CN206183435U - Tectorial membrane support is used in operation of aorta intermediate layer and conveyor thereof - Google Patents
Tectorial membrane support is used in operation of aorta intermediate layer and conveyor thereof Download PDFInfo
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- CN206183435U CN206183435U CN201620932428.4U CN201620932428U CN206183435U CN 206183435 U CN206183435 U CN 206183435U CN 201620932428 U CN201620932428 U CN 201620932428U CN 206183435 U CN206183435 U CN 206183435U
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- Prior art keywords
- overlay film
- film frame
- support
- aorta
- dissection
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- 210000000709 aorta Anatomy 0.000 title claims abstract description 52
- 210000002489 tectorial membrane Anatomy 0.000 title abstract 5
- 239000000463 material Substances 0.000 claims abstract description 9
- 206010046996 Varicose vein Diseases 0.000 claims abstract description 5
- 238000002224 dissection Methods 0.000 claims description 26
- 210000001364 upper extremity Anatomy 0.000 claims description 14
- 230000008602 contraction Effects 0.000 claims description 6
- 210000001015 abdomen Anatomy 0.000 claims description 3
- 239000012528 membrane Substances 0.000 claims description 3
- 210000000988 bone and bone Anatomy 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 abstract description 5
- 210000000038 chest Anatomy 0.000 abstract description 4
- 210000002376 aorta thoracic Anatomy 0.000 abstract description 3
- 210000001367 artery Anatomy 0.000 description 11
- 210000000269 carotid artery external Anatomy 0.000 description 11
- 210000003270 subclavian artery Anatomy 0.000 description 9
- 210000004204 blood vessel Anatomy 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- 210000003462 vein Anatomy 0.000 description 5
- 210000001105 femoral artery Anatomy 0.000 description 4
- 230000036770 blood supply Effects 0.000 description 3
- 230000002285 radioactive effect Effects 0.000 description 3
- 210000002302 brachial artery Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 2
- 239000004810 polytetrafluoroethylene Substances 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 200000000007 Arterial disease Diseases 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 239000002473 artificial blood Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 206010008118 cerebral infarction Diseases 0.000 description 1
- 208000026106 cerebrovascular disease Diseases 0.000 description 1
- 230000004087 circulation Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000001259 mesencephalon Anatomy 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- -1 polytetrafluoroethylene Polymers 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
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- Materials For Medical Uses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The utility model discloses a tectorial membrane support is used in operation of aorta intermediate layer and conveyor thereof, support include the main part, and the main part is the tectorial membrane support, and this support is the toper support that the diameter was tapered off to the thoracic aorta distal end by the heart near -end gradually, and the main part lower part of support is equipped with not tectorial membrane of exposed portion, three sacculus expansion support frame is connected to the reason that goes up at main part middle part, the main part near -end has the protectiveness gasket that the varicosity material was made, it has the pipe to link respectively on the three sacculus expansion support frame, the long about 2m of pipe. Conveyor includes the conveying sheath pipe, and the support subject compressed is intraductal at conveying sheath, and the support compressed of the three dribbling bag on the main part middle section is intraductal at conveying sheath, the conveying sheath complete piping system has the pinnacle, and support subject and three sacculus expansion support frame's seal wire and pipe are slotted in the pointed end of conveying sheath complete piping system. The utility model provides a tectorial membrane support is used in the operation of aorta intermediate layer for the minimal access surgery treatment is intervene to the stanford A type aorta intermediate layer that the cut is located between three last branch vessel of aortic arch, avoids out the wound of chest operation, directly implements the shutoff of intracavity cut.
Description
Technical field
The utility model is related to medical instruments field, and in particular to a kind of dissection of aorta operation overlay film frame and its make
Use method.
Background technology
The Stanford A type dissection of aorta on the arch of aorta between three branch vessels is located at for cut, is not suitable for using
Traditional stent inserting aorta lumen endoprosthesis, the method can block three openings of branch of the arch of aorta, influence head
Portion's blood supply, causes large area cerebral infarction.Therefore current modus operandi is open chest surgery, under circulating in vitro, manually vascular replacement
The arch of aorta of lesion.This method wound is big, and the patient of many condition differences does not tolerate open chest surgery, and circulation operation in vitro
Artificial blood vessel and autologous vein coincide the problem of a bleeding, and the problem of the protection of art midbrain and important organ protection is complicated, and this is to hold
One of the reason for easily causing patient's postoperative death.
Utility model content
The technical problems to be solved in the utility model is：A kind of thoracic aorta covered bracket and its conveying device are provided, can
Make Stanford A type dissection of aorta of the cut of the necessary open chest surgery in part positioned between three branch vessels on the arch of aorta
Patient, treatment is completed by minimally invasive intervention operation.
In order to solve the above-mentioned technical problem, the utility model provides a kind of dissection of aorta operation overlay film frame, should
Support includes the main body of taper, and the body head is the near-end for being close to heart, and afterbody is the distal end for being close to sustainer, head to tail
Portion's diameter gradually tapers off trend, and the top of the main body corresponds to head, bottom and set corresponding to belly, and the main body
Bottom is provided with exposed portion, and the outer layer of the main body has structure of film in addition to the exposed portion, and the upper limb in the middle part of main body is provided with multiple
Balloon expandable stent.
Further, in the main body lower edge, exposed part area is about the 1/ of support overlying membrane area to the exposed position
4。
Further, the balloon expandable stent is provided with 3.
Further, the overlay film frame is axially disposed multiple corrugated annulus.
Further, the overlay film frame is medical macromolecular materials.
Further, a length of 3cm of the balloon expandable stent, is also associated with 30cm balloon expandable stent conduits, and the sacculus expands
The preceding 30cm for opening scaffold tube is exchanging pipe.
Further, the protectiveness pad that the overlay film frame proximal is made with varicosity material.
Another technical scheme is disclosed in the utility model：A kind of conveying of dissection of aorta operation overlay film frame
Device, it includes delivery sheath, constrains the suture and drawing seal wire of overlay film frame, and suture sews the lateral surface in rack body
On, suture closes two side seams of left subclavian artery near-end overlay film frame, drawing seal wire by suture by support draw in
Half contraction state, overlay film frame is drawn in and is wrapped in delivery sheath；Characterized in that, the head of the delivery sheath is
Peaky shape, the drawing guidewire proximal makes mount proximal end in half contraction state through suture, pulls the distal end of seal wire through defeated
Send and passed at the handle of sheath and fixed.
Further, the wire casing and separable plug of middle control, the drawing seal wire on delivery sheath are provided with described handle
Passed through from wire casing, the distal end for pulling seal wire is fastened on plug.
Yet another technique scheme is disclosed in the utility model：A kind of use of dissection of aorta operation overlay film frame
Method, comprises the following steps：
S1：Operation consent, overlay film frame is compressed in conveying device；
S2：Start operation, the first step：Perform the operation respectively free left and right side arteria brachialis, left side external carotid artery and side femoral artery
It is standby；Second step：Under DSA guides, 4 seal wires are penetrated from lower limb side femoral artery, wherein a ultrahard guide wire is through liter
Sustainer, 3 0.018cm × 2.6m seal wires of remaininging are passed from left upper extremity arteria brachialis, right upper extremity arteria brachialis, left external carotid artery respectively；
3rd step：4 seal wire afterbodys respectively penetrate corresponding 4 conduits, and what is penetrated in the middle of delivery sheath is ultrahard guide wire, right brachial arteries
What wire distal was penetrated is truncus brachiocephalicus aortic sac expandable stent conduit, and what left side external carotid artery wire distal was penetrated is left side neck
Total aortic sac expandable stent conduit, what left side arteria brachialis wire distal was penetrated is that aortic sac expandable stent is led under left collarbone
Pipe, conduit moves ahead along seal wire and respectively from left and right arteria brachialis, left side external carotid artery pulls out external；4th step, under radioactive ray
Observation, when membrane-covered support conveying system is sent to arch of aorta precalculated position, while pulling three conduits, makes it synchronously arrive at actively
The position of arcus haemalis；5th step：After conveying overlay film frame reaches arch of aorta position, support beam is progressively released by near-end to distal end
Tie up；6th step：Adjustment overlay film frame position, three balloon expandable stents are aligned and enter the truncus brachiocephalicus artery of the arch of aorta,
LCC, three branch openings of left subclavian artery, pull the conduit and left side external carotid artery conduit of left and right upper limbs, are allowed to
Into corresponding artery；7th step：Ball expands support in expansion LCC, and the synchronous corresponding truncus brachiocephalicus of left and right upper limbs that pulls is moved
Arteries and veins, left subclavian artery conduit, overlay film frame main body are fixed in the arch of aorta；8th step：Expansion truncus brachiocephalicus arterial bracket；The
Nine steps：Further expansion left subclavian artery support；Finally, the gradually thinner distal end of release diameter, overlay film frame supporter voluntarily bullet
Open whole releases；
S3：Conveying sheath is withdrawn from, again aorta ascendens radiography, suture operation otch completes operation.
It is of the present utility model to have technical effect that：Overlay film frame of the present utility model is " taper " support with pad, branch
The shape of frame meets human vas architectural feature, and beneficial to being brought into close contact for support and blood vessel, the pad that varicosity material is made can be with
Prevent bracket edge from puncturing blood vessel, while preventing the generation of leakage in the type of proximal part one.The lower body part of support is provided with exposed portion not
Overlay film, the support of blood-permeable not overlay film when not only making half release conditions of mount proximal end, it is ensured that the branch of arch of aorta distal end
The blood supply of blood vessel；And blood flow impact is reduced when three balloon expandable stents enter three branch vessels on bow, it is ensured that overlay film
Support is not releasing the full-time stabilization in the arch of aorta.Support is sufficiently flexible to meet blood vessel structure feature, can not damage blood
Pipe.Upper limb in the middle part of rack body connects three balloon expandable stents, can be located at three branches on the arch of aorta to cut respectively
Intervascular Stanford A types dissection of aorta implements closure, while ensure the blood supply of three branch vessels on the arch of aorta, from
And minimally-invasive treatment can be carried out the Stanford A types dissection of aorta that cut is located on the arch of aorta between three branch vessels.Support
Be nickel-titanium alloy material, can be observed under radioactive ray in surgical procedure, can guarantee that with blood vessel accurate contraposition, prevent release position
Mistake is put, branch vessel is blocked.
Brief description of the drawings
Fig. 1 is the structural representation of the utility model dissection of aorta operation overlay film frame；
Fig. 2 is the utility model dissection of aorta operation overlay film frame and three schematic diagrames of balloon expandable stent.
Fig. 3 is the structural representation of the utility model dissection of aorta operation overlay film frame balloon expandable stent；
Fig. 4 is the transport conveyor constructions schematic diagram of the utility model dissection of aorta operation overlay film frame；
Fig. 5 is that the human body that the utility model dissection of aorta operation stent inserting diseased region seal wire need to pass through is moved
Arteries and veins system schematic；
Fig. 6 is that the utility model dissection of aorta operation overlay film frame conveying device is illustrated by human body artery system
Figure.
Specific embodiment
The utility model is described in further detail with specific embodiment below in conjunction with the accompanying drawings, so that those skilled in the art
The utility model can be better understood from and can be practiced, but illustrated embodiment is not as to restriction of the present utility model.
As shown in figure 1, being the structure 1 of the utility model dissection of aorta operation overlay film frame, the support 1 includes taper
Main body, the body head 10 is the near-end for being close to heart, and afterbody 11 is the distal end for being close to sustainer, and head 10 is straight to afterbody 11
Footpath size gradually tapers off trend, and the top 12 of the main body corresponds to head, bottom and set corresponding to belly, and lower body part sets
There is an exposed portion 13, the outer layer of main body has structure of film except the exposed portion 13, and the exposed position is exposed in the main body lower edge
Area is about the 1/4 of support overlying membrane area, and overlay film frame is pre- solidifying medical macromolecular materials.Upper limb in the middle part of main body
Multiple balloon expandable stents 14 are provided with, balloon expandable stent 14 is provided with 3 altogether in the present embodiment, the left upper extremity upper arm are corresponded to respectively and is moved
Arteries and veins, right upper extremity arteria brachialis, left external carotid artery are set, and overlay film frame 1 is axially disposed multiple corrugated annulus 15.Overlay film branch
The protectiveness pad that the proximal of frame 1 is made with varicosity material.The a length of 3cm of balloon expandable stent 14, is also associated with 30cm balls
Capsule expandable stent conduit 16, the preceding 30cm of the balloon expandable stent conduit 16 is exchanging pipe.
As shown in Figure 4,5, it is the conveying device 2 of the utility model dissection of aorta operation overlay film frame, including conveying
Sheath 22, the main body of support 1 is compressed in delivery sheath 22, and support 14 of three on main body stage casing with sacculus is compressed in defeated
Send in sheath 22；The system of delivery sheath 33 has a pinnacle 21, rack body and three seal wires of balloon expandable stent 14 23 and leads
Pipe 16 is slotted in the tip of delivery sheath system 2.The dissection of aorta operation conveying device 2 of overlay film frame 1, it includes conveying
Sheath 22, suture and drawing seal wire 23, suture are sewed on 22 on the lateral surface of rack body, and suture is near by left subclavian artery
End 1 liang of side seams of overlay film frame are closed, and drawing seal wire 23 is drawn in half contraction state in support by suture, by overlay film frame 1
Draw in and be wrapped in delivery sheath 22；The head of delivery sheath 22 is pinnacle 21, and the drawing near-end of seal wire 23 makes through suture
The near-end of support 1 is in half contraction state, and the distal end of drawing seal wire 23 passes through and passed at the handle of delivery sheath 22 and fixed.Handle 24
Place is provided with the wire casing and separable plug of middle control, and the drawing seal wire on delivery sheath 22 is passed through from wire casing, pulls seal wire 23
Distal end be fastened on plug.Delivery sheath 22 is using a kind of material system in polyester, polytetrafluoroethylene (PTFE) or derivatives thereof
Make.
Support of the present utility model 1 has to, by matching stent conveying device 2, can just be implanted to corresponding master
, i.e., be constrained in overlay film frame in delivery sheath 22 using conveying device 2 by arterial disease position, is then delivered to the arch of aorta point
Support 1 is discharged after the lesion locations of branch vessel, finally withdraws from conveying device.The first step, the free left and right side upper arm of performing the operation respectively
Artery, left side external carotid artery and side femoral artery are standby.Second step, under DSA guides, by 4 seal wires, (wherein 1 is superhard
Seal wire 231, in addition three be 0.018cm*2.6m seal wires 232,233,234) from lower limb side, femoral artery is penetrated, ultrahard guide wire
231 through aorta ascendens, and 3 seal wires 232,233,234 of remaininging are moved from right upper extremity arteria brachialis, left external carotid artery, the left upper extremity upper arm respectively
Arteries and veins is passed.3rd step, 4 seal wire afterbodys respectively penetrate corresponding 4 conduits, and what is penetrated in the middle of delivery sheath 22 is ultrahard guide wire
231, what the distal end of right brachial arteries seal wire 232 penetrated is truncus brachiocephalicus aortic sac expandable stent conduit, and left side external carotid artery 233 is led
What silk distal end penetrated is left common carotid balloon expandable stent conduit, and what the distal end of left side arteria brachialis seal wire 234 penetrated is left side
The conduit of subclavian artery balloon expandable stent.Conduit moves ahead and respectively from left and right arteria brachialis, left side external carotid artery along seal wire
Pull out external.4th step, observes under radioactive ray, when membrane-covered support conveying system 2 is sent to arch of aorta precalculated position, drawing three
Root conduit, the position for making it synchronously arrive at the arch of aorta；5th step：After conveying overlay film frame reaches arch of aorta position, by near
Hold to distal end and progressively release support constraint；6th step：Adjustment overlay film frame 1 position, three balloon expandable stents 14 are aligned simultaneously
Truncus brachiocephalicus artery, LCC into the arch of aorta, three branch openings of left subclavian artery, pull leading for left and right upper limbs
Pipe and left side external carotid artery conduit, feed them into corresponding artery；7th step：Ball expands support in expansion LCC, synchronous
The corresponding truncus brachiocephalicus artery of drawing left and right upper limbs, left subclavian artery conduit, overlay film frame main body 1 are fixed in the arch of aorta；
8th step：Expansion truncus brachiocephalicus arterial bracket；9th step：Further expansion left subclavian artery support；Finally, gradually release diameter is thinner
Distal end, overlay film frame supporter Self-bouncing all discharge.
Embodiment described above is only the preferred embodiment lifted to absolutely prove the utility model, the utility model
Protection domain not limited to this.Equivalent substitute or change that those skilled in the art are made on the basis of the utility model
Change, within protection domain of the present utility model.Protection domain of the present utility model is defined by claims.
Claims (9)
1. a kind of dissection of aorta operation overlay film frame, it is characterised in that the support includes the main body of taper, the body head
It is the near-end for being close to heart, afterbody is the distal end for being close to sustainer, head to tail diameter size gradually tapers off trend, the master
The top of body corresponds to head, bottom and is set corresponding to belly, and the lower body part is provided with exposed portion, the outer layer of the main body
There is structure of film in addition to the exposed portion, the upper limb in the middle part of main body is provided with multiple balloon expandable stents.
2. dissection of aorta operation overlay film frame according to claim 1, it is characterised in that the exposed position is in institute
Rack body lower edge is stated, exposed part area is the 1/4 of support overlying membrane area.
3. dissection of aorta operation overlay film frame according to claim 1, it is characterised in that the balloon expandable stent
It is provided with 3.
4. dissection of aorta operation overlay film frame according to claim 1, it is characterised in that the overlay film frame is along axle
To being provided with multiple corrugated annulus.
5. dissection of aorta operation overlay film frame according to claim 1, it is characterised in that the overlay film frame is doctor
Use macromolecular material.
6. dissection of aorta operation overlay film frame according to claim 3, it is characterised in that the balloon expandable stent
A length of 3cm, is also associated with 30cm balloon expandable stent conduits, and the preceding 30cm of the balloon expandable stent conduit is exchanging pipe.
7. dissection of aorta operation overlay film frame according to claim 1, it is characterised in that the overlay film frame main body
The protectiveness pad that near-end is made with varicosity material.
8. according to a kind of any one of claim 1-7 dissection of aorta operation overlay film frame conveying device, it includes
Delivery sheath, constrains the suture and drawing seal wire of overlay film frame, and suture is sewed on the lateral surface of rack body, and suture is by left lock
Two side seams of arterial proximal overlay film frame are closed under bone, and drawing seal wire is drawn in half contraction state in support by suture, will
Overlay film frame draws in and is wrapped in delivery sheath；Characterized in that, the head of the delivery sheath is peaky shape, it is described to lead
Draw guidewire proximal makes mount proximal end in half contraction state through suture, and the distal end of drawing seal wire passes through wears at the handle of delivery sheath
Go out and fix.
9. conveying device according to claim 8, it is characterised in that the wire casing of middle control is provided with described handle and can be divided
From plug, the drawing seal wire on delivery sheath passed through from wire casing, and the distal end for pulling seal wire is fastened on plug.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620932428.4U CN206183435U (en) | 2016-08-24 | 2016-08-24 | Tectorial membrane support is used in operation of aorta intermediate layer and conveyor thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620932428.4U CN206183435U (en) | 2016-08-24 | 2016-08-24 | Tectorial membrane support is used in operation of aorta intermediate layer and conveyor thereof |
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| Publication Number | Publication Date |
|---|---|
| CN206183435U true CN206183435U (en) | 2017-05-24 |
Family
ID=58728680
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201620932428.4U Expired - Fee Related CN206183435U (en) | 2016-08-24 | 2016-08-24 | Tectorial membrane support is used in operation of aorta intermediate layer and conveyor thereof |
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| Country | Link |
|---|---|
| CN (1) | CN206183435U (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106214287A (en) * | 2016-08-24 | 2016-12-14 | 杨威 | Dissection of aorta operation overlay film frame, conveyer device and using method |
| CN108143447A (en) * | 2017-12-26 | 2018-06-12 | 许尚栋 | A kind of dissection of aorta distal end cut plugging device |
| WO2020052185A1 (en) * | 2018-09-12 | 2020-03-19 | 于存涛 | Ascending aorta stent anchored by innominate artery for dissection, and delivery system |
| CN114948335A (en) * | 2022-07-29 | 2022-08-30 | 北京华脉泰科医疗器械股份有限公司 | Embolic occlusion device and method of implanting the same |
-
2016
- 2016-08-24 CN CN201620932428.4U patent/CN206183435U/en not_active Expired - Fee Related
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106214287A (en) * | 2016-08-24 | 2016-12-14 | 杨威 | Dissection of aorta operation overlay film frame, conveyer device and using method |
| CN108143447A (en) * | 2017-12-26 | 2018-06-12 | 许尚栋 | A kind of dissection of aorta distal end cut plugging device |
| WO2020052185A1 (en) * | 2018-09-12 | 2020-03-19 | 于存涛 | Ascending aorta stent anchored by innominate artery for dissection, and delivery system |
| CN114948335A (en) * | 2022-07-29 | 2022-08-30 | 北京华脉泰科医疗器械股份有限公司 | Embolic occlusion device and method of implanting the same |
| CN114948335B (en) * | 2022-07-29 | 2022-09-27 | 北京华脉泰科医疗器械股份有限公司 | Embolism plugging device |
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