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Self-adaptive locating mitral valve closing plate blocking body for repairing mitral regurgitation

A technology for closing plates and mitral valves, applied in the direction of prostheses, valve rings, heart valves, etc., can solve the problems of low reliability and achieve the effect of avoiding reflux

Active Publication Date: 2014-09-17
JIANGSU UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0005] At present, the treatment methods for the above-mentioned mitral regurgitation mainly include annuloplasty, repositioning of the papillary muscles, repair of the chordae and leaflets, etc. These treatment options rely on an understanding of the delicate balance between the leaflets , not very reliable, resulting in 50% of mitral regurgitation relapses within 5 years of treatment

Method used

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  • Self-adaptive locating mitral valve closing plate blocking body for repairing mitral regurgitation
  • Self-adaptive locating mitral valve closing plate blocking body for repairing mitral regurgitation
  • Self-adaptive locating mitral valve closing plate blocking body for repairing mitral regurgitation

Examples

Experimental program
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Effect test

Embodiment 1

[0042] Figure 9 , Figure 10 , Figure 11 It is the first embodiment of the self-adaptively positioned mitral valve closure plate 4.2 of the present invention. In this embodiment, the closure plate 4.2 is made of rigid material, and the tongue-shaped plate must have an anterior valve with the mitral valve 2. The radians of the free closed lines of leaf 2.2 and posterior leaflet 2.3 are the same. The tongue-shaped plate of the closing plate 4.2 is integral with the support rod 4.3, and the two ends of the support rod 4.3 have a cylinder perpendicular to the support rod 4.3 and having a radian, and the radian of the cylinder is the same as that of the suture plastic ring 4.1 The arc is consistent. There are two cylindrical cavities parallel to the plastic ring at the position where the suturing plastic ring 4.1 is connected to the support rod 4.3, and an oblong hole communicating the cylindrical cavity with the outside world; the cylindrical cavity The diameter and length o...

Embodiment 2

[0044] like Figure 12 , Figure 13 , Figure 14 , the closure plate 4.2 is made of rigid material, and the lingual plate must have the same curvature as the free closure line of the anterior leaflet 2.2 and the posterior leaflet 2.3 of the mitral valve 2. The top of the tongue-shaped plate of the closing plate 4.2 has a quasi-triangular hole, the three vertices of the quasi-triangular hole are rounded, and the support rod 4.3 passes through the quasi-triangular hole. The cross-section of the part of the support rod 4.3 in contact with the tongue-shaped plate is an oblong whose transverse length is less than the longitudinal length, the two ends of the support rod 4.3 are cylindrical, and the suture shaping ring 4.1 is provided with two transverse An oblong hole whose length is greater than the longitudinal length, and the two ends of the support rod 4.3 are inserted into the oblong hole. The gap between the quasi-triangular hole and the oblong support rod 4.3 is small in t...

Embodiment 3

[0046] like Figure 15 As shown, the tongue plate of the closure plate 4.2 is made of flexible material, and the support rod 4.3 is fixedly connected with the suture plastic ring 4.1. Through its own flexibility, the tongue-shaped plate swings back and forth and twists left and right, so as to realize the self-adaptive positioning of the closing plate 4.2. The edge of the lingual plate made of flexible material is embedded with a frame made of elastic metal or polymer material, and the frame is used for the pressure of the anterior leaflet 2.2 and the posterior leaflet 2.3 of the mitral valve 2 The shape of the flexible tongue plate is maintained without large deformation and warping. However, the elasticity of the frame must meet the elastic deformation under the pressure of the anterior leaflet 2.2 and the posterior leaflet 2.3 of the mitral valve 2, so as to realize the swing and twist of the flexible tongue-shaped plate, and generate corresponding radians. Preferably, th...

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Abstract

The invention provides a self-adaptive locating mitral valve closing plate blocking body for repairing mitral regurgitation. The self-adaptive locating mitral valve closing plate blocking body for repairing the mitral regurgitation comprises a suture plastic ring which can be sutured on a mitral ring and a closing plate, the closing plate comprises a tongue-shaped plate and a supporting rod which is located at the top end of the tongue-shaped plate and connected with the suture plastic ring, and the closing plate can swing back and forth and can be connected to the suture plastic ring in a left-and-right twisting mode. The suture plastic ring is sutured on a valve ring of a mitral valve of a patient through a thoracotomy and an open heart surgery, a plastic function on the mitral ring which is diseased and swelled is performed, and the closing plate is supported. When a heart contracts and valve cusps are closed, the closing plate achieves self-adaptive locating of the position of the closing plate through swing and twisting of itself according to the position of regurgitation holes in the free edges of the valve cusps, the closing plate is made to be located at the position of the free edges when the two valve cusps are closed, the regurgitation holes are filled up, the closing plate is tightly attached to the free edges of the valve cusps , and the mitral regurgitation is lowered or avoided.

Description

technical field [0001] The invention belongs to a medical device, in particular to an self-adaptive positioning mitral valve closing plate blocking body for repairing mitral valve regurgitation. Background technique [0002] Human heart and valves such as figure 1 As shown, the mitral valve 2 is located between the left atrium 1 and the left ventricle 5, and controls the unidirectional flow of blood from the left atrium 1 into the left ventricle 5. A dysfunctional mitral valve 2 results in regurgitation of both leaflets, allowing blood to flow back from the left ventricle 5 back into the left atrium 1 during systole. Mitral regurgitation will cause pulmonary congestion and left ventricular hypertrophy, eventually leading to heart failure and death of the patient. [0003] The structure of mitral valve 2 is as follows figure 2 As shown, the mitral valve is a complex loaded structure consisting of annulus 2.1, anterior leaflet 2.2, posterior leaflet 2.3, chordae 2.4, papil...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F2/24
CPCA61F2/246A61F2/2445A61F2250/0006
Inventor 贺照明张凯亮荆腾
Owner JIANGSU UNIV
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