WO2023051257A1 - Thrombectomy apparatus - Google Patents

Thrombectomy apparatus Download PDF

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Publication number
WO2023051257A1
WO2023051257A1 PCT/CN2022/118889 CN2022118889W WO2023051257A1 WO 2023051257 A1 WO2023051257 A1 WO 2023051257A1 CN 2022118889 W CN2022118889 W CN 2022118889W WO 2023051257 A1 WO2023051257 A1 WO 2023051257A1
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WIPO (PCT)
Prior art keywords
thrombus
connecting rod
retriever
distal end
proximal end
Prior art date
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PCT/CN2022/118889
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French (fr)
Chinese (zh)
Inventor
李安宁
邱礼彪
Original Assignee
先健科技(深圳)有限公司
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Priority claimed from CN202111140205.6A external-priority patent/CN115869040A/en
Priority claimed from CN202111140467.2A external-priority patent/CN115869042A/en
Application filed by 先健科技(深圳)有限公司 filed Critical 先健科技(深圳)有限公司
Publication of WO2023051257A1 publication Critical patent/WO2023051257A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions

Definitions

  • the invention relates to the field of medical instruments, in particular to a thrombectomy device.
  • Acute ischemic stroke (AIS, commonly known as cerebral infarction) is the damage of nerve tissue caused by ischemic necrosis of local brain tissue caused by sudden blockage of blood flow in the brain.
  • Acute ischemic stroke is the most common type of stroke and the main cause of death and disability in middle-aged and elderly people. Especially acute stroke caused by large vessel occlusion is a dangerous condition with high mortality and disability rates. Once a stroke occurs, it will cause great physical and mental harm to the patient, and also cause a heavy burden to the patient's family and society.
  • the clinical treatment of ischemic stroke mainly adopts mechanical thrombectomy.
  • Mechanical thrombectomy is to deliver the thrombus retriever to the lesion site, use the thrombus retriever to grab the thrombus and take it out of the body.
  • the thrombectomy device is subjected to external force, the whole thrombectomy device is elongated in the axial direction, and the thrombectomy device shrinks in the radial direction, so that the thrombectomy device cannot touch the inner wall of the blood vessel.
  • the tight fit makes the thrombus fall off easily.
  • thrombus retriever that can reduce the shrinkage of the thrombus retriever in the radial direction and ensure that it can closely fit the inner wall of the blood vessel.
  • the thrombus retrieval device includes a thrombus retriever and an elastic member, the elastic member is arranged in the space surrounded by the thrombus retriever, and the proximal end of the elastic member is fixedly connected to the proximal end of the thrombus retriever, so The distal end of the elastic member is fixedly connected to the distal end of the thrombus retriever, the elastic member is elastic, and when the thrombus retriever is in a compressed state, the elastic member can make the distal end of the thrombus retriever and the proximal end of the thrombus retriever are close to each other.
  • the elastic member In a natural state, the elastic member extends helically in the axial direction.
  • the thrombus retriever includes a catching part for catching thrombus, and the elastic member includes a flat section, and the flat section is opposite to the catching part.
  • the angle between the piercing member and the main body support is an acute angle.
  • the piercing member is fixedly connected to the outer surface of the main body.
  • the piercing element is sheathed on the outer surface of the main body, and the piercing element can rotate around the main body.
  • the elastic member includes two or more than two helical wires, and the helical wires extend helically to each other in the axial direction.
  • a receiving space is enclosed between the two or more than two helical wires.
  • the restoring force of the elastic member makes the distal end and the proximal end of the thrombus retriever approach each other, avoiding the distance between the proximal end of the thrombus retriever and the distal end of the thrombus retriever from increasing too much, and reducing the The degree of contraction in the radial direction ensures that the thrombus retriever can closely fit the inner wall of the blood vessel, improving the success rate of dragging the thrombus into the microcatheter.
  • the thrombus removal device includes a thrombus remover, and the thrombus remover includes a proximal bracket, a middle bracket, and a distal bracket arranged sequentially from the proximal end to the distal end, and the middle bracket includes first connecting rods and The second connecting rod, the proximal end of the first connecting rod is connected with the proximal bracket, the distal end of the second connecting rod is connected with the distal bracket, the first connecting rod is connected with the second
  • the connecting rod extends like a circumferential curve on the peripheral surface of the thrombus retriever.
  • the second linkage may form a helix about the longitudinal central axis of the retriever.
  • the number of the first connecting rod is two
  • the number of the second connecting rod is two
  • there is a virtual line between one of the first connecting rods and one of the second connecting rods and in addition
  • the wire and the second connecting rod form two helical lines around the longitudinal central axis of the thrombus retriever, and the two helical lines are not connected to each other.
  • the middle support includes a first grabbing part, the first grabbing part and the first connecting rod are arranged adjacent to the peripheral surface of the thrombus retriever, and the proximal end of the first grabbing part It is fixedly connected with the proximal support, and the distal end of the first catching part is suspended.
  • the first capturing part includes a first sub-catching part and a second sub-catching part, the first sub-catching part and the second sub-catching part are spaced apart on the peripheral surface of the thrombus retriever Setting, the first connecting rod is arranged between the first sub-catching part and the second sub-catching part, and the first sub-catching part and the second sub-catching part are at least one Projections on a plane containing the longitudinal central axis of the retriever partially overlap.
  • the middle bracket also includes a second catch part, the second catch part and the first catch part are arranged sequentially from the proximal end to the far end, and the proximal end of the second catch part is connected to the first catch part.
  • the distal end of a connecting rod is fixedly connected, the distal end of the second catching part is suspended, the distal end of the second catching part and the distal end of the first catching part are perpendicular to the
  • the projections on the plane of the longitudinal central axis of the device are spaced from each other.
  • the middle bracket also includes a third catch part, the far end of the third catch part is suspended, and the first catch part, the third catch part and the second catch part are connected from the proximal end to the distal end.
  • the directions are arranged sequentially, the proximal end of the third catch part is connected to the first connecting rod, the far end of the third catch part is adjacent to the second connecting rod, and the first catch part.
  • the middle bracket also includes a third link, the third link is connected between the first link and the second link, the first link, the third link, the The second connecting rod extends like a circumferential curve on the peripheral surface of the thrombus retriever.
  • first virtual connection line on the peripheral surface of the thrombus retriever between the distal end of the first connecting rod and the proximal end of the third connecting rod, and the distal end of the third connecting rod and the There is also a second virtual connection line on the peripheral surface of the thrombus retriever between the proximal ends of the second connecting rod, the first connecting rod, the first virtual connecting line, the third connecting rod, all
  • the second virtual line and the second connecting rod may form a helix around the longitudinal central axis of the thrombus retriever.
  • the proximal bracket and the distal bracket can be moved along the first connecting rod,
  • the second connecting rod is bent in a quasi-circumferential direction so that the entire thrombus retriever has a shape similar to a helical extension from the proximal end to the distal end, thereby improving the bending performance of the thrombus retriever.
  • the thrombus retriever is in a curved blood vessel, its shape similar to the helical extension can be bent and deformed, and it can well conform to the curved blood vessel.
  • the thrombus retriever can closely fit the inner wall of the curved blood vessel, effectively preventing the thrombus from falling off.
  • FIG. 1 is a schematic structural diagram of a thrombus retrieval device capturing a thrombus in a human blood vessel according to the first embodiment of the present application.
  • Fig. 2 is a schematic cross-sectional structural view of the thrombus retrieval device provided in the first embodiment of the present application in a natural state.
  • Fig. 3 is a schematic cross-sectional structural view of the thrombectomy device provided in the first embodiment of the present application in a compressed state.
  • Fig. 4 is a schematic diagram of the three-dimensional structure of the thrombus remover in the first embodiment of the present application.
  • Fig. 5 is a schematic diagram of the three-dimensional structure of another angle thrombus retriever in the first embodiment of the present application.
  • Fig. 6 is a schematic diagram of the deployment of the thrombus remover in the first embodiment of the present application.
  • FIG. 7 is an enlarged schematic view at X in FIG. 6 .
  • FIG. 8 is an enlarged schematic view at XX in FIG. 6 .
  • FIG. 9 is a schematic cross-sectional view of the thrombus retrieval device provided by the second embodiment of the present application.
  • Fig. 10 is a schematic cross-sectional view of the thrombus retriever in the second embodiment of the present application.
  • Fig. 11 is a schematic cross-sectional view of the thrombus retrieval device provided by the third embodiment of the present application.
  • FIG. 12 is a schematic diagram of the elastic member in the third embodiment of the present application.
  • Fig. 13 is a schematic cross-sectional view of the thrombus retrieval device provided by the fourth embodiment of the present application.
  • Fig. 14 is a schematic cross-sectional view of the thrombus retriever in the fourth embodiment of the present application.
  • Fig. 15 is a schematic cross-sectional view of the thrombus remover in the thrombectomy device provided by the fifth embodiment of the present application.
  • Fig. 15a is a schematic diagram of an enlarged structure at point I in Fig. 15 of the present application.
  • Fig. 17 is a cross-sectional view at another angle of the piercing member in the thrombectomy device provided by the fifth embodiment of the present application.
  • Fig. 18 is a schematic cross-sectional view of the thrombus remover in the thrombus removal device provided by the sixth embodiment of the present application.
  • Fig. 19 is a schematic structural view of the elastic member in the thrombectomy device provided by the sixth embodiment of the present application.
  • Fig. 20 is a schematic structural view of the elastic member in the thrombectomy device provided by the seventh embodiment of the present application.
  • distal end is defined as the end away from the operator during the operation
  • proximal end is defined as the end close to the operator during the operation.
  • Axial refers to the direction parallel to the line connecting the center of the distal end and the center of the proximal end of the medical device
  • radial refers to the direction perpendicular to the aforementioned axial direction.
  • radial force refers to the force required to deform the medical device in the radial direction.
  • the smaller the force required to deform the medical device in the radial direction the smaller the radial force, and the easier it is for the medical device to radially compress or expand toward the central axis; the greater the force required to deform the medical device in the radial direction, The greater the radial force, the harder it is for the medical device to radially compress or expand toward the central axis.
  • Figure 1 is a schematic structural view of the thrombus removal device provided in the first embodiment of the application capturing thrombus in a human blood vessel;
  • Figure 2 is a natural state of the thrombus removal device provided in the first embodiment of the application Schematic diagram of the cross-sectional structure.
  • Fig. 3 is a schematic cross-sectional structural view of the thrombectomy device provided in the first embodiment of the present application in a compressed state. In Fig. 2 and Fig. 3, the structure of the thrombectomy device has been simplified.
  • the thrombectomy device 1 includes a microcatheter 10 , a push-pull wire 20 , a thrombus retriever 30 , a developing ring 40 , and an elastic member 50 .
  • the microcatheter 10 has a hollow tubular structure.
  • the microcatheter 10 accommodates a push-pull wire 20 and a thrombus retriever 30 .
  • the distal end of the push-pull wire 20 is fixedly connected to the proximal end of the thrombus retriever 30 , and the push-pull wire 20 can slide inside the microcatheter 10 and drive the integral thrombus retriever 30 to slide relative to the microcatheter 10 .
  • the elastic member 50 protrudes into the thrombus retriever 30 , and the elastic member 50 is in the space surrounded by the thrombus retriever 30 .
  • the distal end of the elastic member 50 is fixedly connected to the distal end of the thrombus remover 30
  • the proximal end of the elastic member 50 is fixedly connected to the proximal end of the thrombus remover 30 .
  • the proximal end of the thrombus remover 30 is covered by the proximal end of the elastic member 50 .
  • the developing ring 40 wraps around the outer surface of the proximal end of the thrombus retriever 30 , and fixes the proximal end of the thrombus retriever 30 and the proximal end of the elastic member 50 together.
  • the distal end of the thrombus remover 30 is covered by the distal end of the elastic member 50 .
  • the developing ring 40 wraps around the outer surface of the distal end of the thrombus retriever 30 , and fixes the distal end of the thrombus retriever 30 and the distal end of the elastic member 50 together.
  • the elastic member 50 is made of metal material.
  • the elastic member 50 extends helically in the axial direction and forms a helical shape to make it elastic.
  • the push-pull wire 20 and the elastic member 50 are integrally formed. When the microcatheter 10 slides, the push-pull wire 20 will also drive the elastic member 50 to slide. In other embodiments, the push-pull wire 20 and the elastic member 50 are two different components, and it is enough that the push-pull wire 20 and the elastic member 50 can be fixedly connected.
  • the proximal end and the distal end of the thrombectomy device 30 are far away from each other, and the distance between the proximal end and the distal end of the thrombectomy device 30 gradually increases.
  • the whole thrombus remover 30 shrinks in the radial direction, the whole thrombus remover 30 elongates in the axial direction, and the distance between the proximal end and the distal end of the thrombus remover 30 increases, which will make the elastic member 50 deform and move along the axial direction.
  • the elastic member 50 has a restoring force to restore the original shape, and the restoring force can make the distal end and the proximal end of the thrombus retriever 30 approach each other, preventing the axial extension of the thrombus retriever 30 from being too long.
  • the operation process of this embodiment and the specific function of the elastic member 50 are described as follows:
  • the proximal end of the thrombus retriever 30 moves away from the distal end of the thrombus retriever 30, so that the thrombus retriever 30 shrinks, and the restoring force of the elastic member 50 makes the thrombus retriever 30 move
  • the distal end and the proximal end of the thrombus retriever 30 are close to each other, avoiding the distance between the proximal end of the thrombus retriever 30 and the distal end of the thrombus retriever 30 from increasing too much, reducing the shrinkage of the thrombus retriever 30 in the radial direction, It is ensured that the thrombus retriever 30 can closely adhere to the inner wall of the blood vessel 100 , and the success rate of dragging the thrombus 200 into the microcatheter 10 is improved.
  • the middle bracket 32 includes first connecting rods 324 and second connecting rods 325 arranged at intervals.
  • a proximal end of the first link 324 is connected to the proximal bracket 31 .
  • the distal end of the second link 325 is connected to the distal bracket 33 .
  • the first connecting rod 324 and the second connecting rod 325 extend like a circumferential curve on the peripheral surface of the thrombus retriever 30 .
  • the extension of the quasi-circumferential curve refers to the extension along the peripheral surface of the thrombus remover 30, which is similar to the extension of the curve in the circumferential direction, and the direction of the extension of the curve is not parallel to the direction where the longitudinal central axis of the thrombus remover 30 is located.
  • the first connecting rod 324, part of the third connecting rod 326 and part of the second connecting rod 325 are obliquely bent downward along the peripheral surface of the thrombus remover 30 relative to the positive direction of the X-axis.
  • the first connecting rod 324, the third connecting rod 326, and the second connecting rod 325 can also be obliquely bent on the peripheral surface of the thrombus remover 30 in different or partially the same directions, so that the thrombus remover 30 has better bending performance prevail.
  • the first catching part 321 includes a first sub-catching part 3211 and a second sub-catching part 3212 arranged at intervals.
  • the first sub-catching part 3211 and the second sub-catching part 3212 respectively include two net rods, the proximal ends of the two net rods are respectively connected to the net rod parts of the adjacent first net rod unit, and the far ends of the two net rods are connected to each other. The ends converge together, and the part where the far ends of the two mesh rods converge is suspended in the air.
  • the single piercing member 52c can pierce the thrombus to fix the thrombus and prevent the thrombus from falling out of the thrombus retriever 30c.
  • multiple piercing elements 52c can increase the contact area between the elastic element and the thrombus, and multiple adjacent piercing elements 52c can clamp the thrombus with each other, further improving the effect of preventing the thrombus from falling off.

Abstract

A thrombectomy apparatus (1), comprising a thrombectomy device (30) and an elastic member (50). The elastic member (50) is provided in a space enclosed by the thrombectomy device (30); a proximal end of the elastic member (50) is fixedly connected to a proximal end of the thrombectomy device (30); a distal end of the elastic member (50) is fixedly connected to a distal end of the thrombectomy device (30); by means of a restoration force of the elastic member (50), the distal end and the proximal end of the thrombectomy device (30) are made to be close to each other, too much increase in a distance between the proximal end and the distal end of the thrombectomy device (30) is avoided, the degree of shrinkage of the thrombectomy device (30) in a radial direction is reduced, the thrombectomy device (30) is ensured to be able to be tightly attached to the inner wall of a blood vessel, and the success rate of dragging thrombus (200) into a microcatheter (10) is increased.

Description

取栓装置Thrombectomy device 技术领域technical field
本发明涉及医疗器械领域,特别是涉及一种取栓装置。The invention relates to the field of medical instruments, in particular to a thrombectomy device.
背景技术Background technique
本部分提供的仅仅是与本公开相关的背景信息,其并不必然是现有技术。This section provides background information related to the present disclosure only and is not necessarily prior art.
急性缺血性卒中(acute ischemic stroke,AIS,俗称脑梗死)是由于脑部血流的突然阻塞而引起局部脑组织缺血坏死所导致的神经组织损伤。急性缺血性脑卒中是卒中最常见类型,是中老年人致死和致残的主要疾病。尤其是大血管闭塞所致的急性脑卒中,病情凶险,死亡率、致残率高。一旦发生中风,给患者造成巨大身心危害,也给患者家庭及社会造成沉重的负担。Acute ischemic stroke (AIS, commonly known as cerebral infarction) is the damage of nerve tissue caused by ischemic necrosis of local brain tissue caused by sudden blockage of blood flow in the brain. Acute ischemic stroke is the most common type of stroke and the main cause of death and disability in middle-aged and elderly people. Especially acute stroke caused by large vessel occlusion is a dangerous condition with high mortality and disability rates. Once a stroke occurs, it will cause great physical and mental harm to the patient, and also cause a heavy burden to the patient's family and society.
目前,缺血性脑卒的临床治疗主要采用机械取栓。机械取栓是将取栓器输送到病变位置,利用取栓器抓取血栓并将其取出体外。然而,目前的取栓器械在回撤到导管的过程中,取栓器械受到外力作用,取栓器械整体在轴向被拉长,取栓器械在径向收缩,使得取栓器械与血管内壁无法紧密贴合而使血栓容易脱落。At present, the clinical treatment of ischemic stroke mainly adopts mechanical thrombectomy. Mechanical thrombectomy is to deliver the thrombus retriever to the lesion site, use the thrombus retriever to grab the thrombus and take it out of the body. However, when the current thrombectomy device is retracted into the catheter, the thrombectomy device is subjected to external force, the whole thrombectomy device is elongated in the axial direction, and the thrombectomy device shrinks in the radial direction, so that the thrombectomy device cannot touch the inner wall of the blood vessel. The tight fit makes the thrombus fall off easily.
发明内容Contents of the invention
基于此,有必要提供一种可减少取栓器在径向方向上收缩的程度,保证能够紧密贴合血管内壁的取栓器。Based on this, it is necessary to provide a thrombus retriever that can reduce the shrinkage of the thrombus retriever in the radial direction and ensure that it can closely fit the inner wall of the blood vessel.
所述取栓装置包括取栓器和弹性件,所述弹性件设置在所述取栓器围成的空间内,所述弹性件的近端与所述取栓器的近端固定连接,所述弹性件的远端与所述取栓器的远端固定连接,所述弹性件有弹性,当所述取栓器处于压缩状态时,所述弹性件可使所述取栓器的远端和所述取栓器的近端相互靠近。The thrombus retrieval device includes a thrombus retriever and an elastic member, the elastic member is arranged in the space surrounded by the thrombus retriever, and the proximal end of the elastic member is fixedly connected to the proximal end of the thrombus retriever, so The distal end of the elastic member is fixedly connected to the distal end of the thrombus retriever, the elastic member is elastic, and when the thrombus retriever is in a compressed state, the elastic member can make the distal end of the thrombus retriever and the proximal end of the thrombus retriever are close to each other.
在自然状态下,所述弹性件在轴向方向螺旋延伸。In a natural state, the elastic member extends helically in the axial direction.
所述取栓器包括抓捕部分,所述抓捕部分用于抓捕血栓,所述弹性件包括平整段,所述平整段与所述抓捕部分正对。The thrombus retriever includes a catching part for catching thrombus, and the elastic member includes a flat section, and the flat section is opposite to the catching part.
所述弹性件包括主体和与所述主体连接的穿刺件,所述穿刺件可刺入血栓。The elastic member includes a main body and a puncture member connected with the main body, and the puncture member can penetrate thrombus.
所述穿刺件与所述主体支架的角度为锐角。The angle between the piercing member and the main body support is an acute angle.
所述穿刺件与所述主体的外表面固定连接。The piercing member is fixedly connected to the outer surface of the main body.
所述穿刺件套设在所述主体的外表面,且所述穿刺件可绕所述主体转动。The piercing element is sheathed on the outer surface of the main body, and the piercing element can rotate around the main body.
所述弹性件包括两根或者两根以上的螺旋线,所述螺旋线在轴向相互螺旋延伸。The elastic member includes two or more than two helical wires, and the helical wires extend helically to each other in the axial direction.
所述两根或者两根以上螺旋线的近端紧密贴合,并与取栓器的近端固定连接,所述两根或者两根以上螺旋线的远端紧密贴合,并与取栓器的远端固定连接。The proximal ends of the two or more helical wires are in close contact with the proximal end of the thrombus retriever, and the distal ends of the two or more helical wires are in close contact with the thrombus retriever. The remote fixed connection.
在自然状态下,所述两根或者两根以上螺旋线之间围设出收容空间。In a natural state, a receiving space is enclosed between the two or more than two helical wires.
本申请中弹性件的恢复力,使取栓器的远端和近端相互靠近,避免取栓器的近端与取栓器的远端之间的距离增加得太多,减少取栓器在径向方向上收缩的程度,保证取栓器能够紧密贴合血管内壁,提高将血栓拖入微导管的成功率。In the present application, the restoring force of the elastic member makes the distal end and the proximal end of the thrombus retriever approach each other, avoiding the distance between the proximal end of the thrombus retriever and the distal end of the thrombus retriever from increasing too much, and reducing the The degree of contraction in the radial direction ensures that the thrombus retriever can closely fit the inner wall of the blood vessel, improving the success rate of dragging the thrombus into the microcatheter.
基于此,有必要提供一种能够很好地顺应弯曲血管,可紧密贴合弯曲血管的内壁,有效防止血栓脱落的取栓装置。Based on this, it is necessary to provide a thrombectomy device that can well conform to the curved blood vessel, closely fit the inner wall of the curved blood vessel, and effectively prevent the thrombus from falling off.
所述取栓装置包括取栓器,所述取栓器包括从近端到远端依次设置的近端支架、中部支架及远端支架,所述中部支架包括间隔排布的第一连杆和第二连杆,所述第一连杆的近端与所述近端支架连接,所述第二连杆的远端与所述远端支架连接,所述第一连杆与所述第二连杆在所述取栓器的周面上类周向曲线延伸。The thrombus removal device includes a thrombus remover, and the thrombus remover includes a proximal bracket, a middle bracket, and a distal bracket arranged sequentially from the proximal end to the distal end, and the middle bracket includes first connecting rods and The second connecting rod, the proximal end of the first connecting rod is connected with the proximal bracket, the distal end of the second connecting rod is connected with the distal bracket, the first connecting rod is connected with the second The connecting rod extends like a circumferential curve on the peripheral surface of the thrombus retriever.
所述第一连杆的远端与所述第二连杆的近端之间在所述取栓器的周面上存在一条虚拟连线,所述第一连杆、所述虚拟连线及第二连杆可形成一条围绕所述取栓器纵向中心轴的螺旋线。There is a virtual connection line on the peripheral surface of the thrombus retriever between the distal end of the first connecting rod and the proximal end of the second connecting rod, the first connecting rod, the virtual connection line and The second linkage may form a helix about the longitudinal central axis of the retriever.
所述第一连杆的数量为两个,所述第二连杆的数量为两个,其中一个所述第一连杆与其中一个所述第二连杆之间存在一条虚拟连线,另外一个所述第一连杆与另外一个所述第二连杆之间也存在一条虚拟连线,所述第一连杆、所述第一连杆与所述第二连杆之间的虚拟连线、所述第二连杆形成两条围绕所述取栓器纵向中心轴的螺旋线,所述两条螺旋线互不相连。The number of the first connecting rod is two, the number of the second connecting rod is two, and there is a virtual line between one of the first connecting rods and one of the second connecting rods, and in addition There is also a virtual connection between one of the first connecting rods and the other second connecting rod, and the virtual connection between the first connecting rod, the first connecting rod and the second connecting rod The wire and the second connecting rod form two helical lines around the longitudinal central axis of the thrombus retriever, and the two helical lines are not connected to each other.
所述中部支架包括第一抓捕部分,所述第一抓捕部分与所述第一连杆在所述取栓器的周面上相邻排布,所述第一抓捕部分的近端与所述近端支架固定连接,所述第一抓捕部分的远端悬空。The middle support includes a first grabbing part, the first grabbing part and the first connecting rod are arranged adjacent to the peripheral surface of the thrombus retriever, and the proximal end of the first grabbing part It is fixedly connected with the proximal support, and the distal end of the first catching part is suspended.
所述第一抓捕部分包括第一子抓捕件和第二子抓捕件,所述第一子抓捕件与所述第二子抓捕件在所述取栓器的周面上间隔设置,所述第一连杆设置在所述第一子抓捕件和所述第二子抓捕件之间,所述第一子抓捕件及所述第二子抓捕件在至少一个包含所述取栓器纵向中心轴的平面上的投影上部分重叠。The first capturing part includes a first sub-catching part and a second sub-catching part, the first sub-catching part and the second sub-catching part are spaced apart on the peripheral surface of the thrombus retriever Setting, the first connecting rod is arranged between the first sub-catching part and the second sub-catching part, and the first sub-catching part and the second sub-catching part are at least one Projections on a plane containing the longitudinal central axis of the retriever partially overlap.
所述中部支架还包括第二抓捕部分,所述第二抓捕部分与所述第一抓捕部分从近端到远端依次设置,所述第二抓捕部分的近端与所述第一连杆的远端固定连接,所述第二抓捕部分的远端悬空,所述第二抓捕部分的远端及所述第一抓捕部分的远端在垂直于包含所述取栓器纵向中心轴的平面上的投影相互间隔。The middle bracket also includes a second catch part, the second catch part and the first catch part are arranged sequentially from the proximal end to the far end, and the proximal end of the second catch part is connected to the first catch part. The distal end of a connecting rod is fixedly connected, the distal end of the second catching part is suspended, the distal end of the second catching part and the distal end of the first catching part are perpendicular to the The projections on the plane of the longitudinal central axis of the device are spaced from each other.
所述中部支架还包括第三抓捕部分,所述第三抓捕部分的远端悬空,所述第一抓捕部分、第三抓捕部分及所述第二抓捕在近端到远端方向依次排布,所述第三抓捕部分的近端与所述第一连杆连接,所述第三抓捕部分的远端与所述第二连杆相邻,所述第一抓捕部分的远端、所述第三抓捕部分的远端及所述第二抓捕部分的远端中至少相邻的两个在垂直于包含所述取栓器纵向中心轴的平面上的投影相互间隔。The middle bracket also includes a third catch part, the far end of the third catch part is suspended, and the first catch part, the third catch part and the second catch part are connected from the proximal end to the distal end. The directions are arranged sequentially, the proximal end of the third catch part is connected to the first connecting rod, the far end of the third catch part is adjacent to the second connecting rod, and the first catch part The projection of at least two adjacent ones of the distal end of the part, the distal end of the third catching part and the distal end of the second catching part on a plane perpendicular to the longitudinal central axis of the thrombus retriever spaced from each other.
所述中部支架还包括第三连杆,所述第三连杆连接在所述第一连杆和所述第二连杆之间,所述第一连杆所述第三连杆、所述第二连杆在所述取栓器的周面上类周向曲线延伸。The middle bracket also includes a third link, the third link is connected between the first link and the second link, the first link, the third link, the The second connecting rod extends like a circumferential curve on the peripheral surface of the thrombus retriever.
所述第一连杆的远端与所述第三连杆的近端之间在所述取栓器的周面上存在第一虚拟连线,所述第三连杆的远端与所述第二连杆的近端之间在所述取栓器的周面上也存在第二虚拟连线,所述第一连杆、所述第一虚拟连线、所述第三连杆、所述第二虚拟连线、所述第二连杆可形成一条围绕所述取栓器纵向中心轴的螺旋线。There is a first virtual connection line on the peripheral surface of the thrombus retriever between the distal end of the first connecting rod and the proximal end of the third connecting rod, and the distal end of the third connecting rod and the There is also a second virtual connection line on the peripheral surface of the thrombus retriever between the proximal ends of the second connecting rod, the first connecting rod, the first virtual connecting line, the third connecting rod, all The second virtual line and the second connecting rod may form a helix around the longitudinal central axis of the thrombus retriever.
部分所述第一连杆、部分所述第二连杆之间相互平行。Part of the first connecting rod and part of the second connecting rod are parallel to each other.
本申请提供的取栓装置,由于第一连杆与第二连杆在取栓器的周面上类周 向曲线延伸,使得近端支架、远端支架之间能够顺着第一连杆、第二连杆的类周向方向弯曲靠近,使得取栓器整体从近端向远端具有类似螺旋延伸的形状,提高取栓器弯曲的性能。当取栓器处于弯曲的血管时,其类似于螺旋延伸的形状能够弯曲变形,很好地顺应弯曲血管,取栓器可紧密贴合弯曲血管的内壁,有效防止血栓脱落。In the thrombectomy device provided by the present application, since the first connecting rod and the second connecting rod extend like a circumferential curve on the peripheral surface of the thrombus remover, the proximal bracket and the distal bracket can be moved along the first connecting rod, The second connecting rod is bent in a quasi-circumferential direction so that the entire thrombus retriever has a shape similar to a helical extension from the proximal end to the distal end, thereby improving the bending performance of the thrombus retriever. When the thrombus retriever is in a curved blood vessel, its shape similar to the helical extension can be bent and deformed, and it can well conform to the curved blood vessel. The thrombus retriever can closely fit the inner wall of the curved blood vessel, effectively preventing the thrombus from falling off.
附图说明Description of drawings
图1为本申请第一实施例提供的取栓装置在人体血管中捕获血栓的结构示意图。FIG. 1 is a schematic structural diagram of a thrombus retrieval device capturing a thrombus in a human blood vessel according to the first embodiment of the present application.
图2为本申请第一实施例提供的取栓装置在自然状态下的剖视结构示意图。Fig. 2 is a schematic cross-sectional structural view of the thrombus retrieval device provided in the first embodiment of the present application in a natural state.
图3为本申请第一实施例提供的取栓装置在压缩状态下的剖视结构示意图。Fig. 3 is a schematic cross-sectional structural view of the thrombectomy device provided in the first embodiment of the present application in a compressed state.
图4为本申请第一实施例中取栓器的立体结构示意图。Fig. 4 is a schematic diagram of the three-dimensional structure of the thrombus remover in the first embodiment of the present application.
图5为本申请第一实施例中另一角度取栓器的立体结构示意图。Fig. 5 is a schematic diagram of the three-dimensional structure of another angle thrombus retriever in the first embodiment of the present application.
图6为本申请第一实施例中取栓器的展开示意图。Fig. 6 is a schematic diagram of the deployment of the thrombus remover in the first embodiment of the present application.
图7为图6中X处的放大示意图。FIG. 7 is an enlarged schematic view at X in FIG. 6 .
图8为图6中XX处的放大示意图。FIG. 8 is an enlarged schematic view at XX in FIG. 6 .
图9为本申请第二实施例提供的取栓装置的剖视示意图。FIG. 9 is a schematic cross-sectional view of the thrombus retrieval device provided by the second embodiment of the present application.
图10为本申请第二实施例中取栓器的剖视示意图。Fig. 10 is a schematic cross-sectional view of the thrombus retriever in the second embodiment of the present application.
图11为本申请第三实施例提供的取栓装置的剖视示意图。Fig. 11 is a schematic cross-sectional view of the thrombus retrieval device provided by the third embodiment of the present application.
图12为本申请第三实施例中弹性件的示意图。FIG. 12 is a schematic diagram of the elastic member in the third embodiment of the present application.
图13为本申请第四实施例提供的取栓装置的剖视示意图。Fig. 13 is a schematic cross-sectional view of the thrombus retrieval device provided by the fourth embodiment of the present application.
图14为本申请第四实施例中取栓器的剖视示意图。Fig. 14 is a schematic cross-sectional view of the thrombus retriever in the fourth embodiment of the present application.
图15为本申请第五实施例提供的取栓装置中取栓器的剖视示意图。Fig. 15 is a schematic cross-sectional view of the thrombus remover in the thrombectomy device provided by the fifth embodiment of the present application.
图15a为本申请图15中I处的放大结构示意图。Fig. 15a is a schematic diagram of an enlarged structure at point I in Fig. 15 of the present application.
图16为本申请第五实施例提供的取栓装置中穿刺件的剖视图。Fig. 16 is a cross-sectional view of the piercing member in the thrombectomy device according to the fifth embodiment of the present application.
图17为本申请第五实施例提供的取栓装置中穿刺件在另一角度的剖视图。Fig. 17 is a cross-sectional view at another angle of the piercing member in the thrombectomy device provided by the fifth embodiment of the present application.
图18为本申请第六实施例提供的取栓装置中取栓器的剖视示意图。Fig. 18 is a schematic cross-sectional view of the thrombus remover in the thrombus removal device provided by the sixth embodiment of the present application.
图19为本申请第六实施例提供的取栓装置中弹性件的结构示意图。Fig. 19 is a schematic structural view of the elastic member in the thrombectomy device provided by the sixth embodiment of the present application.
图20为本申请第七实施例提供的取栓装置中弹性件的结构示意图。Fig. 20 is a schematic structural view of the elastic member in the thrombectomy device provided by the seventh embodiment of the present application.
具体实施方式Detailed ways
为使本发明的上述目的、特征和优点能够更加明显易懂,下面结合附图对本发明的具体实施方式做详细的说明。在下面的描述中阐述了很多具体细节以便于充分理解本发明。但是本发明能够以很多不同于在此描述的其它方式来实施,本领域技术人员可以在不违背本发明内涵的情况下做类似改进,因此本发明不受下面公开的具体实施的限制。In order to make the above objects, features and advantages of the present invention more comprehensible, specific implementations of the present invention will be described in detail below in conjunction with the accompanying drawings. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. However, the present invention can be implemented in many other ways different from those described here, and those skilled in the art can make similar improvements without departing from the connotation of the present invention, so the present invention is not limited by the specific implementations disclosed below.
除非另有定义,本文所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。本文中在本发明的说明书中所使用的术语只是为了描述具体的实施例的目的,不是旨在于限制本发明。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the technical field of the invention. The terms used herein in the description of the present invention are for the purpose of describing specific embodiments only, and are not intended to limit the present invention.
在介入医疗器械领域,定义“远端”为手术过程中远离操作者的一端,定义“近端”为手术过程中靠近操作者的一端。“轴向”指平行于医疗器械远端中心和近端中心连线的方向,“径向”指垂直于上述轴向的方向。In the field of interventional medical devices, the "distal end" is defined as the end away from the operator during the operation, and the "proximal end" is defined as the end close to the operator during the operation. "Axial" refers to the direction parallel to the line connecting the center of the distal end and the center of the proximal end of the medical device, and "radial" refers to the direction perpendicular to the aforementioned axial direction.
在本发明实施例中,“径向力”指的是使医疗器械的径向方向变形所需的作用力。其中使医疗器械径向方向变形所需的作用力越小,径向力越小,医疗器械越容易往中心轴径向压缩或膨胀;使医疗器械径向方向变形所需的作用力越大,径向力越大,医疗器械越难往中心轴径向压缩或膨胀。In the embodiments of the present invention, "radial force" refers to the force required to deform the medical device in the radial direction. Among them, the smaller the force required to deform the medical device in the radial direction, the smaller the radial force, and the easier it is for the medical device to radially compress or expand toward the central axis; the greater the force required to deform the medical device in the radial direction, The greater the radial force, the harder it is for the medical device to radially compress or expand toward the central axis.
第一实施例first embodiment
请参阅图1至图3,图1为本申请第一实施例提供的取栓装置在人体血管中捕获血栓的结构示意图;图2为本申请第一实施例提供的取栓装置在自然状态下的剖视结构示意图。图3为本申请第一实施例提供的取栓装置在压缩状态下的剖视结构示意图。在图2及图3中取栓装置结构均已简化处理。Please refer to Figures 1 to 3, Figure 1 is a schematic structural view of the thrombus removal device provided in the first embodiment of the application capturing thrombus in a human blood vessel; Figure 2 is a natural state of the thrombus removal device provided in the first embodiment of the application Schematic diagram of the cross-sectional structure. Fig. 3 is a schematic cross-sectional structural view of the thrombectomy device provided in the first embodiment of the present application in a compressed state. In Fig. 2 and Fig. 3, the structure of the thrombectomy device has been simplified.
在本实施例中,取栓装置1包括微导管10、推拉丝20、取栓器30、显影环40、及弹性件50。微导管10呈中空的管状结构,微导管10收容有推拉丝20和取栓器30,微导管10用于输送取栓器30至血管100的血栓200处,并释放取栓器30。推拉丝20的远端与取栓器30的近端固定连接,推拉丝20可在微导管10内部滑动,并带动整体取栓器30相对微导管10滑动。In this embodiment, the thrombectomy device 1 includes a microcatheter 10 , a push-pull wire 20 , a thrombus retriever 30 , a developing ring 40 , and an elastic member 50 . The microcatheter 10 has a hollow tubular structure. The microcatheter 10 accommodates a push-pull wire 20 and a thrombus retriever 30 . The distal end of the push-pull wire 20 is fixedly connected to the proximal end of the thrombus retriever 30 , and the push-pull wire 20 can slide inside the microcatheter 10 and drive the integral thrombus retriever 30 to slide relative to the microcatheter 10 .
在本实施例中,弹性件50伸入取栓器30的内部,弹性件50在取栓器30围成的空间内。弹性件50的远端与取栓器30的远端固定连接,弹性件50的近端与取栓器30的近端固定连接。具体地,如图2,取栓器30的近端包覆在弹性件50的近端。显影环40缠绕包覆取栓器30近端的外表面,将取栓器30的近端与弹性件50的近端固定在一起。相应地,取栓器30的远端包覆在弹性件50的远端。显影环40缠绕包覆取栓器30远端的外表面,将取栓器30的远端与弹性件50的远端固定在一起。弹性件50由金属材料制成。弹性件50在轴向方向螺旋延伸,形成螺旋状,使其具有弹性。In this embodiment, the elastic member 50 protrudes into the thrombus retriever 30 , and the elastic member 50 is in the space surrounded by the thrombus retriever 30 . The distal end of the elastic member 50 is fixedly connected to the distal end of the thrombus remover 30 , and the proximal end of the elastic member 50 is fixedly connected to the proximal end of the thrombus remover 30 . Specifically, as shown in FIG. 2 , the proximal end of the thrombus remover 30 is covered by the proximal end of the elastic member 50 . The developing ring 40 wraps around the outer surface of the proximal end of the thrombus retriever 30 , and fixes the proximal end of the thrombus retriever 30 and the proximal end of the elastic member 50 together. Correspondingly, the distal end of the thrombus remover 30 is covered by the distal end of the elastic member 50 . The developing ring 40 wraps around the outer surface of the distal end of the thrombus retriever 30 , and fixes the distal end of the thrombus retriever 30 and the distal end of the elastic member 50 together. The elastic member 50 is made of metal material. The elastic member 50 extends helically in the axial direction and forms a helical shape to make it elastic.
在本实施例中,推拉丝20与弹性件50一体成型。推拉丝20在微导管10滑动的过程,也会带动弹性件50滑动。在其他实施例中,推拉丝20与弹性件50为不同的两个部件,以推拉丝20与弹性件50能够固定连接即可。In this embodiment, the push-pull wire 20 and the elastic member 50 are integrally formed. When the microcatheter 10 slides, the push-pull wire 20 will also drive the elastic member 50 to slide. In other embodiments, the push-pull wire 20 and the elastic member 50 are two different components, and it is enough that the push-pull wire 20 and the elastic member 50 can be fixedly connected.
在本实施例中,在取栓装置1从自然状态转换为压缩状态的过程,取栓器30的近端和远端相互远离,取栓器30的近端和远端之间的距离逐渐增大,取栓器30整体在径向收缩,取栓器30整体在轴向拉长,取栓器30的近端与远端之间的距离增大,会使得弹性件50变形、沿轴向拉伸,此时弹性件50具有恢复原本形状的恢复力,该恢复力可使取栓器30的远端和近端相互靠近,防止取栓器30的轴向伸展得过长。结合图1至图3,本实施例的操作过程及弹性件50的具体作用描述如下:In this embodiment, when the thrombectomy device 1 is converted from the natural state to the compressed state, the proximal end and the distal end of the thrombectomy device 30 are far away from each other, and the distance between the proximal end and the distal end of the thrombectomy device 30 gradually increases. Large, the whole thrombus remover 30 shrinks in the radial direction, the whole thrombus remover 30 elongates in the axial direction, and the distance between the proximal end and the distal end of the thrombus remover 30 increases, which will make the elastic member 50 deform and move along the axial direction. Stretching, at this time, the elastic member 50 has a restoring force to restore the original shape, and the restoring force can make the distal end and the proximal end of the thrombus retriever 30 approach each other, preventing the axial extension of the thrombus retriever 30 from being too long. 1 to 3, the operation process of this embodiment and the specific function of the elastic member 50 are described as follows:
将微导管10及设置在微导管10内的取栓器30,移到血管100中的目标位置。将取栓器30显露在微导管10外,使取栓器30至少部分在径向方向上对应血管100内壁上的血栓200。取栓器30在自身径向扩张力的作用下发生膨胀。至少部分取栓器30的外表面与血管100内壁上的血栓200接触,部分血栓200嵌入到取栓器30内。然后操作推拉丝20,将取栓器30撤回微导管10,同时血栓在取栓器30径向扩张力的作用下,被拖回导管内。在取栓器30在撤回的作用力下,取栓器30的近端朝背离取栓器30的远端的方向移动,使得取栓器30收缩,而弹性件50的恢复力,使取栓器30的远端和近端相互靠近,避免取栓器30的近端与取栓器30的远端之间的距离增加得太多,减少取栓器30在径向方向上收缩的程度,保证取栓器30能够紧密贴合血管100内壁,提高将血栓200 拖入微导管10的成功率。并且,血栓200进入到取栓器30内,呈螺旋延伸状的弹性件50可增大与血栓200的接触面积,限制血栓200移动,防止血栓200脱落,提高取栓器30回收血栓的能力。The microcatheter 10 and the thrombus retriever 30 disposed in the microcatheter 10 are moved to the target position in the blood vessel 100 . The thrombus retriever 30 is exposed outside the microcatheter 10 , so that the thrombus retriever 30 at least partially corresponds to the thrombus 200 on the inner wall of the blood vessel 100 in the radial direction. The thrombus retriever 30 expands under the action of its own radial expansion force. At least part of the outer surface of the thrombus retriever 30 is in contact with the thrombus 200 on the inner wall of the blood vessel 100 , and part of the thrombus 200 is embedded in the thrombus retriever 30 . Then the push-pull wire 20 is operated to withdraw the thrombus retriever 30 to the microcatheter 10 , and at the same time, the thrombus is dragged back into the catheter under the radial expansion force of the thrombus retriever 30 . Under the force of withdrawal of the thrombus retriever 30, the proximal end of the thrombus retriever 30 moves away from the distal end of the thrombus retriever 30, so that the thrombus retriever 30 shrinks, and the restoring force of the elastic member 50 makes the thrombus retriever 30 move The distal end and the proximal end of the thrombus retriever 30 are close to each other, avoiding the distance between the proximal end of the thrombus retriever 30 and the distal end of the thrombus retriever 30 from increasing too much, reducing the shrinkage of the thrombus retriever 30 in the radial direction, It is ensured that the thrombus retriever 30 can closely adhere to the inner wall of the blood vessel 100 , and the success rate of dragging the thrombus 200 into the microcatheter 10 is improved. Moreover, when the thrombus 200 enters the thrombus retriever 30, the helically extended elastic member 50 can increase the contact area with the thrombus 200, restrict the movement of the thrombus 200, prevent the thrombus 200 from falling off, and improve the ability of the thrombus retriever 30 to recover the thrombus.
请再次参阅图3,取栓器30在压缩状态下,弹性件50被拉直时,弹性件50的恢复力最大。弹性件50被拉直时的轴向长度,和取栓器30的近端和远端之间最大的轴向长度相等。Please refer to FIG. 3 again, in the compressed state of the thrombus remover 30 , when the elastic member 50 is straightened, the restoring force of the elastic member 50 is the largest. The axial length of the elastic member 50 when straightened is equal to the maximum axial length between the proximal end and the distal end of the thrombus retriever 30 .
请参阅图4至图6,图4为本申请第一实施例中取栓器的立体结构示意图;图5为本申请第一实施例中另一角度取栓器的立体结构示意图;图6为本申请第一实施例中取栓器的展开示意图。在本实施例中,取栓器30可以先通过激光切割具有形状记忆效应和超弹性的金属管材(如NiTi合金管),然后经过模具成型,再经过热处理定型而形成。或者,取栓器30也可以先通过切割具有形状记忆效应和超弹性的金属片材,然后经过模具成型,再经过热处理定型形成。或者,取栓器30还可以先通过编织具有形状记忆效应和超弹性的金属丝,再经过模具成型和热处理定型制作形成。或者,取栓器30也可以通过高弹性的高分子材料来制作。上述合适的材料是本领域技术人员所熟知的,在此不再详细描述。Please refer to FIGS. 4 to 6. FIG. 4 is a schematic diagram of the three-dimensional structure of the thrombus remover in the first embodiment of the present application; FIG. 5 is a schematic diagram of the three-dimensional structure of the thrombus retriever in the first embodiment of the present application; A schematic diagram of the deployment of the thrombus retriever in the first embodiment of the present application. In this embodiment, the thrombus remover 30 can be formed by laser cutting a metal tube with shape memory effect and superelasticity (such as a NiTi alloy tube), then molded, and then heat-treated to shape it. Alternatively, the thrombus remover 30 can also be formed by first cutting a metal sheet with shape memory effect and superelasticity, then forming it with a mold, and then heat treatment to shape it. Alternatively, the thrombus remover 30 can also be formed by first weaving metal wires with shape memory effect and superelasticity, and then undergoing mold forming and heat treatment for shaping. Alternatively, the thrombus retriever 30 can also be made of highly elastic polymer materials. Suitable materials mentioned above are well known to those skilled in the art and will not be described in detail here.
在本实施例中,取栓器30采用的是自膨胀支架结构。取栓器30包括从近端到远端依次设置的近端支架31、中部支架32和远端支架33。中部支架32连接在近端支架31和远端支架33之间。中部支架32位于整体取栓器30的中间部分。在本实施例中,近端支架31、中部支架32和远端支架33一体成型。近端支架31用于支撑整体中部支架32及远端支架33。中部支架32用于抓捕血栓。远端支架33用于收拢血栓,防止血栓脱落。在其他实施例中,近端支架31、中部支架32和远端支架33可为不同的部件,以近端支架31、中部支架32和远端支架33之间能够固定连接形成整体的支架为准。In this embodiment, the thrombus retriever 30 adopts a self-expanding stent structure. The thrombus retriever 30 includes a proximal support 31 , a middle support 32 and a distal support 33 arranged in sequence from the proximal end to the distal end. The middle bracket 32 is connected between the proximal bracket 31 and the distal bracket 33 . The middle bracket 32 is located at the middle part of the whole thrombectomy device 30 . In this embodiment, the proximal bracket 31 , the middle bracket 32 and the distal bracket 33 are integrally formed. The proximal bracket 31 is used to support the integral middle bracket 32 and the distal bracket 33 . The middle bracket 32 is used to catch thrombus. The distal support 33 is used to gather the thrombus and prevent the thrombus from falling off. In other embodiments, the proximal bracket 31, the middle bracket 32, and the distal bracket 33 can be different parts, and the bracket that can be fixedly connected to form an integral body between the proximal bracket 31, the middle bracket 32, and the distal bracket 33 shall prevail. .
在本实施例中,中部支架32包括间隔排布的第一连杆324和第二连杆325。第一连杆324的近端与近端支架31连接。第二连杆325的远端与远端支架33连接。第一连杆324与第二连杆325在取栓器30的周面上类周向曲线延伸。其中,类周向曲线延伸,指的是沿着取栓器30的周面上,类似于沿圆周方向的曲线延伸,且曲线延伸的方向,不与取栓器30纵向中心轴所在的方向平行,也不 沿取栓器30的圆周方向。曲线延伸包括弧线、折线、直线等中的一个或者多个。这样的设计,由于第一连杆324与第二连杆325在取栓器30的周面上类周向曲线延伸,使得近端支架31、远端支架33之间能够顺着第一连杆324、第二连杆325的类周向方向弯曲靠近,使得取栓器30整体从近端向远端具有类似螺旋延伸的形状,提高取栓器30弯曲的性能。当取栓器30处于弯曲的血管时,其类似于螺旋延伸的形状能够弯曲变形,很好地顺应弯曲血管,取栓器30可紧密贴合弯曲血管的内壁,有效防止血栓脱落。In this embodiment, the middle bracket 32 includes first connecting rods 324 and second connecting rods 325 arranged at intervals. A proximal end of the first link 324 is connected to the proximal bracket 31 . The distal end of the second link 325 is connected to the distal bracket 33 . The first connecting rod 324 and the second connecting rod 325 extend like a circumferential curve on the peripheral surface of the thrombus retriever 30 . Wherein, the extension of the quasi-circumferential curve refers to the extension along the peripheral surface of the thrombus remover 30, which is similar to the extension of the curve in the circumferential direction, and the direction of the extension of the curve is not parallel to the direction where the longitudinal central axis of the thrombus remover 30 is located. , nor along the circumferential direction of the thrombus retriever 30 . Curvilinear extensions include one or more of arcs, broken lines, straight lines, and the like. With such a design, since the first connecting rod 324 and the second connecting rod 325 extend in a circumferential curve on the peripheral surface of the thrombus remover 30, the distance between the proximal bracket 31 and the distal bracket 33 can be along the first connecting rod. 324 , the second connecting rod 325 bends close to the circumferential direction, so that the thrombus retriever 30 as a whole has a shape similar to a helical extension from the proximal end to the distal end, and improves the bending performance of the thrombus retriever 30 . When the thrombus retriever 30 is in a curved blood vessel, its shape similar to the helical extension can be bent and deformed, and it can well conform to the curved blood vessel. The thrombus retriever 30 can closely fit the inner wall of the curved blood vessel, effectively preventing the thrombus from falling off.
以下分别对取栓器30的近端支架31、中部支架32及远部支架32的结构作详细的解释。请参阅图6,近端支架31包括依次分布的第一支撑杆311和第一网格单元312。第一支撑杆311的近端汇聚于近端支架31的近端,第一支撑杆311其他部分向外延伸,且第一只支撑杆的远端与第一网格单元312的远端连接。在本实施例中,第一支撑杆311与第一网格单元312一体成型。第一支撑杆311的杆宽为0.1mm-0.5mm。其中,杆宽指的是,距离最远的两个端点之间的长度。在本实施例中,第一支撑杆311的数量为两根,且两根第一支撑杆311关于取栓器30的中心轴线对称分布,使得外界的作用力经两根第一支撑杆311均匀对称地传至第一网格单元312、取栓器30的中部支架32。在其他实施例中,第一支撑杆311的数量为一根。The structures of the proximal bracket 31 , the middle bracket 32 and the distal bracket 32 of the thrombus retriever 30 will be explained in detail below. Referring to FIG. 6 , the proximal bracket 31 includes first support rods 311 and first grid units 312 distributed in sequence. The proximal end of the first support rod 311 converges at the proximal end of the proximal bracket 31 , other parts of the first support rod 311 extend outward, and the distal end of the first support rod is connected to the distal end of the first grid unit 312 . In this embodiment, the first support rod 311 and the first grid unit 312 are integrally formed. The rod width of the first support rod 311 is 0.1mm-0.5mm. Wherein, the rod width refers to the length between the two farthest end points. In this embodiment, the number of first support rods 311 is two, and the two first support rods 311 are distributed symmetrically about the central axis of the thrombus remover 30, so that the external force is evenly distributed through the two first support rods 311. Symmetrically transmitted to the first grid unit 312 and the middle bracket 32 of the thrombus retriever 30 . In other embodiments, the number of the first support rod 311 is one.
请参阅图6和图7,图7为图6中X处的放大示意图。第一支撑杆311的杆宽,大于整个取栓器30其他不同位置的杆宽,即第一支撑杆311的杆宽最大。具体地,第一支撑杆311的杆宽比中部支架32的杆宽大,第一支撑杆311的杆宽比远端支架33的杆宽大。第一支撑杆311的刚度,比取栓器30其他不同位置的刚度大,第一支撑杆311比取栓器30其他不同部分更加不易变形,第一支撑杆311在有效地传递外界的作用力至取栓器30其他不同位置的同时,能够保持形状不变。Please refer to FIG. 6 and FIG. 7 , FIG. 7 is an enlarged schematic diagram of X in FIG. 6 . The rod width of the first support rod 311 is greater than the rod width of other different positions of the entire thrombus remover 30 , that is, the rod width of the first support rod 311 is the largest. Specifically, the rod width of the first support rod 311 is wider than that of the middle bracket 32 , and the rod width of the first support rod 311 is wider than that of the distal bracket 33 . The stiffness of the first support rod 311 is greater than that of other positions of the thrombus retriever 30. The first support rod 311 is less likely to be deformed than other parts of the thrombus retriever 30. The first support rod 311 is effectively transmitting external forces. While going to other different positions of the thrombus remover 30, the shape can be kept unchanged.
在本实施例中,沿轴向从远端到近端的方向上,第一支撑杆311的杆宽逐渐增大,第一支撑杆311的刚度越大,更加难以变形。这样的设计,第一支撑杆311靠近近端的部分,其刚度更大,不易折弯,避免第一支撑杆311折弯而影响取栓器30回收。In this embodiment, along the axial direction from the distal end to the proximal end, the width of the first support rod 311 gradually increases, and the greater the stiffness of the first support rod 311 , the more difficult it is to deform. With such a design, the part of the first support rod 311 near the proximal end has greater rigidity and is not easy to bend, so as to prevent the bending of the first support rod 311 from affecting the recovery of the thrombus retriever 30 .
在本实施例中,近端支架31中的第一网格单元312关于取栓器30的中心轴线对称,第一网格单元312可均匀地接收经推拉丝20和第一支撑杆311传递过来的作用力,在近端支架31从微导管10中释放之后,可保证近端支架31的径向支撑力。在其他实施例中,近端支架31中的第一网格单元312可不关于取栓器30的中心轴线对称,以能够保证近端支架31的径向支撑力为准。In this embodiment, the first grid unit 312 in the proximal bracket 31 is symmetrical with respect to the central axis of the thrombus retriever 30, and the first grid unit 312 can evenly receive the wires transmitted by the push-pull wire 20 and the first support rod 311. After the proximal stent 31 is released from the microcatheter 10, the radial support force of the proximal stent 31 can be guaranteed. In other embodiments, the first grid unit 312 in the proximal support 31 may not be symmetrical with respect to the central axis of the thrombus remover 30 , as long as the radial support force of the proximal support 31 can be ensured.
至于中部支架32。在本实施例中,中部支架32包括第一抓捕部分321、第二抓捕部分322、第三抓捕部分323、第一连杆324、第二连杆325及第三连杆326。第一抓捕部分321、第二抓捕部分322、第三抓捕部分323从近端到远端依次排布。第一连杆324、第三连杆326及第二连杆325从近端到远端依次排布。在图6中,第一抓捕部分321设置在近端支架31中两个相邻的第一网格单元312之间。As for the middle bracket 32. In this embodiment, the middle bracket 32 includes a first catching part 321 , a second catching part 322 , a third catching part 323 , a first connecting rod 324 , a second connecting rod 325 and a third connecting rod 326 . The first catching part 321 , the second catching part 322 and the third catching part 323 are arranged sequentially from the proximal end to the distal end. The first connecting rod 324 , the third connecting rod 326 and the second connecting rod 325 are arranged sequentially from the proximal end to the distal end. In FIG. 6 , the first catch portion 321 is disposed between two adjacent first grid units 312 in the proximal support 31 .
第一连杆324的近端固定连接近端支架31在远端的第一网格单元312。在本实施例中,第一连杆324与第一网格单元312在远端的汇聚部分固定连接。在其他实施例中,第一连杆324也可以与第一网杆单元312中非汇聚部分固定连接。The proximal end of the first link 324 is fixedly connected to the first grid unit 312 at the distal end of the proximal bracket 31 . In this embodiment, the first link 324 is fixedly connected to the converging portion of the first grid unit 312 at the distal end. In other embodiments, the first connecting rod 324 may also be fixedly connected to the non-converging part of the first net rod unit 312 .
在本实施例中,第一连杆324的远端与第二抓捕部分322固定连接。在本实施例中,第一连杆324的数量为两根,两根第一连杆324相对设置。第三连杆326的近端与第二抓捕部分322固定连接,第三连杆326的远端与第三抓捕部分323固定连接。第二连杆325的近端与第三抓捕部分323固定连接,第二连杆325的远端与远端支架33固定连接。In this embodiment, the distal end of the first link 324 is fixedly connected with the second catch portion 322 . In this embodiment, the number of the first connecting rods 324 is two, and the two first connecting rods 324 are arranged opposite to each other. The proximal end of the third connecting rod 326 is fixedly connected with the second catching part 322 , and the distal end of the third connecting rod 326 is fixedly connected with the third catching part 323 . The proximal end of the second connecting rod 325 is fixedly connected with the third catching part 323 , and the distal end of the second connecting rod 325 is fixedly connected with the distal bracket 33 .
在本实施例中,第一抓捕部分321与第二抓捕部分322在垂直于包括取栓器30纵向中心轴的平面的投影仅部分重合。且第一抓捕部分321的远端、及第二抓捕部分的远端,在垂直于包含所述取栓器纵向中心轴的平面上的投影相互间隔。这样的设计,使得取栓器30在其周面不同的位置可同时抓捕血栓,便于提高取栓器30抓捕效果。具体地,结合图6,部分第一连杆324在取栓器30的周面,相对X轴的正方向倾斜弯曲。在其他实施例中,第一连杆324可以在取栓器30的周面,沿其他方向倾斜弯曲,以能够提高取栓器30的抓捕效果为准。In this embodiment, the projections of the first capturing portion 321 and the second capturing portion 322 on a plane perpendicular to the longitudinal central axis of the thrombus retriever 30 only partially coincide. Moreover, the projections of the distal end of the first capturing portion 321 and the distal end of the second capturing portion on a plane perpendicular to the longitudinal central axis of the thrombus retriever are spaced apart from each other. Such a design enables the thrombus retriever 30 to capture thrombus at different positions on its peripheral surface at the same time, which is convenient to improve the capture effect of the thrombus retriever 30 . Specifically, referring to FIG. 6 , part of the first connecting rod 324 is obliquely bent relative to the positive direction of the X-axis on the peripheral surface of the thrombus retriever 30 . In other embodiments, the first connecting rod 324 can be inclined and bent in other directions on the peripheral surface of the thrombus retriever 30 , so as to improve the capture effect of the thrombus retriever 30 .
在本实施例中,第一连杆324、第三连杆326及第二连杆325在轴向从近端 到远端依次间隔排布。第一连杆324、第三连杆326及第二连杆325各自均呈弧形状,在取栓器30的周面上类周向曲线延伸。第一抓捕部分321的远端、第三抓捕部分323的远端及第二抓捕部分322的远端中,至少相邻的两个抓捕部分的远端在垂直于包含取栓器纵向中心轴的平面上的投影相互间隔,这样可使得取栓器30在其周面不同的位置可同时抓捕血栓,便于提高取栓器30抓捕效果。在其他实施例中,第一抓捕部分321的远端、第三抓捕部分323的远端及第二抓捕部分322的远端中,至少相邻的两个抓捕部分的远端,在垂直于包含取栓器纵向中心轴的平面上的投影全部间隔,这样进一步错开第一抓捕部分321、第三抓捕部分323的远端及第二抓捕部分322在取栓器30周面上的位置,提高取栓器30抓捕效果。In this embodiment, the first connecting rod 324, the third connecting rod 326 and the second connecting rod 325 are arranged at intervals from the proximal end to the distal end in the axial direction. Each of the first connecting rod 324 , the third connecting rod 326 and the second connecting rod 325 is arc-shaped and extends like a circumferential curve on the peripheral surface of the thrombus remover 30 . Among the distal ends of the first catching part 321, the third catching part 323 and the second catching part 322, the distal ends of at least two adjacent catching parts are perpendicular to the The projections on the plane of the longitudinal central axis are spaced apart from each other, so that the thrombus retriever 30 can capture thrombus at different positions on its peripheral surface at the same time, so as to improve the capture effect of the thrombus retriever 30 . In other embodiments, among the distal ends of the first capturing portion 321, the distal end of the third capturing portion 323 and the distal end of the second capturing portion 322, the distal ends of at least two adjacent capturing portions, The projections on the plane perpendicular to the longitudinal central axis of the thrombus retriever are all spaced apart, so that the distal ends of the first catch portion 321, the third catch portion 323 and the second catch portion 322 are further staggered around the thrombus retriever 30. The position on the surface improves the capture effect of the thrombus retriever 30 .
与沿轴向平行的连接杆的情况相比,本实施中第一连杆324、第三连杆326及第二连杆325在取栓器30的周面上类周向曲线延伸,使第一连杆324、第三连杆326及第二连杆325在轴向上具有良好的弯曲变形能力,近端支架31、中部支架32及远端支架33之间易于相互弯曲,近端支架31、中部支架32及远端支架33在通过弯曲血管100的过程中,能够很好地贴合弯曲的血管100,避免由于取栓器30没有贴合血管100内壁而使血栓脱离取栓器30。Compared with the case of connecting rods parallel to the axial direction, in this embodiment, the first connecting rod 324, the third connecting rod 326 and the second connecting rod 325 extend like a circumferential curve on the peripheral surface of the thrombus remover 30, so that the first connecting rod 324, the third connecting rod 326 and the second connecting rod 325 One connecting rod 324, the third connecting rod 326 and the second connecting rod 325 have good bending deformation capacity in the axial direction, and the proximal support 31, the middle support 32 and the distal support 33 are easy to bend each other, and the proximal support 31 , the middle stent 32 and the distal stent 33 can fit the curved blood vessel 100 well during the process of passing through the curved blood vessel 100 , so as to prevent the thrombus from being separated from the thrombus retriever 30 because the thrombus retriever 30 does not fit the inner wall of the blood vessel 100 .
具体在图6中,第一连杆324、部分第三连杆326及部分第二连杆325相对X轴的正方向顺着取栓器30的周面向下倾斜弯曲,在其他实施例中,第一连杆324、第三连杆326、第二连杆325也可沿不同或部分相同的方向在取栓器30的周面倾斜弯曲,以能够实现取栓器30具有较好的弯曲性能为准。Specifically in FIG. 6 , the first connecting rod 324, part of the third connecting rod 326 and part of the second connecting rod 325 are obliquely bent downward along the peripheral surface of the thrombus remover 30 relative to the positive direction of the X-axis. In other embodiments, The first connecting rod 324, the third connecting rod 326, and the second connecting rod 325 can also be obliquely bent on the peripheral surface of the thrombus remover 30 in different or partially the same directions, so that the thrombus remover 30 has better bending performance prevail.
在本实施例中,部分第一连杆324、部分第三连杆326之间相互平行。部分第一连杆324、部分第三连杆326之间相互平行指的是,部分第一连杆324与部分第三连杆326相互平行的同时,存在部分第一连杆324与部分第三连杆326不平行。具体地,在本实施例中,第三连杆326包括平直段3261和与倾斜段3262。倾斜段3262与第一连杆324平行或者近似平行。平直段3261与第一连杆324不平行,而是与X轴平行。这样的设计,可增大第二抓捕部分322与第三抓捕部分323之间的间距,增大第二抓捕部分322与第三抓捕部分323的开口大小,便于血栓从第二抓捕部分322及第三抓捕部分323之间的开口进入,提高取栓 器30抓捕血栓的性能。In this embodiment, part of the first connecting rod 324 and part of the third connecting rod 326 are parallel to each other. Part of the first connecting rod 324 and part of the third connecting rod 326 are parallel to each other means that while part of the first connecting rod 324 and part of the third connecting rod 326 are parallel to each other, there are part of the first connecting rod 324 and part of the third connecting rod. Links 326 are not parallel. Specifically, in this embodiment, the third link 326 includes a straight section 3261 and an inclined section 3262 . The inclined section 3262 is parallel or approximately parallel to the first link 324 . The straight section 3261 is not parallel to the first connecting rod 324, but parallel to the X axis. Such a design can increase the distance between the second catching part 322 and the third catching part 323, increase the opening size of the second catching part 322 and the third catching part 323, and facilitate the thrombus from the second catching part. The opening between the catching part 322 and the third catching part 323 enters to improve the performance of the thrombus retriever 30 in catching thrombus.
在本实施例中,部分第一连杆324、与部分第二连杆325、部分第三连杆326之间相互平行,使得近端支架31、及远端支架33易于顺着相同的方向弯曲延伸。部分第一连杆324、与部分第二连杆325、部分第三连杆326之间相互平行,指的是,部分第一连杆324、与部分第二连杆325、部分第三连杆326之间相互平行,同时也存在至少部分第一连杆324、第二连杆325、第三连杆326之间不平行。在本实施例中,第二连杆325呈拱形,部分第二连杆325沿X轴正方向向上倾斜,该部分第二连杆325与第一连杆324平行或者近似平行。这样的设计,可增大第一抓捕部分321、第二抓捕部分322与第三抓捕部分323之间的间距,增大第一抓捕部分321、第二抓捕部分322与第三抓捕部分323的开口大小,便于血栓从第一抓捕部分321、第二抓捕部分322及第三抓捕部分323之间的开口进入,提高取栓器30抓捕血栓的性能。在其他实施例中,部分第一连杆324、与部分第二连杆325、部分第三连杆326之间可接近相互平行,以能够实现近端支架31、及远端支架33易于顺着相同的方向弯曲延伸为准。In this embodiment, part of the first link 324, part of the second link 325, and part of the third link 326 are parallel to each other, so that the proximal bracket 31 and the distal bracket 33 are easy to bend along the same direction extend. Part of the first link 324, part of the second link 325, and part of the third link 326 are parallel to each other, which means that part of the first link 324, part of the second link 325, and part of the third link 326 are parallel to each other, and at least part of the first connecting rod 324 , the second connecting rod 325 , and the third connecting rod 326 are not parallel to each other. In this embodiment, the second connecting rod 325 is arched, and part of the second connecting rod 325 is inclined upward along the positive direction of the X-axis. This part of the second connecting rod 325 is parallel or approximately parallel to the first connecting rod 324 . Such a design can increase the distance between the first catching part 321, the second catching part 322 and the third catching part 323, and increase the distance between the first catching part 321, the second catching part 322 and the third catching part 323. The size of the opening of the capture part 323 is convenient for thrombus to enter through the openings between the first capture part 321 , the second capture part 322 and the third capture part 323 , which improves the performance of the thrombus retriever 30 in capturing thrombus. In other embodiments, part of the first link 324, part of the second link 325, and part of the third link 326 can be close to parallel to each other, so that the proximal bracket 31 and the distal bracket 33 can be easily moved along. Bending and extending in the same direction shall prevail.
第一连杆324的远端与第二连杆325的近端之间在取栓器30的周面上存在一条虚拟连线,第一连杆324、该虚拟连线及第二连杆325可形成一条围绕取栓器30纵向中心轴的螺旋线,使得近端支架31与远端支架33组成的取栓器30能够具有类似于螺旋延伸的形状,易于弯曲。在其他实施例中,第一连杆324、虚拟连线及第二连杆325可形成一条围绕取栓器30纵向中心轴的曲线可类似于螺旋线的形状。There is a virtual connection line on the peripheral surface of the thrombus remover 30 between the distal end of the first connecting rod 324 and the proximal end of the second connecting rod 325, the first connecting rod 324, the virtual connecting line and the second connecting rod 325 A helical line around the longitudinal central axis of the thrombus retriever 30 can be formed, so that the thrombus retriever 30 composed of the proximal support 31 and the distal support 33 can have a shape similar to a helical extension and is easy to bend. In other embodiments, the first connecting rod 324 , the virtual connecting line and the second connecting rod 325 may form a curve around the longitudinal central axis of the thrombus remover 30 which may be similar to a helical shape.
在本实施例中,第一连杆324的数量为两个、且两个第一连杆325彼此相对设置。相应地,第二连杆325及第三连杆326各自的数量为两个、彼此相对设置。In this embodiment, the number of the first connecting rods 324 is two, and the two first connecting rods 325 are arranged opposite to each other. Correspondingly, the number of each of the second connecting rod 325 and the third connecting rod 326 is two, and they are arranged opposite to each other.
其中一个第一连杆324与其中一个第二连杆325之间存在一条虚拟连线。另外一个第一连杆324与另外一个第二连杆325之间也存在一条虚拟连线。这样,使得第一连杆324、第一连杆324与第二连杆325之间的虚拟连线、第二连杆325形成两条围绕取栓器纵向中心轴的螺旋线,两条螺旋线互不相连。取栓器30中形成两条螺旋线,能够进一步提高取栓器30自身弯曲变形的性能,易 于弯曲,更好地顺应弯曲血管而紧密贴合于弯曲血管的内壁,有效防止血栓脱落。在其他实施中,取栓器30也可仅仅形成一条螺旋线,这样可以使得取栓器30能够顺着螺旋线的螺旋方向弯曲变形。在其他实施例中,取栓器30可形成3条或者更多条的螺旋线,具体以能够实现取栓器30易于弯曲,可紧密贴合血管内壁的效果为准。A virtual line exists between one of the first connecting rods 324 and one of the second connecting rods 325 . There is also a virtual connection between another first link 324 and another second link 325 . In this way, the first connecting rod 324, the virtual line between the first connecting rod 324 and the second connecting rod 325, and the second connecting rod 325 form two helical lines around the longitudinal central axis of the thrombus retriever, and the two helical lines Not connected to each other. Two helical lines are formed in the thrombus retriever 30, which can further improve the bending and deformation performance of the thrombus retriever 30 itself, which is easy to bend, better conforms to the curved blood vessel and closely adheres to the inner wall of the curved blood vessel, and effectively prevents the thrombus from falling off. In other implementations, the thrombus retriever 30 may also only form a helix, so that the thrombus retriever 30 can be bent and deformed along the helical direction of the helix. In other embodiments, the thrombus retriever 30 can form three or more helical wires, specifically, the effect that the thrombus retriever 30 can be easily bent and closely fit the inner wall of the blood vessel shall prevail.
在本实施例中,第一连杆324的远端与第三连杆326的近端之间在取栓器30的周面上存在第一虚拟连线327,第三连杆326的远端与第二连杆325的近端之间在取栓器30的周面上也存在第二虚拟连线328,第一连杆324、第一虚拟连线327、第三连杆326、第二虚拟连线328、第二连杆325可形成一条围绕取栓器30纵向中心轴的螺旋线。这样的设计,使得近端支架31、中部支架32、及远端支架33组成的取栓器30整体能够具有类似于螺旋延伸的形状,易于弯曲。In this embodiment, there is a first virtual line 327 on the peripheral surface of the thrombus remover 30 between the distal end of the first connecting rod 324 and the proximal end of the third connecting rod 326, and the distal end of the third connecting rod 326 There is also a second virtual line 328 on the peripheral surface of the thrombus remover 30 between the proximal end of the second connecting rod 325, the first connecting rod 324, the first virtual connecting line 327, the third connecting rod 326, the second The virtual connecting line 328 and the second connecting rod 325 can form a helix around the longitudinal central axis of the thrombus remover 30 . With such a design, the thrombus remover 30 composed of the proximal support 31 , the middle support 32 , and the distal support 33 can have a shape similar to a helical extension and is easy to bend.
在其他实施例中,中部支架32可仅包括第一连杆324和第二连杆325,以取栓器30能够很好地贴合弯曲的血管1000为准。In other embodiments, the middle bracket 32 may only include the first connecting rod 324 and the second connecting rod 325 , as long as the thrombus remover 30 can fit the curved blood vessel 1000 well.
以下对第一连杆324的形状,第二连杆325的形状、第三连杆326的形状进行描述。在本实施例中,第一连杆324整体相对X轴正方向向下倾斜。第二连杆325部分相对X轴的正方向向下倾斜。第二连杆325相对X轴正方向倾斜的部分与第一连杆324平行或者近似平行。第二连杆325的形状与第一连杆324的形状部分相同。第二连杆325呈拱形,部分第二连杆325沿X轴正方向向上倾斜,该部分第二连杆325与第一连杆324平行或者近似平行。另一部分第二连杆325沿X轴正方向向下倾斜。The shape of the first link 324 , the shape of the second link 325 , and the shape of the third link 326 are described below. In this embodiment, the first connecting rod 324 as a whole is inclined downward relative to the positive direction of the X-axis. A portion of the second link 325 is inclined downward relative to the positive direction of the X-axis. A portion of the second link 325 inclined relative to the positive direction of the X-axis is parallel or approximately parallel to the first link 324 . The shape of the second link 325 is partially the same as that of the first link 324 . The second connecting rod 325 is arched, part of the second connecting rod 325 is inclined upward along the positive direction of the X-axis, and this part of the second connecting rod 325 is parallel or approximately parallel to the first connecting rod 324 . Another part of the second link 325 is inclined downward along the positive direction of the X-axis.
第三连杆326包括平直段3261和与倾斜段3262。平直段3261的近端与第二抓捕部分322固定连接,平直段3261的远端与倾斜段3262的近端固定连接,倾斜段3262的远端与第三抓捕部分323固定连接。倾斜段3262与第一连杆324平行或者近似平行,平直段3261的延伸方向与X轴平行,可增大第二抓捕部分322与第三抓捕部分323之间的间距,增大第二抓捕部分322与第三抓捕部分323的开口大小,便于血栓从第二抓捕部分322及第三抓捕部分323之间的开口进入,提高取栓器30抓捕血栓的性能。The third link 326 includes a straight section 3261 and an inclined section 3262 . The proximal end of the straight section 3261 is fixedly connected with the second catching part 322 , the distal end of the straight section 3261 is fixedly connected with the proximal end of the inclined section 3262 , and the distal end of the inclined section 3262 is fixedly connected with the third catching part 323 . The inclined section 3262 is parallel or approximately parallel to the first connecting rod 324, and the extension direction of the straight section 3261 is parallel to the X axis, which can increase the distance between the second catching part 322 and the third catching part 323, and increase the distance between the second catching part 322 and the third catching part 323. The size of the openings of the second capture part 322 and the third capture part 323 is convenient for thrombus to enter through the opening between the second capture part 322 and the third capture part 323 , improving the performance of the thrombus retriever 30 in capturing thrombus.
第一连杆324、第二连杆325、第三连杆326的形状部分相同,这便于排布近端支架31、中部支架32及远端支架33的位置,使其取栓器30整体能够具有很好的弯曲性能的同时,保证取栓器30整体结构的布置。在其他实施例中,第一连杆324、第二连杆325及第三连杆326的形状可相同,以第一连杆324、第二连杆325及第三连杆326能够实现整体取栓器30具有周向螺旋延伸的趋势及具有较好的弯曲性能为准。The shapes of the first connecting rod 324, the second connecting rod 325, and the third connecting rod 326 are partly the same, which is convenient for arranging the positions of the proximal support 31, the middle support 32 and the distal support 33, so that the thrombus remover 30 as a whole can While having good bending performance, the arrangement of the overall structure of the thrombus remover 30 is ensured. In other embodiments, the shapes of the first connecting rod 324, the second connecting rod 325 and the third connecting rod 326 can be the same, and the first connecting rod 324, the second connecting rod 325 and the third connecting rod 326 can be integrated into one another. The embolus 30 has a tendency to extend helically in the circumferential direction and has better bending performance.
请参阅图6和图8,图8为图6中XX处的放大示意图。其他条件保持一致的情况下,第一连杆324近端的杆宽大于第一连杆324中间部分的杆宽,可提高第一连杆324在近端的强度,使第一连杆324的近端比第一连杆324中间部分更加不易于折断。第一连杆324远端的杆宽也大于第一连杆324中间部分,第一连杆324远端更加不易于折断。相应地,第二连杆325、第三连杆326也有类似的设置,此处不再赘述。Please refer to FIG. 6 and FIG. 8 , FIG. 8 is an enlarged schematic view of XX in FIG. 6 . When other conditions remain the same, the rod width at the proximal end of the first connecting rod 324 is greater than the rod width at the middle part of the first connecting rod 324, which can improve the strength of the first connecting rod 324 at the proximal end, making the first connecting rod 324 The proximal end is less prone to breaking than the middle portion of the first link 324 . The rod width of the distal end of the first connecting rod 324 is also greater than that of the middle part of the first connecting rod 324, and the distal end of the first connecting rod 324 is more difficult to break. Correspondingly, the second connecting rod 325 and the third connecting rod 326 also have similar settings, which will not be repeated here.
在本实施例中,第一连杆324近端倒圆角,避免第一连杆324近端应力集中而容易断裂。第一连杆324远端、第二连杆325近端及远端、第三连杆326的近端及远端也设置有倒圆角。In this embodiment, the proximal end of the first connecting rod 324 is rounded to avoid stress concentration at the proximal end of the first connecting rod 324 and easy breakage. The distal end of the first connecting rod 324 , the proximal and distal ends of the second connecting rod 325 , and the proximal and distal ends of the third connecting rod 326 are also provided with rounded corners.
请再次参阅图6,第一连杆324的杆宽、第二连杆325的杆宽及第三连杆326的杆宽均大于远端支架33中网杆的杆宽,且第一连杆324的杆宽、第二连杆325的杆宽及第三连杆326的杆宽小于近端支架31中第一支撑杆311的杆宽,这样的设置使得第一连杆324、第二连杆325及第三连杆326的强度,大于远端支架33中网杆的强度,同时小于第一支撑杆311的强度,使第一连杆324、第二连杆325及第三连杆326易于弯曲变形的同时,有较好的强度而不易于断裂。Please refer to Fig. 6 again, the rod width of the first connecting rod 324, the rod width of the second connecting rod 325 and the rod width of the third connecting rod 326 are all greater than the rod width of the net rod in the distal support 33, and the first connecting rod 324, the bar width of the second link 325 and the bar width of the third link 326 are less than the bar width of the first support bar 311 in the proximal support 31, so that the first link 324, the second link The strength of the rod 325 and the third connecting rod 326 is greater than the strength of the net rod in the distal support 33, and is less than the strength of the first support rod 311, so that the first connecting rod 324, the second connecting rod 325 and the third connecting rod 326 While easy to bend and deform, it has good strength and is not easy to break.
以下对第一抓捕部分321、第二抓捕部分322、第三抓捕分323进行描述。请再次参阅图4至图6,第一抓捕部分321包括间隔设置的第一子抓捕件3211和第二子抓捕件3212。第一子抓捕件3211和第二子抓捕件3212各自包括两根网杆,两根网杆的近端分别连接相邻的第一网杆单元的网杆部分,两根网杆的远端汇聚在一起,这两根网杆远端汇聚的部分悬空。当取栓器30在血管中释放后,取栓器30会被血管100挤压,两个网杆近端部分径向压缩,使两个网杆远端汇聚的部分向外扩张,便于第一抓捕部分捕获血栓。相应地,第二抓捕部分 322及第三抓捕部分323,与第一抓捕部分321的形状类似。第二抓捕部分322及第三抓捕部分323,各自分别包括两个抓捕件,每个抓捕件是由两根网杆围成。这些网杆的近端,与中部支架32中的网杆单元固定连接;网杆远端汇聚的部分悬空。The first capturing part 321 , the second capturing part 322 and the third capturing part 323 will be described below. Please refer to FIG. 4 to FIG. 6 again, the first catching part 321 includes a first sub-catching part 3211 and a second sub-catching part 3212 arranged at intervals. The first sub-catching part 3211 and the second sub-catching part 3212 respectively include two net rods, the proximal ends of the two net rods are respectively connected to the net rod parts of the adjacent first net rod unit, and the far ends of the two net rods are connected to each other. The ends converge together, and the part where the far ends of the two mesh rods converge is suspended in the air. When the thrombus remover 30 is released in the blood vessel, the thrombus remover 30 will be squeezed by the blood vessel 100, and the proximal parts of the two mesh rods will be radially compressed, so that the part where the distal ends of the two mesh rods converge will expand outward, which is convenient for the first The catch portion captures the thrombus. Correspondingly, the second catching part 322 and the third catching part 323 are similar in shape to the first catching part 321 . The second catching part 322 and the third catching part 323 respectively include two catching parts, and each catching part is surrounded by two net rods. The near ends of these net rods are fixedly connected with the net rod units in the middle support 32; the part where the far ends of the net rods converge is suspended.
在本实施例中,第一抓捕部分321中第一子抓捕件3211和第二子抓捕件3212在至少一个包含所述取栓器30纵向中心轴的平面上的投影上部分重叠。具体地,部分第一子抓捕件3211和部分第二子抓捕件3212对齐,第一子抓捕件3211的远端到取栓器30近端的距离,大于第二子抓捕件3212的远端到取栓器30近端的距离。在第一抓捕部分321回收进入微导管10过程中,两个相对的抓捕件被压缩进入微导管10的同时不会相互重合叠加,减小第一抓捕部分321压缩进入微导管10过程中的厚度,便于第一抓捕部分321收回微导管10内。相应地,第二抓捕部分322中的两个抓捕件、第三抓捕部分323中的两个抓捕件分别也具有与第一抓捕部分321中两个抓捕件类似的形状,以第二抓捕部分322、第三抓捕部分323便于进入微导管10为准。In this embodiment, the projection of the first sub-capturing part 3211 and the second sub-capturing part 3212 in the first capturing part 321 partially overlaps on at least one plane including the longitudinal central axis of the thrombus retriever 30 . Specifically, part of the first sub-grabbing part 3211 is aligned with part of the second sub-catching part 3212, and the distance from the distal end of the first sub-grabbing part 3211 to the proximal end of the thrombus retriever 30 is greater than that of the second sub-catching part 3212 The distance from the distal end to the proximal end of the thrombus retriever 30. During the recovery of the first capture part 321 into the microcatheter 10, the two opposite capture parts are compressed into the microcatheter 10 and will not overlap with each other, reducing the compression of the first capture part 321 into the microcatheter 10. The thickness of the medium is convenient for the first catch portion 321 to be withdrawn into the microcatheter 10 . Correspondingly, the two catching pieces in the second catching part 322 and the two catching pieces in the third catching part 323 respectively also have similar shapes to the two catching pieces in the first catching part 321, The second catching part 322 and the third catching part 323 are convenient for entering the microcatheter 10 .
在本实施例中,第一抓捕部分321的远端缠绕有显影点,第三抓捕部分323的远端也分别缠绕有显影点。在其他实施例中,第二抓捕部分322的远端也可缠绕有显影点。In this embodiment, the distal end of the first catch part 321 is wound with a developing point, and the distal end of the third catch part 323 is also wrapped with a developing point respectively. In other embodiments, the distal end of the second catch portion 322 may also be wrapped with a developing point.
以下对远端支架33的结构进行描述。远端支架33包括多个均匀排布的网格单元。取栓器30在展开的时候,网格单元近似呈菱形,相邻的网格单元相互连接。远端支架33网格单元的开口较中部支架中网格单元的开口小,远端支架33可拦截收容取栓器30内的血栓,防止血栓脱落。The structure of the distal bracket 33 will be described below. The distal support 33 includes a plurality of uniformly arranged grid units. When the thrombus retriever 30 is unfolded, the grid units are approximately in the shape of a rhombus, and adjacent grid units are connected to each other. The opening of the grid unit of the distal support 33 is smaller than the opening of the grid unit in the middle support, and the distal support 33 can intercept and accommodate the thrombus in the thrombus retriever 30 to prevent the thrombus from falling off.
第二实施例second embodiment
请参阅图9和图10,图9为本申请第二实施例提供的取栓装置的剖视示意图;图10为本申请第二实施例中取栓器的剖视示意图。本实施例提供的取栓装置1a与第一实施例基本相同,不同的是,在本实施中,弹性件50a与推拉丝20a并非一体成型。弹性件50a具有弹性,且由高分子材料形成。弹性件50a的近端与推拉丝20a的远端固定连接。具体地,推拉丝20a的远端设有固定环21a,弹 性件50a与固定环21a固定连接。具体地,弹性件50a与固定环21a缠绕捆绑固定在一起。Please refer to FIG. 9 and FIG. 10 . FIG. 9 is a schematic cross-sectional view of the thrombus retrieval device provided in the second embodiment of the present application; FIG. 10 is a schematic cross-sectional view of the thrombus retrieval device in the second embodiment of the present application. The thrombus removing device 1a provided by this embodiment is basically the same as that of the first embodiment, except that in this embodiment, the elastic member 50a and the push-pull wire 20a are not integrally formed. The elastic member 50a has elasticity and is formed of polymer material. The proximal end of the elastic member 50a is fixedly connected with the distal end of the push-pull wire 20a. Specifically, the distal end of the push-pull wire 20a is provided with a fixing ring 21a, and the elastic member 50a is fixedly connected with the fixing ring 21a. Specifically, the elastic member 50a is wound and bound together with the fixing ring 21a.
在本实施例中,取栓装置1a还包括连接环60a。连接环60a的远端,与取栓器30a的远端固定连接。具体地,弹性件50a与连接环60a缠绕捆绑固定在一起。在本实施例中,弹性件50a可穿过连接环30a的开口,捆绑固定在连接环60a上。弹性件50a由于自身具有弹性,无需在轴向方向上形成螺旋结构来保证弹性件50a的弹性,这种设置能够减少取栓器径向上部件的密集程度,更易于进鞘。In this embodiment, the thrombectomy device 1a further includes a connecting ring 60a. The distal end of the connecting ring 60a is fixedly connected with the distal end of the thrombus retriever 30a. Specifically, the elastic member 50a is wound and bound together with the connecting ring 60a. In this embodiment, the elastic member 50a can pass through the opening of the connecting ring 30a, and be bound and fixed on the connecting ring 60a. Since the elastic member 50a is elastic, there is no need to form a helical structure in the axial direction to ensure the elasticity of the elastic member 50a. This arrangement can reduce the density of components in the radial direction of the thrombus retriever and make it easier to insert into the sheath.
第三实施例third embodiment
请参阅图11和图12,图11为本申请第三实施例提供的取栓装置1b的剖视示意图;图12为本申请第三实施例中弹性件的示意图。本实施例提供的取栓装置1b与第一实施例基本相同,不同的是,在本实施中,弹性件50b包括平整段51b和与平整段51b相连的螺旋段52b。在轴向方向上,平整段51a与中部支架32b的抓捕部分320b正对。具体地,抓捕部分320b包括第一抓捕部分321b、第二抓捕部分322b、第三抓捕部分323b。平整段51a分别与取栓器中的第一抓捕部分321b、第二抓捕部分322b、第三抓捕部分323b对应。平整段51a呈平直状,在轴向方向延伸,能够避免与第一抓捕部分321b、第二抓捕部分322b及第三抓捕部分23b之间产生相互干涉,避免平整段51a缠绕到第一抓捕部分321b、第二抓捕部分322b及第三抓捕部分23b而影响取栓器在血管中展开。在其他实施例中,抓捕部分320b可仅包括第一抓捕部分321b,或者仅包括第一抓捕部分321b和第二抓捕部分322b,以抓捕部分320b能够实现抓捕血栓的功能为准。Please refer to FIG. 11 and FIG. 12 . FIG. 11 is a schematic cross-sectional view of the thrombus removing device 1 b provided in the third embodiment of the present application; FIG. 12 is a schematic view of the elastic member in the third embodiment of the present application. The thrombus removing device 1b provided in this embodiment is basically the same as the first embodiment, except that in this embodiment, the elastic member 50b includes a flat section 51b and a helical section 52b connected to the flat section 51b. In the axial direction, the flat section 51a is opposite to the catch portion 320b of the middle bracket 32b. Specifically, the catching part 320b includes a first catching part 321b, a second catching part 322b, and a third catching part 323b. The flat section 51a corresponds to the first catching part 321b, the second catching part 322b, and the third catching part 323b of the thrombus retriever respectively. The flat section 51a is straight and extends in the axial direction, which can avoid mutual interference with the first catching part 321b, the second catching part 322b and the third catching part 23b, and prevent the flat section 51a from being wrapped around the first catching part 321b. The first catching part 321b, the second catching part 322b and the third catching part 23b affect the deployment of the thrombus retriever in the blood vessel. In other embodiments, the capture part 320b may only include the first capture part 321b, or only include the first capture part 321b and the second capture part 322b, so that the capture part 320b can realize the function of capturing thrombus as allow.
在本实施例中,多个螺旋段52b分别与近端支架31b、远端支架33b对应。多个螺旋段52b在轴向被拉伸后具有恢复原状的恢复力,保证整体弹性件50b的弹性。同时,多个螺旋段52b能够增大与血栓的接触面积,防止血栓脱落。In this embodiment, the plurality of helical segments 52b correspond to the proximal bracket 31b and the distal bracket 33b respectively. The plurality of helical segments 52b have a restoring force to restore the original shape after being stretched in the axial direction, so as to ensure the elasticity of the whole elastic member 50b. At the same time, the plurality of helical segments 52b can increase the contact area with the thrombus and prevent the thrombus from falling off.
在本实施例中,平整段51b连接在两个相邻的螺旋段51b之间,使得血栓进入取栓器30b内对应平整段51b部分后,被相邻的螺旋段52b阻挡而不易于 移动,提高取栓器30b防止血栓脱落的效果。In this embodiment, the flat section 51b is connected between two adjacent helical sections 51b, so that after the thrombus enters the part corresponding to the flat section 51b in the thrombus retriever 30b, it is blocked by the adjacent helical section 52b and is not easy to move. Improve the thrombus remover 30b to prevent the effect of falling off.
第四实施例Fourth embodiment
请参阅图13和图14,图13为本申请第四实施例提供的取栓装置的剖视示意图;图14为本申请第四实施例中取栓器的剖视示意图。本实施例提供的取栓装置1c与第一实施例基本相同,不同的是,在本实施中,弹性件50c包括主体51c,和与主体51c固定连接的多个穿刺件52c。主体51c沿轴向延伸。多个穿刺件52c在主体51c间隔排布,并在周向交错分布。在捕获血栓的过程中,单穿刺件52c可刺入血栓,将血栓固定,防止血栓从取栓器30c内脱落。且多个穿刺件52c可增大弹性件与血栓的接触面积,且多个相邻的穿刺件52c可相互夹持血栓,进一步提高防止血栓脱落的效果。Please refer to FIG. 13 and FIG. 14 . FIG. 13 is a schematic cross-sectional view of the thrombus retrieval device provided in the fourth embodiment of the present application; FIG. 14 is a schematic cross-sectional view of the thrombus retrieval device in the fourth embodiment of the present application. The thrombus removing device 1c provided in this embodiment is basically the same as that in the first embodiment, except that in this embodiment, the elastic member 50c includes a main body 51c and a plurality of piercing members 52c fixedly connected to the main body 51c. The main body 51c extends in the axial direction. A plurality of piercing elements 52c are arranged at intervals on the main body 51c, and distributed alternately in the circumferential direction. During the process of capturing the thrombus, the single piercing member 52c can pierce the thrombus to fix the thrombus and prevent the thrombus from falling out of the thrombus retriever 30c. Moreover, multiple piercing elements 52c can increase the contact area between the elastic element and the thrombus, and multiple adjacent piercing elements 52c can clamp the thrombus with each other, further improving the effect of preventing the thrombus from falling off.
在本实施例中,每个穿刺件52c与主体51c所在轴向之间的角度为锐角,结合图13,主体的延伸方向与X轴的延伸方向平行。每个穿刺件52c与主体所在轴向之间的角度为锐角,与每个穿刺件52c与X轴正方向之间的夹角相同。取栓器30c被压缩进入微导管10c的过程中,穿刺件52c能够以与主体51c的连接点为基点,沿着顺时针方向靠近主体51c,从而顺利进入微导管10c,保证微导管10c顺利回收血栓和取栓器30c。避免穿刺件52c与X轴正方向之间的夹角为钝角的情况下,穿刺件52c容易抵持微导管10c内壁或者卡持在微导管10c管口而阻碍取栓器30c进入微导管。In this embodiment, the angle between each piercing member 52c and the axial direction of the main body 51c is an acute angle. Referring to FIG. 13 , the extending direction of the main body is parallel to the extending direction of the X-axis. The angle between each piercing member 52c and the axial direction of the main body is an acute angle, which is the same as the angle between each piercing member 52c and the positive direction of the X-axis. When the thrombus retriever 30c is compressed into the microcatheter 10c, the puncture part 52c can approach the main body 51c in a clockwise direction based on the connection point with the main body 51c, so as to smoothly enter the microcatheter 10c and ensure the smooth recovery of the microcatheter 10c Thrombus and thrombus retriever 30c. If the included angle between the piercing piece 52c and the positive direction of the X-axis is obtuse, the piercing piece 52c is likely to abut against the inner wall of the microcatheter 10c or be stuck at the nozzle of the microcatheter 10c to prevent the thrombus remover 30c from entering the microcatheter.
第五实施例fifth embodiment
请参阅图15至图17,图15为本申请第五实施例提供的取栓装置中取栓器的剖视示意图;图16为本申请第五实施例提供的取栓装置中穿刺件的剖视图;图17为本申请第五实施例提供的取栓装置中穿刺件在另一角度的剖视图。本实施例提供的取栓装置1d与第四实施例基本相同,不同的是,在本实施中,穿刺件52d套接在主体51d的外表面。具体地,穿刺件52d通过自身的开口套在主体51d的外表面,再压缩穿刺件52d、使穿刺件52d的开口缩小,防止穿刺件52d脱落。Please refer to Fig. 15 to Fig. 17, Fig. 15 is a schematic cross-sectional view of the thrombus remover in the thrombectomy device provided by the fifth embodiment of the present application; Fig. 16 is a cross-sectional view of the puncture member in the thrombus removal device provided by the fifth embodiment of the present application ; FIG. 17 is a cross-sectional view at another angle of the piercing member in the thrombectomy device provided by the fifth embodiment of the present application. The thrombus removing device 1d provided in this embodiment is basically the same as the fourth embodiment, the difference is that in this embodiment, the piercing member 52d is sleeved on the outer surface of the main body 51d. Specifically, the puncture member 52d is covered on the outer surface of the main body 51d through its own opening, and then the puncture member 52d is compressed to reduce the opening of the puncture member 52d to prevent the puncture member 52d from falling off.
在本实施例中,主体51d设有收容槽53d。部分穿刺件52d收容在收容槽53d上,部分穿刺件52d在轴向方向上受到收容槽53d内壁的限位,使穿刺件52d仅能够绕着主体51d的外表面转动。穿刺件52d能够增大与血栓的接触面积,提高捕获血栓的效果以及防止血栓脱落的效果,且穿刺件52d能够顺应血管的弯曲而转动,避免刺伤血管内壁。In this embodiment, the main body 51d is provided with a receiving groove 53d. Part of the piercing member 52d is accommodated in the receiving groove 53d, and part of the piercing member 52d is limited by the inner wall of the receiving groove 53d in the axial direction, so that the piercing member 52d can only rotate around the outer surface of the main body 51d. The puncture part 52d can increase the contact area with the thrombus, improve the effect of capturing the thrombus and preventing the thrombus from falling off, and the puncture part 52d can rotate following the curvature of the blood vessel to avoid stabbing the inner wall of the blood vessel.
第六实施例Sixth embodiment
请参阅图18,图18为本申请第六实施例提供的取栓装置中取栓器的剖视示意图;图19为本申请第六实施例提供的取栓装置中弹性件的结构示意图。本实施例提供的取栓装置1e与第一实施例基本相同,不同的是,在本实施中,在本实施例中,弹性件50e包括第一螺旋线51e和第二螺旋线52e,第一螺旋线51e和第二螺旋线52e相互缠绕延伸。第一螺旋线51e的近端与第二螺旋线52e的近端紧密贴合、缠绕后,与推拉丝20e的远端及取栓器30e的近端固定连接。在自然状态下,第一螺旋线51e的远端与第二螺旋线52e的远端紧密贴合、缠绕后,与取栓器30e的远端固定连接。第一螺旋线51e的主体部分(除第一螺旋线的近端和第一螺旋线的远端的部分),与第二螺旋线52e的主体部分(除第二螺旋线的近端和第二螺旋线的远端部分),在轴向相互螺旋延伸,并且相互之间存在间隙,共同围成收容空间。Please refer to FIG. 18 . FIG. 18 is a schematic cross-sectional view of the thrombus retriever provided in the sixth embodiment of the present application; FIG. 19 is a schematic structural view of the elastic member in the thrombus retrieval device provided in the sixth embodiment of the present application. The thrombectomy device 1e provided in this embodiment is basically the same as the first embodiment, the difference is that in this embodiment, in this embodiment, the elastic member 50e includes a first helical wire 51e and a second helical wire 52e, the first helical wire 51e The helical wire 51e and the second helical wire 52e extend around each other. The proximal end of the first helical wire 51e is closely attached to the proximal end of the second helical wire 52e, and after being wound, it is fixedly connected with the distal end of the push-pull wire 20e and the proximal end of the thrombus retriever 30e. In a natural state, the distal end of the first helical wire 51e is closely attached to the distal end of the second helical wire 52e, and after being wound, it is fixedly connected to the distal end of the thrombus retriever 30e. The main body portion of the first helix 51e (except the proximal end of the first helix and the distal end of the first helix), and the main body portion of the second helix 52e (except the proximal end of the second helix and the second helix) The distal part of the helix) extends spirally with each other in the axial direction, and there is a gap between them, and jointly encloses a receiving space.
在取栓过程中,弹性件除了可限制取栓器30e的轴向伸展得过长外,还可在取栓过程中,增大与血栓的接触面积,使部分血栓可嵌入到第一螺旋线51e与第二螺旋线52e之间的收容空间,使血栓受到第一螺旋线51e和第二螺旋线52e的抵持而无法轻易脱离,防止血栓脱落。During the thrombus removal process, the elastic member can not only limit the axial extension of the thrombus remover 30e from being too long, but also increase the contact area with the thrombus during the thrombus removal process, so that part of the thrombus can be embedded in the first helix The accommodation space between 51e and the second helical thread 52e prevents the thrombus from being easily separated due to the resistance of the first helical thread 51e and the second helical thread 52e, preventing the thrombus from falling off.
请参阅图20,图20为本申请第七实施例提供的取栓装置中弹性件的结构示意图。本实施例中的取栓装置与第六实施例中的取栓装置基本相同。不同的是,弹性件50e包括多根螺旋线53e。多根指的是三根或者三根以上。多根螺旋线53e的近端紧密缠绕并与推拉丝20e的远端固定连接。多根螺旋线53e的远端紧密缠绕并与取栓器30e的远端固定连接。多根螺旋线53e包括与其近端和其远端连接的主体部分,主体部分均收容于取栓器30e的内部,且相互螺旋延伸、相互交 错,围成收容空间54e。进入到该收容空间54e的血栓受到限位多根螺旋线53e的限位而难以脱离。且多根螺旋线53e与取栓器30e相互配合,血栓卡在取栓器30e和多根螺旋线53e之间,有效防止血栓脱落。Please refer to FIG. 20 . FIG. 20 is a schematic structural diagram of the elastic member in the thrombectomy device provided by the seventh embodiment of the present application. The thrombectomy device in this embodiment is basically the same as that in the sixth embodiment. The difference is that the elastic member 50e includes a plurality of helical wires 53e. Multiple refers to three or more. The proximal ends of the plurality of helical wires 53e are tightly wound and fixedly connected with the distal ends of the push-pull wires 20e. The distal ends of the plurality of helical wires 53e are tightly wound and fixedly connected with the distal end of the thrombus retriever 30e. The plurality of helical wires 53e include a main body part connected to its proximal end and its distal end. The main parts are all accommodated inside the thrombus remover 30e, and extend helically and interlaced with each other to enclose a receiving space 54e. The thrombus entering the receiving space 54e is limited by the plurality of limiting helical wires 53e and is difficult to escape. Moreover, the plurality of helical wires 53e cooperate with the thrombus retriever 30e, and the thrombus is stuck between the thrombus retriever 30e and the plurality of helical wires 53e, effectively preventing the thrombus from falling off.
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-mentioned embodiments can be combined arbitrarily. To make the description concise, all possible combinations of the technical features in the above-mentioned embodiments are not described. However, as long as there is no contradiction in the combination of these technical features, should be considered as within the scope of 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 express several implementation modes of the present invention, and the descriptions thereof are relatively specific and detailed, but should not be construed as limiting the patent scope of the invention. It should be pointed out that those skilled in the art can make several modifications and improvements without departing from the concept of the present invention, and these all belong to the protection scope of the present invention. Therefore, the protection scope of the patent for the present invention should be based on the appended claims.

Claims (20)

  1. 一种取栓装置,其特征在于,所述取栓装置包括取栓器和弹性件,所述弹性件设置在所述取栓器围成的空间内,所述弹性件的近端与所述取栓器的近端固定连接,所述弹性件的远端与所述取栓器的远端固定连接,所述弹性件有弹性,当所述取栓器处于压缩状态时,所述弹性件可使所述取栓器的远端和所述取栓器的近端相互靠近。A thrombus removal device, characterized in that the thrombus removal device includes a thrombus remover and an elastic member, the elastic member is arranged in the space surrounded by the thrombus remover, the proximal end of the elastic member is connected to the The proximal end of the thrombus retriever is fixedly connected, the distal end of the elastic member is fixedly connected with the distal end of the thrombus retriever, the elastic member is elastic, and when the thrombus retriever is in a compressed state, the elastic member The distal end of the retriever and the proximal end of the retriever may be brought into close proximity to each other.
  2. 如权利要求1所述的取栓装置,其特征在于,在自然状态下,所述弹性件在轴向方向螺旋延伸。The thrombectomy device according to claim 1, characterized in that, in a natural state, the elastic member extends helically in the axial direction.
  3. 如权利要求1所述的取栓装置,其特征在于,所述取栓器包括抓捕部分,所述抓捕部分用于抓捕血栓,所述弹性件包括平整段,所述平整段与所述抓捕部分正对。The thrombus retrieval device according to claim 1, characterized in that, the thrombus retriever includes a catching part, the catching part is used to catch thrombus, and the elastic member includes a flat section, and the flat section is connected to the thrombus. The arrest part is facing.
  4. 如权利要求1所述的取栓装置,其特征在于,所述弹性件包括主体和与所述主体连接的穿刺件,所述穿刺件可刺入血栓。The thrombectomy device according to claim 1, wherein the elastic member comprises a main body and a piercing member connected to the main body, and the piercing member can penetrate thrombus.
  5. 如权利要求4所述的取栓装置,其特征在于,所述穿刺件与所述主体支架的角度为锐角。The thrombectomy device according to claim 4, wherein the angle between the piercing member and the main body bracket is an acute angle.
  6. 如权利要求4所述的取栓装置,其特征在于,所述穿刺件与所述主体的外表面固定连接。The thrombectomy device according to claim 4, wherein the piercing member is fixedly connected to the outer surface of the main body.
  7. 如权利要求4所述的取栓装置,其特征在于,所述穿刺件套设在所述主体的外表面,且所述穿刺件可绕所述主体转动。The thrombus removing device according to claim 4, wherein the piercing member is sleeved on the outer surface of the main body, and the piercing member can rotate around the main body.
  8. 如权利要求1所述的取栓装置,其特征在于,所述弹性件包括两根或者两根以上的螺旋线,所述螺旋线在轴向相互螺旋延伸。The thrombectomy device according to claim 1, wherein the elastic member comprises two or more helical wires, and the helical wires extend helically with each other in the axial direction.
  9. 如权利要求8所述的取栓装置,其特征在于,所述两根或者两根以上螺旋线的近端紧密贴合,并与取栓器的近端固定连接,所述两根或者两根以上螺旋线的远端紧密贴合,并与取栓器的远端固定连接。The thrombectomy device according to claim 8, wherein the proximal ends of the two or more helical wires are closely attached and fixedly connected with the proximal ends of the thrombus retriever, and the two or more The distal end of the above helical wire fits tightly and is fixedly connected with the distal end of the thrombus retriever.
  10. 如权利要求8或者9所述的取栓装置,其特征在于,在自然状态下,所述两根或者两根以上螺旋线之间围设出收容空间。The thrombectomy device according to claim 8 or 9, characterized in that, in a natural state, a storage space is enclosed between the two or more helical wires.
  11. 一种取栓装置,其特征在于,所述取栓装置包括取栓器,所述取栓器包括从近端到远端依次设置的近端支架、中部支架及远端支架,所述中部支架包括间隔排布的第一连杆和第二连杆,所述第一连杆的近端与所述近端支架连接,所述第二连杆的远端与所述远端支架连接,所述第一连杆与所述第二连杆在所述取栓器的周面上类周向曲线延伸。A thrombus retrieval device, characterized in that, the thrombus retrieval device includes a thrombus retriever, and the thrombus retriever includes a proximal bracket, a middle bracket and a distal bracket arranged sequentially from the proximal end to the distal end, and the middle bracket It includes a first connecting rod and a second connecting rod arranged at intervals, the proximal end of the first connecting rod is connected to the proximal support, and the distal end of the second connecting rod is connected to the distal support. The first connecting rod and the second connecting rod extend like a circumferential curve on the peripheral surface of the thrombus retriever.
  12. 如权利要求11所述的取栓装置,其特征在于,所述第一连杆的远端与所述第二连杆的近端之间在所述取栓器的周面上存在一条虚拟连线,所述第一连杆、所述虚拟连线及第二连杆可形成一条围绕所述取栓器纵向中心轴的螺旋线。The thrombectomy device according to claim 11, wherein there is a virtual connection between the distal end of the first connecting rod and the proximal end of the second connecting rod on the peripheral surface of the thrombus removing device. line, the first connecting rod, the virtual connecting line and the second connecting rod may form a helix around the longitudinal central axis of the thrombus retriever.
  13. 如权利要求11所述的取栓装置,其特征在于,所述第一连杆的数量为两个,所述第二连杆的数量为两个,其中一个所述第一连杆与其中一个所述第二连杆之间存在一条虚拟连线,另外一个所述第一连杆与另外一个所述第二连杆之间也存在一条虚拟连线,所述第一连杆、所述第一连杆与所述第二连杆之间的虚拟连线、所述第二连杆形成两条围绕所述取栓器纵向中心轴的螺旋线,所述两条螺旋线互不相连。The thrombus removing device according to claim 11, wherein the number of the first connecting rods is two, the number of the second connecting rods is two, one of the first connecting rods and one of the There is a virtual connection line between the second connecting rods, and there is also a virtual connecting line between the other first connecting rod and the other second connecting rod. The first connecting rod, the first connecting rod A virtual line between the first connecting rod and the second connecting rod, the second connecting rod forms two helical lines around the longitudinal central axis of the thrombus retriever, and the two helical lines are not connected to each other.
  14. 如权利要求11所述的取栓装置,其特征在于,所述中部支架包括第一抓捕部分,所述第一抓捕部分与所述第一连杆在所述取栓器的周面上相邻排布,所述第一抓捕部分的近端与所述近端支架固定连接,所述第一抓捕部分的远端 悬空。The thrombectomy device according to claim 11, wherein the middle support includes a first catch part, and the first catch part and the first connecting rod are on the peripheral surface of the thrombus remover Arranged adjacently, the proximal end of the first catching part is fixedly connected with the proximal bracket, and the distal end of the first catching part is suspended.
  15. 如权利要求14所述的取栓装置,其特征在于,所述第一抓捕部分包括第一子抓捕件和第二子抓捕件,所述第一子抓捕件与所述第二子抓捕件在所述取栓器的周面上间隔设置,所述第一连杆设置在所述第一子抓捕件和所述第二子抓捕件之间,所述第一子抓捕件及所述第二子抓捕件在至少一个包含所述取栓器纵向中心轴的平面上的投影上部分重叠。The thrombectomy device according to claim 14, wherein the first catch part comprises a first sub-grasp and a second sub-grasp, and the first sub-grasp and the second sub-grasp The sub-grabbing parts are arranged at intervals on the peripheral surface of the thrombus retriever, the first connecting rod is arranged between the first sub-grabbing part and the second sub-catching part, and the first sub-catching part The catch part and the second sub catch part partially overlap on the projection of at least one plane including the longitudinal central axis of the thrombus retriever.
  16. 如权利要求14所述的取栓装置,其特征在于,所述中部支架还包括第二抓捕部分,所述第二抓捕部分与所述第一抓捕部分从近端到远端依次设置,所述第二抓捕部分的近端与所述第一连杆的远端固定连接,所述第二抓捕部分的远端悬空,所述第二抓捕部分的远端及所述第一抓捕部分的远端在垂直于包含所述取栓器纵向中心轴的平面上的投影相互间隔。The thrombectomy device according to claim 14, characterized in that, the middle support further comprises a second catch part, and the second catch part and the first catch part are sequentially arranged from the proximal end to the distal end , the proximal end of the second catching part is fixedly connected to the distal end of the first connecting rod, the distal end of the second catching part is suspended, the distal end of the second catching part and the first connecting rod The projections of the distal ends of a capture portion on a plane perpendicular to the longitudinal central axis of the thrombus retriever are spaced apart from each other.
  17. 如权利要求16所述的取栓装置,其特征在于,所述中部支架还包括第三抓捕部分,所述第三抓捕部分的远端悬空,所述第一抓捕部分、第三抓捕部分及所述第二抓捕在近端到远端方向依次排布,所述第三抓捕部分的近端与所述第一连杆连接,所述第三抓捕部分的远端与所述第二连杆相邻,所述第一抓捕部分的远端、所述第三抓捕部分的远端及所述第二抓捕部分的远端中至少相邻的两个在垂直于包含所述取栓器纵向中心轴的平面上的投影相互间隔。The thrombectomy device according to claim 16, wherein the middle bracket further comprises a third catch part, the distal end of the third catch part is suspended, and the first catch part, the third catch part The catching part and the second catching part are arranged sequentially from the proximal end to the distal end, the proximal end of the third catching part is connected to the first connecting rod, and the distal end of the third catching part is connected to the The second connecting rods are adjacent, and at least two of the distal ends of the first catching part, the third catching part and the second catching part are adjacent to each other in a vertical direction. The projections on the plane including the longitudinal central axis of the thrombus retriever are spaced apart from each other.
  18. 如权利要求11所述的取栓装置,其特征在于,所述中部支架还包括第三连杆,所述第三连杆连接在所述第一连杆和所述第二连杆之间,所述第三连杆在所述取栓器的周面上类周向曲线延伸。The thrombectomy device according to claim 11, wherein the middle support further comprises a third connecting rod, the third connecting rod is connected between the first connecting rod and the second connecting rod, The third connecting rod extends like a circumferential curve on the peripheral surface of the thrombus retriever.
  19. 如权利要求18所述的取栓装置,其特征在于,所述第一连杆的远端与所述第三连杆的近端之间在所述取栓器的周面上存在第一虚拟连线,所述第三连杆的远端与所述第二连杆的近端之间在所述取栓器的周面上也存在第二虚拟 连线,所述第一连杆、所述第一虚拟连线、所述第三连杆、所述第二虚拟连线、所述第二连杆可形成一条围绕所述取栓器纵向中心轴的螺旋线。The thrombectomy device according to claim 18, wherein there is a first virtual space between the distal end of the first connecting rod and the proximal end of the third connecting rod on the peripheral surface of the thrombus removing device. There is also a second virtual connecting line on the peripheral surface of the thrombus retriever between the distal end of the third connecting rod and the proximal end of the second connecting rod, the first connecting rod, the The first virtual line, the third connecting rod, the second virtual connecting line, and the second connecting rod may form a helical line around the longitudinal central axis of the thrombus retriever.
  20. 如权利要求11所述的取栓装置,其特征在于,部分所述第一连杆、部分所述第二连杆之间相互平行。The thrombus removing device according to claim 11, wherein a part of the first connecting rod and a part of the second connecting rod are parallel to each other.
PCT/CN2022/118889 2021-09-28 2022-09-15 Thrombectomy apparatus WO2023051257A1 (en)

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CN202111140467.2 2021-09-28
CN202111140205.6A CN115869040A (en) 2021-09-28 2021-09-28 Thrombus extraction device
CN202111140467.2A CN115869042A (en) 2021-09-28 2021-09-28 Thrombus taking device
CN202111140205.6 2021-09-28

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