Stress reduction apparatus and method

• US 6,077,214 A
• Filed: 07/29/1998
• Issued: 06/20/2000
• Est. Priority Date: 07/29/1998
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences LLC (Edwards Lifesciences Corporation)
• Original Assignee: Myocor, Inc. (Edwards Lifesciences Corporation)
• Inventors: Vidlund, Robert M., Mortier, Todd J., Schweich, Cyril J. Jr.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US09/124,321
• Time in Patent Office: 692 Days
• Field of Search: 600/16-18, 600/37, 601/11, 623/3, 623/11, 128/897, 128/898
• US Class Current: 600/16
• 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 17/1227 Spring clips
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/048 for reducing heart wall tension, e.g. sutures with a pad on each extremity
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61F 2/2481 Devices outside the heart wall, e.g. bags, strips or bands
• CPC Class Codes: A61F 2/2487 Devices within the heart chamber, e.g. splints

Abstract

The device and method for reducing heart wall stress. The device can be one which reduces wall stress throughout the cardiac cycle or only a portion of the cardiac cycle. The device can be configured to begin to engage, to reduce wall stress during diastolic filling, or begin to engage to reduce wall stress during systolic contraction. Furthermore, the device can be configured to include at least two elements, one of which engages full cycle and the other which engages only during a portion of the cardiac cycle.

Claims

1. A device for reducing heart wall stress, comprising:

a first means for reducing heart wall stress which engages throughout the cardiac cycle; and

second means for reducing heart wall stress which begins to engage the heart wall during diastolic filling.

2. The device in accordance with claim 1, wherein the first means includes a splint having an elongate tension member, the elongate tension member having a first end and a second end, the splint having a first anchor member connected at the first end of the tension member and a second anchor member connected at the second end of the tension member.

3. The device in accordance with claim 1, wherein the second means includes an elongate member sized to surround the heart and begin to engage a portion of the left ventricle wall during diastolic filling.

4. A method of reducing heart wall stress, comprising the steps of:

providing a device having at least one heart engaging member;

placing the heart engaging member on the heart such that the shape of a cross section of the left ventricle is changed throughout the cardiac cycle;

providing a second device having at least one heart engaging member; and

placing the heart engaging member of the second device on the heart such that a second device begins to engage the heart during diastolic filling.

5. A device for treating a heart, comprising:

a member adapted to extend around a portion of a heart wall, the member including a first end and a second end; and

an anchor disposed on each of said first and said second ends for coupling said member to the heart wall to change a cross-sectional shape of the heart throughout a cardiac cycle, and wherein said member between said ends exerts a compressive force on the heart during a first portion of a cardiac cycle, and said member exerts substantially no compressive force on the heart during a second portion of said cardiac cycle.

6. The device of claim 5, further comprising an anchor disposed on said member between said first and second ends.

7. The device of claim 6, wherein said member is adapted to exert a compressive force on and change the cross-sectional area of said heart at said anchor disposed between said first and second ends during said first portion of the cardiac cycle, and exert substantially no compressive force on said heart during said second portion of the cardiac cycle.

8. The device of claim 5, wherein said first portion of said cardiac cycle occurs during diastolic filling.

9. A device for treating a heart, comprising:

a first member adapted to be coupled to said heart such that a cross-sectional shape of a ventricle of the heart is changed throughout a cardiac cycle; and

a second member adapted to be coupled to said heart such that the second member exerts a compressive force on said heart during a first portion of the cardiac cycle, and the second member exerts substantially no compressive force on said heart during a second portion of said cardiac cycle.

10. The device of claim 9, wherein said first member includes a tension member having a first end and a second end.

11. The device of claim 10, wherein said second member includes a mesh wrap.

12. The device of claim 11, wherein said first portion of the cardiac cycle occurs during diastolic filling.