Heart valve sewing cuff
View Patent ↗An embodiment of the invention includes a sewing cuff for aortic heart valves that better approximates native anatomy by better mating with the crown-like anatomical annulus. Limiting distortion of the crown-like annulus provides better blood flow and overall valve function and provides a physician greater ease of implantation since native anatomy is not flattened. Thus, the surgeon may attach sutures to the fibrous tissue of the crown-like anatomical annulus without distorting the shape of the native anatomy. An embodiment includes a scalloped sewing cuff assembly (with semilunar arches) that tracks the crown-like annulus. Another embodiment provides a sewing cuff positioned over the majority of the valve's length, thus allowing the surgeon greater flexibility as to where he or she can attach sutures to the surgical annulus. Conventional valves, which are primarily “low-profile” devices, do not offer such ability. Other embodiments are described herein.
1. A prosthetic heart valve comprising:
a tubular valve body having a vertical axis, an outlet end, and an inlet end;
a sewing cuff located entirely between the inlet and outlet ends; and
at least one leaflet to intermittently allow flow through the tubular valve body from the inlet end to the outlet end;
wherein the sewing cuff includes a first portion comprising: (a)(i) first height that is uniform along an upper edge of the first portion, and (a)(ii) a first outermost diameter taken orthogonal to the vertical axis;
wherein the sewing cuff includes a second portion comprising: (b)(i) undulations that each comprise an apex adjacent a nadir, (b)(ii) a second height extending from a top of the apex to a bottom of the nadir, and (b)(iii) a second outermost diameter taken orthogonal to the vertical axis;
wherein both of the first and second portions include a fabric;
wherein the second height is at least 75% of the first height;
wherein the second outermost diameter is greater than the first outermost diameter;
wherein the tubular valve body includes a projection that extends horizontally away from the vertical axis;
wherein a subportion of the first portion is above the projection and an additional subportion of the first portion is below the projection; and
wherein the projection, the subportion, and the additional subportion are oriented in relation to each other such that the projection resists the subportion and the additional subportion from sliding off the tubular valve body.
2. The valve of claim 1 wherein the first portion includes a cylindrical portion.
3. The valve of claim 2 wherein the cylindrical portion includes a circular perimeter that defines the first outermost diameter.
4. The valve of claim 1 wherein the first and second portions share a single, monolithic portion of the fabric.
5. The valve of claim 1 wherein the apex is directly connected to the nadir.
6. The valve of claim 1 wherein the first and second portions are both configured to accept and retain sutures.
7. The valve of claim 1 wherein the first and second portions are non-monolithic with one another.
8. The valve of claim 1 wherein:
the second portion does not extend above the first portion;
the second portion does not extend below the first portion.
9. The valve of claim 1 wherein:
the first and second portions share a single, monolithic portion of the fabric;
a radial axis, radiating horizontally outward from and orthogonal to the vertical axis, intercepts the monolithic portion of the fabric at least 3 times; and
the horizontal axis intercepts the projection.
10. The valve of claim 9 wherein an additional vertical axis intercepts the monolithic portion of the fabric at least 3 times.
11. The valve of claim 1 wherein the fabric includes at least one of polyester, polyethylene terephthalate, polytetrafluoroethylene (PTFE), or combinations thereof.
12. A prosthetic heart valve comprising:
a tubular valve body having a vertical axis, an outlet end, and an inlet end;
a sewing cuff located entirely between the inlet and outlet ends; and
at least one leaflet to intermittently allow flow through the tubular valve body from the inlet end to the outlet end;
wherein the sewing cuff includes a first portion comprising: (a)(i) first height that is uniform along an upper edge of the first portion, and (a)(ii) a first outermost diameter taken orthogonal to the vertical axis;
wherein the sewing cuff includes a second portion comprising: (b)(i) undulations that each comprise an apex adjacent a nadir, (b)(ii) a second height extending from a top of the apex to a bottom of the nadir, and (b)(iii) a second outermost diameter taken orthogonal to the vertical axis;
wherein both of the first and second portions include a fabric;
wherein the second outermost diameter is greater than the first outermost diameter;
wherein the tubular valve body includes a projection that extends horizontally away from the vertical axis;
wherein a subportion of the first portion is above the projection and an additional subportion of the first portion is below the projection; and
wherein the projection, the subportion, and the additional subportion are oriented in relation to each other such that the projection resists the subportion and the additional subportion from sliding off the tubular valve body.
13. The valve of claim 12 , wherein:
the first portion includes a cylindrical portion;
the cylindrical portion includes a circular perimeter that defines the first outermost diameter;
the first and second portions are both configured to accept and retain sutures;
the projection extends orthogonal to the vertical axis;
the second portion does not extend above the first portion; and
the second portion does not extend below the first portion.
14. The valve of claim 12 wherein the fabric includes at least one of polyester, polyethylene terephthalate, polytetrafluoroethylene (PTFE), or combinations thereof.
15. The valve of claim 12 wherein the second height is at least 75% of the first height.
16. A prosthetic heart valve comprising:
a tubular valve body having a vertical axis, an outlet end, and an inlet end;
a sewing cuff located entirely between the inlet and outlet ends; and
at least one leaflet to intermittently allow flow through the tubular valve body from the inlet end to the outlet end;
wherein the sewing cuff includes a first portion comprising: (a)(i) first height that is uniform along an upper edge of the first portion, and (a)(ii) a first outermost diameter taken orthogonal to the vertical axis;
wherein the sewing cuff includes a second portion comprising: (b)(i) undulations that each comprise an apex adjacent a nadir, (b)(ii) a second height extending from a top of the apex to a bottom of the nadir, and (b)(iii) a second outermost diameter taken orthogonal to the vertical axis;
wherein both of the first and second portions share a monolithic piece of fabric;
wherein the second outermost diameter is greater than the first outermost diameter;
wherein the tubular valve body includes a projection that extends horizontally away from the vertical axis;
wherein a subportion of the first portion is above the projection and an additional subportion of the first portion is below the projection; and
wherein the projection, the subportion, and the additional subportion are oriented in relation to each other such that the projection resists the subportion and the additional subportion from sliding off the tubular valve body.
17. The valve of claim 16 wherein the fabric includes at least one of polyester, polyethylene terephthalate, polytetrafluoroethylene (PTFE), or combinations thereof.
18. The valve of claim 16 wherein the second height is at least 75% of the first height.
19. The valve of claim 16 wherein the projection extends orthogonal to the vertical axis.