Commissure attachment feature for prosthetic heart valve

• US 9,895,218 B2
• Filed: 10/27/2015
• Issued: 02/20/2018
• 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 Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Inventors: Alkhatib, Yousef F., Braido, Peter N.
• Primary Examiner(s): Gherbi, Suzette J
• Application Number:
  US14/923,651
• Publication Number:
  US 20160045310A1
• Time in Patent Office: 847 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 including at least one eyelet, the body being coupled to upper struts near the aortic section and lower struts near the annulus section; and

a collapsible and expandable valve assembly including a plurality of leaflets and a cuff;

a first suture for coupling the cuff to the stent;

a second suture for coupling each of the plurality of leaflets to portions of the cuff; and

a group of third sutures, each of the third sutures being configured to couple at least one of the leaflets to the at least one eyelet and to at least one selected strut from the upper struts and the lower struts via a suture pattern.

2. The prosthetic heart valve of claim 1, wherein each of the third sutures includes two free tails that are coupled together.

3. The prosthetic heart valve of claim 2, wherein the free tails are knotted together.

4. The prosthetic heart valve of claim 1, wherein the at least one leaflet is connected to one of the upper struts.

5. The prosthetic heart valve of claim 1, wherein the at least one leaflet is connected to one of the lower struts.

6. The prosthetic heart valve of claim 1, wherein each body has two eyelets and a central rib formed between the two eyelets.

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

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

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

10. The prosthetic heart valve of claim 6, 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.

11. The prosthetic heart valve of claim 6, wherein the suture pattern wraps around the central rib and to at least one of the upper struts and one of the lower struts.

12. The prosthetic heart valve of claim 6, wherein the suture pattern wraps around the central rib and to four struts.

13. The prosthetic heart valve of claim 1, wherein the group of third sutures includes three third sutures, each third suture piercing through two leaflets of the plurality of leaflets.

14. 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, 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 the upper struts near the distal end of the body and to lower struts near the proximal end; and

coupling a cuff to the stent via a first suture;

coupling each of a plurality of leaflets to portions of the cuff via a second suture; and

coupling each of the leaflets to the at least one eyelet and to at least one selected strut from the upper struts and the lower struts via a third suture.

15. The method of claim 14, wherein coupling each of the leaflets includes coupling each leaflet to the two lower struts.

16. The method of claim 14, wherein coupling each of the leaflets includes coupling each leaflet to the two upper struts.

17. The method of claim 14, wherein providing a collapsible and expandable stent comprises providing a plurality of commissure features each having a body including two eyelets and a central rib formed between the two eyelets.

18. The method of claim 17, wherein coupling each of the leaflets includes forming a suture pattern that includes loops of suture around the central rib.

19. The method of claim 14, wherein coupling each of the leaflets includes coupling multiple leaflets to each commissure feature.

20. The method of claim 14, wherein coupling each of the leaflets includes coupling at least one leaflet to the body using a symmetric suture pattern.