An orderly and completely degradable covered bilayer stent

A stent-graft, completely degradable technology, applied in the field of medical devices, can solve the problems of poor flexibility of the stent-graft, unfavorable release of the stent-graft, blocking of side branches, etc., and achieve the effect of low coverage

Active Publication Date: 2021-04-02
北京尚宁科智医疗器械有限公司
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

After the stent completes its therapeutic function, the covering film will degrade by itself, but the double-layer stent itself is not degradable and will remain in the blood vessel
[0006] Patent 2 discloses a degradable stent graft, which is a fully degradable single-layer stent graft, but there is a risk of blocking important collateral vessels, and the stent graft is less flexible and difficult to pass through curved blood vessels
[0007] The covered stents disclosed in Patent 3 and Patent 4 are both single-layer degradable covered stents with adjustable size and position of the covered area. Although they can avoid blocking side vessels, the flexibility of the whole covered stent is not as good as that of the bare stent, making it difficult to Through the diseased area of ​​the aneurysm due to arteriosclerosis, it is not conducive to the release of the stent graft

Method used

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  • An orderly and completely degradable covered bilayer stent
  • An orderly and completely degradable covered bilayer stent
  • An orderly and completely degradable covered bilayer stent

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0049] Example 1: Treatment of Partial Intracranial Saccular Aneurysms

[0050] Such as Figure 7 As shown, for the aneurysm 3 of the intracranial straight vessel 4, when the distance between the aneurysm opening and the important collateral branch 5 is large, the inner layer stent graft 2 can be used directly; when the distance between the aneurysm opening and the important collateral branch 5 is relatively large Smaller lesions that do not involve important collaterals5 require covered bilayer stents (1 and 2). Because when the stent-graft 2 is used alone, a long enough normal vessel wall is needed between the aneurysm 3 and the important side branch 5 to fix the stent-graft 2; The membrane stent 2 can be fixed on the outer bare stent 1, so the stability will be higher. At the same time, the length of the membrane only needs to be slightly longer than the aneurysm opening to avoid recanalization of the aneurysm.

[0051] During the specific operation, the bare outer stent ...

Embodiment 2

[0053] Example 2: Treatment of Partial Type E Abdominal Aortic Aneurysms

[0054] Abdominal aortic aneurysms are divided into five types: A, B, C, D, and E. Among them, type E abdominal aortic aneurysms are difficult to treat with existing covered stents. Because the aneurysm of this type of abdominal aortic aneurysm 9 is less than or equal to 1.5 cm from the lower edge of the opening of the renal artery 7, there is no normal vessel wall long enough to fix the existing stent graft. When such E-type abdominal aortic aneurysms do not involve the bifurcation of the renal artery 7 and the abdominal aorta, the present invention can be used for treatment. Because when the covered double-layer stent (1 and 2) is used, the entire inner layer stent graft 2 can be fixed on the outer layer bare stent 1, and the inner layer covered stent 2 can be fixed under the premise of ensuring the smooth flow of the renal artery 7.

[0055] Such as Figure 8 As shown, when treating this type E abdo...

Embodiment 3

[0056] Example 3: Treatment of Arterial Wall Rupture Bleeding

[0057] Such as Figure 9 As shown, when the arterial wall ruptures and bleeds, when the breach 11 is close to the important collateral vessels 12, the double-layer stent-graft (1 and 2) can be selected for treatment. The layer-bare stent 1 is released as a whole by balloon expansion. It can not only ensure the smooth flow of collateral vessels, but also ensure the complete degradation of the entire stent in the end. The outer bare stent 1 can provide support for the adhesion and growth of endothelial cells at the breach 11, and can heal more quickly, while the inner covered stent can immediately seal the breach and has a hemostatic effect. Here, the stent layer 2b of the inner covered stent can be made of high molecular weight L-lactic acid with a thickness of 20-50 μm, and the outer bare stent 1 can be made of Zn-0.8Li zinc alloy with a thickness of 50-100 μm. The molecular weight of the coating 2a is also appro...

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Abstract

The invention discloses an overlay film dual-layer stent capable of being orderly and completely degraded, and belongs to the technical field of medical apparatuses. The overlay film dual-layer stentcomprises an outer layer naked stent and an inner layer overlay film stent, wherein the stent part adopts biodegradable metal and alloy thereof or biodegradable high molecular materials, the expansionmanner is saccule expansion; an overlay film adopts biodegradable high molecular materials; the outer layer naked stent is released in advance, and can firstly pass through a lesion narrow section; the position and the length of the inner layer overlay film stent can be decided according to the situation of an aneurism neck and the situation of an interlayer aneurism cut; when being released, theinner layer overlay film stent is pressed in and fixed on the outer layer naked stent, so that the aneurism which is near an important collateral blood vessel can be treated; and after the aneurism is subjected to thrombosis and is contracted to a nature condition, the overlay film dual-layer stent is sequentially degraded according to the below sequence: degrading the overlay film, degrading theinner layer stent, degrading the outer layer naked stent, and finally performing complete degrading, so that the situation that foreign matters exist in vitro for a long time is avoided, and the situation that a person takes anti-thrombotic medicines for a long term is avoided.

Description

technical field [0001] The invention relates to the technical field of medical devices, in particular to a film-covered double-layer stent that can be degraded orderly and completely. [0002] technical background [0003] Dissection aneurysms, aneurysms and other lesions in vascular diseases can be treated with covered stents. The treatment principle is that the covered stent forms a barrier at the breach of the dissecting aneurysm and at the neck of the aneurysm. When the blood no longer flows into the aneurysm, the remaining blood in the aneurysm forms a thrombus and organizes into vascular tissue. The aneurysm wall in the expanded state shrinks due to negative pressure, reducing the mass effect, thereby achieving the purpose of treating the aneurysm. [0004] Currently, commercial stent grafts include: intracranial stent grafts such as Willis, coronary stent grafts such as JOSTENT Graftmaster stent and Symbiot stent, aortic stent grafts such as Valiant Captivia stent and...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61F2/915A61L31/02A61L31/10A61L31/14A61L31/12
CPCA61F2/915A61F2002/91575A61L31/022A61L31/10A61L31/148
Inventor 王鲁宁刘爱华缪中荣石章智莫大鹏杨坤刘丽君李祯吴中学
Owner 北京尚宁科智医疗器械有限公司
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