Sealing member for prosthetic heart valve
An implantable prosthetic valve can include a radially expandable and collapsible annular frame having an inflow end and an outflow end. A leaflet structure can be positioned within the frame. An annular inner skirt can be positioned around an inner surface of the frame, wherein the inner skirt includes an outflow edge portion secured to the frame and an inflow edge portion that wraps around the inflow end of the frame and extends at least partially along an outer surface of the frame, with the inflow edge portion being secured to the frame. An outer skirt can be positioned around the outer surface of the frame, wherein the outer skirt comprises an outflow edge portion secured to the frame and an inwardly folded inflow edge portion that is secured to the inflow edge portion of the inner skirt.
1. An implantable prosthetic valve comprising:
an annular frame comprising an inflow end and an outflow end and being radially collapsible and expandable between a radially collapsed configuration and a radially expanded configuration;
a leaflet structure positioned within the frame and secured thereto;
an annular inner skirt positioned around an inner surface of the frame, wherein the inner skirt comprises an outflow edge portion secured to the frame and an inflow edge portion secured to the frame; and
an outer skirt positioned around an outer surface of the frame, wherein the outer skirt comprises an outflow edge portion secured to the frame and an inwardly folded inflow edge portion that is secured to the inflow edge portion of the inner skirt, wherein the inflow edge portion of the inner skirt wraps around the inflow end of the frame and extends at least partially along an outer surface of the frame, and wherein the inwardly folded inflow edge portion of the outer skirt is arranged adjacent to and secured to the wrapped around inflow edge portion of the inner skirt, on the outer surface of the frame, to create additional layers of material at the inflow end of the frame.
2. The prosthetic valve of claim 1 , wherein the wrapped around inflow edge portion of the inner skirt and the inwardly folded inflow edge portion of the outer skirt are further secured to the frame at discrete, spaced-apart locations, around a circumference of the inflow end of the frame.
3. The prosthetic valve of claim 2 , wherein the inflow edge portion of the outer skirt is secured to the inflow edge portion of the inner skirt only at locations on the inflow edge portion of the inner skirt that are secured to the frame.
4. The prosthetic valve of claim 1 , wherein the frame further comprises a plurality of struts forming a plurality of circumferentially spaced apices at the inflow end of the frame, and wherein the inflow edge portion of the inner skirt is secured to the frame only at the apices.
5. The prosthetic valve of claim 4 , wherein the inflow edge portion of the outer skirt is secured to the inflow edge portion of the inner skirt only at locations on the inflow edge portion of the inner skirt that are secured to the apices of the frame.
6. The prosthetic valve of claim 1 , wherein the inflow edge portion of the inner skirt is secured to the frame with discrete, spaced-apart sutures and wherein the outer skirt is attached to the frame such that the inflow edge portion of the outer skirt contacts the frame at locations that are circumferentially offset relative to locations at which the outflow edge portion of the outer skirt contacts the frame.
7. The prosthetic valve of claim 1 , wherein the outflow edge portion of the outer skirt comprises a plurality of alternating projections and notches, and wherein the projections are secured to the frame and the notches are not directly secured to the frame.
8. The prosthetic valve of claim 1 , wherein the outer skirt is secured to the inner skirt by sutures that each extend through the inwardly folded inflow edge portion of the outer skirt and the inflow edge portion of the inner skirt and around a respective apex of the inflow end of the frame.
9. The prosthetic valve of claim 1 , wherein the inner and outer skirts are configured such that when the prosthetic valve is implanted, antegrade blood can flow through a space between the inflow edge portion of the inner skirt and the inflow edge portion of the outer skirt and wherein the inflow edge portion of the inner skirt is loosely stitched to the inflow edge portion of the outer skirt.
10. The prosthetic valve of claim 1 , wherein the outer skirt comprises a plurality of creases that are spaced apart around a circumference of the outer skirt, each crease of the plurality of creases extending axially from the inflow edge portion of the outer skirt to an intermediate portion of the outer skirt, the intermediate portion arranged between the inflow end portion and the outflow edge portion of the outer skirt.
11. An implantable prosthetic valve comprising:
an annular frame comprising an inflow end and an outflow end and being radially collapsible and expandable between a radially collapsed configuration and a radially expanded configuration;
a leaflet structure positioned within the frame and secured thereto;
an annular inner skirt positioned around an inner surface of the frame, wherein the inner skirt comprises an outflow edge portion secured to the frame and an inflow edge portion secured to the frame; and
an outer skirt positioned around an outer surface of the frame, wherein the outer skirt comprises an outflow edge portion secured to the frame and an inwardly folded inflow edge portion that is secured to the inflow edge portion of the inner skirt,
wherein the outflow edge portion of the outer skirt comprises a plurality of alternating projections and notches, wherein the projections are secured to the frame and the notches are not directly secured to the frame, wherein the outer skirt further comprises an intermediate portion between the inflow edge portion and the outflow edge portion and wherein the intermediate portion comprises a plurality of openings.
12. The prosthetic valve of claim 11 , wherein the openings are aligned with the projections.
13. The prosthetic valve of claim 11 , wherein the inflow edge portion of the outer skirt comprises a plurality of overlapping portions that are angularly aligned with the openings, wherein the overlapping portions are folded inwardly towards the outflow end of the frame, and wherein the overlapping portions are secured to the inflow edge portion of the inner skirt.
14. The prosthetic valve of claim 13 , wherein the overlapping portions are secured to the inflow edge portion of the inner skirt only at locations on the inflow edge portion of the inner skirt that are secured to the frame.
15. The prosthetic valve of claim 13 , wherein the overlapping portions are folded such that each of the overlapping portions is radially aligned with a corresponding one of the openings when the overlapping portions are secured to the inner skirt.
16. An assembly for implanting a prosthetic heart valve, comprising:
a delivery apparatus comprising an elongate shaft; and
a prosthetic heart valve, comprising:
an annular frame comprising an inflow end and an outflow end and being radially collapsible and expandable between a radially collapsed configuration and a radially expanded configuration;
a leaflet structure positioned within the frame and secured thereto;
an annular inner skirt positioned around an inner surface of the frame, wherein the inner skirt comprises an outflow edge portion secured to the frame and an inflow edge portion that wraps around the inflow end of the frame and extends at least partially along an outer surface of the frame, the inflow edge portion being secured to the frame; and
an outer skirt positioned around the outer surface of the frame, wherein the outer skirt comprises an outflow edge portion secured to the frame, an inwardly folded inflow edge portion that is secured to the inflow edge portion of the inner skirt, and an intermediate portion disposed between the inflow edge portion and the outflow edge portion, wherein the intermediate portion includes a plurality of openings that are spaced apart from one another around a circumference of the outer skirt, wherein the prosthetic heart valve is coupled to the shaft of the delivery apparatus.
17. The assembly of claim 16 , wherein the outflow edge portion of the outer skirt comprises a plurality of alternating projections and notches, wherein the projections are secured to the frame and the notches are not directly secured to the frame, and wherein the openings are circumferentially aligned with the projections.
18. A method of implanting a prosthetic heart valve, comprising:
radially compressing the prosthetic heart valve to a radially compressed configuration;
wherein the prosthetic heart valve comprises:
an annular frame comprising an inflow end and an outflow end and being radially collapsible and expandable between a radially collapsed configuration and a radially expanded configuration;
a leaflet structure positioned within the frame and secured thereto;
an annular inner skirt positioned around an inner surface of the frame, wherein the inner skirt comprises an outflow edge portion secured to the frame and an inflow edge portion that wraps around the inflow end of the frame and extends at least partially along an outer surface of the frame, the inflow edge portion being secured to the frame; and
an outer skirt positioned around the outer surface of the frame, wherein the outer skirt comprises an outflow edge portion secured to the frame and an inwardly folded inflow edge portion that is secured to the inflow edge portion of the inner skirt, wherein the inwardly folded inflow edge portion of the outer skirt is arranged adjacent to and secured to the wrapped around inflow edge portion of the inner skirt, on the outer surface of the frame, to create additional layers of material at the inflow end of the frame;
coupling the prosthetic heart valve to a distal end portion of a delivery apparatus;
inserting the distal end portion of the delivery apparatus and the prosthetic heart valve into a patient's body;
positioning the prosthetic heart valve adjacent a native valve of the patient's heart; and
radially expanding the prosthetic heart valve so that it engages the native valve.
19. The method of claim 18 , wherein the inflow edge portion of the inner skirt is secured to the frame at discrete, spaced-apart locations.
20. The method of claim 19 , wherein the inflow edge portion of the outer skirt is secured to the inflow edge portion of the inner skirt only at locations on the inflow edge portion of the inner skirt that are secured to the frame.