CN110859690A - 通过膨胀辅助递送线材的支架递送 - Google Patents
通过膨胀辅助递送线材的支架递送 Download PDFInfo
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Abstract
本发明题为“通过膨胀辅助递送线材的支架递送”。提供了一种具有远侧端部处的远侧锚构件、近侧端部处的近侧锚构件、以及编织的中间部分的可膨胀元件,该可膨胀元件可以由递送线材通过导管递送到治疗部位,该递送线材具有:第一远侧隆起,该第一远侧隆起可以向远侧平移以向远侧推动远侧锚并在离开导管远侧端部时释放远侧锚;成形区段,该成形区段可以移动以从编织中间部分内施加径向力以膨胀编织中间部分;和第二近侧隆起,该第二近侧隆起可以向远侧平移以向远侧推动近侧锚并将可膨胀元件从导管排出。递送线材还可以具有定位在近侧隆起与远侧隆起之间的第三再捕获隆起,该第三再捕获隆起可以向近侧平移以将部分植入的可膨胀元件缩回导管中。
Description
技术领域
本发明整体涉及用于治疗脉管系统中的缺陷的介入治疗处理或血管外科手术的装置,并且更具体地讲,涉及将支架递送到患者体腔中的治疗部位并在该治疗部位处打开支架。
背景技术
支架插入血管中以提供血管内的开放路径,并且其已广泛用于闭塞血管的血管腔内成形术和其他应用。支架可以是自膨胀式的,或者可以通过从支架内部施加的径向力来膨胀,例如当支架配有球囊时。
编织支架的特征在于用平纹编织技术编织在一起的金属丝的管。在递送到治疗部位期间,编织支架可能以细长的塌缩构型行进通过有小直径的导管,并且编织支架可以在治疗部位处扩大直径。通过编织支架的适当治疗可能要求支架径向延伸到体腔壁,在体腔壁中植入支架。尽管编织支架可以是自膨胀式的,但此类植入物通常用低开启力打开,并因此可能无法完全打开以符合血管壁。在部署后,诸如引导线、导管、球囊等的辅助装置可以用于通过编织物并试图进一步展开编织支架以改善血管壁的符合性。通常会出现诸如无意识的编织移动或无法完全打开编织物的问题。此外,不能回收与递送线材分离的编织植入物以用于重新定位。
发明内容
本发明的一个目的是提供用于改善编织支架的血管壁符合性的系统、装置和方法。通常,一种具有远侧端部处的远侧锚构件、近侧端部处的近侧锚构件、以及编织的中间部分的可膨胀元件可以由递送线材通过导管递送到治疗部位,递送线材具有:第一远侧隆起,该第一远侧隆起可以向远侧平移以向远侧推动远侧锚并在离开导管远侧端部时释放远侧锚;成形区段,该成形区段可以移动以从编织中间部分内施加径向力以膨胀编织中间部分;和第二近侧隆起,该第二近侧隆起可以向远侧平移以向远侧推动近侧锚并将可膨胀元件从导管排出。
递送线材还可以具有定位在近侧隆起与远侧隆起之间的第三再捕获隆起,该第三再捕获隆起可以向近侧平移以向近侧推动近侧锚。具有从导管排出并从递送线材释放的远侧部分以及定位在导管内的近侧锚的部分植入的可膨胀元件可以通过向近侧平移递送线材以向近侧推动近侧锚而缩回,由此将编织部分和远侧锚向近侧拉入导管中。
示例性血管治疗设备可以包括导管、可膨胀元件和递送线材。导管可以具有内腔,可膨胀元件可以由递送线材递送通过该内腔到达治疗部位。可膨胀元件可以具有近侧端部、远侧端部、定位在近侧端部与远侧端部之间的编织部分、设置在近侧端部处的近侧锚构件、以及设置在远侧端部处的远侧锚构件。
可膨胀元件可以具有尺寸被设定成配合在导管的内腔内以用于递送到治疗部分的压缩构型,以及当可膨胀元件未完全植入治疗部位时的部分植入构型。在部分植入构型中,可膨胀元件的近侧端部的尺寸可以被设定成配合在导管的内腔内,并且远侧端部的尺寸可以被设定成大于导管的尺寸。
递送线材可以设置在导管的内腔和可膨胀元件内并延伸通过它们,可膨胀元件具有基本上管状的形状。递送线材可以具有近侧部分、定位在近侧部分的远侧端部处的近侧隆起构件、远侧部分、定位在远侧部分的近侧端部处的远侧隆起构件、以及定位在近侧隆起构件与远侧隆起之间的可成形部分。可成形部分在离开导管的内腔时可从基本上直的构型移动到弯曲构型。
可膨胀元件可以通过递送线材的远侧移动从压缩构型移动到部分植入构型,这可以致使递送线材的远侧隆起构件与可膨胀元件的远侧锚构件接合并向远侧推动远侧锚构件。远侧锚构件可以从导管中排出,从而将远侧锚构件与远侧隆起构件一起推出导管。
在部分植入构型中,递送线材可以相对于可膨胀元件向远侧、向近侧和旋转地移动,并且当可膨胀元件处于部分植入构型时,递送线材的可成形部分可以移动以从可膨胀元件的编织部分内提供径向力。
可成形部分可以在弯曲构型中移动成对称弧形、非对称弧形、或近似“S”形的至少一个。
可膨胀元件可以处于压缩构型并且完全定位在导管的内腔内。当可膨胀元件处于压缩构型并且完全定位在导管的内腔内时,成形部分可以处于基本上直的构型并且可以定位在可膨胀元件的编织部分的内腔内,远侧隆起构件可以定位在可膨胀元件的编织部分的内腔内,并且近侧隆起构件可以定位在近侧锚构件的近侧。
可膨胀元件可以处于部分植入构型,使得可膨胀元件的远侧端部定位在导管外部,并且可膨胀元件的近侧端部和近侧锚定位在导管的内腔内。当可膨胀元件处于部分植入构型时,递送线材的可成形部分可以处于弯曲构型并且定位在导管外部,并且递送线材相对于可膨胀元件的旋转可以膨胀可膨胀元件的半径。
用于植入支架的示例性方法可以包括以下步骤:提供包括导管、可膨胀元件和递送线材的植入系统;移动可膨胀元件的第一部分以离开导管;将可膨胀元件的第二部分保持在导管内以建立部分植入构型;在部分植入构型中独立于可膨胀元件移动递送线材;以及响应于移动递送线材而扩大可膨胀元件的周长。方法还可以包括以下步骤:将近侧锚定位在可膨胀元件的近侧端部处;将远侧锚定位在所述可膨胀元件的远侧端部处;
将远侧隆起定位在所述递送线材上;靠近远侧隆起将近侧隆起定位在递送线材上;将远侧隆起定位在可膨胀元件的内腔内;
将所述近侧隆起定位在所述可膨胀元件的近侧;将所述可膨胀元件和所述递送线材的至少一部分定位在所述导管的内腔内;以及通过向远侧推动递送线材由此将远侧隆起推靠远侧锚,将远侧锚和可膨胀元件向远侧移动通过导管的内腔;通过向远侧推动递送线材由此将近侧隆起推靠近侧锚,将近侧锚从导管的远侧端部排出;以及膨胀已排出的近侧锚。
移动可膨胀元件的第一部分以离开导管的步骤可以包括以下步骤:通过向远侧推动递送线材由此将远侧隆起推靠远侧锚,将远侧锚从导管的远侧端部排出;以及膨胀已排出的远侧锚。
在部分植入构型中独立于可膨胀元件移动递送线材的步骤可以包括将近侧锚保持在导管的内腔内的步骤。
响应于移动递送线材而扩大可膨胀元件的周长的步骤可以包括从可膨胀元件的内腔内提供来自递送线材的抵靠可膨胀元件的径向力的步骤。
方法还可以包括以下步骤:在递送线材的一部分从导管的内腔内向远侧移动到导管的内腔外部的位置时,将该部分从基本上直的构型成形为弯曲构型;使递送线材的成形部分从可膨胀元件的内腔内抵靠可膨胀元件滑动;通过使成形部分抵靠可膨胀元件移动,将可膨胀元件的一部分延伸到血管壁;以及移动可膨胀元件的第二部分以离开导管,并通过随着递送线材的远侧移动向远侧推动可膨胀元件而被植入。
用于植入支架或其他这样的可膨胀元件的示例性系统可包括导管、编织支架和递送线材。编织支架能够移动至部分植入构型,其特征在于编织支架的部分在导管外部并且编织支架的部分在导管内,并且递送线材可以独立于编织支架移动,并且当编织支架处于部分植入构型时能够移动以提供打开编织支架的力。
编织支架可能以压缩构型移动通过导管,并且可以从压缩构型移动到部分植入构型。系统的编织支架可以具有位于远侧端部处的第一可膨胀锚和位于近侧端部处的第二可膨胀锚,使得在部分植入构型中,第一可膨胀锚在导管远侧的植入位置被膨胀并且第二可膨胀锚在导管内被压缩。
当编织支架处于部分植入构型时,递送线材能够独立于编织支架沿远侧方向、沿近侧方向和沿旋转方向移动。当编织支架处于压缩构型时并且当编织支架处于部分植入构型时,递送线材可以延伸通过编织支架。
递送线材可以包括推动隆起,当编织支架处于压缩构型时并且当编织支架处于部分植入构型时,该推动隆起可以定位在第二可膨胀锚的近侧。推动隆起能够移动以向远侧推动第二可膨胀锚,由此当编织支架处于部分植入构型时向远侧推动编织支架。
递送线材可以包括可成形区段,当编织支架处于压缩构型时并且当编织支架处于部分植入构型时,该可成形区段可以定位在编织支架内。可成形区段可以从编织支架处于压缩构型时的基本上直的构型移动到编织支架处于部分植入构型时的弯曲构型,并且当编织支架处于部分植入构型时,可成形区段可以独立于编织支架移动。当处于弯曲构型时,可成形区段能够移动以形成弧形、起伏形状、或其他无创伤形状。
递送线材还具体包括牵拉隆起,当编织支架处于压缩构型时,该牵拉隆起定位在推动隆起和可成形区段的远侧并且还定位在第一可膨胀锚的近侧。
附图说明
参见以下具体实施方式并结合附图进一步讨论本发明的上述方面和另外的方面,在附图中,相同的编号指示各种图中相同的结构元件和特征。附图中的图像和图示未必按比例绘制,相反,将重点放在示出本发明的原理。如指示的,附图仅以举例方式而非限制方式描绘了本发明装置的一种或多种具体实施。
图1是描绘根据本发明的以递送构型的植入系统的图示;
图2A至图2H是示出根据本发明的使用植入系统的步骤的图示;
图3A至图3C是描绘根据本发明的递送线材部分的形状的图示;
图4是描绘本领域已知的编织植入物的图像,该编织植入物具有与血管壁不良贴合的区段;
图5是描绘根据本发明的植入期间的植入系统的图像;
图6A至图6C是示出根据本发明的使用植入系统的步骤的图像;并且
图7是概述根据本发明的使用用于部署植入物的设备或系统的示例性方法步骤的流程图。
具体实施方式
在以下详细描述中,通过示例阐述了许多具体细节,以便提供对相关教导内容的透彻理解。然而,对于本领域的技术人员应当显而易见的是,可在没有此类细节的情况下实施本发明的教导内容。在其他情况下,为了避免不必要地模糊本发明教导内容的方面,已在相对较高的水平上(无细节)描述了熟知的方法、过程、部件和/或电路。
如图1所示,植入系统100的示例可具有导管102、可膨胀元件200和递送线材106。导管102可以具有内腔104,并且可膨胀元件200可以被形成为压缩构型,该压缩构型的尺寸被设定成配合在导管102的内腔104内。可膨胀元件200可以具有近侧端部202、远侧端部204、定位在近侧端部202与远侧端部204之间的编织部分206、设置在近侧端部202处的近侧锚构件208、以及设置在远侧端部204处的远侧锚构件210。递送线材106可以设置在导管102的内腔104和可膨胀元件200内并延伸通过它们,并且可以用于将可膨胀元件200递送到治疗部位并将可膨胀元件200定位在治疗部位处。递送线材106可以具有近侧部分108、远侧部分110、定位在近侧部分108的远侧端部处的近侧隆起构件114、定位在远侧部分110的近侧端部处的远侧隆起构件114、以及定位在近侧隆起构件116与远侧隆起构件114之间的可成形部分112。当可膨胀元件200处于压缩构型以用于递送通过导管102时,可成形部分112可以具有基本直的形状,其具有柔性以通过导管102导航到治疗部位。
递送线材106还可以包括定位在远侧隆起114与近侧隆起116之间的再捕获隆起120。利用具有远侧隆起构件、近侧隆起构件和再捕获隆起的递送线材在体腔内递送、定位、缩回诸如支架的可膨胀元件是与本申请同时提交的另一个专利申请的主题。
隆起构件114、116、120中的一个或全部可以包括不透射线的材料以允许在植入过程期间容易看到隆起144、116、120的定位。
一个或多个锚构件208,210可为突出部,这些突出部大致平行于可膨胀元件200的纵向轴线延伸并且朝可膨胀元件200的纵向轴线向下延伸。锚构件208、210可以用作不透射线的标记,以用于在可膨胀元件200在体腔10内展开期间改善可视性。锚构件208,210可用于对准可膨胀元件200,使得其可被推动和牵拉通过导管102而不损坏或变形。锚构件208,210还可用于将编织部分206移动到膨胀/植入构型中。锚件构件208,210的示例可见于美国序列号15/299,918,其全部内容以引用方式并入本文。
通常,可膨胀元件200可具有压缩构型和膨胀的植入构型。在压缩构型中,可膨胀元件200的尺寸可被设定成适配在导管104的内腔102内。在某些示例中,导管102可有助于约束可膨胀元件200,使得其在容纳在导管102内时不膨胀。其他元件可用于约束可膨胀元件200,如本领域已知的那样。
可膨胀元件200还可具有部分植入构型,其中近侧端部202的尺寸被设定成适配在导管104的内腔102内,并且远侧端部204的尺寸被设定成大于导管102。
图2A至图2H是示出使用植入系统的步骤的图示。当可膨胀元件200处于塌缩构型时,远侧隆起114可以定位在可膨胀元件200内,使得递送线材106的远侧移动可以致使远侧隆起114推靠远侧锚210,从而将可膨胀锚200通过导管102拉动到治疗部位。远侧隆起构件114可以推动远侧锚构件210以将远侧锚构件210从导管102排出,由此将可膨胀元件200移动到部分植入构型,如图2A所示。
在离开导管时,递送线材106的可成形部分112可以从直线形状移动到弯曲形状,如图2A至图2H所示。当可膨胀元件处于部分植入构型时,可成形部分112可以从可膨胀元件200的编织部分206内提供径向力。
在一个示例中,包括可成形部分112在内的整个递送线材106可以由不锈钢制成。在其他示例中,递送线材106和/或可成形部分112可以由记忆形状材料制成,该记忆形状材料包括记忆形状金属,诸如镍钛诺或聚合物记忆形状材料。在离开导管102时,可成形部分112可以从处于导管102中时的基本直的柔性构型移动到接触体液后的弯曲构型。附加地或可替代地,可成形部分112可以弯曲以符合弯曲体腔的形状,使得可膨胀元件200、递送线材106和导管102的远侧移动和近侧移动可以致使递送线材106移动以便从编织部分206内提供径向力。
如图2A所示,在治疗期间,因为可膨胀元件可以在植入期间提供低径向力,所以可膨胀元件200的至少一些中间部分206可能不完全符合体腔10的壁。
如图2B所示,递送线材106可以相对于可膨胀元件200旋转,并且旋转可以致使递送线材106的成形部分112提供抵靠可膨胀元件200的力,从而推动可膨胀元件的部分以符合体腔10的壁。
如图2C所示,递送线材106可以相对于可膨胀元件200沿远侧方向和近侧方向移动,而不会干扰部分植入的可膨胀元件200的放置。远侧移动和近侧移动还可以致使递送线材106的成形部分112抵靠可膨胀元件200移动,从而致使可膨胀元件200的部分更好地符合体腔10的壁。
如图2D所示,递送线材106可以随后旋转以改善可膨胀元件200与体腔10的壁的符合性。
如图2E所示,当可膨胀元件200处于部分植入构型时,递送线材106能够进一步向远侧移动以将近侧推动隆起116与近侧锚208接合。
如图2F所示,递送线材106的进一步远侧移动可以将近侧锚208从导管102排出。一旦将近侧锚208从导管102排出,近侧锚可以膨胀以接合体腔10的壁。一旦近侧锚208膨胀,可膨胀元件200可以从递送线材106脱离。如图2F所示,可膨胀元件200的部分可以保持不完全符合体腔10的壁。
如图2G所示,递送线材106随后能够向近侧移动以侧靠编织物的部分,从而导致更好地符合体腔10的壁。
如图2H所示,递送线材106随后可以旋转,并且成形部分112可以抵靠编织物的部分滑动,从而导致更好地符合体腔10的壁。
在膨胀构型中,如图2H所示,可膨胀元件200可以膨胀以符合患者体腔10的尺寸。可膨胀元件200的膨胀尺寸允许设备100穿过其中,以推进到第二位置或被抽出。可膨胀元件200可以至少部分地在其固有的特性下膨胀,至少基于其原始形状和构成该元件的材料的性质膨胀,并且通过如本文所述的递送线材106的移动来进一步膨胀。可膨胀元件200的示例在其膨胀直径时可以是梨形、卵形和椭圆形中的一种。可扩展元件200的构造对于本领域的技术人员而言是已知的。设想了用于本公开的可膨胀元件200的其他实施方案,并且也可以在美国专利公布2016/0058524中查到,其全文以引用方式并入本文。
图3A至图3C示出了当可膨胀元件处于部分植入构型时,递送线材106的可成形部分112可具有的一些潜在形状。弧形、弯曲、“S”形和“C”形是一些示例。在一个示例中,可成形部分112呈现防创伤部分113以接触编织植入物200和可能的体腔10的壁两者。该防创伤部分113使对植入物200和内腔10中的一者或两者的损坏最小化。防创伤部分113的另一个示例是使一旦可成形部分112从直变形到弯曲形状就使施加的径向力的量最小化。太大的力(即使由防创伤形状113施加)仍然可损坏植入物/内腔。太小的力或形状和植入物将不会打开到其完全可能形状。
图4描绘了本领域已知的编织植入物,该编织植入物具有与血管壁不良贴合的区段。本发明的一个目的是提供用于改善植入物与血管壁的符合性的治疗装置、系统和方法。
图5描绘了部分植入的可膨胀元件,该可膨胀元件为编织植入物200,该编织植入物具有定位在导管102外部的远侧端部204和定位在植入物200内部的递送线材106,递送线材106具有定位在植入物200远侧的远侧线圈220、定位在植入物内的远侧隆起114、定位在植入物200内靠近远侧隆起114的再捕获隆起120、以及定位在导管102内部靠近植入物200的近侧隆起116。如图5所描绘的植入物200具有未延伸以符合脉管系统10的不良贴合部分201。
图6A至图6C示出了在图5所示系统内的递送线材106的移动,该移动用于从不良相关部分201以及植入物200的未完全贴合于壁的其他部分内提供向外径向力,以将这些部分成更移近血管10的壁。从图6A进展至图6B,递送线材106可以向远侧移动以抵靠植入物200的外弯曲部分延伸和/或通过近侧隆起116提供抵靠植入物200的近侧锚(未示出)的推力。从图6B进展至图6C,递送线材106可以向近侧拉动以压靠植入物200的内部弯曲部分和/或将植入物200的至少一部分缩回到导管102中。
在图6A至图6C所示的示例中,递送线材106的成形部分112可以是柔性的以弯曲成弯曲脉管系统10的形状,并且由于由记忆形状材料制成而不需要重新成形。可成形部分112可以单独弯曲以符合弯曲体腔的形状,使得可膨胀元件200、递送线材106和导管102的远侧移动和近侧移动可以致使递送线材移动以便从编织部分206内提供径向力。在该示例中,非预成形的可成形部分112可以基于使递送线材106通过弯曲的内部并到将要植入编织部分206的脉管系统的弯曲的外侧而弯曲。
图7是概述使用用于部署植入物的设备或系统的示例性方法步骤的流程图。方法步骤可以通过本文描述的示例性方式或通过本领域普通技术人员已知的任何方式来实现。
参考图7所示的方法700,在步骤710中,可以提供具有导管、可膨胀元件和递送线材的植入递送系统。植入递送系统可以是本文所述的任何递送系统,其具有本文描述的特征的任何组合、以及本领域技术人员已知的任何特征。在步骤720中,可以移动可膨胀元件的第一部分以离开导管。在步骤730中,可以将可膨胀元件的第二部分保持在导管内以建立部分植入构型。在步骤740中,在部分植入构型中,可以独立于可膨胀元件移动递送线材。在步骤750中,可以在步骤740中响应于递送线材的移动而扩大可膨胀元件的周长。
本文所包含的描述是本发明的实施方案的示例,并且不旨在以任何方式限制本发明的范围。如本文所述,本发明考虑了植入系统及其使用方法的许多变化和修改,包括递送线材的可成形部分的各种形状、各种材料、各种处理和各种支架几何形状。这些修改将对本领域中的普通技术人员将是显而易见的,并且旨在处于以下权利要求的范围内。
Claims (18)
1.一种血管治疗设备,包括:
导管,所述导管包括内腔;
可膨胀元件,所述可膨胀元件包括:
近侧端部;
远侧端部;
编织部分,所述编织部分定位在所述近侧端部与所述远侧端部之间;
近侧锚构件,所述近侧锚构件设置在所述近侧端部处;
远侧锚构件,所述远侧锚构件设置在所述远侧端部处;
压缩构型,所述压缩构型的尺寸被设定成配合在所述导管的所述内腔内;和
部分植入构型,其中所述近侧端部的尺寸被设定成配合在所述导管的所述内腔内并且所述远侧端部的尺寸被设定成大于所述导管的尺寸;和
递送线材,所述递送线材设置在所述内腔和所述可膨胀元件内并延伸通过所述内腔和所述可膨胀元件,包括:
近侧部分;
近侧隆起构件,所述近侧隆起构件定位在所述近侧部分的远侧端部处;
远侧部分;
远侧隆起构件,所述远侧隆起构件定位在所述远侧部分的近侧端部处;和
可成形部分,所述可成形部分定位在所述近侧隆起构件与所述远侧隆起之间,所述可成形部分在离开所述导管的所述内腔时可从基本上直的构型移动到弯曲构型,
其中所述可膨胀元件能够通过所述递送线材的远侧移动从所述压缩构型移动到所述部分植入构型,从而使所述递送线材的所述远侧隆起构件与所述可膨胀元件的所述远侧锚构件接合,并且朝远侧推动所述远侧锚构件,从而将所述远侧锚构件从所述导管排出,
其中所述递送线材在所述部分植入构型中能够相对于所述可膨胀元件向远侧、向近侧和旋转地移动,并且
其中当所述可膨胀元件处于所述部分植入构型时,所述递送线材的所述可成形部分能够移动以从所述可膨胀元件的所述编织部分内提供径向力。
2.根据权利要求1所述的设备,其中所述可成形部分能够在所述弯曲构型中移动成对称弧形、非对称弧形、近似“S”形和防创伤形状中的至少一个。
3.根据权利要求1所述的设备,其中,
所述可膨胀元件处于压缩构型并且完全定位在所述导管的所述内腔内,
所述成形部分处于所述基本上直的构型并且定位在所述可膨胀元件的所述编织部分的内腔内,
所述远侧隆起构件定位在所述可膨胀元件的所述编织部分的所述内腔内,并且
所述近侧隆起构件定位在所述近侧锚构件的近侧。
4.根据权利要求1所述的设备,其中,
所述可膨胀元件处于所述部分植入构型,
所述可膨胀元件的所述远侧端部定位在所述导管的外部,
所述可膨胀元件的所述近侧端部和所述近侧锚定位在所述导管的所述内腔内,并且
所述递送线材的所述可成形部分处于所述弯曲构型并且定位在所述导管外部。
5.根据权利要求4所述的设备,其中所述递送线材相对于所述可膨胀元件的旋转扩展所述可膨胀元件的半径。
6.一种用于植入支架的方法,包括:
提供包括导管、可膨胀元件和递送线材的植入系统;
移动所述可膨胀元件的第一部分以离开所述导管;
将所述可膨胀元件的第二部分保持在所述导管内以建立部分植入构型;
在所述部分植入构型中独立于所述可膨胀元件移动所述递送线材;以及
响应于移动所述递送线材而扩大所述可膨胀元件的周长。
7.根据权利要求6所述的方法,还包括以下步骤:
将近侧锚定位在所述可膨胀元件的近侧端部处;
将远侧锚定位在所述可膨胀元件的远侧端部处;
将远侧隆起定位在所述递送线材上;
靠近所述远侧隆起将近侧隆起定位在所述递送线材上;
将所述远侧隆起定位在所述可膨胀元件的内腔内;
将所述近侧隆起定位在所述可膨胀元件的近侧;
将所述可膨胀元件和所述递送线材的至少一部分定位在所述导管的内腔内;
通过向远侧推动所述递送线材由此将所述远侧隆起推靠所述远侧锚,将所述远侧锚和所述可膨胀元件向远侧移动通过所述导管的所述内腔;
通过向远侧推动所述递送线材由此将所述近侧隆起推靠所述近侧锚,将所述近侧锚从所述导管的所述远侧端部排出;以及
膨胀所述已排出的近侧锚,
其中移动所述可膨胀元件的第一部分以离开所述导管的步骤包括以下步骤:
通过向远侧推动所述递送线材由此将所述远侧隆起推靠所述远侧锚,将所述远侧锚从所述导管的远侧端部排出;以及
膨胀所述已排出的远侧锚,
其中在所述部分植入构型中独立于所述可膨胀元件移动所述递送线材的步骤还包括将所述近侧锚保持在所述导管的内腔内的步骤,并且
其中响应于所述移动所述递送线材而扩大所述可膨胀元件的周长的步骤包括从所述可膨胀元件的所述内腔内提供来自所述递送线材的抵靠所述可膨胀元件的径向力的步骤。
8.根据权利要求6所述的方法,还包括以下步骤:在所述递送线材的一部分从所述导管的内腔内向远侧移动到所述导管的内腔外部的位置时,将所述部分从基本上直的构型成形为弯曲构型。
9.根据权利要求8所述的方法,还包括以下步骤:使所述递送线材的所述成形部分从所述可膨胀元件的所述内腔内抵靠所述可膨胀元件滑动。
10.根据权利要求8所述的方法,还包括以下步骤:通过使所述成形部分抵靠所述可膨胀元件移动,将所述可膨胀元件的一部分延伸到血管壁。
11.根据权利要求6所述的方法,还包括以下步骤:移动所述可膨胀元件的所述第二部分以离开所述导管,并通过随着所述递送线材的远侧移动向远侧推动所述可膨胀元件而被植入。
12.一种用于植入支架的系统,包括:
导管;
编织支架,所述编织支架能够移动至部分植入构型,其中所述编织支架的部分在所述导管外部,并且所述编织支架的部分在所述导管内;和
递送线材,所述递送线材能够独立于所述编织支架移动,并且当所述编织支架处于部分植入构型时能够移动以提供打开所述编织支架的力。
13.根据权利要求12所述的系统,
其中所述编织支架包括位于远侧端部处的第一可膨胀锚和位于近侧端部处的第二可膨胀锚,
其中所述编织支架能够以压缩构型移动通过所述导管,
其中所述编织支架能够从所述压缩构型移动到所述部分植入构型,使得第一可膨胀锚在所述导管远侧的植入位置被膨胀并且所述第二可膨胀锚在所述导管内被压缩,
其中所述递送线材包括推动隆起和可成形区段,
其中当所述编织支架处于所述压缩构型时并且当所述编织支架处于所述部分植入构型时,所述递送线材延伸通过所述编织支架,
其中当所述编织支架处于所述压缩构型时并且当所述编织支架处于所述部分植入构型时,所述推动隆起定位在所述第二可膨胀锚的近侧,
其中当所述编织支架处于所述压缩构型时并且当所述编织支架处于所述部分植入构型时,所述可成形区段定位在所述编织支架内,
其中所述可成形区段能够从所述编织支架处于所述压缩构型时的基本上直的构型移动到所述编织支架处于所述部分植入构型时的弯曲构型,并且
其中当所述编织支架处于所述部分植入构型时,所述可成形区段能够独立于所述编织支架移动。
14.根据权利要求13所述的系统,其中所述推动隆起能够移动以向远侧推动所述第二可膨胀锚,由此当所述编织支架处于所述部分植入构型时向远侧推动所述编织支架。
15.根据权利要求13所述的系统,其中所述递送线材还包括牵拉隆起,当所述编织支架处于所述压缩构型时,所述牵拉隆起定位在所述推动隆起和所述可成形区段的远侧并且定位在所述第一可膨胀锚的近侧。
16.根据权利要求12所述的系统,其中所述可成形区段能够在所述弯曲构型中移动成弧形。
17.根据权利要求13所述的系统,其中所述可成形区段能够在所述弯曲构型中移动成起伏形状。
18.根据权利要求12所述的系统,其中当所述编织支架处于所述部分植入构型时,所述递送线材能够独立于所述编织支架沿远侧方向、沿近侧方向和沿旋转方向移动。
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN115245413A (zh) * | 2021-12-24 | 2022-10-28 | 湖南瑞康通科技发展有限公司 | 脑动脉支架输送系统 |
CN114432016A (zh) * | 2022-04-07 | 2022-05-06 | 北京市神经外科研究所 | 一种输送导丝 |
CN115670763A (zh) * | 2022-12-30 | 2023-02-03 | 艾柯医疗器械(北京)股份有限公司 | 支架输送部件、支架输送系统及支架系统 |
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BR102019016190A2 (pt) | 2020-03-24 |
KR20200016190A (ko) | 2020-02-14 |
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RU2019124720A (ru) | 2021-02-05 |
US10278848B1 (en) | 2019-05-07 |
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