HEART VALVE PROSTHESIS AND METHODS OF MANUFACTURE AND USE

• US 20170035563A1
• Filed: 10/17/2016
• Published: 02/09/2017
• Est. Priority Date: 05/13/2005
• Status: Active Grant

• Current Assignee: Medtronic CV Luxembourg SARL (Medtronic Plc)
• Original Assignee: Medtronic Corevalve LLC (Medtronic Plc)
• Inventors: Nguyen, Than, Nguyen, Hung, Nguyen, MyKim, Komatsu, Stanley, Michiels, Robrecht
• Granted Patent: US 10,478,291 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 2/2415 Manufacturing methods
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• 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 2230/0054 V-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: Y10S 623/90 Stent for heart valve

Abstract

A heart valve prosthesis is provided having a self-expanding multi-level frame that supports a valve body comprising a skirt and plurality of coapting leaflets. The frame transitions between a contracted delivery configuration that enables percutaneous transluminal delivery, and an expanded deployed configuration having an asymmetric hourglass shape. The valve body skirt and leaflets are constructed so that the center of coaptation may be selected to reduce horizontal forces applied to the commissures of the valve, and to efficiently distribute and transmit forces along the leaflets and to the frame. Alternatively, the valve body may be used as a surgically implantable replacement valve prosthesis.

Claims

1-46. -46. (canceled)

47. :

A valve prosthesis comprising;

a valve body comprising a plurality of leaflets affixed to a skirt, adjoining leaflets affixed together to form commissures; and

a self-expanding frame comprising an inflow section having a first row of cells in a circumferentially repeating pattern, and an outflow section having a second row of cells in a circumferentially repeating pattern and including a plurality of eyelets;

wherein the area of individual cells in the first row of cells is less than the area of individual cells in the second row of cells;

wherein the frame has a longitudinal axis and includes four rows of cells;

wherein the frame has a contracted delivery configuration and an expanded deployed configuration, wherein, when the frame is in the expanded deployed configuration, the outflow section diameter is larger than the inflow section diameter;

wherein the frame supports the valve body, wherein at least a portion of the skirt is sewn to the first row of cells and the commissures are sewn to the frame between the first and second rows of cells.

48. :

The valve prosthesis of claim 47, wherein the frame comprises a middle region between the inflow section and the outflow section, wherein the middle region is configured to avoid blocking blood flow to the coronary arteries when the frame is implanted in a body.

49. :

The valve prosthesis of claim 47, wherein the skirt has a bottom edge, the inflow section of the frame has an inflow edge, and the bottom edge of the skirt is sewn to the inflow edge of the inflow section.

50. :

The valve prosthesis of claim 47, wherein the outflow section includes three eyelets.

51. :

The valve prosthesis of claim 47, wherein the skirt further comprises a plurality of end tabs adapted to be affixed to the first row of cells.

52. :

The valve prosthesis of claim 47, wherein the frame has proximal and distal ends and a plurality of cell patterns that vary in size between the proximal and distal ends.

53. :

The valve prosthesis of claim 47, wherein the leaflets comprise porcine, bovine, equine or other mammalian pericardial tissue, synthetic material or polymeric material.

54. :

The valve prosthesis of claim 47, wherein the valve prosthesis is configured to hold a patient'"'"'s native valve permanently open in the expanded deployed configuration.

55. :

The valve prosthesis of claim 47, wherein the outflow section diameter is between 30 mm and 55 mm and the inflow section diameter is between 19 mm and 34 mm.

65. :

The valve prosthesis of claim 47, wherein the frame includes four rows of cells.

56. :

A valve prosthesis comprising;

a valve body comprising a plurality of leaflets affixed to a skirt, adjoining leaflets affixed together to form commissures; and

a self-expanding frame comprising an inflow section having a first row of cells in a circumferentially repeating pattern, and an outflow section having a second row of cells in a circumferentially repeating pattern and including a plurality of eyelets;

wherein the area of individual cells in the first row of cells is less than the area of individual cells in the second row of cells;

wherein the frame has a longitudinal axis and includes a plurality of rows of cells;

wherein the frame has a contracted delivery configuration and an expanded deployed configuration, wherein, when the frame is in the expanded deployed configuration, the outflow section diameter is larger than the inflow section diameter;

wherein the frame supports the valve body, wherein at least a portion of the skirt is sewn to the first row of cells and the commissures are sewn to the frame between the first and second rows of cells.

57. :

The valve prosthesis of claim 56, wherein the frame comprises a middle region between the inflow section and the outflow section, wherein the middle region is configured to avoid blocking blood flow to the coronary arteries when the frame is implanted in a body.

58. :

The valve prosthesis of claim 56, wherein the skirt has a bottom edge, the inflow section of the frame has an inflow edge, and the bottom edge of the skirt is sewn to the inflow edge of the inflow section.

59. :

The valve prosthesis of claim 56, wherein the outflow section includes exactly three eyelets.

60. :

The valve prosthesis of claim 56, wherein the skirt further comprises a plurality of end tabs adapted to be affixed to the first row of cells.

61. :

The valve prosthesis of claim 56, wherein the frame has proximal and distal ends and a plurality of cell patterns that vary in size between the proximal and distal ends.

62. :

The valve prosthesis of claim 56, wherein the leaflets comprise porcine, bovine, equine or other mammalian pericardial tissue, synthetic material or polymeric material.

63. :

The valve prosthesis of claim 56, wherein the valve prosthesis is configured to hold a patient'"'"'s native valve permanently open in the expanded deployed configuration.

64. :

The valve prosthesis of claim 56, wherein the outflow section diameter is between 30 mm and 55 mm and the inflow section diameter is between 19 mm and 34 mm.

66. :

A valve prosthesis comprising;

a valve body comprising a plurality of leaflets affixed to a skirt, adjoining leaflets affixed together to form commissures; and

a self-expanding frame comprising an inflow section having a first row of cells in a circumferentially repeating pattern, and an outflow section having a second row of cells in a circumferentially repeating pattern and including three eyelets;

wherein the area of individual cells in the first row of cells is less than the area of individual cells in the second row of cells;

wherein the frame has a longitudinal axis and includes four rows of cells;

wherein the frame has a contracted delivery configuration and an expanded deployed configuration, wherein, when the frame is in the expanded deployed configuration, the outflow section diameter is between 30 nm and 55 nm and the inflow section diameter is between 19 mm and 34 mm;

wherein the frame supports the valve body, wherein at least a portion of the skirt is sewn to the first row of cells and the commissures are sewn to the frame between the first and second rows of cells.