Fluid flow prosthetic device

• US 7,201,772 B2
• Filed: 12/30/2004
• Issued: 04/10/2007
• Est. Priority Date: 07/08/2003
• Status: Active Grant

• Current Assignee: Medtronic Ventor Technologies LTD. (Medtronic Plc)
• Original Assignee: Ventor Technologies Ltd. (Medtronic Plc)
• Inventors: Benary, Raphael, Tuval, Yosi, Schwammenthal, Ehud
• Primary Examiner(s): McDermott; Corrine
• Assistant Examiner(s): Sweet; Thomas J.
• Application Number:
  US11/024,908
• Publication Number:
  US 20060149360A1
• Time in Patent Office: 831 Days
• Field of Search: 623/1.24, 623/1.25, 623/1.26, 623/2.12, 623/2.13, 623/2.14, 623/2.15, 623/2.16, 623/2.17, 623/2.18, 623/2.19
• US Class Current: 623/2.18
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61F 2/2418 Scaffolds therefor, e.g. support stents
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2002/068 Modifying the blood flow model, e.g. by diffuser or deflector
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/0078 hyperboloidal
• CPC Class Codes: A61F 2250/0039 differing in diameter

Abstract

A prosthetic device including a valve-orifice attachment member attachable to a valve in a blood vessel and including a fluid inlet, and a diverging member that extends from the fluid inlet, the diverging member including a proximal end near the fluid inlet and a distal end distanced from the proximal end, wherein a distal portion of the diverging member has a larger cross-sectional area for fluid flow therethrough than a proximal portion thereof. The diverging member may have a diverging taper that causes fluid to flow therethrough with pressure recovery at the distal end thereof.

Claims

1. A prosthetic device, comprising:

a valve-orifice attachment member at an upstream end of said prosthetic device, said valve-orifice attachment member configured for attachment to a native valve site of a patient;

a diverging blood flow pathway, comprising a pathway fluid inlet coupled to said valve-orifice attachment member,

said pathway configured to flex between an open position thereof and a closed position thereof in response to a cardiac cycle of said patient,

said diverging blood flow pathway defining a single blood flow field that extends downstream from said pathway fluid inlet,

said pathway fluid inlet having at its narrowest cross-section a first cross-sectional area for blood flow therethrough,

said pathway comprising an outlet having a second cross-sectional area at a downstream end of said prosthetic device; and

a pathway support configured for attachment to said pathway, and that is operative, when attached to said pathway, generally to maintain a diverging configuration of said diverging blood flow pathway,

wherein, regardless of whether said pathway support is attached to said pathway, said second cross-sectional area is greater than said first cross-sectional area when said pathway is in said open position thereof.

2. The prosthetic device according to claim 1, wherein said diverging blood flow pathway is shaped so as to define a diverging taper that causes fluid to flow therethrough with pressure recovery at said outlet.

3. The prosthetic device according to claim 2, wherein said taper widens with a widening angle α

from 0.1°

to 50°

.

4. The prosthetic device according to claim 2, wherein said taper widens with a widening angle α

of approximately 5–

8°

.

5. The prosthetic device according to claim 1, wherein said diverging blood flow pathway comprises an inner envelope that lines an inner surface thereof.

6. The prosthetic device according to claim 1, comprising a base section to which said valve-orifice attachment member is coupled, wherein said base section is coupled to said pathway fluid inlet and is non-divergent downstream.

7. The prosthetic device according to claim 6, wherein said base section is convergent downstream.

8. The prosthetic device according to claim 1, wherein said valve-orifice attachment member comprises clasping members adapted to clasp opposite sides of a native valve of said native valve site near an orifice of said native valve.

9. The prosthetic device according to claim 1, wherein said valve-orifice attachment member comprises an annular clamp adapted to engage native valve leaflets of said native valve.

10. The prosthetic device according to claim 1, further comprising an annular array of bracing elements at said outlet of said diverging blood flow pathway engageable with an inner surface of a blood vessel of said patient.

11. The prosthetic device according to claim 1, wherein said diverging blood flow pathway is conical.

12. The prosthetic device according to claim 1, wherein said diverging blood flow pathway is curved convexly.

13. The prosthetic device according to claim 1, wherein said diverging blood flow pathway is curved concavely.

14. The prosthetic device according to claim 1, further comprising a plurality of axially-extending struts pivotally mounted near the valve-orifice attachment member and extending through at least a portion of said diverging blood flow pathway.

15. The prosthetic device according to claim 1, wherein said valve-orifice attachment member comprises an inner envelope that lines an inner surface thereof.

16. The prosthetic device according to claim 1,

wherein said pathway support comprises a plurality of axially-extending struts,

wherein said diverging blood flow pathway comprises a plurality of portions thereof, each portion disposed between a respective pair of said struts, and

wherein there is no structural member of said prosthetic device intervening between the portions of said diverging blood flow pathway and blood of said patient within or outside said diverging blood flow pathway, when said valve-orifice attachment member is attached to said valve site.