CN209347136U - Local densification bracket - Google Patents

Local densification bracket Download PDF

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Publication number
CN209347136U
CN209347136U CN201821832996.2U CN201821832996U CN209347136U CN 209347136 U CN209347136 U CN 209347136U CN 201821832996 U CN201821832996 U CN 201821832996U CN 209347136 U CN209347136 U CN 209347136U
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China
Prior art keywords
mesh portions
close
thin mesh
thin
bracket
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Expired - Fee Related
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CN201821832996.2U
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Chinese (zh)
Inventor
刘爱华
王鲁宁
谢建新
吴中学
张宝瑞
彭飞
佟鑫
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Beijing Neurosurgical Institute
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Beijing Neurosurgical Institute
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Priority to CN201821832996.2U priority Critical patent/CN209347136U/en
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  • Surgical Instruments (AREA)

Abstract

The utility model relates to medical instruments, in particular to a kind of local densification bracket, it keeps being suitble to preferably to prevent or reduce aneurysm cavity blood flow while flexibility on the whole in favor of realizing healing, it in its blood vessel to contain aneurysm structure and include: close mesh portions, its inner hollow and from first end extend to second end and it is whole in a tubular form and there is circular cross-section, close mesh portions form netted wall construction by metal wire knitted;First thin mesh portions form inner hollow tubular structure by metal wire knitted, are extended outwardly to the first free end of bell shape from close web frame first end far from center;Second thin mesh portions form inner hollow tubular structure by metal wire knitted, are extended outwardly to the second free end of bell shape from close web frame second end far from center;Close mesh portions, the first and second thin mesh portions tubular structure be connected in inside, close 30% or more mesh portions metal coverage rate, the first or second dredges 15% or less mesh portions metal coverage rate.

Description

Local densification bracket
Technical field
The utility model relates to medical instrument, especially a kind of local densification bracket.
Background technique
Aneurysm is Common Cardiovascular Disease, and lethality is high if rupture.With the development of interventional technique, encephalic The appearance of bracket greatly improves the curative effect of interventional therapy intracranial aneurysm.Current clinically main support technology includes propping up Frame secondary spring circle Embolization, blood flow guiding device implantation, etc..Bracket secondary spring circle embolism can change aneurysm neck The hemodynamic state at place, " scaffold " for changing parent artery curvature, playing the role of vascular endothelial growth.Blood flow guiding Device can change intra-arterial hemodynamic state and induce thrombosis in aneurysm.
But, the intravascular stent of the prior art still has some defects.
For example, in bracket secondary spring circle embolism interventional procedure, it is sometimes desirable to pass through bracket net by microtubular Eye conveys spring ring to clog aneurysm cavity, and microtubular passes through the difficult of bracket gap and due to easily wearing out when operation Vascular tissue, not only risk is higher, and cost is also higher.In addition, there are aneurysms to answer after bracket secondary spring circle Embolization Hair, risk of rupture.
For another example, be change aneurysm cavity blood flow state induce tumor in thrombosis in favor of cure, it is desirable to bracket have compared with High metal coverage rate.For example, clinically the Pipeline bracket of metal coverage rate 30% or so can be used to be intervened at present Treatment.The metal coverage rate of intravascular stent described herein refers to: the metal covering area in bracket accounts for the ratio of the bracket gross area Example.However, backbone metal coverage rate is higher, then its radial tension increases, and compliance is deteriorated;On the other hand, bracket has higher Although metal coverage rate can effectively change dynamics of arterial flow state, the blood flow of even blocks perimeter blood vessel may be interfered And additional injury is caused to patient.In addition, blood flow guiding device implantation surgery is expensive.
Utility model content
Embodiment according to the present utility model provides a kind of local densification bracket, keeps being suitble to flexibility on the whole Aneurysm cavity blood flow preferably can be prevented or reduce simultaneously to cure in favor of realizing.
Embodiment according to the present utility model provides a kind of local densification bracket, to contain the blood of aneurysm structure Guan Zhong, comprising:
Close mesh portions, inner hollow, and extend to second end from first end and whole in a tubular form and there is circular section Face, the close mesh portions pass through the webbed wall construction of metal wire knitted shape;
First thin mesh portions, form the tubular structure of inner hollow by metal wire knitted, from the close web frame First end first free end with outward bell shape is extended outwardly to far from the center of the close web frame;
Second thin mesh portions, form the tubular structure of inner hollow by metal wire knitted, from the close web frame Second end second free end with outward bell shape is extended outwardly to far from the center of the close web frame;
Wherein the tubular structure of the close mesh portions, the first thin mesh portions and the second thin mesh portions connects in inside Logical, the metal coverage rate of the close mesh portions is 30% or more, the gold of the first thin mesh portions or the second thin mesh portions Belonging to coverage rate is 15% or less.
Preferably, in any embodiment of the utility model,
The metal coverage rate of the close mesh portions is 30%~45%.
Preferably, in any embodiment of the utility model,
The metal coverage rate of the first thin mesh portions or the second thin mesh portions is 10%~15%.
Preferably, in any embodiment of the utility model,
The first thin mesh portions and the second thin mesh portions are symmetrical arranged relative to the close mesh portions.
Preferably, in any embodiment of the utility model,
The wire for forming the close mesh portions is coarser than to form the described first thin mesh portions or the second thin mesh portions Wire.
Preferably, in any embodiment of the utility model,
It forms the diameter of the wire of the close mesh portions and forms the first thin mesh portions or the second thin wet end The diameter of the wire divided is equal.
Preferably, in any embodiment of the utility model,
At least one of the first thin mesh portions and the second thin mesh portions turn between two different shapes Become.
Preferably, in any embodiment of the utility model,
The pattern that the wire of the close mesh portions is formed is different from the described first thin mesh portions or the second thin wet end The pattern that the wire divided is formed.
The local densification bracket provided by the embodiments of the present invention, while keeping being suitble to flexibility on the whole Aneurysm region blood flow preferably can be prevented or reduce to cure in favor of realizing.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the local densification bracket of embodiment according to the present utility model.
Specific embodiment
The following will be combined with the drawings in the embodiments of the present invention, carries out the technical scheme in the embodiment of the utility model Clearly and completely describe.Obviously, described embodiment is only the utility model a part of the embodiment, rather than is all implemented Example.Based on the embodiments of the present invention, those of ordinary skill in the art are obtained without creative efforts The every other embodiment obtained, fall within the protection scope of the utility model.
Embodiment according to the present utility model provides a kind of local densification bracket, keeps being suitble to flexibility on the whole Aneurysm region blood flow preferably can be prevented or reduce simultaneously to cure in favor of realizing.
Embodiment according to the present utility model provides a kind of local densification bracket, to contain the blood of aneurysm structure Guan Zhong, comprising:
Close mesh portions, inner hollow, and extend to second end from first end and whole in a tubular form and there is circular section Face, the close mesh portions pass through the webbed wall construction of metal wire knitted shape;
First thin mesh portions, form the tubular structure of inner hollow by metal wire knitted, from the close web frame First end first free end with outward bell shape is extended outwardly to far from the center of the close web frame;
Second thin mesh portions, form the tubular structure of inner hollow by metal wire knitted, from the close web frame Second end second free end with outward bell shape is extended outwardly to far from the center of the close web frame;
Wherein the tubular structure of the close mesh portions, the first thin mesh portions and the second thin mesh portions connects in inside Logical, the metal coverage rate of the close mesh portions is 30% or more, the gold of the first thin mesh portions or the second thin mesh portions Belonging to coverage rate is 15% or less.
In this way, at least part of close mesh portions is directed at aneurysm knot in the local densification bracket of the integral type The opening is effectively closed at structure opening (that is, tumor neck is open), is dredged since the metal coverage rate of close mesh portions is greater than first and second Mesh portions, thus its closure be higher than the first and second thin mesh portions, it is thus possible to preferably closing aneurysm structure, prevent or The blood for reducing aneurysm cavity flows into favor of realizing and curing.
On the other hand, since close mesh portions need the width slightly larger than aneurysm structural openings only to realize that aneurysm mouth seals It closes, thus the length of close mesh portions only accounts for lesser ratio in the total length of the local densification bracket of integral type, and its Remaining part point (that is, first and second thin mesh portions) still keeps preferable flexibility since metal coverage rate is lower, makes the office Portion's densification bracket still has preferable flexibility on the whole, easily enters focal area positioning.
Further, since the first and second thin mesh portions keep lower metal coverage rate, thus mesh with higher is close Degree, so that the gap of the mesh reserved in its wall construction is enough that blood flow is allowed to pass through, thus in closing aneurysm structural openings Blood flow will not be interfered to pass through the other blood vessels in periphery simultaneously.
In addition, the first and second thin mesh portions can make the local densification bracket of integral type fixed being suitble in the blood vessel Position keeps its difficult to slide.
It should again be emphasized that due to the specially designed structure of the local densification bracket, thus in intervention operation not The operation for needing to carry out to clog bracket mesh again with spring ring, can not only significantly reduce operating difficulty and risk, and can also Enough reduce cost.
It can be seen that keeping being suitble on the whole submissive by local densification bracket provided by the embodiment of the utility model Property while preferably can prevent or reduce the blood flow of aneurysm cavity, induce the intracavitary thrombosis of tumor, cured in favor of realizing.
It should be understood that " aneurysm structure " described herein refers to the structure of broad sense, for example, cerebral aneurysm, dissecting aneurysm, In addition false aneurysm etc. may also comprise and other be related to aneurysmal vascular lesion structure, such as arteriovenous fistula pathological structure etc..
In one embodiment, optionally, close mesh portions, the first thin mesh portions and the second thin mesh portions may be made in single Part.
In one embodiment, optionally, close mesh portions, the first thin mesh portions and the second thin mesh portions can be connected with each other and It is integrally formed part.
Preferably, in any embodiment of the utility model, the metal coverage rates of the close mesh portions is 30%~ 45%.
Preferably, in any embodiment of the utility model, the first thin mesh portions or the second thin mesh portions Metal coverage rate be 10%~15%.
Preferably, in any embodiment of the utility model, the first thin mesh portions and the second thin mesh portions It is symmetrical arranged relative to the close mesh portions.
In one embodiment, optionally, the described first thin mesh portions and the second thin mesh portions length having the same Degree.
In one embodiment, optionally, the described first thin mesh portions and the second thin mesh portions have different length Degree.
In one embodiment, optionally, the length root that the described first thin mesh portions and the second thin mesh portions have Depending on length and shape according to aneurysm peripheral vessels.
In one embodiment, optionally, local densification bracket is in the shape of bent tube form on the whole, for example, with carry tumor The shape of artery is identical.In this way, the shape of local densification bracket is consistent with the shape of locating blood vessel, can be accurately positioned in blood Guan Zhong.
In one embodiment, optionally, the close mesh portions have cylindrical shape.
In one embodiment, optionally, the close mesh portions have the shape of bent tube form.
In one embodiment, optionally, the described first thin mesh portions and the second thin mesh portions gold having the same Belong to coverage rate.
In another embodiment, optionally, the described first thin mesh portions and the second thin mesh portions have different gold Belong to coverage rate.
Preferably, in any embodiment of the utility model, the wire for forming the close mesh portions is coarser than to form institute State the wire of the first thin mesh portions or the second thin mesh portions.
Preferably, in any embodiment of the utility model, the diameter and shape of the wire of the close mesh portions are formed Diameter at the wire of the described first thin mesh portions or the second thin mesh portions is equal.
In one embodiment, optionally, the wire of close mesh portions is constituted more than composition the first thin mesh portions or second Dredge the wire of mesh portions.
In one embodiment, optionally, the weave pattern for constituting the wire of the close mesh portions is different from constituting the The weave pattern of the wire of one thin mesh portions or the second thin mesh portions.
Preferably, in any embodiment of the utility model, the first thin mesh portions and the second thin mesh portions At least one of change between two different shapes.In this way, have can for the first thin mesh portions or the second thin mesh portions The structure for changing shape, can take the first shape of contraction in favor of being transported to the concern position in blood vessel, and can take expansion The second shape to meet the shape of locating blood vessel, not only laminating degree is high, but also is easy to position.
In one embodiment, optionally, part or all of the first thin mesh portions or the second thin mesh portions pass through Memory alloy members are made.In this way, at least part of the first thin mesh portions or the second thin mesh portions can be closed by memory Golden effect realizes the transformation between first shape and the second shape.
Preferably, in any embodiment of the utility model, the pattern that the wire of the close mesh portions is formed is different In the pattern that the wire of the described first thin mesh portions or the second thin mesh portions is formed.
In one embodiment, optionally, the first thin mesh portions and the second thin mesh portions at least partly include self-expansion type Part.In this way, local densification bracket can realize self-expanding when reaching focal area and discharge to predetermined shape to accord with blood Tube shape.
In one embodiment, optionally, medicine layer is at least partly provided on the outer surface of close mesh portions.Medicine layer The drug of middle setting can be used for slowing down patient's local inflammation, promote vessel endothelialisation, avoid blood vessel hyperplasia etc..
In one embodiment, optionally, the outer surface of the first thin mesh portions or the second thin mesh portions is at least partly set It is equipped with medicine layer.The drug being arranged in medicine layer can be used for slowing down patient's local inflammation, promote vessel endothelialisation, blood vessel be avoided to increase It is raw etc..
In one embodiment, optionally, close mesh portions have multi-layer braided structures, and every layer of braiding structure passes through wire It weaves and is formed netted.
In one embodiment, optionally, close mesh portions are made up of first layer braiding structure and second layer braiding structure.
In one embodiment, optionally, first layer braiding structure and second layer braiding structure are bonded to each other together.
In one embodiment, optionally, first layer braiding structure and second layer braiding structure mesh mutually stagger.
In one embodiment, optionally, first layer braiding structure is connected to the first thin mesh portions, second layer braiding structure The second thin mesh portions are connected to, are connected together between first layer braiding structure and second layer braiding structure with fixed structure.
In one embodiment, optionally, at least some of first layer braiding structure wire weaves from the second layer and ties It is passed through in each mesh of structure.
In one embodiment, optionally, at least some of first layer braiding structure wire weaves from the second layer and ties It is repeatedly passed through in each mesh of structure.
In one embodiment, optionally, the bell shape of first free end has 30~60 degree of open-angle Degree.
In one embodiment, optionally, the bell shape of second free end has 30~60 degree of open-angle Degree.
In one embodiment, optionally, there is fin on the outer surface of the first thin mesh portions or the second thin mesh portions. It can be conducive to be fixed to blood vessel in this way.
In one embodiment, optionally, multiple fins are at least in the first thin mesh portions or the second thin mesh portions Two end regions in be arranged parallel.
In one embodiment, optionally, there is bulge loop on the outer surface of the first thin mesh portions or the second thin mesh portions. It can be conducive to be fixed to blood vessel in this way.
In one embodiment, optionally, multiple bulge loops are at least in the first thin mesh portions or the second thin mesh portions Two end regions in be arranged parallel.
In one embodiment, optionally, there is fin on the outer surface of the part beyond tumor neck opening of close mesh portions Or bulge loop.It can be conducive to be fixed to blood vessel in this way.
In one embodiment, optionally, it is provided with down on the outer surface of the first thin mesh portions or the second thin mesh portions Hook.
In one embodiment, optionally, it is provided with down on the outer surface of the part beyond tumor neck opening of close mesh portions Hook.
In one embodiment, optionally, the first thin mesh portions are provided with indicating in its first free end.It is advantageous in this way It is accurately positioned in the blood vessels in the local densification bracket.
In one embodiment, optionally, the second thin mesh portions are provided with indicating in its second free end.It is advantageous in this way It is accurately positioned in the blood vessels in the local densification bracket.
In one embodiment, optionally, the indicating includes the snap ring covered in the first free end or the second free end.
In one embodiment, optionally, the indicating includes figure-8 structure.The indicating structure of such specific shape Be conducive to identify.
In one embodiment, optionally, it is provided in the first thin mesh portions or the second thin mesh portions along the first thin wet end Point or the second thin mesh portions axis of elongation extend marking line.In this way, being conducive to make the part according to the position of marking line Densification bracket is accurately positioned in the blood vessels.
In one embodiment, optionally, the indicating or the marking line are the structures that cannot be penetrated by X-ray, with benefit In the position for developing and determining local densification bracket when X-ray is imaged.
Fig. 1 is the structural schematic diagram of the local densification bracket of embodiment according to the present utility model.
Visible a kind of local densification bracket in the embodiment shown in fig. 1, to contain aneurysm structure 200, (Fig. 1 is shown Opening 222 at its tumor neck out) blood vessel 100 in, comprising:
Close mesh portions 600, inner hollow, and second end is extended to (under being in Fig. 1 from first end (being upper end in Fig. 1) End) and integrally in a tubular form and there is circular section, the close mesh portions pass through the webbed wall construction of metal wire knitted shape (being shown in Fig. 1 with intensive skewed crossing grid, be directed at aneurysm structural openings 222 and be longer than the width of the opening 222);
First thin mesh portions 501, form the tubular structure of inner hollow by metal wire knitted, tie from the close net Center of the first end of structure 600 far from the close web frame is extended to outward loudspeaker outward (being upward in Fig. 1) The first free end of mouth-shaped (it is partly shown in Fig. 1 with sparse skewed crossing grid);
Second thin mesh portions 502, form the tubular structure of inner hollow by metal wire knitted, tie from the close net Center of the second end of structure 600 far from the close web frame is extended to outward loudspeaker outward (being downward in Fig. 1) The second free end of mouth-shaped (it is partly shown in Fig. 1 with sparse skewed crossing grid);
The wherein tubulose knot of the close mesh portions 600, the first thin mesh portions 501 and the second thin mesh portions 502 Structure is connected in inside, and the metal coverage rates of the close mesh portions is 30% or more, the first thin mesh portions or described second is dredged The metal coverage rate of mesh portions is 15% or less.
It should be understood that Fig. 1 is only schematic diagram, the one of the first thin mesh portions 501 and the second thin mesh portions 502 is schematically shown out Part, the first thin mesh portions and the second thin mesh portions used in reality can extend longer along blood vessel 100 as needed.In addition It should be understood that the pattern of close mesh portions 600, the first thin mesh portions 501 and the second thin mesh portions 502 shown in Fig. 1 is merely illustrative, it is real The pattern of border product formation is not limited to this, but can as needed depending on.
The local densification bracket provided by the embodiments of the present invention, while keeping being suitble to flexibility on the whole Aneurysm region blood flow preferably can be prevented or reduce to cure in favor of realizing.
It should be understood that the orientation described in herein, such as front, back, left, right, up, down etc. is the statement of relative position, For describing the relative positional relationship between each associated components or part, and it is not intended to limit the protection model of the utility model It encloses.
It should be noted that, in this document, such as first and second etc relational terms are used merely to an entity Or operation is distinguished with another entity or operation, is existed without necessarily requiring or implying between these entities or operation Any actual relationship or order.Moreover, the terms "include", "comprise" or its any other variant be intended to it is non- It is exclusive to include, so that the process, method, article or equipment for including a series of elements not only includes those elements, It but also including other elements that are not explicitly listed, or further include solid by this process, method, article or equipment Some elements.In the absence of more restrictions, the element limited by sentence " including one ", is not arranged Except there is also other identical factors in the process, method, article or apparatus that includes the element.
Herein in the description of multiple element, with multiple features arranged side by side that "and/or" is connected, refer to comprising these side by side One or more of feature (or one or more).For example, " first element and/or second element " is meant that: first yuan One or more of part and second element, that is, only first element or only second element or first element and second element (two Person exists simultaneously).
Each embodiment provided in the utility model can be combined with each other as needed, such as any two, three Feature in a or more embodiment is combined with each other to constitute the new embodiment of the utility model, this is also in the utility model Protection scope in, unless otherwise stated or technically constitute contradiction and can not implement.
The above is only the preferred embodiment of the utility model only, is not intended to limit the utility model, all at this Within the spirit and principle of utility model, any modification, equivalent substitution, improvement and etc. done should be included in the utility model Within the scope of protection.

Claims (8)

1. a kind of part densification bracket, to contain in the blood vessel of aneurysm structure characterized by comprising
Close mesh portions, inner hollow, and extend to second end from first end and whole in a tubular form and there is circular section, institute It states close mesh portions and passes through the webbed wall construction of metal wire knitted shape;
First thin mesh portions, form the tubular structure of inner hollow by metal wire knitted, from the of the close web frame One end is extended outwardly to first free end with outward bell shape far from the center of the close web frame;
Second thin mesh portions, form the tubular structure of inner hollow by metal wire knitted, from the of the close web frame Two ends are extended outwardly to second free end with outward bell shape far from the center of the close web frame;
Wherein the close mesh portions, the first thin mesh portions and the tubular structure of the described second thin mesh portions are connected in inside, The metal coverage rate of the close mesh portions is 30% or more, and the metal of the first thin mesh portions or the second thin mesh portions covers Lid rate is 15% or less.
2. part densification bracket as described in claim 1, which is characterized in that
The metal coverage rate of the close mesh portions is 30%~45%.
3. part densification bracket as described in claim 1, which is characterized in that
The metal coverage rate of the first thin mesh portions or the second thin mesh portions is 10%~15%.
4. part densification bracket as described in claim 1, which is characterized in that
The first thin mesh portions and the second thin mesh portions are symmetrical arranged relative to the close mesh portions.
5. part densification bracket as described in claim 1, which is characterized in that
The wire for forming the close mesh portions is coarser than the metal to form the described first thin mesh portions or the second thin mesh portions Silk.
6. part densification bracket as described in claim 1, wherein
It forms the diameter of the wire of the close mesh portions and forms the first thin mesh portions or the second thin mesh portions The diameter of wire is equal.
7. such as local densification bracket described in any one of claims 1 to 6, which is characterized in that
At least one of the first thin mesh portions and the second thin mesh portions change between two different shapes.
8. such as local densification bracket described in any one of claims 1 to 6, which is characterized in that
The pattern that the wires of the close mesh portions is formed is different from the described first thin mesh portions or the second thin mesh portions The pattern that wire is formed.
CN201821832996.2U 2018-11-07 2018-11-07 Local densification bracket Expired - Fee Related CN209347136U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110613540A (en) * 2019-10-24 2019-12-27 上海唯域医疗科技有限公司 Blood vessel implantation stent
WO2022007282A1 (en) * 2020-07-06 2022-01-13 上海启功医疗科技有限公司 Axially compressible and stretchable bare stent
WO2022007280A1 (en) * 2020-07-06 2022-01-13 上海启功医疗科技有限公司 Axially compressible bare stent
WO2022156095A1 (en) * 2021-01-22 2022-07-28 广州易介医疗科技有限公司 Novel pipeline embolization device
WO2022007279A3 (en) * 2020-07-06 2022-11-24 上海启功医疗科技有限公司 Stent delivery system for use in aorta

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110613540A (en) * 2019-10-24 2019-12-27 上海唯域医疗科技有限公司 Blood vessel implantation stent
WO2022007282A1 (en) * 2020-07-06 2022-01-13 上海启功医疗科技有限公司 Axially compressible and stretchable bare stent
WO2022007280A1 (en) * 2020-07-06 2022-01-13 上海启功医疗科技有限公司 Axially compressible bare stent
WO2022007279A3 (en) * 2020-07-06 2022-11-24 上海启功医疗科技有限公司 Stent delivery system for use in aorta
WO2022156095A1 (en) * 2021-01-22 2022-07-28 广州易介医疗科技有限公司 Novel pipeline embolization device

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