Prosthetic valve with inner and outer frames connected at a location of tissue anchor portion

1. A prosthetic heart valve, comprising:

an expandable annular outer frame having a tubular portion and a plurality of tissue anchor portions extending from the tubular portion, the tubular portion being formed at least partially of struts intersecting at junctions, including a plurality of atrial junctions at an atrial end of the tubular portion, a plurality of ventricular junctions at a ventricular end of the tubular portion, and a plurality of intermediate junctions between the atrial junctions and ventricular junctions, each of the tissue anchor portions having:

a proximal end connected to an attachment location on the tubular portion, and

a terminal end opposite from the proximal end, wherein

at least one tissue anchor portion is configured to extend radially outward from the tubular portion between the proximal end of the at least one tissue anchor portion and the terminal end of the at least one tissue anchor portion; and

an expandable inner frame situated at least partially within the expandable annular outer frame, wherein

the expandable annular outer frame is connected to the expandable inner frame solely at one or more of the attachment locations situated within at least one intermediate junction of the tubular portion, and wherein

no connection is made between the plurality of tissue anchor portions between the proximal end of the at least one tissue anchor portion and the terminal end of the at least one tissue anchor portion.

2. The prosthetic heart valve of claim 1 , wherein the attachment locations are aligned in a common lateral plane.

3. The prosthetic heart valve of claim 1 , wherein the expandable inner frame and expandable annular outer frame are connected by at least one connector configured to extend radially outward beyond an outer surface of the expandable annular outer frame.

4. The prosthetic heart valve of claim 1 , wherein the at least one tissue anchor portion is configured to engage ventricular tissue of a native heart valve so as to anchor the prosthetic heart valve within the native heart valve.

5. The prosthetic heart valve of claim 4 , further comprising:

a plurality of atrial anchoring arms configured to extend from the expandable inner frame, wherein the atrial anchoring arms are configured to engage atrial tissue of the native heart valve so as to anchor the prosthetic heart valve within the native heart valve.

6. The prosthetic heart valve of claim 5 , wherein one or more of the attachment locations is angularly offset from the atrial anchoring arms.

7. The prosthetic heart valve of claim 1 , wherein each of the tissue anchor portions is connected to the tubular portion at a single attachment location.

8. The prosthetic heart valve of claim 1 ,

wherein the tubular portion of the expandable annular outer frame includes an atrial end and a ventricular end, and

wherein the attachment locations are positioned between the atrial end and ventricular end of the tubular portion.

9. The prosthetic heart valve of claim 1 , wherein each attachment location is situated within a junction at which at least three struts intersect.

10. The prosthetic heart valve of claim 9 , wherein at least one of the at least three struts extends between the attachment location and a ventricular junction.

11. The prosthetic heart valve of claim 1 , wherein one or more of the attachment locations is angularly offset from the plurality of atrial junctions of the tubular portion of the expandable annular outer frame.

12. The prosthetic heart valve of claim 1 ,

wherein the expandable inner frame is formed at least partially of struts intersecting at junctions; and

wherein the expandable inner frame is connected to the expandable annular outer frame at one or more junctions of the expandable inner frame.

13. The prosthetic heart valve of claim 12 , wherein at least four struts intersect at the one or more junctions of the expandable inner frame.

14. The prosthetic heart valve of claim 1 , wherein the expandable inner frame has a greater axial length than the expandable annular outer frame.

15. The prosthetic heart valve of claim 1 , wherein the expandable inner frame further comprises:

at least one delivery post extending from a ventricular end of the expandable inner frame.

16. The prosthetic heart valve of claim 15 , wherein the at least one delivery post is angularly offset from one or more of the attachment locations.

17. The prosthetic heart valve of claim 1 ,

wherein the prosthetic heart valve is configured for expansion from a radially-contracted configuration to a radially-expanded configuration, and

wherein a distance between a particular attachment location and a ventricular end of the annular outer frame is constant between the radially-contracted configuration and the radially-expanded configuration.