Sealing member for prosthetic heart valve
A prosthetic heart valve includes an annular frame that has an inflow end and an outflow end and is radially compressible and expandable between a radially compressed configuration and a radially expanded configuration. The prosthetic heart valve further includes a leaflet structure positioned within the frame and secured thereto, and an outer sealing member mounted outside of the frame and adapted to seal against surrounding tissue when the prosthetic heart valve is implanted within a native heart valve annulus of a patient. The sealing member can include a mesh layer and pile layer comprising a plurality of pile yarns extending outwardly from the mesh layer.
1. An assembly comprising:
a delivery catheter comprising a balloon; and
an implantable prosthetic heart valve that is radially collapsible to a collapsed configuration and radially expandable to an expanded configuration, the prosthetic heart valve comprising:
a radially collapsible and expandable annular frame, the frame having three commissure attachment posts and a plurality of circumferentially extending rows of angled struts, including a first row of angled struts defining an inflow end of the frame, a second row of angled struts downstream of the first row, a third row of angled struts downstream of the second row, a fourth row of angled struts downstream of the third row, and a fifth row of angled struts downstream of the fourth row, each row of angled struts comprising angled struts arranged in a zig-zag pattern;
a leaflet structure comprising three leaflets forming three commissures of the leaflet structure, each commissure being connected to one of the commissure attachment posts; and
an annular outer sealing member extending around an outer surface of the frame, the sealing member having a straight inflow end portion secured to the struts of the first row with sutures and an outflow edge portion having a plurality of triangular projections secured with sutures to the struts of a selected one of the second, third, or fourth row of angled struts, wherein the projections are shaped to correspond to the zig-zag pattern of the selected row of struts;
wherein the outer sealing member fits snugly against the outer surface of the frame when the prosthetic heart valve is in the expanded configuration;
wherein the collapsed prosthetic heart valve can be mounted around the balloon and radially expanded to the expanded configuration with the balloon inside a patient's body.
2. The assembly of claim 1 , wherein the frame is made of a plastically-expandable material.
3. The assembly of claim 2 , wherein the plastically-expandable material comprises a nickel cobalt chromium alloy.
4. The assembly of claim 1 , wherein the sealing member comprises a fabric.
5. The assembly of claim 4 , wherein the fabric has a plush nap forming an outer surface of the sealing member for contacting and sealing against tissue of a native heart valve when the prosthetic heart valve is implanted within the native heart valve.
6. The assembly of claim 1 , wherein the inflow end portion of the sealing member is wrapped around the struts of the first row.
7. An assembly comprising:
a delivery catheter comprising a balloon; and
an implantable prosthetic heart valve that is radially collapsible to a collapsed configuration and radially expandable to an expanded configuration, the prosthetic heart valve comprising:
a radially collapsible and expandable annular frame, the frame having three commissure attachment posts and a plurality of circumferentially extending rows of angled struts, each row of angled struts comprising angled struts arranged in a zig-zag pattern;
a leaflet structure comprising three leaflets forming three commissures of the leaflet structure, each commissure being connected to one of the commissure attachment posts; and
an annular outer sealing member extending around an outer surface of the frame, the sealing member having an undulating outflow edge portion that is connected to and shaped to correspond to the zig-zag pattern of one of the rows of angled struts, wherein the outflow edge portion defines a plurality of triangular projections;
wherein the outer sealing member fits snugly against the outer surface of the frame when the prosthetic heart valve is in the expanded configuration;
wherein the collapsed prosthetic heart valve can be mounted around the balloon and radially expanded to the expanded configuration with the balloon inside a patient's body.
8. The assembly of claim 7 , wherein the sealing member is configured to stretch axially when the frame is radially compressed to the radially compressed configuration.
9. The assembly of claim 7 , wherein the sealing member comprises a fabric.
10. The assembly of claim 7 , wherein the rows of angled struts include a first row of angled struts defining an inflow end of the frame, a second row of angled struts downstream of the first row, a third row of angled struts downstream of the second row, a fourth row of angled struts downstream of the third row, and a fifth row of angled struts downstream of the fourth row and defining an outflow end of the frame.
11. The assembly of claim 10 , wherein the sealing member has an inflow end portion attached to the struts of the first row with sutures and the outflow end portion is attached to the struts of the second row with sutures.
12. The assembly of claim 10 , wherein the sealing member has an inflow end portion attached to the struts of the first row with sutures and the outflow end portion is attached to the struts of the third row with sutures.
13. The assembly of claim 10 , wherein the sealing member has an inflow end portion attached to the struts of the first row with sutures and the outflow end portion is attached to the struts of the fourth row with sutures.
14. The assembly of claim 10 , wherein the sealing member has an inflow edge portion that is wrapped around the struts of the first row and secured thereto with sutures and the outflow end portion is secured with sutures to the struts of the second row, the struts of the third row, or the struts of the fourth row.
15. An assembly comprising:
a delivery catheter comprising a balloon; and
an implantable prosthetic heart valve that is radially collapsible to a collapsed configuration and radially expandable to an expanded configuration, the prosthetic heart valve comprising:
a radially collapsible and expandable annular frame, the frame having three commissure attachment posts and a plurality of circumferentially extending rows of angled struts, including a first row of angled struts defining an inflow end of the frame, a second row of angled struts downstream of the first row, a third row of angled struts downstream of the second row, and a fourth row of angled struts downstream of the third row, each row of angled struts comprising angled struts arranged in a zig-zag pattern;
a leaflet structure comprising three leaflets forming three commissures of the leaflet structure, each commissure being connected to one of the commissure attachment posts; and
an annular outer sealing member extending around an outer surface of the frame, the sealing member having an inflow end portion secured to the struts of the first row with sutures and an outflow edge portion having a plurality of triangular projections secured with sutures to the struts of a selected one of the second, third, or fourth row of angled struts, wherein the projections are shaped to correspond to the zig-zag pattern of the selected row of struts, wherein each strut of the selected row has an upper end connected to an upper end of an adjacent strut at a first junction and a lower end connected to a lower end of an adjacent strut at a second junction;
wherein each projection comprises two angled side edges that converge at a peak of the projection and each side edge converges with an adjacent side edge of an adjacent projection at a valley between adjacent projections, wherein each peak is positioned at a first junction and each valley is positioned at a second junction;
wherein each side edge of a projection is secured to an adjacent strut of the selected row of angled struts with multiple stitches that extend around the adjacent strut at locations along a length of the strut between each first junction and an adjacent second junction such that each side edge is secured to an adjacent strut along an entire length of the side edge;
wherein the collapsed prosthetic heart valve can be mounted around the balloon and radially expanded to the expanded configuration with the balloon inside a patient's body.
16. The assembly of claim 15 , wherein the sealing member comprises exactly twelve peaks.
17. The assembly of claim 15 , wherein the sealing member fits snugly against the outer surface of the frame when the prosthetic heart valve is in the expanded configuration.