CN105167885B - Without support bovine pericardium bioprosthetic valves - Google Patents

Without support bovine pericardium bioprosthetic valves Download PDF

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Publication number
CN105167885B
CN105167885B CN201510577664.9A CN201510577664A CN105167885B CN 105167885 B CN105167885 B CN 105167885B CN 201510577664 A CN201510577664 A CN 201510577664A CN 105167885 B CN105167885 B CN 105167885B
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China
Prior art keywords
parabola
lobe leaf
body weight
bovine pericardium
bioprosthetic valves
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CN201510577664.9A
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CN105167885A (en
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尚小珂
陶凉
张长东
卢蓉
张刚成
肖书娜
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Wuhan Weike Medical Technology Co ltd
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Individual
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Abstract

Without support bovine pericardium bioprosthetic valves, including single-lobe leaf, the edge wheel profile of single-lobe leaf is parabola, and parabola is divided into four kinds according to age, body weight, and parabola cuts form in accordance with the following methods:According to age, the information of body weight, corresponding parabola is generated, single-lobe leaf is cut out according to the parabola of generation.Connected when the quantity of single-lobe leaf is two or three, between single-lobe leaf by straight transition wire, and limit parabolical span, made the need for the bioprosthetic valves cut out meet sufferer.The present invention designs cutting track of four kinds of parabolas as single-lobe leaf according to all ages and classes, body weight, and being resulted in without support bovine pericardium bioprosthetic valves for making to cut out meets all ages and classes, the demand of body weight sufferer.

Description

Without support bovine pericardium bioprosthetic valves
Technical field
The present invention relates to artificial organs, in particular for aortic valve replacement without support bovine pericardium bioprosthetic valves.
Background technology
So far, heart surgical department patient both domestic and external mainly uses valve replacement and the class method pair of aortic valvuloplasty two Aortic incompetence carries out Surgical correction.Active cardiac valvoplasty is that the aortic valve of lesion is folded and suspended in midair To reach the purpose for recovering valvular function, its advantage is that operating difficulty is small, remains original leaflet and its anatomical structure.But it is postoperative Aorta petal functional rehabilitation is poor, and operative chance is high again.Thus to patient and its family members economical and mentally cause huge pressure Power.With the development of biomedical engineering, the bovine pericardium biovalve handled at present through biotechnology is widely used in sustainer The displacement of valve.But it is due to that sufferer personal considerations are different, meets in surgical procedure, it is necessary to which bovine pericardium biovalve is cut into The size and dimension of the leaflet to be replaced, then carry out operation stitching.This requires that heart surgical department patient can accurately measure the chi of leaflet Very little and profile, while accurately and rapidly being cut, not only the requirement to heart surgical department patient is high, also extends the time of operation.
The content of the invention
It is an object of the invention to provide without support bovine pericardium bioprosthetic valves, the shape and size of its single-lobe leaf are according to not the same year Age, the sufferer of body weight are set, and heart surgical department patient can be made quickly and accurately to cut out suitable biology in surgical procedure Valve.
In order to achieve the above object, the present invention provides following technical scheme:
Without support bovine pericardium bioprosthetic valves, including single-lobe leaf, the edge wheel profile of the single-lobe leaf is parabola, the parabolic Line includes the first parabola, the second parabola, the 3rd parabola, or the 4th parabola, the single-lobe leaf is cut in accordance with the following methods Cut and form,
According to age, the information of body weight, corresponding parabola is generated,
First parabolical cutting track meets curve Y1Track:
Y1=a1X1 2+b1, b1=13+1.75n1,(n1=0,1,2), a1=-4b1/(15.6+2.1n1)2
Second parabolical cutting track meets curve Y2Track:
Y2=a2X2 2+b2, b2=18+1.75n2,(n2=0,1,2), a2=-4b2/(21.6+2.1n2)2
3rd parabolical cutting track meets curve Y3Track:
Y3=0.121X3 2-23.52;
4th parabolical cutting track meets curve Y4Track:
Y4=a4X4 2+b4, b4=25+1.75n4,(n4=0,1,2), a4=-4b4/(30+2.1n4)2,
The n1、n2、n4Value according to body weight depending on;
Single-lobe leaf is cut out according to the corresponding parabola of generation.
Because the cross-sectional length of the human aortic in all ages and classes stage is different, the shape of the corresponding single-lobe leaf of sustainer, Size is also different.The contour line of single-lobe leaf is divided into four kinds by the present invention according to age, body weight, then the n values in formula are carried out Choose, cutting track is met the single-lobe leaf shape and size of different sufferers.Heart surgical department patient in the preoperative, for the year of sufferer Age, body weight can input corresponding age, weight data in advance, in art, and it is suitable to be generated according to corresponding age, weight data Cutting track, makes the single-lobe leaf cut out meet the actual conditions of sufferer, eliminate that patient cut to bioprosthetic valves when Between, operating time is reduced, procedure efficiency is improved.
In a preferred embodiment, the quantity of the single-lobe leaf be two or three, the two ends of the single-lobe leaf Be all connected with connecting by the straight transition wire between straight transition wire, the adjacent single-lobe leaf, the single-lobe leaf with it is described Straight transition wire formation leaflet.
In a preferred embodiment, the straight transition wire cutting distance between first parabola is 1.56+ 0.21n1,(n1=0,1,2), unit is mm;
Straight transition wire cutting distance between second parabola is 2.16+0.21n2,(n2=0,1,2), unit is mm;
Straight transition wire cutting distance between 3rd parabola is 2.79mm;
Straight transition wire cutting distance between 4th parabola is 3+0.21n4,(n4=0,1,2), unit is mm,
The n1、n2、n4Value according to body weight depending on.
Quantity if necessary to the single-lobe leaf of displacement is multi-disc, and the distance between single-lobe leaf also has to comply with the active of human body Arteries and veins.According to the four of single-lobe leaf kinds of contour lines, for every kind of corresponding single-lobe leaf spacing of design, make to cut out without support OX-heart Bag bioprosthetic valves meet the anatomic form of human aortic leaflet.
In a preferred embodiment, the two ends distance of the single-lobe leaf cut out according to first parabola is L1 =15.6+2.1n1, (n1=0,1,2), unit is mm;
The two ends distance of the single-lobe leaf cut out according to second parabola is L2=21.6+2.1n2, (n2=0,1, 2), unit is mm;
The two ends distance of the single-lobe leaf cut out according to the 3rd parabola is L3=27.9;
The two ends distance of the single-lobe leaf cut out according to the 4th parabola is L4=30+2.1n4, (n4=0,1,2), Unit is mm.
By controlling parabolical span, and then control to cut out the two ends distance of single-lobe leaf, realize control single-lobe leaf Size, make its size meet it is actually used the need for.
In a preferred embodiment, also including substrate, the contour line of the substrate is a rectangle, the rectangle Two ends are connected to the two ends of the leaflet.
In a preferred embodiment, the substrate and leaflet are cut using infrared ray or cutter.
Beneficial effects of the present invention are:
The present invention designs cutting track of four kinds of parabolas as single-lobe leaf, makes to cut out according to all ages and classes, body weight Being resulted in without support bovine pericardium bioprosthetic valves for coming meets all ages and classes, the demand of body weight sufferer.
According to the differently contoured of single-lobe leaf, corresponding single-lobe leaf spacing is designed, makes what is cut out to be given birth to without support bovine pericardium Thing valve meets the anatomic form of human aortic leaflet.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing The accompanying drawing to be used needed for having technology description is briefly described, it should be apparent that, drawings in the following description are only this Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, can be with Other accompanying drawings are obtained according to these accompanying drawings.
Fig. 1 is the structural representation of one embodiment of the present invention;
Fig. 2 is the cutting flow chart of the present invention.
Embodiment
Below in conjunction with the accompanying drawing of the present invention, technical scheme is clearly and completely described, it is clear that institute The embodiment of description is only a part of embodiment of the invention, rather than whole embodiments.Based on the embodiment in the present invention, The every other embodiment that those of ordinary skill in the art are obtained under the premise of creative work is not made, belongs to this hair The scope of bright protection.
With reference to shown in Fig. 1, no support bovine pericardium bioprosthetic valves, including three single-lobe leaves, the edge wheel profile of single-lobe leaf is throwing Thing line 1, the two ends of parabola 1 are connected to another parabola 1 by straight transition wire 3, and the end points outwardly of parabola 1 of end Connect straight transition wire 3.Parabola 1 and the formation leaflet of straight transition wire 3.In order that the profile without support bovine pericardium bioprosthetic valves being made The need for meeting operation, in cutting process, in addition it is also necessary to cut out substrate 2, the contour line of substrate 2 is a rectangle, the two of rectangle End is connected to leaflet.
Such as Fig. 2, the present invention is cut in the following manner:
Step S101, according to the situation of different sufferers, the age of input sufferer, body weight, single-lobe number of sheets amount;
Step S102, according to age, the information of body weight, the function of parabola 1 that generation operation needs.
The profile of parabola 1 is divided into four kinds according to age, body weight:First, second, third, fourth.First was 10 one full year of life Below;Second is 10-20 one full year of life;3rd is that 20 more than one full year of life, body weight is less than 120 jin;4th is that body weight is 20 more than one full year of life More than 120 jin.Except the third, remaining function of parabola 1 is subdivided into three kinds further according to body weight.Without support bovine pericardium bioprosthetic valves When carrying out cutting processing, according to the age of input, body weight, the cutting track of generation parabola 1 meets following curve respectively Function.
The cutting track of first parabola 1 is according to curve Y1Track cut:
Y1=a1X1 2+b1, b1=13+1.75n1,(n1=0,1,2), a1=-4b1/(15.6+2.1n1)2.Body weight is at 20 jin When following, n1Take 0;Body weight is at 20-40 jins, n1Take 1;Body weight is at 40-60 jins, n1Take 2.
The cutting track of second parabola 1 is according to curve Y2Track cut:
Y2=a2X2 2+b2, b2=18+1.75n2,(n2=0,1,2), a2=-4b2/(21.6+2.1n2)2.Body weight is in 60-80 During jin, n1Take 0;Body weight is at 80-100 jins, n1Take 1;Body weight is at 100-120 jins, n1Take 2.
The cutting track of 3rd parabola 1 is according to curve Y3Track cut:
Y3=0.121X3 2-23.52;
The cutting track of 4th parabola 1 is according to curve Y4Track cut:
Y4=a4X4 2+b4, b4=25+1.75n4,(n4=0,1,2), a4=-4b4/(30+2.1n4)2.Body weight is in 120-140 During jin, n1Take 0;Body weight is at 140-160 jins, n1Take 1;When body weight is more than 160 jin, n1Take 2.
Step S103, according to the information of body weight, determines parabolical two ends apart from L, to determine the cutting of parabolic function Length.
Except the shape of parabola 1, in addition it is also necessary to control the size of parabola 1, therefore in cutting, to the two ends of parabola 1 10 sizes are divided into according to above-mentioned curve apart from L, each single-lobe leaf L sized data is specific such as table 1.
Table 1
Step S104, according to the quantity of single-lobe leaf, generates straight transition wire l length.
When the quantity for the single-lobe leaf for needing to replace is two panels or three, according to age, body weight to the parabolic of different model Spacing l between line 1 is defined, by cutting out straight transition wire between two parabola 1, make cutting complete without support Bovine pericardium bioprosthetic valves meet the actual conditions of sufferer.The length of straight transition wire is specific such as table 2.
Table 2
Step S105, according to the information of body weight, generates the length L1 and height h of rectangle, to determine the cutting track of rectangle, And the cutting track of rectangle and the straight transition wire at leaflet two ends is connected, form the cutting track of a closing.
The length of rectangle is L1, is highly h, and according to the difference of body weight, the size for cutting the rectangle completed is specific such as table 3.
Table 3
Step S106, the cutting track generated using infrared ray according to step S105 is cut, and cuts out the nothing of needs Support bovine pericardium bioprosthetic valves.
The shape without support bovine pericardium bioprosthetic valves that infrared ray is cut out, size are accurate, and can be rapidly cut out Different shape, size without support bovine pericardium bioprosthetic valves.
76 patients are carried out with clinical test, these patients are that dry mo(u)ld bottom half interventricular septum lacks defect with aortic right coronary corolla lobes Prolapsus, and cause aortic regurgitation.Above-mentioned patient is performed the operation without support bovine pericardium bioprosthetic valves using of the invention, merely The case of subarterial VSD right flap prolapsus can remain normal left corolla lobes and without corolla lobes in art, it is ensured that aorta petal Growth.In art at once esophagus ultrasound show successful surgery repair aorta petal, leaflet can normal pair and, the master of all patients Arterial valve backflows within 1 grade, and across aorta petal peak pressure difference is 14.2 ± 2.8mmHg.By average 27 ± 13 months with Visit, aortic regurgitation degree and pressure gradient are without significant change, and the 98.3% postoperative aorta petal of patient is not seen Valve made of cattle pericardium impeller structure is observed to decay phenomenon.
By clinical test, the aorta petal of the shape without support bovine pericardium bioprosthetic valves of different model, size and sufferer Shape and size after dissection are essentially identical.Patient can be carried out according to the situations of different sufferers to age of sufferer, body weight After measurement, it is suitable without support bovine pericardium bioprosthetic valves to be rapidly cut out, time saving, laborsaving, improves procedure efficiency and success rate;Together When reduce operation in bioprosthetic valves shape be not inconsistent caused risk;Repaired suitable for the sufferer aorta petal of children and different weight Operation, the anatomical structure and function of at utmost reservation aorta petal are capable of using the present invention.
The foregoing is only a specific embodiment of the invention, but protection scope of the present invention is not limited thereto, any Those familiar with the art the invention discloses technical scope in, change or replacement can be readily occurred in, should all be contained Cover within protection scope of the present invention.Therefore, protection scope of the present invention described should be defined by scope of the claims.

Claims (6)

1. without support bovine pericardium bioprosthetic valves, including single-lobe leaf, the edge wheel profile of the single-lobe leaf is parabola, and its feature exists Include the first parabola, the second parabola, the 3rd parabola, or the 4th parabola in, the parabola, the single-lobe leaf according to Following methods cutting is formed,
According to age, the information of body weight, corresponding parabola is generated,
First parabolical cutting track meets curve Y1Track:
Y1=a1X1 2+b1, b1=13+1.75n1, wherein, n1=0,1,2, a1=-4b1/(15.6+2.1n1)2
Second parabolical cutting track meets curve Y2Track:
Y2=a2X2 2+b2, b2=18+1.75n2, wherein, n2=0,1,2, a2=-4b2/(21.6+2.1n2)2
3rd parabolical cutting track meets curve Y3Track:
Y3=0.121X3 2-23.52;
4th parabolical cutting track meets curve Y4Track:
Y4=a4X4 2+b4, b4=25+1.75n4, wherein, n4=0,1,2, a4=-4b4/(30+2.1n4)2,
The n1、n2、n4Value according to body weight depending on;
Single-lobe leaf is cut out according to the corresponding parabola of generation.
2. it is according to claim 1 without support bovine pericardium bioprosthetic valves, it is characterised in that:The quantity of the single-lobe leaf is two Or three, the two ends of the single-lobe leaf are all connected between straight transition wire, the adjacent single-lobe leaf connecting by the straight transition wire Pick up and, the single-lobe leaf and the straight transition wire formation leaflet.
3. it is according to claim 2 without support bovine pericardium bioprosthetic valves, it is characterised in that:It is straight between first parabola Transition wire cutting distance is 1.56+0.21n1, wherein, n1=0,1,2, unit is mm;
Straight transition wire cutting distance between second parabola is 2.16+0.21n2, wherein, n2=0,1,2, unit is mm;
Straight transition wire cutting distance between 3rd parabola is 2.79mm;
Straight transition wire cutting distance between 4th parabola is 3+0.21n4, wherein, n4=0,1,2, unit is mm,
The n1、n2、n4Value according to body weight depending on.
4. it is any described without support bovine pericardium bioprosthetic valves according to claim 1-3, it is characterised in that:
The two ends distance of the single-lobe leaf cut out according to first parabola is L1=15.6+2.1n1, wherein, n1=0,1,2, Unit is mm;
The two ends distance of the single-lobe leaf cut out according to second parabola is L2=21.6+2.1n2, wherein, n2=0,1,2, Unit is mm;
The two ends distance of the single-lobe leaf cut out according to the 3rd parabola is L3=27.9;
The two ends distance of the single-lobe leaf cut out according to the 4th parabola is L4=30+2.1n4, wherein, n4=0,1,2, it is single Position is mm.
5. according to Claims 2 or 3 without support bovine pericardium bioprosthetic valves, it is characterised in that:Also include substrate, the substrate Contour line be a rectangle, the two ends of the rectangle are connected to the two ends of the leaflet.
6. it is according to claim 5 without support bovine pericardium bioprosthetic valves, it is characterised in that:The substrate and leaflet are using infrared Line or cutter are cut.
CN201510577664.9A 2015-09-11 2015-09-11 Without support bovine pericardium bioprosthetic valves Expired - Fee Related CN105167885B (en)

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Publication number Priority date Publication date Assignee Title
CN109276347A (en) * 2018-10-22 2019-01-29 武汉开阖同立医疗科技有限公司 It is a kind of for Annular reconstruction without the prefabricated valve of bracket macromolecule

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Publication number Priority date Publication date Assignee Title
US5123920A (en) * 1990-06-13 1992-06-23 Onx, Inc. Prosthetic heart valve
CN101301229B (en) * 2008-07-09 2010-10-13 天津大学 Polyurethane artificial heart valve applied to heart chamber auxiliary device
US9358107B2 (en) * 2011-06-30 2016-06-07 Edwards Lifesciences Corporation Systems, dies, and methods for processing pericardial tissue
CN102514119A (en) * 2011-12-22 2012-06-27 山东大学 Plane forming die for artificial heart valve support
EP2828372A1 (en) * 2012-03-23 2015-01-28 Cytograft Tissue Engineering, Inc. Tissue-engineered heart valve for transcatheter repair
GB201207100D0 (en) * 2012-04-23 2012-06-06 Aortech Internat Plc Valve
CN102641162B (en) * 2012-04-25 2015-03-04 陶凉 Bovine pericardial valve forming die
CN103239301B (en) * 2013-04-23 2015-06-03 金仕生物科技(常熟)有限公司 Equipment and method for cutting and selecting valves and valve leaflets

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