Setting for a cardiac valve

• US 4,705,516 A
• Filed: 11/21/1983
• Issued: 11/10/1987
• Est. Priority Date: 04/20/1983
• Status: Expired due to Fees

• Current Assignee: Hector D. Barone, Jose R. Martin
• Original Assignee: Hector D. Barone, Jose R. Martin
• Inventors: Barone, Hector D., Martin, Jose R.
• Primary Examiner(s): FRINKS, RONALD
• Application Number:
  US06/553,706
• Time in Patent Office: 1,450 Days
• Field of Search: 3/1.5, 3/1, 623/2
• US Class Current: 623/2.39
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• CPC Class Codes: A61F 2250/0063 Nested prosthetic parts

Abstract

A valve prosthesis for controlling the flow of blood through a cardiac opening in which a stent (b) is adapted to be permanently secured to the cardiac tissue around a cardiac opening (a) and the stent (b) forms a cylindrical opening having a preset inside diameter not less than the diameter of the cardiac opening (a) or is slightly larger than the diameter of the cardiac opening (a). A valve member (c) is releasably connected to stent (b) to control the flow of blood through the cardiac opening (a). The valve member (c) may be releasably connected to the stent (b) by means of a set of teeth (3) that are wedged into an inside circumferential groove (2) extending around the stent ring (b'"'"') or a thread set (3) can engage a thread (2) on the stent ring (b'"'"').

Claims

1. A valve prosthesis for controlling the flow of blood through a cardiac opening having a diameter and formed by cardiac tissue, the valve prosthesis comprising:

a stent adapted to be permanently secured to the cardiac tissue around the cardiac opening, and forming

(i) a cylindrical opening having a preset inside diameter not less than the diameter of the cardiac opening, and

(ii) an inside circumferential groove facing and in communication with the cylindrical opening; and

a valve member releasably connected to the stent to control the flow of blood through the cylindrical opening and, thereby, through the cardiac opening, and including

(i) a tubular sidewall, and

(ii) a set of teeth extending outward from the sidewall, and wedged into the circumferential groove of the stent to connect the valve member releasably to the stent.

2. A valve prosthesis according to claim 1, wherein the inside diameter of the cylindrical opening is slightly larger than diameter of the cardiac opening to provide a small clearance between the stent and the cardiac opening.

3. A valve prosthesis according to claim 1, wherein blood flows through the cardiac opening in a first direction, and the teeth of the valve member and the groove of the stent are adapted to be located completely outside the projection of the cardiac opening in the first direction.

4. A valve prosthesis according to claim 1, wherein:

the stent includes

(i) an outside collar member adapted to be permanently secured to the cardiac tissue, and

(ii) an inside collar member connected to the outside tubular member; and

the valve member is releasbly connected to the inside collar member.

5. A valve prosthesis according to claim 4 wherein:

the outside collar member includes

(i) a circumferential flange portion adapted to be permanently secured to the cardiac tissue, and

(ii) a tubular portion connected to the circumferential flange portion, and extending outward therefrom; and

the inside collar member includes

a bottom, circumferential flange portion extending below the tubular portion of the outside collar member, and adapted to be captured between the cardiac tissue and the outside collar member to connect the inside collar member to the outside collar member, and

(ii) a tubular portion connected to the circumferential flange portion of the inside collar member, and extending outward therefrom.

6. A valve prosthesis according to claim 5, wherein:

the tubular portion of the outside collar member includes

(i) an inside circumferentially extending face, and

(ii) a bottom recess circumferentially extending around and radially extending outward from the inside face; and

the circumferential flange portion of the inside collar member is captured in said recess.

7. A valve prosthesis according to claim 6, wherein the inside collar member further includes a top circumferential flange extending outward from the tubular portion of the inside collar member, directly above the tubular portion of the outside collar member to further connect the inside collar member to the outside collar member.

8. A valve prosthesis according to claim 7, wherein:

the inside collar member forms an inside circumferential groove facing and in communication with the cylindrical opening;

the valve member includes a tubular shaped body, and a set of teeth extending outward from the tubular body; and

the teeth of the valve member are wedged into the circumferential groove to connect the valve member releasably to the stent.

9. A valve prosthesis according to claim 1, wherein:

the valve member includes a tubular sidewall, and connecting means secured to the sidewall and connecting the valve member releasably to the stent; and

the sidewall of the valve member is adapted to radially project outside the cardiac opening to guide blood flowing therethrough away from the connecting means.

10. A valve prosthesis according to claim 9, wherein blood flows through the cardiac opening in a first direction, and the sidewall of the valve member has a diameter not less than the diameter of the cardiac opening, and is adapted to be located completely outside the projection of the cardiac opening in the first direction.