Abstract: A sizing gauge for determining the proper size of heart valve for implantation in a natural heart valve orifice. The sizing gauge includes a handle which can be gripped by a surgeon, a sizing ring having a smooth outer surface and a hollow interior, and connecting struts connecting the sizing ring and the handle. The connecting struts is so constructed and arranged as to afford direct visual observation by the surgeon of heart tissue beyond the sizing ring when the latter is inserted in a heart orifice. Outer surfaces of the connecting struts diverge forwardly for connection to the sizing ring and merge with the outer surface of the sizing ring to permit the latter to be eased outwardly through the natural heart valve orifice.

Abstract: An implantable heart valve including a suturing ring within which the body of the valve may be rotatably positioned following surgical implantation. The suturing ring is held to the valve body by binding means, such as an annular band or series of cord wraps. In one embodiment, the binding means may be heat-relaxed after the suturing ring has been bound to the valve body, thereby facilitating rotation of the valve body in the suturing ring. Slip ring means may be interposed between the suturing ring and the valve body to facilitate rotation. The slip ring means may be shaped to permit the binding means to hold the suturing ring tightly at its edges to the valve body to prevent the suturing ring from separating from the valve body at their mutually adjacent edges. The slip ring means may comprise a single ring or a pair of concentric slip rings having a mutual low-friction interface.