WO2003059198A3 - Method and apparatus for reducing mitral regurgitation - Google Patents

Method and apparatus for reducing mitral regurgitation Download PDF

Info

Publication number
WO2003059198A3
WO2003059198A3 PCT/US2003/000971 US0300971W WO03059198A3 WO 2003059198 A3 WO2003059198 A3 WO 2003059198A3 US 0300971 W US0300971 W US 0300971W WO 03059198 A3 WO03059198 A3 WO 03059198A3
Authority
WO
WIPO (PCT)
Prior art keywords
mitral regurgitation
reducing mitral
posterior
leaflet
anteriorly
Prior art date
Application number
PCT/US2003/000971
Other languages
French (fr)
Other versions
WO2003059198A2 (en
Inventor
Daniel C Taylor
William E Cohn
John R Liddicoat
Steven B Woolfson
Todd F Davenport
Richard B Streeter
Thomas F Kordis
Jonathan Rourke
Original Assignee
Viacor Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/068,264 external-priority patent/US6656221B2/en
Priority claimed from US10/112,354 external-priority patent/US7186264B2/en
Priority claimed from US10/218,649 external-priority patent/US20030078654A1/en
Application filed by Viacor Inc filed Critical Viacor Inc
Priority to AU2003209219A priority Critical patent/AU2003209219A1/en
Priority to CA002472482A priority patent/CA2472482A1/en
Priority to EP03707367A priority patent/EP1471858A4/en
Publication of WO2003059198A2 publication Critical patent/WO2003059198A2/en
Publication of WO2003059198A3 publication Critical patent/WO2003059198A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2451—Inserts in the coronary sinus for correcting the valve shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0007—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
    • A61F2250/0063—Nested prosthetic parts
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S623/00—Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
    • Y10S623/902—Method of implanting
    • Y10S623/904—Heart

Abstract

A method and device (157) for reducing mitral regurgitation. An elongated body is positioned in a coronary sinus of a patient in a vicinity of a heart mitral valve posterior leaflet (39). The body is adapted to straighten a natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet to move a posterior annulus (33) anteriorly, which in turn moves the posterior leaflet (39) anteriorly, thereby to improve leaflet coaptation.
PCT/US2003/000971 2002-01-14 2003-01-14 Method and apparatus for reducing mitral regurgitation WO2003059198A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU2003209219A AU2003209219A1 (en) 2002-01-14 2003-01-14 Method and apparatus for reducing mitral regurgitation
CA002472482A CA2472482A1 (en) 2002-01-14 2003-01-14 Method and apparatus for reducing mitral regurgitation
EP03707367A EP1471858A4 (en) 2002-01-14 2003-01-14 Method and apparatus for reducing mitral regurgitation

Applications Claiming Priority (10)

Application Number Priority Date Filing Date Title
US34842402P 2002-01-14 2002-01-14
US60/348,424 2002-01-14
US10/068,264 US6656221B2 (en) 2001-02-05 2002-02-05 Method and apparatus for improving mitral valve function
US10/068,264 2002-02-05
US10/112,354 2002-03-29
US10/112,354 US7186264B2 (en) 2001-03-29 2002-03-29 Method and apparatus for improving mitral valve function
US10/218,649 2002-08-14
US10/218,649 US20030078654A1 (en) 2001-08-14 2002-08-14 Method and apparatus for improving mitral valve function
US10/280,401 US7052487B2 (en) 2001-10-26 2002-10-25 Method and apparatus for reducing mitral regurgitation
US10/280,401 2002-10-25

Publications (2)

Publication Number Publication Date
WO2003059198A2 WO2003059198A2 (en) 2003-07-24
WO2003059198A3 true WO2003059198A3 (en) 2004-03-25

Family

ID=27535791

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/000971 WO2003059198A2 (en) 2002-01-14 2003-01-14 Method and apparatus for reducing mitral regurgitation

Country Status (5)

Country Link
US (4) US7052487B2 (en)
EP (1) EP1471858A4 (en)
AU (1) AU2003209219A1 (en)
CA (1) CA2472482A1 (en)
WO (1) WO2003059198A2 (en)

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US20030130730A1 (en) 2003-07-10
CA2472482A1 (en) 2003-07-24
US7241310B2 (en) 2007-07-10
WO2003059198A2 (en) 2003-07-24
US7052487B2 (en) 2006-05-30
AU2003209219A8 (en) 2003-07-30
AU2003209219A1 (en) 2003-07-30
EP1471858A4 (en) 2008-10-01
US20040019377A1 (en) 2004-01-29
US20060229717A1 (en) 2006-10-12
EP1471858A2 (en) 2004-11-03

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