THROMBUS MANAGEMENT AND STRUCTURAL COMPLIANCE FEATURES FOR PROSTHETIC HEART VALVES

• US 20160106537A1
• Filed: 12/21/2015
• Published: 04/21/2016
• Est. Priority Date: 06/25/2013
• Status: Active Grant

• Current Assignee: Tendyne Holdings Inc. (Abbott Laboratories Incorporated)
• Original Assignee: Tendyne Holdings Inc. (Abbott Laboratories Incorporated)
• Inventors: CHRISTIANSON, Mark, TEGELS, Zachary, VIDLUND, Robert, PERRIN, Chad, EKVALL, Craig, MAI, Son, EVANS, Michael
• Granted Patent: US 9,597,181 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2448 D-shaped rings
• CPC Class Codes: A61F 2/2457 Chordae tendineae prostheses
• CPC Class Codes: A61F 2/2463 Implants forming part of the valve leaflets
• CPC Class Codes: A61F 2/2487 Devices within the heart chamber, e.g. splints
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/001 Figure-8-shaped, e.g. hourglass-shaped
• CPC Class Codes: A61F 2230/0034 D-shaped
• CPC Class Codes: A61F 2230/0093 Umbrella-shaped, e.g. mushroom-shaped
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0023 differing in porosity
• CPC Class Codes: A61F 2250/0024 made from both porous and non-porous parts, e.g. adjacent parts
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61F 2250/006 modular
• CPC Class Codes: A61F 2250/0069 Sealing means

Abstract

A prosthetic heart valve can include an outer support assembly, an inner valve assembly, which define between them an annular space, and a pocket closure that bounds the annular space to form a pocket in which thrombus can be formed and retained. Alternatively, or additionally, the outer support assembly and the inner valve assembly can be coupled at the ventricle ends of the outer support assembly and the inner valve assembly, with the outer support assembly being relatively more compliant in hoop compression in a central, annulus portion than at the ventricle end, so that the prosthetic valve can seat securely in the annulus while imposing minimal loads on the inner valve assembly that could degrade the performance of the valve leaflets.

Claims

1. A prosthetic heart valve comprising:

an outer frame assembly having an atrium end configured to be disposed in an atrium of a heart and an opposite, ventricle end;

an inner valve assembly,

the inner valve assembly disposed within and coupled to the outer frame, the inner valve assembly and the outer frame assembly defining therebetween an annular region, the inner valve assembly and the outer frame assembly configured to substantially prevent blood flow therebetween through the annular region;

a pocket closure coupled between the outer frame assembly and the inner valve assembly and enclosing therewith a portion of the annular space, forming a thrombus retaining pocket, at least a portion of the pocket closure formed of a material having a porosity that is sufficiently large to allow red blood cells to pass through the pocket closure into the pocket and that is sufficiently small to prevent thrombus formed from the red blood cells to pass through the pocket closure from the pocket.

2. The prosthetic heart valve of claim 1, wherein the inner valve assembly includes:

an inner frame;

a covering disposed about the periphery of the inner frame, defining in part the annular region, and formed of a material substantially impermeable to blood; and

a valve leaflet assembly supported on the inner frame.

3. The prosthetic heart valve of claim 1, wherein the outer valve assembly includes:

an outer frame; and

an inner covering disposed about the inner periphery of the outer frame, defining in part the annular region, and formed of a material substantially impermeable to blood.

4. The prosthetic heart valve of claim 1, wherein:

the inner valve assembly includes;

an inner frame;

a covering disposed about the periphery of the inner frame, defining in part the annular region, and formed of a material substantially impermeable to blood; and

a valve leaflet assembly supported on the inner frame; and

the outer valve assembly includes;

an outer frame; and

an inner covering disposed about the inner periphery of the outer frame, defining in part the annular region, and formed of a material substantially impermeable to blood,

the covering of the inner frame coupled to the inner covering of the outer frame to close the ventricle end of the annular region, opposite the pocket covering.

5. The prosthetic heart valve of claim 1, wherein the inner valve assembly includes an atrium end having a periphery formed with multiple arches and wherein the pocket closure is coupled along the periphery of the atrium end.

6. The prosthetic heart valve of claim 1, wherein the outer frame assembly has an annulus portion between the atrium end and the ventricle end, the annulus portion having a perimeter that is sized to fit into an annulus of an atrioventricular valve, the atrium end of the outer frame assembly having a perimeter that is substantially larger than the perimeter of the medial portion, each of the atrium end and the annulus portion being D-shaped in cross section.

7. The prosthetic heart valve of claim 1, wherein the inner frame is formed of an expanded shape memory metal.

8. The prosthetic heart valve of claim 1, wherein the outer frame is formed of an expanded shape memory metal.

9. The prosthetic heart valve of claim 1, wherein the pocket closure is formed at least in part of a material having a pore size less than about 160μ

.

10. The prosthetic heart valve of claim 9, wherein the pocket closure is formed at least in part of a material having a pore size between about 90μ

and about 120μ

.

11. The prosthetic heart valve of claim 1, wherein the pocket closure is formed at least in part of a material that is one of a woven material, a knit material, or a non-woven material.

12. A prosthetic heart valve comprising:

an outer frame assembly having an atrium portion, a ventricle portion, and an annulus portion between the atrium portion and the ventricle portion,

the ventricle portion having a maximum perimeter larger than a maximum perimeter of the annulus portion,

the ventricle portion having a minimum perimeter smaller than a minimum perimeter of the annulus portion,

the annulus portion having an hourglass shape with a minimum perimeter disposed between a larger perimeter near the atrium portion and a larger perimeter near the ventricle portion;

an inner valve assembly including an inner frame having an atrium end and a ventricle end,

the inner valve assembly coupled to the outer frame assembly by a connection between the ventricle end of the inner frame and the ventricle portion of the outer frame assembly,

the inner frame assembly extending from the connection towards the atrium portion of the outer frame assembly,

the inner frame assembly and the outer frame assembly diverging from the connection towards the atrium portion of the outer frame assembly,

the annulus portion of the outer frame assembly being spaced radially from the inner valve assembly and radially inwardly deflectable towards the inner valve assembly to accommodate in the annulus portion a natural valve annulus having a perimeter smaller than the minimum perimeter of the annulus portion.

13. The prosthetic heart valve of claim 12, wherein each of the atrium portion and the annulus portion of the outer frame assembly is D-shaped in cross section.

14. The prosthetic heart valve of claim 12, wherein the inner frame is formed of an expanded shape memory metal.

15. The prosthetic heart valve of claim 12, wherein the outer frame is formed of an expanded shape memory metal.

16. A prosthetic heart valve comprising:

an outer frame assembly having an atrium portion, a ventricle portion, and an annulus portion between the atrium portion and the ventricle portion;

an inner valve assembly including an inner frame having an atrium end and a ventricle end,

the inner valve assembly coupled to the outer frame assembly by a connection between the ventricle end of the inner frame and the ventricle portion of the outer frame assembly,

the inner frame assembly extending from the connection towards the atrium portion of the outer frame assembly,

the inner frame assembly and the outer frame assembly diverging from the connection towards the atrium portion of the outer frame assembly,

the annulus portion and the atrium portion of the outer frame assembly being spaced radially from the inner valve assembly and being radially inwardly deflectable towards the inner valve assembly,

each of the atrium portion, the ventricle portion, and the annulus portion of the outer frame assembly having a stiffness in resistance to radial compression, the stiffness of the annulus portion being less than the stiffness of the ventricle portion.

17. The prosthetic heart valve of claim 16, wherein each of the atrium portion and the annulus portion of the outer frame assembly is D-shaped in cross section.

18. The prosthetic heart valve of claim 16, wherein the inner frame is formed of an expanded shape memory metal.

19. The prosthetic heart valve of claim 16, wherein the outer frame is formed of an expanded shape memory metal.

20. The prosthetic heart valve of claim 16, wherein the stiffness of the ventricle portion of the outer frame assembly is greater than the stiffness of the annulus portion.

21. The prosthetic heart valve of claim 16, wherein the stiffness of the ventricle portion of the outer frame assembly is less than the stiffness of the annulus portion.