CN215307039U

CN215307039U - Valve leaf fishing device and system

Info

Publication number: CN215307039U
Application number: CN202120395011.XU
Authority: CN
Inventors: 张晓燕; 王海山; 虞奇峰; 秦涛
Original assignee: Shanghai Newmed Medical Co Ltd
Current assignee: Shanghai Newmed Medical Co Ltd
Priority date: 2021-02-22
Filing date: 2021-02-22
Publication date: 2021-12-28
Anticipated expiration: 2031-02-22

Abstract

One or more embodiments of the present specification disclose a leaflet fishing device and system. This leaflet fishing device includes: the coil body is constructed in a spiral shape and comprises a far-end coil, a middle coil and a near-end coil, wherein the far-end coil is arranged at the far end of the coil body, the near-end coil is arranged at the near end of the coil body, and the spiral inner diameter of the near-end coil and the spiral inner diameter of the far-end coil are both larger than the spiral inner diameter of the middle coil; the proximal end of the proximal coil is fixed in the proximal joint, and after the proximal joint is clamped with a delivery device, a pushing piece of the delivery device is pressed against the proximal end of the proximal coil. The leaflet catching device can be accurately arranged at a proper position, the difficulty of delivering the leaflet catching ring is reduced, and the operation time is shortened.

Description

Valve leaf fishing device and system

Technical Field

The application relates to the technical field of medical equipment, in particular to a valve leaflet catching device and system.

Background

Mitral valve lesion is a common heart valve disease, and patients with mitral valve lesion are the largest group of heart valve surgery, accounting for about 60%. Mitral valve interventions, including transcatheter mitral valve repair and transcatheter mitral valve replacement, provide a good treatment solution. Among them, transcatheter mitral valve replacement is the mainstream development direction at present, and great research and development are put into the transcatheter mitral valve replacement in various countries in the world at present. The mitral valve replacement through a catheter needs soft mitral valve leaflets, and the mitral valve leaflets cannot provide radial support force for a valve stent along with the continuous change of the cardiac cycle and the disease condition, so that the problem is usually solved by adopting an annular valve technology at present.

The problem exists that the currently used ring valve technology needs to arrange a valve leaflet catching ring at a proper position around the mitral valve leaflet before the implantation of the artificial valve, so as to provide certain supporting force for the mitral valve leaflet and further provide radial supporting force for the artificial valve which is implanted subsequently. However, the complex structure of the heart leads to the failure of accurately arranging the valve leaflet catching ring at a proper position, and the operation difficulty of the valve leaflet catching ring technology is high, and the operation time is long. Therefore, how to accurately arrange the leaflet catching ring at a proper position reduces the difficulty of delivering the leaflet catching ring and shortens the operation time becomes a technical problem to be solved urgently.

Disclosure of Invention

An object of one or more embodiments of the present specification is to provide a leaflet catching device and system that can accurately arrange the leaflet catching device at a proper position, reduce the difficulty of delivering a leaflet catching ring, and shorten the operation time.

To solve the above technical problem, one or more embodiments of the present specification are implemented as follows:

in a first aspect, a leaflet fishing device is presented, comprising: the coil body is constructed in a spiral shape and comprises a far-end coil, a middle coil and a near-end coil, wherein the far-end coil is arranged at the far end of the coil body, the near-end coil is arranged at the near end of the coil body, and the spiral inner diameter of the near-end coil and the spiral inner diameter of the far-end coil are both larger than the spiral inner diameter of the middle coil; the proximal end of the proximal coil is fixed in the proximal joint, and after the proximal joint is clamped with a delivery device, a pushing piece of the delivery device is pressed against the proximal end of the proximal coil.

In a second aspect, a leaflet catching system is provided, comprising a delivery device and a leaflet catching device as described above, wherein the delivery device comprises a pushing element, and the pushing element is against the proximal end of the proximal coil after the proximal connector is clamped to the delivery device.

As can be seen from the technical solutions provided by one or more embodiments of the present disclosure, the leaflet capturing device provided by the present application includes a wire body and a proximal joint, the wire body is configured in a spiral shape, the spiral wire body includes a distal coil, a middle coil and a proximal coil, which are sequentially arranged, wherein both a spiral inner diameter of the proximal coil and a spiral inner diameter of the distal coil are greater than a spiral inner diameter of the middle coil, such a structure facilitates the distal coil to capture leaflets when the leaflet capturing device is delivered around the leaflets of a heart, the middle coil wraps around the leaflets of the heart, and can provide sufficient radial support force for an implanted valve stent, and the proximal coil is clamped on the left atrium side at this time, thereby preventing an unexpected situation that the leaflet capturing device is flushed by blood and falls down into a ventricle before the valve stent is implanted. As the name implies, the distal coil is disposed at the distal end of the wire body, the proximal coil is disposed at the proximal end of the wire body, and the proximal end of the proximal coil is fixed to the proximal joint. The proximal joint comprises a proximal joint main body part, a proximal jaw and a proximal clamping part, the proximal jaw is arranged at one end of the proximal joint main body part, the proximal clamping part is arranged at the other end of the proximal joint main body part, the proximal joint is provided with a proximal through hole which penetrates from the proximal clamping part to the proximal jaw through the proximal joint main body part, the proximal end part of the proximal coil is clamped in the proximal jaw after being fixed to the proximal joint main body part, the proximal through hole is communicated to the proximal end part of the proximal coil, the proximal clamping part is clamped with the releasable part of the delivery device, and the pushing element of the delivery device is propped against the proximal end part of the proximal coil through the proximal through hole, so that the leaflet catching device can be fixed to the delivery device, the leaflet catching device can be accurately arranged at a proper position, the delivery difficulty of the leaflet catching ring is reduced, and the operation time is shortened.

Drawings

In order to more clearly illustrate one or more embodiments or prior art solutions of the present specification, reference will now be made briefly to the attached drawings, which are needed in the description of one or more embodiments or prior art, and it should be apparent that the drawings in the description below are only some of the embodiments described in the specification, and that other drawings may be obtained by those skilled in the art without inventive exercise.

Fig. 1 is a schematic structural view of a leaflet catching device according to an embodiment of the present invention.

Fig. 2 is a cross-sectional view of the leaflet catching device of fig. 1 disposed around the leaflets of the heart.

Fig. 3 is a partially enlarged view of the leaflet catching device of fig. 2 at a.

Fig. 4 is a schematic view of the leaflet fishing device of fig. 3 after implantation of a valve stent.

Fig. 5 is a schematic structural view of a proximal joint in another leaflet catching device according to an embodiment of the present invention.

Fig. 6 is a schematic structural view of a proximal sleeve in yet another leaflet catching device according to an embodiment of the present invention.

Fig. 7 is a schematic view of the leaflet fishing device of fig. 6 with the wire body secured to the proximal sleeve.

Fig. 8 is a cross-sectional view of the leaflet fishing device of fig. 7 taken along line B-B.

Fig. 9 is a schematic view of the structure of the leaflet fishing device of fig. 7 with the proximal sleeve secured to the proximal hub.

Fig. 10 is a schematic view showing a structure in which proximal claws are closed in still another leaflet catching device according to an embodiment of the present invention.

Fig. 11 is a schematic view showing the spread of proximal claws in still another leaflet catching device according to an embodiment of the present invention.

Fig. 12 is a schematic structural view showing the clamping of the proximal clamping portion of the leaflet catching device and the releasable portion of the delivery device according to still another embodiment of the invention.

Fig. 13 is a schematic view of the leaflet capturing device of fig. 12 with the proximal clip portion engaged with the releasable clip portion of the delivery device.

Fig. 14 is a schematic structural view of still another leaflet catching device according to an embodiment of the present invention.

Fig. 15 is a schematic cross-sectional view along a-a of the leaflet fishing device of fig. 14.

Fig. 16 is a schematic structural view of a shape memory alloy member in another leaflet catching device according to an embodiment of the present invention.

Fig. 17 is a schematic structural view of a shape memory alloy member in another leaflet catching device according to an embodiment of the present invention.

Fig. 18 is a schematic structural view of a distal sleeve of a distal joint in yet another leaflet catching device according to an embodiment of the present invention.

Fig. 19 is a schematic view of the leaflet fishing device of fig. 18 with the wire body secured in the distal sleeve.

Fig. 20 is a cross-sectional view of the leaflet fishing device of fig. 19 taken along B-B.

Fig. 21 is a schematic view of the configuration of the leaflet fishing device of fig. 19 with the distal sleeve secured to the distal hub.

1-a wire body; 10-a distal coil; 11-a distal joint; 12-a proximal joint; 20-a middle coil; 30-a proximal coil; 4-heart valve leaflets; 13-a piece of shape memory alloy; 130-a cross section of a shape memory alloy member; 131-a shape memory alloy element located on the proximal coil; 132-a piece of shape memory alloy on the middle coil; 133-a shape memory alloy element located on the distal coil; 5-a valve stent; 120-a proximal connector body portion; 121-proximal jaw; 122-proximal snap-in section; 123-a proximal via; 1220-a proximal card body; 1221-a proximal end card slot; 1200-a proximal mounting slot; 1210-proximal jaw body; 1211-proximal base; 1212-a proximal bifurcation; 1213-first proximal branch; 1215-a second proximal branch; 1214-proximal to the tip; 14-a proximal cannula; 140-proximal through slot; 141-lumen of proximal cannula; 9-a delivery device; 90-a releasable portion; 900-releasable card slot; 910-a releasable card body; 91-a push member; 8-a developing ring; 7-a packaging layer; 70-a PET layer; 71-a film layer; 710-a mesh metal layer; 711-ePTFE layer; 110-a distal joint body portion; 111-a distal jaw; 112-a guide head; 15-a distal cannula; 150-distal through slot; 151-lumen of distal cannula; 1100-distal assembly slot; 1110-a distal jaw body; 1111-distal matrix; 1112-a distal bifurcation; 1113-first distal branch; 1115 — a second distal branch; 1114-distal end.

Detailed Description

In order to make the technical solutions in the present specification better understood, the technical solutions in one or more embodiments of the present specification will be clearly and completely described below with reference to the accompanying drawings in one or more embodiments of the present specification, and it is obvious that the one or more embodiments described are only a part of the embodiments of the present specification, and not all embodiments. All other embodiments that can be derived by a person skilled in the art from one or more of the embodiments described herein without making any inventive step shall fall within the scope of protection of this document.

Referring to fig. 1, there is shown a schematic view of a leaflet fishing device according to an embodiment of the present invention. Therefore, in the leaflet catching device provided by the embodiment of the invention, the wire body is in a spiral shape, the cross section of the wire body can be in a circular shape, and the diameter of the wire body can be set according to the physiological structure of the heart leaflets of an actual patient. The valve support is designed to limit the opening size of the heart valve leaflets when the leaflet catching device is arranged at a proper position around the heart valve leaflets before the valve support is implanted into a patient body, and the middle coil plays a good supporting role on the valve support when the valve support is placed between the leaflets. The helical inner diameter is the inner diameter of a helical coil formed by spirally winding a wire body.

It should be noted that, in the present application, the proximal end is a portion close to the operator during the surgical operation and is referred to as a proximal end, and the distal end is a portion away from the operator during the surgical operation and is referred to as a distal end.

Example one

Referring to fig. 1, there is shown a schematic structural view of a leaflet fishing device according to an embodiment of the present invention. The leaflet fishing device comprises a wire body 1 and joints at two ends of the wire body 1, wherein the joints comprise a proximal joint 12 and a distal joint 11, as described above, the joint close to an operator is the proximal joint 12, and the joint far away from the operator is the distal joint 11.

As shown in fig. 1, the wire body 1 is configured in a spiral shape, and includes a distal coil 10, a middle coil 20, and a proximal coil 30, which are sequentially disposed, the distal coil 10 is disposed at a distal end of the wire body 1, and the proximal coil 30 is disposed at a proximal end of the wire body 1, as shown in fig. 1, both a spiral inner diameter of the proximal coil 30 and a spiral inner diameter of the distal coil 10 are larger than a spiral inner diameter of the middle coil 20, and the spiral inner diameter of the distal coil 30 is gradually changed as shown in fig. 1, which facilitates the distal coil to capture leaflets when the leaflets are closed when the leaflet catching device is delivered around the heart leaflets, as described above. The spiral inner diameter of the far-end coil can be set to be 30-40 mm, the opening of the far-end coil is large enough to facilitate catching when the valve leaflets are caught, but the opening is not too large to avoid abutting against the inner wall of the heart. The inner diameters of the spirals of the intermediate coils 20 are substantially the same, adjacent ones of the intermediate coils 20 are arranged relatively closely, and the intermediate coils 20 occupy most of the wire body 1. When the middle coil 20 is wrapped around the heart valve leaflets, sufficient radial supporting force can be provided for the implanted valve stent, and the spiral inner diameter of the proximal coil needs to be larger, so that the proximal coil is clamped on the left atrium side, and the valve leaflet catching device is prevented from being washed by blood flow and falling on the ventricle before the valve stent is implanted, therefore, the spiral inner diameter of the proximal coil is slightly larger than the diameter of the mitral valve annulus, the specific size of the spiral inner diameter of the proximal coil can be correspondingly set according to the valve annulus sizes of different patients, generally, the specific size can be 45 mm-60 mm, the numerical range does not limit the technical scheme of the present application, and it can be understood that the numerical reference range of the spiral inner diameter of the distal coil does not limit the technical scheme of the present application.

Referring to fig. 2, 3 and 4, before implanting the valve stent 5, a leaflet catching ring is previously arranged around the mitral valve leaflets, particularly, when the valve stent 5 is implanted between the mitral valve leaflets by reducing the expanded size of the mitral valve leaflets using the intermediate coil 20, so that the inner diameter of the leaflet catching ring is smaller than the outer diameter of the expanded valve stent 5. When the valve support 5 is expanded, the valve support 5 is not easy to axially shift and the valve support 5 is ensured to be reliably fixed by a radial supporting force applied by the valve leaflet catching ring. The wire body 1 can comprise a shape memory alloy part 13, can keep providing a supporting force for the valve support 5 for a long time, and is beneficial to protecting a patient from being affected by valve lesion for a long time. After the leaflet capture ring is placed around the mitral valve leaflets, as shown in fig. 2, 3 and 4, the proximal coil 30 is positioned in the upper left atrium, the dark circles being the cross-section 130 of the shape memory alloy element 13, and it can be seen that the intermediate coils 20 are closely spaced between adjacent coils when placed in position.

Since the shape memory alloy element 13 is subjected to a high-temperature heat setting process, after the wire body 1 is implanted around the heart valve leaflets 4, the shape memory alloy element 13 can be arranged in the previously heat-set shape.

The proximal end of the proximal coil is fixed into the proximal connector, the proximal connector is clamped with the delivery device, the pushing element of the delivery device is abutted against the proximal end of the proximal coil, and after the leaflet catching device is fixed to the delivery device, the pushing element 91 can limit the leaflet catching device along the length extension direction of the pushing element 91.

Referring to fig. 5, the proximal joint 12 includes a proximal joint body 120, proximal claws 121 and a proximal snap-in portion 122, the proximal claws 121 are disposed at one end of the proximal joint body 120, the proximal snap-in portion 122 is disposed at the other end of the proximal joint body 120, the proximal joint 12 is provided with proximal through holes 123 penetrating from the proximal snap-in portion 122 to the proximal claws 121 via the proximal joint body 120, the proximal end of the proximal coil 30 is clamped in the proximal claws 121 after being fixed to the proximal joint body 120, wherein the proximal through holes 123 are communicated to the proximal end of the proximal coil 30, the proximal snap-in portion 122 is used for being snapped in with the releasable portion 90 of the delivery device 9 (see fig. 12 and 13), and the pushing member 91 of the delivery device 9 is pushed against the proximal end of the proximal coil 30 via the proximal through holes 123. Thereby the leaflet catching device is fixed to the delivery device 9, and the push member 91 can limit the leaflet catching device along the length extension direction of the push member 91.

Before delivering the leaflet catching device provided by the present invention, the releasable portion 90 of the delivery device 9 is snapped into the proximal snap 122 of the leaflet catching device, pushing the pusher 91 outward on the delivery device 9 such that the pusher 91 passes through the proximal through hole 123 and abuts the proximal end of the proximal coil 30. After the delivery device 9 delivers the leaflet catching device to the preset position of the human body through the delivery catheter, the pushing member 91 is pulled backwards, so that the pushing member 912 leaves the proximal through hole 123, and the releasable part 90 is moved relative to the proximal clamping part 122 in the length direction perpendicular to the pushing member 91, so that the leaflet catching device is separated from the delivery device 9.

Referring to fig. 21, in some embodiments, the leaflet catching device according to the embodiments of the invention further includes a distal joint 11, the distal joint 11 includes a distal joint body portion 110, a distal claw 111, and a guide head 112, the distal claw 111 is disposed at one end of the distal body portion, the guide head 112 is disposed at the other end of the distal body portion, and a distal end portion of the distal coil 10 is held in the distal claw 111 after being fixed to the distal joint body portion 110.

The outer contour of the guide head 112 can be rounded, so that the leaflet catching device can smoothly avoid human tissues after entering the blood vessels of the human body and enter the inside of the heart. The distal end clamping jaw 111 and the proximal end clamping jaw 121 achieve the same technical effect that the end of the wire body 1 is clamped after the end of the wire body 1 is fixed on the joint main body part, so that the reliability of fixing the wire body 1 and the joint is improved.

Referring to fig. 14 and 15, in some embodiments, the leaflet catching device according to embodiments of the present invention includes a wire body 1 including a shape memory alloy member 13 extending along a length direction of the wire body 1 and a wrapping layer 7 wrapping an outer portion of the shape memory alloy member 13, a distal end portion of the shape memory alloy member 13 is fixed to a distal connector body portion 110, a proximal end portion of the shape memory alloy member 13 is fixed to a proximal connector body portion 120, and proximal claws 121 and distal claws 111 are caught on the wrapping layer 7.

It can be seen that after the distal end and the proximal end of the shape memory alloy member 13 are fixed to the distal joint body portion 110 and the proximal joint body portion 120, respectively, the distal claws 111 and the proximal claws 121 are respectively caught on the packing layer 7 of the wire body 1. The shape memory alloy member 13 may be a nickel titanium wire or the like.

Referring to fig. 16, in some embodiments, the leaflet fishing device according to embodiments of the present invention is provided in which the size of the cross section of the shape memory alloy member 133 on the distal coil 10 is smaller than the size of the cross section of the shape memory alloy member 132 on the middle coil 20 and the size of the cross section of the shape memory alloy member 131 on the proximal coil 30, and the size of the cross section 130 of the shape memory alloy member 133 on the distal coil 10 is gradually increased from the distal end of the distal coil 10 to the proximal end of the distal coil 10 until the size of the interface with the shape memory alloy member 132 on the middle coil 20 is the same.

The diameter of the shape memory alloy member 131 on the proximal coil 30 and the diameter of the shape memory alloy member 13 on the middle coil 20 can be kept uniform, not less than 0.7 mm. The diameter of the shape memory alloy element 133 on the distal coil 10 becomes larger from the distal end of the distal coil 10 to the proximal end of the distal coil 10, so that the distal end of the distal coil 10 has better compliance and can move better in the blood vessel. The distal diameter of the shape memory alloy member 133 at the distal coil 10 is not less than 0.3mm, and the maximum value of the proximal diameter of the shape memory alloy member 133 at the distal coil 10 may be the same as the diameter of the shape memory alloy member 131 at the proximal coil 30 and the diameter of the shape memory alloy member 132 at the intermediate coil 20.

Referring to fig. 14 and 15, in some embodiments, the leaflet fishing device according to the embodiments of the present invention includes a wrapping layer 7 at least on the distal coil 10, the wrapping layer including a mesh-shaped metal layer 710 and a film layer 71 sequentially wrapped on the outside of the shape memory alloy member 13, the mesh-shaped metal layer 710 having an end fixed to the shape memory alloy member 13, and the distal coil 10, the middle coil 20, and the proximal coil 30 having the same cross-sectional size.

The two ends of the mesh-shaped metal layer 710 may be welded to the shape memory alloy member 13, and the mesh-shaped metal layer 710 may be woven by a circular nickel-titanium wire, a stainless steel wire, or a platinum wire. The mesh metal layer 710 may be disposed on the distal coil 10 only, or may be disposed on the entire body of the wire body 1. If the wire body 1 is provided with all the metal braided layers, the cross-sectional dimensions of the distal coil 10, the middle coil 20 and the proximal coil 30 can be ensured to be the same. The reticular metal layer 710 can be coated on the whole wire body 1, and the two ends of the reticular metal layer 710 are welded on the shape memory alloy part 13, so that the friction force between the leaflet catching ring and the valve support 5 is increased.

Referring to fig. 14 and 15, in some embodiments, the leaflet catching device according to the embodiments of the present invention includes a film layer 71 including an ePTFE layer 711 and a PET layer 70 sequentially wrapped on a mesh metal layer 710, and the PET layer 70 is sewn to the ePTFE layer 711 by a sewing thread, which is inserted through the mesh metal layer 710. For a coil without a metal braid layer, the ePTFE layer 711 and PET layer 70 are wrapped in sequence over the shape memory alloy member 13.

In fixing the ePTFE layer 711 and the PET layer 70, a sewing thread for sewing between the ePTFE layer 711 and the PET layer 70 may be inserted into a slit in the mesh metal layer 710, so that the sewing thread is caught in the mesh metal layer 710, which may better fix the ePTFE layer 711 and the PET layer 70. The foaming process of the ePTFE layer 711 is better achieved when the mesh metal layer 710 is only disposed on the distal coil 10 when the cross-sectional dimensions of the distal coil 10, the cross-sectional dimensions of the middle coil 20, and the cross-sectional dimensions of the proximal coil 30 are the same.

As previously mentioned, the proximal jaw 121 and the distal jaw 111 may capture both ends of the membrane layer 71, including the ePTFE layer 711 and the PET layer 70. The packaging layer comprises a reticular metal layer and a film layer which are sequentially wrapped outside the shape memory alloy piece, the film layer comprises an ePTFE layer and a PET layer which are sequentially wrapped outside the reticular metal layer, the near end part of the ePTFE layer and the near end part of the PET layer are extruded into the near end assembling groove to be clamped under the pressure action of the near end clamping jaw, and the far end part of the ePTFE layer and the far end part of the PET layer are extruded into the far end assembling groove to be clamped under the pressure action of the far end clamping jaw.

The ePTFE membrane material has a microporous structure, is excellent in endothelialization, excellent in toughness and high in biocompatibility. The annulus catching device is straight before being implanted into the human body, and after entering the heart of the human body, the valve leaflet catching device starts to restore the heat-set shape (as shown in fig. 1) along with the temperature rise, and restores to a spiral shape while catching the valve leaflets. Under the condition that two ends of the ePTFE layer 711 are clamped by the far-end clamping jaws 111 and the near-end clamping jaws 121, the ePTFE layer 711 is subjected to axial tension, so that at least 7% of elongation is required according to working conditions during design, the effect of clamping the ePTFE layer 711 by the far-end clamping jaws 111 and the near-end clamping jaws 121 is also in the application, and the ePTFE layer 711 with extensibility can be limited. The ePTFE membrane layer 71 is unique in structure and is made up of a large number of solid nodes interconnected by a fine fiber matrix. The distance between the nodes is called node distance IND, which is an index of the expansion amount of the ePTFE layer 711, and the IND of the ePTFE layer 711 adopted in the embodiment of the present invention is 5 micrometers to 100 micrometers.

Referring to fig. 10, in some embodiments, the leaflet catching device according to embodiments of the present invention, the proximal joint body part 120 and the distal joint body part 110 are configured in a tubular shape, the proximal claws 121 are drawn toward the axial direction of the proximal joint body part 120, and the distal claws 111 are drawn toward the axis of the distal joint body part 110.

In fig. 10, the proximal claws 121 are in a state before the leaflet catching device is implanted into the heart of a human body, and the distal end and the proximal end of the wire body 1 can be clamped. During assembly, the ePTFE and PET layers are squeezed into the proximal assembly groove 1200 to grip under the pressure of the proximal jaw.

Referring to fig. 5 and 12, in some embodiments, the leaflet catching device according to embodiments of the present invention includes a proximal clip portion 122 including a proximal clip groove 1221 and a proximal clip body 1220, a proximal through hole 123 extending from the proximal clip body 1220 to the proximal connector body portion 120, the proximal clip body 1220 being integrally formed with the proximal connector body portion 120, a groove between the proximal clip body 1220 and the proximal connector body portion 120 forming the proximal clip groove 1221 for clipping with a releasable clip groove 900 formed on the delivery device 9. The leaflet capture device is secured to the delivery device 9 by the design of the proximal through-hole 123 and the proximal catch body 1220, proximal catch slot 1221.

In some embodiments, the leaflet fishing device provided by the embodiments of the present invention, as shown in fig. 6, 7, 8 and 9, the proximal joint body portion 120 has a proximal sleeve 14 fixed inside, and the distal end of the shape memory alloy element 13 inside the wire body 1 is fixed inside a distal sleeve 15. The material of the proximal connector body portion 120 and the proximal sleeve 14 may be nitinol, and the shape memory alloy member 13 may be welded into the proximal sleeve 14, and then the proximal sleeve 14 may be welded inside the tubular proximal connector body portion 120.

Referring to fig. 18, 19, 20 and 21, the distal end of the shape memory alloy member 13 is fixed to the inside of the proximal end sleeve 14, and the proximal through hole 123 includes the inner cavity 141 of the proximal end sleeve 14, while the distal end of the distal joint body 110 is fixed to the inside of the distal sleeve 15. It is also possible to weld the shape memory alloy member 13 into the distal sleeve 15 and then weld the distal sleeve 15 inside the tubular distal joint body 110.

Referring to fig. 21, in some embodiments, the leaflet catching device according to embodiments of the present invention is provided that the material of the distal joint 11 is a shape memory alloy, the distal through groove 150 is formed on the sidewall of the distal sleeve 15, the distal end of the shape memory alloy member 13 is welded to the edge of the distal through groove 150, the distal fitting groove 1100 is formed on the sidewall of the distal joint main body portion 110, and the distal sleeve 15 is welded to at least the edge of the distal fitting groove 1100. The distal through slot 150 and the distal mounting slot 1100 are shown to facilitate securing the shape memory alloy member 13 to the interior of the distal connector body portion 110. The shape memory alloy 13 may also be directly welded inside the distal joint body 110, but this results in a smaller inner diameter of the distal joint body 110, a smaller size of the corresponding distal jaws 111, and a smaller amount of deformation (folding and unfolding) of the smaller distal jaws 111, and accordingly the biting force of the distal jaws 111 is reduced, which affects the clamping force of the distal jaws 111 on the end of the wire body 1.

Referring to fig. 9, 10 and 11, in some embodiments, the leaflet catching device according to embodiments of the present invention is provided that the material of the proximal joint 12 is a shape memory alloy, and similarly, the proximal through groove 140 is provided on the sidewall of the proximal sleeve 14, the proximal end of the shape memory alloy member 13 is welded to the edge of the proximal through groove 140, the proximal fitting groove 1200 is provided on the sidewall of the proximal joint main body portion 120, and the proximal sleeve 14 is welded to at least the edge of the proximal fitting groove 1200. Thereby increasing the gripping force of the proximal claws 121 against the end of the wire body 1 while ensuring that the shape memory alloy element 13 is firmly fixed into the proximal joint body portion 120.

Referring to fig. 21, in some embodiments, the leaflet catching device provided by embodiments of the invention, at least the material of the proximal and

distal claws

121 and 111 is a shape memory alloy, the distal claw 111 comprises a plurality of distal claws 1110 discretely disposed at one end of the distal joint body 110, and the plurality of distal claws 1110 extend from the distal joint body 110 in a direction away from the distal joint body 110 and gradually come together until the distal ends 1114 of the plurality of distal claws 1110 come together. In fig. 21 the distal ends 1114 of the plurality of distal jaws 111 are not drawn together, whereas the proximal ends 1214 of the proximal jaws 121 shown in fig. 10 are drawn together, which allows to apply a strong grip on the end of the wire body 1.

Referring to fig. 10, in some embodiments, the leaflet catching device according to embodiments of the present invention, the proximal claws 121 include a plurality of proximal claw bodies 1210 discretely disposed at one end of the proximal joint body portion 120, and the plurality of proximal claw bodies 1210 extend from the proximal joint body portion 120 in a direction away from the proximal joint body portion 120 and gradually come together until the proximal ends 1214 of the plurality of proximal claw bodies 1210 come together.

Referring to fig. 21, in some embodiments, the leaflet catching device provided by embodiments of the invention, each distal claw body 1110 of the plurality of distal claw bodies 1110 comprises a distal base 1111 and a distal bifurcation 1112, the distal bifurcation 1112 comprises a first distal branch 1113 and a second distal branch 1115, the distal base 1111 is circumferentially disposed along the orifice of the distal joint body portion 110, the distal bifurcation 1112 extends from the distal base 1111 in a direction away from the distal joint body portion 110, and an end of the first distal branch 1113 of each distal claw body 1110 is connected to an end of the second distal branch 1115 of an adjacent distal claw body 1110. The structure can realize that the clamping force provided by the far-end claw 111 at the far tail end 1114 is concentrated on one point, the clamping force is larger, the closing effect is good, and the end part of the wire body 1 can be reliably clamped. During assembly, the ePTFE and PET layers are squeezed into the distal assembly channel 1100 to grip under the pressure of the distal body 1110.

Referring to fig. 9, 10 and 11, in some embodiments, the leaflet catching device according to embodiments of the invention includes a proximal prong 1210 of the proximal prong 1210, wherein the proximal prong 1212 includes a first proximal branch 1213 and a second proximal branch 1215, the proximal base 1211 is disposed circumferentially along the nozzle of the distal connector body 110, the proximal prong 1212 extends from the proximal base 1211 in a direction away from the proximal connector body 120, and an end of the first proximal branch 1213 of each proximal prong 1210 is connected to an end of the second proximal branch 1215 of an adjacent proximal prong 1210. The proximal claw body 1210 is divided into a proximal base 1211 and a proximal crotch portion 1212, and when the proximal claw body 1210 is spread as shown in fig. 11, the proximal crotch portion 1212 can be spread by a larger angle, which facilitates the installation of the wire body 1. When the proximal claw body 1210 is closed as shown in fig. 10, the proximal fork 1212 can generate a large clamping force at the proximal end 1214, and can reliably clamp the end of the wire body 1.

Referring to fig. 14, in some embodiments, a leaflet fishing device is provided in embodiments of the invention further comprising a visualization ring 8, the visualization ring 8 being sleeved over an outer portion of the mid-coil 20, an outer portion of the distal bifurcation 1112, and an outer portion of the proximal bifurcation 1212. By arranging the developing ring 8 at the distal bifurcation 1112 and the proximal bifurcation 1212, on one hand, the position of the developing ring 8 can be collected for the reference of the operator, and on the other hand, the developing ring 8 can clamp the distal bifurcation 1112 and the proximal bifurcation 1212, so as to improve the force of the distal bifurcation 1112 and the proximal bifurcation 1212 clamping the ePTFE layer 711 and the PET layer 70.

Through above-mentioned technical scheme, the valve leaflet fishing device that this application provided includes the line body and near-end joint, the line body is constructed for the heliciform, the spiral line body is including the distal end coil that sets up in order, middle coil and near-end coil, wherein the spiral internal diameter of near-end coil and the spiral internal diameter of distal end coil all are greater than the spiral internal diameter of middle coil, such structure is when delivering valve leaflet fishing device to around the heart valve leaflet, be convenient for the distal end coil to catch the valve leaflet, middle coil wraps around the heart valve leaflet, can provide sufficient radial support power to the valve support of implanting, near-end coil card at this moment is in left atrium side, the unexpected condition that valve leaflet fishing device was hit by the blood flow and falls at the ventricle appears before the valve support is implanted. As the name implies, the distal coil is disposed at the distal end of the wire body, the proximal coil is disposed at the proximal end of the wire body, and the proximal end of the proximal coil is fixed to the proximal joint. The proximal joint comprises a proximal joint main body part, a proximal jaw and a proximal clamping part, the proximal jaw is arranged at one end of the proximal joint main body part, the proximal clamping part is arranged at the other end of the proximal joint main body part, the proximal joint is provided with a proximal through hole which penetrates from the proximal clamping part to the proximal jaw through the proximal joint main body part, the proximal end part of the proximal coil is clamped in the proximal jaw after being fixed to the proximal joint main body part, the proximal through hole is communicated to the proximal end part of the proximal coil, the proximal clamping part is clamped with the releasable part of the delivery device, and the pushing element of the delivery device is propped against the proximal end part of the proximal coil through the proximal through hole, so that the leaflet catching device can be fixed to the delivery device, the leaflet catching device can be accurately arranged at a proper position, the delivery difficulty of the leaflet catching ring is reduced, and the operation time is shortened.

Example two

Referring to fig. 12 and 13, a structure of a leaflet catching system according to an embodiment of the present invention is schematically shown. This leaflet fishing system includes: a delivery device 9 and a leaflet harvesting device as described above, the delivery device 9 comprising a pusher 91, the pusher 91 resting against the proximal end of the proximal coil after the proximal connector is snapped onto the delivery device 9.

Referring to fig. 12 and 13, a releasable part 90 and a delivery through hole penetrating through the releasable part 90 are provided, a proximal clamping part 122 is clamped with the releasable part 90, the delivery through hole is aligned with a proximal through hole 123, and a pushing member 91 is pressed against the proximal end of the proximal coil through the delivery through hole and the proximal through hole 123. Before delivering the leaflet catching device provided by the present invention, the releasable locking groove 900 of the releasable part 90 is locked with the proximal locking body 1220 of the leaflet catching device, the releasable locking body 910 of the releasable part 90 is locked with the proximal locking groove 1221 of the leaflet catching device, and the delivery device 9 pushes the pushing member 91 outwards, so that the pushing member 91 passes through the delivery through hole and the proximal through hole, thereby pushing the pushing member 91 against the proximal end of the wire body. After the leaflet catching device is delivered to the preset position of the human body, the pushing member 91 is pulled backward so that the pushing member 91 is separated from the proximal through hole, so that the leaflet catching device is separated from the delivery device 9.

In short, the above description is only a preferred embodiment of the present disclosure, and is not intended to limit the scope of the present disclosure. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present specification shall be included in the protection scope of the present specification.

It should also be noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises the element.

The embodiments in the present specification are described in a progressive manner, and the same and similar parts among the embodiments are referred to each other, and each embodiment focuses on the differences from the other embodiments. In particular, for the system embodiment, since it is substantially similar to the method embodiment, the description is simple, and for the relevant points, reference may be made to the partial description of the method embodiment.

The foregoing description has been directed to specific embodiments of this disclosure. Other embodiments are within the scope of the following claims. In some cases, the actions or steps recited in the claims may be performed in a different order than in the embodiments and still achieve desirable results. In addition, the processes depicted in the accompanying figures do not necessarily require the particular order shown, or sequential order, to achieve desirable results. In some embodiments, multitasking and parallel processing may also be possible or may be advantageous.

Claims

1. A leaflet fishing device comprising:

the coil body is constructed in a spiral shape and comprises a far-end coil, a middle coil and a near-end coil, wherein the far-end coil is arranged at the far end of the coil body, the near-end coil is arranged at the near end of the coil body, and the spiral inner diameter of the near-end coil and the spiral inner diameter of the far-end coil are both larger than the spiral inner diameter of the middle coil;

the proximal end of the proximal coil is fixed in the proximal joint, and after the proximal joint is clamped with a delivery device, a pushing piece of the delivery device is pressed against the proximal end of the proximal coil.

2. The leaflet capturing device of claim 1, further comprising a proximal joint and a distal joint, wherein the proximal joint comprises a proximal joint main body portion, a proximal jaw and a proximal clamping portion, the proximal jaw is disposed at one end of the proximal joint main body portion, the proximal clamping portion is disposed at the other end of the proximal joint main body portion, the proximal joint is provided with a proximal through hole penetrating from the proximal clamping portion to the proximal jaw via the proximal joint main body portion, the proximal end of the proximal coil is further fixed to the proximal end of the proximal coil, the proximal clamping portion is configured to be clamped with a delivery device, and a pushing member of the delivery device abuts against the proximal end of the proximal coil via the proximal through hole; and/or the presence of a gas in the gas,

the far-end joint comprises a far-end joint main body part, a far-end claw and a guide head, the far-end claw is arranged at one end of the far-end joint main body part, the guide head is arranged at the other end of the far-end joint main body part, and the far-end part of the far-end coil is fixed to the far-end joint main body part and then clamped in the far-end claw.

3. The leaflet capturing device of claim 2, the wire body comprising a shape memory alloy member extending along a length of the wire body and a wrapping layer wrapping outside the shape memory alloy member, a distal end of the shape memory alloy member being fixed to the distal joint body portion, a proximal end of the shape memory alloy member being fixed to the proximal joint body portion, the proximal and distal jaws being captured on the wrapping layer.

4. The leaflet fishing device of claim 3, the shape memory alloy element on the distal coil having a cross-sectional dimension that gradually increases from the distal end of the distal coil to the proximal end of the distal coil until conforming to the cross-sectional dimension of the shape memory alloy element on the intermediate coil, the shape memory alloy element on the proximal coil having a cross-sectional dimension that conforms to the cross-sectional dimension of the shape memory alloy element on the intermediate coil.

5. The leaflet capturing device of claim 3, the wrapping layer comprising a mesh-shaped metal layer and a film layer sequentially wrapped around the shape memory alloy member, ends of the mesh-shaped metal layer being fixed to the shape memory alloy member, and a cross-sectional dimension of the distal coil, a cross-sectional dimension of the middle coil, and a cross-sectional dimension of the proximal coil being the same.

6. The leaflet capturing device of claim 5, the membrane layer comprising an ePTFE layer and a PET layer sequentially wrapped outside the mesh metal layer, the PET layer being sewn to the ePTFE layer by sewing threads, the sewing threads being interpenetrated on the mesh metal layer.

7. The leaflet fishing device of claim 6, the proximal joint body portion and the distal joint body portion being configured in a tubular shape, the proximal catches converging toward an axial direction of the proximal joint body portion, and the distal catches converging toward an axis of the distal joint body portion.

8. The leaflet capturing device of claim 7, the proximal clip portion comprising a proximal clip slot and a proximal clip body, the proximal through hole extending from the proximal clip body to the proximal connector body portion, the proximal clip body being integrally formed with the proximal connector body portion, the groove between the proximal clip body and the proximal connector body portion forming the proximal clip slot for clipping with a releasable clip slot formed on the delivery device.

9. The leaflet fishing device of claim 8, the proximal hub body portion having a proximal sleeve secured to an interior thereof, the distal hub body portion having a distal sleeve secured to an interior thereof, the shape memory alloy member within the wire body having a distal end secured to an interior thereof, the shape memory alloy member having a proximal end secured to an interior thereof, the proximal throughbore comprising an inner lumen of the proximal sleeve.

10. The leaflet capturing device of claim 9, wherein the material of the proximal hub and the material of the distal hub are both shape memory alloys, the distal sleeve has a distal through slot formed in a sidewall thereof, the distal end of the shape memory alloy member is welded to an edge of the distal through slot, the distal hub body portion has a distal fitting slot formed in a sidewall thereof, and the distal sleeve is welded to at least an edge of the distal fitting slot; and/or a near-end through groove is formed in the side wall of the near-end sleeve, the near-end of the shape memory alloy piece is welded to the edge of the near-end through groove, a near-end assembling groove is formed in the side wall of the near-end joint main body part, and the near-end sleeve is at least welded to the edge of the near-end assembling groove.

11. The leaflet fishing device of claim 10, the proximal end of the ePTFE layer and the proximal end of the PET layer being pinched into the proximal fitting groove under pressure of the proximal jaw and/or the distal end of the ePTFE layer and the distal end of the PET layer being pinched into the distal fitting groove under pressure of the distal jaw.

12. The leaflet fishing device of claim 8, the material of at least the proximal and distal fingers being a shape memory alloy, the distal finger including a plurality of distal fingers discretely disposed at one end of the distal connector body portion, and the plurality of distal fingers extending from the distal connector body portion in a direction away from the distal connector body portion and gradually converging until distal ends of the plurality of distal fingers converge together; and/or the proximal claw comprises a plurality of proximal claw bodies discretely arranged at one end of the proximal joint main body part, and the plurality of proximal claw bodies extend from the proximal joint main body part along the direction far away from the proximal joint main body part and gradually close together until the proximal ends of the plurality of proximal claw bodies close together.

13. The leaflet fishing device of claim 12, each of the plurality of distal finger bodies comprising a distal base and a distal bifurcation, the distal bifurcation comprising a first distal branch and a second distal branch, the distal base disposed circumferentially along the orifice of the distal joint body portion, the distal bifurcation extending from the distal base in a direction away from the distal joint body portion, an end of the first distal branch of each distal finger body connected to an end of the second distal branch of an adjacent distal finger body; and/or each proximal jaw body of the plurality of proximal jaw bodies comprises a proximal base body and a proximal bifurcation, the proximal bifurcation comprises a first proximal branch and a second proximal branch, the proximal base body is circumferentially arranged along the orifice of the distal joint body part, the proximal bifurcation extends from the proximal base body in a direction away from the proximal joint body part, and an end of the first proximal branch of each proximal jaw body is connected to an end of the second proximal branch of an adjacent proximal jaw body.

14. The leaflet capture device of claim 13, further comprising a visualization ring that fits over an exterior of the mid-coil, an exterior of the distal bifurcation, and an exterior of the proximal bifurcation.

15. A leaflet capture system comprising a delivery device and the leaflet capture device of any of claims 1-14, the delivery device comprising a pusher member that rests against a proximal end of the proximal coil after the proximal hub is snapped into place with the delivery device.