Edwards Lifesciences Corporation

Baxter International Inc.

Carmat

Intuitive Surgical Operations, Inc.

American Hospital Supply Corporation

Cardiothoracic Systems, Inc.

Other

Medtronic, Inc.

Baxter Travenol Laboratories, Inc.

Rhone-Poulenc Industries

Intuitive Surgical, Inc.

Université Pierre Et Marie Curie (Paris Vi)

Societe Industrielle De Combustible Nucleaire S I C N

Etablissement Public: Universite Pierre Et Marie Curie

Compagnie Parisienne De Chauffage Urbain

Alain F Carpentier

Sophie M Carpentier

Hung Ly Lam

Stefan G Schreck

Lillian J Quintero

Gary S Guthart

Ernest Lane

Eve C Coste-Maniere

Hugues Lafrance

Louai Adhami

Jean-Daniel Boissonnat

Michael C Murad

Than Nguyen

Crystal M Cunanan

David H Adams

Jean-Marc Parquet

Richard S Rhee

Michael N Helmus

Diana Nguyen-Thien-Nhon

Aws S Nashef

Victor S Packham

Antoine Capel

Jong H Wang

H Chris Sarner

Christine Loshbaugh

William J Recktenwald

Marc Grimme

Charles S Taylor

Francesco Maisano

Patrick M McCarthy

Alberto Redaelli

Alexandre Carpentier

Ottavio Alfieri

Wesley Vazo Adzich

Claude Wartelle

George X Guo

Marion Melot

Alexandre C Carpentier

Grimme Marc,

Louis A Campbell

Da-Yu Chang

William Charles Brunnett

John F Migliazza

Robert Leinders

Michel Hassler

Van Le Huynh

Antoine N Camps

Anand R Rao

Vaso Adzich

W Vaso Adzich

Steven M Ford

Robert W Frater

Hugues La France

Victor E Koik

Marcel Provost

Jean-Claude Provost

Xavier Leclercq

Jean Paris

Vincent Garitey

Jean-Elie Gourgues

Pascal Bareau

Maurice Koechler

Sophie Carpentier

David Adams

A prosthetic tricuspid remodeling annuloplasty ring having two free ends that are upturned in the inflow direction to help avoid unnecessary leaflet abrasion. The free ends are desirably separated across a gap that is large enough to reduce the risk of passing sutures through the conductive system of the heart, yet not too large that support of the septal leaflet of the tricuspid annulus is degraded. The tricuspid ring may have four sequential segments looking from the inflow side and extending in a clockwise direction from a free end located adjacent the antero septal commissure after implant. The ring may define an inflow bulge in the first segment and/or an inflow bulge in the fourth segment that help the ring conform to the natural bulges created by the adjacent aorta, thereby reducing stress and the potential for ring dehiscence. Desirably, the ring has variable flexibility, either gradual and/or between or within different segments, so as to adapt or harmonize its 3-dimensional shape to each individual patient.

Physiologically harmonized repair of tricuspid valve

A holder for a prosthetic mitral heart valve that attaches to an inflow end of the valve and includes a simple tensioning mechanism that flexes the heart valve commissure posts inward to help prevent suture looping. The tensioning mechanism may include relatively movable rings of the holder or a generally unitary holder with a tensor, or rotatable knob. Connecting sutures thread through internal passages in the holder and travel in the outflow direction along valve commissure posts, emerging at the post tips and mutually crossing over the outflow side of the valve. A handle attaches off-center on the holder to increase visualization of and access to the heart valve through a central window for enhanced access to the commissure posts and leaflets. The holder is constructed of non-metallic materials so as to avoid interfering with imaging devices, and the handle is ergonomically curved and shaped to facilitate manipulation.

Ergonomic methods of delivering mitral heart valves

Ergonomic Methods of delivering mitral heart valves

Methods and apparatus for enhancing surgical planning provide enhanced planning of entry port placement and/or robot position for laparoscopic, robotic, and other minimally invasive surgery. Various embodiments may be used in robotic surgery systems to identify advantageous entry ports for multiple robotic surgical tools into a patient to access a surgical site. Generally, data such as imaging data is processed and used to create a model of a surgical site, which can then be used to select advantageous entry port sites for two or more surgical tools based on multiple criteria. Advantageous robot positioning may also be determined, based on the entry port locations and other factors. Validation and simulation may then be provided to ensure feasibility of the selected port placements and/or robot positions. Such methods, apparatus, and systems may also be used in non-surgical contexts, such as for robotic port placement in munitions diffusion or hazardous waste handling.

Methods and apparatus for surgical planning

A prosthetic mitral valve with a compressible and expandable base structure that, when expanded, is circumferentially oval, elliptical, or D-shaped, with a major axis and a minor axis ratio of from about 3:4 to about 4:5. Embodiments of the base structure comprise a primary member and a secondary member surrounding the primary member and coupled thereto. Three flexible leaflets are attached to commissure sections of the primary member in a tri-foil configuration. Embodiments of the prosthetic mitral valve include an atrial ring disposed at the inflow end of the stent.

Prosthetic mitral valve

Ergonomic mitral heart valve holders

Methods of remodeling an abnormal mitral valve with an annuloplasty ring having a reduced anterior-to-posterior dimension to restore coaptation between the mitral leaflets in mitral valve insufficiency (IMVI). The ring has a generally oval shaped body with a major axis perpendicular to a minor axis. An anterior section lies between anteriolateral and posteriomedial trigones, while a posterior section defines the remaining ring body and is divided into P, P, and Psegments. The anterior-to-posterior dimension of the ring body is reduced from conventional rings; such as by providing, in atrial plan view, a pulled-in Psegment. The ring body may have a downwardly deflected portion in the posterior section. The downwardly deflected portion may have an apex which is the lowest elevation of the ring body and may be offset with respect to the center of the downwardly deflected portion toward the Psegment.

Methods for repairing mitral valves

A prosthetic mitral valve with a compressible and expandable stent that, when expanded, is circumferentially oval, elliptical, or D-shaped, with a major axis and a minor axis ratio of from about 3:4 to about 4:5. Embodiments of the stent comprise three commissure regions disposed towards an outflow end and three curved cusp regions between adjacent commissure regions. Three flexible leaflets are attached to the commissure regions in a tri-foil configuration. Embodiments of the prosthetic mitral valve include an atrial ring disposed at the inflow end of the stent.

Bioprosthetic tissues are treated by immersing or otherwise contacting fixed, unfixed or partially fixed tissue with a glutaraldehyde solution that has previously been heat-treated or pH adjusted prior to its contact with the tissue. The prior heat treating or pH adjustment of the glutaraldehyde solution causes its free aldehyde concentration to decrease by about 25% or more, preferably by as much as 50%, and allows a 'stabilized' glutaraldehyde solution to be obtained at the desired concentration and pH for an optimal fixation of the tissue at high or low temperature. This treatment results in a decrease in the tissue's propensity to calcify after being implanted within the body of a human or animal patient.

Treatment of bioprosthetic tissues to mitigate post implantation calcification

Disclosed is a composite hemocompatible material and a method for producing a composite hemocompatible material. The composite material includes a synthetic substrate and an animal biological tissue. The animal biological tissue is interlinked the synthetic substrate so as to bond the animal biological tissue to the synthetic substrate and form the composite hemocompatible material.

Composite hemocompatible material and method for its production

A tricuspid remodeling annuloplasty ring having two free ends that are upturned in the inflow direction to help avoid unnecessary leaflet abrasion. The free ends are separated across a gap that is large enough to reduce the risk of passing sutures through the conductive system of the heart, yet not too large that support of the septal leaflet of the tricuspid annulus is degraded. The ring may have four sequential segments looking from the inflow side and extending in a clockwise direction from a free end located adjacent the antero septal commis sure after implant. The ring may define an inflow bulge in the first segment and/or an inflow bulge in the fourth segment that help the ring conform to the natural bulges created by the adjacent aorta, thereby reducing stress and the potential for ring dehiscence. Desirably, the ring has variable flexibility, either gradual and/or between or within different segments.

Physiologically harmonized tricuspid annuloplasty ring

A prosthetic mitral valve with a compressible and expandable stent that, when expanded, is circumferentially oval, elliptical, or D-shaped, with a major axis and a minor axis ratio of from about 3:4 to about 4:5. Embodiments of the stent comprise three commissure posts disposed towards an outflow end and three curved cusp regions between adjacent commissure posts. Three flexible leaflets are attached to the commissure posts in a tri-foil configuration. Embodiments of the prosthetic mitral valve include an atrial ring disposed at the inflow end of the stent.

Annuloplasty rings optimally sized to take into account more of the common degenerative valve pathologies. Each ring has a structural ring body with a shape that complies with predicted shapes of degenerative valvular diseases, such as fibroelastic deficiency (FED), Marfan's or Barlow's. The predicted shapes are obtained through careful echocardiographic and intraoperative measurements, and often differ for different annulus orifice sizes. For instance, in mitral rings the larger rings have larger minor axis and oblique axis dimensions relative to their major axis dimensions, and are more circular as opposed to D-shaped. The rings may also be three-dimensional and the relative heights around the rings may change for different sized rings. A mitral ring may have a higher anterior saddle relative to a posterior saddle, with the relative heights varying across the ring sizes. The ring may have varying flexibility around the ring periphery which also changes for different ring sizes. A bulge on the sewing cuff forms a step on the outflow side for ease of suturing, which may be indicated by a suture line.

Mitral annuloplasty ring with suture line

Bioprosthetic tissues and methods for making same, comprising fixing bioprosthetic implant tissue by treatment with 0.1 to 10 wt. % glutaraldehyde at elevated temperature, capping said fixed tissue by treatment with a diamine crosslinking agent, and treating said capped tissue with about 0.6 wt. % glutaraldehyde.

Double cross-linkage process to enhance post-implantation bioprosthetic tissue durability

Growing community of inventors

Paris, France

Alain F Carpentier