CN109662805A - A kind of Tricusp Valvuloplasty ring and its manufacturing method - Google Patents

A kind of Tricusp Valvuloplasty ring and its manufacturing method Download PDF

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Publication number
CN109662805A
CN109662805A CN201910049085.5A CN201910049085A CN109662805A CN 109662805 A CN109662805 A CN 109662805A CN 201910049085 A CN201910049085 A CN 201910049085A CN 109662805 A CN109662805 A CN 109662805A
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China
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ring
ring segment
segment
section
last
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CN201910049085.5A
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CN109662805B (en
Inventor
王传彬
王晶
易蔚
卢秉恒
于颖
冯攀
谭彦振
徐学增
俞世强
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National Institute Corp of Additive Manufacturing Xian
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National Institute Corp of Additive Manufacturing Xian
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2240/00Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001Designing or manufacturing processes
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02PCLIMATE CHANGE MITIGATION TECHNOLOGIES IN THE PRODUCTION OR PROCESSING OF GOODS
    • Y02P10/00Technologies related to metal processing
    • Y02P10/25Process efficiency

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a kind of Tricusp Valvuloplasty ring and its manufacturing methods, the technical issues of existing elasticity modulus is excessive when in use and local incompetence in order to overcome Tricusp Valvuloplasty ring, the main ring of Tricusp Valvuloplasty ring of the present invention from one end successively include first ring segment, intermediate ring segment and last ring segment to the other end, the 23%-33% of ring length based on the length of first ring segment, the 34%-54% of ring length based on intermediate ring segment, the 23%-33% of ring length based on last ring segment;Intermediate ring segment is n-layer structure, n >=2.The present invention can individuation customize Tricusp Valvuloplasty ring, the camber line of Tricusp Valvuloplasty main body loop section is generated according to this part product institute patient's human body cusp margin to be applied, the phenomenon that patient's cusp margin curve can be precisely bonded, overcome the incompetence of tricuspid annulus part;And the cross sectional shape of existing Tricusp Valvuloplasty ring is improved, make its elasticity convenient for adjusting.

Description

A kind of Tricusp Valvuloplasty ring and its manufacturing method
Technical field
The present invention relates to cardiac implants, and in particular to a kind of Tricusp Valvuloplasty ring and its manufacturing method.
Background technique
Tricusp Valvuloplasty ring increases valve bonded area, reinforces formed tricuspid for correcting the expansion of pathologic annulus Valve annulus suture prevents annulus overdistension again.
Existing Tricusp Valvuloplasty ring is mostly single layer solid construction, and Fig. 1-2 show Edward company tricuspid produced The structure chart of valve forming ring, the problems of Tricusp Valvuloplasty ring of the structure is:
1, Tricusp Valvuloplasty ring is mostly single layer solid construction, and elasticity modulus is larger, for the patient weak for myocardium dynamics It is bright, it is not appropriate for.
2, Tricusp Valvuloplasty ring has several standard models, and production is that the techniques such as die sinking casting is used to carry out batch life Produce, but patient has the difference of individuation, there are many more special patient of valve shape using standard model tricuspid valve at After shape ring, phenomena such as still remaining local incompetence.
Summary of the invention
In order to overcome Tricusp Valvuloplasty ring, existing elasticity modulus is excessive when in use and the technology of local incompetence Problem, the present invention provide a kind of Tricusp Valvuloplasty ring and its manufacturing method.
The technical solution of the invention is as follows:
A kind of Tricusp Valvuloplasty ring, including main ring, the main ring are non-closed ring, are characterized in that
The main ring successively includes first ring segment 1, intermediate ring segment 2 and last ring segment 3, the intermediate ring from one end to the other end Section 2 is n-layer structure, n >=2.
Further, based on the length of the first ring segment 1 ring length 23%-33%, based on the intermediate ring segment 2 The 34%-54% of ring length, it is described end ring segment 3 based on ring length 23%-33%.
Further, the n=2.
Further, the first ring segment 1 includes First ring segment 11 and the second first ring segment 12, and the end ring segment 3 includes the The sectional dimension of one last ring segment 31 and the second last ring segment 32, the last ring segment 31 of the First ring segment 11, first and intermediate ring segment 2 is It is fixed, the section of the second first ring segment 12 from the 11 section gradual change of First ring segment to intermediate 2 section of ring segment, the second last ring segment 32 Section is from intermediate 2 section gradual change of ring segment to the first 31 section of last ring segment.
Further, the material of the main ring uses Ti6Al4V.
Meanwhile the present invention also provides the manufacturing method of above-mentioned Tricusp Valvuloplasty ring, it is characterized in that, including with Lower step:
1) three-dimensional reconstruction is carried out according to the CT/MRI scan data of patient, obtains the mathematical model of patient's tricuspid valve;
2) peripheral curve when extracting tricuspid valve normally closed state from mathematical model;
3) main ring mathematical model determines
3.1) the main body loop forming bus using peripheral curve as Tricusp Valvuloplasty ring;
3.2) peripheral curve is divided into first ring segment curve corresponding with each ring segment of main ring, intermediate ring segment curve and last ring segment Curve;
According to the myocardium dynamics that patient's tricuspid opens and closes, determine that head ring segment section, intermediate ring segment section and last ring segment are cut Face;
3.3) the main ring mathematical model of Tricusp Valvuloplasty ring is generated according to the section of peripheral curve and each ring segment of main ring;
4) will main ring mathematical model import 3D printing pre-processing software in, carry out slicing treatment after using 3D printer into Row printing.
Compared with prior art, the present invention beneficial effect is:
1, Tricusp Valvuloplasty ring of the invention uses double-deck or more since the intermediate ring segment of main ring is hollow design Layer structure, compared with the forming ring of existing single layer solid construction, elasticity modulus can be done smaller the elasticity modulus of main ring, be fitted In myocardium dynamics, weak patient is used.
2, the intermediate ring segment of Tricusp Valvuloplasty ring of the invention, main ring uses bilayer or multilayer structure, is more convenient for carrying out Flexible adjustment improves the elasticity of vertical direction.
3, the production method of Tricusp Valvuloplasty ring of the present invention, can individuation customize Tricusp Valvuloplasty ring, Tricusp Valvuloplasty Peripheral curve when the camber line of ring main body loop section is according to applied patient's tricuspid valve normally closed state generates.It is using When, forming ring can precisely be bonded patient's cusp margin curve, the phenomenon that overcoming the incompetence of tricuspid annulus part.
4, the production method of Tricusp Valvuloplasty ring of the present invention, the section of each ring segment of main ring are the myocardium dynamics according to patient And determine, therefore there is suitable elasticity, the weaker patient of myocardium dynamics can be matched, prevents valve from opening incomplete.
Detailed description of the invention
Fig. 1 is Edward's Products shape attached drawing;
Fig. 2 is Edward's Products sectional view;
Fig. 3 is the structure chart of Tricusp Valvuloplasty of embodiment of the present invention ring (bilayer);
Fig. 4 is the sectional view of the intermediate ring segment of Tricusp Valvuloplasty ring in Fig. 3;
The main body loop forming bus and main ring of the ring of Tricusp Valvuloplasty of the embodiment of the present invention shown in Fig. 5 section everywhere;
Wherein appended drawing reference are as follows: ring segment, the end 3- ring among the first ring segment of 1- head ring segment, 11- First ring segment, 12- second, 2- The last ring segment of section, 31- first, the last ring segment of 32- second, A- First ring segment section, the centre B- ring segment section, the last ring segment of C- first are cut Face.
Specific embodiment
Below in conjunction with attached drawing, the present invention is described in detail.
As shown in Figure 3-4, Tricusp Valvuloplasty ring of the invention includes main ring, and main ring is non-closed ring, main ring from One end successively includes first ring segment, intermediate ring segment 2 and last ring segment to the other end, and first ring segment for cooperating with every leaflet, use by last ring segment Cooperate in posterior leaflet, the 23%-33% of ring length based on the length of first ring segment, ring length based on intermediate ring segment 2 34%-54%, the 23%-33% of ring length based on last ring segment;Intermediate ring segment 2 is double-layer structure.The material of main ring uses Ti6Al4V。
The production method of tricuspid annulus of the embodiment of the present invention, comprising the following steps:
1) three-dimensional reconstruction is carried out according to the CT/MRI scan data of patient, obtains the mathematical model of patient's tricuspid valve;
2) peripheral curve when extracting tricuspid valve normally closed state from mathematical model;
3) main ring mathematical model determines
3.1) the main body loop forming bus using peripheral curve as Tricusp Valvuloplasty ring;
3.2) peripheral curve is divided into first ring segment curve corresponding with each ring segment of main ring, intermediate ring segment curve and last ring segment Curve;
The myocardium dynamics for determining the folding of patient's tricuspid determines first ring according to the myocardium dynamics of patient's tricuspid folding Section section, intermediate ring segment section and last ring segment section.
As shown in figure 5, loop forming bus based on curve in Fig. 5, the shape homologous thread on curve is cut needed for everywhere Face, first ring segment and last ring segment are respectively divided into two sections, and first ring segment includes First ring segment 11 and the second first ring segment 12, and last ring segment includes the One last ring segment 31 and the second last ring segment 32, the section of First ring segment 11, intermediate ring segment 2 and the first last ring segment 31 be it is constant, For second first ring segment 12 as the changeover portion between First ring segment 11 and intermediate ring segment 2, section is gradual change;Second last ring segment 32 As the changeover portion between the first last ring segment 31 and intermediate ring segment 2, section is also gradual change.
Entire main ring need to only determine the last ring segment section C of First ring segment section A, centre ring segment section B and first, than Such as, the section of First ring segment 11 is A-A, and by A gradual change to B, intermediate ring segment section is B-B, the second end in the second first ring segment section By B gradual change to C, the section of the first last ring segment 31 is C-C in the section of ring segment 32.
3.3) the main ring mathematical model of Tricusp Valvuloplasty ring is generated according to the section of peripheral curve and each ring segment of main ring;
4) will main ring mathematical model import 3D printing pre-processing software in, carry out slicing treatment after using 3D printer into Row printing.

Claims (6)

1. a kind of Tricusp Valvuloplasty ring, including main ring, the main ring is non-closed ring, it is characterised in that:
The main ring successively includes first ring segment (1), intermediate ring segment (2) and last ring segment (3), the centre from one end to the other end Ring segment (2) is n-layer structure, n >=2.
2. Tricusp Valvuloplasty ring according to claim 1, it is characterised in that:
The 23%-33% of ring length based on the length of the head ring segment (1), ring length based on the intermediate ring segment (2) 34%-54%, the 23%-33% of ring length based on end ring segment (3).
3. Tricusp Valvuloplasty ring according to claim 1 or 2, it is characterised in that:
The n=2.
4. Tricusp Valvuloplasty ring according to claim 3, it is characterised in that:
The head ring segment (1) includes First ring segment (11) and the second first ring segment (12), and the end ring segment (3) includes the first last ring Section (31) and the second last ring segment (32), the First ring segment (11), the first last ring segment (31) and centre ring segment (2) section ruler It is very little be it is fixed, the section of the second first ring segment (12) be from First ring segment (11) section gradual change to intermediate ring segment (2) section, The section of second last ring segment (32) is from intermediate ring segment (2) section gradual change to first last ring segment (31) section.
5. Tricusp Valvuloplasty ring according to claim 4, it is characterised in that:
The material of the main ring uses Ti6Al4V.
6. the manufacturing method of any Tricusp Valvuloplasty ring of claim 1 to 5, which comprises the following steps:
1) three-dimensional reconstruction is carried out according to the CT/MRI scan data of patient, obtains the mathematical model of patient's tricuspid valve;
2) peripheral curve when extracting tricuspid valve normally closed state from mathematical model;
3) main ring mathematical model determines
3.1) the main body loop forming bus using peripheral curve as Tricusp Valvuloplasty ring;
3.2) peripheral curve is divided into first ring segment curve corresponding with each ring segment of main ring, intermediate ring segment curve and last ring segment song Line;
According to the myocardium dynamics that patient's tricuspid opens and closes, head ring segment section, intermediate ring segment section and last ring segment section are determined;
3.3) the main ring mathematical model of Tricusp Valvuloplasty ring is generated according to the section of peripheral curve and each ring segment of main ring;
4) main ring mathematical model is imported in 3D printing pre-processing software, is beaten after carrying out slicing treatment using 3D printer Print.
CN201910049085.5A 2019-01-18 2019-01-18 Tricuspid annuloplasty ring and method of making same Active CN109662805B (en)

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CN109662805B CN109662805B (en) 2024-02-13

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030208264A1 (en) * 2001-08-28 2003-11-06 Mccarthy Patrick M. Three-dimensional annuloplasty ring and template
EP1719476A1 (en) * 2005-05-06 2006-11-08 Sorin Biomedica Cardio S.R.L. Annuloplasty prosthesis
US20100152844A1 (en) * 2008-12-15 2010-06-17 Couetil Jean-Paul A Annuloplasty ring with directional flexibilities and rigidities to assist the mitral annulus dynamics
CN102811680A (en) * 2010-01-22 2012-12-05 爱德华兹生命科学公司 Tricuspid ring
US20130030523A1 (en) * 2008-04-09 2013-01-31 Emory University Annuloplasty rings and methods for heart valve repair
CN102985031A (en) * 2010-02-03 2013-03-20 美敦力Gbi有限公司 Semi-flexible annuloplasty ring
CN103249376A (en) * 2010-11-30 2013-08-14 爱德华兹生命科学公司 Reduced dehiscence annuloplasty ring
CN103735337A (en) * 2013-12-31 2014-04-23 金仕生物科技(常熟)有限公司 Artificial heart valve annuloplastic ring
WO2018055629A1 (en) * 2016-09-26 2018-03-29 Innercore Medical Ltd. Mitral valve repair device and method
CN108478310A (en) * 2018-06-08 2018-09-04 倪鸣 A kind of tricuspid valve forming ring of adjustable length and angle
CN210077949U (en) * 2019-01-18 2020-02-18 西安增材制造国家研究院有限公司 Tricuspid valve forming ring

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030208264A1 (en) * 2001-08-28 2003-11-06 Mccarthy Patrick M. Three-dimensional annuloplasty ring and template
EP1719476A1 (en) * 2005-05-06 2006-11-08 Sorin Biomedica Cardio S.R.L. Annuloplasty prosthesis
US20130030523A1 (en) * 2008-04-09 2013-01-31 Emory University Annuloplasty rings and methods for heart valve repair
US20100152844A1 (en) * 2008-12-15 2010-06-17 Couetil Jean-Paul A Annuloplasty ring with directional flexibilities and rigidities to assist the mitral annulus dynamics
CN102811680A (en) * 2010-01-22 2012-12-05 爱德华兹生命科学公司 Tricuspid ring
CN102985031A (en) * 2010-02-03 2013-03-20 美敦力Gbi有限公司 Semi-flexible annuloplasty ring
CN103249376A (en) * 2010-11-30 2013-08-14 爱德华兹生命科学公司 Reduced dehiscence annuloplasty ring
CN103735337A (en) * 2013-12-31 2014-04-23 金仕生物科技(常熟)有限公司 Artificial heart valve annuloplastic ring
WO2018055629A1 (en) * 2016-09-26 2018-03-29 Innercore Medical Ltd. Mitral valve repair device and method
CN108478310A (en) * 2018-06-08 2018-09-04 倪鸣 A kind of tricuspid valve forming ring of adjustable length and angle
CN210077949U (en) * 2019-01-18 2020-02-18 西安增材制造国家研究院有限公司 Tricuspid valve forming ring

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