Evidence map›Paper›PMID 41252100›Full record

ArticleAnnals of biomedical engineering2026

Strain Energy Minimization Technique to Design a Surgical Heart Valve Using a Novel Polymer.

Jason Beith, J Ryan Stanfield, Morteza Gharib

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Article in Annals of biomedical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jason BeithSkye Biomed Consulting, Santa Ana, CA, 92706, USA.
J Ryan StanfieldFoldax, Inc, Salt Lake City, UT, 84103, USA. Ryan.Stanfield@utah.edu.ORCID http://orcid.org/0009-0005-8265-6867
Morteza GharibCalifornia Institute of Technology, Pasadena, CA, 91125, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe natural aortic heart valve exhibits an exceptional balance of durability and efficiency, enabling over two billion cycles during a human lifespan. Designing a prosthetic valve that replicates these attributes presents significant challenges. The development of polymeric heart valves offers a promising alternative to existing biologic and mechanical options, aiming to improve durability and hemodynamic performance. This study focuses on the optimized design of the Foldax TRIA polymeric heart valve, leveraging computational modeling to minimize strain energy and enhance structural integrity.

methodsA fully three-dimensional computational model of the TRIA valve was developed using LS-Dyna to simulate its behavior across a full cardiac cycle and optimize for fully open and fully closed configurations. The model incorporated an explicit finite element formulation without symmetry constraints, ensuring accurate representation of valve dynamics. The leaflets, composed of LifePolymer™ (a proprietary silicone urethane-urea), and the frame, made from Solvay Zeniva® PEEK, were analyzed for strain energy distribution. A perturbation analysis was conducted by varying leaflet width to assess its impact on strain distribution, durability, and kinematic efficiency. Additionally, hydrodynamic performance was evaluated using a pulse duplicator system.

resultsThe computational analysis identified an optimal leaflet width that minimized strain energy and provided uniform stress distribution, reducing the potential for long-term material fatigue. Leaflets that deviated from this optimal width exhibited excessive strain at critical points, leading to potential durability concerns. Hydrodynamic testing demonstrated that the TRIA valve exhibited a low pressure gradient and an efficient equivalent orifice area (EOA) compared to a leading bioprosthetic control valve. Long-term durability testing indicated stable valve performance over 600 million cycles, equivalent to nearly 20 years of use.

conclusionThe optimized design of the Foldax TRIA polymeric heart valve successfully minimizes strain energy while maximizing hydrodynamic efficiency. Computational and experimental results suggest that this novel polymeric valve provides a viable, long-lasting alternative to traditional heart valve prostheses. Future studies should focus on in vivo validation to further establish clinical efficacy and longevity.

Indexed as

Aortic ValveHeart Valve ProsthesisModels, CardiovascularPolymersProsthesis DesignHumansStress, MechanicalPolymersDesign optimizationHeart valvePolymerStrain energySurgical

Identifiers

PMID41252100

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.