WO2022121841A1 - Proximal outer tube, balloon catheter, and stent system - Google Patents

Proximal outer tube, balloon catheter, and stent system Download PDF

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Publication number
WO2022121841A1
WO2022121841A1 PCT/CN2021/135722 CN2021135722W WO2022121841A1 WO 2022121841 A1 WO2022121841 A1 WO 2022121841A1 CN 2021135722 W CN2021135722 W CN 2021135722W WO 2022121841 A1 WO2022121841 A1 WO 2022121841A1
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WO
WIPO (PCT)
Prior art keywords
proximal
tube
outer tube
lumen
balloon catheter
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PCT/CN2021/135722
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French (fr)
Chinese (zh)
Inventor
赵瑞辉
王龙飞
岳斌
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上海微创医疗器械(集团)有限公司
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Publication of WO2022121841A1 publication Critical patent/WO2022121841A1/en

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    • 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material

Definitions

  • the invention relates to the technical field of medical devices, in particular to a proximal and outer tube, a balloon catheter and a stent system.
  • Coronary heart disease has become a major health problem in today's society, and percutaneous coronary intervention (PCI) is a very common coronary revascularization procedure because of its minimal trauma. , High success rate, has become an important means of coronary heart disease treatment.
  • PCI percutaneous coronary intervention
  • Coronary stenting is one of the most widely used techniques in PCI, which can significantly reduce restenosis after PTCA (percutaneous transluminal coronary angioplasty), can deal with dissection and acute vascular occlusion, and become a coronary intervention therapy. another milestone.
  • PTCA percutaneous transluminal coronary angioplasty
  • people's blood vessels are getting thinner and thinner, and the lesions are becoming more and more complex, which puts forward higher and higher requirements for clinicians and equipment.
  • the vascular stent needs to reach the lesion location along the guide wire under the delivery of the conveyor, so there is a high requirement for the pushing performance of the stent conveyor.
  • the stent delivery device is designed with a balloon catheter, which requires a high strength at the proximal end to provide and transmit sufficient pushing force, and sufficient flexibility at the distal end to conform to the narrow and tortuous shape of the blood vessel. Blood vessel. Therefore, in the prior art stent delivery, the proximal tube section (commonly referred to as the "proximal outer tube”) is mostly designed with an ordinary stainless steel single-lumen tube, while the outer tube, inner tube and bulb in the distal part of the delivery device The bag is mostly made of polymer tubing. However, this will lead to abrupt changes in material and structure at the junction of the proximal and outer tubes and the distal component, which will affect the doctor's use process.
  • the pushing force generated by the user on the proximal and outer tubes cannot be effectively transmitted to the distal end of the conveyor and the stent portion, thereby reducing the pushing performance.
  • higher requirements are also placed on the tracking of the conveyor.
  • the purpose of the present invention is to provide a proximal outer tube, a balloon catheter and a stent system.
  • the present invention can improve the pushing performance of the coronary stent system without reducing the traceability, and improve the product performance to cure the tortuous and narrow lesions.
  • the proximal and outer tube is divided into at least two sections along the axial direction, the distal end of the proximal and outer tube is a transmission wire, and the proximal end of the proximal and outer tube is a single-lumen tube, and the transmission wire and the Single lumen tubes are connected.
  • the material of the single-lumen tube and/or the delivery wire is one metal or a combination of multiple metals, and the single-lumen tube and the delivery wire are made of the same or different materials.
  • the material of the single lumen tube and/or the transmission wire is stainless steel.
  • the material of the single-lumen tube is 304L stainless steel
  • the material of the transmission wire is 304 stainless steel
  • the outer surface of the single-lumen tube has at least one layer of polymer to reduce the friction coefficient of the outer surface of the single-lumen tube.
  • the polymer includes one or a combination of polyamide, polyester, polytetrafluoroethylene, polyvinylidene fluoride, polyamide polyether block copolymer, polyethylene, and polyimide.
  • the distal end of the single-lumen tube includes a hypotube.
  • the tube wall of the hypotube has at least one threaded slot, and the threaded slot penetrates the tube wall of the hypotube along its radial direction.
  • each thread slit when there are more than two thread slits, the widths of each thread slit are the same or different, and the distances between adjacent thread slits are the same or different.
  • the distance between the adjacent thread slits is 0.5mm ⁇ 5mm.
  • distal mouth of the hypotube is any one of a straight mouth or a slope mouth.
  • the transmission wire is integrally formed with the single-lumen tube.
  • the diameter of the transmission wire is constant or gradual or abrupt along the axial direction, and the diameter of the transmission wire ranges from 0.002 inch to 0.012 inch.
  • the length of the transmission wire ranges from 25 mm to 200 mm.
  • the inner diameter of the lumen of the single-lumen tube is 0.0160 inch to 0.0220 inch, and the outer diameter of the lumen of the single lumen tube is 0.0230 inch to 0.0300 inch.
  • a balloon catheter comprising a single-lumen structure disposed at the proximal end of the balloon catheter and a double-lumen structure disposed at the distal end of the balloon catheter, the single-lumen structure is connected with the double-lumen structure, and the double-lumen structure is located in the double-lumen structure.
  • the distal end of the balloon is set;
  • the single-lumen structure comprises the proximal and outer tube and the connecting piece according to claims 1-14;
  • the double-lumen structure includes a distal outer tube and an inner tube, and the inner tube is coaxial with the distal outer tube and is disposed inside the distal outer tube.
  • At least one developing point is arranged on the outer surface of the inner tube.
  • a stent system comprising a stent and a balloon catheter as claimed in claim 15 or 16, the stent being loaded on the outside of the balloon of the balloon catheter.
  • the proximal and outer tubes of the present invention are at least divided into two sections along the axial direction, so that the proximal and outer tubes have different physical properties in the axial direction, and the tracking and pushing properties of the proximal and outer tubes are improved, which is convenient for doctors to better perform operations during the operation. Control and push the balloon catheter, so that the balloon catheter can reach the narrow and tortuous lesions along the guide wire.
  • the distal end of the proximal and outer tubes is provided with a transmission wire, which can provide necessary mechanical support for the distal end of the balloon catheter and the stent, but at the same time will not affect the flexibility of the distal end of the balloon catheter and the overall proximal and outer tubes.
  • the proximal end of the proximal and outer tube is a single-lumen tube, which can ensure that the pushing force is stably transmitted to the distal end of the balloon catheter; both maximize the pushing efficiency.
  • the proximal and outer tubes have both superior tracking and pushing properties, which can ensure that the pushing force is stably transmitted to the distal end of the balloon catheter, and
  • the stent can be delivered to narrow tortuous lesions.
  • the distal end of the single-lumen tube is a hypotube, which can achieve good bending performance without affecting the pushing efficiency, so as to improve the ability of the stent delivery device to pass through tortuous lesions.
  • FIG. 1 shows a schematic structural diagram of the balloon catheter in the proximal and outer tube, balloon catheter and stent system of the present invention.
  • FIG. 2 shows a schematic structural diagram of a proximal and outer tube in a proximal and outer tube, a balloon catheter and a stent system according to an embodiment of the present invention.
  • Fig. 3 shows a schematic structural diagram of the proximal and outer tubes in the proximal and outer tubes, the balloon catheter and the stent system according to the second embodiment of the present invention.
  • FIG. 4 shows a schematic structural diagram of the proximal and outer tubes in the proximal and outer tubes, the balloon catheter and the stent system according to the third embodiment of the present invention.
  • Fig. 5 shows a schematic structural diagram of the proximal and outer tubes in the proximal and outer tubes, the balloon catheter and the stent system according to the fourth embodiment of the present invention.
  • proximal outer tube 101, transmission wire; 1011, first filament; 1012, second filament; 102, hypotube; 103, single lumen tube; 104, marker tape; 200, distal outer tube; 201, Inner tube; 202, developing point; 3, balloon.
  • distal end means The end away from the operator during the operation
  • proximal end means the end close to the operator during the operation
  • take Figure 2 as an example, the right side of the proximal and outer tubes in Figure 2 is the proximal end, and the left side of the proximal and outer tubes in Figure 2 The side is the distal end.
  • a stent system includes a stent and a balloon catheter, wherein the stent is installed outside the balloon catheter.
  • FIG. 1 shows a schematic structural diagram of a balloon catheter, wherein the balloon catheter includes a single-lumen structure and a double-lumen structure, the single-lumen structure is located at the proximal end of the balloon catheter, and the double-lumen structure is located at the proximal end of the balloon catheter.
  • the cavity structure is located at the distal end of the balloon catheter, the single cavity structure is connected with the double cavity structure, a balloon 3 is arranged at the distal end of the balloon catheter, and the balloon is made of polymer material and is used as a stent and dilation of diseased blood vessels.
  • the dual-chamber structure includes a distal outer tube 200 and an inner tube 201 .
  • the inner tube 201 is coaxial with the distal outer tube 200 and is disposed inside the distal outer tube 200 .
  • At least one developing point 202 is provided on the outer surface of the inner tube 201, so that the doctor can observe the specific position of the balloon or the working segment of the balloon under X-rays during the interventional operation.
  • the outer tube 200 and/or the inner tube 201 in the dual-chamber structure can be made of conventional materials, usually high molecular polymers, such as nylon, polytetrafluoroethylene, etc., which will not be repeated here.
  • the single-lumen structure can be used as a fluid-passing chamber to deliver contrast fluid to expand the balloon 3
  • the single-lumen structure is composed of a proximal outer tube 1 and a connecting piece, and the connecting piece is a connection with a luer connector
  • the luer connector is used to connect the proximal end of the proximal outer tube 1 with the inflator used by the operator to deliver contrast fluid.
  • the distal end of the proximal and outer tube 1 is connected with the proximal end of the above-mentioned distal and outer tube 200, the proximal end of the proximal and outer tube 1 is connected with the connecting piece, and the proximal end of the proximal and outer tube 1 is connected with the connecting piece.
  • the method includes but is not limited to any one of heat shrinking or glue bonding or welding.
  • the connection between the distal end of the proximal outer tube 1 and the proximal end of the distal outer tube 200 may be connected by welding, riveting, or bonding.
  • a marker band 104 is also provided on the proximal outer tube 1 , and the marker band 104 is used to indicate the length of the present invention entering the human body for the operator, which is convenient for the operator to further operate.
  • the present invention further provides a stent system, the stent system includes a stent and the balloon catheter, and the stent is loaded on the balloon 3 of the balloon catheter. external.
  • the specific structure of the balloon catheter has been described above, and will not be repeated here.
  • proximal outer tube 1 The specific structure of the proximal outer tube 1 will be described below by way of embodiments.
  • the proximal and outer tube 1 is divided into at least two sections in the axial direction, and in the first embodiment, there are two sections.
  • the distal end of the proximal and outer tube 1 is a transmission wire 101 .
  • the inner wall or outer wall of the proximal end of the distal outer tube 200 is welded (for example, by laser welding), the proximal end of the proximal outer tube 1 is a single-lumen tube 103, the distal end of the single-lumen tube 103 is a hypotube 102, and the The hypotube 102 at the distal end of the single-lumen tube 103 is connected to the transmission wire 101.
  • the hypotube 102 is used as the metal tube body at the proximal end of the balloon catheter and will enter the human body during the interventional operation.
  • the hypotube 102 can meet the requirements of mechanical transmission and bending performance during the interventional operation at the same time, and further improve the overall pushing performance of the present invention.
  • the transmission wire 101 and the inner wall or outer wall of the proximal end of the distal outer tube 200 can also be connected by means of riveting, bonding, etc., as long as the transmission wire 101 and the The proximal end of the distal outer tube 200 may be connected, which is not limited in the present invention.
  • the inner diameter of the single-lumen tube 103 in the proximal outer tube 1 is 0.0160-0.0220 inch.
  • the inner diameter of the single-lumen tube 103 is preferably 0.0160-0.0200 inch.
  • the outer diameter of the single lumen tube 103 in the proximal outer tube 1 is 0.0230-0.0300 inch.
  • the outer diameter of the single lumen tube 103 is preferably 0.0230-0.0260 inch.
  • the material of the single-lumen tube 103 and/or the delivery wire 101 in 1 is a metal or a combination of multiple metals, preferably, the material of the single-lumen tube 103 and/or the delivery wire 101 in the proximal outer tube 1 is stainless steel, Specifically, for example, it can be a combination of one or more of nickel, titanium, and tungsten. Among them, the combination of multiple metals includes mixing, joining, fitting, and the like.
  • the distal end of the single-lumen tube 103 includes a hypotube 102 , the hypotube 102 is connected with the single-lumen tube 103 , and is on the outer surface of the single-lumen tube 103 At least one layer of polymer is provided to reduce the coefficient of friction of the outer surface of the single lumen tube 103 to improve biocompatibility.
  • the polymer includes one or a combination of polyamide, polyester, polytetrafluoroethylene, polyvinylidene fluoride, polyamide polyether block copolymer, polyethylene, polyimide.
  • the single-lumen tube 103 is made of 304L stainless steel, the length of the hypotube 102 is 120mm-135mm, the polymer is PTFE (polytetrafluoroethylene), and the starting point of the polymer is away from the hypotube 102
  • the distal end of the polymer is 20mm away from the proximal end of the single-lumen tube 103 for easier connection of the hypotube 102 and the single-lumen tube 103 and to improve its bonding strength, and the end point of the polymer is 85mm away from the proximal end of the single-lumen tube 103 to improve the
  • the connection strength between the single lumen tube 103 and the distal outer tube 200 is described.
  • the distal nozzle of the hypotube 102 is a sloped opening, and the sloped opening can improve the anti-buckling performance of the distal nozzle of the hypotube 102 .
  • the slope port makes the distal end face of the hypotube 102 be a slope, and the slope and the axis of the hypotube form an angle greater than 0° and less than 90°.
  • the tube wall of the hypotube 102 has at least one threaded slot, and the threaded slot penetrates the tube wall of the hypotube 102 .
  • the threads are formed by laser cutting, and when there are more than one thread slits, the widths of the thread slits are the same or different.
  • the distal mouth of the hypotube 102 may also be a straight mouth, and the straight mouth makes the distal end face of the hypotube 102 perpendicular to the hypotube axis.
  • the width of the thread slits is the same, the spacing between adjacent thread slits is different, and the spacing between adjacent thread slits is from the distal end to the proximal end Gradually increase from 1.0mm to 4.52mm.
  • the diameter of the transmission wire 101 is constant, gradual or abrupt in the axial direction, and the diameter of the transmission wire 101 varies from 0.002 inch to 0.012 inch.
  • the length of the transmission wire 101 is any length between 70 mm and 100 mm.
  • the material of the transmission wire 101 is one metal or a combination of multiple metals, and the material of the transmission wire 101 is stainless steel, specifically, for example, one or a combination of nickel, titanium, and tungsten.
  • the diameter of the transmission wire 101 is gradual in the axial direction, and increases linearly from the distal end to the proximal end of the transmission wire 101.
  • the diameter of the transmission wire 101 varies from 0.002 inch to 0.010 inch, preferably Yes, the transmission wire 101 is made of 304 stainless steel, the length of the transmission wire 101 is 100mm, and the cross section is circular.
  • the diameter of the proximal end of the transmission wire 101 is smaller than the inner diameter of the hypotube 102 , and the transmission wire 101 is welded to the distal end of the hypotube 102 by laser.
  • the transmission wire 101 and the single-lumen tube 103 may also be connected to form an integrated structure, and the hypotube 102 at the distal end of the single-lumen tube 103 may also be connected to the single-lumen tube 103.
  • the single-lumen tube 103 is integrally formed, it only needs to satisfy that the delivery wire 101 can be connected with the single-lumen tube 103 , and the hypotube 102 can be formed with the distal end of the single-lumen tube 103 and connected with the delivery wire 101 .
  • Embodiment 2 is a diagrammatic representation of Embodiment 1:
  • the proximal and outer tube 1 is divided into at least two sections along the axial direction, and in the second embodiment, there are two sections.
  • the distal end of the proximal and outer tube 1 is the transmission wire 101
  • the proximal end of the proximal outer tube 1 is It is a single-lumen tube 103
  • the distal end of the single-lumen tube 103 is a hypotube 102
  • the transmission wire 101 is connected to the hypotube 102 at the distal end of the single-lumen tube 103 .
  • the inner diameter of the single-lumen tube 103 in the proximal outer tube 1 is 0.0160 inch-0.0220 inch, and in the second embodiment of the present invention, the inner diameter of the single-lumen tube 103 is preferably 0.0160 inch-0.0210 inch.
  • the outer diameter of the single-lumen tube 103 in 1 is 0.0230-0.0300 inch, and the outer diameter of the single-lumen tube 103 in the first embodiment of the present invention is preferably 0.0230-0.0270 inch.
  • the material of the proximal outer tube 1 is one metal or a combination of multiple metals, and the material of the proximal outer tube 1 is stainless steel, specifically, for example, one or a combination of nickel, titanium, and tungsten.
  • the structures of the single-lumen tube 103 and the hypotube 102 in the second embodiment are the same as those in the first embodiment, and the difference is the structure of the transmission wire 101, specifically:
  • the diameter of the transmission wire 101 in the axial direction is gradually changing, and it has a first filament 1011 with a constant diameter and a second filament 1012 with a variable diameter, wherein in the third embodiment, the distal end of the transmission wire 101
  • the diameter of the first filament 1011 is 0.003 inch and the length is 30 mm.
  • the proximal part of the transmission wire 101 ie the diameter of the second filament 1012 is gradually changed from the distal end of the second filament 1012.
  • the end to the proximal end increases linearly, and the diameter of the second filament 1012 varies from 0.003 inch to 0.010 inch.
  • the transmission wire 101 is made of 304 stainless steel, the length of the transmission wire 101 is 130 mm, and the cross section is circular .
  • the diameter of the proximal end of the transmission wire 101 is smaller than the inner diameter of the hypotube 102, and the transmission wire 101 is welded to the distal end of the hypotube 102 by laser.
  • the proximal and outer tube 1 is divided into at least two sections in the axial direction, and in the third embodiment, there are two sections.
  • the distal end of the proximal and outer tube 1 is the transmission wire 101
  • the proximal end of the proximal outer tube 1 is It is a single-lumen tube 103
  • the distal end of the single-lumen tube 103 is a hypotube 102
  • the transmission wire 101 is connected to the hypotube 102 at the distal end of the single-lumen tube 103 .
  • the structure of the single-lumen tube 103 in the third embodiment is the same as that of the second embodiment, and the structure of the hypotube 102 is different from that of the hypotube 102 in the second embodiment, and the details are as follows:
  • the width of the thread slits is the same, the spacing between adjacent thread slits is different, and the spacing between adjacent thread slits is from the distal end to the proximal end Gradually increase from 1.10mm to 4.52mm.
  • the structure of the transmission wire 101 is different from that of the transmission wire 101 in the second embodiment as follows:
  • the diameter of the transmission wire 101 in the axial direction is gradual, and increases linearly from the distal end to the proximal end of the transmission wire 101.
  • the diameter of the transmission wire 101 varies from 0.003 inch to 0.010 inch.
  • the material of the transmission wire 101 is: 304 stainless steel, the length is 100mm, and the cross-section is crescent-shaped. In other embodiments of the present invention, the cross-section may also be circular or rectangular.
  • the diameter of the proximal end of the transmission wire 101 is smaller than the inner diameter of the hypotube 102 , and the transmission wire 101 is welded to the distal end of the hypotube 102 by laser.
  • Embodiment 4 is a diagrammatic representation of Embodiment 4:
  • the proximal and outer tube 1 is divided into at least two sections in the axial direction, and in the fourth embodiment, there are two sections.
  • the distal end of the proximal and outer tube 1 is the transmission wire 101
  • the proximal end of the proximal outer tube 1 It is a single-lumen tube 103
  • the distal end of the single-lumen tube 103 is a hypotube 102
  • the transmission wire 101 is connected to the hypotube 102 at the distal end of the single-lumen tube 103 .
  • the structures of the single-lumen tube 103 and the hypotube 102 in the fourth embodiment are the same as those in the first embodiment, and the difference is the structure of the transmission wire 101, specifically:
  • the diameter of the transmission wire 101 is gradual in the axial direction, and increases linearly from the distal end to the proximal end of the transmission wire 101.
  • the diameter of the transmission wire 101 varies in the range of 0.002 inch to 0.008 inch.
  • Nickel-titanium alloy, the length of the transmission wire 101 is 100 mm, and the cross-section is circular.
  • the proximal outer tube 1 can be used as the middle tube section of the entire balloon catheter, so that the proximal end of the balloon catheter can be connected to the connector through other catheter structures.

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Abstract

A proximal outer tube (1), a balloon catheter, and a stent system. The proximal outer tube (1) is at least divided into two sections along the axial direction; the distal end of the proximal outer tube (1) is a delivery wire (101); the proximal end of the proximal outer tube (1) is a single-lumen tube (103); and the delivery wire (101) is connected to the single-lumen tube (103). The balloon catheter comprises a single-lumen structure provided at the proximal end of the balloon catheter and a double-lumen structure provided at the distal end of the balloon catheter, wherein the single-lumen structure is connected to the double-lumen structure, and a balloon (3) is provided at the distal end of the double-lumen structure. The stent system comprises a stent and a balloon catheter, wherein the stent is loaded outside the balloon catheter. Since the proximal outer tube (1) is at least divided into two sections along the axial direction, the proximal outer tube (1) has different physical properties in the axial direction to improve the tracking performance and the pushing performance of the proximal outer tube (1), thus facilitating better control and pushing of the balloon catheter by a doctor during a surgery, so that the balloon catheter can reach a narrow bending diseased area along a guide wire.

Description

近外管、球囊导管及支架系统Proximal Tubes, Balloon Catheters and Stent Systems 技术领域technical field
本发明涉及医疗器械技术领域,尤其涉及近外管、球囊导管及支架系统。The invention relates to the technical field of medical devices, in particular to a proximal and outer tube, a balloon catheter and a stent system.
背景技术Background technique
当今社会冠心病(Coronary heart disease,CHD)已成为一个主要的健康问题,经皮冠状动脉介入治疗(Percutaneous coronary intervention,PCI)是一种非常常见的冠状动脉疾病血运重建术,因其创伤小、成功率高,现已成为冠心病治疗的重要手段。Coronary heart disease (CHD) has become a major health problem in today's society, and percutaneous coronary intervention (PCI) is a very common coronary revascularization procedure because of its minimal trauma. , High success rate, has become an important means of coronary heart disease treatment.
冠状动脉支架植入术是PCI术中最广泛使用的技术之一,可显著减少PTCA(经皮腔内冠状动脉成形术)后的再狭窄,可以处理夹层和急性血管闭塞,成为冠脉介入治疗的又一个里程碑。同时人们发病血管也越来越细,病变也越来越复杂,这就对临床医生水平和器械都提出了越来越高的要求。对于血管支架能到达并治疗的病变,需要血管支架在输送器的输送下沿导丝到达病变位置,所以对支架输送器的推送性能有很高的要求。Coronary stenting is one of the most widely used techniques in PCI, which can significantly reduce restenosis after PTCA (percutaneous transluminal coronary angioplasty), can deal with dissection and acute vascular occlusion, and become a coronary intervention therapy. another milestone. At the same time, people's blood vessels are getting thinner and thinner, and the lesions are becoming more and more complex, which puts forward higher and higher requirements for clinicians and equipment. For lesions that can be reached and treated by a vascular stent, the vascular stent needs to reach the lesion location along the guide wire under the delivery of the conveyor, so there is a high requirement for the pushing performance of the stent conveyor.
通常,支架输送器采用球囊导管设计,要求近端需有较高的强度以提供和传递足够的推送力,远端则需要有足够的柔顺性以顺应血管的狭窄迂曲形态,到达病变部位的血管。因此,现有技术的支架输送器中,近端管段部分(通常称为“近外管”)多采用普通的不锈钢单腔管设计,而输送器远端部件中的外管、内管和球囊则多采用高分子管材。但是,这样会导致在近外管和远端部件的连接处,存在材料和结构的突变,进而影响医生使用过程。使用者对近外管产生的推力,无法有效的传递到输送器的远端和支架部分,从而降低了推送性能。同时随着病发血管越来越复杂,对输送器的通过跟踪性也提出了更高的要求。Usually, the stent delivery device is designed with a balloon catheter, which requires a high strength at the proximal end to provide and transmit sufficient pushing force, and sufficient flexibility at the distal end to conform to the narrow and tortuous shape of the blood vessel. Blood vessel. Therefore, in the prior art stent delivery, the proximal tube section (commonly referred to as the "proximal outer tube") is mostly designed with an ordinary stainless steel single-lumen tube, while the outer tube, inner tube and bulb in the distal part of the delivery device The bag is mostly made of polymer tubing. However, this will lead to abrupt changes in material and structure at the junction of the proximal and outer tubes and the distal component, which will affect the doctor's use process. The pushing force generated by the user on the proximal and outer tubes cannot be effectively transmitted to the distal end of the conveyor and the stent portion, thereby reducing the pushing performance. At the same time, as the diseased blood vessels become more and more complex, higher requirements are also placed on the tracking of the conveyor.
发明内容SUMMARY OF THE INVENTION
针对上述现有技术的缺点,本发明的目的是提供近外管、球囊导管及支架系统。相对于现有技术来说,本发明可以提升冠脉支架系统的推送性能,同时不降低跟踪性,提升产品性能以治愈迂曲狭小病变。In view of the above disadvantages of the prior art, the purpose of the present invention is to provide a proximal outer tube, a balloon catheter and a stent system. Compared with the prior art, the present invention can improve the pushing performance of the coronary stent system without reducing the traceability, and improve the product performance to cure the tortuous and narrow lesions.
为实现上述目的,本发明的技术方案如下:For achieving the above object, technical scheme of the present invention is as follows:
近外管,所述近外管沿轴向至少分为两段,所述近外管的远端为传送丝,所述近外管的近端为单腔管,所述传送丝与所述单腔管相连接。The proximal and outer tube is divided into at least two sections along the axial direction, the distal end of the proximal and outer tube is a transmission wire, and the proximal end of the proximal and outer tube is a single-lumen tube, and the transmission wire and the Single lumen tubes are connected.
进一步的,所述单腔管和/或所述传送丝的材料为一种金属或多种金属的组合,所述单腔管与所述传送丝的材料相同或不同。Further, the material of the single-lumen tube and/or the delivery wire is one metal or a combination of multiple metals, and the single-lumen tube and the delivery wire are made of the same or different materials.
进一步的,所述单腔管和/或所述传送丝的材料为不锈钢。Further, the material of the single lumen tube and/or the transmission wire is stainless steel.
进一步的,所述单腔管的材料为304L不锈钢,所述传送丝的材料为304不锈钢。Further, the material of the single-lumen tube is 304L stainless steel, and the material of the transmission wire is 304 stainless steel.
进一步的,所述单腔管的外表面具有至少一层聚合物,以降低所述单腔管的外表面的摩擦系数。Further, the outer surface of the single-lumen tube has at least one layer of polymer to reduce the friction coefficient of the outer surface of the single-lumen tube.
进一步的,所述聚合物包括聚酰胺、聚酯、聚四氟乙烯、聚偏氟乙烯、聚酰胺聚醚嵌段共聚物、聚乙烯、聚酰亚胺中的一种或多种的组合。Further, the polymer includes one or a combination of polyamide, polyester, polytetrafluoroethylene, polyvinylidene fluoride, polyamide polyether block copolymer, polyethylene, and polyimide.
进一步的,所述单腔管的远端包括海波管。Further, the distal end of the single-lumen tube includes a hypotube.
进一步的,所述海波管的管壁具有至少一条螺纹缝隙,所述螺纹缝隙沿其径向贯穿所述海波管的管壁。Further, the tube wall of the hypotube has at least one threaded slot, and the threaded slot penetrates the tube wall of the hypotube along its radial direction.
进一步的,所述螺纹缝隙为两条以上时,各条所述螺纹缝隙的宽度相同或不同,相邻所述螺纹缝隙之间的间距相同或不同。Further, when there are more than two thread slits, the widths of each thread slit are the same or different, and the distances between adjacent thread slits are the same or different.
进一步的,当所述间距不同时,相邻所述螺纹缝隙之间的间距为0.5mm~5mm。Further, when the distances are different, the distance between the adjacent thread slits is 0.5mm˜5mm.
进一步的,所述海波管的远端管口为平直口或斜坡口中的任意一种。Further, the distal mouth of the hypotube is any one of a straight mouth or a slope mouth.
进一步的,所述传送丝与所述单腔管一体成型。Further, the transmission wire is integrally formed with the single-lumen tube.
进一步的,所述传送丝的直径沿轴向为不变的或渐变的或突变的,所述传送丝直径的范围为0.002inch~0.012inch。Further, the diameter of the transmission wire is constant or gradual or abrupt along the axial direction, and the diameter of the transmission wire ranges from 0.002 inch to 0.012 inch.
进一步的,所述传送丝的长度的范围为25mm~200mm。Further, the length of the transmission wire ranges from 25 mm to 200 mm.
进一步的,所述单腔管的管腔内径为0.0160inch~0.0220inch,所述单腔 管的管腔外径为0.0230inch~0.0300inch。Further, the inner diameter of the lumen of the single-lumen tube is 0.0160 inch to 0.0220 inch, and the outer diameter of the lumen of the single lumen tube is 0.0230 inch to 0.0300 inch.
一种球囊导管,包括设置于球囊导管近端的单腔结构和设置于球囊导管远端的双腔结构,所述单腔结构与所述双腔结构连接,在所述双腔结构的远端设置球囊;A balloon catheter, comprising a single-lumen structure disposed at the proximal end of the balloon catheter and a double-lumen structure disposed at the distal end of the balloon catheter, the single-lumen structure is connected with the double-lumen structure, and the double-lumen structure is located in the double-lumen structure. The distal end of the balloon is set;
进一步的,所述单腔结构包括如权利要求1~14所述的近外管和连接件;Further, the single-lumen structure comprises the proximal and outer tube and the connecting piece according to claims 1-14;
进一步的,所述双腔结构包括远外管和内管,所述内管与所述远外管同轴并设置于所述远外管的内部。Further, the double-lumen structure includes a distal outer tube and an inner tube, and the inner tube is coaxial with the distal outer tube and is disposed inside the distal outer tube.
进一步的,在所述内管的外表面设置至少一个显影点。Further, at least one developing point is arranged on the outer surface of the inner tube.
一种支架系统,包括支架和如权利要求15或16所述的球囊导管,所述支架装载于所述球囊导管的所述球囊的外部。A stent system comprising a stent and a balloon catheter as claimed in claim 15 or 16, the stent being loaded on the outside of the balloon of the balloon catheter.
与现有技术相比,本发明的有益技术效果如下:Compared with the prior art, the beneficial technical effects of the present invention are as follows:
(一)本发明近外管沿轴向至少分为两段,使近外管在轴向上具有不同的物理性能,提升近外管的跟踪性和推送性,便于医生在手术过程中更好的控制和推送球囊导管,使球囊导管可沿导引导丝到达狭窄迂曲病变。(1) The proximal and outer tubes of the present invention are at least divided into two sections along the axial direction, so that the proximal and outer tubes have different physical properties in the axial direction, and the tracking and pushing properties of the proximal and outer tubes are improved, which is convenient for doctors to better perform operations during the operation. Control and push the balloon catheter, so that the balloon catheter can reach the narrow and tortuous lesions along the guide wire.
(二)进一步的,近外管的远端设置传送丝,其能够为球囊导管远端及支架提供必要的力学支撑,但同时不会影响球囊导管远端的柔顺性和近外管整体的追踪性;近外管的近端为单腔管,可以保证推送力稳定地传送至球囊导管的远端;两者最大程度的提高推送效率。(2) Further, the distal end of the proximal and outer tubes is provided with a transmission wire, which can provide necessary mechanical support for the distal end of the balloon catheter and the stent, but at the same time will not affect the flexibility of the distal end of the balloon catheter and the overall proximal and outer tubes. The proximal end of the proximal and outer tube is a single-lumen tube, which can ensure that the pushing force is stably transmitted to the distal end of the balloon catheter; both maximize the pushing efficiency.
(三)进一步的,传送丝和单腔管选择合适强度和刚度的材料,使近外管兼具优越的跟踪性和推送性,可以保证推送力稳定地传送至球囊导管的远端,并可将支架输送到达狭窄迂曲病变。(3) Further, materials with appropriate strength and stiffness are selected for the transmission wire and the single-lumen tube, so that the proximal and outer tubes have both superior tracking and pushing properties, which can ensure that the pushing force is stably transmitted to the distal end of the balloon catheter, and The stent can be delivered to narrow tortuous lesions.
(四)进一步的,单腔管的远端为海波管,其在不影响推送效率的情况下可以实现良好的弯曲性能,以提高支架输送器通过迂曲病变的能力。(4) Further, the distal end of the single-lumen tube is a hypotube, which can achieve good bending performance without affecting the pushing efficiency, so as to improve the ability of the stent delivery device to pass through tortuous lesions.
附图说明Description of drawings
图1示出了本发明近外管、球囊导管及支架系统中球囊导管的结构示意图。FIG. 1 shows a schematic structural diagram of the balloon catheter in the proximal and outer tube, balloon catheter and stent system of the present invention.
图2示出了本发明实施例一近外管、球囊导管及支架系统中近外管的结构示意图。FIG. 2 shows a schematic structural diagram of a proximal and outer tube in a proximal and outer tube, a balloon catheter and a stent system according to an embodiment of the present invention.
图3示出了本发明实施例二近外管、球囊导管及支架系统中近外管的结构示意图。Fig. 3 shows a schematic structural diagram of the proximal and outer tubes in the proximal and outer tubes, the balloon catheter and the stent system according to the second embodiment of the present invention.
图4示出了本发明实施例三近外管、球囊导管及支架系统中近外管的结构示意图。FIG. 4 shows a schematic structural diagram of the proximal and outer tubes in the proximal and outer tubes, the balloon catheter and the stent system according to the third embodiment of the present invention.
图5示出了本发明实施例四近外管、球囊导管及支架系统中近外管的结构示意图。Fig. 5 shows a schematic structural diagram of the proximal and outer tubes in the proximal and outer tubes, the balloon catheter and the stent system according to the fourth embodiment of the present invention.
附图中标记:Marked in the attached drawing:
1、近外管;101、传送丝;1011、第一细丝;1012、第二细丝;102、海波管;103、单腔管;104、标记带;200、远外管;201、内管;202、显影点;3、球囊。1, proximal outer tube; 101, transmission wire; 1011, first filament; 1012, second filament; 102, hypotube; 103, single lumen tube; 104, marker tape; 200, distal outer tube; 201, Inner tube; 202, developing point; 3, balloon.
具体实施方式Detailed ways
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图和具体实施方式对本发明提出的近外管、球囊导管及支架系统作进一步详细说明。根据下面说明,本发明的优点和特征将更清楚。需要说明的是,附图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方式的目的。为了使本发明的目的、特征和优点能够更加明显易懂,请参阅附图。须知,本说明书所附图式所绘示的结构、比例、大小等,均仅用以配合说明书所揭示的内容,以供熟悉此技术的人士了解与阅读,并非用以限定本发明实施的限定条件,故不具技术上的实质意义,任何结构的修饰、比例关系的改变或大小的调整,在不影响本发明所能产生的功效及所能达成的目的下,均应仍落在本发明所揭示的技术内容能涵盖的范围内。In order to make the objectives, technical solutions and advantages of the present invention clearer, the proximal and outer tubes, balloon catheters and stent systems proposed by the present invention will be described in further detail below with reference to the accompanying drawings and specific embodiments. The advantages and features of the present invention will become more apparent from the following description. It should be noted that the accompanying drawings are in a very simplified form and all use inaccurate scales, and are only used to facilitate and clearly assist the purpose of explaining the embodiments of the present invention. For the purpose, features and advantages of the present invention to be more clearly understood, please refer to the accompanying drawings. It should be noted that the structures, proportions, sizes, etc. shown in the drawings in this specification are only used to cooperate with the contents disclosed in the specification, so as to be understood and read by those who are familiar with the technology, and are not used to limit the implementation of the present invention. Therefore, it does not have technical substantive significance, and any modification of structure, change of proportional relationship or adjustment of size should still fall within the scope of the present invention without affecting the effect that the present invention can produce and the purpose that can be achieved. The scope of the disclosed technical content can be covered.
为了更加清楚地描述上述近外管、球囊导管及支架系统,本发明限定术语“远端”和“近端”,上述术语为医疗器械领域的专用术语,具体而言,“远端”表示手术过程中远离操作者的一端,“近端”表示手术过程中靠近操作者的一端,以图2为例,图2中近外管的右侧为近端,图2中近外管的左侧为远端。In order to describe the above-mentioned proximal and outer tubes, balloon catheters and stent systems more clearly, the present invention defines the terms "distal end" and "proximal end", which are special terms in the field of medical devices. Specifically, "distal end" means The end away from the operator during the operation, "proximal end" means the end close to the operator during the operation, take Figure 2 as an example, the right side of the proximal and outer tubes in Figure 2 is the proximal end, and the left side of the proximal and outer tubes in Figure 2 The side is the distal end.
一种支架系统,包括支架及球囊导管,所述支架装在于球囊导管的外部。A stent system includes a stent and a balloon catheter, wherein the stent is installed outside the balloon catheter.
下面描述所述球囊导管的具体结构如下:The following describes the specific structure of the balloon catheter as follows:
请参考图1,图1示出了球囊导管的结构示意图,其中所述球囊导管包括单腔结构和双腔结构,所述单腔结构位于所述球囊导管的近端,所述双腔结构位于球囊导管的远端,所述单腔结构与双腔结构连接,于所述球囊导管的远端设置球囊3,所述球囊采用高分子材料制成,用于作为支架和病变血管的扩张。Please refer to FIG. 1, which shows a schematic structural diagram of a balloon catheter, wherein the balloon catheter includes a single-lumen structure and a double-lumen structure, the single-lumen structure is located at the proximal end of the balloon catheter, and the double-lumen structure is located at the proximal end of the balloon catheter. The cavity structure is located at the distal end of the balloon catheter, the single cavity structure is connected with the double cavity structure, a balloon 3 is arranged at the distal end of the balloon catheter, and the balloon is made of polymer material and is used as a stent and dilation of diseased blood vessels.
请继续参考图1,所述双腔结构包括远外管200和内管201,所述内管201与所述远外管200同轴并设置于所述远外管200的内部,在所述内管201的外表面设置至少一个显影点202,便于医生在介入手术的过程中在X光下观察球囊或球囊工作段的具体位置。所述双腔结构中的外管200和/或内管201可采用常规的材料,通常为高分子聚合物,例如尼龙、聚四氟乙烯等,此处不再赘述。Please continue to refer to FIG. 1 , the dual-chamber structure includes a distal outer tube 200 and an inner tube 201 . The inner tube 201 is coaxial with the distal outer tube 200 and is disposed inside the distal outer tube 200 . At least one developing point 202 is provided on the outer surface of the inner tube 201, so that the doctor can observe the specific position of the balloon or the working segment of the balloon under X-rays during the interventional operation. The outer tube 200 and/or the inner tube 201 in the dual-chamber structure can be made of conventional materials, usually high molecular polymers, such as nylon, polytetrafluoroethylene, etc., which will not be repeated here.
请继续参考图1,所述单腔结构作为通液腔可以输送造影液以扩张球囊3,单腔结构由近外管1和连接件构成,所述连接件为带有鲁尔接头的连接件,所述鲁尔接头用于将所述近外管1的近端与术者使用的充盈器相连,以输送造影液。所述近外管1的远端与上述远外管200的近端连接,所述近外管1的近端与所述连接件连接,近外管1的近端与所述连接件的连接方式包括但不限于热收缩或胶水粘接或焊接中的任意一种。在本发明的一些实施例中,所述近外管1的远端和所述远外管200的近端之间的连接方式可以采用焊接、铆接或粘接等方式进行连接。Please continue to refer to FIG. 1 , the single-lumen structure can be used as a fluid-passing chamber to deliver contrast fluid to expand the balloon 3 , and the single-lumen structure is composed of a proximal outer tube 1 and a connecting piece, and the connecting piece is a connection with a luer connector The luer connector is used to connect the proximal end of the proximal outer tube 1 with the inflator used by the operator to deliver contrast fluid. The distal end of the proximal and outer tube 1 is connected with the proximal end of the above-mentioned distal and outer tube 200, the proximal end of the proximal and outer tube 1 is connected with the connecting piece, and the proximal end of the proximal and outer tube 1 is connected with the connecting piece. The method includes but is not limited to any one of heat shrinking or glue bonding or welding. In some embodiments of the present invention, the connection between the distal end of the proximal outer tube 1 and the proximal end of the distal outer tube 200 may be connected by welding, riveting, or bonding.
进一步的,请继续参考图1,在所述近外管1上还设置标记带104,所述标记带104用于为术者提示本发明进入人体的长度,便于术者的进一步操作。Further, please continue to refer to FIG. 1 , a marker band 104 is also provided on the proximal outer tube 1 , and the marker band 104 is used to indicate the length of the present invention entering the human body for the operator, which is convenient for the operator to further operate.
相应的,在本发明的实施例中,本发明还提供一种支架系统,所述支架系统包括支架和所述球囊导管,所述支架装载于所述球囊导管的所述球囊3的外 部。其中所述球囊导管的具体结构已在前文描述,在此不做赘述。Correspondingly, in an embodiment of the present invention, the present invention further provides a stent system, the stent system includes a stent and the balloon catheter, and the stent is loaded on the balloon 3 of the balloon catheter. external. The specific structure of the balloon catheter has been described above, and will not be repeated here.
下面通过实施例来描述近外管1的具体结构。The specific structure of the proximal outer tube 1 will be described below by way of embodiments.
实施例一:Example 1:
请参考图2,所述近外管1沿轴向至少分为两段,本实施例一中为两段,所述近外管1的远端为传送丝101,所述传送丝101与所述远外管200的近端的内壁或外壁焊接(例如采用激光焊接),近外管1的近端为单腔管103,所述单腔管103的远端为海波管102,所述单腔管103远端的海波管102与所述传送丝101连接,所述海波管102作为球囊导管中近端的金属管体在介入手术过程中会进入人体,采用具有生物相容性的医用金属材料,所述海波管102可以同时满足介入手术过程中对于力学传递与弯曲性能的要求,进一步提升本发明整体的推送性能。Referring to FIG. 2 , the proximal and outer tube 1 is divided into at least two sections in the axial direction, and in the first embodiment, there are two sections. The distal end of the proximal and outer tube 1 is a transmission wire 101 . The inner wall or outer wall of the proximal end of the distal outer tube 200 is welded (for example, by laser welding), the proximal end of the proximal outer tube 1 is a single-lumen tube 103, the distal end of the single-lumen tube 103 is a hypotube 102, and the The hypotube 102 at the distal end of the single-lumen tube 103 is connected to the transmission wire 101. The hypotube 102 is used as the metal tube body at the proximal end of the balloon catheter and will enter the human body during the interventional operation. The hypotube 102 can meet the requirements of mechanical transmission and bending performance during the interventional operation at the same time, and further improve the overall pushing performance of the present invention.
当然,在本发明的其他实施例中,所述传送丝101与所述远外管200近端的内壁或外壁也可以采用铆接、粘接等方式连接,其只要满足将所述传送丝101与所述远外管200的近端连接即可,本发明不做限制。Of course, in other embodiments of the present invention, the transmission wire 101 and the inner wall or outer wall of the proximal end of the distal outer tube 200 can also be connected by means of riveting, bonding, etc., as long as the transmission wire 101 and the The proximal end of the distal outer tube 200 may be connected, which is not limited in the present invention.
请参考图2,所述近外管1中单腔管103的管腔内径为0.0160~0.0220inch,在本发明实施例一中所述单腔管103的管腔内径优选为0.0160~0.0200inch,近外管1中单腔管103的管腔外径为0.0230~0.0300inch,在本发明实施例一中所述单腔管103的管腔外径优选为0.0230~0.0260inch,所述近外管1中单腔管103和/或传送丝101的材料为一种金属或多种金属的组合,优选的,所述近外管1中单腔管103和/或传送丝101的材料为不锈钢,具体地例如可以为镍、钛、钨中的一种或多种的组合。其中,多种金属的组合方式包括混合、接合、嵌合等。Referring to FIG. 2 , the inner diameter of the single-lumen tube 103 in the proximal outer tube 1 is 0.0160-0.0220 inch. In the first embodiment of the present invention, the inner diameter of the single-lumen tube 103 is preferably 0.0160-0.0200 inch. The outer diameter of the single lumen tube 103 in the proximal outer tube 1 is 0.0230-0.0300 inch. In the first embodiment of the present invention, the outer diameter of the single lumen tube 103 is preferably 0.0230-0.0260 inch. The material of the single-lumen tube 103 and/or the delivery wire 101 in 1 is a metal or a combination of multiple metals, preferably, the material of the single-lumen tube 103 and/or the delivery wire 101 in the proximal outer tube 1 is stainless steel, Specifically, for example, it can be a combination of one or more of nickel, titanium, and tungsten. Among them, the combination of multiple metals includes mixing, joining, fitting, and the like.
下面描述本实施例中单腔管103的结构:The structure of the single-lumen tube 103 in this embodiment is described below:
请继续参考图2,进一步的,所述单腔管103的远端包括海波管102,所述海波管102与所述单腔管103相连接,在所述单腔管103的外表面具有至少一 层聚合物,以降低单腔管103的外表面的摩擦系数,改善生物相容性。聚合物包括聚酰胺、聚酯、聚四氟乙烯、聚偏氟乙烯、聚酰胺聚醚嵌段共聚物、聚乙烯、聚酰亚胺中的一种或多种的组合。优选的,所述单腔管103采用304L不锈钢,所述海波管102的长度为120mm~135mm,所述聚合物为PTFE(聚四氟乙烯),所述聚合物的起点距离海波管102的远端20mm,以用于更容易地将所述海波管102与单腔管103连接且提高其结合强度,所述聚合物的终点距离所述单腔管103近端85mm,以提高所述单腔管103与远外管200间的连接强度。Please continue to refer to FIG. 2 , further, the distal end of the single-lumen tube 103 includes a hypotube 102 , the hypotube 102 is connected with the single-lumen tube 103 , and is on the outer surface of the single-lumen tube 103 At least one layer of polymer is provided to reduce the coefficient of friction of the outer surface of the single lumen tube 103 to improve biocompatibility. The polymer includes one or a combination of polyamide, polyester, polytetrafluoroethylene, polyvinylidene fluoride, polyamide polyether block copolymer, polyethylene, polyimide. Preferably, the single-lumen tube 103 is made of 304L stainless steel, the length of the hypotube 102 is 120mm-135mm, the polymer is PTFE (polytetrafluoroethylene), and the starting point of the polymer is away from the hypotube 102 The distal end of the polymer is 20mm away from the proximal end of the single-lumen tube 103 for easier connection of the hypotube 102 and the single-lumen tube 103 and to improve its bonding strength, and the end point of the polymer is 85mm away from the proximal end of the single-lumen tube 103 to improve the The connection strength between the single lumen tube 103 and the distal outer tube 200 is described.
进一步的,所述海波管102的远端管口为斜坡口,所述斜坡口可以提升海波管102远端管口的抗打折性能。所述斜坡口使得所述海波管102的远端端面为斜面,该斜面与海波管的轴线之间形成大于0°且小于90°的角度。海波管102的管壁具有至少一条螺纹缝隙,螺纹缝隙贯穿海波管102的管壁。所述螺纹由激光切割形成,所述螺纹缝隙为一条以上时,各条螺纹缝隙的宽度相同或不同。Further, the distal nozzle of the hypotube 102 is a sloped opening, and the sloped opening can improve the anti-buckling performance of the distal nozzle of the hypotube 102 . The slope port makes the distal end face of the hypotube 102 be a slope, and the slope and the axis of the hypotube form an angle greater than 0° and less than 90°. The tube wall of the hypotube 102 has at least one threaded slot, and the threaded slot penetrates the tube wall of the hypotube 102 . The threads are formed by laser cutting, and when there are more than one thread slits, the widths of the thread slits are the same or different.
相应的,在本发明的另一实施例中,所述海波管102的远端管口也可以为平直口,所述平直口使得所述海波管102的远端端面垂直于海波管的轴线。Correspondingly, in another embodiment of the present invention, the distal mouth of the hypotube 102 may also be a straight mouth, and the straight mouth makes the distal end face of the hypotube 102 perpendicular to the hypotube axis.
优选的,本实施例一提供的海波管102中螺纹缝隙为多条,螺纹缝隙的宽度相同,相邻螺纹缝隙之间的间距不同,相邻螺纹缝隙之间的间距自远端至近端从1.0mm逐渐增加至4.52mm。Preferably, in the hypotube 102 provided in the first embodiment, there are multiple thread slits, the width of the thread slits is the same, the spacing between adjacent thread slits is different, and the spacing between adjacent thread slits is from the distal end to the proximal end Gradually increase from 1.0mm to 4.52mm.
下面描述本实施例中传送丝101的具体结构:The specific structure of the transmission wire 101 in this embodiment is described below:
传送丝101的直径在轴向上是不变的、渐变的或突变的,传送丝101的直径变化范围为0.002inch~0.012inch。传送丝101的长度为70mm~100mm之间的任意长度。传送丝101的材料为一种金属或多种金属的组合,所述传送丝101的材料为不锈钢,具体地,例如可以为镍、钛、钨中的一种或多种的组合。The diameter of the transmission wire 101 is constant, gradual or abrupt in the axial direction, and the diameter of the transmission wire 101 varies from 0.002 inch to 0.012 inch. The length of the transmission wire 101 is any length between 70 mm and 100 mm. The material of the transmission wire 101 is one metal or a combination of multiple metals, and the material of the transmission wire 101 is stainless steel, specifically, for example, one or a combination of nickel, titanium, and tungsten.
优选的,本实施例一中传送丝101的直径在轴向上是渐变的,由传送丝101的远端至近端线性增大,传送丝101的直径变化范围为0.002inch~0.010inch,优选的,传送丝101采用304不锈钢,所述传送丝101的长度为100mm,截面为圆形。Preferably, in the first embodiment, the diameter of the transmission wire 101 is gradual in the axial direction, and increases linearly from the distal end to the proximal end of the transmission wire 101. The diameter of the transmission wire 101 varies from 0.002 inch to 0.010 inch, preferably Yes, the transmission wire 101 is made of 304 stainless steel, the length of the transmission wire 101 is 100mm, and the cross section is circular.
优选的,本实施例一中传送丝101的近端直径小于海波管102的内径,所述传送丝101通过激光与海波管102的远端口焊接。Preferably, in the first embodiment, the diameter of the proximal end of the transmission wire 101 is smaller than the inner diameter of the hypotube 102 , and the transmission wire 101 is welded to the distal end of the hypotube 102 by laser.
相应的,在本发明的其余实施例中,所述传送丝101与所述单腔管103也可以连接形成一体式结构,且所述单腔管103远端的海波管102也可与所述单腔管103一体成型,其只需要满足传送丝101可与单腔管103连接,且海波管102可成型与单腔管103的远端并与传送丝101连接即可。Correspondingly, in other embodiments of the present invention, the transmission wire 101 and the single-lumen tube 103 may also be connected to form an integrated structure, and the hypotube 102 at the distal end of the single-lumen tube 103 may also be connected to the single-lumen tube 103. The single-lumen tube 103 is integrally formed, it only needs to satisfy that the delivery wire 101 can be connected with the single-lumen tube 103 , and the hypotube 102 can be formed with the distal end of the single-lumen tube 103 and connected with the delivery wire 101 .
实施例二:Embodiment 2:
请参考图3,所述近外管1沿轴向至少分为两段,本实施例二中为两段,所述近外管1的远端为传送丝101,近外管1的近端为单腔管103,所述单腔管103的远端为海波管102,所述传送丝101与所述单腔管103远端的海波管102连接。Referring to FIG. 3 , the proximal and outer tube 1 is divided into at least two sections along the axial direction, and in the second embodiment, there are two sections. The distal end of the proximal and outer tube 1 is the transmission wire 101 , and the proximal end of the proximal outer tube 1 is It is a single-lumen tube 103 , the distal end of the single-lumen tube 103 is a hypotube 102 , and the transmission wire 101 is connected to the hypotube 102 at the distal end of the single-lumen tube 103 .
所述近外管1中单腔管103的管腔内径为0.0160inch~0.0220inch,在本发明实施例二中所述单腔管103的管腔内径优选为0.0160inch~0.0210inch,近外管1中单腔管103的管腔外径为0.0230~0.0300inch,在本发明实施例一中所述单腔管103的管腔外径优选为0.0230~0.0270inch。所述近外管1的材料为一种金属或多种金属的组合,所述近外管1的材料为不锈钢,具体地例如可以为镍、钛、钨中的一种或多种的组合。The inner diameter of the single-lumen tube 103 in the proximal outer tube 1 is 0.0160 inch-0.0220 inch, and in the second embodiment of the present invention, the inner diameter of the single-lumen tube 103 is preferably 0.0160 inch-0.0210 inch. The outer diameter of the single-lumen tube 103 in 1 is 0.0230-0.0300 inch, and the outer diameter of the single-lumen tube 103 in the first embodiment of the present invention is preferably 0.0230-0.0270 inch. The material of the proximal outer tube 1 is one metal or a combination of multiple metals, and the material of the proximal outer tube 1 is stainless steel, specifically, for example, one or a combination of nickel, titanium, and tungsten.
本实施例二中单腔管103、海波管102的结构均与实施例一相同,不同的是传送丝101的结构,具体是:The structures of the single-lumen tube 103 and the hypotube 102 in the second embodiment are the same as those in the first embodiment, and the difference is the structure of the transmission wire 101, specifically:
所述传送丝101在轴向的直径是渐变的,其具有不变径的第一细丝1011和变径的第二细丝1012,其中在本实施例三中所述传送丝101的远端部分即所述第一细丝1011的直径为0.003inch,长度为30mm,所述传送丝101的近端部分即所述第二细丝1012的直径渐变,由所述第二细丝1012的远端向近端线性增大,所述第二细丝1012的直径变化范围为0.003inch~0.010inch,优选的,传送丝101采用304不锈钢,所述传送丝101的长度为130mm,截面为圆形。The diameter of the transmission wire 101 in the axial direction is gradually changing, and it has a first filament 1011 with a constant diameter and a second filament 1012 with a variable diameter, wherein in the third embodiment, the distal end of the transmission wire 101 The diameter of the first filament 1011 is 0.003 inch and the length is 30 mm. The proximal part of the transmission wire 101 , ie the diameter of the second filament 1012 is gradually changed from the distal end of the second filament 1012. The end to the proximal end increases linearly, and the diameter of the second filament 1012 varies from 0.003 inch to 0.010 inch. Preferably, the transmission wire 101 is made of 304 stainless steel, the length of the transmission wire 101 is 130 mm, and the cross section is circular .
优选的,本实施例二中传送丝101的近端直径小于海波管102的内径,所 述传送丝101通过激光与海波管102的远端口焊接。Preferably, in the second embodiment, the diameter of the proximal end of the transmission wire 101 is smaller than the inner diameter of the hypotube 102, and the transmission wire 101 is welded to the distal end of the hypotube 102 by laser.
实施例三:Embodiment three:
请参考图3,所述近外管1沿轴向至少分为两段,本实施例三中为两段,所述近外管1的远端为传送丝101,近外管1的近端为单腔管103,所述单腔管103的远端为海波管102,所述传送丝101与所述单腔管103远端的海波管102连接。Referring to FIG. 3 , the proximal and outer tube 1 is divided into at least two sections in the axial direction, and in the third embodiment, there are two sections. The distal end of the proximal and outer tube 1 is the transmission wire 101 , and the proximal end of the proximal outer tube 1 is It is a single-lumen tube 103 , the distal end of the single-lumen tube 103 is a hypotube 102 , and the transmission wire 101 is connected to the hypotube 102 at the distal end of the single-lumen tube 103 .
本实施例三中单腔管103的结构均与实施例二相同,海波管102与实施例二中海波管102的结构不同,具体如下:The structure of the single-lumen tube 103 in the third embodiment is the same as that of the second embodiment, and the structure of the hypotube 102 is different from that of the hypotube 102 in the second embodiment, and the details are as follows:
优选的,本实施例三提供的海波管102中螺纹缝隙为多条,螺纹缝隙的宽度相同,相邻螺纹缝隙之间的间距不同,相邻螺纹缝隙之间的间距自远端至近端从1.10mm逐渐增加至4.52mm。Preferably, in the hypotube 102 provided in the third embodiment, there are multiple thread slits, the width of the thread slits is the same, the spacing between adjacent thread slits is different, and the spacing between adjacent thread slits is from the distal end to the proximal end Gradually increase from 1.10mm to 4.52mm.
传送丝101与实施例二中传送丝101的结构不同如下:The structure of the transmission wire 101 is different from that of the transmission wire 101 in the second embodiment as follows:
所述传送丝101在轴向的直径是渐变的,由传送丝101的远端至近端线性增大,传送丝101的直径变化范围为0.003inch~0.010inch,所述传送丝101的材料为304不锈钢,长度为100mm,截面为月牙形,在本发明的其他实施例中,所述截面也可以为圆形或矩形。The diameter of the transmission wire 101 in the axial direction is gradual, and increases linearly from the distal end to the proximal end of the transmission wire 101. The diameter of the transmission wire 101 varies from 0.003 inch to 0.010 inch. The material of the transmission wire 101 is: 304 stainless steel, the length is 100mm, and the cross-section is crescent-shaped. In other embodiments of the present invention, the cross-section may also be circular or rectangular.
优选的,本实施例三中传送丝101的近端直径小于海波管102的内径,所述传送丝101通过激光与海波管102的远端口焊接。Preferably, in the third embodiment, the diameter of the proximal end of the transmission wire 101 is smaller than the inner diameter of the hypotube 102 , and the transmission wire 101 is welded to the distal end of the hypotube 102 by laser.
实施例四:Embodiment 4:
请参考图5,所述近外管1沿轴向至少分为两段,本实施例四中为两段,所述近外管1的远端为传送丝101,近外管1的近端为单腔管103,所述单腔管103的远端为海波管102,所述传送丝101与所述单腔管103远端的海波管102连接。Referring to FIG. 5 , the proximal and outer tube 1 is divided into at least two sections in the axial direction, and in the fourth embodiment, there are two sections. The distal end of the proximal and outer tube 1 is the transmission wire 101 , and the proximal end of the proximal outer tube 1 It is a single-lumen tube 103 , the distal end of the single-lumen tube 103 is a hypotube 102 , and the transmission wire 101 is connected to the hypotube 102 at the distal end of the single-lumen tube 103 .
本实施例四中单腔管103、海波管102的结构均与实施例一相同,不同的是传送丝101的结构,具体是:The structures of the single-lumen tube 103 and the hypotube 102 in the fourth embodiment are the same as those in the first embodiment, and the difference is the structure of the transmission wire 101, specifically:
所述传送丝101的直径在轴向上是渐变的,由传送丝101的远端至近端线 性增大,传送丝101的直径变化范围为0.002inch~0.008inch,优选的,传送丝101采用镍钛合金,所述传送丝101的长度100mm,截面为圆形。The diameter of the transmission wire 101 is gradual in the axial direction, and increases linearly from the distal end to the proximal end of the transmission wire 101. The diameter of the transmission wire 101 varies in the range of 0.002 inch to 0.008 inch. Nickel-titanium alloy, the length of the transmission wire 101 is 100 mm, and the cross-section is circular.
相应的,在本发明的其他实施例中,所述近外管1可以作为整个球囊导管的中间管段,使得所述球囊导管的近端可以通过其他导管结构与连接件连接。Correspondingly, in other embodiments of the present invention, the proximal outer tube 1 can be used as the middle tube section of the entire balloon catheter, so that the proximal end of the balloon catheter can be connected to the connector through other catheter structures.
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-described embodiments can be combined arbitrarily. For the sake of brevity, all possible combinations of the technical features in the above-described embodiments are not described. However, as long as there is no contradiction between the combinations of these technical features, All should be regarded as the scope described in this specification.
以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only represent several embodiments of the present invention, and the descriptions thereof are specific and detailed, but should not be construed as a limitation on the scope of the invention patent. It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the present invention, several modifications and improvements can also be made, which all belong to the protection scope of the present invention. Therefore, the protection scope of the patent of the present invention should be subject to the appended claims.

Claims (17)

  1. 近外管,其特征在于:所述近外管沿轴向至少分为两段,所述近外管的远端为传送丝,所述近外管的近端为单腔管,所述传送丝与所述单腔管相连接。The proximal and outer tube is characterized in that: the proximal and outer tube is divided into at least two sections in the axial direction, the distal end of the proximal and outer tube is a transmission wire, the proximal end of the proximal and outer tube is a single-lumen tube, and the transmission A wire is connected to the single lumen tube.
  2. 如权利要求1所述的近外管,其特征在于:所述单腔管和/或所述传送丝的材料为一种金属或多种金属的组合,所述单腔管与所述传送丝的材料相同或不同。The proximal outer tube according to claim 1, wherein the material of the single-lumen tube and/or the delivery wire is a metal or a combination of multiple metals, and the single-lumen tube and the delivery wire are made of one metal or a combination of multiple metals. the same or different materials.
  3. 如权利要求2所述的近外管,其特征在于:所述单腔管和/或所述传送丝的材料为不锈钢。The proximal outer tube according to claim 2, wherein the material of the single lumen tube and/or the delivery wire is stainless steel.
  4. 如权利要求1所述的近外管,其特征在于:所述单腔管的外表面具有至少一层聚合物,以降低所述单腔管的外表面的摩擦系数。The proximal outer tube of claim 1, wherein the outer surface of the single-lumen tube has at least one layer of polymer to reduce the friction coefficient of the outer surface of the single-lumen tube.
  5. 如权利要求4所述的近外管,其特征在于:所述聚合物包括聚酰胺、聚酯、聚四氟乙烯、聚偏氟乙烯、聚酰胺聚醚嵌段共聚物、聚乙烯、聚酰亚胺中的一种或多种的组合。The proximal outer tube of claim 4, wherein the polymer comprises polyamide, polyester, polytetrafluoroethylene, polyvinylidene fluoride, polyamide polyether block copolymer, polyethylene, polyamide A combination of one or more of the imines.
  6. 如权利要求1所述的近外管,其特征在于:所述单腔管的远端包括海波管。The proximal-outer tube of claim 1, wherein the distal end of the single-lumen tube comprises a hypotube.
  7. 如权利要求6所述的近外管,其特征在于:所述海波管的管壁具有至少一条螺纹缝隙,所述螺纹缝隙沿其径向贯穿所述海波管的管壁。The near-outer tube according to claim 6, wherein the tube wall of the hypotube has at least one threaded slot, and the threaded slot penetrates the tube wall of the hypotube along its radial direction.
  8. 如权利要求7所述的近外管,其特征在于:所述螺纹缝隙为两条以上时,各条所述螺纹缝隙的宽度相同或不同,相邻所述螺纹缝隙之间的间距相同或不同。The near-outer tube according to claim 7, wherein when there are more than two threaded slits, the widths of each of the threaded slits are the same or different, and the distances between the adjacent threaded slits are the same or different .
  9. 如权利要求8所述的近外管,其特征在于:当所述间距不同时,相邻所述螺纹缝隙之间的间距为0.5mm~5mm。The near-outer tube according to claim 8, wherein when the distances are different, the distance between the adjacent thread slits is 0.5mm˜5mm.
  10. 如权利要求6所述的近外管,其特征在于:所述海波管的远端管口为平直口或斜坡口中的任意一种。The near-external tube according to claim 6, wherein the distal nozzle of the hypotube is any one of a straight opening or a slope opening.
  11. 如权利要求1所述的近外管,其特征在于:所述传送丝与所述单腔管一体成型。The proximal-outer tube of claim 1, wherein the delivery wire is integrally formed with the single-lumen tube.
  12. 如权利要求1所述的近外管,其特征在于:所述传送丝的直径沿轴向为不变的或渐变的或突变的,所述传送丝直径的范围为0.002inch~0.012inch。The near-outer tube according to claim 1, wherein the diameter of the transmission wire is constant or gradual or abrupt in the axial direction, and the diameter of the transmission wire ranges from 0.002 inch to 0.012 inch.
  13. 如权利要求1所述的近外管,其特征在于:所述传送丝的长度的范围为25mm~200mm。The near-outer tube according to claim 1, wherein the length of the transmission wire ranges from 25 mm to 200 mm.
  14. 如权利要求1所述的近外管,其特征在于:所述单腔管的管腔内径为0.0160inch~0.0220inch,所述单腔管的管腔外径为0.0230inch~0.0300inch。The proximal-outer tube according to claim 1, wherein the inner diameter of the single-lumen tube is 0.0160 inch-0.0220 inch, and the outer diameter of the single-lumen tube is 0.0230 inch-0.0300 inch.
  15. 一种球囊导管,其特征在于:包括设置于球囊导管近端的单腔结构和设置于球囊导管远端的双腔结构,所述单腔结构与所述双腔结构连接,在所述双腔结构的远端设置球囊;A balloon catheter is characterized in that: it comprises a single-lumen structure arranged at the proximal end of the balloon catheter and a double-lumen structure arranged at the distal end of the balloon catheter, the single-lumen structure is connected with the double-lumen structure, and the A balloon is arranged at the distal end of the double-chamber structure;
    所述单腔结构包括如权利要求1~14所述的近外管和连接件;The single-lumen structure comprises the proximal and outer tube and the connector according to claims 1-14;
    所述双腔结构包括远外管和内管,所述内管与所述远外管同轴并设置于所述远外管的内部。The dual-lumen structure includes a distal outer tube and an inner tube, the inner tube is coaxial with the distal outer tube and is disposed inside the distal outer tube.
  16. 如权利要求16所述的球囊导管,其特征在于:在所述内管的外表面设置至少一个显影点。The balloon catheter of claim 16, wherein at least one imaging point is provided on the outer surface of the inner tube.
  17. 一种支架系统,其特征在于:包括支架和如权利要求15或16所述的球囊导管,所述支架装载于所述球囊导管的所述球囊的外部。A stent system, characterized by comprising a stent and the balloon catheter according to claim 15 or 16, wherein the stent is loaded on the outside of the balloon of the balloon catheter.
PCT/CN2021/135722 2020-12-11 2021-12-06 Proximal outer tube, balloon catheter, and stent system WO2022121841A1 (en)

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CN201370880Y (en) * 2009-02-25 2009-12-30 赛诺医疗科学技术有限公司 Improved coronary artery balloon dilatation tube
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