Prosthetic valve and method of making a prosthetic valve
The invention relates to a prosthetic valve comprising a leaflet assembly having at least one leaflet ( 3 ) attached to a supporting element ( 2 ), which leaflet has a free margin that can move between a first position wherein the free margin is flexed away from a closure surface ( 700 ) to allow body fluid to flow through the valve, and a second position wherein the free margin abuts the closure surface to close the valve, and wherein the leaflet, without pulsatile load on the valve, can form a coaptation height H of more than 0.1 mm along the length of the free margin. Such prosthetic valve provides good performance during prolonged time, and can be made using various materials for the leaflets. The invention also relates to a leaflet assembly for use in a prosthetic valve, and to methods of making the prosthetic valve, including making the leaflet assembly.
1. A prosthetic valve comprising:
a leaflet assembly having at least one leaflet attached to a supporting element, wherein
the at least one leaflet has a free margin that can move between a first position wherein the free margin is flexed away from a closure surface to allow body fluid to flow through the valve, and a second position wherein the free margin abuts the closure surface to close the valve, and wherein
the free margin of the at least one leaflet has an excess length, relative to a theoretical length needed for closing the valve, and wherein
the at least one leaflet, without pulsatile load on the valve, can form a coaptation height of between 1 and 15 mm along the length of the free margin, and wherein
the leaflet comprises an elastic sheet material having an elongation at break of 10% or less.
2. The prosthetic valve according to claim 1 , wherein the coaptation height is between 3 and 10 mm.
3. The prosthetic valve according to claim 1 , wherein the leaflet has a geometry comprising a convex surface with a radius of curvature at the centre line of the leaflet of between 1 and 20 mm.
4. The prosthetic valve according to claim 1 , wherein the leaflet has a geometry comprising a convex surface with a curvature height, the largest orthogonal distance between the centre line and a straight line connecting the free margin at the centre of the valve and the nadir, of more than 1 mm.
5. The prosthetic valve according to claim 1 , wherein the excess length is at least 7%.
6. The prosthetic valve according to claim 1 , wherein the at least one leaflet is attached to the supporting element along a commissure that runs in parallel with a longitudinal axis of the valve starting at the free margin, and has a length of at least 1 mm.
7. A prosthetic valve comprising:
a leaflet assembly having at least one leaflet attached to a supporting element, wherein
the at least one leaflet has a free margin that can move between a first position wherein the free margin is flexed away from a closure surface to allow body fluid to flow through the valve, and a second position wherein the free margin abuts the closure surface to close the valve, and wherein
the free margin of the at least one leaflet has an excess length, relative to a theoretical length needed for closing the valve, and wherein
the at least one leaflet, without pulsatile load on the valve, can form a coaptation height of between 1 and 15 mm along the length of the free margin, and wherein
the at least one leaflet comprises a textile structure comprising one or more elastic yarns having an elongation at break of 10% or less.
8. The prosthetic valve according to claim 7 , wherein the textile structure is a woven fabric made from the one or more elastic yarns.
9. The prosthetic valve according to claim 7 , wherein the textile structure is a single piece of woven fabric, and wherein the free margin of the leaflet is a selvedge of the woven fabric.
10. The prosthetic valve according to claim 7 , wherein the elastic yarn has a linear density of less than 120 dtex.
11. The prosthetic valve according to claim 7 , wherein the thickness of a layer of the textile structure is between 40 to 150 μm.
12. The prosthetic valve according to claim 7 , wherein the textile structure comprises UHMWPE filaments.
13. The prosthetic valve according to claim 1 , further comprising a stent connected to the leaflet assembly.
14. The prosthetic valve according to claim 1 , wherein the valve comprises two or three leaflets, wherein each one of the leaflets acts as a closure surface for another one of the leaflets.
15. A leaflet assembly for a prosthetic valve as described in claim 1 .
16. A method of making the prosthetic valve according to claim 1 comprising:
(i) providing an elastic sheet material having an elongation at break of 10% or less,
(ii) forming a leaflet assembly comprising at least one leaflet and a supporting element from the sheet material, and
(iii) forming the valve therewith, wherein
forming the leaflet assembly according to step (ii) comprises shaping the leaflet to impose a geometry wherein the leaflet, without pulsatile load on the valve, can form a coaptation height of between 1 and 15 mm along the length of the free margin.
17. The prosthetic valve according to claim 7 , wherein the coaptation height is between 3 and 10 mm.
18. The prosthetic valve according to claim 7 , wherein the leaflet has a geometry comprising a convex surface with a radius of curvature at the centre line of the leaflet of between 1 and 20 mm.
19. The prosthetic valve according to claim 7 , wherein the leaflet has a geometry comprising a convex surface with a curvature height, the largest orthogonal distance between the centre line and a straight line connecting the free margin at the centre of the valve and the nadir, of more than 1 mm.
20. The prosthetic valve according to claim 7 , wherein the excess length is at least 7%.
21. The prosthetic valve according to claim 7 , wherein the leaflet is attached to the supporting element along a commissure that runs in parallel with the longitudinal axis of the valve starting at the free margin, and has a length of at least 1 mm.
22. The prosthetic valve according to claim 7 , further comprising a stent connected to the leaflet assembly.
23. The prosthetic valve according to claim 7 , wherein the valve comprises two or three leaflets, wherein each one of the leaflets acts as a closure surface for another one of the leaflets.
24. A leaflet assembly for a prosthetic valve as described in claim 7 .
25. A method of making a prosthetic valve according to claim 7 comprising:
(i) providing a textile structure comprising one or more elastic yarns having an elongation at break of 10% or less,
(ii) forming a leaflet assembly comprising at least one leaflet and a supporting element from the textile structure, and
(iii) forming the valve therewith, wherein
forming the leaflet assembly according to step (ii) comprises shaping the leaflet to impose a geometry wherein the leaflet, without pulsatile load on the valve, can form a coaptation height of between 1 and 15 mm along the length of the free margin.