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SU1457921A1 - Self-fixing prosthesis of blood vessel - Google Patents

Self-fixing prosthesis of blood vessel Download PDF

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Publication number
SU1457921A1
SU1457921A1 SU874208828A SU4208828A SU1457921A1 SU 1457921 A1 SU1457921 A1 SU 1457921A1 SU 874208828 A SU874208828 A SU 874208828A SU 4208828 A SU4208828 A SU 4208828A SU 1457921 A1 SU1457921 A1 SU 1457921A1
Authority
SU
USSR - Soviet Union
Prior art keywords
prosthesis
elastic rods
blood vessel
elastic
fixing
Prior art date
Application number
SU874208828A
Other languages
Russian (ru)
Inventor
Николай Леонтьевич Володось
Василий Егорович Шеханин
Иван Павлович Карпович
Владимир Иванович Троян
Original Assignee
Харьковский научно-исследовательский институт общей и неотложной хирургии
Производственное объединение "Харьковский моторостроительный завод "Серп и молот"
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Харьковский научно-исследовательский институт общей и неотложной хирургии, Производственное объединение "Харьковский моторостроительный завод "Серп и молот" filed Critical Харьковский научно-исследовательский институт общей и неотложной хирургии
Priority to SU874208828A priority Critical patent/SU1457921A1/en
Application granted granted Critical
Publication of SU1457921A1 publication Critical patent/SU1457921A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2002/825—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having longitudinal struts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable

Landscapes

  • Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Изобретение относитс  к медицине и позвол ет предупредить миграцию протеза кровеносного сосуда путем снабжени  его дополнительным фиксирующим элементом 4, размещенным вне эластичной оболочки 1 и соединенным с основным фиксирующим элементом 3, закрепленным на внутренней стенке оболочки 1 посредством упругих стержней 5. Обща  высота дополнительного и основного фиксирующих элементов 3 и 4, а также упругих стержней 5 вдоль оси протеза составл ет не менее Id, где d - внутренний диаметр сосуда. Упругие .стержни выполн ютс  пр мыми или изогнутыми в сторону оси протеза. 2 ил. (Л сд со 1CThe invention relates to medicine and prevents the migration of a blood vessel prosthesis by supplying it with an additional locking element 4 placed outside the elastic sheath 1 and connected to the main locking element 3 fixed to the inner wall of the sheath 1 by means of elastic rods 5. The overall height of the additional and main locking elements 3 and 4, as well as elastic rods 5 along the axis of the prosthesis is not less than Id, where d is the internal diameter of the vessel. Elastic rods are straight or bent towards the axis of the prosthesis. 2 Il. (L SD with 1C

Description

Изобретение относитс  к медицинсной технике и касаетс  непосредственно усовершенствовани  самофиксирующегос  протеза кровеносного сосуда, используемого дл  замещени  пораженных участков аорты и магистральных артерий при аневризмах, атеросклерозе , ранении или расслаивании.The invention relates to a medical technique and relates directly to the improvement of a self-locking prosthesis of a blood vessel used to replace the affected areas of the aorta and main arteries during aneurysms, atherosclerosis, injury or exfoliation.

Целью изобретени   вл етс  предупреждение миграции протеза.The aim of the invention is to prevent the migration of the prosthesis.

На фиг. 1 изображен протез кровеносного сосуда, общий вид; на фиг. 2 - схема раз- мещени  протеза в сосуде.FIG. 1 shows a prosthetic blood vessel, a general view; in fig. 2 is a diagram of the placement of the prosthesis in the vessel.

Протез состоит из эластичной оболочки 1, на внутренней поверхности которой нит ми 2 закреплен основной фиксирующий элемент 3, выполненный в виде плоской изогнутой пружины зигзагообразной формы, свернутой в кольцо. Высота этого элемента выбираетс  в зависимости от длины здорового сегмента сосуда, в который он устанавливаетс  и не превышает его. Протез снабжен также до- полнительным фиксирующим элементом 4, выполненным по форме, аналогичной основному элементу 3, и соединенным с ним посредством упругих стержней 5. Дополнительный фиксирующий элемент 4 и упругие стержни 5 размещены вне оболочки. Обща  высо- та Я обоих фиксирующих элементов и соедин ющих их упругих стержней 5 состав- .лйот ие менее 2d, где d - внутренний диаметр оболочки. В свою очередь длина упругих стержней 5 выбираетс  в зависимости от .конфигурации сосуда. Выполнение высоты Н фиксирующих элементов и упругих стержней менее 2d не обеспечивает устойчивого размещени  протеза и не предотвращает его от опрокидывани . Оптимальное количествоThe prosthesis consists of an elastic sheath 1, on the inner surface of which the threads 2 fix the main fixing element 3, made in the form of a flat bent spring of zigzag shape, rolled up into a ring. The height of this element is selected depending on the length of the healthy segment of the vessel in which it is placed and does not exceed it. The prosthesis is also provided with an additional fixing element 4, which is made in the form, similar to the main element 3, and is connected to it by means of elastic rods 5. Additional fixing element 4 and elastic rods 5 are placed outside the sheath. The common height I of both fixing elements and the elastic rods connecting them is 5 and less than 2d, where d is the inner diameter of the shell. In turn, the length of the elastic rods 5 is selected depending on the configuration of the vessel. Making the height H of the fixing elements and elastic rods less than 2d does not ensure the stable placement of the prosthesis and does not prevent it from tilting. The optimal amount

упругих стержней - два, диаметрально расположенные один относительно другого.elastic rods - two, diametrically located one relative to another.

Протез устанавливают следующим образом .The prosthesis is set as follows.

Перед установкой оболочку 1 вместе с основным 3 и дополнительным 4 фиксирующими элементами сжимают в радиальном направлении до минимально возможного сечени  и устанавливают во внутреннюю полость катетера, который ввод т в необходимый сегмент сосуда. При выводе катетера из сосуда и одновременном удержании протеза неподвижным происходит распр мг ление оболочки протеза под действием фиксирующих элементов 3 до полного контакта ее со стенками сосуда. Основной фиксирующий элемент 3, окруженный каркасом протеза , контактирует с коротким неизмененным участком сосуда, а дополнительный при этом контактирует с внутренней стенкой сосуда вне оболочки протеза.Before installation, the shell 1, together with the main 3 and additional 4 locking elements, is compressed in the radial direction to the minimum possible cross section and installed into the internal cavity of the catheter, which is inserted into the desired segment of the vessel. When the catheter is removed from the vessel and at the same time keeping the prosthesis stationary, the prosthesis sheath is spread under the action of the locking elements 3 until it is completely in contact with the vessel walls. The main fixing element 3, surrounded by the frame of the prosthesis, is in contact with a short unaltered portion of the vessel, and the additional one is in contact with the inner wall of the vessel outside the prosthesis shell.

Формула, изобретени Formula inventions

Самофиксирующийс  протез кровеносного сосуда, состо щий из эластичной оболочки с размещенным в ней фиксирующим элементом , выполненным в виде плоской изогнутой пружины зигзагообразной формы, отличаю(цийс  тем, что, с целью предупреждени  миграции протеза, он снабжен дополнительным фиксирующим элементом аналогичной формы, который размещен вне оболочки и соединен с ней посредством упругих стержней, при этом обща  высота фиксирующих элементов с упругими стержн ми вдоль оси протеза составл ет не менее 2d, где d - внутренний диаметр оболочки.A self-fixing prosthesis of a blood vessel, consisting of an elastic sheath with a fixing element placed in it, made in the form of a flat bent spring of a zigzag shape, is distinguished (by the fact that, in order to prevent the prosthesis from migrating, it is equipped with an additional fixing element of a similar shape that is placed outside the shell and is connected to it by means of elastic rods, while the total height of the fixing elements with elastic rods along the axis of the prosthesis is at least 2d, where d is the inner diameter of the sheath hibernation.

Claims (1)

Формула, изобретенияClaim Самофиксирующийся протез кровеносного сосуда, состоящий из эластичной оболочки с размещенным в ней фиксирующим элементом, выполненным в виде плоской изогнутой пружины зигзагообразной формы, отличающийся тем, что, с целью предупреждения миграции протеза, он снабжен дополнительным фиксирующим элементом аналогичной формы, который размещен вне оболочки и соединен с ней посредством упругих стержней, при этом общая высота фиксирующих элементов с упругими стержнями вдоль оси протеза составляет не менее 2d, где d — внутренний диаметр оболочки.A self-fixing prosthesis of a blood vessel, consisting of an elastic membrane with a fixing element placed in it, made in the form of a flat curved spring in a zigzag shape, characterized in that, in order to prevent migration of the prosthesis, it is equipped with an additional locking element of a similar shape, which is placed outside the membrane and connected with it through elastic rods, while the total height of the fixing elements with elastic rods along the axis of the prosthesis is at least 2d, where d is the inner diameter of the shell . фиг 2fig 2
SU874208828A 1987-03-10 1987-03-10 Self-fixing prosthesis of blood vessel SU1457921A1 (en)

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