| CPC A61F 2/2418 (2013.01) [A61F 2/2409 (2013.01); A61F 2/2412 (2013.01); A61F 2210/00 (2013.01); A61F 2250/006 (2013.01); A61F 2310/00389 (2013.01)] | 21 Claims |

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1. A prosthetic heart valve, comprising:
a first rod-like undulating wireform formed in a continuous shape defining alternating cusps and commissures and having a cloth covering, wherein the commissures extend generally axially in an outflow direction and define inverted U-shaped commissure posts and each cusp is arcuate and extends in an inflow direction spanning a distance between each two commissures, the first wireform circumscribing a flow orifice therewithin for blood flow; and
a plurality of separate flexible leaflets having outer cusp edges that extend over an outflow side of the cusps of the first wireform and attach to the cloth covering at the cusps, adjacent leaflets being secured to each other at the commissures, each of the leaflets having a free edge that, when implanted, alternately moves into and out of the flow orifice from fluid forces associated with cardiac blood flow cycles, wherein the free edge of each leaflet coapts with the free edges of the other leaflets to close the valve and the attachment of each leaflet over the outflow side of the first wireform cusps maximizes an effective orifice area by eliminating any impediment to flow caused by the leaflets projecting inward from the first wireform at the cusps.
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