Heart valve with gathered sealing region
A valve for endovascular heart valve repair that provides improved sealing of the valve against the native wall. The valve assembly has a sealing region at a distal end of the valve. The sealing region having a delivery position and a sealing position, wherein in the delivery position, the sealing region has a first length, and in the sealing position, the sealing region has a second length less than the first length and a thickness in the sealing position is greater in the sealing position than in the delivery position.
1. A system for endovascular heart valve repair, the system comprising:
a delivery catheter comprising a retractable sheath; and
a valve assembly that is positionable within the retractable sheath in a delivery position, the valve assembly comprising:
a stent having a proximal end and a distal end, the stent having an outer surface and an inner surface defining a stent lumen; and
a sealable heart valve connected to the stent, the sealable heart valve having a proximal end and a distal end, the sealable heart valve having an outer surface, an inner surface defining a valve lumen, and a thickness between the outer surface and the inner surface, wherein the sealable heart valve comprises:
a leaflet region comprising at least one leaflet and at least one commissure, wherein the leaflet region is disposed within the stent lumen;
a support region extending proximally from the leaflet region within the stent lumen to the proximal end of the sealable heart valve; and
a sealing region comprising at least one gathering wire connector, the sealing region extending distally from the leaflet region to the distal end of the sealable heart valve, the sealing region having: (i) a delivery position and (ii) a sealing position in which the sealing region is gathered to form a plurality of ridges,
wherein the sealing region has a first length when in the delivery position and a second length that is less than the first length when in the sealing position,
wherein the sealing region has a first thickness when in the delivery position and a second thickness that is greater than the first thickness when in the sealing position,
wherein the sealing region flares radially outward when in the sealing position, and
wherein the sealing region has a larger outer diameter when in the sealing position than a largest outer diameter of the stent.
2. The system of claim 1 , further comprising at least one gathering wire having a distal end connected to at least one gathering connector near the distal end of the sealable heart valve in the delivery position.
3. The system of claim 2 , wherein the at least one gathering wire is configured to be pulled proximally to transition the sealing region from the delivery position to the sealing position.
4. The system of claim 3 , wherein the at least one gathering wire is released from the sealable heart valve when the sealing region is fixedly in the sealing position.
5. The system of claim 1 , wherein the sealing region comprises a valley between a first ridge and a second adjacent ridge in the delivery position.
6. The system of claim 5 , wherein in the sealing position, the first ridge abuts the second adjacent ridge.
7. The system of claim 1 , wherein the leaflet region and the sealing region are formed from a single piece of tissue material.
8. A valve assembly for endovascular heart valve repair, the valve assembly comprising:
a stent having a proximal end and a distal end, the stent having an outer surface, an inner surface defining a stent lumen; and
a sealable heart valve connected to the stent, the sealable heart valve having a proximal end and a distal end, the sealable heart valve having an outer surface, an inner surface defining a valve lumen, and a thickness between the outer surface and the inner surface, wherein the sealable heart valve comprises:
a leaflet region comprising at least one leaflet and at least one commissure, wherein the leaflet region is disposed within the stent lumen;
a support region extending proximally from the leaflet region within the stent lumen to the proximal end of the sealable heart valve; and
a sealing region comprising at least one gathering wire connector, the sealing region extending distally from the leaflet region to the distal end of the sealable heart valve, the sealing region having: (i) a delivery position and (ii) a sealing position in which the sealing region is gathered to form a plurality of ridges,
wherein the sealing region has a first length when in the delivery position and a second length that is less than the first length when in the sealing position,
wherein the sealing region has a first thickness when in the delivery position and a second thickness that is greater than the first thickness when in the sealing position,
wherein the sealing region flares radially outward when in the sealing position, and
wherein the sealing region has a larger outer diameter when in the sealing position than a largest outer diameter of the stent.
9. The valve assembly of claim 8 , wherein the leaflet region and the sealing region are formed from a single piece of tissue material.