US6949122B2
Expired / Lapsed
US
⏱️ 0.0 years remaining
Focused compression mitral valve device and method
Assignee: Cardiac Dimensions Pty Ltd
•
Filing: 2001-11-01
•
Granted: 2005-09-27
•
Expires: 2021-11-01
Abstract
Abstract A mitral valve therapy device and method treats dilated cardiomyopathy. The device is configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus. The device includes a force distributor that distributes an applied force along a pericardial wall of the coronary sinus, and a force applier that applies the applied force to one or more discrete portions of a wall of the coronary sinus adjacent to the mitral valve annulus to reshape the mitral valve annulus in a localized manner.
Inventors
- 👤 John M. Adams
- 👤 David G. Reuter
- 👤 Mark L. Mathis
- 👤 Scott J. Wolf
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-30 19:41
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2442; A61F2/2451; A61M; A61M25/00; A61M25/10; A61M25/1006
Claims Analysis
Total Claims: 80
Claim 1
Independent Claim
65 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus.
Claim 2
Dependent Claim
65 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus.
Claim 3
Dependent Claim
42 words
The device of claim 1 wherein the coronary sinus has an unstressed cross-sectional dimension and wherein the force applier has a cross-sectional dimension greater than the unstressed cross-sectional dimension of the coronary sinus to change the shape of the mitral valve annulus.
Claim 4
Dependent Claim
27 words
The device of claim 1 wherein the force applier applies the applied force to a plurality of discrete portions of the atrial wall of the coronary sinus.
Claim 5
Dependent Claim
115 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus, wherein the mitral valve annulus has a circumference, wherein the coronary sinus has a cross sectional diameter, and wherein the force applier has an axial length substantially less than half the circumference of the mitral valve annulus and a deployed transverse dimension greater than the diameter of the coronary sinus.
Claim 6
Dependent Claim
115 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus, wherein the mitral valve annulus has a circumference, wherein the coronary sinus has a cross sectional diameter, and wherein the force applier has an axial length substantially less than half the circumference of the mitral valve annulus and a deployed transverse dimension greater than the diameter of the coronary sinus.
Claim 7
Dependent Claim
27 words
The device of claim 4 wherein the device comprises an expandable structure that expands from a collapsed condition to an expanded condition defining the deployed transverse dimension.
Claim 8
Dependent Claim
11 words
The device of claim 5 wherein the expandable structure is self-expandable.
Claim 9
Dependent Claim
12 words
The device of claim 5 wherein the expandable structure is mechanically expandable.
Claim 10
Dependent Claim
13 words
The device of claim 7 wherein the expandable structure is pull wire expandable.
Claim 11
Dependent Claim
12 words
The device of claim 5 wherein the device is cylindrical in configuration.
Claim 12
Dependent Claim
12 words
The device of claim 9 wherein the device is a frame structure.
Claim 13
Dependent Claim
12 words
The device of claim 10 wherein the frame structure is balloon expandable.
Claim 14
Dependent Claim
85 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus, the device further including a force distributor that distributes the applied force along a pericardial wall of the coronary sinus.
Claim 15
Dependent Claim
85 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus, the device further including a force distributor that distributes the applied force along a pericardial wall of the coronary sinus.
Claim 16
Dependent Claim
27 words
The device of claim 12 wherein the force applier applies the applied force to a plurality of discrete portions of the atrial wall of the coronary sinus.
Claim 17
Dependent Claim
44 words
The device of claim 12 wherein the force distributor has a surface area, wherein the force applier has a surface area defining the discrete portion, and wherein the surface area of the force distributor is greater than the surface area of the force applier.
Claim 18
Dependent Claim
72 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus, wherein the force applier is a balloon.
Claim 19
Dependent Claim
72 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising a force applier that applies an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on a discrete portion of the mitral valve annulus, wherein the force applier is a balloon.
Claim 20
Dependent Claim
84 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising: a force distributor that distributes an applied force along a pericardial wall of the coronary sinus; a force applier that applies the applied force to at least one discrete portion of a wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on at least one discrete portion of the mitral valve annulus.
Claim 21
Dependent Claim
84 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising: a force distributor that distributes an applied force along a pericardial wall of the coronary sinus; a force applier that applies the applied force to at least one discrete portion of a wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on at least one discrete portion of the mitral valve annulus.
Claim 22
Dependent Claim
31 words
The device of claim 16 wherein the mitral valve annulus has a circumference and wherein the force applier has a length substantially less than one half the mitral valve annulus circumference.
Claim 23
Dependent Claim
32 words
The device of claim 16 wherein the force applier applies the applied force to a plurality of discrete portions of the wall of the coronary sinus adjacent to the mitral valve annulus.
Claim 24
Dependent Claim
54 words
The device of claim 16 wherein the force distributor comprises an elongated first member configured to substantially continuously contact the pericardial wall of the coronary sinus and wherein the force applier comprises a second member extending from the first member at an angle, the second member having an end that applies the applied force.
Claim 25
Dependent Claim
16 words
The device of claim 19 wherein the second member is resiliently connected to the first member.
Claim 26
Dependent Claim
19 words
The device of claim 19 wherein the first and second members are integrally formed from a same elongated member.
Claim 27
Dependent Claim
16 words
The device of claim 21 wherein the same elongated member is formed from a resilient material.
Claim 28
Dependent Claim
30 words
The device of claim 19 wherein the first member has opposed ends and wherein the second member extends from the first member intermediate the opposed ends of the first member.
Claim 29
Dependent Claim
29 words
The device of claim 23 wherein the force applier further includes at least one additional member extending from the first member intermediate the opposed ends of the first member.
Claim 30
Dependent Claim
23 words
The device of claim 24 wherein the at least one additional member extends from the first member substantially parallel to the second member.
Claim 31
Dependent Claim
15 words
The device of claim 24 wherein the first and second members form an integral structure.
Claim 32
Dependent Claim
23 words
The device of claim 24 wherein the plurality of columnar frame structures are expandable from a collapsed condition to an expanded columnar condition.
Claim 33
Dependent Claim
14 words
The device of claim 27 wherein the plurality of columnar frame structures are self-expandable.
Claim 34
Dependent Claim
15 words
The device of claim 27 wherein the plurality of columnar frame structures are balloon expandable.
Claim 35
Dependent Claim
32 words
The device of claim 16 wherein the force distributor is an elongated frame structure and wherein the force applier comprises at least one columnar frame structure extending from the elongated frame structure.
Claim 36
Dependent Claim
24 words
The device of claim 30 wherein the at least one columnar frame structure is expandable from a collapsed condition to an expanded columnar condition.
Claim 37
Dependent Claim
15 words
The device of claim 31 wherein the at least one columnar frame structure is self-expandable.
Claim 38
Dependent Claim
16 words
The device of claim 31 wherein the at least one columnar frame structure is balloon expandable.
Claim 39
Dependent Claim
20 words
The device of claim 30 wherein the elongated frame structure is expandable from a collapsed condition to an expanded condition.
Claim 40
Dependent Claim
12 words
The device of claim 34 wherein the elongated frame structure is self-expandable.
Claim 41
Dependent Claim
13 words
The device of claim 34 wherein the elongated frame structure is balloon expandable.
Claim 42
Dependent Claim
16 words
The device of claim 30 wherein the force applier comprises a plurality of columnar frame structures.
Claim 43
Dependent Claim
29 words
The device of claim 16 wherein the device is an elongated frame structure, the elongated frame structure having a portion of increased transverse dimension to form the force applier.
Claim 44
Dependent Claim
15 words
The device of claim 38 wherein the elongated frame structure is expandable in transverse dimension.
Claim 45
Dependent Claim
12 words
The device of claim 39 wherein the elongated frame structure is self-expandable.
Claim 46
Dependent Claim
13 words
The device of claim 39 wherein the elongated frame structure is balloon expandable.
Claim 47
Dependent Claim
47 words
The device of claim 16 wherein the device is an elongated member having outwardly curved end portions that engage the pericardial wall of the coronary sinus to form the force distributor and an inwardly curved portion between the outwardly curved end portions to form the force applier.
Claim 48
Independent Claim
52 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus.
Claim 49
Independent Claim
52 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus.
Claim 50
Independent Claim
64 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus, wherein the applying step includes inflating a balloon within the coronary sinus.
Claim 51
Independent Claim
64 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus, wherein the applying step includes inflating a balloon within the coronary sinus.
Claim 52
Dependent Claim
36 words
The method of claim 43 wherein the applying step includes the step of implanting a force applying device in the coronary sinus, the device applying the force to the discrete localized portion of the coronary sinus.
Claim 53
Independent Claim
133 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus, wherein the applying step includes the step of implanting a force applying device in the coronary sinus, the device applying the force to the discrete localized portion of the coronary sinus, wherein the device is expandable from a collapsed condition to a deployed condition, wherein the implanting step is carried out while the device is in the collapsed condition, and wherein the applying step further includes the step of expanding the device to the deployed condition after the device is implanted.
Claim 54
Independent Claim
133 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus, wherein the applying step includes the step of implanting a force applying device in the coronary sinus, the device applying the force to the discrete localized portion of the coronary sinus, wherein the device is expandable from a collapsed condition to a deployed condition, wherein the implanting step is carried out while the device is in the collapsed condition, and wherein the applying step further includes the step of expanding the device to the deployed condition after the device is implanted.
Claim 55
Dependent Claim
16 words
The method of claim 46 wherein the expanding step includes expanding the device with a balloon.
Claim 56
Dependent Claim
14 words
The method of claim 46 wherein the expanding step includes mechanically expanding the device.
Claim 57
Independent Claim
65 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus and distributing the applied force along a pericardial wall of the coronary sinus.
Claim 58
Independent Claim
65 words
A method of treating dilated cardiomyopathy of a heart including the step of applying a force to a discrete localized portion of an atrial wall of a coronary sinus to concentrate the force on a corresponding localized portion of a mitral valve annulus to change the shape of the mitral valve annulus and distributing the applied force along a pericardial wall of the coronary sinus.
Claim 59
Dependent Claim
44 words
The method of claim 49 wherein the applying step includes the step of applying the force to a plurality of discrete localized portions of the atrial wall of the coronary sinus while distributing the applied force along the pericardial wall of the coronary sinus.
Claim 60
Dependent Claim
38 words
The method of claim 50 wherein the applying step includes the step of implanting a force applying device in the coronary sinus, the device applying the force to the plurality of discrete localized portions of the coronary sinus.
Claim 61
Dependent Claim
55 words
The method of claim 51 wherein the device is expandable from a collapsed condition to a deployed condition, wherein the implanting step is carried out while the device is in the collapsed condition, and wherein the applying step further includes the step of expanding the device to the deployed condition after the device is implanted.
Claim 62
Dependent Claim
16 words
The method of claim 52 wherein the expanding step includes expanding the device with a balloon.
Claim 63
Dependent Claim
14 words
The method of claim 52 wherein the expanding step includes mechanically expanding the device.
Claim 64
Dependent Claim
65 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus.
Claim 65
Dependent Claim
65 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus.
Claim 66
Dependent Claim
43 words
The device of claim 55 wherein the coronary sinus has an unstressed cross-sectional dimension and wherein the force applying means has a cross-sectional dimension greater than the unstressed cross-sectional dimension of the coronary sinus for changing the shape of the mitral valve annulus.
Claim 67
Dependent Claim
31 words
The device of claim 55 wherein the force applying means includes means for applying the applied force to a plurality of discrete portions of the atrial wall of the coronary sinus.
Claim 68
Dependent Claim
73 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, wherein the force applying means is a balloon.
Claim 69
Dependent Claim
73 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, wherein the force applying means is a balloon.
Claim 70
Dependent Claim
116 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, wherein the mitral valve annulus has a circumference, wherein the coronary sinus has a cross sectional diameter, and wherein the force applying means has an axial length substantially less than half the circumference of the mitral valve annulus and a deployed transverse dimension greater than the diameter of the coronary sinus.
Claim 71
Dependent Claim
116 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, wherein the mitral valve annulus has a circumference, wherein the coronary sinus has a cross sectional diameter, and wherein the force applying means has an axial length substantially less than half the circumference of the mitral valve annulus and a deployed transverse dimension greater than the diameter of the coronary sinus.
Claim 72
Dependent Claim
83 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, wherein the device comprises expandable structure means for expanding from a collapsed condition to an expanded deployed condition.
Claim 73
Dependent Claim
83 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, wherein the device comprises expandable structure means for expanding from a collapsed condition to an expanded deployed condition.
Claim 74
Dependent Claim
13 words
The device of claim 60 wherein the expandable structure means is mechanically expandable.
Claim 75
Dependent Claim
13 words
The device of claim 60 wherein the expandable structure means is balloon expandable.
Claim 76
Dependent Claim
85 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, the device further including force distributing means for distributing the applied force along a pericardial wall of the coronary sinus.
Claim 77
Dependent Claim
85 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising force applying means for applying an applied force to a discrete portion of the atrial wall of the coronary sinus adjacent to the mitral valve annulus for concentrating the applied force on a discrete portion of the mitral valve annulus, the device further including force distributing means for distributing the applied force along a pericardial wall of the coronary sinus.
Claim 78
Dependent Claim
51 words
The device of claim 63 wherein the force distributing means has a surface area, wherein the force applying means has a surface area defining the at least one discrete portion, and wherein the surface area of the force distributing means is greater than the surface area of the force applying means.
Claim 79
Dependent Claim
85 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising: force distributing means for distributing an applied force along a pericardial wall of the coronary sinus; and force applying means for applying the applied force to at least one discrete portion of a wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on at least one discrete portion of the mitral valve annulus.
Claim 80
Dependent Claim
85 words
A mitral valve therapy device configured to be placed in the coronary sinus of a heart adjacent to the mitral valve annulus, the device comprising: force distributing means for distributing an applied force along a pericardial wall of the coronary sinus; and force applying means for applying the applied force to at least one discrete portion of a wall of the coronary sinus adjacent to the mitral valve annulus to concentrate the applied force on at least one discrete portion of the mitral valve annulus.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2008-09-26 | 2009-03-28 | 2009-09-27 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2012-09-26 | 2013-03-28 | 2013-09-27 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2016-09-26 | 2017-03-28 | 2017-09-27 | $7700.00 | Window Closed / Lapsed |