Suture rings for prosthetic heart valves

• US 5,607,470 A
• Filed: 05/01/1995
• Issued: 03/04/1997
• Est. Priority Date: 05/01/1995
• Status: Expired due to Term

• Current Assignee: Milo, Simcha
• Original Assignee: Milo, Simcha
• Inventors: Milo, Simcha
• Primary Examiner(s): JONES, MARYBETH O
• Application Number:
  US08/431,767
• Time in Patent Office: 673 Days
• Field of Search: 623/2, 623/900
• 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

Abstract

A suture ring assembly for a prosthetic heart valve is provided which includes a suture ring body, suture ring flange, and an interior engagement surface that are formed as a unitary structure composed of pyrocarbon material or the like. The suture ring flange extends radially outward from said suture ring body and may be of an arcuate or straight design. Moreover, the suture ring flange has a plurality of pre-fabricated holes extending axially therethrough and is particularly designed for securing the assembly to the residual heart tissue. The suture ring interior engagement surface is proportioned to surround the exterior surface of the valve body such that it can rotate relative to the heart valve body. The suture ring assembly and the valve body are specifically designed to axially engage each other so as to prevent disengagement in either axial direction. Any axial displacements that may occur during the opening and closing of the prosthetic heart valve are absorbed or dampened with spring-like, shock-absorbing mechanisms formed as part of a retaining ring which is part of the suture ring assembly.

Claims

1. A suture ring assembly for a heart valve, said suture ring assembly comprises:

a suture ring having an interior surface proportioned to surround an exterior surface of a generally annular valve body and rotate relative to said valve body, said suture ring further adapted to axially engage with said valve body; and

an annular retaining ring dimensioned to fit in a space between said interior surface of said suture ring and said exterior surface of said valve body, said annular retaining ring being adapted for maintaining engagement between said valve body and said suture ring and to prevent disengagement thereof.

2. The suture ring assembly according to claim 1 further comprising a suture ring flange extending radially outward from said suture ring and having a plurality of holes extending therethrough in a generally axial direction.

3. The suture ring assembly according to claim 2 wherein said suture ring and suture ring flange are part of a unitary structure composed of pyrocarbon material.

4. The suture ring assembly according to claim 2 wherein said suture ring flange has a plurality of serrations on a downstream surface of said suture ring flange.

5. The suture ring assembly according to claim 2 further comprising a sealing ring disposed on an upstream surface of said suture ring flange.

6. The suture ring assembly according to claim 1 wherein said suture ring further comprises

a circular protrusion extending radially inward from said interior surface of said suture ring and adapted for axial engagement with a circular ledge protruding from said exterior surface or said valve body such that said suture ring rotates in bearing contact with said circular ledge of said valve body.

7. The suture ring assembly according to claim 6 wherein said retaining ring further includes a means for dampening small axial displacements of said valve body.

8. The suture ring assembly according to claim 7 wherein said dampening means further comprises:

a plurality of displacement members disposed along an edge of said retaining ring, said retaining ring having a plurality of oblique slits which define displacement cavities proximate said displacement members; and

a heel axially extending from each said displacement member and engaging said circular protrusion of said suture ring;

wherein said displacement members absorb small axial displacements of said valve body by deflecting within said displacement cavities.

9. The suture ring assembly according to claim 1 wherein said retaining ring is interposed between said interior surface of said suture ring and said exterior surface of said valve body downstream with respect to said suture ring flange.

10. The suture ring assembly according to claim 1 further comprising a second annular retaining ring interposed between said interior surface of said suture ring and said exterior surface of said valve body, said annular retaining ring being disposed upstream of said suture ring flange and said second annular retaining ring being disposed downstream of said suture ring flange.

11. A suture ring and heart valve combination comprising:

a heart valve having a generally annular valve body providing a blood flow passageway and occluder means mounted within said valve body for opening and closing said passageway;

a suture ring having an interior surface constructed to surround an exterior surface of said valve body and rotate relative to said valve body, said suture ring including a circular protrusion extending radially inward from said interior surface of said suture ring,

said valve body having a circular ledge protruding from said exterior surface of said valve body which axially engages said circular protrusion so as to prevent disengagement thereof in one axial direction,

said suture ring being adapted to rotate in bearing contact with said circular ledge of said valve body;

an annular retaining ring located in a space between said interior surface of said suture ring and said exterior surface of said valve body for maintaining axial engagement between said valve body and said suture ring so as to prevent disengagement thereof in the other axial direction; and

a suture ring flange extending radially outward from said suture ring and further having a plurality of holes extending therethrough in a generally axial direction.

12. The combination according to claim 11 wherein said suture ring and suture ring flange are a unitary structure composed of pyrocarbon material.

13. The combination according to claim 11 wherein said retaining ring further includes a means for dampening small axial displacements of said valve body.

14. The combination according to claim 13 wherein said dampening means is disposed along an edge of said retaining ring proximate said circular protrusion of said suture ring.

15. The combination according to claim 14 wherein said dampening means comprises:

a plurality of displacement members disposed along said edge of said retaining ring said retaining ring having a plurality of oblique slits which define displacement cavities proximate said displacement members; and

a heel axially extending from each said displacement member and engaging said circular protrusion of suture ring;

whereby said displacement members absorb small axial displacements of said valve body by deflecting within said displacement cavities.

16. The combination according to claim 11 wherein said suture ring flange has a plurality of serrations either on an upstream surface of said suture ring flange or on a downstream surface of said suture ring flange.

17. A heart valve prosthesis comprising:

a generally annular valve body providing a blood flow passageway and occluder means mounted within said valve body for opening and closing said passageway;

a suture ring having an interior surface and being proportioned to surround an exterior surface of said valve body and rotate relative to said valve body;

said suture ring and said valve body being constructed so that disengagement thereof in one axial direction is prevented; and

retaining means for preventing disengagement of said valve body and said suture ring in the other axial direction;

said suture ring having a suture ring flange extending radially outward from said suture ring which has a plurality of holes extending therethrough in a generally axial direction; and

said suture ring flange having an arcuate configuration adapted to simulate a configuration of residual aortic natural leaflets.

18. A heart valve according to claim 17 wherein said retaining means comprises an annular retaining ring located in a space between said interior surface of said suture ring and said exterior surface of said valve body.

19. A heart valve according to claim 18 wherein said valve body is formed with a circular ledge, and said suture ring is formed with a radially inwardly extending circular protrusion, which together prevent disengagement in said one axial direction.

20. A heart valve according to claim 18 wherein said retaining ring is proportioned to form a tight interference fit with said exterior surface of said valve body and has dampening means formed along an edge thereof which lies proximate a downstream surface of said circular protrusion of said suture ring, said dampening means being designed to absorb small axial displacements of said valve body.