CN206342570U - A kind of sacculus protects the mounting system of branch vessel - Google Patents

A kind of sacculus protects the mounting system of branch vessel Download PDF

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Publication number
CN206342570U
CN206342570U CN201620897498.0U CN201620897498U CN206342570U CN 206342570 U CN206342570 U CN 206342570U CN 201620897498 U CN201620897498 U CN 201620897498U CN 206342570 U CN206342570 U CN 206342570U
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sacculus
branch
support
protection
main
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CN201620897498.0U
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苗立夫
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Abstract

The utility model is related to the mounting system that a kind of sacculus protects branch vessel, and main branch support is arranged on support release sacculus outer surface, and the length of support release sacculus is more than the length of main support, and support release sacculus delivery conduit is arranged on support release sacculus rear portion;Main branch support and support release sacculus delivery conduit sidepiece protects sacculus and branch's protection sacculus delivery conduit provided with branch; branch protects sacculus rear portion to be connected with support protection sacculus delivery conduit; branch's protection sacculus is fixed on main branch support stage casing rear portion, and a part for branch's protection sacculus is attached with main support outer wall.By the way that the mounting system of branch vessel is protected via sacculus before main support discharges by sacculus and protects seal wire to send into branch vessel; support release back branch oral area can directly expand the local blood flow of branch's protection sacculus improvement and be limited when narrow serious; avoid the difficult operation that branch's protection seal wire passes through support mesh, be branch vessel oral area provide convenience, the protection of safety.

Description

A kind of sacculus protects the mounting system of branch vessel
Technical field
The utility model is related to medical treatment consumptive materials technical field, and in particular to a kind of mounting system of protection branch vessel.
Background technology
Hemadostewnosis, occlusion are the diseases of a kind of high disability rate and high mortality.It is hard for vascular diseases especially artery Change, narrow and occlusive disease, intravascular Interventional Treatment and Stent are one of main treatment methods.The technology is to prop up Frame reaches diseased region through induction system, then stretched to extrude patch to expand diameter, the support tube of inner chamber to extravascular Chamber and reach treatment hemadostewnosis purpose.Clinically quite a few hemadostewnosis, Occlusion involve vascular bifurcation.Sacculus Bifurcated spine and stenotic lesion displacement can cause branch vessel oral area narrow or even occlusion when expansion and stenter to implant, cause branch The ischemic of blood vessel blood supply tissue, and cause serious adverse consequences clinically.On current interventional technique, using branch vessel oral area Two kinds of methods of seal wire protection technique and double bracket technology are to prevent this complication.
The technology of seal wire or sacculus within branch is placed in branch's seal wire protection before main support discharges.Because protection is led Silk and sacculus need perforating branches frame mesh to send seal wire to side Zhi Yuanduan, entered outside main support when branch's oral area is impaired after support release And push sacculus even while support in while the implantation of branch oral area row balloon dilatation and stenting reconstructed with the negativity for improving branch's oral area.
Double bracket technology is to ensure serial hand that branch vessel blood flow is unobstructed in main branch and each Stent Implantation of branch vessel Art method.Such technical operation is relative complex, difficulty, and seal wire needs to deliver to side branch completion by individual layer even three layers of supporting structure Sacculus is to kiss art.Merge that calcification, tortuous, main branch-branch vessel angle be excessive or too small in blood vessel, branch's oral area Serious Stenosis very To when occlusion, it is extremely difficult that seal wire is again introduced into side branch vessel.Seal wire can not enter side Zhi Kaizhan by supporting structure Follow-up side branch balloon dilatation and stenting treatment, is influence bifurcated lesions success rate, brings serious bad clinical events Main cause.
Utility model content
Weak point present in regarding to the issue above, the utility model provides the support that a kind of sacculus protects branch vessel System.
To achieve the above object, the utility model provides the mounting system that a kind of sacculus protects branch vessel, including:Main branch Support, support release sacculus, support release sacculus delivery conduit, branch's protection sacculus and branch's protection sacculus delivery conduit;Its In,
The main branch support is arranged on the support release sacculus outer surface, and the length of the support release sacculus is more than institute The length of main support is stated, the support release sacculus delivery conduit is arranged on the support release sacculus rear portion;
The main branch support and support release sacculus delivery conduit sidepiece protect sacculus and described provided with the branch Branch protects sacculus delivery conduit, and the branch protection sacculus rear portion is connected with support protection sacculus delivery conduit, institute State branch's protection sacculus and be fixed on the main branch support stage casing rear portion, the part and the main branch of branch's protection sacculus Frame outer wall is attached;
The main branch mid-stent protects the spacing beam of sacculus, support distal section branch protection sacculus limit provided with support stage casing branch It is anterior that position beam is arranged on the main support;
Bifurcated balloon on the support release sacculus passes support position mark and is arranged on the support stage casing branch protection In the middle part of the corresponding support release sacculus of the spacing beam of sacculus;
The support release sacculus protects sacculus front end into tapered shape with branch;
The main branch support is the tubular eyed structure being made of metal.
Further improved as the utility model, the main support plane is open or closed type structure.
Further improved as the utility model, the support release sacculus and branch protection sacculus are provided with guidewire lumen And pressure chamber, it is connected respectively with the guidewire lumen and pressure chamber of support release sacculus delivery conduit.
Further improved as the utility model, the support release sacculus and branch protection sacculus are fast exchange Type sacculus.
Further improved as the utility model, branch's protection sacculus is placed in the middle or two-end part is provided with impermeable X-ray Developing mark.
Further improved as the utility model, the support release ball corresponding to branch's protection spacing beam of sacculus Capsule position sets impermeable X-ray mark.
Further improved as the utility model, the corresponding position of the support release sacculus and the main branch bracket edge Provided with impermeable X-ray mark.
The beneficial effects of the utility model are:By the support for protecting branch vessel via sacculus before main branch support discharges Branch is protected seal wire and branch's protection sacculus feeding branch vessel by system, when branch vessel oral area is narrow serious after support release Branch's protection sacculus can directly be expanded to be limited to improve local blood flow, it is to avoid branch's protection seal wire passes through support mesh Difficulty operation, be branch vessel oral area provide convenience, safety protection.
Brief description of the drawings
Fig. 1 is the structural representation of the mounting system of sacculus protection branch vessel in the utility model one embodiment;
Fig. 2 is mounting system body portion and the structure of afterbody of sacculus protection branch vessel in the utility model one embodiment Schematic diagram;
Fig. 3 is that branch's protection sacculus of the mounting system of sacculus protection branch vessel in the utility model one embodiment is returned The operation chart removed;
Fig. 4 is that the branch of the mounting system through sacculus protection branch vessel in the utility model one embodiment protects sacculus Send into the operation chart that branch protects seal wire;
Fig. 5 is the mounting system of sacculus protection branch vessel in the utility model one embodiment after the release of main branch support Set up branch's protection seal wire and branch's protection sacculus path schematic diagram.
In figure:101st, main branch vessel;102nd, branch vessel;103rd, main branch support;104th, support release sacculus;105th, support Discharge sacculus delivery conduit;106th, branch's protection sacculus;107th, branch's protection sacculus delivery conduit;108th, support distal section branch is protected Keep the spacing beam of capsule;109th, the support stage casing branch protection spacing beam of sacculus;110th, the corresponding release sacculus of the spacing beam in support stage casing Mark;111st, main branch seal wire;112nd, branch's protection seal wire;113rd, support release sacculus silk-guiding chamber;114th, support release sacculus pressure Power chamber;115th, support release sacculus delivery conduit guidewire lumen;116th, support release sacculus delivery conduit pressure chamber;117th, branch is protected Keep capsule guidewire lumen;118th, branch's protection balloon pressure chamber;119th, branch's protection sacculus delivery conduit guidewire lumen;120th, branch is protected Keep capsule delivery conduit pressure chamber;121st, delivery conduit rod body part guidewire lumen is exported;122nd, needle stand;123rd, reinforcing member.
Embodiment
As shown in figure 1, a kind of sacculus of the utility model embodiment protects the mounting system of branch vessel, including:Main branch Support 103, support release sacculus 104, support release sacculus delivery conduit 105, branch's protection sacculus 106, branch's protection sacculus Delivery conduit 107;Wherein, main branch support 103 is arranged on support release sacculus 104 outer surface, and support discharges the length of sacculus 104 More than the length of main branch support 103, support release sacculus delivery conduit 105 is arranged on support release sacculus 104 rear portion.Main branch branch The spacing beam 109 of sacculus is protected in the middle part of frame 103 provided with branch, and the main distal section of branch support 103 protects the spacing beam 108 of sacculus provided with branch. Branch's protection sacculus 106 is fixed on proximal segment of the main branch support 103 close to operator one end close to a part of position of operator Protect one section of spacing 109, the beam of sacculus to be fixed on main branch support 103 to main branch support stage casing branch to release with corresponding support Put between sacculus 104, the autonomous branch support stage casing branch of protection sacculus 106 of branch protects the spacing beam 109 of sacculus far to pass main branch The mesh of support 103 is attached at the main outer wall of branch support 103, is worn again to the main branch support distal section branch protection spacing Liang108Chu of sacculus Become owner of the mesh of branch support 103 and be fixed between spacing beam 108 and corresponding support release sacculus 104.Respective branches are protected The support release sacculus that sacculus 106 passes the main spacing position of beam 109 of branch support stage casing branch protection sacculus sets impermeable X-ray mark Note 110.Support discharges sacculus 104 and the two ends of branch's protection sacculus 106 are in tapered shape, and support discharges sacculus 104 and divided Branch protection sacculus 106 is respectively equipped with pressure chamber and guidewire lumen and is connected with the pressure chamber of delivery conduit with guidewire lumen.Support discharges 104 grades of branch's protection sacculus 106 of sacculus are seal wire rapid-exchange version sacculus, and the branch protection middle position of sacculus 106 or two ends are set There is impermeable X-ray developing mark.
The material of main support 103 is the cylindrical net that single metal, alloy, the combination of high polymer material or above-mentioned material are made Ocular structure, main support 103 is bare metal stent, bracket for eluting medicament or biodegradable support, and the main planar structure of branch support 103 is Open or closed type design, support release sacculus corresponding with the main two ends of branch support 103 is marked provided with impermeable X-ray.
It is high molecular polymer or high polymer material and metal that support, which discharges sacculus 104 and branch's protection sacculus 106 material, Set tagging uses platinumiridio, tantalum or gold on the combination of material, branch's protection sacculus 106 and support release sacculus 104 It is made.Main branch support 103, the diameter of support release sacculus 104 and branch's protection sacculus 106, length are according to the straight of target blood Footpath, length decision design.
As shown in Fig. 2 a kind of sacculus of the utility model embodiment protects the mounting system of branch vessel, support release ball Capsule delivery conduit 105 and branch protect sacculus delivery conduit 107 to be the design of seal wire rapid-exchange version, i.e., set in conduit rod body part It is equipped with guidewire lumen outlet 121.Support release sacculus delivery conduit 105 and branch protect sacculus delivery conduit 107 to be polyphosphazene polymer The combination of compound or high polymer material and metal material, the end close to operator side is provided with needle stand 122 and reinforcing member 123. Support release sacculus delivery conduit 105 and branch protect sacculus delivery conduit 107 not interfix or by collagen, gelatin Or other biological compatibility fixative is continuously or discontinuously fixed.
As shown in Figures 3 to 5, branch's protection sacculus 106 is protected in the spacing beam 108 of sacculus and support by support distal section branch The section branch protection spacing beam 109 of sacculus is fixed on support release sacculus 104 near supporting structure, the protection of support distal section branch Branch's protection sacculus 106 between the spacing beam 108 of sacculus and the stage casing branch protection spacing beam 109 of sacculus stretches out and is attached at support Structures outlet side-wall.Sacculus 106 is protected to apply the tractive force to the proximal segment direction of transporting bracket conduit 105, branch's protection ball to branch The distal end of capsule 106 withdraws, be separated from the support distal section branch protection spacing beam 108 of sacculus limitation, fixation.Under X-ray examination Thrown according to main branch seal wire 111, the distal section of branch's seal wire 112 in different x-ray according to the relative position on position, rotation and adjustment make point Branch protects the distal section of seal wire 112 to keep good alignment with the opening portion of branch vessel 102, and with reference to right on main support release sacculus Support stage casing branch is answered to protect the impermeable X-ray of the spacing beam 109 of sacculus to mark to complete being accurately positioned for support and Bian Zhi seal wires. Established after confirming positioning ideally expandable stent release sacculus 104 release main support 103, stent expansion by main branch blood Protection sacculus and protection guidewire track of the proximal segment of pipe 101 through the mesh of main support 103 to branch vessel 102.In 102 mouthfuls of branch vessel When portion is impaired or narrow serious, expansion branch protects sacculus 106 or kiss is expanded to improve branch with the sacculus in main branch vessel The Serious Stenosis that blood vessel oral area lesion and spine's displacement are brought.Also necessity support technology (provisional stent can be used Technique) send into support to protect the unobstructed of the blood flow of branch vessel 102 along branch's protection seal wire 112.
Branch's protection sacculus of the mounting system for the sacculus protection branch vessel that the utility model preferred embodiment is provided 106 fix by the frictional force between supporting structure and support release sacculus 104, and outwards drawing can make branch protect the distal end of sacculus 106 Withdraw the support stage casing branch protection spacing beam 109 of sacculus.It is difficult to leave support stage casing branch guarantor in branch's protection sacculus 106 distal end When keeping the spacing beam 109 of capsule, another inferior vena cava balloon dilation can be sent into bifurcation and fixes the sacculus branch vessel protection Mounting system, while applying tractive force to help branch to protect the distal end of sacculus 106 to leave the support stage casing branch protection spacing beam of sacculus 109 without damaging supporting structure.
To sum up, the mounting system and technical scheme for the sacculus protection branch vessel that the utility model is provided can be released in main support Set up before putting the protection sacculus of branch vessel is reached by support mesh and seal wire path is protected, it is to avoid current clinic The seal wire difficulty of upper use passes through the of a relatively high method of support mesh, side branch oral area protection failure probability, with higher practicality Property and promotional value.
The mounting system for the sacculus protection branch vessel that the utility model is provided, which is removed, to be used for common straight barrel type opening Outside support, the implantation of the support of other shapes illustrates page, such as broadening formation support can be also used for.
Preferred embodiment of the present utility model is the foregoing is only, the utility model is not limited to, for this For the technical staff in field, the utility model can have various modifications and variations.It is all it is of the present utility model spirit and principle Within, any modification, equivalent substitution and improvements made etc. should be included within protection domain of the present utility model.

Claims (7)

1. a kind of sacculus protects the mounting system of branch vessel, it is characterised in that including:Main branch support (103), support release ball Capsule (104), support release sacculus delivery conduit (105), branch's protection sacculus (106) and branch's protection sacculus delivery conduit (107);Wherein,
The main branch support (103) is arranged on described support release sacculus (104) outer surface, the support release sacculus (104) Length be more than the length of the main support (103), support release sacculus delivery conduit (105) is arranged on the support and released Put sacculus (104) rear portion;
The main branch support (103) and support release sacculus delivery conduit (105) sidepiece protect sacculus provided with the branch (106) and branch protection sacculus delivery conduit (107), branch protection sacculus (106) rear portion is protected with the support Sacculus delivery conduit (107) is connected, and branch's protection sacculus (106) is fixed on behind main branch support (103) stage casing Portion, a part and the main support (103) outer wall of branch's protection sacculus (106) are attached;
Provided with the support stage casing branch protection spacing beam of sacculus (109) in the middle part of the main branch support (103), the protection of support distal section branch It is anterior that the spacing beam of sacculus (108) is arranged on the main support (103);
Bifurcated balloon on the support release sacculus (104) passes support position mark (110) and is arranged on the support stage casing point In the middle part of the corresponding support release sacculus (104) of the branch protection spacing beam of sacculus (109);
The support release sacculus (104) protects sacculus (106) front end into tapered shape with branch;
The main branch support (103) is the tubular eyed structure being made of metal.
2. sacculus according to claim 1 protects the mounting system of branch vessel, it is characterised in that:The main support (103) plane is open or closed type structure.
3. sacculus according to claim 1 protects the mounting system of branch vessel, it is characterised in that:The support discharges ball Capsule (104) and branch protection sacculus (106) are provided with guidewire lumen and pressure chamber, are led respectively with support release sacculus conveying The guidewire lumen of pipe (105) is connected with pressure chamber.
4. sacculus according to claim 1 protects the mounting system of branch vessel, it is characterised in that:The support discharges ball Capsule (104) and branch protection sacculus (106) are rapid-exchange version sacculus.
5. sacculus according to claim 3 protects the mounting system of branch vessel, it is characterised in that:The branch protects ball Capsule (106) is placed in the middle or two-end part is provided with impermeable X-ray developing mark.
6. sacculus according to claim 1 protects the mounting system of branch vessel, it is characterised in that:The branch protects ball Support release sacculus (104) position corresponding to the spacing beam of capsule (109) sets impermeable X-ray mark.
7. sacculus according to claim 5 protects the mounting system of branch vessel, it is characterised in that:The support discharges ball The corresponding position of capsule (104) and main branch support (103) edge is marked provided with impermeable X-ray.
CN201620897498.0U 2016-08-17 2016-08-17 A kind of sacculus protects the mounting system of branch vessel Active CN206342570U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107440822A (en) * 2017-09-14 2017-12-08 唐利龙 A kind of intravascular stent system and application method
CN110575605A (en) * 2019-07-02 2019-12-17 华中科技大学同济医学院附属协和医院 Head end double-cavity balloon catheter
CN111481328A (en) * 2020-04-24 2020-08-04 温州医科大学附属第一医院 Balloon-assisted branch vessel stent system

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107440822A (en) * 2017-09-14 2017-12-08 唐利龙 A kind of intravascular stent system and application method
CN110575605A (en) * 2019-07-02 2019-12-17 华中科技大学同济医学院附属协和医院 Head end double-cavity balloon catheter
CN111481328A (en) * 2020-04-24 2020-08-04 温州医科大学附属第一医院 Balloon-assisted branch vessel stent system

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