Patent US20030105520A1 successfully refreshed from Google Patents.
US20030105520A1
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Anchor and pull mitral valve device and method
Assignee: Cardiac Dimensions Pty Ltd
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Filing: 2001-12-05
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Granted: —
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Expires: 2021-12-05
Abstract
Abstract A device, system, and method effects mitral valve annulus geometry of a heart. The device includes a first anchor configured to be positioned within and fixed to the coronary sinus of the heart adjacent the mitral valve annulus within the heart. A cable is fixed to the first anchor and extends proximately therefrom and slidingly through a second anchor which is positioned and fixed in the heart proximal to the first anchor. A lock locks the cable to the second anchor when tension is applied to the cable for effecting the mitral valve annulus geometry.
Inventors
- 👤 Clifton Alferness
- 👤 John Adams
- 👤 Mark Mathis
- 👤 David Reuter
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 15:51
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2442; A61F2/2451; A61F2/2466
Claims Analysis
Total Claims: 48
Claim 1
Independent Claim
126 words
1 . A device for effecting mitral valve annulus geometry of a heart comprising: a first anchor configured to be positioned within and fixed to the coronary sinus of the heart adjacent the mitral valve annulus within the heart; a cable fixed to the first anchor and extending proximally from the first anchor within the heart; a second anchor configured to be positioned in and fixed in the heart proximal to the first anchor and arranged to slidingly receive the cable; and a lock that locks the cable on the second anchor, whereby when the first and second anchors are fixed within the heart, the cable is drawn proximally, and the cable is locked on the second anchor, the geometry of the mitral valve is effected.
Claim 2
Dependent Claim
126 words
1 . A device for effecting mitral valve annulus geometry of a heart comprising: a first anchor configured to be positioned within and fixed to the coronary sinus of the heart adjacent the mitral valve annulus within the heart; a cable fixed to the first anchor and extending proximally from the first anchor within the heart; a second anchor configured to be positioned in and fixed in the heart proximal to the first anchor and arranged to slidingly receive the cable; and a lock that locks the cable on the second anchor, whereby when the first and second anchors are fixed within the heart, the cable is drawn proximally, and the cable is locked on the second anchor, the geometry of the mitral valve is effected.
Claim 3
Dependent Claim
22 words
2 . The device of claim 1 wherein the second anchor is configured to be positioned and fixed in the coronary sinus.
Claim 4
Dependent Claim
22 words
3 . The device of claim 1 wherein the second anchor is configured to be positioned and fixed in the right atrium.
Claim 5
Dependent Claim
22 words
4 . The device of claim 1 wherein the first anchor is self-expanding to fix the first anchor in the coronary sinus.
Claim 6
Dependent Claim
21 words
5 . The device of claim 1 wherein the second anchor is self-expanding to fix the second anchor in the heart.
Claim 7
Dependent Claim
14 words
6 . The device of claim 1 wherein the cable includes a pressure distributor.
Claim 8
Dependent Claim
14 words
7 . The device of claim 1 wherein the second anchor includes the lock.
Claim 9
Dependent Claim
13 words
8 . The device of claim 7 wherein the lock includes a ratchet.
Claim 10
Dependent Claim
22 words
9 . The device of claim 1 wherein the cable includes a coupling configured to releasably connect to a cable tension assembly.
Claim 11
Dependent Claim
97 words
10 . A device for effecting mitral valve annulus geometry in a heart, the device comprising: first anchor means for anchoring within the coronary sinus of the heart adjacent to the mitral valve annulus; second anchor means for anchoring within the heart proximal to the first anchor means; cable means fixed to the first anchor means and extending proximally from the first anchor means, the cable means being slidably received by the second anchor means for spanning between the first and second anchor means; and lock means for locking the second anchor means to the cable means.
Claim 12
Dependent Claim
97 words
10 . A device for effecting mitral valve annulus geometry in a heart, the device comprising: first anchor means for anchoring within the coronary sinus of the heart adjacent to the mitral valve annulus; second anchor means for anchoring within the heart proximal to the first anchor means; cable means fixed to the first anchor means and extending proximally from the first anchor means, the cable means being slidably received by the second anchor means for spanning between the first and second anchor means; and lock means for locking the second anchor means to the cable means.
Claim 13
Dependent Claim
24 words
11 . The device of claim 10 wherein the second anchor means is configured to be positioned within and anchored to the coronary sinus.
Claim 14
Dependent Claim
24 words
12 . The device of claim 10 wherein the second anchor means is configured to be positioned within and anchored to the right atrium.
Claim 15
Dependent Claim
20 words
13 . The device of claim 10 wherein the first anchor means is self-expanding for anchoring in the coronary sinus.
Claim 16
Dependent Claim
19 words
14 . The device of claim 10 wherein the second anchor means is self-expanding for anchoring in the heart.
Claim 17
Dependent Claim
19 words
15 . The device of claim 10 wherein the cable means includes pressure distributing means for distributing applied pressure.
Claim 18
Dependent Claim
18 words
16 . The device of claim 10 wherein the lock means is carried by the second anchor means.
Claim 19
Dependent Claim
14 words
17 . The device of claim 16 wherein the lock means includes a ratchet.
Claim 20
Dependent Claim
20 words
18 . The device of claim 10 wherein the cable includes coupling means for coupling to a cable tension assembly.
Claim 21
Dependent Claim
92 words
19 . A method of effecting mitral valve annulus geometry in a heart, the method including the steps of: fixing a first anchor within the coronary sinus of the heart adjacent to the mitral valve annulus; anchoring a second anchor within the heart proximal to the first anchor; fixing a cable to the first anchor; extending the cable proximally from the first anchor and slidably through the second anchor; displacing the cable proximally relative to the second anchor to create tension in the cable; and locking the second anchor to the cable.
Claim 22
Dependent Claim
92 words
19 . A method of effecting mitral valve annulus geometry in a heart, the method including the steps of: fixing a first anchor within the coronary sinus of the heart adjacent to the mitral valve annulus; anchoring a second anchor within the heart proximal to the first anchor; fixing a cable to the first anchor; extending the cable proximally from the first anchor and slidably through the second anchor; displacing the cable proximally relative to the second anchor to create tension in the cable; and locking the second anchor to the cable.
Claim 23
Dependent Claim
20 words
20 . The method of claim 19 wherein the anchoring step includes anchoring the second anchor in the coronary sinus.
Claim 24
Dependent Claim
20 words
21 . The method of claim 19 wherein the anchoring step includes anchoring the second anchor within the right atrium.
Claim 25
Dependent Claim
21 words
22 . The method of claim 19 wherein the displacing step includes releasably coupling the cable to a cable tension assembly.
Claim 26
Dependent Claim
164 words
23 . A system for effecting mitral valve annulus geometry comprising: a mitral valve annulus device comprising a first anchor configured to be positioned within and fixed to the coronary sinus of the heart adjacent to mitral valve annulus within the heart, a cable fixed to the first anchor and extending proximally from the first anchor within the heart, a second anchor configured to be positioned and fixed in the heart proximal to the first anchor and arranged to slidingly receive the cable, and a lock that locks the cable on the second anchor; and a delivery assembly that deploys the mitral valve annulus device, the delivery assembly including a first push tool that engages the first anchor to position the first anchor within the coronary sinus, a second push tool that engages the second anchor to position the second anchor in the heart, and a tensioning member connectable to the cable that provides tension to the cable between the first and second anchors.
Claim 27
Dependent Claim
164 words
23 . A system for effecting mitral valve annulus geometry comprising: a mitral valve annulus device comprising a first anchor configured to be positioned within and fixed to the coronary sinus of the heart adjacent to mitral valve annulus within the heart, a cable fixed to the first anchor and extending proximally from the first anchor within the heart, a second anchor configured to be positioned and fixed in the heart proximal to the first anchor and arranged to slidingly receive the cable, and a lock that locks the cable on the second anchor; and a delivery assembly that deploys the mitral valve annulus device, the delivery assembly including a first push tool that engages the first anchor to position the first anchor within the coronary sinus, a second push tool that engages the second anchor to position the second anchor in the heart, and a tensioning member connectable to the cable that provides tension to the cable between the first and second anchors.
Claim 28
Dependent Claim
27 words
24 . The system of claim 23 wherein the delivery assembly further includes a guide catheter that guides the mitral valve annulus device into the coronary sinus.
Claim 29
Dependent Claim
17 words
25 . The system of claim 24 wherein the first push tool comprises a first push tube.
Claim 30
Dependent Claim
17 words
26 . The system of claim 25 wherein the second push tool comprises a second push tube.
Claim 31
Dependent Claim
23 words
27 . The system of claim 26 wherein the guide catheter, the first push tube and the second push tube are coaxially arranged.
Claim 32
Dependent Claim
23 words
28 . The system of claim 23 further including a releasable coupling that connects the cable of the device to the tensioning member.
Claim 33
Dependent Claim
15 words
29 . The system of claim 28 wherein the tensioning member is a tensioning cable.
Claim 34
Dependent Claim
22 words
30 . The system of claim 23 wherein the second anchor is configured to be positioned and fixed in the coronary sinus.
Claim 35
Dependent Claim
22 words
31 . The system of claim 23 wherein the second anchor is configured to be positioned and fixed in the right atrium.
Claim 36
Dependent Claim
22 words
32 . The system of claim 23 wherein the first anchor is self-expanding to fix the first anchor in the coronary sinus.
Claim 37
Dependent Claim
21 words
33 . The system of claim 23 wherein the second anchor is self-expanding to fix the second anchor in the heart.
Claim 38
Dependent Claim
14 words
34 . The system of claim 23 wherein the cable includes a pressure distributor.
Claim 39
Dependent Claim
14 words
35 . The system of claim 23 wherein the second anchor includes the lock.
Claim 40
Dependent Claim
13 words
36 . The system of claim 35 wherein the lock includes a ratchet.
Claim 41
Dependent Claim
130 words
37 . A method of effecting mitral valve geometry of a heart, the method including the steps of: advancing a guide catheter into the coronary sinus of the heart adjacent to the mitral valve annulus; pushing a self-deploying first anchor down and out of the guide catheter to deploy the first anchor in the coronary sinus adjacent to the mitral valve annulus; providing the first anchor with a cable extending proximally from the first anchor and through a second self-deploying anchor; displacing the second self-deploying anchor down the guide catheter to a position proximal to the first anchor; withdrawing the guide catheter while holding the second anchor to deploy the second anchor; pulling on the cable to create tension in the cable; and locking the cable to the second anchor.
Claim 42
Dependent Claim
130 words
37 . A method of effecting mitral valve geometry of a heart, the method including the steps of: advancing a guide catheter into the coronary sinus of the heart adjacent to the mitral valve annulus; pushing a self-deploying first anchor down and out of the guide catheter to deploy the first anchor in the coronary sinus adjacent to the mitral valve annulus; providing the first anchor with a cable extending proximally from the first anchor and through a second self-deploying anchor; displacing the second self-deploying anchor down the guide catheter to a position proximal to the first anchor; withdrawing the guide catheter while holding the second anchor to deploy the second anchor; pulling on the cable to create tension in the cable; and locking the cable to the second anchor.
Claim 43
Dependent Claim
30 words
38 . The method of claim 37 wherein the pushing step includes the step of pushing the first anchor with a push tube dimensioned to slide within the guide catheter.
Claim 44
Dependent Claim
34 words
39 . The method of claim 37 wherein the displacing step includes the step of pushing the second anchor along the cable with a second push tube dimension to slide within the guide catheter.
Claim 45
Dependent Claim
25 words
40 . The method of claim 37 including the further step of releasably coupling the cable to a tension cable prior to the pulling step.
Claim 46
Dependent Claim
23 words
41 . The method of claim 37 wherein the displacing step includes the step of deploying the second anchor in the coronary sinus.
Claim 47
Dependent Claim
26 words
42 . The method of claim 37 wherein the displacing step includes the step of deploying the second anchor in the right atrium of the heart.
Claim 48
Dependent Claim
25 words
43 . The method of claim 37 wherein the pushing step includes locating the first anchor proximally to the circumflex artery within the coronary sinus.
References Cited (Backward Citations)
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