Cuff configurations for prosthetic heart valve

• US 9,326,856 B2
• Filed: 03/14/2013
• Issued: 05/03/2016
• Est. Priority Date: 03/14/2013
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Inventors: Schraut, Julia Ann, Braido, Peter Nicholas, Venkatasubramanian, Ramji T., Kurane, Aditee, Fahim, Mina Safwat, Kutty, Jaishankar
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): Nelson, Christine
• Application Number:
  US13/829,036
• Publication Number:
  US 20140277417A1
• Time in Patent Office: 1,146 Days
• US Class Current: 1/1
• CPC Class Codes: A61F 2/07 Stent-grafts
• 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 2/2412 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 2/2445 Annuloplasty rings in direct contact with the valve annulus
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2250/0028 differing in fibre orientations
• CPC Class Codes: A61F 2250/0036 differing in thickness
• CPC Class Codes: A61F 2250/0069 Sealing means

Abstract

A prosthetic heart valve includes a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end. The stent is formed of a plurality of struts. A cuff is coupled to the stent. The cuff has one or more features configured to reduce abrasion and/or perivalvular leakage.

Claims

1. A prosthetic heart valve, comprising:

a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end, the stent including a plurality of struts; and

a collapsible and expandable valve assembly including a cuff and a plurality of leaflets, the cuff being coupled to selected ones of the plurality of struts, the cuff having a plurality of fibers oriented in a manner to adequately distribute stress substantially uniformly throughout the cuff.

2. The prosthetic heart valve of claim 1, wherein the cuff includes multiple portions, a first group of the portions having a first fiber orientation and a second group of the portions having a second fiber orientation different from the first fiber orientation.

3. A prosthetic heart valve for implanting within a native valve annulus, comprising:

a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end, the stent including a plurality of struts;

a collapsible and expandable valve assembly including a cuff and a plurality of leaflets, the cuff being coupled to selected ones of the plurality of struts; and

a buffer including a layer of material coupled to selected regions of the cuff, the buffer including a plurality of discrete portions.

4. The prosthetic heart valve of claim 3, wherein the buffer comprises a thin and lubricious material.

5. The prosthetic heart valve of claim 3, wherein the cuff includes a top edge, and the buffer includes a web of material extending around the circumference of the prosthetic heart valve and following the top edge of the cuff.

6. The prosthetic heart valve of claim 3, wherein the stent includes a plurality of commissure features for coupling the plurality of leaflets to the stent and the plurality of discrete portions include a plurality of peaks extending toward the commissure features.

7. The prosthetic heart valve of claim 3, wherein each of the plurality of discrete portions is coupled to the cuff to form a pocket therebetween.

8. The prosthetic heart valve of claim 7, wherein the pockets include a filler material.

9. The prosthetic heart valve of claim 8, wherein the filler material includes PVA sodium acrylate copolymers.

10. A prosthetic heart valve for implanting within a native valve annulus, comprising:

a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end, the stent including a plurality of struts; and

a collapsible and expandable valve assembly including a cuff and a plurality of leaflets, the cuff including a first cuff coupled to select ones of the plurality of struts, the first cuff having extended portions configured to wrap around the proximal end of the stent, the extended portions including portions having at least one of a triangular or a substantially diamond shape.

11. The prosthetic heart valve of claim 10, further comprising a second cuff coupled to the first cuff, the first cuff having a plurality of pockets.

12. A prosthetic heart valve for implanting within a native valve annulus, comprising:

a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end, the stent including a plurality of struts; and

a collapsible and expandable valve assembly including a cuff and a plurality of leaflets, the cuff including a first cuff coupled to select ones of the plurality of struts, the first cuff having extended portions configured to wrap around the proximal end of the stent, wherein the extended portions include first portions folded to an inner diameter of the stent and second portions folded to an outer diameter of the stent.