Stented prosthetic heart valve with variable stiffness and methods of use

Patent metadata

Field	Value
Publication number	US-10736738-B2
Application number	US-201715665998-A
Country	US
Kind code	B2
Filing date	Aug 1, 2017
Priority date	Jan 27, 2014
Publication date	Aug 11, 2020
Grant date	Aug 11, 2020

Abstract

A prosthetic heart valve including a stent frame and a valve structure. The valve structure is disposed within a lumen of the stent frame. The stent frame is configured to self-expand from a compressed condition for transluminal delivery. The stent frame has a lattice structure forming a tubular shape defining a circumference and a plurality of closed cells arranged to define a band exhibiting a variable radial stiffness. The prosthesis can be deployed such that the band applies a minimal force on to anatomical locations relating to the heart's conductive pathways. A region of the band otherwise having low radial stiffness is located at or over a conductive pathway upon final implant.

First claim

What is claimed is:

1. A prosthetic heart valve comprising:
a stent frame configured to be expandable from a compressed condition for transluminal delivery to a natural, expanded condition, the stent frame having a lattice structure forming a tubular shape defining a circumference, wherein the lattice structure provides a plurality of closed cells arranged to define a first band of closed cells extending about an entirety of the circumference, the closed cells of the first band being equidistantly spaced from one another along the circumference, and further wherein the first band is configured to have a variable radial stiffness along the circumference in the natural condition; wherein the first band defines a first region having at least two circumferentially adjacent closed cells and a second region having a plurality of circumferentially adjacent closed cells, and further wherein a maximum radial stiffness of the first region is less than a minimum radial stiffness of the second region; further wherein the first region is configured for alignment over conduction fibers of a left ventricular septum; and
a valve structure disposed within a lumen of the stent frame.

2. The prosthetic heart valve of claim 1 , wherein the valve structure includes a plurality of leaflets arranged to define an inflow side and an outflow side, and further wherein the first band is formed proximate the inflow side.

3. The prosthetic heart valve of claim 1 , wherein an arc angle of the first region is less than an arc angle of the second region.

4. The prosthetic heart valve of claim 1 , wherein the second region encompasses at least a majority of the circumference.

5. The prosthetic heart valves of claim 1 , wherein the first band further includes a third region having at least one closed cell, and further wherein the third region is circumferentially located between the first and second regions, and even further wherein the radial stiffness of the first band along the third region is less than the radial stiffness along the second region and is greater than the radial stiffness along the first region.

6. The prosthetic heart valve of claim 5 , wherein the first band further includes a fourth region having at least one close cell, the fourth region being circumferentially located between the first and second regions opposite the third region, and further wherein the radial stiffness of the first band along the fourth region approximates the radial stiffness along the third region.

7. The prosthetic heart valve of claim 1 , wherein the plurality of closed cells are arranged to further define a second band of closed cells extending about an entirety of the circumference, the second band being immediately longitudinally adjacent the first band, and further wherein the second band is configured to have a variable radial stiffness along the circumference in the natural condition.

8. The prosthetic heart valve of claim 7 , wherein the first and second bands collectively define a low radial stiffness region.

9. The prosthetic heart valve of claim 1 , wherein the plurality of closed cells are arranged to further define a second band of closed cells extending about an entirety of the circumference, the second band being immediately longitudinally adjacent the first band, and further wherein the second band is configured to have a constant radial stiffness along the circumference.

10. A prosthetic heart valve of comprising:
a stent frame configured to be expandable from a compressed condition for transluminal delivery to a natural, expanded condition, the stent frame having a lattice structure forming a tubular shape defining a circumference, wherein the lattice structure provides a plurality of closed cells arranged to define a first band of closed cells extending about an entirety of the circumference, the closed cells of the first band being equidistantly spaced from one another along the circumference, and further wherein the first band is configured to have a variable radial stiffness along the circumference in the natural condition; wherein the first band defines a first region having at least two circumferentially adjacent closed cells and a second region having a plurality of circumferentially adjacent closed cells, and further wherein a maximum radial stiffness of the first region is less than a minimum radial stiffness of the second region; wherein each of the closed cells includes a plurality of interconnected struts, and further wherein a geometry of at least one of the struts of the closed cells of the first region is less than a corresponding geometry of a corresponding strut of the closed cells of the second region; and
a valve structure disposed within a lumen of the stent frame.

11. The prosthetic heart valve of claim 10 , wherein the geometry is a length of a segment of the strut.

12. The prosthetic e of claim 10 , wherein the geometry is a width of a segment of the strut.

13. A prosthetic heart valve comprising:
a stent frame configured to be expandable from a compressed condition for transluminal delivery to a natural, expanded condition, the stent frame having a lattice structure forming a tubular shape defining a circumference, wherein the lattice structure provides a plurality of closed cells arranged to define a first band of closed cells extending about an entirety of the circumference, the closed cells of the first band being equidistantly spaced from one another along the circumference, and further wherein the first band is configured to have a variable radial stiffness along the circumference in the natural condition; wherein the first band defines a first region having at least two circumferentially adjacent closed cells and a second region having a plurality of circumferentially adjacent closed cells, and further wherein a maximum radial stiffness of the first region is less than a minimum radial stiffness of the second region; wherein each of the closed cells includes a plurality of interconnected struts, and further wherein a geometry of at least one of the struts of the closed cells of the first region is less than a corresponding geometry of a corresponding strut of the closed cells of the second region; wherein the first band further includes a joint connector connecting immediately, circumferentially adjacent ones of the closed cells to one another, and further wherein a geometry of each of the joint connectors of the first region is less than a corresponding geometry of each of the joint connectors of the second region; and
a valve structure disposed within a lumen of the stent frame.

14. The prosthetic heart valve of claim 13 , wherein the geometry is a width of the joint connector.

Assignees

• Medtronic Vascular Galway Ltd

Inventors

• Bell Rodney
• Costello Declan

Classifications

• A61F2230/0054

  V-shaped · CPC title

• A61F2250/0018

  differing in elasticity, stiffness or compressibility · CPC title

• A61F2250/0036

  differing in thickness · CPC title

• A61F2/2418 Primary

  Scaffolds therefor, e.g. support stents · CPC title

• A61F2250/0029

  differing in bending or flexure capacity · CPC title