Prosthesis with anti-paravalvular leakage component including a one-way valve

Patent metadata

Field	Value
Publication number	US-12097115-B2
Application number	US-202318154100-A
Country	US
Kind code	B2
Filing date	Jan 13, 2023
Priority date	Sep 24, 2019
Publication date	Sep 24, 2024
Grant date	Sep 24, 2024

Abstract

A transcatheter prosthesis includes a stent, a prosthetic valve component, and an anti-paravalvular leakage component. The anti-paravalvular leakage component is coupled to the stent and includes an inner skirt, an outer wrap, a cavity, an opening, and a one-way valve. The inner skirt is disposed on an inner surface of the stent and has an inflow end and a downstream end. The outer wrap is disposed around an outer surface of the stent and has an inflow end coupled to the inflow end of the inner skirt and a downstream end. The cavity is formed between an outer surface of the inner skirt and an inner surface of the outer wrap. An opening is disposed between the inner skirt and the outer wrap. The one-way valve includes a flap at the opening configured to open to allow blood flow into the cavity but prevent blood flow out of the cavity.

First claim

What is claimed is:

1. A transcatheter valve prosthesis comprising:
a stent having a radially compressed configuration for delivery within a vasculature and a radially 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 the stent, the anti-paravalvular leakage component including:
an inner skirt formed of a flexible material, the inner skirt encircling an inner surface of the stent and having an inflow end and an opposing downstream end;
an outer wrap formed of a flexible material, the outer wrap being disposed around an outer surface of the stent and having an inflow end coupled to the inflow end of the inner skirt and an opposing downstream end;
a cavity formed between an outer surface of the inner skirt and an inner surface of the outer wrap;
an opening in fluid communication with the cavity, the opening disposed at the corresponding inflow ends of the inner skirt and the outer wrap and/or the corresponding downstream ends of the inner skirt and the outer wrap; and
a one-way duckbill valve including an inner flap and an outer flap formed of a flexible material, one of the inner flap and the outer flap is disposed adjacent the opening, the inner and outer flaps disposed between the outer surface of the stent and the inner surface of the outer wrap, and the inner flap being attached to the stent.

2. The transcatheter valve prosthesis of claim 1 , wherein the anti-paravalvular leakage component includes a plurality of openings and a corresponding plurality of one-way duckbill valves.

3. The transcatheter valve prosthesis of claim 1 , wherein the inflow ends of the inner skirt and the outer wrap are generally circular, and wherein the opening is formed by a cut-out portion of the inflow end of the inner skirt being attached to the inner surface of a portion of the stent such that the cut-out portion of the inflow end of the inner skirt is downstream of the inflow end of the outer wrap.

4. The transcatheter valve prosthesis of claim 3 , wherein the opening is defined by a portion of the stent at the cut-out portion of the inner skirt, the inflow end of the inner skirt at the cut-out portion, and the inner surface of the outer wrap at the cut-out portion of the inner skirt.

5. The transcatheter valve prosthesis of claim 4 , wherein a first longitudinal end of the inner flap of the one-way duckbill valve is coupled to the inflow end of the outer wrap adjacent the cut-out portion of the inner skirt.

6. The transcatheter valve prosthesis of claim 5 , wherein a first lateral edge of the inner flap is coupled to the stent and an opposing second lateral edge of the inner flap is coupled to the stent.

7. The transcatheter valve prosthesis of claim 4 , wherein a first longitudinal end of the outer flap of the one-way duckbill valve is coupled to the inflow end of the outer wrap at the cut-out portion of the inner skirt.

8. The transcatheter valve prosthesis of claim 7 , wherein a first lateral edge of the outer flap is coupled to the stent and an opposing second lateral edge of the inner flap is coupled to the stent.

9. The transcatheter valve prosthesis of claim 8 , wherein the first lateral edge of the outer flap is coupled to the stent through the inner flap.

10. The transcatheter valve prosthesis of claim 1 , wherein the downstream end of the inner skirt is coupled to the inner surface of the stent and the downstream end of the outer wrap is coupled to the outer surface of the stent such that the downstream ends of the inner skirt and the outer wrap are coupled to the stent along a common line, wherein the opening is formed where a portion of the inner skirt is not attached to the inner surface of the stent.

11. The transcatheter valve prosthesis of claim 1 , wherein another of the outer flap and the inner flap is disposed at the opening.

12. The transcatheter valve prosthesis of claim 11 , wherein the inner flap is disposed adjacent to the opening and the outer flap is disposed at the opening.

13. The transcatheter valve prosthesis of claim 12 , wherein the inner flap is angled towards the opening from a downstream end to an upstream end of the inner flap, and wherein the outer flap is angled away from the opening from a downstream end to an upstream end of the outer flap.

14. The transcatheter valve prosthesis of claim 1 , wherein the duckbill valve is configured to allow blood flow into the cavity between the inner flap and the outer flap.

15. The transcatheter valve prosthesis of claim 1 , wherein the outer flap is attached to the stent and overlaps the inner flap.

Assignees

• Medtronic Inc

Inventors

• Clague Cynthia
• Menk Ana
• Petersen Timothy
• Rothstein Paul
• Roller Stephen

Classifications

• A61F2250/0003

  having an inflatable pocket filled with fluid, e.g. liquid or gas · CPC title

• A61F2/2412

  with soft flexible valve members, e.g. tissue valves shaped like natural valves · CPC title

• A61F2250/0069

  Sealing means · CPC title

• A61F2210/0014

  using shape memory or superelastic materials, e.g. nitinol · CPC title

• A61F2/2463

  Implants forming part of the valve leaflets · CPC title