A repair system for facilitating penetration
Patent Information
- Application Number
- CN202210946389.3
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2022-08-08
- Publication Date
- 2026-09-18
- Estimated Expiration
- 2042-08-08
AI Technical Summary
[0005]综上所述,现有技术中存在以下目前急需解决的问题:第一,穿刺结构在穿刺时由于没有得到相应的支撑力而难以准确穿刺的问题;第二,修复单元套设在穿刺结构外造成修复效果不佳或发生干涉的问题
1.现有技术中,穿刺结构进行穿刺时,一方面由于被穿刺的组织厚度小、柔性大,另一方面由于穿刺结构穿刺时只提供一个方向的穿刺力,不提供相应的反向的支撑力,穿刺结构难以正常穿过待修复组织,导致穿刺失败或穿刺位置不理想等问题,而本申请的技术方案则避免了以上问题,本方案采用了一种便于穿刺的修复系统,包括双穿刺结构、抓捕装置和修复构件,首先,修复构件至少部分套设在双穿刺结构内,双穿刺结构在修复过程中能够往返穿过待修复组织,这相当于带动修复构件依次穿过第一组织和第二组织,并且由于修复构件套设在双穿刺结构内,手术过程中不会发生与组织干涉或伤害组织的情况;同时,值得一提的是,抓捕装置在修复过程中设置在双穿刺结构的第一次穿刺起点侧并抵住组织,为双穿刺结构第二次穿刺的组织提供了支撑力(第二次穿刺的组织厚度小、柔性大),因而第二次穿刺的组织得到了分别来自近端和远端方向的支撑力与穿刺力,受力平衡,第二次穿刺的组织能够被限制住,使得双穿刺结构能够顺利地在第二组织上的目标位置进行穿刺,穿刺点的准确性得到了保障,有利于后续修复动作的进行,实用性强,推广价值高。
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Figure CN117562633B_ABST
Abstract
Description
Technical Field
[0001] This application relates to the field of medical devices, and in particular to a puncture-friendly repair system. Background Technology
[0002] The foramen ovale is a physiological passage in the atrial septum of the heart during embryonic development. Since the fetus lacks pulmonary circulation, oxygenated blood from the umbilical cord flows from the right atrium into the left atrium through the foramen ovale. After birth, as pulmonary circulation develops, left atrial pressure increases, causing the secondary and primary septa to approach and fuse, gradually forming a permanent atrial septum. However, in some individuals, this fusion fails, resulting in patent foramen ovale (PFO). In patients with PFO, the remaining slit-like abnormal passage between the primary and secondary septa acts like a functional valve. Because the blood pressure in the left atrium is higher than in the right atrium, blood may flow from the left atrium into the right atrium through the foramen ovale. Prolonged blood flow from the left atrium to the right atrium leads to an increase in right atrial blood volume, causing right ventricular hypertrophy and increased pulmonary blood volume.
[0003] Patent CN201811177715.9 discloses a suturing device. The technical defects of this solution are as follows: because the primary septum is thinner and more flexible than the secondary septum, the primary septum is not easy to puncture. At the same time, the tubular catheter has a large diameter due to the puncture catheter inside, and there is no corresponding reaction force to restrict the primary septum, making it even more difficult to puncture the primary septum. The primary septum will only be pushed towards the left atrium by the tubular catheter, which will damage the primary septum tissue, affect the normal heartbeat, and result in high surgical risk and low feasibility.
[0004] Patent CN202210546721.7 provides a repair system. The technical defect of this solution is that when the repair unit is connected to the double puncture structure, if the repair unit is a flexible component, the actual repair effect is not good and it is prone to breakage after long-term use. If the repair unit is a rigid component, it is easy to interfere with the primary and secondary septa during the movement of the double puncture structure, resulting in damage to intracardiac tissue and causing secondary injury.
[0005] In summary, the existing technology has the following problems that urgently need to be solved: First, the puncture structure is difficult to puncture accurately because it does not receive the corresponding support force during puncture; Second, the repair unit is placed outside the puncture structure, resulting in poor repair effect or interference. Summary of the Invention
[0006] This application is made in view of the above and other ideas.
[0007] One of the purposes of this application is to overcome the shortcomings of the prior art and to provide a repair system that facilitates puncture, addressing the issues of unreasonable puncture structure design and unreasonable repair unit design.
[0008] The objective of this invention is achieved through the following solution: A puncture-friendly repair system includes at least a double-puncture structure, a grasping device, and a repair component. The repair component is at least partially fitted within the double-puncture structure. During the repair process, the double-puncture structure can puncture two tissues with gaps back and forth. The grasping device is positioned on the first puncture starting point side of the double-puncture structure and abuts against the tissue, providing support for the tissue punctured by the double-puncture structure in the second puncture. Furthermore, the double-puncture structure delivers the repair component to the target position during the puncture process, and the repair component connects the two punctured tissues to reduce or eliminate the gap.
[0009] The objective of this invention can also be further achieved through the following technical solutions: Furthermore, the repair system also includes a guide connected to the distal end of the repair component.
[0010] Furthermore, the dual-puncture structure includes a first puncture member and a second puncture member; and the second puncture member is sleeved inside the first puncture member.
[0011] Furthermore, the distal end of the guide is pointed, and the guide is positioned at the distal end of the double-puncture structure during pre-installation.
[0012] Furthermore, when the dual-puncture structure performs the first puncture, the first puncture member pushes the guide member to complete the puncture; when the dual-puncture structure performs the second puncture, the first puncture member or the second puncture member pushes the guide member to complete the puncture.
[0013] Furthermore, the guide is coil-shaped or spherical, and is pre-installed within the double-puncture structure, and is located at the distal end of the second puncture member.
[0014] Furthermore, the first and second punctures of the dual-puncture structure are both completed by the first puncture member; and after the second puncture is completed, the second puncture member pushes out the guide member.
[0015] Furthermore, the repair system also includes a stabilizing structure connected to the dual-puncture structure. The stabilizing structure includes a fixing member and a connecting member. When the dual-puncture structure performs a second puncture, the connecting member is pulled to ensure the puncture angle.
[0016] Furthermore, the repair system also includes a retrieval catheter, in which the dual-puncture structure and the stabilizing structure are pre-installed and fitted together; and the distal end of the retrieval catheter is pointed, so that the retrieval catheter will pass through the tissue that was punctured for the first time in order to retrieve the dual-puncture structure.
[0017] Furthermore, the capturing device includes a capturing rod and a capturing ring connected to the distal end of the capturing rod; and, in its natural state, the capturing rod and the capturing ring are not on the same plane.
[0018] Furthermore, before the second puncture of the double-puncture structure, the proximal portion of the capture circle abuts against the tissue; and, in the projection direction of the capture circle, the guide is located within the capture circle.
[0019] Furthermore, the repair component includes a locking unit and a connecting unit; and after the second puncture of the dual-puncture structure is completed, the second puncture member and / or the first puncture member are retrieved, and the entire guide member and part of the connecting unit are exposed in the body.
[0020] Furthermore, the far end of the capture circle captures the guide component. During the process of pulling the capture rod towards the near end, the connecting unit passes through the first puncture point and the second puncture point in sequence and moves towards the near end. When the locking unit is connected to or in contact with both the first puncture point and the second puncture point, the repair component is rotated until the locking unit separates from the repair component.
[0021] Furthermore, the stabilizing structure is connected to the first puncture member.
[0022] Furthermore, the connector is a flexible component and does not have a predetermined shape.
[0023] Furthermore, the locking unit is made of metal.
[0024] Furthermore, when the double-puncture structure performs a second puncture, the tissue subjected to the second puncture receives a puncture force from the double-puncture structure or the guide and a supporting force from the capture ring. The puncture force is directed towards the proximal end, and the supporting force is directed towards the distal end, thereby confining the tissue subjected to the second puncture between the two and stably securing it, thus successfully achieving the second puncture.
[0025] Furthermore, during the first puncture, the dual-puncture structure, carrying the guide, enters the left atrium from the right atrium; during the second puncture, the dual-puncture structure, carrying the guide, enters the right atrium from the left atrium.
[0026] Furthermore, the direction of the first puncture of the double puncture structure is from the proximal end to the distal end, and the direction of the second puncture of the double puncture structure is from the distal end to the proximal end.
[0027] Furthermore, the first puncture of the double-puncture structure is from the right atrium through the secondary septum to the left atrium, and the second puncture of the double-puncture structure is from the left atrium through the primary septum to the right atrium.
[0028] Furthermore, the double-puncture structure penetrates both the tertiary and primary septa simultaneously during the first puncture.
[0029] Furthermore, the double-puncture structure simultaneously penetrates the primary septum / secondary septum during the second puncture.
[0030] Furthermore, the direction of the first puncture of the double puncture structure is opposite to the direction of the second puncture of the double puncture structure.
[0031] Furthermore, the repair system also includes an outer sheath, and the retrieval conduit and the capture rod are sleeved inside the outer sheath.
[0032] Furthermore, the repair system also includes an operating handle that controls the movement of the dual-puncture structure, the capture device, the repair component, and the stabilizing structure.
[0033] Furthermore, the guide includes a sharp part and a limiting step. The advantages of this design are: first, the sharp part helps the double puncture structure to puncture; second, the limiting step restricts the limiting unit to be placed at the far end of the double puncture structure; and third, the limiting step facilitates the capture ring's grasping.
[0034] Compared with the prior art, the advantages of the technical solution of this application include at least the following: 1. In existing technologies, when a puncture structure is used for puncture, problems arise due to the small thickness and high flexibility of the tissue being punctured, and because the puncture structure only provides puncture force in one direction and does not provide corresponding reverse support force. This makes it difficult for the puncture structure to pass through the tissue to be repaired normally, leading to puncture failure or unsatisfactory puncture positions. The technical solution of this application avoids these problems. This solution employs a repair system that facilitates puncture, including a double puncture structure, a grasping device, and a repair component. First, the repair component is at least partially fitted within the double puncture structure. During the repair process, the double puncture structure can pass back and forth through the tissue to be repaired. This is equivalent to driving the repair component to pass through the first and second tissues sequentially. Furthermore, because... The repair component is fitted within the double-puncture structure, preventing interference or damage to tissue during surgery. Furthermore, it's worth noting that the grasping device, positioned at the first puncture point of the double-puncture structure and abutting against the tissue, provides support for the second puncture (the second puncture site is thinner and more flexible). This balance of forces, with support and puncture force from both proximal and distal directions, allows the double-puncture structure to smoothly puncture the target location on the second tissue, ensuring accuracy and facilitating subsequent repair procedures. This design is highly practical and has significant potential for wider application.
[0035] 2. In the prior art, after the first puncture, the puncture structure is unable to support and penetrate the primary septum during the second puncture due to the lack of any support, easily leading to puncture failure or tearing of the primary septum causing secondary damage. The technical solution of this application avoids these problems. This solution employs a repair system that facilitates puncture, including a double-puncture structure, a grasping device, and repair components. After the first puncture by the double-puncture structure, the grasping device abuts against the primary septum or the primary and secondary septum at the side of the first puncture starting point, providing distal support for the double-puncture structure to puncture the primary septum. Furthermore, since the direction of the second puncture is proximal, the primary septum receives support from the double-puncture structure and the grasping device. The forces in both directions are firmly clamped during puncture, preventing significant shaking or vibration of the primary septum throughout the second puncture. The dual-puncture structure allows for easy puncture at the target location without tearing intracardiac tissue, improving surgical safety. Furthermore, the operation is simple and efficient, possessing significant clinical value. In addition, after providing support, the grasping device can also grasp the repair component. Under the action or pull of the grasping device, the locking unit of the repair component can move to connect or contact both the first and second puncture points. Subsequently, the locking unit is operated to pull or traction the secondary and primary septa together to complete the repair of the foramen ovale. In summary, the grasping device is ingeniously designed, multi-functional, and highly practical.
[0036] 3. According to a concept of this application, the repair component includes a locking unit and a connecting unit. The distal end of the connecting unit is connected to a guide. The locking unit and the connecting unit are pre-installed within a double-puncture structure. The guide is sharp and connected to the distal end of the double-puncture structure. The purpose of this design is that, since the locking unit is made of metal, its placement within the double-puncture structure not only avoids interference with the tissue during puncture but also facilitates the movement of the locking unit to the target position. The double-puncture structure provides a "movement track" for the locking unit, resulting in a high degree of fit and smooth operation. On the other hand, since the guide is designed to penetrate the tissue to be repaired before being captured by the capture device into the outer sheath, its sharp shape helps the double-puncture structure penetrate the tissue. Furthermore, the guide also includes a limiting step, which facilitates capture by the capture ring. In summary, the components fit tightly together, resulting in high operability.
[0037] 4. According to a concept of this application, the repair system also includes a stabilizing structure connected to the dual-puncture structure. The stabilizing structure includes a fixing member connected to the first puncture member. After the first puncture member completes the first puncture, tightening or operating the connecting member can fix the position of the first puncture member. This is beneficial for ensuring the puncture angle and puncture point position of the second puncture member when it is punctured, so that the second puncture member will not bend arbitrarily when it is punctured, thereby stably puncturing the tissue.
[0038] The embodiments of this application can achieve other advantageous technical effects not listed one by one, which may be partially described below; and these other technical effects can be expected and understood by those skilled in the art after reading this application. Attached Figure Description
[0039] The above-described features and advantages of these embodiments, as well as other features and advantages, and the ways in which they are implemented, will become more apparent from the following description in conjunction with the accompanying drawings; and embodiments of this application can be better understood, in which: Figures 1a-1c This is a schematic diagram of the overall structure of the repair system of the present invention. Figures 2a-2c This is a schematic diagram of the structure of the repair component and the double-puncture component of the present invention.
[0040] Figures 3a-3c This is a schematic diagram of the first puncture of the secondary septum using the double-puncture structure of the present invention.
[0041] Figures 4a-4c This is a schematic diagram of the process of the second puncture of the primary septum using the double-puncture structure of the present invention.
[0042] Figures 5a-5c This is a schematic diagram of the recovery process using the double-puncture structure of the present invention.
[0043] Figures 6a-6f This is a schematic diagram illustrating the process by which the repair component of the present invention pulls or tractions two punctured pieces of intracardiac tissue to one place.
[0044] Figure 7a and 7b This is another embodiment of the guide component of the present invention.
[0045] The features represented by the numbers in the attached diagram are as follows: 1-Double puncture structure, 11-First puncture component, 12-Second puncture component, 2-Capture device, 21-Capture rod, 22-Capture ring, 3-Repair component, 31-Locking unit, 32-Connecting unit, 4-Stabilizing structure, 41-Fixing component, 42-Connecting component, 5-Guide component, 51-Sharp part, 52-Limiting step, 6-Recovery conduit, 7-Limiting tube, 8-Outer sheath tube. Detailed Implementation
[0046] The details of one or more embodiments of this application will be set forth in the following description of the accompanying drawings and specific embodiments. Other features, objects, and advantages of this application will become clear from these descriptions, drawings, and claims.
[0047] It should be understood that the phrases and terms used in this document are for descriptive purposes and should not be considered restrictive. The use of “including,” “contains,” or “has,” and their variations, in this document is intended to include, in an open-ended manner, the items listed thereafter, their equivalents, and any additional items.
[0048] The present application will now be described in more detail with reference to various embodiments and examples of several aspects thereof.
[0049] In this application, the terms "proximal" or "proximal" refer to the end or side closer to the surgeon, and "distal" or "distal" refer to the end or side farther from the surgeon.
[0050] In this application, the term "first puncture" refers to puncturing the distal end of the double puncture structure from the proximal end to the distal end, and the term "second puncture" refers to puncturing the distal end of the double puncture structure from the distal end to the proximal end.
[0051] In this application, the term "first tissue" refers to the tissue punctured for the first time, and the term "second puncture" refers to the tissue punctured for the second time.
[0052] In this application, the term "round trip" refers to a trip on a plane or in three-dimensional space, not a straight-line round trip.
[0053] Example 1 like Figures 1a-1c The illustration shows a puncture-friendly repair system according to an embodiment of this application, comprising at least a double-puncture structure 1, a gripping device 2, and a repair component 3. The repair component 3 is at least partially fitted within the double-puncture structure 1. During the repair process, the double-puncture structure 1 can puncture two tissues with gaps back and forth. The gripping device 2 is positioned at the first puncture starting point of the double-puncture structure 1 and abuts against the tissue, providing support for the tissue punctured by the double-puncture structure 1 in the second puncture. Furthermore, the double-puncture structure 1 delivers the repair component 3 to the target position during the puncture process, and the repair component 3 connects the two punctured tissues to reduce or eliminate gaps.
[0054] In this first embodiment, the repair system further includes a guide 5 connected to the distal end of the repair component 3, such as... Figure 2a As shown.
[0055] In this first embodiment, the double-puncture structure 1 includes a first puncture member 11 and a second puncture member 12; and the second puncture member 12 is sleeved inside the first puncture member 11, as shown below. Figure 2b As shown.
[0056] In this first embodiment, the distal end of the guide 5 is pointed. The guide 5 is pre-installed at the distal end of the double-puncture structure 1, such as... Figure 2c As shown.
[0057] In this first embodiment, the guide 5 includes a pointed portion 51 and a limiting step 52, such as Figure 2a As shown, the advantages of this design are: first, the sharp part 51 is conducive to assisting the double puncture structure 1 in puncturing; second, the limiting step 52 restricts the limiting unit to be placed at the far end of the double puncture structure 1; and third, the limiting step 52 is conducive to the capture circle 22 grasping.
[0058] In this first embodiment, when the dual-puncture structure 1 performs its first puncture, the first puncture member 11 pushes the guide member 5 to complete the puncture, as shown below. Figure 3b As shown; when the double-puncture structure 1 performs a second puncture, the first puncture member 11 or the second puncture member 12 pushes the guide member 5 to complete the puncture, as shown. Figure 4c As shown.
[0059] In this first embodiment, the repair system further includes a stabilizing structure 4 connected to the double-puncture structure 1. The stabilizing structure 4 includes a fixing member 41 and a connecting member 42. When the double-puncture structure 1 performs a second puncture, the connecting member 42 is pulled to ensure the puncture angle. Figure 4a and 4b As shown.
[0060] In this first embodiment, the connector 42 is a flexible component and does not have a preset shape.
[0061] In this first embodiment, the repair system further includes a retrieval catheter 6. The dual-puncture structure 1 and the stabilizing structure 4 are pre-installed within the retrieval catheter 6. Furthermore, the distal end of the retrieval catheter 6 is pointed. To retrieve the dual-puncture structure 1, the retrieval catheter 6 passes through the tissue that was first punctured, such as... Figure 5a As shown.
[0062] In this first embodiment, the first puncture element 11 can only be retrieved after the retrieval catheter 6 has passed through the tissue punctured for the first time.
[0063] In this first embodiment, the capture device 2 includes a capture rod 21 and a capture ring 22 connected to the far end of the capture rod 21; and, in its natural state, the capture rod 21 and the capture ring 22 are not on the same plane.
[0064] In this first embodiment, before the second puncture of the double-puncture structure 1, the proximal portion of the capture ring 22 abuts against the tissue; and, in the projection direction of the capture ring 22, the guide 5 is positioned within the capture ring 22, such as... Figure 1a As shown.
[0065] In this first embodiment, when the double puncture structure 1 performs a second puncture, the tissue subjected to the second puncture receives the puncture force provided by the double puncture structure 1 or the guide 5 and the support force provided by the capture ring 22. The puncture force is directed towards the proximal end, and the support force is directed towards the distal end, so that the tissue subjected to the second puncture is confined between the two and stably held in place, thus successfully achieving the second puncture.
[0066] The repair component 3 includes a locking unit 31 and a connecting unit 32; and after the second puncture of the double puncture structure 1 is completed, the second puncture member 12 and / or the first puncture member 11 are retrieved, and the entire guide member 5 and part of the connecting unit 32 are exposed in the body.
[0067] The distal end of the capture circle 22 captures the guide member 5. During the process of pulling the capture rod 21 towards the proximal end, the connecting unit 32 sequentially passes through the first puncture point and the second puncture point, moving towards the proximal end. Figure 6a and 6b As shown; and, when the locking unit 31 is connected to or in contact with both the first puncture point and the second puncture point, as... Figure 6c and 6d As shown, rotate the repair component 3 until the locking unit 31 separates from the repair component 3, as... Figure 6e and 6f As shown.
[0068] In this first embodiment, the locking unit 31 is made of metal.
[0069] In this embodiment, the first puncture of the double puncture structure 1 is from the right atrium through the secondary septum to the left atrium, and the second puncture of the double puncture structure 1 is from the left atrium through the primary septum to the right atrium.
[0070] In this embodiment, the repair system further includes a limiting tube 7 and an outer sheath tube 8. The retrieval conduit 6 and the capture rod 21 are sleeved inside the limiting tube 7, and the limiting tube 7 is sleeved inside the outer sheath tube 8.
[0071] In this first embodiment, the distal end of the first puncture member 11 is J-shaped, and the distal end of the second puncture member 12 is U-shaped.
[0072] In one embodiment, under natural conditions, the length of the distal end of the second puncture member 12 is greater than the length of the first puncture member 11.
[0073] The exemplary operation process of the repair system in this embodiment is as follows: 1. The outer sheath 8 enters the right atrium via a femoral vein approach, and the retrieval catheter 6 is manipulated to abut against the secondary septum, such as... Figure 3a As shown, the first puncture member 11 is then manipulated to push against the guide member 5 through the secondary septum, completing the first puncture of the double puncture structure 1, as follows. Figure 3b and 3c As shown; 2. Operate the capturing device 2 to make the capturing ring 22 exit from the limiting tube 7 and return to its original state, such as... Figure 4a As shown, the proximal end of the capture ring 22 abuts against the primary hair septum, and the connecting member 42 is pulled to maintain the stability of the first piercing member 11, as... Figure 4b As shown, the second puncture member 12 then pushes against the guide member 5 through the hair septum, completing the second puncture of the double puncture structure 1, as follows. Figure 4c As shown; 3. Maneuver the retrieval catheter 6 through the puncture site of the first tissue, such as... Figure 5a As shown, the double-puncture structure 1 is then retrieved, and the stabilizing structure 4 is retrieved together with the double-puncture structure 1 into the retrieval catheter 6, as shown. Figure 5b and 5c As shown; 4. Operate the capturing device 2 to move it closer to the end, the guide 5 is captured into the capturing circle 22, and pull the capturing rod 21 to move it closer to the end, as shown. Figure 6a As shown, the guide 5 moves towards the proximal end as the capture circle 22 moves. During the pulling process, the connecting unit 32 passes through the first puncture point and the second puncture point in sequence, as... Figure 6b As shown; 5. Continue pulling the capture lever 21 towards the proximal end. When the locking unit 31 is connected to or in contact with both the first puncture point and the second puncture point, as... Figure 6c and 6d As shown, rotate the repair component 3 until the locking unit 31 separates from the repair component 3, as... Figure 6e and 6f As shown; 6. Retrieve the outer sheath tube 8; implantation complete.
[0074] Example 2: The difference from Example 1 is as follows: The guide 5 has different shapes and different positions during pre-installation.
[0075] In this second embodiment, a puncture-friendly repair system according to an embodiment of this application is illustrated. It includes at least a double-puncture structure 1, a gripping device 2, and a repair component 3. The repair component 3 is at least partially fitted inside the double-puncture structure 1. During the repair process, the double-puncture structure 1 can puncture two tissues with gaps back and forth. The gripping device 2 is positioned on the first puncture starting point side of the double-puncture structure 1 and abuts against the tissue, providing support for the tissue punctured by the double-puncture structure 1 in the second puncture. Furthermore, during the puncture process, the double-puncture structure 1 delivers the repair component 3 to the target position. The repair component 3 connects the two punctured tissues to reduce or eliminate gaps.
[0076] In this second embodiment, the guide 5 is in the shape of a coil, a thread end, or a ball, such as... Figure 7a As shown.
[0077] In this second embodiment, both the first and second punctures of the double-puncture structure 1 are performed by the first puncture member 11; and after the second puncture is completed, the second puncture member 12 pushes out the guide member 5, as shown. Figure 7b As shown.
[0078] In this second embodiment, the locking unit 31, the connecting unit 32, and the guide 5 are all pre-installed within the double-puncture structure 1; and the locking unit 31 is completely installed within the second puncture member 12, the connecting unit 32 is partially installed within the second puncture member 12, and the guide 5 is installed within the first puncture member 11 but located at the distal end of the second puncture member 12.
[0079] In this regard, the relevant construction and concept of Embodiment 2 are similar to those of Embodiment 1, and therefore will not be described again here.
[0080] The foregoing description of several embodiments of this application has been provided for illustrative purposes. This foregoing description is not intended to be exhaustive, nor is it intended to limit the application to the precise configurations, constructions, and / or steps disclosed; obviously, many modifications and variations can be made in light of the teachings above. The scope of the invention and all its equivalents are intended to be defined by the appended claims.
Claims
1. A puncture-friendly repair system, comprising at least a dual-puncture structure, a gripping device, and a repair component, characterized in that: The repair component is at least partially fitted inside the double-puncture structure. During the repair process, the double-puncture structure can puncture two tissues with gaps back and forth. During the repair process, the grasping device is set on the first puncture starting point side of the double-puncture structure and abuts against the tissue, providing support for the tissue punctured by the double-puncture structure for the second time. Furthermore, the dual-puncture structure delivers the repair component to the target location during the puncture process. The repair component connects two punctured tissues to reduce or eliminate gaps. The capture device includes a capture rod and a capture ring connected to the distal end of the capture rod. In its natural state, the capture rod and the capture ring are not on the same plane. Before the second puncture by the dual-puncture structure, the proximal portion of the capture ring abuts against the tissue. The repair system also includes a guide connected to the distal end of the repair component, and the guide is located within the capture ring in the projection direction of the capture ring.
2. The puncture-friendly repair system according to claim 1, characterized in that: The dual-puncture structure includes a first puncture member and a second puncture member; and the second puncture member is sleeved inside the first puncture member.
3. The puncture-friendly repair system according to claim 2, characterized in that: The distal end of the guide is pointed, and the guide is positioned at the distal end of the double-puncture structure during pre-installation.
4. The puncture-friendly repair system according to claim 3, characterized in that: When the dual-puncture structure performs the first puncture, the first puncture member pushes the guide member to complete the puncture. When the dual-puncture structure performs a second puncture, the first puncture member or the second puncture member pushes the guide member to complete the puncture.
5. The puncture-friendly repair system according to claim 2, characterized in that: The guide is coil-shaped, wire-shaped, or ball-shaped. The guide is pre-installed within the double-puncture structure and is located at the distal end of the second puncture member.
6. The puncture-friendly repair system according to claim 5, characterized in that: The first and second punctures of the dual-puncture structure are both completed by the first puncture element; Furthermore, after the second puncture is completed, the second puncture member pushes out of the guide member.
7. The puncture-friendly repair system according to claim 4, characterized in that: The repair system also includes a stabilizing structure connected to the dual-puncture structure. The stabilizing structure includes a fixing member and a connecting member. When the dual-puncture structure performs a second puncture, the connecting member is pulled to ensure the puncture angle.
8. The puncture-friendly repair system according to claim 7, characterized in that: The repair system also includes a retrieval catheter, in which the dual-puncture structure and the stabilizing structure are pre-installed and fitted together; and the distal end of the retrieval catheter is pointed, so that the retrieval catheter will pass through the tissue that was punctured for the first time in order to retrieve the dual-puncture structure.
9. The puncture-friendly repair system according to claim 2, characterized in that: The capture device includes a capture rod and a capture ring connected to the distal end of the capture rod; and, in its natural state, the capture rod and the capture ring are not on the same plane.
10. The puncture-friendly repair system according to claim 9, characterized in that: Before the second puncture of the double-puncture structure, the proximal portion of the capture circle abuts against the tissue; and, in the projection direction of the capture circle, the guide is located within the capture circle.
11. The puncture-friendly repair system according to claim 9, characterized in that: The repair component includes a locking unit and a connecting unit; and after the second puncture of the dual-puncture structure is completed, the second puncture member and / or the first puncture member are retrieved, and the entire guide member and part of the connecting unit are exposed in the body.
12. The puncture-friendly repair system according to claim 11, characterized in that: The far end of the capture circle captures the guide component. During the process of pulling the capture rod towards the near end, the connecting unit passes through the first puncture point and the second puncture point in sequence and moves towards the near end. Furthermore, when the locking unit is connected to or in contact with both the first puncture point and the second puncture point, the repair component is rotated until the locking unit separates from the repair component.
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