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Application of novel slide buckle bio-absorbable stent

A sliding and biological technology, applied in the field of medical devices, can solve problems such as being unsuitable for pediatric vascular stents, hindering lumen reconstruction and expansion, affecting surgical treatment, etc. effect of medicine

Inactive Publication Date: 2013-10-16
XIN HUA HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, the fixed size of the metal stent will not change with the growth of the blood vessel after implantation, and it is easy to cause artificial stenosis due to the mismatch with the size of the blood vessel in the later stage. It is especially not suitable for pediatric vascular stents for children with growth characteristics.
[0006]The metal stent also has the following defects: (1) It is prone to thrombosis and requires long-term antiplatelet therapy; (2) It stays in the human body for a lifetime, affecting subsequent possible surgical procedures Surgical treatment; (3) artifacts appear in MRI and CT examinations; (4) may change the geometric configuration of blood vessels to block branches; (5) hinder the subsequent reconstruction and expansion of the lumen; Lack of tightness of the tube wall often results in small gaps remaining after implantation
However, there is no report on the new type of sliding buckle bioabsorbable stent with strong support and easy manufacture and use, and its application as a cardiovascular system stent or luminal stent in cardiovascular or luminal stenosis diseases.

Method used

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  • Application of novel slide buckle bio-absorbable stent
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  • Application of novel slide buckle bio-absorbable stent

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0054] Example 1 Structural Design and Comparison of Bioabsorbable Scaffolds

[0055] According to the current clinical vascular stent structure and the performance of bioabsorbable materials, three structures of stents were designed using PDO materials.

[0056] (1) Self-expanding network pipe support: a stainless steel cylindrical mold is used to obtain the network pipe support. The diameter of the mold is consistent with the diameter of the required bracket. A circle of holes is evenly punched on the circumference of both ends of the mold, and steel needles are inserted. The number of upper and lower steel needles is the same, and they are aligned with each other. The PDO fiber is woven and wound back and forth on the mold. Pay attention to the weaving sequence, you can directly weave a cylinder in which the fibers are interlaced and mutually restricted, and then heat-set (90°C, 4 hours) to keep it in this shape , Weaving density and fiber angle can be adjusted at will.

...

Embodiment 2

[0083] Example 2 In vitro simulated release of four kinds of PDO sliding buckle stents

[0084] (1) Observe the in vitro simulated release of polydioxanone (PDO) snap-in stents

[0085] 1. Materials and methods:

[0086] Materials: Polydioxanone (PDO) buckle-type stents 20*8mm, 10 each, rubber hoses with a diameter of 6 cm, stent delivery systems and pressure pumps.

[0087] method:

[0088] 1. First use the pressure pump to suck the delivery system balloon into negative pressure, then withdraw the outer sheath tube, crimp and wrap the slider brackets on the delivery system balloon respectively, and then push the outer sheath tube forward to the cone to cover stand.

[0089] 2. Insert the stent delivery system into the target site of the artificial blood vessel along the guide wire, expand and release the stent at 12atm*30 seconds.

[0090] 3. Suction the balloon back into negative pressure and withdraw the balloon.

[0091] 2. Observation indicators:

[0092] 1. Vascula...

Embodiment 3

[0133] Example 3 In vitro simulated release of edge-sliding buckle-type stents of five materials

[0134] (1) Observe the simulated release of polydioxanone (PDO) edge-sliding buckle stents in vitro

[0135] 1. Materials and methods:

[0136] Materials: Polydioxanone (PDO) edge-slip buckle-type stents 20*8mm, 10 each, rubber hoses with a diameter of 6 cm, a stent delivery system, and a pressure pump.

[0137] Methods: (see Observation of Polydioxanone (PDO) snap-on stent simulated release in vitro).

[0138] 2. Observation indicators:

[0139] (See Observation of Polydioxanone (PDO) snap-on stent simulated release in vitro).

[0140] 3. Results:

[0141] All the PDO edge-sliding buckle stents can be released under the normal release pressure (10-14atm), and all the stents can be successfully buckled without curling into the lumen; the stent basically maintains the preset lumen diameter, and has a very low Acute elastic recoil (0.3%). It is proved that the stent design is...

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Abstract

The invention relates to an application of a novel slide buckle bio-absorbable stent in manufacture of a cardiovascular system or a lumen stent for cardiovascular or luminal stenosis diseases. The application has the advantages as follows: the novel slide buckle bio-absorbable stent has good degradability and biocompatibility and is applicable to pediatric intravascular stents, and late stent thrombosis cannot occur after implantation, so that antiplatelet drugs are not required to be taken for a long time, and possible subsequent surgical operations cannot be affected; the support force is high, the novel slide buckle bio-absorbable stent can be taken as a cardiovascular system stent or a lumen stent and can be widely applied in the cardiovascular or luminal stenosis diseases; the manufacture is simple and convenient, medicine carrying is facilitated, and the stent can be used as a drug or gene therapy carrier; the stent is equipped with a delivery system at the same time, and the operation difficulty is reduced; and a large number of animal experiments show that the novel slide buckle bio-absorbable stent has a higher success rate during the usage, the curative effect is remarkable, and the stent has a better clinical application prospect.

Description

[0001] This application is a divisional application with an application date of November 12, 2010, application number 201010543488.4, and an invention titled "A Novel Sliding Buckle Bioabsorbable Stent and Its Application". technical field [0002] The invention relates to a medical device, in particular to the application of a novel sliding buckle bioabsorbable bracket. Background technique [0003] Congenital heart disease (hereinafter referred to as congenital heart disease) is the most common cardiovascular disease in childhood, with an incidence rate of 0.678% of live births. Congenital heart disease in infants and young children is accompanied by congenital pulmonary artery and pulmonary Stenosis of arteries and their branches accounts for 7%-15% of all congenital heart diseases, and right ventricle-pulmonary artery artificial conduit (RV-PA conduit) stenosis after acquired surgery, postoperative restenosis of pulmonary artery and pulmonary vein, systemic vein and aorta...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F2/90A61L31/06
Inventor 孙锟孙康冯其茂
Owner XIN HUA HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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