Abstract: Disclosed is a medical system for short time replacement and repair of a native valve, which comprises an artificial valve (502); and a device for collecting and arranging chordae and/or leaflets to hold and/or stabilize the artificial valve in a desired position, the device comprising: a unit for grasping a plurality of chordae and/or leaflets. The system and/or device allows for fast and easy replacement of a native valve, fast and easy positioning of a temporary artificial valve, and more time for medical personnel to make decisions, prepare and/or perform surgery/medical intervention.

Abstract: A method of repairing a defective heart valve is disclosed including directing an implant delivery catheter to form a first curve of the implant delivery catheter around chordae of the heart valve on a ventricular side of the heart valve, inserting the implant delivery catheter through the heart valve to an atrial side thereof, forming a second curve of the delivery catheter along an annulus of the heart valve on the atrial side, and ejecting an annuloplasty implant from the delivery catheter while retracting the delivery catheter such that the annuloplasty implant is arranged along the first and second curve on the ventricular and atrial side.

Abstract: A device for improving the function of a heart valve comprises a first loop-shaped support, which is configured to abut a first side of the heart valve, and a first flange unit being connected to said first loop-shaped support. The flange unit is configured to be arranged against said annulus when said first loop-shaped support is abutting said heart valve.

Abstract: An annuloplasty device is disclosed comprising first and second support rings being configured to be arranged as a coil in a first configuration around an axial direction, wherein the first and second support rings are configured to be arranged on opposite sides of native heart valve leaflets of a heart valve, wherein the first and second support rings are separated with a first pitch distance in the axial direction, in the first configuration, wherein the first and second support rings are configured to assume a contracted state having a second pitch distance in the axial direction being shorter than the first pitch distance, and wherein the first and second support rings are configured to be transferable between the first configuration and the contracted state to pinch the heart valve leaflets. A method of repairing a defective heart valve is also disclosed.

Abstract: A medical arrangement is configured to introduce an object, such as an implant, from a distal end into an anatomical target position. The medical arrangement comprises a first introducer having distal and proximal ends, and a second introducer having distal and proximal ends. The first introducer is an outer introducer and said second introducer is configured to be operated inside and guided by said first introducer. At least a portion of the first introducer is configured to take a first curved shape, and at least a portion of the second introducer is configured to take a second curved shape. The portion of the second introducer configured to take said second curved shape comprises a tubular member inside said second introducer for enabling introducing of the object or implant through said tubular member and thereby over at least said second curved shape of said second introducer.

Abstract: A kit for repairing and/or replacing a mitral valve includes a mitral valve prosthesis and a loop-shaped element with a proximal end, a distal end, and a curved body. A proximal portion of the curved body is sized for positioning on an atrial side of the mitral valve and a distal portion of the curved body is sized for positioning on a ventricular side of the mitral valve. The distal portion has a first curved region with a radius of curvature that is larger than the radius of curvature of a second curved region so that the distal portion passes between heart muscle wall and chordae and circumflex the chordae of the mitral valve when the distal portion is rotated into place at the ventricular side of the native mitral valve.

Abstract: A device for improving the function of a heart valve comprises: a support member formed from a shape memory material, and a restraining member providing a restraining action on a course of the support member. The support member may abut one side of the valve conforming to the shape of the valve annulus upon said shape memory material assuming an activated shape while the restraining member restrains the course of the support member. The restraining action is removable for allowing the support member to assume a desired, altered course. The restraining member may be biodegradable to be degraded within a patient or may be detachable from the support member to be withdrawn. The support member according to another embodiment presents a shape change in that an increased cross-section is associated with a shortened length of the support member. The support member according to yet another embodiment has a first and a second activated shape.

Abstract: A medical device is disclosed that reinforces weakened or degenerated areas of at least a portion of a leaflet (24) Of the heart valve. Function of a heart valve is thus improved. The medical device comprises at least a first partly flexible leaflet reinforcement patch (30) having an extension between an inner section (34) and an outer section (32), wherein said outer section (32) is configured to be oriented towards said annulus,and said inner section (34) is configured to be oriented towards said inner section of said valve tissue, and at least a portion of said inner section (34) of said flexible leaflet reinforcement patch (32) having at least one of said plurality of leaflets (24) in juxtaposition to said portion of said inner section (34), and said portion of said inner section (34) being positioned to provide reinforcement to said plurality of leaflets (24).

Abstract: An annuloplasty implant is disclosed comprising first and second supports being adapted to be arranged as a coil in a coiled configuration around an axial direction. The first and second supports are adapted to be arranged on opposite sides of native heart valve leaflets. The first support comprises first retention units fixed in relation to an outer surface of the first support and arranged along at least a first retention portion thereof. The second support comprises second retention units fixed in relation to an outer surface of the second support and arranged along at least a second retention portion thereof. First and second retention portions are curved in the coiled configuration, and the first and second retention units extend from respective first and second retention portions to produce a retention force, in use, at both of said opposite sides. A method of repairing a defective heart valve is also disclosed.

Abstract: A device for improving the function of a heart valve comprises: a support member formed from a shape memory material, and a restraining member providing a restraining action on a course of the support member. The support member may abut one side of the valve conforming to the shape of the valve annulus upon said shape memory material assuming an activated shape while the restraining member restrains the course of the support member. The restraining action is removable for allowing the support member to assume a desired, altered course. The restraining member may be biodegradable to be degraded within a patient or may be detachable from the support member to be withdrawn. The support member according to another embodiment presents a shape change in that an increased cross-section is associated with a shortened length of the support member. The support member according to yet another embodiment has a first and a second activated shape.

Abstract: An annuloplasty device is disclosed comprising first and second support rings being configured to be arranged as a coil in a first configuration around an axial direction, wherein the first and second support rings are configured to be arranged on opposite sides of native heart valve leaflets of a heart valve, a stiffening unit, wherein at least part of the first and second support rings comprises an interior channel configured to receive the stiffening unit, wherein insertion of the stiffening unit into the interior channel increases the stiffness of the first and/or second support rings. A method of repairing a defective heart valve is also disclosed.

Abstract: A delivery system and method for delivery of an annuloplasty implant for a patient are disclosed. The delivery system comprises a commissure locator device for locating a commissure, comprising; an extension member, a catheter, and wherein the extension member is extendable relative the catheter for location of at least one commissure of a cardiac valve, and a coronary sinus contractor for temporary insertion into the coronary sinus (CS) and having a displacement unit being temporarily transferable to an activated state in Which the shape of the annulus Of the heart valve is modified to a modified shape to be retained by said annuloplasty implant.

Abstract: A medical securing device for securing an object with a securing member into a tissue comprises an elongated sheath with proximal and distal ends, and a securing member introduction device having proximal and distal ends. The securing member comprises first and second ends. The distal end of the securing member introduction device is configured to extend the second end of the securing member from the sheath and introduce it to or through the tissue via an introduction movement so to secure the portion of the securing member to the object and/or to the tissue. This is advantageously configured to happen without extending the securing member introduction device through the tissue whereupon no extra hole is made to the tissue by the securing member introduction device.

Abstract: A multilumen catheter for vascular applications comprises posterior and distal ends and at least one first and second lumens extending between the posterior and distal ends of the catheter. Each lumen comprises an outer wall structure and are separated from each other by an inner wall structure, wherein said outer wall and inner wall structures form said lumens. The catheter has an activated state and inactivated state, wherein in said inactivated state the diameter or volume of the lumen determined by said outer wall and inner wall structures is smaller than the diameter or volume of the lumen in said activated state.

Abstract: Disclosed is a medical system for short time replacement and repair of a native valve, which comprises an artificial valve (502); and a device for collecting and arranging chordae and/or leaflets to hold and/or stabilize the artificial valve in a desired position, the device comprising: a unit for grasping a plurality of chordae and/or leaflets. The system and/or device allows for fast and easy replacement of a native valve, fast and easy positioning of a temporary artificial valve, and more time for medical personnel to make decisions, prepare and/or perform surgery/medical intervention.

Abstract: A medical arrangement is configured to introduce an object, such as an implant, from a distal end into an anatomical target position. The medical arrangement comprises a first introducer having distal and proximal ends, and a second introducer having distal and proximal ends. The first introducer is an outer introducer and said second introducer is configured to be operated inside and guided by said first introducer. At least a portion of the first introducer is configured to take a first curved shape, and at least a portion of the second introducer is configured to take a second curved shape. The portion of the second introducer configured to take said second curved shape comprises a tubular member inside said second introducer for enabling introducing of the object or implant through said tubular member and thereby over at least said second curved shape of said second introducer.

Abstract: A medical securing device for securing an object with a securing member into a tissue comprises an elongated sheath comprising proximal and distal ends, and a securing member introduction device having proximal and distal ends, said distal end being configured to extend from the sheath. The medical securing device comprises also a guiding trail. At least one point of the securing member introduction device is configured to travel along said first guiding trail and thereby control a defined movement of the distal end of said securing member introduction device when extending from the sheath and so to introduce the securing member to the object and to secure said object to the tissue with the securing member.

Abstract: Disclosed is a medical system for short time replacement and repair of a native valve, which comprises an artificial valve (502); and a device for collecting and arranging chordae and/or leaflets to hold and/or stabilize the artificial valve in a desired position, the device comprising: a unit for grasping a plurality of chordae and/or leaflets. The system and/or device allows for fast and easy replacement of a native valve, fast and easy positioning of a temporary artificial valve, and more time for medical personnel to make decisions, prepare and/or perform surgery/medical intervention.

Abstract: A device for repairing a heart valve includes a medical device. The medical device comprises an element in order to downsize the annulus upon insertion and allow the leaflets to open and close properly. The medical device provides a temporary or permanent downsizing of the heart valve. An annuloplasty implant and/or heart valve prosthesis is releasably attached to the medical device for insertion to the annulus and permanent fixation of the latter in a desired shape.

Abstract: A medical securing device for securing an object with a securing member into a tissue comprises an elongated sheath comprising proximal and distal ends, and a securing member introduction device having proximal and distal ends, said distal end being configured to extend from the sheath. The medical securing device comprises also a guiding trail. At least one point of the securing member introduction device is configured to travel along said first guiding trail and thereby control a defined movement of the distal end of said securing member introduction device when extending from the sheath and so to introduce the securing member to the object and to secure said object to the tissue with the securing member.