195 results about "Diastole" patented technology

The present invention provides a series of new percutaneous concepts of paravalvular repairs including identifying the leak location, several repair techniques and finally built-in means for leak prevention, built on percutaneous valves. A catheter-delivered device locates cavities occurring between a prosthetic valve and the wall of the body vessel where the valve is implanted, the cavities producing paravalvular leaks during diastole, the device comprising at least one of a plurality of flexible wires, the wire having attached to it a balloon, wherein the balloon is pulled by the leak through the cavity and wherein the wire then serves to mark the cavity location.

Described are devices and methods for treating degenerative, congestive heart disease and related valvular dysfunction. Percutaneous and minimally invasive surgical tensioning structures offer devices that mitigate changes in the ventricular structure (i.e., remodeling) and deterioration of global left ventricular performance related to tissue damage precipitating from ischemia, acute myocardial infarction (AMI) or other abnormalities. These tensioning structures can be implanted within various major coronary blood-carrying conduit structures (arteries, veins and branching vessels), into or through myocardium, or into engagement with other anatomic structures that impact cardiac output to provide tensile support to the heart muscle wall which resists diastolic filling pressure while simultaneously providing a compressive force to the muscle wall to limit, compensate or provide therapeutic treatment for congestive heart failure and / or to reverse the remodeling that produces an enlarged heart.

Artificial implantable active and passive girdles include a heart assist system with an artificial myocardium employing a number of flexible, non-distensible tubes with the walls along their long axes connected in series to form a cuff and a passive girdle is wrapped around a heart muscle which has dilatation of a ventricle to conform to the size and shape of the heart and to constrain the dilatation during diastole. The passive girdle is formed of a material and structure that does not expand away from the heart but may, over an extended period of time be decreased in size as dilatation decreases.

In an implantable medical device and a method for stimulating a heart of a patient, at least one left atrial pressure (LAP) signal over a cardiac cycle is obtained. The A-wave is identified using the LAP signal and a maximum positive rate of change of the A-wave of the LAP signal is determined. The maximum positive rate of change of the A-wave corresponds to the rate which the pressure in the atrium raises as the atria contraction forces more blood into the ventricle during the very last stage of diastole. Further, AV and / or VV delay is adjusted in response to the maximum positive rate of change of the A-wave, wherein a reduction of the maximum positive rate of change of the A-wave indicates an AV and / or VV delay providing an enhanced hemodynamic performance.

The device and method for reducing heart wall stress. The device can be one which reduces wall stress throughout the cardiac cycle or only a portion of the cardiac cycle. The device can be configured to begin to engage, to reduce wall stress during diastolic filling, or begin to engage to reduce wall stress during systolic contraction. Furthermore, the device can be configured to include at least two elements, one of which engages full cycle and the other which engages only during a portion of the cardiac cycle.

Apparatus is provided including first and second chambers, adapted to be in fluid communication with first and second volumes of oxygenated blood of a subject, respectively, the first and second chambers having first and second surfaces, respectively. A third surface is adapted to apply an elastically-derived force, at least a first and second portions of the third surface in mechanical communication with, respectively, the first and second surfaces, during at least a portion of a cardiac cycle. A pressure-sensitive valve is coupled between the first and second chambers, the valve adapted: (a) to be in an open position during at least a portion of systole, such that the first chamber is in fluid communication with the second chamber; and (b) to be in a substantially closed position during diastole, such that the first chamber is substantially not in fluid communication with the second chamber. Other embodiments are also described.

A system for performing an analysis of pressure-signals derivable from pressure measurements on or in a body of a human being or animal, includes a communication interface for receiving a set of digital pressure sample values, a memory for storing these values, and a processor capable of performing the analysis, the processor having means to identify features related to single pressure waves in the pressure signals based on input of the digital data into the processor, and the processor further having determination means which based on the features is configured to a) determine a minimum pressure value related to diastolic minimum value and a maximum pressure value related to systolic maximum value, b) determine at least one parameter of the single wave parameters elected from the group of: pressure amplitude=ΔP=[(maximum pressure value)−(minimum pressure value)], latency (ΔT), rise time or rise time coefficient=ΔP / ΔT, and wavelength of the single wave, c) determine number of the single pressure waves occurring during a given time sequence, including determination of the number of single pressure waves with pre-selected values of one or more of the single pressure wave parameters during the given time sequence, and d) determine number of single pressure waves with pre-selected combinations of two or more of the single pressure wave parameters during the given time sequence. Further, the system has a display for visual presentation of the result of analysis performed by the processor.

A device, a kit and a method are presented for permanently augmenting the pump function of the left heart. The basis for the presented innovation is an augmentation of the physiologically up and down movement of the mitral valve during each heart cycle. By means of catheter technique, minimal surgery, or open heart surgery implants are inserted into the left ventricle, the mitral valve annulus, the left atrium and adjacent tissue in order to augment the natural up and down movement of the mitral valve and thereby increasing the left ventricular diastolic filling and the piston effect of the closed mitral valve when moving towards the apex of said heart in systole and / or away from said apex in diastole.

The present disclosure is directed to a cardiac reinforcement device (CRD) and method for the treatment of cardiomyopathy. The CRD provides for reinforcement of the walls of the heart by constraining cardiac expansion, beyond a predetermined limit, during diastolic expansion of the heart. A CRD of the invention can be applied to the epicardium of the heart to locally constrain expansion of the cardiac wall or to circumferentially constrain the cardiac wall during cardiac expansion.

A device, a kit and a method is presented for permanently augmenting the pump function of the left heart. The mitral valve plane is assisted in a movement along the left ventricular long axis during each heart cycle. The very close relationship between the coronary sinus and the mitral valve is used by various embodiments of a medical device providing this assisted movement. By means of catheter technique an implant is inserted into the coronary sinus, the device is augmenting the up and down movement of the mitral valve and thereby increasing the left ventricular diastolic filling when moving upwards and the piston effect of the closed mitral valve when moving downwards.

A perfusion system for off-pump coronary artery bypass is provided in order to make the off-pump coronary artery bypass easier and safer and to restrict the amount of bleeding to a degree for not affecting operations by occluding the vessel in concurrency with the perfusion, including a blood removal portion, a pump, and a perfusion portion for returning blood pumped out by the pump in the form of an injection of the blood in pulses in response to a diastolic phase of the heart.

A device used to treat heart disease by decreasing the size of a diseased heart, or to prevent further enlargement of a diseased heart. The device works by limiting the volume of blood entering the heart during each cardiac cycle. The device partitions blood within the heart, and protects the heart from excessive volume and pressure of blood. The device is placed within the interior of the heart, particularly within a ventricular cavity. The device is a hollow sac, with two openings, which simulates the shape and size of the interior lining of a ventricle of a normal heart. It allows the ventricle to fill through one opening juxtaposed to the annulus of the inflow valve to a predetermined, normal volume, and limits filling of the heart beyond that volume. It then allows blood to be easily ejected through the second opening through the outflow valve. By limiting the amount of blood entering the ventricle, the ventricle is not subjected to the harmful effect of excessive volume and pressure of blood during diastole, the period of the cardiac cycle when the heart is at rest. This allows the heart to decrease in size, or to reverse remodel, and to recover lost function. In some applications, a second device may be simultaneously placed inside the heart to take up excessive space between the heart and the primary device.