Claims Analysis
Total Claims: 13
Claim 1
Independent Claim
183 words
A method of implanting a valve prosthesis to treat valvular aortic stenosis, which comprises the steps of: (a) advancing a first balloon dilatation catheter having distal and proximal ends and having a deflated first dilatation balloon adjacent the catheter distal end into a patient's vasculature to position said first dilatation balloon within a native stenotic aortic valve and annulus; (b) inflating said first dilatation balloon to dilate the stenotic aortic valve; (c) deflating said first dilatation balloon and withdrawing said deflated balloon in the proximal direction; (d) advancing a second dilatation catheter having distal and proximal ends and having a second deflated dilatation balloon adjacent the catheter distal end, wherein said second balloon has a valve prosthesis arranged circumferentially around said second dilatation balloon, into the patient's vasculature to position said second dilatation balloon and said valve prosthesis adjacent to the previously dilated native stenotic aortic valve; (e) inflating said second dilatation balloon to cause said valve prosthesis to adhere to said native aortic valve and annulus; and (f) deflating said second dilatation balloon and withdrawing said second catheter in the proximal direction.
Claim 2
Independent Claim
183 words
A method of implanting a valve prosthesis to treat valvular aortic stenosis, which comprises the steps of: (a) advancing a first balloon dilatation catheter having distal and proximal ends and having a deflated first dilatation balloon adjacent the catheter distal end into a patient's vasculature to position said first dilatation balloon within a native stenotic aortic valve and annulus; (b) inflating said first dilatation balloon to dilate the stenotic aortic valve; (c) deflating said first dilatation balloon and withdrawing said deflated balloon in the proximal direction; (d) advancing a second dilatation catheter having distal and proximal ends and having a second deflated dilatation balloon adjacent the catheter distal end, wherein said second balloon has a valve prosthesis arranged circumferentially around said second dilatation balloon, into the patient's vasculature to position said second dilatation balloon and said valve prosthesis adjacent to the previously dilated native stenotic aortic valve; (e) inflating said second dilatation balloon to cause said valve prosthesis to adhere to said native aortic valve and annulus; and (f) deflating said second dilatation balloon and withdrawing said second catheter in the proximal direction.
Claim 3
Dependent Claim
39 words
The method of claim 1 , wherein prior to step (a), a guidewire having a distal end is advanced distally into the patient's vasculature until the guidewire distal end is adjacent or distal to the native stenotic aortic valve.
Claim 4
Dependent Claim
24 words
The method of claim 2 , wherein in steps (a) and (d) the first and second balloon catheters, respectively, are advanced over the guidewire.
Claim 5
Dependent Claim
20 words
The method of claim 1 , wherein in step (b) the first dilatation balloon is inflated to a high pressure.
Claim 6
Dependent Claim
20 words
The method of claim 4 , wherein the first dilatation balloon is inflated maximally up to the balloon's bursting point.
Claim 7
Dependent Claim
14 words
The method of claim 4 , wherein the inflation lasts only a few seconds.
Claim 8
Dependent Claim
35 words
The method of claim 1 , wherein inflating the dilatation balloon in step (b) tests the native stenotic aortic valve for efficacy of the procedure and creates an aperture in the native stenotic aortic valve.
Claim 9
Dependent Claim
20 words
The method of claim 1 , wherein in step (e) the second dilatation balloon is inflated to a high pressure.
Claim 10
Dependent Claim
28 words
The method of claim 8 , wherein the second dilatation balloon is inflated to a pressure less than the pressure to which the first dilatation balloon is inflated.
Claim 11
Dependent Claim
14 words
The method of claim 8 , wherein the inflation lasts only a few seconds.
Claim 12
Dependent Claim
19 words
The method of claim 1 , wherein the valve prosthesis needs only a light pressure for its own expansion.
Claim 13
Dependent Claim
132 words
The method of claim 1 , wherein the valve prosthesis comprises: a collapsible, elastic valve member comprised of physiologically acceptable material, an elastic stent member in which said valve member is mounted, said stent member having internal and external surfaces, and a support coupled to the valve member and positioned between the valve member and the stent member, wherein said stent member forms a continuous surface and comprises strut members that provide a structure sufficiently rigid to prevent eversion, wherein the support extends from the internal surface of the stent member to the external surface of the stent member, and wherein the stent member has sufficient radial and longitudinal rigidity to withstand the radial force necessary for implantation, to resist aortic recoil forces, and to provide long-term support to the valve structure.