CN105853033A - Integrated stent for repairing aortic blood vessel dissection and stent conveying system - Google Patents
Integrated stent for repairing aortic blood vessel dissection and stent conveying system Download PDFInfo
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- CN105853033A CN105853033A CN201610168897.8A CN201610168897A CN105853033A CN 105853033 A CN105853033 A CN 105853033A CN 201610168897 A CN201610168897 A CN 201610168897A CN 105853033 A CN105853033 A CN 105853033A
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- support
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- overlay film
- ring
- repairs
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- 208000002251 Dissecting Aneurysm Diseases 0.000 title abstract description 4
- 210000000709 aorta Anatomy 0.000 claims description 51
- 239000011229 interlayer Substances 0.000 claims description 42
- 230000008439 repair process Effects 0.000 claims description 30
- 239000004744 fabric Substances 0.000 claims description 14
- 238000009954 braiding Methods 0.000 claims description 9
- 210000002376 aorta thoracic Anatomy 0.000 claims description 8
- 210000001367 artery Anatomy 0.000 claims description 6
- 206010070693 Vascular dissection Diseases 0.000 claims description 3
- 238000003032 molecular docking Methods 0.000 claims description 2
- 210000003462 vein Anatomy 0.000 claims description 2
- 238000002224 dissection Methods 0.000 abstract description 10
- 229910052751 metal Inorganic materials 0.000 abstract description 4
- 239000002184 metal Substances 0.000 abstract description 4
- 210000002489 tectorial membrane Anatomy 0.000 abstract 7
- 238000004873 anchoring Methods 0.000 abstract 1
- 210000004204 blood vessel Anatomy 0.000 description 11
- 206010002329 Aneurysm Diseases 0.000 description 7
- 239000008280 blood Substances 0.000 description 7
- 210000004369 blood Anatomy 0.000 description 7
- 239000010410 layer Substances 0.000 description 5
- 230000003601 intercostal effect Effects 0.000 description 4
- 210000002254 renal artery Anatomy 0.000 description 4
- 230000000903 blocking effect Effects 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 2
- 230000001194 anti-hemostatic effect Effects 0.000 description 2
- 206010002895 aortic dissection Diseases 0.000 description 2
- 210000000481 breast Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 description 2
- 231100000915 pathological change Toxicity 0.000 description 2
- 230000036285 pathological change Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical group [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 2
- 208000009087 False Aneurysm Diseases 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 206010053615 Thermal burn Diseases 0.000 description 1
- 201000008982 Thoracic Aortic Aneurysm Diseases 0.000 description 1
- 206010048975 Vascular pseudoaneurysm Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 208000007474 aortic aneurysm Diseases 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000005253 cladding Methods 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000007717 exclusion Effects 0.000 description 1
- 208000003457 familial thoracic 1 aortic aneurysm Diseases 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 210000003090 iliac artery Anatomy 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 238000003892 spreading Methods 0.000 description 1
- 210000003270 subclavian artery Anatomy 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
- A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2002/823—Stents, different from stent-grafts, adapted to cover an aneurysm
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Prostheses (AREA)
Abstract
According to the embodiment, the invention relates to the field of medical apparatus, and discloses an integrated stent for repairing aortic blood vessel dissection. The stent, under a natural state, is of a tubular structure, and the stent comprises an upper section of stent, a middle section of stent and a lower section of stent which are sequentially connected, wherein the upper section of stent is of a supporting annular structure; the middle section of stent is a tectorial membrane; the lower section of stent is of a woven grid structure; the supporting annular structure is seamed at the near end of the tectorial membrane, so that the edges of the near end of the tectorial membrane are completely supported, and the grid structure is seamed at the far end of the tectorial membrane, so that the edges of the far end of the tectorial membrane are kept complete; the part, exposed out of the tectorial membrane, of the grid structure, is used for repairing a rupture in the far end of the aortic blood vessel dissection; one or more metal rings are seamed on the tectorial membrane in an axial direction; and furthermore, the invention also discloses a stent conveying system. According to the embodiment of the invention, the stent not only can block off a dissection rupture in the near end but also can treat the rupture in the far end, so that a function of safe anchoring is achieved.
Description
Technical field
The present embodiments relate to medical instruments field, particularly relate to a kind of for treating, weight
Building human aortic blood vessel, the one of closure aneurysm and interlayer cut repairs aortic blood pipe clamp
The support of layer, and stent delivery system.
Background technology
Aneurysm of thoracic aorta/interlayer disease (Thoracic aortic aneurysm, TAA) is actively
One of the most catastrophic pathological changes of arteries and veins, dissection of aorta and true aneurysm are entirely different types of
Disease, dissection of aorta is destroyed due to aorta wall, and far-end does not has normal anchorage zone blood vessel
, the interlayer being typically due to far-end causes true chamber narrow and small, and false chamber progressively expands.Commercialized product at present
Therapeutic goal is still that closure near-end breach, has not focused on the false chamber of whole dissection of aorta,
Therefore it is an incomplete treatment, for interlayer far-end breach also with the same an actor's rendering of an operatic tune of near-end breach
Interior graft exclusion is infeasible, and import or homemade goods design in the market all cannot process
Far-end breach.
Dissection of aorta, neither true aneurysm, is not false aneurysm, but because of various
Reason causes the damage of endarterium and middle level, and blood, along the inner membrance of tear, forms blood in middle level
Swollen, and be two-layer by aorta wall stripping, under the impact of blood flow, released part is gradually to master
Tremulous pulse proximal part and distal end extend expansion, and the middle level separation property forming different range expands, and claims
Separate for dissection of aorta or dissection of aorta.Dissection of aorta is also common a kind of special defects
Type aneurysm of thoracic aorta, medically dissecting aneurysm of aorta inner membrance is torn by Stanford typing
Position and spreading range are divided into Stanford A and Type B two class.China is with Stanford Type B patient
In the majority, Stanford B diseased region is that aorta wall stripping originates in left subclavian artery opening
Far-end, and extend to certain limit to distal aorta.But most patient's interlayer pathological changes extensions
To diaphram, involve ventral aorta, even iliac artery.Treatment the most clinically uses breast more
Aorta artery intracavity recovery technique (TEVAR), i.e. implants at thoracic aorta intimal tear and covers
Membrane support, closure cut is rebuild tube chamber, is propped up owing to the most designed support is full overlay film
Frame, it is adaptable to block true property aneurysm of thoracic aorta, overlay film mistake for Human Thoracic Aortic Dissection cut
The long possible closure important branch blood vessel such as intercostal arteries, renal artery, has the risk causing paralysis.
Inventive embodiments content
(1) to solve the technical problem that
The embodiment of the present invention to solve the technical problem that being how to provide one both can block near-end
Interlayer cut, can treat again far-end breach and realize the support of safe Mouding function.
(2) technical scheme
In order to solve above-mentioned technical problem, the embodiment of the present invention provides a kind of one to repair aorta
The support of vascular dissection, the most in a tubular form, described support includes successively described support
Epimere support, stage casing support and the hypomere support connected, described epimere support is for supporting ring-type knot
Structure, described stage casing support is overlay film, and described hypomere support is the fenestral fabric of braiding, described
Support ring-type structural joint and be combined in the near-end of described overlay film described overlay film proximal edge all to be supportted
Rising, described fenestral fabric is sewn to the far-end of described overlay film to protect the distal edge of described overlay film
Edge is complete, and described fenestral fabric exposes the part of described overlay film for repairing aortic blood pipe clamp
Layer far-end breach, described overlay film is axially sewed with one or more becket along it.
Wherein, described support circulus includes support ring body, and described support ring body is by many
Individual concavo-convex alternate concavo-convex ring is formed by stacking, and the recess between adjacent described concavo-convex ring depends on convex place
Secondary docking.
Wherein, described support ring body is formed by 2-20 concavo-convex ring superposition braiding.
Wherein, described support circulus also includes being located at the multiple of described support ring body upper end
Locating ring.
Wherein, described locating ring is crest shape, and described locating ring is located on described support ring body
The recess of the described concavo-convex ring of end or convex place.
Wherein, when described becket is multiple, multiple described beckets interval is arranged, interval
Distance be 0-10 millimeter；Described becket is the specially-shaped annular that crest is sequentially connected with trough.
Wherein, described becket is sewn to inner circumferential or the periphery of described overlay film.
Wherein, described fenestral fabric includes multiple described concavo-convex ring, adjacent described concavo-convex ring it
Between recess dock successively with convex place, the tubular structure of hollow out is integrally formed.
Wherein, the most tapered tubulose of described support or straight tube-like, when for conical pipe
During shape, by its near-end to distal diameter from large to small.
The embodiment of the present invention also provides for a kind of stent delivery system, including sheath pipe and above-mentioned technical side
One described in case repairs the support of aorta vessel interlayer, and described one repairs aorta vessel
Propping up of interlayer is set up in described sheath pipe, by described one is repaired aorta vessel interlayer
Aortic arch delivered to by support, retreats described sheath pipe and discharges described one reparation aortic blood pipe clamp
The support of layer, arterial wall interlayer cut is effectively blocked, repairs and rebuild tube chamber by overlay film part.
(3) beneficial effect
Compared with prior art, the embodiment of the present invention has the advantage that
A kind of one that the embodiment of the present invention provides repairs the support of aorta vessel interlayer, described
The most in a tubular form, described support includes epimere support, the stage casing being sequentially connected with to support
Support and hypomere support, described epimere support is for supporting circulus, and described stage casing support is for covering
Film, described hypomere support is the fenestral fabric of braiding, by by ring-type for described support structural joint
It is combined in the near-end of described overlay film described overlay film proximal edge all to be propped up, described latticed knot
The far-end that structure is sewn to described overlay film is complete with the remote edge protecting described overlay film, described grid
Shape structure exposes the part of described overlay film for repairing aorta vessel interlayer far-end breach, and
Described overlay film is axially sewed with one or more becket along it, thus enters aorta at support
During bow portion, side becket can partial stack, relative opposite side becket gap launch, it is achieved
Bracket bent, and rack inner wall struts be close to blood vessel wall completely, it is achieved closure interlayer cut merit
Energy；It addition, it is naked structure that hypomere support exposes the part of overlay film, thus without blocking intercostal
Tremulous pulse and renal artery, it is possible to effectively Mouding support, prevent support displacement.
Accompanying drawing explanation
Fig. 1 is the entirety that a kind of one of the embodiment of the present invention repairs the support of aorta vessel interlayer
Structural representation；
Fig. 2 is the stenter to implant master that a kind of one of the embodiment of the present invention repairs aorta vessel interlayer
The state diagram of arch of aorta portion；
Fig. 3 is the epimere that a kind of one of the embodiment of the present invention repairs the support of aorta vessel interlayer
The structural representation of support；
Fig. 4 is that a kind of one of the embodiment of the present invention repairs covering in the support of aorta vessel interlayer
Membrane structure schematic diagram；
Fig. 5 is the gold that a kind of one of the embodiment of the present invention repairs in the support of aorta vessel interlayer
Belong to the structural representation of ring；
Fig. 6 is the pedestal upper end that a kind of one of the embodiment of the present invention repairs aorta vessel interlayer
Structural representation；
Fig. 7 is the pedestal lower end that a kind of one of the embodiment of the present invention repairs aorta vessel interlayer
Structural representation；
In figure: 1: epimere support；2: stage casing support；3: hypomere support；4: concavo-convex ring；
5: locating ring；6: overlay film；61: overlay film near-end；62: overlay film far-end；7: becket；
71: crest；72: trough；8: fenestral fabric.
Detailed description of the invention
Below in conjunction with the accompanying drawings and embodiment, the detailed description of the invention of the embodiment of the present invention is made into one
Step describes in detail.Following instance is used for illustrating the embodiment of the present invention, but is not limited to the present invention
The scope of embodiment.
In the description of the embodiment of the present invention, it should be noted that term " " center ", " longitudinally ",
" laterally ", " on ", D score, "front", "rear", "left", "right", " vertically ", " level ",
" push up ", " end " " interior ", the orientation of the instruction such as " outward " or position relationship be for based on shown in accompanying drawing
Orientation or position relationship, be for only for ease of description the embodiment of the present invention and simplify describe, and
It not to indicate or imply that the device of indication or element must have specific orientation, with specific side
Position structure and operation, therefore it is not intended that restriction to the embodiment of the present invention.
Additionally, in the description of the embodiment of the present invention, except as otherwise noted, " multiple ", " many
Root ", " many groups " be meant that two or more.
As it is shown in figure 1, a kind of one reparation aortic blood pipe clamp provided for the embodiment of the present invention
The support of layer, the most in a tubular form, described support includes being sequentially connected with described support
Epimere support 1, stage casing support 2 and hypomere support 3, described epimere support 1 is ring-type for supporting
Structure, described stage casing support 2 is overlay film 6, and described hypomere support 3 is the latticed knot of braiding
Structure 8, as shown in Figure 6, the ring-type structural joint of described support is combined in the near-end of described overlay film 6 to incite somebody to action
Described overlay film near-end 61 edge is all propped up and is close to the anti-Hemostatic Oral Liquid side leakage of bow portion blood vessel wall, as
Shown in Fig. 7, described fenestral fabric 8 is sewn to the far-end of described overlay film 6 and covers described in protection
Film far-end 62 edge does not ruptures, and described fenestral fabric 8 exposes the portion of described overlay film 6
Demultiplexing is in repairing aorta vessel interlayer far-end breach, and described overlay film 6 is axially sewed with one along it
Individual or multiple beckets 7, specifically by 1-20 becket 7 longitudinal arrangement, ring and ring spacing phase
Deng, it is close to periphery or the inner circumferential of overlay film 6.Select thickness at arbitrary thickness of 30-220 micron
Overlay film 6, material is PET (tPolyester Textured Yarn fabric), is woven into cone according to required diameter
Being stitched into required form and size after tubulose or straight tube-like, or employing planar film cutting, high temperature is pressed
Scald and receive limit；Epimere support 1, stage casing support 2, hypomere support 3, becket 7 and overlay film 6
Binding site can use the silk suture of material identical with overlay film 6.
Specifically, the most tapered tubulose of described support or straight tube-like, when for taper
During tubulose, by its near-end to distal diameter from large to small, proximal diameter is maximum, and distal diameter is
Little.
As it is shown on figure 3, described support circulus includes support ring body, described support ring is originally
Body is formed by stacking along the length direction of support ring body by multiple concavo-convex alternate concavo-convex rings 4, phase
Recess between adjacent described concavo-convex ring 4 docks successively with convex place, and specifically, described support ring is originally
Body is formed by 2-20 concavo-convex ring 4 superposition braiding, and adjacent two concavo-convex ring 4 superpositions form interval and set
There is the ring-type of latticed opening.Described concavo-convex ring 4 selects diameter arbitrary in 0.01-0.5 millimeter scope
The braidings such as medical metal wire that diameter is identical, titanium-nickel wire, tantalum wire form, maximum straight according to support
Footpath makes equal span, and effectively protection overlay film near-end 61 completely and is completely affixed on blood vessel wall, stops
Blood side leakage.
Wherein, described support circulus can also include being located at described support ring body upper end
Multiple locating rings 5, described locating ring 5 in crest shape, crest height of wave 1-30 millimeter, described locating ring
The recess of the 5 concavo-convex rings 4 being specifically located at support ring body upper end or convex place；Described locating ring 5 is used
In realizing the rear release function of mount proximal end, according to needs of specifically performing the operation, it is also possible to be not provided with institute
State locating ring 5.
Wherein, when described becket 7 is multiple, multiple described beckets 7 interval is arranged,
Every distance be 0-10 millimeter, becket 7 inwall cladding overlay film 6, becket 7 sews with overlay film 6
In conjunction with.
As it is shown in figure 5, described becket 7 in crest 71 special-shaped ring being sequentially connected with trough 72
Shape, the crest 71 of adjacent metal ring 7 is consistent with crest 71 direction, and this design can realize overlay film 6
Propping up completely, arbitrarily angled bending and inner chamber keep the constant nothing of diameter to subside, strong and aorta
The reconstruction of bow portion blood vessel.Becket 7 selects diameter identical at the 0.01-0.5 arbitrary diameter of millimeter scope
Medical metal wire, titanium-nickel wire, tantalum wire etc. make, according to diameter taper or the straight tube of overlay film 6
Diameter, makes angle, the most identical crest 71, becket 7 that trough 72 quantity is identical,
The silk junction tubing of equal material, pipe internal diameter is more than silk external diameter 0.01 millimeter, through pressing
The combination having welded silk is fixed.
As shown in Figure 4, described fenestral fabric 8 includes multiple described concavo-convex ring 4, adjacent described
Recess between concavo-convex ring 4 docks successively with convex place, and the tubular structure of hollow out is integrally formed.?
Frame interlude overlay film 6, can be used for treating vascular dissection cut；The overall all overlay films 6 of support can be used
In treatment true aneurysm.Concavo-convex wide 1-15 millimeter on concavo-convex ring 4, high 2-20 millimeter, can root
Making 2-20 according to support maximum gauge individual concavo-convex, length is by 2-50 concavo-convex ring 4 superposition.Hypomere support
3 is naked support, effectively repairs dissection of aorta far-end breach, prevents support displacement, and not
The blocking important branch blood vessel such as intercostal arteries and renal artery.
The work process of the embodiment of the present invention is: as in figure 2 it is shown, support is released at aortic arch
Putting, the locating ring 5 of epimere support 1 can be used for release location after support, and the concavo-convex ring 4 of superposition can
Overlay film near-end 61 edge is all propped up and is close to the anti-Hemostatic Oral Liquid side leakage of bow portion blood vessel wall；Stage casing is propped up
The becket 7 of frame is equal with ring spacing, and being close to becket 7 inwall is overlay film 6, enters at support
During aortic arch, side becket 7 can partial stack, relative opposite side becket 7 gap
Launch, it is achieved bracket bent, and inwall struts be close to blood vessel wall completely, it is achieved closure interlayer
Cut function；Hypomere support 3 and the junction of overlay film 6, crossed 2-3 by overlay film far-end 62 periphery cover
Individual concavo-convex ring 4, overlay film far-end 62 is propped up by concavo-convex ring 4 completely, protects overlay film far-end 62 edge complete
Whole not rupturing, the part that hypomere support 3 does not has overlay film 6 to cover is braiding bare bracket, is in breast master
Arch of aorta fall straight section position, effectively repairs dissection of aorta far-end breach, owing to support hypomere is
Naked structure, thus without blocking intercostal arteries and renal artery, preferably can effective Mouding support, prevent
Only support displacement.
The embodiment of the present invention also provides for a kind of stent delivery system, including sheath pipe and above-mentioned technical side
One described in case repairs the support of aorta vessel interlayer, and described one repairs aorta vessel
The support of interlayer is held or support pressure is reduced to minimum diameter and is located at by manual traction through instrument longitudinally pressure
In described sheath pipe, deliver to aorta by described one being repaired the support of aorta vessel interlayer
Bow portion, slowly retreats described sheath pipe and discharges described support, and arterial wall interlayer is broken by overlay film 6 part
Mouth effectively closure, repairs and rebuilds tube chamber, and aortic flow passes through from rack bore, no longer rushes
Hit blood vessel vacation chamber.
As can be seen from the above embodiments, the embodiment of the present invention both can block near-end interlayer cut,
Far-end breach can be treated again and realize safe Mouding function.
The foregoing is only the preferred embodiment of the embodiment of the present invention, not in order to limit this
Inventive embodiments, within all spirit in the embodiment of the present invention and principle, any amendment of being made,
Equivalent, improvement etc., within should be included in the protection domain of the embodiment of the present invention.
Claims (10)
1. the support of an one reparation aorta vessel interlayer, it is characterised in that described
The most in a tubular form, described support includes that the epimere support being sequentially connected with, stage casing are propped up to frame
Frame and hypomere support, described epimere support is for supporting circulus, and described stage casing support is overlay film,
Described hypomere support be braiding fenestral fabric, the ring-type structural joint of described support be combined in described in cover
The near-end of film is all to prop up described overlay film proximal edge, and described fenestral fabric is sewn to institute
The far-end stating overlay film is complete with the remote edge protecting described overlay film, and described fenestral fabric exposes
The part of described overlay film is used for repairing aorta vessel interlayer far-end breach, and described overlay film is along its axle
To being sewed with one or more becket.
One the most according to claim 1 repairs the support of aorta vessel interlayer, and it is special
Levying and be, described support circulus includes support ring body, and described support ring body is by multiple
Concavo-convex alternate concavo-convex ring is formed by stacking, and the recess between adjacent described concavo-convex ring is with convex place successively
Docking.
One the most according to claim 2 repairs the support of aorta vessel interlayer, and it is special
Levying and be, described support ring body is formed by 2-20 concavo-convex ring superposition braiding.
One the most according to claim 3 repairs the support of aorta vessel interlayer, and it is special
Levying and be, described support circulus also includes being located at the multiple fixed of described support ring body upper end
Position ring.
One the most according to claim 4 repairs the support of aorta vessel interlayer, and it is special
Levying and be, described locating ring is crest shape, and described support ring body upper end is located at by described locating ring
The recess of described concavo-convex ring or convex place.
One the most according to claim 1 repairs the support of aorta vessel interlayer, and it is special
Levying and be, when described becket is multiple, multiple described beckets interval is arranged, interval
Distance is 0-10 millimeter；Described becket is the specially-shaped annular that crest is sequentially connected with trough.
One the most according to claim 1 repairs the support of aorta vessel interlayer, and it is special
Levying and be, described becket is sewn to inner circumferential or the periphery of described overlay film.
One the most according to claim 2 repairs the support of aorta vessel interlayer, and it is special
Levying and be, described fenestral fabric includes multiple described concavo-convex ring, between adjacent described concavo-convex ring
Recess dock successively with convex place, the tubular structure of hollow out is integrally formed.
One the most according to claim 1 repairs the support of aorta vessel interlayer, and it is special
Levying and be, the most tapered tubulose of described support or straight tube-like, when for tapered tubular
Time, by its near-end to distal diameter from large to small.
10. a stent delivery system, including sheath pipe, it is characterised in that also include such as right
Require one described in any one of 1-9 to repair the support of aorta vessel interlayer, described integrally repair
Propping up of multiple aorta vessel interlayer is set up in described sheath pipe, by described one being repaired actively
Aortic arch delivered to by the support of arteries and veins vascular dissection, retreats described sheath pipe and discharges described one reparation
The support of aorta vessel interlayer, arterial wall interlayer cut is effectively blocked by overlay film part, repairs
And rebuild tube chamber.
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| CN201610168897.8A CN105853033B (en) | 2016-03-23 | 2016-03-23 | One repairs the support and stent delivery system of aorta vessel interlayer |
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| CN105853033A true CN105853033A (en) | 2016-08-17 |
| CN105853033B CN105853033B (en) | 2017-10-27 |
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Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106726003A (en) * | 2016-12-30 | 2017-05-31 | 上海长海医院 | Dissection of aorta intravascular stent and its manufacture method |
| CN109009562A (en) * | 2018-08-27 | 2018-12-18 | 泉州市第医院 | Follow-on arch of aorta overlay film frame type blood vessel |
| CN110381888A (en) * | 2017-03-09 | 2019-10-25 | 美敦力瓦斯科尔勒公司 | The tension managing device of prosthesis delivery device for belt supporting frame |
| CN112206030A (en) * | 2020-11-11 | 2021-01-12 | 北京久事神康医疗科技有限公司 | Covered stent |
| CN112587279A (en) * | 2020-12-09 | 2021-04-02 | 山东第一医科大学附属省立医院(山东省立医院) | Assembled aorta large support system |
| CN113367834A (en) * | 2020-03-10 | 2021-09-10 | 上海微创医疗器械（集团）有限公司 | Covered stent and preparation method thereof |
| CN113893062A (en) * | 2020-07-06 | 2022-01-07 | 深圳市先健畅通医疗有限公司 | Covered stent |
| CN114010241A (en) * | 2021-11-16 | 2022-02-08 | 复旦大学附属中山医院 | Plugging device for repairing aortic dissection |
| WO2023185486A1 (en) * | 2022-03-28 | 2023-10-05 | 上海微创医疗器械（集团）有限公司 | Occlusion stent and delivery system |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1994012136A1 (en) * | 1992-10-13 | 1994-06-09 | Boston Scientific Corporation | Stents for body lumens exhibiting peristaltic |
| CN201308556Y (en) * | 2008-12-15 | 2009-09-16 | 北京有色金属研究总院 | Blood vessel film coating bracket for thoracic aorta interlayer |
| US20090306763A1 (en) * | 2007-12-26 | 2009-12-10 | Roeder Blayne A | Low profile non-symmetrical bare alignment stents with graft |
| CN102038564A (en) * | 2009-10-14 | 2011-05-04 | 周星 | Supporting frame capable of being taken out |
| CN102198025A (en) * | 2011-05-04 | 2011-09-28 | 迟立群 | Stent graft |
| CN205672114U (en) * | 2016-03-23 | 2016-11-09 | 北京微创介入医疗装备有限公司 | One repairs support and the stent delivery system of aorta vessel interlayer |
-
2016
- 2016-03-23 CN CN201610168897.8A patent/CN105853033B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1994012136A1 (en) * | 1992-10-13 | 1994-06-09 | Boston Scientific Corporation | Stents for body lumens exhibiting peristaltic |
| US20090306763A1 (en) * | 2007-12-26 | 2009-12-10 | Roeder Blayne A | Low profile non-symmetrical bare alignment stents with graft |
| CN201308556Y (en) * | 2008-12-15 | 2009-09-16 | 北京有色金属研究总院 | Blood vessel film coating bracket for thoracic aorta interlayer |
| CN102038564A (en) * | 2009-10-14 | 2011-05-04 | 周星 | Supporting frame capable of being taken out |
| CN102198025A (en) * | 2011-05-04 | 2011-09-28 | 迟立群 | Stent graft |
| CN205672114U (en) * | 2016-03-23 | 2016-11-09 | 北京微创介入医疗装备有限公司 | One repairs support and the stent delivery system of aorta vessel interlayer |
Cited By (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106726003A (en) * | 2016-12-30 | 2017-05-31 | 上海长海医院 | Dissection of aorta intravascular stent and its manufacture method |
| US11648121B2 (en) | 2017-03-09 | 2023-05-16 | Medtronic Vascular, Inc. | Tension management devices for stented prosthesis delivery device |
| CN110381888A (en) * | 2017-03-09 | 2019-10-25 | 美敦力瓦斯科尔勒公司 | The tension managing device of prosthesis delivery device for belt supporting frame |
| CN109009562A (en) * | 2018-08-27 | 2018-12-18 | 泉州市第医院 | Follow-on arch of aorta overlay film frame type blood vessel |
| CN109009562B (en) * | 2018-08-27 | 2023-11-21 | 泉州市第一医院 | Improved aortic arch tectorial membrane stent type blood vessel |
| CN113367834B (en) * | 2020-03-10 | 2024-02-27 | 上海微创医疗器械（集团）有限公司 | Tectorial membrane bracket and preparation method thereof |
| CN113367834A (en) * | 2020-03-10 | 2021-09-10 | 上海微创医疗器械（集团）有限公司 | Covered stent and preparation method thereof |
| CN113893062A (en) * | 2020-07-06 | 2022-01-07 | 深圳市先健畅通医疗有限公司 | Covered stent |
| CN113893062B (en) * | 2020-07-06 | 2023-01-03 | 先健科技(深圳)有限公司 | Covered stent |
| CN112206030A (en) * | 2020-11-11 | 2021-01-12 | 北京久事神康医疗科技有限公司 | Covered stent |
| CN112587279A (en) * | 2020-12-09 | 2021-04-02 | 山东第一医科大学附属省立医院(山东省立医院) | Assembled aorta large support system |
| CN114010241A (en) * | 2021-11-16 | 2022-02-08 | 复旦大学附属中山医院 | Plugging device for repairing aortic dissection |
| CN114010241B (en) * | 2021-11-16 | 2023-12-22 | 复旦大学附属中山医院 | Plugging device for aortic dissection fracture repair |
| WO2023185486A1 (en) * | 2022-03-28 | 2023-10-05 | 上海微创医疗器械（集团）有限公司 | Occlusion stent and delivery system |
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