TECHNIQUES FOR PROVIDING A REPLACEMENT VALVE AND TRANSSEPTAL COMMUNICATION

    公开(公告)号:US20230049163A1

    公开(公告)日:2023-02-16

    申请号:US17683875

    申请日:2022-03-01

    Abstract: During a medical procedure, a transseptal fenestration is made at a septum of the heart and a shunt is implanted into the transseptal fenestration. During the same medical procedure, a transapical puncture is made into a left ventricle of the heart. A prosthetic valve is delivered via the transapical puncture and implanted at a mitral valve of the heart. Subsequently to delivering the prosthetic valve and making the transseptal fenestration, the transapical puncture is closed. Other embodiments are also described.

    PROSTHETIC VALVE AND DELIVERY TOOL THEREFOR

    公开(公告)号:US20210322167A1

    公开(公告)日:2021-10-21

    申请号:US16768909

    申请日:2018-12-12

    Abstract: Embodiments of the present disclosure include apparatus for use at a native valve of a heart of a subject. A delivery tool has a shaft, a capsule disposed at a distal portion of the tool, and a balloon that is disposed within the capsule and coupled to the shaft. A tubular frame of a prosthetic valve is compressed around the balloon, such that shape-memory flanges of the prosthetic valve, and a shape-memory upstream support portion of the prosthetic valve, are each constrained within a respective capsule-portion of the capsule. The capsule is openable by moving the capsule-portions apart, such that the flanges and the upstream support portion automatically deflect radially outward, while the tubular frame remains compressed around the balloon, and inflation of the balloon plastically expands the tubular frame radially. Other embodiments are also described.

    TECHNIQUES FOR USE WITH PROSTHETIC VALVE LEAFLETS

    公开(公告)号:US20200281723A1

    公开(公告)日:2020-09-10

    申请号:US16756235

    申请日:2018-01-08

    Abstract: A prosthetic valve leaflet is placed across a bar, and the bar is positioned such that the leaflet drapes over the bar and blocks a beam of light emitted by a light source. While the leaflet remains draped over the bar, the bar is elevated at least until the leaflet stops blocking the beam. An elevation of the bar from the beam at which the leaflet stopped blocking the beam is identified. Other embodiments are also described.

    PROSTHETIC VALVE WITH S-SHAPED TISSUE ANCHORS

    公开(公告)号:US20200281721A1

    公开(公告)日:2020-09-10

    申请号:US16879952

    申请日:2020-05-21

    Abstract: Prosthetic valves and methods of use of prosthetic valves may be provided. In one implementation, a prosthetic valve may include an annular outer frame, an inner frame, and a plurality of ventricular anchoring legs extending from the outer frame. The outer frame may be formed at least partially of struts intersecting at junctions. At least one ventricular anchoring leg may include a first curved leg portion on a first surface of the leg, and a second curved leg portion on a second, opposite surface of the leg. The outer frame may also include a strut extending between a downstream end of the outer frame and the junction from which the at least one ventricular anchoring leg extends.

    PROSTHETIC VALVE WITH TISSUE ANCHORS CONFIGURED TO EXERT OPPOSING CLAMPING FORCES ON NATIVE VALVE TISSUE

    公开(公告)号:US20190083254A1

    公开(公告)日:2019-03-21

    申请号:US16136150

    申请日:2018-09-19

    Abstract: A prosthetic valve configured for implantation within a native valve may be provided. The prosthetic valve may include an expandable valve body having an inner lumen extending along a longitudinal axis of the valve body. The prosthetic valve may additionally include a plurality of ventricular tissue anchors configured to extend from the valve body to ventricular anchor distal ends, as well as a plurality of atrial tissue anchors configured to extend from the valve body to atrial anchor distal ends. Each atrial tissue anchor may include a rigid portion, and a flexible portion situated between a distal end of the rigid portion and the atrial anchor distal end. The ventricular anchor distal end of a ventricular tissue anchor and the distal end of the rigid portion of an atrial tissue anchor may be configured to be equidistant from the longitudinal axis of the valve body.

    PROSTHETIC VALVE WITH INFLATABLE CUFF CONFIGURED FOR RADIAL EXTENSION

    公开(公告)号:US20190083248A1

    公开(公告)日:2019-03-21

    申请号:US16135969

    申请日:2018-09-19

    Abstract: A prosthetic valve for implantation within a native mitral valve may be provided. The prosthetic valve may include an annular valve body and a plurality of atrial anchoring arms and a plurality of ventricular anchoring legs configured to extend radially outward from the annular valve body. The prosthetic valve may also include a blood-inflatable cuff situated between the arms and legs and fastened to at least one arm. The cuff may be configured to extend radially outward beyond a terminal end of at least one arm when fully inflated with blood.

    PROSTHETIC VALVE WITH INNER AND OUTER FRAMES CONNECTED AT A LOCATION OF TISSUE ANCHOR PORTION

    公开(公告)号:US20190083243A1

    公开(公告)日:2019-03-21

    申请号:US16135505

    申请日:2018-09-19

    Abstract: A prosthetic heart valve, which may include an expandable annular outer frame having a tubular portion and at least one tissue anchor portion configured to extend from the tubular portion, may be provided. The at least one tissue anchor portion may have a plurality of attachment locations. The prosthetic heart valve may also include an expandable inner frame configured at least partially within the expandable annular outer frame. The expandable inner frame may be connected to the expandable annular outer frame solely at one or more of the plurality of attachment locations of the at least one tissue anchor portion.

    SYSTEMS AND METHODS FOR IMPLANTING A PROSTHETIC VALVE WITHIN A NATIVE HEART VALVE

    公开(公告)号:US20190083242A1

    公开(公告)日:2019-03-21

    申请号:US16135466

    申请日:2018-09-19

    Abstract: Prosthetic heart valves and methods of implanting prosthetic heart valves may be provided, including a method of implanting an expandable prosthetic valve within a native mitral valve between a heart atrium and a heart ventricle. The prosthetic valve may be constrained from expansion during delivery and may include an annular valve body, a plurality of ventricular anchors, and a plurality of atrial anchors. The method may include releasing the plurality of ventricular anchors within the atrium, releasing the plurality of atrial anchors within the atrium, moving the released ventricular anchors through the mitral valve and into the ventricle, and after moving the released ventricular anchors from the atrium to the ventricle, releasing the annular valve body. As a result, the prosthetic valve may be anchored within the mitral valve.

    TECHNIQUES FOR DEPLOYMENT OF A PROSTHETIC VALVE

    公开(公告)号:US20240074856A1

    公开(公告)日:2024-03-07

    申请号:US18368250

    申请日:2023-09-14

    Abstract: A valve frame includes a tubular portion defining a plurality of valve-frame coupling elements disposed circumferentially around a longitudinal axis of the valve frame, and a plurality of arms, extending radially outward from an upstream portion of the tubular portion to define an arm span, and configured to engage tissue in the atrium. An outer frame is coupled to the valve frame, and includes a ring circumscribing the tubular portion, and a plurality of flanges that extend radially outward from the ring to define a flange span, and are configured to engage ventricular tissue. Each arm defines a rigid portion and a flexible portion that is disposed radially outward from the rigid portion, and is more flexible than the rigid portion. The majority of the flexible portion is disposed further radially outward than the flange span. Other embodiments are also described.

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