Prosthetic valve and prosthetic valve implanting method
A prosthetic valve, solving the technical problem of an existing prosthetic valve, when implanted in a certain valve site, not being adaptive to the physiological anatomy condition of the heart, being difficult to mount and fix properly and being easy to become displaced, and consequently affecting the function of the valve. The prosthetic valve comprises an annular frame ( 2 ) which has a mesh structure and can radially expand to deform; a connection line ( 10 ) is provided on the frame ( 2 ); the prosthetic valve is connected and fixed to an anatomical structure of a mounting position of a human body by means of the connection line ( 10 ); the connection line ( 10 ) surrounds the outside of the frame ( 2 ) to form several connection portions which extend out along the radial direction of the frame ( 2 ); the space surrounded by the connection portions can receive the thickness of the anatomical structure. The prosthetic valve is connected and fixed by means of the connection line ( 10 ) to an anatomical structure of a mounting position in a human body, e.g. a vessel wall, being mounted stably and being applicable to a patient on whom a valve replacement surgery is difficult to perform, e.g. a pulmonary artery stenosis patient.
1. A prosthetic valve, comprising:
a tubular frame being a mesh structure, radially expandable and deformable,
wherein the tubular frame is provided with a connecting thread,
the connecting thread is configured to fixedly connect the tubular frame with an anatomical structure in an implantation position within a human body,
the connecting thread forms multiple connection portions, each connection portion passes through the tubular frame and along an inner surface of the tubular frame that extends radially along the tubular frame, space surrounded by the connecting portions are configured to accommodate a thickness of the anatomical structure, the multiple connection portions of a prosthetic valve frame are configured to directly contact the surrounding anatomical structure;
U-shaped protrusions are evenly arranged on the tubular frame at a downstream end with respect to a blood stream direction;
a U-shaped recession is provided between every two adjacent U-shaped protrusions;
one or more foldable joints are provided on edge(s) of each of the recessions such that the protrusions and the recessions are configured to unfold when the prosthetic valve is first expanded at the implantation position, and the foldable joints are configured to unfold when the prosthetic valve is expanded again; the protrusions and the recessions constitute a positioning anchor when the prosthetic valve is connected to the anatomical structure;
wherein three protrusions and three recessions are provided, three valve leaflets are provided at the protrusions and the recessions, and the valve leaflets are configured to open and close in a blood stream; a covering membrane is provided on the mesh structure of the tubular frame, and the valve leaflets are sutured on the covering membrane such that sutured portions are hermetically engaged to the covering membrane, and suturing thread does or does not pass through pass the tubular frame;
said covering membrane is provided on an outer surface of the mesh structure or on both of the inner surface of the tubular frame and the outer surface of the mesh structure; and
wherein the covering membrane on the outer surface of the mesh structure comprises an upper covering membrane and a lower covering membrane, the upper covering membrane wraps the protrusions and part of a tubular frame, the lower covering membrane wraps the remaining part of the tubular frame, the upper covering membrane and the lower covering membrane are made of different materials or the same material, and are sutured together along a periphery of the tubular frame.
2. The prosthetic valve according to claim 1 , wherein the anatomical structure comprises a blood vessel wall.
3. The prosthetic valve according to claim 1 , wherein
The connecting thread forming each connection portion passes through the tubular frame and along the inner surface of the tubular frame.
4. The prosthetic valve according to claim 1 , wherein the connecting thread is arranged longitudinally around the tubular frame to form a completely connected regions or to form a plurality of discretely connected regions.
5. The prosthetic valve according to claim 1 , wherein the connecting thread forming each connection portion is vertically oriented along an axial direction of the tubular frame or horizontally oriented along the outer surface of the mesh structure, distributed at different heights in reference to the axial direction of the tubular frame or at the same height.
6. The prosthetic valve according to claim 1 , wherein the protrusions and the recessions are formed by one integral edge with smooth curves.
7. The prosthetic valve according to claim 6 , wherein 1-3 foldable joints in the shape of pointed tips are provided, and the tips of the foldable joints point to a direction axially or upward along the mesh frame, to downstream or upstream to a blood flow.
8. The prosthetic valve according to claim 6 , wherein a U-shaped or V-shaped reinforcement is connected to two edges of a corresponding recession, a protruding direction of the reinforcements is the same as an arch direction of the protrusions, and two bottom ends of each reinforcement are respectively connected to the two edges of the corresponding recession.
9. The prosthetic valve according to claim 1 , wherein each recession is made of two smooth arcuate edges, and the two arcuate edges are respectively a part of the adjacent protrusions on both sides, and a bottom edge of the recessions form part of the mesh structure of the tubular frame.
10. The prosthetic valve according to claim 1 , wherein
1-3 foldable joints are provided at each recession wherein
at least 1 of the foldable joints is provided between bottom ends of two smooth arcuate edges; and
1 foldable joint is either provided on each smooth arcuate edge or not.
11. The prosthetic valve according to claim 1 , wherein rhombic meshes are provided in the mesh structure of the tubular frame, U-shaped process slots are provided at intersections of mesh lines, to facilitate distortion of the mesh lines when the tubular frame is radially expanded, and the intersections of the mesh lines are H-shaped or X-shaped.
12. The prosthetic valve according to claim 1 , wherein the valve leaflets are sutured onto the corresponding edges of the protrusions and the recessions, wrinkles of the valve leaflets with respect to the foldable joints are preset and configured to be expanded and deformed as the prosthetic valve is expanded; and wrinkles of the covering membrane corresponding to the foldable joints are preset and configured to be expanded and deformed as the prosthetic valve is expanded.
13. The prosthetic valve according to claim 1 , wherein a guide loop is provided on an arch portion of each protrusion, wherein the guide loop is formed by bending an edge of the arch portion of the protrusions; or several U-shaped or V-shaped guide loops on the tubular frame are provided at an upstream end with respect to the blood stream direction, the guide loops extend out of the tubular frame, and the guide loops and the tubular frame are manufactured integrally.
14. The prosthetic valve according to claim 1 , wherein
The prosthetic valve is configured to be first expanded at the implantation position during implantation into the heart, and
the prosthetic valve is configured to be expanded again at a later time after implantation.