Commissure Patch Stress Isolation for Prosthetic Heart Valves

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Solution Overview

Problem

Existing collapsible/expandable prosthetic heart valves face challenges with mechanical stress on leaflet tissue due to continuous opening and closing, particularly with harder materials like cobalt-chromium, where stress isolation at commissure regions is limited.

Innovation Solution

Incorporating commissure attachment features with patches, such as inner patches and billowing patches, to allow for deflection and stress absorption between leaflets and the stent, reducing mechanical stress on the leaflet material.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Strength

If harder materials like cobalt-chromium are used for stents, then stent strength and durability are improved, but mechanical stress on leaflet tissue increases

Engineering Contradiction:
Improvestent strengthVSAvoidmechanical stress on leaflet tissue
Core Design Contradiction:
StrengthVSObject-affected harmful factors

Solution Approach 1:

A compliant commissure attachment feature is introduced as an intermediary element between the rigid stent and the leaflet. This compliant feature acts as a stress-absorbing mediator that decouples the rigid stent structure from the flexible leaflet, preventing direct transmission of mechanical stress while maintaining structural integrity.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The commissure attachment feature utilizes material compliance parameter changes through deflection and deformation. The compliant material allows controlled deflection under mechanical load, changing its physical state to absorb stress peaks and reduce force transmission to the leaflet tissue.

Inventive Principle:
Principle #35Parameter changes

2Duration of action of moving object

If continuous opening and closing occurs during valve operation, then valve function is maintained, but mechanical stress on leaflet tissue accumulates

Engineering Contradiction:
Improvevalve operational durationVSAvoidleaflet tissue durability
Core Design Contradiction:
Duration of action of moving objectVSReliability

Solution Approach 1:

The compliant commissure attachment feature provides beforehand cushioning by absorbing mechanical stress during each valve cycle before it can be transmitted to the leaflet. This preemptive stress absorption protects the leaflet from cumulative damage over time, extending its operational lifespan.

Inventive Principle:
Principle #11Beforehand cushioning (Prior cushioning)

Solution Approach 2:

The design converts the potentially harmful continuous mechanical stress into a beneficial stress-absorption mechanism. The compliant feature deliberately deforms and deflects under load, transforming harmful stress transmission into useful stress dissipation that protects the leaflet while maintaining valve functionality.

Inventive Principle:
Principle #22Blessing in disguise (Convert harm into benefit)

3Stability of the object's composition

If rigid stent structures are used, then structural stability is improved, but stress isolation at commissure regions is reduced

Engineering Contradiction:
Improvestent structural stabilityVSAvoidstress concentration at commissure regions
Core Design Contradiction:
Stability of the object's compositionVSObject-affected harmful factors

Solution Approach 1:

The stent structure employs local quality differentiation by maintaining rigid structures in most areas for overall stability while introducing a locally compliant commissure attachment feature. This localized compliance specifically at the commissure region provides stress isolation where needed without compromising the global structural integrity of the stent.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The commissure attachment feature is segmented as a distinct, separable component between the stent and leaflet. This segmentation allows the compliant feature to independently deflect and absorb stress, isolating the stress concentration from both the rigid stent structure and the leaflet tissue.

Inventive Principle:
Principle #1Segmentation

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The solution effectively reduces mechanical stress on leaflet tissue by enabling movement and deflection in high-stress regions, enhancing the durability and performance of prosthetic heart valves, especially with cobalt-chromium stents.

Implementation Method 1

a billowing patch coupled to a selected one of the plurality of commissure attachment features... enabling movement and deflection in high-stress regions

Methodology Applied
Scientific EffectElasticity: Elasticity

Data Source

PatentUS20240122703A1Commissure attachment feature stress isolation
Publication Date: 2024.04.18 ST JUDE MEDICAL CARDILOGY DIV INC
  • US20240122703A1 patent drawing
  • US20240122703A1 patent drawing
  • US20240122703A1 patent drawing

AI summary

In some embodiments, a prosthetic heart valve system, includes a stent having a plurality of commissure attachment features, a cuff coupled to the stent, a plurality of leaflets, the cuff and the plurality of leaflets forming a valve assembly, and a plurality of patches, each of the plurality of patches being disposed about a selected one of the plurality of commissure attachment features and coupled thereto, the plurality of leaflets being coupled to plurality of patches.