Systems and methods for sizing and implanting prosthetic heart valves
US-2024024106-A1 · Jan 25, 2024 · US
US2023255761A1 · US · A1
| Field | Value |
|---|---|
| Publication number | US-2023255761-A1 |
| Application number | US-202318306705-A |
| Country | US |
| Kind code | A1 |
| Filing date | Apr 25, 2023 |
| Priority date | Mar 8, 2016 |
| Publication date | Aug 17, 2023 |
| Grant date | — |
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A delivery cylinder includes a first tubular portion and a second tubular portion having a plurality of struts coupled to the first tubular portion and defining a volume for containing a radially compressed prosthetic implant. The struts include proximal end portions and main body portions extending from the proximal end portions in both an expanded configuration and a contracted configuration. The proximal end portions of each strut include a pair of first recessed portions defined in longitudinal edges of the strut, and a pair of second recessed portions defined in the longitudinal edges distally of the pair of first recessed portions. The pair of first recessed portions reduces a width of the strut to induce bending of the strut at the pair of first recessed portions, and the pair of second recessed portions reduces the width of the strut to induce bending at the pair of second recessed portions.
Opening claim text (preview).
1 . A delivery cylinder for a prosthetic implant, comprising: a first tubular portion; and a second tubular portion comprising a plurality of distinct 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 in both an expanded configuration and a contracted configuration of the delivery cylinder; wherein the proximal end portions of each strut member comprise: a pair of first recessed portions defined in longitudinal edges of the strut member; a pair of second recessed portions defined in the longitudinal edges of the strut member distally of the pair of first recessed portions; and wherein the pair of first recessed portions reduces a width of the strut member to induce bending of the strut member at a location of the pair of first recessed portions, and the pair of second recessed portions reduces the width of the strut member to induce bending of the strut member at a location of the pair of second recessed portions. 2 . The delivery cylinder of claim 1 , wherein the first recessed portions and the second recessed portions are curved. 3 . The delivery cylinder of claim 1 , wherein the first recessed portions of each strut member are aligned with and open toward first recessed portions of adjacent strut members. 4 . The delivery cylinder of claim 3 , wherein a distance between opposed first recessed portions of adjacent strut members increases as the delivery cylinder expands from the contracted configuration to the expanded configuration. 5 . The delivery cylinder of claim 1 , wherein each strut member comprises a pair of extension portions defined in the longitudinal edges of each strut member between the pair of first recessed portions and the pair of second recessed portions. 6 . The delivery cylinder of claim 5 , wherein a distance between opposed extension portions of adjacent strut members increases as the delivery cylinder expands from the contracted configuration to the expanded configuration. 7 . The delivery cylinder of claim 1 , wherein opposed second recessed portions of adjacent strut members share a common proximal edge. 8 . The delivery cylinder of claim 1 , wherein the strut members are curved in the circumferential direction. 9 . The delivery cylinder of claim 1 , wherein the first recessed portions and the second recessed portions of each strut member are curved in the circumferential direction. 10 . The delivery cylinder of claim 1 , wherein the first tubular portion is a distal end portion of an outer shaft of a delivery apparatus. 11 . A method of using the delivery cylinder of claim 1 , comprising: retracting a tubular member from over the delivery cylinder of claim 1 or advancing the delivery cylinder through and out of a tubular member such that the plurality of struts of the delivery cylinder move radially outwardly from the contracted configuration to the expanded configuration; and deploying a prosthetic implant contained in the delivery cylinder in a radially compressed state from the delivery cylinder such that the prosthetic implant at least partially expands to a functional size and the strut members move radially inwardly to the contracted configuration while the delivery cylinder remains distal to the tubular member. 12 . A delivery cylinder for a prosthetic implant, comprising: a first tubular portion; and a second tubular portion comprising a plurality of distinct 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 in both an expanded configuration and a contracted configuration of the delivery cylinder; wherein the proximal end portions of each strut member are configured to bend at two locations when the delivery cylinder expands from the contracted configuration to the expanded configuration; and wherein the strut members are curved in the circumferential direction. 13 . The delivery cylinder of claim 12 , wherein: each strut member comprises a pair of first recessed portions defined in longitudinal edges of the strut member at a first of the two locations; each strut member comprises a pair of second recessed portions defined in the longitudinal edges of the strut member distally of the pair of first recessed portions at a second of the two locations; and wherein the pair of first recessed portions reduces a width of the strut member to induce bending of the strut member at the first location of the pair of first recessed portions, and the pair of second recessed portions reduces the width of the strut member to induce bending of the strut member at the second location of the pair of second recessed portions. 14 . The delivery cylinder of claim 12 , wherein the first recessed portions and the second recessed portions are curved. 15 . The delivery cylinder of claim 12 , wherein the first recessed portions of each strut member are aligned with and open toward first recessed portions of the adjacent strut members. 16 . The delivery cylinder of claim 15 , wherein a distance between opposed first recessed portions of adjacent strut members increases as the delivery cylinder expands from the contracted configuration to the expanded configuration. 17 . The delivery cylinder of claim 12 , wherein the each strut member comprises a pair of extension portions defined in the longitudinal edges of each strut member between the pair of first recessed portions and the pair of second recessed portions. 18 . The delivery cylinder of claim 17 , wherein a distance between opposed extension portions of adjacent strut members increases as the delivery cylinder expands from the contracted configuration to the expanded configuration. 19 . The delivery cylinder of claim 12 , wherein opposed second recessed portions of adjacent strut members share a common proximal edge. 20 . The delivery cylinder of claim 12 , wherein the first recessed portions and the second recessed portions of each strut member are curved in the circumferential direction.
Deployment by mechanical expansion · CPC title
Deployment by retracting a sheath · CPC title
the outer sleeve being splittable · CPC title
Scaffolds therefor, e.g. support stents · CPC title
for retrieval of stents · CPC title
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