Abstract: Systems, devices, and methods for treating a diseased native valve in a patient, the system comprising a compressible and expandable frame structure and an anchor. The anchor comprises a wire having a free end and is configured to be fully advanced from an atrial side of a native valve in a patient into a ventricle of the heart and anchor the frame structure to the native valve when the frame structure is in the expanded configuration adjacent the native valve.

Abstract: A delivery device for cardiac valve repair implants includes a delivery catheter and an extension member protruding from a distal end of the delivery catheter. The delivery device further includes a control arm assembly having pairs of control arms. Each pair includes a proximal control arm drivable from a handle assembly of the delivery device and a distal arm coupled to a distal end of the proximal control arm and a distal end of the extension member. Proximally driving each of the proximal control arms of the control arm assembly results in expansion of the control arm assembly and corresponding expansion of a cardiac valve repair implant coupled to the control arm assembly.

Abstract: Systems, devices, and methods for treating a diseased native valve in a patient, the system comprising a compressible and expandable frame structure and an anchor. The anchor comprises a wire having a free end and is configured to be fully advanced from an atrial side of a native valve in a patient into a ventricle of the heart and anchor the frame structure to the native valve when the frame structure is in the expanded configuration adjacent the native valve.

Abstract: Interfaces for delivery systems for delivering and deploying prosthetic heart valves. A prosthetic valve may be secured to a patient's native diseased valve by a spiral-shaped anchor that encircles an outer periphery of the prosthetic valve. In some examples, the interface provides a releasable connection between the anchor and a tether that guides placement of the anchor with respect to the patients native valve. Once the anchor is properly positioned, the prosthetic valve may be positioned and expanded within the patient's native valve and the anchor. The tether-anchor interface can release the anchor from the tether, leaving the anchor and valve prosthesis secured in place within the heart.

Abstract: A heart valve prosthesis for replacing a diseased native valve in a patient, the valve includes a compressible and expandable frame structure and an anchor connected to an outer periphery of the frame structure. The anchor comprises a free end and has a flat spiral shape. The valve may further include a valve segment mounted within the frame structure and expanded with the frame structure. The frame structure may be configured for receiving a valve segment.

Abstract: A method for treating a diseased native valve in a patient includes advancing a distal end of a delivery device that is detachable coupled to an anchor to a first side of a native valve, deploying the anchor from a delivery configuration to a deployed configuration on the first side of the native valve, advancing the anchor in the deployed configuration from the first side of the native valve to a second side of the native valve such that the anchor is located only on the second side of the native valve, rotating the anchor in the deployed configuration around chordae of the native valve, confirming a position of the anchor with an imaging source, and releasing the anchor from the distal end of the delivery device.

Abstract: Systems comprising expandable devices for making wireless measurements at a target tissue of a patient are disclosed herein. Configurations of expandable devices addressing potential negative consequences of mechanical loading of sensors and circuitry of the expandable devices during delivery and expansion at a target location are disclosed. Systems can comprise an external device configured to provide electrical power to the expandable device and to communicate data wirelessly with the expandable device.

Abstract: A delivery device for cardiac valve repair implants includes a delivery catheter and an extension member protruding from a distal end of the delivery catheter. The delivery device further includes a control arm assembly having pairs of control arms. Each pair includes a proximal control arm drivable from a handle assembly of the delivery device and a distal arm coupled to a distal end of the proximal control arm and a distal end of the extension member. Proximally driving each of the proximal control arms of the control arm assembly results in expansion of the control arm assembly and corresponding expansion of a cardiac valve repair implant coupled to the control arm assembly.

Abstract: A delivery system for delivering a spiral anchor to a diseased native valve of a heart includes an anchor control catheter and an anchor guide extending from the anchor control catheter. The anchor guide includes a flexible configuration and a rigid configuration. The anchor guide in the rigid configuration includes a proximal section, a middle section, and a distal section. The proximal section includes a straight central axis and extends from the anchor control catheter, the middle section spirals axially and radially outwards from the central axis, and the distal section curves concentrically about the central axis in a plane that is perpendicular to the central axis.

Abstract: A system for treating a diseased native valve in a patient includes a valve prosthesis and a delivery device. The prosthesis includes an anchor and a frame. The delivery device includes an outer sheath, an inner shaft, an anchor guide, and a tether. The anchor is shaped to encircle chordae or leaflets of a native valve. The frame is configured to sit within the anchor. The inner shaft is positioned within the outer sheath and translatable and rotatable relative to the outer sheath. The anchor guide is attached to a distal end of the inner shaft and has a curved distal section. The tether is configured to detachably couple to the anchor and to longitudinally translate the anchor within the inner shaft and anchor guide. The anchor is configured to be actuated from a delivery configuration to the deployed configuration when the anchor is translated out of the anchor guide.

Abstract: Devices, systems, and methods related to heart valve prostheses. The prosthesis includes an anchor and a frame. The anchor is shaped to encircle chordae and/or leaflets of a native heart valve. The frame is configured to sit within the anchor and the native valve such that the anchor encircles and anchors the frame in place. At least a portion of the anchor is configured to be visible using surgical visualization techniques during delivery of the prosthesis within the heart. The anchor can include an echogenic portion configured to enable viewing of the echogenic portion with ultrasound during delivery of the prosthesis.

Abstract: Delivery systems and methods for delivering a valve anchor and a valve prosthesis to a native valve annulus are provided. The anchor can be deployed near the native valve annulus with a tether attached thereto. A portion of the tether can be positioned inferior to the deployed anchor in an inverted configuration for advantageous positioning for adjusting the anchor position and/or deployment of the valve prosthesis. A positioning tool can be tracked over the tether and used to properly position the anchor. The positioning tool can be configured to transition to a stiffened state that includes one or more bends configured to allow efficient positioning of the deployed anchor and to provide room for deploying the valve prosthesis. Once the anchor is properly positioned, the valve prosthesis can be deployed within the native valve annulus and within the valve anchor.

Abstract: Systems, devices, and methods for treating a diseased native valve in a patient, the system comprising a compressible and expandable frame structure and an anchor. The anchor comprises a wire having a free end and is configured to be fully advanced from an atrial side of a native valve in a patient into a ventricle of the heart and anchor the frame structure to the native valve when the frame structure is in the expanded configuration adjacent the native valve.

Abstract: A method for treating a diseased native valve in a patient includes tracking a positioning tool in a first configuration and a valve delivery device over a tether into a heart where the tether is connected to a spiral anchor in the heart; activating the positioning tool from the first configuration to a second configuration that is stiffer than the first configuration; adjusting, with the positioning tool, a position of the spiral anchor relative to a valve positioned within the delivery device; and deploying a valve from the delivery device to an expanded position within the spiral anchor.

Abstract: A heart valve prosthesis for replacing a diseased native valve in a patient, the valve includes an expandable frame structure and an anchor. The anchor comprises a free end and has a flat spiral shape. The anchor comprises a housing, a lumen disposed within the housing, and a plurality of spiral bands translatably disposed within the housing. The valve may further include a valve segment mounted within the frame structure and expanded with the frame structure. The frame structure may be configured for receiving a valve segment.

Abstract: A system for treating a diseased native valve in a patient includes a valve prosthesis and a delivery device. The prosthesis includes an anchor and a frame. The delivery device includes an outer sheath, an inner shaft, an anchor guide, and a tether. The anchor is shaped to encircle chordae or leaflets of a native valve. The frame is configured to sit within the anchor. The inner shaft is positioned within the outer sheath and translatable and rotatable relative to the outer sheath. The anchor guide is attached to a distal end of the inner shaft and has a curved distal section. The tether is configured to detachably couple to the anchor and to longitudinally translate the anchor within the inner shaft and anchor guide. The anchor is configured to be actuated from a delivery configuration to the deployed configuration when the anchor is translated out of the anchor guide.

Abstract: Systems and devices for facilitating the flow of fluid between a first body region and a second body region are disclosed herein. The devices generally include a drainage and/or shunting element having a lumen extending therethrough for draining or otherwise shunting fluid between the first and second body regions. Further, devices configured in accordance with the present technology may be selectively adjustable to control the amount of fluid flowing between the first and second body regions. In some embodiments, for example, the devices comprise an actuation assembly that drives movement of a flow control element to modulate flow resistance through the lumen, thereby increasing or decreasing the relative drainage rate of fluid between the first body region and the second body region.

Abstract: Adjustable flow glaucoma shunts are disclosed herein. In one embodiment, for example, an adjustable flow shunt can include an outflow drainage tube having a proximal inflow region and a distal outflow region. The proximal inflow region can include aperture(s) defining a fluid inlet area positioned to allow fluid to flow therethrough. The shunt further comprises an inflow control assembly at the proximal inflow region. The inflow control assembly can include a control element configured to slidably engage the proximal inflow region and a spring element. The spring element is configured to be activated by non-invasive energy and, upon activation, slidably move the control element along the proximal inflow region such that (a) the one or more apertures are accessible and have a first fluid flow cross-section or (b) the one or more apertures are at least partially covered by the control element and have a second, different fluid-flow cross-section.

Abstract: Adjustable flow glaucoma shunts are disclosed herein. In one embodiment, for example, a variable flow shunt for treatment of glaucoma in a human patient includes an elongated outflow tube having (a) a proximal inflow portion configured for placement within an anterior chamber in a region outside of an optical field of view of an eye of the patient, and (b) a distal outflow portion at a different location of the eye. The variable flow shunt further includes a flow control mechanism positioned along the outflow tube between the inflow portion and the outflow portion. The flow control mechanism comprises one or more control elements transformable between an open position that allows fluid to flow through the outflow tube and resistance positions that partially obstruct or attenuate fluid flow through the outflow tube. During operation, the control element(s) are movable between positions in response to non-invasive energy.

Abstract: Disclosed herein are prosthetic valve devices, systems, and methods of installation of prosthetic valve devices and systems in a target region of a subject. Prosthetic valve devices disclosed herein comprise a frame structure having expanded and unexpanded configurations aiding in minimally-invasive delivery of the devices to the target region. The prosthetic valve devices include frame structures designed to minimize the amount of material used to form the devices without sacrificing structural strength. The prosthetic valve devices also include frame structures of minimal longitudinal length, allowing easier and more precise delivery and deployment of the devices.