CN115068165A - Skeleton, skeleton manufacturing method and blood vessel far-end protection device - Google Patents
Skeleton, skeleton manufacturing method and blood vessel far-end protection device Download PDFInfo
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61F2/01—Filters implantable into blood vessels
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- 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
- A61F2/01—Filters implantable into blood vessels
- A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
- A61F2002/077—Stent-grafts having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
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Abstract
Description
技术领域technical field
本发明涉及医疗器械装置,特别涉及血管保护装置。The present invention relates to a medical device, in particular to a blood vessel protection device.
背景技术Background technique
目前市场上的自膨胀式血管保护装置,大多数采用镍钛管切割骨架然后覆膜形成一个网兜从而起到保护血管的作用,但是市面上产品在网兜推出和回收套管时候因产品轮廓大阻力大而比较困难,对于血管圆周方向贴壁不充分。At present, most of the self-expanding vascular protection devices on the market use a nickel-titanium tube to cut the skeleton and then cover it to form a mesh pocket to protect the blood vessels. Large and difficult, and insufficient adherence to the circumferential direction of the blood vessel.
发明内容SUMMARY OF THE INVENTION
本发明的目的之一在于提供一种减小产品的轮廓、减小推出和回收时候的阻力、改善产品的贴壁性能的骨架。One of the objectives of the present invention is to provide a skeleton that reduces the profile of the product, reduces the resistance during ejection and recovery, and improves the adherence performance of the product.
本发明的目的之一在于提供一种减小产品的轮廓、减小推出和回收时候的阻力、改善产品的贴壁性能的骨架制作方法。One of the objectives of the present invention is to provide a skeleton manufacturing method that reduces the profile of the product, reduces the resistance during push out and recovery, and improves the wall-adhering performance of the product.
本发明的目的之一在于提供一种减小产品的轮廓、减小推出和回收时候的阻力、改善产品的贴壁性能的血管远端保护装置。One of the objectives of the present invention is to provide a distal vessel protection device that reduces the profile of the product, reduces the resistance during push-out and retraction, and improves the adherence performance of the product.
本发明的目的之一可以这样实现,设计一种骨架,用于血管远端保护装置,包括骨架杆、网兜口,骨架杆呈直杆状,网兜口固定在骨架杆上,网兜口在骨架杆上设有两个固定点,第一固定点和第二固定点,两点之间设有距离。One of the objectives of the present invention can be achieved by designing a skeleton for a distal blood vessel protection device, including a skeleton rod and a net pocket. The skeleton rod is in the shape of a straight rod. There are two fixed points on it, a first fixed point and a second fixed point, and a distance is set between the two points.
优选地,骨架杆和网兜口为一体成型,网兜口在骨架杆上的固定点之间的距离大于0而小于等于网兜口口径的1.0倍,网兜口最高点垂直投影在骨架杆上的投影点与第一固定点的距离大于0而小于等于网兜口径的1.7倍。Preferably, the skeleton rod and the net pocket mouth are integrally formed, the distance between the fixed points of the net pocket mouth on the skeleton rod is greater than 0 but less than or equal to 1.0 times the diameter of the net pocket mouth, and the highest point of the net pocket mouth is vertically projected on the projection point on the skeleton rod The distance from the first fixed point is greater than 0 and less than or equal to 1.7 times the diameter of the net pocket.
优选地,在骨架杆和网兜口上设置若干网兜挂钩或网兜挂孔。Preferably, several net pocket hooks or net pocket hanging holes are arranged on the frame rod and the net pocket mouth.
优选地,网兜挂钩或网兜挂孔设置在网兜口的第一固定点、第二固定点、最高点、两侧点以及骨架杆上的至少一远点。Preferably, the net pocket hooks or net pocket hanging holes are arranged at the first fixing point, the second fixing point, the highest point, the two side points and at least one far point on the frame rod of the net pocket opening.
优选地,在骨架杆上设置若干镂空段。Preferably, several hollow sections are arranged on the skeleton rod.
优选地,采用的材料是具有自膨胀的金属材料,包括记忆型镍钛合金。Preferably, the material employed is a metallic material with self-expansion, including memory nickel-titanium alloys.
本发明的目的之一可以这样实现,设计一种骨架的制作方法,包括:One of the objects of the present invention can be achieved in this way, and a method for making a skeleton is designed, including:
A、选取具有自膨胀金属材料的管材;A. Select pipes with self-expanding metal materials;
B、在管材上沿长度方向设计骨架杆;B. Design the skeleton rod along the length direction on the pipe;
C、在设计的骨架杆上选取网兜口的第一固定点,距离第一固定点大于0而小于等于管材口径1.0倍距离的位置上选取网兜口的第二固定点,在骨架杆上的垂直投影点与第一固定点的距离大于0而小于等于网兜口径的1.7倍的距离上选取网兜口最高点,将三点连接形成网兜口;C. Select the first fixed point of the mesh pocket on the designed skeleton rod, and select the second fixed point of the mesh pocket at the position where the distance from the first fixed point is greater than 0 but less than or equal to 1.0 times the diameter of the pipe. The distance between the projection point and the first fixed point is greater than 0 but less than or equal to 1.7 times the diameter of the net pocket, and the highest point of the net pocket is selected, and the three points are connected to form the net pocket mouth;
D、通过激光切割得出骨架。D. The skeleton is obtained by laser cutting.
优选地,在骨架的网兜口和骨架杆上设置网兜挂位,在网兜口的第一固定点、第二固定点、最高点、两侧点以及骨架杆上的至少一远点设置网兜挂钩或网兜挂孔。Preferably, a net pocket hanging position is set on the net pocket opening and the framework rod of the skeleton, and a net pocket hook or Holes for net pockets.
本发明的目的之一可以这样实现,设计一种血管远端保护装置,包括骨架和网兜,骨架为上述的骨架,网兜为锥形网兜,网兜开口固定在骨架的网兜口上。One of the objectives of the present invention can be achieved by designing a device for protecting a distal end of a blood vessel, including a skeleton and a net pocket, the skeleton is the aforementioned skeleton, the net pocket is a tapered net pocket, and the opening of the net pocket is fixed on the net pocket of the skeleton.
优选地,网兜为记忆型镍钛合金编制而成的网兜或者尼龙网兜或者PET网兜或者PE网兜或者PTFE网兜或者PP网兜,网兜的网孔直径为70-200um。Preferably, the net pocket is a net pocket made of memory nickel-titanium alloy or a nylon net pocket or a PET net pocket or a PE net pocket or a PTFE net pocket or a PP net pocket, and the mesh diameter of the net pocket is 70-200um.
本发明的产品整体由于错位排位骨架,使其轮廓变小。在回收阶段起始段采用了锥度过渡式,方便进入套筒时候逐步导向性的回收,从而减小器械使用阻力,减小产品脱离风险。因为错位设计,采用不同柔软的镍钛材料使其贴壁性能更好。The overall product of the present invention has a smaller profile due to the dislocation and alignment of the skeleton. The taper transition type is adopted in the initial section of the recovery stage, which facilitates the gradual and guided recovery when entering the sleeve, thereby reducing the resistance to use of the device and the risk of product detachment. Because of the dislocation design, different soft nickel-titanium materials are used to make it better adhere to the wall.
附图说明Description of drawings
图1是本发明之骨架的较佳实施例之一的示意图;Fig. 1 is the schematic diagram of one of the preferred embodiments of the skeleton of the present invention;
图2是本发明之骨架的较佳实施例之二的示意图;Fig. 2 is the schematic diagram of the second preferred embodiment of the skeleton of the present invention;
图3是本发明之骨架的较佳实施例之三的示意图;Fig. 3 is the schematic diagram of the third preferred embodiment of the skeleton of the present invention;
图4是本发明之骨架的较佳实施例之二的另一角度示意图;4 is another perspective view of the second preferred embodiment of the skeleton of the present invention;
图5是本发明之骨架的较佳实施例之二的另一角度示意图;5 is another perspective view of the second preferred embodiment of the skeleton of the present invention;
图6是本发明之骨架切割的示意图;Fig. 6 is the schematic diagram of the skeleton cutting of the present invention;
图7是本发明之骨架切割后的示意图;Fig. 7 is the schematic diagram after the skeleton of the present invention is cut;
图8是本发明之血管远端保护装置的较佳实施例之一的示意图;8 is a schematic diagram of one of the preferred embodiments of the vessel distal protection device of the present invention;
图9是本发明之血管远端保护装置的较佳实施例之二的示意图;9 is a schematic diagram of the second preferred embodiment of the vessel distal protection device of the present invention;
图10是本发明之血管远端保护装置的较佳实施例之三的示意图;10 is a schematic diagram of the third preferred embodiment of the vessel distal protection device of the present invention;
图11是本发明之血管远端保护装置的应用示意图;11 is a schematic diagram of the application of the distal vessel protection device of the present invention;
图12是图11的局部放大图。FIG. 12 is a partial enlarged view of FIG. 11 .
具体实施方式Detailed ways
以下结合实施例对本发明作进一步的描述。The present invention will be further described below in conjunction with the embodiments.
如图1、图2、图3、图4、所示,一种骨架,用于血管远端保护装置,包括骨架杆1、网兜口2,网兜口2固定在骨架杆1上,网兜口2在骨架杆上设有两个固定点,第一固定点21和第二固定点22,两点之间设有距离。As shown in Fig. 1, Fig. 2, Fig. 3, Fig. 4, a skeleton is used for a distal vascular protection device, comprising a
如图1、图2、图3所示,网兜口在骨架杆上的固定点之间的最小距离大于0而最大距离小于等于网兜口口径的1.0倍,网兜口最高点23的垂直投影在骨架杆上的投影点与第一固定点21的最小距离大于0而最大距离小于等于网兜口口径的1.7倍。网兜口最高点23为网兜口上相对于骨架杆1垂直距离最大点。As shown in Figure 1, Figure 2 and Figure 3, the minimum distance between the fixed points of the net pocket on the skeleton rod is greater than 0 and the maximum distance is less than or equal to 1.0 times the diameter of the net pocket. The vertical projection of the
骨架由整个镍钛管切割而来,网兜口口径为镍钛管管径,如图5所示,沿骨架杆1轴向看产品整体是一个很规则的圆。第一固定点与第二固定点之间的距离,在管径为3mm时为0.05~2.99mm,管径为4mm时为0.1~3.99mm,管径为5mm时为0.3~4.99mm,管径为6mm时为0.5~5.99mm,管径为7mm时为0.8~6.99mm,管径为8mm时为1~7.99mm。The skeleton is cut from the entire nickel-titanium tube, and the diameter of the net pocket is the diameter of the nickel-titanium tube. As shown in Figure 5, the product as a whole is a very regular circle when viewed along the axis of the
骨架采用错位骨架结构,整个结构由整个镍钛管切割而来,网兜口的5个点都不在同一个平面,第一固定点21、第二固定点22、最高点23、前侧点24、后侧点25是有距离间隔的,这样在收入套筒的时候骨架重叠部位就变少了,从而减少产品整体的轮廓,使得收入和推出套筒的摩擦力变小。The skeleton adopts a dislocation skeleton structure. The whole structure is cut from the entire nickel-titanium tube. The five points of the net pocket are not on the same plane. The first fixed
如图5所示,沿骨架杆1轴向看产品整体是一个很规则的圆,这样利于贴合血管壁。As shown in Figure 5, the whole product is a very regular circle when viewed along the axial direction of the
如图6、图7所示,在骨架杆1和网兜口2上设置若干网兜挂钩3或网兜挂孔。网兜挂钩3或网兜挂孔用于固定网兜5。As shown in FIG. 6 and FIG. 7 , several
如图6、图7所示,在骨架的网兜口和骨架杆上设置网兜挂位,网兜挂钩3或网兜挂孔分别设置在网兜口的第一固定点21、第二固定点22、最高点23、两个侧点(前侧点24、后侧点25)上以及骨架杆1上的至少一远点。本实施例中,骨架杆1上的网兜挂钩3或网兜挂孔设置在骨架杆1后侧上的一个点。如图1所示的骨架杆上可以设置一个远点的网兜挂钩或网兜挂孔,如图2、图3所示的骨架杆上可以设置两个或三个远点的网兜挂钩或网兜挂孔。As shown in Fig. 6 and Fig. 7 , a net pocket hanging position is set on the net pocket opening and the skeleton rod of the skeleton, and the
如图3、图9所示,在骨架杆1上设置若干镂空段11。在骨架杆1的中间部分采用了镂空结构,这样可以增加骨架在病变部位的通过性和抗折弯能力。As shown in FIG. 3 and FIG. 9 , a plurality of
骨架采用的材料是具有自膨胀的金属材料,包括记忆型镍钛合金。采用这样的材料可使骨架因施加外力变形在外力撤销后自行恢复原状,展开网兜口进而打开网兜5的开口。The material used for the skeleton is a metal material with self-expansion, including memory nickel-titanium alloy. By using such material, the skeleton can be deformed due to the external force, and it can return to its original state after the external force is removed, and the opening of the
一种骨架的制作方法,其特征在于,包括:A method for making a skeleton, comprising:
A、选取具有自膨胀金属材料的管材;A. Select pipes with self-expanding metal materials;
B、在管材上沿长度方向设计骨架杆;B. Design the skeleton rod along the length direction on the pipe;
C、在设计的骨架杆上选取网兜口的第一固定点,距离第一固定点大于0而小于等于管材口径1.0倍距离的位置间选取网兜口的第二固定点,在骨架杆上的垂直投影点与第一固定点的距离大于0而小于等于管材口径的1.7倍的位置上选取网兜口最高点,在管材上将三点连接形成网兜口;在网兜口的第一固定点、第二固定点、最高点、两侧点以及骨架杆上的至少一远点设置网兜挂钩或网兜挂孔。第一固定点与第二固定点之间的距离,管径为3mm时为0.05~2.99mm,管径为4mm时为0.1~3.99mm,管径为5mm时为0.3~4.99mm,管径为6mm时为0.5~5.99mm,管径为7mm时为0.8~6.99mm,管径为8mm时为1~7.99mm。如图1所示的骨架杆上可以设置一个远点的网兜挂钩或网兜挂孔,如图2、图3所示的骨架杆上可以设置两个或三个远点的网兜挂钩或网兜挂孔。C. Select the first fixed point of the net pocket on the designed skeleton rod, and select the second fixed point of the net pocket between the positions where the distance from the first fixed point is greater than 0 but less than or equal to 1.0 times the diameter of the pipe. Select the highest point of the net pocket at the position where the distance between the projection point and the first fixed point is greater than 0 but less than or equal to 1.7 times the diameter of the pipe, and connect the three points on the pipe to form the net pocket; Net pocket hooks or net pocket hanging holes are arranged at the fixed point, the highest point, the two side points and at least one far point on the skeleton rod. The distance between the first fixed point and the second fixed point is 0.05 to 2.99 mm when the pipe diameter is 3 mm, 0.1 to 3.99 mm when the pipe diameter is 4 mm, and 0.3 to 4.99 mm when the pipe diameter is 5 mm. When the diameter is 6mm, it is 0.5 to 5.99mm, when the diameter is 7mm, it is 0.8 to 6.99mm, and when the diameter is 8mm, it is 1 to 7.99mm. As shown in Figure 1, a far-point net pocket hook or net pocket hanging hole can be set on the skeleton rod. As shown in Figure 2 and Figure 3, two or three remote net pocket hooks or net pocket hanging holes can be set on the skeleton rod. .
D、按照上述设计通过激光切割得出骨架,如图6、图7所示。D. According to the above design, the skeleton is obtained by laser cutting, as shown in Figure 6 and Figure 7.
如图6、图7所示,整个结构由整个镍钛管切割而来,网兜口2上的5个点(第一固定点21、第二固定点22、最高点23、两侧点为前侧点24、后侧点25)都不在同一个平面。图6中还可见除骨架外余出的废料,切除余出的废料后得到如图7所示的骨架。As shown in Figure 6 and Figure 7, the entire structure is cut from the entire nickel-titanium tube, and the five points on the net pocket 2 (the first
如图8、图9、图10所示,一种血管远端保护装置,包括骨架4和网兜5,骨架4为上面所述的骨架,网兜5为锥形网兜,网兜5的开口固定在骨架的网兜口2上。将网兜5的开口固定在网兜口2的网兜挂钩3或网兜挂孔上,网兜5的中部或尾部固定在设置于骨架杆1的网兜挂钩3或网兜挂孔上。As shown in Fig. 8, Fig. 9, Fig. 10, a blood vessel distal protection device comprises a
网兜5为记忆型镍钛合金编制而成的网兜,或者尼龙网兜,或者PET网兜,网兜5的网孔直径为70-200um,一实施例中的网兜5的网孔直径为70um,一实施例中网孔直径为90um,一实施例中网孔直径为100um,一实施例中网孔直径为120um,一实施例中网孔直径为150um,一实施例中网孔直径为200um。记忆型镍钛合金编制而成的网兜可以自行恢复原状;采用尼龙网兜或者PET网兜或者PE网兜或者PTFE网兜或者PP网兜,通过网兜口2的自行恢复原状带动网兜5打开。网兜5材料与网孔直径的选择,在便于收缩和张开的同时兼顾血栓碎块的收集。The
如图11、图12所示,本发明血管远端保护装置的应用,配套的微导管包括微导管管身7和微导管鲁尔接头8;设置在骨架4远端的远端弹簧6,用于增加远端的柔软性和抗折弯能力;网兜5用于打捞击碎的血栓碎块;骨架4,用于固定和释放网兜5;设置在推送杆和骨架焊接区域的显影环9,用于体内标记产品的位置;推送杆10,和骨架4焊接为一体,医生可用来推送和回收骨架4。As shown in FIG. 11 and FIG. 12 , in the application of the distal vascular protection device of the present invention, the supporting microcatheter includes a microcatheter body 7 and a
本发明采用一种独特的骨架结构,此结构利用骨架错位减小产品的轮廓,同时在回收阶段起始段采用了锥度过渡式,方便进入套筒时候逐步导向性的回收,此结构纵向来看是一个圆形,能360度更好的贴合血管壁,防止血栓碎块从骨架和血管壁支架渗漏从而堵塞远端血管。The present invention adopts a unique skeleton structure, which utilizes skeleton dislocation to reduce the profile of the product, and at the same time adopts a taper transition type in the initial section of the recovery stage, which is convenient for gradual and directional recovery when entering the sleeve. This structure is viewed from the longitudinal direction. It is a round shape that can better fit the vessel wall 360 degrees, preventing thrombus fragments from leaking from the skeleton and the vessel wall stent to block distal vessels.
本发明产品可经皮插入血管中,在做支架植入,取血栓,球囊扩张时候放置血管远端防止其堵塞,可兼容颅内,心血管,外周的血管。The product of the present invention can be inserted into the blood vessel percutaneously, and is placed at the distal end of the blood vessel during stent implantation, thrombus extraction, and balloon expansion to prevent its blockage, and is compatible with intracranial, cardiovascular and peripheral blood vessels.
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