Heart valve assemblies

• US 9,333,078 B2
• Filed: 11/22/2013
• Issued: 05/10/2016
• Est. Priority Date: 12/20/2002
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Fogarty, Thomas J., Drews, Michael J., Holmgren, Neil, Modesitt, D. Bruce
• Primary Examiner(s): PREBILIC, PAUL B
• Application Number:
  US14/087,354
• Publication Number:
  US 20140088697A1
• Time in Patent Office: 900 Days
• Field of Search: 623/1.24, 623/1.26, 623/2.11, 623/2.14, 623/2.38, 623/2.39, 623/902, 623/904
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/0406 Pledgets
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/0608 J-shaped
• CPC Class Codes: A61F 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• 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 2/2415 Manufacturing methods
• CPC Class Codes: A61F 2/2445 Annuloplasty rings in direct contact with the valve annulus
• CPC Class Codes: A61F 2002/30545 for adjusting a diameter
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/0066 stapled
• 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 2250/001 for adjusting a diameter
• CPC Class Codes: Y10S 623/91 Heart

Abstract

A heart valve assembly comprises a first prosthesis configured to expand from an unexpanded state to an expanded state at which the first annular prosthesis contacts native tissue of a body lumen. The heart valve assembly also comprises a second prosthesis comprising a valve, and a connection adapter that secures the second prosthesis to the first prosthesis, the connection adapter having a multi-lobed circumference.

Claims

1. A heart valve assembly comprising:

a first prosthesis configured to expand from an unexpanded state to an expanded state at which the first prosthesis contacts native tissue of a body lumen;

a second valve prosthesis comprising a valve and having a multi-lobed circumference; and

a connection adapter attached to the second valve prosthesis and configured to secure the second valve prosthesis to the first prosthesis in vivo after implantation of the first prosthesis, the connection adapter having a longitudinally-extending segment with a multi-lobed circumference, wherein the multi-lobed circumference of the second valve prosthesis is received within the longitudinally-extending segment of the connection adapter with the multi-lobed circumference.

2. The heart valve assembly of claim 1, wherein the first prosthesis is configured to resiliently expand within the body lumen.

3. The heart valve assembly of claim 1, wherein the first prosthesis comprises an annular ring configured to be folded at the unexpanded state and unfolded at the expanded state.

4. The heart valve assembly of claim 1, wherein the first prosthesis comprises a plurality of fixturing device connectors configured to allow a plurality of fixturing devices to pass.

5. The heart valve assembly of claim 4, wherein the plurality of fixturing devices comprises sutures, clips, staples, or pins.

6. The heart valve assembly of claim 1, wherein the first prosthesis comprises a first engagement element, and the connection adapter comprises a second engagement element configured to couple to the first engagement element such that the connection adapter is secured to the first prosthesis.

8. The heart valve assembly of claim 1, wherein the second valve prosthesis comprises a frame having a latitudinal cross-sectional shape in a plane perpendicular to a central longitudinal axis of the second valve prosthesis that defines the multi-lobed circumference of the second valve prosthesis, wherein the latitudinal cross-sectional shape includes multiple lobes separated by scallops.

9. The heart valve assembly of claim 1, wherein the connection adapter comprises a first fixation point, the second valve prosthesis comprises a second fixation point aligned with the first fixation point, and the first fixation point and the second fixation point are configured to allow a fixturing device to pass therethrough to secure the connection adapter and the second valve prosthesis together.

10. The heart valve assembly of claim 1, wherein the connection adapter comprises an outwardly projecting circumferential ridge.

7. A heart valve assembly comprising:

a first prosthesis configured to expand from an unexpanded state to an expanded state at which the first prosthesis contacts native tissue of a body lumen, wherein the first prosthesis comprises a first engagement element;

a second valve prosthesis comprises a valve; and

a connection adapter that secures the second valve prosthesis to the first prosthesis, the connection adapter having a multi-lobed circumference and comprising a second engagement element configured to couple to the first engagement element such that the connection adapter is secured to the first prosthesis,

wherein the first engagement element comprises a lip and the second engagement element comprises a spring lock tab.

11. A heart valve assembly comprising:

a first prosthesis comprising an annular ring configured to expand from an unexpanded state to an expanded state at which a surface of the annular ring contacts tissue of a body lumen;

a second valve prosthesis comprising a frame and a plurality of leaflets attached to the frame, wherein the frame has a multi-lobed circumference; and

a connection adapter attached to the second valve prosthesis and configured to secure the second valve prosthesis to the first prosthesis in vivo after implantation of the first prosthesis, the connection adapter having a longitudinally-extending segment with a multi-lobed circumference, wherein the frame of the second valve prosthesis having the multi-lobed circumference engages with the longitudinally-extending segment of the connection adapter with the multi-lobed circumference.

12. The heart valve assembly of claim 11, wherein the first prosthesis is configured to resiliently expand within the body lumen.

13. The heart valve assembly of claim 11, wherein the first prosthesis comprises a plurality of fixturing device connectors configured to allow a plurality of fixturing devices to pass.

14. The heart valve assembly of claim 13, wherein the plurality of fixturing devices comprises sutures, clips, staples, or pins.

15. The heart valve assembly of claim 11, wherein the first prosthesis comprises a first engagement element and the connection adapter comprises a second engagement element configured to couple to the first engagement element such that the connection adapter is secured to the first prosthesis.

16. The heart valve assembly of claim 15, wherein the first engagement element comprises a lip and the second engagement element comprises a spring lock tab.

17. The heart valve assembly of claim 11, wherein the frame has a latitudinal cross-sectional shape in a plane perpendicular to a central longitudinal axis of the second valve prosthesis that defines the multi-lobed circumference, wherein the latitudinal cross-sectional shape includes multiple lobes separated by scallops.

18. The heart valve assembly of claim 11, wherein the connection adapter comprises a first fixation point, the second valve prosthesis comprises a second fixation point aligned with the first fixation point, and the first fixation point and the second fixation point are configured to allow a fixturing device to pass.

19. A heart valve assembly comprising:

a first prosthesis comprising an annular ring configured to expand from an unexpanded state to an expanded state at which a surface of the annular ring contacts tissue of a body lumen;

a second valve prosthesis comprising a frame and a plurality of leaflets attached to the frame; and

a connection adapter that secures the second valve prosthesis to the first prosthesis, the connection adapter having a multi-lobed circumference, wherein the connection adapter comprises an outwardly projecting circumferential ridge.