Replacement heart valve with reduced suturing
A heart valve replacement device comprises a stent having a first end, a second end, an outer surface, and an inner surface, the inner surface defining a lumen; and a valve disposed within the lumen of the stent, the valve formed from a single sheet of tissue, the valve having an outer surface, an inner surface, and a thickness between the outer surface and the inner surface, the valve comprising at least three leaflets, wherein, the valve is attached to the stent with minimal sutures. The leaflets are formed with a curvilinear surface.
1 . A method of manufacturing a replacement heart valve device, comprising:
inserting a single sheet of an acellular, collagen-based biomaterial between a lower portion and an upper portion of a mold, wherein the lower portion and the upper portion of the mold cooperate to provide:
at least three leaflet forming sections comprising: (i) at least three convex forming sections of the lower portion and (ii) at least three concave forming sections of the upper portion, wherein each leaflet forming section has a curvilinear surface that is bounded by three curvilinear edges; and
commissure regions between adjacent leaflet forming sections of the at least three leaflet forming sections,
wherein the lower portion of the mold comprises a body region that is a substantially flat surface area that is adjacent to and extending away from each of the convex forming sections and each of the commissure regions;
while the acellular, collagen-based biomaterial is in the mold, applying a cross-linking solution to the acellular, collagen-based biomaterial to facilitate cross-linking of the acellular, collagen-based biomaterial to thereby create a molded valve, wherein the molded valve comprises:
a body portion formed by the body region;
at least three leaflets connected to the body portion, wherein the at least three leaflets are each molded by the at least three leaflet forming sections and are cross-linked to maintain a molded curved three-dimensional shape with a concave profile; and
molded commissures between adjacent leaflets of the at least three leaflets;
inserting the molded valve into a lumen of a stent; and
securing the valve to the stent with sutures.
2 . The method of claim 1 , wherein the molded valve is secured to the stent with between three and twenty sutures.
3 . The method of claim 1 , wherein the mold has a locking member for locking the upper portion relative to the lower portion.
4 . The method of claim 1 , wherein a spacer is inserted between the single sheet of the acellular, collagen-based biomaterial and at least one of the upper portion and the lower portion.
5 . The method of claim 1 , wherein the single sheet of the acellular, collagen-based biomaterial has varying thickness.
6 . The method of claim 5 , wherein the single sheet of the acellular, collagen-based biomaterial was cut with a cutting device to vary the thickness.
7 . The method of claim 1 , wherein each curvilinear edge intersects with two other curvilinear edges of the three curvilinear edges.