SU1482714A2 - Device for setting prosthesis into blood vessel - Google Patents

Device for setting prosthesis into blood vessel Download PDF

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Publication number
SU1482714A2
SU1482714A2 SU864134580A SU4134580A SU1482714A2 SU 1482714 A2 SU1482714 A2 SU 1482714A2 SU 864134580 A SU864134580 A SU 864134580A SU 4134580 A SU4134580 A SU 4134580A SU 1482714 A2 SU1482714 A2 SU 1482714A2
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USSR - Soviet Union
Prior art keywords
prosthesis
vessel
elastic
blood vessel
balloon
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SU864134580A
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Russian (ru)
Inventor
Николай Леонтьевич Володось
Василий Егорович Шеханин
Иван Павлович Карпович
Владимир Иванович Троян
Леонид Федорович Яковенко
Василий Иванович Кулеба
Леонид Степанович Керемет
Анатолий Семенович Неонета
Original Assignee
Харьковский научно-исследовательский институт общей и неотложной хирургии
Производственное объединение "Харьковский моторостроительный завод "Серп и молот"
Физико-технический институт низких температур АН УССР
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Abstract

Изобретение относитс  к медицинской технике, используемой в сосудистой хирургии дл  установки самофиксирующегос  протеза в кровеносный сосуд. Дл  предупреждени  перегибов протеза и тем самым повышени  эффективности эндопротезировани  устройство дополнительно снабжено упругой втулкой 11, размещенной на упругом стержне с возможностью свободного продольного перемещени . Через просвет втулки 11 в протез ввод т катетер 15 с баллоном 16, который соединен с источником 17 давлени  жидкости. Посто нно вывод т из сосуда упругую втулку 11 и, расшир   баллон 16, производ т дилатацию протеза по всей его длине и устран ют перегибы протеза. 3 ил.This invention relates to a medical technique used in vascular surgery for installing a self-locking prosthesis into a blood vessel. To prevent the denture from bending and thereby increasing the efficiency of the endoprosthesis, the device is additionally equipped with an elastic sleeve 11 placed on an elastic rod with the possibility of free longitudinal movement. Through the lumen of the sleeve 11, a catheter 15 is inserted into the prosthesis with a balloon 16, which is connected to a source 17 of fluid pressure. The elastic sleeve 11 is permanently removed from the vessel and, expanding the balloon 16, dilates the prosthesis along its entire length and eliminates the bends of the prosthesis. 3 il.

Description

1(61) 13182351 (61) 1318235

(21)4134580/28-14(21) 4134580 / 28-14

(22)15.10.86(22) 10/15/86

(46) 30.05.89. Бюл. № 20(46) 05/30/89. Bul Number 20

(71)Харьковский научно-исследовательский институт общей и неотложной хирургии, Производственное объединение Харьковский моторостроительный завод Серп и Молот и Физико-технический институт низких температур(71) Kharkiv Scientific Research Institute of General and Emergency Surgery, Production Association Kharkiv Serp and Molot Motor-Building Plant and Physical-Technical Institute of Low Temperatures

АН УССРAN USSR

(72)Н.Л.Болодось, В.Е.Шеханин, И.П.Карпович, В.И.Тро н, Л.Ф.Яковен- ко, В.И.Кулеба, Л.С.Керемет(72) N.L. Bolodos, V.E.Shekhanin, I.P.Karpovich, V.I.Tro, NF.L.Yakovenko, V.I.Kuleba, L.S. Keremet

и А.С.Неонетаand A.S. Neoneta

(53) 615.472(088.8)(53) 615.472 (088.8)

(56) Авторское свидетельство СССР(56) USSR author's certificate

№ 1318235, кл. А 61 М 29/00, 1984.No. 1318235, cl. A 61 M 29/00, 1984.

(54) УСТРОЙСТВО ДЛЯ УСТАНОВКИ ПРОТЕЗА В КРОВЕНОСНЫЙ СОСУД (57) Изобретение относитс  к медицинской технике, используемой в сосудистой хирургии дл  установки самофиксирующего протеза в кровеносный сосуд. Дл  предупреждени  перегибов протеза и тем самым повышени  эффективности эндопротезировани  устройство дополнительно снабжено упругой втулкой 11, размещенной на упругом стержне с возможностью свободного продольного перемещени . Через просвет втулки 11 в протез ввод т катетер 15 с баллоном 16, который соединен с источником 17 давлени  жидкости . Посто нно вывод т из сосуда упругую втулку 11, расшир   баллон 16, производ т дилатацию протеза по всей его длине и устран ют перегибы протеза . 3 ил.(54) DEVICE FOR INSTALLING A PROSTHETIS IN THE BLOOD VESSEL (57) The invention relates to a medical technique used in vascular surgery for installing a self-fixing prosthesis into a blood vessel. To prevent the denture from bending and thereby increasing the efficiency of the endoprosthesis, the device is additionally equipped with an elastic sleeve 11 placed on an elastic rod with the possibility of free longitudinal movement. Through the lumen of the sleeve 11, a catheter 15 is inserted into the prosthesis with a balloon 16, which is connected to a source 17 of fluid pressure. The elastic sleeve 11, expanding the balloon 16, is permanently removed from the vessel, the dilation of the prosthesis along its entire length is performed and the prosthesis is bent. 3 il.

(I

1one

Изобретение относитс  к медицинской технике, используемой в сосудистой хирургии, в частности к устройствам дл  установки самофиксирующегос  протеза в кровеносный сосуд, направлено на усовершенствование известного устройства по авт. св. № 1318235.The invention relates to a medical technique used in vascular surgery, in particular to devices for installing a self-fixing prosthesis in a blood vessel, aimed at improving the known device according to the author. St. No. 1318235.

Целью изобретени   вл етс  повышение эффективности эндопротезировани  путем предупреждени  перегибов протеза.The aim of the invention is to increase the effectiveness of endoprosthesis by preventing the prosthesis from bending.

На фиг. 1 изображено устройство дл  установки протеза в кровеносный сосуд, общий вид; на фиг. 2 - часть гибкого трубчатого направител  вFIG. 1 shows a device for placing a prosthesis into a blood vessel, general view; in fig. 2 - part of the flexible tubular guide in

сборе с проводником и эластичной трубкой; на фиг. 3 - протезируемый сосуд в момент удалени  из него упругой втулки и катетера с баллоном. Устройство содержит гибкий трубчатый разъемный направитель, выполненный из двух частей 1 и 2 с фланцами 3,4, толкатель 5 дл  перемеще- ни  протеза, муфту 6 сцеплени , соедин ющую разъемные части 1,2 направител  .assembled with a conductor and an elastic tube; in fig. 3 - the prosthetic vessel at the moment of removing the elastic sleeve and the catheter with the balloon from it. The device comprises a flexible tubular detachable guide, made of two parts 1 and 2 with flanges 3,4, a pusher 5 for moving the prosthesis, a clutch 6 connecting the detachable parts 1.2 of the guide.

Протез выполнен в виде пористого цилиндрического каркаса 7 и соединенного с ним фиксирующего элемента 8, выполненного в виде плоской пружины зигзагообразной формы, сверну4ъ 00 ГСThe prosthesis is made in the form of a porous cylindrical frame 7 and a fixing element 8 connected to it, made in the form of a flat spring of a zigzag shape, rolled up to 00 ГС

1one

гоgo

3131

той в кольцо. Протез и толкатель 5 размещены в заправочной части 2 трубчатого направител . В этой же части направител  между пружиной 8 и толкателем 5 размещен упругий стержень 9 с намотанной на нем проволочной спиралью 10. Соосно упругому стержню 9 со спиралью 10 установлена упруга  втулка 11. Часть 1 на- правител  (транспортна ) имеет возможность свободного перемещени  по гибкому проводнику 12 с м гким наконечником 13 и размещенной на нем также с возможностью относительного перемещени  промежуточной эластичной трубке 14.the one in the ring. The prosthesis and the pusher 5 are placed in the filling part 2 of the tubular guide. In the same part of the guide, between the spring 8 and the pusher 5, there is an elastic rod 9 with a wire coil 10 wound on it. Resilient sleeve 11 is installed coaxially with the elastic rod 9 with the spiral 10. Part 1 of the guide (transport) has the ability to move freely along a flexible conductor 12 with a soft tip 13 and placed on it also with the possibility of relative movement of the intermediate elastic tube 14.

Дл  установки протеза используют также катетер 15 с баллоном 16, соединенный с источником 17 давлени  жидкости.A catheter 15 with a balloon 16 connected to the source 17 of the fluid pressure is also used to set up the prosthesis.

Устройство используют следующим образом.The device is used as follows.

У больного с установленным диагнозом (например, стенозирующий ате- росклероз подвздошной артерии) выдел ют бедренную артерию, которую берут на турникеты и производ т продольную артериотомию. Затем производ т дилатацию подвздошной артерии и в образовавшийс  просвет ввод т проводник 12 до места установки протеза в подвздошной артерии.In a patient with an established diagnosis (for example, stenosing atherosclerosis of the iliac artery), the femoral artery is isolated, which is taken for turnstiles and longitudinal arteriotomy is performed. Then the dilatation of the iliac artery is performed, and guide wire 12 is inserted into the resulting lumen to the site of the prosthesis in the iliac artery.

При перемещении внутри сосуда проводник контактирует посредством м гкого наконечника 13 со стенками сосуда и изгибаетс  в соответствии с естественной кривизной сосуда. Затем вдоль проводника перемещают в сосуд промежуточную эластичную труб- ку 14. После этого на консольную часть трубки 14, выступающей над раной , надевают транспортную часть 1 трубчатого направител  и перемещают ее вдоль трубки в сосуд. Перемещение этой части направител  в сосуде происходит по траектории, определ емой проводником, чем предотвращаетс  травма сосуда.When moving inside the vessel, the conductor contacts with the soft tip 13 with the vessel walls and bends in accordance with the natural curvature of the vessel. Then, along the conductor, the intermediate elastic tube 14 is moved to the vessel. Thereafter, the transport part 1 of the tubular guide is put on the cantilever part of the tube 14 protruding over the wound and is moved along the tube to the vessel. Moving this part of the guide in the vessel takes place along the path defined by the conductor, which prevents injury to the vessel.

После введени  транспортной части трубчатого направител  в необходимый сегмент сосуда ее удерживают в этом положении за консольный участок, выступающий над раной, и вывод т из ее полости проводник 12 и промежуточную трубку 14.Затем к транспортной части направител  присоедин ют посредством муфты 6 сцеплени  запраAfter the transport part of the tubular guide is inserted into the necessary segment of the vessel, it is held in this position beyond the cantilever portion protruding over the wound, and the conductor 12 and the intermediate tube 14 are removed from its cavity. Then the guide part is connected to the transport part by means of

5 0 50

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вечную часть 2 направител . Посредством толкател  5 производ т перемещение протеза совместно с упругим стержнем 9 и упругой втулкой 11 из заправочной части 2 направител  в транспортную его часть 1 и далее до верхнего его конца. Удержива  подвижно толкатель 5, провод т вывод трубчатого направител  в сборе из сосуда. При этом протез выходит из транспортной части 1 направител , под действием сил упругости пружины 8 происходит ее разжатие и каркас 7 протеза вступает в контакт со стенками сосуда.the eternal part 2 of the guide. By means of the pusher 5, the prosthesis is moved together with the elastic rod 9 and the elastic sleeve 11 from the filling part 2 of the guide into its transport part 1 and further to its upper end. Holding the pusher 5 movably, the tubular guide is assembled out of the vessel. In this case, the prosthesis leaves the transport part 1 of the guide, under the action of the elastic forces of the spring 8, it is released and the framework 7 comes into contact with the walls of the vessel.

После размещени  протеза в сосуде , удержива  упругую втулку 11, вывод т из сосуда толкатель 5 и упругий стержень 9. Через просвет упругой втулки в протез ввод т катетер 15с баллоном 16 таким образом, чтобы его баллон 16 был расположен на уровне размещени  пружины 8 в сосуде . Периодически соедин   внутреннюю полость баллона 16 катетера 15 с источником 17 давлени  жидкости и осуществл   постепенный вывод из сосуда упругой втулки и катетера, производ т дилатацкю протеза: вначале его пружины, а затем и каркаса по всей длине до исходного его диаметра. При этом устран ютс  перегибы протеза и каркас его плотно контактирует со стенками сосуда.After placing the prosthesis in the vessel, holding the elastic sleeve 11, the pusher 5 and the elastic rod 9 are withdrawn from the vessel. Through the lumen of the elastic sleeve, the catheter 15c is inserted into the prosthesis with a balloon 16 so that its balloon 16 is located at the level of the spring 8 in the vessel . Periodically, the internal cavity of the balloon 16 of the catheter 15 is connected to the source 17 of the fluid pressure, and the elastic sleeve and the catheter are gradually removed from the vessel and the dilatation of the prosthesis is made: first of its spring and then of the skeleton along its entire length to its original diameter. In this case, the bends of the prosthesis are eliminated and its frame is in close contact with the walls of the vessel.

После полного вывода упругой втулки и катетера из сосуда нижний конец каркаса протеза сшивают с бедренной артерией ниже места артериотомии.After the elastic bushing and catheter are completely withdrawn from the vessel, the lower end of the prosthetic framework is stitched to the femoral artery below the site of arteriotomy.

При использовании предлагаемого устройства предупреждаютс  как перегибы и перекручивани  протезов, так и тромбозы протезов в послеоперационном периоде.When using the proposed device, both bends and twists of the prostheses and prosthetic thrombosis in the postoperative period are prevented.

Claims (1)

Формула изобретени Invention Formula Устройство дл  установки протеза в кровеносный сосуд по авт. св. № 1318235, отличающеес  тем, что, с целью повышени  эффективности эндопротезировани  путем предупреждени  перегибов протеза, оно дополнительно снабжено упругой втулкой , размещенной на упругом стержне с возможностью свободного продольного перемещени .Device for installing a prosthesis in a blood vessel according to ed. St. No. 1318235, characterized in that, in order to increase the efficiency of the endoprosthesis by preventing the prosthesis from bending, it is additionally equipped with an elastic sleeve placed on the elastic rod with the possibility of free longitudinal movement. 7373 ИAND щu Фиг.11 0ue.Z0ue.Z Составитель Н. Соловьева Редактор А.Маковска  Техред Л. Олийнык Корректор М. МаксимншинецCompiled by N. Solov'eva A. Makovska Editor Tahred L. Oliynyk Proofreader M. Maksimnshinets Заказ 2733/9Order 2733/9 Тираж 526Circulation 526 ВНИИПИ Государственного комитета по изобретени м и открыти м при ГКНТ СССР 113035, Москва, Ж-35, Раушска  наб., д. 4/5VNIIPI State Committee for Inventions and Discoveries at the State Committee on Science and Technology of the USSR 113035, Moscow, Zh-35, Raushsk nab. 4/5 Фце.ЗFtse.Z ПодписноеSubscription
SU864134580A 1986-10-15 1986-10-15 Device for setting prosthesis into blood vessel SU1482714A2 (en)

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US5609625A (en) * 1991-04-11 1997-03-11 Endovascular Technologies, Inc. Endovascular graft having bifurcation and apparatus and method for deploying the same
US5782847A (en) 1993-06-07 1998-07-21 Endovascular Instruments, Inc. Anti-stenotic method for occluded and partially occluded arteries
US5782909A (en) * 1993-08-05 1998-07-21 Endovascular Technologies, Inc. Multicapsule intraluminal grafting system and method
US5843164A (en) * 1994-11-15 1998-12-01 Advanced Carrdiovascular Systems, Inc. Intraluminal stent for attaching a graft
US5934284A (en) 1989-08-18 1999-08-10 Endovascular Instruments, Inc Method for increasing blood flow in vessels
US6030413A (en) * 1983-12-09 2000-02-29 Endovascular Technologies, Inc. Artificial graft and implantation method
US6221102B1 (en) 1983-12-09 2001-04-24 Endovascular Technologies, Inc. Intraluminal grafting system
US6235050B1 (en) 1994-05-12 2001-05-22 Endovascular Technologies, Inc. System and method for intraluminally deploying a bifurcated graft
US6355061B1 (en) 1994-05-12 2002-03-12 Endovascular Technologies, Inc. Method for deploying bifurcated graft using a multicapsule system
US6361555B1 (en) 1999-12-15 2002-03-26 Advanced Cardiovascular Systems, Inc. Stent and stent delivery assembly and method of use
US6371978B1 (en) 1999-12-10 2002-04-16 Advanced Cardiovascular Systems, Inc. Bifurcated stent delivery system having retractable sheath
US6383213B2 (en) 1999-10-05 2002-05-07 Advanced Cardiovascular Systems, Inc. Stent and catheter assembly and method for treating bifurcations
US6387120B2 (en) 1999-12-09 2002-05-14 Advanced Cardiovascular Systems, Inc. Stent and catheter assembly and method for treating bifurcations
US6428567B2 (en) 1997-08-13 2002-08-06 Advanced Cardiovascular Systems, Inc. Stent and catheter assembly and method for treating bifurcations
US6475208B2 (en) 1998-08-24 2002-11-05 Advanced Cardiovascular Systems, Inc. Bifurcated catheter assembly
US6544219B2 (en) 2000-12-15 2003-04-08 Advanced Cardiovascular Systems, Inc. Catheter for placement of therapeutic devices at the ostium of a bifurcation of a body lumen
US6582394B1 (en) 2000-11-14 2003-06-24 Advanced Cardiovascular Systems, Inc. Stent and catheter assembly and method for treating bifurcated vessels
US6673107B1 (en) 1999-12-06 2004-01-06 Advanced Cardiovascular Systems, Inc. Bifurcated stent and method of making
US6682557B1 (en) 1991-04-11 2004-01-27 Endovascular Technologies, Inc. Bifurcated multicapsule intraluminal grafting system and method
US6709440B2 (en) 2001-05-17 2004-03-23 Advanced Cardiovascular Systems, Inc. Stent and catheter assembly and method for treating bifurcations
US7235083B1 (en) 2003-09-10 2007-06-26 Endovascular Technologies, Inc. Methods and devices for aiding in situ assembly of repair devices
US7465315B2 (en) 2003-11-19 2008-12-16 Advanced Cardiovascular Systems, Inc. Portal design for stent for treating bifurcated vessels
US7632291B2 (en) 2003-06-13 2009-12-15 Trivascular2, Inc. Inflatable implant
US7753950B2 (en) 1997-08-13 2010-07-13 Advanced Cardiovascular Systems, Inc. Stent and catheter assembly and method for treating bifurcations
US7959667B2 (en) 2006-07-07 2011-06-14 Abbott Cardiovascular Systems Inc. Catheter assembly and method for treating bifurcations
US8066755B2 (en) 2007-09-26 2011-11-29 Trivascular, Inc. System and method of pivoted stent deployment
US8083789B2 (en) 2007-11-16 2011-12-27 Trivascular, Inc. Securement assembly and method for expandable endovascular device
US8226701B2 (en) 2007-09-26 2012-07-24 Trivascular, Inc. Stent and delivery system for deployment thereof
US8328861B2 (en) 2007-11-16 2012-12-11 Trivascular, Inc. Delivery system and method for bifurcated graft
US8535370B1 (en) 2003-01-23 2013-09-17 Endovascular Technologies, Inc. Radiopaque markers for endovascular graft alignment
US8663309B2 (en) 2007-09-26 2014-03-04 Trivascular, Inc. Asymmetric stent apparatus and method
US8834554B2 (en) 2006-08-22 2014-09-16 Abbott Cardiovascular Systems Inc. Intravascular stent
US8882826B2 (en) 2006-08-22 2014-11-11 Abbott Cardiovascular Systems Inc. Intravascular stent
US8992595B2 (en) 2012-04-04 2015-03-31 Trivascular, Inc. Durable stent graft with tapered struts and stable delivery methods and devices
US9498363B2 (en) 2012-04-06 2016-11-22 Trivascular, Inc. Delivery catheter for endovascular device
US10130465B2 (en) 2016-02-23 2018-11-20 Abbott Cardiovascular Systems Inc. Bifurcated tubular graft for treating tricuspid regurgitation
US10159557B2 (en) 2007-10-04 2018-12-25 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery

Cited By (56)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6221102B1 (en) 1983-12-09 2001-04-24 Endovascular Technologies, Inc. Intraluminal grafting system
US6030413A (en) * 1983-12-09 2000-02-29 Endovascular Technologies, Inc. Artificial graft and implantation method
US6702844B1 (en) 1988-03-09 2004-03-09 Endovascular Technologies, Inc. Artificial graft and implantation method
US5934284A (en) 1989-08-18 1999-08-10 Endovascular Instruments, Inc Method for increasing blood flow in vessels
US6210435B1 (en) * 1991-04-11 2001-04-03 Endovascular Technologies, Inc. Endovascular graft having bifurcation and apparatus and method for deploying the same
US6682557B1 (en) 1991-04-11 2004-01-27 Endovascular Technologies, Inc. Bifurcated multicapsule intraluminal grafting system and method
US5609625A (en) * 1991-04-11 1997-03-11 Endovascular Technologies, Inc. Endovascular graft having bifurcation and apparatus and method for deploying the same
US5824039A (en) * 1991-04-11 1998-10-20 Endovascular Technologies, Inc. Endovascular graft having bifurcation and apparatus and method for deploying the same
US6132459A (en) * 1991-04-11 2000-10-17 Endovascular Technologies, Inc. Method for deploying an endovascular graft having bifurcation
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