Implant for treatment of a heart valve, in particular a mitral valve, material including such an implant, and material for insertion thereof

• US 9,585,754 B2
• Filed: 12/17/2015
• Issued: 03/07/2017
• Est. Priority Date: 04/20/2007
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Seguin, Jacques, Nguyen, Than, Lecointe, Bruno
• Primary Examiner(s): Scherbel, Todd J
• Assistant Examiner(s): Dang, Son
• Application Number:
  US14/972,483
• Publication Number:
  US 20160166380A1
• Time in Patent Office: 446 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 2017/0441 the shaft being a rigid coil or spiral
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61F 2/2442 Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
• CPC Class Codes: A61F 2/246 Devices for obstructing a leak through a native valve in a closed condition
• CPC Class Codes: A61F 2/2466 Delivery devices therefor
• CPC Class Codes: A61F 2002/249 Device completely embedded in the heart wall
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Abstract

Implants formed by a helically wound wire and methods of using same for the treatment of a mitral heart valve. According to the invention, it has dimensions such that it is able to be screwed into the wall of the annulus and/or into the cardiac wall adjoining the annulus such that a portion of the annulus and/or of the wall is located in the perimeter of the implant; and it comprises at least one first coil able, during said screwing of the implant, to insert itself into the wall while having a first dimension and at least one second coil having a second dimension, or adopting this second dimension after implantation, the second dimension being smaller than the first dimension such that the implant, once inserted, enables contraction of the wall portion located in the perimeter of the implant.

Claims

1. A method of percutaneously treating a portion of a heart valve positioned between an atrium and a ventricle;

wherein the portion is selected from the group consisting of an annulus, a cardiac wall adjoining the annulus and both the annulus and the cardiac wall, the method comprising the steps of;

providing an implant comprising a helically wound wire defining a perimeter and an axis, the implant being arranged and configured such that the implant can be screwed into the portion of the heart valve so that at least part of the portion of the heart valve is located in the perimeter of the implant; and

the helically wound wire further defining a first coil having a first dimension and a second coil having a second dimension;

loading the implant within a catheter having a distal opening;

positioning the distal opening proximate the portion of the heart valve; and

moving the implant distally in relation to the catheter while driving the implant in rotation about the axis in order to insert the implant into the portion of the heart valve from the ventricle through the annulus and at least partially into the atrium;

wherein, when inserted, the second dimension is smaller than the first dimension;

wherein once the implant is inserted, the implant is oriented generally perpendicular to a plane that lies across an upper surface of the annulus and the implant contracts the portion of the heart valve located in the perimeter of the implant.

2. The method of claim 1, further comprising the step of repeating the steps of claim 1 so as to insert a plurality of implants into the portion of the heart valve.

3. The method of claim 2, wherein at least two of the plurality of implants are connected together after insertion.

4. The method of claim 3, wherein at least one implant includes a curved connection element connecting at least two of the plurality of implants.

5. The method of claim 4, wherein the connection element is configured to go from a first bend, before implantation, to a smaller bend, after implantation.

6. The method of claim 1, wherein the heart valve is a mitral valve;

wherein the step of positioning the distal opening of the catheter proximate the portion of the heart valve is accomplished by approaching the mitral valve from one of the other of the sides of the heart valve using an approach selected from the group consisting of a ventricular approach and an auricular approach.

7. The method of claim 1, wherein the step of moving the implant distally is accomplished with a push-rod positioned within the catheter.

8. The method of claim 1, wherein the step of driving the implant is accomplished with a wire seperably connected to the implant.

9. The method of claim 1, wherein the implant includes a pointed end for insertion into the portion of the heart valve.

10. The method of claim 9, wherein the implant includes a conical portion comprising at least one complete coil, each complete coil being one 360 degree revolution of the wound wire, each complete coil of the conical portion having a continuously decreasing diameter from the pointed end to a non-pointed end of the conical portion.

11. The method of claim 10, wherein the implant is inserted into the portion of the heart valve such that at least part of the portion of the heart valve is located within the respective diameter of at least one complete coil.

12. The method of claim 1, wherein the implant is made of a shape-memory material and when the implant contracts the portion of the heart valve located in the perimeter of the implant, the contraction is caused by the shape-memory material.