Expandable annuloplasty ring and associated ring holder
First Claim
1. A prosthetic device for surgical repair of an aortic valve of a patient, the aortic valve being exposed to alternating diastolic and systolic phases of a cardiac cycle, the aortic valve having a valve axis and contained within a generally tubular aortic root, the aortic valve including a plurality of valve leaflets, the valve leaflets attached to a coronet-shaped valve annulus, the coronet-shaped valve annulus extending circumferentially around the valve axis, the coronet-shaped valve annulus extending in height along the valve axis between a nadir portion at a base of the aortic root and a spaced away commissure portion generally at a sinotubular junction of the aortic root, the aortic root also having a subvalvular region located below the nadir portion and a supravalvular region located above the commissure portion, the aortic root having coronary arteries attached thereto between the subvalvular and supravalvular regions, the prosthetic device comprising:
- a subvalvular ring, said subvalvular ring being annular in shape; and
a supravalvular ring, said supravalvular ring being annular in shape;
wherein, said subvalvular and supravalvular rings are configured, in use, as closed-perimeter flexible structures for placement externally around the aortic root, the subvalvular ring at the subvalvular region generally adjacent the nadir portion of the valve annulus, the supravalvular ring at the supravalvular region generally adjacent the commissure portion of the valve annulus, and whereby, in use, the closed-perimeter flexible structures cooperate to constrain the aortic root so as to improve coaptation of the valve leaflets during the diastolic phase of the cardiac cycle.
0 Assignments
0 Petitions
Accused Products
Abstract
Devices and methods are provided for surgical repair of dilated aortic root to restore aortic valve competence while preserving native leaflets. In one aspect of the invention an expandable annuloplasty ring is provided for external placement at the base of a dilated aortic root. The expandable ring is capable of elastically expanding between a first diastolic diameter and a larger second systolic diameter to provide a physiologically representative surgical repair of the aortic root. In a further aspect of the invention, is provided a holder assembly for aortic annuloplasty ring and suitable for other cardiac valve prosthesis. The holder assembly consists of a holder body pivotingly coupled to a handle member through a ball-and-socket arrangement.
-
Citations
25 Claims
-
1. A prosthetic device for surgical repair of an aortic valve of a patient, the aortic valve being exposed to alternating diastolic and systolic phases of a cardiac cycle, the aortic valve having a valve axis and contained within a generally tubular aortic root, the aortic valve including a plurality of valve leaflets, the valve leaflets attached to a coronet-shaped valve annulus, the coronet-shaped valve annulus extending circumferentially around the valve axis, the coronet-shaped valve annulus extending in height along the valve axis between a nadir portion at a base of the aortic root and a spaced away commissure portion generally at a sinotubular junction of the aortic root, the aortic root also having a subvalvular region located below the nadir portion and a supravalvular region located above the commissure portion, the aortic root having coronary arteries attached thereto between the subvalvular and supravalvular regions, the prosthetic device comprising:
-
a subvalvular ring, said subvalvular ring being annular in shape; and a supravalvular ring, said supravalvular ring being annular in shape; wherein, said subvalvular and supravalvular rings are configured, in use, as closed-perimeter flexible structures for placement externally around the aortic root, the subvalvular ring at the subvalvular region generally adjacent the nadir portion of the valve annulus, the supravalvular ring at the supravalvular region generally adjacent the commissure portion of the valve annulus, and whereby, in use, the closed-perimeter flexible structures cooperate to constrain the aortic root so as to improve coaptation of the valve leaflets during the diastolic phase of the cardiac cycle. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21)
-
-
22. A prosthetic device for surgical repair of an aortic valve of a patient, the aortic valve being exposed to alternating diastolic and systolic phases of a cardiac cycle, the aortic valve having a valve axis and contained within a generally tubular aortic root, the aortic valve including a plurality of valve leaflets, the valve leaflets attached to a coronet-shaped valve annulus, the coronet-shaped valve annulus extending circumferentially around the valve axis, the coronet-shaped valve annulus extending in height along the valve axis between a nadir portion at a base of the aortic root and a spaced away commissure portion generally at a sinotubular junction of the aortic root, the aortic root also having a subvalvular region located below the nadir portion and a supravalvular region located above the commissure portion, the aortic root having coronary arteries attached thereto between the subvalvular and supravalvular regions, the prosthetic device comprising:
-
a subvalvular ring;
said subvalvular ring being annular in shape and covered by a flexible fabric, said subvalvular ring being further comprised of an elastic core member, said elastic core member having a longitudinal opening extending therethrough, said fabric extending across said longitudinal opening for receiving a suture through said subvalvular ring during implantation of the prosthetic device to repair the aortic valve; anda supravalvular ring, said supravalvular ring being annular in shape and covered by a flexible fabric; wherein, said subvalvular and supravalvular rings are configured, in use, as closed-perimeter flexible structures for placement externally around the aortic root, the subvalvular ring at the subvalvular region generally adjacent the nadir portion of the valve annulus, the supravalvular ring at the supravalvular region generally adjacent the commissure portion of the valve annulus, and whereby, in use, the closed-perimeter flexible structures cooperate to constrain the aortic root so as to improve coaptation of the valve leaflets during the diastolic phase of the cardiac cycle. - View Dependent Claims (23, 24, 25)
-
Specification