Expandable member for deploying a prosthetic device

• US 8,784,480 B2
• Filed: 06/05/2013
• Issued: 07/22/2014
• Est. Priority Date: 02/29/2008
• Status: Active Grant

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Edwards Lifesciences Corporation
• Inventors: Taylor, David, Marchand, Philippe, Wood, Larry, Bowes, Robert
• Primary Examiner(s): Dowe, Katherine
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US13/910,348
• Publication Number:
  US 20130310918A1
• Time in Patent Office: 412 Days
• Field of Search: 623/1.11, 623/1.26, 623/2.11, 606/198
• US Class Current: 623/2.11
• 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 2/243 Deployment by mechanical expansion
• CPC Class Codes: A61F 2/2439 Expansion controlled by filaments
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2230/0076 ellipsoidal or ovoid
• CPC Class Codes: A61F 2250/0008 for adjusting a position by translation along an axis or two perpendicular axes
• CPC Class Codes: A61F 2250/0029 differing in bending or flexure capacity
• CPC Class Codes: A61F 2250/0036 differing in thickness
• CPC Class Codes: A61F 2250/0059 temporary

Abstract

An apparatus and method for delivering a prosthetic device through the vasculature of a patient includes a radially expandable member coupled to the distal end of an elongate shaft. The expandable member has an open frame configuration and an outer mounting surface for mounting the prosthetic device in a collapsed state thereon. The expandable member expands radially outwards from a first configuration to a second configuration to expand a prosthetic device mounted thereon.

Claims

1. A method for deploying an expandable prosthetic device in a patient, the method comprising:

positioning an expandable prosthetic device in a crimped state over a plurality of struts of an expandable member in a collapsed configuration, the plurality of struts extending longitudinally in an open-frame configuration, the expandable member disposed on a distal end of an elongate shaft;

advancing the shaft through a vasculature of a patient to position the prosthetic device at a deployment site; and

rotating a screw mechanism to shorten the expandable member longitudinally, causing the plurality of struts to expand radially into an expanded configuration, and urging the prosthetic device into an expanded state and deploying the prosthetic device;

wherein the expandable member comprises a cover at least partially covering the plurality of struts, the cover comprising at least one slit, and in the expanded configuration of the expandable member, the cover permitting blood flow through the expandable member in a first direction and restricting blood flow through the expandable member in a second direction opposite the first direction.

2. The method of claim 1, further comprising retracting an outer member proximally relative to the prosthetic device, exposing the prosthetic device.

3. The method of claim 1, wherein positioning the expandable prosthetic device in the crimped state over the plurality of struts of the expandable member comprises positioning the expandable prosthetic device over the plurality of struts within the vasculature.

4. The method of claim 1, wherein the prosthetic device includes a prosthetic heart valve.

5. The method of claim 1, further comprising collapsing the expandable member and retracting the expandable member and elongate shaft from the patient.

6. A method for delivering a prosthetic device through the vasculature of a patient comprising:

providing an expandable member at a distal end of an elongate shaft, the expandable member having plurality of struts that form an open frame configuration;

coupling the prosthetic device to the plurality of struts; and

expanding the expandable member from a first configuration to a second configuration to expand the prosthetic device, the expandable member including a one-way valve permitting fluid flow in a first direction and preventing fluid flow in a second direction opposite the first direction when the expansion device is in the second configuration.

7. The method of claim 6, wherein the expandable member comprises a plurality of struts that extend from a distal end portion of the expandable member to a proximal end portion of the expandable member, the method further comprising:

reducing the distance between the distal end portion and the proximal end portion to cause the plurality of struts to radially expand.

8. The method of claim 6, wherein at least some of the plurality of struts extend from a distal end portion of the expandable member and at least some of the plurality of struts extend from a proximal end portion of the expandable member, and wherein the prosthetic device is releasably coupled at a first end to the struts that extend from the distal end portion and at a second end to the struts that extend from the proximal end portion, the method further comprising:

releasing the prosthetic device from the plurality of struts.

9. The method of claim 6, wherein after expanding the prosthetic device, the expandable member is collapsed back to the first configuration and retracted from the body.

10. The method of claim 6, wherein the one-way valve of the expansion device comprises a cover at least partially surrounding the plurality of struts.

11. The method of claim 10, wherein the cover is secured to an outer surface of the plurality of struts.

12. The method of claim 10, wherein the cover comprises at least one slit.

13. The method of claim 6, wherein each of the plurality of struts comprises bend areas.

14. The method of claim 13, wherein the bend areas comprise notches.

15. The method of claim 6, wherein the prosthetic valve includes a prosthetic heart valve.