ARTIFICIAL VALVED CONDUITS FOR CARDIAC RECONSTRUCTIVE PROCEDURES AND METHODS FOR THEIR PRODUCTION

• US 20140288642A1
• Filed: 07/30/2012
• Published: 09/25/2014
• Est. Priority Date: 07/29/2011
• Status: Active Grant

• Current Assignee: Carnegie Mellon University, University of Pittsburgh of The Commonwealth System of Higher Education
• Original Assignee: Carnegie Mellon University, University of Pittsburgh of The Commonwealth System of Higher Education
• Inventors: Yoshida, Masahiro, Bernstein, C. Douglas, Dur, Onur, Pekkan, Kerem
• Granted Patent: US 9,585,746 B2
• Time in Patent Office: Days
• US Class Current: 623/2.17
• CPC Class Codes: A61F 2/06 Blood vessels
• 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 2/2415 Manufacturing methods
• CPC Class Codes: A61F 2/2475 Venous valves
• CPC Class Codes: A61F 2002/068 Modifying the blood flow model, e.g. by diffuser or deflector
• CPC Class Codes: A61F 2250/0037 differing in height or in length
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: A61F 2250/0082 specially designed for children, e.g. having means for adjusting to their growth
• CPC Class Codes: A61L 2430/20 for reconstruction of the heart, e.g. heart valves
• CPC Class Codes: A61L 27/16 obtained by reactions only involving carbon-to-carbon unsaturated bonds
• CPC Class Codes: A61L 27/24 Collagen
• CPC Class Codes: A61L 27/367 Muscle tissue, e.g. sphincter
• CPC Class Codes: A61L 27/58 Materials at least partially resorbable by the body
• CPC Class Codes: A61L 33/0011 Anticoagulant, e.g. heparin, platelet aggregation inhibitor, fibrinolytic agent, other than enzymes, attached to the substrate
• CPC Class Codes: C08L 27/18 Homopolymers or copolymers or tetrafluoroethene
• CPC Class Codes: Y10T 29/49412 with assembly, disassembly or composite article making

Abstract

Artificial heart valve structures and methods of their fabrication are disclosed. The heart valve structures may be fabricated from a biocompatible polymer and include one or more heart valve leaflet structures incorporated within a conduit. The valve structures may incorporate one or more conduit sinuses, as well as a gap between the lower margin of the valve leaflets and the interior of the conduit. In addition, the valve structures may include one or more valve sinuses created in a space between the valve leaflets and the conduit inner surface. Computational fluid dynamics and mechanical modeling may be used to design the valve leaflets with optimal characteristics. A heart valve structure may also incorporate a biodegradable component to which cells may adhere The incorporated cells may arise from patient cells migrating to the biodegradable component, or the component may be pre-seeded with cells prior to implantation in a patient.

Claims

1. A heart valve structure comprising:

a conduit comprising an inner conduit surface, an outer conduit surface, and a diameter; and

a heart valve multi-leaflet structure having an open state and a closed state comprising

a first heart valve leaflet, comprising a first sinus edge and a first fan edge; and

a second heart valve leaflet, comprising a second sinus edge and a second fan edge;

wherein the first fan edge intersects the second fan edge at an outer commissure point, and the first sinus edge intersects the second sinus edge at an inner commissure point, thereby forming a commissure extending from the outer commissure point to the inner commissure point,

wherein the first fan edge intersects the first sinus edge at a first outer leaflet point, thereby forming a first baseline extending from the first outer leaflet point to the commissure, the first baseline further having a first width as measured from the first outer leaflet point to the commissure,

wherein the second fan edge intersects the second sinus edge at a second outer leaflet point, thereby forming a second baseline extending from the second outer leaflet point to the commissure, the second baseline further having a second width as measured from the second outer leaflet point to the commissure,

wherein the second baseline is essentially collinear with the first baseline,

wherein the first sinus edge extends from and is not coextensive with the first baseline, thereby forming a first sinus structure bounded by the first sinus edge, the commissure, and the first baseline,

wherein the second sinus edge extends from and is not coextensive with the second baseline, thereby forming a second sinus structure bounded by the second sinus edge, the commissure, and the second baseline,

wherein the first fan edge extends from and is not coextensive with the first baseline, thereby forming a first fan structure bounded by the first fan edge, the commissure, and the first baseline, and

wherein the second fan edge extends from and is not coextensive with the second baseline, thereby forming a second fan structure bounded by the second fan edge, the commissure, and the second baseline,

wherein at least a portion of the first fan edge, at least a portion of the second fan edge, and at least a portion of the inner conduit surface are mutually disposed to form a valve gap in the closed state,

wherein at least a portion of the first sinus structure and a portion of the inner conduit surface are nonadjacent, thereby forming a first valve sinus bounded at least in part by at least a portion of the inner conduit surface and at least a portion of the first sinus structure, and

wherein at least a portion of the second sinus structure and a portion of the inner conduit surface are nonadjacent, thereby forming a second valve sinus bounded at least in part by at least a portion of the inner conduit surface and at least a portion of the second sinus structure.

2-9. -9. (canceled)

10. A heart valve multi-leaflet structure comprising:

a first heart valve leaflet, comprising a first sinus edge and a first fan edge; and

a second heart valve leaflet, comprising a second sinus edge and a second fan edge;

wherein the first fan edge intersects the second fan edge at an outer commissure point, and the first sinus edge intersects the second sinus edge at an inner commissure point, thereby forming a commissure extending from the outer commissure point to the inner commissure point,

wherein the first fan edge intersects the first sinus edge at a first outer leaflet point, thereby forming a first baseline extending from the first outer leaflet point to the commissure, the first baseline further having a first width as measured from the first outer leaflet point to the commissure,

wherein the second fan edge intersects the second sinus edge at a second outer leaflet point, thereby forming a second baseline extending from the second outer leaflet point to the commissure, the second baseline further having a second width as measured from the second outer leaflet point to the commissure,

wherein the second baseline is essentially collinear with the first baseline,

wherein the first sinus edge extends from and is not coextensive with the first baseline, thereby forming a first sinus structure bounded by the first sinus edge, the commissure, and the first baseline,

wherein the second sinus edge extends from and is not coextensive with the second baseline, thereby forming a second sinus structure bounded by the second sinus edge, the commissure, and the second baseline,

wherein the first fan edge extends from and is not coextensive with the first baseline, thereby forming a first fan structure bounded by the first fan edge, the commissure, and the first baseline,

wherein the second fan edge extends from and is not coextensive with the second baseline, thereby forming a second fan structure bounded by the second fan edge, the commissure, and the second baseline,

wherein at least a portion of the first fan edge forms no contact with the second fan edge under a cylindrical deformation of the structure about an axis parallel to the commissure, and

wherein the first heart valve leaflet comprises a biocompatible and hemocompatible polymer, and the second heart valve leaflet comprises the biocompatible and hemocompatible polymer.

11. The heart valve multi-leaflet structure of claim 10, wherein:

the first sinus edge has a first edge shape, the second sinus edge has a second edge shape, the first edge shape being essentially the same as the second edge shape; and

the first sinus edge has a first edge length, the second sinus edge has a second edge length, the first edge length being about the same as the second edge length.

18. The heart valve multi-leaflet structure of claim 10, wherein the first sinus edge comprises a plurality of first sinus edge components and the second sinus edge comprises a plurality of second sinus components.

19. The heart valve multi-leaflet structure of claim 18, wherein:

the first sinus edge comprises a first inner edge component and a first outer edge component;

the second sinus edge comprises a second inner edge component and a second outer edge component;

the first inner edge component, the first outer edge component, the second inner edge component, and the second outer edge component are essentially linear;

the first inner edge component and the first outer edge component intersect to form a first sinus intersection having a first height as measured from the first baseline; and

the second inner edge component and the second outer edge component intersect to form a second sinus intersection having a second height as measured from the second baseline.

21. The heart valve multi-leaflet structure of claim 10, wherein the outer commissure point is the inner commissure point.

22. The heart valve multi-leaflet structure of claim 10, wherein the outer commissure point differs from the inner commissure point, thereby forming a commissure having a length measured from the outer commissure point to the inner commissure point.

25. The heart valve multi-leaflet structure of claim 10, wherein:

the first fan edge comprises a first fan edge steep portion and proximate to the first sinus edge, and a first fan edge gradual portion; and

the second fan edge comprises a second fan edge steep portion and proximate to the second sinus edge, and a second fan edge gradual portion.

12-17. -17. (canceled)

20. (canceled)

23-24. -24. (canceled)

26-27. -27. (canceled)

28. A method of fabricating a heart valve structure, the method comprising:

providing a flexible conduit comprising a wall, an inner surface, and an outer surface;

providing a heart valve multi-leaflet structure;

everting the flexible conduit;

affixing the heart valve multi-leaflet structure to the inner surface; and

reverting the conduit, thereby forming a multi-leaflet valve within an interior of the conduit,

wherein the heart valve multi-leaflet structure comprises

a first heart valve leaflet, comprising a first sinus edge and a first fan edge, and

a second heart valve leaflet, comprising a second sinus edge and a second fan edge,

wherein the first fan edge intersects the second fan edge at an outer commissure point, and the first sinus edge intersects the second sinus edge at an inner commissure point, thereby forming a commissure extending from the outer commissure point to the inner commissure point,

wherein the first fan edge intersects the first sinus edge at a first outer leaflet point, thereby forming a first baseline extending from the first outer leaflet point to the commissure, the first baseline further having a first width as measured from the first outer leaflet point to the commissure,

wherein the second fan edge intersects the second sinus edge at a second outer leaflet point, thereby forming a second baseline extending from the second outer leaflet point to the commissure, the second baseline further having a second width as measured from the second outer leaflet point to the commissure,

wherein the second baseline is essentially collinear with the first baseline,

wherein the first sinus edge extends from and is not coextensive with the first baseline, thereby forming a first sinus structure bounded by the first sinus edge, the commissure, and the first baseline,

wherein the second sinus edge extends from and is not coextensive with the second baseline, thereby forming a second sinus structure bounded by the second sinus edge, the commissure, and the second baseline,

wherein the first fan edge extends from and is not coextensive with the first baseline, thereby forming a first fan structure bounded by the first fan edge, the commissure, and the first baseline, and

wherein the second fan edge extends from and is not coextensive with the second baseline, thereby forming a second fan structure bounded by the second fan edge, the commissure, and the second baseline, and

wherein at least a portion of the first fan edge, at least a portion of the second fan edge, and at least a portion of the inner conduit surface are mutually disposed to form a valve gap,

wherein at least a portion of the first sinus structure and a portion of the inner conduit surface are nonadjacent, thereby forming a first valve sinus bounded at least in part by at least a portion of the inner conduit surface and at least a portion of the first sinus structure, and

wherein at least a portion of the second sinus structure and a portion of the inner conduit surface are nonadjacent, thereby forming a second valve sinus bounded at least in part by at least a portion of the inner conduit surface and at least a portion of the second sinus structure.

29. The method of claim 28, wherein affixing the heart valve multi-leaflet structure to the inner surface comprises affixing the first sinus edge, the second sinus edge, and the commissure to the inner surface.

30. The method of claim 28, further comprising:

providing a sinus stencil; and

marking the inner surface with a shape substantially the same as the sinus stencil.

31. The method of claim 30, wherein affixing the heart valve multi-leaflet structure to the inner surface comprises affixing the first sinus edge, the second sinus edge, and the commissure along the shape marked on the inner surface.

32-36. -36. (canceled)