CN108784898A - Encephalic crotch aneurysm holder - Google Patents
Encephalic crotch aneurysm holder Download PDFInfo
- Publication number
- CN108784898A CN108784898A CN201810662157.9A CN201810662157A CN108784898A CN 108784898 A CN108784898 A CN 108784898A CN 201810662157 A CN201810662157 A CN 201810662157A CN 108784898 A CN108784898 A CN 108784898A
- Authority
- CN
- China
- Prior art keywords
- crotch
- aneurysm
- encephalic
- rack body
- occluding member
- 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
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/12031—Type of occlusion complete occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
- A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
- A61B17/1215—Coils or wires comprising additional materials, e.g. thrombogenic, having filaments, having fibers, being coated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2002/823—Stents, different from stent-grafts, adapted to cover an aneurysm
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Reproductive Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Neurosurgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The present invention relates to encephalic crotch aneurysm holders, including rack body, occluding member, connecting rod and development point, rack body is reticular structure, occluding member is in flared, rack body is connect with occluding member by connecting rod, and development point is distributed in the distal end of the tail portion and the occluding member of rack body proximal end.Compared with prior art, the present invention preferably solves validity and the safety that treatment is improved for the aneurysmal closing of encephalic crotch.
Description
Technical field
The present invention relates to medical instruments fields, more particularly, to a kind of encephalic crotch aneurysm holder.
Background technology
Intracranial aneurysm is mostly the abnormal bulging being happened on entocranial artery tube wall, is the head for causing subarachnoid hemorrhage
The position cause of disease is only second to cerebral thrombus and hypertensive cerebral hemorrhage in cerebrovascular accident, occupies third.Any age can fall ill, most
It is apt to occur in 40 to 60 years old middle and aged womens.Cause the cause of disease of intracranial aneurysm still not very clear, most scholars think entocranial artery
Tumor is caused on the basis of the birth defects of entocranial artery tube wall part and cavity pressure increase, and hypertension, cerebral artery are hard
Change, vasculitis and aneurysmal generation are related with development.Treatment of intracranial aneurysm method is broadly divided into surgical clamp and closes at present
It is but high for suffering from aneurysmal patient's operation of opening cranium risk with intravascular Interventional Treatment technology, and along with multiple complications
Etc. factors, surgical clamp, which is closed, is not welcome by doctor.With the development of minimal invasive intravascular Interventional Treatment technology, more and more craniums
Internal aneurysm patient selects vascular interventional treatment, vascular interventional treatment technology to be increasingly becoming the main side for the treatment of intracranial aneurysm
Method.
The operation purpose of intravascular Interventional Treatment is:Using femoral artery puncture, very thin microtubular is positioned over artery
Tumor is intracapsular or tumor neck position, and soft titanium alloy spring circle is sent into aneurysmal sack and is full of using microtubular, is made
It obtains blood flow in aneurysmal sack to disappear, to eliminate the risk of rupture haemorrhage again.But to the aneurysm at aortic bifurcation
Speech, if aneurysm mouth cannot be closed well by being only implanted into common embolism holder, is easy to cause spring ring from aneurysm mouth
It leaks out, causes serious malpractice.At present for crotch aneurysm stenter to implant method be respectively be implanted into two holders into
Two Main Branches for entering blood vessel, could preferably carry out Coil embolization treatment, as shown in Figure 1, being divided into three steps:First
It is implanted into first holder 5, is then implanted into second holder 6 in infall, spring ring 7 is implanted into aneurysm finally by microtubular
Embolotherapy is carried out in 8.This operating method is complicated, wide to the coverage of blood vessel in operation, be easy to cause thrombus
With new embolic complications.
In conclusion being directed to the aneurysmal vascular interventional treatment technology of current encephalic crotch, there is an urgent need to develop one kind
It is used for the aneurysmal treatment of encephalic crotch using simple, efficient and safe holder.
Invention content
It is dynamic that it is an object of the present invention to overcome the above-mentioned drawbacks of the prior art and provide a kind of encephalic crotches
Arteries and veins tumor holder.
The purpose of the present invention can be achieved through the following technical solutions:
Encephalic crotch aneurysm holder, including rack body, occluding member, connecting rod and development point,
The rack body is the reticular structure of self-inflated,
The occluding member is in flared,
The rack body is connect with the occluding member by the connecting rod,
The development point is distributed in the distal end of the tail portion and the occluding member of rack body proximal end.
The rack body is the reticular structure that sine curve is constituted, and has better radial support power, holder is made to discharge
Position when preferably being discharged in blood vessel afterwards.The reticular structure of rack body is by cutting or working out.
The flaring angle of the occluding member is between 30 ° -179 °, to coordinate the aneurysm of different shape, bottom to be equipped with
The circular hole of a diameter of 1-3mm is connected with rack beams, prevents the spring ring in implantation aneurysm from leaking out, to preferably reach envelope
Close the purpose of aneurysm tumor mouth.
The connecting rod is equipped with four, to blood stream in two vascellum laterale of encephalic crotch when avoiding stenter to implant well
Dynamic influence.
The development point is hollow cylindrical structure.The development point by DSA technologies see holder release after in blood vessel
In state.
The preferably medical Super elastic alloy material of the material of the rack body, including metal tantalum, medical stainless steel and NiTi
Alloy etc..The occluding member is by cutting, the medical Super elastic alloy material of material selection, including metal tantalum, it is medical not
Become rusty steel and Nitinol etc..The materials such as the preferred platinum of the development point material, tantalum, tungsten.
The use process of the present invention:Holder is discharged first, the occluding member is implanted into aneurysm tumor intracavitary, by microtubular
By the circular hole of the occluding member bottom or the gap of circular, push rod makes spring by microtubular release spring circle
Circle is full of aneurysm cavity, recalls push rod and microtubular.
The holder of the present invention and micro-wire, microtubular, push rod etc. are used cooperatively, and are well known to those skilled in the art
The prior art.
Compared with prior art, the present invention has the following advantages:
(1) rack body structure uses sinusoidal self-inflated structure, has better radial support power, can be more preferable
Ground is adapted to blood vessel, will not occur sliding phenomenon in the blood vessels after holder discharges completely.
(2) stent occlusion part is to be fully inserted into aneurysm tumor chamber, and distal end is adapted in flared with aneurysm tumor mouth, can
It is leaked out with preventing from being implanted into aneurysmal spring ring well, preferably blocks tumor mouth.
(3) rack body is connected with occluding member by four bars, and not extra structure makes crotch aneurysm both sides
Blood can be with proper flow in blood vessel.
(4) circular hole of the occluding member bottom equipped with a diameter of 1-3mm is connected with rack beams, and microtubular is facilitated to convey spring
While circle, aneurysm tumor mouth is preferably closed.
(5) one or more development points are respectively set in the tail portion of rack body proximal end and occluding member distal portions,
After discharging holder, it can be very good to see the state after holder release in the blood vessel by technologies such as DSA.
Description of the drawings
Fig. 1 is the crotch aneurysm treatment technology of the prior art;
Structure chart before Fig. 2 holder releases of the present invention;
Structure chart after Fig. 3 holder releases of the present invention;
Fig. 4 is present invention release rear enclosed crotch aneurysm tumor mouth schematic diagram;
Fig. 5 is using present invention treatment crotch aneurysm process schematic.
In figure, second 1- rack bodies, 2- occluding members, 3- connecting rods, 4- developments point, first holder of 5-, 6- branch
Frame, 7- spring rings, 8- aneurysms, 9- microtubulars, 10- micro-wires, 11- push rod.
Specific implementation mode
With reference to specific embodiment, the present invention is described in detail.Following embodiment will be helpful to the technology of this field
Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill of this field
For personnel, without departing from the inventive concept of the premise, various modifications and improvements can be made.These belong to the present invention
Protection domain.
Embodiment
Encephalic crotch aneurysm holder, structure is as Figure 2-3, including rack body 1, occluding member 2, connecting rod
3 and development point 4.Rack body 1 is the reticular structure of self-inflated, and occluding member 2 is in flared, and development point 4 is platinum material
Cylinder.1 grid of rack body uses sine curve, has better radial support power, preferably locates after so that holder is discharged
Position when being discharged in blood vessel.Rack body 1 is connected with occluding member 2 by four connecting rods 3, avoids holder plant well
The influence of blood flow in fashionable two vascellum laterale to encephalic crotch.2 flaring angle of occluding member is between 0 ° -179 °, to match
The aneurysm of different shape is closed, as shown in figure 4, being equipped with the circular hole and rack beams phase of a diameter of 1-3mm in the bottom of occluding member 2
Connection prevents the spring ring in implantation aneurysm from leaking out, to preferably achieve the purpose that close aneurysm tumor mouth.
The reticular structure of rack body 1 is by cutting or working out, the preferably medical Super elastic alloy material of material, including
Metal tantalum, medical stainless steel and Nitinol etc..Occluding member 2 is by cutting, the medical superelastic alloy material of material selection
Material, including metal tantalum, medical stainless steel and Nitinol etc..The materials such as the 4 preferred platinum of material, tantalum, tungsten are put in development.Described
One or more development points are respectively set in the tail portion of rack body proximal end and the occluding member distal portions.
The present invention and micro-wire, microtubular, push rod, spring ring etc. are used cooperatively, and are well known to those skilled in the art
The prior art.In intravascular stent embolization aneurysm, as shown in figure 5, guiding micro- lead by micro-wire 10 first
Then pipe 9 withdraws from micro-wire 10 and holder is fed through in Fig. 5 part shown in (1) by microtubular 9 to aneurysm tumor intracavitary, delay
It is slow to withdraw from microtubular 9 and discharge in holder such as Fig. 5 shown in (2).(1) institute in microtubular 9 to Fig. 5 is guided again by micro-wire 10
Show part.Micro-wire 10 slowly is withdrawn from, spring ring 7 is sent by bifurcated by the mesh of 2 bottom of occluding member by push rod 11
Locate aneurysm tumor intracavitary, as shown in (3) in Fig. 5.Spring ring is filled in Dense embolization aneurysm tumor intracavitary, and withdraws from 11 He of push rod
Microtubular 9 completes holder embolism, as shown in (4) in Fig. 5.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited in above-mentioned
Particular implementation, those skilled in the art can make various deformations or amendments within the scope of the claims, this not shadow
Ring the substantive content of the present invention.
Claims (7)
1. encephalic crotch aneurysm holder, which is characterized in that the holder includes rack body, occluding member, connecting rod and shows
Shadow point,
The rack body is reticular structure,
The occluding member is in flared,
The rack body is connect with the occluding member by the connecting rod,
The development point is distributed in the distal end of the tail portion and the occluding member of rack body proximal end.
2. encephalic crotch aneurysm holder according to claim 1, which is characterized in that the rack body is sinusoidal bent
The reticular structure that line is constituted.
3. encephalic crotch aneurysm holder according to claim 1 or 2, which is characterized in that the net of the rack body
Shape structure is by cutting or working out.
4. encephalic crotch aneurysm holder according to claim 1, which is characterized in that the flare angle of the occluding member
Degree is equipped with the circular hole being connected with connecting rod in the bottom of occluding member between 30 ° -179 °.
5. encephalic crotch aneurysm holder according to claim 1, which is characterized in that the connecting rod is equipped with four.
6. encephalic crotch aneurysm holder according to claim 1, which is characterized in that the development point is hollow cylinder
Body structure.
7. encephalic crotch aneurysm holder according to claim 1 or 6, which is characterized in that described aobvious after release holder
Shadow point sees state in the blood vessel after holder release by DSA technologies.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810662157.9A CN108784898A (en) | 2018-06-25 | 2018-06-25 | Encephalic crotch aneurysm holder |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810662157.9A CN108784898A (en) | 2018-06-25 | 2018-06-25 | Encephalic crotch aneurysm holder |
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Publication Number | Publication Date |
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CN108784898A true CN108784898A (en) | 2018-11-13 |
Family
ID=64070782
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CN201810662157.9A Pending CN108784898A (en) | 2018-06-25 | 2018-06-25 | Encephalic crotch aneurysm holder |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110063824A (en) * | 2019-06-10 | 2019-07-30 | 郑州美港高科生物科技有限公司 | A kind of vertebral artery stent |
CN113712712A (en) * | 2021-07-31 | 2021-11-30 | 上海心玮医疗科技股份有限公司 | Intracranial aneurysm embolism auxiliary support and conveying system |
CN115399825A (en) * | 2022-08-01 | 2022-11-29 | 上海心玮医疗科技股份有限公司 | Device for treating bifurcation aneurysm |
CN118078372A (en) * | 2024-04-26 | 2024-05-28 | 杭州亿科医疗科技有限公司 | Aneurysm turbulent flow device |
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US20060064151A1 (en) * | 2004-09-22 | 2006-03-23 | Guterman Lee R | Cranial aneurysm treatment arrangement |
WO2007079402A2 (en) * | 2005-12-31 | 2007-07-12 | Levy Elad I | Bifurcation aneurysm treatment stent with distal web |
CN101268971A (en) * | 2008-05-09 | 2008-09-24 | 北京工业大学 | Internally bare bracket of vascellum |
CN102764170A (en) * | 2012-07-18 | 2012-11-07 | 吕文峰 | Intravascular stent with complex functions |
CN103237526A (en) * | 2010-12-06 | 2013-08-07 | 科维蒂恩有限合伙公司 | Vascular remodeling device |
CN206007308U (en) * | 2016-06-22 | 2017-03-15 | 上海形状记忆合金材料有限公司 | One kind is used for the aneurysmal auxiliary stand of furcation |
CN209734239U (en) * | 2018-06-25 | 2019-12-06 | 上海理工大学 | Intracranial bifurcation aneurysm stent |
-
2018
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Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
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US20060064151A1 (en) * | 2004-09-22 | 2006-03-23 | Guterman Lee R | Cranial aneurysm treatment arrangement |
WO2007079402A2 (en) * | 2005-12-31 | 2007-07-12 | Levy Elad I | Bifurcation aneurysm treatment stent with distal web |
CN101268971A (en) * | 2008-05-09 | 2008-09-24 | 北京工业大学 | Internally bare bracket of vascellum |
CN103237526A (en) * | 2010-12-06 | 2013-08-07 | 科维蒂恩有限合伙公司 | Vascular remodeling device |
CN102764170A (en) * | 2012-07-18 | 2012-11-07 | 吕文峰 | Intravascular stent with complex functions |
CN206007308U (en) * | 2016-06-22 | 2017-03-15 | 上海形状记忆合金材料有限公司 | One kind is used for the aneurysmal auxiliary stand of furcation |
CN209734239U (en) * | 2018-06-25 | 2019-12-06 | 上海理工大学 | Intracranial bifurcation aneurysm stent |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110063824A (en) * | 2019-06-10 | 2019-07-30 | 郑州美港高科生物科技有限公司 | A kind of vertebral artery stent |
CN113712712A (en) * | 2021-07-31 | 2021-11-30 | 上海心玮医疗科技股份有限公司 | Intracranial aneurysm embolism auxiliary support and conveying system |
CN115399825A (en) * | 2022-08-01 | 2022-11-29 | 上海心玮医疗科技股份有限公司 | Device for treating bifurcation aneurysm |
CN118078372A (en) * | 2024-04-26 | 2024-05-28 | 杭州亿科医疗科技有限公司 | Aneurysm turbulent flow device |
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