CN106726003A - Dissection of aorta intravascular stent and its manufacture method - Google Patents

Dissection of aorta intravascular stent and its manufacture method Download PDF

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Publication number
CN106726003A
CN106726003A CN201611257682.XA CN201611257682A CN106726003A CN 106726003 A CN106726003 A CN 106726003A CN 201611257682 A CN201611257682 A CN 201611257682A CN 106726003 A CN106726003 A CN 106726003A
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CN
China
Prior art keywords
rack body
aorta
dissection
intravascular stent
wire
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
CN201611257682.XA
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Chinese (zh)
Other versions
CN106726003B (en
Inventor
冯睿
景在平
刘军军
蒋维健
刘媛媛
胡庆夕
周建
冯家烜
李振江
牛冬子
左辉
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.)
Suzhou Maidiwei Detection Technology Co Ltd
Shanghai Changhai Hospital
University of Shanghai for Science and Technology
Original Assignee
Suzhou Maidiwei Detection Technology Co Ltd
Shanghai Changhai Hospital
University of Shanghai for Science and Technology
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 Suzhou Maidiwei Detection Technology Co Ltd, Shanghai Changhai Hospital, University of Shanghai for Science and Technology filed Critical Suzhou Maidiwei Detection Technology Co Ltd
Priority to CN201611257682.XA priority Critical patent/CN106726003B/en
Publication of CN106726003A publication Critical patent/CN106726003A/en
Application granted granted Critical
Publication of CN106726003B publication Critical patent/CN106726003B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2240/00Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001Designing or manufacturing processes

Abstract

The invention discloses a kind of dissection of aorta intravascular stent and its manufacture method, dissection of aorta intravascular stent includes rack body and is attached to the overlay film in the outside of rack body, and rack body is formed by multiple bung flange spirals, and each bung flange is made up of multiple waveforms.Manufacture method includes:By space cylindrical coordinate system, space continuous helical wavy curve is built;The threedimensional model of rack body is obtained by scan mode;The physical model of rack body is made according to threedimensional model;Wire is used to wind physical model to obtain rack body;To rack body thermal finalization and electropolishing;The outside electrospinning of rack body or hot pressing have overlay film.It is whole that the bending that intravascular stent occurs in the tube chamber of bending is uniformly distributed in intravascular stent, increased the applicating property of intravascular stent, it is to avoid bending and damages the situation of tube wall and occurs.And the intravascular stent aims at dissection of aorta design, simple structure is easy to operation, and support force is suitable, adapts to the pathological characteristic of dissection of aorta.

Description

Dissection of aorta intravascular stent and its manufacture method
Technical field
The present invention relates to a kind of intravascular stent, more particularly to a kind of dissection of aorta intravascular stent and its manufacture method.
Background technology
Dissection of aorta (aortic dissection, AD) refer to aortic tunica intima because there is breach in a variety of causes, actively Blood flow in arteries and veins chamber enters aortic tunica media from aortic tunica intima breach, aortic tunica media is torn separation, and long along sustainer Axially nearly distal end extension, so as to form a kind of pathological change in true and false two chamber of sustainer.The hurried harm of its onset is huge, tear Vascular wall is weak, can form aneurysm or directly rupture and cause massive haemorrhage dead, and dissection of aorta is oppressed in true chamber after being formed, The blood supply of sustainer important branch can be influenceed, the severe ischemic necrosis of important organ is caused, causes serious heart infarction, cerebral infarction etc. simultaneously Hair disease is even dead.
Dissection of aorta EVAR is carried out at present, i.e., using the invasive methods of percutaneous stenter to implant, by blood The intracavity implant that tube chamber is built into straight pipe type carrys out closed sandwich cut, struts true chamber and recovers normal blood supply, so as to reach treatment Purpose.
Endovascular isolation implant is by tubular metal silk support and suture or the artificial blood vessel group being bonded on the inside of support Into tubular metal silk support is formed through Z-fold back wall by elastic metallic yarn into Straight, and artificial blood vessel is by inert polymer material Material is made, usually terylene or polytetrafluoroethylene (PTFE).It is loaded into conveyer after Endovascular isolation implant is compressed when using, Aortic aneurysm is sent to by conveyer by distant place femoral artery or common iliac artery to be discharged again, because the elastic force of wire rack mount is made With reverting to straight tube-like and being close to sustainer inwall automatically, diseased region is isolated with blood flow, so as to reach therapeutic purposes. Without open operation, simple and direct minimally invasive, determined curative effect has successfully given treatment to large quantities of patients to this method.
However, traditional aorta tectorial membrane stent is designed for aortic aneurysm, its support force and compliance do not meet master The pathologic, physiologic feature of artery dissection, causes postoperative the sticking in bad formation of dissection of aorta to be leaked, and support force crosses macrolesion tube wall Cause that dissection of aorta is inverse to be torn.
Specifically, traditional aorta tectorial membrane stent is that multiple support rings are connected by the fabric or film of external application or suture Connect and form, some supports can add longitudinal wire to improve longitudinal stability.Its maximum shortcoming is:Run into the blood of bending During pipe portion position, the support of straight-tube shape can produce bending, and this bending is concentrated and the ring and ring of support between, rather than averagely Distribution, so, local bending can cause thrombosis and support in chamber adherent bad, trigger such as aortic arch branch Frame " beak phenomenon " (big curved side stand is adherent and lesser curvature side is tilted) and support distort the Kink at position, or even indulging due to support Cause head end and pipe friction to stiff and damage tube wall or stent migration.So that the new intracavity implant system of exploitation Unite to solve this problem.
The content of the invention
The present invention for prior art exist problem and shortage, there is provided a kind of new dissection of aorta intravascular stent and Its manufacture method.
The present invention is to solve above-mentioned technical problem by following technical proposals:
The present invention provides a kind of dissection of aorta intravascular stent, and its feature is that it includes a rack body and an attachment In the overlay film in the outside of the rack body, the rack body is formed by multiple bung flange spirals, and each bung flange is made up of multiple waveforms.
It is preferred that the waveform is sinusoidal waveform.
It is preferred that the waveform is cosine waveform.
It is preferred that the rack body is made up of wire.
It is preferred that the wire is stainless steel wire or nitinol alloy wire.
It is preferred that the rack body is made up of absorbable polymer silk.
The present invention also provides a kind of manufacture method of above-mentioned dissection of aorta intravascular stent, and its feature is that it includes Following steps:
By space cylindrical coordinate system, space continuous helical wavy curve is built;
The threedimensional model of the rack body is obtained by scan mode;
The physical model of the rack body is made according to the threedimensional model;
Wire is used to wind the physical model to obtain the rack body;
To the rack body thermal finalization and electropolishing;
The outside electrospinning of the rack body or hot pressing have the overlay film;
Wherein, the cylindrical coordinates expression formula of the space continuous helical wavy curve:
R represents cylinder radius, and P represents pitch, and A represents wave amplitude, and n represents crest number weekly, and m represents the individual of spiral Number.
The innovation of this manufacture method is:Can according to the concrete condition of the dissection of aorta of patient, to parameter R, P, A, n and m select different numerical value, so as to obtain the different intravascular stents for being applicable patient, what this manufacture method was designed Intravascular stent has more flexibility, more enough dissection of aorta for preferably matching patient.
It is preferred that the radius r scopes of the wire are 0mm<r≤1mm.
It is preferred that the radius r of the wire is 0.25mm or 0.3mm.
It is preferred that according to the threedimensional model laser engraving or the 3D printing physical model.
On the basis of common sense in the field is met, above-mentioned each optimum condition can be combined, and obtain final product each preferable reality of the present invention Example.
Positive effect of the invention is:
The bending that the intravascular stent of continuous type occurs in the tube chamber of bending is uniformly distributed in intravascular stent whole process, increases The applicating property of intravascular stent is added, it is to avoid bending and damage the situation of tube wall and occur.And the intravascular stent aims at aorta clamp Layer design, simple structure is easy to operation, and support force is suitable, adapts to the pathological characteristic of dissection of aorta.
Brief description of the drawings
Fig. 1 is the structural representation of the rack body of the dissection of aorta intravascular stent of present pre-ferred embodiments.
Fig. 2 is the flow chart of the manufacture method of the dissection of aorta intravascular stent of present pre-ferred embodiments.
Specific embodiment
To make the purpose, technical scheme and advantage of the embodiment of the present invention clearer, below in conjunction with the embodiment of the present invention In accompanying drawing, the technical scheme in the embodiment of the present invention is clearly and completely described, it is clear that described embodiment is A part of embodiment of the present invention, rather than whole embodiments.Based on the embodiment in the present invention, those of ordinary skill in the art The every other embodiment obtained on the premise of creative work is not made, belongs to the scope of protection of the invention.
The present embodiment provides a kind of dissection of aorta intravascular stent, and it includes that a rack body and is attached to support master The overlay film in the outside of body.
As shown in figure 1, the rack body is formed by the spiral of multiple bung flanges 1,6 bung flanges 1, each bung flange are shown in Fig. 1 It is made up of multiple sinusoidal or cosine waveforms 2.
Wherein, the rack body is made up of wire, and the wire is stainless steel wire or nitinol alloy wire, and compliance is good. Certainly, the rack body can also be absorbable polymer silk, can degrade within the scheduled time.The overlay film is absorbable or not Absorbable polymer, can carry medicine, can be electrostatic spinning or hot-forming, and ultra-thin complaisant is good.
The radius r scopes of the wire are 0mm<r≤1mm.Preferably, the radius r of the wire be 0.25mm or 0.3mm。
As shown in Fig. 2 the present embodiment also provides a kind of manufacture method of above-mentioned dissection of aorta intravascular stent, it includes Following steps:
Step 101, model is set up using SolidWorks, by space cylindrical coordinate system, build space continuous helical ripple Shape (such as sine wave or cosine wave) curve;
Step 102, the threedimensional model that the rack body is obtained by scan mode;
Step 103, using customization frock, according to the threedimensional model laser engraving or the entity mould of the 3D printing rack body Type;
Step 104, wire is used to wind the physical model to obtain the rack body;
Step 105, to the rack body thermal finalization and electropolishing;
Step 106, the outside electrospinning of the rack body or hot pressing have the overlay film.
Wherein, the cylindrical coordinates expression formula of the space continuous helical wavy curve:
R represents cylinder radius, and P represents pitch, and A represents wave amplitude, and n represents crest number weekly, and m represents the individual of spiral Number.
The intravascular stent of the continuous type produced by the manufacture method aims at dissection of aorta design, in the tube chamber of bending It is whole that the bending of middle generation is uniformly distributed in intravascular stent, increased the applicating property of intravascular stent, it is to avoid bending and damages The situation for hindering tube wall occurs.And the intravascular stent simple structure is easy to operation, support force is suitable, adapts to the pathology of dissection of aorta Feature.
Although the foregoing describing specific embodiment of the invention, it will be appreciated by those of skill in the art that these It is merely illustrative of, protection scope of the present invention is defined by the appended claims.Those skilled in the art is not carrying on the back On the premise of principle of the invention and essence, various changes or modifications can be made to these implementation methods, but these are changed Protection scope of the present invention is each fallen within modification.

Claims (10)

1. a kind of dissection of aorta intravascular stent, it is characterised in that it includes that a rack body and is attached to the rack body Outside overlay film, the rack body formed by multiple bung flange spirals, and each bung flange is made up of multiple waveforms.
2. dissection of aorta intravascular stent as claimed in claim 1, it is characterised in that the waveform is sinusoidal waveform.
3. dissection of aorta intravascular stent as claimed in claim 1, it is characterised in that the waveform is cosine waveform.
4. dissection of aorta intravascular stent as claimed in claim 1, it is characterised in that the rack body is made up of wire.
5. dissection of aorta intravascular stent as claimed in claim 4, it is characterised in that the wire is stainless steel wire or NiTi B alloy wire.
6. dissection of aorta intravascular stent as claimed in claim 1, it is characterised in that the rack body is by absorbable polymer Silk is made.
7. a kind of manufacture method of the dissection of aorta intravascular stent in 1-5 such as claim as described in any one, its feature exists In it is comprised the following steps:
By space cylindrical coordinate system, space continuous helical wavy curve is built;
The threedimensional model of the rack body is obtained by scan mode;
The physical model of the rack body is made according to the threedimensional model;
Wire is used to wind the physical model to obtain the rack body;
To the rack body thermal finalization and electropolishing;
The outside electrospinning of the rack body or hot pressing have the overlay film;
Wherein, the cylindrical coordinates expression formula of the space continuous helical wavy curve:
x t = R c o s ( t ) y t = R s i n ( t ) z t = P t / &pi; + A sin ( n t ) , t &Element; &lsqb; 0 , 2 &pi; m &rsqb;
R represents cylinder radius, and P represents pitch, and A represents wave amplitude, and n represents crest number weekly, and m represents the number of spiral.
8. the manufacture method of dissection of aorta intravascular stent as claimed in claim 7, it is characterised in that the radius of the wire R scopes are 0mm<r≤1mm.
9. the manufacture method of dissection of aorta intravascular stent as claimed in claim 8, it is characterised in that the radius of the wire R is 0.25mm or 0.3mm.
10. the manufacture method of dissection of aorta intravascular stent as claimed in claim 7, it is characterised in that according to the three-dimensional mould Type laser engraving or the 3D printing physical model.
CN201611257682.XA 2016-12-30 2016-12-30 Dissection of aorta intravascular stent and its manufacture method Expired - Fee Related CN106726003B (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107242917A (en) * 2017-07-05 2017-10-13 上海长海医院 A kind of stent graft
CN108888391A (en) * 2018-07-12 2018-11-27 北京龙慧珩医疗科技发展有限公司 A kind of non-crossing bracket of monofilament
CN109044576A (en) * 2018-08-24 2018-12-21 上海长海医院 Aortic blood pressure controlled release carried stent and controlling of blood pressure drug delivery system
CN110923825A (en) * 2019-09-02 2020-03-27 上海大学 Preparation system and preparation method of high-elasticity drug-loaded thin film intravascular stent
CN114748118A (en) * 2022-06-15 2022-07-15 迈迪威(深圳)实业有限公司 Chest surgery auxiliary device based on traction distraction and using method

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111228003B (en) * 2020-01-13 2022-12-09 李功俊 Nickel-titanium alloy stent for treating megacolon disease

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CN105726164A (en) * 2016-03-18 2016-07-06 唯强医疗科技(上海)有限公司 Plastic covered aortic dissection stent and aortic dissection stent
CN105853033A (en) * 2016-03-23 2016-08-17 北京微创介入医疗装备有限公司 Integrated stent for repairing aortic blood vessel dissection and stent conveying system
CN105877881A (en) * 2015-03-03 2016-08-24 周玉杰 Method for preparing personalized bionic drug eluting coronary stent by using 3D printing technology
WO2016206561A1 (en) * 2015-06-25 2016-12-29 李雷 Manufacturing method and system of covered stent

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US20140107762A1 (en) * 2004-07-26 2014-04-17 Abbott Cardiovascular Systems Inc. Biodegradable stent with enhanced fracture toughness
WO2006081568A1 (en) * 2005-01-28 2006-08-03 Stent Tech, Inc. Flexible cells for axially interconnecting stent components
CN101884574A (en) * 2010-06-28 2010-11-17 河北工业大学 Method and device for preparing three-dimensional porous support for tissue engineering
CN202554171U (en) * 2012-04-30 2012-11-28 王志伟 Large blood vessel covered stent and free release system thereof
CN103568326A (en) * 2012-07-30 2014-02-12 比亚迪股份有限公司 Preparation method of intravascular stent, and intravascular stent prepared thereby
CN104116578A (en) * 2014-07-18 2014-10-29 西安交通大学 Method for forming artificial vascular stent through 4D printing
CN104224412A (en) * 2014-08-20 2014-12-24 湖南英捷高科技有限责任公司 Method for preparing intravascular stent upon 3D (three-dimensional) printing technology
CN105877881A (en) * 2015-03-03 2016-08-24 周玉杰 Method for preparing personalized bionic drug eluting coronary stent by using 3D printing technology
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CN205041480U (en) * 2015-09-30 2016-02-24 韩新巍 Intracavity seals support suitable for a type aorta intermediate layer
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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107242917A (en) * 2017-07-05 2017-10-13 上海长海医院 A kind of stent graft
CN107242917B (en) * 2017-07-05 2023-09-19 上海长海医院 Stent graft
CN108888391A (en) * 2018-07-12 2018-11-27 北京龙慧珩医疗科技发展有限公司 A kind of non-crossing bracket of monofilament
CN109044576A (en) * 2018-08-24 2018-12-21 上海长海医院 Aortic blood pressure controlled release carried stent and controlling of blood pressure drug delivery system
CN109044576B (en) * 2018-08-24 2023-09-19 上海长海医院 Aortic blood pressure controlled drug delivery stent and blood pressure controlled drug delivery system
CN110923825A (en) * 2019-09-02 2020-03-27 上海大学 Preparation system and preparation method of high-elasticity drug-loaded thin film intravascular stent
CN110923825B (en) * 2019-09-02 2021-11-09 上海大学 Preparation system and preparation method of high-elasticity drug-loaded thin film intravascular stent
CN114748118A (en) * 2022-06-15 2022-07-15 迈迪威(深圳)实业有限公司 Chest surgery auxiliary device based on traction distraction and using method

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