WO2019084951A1 - High-strength restraint stent of non-implantable balloon catheter and blood vessel expanding device using same - Google Patents

High-strength restraint stent of non-implantable balloon catheter and blood vessel expanding device using same Download PDF

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Publication number
WO2019084951A1
WO2019084951A1 PCT/CN2017/109501 CN2017109501W WO2019084951A1 WO 2019084951 A1 WO2019084951 A1 WO 2019084951A1 CN 2017109501 W CN2017109501 W CN 2017109501W WO 2019084951 A1 WO2019084951 A1 WO 2019084951A1
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WO
WIPO (PCT)
Prior art keywords
balloon catheter
memory
stent
implantable
grid unit
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PCT/CN2017/109501
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French (fr)
Chinese (zh)
Inventor
陈丽君
季培红
王成
Original Assignee
杭州巴泰医疗器械有限公司
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Application filed by 杭州巴泰医疗器械有限公司 filed Critical 杭州巴泰医疗器械有限公司
Priority to PCT/CN2017/109501 priority Critical patent/WO2019084951A1/en
Publication of WO2019084951A1 publication Critical patent/WO2019084951A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes

Definitions

  • the present invention relates to the field of angioplasty surgical instruments, and in particular to a high-strength restraint stent for a non-implantable balloon catheter and a blood vessel expansion device using the same.
  • balloon angioplasty is one of the most commonly used treatments.
  • the conventional balloon catheter is made into an inflated and cylindrical balloon of different diameters and lengths according to the size of the patient's blood vessel and the length of the lesion.
  • the working principle is as follows: Using a delivery system, a balloon dilatation catheter is placed on the catheter. At the lesion, after the balloon is inflated, the blood vessels are expanded to expand the lumen.
  • vascular dissection, acute vascular occlusion, and vascular wall injury are all severe vascular traumas, and the formation of such trauma is closely related to the mechanism of action of angioplasty using conventional balloons.
  • Conventional balloon catheter mechanism includes the shearing force applied by the folded balloon to the vessel wall during inflation; due to the limitations of the structure and material of the conventional balloon, and the morphological differences of the vascular lesion, The characteristics of the opposite sex lead to the inevitable "dog bone effect" of the balloon during use, causing further trauma of the blood vessel and vascular damage in the non-lesional area.
  • a balloon catheter is disclosed in the patent document No. CN105963848A, which has: a balloon; a side tube connected to a base end of the balloon; an inner tube disposed inside the outer tube; a distal end of the inner tube connected to a distal end of the balloon; an uneven portion formed on an outer circumference of the inner tube;
  • the core wire is disposed between the outer tube and the inner tube, wherein the core wire includes a bulging portion that is sandwiched between the outer tube and the concave portion of the uneven portion, and the softness of the balloon catheter can be ensured Good transmission of sex and push-pull force, but the aforementioned problems still exist.
  • One of the technical objects of the present invention is to provide a high-intensity restraint bracket of a non-implantable balloon catheter, which has a high structural strength, can allow and follow the balloon catheter to expand or contract, and simultaneously suppress the ball.
  • the balloon catheter is fully or over-expanded, that is, the balloon catheter is optimally expanded according to the expansion mode of the restraining stent, and the vascular injury is minimized in the same state of ensuring vasodilation.
  • a specific technical solution of the present invention is as follows:
  • a high-intensity restraint stent of a non-implantable balloon catheter comprising a tubular body structure for covering a body portion outside the balloon catheter and connecting to the body portion a fixing portion at both ends for fixedly connecting the balloon catheter, the constraining bracket for expanding or contracting following the balloon catheter and suppressing a maximum expansion volume of the balloon catheter;
  • the body portion including a plurality of memory grid units and located at the a spacing unit between the memory grid units, the memory grid units being arrayed along the length direction of the body portion and being arrayed along the circumference of the body portion, adjacent to the memory grid unit Connected by the memory connection key.
  • the restraining stent encloses the entire balloon catheter and is fixedly connected at the proximal end and the distal end of the balloon catheter
  • the restraining bracket itself is not easily detached from the balloon catheter and is inserted or withdrawn along with the balloon catheter.
  • the restraining bracket has an initial collapsed state and abuts against the surface of the balloon portion such that the diameter of the balloon portion is as small as possible in the collapsed state.
  • the restraining bracket slowly expands as the balloon portion is inflated, and the balloon portion is uniformly and gently expanded by the restraining bracket, and the balloon portion does not instantaneously expand due to its own characteristics or expands into a non-lesional region with less resistance. , causing damage to the vessel wall or non-lesional area.
  • the restraining bracket can effectively control the length, diameter and expansion rate of the balloon, reduce or eliminate the axial force and radial force of the balloon to the blood vessel, and disperse the balloon to the blood vessel.
  • Three-dimensional shear force increases the controllability and predictability of the vascular treatment process, and is excellent for long-path lesions (100 ⁇ 300mm) treatment effect.
  • the memory grid unit and the spacing unit allow the balloon to continue to pass through the restraint expansion of the restraining bracket to generate a protrusion that contacts the blood vessel wall, and the necessary uniform expansion of the blood vessel wall is also beneficial for loading Post-medication touch.
  • the direct connection of the memory grid unit can ensure good memory and molding degree, it is easy to generate a multi-directional stress during twisting during use, causing a connection break between the memory grid units, and a memory connection key.
  • the setting can ensure the memory and the degree of molding, eliminate the stress during use, and ensure the stability and strength of the structure.
  • each of the memory grid units is provided with two first connection points and two second connection points, and the length of the main body portion is adjacent to the memory grid unit
  • the respective first connection points and a memory connection key are connected, and the memory grid units adjacent to each other in the circumferential direction of the main body portion are connected by the respective second connection points and a memory connection key.
  • the memory grid units are connected by the first connection point, the second connection point, and the memory connection key, and are structurally simplified and stable as possible, have good consistency, and are not easily broken. And facilitating the expansion of the memory grid unit or the constraining bracket, and ensuring that the generation of the spacing unit and the space ratio thereof are as large as possible, which is advantageous for the balloon catheter to expand and pass through the memory grid unit.
  • the spacer unit forms a plurality of convex arrays and corresponding concave arrays, and the convex array is softly and uniformly contacted with the blood vessel wall, and the lesion is more easily snorted, and the array of the same depression provides space for the flow of platelets, which ensures Circulation, allowing platelet remodeling, promoting wound healing, minimizing or preventing restenosis, and eliminating the risk of late thrombosis.
  • the interval between the two first connection points of each of the memory grid units is a maximum length direction of the memory grid unit
  • each of the memory grids a gauge between two of the second connection points of the unit is a maximum circumferential direction of the memory grid unit
  • the maximum length direction spacer is always constant such that the body portion is in a length room direction The expansion and contraction does not occur, and the maximum circumferential direction interval changes or expands in accordance with the expansion or contraction of the memory grid unit to cause the main body portion to expand or contract in the radial direction.
  • Such an arrangement defines the expansion size of the memory grid unit, that is, the constraining bracket actually has no substantial change in the length of the stent due to the expansion characteristic of the memory grid unit or only occurs very slightly.
  • the value varies, and the diameter of the stent is variable and there is a value for suppressing the maximum expansion diameter of the balloon catheter, that is, when the pressure inside the balloon is further increased, the balloon catheter does not elongate or has a slight axial elongation.
  • the presence of the memory grid unit and the spacer unit makes the balloon catheter more difficult to stretch due to the resistance generated after the passage, and the balloon catheter is only allowed to reach a limited, predetermined expansion due to the limitation of the stent diameter.
  • the balloon compliance value in this case is significantly higher than the traditional balloon, effectively avoiding the "dog bone effect".
  • the inflation of the balloon catheter is predictable and effectively controlled, thus greatly reducing the non-lesional area.
  • the damage may be, avoid the formation of vascular dissection, and reduce the rate of restenosis of the blood vessels.
  • the memory grid unit is designed to be smaller, the nominal pressure and burst pressure of the balloon are higher.
  • the length of the memory connecting key 13 disposed along the longitudinal direction of the main body portion 1 and the length of the side portion constituting the mesh unit 11 are 1:20 to 30, along the The length of the memory connecting key 13 provided in the circumferential direction of the main body portion 1 and the length of the side portion constituting the mesh unit 11 are 1:80 to 100.
  • the diameter of the memory connection key 13 is the same as the diameter of the side section constituting the mesh unit 11.
  • the memory grid unit is composed of a plurality of side segments, each of the side segments not coincident with the longitudinal direction of the blood vessel and the circumferential direction of the blood vessel to cause the restraining bracket to expand or contract. No circumferential or axial offset of the opposing vessel wall occurs.
  • the design is such that the memory grid unit expands or contracts, and each of the side segments does not elongate or shorten along the length direction and the circumferential direction of the blood vessel, that is, during the change process.
  • the segments will always be displaced in the length direction and circumferential direction of the blood vessel and produce a uniformly dispersed shear force, which will easily smash the lesion, reduce damage to the vessel wall, and will not cause the entire restraint bracket.
  • a circumferential rotation or axial offset occurs.
  • the memory grid unit has a diamond shape.
  • the diamond-shaped mesh can perfectly conform to the aforementioned design conditions, and the two diagonal lines respectively coincide with the longitudinal direction and the circumferential direction of the blood vessel, and the two vertices along the circumferential direction of the blood vessel, that is, the second connection point, along The two vertices in the longitudinal direction of the blood vessel, that is, the first connection point, each of which does not coincide with the longitudinal direction and the circumferential direction of the blood vessel, and is accurately and stably expanded together with the balloon catheter at the lesion site.
  • the structure is low in complexity, and the process is simple to manufacture and easy to implement.
  • the fixing portion includes a memory connecting segment connected to both ends of the main body portion and a welded portion connected to the memory connecting portion.
  • the memory is better, and it is not easy to rotate or shift the restraint bracket.
  • the memory connecting segments are staggered at two ends of the main body portion.
  • Memory in actual use
  • the restraining bracket is not easily rotated or offset.
  • the memory connecting segments on the same side are connected to the welding segment.
  • the memory is better, and it is not easy to rotate or shift the restraint bracket.
  • Another technical object of the present invention is to provide a non-implantable high-intensity vasodilator device that avoids excessive expansion in a blood vessel like a conventional balloon catheter, and that the blood vessel wall is softly and evenly distributed, thereby reducing the wound at the lesion site.
  • Vascular injury at non-lesional locations reduces the incidence of other vascular complications and promotes healing.
  • a non-implantable high-intensity vasodilator device comprising a balloon catheter, further comprising a high-intensity constraining stent of a non-implantable balloon catheter as described above, the balloon catheter and the constraining stent Each has a compressed configuration for insertion into a blood vessel and an expanded configuration for abutting in a blood vessel, the maximum diameter of the constraining stent in the expanded configuration being smaller than the maximum diameter of the balloon catheter in an expanded configuration.
  • the restraining stent is inserted into or withdrawn from the blood vessel along with the balloon catheter, and the expansion or contraction of the balloon catheter is restricted by the restraining stent to prevent the expansion from being too fast or excessively expanding to generate blood vessels. Damage
  • a portion of the surface of the balloon catheter in an expanded configuration passes through the hollow portion of the memory grid unit and the hollow portion of the spacer unit to form a lattice-like convex portion that opposes the inner wall of the blood vessel.
  • Another portion of the balloon catheter surface in the expanded configuration is blocked by a solid portion other than the hollow portion of the memory grid unit and the hollow portion of the spacer unit to form a recess relative to the raised portion.
  • the balloon catheter Since the maximum diameter of the restraining bracket is smaller than the maximum diameter of the balloon catheter, the balloon catheter is extruded from the expanded memory mesh unit and the mouth of the spacing unit, the protrusion The part realizes the point force of the inner wall of the blood vessel, and the damage to the blood vessel is smaller in the uniform and gentle abutment of the blood vessel, and the concave portion forms a gap space, which provides a channel for the flow of the platelet, and allows the platelet to be slowly reconstructed. Promote wound healing, reduce or prevent restenosis, and eliminate the risk of advanced thrombosis.
  • the maximum diameter of the constraining stent in the expanded configuration is 0.1 to 0.6 mm smaller than the maximum diameter of the balloon catheter in the expanded configuration.
  • the balloon catheter and/or the constraining stent are coated with a drug-loaded coating.
  • the drug-loaded coating is in contact with the blood vessel wall of the lesion to treat the blood vessels in the lesion area and reduce the rejection reaction.
  • the high-intensity restraint stent of the non-implantable balloon catheter and the high-intensity vasodilator with the constraining stent have the advantages of simple structure, convenient use, high structural strength, good memory, and shape retention.
  • Stable the balloon catheter is restrained by the restraining stent to maintain a preferred expansion length and an expanded diameter in the blood vessel, and the balloon catheter is also limited and softly and evenly expanded to avoid excessive and excessive expansion of the blood vessel.
  • the balloon catheter and the restraining stent are less prone to rotation or deviation with respect to the diseased blood vessel, and the blood vessel wall is evenly sheared
  • the whole treatment process is controllable and predictable, which greatly improves the treatment effect and reduces the risk of damage to blood vessels and complications.
  • FIG. 1 is a schematic structural view showing a compression configuration of a restraining bracket according to the present invention
  • FIG. 2 is a schematic structural view of A in FIG. 1;
  • FIG. 3 is a schematic view showing the structure of an expanded shape of the restraint bracket of the present invention.
  • FIG. 4 is a schematic structural view of B in FIG. 3;
  • a non-implantable high-intensity vasodilator includes a balloon catheter and a constraining stent thereof, the balloon catheter is not shown, and the constraining stent includes a tubular a body portion 1 for covering the outside of the balloon catheter and a fixing portion 2 for fixing the balloon catheter connected to both ends of the body portion 1.
  • the restraining bracket is used to follow the balloon catheter to expand or contract and inhibit the balloon
  • the maximum expansion volume of the catheter, the balloon catheter and the constraining stent each have a compressed configuration for insertion into the blood vessel and an expanded configuration for abutting in the blood vessel, and the maximum diameter of the constraining stent in the expanded configuration is smaller than that of the balloon in the expanded configuration
  • the constraining structure may be formed by laser cutting of a metal pipe or a polymer pipe, or may be made of a wire, a polymer or a fiber. At least one of the balloon catheter and the constraining stent is coated with a drug-loaded coating.
  • Fixing part 2 A memory connecting section 21 connected to both ends of the main body portion 1 and a welded portion 22 connected to the memory connecting section 21 are included.
  • the memory connecting segments 21 are alternately arranged at both ends of the main body portion 1.
  • a soldering section 22 is commonly connected to the memory connecting section 21 on the same side.
  • the welding section 22 can be welded by a relatively mature joining technique such as laser welding, adhesive welding, and heat welding.
  • the balloon catheter Prior to expansion of the device, the balloon catheter is in a collapsed state, constraining the stent in its original state, i.e., in an unexpanded state.
  • the diameter of the balloon catheter in the collapsed state can range from 0.8 to 1.0 mm, and the diameter of the stent can be 1.0 to 1.3 mm after the stent is mounted to the balloon catheter.
  • the size of the restraining stent and the balloon catheter can be different according to the size of the blood vessel, but the following relationship exists between the restraining stent and the balloon catheter.
  • the maximum diameter of the restraining stent in the expanded state is larger than the maximum diameter of the balloon catheter in the expanded configuration.
  • the diameter is 0.1 ⁇ 0.6mm, which depends mainly on the material and process used for the restraint bracket.
  • the main body portion 1 includes a plurality of memory grid units 11 and a spacing unit 12 located between the memory grid units 11.
  • the memory grid units 11 are arrayed along the longitudinal direction of the main body portion 1 and are arranged along the circumferential direction of the main body portion 1, and the adjacent memory grid units 11 are connected by a memory connection key 13.
  • Each of the memory grid units 11 is provided with two first connection points 111 and two second connection points 112.
  • the first storage points 111 are adjacent to each other in the longitudinal direction of the main body portion 1 through the respective first connection points 111.
  • a memory connection key 13 is connected, and adjacent memory grid units 11 in the circumferential direction of the main body portion 1 are connected by respective second connection points 112 and a memory connection key 13.
  • the spacing unit 12 is also arrayed as the memory grid unit 11.
  • the length of the memory connecting key 13 (generally set to 0.1 to 0.3 mm) provided along the longitudinal direction of the main body portion 1 and the length of the side portion constituting the mesh unit 11 are 1:20 to 30, along the circumference of the main body portion 1.
  • the length of the memory connection key 13 set in the direction (generally set to 0.04 to 0. 06 mm) is proportional to the length of the side section constituting the mesh unit 11 of 1:80 to 100, and the diameter of the memory connection key 13 and the constituent grid unit 11
  • the diameters of the side sections are the same, and the setting is based on the superior size and structural stability of the entire restraint bracket.
  • the more preferred memory grid unit 11 is a diamond-shaped grid unit, and the complexity of structure and process manufacturing is small, and other polygonal embodiments are also possible, but are not listed here.
  • the memory grid unit 11 is composed of a plurality of side segments, each of which does not coincide with the longitudinal direction of the blood vessel or the circumferential direction of the blood vessel, so that the restraining stent does not occur in the circumferential direction of the blood vessel wall after expansion or contraction. Rotation or axial offset to ensure the stable implementation of the point force.
  • the balloon catheter may be easily rotated or displaced during the expansion process, causing tearing of the vessel wall or incomplete treatment of the lesion. Injury to non-lesional areas.
  • the interval between the two first connection points 111 of each memory grid unit 11 is the maximum length direction of the memory grid unit 11, and the two second connection points 112 of each memory grid unit 11
  • the interval between the spacers is the maximum circumferential direction of the memory grid unit 11; the maximum length direction gauge is always constant so that the main body portion 1 does not expand and contract in the longitudinal direction, and the maximum circumferential direction spacer is along with the memory grid unit 11
  • the expansion or contraction changes to cause the body portion 1 to expand or contract in the radial direction.
  • the length and diameter of the restraining bracket are actually determined by the memory grid unit 11, the length of the restraining bracket is constant or has no substantial change in the influence, and the diameter of the restraining bracket is variable, that is, the balloon catheter with the restraining bracket does not allow the balloon to be Partly expands according to its own characteristics or expands into the non-lesion area with less resistance, and does not cause excessive pressure on the lesion area. It reduces or eliminates the axial force and radial force of the balloon catheter to the blood vessel.
  • the three-dimensional shear force of the balloon catheter to the blood vessel, the balloon catheter is limited to a preferred range of expansion length and diameter, which has a significantly higher compliance value than the conventional balloon catheter, effectively avoiding the "dog bone” effect. Minimize damage to blood vessels.
  • the treatment of the entire dilatation device is controlled and predictable due to the structural design of the constraining stent, which greatly improves the effect of angioplasty.

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Abstract

Disclosed is a high-strength restraint stent of non-implantable balloon catheter, comprising a main body part (1) for encapsulating the outer part of said balloon catheter, and a fixing part (2) connected to the two ends of said main body part and designed for fixing said connecting balloon catheter, wherein said restraint stent is used for tracking said balloon catheter expansion, or contracting and inhibiting the maximum expanded volume of said balloon catheter. Also disclosed is a non-implantable blood vessel expanding device, comprising said balloon catheter, and said restraint stent having respectively a compression shape for the implantable blood vessel and an expanded shape used for blocking blood vessels. The maximum diameter of said restraint stent in the expanded shape is smaller than the maximum diameter of said balloon catheter in an expanded shape. The invention is simple in structure, convenient to use, greatly improves the treatment efficiency, and reduces the occurrence probability of damage and blood vessel complications.

Description

技术领域  Technical field
[0001] 本发明涉及血管成形手术器具技术领域, 具体涉及一种非植入式球囊导管的高 强度约束支架及应用该约束支架的血管扩张装置。  [0001] The present invention relates to the field of angioplasty surgical instruments, and in particular to a high-strength restraint stent for a non-implantable balloon catheter and a blood vessel expansion device using the same.
背景技术  Background technique
[0002] 对于心血管疾病, 球囊血管成型术是最常用的治疗手段之一。 传统的球囊导管 根据患者血管的大小及病变位置的长短, 制作成不同直径及长度的被充气后成 圆柱状的球囊, 其工作原理为: 利用输送系统, 将一个球囊扩张导管放置于病 变处, 气囊充气后, 血管被扩张, 实现管腔扩大。  [0002] For cardiovascular disease, balloon angioplasty is one of the most commonly used treatments. The conventional balloon catheter is made into an inflated and cylindrical balloon of different diameters and lengths according to the size of the patient's blood vessel and the length of the lesion. The working principle is as follows: Using a delivery system, a balloon dilatation catheter is placed on the catheter. At the lesion, after the balloon is inflated, the blood vessels are expanded to expand the lumen.
[0003] 传统的球囊血管成形术常常伴随着血管的损伤, 如因球囊扩张过程中球囊近端 、 远端直径大于球囊中部直径, 即"狗骨头效应", 导致球囊两端接触的血管过度 扩张, 造成血管壁损伤并且导致球囊纵向伸长加速血管夹层 (〉30%) , 同吋可 引发病变部位的急性血管闭塞 (5%~12%) 以及术后再狭窄 (50%) 。  [0003] Traditional balloon angioplasty is often accompanied by vascular damage, such as the proximal end of the balloon during balloon dilation, and the distal diameter is larger than the central diameter of the balloon, ie, the "dog bone effect", resulting in both ends of the balloon. Excessive expansion of the contact vessel, causing damage to the vessel wall and causing longitudinal elongation of the balloon to accelerate the vascular dissection (>30%), can cause acute vascular occlusion of the lesion (5%~12%) and postoperative restenosis (50 %).
[0004] 由于传统的球囊血管成形术存在诸多的血管损伤, 因此常常被用作心血管疾病 的初期治疗手段, 在初期治疗后往往会植入裸支架或药物支架。 尽管金属裸支 架和药物支架已被证实其治疗后的通畅率优于球囊血管成形术, 但是依然存在 长期植入的不良临床结果以及晚期的再狭窄, 特别是下肢动脉对支架产生的动 态应力可能会导致支架断裂或支架内再狭窄。  [0004] Because of the numerous vascular injuries in conventional balloon angioplasty, it is often used as an initial treatment for cardiovascular disease, and a bare stent or drug stent is often implanted after initial treatment. Although bare metal stents and drug stents have been shown to have better patency rates after balloon angioplasty, there are still long-term adverse clinical outcomes and advanced restenosis, especially for lower extremity arteries. May cause stent fracture or restenosis in the stent.
[0005] 血管夹层、 急性血管闭塞、 血管壁损伤都是较为严重的血管创伤, 这种创伤的 形成与使用传统球囊的血管成形术的作用机理关系密切。  [0005] Vascular dissection, acute vascular occlusion, and vascular wall injury are all severe vascular traumas, and the formation of such trauma is closely related to the mechanism of action of angioplasty using conventional balloons.
[0006] 传统的球囊导管作用机理包括折叠的球囊在膨胀过程中扭转施加给血管壁的剪 切力; 由于传统球囊受结构和材料的限制, 以及血管病变部位的形态差异, 各 向异性的特点, 导致在使用过程中球囊存在不可避免的"狗骨头效应", 引起血管 的进一步创伤以及非病变区的血管损伤。  [0006] Conventional balloon catheter mechanism includes the shearing force applied by the folded balloon to the vessel wall during inflation; due to the limitations of the structure and material of the conventional balloon, and the morphological differences of the vascular lesion, The characteristics of the opposite sex lead to the inevitable "dog bone effect" of the balloon during use, causing further trauma of the blood vessel and vascular damage in the non-lesional area.
[0007] 如专利号为 CN105963848A的专利文件公幵了一种球囊导管, 具备: 球囊; 夕卜 侧管, 其连接于上述球囊的基端; 内侧管, 其配置于上述外侧管的内部, 该内 侧管的顶端连接于上述球囊的顶端; 在上述内侧管的外周形成的凹凸部; 以及 芯线, 其配置于上述外侧管与上述内侧管之间, 其中, 上述芯线具备被夹持在 上述外侧管与上述凹凸部的凹部之间的膨隆部, 其虽然能确保球囊导管的柔软 性和推拉力的良好传递, 但是仍然存在前述所述问题。 [0007] A balloon catheter is disclosed in the patent document No. CN105963848A, which has: a balloon; a side tube connected to a base end of the balloon; an inner tube disposed inside the outer tube; a distal end of the inner tube connected to a distal end of the balloon; an uneven portion formed on an outer circumference of the inner tube; The core wire is disposed between the outer tube and the inner tube, wherein the core wire includes a bulging portion that is sandwiched between the outer tube and the concave portion of the uneven portion, and the softness of the balloon catheter can be ensured Good transmission of sex and push-pull force, but the aforementioned problems still exist.
技术问题  technical problem
问题的解决方案  Problem solution
技术解决方案  Technical solution
[0008] 本发明的技术目的之一在于提供一种非植入式球囊导管的高强度约束支架, 所 述约束支架结构强度高, 能够允许并跟随球囊导管膨胀或收缩, 同吋抑制球囊 导管完全或过度膨胀, 即球囊导管以所述约束支架的扩张方式为标准进行最佳 化扩张, 在保证血管扩张的同吋实现对血管损伤最小化。  [0008] One of the technical objects of the present invention is to provide a high-intensity restraint bracket of a non-implantable balloon catheter, which has a high structural strength, can allow and follow the balloon catheter to expand or contract, and simultaneously suppress the ball. The balloon catheter is fully or over-expanded, that is, the balloon catheter is optimally expanded according to the expansion mode of the restraining stent, and the vascular injury is minimized in the same state of ensuring vasodilation.
[0009] 本发明的具体技术方案如下: 一种非植入式球囊导管的高强度约束支架, 包括 呈管状结构的用于包覆在球囊导管外的主体部和连接于所述主体部两端的用于 固定连接球囊导管的固定部, 所述约束支架用于跟随球囊导管膨胀或收缩并抑 制球囊导管的最大膨胀体积; 所述主体部包括多个记忆网格单元和位于所述记 忆网格单元之间的间隔单元, 所述记忆网格单元沿着所述主体部长度方向阵列 并同吋沿着所述主体部周长方向阵列, 相邻所述记忆网格单元之间通过记忆连 接键相连。  [0009] A specific technical solution of the present invention is as follows: A high-intensity restraint stent of a non-implantable balloon catheter, comprising a tubular body structure for covering a body portion outside the balloon catheter and connecting to the body portion a fixing portion at both ends for fixedly connecting the balloon catheter, the constraining bracket for expanding or contracting following the balloon catheter and suppressing a maximum expansion volume of the balloon catheter; the body portion including a plurality of memory grid units and located at the a spacing unit between the memory grid units, the memory grid units being arrayed along the length direction of the body portion and being arrayed along the circumference of the body portion, adjacent to the memory grid unit Connected by the memory connection key.
[0010] 所述约束支架将整个球囊导管包裹, 并在球囊导管的近端和远端进行固定连接 [0010] the restraining stent encloses the entire balloon catheter and is fixedly connected at the proximal end and the distal end of the balloon catheter
, 所述约束支架本身不易从球囊导管上脱落, 与球囊导管一同插入或撤出。 所 述约束支架有一初始皱缩状态并紧贴于球囊部分表面, 使球囊部分的直径在皱 缩状态吋尽可能小。 所述约束支架随着球囊部分充气而缓慢扩张, 球囊部分受 所述约束支架限制而均匀柔和扩张, 球囊部分不会因自身特性而瞬间扩起或往 阻力更小的非病变区扩张, 而对血管壁或非病变区造成损伤。 在球囊充气吋或 者泄压吋, 约束支架对球囊的长度、 直径及扩张速率都能进行有效控制, 减少 或消除球囊对血管的轴向力及径向力, 分散球囊对血管的三维剪切力, 增加了 对血管治疗过程的可控性和可预见性, 对长病变血管 (100~300mm) 有极佳的 治疗效果。 所述记忆网格单元、 所述间隔单元允许球囊在受所述约束支架限制 膨胀后继续穿过而产生接触血管壁的凸起, 对血管壁进行必要地均匀地扩起支 撑, 也利于载药后的贴触。 所述记忆网格单元直接连接虽然能保证良好的记忆 性和成型度, 但是容易在使用过程中发生扭转而产生多向应力, 造成所述记忆 网格单元之间连接断裂, 而记忆连接键的设置可在保证记忆性和成型度的同吋 , 消除使用过程中的应力, 保证结构的稳定性和强度。 The restraining bracket itself is not easily detached from the balloon catheter and is inserted or withdrawn along with the balloon catheter. The restraining bracket has an initial collapsed state and abuts against the surface of the balloon portion such that the diameter of the balloon portion is as small as possible in the collapsed state. The restraining bracket slowly expands as the balloon portion is inflated, and the balloon portion is uniformly and gently expanded by the restraining bracket, and the balloon portion does not instantaneously expand due to its own characteristics or expands into a non-lesional region with less resistance. , causing damage to the vessel wall or non-lesional area. After the balloon is inflated or released, the restraining bracket can effectively control the length, diameter and expansion rate of the balloon, reduce or eliminate the axial force and radial force of the balloon to the blood vessel, and disperse the balloon to the blood vessel. Three-dimensional shear force increases the controllability and predictability of the vascular treatment process, and is excellent for long-path lesions (100~300mm) treatment effect. The memory grid unit and the spacing unit allow the balloon to continue to pass through the restraint expansion of the restraining bracket to generate a protrusion that contacts the blood vessel wall, and the necessary uniform expansion of the blood vessel wall is also beneficial for loading Post-medication touch. Although the direct connection of the memory grid unit can ensure good memory and molding degree, it is easy to generate a multi-directional stress during twisting during use, causing a connection break between the memory grid units, and a memory connection key. The setting can ensure the memory and the degree of molding, eliminate the stress during use, and ensure the stability and strength of the structure.
[0011] 作为优选, 每个所述记忆网格单元上设有两个第一连接点和两个第二连接点, 所述主体部的长度方向上相邻所述记忆网格单元之间通过各自的所述第一连接 点以及一记忆连接键相连, 所述主体部的圆周方向上相邻所述记忆网格单元之 间通过各自所述第二连接点以及一记忆连接键相连。  [0011] Preferably, each of the memory grid units is provided with two first connection points and two second connection points, and the length of the main body portion is adjacent to the memory grid unit The respective first connection points and a memory connection key are connected, and the memory grid units adjacent to each other in the circumferential direction of the main body portion are connected by the respective second connection points and a memory connection key.
[0012] 所述记忆网格单元之间通过所述第一连接点、 所述第二连接点、 所述记忆连接 键连接, 在结构上做到尽可能简化而稳定, 一致性良好, 不易断裂, 并使得所 述记忆网格单元或者说所述约束支架扩张顺畅, 也保证所述间隔单元的生成及 其空间占比尽可能大, 有利于球囊导管膨胀后穿过所述记忆网格单元、 所述间 隔单元形成较多凸起阵列和相对应的凹陷阵列, 凸起阵列与血管壁柔和均匀接 触, 更容易将病变部位打幵, 同吋凹陷阵列为血小板的流动提供了空间, 保证 了流通性, 允许血小板的重构, 促进创伤愈合, 尽可能减少或预防再狭窄, 排 除晚期血栓形成的危险。  [0012] The memory grid units are connected by the first connection point, the second connection point, and the memory connection key, and are structurally simplified and stable as possible, have good consistency, and are not easily broken. And facilitating the expansion of the memory grid unit or the constraining bracket, and ensuring that the generation of the spacing unit and the space ratio thereof are as large as possible, which is advantageous for the balloon catheter to expand and pass through the memory grid unit. The spacer unit forms a plurality of convex arrays and corresponding concave arrays, and the convex array is softly and uniformly contacted with the blood vessel wall, and the lesion is more easily snorted, and the array of the same depression provides space for the flow of platelets, which ensures Circulation, allowing platelet remodeling, promoting wound healing, minimizing or preventing restenosis, and eliminating the risk of late thrombosis.
[0013] 作为优选, 每个所述记忆网格单元的两个所述第一连接点之间的隔距为该所述 记忆网格单元的最大长度方向隔距, 每个所述记忆网格单元的两个所述第二连 接点之间的隔距为该所述记忆网格单元的最大圆周方向隔距; 所述最大长度方 向隔距始终不变而使得所述主体部在长度房方向上不发生伸缩, 所述最大圆周 方向隔距随所述记忆网格单元膨胀或收缩发生改变而使得所述主体部在径向方 向上膨胀或收缩。  [0013] Advantageously, the interval between the two first connection points of each of the memory grid units is a maximum length direction of the memory grid unit, each of the memory grids a gauge between two of the second connection points of the unit is a maximum circumferential direction of the memory grid unit; the maximum length direction spacer is always constant such that the body portion is in a length room direction The expansion and contraction does not occur, and the maximum circumferential direction interval changes or expands in accordance with the expansion or contraction of the memory grid unit to cause the main body portion to expand or contract in the radial direction.
[0014] 这样设置限定了所述记忆网格单元的膨胀大小, 即实际上所述约束支架因所述 记忆网格单元的这一膨胀特性, 最终支架长度无实质变化或者说仅发生非常轻 微的数值变化, 而支架直径可变且存在用于抑制球囊导管的最大膨胀直径的数 值, 也即当球囊内压力进一步增加吋, 球囊导管不会伸长或有轻微的轴向伸长 , 所述记忆网格单元与所述间隔单元的存在使得球囊导管由于穿过后产生的阻 力更加难以拉长, 同吋由于支架直径的限制, 球囊导管只被允许达到有限的、 既定的膨胀直径, 这种情况下的球囊顺应性值显著高于传统球囊, 有效避免"狗 骨头效应", 球囊导管的充气膨胀具有可预见性, 受到有效控制, 也因此大大减 少了非病变区域的受损伤可能, 避免血管夹层的产生, 降低血管的再狭窄率。 另外若所述记忆网格单元设计得越小, 球囊的名义压力及爆破压力就越高。 [0014] Such an arrangement defines the expansion size of the memory grid unit, that is, the constraining bracket actually has no substantial change in the length of the stent due to the expansion characteristic of the memory grid unit or only occurs very slightly. The value varies, and the diameter of the stent is variable and there is a value for suppressing the maximum expansion diameter of the balloon catheter, that is, when the pressure inside the balloon is further increased, the balloon catheter does not elongate or has a slight axial elongation. The presence of the memory grid unit and the spacer unit makes the balloon catheter more difficult to stretch due to the resistance generated after the passage, and the balloon catheter is only allowed to reach a limited, predetermined expansion due to the limitation of the stent diameter. Diameter, the balloon compliance value in this case is significantly higher than the traditional balloon, effectively avoiding the "dog bone effect". The inflation of the balloon catheter is predictable and effectively controlled, thus greatly reducing the non-lesional area. The damage may be, avoid the formation of vascular dissection, and reduce the rate of restenosis of the blood vessels. In addition, if the memory grid unit is designed to be smaller, the nominal pressure and burst pressure of the balloon are higher.
[0015] 作为优选, 沿着所述主体部 1长度方向设置的所述记忆连接键 13的长度与构成 所述网格单元 11的边段的长度比例为 1:20~30, 沿着所述主体部 1周长方向设置的 所述记忆连接键 13的长度与构成所述网格单元 11的边段的长度比例为 1:80~100。  [0015] Preferably, the length of the memory connecting key 13 disposed along the longitudinal direction of the main body portion 1 and the length of the side portion constituting the mesh unit 11 are 1:20 to 30, along the The length of the memory connecting key 13 provided in the circumferential direction of the main body portion 1 and the length of the side portion constituting the mesh unit 11 are 1:80 to 100.
[0016] 作为优选, 所述记忆连接键 13的直径与构成所述网格单元 11的边段的直径相同  [0016] Preferably, the diameter of the memory connection key 13 is the same as the diameter of the side section constituting the mesh unit 11.
[0017] 作为优选, 所述记忆网格单元由多个边段构成, 每个所述边段与血管的长度方 向和血管的周长方向均不重合而使得所述约束支架在膨胀或收缩吋不发生相对 血管壁的周向旋转或轴向偏移。 [0017] Preferably, the memory grid unit is composed of a plurality of side segments, each of the side segments not coincident with the longitudinal direction of the blood vessel and the circumferential direction of the blood vessel to cause the restraining bracket to expand or contract. No circumferential or axial offset of the opposing vessel wall occurs.
[0018] 这样设计使得所述记忆网格单元在膨胀或收缩吋, 其每个所述边段都不会沿着 血管的长度方向、 周长方向伸长或缩短, 也就是在变化过程中所述边段会始终 在异于血管的长度方向、 周长方向上位移并产生均匀分散的剪切力, 容易将病 变部位打幵, 减少对血管壁的损伤, 并且不会使得整个所述约束支架发生周向 旋转或轴向偏移。  [0018] The design is such that the memory grid unit expands or contracts, and each of the side segments does not elongate or shorten along the length direction and the circumferential direction of the blood vessel, that is, during the change process. The segments will always be displaced in the length direction and circumferential direction of the blood vessel and produce a uniformly dispersed shear force, which will easily smash the lesion, reduce damage to the vessel wall, and will not cause the entire restraint bracket. A circumferential rotation or axial offset occurs.
[0019] 作为优选, 所述记忆网格单元呈菱形。 菱形的网格能完美符合前述的设计条件 , 两条对角线分别与血管的长度方向和周长方向重合, 沿着血管周向方向上的 两个顶点即所述第二连接点, 沿着血管长度方向上的两个顶点即所述第一连接 点, 每一边段都不与血管长度方向、 周长方向重合, 准确稳定地在病变部位与 球囊导管一起扩张。 结构复杂程度低, 工艺制作较为简单, 易于实现。  [0019] Preferably, the memory grid unit has a diamond shape. The diamond-shaped mesh can perfectly conform to the aforementioned design conditions, and the two diagonal lines respectively coincide with the longitudinal direction and the circumferential direction of the blood vessel, and the two vertices along the circumferential direction of the blood vessel, that is, the second connection point, along The two vertices in the longitudinal direction of the blood vessel, that is, the first connection point, each of which does not coincide with the longitudinal direction and the circumferential direction of the blood vessel, and is accurately and stably expanded together with the balloon catheter at the lesion site. The structure is low in complexity, and the process is simple to manufacture and easy to implement.
[0020] 作为优选, 所述固定部包括连接于所述主体部两端的记忆连接段和连接于所述 记忆连接段的焊接段。 实际使用中记忆性较好, 且不易使所述约束支架旋转或 偏移。  [0020] Preferably, the fixing portion includes a memory connecting segment connected to both ends of the main body portion and a welded portion connected to the memory connecting portion. In actual use, the memory is better, and it is not easy to rotate or shift the restraint bracket.
[0021] 作为优选, 所述记忆连接段交错分设于所述主体部的两端。 实际使用中记忆性 较好, 且不易使所述约束支架旋转或偏移。 [0021] Preferably, the memory connecting segments are staggered at two ends of the main body portion. Memory in actual use Preferably, the restraining bracket is not easily rotated or offset.
[0022] 作为优选, 同侧的所述记忆连接段共同连接有一所述焊接段。 实际使用中记忆 性较好, 且不易使所述约束支架旋转或偏移。 [0022] Preferably, the memory connecting segments on the same side are connected to the welding segment. In actual use, the memory is better, and it is not easy to rotate or shift the restraint bracket.
[0023] 本发明的另一技术目的在于提供一种非植入式的高强度血管扩张装置, 避免如 传统球囊导管那样在血管内过度扩张, 且血管壁受力柔和均匀, 减少病变位置 创伤和非病变位置血管损伤, 减少其他血管并发症的发生概率, 促进愈合。 [0023] Another technical object of the present invention is to provide a non-implantable high-intensity vasodilator device that avoids excessive expansion in a blood vessel like a conventional balloon catheter, and that the blood vessel wall is softly and evenly distributed, thereby reducing the wound at the lesion site. Vascular injury at non-lesional locations reduces the incidence of other vascular complications and promotes healing.
[0024] 一种非植入式的高强度血管扩张装置, 包括球囊导管, 还包括如前所述非植入 式球囊导管的高强度约束支架, 所述球囊导管与所述约束支架各自具有用于置 入血管中的压缩形态和用于在血管中抵扩的膨胀形态, 膨胀形态下的所述约束 支架的最大直径小于膨胀形态下的所述球囊导管的最大直径。 [0024] A non-implantable high-intensity vasodilator device, comprising a balloon catheter, further comprising a high-intensity constraining stent of a non-implantable balloon catheter as described above, the balloon catheter and the constraining stent Each has a compressed configuration for insertion into a blood vessel and an expanded configuration for abutting in a blood vessel, the maximum diameter of the constraining stent in the expanded configuration being smaller than the maximum diameter of the balloon catheter in an expanded configuration.
[0025] 所述约束支架随所述球囊导管一起置入血管或从中撤出, 所述球囊导管的膨胀 或收缩受到所述约束支架的限制, 避免扩张过快或过度扩张而对血管产生损伤 [0025] the restraining stent is inserted into or withdrawn from the blood vessel along with the balloon catheter, and the expansion or contraction of the balloon catheter is restricted by the restraining stent to prevent the expansion from being too fast or excessively expanding to generate blood vessels. Damage
[0026] 作为优选, 膨胀形态下的所述球囊导管表面一部分穿过所述记忆网格单元的空 心部及所述间隔单元的空心部而形成抵触血管内壁的点阵状的凸起部, 膨胀形 态下的所述球囊导管表面另一部分被除所述记忆网格单元的空心部及所述间隔 单元的空心部之外的实心部阻挡而形成相对于所述凸起部的凹陷部。 [0026] Preferably, a portion of the surface of the balloon catheter in an expanded configuration passes through the hollow portion of the memory grid unit and the hollow portion of the spacer unit to form a lattice-like convex portion that opposes the inner wall of the blood vessel. Another portion of the balloon catheter surface in the expanded configuration is blocked by a solid portion other than the hollow portion of the memory grid unit and the hollow portion of the spacer unit to form a recess relative to the raised portion.
[0027] 由于所述约束支架的最大直径小于所述球囊导管的最大直径, 所述球囊导管从 扩张的所述记忆网格单元及所述间隔单元的口子中挤出, 所述凸起部实现了血 管内壁的点受力, 在均匀、 柔和抵扩血管的同吋, 对血管的损伤更小, 所述凹 陷部形成间隙空间, 为血小板的流动提供了通道, 允许血小板慢慢重构, 促进 创伤愈合, 减少或预防再狭窄, 排除晚期血栓形成的危险。  [0027] Since the maximum diameter of the restraining bracket is smaller than the maximum diameter of the balloon catheter, the balloon catheter is extruded from the expanded memory mesh unit and the mouth of the spacing unit, the protrusion The part realizes the point force of the inner wall of the blood vessel, and the damage to the blood vessel is smaller in the uniform and gentle abutment of the blood vessel, and the concave portion forms a gap space, which provides a channel for the flow of the platelet, and allows the platelet to be slowly reconstructed. Promote wound healing, reduce or prevent restenosis, and eliminate the risk of advanced thrombosis.
[0028] 作为优选, 膨胀形态下的所述约束支架的最大直径比膨胀形态下的所述球囊导 管的最大直径小 0.1~0.6mm。  Preferably, the maximum diameter of the constraining stent in the expanded configuration is 0.1 to 0.6 mm smaller than the maximum diameter of the balloon catheter in the expanded configuration.
[0029] 作为优选, 所述球囊导管和 /或所述约束支架上覆有载药涂层。  [0029] Preferably, the balloon catheter and/or the constraining stent are coated with a drug-loaded coating.
[0030] 载药涂层与病变处血管壁接触, 治疗病变区域血管, 减少排异反应。  [0030] The drug-loaded coating is in contact with the blood vessel wall of the lesion to treat the blood vessels in the lesion area and reduce the rejection reaction.
发明的有益效果  Advantageous effects of the invention
有益效果 [0031] 本发明的技术优点所述非植入式球囊导管的高强度约束支架及带有该约束支架 的高强度血管扩张装置结构简单、 使用方便, 结构强度高, 记忆性好, 形态保 持稳定, 所述球囊导管受所述约束支架限制而在血管中保持较佳的扩张长度和 扩张直径, 同吋球囊导管也受限而柔和均匀地扩张, 避免对血管的过快、 过度 扩张, 减小所述球囊导管对血管壁的径向力和轴向力, 所述球囊导管和所述约 束支架不易发生相对于病变血管的旋转或偏移, 血管壁所受剪切力均匀, 整个 治疗过程具有可控性和可预见性, 极大的改善了治疗效果, 降低了对血管的损 伤及并发症的发生概率。 Beneficial effect [0031] Technical advantages of the present invention The high-intensity restraint stent of the non-implantable balloon catheter and the high-intensity vasodilator with the constraining stent have the advantages of simple structure, convenient use, high structural strength, good memory, and shape retention. Stable, the balloon catheter is restrained by the restraining stent to maintain a preferred expansion length and an expanded diameter in the blood vessel, and the balloon catheter is also limited and softly and evenly expanded to avoid excessive and excessive expansion of the blood vessel. Reducing a radial force and an axial force of the balloon catheter against the blood vessel wall, the balloon catheter and the restraining stent are less prone to rotation or deviation with respect to the diseased blood vessel, and the blood vessel wall is evenly sheared The whole treatment process is controllable and predictable, which greatly improves the treatment effect and reduces the risk of damage to blood vessels and complications.
对附图的简要说明  Brief description of the drawing
附图说明  DRAWINGS
[0032] 图 1为本发明所述约束支架的压缩形态结构示意图;  1 is a schematic structural view showing a compression configuration of a restraining bracket according to the present invention;
[0033] 图 2为图 1中 A的结构示意图; 2 is a schematic structural view of A in FIG. 1;
[0034] 图 3位本发明所述约束支架的膨胀形态结构示意图;  [0034] FIG. 3 is a schematic view showing the structure of an expanded shape of the restraint bracket of the present invention;
[0035] 图 4为图 3中 B的结构示意图; 4 is a schematic structural view of B in FIG. 3;
[0036] 图中编号对应的各部位名称分别为: 1-主体部, 2-固定部, 21-记忆连接段, 22 -焊接段, 11-记忆网格单元, 12-间隔单元, 111-第一连接点, 112-第二连接点。  [0036] The names of the parts corresponding to the numbers in the figure are: 1-body part, 2-fixing part, 21-memory connecting section, 22-welding section, 11-memory grid unit, 12-spacer unit, 111- A connection point, 112 - the second connection point.
本发明的实施方式 Embodiments of the invention
[0037] 下面将结合附图, 通过具体实施例对本发明作进一步说明: [0037] The present invention will be further described by way of specific embodiments with reference to the accompanying drawings:
[0038] 见图 1、 图 2、 图 3、 图 4, 一种非植入式的高强度血管扩张装置, 包括球囊导管 及其约束支架, 球囊导管未示出, 约束支架包括呈管状结构的用于包覆在球囊 导管外的主体部 1和连接于主体部 1两端的用于固定连接球囊导管的固定部 2, 约 束支架用于跟随球囊导管膨胀或收缩并抑制球囊导管的最大膨胀体积, 球囊导 管与约束支架各自具有用于置入血管中的压缩形态和用于在血管中抵扩的膨胀 形态, 膨胀形态下的约束支架的最大直径小于膨胀形态下的球囊导管的最大直 径。 约束结构可有金属管材、 聚合物管材通过激光切割而成, 也可由金属丝、 聚合物或纤维编制而成。 球囊导管和约束支架至少有一个覆有载药涂层, 当装 置扩张后, 载药涂层与病变处接触转移至血管上, 治疗病变区域血管。 固定部 2 包括连接于主体部 1两端的记忆连接段 21和连接于记忆连接段 21的焊接段 22。 记 忆连接段 21交错分设于主体部 1的两端。 同侧的记忆连接段 21共同连接有一焊接 段 22。 焊接段 22的焊接方式可通过激光焊接、 粘合剂焊接、 热焊接等本领域较 为成熟的连接技术。 [0038] Referring to Figures 1, 2, 3, and 4, a non-implantable high-intensity vasodilator includes a balloon catheter and a constraining stent thereof, the balloon catheter is not shown, and the constraining stent includes a tubular a body portion 1 for covering the outside of the balloon catheter and a fixing portion 2 for fixing the balloon catheter connected to both ends of the body portion 1. The restraining bracket is used to follow the balloon catheter to expand or contract and inhibit the balloon The maximum expansion volume of the catheter, the balloon catheter and the constraining stent each have a compressed configuration for insertion into the blood vessel and an expanded configuration for abutting in the blood vessel, and the maximum diameter of the constraining stent in the expanded configuration is smaller than that of the balloon in the expanded configuration The maximum diameter of the balloon catheter. The constraining structure may be formed by laser cutting of a metal pipe or a polymer pipe, or may be made of a wire, a polymer or a fiber. At least one of the balloon catheter and the constraining stent is coated with a drug-loaded coating. When the device is expanded, the drug-loaded coating contacts the lesion to transfer to the blood vessel to treat the blood vessel in the lesion area. Fixing part 2 A memory connecting section 21 connected to both ends of the main body portion 1 and a welded portion 22 connected to the memory connecting section 21 are included. The memory connecting segments 21 are alternately arranged at both ends of the main body portion 1. A soldering section 22 is commonly connected to the memory connecting section 21 on the same side. The welding section 22 can be welded by a relatively mature joining technique such as laser welding, adhesive welding, and heat welding.
[0039] 本装置扩张前, 球囊导管处于皱缩状态, 约束支架处于原始状态, 即未扩张状 态。 皱缩状态的球囊导管直径范围可为 0.8~1.0mm, 约束支架安装至此吋的球囊 导管上后整个装置直径范围可为 1.0~1.3mm。 约束支架和球囊导管的大小可根据 血管的大小而制定不同规格, 但约束支架与球囊导管之间存在以下关系, 膨胀 形态下的约束支架的最大直径比膨胀形态下的球囊导管的最大直径小 0.1~0.6mm , 主要取决于约束支架所采用的材质及工艺。  [0039] Prior to expansion of the device, the balloon catheter is in a collapsed state, constraining the stent in its original state, i.e., in an unexpanded state. The diameter of the balloon catheter in the collapsed state can range from 0.8 to 1.0 mm, and the diameter of the stent can be 1.0 to 1.3 mm after the stent is mounted to the balloon catheter. The size of the restraining stent and the balloon catheter can be different according to the size of the blood vessel, but the following relationship exists between the restraining stent and the balloon catheter. The maximum diameter of the restraining stent in the expanded state is larger than the maximum diameter of the balloon catheter in the expanded configuration. The diameter is 0.1~0.6mm, which depends mainly on the material and process used for the restraint bracket.
[0040] 主体部 1包括多个记忆网格单元 11和位于记忆网格单元 11之间的间隔单元 12。  [0040] The main body portion 1 includes a plurality of memory grid units 11 and a spacing unit 12 located between the memory grid units 11.
记忆网格单元 11沿着主体部 1长度方向阵列并同吋沿着主体部 1周长方向阵列, 相邻记忆网格单元 11之间通过记忆连接键 13相连。 每个记忆网格单元 11上设有 两个第一连接点 111和两个第二连接点 112, 主体部 1的长度方向上相邻记忆网格 单元 11之间通过各自的第一连接点 111以及一记忆连接键 13相连, 主体部 1的圆 周方向上相邻记忆网格单元 11之间通过各自第二连接点 112以及一记忆连接键 13 相连。 相应的, 间隔单元 12也如记忆网格单元 11那般阵列。 沿着主体部 1长度方 向设置的记忆连接键 13的长度 (一般设为 0.1~0.3mm) 与构成网格单元 11的边段 的长度比例为 1:20~30, 沿着主体部 1周长方向设置的记忆连接键 13的长度 (一般 设为 0.04~0。 06mm) 与构成网格单元 11的边段的长度比例为 1:80~100, 记忆连 接键 13的直径与构成网格单元 11的边段的直径相同, 设定兼顾到整个约束支架 的较优尺寸及结构稳定性。 较优选的记忆网格单元 11为菱形网格单元, 结构及 工艺制造的复杂度较小, 其他多边形实施例也可实现, 但此处并未罗列出。 在 球囊导管充气膨胀吋, 球囊导管与约束支架均匀扩起直至完全扩张或接近完全 扩张, 膨胀形态下的球囊导管表面一部分穿过记忆网格单元 11的空心部及间隔 单元 12的空心部而形成抵触血管内壁的点阵状的凸起部, 膨胀形态下的球囊导 管表面另一部分被除记忆网格单元 11的空心部及间隔单元 12的空心部之外的实 心部阻挡而形成相对于凸起部的凹陷部, 形成高低交错的形貌, 凸起部实现血 管壁的点受力, 血管壁受力均匀且打幵状态良好, 减少了血管受到的径向力, 受损伤可能性大大降低, 凹陷部为血小板的流动提供了空间, 装置在扩张过程 中血小板也在血管中改变着位置, 促进血小板的重构, 加速创伤的愈合。 同吋 , 记忆网格单元 11由多个边段构成, 每个边段与血管的长度方向或血管的周长 方向均不重合而使得约束支架在膨胀或收缩吋不发生相对血管壁的周向旋转或 轴向偏移, 保证点受力的稳定实现, 以往的球囊导管可能会在扩张过程中容易 发生旋转或偏移, 造成对血管壁的撕扯或是对病变部位的不完全治疗、 对非病 变部位的误伤。 The memory grid units 11 are arrayed along the longitudinal direction of the main body portion 1 and are arranged along the circumferential direction of the main body portion 1, and the adjacent memory grid units 11 are connected by a memory connection key 13. Each of the memory grid units 11 is provided with two first connection points 111 and two second connection points 112. The first storage points 111 are adjacent to each other in the longitudinal direction of the main body portion 1 through the respective first connection points 111. And a memory connection key 13 is connected, and adjacent memory grid units 11 in the circumferential direction of the main body portion 1 are connected by respective second connection points 112 and a memory connection key 13. Correspondingly, the spacing unit 12 is also arrayed as the memory grid unit 11. The length of the memory connecting key 13 (generally set to 0.1 to 0.3 mm) provided along the longitudinal direction of the main body portion 1 and the length of the side portion constituting the mesh unit 11 are 1:20 to 30, along the circumference of the main body portion 1. The length of the memory connection key 13 set in the direction (generally set to 0.04 to 0. 06 mm) is proportional to the length of the side section constituting the mesh unit 11 of 1:80 to 100, and the diameter of the memory connection key 13 and the constituent grid unit 11 The diameters of the side sections are the same, and the setting is based on the superior size and structural stability of the entire restraint bracket. The more preferred memory grid unit 11 is a diamond-shaped grid unit, and the complexity of structure and process manufacturing is small, and other polygonal embodiments are also possible, but are not listed here. After the balloon catheter is inflated, the balloon catheter and the restraining stent are uniformly expanded until fully expanded or nearly fully expanded, and a portion of the balloon catheter surface in the expanded configuration passes through the hollow portion of the memory grid unit 11 and the hollow of the spacing unit 12. Forming a lattice-shaped convex portion against the inner wall of the blood vessel, and the other portion of the surface of the balloon catheter in the expanded form is blocked by the hollow portion other than the hollow portion of the memory grid unit 11 and the hollow portion of the spacer unit 12 Compared with the concave portion of the convex portion, a high and low staggered topography is formed, and the convex portion realizes blood The point on the wall of the tube is stressed, the force on the vessel wall is uniform and the snoring state is good, the radial force on the blood vessel is reduced, and the possibility of damage is greatly reduced. The depression provides space for the flow of platelets, and the device is in the process of expanding platelets. It also changes position in blood vessels, promotes platelet remodeling, and accelerates wound healing. In the same way, the memory grid unit 11 is composed of a plurality of side segments, each of which does not coincide with the longitudinal direction of the blood vessel or the circumferential direction of the blood vessel, so that the restraining stent does not occur in the circumferential direction of the blood vessel wall after expansion or contraction. Rotation or axial offset to ensure the stable implementation of the point force. In the past, the balloon catheter may be easily rotated or displaced during the expansion process, causing tearing of the vessel wall or incomplete treatment of the lesion. Injury to non-lesional areas.
每个记忆网格单元 11的两个第一连接点 111之间的隔距为该记忆网格单元 11的 最大长度方向隔距, 每个记忆网格单元 11的两个第二连接点 112之间的隔距为该 记忆网格单元 11的最大圆周方向隔距; 最大长度方向隔距始终不变而使得主体 部 1在长度方向上不发生伸缩, 最大圆周方向隔距随记忆网格单元 11膨胀或收缩 发生改变而使得主体部 1在径向方向上膨胀或收缩。 约束支架的长度和直径实际 由记忆网格单元 11决定, 约束支架的长度不变或无实质影响的轻微变化, 约束 支架的直径可变, 也即带约束支架的球囊导管不会让球囊部分根据自身的特性 瞬间扩起或往阻力更小的非病变区扩张, 也不会对病变区意外产生过大的压力 , 减少或消除球囊导管对血管的轴向力及径向力, 分散球囊导管对血管的三维 剪切力, 球囊导管被限制在较佳的扩张长度和直径范围内, 其具有显著高于传 统球囊导管的顺应性值, 有效避免"狗骨头"效应。 尽可能减轻对血管的损伤。 整 个扩张装置的治疗过程因为约束支架的结构设计而有了可控性及可预见性, 极 大地改善血管成形手术的效果。  The interval between the two first connection points 111 of each memory grid unit 11 is the maximum length direction of the memory grid unit 11, and the two second connection points 112 of each memory grid unit 11 The interval between the spacers is the maximum circumferential direction of the memory grid unit 11; the maximum length direction gauge is always constant so that the main body portion 1 does not expand and contract in the longitudinal direction, and the maximum circumferential direction spacer is along with the memory grid unit 11 The expansion or contraction changes to cause the body portion 1 to expand or contract in the radial direction. The length and diameter of the restraining bracket are actually determined by the memory grid unit 11, the length of the restraining bracket is constant or has no substantial change in the influence, and the diameter of the restraining bracket is variable, that is, the balloon catheter with the restraining bracket does not allow the balloon to be Partly expands according to its own characteristics or expands into the non-lesion area with less resistance, and does not cause excessive pressure on the lesion area. It reduces or eliminates the axial force and radial force of the balloon catheter to the blood vessel. The three-dimensional shear force of the balloon catheter to the blood vessel, the balloon catheter is limited to a preferred range of expansion length and diameter, which has a significantly higher compliance value than the conventional balloon catheter, effectively avoiding the "dog bone" effect. Minimize damage to blood vessels. The treatment of the entire dilatation device is controlled and predictable due to the structural design of the constraining stent, which greatly improves the effect of angioplasty.

Claims

权利要求书 Claim
[权利要求 1] 一种非植入式球囊导管的高强度约束支架, 其特征在于: 包括呈管状 结构的用于包覆在球囊导管外的主体部 (1) 和连接于所述主体部 (1 [Claim 1] A high-strength restraint stent for a non-implantable balloon catheter, comprising: a tubular body structure for covering a body portion (1) outside the balloon catheter and connecting to the body Department (1
) 两端的用于固定连接球囊导管的固定部 (2) , 所述约束支架用于 跟随球囊导管膨胀或收缩并抑制球囊导管的最大膨胀体积; 所述主体 部 (1) 包括多个记忆网格单元 (11) 和位于所述记忆网格单元 (11 ) 之间的间隔单元 (12) , 所述记忆网格单元 (11) 沿着所述主体部 (1) 长度方向阵列并同吋沿着所述主体部 (1) 周长方向阵列, 相邻 所述记忆网格单元 (11) 之间通过记忆连接键 (13) 相连接。 a fixing portion (2) at both ends for fixedly connecting the balloon catheter, the constraining bracket for expanding or contracting following the balloon catheter and suppressing a maximum expansion volume of the balloon catheter; the body portion (1) comprising a plurality of a memory grid unit (11) and a spacer unit (12) located between the memory grid unit (11), the memory grid unit (11) being arrayed along the length direction of the body portion (1) The arrays are arranged along the circumferential direction of the main body portion (1), and adjacent to the memory grid units (11) are connected by a memory connection key (13).
[权利要求 2] 根据权利要求 1所述的一种非植入式球囊导管的高强度约束支架, 其 特征在于: 每个所述记忆网格单元 (11) 上设有两个第一连接点 (11 1) 和两个第二连接点 (112) , 所述主体部 (1) 的长度方向上相邻 所述记忆网格单元 (11) 之间通过各自的所述第一连接点 (111) 以 及一所述记忆连接键 (13) 相连, 所述主体部 (1) 的圆周方向上相 邻所述记忆网格单元 (11) 之间通过各自所述第二连接点 (112) 以 及一记忆连接键 (13) 相连。  [Claim 2] A high-intensity restraint bracket for a non-implantable balloon catheter according to claim 1, wherein: each of said memory grid units (11) is provided with two first connections a point (11 1) and two second connection points (112), wherein the first connection point is adjacent to the memory grid unit (11) in the longitudinal direction of the main body portion (1) 111) and a memory connection key (13) connected, wherein the main body portion (1) is adjacent to the memory grid unit (11) in the circumferential direction through the respective second connection point (112) and A memory connection button (13) is connected.
[权利要求 3] 根据权利要求 2所述的一种非植入式球囊导管的高强度约束支架, 其 特征在于: 每个所述记忆网格单元 (11) 的两个所述第一连接点 (11 1) 之间的隔距为该所述记忆网格单元 (11) 的最大长度方向隔距, 每个所述记忆网格单元 (11) 的两个所述第二连接点 (112) 之间的 隔距为该所述记忆网格单元 (11) 的最大圆周方向隔距; 所述最大长 度方向隔距始终不变而使得所述主体部 (1) 在长度房方向上不发生 伸缩, 所述最大圆周方向隔距随所述记忆网格单元 (11) 膨胀或收缩 发生改变而使得所述主体部 (1) 在径向方向上膨胀或收缩。  [Claim 3] A high-intensity restraint bracket for a non-implantable balloon catheter according to claim 2, characterized by: two said first connections of each of said memory grid units (11) The gauge between the points (11 1) is the maximum length direction of the memory grid unit (11), and the two second connection points of each of the memory grid units (11) (112) The gauge between the spacers is the maximum circumferential direction of the memory grid unit (11); the maximum length direction gauge is always constant such that the body portion (1) does not occur in the direction of the length chamber The telescoping, the maximum circumferential direction spacing changes with expansion or contraction of the memory grid unit (11) such that the body portion (1) expands or contracts in a radial direction.
[权利要求 4] 根据权利要求 1所述的一种非植入式球囊导管的高强度约束支架, 其 特征在于: 沿着所述主体部 (1) 长度方向设置的所述记忆连接键 (1 3) 的长度与构成所述网格单元 (11) 的边段的长度比例为 1:20~30, 沿着所述主体部 (1) 周长方向设置的所述记忆连接键 (13) 的长度 与构成所述网格单元 (11) 的边段的长度比例为 1:80~100。 [Claim 4] A high-intensity restraint bracket for a non-implantable balloon catheter according to claim 1, characterized by: said memory connection key disposed along a length direction of said main body portion (1) a ratio of a length of 1 3) to a length of a side section constituting the mesh unit (11) is 1:20 to 30, and the memory connection key (13) is disposed along a circumferential direction of the main body portion (1) length The ratio of the lengths of the segments constituting the grid unit (11) is 1:80 to 100.
根据权利要求 1所述的一种非植入式球囊导管的高强度约束支架, 其 特征在于: 所述记忆连接键 (13) 的直径与构成所述网格单元 (11) 的边段的直径相同。 A high-intensity restraint stent for a non-implantable balloon catheter according to claim 1, characterized in that: the diameter of the memory connection key (13) and the edge portion constituting the grid unit (11) The diameter is the same.
根据权利要求 1所述的一种非植入式球囊导管的高强度约束支架, 其 特征在于: 所述记忆网格单元 (11) 由多个边段构成, 每个所述边段 与血管的长度方向和血管的周长方向均不重合而使得所述约束支架在 膨胀或收缩吋不发生相对血管壁的周向旋转或轴向偏移。 A high-intensity restraint stent for a non-implantable balloon catheter according to claim 1, wherein: said memory grid unit (11) is composed of a plurality of side segments, each of said side segments and blood vessels Both the lengthwise direction and the circumferential direction of the blood vessel do not coincide such that the constraining stent does not undergo circumferential or axial offset relative to the vessel wall after expansion or contraction.
根据权利要求 1所述的一种非植入式球囊导管的高强度约束支架, 其 特征在于: 所述记忆网格单元 (11) 呈菱形。 A high-intensity restraint stent for a non-implantable balloon catheter according to claim 1, wherein: said memory grid unit (11) has a diamond shape.
根据权利要求 1所述的一种非植入式球囊导管的高强度约束支架, 其 特征在于: 所述固定部 (2) 包括连接于所述主体部 (1) 两端的记忆 连接段 (21) 和连接于所述记忆连接段 (21) 的焊接段 (22) 。 一种非植入式的高强度血管扩张装置, 包括球囊导管, 其特征在于: 还包括如权利要求 1~7中任一项所述的约束支架, 所述球囊导管与所 述约束支架各自具有用于置入血管中的压缩形态和用于在血管中抵扩 的膨胀形态; 膨胀形态下的所述约束支架的最大直径小于膨胀形态下 的所述球囊导管的最大直径。 A high-intensity restraint bracket for a non-implantable balloon catheter according to claim 1, wherein: said fixing portion (2) includes a memory connecting portion (21) connected to both ends of said main body portion (1) And a welded section (22) connected to the memory connecting section (21). A non-implantable high-intensity vasodilator device, comprising a balloon catheter, further comprising: a restraining stent according to any one of claims 1-7, the balloon catheter and the constraining stent Each has a compressed configuration for insertion into a blood vessel and an expanded configuration for abutting in a blood vessel; the maximum diameter of the constraining stent in the expanded configuration is smaller than the maximum diameter of the balloon catheter in an expanded configuration.
根据权利要求 9所述的一种非植入式的高强度血管扩张装置, 其特征 在于: 膨胀形态下的所述球囊导管表面一部分穿过所述记忆网格单元 ( 11) 的空心部及所述间隔单元 (12) 的空心部而形成抵触血管内壁 的点阵状的凸起部, 膨胀形态下的所述球囊导管表面另一部分被除所 述记忆网格单元 (11) 的空心部及所述间隔单元 (12) 的空心部之外 的实心部阻挡而形成相对于所述凸起部的凹陷部。 A non-implantable high-intensity vasodilator according to claim 9, wherein: a portion of said balloon catheter surface in an expanded configuration passes through a hollow portion of said memory grid unit (11) and a hollow portion of the spacer unit (12) forms a lattice-like convex portion that opposes the inner wall of the blood vessel, and another portion of the surface of the balloon catheter in an expanded configuration is removed from the hollow portion of the memory grid unit (11) And a solid portion other than the hollow portion of the spacer unit (12) is blocked to form a recess portion with respect to the convex portion.
根据权利要求 9所述的一种非植入式的高强度血管扩张装置, 其特征 在于: 膨胀形态下的所述约束支架的最大直径比膨胀形态下的所述球 囊导管的最大直径小 0.1~0.6mm。 A non-implantable high-intensity vasodilator according to claim 9, wherein: said constraining stent has an outer diameter that is smaller than a maximum diameter of said balloon catheter in an expanded configuration. ~0.6mm.
根据权利要求 9所述的一种非植入式的高强度血管扩张装置, 其特征 在于: 所述球囊导管和 /或所述约束支架上覆有载药涂层。 A non-implantable high-intensity vasodilator device according to claim 9, characterized in that Wherein: the balloon catheter and/or the constraining stent are coated with a drug-loaded coating.
PCT/CN2017/109501 2017-11-06 2017-11-06 High-strength restraint stent of non-implantable balloon catheter and blood vessel expanding device using same WO2019084951A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10888414B2 (en) 2019-03-20 2021-01-12 inQB8 Medical Technologies, LLC Aortic dissection implant

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6059822A (en) * 1997-08-22 2000-05-09 Uni-Cath Inc. Stent with different mesh patterns
US20070073383A1 (en) * 2002-12-30 2007-03-29 Yip Philip S Drug-eluting stent cover and method of use
CN107550610A (en) * 2017-09-25 2018-01-09 杭州巴泰医疗器械有限公司 A kind of blood vessel expansion appliance of the high intensity tie bracket and application of non-built-in mode the foley's tube tie bracket

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6059822A (en) * 1997-08-22 2000-05-09 Uni-Cath Inc. Stent with different mesh patterns
US20070073383A1 (en) * 2002-12-30 2007-03-29 Yip Philip S Drug-eluting stent cover and method of use
CN107550610A (en) * 2017-09-25 2018-01-09 杭州巴泰医疗器械有限公司 A kind of blood vessel expansion appliance of the high intensity tie bracket and application of non-built-in mode the foley's tube tie bracket

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10888414B2 (en) 2019-03-20 2021-01-12 inQB8 Medical Technologies, LLC Aortic dissection implant

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