Artificial heart valve and method and device for implanting the same

• US 5,855,601 A
• Filed: 06/21/1996
• Issued: 01/05/1999
• Est. Priority Date: 06/21/1996
• Status: Expired due to Term

• Current Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Original Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Inventors: Chuter, Timothy A. M., Bessler, Marc
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): Nguyen, Tram A.
• Application Number:
  US08/668,376
• Time in Patent Office: 928 Days
• Field of Search: 623/2, 623/1, 623/900
• US Class Current: 623/2.38
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 2017/320004 abrasive
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/2475 Venous valves
• CPC Class Codes: A61F 2002/8483 Barbs
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: Y10S 623/90 Stent for heart valve

Abstract

An artificial heart valve comprises a relatively rigid stent member having a first cylindrical shape and a flexible valve disposed in the stent member, the stent member being self-expandable to a second cylindrical shape and collapsible to its first cylindrical shape. The valve comprises a circular portion comprising a plurality of leaflets extending from the periphery of the circular portion towards the center thereof, the leaflets being configured to allow for flow of blood through the valve in one direction only. The diameter of the circular portion is substantially the same as the inside diameter of the stent member when the stent member is in its second cylindrical shape, the valve member being attached to the stent member.

Claims

1. An artificial heart valve comprising

a self-expanding, cylindrical stent member having first and second ends and an outer surface, and

a valve member comprising one-way valve means arranged within the stent and a cuff portion extending on said outer surface to a point between the first and second ends,

wherein the cuff portion is configured to position the valve snugly and sealingly at a valve site;

and

wherein the stent member has a plurality of barbs extending from the outer surface of the stent member to engage the natural tissue of the heart to hold the valve in place after implantation.

2. The artificial valve of claim 1, wherein the valve means comprises a plurality of leaflets.

3. The artificial valve of claim 1, wherein the cuff portion extends in the downstream direction.

4. The artificial valve of claim 1, wherein the barbs are disposed in a pair of spaced apart concentric circles.

5. The artificial valve of claim 4, wherein the barbs of one circle are all extending in the same direction and the barbs of the other circle all extending in the opposite direction.

6. The artificial valve of claim 1, wherein the stent member is comprised of a suitable flexible, resilient, biocompatible material.

7. The artificial valve of claim 6, wherein the material is Elgiloy alloy or nitinol.

8. The artificial valve of claim 1, wherein the stent member comprises a closed zig-zag configuration having an endless series of straight sections and a plurality of bends joining said straight sections.

9. The artificial valve of claim 8, wherein the straight sections of said stent member are all substantially the same length.

10. The artificial valve of claim 2 wherein the valve member has three leaflets.

11. The artificial valve of claim 10, wherein the valve member is made of porcine pericardium or a suitable polymeric material.

12. The artificial valve of claim 1, wherein the valve member is attached to the stent member with a plurality of sutures or other attachment means.

13. An artificial heart valve comprising a relatively rigid stent member and a flexible valve means disposed in said stent member, said stent member comprising a wire formed into a closed zig-zag configuration having an endless series of straight sections and a plurality of bends connecting said straight sections, said stent member having a first collapsed cylindrical shape and being self-expandable to a second expanded cylindrical shape, said stent member having a plurality of barbs extending from its outer surface, said valve member comprising a circular portion, said circular portion having a plurality of leaflets extending from the periphery of said circular portion towards the center thereof, said leaflets allowing for flow of blood through the valve in one direction only, the diameter of said circular portion being substantially the same as the inside diameter of said stent member when said stent member is in its expanded cylindrical shape, said valve member having a cuff portion extending from the periphery of said circular portion, said cuff portion being disposed downstream of said valve member and substantially parallel to the cylindrical surface of said stent member and said cuff portion being attached to said stent member with a plurality of sutures.

14. The artificial valve of claim 13, wherein the stent member is a titanium alloy and the valve means has three leaflets and is made of porcine pericardium.

15. The artificial valve of claim 13, wherein the barbs are disposed in a pair of spaced apart concentric circles.

16. The artificial valve of claim 15, wherein the barbs of one circle are all extending in the same direction and the barbs of the other circle all extending in the opposite direction.

17. A method of implanting an artificial heart valve, which method comprises

providing a transluminal catheter having proximal and distal ends, wherein the distal end carries in a collapsed cylindrical shape a valve comprising a self-expanding, cylindrical stent member having first and second ends and an outer surface, and a valve member comprising one-way valve means arranged within the stent and a cuff portion extending on said outer surface to a point between the first and second ends, wherein the cuff portion is configured to position the valve snugly and sealingly at a valve site;

and, wherein the stent member has a plurality of barbs extending from the outer surface of the stent member to engage the natural tissue of the heart to hold the valve in place after implantation,

positioning the distal end of said catheter at a desired location for placement of said valve,

moving the leading half of said valve out of the distal end of the catheter to allow the leading half of said valve to expand, and

retracting the catheter slightly to remove the trailing half of said valve from the hollow end of said catheter to allow the valve to completely expand to place the heart valve in the desired location.

18. The method of claim 17, wherein the valve has a pair of spaced apart concentric circles of barbs extending from the outer surface of said heart valve, one circle of barbs is set when the leading half of the heart valve is moved out of the distal end of said catheter means and the second circle of barbs is set when the trailing half of said heart valve is removed from the distal end of said catheter means.

19. An artificial venous valve comprising

a tubular valve segment containing venous valve means and having distal ends,

at least one self-expanding, cylindrical stent member at a valve segment distal end, having first and second ends and an outer surface, and

a cuff portion extending on the outer surface of each stent to a point between the respective first and second ends,

wherein each cuff portion is configured to position the respective stent snugly and sealingly at a site;

and

wherein the stent member has a plurality of barbs extending from the outer surface of the stent member to engage the natural tissue of the site to hold the valve in place after implantation.

20. In an artificial valve for placement in a corporeal duct or vessel wherein said valve comprises a self-expanding stent member and a valve member arranged within the stent member, the improvement wherein a cuff portion extends on the outer surface of said stent member and said cuff member causes said stent member to snugly position itself to the inner surface of the corporeal duct or vessel, wherein the stent member has a plurality of barbs extending from the outer surface of the stent member to engage the natural tissue of the corporeal duct or vessel to hold the valve in place after implantation.