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CN109480958B - A multi-adaptive multi-caliber thrombectomy device that prevents over-cutting - Google Patents

A multi-adaptive multi-caliber thrombectomy device that prevents over-cutting Download PDF

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CN109480958B
CN109480958B CN201811462303.XA CN201811462303A CN109480958B CN 109480958 B CN109480958 B CN 109480958B CN 201811462303 A CN201811462303 A CN 201811462303A CN 109480958 B CN109480958 B CN 109480958B
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thrombectomy
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CN109480958A (en
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魏铭
王震
金重午
杨光
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Tianjin Huanhu Hospital (tianjin Neurosurgery Department Institute Tianjin Brain Central Hospital)
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement

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Abstract

一种防过度切割的多适应性多管径取栓器,包括取栓单元管,所述取栓单元管具有皱缩形态和膨胀形态,所述取栓单元管设置至少两节并依次连接为一整体,其中至少两节所述取栓单元管分别具有相异的膨胀形态直径。本发明结构简单、使用方便,针对患有血管狭窄的中国脑卒中患者设计,总体上具有手术创伤小、柔顺性好、径向支撑好、便于显影定位、易于装配使用、取栓效果好的优点。

A multi-adaptive multi-diameter thrombectomy device that prevents over-cutting, including a thrombectomy unit tube, which has a collapsed form and an expanded form. The thrombectomy unit tube is provided with at least two sections and connected in sequence as A whole body, in which at least two sections of the thrombectomy unit tubes respectively have different expanded diameters. The invention has a simple structure and is easy to use. It is designed for Chinese stroke patients suffering from vascular stenosis. Generally speaking, it has the advantages of small surgical trauma, good flexibility, good radial support, easy development and positioning, easy assembly and use, and good thrombectomy effect. .

Description

一种防过度切割的多适应性多管径取栓器A multi-adaptive multi-caliber thrombectomy device that prevents over-cutting

技术领域Technical field

本发明涉及医疗器械技术领域,具体是一种防过度切割的多适应性多管径取栓器。The invention relates to the technical field of medical devices, specifically a multi-adaptive multi-caliber thrombectomy device that prevents over-cutting.

背景技术Background technique

脑卒中(cerebral stroke)是组以脑部缺血及出血性损伤症状为主要临床表现的疾病,根据2017年的Circulation 上的一项结果显示,我国卒中的患病率为1114.8/10万人,全国患病人数1494万人。死亡率114.8/10万人/年,死亡人数154万人。此外我国脑卒中的病人数量成8.7%的比例持续增长。脑卒中不但具有高发病率,高增长率高致死率,而且还具有高致残率和高复发率。脑卒中(cerebral stroke)是目前我国国民致死第一杀手,而且约60%~80%存活的脑中风病人会患又不同程度的残疾,严重者影响正常生活,而且有脑中风病史的病人,有1/4~3/4可能在2~5年内复发。Cerebral stroke is a group of diseases with symptoms of cerebral ischemia and hemorrhagic injury as the main clinical manifestations. According to a result in Circulation in 2017, the prevalence of stroke in my country is 1114.8/100,000 people. The number of sick people nationwide is 14.94 million. The mortality rate is 114.8/100,000 people/year, and the number of deaths is 1.54 million. In addition, the number of stroke patients in my country continues to grow at a rate of 8.7%. Stroke not only has a high incidence rate, high growth rate and high fatality rate, but also has a high disability rate and high recurrence rate. Cerebral stroke is currently the number one killer of people in our country, and about 60% to 80% of surviving stroke patients will suffer from varying degrees of disability, which in severe cases affects normal life. Patients with a history of stroke have 1/4~3/4 may relapse within 2~5 years.

脑卒中分为出血性脑卒中和失血性脑卒中(ischemic stroke)两类。失血性脑卒中约占脑卒中的70%,由于脑部供血不足,失血性脑卒中导致脑组织功能障碍及坏死。一般来说,血栓(脑部形成阻塞血块),栓塞(栓塞从其他地方形成),系统性供血不足(一般性系统性供血不足,如休克)和静脉血栓是形成失血性脑卒中的主要原因。Stroke is divided into two categories: hemorrhagic stroke and ischemic stroke. Hemorrhagic stroke accounts for about 70% of strokes. Due to insufficient blood supply to the brain, hemorrhagic stroke leads to brain tissue dysfunction and necrosis. Generally speaking, thrombosis (the formation of an obstructing blood clot in the brain), embolism (the formation of an embolus from elsewhere), systemic insufficiency (general systemic insufficiency of blood supply, such as in shock), and venous thrombosis are the main causes of hemorrhagic stroke.

及时有效的疏通病灶血管和保持病灶处血管正常通量是治疗失血性脑卒中的关键。目前,通用的疗法是动静脉药物溶栓发和机械取栓法。动静脉药物疗法一般采用病灶处注射组织纤溶酶原激活剂(tissue plasminogen activator, tPA)或者尿激酶等溶栓剂,虽然药物溶栓法收到得到国际组织的广泛认可,但是其对时间窗的要求(静脉药物溶栓需要在发病后3小时内进行,动脉溶栓需要在发病后6小时内进行)和对血栓和病灶血管外径的要求(一般血管外径超过8mm,不适合实用药物溶栓)极大的限制了药物溶栓的使用范围和有效性。然而机械取栓法具有打破这些限制的优点,并能达到良好的治疗效果。机械取栓法中的激光碎栓法操作复杂,机械血栓切割对血管伤害性大,而捕栓网取栓法操作简单,对病灶血管相对创伤小。虽然捕栓网取栓法效果优异,但对器械的设计结构和加工生产要求较高,市场上能够购买使用的机械捕栓器,在一定程度上,很难满足医生和患者的要求,特别是针对绝大多数中国脑卒中伴有的血管狭窄的病状,市场上的器械很难达到良好治疗而创伤较小的结果,往往存在血管适应性差、血栓逃逸、结构柔顺性及强韧性难以平衡等缺点,捕获效果较差。Timely and effective dredging of the blood vessels in the lesion and maintaining normal blood flow in the lesion are the keys to the treatment of hemorrhagic stroke. At present, the common therapies are arteriovenous drug thrombolysis and mechanical thrombectomy. Arteriovenous drug therapy generally uses thrombolytic agents such as tissue plasminogen activator (tPA) or urokinase to be injected into the lesion. Although drug thrombolysis methods are widely recognized by international organizations, they have limited time windows. requirements (intravenous drug thrombolysis needs to be carried out within 3 hours after the onset of illness, and arterial thrombolysis needs to be carried out within 6 hours after the onset of illness) and requirements for the outer diameter of the thrombus and the lesion blood vessel (generally the outer diameter of the blood vessel exceeds 8mm, which is not suitable for practical drugs Thrombolysis) greatly limits the scope and effectiveness of drug thrombolysis. However, mechanical thrombectomy has the advantage of breaking these limitations and can achieve good therapeutic effects. Among the mechanical thrombectomy methods, the laser thrombus fragmentation method is complex to operate, and mechanical thrombus cutting is very harmful to blood vessels, while the thrombectomy net thrombectomy method is simple to operate and is relatively less invasive to the diseased blood vessels. Although the embolus-catching net thrombectomy method has excellent results, it has high requirements for the design, structure, processing and production of the device. The mechanical thrombus catchers that can be purchased and used on the market are, to a certain extent, difficult to meet the requirements of doctors and patients, especially In view of the vascular stenosis associated with most Chinese strokes, it is difficult for the devices on the market to achieve good treatment and less invasive results. They often have shortcomings such as poor vascular adaptability, thrombus escape, and difficulty in balancing structural flexibility and strength. , the capture effect is poor.

发明内容Contents of the invention

本发明的技术目的在于提供一种防过度切割的多适应性多管径取栓器,解决传统取栓器械存在的血栓捕获效果差的问题。The technical purpose of the present invention is to provide a multi-adaptive multi-caliber thrombectomy device that prevents over-cutting and solves the problem of poor thrombus capture effect of traditional thrombectomy instruments.

本发明的具体技术方案如下:一种防过度切割的多适应性多管径取栓器,包括取栓单元管,所述取栓单元管具有皱缩形态和膨胀形态,所述取栓单元管设置至少两节并依次连接为一整体,其中至少两节所述取栓单元管分别具有相异的膨胀形态直径。The specific technical solution of the present invention is as follows: a multi-adaptive multi-diameter thrombectomy device that prevents over-cutting, including a thrombectomy unit tube, which has a collapsed form and an expanded form. At least two sections are provided and connected in sequence to form a whole, wherein at least two sections of the thrombectomy unit tubes respectively have different expanded diameters.

作为优选,所述膨胀形态直径的取值范围为0.5~6mm。Preferably, the diameter of the expanded form ranges from 0.5 to 6 mm.

作为优选,所述取栓单元管设置三节并依次连接为一整体,以远端取栓单元管、中间取栓单元管和近端取栓单元管相互区分,所述远端取栓单元管、所述近端取栓单元管的膨胀形态直径大于所述中间取栓单元管的膨胀形态直径。Preferably, the thrombectomy unit tube is provided with three sections and connected in sequence as a whole, and the distal thrombectomy unit tube, the middle thrombectomy unit tube and the proximal thrombectomy unit tube are distinguished from each other. The distal thrombectomy unit tube, The expanded diameter of the proximal thrombectomy unit tube is larger than the expanded diameter of the intermediate thrombectomy unit tube.

作为优选,所述远端取栓单元管的膨胀形态直径的取值范围为0.5~6mm,所述近端取栓单元管的膨胀形态直径的取值范围为0.5~6mm,所述中间取栓单元管的膨胀形态直径的取值范围为0.4~5mm。Preferably, the expanded diameter of the distal thrombectomy unit tube ranges from 0.5 to 6 mm, the expanded diameter of the proximal thrombectomy unit tube ranges from 0.5 to 6 mm, and the intermediate thrombectomy unit tube ranges from 0.5 to 6 mm. The expanded diameter of the unit tube ranges from 0.4 to 5 mm.

作为优选,所述取栓单元管包括多条筋线和由所述筋线围成的多个取栓网格,所述筋线在所述取栓单元管的轴向方向上呈连贯或断续的正弦波形,所述取栓单元管上沿着其自身轴向方向排列有多圈周向网格环带,所述周向网格环带由所述取栓网格周向排列组成。Preferably, the thrombectomy unit tube includes a plurality of ribs and a plurality of thrombectomy grids surrounded by the ribs, and the ribs are continuous or interrupted in the axial direction of the thrombectomy unit tube. The thrombectomy unit tube has a continuous sinusoidal waveform, and multiple circles of circumferential grid annulus are arranged on the thrombectomy unit tube along its own axial direction, and the circumferential grid annulus is composed of the circumferential arrangement of the thrombectomy grid.

作为优选,同一所述周向网格环带中的所述取栓网格的网格面积均相同。Preferably, the mesh areas of the plug-removing meshes in the same circumferential mesh annular zone are all the same.

作为优选,所述取栓单元管上至少存在两圈所含有的所述取栓网格的网格面积不相同的所述周向网格环带。Preferably, there are at least two circles of the circumferential mesh annular zone containing the thrombectomy mesh with different mesh areas on the thrombectomy unit tube.

作为优选,存在两种相区别的所述周向网格环带,其所包含的所述取栓网格的网格面积相差一倍。Preferably, there are two different circumferential grid annular zones, and the grid areas of the thrombectomy grids contained in them are one time different.

作为优选,该两种相区别的所述周向网格环带沿着所述取栓单元管的轴向方向交错排列。Preferably, the two different circumferential mesh annular zones are staggered along the axial direction of the thrombectomy unit tube.

作为优选,所述取栓网格的网格面积范围为2~100mm2Preferably, the grid area of the thrombectomy grid ranges from 2 to 100 mm 2 .

作为优选,作为所述取栓器起始一段的所述取栓单元管的远端还设有异形引导连接段,所述异形引导连接段与所述取栓单元管一体成型;所述异形引导连接段包括起始筋线和由所述起始筋线围成的多个起始取栓网格,所述起始筋线和所述起始取栓网格与所述取栓单元管的所述筋线和所述取栓网格的结构设置相同;所述异形引导连接段呈带有斜切截面的不规则管状。Preferably, the distal end of the thrombectomy unit tube as the initial section of the thrombectomy device is also provided with a special-shaped guide connection section, and the special-shaped guide connection section is integrally formed with the thrombectomy unit tube; the special-shaped guide The connection section includes a starting rib line and a plurality of starting thrombectomy grids surrounded by the starting rib line, and the starting rib line and the starting thrombectomy grid are connected with the thrombectomy unit tube. The ribs and the bolt removal grid have the same structural arrangement; the special-shaped guide connecting section is in an irregular tubular shape with a beveled section.

作为优选,所述异形引导连接段的远端连接有牵引丝。Preferably, a pulling wire is connected to the distal end of the special-shaped guide connection section.

作为优选,所述异形引导连接段的所述起始筋线上、所述取栓单元管的所述筋线上、所述牵引丝这三者全部或者三者之一或者三者之二连接有显影段。Preferably, all, one or two of the three of the starting rib line of the special-shaped guide connecting section, the rib line of the thrombectomy unit tube, and the pulling wire are connected. There is a developing section.

作为优选,所述异形引导连接段的一条或多条所述起始筋线、作为所述取栓器起始一段的所述取栓单元管的一条或多条所述筋线、所述牵引丝这三者全部或三者之一或三者之二连接有头端区域显影段。Preferably, one or more of the starting ribs of the special-shaped guide connection section, one or more of the ribs of the thrombectomy unit tube as the initial section of the thrombectomy device, the traction All, one or two of the three wires are connected with a head-end area developing section.

作为优选,除作为所述取栓器起始一段的所述取栓单元管及作为所述取栓器末尾一段的所述取栓单元管之外,其他至少一节所述取栓单元管的一条或多条所述筋线连接有主体区域显影段。Preferably, in addition to the thrombectomy unit tube as the initial section of the thrombectomy device and the thrombectomy unit tube as the last section of the thrombectomy device, at least one other section of the thrombectomy unit tube One or more of the ribs are connected to the main body area developing section.

作为优选,作为所述取栓器末尾一段的所述取栓单元管的一条或多条所述筋线连接有尾端区域显影段。Preferably, one or more of the ribs of the thrombectomy unit tube as the last section of the thrombus retriever are connected to a tail end region developing section.

作为优选,相邻所述取栓单元管之间一体成型。Preferably, adjacent tubes of the thrombectomy unit are integrally formed.

作为优选,相邻所述取栓单元管各自为独立分段,每个所述取栓单元管的端部设有可拆装连接组件,所述可拆卸连接组件包括多组相配合的第一组件单元和第二组件单元;Preferably, the adjacent thrombectomy unit tubes are each independently segmented, and the end of each thrombectomy unit tube is provided with a detachable connection component, and the detachable connection component includes a plurality of matching first sets. module unit and second module unit;

当所述取栓单元管设置两节时,所述第一组件单元连接在其中一节所述取栓单元管的一端,所述第二组件单元连接在另一节所述取栓单元管的一端,相邻的所述取栓单元管通过各自的所述第一组件单元及所述第二组件单元相互配合连接;When the thrombectomy unit tube is provided with two sections, the first component unit is connected to one end of one section of the thrombectomy unit tube, and the second component unit is connected to the other section of the thrombectomy unit tube. At one end, the adjacent thrombectomy unit tubes are cooperatively connected to each other through the respective first component units and the second component units;

当所述取栓单元管设置超过两节时,作为所述取栓器起始一段的所述取栓单元管的近端连接所述第一组件单元或所述第二组件单元,作为所述取栓器末尾一段的所述取栓单元管的远端连接所述第一组件单元或所述第二组件单元,而其余的每节所述取栓单元管的两端分别连接所述第一组件单元、所述第二组件单元,相邻的所述取栓单元管通过各自的所述第一组件单元及所述第二组件单元相互配合连接。When the thrombectomy unit tube is provided with more than two sections, the proximal end of the thrombectomy unit tube as the initial section of the thrombectomy device is connected to the first component unit or the second component unit, as the The distal end of the thrombectomy unit tube at the end of the thrombectomy device is connected to the first component unit or the second component unit, and the two ends of the remaining thrombectomy unit tubes in each section are connected to the first component unit respectively. The module unit, the second module unit, and the adjacent thrombectomy unit tubes are cooperatively connected to each other through the respective first module unit and the second module unit.

作为优选,所述第一组件单元包括连接于所述取栓单元管端部的所述筋线至少两段支柱和连接在每段所述支柱上的圆环部,所述第二组件单元包括连接于所述取栓单元管端部的所述筋线的至少一根衔接段,该衔接段包括由所述筋线延伸出的第一段、由所述第一段延伸出并穿绕过所有所述圆环部的第二段和由所述第二段延伸出并螺旋缠绕而固定回所述第一段上的第三段。Preferably, the first assembly unit includes at least two sections of struts connected to the end of the tube of the thrombectomy unit and an annular portion connected to each section of the struts, and the second assembly unit includes At least one connecting section of the rib wire connected to the end of the tube of the thrombectomy unit, the connecting section includes a first section extending from the rib line, extending from the first section and passing through All of the second sections of the annular portion and a third section extending from the second sections and spirally wound back to the first section.

作为优选,属于同一个所述第一组件单元的所述圆环部之间连接有弹性连接段之一。Preferably, one of the elastic connecting sections is connected between the annular parts belonging to the same first component unit.

作为优选,分属于相邻所述第一组件单元的所述圆环部之间连接有弹性连接段之二。Preferably, two of the elastic connecting sections are connected between the annular portions belonging to adjacent first component units.

本发明的技术优点在于所述防过度切割的多适应性多管径取栓器结构简单、使用方便,针对患有血管狭窄的中国脑卒中患者设计,总体上具有手术创伤小、柔顺性好、径向支撑好、便于显影定位、易于装配使用的优点;针对病灶处狭窄血管,多节设计,不同膨胀形态直径的管段针对不同狭窄病况的血管段,提高对血管的适应性、对不同取栓对象的捕获能力的同时,使得对多个目标血管段合理有效的切入并捕获血栓,防止将血栓完全切碎分块而导致血栓逃逸;多种大小的取栓网格的设计,在保证良好径向支撑力的同时,更有利于捕获各种体积的血栓。The technical advantage of the present invention is that the multi-adaptive multi-caliber thrombectomy device that prevents over-cutting has a simple structure and is easy to use. It is designed for Chinese stroke patients suffering from vascular stenosis. Generally, it has the advantages of small surgical trauma, good flexibility, It has the advantages of good radial support, easy development and positioning, and easy assembly and use; for the narrow blood vessels at the lesion, the multi-section design, and the tube segments with different expansion shapes and diameters are suitable for the blood vessel segments with different stenosis conditions, improving the adaptability to blood vessels and different thrombectomy. At the same time, the object capture ability enables reasonable and effective cutting and capturing of thrombus in multiple target blood vessel segments, preventing the thrombus from being completely chopped into pieces and causing the thrombus to escape; the design of thrombectomy grids of various sizes ensures a good diameter. While providing support, it is more conducive to capturing thrombus of various sizes.

附图说明Description of the drawings

图1为本发明实施例的结构示意图;Figure 1 is a schematic structural diagram of an embodiment of the present invention;

图2为本发明实施例的局部结构示意图;Figure 2 is a partial structural schematic diagram of an embodiment of the present invention;

图3为本发明实施例的局部结构示意图;Figure 3 is a partial structural schematic diagram of an embodiment of the present invention;

图4为本发明实施例的局部结构示意图;Figure 4 is a partial structural schematic diagram of an embodiment of the present invention;

图5为本发明实施例的局部结构示意图;Figure 5 is a partial structural schematic diagram of an embodiment of the present invention;

图中编号对应的各部分名称分别为:1-取栓单元管,11-筋线,12-取栓网格,13-支柱,14-圆环部,141-弹性连接段之一,142-弹性连接段之二,15-衔接段,2-异形引导连接段,21-起始筋线,22-起始取栓网格,3-牵引丝,a-头端区域显影段,b-主体区域显影段,c-尾端区域显影段。The names of the parts corresponding to the numbers in the figure are: 1-thrombus removal unit tube, 11-rib line, 12-thrombus removal grid, 13-pillar, 14-ring part, 141-one of the elastic connection sections, 142- The second elastic connection section, 15-connection section, 2-special-shaped guide connection section, 21-start rib line, 22-start thrombectomy grid, 3-traction wire, a-head area development section, b-main body Regional development section, c-tail end regional development section.

具体实施方式Detailed ways

下面将结合附图,通过具体实施例对本发明作进一步说明:The present invention will be further described below through specific embodiments in conjunction with the accompanying drawings:

见图1,一种防过度切割的多适应性多管径取栓器,包括取栓单元管1,取栓单元管1具有皱缩形态和膨胀形态,取栓单元管1设置三节并依次连接为一整体,以远端取栓单元管、中间取栓单元管和近端取栓单元管相互区分,远端取栓单元管、近端取栓单元管的膨胀形态直径大于中间取栓单元管的膨胀形态直径。远端取栓单元管的膨胀形态直径的取值为5mm,近端取栓单元管的膨胀形态直径的取值为5mm,中间取栓单元管的膨胀形态直径的取值为3mm。这样设置的三节取栓单元管1属于较为基础且功能完备的一个取栓器,取栓单元管1的数量设置常规来讲,在20个以内,属于较为常规的。病灶血管中的血栓积累量往往有大有小,本实施例中可将不同段的取栓单元管1针对性地置入不同段的血管中进行血栓定位捕获,因为理想的取栓单元管1管径就是要相对小于病灶处血管管径,这在一定程度上可以减小金属接触面积以减少血管痉挛现象,同时防止取栓单元管1管径过大而造成的血栓被切碎的状况出现,即使得取栓单元管1的主体较为稳定地嵌在整个血栓块并带动整个血栓块,从而避免随之出现的血栓逃逸现象的发生。现有的取栓器就是在此方面表现较差,对不同狭窄状况的血管适应性差,无法安全地针对性取栓,取栓器膨胀后的统一管径往往使得存在某些区域,其血管壁被不同程度的压迫,造成有害接触反应,其上的血栓容易被完全切碎,难以被固定带出而残留在血管中。本发明的技术方案针对不同病灶,可灵活地针对性地设置并使用相应取栓器,有效减少有害接触反应,保证取栓范围的同时,改善取栓效果,提高对血管的顺应性。See Figure 1, a multi-adaptive multi-diameter thrombectomy device that prevents over-cutting, including a thrombectomy unit tube 1. The thrombectomy unit tube 1 has a collapsed form and an expanded form. The thrombectomy unit tube 1 is provided with three sections and connected in sequence. As a whole, the distal thrombectomy unit tube, the middle thrombectomy unit tube and the proximal thrombectomy unit tube are distinguished from each other. The expanded diameters of the distal thrombectomy unit tube and the proximal thrombectomy unit tube are larger than the middle thrombectomy unit tube. diameter of the expanded form. The expanded diameter of the distal thrombectomy unit tube is 5 mm, the expanded diameter of the proximal thrombectomy unit tube is 5 mm, and the expanded diameter of the intermediate thrombectomy unit tube is 3 mm. The three-section thrombectomy unit tube 1 set up in this way is a relatively basic and fully functional thrombectomy device. Generally speaking, the number of thrombectomy unit tubes 1 is set within 20, which is relatively conventional. The amount of thrombus accumulated in the diseased blood vessels often varies greatly. In this embodiment, different sections of thrombectomy unit tubes 1 can be specifically inserted into different sections of blood vessels to locate and capture the thrombus, because the ideal thrombectomy unit tube 1 The diameter of the tube should be relatively smaller than the diameter of the blood vessel at the lesion. This can reduce the metal contact area to a certain extent to reduce vasospasm, and at the same time prevent the thrombus from being shredded due to the excessive diameter of the thrombectomy unit tube 1. , that is, the main body of the thrombus retrieval unit tube 1 can be relatively stably embedded in the entire thrombus block and drive the entire thrombus block, thereby avoiding the subsequent occurrence of thrombus escape. Existing thrombectomy devices perform poorly in this regard. They have poor adaptability to blood vessels with different stenosis conditions and cannot safely and targeted thrombectomy. The uniform diameter of the thrombectomy device after expansion often results in certain areas where the blood vessel wall Being compressed to varying degrees, resulting in harmful contact reactions, the thrombus on it is easily completely shredded, difficult to be fixed and taken out, and remains in the blood vessel. The technical solution of the present invention can flexibly set and use corresponding thrombectomy devices for different lesions, effectively reducing harmful contact reactions, ensuring the thrombectomy range, improving the thrombectomy effect, and improving the compliance with blood vessels.

再结合图2、图3、图4,取栓单元管1包括多条筋线11和由筋线11围成的多个取栓网格12,筋线11在取栓单元管1的轴向方向上呈连贯或断续的正弦波形,取栓单元管1上沿着其自身轴向方向排列有多圈周向网格环带,周向网格环带由取栓网格12周向排列组成。取栓器可由金属基件(如镍铁合金、钨、钽、不锈钢、金、钴铬或其他合金等)经过激光雕刻,成型出带网孔的管状结构,或者由金属丝(如镍铁合金、钽丝、不锈钢丝、金合金丝等金属丝)编织成带网孔的管状结构,筋线11和取栓网格12的结构就是通过这两种方法实现。Combined with Figures 2, 3, and 4, the thrombectomy unit tube 1 includes a plurality of ribs 11 and a plurality of thrombectomy grids 12 surrounded by the ribs 11. The ribs 11 are in the axial direction of the thrombectomy unit tube 1. The direction is a continuous or intermittent sinusoidal waveform. There are multiple circles of circumferential grid rings arranged on the thrombectomy unit tube 1 along its own axial direction. The circumferential grid rings are arranged circumferentially by the thrombectomy grid 12. composition. The thrombectomy device can be laser-engraved from a metal base (such as nickel-iron alloy, tungsten, tantalum, stainless steel, gold, cobalt-chromium or other alloys, etc.) to form a tubular structure with mesh, or it can be made of metal wire (such as nickel-iron alloy, tantalum, etc.) wire, stainless steel wire, gold alloy wire and other metal wires) are woven into a tubular structure with mesh. The structures of the rib wire 11 and the bolt removal grid 12 are realized by these two methods.

同一周向网格环带中的取栓网格12的网格面积均相同,存在两种相区别的周向网格环带,其所包含的取栓网格12的网格面积相差一倍。该两种相区别的周向网格环带沿着取栓单元管1的轴向方向交错排列。图示中,较小的,也就是基本的取栓网格12的形状近似为一个菱形;而较大的,也就是多一倍网格面积的取栓网格12实际可以设计成两个菱形大小的基本取栓网格12,结构上相当于去掉了一段筋线11,使两个菱形合并为一个较大的平行四边形,从图示中能够清楚理解该种网格面积的差异设计以及交错排列方式设置。另外,这两种取栓网格12的网格面积为10mm2和20mm2。这样的结构及大小设计是较为优选的一个方案,能够在结构简单而较为容易实现的情况下,兼顾管体柔顺性能和径向支撑性能,使管体整体易于成型及稳定使用,能够最大化提高血栓与取栓器的结合力。当然,可以在前述基础上,就取栓网格12的网格面积差异方面做出类似更大或更小的改变,相差整数倍或非整数倍均可以,在不无谓增加结构复杂度及工艺制作难度的情况,排列方式及网格大小可以往非规律排布方面靠,支撑性能及取栓效果相对表现更好。不同的网孔面积可以捕获不同大小的血栓,增强捕获血栓能力,同时不同大小的网孔也能够在三维空间上提供不同的血栓稳固网丝,有效的提供了血栓捕获后运输中的稳定性,防止血栓脱离。The grid areas of the thrombectomy grids 12 in the same circumferential grid band are all the same. There are two different circumferential grid bands, and the grid areas of the thrombectomy grids 12 contained in them are twice as different. . The two different circumferential grid rings are staggered along the axial direction of the thrombectomy unit tube 1 . In the figure, the smaller, that is, the shape of the basic thrombectomy grid 12 is approximately a diamond; while the larger, that is, the thrombectomy grid 12 with twice the grid area can actually be designed into two diamond shapes. The basic bolt removal grid 12 is structurally equivalent to removing a section of ribs 11, so that the two rhombuses merge into a larger parallelogram. The difference in design and interlacing of the grid area can be clearly understood from the illustration. Arrangement settings. In addition, the grid areas of these two types of thrombectomy grids 12 are 10mm2 and 20mm2. Such a structure and size design is a more preferred solution. It can take into account the compliance performance and radial support performance of the pipe body while having a simple structure and is relatively easy to implement, making the entire pipe body easy to form and stable to use, and maximizing improvement. The binding force between thrombus and thrombectomy device. Of course, on the basis of the above, similar larger or smaller changes can be made in terms of the grid area difference of the thrombectomy grid 12, and the difference can be an integer multiple or a non-integer multiple, without unnecessarily increasing the structural complexity and process. Depending on the difficulty of production, the arrangement method and grid size can be more irregular, and the support performance and thrombectomy effect will be better. Different mesh areas can capture thrombus of different sizes and enhance the ability to capture thrombus. At the same time, meshes of different sizes can also provide different thrombus stabilizing meshes in three-dimensional space, effectively providing stability during transportation after thrombus capture. Prevent thrombus from breaking away.

结合图1、图2,作为取栓器起始一段的取栓单元管1的远端还设有异形引导连接段2,异形引导连接段2与取栓单元管1一体成型;异形引导连接段2包括起始筋线21和由起始筋线21围成的多个起始取栓网格22,起始筋线21和起始取栓网格22与取栓单元管1的筋线和取栓网格12的结构设置相同;异形引导连接段2呈带有斜切截面的不规则管状。也就是说,实际异形引导连接段2的结构组成及单元设计与取栓单元管1是一样的,只是形状设置不同。异形引导连接段2与取栓单元管1的连接处可以为起始筋线21与筋线11共同连接并形成同起始取栓网格22、取栓网格12一样的公共取栓网格,当然也可以仅仅是连接为一体的连接筋段。此处的不规则管状可以理解为,相当于圆柱管从侧面斜着切掉一部分后而留下的管体。在本实施例中选择表现较好时的形状,可以理解为相当于从一个圆管的上底面向下底面最大倾角地斜切,直至分为对称两半,每一半平铺后就如图示中的类似三角形的异形引导连接段2部分,而在这样的异形引导连接段2的远端,也就是其近似三角形的尖端连接有牵引丝3,这样设置能够使取栓器在弯曲血管中行进时,在本为正常管状的情况下,避免因为取栓器随同血管弯曲而产生受力远端成锥体形的现象发生。With reference to Figures 1 and 2, the distal end of the thrombectomy unit tube 1, which is the initial section of the thrombectomy device, is also provided with a special-shaped guide connection section 2. The special-shaped guide connection section 2 is integrally formed with the thrombectomy unit tube 1; the special-shaped guide connection section 2 includes a starting rib line 21 and a plurality of starting thrombectomy grids 22 surrounded by the starting rib line 21, and the sum of the starting rib line 21 and the starting thrombectomy grid 22 and the rib line of the thrombectomy unit tube 1 The structural settings of the thrombectomy grid 12 are the same; the special-shaped guide connecting section 2 is in the shape of an irregular tube with a beveled cross section. That is to say, the actual structural composition and unit design of the special-shaped guide connection section 2 are the same as those of the thrombectomy unit tube 1, but the shape settings are different. The connection between the special-shaped guide connecting section 2 and the thrombectomy unit tube 1 can be that the starting rib line 21 and the rib line 11 are jointly connected and form a common thrombectomy grid that is the same as the starting thrombectomy grid 22 and the thrombectomy grid 12 , of course, it can also be just connecting rib sections that are connected as one body. The irregular tubular shape here can be understood as equivalent to the tube body left after cutting a part of the cylindrical tube diagonally from the side. In this embodiment, choosing the shape that performs better can be understood as equivalent to beveling a circular tube from the upper bottom surface to the lower bottom surface at the maximum inclination angle until it is divided into two symmetrical halves. Each half will be flattened as shown in the figure. There is a triangle-like special-shaped guiding connecting section 2 in the section, and the distal end of such special-shaped guiding connecting section 2, that is, its approximately triangular tip is connected to a pulling wire 3. This arrangement enables the thrombectomy device to travel in curved blood vessels. At this time, in the case of a normal tubular shape, it is possible to avoid the phenomenon that the distal end of the thrombectomy device becomes cone-shaped due to the bending of the blood vessel.

结合图2、图3、图4,异形引导连接段2的一条或多条起始筋线21、作为取栓器起始一段的取栓单元管1的一条或多条筋线11、牵引丝3这三者全部或三者之一或三者之二连接有头端区域显影段a。除作为取栓器起始一段的取栓单元管1及作为取栓器末尾一段的取栓单元管1之外,其他至少一节取栓单元管1的一条或多条筋线11连接有主体区域显影段b。作为取栓器末尾一段的取栓单元管1的一条或多条筋线11连接有尾端区域显影段c。本实施例中,在牵引丝3上及异形引导连接段2与起始一段的取栓单元管1之间均连接了头端区域显影段a,在中间取栓单元管的构成较大的取栓网格12的筋线11上连接了主体区域显影段b,在末尾一端的取栓单元管1的近端连接了尾端区域显影段c,多节段均含有显影结构,通体显影,且显影结构设置在合理有效的部位,在便于手术中显影定位的同时,也保证在结构中最优设置,数量及具体位置设置合理,取栓器结构强度不受影响。显影结构均匀分布在取栓器的圆周向一圈上到达最大的显影效果,显影结构可以通过将显影性物质(如铂金、金、钽等)焊接或者通过将显影性丝(如铂金、金、钽等显影丝)缠绕的方式与取栓器进行连接固定。With reference to Figure 2, Figure 3, and Figure 4, one or more starting rib lines 21 of the special-shaped guide connection section 2, one or more rib lines 11 of the thrombectomy unit tube 1 as the starting section of the thrombectomy device, and the pulling wire 3 All, one or two of the three are connected to a head-end region developing section a. Except for the thrombectomy unit tube 1 as the starting section of the thrombectomy device and the thrombectomy unit tube 1 as the last section of the thrombectomy device, one or more ribs 11 of at least one section of the thrombectomy unit tube 1 are connected to the main body. Area development section b. One or more ribs 11 of the thrombectomy unit tube 1 as the last section of the thrombectomy device are connected to the tail end area developing section c. In this embodiment, the head-end region developing section a is connected to the pulling wire 3 and between the special-shaped guide connecting section 2 and the starting section of the thrombectomy unit tube 1. The middle section of the thrombectomy unit tube constitutes a larger section. The rib lines 11 of the bolt grid 12 are connected to the main area developing section b, and the tail area developing section c is connected to the proximal end of the thrombectomy unit tube 1 at the end. Multiple sections contain developing structures and are developed throughout the body, and The development structure is set in a reasonable and effective position, which not only facilitates the development and positioning during the operation, but also ensures that the optimal setting in the structure, the quantity and the specific position are reasonable, and the structural strength of the thrombectomy device is not affected. The developing structure is evenly distributed around the circumference of the thrombus retriever to achieve the maximum developing effect. The developing structure can be made by welding developing materials (such as platinum, gold, tantalum, etc.) or by welding developing wires (such as platinum, gold, etc.) Tantalum and other developing wires) are connected and fixed with the thrombus remover by winding.

取栓器可以选择一体成型或独立分段。一体成型时,虽然取栓器有多节结构,但可由一根管材激光切割而成,对于不同的管径这一设计,可以配合模具做后处理定型而成;也可用金属、合金或者聚合物丝材编织而成,然后后期配合模具做后处理定型;还可用3D打印而成,后期再经过表面处理即可,这些方式都可以利用现有的成熟技术来实现。独立分段时,前述制作方法适用于单独的每一段,而相邻之间的取栓单元管1可通过焊接、铆接、压握、编织等本领域中现有的连接方式连接成整体。The thrombectomy device can be selected as one-piece or individually segmented. When molded in one piece, although the thrombectomy device has a multi-section structure, it can be laser cut from a single pipe. For different pipe diameters, this design can be shaped by post-processing with the mold; it can also be made of metal, alloy or polymer. It is woven from silk material, and then used with molds for post-processing and shaping; it can also be 3D printed, and then surface-treated at a later stage. These methods can be realized using existing mature technologies. When segmented independently, the aforementioned manufacturing method is applicable to each individual segment, and the adjacent thrombectomy unit tubes 1 can be connected as a whole through welding, riveting, crimping, weaving and other existing connection methods in the field.

见图5,在本实施例中,有更具体地专门设计了一种对应独立分段形式的连接方式。即相邻取栓单元管1之间可拆装连接,取栓单元管1的端部设有可拆装连接组件,可拆卸连接组件包括多组相配合的第一组件单元和第二组件单元;当取栓单元管1设置两节时,第一组件单元连接在其中一节取栓单元管1的一端,第二组件单元连接在另一节取栓单元管1的一端,相邻的取栓单元管1通过各自的第一组件单元及第二组件单元相互配合连接;当取栓单元管1设置超过两节时,作为取栓器起始一段的取栓单元管1的近端连接第一组件单元或第二组件单元,作为取栓器末尾一段的取栓单元管1的远端连接第一组件单元或第二组件单元,而其余的每节取栓单元管1的两端分别连接第一组件单元、第二组件单元,相邻的取栓单元管1通过各自的第一组件单元及第二组件单元相互配合连接,本实施例中设置了3节取栓单元管,故选择后者的具体设置。See Figure 5. In this embodiment, a more specifically designed connection method corresponding to the independent segment form is designed. That is, the adjacent thrombectomy unit tubes 1 are detachably connected. The ends of the thrombectomy unit tubes 1 are provided with detachable connection components. The detachable connection components include multiple sets of matching first component units and second component units. ; When the thrombectomy unit tube 1 is provided with two sections, the first component unit is connected to one end of one of the thrombectomy unit tubes 1, the second component unit is connected to one end of the other section of the thrombectomy unit tube 1, and the adjacent one is connected to one end of the thrombectomy unit tube 1. The thrombectomy unit tube 1 is connected to each other through the respective first component unit and the second component unit; when the thrombectomy unit tube 1 is provided with more than two sections, the proximal end of the thrombectomy unit tube 1 as the initial section of the thrombectomy device is connected to the third section. A module unit or a second module unit, the distal end of the thrombectomy unit tube 1 as the last section of the thrombectomy device is connected to the first module unit or the second module unit, and the two ends of each remaining section of the thrombectomy unit tube 1 are connected respectively. The first component unit, the second component unit, and the adjacent thrombectomy unit tubes 1 are connected to each other through the respective first component unit and the second component unit. In this embodiment, three sections of thrombectomy unit tubes are provided, so after selection the specific settings of the user.

第一组件单元包括连接于取栓单元管1端部的筋线11至少两段支柱13和连接在每段支柱13上的圆环部14,第二组件单元包括连接于取栓单元管1端部的筋线11的至少一根衔接段15,该衔接段15包括由筋线11延伸出的第一段、由第一段延伸出并穿绕过所有圆环部14的第二段和由第二段延伸出并螺旋缠绕而固定回第一段上的第三段。从图示也可以较为清晰地理解到,第一组件单元的支柱13呈分叉状,有一个公共端点连接取栓单元管1端部的筋线11(其实该连接处也是构成某些取栓网格12的筋线11的公共连接点),两个圆环部14的存在,及与一段衔接段15的连接能在较为合理的设置数量及成本控制下,保证连接足够稳定,适应取栓单元管1在推送期间的动作情况。衔接段15本身相对筋线11更粗,第一段上设置螺旋纹路,第三段缠绕回来时与螺旋纹路匹配,第一段可以进一步与第三段进行焊接固定,支柱13和衔接段15本身可与筋线11一体成型,也可以后期通过模具加工定型,例如焊接等常规方式。可拆卸连接组件的存在不仅实现每个独立分段之间的连接,也能够实现针对不同狭窄血管的灵活分段设置,还能满足取栓器在血管内推送过程中发生弯曲、扭转等状况所需要的柔顺性和稳定性。进一步地,属于同一个第一组件单元的圆环部14之间连接有弹性连接段之一141,分属于相邻第一组件单元的圆环部14之间连接有弹性连接段之二142,能够有效提高柔顺性及稳定性,跟随取栓单元管1的弯曲、扭转等动作,保证稳定牢固的连接状态和平缓顺畅的动作实现。The first component unit includes a rib 11 connected to the end of the thrombectomy unit tube 1 and at least two sections of struts 13 and an annular portion 14 connected to each section of the strut 13. At least one connecting section 15 of the ribs 11 at the bottom. The connecting section 15 includes a first section extending from the ribs 11, a second section extending from the first section and passing through all the annular portions 14, and a second section extending from the ribs 11. A second section extends out and is spirally wrapped back to a third section on the first section. It can also be clearly understood from the figure that the pillar 13 of the first component unit is bifurcated, and has a common end point connected to the rib 11 at the end of the tube 1 of the thrombectomy unit (in fact, this connection also constitutes some thrombectomy units). The common connection point of the ribs 11 of the grid 12), the existence of the two annular parts 14, and the connection with a connecting section 15 can ensure that the connection is stable enough and suitable for bolt removal under a relatively reasonable number of settings and cost control. The behavior of unit tube 1 during push. The connecting section 15 itself is thicker than the ribs 11. A spiral pattern is set on the first section. When the third section is wound back, it matches the spiral pattern. The first section can be further welded and fixed with the third section. The pillar 13 and the connecting section 15 themselves It can be integrally formed with the rib line 11, or can be shaped through mold processing at a later stage, such as welding and other conventional methods. The existence of the detachable connecting component not only realizes the connection between each independent segment, but also enables flexible segment setting for different narrow blood vessels, and can also meet the bending and torsion of the thrombectomy device during intravascular pushing. Required flexibility and stability. Furthermore, one of the elastic connecting sections 141 is connected between the annular parts 14 belonging to the same first module unit, and the second elastic connecting section 142 is connected between the annular parts 14 belonging to adjacent first module units. It can effectively improve the flexibility and stability, and follow the bending, twisting and other movements of the thrombectomy unit tube 1 to ensure a stable and firm connection state and smooth and smooth movements.

Claims (8)

1.一种防过度切割的多适应性多管径取栓器,包括取栓单元管(1),所述取栓单元管(1)具有皱缩形态和膨胀形态,其特征在于:所述取栓单元管(1)设置至少两节并依次连接为一整体,其中至少两节所述取栓单元管(1)分别具有相异的膨胀形态直径;1. A multi-adaptive multi-diameter thrombectomy device that prevents over-cutting, including a thrombectomy unit tube (1). The thrombectomy unit tube (1) has a collapsed form and an expanded form, and is characterized by: The thrombectomy unit tube (1) is provided with at least two sections and connected in sequence to form a whole, wherein at least two sections of the thrombectomy unit tube (1) have different expanded diameters; 所述取栓单元管(1)包括多条筋线(11)和由所述筋线(11)围成的多个取栓网格(12),所述筋线(11)在所述取栓单元管(1)的轴向方向上呈连贯或断续的正弦波形,所述取栓单元管(1)上沿着其自身轴向方向排列有多圈周向网格环带,所述周向网格环带由所述取栓网格(12)周向排列组成;The thrombectomy unit tube (1) includes a plurality of ribs (11) and a plurality of thrombectomy grids (12) surrounded by the ribs (11). The ribs (11) are located in the ribs. The axial direction of the plug unit tube (1) presents a continuous or intermittent sinusoidal waveform. There are multiple circles of circumferential grid rings arranged along the axial direction of the plug unit tube (1). The circumferential grid annulus is composed of the circumferential arrangement of the thrombectomy grid (12); 相邻所述取栓单元管(1)各自为独立分段,每个所述取栓单元管(1)的端部设有可拆卸连接组件,所述可拆卸连接组件包括多组相配合的第一组件单元和第二组件单元,具体为,当所述取栓单元管(1)设置两节时,所述第一组件单元连接在其中一节所述取栓单元管(1)的一端,所述第二组件单元连接在另一节所述取栓单元管(1)的一端,相邻的所述取栓单元管(1)通过各自的所述第一组件单元及所述第二组件单元相互配合连接;当所述取栓单元管(1)设置超过两节时,作为所述取栓器起始一段的所述取栓单元管(1)的近端连接所述第一组件单元或所述第二组件单元,作为所述取栓器末尾一段的所述取栓单元管(1)的远端连接所述第一组件单元或所述第二组件单元,而其余的每节所述取栓单元管(1)的两端分别连接所述第一组件单元、所述第二组件单元,相邻的所述取栓单元管(1)通过各自的所述第一组件单元及所述第二组件单元相互配合连接;Each of the adjacent thrombectomy unit tubes (1) is an independent segment, and the end of each thrombectomy unit tube (1) is provided with a detachable connection component, and the detachable connection component includes multiple sets of matching The first component unit and the second component unit, specifically, when the thrombectomy unit tube (1) is provided with two sections, the first component unit is connected to one end of one of the thrombectomy unit tubes (1). , the second component unit is connected to one end of the thrombectomy unit tube (1) of another section, and the adjacent thrombectomy unit tubes (1) pass through the respective first component unit and the second The component units are connected to each other; when the thrombectomy unit tube (1) is provided with more than two sections, the proximal end of the thrombectomy unit tube (1) as the initial section of the thrombectomy device is connected to the first component unit or the second assembly unit, the distal end of the thrombectomy unit tube (1) as the last section of the thrombectomy device is connected to the first assembly unit or the second assembly unit, and each of the remaining sections The two ends of the thrombectomy unit tube (1) are respectively connected to the first component unit and the second component unit, and the adjacent thrombectomy unit tubes (1) pass through the respective first component unit and the second component unit. The second component units are cooperatively connected to each other; 所述第一组件单元包括连接于所述取栓单元管(1)端部的所述筋线(11)的至少两段支柱(13)和连接在每段所述支柱(13)上的圆环部(14),所述第二组件单元包括连接于所述取栓单元管(1)端部的所述筋线(11)的至少一根衔接段(15),该衔接段(15)包括由所述筋线(11)延伸出的第一段、由所述第一段延伸出并穿绕过所有所述圆环部(14)的第二段和由所述第二段延伸出并螺旋缠绕而固定回所述第一段上的第三段;The first component unit includes at least two sections of struts (13) connected to the ribs (11) at the end of the thrombectomy unit tube (1) and a circular support section connected to each section of the struts (13). Ring portion (14), the second component unit includes at least one connecting section (15) of the rib (11) connected to the end of the thrombectomy unit tube (1), the connecting section (15) It includes a first section extending from the rib (11), a second section extending from the first section and passing through all the annular parts (14), and a second section extending from the second section. and spirally wound and fixed back to the third section on said first section; 所述膨胀形态直径的取值范围为0.5~6mm;The value range of the diameter of the expanded form is 0.5~6mm; 属于同一个所述第一组件单元的所述圆环部(14)之间连接有弹性连接段之一(141);或者/并且分属于相邻所述第一组件单元的所述圆环部(14)之间连接有弹性连接段之二(142)。One of the elastic connecting sections (141) is connected between the annular parts (14) belonging to the same first module unit; or/and the annular parts belonging to adjacent first module units (14) is connected with the second elastic connecting section (142). 2.根据权利要求1所述的一种防过度切割的多适应性多管径取栓器,其特征在于:所述取栓单元管(1)设置三节并依次连接为一整体,以远端取栓单元管、中间取栓单元管和近端取栓单元管相互区分,所述远端取栓单元管、所述近端取栓单元管的膨胀形态直径大于所述中间取栓单元管的膨胀形态直径。2. A multi-adaptive multi-diameter thrombectomy device to prevent over-cutting according to claim 1, characterized in that: the thrombectomy unit tube (1) is provided with three sections and connected in sequence as a whole, with the distal end The thrombectomy unit tube, the intermediate thrombectomy unit tube and the proximal thrombectomy unit tube are distinguished from each other, and the expanded diameters of the distal thrombectomy unit tube and the proximal thrombectomy unit tube are larger than the diameter of the intermediate thrombectomy unit tube. Expanded form diameter. 3.根据权利要求2所述的一种防过度切割的多适应性多管径取栓器,其特征在于:所述远端取栓单元管的膨胀形态直径的取值范围为0.5~6mm,所述近端取栓单元管的膨胀形态直径的取值范围为0.5~6mm,所述中间取栓单元管的膨胀形态直径的取值范围为0.4~5mm。3. A multi-adaptive multi-diameter thrombectomy device that prevents over-cutting according to claim 2, characterized in that: the expansion diameter of the distal thrombectomy unit tube ranges from 0.5 to 6 mm. The expanded diameter of the proximal thrombectomy unit tube ranges from 0.5 to 6 mm, and the expanded diameter of the intermediate thrombectomy unit tube ranges from 0.4 to 5 mm. 4.根据权利要求1所述的一种防过度切割的多适应性多管径取栓器,其特征在于:同一所述周向网格环带中的所述取栓网格(12)的网格面积均相同;所述取栓单元管(1)上至少存在两圈所含有的所述取栓网格(12)的网格面积不相同的所述周向网格环带。4. A multi-adaptive multi-diameter thrombectomy device to prevent over-cutting according to claim 1, characterized in that: the thrombectomy grids (12) in the same circumferential grid annulus are The mesh areas are all the same; there are at least two circles of the circumferential mesh annulus with different mesh areas of the thrombectomy mesh (12) on the thrombectomy unit tube (1). 5.根据权利要求3所述的一种防过度切割的多适应性多管径取栓器,其特征在于:存在两种相区别的所述周向网格环带,其所包含的所述取栓网格(12)的网格面积相差一倍;该两种相区别的所述周向网格环带沿着所述取栓单元管(1)的轴向方向交错排列。5. A multi-adaptive multi-caliber thrombectomy device that prevents over-cutting according to claim 3, characterized in that: there are two different circumferential grid annulus zones, which contain the The mesh areas of the thrombectomy grids (12) are doubled; the two different circumferential grid rings are staggered along the axial direction of the thrombectomy unit tube (1). 6.根据权利要求4或5所述的一种防过度切割的多适应性多管径取栓器,其特征在于:所述取栓网格(12)的网格面积范围为2~100mm26. A multi-adaptive multi-diameter thrombectomy device to prevent over-cutting according to claim 4 or 5, characterized in that: the grid area of the thrombectomy grid (12) ranges from 2 to 100 mm 2 . 7.根据权利要求1所述的一种防过度切割的多适应性多管径取栓器,其特征在于:作为所述取栓器起始一段的所述取栓单元管(1)的远端还设有异形引导连接段(2),所述异形引导连接段(2)与所述取栓单元管(1)一体成型;所述异形引导连接段(2)包括起始筋线(21)和由所述起始筋线(21)围成的多个起始取栓网格(22),所述起始筋线(21)和所述起始取栓网格(22)与所述取栓单元管(1)的所述筋线和所述取栓网格(12)的结构设置相同;所述异形引导连接段(2)呈带有斜切截面的不规则管状;所述异形引导连接段(2)的远端连接有牵引丝(3)。7. A multi-adaptive multi-diameter thrombectomy device to prevent over-cutting according to claim 1, characterized in that: the distal end of the thrombectomy unit tube (1) as the initial section of the thrombectomy device. The end is also provided with a special-shaped guide connection section (2), which is integrally formed with the thrombectomy unit tube (1); the special-shaped guide connection section (2) includes a starting rib line (21 ) and a plurality of starting thrombectomy grids (22) surrounded by the starting rib line (21), the starting rib line (21) and the starting thrombectomy grid (22) are related to the The ribs of the thrombectomy unit tube (1) and the thrombectomy grid (12) have the same structure; the special-shaped guide connection section (2) is in an irregular tubular shape with a beveled section; the The distal end of the special-shaped guide connection section (2) is connected with a traction wire (3). 8.根据权利要求7所述的一种防过度切割的多适应性多管径取栓器,其特征在于:所述异形引导连接段(2)的所述起始筋线(21)上、所述取栓单元管(1)的所述筋线(11)上、所述牵引丝(3)这三者全部或者三者之一或者三者之二连接有显影段。8. A multi-adaptive multi-diameter thrombectomy device to prevent over-cutting according to claim 7, characterized in that: on the starting rib line (21) of the special-shaped guide connection section (2), A developing section is connected to all, one or two of the three ribs (11) of the thrombectomy unit tube (1) and the pulling wire (3).
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CN207768466U (en) * 2017-05-09 2018-08-28 心凯诺医疗科技(上海)有限公司 The full development of one kind taking bolt holder and thrombus withdrawing device
CN107874811A (en) * 2017-12-06 2018-04-06 北京久事神康医疗科技有限公司 New cerebral thrombus withdrawing device and the method that bolt is taken using the device
CN108433782A (en) * 2018-04-19 2018-08-24 深圳市远为信息技术有限公司 A kind of thrombus, which is flutterred, catches device
CN210138172U (en) * 2018-12-03 2020-03-13 魏铭 Prevent many adaptability of excessive cutting and get a ware of tying of pipe diameter

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