Expandable Heart Valve Leaflets for Pediatric Growth
Find Innovative SolutionsGenerate Solutions
Solution Overview
Problem
Congenital heart valve diseases often result in improperly formed aortic or pulmonary valves, leading to issues such as defective tissue leaflets, improper coaptation, and valve stenosis or regurgitation, necessitating multiple surgeries as patients grow, which are costly and risky.
Innovation Solution
Development of an artificial heart valve with a self-expanding frame and leaflets that grow with the patient, incorporating embedded support structures like nickel titanium alloys and undulating meshes, allowing the valve to accommodate anatomical changes without requiring additional surgeries.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If a traditional fixed-size heart valve is implanted, then the valve structure is simple and easy to manufacture, but the valve cannot accommodate patient growth requiring multiple surgeries
Solution Approach 1:
The heart valve is designed with dynamic characteristics, allowing it to expand and grow along with the patient's anatomy. The frame and leaflets are configured to transition from an initial size suitable for infants to a larger size as the patient grows, eliminating the need for multiple replacement surgeries.
Solution Approach 2:
The valve employs parameter changes in its structural properties, specifically utilizing materials and designs that allow the frame and leaflets to change size. The embedded support structures enable controlled expansion while maintaining structural integrity throughout the growth process.
2Reliability
If multiple surgeries are performed to replace valves as patients grow, then the valve size can be matched to patient needs, but healthcare costs and surgical risks increase
Solution Approach 1:
The valve is designed with preliminary growth capacity built in from the outset. By anticipating future anatomical growth and incorporating expandable features in the initial implant, the system prevents the need for subsequent surgical interventions to accommodate size changes.
Solution Approach 2:
The heart valve performs self-adjustment through its inherent growth mechanism, automatically adapting to the patient's anatomical changes without requiring external surgical intervention. The embedded support structures enable the valve to self-expand as the patient grows.
3Adaptability or versatility
If the frame and leaflets are made expandable to accommodate growth, then the valve can grow with the patient, but the manufacturing complexity increases
Solution Approach 1:
The valve employs composite material construction, combining flexible materials for the frame and leaflets with embedded rigid support structures. This composite approach enables the valve to be manufactured with growth capabilities while maintaining structural integrity and functionality throughout expansion.
Solution Approach 2:
The valve design incorporates nested structures where the leaflets are positioned within or alongside the frame, and embedded support structures are integrated within the valve components. This nesting allows for compact manufacturing while enabling expansion through coordinated deployment of nested elements.
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 self-growing valve maintains proper function as the patient grows, reducing the need for multiple surgeries, lowering healthcare costs and emotional stress, and ensuring consistent blood flow regulation.
Implementation Method 1
an embedded support structure that expands with expansion of the frame and contracts with contraction of the frame
Implementation Method 2
the embedded support structure comprises an undulating mesh
Data Source
AI summary
Described herein are artificial valves that have a frame and leaflets that grow or expand with a patient. Upon placing the valve inside the patient, the valve expands as the annulus of the patient expands. The frame of the valve is configured to expand which in turn causes the leaflets to expand (e.g., to grow). The valve includes a thin undulating wire embedded inside the leaflets. As the annulus of the patient grows, the frame expands, and as the frame expands, the leaflets grow. The growth or expansion of the leaflets is configured so that the valve continues to operate properly (e.g., the leaflets continue to coapt) with expansion of the annulus. The change in size of the valve can be configured to accommodate changes in size of the annulus from an infant or child to an adult.


