CN106859820A - 带定位环冠脉分支支架 - Google Patents

带定位环冠脉分支支架 Download PDF

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Publication number
CN106859820A
CN106859820A CN201710048564.6A CN201710048564A CN106859820A CN 106859820 A CN106859820 A CN 106859820A CN 201710048564 A CN201710048564 A CN 201710048564A CN 106859820 A CN106859820 A CN 106859820A
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branch
locating ring
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毛懿
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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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents 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
    • 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/954Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
    • 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts

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  • 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)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

本发明专利为一种新型冠状动脉支架,属于医疗器械领域创新技术。目前上市的冠状动脉支架均是均一的筒状结构,在冠脉分支血管,或分叉血管狭窄需要置入支架时,因结构相对复杂,心脏在不停的跳动等因素,几乎不可能在冠脉分支口部置入支架。带定位环冠脉分支支架主体沿分支导丝走向分支,支架近端的定位环延主支导丝滑向主支;当支架到达主支与分支分叉处,支架主体已经进入分支,而近端因定位环的存在,准确的卡在分叉处,可以准确的把支架定位在分支的口部。该新型支架对分支病变治疗,分叉病变现行治疗技术,将有革新性的改进。

Description

带定位环冠脉分支支架
技术领域
本发明专利为一种新型冠状动脉支架,特别涉及冠脉分支病变,分叉病变,需要准确定位情况下置入的冠脉支架。
技术背景
近年来,冠状动脉支架技术已经成为介入治疗的常规技术。但是在冠脉分支血管,或分叉血管需要置入支架时,因结构相对复杂,心脏在不停的跳动等因素,导致精确定位置入支架十分困难。带定位环支架的诞生将彻底改变这个困境,使准确定位和冠状动脉分叉病变的手术方式,发生根本性改变和进步。
发明内容
目前所有上市的冠脉支架都是均一的筒状结构(11),如附图1-6。支架在未扩张时,在冠状动脉内随心跳不停的滑动,无法准确的固定在分支的口部。支架扩张时,会定位在哪里很多时就靠运气了。带定位环冠脉分支支架在支架近端额外增加一个定位环结构(12,14)。该定位环与支架联为一体,环中央留有直径0.4mm孔道(13),允许通过冠脉导丝;定位环为圆环/折叠环(折叠环可被动扩张为直径3.5-4.5mm圆环),当支架主体沿分支导丝滑动,定位环沿主支导斯滑动,到达分叉部位时,支架边缘就被准确的卡在了分叉部位。
附图说明
图1带折叠环冠脉分支支架平面图(支架主体扩张后)
图2带折叠环冠脉分支支架结构图
图3带折叠环冠脉分支支架立体图
图4带圆环冠脉分支支架平面图(支架主体扩张后)
图5带圆环冠脉分支支架结构图
图6带圆环冠脉分支支架立体图
图7带圆环冠脉分支支架实施示例图
图8带折叠环冠脉分支支架实施示例图
图中11.支架主体;12.圆形定位环;13.定位环孔道;14.折叠定位环;1.主支导丝;2.分支导丝。
具体实施方式
对于单纯冠脉分支病变,选用带定位环(圆环)冠脉分支支架主体延导丝2导入分支,支架近端的定位环通过导丝1滑向主支;当支架到达主支与分支分叉处,支架主体已经进入分支,而近端因定位环的存在,准确的卡在分叉处,不能前进,从而可以准确的把支架定位在分支的口部(图7)。当分支支架充分扩张后,撤出分支内的球囊,及导丝1和导丝2,完成手术。若是分支与主支都需要处理的病变,选用折叠环冠脉分支支架。主支延主支导丝1进入另一球囊,按照主支直径扩张定位环到主支直径。然后在主支内,通过已经扩张的定位环,置入主支支架,完成分叉病变的支架置入(图8)。

Claims (2)

1.一种冠状动脉介入治疗时,分支血管专用支架。其特征在于支架近端增加定位环,(1)定位环位于支近端;(2)定位环与支架连为一体;(3)定位环未打开时,中心留有孔道,允许通过较细导丝;(4)定位环为圆环/折叠环,折叠环可被动扩张为直径3.5-4.5mm圆环。
2.权利要求1支架主体结构外,附加定位环(圆环/折叠型定位环)。2定位环带有孔道,可通过导丝。3折叠型定位环可以被动扩张。
CN201710048564.6A 2017-01-23 2017-01-23 带定位环冠脉分支支架 Pending CN106859820A (zh)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106821563A (zh) * 2017-03-15 2017-06-13 山东吉威医疗制品有限公司 一种用于分支血管开口处病变的支架
CN108158702A (zh) * 2018-02-24 2018-06-15 汤建军 支架及支架系统

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101035488A (zh) * 2004-09-24 2007-09-12 因瓦泰克有限公司 用于处理分叉的组件
US20080009933A1 (en) * 2006-07-07 2008-01-10 Diem Uyen Ta Catheter assembly and method for treating bifurcations
CN105498070A (zh) * 2016-01-04 2016-04-20 夏妍 一种用于冠脉介入的端孔导引导丝

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101035488A (zh) * 2004-09-24 2007-09-12 因瓦泰克有限公司 用于处理分叉的组件
US20080009933A1 (en) * 2006-07-07 2008-01-10 Diem Uyen Ta Catheter assembly and method for treating bifurcations
CN105498070A (zh) * 2016-01-04 2016-04-20 夏妍 一种用于冠脉介入的端孔导引导丝

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106821563A (zh) * 2017-03-15 2017-06-13 山东吉威医疗制品有限公司 一种用于分支血管开口处病变的支架
CN108158702A (zh) * 2018-02-24 2018-06-15 汤建军 支架及支架系统

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Application publication date: 20170620