WO2024114365A1 - Système de transport pliable de manière segmentaire - Google Patents

Système de transport pliable de manière segmentaire Download PDF

Info

Publication number
WO2024114365A1
WO2024114365A1 PCT/CN2023/131497 CN2023131497W WO2024114365A1 WO 2024114365 A1 WO2024114365 A1 WO 2024114365A1 CN 2023131497 W CN2023131497 W CN 2023131497W WO 2024114365 A1 WO2024114365 A1 WO 2024114365A1
Authority
WO
WIPO (PCT)
Prior art keywords
bending
traction
traction wire
adjustable
distal end
Prior art date
Application number
PCT/CN2023/131497
Other languages
English (en)
Chinese (zh)
Inventor
徐旸
冯也
贾珍珠
肖本好
Original Assignee
先健科技(深圳)有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 先健科技(深圳)有限公司 filed Critical 先健科技(深圳)有限公司
Publication of WO2024114365A1 publication Critical patent/WO2024114365A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters

Definitions

  • the present invention relates to the technical field of interventional medical devices, and in particular to a segmented bending and conveying system.
  • Aortic diseases such as aortic aneurysm and aortic dissection are among the most deadly and difficult to treat vascular surgical diseases.
  • Traditional treatment methods are surgical operations, which have the risk of large surgical trauma and high mortality.
  • a minimally invasive and simple interventional surgical method has been developed, in which a covered stent is implanted into the diseased blood vessel.
  • the covered stent is tightly attached to the inner wall of the blood vessel, isolating the vascular lesion from the blood flow.
  • the covered stent can not only allow blood to circulate normally, but also protect the diseased blood vessels and effectively repair vascular lesions.
  • Reconstructing the aortic arch requires the use of a delivery device to deliver the stent to the aortic arch and release it.
  • the current delivery device needs to be released along the greater curvature of the aortic arch when it is released, so that the proximal end of the covered stent cannot be tightly attached to the wall on the lesser curvature, presenting a "bird's beak” effect, making it impossible for the interventional device to be accurately placed, resulting in internal leakage.
  • the present invention provides a segmented bending and delivery system, which aims to solve the problem that existing interventional instruments cannot be accurately placed.
  • the present invention adopts the following technical solutions:
  • the present invention provides a conveying system, comprising a sheath-core assembly for conveying an interventional instrument detachably connected thereto to a preset position and a traction wire for pulling the sheath-core assembly to bend under the action of an external force;
  • the sheath-core assembly comprises an adjustable bending section located at the distal end, the distal end of the traction wire is connected to the adjustable bending section, and pulling the traction wire can at least cause the adjustable bending section to bend relative to the longitudinal center axis of the sheath-core assembly.
  • the sheath-core assembly includes an inner sheath-core assembly and/or an outer sheath-core assembly, and the distal end of the traction wire is connected to the distal end of the inner sheath-core assembly and/or the distal end of the outer sheath-core assembly; wherein, when the sheath-core assembly includes both the inner sheath-core assembly and the outer sheath-core assembly, the inner sheath-core assembly and the outer sheath-core assembly are at least partially nested, and the distal end of the inner sheath-core assembly is closer to the distal end of the conveying system, and the outer sheath-core assembly can move axially relative to the inner sheath-core assembly.
  • the inner sheath core assembly includes an inner sheath core tube, a A guide head at the distal end of the tube and a barb fixed to the proximal end of the guide head; when the distal end of the traction wire is connected to the distal end of the inner sheath core assembly, the distal end of the traction wire is connected to at least one of the distal end of the inner sheath core tube, the guide head and the barb.
  • the barb includes a connecting portion connected to the proximal end of the guide head and a limiting portion connected to the proximal end of the connecting portion, and the limiting portion protrudes radially from the connecting portion; when the distal end of the traction wire is connected to the barb, an axially penetrating connecting hole is provided on the portion of the limiting portion protruding from the connecting portion, and the traction wire can pass through the connecting hole to be connected to the barb.
  • the outer sheath-core assembly includes an outer sheath core tube and an anchor member disposed at the distal end of the outer sheath core tube; when the distal end of the traction wire is connected to the distal end of the outer sheath-core assembly, the distal end of the traction wire is connected to at least one of the distal end of the outer sheath core tube and the anchor member.
  • the delivery system also includes a hollow outer sheath tube that is sleeved on the outside of the sheath-core assembly, the distal end of the sheath-core assembly is closer to the distal end of the delivery system, there is a first gap between the outer sheath tube and the sheath-core assembly, and the outer sheath tube can move axially relative to the sheath-core assembly.
  • the traction wire can be placed in the first gap and move axially in the first gap; or a first limiting channel is axially provided on the tube wall of the outer sheath tube, and the traction wire can be placed in the first limiting channel and move axially in the first limiting channel.
  • the delivery system further comprises a push rod disposed in the first gap between the sheath core assembly and the outer sheath tube, and a second gap exists between the push rod and the sheath core assembly.
  • the traction wire can be placed in the second gap and move axially in the second gap; or a second limiting channel is axially provided on the tube wall of the push rod, and the traction wire can be placed in the second limiting channel and move axially in the second limiting channel.
  • the conveying system also includes a fixing part fixed on the adjustable bend section of the sheath-core assembly, and the fixing parts are provided in m numbers, wherein 1 ⁇ m and m is a natural number, and the m fixing parts are arranged at intervals along the axial direction of the adjustable bend section.
  • the fixing part is provided with a traction channel for the traction wire to pass through, and the traction wire can move axially relative to the fixing part. After passing through the traction channel, the traction wire is connected to the adjustable bend section and an initial traction point is formed at the connection point.
  • the conveying system also includes a blocking member fixed on the traction wire, and a preset distance is provided between the blocking member and the fixing member adjacent to the proximal side thereof. During the process of pulling the traction wire, the blocking member can abut against the fixing member as the traction wire moves and form a new traction point at the abutment between the two.
  • the conveying system further comprises a
  • the bending control sleeves on the traction wire are provided with p pieces, 1 ⁇ p and p is a natural number, the sum of the axial lengths of the p pieces of the bending control sleeves is not greater than the effective bending length of the adjustable bending section, and the p pieces of the bending control sleeves are used to adjust the bending degree of the adjustable bending section during the pulling process.
  • the adjustable bend section is provided with a plurality of pulling points, and the pulling points include at least r axial connection points spaced apart along the axial direction of the adjustable bend section, 2 ⁇ r and r is a natural number; the traction wire is provided with s roots, 2 ⁇ s and s is a natural number; wherein, r ⁇ s, the distal ends of r of the s traction wires are respectively connected to the r axial connection points to form r axial pulling points, and the s traction wires are pulled to adjust the bending degree of the adjustable bend section.
  • the present invention also provides a segmented bending conveying system, comprising an adjustable bending member with a preset axial length, a traction wire for pulling the adjustable bending member to bend under the action of tension, and a bending control assembly for realizing the segmented bending of the adjustable bending member; wherein the adjustable bending member comprises an adjustable bending section located at the distal end, and the bending control assembly comprises a fixing member fixed on the adjustable bending section and a blocking member fixed on the traction wire, the fixing member is provided with a traction channel for the traction wire to pass through, the distal end of the traction wire passes through the traction channel and is connected with the distal end of the adjustable bending section to form an initial traction point at the connection, and a preset distance is provided between the blocking member and the adjacent fixing member located on the proximal side thereof; in the process of pulling the traction wire, the blocking member can abut against the fixing member as the traction wire moves and form a new traction point at the abutment between
  • n fixing members there are m fixing members, 1 ⁇ m and m is a natural number, and the m fixing members are spaced apart along the axial direction of the adjustable bending section; there are n blocking members, 1 ⁇ n and n is a natural number, and the n blocking members are spaced apart along the axial direction of the traction wire; the n blocking members can be selectively spaced apart and located on the distal side of the m fixing members, so that the blocking members can abut against the fixing members adjacent to the proximal side thereof as the traction wire moves and form a new pulling point at the abutment between the two.
  • the n blocking members correspond one-to-one with n of the m fixing members, so that each blocking member has an adjacent fixing member on its proximal side, and there is a preset spacing between each blocking member and the adjacent fixing member on its proximal side, thereby forming n preset spacings, and the sizes of the n preset spacings are equal or different.
  • the n blocking members are matched one by one with the m fixing members, so that each blocking member has a fixing member adjacent to it on its proximal side, and there is a preset spacing between each blocking member and the fixing member adjacent to it on its proximal side, thereby forming n preset spacings, and the sizes of the n preset spacings are equal or different.
  • the n preset intervals gradually increase from far to near, so that in the process of pulling the traction wire, the n blocking members can abut against the fixing members adjacent to the proximal side of the traction wire in turn as the traction wire moves and form n new traction points in turn at the abutment points.
  • the blocking member is spherical, and/or cylindrical, and/or ellipsoidal, and/or conical.
  • the blocking member and the fixing member are in elastic contact with each other.
  • an axially compressible elastic portion is provided on the proximal side of the blocking member and/or on the distal side of the fixing member adjacent to the blocking member.
  • the fixing member is a coil spring which can be sleeved on the adjustable bend section and fixed relative to the adjustable bend section at its proximal end, and the inner diameter of the coil spring is greater than the outer diameter of the adjustable bend section.
  • the blocking member may pass through the traction channel on the fixing member when the tension applied to the traction wire exceeds a preset tension.
  • a limiting groove is provided on one of the fixing member and the blocking member, so that the other one can be fully or partially embedded in the limiting groove when abutting.
  • the present invention also provides a controllable bending conveying system, comprising an adjustable bending member with a preset axial length, a traction wire for pulling the adjustable bending member to bend under the action of tension, and a bending control assembly for controlling the bending degree of the adjustable bending member; wherein the adjustable bending member comprises an adjustable bending section located at the distal end; the distal end of the traction wire is connected to the distal end of the adjustable bending section, and is used to pull the adjustable bending section to bend under the action of external force; the bending control assembly comprises a bending control sleeve arranged on the traction wire opposite to the adjustable bending section, and p of the bending control sleeves are provided, 1 ⁇ p and p is a natural number, the sum of the axial lengths of the p bending control sleeves is not greater than the effective bending length of the adjustable bending section, and the p bending control sleeves are used to adjust the bending degree of the adjustable bending section during the pulling process.
  • the bending control assembly also includes a fixing part fixed on the adjustable bending section, and the fixing parts are provided with m pieces, 1 ⁇ m and m is a natural number, the m fixing parts are arranged at intervals along the axial direction of the adjustable bending section, and the m spaced fixing parts divide the adjustable bending section into m+1 adjustable bending sub-segments; the fixing part is provided with a traction channel for the traction wire to pass through, and the distal end of the traction wire passes through the traction channel and is connected to the distal end of the adjustable bending section; wherein, 1 ⁇ p ⁇ m+1, the p bending control sleeves can be selectively opposed to p sub-segments among the m+1 sub-segments, and the axial length of each bending control sleeve is not greater than the effective bending length of the sub-segment opposite thereto.
  • the bending control sleeve is movably mounted on the traction wire so that the The bending control sleeve can move axially on the traction wire relative to the bending control sleeve.
  • the m+1 adjustable sub-segments are, from the distal end to the proximal end of the adjustable bending member, the first sub-segment, the second sub-segment...the m+1 sub-segment; wherein, among the m+1 adjustable sub-segments, one sub-segment is used to be opposite to the aortic arch, and the sub-segment opposite to the aortic arch has the largest effective bending length; and one of the p control bending sleeves is arranged on the traction wire opposite to the sub-segment having the largest effective bending length.
  • the second sub-segment is used to be opposite to the aortic arch, and the second sub-segment has a maximum effective bending length, wherein a bending control sleeve is arranged on the traction wire opposite to the second sub-segment.
  • the (m+1)th subsegment has the smallest effective bending length.
  • the effective bending length of the (m+1)th subsegment is no more than 20 mm.
  • the p bending control sleeves include a rigid sleeve that cannot undergo axial deformation and/or an elastic sleeve that can undergo axial deformation.
  • the elastic stiffness coefficients of the two elastic sleeves increase sequentially from far to near.
  • the bending control sleeve includes q sub-sleeves arranged in sequence along the axial direction of the traction wire, 1 ⁇ q and q is a natural number, the q sub-sleeves are connected or not connected, and the sum of the axial lengths of the q sub-sleeves is not greater than the effective bending length of the adjustable bending section opposite thereto.
  • the bending control sleeve comprises an elastic sleeve that can undergo axial deformation
  • there are at least two sub-elastic sleeves among the q sub-sleeves the elastic stiffness coefficients of the two sub-elastic sleeves are different.
  • the elastic stiffness coefficients of the two sub-elastic sleeves increase sequentially from far to near.
  • the fixing member includes a coil spring, which is sleeved on the adjustable bending section and at least partially fixed to the adjustable bending section, and a traction channel for the traction wire to pass through is provided between the adjustable bending section and the coil spring.
  • the present invention also provides an adjustable bend delivery system, comprising an adjustable bend member having a preset axial length and a traction wire for pulling the adjustable bend member to bend under the action of a pulling force;
  • the adjustable bend member comprises an adjustable bend section at a distal end, the adjustable bend section is provided with a plurality of pulling points, the pulling points at least comprising r axial pulling points spaced apart along the axial direction of the adjustable bend section, 2 ⁇ r and r is a natural number;
  • the traction wires are provided with s pieces, 2 ⁇ s and s is a natural number; wherein, r ⁇ s, the distal ends of r pieces of the traction wires are respectively connected to the r axial pulling points, and the s traction wires are pulled to adjust the bending degree of the adjustable bending section.
  • the r axial pulling points are not all located on the same longitudinal straight line, so that the projections of the r axial pulling points in the axial direction perpendicular to the adjustable bending member do not completely overlap.
  • the r axial pulling points are all located on the small bend side of the adjustable bending member.
  • the adjustable bending section when r ⁇ s and the difference is a, also includes a circumferential pulling point located on the same circumference as the axial pulling point, and there are a circumferential pulling points, and the a circumferential pulling points are all located on the same circumference or are not evenly located on the same circumference, and the distal ends of the a traction wires are respectively connected to the a circumferential connection points.
  • a of the circumferential pulling points are all located on the small bend side of the adjustable bending member.
  • the adjustable bend conveying system also includes a fixing part fixed on the adjustable bend section, and the fixing parts are provided in m numbers, 1 ⁇ m and m is a natural number, and the m fixing parts are arranged at intervals along the axial direction of the adjustable bend section, and the fixing part is provided with a traction channel for the traction wire to pass through.
  • the adjustable bend conveying system further includes a blocking member, wherein n blocking members are provided, wherein 1 ⁇ n ⁇ s and n is a natural number, and the n blocking members can be selectively fixed on the s traction wires, and the n blocking members are arranged at intervals along the axial direction; wherein one blocking member is located at the distal side of one of the fixing members and at the proximal side of one of the pulling points, so that the blocking member can abut against the fixing member adjacent to its proximal side as the traction wire moves and form a new pulling point at the abutment between the two.
  • the adjustable bend member also includes a support section connected to the proximal side of the adjustable bend section, and the adjustable bend conveying system also includes a push rod mounted outside the support section, and a second limiting channel is axially provided on the tube wall of the push rod for the traction wire to pass through, and the second limiting channels are provided with t numbers, and the t second limiting channels are parallel to each other, wherein 1 ⁇ t ⁇ s and t is a natural number.
  • the t second limiting channels are all located on the small bend side of the adjustable bend member.
  • the adjustable bend conveying system also includes a bend control sleeve that is sleeved on the outside of the traction wire opposite to the adjustable bend section.
  • the bend control sleeves are provided with p pieces, 1 ⁇ p and p is a natural number, the sum of the axial lengths of the p pieces of the bend control sleeves is not greater than the effective bending length of the adjustable bend section, and the p pieces of the bend control sleeves are used to further adjust the degree of bending of the adjustable bend section during the pulling process.
  • the delivery system of the present invention can adjust the bending angle of the front end of the delivery system, so that the stent can reach the bending part smoothly and the front end of the stent can be located in the middle of the aortic arch when released, thereby reducing the "bird's beak" effect.
  • the setting of the limiter and the blocking member 800 not only avoids the entanglement of the pulling member, but also controls the direction and segment of the bending adjustment, thereby achieving precise step-by-step segmented bending control.
  • the setting of the bending control sleeve and multiple traction wires can make the bending adjustment method more flexible, improve the bending performance of the delivery system, and ensure that the interventional device can be accurately delivered and released to the preset position.
  • FIG1 is a schematic structural diagram of an exemplary conveying system of the present invention.
  • FIG2 is a second structural schematic diagram of an exemplary conveying system of the present invention.
  • FIG3 is a third schematic diagram of a partial structure of an exemplary conveying system of the present invention.
  • FIG4 is a schematic diagram of the connection between an exemplary outer sheath tube and a fixed base in a handle according to the present invention
  • FIG5 is a schematic diagram of the structure of an exemplary push rod and an outer sheath tube of the present invention.
  • FIG6 is a schematic diagram of a connection between an exemplary traction wire and a handle of the present invention.
  • FIG7 is another schematic diagram of the connection between the traction wire and the handle according to an exemplary embodiment of the present invention.
  • FIG8( a ) is a schematic structural diagram of an exemplary stent with a semi-release structure according to the present invention.
  • FIG8( b ) is a schematic diagram of another structure of an exemplary stent with a semi-release structure after release according to the present invention.
  • FIG8( c ) is a schematic diagram of another structure of an exemplary stent with a semi-release structure before release according to the present invention.
  • FIG9 is a schematic structural diagram of an exemplary inner sheath core assembly of the present invention.
  • FIG10 is a schematic diagram of a connection between an exemplary traction wire and a barb of an inner sheath core assembly of the present invention
  • FIG11 is another schematic diagram of the connection between an exemplary traction wire and a barb of an inner sheath core assembly according to the present invention.
  • FIG12 is a schematic structural diagram of an exemplary outer sheath core assembly of the present invention.
  • FIG. 13 is a schematic structural diagram of an anchor member of an exemplary outer sheath core assembly of the present invention.
  • FIG14 is a schematic diagram of an exemplary traction wire passing through the gap between the stent fixing rods of the anchor member and connecting with the barb according to the present invention
  • FIG15 is a schematic diagram of the delivery system of the present invention without a fixing member when bending in a blood vessel;
  • FIG16 is a schematic structural diagram of an exemplary conveying system of the present invention when a fixing member is provided;
  • FIG17 is another schematic diagram of the structure of an exemplary conveying system of the present invention when a fixing member is provided;
  • FIG18 is a schematic structural diagram of an exemplary fixing member of the present invention.
  • FIG19 is a schematic structural diagram of an exemplary conveying system of the present invention when a plurality of fixing members are provided;
  • FIG20 is another schematic diagram of the structure of an exemplary conveying system of the present invention when multiple fixing members are provided;
  • FIG21 is another schematic diagram of the structure of an exemplary conveying system of the present invention when multiple fixing members are provided;
  • FIG22 is a schematic diagram of the delivery system provided with a fixing member of the present invention when bending in a blood vessel;
  • FIG23 is a schematic structural diagram of an exemplary traction wire of the present invention when a blocking member is provided;
  • FIG24 is a schematic diagram of the delivery system of the present invention when the fixing member and the blocking member cooperate with each other and when the delivery system is bent in a blood vessel;
  • FIG25 is a half-section schematic diagram of an exemplary fixing member provided with a limiting groove according to the present invention.
  • FIG26 is a schematic diagram of an exemplary embodiment of elastically abutting the blocking member and the fixing member of the present invention.
  • FIG27 is a schematic diagram of an exemplary blocking member of the present invention that elastically abuts against a fixing member and can pass through the fixing member;
  • FIG28 is another schematic diagram of an exemplary blocking member of the present invention that elastically abuts against a fixing member and can pass through the fixing member;
  • FIG29 is a schematic diagram of the structure of a bending control sleeve in an exemplary conveying system of the present invention.
  • FIG30 is a first schematic diagram of an exemplary bending control sleeve of the present invention being a rigid sleeve;
  • FIG31 is a second schematic diagram of bending adjustment in which the bending control sleeve is a rigid sleeve according to an exemplary embodiment of the present invention
  • FIG32 is a schematic diagram of one application scenario of an exemplary delivery system with a bending control sleeve in a human blood vessel of the present invention
  • FIG33 is a schematic diagram of an exemplary conveying system provided with a bending control sleeve according to the present invention, in which a plurality of sub-sleeves are provided in the same area;
  • FIG34 is a schematic diagram of a structure in which a plurality of pulling points are provided in an exemplary conveying system of the present invention.
  • 35 and 36 are respectively bending states 1 and 2 of the adjustable bending section when pulling the traction wire in the exemplary delivery system with multiple pulling points of the present invention
  • FIG37 is a diagram showing a connection method of multiple traction wires in a delivery system with multiple traction points according to an exemplary embodiment of the present invention
  • 41 is a schematic cross-sectional view of a push rod of an exemplary delivery system provided with multiple pulling points according to the present invention
  • first, second, third, etc. can be used in the text to describe multiple elements, components, regions, layers and/or sections, these elements, components, regions, layers and/or sections should not be limited by these terms. These terms can only be used to distinguish an element, component, region, layer or section from another region, layer or section. Unless the context clearly indicates, terms such as “first”, “second” and other numerical terms do not imply order or sequence when used in the text. Therefore, the first element, component, region, layer or section discussed below can be referred to as the second element, component, region, layer or section without departing from the teaching of the example embodiments.
  • spatial relative terms may be used herein to describe the relationship of one element or feature relative to another element or feature as shown in the figure, such as “inside”, “outside”, “inner side”, “outer side”, “below”, “below”, “above”, “above”, etc.
  • Such spatial relative terms are intended to include different orientations of the device in use or operation in addition to the orientation depicted in the figure. For example, if the device in the figure is turned over, then the elements described as “below other elements or features” or “below other elements or features” will subsequently be oriented as “above other elements or features" or “above other elements or features”. Therefore, the example term “below" can include both upper and lower orientations.
  • the device can be oriented otherwise (rotated 90 degrees or in other directions) and the spatial relative descriptors used in the text are interpreted accordingly.
  • the present invention aims to provide a delivery system to deliver the interventional instruments loaded therein to a preset position.
  • the delivery system at least includes an adjustable bending member with a preset axial length and a traction wire for pulling the adjustable bending member to bend under the action of tension.
  • the adjustable bending member includes an adjustable bending section located at the distal end, and the traction wire is connected to the adjustable bending section. Pulling the traction wire can at least bend the adjustable bending section relative to the longitudinal center axis of the adjustable bending member.
  • the interventional instruments include but are not limited to stents, occluders, interventional artificial heart valves, etc.
  • stents as an example to exemplify the delivery system of the present invention, and it should be understood that it is not limited to this. It should be noted that all the following embodiments are based on the overall delivery system. The following embodiments will be combined into the overall delivery system individually or in combination to seek a better bending solution and effect to solve the problem that the interventional instruments in the prior art cannot be accurately placed.
  • the conveying system of this embodiment is further limited to the adjustable bending component as a sheath-core assembly on the basis of the overall conveying system. That is, the conveying system of this embodiment includes a sheath-core assembly and a traction wire.
  • the sheath-core assembly is used to be detachably connected to the interventional instrument and to convey the interventional instrument detachably connected thereto to a preset position, and the traction wire is used to pull the sheath-core assembly to bend under the action of an external force.
  • the interventional instrument detachably connected to the sheath-core assembly can bend along with the bending of the sheath-core assembly during the entire process (including the conveying and semi-release process), so that the interventional instrument can be accurately delivered and released to the preset position.
  • the delivery system of this embodiment includes a sheath-core assembly 100 and a traction wire 200.
  • the sheath-core assembly 100 includes an adjustable bend section 100a located at the distal end, wherein the length and dividing boundary of the adjustable bend section 100a can be set as needed and are not specifically limited.
  • the distal end of the traction wire 200 is connected to the adjustable bend section 100a, and pulling the traction wire 200 can at least bend the adjustable bend section 100a relative to the longitudinal center axis x of the sheath-core assembly 100.
  • the sheath-core assembly 100 is a component with a preset axial length, inevitably, the sheath-core assembly 100 has a longitudinal center axis x, and the traction wire 200 is offset from the sheath-core assembly 100.
  • One side, and the distal end of the traction wire 200 is connected to the adjustable curved section 100a located at the distal end of the sheath core component 100, and the traction wire 200 is pulled to make the adjustable curved section 100a deflect relative to the longitudinal center axis x of the sheath core component 100.
  • the connection between the distal end of the traction wire 200 and the adjustable curved section 100a can be a fixed connection or a detachable connection.
  • the delivery system of this embodiment can bend the adjustable bending section 100a of the sheath-core assembly during the process of pulling the traction wire.
  • an interventional device such as a stent
  • the sheath-core assembly can still carry the interventional device detachably connected thereto for bending during the pulling of the traction wire, and the distal end of the delivery system can still be adjusted to change the bending angle of the distal end of the delivery system, so that the stent can reach the bending part smoothly and accurately, and the distal end of the stent can be located in the middle of the aortic arch when released, thereby avoiding internal leakage and reducing the "bird's beak" effect, solving the problem that the distal end of the stent cannot be tightly attached to the wall on the lesser bend side.
  • the delivery system of the present embodiment also includes a hollow outer sheath tube 300, the outer sheath tube 300 is sleeved on the outside of the sheath core component 100, and the distal end of the sheath core component 100 is closer to the distal end of the delivery system, that is, the distal end of the sheath core component 100 extends relative to the distal end of the outer sheath tube 300, and there is a first gap w1 between the inner wall of the outer sheath tube 300 and the outer wall of the sheath core component 100, and the outer sheath tube 300 can move axially relative to the sheath core component 100.
  • the hollow outer sheath tube 300 is an adjustable bend outer sheath tube or a non-adjustable bend outer sheath tube, and the adjustable bendability of the outer sheath tube 300 can be selected according to actual needs, and is not limited here.
  • the outer sheath tube 300 is an adjustable bend outer sheath tube, and the adjustable bend outer sheath tube can further enhance the adjustable bendability of the delivery system to further ensure that the interventional instrument can smoothly reach the curved part.
  • the distal end of the outer sheath can be pre-bent, and the pre-bent outer sheath is easier to bend.
  • the distal end of the delivery system loaded with the interventional device is slightly bent, so that it is easier to pass through the curved blood vessels.
  • the specific structure and adjustment method of the adjustable outer sheath 300 can refer to the existing technology and will not be described in detail here.
  • the tube body of the outer sheath tube 300 is a hollow tube
  • the other end of the outer sheath tube 300 is connected to the fixed base M
  • the handle 500 has a built-in groove structure (not shown) connected to the fixed base M.
  • the outer sheath tube 300 is pulled by retracting the handle 500 to move the outer sheath tube 300 backward relative to the sheath core assembly 100, thereby releasing the stent in the loading area 301a and releasing the radial constraint of the stent by the outer sheath tube 300.
  • the delivery system of this embodiment further includes a push rod 400 sleeved on the sheath core assembly 100.
  • the delivery system When the delivery system is loaded with a stent 600, the distal end surface of the push rod 400 sleeved on the sheath core assembly 100 is aligned with the proximal end surface of the stent 600.
  • the delivery system includes the outer sheath tube 300 , the push rod 400 is located in the first gap w1 between the sheath core assembly 100 and the outer sheath tube 300 , and a second gap w2 exists between the inner wall of the push rod 400 and the outer wall of the sheath core assembly 100 .
  • the main body of the push rod 400 is a hollow tube made of a relatively hard polymer material, and the proximal end of the push rod 400 is relatively fixed to the handle of the delivery system through a limiting structure (not shown) of the delivery system and cannot move axially.
  • a small channel hole 401 is provided on the wall of the hollow tube.
  • a plurality of small channel holes 401 are provided, and the plurality of small channel holes 401 can be arranged at intervals along the circumferential direction of the wall of the hollow tube.
  • the delivery system of this embodiment also includes a handle 500, and the proximal end of the sheath core assembly 100 and the proximal end of the traction wire 200 are both extended into the handle 500 and connected to the handle 500, and the proximal end of the traction wire 200 is pulled by the handle 500 to at least bend the distal end of the sheath core assembly 100 relative to its axis.
  • the delivery system also includes an outer sheath tube 300 and/or a push rod 400
  • the proximal ends of the outer sheath tube 300 and/or the push rod 400 are also extended into the handle 500 and connected to the delivery handle, and the outer sheath tube 300 is axially moved and the push rod 400 is fixed by the handle 500.
  • the outer sheath tube 300 is an adjustable bending sheath tube
  • the outer sheath tube 300 can also be adjusted and axially moved by the handle 500.
  • connection and operation of the sheath core assembly 100, the outer sheath tube 300 and the push rod 400 with the handle 500 can refer to the prior art and will not be described in detail here.
  • the connection of the traction wire 200 with the handle 500 will be described as an example below, but it should be noted that the connection is not limited to this.
  • a plurality of groove buckles 501 are provided in the axial direction of the handle 500 to form a plurality of gears, and each gear can be set to correspond to a bending angle.
  • the limiter N1 is buckled and connected to the handle 500, and the limiter N1 is connected to the proximal end of the traction wire 200.
  • the gear to move the limiter N1 the traction wire 200 can be pulled to make the traction wire 200 stressed.
  • the distal end of the sheath core assembly 100 is subjected to bending force, achieving the effect of different bending angles.
  • a threaded structure is provided inside the handle 500, and the stopper N2 is threadedly connected to the handle 500, and the stopper N2 is connected to the proximal end of the traction wire 200, and the traction wire 200 is pulled by rotation to make the traction wire 200 stressed.
  • the traction wire 200 is stressed, the distal end of the sheath core assembly 100 is subjected to bending force to achieve the effect of different bending angles.
  • the above method is only an exemplary description, and the connection method of the traction wire 200 and the handle 500 is not limited to this.
  • the delivery system of this embodiment is further preloaded with an interventional device.
  • the interventional device is a stent 600.
  • the distal end of the stent 600 is detachably connected to the distal end of the sheath core assembly 100, so that before the stent 600 is not separated from the sheath core assembly 100, the stent 600 can be deflected with the bending of the sheath core assembly 100, thereby adjusting the position of the stent 600.
  • the stent 600 when the delivery system is provided with an outer sheath tube 300, the stent 600 is radially compressed and accommodated in the first gap w1 between the outer sheath tube 300 and the sheath core assembly 100, and the distal end of the stent 600 accommodated in the first gap w1 is detachably connected to the distal end of the sheath core assembly 100.
  • the outer sheath tube 300 moves back toward the proximal end, so that the stent 600 is freed from the radial constraint brought to it by the outer sheath tube 300.
  • the stent 600 includes a straight metal skeleton 610 with superelasticity and an outer polymer film 620, wherein a portion of the metal skeleton at the distal end is not wrapped with the polymer film, that is, a bare stent 610a is formed, and the bare stent 610a is hooked on the distal end of the sheath core component 100, thereby realizing a detachable connection between the distal end of the stent 600 and the distal end of the sheath core component 100.
  • the structure of the stent 600 is not limited to this.
  • the stent 600 is a stent with a semi-release structure.
  • the semi-release structure includes a wire buckle 630 and a release member 640.
  • the wire buckle 630 is made of a polymer material and is disposed on the metal skeleton 610.
  • the wire buckle 630 is fixed on the crest of the metal skeleton 610.
  • the release member 640 is a movable metal rod or metal wire, which is located on one side of the stent 600. All the wire buckles 630 are sleeved on the release member 640 to achieve the purpose of radial compression of the stent 600.
  • the stent 600 is no longer constrained in the radial direction and can be fully expanded in the radial direction.
  • the other end of the release member 640 passes through the small channel hole 401 of the push rod 400 and is fixed to the tail end handle 500 of the conveying device.
  • the tail end handle has a built-in groove structure to connect the metal rod or metal wire to achieve the effect of pulling the metal rod or metal wire.
  • the semi-release structure further includes a restraint 650.
  • the restraint 650 is a double-layer polymer material wire.
  • the upper part of the stent 600 is fixed between the wire buckles 630 with a double-layer polymer material wire.
  • one side of the stent 600 is fixed with a double-layer polymer material wire, and the wire buckle 630 is located between the crest and the trough of the metal skeleton 140.
  • the two ends of the double-layer polymer material wire pass through the remaining wire buckles 630 and are fixed to the release member 640, that is, fixed to a movable metal rod or wire, so that the stent 600 is radially compressed by the polymer material wire 650 and is in a semi-constrained state.
  • the semi-release structure of the stent is not limited to this.
  • one or more release members 640 can be provided as needed.
  • the metal rod or wire of the release member 640 can be connected to the traction wire. They respectively pass through different small channel holes 401 on the push rod 400.
  • the release members 640 are provided on both sides of the stent and respectively pass through the small channel holes 401 on both sides of the push rod 400. At this time, the traction wire can be provided on the small curved side of the stent.
  • This setting not only avoids the interference problem caused by the metal rod or metal wire being provided on the small curved side. At the same time, it avoids the problem of a longer path, greater resistance, and disadvantageous release caused by the metal rod or metal wire being provided on the large curved side. Therefore, it is optimal to provide the metal rod or metal wire on both sides of the stent.
  • the structure and connection relationship of the sheath-core assembly 100 and the traction wire 200 will be exemplified below.
  • the following structure and connection method can be combined with the structure of any of the above-mentioned delivery systems, as long as the distal end of the sheath-core assembly 100 can be bent by pulling the traction wire 200 without affecting the normal release of the stent.
  • the sheath core component 100 includes an inner sheath core component 101 and/or an outer sheath core component 102. That is, there are multiple situations in which the sheath core component 100 includes an inner sheath core component 101; or the sheath core component 100 includes an outer sheath core component 102; or the sheath core component 100 includes both the inner sheath core component 101 and the outer sheath core component 102.
  • the distal end of the traction wire 200 is connected to the distal end of the inner sheath core component 101 and/or the distal end of the outer sheath core component 102.
  • the distal end of the traction wire 200 is only connected to the distal end of the inner sheath core component 101; or the distal end of the traction wire 200 is only connected to the distal end of the outer sheath core component 102; or the distal end of the traction wire 200 is simultaneously connected to the distal end of the inner sheath core component 101 and the distal end of the outer sheath core component 102.
  • the traction wire 200 is connected to at least one of the inner sheath core component 101 and the outer sheath core component 102. This embodiment only exemplifies the case where the sheath core component 100 includes both the inner sheath core component 101 and the outer sheath core component 102.
  • the sheath core component 100 only includes the inner sheath core component 101 or the outer sheath core component 102
  • the structures of the inner sheath core component 101 and the outer sheath core component 102 and the connection method with the traction wire 200 can all refer to the following embodiments.
  • the sheath core component 100 of the present embodiment includes an inner sheath core component 101 and an outer sheath core component 102 at the same time, and the inner sheath core component 101 and the outer sheath core component 102 are at least partially sleeved, wherein the outer sheath core component 102 is outside, the inner sheath core component 101 is inside, the distal end of the inner sheath core component 101 is closer to the distal end of the conveying system, and the outer sheath core component 102 can move axially relative to the inner sheath core component 101, and the distal end of the traction wire 200 is connected to the distal end of the inner sheath core component 101 and/or the distal end of the outer sheath core component 102.
  • distal end of the traction wire 200 of the present embodiment is connected to the distal end of the inner sheath core component 101 and/or the distal end of the outer sheath core component 102, which can be directly connected or indirectly connected through other components.
  • the inner sheath core assembly 101 includes an inner sheath core tube 101a, a guide head 101b fixedly arranged at the distal end of the inner sheath core tube 101a, and a barb 101c arranged at the proximal end of the guide head 101b.
  • a guide wire cavity (not shown) is provided in the inner axial direction for guide wire to pass.
  • the inner sheath core tube 101a, the guide head 101b and the barb 101c can be connected as one by bonding, injection molding, welding and other modes.
  • the proximal end of the inner sheath core tube 101a is fixed inside the handle 500, and the inner sheath core tube 101a cannot move axially relative to the handle 500.
  • the traction wire 200 can be connected to one of the inner sheath core tube 101a, the guide head 101b and the barb 101c or any two or three.
  • the connection mode is not limited to welding, bonding or other modes to fix directly or indirectly.
  • the bending adjustment can directly act on the guide head 101b, so that the guide head 101b is bent.
  • traction wire 200 is connected with barb 101c, because far-end barb 101c is usually made of metal-like high strength material, therefore, the connection force of traction wire 200 and barb 101c is stronger, and the position of far-end connection can bear greater pulling force.
  • guide head 101b has certain flexibility, can conform to blood vessel bending, and can also be made into pre-bending state.
  • Barb 101c is preferably rounded barb. Rounded barb 101c and the anchor 102b of outer sheath core assembly 102 cooperate to make interventional instrument detachable and connected with sheath core assembly 100, bare stent 610a on stent 600 far-end can be hooked on anchor 102b, by pulling outer sheath core assembly 102 back, barb 101c blocks stent, and stent 600 previously hooked on anchor 102b can be separated from outer sheath core assembly 100.
  • the barb 101c includes a connecting portion 101c1 connected to the proximal end of the guide head 101b and a limiting portion 101c2 connected to the proximal end of the connecting portion 101c1, and the limiting portion 101c2 radially protrudes from the connecting portion 101c1.
  • a recessed portion for the anchor 102b to pass through is concavely provided on the outer circumferential surface of the protruding portion of the limiting portion 101c2, and a protruding portion for blocking is formed between adjacent recessed portions.
  • a through hole 101c21 is axially provided on the raised portion of the protruding connecting portion 101c1 of the limiting portion 101c2, and the traction wire 200 passes through the through hole 101c21 and is connected to the barb 101c.
  • the traction wire 200 passes through the through hole 101c21 and is hooked on the connecting portion 101c1, or the traction wire 200 passes through the through hole 101c21 and a blocking member having a diameter larger than the through hole 101c21 is formed at the end of the traction wire 200, thereby achieving connection.
  • the through hole 101c21 is provided on the raised portion, which can not only achieve connection, but also avoid affecting the release of the bare stent.
  • a pulley structure 101d is provided in the recessed portion, and the traction wire 200 is hooked on the connecting portion 101c1 through a metal ring and then passes through the pulley structure 101d.
  • This structure can change the direction of the force when providing traction force, so that the traction force originally along the axial direction of the conveying system is converted into a radial pulling force on the rounded barb, which can greatly reduce the traction force required to be provided and reduce the tension of the traction wire 200 when subjected to force, thereby reducing the risk of cutting the stent.
  • the outer sheath core assembly 102 includes a sleeve disposed outside the inner sheath core tube 101a.
  • the connection method includes but is not limited to welding, bonding or other methods to directly or indirectly fix.
  • the outer sheath core tube 102a is a hollow structure, and the middle channel can be inserted into the inner sheath core tube 101a.
  • the outer sheath core tube 102a includes a flexible hollow tube 102a1 and a rigid hollow tube 102a2.
  • the anchor 102b is a metal part.
  • the anchor 102b, the flexible hollow tube 102a1 and the rigid hollow tube 102a2 can be connected as a whole by bonding, injection molding and welding, etc.
  • the proximal end of the rigid hollow tube 102a2 is connected to the inside of the handle 500, and a space is reserved for pulling the outer sheath core tube 102a backward.
  • the anchor 102b includes an anchoring body 102b1 connected to the distal end of the outer sheath core tube 102a and a stent fixing rod 102b2 arranged at the distal end of the anchoring body 102b1.
  • a plurality of stent fixing rods 102b2 are arranged at intervals along the circumference of the anchoring body 102b1, and there are gaps between the connected stent fixing rods 102b2 that can accommodate a bare stent.
  • sheath core assembly 100 comprises inner sheath core tube 101a, guide head 101b, barb 101c, outer sheath core tube 102a and anchor 102b
  • traction wire 200 can be connected with any one of them, certainly, in order to improve the reliability of connection, also can be connected with multiple thereof, multiple refers to two and more than two.
  • traction wire 200 can not be connected with inner sheath core tube 101a at this moment, and select to be connected with other.
  • select to connect traction wire 200 with barb 101c and/or guide head 101b reason is, on the one hand, the action force applied can directly act on the outer sheath core assembly closer to the far end, can realize adjustment quickly.On the other hand, even if support has broken away from anchor 102b or is in half-detached state, still can directly pull the inner sheath core assembly to
  • the traction wire 200 can be connected to the inner sheath core component 101 by passing through the outer sheath core component 102.
  • the connection method includes but is not limited to welding, bonding or other methods of direct or indirect fixation.
  • the distal end of the traction wire 200 passes through the gap between the stent fixing rod 102b2 of the anchor 102b and is only connected to the barb 101c, so that the distal end of the sheath core assembly can be bent during the semi-release process of the stent, and the bare stent, which is hooked on the stent fixing rod 102b2, will not have any effect on the release of the stent 600.
  • the distal end of the traction wire 200 can also be extended to extend into the guide head 101b and connected to the guide head 101b.
  • the traction wire 200 can be placed in the first gap w1 between the sheath core component 100 and the outer sheath tube 300, and after the traction wire 200 is placed in the first gap w1, the distal end of the traction wire 200 is connected to the distal end of the sheath core component 100, and the traction wire 200 can move in the first gap w1, and the proximal end of the traction wire 200 is extended and connected to the handle 500, and the traction wire 200 is pulled by the handle 500.
  • the tube wall of the outer sheath tube 300 is provided with a first limiting channel (not shown) in the axial direction.
  • a first limiting channel (not shown) in the axial direction.
  • the traction wire 200 can be placed in a second gap w2 between the sheath-core assembly 100 and the push rod 400.
  • the distal end of the traction wire 200 is connected to the distal end of the sheath-core assembly 100, and the traction wire 200 can move in the second gap.
  • the proximal end of the traction wire 200 extends and is connected to the handle 500, and the traction wire 200 is pulled by the handle 500.
  • a second limiting channel is axially provided on the tube wall of the push rod 400, for example, the small channel hole 401 mentioned above, the traction wire 200 can be placed in the second limiting channel and the distal end is connected to the distal end of the sheath core assembly 100, the traction wire 200 can move in the second limiting channel, the proximal end of the traction wire 200 passes through the second limiting channel and is connected to the handle 500, and the traction wire 200 is pulled by the handle 500.
  • the push rod 400 has a certain hardness, which can control the path of the traction wire 200, and prevent the path of the free traction wire 200 from changing during the bending process, thereby causing the bending angle to change. At the same time, it prevents the traction wire 200 from being entangled on the sheath core assembly during the bending process.
  • the traction wire 200 is offset, preferably, the traction wire 200 is located on the side of the small bend, which can control the bending direction of the conveying system.
  • the small channel hole 401 into which the traction wire 200 and the release member 640 enter should be located at different sides. It should be noted that in order to avoid affecting the release of the stent 600, the traction wire 200 passes through the inside of the stent 600 at a section where the stent 600 is provided.
  • the distal end of the traction wire in this embodiment is connected to the distal end of the sheath-core assembly. Pulling the proximal end of the traction wire can at least bend the distal end of the sheath-core assembly relative to its axis. By adjusting the bending angle of the front end of the delivery system, the stent can reach the curved part smoothly, and the front end of the stent can be located in the middle of the aortic arch when released, thereby reducing the "bird's beak" effect.
  • this embodiment further proposes an anti-entanglement and anti-cutting delivery system based on the above-mentioned overall delivery system or the delivery system of the first embodiment.
  • the delivery system of this embodiment further includes a fixing member 700 on the basis of the above. That is, the delivery system of this embodiment includes an adjustable bending member with a preset axial length, a traction wire 200 for pulling the adjustable bending member to bend under the action of tension, and a fixing member 700 fixed on the adjustable bending section of the adjustable bending member.
  • the adjustable bending member includes an adjustable bending section 100a located at the distal end, and the distal end of the traction wire 200 is connected to the distal end of the adjustable bending section 100a, which is used to pull the adjustable bending section 100a to bend under the action of an external force.
  • the adjustable bending member of this embodiment can select the sheath core component 100 as described in Example 1, and the structure of the sheath core component 100 can refer to the above-mentioned Example 1. It should be known that if it is only based on the purpose of anti-winding and cutting, the adjustable bending member of this embodiment is not limited to the sheath core component 100.
  • the fixing member 700 of this embodiment is provided with m pieces, 1 ⁇ m and m is a natural number, and the m fixing members 700 are arranged at intervals along the axial direction of the adjustable curved section 100a, and the interval distance of the fixing members 700 can be set as required.
  • the fixing member 700 is provided with a traction channel 710 for the traction wire 200 to pass through, and the traction wire 200 can move axially relative to the fixing member 700. After passing through the traction channel 710, the traction wire 200 is connected to the adjustable curved section 100a of the adjustable curved member and forms an initial traction point at the connection.
  • the traction wire 200 of this embodiment passes through the traction channel 710 of the fixing member 700, which not only prevents the traction wire 200 from being entangled, but also limits the curved path of the adjustable curved member, thereby avoiding cutting damage to the stent or blood vessel during the traction process.
  • the fixing member 700 can be fixed on one side of the outer wall of the adjustable bending section 100a of the adjustable bending member, and when the traction wire 200 passes through the traction channel 710 of the fixing member 700 and the small channel hole 401 on the push rod 400 at the same time, the traction channel 710 on the fixing member 700 is opposite to the small channel hole 401 on the push rod 400.
  • the columnar fixing member 700a is arranged around the sheath core component 100, and the columnar fixing member 700a is fixedly sleeved on the outer side of the adjustable bending section 100a.
  • the shape and axial length of the fixing member 700 can be set as required.
  • a rod-shaped fixing member 700b with a longer axial length can be set.
  • a column-shaped fixing member 700a with a shorter axial length can also be set. It can also be a thin film attached to the outside of the adjustable bending section 100a.
  • a fixing part, such as fixing part 700, can be formed by a polymer film, which is fixed to the outside of the adjustable bending section 100a by heat shrinkage or bonding, and a traction channel 710 through which the traction wire 200 can pass is designed between the film and the outer wall of the adjustable bending section 100a.
  • m fixing members are arranged at intervals along the axial direction of the adjustable bending section 100a, and the m fixing members arranged at intervals are the first fixing member, the second fixing member, and the m fixing members are arranged at intervals from the distal end to the proximal end of the adjustable bending member.
  • the m fixing members divide the adjustable bending section 100a into m+1 adjustable bending sub-segments, and the m+1 adjustable bending sub-segments are the first sub-segment, the second sub-segment, and the m+1 sub-segment from the distal end to the proximal end of the adjustable bending member.
  • Each sub-segment has an effective bending length.
  • the effective bending length described in the present invention includes the distance between the first fixing member and the distal end of the adjustable bending section 100a (i.e., D1 in FIG20), the distance between the m fixing member and the proximal end of the adjustable bending section 100a (i.e., Dm+1 in FIG20), and the distance between two adjacent fixing members (i.e., the effective bending length of each sub-segment between D1 and Dm+1 in the figure). As shown in FIG.
  • the effective bending length of the first sub-segment is D1
  • the effective bending length of the second sub-segment is D2
  • the effective bending length of the third sub-segment is D3
  • the effective bending length of the fourth sub-segment is D4, and so on
  • the effective bending length of the m+1 sub-segment is Dm+1.
  • one of the sub-segments is used to be opposite to the aortic arch, and the sub-segment opposite to the aortic arch has the largest effective bending length.
  • the first sub-segment or the second sub-segment is used to be opposite to the aortic arch, and the first sub-segment or the second sub-segment has the largest effective bending length.
  • the selection range of the maximum effective bending length is 42mm to 66mm, and the effective bending length range of other sub-segments is 31mm to 56mm.
  • the m+1th sub-segment has the smallest effective bending length, and preferably the effective bending length of the m+1th sub-segment is not greater than 20mm, at which time the bending angle of the m+1th sub-segment is extremely small.
  • Figure 15 and Figure 22 respectively show the morphology of the delivery system without a fixing and the delivery system with a fixing when bending in the blood vessel.
  • the first sub-segment is used to face the aortic arch and has the largest effective bending length, that is, D1 is the largest. Therefore, the bending of the first sub-segment is the most obvious, and the bending degree of the remaining sub-segments is smaller than that of the first sub-segment.
  • the m+1 sub-segment is bent only because it conforms to the blood vessel, and the delivery system provides almost no bending force.
  • This embodiment uses a fixing member to limit the traction wire to prevent the traction wire from being entangled and avoids cutting damage to the traction wire stent or blood vessel during the traction process.
  • the adjustable bending member is a sheath core component
  • the bending angle of the front end of the delivery system can be adjusted, which allows the stent to reach the curved part smoothly and also allows the front end of the stent to be located in the middle of the aortic arch when released, reducing the "bird's beak” effect and allowing the interventional device to be placed more accurately.
  • Embodiment 3 (blocking member)
  • the delivery system of the above-mentioned second embodiment prevents the traction wire 200 from being entangled by limiting the fixing member 700, and avoids cutting damage to the stent or blood vessel during the pulling process.
  • the problem is that, as shown in FIG22, if the pulling force of the traction wire 200 is not well controlled during the pulling process of the distal end of the adjustable bending member, it is easy to cause excessive pulling, causing the distal end of the adjustable bending member to pierce the blood vessel wall, which is high-risk and requires high control of pulling.
  • this embodiment based on the second embodiment, further proposes a solution for controlling the bending of the adjustable bending section of the adjustable bending member in sections.
  • this embodiment proposes a segmented bending conveying system, and the conveying system of this embodiment further includes a blocking member 800 on the basis of the second embodiment. That is, the conveying system of this embodiment includes an adjustable bending member with a preset axial length, a traction wire 200 for pulling the adjustable bending member to bend under the action of tension, a fixing member 700 fixed on the adjustable bending section 100a of the adjustable bending member, and a blocking member 800 fixed on the traction wire.
  • the fixing member 700 and the blocking member 800 together constitute a bending control assembly for realizing segmented bending of the adjustable bending member 100.
  • the adjustable bending member includes an adjustable bending section 100a located at the distal end, and the distal end of the traction wire 200 is connected to the distal end of the adjustable bending section 100a, and is used to pull the adjustable bending section 100a to bend under the action of an external force.
  • the specific structure and connection method of the adjustable bending member and the traction wire 200 refer to the above-mentioned overall conveying system or embodiment one or embodiment two, and will not be repeated here.
  • the adjustable bending member of this embodiment can be selected as the sheath-core assembly 100 described in Example 1, and the structure of the sheath-core assembly 100 can refer to the above-mentioned Example 1. It should be known that if it is only based on the purpose of segmented bending control, the adjustable bending member of this embodiment is not limited to the sheath-core assembly 100.
  • the fixing member 700 is fixed on the adjustable bending section 100a
  • the blocking member 800 is fixed on the traction wire 200
  • the fixing member 700 is provided with a traction channel 710 for the traction wire to pass through
  • the traction wire passes through the traction channel 710 and its distal end is connected to the distal end of the adjustable bending section 100a and forms an initial traction point at the connection
  • a preset spacing is provided between the blocking member 800 and the fixing member 700 adjacent to the proximal side thereof; in the process of pulling the traction wire 200, the blocking member 800 can reduce the preset spacing with the movement of the traction wire 200 until it abuts against the fixing member 700 and forms a new traction point at the abutment of the two.
  • the blocking member 800 contacts the fixing member 700, even if the pulling force increases (referring to not reaching the preset maximum pulling force), it will not continue to bend, which is conducive to controlling the maximum bending degree of the adjustable bending member.
  • a blocking member 800 is provided on the traction wire 200.
  • the blocking member 800 In a natural state where the traction wire 200 is not pulled, the blocking member 800 is at a preset distance from the fixing member 700. During the pulling process, the blocking member 800 can be abutted against the fixing member 700, so that the fixing member 700 axially limits the blocking member 800 to form a new pulling point, thereby avoiding excessive pulling on the distal end of the sheath assembly 100 and preventing the distal end of the adjustable bending member from piercing the blood vessel wall due to excessive bending.
  • FIG. 23 there are m fixing members 700, 1 ⁇ m and m is a natural number, and the m fixing members 700 are arranged at intervals along the axial direction of the adjustable bending section 100a.
  • the arrangement of the m fixing members 700 refers to the above-mentioned embodiment 2, which will not be repeated here. Continuing to refer to FIG. 23 , there are m fixing members 700, 1 ⁇ m and m is a natural number, and the m fixing members 700 are arranged at intervals along the axial direction of the adjustable bending section 100a.
  • the arrangement of the m fixing members 700 refers to the above-mentioned embodiment 2, which will not be repeated here. Continuing to refer to FIG.
  • n blocking members 800 there are n blocking members 800 in this embodiment, 1 ⁇ n and n is a natural number, and the n blocking members 800 are arranged at intervals along the axial direction of the traction wire 200; the n blocking members 800 can be selectively spaced at intervals on the distal side of the m fixing members 700, so that the blocking member 800 can abut against the fixing member 700 adjacent to its proximal side as the traction wire 200 moves and form a new pulling point at the abutment between the two.
  • the n blocking members 800 correspond to n of the m fixing members 700, respectively, so that each blocking member 800 has a fixing member 700 adjacent to it on the proximal side, and there is a preset spacing between each blocking member 800 and the fixing member 700 adjacent to it on the proximal side, thereby forming n preset spacings, and the sizes of the n preset spacings are equal or unequal.
  • the n blocking members 800 match the m fixing members 700 one by one, so that each blocking member 800 has a fixing member 700 adjacent to it on the proximal side, and there is a preset spacing between each blocking member 800 and the fixing member 700 adjacent to it on the proximal side, thereby forming n preset spacings, and the sizes of the n preset spacings are equal or unequal.
  • the fixing member 700 in this embodiment not only prevents the traction wire 200 from being entangled, thus avoiding cutting damage to the stent or blood vessel during the pulling process, but can also be used to cooperate with the blocking member 800 to achieve segmented bending of the adjustable bending member.
  • the n preset spacings are L1, L2, ..., Ln from far to near, and the n preset spacings gradually increase from far to near, that is, L1 ⁇ L2 ⁇ ... ⁇ Ln, so that in the process of pulling the traction wire 200, the n blocking members 800 can abut against the fixing members 700 adjacent to its proximal side in turn as the traction wire 200 moves, and n new pulling points are formed in turn at the abutment.
  • the spacing between the multiple blocking members 800 and the fixing member 700 closest to its proximal side gradually increases in turn, so that during the pulling process, multiple pulling points can be formed in the axial direction in turn, which not only avoids excessive pulling on the distal end of the sheath tube assembly 100, but also realizes the step-by-step segmented bending control of the sheath core assembly 100 in the axial direction.
  • the D1 area is first subjected to force and bends, and when the degree of bending reaches the maximum value, the blocking member 800 Contact with the fixing member 700.
  • the shape of the blocking member 800 includes but is not limited to a spherical shape, and/or a cylindrical shape, and/or an ellipsoidal spherical shape, and/or a conical shape, etc. It is only necessary to control the blocking member 800 and the fixing member 700 to abut against each other. More preferably, a limiting groove is provided on one of the fixing member 700 and the blocking member 800, so that the other one can be fully or partially embedded in the limiting groove when abutting. For example, as shown in FIG. 25 , a limiting groove 720 is provided on the fixing member 700, and the limiting groove 720 is connected with the traction channel 710. When abutting, the blocking member 800 can be embedded in the limiting groove, so that the stability of the connection is better.
  • the blocking member 800 and the fixing member 700 are in elastic contact when they are in contact.
  • the elastic contact structure can make the operator feel whether a certain section is close to the bending limit as the force required for squeezing increases, so that the operator can better control it and will not apply tension all at once to puncture the blood vessel.
  • the tension increases, the next contact point may form a pulling point.
  • the elastic contact allows the bending to rebound, which can better control the bending angle.
  • the proximal side of the blocking member 800 and/or the distal side of the fixing member 700 are provided with an axially compressible elastic portion.
  • the elastic portion is a spring, a torsion spring or a flexible rubber member.
  • the fixing member is a coil spring 700c that can be sleeved on the adjustable curved section 100a and the proximal side is relatively fixed to the adjustable curved section 100a.
  • the inner diameter of the coil spring 700c is greater than the outer diameter of the adjustable curved section 100a, so that the fixing member 700 can be sleeved on the adjustable curved section 100a.
  • This design not only realizes elastic abutment, but also allows the thickness of the coil spring to be designed to be thinner, thereby reducing the overall outer diameter of the adjustable curved member, so that the interventional device has more space in the conveying system.
  • the blocking member 800 can pass through the traction channel 710 on the fixing member 700 when the pulling force on the traction wire 700 exceeds the preset pulling force.
  • the fixing member 700 and the contact position of the blocking member 800 form an extrusion force.
  • the blocking member 800 passes through the traction channel 710 on the fixing member 700, and the traction wire 200 is continuously pulled to make the adjustable bending section at the far end of the fixing member 700 continue to bend, that is, by controlling the magnitude of the pulling force, the blocking member 800 can be controlled to pass through the fixing member 700 or not, and the bending of the previous section can be controlled when not passing through, and the control can be continued after passing through, thereby increasing the controllable length.
  • a certain blocking member can be further set to pass through only one or two fixing members, and when the fixing member that cannot pass through abuts, a fixed pulling point can still be formed.
  • a spring 701 and a movable member 702 are provided in the traction channel 710 of the fixing member 700, and the movable member 702 can be raised or lowered with the spring 701.
  • the spring 701 is compressed.
  • the spring 701 When the pulling force is large enough, the spring 701 is compressed to a level sufficient for the blocking member 800 to pass through, and the blocking member 800 can pass through the traction channel 710 of the fixing member 700, thereby abutting against the next fixing member 700 again to form a new pulling point.
  • a rubber member 703 with a slope is provided in the traction channel 710 of the fixing member 700. Since the rubber member 703 is elastic, when the pulling force is large enough to compress the rubber member 703 to a level sufficient for the blocking member 800 to pass through, the blocking member 800 can pass through, thereby forming a new pulling point.
  • This embodiment realizes segmented bending control by setting a fixing member 700 on the adjustable bending section and setting a blocking member 800 on the traction wire 200, so that each position of the traction wire 200 is bent in place, and the situation that the distal end of the traction wire 200 is bent too much can be avoided. Further, when the blocking member 800 and the fixing member 700 of this embodiment are elastically abutted, when the force of pulling the traction wire 200 is large enough, the blocking member 800 can pass through the traction channel 710 on the fixing member 700, and the blocking member 800 can be pulled to the proximal side of the fixing member 700 corresponding to it, so that the corresponding adjustable bending section can continue to bend under the action of the traction wire 200.
  • the elastic abutment structure can make the operator feel whether a certain section is close to the bending limit as the force required for squeezing increases, and can better control it, so as not to cause the pulling force to be applied all at once to puncture the blood vessel.
  • Embodiment 4 (bending control sleeve)
  • the conveying system of the third embodiment above realizes segmented bending control, but the segmented bending control is formed by the fixing member 700 and the blocking member 800 abutting against each other to form a limit.
  • the problem is that after the conveying system is manufactured, the sequence of segmented bending control can only be carried out from far to near and the bending adjustment method is fixed, and it is impossible to adjust the bending of each section more flexibly according to actual needs.
  • this embodiment further proposes a solution for flexibly controlling the bending of the adjustable bending section 100a of the adjustable bending member on the basis of the above-mentioned overall conveying system or the conveying system of the first embodiment or the conveying system of the second embodiment.
  • this embodiment proposes a controllable bend delivery system, which includes an adjustable bend member with a preset axial length, a traction wire 200 for pulling the adjustable bend member to bend under the action of tension, and a bend control assembly for controlling the degree of bending of the adjustable bend member.
  • the adjustable bend member includes an adjustable bend section 100a located at the distal end; the distal end of the traction wire 200 is connected to the distal end of the adjustable bend section 100a, and is used to pull the adjustable bend section 100a to bend under the action of an external force.
  • the specific structures of the adjustable bend member and the traction wire 200 are as follows: For the connection method, please refer to the above-mentioned overall conveying system or embodiment 1 or embodiment 2, which will not be repeated here.
  • the adjustable bending component of this embodiment can be selected as the sheath core assembly 100 described in embodiment 1, and the structure of the sheath core assembly 100 can refer to the above-mentioned embodiment 1. It should be known that if it is only based on the purpose of flexible bending control, the adjustable bending component of this embodiment is not limited to the sheath core assembly 100.
  • the bending control assembly of this embodiment includes a bending control sleeve 900 sleeved on the traction wire 200 opposite to the adjustable bending section 100a, and the bending control sleeve 900 is movably sleeved on the traction wire 200, so that the bending control sleeve 900 can move axially relative to the bending control sleeve 900 on the traction wire 200.
  • the effective bending length here refers to the effective bendable length within the adjustable bending section 100a. For example, if other non-adjustable bending parts are set on the adjustable bending section 100a, the length of this part needs to be removed.
  • the bending control sleeve 900 may be an inflexible rigid sleeve or a flexible elastic sleeve. That is, the p bending control sleeves 900 include a rigid sleeve that cannot undergo axial deformation and/or an elastic sleeve that can undergo axial deformation. It should be known that when there are multiple bending control sleeves 900, the multiple bending control sleeves 900 may be partially rigid sleeves and partially elastic sleeves. Multiple refers to two or more. Preferably, if there are at least two elastic sleeves in the p bending control sleeves 900, the elastic stiffness coefficients of the two elastic sleeves are the same or different. When the elastic stiffness coefficients of the two elastic sleeves are different, the elastic stiffness coefficients of the two elastic sleeves increase from far to near.
  • the bending control assembly of this embodiment also includes a fixing member 700 fixed on the adjustable bending section 100a, and the fixing members 700 are provided with m pieces, 1 ⁇ m and m is a natural number, and the m fixing members 700 are arranged at intervals along the axial direction of the adjustable bending section 100a, and the m intervally arranged fixing members 700 divide the adjustable bending section 100a into m+1 adjustable bending sub-segments; the fixing member 700 is provided with a traction channel for the traction wire 200 to pass through, and the distal end of the traction wire 200 passes through the traction channel and is connected to the distal end of the adjustable bending section 100a; wherein, 1 ⁇ p ⁇ m+1, the p bending control sleeves 900 can be selectively arranged one by one with the p sub-segments in the m+1 sub-segments, and the axial length of each bending control sleeve 900 is not greater than the effective bending length
  • the arrangement of the fixing member 700 of this embodiment can be referred to the second embodiment, and will not be repeated here. It can be understood that when the present embodiment includes a fixing member 700, the effective bending length described herein includes the distance between the first fixing member and the distal end of the adjustable bending section 100a, the distance between the mth fixing member and the proximal end of the adjustable bending section 100a, and the distance between two adjacent fixing members.
  • the m+1 adjustable bending sub-segments are the first sub-segment, the second sub-segment, and the m+1th sub-segment from the distal end to the proximal end of the adjustable bending member; wherein, among the m+1 adjustable bending sub-segments, one sub-segment is used to face the aortic arch.
  • the sub-segment facing the aortic arch has the largest effective bending length;
  • One of the bending sleeves 900 is sleeved on the traction wire 200 opposite to the sub-segment with the maximum effective bending length.
  • the second sub-segment is used to be opposite to the aortic arch, and the second sub-segment has the maximum effective bending length, and one of the bending sleeves 900 is sleeved on the traction wire 200 opposite to the second sub-segment.
  • the m+1 sub-segment has the minimum effective bending length.
  • the effective bending length of the m+1 sub-segment is not greater than 20 mm.
  • the fixing member 700 includes a coil spring, which is sleeved on the adjustable curved section 100a and at least partially fixed to the adjustable curved section 100a, and a traction channel for the traction wire 200 to pass through is provided between the adjustable curved section 100a and the coil spring.
  • the inner diameter of the coil spring is larger than the outer diameter of the adjustable curved section 100a, so that the fixing member 700 can be sleeved on the adjustable curved section 100a.
  • This design not only realizes elastic abutment, but also allows the thickness of the coil spring to be designed to be thinner, reducing the overall outer diameter of the adjustable curved member, so that the interventional device has more space in the delivery system.
  • the bending control sleeve includes a rigid sleeve 900a, which can be made of metal, such as stainless steel.
  • the traction wire 200 passes through the rigid sleeve and can be displaced with the rigid sleeve.
  • the length of the rigid sleeve is L, satisfying L ⁇ D2, where D2 is the effective bending length of the second sub-segment. It can be understood that the length of L determines the maximum degree of bendability of the D2 area. The shorter L, the greater the degree of bendability of the D2 area.
  • the effective bending length of the D2 area is the largest, so the D2 area is bent first, and the remaining areas do not bend significantly at the beginning.
  • the pulling force continues to increase, the remaining areas also bend accordingly.
  • the maximum bending degree of the D2 area is limited by L, in the process of continuously increasing the pulling force, the D2 area does not continue to bend after reaching the maximum bending degree, and the remaining areas can still continue to bend, achieving a flexible segmented bending effect.
  • FIG32 is a schematic diagram of one application scenario of the delivery system in human blood vessels, where the D2 region is located at the aortic arch and the D1 region is located at the ascending aorta.
  • the degree of curvature of the D2 region can be adjusted first to bring the stent hooked on the sheath core assembly closer to the lesser curvature.
  • the D2 region reaches the designed curvature, further adjustment can be made to bend the D1 region, further adjusting the proximal end of the stent and the wall adhesion of the blood vessel.
  • the D1, D2....Dm+1 regions can be designed according to actual needs, and the rigid channel 300 can also be selectively designed in each region according to actual needs.
  • the maximum compression of the spring sleeve is ⁇ L
  • the spring sleeve design can cover the traction wire in the entire area, effectively avoiding the damage to human blood vessels caused by the exposed traction wire.
  • the spring has restorative properties and can restore its original shape after compression. Therefore, when the pulling force is removed, the D2 area can be restored to its original shape. shape, which is conducive to the withdrawal of the conveying system.
  • a bending control sleeve 900 includes q sub-sleeves arranged in sequence along the axial direction of the traction wire 200, 1 ⁇ q and q is a natural number, the q sub-sleeves are connected or not connected, and the sum of the axial lengths of the q sub-sleeves is not greater than the effective bending length of the adjustable bending section 100a corresponding thereto.
  • the sub-sleeve may be a sub-rigid sleeve that cannot be axially deformed and/or a sub-elastic sleeve that can be axially deformed.
  • the sub-sleeve may be a sub-rigid sleeve that cannot be axially deformed, the sum of the lengths of all sub-sleeves in the same area is the corresponding curve chord length at the maximum bending angle of the area.
  • the elastic stiffness coefficients of the two sub-elastic sleeves are the same or different.
  • the elastic stiffness coefficients of the two sub-elastic sleeves increase from far to near.
  • sub-elastic sleeves there are three sections of sub-elastic sleeves (or multiple sections) in the same area, and the following sections are represented by 901, 902, and 903, respectively.
  • the stiffness coefficients of each section of the sub-elastic sleeve are represented by K1, K2, and K3, respectively. K1, K2, and K3 are not completely equal.
  • different sub-elastic sleeve lengths and stiffness coefficients can be selected according to different vascular morphologies, and a bending curve that conforms to the vascular morphology can be set in the same area with reference to this method.
  • the sub-elastic sleeves with different stiffness coefficients can be arranged continuously, that is, the sub-elastic sleeves are connected to form an elastic sleeve, and different sections of the elastic sleeve have different stiffness coefficients.
  • the function of segmented bending adjustment can be achieved by only putting the elastic sleeve on the traction wire.
  • the bending control assembly also includes a blocking member 800 fixed on the traction wire 200.
  • the structure and setting method of the blocking member 800 can refer to the above-mentioned embodiment 2.
  • the segmented bending control is achieved through the abutment between the blocking member 800 and the fixing member 700, and the bending control sleeve and other methods, thereby improving the flexibility and accuracy of the bending control.
  • Embodiment 5 (multiple traction wires 200)
  • the present embodiment provides an adjustable bending conveying system, comprising an adjustable bending member having a preset axial length and a traction wire 200 for pulling the adjustable bending member to bend under the action of tension;
  • the adjustable bending member comprises an adjustable bending section 100a at the distal end, and the adjustable bending section 100a is provided with a plurality of traction points 110, and the traction points 110 at least include r axial traction points 110a arranged at intervals along the axial direction of the adjustable bending section 100a, 2 ⁇ r and r is a natural number;
  • the traction wire 200 is provided with s roots, 2 ⁇ s and s is a natural number; wherein, r ⁇ s, the distal ends of r of the s traction wires 200 are respectively connected to r axial pulling points, and the s traction wires 200 are pulled to adjust the bending degree of the adjustable bending section 100a.
  • the adjustable bending component of this embodiment can be selected as the sheath-core assembly 100 described in Example 1, and the structure of the sheath-core assembly 100 can refer to the above-mentioned Example 1. It should be known that if it is only based on the purpose of flexible bending control, the adjustable bending component of this embodiment is not limited to the sheath-core assembly 100.
  • the r axial pulling points 110a spaced apart in the axial direction are not all located on the same longitudinal straight line, so that the projections of the r axial pulling points 110a in the axial direction perpendicular to the adjustable bending member do not completely overlap.
  • the r axial pulling points 110a are all located on the small bending side of the adjustable bending member.
  • the number of the traction wires 200 can be set to be greater than the number of the r axial traction points 110a.
  • the adjustable bend section 100a further includes a circumferential traction point 110b located on the same circumference as the axial traction point 110a.
  • the distal ends of the a traction wires 200 are respectively connected to the a circumferential traction points 110b.
  • the a circumferential traction points 110b are all located on the small bend side of the adjustable bend member.
  • the adjustable bend conveying system further includes a fixing member 700 fixedly mounted on the adjustable bend section 100a, and the fixing members 700 are provided in m numbers, 1 ⁇ m and m is a natural number, and the m fixing members 700 are arranged at intervals along the axial direction of the adjustable bend section 100a, and the fixing member 700 is provided with a traction channel through which the traction wire 200 can pass.
  • the structure and arrangement of the fixing member 700 can refer to the second embodiment, and will not be described in detail here.
  • the adjustable bend delivery system further includes a blocking member 800, wherein n blocking members 800 are provided, wherein 1 ⁇ n ⁇ s and n is a natural number, and n blocking members 800 can be selectively fixed on s traction wires 200, and n blocking members 800 are arranged at intervals along the axial direction; wherein one blocking member 800 is located at intervals on the distal side of a fixing member 700 and at the proximal side of a pulling point 110, so that the blocking member 800 can abut against the fixing member 700 adjacent to the proximal side thereof as the traction wire 200 moves and form a new pulling point 110 at the abutment between the two.
  • the structure of the blocking member 800 and the matching method with the fixing member 700 can refer to the third embodiment, and will not be described in detail here.
  • the adjustable bend member further includes a support section 100b connected to the proximal side of the adjustable bend section 100a
  • the adjustable bend delivery system further includes a push rod 400 sleeved outside the support section 100b, and a second limiting channel for the traction wire 200 to pass through is axially provided on the tube wall of the push rod 400, that is, a small channel hole 401 in the figure, and t second limiting channels are provided, and the t second limiting channels are parallel to each other, wherein 1 ⁇ t ⁇ s and t is a natural number.
  • the t second limiting channels are all located on the small bend side of the adjustable bend member.
  • the adjustable bend conveying system also includes a bend control sleeve sleeved outside the traction wire 200 opposite to the adjustable bend section 100a, and the bend control sleeves are provided in p numbers, 1 ⁇ p and p is a natural number, and the sum of the axial lengths of the p bend control sleeves is not greater than the effective bending length of the adjustable bend section 100a, and the p bend control sleeves are used to further adjust the bending degree of the adjustable bend section 100a during the pulling process.
  • the structure and setting method of the bend control sleeve can refer to the fourth embodiment, and will not be repeated here.
  • the fixing member 700 is provided with a plurality of traction channels 710 to allow the traction wire 200 to pass through.
  • the sheath-core assembly 100 is made of a soft polymer material, and the traction wires 210 and 220 are respectively provided with fixing points at the distal end, and are respectively fixed to different traction mechanisms at the proximal end after passing through the small channel hole 401 of the push rod 400.
  • the push rod 400 may be provided with a plurality of small channel holes 401 on the small curved side, and each small channel hole 401 corresponds to a traction wire 200, or a plurality of independent channels may be provided in the small channel hole 401 on the small curved side of the push rod 400, and each independent channel corresponds to a traction wire 200.
  • the area of the adjustable bend section 100a is the bend adjustment area. Since each traction wire 200 has a fixed point at the distal end, the 100a area can be bent under force. As shown in FIG. 34 , D1, D2....Dm+1 are all the distances between the two fixed ends of the traction wire 200. When Dm+1 ⁇ 20mm, the bending angle of the D m+1 segment is extremely small. When the traction wire 210 is pulled, as shown in FIG. 35 , the area of the adjustable bend section 100a is bent as a whole; when the traction wire 220 is pulled, as shown in FIG. 36 , the area of the adjustable bend section 100a except D1 is bent.
  • the other two traction wires can be fixed on the same pulling mechanism and pulled at the same time. As shown in FIG37 , the two traction wires are fixed independently at their distal ends. After passing through the fixing parts, the two traction wires are integrated into the channel of the push rod through welding, bonding and other processes, and are fixed to the pulling mechanism at the distal end.
  • FIG2 a plurality of traction wires are arranged on the conveying system, and each traction wire is fixed at the distal end, so that each section can have a different degree of bending effect.
  • FIG38 shows the bending shape of the conveying system when the three traction wires 210, 220 and 230 are bent together.
  • FIG39 shows the bending shape of the conveying system when the two traction wires 220 and 230 are bent together.
  • FIG40 shows the bending shape of the conveying system when 230 is bent.
  • the traction wires can be distributed on different sides. As shown in Figure 41, it is a cross-sectional view of the push rod 400. Similarly, the cross-sectional view of the fixing member 700 is consistent with the push rod, at least ensuring that the channels of the two traction wires are on the same horizontal line.
  • 210 and 220 are two traction wires, respectively.
  • the angle between the positions of the two traction wires is ⁇ , 0° ⁇ 180°.
  • the purpose of this design is that when a single traction wire is pulled, the conveying system will bend in the direction of the traction wire design. When the two traction wires are pulled at the same time, the bending angle can be adjusted in space.
  • the conveying system is provided with a plurality of traction wires, and according to actual needs, each section of the adjustable bending section 100a region can be bent in different degrees in different directions in space, which is more conducive to entering twisted blood vessels.
  • the traction wire needs to have a certain tensile strength. If the tensile strength is insufficient, the traction wire is easily stretched, resulting in a loss of travel, or even being broken, resulting in loss of function.
  • the tensile and fracture strength of the metal can be improved by a quenching process (heating to a certain temperature and then rapidly cooling).
  • the delivery system of the present invention can adjust the bending angle of the front end of the delivery system, so that the stent can reach the bending part smoothly and the front end of the stent can be located in the middle of the aortic arch when released, thereby reducing the "bird's beak" effect.
  • the setting of the limiter and the blocking member not only avoids the entanglement of the pulling member, but also controls the direction and segment of the bending adjustment, thereby achieving precise step-by-step segmented bending control.
  • the setting of the bending control sleeve and multiple traction wires can make the bending adjustment method more flexible, improve the bending performance of the delivery system, and ensure that the interventional device can be accurately delivered and released to the preset position.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

La présente invention concerne un système de transport pliable de manière segmentaire, qui comprend un élément pliable ayant une longueur axiale prédéfinie, un câble de traction (200) pour tirer l'élément pliable afin de le faire plier sous l'action de la tension, et un ensemble de commande de pliage pour réaliser un pliage segmenté de l'élément pliable, l'élément pliable comprenant une section pliable (100a) située à une extrémité distale ; l'ensemble de commande de pliage comprend un élément de fixation (700) monté à demeure sur la section pliable (100a) et un élément de blocage (800) monté à demeure sur le câble de traction (200) ; un canal de traction (710) permettant le passage du câble de traction (200) est monté sur l'élément de fixation (700) ; le câble de traction (200) passe à travers le canal de traction (710), une extrémité distale du câble de traction est reliée à une extrémité distale de la section pliable (100a), et un point de traction initial est formé au point de jonction ; une distance prédéfinie est établie entre l'élément de blocage (800) et l'élément de fixation (700) à proximité d'un côté d'extrémité proximale de celui-ci ; pendant la traction du câble de traction (200), l'élément de blocage (800) peut venir en butée contre l'élément de fixation (700) conjointement au mouvement du câble de traction (200), et un nouveau point de traction est formé au niveau du point de butée de celui-ci. Le système de transport pliable de manière segmentaire de la présente invention est destiné à résoudre le problème selon lequel des instruments d'intervention existants ne peuvent pas être placés avec précision.
PCT/CN2023/131497 2022-12-02 2023-11-14 Système de transport pliable de manière segmentaire WO2024114365A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN202211538251.6 2022-12-02
CN202211538251.6A CN118121374A (zh) 2022-12-02 2022-12-02 一种可分段调弯输送系统

Publications (1)

Publication Number Publication Date
WO2024114365A1 true WO2024114365A1 (fr) 2024-06-06

Family

ID=91232479

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2023/131497 WO2024114365A1 (fr) 2022-12-02 2023-11-14 Système de transport pliable de manière segmentaire

Country Status (2)

Country Link
CN (1) CN118121374A (fr)
WO (1) WO2024114365A1 (fr)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015010963A1 (fr) * 2013-07-23 2015-01-29 The Provost, Fellows, Foundation Scholars, And The Other Members Of Board, Of The College Of The Holy And Undivided Trinity Of Queen Elizabeth, Near Dublin Dispositif de traitement permettant de traiter l'intérieur d'un vaisseau à l'intérieur d'un corps
CN109984823A (zh) * 2018-01-03 2019-07-09 杭州启明医疗器械股份有限公司 一种调弯鞘管以及采用该调弯鞘管的输送系统
WO2020079214A1 (fr) * 2018-10-19 2020-04-23 Biotronik Se & Co. Kg Fil d'électrode implantable pour trajet d'implantation incurvé
JP2022151105A (ja) * 2021-03-26 2022-10-07 住友ベークライト株式会社 医療用留置具搬送装置及び留置具付き医療用留置具搬送装置

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015010963A1 (fr) * 2013-07-23 2015-01-29 The Provost, Fellows, Foundation Scholars, And The Other Members Of Board, Of The College Of The Holy And Undivided Trinity Of Queen Elizabeth, Near Dublin Dispositif de traitement permettant de traiter l'intérieur d'un vaisseau à l'intérieur d'un corps
CN109984823A (zh) * 2018-01-03 2019-07-09 杭州启明医疗器械股份有限公司 一种调弯鞘管以及采用该调弯鞘管的输送系统
WO2020079214A1 (fr) * 2018-10-19 2020-04-23 Biotronik Se & Co. Kg Fil d'électrode implantable pour trajet d'implantation incurvé
JP2022151105A (ja) * 2021-03-26 2022-10-07 住友ベークライト株式会社 医療用留置具搬送装置及び留置具付き医療用留置具搬送装置

Also Published As

Publication number Publication date
CN118121374A (zh) 2024-06-04

Similar Documents

Publication Publication Date Title
US7920927B2 (en) Lead assembly and methods including a push tube
CN108378960B (zh) 一种介入心脏瓣膜的可调弯输送系统
US6607555B2 (en) Delivery catheter assembly and method of securing a surgical component to a vessel during a surgical procedure
AU2008323762B2 (en) Tethered coil for treatment of body lumens
CN106473791B (zh) 一种可调距离的左心耳封堵器
CN111035474B (zh) 一种植入器械可控导引装置
CN110114114B (zh) 用于无引线心脏装置的递送装置和方法
WO2023029724A1 (fr) Système de réduction d'anneau transcathéter et son application
WO2017107990A1 (fr) Système de pose d'endoprothèse, ensembles associés et procédé pour les utiliser
CN110934618A (zh) 一种可控释放的系统
JP2022531585A (ja) 弁輪を再形成するためのシステム、装置及び方法
WO2024125225A1 (fr) Stent recouvert
WO2024114365A1 (fr) Système de transport pliable de manière segmentaire
WO2024114363A1 (fr) Système de pose à courbure réglable
WO2024114364A1 (fr) Système de transport pouvant être commandé en flexion
WO2024114366A1 (fr) Système de pose
US20090281409A1 (en) Reinforced medical device
CN215839711U (zh) 一种可调节远端角度的输送鞘管
WO2020134053A1 (fr) Système de retrait d'anneau de valve
US10327931B2 (en) Pusher-assembly for an insertion system for a self-expandable vascular implant
CN219579139U (zh) 覆膜支架系统
CN219963183U (zh) 一种可控制旋转的定位装置
US11596773B2 (en) Method and apparatus for anchoring a catheter line to the tissue of a patient for pain pump drug delivery
CN116035760A (zh) 覆膜支架系统及覆膜支架导入方法
CN114514004A (zh) 用于减少二尖瓣反流的装置、系统和方法