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Integrated covered branch vessel stent and its delivery system

A vascular stent and delivery system technology, applied in the field of medical devices, can solve the problems of large curvature of the aortic arch, persistent endoleak on the greater and lesser curvature sides, and increase the incidence of cerebrovascular accidents, so as to reduce the occurrence of displacement efficiency, overcoming inconveniences and defects, reducing the risk of endoleak

Active Publication Date: 2018-08-14
THE FIRST HOSPITAL OF CHINA MEDICIAL UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, the chimney technique will inevitably lead to postoperative endoleak problems, resulting in poor long-term efficacy, and devascularized branch aortic arch upper branch vascular bypass grafting increases the difficulty and degree of trauma of the operation, which may increase the risk of cerebrovascular accidents. incidence of
The second reason is that due to the curvature of the aortic arch, after the implantation of the covered vascular stent, if the anchoring area is too short, or the curvature of the aortic arch is too large, it is easy to form continuous endoleaks on the greater and lesser curvatures
The third reason is the expansion of the anchoring area of ​​the aneurysm neck with similar pathophysiological features to the early aneurysm, the lack of histological healing between the stent-graft and the vessel wall of the aneurysm neck, and the straight cylindrical stent-graft in the curved aortic arch. Displacement and detachment of stent due to malformation
The incidence rate of the latter two complications can reach 30%, which will lead to the failure of this high-tech and high-priced (150,000-200,000 yuan / case) TEVAR clinical treatment, limiting the clinical application and development of TEVAR

Method used

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  • Integrated covered branch vessel stent and its delivery system
  • Integrated covered branch vessel stent and its delivery system
  • Integrated covered branch vessel stent and its delivery system

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0036] An integrated covered branch vessel stent, comprising a main body stent 1, a branch stent 2 connected to the main body stent 1, and a covered graft 3 sutured on the main body stent 1 and the branch stent 2, the edge of the main body stent 1 and the main body stent 1 There is a platinum-iridium alloy development point 10 at the connection with the branch bracket 2 .

[0037] The delivery system of the integrated covered branch vessel stent includes the outermost outer sleeve 5, the outer sleeve includes 3 parts, the front part 51, the middle part 52 and the rear part 52, the binding wire 6 for compressing the stent, and the delivery rod 7 And the main body guide wire 81 located inside the delivery rod 7 , the delivery rod contains 1-7 branch catheters, and each branch catheter runs through a branch guide wire or binding wire 6 .

[0038] Specific operation steps: Under general anesthesia, ventilator-assisted ventilation, the person is in the supine position, the skin is ...

Embodiment 2

[0040] First, the angles between the aortic arch and the innominate artery (brachiocephalic trunk), the angle between the left common carotid artery and the left subclavian artery were determined by angiography, CTA and other techniques.

[0041] Secondly, determine the number of branch stents 2 and the position of branch stents 2 according to the needs of the patient: 1-3 branch stents; the branch stent 2 is connected to the innominate artery and / or the left common carotid artery and / or the left subclavian artery.

[0042] Finally, the angle between the main body stent 1 and the branch stent 2 is the same as that of the branch angle from the convex side of the aortic arch, and the obtained integrated covered branch vessel stent includes the main body stent 1 and the branch stent 2 connected with the main body stent 1 , the angles of the two are the same as the branch angles from the convex side of the aortic arch, and the graft 3 sutured on the stent has a platinum-iridium all...

Embodiment 3

[0044] First, the angles between the aortic arch and the innominate artery (brachiocephalic trunk), the angle between the left common carotid artery and the left subclavian artery were determined by angiography, CTA and other techniques. The aortic model or aneurysm model produced by 3D printing analyzes the angles of each branch to further optimize the shape, size, and angle of the branch stent.

[0045] Secondly, determine the number of branch stents 2 and the position of branch stents 2 according to the needs of the patient: 1-3 branch stents; the branch stent 2 is connected to the innominate artery and / or the left common carotid artery and / or the left subclavian artery.

[0046] Finally, the main body stent 1 and the branch stent 2 have the same angle as the branch angle from the convex side of the aortic arch through 3D printing technology. The obtained integrated covered branch vessel stent includes the main body stent 1 The bare stent 4 at the top, the branch stent 2 co...

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Abstract

The invention relates to an integrated coated branched vascular stent and a conveying system thereof. A main body and branches of the stent are of an integrated design, and the main body and branches of the stent each is coated with an integrated coating material, so that the incidence rate of internal leakage caused after the stent is implanted can be reduced; the front end of the main body of the stent is a bare stent portion, so that anchoring can be strengthened; the stent edge of the stent main body of the stent and connections between the main body stent and branch stents are provided with platinum-iridium alloy developing points, so that the position of the stent can be dynamically monitored during the release of the stent, and the aim of accurately locating and releasing the stent is achieved. The stent is fixed and released by adopting a binding design, so that the stent can be in a compressive state and firmly fixed to the maximum, the diameter of a conveyor is reduced, and distant-range conveying and operating are facilitated; the conveying system adopts a staged release manner, so that the problem that the existing stents are prone to displacement during release and cannot be readjusted is solved, and the conveying system has a very good market application prospect.

Description

technical field [0001] The invention relates to the field of medical devices, in particular to an integrated film-covered branch vessel stent and a delivery system thereof. Background technique [0002] Aortic aneurysm is a global common disease that is extremely harmful to human health and has a high mortality rate. Traditional surgery involves large injuries, many complications, and high mortality. Moreover, there are still a large number of patients who are difficult to perform surgical treatment because of the dysfunction of other important organs. Endoluminal aorticaneurysm repair (EAAR) was first proposed in 1991. In recent years, with the rapid development of interventional radiology technology and equipment, endovascular aneurysm repair (EVAR) has gradually matured. Compared with traditional surgery, it has the advantages of no thoracotomy, no laparotomy, less trauma, fewer surgical complications, shorter hospital stay, and wide indications. It has become the firs...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61F2/07A61B17/12A61L31/02A61L31/04A61F2/962A61F2/954
CPCA61B17/12113A61F2/07A61F2/954A61F2/962A61F2002/061A61F2002/9511A61L31/022A61L31/04
Inventor 田玉龙钟红珊
Owner THE FIRST HOSPITAL OF CHINA MEDICIAL UNIV
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