Artificial valve leaflet

Patent metadata

Field	Value
Publication number	US-9474602-B2
Application number	US-201314068284-A
Country	US
Kind code	B2
Filing date	Oct 31, 2013
Priority date	Jul 6, 2011
Publication date	Oct 25, 2016
Grant date	Oct 25, 2016

Abstract

An artificial mitral valve has a ring, an anterior cusp-side region, a posterior cusp-side region and a valve leaflet connected along an outer edge of the ring. The valve leaflet includes an anterior cusp forming member connected to the anterior cusp-side region and a posterior cusp forming member connected to the posterior cusp-side region. The anterior cusp forming member is provided with has an upper edge joined to the ring and a lower edge that forms a bifurcated portion. The upper edge is made up of a pair of right and left edges that incline inward and upward from the right and left sides, and a curved edge interposed between the inclined edges that curves along the anterior cusp-side region. The posterior cusp forming member has an upper edge joined to the ring and a lower edge that forms a bifurcated portion.

First claim

What is claimed is:

1. An artificial valve leaflet for implantation into the heart and functioning as an artificial valve, comprising an anterior cusp forming member and a posterior cusp forming member,
wherein the anterior cusp forming member comprises an upper edge which is configured to be sewn to a valve annulus of the heart, and a lower edge which is connected to the upper edge at a first boundary portion and which forms a bifurcated portion which is open downward,
wherein the upper edge of the anterior cusp forming member comprises a pair of right and left inclined edges inclined inward and upward from right and left ends, and a curved edge which is interposed between the pair of right and left inclined edges and which has a convex shape,
wherein the posterior cusp forming member comprises an upper edge which is configured to be sewn to the valve annulus of the heart and which defines a straight line, and a lower edge which is connected to the upper edge at a second boundary portion and which forms a bifurcated portion which is open downward,
wherein a height of the bifurcated portion of the anterior cusp forming member is greater than a height as measured from the first boundary portion to the curved edge, and
wherein the lower edge of the anterior cusp forming member comprises:
a side edge that extends from the first boundary portion in a downward direction, and
a center edge that extends in an inward and upward direction from an end of the side edge opposite the first boundary portion,

wherein the center edge defines a parabola having an inflection point, and
wherein a height as measured from the end of the side edge to the inflection point of the center edge defines the height of the bifurcated portion.

2. The artificial valve leaflet according to claim 1 ,
wherein the bifurcated portion of the anterior cusp forming member is separate and unattached from the bifurcated portion of the posterior cusp forming member, and thus the bifurcated portions are configured to be sewn onto heart tissues.

3. A method for implanting the artificial valve leaflet according to claim 1 , which functions as an artificial valve into the heart, the method comprising:
sewing the upper edge of the anterior cusp forming member of the artificial valve leaflet to the valve annulus of the heart, the lower edge of the anterior cusp forming member being connected to the upper edge and forming the bifurcated portion which is open downward,
sewing the upper edge of a posterior cusp forming member of the artificial valve leaflet to the valve annulus of the heart, the lower edge of the posterior cusp forming member being connected to the upper edge and forming the bifurcated portion which is open downward,
sewing the bifurcated portion of the anterior cusp forming member to a first heart tissue, and
sewing the bifurcated portion of the posterior cusp forming member to a second heart tissue.

4. The method for implanting an artificial valve leaflet according to claim 3 ,
wherein the bifurcated portion of the anterior cusp forming member is separate and unattached from the bifurcated portion of the posterior cusp forming member.

5. The artificial valve leaflet according to claim 1 , wherein the side edge has a concave shape.

6. The artificial valve leaflet according to claim 1 ,
wherein the lower edge of the posterior cusp forming member comprises:
a side edge that extends from the second boundary portion in a downward direction,
a center edge that extends in an upward direction from an end of the side edge opposite the second boundary portion,

wherein the center edge defines a parabola having an inflection point,
wherein a height as measured from the end of the side edge to the inflection point of the center edge is less than a height as measured from the end of the side edge to the upper edge.

7. The artificial valve leaflet according to claim 6 , wherein the side edge is rectilinear.

8. The artificial valve leaflet according to claim 1 , wherein at least one cusp forming member is selected from the group consisting of (i) an anterior cusp forming member that is symmetrical with respect to a vertical axis of symmetry that is located centrally on the anterior cusp forming member, and (ii) a posterior cusp forming member that is symmetrical with respect to a vertical axis of symmetry that is located centrally on the posterior cusp forming member.

9. An artificial valve leaflet for implantation into the heart and functioning as an artificial valve, comprising an anterior cusp forming member and a posterior cusp forming member,
wherein the anterior cusp forming member comprises an upper edge which is configured to be sewn to a valve annulus of the heart, and a lower edge which is connected to the upper edge at a first boundary portion and which forms a bifurcated portion which is open downward,
wherein the upper edge of the anterior cusp forming member comprises a pair of right and left inclined edges inclined inward and upward from right and left ends, and a curved edge which is interposed between the pair of right and left inclined edges and which has a convex shape,
wherein the posterior cusp forming member comprises an upper edge which is configured to be sewn to the valve annulus of the heart and which defines a straight line, and a lower edge which is connected to the upper edge at a second boundary portion and which forms a bifurcated portion which is open downward,
wherein a height of the bifurcated portion of the anterior cusp forming member is greater than a height as measured from the first boundary portion to the curved edge,
wherein the lower edge of the posterior cusp forming member comprises:
a side edge that extends from the second boundary portion in a downward direction,
a center edge that extends in an upward direction from an end of the side edge opposite the second boundary portion,

wherein the center edge defines a parabola having an inflection point, and
wherein a height as measured from the end of the side edge to the inflection point of the center edge is less than a height as measured from the end of the side edge to the upper edge.

10. The artificial valve leaflet according to claim 9 , wherein the side edge is rectilinear.

Assignees

• Univ Waseda

Inventors

• Umezu Mitsuo
• Kasegawa Hitoshi

Classifications

• A61B17/32

  Surgical cutting instruments ({A61B18/042 takes precedence; suture cutters A61B17/0467;} implements for ligaturing and cutting {A61B17/122, A61B17/12; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133}) · CPC title

• A61F2250/0082

  specially designed for children, e.g. having means for adjusting to their growth · CPC title

• A61F2/2412 Primary

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

• A61F2/2415

  Manufacturing methods · CPC title

• A61F2240/005

  Templates · CPC title