Patent US6293906B1 successfully refreshed from Google Patents.
US6293906B1
Expired / Lapsed
US
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Delivery of cardiac constraint jacket
Assignee: Mardil Inc
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Filing: 2000-01-14
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Granted: 2001-09-25
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Expires: 2020-01-14
Abstract
Abstract A cardiac constraint jacket is formed of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of a patient's heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. A delivery device is used to place the jacket on the heart. The delivery device includes a plurality of attachment locations. Each of the attachment locations is releasably secured to separate positions surrounding a periphery of the open upper end of the jacket. The delivery device also includes a control arrangement which is selectively movable between an open position and a closed position. The control arrangement is connected to the attachment locations such that the attachment locations are in a compact array urging the open upper end of the jacket into a collapsed configuration when the control member is in the closed position. When the control arrangement is in the open position, the attachment locations are in an open array. The attachment locations urge the open upper end of the jacket into an open configuration sufficient for the heart to be inserted into the jacket volume through the open upper end and for the jacket to be slipped over said heart.
Inventors
- 👤 John C. Vanden Hoek
- 👤 Jody L. Rivers
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 19:03
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2478; A61F2/2481; A61B; A61B17/00; A61B17/00491; A61B17/064; A61B2017/0649; A61F2/0063; A61F2002/0072; A61F2002/2484
Claims Analysis
Total Claims: 22
Claim 1
Independent Claim
337 words
A device for treating cardiac disease of a heart having a longitudinal axis from an apex to a base and having an upper and lower portion divided by an A-V groove, said heart including a valvular annulus adjacent said A-V groove and ventricular lower extremities adjacent said apex, the device comprising: A. a cardiac constraint jacket: i. said jacket defining a volume between an open upper end and a lower end, said jacket dimensioned for said apex of said heart to be inserted into said volume through said open upper end and for said jacket to be slipped over said heart, said jacket further dimensioned for said jacket to have a longitudinal dimension between said upper and lower ends sufficient for said jacket to constrain at least said lower portion of said heart; ii. said jacket adapted to be secured to said heart with said jacket having portions disposed on opposite sides of said heart between said valvular annulus and said ventricular lower extremities; B. a delivery device for placing said jacket on said heart; said delivery device including: i. a plurality of attachment locations, each of said attachment locations capable of releasably securing to separate positions surrounding a periphery of said open upper end of said jacket; ii. a proximal handle; iii. a control arrangement selectively movable between an open position and a closed position, said control arrangement connected to said attachment locations such that when said control arrangement is in said closed position said attachment locations are in a compact array to urge said open upper end of said jacket into a collapsed configuration and when said control arrangement is in said open position said attachment locations are in an open array to urge said open upper end of said jacket into an open configuration sufficient for said heart to be inserted into said volume through said open upper end and for said open upper end to be placed over said apex of said heart and for said jacket to be slipped over said heart.
Claim 2
Independent Claim
337 words
A device for treating cardiac disease of a heart having a longitudinal axis from an apex to a base and having an upper and lower portion divided by an A-V groove, said heart including a valvular annulus adjacent said A-V groove and ventricular lower extremities adjacent said apex, the device comprising: A. a cardiac constraint jacket: i. said jacket defining a volume between an open upper end and a lower end, said jacket dimensioned for said apex of said heart to be inserted into said volume through said open upper end and for said jacket to be slipped over said heart, said jacket further dimensioned for said jacket to have a longitudinal dimension between said upper and lower ends sufficient for said jacket to constrain at least said lower portion of said heart; ii. said jacket adapted to be secured to said heart with said jacket having portions disposed on opposite sides of said heart between said valvular annulus and said ventricular lower extremities; B. a delivery device for placing said jacket on said heart; said delivery device including: i. a plurality of attachment locations, each of said attachment locations capable of releasably securing to separate positions surrounding a periphery of said open upper end of said jacket; ii. a proximal handle; iii. a control arrangement selectively movable between an open position and a closed position, said control arrangement connected to said attachment locations such that when said control arrangement is in said closed position said attachment locations are in a compact array to urge said open upper end of said jacket into a collapsed configuration and when said control arrangement is in said open position said attachment locations are in an open array to urge said open upper end of said jacket into an open configuration sufficient for said heart to be inserted into said volume through said open upper end and for said open upper end to be placed over said apex of said heart and for said jacket to be slipped over said heart.
Claim 3
Dependent Claim
23 words
A device according to claim 1 wherein said delivery device includes a biasing member for biasing said attachment locations to said open array.
Claim 4
Dependent Claim
80 words
A device according to claim 2 wherein said biasing member includes a plurality of spacing arms connected to said handle and extending to distal ends with said attachment locations positioned at said distal ends, said spacing arms including outwardly flared portions biased away from each other to urge said attachment locations to said open array and connected to said control arrangement to urge said flared portions together against said bias when said control arrangement is moved to said closed position.
Claim 5
Dependent Claim
57 words
A device according to claim 3 wherein said control arrangement includes a tube slidably coupled to said handle and surrounding said spacing arms for said tube to be moved proximally to said open position with said tube clear of said flared portions and further movable distally to cover said flared portions and urge said flared portions together.
Claim 6
Dependent Claim
12 words
A device according to claim 2 wherein said spacing arms are flexible.
Claim 7
Dependent Claim
22 words
A device according to claim 5 wherein said spacing arms are configured to have a greater radial flexibility than a lateral flexibility.
Claim 8
Dependent Claim
26 words
A device according to claim 3 wherein said distal ends of said spacing arms are blunted to avoid trauma to tissue abutted by said distal ends.
Claim 9
Dependent Claim
49 words
A device according to claim 3 wherein said attachment locations include openings in said distal ends to pass a suture through said openings and through said open end of said jacket to secure said jacket to said attachment locations and said jacket releasable upon severing and removing said suture.
Claim 10
Dependent Claim
12 words
A device according to claim 1 wherein said control arrangement comprises drawstrings.
Claim 11
Independent Claim
245 words
A device for delivery of a cardiac constraint jacket, said device comprising: a plurality of attachment locations, each of said attachment locations can be releasably secured to separate positions surrounding a periphery of an open upper end of said jacket; a proximal handle; a control arrangement selectively movable between an open position and a closed position, said control arrangement connected to said attachment locations such that when said control arrangement is in said closed position said attachment locations are in a compact array to urge said open upper end of said jacket into a collapsed configuration and when said control arrangement is in said open position said attachment locations are in an open array to urge said open upper end of said jacket into an open configuration sufficient for said heart to be inserted into said volume through said open upper end and for said open upper end to be placed over said apex of said heart and for said jacket to be slipped over said heart; whereby said jacket open end may be releasably attached to said attachment locations with said control arrangement moved to said closed position for said open end of said jacket to be advanced toward said apex of said heart through a restricted space and said control arrangement may be moved to said open position when said open end has passed through said restricted space and is in proximity to said apex for placement of said jacket on said heart.
Claim 12
Independent Claim
245 words
A device for delivery of a cardiac constraint jacket, said device comprising: a plurality of attachment locations, each of said attachment locations can be releasably secured to separate positions surrounding a periphery of an open upper end of said jacket; a proximal handle; a control arrangement selectively movable between an open position and a closed position, said control arrangement connected to said attachment locations such that when said control arrangement is in said closed position said attachment locations are in a compact array to urge said open upper end of said jacket into a collapsed configuration and when said control arrangement is in said open position said attachment locations are in an open array to urge said open upper end of said jacket into an open configuration sufficient for said heart to be inserted into said volume through said open upper end and for said open upper end to be placed over said apex of said heart and for said jacket to be slipped over said heart; whereby said jacket open end may be releasably attached to said attachment locations with said control arrangement moved to said closed position for said open end of said jacket to be advanced toward said apex of said heart through a restricted space and said control arrangement may be moved to said open position when said open end has passed through said restricted space and is in proximity to said apex for placement of said jacket on said heart.
Claim 13
Dependent Claim
22 words
A device according to claim 10 wherein said device includes a biasing member for biasing said attachment locations to said open array.
Claim 14
Dependent Claim
80 words
A device according to claim 11 wherein said biasing member includes a plurality of spacing arms connected to said handle and extending to distal ends with said attachment locations positioned at said distal ends, said spacing arms including outwardly flared portions biased away from each other to urge said attachment locations to said open array and connected to said control arrangement to urge said flared portions together against said bias when said control arrangement is moved to said closed position.
Claim 15
Dependent Claim
57 words
A device according to claim 12 wherein said control arrangement includes a tube slidably coupled to said handle and surrounding said spacing arms for said tube to be moved proximally to said open position with said tube clear of said flared portions and further movable distally to cover said flared portions and urge said flared portions together.
Claim 16
Dependent Claim
12 words
A device according to claim 12 wherein said spacing arms are flexible.
Claim 17
Dependent Claim
26 words
A device according to claim 12 wherein said distal ends of said spacing arms are blunted to avoid trauma to tissue abutted by said distal ends.
Claim 18
Dependent Claim
48 words
A device according to claim 12 wherein said attachment locations include openings in said distal ends to pass a suture through said openings and through said open end of said jacket to secure said jacket to said attachment locations and said jacket is releasable upon removing said suture.
Claim 19
Dependent Claim
16 words
A device according to claim 10 comprising a bore for adhesive delivery at said attachment locations.
Claim 20
Dependent Claim
16 words
A device according to claim 10 comprising a bore for suture delivery at said attachment locations.
Claim 21
Dependent Claim
19 words
A device according to claim 10 comprising a capture member to releasably capture a jacket at said attachment locations.
Claim 22
Dependent Claim
12 words
A device according to claim 10 wherein said control arrangement comprises drawstrings.
References Cited (Backward Citations)
US3983863A
Cited
US4048990A
Cited
SU1009457A1
Cited
US4428375A
Cited
US4403604A
Cited
JPS60203250A
Cited
US4630597A
Cited
US4690134A
Cited
US4957477A
Cited
US4878890A
Cited
US4936857A
Cited
EP0280564A2
Cited
US4821723A
Cited
US4834707A
Cited
JPH01145066A
Cited
GB2209678A
Cited
DE3831540A1
Cited
DE3831540C2
Cited
US4976730A
Cited
US5186711A
Cited
US5057117A
Cited
US4973300A
Cited
US5087243A
Cited
US5131905A
Cited
US5366460A
Cited
US5429584A
Cited
US5150706A
Cited
US5290217A
Cited
US5524633A
Cited
US5192314A
Cited
US5405360A
Cited
US5383840A
Cited
US5256132A
Cited
US5356432A
Cited
US5356432B1
Cited
US5385156A
Cited
US5507779A
Cited
WO1996016601A1
Cited
US5603337A
Cited
US5990378A
Cited
US5647380A
Cited
US5800528A
Cited
US5713954A
Cited
DE29517393U1
Cited
US5702343A
Cited
WO1998029041A1
Cited
US5961440A
Cited
WO1998058598A1
Cited
US6085754A
Cited
US6155968A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2004-09-24 | 2005-03-26 | 2005-09-25 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2008-09-24 | 2009-03-26 | 2009-09-25 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2012-09-24 | 2013-03-26 | 2013-09-25 | $7700.00 | Window Closed / Lapsed |