Articulated prosthesis for a tricuspid or mitral valve and related catching device
An articulated prosthesis, left in the patient's heart for repairing a tricuspid or mitral valve, is conceived so as to grip simultaneously all the three leaflets of the tricuspid valve, or the two of the mitral valve, so as to make them lay distended fully in the valve plane and assume a final configuration as in the common surgical procedure. It is also disclosed a related catching device and a device for repairing a tricuspid or mitral valve.
1. An articulated prosthesis for a tricuspid or a mitral valve, comprising:
a distal annular portion, a central annular portion and a proximal annular portion;
a first plurality of rigid arms hinged to an outer side surface of said distal annular portion;
a second plurality of rigid arms hinged to an outer side surface of said proximal annular portion;
a third plurality of rigid arms each of which has a respective first end hinged to an outer side surface of said central annular portion, and a respective second end opposite to said respective first end hinged to a corresponding second end of a rigid arm of said first plurality;
a fourth plurality of rigid arms each of which has a respective first end hinged to an outer side surface of said central annular portion, and a respective second end opposite to said respective first end hinged to a corresponding second end of a rigid arm of said second plurality;
at least one rigid arm of said rigid arms of said third plurality and/or at least one rigid arm of said rigid arms of said fourth plurality having a respective knurling defined on a respective catching surface, the catching surfaces of the rigid arms of said fourth plurality also defining pointed projections configured for spiking leaflets of said tricuspid or mitral valve;
said distal annular portion having an internal screw thread, said proximal annular portion having:
a cylindrical collar on a side surface of which said second plurality of rigid arms is hinged, and
a screw engaged into said collar and supported thereby so as to be free to rotate along a longitudinal axis of the screw, the screw being configured to engage with said internal screw thread,
said central annular portion defining a through hole for letting said proximal annular portion pass through;
said articulated prosthesis being movable from a distended configuration, in which all said rigid arms hinged in correspondence of their ends are distended along a longitudinal direction of said articulated prosthesis, to an expanded configuration, in which all said rigid arms hinged in correspondence of their ends are distended along a radial direction in a valve plane of said tricuspid or mitral valve, wherein said valve plane is transverse with respect to said longitudinal direction of the articulated prosthesis, and in which said proximal annular portion rests in the through hole of said central annular portion and is engaged with said distal annular portion, the rigid arms of said third plurality and of said fourth plurality being configured to hold therebetween said leaflets of said tricuspid or mitral valve, with said pointed projections spiking said leaflets held between the rigid arms of said third plurality and of said fourth plurality, when said articulated prosthesis is in the expanded configuration;
wherein said pointed projections are configured to spike said valve leaflets trapped between the rigid arms of said third plurality and of said fourth plurality when the articulated prosthesis is in the extended configuration, so as the valve leaflets are held distended in the valve plane without being folded by the rigid arms of said third plurality and of said fourth plurality and at the same time the valve leaflets are spiked by said pointed projections and a light is left between the valve leaflets;
wherein said respective catching surfaces of said rigid arms of the third plurality are concave to define a concavity of said respective catching surfaces oriented towards said rigid arms of the fourth plurality when the articulated prosthesis is in the expanded configuration;
a number of said rigid arms of said second plurality and said third plurality is twice a number of rigid arms of said first plurality and said fourth plurality, each rigid arm of said fourth plurality is hinged together with a respective first pair of parallel rigid arms composed of two parallel rigid arms of said second plurality, each rigid arm of said third plurality is hinged together with a respective second pair of parallel rigid arms composed of two parallel rigid arms of said first plurality;
wherein each rigid arm of said fourth plurality of arms faces a respective pair of rigid arms of the third plurality and no rigid arm of said third plurality is in more than one pair of the rigid arms of the third plurality, and
wherein said rigid arms of said respective pair of rigid arms of the third plurality are offset circumferentially with respect to the facing rigid arm of said fourth plurality so as said pointed projections are configured to spike the valve leaflets between respective rigid arms of said pair of rigid arms of the third plurality when the articulated prosthesis is in the extended configuration.
2. The articulated prosthesis of claim 1 , wherein said rigid arms of the fourth plurality are longitudinally concave to define a concavity of said rigid arms of the fourth plurality oriented in an opposite direction with respect to said rigid arms of said third plurality when the articulated prosthesis is in the expanded configuration.