Mitral value prosthesis with atrial anchoring
A method of treating a mitral valve without open-heart surgery is disclosed. An expandable prosthesis comprises an anchoring portion and an occluding member coupled to the anchoring portion. The prosthesis is loaded into a distal end of a delivery catheter and advanced through a femoral vein and through a pre-made puncture in an atrial septum. The occluding member is then positioned in the mitral valve and the anchoring portion is positioned in the left atrium for maintaining the occluding member between the leaflets of the mitral valve. After deployment, the occluding member prevents blood from flowing from the left ventricle to the left atrium during systole.
1. A mitral valve prosthesis comprising:
an anchor member shaped to conform to a geometry of a left atrium, the anchor member comprising an anchoring cage formed by laser cutting, the anchoring cage having a spherical expanded shape sized to be positioned entirely within the left atrium; and
an occluding member secured at a bottom of the anchor member, the occluding member comprising at least two pieces of flexible material stitched together, each piece of material having a rounded arch-shaped top portion and a straight bottom portion,
wherein the mitral valve prosthesis is compressible for percutaneous delivery and expandable for deployment in the left atrium with the occluding member proximate a native mitral valve and wherein the anchor member is shaped to maintain a substantially fixed position within the left atrium while applying an anchoring force against a wall of the left atrium, and wherein the occluding member is operable for opening during diastole and closing during systole.
2. The mitral valve prosthesis of claim 1 , wherein the anchoring cage is laser cut from a single metal tube.
3. The mitral valve prosthesis of claim 1 , wherein the mitral valve prosthesis is shaped such that leaflets of the native mitral valve are capable of opening and closing after the mitral valve prosthesis has been deployed in the left atrium.
4. The mitral valve prosthesis of claim 1 , wherein the anchor member includes a shape memory material or nitinol.
5. The mitral valve prosthesis of claim 1 , wherein the anchor member is sized to uniformly distribute the anchoring force along the wall of the left atrium.
6. The mitral valve prosthesis of claim 1 , wherein the occluding member includes pericardial tissue, bovine tissue, polyurethane, fabric, biological material, or artificial material.
7. The mitral valve prosthesis of claim 1 , further comprising support arms coupled to the anchor member, the support arms supporting the occluding member.
8. A mitral valve prosthesis for reducing regurgitation in a native mitral valve, comprising:
an anchor member comprising an anchoring cage comprising a plurality of wires, the anchoring cage having a spherical expanded shape sized to be positioned entirely within a left atrium, the anchoring cage cut from a single nitinol tube; and
an occluding member secured at a bottom of the anchor member, the occluding member comprising at least two pieces of flexible material stitched together, each piece of material having a rounded arch-shaped top portion and a straight bottom portion, the flexible material including pericardial tissue,
wherein the mitral valve prosthesis is compressible for percutaneous delivery and expandable for deployment in the left atrium with the occluding member proximate a native mitral valve, with the anchor member applying an anchoring force against a wall of the left atrium, and the occluding member operable for opening during diastole and closing during systole,
wherein the mitral valve prosthesis is shaped to allow leaflets of the native mitral valve to open and close when the mitral valve prosthesis is implanted in the left atrium.