# US 10,765,416 B2 · Left atrial appendage occluder

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- Number: US 10,765,416 B2
- Document ID: US10765416B2
- Status: Granted
- Kind: B2
- Application number: 16/066,840
- Filed: 2016-06-20
- Published: 2019-01-24
- Granted: 2020-09-08
- Earliest claimed: 2015-12-31
- Assignees: Lifetech Scientific (Shenzhen) Co., Ltd.
- Applicants: Lifetech Scientific (Shenzhen) Co., Ltd
- Inventors: Anning Li
- Web page: https://patentgrep.com/patent/US10765416B2

## CPC

- A61B 17/0057: {Implements 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 (sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009)}
- A61B 17/12: for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B 17/12031: {complete occlusion}
- A61B 17/12122: {within the heart (for closing a cardiac septal defect A61B17/0057)}
- A61B 17/12145: {having a pre-set deployed three-dimensional shape (methods of manufacturing A61B2017/00526)}
- A61F 2/04: Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts (A61F2/18, A61F2/20 take precedence; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95)
- A61B 2017/00592: {Elastic or resilient implements}
- A61B 2017/00597: {Implements comprising a membrane}
- A61B 2017/00632: {Occluding a cavity, i.e. closing a blind opening}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

A left atrial appendage occluder, including a closure disc and a bracket connected to the closure disc; the closure disc includes a frame; the frame includes a proximal-end disc face and a distal-end disc face; the proximal-end disc face includes flexible proximal-end support rods arranged radially; the distal-end disc face includes flexible distal-end support rods arranged radially; the floating end of each of the flexible proximal-end support rods is connected to the floating end of the adjacent flexible distal-end support rod The flexible proximal-end support rod at the point of largest diameter of the closure disc is arranged independent of the distal-end support rod; thus the degree of freedom of deformation at the point of largest diameter of the closure disc is increased, ensuring that the outer edge of the closure disc may adapt to fit the openings of various irregular left atrial appendages.

## Claims

### Claim 1

A left atrial appendage occluder, comprising:
a sealing plate and a fixing frame connected with the sealing plate, wherein the sealing plate comprises a proximal disk surface and a distal disk surface;
the proximal disk surface comprises a proximal seal head and a plurality of elastic proximal supporting rods arranged in a radiated manner in a radial direction, wherein one end of each proximal supporting rod is connected with the proximal seal head, and the other end of each proximal supporting rod is radiated in the radial direction and has a hanging end;
the distal disk surface comprises a distal seal head and a plurality of elastic distal supporting rods arranged in a radiated manner in the radial direction, wherein one end of each distal supporting rod is connected with the distal seal head, and the other end of each distal supporting rod is radiated in the radial direction and has a hanging end; and
a hanging end of each proximal supporting rod is connected with a hanging end of a respective one of the distal supporting rods adjacent to the proximal supporting rod,
wherein each distal supporting rod comprises a distal connecting section and a distal hanging section, one end of each distal connecting section is connected with the distal seal head, and the other end of each distal connecting section is connected with one end of each distal hanging section; the other end of each distal hanging section is connected with the hanging end of one proximal supporting rod, and the distal hanging sections are substantially perpendicular to an axial line of the distal seal head, and
wherein a hardness of the distal connecting section is greater than that of the distal hanging section.

### Claim 2 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein the proximal seal head and the distal seal head are axially aligned; and
substantially all of a projection of each distal supporting rod on the proximal disk surface is overlapped with one proximal supporting rod connected with the distal supporting rod.

### Claim 3 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein the proximal seal head and all of the proximal supporting rods are formed by integrated cutting, and/or the distal seal head and all of the distal supporting rods are formed by integrated cutting, and/or the proximal supporting rods and the distal supporting rods connected with the proximal supporting rods are formed by integrated bending of one rod body.

### Claim 4 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein a proximal connection included angle between the proximal seal head and one proximal supporting rod is an acute angle, and a distal connection included angle between the distal seal head and one distal supporting rod is an acute angle.

### Claim 5 (depends on 4)

The left atrial appendage occluder according to claim 4, wherein the proximal connection included angle between the proximal seal head and one proximal supporting rod is in a range from 15 degrees to 90 degrees, and the distal connection included angle between the distal seal head and one distal supporting rod is in a range from 15 degrees to 90 degrees.

### Claim 6

A left atrial appendage occluder, comprising:
a sealing plate and a fixing frame connected with the sealing plate, wherein the sealing plate comprises a proximal disk surface and a distal disk surface;
the proximal disk surface comprises a proximal seal head and a plurality of elastic proximal supporting rods arranged in a radiated manner in a radial direction, wherein one end of each proximal supporting rod is connected with the proximal seal head, and the other end of each proximal supporting rod is radiated in the radial direction and has a hanging end;
the distal disk surface comprises a distal seal head and a plurality of elastic distal supporting rods arranged in a radiated manner in the radial direction, wherein one end of each distal supporting rod is connected with the distal seal head, and the other end of each distal supporting rod is radiated in the radial direction and has a hanging end; and
a hanging end of each proximal supporting rod is connected with a hanging end of a respective one of the distal supporting rods adjacent to the proximal supporting rod,
wherein each distal supporting rod comprises a distal connecting section and a distal hanging section, one end of each distal connecting section is connected with the distal seal head, and the other end of each distal connecting section is connected with one end of each distal hanging section; the other end of each distal hanging section is connected with the hanging end of one proximal supporting rod, and the distal hanging sections are substantially perpendicular to an axial line of the distal seal head,
wherein each proximal supporting rod comprises a proximal connecting section and a proximal hanging section, one end of each proximal connecting section is connected with the proximal seal head, and the other end of each proximal connecting section is connected with one end of each proximal hanging section, and the proximal hanging section of each proximal supporting rod is connected with a respective one distal hanging section adjacent to the proximal hanging section, and
wherein a hardness of each proximal connecting section is greater than that of each proximal hanging section.

### Claim 7 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein the proximal disk surface is substantially parallel to the distal disk surface.

### Claim 8 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein each of the proximal supporting rod and each of the distal supporting rod connected with the corresponding proximal supporting rod are formed by bending one rod body, and the rod body is bent at the hanging end.

### Claim 9 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein the distal disk surface further comprises a distal supporting structure with a plurality of grids;
the distal supporting structure is radially deployed from a center of the distal disk surface along the radial direction; and
the distal supporting rods are each connected with the distal supporting structure.

### Claim 10 (depends on 9)

The left atrial appendage occluder according to claim 9, wherein the distal supporting structure comprises a plurality of distal branches;
the distal branches are connected with one another two by two to form the grids; and
one end of each of the distal branches is gathered and connected at the center of the distal disk surface.

### Claim 11 (depends on 9)

The left atrial appendage occluder according to claim 9, wherein the proximal disk surface further comprises a proximal supporting structure with a plurality of grids;
the proximal supporting structure is radially deployed from the center of the proximal disk surface along the radial direction; and
the proximal supporting rods are each connected with the proximal supporting structure.

### Claim 12 (depends on 11)

The left atrial appendage occluder according to claim 11, wherein the proximal supporting structure further comprises proximal branches;
the proximal branches are connected with one another two by two to form the grids; and
one end of each of the proximal branches is gathered and connected at the center of the proximal disk surface.

### Claim 13 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein the sealing plate further comprises a sealing film which covers at least one disk surface of the proximal disk surface and the distal disk surface.

### Claim 14

A left atrial appendage occluder, comprising:
a sealing plate and a fixing frame connected with the sealing plate, wherein the sealing plate comprises a proximal disk surface, a distal disk surface, and a sealing film which covers at least one disk surface of the proximal disk surface and the distal disk surface, wherein an outer circumferential edge of the sealing film extends out 1 mm to 15 mm in the radial direction relative to an outer circumferential edge of the disk surface covered by the sealing film,
the proximal disk surface comprises a plurality of elastic proximal supporting rods arranged in a radiated manner in a radial direction;
the distal disk surface comprises a plurality of elastic distal supporting rods arranged in a radiated manner in the radial direction; and
a hanging end of each proximal supporting rod is connected with a hanging end of a respective one of the distal supporting rods adjacent to the proximal supporting rod.

### Claim 15 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein a radial deformability of the sealing plate is greater than that of the fixing frame and/or an axial deformability of the sealing plate is greater than that of the fixing frame.

### Claim 16 (depends on 15)

The left atrial appendage occluder according to claim 15, wherein under an action of a same radial force, a radial length variation of the sealing plate is greater than that of the fixing frame; or
under the action of the same radial force, a radial length change rate of the sealing plate is greater than that of the fixing frame; or
under the action of the same axial force, a displacement of the sealing plate along an axial force direction is greater than that of the fixing frame along the axial force direction.

### Claim 17 (depends on 1)

The left atrial appendage occluder according to claim 1, wherein the proximal disk surface and the distal disk surface forming a structure having a conical surface with a vertex angle.

### Claim 18 (depends on 17)

The left atrial appendage occluder according to claim 17, wherein the proximal seal head is inside the structure having the conical surface, and the distal seal head being at the vertex angle of the structure outside the conical surface.

### Claim 19 (depends on 14)

The left atrial appendage occluder according to claim 14, wherein the proximal disk surface comprises a proximal seal head, the proximal seal head being inside the structure having the conical surface;
one end of each proximal supporting rod is connected with the proximal seal head, and the other end of each proximal supporting rod is radiated in the radial direction and is hanging;
the distal disk surface comprises a distal seal head, the distal seal head being at the vertex angle of the structure outside the conical surface; and
one end of each distal supporting rod is connected with the distal seal head, and the other end of each distal supporting rod is radiated in the radial direction and is hanging.
