The invention is directed to a minimally invasive therapeutic procedure,
particularly for patients with congestive heart failure, and devices and
systems for such procedures. this procedure involves providing a valved
passageway through the patient's left ventricular wall at the apex of the
patient's heart and advancing instruments through the valved passageway
to connect the valve leaflets of the patient's heart valve, e.g. the
mitral valve, in a "Bow-Tie" configuration to prevent or minimize
regurgitation through the valve. Improved devices for this procedure
include a minimally invasive grasping device having an inner lumen for
advancing connecting members and other instruments through the device to
the distal end thereof. Other improved instruments include a leaflet
connector with an artificial cordae tendenae strand secured to an end of
the leaflet connector.Improved devices for these procedures include a
minimally invasive grasping device having an inner lumen for advancing
connecting members and other instruments through the device to the distal
end thereof. Other improved devices include a pacing lead implant
instrument which is releasably secured by its distal end to the exposed
heart wall to facilitate penetration of the pacing lead electrode into
the heart wall. Other improved instruments include a leaflet connector
with an artificial cordae tendenae strand secured to an end of the
leaflet connector.