Improved Intra-cavity support for medical
Technical field
The present invention relates to a kind of medical stent, particularly improved Intra-cavity support for medical.
Background technology
In the prior art, when human body lumens such as treatment esophageal stricture, tracheal stenosis, biliary tract stenosis, angiostenosis are narrow, usually adopt metal rack, Ultimum Ti medical stent particularly, these medical stents have been obtained good curative effect in clinical, obtained application more and more widely over past ten years.But these bare brackets are when the treatment malignant tumor, and tumor tissues can pass metal mesh opening, forms restenosis.People such as Zhu Ming has designed a kind of Intra-cavity support for medical with film in Chinese patent ZL97200206.5 for this reason, uses attached to the high polymer elastic film on the network and prevents that pathological tissues from growing to intracavity, obtains good effect in clinical use.But when treating benign stricture, as anastomose esophagus stomach stenostomy, trachea anastomotic stricture, after part patient installs this covered stnet with this covered stnet, end at covered stnet, because the wriggling of stimulation wiry and lumen causes granulation hyperplasia, form restenosis.The medical stent of prior art still can't solve the stress concentration that the tinsel because of latticed support causes, and causes the stimulation to normal lumen wall, forms granulation hyperplasia, causes the technical barrier of restenosis.Thereby be necessary prior art is improved, develop a kind of stimulation that can avoid the tinsel of bracket end to lumen wall, avoid bracket end granulation hyperplasia to occur and form follow-on medical stent of restenosis.
Summary of the invention
Improved Intra-cavity support for medical is characterized in that improved Intra-cavity support for medical by supporting bracket (1) with subtract Zhang Huan (2) two parts and form, and supporting bracket (1) adopts flexible material film (1-1) to coat the tubular structure of network (1-2); Subtract Zhang Huan (2) and be the tubular structure that flexible material (2-1) is made, contain annular airbag structure (2-2) on the Zhang Huan (2) subtracting, subtract the end that Zhang Huan (2) is connected supporting bracket (1).
---can be filled with gas or liquid or colloid in the airbag structure (2-2) of the above-mentioned Zhang Huan of subtracting (2).
---the above-mentioned Zhang Huan of subtracting (2) has the geometry in particular that meets the Human Physiology requirement, as cylindrical, infundibulate, cydariform.
---the flexible material (2-1) that the above-mentioned Zhang Huan of subtracting (2) adopts is flexible high molecular material or the polymeric material that can implant in human body, as medical silica-gel, medical polyurethane, medical ptfe.
The present invention's improved Intra-cavity support for medical, by supporting bracket (1) with subtract Zhang Huan (2) two parts and form, supporting bracket (1) adopts flexible material film (1-1) to coat the tubular structure of network (1-2); Subtract Zhang Huan (2) and be the tubular structure that flexible material (2-1) is made, contain annular airbag structure (2-2) on the Zhang Huan (2) subtracting, subtract the end that Zhang Huan (2) is connected supporting bracket (1).Owing to subtract the existence of Zhang Huan (2), avoided the stimulation of network (1-2) effectively to lumen, avoided causing because of the wriggling of lumen the granulation hyperplasia of prior art covered stnet end, the restenosis of formation is particularly suitable for the dilation therapy of human body lumen benign strictures such as esophagus, trachea.
Description of drawings
Fig. 1 is the structural representation of Intra-cavity support for medical of the band film of prior art.
Fig. 2 is one of the present invention end subtracts the improved Intra-cavity support for medical of Zhang Huan with single horn mouth a structural representation.
Fig. 3 is that the present invention's two ends that are used for the treatment of trachea anastomotic stoma benign stricture are all with the structural representation of the improved Intra-cavity support for medical that subtracts Zhang Huan.
Fig. 4 be the upper end for toroidal, lower end be the cylindrical Zhang Huan of subtracting the present invention the structural representation of Intra-cavity support for medical.
Fig. 5 be the upper end for cydariform subtract Zhang Huan, lower end be toroidal the present invention of subtracting Zhang Huan the structural representation of Intra-cavity support for medical.
Among the above-mentioned figure: 301 is metal gauze, and 302 is the high polymer elastic film, and 1 is supporting bracket, and 1-1 is a flexible material film, and 1-2 is a network, and 2 for subtracting Zhang Huan, and 2-1 is a flexible material, and 2-2 is an airbag structure, and 3 are the anti-lobe that backflows, and 4 are the anti-recirculation device of oversleeve shape.
Specific embodiment
Covered stnet of the prior art (with reference to figure 1) has adopted the tubular structure that adheres to macromolecular material film (302) on the metal gauze (301).Overlay film partly can prevent the growth to intracavity of tumor tissues or granulation effectively, but the tinsel of two ends metal grill can stimulate lumen wall such as esophageal wall or tracheal wall, causes granulation hyperplasia to form restenosis.
Embodiment 1: one of the present invention end subtracts the improved Intra-cavity support for medical of Zhang Huan with single horn mouth
The support of the present invention in the present embodiment is the medical stent (with reference to figure 2) that is used for the treatment of esophagus anastomotic stoma benign stricture, the present invention's improved Intra-cavity support for medical is by supporting bracket (1) and subtract Zhang Huan (2) two parts and form, and supporting bracket (1) adopts flexible material film (1-1) to coat the tubular structure of network (1-2); Subtract Zhang Huan (2) and be the tubular structure that flexible material (2-1) is made, contain annular airbag structure (2-2) on the Zhang Huan (2) subtracting, subtract the end that Zhang Huan (2) is connected supporting bracket (1).Flexible material film (1-1) on the supporting bracket (1) can be identical with flexible material (2-1) on subtracting Zhang Huan (2), also can be inequality, generally all adopts the same material manufacturing.Flexible material film (1-1) on the supporting bracket (1) with subtract flexible material (2-1) on the Zhang Huan (2) can be softish, suitable elastic macromolecular material or polymeric material are arranged, as manufacturings such as medical silica-gel, medical polyurethane, medical ptfe, polypropylene for medical article.Include an airbag structure (2-2) in the top that subtracts Zhang Huan (2), airbag structure (2-2) can be fitted on the esophagus inwall subtracting Zhang Huan (2) effectively, prevents to subtract collapsing of Zhang Huan (2).Can filling gas or liquid or colloid in the airbag structure (2-2), as when the treatment esophagus benign stricture, can in air bag, fill viscid medical silica-gel, can change with the wriggling of esophagus, drop to minimum to the stimulation of esophageal mucosa membrane injury support; And when treatment trachea benign stricture, and can in air bag, charge into gas, drop to minimum to the stimulation of tunica mucosa tracheae support.When clinical use, after the present invention's support being implanted the narrow section of esophagus anastomotic stoma, supporting bracket (1) can effectively be expanded narrow, be in the above normal lumen of narrow section and subtract Zhang Huan (2), and be fitted on the lumen inwall, the stress concentration that Zhang Huan (2) can disperse network (1-2) formation of supporting bracket (1) effectively that subtracts owing to the flexible material manufacturing, and subtracting Zhang Huan (2) can move with the wriggling of esophagus, reduced the stimulation of tinsel to esophageal mucosa membrane injury, avoided the growth of granulation, implanted in vivo 3-24 month, and after scar tissue is stable, can take out external.It is latticed to adopt the Ultimum Ti silk to be woven on mould earlier, and the heat treatment of finalizing the design, and the net grid support that obtains exposing carries out overlay film with flexible material then in mould, obtain the present invention's support.Usually the flexible material film of wall ratio supporting bracket (1) that subtracts the flexible material on the Zhang Huan (2) is thick.The geometry that subtracts Zhang Huan (2) can be the Any shape that meets the human physiological structure, as toroidal, cylindrical, cydariform etc.
Embodiment 2: the two ends that are used for the treatment of trachea anastomotic stoma benign stricture are all with the present invention's who subtracts Zhang Huan intracavity stent
In the present embodiment, the top and bottom of supporting bracket (1) all are connected with the cylindrical Zhang Huan of subtracting (2), and with reference to figure 3, the principle of its manufacturing process is identical with embodiment 1, and just the size and dimension difference meets the requirement of expanding the trachea benign stricture and gets final product.
Embodiment 3: the upper end be toroidal, lower end be cylindrical the present invention who subtracts Zhang Huan Intra-cavity support for medical
In the present embodiment, what a toroidal band air bag (2-2) had been installed in the upper end of supporting bracket (1) subtracts Zhang Huan (2), what the lower end of supporting bracket (1) had connected a cylinder tube shape subtracts Zhang Huan (2), made the petal anti-lobe that backflows (3) simultaneously at the middle part of supporting bracket (1), at the lower end of supporting bracket (1), the cylindrical anti-recirculation device (4) that subtracts an oversleeve shape of making within the Zhang Huan (2), can prevent gastric juice effectively upwards, with reference to figure 4.
Embodiment 4: the upper end for cydariform subtract Zhang Huan, lower end be toroidal the present invention of subtracting Zhang Huan Intra-cavity support for medical
In the present embodiment, what the upper end of supporting bracket (1) had connected cydariform band air bag (2-2) subtracts Zhang Huan (2), what the lower end was connected with toroidal band air bag (2-2) subtracts Zhang Huan (2), subtracting within the Zhang Huan (2) of lower end toroidal, the anti-lobe (3) that backflows has been installed at the edge of supporting bracket (1) lower end, with reference to figure 5.
Should be noted that herein openly can replace with the identical structure of other effect that the embodiment that the present invention introduced simultaneously realizes unique structure of the present invention with the structure of explanation.Though preferential embodiment of the present invention is introduced in this article and is illustrated; but those skilled in the art know and know that these embodiment illustrate; those skilled in the art can make countless variations, improvement and replacement; and can not break away from the present invention; therefore, should be according to the next qualification protection scope of the present invention of the spirit and scope of appending claims of the present invention.