CN107753148A - Built-in prothesis with artificial blood vessel part and overlay film frame part - Google Patents
Built-in prothesis with artificial blood vessel part and overlay film frame part Download PDFInfo
- Publication number
- CN107753148A CN107753148A CN201610833060.0A CN201610833060A CN107753148A CN 107753148 A CN107753148 A CN 107753148A CN 201610833060 A CN201610833060 A CN 201610833060A CN 107753148 A CN107753148 A CN 107753148A
- Authority
- CN
- China
- Prior art keywords
- blood vessel
- artificial blood
- branch
- prothesis
- built
- 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.)
- Pending
Links
- 239000002473 artificial blood Substances 0.000 title claims abstract description 169
- 210000004204 blood vessel Anatomy 0.000 title claims abstract description 169
- 239000012530 fluid Substances 0.000 claims abstract description 23
- 238000004891 communication Methods 0.000 claims abstract description 21
- 210000001168 carotid artery common Anatomy 0.000 claims description 18
- 210000002168 brachiocephalic trunk Anatomy 0.000 claims description 17
- 210000001367 artery Anatomy 0.000 claims description 7
- 238000002513 implantation Methods 0.000 claims description 3
- 210000003109 clavicle Anatomy 0.000 claims description 2
- 239000012528 membrane Substances 0.000 claims description 2
- 101800004637 Communis Proteins 0.000 claims 1
- 210000000709 aorta Anatomy 0.000 description 21
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 9
- 239000004810 polytetrafluoroethylene Substances 0.000 description 8
- 210000002376 aorta thoracic Anatomy 0.000 description 7
- 229920004933 Terylene® Polymers 0.000 description 6
- 239000002184 metal Substances 0.000 description 6
- 239000005020 polyethylene terephthalate Substances 0.000 description 6
- 210000003270 subclavian artery Anatomy 0.000 description 6
- 229920002994 synthetic fiber Polymers 0.000 description 6
- -1 polytetrafluoroethylene Polymers 0.000 description 4
- 239000000463 material Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000005166 vasculature Anatomy 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 150000001336 alkenes Chemical class 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 239000000696 magnetic material Substances 0.000 description 1
- 230000002035 prolonged effect Effects 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- 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
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
-
- 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
-
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pulmonology (AREA)
- Gastroenterology & Hepatology (AREA)
- Prostheses (AREA)
Abstract
A kind of built-in prothesis including artificial blood vessel part and overlay film frame part.Artificial blood vessel part includes artificial blood vessel's trunk, the branch of artificial blood vessel first and the branch of artificial blood vessel second.The branch of artificial blood vessel first and the branch of artificial blood vessel second stretch out from artificial blood vessel's trunk respectively, and are in fluid communication between artificial blood vessel's trunk.Overlay film frame part includes overlay film frame trunk and overlay film frame branch, and overlay film frame branch stretches out from overlay film frame trunk, and is in fluid communication between overlay film frame trunk.It is in fluid communication between artificial blood vessel part and overlay film frame part and forms the tube chamber of built-in prothesis.
Description
Technical field
It is a kind of with artificial blood vessel part and overlay film frame portion the present invention relates to a kind of built-in prothesis, and particularly
The built-in prothesis divided.
Background technology
On April 6th, 2016 announce Huber application United States Patent (USP) US2006/0074484 disclose a kind of portable in
Built-in prothesis in the arch of aorta.This built-in prothesis may include to extend respectively to brachiocephalic artery (innominate artery), left common carotid artery
With the branch of left subclavian artery.
The content of the invention
The present invention provides a kind of built-in prothesis, including artificial blood vessel part and overlay film frame part.Artificial blood vessel wraps part
Include artificial blood vessel's trunk, the branch of artificial blood vessel first and the branch of artificial blood vessel second.The branch of artificial blood vessel first and artificial blood vessel
Second branch stretches out from artificial blood vessel's trunk respectively, and is in fluid communication respectively with artificial blood vessel's trunk.Overlay film frame part
Including overlay film frame trunk and overlay film frame branch, overlay film frame branch stretches out from overlay film frame trunk, and with overlay film branch
Frame trunk is in fluid communication.It is in fluid communication between artificial blood vessel part and overlay film frame part and forms the tube chamber of built-in prothesis.
Artificial blood vessel part has ring wall, and overlay film frame part has ring wall.The ring wall and overlay film branch of artificial blood vessel part
The ring wall of frame part can be integrated.Overlay film frame part can also include self-expansion type network.The branch of artificial blood vessel first
It can be arranged to be implanted into innominate artery, can there is the envelope that a closed-loop is used between the branch of artificial blood vessel first and innominate artery
Close.The branch of artificial blood vessel first can have magnetic, and closed-loop has magnetic, so as to the branch of magnetic engagement artificial blood vessel first
So as to closed between the branch of artificial blood vessel first and innominate artery.The branch of artificial blood vessel second, which can be arranged to be implanted into left neck, always to be moved
Arteries and veins, there can be the closing that a closed-loop is used between the branch of artificial blood vessel second and left common carotid artery.The branch of artificial blood vessel second
There can be magnetic, and closed-loop has magnetic, so as to which the branch of magnetic engagement artificial blood vessel second is so that artificial blood vessel second divides
Closed between branch and left common carotid artery.Overlay film frame branch can be arranged to be implanted into subclavian artery.Built-in prothesis can shrink
Changed between configuration and diastole configuration, and diastole configuration can be partial to.Artificial blood vessel part is surrounded at neighbouring overlay film frame part
It can be extended out neck shape structure.
In addition, the present invention also provides a kind of built-in prothesis, it includes artificial blood vessel part and overlay film frame part.Artificial blood
Tube portion includes artificial blood vessel's trunk, the branch of artificial blood vessel first, the branch of artificial blood vessel second and the branch of artificial blood vessel the 3rd.People
The branch of work blood vessel first, the branch of artificial blood vessel second and the branch of artificial blood vessel the 3rd stretch out simultaneously from artificial blood vessel's trunk respectively
It is in fluid communication respectively with artificial blood vessel's trunk.Overlay film frame part and artificial blood vessel's partial fluid communication.Artificial blood vessel part and
Overlay film frame part forms the tube chamber of built-in prothesis.Artificial blood vessel part has ring wall, and overlay film frame part has ring wall, manually
The ring wall of vasculature part and the ring wall of overlay film frame part can be integrated.Overlay film frame part may also include the netted branch of self-expansion type
Frame, neck shape structure is can be extended out around artificial blood vessel part at overlay film frame part.
Brief description of the drawings
The present invention obtains the description by the specific embodiment only listed by way of example referring to the drawings more preferably
Understanding, wherein：
Fig. 1 is the partial sectional perspective view of the first built-in prothesis with artificial blood vessel part and overlay film frame part；
Figure 1A is the sectional view along Fig. 1 line A-A；
Figure 1B is the sectional view along Fig. 1 line B-B；
Fig. 2 is the front elevation of closed-loop used in the first built-in prothesis；
Fig. 3 is the partial cross section figure that the first built-in prothesis is implanted in the first art formula in the arch of aorta；
Fig. 4 is that another partial cross that the first built-in prothesis is implanted in the first art formula in the arch of aorta is cut
Face figure；
Fig. 5 is the partial cross section figure that the first built-in prothesis is positioned in the first art formula in the arch of aorta；
Fig. 5 A are the sectional views along Fig. 5 line A-A；
Fig. 5 B are the sectional views along Fig. 5 line B-B；
Fig. 6 is the partial cross section figure that the first built-in prothesis is implanted in second of art formula in the arch of aorta；
Fig. 7 is another partial cross section that the first built-in prothesis is implanted in second of art formula in the arch of aorta
Figure；
Fig. 8 is the partial cross section figure that the first built-in prothesis is positioned in second of art formula in the arch of aorta；
Fig. 9 is that another partial cross that the first built-in prothesis is positioned in second of art formula in the arch of aorta is cut
Face figure；
Figure 10 is the partial sectional perspective view of second of built-in prothesis with artificial blood vessel part and overlay film frame part；
Figure 11 is the partial sectional perspective view that second of built-in prothesis be used to replace the arch of aorta；
Figure 12 is the partial sectional perspective view of the third built-in prothesis with artificial blood vessel part and overlay film frame part；
And
Figure 13 is the partial sectional perspective view that the third built-in prothesis be used to replace the arch of aorta.
Embodiment
Referenced in schematic, first Fig. 1 show the first built-in prothesis 10.Built-in prothesis 10 includes the He of artificial blood vessel part 20
Overlay film frame part 30.Artificial blood vessel part 20 includes artificial blood vessel's trunk 22 and respectively from the outward radial of artificial blood vessel's trunk 22
The first branch of artificial blood vessel 24 and the second branch of artificial blood vessel 26 of extension.The first branch of artificial blood vessel 24 and artificial blood vessel second
Branch 26 is in fluid communication between artificial blood vessel's trunk 22 respectively.In this example, artificial blood vessel's trunk 22 is synthesized by appropriate
Material is made, such as terylene or polytetrafluoroethylene (PTFE), and which defines the ring wall 28 of artificial blood vessel's trunk 22 shown in Figure 1A.Equally,
The first branch of artificial blood vessel 24 and the second branch of artificial blood vessel 26 are made up of appropriate synthetic material, and can have magnetic member
Element and/or there are magnetic properties.Overlay film frame part 30 includes overlay film frame trunk 32 and overlay film frame branch 34, overlay film frame
Branch 34 extends radially outwards from overlay film frame trunk 32.Overlay film frame branch 34 is in fluid communication with overlay film frame trunk 32.
In the example, the overlay film frame part 30 includes internal self-expansion type network 36, is metal mesh shaped branch in the example
Frame, and ring wall 38, it is made up of appropriate synthetic material, such as terylene or polytetrafluoroethylene (PTFE), as shown in Figure 1B.
In this example, the ring wall 28 of artificial blood vessel's trunk 22 is integrated with the ring wall 38 of overlay film frame trunk 32, and structure
Into the tube chamber 40 of built-in prothesis.The tube chamber 42 of the first branch of artificial blood vessel 24 and the tube chamber 44 of the second branch of artificial blood vessel 26 are distinguished
It is in fluid communication with tube chamber 40.Equally, the tube chamber 46 of overlay film frame branch 34 is in fluid communication with tube chamber 40.Overlay film frame part 30
Self-expansion type network 36 is self-expansion type metal mesh shaped support, and it is partial to diastole configuration as shown in Figure 1.Built-in prothesis
Therefore 10 are also partial to diastole configuration.
Fig. 2 show closed-loop 50, and it is used for built-in prothesis 10.The closed-loop 50 of the present embodiment is by soft magnetic material material 52
The split ring of formation, ring 50 include making it have flexible flexible core 54.This allows ring 50 to be used for the artificial blood of magnetic engagement
The first branch of pipe 24 and the second branch of artificial blood vessel 26, to be not engaged close the first branch of artificial blood vessel 24 and accordingly oneself
Ring between annular between right vessel branch, and the second branch of closing artificial blood vessel 26 and corresponding natural vessel branch
Shape.
Built-in prothesis 10 is supplied to surgeon in initial use with the contracted configuration shown in Fig. 3, is filled in contraction state
Fit in delivery cannula 60.More seal wires can be used to be transplanted to patient in the first art formula for built-in prothesis 10 and delivery cannula 60
In vivo, the present embodiment is seal wire 62,64 and 66, for guiding built-in prothesis 10 and delivery cannula 60 to be inserted into the sustainer of patient
In bow 70.First seal wire 62 is used to guide the first branch of artificial blood vessel 24 to enter innominate artery 72.Second seal wire 64 is used to guide
The second branch of artificial blood vessel 26 enters left common carotid artery 74.3rd seal wire 66 is used to guide overlay film frame branch 34 to enter under clavicle
Artery 76.This causes the artificial blood vessel part 20 of built-in prothesis 10 to be located substantially in the arch of aorta 70, overlay film frame part 30
It is located substantially in descending aorta 78.
With reference to figure 4 and Fig. 5, when built-in prothesis 10 is located in the arch of aorta 70, delivery cannula 60 is removed, built-in prothesis 10
It is expanded into diastole configuration.The closing that closed-loop 50 can be used between the first branch of artificial blood vessel 24 and innominate artery 72.Equally, seal
The closing that closed loop 50 can be used between the second branch of artificial blood vessel 26 and left common carotid artery 74.The ring wall 28 of artificial blood vessel's trunk 22
Docile is distinguished to aorta wall with the ring wall 38 of overlay film frame trunk 32, as fig. 5 a and fig. 5b.The method is used to repair master
The arch of aorta.
Built-in prothesis 10 and delivery cannula 60 are in second of art formula alternatively in innominate artery 72 and left common carotid artery 74
After cut-out in implantation, as shown in Figure 6.First seal wire 62 is used to guide the first branch of artificial blood vessel 24 to enter innominate artery
72.Second seal wire 64 is used to guide the second branch of artificial blood vessel 26 to enter left common carotid artery 74.3rd seal wire 66 covers for guiding
Membrane support branch 34 enters subclavian artery 76.This causes the artificial blood vessel part 20 of built-in prothesis 10 to be located substantially on sustainer
In bow 70, overlay film frame part 30 is located substantially in descending aorta 78.
With reference to figure 7 and Fig. 8, when built-in prothesis 10 is located in the arch of aorta 70, delivery cannula 60 is removed, built-in prothesis 10
It is expanded into diastole configuration.Closed-loop 50 can be used for the first branch of closing artificial blood vessel 24 and innominate artery 72.Equally, closed-loop 50
Available for the second branch of closing artificial blood vessel 26 and left common carotid artery 74.With reference to figure 9, the first branch of artificial blood vessel 24 and then can be with
The distal end connection of innominate artery 72, the second branch of artificial blood vessel 26 can be connected with the distal end of left common carotid artery 74.In this embodiment
In, suture 80 is used to connect the first branch of artificial blood vessel 24 and the distal end of innominate artery 72, and suture 82 is used to connect manually
The second branch of blood vessel 26 and the distal end of left common carotid artery 74.The method is used to repair innominate artery, left common carotid artery and sustainer
Bow.
With reference to shown in figure 10, second of built-in prothesis 110 includes artificial blood vessel part 120 and overlay film frame part 130.People
Work vasculature part 120 includes artificial blood vessel's trunk 122 and extended radially outwards respectively from artificial blood vessel's trunk 122 first artificial
The artificial blood vessel branch 126 of vessel branch 124 and second.The first branch of artificial blood vessel 124 and the second branch of artificial blood vessel 126 and people
Work vessel trunk 122 is in fluid communication.Artificial blood vessel's trunk 122 is made up of appropriate synthetic material, such as terylene or polytetrafluoroethyl-ne
Alkene, it forms the ring wall 128 of artificial blood vessel's trunk 122.Overlay film frame part 130 includes overlay film frame trunk 132 and from overlay film
The overlay film frame branch 134 that support trunk 132 extends radially outwards.Between overlay film frame branch 134 and overlay film frame trunk 132
It is in fluid communication.Overlay film frame part 130 includes internal self-expansion type network 136, is in this embodiment metal mesh shaped
Support, and ring wall 138, it is made up of appropriate synthetic material, such as terylene or polytetrafluoroethylene (PTFE).
In this embodiment, the ring wall 138 of the ring wall 128 of artificial blood vessel's trunk 122 and overlay film frame trunk 132 is one
Body, and form the tube chamber 140 of built-in prothesis.The tube chamber 142 of the first branch of artificial blood vessel 124 and the second branch of artificial blood vessel 126
Tube chamber 144 be in fluid communication respectively with tube chamber 140.Equally, the tube chamber 146 of overlay film frame branch 134 connects with the fluid of tube chamber 140
It is logical.The self-expansion type network 136 of overlay film frame part 130 is self-expansion type metal mesh shaped support, and it is partial to such as figure
Diastole configuration shown in 10.Therefore built-in prothesis 110 is also partial to diastole configuration.In the present embodiment, built-in prothesis 110 also wraps
Include the neck shape structure 148 extended at neighbouring overlay film frame part 130 around artificial blood vessel's trunk 122.
Built-in prothesis 110 can be used for replacing the arch of aorta, as shown in figure 11.The first branch of artificial blood vessel 124 is moved with unknown
The distal end connection of arteries and veins 172, the second branch of artificial blood vessel 126 are connected with the distal end of left common carotid artery 174.Suture in the present embodiment
180 are used for the distal end that connects the first branch of artificial blood vessel 124 and innominate artery 172, and suture 182 is used to connecting artificial blood vessel the
Two branches 126 and the distal end of left common carotid artery 174.Overlay film frame branch 134 is located substantially in subclavian artery 176, overlay film
Support trunk 132 is located substantially in descending aorta 178.The neck shape structure 148 of built-in prothesis 110 can connect with the arch of aorta 170
Connect, suture 184 and 186 is used to connect artificial blood vessel's trunk 122 and the arch of aorta 170 in this embodiment.Suture 188 is used
In connection artificial blood vessel's trunk 122 and aorta ascendens 190.
With reference to figure 12, the third built-in prothesis 210 is shown.Built-in prothesis 210 includes artificial blood vessel part 220 and overlay film branch
Frame part 230.Artificial blood vessel part 220 includes artificial blood vessel's trunk 222 and prolonged respectively from the outward radial of artificial blood vessel's trunk 222
The first branch of artificial blood vessel 224, the second branch of artificial blood vessel 226 and the branch 227 of artificial blood vessel the 3rd stretched.Artificial blood vessel first
Branch 224, the second branch of artificial blood vessel 226 and the branch 227 of artificial blood vessel the 3rd connect with the fluid of artificial blood vessel's trunk 222 respectively
It is logical.Artificial blood vessel's trunk 222 is made up of appropriate synthetic material, and such as terylene or polytetrafluoroethylene (PTFE), it forms artificial blood vessel's trunk
222 ring wall 228.Overlay film frame part 230 is overlay film frame trunk 232, and it includes internal self-expansion type network 236,
It is metal mesh shaped support in the present embodiment, and ring wall 238, it is made up of appropriate synthetic material, such as terylene or polytetrafluoro
Ethene.
In the present embodiment, the ring wall 238 of the ring wall 228 of artificial blood vessel's trunk 222 and overlay film frame trunk 232 is one
Body, it forms the tube chamber 240 of built-in prothesis.The tube chamber 242 of the first branch of artificial blood vessel 224, the second branch of artificial blood vessel 226
Tube chamber 244 and the tube chamber 246 of the branch 227 of artificial blood vessel the 3rd are in fluid communication with tube chamber 240 respectively.As shown in figure 12, overlay film branch
The self-expansion type network 236 of frame part 230 is self-expansion type metal mesh shaped support, and it is partial to diastole configuration.It is built-in
Therefore prosthese 210 is partial to diastole configuration.In the present embodiment, built-in prothesis 210 also includes enclosing at neighbouring overlay film frame part 230
The neck shape structure 248 extended around artificial blood vessel's trunk 222.
As shown in figure 13, built-in prothesis 210 can be used for replacing the arch of aorta.The first branch of artificial blood vessel 224 can connect nothing
The distal end of name artery 272, the second branch of artificial blood vessel 226 can connect the distal end of left common carotid artery 274, the branch of artificial blood vessel the 3rd
227 can connect the distal end of subclavian artery 276.Suture 280 is used to connect the first branch of artificial blood vessel 224 in the present embodiment
With the distal end of innominate artery 272, suture 282 is used to connect the remote of the second branch of artificial blood vessel 226 and left common carotid artery 274
End, suture 283 are used for the distal end for connecting the branch 227 of artificial blood vessel the 3rd and subclavian artery 276.Overlay film frame trunk 232
It is located substantially in descending aorta 278.The neck shape structure 248 of built-in prothesis 210 can connect descending aorta 278, in the present embodiment
Middle suture 284 and 286 is used to connect neck shape structure 248 and descending aorta 278.This just encloses the He of overlay film frame trunk 232
Interval between descending aorta 278.Artificial blood vessel's trunk 222 can sutured line 288 be connected with aorta ascendens 290.
Those skilled in the art should understand that a variety of narrations in detail provided above are only through way of example, not have
Meaning limits the scope of the present invention, and the scope of the present invention is determined by following claims.
Claims (19)
1. a kind of built-in prothesis, including：
Artificial blood vessel part, the artificial blood vessel part include artificial blood vessel's trunk and the branch of artificial blood vessel first and artificial blood vessel
Second branch, the branch of artificial blood vessel first and the branch of artificial blood vessel second stretch out from artificial blood vessel's trunk respectively
And it is in fluid communication with artificial blood vessel's trunk；And
Overlay film frame part, the overlay film frame part include overlay film frame trunk and overlay film frame branch, the overlay film frame
Branch stretch out from the overlay film frame trunk and with overlay film frame trunk be in fluid communication, wherein the artificial blood vessel part and
It is in fluid communication between the overlay film frame part and forms the tube chamber of built-in prothesis.
2. built-in prothesis as claimed in claim 1, it is characterised in that the artificial blood vessel part has ring wall, the overlay film
Holder part has a ring wall, and the ring wall of the ring wall of the artificial blood vessel part and the overlay film frame part is integrated.
3. built-in prothesis as claimed in claim 2, it is characterised in that it is netted that the overlay film frame part also includes self-expansion type
Support.
4. built-in prothesis as claimed in claim 1, it is characterised in that the branch of artificial blood vessel first is arranged to be implanted into nothing
Name artery.
5. built-in prothesis as claimed in claim 4, it is characterised in that also including closed-loop, so that the artificial blood vessel first
Closed between branch and innominate artery.
6. built-in prothesis as claimed in claim 1, it is characterised in that the branch of artificial blood vessel first has magnetic and set
It is set to implantation innominate artery.
7. built-in prothesis as claimed in claim 6, it is characterised in that also including the branch of artificial blood vessel described in magnetic engagement first
Magnetic rings, so as to be closed between the branch of the artificial blood vessel first and innominate artery.
8. built-in prothesis as claimed in claim 1, it is characterised in that it is left that the branch of artificial blood vessel second is arranged to implantation
Arteria carotis communis.
9. built-in prothesis as claimed in claim 8, it is characterised in that also including closed-loop, so that the artificial blood vessel second
Closed between branch and left common carotid artery.
10. built-in prothesis as claimed in claim 1, it is characterised in that the branch of artificial blood vessel second has magnetic and quilt
It is arranged to be implanted into left common carotid artery.
11. built-in prothesis as claimed in claim 10, it is characterised in that also divide including artificial blood vessel described in magnetic engagement second
The magnetic rings of branch, so as to be closed between the branch of the artificial blood vessel second and left common carotid artery.
12. built-in prothesis as claimed in claim 1, it is characterised in that the overlay film frame branch is arranged to be implanted into clavicle
Lower artery.
13. built-in prothesis as claimed in claim 1, it is characterised in that the built-in prothesis can be in contracted configuration and diastole
Changed between configuration.
14. built-in prothesis as claimed in claim 13, it is characterised in that the built-in prothesis is partial to diastole configuration.
15. built-in prothesis as claimed in claim 1, it is characterised in that also include at neighbouring overlay film frame part around described
The neck shape structure of artificial blood vessel part extension.
16. a kind of built-in prothesis, including：
Artificial blood vessel part, artificial blood vessel part include artificial blood vessel's trunk, the branch of artificial blood vessel first, artificial blood vessel the
Two branches and the branch of artificial blood vessel the 3rd, the branch of artificial blood vessel first, the branch of artificial blood vessel second and the artificial blood vessel the 3rd
Branch stretches out from artificial blood vessel's trunk and is in fluid communication with artificial blood vessel's trunk respectively；And
Overlay film frame part, the overlay film frame part and artificial blood vessel's partial fluid communication, wherein the artificial blood vessel
Part and the overlay film frame part form the tube chamber of built-in prothesis.
17. built-in prothesis as claimed in claim 16, it is characterised in that the artificial blood vessel part has ring wall, described to cover
Membrane support part has a ring wall, and the ring wall of the ring wall of the artificial blood vessel part and the overlay film frame part is integrated.
18. built-in prothesis as claimed in claim 17, it is characterised in that the overlay film frame part also includes self-expansion type net
Shape support.
19. built-in prothesis as claimed in claim 16, it is characterised in that also include at neighbouring overlay film frame part around described
The neck shape structure of artificial blood vessel part extension.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/CN2016/095539 WO2018032358A1 (en) | 2016-08-16 | 2016-08-16 | Endoprosthesis having graft portion and stent graft portion |
| CNPCT/CN2016/095539 | 2016-08-16 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107753148A true CN107753148A (en) | 2018-03-06 |
Family
ID=61196211
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610833060.0A Pending CN107753148A (en) | 2016-08-16 | 2016-09-19 | Built-in prothesis with artificial blood vessel part and overlay film frame part |
| CN201621063737.9U Active CN206934208U (en) | 2016-08-16 | 2016-09-19 | Built-in prothesis with artificial blood vessel part and overlay film frame part |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201621063737.9U Active CN206934208U (en) | 2016-08-16 | 2016-09-19 | Built-in prothesis with artificial blood vessel part and overlay film frame part |
Country Status (2)
| Country | Link |
|---|---|
| CN (2) | CN107753148A (en) |
| WO (1) | WO2018032358A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2020073972A1 (en) * | 2018-10-12 | 2020-04-16 | 大连科万维医疗科技有限公司 | Suture-free integrated branched film-covered stent blood vessel |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP6698262B2 (en) * | 2018-03-09 | 2020-05-27 | 日本ライフライン株式会社 | Aortic treatment device |
| US10987207B2 (en) | 2018-06-04 | 2021-04-27 | Cook Medical Technologies Llc | Branched frozen elephant trunk device and method |
| US10905541B2 (en) | 2018-06-04 | 2021-02-02 | Cook Medical Technologies Llc | Branched frozen elephant trunk device and method |
| US11173024B2 (en) * | 2018-06-04 | 2021-11-16 | Cook Medical Technologies Llc | Branched frozen elephant trunk device and method |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201026247Y (en) * | 2006-10-31 | 2008-02-27 | 许尚栋 | Complex of artificial blood vessel and artificial bracket blood vessel |
| CN101152109A (en) * | 2006-09-27 | 2008-04-02 | 黄方炯 | Three-collateral bracket vascellum for arcus aortae |
| US20090048663A1 (en) * | 2007-08-08 | 2009-02-19 | Greenberg Roy K | Branched stent graft system |
| CN201798828U (en) * | 2010-09-10 | 2011-04-20 | 柯博仁 | Thoracic aorta stent structure |
| CN102068293A (en) * | 2011-01-28 | 2011-05-25 | 西安交通大学 | Magnetic device applied to anastomosis of large and medium blood vessels |
| CN102835985A (en) * | 2012-08-15 | 2012-12-26 | 西安交通大学 | Limited portal-caval shunt magnetic anastomosis ring |
| CN202843681U (en) * | 2012-05-14 | 2013-04-03 | 上海微创医疗器械（集团）有限公司 | An intra-operative covered stent |
| US20140316514A1 (en) * | 2013-03-13 | 2014-10-23 | W. L. Gore & Associates, Inc. | Devices and methods for treatment of the aortic arch |
| CN203970462U (en) * | 2014-05-10 | 2014-12-03 | 西北妇女儿童医院 | Little vascular magnetic anastomat |
| CN204219094U (en) * | 2014-11-06 | 2015-03-25 | 广州军区广州总医院 | A kind of band branch aortic arch artificial blood vessel |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2491891A3 (en) * | 2004-10-02 | 2013-03-20 | Endoheart AG | Devices for embolic protection and mitral valve repair |
| CN103462727A (en) * | 2012-06-07 | 2013-12-25 | 刘健 | Terylene three-branch arcus aortae artificial blood vessel with self-expandable stent |
| CN103720529B (en) * | 2013-12-30 | 2017-02-08 | 先健科技(深圳)有限公司 | Arcus aortae intraoperative stent and method for manufacturing stent |
| CN204521057U (en) * | 2015-03-12 | 2015-08-05 | 王东进 | Three branch's overlay film frames in a kind of art |
-
2016
- 2016-08-16 WO PCT/CN2016/095539 patent/WO2018032358A1/en active Application Filing
- 2016-09-19 CN CN201610833060.0A patent/CN107753148A/en active Pending
- 2016-09-19 CN CN201621063737.9U patent/CN206934208U/en active Active
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101152109A (en) * | 2006-09-27 | 2008-04-02 | 黄方炯 | Three-collateral bracket vascellum for arcus aortae |
| CN201026247Y (en) * | 2006-10-31 | 2008-02-27 | 许尚栋 | Complex of artificial blood vessel and artificial bracket blood vessel |
| US20090048663A1 (en) * | 2007-08-08 | 2009-02-19 | Greenberg Roy K | Branched stent graft system |
| CN201798828U (en) * | 2010-09-10 | 2011-04-20 | 柯博仁 | Thoracic aorta stent structure |
| CN102068293A (en) * | 2011-01-28 | 2011-05-25 | 西安交通大学 | Magnetic device applied to anastomosis of large and medium blood vessels |
| CN202843681U (en) * | 2012-05-14 | 2013-04-03 | 上海微创医疗器械（集团）有限公司 | An intra-operative covered stent |
| CN102835985A (en) * | 2012-08-15 | 2012-12-26 | 西安交通大学 | Limited portal-caval shunt magnetic anastomosis ring |
| US20140316514A1 (en) * | 2013-03-13 | 2014-10-23 | W. L. Gore & Associates, Inc. | Devices and methods for treatment of the aortic arch |
| CN203970462U (en) * | 2014-05-10 | 2014-12-03 | 西北妇女儿童医院 | Little vascular magnetic anastomat |
| CN204219094U (en) * | 2014-11-06 | 2015-03-25 | 广州军区广州总医院 | A kind of band branch aortic arch artificial blood vessel |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2020073972A1 (en) * | 2018-10-12 | 2020-04-16 | 大连科万维医疗科技有限公司 | Suture-free integrated branched film-covered stent blood vessel |
Also Published As
| Publication number | Publication date |
|---|---|
| CN206934208U (en) | 2018-01-30 |
| WO2018032358A1 (en) | 2018-02-22 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN206934208U (en) | Built-in prothesis with artificial blood vessel part and overlay film frame part | |
| CN205729570U (en) | Ink vessel transfusing implant and implant is deployed in the delivery apparatus in health tremulous pulse | |
| CN105208969B (en) | Multicompartment stent graft system for dissection of aorta | |
| CN101484090B (en) | Twin bifurcated stent graft | |
| CN102458309B (en) | Monoblock type quick-connect prosthetic heart valve and development system and method | |
| CN106255476B (en) | Through conduit valve prosthesis | |
| CN101861134B (en) | Device for treating a blood circulation conduit | |
| CN103720529B (en) | Arcus aortae intraoperative stent and method for manufacturing stent | |
| US6554858B2 (en) | Intraluminal endoprosthesis for ramifying the ducts of a human or animal body and method of manufacture thereof | |
| CN104602646B (en) | There is the prothesis implant body conveyer device of introducer conduit | |
| CN105979913B (en) | Variable sunken holder（VDS）It is grafted component with waveform | |
| JP4694575B2 (en) | Bifurcated vascular graft design and deployment method | |
| EP1673039B1 (en) | Stent graft fenestration | |
| CN104254301B (en) | The stent graft delivery system and application method of restructural | |
| CN107405198A (en) | Heart valve prosthesis induction system and the method that heart valve prosthesis is conveyed with inducting device sheath | |
| CN106456325A (en) | Transcatheter valve prosthesis | |
| CN106073946A (en) | Valve replacement device, for the delivery apparatus of valve replacement device and the production method of valve replacement device | |
| CN106470641A (en) | Through conduit valve prosthesis | |
| US20040254628A1 (en) | One-branch stent-graft for bifurcated lumens | |
| CN106794063A (en) | Through conduit valve prosthesis | |
| CN106456324A (en) | Transcatheter valve prosthesis | |
| GB2464977B (en) | Introducer for deploying a stent graft in a curved lumen and stent graft therefor | |
| CN104254302B (en) | The stent graft delivery system of restructural | |
| CN105342724A (en) | Treatment device for a blood circulation conduit | |
| DE60018945D1 (en) | VASCULAR ENDOPROTHESIS TO IMPROVE A BELLY AORTIC ANATOMY |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |