Heart valve sealing devices and delivery devices therefor
An implantable prosthetic device includes a coaption portion, paddles, and clasps. The paddles are moveable from a closed position to an open position. The clasps are also moveable from an open position to a closed position. The implantable prosthetic device can be used to repair a native valve, such as a native mitral valve. Other embodiments are also described.
1. An implantable prosthetic device comprising:
a coaption portion;
an anchor portion comprising a plurality of paddles, the paddles having an outer and inner portion and being extendable from a folded closed position to an open position; and
a clasp attached to each of the plurality of paddles, the clasp comprising:
a fixed arm attached to the inner portion of the paddle;
a moveable arm having a barbed portion; and
a hinge portion connecting the fixed arm to the move able arm, the hinge portion comprising a plurality of spring segments, wherein each spring segment is connected to at least one other spring segment;
wherein the clasp is formed from shape memory material and the fixed and moveable arms are shape set in a preloading position so that a pinch force exists between the fixed and moveable arms when the fixed arm is approximately parallel with the moveable arm.
2. The implantable prosthetic device according to claim 1 , wherein the spring segments are torsional spring segments.
3. The implantable prosthetic device according to claim 1 , wherein:
the spring segments comprise a first end and a second end; and
the first end of one spring segment is connected to at least one of the first and second end of another spring segment.
4. The implantable prosthetic device according to claim 1 , wherein:
the spring segments comprise a first end, a second end, a first side, and a second side;
a first side joining location is adjacent the first end;
a first end joining location is adjacent the first side;
a second side joining location is adjacent the second end; and
a second end joining location is adjacent the second side.
5. The implantable prosthetic device according to claim 4 , wherein:
the spring segments are arranged into a plurality of rows and at least one column;
the first or second ends of spring segments proximate a side edge of the clasp are joined to one other spring segment; and
the first or second ends of spring segments proximate an adjacent column are joined to at least one other spring segment.
6. The implantable prosthetic device according to claim 1 , wherein:
the spring segments are arranged in a pattern having three columns and seven rows of spring segments.
7. The implantable prosthetic device according to claim 1 , wherein the fixed arm is bent in the closing direction beyond the closed position to the preloading position.
8. The implantable prosthetic device according to claim 7 , wherein after shape setting, the fixed arm is prohibited from returning to the preloading position by a cross-member.
9. A clasp for an implantable prosthetic device comprising:
a fixed arm;
a moveable arm having a barbed portion; and
a hinge portion connecting the fixed arm to the moveable arm, the hinge portion comprising a plurality of spring segments, wherein each spring segment is connected to a at least one other spring segment;
wherein the clasp is formed from shape memory material and the fixed and moveable arms are shape set in a preloading position so that a pinch force exists between the fixed and moveable arms when the fixed arm is approximately parallel with the moveable arm.
10. The clasp according to claim 9 , wherein the spring segments are torsional spring segments.
11. The clasp according to claim 9 , wherein:
the spring segments comprise a first end and a second end; and
the first end of one spring segment is connected to at least one of the first and second end of another spring segment.
12. The clasp according to claim 9 , wherein:
the spring segments comprise a first end, a second end, a first side, and a second side;
a first side joining location is adjacent the first end;
a first end joining location is adjacent the first side;
a second side joining location is adjacent the second end; and
a second end joining location is adjacent the second side.
13. The clasp according to claim 9 , wherein:
the spring segments are arranged into a plurality of rows and columns;
the first or second ends of spring segments proximate a side edge of the clasp are joined to one other spring segment; and
the first or second ends of spring segments proximate an adjacent column are joined to at least one other spring segment.
14. The clasp according to claim 9 , wherein:
the spring segments are arranged in a pattern having three columns and seven rows of spring segments.
15. The clasp according to claim 9 , wherein the fixed arm is bent in the closing direction beyond the closed position to the preloading position.
16. The clasp according to claim 15 , wherein after shape setting, the fixed arm is prohibited from returning to the preloading position by a cross-member.
17. An implantable prosthetic device comprising:
a coaption portion;
an anchor portion comprising a plurality of paddles, the paddles having an outer and inner portion and being extendable from a folded closed position to an open position; and
a clasp attached to each of the plurality of paddles, the clasp comprising:
a fixed arm attached to the inner portion of the paddle;
a moveable arm having a barbed portion; and
a hinge portion connecting the fixed arm to the move able arm, the hinge portion comprising a plurality of spring segments, wherein each spring segment is connected to at least one other spring segment;
wherein a plastic limit of the material of the clasp is not exceeded when the moveable arm is opened to a fully open position about 140 degrees from the fixed arm.
18. A clasp for an implantable prosthetic device comprising:
a fixed arm;
a moveable arm having a barbed portion; and
a hinge portion connecting the fixed arm to the moveable arm, the hinge portion comprising a plurality of spring segments, wherein each spring segment is connected to a at least one other spring segment;
wherein a plastic limit of the material of the clasp is not exceeded when the moveable arm is opened to a fully open position about 140 degrees from the fixed arm.