Methods and devices for implanting cardiac valves

• US 6,425,916 B1
• Filed: 02/10/1999
• Issued: 07/30/2002
• Est. Priority Date: 02/10/1999
• Status: Expired due to Term

• Current Assignee: Heartport, Inc. (Johnson & Johnson)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: St. Goar, Frederick G., Garrison, Michi E., Gifford, Hanson S. III
• Primary Examiner(s): Willse, David H.
• Application Number:
  US09/248,911
• Time in Patent Office: 1,266 Days
• Field of Search: 623/1.26, 623/1.24, 623/2.11, 623/2.1, 623/FOR.101, 623/2-2-, 623/2.42, 623/904, 623/2.38
• US Class Current: 623/2.11
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2433 using balloon catheter
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2250/0059 temporary
• CPC Class Codes: A61F 2250/006 modular
• CPC Class Codes: Y10S 623/904 Heart

Abstract

The valve implantation system has a valve displacer for displacing and holding the native valve leaflets open in a first aspect of the invention. A replacement valve may be attached to the valve displacer before or after introduction and may be positioned independent of the valve displacer. In another aspect of the invention, the valve displacer and valve are in a collapsed condition during introduction and are expanded to deploy the valve displacer and valve. The valve is a tissue valve mounted to an expandable support structure. The support structure may have protrusions for engaging the valve displacer or barbs for anchoring the valve displacer to the heart or blood vessel. A temporary valve mechanism may be used to provide temporary valve functions during and after deployment of the valve displacer.

Claims

1. A method of implanting a cardiac valve, comprising the steps of:

introducing a replacement valve and a valve displacer into a patient, the replacement valve and valve displacer being mounted to a catheter and each being movable from a collapsed position to an expanded position, the replacement valve and valve displacer being introduced into the patient in the collapsed position;

positioning the valve displacer between valve leaflets of a native cardiac valve;

expanding the valve displacer to the expanded position after the positioning step, thereby displacing and holding the valve leaflets in an open position; and

securing the replacement valve at a desired location in the patient wherein the replacement valve is secured to the valve displacer, said replacement valve having sharp elements which penetrate the native valve.

2. The method of claim 1, wherein:

the securing step is carried out with the valve interlocking with the valve displacer.

3. The method of claim 1, wherein:

the introducing step is carried out with the valve having a support structure and a valve portion, the support structure being expandable from a collapsed position to an expanded position, the introducing step being carried out with the support structure being in the collapsed position.

4. The method of claim 1, further comprising the step of:

enclosing the valve displacer in a flexible sheath during the introduction step; and

uncovering the valve displacer before the expanding step.

5. The method of claim 1, wherein:

the introduction step is carried out with the catheter passing through a penetration in the aortic arch.

6. The method of claim 1, wherein:

the introducing step is carried out through the femoral artery.

7. The method of claim 1, wherein:

the introducing step is carried out with the valve being mounted on the catheter.

8. The method of claim 7, wherein:

the introducing step is carried out with the catheter having a valve mechanism.

9. The method of claim 8, wherein:

the introducing step is carried out the valve displacer having an end which flares outwardly when the valve displacer is in the expanded position.

10. The method of claim 7, wherein:

the introducing step is carried out with the catheter having a balloon, the balloon being coupled to a control mechanism for inflating and deflating the balloon to provide pumping assistance to the patient'"'"'s heart.

11. The method of claim 1, wherein:

the introducing step is carried out with the catheter having an expandable member, the valve displacer being mounted to the expandable member.

12. The method of claim 1, wherein:

the introducing step is carried out with the catheter having an expandable member, the valve displacer being mounted to the expandable member.

13. The method of claim 1, wherein:

the introducing step is carried out with the valve displacer having a circumferential recess formed between a first end and a second end.

14. The method of claim 1, wherein:

the valve and valve displacement device are introduced together.

15. The method of claim 14, further comprising the step of:

inverting the valve after the introducing step.

16. The method of claim 1, wherein:

the valve introducing step is carried out with the valve having an expandable support structure, the expandable support structure having at least three posts extending from the expandable support structure.