Commissure attachment feature for prosthetic heart valve

• US 9,615,920 B2
• Filed: 02/28/2013
• Issued: 04/11/2017
• Est. Priority Date: 06/29/2012
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Alkhatib, Yousef F., Braido, Peter Nicholas
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US13/781,140
• Publication Number:
  US 20140005775A1
• Time in Patent Office: 1,503 Days
• Field of Search: 623 21- 219
• 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 2/2415 Manufacturing methods
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2220/005 using adhesives
• 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 2230/0054 V-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/0069 cylindrical

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 including a plurality of struts. A plurality of commissure features is disposed on the stent and coupled to selected ones of the struts, each commissure feature including a body having a proximal end and a distal end, and at least one eyelet in the body. The heart valve further includes a collapsible and expandable valve assembly including a plurality of leaflets. At least one leaflet is connected to the at least one eyelet and to at least one of the selected ones of the struts via a suture pattern.

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;

a plurality of commissure features disposed on the stent and coupled to selected ones of the struts, each commissure feature including a body having a proximal end adjacent the annulus section and a distal end adjacent the aortic section, and at least one eyelet in the body, the body being coupled to upper struts near the aortic section; and

a collapsible and expandable valve assembly, including a plurality of leaflets, at least one of the leaflets being connected to the at least one eyelet and to at least one of the upper struts via a suture pattern, wherein the struts further include two lower struts coupled to the proximal end of the body, and the at least one leaflet is further connected to the two lower struts.

2. The prosthetic heart valve of claim 1, wherein two leaflets are connected to each commissure feature.

3. The prosthetic heart valve of claim 1, wherein the suture pattern is symmetrical about a central axis passing through the body between the proximal and distal ends of the body.

4. The prosthetic valve of claim 1, wherein the suture pattern further includes two tails knotted together adjacent one of the upper struts and the lower struts.

5. 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;

a plurality of commissure features disposed on the stent and coupled to selected ones of the struts, each commissure feature including a body having a proximal end adjacent the annulus section and a distal end adjacent the aortic section, and at least one eyelet in the body, the body being coupled to upper struts near the aortic section; and

a collapsible and expandable valve assembly, including a plurality of leaflets, at least one of the leaflets being connected to the at least one eyelet and to at least one of the upper struts via a suture pattern;

wherein each body has two eyelets and a central rib formed between the two eyelets, and wherein the suture pattern includes loops of suture around the central rib.

6. The prosthetic heart valve of claim 5, wherein the suture pattern includes four loops of suture around the central rib.

7. The prosthetic heart valve of claim 5, wherein the suture pattern begins by being coupled to the central rib, then a first of the upper struts, then a first of the lower struts, then a second of the upper struts, then the central rib a second time, and then a second of the lower struts.

8. A method of assembling a prosthetic heart valve, comprising:

providing 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 plurality of commissure features disposed on the stent and coupled to upper struts adjacent the aortic section, each commissure feature including a body having a proximal end adjacent the annulus section and a distal end adjacent the aortic section, and at least one eyelet in the body, the body being coupled to upper struts near the distal end of the body, and to two lower struts near the proximal end of the body; and

coupling a collapsible and expandable valve assembly to the stent, the valve assembly including a plurality of leaflets, and the coupling step including connecting at least one of the leaflets to the at least one eyelet and to at least one of the upper struts via a suture pattern;

wherein the coupling step includes connecting the at least one leaflet to the two lower struts.

9. The method of claim 8, wherein the coupling step includes connecting two leaflets to each commissure feature.

10. The method of claim 8, wherein the coupling step includes coupling the at least one leaflet to the body using a suture pattern that is symmetrical about a central axis passing through.

11. A method of assembling a prosthetic heart valve, comprising:

providing 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 plurality of commissure features disposed on the stent and coupled to upper struts adjacent the aortic section, each commissure feature including a body having a proximal end adjacent the annulus section and a distal end adjacent the aortic section, and at least one eyelet in the body, the body being coupled to upper struts near the distal end of the body; and

coupling a collapsible and expandable valve assembly to the stent, the valve assembly including a plurality of leaflets, and the coupling step including connecting at least one of the leaflets to the at least one eyelet and to at least one of the upper struts via a suture;

wherein each body has two eyelets and a central rib formed between the two eyelets, and wherein the suture pattern includes loops of suture around the central rib.

12. The method of claim 11, wherein the suture pattern includes four loops of suture around the central rib.