Anti-paravalvular leakage component for a transcatheter valve prosthesis

Patent metadata

Field	Value
Publication number	US-11690713-B2
Application number	US-202016891301-A
Country	US
Kind code	B2
Filing date	Jun 3, 2020
Priority date	Feb 1, 2013
Publication date	Jul 4, 2023
Grant date	Jul 4, 2023

Abstract

A transcatheter valve prosthesis includes an expandable tubular stent, a prosthetic valve within the stent, and an anti-paravalvular leakage component coupled to and encircling the tubular stent. The anti-paravalvular leakage component includes a radially-compressible annular scaffold, which is a sinusoidal patterned ring of self-expanding material, and an impermeable membrane extending over the annular scaffold. The anti-paravalvular leakage component has an expanded configuration in which at least segments of the annular scaffold curve radially away from the tubular stent. Alternatively, the anti-paravalvular leakage component includes a plurality of self-expanding segments and an annular sealing element coupled to inner surfaces of the segments. The anti-paravalvular leakage component has an expanded configuration in which the segments curve radially away from the tubular stent and the annular sealing element is positioned between an outer surface of the tubular stent and inner surfaces of the segments. The segments may be orthogonal or oblique to the outer surface of the tubular stent.

First claim

What is claimed is:

1. A transcatheter valve prosthesis comprising:
a stent having a proximal end, a distal end and a plurality of diamond-shaped openings, the stent having a compressed configuration for delivery within a vasculature and an expanded configuration for deployment within a native heart valve;
a prosthetic valve component disposed within and secured to the stent; and
an anti-paravalvular leakage component coupled to and encircling an outer surface of the stent, the anti-paravalvular leakage component including a plurality of self-expanding segments and an annular sealing element attached to the plurality of self-expanding segments,
wherein each self-expanding segment has a first end and a second end that are attached directly to the outer surface of the stent at first and second attachment points, respectively,
wherein the respective first and second attachment points are located on a portion of first and second diamond-shaped openings of the plurality of diamond-shaped openings such that the respective first and second attachment points are circumferentially spaced apart on the stent, the first and second diamond-shaped openings being directly adjacent to each other,
wherein the anti-paravalvular leakage component has an expanded configuration in which an entire length of each self-expanding segment extends radially away from, and is oblique to, the outer surface of the stent, such that a plane defined by each self-expanding segment is non-perpendicular with respect to a tangential plane taken through its respective first and second attachment points on the stent.

2. The transcatheter valve prosthesis of claim 1 , wherein each self-expanding segment has a concave profile when the anti-paravalvular leakage component is in the expanded configuration.

3. The transcatheter valve prosthesis of claim 1 , wherein each self-expanding segment has a convex profile when the anti-paravalvular leakage component is in the expanded configuration.

4. The transcatheter valve prosthesis of claim 1 , wherein the annular sealing element is attached to inner surfaces of the plurality of self-expanding segments and is disposed between the outer surface of the stent and the inner surfaces of the plurality of self-expanding segments when the anti-paravalvular leakage component is in the expanded configuration.

5. The transcatheter valve prosthesis of claim 1 , wherein the annular sealing element is attached to outer surfaces of the plurality of self-expanding segments.

6. The transcatheter valve prosthesis of claim 1 , wherein each self-expanding segment is U-shaped.

7. The transcatheter valve prosthesis of claim 1 , wherein the plane defined by each self-expanding segment forms an angle between 20 and 80 degrees with respect to its respective tangential plane.

8. The transcatheter valve prosthesis of claim 1 , wherein the respective first and second attachment points are located on side segments of the first and second diamond-shaped openings.

9. The transcatheter valve prosthesis of claim 1 , wherein the respective first and second attachment points are located on peaks of the first and second diamond-shaped openings.

10. A transcatheter valve prosthesis comprising:
a stent having a proximal end, a distal end and a plurality of diamond-shaped openings, the stent having a compressed configuration for delivery within a vasculature and an expanded configuration for deployment within a native heart valve;
a prosthetic valve component disposed within and secured to the stent; and
an anti-paravalvular leakage component coupled to and encircling an outer surface of the stent, the anti-paravalvular leakage component including a plurality of self-expanding segments and an annular sealing element attached to the plurality of self-expanding segments,
wherein each self-expanding segment has a first end and a second end that are attached directly to the outer surface of the stent at first and second attachment points, respectively,
wherein the respective first and second attachment points are located on a portion of first and second diamond-shaped openings of the plurality of diamond-shaped openings such that the respective first and second attachment points are circumferentially spaced apart on the stent, the first and second diamond-shaped openings being directly adjacent to each other,
wherein the anti-paravalvular leakage component has an expanded configuration in which each self-expanding segment extends radially away from, and is oblique to, the outer surface of the stent, such that a plane defined by each self-expanding segment is non-perpendicular with respect to a tangential plane taken through its respective first and second attachment points on the stent, and
wherein at least one self-expanding segment of the plurality of self-expanding segments includes only a middle U-shaped portion that extends radially away from the outer surface of the stent when the anti-paravalvular leakage component is in the expanded configuration.

11. The transcatheter valve prosthesis of claim 10 , wherein the middle U-shaped portion is oriented to extend away from the first and second diamond-shaped openings.

12. The transcatheter valve prosthesis of claim 10 , wherein the middle U-shaped portion is oriented to extend toward from the first and second diamond-shaped openings.

13. A transcatheter valve prosthesis comprising:
a stent having a proximal end, a distal end and a plurality of diamond-shaped openings, the stent having a compressed configuration for delivery within a vasculature and an expanded configuration for deployment within a native heart valve;
a prosthetic valve component disposed within and secured to the stent; and
an anti-paravalvular leakage component coupled to and encircling an outer surface of the stent, the anti-paravalvular leakage component including a plurality of self-expanding segments and an annular sealing element attached to the plurality of self-expanding segments,
wherein each self-expanding segment has a first end and a second end that are attached directly to the outer surface of the stent at first and second attachment points, respectively,
wherein the respective first and second attachment points are located on side segments or peaks of first and second diamond-shaped openings of the plurality of diamond-shaped openings such that the respective first and second attachment points are circumferentially spaced apart on the stent, the first and second diamond-shaped openings being directly adjacent to each other,

wherein the anti-paravalvular leakage component has an expanded configuration in which an entire length of each self-expanding segment extends radially away from, and is oblique to, the outer surface of the stent, such that a plane defined by each self-expanding segment is non-perpendicular with respect to a tangential plane taken through its respective first and second attachment points on the stent.

14. The transcatheter valve prosthesis of claim 13 , wherein each self-expanding segment has a concave profile when the anti-paravalvular leakage component is in the expanded configuration.

15. The transcatheter valve prosthesis of claim 13 , wherein each self-expanding segment has a convex profile when the anti-paravalvular leakage component is in the expanded configuration.

16. The transcatheter valve prosthesis of claim 13 , wherein the annular sealing element is attached to inner surfaces of the plurality of self-expanding segments and is disposed between the outer surface of the stent and the inner surfaces of the plurality of self-expanding segments when the anti-paravalvul

Assignees

• Medtronic Cv Luxembourg S A R L

Inventors

• Garde Kshitija
• Racchini Joel
• Rothstein Paul
• Sandstrom Jeffrey

Classifications

• A61F2230/0078

  hyperboloidal · CPC title

• A61F2230/0069

  cylindrical · CPC title

• A61F2220/005

  using adhesives · CPC title

• A61F2220/0075

  sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable · CPC title

• A61F2230/0017

  Angular shapes · CPC title