Implant for heart valve
A heart valve repair system includes a delivery sheath and an implant that includes a frame having a surface configured to contact an upstream surface of a native heart valve. First and second gripping members are coupled to the frame and each (1) includes first and second arms and (2) is configured to clamp a respective native leaflet. The implant is disposed in the sheath in a delivery state in which the frame defines a wall fully surrounding a central longitudinal axis of the implant. The distal end of the wall defines a distal opening of the frame. The distal end of the wall is disposed proximally to the entire first tissue-engaging surface of each of the gripping members and proximally to the entire second tissue-engaging surface of each of the gripping members. Other embodiments are also described.
1. A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame (1) comprising a braided structure of intertwining strands and (2) having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm having a first tissue-engaging surface and (ii) a second arm having a second tissue-engaging surface, each of the gripping members configured to clamp a respective one of the native leaflets between the tissue-engaging surfaces of the gripping member,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the entire first tissue-engaging surface of each of the gripping members and proximally to the entire second tissue-engaging surface of each of the gripping members.
2. The heart valve repair system of claim 1 , wherein:
the implant is disposed in the delivery sheath in an extended state, and
the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, a longitudinal length of the implant in the implanted state is shorter than a longitudinal length of the implant while in the extended state.
3. The heart valve repair system of claim 1 , wherein the implant is configured to assume an implanted state following clamping of the leaflets by the first and second gripping members, and wherein, in the implanted state, the first and second gripping members are configured to allow the first and second native leaflets to function as a check-valve.
4. The heart valve repair system according to claim 1 , wherein the implant does not comprise a prosthetic heart valve.
5. The heart valve repair system of claim 1 , wherein for each of the gripping members, one of the arms of the gripping member has a free end, and wherein the implant is disposed within the delivery sheath in a manner in which a flexible portion of the implant is disposed proximal to the free ends of the gripping members.
6. The heart valve repair system of claim 5 , wherein the flexible portion comprises nitinol and fabric.
7. The heart valve repair system according to claim 1 , wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
8. The heart valve repair system according to claim 1 , wherein:
the heart valve repair system further comprises an elongate control member that is:
movable within the delivery sheath,
reversibly couplable to the implant, and
extracorporeally controllable to facilitate clamping of the implant onto the native leaflets, and
in the delivery state, the wall of the frame surrounds a space through which the elongate control member is movable.
9. The heart valve repair system according to claim 1 , wherein the implant further comprises first and second gripping member mounts to which the first and second gripping members are mounted, respectively, and wherein each of the gripping member mounts is shaped as a strip.
10. A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm having a first tissue-engaging surface and (ii) a second arm having a second tissue-engaging surface, each of the gripping members configured to clamp a respective one of the native leaflets between the tissue-engaging surfaces of the gripping member,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the entire first tissue-engaging surface of each of the gripping members and proximally to the entire second tissue-engaging surface of each of the gripping members, and
wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
11. The heart valve repair system of claim 10 , wherein the frame comprises a lattice structure frame.
12. The heart valve repair system of claim 10 , wherein the frame comprises a plurality of struts.
13. The heart valve repair system according to claim 10 , wherein the implant does not comprise a prosthetic heart valve.
14. The heart valve repair system of claim 1 , further comprising A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm having a first tissue-engaging surface and (ii) a second arm having a second tissue-engaging surface, each of the gripping members configured to clamp a respective one of the native leaflets between the tissue-engaging surfaces of the gripping member,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the entire first tissue-engaging surface of each of the gripping members and proximally to the entire second tissue-engaging surface of each of the gripping members, and
wherein the heart valve repair system further comprises an elongate control member that is:
movable within the delivery sheath,
reversibly couplable to the implant, and
extracorporeally controllable to facilitate clamping of the implant onto the native leaflets, wherein in the delivery state, the wall of the frame surrounds a space through which the elongate control member is movable.
15. The heart valve repair system of claim 14 , wherein the elongate control member is decouplable from the implant and withdrawable through the frame following clamping of the native leaflets.
16. The heart valve repair system according to claim 14 , wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
17. The heart valve repair system of claim 14 , wherein the frame comprises a lattice structure frame.
18. The heart valve repair system of claim 14 , wherein the frame comprises a plurality of struts.
19. The heart valve repair system according to claim 14 , wherein the implant does not comprise a prosthetic heart valve.
20. A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm having a first tissue-engaging surface and (ii) a second arm having a second tissue-engaging surface, each of the gripping members configured to clamp a respective one of the native leaflets between the tissue-engaging surfaces of the gripping member,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the entire first tissue-engaging surface of each of the gripping members and proximally to the entire second tissue-engaging surface of each of the gripping members,
wherein the implant further comprises first and second gripping member mounts to which the first and second gripping members are mounted, respectively.
21. The heart valve repair system according to claim 20 , wherein each of the gripping member mounts is shaped as a strip.
22. The heart valve repair system according to claim 20 , wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
23. The heart valve repair system according to claim 20 , wherein:
the heart valve repair system further comprises an elongate control member that is:
movable within the delivery sheath,
reversibly couplable to the implant, and
extracorporeally controllable to facilitate clamping of the implant onto the native leaflets, and
in the delivery state, the wall of the frame surrounds a space through which the elongate control member is movable.
24. The heart valve repair system of claim 20 , wherein the frame comprises a lattice structure frame.
25. The heart valve repair system of claim 20 , wherein the frame comprises a plurality of struts.
26. The heart valve repair system according to claim 20 , wherein the implant does not comprise a prosthetic heart valve.
27. A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame (1) comprising a braided structure of intertwining strands and (2) having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm, the first arm having first and second ends, and (ii) a second arm, wherein for each of the gripping members:
(A) the first arm is movable toward the second arm to clamp a respective one of the native leaflets between the first and second arms, and
(B) due to the moving of the first arm toward the second arm to clamp the respective one of the native leaflets, the second end of the first arm moves toward the second arm more than the first end of the first arm moves toward the second arm,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the second end of the first arm of each of the gripping members.
28. The heart valve repair system of claim 27 , wherein:
the implant is disposed in the delivery sheath in an extended state, and
the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, a longitudinal length of the implant in the implanted state is shorter than a longitudinal length of the implant while in the extended state.
29. The heart valve repair system according to claim 27 , wherein the implant does not comprise a prosthetic heart valve.
30. The heart valve repair system of claim 27 , wherein the implant is disposed within the delivery sheath in a manner in which a flexible portion of the implant is proximal to (1) the second end of the first arm of the first gripping member and (2) the second end of the first arm of the second gripping member.
31. The heart valve repair system of claim 30 , wherein the flexible portion comprises nitinol and fabric.
32. The heart valve repair system according to claim 27 , wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
33. The heart valve repair system according to claim 27 , wherein:
the heart valve repair system further comprises an elongate control member that is:
movable within the delivery sheath,
reversibly couplable to the implant, and
extracorporeally controllable to facilitate clamping of the implant onto the native leaflets, and
in the delivery state, the wall of the frame surrounds a space through which the elongate control member is movable.
34. The heart valve repair system according to claim 27 , wherein the implant further comprises first and second gripping member mounts to which the first and second gripping members are mounted, respectively, and wherein each of the gripping member mounts is shaped as a strip.
35. A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm, the first arm having first and second ends, and (ii) a second arm, wherein for each of the gripping members:
(A) the first arm is movable toward the second arm to clamp a respective one of the native leaflets between the first and second arms, and
(B) due to the moving of the first arm toward the second arm to clamp the respective one of the native leaflets, the second end of the first arm moves toward the second arm more than the first end of the first arm moves toward the second arm,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the second end of the first arm of each of the gripping members, and
wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
36. The heart valve repair system of claim 35 , wherein the frame comprises a lattice structure frame.
37. The heart valve repair system of claim 35 , wherein the frame comprises a plurality of struts.
38. The heart valve repair system according to claim 35 , wherein the implant does not comprise a prosthetic heart valve.
39. The heart valve repair system of claim 27 , A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm, the first arm having first and second ends, and (ii) a second arm, wherein for each of the gripping members:
(A) the first arm is movable toward the second arm to clamp a respective one of the native leaflets between the first and second arms, and
(B) due to the moving of the first arm toward the second arm to clamp the respective one of the native leaflets, the second end of the first arm moves toward the second arm more than the first end of the first arm moves toward the second arm,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the second end of the first arm of each of the gripping members, and
wherein the implant is configured to assume an implanted state following clamping of the leaflets by the first and second gripping members, and wherein, in the implanted state, the first and second gripping members are configured to allow the first and second native leaflets to function as a check-valve.
40. The heart valve repair system of claim 39 , wherein the frame comprises a lattice structure frame.
41. The heart valve repair system of claim 39 , wherein the frame comprises a plurality of struts.
42. The heart valve repair system according to claim 39 , wherein:
the heart valve repair system further comprises an elongate control member that is:
movable within the delivery sheath,
reversibly couplable to the implant, and
extracorporeally controllable to facilitate clamping of the implant onto the native leaflets, and
in the delivery state, the wall of the frame surrounds a space through which the elongate control member is movable.
43. The heart valve repair system according to claim 39 , wherein the implant does not comprise a prosthetic heart valve.
44. The heart valve repair system according to claim 39 , wherein the implant further comprises first and second gripping member mounts to which the first and second gripping members are mounted, respectively, and wherein each of the gripping member mounts is shaped as a strip.
45. The heart valve repair system of claim 27 , further comprising A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm, the first arm having first and second ends, and (ii) a second arm, wherein for each of the gripping members:
(A) the first arm is movable toward the second arm to clamp a respective one of the native leaflets between the first and second arms, and
(B) due to the moving of the first arm toward the second arm to clamp the respective one of the native leaflets, the second end of the first arm moves toward the second arm more than the first end of the first arm moves toward the second arm,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the second end of the first arm of each of the gripping members, and
wherein the heart valve repair system further comprises an elongate control member that is:
movable within the delivery sheath,
reversibly couplable to the implant, and
extracorporeally controllable to facilitate clamping of the implant onto the native leaflets,
wherein in the delivery state, the wall of the frame surrounds a space through which the elongate control member is movable.
46. The heart valve repair system of claim 45 , wherein the elongate control member is decouplable from the implant and withdrawable through the frame following clamping of the native leaflets.
47. The heart valve repair system according to claim 45 , wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
48. The heart valve repair system of claim 45 , wherein the frame comprises a lattice structure frame.
49. The heart valve repair system of claim 45 , wherein the frame comprises a plurality of struts.
50. The heart valve repair system according to claim 45 , wherein the implant does not comprise a prosthetic heart valve.
51. The heart valve repair system according to claim 27 , A heart valve repair system, comprising:
a delivery sheath having a proximal end and a distal end; and
an implant configured to be coupled to first and second native leaflets of a native heart valve of a patient, the implant comprising:
a frame having a surface configured to contact an upstream surface of the native heart valve; and
first and second gripping members coupled to the frame, each of the first and second gripping members including (i) a first arm, the first arm having first and second ends, and (ii) a second arm, wherein for each of the gripping members:
(A) the first arm is movable toward the second arm to clamp a respective one of the native leaflets between the first and second arms, and
(B) due to the moving of the first arm toward the second arm to clamp the respective one of the native leaflets, the second end of the first arm moves toward the second arm more than the first end of the first arm moves toward the second arm,
wherein the implant is disposed in the delivery sheath in a delivery state in which:
the frame has a proximal end, closer to the proximal end of the delivery sheath, and a distal end, closer to the distal end of the delivery sheath,
the frame is shaped to define a wall fully surrounding, from a proximal end of the wall to a distal end of the wall, a central longitudinal axis of the implant, the proximal end of the wall defining a proximal opening of the frame, and the distal end of the wall defining a distal opening of the frame, and
the distal end of the wall is disposed proximally to the second end of the first arm of each of the gripping members, and
wherein the implant further comprises first and second gripping member mounts to which the respective second arms of the respective first and second gripping members are mounted.
52. The heart valve repair system according to claim 51 , wherein each of the gripping member mounts is shaped as a strip.
53. The heart valve repair system according to claim 51 , wherein the implant is configured to assume an implanted state in which, following clamping of the leaflets by the first and second gripping members, the first and second gripping members form the first and second native leaflets into a double orifice, each orifice configured to function as a respective check-valve.
54. The heart valve repair system according to claim 51 , wherein:
the heart valve repair system further comprises an elongate control member that is:
movable within the delivery sheath,
reversibly couplable to the implant, and
extracorporeally controllable to facilitate clamping of the implant onto the native leaflets, and
in the delivery state, the wall of the frame surrounds a space through which the elongate control member is movable.
55. The heart valve repair system of claim 51 , wherein the frame comprises a lattice structure frame.
56. The heart valve repair system of claim 51 , wherein the frame comprises a plurality of struts.
57. The heart valve repair system according to claim 51 , wherein the implant does not comprise a prosthetic heart valve.