CN1927138A - Artificial human body intracavity duct with buffer edge - Google Patents

Artificial human body intracavity duct with buffer edge Download PDF

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Publication number
CN1927138A
CN1927138A CN 200610122449 CN200610122449A CN1927138A CN 1927138 A CN1927138 A CN 1927138A CN 200610122449 CN200610122449 CN 200610122449 CN 200610122449 A CN200610122449 A CN 200610122449A CN 1927138 A CN1927138 A CN 1927138A
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human body
stay pipe
buffer edge
artificial human
flexible material
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CN 200610122449
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Chinese (zh)
Inventor
周星
傅剑华
李艳芳
罗小建
朱明�
郭爱军
罗丽飞
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周星
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Priority to CN 200610122449 priority Critical patent/CN1927138A/en
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Abstract

The invention relates to a human orificial pipe substitute with baffle edge. Wherein, it is formed by support tube, connector, flexible film and baffle edge; the flexible film is adhered on the support tube; the baffle edge is connected to the end of support tube; the connector is fixed on the support tube. The inventive support tube can effectively avoid around organism to contract to be neck; the connector can effectively reduce the creep of normal orificial pipe to avoid affecting the anastomotic stoma, to obtain firm connection; and the baffle edge can effectively disperse the stress at the anastomotic stoma, to avoid narrow anastomotic stoma. The invention can be made into artificial gullet or trachea.

Description

The artificial human body intracavity duct of band buffer edge
Technical field
The present invention relates to the succedaneum of a kind of artificial human body intracavity duct, particularly esophagus or trachea, i.e. artificial esophagus or artificial trachea.
Background technology
In the prior art, in the time need excising esophagus because of tumor, usually adopt to promote stomach or intestinal tube and rebuild gastral way with the esophagus proximal anastomosis and solve, this method damage and is non-physiology passage of food greatly, has much to be difficult to the complication that overcomes; And the trachea pathological changes presses for ideal tracheal reconstruction succedaneum need excise the above trachea of 3cm the time clinically.
The inventor is at Chinese patent ZL01107515.5 (patent name: disclose a kind of succedaneum that the human body lumen is rebuild that is used for artificial intracavity duct), the succedaneum when esophagus or tracheal reconstruction particularly, its primary structure is: be made up of tubular body and connector that the memorial alloy intelligent element is made, connector is fixed on the two ends or the end of tubular body, and pellosil partially or completely covers the tubular body of being made by the memorial alloy intelligent element.Product according to this patented technology conceptual design manufacturing, in zoopery and clinical trial, obtained effect preferably, efficiently solve fistula of operative incision, take off technical barriers such as pipe, but, because artificial intracavity duct directly is connected with the tissue of the human body lumen broken ends of fractured bone, because the existence of the bearing stress of mouth of pipe memorial alloy intelligent element, the wriggling of the human body lumen broken ends of fractured bone may cause near the hamartoplasia the connector, as granulation hyperplasia, especially appear among the patient of cicatrix body constitution, thereby the anastomotic stoma that makes artificial intracavity duct and human body becomes narrow, clinical practice is found, the situation of this anastomotic stricture has certain incidence rate, still can't effectively be solved at present.Therefore, above-mentioned patented product still needs further to improve and is perfect, to reduce the incidence rate of the artificial intracavity duct anastomotic stricture in the part patient.
Summary of the invention
The object of the present invention is to provide a kind of artificial human body intracavity duct with buffer edge, the succedaneum of human body esophageal reconstruction or tracheal reconstruction particularly, it can solve human body esophagus or trachea excision back esophagus or tracheal reconstruction problem, the problem that can efficiently solve fistula of operative incision, take off pipe, particularly anastomotic stricture effectively.
The object of the present invention is achieved like this:
The artificial human body intracavity duct of band buffer edge of the present invention is made up of stay pipe, connector, flexible material film and buffer edge; Described flexible material film is attached on the stay pipe; Buffer edge is connected the end of stay pipe; Connector is fixed on the stay pipe, apart from the end 1mm~30mm of stay pipe.
Described buffer edge is the film that flexible material film is extended beyond the end of described stay pipe, and the thickness of buffer edge is more than or equal to the thickness of flexible material film, and the length of buffer edge is between 1mm~30mm.
In addition, described buffer edge can also be the film that flexible material film is extended beyond the end of described stay pipe, and this film forms crimping to the upset of the outside, described stay pipe end, constitutes crimping type buffer edge.
Described stay pipe is the cancellated body of being made by the elastomeric material that can recover or recover substantially the preceding shape of distortion after being out of shape and being out of shape again.
Further, described stay pipe is the network structure body that medical metal material silk or fibrage become; Or the network structure body of the helical spring of medical metal material spun gold coiled composition; Or the crooked resilient medical metal material thin-walled network structure body of energy through forming after the digital control processing; Or through the crooked resilient medical metal material thin-walled network structure body of energy behind the laser engraving.
Particularly, described medical metal material is selected from: Metal Substrate medical materials such as medical titanium alloy (as: Ti-Ni marmem, beta-titanium alloy), medical stainless steel, medical zircaloy.
Described stay pipe can have different geometries, as: cylinder tube shape, the single bell-mouthed cylinder tube shape of band, the two single bell-mouthed cylinder tube shapes of band etc.
Described connector is the circulus with the medical flexible material manufacture.
Further, described connector is with medical flexible material silk or fiber, by the circulus of braiding or knitting manufacturing.
Described flexible material film is can be at the thin film of the medium-term and long-term medical flexible material manufacture of implanting of human body.
Further, described medical flexible material is can be at the medium-term and long-term medical flexible material of implanting of human body, materials such as terylene (dacron fibre), polyethylene, polyurethane, politef, silica gel, polypropylene, Merlon, polyether-ether-ketone, polysulfones, ionomer, styrene-butadiene polymer, polyamide, poly-polypeptide, polymethyl methacrylate, polyethers polyamide block copolymer.
Described connector passes through the operation suture thread sutured on stay pipe.
Anti-recirculation device is installed in the described stay pipe, and anti-recirculation device is installed in the far-end of stay pipe usually.The artificial human body intracavity duct of the anti-recirculation device of the present invention's band adopts when carrying out esophageal reconstruction usually after the esophagus excision.
Further, described anti-recirculation device is petal-shaped structure, has usually: specific designs such as 2 lobe formula structures, 3 lobe formula structures, 4 lobe formula structures, 5 lobe formula structures, 6 lobe formula structures.
In addition, described anti-recirculation device can also be an oversleeve type check valve-type structure.
Because the present invention has adopted the body of main body for the stay pipe formation of band film, at place, end connector has been installed near body, be used for sewing up with human body lumen (as esophagus, the trachea etc.) broken ends of fractured bone that keeps, the wriggling of human body lumen (as esophagus, the trachea etc.) broken ends of fractured bone that slows down reservation is to the influence of anastomotic stoma, and the end edge of the body that forms at the stay pipe of band film manufactured and designed buffer edge, further reduced the stress concentration that stay pipe forms at the anastomotic stoma place.Adopt this pipe structure, can prevent effectively that cambium shrinks form narrow on every side; Connector can effectively slow down the influence of normal human's lumen (as esophagus, trachea etc.) broken ends of fractured bone wriggling of reservation to anastomotic stoma, sets up in succession firmly, prevents fistula of operative incision and takes off pipe; The stress concentration that buffer edge can effectively disperse stay pipe to form at the anastomotic stoma place reduces or avoids the appearance of human body lumen (as esophagus, trachea etc.) anastomotic stricture situation.
Description of drawings
Fig. 1 is the structural representation of artificial human body intracavity duct of the present invention's band buffer edge.Among the figure, buffer edge is the film that flexible material film is extended beyond the end of stay pipe, and the thickness of buffer edge is greater than the thickness of flexible material film.Stay pipe be shaped as cylinder tube shape, the grid duct shape structure that its structure is woven into for the Ti-Ni marmem silk.
Fig. 2 is the structural representation of artificial human body intracavity duct of the present invention's roll coil of strip limit type buffer edge.Among the figure, buffer edge is the film that flexible material film is extended beyond the end of stay pipe, and this film forms crimping type structure to the upset of the outside, stay pipe end.Stay pipe be shaped as cylinder tube shape, the grid duct shape structure that its structure is woven into for the Ti-Ni marmem silk.
Fig. 3 is the structural representation of artificial human body intracavity duct of single loudspeaker band buffer edge of the present invention.Among the figure, single bell-mouthed cylinder tube shape, the grid duct shape structure that its structure is woven into for the Ti-Ni marmem silk are with in being shaped as of stay pipe.
Fig. 4 is the structural representation of artificial human body intracavity duct of the present invention's double horn band buffer edge.Among the figure, the cylinder tube shape that is shaped as band double horn mouth of stay pipe, the grid duct shape structure that its structure is woven into for the Ti-Ni marmem silk.
Fig. 5 is the structural representation of artificial human body intracavity duct of single loudspeaker band buffer edge of the present invention's anti-recirculation device.Among the figure, single bell-mouthed cylinder tube shape is with in being shaped as of stay pipe, and anti-recirculation device has been installed in stay pipe.
Fig. 6 is the structural representation of artificial human body intracavity duct of the present invention's spring type band buffer edge.Among the figure, stay pipe be shaped as cylinder tube shape, its structure is the grid duct shape structure that helical spring that the Ti-Ni marmem filament winding becomes is formed.Buffer edge is the film that flexible material film is extended beyond the end of stay pipe, and the thickness of buffer edge is greater than the thickness of flexible material film.
Fig. 7 is the structural representation of artificial human body intracavity duct of the present invention's crimping type spring-like band buffer edge.Among the figure, stay pipe be shaped as cylinder tube shape, its structure is the grid duct shape structure that helical spring that the Ti-Ni marmem filament winding becomes is formed, and anti-recirculation device has been installed in stay pipe.Buffer edge is the film that flexible material film is extended beyond the end of stay pipe, and this film forms crimping type structure to the upset of the outside, stay pipe end.
Fig. 8 is the structural representation of artificial human body intracavity duct of the present invention's thin-wall tubular band buffer edge.Among the figure, stay pipe be shaped as cylinder tube shape, its structure is for can crooked resilient Ti-Ni marmem thin-walled grid duct shape structure through what form after the digital control processing; Or through the typing heat treatment, also through the crooked resilient Ti-Ni marmem thin-walled grid duct shape structure of energy behind the laser engraving.Buffer edge is the film that flexible material film is extended beyond the end of stay pipe, and the thickness of buffer edge is greater than the thickness of flexible material film.
Fig. 9 is the structural representation of artificial human body intracavity duct of the present invention's crimping type thin-wall tubular band buffer edge.Among the figure, stay pipe be shaped as cylinder tube shape, its structure is for can crooked resilient Ti-Ni marmem thin-walled grid duct shape structure through what form after the digital control processing; Or through the typing heat treatment, also through the crooked resilient Ti-Ni marmem thin-walled grid duct shape structure of energy behind the laser engraving; And petal-shaped anti-recirculation device has been installed in stay pipe.Buffer edge is the film that flexible material film is extended beyond the end of stay pipe, and this film forms crimping type structure to the upset of the outside, stay pipe end.
Figure 10 is that the A of Fig. 9 is to view.Among the figure, anti-recirculation device is the petal-shaped structures of 2 lobe formulas.
Figure 11 is that the A of Fig. 9 is to view.Among the figure, anti-recirculation device is the petal-shaped structures of 3 lobe formulas.
Figure 12 is that the A of Fig. 9 is to view.Among the figure, anti-recirculation device is the petal-shaped structures of 4 lobe formulas.
Figure 13 is that the A of Fig. 9 is to view.Among the figure, anti-recirculation device is the petal-shaped structures of 5 lobe formulas.
Figure 14 is that the A of Fig. 9 is to view.Among the figure, anti-recirculation device is the petal-shaped structures of 6 lobe formulas.
The structural representation of the artificial human body intracavity duct of the crimping type band buffer edge of Figure 15 is installing of the present invention anti-recirculation device of oversleeve type check valve-type.Among the figure, the anti-recirculation device that is installed in the stay pipe has adopted oversleeve type check valve-type structure.
Figure 16 is the side view of Figure 15.
Figure 17 is that the B of Figure 16 is to view.
Figure 18 is the structural representation behind the stay pipe overlay film of the present invention.Among the figure, make anti-recirculation device simultaneously.
Figure 19 is the structural representation behind Figure 18 crimping.
Figure 20 is the structural representation of the finished product of the present invention after Figure 19 has installed connector and made otch on the anti-recirculation device.
Among the above-mentioned figure, 1 is stay pipe, and 2 is connector, and 3 is flexible material film, and 4 is buffer edge, and 5 is operation suture thread, and 6 are anti-recirculation device, and 7 are the opening on the anti-recirculation device.
Specific embodiment
Embodiment 1: with the artificial human body intracavity duct of the crimping type band buffer edge of petal-shaped anti-recirculation device
Adopting recovery temperature is the Ti-Ni marmem silk that 15 ℃ of diameters are 0.25mm, braiding stay pipe 1 in mould, the heat treatment of finalizing the design in mould then makes it be cancellated cylinder tube shape more than recovery temperature, after polishing, the cleaning, promptly obtained stay pipe 1 of the present invention.
In equipment for coating film, stay pipe 1 is installed in the particular manufacturing craft, to stay pipe 1 overlay film, made anti-recirculation device blank according to the common processes of medical silica-gel simultaneously.Formed semi-finished product, the stay pipe 1 of the band flexible material film 3 of anti-recirculation device blank has promptly been arranged, with reference to Figure 18.
The band flexible material film 3 that will exceed the end of stay pipe 1 forms crimping to the outside, the end upset of stay pipe 1, constitutes crimping type buffer edge 4, with reference to Figure 19.
The terylene ring that adopts braiding is as connector 2, with operation suture thread 5 with connector 2 sutured in the end of stay pipe 1, from the end apart from 10mm.On anti-recirculation device, cut 3 openings 7 with special-purpose blade, make the petal-shaped anti-recirculation device of 3 lobe formulas.Clean, packing, sterilization has promptly obtained the present invention's the artificial human body intracavity duct with the crimping type band buffer edge of petal-shaped anti-recirculation device, with reference to Figure 20.
In the manufacture process of the said goods, stay pipe 1 can be the cancellated body that can recover or recover substantially the elastomeric material manufacturing of the preceding shape of distortion after any energy is out of shape and is out of shape again.Generally can adopt the Metal Substrate medical material of good springiness to replace Ti-Ni marmem, as materials such as beta-titanium alloy, elasticity medical stainless steel, the medical zircaloys of elasticity.
In the manufacture process of the said goods, flexible material film 3 is except adopting medical silica-gel, also can adopt other material substitutions that can implant in the human body midium or long term, as: materials such as terylene (dacron fibre), polyethylene, polyurethane, politef, polypropylene, Merlon, polyether-ether-ketone, polysulfones, ionomer, styrene-butadiene polymer, polyamide, poly-polypeptide, polymethyl methacrylate, polyethers polyamide block copolymer.
Equally, connector 2 also can adopt other material substitutions that can implant in the human body midium or long term except terylene, be used for making connector 2, as: materials such as polyethylene, polypropylene, politef, polyurethane.
Embodiment 2: the artificial human body intracavity duct of cylinder tube shape band buffer edge
The manufacturing process of stay pipe 1 is identical with embodiment 1, but the mould difference in equipment for coating film during overlay film behind the overlay film, has formed buffer edge 4 in the end of stay pipe 1, the about 15mm of buffer edge 4 length, maximum ga(u)ge are about 3 times of thickness of flexible material film 3 on the stay pipe 1.Behind the overlay film, connector 2 sutured on stay pipe 1, are cleaned, packed, sterilize, promptly obtained the artificial human body intracavity duct of the present invention's cylinder tube shape band buffer edge, with reference to figure 1.
Embodiment 3: the artificial human body intracavity duct of the crimping type band buffer edge of the anti-recirculation device of oversleeve type check valve-type
The manufacturing process of present embodiment and embodiment 1 and embodiment 2 are basic identical, only change the shape of mould, press the same process route, just can produce the artificial human body intracavity duct of the present invention's cylinder tube shape band buffer edge, with reference to Figure 15, and Figure 16, Figure 17.
Should be noted that herein openly can replace with the identical structure of other effect that the embodiment that the present invention introduced simultaneously realizes unique structure of the present invention with the structure of explanation.Though preferential embodiment of the present invention is introduced in this article and is illustrated; but those skilled in the art know and know that these embodiment illustrate; those skilled in the art can make countless variations, improvement and replacement; and can not break away from the present invention; therefore, should be according to the next qualification protection scope of the present invention of the spirit and scope of appending claims of the present invention.

Claims (15)

1, the artificial human body intracavity duct of band buffer edge is characterized in that: be made up of stay pipe (1), connector (2), flexible material film (3) and buffer edge (4); Described flexible material film (3) is attached on the stay pipe (1); Buffer edge (4) is connected the end of stay pipe (1); Connector (2) is fixed on the stay pipe (1), apart from the end 1mm~30mm of stay pipe (1).
2, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described buffer edge (4) is the film that flexible material film (3) is extended beyond the end of described stay pipe (1), the thickness of buffer edge (4) is more than or equal to the thickness of flexible material film (3), and the length of buffer edge (4) is between 1mm~30mm.
3, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described buffer edge (4) is the film that flexible material film (3) is extended beyond the end of described stay pipe (1), and this film forms crimping to the upset of the outside, described stay pipe (1) end.
4, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described stay pipe (1) is the cancellated body of being made by the elastomeric material that can recover or recover substantially the preceding shape of distortion after being out of shape and being out of shape again.
5, according to the artificial human body intracavity duct of the described band buffer edge of claim 4, it is characterized in that: described stay pipe (1) is the network structure body that medical metal material silk or fibrage become; Or the network structure body of the helical spring of medical metal material spun gold coiled composition; Or the crooked resilient medical metal material thin-walled network structure body of energy through forming after the digital control processing; Or through the crooked resilient medical metal material thin-walled network structure body of energy behind the laser engraving.
6, according to the artificial human body intracavity duct of the described band buffer edge of claim 5, it is characterized in that: described medical metal material is selected from: Ti-Ni marmem, beta-titanium alloy, medical stainless steel, medical zircaloy.
7, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described stay pipe can have different geometries, has: cylinder tube shape, the single bell-mouthed cylinder tube shape of band, the two single bell-mouthed cylinder tube shapes of band.
8, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described connector (2) is the circulus with the medical flexible material manufacture.
9, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described connector (2) is with medical flexible material silk or fiber, by the circulus of braiding or knitting manufacturing.
10, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described flexible material film (3) is can be at the thin film of the medium-term and long-term medical flexible material manufacture of implanting of human body.
11, according to Claim 8 or the artificial human body intracavity duct of 9 or 10 described band buffer edges, it is characterized in that: described medical flexible material is to be selected from the medium-term and long-term medical flexible material of implanting of human body: terylene (dacron fibre), polyethylene, polyurethane, politef, silica gel, polypropylene, Merlon, polyether-ether-ketone, polysulfones, ionomer, styrene-butadiene polymer, polyamide, poly-polypeptide, polymethyl methacrylate, polyethers polyamide block copolymer.
12, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: described connector (2) passes through operation suture thread (5) sutured on stay pipe (1).
13, according to the artificial human body intracavity duct of the described band buffer edge of claim 1, it is characterized in that: anti-recirculation device (6) is installed in the described stay pipe (1), and anti-recirculation device (6) is installed in the far-end of stay pipe (1).
14, according to the artificial human body intracavity duct of the described band buffer edge of claim 13, it is characterized in that: described anti-recirculation device (6) is petal-shaped structure, has: 2 lobe formula structures, 3 lobe formula structures, 4 lobe formula structures, 5 lobe formula structures, 6 lobe formula structures.
15, according to the artificial human body intracavity duct of the described band buffer edge of claim 13, it is characterized in that: described anti-recirculation device (6) is an oversleeve type check valve-type structure.
CN 200610122449 2006-09-27 2006-09-27 Artificial human body intracavity duct with buffer edge Pending CN1927138A (en)

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CN 200610122449 CN1927138A (en) 2006-09-27 2006-09-27 Artificial human body intracavity duct with buffer edge

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Application Number Priority Date Filing Date Title
CN 200610122449 CN1927138A (en) 2006-09-27 2006-09-27 Artificial human body intracavity duct with buffer edge

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102038564A (en) * 2009-10-14 2011-05-04 周星 Supporting frame capable of being taken out
CN111419493A (en) * 2020-03-24 2020-07-17 西安交通大学 Medical intravascular implantation device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102038564A (en) * 2009-10-14 2011-05-04 周星 Supporting frame capable of being taken out
CN111419493A (en) * 2020-03-24 2020-07-17 西安交通大学 Medical intravascular implantation device
CN111419493B (en) * 2020-03-24 2021-08-13 西安交通大学医学院第一附属医院 Medical intravascular implantation device

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