CN211300517U - Naked-area degradable abdominal aorta covered stent - Google Patents

Naked-area degradable abdominal aorta covered stent Download PDF

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Publication number
CN211300517U
CN211300517U CN201921679568.5U CN201921679568U CN211300517U CN 211300517 U CN211300517 U CN 211300517U CN 201921679568 U CN201921679568 U CN 201921679568U CN 211300517 U CN211300517 U CN 211300517U
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China
Prior art keywords
stent
abdominal aorta
aorta
wound
naked
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Expired - Fee Related
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CN201921679568.5U
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Chinese (zh)
Inventor
丁盛
张近宝
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Western Theater General Hospital of PLA
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Western Theater General Hospital of PLA
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Abstract

The utility model discloses a degradable aorta abdominalis covered stent in a bare area, which comprises a fixed stent and a plurality of wavy aorta nephrosis stent units, wherein each aorta nephrosis stent unit is wound into a ring shape, and the plurality of annular aorta nephrosis stent units are sequentially arranged to form the aorta nephrosis stent; the fixing support is wavy and wound into a ring, the fixing support is provided with a naked area part and a connecting part which are integrally formed and respectively positioned at two ends of the fixing support wound into the ring, the connecting part is arranged at one end of the renal aortic stent, and the connecting part and the renal aortic stent are coated with polyester films together; the bare area part is made of magnesium alloy or iron alloy material, and the connecting part and the renal aorta stent are made of medical stainless steel material or nickel-titanium alloy material. The utility model discloses an abdominal aorta tectorial membrane support, its naked district part can degrade by oneself, can satisfy the fixed use of support in earlier stage, can avoid long-time use to cause the fish tail of artery wall again.

Description

Naked-area degradable abdominal aorta covered stent
Technical Field
The utility model relates to the technical field of medical equipment, especially, relate to a naked district degradable abdominal aorta covered stent.
Background
Currently used abdominal aorta covered stent generally protrudes a bare area (a metal grid stent without a polyester film) made of metal alloy at the end part of the stent, or a barb is arranged on the outer side wall of the stent, so that the stent can be stably placed in an artery at the initial stage of an operation, however, in the two fixing modes, the bare area and the barb are always kept in the artery, and in the course of time, certain damage can be caused to the artery of a patient, the rupture of the intima and media of the aorta is caused, and a new aortic dissection appears. At present, degradable bare stents are available in treatment of arteriolar stenotic lesions such as coronary artery and the like, but aortic stents are basically covered stents which mainly play a role in isolating aortic aneurysm or aortic dissection in a cavity, so that the stent with a membrane part has a permanent supporting function and is not suitable for degradable materials. And the naked area part only plays a role in fixing the stent in the early stage of stent placement, and prevents the stent from backward displacement under the impact of blood flow. After 1-3 months of operation, vascular endothelial cells begin to slowly grow into the stent, wrap the front ends of the bare area and the covered stent, the stent can not shift any more, the bare area of the stent also loses effect, but the risk of vascular rupture is caused because the bare area continuously stimulates the vascular wall, and the bare area blocks the renal artery opening, thereby affecting the long-term effect.
SUMMERY OF THE UTILITY MODEL
For solving the problem that exists among the prior art, the utility model provides a naked district degradable abdominal aorta covered stent, its naked district part can degrade by oneself, both can satisfy the fixed use of support in earlier stage, can avoid using the fish tail that causes the artery wall again for a long time.
In order to achieve the above object, the utility model adopts the following technical scheme:
a naked-region degradable abdominal aorta covered stent comprises a fixed stent and a plurality of wavy abdominal aorta stent units, wherein each abdominal aorta stent unit is wound into a ring shape, the plurality of annular abdominal aorta stent units are sequentially arranged to form the abdominal aorta stent, the abdominal aorta stent comprises a main stent positioned at the front end of the abdominal aorta stent and two branch stents positioned at the far ends of the abdominal aorta stent, the main stent is of a straight-tube structure, the outer diameter of the main stent is 20mm-30mm, and the outer diameter of each branch stent is 12mm-14 mm; the fixed support is wavy and wound into a ring, the fixed support is provided with a naked area part and a connecting part which are integrally formed and respectively positioned at two ends of the fixed support wound into the ring, the connecting part is arranged at one end of the abdominal aorta support, and the connecting part and the abdominal aorta support are coated with polyester films together; the naked area part of fixed bolster is magnesium alloy or ferroalloy material, the aorta abdominalis support is medical stainless steel material or nickel titanium alloy material.
In the structure, the aorta abdominalis covered stent consists of an aorta abdominalis stent and a fixed stent, a plurality of independent aorta abdominalis stent units in the aorta abdominalis stent are fixedly coated with the connecting part of the fixed stent through a polyester film to form the aorta abdominalis covered stent with a main stent and two branch stents, the bare area part of the fixed stent is exposed and used for fixing the aorta abdominalis covered stent, moreover, the abdominal aorta of the fixed stent is made of degradable magnesium alloy or iron alloy material, after the abdominal aorta covered stent is placed in a human body for a period of time, the main part of the aorta abdominalis covered stent is fused with the aorta abdominalis (which is fixed without an additional structure), the naked part which has the fixing function is gradually absorbed by the human body, and is degraded, compared with the traditional naked part which is not degradable and adopts a barb structure, the aorta abdominalis covered stent is prevented from being scratched on the artery wall caused by the human body for a long time.
Preferably, the length of the naked region is 10mm-15mm, so that the contact area between the naked region and the abdominal artery wall can be reduced while the sufficient connection stability is ensured, and further the scratch to the abdominal artery wall is reduced.
Preferably, the naked part is in a crown shape with the outer diameter of the front end larger than that of the rear end, and the arc center angle of the arc-shaped bent part of the naked part is 18-23 degrees.
The naked district portion of fixed bolster is the corolla form, and naked district portion is whole to be the structure of smooth outside bending, reducible fish tail to the abdominal aorta pipe wall, and the front end of naked district portion forms the convex structure, can make the support put into in the abdominal aorta more firm. The arc center angle of the bare area part is 18-23 degrees, so that the smoothness of the whole structure of the bare area part can be ensured, and meanwhile, the bare area part has enough strength.
Preferably, the minimum outer diameter of the connecting part wound in a ring shape is the same as the outer diameter of the abdominal aorta stent unit wound in a ring shape, and the difference between the maximum outer diameter of the bare area wound in a ring shape and the outer diameter of the abdominal aorta stent unit wound in a ring shape is 2mm-3mm, so that the protrusion height of the boss formed at the front end of the bare area is 1mm-1.5mm, and the contact fusion between the abdominal aorta covered stent and the abdominal aorta is not affected.
Preferably, the naked region part is provided with a barb which is arranged towards the distal end of the abdominal aorta stent and can prevent the abdominal aorta stent from sliding downwards.
The utility model has the advantages that:
1. the abdominal aorta of the fixed support is made of degradable magnesium alloy or iron alloy materials, after the abdominal aorta covered stent is placed into a human body for a period of time, the main body part of the abdominal aorta covered stent is fused with the abdominal aorta, the naked region part playing a role in fixing is gradually absorbed by the human body, degradation occurs, compared with the traditional naked region, the abdominal aorta covered stent is not degradable and adopts a barbed structure, and the scratch of the artery wall caused by the fact that the abdominal aorta covered stent is placed in the human body for a long time is avoided.
2. The length of the naked region is 10mm-15mm, so that the contact area between the naked region and the abdominal artery tube wall can be reduced while the sufficient connection stability is ensured, and further the scratch to the abdominal artery tube wall is reduced.
3. The naked district portion of fixed bolster is the corolla form, and naked district portion is whole to be the structure of smooth outside bending, reducible fish tail to the abdominal aorta pipe wall, and the front end of naked district portion forms the convex structure, can make the support put into in the abdominal aorta more firm. The arc center angle of the bare area part is 18-23 degrees, so that the smoothness of the whole structure of the bare area part can be ensured, and meanwhile, the bare area part has enough strength.
4. The difference value between the outer diameter of the front end of the naked area and the outer diameter of the abdominal aorta stent unit is 2mm-3mm, so that the height of the boss formed at the front end of the naked area is 1mm-1.5mm, and the contact fusion between the abdominal aorta covered stent and the abdominal aorta is not affected.
5. The naked area part is provided with a barb which is arranged towards the far end of the abdominal aorta bracket and can prevent the abdominal aorta bracket from sliding downwards.
Drawings
FIG. 1 is a first schematic structural diagram of a bare-area degradable aorta abdominalis covered stent according to an embodiment of the present invention;
FIG. 2 is an enlarged view taken at A in FIG. 1;
FIG. 3 is a schematic structural diagram II of a bare-area degradable aorta abdominalis covered stent according to an embodiment of the present invention;
fig. 4 is a top view of a bare area degradable abdominal aorta stent graft according to an embodiment of the invention.
Description of reference numerals:
1. a renal aortic stent; 11. a renal aortic stent unit; 2. fixing a bracket; 21. a bare area part; 22. a connecting portion; 3. a polyester film; 4. an elastic connecting member; 5. and barbs.
Detailed Description
Embodiments of the present invention will be described in detail below with reference to the accompanying drawings.
Example (b):
as shown in fig. 1, a naked-region degradable abdominal aorta stent graft comprises a fixed stent 2 and a plurality of wavy abdominal aorta stent units 11, wherein each abdominal aorta stent unit 11 is wound into a ring shape, the plurality of annular wound abdominal aorta stent units 11 are sequentially arranged to form an abdominal aorta stent 1, the abdominal aorta stent 1 comprises a main stent at the front end thereof and two branch stents at the distal end of the abdominal aorta stent 1, the main stent is in a straight-tube structure, the outer diameter of the main stent is 20mm-30mm, and the outer diameter of the branch stents is 12mm-14 mm; the fixed support 2 is wavy, the fixed support 2 is wound into a ring shape, the fixed support 2 is provided with a naked area part 21 and a connecting part 22 which are integrally formed and respectively positioned at two ends of the fixed support 2 wound into the ring shape, the connecting part 22 is arranged at one end of the abdominal aorta support 1, and the connecting part 22 and the abdominal aorta support 1 are coated with polyester films 3 together; the naked area part 21 of the fixed support 2 is made of magnesium alloy or iron alloy material, and the abdominal aorta support 1 is made of medical stainless steel material or nickel-titanium alloy material.
In the structure, the aorta abdominalis covered stent comprises an aorta abdominalis stent 1 and a fixed stent 2, a plurality of independent aorta abdominalis stent units 11 in the aorta abdominalis stent 1 are fixedly covered with a connecting part 22 of the fixed stent 2 through a polyester film 3 to form the aorta abdominalis covered stent with a main stent and two branch stents, a naked region part 21 of the fixed stent 2 is exposed for fixing the aorta abdominalis covered stent, in addition, the aorta abdominalis of the fixed stent 2 is made of degradable magnesium alloy or iron alloy material, after the aorta abdominalis covered stent is placed into a human body for a period of time, the main part of the aorta covered stent is fused with the aorta abdominalis (at the moment, the main part and the aorta are fixed without an additional structure), the naked region 21 with the fixing effect is gradually absorbed by the human body and is degraded, compared with the traditional naked region, the, the artery wall scratch caused by the fact that the abdominal aorta covered stent is placed in a human body for a long time is avoided.
In one embodiment, the length of the bare area 21 is 10mm-15mm, so that the contact area between the bare area 21 and the abdominal artery wall can be reduced while ensuring sufficient connection stability, and therefore, the scratch on the abdominal artery wall can be reduced.
In one embodiment, as shown in fig. 2 and 4, the bare area 21 is in the shape of a corolla with a larger outer diameter at the front end than at the rear end, and the arc center angle of the arc-shaped bent portion of the bare area 21 is 18 ° to 23 °.
Naked district portion 21 of fixed bolster 2 is the corolla form, and naked district portion 21 is whole to be the structure of smooth outside bending, reducible fish tail to the abdominal aorta pipe wall, and the front end of naked district portion 21 forms the convex structure, can make the support put into in the abdominal aorta more firm.
Furthermore, the front end of the naked area part 21 is provided with an arc part with a bending radian towards the inner side of the abdominal aorta covered stent, the length of the arc part is 3mm-4mm, the arc center angle of the arc part is 50-60 degrees, a smooth boss is formed at the joint of the naked area part 21 and the arc part, the firmness of the stent in the renal aorta can be further improved, the scratch is reduced, meanwhile, the arc center angle of the naked area part 21 is 18-23 degrees, the arc center angle of the arc part is 50-60 degrees, the smoothness of the integral structure of the naked area part 21 and the arc part can be ensured, and meanwhile, the naked area part 21 has enough strength.
In one embodiment, the minimum outer diameter of the connecting part 22 wound in a ring shape is the same as the outer diameter of the abdominal aorta stent unit 11 wound in a ring shape, and the difference between the maximum outer diameter of the bare area part 21 wound in a ring shape and the outer diameter of the abdominal aorta stent unit 11 wound in a ring shape is 2mm to 3mm, so that the protruding height of the boss formed at the front end of the bare area part 21 is 1mm to 1.5mm, and the contact fusion between the abdominal aorta covered stent and the abdominal aorta is not affected.
In one embodiment, the bare area portion 21 is provided with a barb 5 toward the distal end of the abdominal aortic stent 1, so as to prevent the abdominal aortic stent 1 from sliding downward.
In one embodiment, as shown in fig. 3, when the connecting portion 22 and the abdominal aorta stent unit 11 are wound in a ring shape, the end-to-end connection can be completed by the elastic connecting member 4, and the elastic connecting member 4 is in a compressed state, so that the change of the internal diameter of the abdominal aorta of the patient in different age periods can be adapted, and as the patient expands from a young age to an adult age period and the internal diameter of the abdominal aorta is expanded from 2-5mm to 15-20mm, the elastic connecting member 4 stretches under the action of self tension, so that the external diameter of the abdominal aorta covered stent gradually expands and always keeps in fit with the internal diameter of the abdominal aorta, and the abdominal aorta is ensured to be always in a smooth state. Alternatively, the connecting portion 22 and the abdominal aorta stent 1 may also be made of other medical materials with certain elasticity, and the elastic connecting member 4 is connected between the connecting portion 22 and two adjacent nodes of the abdominal aorta stent unit 11, and the elastic connecting member 4 is always in a compressed state, so as to realize the later expansion of the abdominal aorta stent graft.
The above-mentioned embodiments only express the specific embodiments of the present invention, and the description thereof is specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for those skilled in the art, without departing from the spirit of the present invention, several variations and modifications can be made, which are within the scope of the present invention.

Claims (5)

1. The naked-region degradable abdominal aorta covered stent is characterized by comprising a fixed stent and a plurality of wavy abdominal aorta stent units, wherein each abdominal aorta stent unit is wound into a ring shape, the plurality of annular abdominal aorta stent units wound into the ring shape are sequentially arranged to form the abdominal aorta stent, the abdominal aorta stent comprises a main stent positioned at the front end of the abdominal aorta stent and two branch stents positioned at the far ends of the abdominal aorta stent, the main stent is in a straight-tube structure, the outer diameter of the main stent is 20mm-30mm, and the outer diameter of each branch stent is 12mm-14 mm; the fixed support is wavy and wound into a ring, the fixed support is provided with a naked area part and a connecting part which are integrally formed and respectively positioned at two ends of the fixed support wound into the ring, the connecting part is arranged at one end of the abdominal aorta support, and the connecting part and the abdominal aorta support are coated with polyester films together; the naked area part of fixed bolster is magnesium alloy or ferroalloy material, the aorta abdominalis support is medical stainless steel material or nickel titanium alloy material.
2. The bare area degradable abdominal aorta covered stent according to claim 1, wherein the length of the bare area is 10mm-15 mm.
3. The bare area degradable abdominal aorta covered stent according to claim 2, wherein the bare area is in a corolla shape with a larger outer diameter of the front end than the rear end, and the arc center angle of the arc-shaped bent part of the bare area is 18-23 °.
4. The bare area degradable abdominal aortic stent graft of claim 3, wherein the minimum outer diameter of the connecting portion wound in a ring shape is the same as the outer diameter of the abdominal aortic stent unit wound in a ring shape, and the difference between the maximum outer diameter of the bare area wound in a ring shape and the outer diameter of the abdominal aortic stent unit wound in a ring shape is 2mm-3 mm.
5. The bare area degradable abdominal aortic stent graft of claim 4, wherein the bare area portion is provided with barbs disposed towards the distal end of the abdominal aortic stent.
CN201921679568.5U 2019-10-09 2019-10-09 Naked-area degradable abdominal aorta covered stent Expired - Fee Related CN211300517U (en)

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Application Number Priority Date Filing Date Title
CN201921679568.5U CN211300517U (en) 2019-10-09 2019-10-09 Naked-area degradable abdominal aorta covered stent

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Application Number Priority Date Filing Date Title
CN201921679568.5U CN211300517U (en) 2019-10-09 2019-10-09 Naked-area degradable abdominal aorta covered stent

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110721008A (en) * 2019-10-09 2020-01-24 中国人民解放军西部战区总医院 Naked degradable abdominal aorta covered stent and preparation method thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110721008A (en) * 2019-10-09 2020-01-24 中国人民解放军西部战区总医院 Naked degradable abdominal aorta covered stent and preparation method thereof
CN110721008B (en) * 2019-10-09 2024-02-20 中国人民解放军西部战区总医院 Degradable abdominal aorta covered stent in bare area and preparation method thereof

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Granted publication date: 20200821

Termination date: 20211009