Support housing for valve and closure members, in particular for heart valve prostheses

• US 5,800,527 A
• Filed: 01/06/1996
• Issued: 09/01/1998
• Est. Priority Date: 07/10/1992
• Status: Expired due to Fees

• Current Assignee: Adiam Life Science AG
• Original Assignee: Adiam Medizintechnik GmbH & Co. KG
• Inventors: Jansen, Josef, Jansen, Ulrich
• Primary Examiner(s): Willse, David H.
• Application Number:
  US08/367,298
• Time in Patent Office: 969 Days
• Field of Search: 623/2, 623/900
• US Class Current: 623/2.38
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• 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 2250/0036 differing in thickness
• CPC Class Codes: Y10S 623/90 Stent for heart valve

Abstract

A support housing (1) for valve and closure members, in particular for heart valve prostheses, has a base ring (2) which carries at least two symmetrically offset posts (4/5) substantially oriented in the direction of the ring axis and linked together by curved strips (3) for securing at least two flexible webs (6/7). In order to produce with such a support housing a valve or closure member, in particular a heart valve prosthesis, which operates reliably even with different closing pressure differentials, i.e. in particular even under varying physiological stress conditions, the stent (1) is only retained in sections and with limited flexibility. For that purpose the free ends (4) of the posts have a rigid form, and/or the bases of the posts have a flexibility limited by stops, and/or the strips (3) have a flexibility limited by stops.

Claims

1. A support stent for valve and closure members, said stent comprising a base ring, at least two posts mounted on said base ring, said posts extending substantially axially to the direction of a ring axis, said posts having free ends and bases, said bases linked together by curved strips and said posts and said strips having backing surfaces for securing at least two flexible webs thereto, said posts and said strips having outer surfaces and inner surfaces that respectively form outer and inner walls of said stent, said posts being inwardly and outwardly deflectable relative to said base ring with said free ends of said posts being rigid, and stop means for limiting inward and outward deflection of said posts.

2. A stent according to claim 1, wherein said stop means is adjacent to said base ring.

3. A support stent according to claim 1 wherein, said posts having a prismatic inner overlay on said free ends.

4. A stent according to claim 3, wherein said inner overlay has a triangular cross-section tapering concavely on both sides, said overlay being in the form of a prism tapering to a point towards said base of said posts.

5. A stent according to claim 4, wherein said posts have a trapezium cross-section with a shorter side, and a longer side opposite said shorter side, said shorter side of the trapezium being located axially outward of said longer side, said inner overlay adjoining the longer side of the trapezium, said triangular cross-section of said overlay having an apex pointing inward.

6. A stent according to claim 3, wherein said inner overlay tapers in cross-section from said backing surfaces, said overlay tapering at first triangularly or convexly on both sides and then triangularly or concavely on both sides, so that said web gradually deviates with small bending angles when it is closed, and is in addition supported by said inner overlay, said inner overlay tapering into the stent wall toward said bases of said posts.

7. A stent according to claim 3, wherein said posts are formed integrally with their respective inner overlays.

8. A stent according to claim 3, wherein said backing surfaces of said posts and said strips adjoin said outer wall of said stent forming an edge, said edge is rounded off.

9. A stent according to claim 3, wherein said backing surfaces of said strips and of said posts are singly curved between said inner and outer walls of said stent, said backing surfaces being inclined toward said outer wall of said stent.

10. A stent according to claim 3, wherein said bases of said posts have apertures, such that said posts and said strips connect to form a crown shape, said strips arching toward said base ring, said crown shape being connected to said base ring only by way of stays.

11. A stent according to claim 10, wherein said stay is vertical, said stay located under the base of each post.

12. A stent according to claim 10, wherein said stays are in the form of a V under the base of each post, each said post being connected to said base ring by way of two respective stays for the greatest possible flexibility with minimal pressure differentials.

13. A stent according to claim 3, wherein said stop means includes a coaxial stop ring in the region of said base ring.

14. A stent according to claim 13, wherein said stop ring and said base ring are integrally connected together.

15. A stent according to claim 13, wherein said stop ring has a circumferential groove.

16. A stent according to claim 15, wherein said outside wall of said stent has at least one at least partially circumferential lip, said lip located generally on said base of said post, said lip engaging said groove in said stop ring, said lip remaining freely movable within said groove.

17. A stent according to claim 16, wherein said bases of said posts have apertures, such that said posts and said strips connect to form a crown shape, said strips arching toward said base ring, said crown being connected to said base ring only by way of stays, said lip or lips provided on the outer wall of said stent, said lip or lips located on said stays.

18. A stent according to claim 13, wherein said curved strips and/or said stop ring have at least one at least partially circumferential recess, said recess or recesses associated in such a way that said ring serves as a stop for said strips.

19. A stent according to claim 3, wherein said stent has a diffuser shape.

20. A stent according to claim 19, wherein said stent has a conical shape opening toward said ends of said posts with cone angles between 20 and 140, the contraction of said stent into a cylindrical configuration being limited.

21. A stent according to claim 20, wherein the limit of the contractibility of the stent posts into the cylindrical configuration is reached at pressure differentials between 2 and 30 mm Hg.

22. A stent according to claim 3, wherein said webs having an arcuate rim, said rim having a triangular shaped edge, said edge engaging a corresponding recess in said backing surface.

23. A stent according to claim 3, wherein said webs having an arcuate, circumferential snap rim, said snap rim conforming with the outer surface of said stent.

24. A stent according to claim 1, wherein said backing surfaces of said posts and said strips adjoin said outer wall of said stent forming an edge and said edge is rounded off.

25. A stent according to claim 1, wherein said backing surfaces of said strips and of said posts are singly curved between said inner and outer walls of said stent, said backing surfaces being inclined toward said outer wall of said stent.

26. A stent according to claim 1, wherein said bases of said posts have apertures, such that said posts and said strips connect to form a crown shape, said strips arching toward said base ring, said crown shape being connected to said base ring only by way of stays.

27. A stent according to claim 26, wherein said stay is vertical, said stay located under the base of each post.

28. A stent according to claim 26, wherein said stays are in the form of a V under the base of each post, each said post being connected to said base ring by way of two respective stays for the greatest possible flexibility with minimal pressure differentials.

29. A stent according to claim 1 wherein, said stop means includes a coaxial stop ring in the region of said base ring.

30. A stent according to claim 29, wherein said stop ring and said base ring are integrally connected together.

31. A stent according to claim 29, wherein said stop ring has a circumferential groove.

32. A stent according to claim 31, wherein said outside wall of said stent has at least one at least partially circumferential lip, said lip located generally on said base of said post, said lip engaging said groove in said stop ring, said lip remaining freely movable within said groove.

33. A stent according to claim 32, wherein said bases of said posts have apertures, such that said posts and said strips connect to form a crown shape, said strips arching toward said base ring, said crown shape being connected to said base ring only by way of stays, said lip or lips provided on the outer wall of said stent, said lip or lips located on said stays.

34. A stent according to claim 29, wherein said curved strips and/or said stop ring have at least one at least partially circumferential recess, said recess or recesses associated in such a way that said ring serves as a stop for said strips.

35. A stent according to claim 1, wherein said stent has a diffuser shape.

36. A stent according to claim 35, wherein said stent has a conical shape opening toward said ends of said posts with cone angles between 2°

and 14°

, the contraction of said stent into a cylindrical configuration being limited.

37. A stent according to claim 36, wherein the limit of the contractibility of the stent posts into the cylindrical configuration is reached at pressure differentials between 2 and 30 mm Hg.

38. A stent according to claim 1, wherein said webs having an arcuate rim, said rim having a triangular shaped edge, said edge engaging a corresponding recess in said backing surface.

39. A stent according to claim 1, wherein said webs having an arcuate, circumferential snap rim, said snap rim conforming with the outer surface of said stent.

40. A stent according to claim 1, wherein said backing surfaces of said posts and said strips adjoin said outer wall of said stent forming an edge, said edge is rounded off.

41. A stent according to claim 1, wherein said backing surfaces of said strips and of said posts are singly curved between said inner and outer walls of said stent, said backing surfaces being inclined toward said outer wall of said stent.