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US7445630B2 Expired / Lapsed US ⏱️ 0.0 years remaining

Method of in situ formation of translumenally deployable heart valve support

Assignee: Dfm LLC
•
Filing: 2005-05-05
•
Granted: 2008-11-04
•
Expires: 2025-05-05
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Abstract

Abstract A method of implanting a prosthetic valve within the heart comprises translumenally advancing a prosthetic valve comprising an inflatable structure to a position proximate a native valve of the heart. A first chamber of the inflatable structure is inflated and then, independently, a second chamber of the inflatable structure is inflated.

Inventors

  • 👤 Randall T. Lashinski
  • 👤 Gordon B. Bishop

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-22 23:47
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2412; A61F2/2418; A61B; A61B17/00; A61B17/064; A61B17/0644; A61B17/068; A61F2/01; A61F2/013; A61F2/014; A61F2/2409; A61F2/2415; A61F2/2427; A61F2/2436; A61F2/2439; A61B17/04; A61B17/0469; A61B17/0682; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00831; A61B2017/00867; A61B17/0401; A61B2017/0404; A61B2017/0406; A61B17/06; A61B17/06004; A61B2017/06019; A61B2017/0647; A61F2/243; A61F2/2433; A61F2/04; A61F2/06; A61F2002/061; A61F2002/068; A61F2/30; A61F2002/30001; A61F2002/30316; A61F2002/30535; A61F2002/30581; A61F2002/30583; A61F2002/30667; A61F2002/30672; A61F2210/00; A61F2210/0085; A61F2220/00; A61F2220/0008; A61F2220/0016; A61F2220/0025; A61F2220/005; A61F2220/0066; A61F2220/0075; A61F2230/00; A61F2230/0002; A61F2230/0028; A61F2230/0054; A61F2230/0063; A61F2230/0073; A61F2230/0078; A61F2230/008; A61F2250/00; A61F2250/0003; A61F2250/0014; A61F2250/0021; A61F2250/0058; A61F2250/0059; Y; Y10; Y10S; Y10S623/00; Y10S623/902; Y10S623/904

Claims Analysis

Total Claims: 53
Claim 1
Independent Claim 100 words
A method of implanting a prosthetic heart valve, the method comprising the steps of: translumenally advancing a catheter carrying a prosthetic valve that comprises an inflatable cuff to a position proximate a native valve of a patient; inflating a first chamber of the inflatable cuff within the left ventricle of the patient; independently inflating a second chamber of the inflatable cuff within the aorta of the patient; and removing the catheter from the patient, leaving the prosthetic valve and the inflated inflatable cuff within the patient; wherein the prosthetic valve is functional prior to full inflation of the inflatable cuff.
Claim 2
Independent Claim 100 words
A method of implanting a prosthetic heart valve, the method comprising the steps of: translumenally advancing a catheter carrying a prosthetic valve that comprises an inflatable cuff to a position proximate a native valve of a patient; inflating a first chamber of the inflatable cuff within the left ventricle of the patient; independently inflating a second chamber of the inflatable cuff within the aorta of the patient; and removing the catheter from the patient, leaving the prosthetic valve and the inflated inflatable cuff within the patient; wherein the prosthetic valve is functional prior to full inflation of the inflatable cuff.
Claim 3
Dependent Claim 23 words
The method of claim 1 , wherein inflating a first chamber of the inflatable cuff comprises inflating a distal end of the cuff.
Claim 4
Dependent Claim 21 words
The method of claim 2 , further comprising proximally retracting the valve after the first chamber is at least partially inflated.
Claim 5
Dependent Claim 23 words
The method of claim 1 , wherein inflating a second chamber of the inflatable cuff comprises inflating a proximal end of the cuff.
Claim 6
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 1 , additionally comprising the step of removing the native valve prior to the removing the catheter step.
Claim 7
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 1 , additionally comprising the step of debulking the native valve prior to the removing the catheter step.
Claim 8
Dependent Claim 32 words
A method of implanting a prosthetic valve as in claim 1 , additionally comprising the step of performing a balloon valvuloplasty on the native valve prior to the removing the catheter step.
Claim 9
Dependent Claim 25 words
A method of implanting a prosthetic valve as in claim 1 , wherein the translumenally advancing step comprises advancing the catheter over the aortic arch.
Claim 10
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 1 , wherein the inflating a first chamber step comprises inflating the first chamber with a hardenable media.
Claim 11
Dependent Claim 30 words
A method of implanting a prosthetic valve as in claim 1 , additionally comprising the step of manipulating the position of the prosthetic valve using at least one control wire.
Claim 12
Dependent Claim 33 words
A method of implanting a prosthetic valve as in claim 10 , additionally comprising the step of releasing the prosthetic valve from the control wire following the independently inflating the second chamber step.
Claim 13
Dependent Claim 47 words
A method of implanting a prosthetic valve as in claim 11 , wherein the control wire comprises a tubular sheath and a core wire, wherein the step of releasing the prosthetic valve from the control wire comprises axially retracting the core wire with respect to the sheath.
Claim 14
Dependent Claim 23 words
A method of implanting a prosthetic valve as in claim 11 , wherein the prosthetic valve is functional prior to the releasing step.
Claim 15
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 10 , wherein the step of manipulating the position of the prosthetic valve comprises using three control wires.
Claim 16
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 10 , additionally comprising the step of permitting perfusion through the valve during the manipulating the position step.
Claim 17
Dependent Claim 29 words
A method of implanting a prosthetic valve as in claim 1 , additionally comprising the step of permitting perfusion through the valve during the inflating a first chamber step.
Claim 18
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 1 , additionally comprising the step of placing a temporary valve downstream from the native valve.
Claim 19
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 1 , additionally comprising the step of placing an embolic filter downstream from the native valve.
Claim 20
Independent Claim 136 words
A method of implanting a prosthetic heart valve, the method comprising the steps of: translumenally advancing a catheter carrying a prosthetic valve that comprises an inflatable cuff permanently attached to a valve mechanism to a position proximate a native valve; inflating a first chamber of the inflatable cuff within the left ventricle; manipulating the position of the prosthetic valve using at least one control wire; independently inflating a second chamber of the inflatable cuff within the aorta; releasing the prosthetic valve from the control wire following the independently inflating the second chamber step; and removing the catheter, leaving the prosthetic valve; wherein the control wire comprises a tubular sheath and a core wire, and the step of releasing the prosthetic valve from the control wire comprises axially retracting the core wire with respect to the sheath.
Claim 21
Independent Claim 136 words
A method of implanting a prosthetic heart valve, the method comprising the steps of: translumenally advancing a catheter carrying a prosthetic valve that comprises an inflatable cuff permanently attached to a valve mechanism to a position proximate a native valve; inflating a first chamber of the inflatable cuff within the left ventricle; manipulating the position of the prosthetic valve using at least one control wire; independently inflating a second chamber of the inflatable cuff within the aorta; releasing the prosthetic valve from the control wire following the independently inflating the second chamber step; and removing the catheter, leaving the prosthetic valve; wherein the control wire comprises a tubular sheath and a core wire, and the step of releasing the prosthetic valve from the control wire comprises axially retracting the core wire with respect to the sheath.
Claim 22
Dependent Claim 23 words
The method of claim 19 , wherein inflating a first chamber of the inflatable cuff comprises inflating a distal end of the cuff.
Claim 23
Dependent Claim 21 words
The method of claim 20 , further comprising proximally retracting the valve after the first chamber is at least partially inflated.
Claim 24
Dependent Claim 23 words
The method of claim 19 , wherein inflating a second chamber of the inflatable cuff comprises inflating a proximal end of the cuff.
Claim 25
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 19 , additionally comprising the step of removing the native valve prior to the removing the catheter step.
Claim 26
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 19 , additionally comprising the step of debulking the native valve prior to the removing the catheter step.
Claim 27
Dependent Claim 32 words
A method of implanting a prosthetic valve as in claim 19 , additionally comprising the step of performing a balloon valvuloplasty on the native valve prior to the removing the catheter step.
Claim 28
Dependent Claim 25 words
A method of implanting a prosthetic valve as in claim 19 , wherein the translumenally advancing step comprises advancing the catheter over the aortic arch.
Claim 29
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 19 , wherein the inflating a first chamber step comprises inflating the first chamber with a hardenable media.
Claim 30
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 19 , wherein the step of manipulating the position of the prosthetic valve comprises using three control wires.
Claim 31
Dependent Claim 29 words
A method of implanting a prosthetic valve as in claim 19 , additionally comprising the step of permitting perfusion through the valve during the inflating a first chamber step.
Claim 32
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 19 , additionally comprising the step of permitting perfusion through the valve during the manipulating the position step.
Claim 33
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 19 , additionally comprising the step of placing a temporary valve downstream from the native valve.
Claim 34
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 19 , additionally comprising the step of placing an embolic filter downstream from the native valve.
Claim 35
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 19 , wherein the prosthetic valve is functional prior to full inflation of the inflatable cuff.
Claim 36
Dependent Claim 23 words
A method of implanting a prosthetic valve as in claim 19 , wherein the prosthetic valve is functional prior to the releasing step.
Claim 37
Independent Claim 125 words
A method of implanting a prosthetic heart valve, the method comprising the steps of: translumenally advancing a catheter carrying a prosthetic valve that comprises an inflatable cuff to a position proximate a native valve; inflating a first chamber of the inflatable cuff within the left ventricle; manipulating the position of the prosthetic valve using at least one control wire; independently inflating a second chamber of the inflatable cuff within the aorta; releasing the prosthetic valve from the control wire following the independently inflating the second chamber step; and removing the catheter from a position proximate the native valve while, leaving the prosthetic valve and the inflated cuff at a position proximate the native valve; wherein the prosthetic valve is functional prior to the releasing step.
Claim 38
Independent Claim 125 words
A method of implanting a prosthetic heart valve, the method comprising the steps of: translumenally advancing a catheter carrying a prosthetic valve that comprises an inflatable cuff to a position proximate a native valve; inflating a first chamber of the inflatable cuff within the left ventricle; manipulating the position of the prosthetic valve using at least one control wire; independently inflating a second chamber of the inflatable cuff within the aorta; releasing the prosthetic valve from the control wire following the independently inflating the second chamber step; and removing the catheter from a position proximate the native valve while, leaving the prosthetic valve and the inflated cuff at a position proximate the native valve; wherein the prosthetic valve is functional prior to the releasing step.
Claim 39
Dependent Claim 23 words
The method of claim 35 , wherein inflating a first chamber of the inflatable cuff comprises inflating a distal end of the cuff.
Claim 40
Dependent Claim 21 words
The method of claim 36 , further comprising proximally retracting the valve after the first chamber is at least partially inflated.
Claim 41
Dependent Claim 23 words
The method of claim 35 , wherein inflating a second chamber of the inflatable cuff comprises inflating a proximal end of the cuff.
Claim 42
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 35 , additionally comprising the step of removing the native valve prior to the removing the catheter step.
Claim 43
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 35 , additionally comprising the step of debulking the native valve prior to the removing the catheter step.
Claim 44
Dependent Claim 32 words
A method of implanting a prosthetic valve as in claim 35 , additionally comprising the step of performing a balloon valvuloplasty on the native valve prior to the removing the catheter step.
Claim 45
Dependent Claim 25 words
A method of implanting a prosthetic valve as in claim 35 , wherein the translumenally advancing step comprises advancing the catheter over the aortic arch.
Claim 46
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 35 , wherein the inflating a first chamber step comprises inflating the first chamber with a hardenable media.
Claim 47
Dependent Claim 47 words
A method of implanting a prosthetic valve as in claim 35 , wherein the control wire comprises a tubular sheath and a core wire, wherein the step of releasing the prosthetic valve from the control wire comprises axially retracting the core wire with respect to the sheath.
Claim 48
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 35 , wherein the step of manipulating the position of the prosthetic valve comprises using three control wires.
Claim 49
Dependent Claim 29 words
A method of implanting a prosthetic valve as in claim 35 , additionally comprising the step of permitting perfusion through the valve during the inflating a first chamber step.
Claim 50
Dependent Claim 28 words
A method of implanting a prosthetic valve as in claim 35 , additionally comprising the step of permitting perfusion through the valve during the manipulating the position step.
Claim 51
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 35 , additionally comprising the step of placing a temporary valve downstream from the native valve.
Claim 52
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 35 , additionally comprising the step of placing an embolic filter downstream from the native valve.
Claim 53
Dependent Claim 26 words
A method of implanting a prosthetic valve as in claim 35 , wherein the prosthetic valve is functional prior to full inflation of the inflatable cuff.

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