CN105997158A - A heart defect occluder - Google Patents

A heart defect occluder Download PDF

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Publication number
CN105997158A
CN105997158A CN201610302081.XA CN201610302081A CN105997158A CN 105997158 A CN105997158 A CN 105997158A CN 201610302081 A CN201610302081 A CN 201610302081A CN 105997158 A CN105997158 A CN 105997158A
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CN
China
Prior art keywords
positioning body
sidepiece
support frame
heart defect
conduit
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.)
Granted
Application number
CN201610302081.XA
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Chinese (zh)
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CN105997158B (en
Inventor
刘云奇
殷胜利
郭少成
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
GUANGZHOU XINCHENG BIOTECHNOLOGY Co Ltd
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GUANGZHOU XINCHENG BIOTECHNOLOGY Co Ltd
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Priority to CN201610302081.XA priority Critical patent/CN105997158B/en
Publication of CN105997158A publication Critical patent/CN105997158A/en
Application granted granted Critical
Publication of CN105997158B publication Critical patent/CN105997158B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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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

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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)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a heart defect occluder comprising a supporting frame and a side locating body arranged on the side of the supporting frame. The supporting frame is provided with an accommodating groove in the middle; the bottom end of the accommodating groove is open; the accommodating groove of the supporting frame is provided with a side catheter communicating with the side locating body; the side catheter is used for injecting fluid into the side locating body to force the side locating body to expand outward or stretch outward. The side of the supporting body is provided with the side locating body; during use, after scanning a heart defect part of a patient with an instrument, a support can be formed through a 3D printing die making and the side locating body can be mounted on the support; through inflation or fluid injection, the radial size of the heart defect occlude can be changed, so that the heart defect occlude can best fit the defect part of the patient.

Description

A kind of heart defect amplatzer
Technical field
The present invention relates to a kind of medical heart defect stopper, it particularly relates to one is applicable to Wicresoft's closure operation, and Operation technique is convenient and swift, uses safer novel heart septal defect blocking device, can be used for repairing patent foramen ovale (PFO), atrial septal defect (ASD), ventricular septal defect (VSD) and patent ductus arteriosus (PDA) etc..
Background technology
Congenital heart disease includes patent ductus arteriosus (PDA), patent foramen ovale (PFO), atrial septal defect (ASD) With indoor every defect (VSD) etc..PDA may result in blood and flows between aorta and pulmonary artery.PFO and ASD can Blood is caused to flow between left atrium and right atrium.VSD may result in blood and flows between left ventricle and right ventricle.Stream When measuring more, it is generally required to repair.Since 20 century 70s, by heart defect amplatzer, the defect to heart The interventional therapy that position carries out blocking has obtained promoting widely.
In prior art, heart defect is shaped as non-standard shapes, and traditional method is mainly by the way of preformed or 3D printing Produce the heart defect amplatzer matched with heart defect position, by instrument, heart defect position is being sent in this closure After, by the plugging film at heart defect amplatzer two ends, this heart defect amplatzer is front and back positioned, to reach to use effect Really;But, owing to heart defect amplatzer needs to be set in heart defect position, therefore the radial dimension of defect thing is excessive Time, heart defect amplatzer is difficult to be set in heart defect position, time too small, does not reaches optimal match result;To this end, To reach optimal match result, the mode improving closure precision can only be used to realize, cause high cost;Particularly exist When heart defect position is abnormity, it is extremely difficult between heart defect amplatzer and heart defect position preferably and match result.
It is accordingly required in particular to a kind of heart defect amplatzer, to solve problems of the prior art.
Summary of the invention
The invention aims to solve, in prior art, owing to the structure of heart defect amplatzer arranges unreasonable, to reach not Defect to match result optimal with heart defect position, it is provided that a kind of heart defect amplatzer, solves to deposit in prior art Problem.
For achieving the above object, technical scheme is as follows:
A kind of heart defect amplatzer, including bracing frame, also includes the sidepiece positioning body of predeterminable shape, support frame as described above Sidepiece arranges sidepiece positioning body, and the centre of support frame as described above is provided with tank, and the bottom of described tank is that opening is arranged, described Arranging the sidepiece conduit being connected with sidepiece positioning body in the tank of bracing frame, described sidepiece conduit is in sidepiece positioning body Inject fluid and force its outward expansion or be flared out.
In the present invention, one end of described sidepiece conduit connects sidepiece positioning body, filled rubber plug in the other end.
In the present invention, also including upper positioning body and lower positioning body, the upper end of support frame as described above arranges the upper fixed of predeterminable shape Position body, the lower end of support frame as described above arranges the lower positioning body of predeterminable shape, described sidepiece positioning body, upper positioning body and lower fixed The combination of position body forms the sacculus of integral structure, and described sacculus comprises an opening, and support frame as described above is arranged on opening of sacculus At Kou, inside support frame as described above and sacculus between formed one seal cavity, support frame as described above is provided for cavity enter Or flow out the pipeline of fluid.
In the present invention, described sidepiece positioning body, upper positioning body and lower positioning body are interconnected, by a conduit transportation flow Body makes sidepiece positioning body, upper positioning body and lower positioning body outward expansion and contraction simultaneously, or sidepiece positioning body, upper positioning body and Lower positioning body is interconnected and does not connects or only two of which connection, by plural Pipeline transport fluid.
In the present invention, also including upper conduit, downcomer, upper positioning body and lower positioning body, the upper end of support frame as described above is arranged The upper positioning body of predeterminable shape, the lower end of support frame as described above arranges the lower positioning body of predeterminable shape, the appearance of support frame as described above The upper conduit being connected with upper positioning body, and the downcomer being connected with lower positioning body it is provided with, with the most fixed in groove Position body is interior with lower positioning body to be injected fluid and forces its outward expansion or be flared out.
In the present invention, one end of described upper conduit connects upper positioning body, filled rubber plug in the other end;Described downcomer One end connects lower positioning body, filled rubber plug in the other end.
In the present invention, also including upper positioning body, downcomer and lower positioning body, the upper end of support frame as described above arranges predeterminable shape The upper positioning body of shape, described upper positioning body connection sidepiece positioning body, the lower end of support frame as described above arranges the lower fixed of predeterminable shape Position body, is provided with the downcomer being connected with lower positioning body, by the downward positioning body of downcomer in the tank of support frame as described above Interior injection fluid and force its outward expansion or be flared out.
In the present invention, one end of described downcomer connects lower positioning body, filled rubber plug in the other end.
In the present invention, also including upper positioning body and lower positioning body, the upper end of support frame as described above arranges upper positioning body, described The lower end of support arranges lower positioning body, described upper positioning body and lower positioning body and is respectively communicated with sidepiece positioning body.
In the present invention, it is plural for receiving sidepiece positioning body, upper fixed for the outer wall of support frame as described above being arranged quantity Position body and/or lower positioning body, reduce the groove of heart defect amplatzer volume.
Beneficial effect
1, the present invention arranges sidepiece positioning body at the sidepiece of bracing frame, in use, by instrument to patient's heart defect After position is scanned, support can be formed by the way of 3D prints die sinking, now owing to arranging sidepiece location on support Body, can be by the way of inflation or rushing liquid, it is possible to the size of change heart defect amplatzer radial direction, makes 3D beat The bracing frame printed off need not degree of precision and i.e. can reach the effect most preferably coincideing with patient's defect;
2, arranging quantity on the outer wall of bracing frame is plural groove, it is possible to realize upper positioning body, lower positioning body and side Portion's positioning body is accommodated in groove under negative pressure state, can reduce the volume of heart defect amplatzer, reaches to be easy to lack heart Damage stopper and put into the effect of patient's heart defect.
Accompanying drawing explanation
The structural representation of Fig. 1 present invention;
The structural representation of Fig. 2 sacculus of the present invention;
Structural representation Fig. 1 during groove is set on Fig. 3 bracing frame of the present invention;
Structural representation Fig. 2 of Fig. 4 present invention;
The structural representation of Fig. 5 embodiment of the present invention 2;
The structural representation of Fig. 6 embodiment of the present invention 3;
The structural representation of Fig. 7 embodiment of the present invention 4;
Structural representation Fig. 2 during groove is set on Fig. 8 bracing frame of the present invention;
Fig. 9 is Fig. 5 sidepiece positioning body, upper positioning body and lower positioning body structural representation when being arranged in groove.
In figure: 1, bracing frame;2, sidepiece positioning body;3, upper conduit;4, downcomer;5, upper positioning body; 6, lower positioning body;7, tank;8, sidepiece conduit;9, rubber stopper;10, groove;11, sacculus;12、 Cavity;13, pipeline;14, diaphragm;15, sidepiece positioning body chamber;16, upper positioning body chamber;17、 Lower positioning body chamber.
Detailed description of the invention
In the view of whole accompanying drawings, corresponding reference marks represents corresponding parts.
A kind of heart defect amplatzer, including bracing frame 1, sidepiece positioning body 2, upper conduit 3, downcomer 4, upper positioning body 5 and lower positioning body 6.
Sidepiece outside bracing frame 1 arranges sidepiece positioning body 2, and sidepiece positioning body 2 can outward expansion expansion swollen for filling fluid Swollen body (is similar to balloon), and expander is circular being distributed in bracing frame circumferential wall, when being full of fluid in expander, swollen Swollen body starts to expand outwardly and swell.
The centre of bracing frame 1 is provided with tank 7, and the bottom of tank 7 is that opening is arranged, and arranges in the tank 7 of bracing frame 1 The sidepiece conduit 8 being connected with sidepiece positioning body 2, sidepiece conduit 8 forces for injection fluid in sidepiece positioning body 2 Its outward expansion or be flared out.
In preferred embodiment, one end of sidepiece conduit 8 connects sidepiece positioning body 2, filled rubber plug 9 in the other end; Use rubber stopper 9 structure, after the swash of wave (swash of wave refers to swash of wave body or gas), reach the effect of automatic flow-stop.
Embodiment 1
The upper end of bracing frame 1 arranges the upper positioning body 5 of predeterminable shape, and the lower end of bracing frame 1 is arranged under predeterminable shape Positioning body 6.
The combination of sidepiece positioning body 2, upper positioning body 5 and lower positioning body 6 forms the sacculus 11 of integral structure, sacculus 11 Comprising an opening, bracing frame 1 forms one between being arranged on inside the opening part of sacculus 11, bracing frame 1 and sacculus 11 The cavity 12 sealed, bracing frame 1 is provided for the pipeline 13 of the into and out fluid of cavity 12;Use this kind of sacculus 11 The clad type structure of covered stent frame 1, reaches to be easy to the effect that heart defect amplatzer location uses.
When in use: 1, sidepiece positioning body 2, upper positioning body 5 and lower positioning body 6 can be interconnected, by one Conduit delivers fluid in air bag 11, now, and sidepiece positioning body 2, upper positioning body 5 and the lower positioning body 6 being interconnected Outward expansion or to contract simultaneously;Further, groove 10 can be set on bracing frame 1, air bag 11 can be made unexpanded Time, it is contracted in groove 10, reaches to reduce heart defect amplatzer volume, it is simple to insert the effect of patient's heart defect Really.
2, sidepiece positioning body 2, upper positioning body 5 and lower positioning body 6 are interconnected and do not connect or only two of which connection is (logical Cross diaphragm 14 to realize not connecting, such as: the air bag that sidepiece positioning body 2, upper positioning body 5 and the combination of lower positioning body 6 are formed 11, its air bag 11 is internal is isolated into sidepiece positioning body chamber 15, upper positioning body chamber 16 and lower positioning body by diaphragm 14 Chamber 17), by plural pipeline 13 fluid delivery fluid;Use this kind of mode, two or more pipeline 13 Can successively order delivery fluid, such as, first to upper positioning body 5 conveyance fluid, make upper positioning body 5 first expand location, then To lower positioning body 6 conveyance fluid, after making lower positioning body 6, expand location, reach the effect of optional location precedence;Enter One step, can arrange groove 10 on bracing frame 1, can make air bag 11 when unexpanded, be contracted in groove 10, reach to subtract Microcardia defect stopper volume, it is simple to insert the effect of patient's heart defect.
Embodiment 2
The upper end of bracing frame 1 arranges upper positioning body 5, and the lower end of bracing frame 1 arranges lower positioning body 6, upper positioning body 5 and under Positioning body 6 be fill fluid can the expander (being similar to balloon) of outward expansion expansion, expander is circular to be distributed in support In frame circumferential wall, when being full of fluid in expander, expander starts to expand outwardly and swell.
It is provided with the upper conduit 3 being connected with upper positioning body 5 in the tank 7 of bracing frame 1, and is connected with lower positioning body 6 Logical downcomer 4, forces its outward expansion or outwards to inject fluid in upper positioning body 5 with lower positioning body 6 respectively Open.
One end of upper conduit 3 connects upper positioning body 5, filled rubber plug 9 in the other end;One end of downcomer 4 connects lower fixed Position body 6, filled rubber plug 9 in the other end;Use rubber stopper 9 structure, after the swash of wave, reach the effect of automatic flow-stop.
Use this kind of scheme, when heart defect amplatzer inserts patient's heart defect, optionally by lead After upper positioning body 5 is filled stream location by pipe 3, to lower positioning body 6 or passing through sidepiece conduit 8 counter-lateral quadrents by downcomer Positioning body 2 carries out filling stream location, enables heart to lack stopper and controls and rotate the precedence of location (such as: reach The effect of location outside rear flank in first).
Embodiment 3
A kind of heart defect amplatzer, including bracing frame 1, sidepiece positioning body 2, upper positioning body 5, downcomer 4 and lower fixed Position body 6.
The sidepiece of bracing frame 1 arranges sidepiece positioning body 2, and the centre of bracing frame 1 is provided with tank 7, the bottom of tank 7 in Opening is arranged, and arranges, in the tank 7 of bracing frame 1, the sidepiece conduit 8 being connected with sidepiece positioning body 2, and sidepiece conduit 8 is used It is forced to expand to me or be flared out in injection fluid in sidepiece positioning body 2.
In preferred embodiment, one end of sidepiece conduit 8 connects sidepiece positioning body 2, filled rubber plug 9 in the other end.
The upper end of bracing frame 1 arranges upper positioning body 5, and upper positioning body 5 connects sidepiece positioning body 2, and upper positioning body 5 is for filling stream Body can outward expansion expansion expander (being similar to balloon), expander is circular being distributed in bracing frame circumferential wall, when swollen During swollen internal full fluid, expander starts to expand outwardly and swell.
The lower end of bracing frame 1 arranges lower positioning body 6, is provided with and is connected with lower positioning body 6 in the tank 7 of bracing frame 1 Downcomer 4, injects fluid in by the downward positioning body 6 of downcomer 4 and forces its outward expansion or be flared out.
One end of downcomer 4 connects lower positioning body 6, filled rubber plug 9 in the other end;Use rubber stopper 9 structure, in punching After stream, reach the effect of automatic flow-stop.
Use this kind of scheme, when heart defect amplatzer inserts patient's heart defect, optionally by lead After upper positioning body 5 and sidepiece positioning body 2 are filled stream (swash of wave refers to swash of wave body or gas) location by pipe 3, under passing through Lower positioning body 6 is filled stream location by conduit, enables heart to lack the precedence (example that stopper controls and rotates location As: reach inside first and radial direction, the effect of location, rear outside).
Embodiment 4
A kind of heart defect amplatzer, including bracing frame 1, sidepiece positioning body 2, upper positioning body 5 and lower positioning body 6.
The sidepiece of bracing frame 1 arranges sidepiece positioning body 2, and the centre of bracing frame 1 is provided with tank 7, the bottom of tank 7 in Opening is arranged, and arranges, in the tank 7 of bracing frame 1, the sidepiece conduit 8 being connected with sidepiece positioning body 2, and sidepiece conduit 8 is used It is forced to expand to me or be flared out in injection fluid in sidepiece positioning body 2.
The upper end of bracing frame 1 arranges upper positioning body 5, and the lower end of bracing frame 1 arranges lower positioning body 6, upper positioning body 5 and under Positioning body 6 be fill fluid can the expander (being similar to balloon) of outward expansion expansion, expander is circular to be distributed in support In frame circumferential wall, when being full of fluid in expander, expander starts to expand outwardly and swell;Upper positioning body 5 and lower location Body 6 is respectively communicated with sidepiece positioning body 2.
Use this kind of scheme, sidepiece conduit 8 can realize sidepiece positioning body 2, upper positioning body 5 and the location of lower positioning body 6 The swash of wave, reduce production cost, reach the effect conveniently used.
In the present invention:
Arranging quantity on the outer wall of bracing frame 1 is plural groove 10, and heart defect amplatzer is being inserted patient's heart Before dirty defect, sidepiece positioning body 2, upper positioning body 5 and/or lower positioning body 6 can be inserted in groove 10, reach to reduce Heart defect amplatzer volume, it is simple to heart defect amplatzer inserts the effect of patient's heart defect.
Sidepiece positioning body 2, for being set on bracing frame 1, has certain flexible support flexible pipe;In preferred embodiment, Sidepiece positioning body 2 includes several certain flexible support flexible pipe.
The above-mentioned description to embodiment is to be understood that for ease of those skilled in the art and use the present invention.Ripe These embodiments obviously easily can be made various amendment by the personnel knowing art technology, and described herein the most former Ought to use in other embodiments without through performing creative labour.Therefore, the invention is not restricted to above-described embodiment, ability Field technique personnel should be the present invention's according to the announcement of the present invention, the improvement made without departing from scope and amendment Within protection domain.

Claims (10)

1. a heart defect amplatzer, including bracing frame, it is characterised in that: also include the sidepiece location of predeterminable shape Body, the sidepiece of support frame as described above arranges sidepiece positioning body, and the centre of support frame as described above is provided with tank, the bottom of described tank Arranging in opening, arrange the sidepiece conduit being connected with sidepiece positioning body in the tank of support frame as described above, described sidepiece conduit is used Force its outward expansion in injection fluid in sidepiece positioning body or be flared out.
Heart defect amplatzer the most according to claim 1, it is characterised in that: one end of described sidepiece conduit connects Sidepiece positioning body, filled rubber plug in the other end.
Heart defect amplatzer the most according to claim 1, it is characterised in that: also include upper positioning body and lower location Body, the upper end of support frame as described above arranges the upper positioning body of predeterminable shape, and the lower end of support frame as described above arranges predeterminable shape Lower positioning body, the combination of described sidepiece positioning body, upper positioning body and lower positioning body forms the sacculus of integral structure, described ball Capsule comprises an opening, and support frame as described above forms one between being arranged on inside the opening part of sacculus, support frame as described above and sacculus The cavity sealed, support frame as described above is provided for the pipeline of the into and out fluid of cavity.
Heart defect amplatzer the most according to claim 3, it is characterised in that: described sidepiece positioning body, upper location Body and lower positioning body are interconnected, and make sidepiece positioning body, upper positioning body and lower positioning body simultaneously by a conduit conveyance fluid Outward expansion and contraction, or sidepiece positioning body, upper positioning body be interconnected with lower positioning body and do not connect or only two of which is even Logical, by plural Pipeline transport fluid.
Heart defect amplatzer the most according to claim 1, it is characterised in that: also include upper conduit, downcomer, Upper positioning body and lower positioning body, the upper end of support frame as described above arranges the upper positioning body of predeterminable shape, the lower end of support frame as described above The lower positioning body of predeterminable shape is set, in the tank of support frame as described above, is provided with the upper conduit being connected with upper positioning body, with And the downcomer being connected with lower positioning body, force it the most swollen to inject fluid in upper positioning body with lower positioning body respectively Swollen or be flared out.
Heart defect amplatzer the most according to claim 5, it is characterised in that: on one end of described upper conduit connects Positioning body, filled rubber plug in the other end;One end of described downcomer connects lower positioning body, filled rubber plug in the other end.
Heart defect amplatzer the most according to claim 1, it is characterised in that: also include upper positioning body, downcomer With lower positioning body, the upper end of support frame as described above arranges the upper positioning body of predeterminable shape, described upper positioning body connection sidepiece location Body, the lower end of support frame as described above arranges the lower positioning body of predeterminable shape, is provided with and lower location in the tank of support frame as described above The downcomer that body is connected, injects fluid in by the downward positioning body of downcomer and forces its outward expansion or outwards open Open.
Heart defect amplatzer the most according to claim 7, it is characterised in that: under one end of described downcomer connects Positioning body, filled rubber plug in the other end.
Heart defect amplatzer the most according to claim 1, it is characterised in that: also include upper positioning body and lower location Body, the upper end of support frame as described above arranges upper positioning body, and the lower end of support frame as described above arranges lower positioning body, described upper positioning body and Lower positioning body is respectively communicated with sidepiece positioning body.
10. according to the arbitrary described heart defect amplatzer of claim 1 to 9, it is characterised in that: outside support frame as described above It is plural for receiving sidepiece positioning body, upper positioning body and/or lower positioning body for arranging quantity on wall, reduces heart and lacks Damage the groove of stopper volume.
CN201610302081.XA 2016-05-06 2016-05-06 A kind of heart defect amplatzer Expired - Fee Related CN105997158B (en)

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CN105997158B CN105997158B (en) 2018-10-12

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CN109223071A (en) * 2018-10-30 2019-01-18 重庆医科大学附属第三医院(捷尔医院) Minimally Invasive Surgery ventricular septal defect exposing device and method
CN112690837A (en) * 2020-11-24 2021-04-23 李建朝 Angle adjustment structure plugging device for cardiac surgery

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CN205964088U (en) * 2016-05-06 2017-02-22 广州新诚生物科技有限公司 Novel damaged plugging device of heart

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US20110218479A1 (en) * 2001-04-20 2011-09-08 V-Wave Ltd. Device and method for controlling in-vivo pressure
WO2004067538A2 (en) * 2003-01-22 2004-08-12 Cardia, Inc. Laminated sheets for use in a fully retrievable occlusion device
WO2004101019A2 (en) * 2003-05-08 2004-11-25 Cardia, Inc. Delivery system with safety tether
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109223071A (en) * 2018-10-30 2019-01-18 重庆医科大学附属第三医院(捷尔医院) Minimally Invasive Surgery ventricular septal defect exposing device and method
CN112690837A (en) * 2020-11-24 2021-04-23 李建朝 Angle adjustment structure plugging device for cardiac surgery
CN112690837B (en) * 2020-11-24 2023-07-11 李建朝 Angle adjustment structure plugging device for cardiac surgery

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