Bioprostethic valve

• US 5,549,665 A
• Filed: 06/17/1994
• Issued: 08/27/1996
• Est. Priority Date: 06/18/1993
• Status: Expired due to Fees

• Current Assignee: London Health Sciences Centre
• Original Assignee: London Health Association
• Inventors: Vesely, Ivan, Dokainish, Mohan, Krucinski, Slawomir, Campbell, Gordon, Boughner, Derek
• Primary Examiner(s): MILANO, MICHAEL J
• Application Number:
  US08/261,983
• Time in Patent Office: 802 Days
• Field of Search: 623/2, 623/66, 623/900
• US Class Current: 623/2.14
• 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: Y10S 623/90 Stent for heart valve

Abstract

A bioprosthetic valve comprising a support ring having three spaced apart end stops projecting upwardly therefrom, a stent post ring having three spaced apart stent posts pivotally connected thereto and adapted to engage respective ones of the end stops so as to permit outward pivoting of the stent posts and to prevent inward pivoting thereof, a leaflet valve having three generally triangular leaflets defining respective cusps, the leaflets being joined at respective commissures, and a sewing ring for attaching the leaflet valve to the stent post ring and support ring.

Claims

1. A bioprosthetic heart valve comprising:

a) a support ring having three spaced apart end stops projecting upwardly therefrom;

b) three spaced apart stent posts adapted to pivot outwardly relative to said support ring and to engage respective ones of said end stops for preventing inward pivoting thereof;

c) leaflet valve means formed from an aortic root and having three generally triangular leaflets defining respective cusps which are adapted to open and close during heart systole and diastole, respectively, said leaflets being joined at respective commissures adjacent said aortic root; and

d) means for attaching said leaflet valve means to said stent posts and said support ring.

2. The bioprosthetic heart valve of claim 1, wherein said support ring further incorporates a scalloped extension from a bottom surface thereof so as to conform said bottom surface to aortic valve geometry.

3. The bioprosthetic heart valve of claim 1, further comprising a sewing ring circumscribing said leaflet valve means for attaching said leaflet valve means to said support ring.

4. The bioprosthetic heart valve of claim 1, further comprising a cloth covering sewn onto said leaflet valve means.

5. The bioprosthetic heart valve of claim 1, further comprising a cloth covering sewn onto said stent posts.

6. The bioprosthetic heart valve of claim 1, wherein said leaflet valve means consists of one of either animal tissue or human tissue.

7. The bioprosthetic heart valve of claim 6, wherein said animal tissue is chemically treated pig aortic valve.

8. The bioprosthetic heart valve of claim 6, wherein said animal tissue is chemically treated calf pericardium.

9. The bioprosthetic heart valve of claim 1, wherein each of said stent posts has a pair of pivot arms projecting from opposite sides thereof, and wherein each of said end stops includes a pair of holes for receiving respective ones of said pivot arms so as to permit said outward pivoting of said stent posts.

10. The bioprosthetic heart valve of claim 1, wherein the three generally triangular leaflets are arranged in a geometry which prevents the pivoting of the stent posts beyond a 15% expansion of commissural diameter.

11. The bioprosthetic heart valve of claim 1, wherein each of said end stops further comprises a pair of members projecting from said support ring on opposite sides of a respective one of said stent posts for preventing said inward pivoting thereof.

12. A bioprosthetic valve comprising:

a) a support ring having three spaced apart end stops projecting upwardly therefrom;

b) three spaced apart stent posts adapted to pivot outwardly relative to said support ring and to engage respective ones of said end stops for preventing inward pivoting thereof;

c) leaflet valve means having three generally triangular leaflets defining respective cusps which are adapted to open and close; and

d) means for attaching said leaflet valve means to said stent posts and said support ring.

13. The bioprosthetic heart valve of claim 12, wherein the three generally triangular leaflets are arranged in a geometry which prevents the pivoting of the stent posts beyond a 15% expansion of commissural diameter.

14. A bioprosthetic heart valve comprising:

a) a support ring having three spaced apart end stops projecting upwardly therefrom;

b) three spaced apart stent posts adapted to pivot outwardly relative to said support ring and to engage respective ones of said end stops for preventing inward pivoting thereof;

c) a stent post ring to which said stent posts are pivotally connected for pivoting movement, wherein said stent post ring is adapted to limit said outward pivoting of said stent posts to approximately 10°

from vertical;

d) leaflet valve means formed from an aortic root and having three generally triangular leaflets defining respective cusps which are adapted to open and close during heart systole and diastole, respectively, said leaflets being joined at respective commissures adjacent said aortic root; and

e) means for attaching said leaflet valve means to said stent posts and said support ring.

15. A bioprosthetic heart valve comprising:

a) a support ring having three spaced apart end stops projecting upwardly therefrom;

b) three spaced apart stent posts adapted to pivot outwardly relative to said support ring and to engage respective ones of said end stops for preventing inward pivoting thereof;

c) a stent post ring to which said stent posts are pivotally connected for pivoting movement;

d) leaflet valve means formed from an aortic root and having three generally triangular leaflets defining respective cusps which are adapted to open and close during heart systole and diastole, respectively, said leaflets being joined at respective commissures adjacent said aortic root; and

e) means for attaching said leaflet valve means to said stent posts and said support ring.

16. The bioprosthetic heart valve of claim 15, wherein each of said end stops further comprises a first member projecting from an outer diameter of said support ring, said first member being of generally spherical segment shape defining a hollow internal portion, and a second member projecting from said outer diameter toward an inner diameter of said support ring, said second member extending substantially above said first member and being of generally arcuate shape.

17. The bioprosthetic heart valve of claim 16, wherein each of said stent posts further comprises a main body portion connected to said stent post ring at a pivot point adjacent a lower end of said stent post such that a portion of said main body moves inwardly no further than said second member above said pivot point during diastole, said lower end having an outward protrusion below said pivot point adapted to hook into said hollow internal portion of said first member during diastole, whereby said stent post is prevented from inward pivoting during diastole while said stent post being permitted to pivot outwardly by twisting of said stent post ring during systole.

18. The bioprosthetic heart valve of claim 15, further comprising a wire frame conforming in shape to said respective cusps of said leaflet valve means and connected to an upper end of each of said stent posts, for supporting said leaflet valve means on said stent post ring.

19. The bioprosthetic heart valve of claim 18, wherein said wire frame is received within cooperatively dimensioned slots disposed in the upper end of each of said stent posts.

20. The bioprosthetic heart valve of claim 15, wherein said stent post ring is fabricated from a flexible polymer.

21. The bioprosthetic heart valve of claim 15, wherein the three generally triangular leaflets are arranged in a geometry which prevents the pivoting of the stent posts beyond a 15% expansion of commissural diameter.