Implant having multiple adjustable mechanisms
First Claim
1. A method for use with a native valve of a heart of a patient, the native valve having a valve annulus, and the heart having a ventricle, the method comprising:
- coupling, to the annulus, an annuloplasty structure, shaped to define a perimeter, and coupled to;
a first adjusting mechanism, configured to adjust the perimeter of the annuloplasty structure, andat least a second adjusting mechanism, configured to be slidable around at least part of the perimeter of the annuloplasty structure, and coupled to a first end portion of at least one longitudinal flexible member;
coupling, to at least a first portion of tissue of the ventricle of the heart, a second end portion of the at least one longitudinal flexible member; and
sliding the second adjusting mechanism around at least part of the at least part of the perimeter of the annuloplasty structure.
1 Assignment
0 Petitions
Accused Products
Abstract
Apparatus includes an annuloplasty structure, including: (i) a tubular body portion that is configured to be disposed at an annulus of a valve of a heart, and is shaped to define a perimeter; (ii) a flexible member, disposed within the tubular body portion; (iii) a first adjustment mechanism, attached to the tubular body portion and to the flexible member such that reversible actuation of the first adjustment mechanism reversibly adjusts a first dimension of the body portion by adjusting tension of the flexible member; (iv) a second adjustment mechanism, coupled to the tubular body portion, and reversibly actuatable to reversibly adjust a second dimension of the body portion. The apparatus further includes one or more elongate tools, reversibly couplable to the first and second adjustment mechanisms, and configured to independently actuate the first and second adjustment mechanisms by applying force thereto while the heart is beating.
884 Citations
15 Claims
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1. A method for use with a native valve of a heart of a patient, the native valve having a valve annulus, and the heart having a ventricle, the method comprising:
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coupling, to the annulus, an annuloplasty structure, shaped to define a perimeter, and coupled to; a first adjusting mechanism, configured to adjust the perimeter of the annuloplasty structure, and at least a second adjusting mechanism, configured to be slidable around at least part of the perimeter of the annuloplasty structure, and coupled to a first end portion of at least one longitudinal flexible member; coupling, to at least a first portion of tissue of the ventricle of the heart, a second end portion of the at least one longitudinal flexible member; and sliding the second adjusting mechanism around at least part of the at least part of the perimeter of the annuloplasty structure.
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2. Apparatus for use with a native valve of a heart of a patient, the native valve having a valve annulus, and the heart having a ventricle, the apparatus comprising:
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an annuloplasty structure, shaped to define a perimeter, and configured to be disposed at the annulus of the native valve of the patient; a first adjusting mechanism, coupled to the annuloplasty structure, and configured to adjust the perimeter of the annuloplasty structure; at least one longitudinal flexible member, having a first end portion, and a second end portion that is configured to be coupled to tissue of the ventricle of the heart of the patient; and at least a second adjusting mechanism, coupled to the annuloplasty structure and to the first end portion of the at least one longitudinal flexible member, and configured to adjust a distance between the second adjusting mechanism and the second end portion of the at least one longitudinal flexible member, the first and second adjusting mechanisms each comprising a respective locking mechanism, each locking mechanism; having an unlocked state in which the respective adjusting mechanism is adjustable, having having a locked state in which the locking mechanism inhibits adjustment of the respective adjusting mechanism, and configured to be intracorporeally moved from the locked state to the unlocked state.
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3. Apparatus for use with a native valve of a heart of a subject, the native valve having a valve annulus, the apparatus comprising:
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an annuloplasty structure, comprising; a tubular body portion that is configured to be disposed at the valve annulus of the subject, and is shaped to define a perimeter around the valve annulus of the subject; a flexible member, disposed within the tubular body portion; a first adjustment mechanism, attached to the tubular body portion and to the flexible member such that reversible actuation of the first adjustment mechanism reversibly adjusts a first dimension of the body portion by adjusting tension of the flexible member; and a second adjustment mechanism, coupled to the tubular body portion, and reversibly actuatable to reversibly adjust a second dimension of the body portion; and one or more elongate tools, reversibly couplable to the first and second adjustment mechanisms, and configured to independently actuate the first and second adjustment mechanisms by applying force thereto while the heart of the subject is beating. - View Dependent Claims (4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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Specification