Radially collapsible frame for a prosthetic valve and method for manufacturing such a frame
The present invention relates to a radially collapsible frame ( 1 ) for a prosthetic valve, the frame ( 1 ) comprising an outflow end region ( 3 ) at a proximal end of the frame ( 1 ) and an inflow end region ( 2 ) at a distal end of the frame ( 1 ), opposite to the outflow end region ( 3 ). The frame ( 1 ) further includes at least two radially spaced commissure attachment regions 910, 10′, 10 ″) and a cell structure ( 30 ), composed of a plurality of lattice cells being arranged radially around a flow axis of the frame ( 1 ) and connecting the at least two commissure attachment regions ( 10, 10′, 10 ″). Finally, at least one anchoring/positioning arch ( 20, 20′, 20 ″) is provided, wherein said at least one anchoring/positioning arch ( 20, 20′, 20 ″) radially overlaps the cell structure ( 30 ) at least partially. In order to form the inventive frame from as a single piece, the invention further relates to a method comprising bending the at least one anchoring/positioning arch ( 20, 20′, 20 ″) towards the cell structure ( 30 ) of the frame ( 1 ).
1. An endoprosthesis for implantation at a native heart valve site, the endoprosthesis comprising:
a frame comprising:
a plurality of lattice cells comprising a plurality of first cells around a circumference of an inflow end of the frame and a plurality of second cells at an outflow end of the frame;
a plurality of arches configured to be positioned radially outward of, and to directly overlap with, lattice cells of the plurality of lattice cells when the endoprosthesis is implanted at the native heart valve site such that each arch of the plurality of arches is configured to clamp a native heart valve leaflet therebetween, wherein each arch of the plurality of arches comprises a first arch end and a second arch end and forming a U-shape or a V-shape between the first and second arch ends, wherein the first and second arch ends of each arch of the plurality of arches are configured to be positioned downstream of at least one cell of the plurality of second cells positioned between the first and second arch ends of the arch at the outflow end of the frame and each arch of the plurality of arches is configured to extend upstream of at least a portion of at least one cell of the plurality of first cells when the endoprosthesis is implanted at the native heart valve site;
a valve prosthesis coupled to the frame; and
a skirt portion coupled to the frame.
2. The endoprosthesis of claim 1 , wherein each arch of the plurality of arches comprises an apex configured to be positioned upstream of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
3. The endoprosthesis of claim 1 , wherein the plurality of first cells are longitudinally aligned with one another around the circumference of the inflow end of the frame.
4. The endoprosthesis of claim 1 , wherein the valve prosthesis is positioned within the plurality of lattice cells of the frame.
5. The endoprosthesis of claim 1 , wherein the frame is formed from a single piece of frame.
6. The endoprosthesis of claim 1 , wherein the plurality of arches comprise exactly three arches.
7. The endoprosthesis of claim 6 , wherein the exactly three arches are each U-shaped.
8. The endoprosthesis of claim 1 , wherein the frame comprises holes each configured to receive a suture.
9. The endoprosthesis of claim 1 , wherein the plurality of arches are integrally formed with the frame.
10. The endoprosthesis of claim 1 , wherein the frame comprises commissure regions at the outflow end of the frame.
11. The endoprosthesis of claim 10 , wherein the commissure regions of the frame extend further downstream than at least some of the plurality of second cells.
12. The endoprosthesis of claim 10 , wherein the first and second arch ends of each arch are configured to couple to the commissure regions of the frame.
13. The endoprosthesis of claim 10 , wherein the commissure regions comprise holes each configured to receive a suture.
14. The endoprosthesis of claim 1 , wherein the frame further comprises a plurality of second arches that correspond to respective arches of the plurality of arches.
15. The endoprosthesis of claim 14 , wherein the plurality of second arches provide attachment regions for cusp edges of leaflets of the valve prosthesis.
16. The endoprosthesis of claim 1 , wherein the plurality of first cells form an annular collar around the circumference of the frame at the inflow end.
17. The endoprosthesis of claim 16 , wherein the annular collar is configured to flare outward.
18. The endoprosthesis of claim 1 , wherein each of the plurality of arches is configured to be positioned radially outward of, and to overlap with, at least one cell of the plurality of plurality of cells when the endo prosthesis is implanted at the native valve site.
19. The endoprosthesis of claim 1 , wherein each of the plurality of arches is configured to be positioned radially outward of, and to overlap with, at least one cell of the plurality of first cells when the endoprosthesis is implanted at the native heart valve site.
20. The endoprosthesis of claim 1 , wherein each of the plurality of arches is configured to be positioned radially outward of, and to overlap with, at least one cell of the plurality of first cells and at least one cell of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
21. The endoprosthesis of claim 1 , wherein the frame comprises a plurality of notches for suturing the valve prosthesis to the frame.
22. The endoprosthesis of claim 1 , wherein the frame comprises a plurality of fastening holes for suturing the valve prosthesis to the frame.
23. The endoprosthesis of claim 1 , wherein an edge of the frame comprises a scalloped shape.
24. An endoprosthesis for implantation at a native heart valve site, the endoprosthesis comprising:
a frame comprising:
a plurality of lattice cells comprising a plurality of first cells around a circumference of an inflow end of the frame and a plurality of second cells at an outflow end of the frame, wherein the plurality of first cells are longitudinally aligned with one another around the circumference of the inflow end of the frame;
a plurality of arches configured to be positioned radially outward of, and to directly overlap with, lattice cells of the plurality of lattice cells when the endoprosthesis is implanted at the native heart valve site such that each arch of the plurality of arches is configured to clamp a native heart valve leaflet therebetween, wherein each arch of the plurality of arches comprises a first arch end and a second arch end and forming a U-shape or a V-shape between the first and second arch ends, wherein the first and second arch ends of each arch of the plurality of arches are configured to be positioned downstream of at least one cell of the plurality of second cells positioned between the first and second arch ends of the arch at the outflow end of the frame and each arch of the plurality of arches is configured to extend upstream of at least a portion of at least one cell of the plurality of first cells when the endoprosthesis is implanted at the native heart valve site; and
a valve prosthesis coupled to the frame.
25. The endoprosthesis of claim 24 , wherein each arch of the plurality of arches comprises an apex configured to be positioned upstream of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
26. The endoprosthesis of claim 24 , further comprising a skirt portion coupled to the frame.
27. The endoprosthesis of claim 24 , wherein the valve prosthesis is positioned within the plurality of lattice cells of the frame.
28. The endoprosthesis of claim 24 , wherein the frame is formed from a single piece frame.
29. The endoprosthesis of claim 24 , wherein the plurality of arches comprise exactly three arches.
30. The endoprosthesis of claim 29 , wherein the exactly three arches are each U-shaped.
31. The endoprosthesis of claim 24 , wherein the frame comprises holes each configured to receive a suture.
32. The endoprosthesis of claim 24 , wherein the plurality of arches are integrally formed with the frame.
33. The endoprosthesis of claim 24 , wherein the frame comprises commissure regions at the outflow end of the frame.
34. The endoprosthesis of claim 33 , wherein the commissure regions of the frame extend further downstream than at least some of the plurality of second cells.
35. The endoprosthesis of claim 33 , wherein the first and second arch ends of each arch are configured to couple to the commissure regions of the frame.
36. The endoprosthesis of claim 33 , wherein the commissure regions comprise holes each configured to receive a suture.
37. The endoprosthesis of claim 24 , wherein the frame further comprises a plurality of second arches that correspond to respective arches of the plurality of arches.
38. The endoprosthesis of claim 37 , wherein the plurality of second arches provide attachment regions for cusp edges of leaflets of the valve prosthesis.
39. The endoprosthesis of claim 24 , wherein the plurality of first cells form an annular collar around the circumference of the frame at the inflow end.
40. The endoprosthesis of claim 39 , wherein the annular collar is configured to flare outward.
41. The endoprosthesis of claim 24 , wherein each of the plurality of arches is configured to be positioned radially outward of, and to overlap with, at least one cell of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
42. The endoprosthesis of claim 24 , wherein each of the plurality of arches is configured to be positioned radially outward of, and to overlap with, at least one cell of the plurality of first cells when the endoprosthesis is implanted at the native heart valve site.
43. The endoprosthesis of claim 24 , wherein each of the plurality of arches is configured to be positioned radially outward of, and to overlap with, at least one cell of the plurality of first cells and at least one cell of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
44. The endoprosthesis of claim 24 , wherein the frame comprises a plurality of notches for suturing the valve prosthesis to the frame.
45. The endoprosthesis of claim 24 , wherein the frame comprises a plurality of fastening holes for suturing the valve prosthesis to the frame.
46. An endoprosthesis for implantation at a native heart valve site, the endoprosthesis comprising:
a frame comprising:
a plurality of lattice cells comprising a plurality of first cells around a circumference of an inflow end of the frame and a plurality of second cells at an outflow end of the frame, wherein the frame comprises commissure regions at the outflow end of the frame, wherein the commissure regions of the frame extend further downstream than at least some of the plurality of second cells;
a plurality of arches configured to be positioned radially outward of, and to directly overlap with, lattice cells of the plurality of lattice cells when the endoprosthesis is implanted at the native heart valve site such that each arch of the plurality of arches is configured to clamp a native heart valve leaflet therebetween, wherein each arch of the plurality of arches comprises a first arch end and a second arch end and forming a U-shape or a V-shape between the first and second arch ends, wherein the first and second arch ends of each arch of the plurality of arches are configured to be positioned downstream of at least one cell of the plurality of second cells positioned between the first and second arch ends of the arch at the outflow end of the frame and each arch of the plurality of arches is configured to extend upstream of at least a portion of at least one cell of the plurality of first cells when the endoprosthesis is implanted at the native heart valve site; and
a valve prosthesis coupled to the frame.
47. The endoprosthesis of claim 46 , wherein each arch of the plurality of arches comprises an apex configured to be positioned upstream of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
48. The endoprosthesis of claim 46 , wherein the plurality of first cells are longitudinally aligned with one another around the circumference of the inflow end of the frame.
49. The endoprosthesis of claim 46 , further comprising a skirt portion coupled to the frame.
50. The endoprosthesis of claim 46 , wherein the valve prosthesis is positioned within the plurality of lattice cells of the frame.
51. The endoprosthesis of claim 46 , wherein the frame is formed from a single piece frame.
52. The endoprosthesis of claim 46 , wherein the plurality of arches comprise exactly three arches.
53. The endoprosthesis of claim 52 , wherein the exactly three arches are each U-shaped.
54. The endoprosthesis of claim 46 , wherein the frame comprises holes each configured to receive a suture.
55. The endoprosthesis of claim 46 , wherein the plurality of arches are integrally formed with the frame.
56. The endoprosthesis of claim 46 , wherein the first and second arch ends of each arch are configured to couple to the commissure regions of the frame.
57. An endoprosthesis for implantation at a native heart valve site, the endoprosthesis comprising:
a frame comprising:
a plurality of lattice cells comprising a plurality of first cells around a circumference of an inflow end of the frame and a plurality of second cells at an outflow end of the frame, wherein the frame comprises commissure regions at the outflow end of the frame, wherein the first and second arch ends of each arch are configured to couple to the commissure regions of the frame;
a plurality of arches configured to be positioned radially outward of, and directly to overlap with, lattice cells of the plurality of lattice cells when the endoprosthesis is implanted at the native heart valve site such that each arch of the plurality of arches is configured to clamp a native heart valve leaflet therebetween, wherein each arch of the plurality of arches comprises a first arch end and a second arch end and forming a U-shape or a V-shape between the first and second arch ends, wherein the first and second arch ends of each arch of the plurality of arches are configured to be positioned downstream of at least one cell of the plurality of second cells positioned between the first and second arch ends of the arch at the outflow end of the frame and each arch of the plurality of arches is configured to extend upstream of at least a portion of at least one cell of the plurality of first cells when the endoprosthesis is implanted at the native heart valve site; and
a valve prosthesis coupled to the frame.
58. The endoprosthesis of claim 57 , wherein each arch of the plurality of arches comprises an apex configured to be positioned upstream of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
59. The endoprosthesis of claim 57 , wherein the plurality of first cells are longitudinally aligned with one another around the circumference of the inflow end of the frame.
60. The endoprosthesis of claim 57 , further comprising a skirt portion coupled to the frame.
61. The endoprosthesis of claim 57 , wherein the valve prosthesis is positioned within the plurality of lattice cells of the frame.
62. The endoprosthesis of claim 57 , wherein the frame is formed from a single piece frame.
63. The endoprosthesis of claim 57 , wherein the plurality of arches comprise exactly three arches.
64. The endoprosthesis of claim 63 , wherein the exactly three arches are each U-shaped.
65. The endoprosthesis of claim 57 , wherein the frame comprises holes each configured to receive a suture.
66. The endoprosthesis of claim 57 , wherein the plurality of arches are integrally formed with the frame.
67. The endoprosthesis of claim 57 , wherein the commissure regions of the frame extend further downstream than at least some of the plurality of second cells.
68. An endoprosthesis for implantation at a native heart valve site, the endoprosthesis comprising:
a frame comprising:
a plurality of lattice cells comprising a plurality of first cells around a circumference of an inflow end of the frame and a plurality of second cells at an outflow end of the frame;
a plurality of arches configured to be positioned radially outward of, and to directly overlap with, lattice cells of the plurality of lattice cells when the endoprosthesis is implanted at the native heart valve site such that each arch of the plurality of arches is configured to clamp a native heart valve leaflet therebetween, wherein each arch of the plurality of arches comprises a first arch end and a second arch end and forming a U-shape or a V-shape between the first and second arch ends, wherein the first and second arch ends of each arch of the plurality of arches are configured to be positioned downstream of at least one cell of the plurality of second cells positioned between the first and second arch ends of the arch at the outflow end of the frame when the endoprosthesis is implanted at the native heart valve site, wherein each of the plurality of arches is configured to be positioned radially outward of, and to overlap with, at least one cell of the plurality of first cells and at least one cell of the plurality of second cells and each arch of the plurality of arches is configured to extend upstream of at least a portion of at least one cell of the plurality of first cells when the endoprosthesis is implanted at the native heart valve site; and
a valve prosthesis coupled to the frame.
69. The endoprosthesis of claim 68 , wherein each arch of the plurality of arches comprises an apex configured to be positioned upstream of the plurality of second cells when the endoprosthesis is implanted at the native heart valve site.
70. The endoprosthesis of claim 68 , wherein the plurality of first cells are longitudinally aligned with one another around the circumference of the inflow end of the frame.
71. The endoprosthesis of claim 68 , further comprising a skirt portion coupled to the frame.
72. The endoprosthesis of claim 68 , wherein the valve prosthesis is positioned within the plurality of lattice cells of the frame.
73. The endoprosthesis of claim 68 , wherein the frame is formed from a single piece frame.
74. The endoprosthesis of claim 68 , wherein the plurality of arches comprise exactly three arches.
75. The endoprosthesis of claim 74 , wherein the exactly three arches are each U-shaped.
76. The endoprosthesis of claim 68 , wherein the frame comprises holes each configured to receive a suture.
77. The endoprosthesis of claim 68 , wherein the plurality of arches are integrally formed with the frame.
78. The endoprosthesis of claim 68 , wherein the frame comprises commissure regions at the outflow end of the frame.
79. The endoprosthesis of claim 78 , wherein the commissure regions of the frame extend further downstream than at least some of the plurality of second cells.
80. The endoprosthesis of claim 78 , wherein the first and second arch ends of each arch are configured to couple to the commissure regions of the frame.