Minimally Invasive Heart Valve Prosthetic Device
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Solution Overview
Problem
Heart valve regurgitation, characterized by leakage from the outflow to the inflow side of a heart valve, reduces heart efficiency, leads to fatigue, shortness of breath, and can progress to congestive heart failure or death, and current treatments like open-heart surgery are invasive and not suitable for high-risk patients.
Innovation Solution
A minimally invasive prosthetic device with an anchoring member and an insert member configured for deployment between the leaflets of a native heart valve, such as the aortic valve, to create a tight seal and prevent regurgitation, using a stent for anchoring and a delivery catheter for percutaneous or minimally invasive procedures, allowing the native valve to function naturally while supplementing its function.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If open-heart surgery is used to replace the defective valve, then the valve function is improved, but the invasiveness and risk to high-risk patients increases
Solution Approach 1:
The device is divided into separate functional components: an anchoring member for securing to the valve annulus and an insert member for sealing between leaflets. This segmentation allows for minimally invasive delivery while maintaining effective valve function through coordinated action of specialized components.
Solution Approach 2:
The insert member acts as an intermediary element positioned between the native valve leaflets to prevent regurgitation. This intermediary approach allows treatment of the valve defect without requiring complete valve replacement, thereby reducing invasiveness while improving reliability.
2Object-affected harmful factors
If percutaneous valve replacement is used, then the invasiveness is reduced, but challenges with delivery techniques and perivalvular leakage remain
Solution Approach 1:
The device is divided into separate functional components: an anchoring member for securing to the valve annulus and an insert member for sealing between leaflets. This segmentation allows for minimally invasive delivery while maintaining effective valve function through coordinated action of specialized components.
Solution Approach 2:
The insert member is specifically designed with sealing surfaces and geometry tailored to fit between the valve leaflets, creating localized sealing action that prevents perivalvular leakage. The anchoring member provides localized securing to the annulus, ensuring stable positioning during percutaneous delivery.
3Object-affected harmful factors
If percutaneous valve replacement is used, then the invasiveness is reduced, but the durability of the valve is compromised
Solution Approach 1:
The device is divided into separate functional components: an anchoring member for securing to the valve annulus and an insert member for sealing between leaflets. This segmentation allows for minimally invasive delivery while maintaining effective valve function through coordinated action of specialized components.
Solution Approach 2:
The device utilizes composite construction combining an anchoring member (stent) with an insert member (valve leaflet prosthesis) to achieve both minimally invasive delivery and long-term durability. The stent provides structural stability and anchoring, while the insert member provides durable sealing function.
4Reliability
If the native valve is replaced, then the regurgitation is treated, but the native valve structure is destroyed
Solution Approach 1:
The insert member acts as an intermediary element positioned between the native valve leaflets to prevent regurgitation. This intermediary approach allows treatment of the valve defect without requiring complete valve replacement, thereby reducing invasiveness while improving reliability.
Solution Approach 2:
The device is divided into separate functional components: an anchoring member for securing to the valve annulus and an insert member for sealing between leaflets. This segmentation allows for minimally invasive delivery while maintaining effective valve function through coordinated action of specialized components.
Data Source
AI summary
A method of treating a defective heart valve includes inserting a delivery catheter through a small incision in a patient's groin, wherein the delivery catheter has a prosthetic device positioned along a distal end. The prosthetic device includes an insert member and an anchoring member. The insert member self-expands to plug gaps between leaflets of the heart valve. The anchoring member is preferably a stent connected to the insert member by at least one elongate member. The stent is deployed within an adjacent blood vessel for anchoring the insert member. After deployment of the prosthetic device, the leaflets of the heart valve form a tight seal against the insert member for preventing regurgitation when the leaflets are closed and wherein blood passes through the insert member when the leaflets are open.


