Devices for transcatheter prosthetic heart valve implantation and access closure

• US 8,915,958 B2
• Filed: 12/19/2012
• Issued: 12/23/2014
• Est. Priority Date: 06/08/2007
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St Jude Medical Incorporated (Abbott Laboratories Incorporated)
• Inventors: Braido, Peter Nicholas
• Primary Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US13/720,176
• Publication Number:
  US 20130110228A1
• Time in Patent Office: 734 Days
• Field of Search: 623/2.1, 623/2.11, 623/2.12, 623/2.17, 623/2.18, 606/213, 606/215, 606/216, 606/232, 606/233
• US Class Current: 623/2.11
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00597 Implements comprising a membrane
• CPC Class Codes: A61B 2017/00606 Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61F 2/2403 with pivoting rigid closure members check valves with hinged closure members in general F16K15/03
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath

Abstract

Apparatus for use in conjunction with implanting a collapsible and re-expandable prosthetic heart valve in a patient by means that are less invasive than traditional open-chest, open-heart surgery. The apparatus may include a one-way valve for preventing blood from escaping from the patient'"'"'s circulatory system when that system is entered to implant the prosthetic heart valve. The apparatus may include various forms of cutters for gaining access to the patient'"'"'s circulatory system. The apparatus may include various forms of devices for quickly closing the access to the patient'"'"'s circulatory system after the prosthetic heart valve has been implanted.

Claims

1. An apparatus for closing an aperture through a wall of a structure within a patient'"'"'s circulatory system, comprising:

a solid central structure having an outer perimeter and a longitudinal axis;

a first portion operatively coupled to the central structure within the outer perimeter and transitionable between a collapsed condition and an expanded condition, the first portion being formed from a first web of interwoven wire strands, the first web extending radially outward from the longitudinal axis by a greater amount in the expanded condition than in the collapsed condition, and being configured to conform to an inner surface of tissue around the aperture when in the expanded condition; and

a second portion operatively coupled to the central structure within the outer perimeter and transitionable between a collapsed condition and an expanded condition, the second portion being formed from a second web of interwoven wire strands, the second web extending radially outward from the longitudinal axis by a greater amount in the expanded condition than in the collapsed condition, and being configured to conform to an outer surface of tissue around the aperture when in the expanded condition,

wherein the first portion is operatively coupled to the second portion within the outer perimeter of the central structure and the apparatus has a longer length when the first portion and the second portion are in the collapsed condition than when the first portion and the second portion are in the expanded condition.

2. The apparatus of claim 1, wherein the first portion and the second portion are resiliently biased toward the expanded condition.

3. The apparatus of claim 1, wherein the central structure is configured to substantially fill the aperture.

4. The apparatus of claim 1, wherein the central structure is configured to hold the first portion against the inner surface of tissue around the aperture and to hold the second portion against the outer surface of tissue around the aperture.

5. The apparatus of claim 1, wherein the first portion has a convex shape in the expanded condition as viewed from the second portion.

6. The apparatus of claim 1, wherein the second portion has a concave shape in the expanded condition as viewed from the first portion.

7. The apparatus of claim 1, wherein the first portion has a cup-like shape in the expanded condition.

8. The apparatus of claim 1, wherein the first portion has an arcuate shape in the expanded condition.

9. The apparatus of claim 1, wherein the first portion has the shape of an arcuate surface of a cylinder in the expanded condition.

10. The apparatus of claim 1, wherein the first portion includes a plurality of members projecting radially outward from the longitudinal axis in the expanded condition.

11. The apparatus of claim 1, further comprising a web of material assembled between the first portion and the second portion.

12. The apparatus of claim 11, wherein the web of material comprises a fabric.

13. The apparatus of claim 11, wherein the web of material comprises biological tissue.