CN110522534A - A kind of artificial blood vessel's pipeline and sewing method with skirt - Google Patents

A kind of artificial blood vessel's pipeline and sewing method with skirt Download PDF

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Publication number
CN110522534A
CN110522534A CN201910895497.0A CN201910895497A CN110522534A CN 110522534 A CN110522534 A CN 110522534A CN 201910895497 A CN201910895497 A CN 201910895497A CN 110522534 A CN110522534 A CN 110522534A
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CN
China
Prior art keywords
suture
ring
blood vessel
artificial blood
skirt
Prior art date
Legal status (The legal status 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 status listed.)
Pending
Application number
CN201910895497.0A
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Chinese (zh)
Inventor
吴钟凯
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First Affiliated Hospital of Sun Yat Sen University
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First Affiliated Hospital of Sun Yat Sen University
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Publication date
Application filed by First Affiliated Hospital of Sun Yat Sen University filed Critical First Affiliated Hospital of Sun Yat Sen University
Priority to CN201910895497.0A priority Critical patent/CN110522534A/en
Publication of CN110522534A publication Critical patent/CN110522534A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/064Blood vessels with special features to facilitate anastomotic coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075Connections 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

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

Abstract

The invention discloses a kind of artificial blood vessel's pipeline and sewing method with skirt, including artificial blood vessel, the connecting pin of the artificial blood vessel is connected with artificial valve, is connected with suture ring on the outside of one end of the artificial valve connection artificial blood vessel, the outer ring surface of the suture ring is connected with skirt.The artificial blood vessel's pipeline used in the present invention is the combination of artificial blood vessel, artificial valve, suture ring and skirt, when being sutured during use with aortic valvular ring, there is the risk of bleeding, oozing of blood in the suture that can reduce suture ring and aortic valvular ring, be conducive to improve the success rate entirely performed the operation, and entirely sewing process is simple to operate, is conducive to the progress of suture operation.

Description

A kind of artificial blood vessel's pipeline and sewing method with skirt
Technical field
The present invention relates to cardiac operation technical field more particularly to a kind of artificial blood vessel's pipeline with skirt and sutures Method.
Background technique
Bentall operation is that one of the common Great Vessel Operations of department of cardiac surgery Bentall operation is also known as " band aorta petal people Work blood vessel aorta ascendens replaces art ", it is a kind of modus operandi for treating Ascending Aortic Aneurysm, is suitable for aorta dissection aneurysm Involve coronary sinus or concurrent aortic incompetence person, method is free aorta ascendens, Study on Ascending Aortic Lesions section is cut off, Retain its rear and left and right coronary ostium, cut off aorta petal, transplants the artificial blood vessel with valve, breaking joint between artificial valve Close in annulus, gasket often reveal it is stagnant outside annulus, then by left and right artery graft on artificial blood vessel, artificial blood vessel with Aorta ascendens distal row end one end coincide.
In surgical procedure, widely applied is " prosthetic aortic valve+artificial blood vessel " such pipeline, is performed the operation The case where will appear the bleeding of prosthetic aortic valve suture, oozing of blood in journey, occurs along with prosthetic aortic valve suture The case where bleeding, oozing of blood, can make the success rate entirely performed the operation reduction.For this purpose, we have proposed a kind of artificial blood with skirt Pipeline and sewing method.
Summary of the invention
The purpose of the present invention is to solve disadvantages existing in the prior art, and a kind of artificial blood with skirt proposed Pipeline and sewing method.
To achieve the goals above, present invention employs following technical solutions:
A kind of artificial blood vessel's pipeline with skirt, including artificial blood vessel, the connecting pin of the artificial blood vessel are connected with manually Valve is connected with suture ring, the outer ring surface connection of the suture ring on the outside of one end of artificial valve connection artificial blood vessel There is skirt.
A kind of sewing method of artificial blood vessel's pipeline with skirt, includes the following steps:
S1: prepare suture, interrupted suture gasket and artificial blood vessel's pipeline;
Artificial valve on artificial blood vessel's pipeline: being inserted in the inside of the end of aortic valvular ring to be connected by S2, and Contact the surface of suture ring with the end face of aortic valvular ring, the outer ring surface of suture ring extends to aortic valvular ring at this time The outside of end;
S3: interrupted suture gasket interruption is arranged in the interior room face of aortic valvular ring, using suture to interrupted suture pad Piece, aortic valvular ring and suture ring carry out suture connection;
S4: carrying out suture with aortic valvular ring to skirt using suture and connect, and controls suture at this time and only runs through actively The outside of arteries and veins annulus, and suture is continuously to suture between skirt and the outer side edges of aortic valvular ring, i.e. artificial blood vessel's pipeline Sewing between aortic valvular ring is completed.
Preferably, in step S2, sewing thread is carrying out suture connection to interrupted suture gasket, aortic valvular ring and suture ring When, surface of the joint of sewing thread on the outside of suture ring.
Preferably, in step s 2, while at interrupted suture gasket at the interior room face of aortic valvular ring and not with people Work valve is in contact.
A kind of artificial blood vessel's pipeline with skirt proposed by the present invention and sewing method, beneficial effect are: in this programme The artificial blood vessel's pipeline used for the combination of artificial blood vessel, artificial valve, suture ring and skirt, during use with master When artery annulus is sutured, interrupted suture gasket is sewn to the interior room face of aortic valvular ring, and skirt is continuously sewn to aorta On on the outside of annulus, after the completion of artificial blood vessel's pipeline and aortic valvular ring suture, mutually sutured with type annulus outer Skirt can wrap up the suture between suture ring and aortic valvular ring, and then can reduce suture ring and aorta petal There is the risk of bleeding, oozing of blood in the suture of ring, that is, is conducive to improve the success rate entirely performed the operation, and entire sewing process operation It is simple and convenient, be conducive to the progress of suture operation.
Detailed description of the invention
Fig. 1 is that a kind of artificial blood vessel's pipeline with skirt proposed by the present invention cuts open shape structural schematic diagram;
Fig. 2 is a kind of sewing schematic diagram of the sewing method of artificial blood vessel's pipeline with skirt proposed by the present invention.
In figure: artificial blood vessel 1, artificial valve 2, interior room face 3, skirt 4, interrupted suture gasket 5, aortic valvular ring 6, suture Ring 7.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.
In the description of the present invention, it is to be understood that, term " on ", "lower", "front", "rear", "left", "right", "top", The orientation or positional relationship of the instructions such as "bottom", "inner", "outside" is to be based on the orientation or positional relationship shown in the drawings, merely to just In description the present invention and simplify description, rather than the device or element of indication or suggestion meaning must have a particular orientation, with Specific orientation construction and operation, therefore be not considered as limiting the invention.
Referring to Fig.1, a kind of artificial blood vessel's pipeline with skirt, including artificial blood vessel 1, the connecting pin of the artificial blood vessel 1 It is connected with artificial valve 2, is connected with suture ring 7, the suture on the outside of one end of the connection of artificial valve 2 artificial blood vessel 1 The outer ring surface of ring 7 is connected with skirt 4.
Referring to Fig. 2, a kind of sewing method of artificial blood vessel's pipeline with skirt includes the following steps:
S1: prepare suture, interrupted suture gasket 5 and artificial blood vessel's pipeline;
Artificial valve 2 on artificial blood vessel's pipeline: being inserted in the inside of the end of aortic valvular ring 6 to be connected by S2, And the surface of suture ring 7 and the end face of aortic valvular ring 6 are contacted, the outer ring surface of suture ring 7 extends to aorta at this time The outside of the end of annulus 6;
S3: interrupted suture gasket 5 is interrupted to the interior room face 3 that aortic valvular ring 6 is arranged in, using suture to interrupted suture Gasket 5, aortic valvular ring 6 and suture ring 7 carry out suture connection;
S4: carrying out suture with aortic valvular ring 6 to skirt 4 using suture and connect, and controls suture at this time and only runs through main The outside of artery annulus 6, and suture is continuously to suture between skirt 4 and the outer side edges of aortic valvular ring 6, i.e. artificial blood vessel Sewing between pipeline and aortic valvular ring 6 is completed.
In step S2, sewing thread to interrupted suture gasket 5, aortic valvular ring 6 and suture ring 7 carry out suture connection when, Surface of the joint of sewing thread in 7 outside of suture ring.
In step s 2, while at interrupted suture gasket 5 at the interior room face 3 of aortic valvular ring 6 and not with artificial valve Film 2 is in contact.
In summary: the artificial blood vessel's pipeline used in the present invention is artificial blood vessel 1, artificial valve 2, suture ring 7 and skirt The combination on side 4, when being sutured during use with aortic valvular ring 6, interrupted suture gasket 5 is sewn to aorta petal The interior room face 3 of ring 6, skirt 4 are continuously sewn on 6 outside of aortic valvular ring, carry out to artificial blood vessel's pipeline and aortic valvular ring 6 After the completion of suture, the skirt 4 mutually sutured with 6 outside of aortic valvular ring can be to the suture between suture ring 7 and aortic valvular ring 6 Place is wrapped up, and then the risk of bleeding, oozing of blood occurs in the suture that can reduce suture ring 7 and aortic valvular ring 6, i.e., favorably In the success rate that raising is entirely performed the operation, and entire sewing process is simple to operate, is conducive to the progress of suture operation.
The foregoing is only a preferred embodiment of the present invention, but scope of protection of the present invention is not limited thereto, Anyone skilled in the art in the technical scope disclosed by the present invention, according to the technique and scheme of the present invention and its Inventive concept is subject to equivalent substitution or change, should be covered by the protection scope of the present invention.

Claims (4)

1. a kind of artificial blood vessel's pipeline with skirt, including artificial blood vessel (1), which is characterized in that the company of the artificial blood vessel (1) It connects end to be connected with artificial valve (2), is connected with suture ring on the outside of one end of artificial valve (2) connection artificial blood vessel (1) (7), the outer ring surface of the suture ring (7) is connected with skirt (4).
2. a kind of sewing method of artificial blood vessel's pipeline with skirt according to claim 1, which is characterized in that including such as Lower step:
S1: prepare suture, interrupted suture gasket (5) and artificial blood vessel's pipeline;
Artificial valve (2) on artificial blood vessel's pipeline: being inserted in the inside of the end of aortic valvular ring to be connected (6) by S2, And the surface of suture ring (7) and the end face of aortic valvular ring (6) are contacted, the outer ring surface of suture ring (7) extends at this time The outside of the end of aortic valvular ring (6);
S3: interrupted suture gasket (5) interruption is arranged in the interior room face (3) of aortic valvular ring (6), breaking joint between suture pair is used It closes gasket (5), aortic valvular ring (6) and suture ring (7) and carries out suture connection;
S4: carrying out suture with aortic valvular ring (6) to skirt (4) using suture and connect, and controls suture at this time and only runs through main The outside of artery annulus (6), and suture is continuously to suture between skirt (4) and the outer side edges of aortic valvular ring (6), i.e. people Sewing between work vascular canal and aortic valvular ring (6) is completed.
3. a kind of sewing method of artificial blood vessel's pipeline with skirt according to claim 2, which is characterized in that step S2 In, sewing thread to interrupted suture gasket (5), aortic valvular ring (6) and suture ring (7) carry out suture connection when, sewing thread Surface of the joint on the outside of suture ring (7).
4. a kind of sewing method of artificial blood vessel's pipeline with skirt according to claim 2, which is characterized in that in step In S2, connect while interrupted suture gasket (5) is at the interior room face (3) of aortic valvular ring (6) and not with artificial valve (2) Touching.
CN201910895497.0A 2019-09-21 2019-09-21 A kind of artificial blood vessel's pipeline and sewing method with skirt Pending CN110522534A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111743664A (en) * 2020-06-02 2020-10-09 孙立忠 Valved pipeline with skirt edge

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5891195A (en) * 1996-05-24 1999-04-06 Sulzer Carbomedics Inc. Combined prosthetic aortic heart valve and vascular graft with sealed sewing ring
CN101427948A (en) * 2008-12-15 2009-05-13 陈良万 Pipeline with lamella for substituting foot of human body pars ascendens aortae
CN101444441A (en) * 2008-12-31 2009-06-03 南京医科大学第一附属医院 Support type artificial venous blood vessel with valve
WO2013036167A1 (en) * 2011-09-06 2013-03-14 Закрытое Акционерное Общество Научно-Производственное Предприятие "Мединж" Valved aortic root prosthesis
CN204092273U (en) * 2014-09-11 2015-01-14 南京大学医学院附属鼓楼医院 For the valved conduit of aortic root operation
CN104394798A (en) * 2012-04-23 2015-03-04 夏洛特-梅克伦堡医院(商业用名:卡罗来纳保健***) Hybrid graft for therapy of aortic pathology and associated method
CN105142574A (en) * 2013-03-15 2015-12-09 爱德华兹生命科学公司 Valved aortic conduits
CN109907860A (en) * 2019-04-15 2019-06-21 黄欣 Artificial Valved allograft

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5891195A (en) * 1996-05-24 1999-04-06 Sulzer Carbomedics Inc. Combined prosthetic aortic heart valve and vascular graft with sealed sewing ring
CN101427948A (en) * 2008-12-15 2009-05-13 陈良万 Pipeline with lamella for substituting foot of human body pars ascendens aortae
CN101444441A (en) * 2008-12-31 2009-06-03 南京医科大学第一附属医院 Support type artificial venous blood vessel with valve
WO2013036167A1 (en) * 2011-09-06 2013-03-14 Закрытое Акционерное Общество Научно-Производственное Предприятие "Мединж" Valved aortic root prosthesis
CN104394798A (en) * 2012-04-23 2015-03-04 夏洛特-梅克伦堡医院(商业用名:卡罗来纳保健***) Hybrid graft for therapy of aortic pathology and associated method
CN105142574A (en) * 2013-03-15 2015-12-09 爱德华兹生命科学公司 Valved aortic conduits
CN204092273U (en) * 2014-09-11 2015-01-14 南京大学医学院附属鼓楼医院 For the valved conduit of aortic root operation
CN109907860A (en) * 2019-04-15 2019-06-21 黄欣 Artificial Valved allograft

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111743664A (en) * 2020-06-02 2020-10-09 孙立忠 Valved pipeline with skirt edge

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Application publication date: 20191203