CN109009562A - Follow-on arch of aorta overlay film frame type blood vessel - Google Patents

Follow-on arch of aorta overlay film frame type blood vessel Download PDF

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Publication number
CN109009562A
CN109009562A CN201810982118.7A CN201810982118A CN109009562A CN 109009562 A CN109009562 A CN 109009562A CN 201810982118 A CN201810982118 A CN 201810982118A CN 109009562 A CN109009562 A CN 109009562A
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CN
China
Prior art keywords
inner chimney
bracket
blood vessel
section
overlay film
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Granted
Application number
CN201810982118.7A
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Chinese (zh)
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CN109009562B (en
Inventor
陈宏伟
郑理玲
骆炎民
谢纳新
叶志荣
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Quanzhou City No1 Hospital
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Quanzhou City No1 Hospital
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Priority to CN201810982118.7A priority Critical patent/CN109009562B/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
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

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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

Follow-on arch of aorta overlay film frame type blood vessel, including an initiative pulse support blood vessel and three bifurcated artery stented vessels, initiative pulse support blood vessel is by proximal part section, recess section and distal end section are successively spliced to form the multistage cable architecture of an approximate arc, proximal part section offers opening one, recess section roof offers opening two, distal end section offers opening three, opening one, it respectively corresponds to be fixed with to respectively correspond in opening two and opening three and is fixed with inner chimney bracket one, inner chimney bracket two and inner chimney bracket three, three inner chimney brackets are in staggered distribution in the axial direction, three bifurcated artery stented vessels are sub-packed in three inner chimney brackets.The present invention can prevent two inner chimney brackets at proximal part from interfering with each other when compressing, so that initiative pulse support blood vessel is easier compression and is placed into the smaller transportation system of diameter, seal wire and conduit more easily choose each inner chimney bracket respectively, facilitate the conveying and release of bifurcated artery stented vessel.

Description

Follow-on arch of aorta overlay film frame type blood vessel
Technical field
The present invention relates to implantable vessel fields, more specifically refer to a kind of follow-on arch of aorta overlay film frame Type blood vessel.
Background technique
The Chinese invention patent that Authorization Notice No. is CN 102973303B is that a kind of arch of aorta of the applicant's invention covers Membrane support type blood vessel, including an initiative pulse support blood vessel and three bifurcated artery stented vessels, on the initiative pulse support blood vessel Open up one section of recessed portion, the recessed portion include the left side wall close to proximal part, the right side wall far from proximal part and connection it is left, The bottom wall of right side wall, the left side wall of the recessed portion open up two openings, and right side wall opens up one or two opening, each opening Inside fix one section of bore and the comparable inner chimney bracket that is open, the inner chimney bracket is along the aorta for deviating from recessed portion direction Stented vessel side wall extends, and the bifurcated artery stented vessel is sub-packed in the inner chimney bracket.
When operation, the aortic stents of confined state are sent to by the thinner transportation system of a set of caliber to vascular lesion Position.However, since two inner chimney brackets on side wall same in aortic stents are along the active for deviating from recessed portion direction Pulsation frame blood vessel side wall extends, and two inner chimney brackets interfere radially when compressing, and affects entire aortic stents The compression of blood vessel.And aortic stents are upon discharge, two inner chimney brackets are overlapped radially, give bifurcated artery bracket The conveying and release of blood vessel bring difficulty, may cause two bifurcated artery stented vessels while conveying and release are same interior In chimney bracket.In addition, existing initiative pulse support blood vessel is mostly straight tubular structure, released delivering into aortic arch After putting, the screen resilience that both ends generate is larger, carrys out larger compressing to the zona vascuiosa of its corresponding position, or even make angiorrhoxis.For This, present inventors have proposed a kind of follow-on arch of aorta overlay film frame type blood vessels.
Summary of the invention
The present invention provides a kind of follow-on arch of aorta overlay film frame type blood vessel, to solve existing arch of aorta overlay film Stent affects entire aorta there are interfering radially when the compression of the inner chimney bracket of two laid out in parallel The compression of stented vessel, and two inner chimney brackets are overlapped in the axial direction, conveying to bifurcated artery stented vessel and is released Put the disadvantages of bringing difficulty.
The present invention adopts the following technical scheme:
Follow-on arch of aorta overlay film frame type blood vessel, including an initiative pulse support blood vessel and three bifurcated artery bracket blood Pipe, the initiative pulse support blood vessel are successively spliced to form an approximate arc by proximal part section, recess section and distal end section Multistage cable architecture, the left part and right part of the recess section pass through overlay film one and overlay film two right side with the proximal part section respectively Side wall and the connection of the left side wall of distal end section, the right side wall middle and upper part of the proximal part section offer opening one, close to described remote Opening two is offered straight up on the recess section bottom wall top surface of heart end section left side wall, in the left side wall of the distal end section Top offers opening three, respectively corresponds in the opening one, opening two and opening three and is fixed with inner chimney bracket one, inner chimney Bracket two and inner chimney bracket three, the inner chimney bracket one and inner chimney bracket three are respectively along the master away from recess section direction Arterial bracket vessel side parietal suture closes, the fixed lower end surface for being sewn to the recess section roof of the inner chimney bracket two, the interior cigarette Chimney bracket two is extended from described be open at two to the left part direction of the recess section, three bifurcated artery stented vessels point Loaded in the inner chimney bracket one, inner chimney bracket two and inner chimney bracket three.
Further, the lower section that the inner chimney bracket two is connect with the opening two has one big curved side.
Further, the left side wall of the distal end section is an inclined surface, the roof shape of the inclined surface and the recess section At an obtuse angle structure, the opening three is the angular cut being provided on the inclined surface.
Further, the longitudinal section of the recess section roof is the arc-shaped to raise upward, or the longitudinal section of recess section For circle.
Further, the overlay film one and overlay film two are cyclic structure wide at the top and narrow at the bottom, two top of overlay film one and overlay film Maximum length be 3~12mm.
Further, the right part of the inner chimney bracket one protrudes from the opening one, protrude length be 3~ 5mm。
Further, be fixed on the top of one excircle of inner chimney bracket at the opening one, bottom end, front end and after End is respectively equipped with a 8 font developing marks, protrudes from the one front end excircle of the inner chimney bracket of the opening one Top, bottom end, front end and rear end are also respectively equipped with a 8 font developing marks.
Further, be fixed on the left end of two excircle of inner chimney bracket at the opening two, right end, front end and after End is respectively equipped with a 8 font developing marks.
Top, bottom end, front end and the rear end for three excircle of inner chimney bracket being fixed at the opening three are set respectively There are a 8 font developing marks.
Further, a plurality of rings that the initiative pulse support blood vessel is sewn in tubular film one by tubular film one and interval Shape waveform bracket one is constituted, and the inner chimney bracket one, inner chimney bracket two and inner chimney bracket three include a tubulose A plurality of ring waveform brackets two that film two and interval are sewn in the tubular film two, wherein the axial direction of inner chimney bracket two The corresponding initiative pulse support blood vessel position of projection is provided only with tubular film one, in inner chimney bracket one and inner chimney bracket three The outside of two neighboring ring waveform bracket two is correspondingly provided with a ring waveform bracket one, and the width of two annular supports two The sum of degree is equal to its corresponding one width of ring waveform bracket.
By the above-mentioned description to structure of the invention it is found that compared to the prior art, the present invention has the advantage that
1, initiative pulse support blood vessel of the invention is spliced by proximal part section, recess section and distal end section, and every section opens up One is open, and one inner chimney bracket of corresponding installing, three inner chimney brackets are in staggered distribution in the axial direction, can prevent in each opening It is interfered with each other when only two inner chimney brackets at proximal part compress, so that initiative pulse support blood vessel is easier compression and be placed into diameter Smaller transportation system, seal wire and conduit more easily choose each inner chimney bracket respectively, facilitate the conveying of bifurcated artery stented vessel And release, prevent multiple bifurcated artery stented vessels from entering in the same inner chimney bracket.
2, initiative pulse support blood vessel of the invention, by proximal part section, recess section and distal end section splice, formed one It is under natural conditions the multistage cable architecture of approximate arc, so that initiative pulse support blood vessel is after aortic arch release, both ends The phenomenon that screen resilience in portion is smaller, will not oppress its corresponding zona vascuiosa and cause angiorrhoxis generation.
3, initiative pulse support blood vessel position corresponding to the axis projection of inner chimney bracket two be provided only with tubular film one without Comprising ring waveform bracket one, not by the ring waveform bracket one on initiative pulse support blood vessel when guaranteeing two radiography of inner chimney bracket It is blocked, seal wire and conduit is made quickly to choose inner chimney bracket two.
Detailed description of the invention
Fig. 1 is the main view of initiative pulse support blood vessel of the present invention.
Fig. 2 is the schematic diagram that initiative pulse support blood vessel of the present invention is drawn into linear state.
Fig. 3 is the cross-sectional view in the direction A-A in Fig. 2.
Fig. 4 is the cross-sectional view in the direction B-B in Fig. 2.
Fig. 5 is that stent of the present invention discharges in aorta pectoralis, after three branch vessels give bifurcated artery blood vessel Structural schematic diagram.
Specific embodiment
Illustrate a specific embodiment of the invention with reference to the accompanying drawings.
The present invention discloses a kind of follow-on arch of aorta overlay film frame type blood vessel, referring to Fig.1 and Fig. 5, including one actively Arteries and veins stented vessel 1 and three bifurcated artery stented vessels 2.Initiative pulse support blood vessel 1 is by proximal part section 10, recess section 20 and remote Heart end section 30 is successively spliced to form the multistage cable architecture of an approximate arc, and the left part and right part for the section 20 that is recessed pass through respectively Overlay film 1 and overlay film 2 202 are connect with the left side wall of the right side wall of proximal part section 10 and distal end section 30.
Referring to figs. 1 to Fig. 4, the right side wall middle and upper part of proximal part section 10 offers opening 1, left close to distal end section 30 Opening 2 200 is offered on the 20 bottom wall top surface of recess section of side wall straight up, the left side wall middle and upper part of distal end section 30 opens up Have opening 3 300, it is described opening 1, opening 2 200 and opening 3 300 in respectively correspond be fixed with inner chimney bracket 1, Inner chimney bracket 2 32 and inner chimney bracket 3 33, inner chimney bracket 1 and inner chimney bracket 3 33 are respectively along away from recess 1 side wall of the initiative pulse support blood vessel suture in 20 directions of section, the fixed lower end for being sewn to recess 20 roof of section of inner chimney bracket 2 32 Face, the inner chimney bracket 2 32 are extended from being open at 2 200 to the left part direction of recess section 20, three bifurcated artery bracket blood Pipe 2 is sub-packed in the inner chimney bracket 1, inner chimney bracket 2 32 and inner chimney bracket 3 33.Shown in the present embodiment Be truncus brachiocephalicus, left common carotid artery and left subclavian artery channel of blood flow respectively from inner chimney bracket one, inner chimney bracket two and Corresponding implantation bifurcated artery stented vessel in inner chimney bracket three.Certainly, logical for some truncus brachiocephalicus and left common carotid artery blood flow Track pitch is from closer patient, and the bending angle of bifurcated artery stented vessel is excessive and influences supply of blood flow to prevent, and left neck always moves The channel of blood flow of arteries and veins and left subclavian artery can be implanted into bifurcated artery bracket from inner chimney bracket three and inner chimney bracket two respectively Blood vessel.
Referring to Fig.1, the lower section that above-mentioned inner chimney bracket 2 32 is connect with opening 2 200 has one big curved side, so that dress It is dynamic from branch can to reduce blood flow for the then corresponding bending deformation of bifurcated artery stented vessel 2 being located in the inner chimney bracket 2 31 The resistance of pulsation frame blood vessel outflow.
With continued reference to Fig. 1, above-mentioned overlay film 1 and overlay film 2 202 are cyclic structure wide at the top and narrow at the bottom, overlay film 1 Maximum length with 2 202 top of overlay film is 3~12mm.The right part of inner chimney bracket 1 protrudes from opening 1, Prominent length is 3~5mm, in order to be quickly found out the right part of inner chimney bracket 1 when radiography.Above-mentioned recess section 20 is pushed up The longitudinal section of wall is the arc-shaped to raise upward, or the longitudinal section of recess section 20 is circle.
Referring to Fig. 2 and Fig. 4, the left side wall of distal end section 30 is an inclined surface, and opening 3 300 is to be provided on inclined surface The roof of angular cut, the inclined surface and recess section 20 forms an obtuse angle structure, choose in order to bifurcated artery stented vessel 2 in Chimney bracket 3 33.
Referring to Fig.1, the plural number that the initiative pulse support blood vessel 1 is sewn in tubular film 1 by tubular film 1 and interval A ring waveform bracket 1 is constituted, and the inner chimney bracket 1, inner chimney bracket 2 32 and inner chimney bracket 3 33 are equal Including a tubular film 2 301 and a plurality of ring waveform brackets 2 302 being sewn in the tubular film 2 301 are spaced, In, 1 position of initiative pulse support blood vessel corresponding to the axis projection of inner chimney bracket 2 32 is provided only with tubular film 1, inner chimney The outside of two neighboring ring waveform bracket 2 302 is correspondingly provided with a ring waveform in bracket 1 and inner chimney bracket 3 33 Bracket 1, and the sum of width of two annular supports 2 302 is equal to its corresponding one 12 width of ring waveform bracket.It is cyclic annular Waveform bracket 1 and ring waveform bracket 2 302 are all made of with good biocompatibility, chemical stability and machinery, physics The medical stainless steel alloy ring of performance, such as nickel-base alloy, cobalt-base alloys, 316 medical stainless steels, marmem or degradable Or the high molecular material that can be dropped;And tubular film 231 is polytetrafluoroethylene film, polyester fiber film, PA membrane or polypropylene screen.
Referring to Fig.1, the above-mentioned top of one 31 excircle of inner chimney bracket being fixed at opening 1, bottom end, front end with And rear end is respectively equipped with a 8 font developing marks 12, protrudes from the one 31 front end excircle of inner chimney bracket of opening 1 Top, bottom end, front end and rear end be also respectively equipped with a font developing mark 12.The interior cigarette being fixed at opening 2 200 Left end, right end, front end and the rear end of 2 32 excircle of chimney bracket are respectively equipped with a 8 font developing marks 12.It is fixed on out It is aobvious that top, bottom end, front end and the rear end of 3 33 excircle of inner chimney bracket at mouth 3 300 are also respectively equipped with 8 fonts Shadow label 12.Above-mentioned 8 font developing mark 12 is the axially inclined arrangement along initiative pulse support blood vessel 1.8 fonts development mark Note 12 is the proper constituent of bracket itself, or the material with good biocompatibility and impermeable X-ray characteristic.
The above is only a specific embodiment of the present invention, but the design concept of the present invention is not limited to this, all to utilize this Design makes a non-material change to the present invention, and should all belong to behavior that violates the scope of protection of the present invention.

Claims (10)

1. follow-on arch of aorta overlay film frame type blood vessel, including an initiative pulse support blood vessel and three bifurcated artery bracket blood Pipe, it is characterised in that: the initiative pulse support blood vessel is successively spliced to form one by proximal part section, recess section and distal end section The multistage cable architecture of approximate arc, the left part and right part of the recess section by overlay film one and overlay film two respectively with it is described close The right side wall of heart end section and the left side wall connection of distal end section, the right side wall middle and upper part of the proximal part section offer opening one, Opening two, the distal end are offered straight up on the top surface of the recess section roof of the distal end section left side wall The left side wall middle and upper part of section offers opening three, respectively corresponds in the opening one, opening two and opening three and is fixed with inner chimney Bracket one, inner chimney bracket two and inner chimney bracket three, the inner chimney bracket one and inner chimney bracket three are respectively along deviating from The initiative pulse support blood vessel side wall suture in recess section direction, the inner chimney bracket two, which is fixed, is sewn to the recess section roof Lower end surface, the inner chimney bracket two are extended from described be open at two to the left part direction of the recess section, three branches Arterial bracket blood vessel is sub-packed in the inner chimney bracket one, inner chimney bracket two and inner chimney bracket three.
2. follow-on arch of aorta overlay film frame type blood vessel as described in claim 1, it is characterised in that: the inner chimney branch The lower section that frame two is connect with the opening two has one big curved side.
3. follow-on arch of aorta overlay film frame type blood vessel as described in claim 1, it is characterised in that: the distal end section Left side wall be an inclined surface, the roof of the inclined surface and the recess section forms an obtuse angle structure, and the opening three is opens The angular cut being located on the inclined surface.
4. follow-on arch of aorta overlay film frame type blood vessel as described in claim 1, it is characterised in that: the recess section top The longitudinal section of wall is the arc-shaped to raise upward, or the longitudinal section of recess section is circle.
5. follow-on arch of aorta overlay film frame type blood vessel as described in claim 1, it is characterised in that: the overlay film one It is cyclic structure wide at the top and narrow at the bottom with overlay film two, the maximum length on two top of overlay film one and overlay film is 3~12mm.
6. follow-on arch of aorta overlay film frame type blood vessel as claimed in claim 5, it is characterised in that: the inner chimney branch The right part of frame one protrudes from the opening one, and protruding length is 3~5mm.
7. follow-on arch of aorta overlay film frame type blood vessel as claimed in claim 6, it is characterised in that: be fixed on described open Top, bottom end, front end and the rear end of one excircle of inner chimney bracket at mouth one are respectively equipped with a 8 font developing marks, Top, bottom end, front end and the rear end for protruding from the one front end excircle of the inner chimney bracket of the opening one are also distinguished Equipped with a 8 font developing marks.
8. follow-on arch of aorta overlay film frame type blood vessel as described in claim 1, it is characterised in that: be fixed on described open Left end, right end, front end and the rear end of two excircle of inner chimney bracket at mouth two are respectively equipped with a 8 font developing marks.
9. follow-on arch of aorta overlay film frame type blood vessel as described in claim 1, it is characterised in that: be fixed on described open Top, bottom end, front end and the rear end of three excircle of inner chimney bracket at mouth three are respectively equipped with a 8 font developing marks.
10. follow-on arch of aorta overlay film frame type blood vessel as described in claim 1, it is characterised in that: the aorta Stented vessel is made of a plurality of ring waveform brackets one that tubular film one and interval are sewn in tubular film one, the inner chimney Bracket one, inner chimney bracket two and inner chimney bracket three include that a tubular film two and interval are sewn to the tubular film two Interior a plurality of ring waveform brackets two, wherein the aortic stents blood corresponding to the axis projection of inner chimney bracket two Pipe portion position is provided only with tubular film one, the outside of two neighboring ring waveform bracket two in inner chimney bracket one and inner chimney bracket three It is correspondingly provided with a ring waveform bracket one, and the sum of width of two annular supports two is equal to its corresponding ring waveform branch One width of frame.
CN201810982118.7A 2018-08-27 2018-08-27 Improved aortic arch tectorial membrane stent type blood vessel Active CN109009562B (en)

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Cited By (7)

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WO2020156219A1 (en) * 2019-01-31 2020-08-06 陈宏伟 Aortic stent-graft
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CN111407463A (en) * 2020-03-19 2020-07-14 湖南埃普特医疗器械有限公司 Covered stent system
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