CN209499982U - It is a kind of through surgical implantation aorta exempt from suture biovalve - Google Patents
It is a kind of through surgical implantation aorta exempt from suture biovalve Download PDFInfo
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- CN209499982U CN209499982U CN201821721818.2U CN201821721818U CN209499982U CN 209499982 U CN209499982 U CN 209499982U CN 201821721818 U CN201821721818 U CN 201821721818U CN 209499982 U CN209499982 U CN 209499982U
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- suture
- base ring
- biovalve
- valve
- leaflet
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- 210000000709 aorta Anatomy 0.000 title claims abstract description 40
- 238000002513 implantation Methods 0.000 title claims abstract description 24
- 206010058109 Hangnail Diseases 0.000 claims description 3
- 125000004122 cyclic group Chemical group 0.000 claims description 3
- 210000003516 pericardium Anatomy 0.000 claims description 3
- 239000007787 solid Substances 0.000 claims 1
- 230000007774 longterm Effects 0.000 abstract description 2
- 230000001225 therapeutic effect Effects 0.000 abstract description 2
- 230000002308 calcification Effects 0.000 description 4
- 239000010432 diamond Substances 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000002612 cardiopulmonary effect Effects 0.000 description 2
- 210000003748 coronary sinus Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 229910003460 diamond Inorganic materials 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 208000027896 Aortic valve disease Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 240000007651 Rubus glaucus Species 0.000 description 1
- 235000011034 Rubus glaucus Nutrition 0.000 description 1
- 235000009122 Rubus idaeus Nutrition 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 210000001765 aortic valve Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 208000035269 cancer or benign tumor Diseases 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 210000002216 heart Anatomy 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000010503 organ complication Effects 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 1
- 230000002966 stenotic effect Effects 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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- Prostheses (AREA)
Abstract
The utility model relates to a kind of aortas through surgical implantation to exempt to suture biovalve, belong to medical instruments field.Including valve bracket and valve, valve bracket includes flowing into end, interlude and outflow end, and flowing into end includes the netted ventricle section of straight tube and the base ring that ventricle section one end is arranged in；Interlude is made of the arc line shaped locating rod of 3 straightening support bars and 3 pairs of outwardly convexs, and support rod is between each pair of locating rod, and one end of support rod and locating rod is fixed in base ring, and the other end is connect with outflow end；Outflow end is the network of bell shape；Valve is made of leaflet and lower skirt, and leaflet is set to inside the interlude of valve bracket, and leaflet is fixed in base ring and 3 support rods, forms the part of three movable opening and closings；Ventricle section and base ring are wrapped up outside from base ring by inner in lower skirt.The utility model provides that a kind of success rate is high, wound is small and the exact therapeutic choice of long-term results for aorta petal treatment.
Description
Technical field
The utility model relates to a kind of aortas through surgical implantation to exempt to suture biovalve, by Ultimum Ti
With biological tissue's piece constitute, be it is a kind of through surgical implantation, for aortostenosis treatment position exempt from suture bioprosthetic valves
Film device belongs to medical instruments field.
Background technique
Aortic valve disease is a kind of common heart disease, including aortostenosis and incompetence.In recent years, through leading
Pipe aorta petal implantation (Transcatheteraortic valve implantation, TAVI) is increasingly being applied to
In aortostenosis treatment, but aortic valve stent is difficult to be accurately positioned in implantation process, easily leads to valve implantation position
Inaccuracy；For the gerontal patient of severe calcification, calcification can not be thoroughly removed, valve bracket is caused to be difficult to aortic valvular ring
Fitting completely, Yi Fasheng perivalvular leakage；In addition, stenter to implant is also easy to appear misalignment.
Utility model content
The utility model discloses a kind of aorta exempt from suture biovalve, implantation process in the case where opening chest direct-view state into
Row, valve implantation use the method similar with intervention support valve, and valve is by compressible memory alloy stent and biological tissue
It constitutes, valve is first compressed to original volume 1/3 is sent to the release of aorta petal suitable position, adjustment by conveyer.Valve bottom
Portion's bracket has base ring made of one section of alloy, can be tightly fixed on the inside of human aortic annulus after balloon expandable, prevents
Only perivalvular leakage and valve displacement.
A kind of aorta through surgical implantation exempts to suture biovalve, including valve bracket and valve two parts；Its
In, valve bracket includes flowing into end, interlude and outflow end, successively combines and forms an entirety, and flowing into end includes that straight tube is netted
Ventricle section and the base ring of ventricle section one end is set；Interlude by 3 straightening support bars and 3 pairs of outwardly convexs arc line shaped
Locating rod composition, support rod is between each pair of locating rod, and one end of support rod and locating rod is fixed in base ring, the other end
It is connect with outflow end；Outflow end is the network of bell shape；Valve is made of leaflet and lower skirt, and leaflet is set to valve
Inside the interlude of membrane support, leaflet is fixed in base ring and 3 support rods, forms the part of three movable opening and closings；Under
Ventricle section and base ring are wrapped up outside from base ring by inner in skirt.
Preferably, the outflow end forms cyclic structure by six networks interconnected, and outflow end is rendered as
Bell shape, end can be equipped with hangnail.
Each pair of locating rod includes two adjacent locating rods, and 3 pairs of i.e. 6 locating rods are evenly distributed in base ring, and every
Support rod is located at the middle position of a pair of of locating rod.
The locating rod includes the structure that one section of shape is zigzag.
The locating rod is respectively fixedly connected with the connecting portion between two neighboring diamonds grids of outflow end, support rod
It is fixedly connected on the lower end of network, is fixedly connected with a support rod every the lower end of a network, support rod is every
To the middle position of locating rod, it is evenly distributed.
Respectively there is a positioning ring in the corresponding position of central point between each pair of locating rod of ventricle Duan Yu, enters position for traction valve
With.
The leaflet and lower skirt are made of animal pericardium；The leaflet is using suture sewer in valve bracket
Inside interlude, leaflet bottom is fixed in base ring, and leaflet side is fixed on 3 support rods, and formation three is movable to open
The part closed；Lower skirt is fixed in base ring, wraps up ventricle section and base ring outside by inner, i.e., fully wrapped around ventricle section it is interior
Outer two sides and base ring.
It is outer due to avoiding suture knotting near aorta petal in confined space etc. compared with conventional surgical valve replacement
Section's operation, aorta petal, which exempts from suture bioprosthetic valves, reduces cardiopulmonary bypass time and Xining, and existing data are shown, exempt to suture
Valve averagely reduces cardiopulmonary bypass time and Xining about 30 minutes, so that it is important to reduce the heart, brain, liver, kidney etc. after operation
Organ complications' incidence also avoids the surgical procedures such as suture knotting and potentially damages to aortic root.Secondly, tradition seam
When sympetalous film checks that the problems such as discovery perivalvular leakage needs to replace again such as in art, needs to remove original suture with caution, not only increase
Add operating time, and since annulus has been sewn knotting damage, sutures infectious-related complication disease incidence again and increase, and exempts to suture
Valve is removed simply, and not to the mechanical damage of annulus.
Compared with the intervention prosthetic valve replacement under radiography guidance, operated under direct-view due to exempting from suture valve, valve form
Better than lower valve replacement is intervened, not only hemodynamic Effects are more preferable, but also incidence of thrombus at a specified future date is low.For having calcification and going to live in the household of one's in-laws on getting married
The patient of biology can clear up under open surgery cleaner, more thoroughly, be bonded valve with aortic valvular ring closer, into one
Step reduces a possibility that perivalvular leakage occurs.
Therefore, the utility model provides a kind of success rate for the aorta petal treatment under the astogeny situation of China's sternness
High, wound is small and the exact therapeutic choice of long-term results.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of valve bracket of the present invention.
Fig. 2 is the structural schematic diagram of valve member of the present invention.
Main appended drawing reference explanation:
Netted 2 base ring of ventricle section of 1 straight tube
3 support rod, 4 locating rod
The network of 5 bell shapes
Specific embodiment
As shown in Figure 1, the aorta that the present invention is implanted into through surgical exempt from suture biovalve, comprising: valve bracket and
Two parts of valve；Wherein, valve bracket includes three segment mesh, and outflow end structure, intermediate segment structure and inflow end structure are successively
In conjunction with one entirety of formation.End is flowed into include connection interlude, the base ring 2 of ventricle section one end and the diamond shape of its lower end is arranged in
The netted ventricle section 1 of the straight tube of structure；Interlude is rendered as the arc line shaped of 3 straight 3 structures of support rod and 3 pairs of outwardly convexs
Locating rod 4 is composed, middle position of the support rod 3 between each pair of locating rod 4, and one end of support rod 3 and locating rod 4 is fixed
In base ring 2, the other end is connect with outflow end；Outflow end is rendered as the network 5 of the bell shape of diamond shape, and end can
There is hangnail；Valve is made of leaflet and lower skirt, and leaflet and lower skirt are made of animal pericardium, and leaflet is set to valve bracket
Inside interlude, leaflet is fixed on base ring 2 and 3 piece support rod 3, forms the part of three movable opening and closings；Lower skirt from
Base ring 2 is wrapped up ventricle section and base ring 2 by inner outside, and base ring 2 can hide delavay raspberry herb.Central point exists between each pair of locating rod 4
Ventricle section corresponding position respectively has a positioning ring, enters position for traction valve.
6 locating rods 4 are evenly distributed in base ring 2, and every support rod 3 is located at the middle position of a pair of of locating rod 4.It is fixed
The shape of position bar 4 includes one section of zigzag structure.Locating rod 4 is respectively fixedly connected between two neighboring diamonds grids of outflow end
Connecting portion, be fixedly connected with a support rod 3 every the lower end of a network, support rod 3 is in each pair of locating rod 4
Between position, be evenly distributed.
Outflow end is the cyclic structure in bell shape of six network compositions interconnected, as shown in Figure 1.
As shown in Fig. 2, leaflet is using sewer is sutured inside the interlude of valve bracket, leaflet bottom is fixed in base ring 2, valve
Leaf side is fixed on 3 support rods, forms the part of three movable opening and closings；The both ends of lower skirt are sewn in base ring 2,
Wrap up ventricle section and base ring 2 outside by inner.
The utility model is that one kind can position, the recyclable aorta for looking at lower implantation straight through surgical exempts from suture bioprosthetic valves
Film, for implantation into the aorta petal film location in situ of severe aortic film stenotic lesion, have actively be accurately positioned, valve with
The feature that annulus fitting is close, operating time is short, complex damage is small.Following embodiment can further illustrate the skill of the utility model
Art scheme.
Aorta exempts from suture biovalve finished product and is in uncompressed complete diastole state, is stored in dedicated packaging and holds
There is preservation liquid to keep valve wet in device, in container.
Aorta is exempted from suture biovalve first when use to take out from container, is put under free state in compressing gasbag
Fixed good position, then by dedicated conveying lever front end pass through aorta exempt to suture biovalve middle cavity it is (centripetal from aorta
Room is inserted into against the direction of blood flow).
It is inflated to compressive state to air bag, so that aorta is exempted from suture biovalve bracket and is retracted to uniformly around conveying lever
Extreme position rotates the knob at conveying lever handle, withdraws the umbrella-shaped structure on conveying lever top, and aorta is exempted from suture biology
The inflow end of valve bracket is accommodated in umbrella, and three guide rings are exposed visible；The slide rod device for elapsing handle portion further along, makes to slide
Bar front end storage aorta exempts to suture the remote outflow end of biovalve bracket.It deflates and unclamps air bag, carry aorta and exempt from suture biology
The conveying lever of valve is to working condition.
Aorta is cut, calcification and neoplasm are cleared up, coronary sinus corresponding position stitches three under aortic valvular ring
Guide line is passed through aorta and exempts to suture corresponding guided rings on biovalve by guide line, and guidance aorta exempts to suture bioprosthetic valves
Film is put into aortic position.Knob release aorta exempts to suture the base ring at biovalve inflow end and lower skirt at rotating handle
Structure, further accurate adjustment position of valve, makes coronary sinus sufficiently exposure and annulus is sufficiently bonded.While moving backward cunning
Conveyer is dropped back on bar side, and release aorta exempts to suture biovalve outflow end bracket, makes protrusion on locating rod and aortic annulus
Cavity wall be sufficiently bonded, outflow end top of support on cavity wall top further fixes entire bracket.
Aorta is finally exempted from suture biovalve base ring again with the sacculus of full 37 DEG C of warm water sufficiently to expand once, is disappeared
Except out-of-flatness position, it is bonded the annulus of valve completely with host's annulus, prevents perivalvular leakage.Coincide aorta, closes chest, has performed the operation
Finish.
Embodiment of above is merely to illustrate the utility model, and is not limitation of the utility model, related technology neck
The those of ordinary skill in domain, in the case where not departing from the spirit and scope of the utility model, can also make a variety of changes and
Modification, therefore all equivalent technical solutions also belong to the scope of the utility model, the scope of patent protection of the utility model is answered
It is defined by the claims.
Claims (10)
1. a kind of aorta through surgical implantation exempts to suture biovalve, including valve bracket and valve two parts；It is special
Sign is: the valve bracket includes flowing into end, interlude and outflow end, flows into end and includes the netted ventricle section of straight tube and set
Set the base ring in ventricle section one end；Interlude is made of the arc line shaped locating rod of 3 straightening support bars and 3 pairs of outwardly convexs,
Between each pair of locating rod, one end of support rod and locating rod is fixed in base ring support rod, and the other end and outflow end connect
It connects；Outflow end is the network of bell shape；The valve is made of leaflet and lower skirt, and leaflet is set to valve branch
Inside the interlude of frame, leaflet is fixed in base ring and 3 support rods, forms the part of three movable opening and closings；Lower skirt
Ventricle section and base ring are wrapped up outside from base ring by inner.
2. the aorta according to claim 1 through surgical implantation exempts to suture biovalve, it is characterised in that: described
Outflow end form cyclic structure by six networks interconnected, outflow end is rendered as bell shape.
3. the aorta according to claim 2 through surgical implantation exempts to suture biovalve, it is characterised in that: described
Outflow end end be equipped with hangnail.
4. the aorta according to claim 1 through surgical implantation exempts to suture biovalve, it is characterised in that: each pair of
Locating rod includes two adjacent locating rods, and 6 locating rods are evenly distributed in base ring.
5. the aorta according to claim 4 through surgical implantation exempts to suture biovalve, it is characterised in that: described
Locating rod include structure that one section of shape is zigzag.
6. the aorta according to claim 1 through surgical implantation exempts to suture biovalve, it is characterised in that: described
Support rod be located at the middle position of each pair of locating rod.
7. the aorta according to claim 1 through surgical implantation exempts to suture biovalve, it is characterised in that: described
Each pair of locating rod of ventricle Duan Yu between the corresponding position of central point be respectively provided with a positioning ring.
8. the aorta according to claim 1 through surgical implantation exempts to suture biovalve, it is characterised in that: described
Leaflet and lower skirt be made of animal pericardium.
9. the aorta according to claim 8 through surgical implantation exempts to suture biovalve, it is characterised in that: described
Leaflet using suture sewer inside the interlude of valve bracket, leaflet bottom is fixed in base ring, and leaflet side is solid
It is scheduled on 3 support rods.
10. the aorta according to claim 8 through surgical implantation exempts to suture biovalve, it is characterised in that: institute
The lower skirt stated is fixed in base ring, wraps up inside and outside two sides and the base ring of ventricle section.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821721818.2U CN209499982U (en) | 2018-10-23 | 2018-10-23 | It is a kind of through surgical implantation aorta exempt from suture biovalve |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821721818.2U CN209499982U (en) | 2018-10-23 | 2018-10-23 | It is a kind of through surgical implantation aorta exempt from suture biovalve |
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| Publication Number | Publication Date |
|---|---|
| CN209499982U true CN209499982U (en) | 2019-10-18 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201821721818.2U Active CN209499982U (en) | 2018-10-23 | 2018-10-23 | It is a kind of through surgical implantation aorta exempt from suture biovalve |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111110402A (en) * | 2020-01-09 | 2020-05-08 | 南京圣德医疗科技有限公司 | Structure-fitted transcatheter aortic valve implantation device |
| WO2022037242A1 (en) * | 2020-08-20 | 2022-02-24 | 先健科技(深圳)有限公司 | Valve stent and prosthetic heart valve |
| WO2022141789A1 (en) * | 2020-12-29 | 2022-07-07 | 上海纽脉医疗科技有限公司 | Heart valve |
| CN116019609A (en) * | 2023-01-04 | 2023-04-28 | 上海翰凌医疗器械有限公司 | Aortic valve |
-
2018
- 2018-10-23 CN CN201821721818.2U patent/CN209499982U/en active Active
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111110402A (en) * | 2020-01-09 | 2020-05-08 | 南京圣德医疗科技有限公司 | Structure-fitted transcatheter aortic valve implantation device |
| WO2021139301A1 (en) * | 2020-01-09 | 2021-07-15 | 南京圣德医疗科技有限公司 | Structurally fitted transcatheter aortic valve implantation device |
| EP4042973A4 (en) * | 2020-01-09 | 2022-11-23 | Nanjing Saint Medical Technology Co., Ltd. | Structurally fitted transcatheter aortic valve implantation device |
| WO2022037242A1 (en) * | 2020-08-20 | 2022-02-24 | 先健科技(深圳)有限公司 | Valve stent and prosthetic heart valve |
| WO2022141789A1 (en) * | 2020-12-29 | 2022-07-07 | 上海纽脉医疗科技有限公司 | Heart valve |
| CN116019609A (en) * | 2023-01-04 | 2023-04-28 | 上海翰凌医疗器械有限公司 | Aortic valve |
| CN116019609B (en) * | 2023-01-04 | 2023-10-17 | 上海翰凌医疗器械有限公司 | Aortic valve |
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