Prosthetic valve with angularly offset frames
Embodiments of the present disclosure are directed to prosthetic valves and methods of use thereof. In one implementation, a prosthetic valve may include an annular outer frame formed at least partially of struts intersecting at outer frame junctions and an inner frame situated within the outer frame. The inner frame may be formed at least partially of struts intersecting at inner frame junctions. The valve may include at least one inner frame tissue anchor extending from an inner frame junction. Outer frame junctions along a ventricular end of the outer frame may be angularly offset from inner frame junctions along a ventricular end of the inner frame.
1. A prosthetic valve for implantation within a native mitral valve, the prosthetic valve comprising:
an annular outer frame formed at least partially of outer frame struts intersecting at a plurality of outer frame junctions; and
an inner frame situated at least partially within the annular outer frame, a downstream end of the annular outer frame including no connections to the inner frame and an upstream end of the inner frame including no connections to the annular outer frame, the inner frame formed at least partially of inner frame struts intersecting at a plurality of inner frame junctions and having a plurality of inner frame tissue anchors configured to extend from at least one of the inner frame junctions, wherein a portion of at least one inner frame tissue anchor is configured to form a radially-outermost portion of the prosthetic valve relative to a longitudinal axis of the prosthetic valve when the at least one inner frame tissue anchor engages the native mitral valve,
wherein the outer frame junctions along the downstream end of the annular outer frame are spaced apart from the plurality of inner frame junctions and the inner frame junctions along a downstream end of the inner frame are spaced apart from the plurality of outer frame junctions,
wherein at least one inner frame junction along the downstream end of the inner frame is configured to be situated downstream from the outer frame junctions along the downstream end of the annular outer frame, and
wherein beyond locations of connection to the at least one inner frame junction, the inner frame tissue anchors are devoid of interconnections therebetween.
2. The prosthetic valve of claim 1 , wherein an outer frame junction along the downstream end of the annular outer frame is equidistant from adjacent inner frame junctions along the downstream end of the inner frame.
3. The prosthetic valve of claim 1 , wherein along a circumference of the prosthetic valve:
the outer frame junctions along the downstream end of the annular outer frame are offset at a regular interval from the inner frame junctions along the downstream end of the inner frame, and
the inner frame junctions along the upstream end of the inner frame are offset at a regular interval from the outer frame junctions along an upstream end of the annular outer frame.
4. The prosthetic valve of claim 1 , wherein the at least one inner frame tissue anchor is configured to be situated at the same position along a circumference of the prosthetic valve as the at least one inner frame junction along the downstream end of the inner frame.
5. The prosthetic valve of claim 1 , wherein the inner frame is configured to have a greater axial length than the annular outer frame.
6. The prosthetic valve of claim 1 , further comprising:
a plurality of outer frame tissue anchors configured to extend from connection junctions of the plurality of outer frame junctions,
wherein the connection junctions are situated upstream from the outer frame junctions along the downstream end of the annular outer frame such that at least a portion of the annular outer frame is configured to be situated downstream from the outer frame tissue anchors.
7. The prosthetic valve of claim 6 ,
wherein the outer frame tissue anchors are configured to engage native ventricular tissue, and
wherein the inner frame tissue anchors are configured to engage native atrial tissue.
8. The prosthetic valve of claim 6 , wherein at least one of the outer frame tissue anchors is configured to be situated at the same position along a circumference of the prosthetic valve as at least one of the inner frame junctions along the upstream end of the inner frame.
9. The prosthetic valve of claim 6 , wherein along a circumference of the prosthetic valve, the outer frame tissue anchors are offset from the inner frame junctions along the downstream end of the inner frame.
10. The prosthetic valve of claim 6 , wherein at least one connection junction is spaced apart from an upstream end of the annular outer frame and from the downstream end of the annular outer frame.
11. The prosthetic valve of claim 1 ,
wherein the inner frame struts intersect at the plurality of inner frame junctions to form at least one closed cell and the outer frame struts intersect at the plurality of outer frame junctions to form at least one closed cell, and
wherein the inner frame includes a closed cell having a first shape and the annular outer frame includes a closed cell having a second shape different than the first shape.
12. The prosthetic valve of claim 1 ,
wherein the inner frame further comprises:
a plurality of upstream inner frame junctions along the upstream end of the inner frame; and
a plurality of intermediate inner frame junctions positioned between the upstream inner frame junctions and the junctions along the downstream end of the inner frame,
wherein the annular outer frame further comprises:
a plurality of upstream outer frame junctions along an upstream end of the annular outer frame; and
a plurality of intermediate outer frame junctions positioned between the upstream outer frame junctions and the junctions along the downstream end of the annular outer frame, and
wherein the at least one inner frame tissue anchor is configured to extend from an intermediate inner frame junction.
13. The prosthetic valve of claim 12 , further comprising:
a plurality of outer frame tissue anchors configured to extend from the annular outer frame, wherein at least one outer frame tissue anchor is configured to extend from an intermediate outer frame junction.
14. The prosthetic valve of claim 1 , wherein the at least one inner frame tissue anchor is configured to extend from a portion of the inner frame which is spaced apart from the upstream end of the inner frame and from the downstream end of the inner frame.
15. The prosthetic valve of claim 1 , wherein the inner frame junctions along the downstream end of the inner frame are configured to be situated downstream from the outer frame junctions along the downstream end of the annular outer frame when the prosthetic valve is arranged in a radially-constrained delivery configuration.
16. A prosthetic valve for implantation within a native mitral valve, the prosthetic valve comprising:
an annular outer frame formed at least partially of outer frame struts intersecting at a plurality of outer frame junctions;
a plurality of outer frame tissue anchors configured to extend from connection junctions of the plurality of outer frame junctions, the connection junctions being situated upstream from the outer frame junctions along a downstream end of the annular outer frame such that at least a portion of the annular outer frame is configured to be situated downstream from the outer frame tissue anchors, wherein the portion of the annular outer frame is configured to be situated downstream from the outer frame tissue anchors when the prosthetic valve is arranged in a radially-constrained delivery configuration;
an inner frame situated at least partially within the annular outer frame, the inner frame formed at least partially of inner frame struts intersecting at a plurality of inner frame junctions; and
a plurality of inner frame tissue anchors configured to extend from at least one of the inner frame junctions, wherein a portion of at least one inner frame tissue anchor is configured to form a radially-outermost portion of the prosthetic valve relative to a longitudinal axis of the prosthetic valve when the at least one inner frame tissue anchor engages the native mitral valve,
wherein the outer frame junctions along the downstream end of the annular outer frame are spaced apart from the plurality of inner frame junctions and the inner frame junctions along a downstream end of the inner frame are spaced apart from the plurality of outer frame junctions,
wherein at least one inner frame junction along the downstream end of the inner frame is configured to be situated downstream from the outer frame junctions along the downstream end of the annular outer frame, and
wherein beyond locations of connection to the at least one inner frame junction, the inner frame tissue anchors are devoid of interconnections therebetween.
17. The prosthetic valve of claim 16 , wherein the at least one inner frame junction along the downstream end of the inner frame is configured to be situated downstream from the outer frame junctions along the downstream end of the annular outer frame when the prosthetic valve is arranged in the radially-constrained delivery configuration.
18. The prosthetic valve of claim 16 , wherein the outer frame tissue anchors are offset from the inner frame tissue anchors, relative to a circumference about the prosthetic valve.
19. The prosthetic valve of claim 16 , wherein one of the outer frame tissue anchors and at least three outer frame struts intersect at one of the connection junctions.