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CN201200646Y - Integrated abdominal aorta-internal and external iliac artery endoluminal graft system - Google Patents

Integrated abdominal aorta-internal and external iliac artery endoluminal graft system Download PDF

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Publication number
CN201200646Y
CN201200646Y CNU2008200568132U CN200820056813U CN201200646Y CN 201200646 Y CN201200646 Y CN 201200646Y CN U2008200568132 U CNU2008200568132 U CN U2008200568132U CN 200820056813 U CN200820056813 U CN 200820056813U CN 201200646 Y CN201200646 Y CN 201200646Y
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branch
iliac artery
internal
abdominal aorta
internal iliac
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Expired - Fee Related
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CNU2008200568132U
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Chinese (zh)
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陆清声
林晨
景在平
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Abstract

本实用新型是一种一体型腹主动脉-髂内外动脉腔内移植物系统。其由金属丝支架(1)和固定于支架内的管状纤维织物(2)组成。分直筒部(3)和分叉部(4)两部分,直筒部上端第一圈Z形支架圈内不遮蔽织物,其下端为分叉部,有一长分支(4.1)和一短分支(4.2),位置对应双侧髂外动脉,可在短分支内套入加长支(6);金属丝支架的相关部位设有金属标记物(5),以便在X线下用输送器将其准确推送到病变部位;其特征在于在长分支(4.1)上设有髂内动脉分支(7),也可在短分支的加长支(6)上设髂内动脉分支。本实用新型结构简单,操作方便,能有效将腹主动脉和(或)髂外动脉和(或)髂内动脉病变血管段与血流隔绝,并能保证髂内动脉血流畅通,消除了盆腔缺血的隐患,手术成功率高。

Figure 200820056813

The utility model is an integrated abdominal aorta-internal and external iliac artery intracavitary graft system. It consists of a wire support (1) and a tubular fiber fabric (2) fixed in the support. It is divided into two parts, the straight part (3) and the bifurcated part (4). The fabric is not covered in the first circle of the Z-shaped support circle at the upper end of the straight part, and the lower end is the bifurcated part. ), the position corresponds to the bilateral external iliac arteries, and the extended branch (6) can be inserted into the short branch; the relevant part of the wire stent is provided with a metal marker (5), so that it can be accurately pushed by the conveyor under X-ray To the lesion site; it is characterized in that a branch of the internal iliac artery (7) is provided on the long branch (4.1), and a branch of the internal iliac artery can also be provided on the extended branch (6) of the short branch. The utility model has the advantages of simple structure and convenient operation, and can effectively isolate the diseased blood vessel segment of the abdominal aorta and (or) external iliac artery and (or) internal iliac artery from blood flow, and can ensure the smooth flow of internal iliac artery blood flow, eliminating the need for pelvic The hidden danger of ischemia has a high success rate of operation.

Figure 200820056813

Description

Implant system in the inside and outside lumen of artery of one-piece type ventral aorta-ilium
Technical field
This utility model relates to technical field of medical instruments, is implant system in the inside and outside lumen of artery of a kind of one-piece type ventral aorta-ilium.
Background technology
Abdominal aortic aneurysm is because factor such as arteriosclerosis and office's section property blood vessel wall cryptomere expansion of taking place gradually, can not bear the impact of blood flow and break suddenly after arterial wall is expanded to a certain degree, thereby cause patient's sudden death.In recent years, endovascular graft is applied to treat aortic aneurysm in the Wicresoft field more and more widely.Endovascular graft also claims barrier systems in the lumen of vessels, form by wire rack mount and the tubular fiber fabric that is fixed in the support, support is provided with the metal marker thing, so that under the X line, it accurately is pushed to diseased region with carrier, its medium-height trestle continuously Z-shapedly surrounds into some bracket loops after folding and is arranged in tubulose and forms by the thin alloy silk of super bullet is capable, be used for fabric being strutted and being fixed in diseased region, fabric is equivalent to artificial blood vessel, is attached at diseased region lesion vessels section and blood flow are completely cut off.Shape and ramose difference according to the diseased region blood vessel can be made into different endovascular grafts.
Have ventral aorta-external iliac artery endovascular graft both at home and abroad, it is roughly herringbone, the ventral aorta part is thicker, be vertical tube part, do not cover fabric in the Z-shaped bracket loop of upper end first lap, first lap angle folding lower edge and fabric are fixed with line or other modes, and maskable ventral aorta lesion vessels section is isolated with lesion vessels section and blood flow; Its lower end extends to furcation, and two thinner branches are arranged, a long branch and a short branch, and long branch location, ilium inside and outside tremulous pulse total corresponding to a side ilium, long branch is used for that a side ilium is always reached external iliac artery lesion vessels section and blood flow is isolated; Short branch location is corresponding to the opposite side common iliac artery.If the bilateral external iliac artery all has pathological changes, then can in short branch, be inserted in adding of respective diameters and length to draw money on credit, add and draw money on credit to straight tubular endovascular graft, do not cover fabric in the Z-shaped bracket loop of upper end first lap yet.
This endovascular graft can be isolated with lesion vessels section and blood flow effectively, but owing to there is not internal iliac artery branch, if pathological changes is involved the inside and outside tremulous pulse of ilium, internal iliac artery keeps external iliac artery so can only be sacrificed, be first thromboembolism or ligation internal iliac artery, insert graft again, will cause internal iliac artery blood like this for being obstructed, if bilateral internal iliac is all blocked, will causes the pelvic cavity ischemia and lead to complications.
The inside and outside arteries intracavity implant of a kind of separation type ventral aorta-ilium is abroad arranged, form by above-mentioned ventral aorta-external iliac artery graft and internal iliac artery branch, the graft main body is above-mentioned ventral aorta-external iliac artery graft, but a window is established in the position that is equivalent to the internal iliac artery opening part in its long branch, internal iliac artery branches into the little endovascular graft of tubular always, the ramose internal diameter coupling of external diameter and internal iliac artery, elder generation's implantation graft main body makes the window of growing in the branch on the main body place the internal iliac artery opening part during use, by this window internal iliac artery branch is implanted internal iliac artery again, discharge.Though the inside and outside arteries intracavity implant of this separation type ventral aorta-ilium has internal iliac artery branch, the degree of depth is difficult during socket grasps, and causes easily to come off or seepage.
Summary of the invention
The purpose of this utility model provide a kind of can guarantee the internal iliac artery blood flow unimpeded, again can not occur coming off or the inside and outside lumen of artery of ventral aorta-ilium of internal hemorrhage due to trauma in implant system.
This utility model is made up of wire rack mount and the tubular fiber fabric that is fixed in the support.Support continuously Z-shapedly surrounds into some bracket loops after folding and is arranged in tubulose and forms by the thin alloy silk of super bullet is capable, is used for fabric being strutted and being fixed in diseased region, and fabric is equivalent to artificial blood vessel, is attached at diseased region lesion vessels section and blood flow are completely cut off.This utility model graft divides vertical tube part and furcation two parts, vertical tube part is the ventral aorta part, thicker, do not cover fabric in the Z-shaped bracket loop of upper end first lap, the lower edge of first lap angle folding and fabric are fixed with line or other modes, vertical tube part maskable ventral aorta lesion vessels section, lesion vessels section and blood flow is isolated; It is two thinner branches that bifurcated is extended in its lower end, is furcation, and a long branch and a short branch are arranged, and the position is total corresponding to the bilateral ilium, external iliac artery.Short branch can be provided with its diameter and length adding of being complementary and draw money on credit; The region of interest of wire rack mount is provided with the metal marker thing, establishes the metal marker thing as the boundary of vertical tube part and furcation, so that with carrier it accurately is pushed to diseased region under the X line.It is characterized in that in the long branch of furcation, being provided with internal iliac artery branch, also can establish internal iliac artery branch on drawing money on credit in short ramose adding.Because the internal iliac artery branch and the external iliac artery branch of this utility model graft are connected as a single entity, operate easily when therefore implanting, and can not come off or the seepage phenomenon after implanting.
This utility model is simple in structure, and is easy to operate, can be effectively that the lesion vessels section and the blood flow of tremulous pulse inside and outside ventral aorta common iliac artery, the ilium is isolated, and can guarantee that the internal iliac artery blood flow is unimpeded, eliminated the hidden danger of pelvic cavity ischemia, the success rate of operation height.
Description of drawings
Fig. 1 is an overall structure sketch map of the present utility model.
The specific embodiment
Now in conjunction with the accompanying drawings this utility model is described in detail.
This utility model is made up of wire rack mount 1 and the tubular fiber fabric 2 that is fixed in the support, support continuously Z-shapedly surrounds into some bracket loops after folding and is arranged in tubulose and forms by the thin alloy silk of super bullet is capable, be used for fabric being strutted and being fixed in diseased region, fabric is equivalent to artificial blood vessel, it is isolated with lesion vessels section and blood flow to be attached at diseased region, divide vertical tube part 3 and furcation 4 two parts, vertical tube part 3 is thicker, do not cover fabric in the Z-shaped bracket loop of upper end first lap, its lower end is a furcation 4, an one long branch 4.1 and a short branch 4.2 are arranged, and the corresponding side ilium of long branch location is total, ilium reaches internal iliac artery outward, the corresponding side common iliac artery of short branch location.Can be inserted in adding of respective diameters and length in short branch draws money on credit 6; The region of interest of wire rack mount is provided with metal marker thing 5, so that with carrier it accurately is pushed to diseased region under the X line; It is characterized in that being provided with internal iliac artery branch 7 in the long branch 4.1 of furcation, adding of also can being inserted in short branch, be provided with internal iliac artery branch 7 on drawing money on credit.This utility model can be made the different size model as required.
Embodiment 1
This utility model vertical tube part 3 long 40mm, external diameter 28mm.The 4.1 external diameter 12mm of bifurcated minister branch, long 140mm.The short 4.2 external diameter 12mm of branch, long 50mm.Long branch is provided with internal iliac artery branch 7, long 30mm, external diameter 8mm.Edge of the present utility model and crotch are provided with circular ring metal labelling 5.
Embodiment 2
This utility model is provided with to add draws money on credit 6, external diameter 12mm, and long 140mm, adding draws money on credit is provided with internal iliac artery branch 7, external diameter 8mm, long 28mm.The structure of main part is with embodiment 1.
Embodiment 3
This utility model vertical tube part 3 long 45mm, external diameter 26mm.The 4.1 external diameter 12mm of bifurcated minister branch, long 130mm.The short 4.2 external diameter 12mm of branch, long 48mm.Long branch is provided with internal iliac artery branch 7, long 28mm, external diameter 8mm.Edge of the present utility model and crotch are provided with circular ring metal labelling 5.
Embodiment 4
This utility model is provided with to add draws money on credit 6, external diameter 12mm, and long 145mm, adding draws money on credit is provided with internal iliac artery branch 7, external diameter 8mm, long 30mm.The structure of main part is with embodiment 1.

Claims (2)

1.一种腹主动脉—髂内外动脉腔内移植物系统,由金属丝支架(1)和固定于支架内的管状纤维织物(2)组成,金属丝支架由超弹细合金丝行连续Z形折叠后围绕成若干支架圈排列成管状而成,分直筒部(3)和分叉部(4)两部分,直筒部(3)较粗,上端第一圈Z形支架圈内不遮蔽织物,其下端分叉部有一长分支(4.1)和一短分支(4.2),长分支位置对应于一侧髂总、髂外及髂内动脉,短分支位置对应于另一侧髂总动脉,金属丝支架的相关部位设有金属标记物(5),以便在X线下用输送器将其准确推送到病变部位;其特征在于在分叉部的长分支(4.1)上设有髂内动脉分支(7)。1. An abdominal aorta-internal and external iliac artery intraluminal graft system is composed of a wire stent (1) and a tubular fiber fabric (2) fixed in the stent, and the wire stent is made of superelastic fine alloy wires in continuous Z lines. After being folded, it is surrounded by a number of support rings and arranged in a tubular shape. It is divided into two parts: the straight part (3) and the bifurcated part (4). , the bifurcation at the lower end has a long branch (4.1) and a short branch (4.2), the position of the long branch corresponds to the common iliac, external iliac and internal iliac arteries on one side, and the position of the short branch corresponds to the common iliac artery on the other side, metal Metal markers (5) are provided on the relevant parts of the wire stent so that it can be accurately pushed to the lesion with a conveyor under X-ray; it is characterized in that a branch of the internal iliac artery is provided on the long branch (4.1) of the bifurcation (7). 2.按权利要求1所述的腹主动脉—髂内外动脉腔内移植物系统,所说的短分支(4.2)还设有与其直径相匹配的加长支(6),其特征在于加长支上设有髂内动脉分支(7)。2. Abdominal aorta-internal and external iliac artery intraluminal graft system according to claim 1, said short branch (4.2) is also provided with an extension branch (6) matching its diameter, it is characterized in that on the extension branch There are branches of the internal iliac artery (7).
CNU2008200568132U 2008-04-01 2008-04-01 Integrated abdominal aorta-internal and external iliac artery endoluminal graft system Expired - Fee Related CN201200646Y (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105228561A (en) * 2014-03-05 2016-01-06 卡蒂亚蒂斯股份有限公司 For the carriage assembly that thorax abdomen bifurcated aneurysm is repaired

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105228561A (en) * 2014-03-05 2016-01-06 卡蒂亚蒂斯股份有限公司 For the carriage assembly that thorax abdomen bifurcated aneurysm is repaired
CN105228561B (en) * 2014-03-05 2018-06-12 卡蒂亚蒂斯股份有限公司 For the bracket component of thorax abdomen bifurcated aneurysm repairing

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Granted publication date: 20090304

Termination date: 20170401