WO2015092554A3 - Transcatheter mitral valve replacement apparatus - Google Patents

Transcatheter mitral valve replacement apparatus Download PDF

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Publication number
WO2015092554A3
WO2015092554A3 PCT/IB2014/003240 IB2014003240W WO2015092554A3 WO 2015092554 A3 WO2015092554 A3 WO 2015092554A3 IB 2014003240 W IB2014003240 W IB 2014003240W WO 2015092554 A3 WO2015092554 A3 WO 2015092554A3
Authority
WO
WIPO (PCT)
Prior art keywords
stent
housing
annulus
portions
replacement
Prior art date
Application number
PCT/IB2014/003240
Other languages
French (fr)
Other versions
WO2015092554A2 (en
Inventor
Mark Lynn Jenson
William Joseph Drasler
Richard C. Kravik
William Joseph II DRASLER
Original Assignee
Mark Lynn Jenson
William Joseph Drasler
Kravik Richard C
Drasler William Joseph Ii
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
Application filed by Mark Lynn Jenson, William Joseph Drasler, Kravik Richard C, Drasler William Joseph Ii filed Critical Mark Lynn Jenson
Priority claimed from US14/559,912 external-priority patent/US20150173898A1/en
Publication of WO2015092554A2 publication Critical patent/WO2015092554A2/en
Publication of WO2015092554A3 publication Critical patent/WO2015092554A3/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
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2436—Deployment by retracting a sheath
    • 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
    • A61F2/2412—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 with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support stents
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0073—Quadric-shaped
    • A61F2230/0078—Quadric-shaped hyperboloidal
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0073—Quadric-shaped
    • A61F2230/008—Quadric-shaped paraboloidal
    • 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
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0048—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in mechanical expandability, e.g. in mechanical, self- or balloon expandability
    • 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

Abstract

Transcatheter mitral valve replacement is provided which includes a stabilizing stent portion for placement at a mitral annulus, with a narrowed waist portion to avoid significantly dilating the annulus, and expanded bulb portions at the atrial and ventricular ends to secure the device in position. A housing is attached to the stabilizing stent and reduces in diameter to a smaller tract portion where replacement valve leaflets are secured. The resulting smaller replacement mitral valve offers benefits including a lower introduction profile, yet fits and secures to the native annulus by the securing stent and housing. Expansion limiting elements can limit expansion of portions of self-expanding stent if desired, avoiding excessive mitral annulus dilation or providing a fixed diameter in other portions of the stent or housing. Two-step implantation can be accomplished by making the housing functional as a temporary valve.
PCT/IB2014/003240 2013-12-03 2014-12-03 Transcatheter mitral valve replacement apparatus WO2015092554A2 (en)

Applications Claiming Priority (12)

Application Number Priority Date Filing Date Title
US201361963412P 2013-12-03 2013-12-03
US61/963,412 2013-12-03
US201461995293P 2014-04-07 2014-04-07
US201461995283P 2014-04-07 2014-04-07
US61/995,283 2014-04-07
US61/995,293 2014-04-07
US201461998131P 2014-06-19 2014-06-19
US61/998,131 2014-06-19
US201461999333P 2014-07-23 2014-07-23
US61/999,333 2014-07-23
US14/559,912 2014-12-03
US14/559,912 US20150173898A1 (en) 2013-12-03 2014-12-03 Transcatheter Mitral Valve Replacement Apparatus

Publications (2)

Publication Number Publication Date
WO2015092554A2 WO2015092554A2 (en) 2015-06-25
WO2015092554A3 true WO2015092554A3 (en) 2015-12-03

Family

ID=53403835

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2014/003240 WO2015092554A2 (en) 2013-12-03 2014-12-03 Transcatheter mitral valve replacement apparatus

Country Status (1)

Country Link
WO (1) WO2015092554A2 (en)

Families Citing this family (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6010545B2 (en) 2010-12-23 2016-10-19 トゥエルヴ， インコーポレイテッド System for mitral valve repair and replacement
WO2012177942A2 (en) 2011-06-21 2012-12-27 Hanson Gifford, Iii Prosthetic heart valve devices and associated systems and methods
EA201400481A1 (en) 2011-10-19 2014-10-30 Твелв, Инк. ARTIFICIAL HEART VALVE DEVICES, ARTIFICIAL MITRAL VALVES AND RELATED SYSTEMS AND METHODS
US11202704B2 (en) 2011-10-19 2021-12-21 Twelve, Inc. Prosthetic heart valve devices, prosthetic mitral valves and associated systems and methods
EA201400478A1 (en) 2011-10-19 2014-10-30 Твелв, Инк. DEVICES, SYSTEMS AND METHODS OF PROTESIZING THE HEART VALVE
US9655722B2 (en) 2011-10-19 2017-05-23 Twelve, Inc. Prosthetic heart valve devices, prosthetic mitral valves and associated systems and methods
US9763780B2 (en) 2011-10-19 2017-09-19 Twelve, Inc. Devices, systems and methods for heart valve replacement
US9039757B2 (en) 2011-10-19 2015-05-26 Twelve, Inc. Prosthetic heart valve devices, prosthetic mitral valves and associated systems and methods
US9579198B2 (en) 2012-03-01 2017-02-28 Twelve, Inc. Hydraulic delivery systems for prosthetic heart valve devices and associated methods
WO2014189974A1 (en) 2013-05-20 2014-11-27 Twelve, Inc. Implantable heart valve devices, mitral valve repair devices and associated systems and methods
WO2017035002A1 (en) 2015-08-21 2017-03-02 Twelve Inc. Implantable heart valve devices, mitral valve repair devices and associated systems and methods
CN109069272A (en) 2016-04-29 2018-12-21 美敦力瓦斯科尔勒公司 Prosthetic heart valve equipment and associated system and method with the anchor log with tether
US10575950B2 (en) 2017-04-18 2020-03-03 Twelve, Inc. Hydraulic systems for delivering prosthetic heart valve devices and associated methods
US10702378B2 (en) 2017-04-18 2020-07-07 Twelve, Inc. Prosthetic heart valve device and associated systems and methods
US10433961B2 (en) 2017-04-18 2019-10-08 Twelve, Inc. Delivery systems with tethers for prosthetic heart valve devices and associated methods
US10792151B2 (en) 2017-05-11 2020-10-06 Twelve, Inc. Delivery systems for delivering prosthetic heart valve devices and associated methods
US10646338B2 (en) 2017-06-02 2020-05-12 Twelve, Inc. Delivery systems with telescoping capsules for deploying prosthetic heart valve devices and associated methods
US10709591B2 (en) 2017-06-06 2020-07-14 Twelve, Inc. Crimping device and method for loading stents and prosthetic heart valves
US10786352B2 (en) 2017-07-06 2020-09-29 Twelve, Inc. Prosthetic heart valve devices and associated systems and methods
US10729541B2 (en) 2017-07-06 2020-08-04 Twelve, Inc. Prosthetic heart valve devices and associated systems and methods
WO2023028107A1 (en) * 2021-08-25 2023-03-02 Boston Scientific Scimed, Inc. Replacement heart valve implant and expandable framework for replacement heart valve implant
CN116077236B (en) * 2021-11-17 2023-10-17 北京佰仁医疗科技股份有限公司 Split intervention mitral valve system capable of being anchored accurately

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030014104A1 (en) * 1996-12-31 2003-01-16 Alain Cribier Value prosthesis for implantation in body channels
US20070213813A1 (en) * 2005-12-22 2007-09-13 Symetis Sa Stent-valves for valve replacement and associated methods and systems for surgery
US20080140189A1 (en) * 2006-12-06 2008-06-12 Corevalve, Inc. System and method for transapical delivery of an annulus anchored self-expanding valve
US20120165928A1 (en) * 2010-12-22 2012-06-28 Yaacov Nitzan Devices for reducing left atrial pressure, and methods of making and using same
US20130018449A1 (en) * 1999-12-31 2013-01-17 Abps Venture One, Ltd. Endoluminal cardiac and venous valve prostheses and methods of manufacture and delivery thereof
US20130023980A1 (en) * 2011-07-22 2013-01-24 William Joseph Drasler Oval Aortic Valve
US20140222144A1 (en) * 2013-02-01 2014-08-07 Medtronic CV Luxembourg S.a.r.l Anti-Paravalvular Leakage Component for a Transcatheter Valve Prosthesis

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030014104A1 (en) * 1996-12-31 2003-01-16 Alain Cribier Value prosthesis for implantation in body channels
US20130018449A1 (en) * 1999-12-31 2013-01-17 Abps Venture One, Ltd. Endoluminal cardiac and venous valve prostheses and methods of manufacture and delivery thereof
US20070213813A1 (en) * 2005-12-22 2007-09-13 Symetis Sa Stent-valves for valve replacement and associated methods and systems for surgery
US20080140189A1 (en) * 2006-12-06 2008-06-12 Corevalve, Inc. System and method for transapical delivery of an annulus anchored self-expanding valve
US20120165928A1 (en) * 2010-12-22 2012-06-28 Yaacov Nitzan Devices for reducing left atrial pressure, and methods of making and using same
US20130023980A1 (en) * 2011-07-22 2013-01-24 William Joseph Drasler Oval Aortic Valve
US20140222144A1 (en) * 2013-02-01 2014-08-07 Medtronic CV Luxembourg S.a.r.l Anti-Paravalvular Leakage Component for a Transcatheter Valve Prosthesis

Also Published As

Publication number Publication date
WO2015092554A2 (en) 2015-06-25

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