Axial-force fixation member for valve
First Claim
1. A prosthesis having a longitudinal axis and for implantation at a native semilunar valve of a native valve complex of a subject, the prosthesis comprising:
- a distal fixation member configured to be positioned in a downstream artery of the subject selected from the group consisting of an ascending aorta and a pulmonary trunk, and configured to apply a first axial force directed toward a ventricle of the subject; and
a proximal fixation member coupled to the distal fixation member, the proximal fixation member being configured to be positioned at least partially on a ventricular side of the native valve complex, and configured to apply a second axial force directed toward the downstream artery; and
a valve,wherein the application of the first and second axial forces couples the prosthesis to the native valve complex by axially sandwiching the native valve complex from a downstream side and the ventricular side thereof,wherein the prosthesis is configured to be radially compressible to a radially compressed state for delivery to the native valve complex using a catheter and to be self-expandable from the compressed state to a radially expanded state,wherein the prosthesis is configured to apply the first axial force such that a ratio of (a) the first axial force to (b) a radial force applied outwardly by the prosthesis against the native semilunar valve is greater than 1.5;
1, andwherein the distal fixation member defines radial boundaries of areas configured to receive native leaflets of the native semilunar valve wherein the distal fixation member comprises exactly three engagement arms extending radially outward from the longitudinal axis, the engagement arms being configured to apply the first axial force.
6 Assignments
0 Petitions
Accused Products
Abstract
A prosthesis is provided for implantation at a native semilunar valve of a native valve complex. The prosthesis includes a distal fixation member, configured to be positioned in a downstream artery, and to apply a first axial force directed toward a ventricle. The prosthesis further includes a proximal fixation member coupled to the distal fixation member, the proximal fixation member configured to be positioned at least partially on a ventricular side of the native valve complex, and to apply a second axial force directed toward the downstream artery, such that application of the first and second forces couples the prosthesis to the native valve complex by axially sandwiching the native valve complex from a downstream side and the ventricular side. A ratio of the first axial force to a radial force applied outwardly by the prosthesis against the native semilunar valve is greater than 1.5:1. Other embodiments are also described.
933 Citations
26 Claims
-
1. A prosthesis having a longitudinal axis and for implantation at a native semilunar valve of a native valve complex of a subject, the prosthesis comprising:
-
a distal fixation member configured to be positioned in a downstream artery of the subject selected from the group consisting of an ascending aorta and a pulmonary trunk, and configured to apply a first axial force directed toward a ventricle of the subject; and a proximal fixation member coupled to the distal fixation member, the proximal fixation member being configured to be positioned at least partially on a ventricular side of the native valve complex, and configured to apply a second axial force directed toward the downstream artery; and a valve, wherein the application of the first and second axial forces couples the prosthesis to the native valve complex by axially sandwiching the native valve complex from a downstream side and the ventricular side thereof, wherein the prosthesis is configured to be radially compressible to a radially compressed state for delivery to the native valve complex using a catheter and to be self-expandable from the compressed state to a radially expanded state, wherein the prosthesis is configured to apply the first axial force such that a ratio of (a) the first axial force to (b) a radial force applied outwardly by the prosthesis against the native semilunar valve is greater than 1.5;
1, andwherein the distal fixation member defines radial boundaries of areas configured to receive native leaflets of the native semilunar valve wherein the distal fixation member comprises exactly three engagement arms extending radially outward from the longitudinal axis, the engagement arms being configured to apply the first axial force. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
-
-
20. A prosthesis having a longitudinal axis and for implantation at a native semilunar valve of a native valve complex of a subject, the prosthesis comprising:
-
a distal fixation member configured to be positioned in a downstream artery of the subject selected from the group consisting of an ascending aorta and a pulmonary trunk, and configured to apply a first axial force directed toward a ventricle of the subject; and a proximal fixation member coupled to the distal fixation member, the proximal fixation member configured to be positioned at least partially on a ventricular side of the native valve complex, and configured to apply a second axial force directed toward the downstream artery; and a valve, wherein the prosthesis is configured to be radially compressible to a radially compressed state for delivery to the native valve complex using a catheter and to be self-expandable from the compressed state to a radially expanded state, wherein the application of the first and second axial forces couples the prosthesis to the native valve complex by axially sandwiching the native valve complex from a downstream side and the ventricular side thereof, wherein the prosthesis is configured such that a radial force applied by the prosthesis outwardly against the native semilunar valve is insufficient by itself to chronically maintain the prosthesis in position with respect to the native valve complex under conditions of normal cardiac motion, and wherein the distal fixation member defines radial boundaries of areas configured to receive native leaflets of the native semilunar valve wherein the distal fixation member comprises exactly three engagement arms extending radially outward from the longitudinal axis, the engagement arms being configured to apply the first axial force. - View Dependent Claims (21, 22, 23, 24, 25, 26)
-
Specification