TRANSVALVULAR INTRAANNULAR BAND FOR MITRAL VALVE REPAIR
First Claim
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1. A transvalvular intraannular band, the transvalvular band comprising:
- an elongate body having a first end, a first anchoring portion located proximate the first end, a second end, a second anchoring portion located proximate the second end, and a central portion connected to the first end and the second end, wherein the central portion comprises a convex arcuate shape and comprises a plurality of crossing struts encapsulated by a material, the crossing struts intersecting at an intersection zone, the central portion displaced transversely from the intraannular plane which includes the valve annulus and is transverse to the direction of blood flow when the band is attached to the annulus, the central portion extending generally along a second plane which is perpendicular to the intraannular plane, the second plane including the first end and the second end;
wherein the first end and the second end are configured to be attached to the mitral valve annulus within the intraannular plane and the central portion is configured to be convex in the direction of outflow to support the valve leaflets at a point displaced toward the ventricle from the intraannular plane, wherein the first end and the second end reside on a generally septal-lateral axis transverse to the coaptive edges of the valve leaflets when the band is attached to the valve annulus, and wherein the band does not comprise an annuloplasty ring.
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Abstract
Mitral valve prolapse and mitral regurgitation can be treating by implanting in the mitral annulus a transvalvular intraannular band. The band has a first end, a first anchoring portion located proximate the first end, a second end, a second anchoring portion located proximate the second end, and a central portion. The central portion is positioned so that it extends transversely across a coaptive edge formed by the closure of the mitral valve leaflets. The band may be implanted via translumenal access or via thoracotomy.
27 Citations
13 Claims
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1. A transvalvular intraannular band, the transvalvular band comprising:
an elongate body having a first end, a first anchoring portion located proximate the first end, a second end, a second anchoring portion located proximate the second end, and a central portion connected to the first end and the second end, wherein the central portion comprises a convex arcuate shape and comprises a plurality of crossing struts encapsulated by a material, the crossing struts intersecting at an intersection zone, the central portion displaced transversely from the intraannular plane which includes the valve annulus and is transverse to the direction of blood flow when the band is attached to the annulus, the central portion extending generally along a second plane which is perpendicular to the intraannular plane, the second plane including the first end and the second end;
wherein the first end and the second end are configured to be attached to the mitral valve annulus within the intraannular plane and the central portion is configured to be convex in the direction of outflow to support the valve leaflets at a point displaced toward the ventricle from the intraannular plane, wherein the first end and the second end reside on a generally septal-lateral axis transverse to the coaptive edges of the valve leaflets when the band is attached to the valve annulus, and wherein the band does not comprise an annuloplasty ring.- View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
Specification