Systems and methods for sizing and implanting prosthetic heart valves
US-2024024106-A1 · Jan 25, 2024 · US
US9757232B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9757232-B2 |
| Application number | US-201514707607-A |
| Country | US |
| Kind code | B2 |
| Filing date | May 8, 2015 |
| Priority date | May 22, 2014 |
| Publication date | Sep 12, 2017 |
| Grant date | Sep 12, 2017 |
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Embodiments of an apparatus, and a method for crimping expandable stents or prosthetic valves having a radially expandable and compressible annular body and one or more protruding anchors extending from the body using the apparatus, where the apparatus comprise a housing, a plurality of circumferentially arranged nesting jaws, and an actuator configured to move the jaws radially inwardly to reduce the size of the crimping aperture, thereby radially compressing the annular body of the prosthetic valve or stent. In particular embodiments, a selected set of the jaws, each having a front side and a recessed portion in its front side adjacent to its inner end. The recessed portions of the selected jaws collectively are sized and shaped to receive the one or more anchors of the prosthetic valve when the annular body is positioned within the crimping aperture.
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We claim: 1. A prosthetic valve crimping apparatus for crimping a prosthetic valve comprising a radially expandable and compressible annular body and two or more protruding anchors extending from the body, the apparatus comprising: a housing; a plurality of circumferentially arranged nesting jaws that are radially movable within the housing, each jaw having an inner end that has a partial crimping surface including a radially innermost surface of the jaw which combines with the same on the other jaws to form a crimping aperture of variable diameter, the crimping aperture defining a central axis; a selected set of the jaws each having a front side and a recessed portion in its front side adjacent to its inner end, the radially innermost surface of the jaw and the recessed portion form a wedge shaped finger extending towards the front side, wherein the recessed portions of the selected jaws collectively are configured to receive the anchors of the prosthetic valve when the annular body is positioned within the crimping aperture; and an actuator configured to move the jaws radially inwardly to reduce the size of the crimping aperture, thereby radially compressing the annular body of the prosthetic valve; wherein the radially innermost surface of each jaw extends from the front side to a back side of the jaw and parallel to the central axis, wherein the recessed portion of each of the selected jaws is defined by a surface that extends from the front side of the jaw toward the back side of the jaw, and—wherein the surface of the recessed portion extends from a forwardmost end of the wedge shaped finger at the front side of the jaw toward the back side of the jaw at an angle from about 5 to about 85 degrees relative to the radially innermost surface and the central axis, and wherein the surface is positioned between the recessed portion and the innermost surface of the jaw. 2. The apparatus of claim 1 , wherein the selected set of the jaws comprises all of the jaws. 3. The apparatus of claim 1 , wherein the selected set of jaws is less than the plurality of circumferentially arranged nesting jaws, and further wherein the selected set of the jaws comprises a plurality of groups of jaws that are evenly spaced circumferentially around the crimping aperture. 4. The apparatus of claim 1 , wherein the selected set of jaws is less than the plurality of circumferentially arranged nesting jaws, and further wherein the selected set of the jaws comprises two groups of jaws on opposing sides of the crimping aperture. 5. The apparatus of claim 1 , wherein the angle is between from about 10 to about 70 degrees. 6. The apparatus of claim 1 , further comprising a plurality of slidable shielding members disposed within the recessed portions of the selected jaws, each shielding member comprising a fastener to releasably engage one of the anchors of the prosthetic valve when the annular body is positioned within the crimping aperture, each shielding member being configured to move radially inwardly when the actuator is actuated to move the jaws radially inwardly. 7. The apparatus of claim 6 , wherein the plurality of shielding members comprise two shielding members on diametrically opposing sides of the crimping aperture. 8. A prosthetic valve crimping apparatus for crimping a prosthetic valve comprising a radially expandable and compressible annular body and two or more protruding anchors extending from the body, the apparatus comprising: a housing; a plurality of circumferentially arranged nesting jaws that are radially movable within the housing, each jaw having an inner end that has a partial crimping surface including a radially innermost surface of the jaw which combines with the same on the other jaws to form a crimping aperture of variable diameter; a selected set of the jaws each having a front side and a recessed portion in its front side adjacent to its inner end, the radially innermost surface of the jaw and the recessed portion form a wedge shaped finger extending towards the front side, wherein the recessed portions of the selected jaws collectively are configured to receive the anchors of the prosthetic valve when the annular body is positioned within the crimping aperture, further wherein the selected set of jaws is less than the plurality of circumferentially arranged nesting jaws; and an actuator configured to move the jaws radially inwardly to reduce the size of the crimping aperture, thereby radially compressing the annular body of the prosthetic valve. 9. The apparatus of claim 8 , wherein the selected set of the jaws comprises a plurality of groups of jaws that are evenly spaced circumferentially around the crimping aperture. 10. The apparatus of claim 8 , wherein the selected set of the jaws comprises two groups of jaws on opposing sides of the crimping aperture. 11. The apparatus of claim 8 , wherein the recessed portion of each of the selected jaws is defined by a surface that extends from the front side of the jaw toward back side of the jaw, and wherein an angle between the radially innermost surface of the jaw and the surface of the recessed portion is between from about 5 to about 85 degrees. 12. The apparatus of claim 11 , wherein the angle is between from about 10 to about 70 degrees. 13. The apparatus of claim 8 , further comprising a plurality of slidable shielding members disposed within the recessed portions of the selected jaws, each shielding member comprising a fastener to releasably engage one of the anchors of the prosthetic valve when the annular body is positioned within the crimping aperture, each shielding member being configured to move radially inwardly when the actuator is actuated to move the jaws radially inwardly. 14. The apparatus of claim 13 , wherein the plurality of shielding members comprise two shielding members on diametrically opposing sides of the crimping aperture. 15. A prosthetic valve crimping apparatus for crimping a prosthetic valve comprising a radially expandable and compressible annular body and two or more protruding anchors extending from the body, the apparatus comprising: a housing; a plurality of circumferentially arranged nesting jaws that are radially movable within the housing, each jaw having an inner end that has a partial crimping surface including a radially innermost surface of the jaw which combines with the same on the other jaws to form a crimping aperture of variable diameter; a selected set of the jaws each having a front side and a recessed portion in its front side adjacent to its inner end, wherein the recessed portions of the selected jaws collectively are configured to receive the anchors of the prosthetic valve when the annular body is positioned within the crimping aperture, further wherein the radially innermost surface of the jaw and the recessed portion form a wedge shaped finger extending towards the front side, the wedge shaped finger locatable between the annular body and the anchors; and an actuator configured to move the jaws radially inwardly to reduce the size of the crimping aperture, thereby radially compressing the annular body of the prosthetic valve, wherein the selected set of the jaws is less than the plurality of circumferentially arranged nesting jaws. 16. The apparatus of claim 15 , wherein the selected set of the jaws comprises a plurality of groups of jaws that are evenly spaced circumferentially around the crimping aperture. 17. The apparatus of claim 15 , wherein the selected set of the jaws comprises two groups of jaws on opposing sides of the crimping aperture. 18. T
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