CN1875894A - Occlusive device for treating septal defect of congenital heart disease - Google Patents

Occlusive device for treating septal defect of congenital heart disease Download PDF

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Publication number
CN1875894A
CN1875894A CN 200610054416 CN200610054416A CN1875894A CN 1875894 A CN1875894 A CN 1875894A CN 200610054416 CN200610054416 CN 200610054416 CN 200610054416 A CN200610054416 A CN 200610054416A CN 1875894 A CN1875894 A CN 1875894A
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China
Prior art keywords
heart disease
congenital heart
septal defect
occlusive device
treating septal
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CN 200610054416
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Chinese (zh)
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CN100471468C (en
Inventor
何健峰
田杰
王远亮
罗彦凤
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何健峰
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Abstract

The invention relates the congenital heart disease plugging device, comprising the bevel support 1 and polyester fibre 2. The bevel support 1 is weaved by the nickel-cemented tantalum carbide, and the diameter of 1 is between 0.002-0.003 inch, the 1 is filled with 2, and around the metal wire of 1 there is polydactyl acid, silica gel, polyurethane or other degradable consistency high polymer materials. The invention has the advantages of reducing heavy metal toxicity, low vessel chronic injury and mechanical stimulation, and safety.

Description

Occlusive device for treating septal defect of congenital heart disease
Technical field
The invention belongs to technical field of medical instruments, specifically, relate to a kind of plugging device that is used for the treatment of patent ductus arteriosus and congenital heart diseases such as interventricular septum or atrial septal defect.
Background technology
Patent ductus arteriosus (PDA), atrial septal defect (ASD) and ventricular septal defect (VSD) are the common congenital heart diseases of children's, and the three accounts for 80% of whole congenital heart disease.Before the seventies, block up and close main dependence surgical operation; The mid-1970s, people begin to have designed and tried out the new non-breast of opening and close the method for ductus arteriosus and atrial septal defect and succeed, over more than 20 year, successively have the multiple stifled device that closes to try out in animal and clinical trial and obtained very big success, the stifled device that closes commonly used clinically at present both at home and abroad has five kinds of Portsman, Rashkind, Sideris, Coil and Amplatzer etc.Amplatzer Occluder is the up-to-date stifled device that closes of PDA, ASD, VSD, equaling design in 1997 by Amplatzer finishes, should stifled close the advantage that device has been concentrated former device, it expands into mushroom or double plate umbrella shape after being installed to the lesions position of heart automatically, this device is formed by superfine nitinol alloy wire braiding, the middle dacron of filling.Technically, mushroom or double plate umbrella shape stifled close device operate compare with other device easier, be subjected to clinician's welcome, but because tenor is excessive, and metal directly contacts with body, metal long-term toxic and side effects in vivo is difficult to determine, metal chronic injury and the mechanical irritation that causes easily blood vessel really up to the mark, thereby cause side effect such as long-term cardiac insufficiency, arrhythmia, so Amplatzer is stifled to be closed device and not to obtain the U.S. FDA identification always, do not generally acknowledged by the world that its application is very limited.
Summary of the invention
It is minimum that the problem to be solved in the present invention provides a kind of toxic and side effects, uses safer occlusive device for treating septal defect of congenital heart disease.
For addressing the above problem, occlusive device for treating septal defect of congenital heart disease of the present invention, comprise the mushroom or the double plate umbrella stull of being worked out by metal gauze, be filled with dacron in the support, the tinsel of support is coated with one deck degradable biocompatibility macromolecule material.
Owing to outside the tinsel of support, coated one deck degradable biocompatibility macromolecule material, the degradable biocompatibility macromolecule material is contacted with body tissue, avoided tinsel damage and the stimulation that causes really up to the mark to body, macromolecular material is isolated tinsel and tissue, thereby the toxicity of having isolated metal itself reduces even has stopped plugging device secular toxic and side effects in vivo fully.The existence of metal rack has guaranteed the mechanical strength of plugging device again.
As preference, the tinsel of above-mentioned support is preferably nitinol alloy wire, and its diameter is between 0.002~0.003 cun.Nitinol is a kind of shape memory alloy, has elastic performance, and the fatigue durability of Nitinol and corrosion resistance also are better than rustless steel.Adopting nitinol alloy wire is interior support, draws its diameter little and reduce the content of nitinol alloy wire in whole device as far as possible under the prerequisite that guarantees entire bracket intensity, to reduce the toxic and side effects of metal as much as possible.
As preference, above-mentioned degradable biocompatibility macromolecule material adopts existing polylactic acid or modified silica-gel or polyurethane through modification.By the modification of material, strengthen elasticity, the toughness of degradable biocompatibility macromolecule materials such as polylactic acid, silica gel or polyurethane and be controlled at intravital degradation time.
The present invention shows through animal experiment, compare with traditional occlusive device for treating septal defect of congenital heart disease, its metallic poison side effect reduces greatly, and is in the extreme little to the chronic injury and the mechanical irritation of blood vessel, a routine patient do not occur and cardiac insufficiency and ARR side effect occur.
Description of drawings
Below in conjunction with the drawings and specific embodiments the present invention is described in further detail.
Fig. 1 is the structural representation of the embodiment of the invention.
Fig. 2 is that the A of Fig. 1 is to view.
Fig. 3 is the schematic cross-sectional view (amplification) of nitinol alloy wire among Fig. 1.
The specific embodiment
Fig. 1 to Fig. 3 is that the present invention is used as the stifled embodiment that closes of ventricular septal defect (VSD), the support 1 of being worked out by the nickel-cemented alloy filament net of diameter between 0.002~0.003 cun is the double plate umbrella shape, be filled with dacron 2 in the support 1, the tinsel of support 1 is coated with one deck degradable biocompatibility macromolecule material 3, can directly to adopt publication number be CN1435438 to this degradable biocompatibility macromolecule material 3 among this embodiment, the modified polylactic acid material that was provided in the Chinese invention patent prospectus on August 13rd, 2003 in open day.Nitinol alloy wire is as interior support, its diameter is littler than the wire diameter of conventional apparatus, in the making under the prerequisite that guarantees entire bracket intensity, the diameter of nitinol alloy wire can draw smallerly as far as possible, nickel-cemented alloy filament net is also worked out rarelyr as far as possible, and to reduce the content of metal in whole device as much as possible, Nitinol is a kind of shape memory alloy, have elastic performance, the fatigue durability of Nitinol and corrosion resistance also are better than rustless steel.Degradable biocompatibility macromolecule materials such as polydactyl acid contact with body tissue, avoided tinsel damage and the stimulation that causes really up to the mark to body, the polymer modification polylactic acid is isolated tinsel and tissue, thereby the toxicity of having isolated metal itself reduces even has stopped plugging device secular toxic and side effects in vivo fully.By the modification of material, strengthened elasticity, the toughness of degradable biocompatibility macromolecule materials such as polylactic acid and be controlled at intravital degradation time.
Medium-height trestle 1 of the present invention also can be made into mushroom-shaped, as treatment patent ductus arteriosus type congenital heart disease.Also can be made into other shape as required.Degradable biocompatibility macromolecule material 3 can adopt modified silica-gel, also can adopt polyurethane, and the occlusive device for treating septal defect of congenital heart disease of producing can reach extraordinary effect equally.

Claims (3)

1, a kind of occlusive device for treating septal defect of congenital heart disease, comprise the mushroom or the double plate umbrella stull (1) of working out by metal gauze, be filled with dacron (2) in the support (1), it is characterized in that: the tinsel of described support (1) is coated with one deck degradable biocompatibility macromolecule material (3).
2, occlusive device for treating septal defect of congenital heart disease according to claim 1 is characterized in that: the tinsel of described support (1) is a nitinol alloy wire, and its diameter is between 0.002~0.003.
3, occlusive device for treating septal defect of congenital heart disease according to claim 1 and 2 is characterized in that: described degradable biocompatibility macromolecule material (3) is polydactyl acid or modified silica-gel or polyurethane.
CNB2006100544167A 2006-07-06 2006-07-06 Occlusive device for treating septal defect of congenital heart disease Expired - Fee Related CN100471468C (en)

Priority Applications (1)

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CNB2006100544167A CN100471468C (en) 2006-07-06 2006-07-06 Occlusive device for treating septal defect of congenital heart disease

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNB2006100544167A CN100471468C (en) 2006-07-06 2006-07-06 Occlusive device for treating septal defect of congenital heart disease

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CN1875894A true CN1875894A (en) 2006-12-13
CN100471468C CN100471468C (en) 2009-03-25

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102697528A (en) * 2012-06-01 2012-10-03 姬尚义 Closure device
CN102805673A (en) * 2012-08-15 2012-12-05 上海形状记忆合金材料有限公司 Occluder
WO2015165117A1 (en) * 2014-04-30 2015-11-05 乐普(北京)医疗器械股份有限公司 Medical closure system
CN107095701A (en) * 2017-05-23 2017-08-29 上海英诺伟医疗器械有限公司 A kind of closure basket and the plugging device with the basket
CN110313945A (en) * 2018-03-28 2019-10-11 上海微创医疗器械(集团)有限公司 A kind of plugging device and preparation method thereof
CN114495669A (en) * 2022-02-17 2022-05-13 北京理工大学 Composite material for bionic dirty ware

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5944738A (en) * 1998-02-06 1999-08-31 Aga Medical Corporation Percutaneous catheter directed constricting occlusion device
WO2004082532A1 (en) * 2003-03-17 2004-09-30 Ev3 Sunnyvale, Inc. Thin film composite lamination
AU2006230086A1 (en) * 2005-03-25 2006-10-05 Ample Medical, Inc. Device, systems, and methods for reshaping a heart valve annulus

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102697528A (en) * 2012-06-01 2012-10-03 姬尚义 Closure device
CN102697528B (en) * 2012-06-01 2014-02-26 姬尚义 Closure device
CN102805673A (en) * 2012-08-15 2012-12-05 上海形状记忆合金材料有限公司 Occluder
WO2015165117A1 (en) * 2014-04-30 2015-11-05 乐普(北京)医疗器械股份有限公司 Medical closure system
CN107095701A (en) * 2017-05-23 2017-08-29 上海英诺伟医疗器械有限公司 A kind of closure basket and the plugging device with the basket
WO2018214384A1 (en) * 2017-05-23 2018-11-29 上海英诺伟医疗器械有限公司 Blocking basket and blocking device having same
CN110313945A (en) * 2018-03-28 2019-10-11 上海微创医疗器械(集团)有限公司 A kind of plugging device and preparation method thereof
CN110313945B (en) * 2018-03-28 2021-09-28 上海微创医疗器械(集团)有限公司 Plugging device and preparation method thereof
CN114495669A (en) * 2022-02-17 2022-05-13 北京理工大学 Composite material for bionic dirty ware

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C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
EE01 Entry into force of recordation of patent licensing contract

Application publication date: 20061213

Assignee: Chongqing Nanfang Numerical Control Equipment Co., Ltd.

Assignor: He Jianfeng

Contract record no.: 2010500000018

Denomination of invention: Occlusive device for treating septal defect of congenital heart disease

Granted publication date: 20090325

License type: Exclusive License

Record date: 20100416

C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20090325

Termination date: 20130706