Delivery Device For Leaflet Valve

• US 20080147105A1
• Filed: 02/25/2008
• Published: 06/19/2008
• Est. Priority Date: 08/28/2002
• Status: Active Grant

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: HLT, Inc. (Bracco SPA)
• Inventors: Pokorney, James L., Wilson, Robert Foster, Wilson, Scott Robert
• Granted Patent: US 8,163,008 B2
• Time in Patent Office: Days
• US Class Current: 606/167
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2/2463 Implants forming part of the valve leaflets
• CPC Class Codes: A61F 2/2466 Delivery devices therefor
• CPC Class Codes: Y10S 623/904 Heart

Abstract

A device and method for improving flow through a native blood vessel valve, such as the aortic valve, are provided. The present invention allows a miniature valve to be implanted into affected leaflets percutaneously, obviating the need for coronary bypass surgery. The method includes the cutting of small holes, on the order of 4 mm, in the leaflets of a targeted valve, thereby allowing blood to flow through the newly formed holes. The holes are used as attachment sites for the miniature valves of the present invention.

Claims

1. A delivery device usable to cut a hole in a valve leaflet and attach a valve implant to the leaflet, comprising:

a leaflet capture mechanism constructed and arranged to attain an operational grasp of the valve leaflet;

a cutting mechanism constructed and arranged to cut valve leaflet tissue while the valve leaflet is being grasped by the leaflet capture mechanism;

a delivery mechanism constructed and arranged to release a valve implant in operational proximity to a cut leaflet and attach the valve implant thereto; and

,

a handle, operationally attached to the leaflet capture mechanism, the cutting mechanism, and the delivery mechanism, such that an operator has control over any actions taken by said mechanisms.

2. The delivery device of claim 1 further comprising an expansion mechanism, operably attached to the handle, and constructed and arranged to expand the attached valve implant to operational proportions.

3. The delivery device of claim 1 wherein the leaflet capture mechanism comprises a die having a conical distal end that increases in radius in a proximal direction and a groove defined by the die, the groove located proximal of the conical distal end, the die thus constructed to stretch an opening in tissue, when passed therethrough, until the tissue reaches the groove and resiliency snaps into the groove.

4. The delivery device of claim 1 wherein the leaflet capture mechanism comprises a distal balloon constructed and arranged to be inflated after the balloon has been passed through the valve leaflet and, once inflated, may be used to pull the leaflet into a desired position or into the cutting mechanism.

5. The delivery device of claim 1 wherein the cutting mechanism comprises a substantially cylindrical cutting drum sized to allow the capture mechanism to be drawn inside an interior of the cutting drum without allowing tissue to reside between areas of maximum diameter of the leaflet capture mechanism and an interior surface of the cutting drum, the cutting drum including a sharpened distal edge capable of cutting tissue.

6. The delivery device of claim 5 wherein the sharpened distal edge of the cutting drum lies in a plane substantially perpendicular to a longitudinal axis of the cutting drum.

7. The delivery device of claim 5 wherein the sharpened distal edge of the cutting drum is non-planar.

8. The delivery device of claim 1 wherein the delivery mechanism comprises a retractable sheath catheter constructed and arranged to house the valve implant in a compressed state within a lumen of the sheath catheter such that when the sheath catheter is retracted, an attachment mechanism of the valve implant is released and attaches the valve implant to the valve leaflet.

9. The delivery device of claim 2 wherein the expansion mechanism comprises a balloon catheter constructed and arranged such that when a balloon of the balloon catheter is deflated, and the valve implant is in a compressed state within a lumen of the delivery device, the balloon is located within the valve implant such that inflating the balloon causes the valve implant to expand.

10. The delivery device of claim 2 wherein the handle comprises:

a first means for moving the leaflet capture mechanism relative to the cutting mechanism; and

a second means for moving the delivery mechanism relative to the expansion mechanism.

11. The delivery device of claim 10 wherein the first means and the second means are constructed and arranged to be able to be manipulated to achieve the following distinct configurations:

a deliver configuration whereby the delivery mechanism shields the cutting mechanism and at least a portion of the leaflet capture mechanism;

an insert configuration whereby the delivery mechanism is retracted to expose the leaflet capture mechanism;

a cut configuration whereby the leaflet capture mechanism is retracted within the cutting mechanism;

a distal configuration whereby the delivery mechanism is retracted enough to expose a distal portion of the valve implant such that the valve implant can attach itself to a distal side of the valve leaflet;

a proximal configuration whereby the delivery mechanism is retracted enough to

expose a proximal portion of the valve implant such that the valve implant can attach itself to a proximal side of the valve leaflet; and

,

an inflate configuration whereby the delivery mechanism is retracted to expose the expansion mechanism such that expansion can occur without interference by the delivery mechanism.

12. A device for delivering a valve to a target site comprising:

a housing;

a tissue capture structure disposed in said housing;

a tissue cutting structure aligned with said tissue capture structure;

a deployment mechanism disposed in said housing and movable to deploy a valve to said target site following operation of said tissue cutting structure; and

,

said target site being a leaflet of a valve.

13. A device according to claim 12, wherein said housing is sized and shaped to fit within a lumen of a patient.

14. A device according to claim 12, wherein a distal end of said tissue capture structure includes a tissue puncturing element.

15. A device according to claim 14, wherein said tissue capture structure further includes a circumferential slot for receiving tissue of said leaflet.

16. A device according to claim 12, wherein said deployment mechanism includes an expansion device sized to enlarge said valve following deployment.

17. A device according to claim 12, wherein said tissue capture structure is sized for withdrawal through said valve following deployment of said valve.

18. A device according to claim 12, further comprising a tether mechanism attached to said valve.

19. A device according to claim 12, further comprising safety stops operative to control operation of said device.