CN107080564A - Single riveting, self-adaptation type oval hole plugging device - Google Patents

Single riveting, self-adaptation type oval hole plugging device Download PDF

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Publication number
CN107080564A
CN107080564A CN201710372166.XA CN201710372166A CN107080564A CN 107080564 A CN107080564 A CN 107080564A CN 201710372166 A CN201710372166 A CN 201710372166A CN 107080564 A CN107080564 A CN 107080564A
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CN
China
Prior art keywords
card
spring
self
waist
plugging device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710372166.XA
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Chinese (zh)
Inventor
张刚成
沈群山
王有然
陈松
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Individual
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Individual
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Priority to CN201710372166.XA priority Critical patent/CN107080564A/en
Publication of CN107080564A publication Critical patent/CN107080564A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00592Elastic or resilient implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00601Implements entirely comprised between the two sides of the opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00606Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of single riveting, self-adaptation type oval hole plugging device, main body is the metallic support Dropbox with default self-expanding function, metallic support Dropbox includes braided wires that are a plurality of interlaced and being wound along body, the end face of main body is provided with left card, other end is provided with right card, waist is provided between left card and right card, the first filler is enclosed with waist, a metal die is provided with the outside of the center of right card to collect the metal twine of metallic support Dropbox, elastic device is welded in the metallic support Dropbox of waist, the cross section of left card and right card is equipped with the second filler.The beneficial effects of the invention are as follows:Double plate button type is designed, and makes card laminating close;Single head is designed without riveting, it is easy to which endothelial cell climbs attached, is reduced the endothelialization time, can be reduced thrombosis;Waist adaptive design, during plugging device release, according to the PFO " hole " of patient itself length, width, realizes that adaptively plugging effect is dramatically increased.

Description

Single riveting, self-adaptation type oval hole plugging device
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of single riveting, self-adaptation type oval hole plugging device.
Background technology
Oval foramen occurs in the development of fetus phase, and blood must flow to the left side by this breach on the right of heart.It is most of In the case of general the 1st year self-closed after life of oval foramen, if child's oval foramen more than 3 years old does not close title acleistocardia still (Patent foramen oval,PFO).There is 20%~25% oval foramen not completely closed in adult.Acleistocardia is Most commonly seen congenital cardiac anomaly in adult at present, in normal population can detect 1 people in about 4 people suffers from this disease.I The patients with congenital heart diseases of state 1,500,000, annual congenital heart disease illness rate is 6.78%, and annual new born children with CHD is up to 100,000-15 ten thousand Example, wherein simple acleistocardia accounts for the 10% of congenital heart disease.
The problem of acleistocardia is a kind of very common, and PFO holes are also possible that causes potential severe complication. For a long time it is believed that acleistocardia does not cause the shunting in two rooms typically, influence is had no on the haemodynamics of heart, It is thus regarded that " unimportant ".In recent years many studies have shown that, deposited between acleistocardia and unknown cause patients with cerebral apoplexy In close contact, because by the oval foramen of patent, following embolus can feel concerned about system into a left side and cause corresponding clinic Symptom:1st, the thrombus of deep veins of lower limb or pelvic veins;2nd, bends or the air embolus caused by decompression sickness;3rd, operation or wound The fat embolus formed afterwards.And for occurred the acleistocardia patient of Cardioversion its it is recurrent it is dangerous still very It is high.In addition, it has been found that acleistocardia is relevant with the morbidity of decompression sickness, antimigraine etc., closure oval foramen may be beneficial to above-mentioned Patient.
Current main product is that the holy tradition still up to medical supplies company, Beijing Starway Medical Technology Inc.'s production is double The double riveting PFO plugging devices of disk and innovative product -- the one-sided metallic coating PFO plugging devices of Shenzhen lifetech Scientific Inc., are facing The problem of all having more or less in bed use.
1. waist diameter design is fixed (4-6mm), but oval foramen " hole " diameter of patient varies with each individual, with fixation The PFO plugging devices of size can not be blocked completely.
2. plugging device is designed as double plate or class double plate structure, disk distance between the surface is fixed, have during clinical practice laminating it is not tight, Come off equivalent risk, and plugging effect is not good, and immediate postoperative residual shunt is more serious.
The content of the invention
The technical problems to be solved by the invention are to provide a kind of single riveting, self-adaptation type oval hole plugging device.
The technical scheme that the present invention solves above-mentioned technical problem is as follows:A kind of single riveting oval hole plugging device, main body is Metallic support Dropbox with default self-expanding function, the metallic support Dropbox includes a plurality of interlaced and along described The braided wires of body winding, the end face of the main body is provided with left card, and other end is provided with right card, the left card and described Right card is parallel, is provided between the left card and the right card in waist, the waist and is enclosed with the first filler, described Provided with a metal die to collect the metal twine of the metallic support Dropbox on the outside of the center of right card, the elastic device is welded It is connected in the metallic support Dropbox of the waist, and connects the left card and the right card, the left card and institute respectively The cross section for stating right card is equipped with the second filler.
The present invention can make card laminating close using the design of double plate button type, difficult for drop-off;Single head is designed without riveting, easily Climb attached in endothelial cell, the endothelialization time is reduced, while thrombosis can be reduced;Realize the adaptive of waist structure, root According to oval foramen " hole " diameter of patient, waist is expanded to automatically to be blocked completely with its diameter formed objects, composition, simultaneously Automatic to adapt to card spacing, further solution laminating is not tight, come off equivalent risk, and immediate postoperative ultrasonic examination residual shunting is dropped significantly Low, plugging effect is dramatically increased.
Further, the braided wires are Nitinol.
Using the beneficial effect of further technology:Nitinol is a kind of marmem, and marmem is energy The plastic deformation of itself is automatically restored to the special alloy of original-shape under a certain specified temp.Its expansion and contraction is 20% More than, fatigue life is extremely long, and damping characteristic is higher than common spring 10 times, and its corrosion resistance is medical stainless better than best at present Steel, therefore can meet the application demand of all kinds of engineerings and medical science, is a kind of very outstanding functional material.
Further, first filler is polyester fiber non-woven fabric and polyurethane nucleome, the polyester fiber non-woven fabric The polyurethane nucleome is wrapped up, second filler is polyester fiber film.
Using the beneficial effect of further technical scheme:Different functions are realized using the filler of two kinds of different materials, Very well, with higher intensity and elastic recovery capability, and polyurethane nucleome has the wrinkle resistance and conformality of the polyester fiber There is good radiopacit, be easy to lay and position during operation.
Further, the volume of the polyurethane nucleome is not less than 1/3rd of the waist.
Using the beneficial effect of further technical scheme:The compact structure of the polyurethane nucleome, is being used as developing mark While play a part of support plugging device.
Further, the elastic device includes many interlaced the first springs and second wound along the body central Spring, the two ends of first spring are respectively welded in the left card and the right card, first spring it is flexible Direction is vertical with the plane where the left card and the right card, and the second spring winding is arranged on first bullet On spring, the telescopic direction of the second spring is vertical with first spring.
Using the beneficial effect of further technical scheme:First spring is determined between the left card of the plugging device and right card Away from, prevent plugging device from coming off, second spring determine waist thickness, completely closure patient oval foramen " hole ".
Further, first spring is extended state, and the second spring is compressive state.
Using the beneficial effect of further technical scheme:The meeting self-constriction of first spring, is limited between left card and right card Away from, prevent plugging device from coming off, second spring can self-expanding, completely closure patient oval foramen " hole ".
Brief description of the drawings
Fig. 1 is a kind of structural representation of single riveting oval hole plugging device in the prior art;
Fig. 2 is a kind of single riveting of the present invention, the structural representation of self-adaptation type oval hole plugging device.
Embodiment
The principle and feature of the present invention are described below in conjunction with accompanying drawing, the given examples are served only to explain the present invention, and It is non-to be used to limit the scope of the present invention.
As shown in figure 1, traditional oval hole plugging device (PFO plugging devices) is formed by NiTi screen knitting, it is double Disc type, can not self-expanding implantation instrument.Double plate is connected by a short waist, to increase its making capacity.
As shown in Fig. 2 a kind of single riveting of the present invention, self-adaptation type oval hole plugging device, main body be with it is default from The metallic support Dropbox 1 of expansion function, metallic support Dropbox 1 includes braided wires that are a plurality of interlaced and being wound along body, main The end face of body is provided with left card 2, and other end is provided with right card 3, and left card 2 is parallel with right card 3, left card 2 and right disk It is provided between face 3 in waist, waist and is enclosed with the first filler, provided with a metal die 4 with collection on the outside of the center of right card 3 The metal twine of metallic support Dropbox 1, elastic device 5 is welded in the metallic support Dropbox of waist, and connects left card 2 respectively With right card 3, the cross section of left card 2 and right card 3 is equipped with the second filler.Elastic device 5 can make left card 2 and the right side Card 3 is fitted closely, difficult for drop-off;Single head is designed without riveting, it is easy to which endothelial cell climbs attached, reduces the endothelialization time, while can be with Reduce thrombosis;The adaptive of waist structure is realized, according to oval foramen " hole " diameter of patient, while waist is certainly Dynamic be expanded to blocks completely with its diameter formed objects, composition, while card spacing is adapted to automatically, it is further to solve to fit not Tightly, come off equivalent risk, and immediate postoperative ultrasonic examination residual shunting is substantially reduced, and plugging effect is dramatically increased.
The Nitinol that braided wires are.Nitinol is a kind of marmem, and marmem is can be by itself Plastic deformation the special alloy of original-shape is automatically restored under a certain specified temp.Its expansion and contraction more than 20%, Fatigue life is extremely long, and damping characteristic is higher than common spring 10 times, and its corrosion resistance is better than medical stainless steel best at present, because This can meet the application demand of all kinds of engineerings and medical science, be a kind of very outstanding functional material.
First filler is polyester fiber non-woven fabric and polyurethane nucleome, and polyester fiber non-woven fabric wraps up polyurethane nucleome, Second filler is polyester fiber film.Different functions, the polyester fiber are realized using the filler of two kinds of different materials Wrinkle resistance and conformality very well, with higher intensity and elastic recovery capability, and polyurethane nucleome has good X-ray Impermeability, is easy to lay and position during operation.
The volume of polyurethane nucleome is 1/3rd of waist.The compact structure of polyurethane nucleome, is being used as developing mark While play a part of support plugging device.
Elastic device 5 includes many interlaced the first springs 51 wound along body central and second spring 52, first The two ends of spring 51 are respectively welded in left card 2 and right card 3, the telescopic direction of the first spring 51 and left disk 2 and the institute of right disk 3 Plane it is vertical, the winding of second spring 52 is arranged on the first spring 51, the telescopic direction of second spring 52 and the first bullet Spring 51 is vertical.First spring 51 determines the left card 2 of the plugging device and the spacing of right card 3, prevents plugging device from coming off, the second bullet Spring 52 determines the oval foramen " hole " of the thickness of waist, completely closure patient.
First spring 51 is extended state, and second spring 51 is compressive state.First spring 51 can self-constriction, the left disk of limitation Face 2 and the spacing of right card 3, prevent plugging device from coming off, and second spring 52 can self-expanding, the oval foramen " hole of complete closure patient Hole ".
The foregoing is only presently preferred embodiments of the present invention, be not intended to limit the invention, it is all the present invention spirit and Within principle, any modification, equivalent substitution and improvements made etc. should be included in the scope of the protection.

Claims (6)

1. a kind of single riveting, self-adaptation type oval hole plugging device, it is characterised in that main body is with default self-expanding function Metallic support Dropbox (1), the metallic support Dropbox (1) include it is a plurality of interlaced and along the body wind braiding Silk, the end face of the main body is provided with left card (2), and other end is provided with right card (3), the left card (2) and the right side Card (3) is parallel, is provided between the left card (2) and the right card (3) in waist, the waist and is enclosed with the first filling It is provided with a metal die (4) to collect the wire netting of the metallic support Dropbox (1) on the outside of thing, the center of the right card (3) Silk, the elastic device (5) is welded in the metallic support Dropbox of the waist, and connects the left card (2) and institute respectively State right card (3), the cross section of the left card (2) and the right card (3) is equipped with the second filler.
2. a kind of single riveting according to claim 1, self-adaptation type oval hole plugging device, it is characterised in that the volume Knit the Nitinol that silk is.
3. a kind of single riveting according to claim 1, self-adaptation type oval hole plugging device, it is characterised in that described One filler is polyester fiber non-woven fabric and polyurethane nucleome, and the polyester fiber non-woven fabric wraps up the polyurethane nucleome, institute The second filler is stated for polyester fiber film.
4. a kind of single riveting according to claim 3, self-adaptation type oval hole plugging device, it is characterised in that described poly- The volume of urethane nucleome is not less than 1/3rd of the waist.
5. a kind of single riveting according to claim 1, self-adaptation type oval hole plugging device, it is characterised in that the bullet Property device (5) include many it is interlaced along the body central wind the first springs (51) and second spring (52), it is described The two ends of first spring (51) are respectively welded in the left card (2) and the right card (3), first spring (51) Telescopic direction is vertical with the plane where the left card (2) and the right card (3), and second spring (52) winding is set Put on first spring (51), the telescopic direction of the second spring (52) is vertical with first spring (51).
6. a kind of single riveting according to claim 5, self-adaptation type oval hole plugging device, it is characterised in that described One spring (51) is extended state, and the second spring (51) is compressive state.
CN201710372166.XA 2017-05-22 2017-05-22 Single riveting, self-adaptation type oval hole plugging device Pending CN107080564A (en)

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114191007A (en) * 2021-12-28 2022-03-18 雄鑫医疗科技(深圳)有限公司 Heart foramen ovale plugging device

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2455225Y (en) * 2000-12-18 2001-10-24 李春江 Super-elastic skidproof atrioventricular septum defect obstructor
CN2613248Y (en) * 2003-03-21 2004-04-28 龚善石 Ventricular septel defect block device
US20070073337A1 (en) * 2001-09-06 2007-03-29 Ryan Abbott Clip-Based Systems And Methods For Treating Septal Defects
US20080033421A1 (en) * 2006-05-30 2008-02-07 Coherex Medical, Inc. Methods, systems, and devices for closing a patent foramen ovale using mechanical structures
CN201026219Y (en) * 2006-10-23 2008-02-27 东莞科威医疗器械有限公司 Plugging device for unclosed arterial duct or coloboma heart
CN201949173U (en) * 2011-01-31 2011-08-31 中国人民解放军第二军医大学 Bilateral non-rivet-type patent foramen ovale closure device
CN102395323A (en) * 2009-03-09 2012-03-28 戈尔企业控股股份有限公司 Heart occlusion devices
CN202589583U (en) * 2012-04-27 2012-12-12 秦永文 Heart patent foramen ovale closure device
CN102895008A (en) * 2012-09-28 2013-01-30 乐普(北京)医疗器械股份有限公司 Medical occluder and delivery system thereof
CN105455922A (en) * 2014-09-09 2016-04-06 先健科技(深圳)有限公司 Plugging device and manufacturing method thereof
CN207768437U (en) * 2017-05-22 2018-08-28 王有然 Single riveting, self-adaptation type oval hole plugging device

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2455225Y (en) * 2000-12-18 2001-10-24 李春江 Super-elastic skidproof atrioventricular septum defect obstructor
US20070073337A1 (en) * 2001-09-06 2007-03-29 Ryan Abbott Clip-Based Systems And Methods For Treating Septal Defects
CN2613248Y (en) * 2003-03-21 2004-04-28 龚善石 Ventricular septel defect block device
US20080033421A1 (en) * 2006-05-30 2008-02-07 Coherex Medical, Inc. Methods, systems, and devices for closing a patent foramen ovale using mechanical structures
CN201026219Y (en) * 2006-10-23 2008-02-27 东莞科威医疗器械有限公司 Plugging device for unclosed arterial duct or coloboma heart
CN102395323A (en) * 2009-03-09 2012-03-28 戈尔企业控股股份有限公司 Heart occlusion devices
CN201949173U (en) * 2011-01-31 2011-08-31 中国人民解放军第二军医大学 Bilateral non-rivet-type patent foramen ovale closure device
CN202589583U (en) * 2012-04-27 2012-12-12 秦永文 Heart patent foramen ovale closure device
CN102895008A (en) * 2012-09-28 2013-01-30 乐普(北京)医疗器械股份有限公司 Medical occluder and delivery system thereof
CN105455922A (en) * 2014-09-09 2016-04-06 先健科技(深圳)有限公司 Plugging device and manufacturing method thereof
CN207768437U (en) * 2017-05-22 2018-08-28 王有然 Single riveting, self-adaptation type oval hole plugging device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114191007A (en) * 2021-12-28 2022-03-18 雄鑫医疗科技(深圳)有限公司 Heart foramen ovale plugging device

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Application publication date: 20170822

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