Hybrid mechanical heart valve prosthesis

• US 6,139,575 A
• Filed: 04/02/1999
• Issued: 10/31/2000
• Est. Priority Date: 04/02/1999
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gross, Jeffrey M., Shu, Mark C. S., Shim, Hong S.
• Primary Examiner(s): Isabella, David J
• Application Number:
  US09/286,095
• Time in Patent Office: 578 Days
• Field of Search: 623/2.1, 623/2.12, 623/2.13, 623/2.14, 623/2.15, 623/2.16, 623/2.17, 623/2.19, 623/2.2
• US Class Current: 623/2.12
• CPC Class Codes: A61F 2/2403 with pivoting rigid closure members check valves with hinged closure members in general F16K15/03

Abstract

A prosthetic mechanical heart valve, and in particular, a bi-leaflet and/or a trileaflet mechanical valve formed with rigid frame and hinge elements for providing a stable reliable hinge mechanism with flexible leaflets formed of a thin elastomeric material adhering to and extending from the valve frame to form leaflet occluding sections bounded by outer peripheral edges for softening the opening and closing action of the valve leaflets. In one embodiment, the valve leaflet is formed of a rigid pyrolytic carbon frame supporting hinge elements and defining a leaflet pivot axis and a flexible leaflet body attached to the frame and defining a leaflet abutting section extending from one side of the valve frame and an occluding section extending from the other side of the valve frame to an arcuate leaflet seat. In the closing phase of operation, the abutting sections of the leaflet bodies contact one another in an abutting contact band, and the arcuate leaflet seats bear against arcuate seat regions of the valve body The seat regions of the valve body may also be coated with an elastomeric material.

Claims

1. A mechanical heart valve prosthesis of the type comprising:

a valve body having an interior side wall defining a blood flow orifice having a central blood flow axis centrally located with respect to the interior surface, the valve body further comprising at least one valve body hinge element and a valve body seat region; and

a valve leaflet having at least one leaflet hinge element for cooperatively engaging with said valve body hinge element to enable movement of said valve leaflet between a leaflet open position allowing blood flow through said blood flow orifice and a leaflet closed position for blocking blood flow through said blood flow orifice, said valve leaflet having generally opposed, inflow and outflow, leaflet major surfaces bounded by a peripheral edge extending between the opposed leaflet major surfaces, said peripheral edge formed at least in part to provide a leaflet seat for engaging against said valve body seat region;

said valve leaflet further comprising;

a valve leaflet frame coupled with said valve leaflet hinge element and formed of a dimensionally rigid, bio-compatible, material providing dimensional rigidity to a portion of said valve leaflet and said leaflet hinge element to enable the cooperative engagement of said valve body hinge element with said valve leaflet hinge element and govern movement of said valve leaflet between said leaflet open and closed positions with respect to said blood flow orifice; and

a leaflet body of an elastic, bio-compatible material extending away from said valve leaflet frame and forming at least a portion of said opposed leaflet major surfaces and said leaflet seat, said leaflet seat having a resilience and thickness that provides deformation of said leaflet seat into a contact band with said valve body seat region and absorbs contact shock when said leaflet moves into said leaflet closed position.

2. The heart valve prosthesis of claim 1, wherein said leaflet body further comprises a coating of said elastic, bio-compatible material extending over said leaflet frame and forming substantially all of said opposed, leaflet major surfaces.

3. The heart valve prosthesis of claim 1, wherein:

said valve leaflet frame is formed with opposed, frame major surfaces and a plurality of openings extending through said valve leaflet frame; and

said leaflet body further comprises a coating of said elastic, bio-compatible material extending over said leaflet frame and through said plurality of openings and forming substantially all of said opposed, leaflet major surfaces.

4. The heart valve prosthesis of claim 1, wherein:

said leaflet frame extends in a leaflet pivot axis direction and comprises first and second valve leaflet hinge elements at the opposite ends of said leaflet pivot axis; and

said valve body is formed with first and second valve body hinge elements for receiving said first and second valve leaflet hinge elements, respectively, for allowing pivotal movement of said valve leaflet about said leaflet pivot axis between said leaflet open and leaflet closed positions.

5. The heart valve prosthesis of claim 4, wherein said leaflet body further comprises a coating of said elastic, bio-compatible material extending over said leaflet frame and forming substantially all of said opposed, leaflet major surfaces.

6. The heart valve prosthesis of claim 4, wherein:

said valve leaflet frame is formed with opposed, frame major surfaces and a plurality of openings extending through said valve leaflet frame; and

said leaflet body further comprises a coating of said elastic, bio-compatible material extending over said leaflet frame and through said plurality of openings and forming substantially all of said opposed, leaflet major surfaces.

7. The heart valve prosthesis of any of the claims 1-6, wherein a further layer of elastic, bio-compatible material is formed over said seat region of said valve body for contact by said leaflet body seat in said closed position of said valve leaflet.

8. A mechanical heart valve prosthesis of the type comprising:

a valve body having an interior side wall defining a blood flow orifice having a central blood flow axis centrally located with respect to the interior surface, the valve body further comprising first and second pairs of valve body hinge elements and first and second valve body seat regions; and

first and second valve leaflets for alternately blocking blood flow in an inflow direction when seated against the interior side wall in a leaflet closed position and then allowing the flow of blood through said blood flow orifice in an outflow direction when in a leaflet open position, each valve leaflet having generally opposed, inflow and outflow, leaflet major surfaces, a peripheral edge extending between the opposed leaflet major surfaces having a leaflet seat section of said peripheral edge formed to seat against a respective first or second valve body seat region when in the closed position and a pair of leaflet hinge elements for engaging with one of said pairs of valve body hinge elements, whereby the cooperative engagement of said valve body hinge elements with said valve leaflet hinge elements governs movement of each of said first and second valve leaflets between said leaflet open and closed positions with respect to said blood flow orifice, characterized in that each of said first and second valve leaflet further comprises;

a valve leaflet frame coupled with said valve leaflet hinge element and formed of a dimensionally rigid, bio-compatible, material providing dimensional rigidity to a portion of said valve leaflet and said leaflet hinge elements to enable the cooperative engagement of said valve body hinge element with said valve leaflet hinge element and govern movement of said valve leaflet between said leaflet open and closed positions with respect to said blood flow orifice; and

a leaflet body of an elastic, bio-compatible material extending away from said valve leaflet frame and forming said leaflet seat section and at least a portion of said opposed leaflet major surfaces, said leaflet seat section having a resilience and thickness that provides deformation of said leaflet seat section into a contact band with said valve body seat region and absorbs contact shock when said leaflet moves into said leaflet closed position.

9. The heart valve prosthesis of claim 8, wherein said leaflet body further comprises a coating of said elastic, bio-compatible material extending over said valve leaflet frame and forming substantially all of said opposed, leaflet major surfaces.

10. The heart valve prosthesis of claim 8, wherein:

said valve leaflet frame is formed with opposed, frame major surfaces and a plurality of openings extending through said valve leaflet frame; and

said valve leaflet body further comprises a coating of said elastic, bio-compatible material extending from over said valve leaflet frame and through said plurality of openings and forming substantially all of said opposed, leaflet major surfaces.

11. The heart valve prosthesis of claim 8, wherein:

said leaflet frame of each of said first and second valve leaflets extends in a leaflet pivot axis direction and comprises first and second valve leaflet hinge elements at the opposite ends of the leaflet pivot axis;

first and second valve body hinge elements are formed at opposed locations of said valve body for receiving said first and second valve leaflet hinge elements, respectively, of said first valve leaflet for allowing pivotal movement of said first valve leaflet about said leaflet pivot axis between said open and closed positions; and

third and fourth valve body hinge elements are formed at opposed locations of said valve body for receiving said first and second valve leaflet hinge elements, respectively, of said second valve leaflet for allowing pivotal movement of said second valve leaflet about said leaflet pivot axis between said open and closed positions.

12. The heart valve prosthesis of claim 11, wherein each of said first and second valve leaflets further comprises a coating of said elastic, bio-compatible material extending from said leaflet frame shock absorber over said valve leaflet frame and forming said opposed, leaflet major surfaces.

13. The heart valve prosthesis of claim 11, wherein:

said valve leaflet frame is formed with opposed, frame major surfaces and a plurality of openings extending through said valve leaflet frame; and

said valve leaflet further comprises;

a coating of said elastic, bio-compatible material extending from said leaflet frame shock absorber over said valve leaflet frame and through said plurality of openings and forming said opposed, leaflet major surfaces.

14. The heart valve prosthesis of any of the claims 8-13, wherein a further layer of elastic, bio-compatible material is formed over said seat region of said valve body for contact by said leaflet frame shock absorber in said closed position of said valve leaflet.

15. The heart valve prosthesis of any of the claims 8-13, wherein each of said first and second valve leaflets further comprises:

an abutting section of said peripheral edge formed to abut against a like abutting section of the other of said first and second valve leaflets when said first and second valve leaflets are in the leaflet closed positions to at least partially block the flow of blood through any space between the first and second valve leaflets and through the blood flow orifice.

16. The heart valve prosthesis of any of the claims 8-13, wherein each of said first and second valve leaflets further comprises:

an abutting section of said peripheral edge formed to abut against a like abutting section of the other of said first and second valve leaflets when said first and second valve leaflets are in the leaflet closed positions to at least partially block the flow of blood through any space between the first and second valve leaflets and through the blood flow orifice, said abutting section of each valve leaflet formed by the extension of said elastic, bio-compatible material away from said leaflet frame having a resilience and thickness that provides mutual deformation of said abutting sections into a contact band with one another and absorption of contact shock when said leaflets move into said leaflet closed positions.

17. A mechanical heart valve prosthesis of the type comprising:

a valve body having an interior side wall defining a blood flow orifice having a central blood flow axis centrally located with respect to the interior side wall and having first and second seat regions;

first and second valve leaflets mounted with said valve body to pivot about first and second respective leaflet pivot axes between leaflet closed positions for blocking blood flow through respective first and second portions of said blood flow orifice and leaflet open positions for allowing the flow of blood through said respective first and second portions of said blood flow orifice;

said first valve leaflet further comprising generally opposed, inflow and outflow, leaflet major surfaces bounded by a common peripheral edge extending between the opposed leaflet major surfaces, said peripheral edge formed with an arcuate first seat section formed to seat against said first seat region when said first valve leaflet is in the closed position and a relatively straight, first abutting section formed to extend across said blood flow orifice;

said second valve leaflet further comprising generally opposed, inflow and outflow, leaflet major surfaces bounded by a common peripheral edge extending between the opposed leaflet major surfaces, said peripheral edge formed with an arcuate second seat section formed to seat against said second seat region when said second valve leaflet is in the closed position and a relatively straight, second abutting section formed to extend across said blood flow orifice;

a first hinge mechanism including first leaflet hinge elements for retaining and guiding pivotal movement of said first valve leaflet about said first valve leaflet pivot axis between the first leaflet open position allowing blood flow through said first portion of said blood flow orifice and the first leaflet closed position blocking blood flow through said first portion when said arcuate first seat section is seated against said first seat region and said first abutting section extends across said blood flow orifice;

a second hinge mechanism including second hinge elements for retaining and guiding pivotal movement of said second valve leaflet about said second valve leaflet pivot axis between the second leaflet open position allowing blood flow through said second portion of said blood flow orifice and the second leaflet closed position blocking blood flow through said second portion when said arcuate second seat section is seated against said second seat region and said second abutting section extends across said blood flow orifice and abuts said first abutting section;

and wherein said first valve leaflet further comprises;

a first valve leaflet frame composed of a dimensionally rigid and bio-compatible material that is shaped to extend along said first valve leaflet pivot axis between and supporting said first valve leaflet hinge elements; and

a first valve leaflet body formed of an elastic, bio-compatible material adhered to said first valve leaflet frame to form said inflow and outflow, leaflet major surfaces and to form said first seat section of the peripheral edge having a material thickness and resilience allowing said first seat section to deform upon contact against said first seat region when said first valve leaflet pivots from said leaflet open position to said leaflet closed position; and

said second valve leaflet further comprises;

a second valve leaflet frame composed of a dimensionally rigid and bio-compatible material and shaped to extend along said second valve leaflet pivot axis between and supporting said second valve leaflet hinge elements; and

a second valve leaflet body formed of an elastic, bio-compatible material adhered to said second valve leaflet frame to form said inflow and outflow, leaflet major surfaces and to form said second seat section of the peripheral edge having a material thickness and resilience allowing said second seat section to deform upon contact against said second seat region when said second valve leaflet pivots from said leaflet open position to said leaflet closed position.

18. The heart valve prosthesis of claim 17, wherein said first and second valve leaflet bodies each further comprises a coating of said elastic, bio-compatible material extending over said first and second leaflet frames to form said opposed, leaflet major surfaces and to form said respective first and second abutting sections of said peripheral edges that abut against one another when said first and second valve leaflets are in the closed position.

19. The heart valve prosthesis of claim 17, wherein said first and second valve leaflet bodies each further comprises a coating of said elastic, bio-compatible material extending over said first and second leaflet frames to form said opposed, leaflet major surfaces and to form said respective first and second abutting sections of said peripheral edges that abut against one another and are deformed to form a seal when said first and second valve leaflets are in the closed position sufficiently to at least partially block the flow of blood in the forward direction through the space between the first and second valve leaflets and through the blood flow orifice.

20. The heart valve prosthesis of claim 17, wherein:

said first and second valve leaflet frames are formed with opposed, frame major surfaces and a plurality of openings extending through said valve leaflet frame; and

said first and second valve leaflet bodies further each comprise a coating of said elastic, bio-compatible material extending from said leaflet frame shock absorber over said valve leaflet frame and through said plurality of openings and forming said opposed, leaflet major surfaces.

21. The heart valve prosthesis of claim 20, wherein said first and second valve leaflet bodies each further comprises a coating of said elastic, bio-compatible material extending over said first and second leaflet frames to form said opposed, leaflet major surfaces and to form said respective first and second abutting sections of said peripheral edges that abut against one another when said first and second valve leaflets are in the closed position.

22. The heart valve prosthesis of any of the claims 17-21, wherein a further layer of elastic, bio-compatible material is formed over said first and second seat regions of said valve body for contact by said leaflet frame shock absorber in said closed position of said valve leaflet.

23. The heart valve prosthesis of any of the claims 17-21, wherein each of said first and second valve leaflets further comprises:

an abutting section of said peripheral edge formed to abut against a like abutting section of the other of said first and second valve leaflets when said first and second valve leaflets are in the closed leaflet position and

a further leaflet frame shock absorber of an elastic, bio-compatible material extending along the abutting section of said peripheral edge that absorbs contact shock of said first and second valve leaflets against one another when said first and second valve leaflets pivot from said leaflet open position to said leaflet closed position.