Mitral Valve Stent Frame With Inward Cells for Easier Recapture
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Solution Overview
Problem
Existing prosthetic heart valve devices face challenges in recapturing and repositioning due to their self-expansion resisting collapse, leading to difficult adjustments and potential damage to native leaflets, and they often require full replacement of native valves, losing their functionality.
Innovation Solution
A collapsible and expandable prosthetic heart valve device with a stent frame featuring inwardly bent stent cells and a recapture assist mechanism, such as a paddle or slot, allows for efficient recapture and positioning within the delivery sheath, maintaining native valve functionality and minimizing interference with native leaflets.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Stability of the object's composition
If the prosthetic heart valve device is designed with self-expanding stent frame, then the valve can maintain its structural integrity and positioning stability, but the device becomes difficult to recapture and reposition due to resistance to collapse
Solution Approach 1:
The stent frame is divided into multiple stent cells with specific geometric configurations. These segmented cells are designed to collapse in a controlled manner along predefined lines, allowing the device to be recaptured while maintaining overall structural integrity during deployment
Solution Approach 2:
The stent cells are designed with dynamic collapse characteristics that allow controlled deformation during recapture. The cells can transition from an expanded stable state to a collapsed recapture state, and back to expanded state for repositioning, enabling dynamic adjustment of device rigidity
2Reliability
If the prosthetic valve device is designed for full replacement of native valve, then complete valve dysfunction can be addressed, but the native valve functionality is lost and potential damage to native leaflets occurs during implantation
Solution Approach 1:
The device provides different functional zones: the stent frame provides structural support and anchoring in the annulus, while the valve support structure with inwardly bent struts creates a protected space for native leaflets to function. This local differentiation allows the device to provide reliable valve function while preserving native leaflet functionality in specific regions
Solution Approach 2:
The valve support structure acts as an intermediary between the stent frame and native leaflets. The inwardly bent struts create a cage-like structure that protects native leaflets from direct contact with the stent frame during implantation and operation, reducing potential damage while maintaining valve function
3Ease of manufacture
If the stent frame uses traditional straight strut design, then manufacturing is simpler, but recapture efficiency is reduced and positioning precision is compromised
Solution Approach 1:
The stent cells are designed with asymmetric geometries that provide different mechanical properties in different directions. This asymmetry enables controlled collapse patterns during recapture while maintaining radial strength during deployment, achieving both positioning precision and recapture efficiency
Solution Approach 2:
The stent cells incorporate curved and angled strut configurations rather than straight lines. These curved geometries allow the struts to flex and collapse in a controlled manner during recapture, improving positioning precision and recapture efficiency compared to traditional straight strut designs
Data Source
AI summary
A collapsible and expandable prosthetic mitral valve stent is provided with improved recapture into a distal lumen of a delivery sheath. Various embodiments comprise a valve support within the interior of a stent frame and defining a flow channel therethrough, wherein the top or upstream of the valve support comprises a row, or a plurality, of stent cells that are bent radially inward at least partially over the flow channel. Some embodiments may comprise a recapture assist mechanism, such as an open paddle, attached to one or more of the inwardly bent stent cells and adapted to receive and/or engage a wire to aid in positioning, expansion, recapture and/or implanting the device in a patient's heart chamber.


