Suture rings for heart valves

• US 4,535,483 A
• Filed: 01/17/1983
• Issued: 08/20/1985
• Est. Priority Date: 01/17/1983
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Hemex, Inc. (Aethlon Medical, Inc.)
• Inventors: Klawitter, Jerome J., Cromie, Harry W.
• Primary Examiner(s): FRINKS, RONALD
• Application Number:
  US06/458,618
• Time in Patent Office: 946 Days
• Field of Search: 3/1.5, 3/1, 128/334 R, 128/334 C
• US Class Current: 623/2.4
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442

Abstract

Suture rings are provided for heart valves having surrounding stiffening protrusions that are either integral parts of the heart valve bodies or are rigid rings held in interference fit within peripheral grooves of heart valve bodies. Metal retainer rings engage the stiffening protrusions to lock the retainer rings to the valve bodies and carry fabric coverings on their exterior surfaces that are suturable to the heart tissues. Deformable portions of the retainer rings are used to provide engagement between the retainer rings and the protrusions and also to permanently position bands that secure the fabric coverings to the retainer rings.

Claims

1. A suture ring for a heart valve having a valve body providing a blood flow passageway, occluder means mounted within said valve body for opening and closing the passageway and a protrusion around the valve body having first and second end surfaces, the suture ring comprising

a retainer ring having an interior surface proportioned to surround said protrusion, inwardly extending means for engaging said first end surface of the protrusion and a deformable end portion for engaging the second end surface to lock said retainer ring onto the protrusion,

a fabric tube surrounding said retainer ring, said fabric tube being interposed between said retainer ring and said protrusion,

band means for securing the opposite ends of said fabric tube together, and

deformable means which forms a part of said retainer ring for holding said band means in permanent position, said deformable means being deformed from a first position adjacent said band means to a second permanent lock positon about said band means.

17. A suture ring in accordance with claim 1 wherein said deformable means are a ring of tines substantially encircling said band means.

18. A suture ring in accordance with claim 17 wherein said retainer ring has an outwardly extending flange, and said tines are crimped to extend substantially to said flange.

19. A suture ring according to claim 1 wherein said second end portion of said retainer ring is resiliently deformable so that said retainer ring may be shap-fit about said protrusion, said second end portion deforming outwardly as it is forced over said protrusion and thereafter returning inwardly to engage said second end surface of the protrusion.

20. A suture ring according to claim 1 wherein said deformable end portion of said retainer ring comprises a ring of deformable tangs.

2. A suture ring for a heart valve having a valve body providing a blood flow passageway, occluder means mounted within said valve body for opening and closing the passageway and a protrusion around the valve body having first and second end surfaces, the suture ring comprising

a retainer ring having an interior surface proportioned to surround said protrusion, inwardly extending means for engaging said first end surface of the protrusion and a deformable end portion for engaging the second end surface to lock said retainer ring onto the protrusion,

a fabric tube,

band means for securing the ends of said fabric tube to said retainer ring so that exposed surfaces of said retainer ring when it is locked onto said protrusion are fully covered by said fabric tube, said band means comprising a first band for securing one end of said fabric tube to said retainer ring and a second band for securing the other end of said fabric tube to said retianer ring, and

deformable means which forms a part of said retainer ring for holding at least said first band in permanent position.

3. A suture ring according to claim 2 wherein said deformable means comprises a first deformable retainer ring section for permanently positioning said first band and a second deformable retainer ring section for permanently positioning said second band.

4. A suture ring according to claim 2 wherein said deformable end portion provides means for permanently positioning one of said bands.

5. A suture ring according to claim 4 wherein said deformable end portion holds said one band in permanent position between the retainer ring and the valve body.

6. A suture ring according to claim 5 wherein said deformable end portion is permanently crimped to permanently position said one band.

7. A suture ring according to claim 2 wherein said first and second bands are rigid rings.

8. A suture ring according to claim 2 wherein said second end portion of said retainer ring is resiliently deformable so that said retainer ring may be snap-fit about said protrusion, said second end portion deforming outwardly as it is forced over said protrusion and thereafter returning inwardly to engage said second end surface of the protrusion.

9. A suture ring according to claim 2 wherein said fabric tube surrounds said retainer ring, said fabric tube being interposed between said retainer ring and said protrusion with said band means holding opposite ends of said fabric tube together.

10. A suture ring in accordance with claim 9 wherein said retainer ring has tine means substantially encircling said band means.

11. A suture ring in accordance with claim 10 wherein said retainer ring has an outwardly extending flange, and said tine means are crimped to extend substantially to said flange.

12. A suture ring according to claim 2 wherein said deformable end portion of said retainer ring comprises a ring of deformable tangs.

13. In combination,

a heart valve comprising

a valve body providing a blood flow passageway,

occluder means mounted within said valve body for opening and closing said passageway, and

an annular groove around the valve body;

a stiffener ring in interference fit within said groove, a portion of said stiffener ring extending outward of said groove to provide a protruding portion having first and second end surfaces; and

a suture ring comprising

a retainer ring having an interior surface proportioned to fit about said protruding portion of said stiffener ring, radially inwardly extending means for engaging said first end surface and a deformable end portion for engaging said second end surface to lock said retaining ring onto said stiffener ring, and

a fabric member covering exposed surfaces of said retainer ring.

14. A combination according to claim 13 wherein said fabric member is tubular and band means secure opposite ends of said tubular fabric member to said retainer ring.

15. A combination according to claim 14 wherein said retainer ring has a deformable section for holding said band means in association with said retainer ring.

16. A suture ring for a heart valve having a valve body providing a blood flow passageway, occluder means mounted within said valve body for opening and closing the passageway and a protrusion around the valve body having first and second end surfaces, the suture ring comprising

a retainer ring having an interior surface proportioned to surround said protrusion, inwardly extending means for engaging said first end surface of the protrusion and a deformable end portion for engaging the second end surface to lock said retainer ring onto the protrusion,

a fabric tube surrounding said retainer ring, said fabric tube being interposed between said retainer ring and said protrusion,

band means for securing opposite ends of said fabric tube together with said fabric tube fully covering surfaces of said retainer ring,

said retainer ring having deformable tine means and an outwardly extending flange, and said tine means being crimped to extend substantially to said flange to substantially encircle said band means.