Paravalvular leak occlusion device for self-expanding heart valves

• US 10,271,949 B2
• Filed: 12/04/2013
• Issued: 04/30/2019
• Est. Priority Date: 03/12/2013
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Inventors: Dakin, Gregory James, Braido, Peter Nicholas
• Primary Examiner(s): Houston, Elizabeth
• Assistant Examiner(s): Rwego, Kankindi
• Application Number:
  US14/096,427
• Publication Number:
  US 20140277426A1
• Time in Patent Office: 1,973 Days
• CPC Class Codes: A61F 2/24 Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
• CPC Class Codes: A61F 2/2412 with soft flexible valve members, e.g. tissue valves shaped like natural valves check valves with flexible valve members in general F16K15/14
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/246 Devices for obstructing a leak through a native valve in a closed condition
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas
• CPC Class Codes: A61F 2250/0069 Sealing means

Abstract

An occluder device for occluding a gap between a medical device and adjacent body tissue includes a conformable body having a hollow interior, a leading end and a trailing end; and a port disposed at the trailing end of the body and in fluid communication with the interior of the body.

Claims

1. A kit for repairing a damaged heart valve comprising:

a prosthetic heart valve having a collapsible and expandable stent forming cells, the stent having a proximal end and a distal end, the prosthetic heart valve further including a valve assembly disposed in the stent for controlling the flow of blood through the stent; and

an occluder disposed adjacent the proximal end of the stent and longitudinally extending in a lengthwise direction toward the distal end of the stent, the occluder configured to be disposed between the prosthetic heart valve and adjacent body tissue for occluding a gap between the prosthetic heart valve and the adjacent body tissue, the occluder having a first fastener for coupling to the stent and a second fastener for coupling to native heart tissue, the occluder having a delivery, pre-deployment configuration and a final, post-deployment configuration, the occluder in both the pre-deployment and post-deployment configurations including a conformable body having a fillable chamber, a leading end closer to the distal end of the stent and a trailing end closer to the proximal end of the stent, and a port disposed at the trailing end of the body and in fluid communication with the fillable chamber of the body, the body further having an outer coating configured to prevent leakage of a liquid or a gas.

2. The kit of claim 1, wherein the body is an elongated balloon-like structure.

3. The kit of claim 1, wherein the body is a triangular prism.

4. The kit of claim 1, wherein the body is accordion-like and includes a plurality of bellows that expand and contract to change the shape of the body.

5. The kit of claim 1, wherein the body is crescent-shaped and has a curvature that complements a curvature of the prosthetic heart valve.

6. The kit of claim 1, further comprising a source of gas in fluid communication with the port.

7. The kit of claim 1, further comprising a source of polymeric filler in fluid communication with the port.

8. The kit of claim 1, wherein the conformable body is configured to be spaced away from at least one native valve leaflet.

9. A kit for repairing a damaged heart valve comprising:

a prosthetic heart valve having a collapsible and expandable stent forming cells, the stent having a proximal end and a distal end, the prosthetic heart valve further including a valve assembly disposed in the stent for controlling the flow of blood through the stent; and

an occluder disposed adjacent the proximal end of the stent and longitudinally extending in a lengthwise direction toward the distal end of the stent, the occluder configured to be disposed between the prosthetic heart valve and adjacent body tissue for occluding a gap between the prosthetic heart valve and the adjacent body tissue, the occluder having a delivery, pre-deployment configuration and a final, post-deployment configuration, the occluder in both the pre-deployment and post-deployment configurations including an elongated balloon-like conformable body including a fillable chamber that is closed in the post-deployment configuration and having a leading end closer to distal end of the stent and a trailing end closer to the proximal end of the stent, and

a securing feature having a first fastener disposed on the prosthetic heart valve and having a second fastener disposed on and projecting from a surface of the conformable body;

the securing feature configured to couple the occluder to the stent.

10. The kit of claim 9, wherein the second fastener of the securing feature includes a plurality of hooks disposed on the body and the first fastener of the securing feature includes a cuff having a plurality of perforations, the plurality of hooks being coupleable to the perforations of the cuff.

11. The kit of claim 9, wherein the second fastener of the securing feature includes a first magnetic element disposed on the occluder and the first fastener of the securing feature includes a second magnetic element disposed on an annulus section of the prosthetic heart valve, the first magnetic element and the second magnetic element being configured to attract one another to secure the occluder to the annulus section of the prosthetic heart valve.

12. The kit of claim 9, wherein the second fastener of the securing feature includes a locking feature including a bit protruding from the body of the occluder and the first fastener of the securing feature includes a receiver coupled to an annulus section of the prosthetic heart valve and having an aperture sized to receive the bit.

13. The kit of claim 12, wherein the receiver includes a narrow slot with an enlarged opening therein, the bit being sized to pass through the enlarged opening but not the narrow slot.