CN104224246A - ASD (atrial septal defect) reserved-hole occluder - Google Patents

ASD (atrial septal defect) reserved-hole occluder Download PDF

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Publication number
CN104224246A
CN104224246A CN201410187151.2A CN201410187151A CN104224246A CN 104224246 A CN104224246 A CN 104224246A CN 201410187151 A CN201410187151 A CN 201410187151A CN 104224246 A CN104224246 A CN 104224246A
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hole
memory alloy
dish
diameter
disc
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CN201410187151.2A
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CN104224246B (en
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尚小珂
张刚成
周欣
付小娟
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Wuhan Wei Ke Medical Technology Co Ltd
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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
    • A61B2017/00606Implements H-shaped in cross-section, i.e. with occluders on both 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
    • A61B2017/00646Type of implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect

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

Abstract

The invention discloses an ASD (atrial septal defect) reserved-hole occluder comprising a left disc, a right disc, a cylindrical barrier portion and through hole penetrating the left disc, the right disc and a cylindrical. The left disc and the right disc are used for occluding an opening. The cylindrical barrier portion between the left disc and the right disc occludes the ASD. The diameter of the left disc is greater than that of the right disc. The diameter of the right disc is greater than that of the cylindrical barrier portion. The left disc, the right disc, the cylindrical barrier portion and the through hole are all made by braiding a plurality of memory alloy wires; the memory alloy wires penetrate the through hole to form a wall of the through hole and are wound into the left disc, the right disc and the cylindrical barrier portion; two ends of every memory alloy wire are both fixed to a same fixture used for restraining the memory alloy wires; the memory alloy wires are mutually staggered into an elastic mesh; a seal film is arranged in the elastic mesh. Branch flows of the aorta and pulmonary arteries are limited, volume overload and pressure conduction of pulmonary vessels are relieved, a release space is provided for high pressure of the right heart system, and patients with advanced pulmonary arterial hypertension are saved.

Description

Atrial septal defect is boxed out stopper
Technical field
Patent of the present invention relates to technical field of medical instruments, is specifically related to a kind of atrial septal defect plugging device for the treatment of congenital heart disease.
Background technology
Atrial septal defect (Atrial septal defect, ASD) is a kind of common congenital heart disease, is that original interatrial septum occurs abnormal in embryo development procedure, causes between left and right atrium and leave over hole.Atrial septal defect can occur separately, and also can deposit with the cardiovascular malformation of other types, women is common, the ratio of men and women is about 1:3.Because atrium level exists shunting, corresponding abnormal hemodynamics can be caused.The child of most Transcatheter Closure of Secundum can be asymptomatic except easily catching a cold and waiting respiratory tract infection, and activity is also unrestricted, generally just shows out of breath, cardiopalmus, weak etc. to nonage.Most humans exacerbation of symptoms after 40 years old, and often there is pulmonary hypertension, arrhythmia and congestive heart failure, the former is dead major reason.Early stage ASD, surgical operation or the operation of Wicresoft transcatheter can both radical curing of disease, can will completely lose to opportunity of operation when there is the severe pulmonary hypertension stage by disease progression.Even if because now close atrial septal defect, pulmonary hypertension also can not reduce, and rising even further occurs cardiovascular malignant event.Pulmonary hypertension can not be cured, and is called " cancer in cardiovascular diseases ", one after diagnosing after median survival interval be only 2 ~ 3 years, and serious symptom person prognosis is poorer.Domestic and international multicenter study explores targeted drug treatment, to a certain degree can improve patients symptomatic, but the existence time limit is without change, targeted drug somewhat expensive in addition, (as Wan Tawei every month 50,000 yuan, bosentan every month 30,000 yuan) life-time service is also unrealistic.
The irreversible change of congenital heart disease a large amount of left to right shunt Pulmonary Vascular, closes defect by force and right ventricular pressure can be caused to discharge nowhere, occur right heart failure and sudden death, but the existence letting alone defect can make again the state of an illness worsen further.
Summary of the invention
For the deficiency existed in background technology, the object of the present invention is to provide a kind of atrial septal defect of Minimally Invasive Surgery to box out stopper, merging the death time of severe pulmonary hypertension patient for postponing ASD, reduction of patient clinical symptoms.
For achieving the above object, the atrial septal defect of the present invention's design is boxed out stopper, it is characterized in that: comprise the left dish of sealing gap and right dish, between left dish and right dish, block the column blocking part of atrial septal defect, and run through the through hole of above-mentioned left dish, right dish and column blocking part; The diameter of described left dish is greater than the diameter of described right dish, and the diameter of described right dish is greater than the diameter of described column blocking part; Described left dish, right dish, column blocking part and described through hole are all worked out by many memory alloy wires to be formed; Described memory alloy wire forms the hole wall of described through hole through described through hole, and coiling forms described left dish, right dish and described column blocking part, and the two ends of described memory alloy wire are all be fixed on the same stationary fixture of the described memory alloy wire of constraint; Many described memory alloy wires intermesh into elastic network(s), are provided with diaphragm seal in described elastic network(s).
Further, described stationary fixture comprises the joint coaxial and unsettled with described through hole, and the sidewall of described joint connects at least one alloy connection strap; The two ends of described memory alloy wire are fixed on described alloy connection strap.
Further, the external diameter of described joint is less than the diameter of described through hole.
Again further, the span of the external diameter of described joint is 1-3 millimeter.
Preferably, the sidewall of described joint connects three connection straps, and the angle between adjacent described connection strap is 120 °; The two ends of described memory alloy wire are fixed on described connection strap.
Further, the diameter of described through hole is 3-6 millimeter.
The invention has the beneficial effects as follows: relative to existing stopper, invention increases a through hole, not only limit most aorta-Pulmonic shunting like this, large defect is become less defect, both the aortic flow having limited high pressure chest flows to pulmonary artery, alleviates pulmonary vascular volume overload and pressure passes to; Pulmonary artery pressure can be prevented again to raise suddenly simultaneously and cause serious consequence.So, when Pulmonic pressure exceedes aortal pressure, blood flow can by reserved aperture shunting decompression, and the height making the right side feel concerned about system is pressed with the space of release, saves patients with pulmonary hypertension in late period.So, make the treatment of incorrigible whole ASD merging in latter stage severe pulmonary hypertension become possibility first; The unsettled joint of the right card of stopper can connect conveying wirerope easily, the release of the control stopper of safety; Stopper central authorities box out, and solve pulmonary hypertension continuation rising after in the past installing stopper and cause this complication of right heart failure; Limit most of aorta and flow to Pulmonic blood, cured disease from cause of disease aspect, make the state of an illness not in progress.
Accompanying drawing explanation
Structural representation when Fig. 1 is of the present invention opening,
Fig. 2 is that schematic diagram is looked on a left side of Fig. 1,
Fig. 3 is that schematic diagram is looked on the right side of Fig. 1;
Fig. 4 is the schematic diagram that the present invention discharges completely;
Fig. 5 is a kind of embodiment of stationary fixture of the present invention;
Fig. 6 is perspective view of the present invention, and wherein diaphragm seal is not shown,
Fig. 7 is the structural representation of the present invention's wherein two memory alloy wire coilings.
In figure: left dish 1, right dish 2, blocking part 3, through hole 4, memory alloy wire 5, stationary fixture 6, delivery sheath 7, conveying wirerope 8;
Wherein: joint 5.1, alloy connection strap 5.2.
In Fig. 1, in order to represent through hole disclosed by the invention, therefore specially the memory alloy wire that through hole goes out is concealed, to reach better understanding effect; And in Fig. 4, be then the structure in order to express after the present invention's release, so not shown through hole.
Detailed description of the invention
As shown in Figure 1 to Figure 3, the atrial septal defect of the present invention's design is boxed out stopper, comprise the left dish 1 of sealing gap and right dish 2, between left dish 1 and right dish 2, block the column blocking part 3 of atrial septal defect, and run through the through hole 4 of above-mentioned left dish 1, right dish 2 and column blocking part 3; The diameter of described left dish 1 is greater than the diameter of described right dish 2, and the diameter of described right left dish 2 is greater than the diameter of described blocking part 3; Described left dish 1, right dish 2 and column blocking part 3 are the elastic network(s)s be compiled into by many memory alloy wires 5, are provided with diaphragm seal in described elastic network(s); Described memory alloy wire 5 one end is passed described through hole 4 and is formed the hole wall of described through hole 4, other end coiling forms the outline of described left dish 1, right dish 2 and described column blocking part 2, and the two ends of described memory alloy wire 5 be all be fixed on retrain described memory alloy wire 5 same stationary fixture 6 on.Like this, described in every root, memory alloy wire 5 one end is fixed on stationary fixture 6, the other end passes from through hole 4 and wraparound is fixed on stationary fixture 6, and described memory alloy wire 5 intersection is compiled into elastic network(s), and the elastic network(s) of described establishment molding not only forms left dish 1, right dish 2 and column blocking part 3, and the space defined for placing diaphragm seal, forms the hole wall of described through hole 4 simultaneously.Utilize the through hole 4 arranged that large defect is become less defect, the aortic flow both having limited high pressure chest flows to pulmonary artery, alleviates pulmonary vascular volume overload and pressure passes to; Pulmonary artery pressure can be prevented again to raise suddenly simultaneously and cause serious consequence.So, when Pulmonic pressure exceedes aortal pressure, blood flow can by reserved through hole 4 shunting decompression, and the height making the right side feel concerned about system is pressed with the space of release, saves patients with pulmonary hypertension in late period.
Again as shown in Figure 3, a kind of embodiment how retraining memory alloy wire 5 end of the present invention is given: stationary fixture 6 comprises the joint 6.1 coaxial and unsettled with described through hole 4 in figure, the sidewall of described joint 6.1 connects three alloy connection straps 6.2, and the angle between adjacent described alloy connection strap 6.2 is 120 °; The two ends of described memory alloy wire 5 are fixed on described alloy connection strap 6.2.Like this, by the carrying of alloy connection strap 6.2, such that joint 6.1 is unsettled is arranged on through hole 4 place, and preferably, the external diameter of described joint 6.2 is less than the diameter of described through hole 4.Certainly, the quantity of alloy connection strap 6.2 and arrangement can have a variety of, but have such alloy connection strap 6.2 support bearing joint 6.1 at least, and the stopper that the present invention is designed can be admitted in human body.
Usually, the diameter of described through hole 6 is 3-6 millimeter.The span of the external diameter of joint 6.2 is 1-3 millimeter.
Use procedure of the present invention is summarized as follows: the joint 6.1 of the stopper of the present invention's design in delivery sheath 7 is connected with conveying wirerope 8, arrives heart, under X-ray, angiography etc. coordinate, directly send to and fall left atrium along the femoral vein established; Open left dish 1, pull back conveying wirerope 8 and delivery sheath 7, left dish 1 is tightly fitted with side, ASD left room; Then, slowly open column blocking part 3, Synchronous shutoff position all normal after slowly open right dish 2 again, left dish 1 and right dish 2 are clipped in the both sides of atrial septal defect by self super-elasticity and memory performance; Finally, check that plugging effect is good, break connector 6.2 and the connection of carrying wirerope 8, as shown in Figure 4.
The external diameter of joint 6.1 disclosed in the present invention is less than the diameter of through hole 4, and such benefit is, joint 6.1 can be in same plane with the joint face of alloy connection strap 6.2 with alloy connection strap 6.2, and does not affect blood flow and pass through from through hole 4.When the external diameter of joint 6.1 is greater than the diameter of through hole 4, so just need alloy connection strap 6.2 along outwardly one section 6.21, the axis of column blocking part 3, thus eliminate joint 6.1 to the impact of blood flow by through hole 4, as shown in Figure 5.
In Fig. 5, union joint 6.1 goes out to be threaded with the junction of delivery sheath 7, and the screwed hole of union joint 6.1 is blind hole, and this screwed hole also can be through hole certainly; No matter be that blind hole or through hole all do not form impact to core idea of the present invention.
As shown in Figure 6 and Figure 7, to memory alloy wire 5 of the present invention, how coiling forms described through hole 4 and described left dish 1, right dish 2 and described column blocking part 3 are described, for convenience of explanation a described memory alloy wire 5 is divided into: the Part I 5.1 forming described through hole 4 hole wall, described hole wall is also netted, form the Part II 5.2 of left dish 1 end profile, form the Part III 5.3 of left dish 1 waist profile, form the Part IV 5.4 of left dish 1 and column blocking part 3 joint face profile, form the Part V 5.5 of column blocking part 3 waist profile, form the Part VI 5.6 of column blocking part 3 and right dish 2 joint face profile, form the Part VII 5.7 of right dish 2 waist profile, and form the Part VIII 5.8 of round table-like blocking part 3 end profile.Wherein, Part VIII 5.8 is the places, junction by the two ends of described memory alloy wire 5 and described alloy connection strap 6.2.Diaphragm seal is provided with in the space of " Contraband " shape of described memory alloy wire 5 formation.

Claims (6)

1. atrial septal defect is boxed out stopper, it is characterized in that: comprise the left dish of sealing gap and right dish, between left dish and right dish, block the column blocking part of atrial septal defect, and run through the through hole of above-mentioned left dish, right dish and column blocking part; The diameter of described left dish is greater than the diameter of described right dish, and the diameter of described right dish is greater than the diameter of described column blocking part; Described left dish, right dish, described column blocking part and described through hole are all worked out by many memory alloy wires to be formed; Described memory alloy wire forms the hole wall of described through hole through described through hole, and coiling forms described left dish, right dish and described column blocking part, and the two ends of described memory alloy wire are all be fixed on the same stationary fixture of the described memory alloy wire of constraint; Many described memory alloy wires intermesh into elastic network(s), are provided with diaphragm seal in described elastic network(s).
2. atrial septal defect according to claim 1 is boxed out stopper, and it is characterized in that: described stationary fixture comprises the joint coaxial and unsettled with described through hole, the sidewall of described joint connects at least one alloy connection strap; The two ends of described memory alloy wire are fixed on described alloy connection strap.
3. atrial septal defect according to claim 2 is boxed out stopper, it is characterized in that: the external diameter of described joint is less than the diameter of described through hole.
4. the atrial septal defect according to Claims 2 or 3 is boxed out stopper, it is characterized in that: the span of the external diameter of described joint is 1-3 millimeter.
5. atrial septal defect according to claim 2 is boxed out stopper, it is characterized in that: the sidewall of described joint connects three connection straps, and the angle between adjacent described connection strap is 120 °; The two ends of described memory alloy wire are fixed on described connection strap.
6. atrial septal defect according to claim 1 is boxed out stopper, it is characterized in that: the diameter of described through hole is 3-6 millimeter.
CN201410187151.2A 2014-05-05 2014-05-05 ASD (atrial septal defect) reserved-hole occluder Active CN104224246B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107174386A (en) * 2017-04-27 2017-09-19 广州启骏生物科技有限公司 A kind of device for treating pulmonary hypertension
CN109077759A (en) * 2018-10-23 2018-12-25 昆明市延安医院 A kind of porous atrial septal defect plugging device
CN109925096A (en) * 2019-04-29 2019-06-25 上海方维医疗科技有限公司 For reducing the device of annulus of mitral valve opening area

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2613248Y (en) * 2003-03-21 2004-04-28 龚善石 Ventricular septel defect block device
CN1742689A (en) * 2004-08-31 2006-03-08 解启莲 Unidirectional valve heart septal defect plugger
WO2008040555A2 (en) * 2006-10-05 2008-04-10 PFM PRODUKTE FüR DIE MEDIZIN AKTIENGESELLSCHAFT Implantable device
US20090187214A1 (en) * 2008-01-18 2009-07-23 Aga Medical Corporation Percutaneous catheter directed intravascular occlusion device
CN201905941U (en) * 2010-12-24 2011-07-27 王广义 Atrial septal defect occluder
CN202776633U (en) * 2012-07-30 2013-03-13 上海形状记忆合金材料有限公司 Heart occluder

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2613248Y (en) * 2003-03-21 2004-04-28 龚善石 Ventricular septel defect block device
CN1742689A (en) * 2004-08-31 2006-03-08 解启莲 Unidirectional valve heart septal defect plugger
WO2008040555A2 (en) * 2006-10-05 2008-04-10 PFM PRODUKTE FüR DIE MEDIZIN AKTIENGESELLSCHAFT Implantable device
US20090187214A1 (en) * 2008-01-18 2009-07-23 Aga Medical Corporation Percutaneous catheter directed intravascular occlusion device
CN201905941U (en) * 2010-12-24 2011-07-27 王广义 Atrial septal defect occluder
CN202776633U (en) * 2012-07-30 2013-03-13 上海形状记忆合金材料有限公司 Heart occluder

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107174386A (en) * 2017-04-27 2017-09-19 广州启骏生物科技有限公司 A kind of device for treating pulmonary hypertension
CN109077759A (en) * 2018-10-23 2018-12-25 昆明市延安医院 A kind of porous atrial septal defect plugging device
CN109077759B (en) * 2018-10-23 2024-03-26 昆明市延安医院 Porous atrial septal defect plugging device
CN109925096A (en) * 2019-04-29 2019-06-25 上海方维医疗科技有限公司 For reducing the device of annulus of mitral valve opening area

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Address after: 430070 202 building, No. 2, No. 2, B9 building, 818 hi-tech Avenue, East Lake New Technology Development Zone, Wuhan, Hubei.

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Patentee before: Shang Xiaoke