Aortic insufficiency valve percutaneous valve anchoring

• US 9,763,778 B2
• Filed: 03/17/2015
• Issued: 09/19/2017
• Est. Priority Date: 03/18/2014
• 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: Eidenschink, Tracee, Buesseler, Ryan, Khouengboua, Sounthara
• Primary Examiner(s): STEWART, ALVIN J
• Application Number:
  US14/660,028
• Publication Number:
  US 20150265400A1
• Time in Patent Office: 917 Days
• Field of Search: 623 111, 623 115, 623 124, 623 126, 623 214, 623 218, 623 211, 606191, 606192, 606194, 606198
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00783 Valvuloplasty
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0648 threaded, e.g. tacks with a screw thread
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• 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 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath
• CPC Class Codes: A61F 2210/0061 swellable
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2250/006 modular
• CPC Class Codes: A61F 2250/0069 Sealing means

Abstract

An anchoring device for use within a cardiovascular structure includes an expandable ring having a central axis extending in a longitudinal direction. At least one leg extends from the ring in the longitudinal direction. The leg includes a first end connected to the ring and a free end, with at least one anchor connected to the leg. The anchoring device may be used to anchor a transcatheter heart valve within the cardiovascular structure.

Claims

1. An anchoring device for use within a cardiovascular structure, comprising:

a first radially expandable ring having a central axis extending in a longitudinal direction;

a plurality of legs extending from the first expandable ring in the longitudinal direction, each of the legs having first and second ends;

a second radially expandable ring forming a set of apices that point in a direction away from the first expandable ring, the second expandable ring being connected to each of the legs between the first and second ends thereof so that a portion of each of the legs extends from the second expandable ring between adjacent ones of the apices; and

an anchor connected to each of the legs and extending radially inwardly therefrom toward the central axis.

2. The anchoring device of claim 1, wherein the cardiovascular structure is a heart valve having a predetermined number of leaflets and the plurality of legs are equal in number to the predetermined number.

3. The anchoring device of claim 1, wherein the second expandable ring forms a set of second apices that point in a direction toward the first expandable ring, and each of the legs intersects a corresponding one of the second apices.

4. The anchoring device of claim 1, wherein each of the anchors is connected to the portion of one of the legs.

5. The anchoring device of claim 1, wherein the first end of each of the legs is connected to the first expandable ring and the portion of each of the legs comprises the second end of the leg.

6. The anchoring device of claim 5, wherein the second end of each of the legs includes an attachment portion connected thereto, and the anchor is connected to the attachment portion and includes a body extending radially inwardly from the attachment portion.

7. The anchoring device of claim 6, wherein the attachment portion includes an eyelet, and the anchor includes a deformable head portion fixedly engaged to the eyelet.

8. The anchoring device of claim 6, wherein the body has a prismatic, polygonal, or spherical shape.

9. The anchoring device of claim 1, wherein each of the anchors is connected to the second end of one of the legs.

10. An anchoring device for use within a cardiovascular structure, comprising:

a stent body having a central axis extending in a longitudinal direction;

a plurality of legs extending from the stent body in the longitudinal direction, each of the legs having a first end connected to the stent body and a second end remote from the stent body;

a ring connected to each of the legs between their respective first and second ends and forming a plurality of apices pointing in the longitudinal direction away from the stent body; and

an anchor connected to one of the legs and extending radially inwardly therefrom toward the central axis.

11. The anchoring device of claim 10, wherein the at least one of the legs includes an attachment portion defining an eyelet, and the anchor includes a head portion fixedly engaged to the eyelet.

12. The anchoring device of claim 10, wherein the apices are disposed further from the stent body than the second end of each of the legs.

13. The anchoring device of claim 10, wherein each of the apices is disposed between adjacent ones of the legs.

14. The anchoring device of claim 10, wherein the anchor is connected to the one leg between the second end thereof and the ring.

15. An anchoring device for use within a cardiovascular structure, comprising:

a radially expandable ring having first and second ends and a longitudinal axis extending therebetween and defining a longitudinal direction; and

first and second legs each extending from the expandable ring to a free end, the first leg including a first elongate member extending in a direction transverse to the longitudinal direction, the second leg including a second elongate member extending at least partially in a direction transverse to the longitudinal direction, the first and second elongate members converging and connecting to one another to form an angle therebetween and being flexible such that the angle formed therebetween is variable, the free end of the first leg having an anchor connected thereto, the anchor extending from the free end of the first leg radially inwardly toward the longitudinal axis.

16. The anchoring device of claim 15, wherein the connection of the first elongate member to the second elongate member forms an apex at a location further from the expandable ring in the longitudinal direction than the free ends of the first and second legs.

17. The anchoring device of claim 16, wherein the free end of the first leg includes an attachment portion having an eyelet, and the anchor is connected to the eyelet.

18. The anchoring device of claim 15, wherein the first and second elongate members converge at a location disposed between the free ends of the first and second legs and the expandable ring, the first and second elongate members at least partially defining an expandable cell.

19. The anchoring device of claim 18, wherein the free end of the first leg includes an attachment portion having an eyelet, and the anchor includes a head portion deformable to fixedly engage to the eyelet.