Left Atrial Appendage Occluder With Laser-Cut Anchors
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Solution Overview
Problem
Existing left atrial appendage occluders have issues with poor fitting properties, limited anchor number, and structural strength, leading to instability and potential damage during implantation, as well as limited reusability due to anchor deformation and poor fixation.
Innovation Solution
A left atrial appendage occluder with a plugging column woven from elastic metal wire or wire and sheet, featuring multiple anchors formed by flattening and laser-cutting, allowing for improved fitting and structural strength, and designed for repeated use by maintaining anchor functionality during deployment and retrieval.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Device complexity
If a cage structure with sparse anchors is used, then the device can be manufactured with fewer components, but the fitting property between the occluder and the left atrial appendage inner wall deteriorates, affecting stability
Solution Approach 1:
The occluder is divided into a cage structure and multiple independent anchors. The cage provides structural support while the anchors independently engage with the left atrial appendage inner wall. This segmentation allows the anchors to be distributed more effectively along the occluder length, improving fitting property without excessive increase in overall device complexity.
Solution Approach 2:
The anchors extend radially outward from the cage structure in a perpendicular dimension, creating a three-dimensional anchoring configuration. This dimensional extension allows multiple anchors to be positioned along the inner wall surface, enhancing the fitting property and stability without increasing the axial or radial dimensions of the occluder itself.
2Reliability
If the number of anchors is increased to improve fitting property, then stability improves, but the structural strength of the occluder deteriorates due to excessive anchors weakening the cage
Solution Approach 1:
By separating the anchoring function from the structural support function, the cage can maintain its structural integrity while the anchors provide the necessary fitting property. The cage remains a discrete structural element, and the anchors are separate components that engage with the tissue, preventing the cage itself from being weakened.
Solution Approach 2:
The anchors are strategically positioned at specific locations along the cage structure where local engagement with the left atrial appendage inner wall is most effective. This localized anchoring provides maximum fitting property with minimum number of anchors, preserving the overall structural strength of the cage.
3Strength
If anchors are made hard to ensure strong attachment, then fixation strength improves, but the ability to repeatedly push and pull the occluder deteriorates due to anchor deformation
Solution Approach 1:
The anchors are designed with specific material parameters and geometric configurations that allow them to withstand repeated deformation cycles. The anchor material and structure are optimized to maintain elasticity and recoverability, enabling the occluder to be pushed and pulled multiple times without permanent deformation or loss of attachment function.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The occluder achieves enhanced stability and structural integrity, allowing for secure attachment and repeated use without causing damage, while ensuring effective occlusion of the left atrial appendage.
Implementation Method 1
a plugging column (11) and anchors (12) located on the plugging column (11), wherein the plugging column (11) is woven from an elastic metal wire
Implementation Method 2
the anchors are made by partially flattening and then cutting the elastic metal wire
Data Source
AI summary
A left atrial appendage occluder and a fabricating method thereof are provided. The left atrial appendage occluder includes a plugging column and a anchor located on the plugging column, wherein the plugging column is woven from an elastic metal wire, or woven from an elastic metal wire and an elastic metal sheet, the anchor is made by partially flattening and then cutting the elastic metal wire, or the anchor is made by cutting the elastic metal sheet. In the above-described left atrial appendage occluder, firstly, the anchor is formed on the elastic metal wire and/or the elastic metal sheet, and then the elastic metal wire and/or the elastic metal sheet with the anchor are/is co-woven with other elastic metal wire to form the plugging column of the left atrial appendage occluder. Therefore, the amount of the anchor is not limited, and a plurality of anchors can be provided.


