System for cardiac valve repair
A medical system for repairing a mitral valve comprising a catheter ( 5 ) with a temporary valve ( 10 ), a commissure locator device ( 20 ), wherein the commissure locator device and the temporary valve are connected, and an annuloplasty implant ( 30 ).
1. A medical system for repairing a mitral valve comprising:
a temporary valve,
a commissure locator device for locating at least one commissure,
said commissure locator device and said temporary valve being connected,
said temporary valve being connected at the center of the commissure locator device, whereby when the commissure locator device is expanded for positioning, the temporary valve is expanded centrally of, and interior of, the commissure locator device;
a clip guide tube;
a helix-shaped clip being deliverable from said clip guide tube to surround said temporary valve and arrange chordae towards the temporary valve to keep the position of the chordae towards the temporary valve.
2. The medical system according to claim 1 , further comprising an annuloplasty implant, wherein said annuloplasty implant has a helix shape.
3. The medical system according to claim 1 , wherein said commissure locator device is adapted for locating at two opposite commissures.
4. The medical system according to claim 1 , further comprising an atrium support member, wherein the atrium support member, the temporary valve and the commissure locator device are connected.
5. The medical system according to claim 1 , wherein the commissure locator device comprises an extension member, and wherein said extension member is at least partly arranged inside a catheter.
6. The medical system of claim 5 , comprising said catheter, said catheter having an operator end and a distal end, and said extension member having a measurement end that is extendable relative from the distal end of the catheter for apposition with said at least one commissure.
7. The medical system of claim 6 , wherein the commissure locator device is adapted to provide a measure for a shape and/or size of an annuloplasty implant for repairing said mitral valve, wherein the measure related to a selection of the annuloplasty implants shape and/or size is based on at least an extended length of the measurement end of the extension member from the distal end of the catheter, when positioned at the cardiac valve, to the at least one commissure.
8. A method for repairing a mitral valve comprising the steps of:
in one maneuver, positioning a temporary valve by use of a commissure locator device connected to the temporary valve, wherein the temporary valve is connected at the center of the commissure locator device, whereby when the commissure locator device is expanded for positioning a portion of said commissure locator device is in apposition to at least one commissure of said mitral valve and the temporary valve is expanded centrally of, and interior of, the commissure locator device, the method further comprising
delivering a helix-shaped clip from a clip guide tube to surround the temporary valve and to arrange chordae towards the temporary valve to keep the position of the chordae towards the temporary valve,
measuring a size and/or a shape of an annuloplasty implant by use of the commissure locator device,
positioning the annuloplasty implant at the mitral valve, and
securing the annuloplasty implant at the mitral valve for repairing the mitral valve.
9. The method according to claim 8 , wherein the step of positioning the temporary valve and the commissure locator device is performed by moving the temporary valve and the commissure locator device downwards from the atrium towards the ventricle.
10. The method according to claim 8 , where access to the mitral valve is gained transfemoral or transapical.