WO1990011738A1 - Herzklappenprothese zum ersatz der aortenklappe - Google Patents
Herzklappenprothese zum ersatz der aortenklappe Download PDFInfo
- 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
Links
- 210000003709 heart valve Anatomy 0.000 title claims abstract description 19
- 210000001765 aortic valve Anatomy 0.000 title claims abstract description 5
- 210000003102 pulmonary valve Anatomy 0.000 claims abstract description 3
- 239000002184 metal Substances 0.000 claims abstract 2
- 210000000709 aorta Anatomy 0.000 abstract description 5
- 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 | |
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)
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)
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)
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 |
-
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
Patent Citations (5)
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)
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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