Transcatheter stent and valve assembly

Abstract

Valves constructed from low porosity leaflets are disclosed. The valves disclosed herein may be integrated into a variety of structures, such as valved conduits and transcatheter stents, and may be constructed of one or more layers. Embodiments herein are also directed to methods of using the same and methods of making the same.

What is claimed is: 
     
         1 . A transcatheter stent comprising:
 a stent having a first annular row of a plurality of chevron-shaped structures, and a second annular row of a plurality of chevron-shaped structures;
 wherein the plurality of chevron-shaped structures of the first and second annular rows oppose each other when the stent is in a collapsed configuration and when the stent is in an expanded configuration; 
 wherein the plurality of chevron-shaped structures of the first and second annular rows each have a first V-shaped structure having a proximal median vertex and a second V-shaped structure having a distal median vertex, the first and second V-shaped structures connected by a pair of lateral edges to form a closed polygon; 
 wherein at least one of the proximal median vertex and the distal median vertex is rounded; and 
 wherein the stent has an inner surface and an outer surface; and 
   a valve attached to the inner surface of the stent at a plurality of attachment points, wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the first annular row, and wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the second annular row.   
     
     
         2 . The transcatheter stent of  claim 1 , wherein within each chevron-shaped structure, a distance between the proximal median vertex and the distal median vertex is substantially the same in the collapsed configuration and the expanded configuration. 
     
     
         3 . The transcatheter stent of  claim 1 , wherein the first annular row has 4 to 24 chevron-shaped structures, and the second annular row has 4 to 24 chevron-shaped structures. 
     
     
         4 . A transcatheter stent comprising:
 a proximal portion and a distal portion, each comprising a plurality of spindle-shaped structures; and   an intermediate portion comprising:
 a first annular row of a plurality of chevron-shaped structures, and 
 a second annular row of a plurality of chevron-shaped structures; 
 wherein the first annular row and the second annular row oppose each other when the stent is in a collapsed configuration and when the stent is in an expanded configuration; 
 wherein the plurality of chevron-shaped structures of the first and second annular rows each have a first V-shaped structure having a proximal median vertex and a second V-shaped structure having a distal median vertex, and the first and second V-shaped structures are connected by a pair of lateral edges to form a closed polygon; and 
 wherein at least one of the proximal median vertex and the distal median vertex is rounded. 
   
     
     
         5 . The transcatheter stent of  claim 4 , further comprising a valve disposed within the intermediate portion of the stent. 
     
     
         6 . The transcatheter stent of  claim 5 , wherein the valve is attached to the intermediate portion of the stent at a plurality of attachment points, wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the first annular row, and wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the second annular row. 
     
     
         7 . The transcatheter stent of  claim 6 , wherein within each chevron-shaped structure, a distance between the proximal median vertex and the distal median vertex is substantially the same in the collapsed configuration and the expanded configuration of the stent. 
     
     
         8 . The transcatheter stent of  claim 4 , wherein the first annular row has 4 to 24 chevron-shaped structures, and the second annular row has 4 to 24 chevron-shaped structures. 
     
     
         9 . A transcatheter stent comprising:
 a first annular row of a plurality of chevron-shaped structures, and a second annular row of a plurality of chevron-shaped structures;
 wherein the plurality of chevron-shaped structures of the first and second annular rows oppose each other when the stent is in a collapsed configuration and when the stent is in an expanded configuration; 
 wherein the plurality of chevron-shaped structures of the first and second annular rows each have a first V-shaped structure having a proximal median vertex, a second V-shaped structure having a distal median vertex, and the first and second V-shaped structures are connected by a pair of lateral edges to form a closed polygon; 
 wherein an additional edge extends between the proximal median vertex and the distal median vertex; and 
 wherein the stent has an inner surface and an outer surface; and 
   a valve attached to the inner surface of the stent at a plurality of attachment points, wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the first annular row, and wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the second annular row.   
     
     
         10 . The transcatheter stent of  claim 9 , wherein within each chevron-shaped structure, a distance between the proximal median vertex and the distal median vertex is substantially the same in the collapsed configuration and the expanded configuration. 
     
     
         11 . The transcatheter stent of  claim 9 , wherein the additional edge is attached at one or more of the proximal median vertex and the distal median vertex. 
     
     
         12 . The transcatheter stent of  claim 9 , wherein the first annular row has 4 to 24 chevron-shaped structures, and the second annular row has 4 to 24 chevron-shaped structures. 
     
     
         13 . A transcatheter stent comprising:
 a proximal portion and a distal portion, each comprising a plurality of spindle-shaped structures, and   an intermediate portion comprising:
 a first annular row of a plurality of chevron-shaped structures, and 
 a second annular row of a plurality of chevron-shaped structures; 
 wherein the first annular row and the second annular row oppose each other when the stent is in a collapsed configuration and when the stent is in an expanded configuration; 
 wherein the plurality of chevron-shaped structures of the first and second annular rows each have a first V-shaped structure having a proximal median vertex and a second V-shaped structure having a distal median vertex, and the first and second V-shaped structures are connected by a pair of lateral edges to form a closed polygon; and 
 wherein an additional edge extends between the proximal median vertex and the distal median vertex. 
   
     
     
         14 . The transcatheter stent of  claim 13 , further comprising a valve disposed within the intermediate portion of the stent. 
     
     
         15 . The transcatheter stent of  claim 14 , wherein the valve is attached to the intermediate portion of the stent at a plurality of attachment points, wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the first annular row, and wherein at least one attachment point of the plurality of attachment points is at the proximal median vertex or the distal median vertex of the second annular row. 
     
     
         16 . The transcatheter stent of  claim 15 , wherein within each chevron-shaped structure, a distance between the proximal median vertex and the distal median vertex is substantially the same in the collapsed configuration and the expanded configuration of the stent. 
     
     
         17 . The transcatheter stent of  claim 13 , wherein the additional edge is attached at one or more of the proximal median vertex and the distal median vertex. 
     
     
         18 . The transcatheter stent of  claim 13 , wherein the first annular row has 4 to 24 chevron-shaped structures, and the second annular row has 4 to 24 chevron-shaped structures.