CN116687621A

CN116687621A - Tricuspid valve repairing device

Info

Publication number: CN116687621A
Application number: CN202310517944.5A
Authority: CN
Inventors: 丁娣; 孙旭森
Original assignee: Qingpu Branch Of Zhongshan Hospital Affiliated To Fudan University Shanghai Qingpu District Central Hospital
Current assignee: Qingpu Branch Of Zhongshan Hospital Affiliated To Fudan University Shanghai Qingpu District Central Hospital
Priority date: 2023-05-10
Filing date: 2023-05-10
Publication date: 2023-09-05

Abstract

The application provides a tricuspid valve repairing device, which comprises at least one anchoring clamp, an anchor nail, a traction rope and a tensioning piece, wherein the anchoring clamp is provided with an abutting surface, and the abutting surface can abut against the outer wall surface of a right ventricle outside an anterior valve or a posterior valve after entering the right atrium through jugular vein and superior vena cava and passing through the wall surface of the right atrium; the anchoring end can be anchored on the wall surface of the right atrium adjacent to the valve after the anchoring end enters the right atrium through the jugular vein and the superior vena cava; the first end of the traction rope is fixed on the anchoring clip, and the second end is connected with the anchoring nail in a coupling way; the tensioning piece is used for tensioning the traction rope between the anchoring clamp and the anchor nail so as to restrain the tricuspid valve between the anchoring clamp and the anchor nail in a limited way, thereby providing a restraining force for ensuring the tricuspid valve to be closed and effectively treating the tricuspid valve regurgitation; in addition, the internal chest opening is not needed because the internal chest opening can be carried out through the jugular vein and the superior vena cava, so that the operation is simple, the operation time is short, the recovery of a patient is quick, the operation is limited little, and the internal chest opening is worth popularizing greatly.

Description

Tricuspid valve repairing device

Technical Field

The application relates to the technical field of medical appliances, in particular to a tricuspid valve repairing device.

Background

The heart functions mainly to direct blood flow into or out of the various chambers of the heart by contracting or expanding the corresponding valves to open or close. Between the right atrium and right ventricle, 3 triangular valves, called tricuspid valves or right atrioventricular valves, are attached to a fibrous stent ring composed of dense connective tissue. The tricuspid valve is like a one-way valve, so that the blood circulation is ensured to flow from the right atrium to the right ventricle and flow through the tricuspid valve. The tricuspid valve opening may allow blood from the right atrium to fill the right ventricle, which contracts to pump blood into the lungs, and the tricuspid valve closes to prevent blood from flowing back into the right atrium. When the tricuspid valve is not fully closed, a portion of the blood may leak back through the tricuspid valve to the right atrium each time the right ventricle contracts, known as tricuspid regurgitation.

Tricuspid regurgitation increases the volume of blood in the atrium, causing the right atrium to enlarge, resulting in pressure changes in the nearby heart chambers and adjacent blood vessels. With the progress of the disease, the effective pumping of blood is reduced every time the right ventricle contracts, which leads to the continuous expansion of the right ventricle and atrium, and finally leads to the right heart failure, which seriously threatens the life safety of the patient.

At present, the traditional surgical treatment is still the mainstream treatment means of tricuspid valve regurgitation, namely, a metal valve ring is added on a valve through open chest operation, so that the tricuspid valve ring is fixed and restrained, and the tricuspid valve regurgitation is reduced. However, for the patients with advanced age, poor heart function, combined multiple organ dysfunction and history of open chest surgery, the risk of traditional surgery is high, the mortality rate is high, and some patients even have no chance of surgery.

Therefore, the above prior art has at least the following technical problems: the prior art adopts the traditional surgical operation to treat the tricuspid regurgitation mode, and has the defects of high operation difficulty and high risk.

Disclosure of Invention

The tricuspid valve repairing device solves the technical problems that in the prior art, a traditional surgical operation is adopted to treat tricuspid valve regurgitation, and the defects of high operation difficulty and high risk are overcome.

To solve the above technical problems, an embodiment of the present application provides a tricuspid valve repair device, the tricuspid valve including three valve leaflets, respectively an anterior valve, a posterior valve and a septal valve, the repair device including:

at least one anchoring clip, wherein the anchoring clip is provided with an abutting surface, and the abutting surface can abut against the outer wall surface of the right ventricle outside the anterior valve or the posterior valve after the anchoring clip enters the right atrium through the jugular vein and the superior vena cava and passes through the wall surface of the right atrium;

an anchor having an anchoring end, the anchoring end being capable of anchoring to a wall of the right atrium adjacent the valve after the anchor has entered the right atrium via the jugular vein, the superior vena cava;

the traction rope comprises a first end and a second end, the first end is fixed on the anchoring clamp, and the second end is coupled and connected with the anchor;

a tensioning member for tensioning the pulling rope between the anchor clip and the anchor to constrain the tricuspid valve captively between the anchor clip and the anchor, thereby providing a constraining force that ensures closure of the tricuspid valve.

Further, the anchor clamps are frame-shaped.

Further, the abutting surface of the anchoring clip is an arc-shaped surface so as to be attached to the outer wall surface of the right ventricle.

Further, the anchoring clamp is elastic and bendable.

Further, the first end of the traction rope is wound, bound and fixed on the anchor clamp.

Further, the first end of the pulling rope is fixed on the anchoring clip through glue adhesion.

Further, the anchoring end of the anchor is in a thread shape formed by spiral rising.

Further, the anchor is further provided with a tail end arranged opposite to the anchoring end, a cavity is formed in the tail end in a hollow mode, an inner thread is arranged on the inner wall of the cavity, a cavity opening is formed in the end face of the tail end in the cavity, a radial through hole for enabling the second end of the traction rope to penetrate into the cavity is formed in one side of the tail end, and the radial through hole is communicated with the cavity;

the outer wall surface of the tensioning piece is provided with external threads matched with internal threads on the inner wall of the cavity, the second end of the traction rope penetrates into the cavity through the radial through hole and penetrates out of the cavity through the cavity opening, and the tensioning piece can be inserted into the cavity through the cavity opening and screwed with the cavity tightly so as to drive the second end of the traction rope to wind on the tensioning piece and lock the second end of the traction rope, so that the traction rope is tensioned.

Further, the prosthetic device also includes an auxiliary component, the auxiliary component comprising:

the two ends of the catheter are communicated, and the catheter is used for being inserted into jugular veins and superior vena cava to form a channel for an anchoring clip, an anchoring nail, a traction rope and a tensioning piece to enter a right atrium;

the puncture needle is used for puncturing the jugular vein and the right atrium wall surface to form a puncture through hole;

the two ends of the exchange catheter are communicated, and the exchange catheter is used for being inserted into the catheter and penetrating into the puncture through hole on the wall surface of the right atrium, so that a channel for the anchoring clip and the traction rope to penetrate out of the right atrium and the anchoring clip to be attached to the outer wall surface of the right ventricle is formed.

Further, the rear end of the exchange catheter is provided with a limiting piece so as to limit the depth of the exchange catheter inserted into the right atrium;

the front end of the catheter for insertion into the heart is bendable for insertion into the body, and the rear end of the catheter is a rigid tube.

One or more technical solutions provided in the embodiments of the present application at least have the following technical effects or advantages:

(1) According to the tricuspid valve repairing device disclosed by the embodiment of the application, the anchoring clamp is attached to the outer wall surface of the right ventricle outside the front valve or the rear valve, the anchor is anchored on the inner wall surface of the right atrium adjacent to the diaphragm, the anchoring clamp is connected with the anchor through the traction rope, and after the traction rope is tensioned through the tensioning piece, the anchoring clamp and the anchor are tensioned, so that the tricuspid valve can be limited and restrained between the anchoring clamp and the anchor, and therefore, the restraining force for ensuring the closure of the tricuspid valve is provided, the stability of the restraining force is good, and the tricuspid valve reflux can be effectively treated; in addition, the anchoring clamp, the anchoring nail and the traction rope are simple in structure and small in size, can be delivered into the body through the jugular vein and the superior vena cava, belong to minimally invasive surgery, do not need chest opening, are simple in operation, short in operation time, small in side effect on patients, quick in recovery and small in operation limitation, and are worthy of being widely popularized.

(2) The front end of the catheter for being inserted into the heart can be bent so as to be convenient to be inserted into a body, and the rear end of the catheter is a hard tube, so that the force is better, and the front end of the catheter can be better controlled.

(3) The catheter has a tapered port at its forward end for ease of insertion into the superior vena cava.

(4) The rear end of the exchange catheter is provided with a limiting piece so as to limit the depth of the exchange catheter inserted into the right atrium and prevent the exchange catheter from being excessively advanced to stab other tissues in the body.

(5) The anchoring clamp is in a frame shape, so that a larger contact surface area is provided as much as possible while the light weight is ensured, stress concentration is avoided, pressure intensity is reduced, and therefore compression to the heart is reduced, and uncomfortable feeling is reduced. In addition, the outer edges of the anchor clamps are rounded to reduce the risk of puncture.

(6) The abutting surface of the anchoring clamp is an arc surface so as to be attached to the outer wall surface of the right ventricle as much as possible, thereby improving the abutting stability and avoiding the damage of the anchoring clamp to the heart.

(7) The anchoring clamp is elastic and bendable, so that the anchoring clamp can enter a right atrium through a catheter and an exchange catheter in a bending state, and the anchoring clamp is more beneficial to entering a human body through a minimally invasive surgery due to the reduction of the passing area.

(8) The first end of the traction rope is wound on the anchor clamp, so that the connection surface and the connection strength can be increased, and the anchor clamp can be stably and firmly propped against the outer wall surface of the right ventricle when being tensioned by the traction rope.

(9) The first end of the traction rope is fixed on the anchoring clamp through glue adhesion, so that joints can be avoided, and discomfort of a patient caused by foreign body sensation is reduced.

(10) The anchoring end of the anchor nail is in a thread shape and is convenient to screw on the wall surface of the right atrium.

(11) Through setting up with anchor spiro union complex tensioning piece to the mode of locking pulling rope in the entering anchor of screwing, not only screwing operation mode, easy control precision, locking are firm reliable, and this kind of mode has the effect of certain regulation pulling rope's tensioning length and degree.

Drawings

In order to more clearly illustrate the embodiments of the application or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the application, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.

Fig. 1 is a schematic view illustrating a use state of a tricuspid valve repair device according to an embodiment of the present application; first, a first step;

FIG. 2 is an enlarged schematic view of a portion of the structure of FIG. 1;

FIG. 3 is a schematic view of a catheter according to an embodiment of the present application;

FIG. 4 is a schematic view showing the structure of a puncture needle according to an embodiment of the present application;

FIG. 5 is a schematic diagram of the structure of an exchange catheter according to an embodiment of the present application;

fig. 6 is a schematic view illustrating a use state of a tricuspid valve repair device according to an embodiment of the present application; second, the second step;

fig. 7 is a schematic view illustrating a use state of a tricuspid valve repair device according to an embodiment of the present application; thirdly, performing control;

FIG. 8 is a front view of an anchor clip mated with a pulling rope in an embodiment of the present application;

FIG. 9 is a side view of an anchoring clip mated with a pulling rope in an embodiment of the present application;

FIG. 10 is a schematic view of an anchor according to an embodiment of the present application;

FIG. 11 is a schematic view of a tensioning member according to an embodiment of the present application;

FIG. 12 is a schematic view of the tensioning member mated with the anchor in an embodiment of the present application;

FIG. 13 is a schematic view showing the state of the right atrial wall puncture of the puncture needle in the vicinity of the tricuspid valve according to the embodiment of the present application;

FIG. 14 is a schematic view showing the anchoring clip being delivered along the exchange catheter outside the right atrial wall puncture to complete the release of the anchoring clip in accordance with an embodiment of the present application;

FIG. 15 is a schematic view showing the state in which the anchoring end of the anchor is implanted on the inner wall surface of the right atrium adjacent to the valve in the embodiment of the application.

Detailed Description

The technical scheme in the embodiment of the application aims to solve the technical problems, and the overall thought is as follows:

the anchoring clamp is attached to the outer wall surface of the right ventricle outside the front valve or the rear valve, the anchor nail is anchored on the inner wall surface of the right atrium adjacent to the partition valve, the anchoring clamp is connected with the anchor nail through the traction rope, the traction rope is tensioned through the tensioning piece, and then the anchoring clamp and the anchor nail are tensioned, so that the tricuspid valve is limited and restrained between the anchoring clamp and the anchor nail, and a restraining force for ensuring the tricuspid valve to be closed is provided, the stability of the restraining force is good, and the reverse flow of the tricuspid valve can be effectively treated; in addition, the anchoring clamp, the anchoring nail and the traction rope are simple in structure and small in size, can be delivered into the body through the jugular vein and the superior vena cava, belong to minimally invasive surgery, do not need chest opening, are simple in operation, short in operation time, small in side effect on patients, quick in recovery and small in operation limitation, and are worthy of being widely popularized.

In order to better understand the above technical solutions, the following detailed description will refer to the accompanying drawings and specific embodiments.

In one or more embodiments of the present application, a tricuspid valve repair device is provided for use in treating regurgitation of tricuspid valve 130 by minimally invasive surgical placement in the body.

As shown in fig. 1 and 2, in one or more embodiments of the present application, there is provided a tricuspid valve repair device, wherein the tricuspid valve 130 includes three valve leaflets, an anterior valve 131, a posterior valve 133 and a septal valve 132, respectively, and the repair device includes:

at least one anchoring clip 400, wherein the anchoring clip 400 is formed with an abutting surface 410, and the abutting surface 410 can abut against the outer wall surface of the right ventricle 140 outside the anterior valve 131 or the posterior valve 133 after the anchoring clip 400 enters the right atrium 120 through the jugular vein and the superior vena cava 110 and passes through the wall surface of the right atrium 120;

an anchor 500, the anchor 500 having an anchoring end 510, the anchoring end 510 being capable of anchoring to an inner wall surface of the right atrium 120 adjacent to the septal valve 132 after the anchor 500 has been introduced into the right atrium 120 via the jugular vein, superior vena cava 110;

a pulling rope 600, wherein the pulling rope 600 comprises a first end and a second end, the first end is fixed on the anchoring clip 400, and the second end is coupled and connected with the anchoring nail 500;

a tensioning member 800 for tensioning the pulling string 600 between the anchoring clip 400 and the anchor 500 such that the tricuspid valve 130 is constrained between the anchoring clip 400 and the anchor 500, thereby providing a constraining force that ensures closure of the tricuspid valve 130.

As can be seen from the above description, in the tricuspid valve repairing apparatus according to the embodiment of the present application, by attaching the anchor clip 400 to the outer wall surface of the right ventricle 140 outside the anterior valve 131 or the posterior valve 133, anchoring the anchor 500 to the inner wall surface of the right atrium 120 adjacent to the septal valve 132, connecting the anchor clip 400 and the anchor 500 by the pulling rope 600, tensioning the pulling rope 600 by the tensioning member 800, and tightening the anchor clip 400 and the anchor 500, the tricuspid valve 130 can be restrained between the anchor clip 400 and the anchor 500, thereby providing a restraining force for ensuring the closure of the tricuspid valve 130, the restraining force has good stability, and the tricuspid valve 130 regurgitation can be effectively treated; in addition, the anchor clip 400, the anchor 500 and the traction rope 600 are simple in structure and small in size, can be delivered into the body through the jugular vein and the superior vena cava 110, belong to minimally invasive surgery, do not need chest opening, are simple in operation, short in operation time, small in side effect on patients, quick in recovery and small in operation limitation, and are worth popularizing greatly.

It should be noted that, when there is a plurality of regurgitation sites in the tricuspid valve 130, anchor clamps 400 may be respectively disposed on the outer wall surfaces of the right ventricle 140 outside the anterior valve 131 and the posterior valve 133, and each anchor clamp 400 may be respectively pulled by pulling the string 600 to tighten the anchors 500 anchored on the inner wall surface of the right atrium 120 adjacent to the septal valve 132, as shown in fig. 6. If there is only a single regurgitation, such as only the anterior valve 131, the posterior valve 133, or the septal valve 132, then only the outer wall of the right ventricle 140 outside the anterior valve 131 or the posterior valve 133 needs to be provided with the anchoring clip 400, and the single anchoring clip 400 is pulled by the pulling rope 600 against the anchoring nail 500 anchored on the inner wall of the right atrium 120 adjacent to the septal valve 132, as shown in fig. 7.

In one embodiment of the present application, as shown in fig. 3, 4 and 5, the repair device further includes an auxiliary assembly, the auxiliary assembly including:

a catheter 710, which is penetrated at both ends of the catheter 710 and is inserted into the jugular vein, the superior vena cava 110, to form a passage for the anchor clip 400, the anchor 500, the pulling rope 600 and the tensioning member 800 to enter the right atrium 120;

a puncture needle 720, wherein the puncture needle 720 is used for puncturing the jugular vein and the wall surface of the right atrium 120 to form a puncture through hole;

and the exchange catheter 730 is penetrated at two ends of the exchange catheter 730, is used for being inserted into the catheter 710 and penetrating into the puncture through hole on the wall surface of the right atrium 120, so as to form a channel for the anchor clip 400 and the traction rope 600 to penetrate out of the right atrium 120 and for the anchor clip 400 to be attached to the outer wall surface of the right ventricle 140.

In particular, the auxiliary assembly is used to assist the anchor clamps 400, anchors 500, and pulling wires 600 to enter the corresponding installation locations in the body, ensuring efficient performance of the procedure. The length of the catheter 710 is less than the length of the exchange catheter 730, and the length of the exchange catheter 730 is less than the length of the needle 720, so that the needle 720 may be advanced through the catheter 710 and/or the exchange catheter 730, and the exchange catheter 730 may be advanced through the catheter 710 to the wall of the right atrium 120.

In one embodiment of the present application, as shown in fig. 3, the front end 711 of the catheter 710 for insertion into the heart may be curved to facilitate insertion into the body, and the rear end of the catheter may be a rigid tube, which may provide better control of the front end of the catheter, as shown in fig. 13. Illustratively, the catheter 710 is made of a multi-layer soft fiber woven mesh, but if the number of layers at the front end of the catheter 710 is smaller than that at the rear end, the front end of the catheter 710 can be softer, can bend, and the rear end is harder, so that the front end can be better controlled. In addition, the exchange catheter 730 is a rigid tube.

In addition, as shown in fig. 3, the catheter 710 has a tapered port at its forward end 711 for ease of insertion into the superior vena cava 110.

Further, as shown in fig. 4, the front end of the puncture needle 720 has a needle tip 721 to facilitate the puncture.

Further, as shown in fig. 5, the rear end of the exchange catheter 730 has a stopper 731 to limit the depth of insertion of the exchange catheter 730 into the right atrium 120, preventing the exchange catheter 730 from being excessively advanced to stab other tissues in the body. Illustratively, the limiting members 731 are a pair of limiting rods symmetrically disposed on the outer wall surface of the exchange tube 730 in the radial direction of the exchange tube 730. For example, the length from the stop 731 to the front end of the exchange catheter 730 is approximately equal to the distance between the puncture hole in the jugular vein and the puncture hole in the wall of the right atrium 120, so as to avoid the exchange catheter 730 from excessively penetrating out of the wall of the right atrium 120.

In an embodiment of the present application, the anchor clip 400 is frame-shaped, so as to provide a larger area of the abutting surface 410 as much as possible while ensuring light weight, avoid stress concentration, and reduce pressure, thereby reducing compression to the heart and reducing discomfort. In addition, the outer edges of the anchor clip 400 are rounded to reduce the risk of puncture. For example, the anchor clip 400 is an oval frame.

Of course, the anchor clip 400 may be a pad, a woven mesh disc, a rod, a nail, a barb, or the like, as long as it can abut against the outer wall of the heart and is suitable for medical use, which is not limited thereto.

Further, as shown in fig. 9, the abutting surface 410 of the anchoring clip 400 is an arc surface, so as to be attached to the outer wall surface of the right ventricle 140 as much as possible, thereby improving the stability of the abutting, and avoiding the damage of the anchoring clip 400 to the heart.

Further, the anchoring clip 400 is flexible and bendable so that it can be introduced into the right atrium 120 via the catheter 710 and the exchange catheter 730 in a bent state, thereby facilitating the introduction into the body via minimally invasive surgery due to the reduced passage area. For example, the clip 400 may be made of wire (e.g., steel wire) and may be folded in half to enter the right atrium 120 and exit the right atrium 120, and then may be automatically restored to its original shape and expanded into a rectangular frame shape due to the loss of the restriction of the catheter 710 and the exchange catheter 730.

In an embodiment of the present application, as shown in fig. 8 and 9, the first end of the pulling rope 600 is wound around and fastened to the anchor 500 clip, for example, the first end of the pulling rope 600 is fastened to the anchor clip 400 by knotting, or the first end of the pulling rope 600 may be fastened to the anchor clip 400 by glue bonding, which is not limited herein, as long as the fastening is suitable for the use situation.

Specifically, the first end of the pulling rope 600 is wound around the anchor 500 clip, so that the connection surface and the connection strength can be increased, and the anchor 500 clip can be more stably and firmly supported and pulled on the outer wall surface of the right ventricle 140 when being pulled by the pulling rope 600. The first end of the pulling string 600 is fixed to the anchor clip 400 by glue bonding, so that the joint can be avoided, thereby reducing discomfort of the patient due to foreign body sensation.

In one embodiment of the present application, as shown in fig. 10, the anchoring end 510 of the anchor 500 is spirally raised to form a thread shape so as to be screwed into the inner wall surface of the right atrium 120.

Further, the anchor 500 further has a tail end 520 opposite to the anchoring end 510, the tail end 520 is hollow to form a cavity 521, an inner wall of the cavity 521 is provided with an internal thread, a cavity opening is formed on an end surface of the tail end 520 of the cavity 521, a radial through hole 522 for allowing the second end of the pulling rope 600 to penetrate into the cavity 521 is formed on one side of the tail end 520, and the radial through hole 522 is communicated with the cavity 521.

As shown in fig. 11 and 12, the outer wall surface of the tensioning member 800 is provided with an external thread matching with an internal thread on the inner wall of the cavity 521, the second end of the pulling rope 600 penetrates into the cavity 521 through the radial through hole 522 and passes out of the cavity 521 through the cavity opening, and the tensioning member 800 can be inserted into the cavity 521 through the cavity opening and screwed with the cavity 521, so as to drive the second end of the pulling rope 600 to wind around the tensioning member 800 and lock the second end of the pulling rope 600, thereby tensioning the pulling rope 600.

Specifically, by arranging the tensioning piece 800 in threaded engagement with the anchor 500, the tensioning piece is screwed into the anchor 500 to lock the pulling rope 600, so that the operation mode of screwing is easy to control, the locking is firm and reliable, and the tensioning piece has a certain function of adjusting the tensioning length and degree of the pulling rope 600.

In summary, the tricuspid valve repair device according to the embodiment of the present application is used as follows:

the puncture needle 720 is adopted to puncture, so that the catheter 710 enters the right atrium 120 through the jugular vein and the superior vena cava 110, and the wall puncture of the right atrium 120 near the tricuspid valve 130 is completed, so as to form a puncture hole of the wall of the right atrium 120, as shown in fig. 13;

the exchange catheter 730 is inserted into the puncture needle 720 and into the catheter 710 and into the wall puncture of the right atrium 120;

taking out the puncture needle 720 in the exchange catheter 730, folding the anchoring clip 400 in half, pulling the second end of the pulling rope 500, and sending the anchoring clip 400 out of the wall puncture hole of the right atrium 120 along the exchange catheter 730 to finish the release of the anchoring clip 400, as shown in fig. 14;

penetrating the first end of the pulling rope 500 outside the body into the cavity 521 of the anchor 500 through said radial through hole 522; the exchange catheter 730 is removed, the front end of the catheter 710 is aligned with the septum 132, the anchor 500 is delivered into the right ventricle 140 along the catheter 710, and the anchored end 510 of the anchor 500 is implanted on the inner wall surface of the right atrium 120 adjacent the septum 132 using a push wire cable;

after the anchor 500 is fixed, the tensioning piece 800 is pushed into the cavity 521 of the anchor 500 through the guide pipe 710, the tensioning piece 800 is twisted to adjust the length of the traction rope 500 to achieve the reflux reducing effect, and after confirmation, the locking of the traction rope 500 is finished and the tail of the overlong traction rope 500 is cut off.

It will be understood that, although the terms "first," "second," etc. may be used herein to describe various elements, these elements should not be limited by these terms. These terms are only used to distinguish one element from another element. For example, a first element could be termed a second element, and, similarly, a second element could be termed a first element, without departing from the scope of example embodiments.

The terms of orientation such as external, intermediate, internal, etc. mentioned or possible to be mentioned in this specification are defined with respect to the configurations shown in the drawings, which are relative concepts, and thus may be changed accordingly depending on the different positions and different states of use in which they are located. These and other directional terms should not be construed as limiting terms.

While the application has been described with respect to preferred embodiments thereof, it will be understood by those skilled in the art that various modifications and additions may be made without departing from the scope of the application. Equivalent embodiments of the present application will be apparent to those skilled in the art having the benefit of the teachings disclosed herein, when considered in the light of the foregoing disclosure, and without departing from the spirit and scope of the application; meanwhile, any equivalent changes, modifications and evolution of the above embodiments according to the essential technology of the present application still fall within the scope of the technical solution of the present application.

Claims

1. A tricuspid valve repair device comprising three leaflets, an anterior valve, a posterior valve and a septal valve, respectively, the repair device comprising:

2. A tricuspid valve repair device according to claim 1, wherein the anchoring clip is frame-shaped.

3. A tricuspid valve repair device according to claim 1, wherein the abutment surface of the anchoring clip is arcuate to conform to the outer wall of the right ventricle.

4. A tricuspid valve repair device according to claim 1, wherein the anchor clamps are resilient and bendable.

5. A tricuspid valve repair device according to claim 1, wherein the first end of the pulling rope is wound around and secured to the anchor clamps.

6. A tricuspid valve repair device according to claim 4, wherein the first end of the pulling rope is secured to the anchoring clip by glue bonding.

7. A tricuspid valve repair device according to claim 4, wherein the anchoring end of the anchor is helically threaded.

8. The tricuspid valve repairing device according to claim 1, wherein the anchor further comprises a tail end arranged opposite to the anchoring end, a cavity is formed in the tail end in a hollow mode, an inner thread is arranged on the inner wall of the cavity, a cavity opening is formed in the end face of the tail end in the cavity, a radial through hole for allowing the second end of the traction rope to penetrate into the cavity is formed in one side of the tail end, and the radial through hole is communicated with the cavity;

9. The tricuspid valve repair device according to claim 1, further comprising an auxiliary assembly comprising:

10. A tricuspid valve repair device according to claim 9, wherein the posterior end of the exchange catheter has a stop to limit the depth of insertion of the exchange catheter into the right atrium;