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US20050027353A1 Expired / Lapsed US ⏱️ 0.0 years remaining

Mitral valve therapy device, system and method

Assignee: Cardiac Dimensions Pty Ltd
•
Filing: 2004-08-24
•
Granted: —
•
Expires: 2024-08-24
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Abstract

Abstract An assembly and method for effecting the condition of a mitral valve annulus of a heart includes a guide wire configured to be fed into the coronary sinus of the heart, and a mitral valve annulus therapy device configured to be slidingly received on the guide wire and advanced into the coronary sinus of the heart on the guide wire. A guide tube may further be employed for guiding the device into the coronary sinus. An introducer which may be employed for pushing the device into or pulling device out of the heart has a mechanism for releasably locking to the device. This enables substitution of the device if needed. Also, the crossover point of the circumflex artery and coronary sinus may be determined and avoided when the device is deployed.

Inventors

  • 👤 Clifton Alferness
  • 👤 John Adams
  • 👤 John Power

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 00:45
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2442; A61F2/2451; Y; Y10; Y10S; Y10S623/00; Y10S623/902; Y10S623/904

Claims Analysis

Total Claims: 34
Claim 1
Independent Claim 106 words
1 . An assembly for effecting the condition of a mitral valve annulus of a heart comprising: a guide wire configured to be fed into the coronary sinus of the heart; and a resilient mitral valve annulus device configured to be deformed from an unstressed arched configuration and slidingly received on the guide wire and advanced into the coronary sinus of the heart on the guide wire and that reshapes the mitral valve annulus when in the coronary sinus of the heart, wherein the mitral valve annulus device has opposed ends and includes a guide wire engaging structure at at least one of the opposed ends.
Claim 2
Dependent Claim 106 words
1 . An assembly for effecting the condition of a mitral valve annulus of a heart comprising: a guide wire configured to be fed into the coronary sinus of the heart; and a resilient mitral valve annulus device configured to be deformed from an unstressed arched configuration and slidingly received on the guide wire and advanced into the coronary sinus of the heart on the guide wire and that reshapes the mitral valve annulus when in the coronary sinus of the heart, wherein the mitral valve annulus device has opposed ends and includes a guide wire engaging structure at at least one of the opposed ends.
Claim 3
Dependent Claim 15 words
2 . The assembly of claim 1 wherein the guide wire is an elongated coil.
Claim 4
Dependent Claim 3 words
3 . (Canceled)
Claim 5
Dependent Claim 3 words
3 . (Canceled)
Claim 6
Dependent Claim 25 words
4 . The assembly of claim 1 wherein the guide wire engaging structure includes a bore dimensioned to permit the guide wire to pass therethrough.
Claim 7
Dependent Claim 22 words
5 . The assembly of claim 4 wherein the device further includes a guide wire confining channel extending between the opposed ends.
Claim 8
Dependent Claim 20 words
6 . The assembly of claim 4 wherein the bore of the guide wire engaging structure is cylindrical in configuration.
Claim 9
Dependent Claim 27 words
7 . The assembly of claim 6 wherein the device further includes a guide wire confining channel extending between the opposed ends and aligned with the bore.
Claim 10
Dependent Claim 21 words
8 . The assembly of claim 1 wherein the guide wire is formed of a material visible under X ray fluoroscopy.
Claim 11
Dependent Claim 21 words
9 . The assembly of claim 1 wherein at least a portion of the device is visible under X ray fluoroscopy.
Claim 12
Dependent Claim 16 words
10 . The assembly of claim 1 wherein the device is visible under X ray fluoroscopy.
Claim 13
Dependent Claim 25 words
11 . The assembly of claim 1 further including an elongated introducer configured to be slidingly received on the guide wire proximal to the device.
Claim 14
Dependent Claim 14 words
12 . The assembly of claim 11 wherein the introducer is an elongated coil.
Claim 15
Dependent Claim 47 words
13 . The assembly of claim 11 wherein the device includes a proximal end, the introducer includes a distal end, and wherein the assembly further includes a releasable locking mechanism configured to releasably lock the proximal end of the device to the distal end of the introducer.
Claim 16
Dependent Claim 22 words
14 . The assembly of claim 13 wherein the releasable locking mechanism includes a locking pin and a complimentary detented locking groove.
Claim 17
Dependent Claim 39 words
15 . The assembly of claim 11 further including a guide tube having an inner lumen dimensioned for receiving the guide wire and the device and introducer when the device and introducer are slidingly received on the guide wire.
Claim 18
Dependent Claim 5 words
16 .- 55 . (Canceled)
Claim 19
Dependent Claim 5 words
16 .- 55 . (Canceled)
Claim 20
Dependent Claim 121 words
56 . A mitral valve annulus constricting device for reshaping and effecting the condition of a mitral valve annulus of a heart comprising a resilient member having a cross sectional dimension for being received within the coronary sinus of a heart and having a longitudinal dimension having an unstressed arched configuration for partially encircling the mitral valve and exerting an inward pressure on the mitral valve when within the coronary sinus adjacent the mitral valve for constricting the mitral valve annulus, the device having a distal end, a proximal end, a bore through at least one of the ends, and a channel extending between the ends, the channel and bore permitting the device to be slidingly received on a guide wire.
Claim 21
Dependent Claim 121 words
56 . A mitral valve annulus constricting device for reshaping and effecting the condition of a mitral valve annulus of a heart comprising a resilient member having a cross sectional dimension for being received within the coronary sinus of a heart and having a longitudinal dimension having an unstressed arched configuration for partially encircling the mitral valve and exerting an inward pressure on the mitral valve when within the coronary sinus adjacent the mitral valve for constricting the mitral valve annulus, the device having a distal end, a proximal end, a bore through at least one of the ends, and a channel extending between the ends, the channel and bore permitting the device to be slidingly received on a guide wire.
Claim 22
Dependent Claim 66 words
57 . A mitral valve annulus therapy device comprising in an unstressed configuration a generally C-shaped member formed of resilient material for exerting a substantially radially inward force on the mitral valve annulus when placed in the coronary sinus of a heart about and adjacent to the mitral valve, the device having a guide wire receiving structure that slidingly mounts the device on a guide wire.
Claim 23
Dependent Claim 66 words
57 . A mitral valve annulus therapy device comprising in an unstressed configuration a generally C-shaped member formed of resilient material for exerting a substantially radially inward force on the mitral valve annulus when placed in the coronary sinus of a heart about and adjacent to the mitral valve, the device having a guide wire receiving structure that slidingly mounts the device on a guide wire.
Claim 24
Dependent Claim 25 words
58 . The device of claim 57 wherein the guide wire receiving structure includes a bore dimensioned to permit a guide wire to pass therethrough.
Claim 25
Dependent Claim 20 words
59 . The device of claim 58 wherein the bore of the guide wire receiving structure is cylindrical in configuration.
Claim 26
Dependent Claim 30 words
60 . The device of claim 58 wherein the device has opposed ends, the guide wire receiving structure further including a guide wire confining channel extending between the opposed ends.
Claim 27
Dependent Claim 18 words
61 . The device of claim 60 wherein the guide wire confining channel is aligned with the bore.
Claim 28
Dependent Claim 16 words
62 . The device of claim 57 wherein the device is visible under X ray fluoroscopy.
Claim 29
Dependent Claim 22 words
63 . The device of claim 57 further comprising a releasable locking mechanism configured to releasably lock the device to an introducer.
Claim 30
Dependent Claim 30 words
64 . The device of claim 57 wherein the C-shaped member is configured to be deformed to a deformed shape while the device is being advanced into a coronary sinus.
Claim 31
Dependent Claim 38 words
65 . The device of claim 57 wherein the C-shaped member is further configured to change from a deformed shape toward the unstressed configuration to reshape the mitral valve annulus when in the coronary sinus of the heart.
Claim 32
Dependent Claim 22 words
66 . The device of claim 56 further comprising a releasable locking mechanism configured to releasably lock the device to an introducer.
Claim 33
Dependent Claim 38 words
67 . The device of claim 56 wherein the device is further configured to change from a deformed shape toward the unstressed arched configuration to reshape the mitral valve annulus when in the coronary sinus of the heart.
Claim 34
Dependent Claim 40 words
68 . The assembly of claim 1 wherein the mitral valve annulus device is further configured to change from a deformed shape toward the unstressed configuration to reshape the mitral valve annulus when in the coronary sinus of the heart.

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