US7004958B2
Expired / Lapsed
US
⏱️ 0.0 years remaining
Transvenous staples, assembly and method for mitral valve repair
Assignee: Cardiac Dimensions Pty Ltd
•
Filing: 2002-03-06
•
Granted: 2006-02-28
•
Expires: 2022-03-06
Abstract
Abstract A mitral valve staple device treats mitral regurgitation of a heart. The device includes first and second leg portions, each leg portion terminating in a tissue piercing end, and a connection portion extending between the first and second leg portions. The connection portion has an initial stressed and distorted configuration to separate the first and second leg portion by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance which is shorter than the first distance. The device is deployed within the heart transvenously through a catheter positioned in the coronary sinus adjacent the mitral valve annulus. A tool forces the mitral valve staple device through the wall of the catheter for deployment in the heart.
Inventors
- 👤 John M. Adams
- 👤 Scott J. Wolf
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 03:39
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/068; A61B17/0682; A61B17/0684; A61B17/00234; A61B2017/00743; A61B2017/00778; A61B2017/00783; A61B2017/00831; A61B2017/00867; A61B17/22; A61B2017/22051; A61B2017/22052; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2442; A61F2/2451
Claims Analysis
Total Claims: 37
Claim 1
Independent Claim
150 words
A device for effecting mitral valve annulus geometry of a heart, the device comprising: first and second leg portions, each leg portion terminating in a tissue piercing end; and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance, wherein the initial configuration of the connection portion is a first arched configuration and the final configuration of the connection portion is a second arched configuration, the second arched configuration being arched in a direction opposite the first arched configuration.
Claim 2
Independent Claim
150 words
A device for effecting mitral valve annulus geometry of a heart, the device comprising: first and second leg portions, each leg portion terminating in a tissue piercing end; and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance, wherein the initial configuration of the connection portion is a first arched configuration and the final configuration of the connection portion is a second arched configuration, the second arched configuration being arched in a direction opposite the first arched configuration.
Claim 3
Dependent Claim
28 words
The device of claim 1 wherein, when the connection portion is in the second arched configuration, the tissue piercing ends of the leg portions point toward each other.
Claim 4
Independent Claim
162 words
A device for effecting mitral valve annulus geometry of a heart, the device comprising: first and second leg portions, each leg portion terminating in a tissue piercing end; and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance, wherein the tissue piercing ends of the first and second leg portions point away from each other when the connection portion is in the initial configuration and wherein the tissue piercing ends of the first and second leg portions point toward each other when the connection portion is in the final configuration.
Claim 5
Independent Claim
162 words
A device for effecting mitral valve annulus geometry of a heart, the device comprising: first and second leg portions, each leg portion terminating in a tissue piercing end; and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance, wherein the tissue piercing ends of the first and second leg portions point away from each other when the connection portion is in the initial configuration and wherein the tissue piercing ends of the first and second leg portions point toward each other when the connection portion is in the final configuration.
Claim 6
Dependent Claim
193 words
An assembly for effecting mitral valve annulus geometry of a heart, the assembly comprising: an elongated catheter being placeable in the coronary sinus of the heart adjacent the mitral valve annulus; at least one staple carried within the catheter, the at least one staple including first and second leg portions, each leg portion terminating in a tissue piercing end, and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the initial valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance; and a tool that forces the at least one staple from the catheter to cause the tissue piercing ends of the first and second leg portions of the at least one staple to pierce the mitral valve annulus with the connection portion of the at least one staple in the initial configuration.
Claim 7
Dependent Claim
193 words
An assembly for effecting mitral valve annulus geometry of a heart, the assembly comprising: an elongated catheter being placeable in the coronary sinus of the heart adjacent the mitral valve annulus; at least one staple carried within the catheter, the at least one staple including first and second leg portions, each leg portion terminating in a tissue piercing end, and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the initial valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance; and a tool that forces the at least one staple from the catheter to cause the tissue piercing ends of the first and second leg portions of the at least one staple to pierce the mitral valve annulus with the connection portion of the at least one staple in the initial configuration.
Claim 8
Dependent Claim
29 words
The assembly of claim 4 wherein the catheter includes a tubular wall and wherein the tool forces the at least one staple through the tubular wall of the catheter.
Claim 9
Dependent Claim
30 words
The assembly of claim 5 wherein the tubular wall includes a break-away slot adjacent the at least one staple that permits the at least one staple to be forced therethrough.
Claim 10
Dependent Claim
16 words
The assembly of claim 4 wherein the at least one staple comprises a plurality of staples.
Claim 11
Dependent Claim
50 words
The assembly of claim 7 wherein the catheter includes a tubular wall having a plurality of break-away slots, each slot being adjacent to a respective given one of the staples, that permit the staples to be forced through the tubular wall of the catheter and into the mitral valve annulus.
Claim 12
Dependent Claim
19 words
The assembly of claim 7 wherein the tool is configured to force the staples from the catheter substantially simultaneously.
Claim 13
Dependent Claim
29 words
The assembly of claim 4 further comprising an urging member that urges the catheter along and against a wall of the coronary sinus adjacent to the mitral valve annulus.
Claim 14
Dependent Claim
13 words
The assembly of claim 10 wherein the urging member is an elongated balloon.
Claim 15
Dependent Claim
14 words
The assembly of claim 10 wherein the urging member is carried by the catheter.
Claim 16
Dependent Claim
57 words
The assembly of claim 4 wherein the initial configuration of the connection portion of the at least one staple is a first arched configuration and the final configuration of the connection portion of the at least one staple is a second arched configuration, the second arched configuration being arched in a direction opposite the first arched configuration.
Claim 17
Dependent Claim
34 words
The assembly of claim 13 wherein, when the connection portion of the at least one staple is in the second arched configuration, the tissue piercing ends of the leg portions point toward each other.
Claim 18
Dependent Claim
25 words
The assembly of claim 4 wherein the leg portions and connection portion of the at least one staple are formed of the same material stock.
Claim 19
Dependent Claim
23 words
The assembly of claim 15 wherein the leg portions and the connection portion of the at least one staple are formed from Nitinol.
Claim 20
Dependent Claim
69 words
The assembly of claim 4 wherein the tissue piercing ends of the first and second leg portions of the at least one staple point away from each other when the connection portion is in the initial configuration and wherein the tissue piercing ends of the first and second leg portions of the at least one staple point toward each other when the connection portion is in the final configuration.
Claim 21
Independent Claim
200 words
A method of effecting mitral valve annulus geometry of a heart, the method including the steps of: providing at least one staple including first and second leg portions, each leg portion terminating in a tissue piercing end, and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance; the second distance being shorter than the first distance; placing the at least one staple into a catheter; locating the catheter in the coronary sinus of the heart so that the at least one staple is adjacent the mitral valve annulus; and releasing the at least one staple from the catheter to cause the tissue piercing ends of the first and second leg portions of the at least one staple to pierce the mitral valve annulus with the connection portion of the at least one staple in the initial configuration.
Claim 22
Independent Claim
200 words
A method of effecting mitral valve annulus geometry of a heart, the method including the steps of: providing at least one staple including first and second leg portions, each leg portion terminating in a tissue piercing end, and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second leg portions by a second distance; the second distance being shorter than the first distance; placing the at least one staple into a catheter; locating the catheter in the coronary sinus of the heart so that the at least one staple is adjacent the mitral valve annulus; and releasing the at least one staple from the catheter to cause the tissue piercing ends of the first and second leg portions of the at least one staple to pierce the mitral valve annulus with the connection portion of the at least one staple in the initial configuration.
Claim 23
Dependent Claim
34 words
The method of claim 18 wherein the catheter includes a tubular wall and wherein the releasing step includes the step of forcing the at least one staple through the tubular wall of the catheter.
Claim 24
Dependent Claim
35 words
The method of claim 19 wherein the tubular wall includes a break-away slot adjacent the at least one staple and wherein the releasing step includes forcing the at least one staple therethrough the break-away slot.
Claim 25
Dependent Claim
16 words
The method of claim 18 wherein the at least one staple comprises a plurality of staples.
Claim 26
Dependent Claim
59 words
The method of claim 21 wherein the catheter includes a tubular wall having a plurality of break-away slots, each slot being adjacent to a respective given one of the staples, and wherein the releasing step includes the step of forcing the staples through the break-away slots of the tubular wall of the catheter and into the mitral valve annulus.
Claim 27
Dependent Claim
17 words
The method of claim 21 wherein the plurality of staples are forced from the catheter substantially simultaneously.
Claim 28
Dependent Claim
33 words
The method of claim 18 further including the step of urging the catheter along and against a wall of the coronary sinus adjacent to the mitral valve annulus prior to the releasing step.
Claim 29
Dependent Claim
17 words
The method of claim 24 wherein the urging step includes placing an urging member in the catheter.
Claim 30
Dependent Claim
14 words
The method of claim 25 wherein the urging member is secured within the catheter.
Claim 31
Dependent Claim
25 words
The method of claim 25 wherein the urging step includes the steps of providing an elongated balloon within the catheter and inflating the elongated balloon.
Claim 32
Dependent Claim
199 words
An assembly for effecting mitral valve annulus geometry of a heart, the assembly comprising: an elongated catheter being placeable in the coronary sinus of the heart adjacent the mitral valve annulus; at least one staple carried within the catheter, the at least one staple including first and second tissue piercing portions, each tissue piercing portion terminating in a tissue piercing end, and a connection portion extending between the first and second tissue piercing portions, the connection portion having an initial stressed and distorted configuration to separate the first and second tissue piercing portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second tissue piercing portions by a second distance, the second distance being shorter than the first distance; and a tool that forces the at least one staple from the catheter to cause the tissue piercing ends of the first and second tissue piercing portions of the at least one staple to pierce the mitral valve annulus with the connection portion of the at least one staple in the initial configuration.
Claim 33
Dependent Claim
199 words
An assembly for effecting mitral valve annulus geometry of a heart, the assembly comprising: an elongated catheter being placeable in the coronary sinus of the heart adjacent the mitral valve annulus; at least one staple carried within the catheter, the at least one staple including first and second tissue piercing portions, each tissue piercing portion terminating in a tissue piercing end, and a connection portion extending between the first and second tissue piercing portions, the connection portion having an initial stressed and distorted configuration to separate the first and second tissue piercing portions by a first distance when the tissue piercing ends pierce the mitral valve annulus and a final unstressed and undistorted configuration after the tissue piercing ends pierce the mitral valve annulus to separate the first and second tissue piercing portions by a second distance, the second distance being shorter than the first distance; and a tool that forces the at least one staple from the catheter to cause the tissue piercing ends of the first and second tissue piercing portions of the at least one staple to pierce the mitral valve annulus with the connection portion of the at least one staple in the initial configuration.
Claim 34
Dependent Claim
185 words
An assembly for effecting tissue geometry of an organ, the assembly comprising: an elongated catheter being placeable in a vessel of the body adjacent the tissue to be effected; at least one staple carried within the catheter, the at least one staple including first and second leg portions, each leg portion terminating in a tissue piercing end, and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the tissue and a final unstressed and undistorted configuration after the tissue piercing ends pierce the tissue to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance; and a tool that forces the at least one staple from the catheter to cause the tissue piercing ends of the first and second leg portions of the at least one staple to pierce the tissue with the connection portion of the at least one staple in the initial configuration.
Claim 35
Dependent Claim
185 words
An assembly for effecting tissue geometry of an organ, the assembly comprising: an elongated catheter being placeable in a vessel of the body adjacent the tissue to be effected; at least one staple carried within the catheter, the at least one staple including first and second leg portions, each leg portion terminating in a tissue piercing end, and a connection portion extending between the first and second leg portions, the connection portion having an initial stressed and distorted configuration to separate the first and second leg portions by a first distance when the tissue piercing ends pierce the tissue and a final unstressed and undistorted configuration after the tissue piercing ends pierce the tissue to separate the first and second leg portions by a second distance, the second distance being shorter than the first distance; and a tool that forces the at least one staple from the catheter to cause the tissue piercing ends of the first and second leg portions of the at least one staple to pierce the tissue with the connection portion of the at least one staple in the initial configuration.
Claim 36
Independent Claim
201 words
A method of effecting tissue geometry of an organ, the method including the steps of: providing at least one staple including first and second tissue piercing portions, each tissue piercing portion terminating in a tissue piercing end, and a connection portion extending between the first and second tissue piercing portions, the connection portion having an initial stressed and distorted configuration to separate the first and second tissue piercing portions by a first distance when the tissue piercing ends pierce the tissue and a final unstressed and undistorted configuration alter the tissue piercing ends pierce the tissue to separate the first and second tissue piercing portions by a second distance, the second distance being shorter than the first distance; placing the at least one staple into a catheter; locating the catheter in a vessel of the body so that the at least one staple is adjacent the tissue to be effected; and releasing the at least one staple from the catheter to cause the tissue piercing ends of the first and second tissue piercing portions of the at least one staple to pierce the tissue to be effected with the connection portion of the at least one staple in the initial configuration.
Claim 37
Independent Claim
201 words
A method of effecting tissue geometry of an organ, the method including the steps of: providing at least one staple including first and second tissue piercing portions, each tissue piercing portion terminating in a tissue piercing end, and a connection portion extending between the first and second tissue piercing portions, the connection portion having an initial stressed and distorted configuration to separate the first and second tissue piercing portions by a first distance when the tissue piercing ends pierce the tissue and a final unstressed and undistorted configuration alter the tissue piercing ends pierce the tissue to separate the first and second tissue piercing portions by a second distance, the second distance being shorter than the first distance; placing the at least one staple into a catheter; locating the catheter in a vessel of the body so that the at least one staple is adjacent the tissue to be effected; and releasing the at least one staple from the catheter to cause the tissue piercing ends of the first and second tissue piercing portions of the at least one staple to pierce the tissue to be effected with the connection portion of the at least one staple in the initial configuration.
References Cited (Backward Citations)
US4055861A
Cited
US4164046A
Cited
US4588395A
Cited
US4485816A
Cited
US4550870A
Cited
US5061277A
Cited
US5061277B1
Cited
US4830023A
Cited
US5350420A
Cited
US5261916A
Cited
US5265601A
Cited
US5250071A
Cited
US5474557A
Cited
US5733325A
Cited
US5935161A
Cited
US6077297A
Cited
US5891193A
Cited
US6027517A
Cited
US5562698A
Cited
US5584867A
Cited
US5514161A
Cited
US5899882A
Cited
US5554177A
Cited
US5676671A
Cited
US5601600A
Cited
US6352553B1
Cited
US5908404A
Cited
US6077295A
Cited
US5824071A
Cited
US5895391A
Cited
US6395017B1
Cited
US6352561B1
Cited
US6171320B1
Cited
US5961545A
Cited
US6275730B1
Cited
WO1998056435A1
Cited
EP0893133A1
Cited
US5984944A
Cited
US6096064A
Cited
US5928258A
Cited
US6099552A
Cited
US6342067B1
Cited
US6190406B1
Cited
US6503271B2
Cited
US6129755A
Cited
US6623521B2
Cited
US6099549A
Cited
EP1050274A1
Cited
WO2000044313A1
Cited
WO2000060995A2
Cited
US6602289B1
Cited
US6626899B2
Cited
US20020035361A1
Cited
US20030018358A1
Cited
US6210432B1
Cited
WO2001000111A1
Cited
US20030069636A1
Cited
US20040039443A1
Cited
US20010018611A1
Cited
US20040260342A1
Cited
EP1095634A2
Cited
US20010049558A1
Cited
WO2001050985A1
Cited
US20040138744A1
Cited
US20020103533A1
Cited
US6537314B2
Cited
US20020016628A1
Cited
US20020151961A1
Cited
WO2001054618A1
Cited
US20040176840A1
Cited
US6402781B1
Cited
US20010044568A1
Cited
US20040133220A1
Cited
US6358195B1
Cited
US6569198B1
Cited
US6442427B1
Cited
WO2001087180A2
Cited
US6589208B2
Cited
US20020042621A1
Cited
WO2002000099A2
Cited
US20020042651A1
Cited
WO2002005888A1
Cited
WO2002001999A2
Cited
US20020049468A1
Cited
US6419696B1
Cited
WO2002019951A1
Cited
US20020055774A1
Cited
US6602288B1
Cited
US6723038B1
Cited
US20020095167A1
Cited
US20020065554A1
Cited
WO2002034118A2
Cited
US20020138044A1
Cited
WO2002047539A2
Cited
US20020087173A1
Cited
WO2002053206A2
Cited
US20020103532A1
Cited
US20020183835A1
Cited
US6656221B2
Cited
WO2002062270A1
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2009-02-27 | 2009-08-29 | 2010-02-28 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2013-02-27 | 2013-08-29 | 2014-02-28 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2017-02-27 | 2017-08-29 | 2018-02-28 | $7700.00 | Window Closed / Lapsed |