CN201782845U - Stent type artificial vessel conveying device for aortic surgery - Google Patents

Stent type artificial vessel conveying device for aortic surgery Download PDF

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Publication number
CN201782845U
CN201782845U CN2010202581213U CN201020258121U CN201782845U CN 201782845 U CN201782845 U CN 201782845U CN 2010202581213 U CN2010202581213 U CN 2010202581213U CN 201020258121 U CN201020258121 U CN 201020258121U CN 201782845 U CN201782845 U CN 201782845U
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China
Prior art keywords
stent
blood vessel
artificial blood
collateral
main body
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Expired - Lifetime
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CN2010202581213U
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Chinese (zh)
Inventor
孙立忠
李君涛
扈玉玲
缪卫东
张亨金
于学保
吴仪
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Grinm Medical Instrument Beijing Co ltd
Sun Lizhong
Grikin Advanced Material Co Ltd
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YOUYAN YIJIN NEW MATERIAL CO Ltd
Beijing General Research Institute for Non Ferrous Metals
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Abstract

The utility model discloses a stent type artificial vessel conveying device for an aortic surgery, belonging to the technical field of medical equipment. A collateral type stent artificial vessel comprises a main-body stent artificial vessel and a collateral covered stent. The conveying device comprises two groups of releasing systems which are mutually independent, namely a main-body stent type artificial vessel binding system and a collateral type covered stent binding system, wherein the main-body stent type artificial vessel binding system comprises a main-body pull-back rod and a main-body binding wire, the collateral type covered stent binding system comprises a collateral pull-back rod and a collateral binding wire, a guiding head is arranged on the front end of the main-body pull-back rod, and the main-body pull-back rod and the collateral pull-back rod are both attached to a handle. Stent branches and a main body of a stent are sequentially released through a binding mode and a single-wire pulling mode respectively, therefore, surgical operation is greatly simplified, the release is simple and the production cost is reduced.

Description

A kind of operation on aorta conveyer device of support rack type artificial blood vessel
The application divides an application, and the applying date of original application is December in 2009 22 days, and application number is 200920278320.8, and the original application invention and created name is " a kind of operation on aorta with support rack type artificial blood vessel and conveyer device thereof ".
Technical field
This utility model belongs to technical field of medical instruments, particularly a kind of operation on aorta conveyer device of support rack type artificial blood vessel.
Background technology
Arotic disease, particularly Stanford A type (DeBakey I type) dissection of aorta and extent of disease aneurysm of thoracic aorta widely are one group of serious threat patient life, the high cardiovascular injuries emergency case of fatality rate.Acute dissection of aorta onset is unexpected, is in a bad way, and can cause severe complications such as angiorrhexis, limb ischemia, internal organs ischemia or paraplegia, and 24 hours survival rates take place behind the interlayer, and to have only 40%, 3 month survival rate only be 10%; Along with the increasing of hypertension, arteriosclerosis sickness rate, the sickness rate of dissection of aorta significantly rises in recent years, and its sickness rate is up to annual 5~10/100000.
Surgical resection pathological changes aorta, transplanting the artificial blood vessel is the effective ways of treatment primary disease.Though the existing history for many years of surgical operation therapy.But because there are the pathological anatomy characteristics that a plurality of shunting cuts can be arranged between the dissect physiology characteristics of an arm vessel branch and true, the false chamber of aorta in aortic arch portion, operation is replaced aortic arch and is had influence on reasons such as the confession of brain blood, postoperative hemorrhage complication, cause the surgical procedures complexity, difficulty is big, the risk height, the case that inevitably can run into once more clinically or repeatedly perform the operation.Therefore, the surgical operation therapy effect always can not be satisfactory.
Nineteen eighty-three, Borst reports " trunk surgical technic " the earliest, and the trunk operation comprises one-stage operation and secondary operation.When one-stage operation is row ascending aorta and aortic arch kposthesis, be that " trunk " is suspended in the descending aorta with one section artificial blood vessel.When its objective is secondary operation, avoid directly free to aortic arch portion, " trunk " row end to end anastomosis that the artificial blood vessel is directly implanted with one-stage operation, thereby simplification secondary operation; 2003, Fu Wai Hospital, Chinese Academy of Medical Sciences Sun Li loyalty etc. were replaced with aortic arch and are added art medium-height trestle artificial blood vessel execution " trunk " operative treatment A type interlayer achieving success and popularization.Its main method be in Deep Hypothermia Circulatory Arrest under the dabbling condition of axillary artery brain, cut aortic arch, the wallsten stent that is covered with the artificial blood vessel is put into the true chamber of descending thoracic aorta, then the far-end of bow portion grafting vessel and the near-end and the corresponding aorta wall of support blood vessel are coincide, bow portion three branch vessel of going are again coincide, capable at last ascending aorta proximal anastomosis.This kind art formula is the important breakthrough of thoracic aorta disease surgical intervention method, makes most patients avoid secondary operation.Make China arotic disease surgical intervention aspect occupy world lead level.If but directly implant existing art medium-height trestle, can block left subclavian artery, in order to prevent the shutoff left subclavian artery, need free left subclavian artery, to sew up with four bifurcated artificial blood vessels again, operating time is long, and is higher to surgical specification requirement.
Summary of the invention
Deficiencies such as this utility model can block left subclavian artery at existing art medium-height trestle, and operating time is long provide a kind of rational in infrastructure, can effectively guarantee operation on aorta the support rack type artificial blood vessel and the conveyer device thereof of left subclavian artery blood supply.
A kind of operation on aorta is used the support rack type artificial blood vessel, comprise main body rack type artificial blood vessel, it is characterized in that have a collateral covered graft-stent on the described main body rack type artificial blood vessel, described collateral covered graft-stent is positioned at main body rack type artificial blood vessel's near-end;
Main body rack type artificial blood vessel is made up of metal rack and aorta artificial blood vessel, is sewed with a plurality of annular metal supports on the aorta artificial blood vessel inwall, and unsupported artificial blood vessel's part of being convenient to sew up is all left at aorta artificial blood vessel's two ends;
Collateral covered graft-stent props up the artificial blood vessel by metal rack and side to be formed, and side is propped up and is sewed with a plurality of annular metal supports on artificial blood vessel's inwall;
Described metal rack is the annular enclosed carrier unit of Z font or Wave-shaped structural, with crest crest or trough are arranged to the form of trough between each carrier unit, the collateral covered graft-stent root is positioned at the trough place of the first carrier unit of main body rack type artificial blood vessel's near-end.
Described collateral covered graft-stent is sewn on the main body rack type artificial blood vessel, and collateral covered graft-stent length is 10-30mm, and diameter is 5-20mm.
Increase the longitudinal metal beam on the metal rack on the described main body rack type artificial blood vessel.
Metal rack among the described main body rack type artificial blood vessel is the annular enclosed carrier unit more than three.
Metal rack in the described collateral covered graft-stent is more than one annular enclosed carrier unit.
Described main body rack type artificial blood vessel is straight cylinder or gradually thin cylindrical shape, and length is 80-140mm, and diameter is 22-32mm, and distal diameter can be identical with near-end, can also be less than proximal diameter.
A kind of operation on aorta conveyer device of support rack type artificial blood vessel, it is characterized in that, described conveyer device is by two harness assemblies independently: main body rack type artificial blood vessel's harness assembly and collateral covered graft-stent harness assembly are formed, main body rack type artificial blood vessel harness assembly is made up of pull back bar and main body lashing wire of main body, the collateral covered graft-stent harness assembly is propped up lashing wire by side Zhi Huila bar and side and is formed, seeker places the main body bar front end of pulling back, and pull back bar and side Zhi Huila bar of main body all invests on the handle.
The beneficial effects of the utility model are as follows:
(1) the present invention adds a side and props up on the basis of stent-graft, this side is propped up the type stent-graft, can be under less wound, side propped up send into left subclavian artery, when guaranteeing the confession of left subclavian artery blood, further simplify operation process, make things convenient for the doctor to operate, effectively shorten operating time, make that operation is safer, curative effect is better;
(2) because metal rack is Z font or Wave-shaped structural, so content wiry significantly reduces.And metal rack only by suture on artificial blood vessel's inwall, the tinsel that constitutes metal rack does not have exposed part;
(3) support has from swollen property, and its structure connects and composes by the artificial blood vessel by the more piece carrier unit, and each Z font or the Wave-shaped structural of carrier unit are taked the spread pattern of crest to crest, so overlay film frame has good compliance;
(4) for preventing that rack body from reversing and shorten, and improves the longitudinal holding power of support simultaneously.Can increase a longitudinal metal beam in the main part of propping up a side near side;
(5) unsupported artificial blood vessel's part is all left at the rack body two ends, helps the stitching of itself and artificial blood vessel or vascular tissue;
(6) support is by binding respectively, and the mode of individual thread pull discharges support branch and main body successively, so operation technique is simplified greatly, discharges simply, and production cost reduces.
Description of drawings
Fig. 1 is that the support rack type artificial blood vessel discharges the back structural representation;
Fig. 2 is support rack type artificial blood vessel and the restrained condition sketch map of conveyer device before release thereof;
Fig. 3 is a support rack type artificial blood vessel user mode sketch map;
Number in the figure: 1-main body rack type artificial blood vessel; The 2-collateral covered graft-stent; The 3-metal rack; 4-aorta artificial blood vessel; The 5-side is propped up the artificial blood vessel; The 6-beams of metal; The 7-main body bar of pulling back; 8-main body lashing wire; 9-side Zhi Huila bar; The 10-side is propped up lashing wire; 11-hands handle; The 12-seeker; 13-is with the artificial blood vessel of branch.
The specific embodiment
Embodiment 1
A kind of operation on aorta is used the support rack type artificial blood vessel, comprise main body rack type artificial blood vessel 1, have a collateral covered graft-stent 2 on the described main body rack type artificial blood vessel 1, described collateral covered graft-stent 2 is positioned at main body rack type artificial blood vessel 1 near-end, is sewn on the main body rack type artificial blood vessel 1; The support rack type artificial blood vessel discharges the back structural representation as shown in Figure 1;
Main body rack type artificial blood vessel 1 is made up of metal rack 3 and aorta artificial blood vessel 4, be sewed with a plurality of annular metal supports 3 on aorta artificial blood vessel 4 inwalls, aorta artificial blood vessel 4 two ends (near-end and far-end) all leaves unsupported artificial blood vessel's part of being convenient to sew up; Main body rack type artificial blood vessel 1 is straight cylinder shape, and main body rack type artificial blood vessel 1 length is 80mm, and diameter is 24mm, and aorta artificial blood vessel 4 materials are the polyester fiber yarn fabric, as artificial terylene blood vessel;
Collateral covered graft-stent 2 props up artificial blood vessel 5 by metal rack 3 and side and forms, side is propped up and is sewed with a plurality of annular metal supports 3 on artificial blood vessel's 5 inwalls, described collateral covered graft-stent 2 length are 20mm, diameter is 10mm, it is slim polyester fiber yarn fabric that side is propped up artificial blood vessel's 5 materials, as slim artificial terylene blood vessel, cylindrical;
Described metal rack 3 is the annular enclosed carrier unit of Z font or Wave-shaped structural, with crest crest or trough are arranged to the form of trough between each carrier unit, metal rack 3 materials are niti-shaped memorial alloy or rustless steel, and collateral covered graft-stent 2 roots are positioned at the trough place of the first carrier unit of main body rack type artificial blood vessel 1 near-end.
Metal rack 3 among the main body rack type artificial blood vessel 1 is three annular enclosed carrier units, and the metal rack 3 in the collateral covered graft-stent 2 is an annular enclosed carrier unit.
Can increase a longitudinal metal beam 6 on the metal rack 3 on the main body rack type artificial blood vessel 1, be used to strengthen the longitudinal holding power of support, also can not have longitudinal metal beam 6.
Conveyer device is by two harness assemblies independently: main body rack type artificial blood vessel 1 harness assembly and collateral covered graft-stent 2 harness assemblies are formed, as shown in Figure 2, main body rack type artificial blood vessel 1 harness assembly is made up of pull back bar 7 and main body lashing wire 8 of main body, collateral covered graft-stent 2 harness assemblies are propped up lashing wire 10 by side Zhi Huila bar 9 and side and are formed, seeker 12 places main body bar 7 front ends of pulling back, and pull back bar 7 and side Zhi Huila bar 9 of main body all invests on the handle 11.
The delivery device body material is a metal, as medical titanium alloy, lashing wire can adopt suture, the bar of pulling back is tinsel or thin bar, material is titanium or TiNi alloy, lashing wire can adopt medical operation suture thread, collateral covered graft-stent 2 uses binding or overcoat mode to fetter, before the integral material implant into body, be placed under 0 ℃~10 ℃ the temperature, owing to be in the overlay film frame material deliquescing under this temperature, yielding, so under this temperature easily with its compression, make its cross-sectional diameter reduce (promptly less than its release conditions) greatly, use medical operation suture thread that support rack type artificial blood vessel 1 and collateral covered graft-stent 2 are tied up respectively, main body rack type artificial blood vessel 1 with binding sends into the aortal corresponding site of pathological changes then, by tractive collateral covered graft-stent 2 is introduced left subclavian artery, collateral covered graft-stent 2 is put in place, the pull side Zhi Huila of elder generation bar 9 discharges collateral covered graft-stent 2, after discharging fully Deng collateral covered graft-stent 2, pull back bar 7 of pull main body discharges main body rack type artificial blood vessels 1 again, and it tightly is attached on the aorta inwall.After the implantation, its aorta artificial blood vessel 4 and other artificial blood vessels or vascular tissue are stitched together, wherein Fig. 3 is artificial blood vessel 4 and the stitching sketch map of being with the artificial blood vessel of branch 13 again.
This shows that this utility model product can be under less wound, side propped up send into left subclavian artery, when guaranteeing the left subclavian artery blood supply, further simplify operation process, make things convenient for the doctor to operate, can shorten operating time effectively, reduced operation risk.
Embodiment 2
Main body rack type artificial blood vessel 1 length is 120mm, diameter is 28mm, side is propped up and is sewed with a plurality of annular metal supports 3 on artificial blood vessel's 5 inwalls, described collateral covered graft-stent 2 length are 20mm, diameter is that the metal rack 3 among the 12mm main body rack type artificial blood vessel 1 is four annular enclosed carrier units, and the metal rack 3 in the collateral covered graft-stent 2 is two an annular enclosed carrier unit.Other are identical with embodiment 1.
Embodiment 3
Main body rack type artificial blood vessel 1 length is 160mm, diameter is 32mm, side is propped up and is sewed with a plurality of annular metal supports 3 on artificial blood vessel's 5 inwalls, described collateral covered graft-stent 2 length are 20mm, diameter is that the metal rack 3 among the 14mm main body rack type artificial blood vessel 1 is five annular enclosed carrier units, and the metal rack 3 in the collateral covered graft-stent 2 is two an annular enclosed carrier unit.Other are identical with embodiment 1.
The foregoing description is not in order to restriction the present invention, and is within the spirit and principles in the present invention all, any modification of being made, is equal to replacement, improvement etc., all should be included within protection scope of the present invention.

Claims (1)

1. an operation on aorta is with support rack type artificial blood vessel's conveyer device, it is characterized in that, described conveyer device is by two harness assemblies independently: main body rack type artificial blood vessel (1) harness assembly and collateral covered graft-stent (2) harness assembly are formed, main body rack type artificial blood vessel (1) harness assembly is made up of pull back bar (7) and main body lashing wire (8) of main body, collateral covered graft-stent (2) harness assembly is propped up lashing wire (10) by side Zhi Huila bar (9) and side and is formed, seeker (12) places main body bar (7) front end of pulling back, and pull back bar (7) and side Zhi Huila bar (9) of main body all invests on the handle (11).
CN2010202581213U 2009-12-22 2009-12-22 Stent type artificial vessel conveying device for aortic surgery Expired - Lifetime CN201782845U (en)

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Application Number Priority Date Filing Date Title
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CN2009202783208U Division CN201617973U (en) 2009-12-22 2009-12-22 Bracket type artificial blood vessel for aortic operation

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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102166143A (en) * 2011-05-23 2011-08-31 先健科技(深圳)有限公司 Device for conveying bracket in operation and method for mounting and releasing bracket in aortic arch operation
CN103462727A (en) * 2012-06-07 2013-12-25 刘健 Terylene three-branch arcus aortae artificial blood vessel with self-expandable stent
CN105662650A (en) * 2016-03-21 2016-06-15 中国医科大学附属第一医院 Integrated coated branched vascular stent and conveying system thereof
CN105748132A (en) * 2016-05-06 2016-07-13 西安交通大学第附属医院 Bypass blood vessel guiding device for internal arteriovenous fistula of artificial blood vessel
CN105832446A (en) * 2015-01-14 2016-08-10 微创心脉医疗科技(上海)有限公司 Covered stent, covered stent system and use method thereof
CN107802387A (en) * 2017-11-08 2018-03-16 有研医疗器械(北京)有限公司 A kind of art medium-height trestle induction system and its application method
CN109350317A (en) * 2018-12-06 2019-02-19 大连科万维医疗科技有限公司 It is a kind of facilitate conveying with branch stent
CN109758200A (en) * 2019-01-29 2019-05-17 魏民新 Stented vessel system and application method are discharged after aorta direct-view
CN111329634A (en) * 2018-12-18 2020-06-26 深圳市先健畅通医疗有限公司 Implant and method of manufacturing the same
CN112702980A (en) * 2018-09-12 2021-04-23 W.L.戈尔及同仁股份有限公司 Low profile delivery system with locking wire lumen
CN117159219A (en) * 2023-11-02 2023-12-05 北京华脉泰科医疗器械股份有限公司 Vascular prosthesis, vascular prosthesis connecting device and vascular prosthesis connecting system
CN118000965A (en) * 2024-03-13 2024-05-10 湖南埃普特医疗器械有限公司 Positioning method for abdominal aortic stent

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012159524A1 (en) * 2011-05-23 2012-11-29 先健科技(深圳)有限公司 Conveying device of intraoperative stent
CN102166143A (en) * 2011-05-23 2011-08-31 先健科技(深圳)有限公司 Device for conveying bracket in operation and method for mounting and releasing bracket in aortic arch operation
CN103462727A (en) * 2012-06-07 2013-12-25 刘健 Terylene three-branch arcus aortae artificial blood vessel with self-expandable stent
CN105832446A (en) * 2015-01-14 2016-08-10 微创心脉医疗科技(上海)有限公司 Covered stent, covered stent system and use method thereof
CN105662650A (en) * 2016-03-21 2016-06-15 中国医科大学附属第一医院 Integrated coated branched vascular stent and conveying system thereof
CN105748132A (en) * 2016-05-06 2016-07-13 西安交通大学第附属医院 Bypass blood vessel guiding device for internal arteriovenous fistula of artificial blood vessel
CN105748132B (en) * 2016-05-06 2018-03-09 西安交通大学第一附属医院 Artifical internal arteriovenous fistula maintenance turn of tidal stream blood vessel guide device
CN107802387B (en) * 2017-11-08 2019-10-22 有研医疗器械(北京)有限公司 Stent delivery system and its application method in a kind of art
CN107802387A (en) * 2017-11-08 2018-03-16 有研医疗器械(北京)有限公司 A kind of art medium-height trestle induction system and its application method
CN112702980A (en) * 2018-09-12 2021-04-23 W.L.戈尔及同仁股份有限公司 Low profile delivery system with locking wire lumen
CN109350317A (en) * 2018-12-06 2019-02-19 大连科万维医疗科技有限公司 It is a kind of facilitate conveying with branch stent
CN111329634A (en) * 2018-12-18 2020-06-26 深圳市先健畅通医疗有限公司 Implant and method of manufacturing the same
CN109758200A (en) * 2019-01-29 2019-05-17 魏民新 Stented vessel system and application method are discharged after aorta direct-view
CN117159219A (en) * 2023-11-02 2023-12-05 北京华脉泰科医疗器械股份有限公司 Vascular prosthesis, vascular prosthesis connecting device and vascular prosthesis connecting system
CN117159219B (en) * 2023-11-02 2024-03-08 北京华脉泰科医疗器械股份有限公司 Vascular prosthesis connection device and vascular prosthesis connection system
CN118000965A (en) * 2024-03-13 2024-05-10 湖南埃普特医疗器械有限公司 Positioning method for abdominal aortic stent

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