Medical implant
The invention relates to a medical implant ( 1 ) for the occlusion of a patients auricula sinistra by endovascular means, said implant having a cage structure ( 10 ) comprising a plurality of webs ( 3 ) that are proximally attached to a retaining ring ( 4 ) via connecting webs ( 2 ) and distally limited by a rim of converging webs ( 3 ), wherein said implant ( 1 ) consists of a self-expanding material, has in contracted state the shape of a slotted tube and, after expansion, assumes the cage structure ( 10 ) of a diameter larger than that of the retaining ring ( 4 ) and wherein at least one or several anchor elements ( 7 ) are arranged within or distally to the cage structure ( 10 ); said anchor elements being proximally connected directly or indirectly with the retaining ring ( 4 ), therein (a) the one or more anchor elements ( 7 a ) are provided at the distal end with a tip ( 8 ) with barb ( 9 ), with tip ( 8 ) and barb ( 9 ) projecting beyond the cage structure ( 10 ) with the intention for the tip ( 8 ) and barb ( 9 ) to be anchored in the muscle tissue of the auricula sinistra, or (b) the one or more anchor elements ( 7 b ) project laterally beyond the cage structure ( 10 ), extend in proximal direction in a curved configuration with the intention to be laterally supported against the muscle tissue of the auricula sinistra, or (c) a combination of alternatives (a) and (b) is provided.
1. Medical implant ( 1 ) for the occlusion of a patient's auricula sinistra by endovascular means, said implant having a cage structure ( 10 ) comprising a plurality of webs ( 3 ) that are proximally attached to a retaining ring ( 4 ) via connecting webs ( 2 ) and distally limited by a rim of converging webs ( 3 ), wherein said implant ( 1 ) consists of a self-expanding material, has in contracted state the shape of a slotted tube and, after expansion, assumes the cage structure ( 10 ) of a diameter larger than that of the retaining ring ( 4 ) characterized in that at least one or several anchor elements ( 7 b ) are arranged distally to the cage structure ( 10 ), said anchor elements being proximally connected via a retaining tube ( 14 ) with the retaining ring ( 4 ), wherein the one or more anchor elements ( 7 b ) project laterally beyond the cage structure ( 10 ), extend in proximal direction in a curved configuration with the intention to be laterally supported against the muscle tissue of the auricula sinistra.
2. Implant according to claim 1 , characterized by at least two anchor elements ( 7 a , 7 b ) equally spaced over the circumference of the retaining ring ( 4 ).
3. Implant according to claim 2 , characterized in that the barbs ( 9 ) of the anchor elements ( 7 a ) point outwardly.
4. Implant according to claim 1 , characterized in that the connecting webs ( 2 ) extending from retaining ring ( 4 ) towards the cage structure ( 10 ) are provided with perforations ( 6 ).
5. Implant according to claim 1 , characterized by a cover arranged in the proximal region.
6. Implant according to claim 5 , characterized in that the cover consists of a Teflon film or coat.
7. Implant according to claim 5 , characterized in that the cover is attached to the cage structure ( 10 ) by sewing making use of the perforations.
8. Implant according to claim 1 , characterized in that the cage structure ( 10 ) is composed of a meshwork of branching and converging webs ( 3 ).
9. Implant according to claim 1 , characterized in that the distal rim of the cage structure ( 10 ) has rounded tips ( 5 ).
10. Implant according to claim 1 , characterized by a coupling for a guide catheter on the retaining ring ( 4 ).
11. Implant according to claim 1 , characterized in that the cage structure ( 10 ) is provided in the proximal area with a central deepening portion in which the retaining ring ( 4 ) is arranged.
12. Implant according to claim 1 , characterized in that the anchor elements ( 7 b ) are each arranged between two connecting webs ( 2 ) on the retaining ring ( 4 ).
13. Implant according to claim 1 , characterized in that the anchor elements ( 7 b ) are provided with rounded ends ( 12 ).
14. Implant according to claim 1 , characterized in that neighboring anchor elements ( 7 b ) are connected with each other in pairs.
15. Implant according to claim 12 , characterized in that the tips of the anchor elements ( 7 b ) are bent inwardly pointing towards the cage structure ( 10 ).
16. Implant according to claim 1 , characterized in that retaining ring ( 4 ), cage structure ( 10 ), and anchor elements ( 7 a , 7 b ) consist of a shape-memory metal.
17. Implant according to claim 12 , characterized in that the shape-memory metal is a nickel-titanium alloy.
18. Implant according to claim 12 , characterized in that the implant is manufactured from a tube by laser cutting and its expanded shape is brought about by adopting a thermal forming method.