Heart Valve Calcification Fracturing With Stabilizer and Impactor Arms
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Solution Overview
Problem
Heart valve defects such as calcification lead to impaired leaflet mobility, necessitating a method to fracture calcifications and increase pliability for improved heart function.
Innovation Solution
A catheter-based device with an expandable stabilizer and impactor arms is used to fracture calcifications in heart valves, employing mechanisms like impactor shafts, weights, and pneumatic energy to deliver controlled energy for fracturing, while maintaining valve function and minimizing tissue damage.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If a catheter-based device with expandable stabilizer and impactor arms is used to fracture calcifications, then leaflet pliability and mobility are improved, but device complexity increases
Solution Approach 1:
The device is divided into multiple functional components: an expandable stabilizer with multiple arms that can be independently positioned, and separate impactor elements that can be delivered through the stabilizer structure. This segmentation allows each component to perform its specific function while maintaining overall system manageability despite the increased complexity required to treat calcified heart valves.
2Strength
If impactor arms are expanded outwards and locked to fracture calcification, then fracturing effectiveness is improved, but risk of tissue damage increases
Solution Approach 1:
The impactor arms are designed to deliver localized mechanical energy specifically to the calcified portions of the valve leaflets. The expandable stabilizer positions the impactors precisely at the target site, allowing high-force impact to fracture calcifications while the surrounding healthy tissue remains protected by the stabilizer structure and experiences minimal mechanical stress.
Solution Approach 2:
The expandable stabilizer is deployed before the impactor arms are activated, creating a protective framework that cushions and constrains the mechanical forces. This pre-positioned stabilizer structure prevents uncontrolled propagation of mechanical energy to surrounding healthy tissues while allowing the impactors to deliver necessary fracturing energy to the calcified areas.
3Adaptability or versatility
If the internal shaft is made movable to expand impactor arms, then device adaptability is improved, but device complexity increases
Solution Approach 1:
The internal shaft is designed as a dynamic component that can move relative to the impactor shaft, enabling the impactor arms to transition between a collapsed delivery state and an expanded working state. This dynamic mechanism allows the device to adapt to the anatomical constraints of the heart valve while providing the necessary mechanical advantage for fracturing calcifications, balancing versatility with manageable complexity through a single movable element.
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 device effectively fractures calcifications, enhancing leaflet mobility and preparing the valve for trans-catheter implantation, thereby improving heart function and reducing the risk of complications.
Implementation Method 1
the biasing device urges the weight towards the impactor arms with the sufficient energy
Implementation Method 2
the biasing device includes a pneumatic energy source connected to a pressurized air source
Implementation Method 3
the impactor arms, while in the expanded shape, to move towards the stabilizer with the sufficient energy so as to fracture a calcification
Data Source
AI summary
A method for heart valve treatment includes providing a first heart valve treatment member movable along a first shaft portion, providing a second heart valve treatment member movable along a second shaft portion. The first and second heart valve treatment members are movable along the first and second shaft portions, respectively. The first heart valve treatment member is positioned on one side of a heart valve leaflet and the second heart valve treatment member is positioned on an opposite side of the heart valve leaflet. A portion of the heart valve leaflet is fracture by movement of the first heart valve treatment member with respect to the second heart valve treatment member.


