EP0418361A1 - Herzklappenprothese zum ersatz der aortenklappe - Google Patents
Herzklappenprothese zum ersatz der aortenklappeInfo
- Publication number
- EP0418361A1 EP0418361A1 EP19900905421 EP90905421A EP0418361A1 EP 0418361 A1 EP0418361 A1 EP 0418361A1 EP 19900905421 EP19900905421 EP 19900905421 EP 90905421 A EP90905421 A EP 90905421A EP 0418361 A1 EP0418361 A1 EP 0418361A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- support ring
- heart valve
- aortic
- commissure
- valve
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 210000003709 heart valve Anatomy 0.000 title claims abstract description 19
- 210000001765 aortic valve Anatomy 0.000 title claims description 4
- 239000002184 metal Substances 0.000 claims abstract 2
- 210000003102 pulmonary valve Anatomy 0.000 claims description 2
- 210000000709 aorta Anatomy 0.000 abstract description 5
- 230000002685 pulmonary effect Effects 0.000 abstract 1
- 238000004873 anchoring Methods 0.000 description 2
- 235000015277 pork Nutrition 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
Definitions
- the invention relates to a heart valve prosthesis for replacing the aortic valve or pulmonary valve according to the preamble of claim 1, as is known from DE 83 27 414 U1.
- the sails of the biological heart valve preparation are attached to a wave-shaped plastic carrier.
- the invention is therefore based on the object of providing a prosthetic heart valve of the type mentioned at the beginning, in which the location at which the commissures of the valve leaflets are anchored can move radially in accordance with the respective pressure conditions when the aorta is expanded or contracted.
- Fig. 1 is a perspective view of such a heart valve prosthesis
- FIG. 2 shows a central sectional view through such a heart valve prosthesis, one of the felt strips forming the commissure elements being recognizable in section on the left.
- the heart valve prosthesis consists of a support ring 10 with a substantially constant height over the circumference.
- a seam ring 16 is arranged on the outside around the support ring.
- a biological heart valve preparation - preferably obtained from pork - is sewn to the aortic wall 14 'below and above the anchoring X on the support ring, while the commissures 14 *' of the biological heart valve preparation are attached to the flexible felt strips 12 are sewn on.
- the suture ring 16 which is firmly connected to the support ring 10
- the suture ring 16 is sewn close to the heart of the patient's aortic wall.
- the free ends of the felt strips 12 pointing away from the support ring 10 are attached to the aortic wall of the patient. Due to the resilience of the felt strips 12 forming the commissure elements, the heart valve prosthesis according to the invention behaves approximately like the natural human heart valve: the location at which the commissures of the valve leaflets are anchored moves radially as the aorta widens or narrows Pressure ratios accordingly, which contributes to the reliable function of the valve leaflets.
- the flow cross-section that can be achieved is larger since the anchoring points of the commissures correspondingly move outwards when the aorta is widened due to the ejection pressure.
- a divergent flow is brought about because, unlike in the prior art, there are no rigid commissure elements. The dead spaces which form behind the commissure members in the prior art are avoided.
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19893910971 DE3910971C1 (enrdf_load_stackoverflow) | 1989-04-05 | 1989-04-05 | |
DE3910971 | 1989-04-05 |
Publications (1)
Publication Number | Publication Date |
---|---|
EP0418361A1 true EP0418361A1 (de) | 1991-03-27 |
Family
ID=6377890
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP19900905421 Withdrawn EP0418361A1 (de) | 1989-04-05 | 1990-04-04 | Herzklappenprothese zum ersatz der aortenklappe |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP0418361A1 (enrdf_load_stackoverflow) |
DE (1) | DE3910971C1 (enrdf_load_stackoverflow) |
WO (1) | WO1990011738A1 (enrdf_load_stackoverflow) |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU2391795A (en) | 1994-04-22 | 1995-11-16 | Medtronic, Inc. | Stented bioprosthetic heart valve |
US7722667B1 (en) * | 1998-04-20 | 2010-05-25 | St. Jude Medical, Inc. | Two piece bioprosthetic heart valve with matching outer frame and inner valve |
US6558418B2 (en) | 1999-01-26 | 2003-05-06 | Edwards Lifesciences Corporation | Flexible heart valve |
US6736845B2 (en) | 1999-01-26 | 2004-05-18 | Edwards Lifesciences Corporation | Holder for flexible heart valve |
US6454799B1 (en) | 2000-04-06 | 2002-09-24 | Edwards Lifesciences Corporation | Minimally-invasive heart valves and methods of use |
US6461382B1 (en) | 2000-09-22 | 2002-10-08 | Edwards Lifesciences Corporation | Flexible heart valve having moveable commissures |
US6893460B2 (en) | 2001-10-11 | 2005-05-17 | Percutaneous Valve Technologies Inc. | Implantable prosthetic valve |
US7189258B2 (en) | 2002-01-02 | 2007-03-13 | Medtronic, Inc. | Heart valve system |
US7033390B2 (en) | 2002-01-02 | 2006-04-25 | Medtronic, Inc. | Prosthetic heart valve system |
US8062359B2 (en) | 2005-04-06 | 2011-11-22 | Edwards Lifesciences Corporation | Highly flexible heart valve connecting band |
US8273118B2 (en) | 2007-09-17 | 2012-09-25 | Medtronic, Inc. | Heart valve holder assembly for use in valve implantation procedures |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1315845A (en) * | 1970-05-12 | 1973-05-02 | Nat Res Dev | Prosthetic cardiac valve |
US3755823A (en) * | 1971-04-23 | 1973-09-04 | Hancock Laboratories Inc | Flexible stent for heart valve |
RO78309A2 (ro) * | 1981-02-04 | 1983-02-01 | Spitalul Clinic,Ro | Bioproteza valvulara cardiaca si procedeu de realizare |
DE8327414U1 (de) * | 1983-09-23 | 1984-02-02 | Reichart, Bruno, Prof. Dr. | Herzklappenprothese |
DE3541478A1 (de) * | 1985-11-23 | 1987-05-27 | Beiersdorf Ag | Herzklappenprothese und verfahren zu deren herstellung |
FR2591100B1 (fr) * | 1985-12-09 | 1990-08-17 | Clinique Residence Parc | Prothese valvulaire tricuspide. |
CH672247A5 (enrdf_load_stackoverflow) * | 1986-03-06 | 1989-11-15 | Mo Vysshee Tekhnicheskoe Uchil | |
US4725274A (en) * | 1986-10-24 | 1988-02-16 | Baxter Travenol Laboratories, Inc. | Prosthetic heart valve |
-
1989
- 1989-04-05 DE DE19893910971 patent/DE3910971C1/de not_active Expired - Lifetime
-
1990
- 1990-04-04 WO PCT/DE1990/000261 patent/WO1990011738A1/de not_active Application Discontinuation
- 1990-04-04 EP EP19900905421 patent/EP0418361A1/de not_active Withdrawn
Non-Patent Citations (1)
Title |
---|
See references of WO9011738A1 * |
Also Published As
Publication number | Publication date |
---|---|
WO1990011738A1 (de) | 1990-10-18 |
DE3910971C1 (enrdf_load_stackoverflow) | 1990-08-23 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
17P | Request for examination filed |
Effective date: 19901227 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): CH ES FR GB IT LI |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
18D | Application deemed to be withdrawn |
Effective date: 19931101 |