CN2518466Y - Support implanting device for use in aortic dissecting and arch dissecting - Google Patents

Support implanting device for use in aortic dissecting and arch dissecting Download PDF

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Publication number
CN2518466Y
CN2518466Y CN 02215363 CN02215363U CN2518466Y CN 2518466 Y CN2518466 Y CN 2518466Y CN 02215363 CN02215363 CN 02215363 CN 02215363 U CN02215363 U CN 02215363U CN 2518466 Y CN2518466 Y CN 2518466Y
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China
Prior art keywords
bracket
aorta
top plug
pipe
shaped
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Expired - Fee Related
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CN 02215363
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Chinese (zh)
Inventor
王永武
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Tongji University
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Tongji University
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Priority to CN 02215363 priority Critical patent/CN2518466Y/en
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Publication of CN2518466Y publication Critical patent/CN2518466Y/en
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Abstract

The utility model relates to a support implanting device for use in aortic dissecting and arch dissecting, and comprises a dilatation pipe, a top plug pipe sleeved in the dilatation pipe, a guide wire rope passing through the top plug pipe, and a net shaped bracket positioned on two ends of the top plug pie. The net shaped bracket is the pipe shaped or aortic arching shaped self expansion net bracket structure made by nickel titanium memory alloy wire rope. Two ends of the net-shaped bracket are the expansion parts. The more memory part of the top plug pipe is through the center of the net shaped bracket, and the thicker part of the top plug pipe fixes or pushes the net shaped bracket. The aortic arch bracket of the utility model can synchronously extends three small brackets by self. Using the bracket conveying device, under the guide of blood vessel endoscope, reaches the cavity inside the interlayer of aorta, and synchronously releasing the bracket. The bracket after expending forms pipe shaped or aortic arch shaped structure used for unfolding the blood vessel cavity formed by the interlayer, but the branch blood flowing of the aorta is not affected. The utility model has the advantages of simple, safe and reliable operation, and good treatment effect, and thereby the utility model is applied for the most hospitals.

Description

Dissection of aorta and clamping bow layer inner support implanting device
Technical field
This utility model relates to medical apparatus and instruments, and particularly a kind of therapeutic domain is mainly used in the dissection of aorta and the clamping bow layer inner support implanting device of aneurysm of thoracic aorta and Human Thoracic Aortic Dissection.
Background technology
Aneurysm of thoracic aorta and Human Thoracic Aortic Dissection are the common aortic diseases of serious threat patient life, this pathological changes often needs operative treatment, separate Debaker I, III type patient for dissection of aorta especially, because the interlayer scope is wider, the probability of the tremulous pulse that cuts off nutrition bone marrow is often too much arranged owing to the excision of descending aorta section in operation technique, this artery occlusion can cause paraplegia, as excise very few, the tumor body continues expansion, and development is continued in false chamber, will cause the ischemia or the infarction of vitals.
External endovascular stent is generally covered stnet, and the thoracic aorta support does not solve so far well to the side shoot circulatory problems, and higher complication is arranged after the use, and valuable product.
Summary of the invention
Task of the present utility model provides a kind of new dissection of aorta and clamping bow layer inner support implanting device, and it has solved dissection of aorta collateral circulation problem preferably, has high clinical value.
The technical solution of the utility model is as follows:
A kind of dissection of aorta and clamping bow layer inner support implanting device, it comprises a dilating catheter, one in dilating catheter the top plug conduit of suit, one through the guide wire that pushes up in the plug conduit, an and network that is installed in top plug catheter proximal end, described network is tubulose or the arciform self-inflated network of aorta that is compiled into by the Ultimum Ti steel wire, and the two ends of network are for expanding part; The thin position of described top plug conduit is set in the central authorities of network, and network is fixed or pushed in the thicker part position of top plug conduit.
Inner support of the present utility model can strut the true chamber of blood vessel after interlayer forms, but does not influence the aortic branch blood flow.Under extracorporeal circulation, carry out in the excision of aneurysm main body, under the help of blood vessel endoscope mirror, the true intracavity of far-end place this kind novel not with the inner support of film, the blood vessel that artificial blood vessel and far-end strut coincide, and can avoid dissecting aneurysm excision too much to cause the excessive compressing to true chamber of the generation of paralysing and false chamber.The aortic arch inner support can discharge three subbranch framves simultaneously on main support, be used for supporting innominate artery, left common carotid artery, left subclavian artery.This inner support can discharge under the guiding of blood vessel endoscope mirror simultaneously, and approximate direct-view situation is settled not with the intravascular stent of film, and the fatal complication of having avoided traditional interventional therapy to cause reaches the purpose that reduces operative mortality and complication.
This utility model utilizes the Ultimum Ti steel wire to be compiled into tubulose or the arciform self-expandable stent of aorta, the aortic arch support can be simultaneously from three small racks of bulging, this support utilizes bracket conveyer, arrives the true chamber in the dissection of aorta under the guiding of blood vessel endoscope mirror, discharges support simultaneously.This support can expand voluntarily and form tubulose or the arciform structure of aorta.The conversion temperature of this support is 33 ℃, surpasses 33 ℃ and can reach good swelling state.Support expansion back formation tubulose or the arciform structure of aorta can strut the true chamber of blood vessel after interlayer forms, but do not influence the aortic branch blood flow.The aortic arch support can support the true chamber of blood vessel of innominate artery, left common carotid artery and left subclavian artery simultaneously respectively from three small racks of bulging.Support well at cadaver sample experiment medium-height trestle, each branch vessel blood flow of aorta is all unaffected.Adopt dissection of aorta of the present utility model and clamping bow layer inner support, it is easy and simple to handle, safety, reliable, and curative effect is sure, is fit to most of hospitals and uses.
The utlity model has following major advantage:
1. easy and simple to handle.Utilize this support can be discharged into the support in true chamber in the row aorta interlayer automatically, expanding without sacculus can be from swollen tubulose or the arciform structure of aorta of becoming, and it is simple to operate, has shortened operating time effectively.
2. install accurately.This support is installed under the direct-view of blood vessel endoscope mirror, installs accurately, and is little to the blood vessel damage.
3. high mortality rate and the disability rate of having avoided the dissecting aneurysm excision too much to cause effectively.
4. cost is low.Because each prong material and manufactured goods all adopt domestic material, produce by domestic manufacturer, close device and compare with external stifled, reduced cost effectively, be fit to the national conditions of developing country, product price only is 5000~7000 yuan, and abroad stifledly closes the device price and be about 80000~10000 yuan, this product has been saved cost, is easy to promote.
Description of drawings
Fig. 1 is the structural representation of a kind of dissection of aorta of the present utility model and clamping bow layer inner support implanting device.
Fig. 2 is the user mode figure after the inner support of Fig. 1 implanting device discharges.
Fig. 3 is the structural representation of the dissection of aorta support of Fig. 1 implanting device.
Fig. 4 is the structural representation of the aortic arch interlayer support of Fig. 1 implanting device.
The specific embodiment
Referring to Fig. 1 to Fig. 4, a kind of dissection of aorta of the present utility model and clamping bow layer inner support implanting device are made of inner support and bracket conveyer.Inner support comprises network 1.Bracket conveyer comprises the top plug conduit 3 of a dilating catheter 2, a suit in dilating catheter 2, and a guide wire 4 in the top plug conduit 3.Network 1 is installed in the front end of top plug conduit 2.
Network 1 is a kind of tubulose or arciform self-inflated network of aorta that is compiled into by the Ultimum Ti steel wire, and the two ends of network 1 are for expanding part.When being 4 ℃, temperature has good plasticity.When temperature inversion is more than 33 ℃ or 33 ℃ the time, this support expands at once and reverts to original state.
The thin position 31 of top plug conduit 3 is set in the central authorities of network 1, and the thicker part position 32 of top plug conduit 3 is played fixing or pushed the effect of network 1.Top plug conduit 3 passes the centre of dilating catheter 2 and flexibly connects with it.Guide wire 4 is in dilating catheter 2 and pass the centre of top plug conduit 3.When the true chamber in this inner support arrives dissection of aorta was central, the afterbody of fixing top plug conduit 3 gently moved dilating catheter 2 backward.
After the arciform self-expandable stent of tubulose or aorta is transported to true chamber central authorities in the dissection of aorta by bracket conveyer, form tubulose or the arciform elastic construction of aorta through discharging to expand voluntarily, can firmly fix on central two ends, the true chamber blood vessel wall in the dissection of aorta, be not subjected to the impact of blood flow and be shifted, thereby obtain the good supporting effect.Network expands voluntarily and expands the back internal diameter and reach 5~6cm, is fit to the true chamber in the dissection of aorta of different inner diameters.
Network expansion back forms tubulose or the arciform structure of aorta, can strut the true chamber of blood vessel after interlayer forms, and not influence the aortic branch blood flow.As shown in Figure 2, the arciform self-inflated network of aorta is provided with three small racks from bulging in when work.The aortic arch support can support the true chamber of blood vessel of innominate artery, left common carotid artery and left subclavian artery simultaneously respectively from three small racks of bulging, each branch vessel blood flow of aorta is all unaffected.
When using this utility model, through skin puncture femoral artery or in operation process, support utilizes bracket conveyer, under blood vessel endoscope mirror or videofluoroscopic guiding, arrive the true chamber in the dissection of aorta, fixing top plug conduit slowly withdraws from dilating catheter, discharges support simultaneously, fixing dilating catheter then, guiding top plug conduit retreats in the dilating catheter together with guide wire and retreats to external.The arciform self-expandable stent of tubulose and aorta can strut the true chamber of blood vessel, and the blood vessel that artificial blood vessel and near-end strut coincide, and can avoid dissecting aneurysm excision too much to cause the excessive compressing to true chamber of the generation of paralysing and false chamber.This inner support can discharge under blood vessel endoscope mirror or videofluoroscopic guiding simultaneously, and approximate direct-view situation is settled not with the intravascular stent of film, and the fatal complication of having avoided traditional interventional therapy to cause reaches the purpose that reduces operative mortality and complication.

Claims (2)

1. dissection of aorta and clamping bow layer inner support implanting device, it comprises a dilating catheter, one in dilating catheter the top plug conduit of suit, one through the guide wire that pushes up in the plug conduit, an and network that is installed in top plug catheter proximal end, it is characterized in that described network is tubulose or the arciform self-inflated network of aorta that is compiled into by the Ultimum Ti steel wire, the two ends of network are for expanding part; The thin position of described top plug conduit is set in the central authorities of network, and network is fixed or pushed in the thicker part position of top plug conduit.
2. dissection of aorta according to claim 1 and clamping bow layer inner support implanting device is characterized in that, the arciform self-inflated network of described aorta is provided with three small racks from bulging in when work.
CN 02215363 2002-01-25 2002-01-25 Support implanting device for use in aortic dissecting and arch dissecting Expired - Fee Related CN2518466Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 02215363 CN2518466Y (en) 2002-01-25 2002-01-25 Support implanting device for use in aortic dissecting and arch dissecting

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 02215363 CN2518466Y (en) 2002-01-25 2002-01-25 Support implanting device for use in aortic dissecting and arch dissecting

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CN2518466Y true CN2518466Y (en) 2002-10-30

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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100457197C (en) * 2007-03-07 2009-02-04 中国人民解放军第二军医大学 Adjustable artificial aortic arch transplant
CN101010027B (en) * 2004-09-07 2010-07-21 奥林巴斯株式会社 Endoscope
CN102076281A (en) * 2008-06-30 2011-05-25 波顿医疗公司 Abdominal aortic aneurysms: systems and methods of use
CN101299975B (en) * 2005-11-02 2012-09-26 生物传感器国际集团有限公司 Twist-down implant delivery technologies
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
CN107510527A (en) * 2017-09-29 2017-12-26 中山大学附属第医院 A kind of trunk stent-expansion shaping device
US9877857B2 (en) 2003-09-03 2018-01-30 Bolton Medical, Inc. Sheath capture device for stent graft delivery system and method for operating same
CN112137761A (en) * 2020-09-27 2020-12-29 中国医学科学院阜外医院 Visual intraoperative stent conveying device and intraoperative stent system thereof
US10898357B2 (en) 2009-03-13 2021-01-26 Bolton Medical, Inc. System for deploying an endoluminal prosthesis at a surgical site

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9877857B2 (en) 2003-09-03 2018-01-30 Bolton Medical, Inc. Sheath capture device for stent graft delivery system and method for operating same
US11413173B2 (en) 2003-09-03 2022-08-16 Bolton Medical, Inc. Stent graft with a longitudinal support member
CN101010027B (en) * 2004-09-07 2010-07-21 奥林巴斯株式会社 Endoscope
CN101299975B (en) * 2005-11-02 2012-09-26 生物传感器国际集团有限公司 Twist-down implant delivery technologies
CN100457197C (en) * 2007-03-07 2009-02-04 中国人民解放军第二军医大学 Adjustable artificial aortic arch transplant
CN102076281B (en) * 2008-06-30 2014-11-05 波顿医疗公司 Abdominal aortic aneurysms: systems and methods of use
US10864097B2 (en) 2008-06-30 2020-12-15 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
CN102076281A (en) * 2008-06-30 2011-05-25 波顿医疗公司 Abdominal aortic aneurysms: systems and methods of use
US9364314B2 (en) 2008-06-30 2016-06-14 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US10105248B2 (en) 2008-06-30 2018-10-23 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US10307275B2 (en) 2008-06-30 2019-06-04 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US11382779B2 (en) 2008-06-30 2022-07-12 Bolton Medical, Inc. Abdominal aortic aneurysms: systems and methods of use
US10898357B2 (en) 2009-03-13 2021-01-26 Bolton Medical, Inc. System for deploying an endoluminal prosthesis at a surgical site
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
US10555826B2 (en) 2013-03-15 2020-02-11 Bolton Medical, Inc. Hemostasis valve and delivery systems
US11666467B2 (en) 2013-03-15 2023-06-06 Bolton Medical, Inc. Hemostasis valve and delivery systems
CN107510527A (en) * 2017-09-29 2017-12-26 中山大学附属第医院 A kind of trunk stent-expansion shaping device
CN112137761A (en) * 2020-09-27 2020-12-29 中国医学科学院阜外医院 Visual intraoperative stent conveying device and intraoperative stent system thereof
CN112137761B (en) * 2020-09-27 2023-06-06 中国医学科学院阜外医院 Surgical visual intraoperative support system

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C17 Cessation of patent right
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Granted publication date: 20021030