Valve repair devices with coaptation structures and multiple leaflet capture clips

A valve repair device, comprising:

• a coaptation member configured to be positioned between a posterior leaflet and an anterior leaflet of a mitral valve, the coaptation member comprising—
• a frame structure comprising a plurality of struts;
• a cover extending along at least a portion of the frame structure and configured to form an enclosed chamber within the frame structure, wherein the cover includes an opening to the chamber;
• an anterior portion having a surface configured to displace or coapt with the anterior leaflet during systole;
• and
• a posterior portion configured to displace or coapt with at least a portion of the posterior leaflet,
• wherein the coaptation member is substantially stationary during cardiac cycles;
• a plurality of clip mechanisms depending from the coaptation member, wherein one or more of clip mechanisms comprises—
• a base portion coupled to the coaptation member,
• an articulatable arm member extending in an upstream direction from the base portion and having a free end portion unaffixed to the coaptation member, wherein the articulatable arm member is configured to capture a portion of the posterior leaflet or the anterior leaflet between the articulatable arm member and coaptation member, and
• an actuation mechanism configured to move the articulatable arm member between a closed position and an open position, wherein the actuation mechanism is configured to be actuated via a delivery component inserted through the opening in the cover and into the chamber of the coaptation member.

A valve repair device, comprising:

• an atrial fixation member configured to press against cardiac tissue proximate to a native valve annulus;
• a coaptation member extending away from the atrial fixation member and radially inward from the atrial fixation member, the coaptation member comprising an inner portion having a coaptation surface configured to coapt with a first native leaflet during systole, an outer portion configured to displace at least a portion of a second native leaflet, and a downstream end portion, wherein the coaptation member is substantially stationary during cardiac cycles, and wherein the coaptation defines an interior volume and an opening to the interior volume;
• and
• a plurality of clip mechanisms depending from the coaptation member, wherein each of the clip mechanisms is independently actuatable via a delivery component inserted through the opening in the coaptation member and into the interior volume of the coaptation member to move the clip mechanism between a closed position and an open position.