COILED IMPLANT FOR MITRAL VALVE REPAIR

Abstract

An apparatus for treating a mitral valve, comprising an elongate member having a spiral shape, the elongate member having a proximal end portion and a distal end portion, an expandable proximal anchor joined to the proximal end portion of the elongate body, and an expandable distal anchor joined to the distal end portion of the elongate body. The elongate member is configured to adjust from an elongated state to a shortened state after delivery at least partially into a coronary sinus for reshaping a mitral annulus.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a three-dimensional view of an implant deployed in the coronary sinus according to one preferred embodiment of the present invention;

FIGS. 2A, 2B, and 2C are side, cross-sectional, and cross-sectional views, respectively, of an implant in a delivery/compressed state according to an embodiment of the invention;

FIGS. 3A, 3B, and 3C are side, cross-sectional, and cross-sectional views, respectively, of the implant from FIGS. 2A, 2B, and 2C, in a deployed/expanded state according to an embodiment of the invention;

FIG. 4 is a side view of the implant of FIGS. 2A-3C in a contracted/shortened state according to the invention;

FIG. 5A is a side view of an implant according to a further embodiment of the invention;

FIG. 5B is a close-up perspective view of a bridge from the implant from FIG. 5A;

FIG. 5C is a top view of the implant of FIG. 5A;

FIG. 6 depicts a close-up side view of a portion of bridge according to an embodiment of the invention;

FIG. 7 depicts a side view of an implant having an outer sleeve according to an embodiment of the invention;

FIGS. 8A and 8B depict perspective and side views, respectively, of an implant according to an embodiment of the invention;

FIG. 9 depicts a perspective view of a dual-coiled bridge according to an embodiment of the invention;

FIG. 10A is a perspective view of a bridge according to an embodiment of the invention;

FIG. 10B is a side view of the bridge of FIG. 10A in a lengthened/stretched state;

FIG. 10C is a side view of the bridge of FIG. 10B with resorbable material threaded through the windows thereof;

FIG. 11 is a perspective view of an implant according to an embodiment of the invention;

FIGS. 12A and 12B are perspective and cross-sectional views, respectively, of a bridge according to an embodiment of the invention;

FIG. 12C is a perspective view of the bridge of FIG. 12A in a lengthened/stretched state;

FIG. 12D is a perspective view of a bridge according to an embodiment of the invention; and

FIG. 13 is a side view of a bridge and anchor connected via suture according to an embodiment of the invention.

Claims

1. An apparatus for treating a mitral valve, comprising: an elongate member formed with a substantially spiral shape, the elongate member having a proximal end portion and a distal end portion;an expandable proximal anchor joined to the proximal end portion of the elongate member; andan expandable distal anchor joined to the distal end portion of the elongate member;wherein the elongate member is configured to adjust from an elongated state to a shortened state after delivery at least partially into a coronary sinus for reshaping a mitral annulus.

2. The apparatus of claim 1, wherein the elongate member comprises a plurality of coils having one or more spaces therebetween, and wherein a resorbable material is disposed within the spaces between adjacent coils for maintaining the elongate member in the elongated state.

3. The apparatus of claim 1, wherein the apparatus is formed from a single piece of material.

4. The apparatus of claim 1, wherein the elongate member comprises a plurality of coils and wherein one or more coils includes at least one window through which a resorbable material is threadable.

5. The apparatus of claim 1, wherein the elongate member comprises two substantially parallel spiral members.

6. The apparatus of claim 1, wherein the elongate member has an undulating configuration, and wherein a resorbable material is disposed within spaces in the undulating configuration for maintaining the elongate member in the elongated state.

7. The apparatus of claim 6, wherein the elongate member has a substantially C-shaped cross section.

8. The apparatus of claim 1, wherein a proximal connector connects the proximal anchor to the proximal end portion of the bridge, and a distal connector connects the distal anchor to the distal portion of the bridge.

9. The apparatus of claim 8, wherein the proximal connector and the distal connector are sutures.

10. The apparatus of claim 1, wherein the bridge is made from shape memory material.

11. The apparatus of claim 10, wherein the shape memory material is nitinol.

12. The apparatus of claim 1, wherein the apparatus is sized to be inserted at least partially into the coronary sinus.

13. The apparatus of claim 2, further comprising a sheath covering the bridge, the sheath maintaining the resorbable material in the spaces of the bridge.

14. The apparatus of claim 1, wherein the proximal anchor and the distal anchor have a spiral shape.

15. An apparatus for treating a mitral valve, comprising: an elongate member having a spiral shape, the elongate member having a proximal end portion and a distal end portion, wherein the elongate member comprises a plurality of coils;an expandable proximal anchor joined to the proximal end portion of the elongate body; andan expandable distal anchor joined to the distal end portion of the elongate body.

16. The apparatus of claim 15, wherein the elongate member comprises a memory material.

17. The apparatus of claim 15, wherein the elongate member is configured to adjust from an elongated state to a shortened state after delivery at least partially into a coronary sinus for reshaping a mitral annulus

18. A method for treating a mitral valve using an implant, the implant including an elongate member having a spiral shape with coils, the elongate member having a proximal end portion and a distal end portion, an expandable proximal anchor joined to the proximal end portion of the elongate member, and an expandable distal anchor joined to the distal end portion of the elongate member, the method comprising: inserting the implant at least partially into the coronary sinus;expanding and anchoring the expandable distal anchor in the coronary sinus;expanding and anchoring the expandable proximal anchor in or outside of the coronary sinus.

19. The method of claim 18, wherein the implant has resorbable material disposed within spaces between the coils to maintain the elongate member in an expanded state, and the method further comprises: after expanding and anchoring the expandable distal anchor, and after expanding and anchoring the expandable proximal anchor, allowing the resorbable material to be resorbed, causing the bridge to shorten and thereby reshape a mitral annulus.

20. The method of claim 18, further comprising: after expanding and anchoring the expandable distal anchor, but before expanding and anchoring the expandable proximal anchor, retracting the expandable proximal anchor proximally with respect to the expandable distal anchor.