Apparatus and method for mitral valve repair without...

A - Human Necessities – 61 – B

Patent

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A61B 17/04 (2006.01)

Patent

CA 2620764

A method and apparatus for repairing the heart's mitral valve by using anatomic restoration without the need to stop the heart, use a heart-lung machine or making incisions on the heart. The method involves inserting a leaflet clamp through the heart's papillary muscle from which the leaflet has been disconnected, clamping the leaflet's free end and then puncturing the leaflet. One end of a suture is then passed through the hollow portion of the clamp, while the other end of the suture is maintained external to the heart. The clamp is then removed and the suture's two ends are fastened together with a securement ring/locking cap assembly to the heart wall exterior, thereby reconnecting the leaflet to the corresponding papillary muscle. The introduction of the clamp, puncturing of the leaflet, passage of the suture therethrough and removal of the clamp can be conducted a plurality of times before each suture's two ends are fastened to the securement ring/locking cap assembly.

L'invention concerne un procédé et un appareil destinés à réparer la valvule mitrale du coeur au moyen de la restauration anatomique sans avoir à arrêter le coeur, utiliser le coeur-poumon artificiel ou de réaliser des incisions sur le coeur. Le procédé consiste à insérer une bride de fixation de valve à travers le muscle papillaire du coeur à partir duquel la valve a été déconnectée, à fixer l'extrémité libre de la valve puis à la perforer. Une extrémité d'une suture est ensuite passée à travers la partie creuse de la bride de fixation, alors que l'autre extrémité de la suture est maintenue hors du coeur. La bride de fixation est ensuite retirée et les deux extrémités de suture sont fixée entre elles à l'aide d'un ensemble couvercle de verrouillage/anneau de fixation à la paroi externe du coeur, reconnectant ainsi la valve au muscle papillaire correspondant. L'introduction de la bride de fixation, la perforation de la valve, le passage de la suture à travers la bride de fixation et le retrait de celle-ci peuvent être réalisés plusieurs fois avant que chaque paire d'extrémité de suture soit fixée à l'ensemble couvercle de verrouillage/anneau de fixation.

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