Apparatus and method for replacing a cardiac valve

• US 20070162111A1
• Filed: 07/06/2006
• Published: 07/12/2007
• Est. Priority Date: 07/06/2005
• Status: Abandoned Application

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Fukamachi, Kiyotaka, Dessoffy, Raymond
• Application Number:
  US11/481,459
• Publication Number:
  US 20070162111A1
• Time in Patent Office: Days
• US Class Current: 623/2.110
• CPC Class Codes: A61F 2/2403 with pivoting rigid closure members check valves with hinged closure members in general F16K15/03
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• 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 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2210/009 magnetic
• CPC Class Codes: A61F 2250/006 modular
• CPC Class Codes: A61F 2250/0063 Nested prosthetic parts

Abstract

An apparatus for replacing a cardiac valve includes a first ring assembly and a second ring assembly. The first ring assembly includes a first magnetic member. The second ring assembly includes a second magnetic member and is magnetically attachable to the first magnetic member to sealingly attach the first and second ring assemblies together. A prosthetic cardiac valve is secured within the second ring assembly. A method for replacing a cardiac valve is also described.

Claims

1. An apparatus for replacing a cardiac valve, said apparatus comprising:

a first ring assembly including a first magnetic member;

a second ring assembly including a second magnetic member and being magnetically attachable to the first magnetic member to sealingly attach the first and second ring assemblies together; and

a prosthetic cardiac valve secured within the second ring assembly.

2. The apparatus of claim 1, wherein at least one of the first and second magnetic members is at least partially covered with a biocompatible material.

3. The apparatus of claim 1, wherein the prosthetic cardiac valve has a valve annulus, the first ring assembly being attachable to the valve annulus.

4. The apparatus of claim 3, wherein the first ring assembly includes a sewing ring adapted for attachment to the valve annulus.

5. The apparatus of claim 1, wherein the prosthetic cardiac valve has at least two valve leaflets, the first ring assembly defines a first ring assembly annulus, and at least a portion of a valve leaflet extends through the first ring assembly annulus.

6. The apparatus of claim 1, wherein the prosthetic cardiac valve is formed integrally with the first ring assembly.

7. The apparatus of claim 1, wherein the first and second ring assemblies each include a beveled edge, and the beveled edges are adjacent each other when the first and second ring assemblies are sealingly attached together.

8. An apparatus for replacing a cardiac valve having a valve annulus, the valve annulus having a superior aspect and an inferior aspect, the apparatus comprising:

a first ring assembly including a first magnetic member and being attachable to the valve annulus;

a second ring assembly including a second magnetic member and being magnetically attachable to the first magnetic member to sealingly attach the first and second ring assemblies together and a prosthetic cardiac valve secured within the second ring assembly.

9. The apparatus of claim 8, wherein the first ring assembly is attachable to the superior aspect of the valve annulus.

10. The apparatus of claim 8, wherein the first ring assembly is attachable to the inferior aspect of the valve annulus.

11. The apparatus of claim 8, wherein at least one of the first and second magnetic members is at least partially covered with a biocompatible material.

12. The apparatus of claim 8, wherein the first ring assembly includes a sewing ring adapted for attachment to the valve annulus.

13. The apparatus of claim 8, wherein the prosthetic cardiac valve has at least two valve leaflets, the first ring assembly defines a first ring assembly annulus, and at least a portion of a valve leaflet extends through the first ring assembly annulus.

14. The apparatus of claim 8, wherein the prosthetic cardiac valve is formed integrally with the first ring assembly.

15. The apparatus of claim 8, wherein the first and second ring assemblies each include a beveled edge, and the beveled edges are adjacent each other when the first and second ring assemblies are sealingly attached together.

16. A method for replacing a native cardiac valve within a valve annulus, the method comprising the steps of:

removing the native cardiac valve from the valve annulus;

providing a first ring assembly attachable to the valve annulus, the first ring assembly including a first magnetic member;

providing a second ring assembly including a second magnetic member, the second ring assembly including a prosthetic cardiac valve secured thereto;

securing the first ring assembly to the valve annulus; and

moving the second ring assembly into magnetic engagement with the first ring assembly to position the prosthetic cardiac valve into a predetermined relationship within the valve annulus.

17. The method of claim 16, wherein at least one of the first and second magnetic members is at least partially covered with a biocompatible material.

18. The method of claim 16, wherein the step of securing the first ring assembly to the valve annulus includes the step of suturing the first ring assembly to the valve annulus.

19. The method of claim 16, wherein the prosthetic cardiac valve has at least two valve leaflets, and the step of moving the second ring assembly into magnetic engagement with the first ring assembly to position the prosthetic cardiac valve into a predetermined relationship with the valve annulus includes the step of extending at least a portion of a valve leaflet through the valve annulus.

20. The method of claim 16, wherein the second ring assembly is an initial second ring assembly, and further including the steps of:

providing a replacement second ring assembly including a replacement second magnetic member, the replacement second ring assembly including a replacement prosthetic cardiac valve secured thereto;

separating the initial second ring assembly from the first ring assembly; and

moving the replacement second ring assembly into magnetic engagement with the first ring assembly to position the replacement prosthetic cardiac valve into a predetermined relationship with the valve annulus.

21. The method of claim 20, wherein the first and initial second ring assemblies each include a beveled edge, and the beveled edges are adjacent each other when the first and initial second ring assemblies are in magnetic engagement, and the step of separating the initial second ring assembly from the first ring assembly includes the steps of:

providing a separation tool;

engaging the beveled edges with the separation tool; and

breaking the magnetic engagement between the first ring assembly and the initial second ring assembly.