Devices, systems and methods to treat heart failure

A device for treating a heart condition in a patient comprising:

• i. a core segment having an axial length;
• ii. a first annular flange comprising a plurality of flange segments;
• iii. a second annular flange comprising a plurality of flange segments, at least one of said flange segments of said second annular flange comprising a distal end adapted to be, when deployed, substantially parallel with the septal wall and contact the septal wall;
• and
• iv. a third annular flange disposed between the first annular flange and the second annular flange along the core segment axial length, the third annular flange comprising a plurality of flange segments, said flange segments of the third annular flange having substantially similar lengths to the other flange segments of the third annular flange, said lengths of said flange segments of the third annular flange being less than the lengths of said plurality of flange segments of said second annular flange;
• wherein at least an end of the core segment and the at least one of the flange segments of the second annular flange includes a first curved section that extends into an atrium of the heart so as to define a space between the one of the flange segments of the second annular flange and the septal wall when deployed and a second curved section that extends from the first section toward the septal wall and the distal end of the at least one of the flange segments of the second annular flange.

A device for implanting in an opening of a tissue, comprising:

• i. a core segment having an axial length;
• ii. a first annular flange comprising a proximal end and a plurality of flange segments extending distally away therefrom, each of said flange segments comprising a distal end;
• iii. a second annular flange comprising a proximal end and a plurality of flange segments extending distally away therefrom, each of said flange segments comprising a distal end substantially parallel with respective distal ends of the flange segments of the first annular flange when deployed;
• and
• iv. a third annular flange disposed between the first annular flange and the second annular flange along the core segment axial length, the third annular flange comprising a plurality of flange segments, said flange segments of the third annular flange having substantially similar lengths to the other flange segments of the third annular flange, said lengths of said flange segments of the third annular flange being less than the lengths of said plurality of flange segments of said second annular flange,
• wherein the proximal end of the first annular flange and the proximal end of the second annular flange are contiguous and define the core segment, the core segment adapted to maintain atraumatic contact with the opening of the tissue and defining a passage having an opening substantially parallel with a portion of the opening of the tissue, and
• wherein the third annular flange is at least one of attached to and extending from said core segment.

A device for implanting in an opening of a tissue wall, comprising:

• i. a core segment having an axial length;
• ii. a first annular flange comprising a proximal end and a plurality of flange segments, each of said flange segments comprising a distal end;
• iii. a second annular flange comprising a proximal end and a plurality of flange segments, each of said flange segments comprising a distal end radially off set from respective distal ends of the flange segments of the first annular flange;
• and
• iv. a third annular flange disposed between the first annular flange and the second annular flange along the core segment axial length, the third annular flange comprising a plurality of flange segments, said flange segments of the third annular flange having substantially similar lengths to the other flange segments of the third annular flange, said lengths of said flange segments of the third annular flange being less than the lengths of said plurality of flange segments of said second annular flange.