# US 10,945,841 B2 · Valve prosthesis and method for delivery

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- Number: US 10,945,841 B2
- Document ID: US10945841B2
- Status: Granted
- Kind: B2
- Application number: 16/248,564
- Filed: 2019-01-15
- Published: 2019-05-16
- Granted: 2021-03-16
- Earliest claimed: 2013-01-08
- Assignees: Medtronic, Inc.
- Applicants: Medtronic, Inc.
- Inventors: Igor Kovalsky; Ilia Hariton; Yossi Tuval; Nadav Yellin
- Web page: https://patentgrep.com/patent/US10945841B2

## CPC

- A61F 2/2445: {Annuloplasty rings in direct contact with the valve annulus}
- A61F 2/2418: {Scaffolds therefor, e.g. support stents}
- A61F 2210/0061: swellable
- A61F 2230/0065: toroidal, e.g. ring-shaped, doughnut-shaped
- A61F 2250/0039: differing in diameter
- A61F 2250/006: modular
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

Heart valve prostheses are provided for replacing a cardiac valve. The heart valve prosthesis includes a self-expanding frame including a first portion and a second portion. In the collapsed configuration, the first portion is positioned adjacent to the second portion. In the expanded configuration, the first portion moves to be positioned within an interior area of the second portion.

## Claims

### Claim 1

A method of treating a valve disorder in a patient's heart, comprising:
collapsing a valve prosthesis including a unitary frame and a valve onto a delivery system to place a first portion of the unitary frame longitudinally adjacent to a second portion of the unitary frame, the valve being disposed within the first portion of the unitary frame;
delivering the delivery system and the valve prosthesis to a heart;
expanding the valve prosthesis in the heart such that the first portion of the unitary frame moves to be positioned within an interior area of the second portion of the unitary frame; and
withdrawing the delivery system from the heart.

### Claim 2 (depends on 1)

The method of claim 1, wherein the step of expanding includes positioning the entire first portion of the unitary frame within the interior area of the second portion of the unitary frame.

### Claim 3 (depends on 1)

The method of claim 1, wherein the first and second portions of the unitary frame are integrally formed and are connected to each other by a third portion of the unitary frame extending between the first portion and the second portion.

### Claim 4 (depends on 1)

The method of claim 1, wherein the unitary frame of the valve prosthesis further comprises engagement arms configured to engage native valve leaflets, the engagement arms being connected to the first portion of the unitary frame.

### Claim 5 (depends on 4)

The method of claim 4, wherein the step of expanding includes engaging native valve leaflets with the engagement arms of the unitary frame when the valve prosthesis is expanded in the heart.

### Claim 6 (depends on 1)

The method of claim 1, wherein the step of expanding includes implanting the second portion of the unitary frame within a native valve annulus of the heart.

### Claim 7

A method of treating a valve disorder in a patient's heart, comprising:
collapsing a valve prosthesis including a unitary frame and a valve onto a delivery system to place an inner tubular portion of the unitary frame longitudinally adjacent to an outer tubular portion of the unitary frame, the valve being disposed within the inner tubular portion of the unitary frame, wherein the inner tubular portion is longitudinally separated from the outer tubular portion by a plurality of connecting arms that extend between and connect the inner tubular portion with the outer tubular portion;
delivering the delivery system and the valve prosthesis to a heart;
expanding the valve prosthesis in the heart such that the inner tubular portion of the unitary frame moves to be positioned within an interior area of the outer tubular portion such that the outer tubular portion surrounds the inner tubular portion; and
withdrawing the delivery system from the heart.

### Claim 8

A method of treating a valve disorder in a patient's heart, comprising:
collapsing a valve prosthesis including a unitary frame and a valve onto a delivery system to place a first tubular portion of the unitary frame longitudinally adjacent to a second tubular portion of the unitary frame along a longitudinal axis of the unitary frame, the valve being disposed within the first tubular portion of the unitary frame, wherein the first tubular portion is longitudinally separated from the second tubular portion by a third portion that extends between and connects the first tubular portion with the second tubular portion;
delivering the delivery system and the valve prosthesis to a heart;
expanding the valve prosthesis in the heart such that the first tubular portion of the unitary frame moves to be positioned within an interior area of the second tubular portion such that the second tubular portion surrounds the first tubular portion and both of the first tubular portion and the second tubular portion extend parallel to the longitudinal axis of the unitary frame with the third portion at least partially radially extending therebetween; and
withdrawing the delivery system from the heart.

### Claim 9 (depends on 8)

The method of claim 8, wherein the step of expanding includes positioning the entire first tubular portion of the unitary frame within the interior area of the second tubular portion of the unitary frame.

### Claim 10 (depends on 8)

The method of claim 8, wherein the first tubular portion, the second tubular portion, and the third portion of the unitary frame are integrally formed.

### Claim 11 (depends on 8)

The method of claim 8, wherein the unitary frame of the valve prosthesis further comprises a pair of engagement arms configured to engage native valve leaflets, the pair of engagement arms being connected to the first tubular portion of the unitary frame.

### Claim 12 (depends on 11)

The method of claim 11, wherein the step of expanding includes engaging native valve leaflets with the pair of engagement arms of the unitary frame when the valve prosthesis is expanded in the heart.

### Claim 13 (depends on 11)

The method of claim 11, wherein a first engagement arm of the pair of engagement arms has a longitudinal length that is different from a longitudinal length of a second engagement arm of the pair of engagement arms.

### Claim 14 (depends on 8)

The method of claim 8, wherein the step of expanding includes implanting the second tubular portion of the unitary frame within a native valve annulus of the heart.

### Claim 15 (depends on 8)

The method of claim 8, wherein the third portion of the unitary frame comprises a plurality of connecting arms having first ends attached to the first tubular portion of the unitary frame and second ends attached to the second tubular portion of the unitary frame.

### Claim 16 (depends on 8)

The method of claim 8, wherein each of the first and second tubular portions of the unitary frame includes a plurality of cells that form a cell pattern.

### Claim 17 (depends on 8)

The method of claim 8, wherein the third portion of the unitary frame comprises a plurality of V-shaped connecting arms.

### Claim 18 (depends on 17)

The method of claim 17, wherein a pair of first ends of each V-shaped connecting arm is attached to the first tubular portion of the unitary frame and wherein a second end of each V-shaped connecting arm is attached to the second tubular portion of the unitary frame.

### Claim 19 (depends on 18)

The method of claim 18, wherein each of the first and second tubular portions of the unitary frame includes a plurality of cells that form a cell pattern.

### Claim 20 (depends on 8)

The method of claim 8, wherein a longitudinal length of the first tubular portion of the unitary frame is greater than a longitudinal length of the second tubular portion of the unitary frame.
