US20040210305A1
Expired / Lapsed
US
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Suture locking assembly and method of use
Assignee: Medtronic Inc
•
Filing: 2004-03-03
•
Granted: —
•
Expires: 2024-03-03
Abstract
Abstract A suture locking assembly for use with a heart valve repair device. The suture locking assembly including a rim and a suture band. The rim defines a first flange and a second flange spaced from the first flange. The rim is configured to extend at least partially around a periphery of the heart valve repair device. The suture band is maintained between the first flange and the second flange. The suture locking assembly is configured to securely maintain a suture segment that is pulled from a first position to a second position relative the suture locking assembly, the second position being at least partially defined near an outer periphery of the rim.
Inventors
- 👤 Mark Shu
- 👤 Chris Coppin
- 👤 Louis Campbell
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 12:45
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2409; A61F2/2412; A61F2/2418; A61F2/2442; A61F2/2445; A61F2/2415; A61F2220/00; A61F2220/0008; A61F2220/0016; A61F2220/0025; A61F2220/0075; A61F2250/00; A61F2250/0004; A61F2250/001; A61F2250/0058; A61F2250/006
Claims Analysis
Total Claims: 56
Claim 1
Independent Claim
108 words
1 . A suture locking assembly for use with a heart valve repair device, the suture locking assembly comprising: a rim defining a first flange and a second flange spaced from the first flange, the rim configured to extend at least partially around a periphery of the heart valve repair device; and a suture band maintained between the first flange and the second flange; wherein the suture locking assembly is configured to securely maintain a suture segment that is pulled from a first position to a second position relative the suture locking assembly, the second position being at least partially defined near an outer periphery of the rim.
Claim 2
Dependent Claim
108 words
1 . A suture locking assembly for use with a heart valve repair device, the suture locking assembly comprising: a rim defining a first flange and a second flange spaced from the first flange, the rim configured to extend at least partially around a periphery of the heart valve repair device; and a suture band maintained between the first flange and the second flange; wherein the suture locking assembly is configured to securely maintain a suture segment that is pulled from a first position to a second position relative the suture locking assembly, the second position being at least partially defined near an outer periphery of the rim.
Claim 3
Dependent Claim
29 words
2 . The suture locking assembly of claim 1 , wherein the suture is at least partially positioned between the suture band and the rim in the second position.
Claim 4
Dependent Claim
32 words
3 . The suture locking assembly of claim 1 , wherein the suture is at least partially positioned between the suture band and the rim in both the first and second positions.
Claim 5
Dependent Claim
36 words
4 . The suture locking assembly of claim 1 , wherein the rim defines a plurality of recesses, each of the plurality of recesses defining the first position for one of the at least one sutures.
Claim 6
Dependent Claim
47 words
5 . The suture locking assembly of claim 1 , wherein the rim defines a plurality of stop sites, each of the plurality of stop sites being spaced from each of the plurality of recesses and impeding suture movement from the second position to the first position.
Claim 7
Dependent Claim
30 words
6 . The suture locking assembly of claim 5 , wherein each of the plurality of stop sites defines the second position for one of the at least one sutures.
Claim 8
Dependent Claim
29 words
7 . The suture locking assembly of claim 1 , wherein the rim defines a plurality of segments, each segment defining a recess and at least one stop site.
Claim 9
Dependent Claim
28 words
8 . The suture locking assembly of claim 1 , wherein the suture locking assembly is configured to receive a suture in each of the plurality of segments.
Claim 10
Dependent Claim
28 words
9 . The suture locking assembly of claim 1 , wherein the suture locking assembly is configured to receive two sutures in each of the plurality of segments.
Claim 11
Dependent Claim
22 words
10 . The suture locking assembly of claim 1 , wherein the rim and the suture band are each a closed ring.
Claim 12
Dependent Claim
22 words
11 . The suture locking assembly of claim 1 , wherein the rim is integrally formed with the heart valve repair device.
Claim 13
Dependent Claim
25 words
12 . The suture locking assembly of claim 11 , wherein the rim is homogenously formed with a stent of the heart valve repair device.
Claim 14
Dependent Claim
22 words
13 . The suture locking assembly of claim 1 , wherein the rim is formed separately from the heart valve repair device.
Claim 15
Dependent Claim
17 words
14 . The suture locking assembly of claim 1 , wherein the rim is formed of plastic.
Claim 16
Dependent Claim
29 words
15 . The suture locking assembly of claim 1 , wherein the suture band and rim are configured to secure a heart valve repair device to a valvular rim.
Claim 17
Dependent Claim
30 words
16 . The suture locking assembly of claim 15 , wherein the suture locking assembly is configured to be positioned adjacent a sewing ring of the heart valve repair device.
Claim 18
Dependent Claim
22 words
17 . The suture locking assembly of claim 15 , wherein the heart valve repair device is a tissue heart valve mechanism.
Claim 19
Dependent Claim
28 words
18 . The suture locking assembly of claim 17 , wherein the suture band is configured to fit snugly around the stent of the tissue heart valve mechanism.
Claim 20
Dependent Claim
22 words
19 . The suture locking assembly of claim 15 , wherein the heart valve repair device is a mechanical heart valve mechanism.
Claim 21
Dependent Claim
37 words
20 . The suture locking assembly of claim 1 , further comprising: a plastic cover attached to the suture locking assembly opposite the rim, wherein the suture band is maintained between the rim and the plastic cover.
Claim 22
Dependent Claim
29 words
21 . The suture locking assembly of claim 1 , wherein the suture locking assembly of claim 1 , wherein the suture band is formed of a metallic material.
Claim 23
Dependent Claim
32 words
22 . The suture locking assembly of claim 1 , wherein the rim is at least partially covered by a fabric cover to couple the rim with the heart valve repair device.
Claim 24
Dependent Claim
30 words
23 . The suture locking assembly of claim 1 , wherein the rim includes a band coupling member to facilitate maintaining the suture band between the first and second flanges.
Claim 25
Dependent Claim
20 words
24 . The suture locking assembly of claim 1 , wherein the heart valve repair device is an annuloplasty band.
Claim 26
Dependent Claim
20 words
25 . The suture locking assembly of claim 1 , wherein the heart valve repair device is an annuloplasty ring.
Claim 27
Dependent Claim
21 words
26 . The suture locking assembly of claim 1 , wherein the rim and the suture band are each arcuately shaped.
Claim 28
Dependent Claim
52 words
27 . The suture locking assembly of claim 26 , wherein the rim defines a first end and a second end and includes a first end cap on the first end and a second end cap on the second end to facilitate maintaining the suture band between the first and second flanges.
Claim 29
Dependent Claim
27 words
28 . The suture locking assembly of claim 1 , wherein the suture band defines a cutout configured to securely maintain the suture in the second position.
Claim 30
Dependent Claim
37 words
29 . The suture locking assembly of claim 28 , wherein the cutout is a U-shaped cutout and the suture is maintained between the cutout and a remainder of the suture band when in the second position.
Claim 31
Dependent Claim
49 words
30 . The suture locking assembly of claim 1 , wherein the suture band defines an engagement section including a connection body flanked by an outflow cut and an inflow cut, the engagement section being configured to securely maintain the suture in the second position over the connecting body.
Claim 32
Dependent Claim
34 words
31 . The suture locking assembly of claim 30 , wherein the suture band defines at least one lateral stop rib configured to impede suture movement from the second position to the first position.
Claim 33
Dependent Claim
169 words
32 . A method of implanting a heart valve repair device, the method comprising: providing a heart valve repair device; providing a suture locking assembly including: a rim extending along an outer periphery of the heart valve repair device, the rim defining a first flange and a second flange spaced from the first flange, and a suture band maintained between the first flange and the second flange; positioning the heart valve repair device, and the suture locking assembly within a patient; sewing a suture through the valvular rim in a first position relative the rim and the suture band; and pulling the suture to a second position relative the rim and the band, wherein the suture is secured with respect to the rim and the suture band in the second position, the second position is at least partially defined near an outer periphery of the rim wherein securing the suture in the second position at least partially secures the heart valve repair device with respect to the valvular rim.
Claim 34
Dependent Claim
169 words
32 . A method of implanting a heart valve repair device, the method comprising: providing a heart valve repair device; providing a suture locking assembly including: a rim extending along an outer periphery of the heart valve repair device, the rim defining a first flange and a second flange spaced from the first flange, and a suture band maintained between the first flange and the second flange; positioning the heart valve repair device, and the suture locking assembly within a patient; sewing a suture through the valvular rim in a first position relative the rim and the suture band; and pulling the suture to a second position relative the rim and the band, wherein the suture is secured with respect to the rim and the suture band in the second position, the second position is at least partially defined near an outer periphery of the rim wherein securing the suture in the second position at least partially secures the heart valve repair device with respect to the valvular rim.
Claim 35
Dependent Claim
26 words
33 . The method of claim 32 , wherein the suture extends at least partially between the rim and the suture band in the first position.
Claim 36
Dependent Claim
26 words
34 . The method of claim 32 , wherein the suture extends at least partially between the rim and the suture band in the second position.
Claim 37
Dependent Claim
20 words
35 . The method of claim 32 , wherein the rim is integrally formed with the heart valve repair device.
Claim 38
Dependent Claim
20 words
36 . The method of claim 32 , wherein the rim is formed separately from the heart valve repair device.
Claim 39
Dependent Claim
28 words
37 . The method of claim 32 , wherein providing a suture locking assembly includes placing the rim adjacent an external portion of the heart valve repair device.
Claim 40
Dependent Claim
59 words
38 . The method of claim 32 , wherein the rim forms a plurality of lateral recesses periodically spaced about the rim, each of the lateral recesses defining a first position for one of the plurality of sutures, and the step of sewing a suture in a first position is repeated for each of the plurality of lateral recesses.
Claim 41
Dependent Claim
35 words
39 . The method of claim 38 , wherein pulling the sutures to a second position includes pulling each of the sutures in a first direction with respect to the first position of the suture.
Claim 42
Dependent Claim
30 words
40 . The method of claim 38 , wherein the step of sewing a suture in a first position is repeated twice for each of the plurality of lateral recesses.
Claim 43
Dependent Claim
60 words
41 . The method of claim 40 , wherein pulling the sutures to a second position includes pulling at least one of the sutures from the first position in a first direction and pulling at least one of the other sutures from the first position in a second direction to cross the sutures pulled in the first and second directions.
Claim 44
Dependent Claim
32 words
42 . The method of claim 41 , wherein sewing a suture in a first position for each of the plurality of recesses includes crossing two of the suture with one another.
Claim 45
Dependent Claim
52 words
43 . The method of claim 38 , wherein the rim defines a plurality of second positions, each second position being spaced between each of the plurality of lateral recesses, the step of pulling the suture to a second position is repeated for each of the sutures sewn in a first position.
Claim 46
Dependent Claim
52 words
44 . The method of claim 38 , wherein the rim defines a plurality of second positions, two second positions being defined between each of the plurality of lateral recesses, the step of pulling a suture to a second position is repeated for each of the sutures sewn in a first position.
Claim 47
Dependent Claim
32 words
45 . The method of claim 32 , wherein the suture band defines a U-shaped cutout, and pulling the suture to a second position includes pulling the suture into the U-shaped cutout.
Claim 48
Dependent Claim
47 words
46 . The method of claim 32 , wherein the suture band defines an engagement section including a connecting body flanked by an outflow cut and an inflow cut, and pulling the suture to a second position includes pulling the suture through the inflow and outflow cuts.
Claim 49
Dependent Claim
38 words
47 . The method of claim 46 , wherein the suture band defines at least one lateral stop, and pulling the suture to a second position includes pulling the suture over the at least one lateral stop rib.
Claim 50
Dependent Claim
39 words
48 . The method of claim 32 , wherein sewing a suture in a first position is repeated for a plurality of sutures, and pulling the suture to a second position includes forming a hitch with two adjacent sutures.
Claim 51
Dependent Claim
31 words
49 . The method of claim 48 , wherein pulling the suture to a second position includes pulling the hitch to position the hitch between the rim and the suture band.
Claim 52
Dependent Claim
28 words
50 . The method of claim 32 , wherein the step of pulling the sutures to a second position includes using a suture holder to pull the sutures.
Claim 53
Dependent Claim
76 words
51 . A suture holder for use in suturing a heart valve repair device with a suture locking assembly to a heart valve annulus, the suture holder comprising: a shaft defining a first end and a second end, the first end configured to interact with the suture locking assembly; and a translating member slidably coupled to the shaft between the first and second ends and being configured to selectively receive and maintain at least one suture.
Claim 54
Dependent Claim
76 words
51 . A suture holder for use in suturing a heart valve repair device with a suture locking assembly to a heart valve annulus, the suture holder comprising: a shaft defining a first end and a second end, the first end configured to interact with the suture locking assembly; and a translating member slidably coupled to the shaft between the first and second ends and being configured to selectively receive and maintain at least one suture.
Claim 55
Dependent Claim
36 words
52 . The suture holder of claim 51 , further including: a stop positioned along the shaft and configured to maintain the translating member in a first position spaced from the first end of the shaft.
Claim 56
Dependent Claim
18 words
53 . The suture holder of claim 51 , wherein the translating member is rotatable about the shaft.
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