Prosthetic heart valve devices and associated systems and methods

• US 9,585,751 B2
• Filed: 05/04/2016
• Issued: 03/07/2017
• Est. Priority Date: 06/21/2011
• Status: Active Grant

• Current Assignee: Twelve, Inc. (Medtronic Plc)
• Original Assignee: Twelve, Inc. (Medtronic Plc)
• Inventors: Morriss, John, Gifford, Hanson III
• Primary Examiner(s): DUKERT, BRIAN AINSLEY
• Application Number:
  US15/146,750
• Publication Number:
  US 20160242906A1
• Time in Patent Office: 307 Days
• US Class Current: 1/1
• 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 2/2409 Support rings therefor, e.g. for connecting valves to tissue annuloplasty rings A61F2/2442
• 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 2/2457 Chordae tendineae prostheses
• CPC Class Codes: A61F 2/246 Devices for obstructing a leak through a native valve in a closed condition
• CPC Class Codes: A61F 2/2466 Delivery devices therefor
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0008 elliptical or oval
• CPC Class Codes: A61F 2230/0015 Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2250/0037 differing in height or in length
• CPC Class Codes: A61F 2250/0069 Sealing means

Abstract

Prosthetic heart valve devices for percutaneous replacement of native heart valves and associated systems and method are disclosed herein. A prosthetic heart valve device configured in accordance with a particular embodiment of the present technology can include an expandable support having an outer surface and configured for placement between leaflets of the native valve. The device can also include a plurality of asymmetrically arranged arms coupled to the expandable support and configured to receive the leaflets of the native valve between the arms and the outer surface. In some embodiments, the arms can include tip portions for engaging a subannular surface of the native valve.

Claims

1. A prosthetic treatment apparatus for treating a native mitral valve having a native annulus and native leaflets, comprising:

a support having a downstream end configured to be positioned toward a left ventricle and an upstream end configured to be positioned toward a left atrium, wherein the support is expandable from a low-profile configuration for implantation to an expanded configuration at the native mitral valve;

a prosthetic valve attached to the support;

a plurality of elongated members extending outwardly from a downstream portion of the support in an upstream direction, wherein

the elongated members are configured to remain inward of an inner surface of the native leaflets, and

the elongated members are biased outwardly in the expanded configuration to exert force against the inner surface of the native leaflets; and

a skirt coupled to the downstream portion of the support and flaring outward in an upstream direction such that an upstream end of the skirt is spaced outwardly from the support, wherein the skirt extends around the entire circumference of the support.

2. The prosthetic treatment apparatus of claim 1 wherein the prosthetic valve comprises a tri-leaflet assembly configured to allow blood flow in the downstream direction and to block blood flow in the upstream direction.

3. The prosthetic treatment apparatus of claim 1 wherein the prosthetic valve and the downstream portion of the support remain fixed relative to each other along a longitudinal dimension of the support from the low-profile configuration to the expanded configuration.

4. The prosthetic treatment apparatus of claim 1 wherein the downstream end and the upstream end of the support are spaced apart by a fixed distance in the low-profile configuration and the expanded configuration.

5. The prosthetic treatment apparatus of claim 1 wherein the elongated members have sufficient flexibility to deflect inwardly or outwardly relative to the support to accommodate expansion or distortion of the native annulus.

6. The prosthetic treatment apparatus of claim 1 wherein the skirt extends in an upstream direction on an inner side of the elongated members.

7. The prosthetic treatment apparatus of claim 1, further comprising one or more wires coupled to the skirt to maintain the shape of the skirt.

8. The prosthetic treatment apparatus of claim 1, further comprising a retention structure coupled to the upstream portion of the support, wherein, in the expanded configuration, the retention structure is axially spaced apart from the elongated members so as to compress the native annulus between the retention structure and the elongated members.

9. A prosthetic treatment apparatus for treating a native mitral valve having a native annulus and native leaflets, comprising:

a support having a first portion configured to be positioned toward a ventricle and a second portion configured to be positioned toward an atrium, wherein the support is expandable from a low-profile configuration for implantation to an expanded configuration at the native mitral valve;

a prosthetic valve attached to the support ;

a plurality of elongated members extending outwardly from the first portion of the support toward the second portion of the support, wherein

the elongated members are configured to remain inward of the native leaflets, and

the elongated members are biased outwardly in the expanded configuration to exert force against the native leaflets; and

a skirt coupled to the first portion of the support and extending toward the second portion, wherein the skirt has an end portion spaced outwardly from the support, and wherein the skirt extends around the entire circumference of the support.

10. A prosthetic treatment apparatus for treating a native mitral valve having a native annulus and native leaflets, comprising:

a support having a downstream end configured to be positioned toward a left ventricle and an upstream end configured to be positioned toward a left atrium, wherein the support is expandable from a low-profile configuration for implantation to an expanded configuration at the native mitral valve;

a prosthetic valve attached to the support;

a plurality of elongated members extending outwardly from the support in an upstream direction, wherein

the elongated members are configured to remain inward of an inner surface of the native leaflets, and

the elongated members are biased outwardly in the expanded configuration to exert force against the inner surface of the native leaflets; and

a skirt coupled to the support and flaring outward in an upstream direction such that an upstream end of the skirt is spaced outwardly from the support, wherein the skirt extends around the entire circumference of the support.

11. The prosthetic treatment apparatus of claim 10 wherein the prosthetic valve and the downstream portion of the support remain fixed relative to each other along a longitudinal dimension of the support from the low-profile configuration to the expanded configuration.