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Left auricle occluder with bionic spinule attachment structures

A technology of occluder and occluder disc, which is applied in the field of medical devices, and can solve problems such as the barbed structure is easy to pierce the left atrial appendage, cannot adapt to the anatomical shape of the left atrial appendage, and has poor occlusion performance.

Pending Publication Date: 2021-01-01
NINGBO DIOCHANGE MEDICAL TECH CO LTD +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

The barb can penetrate into the inner wall of the left atrial appendage, provided that the support network inside the barb provides radial support, and the support network is usually a regular structure of rotation, which cannot adapt to various anatomical shapes of the left atrial appendage. In reality, the left atrial appendage is absolutely Most of them are flat, shallow mouth, and multi-lobed, so they are even more difficult to adapt. Even if they can be inserted, the self-centering ability is insufficient, the sealing performance is poor, and residual shunts are formed; at the same time, the barb structure itself also has design defects: first, the left atrial appendage The inner wall is very thin, and the barbed structure is easy to pierce the left atrial appendage, which may easily cause risks such as pericardial effusion; in addition, the inner wall of the left atrial appendage is rich in comb muscles and muscle trabeculae, and the inner wall is thin. The opening of the left atrial appendage is mostly a non-circular flat structure, and the opening of the left atrial appendage and its inner cavity are at a certain bending angle
Just because everyone's LAA structure is different, there is currently no LAA occluder on the market that can fully adapt to the anatomical characteristics of all LAA

Method used

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  • Left auricle occluder with bionic spinule attachment structures
  • Left auricle occluder with bionic spinule attachment structures
  • Left auricle occluder with bionic spinule attachment structures

Examples

Experimental program
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Effect test

Embodiment 1

[0139] Such as figure 1 and figure 2 As shown, the left atrial appendage occluder 1 with bionic micro-thorn attachment structure provided by the present invention includes an attachment frame 12, and the attachment frame 12 includes a plurality of elastic skeletons 121 and a plurality of bionic micro-thorn attachment structures 122. In this state, a plurality of skeletons 121 diverge from the center outward and form a three-dimensional structure. The attachment frame 12 is adaptive to anatomical shapes. The bionic micro-thorn attachment structure 122 is arranged on the outer surface of the skeleton 121. The shape is the sparse microthorns on the surface of the imitation plant. The bionic microthorn attachment structure 122 includes thorn roots 1220 and microthorns 1221. The microthorns 1221 are composed of sashimi 12210 and thorn points 12211. The microthorns 1221 are linear or J-shaped or With the combination of the two, the sashimi 12210 and / or the thorn point 12211 can t...

Embodiment 2

[0153] refer to Figure 20 a and Figure 20 b, based on the first embodiment, in the second embodiment, the attachment frame 12 includes a surrounding body 123, the surrounding body 123 is wound on the skeleton 121, and at least wraps the thorn roots 1220 attached to the skeleton 121 for strengthening The connection strength between the skeleton 121 and the bionic microthorn attachment structure 122. The design of the surrounding body 123 also has the following advantages: a) the surrounding body 123 avoids direct contact between part or all of the skeleton 121 and the cavity tissue, which reduces the precipitation of metal ions and improves biocompatibility; b) reduces the coefficient of friction and reduces The retraction and release resistance of the attachment frame 12 in the delivery sheath 2; c) increase the smoothness, and experience a better hand feeling; d) enhance the fatigue resistance and durability of the attachment frame 12, and play the role of "secondary prote...

Embodiment 3

[0160] refer to Figure 24 , compared with Embodiment 1 and Embodiment 2, the difference between Embodiment 3 and Embodiment 1 and Embodiment 2 is that the attachment frame 12 is further provided with a flexible second flow-blocking film 124, and the second flow-blocking film 124 is attached and connected to the frame 121, and its design has the following advantages: a) It can achieve the effect of secondary occlusion, and can prevent the existing and possible thrombus 3 from falling off in the inner cavity of the left atrial appendage, and further improve the effectiveness of occlusion and security like Figure 25 As shown; b) has the function of step-by-step obstruction, especially when the attachment frame 12 is just released during the operation (the occlusion disc 10 has not been deployed at this time), it can push the existing thrombus 3 inside the left atrial appendage back to the left The inner cavity of the atrial appendage prevents the thrombus 3 from coming off fro...

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Abstract

The invention relates to a left auricle occluder with bionic spinule attachment structures. The left auricle occluder at least comprises an attachment frame; the attachment frame includes a pluralityof elastic skeletons and a plurality of bionic spinule attachment structures; under a natural unconstrained state, the plurality of skeletons diverge outwards from the center and define a three-dimensional structure, and the attachment frame has anatomical form adaptability; the bionic spinule attachment structures are arranged on outer surfaces of the skeletons; each of the bionic spinule attachment structures has a form of imitating sparse spinules on the surface of a plant; each bionic spinule attachment structure includes a spinule root and a spinule; each spinule consists of a spinule body and a spinule tip; each spinule is in a straight line shape or a J shape or a combination of the straight line shape and the J shape; and the spinule bodies and / or the spinule tips can touch left auricle inner cavity tissues, thus realizing an attachment-type anchoring function. The left auricle occluder has a wide adaption range, has no injury during anchoring, is firm, has high safety, has excellent occluding effectiveness, and also facilitating realization of personalized customization aiming at clinical demands of patients.

Description

technical field [0001] The invention relates to a medical device, in particular to a left atrial appendage occluder with a bionic micro-thorn attachment structure. Background technique [0002] Atrial fibrillation (abbreviated as atrial fibrillation) is one of the most common clinical arrhythmias, with an incidence rate of 1% to 2% in the population. At the same time, the incidence of atrial fibrillation is also increasing with age. Some research reports point out that , the incidence of atrial fibrillation among people over the age of 80 reaches 10% to 17%. In addition to the discomfort caused by symptoms such as palpitations, dizziness, and shortness of breath, the main hazard of atrial fibrillation is the formation of thrombosis in the heart. After the thrombus falls off, it can lead to complications such as stroke, organ embolism, and peripheral vascular embolism. At present, there are more than 10 million patients with atrial fibrillation in my country, about 70% of wh...

Claims

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Application Information

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IPC IPC(8): A61B17/12A61B17/00
CPCA61B17/12122A61B17/0057A61B17/12168A61B17/12172A61B17/12177
Inventor 周达新张晓春葛均波李彪邵烨吕世文
Owner NINGBO DIOCHANGE MEDICAL TECH CO LTD
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