Prosthetic heart valve
Embodiments of a radially collapsible and expandable prosthetic heart valve are disclosed. The prosthetic valve can comprise an annular frame, leaflets, an inner skirt, and an outer skirt. The outer skirt can be secured to the outside of the inflow end portion of the frame, the outer skirt having longitudinal slack that buckles outward radially when the valve is in the expanded configuration and which lies flat when the valve is in the collapsed configuration. In some embodiments, the outer skirt is stiffer in the axial direction of the valve than in the circumferential direction of the valve. In additional embodiments, the outer skirt comprises a self-expandable fabric comprising fibers made of a shape memory material having a shape memory set to enhance the radially outward buckling of the outer skirt. Methods of crimping such valves to a collapsed or partially collapsed configuration are also disclosed.
1. An implantable prosthetic valve comprising:
an annular frame comprising an inflow end and an outflow end and being radially collapsible and expandable between a radially collapsed configuration and a radially expanded configuration, the frame defining an axial direction extending from the inflow end to the outflow end;
a leaflet structure positioned within the frame and secured thereto; and
an annular outer skirt positioned around an outer surface of the frame, wherein the outer skirt comprises:
an inflow edge secured to the frame at a first location,
an outflow edge secured to the frame at a second location;
an intermediate portion between the inflow edge and the outflow edge that comprises slack that buckles radially outwards from the inflow and outflow edges of the annular outer skirt when the valve is in the expanded configuration; and
a fabric that is stiffer in the axial direction of the valve compared to a circumferential direction to enhance the radial outward buckling of the slack.
2. The valve of claim 1 , wherein the outflow edge of the outer skirt comprises a plurality of alternating projections and notches, the projections secured to the frame at the second location, the notches not directly secured to the frame.
3. The valve of claim 1 , wherein when the frame is in the collapsed configuration, a distance in the axial direction between the inflow edge of the outer skirt and the outflow edge of the outer skirt is greater than when the valve is in the expanded configuration, reducing the slack in the intermediate portion between the inflow edge and the outflow edge of the outer skirt.
4. The valve of claim 1 , wherein the fabric comprises fibers that do not comprise residual strain after the frame is expanded to the expanded configuration from the collapsed configuration.
5. The valve of claim 1 , wherein the annular outer skirt comprises the fabric that is stiffer in the axial direction of the valve compared to a circumferential direction, and wherein the fabric comprises:
a plurality of first fibers parallel to the axial direction of the frame; and
a plurality of second fibers perpendicular to the plurality of first fibers; and
wherein at least some of the fibers in the plurality of first fibers are stiffer than the fibers in the plurality of second fibers.
6. The valve of claim 5 , wherein the plurality of first fibers comprises monofilament fibers.
7. The valve of claim 5 , wherein the plurality of second fibers comprises microfilament fibers, multifilament fibers, or a combination of microfilament fibers and multifilament fibers.
8. The valve of claim 5 , wherein the plurality of second fibers comprises fibers that do not comprise residual strain after the frame is expanded to the expanded configuration from the collapsed configuration.
9. The valve of claim 1 , wherein a self-expandable fabric comprises a weave of warp fibers and weft fibers.
10. The valve of claim 1 , wherein the annular frame comprises a plurality of leaflet attachment portions; and the leaflet structure is secured to the leaflet attachment portions of the frame.
11. An assembly for implanting a prosthetic heart valve in a patient's body comprising:
a delivery apparatus comprising an elongated shaft; and
the prosthetic heart valve of claim 1 mounted on the shaft in a radially collapsed configuration for delivery into the body.