Method and device for percutaneous left ventricular reconstruction
US-9526618-B2 · Dec 27, 2016 · US
US10463496B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10463496-B2 |
| Application number | US-201715811226-A |
| Country | US |
| Kind code | B2 |
| Filing date | Nov 13, 2017 |
| Priority date | Jul 15, 2015 |
| Publication date | Nov 5, 2019 |
| Grant date | Nov 5, 2019 |
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The present invention includes a device and method for a self-expanding framework device adapted to facilitate the deployment of an extra-cardiac device. The device includes a deployment tube and a self-expanding wire framework having a structure that results in the self-expanding wire framework circumferential flaring motion and bending outwardly to advance around the heart.
Opening claim text (preview).
What is claimed is: 1. A self-expanding wire framework adapted to flare outwardly to encircle a portion of a heart comprising: a set of adjacent articulated wire loops extending from a hub, wherein each of the adjacent articulated wire loops of the set of adjacent articulated wire loops comprise: a top segment positioned at a lead edge and that extends to a left midway bend and to a right midway bend, a left strut that extends from the left midway bend to the hub, and a right strut that extends from the right midway bend to the hub; a connector that links the left strut to the right strut of each of the adjacent articulated wire loops; wherein the top segment, the left midway bend and the right midway bend result in a tension that causes each of the adjacent articulated wire loops to engage in a circumferential flaring motion and bend outwardly as the self-expanding framework is deployed. 2. The device of claim 1 , wherein the connector is a crimp connector. 3. The device of claim 1 , wherein the connector is a crimp connector, a wire connector, an adhesive, a weld, a clip or a combination thereof. 4. The device of claim 1 , wherein the top segment, the left midway bend and the right midway bend form a triangular shape. 5. The device of claim 1 , wherein the top segment, the left midway bend, the right midway bend the left strut and the right strut form a diamond shape. 6. The device of claim 1 , further comprising a second self-expanding wire framework positioned in a staggered relationship to the first self-expanding wire framework. 7. The device of claim 1 , wherein the left midway bends and the right midway bends are rounded to allow for gradual flaring as the self-expanding wire framework is deployed or wherein the left midway bends and the right midway bends are flattened to allow for flaring as the self-expanding wire framework is deployed. 8. The device of claim 1 , wherein the left midway bends and the right midway bends further comprise multiple bends to allow for immediate flaring positions as the self-expanding wire framework is deployed. 9. The device of claim 1 , where the self-expanding wire framework comprises at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more adjacent articulated wire loops. 10. The device of claim 1 , further comprising a deployment tube to deploy the self-expanding wire framework, wherein the deployment tube comprises an outer surface surrounding an inner passage that restrains the self-expanding wire framework from the circumferential flaring motion and a deployment aperture to allow the self-expanding wire framework to flare outwardly as it exits the deployment tube. 11. The device of claim 1 , further comprising a polymer film in contact with the self-expanding wire framework for deployment, wherein the polymer film is on the inside of the self-expanding wire framework, on the outside of the self-expanding wire framework or on the inside and the outside to sandwich the self-expanding wire framework. 12. A method for implanting a self-expanding framework delivery device about a heart, comprising the steps of: providing a self-expanding framework delivery device comprising a deployment tube having an outer surface surrounding an inner passage and a deployment aperture at one end of the inner passage; providing a self-expanding wire framework adapted to flare outwardly to encircle a portion of a heart comprising a set of adjacent articulated wire loops extending from a hub, wherein each of the adjacent articulated wire loops of the set of adjacent articulated wire loops comprise: a top segment positioned at a lead edge and that extends to a left midway bend and to a right midway bend, a left strut that extends from the left midway bend to the hub, and a right strut that extends from the right midway bend to the hub; a connector that links the left strut to the right strut of each of the adjacent articulated wire loops; wherein the top segment, the left midway bend and the right midway bend result in a tension that causes each of the adjacent articulated wire loops to engage in a circumferential flaring motion and bend outwardly as the self-expanding framework is deployed; inserting the deployment tube into the thoracic cavity; deploying the self-expanding wire framework from the deployment aperture; moving the left midway bend and a right midway bend from the deployment aperture to allow a circumferential flaring motion and bend outwardly as the self-expanding framework is deployed; and extending the self-expanding wire framework from the deployment aperture to encircle at least a portion of the heart. 13. The method of claim 12 , wherein the connector is a crimp connector. 14. The method of claim 12 , wherein the connector is a crimp connector, a wire connector, an adhesive, a weld, a clip or a combination thereof. 15. The method of claim 12 , wherein the top segment, the left midway bend and the right midway bend form a triangular shape. 16. The method of claim 12 , wherein the top segment, the left midway bend, the right midway bend the left strut and the right strut form a diamond shape. 17. The method of claim 12 , further comprising a second self-expanding wire framework positioned in a staggered relationship to the first self-expanding wire framework.
Devices outside the heart wall, e.g. bags, strips or bands · CPC title
Delivery devices therefor · CPC title
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