first distal conduit are all included within the first needle with the first distal conduit distal to the first narrowed portion and the first proximal conduit proximal to the first narrowed portion; wherein the first needle includes a long axis, the first chord includes a long axis, the first proximal conduit includes a long axis, and the first distal conduit includes a long axis; wherein the long axes of the first proximal and distal conduits are substantially parallel to the long axis of the first needle when the first chord is included within the first needle; wherein the first proximal and distal conduits are each configured to rotate when deployed from the first needle such that the long axes of the first proximal and distal conduits are each orthogonal to the long axis of the first chord when the first chord is fully extended into a linear orientation; wherein the first proximal conduit is deformable and configured to deform to slide past the first narrowed portion. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. An apparatus comprising:
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a hollow needle with a narrowed inner diameter in a distal third of the needle; and a flexible chord coupled to proximal and distal conduits; wherein the distal conduit is in the needle and distal to the narrowed inner diameter and the proximal conduit is in the needle and proximal to the narrowed inner diameter; wherein;
(a)(i) long axes of the proximal and distal conduits are substantially parallel to a long axis of the needle when the proximal and distal conduits are in the needle, (a)(ii) the proximal and distal conduits are configured to rotate when deployed from the needle such that their long axes are not parallel to a long axis of the chord when the chord is fully extended; and
(a)(iii) the proximal conduit is deformable and configured to deform to slide past the narrowed inner diameter. - View Dependent Claims (15)
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16. A method comprising:
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providing a hollow needle, with a narrowed inner diameter in a distal third of the needle, and a flexible chord coupled to proximal and distal conduits;
wherein (a)(i) the distal conduit is in the needle and distal to the narrowed inner diameter, and the proximal conduit is in the needle and proximal to the narrowed inner diameter; and
(a)(ii) long axes of the proximal and distal conduits are substantially parallel to a long axis of the needle;traversing a mitral leaflet with the needle; traversing papillary muscle with the needle while still traversing the mitral leaflet with the needle; deploying the distal conduit from the needle and positioning the distal conduit against a first side of the papillary muscle; retracting the needle from the papillary muscle while leaving a portion of the chord traversing the papillary muscle from the first side of the papillary muscle to a second side of the papillary muscle; retracting the needle from the mitral leaflet while leaving an additional portion of the chord traversing the mitral leaflet from a first side of the mitral leaflet to a second side of the mitral leaflet; and deploying the proximal conduit from the needle and positioning the proximal conduit against the second side of the mitral leaflet; wherein the proximal conduit is deformable and configured to deform to slide past the narrowed inner diameter. - View Dependent Claims (17, 18)
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Specification