DEVICES, SYSTEMS AND METHODS FOR ACCURATE POSITIONING OF A PROSTHETIC VALVE
First Claim
1. A catheter for delivering prosthetic valve to a position within a patient, comprising:
- a catheter proximal portion ending in a catheter proximal end;
a catheter distal portion ending in a catheter distal end, the catheter distal portion having an implant holding section configured to receive a prosthetic valve thereon;
a catheter length from the catheter proximal end to the catheter distal end, wherein the catheter length is sufficient to reach from a position outside of a patient'"'"'s body to a position within the patient'"'"'s body; and
at least one extendable positioner configured to be selectively and radially extended from a first position to a second position, wherein in the first position the extendable positioner is positioned generally parallel to and against the catheter distal portion with the extendable positioner extending at least partially over the implant holding section, wherein in the second position at least a portion of the extendable positioner extends radially away from the catheter distal portion.
1 Assignment
0 Petitions
Accused Products
Abstract
The invention is a system and method for accurately positioning a prosthetic valve such as a prosthetic heart valve at a desired position for deployment. The invention includes extendable positioning elements which provide tactile feedback to a user to confirm proper positioning of the catheter with respect to the native valve annulus. During delivery, the extendable positioning elements lie against the catheter, over the prosthetic valve and expandable balloon, providing a low profile for advancing the catheter to the desired treatment location via small passages such as body lumens. Prior to valve deployment, the positioning elements are extended and brought into contact with tissue of the native annulus to confirm the proper positioning of the delivery system and prosthetic valve.
13 Citations
26 Claims
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1. A catheter for delivering prosthetic valve to a position within a patient, comprising:
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a catheter proximal portion ending in a catheter proximal end; a catheter distal portion ending in a catheter distal end, the catheter distal portion having an implant holding section configured to receive a prosthetic valve thereon; a catheter length from the catheter proximal end to the catheter distal end, wherein the catheter length is sufficient to reach from a position outside of a patient'"'"'s body to a position within the patient'"'"'s body; and at least one extendable positioner configured to be selectively and radially extended from a first position to a second position, wherein in the first position the extendable positioner is positioned generally parallel to and against the catheter distal portion with the extendable positioner extending at least partially over the implant holding section, wherein in the second position at least a portion of the extendable positioner extends radially away from the catheter distal portion. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A system for replacing a deficient heart valve, comprising:
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a prosthetic heart valve comprising a radially expandable support stent and one or more valve leaflets, wherein the prosthetic heart valve is configured to be radially expanded from a delivery diameter to a deployed diameter; and a catheter comprising a catheter proximal portion ending in a catheter proximal end, the catheter further comprising a catheter distal portion ending in a catheter distal end, the catheter having an overall length extending from catheter proximal end to the catheter distal end, wherein the prosthetic heart valve is positioned on the catheter distal portion, the catheter further comprising a plurality of retractable members positioned on the catheter distal portion, each retractable member comprising a member fixed end secured to the catheter distal portion at a position adjacent the prosthetic heart valve, each retractable member further comprising a retractable member free end positioned at a distance longitudinally displaced with respect to the catheter distal portion such that the retractable member extends at least partially over the prosthetic heart valve, wherein each retractable member has a first position wherein the retractable member free end is positioned radially adjacent the catheter distal portion and the retractable member is generally lengthwise and parallel to the catheter distal portion, and wherein each retractable member has a second position wherein the retractable member free end is radially displaced away from the catheter distal portion such that the retractable member is generally non-parallel with the catheter distal portion. - View Dependent Claims (9, 10, 11, 12, 13, 14)
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15. A device for delivering prosthetic valve to a position within a patient, comprising:
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a device proximal portion ending in a device proximal end, the device proximal portion comprising a device handle; a device distal portion ending in a device distal end, the device distal portion having an implant holding section configured to receive a medical implant thereon; a device usable length from a distal end of the device handle to the device distal end, wherein the device usable length is sufficient to reach from a position outside of a patient'"'"'s body to a position within the patient'"'"'s body; and at least one extendable positioner configured to be selectively and radially extended from a first position to a second position, wherein in the first position the extendable positioner is positioned generally parallel to and against the device distal portion, wherein in the second position at least a portion of the extendable positioner extends radially away from the device distal portion. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26)
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Specification