Abstract: An implant for heart valve repair, the implant comprising: a clamp movable between an open position and a closed position in which the clamp is able to grasp a leaflet of a heart valve, so as to fix the implant on the leaflet; and a shutter comprising a structure adapted to pass automatically from a contracted configuration to an expanded configuration in which the shutter is able to fill at least partially an opening portion remaining between the leaflet and at least one further leaflet of the heart valve of the heart valve, when the implant is attached to one leaflet, so as to limit a backflow of blood through the opening portion when the heart valve closes, and wherein the structure is curved in two directions perpendicular to each other in the expanded configuration.

Abstract: Annuloplasty prosthesis device (1), which is suitable for remodeling a native annulus (2), comprises a body having the shape of at least one ring portion defining a longitudinal direction, coinciding with or locally parallel to the longitudinal development direction of said body; said portion (5) being opposite to said first arcuate section (4), and the body comprises a first arcuate section (4) and at least a second segment (5); said first arcuate section (4) is flexible in a first direction, locally transverse to the longitudinal direction, so as to be deformable under flexion along said first direction; said first arcuate section (4) defines a plane of storage substantially parallel both to the longitudinal direction and to the first direction; said at least a second section (5) is rigid under flexion in said plane of storage (XY); said second section (5) is flexible in a second direction (ZZ), transverse to the plane of storage, so as to be deformable under flexion along said second direction.

Abstract: Bioprosthetic heart valves and methods for fabricating bioprosthetic heart valves are provided. Biological tissue is attached to biocompatible material. The biocompatible material is folded to form a tubular structure with the attached biological tissue located on the inner surface of the tubular structure, the biological tissue forming leaflets of the heart valve. A stent is secured around the outer surface of the tubular structure. A region of the biocompatible material is cut. The biocompatible material is folded at the cut region away from the tissue and around the downstream edge of the stent and is secured to the stent's outer surface. The biocompatible material is folded at the upstream end of the tubular structure around the upstream edge of the stent and attached to the stent's outer surface so that the stent's inner and outer surfaces are covered with no more than a single layer of the biocompatible material.

Abstract: Annuloplasty prosthesis device (1), which is suitable for remodeling a native annulus (2), comprises a body having the shape of at least one ring portion defining a longitudinal direction, coinciding with or locally parallel to the longitudinal development direction of said body; said portion (5) being opposite to said first arcuate section (4), and the body comprises a first arcuate section (4) and at least a second segment (5); said first arcuate section (4) is flexible in a first direction, locally transverse to the longitudinal direction, so as to be deformable under flexion along said first direction; said first arcuate section (4) defines a plane of storage substantially parallel both to the longitudinal direction and to the first direction; said at least a second section (5) is rigid under flexion in said plane of storage (XY); said second section (5) is flexible in a second direction (ZZ), transverse to the plane of storage, so as to be deformable under flexion along said second direction.

Abstract: A prosthetic heart valve (1) for implantation at the mitral annulus of a heart, the prosthetic heart valve comprising: a support framework (10) reversibly transformable between a collapsed configuration and an expanded configuration; and one or more leaflets connected to the framework; wherein, in the expanded configuration: the support framework defines a fluid pathway through the prosthetic heart valve, the fluid pathway having a portion with a D-shaped cross section for engaging the mitral annulus; and the one or more leaflets allow fluid to pass through the fluid pathway in a first direction but prevent fluid from flowing in the opposite direction.

Abstract: Bioprosthetic heart valves and methods for fabricating bioprosthetic heart valves are provided. Biological tissue is attached to biocompatible material. The biocompatible material is folded to form a tubular structure with the attached biological tissue located on the inner surface of the tubular structure, the biological tissue forming leaflets of the heart valve. A stent is secured around the outer surface of the tubular structure. A region of the biocompatible material is cut. The biocompatible material is folded at the cut region away from the tissue and around the downstream edge of the stent and is secured to the stent's outer surface. The biocompatible material is folded at the upstream end of the tubular structure around the upstream edge of the stent and attached to the stent's outer surface so that the stent's inner and outer surfaces are covered with no more than a single layer of the biocompatible material.

Abstract: A heart valve prosthesis comprising: a support structure comprising a framework deformable between an expanded state and a compressed state and vice versa; and a flow-control structure, supported by the support structure, for permitting blood flow in a first direction, and for restricting blood flow in a direction opposite to the first direction. At least one end of the support structure comprises a plurality of apexes of the framework. The support structure is collapsible into the compressed state by pulling on the apexes, to enable it to be drawn into a sheath having an inner radial dimension smaller than the radial dimension of the support structure in the expanded state.

Abstract: A prosthetic heart valve (1) for implantation at the mitral annulus of a heart, the prosthetic heart valve comprising: a support framework (10) reversibly transformable between a collapsed configuration and an expanded configuration; and one or more leaflets connected to the framework; wherein, in the expanded configuration: the support framework defines a fluid pathway through the prosthetic heart valve, the fluid pathway having a portion with a D-shaped cross section for engaging the mitral annulus; and the one or more leaflets allow fluid to pass through the fluid pathway in a first direction but prevent fluid from flowing in the opposite direction.

Abstract: A prosthesis for implantation at an implantation site proximate a native aortic valve, the implantation site including a valve annulus and a plurality of Valsalva sinuses located distal to the valve annulus. The prosthesis comprises an armature and a valve connected to the armature, wherein the armature includes a proximal portion configured for anchorage to the valve annulus, a distal portion configured to be positioned distal to the Valsalva sinuses when the proximal portion is anchored to the valve annulus, and first, second and third Valsalva sinus anchors each extending between and connecting the proximal and distal portions and arching radially outward between the proximal portion and the distal portion. The Valsalva sinus anchors are positioned so that each can extend into and engage a wall of a different one of the Valsalva sinuses.

Abstract: A cardiac-valve prosthesis is adapted for percutaneous implantation. The prosthesis includes an armature adapted for deployment in a radially expanded implantation position, the armature including a support portion and an anchor portion, which are substantially axially coextensive with respect to one another. A set of leaflets is coupled to the support portion. The leaflets can be deployed with the armature in the implantation position. The leaflets define, in the implantation position, a flow duct that is selectably obstructable. The anchor portion can be deployed to enable anchorage of the cardiac-valve prosthesis at an implantation site.

Abstract: A prosthesis delivery system comprises a sheath defining an axial direction; at least one tether movable axially relative to the sheath; and a holder movable axially within the sheath, configured to constrain radially the tether(s). Collapsing the prosthesis to a collapsed state in the sheath involves constraining radially with a holder the tether(s), attached to the prosthesis; and moving the tether(s) and the holder axially within the sheath such that the prosthesis is forced to collapse into the sheath and the holder is retracted into the sheath.

Abstract: A prosthesis for implantation at an implantation site proximate a native aortic valve, the implantation site including a valve annulus and a plurality of Valsalva sinuses located distal to the valve annulus. The prosthesis comprises an armature and a valve connected to the armature, wherein the armature includes a proximal portion configured for anchorage to the valve annulus, a distal portion configured to be positioned distal to the Valsalva sinuses when the proximal portion is anchored to the valve annulus, and first, second and third Valsalva sinus anchors each extending between and connecting the proximal and distal portions and arching radially outward between the proximal portion and the distal portion.

Abstract: A method of repairing a native cardiac valve such as the aortic valve includes positioning a cardiac valve prosthesis at an implantation site proximate the native cardiac valve to be repaired. The cardiac valve prosthesis includes an armature and a plurality of prosthetic valve leaflets, the armature including first and second annular elements, a plurality of anchor members extending between the first and second annular elements, and a plurality of valve support members extending from at least one of the first and second annular elements, the plurality of prosthetic valve leaflets being coupled to and supported by the valve support members.

Abstract: A vascular implant comprises a structure defining a flow passage, the flow passage having a first end and a second end. The vascular implant is also provided with a skirt around at least a portion of the outer periphery of the structure. A portion of the skirt is fixed to the structure to form a seal with respect to the flow passage. The skirt is compliant such that, in response to a higher fluid pressure at one of the ends of the flow passage, the skirt is configured to be urged against the anatomy at the site in which the implant is located, to span between the outer periphery of the structure and said anatomy.

Abstract: A method of repairing a native cardiac valve such as the aortic valve includes positioning a cardiac valve prosthesis at an implantation site proximate the native cardiac valve to be repaired. The cardiac valve prosthesis includes an armature and a plurality of prosthetic valve leaflets, the armature including first and second annular elements, a plurality of anchor members extending between the first and second annular elements, and a plurality of valve support members extending from at least one of the first and second annular elements, the plurality of prosthetic valve leaflets being coupled to and supported by the valve support members.

Abstract: A method of repairing a native cardiac valve such as the aortic valve includes positioning a cardiac valve prosthesis at an implantation site proximate the native cardiac valve to be repaired. The cardiac valve prosthesis includes an armature and a plurality of prosthetic valve leaflets, the armature including first and second annular elements, a plurality of anchor members extending between the first and second annular elements, and a plurality of valve support members extending from at least one of the first and second annular elements, the plurality of prosthetic valve leaflets being coupled to and supported by the valve support members.

Abstract: A device for crimping an implantable device or a part thereof between a radially expanded condition and a radially contracted condition, includes first and second annular bodies arranged about a common axis, and a ring-like array of linear crimping elements having respective opposite ends linked to the first and second annular bodies, respectively. These annular bodies are relatively rotatable around the common axis between a first position, wherein the annular array of crimping elements define a wider orifice for receiving a device to be crimped, and a second position, wherein the annular array of crimping elements define a narrower orifice.

Abstract: A method of repairing a native cardiac valve such as the aortic valve includes positioning a cardiac valve prosthesis at an implantation site proximate the native cardiac valve to be repaired. The cardiac valve prosthesis includes an armature and a plurality of prosthetic valve leaflets, the armature including first and second annular elements, a plurality of anchor members extending between the first and second annular elements, and a plurality of valve support members extending from at least one of the first and second annular elements, the plurality of prosthetic valve leaflets being coupled to and supported by the valve support members.

Abstract: A cardiac-valve prosthesis is adapted for percutaneous implantation. The prosthesis includes an armature adapted for deployment in a radially expanded implantation position, the armature including a support portion and an anchor portion, which are substantially axially coextensive with respect to one another. A set of leaflets is coupled to the support portion. The leaflets can be deployed with the armature in the implantation position. The leaflets define, in the implantation position, a flow duct that is selectably obstructable. The anchor portion can be deployed to enable anchorage of the cardiac-valve prosthesis at an implantation site.

Abstract: A prosthesis delivery system comprises a sheath defining an axial direction; at least one tether movable axially relative to the sheath; and a holder movable axially within the sheath, configured to constrain radially the tether(s). Collapsing the prosthesis to a collapsed state in the sheath involves constraining radially with a holder the tether(s), attached to the prosthesis; and moving the tether(s) and the holder axially within the sheath such that the prosthesis is forced to collapse into the sheath and the holder is retracted into the sheath.