Percutaneous valve, system and method

• US 20080300678A1
• Filed: 02/05/2008
• Published: 12/04/2008
• Est. Priority Date: 02/05/2007
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Kveen, Graig L., Drasler, William J., Thielen, Joseph M., Eidenschink, Tracee E.J.
• Granted Patent: US 7,967,853 B2
• Time in Patent Office: Days
• US Class Current: 623/2.18
• CPC Class Codes: A61F 2/06 Blood vessels
• 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 2/2433 using balloon catheter
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/2475 Venous valves
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/966 with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

Apparatus, systems, and methods for percutaneous valve replacement and/or augmentation are provided. The apparatus includes a valve having a valve frame, a valve leaflet coupled to the valve frame, and a leaflet transition member coupled to the valve leaflet. The valve leaflet and leaflet transition member can transition from a first position where the valve leaflet and leaflet frame are at least partially outside a lumen of the valve frame to a second position where the valve leaflet and the leaflet transition member are within the lumen of the valve frame.

Claims

1. A valve, comprising:

a valve frame having a distal end and a proximal end, and frame members defining an lumen;

a valve leaflet having a distal end and a proximal end, where a portion of the distal end of the valve leaflet is coupled adjacent to the proximal end of the valve frame; and

a leaflet transition member coupled to at least a portion of the valve leaflet, where the valve leaflet and the leaflet transition member in a first position are at least partially outside the lumen of the valve frame with the proximal end of the valve leaflet extending away from both the distal end and the proximal end of the valve frame, and where the valve leaflet and leaflet transition member transition from the first position to a second position in which the proximal end of the valve leaflet and at least a portion of the leaflet transition member are within the lumen of the valve frame.

2. The valve of claim 1, where the leaflet transition member is a ring structure that is coupled to the proximal end of the valve leaflet.

3. The valve of claim 2, where the leaflet transition member is expandable from a first diameter to a second diameter.

4. The valve of claim 3, where the leaflet transition member has the first diameter in the first position and the leaflet transition member expands to the second diameter in the second position.

5. The valve of claim 4, where the leaflet transition member has a serpentine shape in the first position in order to expand from the first diameter to the second diameter.

6. The valve of claim 1, where the valve leaflet includes a leaflet frame coupled to a portion of a peripheral edge of the valve leaflet.

7. The valve of claim 6, where the leaflet frame acts as the leaflet transition member.

8. A method for deployment of a valve, comprising:

radially expanding a valve frame of the valve from a delivery state to a deployed state; and

transitioning a leaflet transition member coupled to a valve leaflet in a first position outside a lumen of the valve frame to a second position inside the lumen of the valve frame.

9. The method of claim 8, including coupling at least a portion of the leaflet transition member in the second position to the valve frame in the deployed state.

10. The method of claim 8, where transitioning the leaflet transition member in the first position outside the lumen of the valve frame to the second position inside the lumen of the valve frame includes releasing the leaflet transition member from the first position.

11. The method of claim 10, including pushing the leaflet transition member in the first position from outside the lumen to the inside of the lumen of the valve frame.

12. A system, comprising:

an elongate delivery catheter;

an expandable balloon positioned around at least a portion of the elongate delivery catheter;

a retractable sheath positioned around at least a portion of the elongate delivery catheter, where the retractable sheath moves longitudinally relative the elongate delivery catheter; and

a valve, where a portion of the valve is positioned between the elongate delivery catheter and the retractable sheath, and where the valve includes a valve frame having frame members defining a lumen, a valve leaflet attached to a portion of the valve frame, and a leaflet transition member attached to at least a portion of the valve leaflet, where the valve leaflet and leaflet transition member extend away from the lumen of the valve frame in a first position and transition into a second position in which the valve leaflet and leaflet transition member are inside the lumen of the valve frame.

13. The system of claim 12, where the portion of the valve positioned between the elongate delivery catheter and the retractable sheath is the leaflet transition member and a portion of the valve leaflet.

14. The system of claim 13, where the retractable sheath restrains the leaflet transition member in the first position.

15. The system of claim 12, further including a number of elongate push members releasably coupled to the leaflet transition member where the elongate push members transition the leaflet transition member and the valve leaflet from the first position to the second position.

16. The system of claim 15, where the leaflet transition member is a ring structure coupled to a proximal end of the valve leaflet, where the leaflet transition member has a serpentine shape in the first position in order to expand the leaflet transition member from a first diameter to a second diameter.

17. The system of claim 12, where the valve leaflet includes a leaflet frame coupled to a portion of a peripheral edge of the valve leaflet.

18. The system of claim 17, where the leaflet frame is hinged to a portion of the valve frame to couple the valve frame and valve leaflet.