摘要:
The present invention provides a modular prosthetic valve device having two or more device modules for percutaneous delivery unassembled at or near the valve implantation site and assembly at least in part using a self-assembly member, and a system and method of folding, delivering and assembling the device. The device modules may include a support structure and a valve module. The valve module has an unassembled, folded delivery configuration, and an unfolded, assembled (via the self-assembly member) working configuration. The valve module may be a single-piece leaflets substructure or a plurality of valve sections. The self-assembly member has a delivery configuration and may be reverted to a preset configuration for valve module assembly. The unassembled valve module may be rolled along its circumferential axis towards its height to a folded diameter equivalent to one rolled leaflet, providing a percutaneous valve device having a smaller delivery diameter than pre-assembled valve devices.
摘要:
Cardiovascular and other medical implants fabricated from low-modulus Ti--Nb--Zr alloys to provide enhanced biocompatibility and hemocompatibility. The cardiovascular implants may be surface hardened by oxygen or nitrogen diffusion or by coating with a tightly adherent, hard, wear-resistant, hemocompatible ceramic coating. The cardiovascular implants include heart valves, total artificial heart implants, ventricular assist devices, vascular grafts, stents, electrical signal carrying devices such as pacemaker and neurological leads, defibrillator leads, and the like. It is contemplated that the Ti--Nb--Zr alloy can be substituted as a fabrication material for any cardiovascular implant that either comes into contact with blood thereby demanding high levels of hemocompatibility, or that is subject to microfretting, corrosion, or other wear and so that a low modulus metal with a corrosion-resistant, hardened surface would be desirable.
摘要:
Cardiovascular and other medical implants fabricated from low-modulus Ti--Nb--Zr alloys to provide enhanced biocompatibility and hemocompatibility. The cardiovascular implants may be surface hardened by oxygen or nitrogen diffusion or by coating with a tightly adherent, hard, wear-resistant, hemocompatible ceramic coating. The cardiovascular implants include heart valves, total artificial heart implants, ventricular assist devices, vascular grafts, stents, electrical signal carrying devices such as pacemaker and neurological leads, defibrillator leads, and the like. It is contemplated that the Ti--Nb--Zr alloy can be substituted as a fabrication material for any cardiovascular implant that either comes into contact with blood thereby demanding high levels of hemocompatibility, or that is subject to microfretting, corrosion, or other wear and so that a low modulus metal with a corrosion-resistant, hardened surface would be desirable.
摘要:
A unidirectional flow heart valve includes a passageway having an inlet side and an outlet side. A disk occluder is disposed within the passageway. The disk occluder has a closed position wherein the disk occluder occludes fluid flow through the passageway and an open position wherein the disk occluder permits fluid flow through the passageway. A fulcrum causes the disk occluder to pivot off center between the open and closed positions. An electromagnetic control mechanism forces the disk occluder to remain closed when energized until a predetermined net pressure is reached against the disk occluder. When the electromagnetic control mechanism is either selectively deenergized or the force on the occluder disk is greater than the holding force of the electromagnetic control mechanism, the disk occluder is released from the closed position to pivot on the fulcrum in response to fluid pressure.
摘要:
An artificial heart valve is designed to fit into a blood vessel when a patient is too weak to undergo open heart surgery. The valve has a disk shaped flap valve threaded on a bent wire which may be anchored in a blood vessel. One embodiment uses a clip anchor which is bent into somewhat the shape of a safety pin. Another embodiment uses a STENT as the anchor. The wire snags on the wall of the blood vessel in order to keep the valve from migrating through the blood vessel. The flap valve opens and closes under the pressure of blood which is ebbing and flowing responsive to a pumping heart.
摘要:
A heart valve prosthesis comprises a valve ring having an opening for the flow of blood, a valve poppet floatingly mounted during opening and closing. For floatingly containing the poppet, and there is provided a single upper support and a lower support structure. The upper support has a flat portion supporting the poppet that bears thereagainst with a depression made in the top side of the poppet. The lower support structure has tabs for supporting the poppet so that the poppet is in the surface-to-the surface contact with the upper support and tabs of the lower support structure when the poppet is in the open position.
摘要:
The prosthesis comprises an annular frame and a disc-shaped obturator which is coupled to the frame and is pivotable, under the action of the blood flow, between an open annular position and a closed angular position, so as to allow the flow of blood through the aperture of the annular frame in one direction and the interruption of the flow in the opposite direction, respectively. The obturator is coupled to the frame in such a way that, in the open position, it may orient itself in a direction substantially perpendicular to the plane of the frame. The side of the obturator which faces away from the central axis of the annular frame in the open angular position is defined, at least in its peripheral part, by a surface which is generated by the rotation, about the central axis of the obturator, of a curve the locus of the centers of curvature of which lies on the opposite side of this curve from a curve which generates, by rotation around the central axis, a surface defining the other side of the obturator.
摘要:
This invention relates to the electrochemical machining of integrally formed prosthetic heart valve structures in which both the structural integrity of the valve and the blood flow through the valve is improved as a result of the integral formation of the valve structure. In particular, such heart valves comprise a ring and a pendant structure, such as a strut, for supporting the opening and closing of a discoid valve occluder. Integral formation of the strut with the ring permits the cross-sectional shape of the strut to be machined without overheating and distortion to conform to a teardrop shape having favorable fluid-dynamic characteristics thereby improving the flow of blood through the valve across the strut. The integral formation of the strut with the ring further results in the elimination of the weld fillet between the strut and the ring, thereby permitting the height of the ring to be reduced, which further improves the fluid dynamic characteristics of the valve. The overall structural integrity of the heart valve structure is also improved by the shape of the strut which permits the increase in the total cross-sectional area of the strut while retaining the favorable fluid flow characteristics of the valve. Thus, this invention provides for improved structural integrity of the valve and at the same time, improved flow characteristics through the valve.
摘要:
A free floating pivoting disc heart valve in which the disc has a generally arcuate segment configuration positioned so as to present a generally convex surface toward the outflow side of said base and a generally concave surface toward the inflow side of the base when viewed in the closed configuration.
摘要:
A metallic cardiac valve prosthesis having an aortic as well as a mitral application, the purpose of which is to obtain an ample, highly physiological and laminar flow of blood, includes a ring, the outer contour of which is circular and the inner contour of which is oval. The interior of the ring is provided with a lenticular plug acting in the same way as the plug of a butterfly valve.