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EP0103546A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Surgical instrument for implanting prosthetic heart valves or the like

Assignee: Individual
•
Filing: 1983-08-08
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Granted: —
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Expires: 2003-08-08
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Abstract

Abstract This invention refers to an improved instrument for implanting bioprotheses (CR) in cardio-surgery, comprising an expandable member (18) essentially in the shape of a molar tooth that, in the expanded state, keeps spaced apart the threads (FL) utilized for sewing the bioprothesis in place, while the bioprothesis (CR) is introduced into the patient heart (CC). This avoids that the threads (FL) get hooked to a part of the bioprothesis base (BA) that is usually made from a synthetic material rather rough. The expandable member in the not-expanded state allows the bioprothesis (CR) to be easily placed and removed from the supporting head (23) of the instrument. Furthermore the position of the supporting head (23) is adjustable in order to fit the axial dimensions of the bioprotheses (CR) which vary over a wide range.

Inventors

  • 👤 Domenico Iorio

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-22 20:17
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2427; B; B25; B25B; B25B11/00

Claims Analysis

Total Claims: 6
Claim 1
Independent Claim 281 words
.1. Instrument intended to be used in surgery for implanting a valvular bioprothesis in mitralic position, in the mitralic annulus of a patient's heart, which bioprothesis comprises:a special support (CR) of a synthetic material, substantially consisting of an annular base (BA) and three cusps (CP) with pointed tops (PT) integral therewith, and of three flaps or limbs of a valve of animal origin operatively supported by the support (CR) and is intended to be functionally united to the mitralic annulus, deprived of its own mitralic valve, by means of sewing threads, (FL), previously inserted both in the annulus edge and in a flange integral with the base (BA), which instrument comprises: a tubular body (10) having a first (13) and a second end (15); a supporting means (23) for the bioprothesis adapted to vary its position axially of the first end (13) according to the axial dimensions of the bioprothesis; a member (11) having a circular cross section mounted on the first end (13) and adapted to assume a radially retracted condition when the end (13) has to be fitted in the bioprothesis and taken out thereof, and a radially ex panded one wherein the member (11) has a diameter at least equal to the diameter of the supporting head (23) during the operation of introducing the bioprothesis in place in the patient heart (CC), so that the member (11) engage and keeps away said threads (FL) to avoid that the same get entangled in any part of the bioprothesis and especially in its support (CR); and controlling means for the member (11) mounted on the second end (15) of the body (10) for controlling the conditions of the member (11).
Claim 2
Dependent Claim 86 words
Instrument according to claim 1, wherein the tubular body (10) has an externally threaded length (21) adjacent to the first end (13), and the supporting means comprises an annular head (23) presenting an upper face (26) receiving the bioprothesis base (BA) and an integral sleeve (24) provided with an internal thread (25) matching thread (21) of the body (10), so that the axial position of supporting head with respect to the first end (13) can be varied and selected screwing sleeve (24) on threaded length (21).
Claim 3
Dependent Claim 36 words
Instrument according to claim 1, wherein the body (10) has a bented shape and forms an angle (x ) comprised between 120° and 150° in order to make easier the introduction of the bioprothesis in place.
Claim 4
Dependent Claim 11 words
Instrument according to claim 3, wherein the bending angle is 135°.
Claim 5
Dependent Claim 106 words
Instrument according to claim 1, wherein said member (11) comprises an inflatable little ball (11) including a flat upper portion (18) and a skirt depending therefrom (19), the mouth (12) of which is sealingly fitted on the first end (13) of the body (10) that holds the supporting means (22) for the bioprothesis, which ball (11), when inflated, is shaped as a molar tooth having such a diameter to engage with the sewing threads (FL), and wherein said body (10) is hollow and has at the second end thereof (15) valve means (14) allowing a gas under a slight pressure to be introduced and extracted therefrom.
Claim 6
Dependent Claim 63 words
Instrument according to claim 5, wherein said co- trolling means comprise inflating means (16) for the ball (11) adapted to be connected to the second end (15) of tubolar body (10) and introduce air under a slight pressure therein through valve means (14) and to act on the valve means (14) to cause the air inflating the ball (11) to come out therefrom.

References Cited (Backward Citations)

US3409013A Cited
US4294141A Cited

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