Shape Memory Foam Sealing Around Heart Valves With Paravalvular Leaks
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Solution Overview
Problem
Conventional methods for sealing around implanted valves, such as Dacron skirts, fail to adequately fill the paravalvular space and promote tissue integration, leading to paravalvular leaks and poor device sealing.
Innovation Solution
The use of shape memory polymer (SMP) foams that expand radially to fill gaps around valves, promoting tissue integration and occluding leaks, with features like adhesion to valve support struts and controlled deployment mechanisms to prevent dislodgment.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional sealing methods (Dacron skirts) are used, then the device structure is simple, but the sealing effectiveness is insufficient and tissue integration is poor
Solution Approach 1:
The patent utilizes shape memory polymers that change their physical parameters (shape, volume, density) in response to temperature changes. The SMP foam transitions from a compressed low-density state during delivery to an expanded high-density state at body temperature, enabling effective sealing without complex mechanical structures
Solution Approach 2:
The patent employs composite material structures combining SMP foam with valve support struts and tissue integration features. The foam is adhered to the valve support structure, creating a composite system that provides both structural support and sealing functionality, resolving the contradiction between simplicity and effectiveness
2Reliability
If the foam expands radially to fill gaps, then sealing effectiveness improves, but shear forces during deployment increase
Solution Approach 1:
The SMP foam is pre-compressed to a low-density state before deployment, allowing it to be delivered through catheters with minimal resistance. Upon deployment, the foam automatically expands to its high-density sealing configuration, reducing the need for high shear forces during the sealing process
Solution Approach 2:
The patent exploits the phase transition of shape memory polymers from a compressed state to an expanded state triggered by body temperature. This phase transition enables the foam to fill paravalvular gaps effectively while minimizing deployment forces, as the expansion is driven by thermal energy rather than mechanical shear
3Stability of the object's composition
If the foam is adhered to valve support struts, then device stability improves, but manufacturing complexity increases
Solution Approach 1:
The patent combines the sealing foam with the valve support struts into an integrated assembly. The SMP foam is adhered to the struts, merging the sealing function with the structural support function, which improves device stability while the modular design maintains manufacturing feasibility
4Reliability
If the foam density is increased for better sealing, then occlusion effectiveness improves, but crimping capability decreases
Solution Approach 1:
The patent employs a dynamic density transformation where the SMP foam transitions from a low-density compressed state (easy to crimp and deliver) to a high-density expanded state (effective for sealing and occlusion). This dynamic property resolution allows the foam to satisfy both crimping capability and occlusion effectiveness requirements at different stages of the device lifecycle
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 SMP foams effectively seal paravalvular leaks by integrating with surrounding tissue, providing durable occlusion and preventing leaks, while minimizing shear forces during deployment.
Implementation Method 1
an open-cell polyurethane thermoset shape memory polymer (SMP) foam, the SMP foam being configured to expand from a compressed secondary state to an expanded primary state
Implementation Method 2
features like adhesion to valve support struts
Data Source
AI summary
An embodiment includes individual SMP foams that radially expand and fill gaps around a heart valve that may be improperly seated, in an unusual cross section, or has poor apposition against a calcified lesion. Other embodiments are described herein.


