CN111249032B - Abdominal artery remodeling device - Google Patents
Abdominal artery remodeling device Download PDFInfo
- Publication number
- CN111249032B CN111249032B CN202010059114.9A CN202010059114A CN111249032B CN 111249032 B CN111249032 B CN 111249032B CN 202010059114 A CN202010059114 A CN 202010059114A CN 111249032 B CN111249032 B CN 111249032B
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- China
- Prior art keywords
- hole
- blood vessel
- patch
- elastic
- sheet
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Classifications
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- 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
Abstract
The abdominal artery remodeling device provided by the invention comprises a flexible blood vessel patch and a connecting body, wherein one end of the blood vessel patch is a suture end, the other opposite end of the blood vessel patch is a cutting end, and the cutting end can be cut by a scalpel; the connecting body is arranged on the suture end of the vascular patch; the cutting end of the blood vessel patch is allowed to bend to be connected with the connecting body towards one side close to the sewing end to form a tubular cavity, and the outer peripheral surface of the cavity used for wrapping the blood vessel serves as a bracket. The abdominal artery remodeling device provided by the invention remodels outside the artery cavity, so that the damage to branch vessels is reduced conveniently.
Description
Technical Field
The invention relates to the field of vascular remodeling, in particular to an abdominal artery remodeling device.
Background
The size, shape, and/or patency of a lumen within a patient can vary, and these variations can lead to complications or affect related bodily functions. For example, the walls of the vasculature, particularly the arterial walls, may develop into pathological dilations commonly referred to as aneurysms. Aneurysms are observed as the dilation of the arterial wall. This is because the vessel wall becomes weakened by disease, injury, or congenital malformations. Aneurysms have weak walls, have a tendency to rupture, and are often caused by or exacerbated by high blood pressure. Aneurysms can be found at different parts of the body; the most common are Abdominal Aortic Aneurysms (AAA) and brain or cerebral aneurysms. While the mere presence of an aneurysm is not always life threatening, it can cause a range of health problems, for example, a stroke if the aneurysm ruptures in the brain. In addition, ruptured aneurysms can also lead to death.
The existing treatment is to replace the artificial blood vessel with the excision of a section of the artery with the aneurysm. However, when the aneurysm is located close to the branch vessel 31, as shown in fig. 7, if the artificial blood vessel is installed after the artery is removed, the branch vessel is clogged. In the prior art, a biological patch is adopted for carrying out blood vessel extraluminal remodeling, but after the existing biological patch is subjected to extraluminal remodeling, the biological patch needs to be bound on the outer surface of a blood vessel by using a suture line, and because the suture line is in line contact with the outer surface of the blood vessel, if the suture line is excessively stressed, the blood vessel is cut, and the biological patch is wound and loosened due to excessively weak stress, so that the blood vessel remodeling effect cannot be achieved.
Disclosure of Invention
Aiming at the defects in the prior art, the abdominal artery remodeling device provided by the invention remodels outside the artery cavity, so that the damage to branch vessels is reduced.
The invention provides an abdominal artery remodeling device, which comprises:
one end of the blood vessel patch is a suture end, and the other opposite end of the blood vessel patch is a cutting end which can be cut by a scalpel;
and a coupling body mounted on a suture end of the vascular patch;
the cutting end of the blood vessel patch is allowed to bend to be connected with the connecting body towards one side close to the sewing end to form a tubular cavity, and the outer peripheral surface of the cavity used for wrapping the blood vessel serves as a bracket.
Optionally, the vascular patch comprises an elastic framework and a covering film, one end of the covering film is attached to the surface of one side of the elastic framework to form a sewing end, and the other opposite end of the covering film extends in the direction away from the elastic framework to form a cutting end.
Optionally, the coupling body includes a sheet member, the sheet member has a side I and a side II, the side I and the side II are oppositely disposed, a folding line is disposed in the middle of the side I, the sheet member can be folded around the folding line, so that two ends of the side I are mutually abutted, a locking structure is disposed on the side I, the locking structure is used for detachably connecting two ends of the side I, and the middle of the side II is connected with the sewing end.
Optionally, the locking structure includes two rows of protruding tooth rows respectively arranged at two ends of the side surface I, each row of the protruding tooth row has at least one protruding tooth, the protruding tooth is provided with a through hole, when the two ends of the side surface I are mutually abutted, the protruding teeth at the two ends of the side surface I are arranged in a staggered manner, and the through holes on the adjacent protruding teeth are coaxially arranged.
Optionally, the locking structure comprises a locating pin; the utility model discloses a side I's structure, including side I, blind hole, holding hole, buckle, flakiness component, locating needle, flexible end, locating needle, and holding hole, locating needle, and holding hole, and locating needle, and holding hole, wherein locating needle, and locating needle, wherein the side I, wherein the locating needle, and locating needle, wherein the locating needle, and hole are arranged on the locating hole, and the locating hole are arranged on the side I, and the locating hole, and the side, and the locating hole are arranged on the locating hole, and the locating hole are arranged on the end, and the locating hole, and arranged on the.
According to the technical scheme, the invention has the beneficial effects that: the abdominal artery remodeling device provided by the invention comprises a flexible blood vessel patch and a connecting body, wherein one end of the blood vessel patch is a suture end, the other opposite end of the blood vessel patch is a cutting end, and the cutting end can be cut by a scalpel; the connecting body is arranged on the suture end of the vascular patch; the cutting end of the blood vessel patch is allowed to bend to be connected with the connecting body towards one side close to the sewing end to form a tubular cavity, and the outer peripheral surface of the cavity used for wrapping the blood vessel serves as a bracket. The abdominal artery remodeling device provided by the invention remodels outside the artery cavity, so that the damage to branch vessels is reduced conveniently.
Drawings
In order to more clearly illustrate the detailed description of the invention or the technical solutions in the prior art, the drawings that are needed in the detailed description of the invention or the prior art will be briefly described below. Throughout the drawings, like elements or portions are generally identified by like reference numerals. In the drawings, elements or portions are not necessarily drawn to scale.
FIG. 1 is a schematic perspective view of the present invention in use;
FIG. 2 is a schematic structural view of the present invention;
FIG. 3 is a schematic perspective view of a sheet-like member according to another embodiment of the present invention;
FIG. 4 is a schematic structural view of a sheet member according to another embodiment of the present invention;
FIG. 5 is a schematic perspective view of a sheet-like member according to another embodiment of the present invention;
FIG. 6 is a schematic structural view of a sheet member according to yet another embodiment of the present invention;
fig. 7 is a schematic structural view of an aneurysm.
Reference numerals:
1-blood vessel patch, 2-sheet-shaped member, 3-artery, 4-suture needle, 11-elastic skeleton, 12-tectorial membrane, 21-side I, 22-side II, 23-broken line, 24-convex tooth, 25-positioning needle, 26-through hole, 31-branch blood vessel, 32-aneurysm, 41-suture line, 121-suture end, 122-cutting end, 123-notch, 124-cut line, 211-blind hole, 212-containing hole, 213-annular boss, 214-buckle, 215-elastic end, 216-rigid end, 217-limiting hole, 218-anchoring and 241-through hole.
Detailed Description
Embodiments of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only for illustrating the technical solutions of the present invention more clearly, and therefore are only examples, and the protection scope of the present invention is not limited thereby.
Referring to fig. 1-2, the present embodiment provides an abdominal artery remodeling device, including:
a flexible vascular patch 1, one end of which is a suture end 121, and the other opposite end is a cutting end 122 which can be cut by a scalpel;
and a coupling body mounted on a suture end of the vascular patch;
the cutting end of the blood vessel patch is allowed to bend to be connected with the connecting body towards one side close to the sewing end to form a tubular cavity, and the outer peripheral surface of the cavity used for wrapping the blood vessel serves as a bracket.
In use, the location of the patient's aneurysm is examined and the diameter of the branch vessel 31 is determined, for example using angiography techniques, to determine the location of the patient's aneurysm and the diameter of the branch vessel 31, according to the position of the aneurysm of the patient and the diameter of the branch vessel 31, a notch 123 capable of accommodating the branch vessel is cut at the cut end with a scalpel or medical scissors, and a cut line 124 is cut, the dividing line extends from the edge of the notch all the way to the edge of the end of the crop end remote from the sewing end 121, thereby dividing the crop end into two crop halves, then wrapping the blood vessel patch 1 outside the artery, enabling the blood vessel patch 1 to cover the aneurysm, simultaneously wrapping the two cut half pieces on two sides of the branch blood vessel 31 respectively, enabling the branch blood vessel 31 to be located in the gap 123, and then enabling the two cut half pieces to be connected with the connecting body respectively to form a tubular cavity. At the moment, the inner circumferential surface of the cavity is tightly attached to the outer circumferential surface of the artery to serve as a bracket of the artery, namely, the wall of the aneurysm is thickened, and the aneurysm is prevented from being broken conveniently. And this embodiment is remolded outside the artery chamber, has reduced the destruction to a branch blood vessel, is convenient for keep the unobstructed of a branch blood vessel.
As a further improvement to the above technical solution, the vascular patch 1 includes an elastic framework 11 and a covering film 12, one end of the covering film is attached to the surface of one side of the elastic framework to form a suture end, and the other opposite end extends in a direction away from the elastic framework to form a cut end. Be provided with elastic framework 11 in the end of sewing up, be convenient for support the blood vessel, there is not elastic framework 11 in the cut end, be convenient for tailor.
As a further improvement to the above technical solution, as shown in fig. 3-4, in another embodiment of the present invention, the coupling body includes a sheet member 2, the sheet member 2 has a side I21 and a side II22, the side I and the side II are oppositely disposed, a folding line 23 is disposed at the middle of the side I21, the sheet member can be folded around the folding line, so that two ends of the side I are interfered with each other, a locking structure is disposed on the side I, the locking structure is used for detachably connecting two ends of the side I, and the middle of the side II is connected with the suture end. Locking structure includes that two rows set up respectively in the dogtooth row at side I both ends, every row the dogtooth row has at least one dogtooth 24, the dogtooth 24 is opened there is through hole 241, when the both ends of side I contradict each other, be located the dogtooth at side I both ends sets up in a staggered way, and the coaxial setting of through hole on the adjacent dogtooth.
In the initial state, the two ends of the side surface I are in a separated state, after the artery is reshaped, the cutting end is pulled to enable the vascular patch 1 to be tightly attached to the outer side of the artery, the cutting end is pressed against the side surface I, the sheet-shaped component is bent at the moment to enable the two ends of the side surface I to be mutually abutted, the convex teeth at the two ends of the side surface I are arranged in a staggered mode, and the through holes in the adjacent convex teeth are arranged coaxially. The cutting end is clamped in a gap between adjacent convex teeth. Taking a sewing needle 4, sequentially penetrating through the through holes on the convex teeth by the sewing needle, sequentially penetrating the sewing thread 41 through the through holes on the convex teeth along with the sewing needle, and in the process, puncturing the cutting end by the sewing thread 41 and sewing the cutting end on the convex teeth. In the whole process, the suture line 41 is not in contact with the artery, and the sheet-shaped component is in surface contact with the artery, so that the artery is prevented from being cut, the vascular patch 1 is conveniently attached to the outer side of the artery, and the remodeling quality is conveniently ensured.
As shown in fig. 5-6, as a further improvement to the above technical solution, in another embodiment of the present invention, the locking structure includes a positioning pin 25; one end of the side surface I21 is provided with a plurality of blind holes 211, the other end is provided with a plurality of containing holes 212, one end of the blind hole 211 far away from the side surface II extends inwards along the radial direction to form an annular boss 213, a through hole 26 with the axis vertical to the axis of the containing hole is arranged on the sheet-shaped component 2, the through holes are communicated with the containing holes, each containing hole 212 is internally provided with a buckle 214, one end of the catch 214 is a resilient end 215, the other opposite end is a rigid end 216, the elastic end is connected with the sheet-shaped component, one end of the rigid end 216, which is close to the elastic end, is provided with a limiting hole 217, the other opposite end extends to one side far away from the axis of the accommodating hole to form an anchoring thorn 218, when the two ends of the side surface I are mutually butted, the rigid end can be inserted into the blind hole to ensure that the anchor thorn is clamped with the annular boss, the positioning needle sequentially penetrates through the through hole and the limiting hole to compress the elastic end, so that the rigid end is accommodated in the accommodating hole.
In an initial state, the positioning needle sequentially penetrates through the through hole and the limiting hole to compress the elastic end, the rigid end is accommodated in the accommodating hole, after the artery is reshaped, the cutting end is pulled to enable the vascular patch 1 to be tightly attached to the outer side of the artery, the cutting end is pressed against the side face I, the sheet-shaped component is bent at the moment, two ends of the side face I are mutually abutted, at the moment, the positioning needle is drawn out along the axis of the through hole 26 and separated from the rigid end 216, the rigid end 216 extends out of the accommodating hole 212 under the action of the elastic end 215 and is inserted into the blind hole 211, the anchoring thorn is clamped with the annular boss, and therefore two ends of the side face I are mutually clamped and fixed. In this process, the rigid end 216 presses the cut end into the blind hole 211 and presses against the bottom of the blind hole 211, so that the cut end is fixedly connected with the sheet-like member. The embodiment does not use the suture line 41 for fixation, so that the artery is prevented from being cut, and the remodeling quality is ensured.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention, and they should be construed as being included in the following claims and description.
Claims (2)
1. An abdominal artery remodeling device, comprising:
a flexible vascular patch (1), one end of the vascular patch is a suture end (121), and the other opposite end is a cutting end (122), and the cutting end can be cut by a scalpel;
and a coupling body mounted on a suture end of the vascular patch;
the cutting end of the blood vessel patch is allowed to bend to be connected with the connecting body towards one side close to the sewing end to form a tubular cavity, and the outer peripheral surface of the cavity used for wrapping the blood vessel serves as a bracket;
the connecting body comprises a sheet-shaped member (2), the sheet-shaped member (2) is provided with a side surface I (21) and a side surface II (22), the side surface I and the side surface II are oppositely arranged, a folding line (23) is arranged in the middle of the side surface I (21), the sheet-shaped member can be folded around the folding line, so that two ends of the side surface I are mutually abutted, a locking structure is arranged on the side surface I, the locking structure is used for detachably connecting two ends of the side surface I, and the middle of the side surface II is connected with a sewing end;
the locking structure comprises two rows of convex tooth rows which are respectively arranged at two ends of a side surface I, each row of convex tooth rows is provided with at least one convex tooth (24), the convex teeth (24) are provided with through holes (241), when the two ends of the side surface I are mutually abutted, the convex teeth at the two ends of the side surface I are arranged in a staggered mode, and the through holes on the adjacent convex teeth are coaxially arranged;
the locking structure comprises a positioning pin (25); one end of the side face I (21) is provided with a plurality of blind holes (211), the other end of the side face I (21) is provided with a plurality of containing holes (212), one end, far away from the side face II, of each blind hole (211) extends inwards along the radial direction to form an annular boss (213), the sheet-shaped component (2) is provided with a through hole (26) with an axis perpendicular to the axis of each containing hole, the through hole is communicated with the containing holes, each containing hole (212) is internally provided with a buckle (214), one end of each buckle (214) is an elastic end (215), the other opposite end is a rigid end (216), the elastic end is connected with the sheet-shaped component, one end, close to the elastic end, of each rigid end (216) is provided with a limiting hole (217), the other opposite end extends towards one side far away from the axis of each containing hole to form an anchor (218), when the two ends of the side face I are mutually abutted, the rigid ends can be inserted into the blind holes to enable the anchor to be clamped with the annular bosses, the positioning needle sequentially penetrates through the through hole and the limiting hole to compress the elastic end, so that the rigid end is accommodated in the accommodating hole.
2. An abdominal artery remodeling device according to claim 1, wherein: the blood vessel patch (1) comprises an elastic framework (11) and a coating film (12), wherein a sewing end is formed on the surface of one side of the elastic framework by attaching one end of the coating film, and a cutting end is formed by extending the other opposite end in the direction far away from the elastic framework.
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CN202010059114.9A CN111249032B (en) | 2020-01-18 | 2020-01-18 | Abdominal artery remodeling device |
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CN202010059114.9A CN111249032B (en) | 2020-01-18 | 2020-01-18 | Abdominal artery remodeling device |
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CN111249032A CN111249032A (en) | 2020-06-09 |
CN111249032B true CN111249032B (en) | 2021-09-07 |
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