Three-dimensional annuloplasty ring and template

A - Human Necessities – 61 – F

Patent

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Details

A61F 2/24 (2006.01)

Patent

CA 2456838

An annuloplasty ring having a three-dimensional discontinuous form generally arranged about an axis with two free ends that are axially offset. The ring is particularly suited for repair of the tricuspid valve, and more closely conforms to the annulus shape. The ring is more flexible in bending about radially extending axes than about the central axis. The ring may have an inner structural support covered by a pliable sleeve and/or a fabric tube. The structural support may have a varying cross-section, such as a C-shaped cross- section in a mid-section between two free ends and a rectangular cross-section at the free ends. A deliver template having a mounting ring with about the same shape as the ring facilitates implant, and may be releasably attached to a delivery handle. The deliver template may include a plurality of cutting guides for releasably attaching the annuloplasty ring thereto while presenting maximum outer surface area of the ring. The template may have an outwardly- facing groove to receive and retain the ring.

L'invention concerne un anneau pour annuloplastie discontinu en trois dimensions, disposé de façon générale autour d'un axe à deux extrémités libres décalées axialement. L'anneau se prête particulièrement bien à la réparation de valvule tricuspide, et il épouse plus étroitement la forme annulaire. Cet anneau est plus flexible en courbure autour d'axes d'extension radiale qu'autour de l'axe central. Il peut avoir un support structurel interne couvert par un manchon et/ou un tube en tissu pliable. Le support peut avoir une section transversale variable, du type en forme de C à mi-chemin entre les deux extrémités libres et de forme rectangulaire aux extrémités libres. Un gabarit d'installation à anneau de montage ayant à peu près la même forme que l'anneau pour annuloplastie facilite l'implantation, et on peut le fixer libérable à une poignée d'installation. Le gabarit peut comprendre plusieurs guides coupants auxquels on fixe libérable l'anneau pour annuloplastie, tout en présentant une surface extérieure maximum de l'anneau. Le gabarit peut présenter une rainure tournée vers l'extérieur pour recevoir et retenir l'anneau.

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