Cardiac valve repair system and methods of use
Systems and methods for mitral valve repair having a docking station and a valve implant. The docking station is an anchoring device having a helix structure. The valve implant is made of an expandable frame and a valve, and is radially expandable to a diameter that is at least the same as an expanded diameter of the anchoring device. The method of delivering the docking station and valve implant is performed by inserting the components through device delivery catheters.
1. A system for replacing a cardiac valve, the system comprising:
a first lumen comprising a proximal end and a distal end;
a handle;
a pushrod comprising a proximal end and a distal end, wherein the pushrod is slidably disposable in the first lumen;
an anchor disposable in the first lumen, wherein the anchor comprises at least two helical turns in a deployed configuration;
a second lumen comprising a proximal end and a distal end;
an inner shaft disposed in the second lumen; and
a replacement valve disposable in the second lumen, wherein the second lumen and inner shaft are configured such that retracting the second lumen uncovers the replacement valve;
wherein the replacement valve comprises a replacement valve body including replacement valve leaflets; and
wherein the first lumen and the second lumen are within a single catheter.
2. The system of claim 1 , wherein the anchor comprises a body comprising a shape memory material that is in a straightened configuration when disposed in the first lumen and when external to the first lumen comprises the at least two helical turns.
3. The system of claim 1 , wherein the replacement valve body comprises a stent comprising a plurality of interconnected wires, and the replacement valve body further comprises a valve material comprising a treated animal tissue.
4. The system of claim 1 , wherein the replacement valve body comprises a balloon expandable frame comprising cobalt chromium.
5. The system of claim 1 , wherein the anchor is configured such that at least one of the at least two turns can be positioned encircling native leaflets of a native mitral valve on a ventricular side of the native leaflets.
6. The system of claim 1 , wherein the replacement valve is configured such that the replacement valve can be secured to native leaflets by trapping the native leaflets between the replacement valve and the anchor.
7. A system comprising:
a catheter comprising a lumen, a proximal end, and a distal end;
a handle connected to the catheter at the proximal end of the catheter;
an anchor, wherein the anchor is transitionable between a straightened configuration, which can be disposed within the lumen for transvascular delivery through an opening in a blood vessel to a cardiac valve of a heart, and a deployed configuration comprising at least two turns;
a replacement valve, wherein the replacement valve comprises an expandable frame and a valve body, wherein the valve body comprises multiple pieces of animal tissue sewn or bonded together to form replacement leaflets that can open to allow blood flow therethrough and close to prevent blood flow therethrough;
wherein the replacement valve can transition from a collapsed configuration, for transvascular delivery through the opening in the blood vessel to the cardiac valve, to an expanded configuration;
wherein the anchor can be transvascularly delivered through the lumen of the catheter to the cardiac valve such that at least one of the at least two turns encircles leaflets of the cardiac valve, and the replacement valve is configured such that the replacement valve can be transvascularly delivered to the cardiac valve in the collapsed configuration and expanded to the expanded configuration inside the anchor and thereby secure the replacement valve and the anchor at the cardiac valve; and
wherein the expandable frame comprises a stent comprising a plurality of woven wires.
8. The system of claim 7 , wherein the expandable frame comprises cobalt chromium and posts forming commissural points, wherein the multiple pieces of animal tissue are connected to the posts, and wherein the expandable frame is balloon expandable.
9. The system of claim 7 , further comprising a pushrod slidably disposable in the lumen of the catheter configured to push the anchor from the lumen of the catheter.
10. The system of claim 7 , further comprising a second catheter having a second lumen and an inner shaft, wherein the inner shaft has a guidewire lumen, and wherein the replacement valve can be connected to the second catheter for transvascular delivery of the replacement valve through the opening in the blood vessel and to the cardiac valve.
11. The system of claim 7 , wherein the anchor and the replacement valve are configured such that, when delivered to the cardiac valve, expansion of the replacement valve from the collapsed configuration to the expanded configuration inside the anchor can trap tissue of the leaflets of the cardiac valve between the replacement valve and the anchor and thereby secure the replacement valve and the anchor at the cardiac valve.
12. The system of claim 7 , wherein, in the expanded configuration, the replacement valve has a first diameter at a first end of the replacement valve, a second diameter at a second end of the replacement valve, and a third diameter between the first end and the second end of the replacement valve, wherein the third diameter is smaller than the first diameter and the second diameter.
13. A system comprising:
a first catheter comprising a first lumen;
a handle connected to the first catheter;
an anchor, wherein the anchor is transitionable between a straightened configuration, which can be disposed within the first lumen for transvascular delivery through an opening in a femoral vein to a cardiac valve, and a deployed configuration comprising at least two turns;
a second catheter comprising a second lumen;
a replacement valve, wherein the replacement valve comprises an expandable frame comprising a plurality of wires woven together and a valve body, wherein the valve body comprises multiple pieces of tissue that together form leaflets that can open to allow blood flow therethrough and close to prevent blood flow therethrough;
wherein the replacement valve can transition from a collapsed configuration, in which the replacement valve can be disposed within the second lumen for transvascular delivery through the opening in the femoral vein to the cardiac valve, to an expanded configuration; and
wherein the anchor can be transvascularly delivered through the first lumen of the first catheter to the cardiac valve, and the replacement valve is configured such that the replacement valve can be transvascularly delivered through the second lumen of the second catheter to the cardiac valve in the collapsed configuration and expanded to the expanded configuration inside the anchor and thereby secure the replacement valve and the anchor at the cardiac valve.
14. The system of claim 13 , wherein the anchor and the replacement valve are configured such that, when delivered to the cardiac valve, expansion of the replacement valve from the collapsed configuration to the expanded configuration inside the anchor can trap tissue of the leaflets of the cardiac valve between the replacement valve and the anchor and thereby secure the replacement valve and the anchor at the cardiac valve.
15. The system of claim 13 , wherein the multiple pieces of tissue comprising a treated animal tissue.
16. The system of claim 13 , wherein the expandable frame comprises a balloon expandable frame.
17. The system of claim 13 , wherein the anchor is configured such that at least one of the at least two turns can be positioned encircling native leaflets of a native mitral valve on a ventricular side of the native leaflets.
18. The system of claim 13 , wherein the at least two turns of the anchor in the deployed configuration are configured to have a diameter smaller than a major axis of the cardiac valve, such that native commissural regions of the cardiac valve extend radially beyond the at least two turns of the anchor.
19. The system of claim 13 , wherein the anchor and the replacement valve are configured to be implanted at a native mitral valve without contacting an entire circumference of an annulus of the native mitral valve.
20. The system of claim 13 , wherein the expandable frame comprises posts forming commissural points, wherein the multiple pieces of animal tissue are connected to the posts, and wherein the expandable frame is balloon expandable.
21. The system of claim 13 , further comprising a pushrod slidably disposable in the first lumen of the first catheter configured to push the anchor from the first lumen of the first catheter.
22. The system of claim 13 , inner shaft, wherein the inner shaft has” has been changed to—wherein the second catheter has an inner shaft with, a guidewire lumen, and wherein the replacement valve can be connected to the second catheter for transvascular delivery of the replacement valve through the opening in the femoral vein to the cardiac valve.
23. The system of claim 13 , wherein, in the expanded configuration, the replacement valve has a first diameter at a first end of the replacement valve, a second diameter at a second end of the replacement valve, and a third diameter between the first end and the second end of the replacement valve, wherein the third diameter is smaller than the first diameter and the second diameter.
24. A system comprising:
a catheter comprising a lumen, a proximal end, and a distal end;
a handle connected to the catheter at the proximal end of the catheter;
an anchor, wherein the anchor is transitionable between a straightened configuration, which can be disposed within the lumen for transvascular delivery through an opening in a blood vessel to a cardiac valve of a heart, and a deployed configuration comprising at least two turns;
a replacement valve, wherein the replacement valve comprises an expandable frame and a valve body, wherein the valve body comprises multiple pieces of animal tissue sewn or bonded together to form replacement leaflets that can open to allow blood flow therethrough and close to prevent blood flow therethrough;
wherein the replacement valve can transition from a collapsed configuration, for transvascular delivery through the opening in the blood vessel to the cardiac valve, to an expanded configuration;
wherein the anchor can be transvascularly delivered through the lumen of the catheter to the cardiac valve such that at least one of the at least two turns encircles leaflets of the cardiac valve, and the replacement valve is configured such that the replacement valve can be transvascularly delivered to the cardiac valve in the collapsed configuration and expanded to the expanded configuration inside the anchor and thereby secure the replacement valve and the anchor at the cardiac valve; and
wherein the replacement valve in the expanded configuration is configured to have a diameter smaller than a major axis of the cardiac valve, such that native commissural regions of the cardiac valve extend radially beyond the replacement valve.
25. The system of claim 24 , wherein the at least two turns of the anchor in the deployed configuration are configured to have a diameter smaller than the major axis of the cardiac valve, such that native commissural regions of the cardiac valve extend radially beyond the at least two turns of the anchor.
26. The system of claim 24 , wherein the anchor and the replacement valve are configured to be implanted at a native mitral valve without contacting an entire circumference of an annulus of the native mitral valve.
27. The system of claim 24 , wherein the expandable frame comprises cobalt chromium and posts forming commissural points, wherein the multiple pieces of animal tissue are connected to the posts, and wherein the expandable frame is balloon expandable.
28. The system of claim 24 , further comprising a pushrod slidably disposable in the lumen of the catheter configured to push the anchor from the lumen of the catheter.
29. The system of claim 24 , further comprising a second catheter having a second lumen and an inner shaft, wherein the inner shaft has a guidewire lumen, and wherein the replacement valve can be connected to the second catheter for transvascular delivery of the replacement valve through the opening in the blood vessel and to the cardiac valve.
30. The system of claim 24 , wherein the anchor and the replacement valve are configured such that, when delivered to the cardiac valve, expansion of the replacement valve from the collapsed configuration to the expanded configuration inside the anchor can trap tissue of the leaflets of the cardiac valve between the replacement valve and the anchor and thereby secure the replacement valve and the anchor at the cardiac valve.
31. The system of claim 24 , wherein the expandable frame comprises a stent comprising a plurality of woven wires.
32. The system of claim 24 , wherein, in the expanded configuration, the replacement valve has a first diameter at a first end of the replacement valve, a second diameter at a second end of the replacement valve, and a third diameter between the first end and the second end of the replacement valve, wherein the third diameter is smaller than the first diameter and the second diameter.
33. A system comprising:
a catheter comprising a lumen, a proximal end, and a distal end;
a handle connected to the catheter at the proximal end of the catheter;
an anchor, wherein the anchor is transitionable between a straightened configuration, which can be disposed within the lumen for transvascular delivery through an opening in a blood vessel to a cardiac valve of a heart, and a deployed configuration comprising at least two turns;
a replacement valve, wherein the replacement valve comprises an expandable frame and a valve body, wherein the valve body comprises multiple pieces of animal tissue sewn or bonded together to form replacement leaflets that can open to allow blood flow therethrough and close to prevent blood flow therethrough;
wherein the replacement valve can transition from a collapsed configuration, for transvascular delivery through the opening in the blood vessel to the cardiac valve, to an expanded configuration;
wherein the anchor can be transvascularly delivered through the lumen of the catheter to the cardiac valve such that at least one of the at least two turns encircles leaflets of the cardiac valve, and the replacement valve is configured such that the replacement valve can be transvascularly delivered to the cardiac valve in the collapsed configuration and expanded to the expanded configuration inside the anchor and thereby secure the replacement valve and the anchor at the cardiac valve; and
wherein the at least two turns of the anchor in the deployed configuration are configured to have a diameter smaller than a major axis of the cardiac valve, such that native commissural regions of the cardiac valve extend radially beyond the at least two turns of the anchor.
34. The system of claim 33 , wherein the anchor and the replacement valve are configured to be implanted at a native mitral valve without contacting an entire circumference of an annulus of the native mitral valve.
35. The system of claim 33 , wherein the expandable frame comprises cobalt chromium and posts forming commissural points, wherein the multiple pieces of animal tissue are connected to the posts, and wherein the expandable frame is balloon expandable.
36. The system of claim 33 , further comprising a pushrod slidably disposable in the lumen of the catheter configured to push the anchor from the lumen of the catheter.
37. The system of claim 33 , further comprising a second catheter having a second lumen and an inner shaft, wherein the inner shaft has a guidewire lumen, and wherein the replacement valve can be connected to the second catheter for transvascular delivery of the replacement valve through the opening in the blood vessel and to the cardiac valve.
38. The system of claim 33 , wherein the anchor and the replacement valve are configured such that, when delivered to the cardiac valve, expansion of the replacement valve from the collapsed configuration to the expanded configuration inside the anchor can trap tissue of the leaflets of the cardiac valve between the replacement valve and the anchor and thereby secure the replacement valve and the anchor at the cardiac valve.
39. The system of claim 33 , wherein the expandable frame comprises a stent comprising a plurality of woven wires.
40. The system of claim 39 , wherein, in the expanded configuration, the replacement valve has a first diameter at a first end of the replacement valve, a second diameter at a second end of the replacement valve, and a third diameter between the first end and the second end of the replacement valve, wherein the third diameter is smaller than the first diameter and the second diameter.
41. A system comprising:
a catheter comprising a lumen, a proximal end, and a distal end;
a handle connected to the catheter at the proximal end of the catheter;
an anchor, wherein the anchor is transitionable between a straightened configuration, which can be disposed within the lumen for transvascular delivery through an opening in a blood vessel to a mitral valve of a heart, and a deployed configuration comprising at least two turns;
a replacement valve, wherein the replacement valve comprises an expandable frame and a valve body, wherein the valve body comprises multiple pieces of animal tissue sewn or bonded together to form replacement leaflets that can open to allow blood flow therethrough and close to prevent blood flow therethrough;
wherein the replacement valve can transition from a collapsed configuration, for transvascular delivery through the opening in the blood vessel to the mitral valve, to an expanded configuration;
wherein the anchor can be transvascularly delivered through the lumen of the catheter to the mitral valve such that at least one of the at least two turns encircles leaflets of the mitral valve, and the replacement valve is configured such that the replacement valve can be transvascularly delivered to the mitral valve in the collapsed configuration and expanded to the expanded configuration inside the anchor and thereby secure the replacement valve and the anchor at the mitral valve; and
wherein the anchor and the replacement valve are configured to be implanted at the mitral valve without contacting an entire circumference of an annulus of the mitral valve.
42. The system of claim 41 , wherein the expandable frame comprises cobalt chromium and posts forming commissural points, wherein the multiple pieces of animal tissue are connected to the posts, and wherein the expandable frame is balloon expandable.
43. The system of claim 41 , further comprising a pushrod slidably disposable in the lumen of the catheter configured to push the anchor from the lumen of the catheter.
44. The system of claim 41 , further comprising a second catheter having a second lumen and an inner shaft, wherein the inner shaft has a guidewire lumen, and wherein the replacement valve can be connected to the second catheter for transvascular delivery of the replacement valve through the opening in the blood vessel and to the mitral valve.
45. The system of claim 41 , wherein the anchor and the replacement valve are configured such that, when delivered to the mitral valve, expansion of the replacement valve from the collapsed configuration to the expanded configuration inside the anchor can trap tissue of the leaflets of the mitral valve between the replacement valve and the anchor and thereby secure the replacement valve and the anchor at the mitral valve.
46. The system of claim 41 , wherein the expandable frame comprises a stent comprising a plurality of woven wires.
47. The system of claim 41 , wherein, in the expanded configuration, the replacement valve has a first diameter at a first end of the replacement valve, a second diameter at a second end of the replacement valve, and a third diameter between the first end and the second end of the replacement valve, wherein the third diameter is smaller than the first diameter and the second diameter.