WO2019149173A1 - Dilatation balloon and balloon dilatation catheter - Google Patents

Dilatation balloon and balloon dilatation catheter Download PDF

Info

Publication number
WO2019149173A1
WO2019149173A1 PCT/CN2019/073471 CN2019073471W WO2019149173A1 WO 2019149173 A1 WO2019149173 A1 WO 2019149173A1 CN 2019073471 W CN2019073471 W CN 2019073471W WO 2019149173 A1 WO2019149173 A1 WO 2019149173A1
Authority
WO
WIPO (PCT)
Prior art keywords
balloon
dilatation
valve
inner tube
valve membrane
Prior art date
Application number
PCT/CN2019/073471
Other languages
French (fr)
Chinese (zh)
Inventor
刘琛
姚映忠
岳斌
Original Assignee
上海微创心通医疗科技有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 上海微创心通医疗科技有限公司 filed Critical 上海微创心通医疗科技有限公司
Publication of WO2019149173A1 publication Critical patent/WO2019149173A1/en

Links

Images

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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427Devices for manipulating or deploying heart valves during implantation
    • A61F2/243Deployment by mechanical expansion
    • A61F2/2433Deployment by mechanical expansion using balloon catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00778Operations on blood vessels
    • A61B2017/00783Valvuloplasty

Definitions

  • the present invention relates to the field of medical device technology, and in particular to an expansion balloon and a balloon dilatation catheter.
  • Percutaneous balloon valvuloplasty has become one of the important methods for the treatment of valvular heart disease.
  • Percutaneous balloon valvuloplasty has the advantages of small trauma, safety, and curative effect, which replaces open heart valve incision/separation to some extent.
  • transcatheter aortic valve placement TAVI is applied to the valvular balloon through the femoral artery to deliver the prosthetic heart valve to the aortic valve area. Open, thereby completing the prosthetic valve placement and restoring the valve function.
  • the expansion of the stenotic lesion through the valve balloon facilitates the implantation of the valve stent, and the posterior expansion of the balloon balloon after the aortic valve implantation can make the aortic valve adhere better and the healing effect is better.
  • the valve balloon is designed in a cylindrical configuration. This design facilitates the uniform expansion of the balloon at the lesion to conform to the inner wall of the blood vessel and avoid tearing of the blood vessel caused by excessive expansion of the blood vessel.
  • the cylindrical balloon will block the blood flow during the expansion process, temporarily impairing the heart, limiting the operable time of the valve operation, affecting the balloon dilatation valve effect, and also requiring the pacing after the balloon is expanded. Used by the device.
  • the design that allows blood flow through the balloon is a hollow balloon structure with a movable spherical balloon in the middle that inhibits blood flow from the aorta to the left ventricle, avoiding an increase in the left ventricle. Capacity and stroke volume.
  • this design still has problems: First, the catheter structure is complex, technically difficult to achieve, and also reduces the passage of the catheter; second, the outer surface of the valve balloon is not fixed or bound, so that the expanded balloon may be deformed, The balloon compliance is higher, which affects the balloon dilatation valve effect, and the aortic valve calcification lesion is easy to pierce the balloon.
  • the present invention provides an expansion balloon and a balloon dilatation catheter, which can suppress the reflux of the aortic blood to the left ventricle, ensure the effect of the balloon dilating the valve, and can also reduce the structural complexity of the catheter and ensure the catheter. Passivity.
  • an expansion balloon comprising a balloon body having an intermediate passage and a valve membrane disposed on the intermediate passage; the valve membrane is contracted or expanded after being stressed So that the intermediate channel is unidirectional.
  • valve membrane has a cavity, one end of the cavity is closed to form a closed end, and the other end is open to form an open end.
  • valve membrane is expanded to be a hollow cone, and the bottom of the cone is disposed perpendicular or oblique with respect to an axis of the intermediate passage.
  • valve membrane is disposed between the distal end and the proximal end of the intermediate passage, or the distal end of the intermediate passage.
  • the material of the valve film is selected from one or more combinations of a fluoropolymer, a polyester, a polyamide, a polyvinyl chloride, a nylon elastomer, and a polyurethane elastomer.
  • a coating film is disposed on an outer surface of the balloon body, and the coating partially adheres to an outer surface of the balloon body.
  • the balloon body comprises at least three balloon bodies, at least three of which are arranged in parallel and form the intermediate channel.
  • a balloon dilatation catheter comprising the dilatation balloon.
  • the balloon dilatation catheter further includes an inner tube and an outer tube; the inner tube is inserted into the outer tube, and the inner tube protrudes from a section of the outer tube and the expansion ball is sleeved a distal end of the dilatation balloon is coupled to the inner tube, a proximal end of the dilatation balloon being coupled to the outer tube and the inner tube.
  • one end of the valve membrane is fixedly coupled to the inner tube and forms a closed end
  • the other end of the valve membrane is coupled to the inner tube and/or the balloon body and forms an open end
  • the open end of the valve membrane is connected to the inner tube and/or the balloon body via a plurality of connecting wires.
  • the connecting wire is connected to the inner tube and/or the balloon body by hot melt, sewing or glue.
  • the connecting wire is connected to the open end of the valve film by hot melt, sewing or glue.
  • the dilation balloon is internally formed with an intermediate passage, and the intermediate passage is provided with a valve membrane, and the valve membrane is subjected to The force is contracted or expanded to achieve a unidirectional conduction of the intermediate passage, and thus, during the operation, when the expansion balloon is placed on the human valve, blood flow can be normally circulated through the intermediate passage, so that when the valve is expanded Blood flow is not affected and, therefore, the dilatation balloon is suitable for a one-way blood flow channel, especially a heart valve.
  • the valve membrane can be used to suppress the reflux of the aortic blood to the left ventricle, thereby reducing the left ventricular volume and the stroke volume, thereby ensuring the effect of the balloon dilating the valve.
  • the valve membrane does not require a complicated catheter to be fitted, thereby reducing the structural complexity of the balloon-expanding catheter and being technically easy to implement without increasing the contour size of the catheter, thereby ensuring the catheter Passivity.
  • FIG. 1a is a schematic structural view of a balloon dilatation catheter according to an embodiment of the present invention.
  • Figure 1b is a cross-sectional view of the balloon dilatation catheter of Figure 1a taken along line B-B;
  • Figure 1c is a cross-sectional view of the balloon dilatation catheter of Figure 1a taken along line A-A;
  • Figure 1d is another cross-sectional view of the balloon dilatation catheter of Figure 1a taken along line B-B;
  • Fig. 1e is a schematic view showing the structure of a valve film according to an embodiment of the present invention.
  • 100-balloon dilatation catheter 10-1-expansion balloon, 10-2-balloon, 1-straight segment, 2-near tube segment, 3-distal tube segment, 4-outer tube, 5-inner tube, 6 - Laminating, 7-valve, 8-connector, 9-intermediate channel.
  • proximal generally refers to the end of the corresponding member that is adjacent to the operator
  • distal refers to the end of the corresponding member that is remote from the operator.
  • internal generally refers to the direction of the axis near the corresponding member
  • outer generally refers to the direction away from the axis of the corresponding member.
  • the valve In percutaneous balloon valvuloplasty, the valve is delivered through the femoral artery (ie, the balloon is expanded), and the prosthetic heart valve is delivered to the aortic valve region to open, thereby completing the prosthetic valve placement and restoring the valve function.
  • the expansion of the stenotic lesion through the valve balloon is beneficial to the implantation of the valve stent, and the posterior expansion of the balloon balloon through the aortic valve can make the aortic valve adhere better and the healing effect. Better.
  • the dilatation balloon provided by the present invention is not limited to the aortic valve, and may be other valves in the heart, such as a mitral valve, a tricuspid valve, and a pulmonary valve.
  • a mitral valve in addition to the intracardiac valve, it may also be a venous valve.
  • the dilatation balloon of the present invention can be composed of a plurality of balloon bodies and has a large diameter, it is particularly suitable for the aortic valve.
  • the present invention is exemplified by the application of the dilatation balloon on the aortic valve. It is to be understood that the invention is not limited thereto.
  • FIG. 1a is a schematic structural view of a balloon dilatation catheter 100 according to an embodiment of the present invention
  • FIG. 1b is a cross-sectional view of the balloon dilatation catheter 100 shown in FIG. 1a along the line BB
  • FIG. 1c is a balloon dilation shown in FIG. 1a.
  • the balloon dilatation catheter 100 includes an expansion balloon 10-1
  • the dilation balloon 10-1 includes a balloon body having an intermediate passage 9, thus expanding the balloon
  • blood flow can be normally circulated through the intermediate passage 9.
  • the blood flow is not hindered, so that the blood supply to the heart can be ensured, thereby prolonging the operation time of the valve operation and improving the effect of the balloon-expanding valve. Simplifies the operation without the need for a pacemaker.
  • the dilatation balloon 10-1 of the present embodiment further includes a valve membrane 7, which is disposed on the intermediate passage 9 for realizing the intermediate passage 9 Unidirectional conduction allows blood flow to flow only from the left ventricle to the aorta, but not from the aorta to the left ventricle.
  • valve film 7 ensures the unidirectional conduction of the intermediate passage 9 by force contraction or expansion in the present embodiment. Specifically, when blood flow flows from the left ventricle to the aorta, the valve membrane 7 is closed and contracted by the blood flow to maintain the intermediate passage 9; otherwise, when the blood flow flows from the aorta into the left ventricle At this time, the valve membrane 7 is expanded by the blood flow impact to block the intermediate passage 9, thereby interrupting the passage of blood flow.
  • the material of the valve film 7 may be a medical polymer material such as a fluoropolymer, a polyester, a polyamide, a polyvinyl chloride, a nylon elastomer, a polyurethane elastic rubber, or the like, or a polymer of two or more of these materials. Or complex.
  • a medical polymer material such as a fluoropolymer, a polyester, a polyamide, a polyvinyl chloride, a nylon elastomer, a polyurethane elastic rubber, or the like, or a polymer of two or more of these materials. Or complex.
  • the aortic blood is prevented from flowing back to the left ventricle through the valve membrane 7, thereby reducing the left ventricular volume and the stroke volume, thereby ensuring the effect of the balloon dilating the valve. It is important that the opening and closing of the valve membrane 7 is completed only by the impact of blood flow, so that the structure of the balloon dilatation catheter can be simplified, technically easy to implement, and the contour size of the catheter is not increased, thereby ensuring the catheter. Passivity.
  • the dilatation balloon 10-1 includes at least three balloon bodies 10-2, and the balloon body 10-2 shown in the drawing is six, but is not limited thereto.
  • the at least three balloon bodies 10-2 are arranged in parallel and form the intermediate channel 9.
  • the parallel arrangement means that the axes of the at least three balloon bodies 10-2 are arranged in parallel, in particular the straight segments 1 of the at least three balloon bodies 10-2 are arranged in parallel.
  • at least three of the balloon bodies 10-2 are not limited to be arranged in parallel in a head-to-tail alignment manner to form a hollow cylinder, and may be arranged in parallel in a staggered manner and internally form the intermediate passage 9.
  • the at least three balloon bodies 10-2 are preferably arranged in parallel in a hollow cylinder to obtain an expanded balloon 10-1 having a smaller outer shape.
  • the two adjacent balloon bodies 10-2 may be fixed by glue bonding.
  • the shape of the dilatation balloon 10-1 formed by the plurality of balloon bodies 10-2 can be stabilized, and the position of the balloon body 10-2 remains unchanged after the balloon is filled, and the blood flow channel can be left unaffected in the middle.
  • a medical polymer material such as a polymer such as polyamide or polyester, or a mixture or composite of polymers may be used.
  • the balloon body 10-2 can adopt an existing structure, thereby reducing the use cost.
  • the dilatation balloon 10-1 further comprises a coating 6 disposed on the outer surface of the balloon body and partially conforming to the outer surface of the balloon body such that the balloon At the time of expansion, the film 6 can directly contact the inner wall of the blood vessel, and since the film 6 can be better adhered to the inner wall of the blood vessel, the effect of the balloon-expanding valve can be enhanced. It is worth mentioning that the film 6 can also bind and shape the balloon, so that the expanded balloon does not deform, the balloon is more adaptable, and the balloon is expanded to expand the valve.
  • the strength of the coating 6 is higher than the strength of any one of the balloon bodies 10-2 (such as tensile strength, flexural strength, yield strength, etc.) to enhance the expansion of the balloon 10-1 in the aortic valve
  • the puncture resistance of the calcified lesion increases the balloon's pressure resistance and reduces compliance, thereby enhancing the balloon expansion force.
  • the strength of the coating 6 can be made higher than the strength of any one of the balloon bodies 10-2 by selecting different materials or different molding methods.
  • the balloon body 10-2 is made of Nylon 12, and the film 6 may be made of a PET material.
  • the tensile strength of Nylon12 can be selected between 138Mpa and 275Mpa, the flexural strength can be between 90Mpa and 214Mpa, the tensile strength of PET is ⁇ 275MPa, and the flexural strength is between 148MPa and 310Mpa.
  • the thickness of the film 6 can be lowered as much as possible to reduce the profile (profile size) after the balloon is crimped.
  • the thickness of the coating 6 is limited to 0.01 mm to 0.15 mm in terms of coronary blood vessels, peripheral blood vessels, and other blood vessels in the body in which calcified stenosis lesions are present.
  • the material of the coating film 6 is selected from medical polymer materials, more preferably polymer materials such as polyester, polyamide, polyethylene, fluoropolymer, etc., or these materials. Multiple combinations.
  • the film 6 is realized by a film forming process, or by braiding, or a composite structure of a film and a braid.
  • the film structure 6 of the film structure can fix the existing polymer film to the outer surface of the balloon body after being pressurized and expanded by glue.
  • the glue can be made of biocompatible epoxy glue, polyurethane glue, light curing glue and silica gel.
  • the film of the woven structure can be fixed to the surface of the balloon body by glue or suture.
  • the coating 6 may be coated with a hydrophilic coating to enhance the passage of the balloon in the blood vessel.
  • a hydrophilic material such as polyvinylpyrrolidone (PVP), polyvinyl alcohol (PAA), polyacrylic acid (PAA), or polyethylene glycol (PEG) may be selected.
  • the valve membrane 7 can be disposed between the distal end and the proximal end of the intermediate passage 9; or, in another embodiment, as shown in Figure 1d, The valve membrane 7 can also be disposed at the distal end of the intermediate passage 9, and a portion can also extend beyond the distal end of the intermediate passage 9; alternatively, the valve membrane 7 can also be disposed at the proximal end of the intermediate passage 9, but considering The special configuration of the valve membrane 7 is generally located in the intermediate passage 9 to better block the structure. Therefore, the valve membrane 7 can be located at different locations on the intermediate passage 9. However, a plurality of valve membranes 7 are not provided on the intermediate passage 9, and a plurality of valve membranes 7 may be provided. The plurality of valve membranes 7 are arranged along the axial direction of the intermediate passage 9 to be redundantly designed to ensure practical use. Reliability.
  • valve membrane 7 may have a cavity, and one end of the cavity is closed to form a closed end and corresponds to the distal end of the expanded balloon 10-1, and the other end of the cavity is open to form an open end. And corresponding to the proximal end of the dilatation balloon 10-1, wherein the closed end is fixedly disposed, and the open end is expanded to be engaged with the intermediate passage 9.
  • the open end of the valve film 7 is in contact with the intermediate passage 9, the intermediate passage 9 is blocked; when the open end of the valve film 7 is contracted, the intermediate passage 9 is Was unblocked.
  • the size of the open end is greater than or equal to the effective size of the intermediate passage 9.
  • the effective size of the intermediate passage 9 refers to the diameter of the cavity at the position of the intermediate passage 9 for fitting with the open end.
  • the cross-sectional shape of the intermediate passage 9 is, for example, "star” as shown in FIG. 1c
  • the cross-sectional shape of the open end of the valve film 7 may match or not match the "star”.
  • the cross-sectional dimension of the open end is at least consistent with the "star” so that the open end and the cross section of the intermediate passage 9 are effectively fitted without causing leakage.
  • valve film 7 is a schematic structural view of a valve film 7 according to an embodiment of the present invention.
  • the valve film 7 may be a hollow cone, but is not limited to the illustrated cone, as long as it is similar to FIG. 1e.
  • the structure shown inside is hollow and one end is closed at the other end.
  • the bottom (round bottom) of the cone can be arranged perpendicular or non-vertically with respect to the axis of the intermediate channel 9, i.e. the bottom can also be inclined.
  • the edge of the bottom of the cone is intended to be attached to the intermediate channel 9, for example the edge of the bottom of the cone and the intermediate channel 9 surrounded by the straight section 1 of each balloon body 10-2.
  • the inner wall is attached, and the top of the cone needs to be fixed to ensure that the diaphragm 7 does not move.
  • any one of the balloon bodies 10-2 may comprise a straight section 1, a proximal section 2 and a distal section 3, the straight section 1 being located in the proximal section 2 and the distal section 3
  • the cross-sectional dimension of the proximal pipe section 2 is smaller than the cross-sectional dimension of the straight section 1.
  • the shape of the straight section 1 is generally cylindrical.
  • the straight section 1 may further include a tapered section at both ends (the large diameter end of the tapered section is connected to the cylindrical section in the middle).
  • the proximal tube segment 2 corresponds to a direction close to a doctor or operator
  • the distal tube segment 3 corresponds to a direction away from the doctor or close to the patient.
  • the balloon dilatation catheter 100 further comprises an outer tube 4 for sealingly connecting with the outer tube 4 and the inner tube 5, and an inner tube 5 for sealing connection with the inner tube 5.
  • the inner tube 5 passes through the outer tube 4, and the inner tube 5 extends out of the portion of the outer tube 4 to provide the expansion balloon 10-1.
  • the proximal section 2 of all of the balloon bodies 10-2 is sealingly connected to the distal end of the outer tube 4 on the one hand and to the inner tube 5 on the other hand. More specifically, the proximal end of the proximal tube section 2 can be inserted into the gap between the inner tube 5 and the outer tube 4 to be in sealing connection with the outer wall of the inner tube 5 and the inner wall of the outer tube 4. It should be understood that the proximal section 2 may also not be inserted into the gap between the inner tube 5 and the outer tube 4, but rather is sealingly connected to the distal end of the outer tube 4.
  • the proximal pipe section 2 is connected to the inner pipe 5 and the outer pipe 4 by means of glue, hot melt, etc.
  • all of the proximal pipe sections 2 are summarized at the same axial position on the inner pipe 5.
  • the distal section 3 of all of the balloon bodies 10-2 is in sealing connection with the section of the inner tube 5 extending beyond the outer tube 4.
  • the distal pipe section 3 is sealingly connected to the inner pipe 5 by means of glue, hot melt or the like.
  • all of the distal sections 3 are also summarized in the same axial position on the inner tube 5 (this axial position is near the distal end of the inner tube 5).
  • the inner cavity of the proximal pipe section 2 communicates with the gap between the outer pipe 4 and the inner pipe 5, so that the filling medium can pass through the inner pipe 5 and the outer pipe.
  • the gap between the 4 and the entry into the straight section 1 via the proximal section 2 achieves the filling of the straight section 1.
  • the dilatation balloon 10-1 of the present embodiment integrally forms a catheter portion that is tapered at both ends and a balloon portion that is located at the center, wherein a catheter portion at the proximal end is used to provide a flow passage for the filling medium.
  • the other conduit portion at the distal end may form a occlusion structure, wherein the one conduit portion is defined by a plurality of proximal tubular segments 2, and the other conduit portion is defined by a plurality of distal tubular segments 3, and
  • the balloon portion is formed by parallel arrangement of the straight segments 1 of the plurality of balloon bodies 10-2, thereby forming a working region of the dilatation balloon 10-1, a portion of the outer surface of the working region being used for the aortic valve
  • the vessel wall fits.
  • the dilatation balloon 10-1 of the present embodiment does not affect the blood flow even when the valve is expanded, and can design a balloon of a larger size than the dilatation balloon composed of a single balloon. The need for different treatments.
  • the closed end of the valve membrane 7 can be secured to the inner tube 5, but the fixed position is not limited to the interior or exterior of the expanded balloon 10-1.
  • the open end of the valve membrane 7 is preferably connected to the inner tube 5 or the dilatation balloon 10-1 via a plurality of connecting wires 8.
  • the material of the connecting wire 8 may be selected from polymer fibers and has good strength.
  • one end of the plurality of connecting wires 8 is connected to the edge of the open end of the valve film 7, and the connection manner may be glue bonding, hot-melt bonding or stitching, if the material melting point of the connecting wire 8 and the valve film 7 is used. Similar or identical, a hot melt connection is preferred.
  • the other end of the plurality of connecting wires 8 is connected to the inner tube 5, and the connection manner may be glue bonding, hot-melt bonding or stitching. If the connecting wires 8 are similar to or the same as the material melting point of the inner tube 5, a hot-melt connection is preferred.
  • the other end of the connecting line 8 can also be connected to the straight section 1 or other part of the balloon body 10-2, such as by glue to the straight section 1.
  • the other end of the connecting wire 8 may be connected to the inner tube 5 or to the balloon body at the same time.
  • the angle of the taper of the valve film 7, the size and length of the opening, and the number and length of the connecting wires 8 can be set according to the actual balloon size, which is not particularly limited in the present invention.
  • the interior of the dilation balloon is formed with an intermediate channel, and the intermediate channel is provided with a valve membrane, and the The valve membrane is contracted or expanded after being forced to achieve a unidirectional conduction of the intermediate passage, so that during the operation, when the expansion balloon is placed on the human valve, blood flow can be normally circulated through the intermediate passage, so that The blood flow is not affected when the valve is expanded, and therefore, the dilatation balloon is suitable for a one-way blood flow channel, especially a heart valve.
  • the valve membrane can be used to suppress the reflux of the aortic blood to the left ventricle, thereby reducing the left ventricular volume and the stroke volume, thereby ensuring the effect of the balloon dilating the valve.
  • the valve membrane does not require a complicated catheter to be fitted, thereby reducing the structural complexity of the balloon-expanding catheter and being technically easy to implement without increasing the contour size of the catheter, thereby ensuring the catheter Passivity.

Abstract

A dilatation balloon (10-1) and a balloon dilatation catheter (100), the dilatation balloon (10-1) comprising a balloon body having an intermediate passage (9) and a valve membrane (7) disposed on the intermediate passage (9); the valve membrane (7) contracts or expands after bearing a force such that the intermediate passage (9) communicates unidirectionally. Thus, the present invention is helpful in ensuring the effect of the dilatation balloon (10-1) in expanding a valve, and may also reduce the structural complexity of the balloon dilatation catheter (100), and ensure that the balloon dilatation catheter (100) may pass through.

Description

扩张球囊以及球囊扩张导管Dilatation balloon and balloon dilatation catheter 技术领域Technical field
本发明涉及医疗器械技术领域,特别涉及一种扩张球囊以及球囊扩张导管。The present invention relates to the field of medical device technology, and in particular to an expansion balloon and a balloon dilatation catheter.
背景技术Background technique
自1984年Inoue成功开展经皮球囊瓣膜成形术(PBV)以来,PBV已成为心脏瓣膜病治疗的重要方法之一。经皮球囊瓣膜成形术具有创伤小、安全、疗效确切等优点,在一定程度上取代了开胸心脏瓣膜切开/分离术。对于严重的钙化性主动脉瓣狭窄且外科手术禁忌或高危的患者,适用经导管主动脉瓣置入术(TAVI),通过股动脉送入瓣膜球囊,将人工心脏瓣膜输送至主动脉瓣区打开,从而完成人工瓣膜置入,恢复瓣膜功能。通过瓣膜球囊对狭窄病变扩张疏通,有利于瓣膜支架的植入操作,同时主动脉瓣植入后通过瓣膜球囊导管的后扩张可以使得主动脉瓣贴附效果更好,治愈效果更佳。Since Inoue successfully developed percutaneous balloon valvuloplasty (PBV) in 1984, PBV has become one of the important methods for the treatment of valvular heart disease. Percutaneous balloon valvuloplasty has the advantages of small trauma, safety, and curative effect, which replaces open heart valve incision/separation to some extent. For patients with severe calcific aortic stenosis and surgical contraindications or high risk, transcatheter aortic valve placement (TAVI) is applied to the valvular balloon through the femoral artery to deliver the prosthetic heart valve to the aortic valve area. Open, thereby completing the prosthetic valve placement and restoring the valve function. The expansion of the stenotic lesion through the valve balloon facilitates the implantation of the valve stent, and the posterior expansion of the balloon balloon after the aortic valve implantation can make the aortic valve adhere better and the healing effect is better.
通常,瓣膜球囊被设计成一种圆柱状的形态。这种设计有利于球囊在病变部位的均匀扩张,以便与血管内壁贴合,避免血管过度扩张造成血管撕裂。然而,圆柱状的球囊在扩张过程中会阻碍血流通过,使心脏暂时性缺血,限制了瓣膜手术可操作时间,影响球囊扩张瓣膜效果,同时也导致球囊扩张后需要配合起搏器使用。Typically, the valve balloon is designed in a cylindrical configuration. This design facilitates the uniform expansion of the balloon at the lesion to conform to the inner wall of the blood vessel and avoid tearing of the blood vessel caused by excessive expansion of the blood vessel. However, the cylindrical balloon will block the blood flow during the expansion process, temporarily impairing the heart, limiting the operable time of the valve operation, affecting the balloon dilatation valve effect, and also requiring the pacing after the balloon is expanded. Used by the device.
当前瓣膜球囊扩张时,允许血流通过球囊的设计是一种中空的球囊结构,中间具有一个可移动的球形球囊,能够抑制血液从主动脉向左心室返流,避免增加左心室容量和搏出量。但这种设计依然存在问题:一是导管结构复杂,技术上难以实现,而且还降低了导管的通过性;二是瓣膜球囊外表面无固定或束缚,使扩张后的球囊可能发生变形、球囊顺应性较高,影响球囊扩张瓣膜效果,同时主动脉瓣钙化病变易刺破球囊。When the current balloon is dilated, the design that allows blood flow through the balloon is a hollow balloon structure with a movable spherical balloon in the middle that inhibits blood flow from the aorta to the left ventricle, avoiding an increase in the left ventricle. Capacity and stroke volume. However, this design still has problems: First, the catheter structure is complex, technically difficult to achieve, and also reduces the passage of the catheter; second, the outer surface of the valve balloon is not fixed or bound, so that the expanded balloon may be deformed, The balloon compliance is higher, which affects the balloon dilatation valve effect, and the aortic valve calcification lesion is easy to pierce the balloon.
因此,基于现有技术中存在的问题,有必要开发一种新型的主动脉瓣膜扩张球囊,以满足其在主动脉瓣膜手术中的使用。Therefore, based on the problems in the prior art, it is necessary to develop a new type of aortic valve dilatation balloon to meet its use in aortic valve surgery.
发明内容Summary of the invention
有鉴于此,本发明提供一种扩张球囊以及球囊扩张导管,能够抑制主动脉血液向左心室反流,确保球囊扩张瓣膜的效果,并且还能够降低导管的结构复杂度,确保导管的通过性。In view of the above, the present invention provides an expansion balloon and a balloon dilatation catheter, which can suppress the reflux of the aortic blood to the left ventricle, ensure the effect of the balloon dilating the valve, and can also reduce the structural complexity of the catheter and ensure the catheter. Passivity.
根据本发明的一个方面,提供了一种扩张球囊,所述扩张球囊包括具有中间通道的球囊本体以及设置于所述中间通道上的阀膜;所述阀膜受力后收缩或扩张,以使所述中间通道实现单向导通。According to an aspect of the invention, an expansion balloon is provided, the expansion balloon comprising a balloon body having an intermediate passage and a valve membrane disposed on the intermediate passage; the valve membrane is contracted or expanded after being stressed So that the intermediate channel is unidirectional.
可选的,所述阀膜具有一个空腔,所述空腔的一端封闭而形成封闭端,另一端开口而形成开口端。Optionally, the valve membrane has a cavity, one end of the cavity is closed to form a closed end, and the other end is open to form an open end.
可选的,所述阀膜扩张后为中空的锥体,所述锥体的底部相对于所述中间通道的轴线垂直或倾斜设置。Optionally, the valve membrane is expanded to be a hollow cone, and the bottom of the cone is disposed perpendicular or oblique with respect to an axis of the intermediate passage.
可选的,所述阀膜设置于所述中间通道的远端和近端之间,或者所述中间通道的远端。Optionally, the valve membrane is disposed between the distal end and the proximal end of the intermediate passage, or the distal end of the intermediate passage.
可选的,所述阀膜的材料选自含氟聚合物、聚酯类、聚酰胺、聚氯乙烯、尼龙弹性体和聚氨酯类弹性体中的一种或多种组合。Optionally, the material of the valve film is selected from one or more combinations of a fluoropolymer, a polyester, a polyamide, a polyvinyl chloride, a nylon elastomer, and a polyurethane elastomer.
可选的,所述球囊本体的外表面上设置有覆膜,所述覆膜部分地与所述球囊本体的外表面贴合。Optionally, a coating film is disposed on an outer surface of the balloon body, and the coating partially adheres to an outer surface of the balloon body.
可选的,所述球囊本体包括至少三个球囊体,至少三个所述球囊体并行排列且形成所述中间通道。Optionally, the balloon body comprises at least three balloon bodies, at least three of which are arranged in parallel and form the intermediate channel.
根据本发明的另一个方面,提供了一种球囊扩张导管,包括所述扩张球囊。According to another aspect of the invention, a balloon dilatation catheter is provided, comprising the dilatation balloon.
可选的,所述球囊扩张导管还包括内管以及外管;所述内管插入所述外管,且所述内管伸出所述外管的一区段套设有所述扩张球囊;所述扩张球囊的一远端与所述内管连接,所述扩张球囊的一近端与所述外管以及所述内管连接。Optionally, the balloon dilatation catheter further includes an inner tube and an outer tube; the inner tube is inserted into the outer tube, and the inner tube protrudes from a section of the outer tube and the expansion ball is sleeved a distal end of the dilatation balloon is coupled to the inner tube, a proximal end of the dilatation balloon being coupled to the outer tube and the inner tube.
可选的,所述阀膜的一端与所述内管固定连接并形成封闭端,所述阀膜的另一端与所述内管和/或所述球囊本体连接并形成开口端。Optionally, one end of the valve membrane is fixedly coupled to the inner tube and forms a closed end, and the other end of the valve membrane is coupled to the inner tube and/or the balloon body and forms an open end.
可选的,所述阀膜的开口端通过多根连接线与所述内管和/或所述球囊本 体连接。Optionally, the open end of the valve membrane is connected to the inner tube and/or the balloon body via a plurality of connecting wires.
可选的,所述连接线通过热熔、缝合或胶水与所述内管和/或所述球囊本体连接。Optionally, the connecting wire is connected to the inner tube and/or the balloon body by hot melt, sewing or glue.
可选的,所述连接线通过热熔、缝合或胶水与所述阀膜的开口端连接。Optionally, the connecting wire is connected to the open end of the valve film by hot melt, sewing or glue.
综上,根据本发明提供的技术方案,针对扩张球囊以及相应的球囊扩张导管,所述扩张球囊内部形成有一个中间通道,且该中间通道上设置有阀膜,且该阀膜受力后收缩或扩张,以使所述中间通道实现单向导通,进而在手术中,将该扩张球囊放置于人体瓣膜时,血流能够通过所述中间通道实现正常的流通,使得扩张瓣膜时血液流动不会受到影响,因此,该扩张球囊适合于单向血流通道,尤其是心脏瓣膜。故而,可通过阀膜来抑制主动脉血液向左心室反流,从而降低左心室容量和搏出量,以此确保球囊扩张瓣膜的效果。特别的,该阀膜无需结构复杂的导管进行适配,因此,降低了球囊扩张导管的结构复杂度且在技术上易于实现,而且不会加大导管的轮廓尺寸,因此,可以确保导管的通过性。In summary, according to the technical solution provided by the present invention, for the dilatation balloon and the corresponding balloon dilatation catheter, the dilation balloon is internally formed with an intermediate passage, and the intermediate passage is provided with a valve membrane, and the valve membrane is subjected to The force is contracted or expanded to achieve a unidirectional conduction of the intermediate passage, and thus, during the operation, when the expansion balloon is placed on the human valve, blood flow can be normally circulated through the intermediate passage, so that when the valve is expanded Blood flow is not affected and, therefore, the dilatation balloon is suitable for a one-way blood flow channel, especially a heart valve. Therefore, the valve membrane can be used to suppress the reflux of the aortic blood to the left ventricle, thereby reducing the left ventricular volume and the stroke volume, thereby ensuring the effect of the balloon dilating the valve. In particular, the valve membrane does not require a complicated catheter to be fitted, thereby reducing the structural complexity of the balloon-expanding catheter and being technically easy to implement without increasing the contour size of the catheter, thereby ensuring the catheter Passivity.
附图说明DRAWINGS
附图用于更好地理解本发明,不构成对本发明的不当限定。其中:The drawings are intended to provide a better understanding of the invention and are not intended to limit the invention. among them:
图1a是本发明一实施例的球囊扩张导管的结构示意图;1a is a schematic structural view of a balloon dilatation catheter according to an embodiment of the present invention;
图1b是图1a所示的球囊扩张导管沿B-B连线的一剖视图;Figure 1b is a cross-sectional view of the balloon dilatation catheter of Figure 1a taken along line B-B;
图1c是图1a所示的球囊扩张导管沿A-A连线的剖视图;Figure 1c is a cross-sectional view of the balloon dilatation catheter of Figure 1a taken along line A-A;
图1d是图1a所示的球囊扩张导管沿B-B连线的另一剖视图;Figure 1d is another cross-sectional view of the balloon dilatation catheter of Figure 1a taken along line B-B;
图1e是本发明一实施例的阀膜的结构示意图。Fig. 1e is a schematic view showing the structure of a valve film according to an embodiment of the present invention.
图中:In the picture:
100-球囊扩张导管,10-1-扩张球囊,10-2-球囊体,1-平直段,2-近管段,3-远管段,4-外管,5-内管,6-覆膜,7-阀膜,8-连接线,9-中间通道。100-balloon dilatation catheter, 10-1-expansion balloon, 10-2-balloon, 1-straight segment, 2-near tube segment, 3-distal tube segment, 4-outer tube, 5-inner tube, 6 - Laminating, 7-valve, 8-connector, 9-intermediate channel.
具体实施方式Detailed ways
为使本发明的目的、优点和特征更加清楚,以下结合附图1a~1e对本发 明提出的扩张球囊及球囊扩张导管作进一步详细说明。需说明的是,附图均采用非常简化的形式且均使用非精准的比例,仅用以方便、明晰地辅助说明本发明实施例的目的。In order to clarify the objects, advantages and features of the present invention, the dilatation balloon and balloon dilatation catheter of the present invention will be further described in detail below with reference to Figures 1a to 1e. It should be noted that the drawings are in a very simplified form and all use non-precise proportions, and are only for convenience and clarity to assist the purpose of the embodiments of the present invention.
如在本说明书中所使用的,单数形式“一”、“一个”以及“该”也包括复数对象,除非内容另外明确指出外。如在本说明书中所使用的,术语“或”通常是以包括“和/或”的含义而进行使用的,除非内容另外明确指出外。术语“近端”通常是指对应构件靠近操作者的一端,“远端”是指对应构件远离操作者的一端。如在本说明书中所使用的,术语“内部”通常是指靠近对应构件的轴线方向,术语“外部”通常是指远离对应构件的轴线方向。As used in the specification, the singular forms " The term "or" is used in the meaning of "and/or" as used in this specification unless the context clearly dictates otherwise. The term "proximal" generally refers to the end of the corresponding member that is adjacent to the operator, and "distal" refers to the end of the corresponding member that is remote from the operator. As used in this specification, the term "interior" generally refers to the direction of the axis near the corresponding member, and the term "outer" generally refers to the direction away from the axis of the corresponding member.
在经皮球囊瓣膜成形术中,通过股动脉送入瓣膜球囊(即扩张球囊),将人工心脏瓣膜输送至主动脉瓣区打开,从而完成人工瓣膜置入,恢复瓣膜功能。其中,通过瓣膜球囊对狭窄病变扩张疏通,有利于瓣膜支架的植入操作,同时主动脉瓣植入后通过瓣膜球囊扩张导管的后扩张可以使得主动脉瓣贴附效果更好,治愈效果更佳。In percutaneous balloon valvuloplasty, the valve is delivered through the femoral artery (ie, the balloon is expanded), and the prosthetic heart valve is delivered to the aortic valve region to open, thereby completing the prosthetic valve placement and restoring the valve function. Among them, the expansion of the stenotic lesion through the valve balloon is beneficial to the implantation of the valve stent, and the posterior expansion of the balloon balloon through the aortic valve can make the aortic valve adhere better and the healing effect. Better.
这里,本发明提供的扩张球囊并不限定于主动脉瓣,还可以是心脏内的其它瓣膜,如二尖瓣、三尖瓣、肺动脉瓣膜。另外,除心脏内瓣膜外,还可以是静脉瓣膜。此外,由于本发明的扩张球囊可以由多个球囊体组成,直径较大,故而尤其适合于主动脉瓣,进而以下描述中,本发明以扩张球囊在主动脉瓣上的应用来举例说明,但不应以此作为对本发明的限定。Here, the dilatation balloon provided by the present invention is not limited to the aortic valve, and may be other valves in the heart, such as a mitral valve, a tricuspid valve, and a pulmonary valve. In addition, in addition to the intracardiac valve, it may also be a venous valve. In addition, since the dilatation balloon of the present invention can be composed of a plurality of balloon bodies and has a large diameter, it is particularly suitable for the aortic valve. In the following description, the present invention is exemplified by the application of the dilatation balloon on the aortic valve. It is to be understood that the invention is not limited thereto.
图1a是本发明一实施例提供的球囊扩张导管100的结构示意图,图1b是图1a所示的球囊扩张导管100沿B-B连线的剖视图,图1c是图1a所示的球囊扩张导管100沿A-A连线的剖视图。如图1a至图1c所示,所述球囊扩张导管100包括一个扩张球囊10-1,而所述扩张球囊10-1包括一个具有中间通道9的球囊本体,因此,将该扩张球囊10-1放置于主动脉瓣时,血流能够通过中间通道9而实现正常的流通。显然,在扩张球囊10-1扩张过程中,血流不会受到阻碍,故而能够确保心脏持续性的供血,以此延长了瓣膜手术可操作时间,提升了球囊扩张瓣膜的效果,同时也无需配合起搏器使用,简化了手术操作。1a is a schematic structural view of a balloon dilatation catheter 100 according to an embodiment of the present invention, FIG. 1b is a cross-sectional view of the balloon dilatation catheter 100 shown in FIG. 1a along the line BB, and FIG. 1c is a balloon dilation shown in FIG. 1a. A cross-sectional view of the catheter 100 along the line AA. As shown in Figures 1a to 1c, the balloon dilatation catheter 100 includes an expansion balloon 10-1, and the dilation balloon 10-1 includes a balloon body having an intermediate passage 9, thus expanding the balloon When the balloon 10-1 is placed on the aortic valve, blood flow can be normally circulated through the intermediate passage 9. Obviously, during the expansion of the balloon 10-1, the blood flow is not hindered, so that the blood supply to the heart can be ensured, thereby prolonging the operation time of the valve operation and improving the effect of the balloon-expanding valve. Simplifies the operation without the need for a pacemaker.
进一步,为了避免血流从主动脉向左心室反流,本实施例的扩张球囊10-1还包括一个阀膜7,所述阀膜7设置于中间通道9上,用于实现中间通道9单方向导通,即令血流仅能够从左心室正向流入主动脉,而不能从主动脉反流进入左心室。Further, in order to prevent blood flow from flowing back from the aorta to the left ventricle, the dilatation balloon 10-1 of the present embodiment further includes a valve membrane 7, which is disposed on the intermediate passage 9 for realizing the intermediate passage 9 Unidirectional conduction allows blood flow to flow only from the left ventricle to the aorta, but not from the aorta to the left ventricle.
更进一步,所述阀膜7于本实施例中通过受力收缩或扩张来确保中间通道9的单方向导通。具体而言:当血流从左心室正向流入主动脉时,所述阀膜7受血流冲击发生闭合收缩而使中间通道9维持畅通;反之,当血流从主动脉反流进入左心室时,所述阀膜7受血流冲击发生扩张而堵塞中间通道9,以此中断血流通过。所述阀膜7的材料可选用医用高分子材料,如含氟聚合物、聚酯类、聚酰胺、聚氯乙烯、尼龙弹性体、聚氨酯类弹性橡胶等,或者两者以上这些材料的聚合物或复合物。Further, the valve film 7 ensures the unidirectional conduction of the intermediate passage 9 by force contraction or expansion in the present embodiment. Specifically, when blood flow flows from the left ventricle to the aorta, the valve membrane 7 is closed and contracted by the blood flow to maintain the intermediate passage 9; otherwise, when the blood flow flows from the aorta into the left ventricle At this time, the valve membrane 7 is expanded by the blood flow impact to block the intermediate passage 9, thereby interrupting the passage of blood flow. The material of the valve film 7 may be a medical polymer material such as a fluoropolymer, a polyester, a polyamide, a polyvinyl chloride, a nylon elastomer, a polyurethane elastic rubber, or the like, or a polymer of two or more of these materials. Or complex.
在本实施例中,通过阀膜7来抑制主动脉血液向左心室反流,从而降低左心室容量和搏出量,以此确保球囊扩张瓣膜的效果。重要的是,仅借助血流的冲击来完成阀膜7的开闭,使得球囊扩张导管的结构可以简化,技术上易于实现,而且不会加大导管的轮廓尺寸,因此,可以确保导管的通过性。In the present embodiment, the aortic blood is prevented from flowing back to the left ventricle through the valve membrane 7, thereby reducing the left ventricular volume and the stroke volume, thereby ensuring the effect of the balloon dilating the valve. It is important that the opening and closing of the valve membrane 7 is completed only by the impact of blood flow, so that the structure of the balloon dilatation catheter can be simplified, technically easy to implement, and the contour size of the catheter is not increased, thereby ensuring the catheter. Passivity.
为了形成中间通道9,所述扩张球囊10-1包括至少三个球囊体10-2,图中所示的球囊体10-2为六个,但不限于此。所述至少三个球囊体10-2并行排列且形成所述中间通道9。这里,并行排列是指,所述至少三个球囊体10-2的轴线平行设置,尤其是所述至少三个球囊体10-2的平直段1平行设置。然而,至少三个球囊体10-2不限以首尾对齐的方式并行排列成一个中空的柱体,还可以错开的方式并行排列且内部形成所述中间通道9。本实施例中,所述至少三个球囊体10-2优选并行排列成一个中空的柱体,以获得外形尺寸较小的扩张球囊10-1。In order to form the intermediate passage 9, the dilatation balloon 10-1 includes at least three balloon bodies 10-2, and the balloon body 10-2 shown in the drawing is six, but is not limited thereto. The at least three balloon bodies 10-2 are arranged in parallel and form the intermediate channel 9. Here, the parallel arrangement means that the axes of the at least three balloon bodies 10-2 are arranged in parallel, in particular the straight segments 1 of the at least three balloon bodies 10-2 are arranged in parallel. However, at least three of the balloon bodies 10-2 are not limited to be arranged in parallel in a head-to-tail alignment manner to form a hollow cylinder, and may be arranged in parallel in a staggered manner and internally form the intermediate passage 9. In this embodiment, the at least three balloon bodies 10-2 are preferably arranged in parallel in a hollow cylinder to obtain an expanded balloon 10-1 having a smaller outer shape.
进一步,当所述球囊体10-2的数量为三个以上时,在一种优选实施例中,两个彼此相邻的球囊体10-2之间可以采用胶水粘合的方式进行固定,这样可以使多个球囊体10-2所形成的扩张球囊10-1的外形稳定,球囊充盈后球囊体10-2位置保持不变,能够位于中间使血流通道不受影响。更进一步,对于任意一个球囊体10-2,其可选用医用高分子材料,如聚酰胺、聚酯等聚合物, 或者是聚合物的混合物或复合物。于本实施例中,所述球囊体10-2可采用已有的结构,以此降低使用成本。Further, when the number of the balloon bodies 10-2 is three or more, in a preferred embodiment, the two adjacent balloon bodies 10-2 may be fixed by glue bonding. In this way, the shape of the dilatation balloon 10-1 formed by the plurality of balloon bodies 10-2 can be stabilized, and the position of the balloon body 10-2 remains unchanged after the balloon is filled, and the blood flow channel can be left unaffected in the middle. . Furthermore, for any one of the balloon bodies 10-2, a medical polymer material such as a polymer such as polyamide or polyester, or a mixture or composite of polymers may be used. In the present embodiment, the balloon body 10-2 can adopt an existing structure, thereby reducing the use cost.
优选的,所述扩张球囊10-1还包括一张覆膜6,该覆膜6设置于球囊本体的外表面上,且可部分地与球囊本体的外表面贴合,使得球囊扩张时,所述覆膜6能够直接与血管内壁进行接触,由于覆膜6能够与血管内壁进行更好的贴合,因此,可以增强球囊扩张瓣膜的效果。值得一提的是,所述覆膜6还可以对球囊起到束缚定型作用,使扩张后的球囊不会发生变形,球囊适应性更高,提升球囊扩张瓣膜的效果。Preferably, the dilatation balloon 10-1 further comprises a coating 6 disposed on the outer surface of the balloon body and partially conforming to the outer surface of the balloon body such that the balloon At the time of expansion, the film 6 can directly contact the inner wall of the blood vessel, and since the film 6 can be better adhered to the inner wall of the blood vessel, the effect of the balloon-expanding valve can be enhanced. It is worth mentioning that the film 6 can also bind and shape the balloon, so that the expanded balloon does not deform, the balloon is more adaptable, and the balloon is expanded to expand the valve.
更优选的,所述覆膜6的强度高于任意一个球囊体10-2的强度(如抗拉强度、抗弯强度、屈服强度等),以增强扩张球囊10-1在主动脉瓣钙化病变处的耐刺破性,提升球囊耐压并降低顺应性,从而增强球囊扩张力。于实际操作中,可通过选择不同的材料,或不同的成型方式,使得覆膜6的强度高于任意一个球囊体10-2的强度。More preferably, the strength of the coating 6 is higher than the strength of any one of the balloon bodies 10-2 (such as tensile strength, flexural strength, yield strength, etc.) to enhance the expansion of the balloon 10-1 in the aortic valve The puncture resistance of the calcified lesion increases the balloon's pressure resistance and reduces compliance, thereby enhancing the balloon expansion force. In actual operation, the strength of the coating 6 can be made higher than the strength of any one of the balloon bodies 10-2 by selecting different materials or different molding methods.
在一个实施例中,所述球囊体10-2由Nylon12制成,所述覆膜6可以选用PET材料。其中Nylon12的抗拉强度可选在138Mpa~275Mpa之间,抗弯强度可选在90Mpa~214Mpa之间;PET的抗拉强度≥275MPa,抗弯强度在148MPa-310Mpa之间。In one embodiment, the balloon body 10-2 is made of Nylon 12, and the film 6 may be made of a PET material. The tensile strength of Nylon12 can be selected between 138Mpa and 275Mpa, the flexural strength can be between 90Mpa and 214Mpa, the tensile strength of PET is ≥275MPa, and the flexural strength is between 148MPa and 310Mpa.
当所述覆膜6的强度高于任意一个球囊体10-2的强度时,可以尽可能降低覆膜6的厚度,以减少扩张球囊压握后的profile(轮廓大小)。以冠状动脉血管、外周血管以及身体其他存在钙化狭窄病变的血管来说,所述覆膜6的厚度限定为0.01mm~0.15mm。When the strength of the film 6 is higher than the strength of any one of the balloon bodies 10-2, the thickness of the film 6 can be lowered as much as possible to reduce the profile (profile size) after the balloon is crimped. The thickness of the coating 6 is limited to 0.01 mm to 0.15 mm in terms of coronary blood vessels, peripheral blood vessels, and other blood vessels in the body in which calcified stenosis lesions are present.
在一个实施例中,所述覆膜6的材质选用医用高分子材料,更优选聚合物材料,如聚酯类、聚酰胺、聚乙烯类、含氟聚合物等的一种,或者是这些材料的多种组合。非限制性的,所述覆膜6通过薄膜成型工艺实现,或通过编织成型,也可以是薄膜和编织的复合结构。薄膜结构的覆膜6可以将已有的聚合物薄膜通过胶水固定在充压扩张后的球囊本体外表面。胶水可使用生物相容性的环氧胶、聚氨酯胶、光固化胶以及硅胶。编织结构的覆膜可以通过胶水或缝线等方式将覆膜固定在球囊本体表面。In one embodiment, the material of the coating film 6 is selected from medical polymer materials, more preferably polymer materials such as polyester, polyamide, polyethylene, fluoropolymer, etc., or these materials. Multiple combinations. Without limitation, the film 6 is realized by a film forming process, or by braiding, or a composite structure of a film and a braid. The film structure 6 of the film structure can fix the existing polymer film to the outer surface of the balloon body after being pressurized and expanded by glue. The glue can be made of biocompatible epoxy glue, polyurethane glue, light curing glue and silica gel. The film of the woven structure can be fixed to the surface of the balloon body by glue or suture.
优选的,所述覆膜6上可涂覆亲水涂层,以提升球囊在血管中的通过性。一般地,可选择聚乙烯基吡咯烷酮(PVP)、聚乙烯醇(PAA)、聚丙烯酸(PAA)、聚乙二醇(PEG)等亲水材料。Preferably, the coating 6 may be coated with a hydrophilic coating to enhance the passage of the balloon in the blood vessel. Generally, a hydrophilic material such as polyvinylpyrrolidone (PVP), polyvinyl alcohol (PAA), polyacrylic acid (PAA), or polyethylene glycol (PEG) may be selected.
进而,在一个实施例中,如图1b所示,所述阀膜7可设置于中间通道9的远端和近端之间;或者,在另一个实施例中,如图1d所示,所述阀膜7还可设置于中间通道9的远端,且一部分还可伸出中间通道9的远端;又或者,所述阀膜7也可设置于中间通道9的近端,但考虑到阀膜7的特殊构型,所述阀膜7一般全部位于中间通道9内,以在结构上较好地起到封堵作用。故而,所述阀膜7可位于中间通道9上的不同位置。但是,所述中间通道9上不限设置一个阀膜7,还可以设置多个阀膜7,多个阀膜7沿中间通道9的轴向间隔设置,可作为冗余设计,从而确保实际使用的可靠性。Further, in one embodiment, as shown in FIG. 1b, the valve membrane 7 can be disposed between the distal end and the proximal end of the intermediate passage 9; or, in another embodiment, as shown in Figure 1d, The valve membrane 7 can also be disposed at the distal end of the intermediate passage 9, and a portion can also extend beyond the distal end of the intermediate passage 9; alternatively, the valve membrane 7 can also be disposed at the proximal end of the intermediate passage 9, but considering The special configuration of the valve membrane 7 is generally located in the intermediate passage 9 to better block the structure. Therefore, the valve membrane 7 can be located at different locations on the intermediate passage 9. However, a plurality of valve membranes 7 are not provided on the intermediate passage 9, and a plurality of valve membranes 7 may be provided. The plurality of valve membranes 7 are arranged along the axial direction of the intermediate passage 9 to be redundantly designed to ensure practical use. Reliability.
进一步来说,所述阀膜7可具有一个空腔,且该空腔的一端封闭形成封闭端并对应于扩张球囊10-1的远端,而所述空腔的另一端开口形成开口端并对应于扩张球囊10-1的近端,在此,所述封闭端固定设置,所述开口端扩张后用于与中间通道9贴合。当所述阀膜7的所述开口端与中间通道9贴合时,所述中间通道9即被封堵;当所述阀膜7的所述开口端发生收缩时,所述中间通道9即被解除封堵。显然,所述开口端的尺寸大于或等于中间通道9的有效尺寸。在此,所述中间通道9的有效尺寸,是指所述中间通道9上用于与所述开口端相贴合位置处的腔体直径。举例来说,所述中间通道9的横截面形状例如为图1c所示的“星形”时,所述阀膜7之所述开口端的截面形状与该“星形”可匹配或不匹配,但所述开口端的截面尺寸至少与“星形”一致,以使开口端与中间通道9的截面进行有效贴合而不会造成泄漏。Further, the valve membrane 7 may have a cavity, and one end of the cavity is closed to form a closed end and corresponds to the distal end of the expanded balloon 10-1, and the other end of the cavity is open to form an open end. And corresponding to the proximal end of the dilatation balloon 10-1, wherein the closed end is fixedly disposed, and the open end is expanded to be engaged with the intermediate passage 9. When the open end of the valve film 7 is in contact with the intermediate passage 9, the intermediate passage 9 is blocked; when the open end of the valve film 7 is contracted, the intermediate passage 9 is Was unblocked. Obviously, the size of the open end is greater than or equal to the effective size of the intermediate passage 9. Here, the effective size of the intermediate passage 9 refers to the diameter of the cavity at the position of the intermediate passage 9 for fitting with the open end. For example, when the cross-sectional shape of the intermediate passage 9 is, for example, "star" as shown in FIG. 1c, the cross-sectional shape of the open end of the valve film 7 may match or not match the "star". However, the cross-sectional dimension of the open end is at least consistent with the "star" so that the open end and the cross section of the intermediate passage 9 are effectively fitted without causing leakage.
图1e是本发明一实施例提供的阀膜7的结构示意图,如图1e所示,所述阀膜7可以为一个中空的锥体,但不限于图示的圆锥体,只要形成类似图1e所示的内部中空且一端封闭另一端开口的结构即可。针对圆锥体来说,该圆锥体的底部(圆形底面)可相对于所述中间通道9的轴线垂直或非垂直设置,即底部亦可倾斜。实际中,所述圆锥体之底部的边缘用于与中间通道9贴附,例如所述圆锥体之底部的边缘与各个球囊体10-2之平直段1所围绕成的中间 通道9的内壁贴附,同时该圆锥体的顶部需作固定设置,以确保阀膜7不会移动。1e is a schematic structural view of a valve film 7 according to an embodiment of the present invention. As shown in FIG. 1e, the valve film 7 may be a hollow cone, but is not limited to the illustrated cone, as long as it is similar to FIG. 1e. The structure shown inside is hollow and one end is closed at the other end. For the cone, the bottom (round bottom) of the cone can be arranged perpendicular or non-vertically with respect to the axis of the intermediate channel 9, i.e. the bottom can also be inclined. In practice, the edge of the bottom of the cone is intended to be attached to the intermediate channel 9, for example the edge of the bottom of the cone and the intermediate channel 9 surrounded by the straight section 1 of each balloon body 10-2. The inner wall is attached, and the top of the cone needs to be fixed to ensure that the diaphragm 7 does not move.
如图1b或图1d所示,对于任意一个球囊体10-2,其可包括平直段1、近管段2和远管段3,所述平直段1位于近管段2和远管段3之间,所述近管段2的横截面尺寸小于平直段1的横截面尺寸。所述平直段1的形状整体上为圆柱形,进一步的,所述平直段1还可以包括位于两端的锥形段(锥形段的大径端与中间的圆柱段连接)。其中,于本实施例中,所述近管段2对应于靠近医生或操作者的方向,所述远管段3对应于远离医生或靠近病人的方向。As shown in FIG. 1b or 1d, for any one of the balloon bodies 10-2, it may comprise a straight section 1, a proximal section 2 and a distal section 3, the straight section 1 being located in the proximal section 2 and the distal section 3 The cross-sectional dimension of the proximal pipe section 2 is smaller than the cross-sectional dimension of the straight section 1. The shape of the straight section 1 is generally cylindrical. Further, the straight section 1 may further include a tapered section at both ends (the large diameter end of the tapered section is connected to the cylindrical section in the middle). Wherein, in the present embodiment, the proximal tube segment 2 corresponds to a direction close to a doctor or operator, and the distal tube segment 3 corresponds to a direction away from the doctor or close to the patient.
所述球囊扩张导管100还包括外管4和内管5,所述近管段2用于同时与外管4和内管5密封连接,所述远管段3用于与内管5密封连接。实际的,所述内管5穿过外管4,且所述内管5伸出外管4的区段设置了扩张球囊10-1。装配时,所有球囊体10-2的近管段2一方面与外管4的远端密封连接,另一方面与内管5密封连接。更为具体来说,所述近管段2的近端可插入内管5和外管4间的空隙中,从而与内管5的外壁以及外管4的内壁密封连接。应知晓的是,所述近管段2也可不插入内管5和外管4间的空隙,而是与外管4的远端密封连接。The balloon dilatation catheter 100 further comprises an outer tube 4 for sealingly connecting with the outer tube 4 and the inner tube 5, and an inner tube 5 for sealing connection with the inner tube 5. Actually, the inner tube 5 passes through the outer tube 4, and the inner tube 5 extends out of the portion of the outer tube 4 to provide the expansion balloon 10-1. When assembled, the proximal section 2 of all of the balloon bodies 10-2 is sealingly connected to the distal end of the outer tube 4 on the one hand and to the inner tube 5 on the other hand. More specifically, the proximal end of the proximal tube section 2 can be inserted into the gap between the inner tube 5 and the outer tube 4 to be in sealing connection with the outer wall of the inner tube 5 and the inner wall of the outer tube 4. It should be understood that the proximal section 2 may also not be inserted into the gap between the inner tube 5 and the outer tube 4, but rather is sealingly connected to the distal end of the outer tube 4.
可选的,所述近管段2通过胶水、热熔等方式与内管5和外管4连接,优选,所有的近管段2汇总于内管5上的同一轴向位置。进一步,所有球囊体10-2的远管段3与内管5伸出外管4的区段进行密封连接。可选的,所述远管段3通过胶水、热熔等方式与内管5密封连接。优选,所有的远管段3亦汇总于内管5上的同一轴向位置(该轴向位置靠近内管5的远端)。Optionally, the proximal pipe section 2 is connected to the inner pipe 5 and the outer pipe 4 by means of glue, hot melt, etc. Preferably, all of the proximal pipe sections 2 are summarized at the same axial position on the inner pipe 5. Further, the distal section 3 of all of the balloon bodies 10-2 is in sealing connection with the section of the inner tube 5 extending beyond the outer tube 4. Optionally, the distal pipe section 3 is sealingly connected to the inner pipe 5 by means of glue, hot melt or the like. Preferably, all of the distal sections 3 are also summarized in the same axial position on the inner tube 5 (this axial position is near the distal end of the inner tube 5).
进而实际应用时,对于任意一个球囊体10-2来说,其近管段2的内腔与外管4和内管5之间的空隙相连通,使得充盈介质可以通过内管5与外管4之间的空隙,并经由近管段2进入平直段1而实现平直段1的充盈。由此,本实施例的扩张球囊10-1在整体上形成了两端渐缩的导管部以及位于中间的球囊部,其中位于近端的一个导管部用于提供充盈介质的流通通道,而位于远端的另一个导管部可形成封堵结构,其中,所述一个导管部由多个近管段2限定而成,所述另一个导管部由多个远管段3限定而成,此外,所述球囊部 由多个球囊体10-2的平直段1并行排列而成,从而构成扩张球囊10-1的工作区域,该工作区域的部分外表面用于与主动脉瓣的血管壁贴合。如此,相比于单个球囊体所构成的扩张球囊,本实施例的扩张球囊10-1不仅在扩张瓣膜时不会影响血流流通,还能设计出尺寸更大的球囊,满足不同治疗的需要。Further, in practical application, for any one of the balloon bodies 10-2, the inner cavity of the proximal pipe section 2 communicates with the gap between the outer pipe 4 and the inner pipe 5, so that the filling medium can pass through the inner pipe 5 and the outer pipe. The gap between the 4 and the entry into the straight section 1 via the proximal section 2 achieves the filling of the straight section 1. Thus, the dilatation balloon 10-1 of the present embodiment integrally forms a catheter portion that is tapered at both ends and a balloon portion that is located at the center, wherein a catheter portion at the proximal end is used to provide a flow passage for the filling medium. The other conduit portion at the distal end may form a occlusion structure, wherein the one conduit portion is defined by a plurality of proximal tubular segments 2, and the other conduit portion is defined by a plurality of distal tubular segments 3, and The balloon portion is formed by parallel arrangement of the straight segments 1 of the plurality of balloon bodies 10-2, thereby forming a working region of the dilatation balloon 10-1, a portion of the outer surface of the working region being used for the aortic valve The vessel wall fits. Thus, the dilatation balloon 10-1 of the present embodiment does not affect the blood flow even when the valve is expanded, and can design a balloon of a larger size than the dilatation balloon composed of a single balloon. The need for different treatments.
继续参阅图1e,所述阀膜7的封闭端可与内管5固定,但固定的位置不限于扩张球囊10-1的内部或外部。此外,所述阀膜7的开口端优选通过多根连接线8与内管5或扩张球囊10-1连接。所述连接线8的材料可选自聚合物纤维,强度好。With continued reference to Figure 1e, the closed end of the valve membrane 7 can be secured to the inner tube 5, but the fixed position is not limited to the interior or exterior of the expanded balloon 10-1. Further, the open end of the valve membrane 7 is preferably connected to the inner tube 5 or the dilatation balloon 10-1 via a plurality of connecting wires 8. The material of the connecting wire 8 may be selected from polymer fibers and has good strength.
例如,多根所述连接线8的一端均与阀膜7之开口端的边缘连接,连接方式可选用胶水粘接、热熔连接或缝合固定,如果所述连接线8与阀膜7的材料熔点相近或相同,优选热熔连接。多根连接线8的另一端与内管5连接,连接方式可选用胶水粘接、热熔连接或缝合固定,如果连接线8与内管5的材料熔点相近或相同,优选热熔连接。然而,所述连接线8的另一端亦可连接至球囊体10-2的平直段1或其他部位,如通过胶水粘接至平直段1。或者,所述连接线8的另一端既可连接内管5,也可同时连接球囊本体。For example, one end of the plurality of connecting wires 8 is connected to the edge of the open end of the valve film 7, and the connection manner may be glue bonding, hot-melt bonding or stitching, if the material melting point of the connecting wire 8 and the valve film 7 is used. Similar or identical, a hot melt connection is preferred. The other end of the plurality of connecting wires 8 is connected to the inner tube 5, and the connection manner may be glue bonding, hot-melt bonding or stitching. If the connecting wires 8 are similar to or the same as the material melting point of the inner tube 5, a hot-melt connection is preferred. However, the other end of the connecting line 8 can also be connected to the straight section 1 or other part of the balloon body 10-2, such as by glue to the straight section 1. Alternatively, the other end of the connecting wire 8 may be connected to the inner tube 5 or to the balloon body at the same time.
最后,需补充的是,所述阀膜7的锥部角度、开口尺寸与长度,以及连接线8的数量和长度均可根据实际球囊规格进行设置,本发明对此不作特别的限制。Finally, it is to be noted that the angle of the taper of the valve film 7, the size and length of the opening, and the number and length of the connecting wires 8 can be set according to the actual balloon size, which is not particularly limited in the present invention.
综上,根据本发明实施例提供的技术方案,针对扩张球囊以及相应的球囊扩张导管,所述扩张球囊的内部形成有一个中间通道,且该中间通道上设置有阀膜,且该阀膜受力后收缩或扩张,以使所述中间通道实现单向导通,进而在手术中,将该扩张球囊放置于人体瓣膜时,血流能够通过所述中间通道实现正常的流通,使得扩张瓣膜时血液流动不会受到影响,因此,该扩张球囊适合于单向血流通道,尤其是心脏瓣膜。故而,可通过阀膜来抑制主动脉血液向左心室反流,从而降低左心室容量和搏出量,以此确保球囊扩张瓣膜的效果。特别的,该阀膜无需结构复杂的导管进行适配,因此,降低了球囊扩张导管的结构复杂度且在技术上易于实现,而且不会加大导管的轮廓尺寸,因此,可以确保导管的通过性。In summary, according to the technical solution provided by the embodiment of the present invention, for the dilatation balloon and the corresponding balloon dilatation catheter, the interior of the dilation balloon is formed with an intermediate channel, and the intermediate channel is provided with a valve membrane, and the The valve membrane is contracted or expanded after being forced to achieve a unidirectional conduction of the intermediate passage, so that during the operation, when the expansion balloon is placed on the human valve, blood flow can be normally circulated through the intermediate passage, so that The blood flow is not affected when the valve is expanded, and therefore, the dilatation balloon is suitable for a one-way blood flow channel, especially a heart valve. Therefore, the valve membrane can be used to suppress the reflux of the aortic blood to the left ventricle, thereby reducing the left ventricular volume and the stroke volume, thereby ensuring the effect of the balloon dilating the valve. In particular, the valve membrane does not require a complicated catheter to be fitted, thereby reducing the structural complexity of the balloon-expanding catheter and being technically easy to implement without increasing the contour size of the catheter, thereby ensuring the catheter Passivity.
上述描述仅是对本发明较佳实施例的描述,并非对本发明范围的任何限定,本发明领域的普通技术人员根据上述揭示内容做的任何变更、修饰,均属于权利要求书的保护范围。The above description is only for the description of the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention. Any changes and modifications made by those skilled in the art in light of the above disclosure are all within the scope of the appended claims.

Claims (13)

  1. 一种扩张球囊,其特征在于,所述扩张球囊包括具有中间通道的球囊本体以及设置于所述中间通道上的阀膜;所述阀膜受力后收缩或扩张,以使所述中间通道实现单向导通。An expansion balloon, characterized in that the expansion balloon comprises a balloon body having an intermediate passage and a valve membrane disposed on the intermediate passage; the valve membrane is contracted or expanded after being forced to The intermediate channel is unidirectional.
  2. 如权利要求1所述的扩张球囊,其特征在于,所述阀膜具有一个空腔,所述空腔的一端封闭而形成封闭端,另一端开口而形成开口端。The dilatation balloon according to claim 1, wherein said valve membrane has a cavity, one end of said cavity being closed to form a closed end, and the other end being open to form an open end.
  3. 如权利要求2所述的扩张球囊,其特征在于,所述阀膜扩张后为中空的锥体,所述锥体的底部相对于所述中间通道的轴线垂直或倾斜设置。The dilatation balloon according to claim 2, wherein said valve membrane is expanded to be a hollow cone, and a bottom of said cone is disposed perpendicularly or obliquely with respect to an axis of said intermediate passage.
  4. 如权利要求1所述的扩张球囊,其特征在于,所述阀膜设置于所述中间通道的远端和近端之间,或者所述中间通道的远端。The dilatation balloon of claim 1 wherein said valve membrane is disposed between a distal end and a proximal end of said intermediate passage or a distal end of said intermediate passage.
  5. 如权利要求1所述的扩张球囊,其特征在于,所述阀膜的材料选自含氟聚合物、聚酯类、聚酰胺、聚氯乙烯、尼龙弹性体和聚氨酯类弹性体中的一种或多种组合。The dilatation balloon according to claim 1, wherein the material of the valve membrane is selected from the group consisting of fluoropolymer, polyester, polyamide, polyvinyl chloride, nylon elastomer, and polyurethane elastomer. One or more combinations.
  6. 如权利要求1所述的扩张球囊,其特征在于,所述球囊本体的外表面上设置有覆膜,所述覆膜部分地与所述球囊本体的外表面贴合。The dilatation balloon according to claim 1, wherein a coating film is provided on an outer surface of the balloon body, the coating partially adhering to an outer surface of the balloon body.
  7. 如权利要求1所述的扩张球囊,其特征在于,所述球囊本体包括至少三个球囊体,至少三个所述球囊体并行排列且形成所述中间通道。The dilatation balloon of claim 1 wherein said balloon body comprises at least three balloon bodies, at least three of said balloon bodies being arranged in parallel and forming said intermediate channel.
  8. 一种球囊扩张导管,其特征在于,包括如权利要求1-7中任一项所述的扩张球囊。A balloon dilatation catheter, comprising the dilatation balloon of any of claims 1-7.
  9. 如权利要求8所述的球囊扩张导管,其特征在于,所述球囊扩张导管还包括内管以及外管;所述内管插入所述外管,且所述内管伸出所述外管的一区段套设有所述扩张球囊;所述扩张球囊的一远端与所述内管连接,所述扩张球囊的一近端与所述外管以及所述内管连接。A balloon dilatation catheter according to claim 8, wherein said balloon dilatation catheter further comprises an inner tube and an outer tube; said inner tube being inserted into said outer tube, and said inner tube extending beyond said outer tube a segment of the tube is provided with the expansion balloon; a distal end of the expansion balloon is coupled to the inner tube, and a proximal end of the expansion balloon is coupled to the outer tube and the inner tube .
  10. 如权利要求9所述的球囊扩张导管,其特征在于,所述阀膜的一端与所述内管固定连接并形成封闭端,所述阀膜的另一端与所述内管和/或所述球囊本体连接并形成开口端。A balloon dilatation catheter according to claim 9, wherein one end of said valve membrane is fixedly coupled to said inner tube and forms a closed end, and the other end of said valve membrane is associated with said inner tube and/or The balloon body is coupled and forms an open end.
  11. 如权利要求10所述的球囊扩张导管,其特征在于,所述阀膜的开口 端通过多根连接线与所述内管和/或所述球囊本体连接。The balloon dilatation catheter of claim 10, wherein the open end of the valve membrane is coupled to the inner tube and/or the balloon body by a plurality of connecting wires.
  12. 如权利要求11所述的球囊扩张导管,其特征在于,所述连接线通过热熔、缝合或胶水与所述内管和/或所述球囊本体连接。The balloon dilatation catheter of claim 11 wherein said connecting wire is coupled to said inner tube and/or said balloon body by heat fusion, suturing or glue.
  13. 如权利要求11所述的球囊扩张导管,其特征在于,所述连接线通过热熔、缝合或胶水与所述阀膜的开口端连接。A balloon dilatation catheter according to claim 11, wherein said connecting wire is connected to the open end of said valve membrane by heat fusion, sewing or glue.
PCT/CN2019/073471 2018-02-02 2019-01-28 Dilatation balloon and balloon dilatation catheter WO2019149173A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201810108074.5A CN110123489A (en) 2018-02-02 2018-02-02 Dilating sacculus and sacculus dilating catheter
CN201810108074.5 2018-02-02

Publications (1)

Publication Number Publication Date
WO2019149173A1 true WO2019149173A1 (en) 2019-08-08

Family

ID=67479565

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2019/073471 WO2019149173A1 (en) 2018-02-02 2019-01-28 Dilatation balloon and balloon dilatation catheter

Country Status (2)

Country Link
CN (1) CN110123489A (en)
WO (1) WO2019149173A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023204794A1 (en) * 2022-04-18 2023-10-26 Bard Peripheral Vascular, Inc. Balloon-based flow restrictors for endovascular use and related methods

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114869401B (en) * 2021-02-05 2023-09-22 沛嘉医疗科技(苏州)有限公司 Shock wave device
CN113144392B (en) * 2021-03-24 2023-04-07 湘潭大学 Medical tube capable of self-adapting to human body internal pressure environment and preventing deformation
CN114569292A (en) * 2022-05-07 2022-06-03 中国医学科学院阜外医院 Non-choking balloon

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102858272A (en) * 2009-12-15 2013-01-02 爱德华兹生命科学公司 Expansion device for treatment of vascular passageways
CN104853696A (en) * 2012-10-18 2015-08-19 洛马维斯塔医药股份有限公司 Reinforced inflatable medical devices
CN105530986A (en) * 2013-05-08 2016-04-27 埃姆博尔克斯公司 Device and methods for transvascular tumor embolization with integrated flow regulation
WO2017078733A1 (en) * 2015-11-06 2017-05-11 C.R. Bard, Inc. Perfusion balloon with a selectively actuatable valve
WO2017151569A1 (en) * 2016-03-04 2017-09-08 C.R. Bard, Inc. Perfusion balloon with internal valve
CN208552134U (en) * 2018-02-02 2019-03-01 上海微创心通医疗科技有限公司 Dilating sacculus and sacculus dilating catheter

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9308086B2 (en) * 2010-09-21 2016-04-12 Hocor Cardiovascular Technologies Llc Method and system for balloon counterpulsation during aortic valve replacement
US10625058B2 (en) * 2016-03-04 2020-04-21 C.R. Bard, Inc. Perfusion balloon with external valve

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102858272A (en) * 2009-12-15 2013-01-02 爱德华兹生命科学公司 Expansion device for treatment of vascular passageways
CN104853696A (en) * 2012-10-18 2015-08-19 洛马维斯塔医药股份有限公司 Reinforced inflatable medical devices
CN105530986A (en) * 2013-05-08 2016-04-27 埃姆博尔克斯公司 Device and methods for transvascular tumor embolization with integrated flow regulation
WO2017078733A1 (en) * 2015-11-06 2017-05-11 C.R. Bard, Inc. Perfusion balloon with a selectively actuatable valve
WO2017151569A1 (en) * 2016-03-04 2017-09-08 C.R. Bard, Inc. Perfusion balloon with internal valve
CN208552134U (en) * 2018-02-02 2019-03-01 上海微创心通医疗科技有限公司 Dilating sacculus and sacculus dilating catheter

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023204794A1 (en) * 2022-04-18 2023-10-26 Bard Peripheral Vascular, Inc. Balloon-based flow restrictors for endovascular use and related methods

Also Published As

Publication number Publication date
CN110123489A (en) 2019-08-16

Similar Documents

Publication Publication Date Title
WO2019149173A1 (en) Dilatation balloon and balloon dilatation catheter
US11547562B2 (en) Balloon catheter including braided portions forming perfusion openings
US20220347443A1 (en) Inflatable medical devices
ES2406701T3 (en) Method and catheter for valve treatment
CN102125471B (en) Heart valve delivery system with valve catheter
US7524331B2 (en) Catheter delivered valve having a barrier to provide an enhanced seal
JP5095625B2 (en) Transapical heart valve delivery system
US20090264859A1 (en) Catheter Having a Selectively Expandable Distal Tip
CN109475411A (en) Two component bicuspid valve
US20110190697A1 (en) Vascular introducers having an expandable section
US20090131849A1 (en) Heart regurgitation method and apparatus
JP2013524944A (en) Expandable iliac sheath and method of use
JP2008534085A (en) Apparatus, system, and method for reshaping a heart valve annulus
US10751182B2 (en) System and method for reshaping right heart
US10881509B2 (en) Transcatheter mitral valve prosthesis
CN208552134U (en) Dilating sacculus and sacculus dilating catheter
US11801131B2 (en) Elliptical heart valve prostheses, delivery systems, and methods of use
CN209499981U (en) A kind of surgery aortic valve stent system
CN115429493A (en) Implant delivery catheter and implant delivery device
CN116785027A (en) Interventional mitral valve replacement device suitable for mitral stenosis

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 19747371

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19747371

Country of ref document: EP

Kind code of ref document: A1