Heart valve assemblies
A heart valve assembly includes a base including a multi-lobular annular shape within a plane, a valve member or other annular body including a multi-lobular shape complementary to the shape of the base, and cooperating connectors on the base and the annular body for connecting the annular body to the base. The base includes an anchoring ring, and a flexible cuff for attaching the base to a biological annulus. The base and the annular body include guides for aligning their multi-lobular shapes, e.g., visual, tactile, or other markers, or tethers that extend from the base that are slidable through the annular body. During use, the base is attached to a biological annulus, the annular body is directed adjacent the annulus, oriented such that the multi-lobular shape of the annular body valve member is aligned with the base, and the annular body is attached to the base.
1. A heart valve assembly, comprising:
a base member comprising an annular anchor defining a longitudinal axis and a tether attached to and extending away from the annular anchor in a direction of the longitudinal axis and having a ratcheting element; and
a valve member separate from the base member and comprising a guide channel and an annular frame carrying a leaflet, the leaflet attached to the annular frame, wherein the tether is receivable through the guide channel to align the base member with the valve member,
wherein the assembly is configured to provide an initial implantation state in which the base member is implanted into a patient apart from the valve member to provide an implanted base member, the initial implantation state including the annular anchor disconnected from the annular frame, the leaflet attached to the annular frame, the leaflet disconnected from the annular anchor, and the leaflet disconnected from the tether,
and further wherein the assembly is configured to provide a final implantation state in which the valve member is deployed and attached to the implanted base member, the final implantation state including the ratcheting element engaged with the guide channel to prevent the valve member from being directed away from the base member.
2. The assembly of claim 1 , further comprising a flexible cuff extending around a periphery of the annular anchor.
3. The assembly of claim 2 , wherein the flexible cuff extends radially outwardly from the annular anchor.
4. The assembly of claim 1 , further comprising one or more guide markers on at least one of the base member and the valve member for aligning the valve member with the base member about the longitudinal axis before the tether is introduced through the guide channel.
5. The assembly of claim 1 , further comprising visual markers on at least one of the base member and the valve member.
6. The assembly of claim 1 , wherein the tether is detachable from the base member.
7. The assembly of claim 1 , wherein the guide channel comprises a tubular section.
8. The assembly of claim 1 , wherein the ratcheting element engages the guide channel to allow the valve member to be directed towards the base member but preventing the valve member from being directed away from the base member.
9. The assembly of claim 1 , wherein the ratcheting element secures the valve member adjacent the base member.
10. The assembly of claim 1 , wherein the guide channel comprises a cooperating connector for engaging the ratcheting element to allow the valve member to be directed towards the base member but preventing the valve member from being directed away from the base member.
11. The assembly of claim 1 , wherein the annular anchor is separate from the annular frame.
12. The assembly of claim 1 , wherein the annular anchor is a generally annular shaped body lying in a plane, thereby defining a longitudinal axis orthogonal to the plane, and further wherein the anchor has a noncircular shape within the plane.