Prosthetic valve with radially-deformable tissue anchors configured to restrict axial valve migration
A prosthetic valve for implantation within a native heart valve may be provided. The prosthetic valve may include an annular valve body, as well as a plurality of ventricular anchoring legs and a plurality of atrial anchoring arms configured to extend radially outward from the annular valve body. The ventricular anchoring legs and grasping segments of the atrial anchoring arms may be configured to substantially restrict axial movement of the annular valve body within the native heart valve. In addition, anchoring segments of the atrial anchoring arms may be configured for lateral deformation relative to the native heart valve.
1. A prosthetic valve for implantation within a native heart valve, the prosthetic valve comprising:
an annular valve body having an atrial end, a ventricular end opposite the atrial end, an intermediate portion extending between the atrial end and the ventricular end of the annular valve body, and an atrial inlet opening at the atrial end of the annular valve body, wherein the atrial inlet opening is configured to have a radius in a range of from 10 mm to 16 mm;
a plurality of ventricular anchoring legs configured to extend radially outward from the annular valve body to respective terminal leg ends; and
a plurality of atrial anchoring arms configured to extend radially outward from the annular valve body, each atrial anchoring arm including:
a proximal arm end connected to the annular valve body,
a grasping segment situated within a radially inner portion of the atrial anchoring arm,
an anchoring segment situated within a radially outer portion of the atrial anchoring arm, and
a terminal arm end opposite from the proximal arm end and configured to be an outer-most portion of the atrial anchoring arm,
wherein at least one atrial anchoring arm is configured to have a length between the proximal arm end thereof and the terminal arm end thereof that is in a range of from 12 mm to 18 mm, the length of the at least one atrial anchoring arm being larger than the radius of the atrial inlet opening of the annular valve body,
wherein the ventricular anchoring legs and the grasping segments of the atrial anchoring arms are configured to restrict axial movement of the annular valve body within the native heart valve, and
wherein the anchoring segments of the atrial anchoring arms are configured for lateral deformation relative to the native heart valve.
2. The prosthetic valve of claim 1 , wherein the ventricular anchoring legs and the grasping segments of the atrial anchoring arms are configured to grasp heart valve tissue and to restrict axial and lateral movement of the annular valve body relative to the grasped tissue.
3. The prosthetic valve of claim 1 , wherein the ventricular anchoring legs and the grasping segments of the atrial anchoring arms are configured to apply opposing grasping forces upon the native heart valve.
4. The prosthetic valve of claim 1 , wherein the annular valve body is configured to be implanted in the native heart valve independent of the rotational position of the atrial anchoring arms and ventricular anchoring legs relative to the native heart valve.
5. The prosthetic valve of claim 1 , wherein the anchoring segments of the atrial anchoring arms are configured for greater flexibility than the ventricular anchoring legs and the grasping segments of the atrial anchoring arms.
6. The prosthetic valve of claim 5 , wherein flexibility of the anchoring segments of the atrial anchoring arms is imparted through a structure having multiple curves.
7. The prosthetic valve of claim 6 , wherein the ventricular anchoring legs and the grasping segments of the atrial anchoring arms are devoid of the structure having multiple curves.
8. The prosthetic valve of claim 1 , wherein each ventricular anchoring leg is configured to have the same degree of flexibility.
9. The prosthetic valve of claim 1 , wherein a portion of the at least one atrial anchoring arm is configured to be aligned in a common lateral plane with a portion of at least one ventricular anchoring leg.
10. The prosthetic valve of claim 9 , wherein at least the majority of the anchoring segment of the at least one atrial anchoring arm is configured to be situated radially external to the portion of the at least one atrial anchoring arm aligned in the common lateral plane.
11. The prosthetic valve of claim 1 , wherein the grasping segment of the at least one atrial anchoring arm is configured to have a length equal to a length of at least one ventricular anchoring leg.
12. The prosthetic valve of claim 1 , wherein the grasping segment of the at least one atrial anchoring arm includes:
a first portion configured to extend in an atrial direction, and
a second portion configured to extend in a ventricular direction, the second portion of the grasping segment configured to be situated radially external to the first portion of the grasping segment.
13. The prosthetic valve of claim 1 , wherein the anchoring segment of the at least one atrial anchoring arm includes:
a first portion configured to extend in a ventricular direction, and
a second portion configured to extend in an atrial direction, the second portion of the anchoring segment configured to be situated radially external to the first portion of the anchoring segment.
14. The prosthetic valve of claim 1 , wherein an entire length of at least one ventricular anchoring leg is configured to extend in an atrial direction.
15. The prosthetic valve of claim 1 ,
wherein the ventricular anchoring legs are angularly offset from the atrial anchoring arms, and
wherein the terminal arm ends of the atrial anchoring arms are configured to be situated radially external to the terminal leg ends of the ventricular anchoring legs.
16. The prosthetic valve of claim 1 ,
wherein the at least one atrial anchoring arm is configured for radial movement independent of the other atrial anchoring arms; and
wherein at least one ventricular anchoring leg is configured for radial movement independent of the other ventricular anchoring legs.
17. The prosthetic valve of claim 1 , wherein the atrial anchoring arms and the ventricular anchoring legs are connected to the intermediate portion of the annular valve body.
18. A prosthetic valve for implantation within a native heart valve, the prosthetic valve comprising:
an annular valve body including an atrial end, a ventricular end opposite the atrial end, and an intermediate portion extending between the atrial end and the ventricular end of the annular valve body, wherein the annular valve body includes an atrial inlet opening at the atrial end of the annular valve body, the atrial inlet opening being configured to have a radius in a range of from 10 mm to 16 mm;
a plurality of ventricular anchoring legs configured to extend radially outward from the annular valve body to respective terminal leg ends; and
a plurality of atrial anchoring arms configured to extend radially outward from the annular valve body, each atrial anchoring arm including:
a proximal arm end connected to the annular valve body,
a grasping segment situated within a radially inner portion of the atrial anchoring arm,
an anchoring segment situated within a radially outer portion of the atrial anchoring arm, and
a terminal arm end opposite from the proximal arm end and configured to be an outer-most portion of the atrial anchoring arm,
wherein the atrial anchoring arms and the ventricular anchoring legs are configured to extend from the intermediate portion of the annular valve body,
wherein at least one atrial anchoring arm is configured to have a length between the proximal arm end thereof and the terminal arm end thereof that is in a range of from 12 mm to 18 mm, the length of the at least one atrial anchoring arm being larger than the radius of the atrial inlet opening of the annular valve body,
wherein the ventricular anchoring legs and the grasping segments of the atrial anchoring arms are configured to restrict axial movement of the annular valve body within the native heart valve, and
wherein the anchoring segments of the atrial anchoring arms are configured for lateral deformation relative to the native heart valve.
19. The prosthetic valve of claim 1 , wherein the annular valve body comprises:
an annular outer frame, the ventricular anchoring legs extending from the outer frame; and
an inner frame situated at least partially within the annular outer frame, the atrial anchoring arms extending from the inner frame.
20. The prosthetic valve of claim 19 , wherein at least one of the outer frame or the inner frame are symmetrical.
21. The prosthetic valve of claim 1 , wherein the at least one atrial anchoring arm is configured to have the length larger than the radius of the atrial inlet opening when the prosthetic valve is in a fully-expanded configuration.