SYSTEM FOR THE YIELD OF A INFUNDIBULUMREDUZIERVORRICHTUNG AND USED PROCEDURES

Infundibular reducer devices

TISSUE ANCHORS AND PERCUTANEOUS TRICUSPID VALVE REPAIR USING A TISSUE ANCHOR

The present teachings provide devices and methods of treating a tricuspid valve regurgitation. Specifically, one aspect of the present teachings provides devices and methods of identifying a suitable location on the tricuspid annulus, placing a wire across the tricuspid annulus at such an identified location, deploying a tissue anchor across such an identified location, deploying two or more tissue anchors and coupling the tissue anchors with a flexible tensioning member, and applying tension to a flexible tensioning member that is coupled with the two or more tissue anchors, plicating tissues between each pair of the two or more tissue anchors, and reducing the circumference of the tricuspid annuls. As a result, a regurgitation jet is reduced or eliminated.

Infundibular reducer device delivery system and related methods

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

Minimally Invasive Procedure for Implanting an Annuloplasty Device

A method for modifying a heart valve annulus includes placing a purse string suture at a puncture site adjacent a heart valve, inserting at least one delivery member through the puncture site, positioning a distal end of the at least one delivery member adjacent a portion of a valve annulus, deploying an annuloplasty device carried within the at least one delivery member and implanting the annuloplasty device into the valve annulus. The method also includes reshaping the heart valve annulus after implantation of the at least one annuloplasty device.

INFUNDIBULAR REDUCER DEVICE DELIVERY SYSTEM AND RELATED METHODS

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

TISSUE CROSSING SYSTEM AND ANCHORS FOR USE THEREWITH

The present disclosure provides for novel ways of delivering tensioning elements, such as tethers, and deployable anchors, to a desired location within the anatomy of a patient. More specifically, the present disclosure provides a system and method for delivering deployable anchors to a desire location within the anatomy and tethering the anchors together through tissue. The deployable anchors may include anchors that have a pre-deployment elongate configuration and a post-deployment planar configuration.

INFUNDIBULAR REDUCER DEVICES

Described is a prosthetic valve assembly comprising: a radially self-expandable stent configured to expand to bear against a wall of a native body lumen; and an implantable prosthetic valve, having a diameter, the valve being mounted inside the stent; wherein the diameter of the stent is greater than the diameter of the prosthetic valve.

Annuloplasty Device Having a Helical Anchor and Methods for its Use

A system for modifying a heart valve annulus includes a helically helical anchored annuloplasty device delivered to the annulus via an elongated delivery member. The helical anchors of the devices disclosed herein are rotated into the valve annulus along an anchor guide by using a driver that is movably disposed in the delivery member. A tether is disposed within an inner channel of the helical anchor and a locking device is used to secure the annuloplasty device after the valve annulus has been modified. The annuloplasty device can be delivered to the annulus using, traditional surgical approach or a minimally invasive or catheter based methods.

Infundibular reducer device delivery system and related methods

INFUNDIBULAR REDUCER DEVICES

Described is a prosthetic valve assembly comprising: a radially self-expandable stent configured to expand to bear against a wall of a native body lumen; and an implantable prosthetic valve, having a diameter, the valve being mounted inside the stent; wherein the diameter of the stent is greater than the diameter of the prosthetic valve.

Translation Catheters, Systems, and Methods of Use Thereof

A catheter system including a wire, a translatable catheter, and first and second tethers is introduced into a body of a subject. The translatable catheter has a curved portion proximate a distal end of the translatable catheter. The first tether is coupled to the wire, and passes proximally through the translatable catheter. The second tether is attached to the curved portion. The catheter system is positioned such that the wire is disposed at a first location in the body. While the wire remains at the first location, the translatable catheter is translated away from the wire by manipulating the first tether and the second tether. Other embodiments are also described.

Tissue Anchors and Percutaneous Tricuspid Valve Repair Using A Tissue Anchor

The present teachings provide devices and methods of treating a tricuspid valve regurgitation. Specifically, one aspect of the present teachings provides devices and methods of identifying a suitable location on the tricuspid annulus, placing a wire across the tricuspid annulus at such an identified location, deploying a tissue anchor across such an identified location, deploying two or more tissue anchors and coupling the tissue anchors with a flexible tensioning member, and applying tension to a flexible tensioning member that is coupled with the two or more tissue anchors, plicating tissues between each pair of the two or more tissue anchors, and reducing the circumference of the tricuspid annuls. As a result, a regurgitation jet is reduced or eliminated. 1. A method comprising:locating a first location near a heart valve annulus;deploying a distal portion of a first tissue anchor across the heart valve annulus at the first location;deploying a proximal portion of the first tissue anchor at the first location;locating a second location near the heart valve annulus;deploying a distal portion of a second tissue anchor across the heart valve annulus at the second location; 'wherein the first tissue anchor and the second tissue anchor are connected with a continuous portion of a flexible tensioning member; and', 'deploying a proximal portion of the second tissue anchor at the second location;'}changing the distance between the first and second tissue anchors.2. The method of claim 1 , wherein at least one of the first and the second locations is on a tricuspid annulus.3. The method of comprising advancing a locating wire across the tricuspid annulus.4. The method of wherein the locating wire crosses the tricuspid annulus from right atrium to right ventricle.5. The method of wherein the locating wire crosses the tricuspid annulus from right ventricle to right atrium.6. The method of comprising capturing and pulling a distal end of the locating wire outside of the body ...

System for Treating Mitral Valve Regurgitation

A system for treating mitral valve regurgitation comprising at least delivery catheters, puncture catheters, and tensioning devices. The devices include tension members linking a proximal anchor and distal anchor that can be constructed from a tubular braded material and have internal reinforcing members. In some embodiments, the anchors and tension members may flex in response to a heart beat. The system can also include temporary anchors so a clinician can review and adjust the vector of the tension member. Delivery catheters can also include temporary anchors to secure the catheter in position. When positioned across the left ventricle of a heart, the device can reduce the lateral distance between the walls of the ventricle and thus allow better coaption of the mitral valve leaflets thereby reducing heart valve regurgitation.

Infundibular reducer devices

Described is a prosthetic valve assembly comprising: a radially self-expandable stent configured to expand to bear against a wall of a native body lumen; and an implantable prosthetic valve, having a diameter, the valve being mounted inside the stent; wherein the diameter of the stent is greater than the diameter of the prosthetic valve.

Tissue Anchors and Percutaneous Tricuspid Valve Repair Using A Tissue Anchor

The present teachings provide devices and methods of treating a tricuspid valve regurgitation. Specifically, one aspect of the present teachings provides devices and methods of identifying a suitable location on the tricuspid annulus, placing a wire across the tricuspid annulus at such an identified location, deploying a tissue anchor across such an identified location, deploying two or more tissue anchors and coupling the tissue anchors with a flexible tensioning member, and applying tension to a flexible tensioning member that is coupled with the two or more tissue anchors, plicating tissues between each pair of the two or more tissue anchors, and reducing the circumference of the tricuspid annuls. As a result, a regurgitation jet is reduced or eliminated. 1. A method comprising:locating a first location near a heart valve annulus;deploying a distal portion of a first tissue anchor across the heart valve annulus at the first location;deploying a proximal portion of the first tissue anchor at the first location;locating a second location near the heart valve annulus;deploying a distal portion of a second tissue anchor across the heart valve annulus at the second location; 'wherein the first tissue anchor and the second tissue anchor are connected with a continuous portion of a flexible tensioning member; and', 'deploying a proximal portion of the second tissue anchor at the second location;'}changing the distance between the first and second tissue anchors.2. The method of claim 1 , wherein at least one of the first and the second locations is on a tricuspid annulus.3. The method of comprising advancing a locating wire across the tricuspid annulus.4. The method of wherein the locating wire crosses the tricuspid annulus from right atrium to right ventricle.5. The method of wherein the locating wire crosses the tricuspid annulus from right ventricle to right atrium.6. The method of comprising capturing and pulling a distal end of the locating wire outside of the body ...

Catheter System with Linear Actuation Control Mechanism

The present teachings provide a delivery catheter with a deflectable tip and the deflection angle of the deflectable tip can be accurately controlled. Specifically, the delivery catheter includes a deflectable distal tip operably coupled to a pull wire, an elongated catheter portion, and a control mechanism. The control mechanism is configured to activate a rapid transformation of the deflectable tip from its linear profile to its curved profile. The control mechanism further includes a linear actuation mechanism. Such linear actuation mechanism converts a rotation motion of the control mechanism to a precise linear motion, which in turn accurately controls the bend angle of the deflectable tip of the delivery catheter. Such control mechanism can be used in applications that require the control of the distal deflection of the catheter, such as EP catheter, trans-septal device, and other devices.

Translation Catheters, Systems, and Methods of Use Thereof

The present teachings generally relate to translation catheter systems and method of using thereof in treating defective mitral valves. Specifically, a translation catheter system includes a catheter configured to move substantially laterally along the mitral annulus and the lateral movement of the catheter is substantially continuous and substantially adjustable. Accordingly, a method of using such a translation catheter includes advancing a first wire across the mitral annulus at a first treatment location, delivering a catheter at or near the first treatment location, moving the catheter substantially laterally to a second treatment location, and advancing a second wire across the mitral annulus, where the distance between the first and second treatment locations is substantially adjustable and optionally visualized.

Double-walled stent system

A double walled stent system particularly suited for treating abnormalities of the right ventricular outflow tract is disclosed having an exterior stent component and an interior stent component. The exterior stent component is secured to the interior stent component in a non-fixed, sliding relationship. The exterior stent component includes a plurality of longitudinally-extending connectors such as straight or sinusoidal bands. The interior stent component has a generally tubular cylindrical body and is centered within the exterior stent component. The stent system has a contracted delivery configuration and a radially expanded configuration for contacting the vessel wall. When deployed, the longitudinally-extending connectors of the exterior stent component come in contact with the vessel wall and fix the stent system to the treatment site. The interior stent component also radially expands but remains centered inside the exterior component and makes little to no contact with the vessel ...

Infundibular reducer devices

Described is a prosthetic valve assembly comprising: a radially self-expandable stent configured to expand to bear against a wall of a native body lumen; and an implantable prosthetic valve, having a diameter, the valve being mounted inside the stent; wherein the diameter of the stent is greater than the diameter of the prosthetic valve.

Medical clip with radial tines, system and method of using same

Device, system and method for drawing together patient tissue. A central hub has an axis. Several tines are coupled to the central hub. Each of the tines has a tip and is resiliently biased to form a coil. Each tip points radially outward from the axis, with an approximately common angle between adjacent ones of the tines.

Translation catheters and systems

The present teachings generally relate to translation catheter systems and method of using thereof in treating defective mitral valves. Specifically, a translation catheter system includes a catheter configured to move substantially laterally along the mitral annulus and the lateral movement of the catheter is substantially continuous and substantially adjustable. Accordingly, a method of using such a translation catheter includes advancing a first wire across the mitral annulus at a first treatment location, delivering a catheter at or near the first treatment location, moving the catheter substantially laterally to a second treatment location, and advancing a second wire across the mitral annulus, where the distance between the first and second treatment locations is substantially adjustable and optionally visualized.

Stent graft system and method of use

A stent graft system and method of use includes a stent graft for fixation at an attachment site with graft material defining at least one opening having an opening perimeter; a support attached to the graft material; a guide rail attached around the opening perimeter; and a helical anchor having a plurality of coils with a point at one end. The plurality of coils are rotatable around the guide rail to cause the pointed end of the coils to penetrate the graft material and the adjacent tissue in contact with the stent graft to sew the stent graft to the attachment site.

System and Method for Reshaping Heart

The present teachings provide systems, devices, and methods for reshaping the heart and reducing valve regurgitation. A device can be positioned proximate the heart and have a delivery profile and an inflated profile. The device can have a primary cavity and a secondary cavity, and an adhesive inside the secondary cavity. An injectable medium can be injected to the primary cavity of the device. As the primary cavity is filled, the adhesive is forced out of the secondary cavity to adhere the device. The inflated device can exert pressure on the heart, change the shape of a valve annulus, and allow a better coaptation of the valve leaflets. 1. A system comprising:an access sheath, configured to be introduced to a treatment location outside a heart of a subject;a delivery catheter; a tissue-binding adhesive;', 'a flexible outer layer encasing a primary cavity and a secondary cavity outside of the primary cavity, a portion of the flexible outer layer outside of the secondary cavity having a plurality of pores between the secondary cavity and the outside of the flexible outer layer;', 'a barrier separating the primary and secondary cavities, inhibiting moisture from crossing the barrier; and, 'a device configured to be positioned at the treatment location, against the right side of the heart, the device comprisingwherein the device has a collapsed delivery profile and an inflated deployment profile, and in the collapsed delivery profile, the device is dimensioned to be advanced, within the access sheath, to the treatment location, while the secondary cavity contains the tissue-binding adhesive;wherein the device is inflatable to the inflated deployment profile by introducing an injection medium into the primary cavity, andwherein introducing the injection medium into the primary cavity forces at least some of the tissue-binding adhesive out of the secondary cavity via the pores.2. The system according to claim 1 , wherein the barrier separating the primary and secondary ...

Catheter system with linear actuation control mechanism

The present teachings provide a delivery catheter with a deflectable tip and the deflection angle of the deflectable tip can be accurately controlled. Specifically, the delivery catheter includes a deflectable distal tip operably coupled to a pull wire, an elongated catheter portion, and a control mechanism. The control mechanism is configured to activate a rapid transformation of the deflectable tip from its linear profile to its curved profile. The control mechanism further includes a linear actuation mechanism. Such linear actuation mechanism converts a rotation motion of the control mechanism to a precise linear motion, which in turn accurately controls the bend angle of the deflectable tip of the delivery catheter. Such control mechanism can be used in applications that require the control of the distal deflection of the catheter, such as EP catheter, trans-septal device, and other devices.

TISSUE EXCISION, CUTTING, AND REMOVAL SYSTEMS AND METHODS

The disclosure provides various embodiments of catheters having articulable ends that can be used for various procedures. Embodiments of methods are also provided that can be performed with catheters in accordance with the present disclosure. 1. A catheter comprising:an elongate member having a collapsible basket mounted thereon having an open distal facing end, the distal facing end being selectively collapsible by applying tension to an actuator; anda deployable cutting snare loop, wherein a user can use the basket to at least partially surround an object attached to a tissue mass, collapse the basket around the object by applying tension to the actuator, and then sever the tissue mass by cutting through the tissue mass with the deployable cutting snare loop.2. The catheter of claim 1 , wherein the cutting step is accomplished at least in part by withdrawing the cutting snare loop into an elongate tubular member claim 1 , wherein the elongate tubular member has a distal end proximate the distal end of the collapsible basket.3. The catheter of claim 1 , wherein the collapsible basket can be moved distally with respect to the cutting snare loop to permit the collapsible basket to be maneuvered around the object.4. The catheter of claim 1 , wherein the elongate member slides along the outside of a tubular member that houses the cutting snare.5. The catheter of claim 1 , wherein the collapsible basket is formed from a laser cut hypotube formed into a stent-like pattern defined by zig-zag rows of struts.6. The catheter of claim 5 , further comprising a cinching tether woven through fenestrations defined about the open distal facing end of the collapsible basket claim 5 , wherein application of tension to the cinching tether causes the collapsible basket to collapse.7. The catheter of claim 1 , wherein a proximal end of the collapsible basket is fastened to the elongate member by a radiopaque marker band and the elongate member further includes a second radiopaque ...

Delivery catheter with forward-looking ultrasound imaging

A catheter based medical device is provided for a percutaneous surgical procedure that provides forward-looking visualization and delivery of a medical device. The catheter includes a carriage at its distal end and an ultrasonic transducer is supported by the carriage. A conduit that has its proximal end disposed within the catheter and the conduit passes through the sidewall of the catheter proximate to the distal end of the catheter so that the distal end of the conduit is disposed on an exterior of the sidewall of the catheter. A medical device is deliverable through the lumen of the conduit and the ultrasonic transducer provides visualization of the medical device distally of the transducer.

Double-Walled Stent System

A double walled stent system particularly suited for treating abnormalities of the right ventricular outflow tract is disclosed having an exterior stent component and an interior stent component. The exterior stent component includes a plurality of longitudinally-extending connectors such as straight or sinusoidal bands. The interior stent component has a generally tubular cylindrical body and is centered within the exterior stent component. The stent system has a contracted delivery configuration and a radially expanded configuration for contacting the vessel wall. When deployed, the longitudinally-extending connectors of the exterior stent component come in contact with the vessel wall and fix the stent system to the treatment site. The interior stent component also radially expands but remains centered inside the exterior component and makes little to no contact with the vessel wall.

Infundibular Reducer Devices

Described is a prosthetic valve assembly comprising: a radially self-expandable stent configured to expand to bear against a wall of a native body lumen; and an implantable prosthetic valve, having a diameter, the valve being mounted inside the stent; wherein the diameter of the stent is greater than the diameter of the prosthetic valve.

Telescoping Catheter With Electromagnetic Coils for Imaging and Navigation During Cardiac Procedures

An image guided navigation system for mapping at least one of the shape, size and location of a structure within a heart of a patient, including a catheter system having a first catheter with a longitudinally extending lumen, a second catheter having a longitudinally extending lumen and positioned at least partially within and moveable relative to the lumen of the first catheter, an elongated member positioned at least partially within and moveable relative to a lumen of the second catheter, a first detectable marker located at a generally distal end of the first catheter, a second detectable marker located at a generally distal end of the second catheter, and a third detectable marker located at a generally distal end of the elongated member, wherein at least one of the three detectable markers is axially moveable relative to at least one of the other detectable markers.

Infundibular reducer device delivery system and related methods

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

Stent Graft Fixation System and Method of Use

A stent graft fixation system and method of use includes a stent graft system for fixation to a vessel wall, the system having a helical anchor and a stent graft. The helical anchor has a number of coils with a point at one end and a helical anchor axis, and the stent graft has a stent graft axis. The coils are operable to sew the stent graft to the vessel wall with the helical anchor axis generally parallel to the stent graft axis.

Medical Clip with Radial Tines, System and Method of Using Same

Device, system and method for drawing together patient tissue. A central hub has an axis. Several tines are coupled to the central hub. Each of the tines has a tip and is resiliently biased to for a coil. Each tip points radially outward from the axis, with an approximately common angle between adjacent ones of the tines.

Stent Graft System and Method of Use

A stent graft system and method of use includes a stent graft for fixation at an attachment site with graft material defining at least one opening having an opening perimeter; a support attached to the graft material; a guide rail attached around the opening perimeter; and a helical anchor having a plurality of coils with a point at one end. The plurality of coils are rotatable around the guide rail to cause the pointed end of the coils to penetrate the graft material and the adjacent tissue in contact with the stent graft to sew the stent graft to the attachment site.

Annuloplasty Device Having a Helical Anchor and Methods for its Use

A system for modifying a heart valve annulus includes a helically helical anchored annuloplasty device delivered to the annulus via an elongated delivery member. The helical anchors of the devices disclosed herein are rotated into the valve annulus along an anchor guide by using a driver that is movably disposed in the delivery member. A tether is disposed within an inner channel of the helical anchor and a locking device is used to secure the annuloplasty device after the valve annulus has been modified. The annuloplasty device can be delivered to the annulus using, traditional surgical approach or a minimally invasive or catheter based methods.

Prosthesis Fixation Apparatus and Methods

A tubular prosthesis comprises a tubular graft; and an undulating stent having a plurality of apexes, a first end defined at least in part by a first group of the apexes, and a second end defined at least in part by a second group of the apexes, the first group of apexes being pivotally attached to the tubular graft so as to form a plurality of circumferentially arranged hinges about which the stent can pivot so that the second group of apexes can move between a position where they are inside the tubular graft and a position where they are outside the tubular graft. In one embodiment a tubular prosthesis comprises a tubular graft having a first end margin, a second end margin and a central portion therebetween; and an undulating stent having a plurality of apexes, a first end defined at least in part by a first group of the apexes, and a second end defined at least in part by a second group of the apexes, the undulating stent being secured to the tubular graft in a manner such that it can ...

Infundibular Reducer Device Delivery System and Related Methods

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

Tissue anchors and percutaneous tricuspid valve repair using a tissue anchor

The present teachings provide devices and methods of treating a tricuspid valve regurgitation. Specifically, one aspect of the present teachings provides devices and methods of identifying a suitable location on the tricuspid annulus, placing a wire across the tricuspid annulus at such an identified location, deploying a tissue anchor across such an identified location, deploying two or more tissue anchors and coupling the tissue anchors with a flexible tensioning member, and applying tension to a flexible tensioning member that is coupled with the two or more tissue anchors, plicating tissues between each pair of the two or more tissue anchors, and reducing the circumference of the tricuspid annuls. As a result, a regurgitation jet is reduced or eliminated.

Devices for Imaging and Navigation During Minimally Invasive Non-Bypass Cardiac Procedures

Delivery devices for placement of therapeutic devices relative a heart valve annulus of a beating heart that are delivered to the heart via minimally invasive surgical procedures and can be used in the heart during a therapeutic procedure that can be visualized in real time and be guided to specific locations within the heart. The systems and methods can be used to determine the exact location of the implantation delivery devices and therapeutic devices relative to a valve annulus and to determine that any therapeutic device is implanted in the correct location.

System and Method for Reshaping Right Heart

The present teachings provide devices and methods of reshaping the right heart and reducing tricuspid valve regurgitation. Specifically, one aspect of the present teachings provides an inflatable device to be deployed in the space between the sternum and the right heart. An injectable medium is injected to the cavity of the device. Once the device is filled, the device is detached from the delivery system, and released inside the body. The inflated device exerts pressure to the right heart, changes the shape of the tricuspid annulus, and allows a better coaptation of the tricuspid leaflets. 1. A device configured to be positioned against a right heart , the device comprising:a flexible outer layer encasing a cavity, wherein the cavity is configured to be filled with an injection medium, and the flexible outer layer is configured to prevent moisture and gas from crossing the flexible outer layer, andan injection port configured to allow the injection medium entering into the cavity,wherein the device has a collapsed delivery profile and an inflated deployment profile.2. The device of claim 1 , wherein a portion of the flexible outer layer inflates to a greater extent than the rest of the flexible outer layer.3. The device of claim 1 , wherein the flexible outer layer comprises a first component and a second component claim 1 , wherein the first component and the second component are bound together to form a waist.4. The device of claim 3 , wherein the first component is configured to be positioned against a right atrium claim 3 , the second component is configured to be positioned against a right ventricle claim 3 , and the waist is configured to be positioned outside of a tricuspid annulus.5. The device of claim 3 , wherein the waist of the flexible outer layer inflates less than the first and second components in the inflated deployment profile.6. The device of claim 1 , wherein the device comprises a balloon that further includes an injection tube that defines the ...

Annuloplasty device having a helical anchor and methods for its use

A system for modifying a heart valve annulus includes a helically helical anchored annuloplasty device delivered to the annulus via an elongated delivery member. The helical anchors of the devices disclosed herein are rotated into the valve annulus along an anchor guide by using a driver that is movably disposed in the delivery member. A tether is disposed within an inner channel of the helical anchor and a locking device is used to secure the annuloplasty device after the valve annulus has been modified. The annuloplasty device can be delivered to the annulus using, traditional surgical approach or a minimally invasive or catheter based methods.

Annuloplasty Device Having a Helical Anchor and Methods for its Use

A system for modifying a heart valve annulus includes a helically helical anchored annuloplasty device delivered to the annulus via an elongated delivery member. The helical anchors of the devices disclosed herein are rotated into the valve annulus along an anchor guide by using a driver that is movably disposed in the delivery member. A tether is disposed within an inner channel of the helical anchor and a locking device is used to secure the annuloplasty device after the valve annulus has been modified. The annuloplasty device can be delivered to the annulus using, traditional surgical approach or a minimally invasive or catheter based methods.

Minimally invasive procedure for implanting an annuloplasty device

A method for modifying a heart valve annulus includes placing a purse string suture at a puncture site adjacent a heart valve, inserting at least one delivery member through the puncture site, positioning a distal end of the at least one delivery member adjacent a portion of a valve annulus, deploying an annuloplasty device carried within the at least one delivery member and implanting the annuloplasty device into the valve annulus. The method also includes reshaping the heart valve annulus after implantation of the at least one annuloplasty device.

Double-Walled Stent System

A double walled stent system particularly suited for treating abnormalities of the right ventricular outflow tract is disclosed having an exterior stent component and an interior stent component. The exterior stent component is secured to the interior stent component in a non-fixed, sliding relationship. The exterior stent component includes a plurality of longitudinally-extending connectors such as straight or sinusoidal bands. The interior stent component has a generally tubular cylindrical body and is centered within the exterior stent component. The stent system has a contracted delivery configuration and a radially expanded configuration for contacting the vessel wall. When deployed, the longitudinally-extending connectors of the exterior stent component come in contact with the vessel wall and fix the stent system to the treatment site. The interior stent component also radially expands but remains centered inside the exterior component and makes little to no contact with the vessel ...

DELIVERY CATHETER WITH FORWARD-LOOKING ULTRASOUNG IMAGING

A catheter based medical device is provided for a percutaneous surgical procedure that provides forward-looking visualization and delivery of a medical device. The catheter includes a carriage at its distal end and an ultrasonic transducer is supported by the carriage. A conduit that has its proximal end disposed within the catheter and the conduit passes through the sidewall of the catheter proximate to the distal end of the catheter so that the distal end of the conduit is disposed on an exterior of the sidewall of the catheter. A medical device is deliverable through the lumen of the conduit and the ultrasonic transducer provides visualization of the medical device distally of the transducer.

Infundibular reducer device delivery system and related methods

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

Annuloplasty Device Having a Helical Anchor and Methods for its Use

A system for modifying a heart valve annulus includes a helically helical anchored annuloplasty device delivered to the annulus via an elongated delivery member. The helical anchors of the devices disclosed herein are rotated into the valve annulus along an anchor guide by using a driver that is movably disposed in the delivery member. A tether is disposed within an inner channel of the helical anchor and a locking device is used to secure the annuloplasty device after the valve annulus has been modified. The annuloplasty device can be delivered to the annulus using, traditional surgical approach or a minimally invasive or catheter based methods.

INFUNDIBULAR REDUCER DEVICE DELIVERY SYSTEM AND RELATED METHODS

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site. 19-. (canceled)10: A method of loading a device onto a delivery system , the method comprising the steps of:receiving a self-expanding device having a proximal end and a distal end, a central lumen there through, and a plurality of attachment members located at or near the proximal end;receiving a delivery system comprising a loading rail having two free ends, an elongated inner catheter having a proximal end and a tapered distal end, an elongated holding catheter having a proximal end and a distal end comprising a coil for attachment to the device and a center lumen passing there through to slidably maintain the inner catheter and the coil, and an elongated outer sheath having a proximal and a distal end and a center lumen passing there through;extending the inner catheter through the lumen of the holding catheter and extending both the inner catheter and holding catheter through the lumen of the outer sheath;threading the plurality of attachment members onto the loading rail;connecting one free end of the loading rail to the coil on the holding catheter;advancing the plurality of attachment members along the loading rail and onto the coil, wherein the advancing procedure partially collapses the device;removing the loading rail from the coil after all of the attachment members are transferred to the coil;collapsing the device in the outer sheath by sliding outer sheath over the stent; andenclosing the collapsed device by retracting the inner catheter proximally and pulling the distal tapered end into the distal end of the outer sheath.11: The method of claim 10 , wherein the plurality of attachment members comprise loops. ...

Catheter Having a Selectively Formable Distal Section

The current invention discloses a delivery catheter with a selectively formable distal section. The catheter comprises a central lumen that is configured to receive a puncture catheter that is used for puncturing the septum of a heart and to emplace devices used for treating mitral regurgitation. The delivery catheter includes control members disposed in a control lumen, and a plurality curved areas can be selectively formed in the distal section of the delivery catheter by applying tension to the control members. A first curve is shaped to conform to the interior of a heart chamber and a combination of the first curve and a second curve allows a clinician to manipulate the distal end of the catheter for selection of the proper vector for deploying a treatment device, or for guiding a treatment device around obstacles in a heart chamber.

Translation catheters, systems, and methods of use thereof

The present teachings generally relate to translation catheter systems and method of using thereof in treating defective mitral valves. Specifically, a translation catheter system includes a catheter configured to move substantially laterally along the mitral annulus and the lateral movement of the catheter is substantially continuous and substantially adjustable. Accordingly, a method of using such a translation catheter includes advancing a first wire across the mitral annulus at a first treatment location, delivering a catheter at or near the first treatment location, moving the catheter substantially laterally to a second treatment location, and advancing a second wire across the mitral annulus, where the distance between the first and second treatment locations is substantially adjustable and optionally visualized.

Infundibular reducer devices

Double-walled stent system

A double walled stent system particularly suited for treating abnormalities of the right ventricular outflow tract is disclosed having an exterior stent component and an interior stent component. The exterior stent component includes a plurality of longitudinally-extending connectors such as straight or sinusoidal bands. The interior stent component has a generally tubular cylindrical body and is centered within the exterior stent component. The stent system has a contracted delivery configuration and a radially expanded configuration for contacting the vessel wall. When deployed, the longitudinally-extending connectors of the exterior stent component come in contact with the vessel wall and fix the stent system to the treatment site. The interior stent component also radially expands but remains centered inside the exterior component and makes little to no contact with the vessel wall.

Tissue excision, cutting, and removal systems and methods

The disclosure provides various embodiments of catheters having articulable ends that can be used for various procedures. Embodiments of methods are also provided that can be performed with catheters in accordance with the present disclosure.

TISSUE EXCISION, CUTTING, AND REMOVAL SYSTEMS AND METHODS

The disclosure provides various embodiments of catheters having articulable ends that can be used for various procedures. Embodiments of methods are also provided that can be performed with catheters in accordance with the present disclosure. 1. A catheter including a distal end , the distal end including:a collapsible basket mounted thereon; anda deployable snare, wherein a user can use the basket to at least partially surround an object attached to a tissue mass, collapse the basket around the object, and then sever the tissue mass by cutting through the tissue mass with the snare.2. A method of using the catheter of to remove a mitral clip device from a native mitral leaflet.3. The catheter of claim 1 , wherein the cutting step is accomplished at least in part by withdrawing the snare back into the catheter.4. A catheter including an outer tubular member with at least one sharpened distal protrusion claim 1 , and an inner rod including a tissue grasper claim 1 , wherein the tissue grasper can be advanced distally out of a distal end of the tubular member to grasp tissue claim 1 , and further wherein the at least one sharpened distal tip can be used to cut through tissue by rotating the outer tubular member about a central axis of the outer tubular member.5. A method of using any device herein to remove a mitral clip claim 1 , a cyst claim 1 , or other tissue structure.6. The catheter of claim 1 , wherein the collapsible basket can be moved distally with respect to a second portion of the catheter to permit the collapsible basket to be maneuvered around the object.7. The catheter of claim 4 , wherein the outer tubular member includes a laser cut hypotube. The present patent application is a continuation of and claims the benefit of priority to U.S. patent application Ser. No. 17/086,431, filed Nov. 1, 2020, which in turn is a continuation of and claims the benefit of priority to International Application No. PCT/US2020/55160, filed Oct. 9, 2020, which in turn ...

Catheter System with Linear Actuation Control Mechanism

The present teachings provide a delivery catheter with a deflectable tip and the deflection angle of the deflectable tip can be accurately controlled. Specifically, the delivery catheter includes a deflectable distal tip operably coupled to a pull wire, an elongated catheter portion, and a control mechanism. The control mechanism is configured to activate a rapid transformation of the deflectable tip from its linear profile to its curved profile. The control mechanism further includes a linear actuation mechanism. Such linear actuation mechanism converts a rotation motion of the control mechanism to a precise linear motion, which in turn accurately controls the bend angle of the deflectable tip of the delivery catheter. Such control mechanism can be used in applications that require the control of the distal deflection of the catheter, such as EP catheter, trans-septal device, and other devices. 1. A catheter assembly comprising: a catheter shaft and a control mechanism , wherein the catheter shaft having a deflectable distal portion , and wherein the control mechanism is configured to activate a rapid transformation of the deflectable distal portion of the catheter shaft from a linear profile to a curved profile.2. The control mechanism of further comprising a linear actuation mechanism claim 1 , wherein the linear actuation mechanism converts a rotation motion of the control mechanism to a precise linear motion.3. The control mechanism of claim 2 , wherein the linear motion of the control mechanism is configured to control the bend angle of the deflectable distal portion of the catheter shaft.4. The catheter shaft of comprises a first configuration where a distal portion aligns with the longitudinal axis of the catheter shaft claim 1 , and a second configuration where the distal portion curves away from the longitudinal axis of the catheter shaft.5. A catheter assembly comprising: a catheter shaft claim 1 , a pull wire claim 1 , and a control mechanism claim 1 , ...

Translation Catheters, Systems, and Methods of Use Thereof

The present teachings generally relate to translation catheter systems and method of using thereof in treating defective mitral valves. Specifically, a translation catheter system includes a catheter configured to move substantially laterally along the mitral annulus and the lateral movement of the catheter is substantially continuous and substantially adjustable. Accordingly, a method of using such a translation catheter includes advancing a first wire across the mitral annulus at a first treatment location, delivering a catheter at or near the first treatment location, moving the catheter substantially laterally to a second treatment location, and advancing a second wire across the mitral annulus, where the distance between the first and second treatment locations is substantially adjustable and optionally visualized. 1. A catheter system comprising:a first wire configured to be positioned at a first location;a translatable catheter configured to be positioned at a second location and be movable between a first position at which the translatable catheter is at or proximate the first location and a second position at which the translatable catheter is at the second location; anda translation element configured to move the translatable catheter from the first position to the second position in a substantially linear fashion, while the first wire is maintained at the first location.2. The catheter system of claim 1 , wherein the first wire is disposed within another catheter that is separate from the translatable catheter claim 1 , wherein both the first wire and the translatable catheter are slidingly contained within lumens formed in a delivery sheath.3. The catheter system of claim 2 , wherein the translation element operably connects the other catheter and the translatable catheter and permits the translatable catheter to move away from the other catheter from the first position to the second position.4. The catheter system of claim 1 , wherein the translation ...

TISSUE CUTTING SYSTEMS AND METHODS

The disclosure provides various embodiments of systems to facilitate the cutting of luminal tissue structures percutaneously. 1. An electrosurgical guidewire , comprising:a core wire having a proximal end, and a distal end and being defined by an outer surface between the proximal end and the distal end of the core wire, said core wire having a centerline that traverses the length of the core wire from the proximal end to the distal end of the core wire;a radiopaque marker pattern disposed over the core wire to indicate a location proximate a middle section of the guidewire to be kinked and used to cut through tissue during an electrosurgical procedure; anda dielectric coating disposed about the core wire and the radiopaque marker pattern, wherein the proximal end and distal end of the core wire are exposed and the proximal end is configured to be coupled to an electrosurgical generator, and further wherein the dielectric coating is configured to be stripped from the guidewire proximate the radiopaque marker pattern,2. The electrosurgical guidewire of claim 1 , wherein the radiopaque marker pattern defines a central region to be crimped and stripped of the dielectric coating claim 1 , and a plurality of measurement indicia on either side of the central region.3. The electrosurgical guidewire of claim 2 , wherein the radiopaque marker pattern includes a radiopaque metallic material.4. The electrosurgical guidewire of claim 3 , wherein the marker pattern includes gold metallic material deposited over the core wire.5. The electrosurgical guidewire of claim 4 , wherein the marker pattern includes gold metallic material electroplated on the core wire using a mask to form the marker pattern.6. The electrosurgical guidewire of claim 3 , wherein the radiopaque marker pattern includes an uneven surface configured to enhance its visual signature under fluoroscopy.7. The electrosurgical guidewire of claim 1 , wherein the dielectric material has a dielectric strength at 1 mil ...

Translation Catheters, Systems, and Methods of Use Thereof

The present teachings generally relate to translation catheter systems and method of using thereof in treating defective mitral valves. Specifically, a translation catheter system includes a catheter configured to move substantially laterally along the mitral annulus and the lateral movement of the catheter is substantially continuous and substantially adjustable. Accordingly, a method of using such a translation catheter includes advancing a first wire across the mitral annulus at a first treatment location, delivering a catheter at or near the first treatment location, moving the catheter substantially laterally to a second treatment location, and advancing a second wire across the mitral annulus, where the distance between the first and second treatment locations is substantially adjustable and optionally visualized. 1. A catheter system comprising:a first wire configured to be positioned at a first location;a translatable catheter configured to be positioned at a second location and be movable between a first position at which the translatable catheter is at or proximate the first location and a second position at which the translatable catheter is at the second location; anda translation element configured to move the translatable catheter from the first position to the second position in a substantially linear fashion, while the first wire is maintained at the first location.2. The catheter system of claim 1 , wherein the first wire is disposed within another catheter that is separate from the translatable catheter claim 1 , wherein both the first wire and the translatable catheter are slidingly contained within lumens formed in a delivery sheath.3. The catheter system of claim 2 , wherein the translation element operably connects the other catheter and the translatable catheter and permits the translatable catheter to move away from the other catheter from the first position to the second position.4. The catheter system of claim 1 , wherein the translation ...

CATHETER SYSTEM WITH LINEAR ACTUATION CONTROL MECHANISM

A handle shaft is disposed at a proximal end of a catheter. A wire extends from a distal part of the catheter, proximally through the catheter to the handle shaft. A knob is disposed outside of the handle shaft. A threaded mechanism provides operative coupling between the knob and the handle shaft such that (i) rotation of the knob with respect to the handle shaft alters tension in the wire via the threaded mechanism functioning as a linear actuator; and (ii) non-rotational axial movement of the knob with respect to the handle shaft alters tension in the wire without the threaded mechanism functioning as a linear actuator. Other embodiments are also described. 1. Apparatus , comprising:a catheter;a handle shaft, disposed at a proximal end of the catheter;a wire, extending from a distal part of the catheter, proximally through the catheter to the handle shaft;a knob, disposed outside of the handle shaft; and rotation of the knob with respect to the handle shaft alters tension in the wire via the threaded mechanism functioning as a linear actuator, and', 'non-rotational axial movement of the knob with respect to the handle shaft alters tension in the wire without the threaded mechanism functioning as a linear actuator., 'a threaded mechanism that provides operative coupling between the knob and the handle shaft such that2. The apparatus according to claim 1 , wherein the wire is coupled to the catheter such that increasing tension in the wire deflects a distal portion of the catheter.3. The apparatus according to claim 1 , wherein the threaded mechanism:comprises a first thread coupled to the knob, and a second thread coupled to the handle and threadedly engaged with the first thread, andfunctions as the linear actuator by the first thread threadedly moving along the second thread in response to the rotation of the knob with respect to the handle shaft.4. The apparatus according to claim 3 , wherein the first thread circumscribes a central longitudinal axis claim 3 , ...

sent structure and valve prosthesis.

Endoprosthesis with retaining means and methods of use

A tubular prosthesis (100) comprises a tubular graft; and an undulating stent having a plurality of apexes (106), a first end defined at least in part by a first group (106A) of the apexes, and a second end defined at least in part by a second group (106B) of the apexes, the first group of apexes being pivotally attached to the tubular graft so as to form a plurality of circumferentially arranged hinges about which the stent can pivot so that the second group of apexes can move between a position where they are inside the tubular graft and a position where they are outside the tubular graft.

Devices for Imaging and Navigation During Minimally Invasive Non-Bypass Cardiac Procedures

Delivery devices for placement of therapeutic devices relative a heart valve annulus of a beating heart that are delivered to the heart via minimally invasive surgical procedures and can be used in the heart during a therapeutic procedure that can be visualized in real time and be guided to specific locations within the heart. The systems and methods can be used to determine the exact location of the implantation delivery devices and therapeutic devices relative to a valve annulus and to determine that any therapeutic device is implanted in the correct location.

Translation catheters, systems, and methods of use thereof

Infundibular Reducer Device Delivery System and Related Methods

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

Prosthesis Fixation Apparatus and Methods

A tubular prosthesis comprises a tubular graft; and an undulating stent having a plurality of apexes, a first end defined at least in part by a first group of the apexes, and a second end defined at least in part by a second group of the apexes, the first group of apexes being pivotally attached to the tubular graft so as to form a plurality of circumferentially arranged hinges about which the stent can pivot so that the second group of apexes can move between a position where they are inside the tubular graft and a position where they are outside the tubular graft. In one embodiment a tubular prosthesis comprises a tubular graft having a first end margin, a second end margin and a central portion therebetween; and an undulating stent having a plurality of apexes, a first end defined at least in part by a first group of the apexes, and a second end defined at least in part by a second group of the apexes, the undulating stent being secured to the tubular graft in a manner such that it can be inverted to extend generally in the same direction as the tubular graft with one end thereof forming an end of said tubular prosthesis and pointing away from the central portion of the tubular graft.

Double-Walled Stent System

A double walled stent system particularly suited for treating abnormalities of the right ventricular outflow tract is disclosed having an exterior stent component and an interior stent component. The exterior stent component includes a plurality of longitudinally-extending connectors such as straight or sinusoidal bands. The interior stent component has a generally tubular cylindrical body and is centered within the exterior stent component. The stent system has a contracted delivery configuration and a radially expanded configuration for contacting the vessel wall. When deployed, the longitudinally-extending connectors of the exterior stent component come in contact with the vessel wall and fix the stent system to the treatment site. The interior stent component also radially expands but remains centered inside the exterior component and makes little to no contact with the vessel wall.

Stented heart valve devices

A stent frame (10) including an annular portion (12) having first and second ends, a central longitudinal axis, and a wire portion with at least two extending posts (18) the wire portion having a generally sinusoidal series of peaks and valleys be-tween each of the at least two extending posts; an atrial portion (14) extending from the first end of the annular portion, wherein the atrial portion includes a plurality of flares (20) that extend radially outward relative to the longitudinal axis of the annular por-tion; and a ventricular portion (16) extending from the second end of the annular portion, wherein the ventricular portion includes at least one flare (24) that extends radially outward relative to the longitudinal axis of the annular portion.

Telescoping catheter with electromagnetic coils for imaging and navigation during cardiac procedures

An image guided navigation system for mapping at least one of the shape, size and location of a structure within a heart of a patient, including a catheter system having a first catheter with a longitudinally extending lumen, a second catheter having a longitudinally extending lumen and positioned at least partially within and moveable relative to the lumen of the first catheter, an elongated member positioned at least partially within and moveable relative to a lumen of the second catheter, a first detectable marker located at a generally distal end of the first catheter, a second detectable marker located at a generally distal end of the second catheter, and a third detectable marker located at a generally distal end of the elongated member, wherein at least one of the three detectable markers is axially moveable relative to at least one of the other detectable markers.

Infundibular reducer device delivery system and related methods

Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

Devices and methods for cerclage of lumenal systems

The present disclosure provides embodiments of devices that are useful in the structural remodeling of various parts of the cardiovascular system, most notably the heart. Certain of the disclosed devices relate to RAMIN procedures (“remodeling and ablation using myocardial interstitial navigation”). RAMIN procedures, as described herein, represent a new family of non-surgical catheter-based procedures in order to accomplish ablation, drug delivery, re-shaping, pacing, and related structural heart interventional procedures, as desired.

Telescoping Catheter With Electromagnetic Coils for Imaging and Navigation During Cardiac Procedures

An image guided navigation system for mapping at least one of the shape, size and location of a structure within a heart of a patient, including a catheter system having a first catheter with a longitudinally extending lumen, a second catheter having a longitudinally extending lumen and positioned at least partially within and moveable relative to the lumen of the first catheter, an elongated member positioned at least partially within and moveable relative to a lumen of the second catheter, a first detectable marker located at a generally distal end of the first catheter, a second detectable marker located at a generally distal end of the second catheter, and a third detectable marker located at a generally distal end of the elongated member, wherein at least one of the three detectable markers is axially moveable relative to at least one of the other detectable markers.

Annuloplasty Device Having a Helical Anchor and Methods for its Use

A system for modifying a heart valve annulus includes a helically helical anchored annuloplasty device delivered to the annulus via an elongated delivery member. The helical anchors of the devices disclosed herein are rotated into the valve annulus along an anchor guide by using a driver that is movably disposed in the delivery member. A tether is disposed within an inner channel of the helical anchor and a locking device is used to secure the annuloplasty device after the valve annulus has been modified. The annuloplasty device can be delivered to the annulus using, traditional surgical approach or a minimally invasive or catheter based methods.

System zum ausbringen einer infundibulumreduziervorrichtung und verwandte verfahren

Catheter system with control mechanism

A catheter assembly comprises a catheter, a handle, disposed at a proximal part of the catheter, a pull wire, extending from a distal part of the catheter, proximally through the catheter to the handle, and a control handle assembly, disposed at the handle, and configured to be operated: (i) in a gross-tensioning manner that grossly adjusts tension on the pull wire, and (ii) in a fine-tensioning manner that finely adjusts the tension on the pull wire. Other embodiments are also described.

Catheters and manipulators with articulable ends

The disclosure provides various embodiments of catheters having articulable ends that can be used for various procedures. Embodiments of methods are also provided that can be performed with catheters in accordance with the present disclosure.

Translation catheters, systems, and methods of use thereof

A catheter system including a wire, a translatable catheter, and first and second tethers is introduced into a body of a subject. The translatable catheter has a curved portion proximate a distal end of the translatable catheter. The first tether is coupled to the wire, and passes proximally through the translatable catheter. The second tether is attached to the curved portion. The catheter system is positioned such that the wire is disposed at a first location in the body. While the wire remains at the first location, the translatable catheter is translated away from the wire by manipulating the first tether and the second tether. Other embodiments are also described.

Catheter system with linear actuation control mechanism

A handle shaft is disposed at a proximal end of a catheter. A wire extends from a distal part of the catheter, proximally through the catheter to the handle shaft. A knob is disposed outside of the handle shaft. A threaded mechanism provides operative coupling between the knob and the handle shaft such that (i) rotation of the knob with respect to the handle shaft alters tension in the wire via the threaded mechanism functioning as a linear actuator; and (ii) non-rotational axial movement of the knob with respect to the handle shaft alters tension in the wire without the threaded mechanism functioning as a linear actuator. Other embodiments are also described.

Tissue excision, cutting, and removal systems and methods

Tissue excision, cutting, and removal systems and methods

The disclosure provides various embodiments of catheters that can be used for various procedures. Embodiments of methods are also provided that can be performed with catheters in accordance with the present disclosure.

Tissue crossing system and anchor for use therewith

Devices and methods for cerclage of lumenal systems

The present disclosure provides embodiments of devices that are useful in the structural remodeling of various parts of the cardiovascular system, most notably the heart. Certain of the disclosed devices relate to RAMIN procedures ("remodeling and ablation using myocardial interstitial navigation"). RAMIN procedures, as described herein, represent a new family of non-surgical catheter-based procedures in order to accomplish ablation, drug delivery, re-shaping, pacing, and related structural heart interventional procedures, as desired.

Translation catheters, systems, and methods of use thereof

Apparatus, for use at a valve of a heart of a subject, includes a first catheter, a second catheter, and a translation element. The translation element is connected to, and operatively joins, the distal ends of the first catheter and the second catheter. The translation element is operable to translate the distal ends laterally with respect to each other to transition the apparatus between (i) a first state in which the distal ends are held next to each other for transluminal advancement to the heart, and (ii) a second state in which the distal ends are spaced apart from each other for positioning at a first location on the annulus and a second location on the annulus, respectively. The apparatus is configured to, while in the second state, from the distal ends, anchor a first tissue anchor at the first location, and a second tissue anchor at the second location.

Tissue cutting systems and methods

The disclosure provides various embodiments of systems to facilitate the cutting of luminal tissue structures percutaneously.

Tissue cutting systems and methods

The disclosure provides various embodiments of systems to facilitate the cutting of luminal tissue structures percutaneously.

Tissue excision, cutting, and removal systems and methods

The disclosure provides various embodiments of systems to facilitate the cutting of luminal tissue structures percutaneously.

Tissue cutting systems and methods

The disclosure provides various embodiments of systems to facilitate the cutting of tissue structures and other tissue structures percutaneously.

Tissue crossing system and anchor for use therewith

The present disclosure provides for novel ways of delivering tensioning elements, such as tethers, and deployable anchors, to a desired location within the anatomy of a patient. More specifically, the present disclosure provides a system and method for delivering deployable anchors to a desire location within the anatomy and tethering the anchors together through tissue. The deployable anchors may include anchors that have a pre-deployment elongate configuration and a post-deployment planar configuration.

Catheter and actuator systems and methods

The disclosure provides various embodiments of systems to facilitate the cutting of tissue structures and other tissue structures percutaneously.

Tissue cutting systems and methods

A device to cut tissue, comprising: an elongate body having a proximal end and a distal end; an elongate tether operably coupled to the elongate body, wherein the elongate tether and elongate body are configured to be longitudinally displaceable with respect to one another; and a cutting element disposed on the elongate body, wherein relative longitudinal movement of the elongate tether and the elongate body causes the cutting element to cut through anatomical tissue that the device is placed adjacent to.

Tissue cutting systems and methods

The disclosure provides various embodiments of systems to facilitate the cutting of tissue structures and other tissue structures percutaneously.

Catheter and actuator systems and methods

A medical device, comprising: an elongate tether having a proximal end and a distal end; a first tubular catheter surrounding the elongate tether and being slidably displaceable along and with respect to the elongate tether, the first tubular catheter having a proximal end and a distal end; a second tubular catheter surrounding the first tubular catheter and being slidably displaceable along and with respect to the first tubular catheter, the second tubular catheter having a proximal end and a distal end; and a third tubular catheter surrounding the second tubular catheter and being slidably displaceable along and with respect to the second tubular catheter, the third tubular catheter having a proximal end and a distal end.

Devices and methods for cerclage of lumenal systems

Tissue cutting systems and methods