Collapsible-expandable prosthetic heart valves with structures for clamping native tissue
First Claim
1. A prosthetic heart valve, comprisinga unitary stent having a length in a longitudinal direction between an inflow end and an outflow end, the inflow end of the stent having an inflow edge, the stent being formed of metal and including a plurality of closed perimeter, diamond-shaped cells, the stent having a collapsed condition and an expanded condition, the inflow end of the stent having a first circumference in the expanded condition of the stent and the outflow end of the stent having a second circumference larger than the first circumference in the expanded condition of the stent;
- an expandable and collapsible valve element mounted within the stent and connected to the stent by sutures;
a skirt connected to the stent and extending continuously from a skirt inflow end that extends in a circumferential direction around the inflow edge of the stent to a skirt outflow end, the skirt having a length in the longitudinal direction that is less than the length of the stent so that the skirt outflow end is positioned at a spaced distance from the outflow end of the stent; and
a sealing ring disposed in the circumferential direction around the inflow edge of the stent and around an outside of the skirt, the sealing ring extending in the longitudinal direction from a lower end located at a first distance from the outflow end of the stent to an upper end located at a second distance from the outflow end of the stent, the second distance being less than the first distance, the upper end being farther from the outflow end of the stent than the spaced distance, the sealing ring being positioned on the stent to impede paravalvular leakage, the stent, the valve element, the skirt and the sealing ring collectively forming a valve assembly that is collapsible and expandable along the entire length of the stent.
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Accused Products
Abstract
A prosthetic heart valve is designed to be circumferentially collapsible for less invasive delivery into the patient. At the implant site the valve re-expands to a larger circumferential size, i.e., the size that it has for operation as a replacement for one of the patient'"'"'s native heart valves. The valve includes structures that, at the implant site, extend radially outwardly to engage tissue structures above and below the native heart valve annulus. These radially outwardly extending structures clamp the native tissue between them and thereby help to anchor the prosthetic valve at the desired location in the patient.
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Citations
13 Claims
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1. A prosthetic heart valve, comprising
a unitary stent having a length in a longitudinal direction between an inflow end and an outflow end, the inflow end of the stent having an inflow edge, the stent being formed of metal and including a plurality of closed perimeter, diamond-shaped cells, the stent having a collapsed condition and an expanded condition, the inflow end of the stent having a first circumference in the expanded condition of the stent and the outflow end of the stent having a second circumference larger than the first circumference in the expanded condition of the stent; -
an expandable and collapsible valve element mounted within the stent and connected to the stent by sutures; a skirt connected to the stent and extending continuously from a skirt inflow end that extends in a circumferential direction around the inflow edge of the stent to a skirt outflow end, the skirt having a length in the longitudinal direction that is less than the length of the stent so that the skirt outflow end is positioned at a spaced distance from the outflow end of the stent; and a sealing ring disposed in the circumferential direction around the inflow edge of the stent and around an outside of the skirt, the sealing ring extending in the longitudinal direction from a lower end located at a first distance from the outflow end of the stent to an upper end located at a second distance from the outflow end of the stent, the second distance being less than the first distance, the upper end being farther from the outflow end of the stent than the spaced distance, the sealing ring being positioned on the stent to impede paravalvular leakage, the stent, the valve element, the skirt and the sealing ring collectively forming a valve assembly that is collapsible and expandable along the entire length of the stent. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A prosthetic heart valve, comprising
a unitary stent having a length in a longitudinal direction between an inflow end and an outflow end, the inflow end of the stent having an inflow edge, the stent including a plurality of closed perimeter, diamond-shaped cells, the stent having a collapsed condition and an expanded condition; -
a collapsible and expandable valve element mounted within the stent and connected to the stent by sutures; and a skirt connected to the stent and extending continuously from a skirt inflow end that extends in a circumferential direction around the inflow edge of the stent to a skirt outflow end, the skirt having a length in the longitudinal direction that is less than the length of the stent so that the skirt outflow end is positioned at a spaced distance from the outflow end of the stent, the skirt having a chamber disposed in the circumferential direction around the inflow edge of the stent and extra sealing capacity to prevent paravalvular leakage, the stent, the valve element and the skirt collectively forming a valve assembly that is collapsible and expandable along the entire length of the stent. - View Dependent Claims (12, 13)
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Specification