# US 2014/0194984 A1 · System and Method for Assisted Partitioning of Body Conduits

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- Number: US 2014/0194984 A1
- Document ID: US20140194984A1
- Status: Published application
- Kind: A1
- Application number: 13/734,579
- Filed: 2013-01-04
- Published: 2014-07-10
- Earliest claimed: 2013-01-04
- Inventors: Alexander Shaknovich
- Web page: https://patentgrep.com/patent/US20140194984A1

## CPC

- A61B 5/29: for permanent or long-term implantation
- A61B 5/349: Detecting specific parameters of the electrocardiograph cycle
- A61B 17/12031: {complete occlusion}
- A61B 17/12036: {partial occlusion}
- A61B 17/12109: {in a blood vessel}
- A61B 17/12136: {Balloons}
- A61B 17/122: Clamps or clips, e.g. for the umbilical cord {(for the vas deferens A61F6/206)}
- A61B 17/1322: {comprising a flexible encircling member (A61B17/135 takes precedence)}
- A61B 17/135: inflatable
- A61B 17/1355: {Automated control means therefor}
- A61B 5/026: Measuring blood flow {(A61B3/1233, A61B3/1241 take precedence)}
- A61B 2017/00022: {Sensing or detecting at the treatment site}
- A61B 2017/00243: {cardiac}
- A61B 2017/00539: {hydraulically}
- A61B 2017/00557: {inflatable (A61B2017/22051 takes precedence)}
- A61B 2017/00778: {Operations on blood vessels (A61B2017/22097, A61B2017/320741 take precedence)}
- A61B 2017/1205: {Introduction devices}
- A61B 2090/064: {for measuring force, pressure or mechanical tension}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A treatment strategy for treatment of elevated pressure in a body conduit, such as a pulmonary vein, with a prosthetic partitioning device for placement in and/or about pulmonary veins is described, as well as delivery systems, and strategies for use thereof. A control device is configured to transmit signals to the prosthetic device to effectuate the repetitive transition between a first, less restricted flow configuration and a second, restricted flow configuration are described. A sensor device may be provided for monitoring physiological parameters of the patient, and can provide signals to the control device for effectuating the transition between the first and second configuration.

## Claims

### Claim at position 1

1-26. (canceled)

### Claim 27

A delivery system for delivery of prosthetic partitioning device for partitioning the flow in a body conduit of a patient comprising: (a) a prosthetic partitioning device configured for coaxial attachment to a body conduit and movable between a first configuration permitting a less restricted fluid flow therethrough and a second configuration permitting a more restricted fluid flow therethrough, the prosthetic partitioning device effectuating transition between the first configuration and the second configuration in response to activity in the patient's body; (b) an elongated catheter configured for insertion into the body conduit having a prosthetic conduit-carrying portion; and (c) a protective sheath configured to cover the prosthetic partitioning device during insertion into the body conduit.

### Claim 28 (depends on 27)

The delivery system according to claim 27, wherein the prosthetic partitioning device is configured for placement on the exterior of the body conduit.

### Claim 29 (depends on 27)

The delivery system according to claim 27, wherein the prosthetic partitioning device is configured for placement within the interior of the body conduit.

### Claim 30 (depends on 27)

The delivery system according to claim 27, wherein the prosthetic partitioning device comprises an expandable component.

### Claim 31 (depends on 27)

The delivery system according to claim 27, wherein the prosthetic partitioning device, the catheter, and the protective sheath are configured for use in open surgical procedures.

### Claim 32 (depends on 27)

The delivery system according to claim 27, wherein the prosthetic partitioning device, the catheter, and the protective sheath are configured for use in laparoscopic procedures.

### Claim 33 (depends on 27)

The delivery system according to claim 27, wherein the prosthetic partitioning device, the catheter, and the protective sheath are configured for use in percutaneous procedures.

### Claim 34

A prosthetic partitioning device configured for coaxial attachment about a body conduit comprising: an expandable balloon element movable between a less expanded configuration permitting a less restricted fluid flow therethrough and a more expanded configuration permitting a more restricted fluid flow therethrough.

### Claim 35 (depends on 34)

The prosthetic partitioning device according to claim 34, wherein the expandable balloon element comprises a plurality of expandable balloon elements configured for sequential expansion of said plurality of balloon elements.

### Claim 36

A prosthetic partitioning device configured for coaxial attachment about a body conduit comprising: (a) a clamping element movable between a spaced apart configuration permitting a less restricted fluid flow therethrough and an approximated configuration permitting a more restricted fluid flow therethrough; and (b) an actuator for effectuating the transition between the spaced apart configuration and the approximated configuration.

### Claim 37 (depends on 36)

The prosthetic partitioning device according to claim 36, wherein the clamping element comprises a plurality of pairs of clamping elements configured for sequential transition of said clamping elements.

### Claim 38 (depends on 36)

The prosthetic partitioning device according to claim 36, wherein the actuator is electromechanical.

### Claim 39 (depends on 36)

The prosthetic partitioning device according to claim 36, wherein the actuator is electromagnetic.

### Claim 40 (depends on 36)

The prosthetic partitioning device according to claim 36, wherein the actuator is hydraulic.

### Claim 41 (depends on 36)

The prosthetic partitioning device according to claim 36, wherein the actuator is pneumatic.
