[go: up one dir, main page]

CN114366183A - Plugging device and plugging system - Google Patents

Plugging device and plugging system Download PDF

Info

Publication number
CN114366183A
CN114366183A CN202111604804.9A CN202111604804A CN114366183A CN 114366183 A CN114366183 A CN 114366183A CN 202111604804 A CN202111604804 A CN 202111604804A CN 114366183 A CN114366183 A CN 114366183A
Authority
CN
China
Prior art keywords
support frame
plugging
occlusion
disc
segments
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN202111604804.9A
Other languages
Chinese (zh)
Other versions
CN114366183B (en
Inventor
王永胜
程晓阳
赵江浪
刘文静
郑文韬
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hangzhou Dinova EP Technology Co Ltd
Original Assignee
Hangzhou Dinova EP Technology Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hangzhou Dinova EP Technology Co Ltd filed Critical Hangzhou Dinova EP Technology Co Ltd
Priority to CN202111604804.9A priority Critical patent/CN114366183B/en
Publication of CN114366183A publication Critical patent/CN114366183A/en
Priority to PCT/CN2022/141163 priority patent/WO2023116837A1/en
Application granted granted Critical
Publication of CN114366183B publication Critical patent/CN114366183B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00597Implements comprising a membrane
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00606Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00623Introducing or retrieving devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00632Occluding a cavity, i.e. closing a blind opening

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

本申请公开了一种封堵装置与封堵系统。封堵装置用于封堵组织中的缺口,封堵装置包括支撑骨架和覆膜。支撑骨架用于释放于缺口处,支撑骨架的周向边缘用于覆盖缺口周缘组织。覆膜覆盖于支撑骨架的至少一侧,覆膜中的至少部分与支撑骨架无缝连接。采用本申请的封堵装置及封堵系统,基于将覆膜覆盖于支撑骨架的至少一侧,覆膜中的至少部分与支撑骨架无缝连接,从而减小了封堵装置需要内皮化的表面的面积,提高了覆膜与支撑骨架之间的连接强度,降低了覆膜与支撑骨架在内皮化过程中相互脱离的可能性,避免了封堵装置局部内皮化较好,局部内皮化速度较慢的情况发生,不容易形成血栓、炎症反应及内皮增生等并发症,有利于提高封堵装置内皮化的速率。

Figure 202111604804

The present application discloses a plugging device and a plugging system. The occlusion device is used to close the gap in the tissue, and the occlusion device includes a support frame and a membrane. The support frame is used to release at the gap, and the circumferential edge of the support frame is used to cover the tissue around the gap. The cover film covers at least one side of the support frame, and at least part of the cover film is seamlessly connected with the support frame. Using the plugging device and plugging system of the present application, based on covering at least one side of the support frame with a film, at least part of the film is seamlessly connected with the support frame, thereby reducing the surface of the plugging device that needs to be endothelialized It improves the connection strength between the membrane and the supporting skeleton, reduces the possibility of the membrane and the supporting skeleton detaching from each other during the process of endothelialization, and avoids the better local endothelialization of the plugging device, and the faster local endothelialization. It is not easy to form complications such as thrombosis, inflammatory reaction and endothelial hyperplasia, which is beneficial to improve the rate of endothelialization of the occlusion device.

Figure 202111604804

Description

封堵装置与封堵系统Blocking devices and blocking systems

技术领域technical field

本申请涉及医疗器械技术领域,尤其涉及一种封堵装置与封堵系统。The present application relates to the technical field of medical devices, and in particular, to a plugging device and a plugging system.

背景技术Background technique

卵圆孔(Foramen Ovale)是心脏房间隔胚胎时期的一个生理性通道,一般在出生后第1年内闭合,而成年人中约有20%~25%卵圆孔不完全闭合,卵圆孔未闭是目前成人中最为常见的先天性心脏异常之一。Foramen Ovale (Foramen Ovale) is a physiological channel in the cardiac atrial septum in the embryonic stage, which is generally closed within the first year after birth, while about 20% to 25% of adults are incompletely closed, and the foramen ovale is not fully closed. Closure is one of the most common congenital heart abnormalities in adults.

近几年来的研究发现,卵圆孔未闭(Patent Oval Foramen,PFO)和不明原因缺血性脑卒中、偏头痛等有较为密切的关系。研究认为PFO可以作为来自静脉循环“反常栓子”,导引发卒中。已有大量临床数据证实10%~40%的PFO与不明原因脑卒中的发生密切相关。中国每年至少有15~50万脑卒中患者是PFO引起。一系列研究表明,不明原因脑卒中患者,年龄低于55岁的PFO发生率约为47~56%。In recent years, studies have found that Patent Oval Foramen (PFO) is closely related to unexplained ischemic stroke and migraine. Studies suggest that PFO can act as a "paradox emboli" from the venous circulation, leading to stroke. A large number of clinical data have confirmed that 10% to 40% of PFO is closely related to the occurrence of unexplained stroke. At least 150,000 to 500,000 stroke patients in China are caused by PFO every year. A series of studies have shown that the incidence of PFO in patients with unexplained stroke under the age of 55 is about 47% to 56%.

目前对于PFO治疗方式,主要是药物治疗和PFO封堵(PFO封堵相比于药物,有着明显优势)。At present, the treatment methods for PFO are mainly drug treatment and PFO blockade (PFO blockade has obvious advantages compared with drugs).

然而,现有技术中的卵圆孔未闭封堵装置,将覆膜通过缝合、其他固定件固定的方式结合在骨架上,造成盘面与待封堵组织贴附不良,导致内皮化速率过慢,封堵装置局部内皮化明显,部分内皮化不全,封堵性不佳的问题出现。However, in the patent foramen ovale sealing device in the prior art, the membrane is combined on the skeleton by sutures and other fixing means, resulting in poor adhesion between the disc surface and the tissue to be blocked, resulting in an excessively slow endothelialization rate , the local endothelialization of the plugging device is obvious, the partial endothelialization is incomplete, and the problem of poor sealing performance occurs.

发明内容SUMMARY OF THE INVENTION

有鉴于此,本申请提供一种封堵装置与封堵系统,以解决覆膜与支撑骨架的缝隙大而导致内皮化速率过慢的问题。In view of this, the present application provides a plugging device and a plugging system to solve the problem of too slow endothelialization due to the large gap between the membrane and the support frame.

第一方面,本申请实施例提供一种封堵装置,所述封堵装置用于封堵组织中的缺口,所述封堵装置包括:In a first aspect, an embodiment of the present application provides a blocking device, the blocking device is used to block a gap in tissue, and the blocking device includes:

支撑骨架,所述支撑骨架用于释放于所述缺口处,所述支撑骨架的周向边缘用于覆盖所述缺口周缘组织;a support frame, the support frame is used to be released at the gap, and the peripheral edge of the support frame is used to cover the peripheral tissue of the gap;

覆膜,覆盖于所述支撑骨架的至少一侧,所述覆膜中的至少部分与所述支撑骨架无缝连接。A covering film covers at least one side of the support frame, and at least part of the covering film is seamlessly connected with the support frame.

在一些实施例中,所述覆膜通过静电纺丝方式、浸渍方式或喷涂方式直接形成于所述支撑骨架上;或者,In some embodiments, the coating is directly formed on the support frame by electrospinning, dipping or spraying; or,

所述覆膜通过静电纺丝方式、浸渍方式、喷涂方式、流延成型方式或编织方式成型,成型后的覆膜通过热压方式或粘接方式固定于所述支撑骨架上。The coating is formed by electrospinning, dipping, spraying, tape casting or weaving, and the formed coating is fixed on the support frame by hot pressing or bonding.

在一些实施例中,所述支撑骨架包括背离所述缺口的外侧及朝向所述缺口的内侧,所述覆膜包覆于所述支撑骨架的内侧;或者,包覆于所述支撑骨架的外侧;或者,包覆于所述支撑骨架的内侧和外侧。In some embodiments, the support frame includes an outer side away from the notch and an inner side facing the notch, and the coating film covers the inner side of the support frame; or, covers the outer side of the support frame ; or, covering the inner and outer sides of the support frame.

在一些实施例中,所述覆膜的材料包括不可降解材料,所述不可降解材料包括聚对苯二甲酸乙二醇酯、聚四氟乙烯、热塑性聚氨酯弹性体橡胶、硅橡胶、聚氨酯、聚乙烯醇、水凝胶、膨体聚四氟乙烯、聚乙烯、高密度聚乙烯、聚对苯二甲酸乙二醇酯中的至少一种。In some embodiments, the material of the film includes a non-degradable material, and the non-degradable material includes polyethylene terephthalate, polytetrafluoroethylene, thermoplastic polyurethane elastomer rubber, silicone rubber, polyurethane, poly At least one of vinyl alcohol, hydrogel, expanded polytetrafluoroethylene, polyethylene, high density polyethylene, polyethylene terephthalate.

在一些实施例中,所述覆膜的厚度为0.01-0.2mm。In some embodiments, the thickness of the coating is 0.01-0.2 mm.

在一些实施例中,所述覆膜的材料包括可降解材料,所述可降解材料包括聚乳酸、聚己内酯、聚丁二酸丁二醇酯、1,3-丙二醇和聚(L-丙交酯-co-ε-己内酯)系列共聚物中的至少一种。In some embodiments, the material of the coating includes a degradable material, and the degradable material includes polylactic acid, polycaprolactone, polybutylene succinate, 1,3-propylene glycol and poly(L- At least one of lactide-co-ε-caprolactone) series copolymers.

在一些实施例中,所述覆膜的厚度为0.001mm-0.1mm。In some embodiments, the thickness of the coating is 0.001mm-0.1mm.

在一些实施例中,所述支撑骨架构造为网状结构,所述网状结构包括边缘段和连接所述边缘段的多个中间段,所述多个中间段位于所述边缘段围成的区域内,所述覆膜与所述边缘段及可选择地与所述多个中间段无缝连接。In some embodiments, the support frame is configured as a mesh structure, and the mesh structure includes an edge segment and a plurality of intermediate segments connecting the edge segments, and the multiple intermediate segments are located in the area surrounded by the edge segments. In the region, the cover film is seamlessly connected to the edge segments and optionally to the plurality of intermediate segments.

在一些实施例中,所述支撑骨架的材料包括可降解材料和不可降解材料中的至少一种。In some embodiments, the material of the support framework includes at least one of a degradable material and a non-degradable material.

在一些实施例中,所述支撑骨架的一部分结构由所述可降解材料制成,所述支撑骨架的其余部分结构由不可降解材料制成。In some embodiments, a portion of the structure of the support frame is made of the degradable material and the rest of the structure of the support frame is made of a non-degradable material.

在一些实施例中,所述中间段包括多个第一段和多个第二段,所述边缘段和所述多个第一段由不可降解材料制成,所述多个第二段由可降解材料制成。In some embodiments, the intermediate section includes a plurality of first sections and a plurality of second sections, the edge section and the plurality of first sections are made of a non-degradable material, and the second plurality of sections are made of Made of degradable materials.

在一些实施例中,所述边缘段与所述第一段和所述第二段合围形成多个第一网孔;所述边缘段与所述多个第一段合围形成多个第二网孔,至少一所述第二网孔的尺寸大于一所述第一网孔的尺寸。In some embodiments, the edge segment encloses the first segment and the second segment to form a plurality of first meshes; the edge segment encloses the first segment to form a plurality of second meshes The size of at least one of the second mesh holes is larger than the size of one of the first mesh holes.

在一些实施例中,每一个所述中间段与所述边缘段的交叉处形成有第一连接点,每一个所述第一段与对应的第二段的交叉处形成有第二连接点,所述覆膜与所述支撑骨架在所述第一连接点和所述第二连接点的位置处无缝连接。In some embodiments, a first connection point is formed at the intersection of each of the intermediate segments and the edge segment, and a second connection point is formed at the intersection of each of the first segments and the corresponding second segment, The cover film and the support frame are seamlessly connected at the positions of the first connection point and the second connection point.

在一些实施例中,所述覆膜与所述边缘段及全部所述中间段无缝连接。In some embodiments, the cover film is seamlessly connected to the edge segments and all of the intermediate segments.

在一些实施例中,所述支撑骨架与所述覆膜构成封堵盘,所述封堵盘包括第一封堵盘和第二封堵盘,所述封堵装置还包括连接所述第一封堵盘和所述第二封堵盘的牵拉件,所述第一封堵盘和所述第二封堵盘分别用于封堵所述缺口的一侧,所述牵拉件用于调节所述第一封堵盘和所述第二封堵盘之间的距离。In some embodiments, the support frame and the covering film constitute a blocking disk, the blocking disk includes a first blocking disk and a second blocking disk, and the blocking device further comprises connecting the first blocking disk Pulling members of the blocking disk and the second blocking disk, the first blocking disk and the second blocking disk are respectively used to block one side of the gap, and the pulling member is used to block one side of the gap. The distance between the first occluding disc and the second occluding disc is adjusted.

在一些实施例中,所述第一封堵盘位于所述第二封堵盘的远端,所述第一封堵盘上设置有多个连接环,所述牵拉件穿过所述多个连接环,以实现所述牵拉件与所述第一封堵盘连接;所述多个连接环包括位于所述第一封堵盘的几何中心外的多个第一连接环,所述第一封堵盘的覆膜上开设有穿孔,所述多个第一连接环穿过所述穿孔而固定于所述第一封堵盘的支撑骨架上。In some embodiments, the first occlusion disc is located at the distal end of the second occlusion disc, a plurality of connecting rings are provided on the first occlusion disc, and the pulling member passes through the plurality of connection rings. a plurality of connecting rings, so as to realize the connection between the pulling member and the first sealing disc; the plurality of connecting rings include a plurality of first connecting rings located outside the geometric center of the first sealing disc, the Perforations are formed on the covering film of the first blocking disc, and the plurality of first connecting rings pass through the perforations and are fixed on the support frame of the first blocking disc.

在一些实施例中,所述穿孔内设置有填充体,以使得所述第一连接环与所述第一封堵盘的覆膜密封连接。In some embodiments, a filling body is provided in the through hole, so that the first connecting ring is sealedly connected with the covering film of the first sealing disc.

在一些实施例中,所述填充体通过静电纺丝方式、浸渍方式或喷涂方式填充于所述穿孔内。In some embodiments, the filling body is filled in the perforations by electrospinning, dipping or spraying.

在一些实施例中,所述多个连接环包括位于所述第一封堵盘的几何中心的第二连接环,所述第二连接环固定于支撑骨架上。In some embodiments, the plurality of connecting rings include a second connecting ring located at the geometric center of the first occlusion disc, the second connecting ring being fixed to the support frame.

第二方面,本申请实施例提供一种封堵系统,包括输送器以及如上所述的封堵装置,所述输送器用于将所述封堵装置输送至所述缺口。In a second aspect, embodiments of the present application provide an occlusion system, including a conveyor and the occlusion device as described above, where the conveyor is used to deliver the occlusion device to the gap.

本申请实施例提供的封堵装置及封堵系统,基于将覆膜覆盖于支撑骨架的至少一侧,覆膜中的至少部分与支撑骨架无缝连接,组织能够从封堵装置的边缘向其轴线方向爬附,从而减小了封堵装置需要内皮化的表面的面积,另外还提高了覆膜与支撑骨架之间的连接强度,降低了覆膜与支撑骨架在内皮化过程中相互脱离的比例以及可能性,避免了封堵装置局部内皮化较好,局部内皮化速度较慢的情况发生,不容易形成血栓、炎症反应以及内皮增生等并发症,有利于提高封堵装置内皮化的速率。The occlusion device and occlusion system provided by the embodiments of the present application are based on covering at least one side of the support frame with a covering film, at least part of the covering film is seamlessly connected with the support frame, and the tissue can move from the edge of the occlusion device to the support frame. Climbing in the axial direction, thereby reducing the surface area of the plugging device that needs to be endothelialized, and also improving the connection strength between the coating and the supporting skeleton, reducing the distance between the coating and the supporting skeleton during the endothelialization process. The ratio and possibility avoid the situation that the local endothelialization of the occlusion device is better and the local endothelialization rate is slow, and it is not easy to form complications such as thrombosis, inflammatory reaction and endothelial hyperplasia, which is beneficial to improve the rate of endothelialization of the occlusion device. .

附图说明Description of drawings

为了更清楚地说明本申请实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the following briefly introduces the accompanying drawings that are used in the description of the embodiments or the prior art. Obviously, the drawings in the following description are only These are some embodiments of the present application, and for those of ordinary skill in the art, other drawings can also be obtained from these drawings without any creative effort.

图1是本申请实施例提供的封堵系统的结构示意图。FIG. 1 is a schematic structural diagram of a plugging system provided by an embodiment of the present application.

图2是图1中的封堵系统的封堵装置的封堵盘的第一实施方式的结构示意图。FIG. 2 is a schematic structural diagram of a first embodiment of the plugging disc of the plugging device of the plugging system in FIG. 1 .

图3是图2中的封堵系统的封堵装置的支撑骨架的结构示意图。FIG. 3 is a schematic structural diagram of the support frame of the plugging device of the plugging system in FIG. 2 .

图4是图1中的封堵系统的封堵装置的封堵盘的第二实施方式的结构示意图。FIG. 4 is a schematic structural diagram of a second embodiment of the plugging disc of the plugging device of the plugging system in FIG. 1 .

图5是图4中的封堵系统的封堵装置的支撑骨架的第一状态的结构示意图。FIG. 5 is a schematic structural diagram of the first state of the support frame of the plugging device of the plugging system in FIG. 4 .

图6是图4中的封堵系统的封堵装置的支撑骨架的第二状态的结构示意图。FIG. 6 is a schematic structural diagram of the second state of the support frame of the plugging device of the plugging system in FIG. 4 .

图7是图1中的封堵系统的封堵装置的另一实施方式的结构示意图。FIG. 7 is a schematic structural diagram of another embodiment of the plugging device of the plugging system in FIG. 1 .

图8是图7中的封堵系统的封堵装置的第一封堵盘的内侧结构示意图。FIG. 8 is a schematic view of the inner side structure of the first plugging disc of the plugging device of the plugging system in FIG. 7 .

主要元件符号说明Description of main component symbols

封堵系统 1000Closure system 1000

封堵装置 100、100aBlocking device 100, 100a

支撑骨架 101、101aSupport frame 101, 101a

中心汇聚点 1011Central meeting point 1011

第一网孔 1012First mesh 1012

第二网孔 1013Second mesh 1013

边缘段 102Edge segment 102

中间段 104middle section 104

第一段 1041First paragraph 1041

第二段 1042、1042aSecond paragraph 1042, 1042a

覆膜 103Lamination 103

穿孔 1031Perforated 1031

封堵盘 105、105aBlocking disc 105, 105a

支撑环 111Support ring 111

交叉点 113Intersection 113

第一连接点 1131first connection point 1131

第二连接点 1132Second connection point 1132

端部连接段 114end connection section 114

第一封堵盘 11first plug disc 11

第二封堵盘 13Second plugging disc 13

连接环 12connecting ring 12

第一连接环 121first connecting ring 121

穿线孔 1211Threading hole 1211

第二连接环 122Second connecting ring 122

连接件 14Connector 14

牵拉件 15Puller 15

调节线结 150Adjust the knot 150

输送器 200Conveyor 200

鞘管 201Sheath 201

控制手柄 202control handle 202

如下具体实施方式将结合上述附图进一步说明本申请。The following specific embodiments will further illustrate the present application in conjunction with the above drawings.

具体实施方式Detailed ways

下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅是本申请一部分实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其它实施例,都属于本申请保护的范围。The technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application. Obviously, the described embodiments are only a part of the embodiments of the present application, but not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present application.

首先需要说明的是,在介入医疗领域,沿着器械的输送路径,通常将器械靠近操作者的一端称作近端,将器械远离操作者的一端称作远端。具体地,针对用于将可植入装置输送并释放于患者体内的输送器而言,远端是指输送器可自由插入到动物或人体体内的一端,近端是指输送器供用户或机器操作的一端。First of all, it should be noted that, in the field of interventional medicine, along the delivery path of the instrument, the end of the instrument close to the operator is usually referred to as the proximal end, and the end of the instrument away from the operator is referred to as the distal end. Specifically, with respect to a delivery device used to deliver and release an implantable device into a patient, the distal end refers to the end of the delivery device that can be freely inserted into an animal or human body, and the proximal end refers to the delivery device for a user or machine one end of the operation.

可以理解的是,本申请的说明书和权利要求书及上述附图中的术语仅是为了描述特定实施例,并非要限制本申请。本申请的说明书和权利要求书及上述附图中的术语“第一”、“第二”等是用于区别不同对象,而非用于描述特定顺序。除非上下文另有明确表述,否则单数形式“一”和“所述”也旨在包括复数形式。术语“包括”以及它们任何变形,意图在于覆盖不排他的包含。此外,本申请可以以多种不同的形式来实现,并不限于本实施例所描述的实施例。提供以下具体实施例的目的是便于对本申请公开内容更清楚透彻的理解,其中上、下、左、右等指示方位的字词仅是针对所示结构在对应附图中位置而言。It is to be understood that the terms in the description and claims of the present application and the above drawings are only for describing specific embodiments, and are not intended to limit the present application. The terms "first", "second" and the like in the description and claims of the present application and the above drawings are used to distinguish different objects, rather than to describe a specific order. The singular forms "a" and "the" are intended to include the plural forms as well, unless the context clearly dictates otherwise. The term "comprising" and any variations thereof are intended to cover non-exclusive inclusion. In addition, the present application can be implemented in many different forms, and is not limited to the embodiments described in this embodiment. The following specific embodiments are provided for the purpose of facilitating a clearer and more comprehensible understanding of the disclosure of the present application, wherein the words indicating orientation, such as up, down, left, and right, are only for the positions of the structures shown in the corresponding drawings.

说明书后续描述为实施本申请的较佳实施例,然而上述描述乃以说明本申请的一般原则为目的,并非用以限定本申请的范围。本申请的保护范围当视所附权利要求所界定者为准。Subsequent descriptions in the specification are preferred embodiments for implementing the present application, however, the above descriptions are for the purpose of illustrating the general principles of the present application and are not intended to limit the scope of the present application. The scope of protection of this application should be determined by the appended claims.

请参阅图1,图1所示为本申请实施例提供的封堵系统1000的结构示意图。封堵系统1000包括输送器200及封堵装置100。封堵装置100用于封堵待封堵组织中的缺口。输送器200用于将封堵装置100输送并释放于该缺口。所述待封堵组织中的缺口例如是,但不局限于脉管系统中的组织缺损部位。所述缺口包括但不限于卵圆孔、动脉导管、房间隔、室间隔等。例如,封堵装置100可以是,但不局限于左心耳封堵装置、PFO封堵装置、房间隔封堵装置或室间隔封堵装置等。需要说明的是,本申请中以所述缺口为卵圆孔为例,说明封堵系统1000用于治疗卵圆孔未闭的优势。可以理解的是,所述缺口还可以是上述提到的其它组织缺损部位。Please refer to FIG. 1 . FIG. 1 is a schematic structural diagram of a plugging system 1000 according to an embodiment of the present application. The occlusion system 1000 includes the conveyor 200 and the occlusion device 100 . The occlusion device 100 is used to close a gap in the tissue to be occluded. The delivery device 200 is used to deliver and release the occlusion device 100 to the gap. The gap in the tissue to be occluded is, for example, but not limited to, a tissue defect site in the vasculature. The breach includes, but is not limited to, the foramen ovale, ductus arteriosus, atrial septum, interventricular septum, and the like. For example, the occlusion device 100 may be, but is not limited to, a left atrial appendage occlusion device, a PFO occlusion device, an atrial septal occlusion device, a ventricular septal occlusion device, or the like. It should be noted that, in this application, the gap is the foramen ovale as an example to illustrate the advantages of the closure system 1000 for treating patent foramen ovale. It can be understood that, the gap can also be other tissue defect sites mentioned above.

具体地,在本实施例中,输送器200包括用于收容封堵装置100的鞘管201及固定于鞘管201近端的控制手柄202。控制手柄202用于控制封堵装置100从鞘管201内伸出,并且释放至所述缺口处;或者,用于控制封堵装置100回收至鞘管201内。Specifically, in this embodiment, the delivery device 200 includes a sheath tube 201 for accommodating the occlusion device 100 and a control handle 202 fixed to the proximal end of the sheath tube 201 . The control handle 202 is used to control the occlusion device 100 to extend out of the sheath tube 201 and release to the gap; or, to control the occlusion device 100 to be retracted into the sheath tube 201 .

本领技术人员应当理解的是,所述图1仅是封堵系统1000的示例,并不构成对封堵系统1000的限定,且封堵系统1000可以包括比图1所示更多或更少的部件,或者组合某些部件,或者不同的部件,例如封堵系统1000还可以包括定位器及传感器等。It should be understood by those skilled in the art that the above-described FIG. 1 is only an example of the occlusion system 1000, and does not constitute a limitation to the occlusion system 1000, and the occlusion system 1000 may include more or less than that shown in FIG. 1 . components, or a combination of certain components, or different components, for example, the occlusion system 1000 may also include a locator, a sensor, and the like.

封堵装置100用于封堵组织中的缺口。封堵装置100包括支撑骨架101和覆膜103。支撑骨架101用于释放于缺口处,支撑骨架101的周向边缘用于覆盖缺口周缘组织,支撑骨架101的轴线位置不用于接触缺口周缘组织,用于封堵在缺口中,即用于封堵在缺口周缘组织围成的通道中。本申请实施例提供的封堵装置100,基于将覆膜103覆盖于支撑骨架101的至少一侧,覆膜103中的至少部分与支撑骨架101无缝连接,组织能够从封堵装置100的边缘向其轴线方向爬附,从而减小了封堵装置100需要内皮化的表面的面积,另外还提高了覆膜103与支撑骨架101之间的连接强度,降低了覆膜103与支撑骨架101在内皮化过程中相互脱离的比例以及可能性,避免了封堵装置100局部内皮化较好,局部内皮化速度较慢的情况发生,不容易形成血栓、炎症反应以及内皮增生等并发症,有利于提高封堵装置100内皮化的速率。The occlusion device 100 is used to close gaps in tissue. The occlusion device 100 includes a support frame 101 and a membrane 103 . The support frame 101 is used to release at the gap, the circumferential edge of the support frame 101 is used to cover the peripheral tissue of the gap, and the axial position of the support frame 101 is not used to contact the peripheral tissue of the gap, and is used for sealing in the gap, that is, for sealing in the channel surrounded by the tissue around the gap. The occlusion device 100 provided by the embodiment of the present application is based on covering the membrane 103 on at least one side of the support skeleton 101 , at least part of the membrane 103 is seamlessly connected with the support skeleton 101 , and the tissue can be removed from the edge of the occlusion device 100 Climbing in the direction of its axis, thereby reducing the surface area of the plugging device 100 that needs to be endothelialized, and also improving the connection strength between the film 103 and the support frame 101, reducing the thickness of the film 103 and the support frame 101. The ratio and possibility of detachment from each other during the process of endothelialization avoids the situation that the local endothelialization of the occlusion device 100 is better and the local endothelialization speed is slower, and it is not easy to form complications such as thrombosis, inflammatory reaction and endothelial hyperplasia, which is beneficial to The rate of endothelialization of the occlusion device 100 is increased.

在一些实施例中,覆膜103通过静电纺丝方式、浸渍方式或喷涂方式直接形成于支撑骨架101上,从而覆膜103能够紧紧地形成于支撑骨架101的外表面上,即覆膜103包覆于支撑骨架101的表面,以实现覆膜103与支撑骨架101之间的无缝连接。在另一些实施例中,覆膜103通过静电纺丝方式、浸渍方式、喷涂方式、流延成型方式或编织方式成型,成型后的覆膜通过热压方式或粘接方式固定于支撑骨架101上,从而覆膜103能够贴接于支撑骨架101的外表面,以减少在支撑骨架101与覆膜103之间的连接处产生缝隙。In some embodiments, the coating 103 is directly formed on the support frame 101 by electrospinning, dipping or spraying, so that the coating 103 can be tightly formed on the outer surface of the supporting frame 101, that is, the coating 103 It is coated on the surface of the support frame 101 to realize the seamless connection between the film 103 and the support frame 101 . In other embodiments, the coating 103 is formed by electrospinning, dipping, spraying, tape casting or weaving, and the formed coating is fixed on the support frame 101 by hot pressing or bonding , so that the cover film 103 can be attached to the outer surface of the support frame 101 , so as to reduce the generation of gaps at the connection between the support frame 101 and the cover film 103 .

优选地,在本实施例中,覆膜103通过静电纺丝方式形成于支撑骨架101上,以获得孔隙率较大的覆膜103,从而使细胞更好的浸润到覆膜103的内部,利于细胞的爬覆以及内皮化,使组织与细胞更好的结合。Preferably, in this embodiment, the coating 103 is formed on the support skeleton 101 by electrospinning, so as to obtain the coating 103 with larger porosity, so that the cells can better infiltrate the interior of the coating 103, which is beneficial to Cell crawl and endothelialization enable better integration of tissue and cells.

本实施方式中,封堵装置100包括两个封堵盘,分别为第一封堵盘11与第二封堵盘13。第一封堵盘11与第二封堵盘13的结构相似,两个封堵盘中均包括上述支撑骨架101以及覆膜103,覆膜103覆盖于对应支撑骨架101的至少一侧,覆膜103中的至少部分与对应支撑骨架101无缝连接。在变更实施方式中,两个封堵盘中的一个封堵盘包括上述的支撑骨架101以及覆膜103,覆膜103覆盖于支撑骨架101的至少一侧,覆膜103中的至少部分与支撑骨架101无缝连接;两个封堵盘中的另一个封堵盘仅包括支撑骨架101,即省略覆膜103。In this embodiment, the blocking device 100 includes two blocking disks, which are a first blocking disk 11 and a second blocking disk 13 respectively. The structures of the first plugging disc 11 and the second plugging disc 13 are similar. Both plugging discs include the above-mentioned supporting frame 101 and a covering film 103. The covering film 103 covers at least one side of the corresponding supporting frame 101, and the covering film At least part of the 103 is seamlessly connected with the corresponding support frame 101 . In a modified embodiment, one of the two blocking disks includes the above-mentioned support frame 101 and a cover film 103 , the cover film 103 covers at least one side of the support frame 101 , and at least part of the cover film 103 is connected to the support frame 103 . The skeletons 101 are seamlessly connected; the other of the two occluding discs only includes the supporting skeleton 101, that is, the covering film 103 is omitted.

本实施方式中,第一封堵盘11与第二封堵盘13均为单层盘面形状,即在轴向上,支撑骨架101形成单层的网面结构。第一封堵盘11与第二封堵盘13用于在缺口的两侧贴附在缺口两侧的周缘组织上。在变更实施方式中,第一封堵盘11与第二封堵盘13中的任意一个可以采用双层网盘的结构,即支撑骨架101在轴向上形成双层的网面结构。In this embodiment, the first plugging disc 11 and the second plugging disc 13 are both in the shape of a single-layer disc surface, that is, in the axial direction, the support frame 101 forms a single-layer mesh surface structure. The first occlusion disc 11 and the second occlusion disc 13 are used to attach to the peripheral tissues on both sides of the notch on both sides of the notch. In a modified embodiment, any one of the first blocking disk 11 and the second blocking disk 13 can adopt a double-layer mesh disk structure, that is, the support frame 101 forms a double-layer mesh surface structure in the axial direction.

支撑骨架101包括背离缺口的外侧及朝向缺口的内侧。在一些实施例中,覆膜103包覆于支撑骨架101的内侧;或者,覆膜103包覆于支撑骨架101的外侧,以实现封堵血流。在其它一些实施例中,覆膜103包覆于支撑骨架101的内侧和外侧,从而实现覆膜103与支撑骨架101完全一体化,更有利于封堵装置100的整个盘面与组织贴附,细胞内皮化效果更佳,且内皮化速度较快。The support frame 101 includes an outer side facing away from the notch and an inner side facing the notch. In some embodiments, the film 103 is coated on the inner side of the support frame 101; or, the film 103 is coated on the outside of the support frame 101, so as to block blood flow. In other embodiments, the film 103 is covered on the inside and outside of the support frame 101, so that the film 103 and the support frame 101 are completely integrated, which is more conducive to the adhesion of the entire disk surface of the occlusion device 100 to the tissue, and the cells The effect of endothelialization is better, and the rate of endothelialization is faster.

可选地,在本实施例中,覆膜103的材料包括可降解材料。所述可降解材料包括,但不局限于聚乳酸(Polylactic acid,PLA)、聚己内酯(Polycaprolactone,PCL)、聚丁二酸丁二醇酯(Poly butylene succinate,PBS)、1,3-丙二醇(Propanediol,PDO)和聚(L-丙交酯-co-ε-己内酯)系列共聚物中的至少一种。如此,本申请的封堵装置100通过采用由可降解材料制成的覆膜103,有利于提高封堵装置100的生物相容性,覆膜103在使用到一定时间后会逐渐降解,并最终变成容易被人体吸收和代谢的水和二氧化碳,从而有利于减小对人体的刺激,进而能够降低封堵装置100长期留置的远期并发症率。可选地,为了兼顾覆膜103的强度及覆膜103的降解度,当覆膜103由可降解材料制成时,覆膜103的厚度为0.001mm-0.1mm,从而确保覆膜103具有一定强度的同时,确保覆膜103能够在体内容易降解。Optionally, in this embodiment, the material of the covering film 103 includes a degradable material. The degradable materials include, but are not limited to, polylactic acid (PLA), polycaprolactone (PCL), polybutylene succinate (PBS), 1,3- At least one of propylene glycol (Propanediol, PDO) and poly(L-lactide-co-ε-caprolactone) series copolymers. In this way, by using the covering film 103 made of degradable material in the plugging device 100 of the present application, it is beneficial to improve the biocompatibility of the plugging device 100. The covering film 103 will gradually degrade after a certain period of use, and finally It becomes water and carbon dioxide that are easily absorbed and metabolized by the human body, thereby helping to reduce the stimulation to the human body, thereby reducing the long-term complication rate of long-term indwelling of the blocking device 100 . Optionally, in order to take into account the strength of the cover film 103 and the degradation degree of the cover film 103, when the cover film 103 is made of degradable materials, the thickness of the cover film 103 is 0.001mm-0.1mm, so as to ensure that the cover film 103 has a certain While maintaining the strength, it is ensured that the covering film 103 can be easily degraded in vivo.

在一些实施例中,覆膜103的材料包括不可降解材料。所述不可降解材料包括,但不局限于聚对苯二甲酸乙二醇酯(Polyethylene terephthalate,PET)、聚四氟乙烯(Polytetra fluoroethylene,PTFE)、热塑性聚氨酯弹性体橡胶(Thermoplasticpolyurethanes,TPU)、硅橡胶、水凝胶、聚氨酯(Polyurethane,PU)、聚乙烯醇(Polyvinylalcohol,PVA)、膨体聚四氟乙烯(Expanded Poly tetra fluoroethylene,expandedPTFE)、聚乙烯(Polyethene,PE)、高密度聚乙烯(High density polyethylene,HDPE)、聚对苯二甲酸乙二醇酯(Polyethylene glycol terephthalate,PET)中的至少一种。当覆膜103由不可降解材料制成时,覆膜103的厚度大致为0.01-0.2mm。如此,在确保覆膜103的力学性能达标的情况下,覆膜103的厚度尽量薄一些,覆膜103的厚度越薄,覆膜103所造成体内的一些炎症、慢性病的概率越低。In some embodiments, the material of the cover film 103 includes a non-degradable material. The non-degradable materials include, but are not limited to, polyethylene terephthalate (PET), polytetrafluoroethylene (PTFE), thermoplastic polyurethane elastomers (TPU), silicon Rubber, hydrogel, polyurethane (Polyurethane, PU), polyvinyl alcohol (Polyvinylalcohol, PVA), expanded polytetrafluoroethylene (Expanded Poly tetra fluoroethylene, expanded PTFE), polyethylene (Polyethene, PE), high density polyethylene ( At least one of high density polyethylene (HDPE) and polyethylene terephthalate (Polyethylene glycol terephthalate, PET). When the cover film 103 is made of a non-degradable material, the thickness of the cover film 103 is approximately 0.01-0.2 mm. In this way, the thickness of the coating 103 should be as thin as possible while ensuring that the mechanical properties of the coating 103 are up to standard.

请一并参阅图1和图2,图2所示是图1中的封堵系统1000的封堵装置100的封堵盘105的第一实施方式的结构示意图。如图2所示,支撑骨架101和覆膜103构成封堵盘105。Please refer to FIG. 1 and FIG. 2 together. FIG. 2 is a schematic structural diagram of the first embodiment of the blocking disk 105 of the blocking device 100 of the blocking system 1000 in FIG. 1 . As shown in FIG. 2 , the support frame 101 and the covering film 103 constitute the blocking disk 105 .

支撑骨架101构造为网状结构。支撑骨架101可以由具有形状记忆效应的编织丝编织而形成网状结构;或者,支撑骨架101还可以切割具有形状记忆效应的杆状结构、管状结构及板状结构中的至少一者而形成网状结构。网状结构包括边缘段102和连接边缘段102的多个中间段104。多个中间段104位于边缘段102围成的区域内。在本实施例中,支撑骨架101可以由可降解材料和/或可降解材料制成。The support frame 101 is constructed as a mesh structure. The support frame 101 can be woven by braided wires with shape memory effect to form a mesh structure; or, the support frame 101 can also cut at least one of a rod-shaped structure, a tubular structure and a plate-shaped structure with a shape memory effect to form a mesh like structure. The mesh structure includes edge segments 102 and a plurality of intermediate segments 104 connecting the edge segments 102 . A plurality of intermediate segments 104 are located within the area enclosed by the edge segments 102 . In this embodiment, the support frame 101 may be made of degradable and/or degradable materials.

覆膜103与边缘段102及可选择地与多个中间段104无缝连接。在一些实施例中,覆膜103与边缘段102及全部中间段104无缝连接,不仅增强了支撑骨架101与覆膜103连接的可靠性和稳定性,且有利于提高封堵装置100的生物相容性与内皮化的速率,不容易形成血栓、炎症反应以及内皮增生等并发症,且封堵效果更佳。The cover film 103 is seamlessly connected to the edge segment 102 and optionally to a plurality of intermediate segments 104 . In some embodiments, the covering film 103 is seamlessly connected with the edge section 102 and all the middle sections 104 , which not only enhances the reliability and stability of the connection between the support frame 101 and the covering film 103 , but also helps to improve the biological properties of the occlusion device 100 . Compatibility and endothelialization rate, it is not easy to form thrombus, inflammatory reaction and endothelial hyperplasia and other complications, and the blocking effect is better.

在一些实施方式中,覆膜103可以与边缘段102中的至少部分无缝连接,比如覆膜103通过一些粘接点或热压点与边缘段102无缝连接;或者,覆膜103还可以直接与边缘段102的全部无缝连接。在这种实施方式中,覆膜103可以与中间段104不固定连接;或者,覆膜103还可以与中间段104中的至少部分无缝连接,例如,粘接或热压等方式实现无缝连接;或者,覆膜103还可以与中间段104通过缝合等方式实现有缝隙连接。In some embodiments, the cover film 103 may be seamlessly connected to at least a portion of the edge segment 102, for example, the cover film 103 may be seamlessly connected to the edge segment 102 through some adhesive points or thermal pressure points; alternatively, the cover film 103 may also It is directly connected to the entirety of the edge segment 102 seamlessly. In this embodiment, the covering film 103 may not be fixedly connected with the middle section 104; alternatively, the covering film 103 may also be seamlessly connected with at least part of the middle section 104, for example, by bonding or hot pressing to achieve seamless connection Alternatively, the film 103 can also be connected with the middle section 104 by means of sewing or the like with a gap.

在一些实施方式中,覆膜103可以与中间段104中的至少部分无缝连接,比如覆膜103通过一些粘接点或热压点与中间段104无缝连接,或者直接与中间段104的全部无缝连接。在这种实施方式中,覆膜103可以与边缘段102不固定连接;或者,覆膜103还可以与边缘段102中的至少部分无缝连接,例如,粘接或热压等方式实现无缝连接;或者,覆膜103还可以与边缘段102通过缝合等方式实现有缝隙连接。In some embodiments, the cover film 103 may be seamlessly connected with at least part of the middle section 104 , for example, the cover film 103 may be seamlessly connected with the middle section 104 through some bonding points or thermal pressure points, or directly with the middle section 104 . All connected seamlessly. In this embodiment, the cover film 103 may not be fixedly connected to the edge segment 102; alternatively, the cover film 103 may also be seamlessly connected to at least part of the edge segment 102, for example, by means of bonding or heat pressing to achieve seamless connection Alternatively, the covering film 103 can also be connected with the edge segment 102 by means of sewing or the like with a gap.

如图1所示,覆膜103的径向尺寸大于支撑骨架101的径向尺寸,即,覆膜103的周向边缘超出支撑骨架101的边缘段102,覆膜103的周向边缘为自由边缘,并未固定在支撑骨架101。在一些实施方式中,比如图2所示,覆膜103的周向边缘与支撑骨架101的周向边缘平齐,覆膜103的周向边缘固定在支撑骨架101的周向边缘。请一并参阅图2和图3,图3所示为图2中的封堵盘105的支撑骨架101的结构示意图。如图3所示,支撑骨架101的全部结构由同一材料制成。具体地,支撑骨架101的材料包括具有生物相容性的金属材料,从而增强了支撑骨架101的整体强度。在本实施例中,支撑骨架101的全部结构均由金属材料制成。在一些实施例中,支撑骨架101的材料包括不可降解金属材料。不可降解金属材料包括但不局限于不锈钢、钨合金、钴基合金和镍钛合金中的至少一种。在其它一些实施例中,支撑骨架101的材料包括可降解金属材料。可降解金属材料包括,但不局限于镁合金、铁合金或锌合金中的至少一种。在一些实施例中,支撑骨架101的材料还可以包括或进一步包括高分子聚合物材料、不可降解的非金属材料、可降解的非金属材料中的至少一者或它们之间的任意组合。As shown in FIG. 1 , the radial dimension of the film 103 is larger than that of the support frame 101 , that is, the circumferential edge of the film 103 exceeds the edge segment 102 of the support frame 101 , and the circumferential edge of the film 103 is a free edge , not fixed on the support frame 101 . In some embodiments, such as shown in FIG. 2 , the circumferential edge of the film 103 is flush with the circumferential edge of the support frame 101 , and the circumferential edge of the film 103 is fixed on the circumferential edge of the support frame 101 . Please refer to FIG. 2 and FIG. 3 together. FIG. 3 is a schematic structural diagram of the support frame 101 of the blocking disk 105 in FIG. 2 . As shown in FIG. 3 , the entire structure of the support frame 101 is made of the same material. Specifically, the material of the support frame 101 includes a metal material having biocompatibility, thereby enhancing the overall strength of the support frame 101 . In this embodiment, all the structures of the support frame 101 are made of metal materials. In some embodiments, the material of the support framework 101 includes a non-degradable metal material. The non-degradable metal material includes, but is not limited to, at least one of stainless steel, tungsten alloy, cobalt-based alloy, and nickel-titanium alloy. In some other embodiments, the material of the support frame 101 includes a degradable metal material. Degradable metal materials include, but are not limited to, at least one of magnesium alloys, iron alloys, or zinc alloys. In some embodiments, the material of the support skeleton 101 may also include or further include at least one of high molecular polymer materials, non-degradable non-metallic materials, degradable non-metallic materials, or any combination thereof.

支撑骨架101构造为网状结构。支撑骨架101可以由具有形状记忆效应的编织丝编织而形成网状结构;或者,支撑骨架101还可以切割具有形状记忆效应的杆状结构、管状结构及板状结构中的至少一者而形成网状结构。网状结构包括边缘段102和连接边缘段102的多个中间段104。多个中间段104位于边缘段102围成的区域内。其中,边缘段102共同围合形成一封闭区域。每一个中间段104构造成弧形结构。在一些实施方式中,中间段还可以呈现为直线型结构。The support frame 101 is constructed as a mesh structure. The support frame 101 can be woven by braided wires with shape memory effect to form a mesh structure; or, the support frame 101 can also cut at least one of a rod-shaped structure, a tubular structure and a plate-shaped structure with a shape memory effect to form a mesh like structure. The mesh structure includes edge segments 102 and a plurality of intermediate segments 104 connecting the edge segments 102 . A plurality of intermediate segments 104 are located within the area enclosed by the edge segments 102 . Wherein, the edge segments 102 are jointly enclosed to form a closed area. Each intermediate segment 104 is configured in an arcuate configuration. In some embodiments, the intermediate section may also exhibit a rectilinear configuration.

具体地,支撑骨架101具有汇聚点1011。网状结构由多个支撑环111呈交叉放射状排列形成。多个支撑环111自网状结构的汇聚点1011沿周向排布。在本实施例中,支撑环111的数量为六个,六个支撑环111按顺时针方向或逆时针方向沿周向排列且交叉连接。其他实施例中,支撑环111的数量还可以为5个、8个或其他数量,具体可以依据实际需要而设置,例如多个支撑环111按顺时针方向或逆时针方向沿周向排列且彼此邻接设置或间隔设置。每一支撑环111可以呈但不局限于椭圆、半圆形、花瓣形或不规则形状等。每一个支撑环111包括一个周向段106和与周向段106的相对两端分别对应连接的两个中间段104。每一个中间段104沿周向段106的径向延伸,且在汇聚点1011汇集,从而增强了支撑骨架101与覆膜103连接的可靠性和稳定性,进而提升了封堵装置100的封堵效果。每一个周向段106沿网状结构的周向延伸,且所有周向段106首尾相连而形成边缘段102。Specifically, the support frame 101 has a convergence point 1011 . The network structure is formed by a plurality of support rings 111 arranged in a cross radial pattern. A plurality of support rings 111 are arranged in the circumferential direction from the convergence point 1011 of the mesh structure. In this embodiment, the number of the support rings 111 is six, and the six support rings 111 are arranged in a clockwise direction or a counterclockwise direction along the circumferential direction and are cross-connected. In other embodiments, the number of support rings 111 can also be 5, 8 or other numbers, which can be set according to actual needs. Adjacency setting or interval setting. Each support ring 111 may have, but is not limited to, an ellipse, a semicircle, a petal shape, an irregular shape, and the like. Each support ring 111 includes a circumferential segment 106 and two intermediate segments 104 correspondingly connected to opposite ends of the circumferential segment 106 . Each intermediate segment 104 extends along the radial direction of the circumferential segment 106 and converges at the convergence point 1011 , thereby enhancing the reliability and stability of the connection between the support frame 101 and the covering film 103 , thereby improving the blocking of the blocking device 100 Effect. Each circumferential segment 106 extends along the circumference of the mesh structure, and all the circumferential segments 106 are connected end to end to form the edge segment 102 .

多个中间段104包括第一段1041和第二段1042。第一段1041与第二段1042的第一端均相对远离支撑骨架101的汇聚点1011,且与边缘段102相连接,第一段1041与第二段1042的第二端均相对第一端靠近支撑骨架101的汇聚点1011。在本实施例中,第一段1041的材料和第二段1042的材料相同,且均由金属材料制成。The plurality of intermediate segments 104 includes a first segment 1041 and a second segment 1042 . The first ends of the first section 1041 and the second section 1042 are both relatively far away from the convergence point 1011 of the support frame 101 and are connected to the edge section 102 , and the second ends of the first section 1041 and the second section 1042 are opposite to the first end Close to the convergence point 1011 of the support frame 101 . In this embodiment, the material of the first section 1041 and the material of the second section 1042 are the same, and both are made of metal material.

在一些实施例中,任意相邻两个支撑环111之间的连接,即边缘段102与中间段104之间及任意相邻两个中间段104之间的连接,可以通过焊接、穿插和/或缠绕打结等方式固定连接在一起。每一个支撑环111的中间段104和周向段106可以是均包括多根金属编织丝,也可以是即均由整根金属管切割而成,还可以是两者混合搭配。具体地,在一些实施方式中,中间段104由整根金属管直接切割成型得到时,边缘段102包括多根金属编织丝,中间段104与边缘段102的内周和/或外周焊接连接。In some embodiments, the connection between any two adjacent support rings 111 , that is, the connection between the edge segment 102 and the middle segment 104 and the connection between any two adjacent middle segments 104, can be performed by welding, interpenetration and/or or twisted and knotted together. The middle section 104 and the circumferential section 106 of each support ring 111 may both include a plurality of metal braided wires, or both may be cut from a whole metal tube, or may be mixed and matched. Specifically, in some embodiments, when the middle section 104 is directly cut and formed from a whole metal tube, the edge section 102 includes a plurality of metal braided wires, and the middle section 104 is welded to the inner circumference and/or the outer circumference of the edge section 102 .

在其它一些实施方式中,任意相邻两个支撑环111相互交叉连接。具体地,每一个支撑环111包括多根金属编织丝时,多根金属编织丝彼此之间形成缝隙。其中一个支撑环111的中间段104穿插于与其相邻的其中另一个支撑环111的中间段104的缝隙中;其中一个支撑环111的周向段106穿插于与其相邻的其中另一个支撑环111的周向段106的缝隙中,并且可选择地在两者的交叉处焊接,以提高连接强度。In other embodiments, any two adjacent support rings 111 are cross-connected to each other. Specifically, when each support ring 111 includes a plurality of metal braided wires, a gap is formed between the plurality of metal braided wires. The middle section 104 of one of the support rings 111 is inserted into the gap of the adjacent middle section 104 of the other support ring 111 ; the circumferential section 106 of one of the support rings 111 is inserted into the other adjacent support ring 111 in the gap of the circumferential segment 106, and optionally welded at the intersection of the two to improve the connection strength.

在一些实施例中,边缘段102包括多根金属编织丝,且由多根金属编织丝编织形成一个整体,中间段104包括多根金属编织丝。在这种实施例中,中间段104穿插于边缘段102的缝隙中;或者,边缘段102穿插于中间段104的缝隙中。在另一些实施例中,边缘段102包括多根金属编织丝,且由多根金属编织丝编织形成一个整体,中间段104由金属管直接切割成型得到,中间段104穿插于边缘段102的缝隙中。在其它一些实施例中,边缘段102由金属管直接切割成型得到,中间段104包括多根金属编织丝,边缘段102穿插于中间段104的缝隙中。In some embodiments, the edge section 102 includes a plurality of metal braided wires and is woven into a whole by the plurality of metal braided wires, and the middle section 104 includes a plurality of metal braided wires. In such an embodiment, the middle segment 104 is inserted into the slit of the edge segment 102 ; alternatively, the edge segment 102 is inserted into the slit of the intermediate segment 104 . In other embodiments, the edge segment 102 includes a plurality of metal braided wires, which are braided to form a whole, the intermediate segment 104 is directly cut and formed from a metal tube, and the intermediate segment 104 is inserted through the gap of the edge segment 102. middle. In some other embodiments, the edge segment 102 is directly cut and formed from a metal tube, the middle segment 104 includes a plurality of metal braided wires, and the edge segment 102 is inserted into the gap of the middle segment 104 .

请参阅图4,图4所示是图1中的封堵装置100a的封堵盘105a的第二实施方式的结构示意图。如图4所示,支撑骨架101a和覆膜103构成封堵盘105a。在本实施例中提供的支撑骨架101a与第一实施方式提供的支撑骨架101的主要区别在于,本实施方式中,边缘段102的材料与第一段1041的材料相同,第一段1041的材料可以与第二段1042a的材料不同;另外覆膜103与边缘段102及第一段1041无缝连接。Please refer to FIG. 4 , which is a schematic structural diagram of a second embodiment of the blocking disk 105 a of the blocking device 100 a in FIG. 1 . As shown in FIG. 4 , the support frame 101a and the coating film 103 constitute a plugging disc 105a. The main difference between the support frame 101a provided in this embodiment and the support frame 101 provided in the first embodiment is that in this embodiment, the material of the edge section 102 is the same as the material of the first section 1041, and the material of the first section 1041 The material of the second section 1042a may be different; in addition, the cover film 103 is seamlessly connected with the edge section 102 and the first section 1041 .

每相邻的两个支撑环111交叉连接,且相邻的两个支撑环111彼此交叉而形成一个或多个交叉点113。多个交叉点113包括多个第一连接点1131和多个第二连接点1132。在本实施例中,边缘段102与每一个中间段104的交叉处形成有一个第一连接点1131,每一个第一段1041与对应的第二段1042a的交叉处形成有一个第二连接点1132。多个第一连接点1131相对远离支撑骨架101的汇聚点1011,多个第二连接点1132相对靠近支撑骨架101的汇聚点1011。具体地,多个第一连接点1131位于边缘段102上,多个第二连接点1132位于第一连接点1131和汇聚点1011之间。可选地,覆膜103与支撑骨架101在对应第一连接点1131和/或第二连接点1132的位置处无缝连接。Every two adjacent support rings 111 are cross-connected, and two adjacent support rings 111 cross each other to form one or more intersections 113 . The plurality of intersections 113 include a plurality of first connection points 1131 and a plurality of second connection points 1132 . In this embodiment, a first connection point 1131 is formed at the intersection of the edge segment 102 and each intermediate segment 104, and a second connection point is formed at the intersection of each first segment 1041 and the corresponding second segment 1042a 1132. The plurality of first connection points 1131 are relatively far from the convergence point 1011 of the support frame 101 , and the plurality of second connection points 1132 are relatively close to the convergence point 1011 of the support frame 101 . Specifically, a plurality of first connection points 1131 are located on the edge segment 102 , and a plurality of second connection points 1132 are located between the first connection point 1131 and the convergence point 1011 . Optionally, the covering film 103 and the supporting frame 101 are seamlessly connected at positions corresponding to the first connection point 1131 and/or the second connection point 1132 .

请一并参阅图4和图5,图5所示为图4中的封堵装置100的支撑骨架101a处于第一状态的第二实施方式的结构示意图。如图5所示,支撑骨架101a的部分结构由第一材料制成,另一部分结构由第二材料制成,其中,第一材料不同于第二材料。具体地,支撑骨架101a的材料同时包括具有生物相容性的不可降解材料和可降解材料,即支撑骨架101a的部分结构由不可降解材料制成,在本实施例中,不可降解材料可以为上述不可降解金属材料。支撑骨架101a的另一部分结构由可降解材料制成。本申请中封堵装置100的支撑骨架101a中加入可降解材料,从而减少了金属离子的释放,可降解骨架降解后不会留在体内,降低了并发症的发生率。所述可降解材料包括可降解金属材料和/或上述可降解非金属材料。可降解非金属材料包括,但不局限于聚乳酸、聚己内酯、聚丁二酸丁二醇酯、1,3-丙二醇和聚(L-丙交酯-co-ε-己内酯)系列共聚物、聚葡萄糖酸(polyglyconate)、聚羟丁酸(polyhydroxybutyrate)、聚酸酐(polyanhydride)、聚磷酸酯(polyphosphoester)中的一种或至少两种的共聚或共混物。Please refer to FIG. 4 and FIG. 5 together. FIG. 5 is a schematic structural diagram of the second embodiment in which the support frame 101 a of the blocking device 100 in FIG. 4 is in the first state. As shown in FIG. 5 , part of the structure of the support frame 101a is made of a first material, and another part of the structure is made of a second material, wherein the first material is different from the second material. Specifically, the material of the support frame 101a includes both biocompatible non-degradable materials and degradable materials, that is, part of the structure of the support frame 101a is made of non-degradable materials. In this embodiment, the non-degradable materials may be the above-mentioned non-degradable materials. Non-degradable metal material. Another part of the structure of the support frame 101a is made of degradable material. In the present application, degradable materials are added to the supporting framework 101a of the occlusion device 100, thereby reducing the release of metal ions, and the degradable framework will not remain in the body after being degraded, thereby reducing the incidence of complications. The degradable materials include degradable metal materials and/or the above-mentioned degradable non-metallic materials. Degradable non-metallic materials include, but are not limited to, polylactic acid, polycaprolactone, polybutylene succinate, 1,3-propanediol, and poly(L-lactide-co-ε-caprolactone) A copolymer or blend of one or at least two of a series of copolymers, polyglyconate, polyhydroxybutyrate, polyanhydride, and polyphosphoester.

如图5所示,第一段1041的材料不同于第二段1042a的材料。在本实施例中,第一段1041由不可降解材料制成,第二段1042a由可降解材料制成。优选地,第一段1041由不可降解的金属材料制成,第二段1042a由可降解的非金属材料制成,从而确保支撑骨架101a的整体支撑强度以及回弹性等机械性能,同时减少了支撑骨架101a的金属含量,降低了并发症的发生率。As shown in FIG. 5, the material of the first section 1041 is different from the material of the second section 1042a. In this embodiment, the first section 1041 is made of non-degradable material, and the second section 1042a is made of degradable material. Preferably, the first section 1041 is made of a non-degradable metal material, and the second section 1042a is made of a degradable non-metallic material, so as to ensure the overall support strength of the support frame 101a and mechanical properties such as resilience, while reducing support The metal content of the skeleton 101a reduces the incidence of complications.

在本实施例中,第一段1041的数量可以少于第二段1042a的数量,从而降低了支撑骨架101a引起的炎症反应的风险,有利于减小支撑骨架101a对待封堵组织的刺激。具体地,多个第一段1041均匀间隔设置,如此在第二段1042a部分或全部降解后仍能够确保支撑骨架101a的整体强度,避免支撑骨架101a发生变形而出现降低封堵效果的现象。可选地,多个第一段1041自支撑骨架101a的几何中心呈中心对称设置,从而提高支撑骨架101a的受力均匀性且更好封堵待封堵组织。多个第一段1041与边缘段102连接而形成一个整体,从而提升了支撑骨架101a的整体强度。在一些实施例中,第二段1042a的数量还可以多于第二段1042a的数量,从而提升了支撑骨架101a的整体强度以及回弹性等机械性能。在另一些实施例中,为例兼顾支撑骨架101a的强度及生物相容性,第一段1041的数量还可以等于第二段1042a的数量,且多个第一段1041和多个第二段1042a交替排布设置。In this embodiment, the number of the first sections 1041 may be less than the number of the second sections 1042a, thereby reducing the risk of inflammatory reaction caused by the support frame 101a, which is beneficial to reduce the stimulation of the tissue to be blocked by the support frame 101a. Specifically, the plurality of first sections 1041 are evenly spaced, so that the overall strength of the support frame 101a can be ensured even after the second section 1042a is partially or completely degraded, and the phenomenon that the support frame 101a is deformed to reduce the blocking effect can be avoided. Optionally, the plurality of first sections 1041 are arranged symmetrically from the geometric center of the supporting frame 101a, so as to improve the uniformity of the force of the supporting frame 101a and better seal the tissue to be sealed. The plurality of first segments 1041 are connected with the edge segment 102 to form a whole, thereby enhancing the overall strength of the supporting frame 101a. In some embodiments, the number of the second segments 1042a may also be greater than the number of the second segments 1042a, thereby improving the overall strength of the support frame 101a and mechanical properties such as resilience. In other embodiments, in order to take into account the strength and biocompatibility of the support frame 101a, the number of the first sections 1041 may also be equal to the number of the second sections 1042a, and the plurality of first sections 1041 and the plurality of second sections 1042a are arranged alternately.

请一并参阅图5和图6,图6所示为图4中的封堵装置100的支撑骨架101a处于第二状态的第二实施方式的结构示意图,其中,第一状态是指支撑骨架101的多个第二段1042降解之前的状态;第二状态是指支撑骨架101的多个第二段1042降解之后的状态。可以理解地,在多个第二段1042降解之前,边缘段102与第一段1041与第二段1042合围形成多个第一网孔1012;在多个第二段1042降解之后,边缘段102与多个第一段1041合围形成多个第二网孔1013,至少一个第二网孔1013的尺寸大于一第一网孔1012的尺寸,从而便于后续封堵装置100内皮化之后,能够在第二网孔1013的位置处进行待治疗组织(例如房间隔)穿刺。可选地,第二段1042a和覆膜103的材料均为可降解材料的情况下,更便于穿刺操作。多个第一网孔1012的形状和大小可以相同也可以不同。本实施方式中,多个第一网孔1012的形状部分相同,其余部分不相同。具体地,在支撑骨架101的周向上,任意相邻的两个第一网孔1012的形状和大小相同。在支撑骨架101的径向上,任意相邻的两个第一网孔1012的形状和尺寸均不同。多个第二网孔1013形状与大小均相同,每个第二网孔1013的面积均大于任意一个第一网孔1012的面积。Please refer to FIG. 5 and FIG. 6 together. FIG. 6 is a schematic structural diagram of the second embodiment in which the support frame 101 a of the plugging device 100 in FIG. 4 is in a second state, wherein the first state refers to the support frame 101 The plurality of second segments 1042 of 104 are in a state before degradation; the second state refers to a state after the degradation of the plurality of second segments 1042 of the support skeleton 101 . It can be understood that before the plurality of second segments 1042 are degraded, the edge segment 102 and the first segment 1041 and the second segment 1042 are enclosed to form a plurality of first meshes 1012; after the plurality of second segments 1042 are degraded, the edge segment 102 A plurality of second mesh holes 1013 are formed by enclosing a plurality of first sections 1041, and the size of at least one second mesh hole 1013 is larger than that of a first mesh hole 1012, so as to facilitate the subsequent endothelialization of the plugging device 100, it can be The tissue to be treated (eg atrial septum) is punctured at the position of the second mesh hole 1013 . Optionally, when the materials of the second segment 1042a and the covering film 103 are both degradable materials, the puncturing operation is more convenient. The shapes and sizes of the plurality of first mesh holes 1012 may be the same or different. In this embodiment, the shapes of the plurality of first mesh holes 1012 are partially the same, and the other parts are different. Specifically, in the circumferential direction of the support frame 101, any two adjacent first mesh holes 1012 have the same shape and size. In the radial direction of the support frame 101, any two adjacent first mesh holes 1012 have different shapes and sizes. The shape and size of the plurality of second mesh holes 1013 are the same, and the area of each second mesh hole 1013 is larger than that of any one of the first mesh holes 1012 .

请参阅图7,图7所示是图1中的封堵系统1000的封堵装置100a的另一实施方式的结构示意图。在本实施例中,封堵装置100a的结构与第一实施例的封堵装置100a的结构相似。不同之处在于,覆膜103的周向边缘与支撑骨架101的周向边缘平齐,覆膜103的周向边缘固定在支撑骨架101的周向边缘。Please refer to FIG. 7 , which is a schematic structural diagram of another embodiment of the blocking device 100 a of the blocking system 1000 in FIG. 1 . In this embodiment, the structure of the blocking device 100a is similar to that of the blocking device 100a of the first embodiment. The difference is that the circumferential edge of the film 103 is flush with the circumferential edge of the support frame 101 , and the circumferential edge of the film 103 is fixed on the circumferential edge of the support frame 101 .

请一并参阅图1和图7至图8,图8是图7中的封堵系统1000的封堵装置100a中的第一封堵盘11的内侧结构示意图。在本实施例中,每相邻的两个支撑环111交叉连接,且相邻的两个支撑环111彼此交叉而形成一个或多个交叉点113。支撑环111的多个交叉点仅包括多个第一连接点1131,即每一个中间段104与边缘段102的交叉处形成有第一连接点1131,任意相邻的两个中间段104在远离边缘段102的一端形成有端部连接段114,从而确保支撑骨架101的整体支撑强度以及回弹性等机械性能。可选地,覆膜103与支撑骨架101在对应第一连接点1131和/或多个端部连接段114的位置处无缝连接。如图1所示,在一些实施例中,每一个中间段104在远离边缘段102的一端形成有端部连接段,且任意相邻的两个连接段间隔设置。Please refer to FIG. 1 and FIGS. 7 to 8 together. FIG. 8 is a schematic diagram of the inner side structure of the first plugging disc 11 in the plugging device 100 a of the plugging system 1000 in FIG. 7 . In this embodiment, every two adjacent support rings 111 are cross-connected, and two adjacent support rings 111 cross each other to form one or more intersections 113 . The multiple intersection points of the support ring 111 only include multiple first connection points 1131 , that is, a first connection point 1131 is formed at the intersection of each intermediate segment 104 and the edge segment 102 , and any two adjacent intermediate segments 104 are far away from each other. One end of the edge segment 102 is formed with an end connecting segment 114, so as to ensure the overall support strength of the support frame 101 and mechanical properties such as resilience. Optionally, the covering film 103 and the supporting frame 101 are seamlessly connected at positions corresponding to the first connection point 1131 and/or the plurality of end connection segments 114 . As shown in FIG. 1 , in some embodiments, each intermediate segment 104 is formed with an end connecting segment at one end away from the edge segment 102 , and any two adjacent connecting segments are arranged at intervals.

在本实施例中,封堵装置100a包括第一封堵盘11、第二封堵盘13。封堵装置100a还包括连接第一封堵盘11和第二封堵盘13的牵拉件15。第一封堵盘11和第二封堵盘13均用于封堵缺口,即第一封堵盘11和第二封堵盘13分别用于覆盖封堵组织中的缺口的一侧。牵拉件15用于调节第一封堵盘11和第二封堵盘13之间的距离。In this embodiment, the blocking device 100 a includes a first blocking disk 11 and a second blocking disk 13 . The occlusion device 100a further includes a pulling member 15 connecting the first occlusion disc 11 and the second occlusion disc 13 . Both the first occlusion disc 11 and the second occlusion disc 13 are used to close the gap, that is, the first occlusion disc 11 and the second occlusion disc 13 are respectively used to cover one side of the occlusion in the tissue. The pulling member 15 is used to adjust the distance between the first blocking disk 11 and the second blocking disk 13 .

具体地,第一封堵盘11位于第二封堵盘13的远端,第一封堵盘11上设置有多个连接环12,牵拉件15穿过所述多个连接环12,多个连接环12包括位于第一封堵盘11的几何中心外的多个第一连接环121,第一封堵盘11的覆膜103上开设有穿孔1031,多个第一连接环121穿过穿孔1031而固定于第一封堵盘11的支撑骨架101上,优选地,穿插于支撑骨架101上多根金属编织丝之间形成的缝隙中(参考上述实施方式,在此不做赘述)。牵拉件15穿过多个连接环12,以实现牵拉件15与第一封堵盘11连接。Specifically, the first blocking disk 11 is located at the distal end of the second blocking disk 13 , a plurality of connecting rings 12 are provided on the first blocking disk 11 , and the pulling member 15 passes through the plurality of connecting rings 12 . Each connecting ring 12 includes a plurality of first connecting rings 121 located outside the geometric center of the first plugging disc 11 , a through hole 1031 is formed on the covering film 103 of the first plugging disc 11 , and the plurality of first connecting rings 121 pass through The perforations 1031 are fixed on the support frame 101 of the first blocking disc 11 , preferably, inserted into the gaps formed between the plurality of metal braided wires on the support frame 101 (refer to the above-mentioned embodiment, which will not be repeated here). The pulling member 15 passes through the plurality of connecting rings 12 to realize the connection between the pulling member 15 and the first blocking disc 11 .

第一连接环121呈环状并形成穿线孔1211,牵拉件15穿过第一连接环121的穿线孔1211。当拉紧牵拉件15时,牵拉件15能够在第一连接环121中滑动,从而协助调节第一封堵盘11与第二封堵盘13之间的牵拉件15的长度,进而调节第一封堵盘11和第二封堵盘13之间的距离。多个第一连接环121可以通过粘接、打结等方式固定于第一封堵盘11上。The first connecting ring 121 is annular and forms a threading hole 1211 , and the pulling member 15 passes through the threading hole 1211 of the first connecting ring 121 . When the pulling member 15 is tightened, the pulling member 15 can slide in the first connecting ring 121, thereby assisting in adjusting the length of the pulling member 15 between the first blocking disc 11 and the second blocking disc 13, and further The distance between the first blocking disk 11 and the second blocking disk 13 is adjusted. The plurality of first connecting rings 121 can be fixed on the first blocking disc 11 by means of bonding, knotting or the like.

可选地,穿孔1031内设置有填充体,以使得第一连接环121与第一封堵盘11的覆膜103密封连接,从而进一步减小封堵装置100a需要内皮化的表面的面积,组织从封堵装置100a的边缘向轴线方向爬附,有利于提高封堵装置100a的生物相容性与内皮化的速率,不容易形成血栓、炎症反应以及内皮增生等并发症。填充体可以,但不局限于通过静电纺丝方式、浸渍方式或喷涂方式填充于穿孔1031内。可以理解地,覆膜103的材料适用于填充体的材料,填充体的材料还可以为其它具有生物相同性的材料。Optionally, a filler is provided in the perforation 1031, so that the first connection ring 121 is sealedly connected to the membrane 103 of the first occlusion disc 11, thereby further reducing the surface area of the occlusion device 100a that needs to be endothelialized, and the tissue Climbing from the edge of the occlusion device 100a to the axis direction is beneficial to improve the biocompatibility and endothelialization rate of the occlusion device 100a, and is not prone to complications such as thrombosis, inflammatory reaction and endothelial hyperplasia. The filling body can be, but is not limited to, be filled in the through holes 1031 by electrospinning, dipping or spraying. It can be understood that the material of the coating film 103 is suitable for the material of the filling body, and the material of the filling body can also be other materials with biological identity.

牵拉件15的两端穿过第二封堵盘13并在第二封堵盘13背离第一封堵盘11的一侧形成调节线结150,第一封堵盘11与第二封堵盘13之间的间距能够通过调节牵拉件15的端部来调节,以适应不同患者及不同组织解剖结构的需求。第一封堵盘11与第二封堵盘13的盘面形状可以设置为圆形、多边形、椭圆形、三角形或者其他不规则形状,第一封堵盘11的径向尺寸与第二封堵盘13的径向尺寸可以相同,也可以不同,比如,第一封堵盘11的径向尺寸小于第二封堵盘13的径向尺寸。本实施例中,第一封堵盘11及第二封堵盘13均呈大致六边形盘状,第一封堵盘11的径向尺寸等于第二封堵盘13的径向尺寸。第二封堵盘13的结构与第一封堵盘11的结构相似,不同之处在于,第二封堵盘13上未设置多个连接环。下面以第一封堵盘11的结构进行详细介绍。Both ends of the pulling member 15 pass through the second blocking disk 13 and form an adjusting wire knot 150 on the side of the second blocking disk 13 away from the first blocking disk 11 . The spacing between the discs 13 can be adjusted by adjusting the ends of the pullers 15 to suit the needs of different patients and different tissue anatomies. The shapes of the disk surfaces of the first plugging disk 11 and the second plugging disk 13 can be set to be circular, polygonal, elliptical, triangular or other irregular shapes, and the radial dimension of the first plugging disk 11 is the same as that of the second plugging disk. The radial dimension of the 13 may be the same or different, for example, the radial dimension of the first plugging disc 11 is smaller than the radial dimension of the second plugging disc 13 . In this embodiment, both the first blocking disk 11 and the second blocking disk 13 are substantially hexagonal disks, and the radial dimension of the first blocking disk 11 is equal to the radial size of the second blocking disk 13 . The structure of the second blocking disk 13 is similar to that of the first blocking disk 11 , the difference is that a plurality of connecting rings are not provided on the second blocking disk 13 . The structure of the first blocking disk 11 will be described in detail below.

在本实施例中,第二封堵盘13与第一封堵盘11中,每一支撑环111均由多股编织丝缠绕编织或并排设置而成,即所有支撑环111均由多股编织丝缠绕编织而形成盘状结构,使得第一封堵盘11及第二封堵盘13具有较强的柔韧性以及机械强度,能充分与待封堵组织的表面贴合。第一封堵盘11的支撑骨架101与第二封堵盘13的支撑骨架101分别为单层编织网状结构、单层切割框架结构、双层编织网状结构或者双层切割框架结构中的任意一种。本实施例中,第一封堵盘11的支撑骨架101与第二封堵盘13的支撑骨架101均为单层编织网状结构。In this embodiment, in the second plugging disc 13 and the first plugging disc 11 , each support ring 111 is formed by winding or arranging a plurality of braided wires, that is, all the support rings 111 are made of a plurality of braids. The filaments are wound and woven to form a disc-like structure, so that the first occlusion disc 11 and the second occlusion disc 13 have strong flexibility and mechanical strength, and can fully adhere to the surface of the tissue to be occluded. The support frame 101 of the first plugging disc 11 and the support frame 101 of the second plugging disc 13 are respectively a single-layer woven mesh structure, a single-layer cutting frame structure, a double-layer woven mesh structure or a double-layer cutting frame structure. any kind. In this embodiment, the supporting frame 101 of the first blocking disk 11 and the supporting frame 101 of the second blocking disk 13 are both single-layer woven mesh structures.

可以理解的是,在一些实施方式中,第一封堵盘11中的部分支撑环111是包括多股编织丝的,第一封堵盘11中的其它支撑环111包括一股编织丝。在一些实施例中,支撑骨架101还可以通过激光切割板/管状的镍钛合金而形成具有镂空结构的盘状结构,从而增强支撑骨架101的支撑性。It can be understood that, in some embodiments, some of the support rings 111 in the first occlusion disc 11 include a plurality of braided wires, and other support rings 111 in the first occlusion disc 11 include one braided wire. In some embodiments, the support frame 101 can also be laser-cut from a plate/tubular nickel-titanium alloy to form a disk-shaped structure with a hollowed-out structure, thereby enhancing the supportability of the support frame 101 .

第一封堵盘11中,多个连接环12还包括第二连接环122,封堵装置100a还包括连接件14,第二连接环122通过连接件14连接于支撑骨架101上。连接件14设置在第一封堵盘11的几何中心。在其它实施方式中,连接件14设置在第一封堵盘11上偏心的位置。具体地,支撑骨架101的多个支撑环111围绕连接件14的周向设置。优选地,第一封堵盘11上的支撑环111均匀间隔排布。第二连接环122缠绕于连接件14上,以使得第二连接环122大致位于第一封堵盘11的几何中心。可选地,多个支撑环111围绕连接件14周向布置至少一周,以形成单层或多层网状结构。In the first blocking disc 11 , the plurality of connecting rings 12 further include second connecting rings 122 , the blocking device 100 a further includes connecting pieces 14 , and the second connecting rings 122 are connected to the support frame 101 through the connecting pieces 14 . The connecting piece 14 is arranged in the geometric center of the first closing disk 11 . In other embodiments, the connecting piece 14 is provided at an eccentric position on the first blocking disc 11 . Specifically, the plurality of support rings 111 of the support frame 101 are arranged around the circumference of the connecting member 14 . Preferably, the support rings 111 on the first blocking disc 11 are evenly spaced. The second connecting ring 122 is wound on the connecting piece 14 , so that the second connecting ring 122 is approximately located at the geometric center of the first plugging disc 11 . Optionally, a plurality of support rings 111 are circumferentially arranged around the connecting member 14 at least once to form a single-layer or multi-layer network structure.

连接件14与支撑骨架101可以一体成型;或者可以通过焊接、粘接等方式固定连接在一起。连接件14可以两端开口的钢套,连接件14也可以是多层钢套的组合。多个支撑环111的端部连接于连接件14的外周面,且通过焊接或粘接的方式固定连接于连接件14的外周面上。连接件14的材质包括,但不局限于不锈钢、镍钛合金或其他生物相容性材料。The connector 14 and the support frame 101 may be integrally formed; or may be fixedly connected together by welding, bonding, or the like. The connecting piece 14 can be a steel sleeve with both ends open, and the connecting piece 14 can also be a combination of multi-layer steel sleeves. The ends of the plurality of support rings 111 are connected to the outer peripheral surface of the connecting member 14 , and are fixedly connected to the outer peripheral surface of the connecting member 14 by welding or bonding. The material of the connector 14 includes, but is not limited to, stainless steel, Nitinol or other biocompatible materials.

第二连接环122可以通过粘接、打结等方式固定于连接件14上,以防止第二连接环122发生移位。第一连接环121围绕第二连接环122的周围设置。第一连接环121及第二连接环122的数量可以均包括一个或多个。在本实施例中,第一连接环121的数量包括多个,第二连接环122的数量包括一个。优选地,多个第一连接环121围绕第二连接环122均匀布置至少一圈,以提高牵拉件15收线放线过程中第一封堵盘11受力的均匀性。在一些实施方式中,多个第一连接环121是均匀间隔分布的。第二连接环122呈环形并形成穿线孔,牵拉件15穿设于第一连接环121的穿线孔及第二连接环122的穿线孔中。The second connecting ring 122 can be fixed on the connecting member 14 by means of gluing, knotting, etc., so as to prevent the second connecting ring 122 from being displaced. The first connecting ring 121 is arranged around the circumference of the second connecting ring 122 . The number of the first connecting ring 121 and the number of the second connecting ring 122 may include one or more. In this embodiment, the number of the first connection rings 121 includes a plurality, and the number of the second connection rings 122 includes one. Preferably, the plurality of first connecting rings 121 are evenly arranged around the second connecting ring 122 for at least one circle, so as to improve the uniformity of the force on the first blocking disc 11 during the process of taking up and paying out the wire of the pulling member 15 . In some embodiments, the plurality of first connecting rings 121 are evenly spaced. The second connecting ring 122 is annular and forms a threading hole, and the pulling member 15 is passed through the threading hole of the first connecting ring 121 and the threading hole of the second connecting ring 122 .

优选地,第二连接环122设置于第一封堵盘11的几何中心,牵拉件15穿过第二连接环122的穿线孔后并拉紧,第二连接环122与牵拉件15的相交处位于第一封堵盘11的几何中心上,从而使第一封堵盘11受到均匀的拉力,第一封堵盘11定位后调节牵拉件15的长度时,第一封堵盘11不容易发生偏斜。Preferably, the second connecting ring 122 is arranged at the geometric center of the first blocking disc 11 , the pulling member 15 passes through the threading hole of the second connecting ring 122 and is tightened, and the second connecting ring 122 is connected to the pulling member 15 . The intersection is located on the geometric center of the first blocking disk 11, so that the first blocking disk 11 is subjected to uniform tension. When the first blocking disk 11 is positioned and the length of the pulling member 15 is adjusted, the first blocking disk 11 Not prone to skew.

连接环12与牵拉件15可选为非吸收生物相容性缝合线,例如金属线、棉线、聚酯、聚丙烯等。连接环12与牵拉件15也可选用可吸收生物相容性缝合线,例如羊肠线、聚乙交酯、多丝非生物可降解缝合线等,牵拉件15还可选用强制缠绕纤维线等。The connecting ring 12 and the pulling member 15 can optionally be non-absorbable biocompatible sutures, such as metal threads, cotton threads, polyester, polypropylene, and the like. The connecting ring 12 and the pulling member 15 can also be selected from absorbable biocompatible sutures, such as catgut, polyglycolide, multifilament non-biodegradable sutures, etc. The pulling member 15 can also be selected from forced winding fibers line etc.

在本实施例中,连接环12的材料包括,但不局限于聚丙烯、聚对苯二甲酸乙二醇酯、聚四氟乙烯中的至少一种。牵拉件15的材料包括,但不局限于聚四氟乙烯、聚乙交酯、聚乙丙交酯、聚乳酸、胶原蛋白、尼龙缝合线、聚酯缝合线中的至少一种。优选地,牵拉件15为聚四氟乙烯制成的缝合线。由于聚四氟乙烯材料的机械强度高,因此提升了牵拉件15的韧性。优选地,连接环12的材料选用有较好的抗拉强度和硬度的聚丙烯。连接环12采用的是双股缝合线,使封堵装置100a有更好的连接强度。在其它实施方式中,连接环12还可以采用更多股股缝合线,或者一股缝合线。In this embodiment, the material of the connecting ring 12 includes, but is not limited to, at least one of polypropylene, polyethylene terephthalate, and polytetrafluoroethylene. The material of the pulling member 15 includes, but is not limited to, at least one of polytetrafluoroethylene, polyglycolide, polyglycolide, polylactic acid, collagen, nylon suture, and polyester suture. Preferably, the pulling member 15 is a suture made of polytetrafluoroethylene. Due to the high mechanical strength of the polytetrafluoroethylene material, the toughness of the pulling member 15 is improved. Preferably, the material of the connecting ring 12 is polypropylene with better tensile strength and hardness. The connection ring 12 adopts a double-strand suture, so that the occlusion device 100a has better connection strength. In other embodiments, the connecting ring 12 may also employ more strands of suture, or one strand of suture.

请一并参阅图1至图8,在使用的过程中,第一封堵盘11被输送器200输送至从左心房并在所述左心房中展开,第二封堵盘13被输送器200输送至右心房并在右心房中展开。连接于第一封堵盘11与第二封堵盘13之间的牵拉件15具有柔性且长度可以调节,牵拉件15穿设在原发膈与继发膈之间的卵圆孔中;向近端拉动牵拉件15的自由端,牵拉件15被拉紧,且牵拉件15位于第一封堵盘11的几何中心上,并使牵拉件15逐渐缩短,即第一封堵盘11与第二封堵盘13之间的间距逐渐缩小,所述原发膈与所述继发膈相互靠近并被第一封堵盘11和第二封堵盘13夹持,第一封堵盘11在卵圆孔的周围覆盖原发膈与继发膈,并且第二封堵盘13在卵圆孔的周围覆盖原发膈与继发膈,即所述卵圆孔在左右心房中的两侧开口分别被第一封堵盘11与第二封堵盘13覆盖。由于第一封堵盘11及第二封堵盘13均包括支撑骨架101以及无缝连接于至少支撑骨架101上的覆膜103,卵圆孔两侧的覆膜103能阻止血液流入所述卵圆孔,从而避免了血流从左心房流入右心房,以实现即时封堵。在封堵装置100、100植入后,原发膈与继发膈向第一封堵盘11及第二封堵盘13的接触位置爬附,以完成内皮化后使卵圆孔闭合,形成完整的房间隔。Please refer to FIGS. 1 to 8 together. During use, the first occluding disc 11 is delivered from the left atrium and deployed in the left atrium by the delivery device 200 , and the second occluding disc 13 is delivered by the delivery device 200 . Delivered to and deployed in the right atrium. The pulling member 15 connected between the first occlusion disc 11 and the second occlusion disc 13 has flexibility and can be adjusted in length, and the pulling member 15 penetrates through the foramen ovale between the primary diaphragm and the secondary diaphragm. Pull the free end of the pulling member 15 to the proximal end, the pulling member 15 is tightened, and the pulling member 15 is located on the geometric center of the first blocking disc 11, and the pulling member 15 is gradually shortened, that is, the first The distance between the blocking disk 11 and the second blocking disk 13 is gradually reduced, the primary diaphragm and the secondary diaphragm are close to each other and are clamped by the first blocking disk 11 and the second blocking disk 13. A sealing disc 11 covers the primary diaphragm and the secondary diaphragm around the foramen ovale, and the second sealing disc 13 covers the primary diaphragm and the secondary diaphragm around the foramen ovale, that is, the foramen ovale is on the left and right. The openings on both sides of the atrium are respectively covered by the first occlusion disc 11 and the second occlusion disc 13 . Since both the first occlusion disc 11 and the second occlusion disc 13 include a support frame 101 and a membrane 103 seamlessly connected to at least the support frame 101, the membranes 103 on both sides of the foramen ovale can prevent blood from flowing into the egg The round hole prevents blood flow from the left atrium to the right atrium, enabling instant closure. After the occlusion devices 100 and 100 are implanted, the primary diaphragm and the secondary diaphragm crawl to the contact position of the first occlusion disc 11 and the second occlusion disc 13 to close the foramen ovale after the completion of endothelialization, forming a Complete room divider.

本申请实施方式中的封堵装置为双封堵盘结构,两个封堵盘是分体的。在变更实施方式中,封堵装置还可以是呈柱状,即支撑骨架呈柱塞状,支撑骨架围成一内腔。封堵装置还可以呈一体式的双封堵盘结构,该双封堵盘之间还设置有一体成型的腰部,或者是呈其他规则或不规则形状,对封堵装置的具体结构不进行限定。The blocking device in the embodiment of the present application has a double blocking disk structure, and the two blocking disks are separated. In a modified embodiment, the blocking device may also be in the shape of a column, that is, the support frame is in the shape of a plunger, and the support frame encloses an inner cavity. The plugging device can also be in the form of an integrated double plugging disc structure with an integrally formed waist between the double plugging discs, or other regular or irregular shapes, and the specific structure of the plugging device is not limited. .

可以理解的是,覆膜可以根据需要设置于支撑骨架上的预设位置。该预设位置,可以是支撑骨架上用于接触缺口周缘组织的外侧面,也可以是支撑骨架围成的内腔。It can be understood that, the covering film can be set at a preset position on the support frame as required. The preset position may be the outer side surface of the support frame for contacting the tissue around the gap, or may be the inner cavity enclosed by the support frame.

可以理解的是,在一些实施方式中,可以增大覆膜的孔隙率,从而便于组织细胞浸润至覆膜中,便于支撑骨架与覆膜的内皮化。It can be understood that, in some embodiments, the porosity of the membrane can be increased, so as to facilitate the infiltration of tissue cells into the membrane and facilitate the endothelialization of the support framework and the membrane.

本申请实施例提供的封堵装置及封堵系统,基于将所述覆膜中的至少部分与所述支撑骨架无缝连接,从而减小了封堵装置需要内皮化的表面的面积,待封堵组织从封堵装置的边缘向轴线方向爬附,有利于提高封堵装置内皮化的速率。The plugging device and the plugging system provided by the embodiments of the present application are based on the seamless connection of at least part of the covering film with the support skeleton, thereby reducing the surface area of the plugging device that needs to be endothelialized. The occluding tissue crawls from the edge of the occlusion device to the axis direction, which is beneficial to improve the rate of endothelialization of the occlusion device.

以上对本申请实施例进行了详细介绍,本文中应用了具体个例对本申请的原理及实施方式进行了阐述,以上实施例的说明只是用于帮助理解本申请的方法及其核心思想;同时,对于本领域的一般技术人员,依据本申请的思想,在具体实施方式及应用范围上均会有改变之处,综上上述,本说明书内容不应理解为对本申请的限制。The embodiments of the present application are described in detail above, and specific examples are used in this paper to illustrate the principles and implementations of the present application. The descriptions of the above embodiments are only used to help understand the methods and core ideas of the present application; at the same time, for Persons of ordinary skill in the art, according to the idea of the present application, will have changes in the specific implementation manner and application scope. To sum up, the content of this specification should not be construed as a limitation to the present application.

Claims (20)

1.一种封堵装置,其特征在于,所述封堵装置用于封堵组织中的缺口,所述封堵装置包括:1. A blocking device, characterized in that, the blocking device is used to block a gap in tissue, and the blocking device comprises: 支撑骨架,所述支撑骨架用于释放于所述缺口处,所述支撑骨架的周向边缘用于覆盖所述缺口周缘组织;a support frame, the support frame is used to be released at the gap, and the peripheral edge of the support frame is used to cover the peripheral tissue of the gap; 覆膜,覆盖于所述支撑骨架的至少一侧,所述覆膜中的至少部分与所述支撑骨架无缝连接。A cover film covers at least one side of the support frame, and at least part of the cover film is seamlessly connected with the support frame. 2.如权利要求1所述的封堵装置,其特征在于,所述覆膜通过静电纺丝方式、浸渍方式或喷涂方式直接形成于所述支撑骨架上;或者,2 . The plugging device according to claim 1 , wherein the coating film is directly formed on the support frame by an electrospinning method, a dipping method or a spraying method; or, 2 . 所述覆膜通过静电纺丝方式、浸渍方式、喷涂方式、流延成型方式或编织方式成型,成型后的覆膜通过热压方式或粘接方式固定于所述支撑骨架上。The coating is formed by electrospinning, dipping, spraying, tape casting or weaving, and the formed coating is fixed on the support frame by hot pressing or bonding. 3.如权利要求1所述的封堵装置,其特征在于,所述支撑骨架包括背离所述缺口的外侧及朝向所述缺口的内侧,所述覆膜包覆于所述支撑骨架的内侧;或者,包覆于所述支撑骨架的外侧;或者,包覆于所述支撑骨架的内侧和外侧。3 . The plugging device according to claim 1 , wherein the support frame includes an outer side away from the notch and an inner side facing the notch, and the coating film covers the inner side of the support frame; 4 . Or, it is covered on the outside of the support frame; or, it is covered on the inside and outside of the support frame. 4.如权利要求1所述的封堵装置,其特征在于,所述覆膜的材料包括不可降解材料,所述不可降解材料包括聚对苯二甲酸乙二醇酯、聚四氟乙烯、热塑性聚氨酯弹性体橡胶、硅橡胶、水凝胶、聚氨酯、聚乙烯醇、膨体聚四氟乙烯、聚乙烯、高密度聚乙烯、聚对苯二甲酸乙二醇酯中的至少一种。4. The occlusion device according to claim 1, wherein the material of the film comprises non-degradable material, and the non-degradable material comprises polyethylene terephthalate, polytetrafluoroethylene, thermoplastic At least one of polyurethane elastomer rubber, silicone rubber, hydrogel, polyurethane, polyvinyl alcohol, expanded polytetrafluoroethylene, polyethylene, high density polyethylene, polyethylene terephthalate. 5.如权利要求4所述的封堵装置,其特征在于,所述覆膜的厚度为0.01-0.2mm。5 . The occlusion device according to claim 4 , wherein the thickness of the film is 0.01-0.2 mm. 6 . 6.如权利要求1所述的封堵装置,其特征在于,所述覆膜的材料包括可降解材料,所述可降解材料包括聚乳酸、聚己内酯、聚丁二酸丁二醇酯、1,3-丙二醇和聚(L-丙交酯-co-ε-己内酯)系列共聚物中的至少一种。6 . The plugging device according to claim 1 , wherein the material of the film comprises degradable materials, and the degradable materials comprise polylactic acid, polycaprolactone, polybutylene succinate , at least one of 1,3-propanediol and poly(L-lactide-co-ε-caprolactone) series copolymers. 7.如权利要求6所述的封堵装置,其特征在于,所述覆膜的厚度为0.001mm-0.1mm。7. The occlusion device according to claim 6, wherein the thickness of the film is 0.001mm-0.1mm. 8.如权利要求1所述的封堵装置,其特征在于,所述支撑骨架的材料包括可降解材料和不可降解材料中的至少一种。8. The occlusion device according to claim 1, wherein the material of the support frame comprises at least one of a degradable material and a non-degradable material. 9.如权利要求8所述的封堵装置,其特征在于,所述支撑骨架的一部分结构由所述可降解材料制成,所述支撑骨架的其余部分结构由不可降解材料制成。9. The occlusion device of claim 8, wherein a part of the structure of the support frame is made of the degradable material, and the rest of the structure of the support frame is made of a non-degradable material. 10.如权利要求8所述的封堵装置,其特征在于,所述支撑骨架构造为网状结构,所述网状结构包括边缘段和连接所述边缘段的多个中间段,所述多个中间段位于所述边缘段围成的区域内,所述覆膜与所述边缘段及可选择地与所述多个中间段无缝连接。10. The occlusion device according to claim 8, wherein the support frame is configured as a mesh structure, and the mesh structure comprises an edge segment and a plurality of intermediate segments connecting the edge segments, the multiple An intermediate segment is located within the area enclosed by the edge segment, and the cover film is seamlessly connected to the edge segment and optionally to the multiple intermediate segments. 11.如权利要求10所述的封堵装置,其特征在于,所述多个中间段包括多个第一段和多个第二段,所述边缘段和所述多个第一段由不可降解材料制成,所述多个第二段由可降解材料制成。11. The occlusion device of claim 10, wherein the plurality of intermediate segments comprises a plurality of first segments and a plurality of second segments, and the edge segments and the plurality of first segments are composed of non- of degradable material, and the plurality of second segments are made of degradable material. 12.如权利要求11所述的封堵装置,其特征在于,所述边缘段与所述第一段和所述第二段合围形成多个第一网孔;所述边缘段与所述多个第一段合围形成多个第二网孔,至少一所述第二网孔的尺寸大于一所述第一网孔的尺寸。12. The occlusion device according to claim 11, wherein the edge segment and the first segment and the second segment enclose a plurality of first meshes; the edge segment and the multiple The first sections enclose a plurality of second mesh holes, and the size of at least one of the second mesh holes is larger than the size of one of the first mesh holes. 13.如权利要求10所述的封堵装置,其特征在于,每一个所述中间段与所述边缘段的交叉处形成有第一连接点,每一个所述第一段与对应的第二段的交叉处形成有第二连接点,所述覆膜与所述支撑骨架在所述第一连接点和所述第二连接点的位置处无缝连接。13. The occlusion device according to claim 10, wherein a first connection point is formed at the intersection of each of the intermediate segments and the edge segments, and each of the first segments and the corresponding second segment are formed with a first connection point. A second connection point is formed at the intersection of the segments, and the cover film is seamlessly connected to the support frame at the location of the first connection point and the second connection point. 14.如权利要求10所述的封堵装置,其特征在于,所述覆膜与所述边缘段及全部所述中间段无缝连接。14. The occlusion device of claim 10, wherein the covering film is seamlessly connected to the edge section and all the intermediate sections. 15.如权利要求1-14任意一项所述的封堵装置,其特征在于,所述支撑骨架与所述覆膜构成封堵盘,所述封堵盘包括第一封堵盘和第二封堵盘,所述封堵装置还包括连接所述第一封堵盘和所述第二封堵盘的牵拉件,所述第一封堵盘和所述第二封堵盘分别用于封堵所述缺口的一侧,所述牵拉件用于调节所述第一封堵盘和所述第二封堵盘之间的距离。15. The plugging device according to any one of claims 1-14, wherein the support frame and the coating film constitute a plugging disk, and the plugging disk comprises a first plugging disk and a second plugging disk A plugging disc, the plugging device further comprises a pulling member connecting the first plugging disc and the second plugging disc, the first plugging disc and the second plugging disc are respectively used for One side of the gap is blocked, and the pulling member is used to adjust the distance between the first blocking disk and the second blocking disk. 16.如权利要求15所述的封堵装置,其特征在于,所述第一封堵盘位于所述第二封堵盘的远端,所述第一封堵盘上设置有多个连接环,所述牵拉件穿过所述多个连接环,以实现所述牵拉件与所述第一封堵盘连接;所述多个连接环包括位于所述第一封堵盘的几何中心外的多个第一连接环,所述第一封堵盘的覆膜上开设有穿孔,所述多个第一连接环穿过所述穿孔而固定于所述第一封堵盘的支撑骨架上。16. The occlusion device according to claim 15, wherein the first occlusion disc is located at the distal end of the second occlusion disc, and a plurality of connection rings are provided on the first occlusion disc , the pulling member passes through the plurality of connecting rings, so as to realize the connection between the pulling member and the first plugging disc; the plurality of connecting rings include a geometric center located at the first plugging disc There are a plurality of first connecting rings outside, the covering film of the first blocking disk is provided with perforations, and the plurality of first connecting rings pass through the perforations and are fixed to the supporting frame of the first blocking disk superior. 17.如权利要求16所述的封堵装置,其特征在于,所述穿孔内设置有填充体,以使得所述第一连接环与所述第一封堵盘的覆膜密封连接。17 . The occlusion device according to claim 16 , wherein a filling body is provided in the through hole, so that the first connecting ring is sealedly connected with the covering film of the first occlusion disc. 18 . 18.如权利要求17所述的封堵装置,其特征在于,所述填充体通过静电纺丝方式、浸渍方式或喷涂方式填充于所述穿孔内。18. The plugging device according to claim 17, wherein the filling body is filled in the perforation by electrospinning, dipping or spraying. 19.如权利要求16所述的封堵装置,其特征在于,所述多个连接环包括第二连接环,所述封堵装置还包括连接件,所述第二连接环通过所述连接件固定于所述支撑骨架上。19. The occlusion device of claim 16, wherein the plurality of connecting rings comprises a second connecting ring, the occluding device further comprises a connecting piece, the second connecting ring passing through the connecting piece fixed on the support frame. 20.一种封堵系统,其特征在于,包括输送器以及如权利要求1-19任意一项所述的封堵装置,所述输送器用于将所述封堵装置输送至所述缺口。20. An occlusion system, comprising a conveyor and the occlusion device according to any one of claims 1-19, wherein the conveyor is used to deliver the occlusion device to the gap.
CN202111604804.9A 2021-12-24 2021-12-24 Plugging device and plugging system Active CN114366183B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN202111604804.9A CN114366183B (en) 2021-12-24 2021-12-24 Plugging device and plugging system
PCT/CN2022/141163 WO2023116837A1 (en) 2021-12-24 2022-12-22 Closure device and closure system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111604804.9A CN114366183B (en) 2021-12-24 2021-12-24 Plugging device and plugging system

Publications (2)

Publication Number Publication Date
CN114366183A true CN114366183A (en) 2022-04-19
CN114366183B CN114366183B (en) 2024-08-23

Family

ID=81141337

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202111604804.9A Active CN114366183B (en) 2021-12-24 2021-12-24 Plugging device and plugging system

Country Status (2)

Country Link
CN (1) CN114366183B (en)
WO (1) WO2023116837A1 (en)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023041058A1 (en) * 2021-09-16 2023-03-23 杭州德诺电生理医疗科技有限公司 Occluder and method for manufacturing occluder
CN116269547A (en) * 2023-05-23 2023-06-23 杭州德诺电生理医疗科技有限公司 Plugging device and plugging system
WO2023116837A1 (en) * 2021-12-24 2023-06-29 杭州德诺电生理医疗科技有限公司 Closure device and closure system
CN116509468A (en) * 2023-03-13 2023-08-01 杭州德诺电生理医疗科技有限公司 Plugging system and knotting method of tightening piece

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130006343A1 (en) * 2011-06-30 2013-01-03 Cvdevices, Llc Devices, systems, and methods for inverting and closing the left atrial appendage
US20130338764A1 (en) * 2009-09-15 2013-12-19 Evalve, Inc. Methods, systems and devices for cardiac valve repair
CN103750920A (en) * 2013-12-31 2014-04-30 先健科技(深圳)有限公司 Unidirectional flap
CN104159526A (en) * 2011-10-27 2014-11-19 奥特鲁泰克控股有限公司 Medical implants, kits and methods for making strand three-dimensional fabrics for forming medical implants
WO2018145535A1 (en) * 2017-02-08 2018-08-16 宁波迪创医疗科技有限公司 Occlusion device
CN109077769A (en) * 2017-06-14 2018-12-25 朔健医疗器械(上海)有限公司 Lung therapeutic device and preparation method thereof
US20190142431A1 (en) * 2016-06-15 2019-05-16 Lifetech Scientific (Shenzhen) Co., Ltd Left atrial appendage occluder
CN212650856U (en) * 2020-07-23 2021-03-05 广东脉搏医疗科技有限公司 Mixed-braiding plugging device
CN212996550U (en) * 2020-07-01 2021-04-20 杭州诺茂医疗科技有限公司 Plugging device and plugging system
CN115813458A (en) * 2021-09-16 2023-03-21 杭州德诺电生理医疗科技有限公司 Occluder and method for preparing the occluder

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8721519B2 (en) * 2006-06-06 2014-05-13 Boston Scientific Scimed, Inc. Implantable mesh combining biodegradable and non-biodegradable fibers
US8845682B2 (en) * 2009-10-13 2014-09-30 E-Pacing, Inc. Vasculature closure devices and methods
CN109820548B (en) * 2018-12-21 2020-11-17 先健科技(深圳)有限公司 Plugging device, preparation method thereof and plugging system
CN212996551U (en) * 2020-07-01 2021-04-20 杭州诺茂医疗科技有限公司 Plugging device and plugging system
CN111920460A (en) * 2020-07-23 2020-11-13 广东脉搏医疗科技有限公司 Mixed-braiding plugging device
CN114366183B (en) * 2021-12-24 2024-08-23 杭州德诺电生理医疗科技有限公司 Plugging device and plugging system

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130338764A1 (en) * 2009-09-15 2013-12-19 Evalve, Inc. Methods, systems and devices for cardiac valve repair
US20130006343A1 (en) * 2011-06-30 2013-01-03 Cvdevices, Llc Devices, systems, and methods for inverting and closing the left atrial appendage
CN104159526A (en) * 2011-10-27 2014-11-19 奥特鲁泰克控股有限公司 Medical implants, kits and methods for making strand three-dimensional fabrics for forming medical implants
CN103750920A (en) * 2013-12-31 2014-04-30 先健科技(深圳)有限公司 Unidirectional flap
US20190142431A1 (en) * 2016-06-15 2019-05-16 Lifetech Scientific (Shenzhen) Co., Ltd Left atrial appendage occluder
WO2018145535A1 (en) * 2017-02-08 2018-08-16 宁波迪创医疗科技有限公司 Occlusion device
CN109077769A (en) * 2017-06-14 2018-12-25 朔健医疗器械(上海)有限公司 Lung therapeutic device and preparation method thereof
CN212996550U (en) * 2020-07-01 2021-04-20 杭州诺茂医疗科技有限公司 Plugging device and plugging system
CN212650856U (en) * 2020-07-23 2021-03-05 广东脉搏医疗科技有限公司 Mixed-braiding plugging device
CN115813458A (en) * 2021-09-16 2023-03-21 杭州德诺电生理医疗科技有限公司 Occluder and method for preparing the occluder

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023041058A1 (en) * 2021-09-16 2023-03-23 杭州德诺电生理医疗科技有限公司 Occluder and method for manufacturing occluder
WO2023116837A1 (en) * 2021-12-24 2023-06-29 杭州德诺电生理医疗科技有限公司 Closure device and closure system
CN116509468A (en) * 2023-03-13 2023-08-01 杭州德诺电生理医疗科技有限公司 Plugging system and knotting method of tightening piece
CN116509468B (en) * 2023-03-13 2023-10-27 杭州德诺电生理医疗科技有限公司 Blocking system and knotting method of tightening parts
CN116269547A (en) * 2023-05-23 2023-06-23 杭州德诺电生理医疗科技有限公司 Plugging device and plugging system
CN116269547B (en) * 2023-05-23 2023-08-15 杭州德诺电生理医疗科技有限公司 Plugging device and plugging system

Also Published As

Publication number Publication date
WO2023116837A1 (en) 2023-06-29
CN114366183B (en) 2024-08-23

Similar Documents

Publication Publication Date Title
US12378709B2 (en) Braided medical device and manufacturing method thereof
CN114366183A (en) Plugging device and plugging system
CN106994030B (en) Left auricle plugging device
JP6254663B2 (en) Left atrial appendage occlusive device
CN103598902B (en) Left aurcle plugging device
CN111544060B (en) Plugging device
CN212996550U (en) Plugging device and plugging system
JP2009512521A (en) Radiopaque bioabsorbable occluder
WO2007149337A2 (en) Occlusion device with flexible fabric connector
WO2011161136A1 (en) Medical implant and manufacturing method thereof
CN212996551U (en) Plugging device and plugging system
CN113876370A (en) Occluder and Occlusion System
CN113876369A (en) Occluder and Occlusion System
US20230139430A1 (en) Occluder and Occlusion System
CN205758648U (en) Occluder for left auricle
WO2022002087A1 (en) Occluder and occluding system
CN201409999Y (en) Congenital heart disease occluder
CN206934127U (en) Plugging device
CN118356223A (en) Left atrial appendage occluder

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
PP01 Preservation of patent right
PP01 Preservation of patent right

Effective date of registration: 20250313

Granted publication date: 20240823

PD01 Discharge of preservation of patent
PD01 Discharge of preservation of patent

Date of cancellation: 20250605

Granted publication date: 20240823

PE01 Entry into force of the registration of the contract for pledge of patent right
PE01 Entry into force of the registration of the contract for pledge of patent right

Denomination of invention: Sealing device and sealing system

Granted publication date: 20240823

Pledgee: Shanghai Chenyao Xinchen Private Equity Investment Fund Partnership Enterprise (L.P.)

Pledgor: Hangzhou DeNO electrophysiological Medical Technology Co.,Ltd.

Registration number: Y2025980023298