CN113633447A - Branch sheath and delivery system - Google Patents
Branch sheath and delivery system Download PDFInfo
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- CN113633447A CN113633447A CN202110919655.9A CN202110919655A CN113633447A CN 113633447 A CN113633447 A CN 113633447A CN 202110919655 A CN202110919655 A CN 202110919655A CN 113633447 A CN113633447 A CN 113633447A
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- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
-
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (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)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
Abstract
The invention provides a branch sheath and a conveying system, wherein the branch sheath comprises a control framework, a film-coated sleeve, a binding coil and a connecting pipe; the control framework comprises a first fixing tube and a branch guide wire; the connecting pipe includes the fixed pipe of second and the fixed pipe of third, and the near-end cover of the fixed pipe of second is located on the distal end of first fixed pipe, and the distal end cover of the fixed pipe of second is located on the branch seal wire and is stretched out to the sheathed tube outside of tectorial membrane, and the near-end cover of the fixed pipe of third is located on the sheathed tube distal end of tectorial membrane, and the distal end of constraint coil is fixed in on the near-end of control skeleton, and the near-end of constraint coil stretches out to the sheathed tube outside of tectorial membrane. The delivery system includes the branch sheath described above. The invention not only can effectively reduce the release resistance of the branch stent and reduce the overall outer diameter of the branch sheath, but also can effectively improve the connection strength between the film-coated sleeve and the control framework, so that the overall structure of the branch sheath is more stable, and the success rate of the release of the branch stent is effectively improved.
Description
The divisional application is based on the Chinese patent application with the application number of 202110575127.6, the application date of 2021, 26.5.26 and the name of the invention of "branching sheath and delivery system".
Technical Field
The invention relates to the technical field of medical instruments, in particular to a branch sheath and a delivery system.
Background
With the development of intracavity instruments and interventional therapy, the intravascular stent has become a common treatment means for aortic diseases such as aortic dissection, true and false aneurysm, aortic penetrating ulcer and the like, and the principle is that a covered stent is delivered into a diseased region by a special delivery system and then expanded, so that a tumor body, a laceration or a dissection is isolated from blood, and the risk of death caused by aneurysm rupture and dissection hemorrhage is avoided.
At present, mature vascular stents are used for thoracic descending aorta diseases at home and abroad, and some branch type covered stents, such as single branch stents, two branch stents and three branch stents, appear aiming at the condition that pathological changes are affected by branches on an aortic arch.
Chinese patent CN102415924B discloses a branch sheath for restraining, controlling and releasing branch stents. The branch sheath is mainly formed by connecting all components by using bonding, sewing, clamping and the like through a metal wire, a metal pipe, a branch binding line and a film-coated sleeve. The branch sheath disclosed in this patent, although primarily achieving control of the branch stent, still has the following problems: 1. because the film-coated sleeve is formed by sewing flat films, the release resistance of the branch sheath is larger due to the sewed nodes; 2. when the release resistance reaches a certain degree, the needle hole at the suture part can reduce the connection strength of the branch sheath, and if the suture is pulled off or broken in vivo, unexpected adverse events such as branch vessel occlusion and the like can be caused; 3. due to the limitation of materials, structures and connection modes, the whole structure of the branch sheath is difficult to penetrate through a commonly used 6Fr puncture sheath, and the use difficulty is increased.
Disclosure of Invention
The invention aims to provide a branch sheath and a delivery system, which can solve one or more of the problems of large release resistance, low connection strength, large use difficulty and the like of the branch sheath in the prior art.
In order to solve the technical problem, the invention provides a branch sheath, which comprises a control framework, a film-coated sleeve, a binding coil and a connecting pipe; the control framework comprises a first fixing pipe and a branch guide wire which are connected, the first fixing pipe is sleeved on the near end of the branch guide wire, and the first fixing pipe is fixed inside the film-coated sleeve pipe through the connecting pipe; the connecting pipe comprises a second fixing pipe and a third fixing pipe which are connected, the second fixing pipe is positioned inside the film covering sleeve, the near end of the second fixing pipe is sleeved on the far end of the first fixing pipe, the far end of the second fixing pipe is sleeved on the branch guide wire and extends out of the film covering sleeve, the near end of the third fixing pipe is sleeved on the far end of the film covering sleeve, and the far end of the branch guide wire penetrates out of the film covering sleeve and extends out of the third fixing pipe; the number of the bound coils is at least two, the far ends of the bound coils are fixed on the near ends of the control frameworks, and the near ends of the bound coils extend out of the film-coated sleeve.
Optionally, the distal end of tectorial membrane sheathed tube is equipped with first toper pipe, first toper pipe is including the first reducing pipe and the first reducing pipe that link to each other, first reducing pipe is located the near-end of first toper pipe, the external diameter and the internal diameter of first reducing pipe reduce from near-end to distal end gradually, the near-end cover of the fixed pipe of third is located on the first reducing pipe, the distal end cover of the fixed pipe of third is located on the branch seal wire.
Optionally, a second taper pipe is arranged at the distal end of the second fixing pipe, the second taper pipe includes a second reducer pipe and a second constant diameter pipe which are connected, the second reducer pipe is located at the proximal end of the second taper pipe, the outer diameter and the inner diameter of the second reducer pipe are gradually reduced from the proximal end to the distal end, the second reducer pipe is arranged corresponding to the first reducer pipe, and the second constant diameter pipe is arranged corresponding to the first constant diameter pipe.
Optionally, the near-end of the fixed pipe of third be equipped with the third constant diameter pipe that first constant diameter pipe corresponds the setting, the distal end of the fixed pipe of third is equipped with the third tapered pipe, the third tapered pipe is including the fourth constant diameter pipe and the third reducing pipe that link to each other, the third reducing pipe is located the third constant diameter pipe with between the fourth constant diameter pipe, the external diameter and the internal diameter of third reducing pipe reduce from the near-end to the distal end gradually, the third constant diameter pipe box is located on the first constant diameter pipe, the fourth constant diameter pipe box is located on the branch seal wire.
Optionally, the second fixing tube and/or the third fixing tube are made of a polymer material, and the proximal end of the second fixing tube is connected with the distal end of the first fixing tube in a hot-melt manner, and/or the proximal end of the third fixing tube is connected with the distal end of the second fixing tube in a hot-melt manner.
Optionally, the branch guide wire is made of a metal material, the first fixing tube is made of a polymer material, the wire diameter of the branch guide wire is 0.016 inches to 0.035 inches, and the branch guide wire is connected with the first fixing tube in a hot melting mode.
Optionally, the film-covered sleeve is an integrated hose.
Optionally, each of the binding loops is formed by folding a binding line in half, and both ends of the binding line are bound to the proximal end of the control framework.
Optionally, the distal end of the restraining coil is connected with the proximal end of the control framework in a hot melting mode.
In order to solve the technical problem, the invention further provides a delivery system for delivering a branched stent, wherein the delivery system comprises the branched sheath.
Compared with the prior art, the branch sheath and the delivery system provided by the invention have the following advantages: (1) the branch sheath provided by the invention comprises a control framework, a film-coated sleeve, a binding coil and a connecting pipe; the control framework comprises a first fixing pipe and a branch guide wire which are connected, the first fixing pipe is sleeved on the near end of the branch guide wire, and the first fixing pipe is fixed inside the film-coated sleeve pipe through the connecting pipe; the connecting pipe comprises a second fixing pipe and a third fixing pipe which are connected, the second fixing pipe is positioned inside the film covering sleeve, the near end of the second fixing pipe is sleeved on the far end of the first fixing pipe, the far end of the second fixing pipe is sleeved on the branch guide wire and extends out of the film covering sleeve, the near end of the third fixing pipe is sleeved on the far end of the film covering sleeve, and the far end of the branch guide wire penetrates out of the film covering sleeve and extends out of the third fixing pipe; the far end of the binding coil is fixed on the near end of the control framework, and the near end of the binding coil extends out of the film-coated sleeve. Therefore, the branch sheath provided by the invention not only can effectively reduce the release resistance of the branch stent and the overall outer diameter of the branch sheath, but also can effectively improve the connection strength between the film-coated sleeve and the control framework, so that the overall structure of the branch sheath is more stable, and the success rate of the release of the branch stent is effectively improved.
(2) The film-coated sleeve pipe is an integrated hose, so that a sewing process can be omitted, no sewing joint exists, and compared with a flat-sheet film-coated sewn sleeve pipe, the film-coated sleeve pipe has higher tensile strength and smaller release resistance. In addition, compared with the traditional hard sheath, the covered sleeve of the invention can have smaller installation outer diameter of the branch stent, thereby further reducing the release resistance of the branch stent.
(3) The control framework comprises a first fixing tube and a branch guide wire which are connected, wherein the branch guide wire is a single metal guide wire, and the wire diameter of the branch guide wire is 0.016 to 0.035 inches. Therefore, the thicker metal guide wire can lead the branch guide wire to have stronger force conductivity and support property, and further prevent the branch sheath provided by the invention from being broken when passing through a side branch blood vessel with a larger angle so as to prevent the branch stent from being guided in.
(4) The connecting pipe comprises a second fixing pipe and a third fixing pipe which are connected, wherein the near end of the second fixing pipe is sleeved on the far end of the first fixing pipe, the near end of the third fixing pipe is sleeved on the far end of the film coating sleeve pipe, the second fixing pipe and/or the third fixing pipe are made of high polymer materials, the near end of the second fixing pipe is in hot-melt connection with the far end of the first fixing pipe, and/or the near end of the third fixing pipe is in hot-melt connection with the far end of the second fixing pipe. Therefore, the arrangement can ensure that the connection between the second fixing tube and the first fixing tube and the connection between the third fixing tube and the second fixing tube are firmer, further improve the overall connection strength of the branch sheath provided by the invention, and simultaneously further reduce the overall outer diameter of the branch sheath provided by the invention, thereby being more convenient to use.
Drawings
Fig. 1 is a schematic view of the overall structure of a branched sheath according to an embodiment of the present invention.
Fig. 2 is a cross-sectional view of a branch sheath in one embodiment of the present invention.
Fig. 3 is a schematic structural diagram of a control framework according to an embodiment of the present invention.
Fig. 4 is a schematic structural view illustrating a connection relationship between a binding coil, a control frame and a second fixing tube according to an embodiment of the present invention.
Fig. 5 is a partial schematic view of a delivery system according to an embodiment of the present invention, which is coupled to a branched stent.
Wherein the reference numbers are as follows: control framework-100; a film-coated sleeve-200; a tethered coil-300; connecting tube-400; a first stationary pipe-110; branch guidewire-120; a second stationary tube-410; a third stationary pipe-420; a first tapered tube-210; a first reducer pipe-211; a first diameter tube-212; a second tapered tube-411; a second equal-diameter tube-4111; a second reducer-4112; a third constant diameter tube-421; a third tapered tube-422; a fourth isopipe-4221; a third reducer-4222; node-310; a branched sheath-1; an inner tube-2; control guidewire-3; a main body stent tectorial membrane sleeve-4; the main body bracket binds the coil-5; a branch bracket-6 and a main bracket-7.
Detailed Description
The branch sheath and delivery system of the present invention will be described in further detail with reference to the accompanying fig. 1 to 5 and the detailed description. The advantages and features of the present invention will become more apparent from the following description. It is to be noted that the drawings are in a very simplified form and are all used in a non-precise scale for the purpose of facilitating and distinctly aiding in the description of the embodiments of the present invention. To make the objects, features and advantages of the present invention comprehensible, reference is made to the accompanying drawings. It should be understood that the structures, ratios, sizes, and the like shown in the drawings and described in the specification are only used for matching with the disclosure of the specification, so as to be understood and read by those skilled in the art, and are not used to limit the implementation conditions of the present invention, so that the present invention has no technical significance, and any structural modification, ratio relationship change or size adjustment should still fall within the scope of the present invention without affecting the efficacy and the achievable purpose of the present invention.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element. The singular forms "a", "an" and "the" include plural referents, the term "or" is generally employed in its sense including "and/or" the plural referents, "the plural referents are generally employed in its sense including" at least one ", the plural referents are generally employed in its sense including" two or more ", and the terms" first "," second "and" third "are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicit to the number of indicated technical features. Thus, features defined as "first", "second", "third" may explicitly or implicitly include one or at least two of the features.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "axial", "radial", "circumferential", and the like, indicate orientations and positional relationships based on the orientations and positional relationships shown in the drawings, and are used merely for convenience in describing the present invention and for simplicity in description, and do not indicate or imply that the device or element so referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore, should not be construed as limiting the present invention.
In the description of the present invention, unless otherwise expressly specified or limited, the terms "mounted," "connected," and "fixed" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral part; can be mechanically or electrically connected; either directly or indirectly through intervening media, either internally or in any other relationship. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
In the present invention, unless otherwise expressly stated or limited, "above" or "below" a first feature means that the first and second features are in direct contact, or that the first and second features are not in direct contact but are in contact with each other via another feature therebetween. Also, the first feature being "on," "above" and "over" the second feature includes the first feature being directly on and obliquely above the second feature, or merely indicating that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature includes the first feature being directly under and obliquely below the second feature, or simply meaning that the first feature is at a lesser elevation than the second feature.
The core idea of the invention is to provide a branch sheath and a delivery system, so as to solve one or more of the problems of large release resistance, low connection strength, large use difficulty and the like of the branch sheath in the prior art.
In the present invention, the term "distal" refers to the end near the operator, and the term "proximal" refers to the end near the patient, i.e., near the lesion.
To achieve the above-mentioned idea, the present invention provides a branch sheath, and please refer to fig. 1, which schematically shows an overall structural diagram of a branch sheath provided in an embodiment of the present invention. As shown in fig. 1, the branch sheath includes a control frame 100, a covered cannula 200, a restraining coil 300, and a connection tube 400, wherein at least two restraining coils 300 are provided. In a specific use, a branch stent of a branch stent is constrained in the graft sleeve 200, and the branch sheath is fixed to a main stent of the branch stent using the constraining coil 300.
Referring to fig. 1 and 2, fig. 2 is a cross-sectional view of a branch sheath according to an embodiment of the present invention. As shown in fig. 1 and 2, the film-coated casing 200 is sleeved on the proximal end of the control framework 100; the far end of the connecting pipe 400 is sleeved on the control framework 100, the near end of the connecting pipe 400 is located inside the film-coated sleeve 200, and the far end of the control framework 100 penetrates through the film-coated sleeve 200 and extends to the outside of the connecting pipe 400; the distal end of the restraining coil 300 is fixed to the proximal end of the control frame 100, and the proximal end of the restraining coil 300 extends out of the film-covered sleeve 200. Therefore, according to the invention, the connecting pipe 400 is arranged, the distal end of the connecting pipe 400 is sleeved on the control framework 100, and the proximal end of the connecting pipe 400 is arranged inside the coated sleeve 200, so that the coated sleeve 200 and the control framework 100 can be fixedly connected together through the connecting pipe 400, compared with the mode that the coated sleeve 200 and the control framework 100 are fixedly connected together in a sewing mode in the prior art, the branch sheath provided by the invention not only can effectively reduce the release resistance of the branch stent and reduce the overall outer diameter of the branch sheath, but also can effectively improve the connection strength between the coated sleeve 200 and the control framework 100, so that the integral structure of the branch sheath is more stable, and the success rate of the release of the branch stent is effectively improved.
Preferably, the coated cannula 200 is a one-piece hose. Because the film-coated sleeve 200 is an integral hose, a sewing process can be omitted, no sewing joint exists, and compared with a flat-sheet film-coated sewn sleeve, the film-coated sleeve 200 has higher tensile strength and smaller release resistance. In addition, compared with the traditional hard sheath, the covered cannula 200 of the invention can have a smaller installation outer diameter of the branch stent, thereby further reducing the release resistance of the branch stent. The material of the film-coated sleeve can adopt the film-coated materials in the prior art, such as polytetrafluoroethylene, nylon, polyester, terylene, polypropylene and the like.
Preferably, as shown in fig. 2, each of the binding loops 300 is formed by folding a binding line in half, and both ends of the binding line are bound to the proximal end of the control frame 100. Thus, this arrangement not only simplifies the molding process of the binding coil 300, but also facilitates the fixation of the distal end of the binding coil 300 to the control bobbin 100 by binding both ends of the binding thread to the proximal end of the control bobbin 100. In a specific operation, both ends of the binding line may be bound to the control frame 100 in a special binding manner to form at least one approximately circular node 310 on the control frame 100.
Further, the material of the binding coil 300 is a polymer material. Since the material of the binding coil 300 is a polymer material, the overall strength of the binding coil 300 provided by the invention can be effectively improved, and meanwhile, when the distal end of the binding coil 300 is fixed on the proximal end of the control framework 100 by means of hot melting, the binding coil 300 and the control framework 100 can be connected more firmly, so that the overall connection strength of the branch sheath provided by the invention is further improved. It should be noted that, in some other embodiments, the material of the binding coil 300 may also be other plastic materials besides the polymer material, which is not limited in the present invention.
Referring to fig. 2 and fig. 3, fig. 3 schematically shows a structural diagram of a control framework 100 according to an embodiment of the present invention. As shown in fig. 2 and 3, the control framework 100 includes a first fixing tube 110 and a branch guide wire 120 connected to each other, the first fixing tube 110 is sleeved on a proximal end of the branch guide wire 120, the first fixing tube 110 is fixed inside the covered cannula 200 through the connecting tube 400, and a distal end of the branch guide wire 110 penetrates through the covered cannula 200 and extends to an outside of the connecting tube 400. Therefore, the arrangement can ensure that the branch sheath provided by the invention has higher strength and rigidity so as to prevent the branch sheath from being broken when passing through a side branch vessel with a larger angle and leading the branch stent to be incapable of being introduced. In the actual operation process, the movement direction of the branch sheath can be guided by pulling the branch guide wire 120, and the branch sheath can enter a target branch blood vessel under the guidance of the branch guide wire 120.
Further, the branch guide wire 120 is a single metal guide wire, and the wire diameter of the branch guide wire 120 is 0.016 inches to 0.035 inches. Therefore, the thicker metal guide wire can make the branch guide wire 120 have stronger force conductivity and support property, and further prevent the branch sheath provided by the invention from being broken when passing through a side branch vessel with a larger angle so as to prevent the branch stent from being guided in.
Preferably, the first fixing tube 110 is made of a polymer material, and the outer diameter and the inner diameter of the first fixing tube 110 are equal everywhere. Therefore, the arrangement can not only facilitate the first fixing tube 110 to be firmly sleeved on the proximal end of the branch guide wire 120 by a hot melting method, but also enable the first fixing tube 110 to be tightly attached to the branch guide wire 120 after hot melting, so that the stability of the overall structure of the branch sheath provided by the invention can be further improved, and the overall outer diameter of the branch sheath provided by the invention can be further reduced. In addition, this arrangement may also facilitate the thermal fusion of the first fixing tube 110 and the connecting tube 400 by a thermal fusion method. It should be noted that, in some other embodiments, the material of the first fixing tube 110 may also be other plastic materials besides polymer materials, and in this case, the first fixing tube 110 and the branch guide wire 120 and the first fixing tube 110 and the connecting tube 400 may still be fixed together by means of heat fusion. In addition, as can be understood by those skilled in the art, in other embodiments, other connection methods besides the hot melt connection may be adopted between the first fixing tube 110 and the branch guide wire 120 and between the first fixing tube 110 and the connection tube 400.
Referring to fig. 2 and 4, fig. 4 is a schematic diagram illustrating a connection relationship between the restraint coil 300, the control frame 100 and the second fixing tube 410 according to an embodiment of the present invention. As shown in fig. 2 and 4, in the present embodiment, the distal end of the restraint coil 300 is fixed to the first fixing tube 110. Since the distal end of the girding coil 300 is fixed to the first fixing tube 110, when the first fixing tube 110 and the connecting tube 400 are thermally welded together, the distal end of the girding coil 300 and the first fixing tube 110 may be thermally welded together, for example, when a girding line is folded in half and both ends of the girding line are bound to the first fixing tube 110 by a special binding method to form the girding coil 300, the approximately circular knot 310 formed by the girding line on the first fixing tube 110 (i.e., the distal end of the girding coil 300) may also be thermally welded together with the first fixing tube 110, thereby further facilitating the fixation of the distal end of the girding coil 300 on the control frame 100. It should be noted that, as will be appreciated by those skilled in the art, in other embodiments, the distal end of the tether coil 300 may be fixed to the branch guidewire 120, and the invention is not limited thereto.
As shown in fig. 2 and 4, the connection tube 400 includes a second fixing tube 410 and a third fixing tube 420 connected to each other, the second fixing tube 410 is located inside the covered cannula 200, a proximal end of the second fixing tube 410 is sleeved on a distal end of the first fixing tube 110, a distal end of the second fixing tube 410 is sleeved on the branch guide wire 120 and extends to the outside of the covered cannula 200, a proximal end of the third fixing tube 420 is sleeved on a distal end of the covered cannula 200, and a distal end of the branch guide wire 120 penetrates through the covered cannula 200 and extends to the outside of the third fixing tube 420. Therefore, the arrangement can simplify the assembly process of the branch sheath provided by the invention, and simultaneously can improve the overall connection strength of the branch sheath provided by the invention, enhance the overall stability of the branch sheath, better meet the clinical requirement and further improve the success rate of the release of the branch stent.
Preferably, the second fixing tube 410 and/or the third fixing tube 420 are made of a polymer material, and the proximal end of the second fixing tube 410 is thermally fused to the distal end of the first fixing tube 110, and/or the proximal end of the third fixing tube 420 is thermally fused to the distal end of the second fixing tube 410. Therefore, when the second fixing tube 410 is made of a high polymer material, the proximal end of the second fixing tube 410 can be more conveniently connected with the distal end of the first fixing tube 110 in a hot melting manner, and the second fixing tube 410 can be more firmly connected with the first fixing tube 110, so that the overall connection strength of the branch sheath provided by the invention is further improved. Similarly, when the third fixing tube 420 is made of a polymer material, the proximal end of the third fixing tube 420 and the distal end of the second fixing tube 410 can be more conveniently connected by hot melting, and the third fixing tube 420 and the second fixing tube 410 can be more firmly connected, so that the overall connection strength of the branch sheath provided by the invention is further improved. In addition, since the proximal end of the second fixing tube 410 is thermally fused to the distal end of the first fixing tube 110, and/or the proximal end of the third fixing tube 420 is thermally fused to the distal end of the second fixing tube 410, the overall outer diameter of the branch sheath provided by the present invention can be further reduced, which is more convenient to use. It should be noted that, as will be understood by those skilled in the art, in other embodiments, the material of the second fixing tube 410 and the third fixing tube 420 may be other plastic materials besides polymer materials, and in this case, the proximal end of the second fixing tube 410 may still be thermally fused to the distal end of the first fixing tube 110, and the proximal end of the third fixing tube 420 may still be thermally fused to the distal end of the second fixing tube 410. In addition, as can be understood by those skilled in the art, in other embodiments, the second stationary pipe 410 and the first stationary pipe 110, and the second stationary pipe 410 and the third stationary pipe 420 may be connected by other connection means besides a heat-fusion connection.
Further, as shown in fig. 2, a first tapered tube 210 is disposed at a distal end of the film covering sleeve 200, the first tapered tube 210 includes a first reducing tube 211 and a first diameter tube 212 connected to each other, the first diameter tube 212 is disposed at a distal end of the first tapered tube 210, an outer diameter and an inner diameter of the first reducing tube 211 gradually decrease from a proximal end to a distal end, a proximal end of the third fixing tube 420 is sleeved on the first diameter tube 212, and a distal end of the third fixing tube 420 is sleeved on the branch guide wire 120. Therefore, by arranging the first tapered tube 210 including the first reducer tube 211 and the first constant diameter tube 212 connected to each other at the distal end of the film covering cannula 200, sleeving the proximal end of the third fixing tube 420 on the first constant diameter tube 212, and sleeving the distal end of the third fixing tube 420 on the branch guide wire 120, when the proximal end of the third fixing tube 420 and the distal end of the second fixing tube 410 are fixed together by heat fusion or other connection methods, the distal end of the film covering cannula 200 can be firmly fixed in the connection tube 400, so that the connection between the film covering cannula 200 and the control frame 100 is more stable, and the overall connection strength of the branch sheath provided by the present invention is further improved. In addition, since the outer diameter of the first reducer 211 is gradually reduced from the proximal end to the distal end, the transition between the covered sheath 200 and the branch guide wire 120 can be smooth, so that when the branch sheath provided by the invention is introduced into a branch blood vessel, the resistance during delivery can be reduced, the formation of thrombus during introduction can be effectively reduced, and safe introduction can be realized. Since the inner diameter of the first reducer pipe 211 gradually decreases from the proximal end to the distal end, the second fixing pipe 410 located inside the film covering sleeve 200 can be blocked, and the second fixing pipe 410 can be effectively prevented from slipping out from the inside of the film covering sleeve 200.
Further, as shown in fig. 2 and 4, a second tapered pipe 411 is disposed at a distal end of the second fixed pipe 410, the second tapered pipe 411 includes a second reducer pipe 4112 and a second reducer pipe 4111 connected to each other, the second reducer pipe 4112 and the second reducer pipe 4111 are an integrated structure, the second reducer pipe 4112 is located at a proximal end of the second tapered pipe 411, an outer diameter and an inner diameter of the second reducer pipe 4112 gradually decrease from the proximal end to the distal end, the second reducer pipe 4112 is disposed corresponding to the first reducer pipe 211, and the second reducer pipe 4111 is disposed corresponding to the first reducer pipe 212. Therefore, by arranging a second tapered pipe 411 including a second reducer 4112 and a second reducer 4111 connected to each other at the distal end of the second fixed pipe 410, the second reducer 4112 is arranged corresponding to the first reducer 211, and the second reducer 4111 is arranged corresponding to the first reducer 212, the second fixed pipe 410 can be firmly fixed inside the coated cannula 200, and the second fixed pipe 410 is effectively prevented from slipping out of the coated cannula 200. In addition, since the inner diameter of the second reducer tube 4112 is gradually reduced from the proximal end to the distal end, the first fixed tube 110 can be firmly fixed inside the second fixed tube 410, and the first fixed tube 110 is effectively prevented from slipping out of the inside of the second fixed tube 410.
Preferably, as shown in fig. 2 and 4, the inner diameter of the proximal end portion of the second fixing tube 410 is equal everywhere. Therefore, with the arrangement, when the second fixing tube 410 and the first fixing tube 110 are connected together by adopting a hot melting mode or other connection modes, the contact area between the second fixing tube 410 and the first fixing tube 110 is effectively increased, so that the first fixing tube 110 and the second fixing tube 410 can be connected more firmly, and the overall connection strength of the branch sheath provided by the invention is further improved.
As shown in fig. 2, a third constant diameter tube 421 corresponding to the first constant diameter tube 212 is disposed at a proximal end of the third fixed tube 420, a third tapered tube 422 is disposed at a distal end of the third fixed tube 420, the third tapered tube 422 includes a fourth constant diameter tube 4221 and a third variable diameter tube 4222 connected to each other, the third variable diameter tube 4222 is located between the third constant diameter tube 421 and the fourth constant diameter tube 4221, an outer diameter and an inner diameter of the third variable diameter tube 4222 are gradually reduced from the proximal end to the distal end, the third constant diameter tube 421 is sleeved on the first constant diameter tube 212, and the fourth constant diameter tube 4221 is sleeved on the branch guide wire 120. Therefore, by arranging the third constant diameter tube 421 at the proximal end of the third fixing tube 420 and sleeving the third constant diameter tube 421 on the first constant diameter tube 212, when the third fixing tube 420 and the second fixing tube 410 are connected together by using a hot melting method or other connection methods, the contact area between the second fixing tube 410 and the third fixing tube 420 can be effectively increased, so that the second fixing tube 410 and the third fixing tube 420 can be connected more firmly, the distal end of the film covering cannula 200 can be firmly fixed between the second fixing tube 410 and the third fixing tube 420, and the overall connection strength of the branch sheath provided by the invention is further improved. In addition, since the distal end of the third fixed tube 420 is provided with the fourth constant diameter tube 4221 and the third variable diameter tube 4222 which are connected, and the outer diameter of the third variable diameter tube 4222 is gradually reduced from the proximal end to the distal end, the fourth constant diameter tube 4221 is sleeved on the branch guide wire 120, this arrangement can further enable smooth transition between the membrane covered catheter and the branch guide wire 120, so that when the branch sheath provided by the invention is introduced into a branch blood vessel, the resistance during delivery can be reduced, the formation of thrombus during introduction can be effectively reduced, and safe introduction can be realized. Since the inner diameter of the third reducer 4222 is gradually reduced from the proximal end to the distal end, a smooth transition between the third reducer 4222 and the fourth reducer 4221 is enabled, so that the fourth reducer 4221 and the branch guide wire 120 can be fitted more tightly, and the overall connection strength of the branch sheath provided by the invention is further improved.
Preferably, the second fixing tube 410 and the third fixing tube 420 are both of an integrated structure. Therefore, the second fixing tube 410 and the third fixing tube 420 are integrated, so that the molding process of the second fixing tube 410 and the third fixing tube 420 can be effectively simplified, and the structural strength of the second fixing tube 410 and the third fixing tube 420 can be improved, so as to further improve the connection strength of the branch sheath provided by the invention.
In order to realize the idea, the invention also provides a conveying system for conveying the branch type bracket. Referring to fig. 5, a partial structural schematic diagram of a delivery system according to an embodiment of the present invention when the delivery system is coupled to a branched stent is schematically shown. As shown in fig. 5, the delivery system includes a branch sheath 1, an inner tube 2, a control guidewire 3, a main body stent restraining coil 5, and a main body stent graft sleeve 4 as described above. The main body stent 7 of the branch stent to be delivered is fixed on the inner tube 2 through the main body stent binding coil 5, and after being bound, a slipknot is formed between the main body stent binding coil 5 and the control guide wire 3 and is used for compressing the main body stent 7 to a proper diameter, and the main body stent tectorial membrane sleeve 4 is sleeved on the bound main body stent 7. The branch stent 6 of the branch stent is compressed in the graft sleeve 200 of the branch sheath 1, the tether coil 300 of the branch sheath 1 is used to fix the branch sheath 1 to the main body stent 7 and the control guidewire 3, and a slip knot is formed between the tether coil 300 of the branch sheath 1 and the control guidewire 3. In operation, the branch sheath 1 can be driven into the branch vessel by pulling the branch guide wire 120. After the branched stent is introduced into the proper position, the main body stent graft sleeve 4 may be pulled down to expose the main body stent 7. Since the main body stent restraining coil 5 and the restraining coil 300 of the branch sheath 1 are both connected with the control guidewire 3 and form a slipknot with the control guidewire 3, the main body stent restraining coil 5 and the restraining coil 300 of the branch sheath 1 can be released by pulling the control guidewire 3, the main body stent 7 is unfolded, the branch sheath 1 is also separated from the main body stent 7, the branch guidewire 120 is pulled backwards after the branch sheath 1 is separated, and the branch stent 6 is released and unfolded, so that the final release of the branch type stent is completed.
As will be appreciated by those skilled in the art, the delivery system may also include other components, as will be appreciated by those skilled in the art, and the present invention will not be described in detail herein. The delivery system provided by the invention comprises the branch sheath, so that the delivery system has all the advantages of the branch sheath, the release resistance of the branch stent can be effectively reduced, and the success rate of the release of the branch stent is improved.
In summary, compared with the prior art, the branch sheath and the delivery system provided by the invention have the following advantages: (1) the branch sheath provided by the invention comprises a control framework, a film-coated sleeve, a binding coil and a connecting pipe; the control framework comprises a first fixing pipe and a branch guide wire which are connected, the first fixing pipe is sleeved on the near end of the branch guide wire, and the first fixing pipe is fixed inside the film-coated sleeve pipe through the connecting pipe; the connecting pipe comprises a second fixing pipe and a third fixing pipe which are connected, the second fixing pipe is positioned inside the film covering sleeve, the near end of the second fixing pipe is sleeved on the far end of the first fixing pipe, the far end of the second fixing pipe is sleeved on the branch guide wire and extends out of the film covering sleeve, the near end of the third fixing pipe is sleeved on the far end of the film covering sleeve, and the far end of the branch guide wire penetrates out of the film covering sleeve and extends out of the third fixing pipe; the far end of the binding coil is fixed on the near end of the control framework, and the near end of the binding coil extends out of the film-coated sleeve. Therefore, the branch sheath provided by the invention not only can effectively reduce the release resistance of the branch stent and the overall outer diameter of the branch sheath, but also can effectively improve the connection strength between the film-coated sleeve and the control framework, so that the overall structure of the branch sheath is more stable, and the success rate of the release of the branch stent is effectively improved.
(2) The film-coated sleeve pipe is an integrated hose, so that a sewing process can be omitted, no sewing joint exists, and compared with a flat-sheet film-coated sewn sleeve pipe, the film-coated sleeve pipe has higher tensile strength and smaller release resistance. In addition, compared with the traditional hard sheath, the covered sleeve of the invention can have smaller installation outer diameter of the branch stent, thereby further reducing the release resistance of the branch stent.
(3) The control framework comprises a first fixing tube and a branch guide wire which are connected, wherein the branch guide wire is a single metal guide wire, and the wire diameter of the branch guide wire is 0.016 to 0.035 inches. Therefore, the thicker metal guide wire can lead the branch guide wire to have stronger force conductivity and support property, and further prevent the branch sheath provided by the invention from being broken when passing through a side branch blood vessel with a larger angle so as to prevent the branch stent from being guided in.
(4) The connecting pipe comprises a second fixing pipe and a third fixing pipe which are connected, wherein the near end of the second fixing pipe is sleeved on the far end of the first fixing pipe, the near end of the third fixing pipe is sleeved on the far end of the film coating sleeve pipe, the second fixing pipe and/or the third fixing pipe are made of high polymer materials, the near end of the second fixing pipe is in hot-melt connection with the far end of the first fixing pipe, and/or the near end of the third fixing pipe is in hot-melt connection with the far end of the second fixing pipe. Therefore, the arrangement can ensure that the connection between the second fixing tube and the first fixing tube and the connection between the third fixing tube and the second fixing tube are firmer, further improve the overall connection strength of the branch sheath provided by the invention, and simultaneously further reduce the overall outer diameter of the branch sheath provided by the invention, thereby being more convenient to use.
The above description is only for the purpose of describing the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention, and any variations and modifications made by those skilled in the art based on the above disclosure are within the scope of the present invention. It will be apparent to those skilled in the art that various changes and modifications may be made in the invention without departing from the spirit and scope of the invention. Thus, it is intended that the present invention also include such modifications and variations as come within the scope of the invention and their equivalents.
Claims (10)
1. A branch sheath is characterized by comprising a control framework, a film-coated sleeve, a binding coil and a connecting pipe;
the control framework comprises a first fixing pipe and a branch guide wire which are connected, the first fixing pipe is sleeved on the near end of the branch guide wire, and the first fixing pipe is fixed inside the film-coated sleeve pipe through the connecting pipe;
the connecting pipe comprises a second fixing pipe and a third fixing pipe which are connected, the second fixing pipe is positioned inside the film covering sleeve, the near end of the second fixing pipe is sleeved on the far end of the first fixing pipe, the far end of the second fixing pipe is sleeved on the branch guide wire and extends out of the film covering sleeve, the near end of the third fixing pipe is sleeved on the far end of the film covering sleeve, and the far end of the branch guide wire penetrates out of the film covering sleeve and extends out of the third fixing pipe;
the number of the bound coils is at least two, the far ends of the bound coils are fixed on the near ends of the control frameworks, and the near ends of the bound coils extend out of the film-coated sleeve.
2. The branch sheath of claim 1, wherein the distal end of the covering sleeve is provided with a first tapered tube, the first tapered tube comprises a first reducer tube and a first constant diameter tube which are connected, the first reducer tube is positioned at the proximal end of the first tapered tube, the proximal end of the third fixing tube is sleeved on the first constant diameter tube, and the distal end of the third fixing tube is sleeved on the branch guide wire.
3. The branch sheath according to claim 2, wherein the outer diameter and the inner diameter of the first reducer pipe are gradually reduced from the proximal end to the distal end.
4. The branch sheath according to claim 2, wherein the proximal end of the third fixed tube is provided with a third constant diameter tube corresponding to the first constant diameter tube, the distal end of the third fixed tube is provided with a third tapered tube, the third tapered tube comprises a fourth constant diameter tube and a third tapered tube connected with each other, the third tapered tube is located between the third constant diameter tube and the fourth constant diameter tube, the third constant diameter tube is sleeved on the first constant diameter tube, and the fourth constant diameter tube is sleeved on the branch guide wire.
5. The branch sheath according to claim 4, wherein the third reducer has an outer diameter and an inner diameter that gradually decrease from a proximal end to a distal end.
6. The branching sheath of claim 1, wherein the material of the second fixing tube and/or the third fixing tube is a polymer material, and the proximal end of the second fixing tube is thermally fused to the distal end of the first fixing tube, and/or the proximal end of the third fixing tube is thermally fused to the distal end of the second fixing tube.
7. The branching sheath of claim 1, wherein the branching guidewire is made of a metallic material, the first fixing tube is made of a polymeric material, the branching guidewire has a wire diameter of 0.016 inches to 0.035 inches, and the branching guidewire is thermally fused with the first fixing tube.
8. The branched sheath of claim 1, wherein each of the binding loops is formed by folding a binding line in half, and both ends of the binding line are bound to the proximal end of the control frame.
9. The branch sheath of claim 1, wherein a distal end of the cinch coil is thermally fused to a proximal end of the control armature.
10. A delivery system for delivering a branched stent, comprising the branched sheath of any one of claims 1 to 9.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110919655.9A CN113633447B (en) | 2021-05-26 | 2021-05-26 | Branching sheath and delivery system |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110575127.6A CN113017952B (en) | 2021-05-26 | 2021-05-26 | Branch sheath and delivery system |
| CN202110919655.9A CN113633447B (en) | 2021-05-26 | 2021-05-26 | Branching sheath and delivery system |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202110575127.6A Division CN113017952B (en) | 2021-05-26 | 2021-05-26 | Branch sheath and delivery system |
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| Publication Number | Publication Date |
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| CN113633447A true CN113633447A (en) | 2021-11-12 |
| CN113633447B CN113633447B (en) | 2024-06-28 |
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| CN202110575127.6A Active CN113017952B (en) | 2021-05-26 | 2021-05-26 | Branch sheath and delivery system |
| CN202110919655.9A Active CN113633447B (en) | 2021-05-26 | 2021-05-26 | Branching sheath and delivery system |
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| CN202110575127.6A Active CN113017952B (en) | 2021-05-26 | 2021-05-26 | Branch sheath and delivery system |
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| Country | Link |
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| CN (2) | CN113017952B (en) |
| AR (1) | AR125977A1 (en) |
| WO (1) | WO2022247581A1 (en) |
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| CN114099100A (en) * | 2022-01-26 | 2022-03-01 | 上海微创心脉医疗科技(集团)股份有限公司 | Branch sheath and blood vessel support conveyer |
| WO2023142944A1 (en) * | 2022-01-26 | 2023-08-03 | 上海微创心脉医疗科技(集团)股份有限公司 | Branch sheath |
| WO2023165261A1 (en) * | 2022-03-04 | 2023-09-07 | 上海微创心脉医疗科技(集团)股份有限公司 | Delivery apparatus and stent system |
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| CN113017952B (en) * | 2021-05-26 | 2021-10-08 | 上海微创心脉医疗科技(集团)股份有限公司 | Branch sheath and delivery system |
| CN113384381B (en) * | 2021-08-17 | 2021-12-10 | 上海微创心脉医疗科技(集团)股份有限公司 | Medical device |
| CN114432577B (en) * | 2022-01-24 | 2024-06-18 | 广东博迈医疗科技股份有限公司 | Interventional medical catheter component welding method and medical catheter |
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| CN114099100B (en) * | 2022-01-26 | 2022-06-03 | 上海微创心脉医疗科技(集团)股份有限公司 | Branch sheath and blood vessel support conveyer |
| WO2023142944A1 (en) * | 2022-01-26 | 2023-08-03 | 上海微创心脉医疗科技(集团)股份有限公司 | Branch sheath |
| WO2023143359A1 (en) * | 2022-01-26 | 2023-08-03 | 上海微创心脉医疗科技(集团)股份有限公司 | Branch sheath and intravascular stent delivery device |
| WO2023165261A1 (en) * | 2022-03-04 | 2023-09-07 | 上海微创心脉医疗科技(集团)股份有限公司 | Delivery apparatus and stent system |
Also Published As
| Publication number | Publication date |
|---|---|
| CN113017952B (en) | 2021-10-08 |
| CN113017952A (en) | 2021-06-25 |
| AR125977A1 (en) | 2023-08-30 |
| CN113633447B (en) | 2024-06-28 |
| WO2022247581A1 (en) | 2022-12-01 |
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