Storage jar assembly for a prosthetic heart valve

Information

  • Patent Grant
  • 12364587
  • Patent Number
    12,364,587
  • Date Filed
    Wednesday, April 26, 2023
    2 years ago
  • Date Issued
    Tuesday, July 22, 2025
    2 months ago
Abstract
A storage jar assembly for use with a prosthetic heart valve is disclosed in several embodiments. As one example, a storage jar assembly can include a jar having an open end and configured to receive a prosthetic heart valve. The embodiment also includes a lid configured to cover the open end of the jar. The lid can include a plurality of valve attachment features configured to be releasably attached to corresponding features of the prosthetic heart valve.
Description
FIELD

The present disclosure relates to a storage jar assembly that is configured to receive a prosthetic heart valve.


BACKGROUND

The human heart can suffer from various valvular diseases. These valvular diseases can result in significant malfunctioning of the heart and ultimately require repair of the native valve or replacement of the native valve with an artificial valve. Transcatheter prosthetic heart valves are designed with an expandable frame and a valvular structure (e.g., one or more prosthetic leaflets) attached to the frame. This configuration allows the prosthetic heart valve to be inserted in a patient while compressed or partially compressed, and then to be expanded to fit the diameter of the native heart valve being replaced.


In some cases, the prosthetic leaflets, typically made of pericardial tissues, require hydration when they are stored prior to use. The prosthetic heart valve must also be protected from physical damage during shipping and storage. This is generally accomplished by the use of a valve storage jar assembly containing a hydrating fluid, such as glutaraldehyde, allowing the storage jar assembly to both physically protect and hydrate the leaflets of the prosthetic heart valve before it is installed in a patient.


Typically, a prosthetic heart valve is placed loose in a jar and therefore can be exposed to potential damage during storage, shipping and handling through contact between the prosthetic heart valve and the inner surfaces of the jar. Additionally, during device preparation, removal of the prosthetic heart valve from the jar can be awkward or difficult to accomplish because the clinician must reach into the jar with a sterile tool, such as forceps or tweezers, while avoiding contact the sides of the jar and avoiding pinching or tearing of the soft components of the prosthetic heart valve.


Known storage jar assemblies have included a valve holding mechanism for holding a prosthetic valve within a jar. The valve holding mechanism requires the placement of sutures for securing the prosthetic valve to the valve holding mechanism during the assembly process. As can be appreciated, this increases the complexity and length of the assembly process. Moreover, special tools may be required to remove the valve holding mechanism and the prosthetic valve from the jar as well as to remove the prosthetic valve from the valve holding mechanism.


Another issue concerning storage jar assemblies is that prosthetic heart valves come in various sizes. A storage jar assembly designed for a prosthetic heart valve of one specific size may not be suitable for use with a similar valve of a different size.


Therefore, there is a need for storage jars assemblies for prosthetic heart valves that overcome one or more disadvantages of the prior art.


SUMMARY

Disclosed herein are prosthetic heart valves, storage jar assemblies for use with various prosthetic heart valves, as well as securing devices for securing or holding prosthetic heart valves inside storage jar assemblies during shipping, storage, and subsequent handling. The securing devices can be used to partially compress prosthetic heart valves so that they may be contained in the storage jar assemblies disclosed herein. In some embodiments, the securing device is attached to or incorporated in a lid of the storage jar assembly. In other embodiments, the securing device may be a holder that can be inserted into the storage jar assembly.


Certain embodiments of the disclosure concern a storage jar assembly including a jar having an open end and configured to receive a prosthetic heart valve. Such embodiments also include a lid configured to cover the open end of the jar. The lid can include a plurality of valve attachment features configured to be releasably attached to corresponding features of the prosthetic heart valve.


Certain embodiments of the disclosure concern another storage jar assembly including a jar having an open end and configured to receive a prosthetic heart valve. Such embodiments also include a lid configured to cover the open end of the jar. Such embodiments also include a valve securement mechanism coupled to the lid and comprising a plurality of notches configured to be releasably attached to corresponding features of the prosthetic heart valve and hold one end of the prosthetic heart valve in at least a partially radially compressed state.


Certain embodiments of the disclosure concern another storage jar assembly including a jar having an open end and configured to receive a prosthetic heart valve. Such embodiments also include a lid configured to cover the open end of the jar and a valve holder. The valve holder can comprise a base, a column, and plurality of valve retention members. The column can have a lower end coupled to the base, an upper end, and can extend axially from the base. The plurality of valve retention members can extend upwardly from the base and can be configured to contact an outer surface of the prosthetic heart valve.


Certain embodiments of the disclosure concern another storage jar assembly including a jar having an open end and configured to receive a prosthetic heart valve. Such embodiments also include a lid configured to cover the open end of the jar and a valve holder configured to hold the prosthetic heart valve in a partially compressed state within the jar.


Certain embodiments of the disclosure concern a lid, configured to cover an open end of a jar to form a storage jar assembly. The lid also includes an upper portion, a side wall depending from the upper portion, and a valve attachment feature coupled to the lid. The valve attachment feature can be configured to releasably hold corresponding features of a prosthetic heart valve. The lid can also include a valve release mechanism configured to detach the prosthetic heart valve from the valve attachment feature.


Certain embodiments of the disclosure concern a storage jar assembly, comprising a jar having an open end and configured to receive a prosthetic heart valve and a lid, configured to cover an open end of the jar. The lid may include an upper portion, a side wall depending from the upper portion, and a valve attachment feature coupled to the lid. The valve attachment mechanism may be configured to releasably hold corresponding features of a prosthetic heart valve. Such embodiments can also include a valve release mechanism configured to detach the prosthetic heart valve from the valve attachment feature.


The foregoing and other objects, features, and advantages of the invention will become more apparent from the following detailed description, which proceeds with reference to the accompanying figures.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 is a perspective view of a prosthetic heart valve, according to one embodiment.



FIG. 2 is a cross sectional schematic view of the frame and valvular structure of the prosthetic heart valve of FIG. 1.



FIG. 3 is a perspective view of a prosthetic heart valve, according to another embodiment.



FIG. 4 is a side elevation view of the inner frame of the prosthetic heart valve of FIG. 3.



FIG. 5 is a side elevation view of the outer frame of the prosthetic heart valve of FIG. 3.



FIG. 6 is a side elevation view of a storage jar assembly containing a prosthetic heart valve attached to a lid of the storage jar assembly, according to one embodiment.



FIG. 7 is a plan view of the bottom of the lid of FIG. 6 showing the outer frame of the prosthetic heart valve attached to the lid.



FIG. 8 is a side elevation view of the lid and outer frame shown in FIG. 7.



FIG. 9 is a perspective view of the lid shown in FIG. 6.



FIG. 9A is an enlarged view of a portion of the lid shown in FIG. 9.



FIG. 10 is a perspective view of the lid and the outer frame of FIG. 7.



FIG. 11 is a schematic depiction of an alternative mechanism for attaching the lid and the jar to each other.



FIG. 12 is a side elevation view of an alternative embodiment of a storage jar assembly.



FIG. 13 is a perspective view of a storage jar assembly having a valve holder, according to another embodiment.



FIG. 14 is a perspective view of the valve holder depicted in FIG. 13.



FIG. 15 is a perspective view of the valve holder depicted in FIG. 14 showing a representative outer frame of a prosthetic heart valve disposed within the valve holder.



FIG. 16 is a schematic side view of a valve retention member of the valve holder of FIGS. 13-15 shown in contact with struts of a representative outer frame of a prosthetic heart valve.



FIG. 17 is a perspective view of a lid for use with a storage jar assembly, having a valve release button, showing an exemplary prosthetic heart valve attached to the lid.



FIG. 18 is a cutaway schematic view of a portion the lid and a portion of the frame of the prosthetic heart valve of FIG. 17.





DETAILED DESCRIPTION

Disclosed herein are storage jar assemblies comprising securing mechanisms for prosthetic heart valves. Storage jar assemblies disclosed herein generally comprise a jar and a removable lid. The jar is configured to receive a prosthetic heart valve. The prosthetic heart valve rests within the jar when it is being stored and is removed from the jar prior to use. In particular embodiments, the securing mechanisms can hold a prosthetic heart valve in at least a partially-compressed state to permit use of a relatively smaller jar and/or to better secure the prosthetic heart valve within the jar during shipping and storage.


The storage jar assemblies disclosed herein may be used with various embodiments of prosthetic heart valves. Prosthetic heart valves for use with the presently disclosed storage jar assemblies can have a frame assembly comprising at least one radially compressible and expandable frame and a valvular structure supported within the frame assembly. Additionally, the prosthetic heart valves may have a plurality of anchoring structures for securing the prosthetic heart valve to native tissue of a patient. In some embodiments, the frame assembly can comprise an inner frame and an outer frame.


For example, FIGS. 1 and 2 depict one embodiment of a prosthetic heart valve 10 that can be used with the storage jar assemblies disclosed herein. The prosthetic heart valve 10 comprises a frame assembly 12 and a valvular structure 14 supported by the frame assembly 12. The frame assembly 12 defines an inlet end 22 and an outlet end 20 of the prosthetic heart valve 10. As best shown in FIG. 2, the frame assembly 12 in the illustrated embodiment includes an inner frame 15 and an outer frame 16. The inner and outer frames 15, 16 can comprises a plurality of interconnected struts 18 arranged in a lattice or diamond pattern.


The inner frame 15 can include an annular inner frame body 24. The inner frame body 24 can have a generally cylindrical shape such that it has a substantially constant diameter from an upper end (inlet end) to a lower end (outlet end) of the inner frame body 24. However, it is to be understood that in alternative embodiments, the diameter of the inner frame body 24 can vary along its length. Although inner frame body 24 is described as generally having a cylindrical shape, it is understood that all or a portion of the inner frame body 24 can have a non-circular cross-section such as, but not limited to, a D-shape.


The outer frame 16 can include an annular outer frame body 26 and an outer frame anchoring feature 28. The outer frame body 26 can have an upper region 30, an intermediate region 32, and a lower region 34. In some situations, such as those in which the prosthetic heart valve 10 is positioned within a native mitral valve, the upper region 30 can be generally positioned supra-annularly, the intermediate region 32 can be generally positioned intra-annularly, and the lower region 34 can be positioned sub-annularly. However, it is to be understood that in some situations, the positioning of the outer frame 16 relative to the annulus can differ. Moreover, it is to be understood that in some embodiments, the outer frame 16 can omit one or more of the upper region 30, the intermediate region 32, and/or the lower region 34.


The outer frame 16 can include a plurality of angularly spaced outer posts 36 extending from the respective apices 56 of the upper region 30 at the inlet end 22 of the prosthetic heart valve. In the illustrated embodiment, FIG. 1 shows the outer frame 16 has ten such posts 36, although a greater or lesser number of posts may be used. As best shown in FIG. 2, the inner frame 15 similarly may include a plurality of angularly spaced inner posts 38, each of which can be circumferentially aligned with a corresponding post 36 of the outer frame 16 to form a plurality of pairs of posts 36, 38 angularly spaced from each other along the inlet end 22. The inner and outer posts 36, 38 of each pair can be connected to each other with a suture and/or a fabric. The outer posts 38 and/or the inner posts 38 can be used to form a releasable connection with a delivery apparatus for securing the prosthetic heart valve 10 to the delivery apparatus when the prosthetic heart valve and the delivery apparatus are advanced through a patient's vasculature to a desired implantation site (e.g., the native mitral valve). The outer posts 38 and/or the inner posts 38 can also be used to form a releasable connection with a securement mechanism of a storage jar assembly, as further described below.


The frame assembly 12 may further include a plurality of angularly spaced anchoring features 40 (which can also be referred to as “anchoring legs” or “ventricular anchors”). The anchoring features 40 can extend from an outflow end of the inner frame body 24. As illustrated in FIG. 1, the anchoring features 40 may extend generally downwardly and radially outwardly from the outlet end of the inner frame body 24. When implanted in a native valve (e.g., a native mitral or tricuspid valve), the anchoring features 40 can extend behind and/or engage native tissue, such as the native leaflets and/or chordae tendineae, within a ventricle of a heart. As shown in FIG. 1, the anchoring features 40 can be covered or wrapped by respective covers 42, which can be formed from a relatively soft material, such as a fabric or natural tissue. In alternative embodiments, the anchoring features 40 can be components of the outer frame 16. For example, the anchoring features 40 can extend from an outlet end of the outer frame main body 26. In alternative embodiments, similar anchoring features can be provided at the inlet of the inner frame 15 or the outer frame 16 for engaging tissue within an atrium of a heart.


The prosthetic heart valve 10 can include one or more skirts for sealing against native tissue surrounding the prosthetic heart valve once implanted, for attaching other components (e.g., leaflets) to the frame assembly and/or for blocking the flow of blood through the open cells of the frame. As shown in FIG. 1, the prosthetic heart valve 10 can have an inner skirt 44 and an outer skirt 46. The inner skirt 44 can be disposed between the inner frame 15 and the outer frame 16 and can be attached to the outer frame 16 by sutures 48. The outer skirt 46 can be disposed around the outer frame 16 and can be attached to the outer frame by sutures 48. In some embodiments, the inner skirt 44 and the outer skirt 46 can be formed from a single piece of material that is folded at one end. In other embodiments, the inner skirt 44 and the outer skirt 46 can be formed from separate pieces of material. The skirts 44, 46 can be made of any of various suitable materials, including synthetic fabrics, such as polyethylene terephthalate (PET) fabric, or natural tissue (e.g., pericardial tissue).


As shown in FIG. 2, the valvular structure 14 may comprise a leaflet assembly comprising a plurality of leaflets 50 disposed within a lumen of the inner frame 15. In particular embodiments, the leaflet assembly comprises three leaflets 50, although a greater or fewer number of leaflets may be used in other embodiments. The leaflets 50 are configured to permit flow from the inlet end 22 of the prosthetic heart valve 10 to the outlet end 20, but to prohibit flow from the outlet end 20 of the prosthetic heart valve 10 to the inlet end. The leaflets 50 can be made of pericardial tissue (e.g., bovine pericardial tissue), biocompatible synthetic materials, or various other suitable natural or synthetic materials as known in the art.


The leaflet assembly can further include a liner 52. The liner 52 can be used to assist with fluid flow through and/or around the prosthetic heart valve 10, such as through the inner frame 15 and the valve leaflets 50. The liner 52 can surround at least a portion of the valve leaflets 50 and be connected to one or more of the valve leaflets 50. For example, as shown in the illustrated embodiment, the one or more valve leaflets 50 can be attached to the liner 52 (e.g., by sutures) along an arcuate or fixed edge of the valve leaflets 50. The liner 52 can extend from the arcuate or fixed edge of each leaflet 50 and extend upwardly towards an upper end of the inner frame 15. The liner 52 in turn can be attached to the inner frame 15, such as by sutures.


The outer frame 16 can be attached to the inner frame 15 at one or more attachment points. The outer frame 16 can be tautly attached to the inner frame 15 such that little to no relative movement between the inner frame 15 and the outer frame 16 occurs at the one or more attachment points. In other embodiments, the outer frame 16 and the inner frame 15 can be loosely attached such that some relative movement between the inner frame 15 and the outer frame 16 can occur at the one or more attachment points. Although the outer frame 16 and inner frame 15 are illustrated as separate components in FIG. 2, it is to be understood that outer frame 16 and inner frame 15 can be unitarily or monolithically formed. For example, the entire frame assembly 12 can be formed (e.g., laser cut) from a single piece of material.


In alternative embodiments, the prosthetic heart valve 10 can have a single frame, which can be formed with the outer posts 36, anchoring features 40, and/or other features described above in connection with frames 15 and 16. Examples of a prosthetic heart valve having a single frame are disclosed in Publication No. US 2016/0317301 and U.S. Pat. No. 10,350,062, which are incorporated herein by reference.


In particular embodiments, the frames 15, 16 are made of a self-expandable material, such as Nitinol. When constructed of a self-expandable material, the frames 15, 16 (and thus the prosthetic heart valve 10) can be crimped to a radially compressed state and restrained in the compressed state by insertion into a sheath or equivalent mechanism of a delivery catheter. Once inside the body at the desired implantation site (e.g., the native mitral valve), the prosthetic heart valve can be advanced from the delivery sheath, which allows the prosthetic heart valve to expand from the radially compressed state to a radially expanded state corresponding to its functional size.


In other embodiments, the frames 15, 16 can be made of any suitable plastically-expandable materials, such as stainless steel or a nickel-based alloy (e.g., a cobalt-chromium or a nickel-cobalt-chromium alloy), polymers, or combinations thereof. When constructed of a plastically-expandable material, the frames 15, 16 (and thus the prosthetic heart valve 10) can be crimped to a radially compressed state on a delivery catheter, such as on or adjacent an inflatable balloon or equivalent expansion mechanism. Once inside the body at the desired implantation site (e.g., the native mitral valve), the prosthetic can be expanded from the radially compressed state to a radially expanded state corresponding to its functional size by the inflatable balloon or the equivalent expansion mechanism.


Exemplary delivery apparatuses that can be used to implant the prosthetic heart valves disclosed herein are disclosed in Publication Nos. US 2016/0317301 and 2019/0008640, which are incorporated herein by reference.



FIG. 3 depicts an alternative embodiment of a prosthetic heart valve 100 that can be used with the storage jar assemblies disclosed herein. The prosthetic heart valve 100 comprises a frame assembly 102 and a valvular structure 104 supported by the frame 102. The frame assembly 102 defines an inlet end 106 and an outlet end 108 of the prosthetic heart valve 100. As illustrated in FIGS. 4 and 5, the frame assembly 102 in the illustrated embodiment includes an outer frame 110 and an inner frame 112. The outer and inner frames 110, 112 can comprise a plurality of interconnected struts 114 arranged in a lattice or diamond pattern. As shown in FIG. 3, the prosthetic heart valve 100 can also comprise an inner skirt 116 and an outer skirt 118. The skirts 116, 118 may be attached to the frame assembly 102.


As best illustrated in FIG. 4 the outer frame 110 can include an annular outer frame body 120. The outer frame body 120 can have an upper region 122, an intermediate region 124, and a lower region 126. In some situations, such as those in which the prosthetic heart valve 100 is placed within a native mitral valve, the upper region 122 can be generally positioned supra-annularly, the intermediate region 124 can be generally positioned intra-annularly, and the lower region 126 can be generally positioned sub-annularly. However, it is to be understood that in some embodiments, the outer frame 110 can omit one or more of the upper region 122, the intermediate region 124, or the lower region 126.


As best illustrated in FIG. 5, the inner frame 112 can include an annular inner frame body 128 and anchoring features 130. The inner frame body 128 can have a generally cylindrical shape such that it has a substantially constant diameter from an upper end (inlet end) to a lower end (outlet end) of the inner frame body. However, it is to be understood that, in alternative embodiments, the diameter of the inner frame body 128 can vary along its length. Although inner frame body 128 is described as generally having a cylindrical shape, it is understood that all or a portion of the inner frame body 128 may have a non-circular cross-section such as, but not limited to, a D-shaped cross-section.


The outer frame 110 can include a plurality of angularly spaced outer posts 132 extending from respective apices 134 at the upper region 122 near the inlet end 106 of the prosthetic heart valve 100. In one illustrated embodiment, as shown in FIG. 3, the outer frame 110 has eleven such outer posts 132, but a greater or lesser number of posts may be used. As best shown in FIG. 5, inner frame 112 may similarly include a plurality of angularly spaced inner posts 136 along the inlet end 106 of the prosthetic heart valve 100. Each of the angularly spaced inner posts 136 can be circumferentially aligned with a corresponding outer post 132 of the outer frame 110 to form a plurality of pairs of posts 132, 136 angularly spaced from each other along the inlet end 106. The posts 132, 136 of each pair can be connected to each other with a suture and/or a fabric. The outer posts 132 and/or the inner posts 136 can be used to form a resealable connection with a delivery apparatus for securing the prosthetic heart valve 100 to the delivery apparatus when the prosthetic heart valve and delivery apparatus are advanced through a patient's vasculature to a desired implantation site (e.g., the native mitral valve). The outer posts 132 and/or inner posts 136 can also be used to form a releasable connection with a securement mechanism of the storage jar assemblies described herein.


The frame assembly 102 may further include a plurality of angularly spaced anchoring features 130 (which can also be referred to as “anchoring legs” or “ventricular anchors”). The anchoring features 130 can extend from an outflow end of the inner frame body 128. As illustrated in FIG. 3, the anchoring features 130 may extend generally downwardly and radially outwardly from the inner frame body 128. When implanted in a native valve (e.g., a native mitral or tricuspid valve), the anchoring features 130 can extend behind and/or engage native tissue, such as the native leaflets and/or chordae tendineae, within a ventricle of a heart. As shown in FIG. 3, the anchoring features 130 can be covered or wrapped by respective covers 138, which can be formed from a relatively soft material such as fabric or natural tissue. In alternative embodiments, the anchoring features 130 can be components of the outer frame 110. For example, the anchoring features 130 can extend from the lower region 126 of the outer frame body 120. In alternative embodiments, similar anchoring features can be provided at the inlet end of inner frame body 128 or outer frame body 120 for engaging tissue with an atrium of a heart.


The prosthetic heart valve 100 can include one or more skirts for sealing against native tissue surrounding the prosthetic heart valve once implanted, for attaching other components (such as leaflets) to the frame assembly, and/or for blocking the flow of blood through the open cells of the frame. As shown in FIG. 3, the prosthetic heart valve 100 can have an inner skirt 116 and an outer skirt 118. The inner skirt 116 can be disposed between the inner frame 112 and the outer frame 110 and can be attached to the outer frame 110 with sutures or any other suitable attachment mechanism. The outer skirt 118 can be disposed around the outer side of outer frame 110 and can be attached to the outer frame 110 with sutures or any other suitable attachment mechanism. In some embodiments, the inner skirt 116 and outer skirt 118 may be formed from a single piece of material that is folded at one end. In other embodiments, the inner skirt 116 and the outer skirt 118 can be formed from separate pieces of material. The skirts 116, 118 can be made of any suitable materials, including synthetic fabrics or natural tissue.


As shown in FIG. 3, the valvular structure 104 may comprise a plurality of leaflets 140 disposed within a lumen of the inner frame 112. In some embodiments, the valvular structure comprises three leaflets 140, although a greater or fewer number of leaflets may be used in other embodiments. The leaflets 140 are configured to permit flow from inlet end 106 of the prosthetic heart valve 100 to outlet end 108, but to prohibit flow from the outlet end of the prosthetic heart valve 100 to the inlet end 106. The leaflets 140 can be made of pericardial tissue, biocompatible synthetic materials, or synthetic materials as known in the art.


The outer frame 110 can be attached to inner frame 112 at one or more attachment points. The outer frame 110 can be tautly attached to inner frame 112 such that little to no relative movement between the outer frame 110 and the inner frame 112 at the one or more attachment points. In other embodiments, the outer frame 110 and the inner frame 112 can be loosely attached, such that some relative movement between the outer frame 110 and the inner frame 112 can occur at the one or more attachment points. Although the outer frame 110 and the inner frame 112 are illustrated as separate components in FIGS. 4 and 5, it is to be understood that the outer frame 110 and the inner frame 112 can be unitarily or monolithically formed. For example, the entire frame assembly 102 can be formed (e.g., laser cut) from a single piece of material or additively manufactured.


In particular embodiments, the frames 110, 112 are made of a self-expandable material, such as Nitinol. When constructed of a self-expandable material, frames 110, 112 (and thus the prosthetic heart valve 100) can be crimped to a radially compressed state and restrained in the compressed state by insertion into a sheath or equivalent mechanism of a delivery catheter. Once inside the body at the desired implementation site (e.g., the native mitral valve), the prosthetic heart valve can be advanced from the delivery sheath, which allows the prosthetic heart valve to expand from the radially compressed state to a radially expanded state corresponding to its functional size.


In other embodiments, the frames 110, 112 can be made of any suitable plastically-expandable materials, such as stainless steel or a nickel-based alloy (e.g., a cobalt-chromium or a nickel-cobalt-chromium alloy), polymers, or combinations thereof. When constructed of a plastically-expandable material, frames 110, 112 (and thus the prosthetic heart valve 100) can be crimped to a radially compressed state on a delivery catheter, such as on or adjacent to an inflatable balloon or equivalent expansion mechanism. Once inside the body at the desired implantation site (e.g., the native mitral valve), the prosthetic can be expanded from the radially compressed state to a radially expanded state corresponding to its functional size by the inflatable balloon or the equivalent expansion mechanism.


Further details of the prosthetic heart valve 10 of FIGS. 1-2, the prosthetic heart valve 100 of FIGS. 3-5, and other prosthetic heart valves that can be used with the storage jar assemblies of the present disclosure are disclosed in Publication Nos. US 2016/0317301, US 2018/0055629 and US 2019/0262129, and U.S. Pat. No. 10,350,062, which are incorporated herein by reference.


In some embodiments, the storage jar assemblies disclosed herein may incorporate a lid having a valve securement mechanism. The valve securement mechanism can have a plurality of valve attachment features configured to releasably attach to corresponding features on a prosthetic heart valve, such as the outer posts 36. In some embodiments, the valve attachment features may be configured to hold the prosthetic heart valve in a partially compressed state. The lid may further comprise a lid attachment mechanism configured to releasably attach to corresponding features on ajar.


Referring now to the storage jar assembly embodiment shown in FIG. 6, a storage jar assembly 200 can include a jar 202. The jar 202 generally comprises a base 204, an upstanding side wall 206 extending upwardly from the base 204. The upper end portion of the wall 206 can form a mouth defining an opening at the upper end of jar 202. The jar 202 can be configured to receive a prosthetic heart valve, such as prosthetic heart valve 10. Although the following description of the storage jar assembly 200 proceeds with reference to the prosthetic heart valve 10, it should be understood that other prosthetic heart valves (e.g., prosthetic heart valve 100 or any of those disclosed in Publication Nos. US 2016/0317301, US 2018/0055629 and US 2019/0262129, and U.S. Pat. No. 10,350,062) can be used with the storage jar assembly 200.


The storage jar assembly 200 may also have a lid 208 that can be configured to be releasably attachable to the jar 202 and to a prosthetic heart valve 210. The lid 208 may also be configured to hold prosthetic heart valve 210 in a partially-compressed state. In the illustrated embodiment, the jar 202 has a cylindrical wall 206 defining a circular cross-sectional profile (in a plane perpendicular to a central longitudinal axis of the jar). In other embodiments, jar 202 can have plural wall segments that define other cross-sectional profiles (in a plane perpendicular to a central longitudinal axis of the jar), such as square, hexagonal etc.


Referring to FIGS. 7-10, the lid 208 can have an upper portion 212 and a downwardly depending side wall 214. The inner surface of the lid comprises a plurality of valve attachment features, which are configured to releasably attach to corresponding features on the frame a prosthetic heart valve. The inner surface of the lid can also comprise a lid attachment mechanism, which is configured to releasably attach to corresponding features on the jar. In FIGS. 7, 8 and 10, only the outer frame 16 of the prosthetic heart valve 10 is shown and the other components of the prosthetic heart valve are omitted for purposes of illustrating the attachment between the outer frame 16 and the lid 208.


As best shown in FIGS. 9 and 9A, an inner surface 216 of the upper portion 212 comprises a valve securement mechanism in the form of an annular projection or ring 218 (also referred to as an annular lip) having an inner peripheral edge 220 and an outer peripheral edge 222. The annular ring 218 can be formed with a plurality of valve attachment features in the form of a plurality of slots or notches 224 that are configured to receive the outer posts 38 of the outer frame 16 of the prosthetic heart valve 10. The notches 224 are circumferentially spaced from each other along an imaginary circle coincident with a circumference of the inner peripheral edge 220 of the annular ring 218. Each notch 224 can extend in a radial direction from the inner peripheral edge 220 partially through the ring 218 and can have a closed end 226 spaced inwardly from the outer peripheral edge 222. The inner peripheral edge 220 and the notches 224 can be slightly spaced from a central inner surface portion 228 of the lid to form a receiving space that accommodates tip portions of the outer posts 38, as further described below.


In alternative embodiments, the notches 224 can extend completely through the annular ring 218 from the inner peripheral edge 220 to the outer peripheral edge 222. In other embodiments, the notches 224 can extend from the outer peripheral edge 222 (i.e., the notches are open at the outer peripheral edge) partially through the annular ring 218 and have closed ends that are spaced from the inner peripheral edge 220.


The annular ring 218 in the illustrated embodiment is circular in shape, but it is to be understood that the ring may have other shapes, such as elliptical, D-shaped, or any other shape sufficient to accommodate the shape of the outer frame 16.



FIG. 10 shows the outer posts 38 disposed in the notches 224, which is effective to securely hold the prosthetic heart valve 10 relative to the lid 208. To attach the outer frame 16 to the lid 208, the outer posts 38 and/or the outflow end of the prosthetic heart valve 10 can be compressed or pinched a sufficient amount to allow the outer posts 38 to be inserted inside of the annular ring 218. Each outer post 36 can be aligned with a corresponding notch 224, after which the compression force on the outer posts 38 can be released to allow the posts to slide into the notches under the resiliency of the frame. Tip portions 58 of the outer posts 38 can be located in the space between the annular ring 218 and the adjacent surface portion 228 of the inner surface of the lid. The tip portions 58 have a width that is greater than the width of the notches 224, which prevents the prosthetic heart valve 10 from being pulled away from the lid in an axial direction while the outer posts 38 are positioned in the notches 224. Removal of the outer posts 38 from the notches 224 can be accomplished by compressing the prosthetic heart valve or just the inlet end of the prosthetic heart valve a sufficient amount to move the outer posts 38 radially inwardly until they are removed from the notches. Thereafter, the prosthetic heart valve 10 can be separated from the lid.


While the illustrated embodiment shows the outer posts 38 of the outer frame 16 secured within the notches 224, it should be noted that other components of the prosthetic heart valve can be secured within the notches. For example, in some embodiments, both the outer posts 38 of the outer frame 16 and the inner posts 38 of the inner frame 15 can be secured within the notches 224. In other embodiments, only the inner posts 38 of the inner frame 15 can be secured within the notches 224.


In some embodiments, the annular ring 218 and the notches 224 are sized such that the outer frame 16 (and the prosthetic heart valve) is not held in a state of compression once the outer posts 38 are placed within the notches 224. That is, after aligning the outer posts 38 with the notches 224 and releasing the compression force on the frame, the end of the outer frame 16 with the outer posts 38 can fully expand and the outer posts 38 are retained within the notches by the engagement of the tip portions 58 with the annular ring 218.


In other embodiments, the annular ring 218 and the notches 224 can be sized and/or shaped to retain the outer frame 16 (and the prosthetic heart valve 10) in a compressed or partially compressed state. The amount of compression under which the outer frame 16 (and the prosthetic heart valve 10) is retained can vary depending on the diameter of an imaginary circle coincident with the close ends 226 of the notches 224. Thus, when the outer posts 38 are placed within the notches 224, the outer posts 38 can expand radially outwardly to contact the closed ends 226, but prevent the posts from fully expanding, effectively retaining that end of the frame in a partially compressed state. The outer posts 38 therefore can exert an outward bias against the closed ends 226, which assists in retaining the posts within the notches and further increases the attachment force between the frame and the lid.


When the frame is formed from a self-expandable material (e.g., Nitinol), the inherent resiliency of the frame causes the outer posts 38 to expand within the notches 224. If the frame is formed from a plastically-expandable material (e.g., stainless steel), the outer posts 38 can still exhibit sufficient resiliency to self-expand after being compressed and then released within the notches 224 if the posts are not initially compressed to such an extent that causes plastic deformation of the outer posts 38. Thus, it should be understood that the lid 208 can be used to retain self-expanding frames and plastically-expandable frames. Although less desirable, in some embodiments, the frame can undergo at least some amount of plastic deformation when placing the outer posts 38 within the notches 224 and then re-expanded via an outside force (e.g., a manual force applied to the frame or the posts).


With continued reference to FIG. 9, the inner surface of the side wall 214 of the lid 208 may further comprise a storage jar attachment region 230. The storage jar attachment region may contain one or more storage jar attachment features configured to releasably attach to corresponding features on the exterior of the upper end portion of the wall 206 of the storage jar 202. In some embodiments, as illustrated in FIG. 9, the one or more storage jar attachment features may include helical threads 232 (also referred to as screw threads), which configured to engage with corresponding helical threads 232 on the upper end portion of the wall 206 of the storage jar 202.


While FIGS. 9 and 10 depict a lid configured to attach to a jar with helical threads, other storage jar attachment mechanisms can be used. For example, as illustrated in FIG. 11, the one or more jar attachment features disposed on jar attachment region 230 may comprise one or more features for forming a press-fit or snap-fit connection with the jar. For example, the jar attachment region 230 of the lid can comprise an annular ridge 252, and the upper end portion of the jar side wall 206 can comprise an annular lip 254 on the exterior of jar 202. The ridge 252 is configured to releasably engage with lip 254 when lid 208 is pressed onto the upper end portion of the jar side wall 206202. While the embodiment illustrated in FIG. 11 shows a ridge 252 with a generally triangular or sloped cross-section and a lip 254 with a generally rectangular cross-section, it is to be understood that the geometries of the ridge and the lip may have other configurations, such as a rectangular ridge 252 and a triangular or sloped lip 254, a configuration wherein one or both of the ridge and the lip have a cross-section that is a segment of a cylinder or sphere, or any other geometries suitable for a releasable engagement between the ridge and the lip.



FIG. 6 shows the fully assembled storage jar assembly 200 with the prosthetic heart valve 10 attached to the lid 208 and the lid 208 attached to the jar 202. During assembly (such as at the manufacturing site of the prosthetic heart valve), the assembler can attach the prosthetic heart valve 10 to the lid 208 as previously described, fill the jar with a hydrating solution (e.g., glutaraldehyde), and then place the lid on top of the jar and secure it place (e.g., by screwing the lid onto the jar). Desirably, a sufficient volume of hydrating solution is placed in the jar so as to fully immerse the leaflets 50 of the prosthetic heart valve.


In some embodiments, the leaflets 50 can be made of a material or chemically treated such that they can be stored without a hydrating solution within the jar. In such embodiments, the storage jar assembly 200 can comprise a prosthetic heart valve (e.g., prosthetic heart valve 10) attached to the lid 208 and stored inside the jar 202, which can be free of any liquids except for any moisture retained by the leaflets following a tissue treatment process. Methods for treating tissue leaflets for so-called dry storage are disclosed in U.S. Pat. No. 8,007,992 and U.S. Patent Publication No. 2009/0164005, filed Dec. 18, 2008, both of which documents are incorporated herein by reference.


In the fully assembled state, the assembly 200 can be shipped to end users (e.g., hospitals) and stored until the prosthetic heart valve is used in a heart valve replacement procedure. Prior to implantation, the user (e.g., a physician) can remove the lid from the jar and then remove the prosthetic heart valve from the lid, as previously described. Advantageously, the lid 208 securely retains the prosthetic heart valve in place relative to the lid to prevent or minimize damage to the prosthetic heart valve during shipping and storage. Further, removal of the prosthetic heart valve from the jar and the lid is relatively simple and easy compared to known storage assemblies, does not require any special tools, and avoids or minimizes contact and possible damage to the leaflets 50.


In alternative embodiments of the storage jar assembly disclosed herein, the lid may further comprise a valve holder or valve securement mechanism that is spaced below the side wall of the lid to position the prosthetic heart valve closer to the bottom of the jar. This may be done, for example, to enable a prosthetic heart valve to be fully-immersed in a hydrating fluid when stored inside the jar (or to fully immerse the prosthetic heart valve using a relatively smaller volume of a hydrating fluid, or to facilitate detachment of the prosthetic heart valve from the lid of the storage jar assembly). In these alternative embodiments, the prosthetic heart valve may be stored in a partially compressed state as previously described.


In an exemplary embodiment shown in FIG. 12, a storage jar assembly 300 can comprise a jar 302 and a lid 308. The jar 302 comprises a base 304 and a wall 306 defining an opening for the jar at an upper end thereof. The jar 302 can have the same configuration and features as described above for the jar 202 and therefore is not described further. The lid 308 can comprise an upper portion 312 and a side wall 314. The lid 308 can have the same configuration as the lid 308 described above except that it includes a securement mechanism for a prosthetic heart valve that is offset from the inner surface of the lid, and more specifically, spaced below a side wall 314 of the lid 308.


Although the following description of the storage jar assembly 300 proceeds with reference to the prosthetic heart valve 10, it should be understood that other prosthetic heart valves (e.g., prosthetic heart valve 100 or any of those disclosed in Publication Nos. US2016/0317301, US 2018/0055629 and US 2019/0262129, and U.S. Pat. No. 10,350,062) can be used with the storage jar assembly 300.


The valve securement mechanism (also referred to as an “attachment structure”) can comprise an annular ring 318 and one or more struts or posts 320. Similar to the annular ring 218, the ring 318 can be configured to be releasably attachable to the prosthetic heart valve 10. The annular lip 318 can have a thickness in the radial direction defined by an inner peripheral edge (not visible in FIG. 12) and an outer peripheral edge. Each of the one or more struts 320 has a lower end connected to the annular ring 318 and an upper end connected to an inner surface of the lid 308.


With continued reference to FIG. 12, the annular ring 318 may further comprise a plurality of valve attachment features in the form of notches 324. In some embodiments, as shown in FIG. 12, the notches 324 can extend from the inner peripheral edge of annular ring 318 partially through the annular ring, similar to the notches 224 shown in FIGS. 9 and 9A. In other alternative embodiments, the notches 324 can extend completely through the annular ring 318 from its inner peripheral edge to its outer peripheral edge 322. In other embodiments, the notches 324 can extend from the outer peripheral edge 322 partially through the annular ring 318. Similar to the notches 224, the notches 324 are configured to releasably attach to corresponding features of the prosthetic heart valve 10. For example, the notches 324 can be configured to receive the outer posts 38 of the outer frame 16 as shown, the inner posts 38 of the inner frame 15, the outer posts 38 and the inner posts 38, or other components of the frame assembly 12.


The prosthetic heart valve 10 can be attached to and removed from the annular ring 318 of the lid 308 in the same manner as described for the embodiment of FIGS. 6-10. Moreover, the annular ring 318 and the notches 324 can be configured to retain the prosthetic heart valve 10 in a fully expanded state, or in a partially compressed state, as previously described for the embodiment of FIGS. 6-10. As shown in FIG. 12, when the storage jar assembly 300 is in the fully assembled state with the prosthetic heart valve 10 attached to the annular ring 318 and the lid 308 is attached to the jar, the prosthetic heart valve is held closer to the bottom of the jar and is spaced from the side wall 314 of the lid. This can allow the prosthetic heart valve 10 to be fully immersed in a hydrating fluid using a relatively smaller volume of fluid as compared to the embodiment of FIG. 6. Also, by holding the prosthetic heart valve 10 outside of the space defined by the side wall 314 of the lid, it may be relatively easier to remove the prosthetic heart valve from the annular ring.


Referring now to FIG. 13, a storage jar assembly 400 according to another embodiment is shown. The storage jar assembly 400 includes ajar 402. The jar 402 generally comprises a base 404 and an upstanding side wall 406 extending upwardly from the base 404. The upper end portion of the wall 406 can form a mouth defining an opening at the upper end of the jar 402. The jar 402 can be configured to receive a prosthetic heart valve, such as prosthetic heart valve 10. The storage jar assembly can also include a lid 408, configured to releasably attach to the jar 402. Although the following description of the storage jar assembly 400 proceeds with reference to the prosthetic heart valve 10, it should be understood that other prosthetic heart valves, (e.g., prosthetic heart valve 100 or any of those discussed in Publication Nos. US2016/0317301, US2018/0055629 and US2019/0262129, and U.S. Pat. No. 10,350,062) can be used with the storage jar assembly 400.


The storage jar assembly 400 may also have a valve securement mechanism or valve holder 410 that can be configured to be received by the jar 402 and to receive the prosthetic heart valve 10 or the frame assembly 12 of the prosthetic heart valve 10. The valve holder 410 may be configured to hold the prosthetic heart valve 10 and/or the frame assembly 12 in a compressed or partially compressed state. As shown in FIGS. 13-15, in some embodiments, the valve holder 410 can have a plurality of valve retention members 412 and a base 414. In FIGS. 13 and 15, only the inner frame 15 of the prosthetic heart valve 10 is shown, and the other components of the prosthetic heart valve are omitted for the purpose of illustrating the interaction of the valve holder 410 and the inner frame 15 of the prosthetic heart valve 10.


In some embodiments, the base 414 has a circular cross-sectional profile as shown. The base 414 has an upper surface 416, a lower surface 417, and an outer peripheral edge 418 extending between the upper surface 416 and the lower surface 417. The diameter of the base 414 can be less than the diameter of the opening defined by the mouth at the upper end of the jar 402 and allow for the valve holder 410 to pass through the mouth at the upper end of the jar 402 as the valve holder is inserted into or removed from the jar. While the base 414 illustrated in FIGS. 13-15 is shown as having a circular cross-sectional profile, it is to be understood that base 414 may, in some embodiments, have a square cross-section, a hexagonal-cross section, a D-shaped cross-section, or any cross-section suitable for receiving the inner frame 15 of prosthetic heart valve 10.


Referring to FIGS. 13-15, the valve holder 410 may also have a plurality of valve retention members 412. The valve retention members 412 may be disposed on the upper surface 416 of the base 414 of the valve holder 410. In some embodiments, the valve retention members 412 may be positioned along the outer peripheral edge 418 of the base 414 of the valve holder 410. In alternative embodiments, valve retention members 412 may be inset from the outer peripheral edge 418 of the base 414 towards the center of the base.


In some embodiments, the positioning of valve retention members 412 relative to the outer peripheral edge 418 and the center of the base 414 of the valve holder 410 may be adjustable. In one embodiment best illustrated in FIG. 14, the base 414 further comprises a plurality of slots 420 angularly spaced from one another and extending from the outer peripheral edge 418 of the base 414 towards the center of the base, and each valve retention member 412 further comprises a projection 422. The slots 420 on the base 414 may be configured to receive the projections 422 of the valve retention members 412 and to permit the positioning of valve retention members 412 to be adjustable by sliding the projections 422 along the length of the slots 420. While FIG. 14 depicts the slots 420 disposed on the base 414 and the projections 422 disposed on the valve retention members 412, it is to be appreciated that in alternative embodiments, the projections might be disposed on the base 414 and the slots might be disposed on the valve retention members 412.


The valve retention members 412 can be secured to the base 414 by a plurality of fasteners, such as the illustrated screws 419. Each screw 419 can extend through a corresponding slot 420 and into a corresponding threaded bore in a valve retention member 412. Loosening the screws 419 allows the valve retention members 412 to be slid radially inwardly and outwardly along the upper surface of the base 414. Tightening the screws 419 fixes the positions of the valve retention members 412 relative to the base 414. The positions of the valve retention members 412 can be adjusted to adjust the amount of retention force that is applied to the prosthetic heart valve 10, as further described below, and/or accommodate prosthetic heart valves of different sizes.


The valve retention members 412 may be configured to contact a corresponding inner frame anchoring feature 40 of the inner frame 15 of prosthetic heart valve 10. As best illustrated in FIG. 16, the valve retention members 412 may be configured to hold the frame assembly 12 (and thus the prosthetic heart valve 10) in a compressed or partially compressed state. The degree of compression imparted on the prosthetic heart valve 10 may be determined by the positioning of the valve retention members 412 relative to the outer peripheral edge 418 of the base 414. In the illustrated embodiment, the contact between the valve retention members 412 and the inner frame anchoring features 40 pushes the inner frame anchoring features 40 towards the center of the base 414 and against the outer frame 16. In this fashion, both the inner frame 15 and outer frame 16, and therefore the entire frame assembly 12 of prosthetic heart valve 10 are at least partially compressed by the valve retention members 412. In other embodiments, the amount of compression can be selected to partially compress the tip portions of the anchoring features, but otherwise may not cause any corresponding compression of the outer frame 16.


While FIGS. 13, 15, and 16 show valve retention members 412 configured to contact corresponding inner frame anchoring features 40 of prosthetic heart valve 10, it is to be understood that in other embodiments, the valve retention members 412 can be configured to contact other portions of the frame assembly, such as the outer frame body 26, the anchoring features 28 of the outer frame 16, and/or the inner frame body 24.


The compressive strain imparted on the frame assembly 12 desirably is great enough that the outermost diameter of the prosthetic heart valve 10 is less than the inner diameter of the jar 402 (to allow the prosthetic heart valve to be easily inserted into and removed from the jar), and small enough that the prosthetic heart valve 10 may be kept under the imparted strain for the entire storage life of the prosthetic heart valve 10 without damaging the frame assembly or other components of the prosthetic heart valve. In particular embodiments, the compressive strain can be less than 6%, such as 3% or less or 1% or less.


In certain alternative embodiments, valve retention members can be configured to contact the corresponding inner frame anchoring feature 40 or other portions of the frame assembly without imparting a compressive strain to the frame assembly 12 while still retaining the prosthetic heart valve relative to the valve holder during shipping and storage. For example, in some embodiments, each valve retention member 412 can include a recessed portion 440 on the inner radially facing surface of the valve retention member 412. Each recessed portion 440 can receive a respective anchoring feature 40 or another portion of the frame assembly. When the prosthetic heart valve is positioned on the valve holder 410, the anchoring features 40 can be aligned with and at least partially inserted into the recessed portions 440 (see FIG. 15). Moreover, in lieu of or in addition to the recessed portions 440, portions of the anchoring features 40 can be positioned within the slots 420 (see FIG. 15). In some embodiments, the positioning of the anchoring features 40 in the recessed portions 440 and/or the slots 420 can retain the prosthetic heart valve relative to the valve holder without imparting any compressive stain on the frame assembly.


When the frame assembly 12 is formed from a self-expandable material (e.g., Nitinol), the inherent resilience of the frame causes the inner frame anchoring features 40 to press against the valve retention members 412 to cause the compressive strain on the prosthetic heart valve. If the frame is formed from plastically-expandable material (e.g., stainless steel, polymer), the inner frame anchoring features 40 can still exhibit sufficient resiliency to self-expand after being compressed and released within the valve holder 410, if the frame is not initially compressed to such an extent that causes plastic deformation of the anchoring features 40 or other components of the frame assembly. Thus, it should be understood that the valve holder 410 can be used to retain self-expanding frames and plastically-expandable frames. Although less desirable, in some embodiments the anchoring features 40 and/or other components of the frame assembly can undergo at least some amount of plastic deformation when retained by valve retention members 412, and then be re-expanded via an outside force (e.g., a manual force applied to the frame or the anchoring features).


As shown in FIGS. 13-15, the valve holder 410 may also have a column or shaft 424. The column 424 has a lower end portion 428 and an upper end portion 430. The lower end portion 428 may contact or be connected to the upper surface 416 of the base 414 of the valve holder 410. The column 424 may project away from the base 414 of the valve holder 410 in an axial direction such that, when the valve holder 410 is within the jar 402, the column 424 extends towards the mouth of the jar 402, as best illustrated in FIG. 13. While FIGS. 13-15 show the column 424 positioned at the center of the base 414, it is to be understood that, in some embodiments, the column 424 may be positioned at a different location on the base 414, such as between the peripheral edge 418 and the center of the base, or at the peripheral edge 418.


In certain embodiments, the column 424 may extend such that, when the valve holder 410 is within the jar 402, the upper end portion 430 of the column 424 may be placed at or near the mouth of the jar 402, as best seen in FIG. 13. In some embodiments, the upper end portion 430 of the column 424 is configured to come into contact with an inner surface of the lid 408 when the valve holder 410 is within the jar 402 and the lid 408 is attached to the jar 402. It is to be appreciated that these embodiments offer several advantages, such as facilitating the removal of the valve holder 410 from the jar 402 by a user or providing additional stability to the valve holder 410 during storage and transport of the storage jar assembly.


In some embodiments, best illustrated in FIG. 15, the column 424 can be configured to pass through the center of the frame assembly 12 of the prosthetic heart valve 10, such as through the center of the inner frame 15 and/or the outer frame 16 when the prosthetic heart valve is received by valve holder 410. However, it is to be understood that, in alternative embodiments, the column 424 may not pass through the center or any other portion of the frames 15, 16 of the prosthetic heart valve 10.


In some embodiments, as illustrated in FIG. 14, the column 424 can be cylindrical with a uniform circular cross-section. However, it is to be understood that column may have alternative geometries, such as a cross-section that varies along its length, or the column may have a different cross-sectional shape such as a square cross-section, a hexagonal cross-section, a D-shaped cross-section, or any other cross-section suitable for passing through the frames 15, 16 of the prosthetic heart valve 10 and/or facilitating the removal of the valve holder 410 from the jar 402.


Returning to FIG. 13, the storage jar assembly 400 may further include a lid 408 that can have an upper portion 432 and a downwardly depending side wall 434. The inner surface of the lid 408 can further comprise a storage jar attachment mechanism, which is configured to releasably attach to corresponding features on the jar 402. It is to be understood that the storage jar attachment mechanism of lid 408 may include any of the storage attachment features previously described, such as helical threads, screw threads, press-fit, or snap-fit attachment features.


In some embodiments, an inner surface of the upper portion 432 of the lid 408 may further comprise a column securing feature configured to receive upper end portion 430 of column 424 when the valve holder 410 is within the jar 402 and the lid 408 is attached to the jar 402. The column securing feature may be, for example, a recess or indent formed in the inner surface of the upper portion 432 with a geometry suitable for receiving the upper end 430 of a corresponding column 424.


In some embodiments, the upper end portion 430 of the column 424 can be connected to the upper portion 432 of the lid 408, which allows the valve holder 410 and a prosthetic heart valve 10 retained by the valve holder to be inserted into and removed from the jar 402 by manipulating the lid 408. In some embodiments, the upper end portion 430 of the column can be removably attached to the lid 408. This allows the valve holder to be disconnected from the lid after removing the valve holder and the prosthetic heart valve from the jar, which can facilitate removal of the prosthetic heart valve from the valve holder.



FIG. 13 shows the fully-assembled storage jar assembly 400, with the valve holder 410 placed within jar 402 and retaining the prosthetic heart valve 10. During assembly (such as at the manufacturing site of the prosthetic heart valve), the assembler can place the prosthetic heart valve 10 within the valve holder 410 as previously described, place the valve holder 410 and the prosthetic heart valve within jar 402, fill the jar with a hydrating solution (e.g., glutaraldehyde), place the lid on top of the jar, and then secure it in place (e.g., by screwing the lid onto the jar). Desirably, a sufficient volume of hydrating solution can be placed in the jar so as to fully immerse the leaflets 50 of the prosthetic heart valve.


In some embodiments, the leaflets 50 can be made of a material or chemically treated such that they can be stored without hydrating solution within the jar. In such embodiments, the storage jar assembly 400 can comprise a prosthetic heart valve held by valve holder 410 and stored within jar 402, which can be free of any liquids except for any moisture retained by the leaflets following a tissue treatment process. Methods for treating tissue leaflets for so-called dry storage are disclosed in U.S. Pat. No. 8,007,992 and U.S. Patent Publication No.


2009/0164005, filed Dec. 18, 2008, both of which documents are incorporated herein by reference.


In the fully assembled state, the storage jar assembly 400 can be shipped to end users (e.g., hospitals) and stored until the prosthetic heart valve is used in a heart valve replacement procedure. Prior to implementation, the user (e.g., a physician) can remove the lid from the jar, withdraw the valve holder from the jar, and then remove the prosthetic heart valve from the valve holder. The valve holder 410 securely retains the prosthetic heart valve 10 in place within the jar 402 to prevent or minimize damage to the prosthetic heart valve during shipping and storage. Further, the column 424 of the valve holder 410 facilitates the removal of the prosthetic heart valve 10 from the jar 402, as it is relatively easier to reach and grasp compared to known storage assemblies, does not require any specialized tools, and avoids or minimizes direct contact to the prosthetic heart valve 10, the leaflets 50, or the frame assembly 12.


Referring now to FIGS. 17-18, a lid 500 for a storage jar assembly according to another embodiment is shown. The lid 500 can include an upper portion 502 and a downwardly depending wall 504. The lid 500 can be configured to receive a prosthetic heart valve such as prosthetic heart valve 10. The lid 500 can further be configured to releasably attach to a valve storage jar (not shown) configured to receive the prosthetic heart valve 10, such as the jars previously disclosed, to form a storage jar assembly. Although the following description of the lid 500 proceeds with reference to the prosthetic heart valve 10, it should be understood that other prosthetic heart valves (e.g., prosthetic heart valve 100 or any of those discussed in Publication Nos. US 2016/0317301, US2018/0055629 and US 2019/0262129, and U.S. Pat. No. 10,350,062) can be used with the lid 500.


As shown in FIG. 17, the lid 500 may further comprise a valve release mechanism, such as a button 506 disposed on and/or within the upper portion 502 of the lid. As best illustrated in FIG. 18, the button 506 may be formed from a separate body set within an opening of the upper portion 502 of lid 500, forming a lid-button interface 508. The button 506 may be configured to slidably engage with the upper portion 502 of lid 500 along the lid-button interface 508. The slidable engagement of button 506 and upper portion 502 may allow the button 506 a range of movement with relation to the upper portion having both an upper limit and a lower limit. In some embodiments, the lower limit of the movement range is defined at a point when a lower surface 510 of the button 506 is flush with or lower than a lower surface 512 of the upper portion 502, and the upper limit of the movement range is defined at a point where the lower surface 510 of the button 506 is above the lower surface 512 of the upper portion 502 and/or where an upper surface 514 of the button 506 is elevated above an upper surface 516 of the upper portion 502.


The button 506 and the upper portion 502 of the lid may further be configured such that they form the valve attachment feature 518 on the inner surface of the upper portion 502 of the lid 500, beneath the button 506. In some embodiments, best illustrated in FIG. 18, the valve attachment feature 518 is a circular recession defined by the lower surface 510 of the button 506 and the lid-button interface. The valve attachment feature 518 may be configured to receive corresponding features of a frame 12 of a prosthetic heart valve 10, such as the angularly spaced outer posts 36 shown in FIG. 1. In some embodiments, the diameter of attachment feature 518 may be configured to be less than the diameter defined by the angularly spaced outer posts 36 in a fully-expanded state. In this way, the compressive forces exerted on angularly outer spaced posts 36 may cause interference forces sufficient to retain the prosthetic heart valve 10 in the valve attachment feature.


While the valve attachment feature 518 has been described as a circular recession, it is to be understood that any feature geometry suitable for retaining the angularly spaced outer posts 36 or other portions of the frame 12 of the prosthetic heart valve 10 may be used, such as an annular recession or groove, a polygonal recession, or a plurality of notches or indentations formed in the inner surface 512 of the upper portion 502 and/or the lower surface 510 of the button 506. In one embodiment, for example, notches or recesses (similar to notches 224) sized for receiving the outer posts 38 or other portions of the frame can be formed on the lower surface 512 and/or an inner surface of the upper portion 502 at the interface 508, and the button 506 can be configured to push the frame downwardly relative to the lid to push the outer posts 36 out of the notches. In some embodiments, the button 506 can be shaped to push the outer posts 38 radially inwardly away from the interface 508 and out of the notches as the button 506 is pressed downwardly relative to the upper portion 502 of the lid. In other embodiments, the outer posts 38 or other portions of the frame can be retained against the inner surface of the upper portion 502 at the interface 508 by the radial outward expansion of those portions of the frame against the adjacent inner surface of the upper portion 502.


Returning to FIG. 17, the inner surface of the lid 500 can further comprise a storage jar attachment mechanism (not shown), which is disposed on depending wall 504 and configured to releasably attach to corresponding features on the jar (not shown in FIGS. 17-18). It is to be understood that the storage jar attachment mechanism of lid 500 may include any of the storage attachment features previously described, such as helical threads, screw threads, press-fit, or snap-fit attachment features.


During assembly of a jar assembly comprising, in part, the lid 500 (such as at the manufacturing site of the prosthetic heart valve), the assembler can attach the prosthetic heart valve 10 to the lid 500 as previously described, fill the jar with a hydrating solution (e.g., glutaraldehyde), and then place the lid on top of the jar and secure it place (e.g., by screwing the lid onto the jar). Desirably, a sufficient volume of hydrating solution is placed in the jar so as to fully immerse the leaflets 50 of the prosthetic heart valve.


In a fully-assembled storage state, partially illustrated in FIG. 17, the lid 500 may be configured such that corresponding features of the prosthetic heart valve 10, such as the angularly spaced outer posts 36 or other elements of the frame 12 rest within the valve attachment feature 518. The prosthetic heart valve 10 thus may depend from the lid 500 and be contained within the valve storage jar in the fully-assembled storage state. In possible embodiment, when a jar assembly including the lid 500 is in the fully-assembled storage state, the button 506 may be near the upper limit of movement relative to upper portion 502 of lid 500.


In the fully-assembled storage state, the storage jar assembly including the lid 500 can be shipped to end users (e.g., hospitals) and stored until the prosthetic heart valve is used in a heart valve replacement procedure. Prior to implementation, the user (e.g., a physician) can press the button 506, moving the button 506 downwards relative to both the upper portion 502 of the lid 500 and the prosthetic heart valve 10, in the direction of arrow 520 in FIG. 18, causing the frame 12 or the angularly spaced outer posts 36 of the prosthetic heart valve 10 to be pushed or ejected from the valve attachment feature 518. In some embodiments, the prosthetic heart valve can be released prior to removing the lid from the jar, which causes the prosthetic heart valve 10 to detach from the lid 500 and become submerged or partially submerged in the hydrating solution (e.g., glutaraldehyde). Thereafter, the user can remove the prosthetic heart valve from jar just prior to loading the prosthetic heart valve onto the delivery device.


In other embodiments, the lid 500 can be removed from the jar while the prosthetic heart valve is still attached to the lid, after which the user can push the button 506 to release the prosthetic heart valve from the lid. Advantageously, this configuration allows a user to detach the prosthetic heart valve from the lid 500 while minimizing direct contact with the prosthetic heart valve and without requiring any tools, thereby facilitating the removal of the prosthetic heart valve from the storage jar assembly, and preventing or minimizing damage to the prosthetic heart valve.


In some embodiments, the lid 500 can include a locking feature or locking element that prevents inadvertent movement of the button 506 during shipping, storage and handling of the assembly prior to intended removal of prosthetic heart valve from the lid. The locking feature can be moved between a locked position and an unlocked position. In the locked position, the locking feature can contact and resist movement of the button 506. In the unlocked position, the locking feature is removed from contact with the button 506 and allows it to pushed relative to the upper portion 502 in order to release the prosthetic heart valve from the lid.


In some embodiments, the lid 500 can include a biasing element, such as a spring (e.g., a coil spring), configured to resiliently bias the button 506 to its upper limit of travel. When releasing the prosthetic heart valve from the lid, the user can press the button downwardly against the bias of the biasing element.


General Considerations


For purposes of this description, certain aspects, advantages, and novel features of the embodiments of this disclosure are described herein. The described methods, systems, and apparatus should not be construed as limiting in any way. Instead, the present disclosure is directed toward all novel and non-obvious features and aspects of the various disclosed embodiments, alone and in various combinations and sub-combinations with one another. The disclosed methods, systems, and apparatus are not limited to any specific aspect, feature, or combination thereof, nor do the disclosed methods, systems, and apparatus require that any one or more specific advantages be present, or problems be solved.


Features, integers, characteristics, compounds, chemical moieties, or groups described in conjunction with a particular aspect, embodiment or example of the disclosure are to be understood to be applicable to any other aspect, embodiment or example described herein unless incompatible therewith. All of the features disclosed in this specification (including any accompanying claims, abstract, and drawings), and/or all of the steps of any method or process so disclosed, may be combined in any combination, except combinations where at least some of such features and/or steps are mutually exclusive. The disclosure is not restricted to the details of any foregoing embodiments. The disclosure extends to any novel one, or any novel combination, of the features disclosed in this specification (including any accompanying claims, abstract, and drawings), or to any novel one, or any novel combination, of the steps of any method or process so disclosed.


Although the operations of some of the disclosed methods are described in a particular, sequential order for convenient presentation, it should be understood that this manner of description encompasses rearrangement, unless a particular ordering is required by specific language set forth below. For example, operations described sequentially may in some cases be rearranged or performed concurrently. Moreover, for the sake of simplicity, the attached figures may not show the various ways in which the disclosed methods, systems, and apparatus can be used in conjunction with other systems, methods, and apparatus.


As used herein, the terms “a,” “an,” and “at least one” encompass one or more of the specified element. That is, if two of a particular element are present, one of these elements is also present and thus “an” element is present. The terms “a plurality of” and “plural” mean two or more of the specified element.


As used herein, the term “and/or” used between the last two of a list of elements means any one or more of the listed elements. For example, the phrase “A, B, and/or C” means “A,” “B,” “C,” “A and B,” “A and C,” “B and C,” or “A, B, and C.”


As used herein, the term “coupled” generally means physically coupled or linked and does not exclude the presence of intermediate elements between the coupled items absent specific contrary language.


Directions and other relative references (e.g., inner, outer, upper, lower, etc.) may be used to facilitate discussion of the drawings and principles herein, but are not intended to be limiting. For example, certain terms may be used such as “inside,” “outside,”, “top,” “down,” “interior,” “exterior,” and the like. Such terms are used, where applicable, to provide some clarity of description when dealing with relative relationships, particularly with respect to the illustrated embodiments. Such terms are not, however, intended to imply absolute relationships, positions, and/or orientations. For example, with respect to an object, an “upper” part can become a “lower” part simply by turning the object over. Nevertheless, it is still the same part and the object remains the same. As used herein, “and/or” means “and” or “or,” as well as “and” and or.


In the context of the present application, the terms “lower” and “upper” are used interchangeably with the term's “outlet” and “inlet”, respectively. Thus, for example, the lower end of the valve is its outlet end and the upper end of the valve is its inlet end.


As used herein, with reference to the prosthetic medical device (e.g., heart valve), capsule, and the delivery apparatus, “proximal” refers to a position, direction, or portion of a component that is closer to the user and/or a handle of the delivery apparatus that is outside the patient, while “distal” refers to a position, direction, or portion of a component that is further away from the user and/or the handle of the delivery apparatus and closer to the implantation site. The terms “longitudinal” and “axial” refer to an axis extending in the proximal and distal directions, unless otherwise expressly defined. Further, the term “radial” refers to a direction that is arranged perpendicular to the axis and points along a radius from a center of an object (where the axis is positioned at the center, such as the longitudinal axis of the prosthetic heart valve).


In some of the illustrations previously discussed of the various embodiments of storage jar assemblies and the features thereof, only the frame, or only a part of the frame of prosthetic heart valves intended for use with the present invention are shown. This is done to assist with the clarity of the illustrations, and should be not be taken as limiting the scope of the invention.


Additional Examples of the Disclosed Technology

In view of the above-described implementations of the disclosed subject matter, this application discloses the additional examples enumerated below. It should be noted that one feature of an example in isolation or more than one feature of the example taken in combination and, optionally, in combination with one or more features of one or more further examples are further examples also falling within the disclosure of this application.


Example 1. A storage jar assembly, comprising: a jar having an open end and configured to receive a prosthetic heart valve; and a lid configured to cover the open end of the jar, the lid comprising a plurality of valve attachment features configured to be releasably attached to corresponding features of the prosthetic heart valve.


Example 2. The storage jar assembly of any example herein, particularly example 1, wherein the plurality of valve attachment features comprise notches formed on an inner surface of the lid, the notches configured to receive portions of a frame of the prosthetic heart valve.


Example 3. The storage jar assembly of any example herein, particularly example 2, wherein the inner surface of the lid comprises an annular lip, wherein the notches are formed on an inner peripheral edge of the annular lip.


Example 4. The storage jar assembly of any example herein, particularly example 2, wherein the inner surface of the lid comprises an annular lip, wherein the notches are formed on an outer peripheral edge of the annular lip.


Example 5. The storage jar assembly of any example herein, particularly examples 1-4 wherein the plurality of valve attachment features of the lid is configured to hold one end of the frame in a partially compressed state.


Example 6. The storage jar assembly of any of any example herein, particularly examples 1-5, wherein the plurality of valve attachment features is circumferentially spaced from each other along an imaginary circle centered around an axis extending through the lid.


Example 7. The storage jar assembly of any example herein, particularly example 6, wherein a diameter of the imaginary circle is selected to impart a desired holding force on the prosthetic heart valve.


Example 8. The storage jar assembly of any example herein, particularly examples 1-7, wherein the plurality of valve attachment features extends away from an interior surface of the lid.


Example 9. The storage jar assembly of any example herein, particularly examples 1-8, wherein the jar contains a hydrating fluid and a prosthetic heart valve.


Example 10. The storage jar assembly of any example herein, particularly example 9, wherein the hydrating fluid is glutaraldehyde.


Example 11. The storage jar assembly of any example herein, particularly examples 8-9, wherein the valve attachment features are configured to fully submerge the prosthetic heart valve in the hydrating fluid when the lid is attached to ajar.


Example 12. The storage jar assembly of any example herein, particularly examples 1-11, wherein the lid comprises a lid attachment mechanism configured to releasably attach to the jar near the open end.


Example 13. The storage jar assembly of any example herein, particularly example 12, wherein the lid attachment mechanism comprises a screw thread configured to engage a corresponding screw thread on the jar.


Example 14. The storage jar assembly of any example herein, particularly example 12, wherein the lid attachment mechanism comprises a ridge on the inside of the lid configured to releasably engage with a lip disposed on an exterior of the jar near the open end.


Example 15. A storage jar assembly, comprising: a jar having an open end and configured to receive a prosthetic heart valve; a lid configured to cover the open end of the jar; and a valve securement mechanism coupled to the lid and comprising a plurality of notches configured to be releasably attached to corresponding features of the prosthetic heart valve and hold one end of the prosthetic heart valve in at least a partially radially compressed state.


Example 16. The storage jar assembly of any example herein, particularly example 15, wherein the valve securement mechanism comprises an annular ring, wherein the notches are formed in the annular ring.


Example 17. The storage jar assembly of any example herein, particularly example 16, wherein the notches are formed in an inner peripheral edge of the annular ring.


Example 18. The storage jar assembly of any example herein, particularly example 16, wherein the notches are formed in an outer peripheral edge of the annular ring.


Example 19. The storage jar assembly of any example herein, particularly examples 16-18, wherein the annular ring is positioned below the lid.


Example 20. The storage jar assembly of any example herein, particularly example 19, wherein the valve securement mechanism comprises one or more struts interconnecting the annular ring to the lid.


Example 21. The storage jar assembly of any example herein, particularly examples 15-20, wherein the lid comprises a screw thread configured to engage a corresponding screw thread on the jar.


Example 22. The storage jar assembly of any example herein, particularly examples 15-20, wherein the lid comprises a ridge on the inside of the lid configured to releasably engage with a lip disposed on an exterior of the jar near the open end.


Example 23. The storage jar assembly of any example herein, particularly examples 15-20, wherein the jar contains a hydrating fluid and a prosthetic heart valve.


Example 24. The storage jar assembly of any example herein, particularly example 23, wherein the hydrating fluid is glutaraldehyde.


Example 25. The storage jar assembly of any example herein, particularly examples 23-24, wherein the valve securement mechanism is configured to fully submerge the prosthetic heart valve in the hydrating fluid when the lid is attached to ajar.


Example 26. A storage jar assembly, comprising a jar having an open end and configured to receive a prosthetic heart valve; a lid configured to cover the open end of the jar; and a valve holder comprising a base, a column, and plurality of valve retention members, wherein the column has a lower end portion coupled to the base, an upper end portion, and extends axially from the base; and the plurality of valve retention members extend upwardly from the base and are configured to contact an outer surface of the prosthetic heart valve.


Example 27. The storage jar assembly of any example herein, particularly example 26, wherein the plurality of valve retention members are disposed at circumferentially spaced locations on the base of the valve holder.


Example 28. The storage jar assembly of any example herein, particularly examples 26-27, wherein a position of the plurality of valve retention members is adjustable radially inwardly and outwardly relative to a central axis of the base.


Example 29. The storage jar assembly of any example herein, particularly examples 26-28, wherein the base comprises plurality of slots and each of the valve retention members comprises a projection that extends into a corresponding slot.


Example 30. The storage jar assembly of any example herein, particularly examples 26-28, wherein the base comprises plurality of projections and each of the valve retention members comprises a slot that receives a corresponding projection.


Example 31. The storage jar assembly of any example herein, particularly examples 26-30, wherein the plurality of valve retention members are configured to hold the prosthetic heart valve under a radial compressive strain.


Example 32. The storage jar assembly of any example herein, particularly example 31, wherein the radial compressive strain is less than 6%.


Example 33. The storage jar assembly of any example herein, particularly example 31, wherein the radial compressive strain is less than 3%.


Example 34. The storage jar assembly of any example herein, particularly example 31, wherein the radial compressive strain is less than 1%.


Example 35. The storage jar assembly of any example herein, particularly examples 26-34, wherein an inner diameter of the jar is less than an outer diameter of the prosthetic heart valve in its fully expanded state.


Example 36. The storage jar assembly of any example herein, particularly examples 26-35, wherein the upper end portion of the column comprises a handle to assist in withdrawing the valve holder from the jar.


Example 37. The storage jar assembly of any example herein, particularly examples 26-36, wherein the valve holder is configured to support the prosthetic heart valve within the jar for sterilization, shipping, and handling.


Example 38. The storage jar assembly of any example herein, particularly examples 26-37, wherein the base of the valve holder has an outer diameter that is less than 55 mm.


Example 39. The storage jar assembly of any example herein, particularly examples 26-38, wherein the lid comprises a lid attachment mechanism configured to be releasably attached to the jar near the open end.


Example 40. The storage jar assembly of any example herein, particularly example 39, wherein the lid attachment mechanism is a screw thread configured to engage a corresponding screw thread on the jar.


Example 41. The storage jar assembly of any example herein, particularly example 39, wherein the lid attachment mechanism comprises a ridge on the inside of the lid configured to releasably engage with a lip disposed on an exterior of the jar near the open end.


Example 42. The storage jar assembly of any example herein, particularly examples 26-41, wherein lid attached to the upper end portion of the column.


Example 43. The storage jar assembly of any example herein, particularly examples 26-41, wherein the lid is configured to be removably attached to the upper end portion of the column.


Example 44. The storage jar assembly of any example herein, particularly examples 26-43, wherein the jar contains a hydrating fluid and a prosthetic heart valve.


Example 45. The storage jar assembly of any example herein, particularly example 44, wherein the hydrating fluid is glutaraldehyde.


Example 46. A storage jar assembly, comprising a jar having an open end and configured to receive a prosthetic heart valve; a lid configured to cover the open end of the jar; and a valve holder configured to hold the prosthetic heart valve in a partially compressed state within the jar.


Example 47. The storage jar assembly of any example herein, particularly example 46, wherein the valve holder comprises a plurality of valve retention members.


Example 48. The storage jar assembly of any example herein, particularly example 47, wherein the position of the plurality of valve retention members is radially adjustable inwardly and outwardly relative to an outer circumference of the valve holder.


Example 49. The storage jar assembly of any example herein, particularly examples 46-48, wherein the valve holder comprises a base and a column having a lower end portion connected to the base and extending axially away from the base.


Example 50. The storage jar assembly of any example herein, particularly example 49, wherein the plurality of valve retention members is disposed along a surface of the base.


Example 51. The storage jar assembly of any example herein, particularly examples 49-50, wherein the base comprises a plurality of slots and each of the valve retention members comprises a projection that extends into a corresponding slot.


Example 52. The storage jar assembly of any example herein, particularly examples 49-50, wherein the base comprises one or more projections and each of the valve retention members comprises a slot that receives a corresponding projection.


Example 53. The storage jar assembly of any example herein, particularly examples 46-52, wherein the valve retention members are circumferentially spaced from each other.


Example 54. The storage jar assembly of any example herein, particularly examples 46-52, wherein the plurality of valve retention members are configured to hold the prosthetic heart valve under a radial compressive strain.


Example 55. The storage jar assembly of any example herein, particularly example 54, wherein the radial compressive strain is less than 6%.


Example 56. The storage jar assembly of any example herein, particularly example 54, wherein the radial compressive strain is less than 3%.


Example 57. The storage jar assembly of any example herein, particularly example 54, wherein the radial compressive strain is less than 1%.


Example 58. The storage jar assembly of any example herein, particularly examples 49-52, wherein the lid is configured to receive and secure an upper end portion of the column.


Example 59. The storage jar assembly of any example herein, particularly examples 46-58, wherein an inner diameter of the jar is less than an outer diameter of the prosthetic heart valve in its fully expanded state.


Example 60. The storage jar assembly of any example herein, particularly examples 46-59, wherein the lid comprises a lid attachment mechanism configured to releasably attach to the jar near the open end.


Example 61. The storage jar assembly of any example herein, particularly example 60, wherein the lid attachment mechanism is a screw thread configured to engage a corresponding screw thread on the jar.


Example 62. The storage jar assembly of any example herein, particularly example 60, wherein the lid attachment mechanism comprises a lip on the inside of the lid configured to releasably engage with a ridge disposed on the exterior of the jar near the open end.


Example 63. The storage jar assembly of any example herein, particularly examples 47-62, wherein the jar contains a hydrating fluid and a prosthetic heart valve.


Example 64. The storage jar assembly of any example herein, particularly example 63, wherein the hydrating fluid is glutaraldehyde.


Example 65. A lid, configured to cover an open end of a jar, comprising: an upper portion; a side wall depending from the upper portion; a valve attachment feature coupled to the lid and configured to releasably hold corresponding features of a prosthetic heart valve; and a valve release mechanism configured to detach the prosthetic heart valve from the valve attachment feature.


Example 66. The lid of any example herein, particularly example 65, wherein the valve release mechanism is a button.


Example 67. The lid of any example herein, particularly example 66, wherein the button is set in the upper portion of the lid and is configured to slide axially relative to the upper portion of the lid.


Example 68. The lid of example herein, particularly examples 65-67, wherein the valve attachment feature is a circular recession in the lid.


Example 69. The lid of any example herein, particularly examples 65-67, wherein the valve attachment feature is an annular recession formed in the lid.


Example 70. The lid of any example herein, particularly examples 65-67, wherein the valve attachment feature is a plurality of notches formed in the lid and circumferentially spaced from one another.


Example 71. The lid of any example herein, particularly examples 65-70, wherein the valve attachment feature is at least partially defined by the button.


Example 72. The lid of any example herein, particularly examples 65-71, wherein the prosthetic heart valve is retained in the valve attachment feature by an interference fit.


Example 73. The lid of any example herein, particularly examples 65-72, wherein the valve release mechanism is configured to press on the prosthetic heart valve and detach it from the valve attachment feature.


Example 74. The lid of any example herein, particularly examples 65-73, wherein the lid comprises a lid attachment mechanism configured to releasably attach to the jar near the open end.


Example 75. The lid of any example herein, particularly examples 65-74, wherein the lid attachment mechanism is a screw thread configured to engage a corresponding screw thread on the jar.


Example 76. The lid of any example herein, particularly examples 65-75, wherein the lid attachment mechanism comprises a lip on the inside of the lid configured to releasably engage with a ridge disposed on the exterior of the jar near the open end.


Example 77. A storage jar assembly, comprising: a jar having an open end and configured to receive a prosthetic heart valve; a lid, configured to cover an open end of the jar, comprising: an upper portion; a side wall depending from the upper portion; a valve attachment feature coupled to the lid and configured to releasably hold corresponding features of a prosthetic heart valve; and a valve release mechanism configured to detach the prosthetic heart valve from the valve attachment feature.


Example 78. The storage jar assembly of any example herein, particularly example 77, wherein the valve release mechanism is a button.


Example 79. The storage jar assembly any example herein, particularly example 78, wherein the button is set in the upper portion of the lid and is configured to slide axially relative to the upper portion of the lid.


Example 80. The storage jar assembly of any example herein, particularly examples 77-79, wherein the valve attachment feature is a circular recession in the lid.


Example 81. The storage jar assembly of any example herein, particularly examples 77-79, wherein the valve attachment feature is an annular recession formed in the lid.


Example 82. The storage jar assembly of any example herein, particularly examples 77-79, wherein the valve attachment feature is a plurality of notches formed in the lid and circumferentially spaced from one another.


Example 83. The storage jar assembly of any example herein, particularly examples 77-82, wherein the valve attachment feature is at least partially defined by the button.


Example 84. The storage jar assembly of any example herein, particularly examples 77-83, wherein the prosthetic heart valve is retained in the valve attachment feature by an interference fit.


Example 85. The storage jar assembly of any example herein, particularly examples 77-84, wherein the valve release mechanism is configured to press on the prosthetic heart valve and detach it from the valve attachment feature.


Example 86. The storage jar assembly of any example herein, particularly examples 77-85, wherein the lid comprises a lid attachment mechanism configured to releasably attach to the jar near the open end.


Example 87. The storage jar assembly of any example herein, particularly example 86, wherein the lid attachment mechanism is a screw thread configured to engage a corresponding screw thread on the jar.


Example 88. The storage jar assembly of any example herein, particularly example 87, wherein the lid attachment mechanism comprises a lip on the inside of the lid configured to releasably engage with a ridge disposed on the exterior of the jar near the open end.


Example 89. The storage jar assembly of any example herein, particularly examples 77-88, wherein the jar contains a hydrating fluid and a prosthetic heart valve.


Example 90. The storage jar assembly of any example herein, particularly example 89, wherein the hydrating fluid is glutaraldehyde.


Example 91. The storage jar assembly of any example herein, particularly example 90, wherein the valve release mechanism is configured to release the prosthetic heart valve into the hydrating fluid when used.


In view of the many possible embodiments to which the principles of the disclosed invention may be applied, it should be recognized that the illustrated embodiments are only preferred examples of the invention and should not be taken as limiting the scope of the invention. Rather, the scope of the invention is defined by the following claims. We therefore claim as our invention all that comes within the scope and spirit of these claims.

Claims
  • 1. A storage jar assembly, comprising: a jar having an open end and configured to receive a prosthetic heart valve; anda lid configured to releasably attach to and cover the open end of the jar, the lid comprising an inner surface comprising an annular lip, and a plurality of valve attachment features configured to be releasably attached to corresponding features of the prosthetic heart valve, wherein the valve attachment features comprise a plurality of notches formed on an inner peripheral edge of the annular lip, the notches configured to receive portions of a frame of the prosthetic heart valve,wherein when the lid is attached to the open end of the jar, the lid is configured to retain a hydrating fluid inside the jar.
  • 2. The storage jar assembly of claim 1, wherein the valve attachment features of the lid are configured to hold one end of the prosthetic heart valve in a partially compressed state.
  • 3. The storage jar assembly of claim 1, wherein the valve attachment features extend away from an interior surface of the lid.
  • 4. The storage jar assembly of claim 1, wherein the jar contains a hydrating fluid and a prosthetic heart valve.
  • 5. The storage jar assembly of claim 4, wherein the valve attachment features are configured to at least partially submerge the prosthetic heart valve in the hydrating fluid when the lid is attached to the jar.
  • 6. The storage jar assembly of claim 1, wherein the jar has an inner diameter and the inner diameter of the jar is smaller than an outer diameter of the prosthetic heart valve in a fully expanded state.
  • 7. The storage jar assembly of claim 1, wherein the lid further comprises a valve release mechanism configured to detach the prosthetic heart valve from the valve attachment features.
  • 8. The storage jar assembly of claim 1, wherein the lid further comprises a first helical thread and the jar comprises a second helical thread, and the first helical thread is configured to engage with the second helical thread for attaching the lid to the jar.
  • 9. The storage jar assembly of claim 1, wherein the valve attachment features comprise an annular lip and one or more struts interconnecting the annular lip to the lid.
  • 10. A storage jar assembly, comprising: a jar having an open end and configured to receive a prosthetic heart valve; anda lid configured to releasably attach to and cover the open end of the jar, the lid comprising an inner surface comprising an annular lip, and a plurality of valve attachment features configured to be releasably attached to corresponding features of the prosthetic heart valve, wherein the valve attachment features comprise a plurality of notches formed on an inner peripheral edge of the annular lip, the notches configured to receive portions of a frame of the prosthetic heart valve,wherein the valve attachment features of the lid are configured to hold one end of the prosthetic heart valve in a partially compressed state, wherein when the lid is attached to the open end of the jar, the lid is configured to retain a hydrating fluid inside the jar, and wherein the lid further comprises a first helical thread and the jar comprises a second helical thread, and the first helical thread is configured to engage with the second helical thread for attaching the lid to the jar.
  • 11. The storage jar assembly of claim 10, wherein the valve attachment features are configured to at least partially submerge the prosthetic heart valve in the hydrating fluid when the lid is attached to the jar.
  • 12. The storage jar assembly of claim 10, wherein the jar has an inner diameter and the inner diameter of the jar is smaller than an outer diameter of the prosthetic heart valve in a fully expanded state.
  • 13. The storage jar assembly of claim 10, wherein the lid further comprises a valve release mechanism configured to detach the prosthetic heart valve from the valve attachment features.
  • 14. The storage jar assembly of claim 10, wherein the lip and the notches are spaced from the inner surface of the lid to form a receiving space configured to receive corresponding features of the prosthetic heart valve.
  • 15. A storage jar assembly, comprising: a jar having an open end and configured to receive a prosthetic heart valve; anda lid comprising an upper portion and an annular side wall that is connected to and extends downwardly from the upper portion, wherein the upper portion comprises a lower inner surface and a valve securement member projecting from the lower inner surface, wherein the lid is configured to releasably attach to and cover the open end of the jar, wherein the valve securement member comprises a plurality of valve attachment features are configured to be releasably attached to corresponding features of the prosthetic heart valve,wherein the annular side wall extends downward past the plurality of valve attachment features and wherein when the lid is attached to the open end of the jar, the lid is configured to retain a hydrating fluid inside the jar.
  • 16. The storage jar assembly of claim 15, wherein the valve securement member comprises an annular lip.
  • 17. The storage jar assembly of claim 16, wherein the valve attachment features comprise a plurality of notches formed on an inner peripheral edge of the annular lip.
  • 18. The storage jar assembly of claim 16, wherein the valve attachment features comprise a plurality of notches formed on an outer peripheral edge of the annular lip.
  • 19. The storage jar assembly of claim 17, wherein the lip and the notches are spaced from the lower inner surface of the lid to form a receiving space configured to receive corresponding features of the prosthetic heart valve.
CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of PCT Application No. PCT/US2021/062690, filed on Dec. 9, 2021, which claims the benefit of U.S. Provisional Patent Application No. 63/199,331, filed on Dec. 18, 2020, both of which applications are incorporated herein by reference in their entirety.

US Referenced Citations (692)
Number Name Date Kind
3409013 Berry Nov 1968 A
3472230 Fogarty Oct 1969 A
3548417 Kischer et al. Dec 1970 A
3587115 Shiley Jun 1971 A
3657744 Ersek Apr 1972 A
3671979 Moulopoulos Jun 1972 A
3714671 Edwards et al. Feb 1973 A
3739402 Cooley et al. Jun 1973 A
3755823 Hancock Sep 1973 A
4035849 Angell et al. Jul 1977 A
4056854 Boretos et al. Nov 1977 A
4079468 Liotta et al. Mar 1978 A
4106129 Carpentier et al. Aug 1978 A
4204283 Bellhouse et al. May 1980 A
4222126 Boretos et al. Sep 1980 A
4265694 Boretos et al. May 1981 A
4297749 Davis et al. Nov 1981 A
4339831 Johnson Jul 1982 A
4340977 Brownlee et al. Jul 1982 A
4343048 Ross et al. Aug 1982 A
4345340 Rosen Aug 1982 A
4373216 Klawitter Feb 1983 A
4406022 Roy Sep 1983 A
4470157 Love Sep 1984 A
4477930 Totten et al. Oct 1984 A
4490859 Black et al. Jan 1985 A
4535483 Klawitter et al. Aug 1985 A
4553545 Maass et al. Nov 1985 A
4574803 Storz Mar 1986 A
4592340 Boyles Jun 1986 A
4605407 Black et al. Aug 1986 A
4612011 Kautzky Sep 1986 A
4643732 Pietsch et al. Feb 1987 A
4655771 Wallsten Apr 1987 A
4692164 Dzemeshkevich et al. Sep 1987 A
4733665 Palmaz Mar 1988 A
4759758 Gabbay Jul 1988 A
4762128 Rosenbluth Aug 1988 A
4777951 Cribier et al. Oct 1988 A
4787899 Lazarus Nov 1988 A
4787901 Baykut Nov 1988 A
4796629 Grayzel Jan 1989 A
4829990 Thuroff et al. May 1989 A
4851001 Taheri Jul 1989 A
4856516 Hillstead Aug 1989 A
4865600 Carpentier et al. Sep 1989 A
4878495 Grayzel Nov 1989 A
4878906 Lindemann et al. Nov 1989 A
4883458 Shiber Nov 1989 A
4922905 Strecker May 1990 A
4966604 Reiss Oct 1990 A
4979939 Shiber Dec 1990 A
4986830 Owens et al. Jan 1991 A
4994077 Dobben Feb 1991 A
5007896 Shiber Apr 1991 A
5026366 Leckrone Jun 1991 A
5032128 Alonso Jul 1991 A
5037434 Lane Aug 1991 A
5047041 Samuels Sep 1991 A
5059177 Towne et al. Oct 1991 A
5080668 Bolz et al. Jan 1992 A
5085635 Cragg Feb 1992 A
5089015 Ross Feb 1992 A
5108370 Walinsky Apr 1992 A
5152771 Sabbaghian et al. Oct 1992 A
5163953 Vince Nov 1992 A
5167628 Boyles Dec 1992 A
5192297 Hull Mar 1993 A
5232446 Arney Aug 1993 A
5266073 Wall Nov 1993 A
5282847 Trescony et al. Feb 1994 A
5295958 Shturman Mar 1994 A
5326371 Love et al. Jul 1994 A
5332402 Teitelbaum Jul 1994 A
5360444 Kusuhara Nov 1994 A
5370685 Stevens Dec 1994 A
5397351 Pavcnik et al. Mar 1995 A
5411055 Kane May 1995 A
5411522 Trott May 1995 A
5411552 Andersen et al. May 1995 A
5415667 Frater May 1995 A
5443446 Shturman Aug 1995 A
5480424 Cox Jan 1996 A
5500014 Quijano et al. Mar 1996 A
5545209 Roberts et al. Aug 1996 A
5545214 Stevens Aug 1996 A
5549665 Vesely et al. Aug 1996 A
5554185 Block et al. Sep 1996 A
5571175 Vanney et al. Nov 1996 A
5591185 Kilmer et al. Jan 1997 A
5599305 Hermann et al. Feb 1997 A
5607464 Trescony et al. Mar 1997 A
5609626 Quijano et al. Mar 1997 A
5639274 Fischell et al. Jun 1997 A
5665115 Cragg Sep 1997 A
5697382 Love et al. Dec 1997 A
5716417 Girard et al. Feb 1998 A
5728068 Leone et al. Mar 1998 A
5749890 Shaknovich May 1998 A
5756476 Epstein et al. May 1998 A
5769812 Stevens et al. Jun 1998 A
5800508 Goicoechea et al. Sep 1998 A
5840081 Andersen et al. Nov 1998 A
5855597 Jayaraman Jan 1999 A
5855601 Bessler et al. Jan 1999 A
5855602 Angell Jan 1999 A
5906619 Olson et al. May 1999 A
5925063 Khosravi Jul 1999 A
5957949 Leonhardt et al. Sep 1999 A
5968068 Dehdashtian et al. Oct 1999 A
6027525 Suh et al. Feb 2000 A
6042607 Williamson et al. Mar 2000 A
6086612 Jansen Jul 2000 A
6113631 Jansen Sep 2000 A
6132473 Williams et al. Oct 2000 A
6168614 Andersen et al. Jan 2001 B1
6171335 Wheatley et al. Jan 2001 B1
6174327 Mertens et al. Jan 2001 B1
6210408 Chandrasekaran et al. Apr 2001 B1
6217585 Houser et al. Apr 2001 B1
6221091 Khosravi Apr 2001 B1
6231602 Carpentier et al. May 2001 B1
6245040 Inderbitzen et al. Jun 2001 B1
6245102 Jayaraman Jun 2001 B1
6251093 Valley et al. Jun 2001 B1
6287339 Vazquez et al. Sep 2001 B1
6299637 Shaolian et al. Oct 2001 B1
6302906 Goicoechea et al. Oct 2001 B1
6306141 Jervis Oct 2001 B1
6312465 Griffin et al. Nov 2001 B1
6350277 Kocur Feb 2002 B1
6358277 Duran Mar 2002 B1
6379372 Dehdashtian et al. Apr 2002 B1
6425916 Garrison et al. Jul 2002 B1
6440164 DiMatteo et al. Aug 2002 B1
6454799 Schreck Sep 2002 B1
6458153 Bailey et al. Oct 2002 B1
6461382 Cao Oct 2002 B1
6468660 Ogle et al. Oct 2002 B2
6482228 Norred Nov 2002 B1
6488704 Connelly et al. Dec 2002 B1
6527800 McGuckin et al. Mar 2003 B1
6527979 Constantz et al. Mar 2003 B2
6540782 Snyders Apr 2003 B1
6569196 Vesely May 2003 B1
6575959 Sarge et al. Jun 2003 B1
6582462 Andersen et al. Jun 2003 B1
6605112 Moll et al. Aug 2003 B1
6610088 Gabbay Aug 2003 B1
6629534 St. Goar et al. Oct 2003 B1
6676698 McGuckin et al. Jan 2004 B2
6695878 McGuckin et al. Feb 2004 B2
6712836 Berg et al. Mar 2004 B1
6716207 Farnholtz Apr 2004 B2
6729356 Baker et al. May 2004 B1
6730118 Spenser et al. May 2004 B2
6733525 Yang et al. May 2004 B2
6746422 Noriega et al. Jun 2004 B1
6749560 Konstorum et al. Jun 2004 B1
6767362 Schreck Jul 2004 B2
6780200 Jansen Aug 2004 B2
6790229 Berreklouw Sep 2004 B1
6790230 Beyersdorf et al. Sep 2004 B2
6830584 Seguin Dec 2004 B1
6875231 Anduiza et al. Apr 2005 B2
6893460 Spenser et al. May 2005 B2
6908481 Cribier Jun 2005 B2
6974476 McGuckin et al. Dec 2005 B2
7018406 Seguin et al. Mar 2006 B2
7186265 Sharkawy et al. Mar 2007 B2
7192440 Andreas et al. Mar 2007 B2
7198646 Figulla et al. Apr 2007 B2
7201772 Schwammenthal et al. Apr 2007 B2
7276078 Spenser et al. Oct 2007 B2
7276084 Yang et al. Oct 2007 B2
7318278 Zhang et al. Jan 2008 B2
7374571 Pease et al. May 2008 B2
7381210 Zarbatany et al. Jun 2008 B2
7381219 Salahieh et al. Jun 2008 B2
7389874 Quest Jun 2008 B2
7393360 Spenser et al. Jul 2008 B2
7429269 Schwammenthal et al. Sep 2008 B2
7442204 Schwammenthal et al. Oct 2008 B2
7445631 Salahieh et al. Nov 2008 B2
7462191 Spenser et al. Dec 2008 B2
7510575 Spenser et al. Mar 2009 B2
7524330 Berreklouw Apr 2009 B2
7530253 Spenser et al. May 2009 B2
7553324 Andreas et al. Jun 2009 B2
7579381 Dove Aug 2009 B2
7585321 Cribier Sep 2009 B2
7618446 Andersen et al. Nov 2009 B2
7621948 Herrmann et al. Nov 2009 B2
7704222 Wilk et al. Apr 2010 B2
7736327 Wilk et al. Jun 2010 B2
7748389 Salahieh et al. Jul 2010 B2
7753949 Lamphere et al. Jul 2010 B2
7806919 Bloom et al. Oct 2010 B2
7824443 Salahieh et al. Nov 2010 B2
7837727 Goetz et al. Nov 2010 B2
7892281 Seguin et al. Feb 2011 B2
7914569 Nguyen et al. Mar 2011 B2
7914575 Guyenot et al. Mar 2011 B2
7959672 Salahieh et al. Jun 2011 B2
7972378 Tabor et al. Jul 2011 B2
7981151 Rowe Jul 2011 B2
7993392 Righini et al. Aug 2011 B2
7993394 Hariton et al. Aug 2011 B2
8007992 Tian et al. Aug 2011 B2
8016877 Seguin et al. Sep 2011 B2
8029556 Rowe Oct 2011 B2
8052750 Tuval et al. Nov 2011 B2
8070800 Lock et al. Dec 2011 B2
8070802 Lamphere et al. Dec 2011 B2
8075615 Eberhardt et al. Dec 2011 B2
8080054 Rowe Dec 2011 B2
8092520 Quadri Jan 2012 B2
8092521 Figulla et al. Jan 2012 B2
8109996 Stacchino et al. Feb 2012 B2
8118866 Herrmann et al. Feb 2012 B2
8136218 Millwee et al. Mar 2012 B2
8137398 Tuval et al. Mar 2012 B2
8157852 Bloom et al. Apr 2012 B2
8167932 Bourang et al. May 2012 B2
8167934 Styrc et al. May 2012 B2
8182530 Huber May 2012 B2
8206437 Bonhoeffer et al. Jun 2012 B2
8216174 Wilk et al. Jul 2012 B2
8216301 Bonhoeffer et al. Jul 2012 B2
8219229 Cao et al. Jul 2012 B2
8220121 Hendriksen et al. Jul 2012 B2
8236045 Benichou et al. Aug 2012 B2
8246675 Zegdi Aug 2012 B2
8246678 Salahieh et al. Aug 2012 B2
8252051 Chau et al. Aug 2012 B2
8252052 Salahieh et al. Aug 2012 B2
8287584 Salahieh et al. Oct 2012 B2
8313525 Tuval et al. Nov 2012 B2
8317858 Straubinger et al. Nov 2012 B2
8323335 Rowe et al. Dec 2012 B2
8337541 Quadri et al. Dec 2012 B2
8353953 Giannetti et al. Jan 2013 B2
8398704 Straubinger et al. Mar 2013 B2
8403983 Quadri et al. Mar 2013 B2
8414644 Quadri et al. Apr 2013 B2
8414645 Dwork et al. Apr 2013 B2
8416643 Magee Apr 2013 B2
8444689 Zhang May 2013 B2
8449599 Chau et al. May 2013 B2
8454685 Hariton et al. Jun 2013 B2
8460368 Taylor et al. Jun 2013 B2
8460370 Zakay et al. Jun 2013 B2
8470023 Eidenschink et al. Jun 2013 B2
8470028 Thornton et al. Jun 2013 B2
8475521 Suri et al. Jul 2013 B2
8475523 Duffy Jul 2013 B2
8479380 Malewicz et al. Jul 2013 B2
8491650 Wiemeyer et al. Jul 2013 B2
8500733 Watson Aug 2013 B2
8500798 Rowe et al. Aug 2013 B2
8511244 Holecek et al. Aug 2013 B2
8512401 Murray et al. Aug 2013 B2
8518096 Nelson Aug 2013 B2
8518106 Duffy et al. Aug 2013 B2
8562663 Mearns et al. Oct 2013 B2
8579963 Tabor Nov 2013 B2
8579964 Lane et al. Nov 2013 B2
8591570 Revuelta et al. Nov 2013 B2
8617236 Paul et al. Dec 2013 B2
8640521 Righini et al. Feb 2014 B2
8647381 Essinger et al. Feb 2014 B2
8652145 Maimon et al. Feb 2014 B2
8652201 Oberti et al. Feb 2014 B2
8652202 Alon et al. Feb 2014 B2
8652203 Quadri et al. Feb 2014 B2
8668733 Haug et al. Mar 2014 B2
8679174 Ottma et al. Mar 2014 B2
8679404 Liburd et al. Mar 2014 B2
8685086 Navia et al. Apr 2014 B2
8721708 Sèguin et al. May 2014 B2
8721714 Kelley May 2014 B2
8728154 Alkhatib May 2014 B2
8728155 Montorfano et al. May 2014 B2
8740974 Lambrecht et al. Jun 2014 B2
8740976 Tran et al. Jun 2014 B2
8747458 Tuval et al. Jun 2014 B2
8747459 Nguyen et al. Jun 2014 B2
8758432 Solem Jun 2014 B2
8764818 Gregg Jul 2014 B2
8771344 Tran et al. Jul 2014 B2
8778020 Gregg et al. Jul 2014 B2
8784337 Voeller et al. Jul 2014 B2
8784478 Tuval et al. Jul 2014 B2
8784481 Alkhatib et al. Jul 2014 B2
8790387 Nguyen et al. Jul 2014 B2
8795357 Yohanan et al. Aug 2014 B2
8808356 Braido et al. Aug 2014 B2
8828078 Salahieh et al. Sep 2014 B2
8828079 Thielen et al. Sep 2014 B2
8834564 Tuval et al. Sep 2014 B2
8839957 Murad Sep 2014 B2
8858620 Salahieh et al. Oct 2014 B2
8870948 Erzberger et al. Oct 2014 B1
8870950 Hacohen Oct 2014 B2
8876893 Dwork et al. Nov 2014 B2
8911455 Quadri et al. Dec 2014 B2
8926693 Duffy et al. Jan 2015 B2
8926694 Costello Jan 2015 B2
8939960 Rosenman et al. Jan 2015 B2
8945209 Bonyuet et al. Feb 2015 B2
8961593 Bonhoeffer et al. Feb 2015 B2
8961595 Alkhatib Feb 2015 B2
8974524 Yeung et al. Mar 2015 B2
8979922 Jayasinghe et al. Mar 2015 B2
8986375 Garde et al. Mar 2015 B2
8998980 Shipley et al. Apr 2015 B2
9005273 Salahieh et al. Apr 2015 B2
9011521 Haug et al. Apr 2015 B2
9011523 Seguin Apr 2015 B2
9011524 Eberhardt Apr 2015 B2
9028545 Taylor May 2015 B2
9034032 McLean et al. May 2015 B2
9055937 Rowe et al. Jun 2015 B2
9066801 Kovalsky et al. Jun 2015 B2
9078749 Lutter et al. Jul 2015 B2
9078751 Naor Jul 2015 B2
9114010 Gaschino Aug 2015 B2
9125738 Figulla et al. Sep 2015 B2
9173737 Hill et al. Nov 2015 B2
9180004 Alkhatib Nov 2015 B2
9186249 Rolando et al. Nov 2015 B2
9277990 Klima et al. Mar 2016 B2
9277993 Gamarra et al. Mar 2016 B2
9289291 Gorman et al. Mar 2016 B2
9295551 Straubinger et al. Mar 2016 B2
9445897 Bishop et al. Sep 2016 B2
9456877 Weitzner et al. Oct 2016 B2
9681968 Goetz et al. Jun 2017 B2
9687345 Rabito et al. Jun 2017 B2
9700329 Metzger et al. Jul 2017 B2
9700411 Klima et al. Jul 2017 B2
9724083 Quadri et al. Aug 2017 B2
9730790 Quadri et al. Aug 2017 B2
9730791 Ratz et al. Aug 2017 B2
9795479 Lim et al. Oct 2017 B2
9833313 Board et al. Dec 2017 B2
9861473 Lafontaine Jan 2018 B2
9861476 Salahieh et al. Jan 2018 B2
9861477 Backus et al. Jan 2018 B2
9867698 Kovalsky et al. Jan 2018 B2
9877830 Lim et al. Jan 2018 B2
9889029 Li et al. Feb 2018 B2
9895225 Rolando et al. Feb 2018 B2
9925045 Creaven et al. Mar 2018 B2
10004599 Rabito et al. Jun 2018 B2
10117744 Ratz et al. Nov 2018 B2
10179044 Ratz et al. Jan 2019 B2
10219897 Essinger et al. Mar 2019 B2
10350065 Quadri Jul 2019 B2
10350066 Cooper et al. Jul 2019 B2
10376363 Quadri et al. Aug 2019 B2
10555809 Hastings et al. Feb 2020 B2
10575951 Johnson et al. Mar 2020 B2
10583000 Ratz et al. Mar 2020 B2
10639146 Quadri et al. May 2020 B2
10695177 Hariton et al. Jun 2020 B2
10758344 Hariton et al. Sep 2020 B2
11406499 Zhang et al. Aug 2022 B2
11452598 Essinger et al. Sep 2022 B2
11672658 Hariton et al. Jun 2023 B2
11701225 Hammer et al. Jul 2023 B2
11903829 Ma et al. Feb 2024 B1
20010021872 Bailey et al. Sep 2001 A1
20020032481 Gabbay Mar 2002 A1
20020045929 Diaz Apr 2002 A1
20020052644 Shaolian et al. May 2002 A1
20020173842 Buchanan Nov 2002 A1
20030050694 Yang et al. Mar 2003 A1
20030100939 Yodfat et al. May 2003 A1
20030105517 White et al. Jun 2003 A1
20030120333 Ouriel et al. Jun 2003 A1
20030130729 Paniagua et al. Jul 2003 A1
20030158597 Quiachon et al. Aug 2003 A1
20030176914 Rabkin et al. Sep 2003 A1
20030199971 Tower et al. Oct 2003 A1
20030212454 Scott et al. Nov 2003 A1
20030220683 Minasian et al. Nov 2003 A1
20040039436 Spenser et al. Feb 2004 A1
20040092858 Wilson et al. May 2004 A1
20040117009 Cali et al. Jun 2004 A1
20040133263 Dusbabek et al. Jul 2004 A1
20040133273 Cox Jul 2004 A1
20040186563 Lobbi Sep 2004 A1
20040186565 Schreck Sep 2004 A1
20040210307 Khairkhahan Oct 2004 A1
20040215325 Penn et al. Oct 2004 A1
20040225353 McGuckin et al. Nov 2004 A1
20040236411 Sarac et al. Nov 2004 A1
20040260389 Case et al. Dec 2004 A1
20050033398 Seguin Feb 2005 A1
20050075727 Wheatley Apr 2005 A1
20050090887 Pryor Apr 2005 A1
20050096738 Cali et al. May 2005 A1
20050107872 Mensah et al. May 2005 A1
20050137682 Justino Jun 2005 A1
20050137686 Salahieh et al. Jun 2005 A1
20050137687 Salahieh et al. Jun 2005 A1
20050137688 Salahieh et al. Jun 2005 A1
20050137691 Salahieh et al. Jun 2005 A1
20050137698 Salahieh et al. Jun 2005 A1
20050159811 Lane Jul 2005 A1
20050182486 Gabbay Aug 2005 A1
20050203614 Forster et al. Sep 2005 A1
20050203617 Forster et al. Sep 2005 A1
20050216079 MaCoviak Sep 2005 A1
20050234546 Nugent et al. Oct 2005 A1
20050288766 Plain et al. Dec 2005 A1
20060020327 Lashinski et al. Jan 2006 A1
20060025857 Bergheim et al. Feb 2006 A1
20060058872 Salahieh et al. Mar 2006 A1
20060095115 Bladillah et al. May 2006 A1
20060142837 Haverkost et al. Jun 2006 A1
20060149350 Patel et al. Jul 2006 A1
20060161249 Realyvasquez et al. Jul 2006 A1
20060173537 Yang et al. Aug 2006 A1
20060195134 Crittenden Aug 2006 A1
20060195183 Navia et al. Aug 2006 A1
20060212110 Osborne et al. Sep 2006 A1
20060229719 Marquez et al. Oct 2006 A1
20060241745 Solem Oct 2006 A1
20060259135 Navia et al. Nov 2006 A1
20060259137 Artof et al. Nov 2006 A1
20060276874 Wilson et al. Dec 2006 A1
20060293745 Carpentier et al. Dec 2006 A1
20070005131 Taylor Jan 2007 A1
20070010877 Salahieh et al. Jan 2007 A1
20070027534 Bergheim et al. Feb 2007 A1
20070043435 Seguin et al. Feb 2007 A1
20070050021 Johnson Mar 2007 A1
20070066863 Rafiee et al. Mar 2007 A1
20070088431 Bourang et al. Apr 2007 A1
20070100432 Case et al. May 2007 A1
20070100439 Cangialosi et al. May 2007 A1
20070112422 Dehdashtian May 2007 A1
20070129794 Realyvasquez Jun 2007 A1
20070142906 Figulla et al. Jun 2007 A1
20070156224 Cioanta et al. Jul 2007 A1
20070203503 Salahieh et al. Aug 2007 A1
20070203575 Forster et al. Aug 2007 A1
20070213813 Von Segesser et al. Sep 2007 A1
20070255394 Ryan Nov 2007 A1
20070270943 Solem et al. Nov 2007 A1
20080021546 Patz et al. Jan 2008 A1
20080065011 Marchand et al. Mar 2008 A1
20080071361 Tuval et al. Mar 2008 A1
20080071362 Tuval et al. Mar 2008 A1
20080071363 Tuval et al. Mar 2008 A1
20080071366 Tuval et al. Mar 2008 A1
20080071368 Tuval et al. Mar 2008 A1
20080071369 Tuval et al. Mar 2008 A1
20080082164 Friedman Apr 2008 A1
20080082165 Wilson et al. Apr 2008 A1
20080082166 Styrc et al. Apr 2008 A1
20080097581 Shanley Apr 2008 A1
20080114442 Mitchell et al. May 2008 A1
20080125853 Bailey et al. May 2008 A1
20080147179 Cai et al. Jun 2008 A1
20080147183 Styrc Jun 2008 A1
20080154355 Benichou et al. Jun 2008 A1
20080161910 Revuelta et al. Jul 2008 A1
20080177381 Navia et al. Jul 2008 A1
20080183273 Mesana et al. Jul 2008 A1
20080208328 Antocci et al. Aug 2008 A1
20080208332 Lamphere et al. Aug 2008 A1
20080221672 Lamphere et al. Sep 2008 A1
20080228254 Ryan Sep 2008 A1
20080255660 Guyenot et al. Oct 2008 A1
20080255661 Straubinger et al. Oct 2008 A1
20080281411 Berreklouw Nov 2008 A1
20090005863 Goetz et al. Jan 2009 A1
20090054968 Bonhoeffer et al. Feb 2009 A1
20090054974 McGuckin et al. Feb 2009 A1
20090076598 Salahieh et al. Mar 2009 A1
20090112309 Jaramillo et al. Apr 2009 A1
20090138079 Tuval et al. May 2009 A1
20090157175 Benichou Jun 2009 A1
20090164005 Dove et al. Jun 2009 A1
20090171432 Von Segesser et al. Jul 2009 A1
20090171447 Von Segesser et al. Jul 2009 A1
20090171456 Kveen et al. Jul 2009 A1
20090182413 Burkart et al. Jul 2009 A1
20090188964 Orlov Jul 2009 A1
20090216310 Straubinger et al. Aug 2009 A1
20090216313 Straubinger et al. Aug 2009 A1
20090216322 Le et al. Aug 2009 A1
20090222076 Figulla et al. Sep 2009 A1
20090234443 Ottma et al. Sep 2009 A1
20090240320 Tuval et al. Sep 2009 A1
20090270972 Lane Oct 2009 A1
20090276027 Glynn Nov 2009 A1
20090276040 Rowe et al. Nov 2009 A1
20090281618 Hill et al. Nov 2009 A1
20090281619 Le et al. Nov 2009 A1
20090287296 Manasse Nov 2009 A1
20090287299 Tabor et al. Nov 2009 A1
20090292350 Eberhardt et al. Nov 2009 A1
20090306768 Quadri Dec 2009 A1
20090319037 Rowe et al. Dec 2009 A1
20100016958 St. Goar et al. Jan 2010 A1
20100049313 Alon et al. Feb 2010 A1
20100069852 Kelley Mar 2010 A1
20100114305 Kang et al. May 2010 A1
20100131054 Tuval et al. May 2010 A1
20100137979 Tuval et al. Jun 2010 A1
20100174362 Straubinger et al. Jul 2010 A1
20100191326 Alkhatib Jul 2010 A1
20100204781 Alkhatib Aug 2010 A1
20100217382 Chau et al. Aug 2010 A1
20100249894 Oba et al. Sep 2010 A1
20100249911 Alkhatib Sep 2010 A1
20100256723 Murray Oct 2010 A1
20100262231 Tuval et al. Oct 2010 A1
20100305685 Millwee et al. Dec 2010 A1
20100312333 Navia et al. Dec 2010 A1
20110015616 Straubinger et al. Jan 2011 A1
20110015729 Jimenez et al. Jan 2011 A1
20110137397 Chau et al. Jun 2011 A1
20110178597 Navia et al. Jul 2011 A9
20110208290 Straubinger et al. Aug 2011 A1
20110208297 Tuval et al. Aug 2011 A1
20110208298 Tuval et al. Aug 2011 A1
20110224785 Hacohen Sep 2011 A1
20110238159 Guyenot et al. Sep 2011 A1
20110264196 Savage et al. Oct 2011 A1
20110264198 Murray et al. Oct 2011 A1
20110288634 Tuval et al. Nov 2011 A1
20110313515 Quadri et al. Dec 2011 A1
20110319989 Lane et al. Dec 2011 A1
20120022639 Hacohen et al. Jan 2012 A1
20120035722 Tuval Feb 2012 A1
20120041550 Salahieh et al. Feb 2012 A1
20120046741 Tuval et al. Feb 2012 A1
20120046742 Tuval et al. Feb 2012 A1
20120078360 Rafiee Mar 2012 A1
20120101570 Tuval et al. Apr 2012 A1
20120101571 Thambar et al. Apr 2012 A1
20120101572 Kovalsky et al. Apr 2012 A1
20120123529 Levi et al. May 2012 A1
20120185039 Tuval et al. Jul 2012 A1
20120197386 Von Segesser et al. Aug 2012 A1
20120209374 Bonhoeffer et al. Aug 2012 A1
20120215303 Quadri et al. Aug 2012 A1
20120271398 Essinger et al. Oct 2012 A1
20120283823 Bonhoeffer et al. Nov 2012 A1
20120290062 McNamara et al. Nov 2012 A1
20120290079 Murad Nov 2012 A1
20120296418 Bonyuet et al. Nov 2012 A1
20120310328 Olson et al. Dec 2012 A1
20120310336 Figulla et al. Dec 2012 A1
20130006294 Kashkarov et al. Jan 2013 A1
20130035759 Gross et al. Feb 2013 A1
20130073035 Tuval et al. Mar 2013 A1
20130079869 Straubinger et al. Mar 2013 A1
20130190861 Chau et al. Jul 2013 A1
20130190862 Pintor et al. Jul 2013 A1
20130197622 Mitra et al. Aug 2013 A1
20130211508 Lane et al. Aug 2013 A1
20130253635 Straubinger et al. Sep 2013 A1
20130253642 Brecker Sep 2013 A1
20130310928 Morriss et al. Nov 2013 A1
20130331929 Mitra et al. Dec 2013 A1
20130338766 Hastings et al. Dec 2013 A1
20130345786 Behan Dec 2013 A1
20140018912 Delaloye et al. Jan 2014 A1
20140025163 Padala et al. Jan 2014 A1
20140039611 Lane et al. Feb 2014 A1
20140052237 Lane et al. Feb 2014 A1
20140100651 Kheradvar et al. Apr 2014 A1
20140107767 Braido Apr 2014 A1
20140163668 Rafiee Jun 2014 A1
20140172077 Bruchman et al. Jun 2014 A1
20140172083 Bruchman et al. Jun 2014 A1
20140194981 Menk et al. Jul 2014 A1
20140207231 Hacohen et al. Jul 2014 A1
20140214157 Börtlein et al. Jul 2014 A1
20140222136 Geist et al. Aug 2014 A1
20140222139 Nguyen et al. Aug 2014 A1
20140222142 Kovalsky et al. Aug 2014 A1
20140222144 Eberhardt et al. Aug 2014 A1
20140243966 Garde et al. Aug 2014 A1
20140257467 Lane et al. Sep 2014 A1
20140277390 Ratz et al. Sep 2014 A1
20140277412 Börtlein et al. Sep 2014 A1
20140277422 Ratz et al. Sep 2014 A1
20140277426 Dakin et al. Sep 2014 A1
20140277427 Ratz et al. Sep 2014 A1
20140296973 Bergheim et al. Oct 2014 A1
20140296975 Tegels et al. Oct 2014 A1
20140303719 Cox et al. Oct 2014 A1
20140309728 Dehdashtian et al. Oct 2014 A1
20140324160 Benichou et al. Oct 2014 A1
20140324164 Gross et al. Oct 2014 A1
20140330368 Gloss et al. Nov 2014 A1
20140330371 Gloss et al. Nov 2014 A1
20140330372 Weston et al. Nov 2014 A1
20140336754 Gurskis et al. Nov 2014 A1
20140343669 Lane et al. Nov 2014 A1
20140343670 Bakis et al. Nov 2014 A1
20140350666 Righini Nov 2014 A1
20140350668 Delaloye et al. Nov 2014 A1
20140358223 Rafiee et al. Dec 2014 A1
20140364939 Deshmukh et al. Dec 2014 A1
20140364943 Conklin Dec 2014 A1
20140371842 Marquez et al. Dec 2014 A1
20140371844 Dale et al. Dec 2014 A1
20140371847 Madrid et al. Dec 2014 A1
20140371848 Murray et al. Dec 2014 A1
20150005863 Para Jan 2015 A1
20150018944 O'Connell et al. Jan 2015 A1
20150039083 Rafiee Feb 2015 A1
20150142103 Vidlund May 2015 A1
20150148731 McNamara et al. May 2015 A1
20150173897 Raanani et al. Jun 2015 A1
20150196390 Ma et al. Jul 2015 A1
20150209141 Braido et al. Jul 2015 A1
20150272737 Dale et al. Oct 2015 A1
20150297346 Duffy et al. Oct 2015 A1
20150335429 Morriss et al. Nov 2015 A1
20150351903 Morriss et al. Dec 2015 A1
20150359629 Ganesan et al. Dec 2015 A1
20160000591 Lei et al. Jan 2016 A1
20160030169 Shahriari Feb 2016 A1
20160030170 Alkhatib et al. Feb 2016 A1
20160030171 Quijano et al. Feb 2016 A1
20160038281 Delaloye et al. Feb 2016 A1
20160074160 Christianson et al. Mar 2016 A1
20160106537 Christianson et al. Apr 2016 A1
20160113765 Ganesan et al. Apr 2016 A1
20160113768 Ganesan et al. Apr 2016 A1
20160143732 Glimsdale May 2016 A1
20160158010 Lim et al. Jun 2016 A1
20160166383 Lim et al. Jun 2016 A1
20160184097 Lim et al. Jun 2016 A1
20160199206 Lim et al. Jul 2016 A1
20160213473 Hacohen et al. Jul 2016 A1
20160235529 Ma et al. Aug 2016 A1
20160278923 Krans et al. Sep 2016 A1
20160279386 Dale et al. Sep 2016 A1
20160310267 Zeng et al. Oct 2016 A1
20170079785 Li Mar 2017 A1
20170128209 Morriss et al. May 2017 A1
20170216023 Lane et al. Aug 2017 A1
20170216575 Asleson et al. Aug 2017 A1
20170257902 Xing et al. Sep 2017 A1
20170258614 Griffin Sep 2017 A1
20170325945 Dale et al. Nov 2017 A1
20170325954 Perszyk Nov 2017 A1
20170333186 Spargias Nov 2017 A1
20170348096 Anderson Dec 2017 A1
20170367821 Landon et al. Dec 2017 A1
20170367823 Hariton et al. Dec 2017 A1
20180014931 Morriss et al. Jan 2018 A1
20180021129 Peterson et al. Jan 2018 A1
20180055629 Oba et al. Mar 2018 A1
20180055636 Valencia et al. Mar 2018 A1
20180085218 Eidenschink Mar 2018 A1
20180110534 Gavala et al. Apr 2018 A1
20180116790 Ratz et al. May 2018 A1
20190008639 Landon et al. Jan 2019 A1
20190008640 Cooper et al. Jan 2019 A1
20190060072 Zeng Feb 2019 A1
20190262129 Cooper et al. Aug 2019 A1
20200000579 Manash et al. Jan 2020 A1
20200108225 Jamal et al. Apr 2020 A1
20200138572 Zhao et al. May 2020 A1
20200345494 Srinimukesh et al. Nov 2020 A1
20200352718 Rowe et al. Nov 2020 A1
20210145576 Becerra et al. May 2021 A1
20210307900 Hacohen Oct 2021 A1
20210378817 Nia et al. Dec 2021 A1
20210386544 Cooper et al. Dec 2021 A1
20220142777 Scheinblum et al. May 2022 A1
20220287836 Landon et al. Sep 2022 A1
20220346993 Srinimukesh et al. Nov 2022 A1
20230000624 Okabe et al. Jan 2023 A1
20230200980 Peterson et al. Jun 2023 A1
20230218391 Dass et al. Jul 2023 A1
20230380963 Kaufman et al. Nov 2023 A1
20230390052 Okafor et al. Dec 2023 A1
20230404753 Luong et al. Dec 2023 A1
20240008978 Nawalakhe et al. Jan 2024 A1
20240091000 King et al. Mar 2024 A1
Foreign Referenced Citations (141)
Number Date Country
2304325 May 2008 CA
2246526 Mar 1973 DE
19532846 Mar 1997 DE
19546692 Jun 1997 DE
19857887 Jul 2000 DE
19907646 Aug 2000 DE
10049812 Apr 2002 DE
10049813 Apr 2002 DE
10049814 Apr 2002 DE
10049815 Apr 2002 DE
10010074 Apr 2005 DE
102006052564 Dec 2007 DE
0144167 Jun 1985 EP
0103546 May 1988 EP
0592410 Oct 1995 EP
0850607 Jul 1998 EP
0597967 Dec 1999 EP
1057460 Dec 2000 EP
1088529 Apr 2001 EP
1469797 Oct 2004 EP
1259194 Feb 2005 EP
1171059 Nov 2005 EP
1255510 Apr 2007 EP
1239901 Oct 2007 EP
1849440 Oct 2007 EP
1570809 Jan 2009 EP
1472996 Sep 2009 EP
1653888 Sep 2009 EP
1935377 Mar 2010 EP
1369098 Apr 2014 EP
2124826 Jul 2014 EP
2745805 Jun 2015 EP
2749254 Jun 2015 EP
2918249 Sep 2015 EP
2168536 Apr 2016 EP
2413842 Aug 2017 EP
2446915 Jan 2018 EP
3057541 Jan 2018 EP
3037064 Mar 2018 EP
3046511 Mar 2018 EP
3142603 Mar 2018 EP
3075354 Nov 2018 EP
3184083 Feb 2019 EP
3417813 May 2020 EP
2777616 Aug 2020 EP
3139864 Nov 2020 EP
2750630 Jun 2021 EP
2777617 Sep 2022 EP
2948103 Dec 2022 EP
2967858 Jan 2023 EP
3570779 Feb 2023 EP
3294220 Dec 2023 EP
2788217 Jul 2000 FR
1264471 Feb 1972 GB
1315844 May 1973 GB
2056023 Mar 1981 GB
2398245 Aug 2004 GB
1271508 Nov 1986 SU
1991016041 Oct 1991 WO
1991017720 Nov 1991 WO
1992017118 Oct 1992 WO
1993001768 Feb 1993 WO
1997024080 Jul 1997 WO
1998029057 Jul 1998 WO
1999033414 Jul 1999 WO
1999040964 Aug 1999 WO
1999047075 Sep 1999 WO
2000018333 Apr 2000 WO
2000041652 Jul 2000 WO
2000047139 Aug 2000 WO
2000061034 Oct 2000 WO
2001028459 Apr 2001 WO
2001035878 May 2001 WO
2001049213 Jul 2001 WO
2001054624 Aug 2001 WO
2001054625 Aug 2001 WO
2001062189 Aug 2001 WO
2001064137 Sep 2001 WO
2001076510 Oct 2001 WO
2002036048 May 2002 WO
2003047468 Jun 2003 WO
2003092554 Nov 2003 WO
2004030569 Apr 2004 WO
2005011534 Feb 2005 WO
2005034812 Apr 2005 WO
2005087140 Sep 2005 WO
2005102015 Nov 2005 WO
2006014233 Feb 2006 WO
2006034008 Mar 2006 WO
2006085225 Aug 2006 WO
2006108090 Oct 2006 WO
2006111391 Oct 2006 WO
2006138173 Dec 2006 WO
2007025028 Mar 2007 WO
2008005405 Jan 2008 WO
2008035337 Mar 2008 WO
2008125153 Oct 2008 WO
2008147964 Dec 2008 WO
2008150529 Dec 2008 WO
2009024859 Feb 2009 WO
2009026563 Feb 2009 WO
2009042196 Apr 2009 WO
2009091509 Jul 2009 WO
2009094500 Jul 2009 WO
2010005524 Jan 2010 WO
2010008549 Jan 2010 WO
2010121076 Oct 2010 WO
2011002996 Jan 2011 WO
2011081997 Jul 2011 WO
2012032187 Mar 2012 WO
2012095455 Jul 2012 WO
2013028387 Feb 2013 WO
2013106585 Jul 2013 WO
2014018432 Jan 2014 WO
2014079291 May 2014 WO
2014145338 Sep 2014 WO
2014149865 Sep 2014 WO
2014163706 Oct 2014 WO
2014194178 Dec 2014 WO
2015057407 Apr 2015 WO
2015077274 May 2015 WO
2016016899 Feb 2016 WO
2017035487 Mar 2017 WO
2018213209 Nov 2018 WO
2022002054 Jan 2022 WO
2023006048 Feb 2023 WO
2023076103 May 2023 WO
2023081236 May 2023 WO
2023091769 May 2023 WO
2023096804 Jun 2023 WO
2023154250 Aug 2023 WO
2023196150 Oct 2023 WO
2023244454 Dec 2023 WO
2023244767 Dec 2023 WO
2023250114 Dec 2023 WO
2024001789 Jan 2024 WO
2024003620 Jan 2024 WO
2024007575 Jan 2024 WO
2024009540 Jan 2024 WO
2024010739 Jan 2024 WO
2024030520 Feb 2024 WO
Non-Patent Literature Citations (48)
Entry
Andersen, et al., “Transluminal implantation of artificial heart valves. Description of a new expandable aortic valve and initial results with implantation by catheter technique in closed chest pigs.” European Heart Journal (1992), 13, 704-708.
Andersen, Henning Rud, “History of Percutaneous Aortic Valve Prosthesis,” Herz 34 2009 Nr. 5, Urban&Vogel, pp. 343-346, Skejby University Hospital Department of Cardiology, Aarhus, Denmark.
Dotter, M.D., Charles T., “Transluminal Treatment of Arteriosclerotic Obstruction,” University of Oregon's Minthorn Memorial Laboratory for Cardiovascular Research through Radiology, Circulation, vol. XXX, Nov. 1964, pp. 654-670.
Inoue, M.D., Kanji, et al., “Clinical Application of Transvenous Mitral Commissurotomy by a New Balloon Catheter,” The Journal of Thoracic and Cardiovascular Surgery 87:394-402, 1984.
Pavcnik, M.D., Ph.D., Dusan, et al. “Development and Initial Experimental Evaluation of a Prosthetic Aortic Valve for Transcatheter Placement,” Cardiovascular Radiology 1992; 183: 151-154.
Rashkind, M.D., William J., “Historical Aspects of Interventional Cardiology: Past, Present, Future,” Texas Heart Institute Journal, Interventional Cardiology, pp. 363-367.
Rösch, M.D., Josef, “The Birth, Early Years and Future of Interventional Radiology,” J Vasc Interv Radiol 2003; 14:841-853.
Ross, F.R.C.S., D.N., “Aortic Valve Surgery,” Guy's Hospital, London, pp. 192-197, approximately 1968.
Sabbah, Ph.D., Hani N., et al., “Mechanical Factors in the Degeneration of Porcine Bioprosthetic Valves: An Overview,” Journal of Cardiac Surgery, vol. 4, No. 4, pp. 302-309, Dec. 1989; ISSN 0886-0440.
Wheatley, M.D., David J., “Valve Prostheses,” Rob&Smith's Operative Surgery, Fourth Edition, pp. 415-424, Butterworths 1986.
Bavaria, Joseph E. M.D et al.: “Transcatheter Mitral Valve Implantation: The Future Gold Standard for MR?”
Backer, Ole De, MD, et al., “Percutaneous Transcatheter Mitral Valve Replacement—An Overview of Devices in Preclinical and Early Clinical Evaluation,” Contemporary Reviews in Interventional Cardiology, Circ Cardiovasc Interv. 2014;7:400-409.
Bavaria, Joseph E. M.D.: “CardiAQ Valve Technologies: Transcatheter Mitral Valve Implantation,” Sep. 21, 2009.
Berreklouw, Eric, PhD, et al., “Sutureless Mitral Valve Replacement With Bioprostheses and Nitinol Attachment Rings: Feasibility in Acute Pig Experiments,” The Journal of Thoracic and Cardiovascular Surgery, vol. 142, No. 2, Aug. 2011 in 7 pages.
Boudjemline, Younes, et al., “Steps Toward the Percutaneous Replacement of Atrioventricular Valves,” JACC, vol. 46, No. 2, Jul. 19, 2005:360-5.
CardiAQ Valve Technologies, “Innovations in Heart Valve Therapy,” In3 San Francisco, Jun. 18, 2008, PowerPoint presentation in 19 slides.
Chiam, Paul T.L., et al., “Percutaneous Transcatheter Aortic Valve Implantation: Assessing Results, Judging Outcomes, and Planning Trials,” JACC: Cardiovascular Interventions, The American College of Cardiology Foundation, vol. 1, No. 4, Aug. 2008:341-50.
Condado, Jose Antonio, et al., “Percutaneous Treatment of Heart Valves,” Rev Esp Cardio. 2006;59(12):1225-31.
Feldman, Ted, MD. “Prospects for Percutaneous Valve Therapies,” Circulation 2007;116:2866-2877.
Fitzgerald, Peter J. M.D., “Tomorrow's Technology: Percutaneous Mitral Valve Replacement, Chordal Shortening, and Beyond,” Transcatheter Valve Therapies (TVT) Conference. Seattle, WA.
Fornell, Dave, “Transcatheter Mitral Valve replacement Devices in Development,” Diagnostic and Interventional Cardiology, Dec. 30, 2014, p. 3, <http://www.dicardiology.com/article/transcatheter-mitral-valve-replacement-devices-development>.
Grube, E. et al., “Percutaneous aortic valve replacement for severe aortic stenosis in high-risk patients using the second- and current third-generation self-expanding CoreValve prosthesis: device success and 30-day clinical outcome.” J Am Coll Cardiol. Jul. 3, 2007;50(1):69-76. Epub Jun. 6, 2007.
Karimi, Houshang, et al., “Percutaneous Valve Therapies,” SIS 2007 Yearbook, Chapter 11, pp. 1-11.
Kronemyer, Bob, “CardiAQ Valve Technologies: Percutaneous Mitral Valve Replacement,” Start Up—Windhover Review of Emerging Medical Ventures, vol. 14, Issue No. 6, Jun. 2009, pp. 48-49.
Leon, Martin B., et al., “Transcatheter Aortic Valve Replacement in Patients with Critical Aortic Stenosis: Rationale, Device Descriptions, Early Clinical Experiences, and Perspectives,” Semin. Thorac. Cardiovasc. Surg. 18:165-174, 2006 in 10 pages.
Lutter, Georg, et al., “Off-Pump Transapical Mitral Valve Replacement,” European Journal of Cardio-thoracic Surgery 36 (2009) 124-128.
Ma, Liang, et al., “Double-Crowned Valved Stents for Off-Pump Mitral Valve Replacement,” European Journal of Cardio-thoracic Surgery 28 (2005) 194-199.
Mack, Michael, M.D., “Antegrade Transcatheter Mitral valve Implantation: A Short-term Experience in Swine Model,”.
Mack, Michael, M.D., “Antegrade Transcatheter Mitral valve Implantation: On-Going Experience in Swine Model,”.
Ostrovsky, Gene, “Transcatheter Mitral Valve Implantation Technology from CardiAQ,” medGadget, Jan. 15, 2010, available at: http://www.medgadget.com/2010/01/transcatheter_mitral_valve_implantation_technology_from_cardiaq.html.
Preston-Maher, Georgia L., et al., “A Technical Review of Minimally Invasive Mitral Valve Replacements,” Cardiovascular Engineering and Technology, vol. 6, No. 2, Jun. 2015, pp. 174-184.
Quadri, Arshad M.D., “Transcatheter Mitral Valve Implantation (TMVI) (An Acute in Vivo Study),”.
Ratz, J. Brent, “LSI EMT Spotlight,” May 15, 2009.
Ratz, J. Brent et al., “Any experiences making an expandable stent frame?” Arch-Pub.com, Architecture Forums: Modeling, Multiple forum postings from Feb. 3, 2009 to Feb. 4, 2009, http://www.arch-pub.com.
Ratz, J. Brent, “In3 Company Overview,” Jun. 24, 2009.
Ruiz, Carlos E., “Overview of Novel Transcatheter Valve Technologies,”.
Spillner, J. et al., “New Sutureless ‘Atrial- Mitral-Valve Prosthesis’ For Minimally Invasive Mitral Valve Therapy,” Textile Research Journal, 2010, in 7 pages.
Sondergaard, Lars, et al., “Transcatheter Mitral Valve Implantation: CardiAQ™,” TCT 2013.
Sondergaard, Lars, et al., “Transcatheter Mitral Valve Implantation: CardiAQ™,” EuroPCR 2013.
Sondergaard, Lars, “CardiAQ TMVR FIH—Generation 2,” TVT symposium.
Treede et al.: “Transapical transcatheter aortic valve implantation using the JenaValve™ system: acute and 30-day results of the multicentre CE-mark study.” http://ejcts.oxfordjournals.org/content/41/6/e131.long. Apr. 16, 2012.
Taramasso et al.: “New devices for TAVI: technologies and initial clinical experiences” http://www.nature.com/nrcardio/journal/v11/n3/full/nrcardio.2013.221.html?message-global=remove#access. Jan. 21, 2014.
Webb, John G., et al., “Transcatheter Aortic Valve Implantation: The Evolution of Prostheses, Delivery Systems and Approaches,” Archives of Cardiovascular Disease (2012) 105, 153-159.
Wayback Machine, Cleveland Clinic Lerner Research Institute, Transcatheter Mitral Stent/Valve Prosthetic, https://web.archive.org/web/20130831094624/http://mds.clevelandclinic.org/Portfolio.aspx?n=331, indicated as archived on Aug. 31, 2013.
“CardiAQ Valve Technologies, Percutaneous Mitral Valve Replacement, Company Overview,” at TVT on Jun. 25, 2009.
BioSpace, “CardiAQ Valve Technologies (CVT) Reports First-In-Human Percutaneous Transfemoral, Transseptal Implantation With Its Second Generation Transcatheter Bioprosthetic Mitral Heart Valve,” Jun. 23, 2015, p. 1, http://www.biospace.com/News/cardiaq-valve-technologies-cvt-reports-first- in/382370.
BioSpace, “CardiAQ Valve Technologies (CVT) Reports Cardiovascular Medicine Milestone: First-In-Humannonsurgical Percutaneous Implantation of a Bioprosthetic Mitral Heart Valve,” Jun. 14, 2012, p. 1, http://www.biospace.com/News/cardiaq-valve-technologies-cvt-reports/263900.
Neovasc corporate presentation, Oct. 2009, available at http://www.neovasc.com/investors/documents/Neovasc-Corporate-Presentation-October-2009.pdf.
Related Publications (1)
Number Date Country
20240074842 A1 Mar 2024 US
Provisional Applications (1)
Number Date Country
63199311 Dec 2020 US
Continuations (1)
Number Date Country
Parent PCT/US2021/062690 Dec 2021 WO
Child 18139794 US