Ventricular volume reduction
View Patent ↗Devices and systems including implants (which may be removable) and methods of using them for reducing ventricular volume. The implants described herein are cardiac implants that may be inserted into a patient's heart, particularly the left ventricle. The implant may support the heart wall, or may be secured to the heart wall. The implants are typically ventricular partitioning device for partitioning the ventricle into productive and non-productive regions in order to reduce the ventricular volume.
1. A ventricular volume reduction implant for insertion into a ventricle to reduce an active volume of the ventricle, the implant having a collapsed configuration that may be passed through a cannula and an expanded configuration spanning a portion of the ventricle, the implant comprising:
a plurality of flattened leaves extending outwards from a central hub, wherein in the expanded configuration the leaves are configured to form a partitioning barrier across the ventricle, wherein the leaves are discrete from each other; and
a plurality of anchors at the distal edge of the partitioning barrier configured to secure the partitioning barrier to the walls of the ventricle.
2. The implant of claim 1 , wherein the leaves are coupled to the central hub and configured to fan out from a collapsed configuration into an overlapping expanded configuration to form the partitioning barrier.
3. The implant of claim 1 , wherein the leaves are hinged to each other along a radial length of each leaf.
4. The implant of claim 3 , wherein the leaves are hinged with square joints.
5. The implant of claim 3 , wherein the leaves are hinged with triangular joints.
6. The implant of claim 3 , wherein the leaves are hinged with sinusoidal joints.
7. The implant of claim 1 , further comprising a foot extending from the central hub.
8. The implant of claim 1 , wherein the leaves are overlapping in the collapsed configuration.
9. The implant of claim 1 , wherein the leaves comprise a laminated membrane.
10. The implant of claim 1 , wherein the leaves are made of metal.
11. The implant of claim 1 , wherein the leaves are made of plastic.
12. An implant having a collapsed configuration and an expanded configuration, the implant comprising:
a central hub; and
a plurality of flattened plates extending from the central hub, wherein the plates are discrete from each other, wherein the plates are overlapping in the collapsed configuration and fanned out in the expanded configuration, wherein in the collapsed configuration the implant is configured to be delivered percutaneously through a delivery catheter and in in the expanded configuration the implant is configured to partition a chamber in a heart.
13. The implant of claim 12 , further comprising a foot extending form the central hub.
14. The implant of claim 12 , wherein the plates are hinged to each other.
15. The implant of claim 12 , further comprising anchors configured to secure the implant within the chamber in the heart.
16. The implant of claim 12 , wherein the plates are made of plastic.
17. The implant of claim 12 , wherein the plates are made of metal.
18. The implant of claim 12 , wherein the plates comprise a laminated membrane.