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US20060122633A1 Expired / Lapsed US ⏱️ 0.0 years remaining

Methods and devices for termination

Assignee: Guided Delivery Systems Inc
•
Filing: 2005-11-08
•
Granted: —
•
Expires: 2025-11-08
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Abstract

Abstract Devices and methods used in termination of a tissue tightening procedure are described. Termination includes the cinching of a tether to tighten the tissue, locking the tether to maintain tension, and cutting excess tether. In procedures involving anchors secured to the tissue, the tether is coupled to the anchors and the tissue is tightened via tension applied to the anchors by cinching the tether. In general, the devices and methods can be used in minimally invasive surgical procedures, and can be applied through small incisions or intravascularly. A method for tightening tissue by fixedly coupling a first anchor to a tether and slidably coupling a second anchor to the tether, securing both anchors to the tissue, applying tension to the tether intravascularly, fixedly coupling the tether to the second anchor, and cutting the tether is described. The tissue to be tightened can comprise heart tissue, in particular heart valve annulus tissue. Various devices and methods for locking the tether in place and cutting excess tether are described.

Inventors

  • 👤 John To
  • 👤 Niel Starksen
  • 👤 Tenny Calhoun
  • 👤 Brian Tang

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 04:07
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/0487; A61B17/00234; A61B17/0401; A61B17/0469; A61B17/064; A61B17/0644; A61B17/068; A61B17/0682; A61B17/12; A61B17/128; A61B17/1285; A61B17/0467; A61B17/0485; A61B2017/00238; A61B2017/00243; A61B2017/00743; A61B2017/00778; A61B2017/00783; A61B2017/00831; A61B2017/00867; A61B2017/0409; A61B2017/0414; A61B2017/044; A61B2017/0443; A61B2017/0446; A61B2017/0448; A61B2017/0451; A61B2017/0454; A61B2017/0456; A61B2017/0458; A61B2017/0461; A61B2017/0462; A61B2017/0464; A61B2017/0488; A61B2017/0496; A61B17/06; A61B17/06166; A61B2017/06176; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2442; A61F2/2445

Claims Analysis

Total Claims: 24
Claim 1
Independent Claim 73 words
1 . A termination device for locking an implantable and cinchable tether, the termination device comprising: an elongate body; and a locking feature releasably attached to the distal end of the elongate body, the locking feature configured to couple to the tether; the locking feature having an unsecured state, wherein the tether may move with respect to the locking feature, and a secured state, wherein the tether is secured by the locking feature.
Claim 2
Dependent Claim 73 words
1 . A termination device for locking an implantable and cinchable tether, the termination device comprising: an elongate body; and a locking feature releasably attached to the distal end of the elongate body, the locking feature configured to couple to the tether; the locking feature having an unsecured state, wherein the tether may move with respect to the locking feature, and a secured state, wherein the tether is secured by the locking feature.
Claim 3
Dependent Claim 14 words
2 . The termination device of claim 1 , further comprising a tether cutter.
Claim 4
Dependent Claim 20 words
3 . The termination device of claim 2 , wherein the tether cutter is located distally to the locking feature.
Claim 5
Dependent Claim 21 words
4 . The termination device of claim 2 , wherein the tether cutter comprises a cutting tube within the elongate body.
Claim 6
Dependent Claim 18 words
5 . The termination device of claim 1 , wherein the elongate body is configured as a catheter.
Claim 7
Dependent Claim 26 words
6 . The termination device of claim 1 , further comprising a force applicator for releasing the locking feature from the rest of the termination device.
Claim 8
Dependent Claim 27 words
7 . The termination device of claim 6 , wherein the force applicator comprises a push rod extending longitudinally within the elongate body of the termination device.
Claim 9
Dependent Claim 23 words
8 . The termination device of claim 1 , further comprising a releasable attachment region between the locking feature and the elongate body.
Claim 10
Dependent Claim 18 words
9 . The termination device of claim 8 , wherein the releasable attachment region comprises a frangible region.
Claim 11
Dependent Claim 35 words
10 . The termination device of claim 1 , further configured to separate the locking feature from the elongate body when a force of greater than about 2 lbs is applied to the locking feature.
Claim 12
Dependent Claim 18 words
11 . The termination device of claim 8 , wherein the releasable attachment region comprises a perforated region.
Claim 13
Dependent Claim 21 words
12 . The termination device of claim 1 , wherein the locking feature comprises a different material than the elongate body.
Claim 14
Dependent Claim 16 words
13 . The termination device of claim 1 , wherein the locking feature comprises a clamp.
Claim 15
Dependent Claim 31 words
14 . The termination device of claim 1 , wherein the locking feature comprises a plug configured compress the tether against a wall of the locking feature in the secured state.
Claim 16
Dependent Claim 34 words
15 . The termination device of claim 1 , wherein the locking feature comprises a plug configured to fix the tether in a tight winding path within the locking feature in the secured state.
Claim 17
Dependent Claim 51 words
16 . A termination device comprising: an elongate body; a locking feature releasably attached to the distal end of the elongate body, the locking feature configured to couple to the tether; and a tether cutter coupled to the elongate body, wherein the tether cutter may be activated to cut the tether.
Claim 18
Dependent Claim 51 words
16 . A termination device comprising: an elongate body; a locking feature releasably attached to the distal end of the elongate body, the locking feature configured to couple to the tether; and a tether cutter coupled to the elongate body, wherein the tether cutter may be activated to cut the tether.
Claim 19
Dependent Claim 59 words
17 . A method of securing a cinchable tether comprising: coupling the tether to a termination device, wherein the termination device comprises: an elongate body; and a locking feature releasably attached to the distal end of the elongate body, the locking feature configured to couple to the tether; cinching the tether; and securing the tether with the locking feature.
Claim 20
Dependent Claim 59 words
17 . A method of securing a cinchable tether comprising: coupling the tether to a termination device, wherein the termination device comprises: an elongate body; and a locking feature releasably attached to the distal end of the elongate body, the locking feature configured to couple to the tether; cinching the tether; and securing the tether with the locking feature.
Claim 21
Dependent Claim 13 words
18 . The method of claim 17 , further comprising cutting the tether.
Claim 22
Dependent Claim 18 words
19 . The method of claim 17 , further comprising separating the locking feature from the elongate body.
Claim 23
Dependent Claim 32 words
20 . The method of claim 19 , wherein the step of separating the locking feature from the elongate body comprises: applying force to separate the locking feature from the elongate body.
Claim 24
Dependent Claim 27 words
21 . The method of claim 20 , wherein the step of applying force comprises pushing a push rod located at least partly within the elongate body.

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