CN204683686U - A kind of left atrial appendage occlusion device and plugging system - Google Patents
A kind of left atrial appendage occlusion device and plugging system Download PDFInfo
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- CN204683686U CN204683686U CN201520111803.4U CN201520111803U CN204683686U CN 204683686 U CN204683686 U CN 204683686U CN 201520111803 U CN201520111803 U CN 201520111803U CN 204683686 U CN204683686 U CN 204683686U
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Abstract
This utility model relates to medical instruments field, disclose a kind of left atrial appendage occlusion device, it comprises support frame and choked flow film, and described support frame is the near-spherical body with elastic hollow out, described choked flow film is arranged to hat shape, and it is set in the proximal peripheral of described support frame; The far-end circumference of described support frame is provided with anchor thorn, for grabbing the inwall being located at left auricle; The invention also discloses a kind of left atrial appendage occlusion system, it comprises the left atrial appendage occlusion device described in conveyer device and technique scheme, described conveyer device comprises delivery sheath and push rod, described left atrial appendage occlusion device is arranged in described delivery sheath, one end of described push rod is arranged in described delivery sheath, removably connects with the fixing head end of described left atrial appendage occlusion device.This utility model can reduce the damage to vascular access, reduces operation risk.
Description
Technical field
This utility model relates to technical field of medical instruments, particularly relates to a kind of for preventing left atrial appendage occlusion device and the plugging system of atrial fibrillation embolic complications.
Background technology
Atrial fibrillation (Atrial Fibrillation, AF) is one of clinical modal arrhythmia, except likely bringing out or increasing the weight of except the danger such as heart failure, can also cause apoplexy and other thromboembolic events, the lethal or event that disables occurs.Oral anticoagulation thing significantly can reduce the probability of patients with atrial fibrillation generation cerebral infarction, but because its pharmacological action is by being permitted multifactorial impact (as medicine, food etc.), needs frequent blood drawing monitoring coagulation indexes.Even if in suitable anticoagulation levels, the probability of intracranial hemorrhage also can be made to increase by 2 to 5 times.There is active hemorrhage or to contraindications such as Coumarins drug allergy, limit the Clinical practice of anticoagulant as warfarin to a certain extent in some patients.In the cerebral embolism case that non-nonrheumatic atrial fibrillation causes, the embolus of more than 90% derives from left auricle (Left Atrial Appendage, LAA).During atrial fibrillation, the forfeiture of left auricle contractile function and blood stasis are the main causes causing Left atrial appendage, therefore from blood circulation, isolate left auricle, can prevent the Arterial system thromboembolism that most atrial fibrillation causes in theory.
There are some researches show, after surgical operation makes LAA closed, the danger that cerebral embolism occurs drops to original 1/12.Left atrial appendage occlusion is a kind of interventional therapy of preventing atrial fibrillation thromboembolism that development in recent years is got up.The multinomial clinical experimental study about occluder for left auricle shows, left atrial appendage occlusion prevention atrial fibrillation apoplexy is not inferior to warfarin, but due to the safety factor such as there is pericardial effusion, come off, U.S. food Drug Administration (Food and Drug Administration, FDA) only ratifies it at present for clinical research.How to reduce the pericardial effusion of occluder for left auricle, the severe complications such as heart wall is bored a hole, apparatus comes off, and controllable part reclaiming or entirely reclaims and reorientate release, is the focus of occluder for left auricle development enterprise.
Utility model content
(1) technical problem that will solve
The technical problems to be solved in the utility model how to reduce the damage to vascular access, reduces operation risk.
(2) technical scheme
In order to solve the problems of the technologies described above, this utility model provides a kind of left atrial appendage occlusion device, and it comprises support frame and choked flow film, and described support frame is the near-spherical body with elastic hollow out, described choked flow film is arranged to hat shape, and it is set in the proximal peripheral of described support frame; The far-end circumference of described support frame is provided with anchor thorn, for grabbing the inwall being located at left auricle.
Wherein, described support frame comprises near-end closeouts and distal anchor locking member, and described near-end closeouts and distal anchor locking member are respectively elasticity hollow out semiglobe, and described near-end closeouts and distal anchor locking member are joined together to form described near-spherical body; Described choked flow Membrane cover is located at the periphery of described near-end closeouts, and described anchor thorn is arranged on described distal anchor locking member circumferentially.
Wherein, the end of described near-end closeouts is provided with multiple hasp, and the opposed end of described distal anchor locking member is provided with corresponding clasp, and described hasp hooks and is located at the connection described clasp realizing described near-end closeouts and distal anchor locking member.
Wherein, described distal anchor locking member is also connected by connecting rod with near-end closeouts, the center, end of described distal anchor locking member is provided with distal loop, the center, end of described near-end closeouts is provided with proximal loop, the two ends of described connecting rod penetrate described distal loop respectively with proximal loop and are fixedly connected with, fixing head end is provided with, for fixing described connecting rod outside described proximal loop.
Wherein, described fixing head end and described proximal loop and connecting rod, by be welded together or relevant position on described fixing head end, proximal loop and connecting rod is equipped with pin-and-hole, utilize pin to link together through the pin-and-hole on described fixing head end, proximal loop and connecting rod successively.
Wherein, the expansion shape of described choked flow film is have the colored shape of multiple petal, the saw blade-shaped with multiple sawtooth or other shapes; Described hat shape is formed by multiple petal or sawtooth being stitched together between two successively.
Wherein, the center of circle of described choked flow film is fixed on by described fixing head end in the proximal loop of described near-end closeouts; The circumference of described choked flow film is fixed on by the mode sewed up in the sewing hole that arranges in described near-end closeouts.
Wherein, described near-end closeouts and distal anchor locking member are the engraved structure be engraved as through cut with elasticity tubing.
This utility model also provides a kind of left atrial appendage occlusion system, it comprises the left atrial appendage occlusion device described in conveyer device and technique scheme, described conveyer device comprises delivery sheath and push rod, described left atrial appendage occlusion device is arranged in described delivery sheath, one end of described push rod is arranged in described delivery sheath, removably connects with the fixing head end of described left atrial appendage occlusion device.
Wherein, the end of described push rod is provided with external screw thread, and described fixing head end is provided with female thread, and described push rod and fixing head end are threaded connection.
(3) beneficial effect
Compared with prior art, this utility model has the following advantages:
A kind of left atrial appendage occlusion device that this utility model provides and plugging system, support frame is set to the near-spherical body with elastic hollow out by described left atrial appendage occlusion device, and choked flow film is arranged to hat shape, choked flow Membrane cover is located at the proximal peripheral of described support frame; The far-end circumference of described support frame is provided with anchor thorn, for grabbing the inwall being located at left auricle; Thus can reduce plugging device by external diameter, reduce the damage to blood vessel; After plugging device launches or half launches, if the position of launching is undesirable, can reorientate and again discharge expansion, the plugging device that need not more renew, simplifies operation process, reduces operation risk; The chondritic closed, can avoid the tip of plugging device to directly act on left auricle inwall and cause pericardial effusion or cardiac perforation.
Accompanying drawing explanation
Fig. 1 is the structural representation of a kind of left atrial appendage occlusion device of this utility model;
Fig. 2 is the top view of Fig. 1;
Fig. 3 is the structural representation of the support frame of a kind of left atrial appendage occlusion device of this utility model;
Fig. 4 is the fractionation schematic diagram of Fig. 3;
Fig. 5 is the schematic perspective view of the fixing head end of a kind of left atrial appendage occlusion device of this utility model;
Fig. 6 is the expansion schematic diagram of the choked flow film of a kind of left atrial appendage occlusion device of this utility model;
Fig. 7 is that the another kind of the choked flow film of a kind of left atrial appendage occlusion device of this utility model launches schematic diagram;
Fig. 8 is the structural representation after the choked flow film of a kind of left atrial appendage occlusion device of this utility model is sewed up;
Fig. 9 is the structural representation that a kind of left atrial appendage occlusion system of this utility model is launched in left auricle;
Figure 10 is a kind of left atrial appendage occlusion system of this utility model is structural representation during expansion in left auricle;
Figure 11 is the schematic perspective view of the pin of a kind of left atrial appendage occlusion device of this utility model.
In figure: 10: left atrial appendage occlusion device; 100: support frame; 101: distal anchor locking member; 102: near-end closeouts; 110: anchor stings; 120: button connects; 130: distal loop; 140: connecting rod; 141: the pin jack on connecting rod; 150: clasp; 160: hasp; 170: proximal loop; 171: the pin jack on proximal loop; 180: sewing hole; 200, choked flow film; 201: joining edge; 202: fixed edge; 300: fixing head end; 301: the pin jack on fixing head end; 400: pin; 500: delivery sheath; 501: push rod; 600: left auricle; 601: left auricle opening; 602: left auricle inwall.
Detailed description of the invention
Below in conjunction with drawings and Examples, detailed description of the invention of the present utility model is described in further detail.Following instance for illustration of this utility model, but is not used for limiting scope of the present utility model.
In description of the present utility model, it should be noted that, term " " center ", " longitudinal direction ", " transverse direction ", " on ", D score, " front ", " afterwards ", " left side ", " right side ", " vertically ", " level ", " top ", " end " " interior ", orientation or the position relationship of the instruction such as " outward " are based on orientation shown in the drawings or position relationship, only this utility model and simplified characterization for convenience of description, instead of indicate or imply that the device of indication or element must have specific orientation, with specific azimuth configuration and operation, in addition, " far ", " closely " is for operator, one end of close operator is " closely ", one end away from operator is " far ", therefore can not be interpreted as restriction of the present utility model.
In description of the present utility model, it should be noted that, unless otherwise clearly defined and limited, term " installation ", " being connected ", " connection " should be interpreted broadly, and such as, can be fixedly connected with, also can be removably connect, or connect integratedly; Can be mechanical connection, also can be electrical connection; Can be directly be connected, also indirectly can be connected by intermediary, can be the connection of two element internals.For the ordinary skill in the art, concrete condition the concrete meaning of above-mentioned term in this utility model can be understood.
In addition, in description of the present utility model, except as otherwise noted, the implication of " multiple ", " many ", " many groups " is two or more.
As depicted in figs. 1 and 2, for a kind of left atrial appendage occlusion device 10 that this utility model provides, it comprises support frame 100 and choked flow film 200, described support frame 100 is for having the near-spherical body of elastic hollow out, can stretch and shrink, its structure can design according to final products demand, and described choked flow film 200 is arranged to hat shape, and its fixed cover is located at the proximal peripheral of described support frame 100; The external diameter of this plugging device by left auricle can be controlled thus, reduce further delivery instrument to the potential damage of blood vessel; The far-end circumference of described support frame 100 is provided with anchor thorn 110, for grabbing the inwall being located at left auricle, thus reliably being fixed by whole plugging device, being convenient to the recovery of plugging device simultaneously and reorientating.
As shown in Figure 3 and Figure 4, particularly, described support frame 100 comprises near-end closeouts 102 and distal anchor locking member 101, described near-end closeouts 102 and distal anchor locking member 101 are respectively elasticity hollow out semiglobe, and described near-end closeouts 102 and distal anchor locking member 101 are joined together to form described near-spherical body and described support frame 100; Described choked flow film 200 is set in the periphery of described near-end closeouts 102, and described anchor thorn 110 is arranged on described distal anchor locking member 101 circumferentially, and the quantity of described anchor thorn 110 can be multiple, is distributed on the circumference of described end anchor log.
Further, the end of described near-end closeouts 102 is provided with multiple hasp 160, the opposed end of described distal anchor locking member 101 is provided with corresponding clasp 150, described hasp 160 hooks to be located at and described clasp 150 realizes described near-end closeouts 102 is connected 120 with the button of distal anchor locking member 101, and described hasp 160 side's of being designed to taper, once tip clasp 150 in, when being subject to external force, clasp 150 with hasp 160 for rotating in the center of circle, go deep into hasp 160, and not easily skidding off hasp 160.
In order to ensure that described support frame 100 has certain support along its length, described distal anchor locking member 101 is also connected by connecting rod 140 with near-end closeouts 102, and described connecting rod 140 two of being preferably set up in parallel, to strengthen support strength, the center, end of described distal anchor locking member 101 is provided with distal loop 130, the center, end of described near-end closeouts 102 is provided with proximal loop 170, the two ends of described connecting rod 140 penetrate described distal loop 130 respectively with proximal loop 170 and are fixedly connected with, fixing head end 300 is provided with outside described proximal loop 170, as shown in Figure 5, for fixing described connecting rod 140, such as, described fixing head end 300 and described proximal loop 170 and connecting rod 140 are by being welded together or described fixing head end 300, relevant position on proximal loop 170 and connecting rod 140 is equipped with pin jack 301, 171, 141, utilize pin 400 successively through described fixing head end 300, pin-and-hole 301 on proximal loop 170 and connecting rod 140, 171, 141 link together, be the structural representation of pin 301 as shown in figure 11, described connecting rod 140 also can by being welded to connect with described distal loop 130.Described connecting rod 140 can be straight-bar or curvilinear rod, and can be also both combinations, can also be the bar of hollow out.
As shown in figs 6-8, wherein, described choked flow film 200 is engraved as certain shape by cut, and the expansion shape of described choked flow film 200 can for having the colored shape of multiple petal, the saw blade-shaped with multiple sawtooth or other shapes; Described hat shape is formed by being stitched together between two successively by the joining edge 201 of multiple petal or sawtooth.After described choked flow film 200 is seamed into hat shape, the center of circle of described choked flow film 200 is fixed in the proximal loop 170 of described near-end closeouts 102 by described fixing head end 300; The circumference of described choked flow film 200 is also that fixed edge 202 is fixed in the sewing hole 180 of setting in described near-end closeouts 102 by the mode sewed up, and also can be fixed on near-end closeouts 102 by bonding mode circumferentially.
Wherein, described near-end closeouts 102 and distal anchor locking member 101 are the engraved structure be engraved as through cut with elasticity tubing, then row heat treatment respectively, are shaped into design shape and form.
As shown in Figure 9 and Figure 10, this utility model additionally provides a kind of left atrial appendage occlusion system, it comprises the left atrial appendage occlusion device 10 described in conveyer device and technique scheme, described conveyer device comprises delivery sheath 500 and push rod 501, described left atrial appendage occlusion device 10 is arranged in described delivery sheath 500, one end of described push rod 501 is arranged in described delivery sheath 500, removably connects with the fixing head end 300 of described left atrial appendage occlusion device 10; Particularly, the end of described push rod 501 is provided with external screw thread, and described fixing head end 300 is provided with female thread, and described push rod 501 and fixing head end 300 are threaded connection.Delivery sheath 500 is enclosed within push rod 501 outside, by the female thread on fixing head end 300, plugging device is screwed on the external screw thread of push rod 501 far-end, fixing delivery sheath 500, draw push rod 501 along the direction away from plugging device, the near-end closeouts 102 of described support frame 100 is transferred sheath pipe 500 and compresses and be slowly out of shape under the effect of external force, and external diameter diminishes, thus be incorporated in delivery sheath 500, this completes the prepackage of plugging device.During clinical practice, accurately have good positioning behind the position of delivery sheath 500 in left auricle 600, fixing push rod 501, slowly withdraw delivery sheath 500, the plugging device losing constraint can to come the form of complying with left auricle 600 and be filled in the space of left auricle due to the super-elasticity of support frame 100 self in self-expanding; At this moment near-end closeouts 102 covers whole left auricle opening 601, the choked flow film 200 be covered in near-end closeouts 102 can stop entering of blood flow, and the anchor thorn 110 in distal anchor locking member 101 can catch the tissue of left auricle inwall 602, complete the fixing of plugging device, prevent from due to the contraction of left auricle, whole plugging device being extruded, cause it to come off.When the position that plugging device launches is undesirable or plugging device can not cover left auricle opening 601 completely, fixing push rod 501, delivery sheath 500 is carefully pushed to the direction of plugging device, the near-end closeouts 102 with elastic support frame 100 is transferred sheath pipe 500 and compresses and be slowly out of shape under the effect of external force, external diameter diminishes, thus is incorporated in delivery sheath 500.And distal anchor locking member 101 is also slowly incorporated in delivery sheath 500 under the effect of connecting rod 140.When being subject to external force, the clasp 150 of distal anchor locking member 101 is owing to being subject to the pull transfer effect of connecting rod 140, clasp 150 can with the hasp 160 of near-end closeouts 102 for rotating in the center of circle, and anchor thorn 110 also departs from left auricle inwall 602 smoothly under the pulling force effect of connecting rod 140 to be organized along the direction of reclaiming and can not produce new damage.Such plugging device just can be partially recovered or all be recycled in delivery sheath 500.The plugging device be partially recovered or all reclaim can be relocated and again launch release again, and plugging device and delivery sheath 500 are not damaged.In plugging device accurate positioning, launch completely, after grappling is firm, push rod 501 can be rotated counterclockwise, realize being separated of plugging device and push rod 501.
As can be seen from the above embodiments, this utility model novel in structural design, easy to operate, the damage to vascular access can be reduced, reduce a lot of risks in operation.
The foregoing is only preferred embodiment of the present utility model; not in order to limit this utility model; all within spirit of the present utility model and principle, any amendment done, equivalent replacement, improvement etc., all should be included within protection domain of the present utility model.
Claims (10)
1. a left atrial appendage occlusion device, is characterized in that, comprises support frame and choked flow film, and described support frame is the near-spherical body with elastic hollow out, and described choked flow film is arranged to hat shape, and it is set in the proximal peripheral of described support frame; The far-end circumference of described support frame is provided with anchor thorn, for grabbing the inwall being located at left auricle.
2. left atrial appendage occlusion device as claimed in claim 1, it is characterized in that, described support frame comprises near-end closeouts and distal anchor locking member, described near-end closeouts and distal anchor locking member are respectively elasticity hollow out semiglobe, and described near-end closeouts and distal anchor locking member are joined together to form described near-spherical body; Described choked flow Membrane cover is located at the periphery of described near-end closeouts, and described anchor thorn is arranged on described distal anchor locking member circumferentially.
3. left atrial appendage occlusion device as claimed in claim 2, it is characterized in that, the end of described near-end closeouts is provided with multiple hasp, and the opposed end of described distal anchor locking member is provided with corresponding clasp, and described hasp hooks and is located at the connection described clasp realizing described near-end closeouts and distal anchor locking member.
4. left atrial appendage occlusion device as claimed in claim 3, it is characterized in that, described distal anchor locking member is also connected by connecting rod with near-end closeouts, the center, end of described distal anchor locking member is provided with distal loop, the center, end of described near-end closeouts is provided with proximal loop, the two ends of described connecting rod penetrate described distal loop respectively with proximal loop and are fixedly connected with, and are provided with fixing head end, for fixing described connecting rod outside described proximal loop.
5. left atrial appendage occlusion device as claimed in claim 4, it is characterized in that, described fixing head end and described proximal loop and connecting rod, by be welded together or relevant position on described fixing head end, proximal loop and connecting rod is equipped with pin-and-hole, utilize pin to link together through the pin-and-hole on described fixing head end, proximal loop and connecting rod successively.
6. left atrial appendage occlusion device as claimed in claim 5, it is characterized in that, the expansion shape of described choked flow film is have the colored shape of multiple petal, the saw blade-shaped with multiple sawtooth or other shapes; Described hat shape is formed by multiple petal or sawtooth being stitched together between two successively.
7. left atrial appendage occlusion device as claimed in claim 6, it is characterized in that, the center of circle of described choked flow film is fixed on by described fixing head end in the proximal loop of described near-end closeouts; The circumference of described choked flow film is fixed on by the mode sewed up in sewing hole that described near-end closeouts is arranged.
8. left atrial appendage occlusion device as claimed in claim 2, it is characterized in that, described near-end closeouts and distal anchor locking member are the engraved structure be engraved as through cut with elasticity tubing.
9. a left atrial appendage occlusion system, it is characterized in that, comprise conveyer device and the left atrial appendage occlusion device as described in any one of claim 1-8, described conveyer device comprises delivery sheath and push rod, described left atrial appendage occlusion device is arranged in described delivery sheath, one end of described push rod is arranged in described delivery sheath, removably connects with the fixing head end of described left atrial appendage occlusion device.
10. left atrial appendage occlusion system as claimed in claim 9, it is characterized in that, the end of described push rod is provided with external screw thread, and described fixing head end is provided with female thread, and described push rod and fixing head end are threaded connection.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201520111803.4U CN204683686U (en) | 2015-02-15 | 2015-02-15 | A kind of left atrial appendage occlusion device and plugging system |
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| CN201520111803.4U CN204683686U (en) | 2015-02-15 | 2015-02-15 | A kind of left atrial appendage occlusion device and plugging system |
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Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104688292A (en) * | 2015-02-15 | 2015-06-10 | 上海形状记忆合金材料有限公司 | Left atrial appendage plugging device and plugging system |
| CN106955135A (en) * | 2017-04-07 | 2017-07-18 | 上海申淇医疗科技有限公司 | A kind of plugging device choked flow film and its manufacture method |
| US11857441B2 (en) | 2018-09-04 | 2024-01-02 | 4C Medical Technologies, Inc. | Stent loading device |
| US11931253B2 (en) | 2020-01-31 | 2024-03-19 | 4C Medical Technologies, Inc. | Prosthetic heart valve delivery system: ball-slide attachment |
| US11944537B2 (en) | 2017-01-24 | 2024-04-02 | 4C Medical Technologies, Inc. | Systems, methods and devices for two-step delivery and implantation of prosthetic heart valve |
| US11957577B2 (en) | 2017-01-19 | 2024-04-16 | 4C Medical Technologies, Inc. | Systems, methods and devices for delivery systems, methods and devices for implanting prosthetic heart valves |
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| US12029647B2 (en) | 2017-03-07 | 2024-07-09 | 4C Medical Technologies, Inc. | Systems, methods and devices for prosthetic heart valve with single valve leaflet |
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- 2015-02-15 CN CN201520111803.4U patent/CN204683686U/en active Active
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104688292A (en) * | 2015-02-15 | 2015-06-10 | 上海形状记忆合金材料有限公司 | Left atrial appendage plugging device and plugging system |
| US11957577B2 (en) | 2017-01-19 | 2024-04-16 | 4C Medical Technologies, Inc. | Systems, methods and devices for delivery systems, methods and devices for implanting prosthetic heart valves |
| US11944537B2 (en) | 2017-01-24 | 2024-04-02 | 4C Medical Technologies, Inc. | Systems, methods and devices for two-step delivery and implantation of prosthetic heart valve |
| US12029647B2 (en) | 2017-03-07 | 2024-07-09 | 4C Medical Technologies, Inc. | Systems, methods and devices for prosthetic heart valve with single valve leaflet |
| CN106955135A (en) * | 2017-04-07 | 2017-07-18 | 上海申淇医疗科技有限公司 | A kind of plugging device choked flow film and its manufacture method |
| US12036113B2 (en) | 2017-06-14 | 2024-07-16 | 4C Medical Technologies, Inc. | Delivery of heart chamber prosthetic valve implant |
| US11857441B2 (en) | 2018-09-04 | 2024-01-02 | 4C Medical Technologies, Inc. | Stent loading device |
| US11931253B2 (en) | 2020-01-31 | 2024-03-19 | 4C Medical Technologies, Inc. | Prosthetic heart valve delivery system: ball-slide attachment |
| US12053375B2 (en) | 2020-03-05 | 2024-08-06 | 4C Medical Technologies, Inc. | Prosthetic mitral valve with improved atrial and/or annular apposition and paravalvular leakage mitigation |
| US11992403B2 (en) | 2020-03-06 | 2024-05-28 | 4C Medical Technologies, Inc. | Devices, systems and methods for improving recapture of prosthetic heart valve device with stent frame having valve support with inwardly stent cells |
| CN118141564A (en) * | 2024-05-11 | 2024-06-07 | 惠凯医疗科技(苏州)有限公司 | Medical support, support system and conveying system thereof |
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