CN111388157A - 具有一个或多个膨胀环的编织支架系统 - Google Patents
具有一个或多个膨胀环的编织支架系统 Download PDFInfo
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Abstract
本发明题为“具有一个或多个膨胀环的编织支架系统”。本发明涉及一种血管内自膨胀支架系统,该血管内自膨胀支架系统可包括编织物,该编织物具有近侧端部、远侧端部和形成于近侧端部和远侧端部之间的内腔。编织物可由织造以包括空隙的一根或多根线材形成。第一膨胀环可连接到该编织物的该近侧端部。第二膨胀环可连接到该编织物的该远侧端部。每个膨胀环可包括向编织物赋予向外膨胀的径向力的框架。框架可包括通过一个或多个交叉口互连的多个细长构件。
Description
技术领域
本公开整体涉及治疗患者的脉管系统中的某些缺陷,并且更具体地,涉及使编织支架自膨胀到患者的脉管系统中的治疗部位。
背景技术
支架被理解为可插入血管中以在血管内提供开放路径的管状加强件。支架已广泛用于闭塞心脏动脉的血管内血管成形术治疗,其中可在血管成形术手术之后插入支架以防止动脉再狭窄。支架通常通过使用递送装置进行部署,该递送装置致使支架打开,其目的是加强动脉壁并在动脉中提供畅通的直通路径从而防止再狭窄。
然而,神经脉管系统的弱性和非线性性质限制了此类支架在手术中例如在修复神经血管缺陷中的适用性。另外,已知的递送方法在血管闭塞手术中不太有用,尤其是当需要治疗微小血管诸如大脑中所存在的那些血管时。
此外,单线材编织支架具有一些关键优点,诸如较低的卷曲轮廓,并且在脉管系统中的递送期间需要较低的力来跟踪装置。这些支架通过以某一图案(例如圆柱形)编织线材来制造,并且通常由自膨胀材料诸如镍钛诺制造。这些装置的一个显著缺点是它们具有非常低的径向膨胀力,导致支架迁移和难以准确地放置装置。
因此,需要可在神经血管缺陷的血管闭塞治疗中与递送技术一起使用的支架,该支架在神经血管缺陷附近提供选择性的、准确的加强。还需要减小对血管造成创伤或破裂风险的支架。
针对这些和其他考虑,提出了下文所述的各种实施方案。
发明内容
在一些方面,本公开涉及编织支架系统,该编织支架系统可包括具有近侧端部、远侧端部和形成于近侧端部和远侧端部之间的内腔的编织物。编织物可由织造以包括空隙的一根或多根线材形成。第一膨胀环可连接到所述编织物的所述近侧端部。第二膨胀环可连接到所述编织物的所述远侧端部。每个膨胀环可包括向编织物赋予向外膨胀的径向力的框架。框架可包括通过一个或多个交叉口互连的多个细长构件。
在一些方面,近侧端部和远侧端部各自包括由一根或多根线材形成的环状端部。
在一些方面,第一膨胀环或第二膨胀环中的每个的细长构件交织进和交织出编织物的相邻环状端部。
在一些方面,第一膨胀环或第二膨胀环中的每个的交叉口按顺序交织,由此每个交叉口与编织物的相应环状端部连接或连通。
在一些方面,第一膨胀环或第二膨胀环中的每个的交叉口按顺序交织,由此每个交叉口用编织物的相应环状端部缠绕或钩住。
在一些方面,第一膨胀环或第二膨胀环中的每个的细长构件以锯齿形组件的形式按顺序交织到编织物的相邻环状端部。
在一些方面,第一膨胀环或第二膨胀环中的每个的细长构件以锯齿形组件的形式按顺序交织到编织物的相邻环状端部。
在一些方面,第一膨胀环包括与编织物的近侧端部近侧的一个或多个对应的细长构件连接的一个或多个不透射线的带。
在一些方面,第一膨胀环包括一个或多个不透射线的带,所述一个或多个不透射线的带与一个或多个对应的细长构件连接,所述细长构件邻近与相应的环状端部连接的相应交叉口且在近侧端部的近侧。
在一些方面,第二膨胀环包括与编织物的远侧端部远侧的一个或多个对应的细长构件连接的一个或多个不透射线的带。
在一些方面,第二膨胀环还包括一个或多个不透射线的带,所述一个或多个不透射线的带与一个或多个对应的细长构件连接,所述细长构件邻近与相应的环状端部连接的相应交叉口且在远侧端部的远侧。
在一些方面,第一膨胀环和第二膨胀环中的至少一个还包括与编织物的对应的环状端部和一个或多个对应的细长构件连接的一个或多个不透射线的带。
在一些方面,每个细长构件通过将相应的不透射线的带包裹或环绕在其周围而连接到编织物的对应环状端部。
在一些方面,每个细长构件被取向为平行于连接到不透射线的带的对应环状端部的线材的相应部分。
在一些方面,第一膨胀环或第二膨胀环中的至少一个包括机械连接到环状端部中的一个或多个的夹具。
在一些方面,每个相应的近侧端部或远侧端部的环状端部设有第一膨胀环或第二膨胀环的一个端点。
在一些方面,每个膨胀环是自膨胀的。
在一些方面,由细长构件和交叉口形成的每个膨胀环的框架包括锯齿形、“V”形、“U”形、“W”形或双“U”形中的一种。
在一些实施方案中,公开了一种使用编织物的方法。所述方法包括提供编织物,所述编织物具有近侧端部、远侧端部和通过一根或多根编织线材形成于近侧端部和远侧端部之间的内腔;将第一膨胀环定位成具有近侧端部,所述第一膨胀环被配置成自膨胀的,并且向所述编织物的所述近侧端部施加向外径向力;将第二膨胀环定位在所述编织物的远侧端部处,所述第二膨胀环被配置成自膨胀的,并且向所述编织物的所述远侧端部施加向外径向力;将所述第一膨胀环和第二膨胀环中的至少一个接合到递送线材;以及通过朝远侧推进所述递送线材来将所述编织物递送到动脉瘤。
在一些方面,将第一膨胀环定位在编织物的近侧端部处的步骤包括将第一膨胀环的一个或多个细长构件按顺序平移进和平移出编织物的近侧端部的相邻环状端部。
在一些方面,将第二膨胀环定位在编织物的远侧端部处的步骤包括将第二膨胀环的一个或多个细长构件按顺序平移进和平移出编织物的远侧端部的相邻环状端部。
在一些方面,将第一膨胀环定位在编织物的近侧端部处的步骤包括定位第一膨胀环的一个或多个交叉口,直到每个交叉口与编织物的近侧端部的相应环状端部连接或连通。
在一些方面,该方法还包括用编织物的相应环状端部缠绕或钩住每个交叉口。
在一些方面,将第二膨胀环定位在编织物的远侧端部处的步骤包括定位第二膨胀环的一个或多个交叉口,直到每个交叉口与编织物的远侧端部的相应环状端部连接或连通。
在一些方面,该方法还包括用编织物的相应环状端部缠绕或钩住每个交叉口。
在一些方面,该方法还包括将一个或多个不透射线的带与在编织物的近侧端部近侧的一个或多个对应的细长构件连接。
在一些方面,该方法还包括将一个或多个不透射线的带与一个或多个对应的细长构件连接,所述细长构件邻近与编织物的相应环状端部连接的第一膨胀环的相应交叉口且在近侧端部的近侧。
在一些方面,该方法还包括将一个或多个不透射线的带与一个或多个对应的细长构件连接,所述细长构件邻近与编织物的相应环状端部连接的第一膨胀环的相应交叉口且在近侧端部的近侧。
在一些方面,该方法还包括其中第一膨胀环和第二膨胀环中的至少一个还包括与编织物的对应的环状端部和一个或多个对应的细长构件连接的一个或多个不透射线的带。
在一些方面,该方法还包括通过将相应的不透射线的带包裹或环绕在其周围来将每个细长构件连接到编织物的对应环状端部。
在一些方面,该方法还包括使细长构件平行于编织物的相应线材取向,所述相应线材从对应的环状端部延伸并连接到不透射线的带。
在一些方面,该方法还包括将编织物的环状端部或线材中的一个或多个连接到第一膨胀环或第二膨胀环的夹具的空隙。
在一些方面,该方法还包括通过细长构件形成每个膨胀环的框架,并且交叉成锯齿形、“V”形、“U”形、“W”形或双“U”形中的一种。
在一些方面,该编织物为网状分流器。
在一些方面,该方法还包括通过在近侧端部处附接第一膨胀环并在远侧端部处附接第二膨胀环来增加编织物的径向膨胀力。
附图说明
现在将参考附图,附图不一定按比例绘制。
图1示出了在示例编织物的相应近侧端部和远侧端部处组装有示例膨胀环的示例性自膨胀编织物的侧平面视图。
图2为图1的平面A-A的近距离视图,其示出了通过具有固定附件的管状编织支架主体的空隙而编织的所示膨胀环中的一个的某些特征。
图3为在用本公开的编织物组装之前的示例性膨胀环的透视图。
图4为图1的平面B-B的近距离视图,其示出了通过示例编织物的空隙编织的所示膨胀环中的一个的某些特征。
图5为图3的平面C-C的近距离视图,其示出了本公开的示例膨胀环的示例夹具。
图6示出了当组装在示例编织物的近侧端部和远侧端部处时的示例性膨胀环的侧平面视图。
图7示出了当组装在示例编织物的近侧端部和远侧端部处时的示例性膨胀环的侧平面视图。
图8示出了当组装在示例编织物的近侧端部和远侧端部处时的示例性膨胀环的侧平面视图。
图9示出了用于用示例编织物治疗动脉瘤的示例血管内医疗系统。
图10示出了一种使用编织物的方法。
具体实施方式
尽管本文详细解释了所公开技术的示例实施方案,但是应当理解可以设想其他实施方案。因此,并不意图将所公开技术的范围限制在以下描述中阐述的或附图中所示的部件的构造和布置的细节。所公开技术能够具有其他实施方案并且能够以各种方式实践或实施。
如本文所讨论的,“受试者”或“患者”的脉管系统可以是人或任何动物的脉管系统。应当理解,动物可以是各种任何适用的类型,包括但不限于哺乳动物、兽医动物、家畜动物或宠物类动物等。例如,动物可以是专门选择具有与人类相似的某些特征的实验动物(例如,大鼠、狗、猪、猴等)。应当理解,受试者可以是例如任何适用的人类患者。
编织物可由多个细长构件(例如金属线材、聚合物纤维或材料股线) 形成,并且这些构件在神经血管缺陷的治疗中可以是非常有用的。然而,当此类编织构件旨在在支架主体的内腔中自膨胀时,已知的初始膨胀端部的活化方式难以充分、可靠且完全地打开,使得初始膨胀端部可被用作锚定点。此外,已知编织物表现出高的内部摩擦,其抵抗自膨胀编织物在被部署到打开状态时的固有径向膨胀力。更具体地,相对高的内部摩擦可使得难以打开支架的初始膨胀端部,这导致锚固和部署的缺陷。对于通过使用递送护套、微导管等递送至期望血管位置的编织物而言尤其如此,因为处于闭合状态(例如压缩或卷曲)时,支架主体通常在编织构件和递送护套或微导管之间表现出摩擦。
在实施中,编织物可通过抵靠编织物的近侧端部推进钝面而被递送至特定容器,从而使编织物轴向压缩和径向膨胀。递送护套或微导管内的该膨胀可导致施加到递送护套、微导管等的内表面的增加的法向力,从而也增加由编织物引起的摩擦。
这些问题的已知解决方案已取决于诸如以下的因素:材料、尺寸、单元设计、内部摩擦以及最终使用者的额外操纵,以可靠、快速且充分地打开编织物。继而,编织物的成功在很大程度上依赖于最终使用者的递送准确性,这不必要地增加了患者受伤的风险。
此外,此类编织的自膨胀支架在递送和/或部署之后可能难以收拢。应当理解,“自膨胀”支架为其中特定支架在通过递送装置(诸如护套、微导管等)出现时完全部署的支架。就这一点而言,当自膨胀支架主体在相应的递送装置之外不受限制地出现时,自膨胀编织物应当膨胀并部署在脉管系统中。然而,由于所参考的径向力和摩擦,部署之后的支架部署和收拢是困难的。本发明人已设计出克服这些问题的递送系统,参见至少美国序列号15/281,974,该文献以引用方式并入本文。
术语“远侧”或“近侧”用于下文有关相对于治疗医生或医学介入医生的位置或方向的描述。“远侧”或“朝远侧”是远离医师或在远离医生或介入医生方向的位置。“近侧”或“朝近侧”或“在近侧”是靠近医生或介入医生或在朝向医生或介入医生方向的位置。术语“阻塞”、“凝块”或“堵塞”可互换使用。
转到图1,本文所公开的膨胀环30、40示出于具有示例编织物10的侧平面视图中。所示出的系统1通过在环30、40和对应的编织物10之间提供牢固的机械附接来解决这些和其他问题,所述附接增加近侧12端部和远侧14端部和/或近侧12端部和远侧14端部之间限定的内腔16的向外延伸的径向膨胀力。每个环30、40包括具有多个互连的细长构件38的框架,所述细长构件共同导致环将其自身与编织物10的相应近侧12端部或远侧 14端部连接。在框架的细长构件38与编织物10的近侧12端部或远侧14 端部互连时,环30、40能够向编织物10赋予向外膨胀的径向力。在一些方面,更具体地如图3中所示,每个环40的相应端部通过机械地固定每个环40的夹具35以与编织物10的环状端部18交错和/或交织来连接。在一些实施方案中,第一膨胀环30或第二膨胀环40中的每个的细长构件36、 38交织进和交织出编织物10的相邻环状端部18。用编织物10组装一个或多个环30、40导致相对容易的递送,而不需要用编织物10准确地定位环 30、40。
图2示出了图1的平面A-A的近距离视图,其示出了具有对应环状端部18的编织物10的示例性近侧端部12。还可以看出,一条或多条线材22 被编织,以形成无创伤的环状端部18。应当理解,远侧端部14也可具有相同或相似的环状端部18。
转到图3,示出了具有多个互连的细长构件36、38的示例性环30、40 的透视图。虽然由互连的细长构件36、38形成的环30、40的每个框架可为如图3中所示的V形,但应当理解,环30、40的框架也可以其他弓形取向布置。就这一点而言,构件36、38可包括弯曲部分或拱形部分,该弯曲部分或拱形部分具有预定的压缩阻力。环30、40的每个框架(包括相应构件36、38)可具有相同或不同的阻力,使得环30、40可针对特定脉管系统实施而个性化。
在微导管10内部的压缩未膨胀状态中,每个30、40可操作以与编织物10的环状端部18组装,同时还提供向外膨胀的径向力以对抗压缩状态中的向内施加的压缩。构件36、38及其组成特征部,包括交叉口32和/或任何预成形形状诸如图3的弓形V形可由超弹性材料诸如镍钛合金或镍钛诺形成,或者可由非超弹性材料诸如弹簧钢或MP35N、35%镍、35%钴、20%铬和10%钼的合金形成。构件36、38也可由形状记忆材料形成,该形状记忆材料具有处于打开状态的形状记忆位置。
图4示出了图1的平面B-B的近距离视图,其示出了与编织物10的远侧端部14的环状端部18交错的环40的交叉口32。更具体地,可看到构件 38、36在交叉口32处接合在一起。环40(包括构件36、38和对应的交叉口32)可以多种方式与端部18织造。例如,构件38可交织进和交织出编织物10的相邻环状端部18,包括按顺序穿过连续的环状端部18,如图6 中所示。就这一点而言,交叉口32可为锯齿形和/或用编织物10的相应环状端部18缠绕或钩住。虽然图4中未示出环30以其交叉口32连接到近侧端部12的对应环状端部,但预期环30将类似地与端部12连接,如图4中所示。
图5为环30、40的示例夹具35的近距离视图。环30、40的框架可包括如图所示在第一交叉口32处接合在一起的构件38、36,由此交叉口32 可为所述夹具35。虽然在图5中看到构件38、36彼此一体地形成,但环 30、40不受此限制,并且构件38、36可可拆卸地附接到彼此或以其他方式连接。构件38、36也可粘附到彼此、卷曲或焊接,以形成连接件42。另外,如果在具有连接件42的特定具体实施中使用一个或多个紧固件,则它们可被可拆卸地连接或焊接、焊合和/或卷曲。紧固件和/或构件38、36可由不透射线的金属诸如铂或钽形成,或者可由不透射线的材料诸如不锈钢形成。
通过将夹具35添加到构件38、36的交叉口,每个环30、40可与环状端部18交错,而不与其永久或刚性附接(例如,焊接、焊合或化学粘合)。包括夹具35的交叉口32还可包括可旋转和/或可扭曲的铰合型联轴器,使得当编织物10和环30、40在使用中时,每个环30、40能够挠曲预定的量。一个或多个细长构件33可从交叉口32延伸,包括从构件38、36延伸,并且在连接件42处终止于交叉口32对面。细长构件33被示出为基本上对齐和彼此错开的,同时在一个或多个连接件42处接合以在它们之间形成一个或多个对应的空隙37,线材22可通过所述空隙穿过。
在一些方面,细长构件33可穿过线材22和对应的环状端部18和/或与线材22和对应的环状端部18交错,并且然后在一个或多个相应的连接件 42处接合。在提供多于一个空隙37的那些实施方案中,一个或多个多个环状端部18或穿过线材22的通道可被布置在空隙37中或与空隙37连接,使得夹具35可机械地分别附接到近侧端部12或远侧端部14。细长构件33之间的一个或多个连接件42可由焊接、卷曲、带、夹具或粘合剂形成。
图6示出了选择性地定位在端部12、14处的环30、40的侧平面视图。在该实施方案的锯齿构型中,应当理解,环30、40可交织或以其他方式互连,使得每个环30、40的相应交叉口32与编织物10的环状端部18连通。在某些实施方案中,对于每个环状端部18,可由环30、40中的任一个提供对应的交叉口32。应当理解,图6的实施方案并非旨在为限制性的,并且任何数量的环30、40和/或与环状端部18交错。例如,交叉口32(包括其细长构件36、38)可相对于编织物10的环状端部18被牵拉或平移或以其他方式推进,以便以锯齿形组件的形式按顺序交织到编织物10的相邻环状端部18。
图7示出本公开的编织物10的一个方面,其中环30、40具有不透射线的带46。具体地,一个或多个不透射线的带46可与环30、40的一个或多个对应的细长构件38连接。在一些方面,带46可围绕或以其他方式周向围绕细长构件38或构件36定位(例如,在相应构件的外表面上轴向对齐)。在一些实施方案中,带46可在环状端部18处与编织物10接触,或者可仅在其远侧或近侧。
图8示出了类似于图7的示例的编织物10的一个方面。然而,在图8 中所示的示例中,带46可与构件38或36和线材22两者轴向对齐,仅在相应的环状端部18的近侧或远侧,使得“锯齿”形状与近侧22端部或远侧 12端部的线材22的对应形状对齐。在某些示例中,一个或多个带46可缠绕相应的线材22和细长构件36或38两者,由此线材和构件36或38中的每个也因此轴向对齐并且可能也接触。
图9示出了用于用本文所公开的示例编织物10治疗动脉瘤AN的示例血管内医疗系统。在使用期间,医生或介入医生通过通常在位于腹股沟中的动脉中的脉管系统血管内引入导丝50或通过颈动脉直接进入。导丝50 通过脉管系统推进到动脉瘤。一旦导丝50正确定位,则微导管60在导丝之上朝远侧跟踪,该导丝穿过通过微导管60轴向限定的内腔。一旦正确定位(例如,邻近或以其他方式靠近动脉瘤AN的颈部),则编织物10和对应的膨胀环30、40可朝向动脉瘤AN朝远侧推进以用于治疗。
还应该注意的是,除非上下文清楚地指明,否则本说明书和所附权利要求中所用的单数形式“一个/一种”和“所述/该”包括复数指代物。范围可在本文中表示为从“约”或“大约”一个特定值和/或至“约”或“大约”另一个特定值。当表示此类范围时,其他示例性实施方案包括从一个特定值和/或至其他特定值。
“包含”或“含有”或“包括”是指至少命名的化合物、元素、颗粒或方法步骤存在于组合物或制品或方法中,但不排除存在其他化合物、材料、颗粒、方法步骤,即使其他此类化合物、材料、颗粒、方法步骤具有与命名的那些相同的功能。
在描述示例实施方案时,为了清楚起见,将采用术语。旨在使每个术语设想其本领域技术人员理解的最广泛的含义,并且包括以类似方式操作以实现类似目的的所有技术等同物。还应当理解,提到方法的一个或多个步骤不排除存在附加的方法步骤或在那些明确标识的步骤之间的中间方法步骤。在不脱离本公开的范围的情况下,可以与本文所述的顺序不同的顺序执行方法的步骤。类似地,还应当理解,提到装置或系统中的一个或多个部件不排除存在附加的部件或在那些明确标识的部件之间的中间部件。
可包括各种专利、专利申请和公布的一些参考文献引用于参考文献列表中并在本文所提供的公开中讨论。提供此类参考文献的引用和/或论述仅仅是为了澄清本发明的描述,而不是承认任何此类参考文献为本文所述的本公开的任何方面的“现有技术”。在表示法方面,“[n]”对应于列表中的第n个参考文献。本说明书中引用和讨论的所有参考文献全文以引用方式并入本文,并且其程度与将每个参考文献单独以引用方式并入的程度相同。
本文所含的描述为说明解决方案的示例,并且不旨在限制范围。如本文所述,解决方案设想了系统、装置和/或方法的许多变型和修改,所述系统、装置和/或方法可用于分析一个或多个凝块并基于分析个性化治疗。变型可包括但不限于例如本文所述的元件和部件的另选几何形状、针对每种部件或元件利用多种材料(例如,不透射线的材料、记忆形状金属等)中的任一种、利用附加部件、利用附加部件来执行本文所述的功能、或利用附加部件来执行本文未描述的功能。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。
具体的构型、材料的选择以及各种元件的尺寸和形状可以根据需要根据所公开技术的原理构造的系统或方法的特定的设计规格或约束而变化。这些改变旨在包含在所公开技术的范围内。因此,本发明所公开的实施方案在所有方面都被认为是例示性的而非限制性的。因此,从前述内容显而易见的是,虽然已经示出和描述了本公开的特定形式,但是在不脱离本发明的精神和范围的情况下,可以进行各种修改,并且在其等同物的含义和范围内的所有改变都旨在包含在其中。
Claims (20)
1.一种血管内系统,包括用于治疗动脉瘤的自膨胀编织物,所述系统包括:
编织物,所述编织物包括近侧端部、远侧端部和形成于近侧端部和远侧端部之间的内腔,所述编织物由织造以包括空隙的一根或多根线材形成;
第一膨胀环,所述第一膨胀环连接到所述编织物的所述近侧端部;
第二膨胀环,所述第二膨胀环连接到所述编织物的所述远侧端部;
其中,每个膨胀环包括向所述编织物赋予向外膨胀的径向力的框架,所述框架包括通过一个或多个交叉口互连的多个细长构件。
2.根据权利要求1所述的系统,其中所述近侧端部和所述远侧端部各自包括由所述一根或多根线材形成的环状端部。
3.根据权利要求2所述的系统,其中所述第一膨胀环或所述第二膨胀环中的每个的所述细长构件交织进和交织出所述编织物的相邻环状端部。
4.根据权利要求3所述的系统,其中所述第一膨胀环或所述第二膨胀环中的每个的交叉口按顺序交织,由此每个交叉口与所述编织物的相应环状端部连接或连通。
5.根据权利要求3所述的系统,其中所述第一膨胀环或所述第二膨胀环中的每个的交叉口按顺序交织,由此每个交叉口用所述编织物的相应环状端部缠绕或钩住。
6.根据权利要求2所述的系统,其中所述第一膨胀环或所述第二膨胀环还包括:
一个或多个不透射线的带,所述一个或多个不透射线的带与一个或多个对应的细长构件连接,其在所述编织物的所述近侧端部的近侧或所述远侧端部的远侧。
7.根据权利要求2所述的系统,其中所述第一膨胀环或所述第二膨胀环还包括:
一个或多个不透射线的带,所述一个或多个不透射线的带与一个或多个对应的细长构件连接,所述细长构件邻近与相应的环状端部连接的相应交叉口且在所述近侧端部的近侧或在所述远侧端部的远侧。
8.根据权利要求2所述的系统,其中所述第一膨胀环和所述第二膨胀环中的至少一个还包括:
一个或多个不透射线的带,所述一个或多个不透射线的带与所述编织物的对应的环状端部和一个或多个对应的细长构件连接。
9.根据权利要求8所述的系统,其中每个细长构件通过将相应的不透射线的带包裹或环绕在其周围而连接到所述编织物的所述对应的环状端部。
10.根据权利要求2所述的系统,其中所述第一膨胀环或所述第二膨胀环中的至少一个包括机械连接到所述环状端部中的一个或多个的夹具。
11.根据权利要求2所述的系统,其中每个相应的近侧端部或远侧端部的环状端部存在所述第一膨胀环或所述第二膨胀环的一个端点。
12.一种使用编织物的方法,所述方法包括:
提供编织物,所述编织物具有近侧端部、远侧端部和通过一根或多根编织线材形成于近侧端部和远侧端部之间的内腔;
将第一膨胀环定位成具有所述近侧端部,所述第一膨胀环被配置成自膨胀的,并且向所述编织物的所述近侧端部施加向外径向力;
将第二膨胀环定位在所述编织物的远侧端部处,所述第二膨胀环被配置成自膨胀的,并且向所述编织物的所述远侧端部施加向外径向力;
将所述第一膨胀环和所述第二膨胀环中的至少一个接合到递送线材;以及
通过朝远侧推进所述递送线材来将所述编织物递送到动脉瘤。
13. 根据权利要求12所述的方法,其中将所述第一膨胀环定位在所述编织物的所述近侧端部处的步骤包括以下中的至少一个:
将所述第一膨胀环的一个或多个细长构件按顺序平移进和平移出所述编织物的所述近侧端部的相邻环状端部;以及
定位所述第一膨胀环的一个或多个交叉口,直到每个交叉口与所述编织物的所述近侧端部的相应环状端部连接或连通。
14. 根据权利要求12所述的方法,其中将所述第二膨胀环定位在所述编织物的所述远侧端部处的步骤包括以下中的至少一个:
将所述第二膨胀环的一个或多个细长构件按顺序平移进和平移出所述编织物的所述远侧端部的相邻环状端部;以及
定位所述第二膨胀环的一个或多个交叉口,直到每个交叉口与所述编织物的所述远侧端部的相应环状端部连接或连通。
15.根据权利要求14所述的方法,还包括:
用所述编织物的相应环状端部缠绕或钩住每个交叉口。
16.根据权利要求12所述的方法,还包括:
将一个或多个不透射线的带与一个或多个对应的细长构件连接,所述细长构件邻近与所述编织物的相应环状端部连接的所述第一膨胀环的相应交叉口且在所述近侧端部的近侧。
17.根据权利要求12所述的方法,还包括:
其中所述第一膨胀环和所述第二膨胀环中的至少一个还包括:
一个或多个不透射线的带,所述一个或多个不透射线的带与所述编织物的对应的环状端部和一个或多个对应的细长构件连接。
18.根据权利要求17所述的方法,还包括:通过将所述相应的不透射线的带46包裹或环绕在其周围来将每个细长构件连接到所述编织物的对应的环状端部。
19.根据权利要求17所述的方法,还包括:使细长构件平行于所述编织物的相应线材取向,所述相应线材从对应的环状端部延伸并连接到所述不透射线的带。
20.根据权利要求12所述的方法,通过在所述近侧端部处附接所述第一膨胀环并在所述远侧端部处附接所述第二膨胀环来增加所述编织物的径向膨胀力。
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-
2018
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2019
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- 2019-12-23 EP EP19219438.9A patent/EP3673875A1/en not_active Withdrawn
- 2019-12-24 JP JP2019232414A patent/JP2020103895A/ja not_active Abandoned
- 2019-12-27 CN CN201911381285.7A patent/CN111388157A/zh not_active Withdrawn
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2021
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN115137536A (zh) * | 2022-09-05 | 2022-10-04 | 艾柯医疗器械(北京)股份有限公司 | 一种珠串状部件、包含其的支架输送系统和支架系统 |
CN115137536B (zh) * | 2022-09-05 | 2022-12-09 | 艾柯医疗器械(北京)股份有限公司 | 一种珠串状部件、包含其的支架输送系统和支架系统 |
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US20200206003A1 (en) | 2020-07-02 |
US20210282946A1 (en) | 2021-09-16 |
KR20200081260A (ko) | 2020-07-07 |
US11039944B2 (en) | 2021-06-22 |
EP3673875A1 (en) | 2020-07-01 |
JP2020103895A (ja) | 2020-07-09 |
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