CN108261253A - Overlay film frame - Google Patents

Overlay film frame Download PDF

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Publication number
CN108261253A
CN108261253A CN201611267394.2A CN201611267394A CN108261253A CN 108261253 A CN108261253 A CN 108261253A CN 201611267394 A CN201611267394 A CN 201611267394A CN 108261253 A CN108261253 A CN 108261253A
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China
Prior art keywords
overlay film
film frame
waveform
bare bracket
section
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Granted
Application number
CN201611267394.2A
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Chinese (zh)
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CN108261253B (en
Inventor
李午阳
肖本好
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Lifetech Scientific Shenzhen Co Ltd
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Lifetech Scientific Shenzhen Co Ltd
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Priority to CN201611267394.2A priority Critical patent/CN108261253B/en
Publication of CN108261253A publication Critical patent/CN108261253A/en
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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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes

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  • Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (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)
  • Prostheses (AREA)

Abstract

The invention discloses a kind of overlay film frames, the bare bracket section being connected including overlay film frame section and with the proximal end of the overlay film frame section, the bare bracket section includes at least one wavy annular object, the wavy annular object includes multiple waveforms circumferentially distributed along the overlay film frame, at least one in multiple waveforms is bent to the direction far from the overlay film frame axis.It is easy in lesser curvature side the phenomenon that wave crest vertex upwarps occur present invention improves bare bracket, blood stream rheology in aorta, prevents thrombosis caused by being upwarped so as to avoid bare bracket waveform.Meanwhile aortic arch lesser curvature side blood vessel can be preferably bonded with cambered waveform, increase anchorage force, prevent stent migration.

Description

Overlay film frame
Technical field
The present invention relates to cardiac vascular medical instrument more particularly to a kind of overlay film frames.
Background technology
The overlay film frame of the relevant technologies includes overlay film frame section and the bare bracket section being connected with overlay film frame section proximal end.Naked branch Frame section refers to the wire barrel of no overlay film covering.Bare bracket section can extending bracket proximal landing zone, while will not seal Stifled branch vessel, and can also increase the adherent performance of overlay film frame proximal end.Therefore it is opposite for interlayer cut in aorta pectoralis The relatively short patient of branch vessel or aneurysm of thoracic aorta neck on the arch of aorta has better adapting to property.
As shown in Figure 1, the Chinese patent that notification number is CN2817768Y discloses a kind of overlay film frame, including multiple main bodys Brace sections 3 and the bare bracket section 1 being connected with overlay film frame proximal end.The 31 equal position of all lower floor vertex of the waveform of main body rack section 3 In on the axially vertical same circumference with overlay film frame;All upper strata vertex 32,33 of waveform are respectively positioned on and the structure On the same clinoplain of axial out of plumb.The top layer vertex of multiple main body rack sections 3 is connected by connecting rod.
To increase the adherence quality of firm side 51, dwarf waves vertex is positioned over aortic arch by the bare bracket section 1 of above structure Firm side 51 is to improve overlay film frame proximal end adherence quality, while relatively low wave height can reduce stimulation of the firm side 51 to endangium, Reduce postoperative complications.The structure of such bare bracket section 1 so that the soft 52 bare bracket wave height of side of aortic arch is larger.Such as Fig. 2 institutes Show, according to aortic arch physiological structure, 7 curved radius of aortic arch lesser curvature side is smaller, longer bare bracket waveform it is upper Layer wave crest along the adherent place in lower floor vertex tangent line A so that vacantly in the blood vessel, cause bare bracket small in bare bracket upper strata vertex Curved 7 adherence quality of side is insufficient, and anchorage force declines, and increases the risk of stent migration, and hanging bare bracket wave circle in the blood vessels can shadow Endovascular blood flow is rung, causes thrombus.
Invention content
The technical problem to be solved in the present invention is, in view of the drawbacks of the prior art, provides a kind of adherence quality and preferably covers Membrane support.
The technical solution adopted by the present invention to solve the technical problems is:A kind of overlay film frame is provided, a kind of overlay film frame, The bare bracket section being connected including overlay film frame section and with the proximal end of the overlay film frame section, the bare bracket section include at least one Wavy annular object, the wavy annular object includes multiple waveforms circumferentially distributed along the overlay film frame, in multiple waveforms At least one is bent to the direction far from the overlay film frame axis.
In one embodiment of this invention, at least one in multiple waveforms is to close to the overlay film frame axis Direction is bent, and the waveform to the waveform far from overlay film frame axis direction bending with being oppositely arranged.
In one embodiment of this invention, the wave crest vertex of multiple waveforms is fallen on same circumference, multiple described The trough vertex of waveform is fallen on another circumference, and the diameter of a circle where the wave crest vertex of multiple waveforms is more than multiple Diameter of a circle where the trough vertex of the waveform.
In one embodiment of this invention, the overlay film frame section further includes an axis set along the overlay film frame busbar To support portion, the side where the axial direction support portion is the big curved side of the overlay film frame, and described big curved side is opposite is Lesser curvature side, then:It is located at the big curved side to the waveform close to overlay film frame axis direction bending, to far from the overlay film branch The waveform of frame axis direction bending is located at the lesser curvature side.
In one embodiment of this invention, there are two the waveforms being bent to the close overlay film frame axis direction, described The trough of axial two waveform formations of support portion face.
In one embodiment of this invention, to the wave crest fillet half of the waveform close to overlay film frame axis direction bending Diameter and wave crest radius of corner to the waveform far from overlay film frame axis direction bending are more than bare bracket section other waveforms Wave crest radius of corner.
The present invention by several waveforms of bare bracket by one of Waveform Design into far from overlay film frame axis The radian of line, arc curve approximation improve bare bracket and are easy in lesser curvature side close to the crooked radian of the lesser curvature side of the arch of aorta There is the phenomenon that wave crest vertex upwarps, blood stream rheology in aorta caused by being upwarped so as to avoid bare bracket waveform, Prevent thrombosis.Meanwhile aortic arch lesser curvature side blood vessel can be preferably bonded with cambered waveform, increase anchor Determine power, prevent stent migration.
Description of the drawings
Below in conjunction with accompanying drawings and embodiments, the invention will be further described, in attached drawing:
Fig. 1 is the structure diagram of the overlay film frame of the relevant technologies;
Fig. 2 is the schematic diagram that overlay film frame shown in FIG. 1 is implanted to aortic arch;
Fig. 3 is a kind of structure diagram of overlay film frame first embodiment of the present invention;
Fig. 4 is the schematic diagram that overlay film frame shown in Fig. 3 is implanted to aortic arch;
Fig. 5 is a kind of structure diagram of overlay film frame second embodiment of the present invention;
Fig. 6 is the schematic diagram that overlay film frame shown in fig. 5 is implanted to aortic arch;
Fig. 7 is a kind of structure diagram of overlay film frame 3rd embodiment of the present invention;
Fig. 8 is the view in the B directions of overlay film frame shown in Fig. 7;
Fig. 9 is the schematic diagram that overlay film frame shown in Fig. 7 is implanted to aortic arch;
Figure 10 is a kind of structure diagram of overlay film frame fourth embodiment of the present invention;
Figure 11 is the vertical view of overlay film frame shown in Figure 10.
Specific embodiment
For a clearer understanding of the technical characteristics, objects and effects of the present invention, now control attached drawing is described in detail The specific embodiment of the present invention.
First embodiment:
As shown in figure 3, a kind of overlay film frame 10 includes overlay film frame section 11 and is connected with 11 proximal end of overlay film frame section naked Brace sections 12.Bare bracket section 12 includes a wavy annular object, it is to be understood that bare bracket section 12 can also include multiple waves Shape ring, the wavy annular object of most proximal end includes multiple circumferentially distributed waveforms along overlay film frame 10, wherein there are one waves Shape 121 is bent to the direction far from 10 axis 13 of overlay film frame.
As shown in figure 4, Stanford Type Bs interlayer expansion only involves descending aorta or extends to abdominal aorta, but do not involve Aorta ascendens and the arch of aorta.The intimal tear of Stanford Type B interlayers is frequently located in aortic isthmus, is moved under left clavicle The root of arteries and veins, the presence of bare bracket section 12 can make the proximal end of overlay film frame section 11 close to the opening lower edge of branch vessel 16, can Interlayer cut 17 is blocked well, and will not hinder the blood flow of branch vessel 16.To increase the anchoring performance of overlay film frame proximal end, The unsuitable too short of the waveform height of bare bracket section 12, in order to avoid influencing the anchoring performance of overlay film frame proximal end, which usually should be big In the diameter of branch vessel 16, but longer wave height can reduce the adherent performance of bare bracket section, and especially bare bracket section 12 is located at The waveform 121 of lesser curvature side 14 will appear the problem of wave crest upwarps.Therefore, according to the anatomical structure of aortic arch, the present invention will The bare bracket section 12 of overlay film frame 10 is designed to curved to the axis 10 far from overlay film frame 10 close to the waveform 121 of lesser curvature side 16 Song, the radius of corner of the waveform 121 bending are approximately equal to the radius of the lesser curvature side 16 of aortic arch.
It is worth noting that, in the case where bare bracket section 12 has had the waveform of bending, the overlay film frame 10 it is large and small Curved side has just been determined, therefore in implantation, it shall be noted that and the waveform of bending is allowed to correspond to the lesser curvature side 14 of aortic arch, and The side opposite with the waveform of bending is directed at the big curved side 15 of aortic arch.
The present invention by several waveforms of bare bracket by one of Waveform Design into far from overlay film frame axis The radian of line, arc curve approximation improve bare bracket and are easy in lesser curvature side close to the crooked radian of the lesser curvature side of the arch of aorta There is the phenomenon that wave crest vertex upwarps, blood stream rheology in aorta caused by being upwarped so as to avoid bare bracket waveform, Prevent thrombosis.Meanwhile aortic arch lesser curvature side blood vessel can be preferably bonded with cambered waveform, increase anchor Determine power, prevent stent migration.
Second embodiment:
As shown in figure 5, the structure and first embodiment of the overlay film frame 20 of the present embodiment are essentially identical, unlike, In the embodiment, the bare bracket section 22 of overlay film frame 20 also has the waveform 222 being bent to the axis 23 close to overlay film frame 20, And the waveform 222 is oppositely arranged with the waveform 221 being bent to the direction of the axis 23 far from overlay film frame 20.
Likewise, in the case where bare bracket section 22 is there are both waveforms 221 and 222, the size of overlay film frame 20 is curved Side has just been determined, and has directionality during implantation, as shown in fig. 6, waveform 221 should be directed to the small curved of aortic arch Waveform 222 is directed at the big curved side 25 of aortic arch by side 24.
It is big curved that the bending that waveform 222 has makes bare bracket section 20 that can be also bonded well in the big curved side 25 of aortic arch The bending of side 25.Therefore, there is no height limitations for waveform of the bare bracket section 20 close to big curved side, can make waveform preferably across blood Pipe branch openings increase the effective length of anchoring, reduce big curved side bare bracket section waveform and enter aortic arch branch blood Pipe equivalent risk.
To sum up, the bare bracket section 20 of the present embodiment can preferably comply with the physiology and appearance of aortic arch, make bare bracket Wave circle can be preferably bonded blood vessel, reduce bare bracket wave circle while increasing anchorage force and blood vessel part is answered Power avoids the postoperative complications such as stimulation vascellum endometrial hyperplasia.Also, aorta is bonded by the distinctive structure of bare bracket section waveform The bending shape of bow portion blood vessel breaches the waveform height limitation of bare bracket section side curved greatly, can be across branch's blood Pipe, while higher bare bracket waveform can increase the anchoring length of stent, prevent stent migration etc..
3rd embodiment:
As shown in Figure 7 and Figure 8, the overlay film frame 30 of the present embodiment and the basic phase of overlay film frame structure of a upper embodiment Together, unlike, in the present embodiment, the wave crest vertex of more than 32 a waveform of bare bracket section is fallen on same circumference, the circumference With radius R1, the trough vertex of multiple waveforms is fallen on another identical circumference, which has radius R2.And R1 > R2, So that bare bracket section 32 is in " loudspeaker " shape radiated to the axis 33 far from overlay film frame 30.That is, in the present embodiment, Bare bracket section 32 has certain taper.
There is bare bracket section 32 certain taper overlay film frame 30 to be caused to be bent serious or blood in reply aortic arch During the lesion that pipe diameter changes greatly, good adherent and anchoring performance can be played.Meanwhile 32 lesser curvature side 24 of bare bracket section The waveform morphology that waveform 321 and the waveform 322 of big curved side 35 are bent can make overlay film frame 30 comply with aortic arch blood vessel Bending shape, effectively reduce stimulation of the bare bracket section to blood vessel, avoid the postoperative complications such as endometrial hyperplasia.
In addition, the bare bracket section 32 of overlay film frame 30 so that overlay film frame 30 is intravascular in variable diameters with certain taper Portion has better adherence quality, especially in the curved blood vessel of variable diameters.Therefore, bare bracket section 32 makes naked branch with tapered Frame section 32 adapts to more vascular morphologies.
Fourth embodiment:
As shown in Figure 10, the overlay film frame 40 of the present embodiment and upper several embodiments are essentially identical, unlike, the overlay film Stent 40 further includes the axial support portion 43 along the busbar setting of overlay film frame 40.Side where axial support portion 43 is overlay film The big curved side of stent 40, on the other side is lesser curvature side.When mounted, the big curved side alignment aorta of overlay film frame 40 should be enabled The big curved side in bow portion enables the lesser curvature side of overlay film frame 40 be directed at the lesser curvature side of aortic arch.
As shown in figure 11, in the present embodiment, it in several waveforms of bare bracket section 42, is covered there are two waveform to close The waveform 421 of 43 direction of the axis bending of membrane support 40, and the two waveforms 421 are respectively positioned on overlay film frame 40 and are equipped with axial support The namely big curved side in that side in portion 43, and the trough that axial support portion 43 face, two waveforms 421 are formed.
This is because the extending direction of axial support portion 43 always with arch of aorta side superimposed curved greatly, if 42 wave of bare bracket section The crest location of shape is placed exactly in the big curved side of aortic arch, in addition overlay film frame is bent later screen resilience, is placed in actively To the arch of aorta, there are the wave crest portions of lasting stress, especially bare bracket section 42 in side curved greatly to the stent in arcus haemalis portion, along with blood Pipe will be wriggled so that overlay film frame side curved greatly will if things go on like this cause interlayer or endometrial hyperplasia etc. concurrent blood vessel stimulation increasing Disease.Therefore, the present embodiment reduces the trough face axial direction support portion 43 of the big curved side of bare bracket section 42 curved greatly to aortic arch The stress of side reduces the lasting stimulation in 42 pairs of aortic archs of bare bracket section side curved greatly, prevents hyperplasia and interlayer.In addition, may be used also The fillet α of two 421 wave crests of waveform of big curved side to be done greatly, further reduce the stress to bow portion.
Embodiment described above only expresses the several embodiments of the present invention, and description is more specific and detailed, but simultaneously It cannot therefore be construed as limiting the scope of the patent.It should be pointed out that those of ordinary skill in the art are come It says, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to the protection of the present invention Range.Therefore, the protection domain of patent of the present invention should be determined by the appended claims.

Claims (6)

1. a kind of overlay film frame, the bare bracket section being connected including overlay film frame section and with the proximal end of the overlay film frame section is described Bare bracket section includes at least one wavy annular object, and the wavy annular object includes multiple circumferentially distributed along the overlay film frame Waveform, which is characterized in that at least one in multiple waveforms is bent to the direction far from the overlay film frame axis.
2. overlay film frame according to claim 1, which is characterized in that at least one in multiple waveforms is to close to institute The direction bending of overlay film frame axis is stated, and the waveform is set with to the waveform far from overlay film frame axis direction bending is opposite It puts.
3. overlay film frame according to claim 2, which is characterized in that the wave crest vertex of multiple waveforms is fallen same On circumference, the trough vertex of multiple waveforms is fallen on another circumference, and where the wave crest vertex of multiple waveforms Diameter of a circle is more than the diameter of a circle where the trough vertex of multiple waveforms.
4. according to claim 1-3 any one of them overlay film frames, which is characterized in that the overlay film frame section further includes an edge The axial support portion of the overlay film frame busbar setting, the side where the axial direction support portion is the big curved of the overlay film frame Side, it is opposite with the big curved side for lesser curvature side, then:It is located to the waveform close to overlay film frame axis direction bending described Big curved side is located at the lesser curvature side to the waveform far from overlay film frame axis direction bending.
5. overlay film frame according to claim 4, which is characterized in that close to overlay film frame axis direction bending There are two waveforms, the trough of axial direction support portion two waveform formations of face.
6. overlay film frame according to claim 5, which is characterized in that close to overlay film frame axis direction bending The wave crest radius of corner of waveform and the wave crest radius of corner of waveform being bent to the separate overlay film frame axis direction are more than The wave crest radius of corner of other waveforms of bare bracket section.
CN201611267394.2A 2016-12-31 2016-12-31 Covered stent Active CN108261253B (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109431650A (en) * 2018-11-27 2019-03-08 东莞先健畅通医疗有限公司 Overlay film frame
CN109662804A (en) * 2019-01-15 2019-04-23 李卫校 The dedicated endovascular stent of TIPS operation
CN111297515A (en) * 2020-03-21 2020-06-19 石家庄帝中医疗器械科技有限公司 Aorta covered stent and system
WO2023071792A1 (en) * 2021-10-26 2023-05-04 先健科技(深圳)有限公司 Covered stent and combined stent
CN116763494A (en) * 2023-06-25 2023-09-19 合肥综合性国家科学中心大健康研究院 Aortic arch part branch anti-seepage support system

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CN102123683A (en) * 2008-08-25 2011-07-13 Aga医药有限公司 Stent graft having extended landing area and method for using the same
CN103598929A (en) * 2013-11-28 2014-02-26 先健科技(深圳)有限公司 Thoracic aorta covered stent
CN206934212U (en) * 2016-12-31 2018-01-30 先健科技(深圳)有限公司 Overlay film frame

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WO1998016172A1 (en) * 1996-10-11 1998-04-23 Alain Fouere Flexible expandable tube for surgical dilating of physiological ducts
AU7304296A (en) * 1996-10-11 1998-05-11 Alain Fouere Flexible expandable tube for surgical dilating of physiological ducts
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109431650A (en) * 2018-11-27 2019-03-08 东莞先健畅通医疗有限公司 Overlay film frame
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CN111297515A (en) * 2020-03-21 2020-06-19 石家庄帝中医疗器械科技有限公司 Aorta covered stent and system
WO2023071792A1 (en) * 2021-10-26 2023-05-04 先健科技(深圳)有限公司 Covered stent and combined stent
CN116763494A (en) * 2023-06-25 2023-09-19 合肥综合性国家科学中心大健康研究院 Aortic arch part branch anti-seepage support system
CN116763494B (en) * 2023-06-25 2024-04-02 合肥综合性国家科学中心大健康研究院 Aortic arch part branch anti-seepage support system

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