WO1990011738A1 - Herzklappenprothese zum ersatz der aortenklappe - Google Patents

Herzklappenprothese zum ersatz der aortenklappe Download PDF

Info

Publication number
WO1990011738A1
WO1990011738A1 PCT/DE1990/000261 DE9000261W WO9011738A1 WO 1990011738 A1 WO1990011738 A1 WO 1990011738A1 DE 9000261 W DE9000261 W DE 9000261W WO 9011738 A1 WO9011738 A1 WO 9011738A1
Authority
WO
WIPO (PCT)
Prior art keywords
heart valve
commissure
aortic
support ring
valve
Prior art date
Application number
PCT/DE1990/000261
Other languages
German (de)
English (en)
French (fr)
Inventor
Alexander Bernhard
Hans-Hinrich Sievers
Mehrdad Mahmoodi
Original Assignee
Alexander Bernhard
Sievers Hans Hinrich
Mehrdad Mahmoodi
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Alexander Bernhard, Sievers Hans Hinrich, Mehrdad Mahmoodi filed Critical Alexander Bernhard
Publication of WO1990011738A1 publication Critical patent/WO1990011738A1/de

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart 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
    • A61F2/2412Heart 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)
PCT/DE1990/000261 1989-04-05 1990-04-04 Herzklappenprothese zum ersatz der aortenklappe WO1990011738A1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19893910971 DE3910971C1 (enrdf_load_stackoverflow) 1989-04-05 1989-04-05
DEP3910971.2 1989-04-05

Publications (1)

Publication Number Publication Date
WO1990011738A1 true WO1990011738A1 (de) 1990-10-18

Family

ID=6377890

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE1990/000261 WO1990011738A1 (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)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995028899A1 (en) * 1994-04-22 1995-11-02 Medtronic, Inc. Stented bioprosthetic heart valve
US6461382B1 (en) 2000-09-22 2002-10-08 Edwards Lifesciences Corporation Flexible heart valve having moveable commissures
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
US7189258B2 (en) 2002-01-02 2007-03-13 Medtronic, Inc. Heart valve system
US7473275B2 (en) 2005-04-06 2009-01-06 Edwards Lifesciences Corporation Stress absorbing flexible heart valve frame
US7503929B2 (en) 2002-01-02 2009-03-17 Medtronic, Inc. Prosthetic heart valve system
US7722667B1 (en) * 1998-04-20 2010-05-25 St. Jude Medical, Inc. Two piece bioprosthetic heart valve with matching outer frame and inner valve
US8273118B2 (en) 2007-09-17 2012-09-25 Medtronic, Inc. Heart valve holder assembly for use in valve implantation procedures
US9629717B2 (en) 2001-10-11 2017-04-25 Edwards Lifesciences Pvt, Inc. Prosthetic heart valve and method
US10022220B2 (en) 2000-04-06 2018-07-17 Edwards Lifesciences Corporation Methods of implanting minimally-invasive prosthetic heart valves

Citations (5)

* Cited by examiner, † Cited by third party
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
WO1982002829A1 (en) * 1981-02-04 1982-09-02 Pop D Popa Ioan Cardiac valvular bioprosthesis and the proceeding of achievement
FR2591100A1 (fr) * 1985-12-09 1987-06-12 Clinique Residence Parc Prothese valvulaire tricuspide.
US4725274A (en) * 1986-10-24 1988-02-16 Baxter Travenol Laboratories, Inc. Prosthetic heart valve

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
CH672247A5 (enrdf_load_stackoverflow) * 1986-03-06 1989-11-15 Mo Vysshee Tekhnicheskoe Uchil

Patent Citations (5)

* Cited by examiner, † Cited by third party
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
WO1982002829A1 (en) * 1981-02-04 1982-09-02 Pop D Popa Ioan Cardiac valvular bioprosthesis and the proceeding of achievement
FR2591100A1 (fr) * 1985-12-09 1987-06-12 Clinique Residence Parc Prothese valvulaire tricuspide.
US4725274A (en) * 1986-10-24 1988-02-16 Baxter Travenol Laboratories, Inc. Prosthetic heart valve

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6350282B1 (en) 1994-04-22 2002-02-26 Medtronic, Inc. Stented bioprosthetic heart valve
WO1995028899A1 (en) * 1994-04-22 1995-11-02 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
US7481838B2 (en) 1999-01-26 2009-01-27 Edwards Lifesciences Corporation Flexible heart valve and associated connecting band
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
US10022220B2 (en) 2000-04-06 2018-07-17 Edwards Lifesciences Corporation Methods of implanting minimally-invasive prosthetic heart valves
US6461382B1 (en) 2000-09-22 2002-10-08 Edwards Lifesciences Corporation Flexible heart valve having moveable commissures
US7179290B2 (en) 2000-09-22 2007-02-20 Edwards Lifesciences Flexible heart valve
US9629717B2 (en) 2001-10-11 2017-04-25 Edwards Lifesciences Pvt, Inc. Prosthetic heart valve and method
US9937039B2 (en) 2001-10-11 2018-04-10 Edwards Lifesciences Pvt, Inc. Prosthetic heart valve and method
US10052203B2 (en) 2001-10-11 2018-08-21 Edwards Lifesciences Pvt, Inc. Prosthetic heart valve and method
US11123182B2 (en) 2001-10-11 2021-09-21 Edwards Lifesciences Pvt, Inc. Prosthetic heart valve and method
US11166810B2 (en) 2001-10-11 2021-11-09 Edwards Lifesciences Pvt, Inc. Implantable prosthetic valve
US7503929B2 (en) 2002-01-02 2009-03-17 Medtronic, Inc. Prosthetic heart valve system
US8029564B2 (en) 2002-01-02 2011-10-04 Medtronic, Inc. Prosthetic heart valve system
US7468073B2 (en) 2002-01-02 2008-12-23 Medtronic, Inc. Heart valve system
US7189258B2 (en) 2002-01-02 2007-03-13 Medtronic, Inc. Heart valve system
US7473275B2 (en) 2005-04-06 2009-01-06 Edwards Lifesciences Corporation Stress absorbing flexible heart valve frame
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

Also Published As

Publication number Publication date
EP0418361A1 (de) 1991-03-27
DE3910971C1 (enrdf_load_stackoverflow) 1990-08-23

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