Prosthetic heart valve delivery apparatus
US-9867700-B2 · Jan 16, 2018 · US
US10779941B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10779941-B2 |
| Application number | US-201715451149-A |
| Country | US |
| Kind code | B2 |
| Filing date | Mar 6, 2017 |
| Priority date | Mar 8, 2016 |
| Publication date | Sep 22, 2020 |
| Grant date | Sep 22, 2020 |
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A delivery cylinder for a prosthetic implant can include a first tubular portion and a second tubular portion. The second tubular portion has a plurality of strut members coupled to the first tubular portion that define a volume for containing the prosthetic implant in a radially compressed state. The strut members can include respective flex regions configured such that application of force to the strut members causes deformation of the flex regions and corresponding radially inward or outward movement of the strut members relative to a longitudinal axis of the delivery cylinder between an expanded configuration and a contracted configuration.
Opening claim text (preview).
What is claimed is: 1. A delivery cylinder for a prosthetic implant, comprising: a first tubular portion; and a second tubular portion comprising a plurality of strut members coupled to the first tubular portion and defining a volume for containing a prosthetic implant in a radially compressed state, the strut members including proximal end portions and main body portions extending from the proximal end portions, the proximal end portions comprising flex regions configured such that application of force to the strut members causes deformation of the flex regions and corresponding radially inward or outward movement of the strut members relative to a longitudinal axis of the delivery cylinder between an expanded configuration and a contracted configuration, the flex regions comprising respective first and second bending portions with intermediate portions therebetween; wherein the main body portions of the strut members are substantially parallel to the longitudinal axis of the delivery cylinder when the delivery cylinder is in the expanded configuration and when the delivery cylinder is in the contracted configuration; and wherein the first bending portions of the flex regions are located proximally of the second bending portions, and are configured to bend in a direction radially away from the longitudinal axis such that angles defined between the first tubular portion and the respective intermediate portions are less than 180 degrees when the delivery cylinder is in the expanded configuration. 2. The delivery cylinder of claim 1 , wherein the second bending portions are configured to bend in a direction radially toward the longitudinal axis such that angles defined between the intermediate portions and the main portions of the strut members are greater than 180 degrees when the delivery cylinder is in the expanded configuration. 3. The delivery cylinder of claim 1 , wherein the strut members further comprise recessed portions associated with each of the first and second bending portions, the recessed portions being defined in edges of the strut members and configured to reduce a width of the strut members to induce bending at the first and second bending portions. 4. The delivery cylinder of claim 1 , further comprising a woven liner comprising a woven fabric coaxially disposed with respect to the second tubular portion. 5. The delivery cylinder of claim 4 , wherein the strut members further define one or more openings for suturing the woven liner to the strut members. 6. The delivery cylinder of claim 4 , wherein the woven liner is disposed within the second tubular portion. 7. The delivery cylinder of claim 6 , further comprising a tubular member disposed about an exterior of the second tubular portion. 8. The delivery cylinder of claim 7 , wherein the tubular member is a second woven liner comprising a woven fabric. 9. The delivery cylinder of claim 1 , wherein the first tubular portion is a distal end portion of an outer shaft of a delivery apparatus. 10. The delivery cylinder of claim 1 , further comprising a flexible member coupled to respective distal end portions of the strut members to limit radial expansion of the strut members. 11. The delivery cylinder of claim 10 , wherein the strut members further comprise one or more extension portions to engage the flexible member. 12. A delivery apparatus including the delivery cylinder of claim 1 . 13. The delivery cylinder of claim 1 , wherein the strut members of the delivery cylinder form a cylindrical arrangement in the expanded configuration and in the contracted configuration. 14. An assembly, comprising: a shaft having a proximal end portion and a distal end portion; a delivery cylinder coupled to the distal end portion of the shaft and including a plurality of strut members defining a tubular portion, the strut members including flex regions configured such that application of force to the strut members causes deformation of the flex regions and corresponding radially inward or outward movement of the strut members relative to a longitudinal axis of the delivery cylinder between an expanded configuration and a contracted configuration, the flex regions comprising respective first and second bending portions with intermediate portions therebetween, the first bending portions being located proximally of the second bending portions and configured to bend in a direction radially away from the longitudinal axis such that angles defined between the distal end portion of the shaft and the respective intermediate portions are less than 180 degrees when the delivery cylinder is in the expanded configuration; and a prosthetic implant retained in a radially compressed state in the delivery cylinder; wherein the strut members of the delivery cylinder have a length that is greater than a length of the prosthetic implant at least when the delivery cylinder is in the expanded configuration such that the strut members retain the prosthetic implant in a radially compressed state when the delivery cylinder is in both the expanded configuration and in the contracted configuration. 15. The assembly of claim 14 , wherein the second bending portions are configured to bend in a direction radially toward the longitudinal axis such that angles defined between the intermediate portions and the main portions of the strut members are greater than 180 degrees when the delivery cylinder is in the expanded configuration. 16. The assembly of claim 14 , wherein the strut members further comprise recessed portions associated with each of the first and second bending portions, the recessed portions being defined in edges of the strut members and configured to reduce a width of the strut members to induce bending at the first and second bending portions. 17. The assembly of claim 14 , further comprising a woven liner comprising a woven fabric coaxially disposed with respect to the tubular portion. 18. The assembly of claim 17 , wherein the strut members further define one or more openings for suturing the woven liner to the strut members. 19. The assembly of claim 17 , wherein the woven liner is disposed within the tubular portion. 20. The assembly of claim 19 , further comprising a tubular member disposed about an exterior of the tubular portion of the delivery cylinder. 21. The delivery cylinder of claim 20 , wherein the tubular member is a second woven liner comprising a woven fabric. 22. The delivery cylinder of claim 14 , wherein: the strut members include proximal end portions and main body portions extending from the proximal end portions, the proximal end portions comprising the flex regions; and the main body portions of the strut members are substantially parallel to the longitudinal axis of the delivery cylinder when the delivery cylinder is in the expanded configuration and when the delivery cylinder is in the contracted configuration. 23. A method, comprising: retracting a tubular member from over a delivery cylinder coupled to a distal end portion of a shaft or advancing the delivery cylinder from the tubular member such that a plurality of circumferentially arranged strut members of the delivery cylinder move radially outwardly from a contracted configuration to an expanded configuration, the strut members including flex regions comprising first and second bending portions with intermediate portions therebetween, the first bending portions being located proximally of the second bending portions and configured to bend in
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