CN201058061Y - Implant in vascellum cavity of aortic arch with branch - Google Patents

Implant in vascellum cavity of aortic arch with branch Download PDF

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Publication number
CN201058061Y
CN201058061Y CNU2007200709390U CN200720070939U CN201058061Y CN 201058061 Y CN201058061 Y CN 201058061Y CN U2007200709390 U CNU2007200709390 U CN U2007200709390U CN 200720070939 U CN200720070939 U CN 200720070939U CN 201058061 Y CN201058061 Y CN 201058061Y
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China
Prior art keywords
branch
bracket
main part
aortic arch
utility
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Expired - Fee Related
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CNU2007200709390U
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Chinese (zh)
Inventor
景在平
袁良喜
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Priority to CNU2007200709390U priority Critical patent/CN201058061Y/en
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Abstract

The utility model relates to the technical field of the medical appliance, in particular to an endovascular graft which has a branch and is applicable to aortic arch part with pathological changes. The utility model is composed of a wire bracket (1) and a tubular fiber fabric (2) fixed in the bracket and is divided into a main body part (3) and a branch (4); wherein, the bracket (1) is structured as that a hyperelastic thin alloy wire is coiled into a plurality of bracket circles after being continuously folded in Z shape and is arranged like a tube; the first bracket circle (5) close to the center of the main body part is exposed with no fabric. The relative positions of the endovascular graft are provided with metal markers (6). The utility model is simple for operation, high in operation success rate, little in wound and low in complication rate when being implanted.

Description

Aortic arch portion is with ramose endovascular graft
Technical field
This utility model relates to technical field of medical instruments, is a kind of ramose endovascular graft of being with of aortic arch portion that is applicable to.
Background technology
Along with growth in the living standard and inspection development of technology, the angiopathy of aortic arch portion presents ascendant trend, and the disease of involving aortic arch portion three big branch vessel (innominate artery, left common carotid artery, left subclavian artery) comprises aortic arch portion true aneurysm, Stanford A type dissection of aorta or the like.Often because factor such as aortosclerosis, hypertension and vasodilation takes place gradually, after arterial wall is expanded to a certain degree, can not bear the impact of blood stream pressure and break suddenly behind this type of disease incidence, thereby cause patient's sudden death.
In recent years, adopt endovascular graft minimally-invasive treatment arotic disease to obtain develop rapidly, reduced the complication rate and the mortality rate of operation.The blood vessel inner cavity insulation therapeutic appliance that this operation is used is called barrier systems in endovascular graft or the lumen of vessels, form by wire rack mount and the tubular fiber fabric that is fixed in the support, support is provided with the metal marker thing, so that under the X line, it is accurately pushed to diseased region with carrier, its medium-height trestle surrounds into some bracket loops after folding and is arranged in tubulose and forms by the thin alloy silk of super bullet is continuously Z-shaped, be used for fabric being strutted and being fixed in diseased region, fabric is equivalent to artificial blood vessel, is attached at diseased region and (sees CN2427227Y " a kind of novel vascular inner cavity insulation system " for details with lesion vessels section and blood flow are isolated; CN2427172Y " barrier systems in a kind of novel descending aorta lumen of vessels ").Shape and ramose difference thereof according to the diseased region blood vessel can be made into different endovascular grafts.With carrier endovascular graft is delivered to the vascular lesion position and discharge, the swollen voluntarily blood vessel wall of being close to diseased region of opening of support so promptly can be avoided aneurysm to break under blood flow impacts, thereby reach the minimally-invasive treatment purpose.
The bifurcated artery that aorta sends is numerous, and with the blood of supply corresponding organs, wherein the innominate artery, left common carotid artery and the left subclavian artery that send of aortic arch portion is supply head and upper limb blood, and its importance is apparent.At present adopt of aortic arch portion disease opened breast extracorporeal circulation aorta replacement operation more, operation wound is big, also have in recent years and use endovascular graft, but this graft is not with branch, so the branch vessel of aortic arch portion must be gone shunt, promptly need to rebuild bow part branch vessel, operation wound is big like this, post-operative complication rate and mortality rate height bring huge misery and financial burden to the patient.
Summary of the invention
The purpose of this utility model provides a kind of ramose endovascular graft of being with of aortic arch portion that is applicable to.When this kind endovascular graft was placed aortic arch portion, its branch inserted in innominate artery or left common carotid artery or the left subclavian artery, can guarantee head and the confession of upper limb blood, and helped the fixing of endovascular graft.
This utility model is made up of wire rack mount and the tubular fiber fabric that is lining in the support, be divided into main part and branch's two parts, support continuously Z-shapedly surrounds into some bracket loops after folding and is arranged in tubulose and forms by the thin alloy silk of super bullet is capable, be used for fabric being strutted and being fixed in diseased region, fabric is equivalent to artificial blood vessel, is attached at diseased region lesion vessels section and blood flow are completely cut off.Main part proximal part first lap does not cover fabric for exposed bracket loop, it is characterized in that according to the hemangioma present position, corresponding site at innominate artery or left common carotid artery or left subclavian artery is provided with branch, and be provided with the metal marker thing in the region of interest of endovascular graft, as being provided with the metal marker thing at tubular fiber fabric periphery and main part and ramose boundary, so as when to insert under the X line according to its accurately location of developing.The length of main part is different because of the difference of the residing position of each branch and each branch's caliber size.To branch into the boundary, be with the ramose graft of innominate artery, its nearly heart section (not containing exposed bracket loop) is long than other two kinds of grafts, is generally 30-110mm, and heart section far away is shorter, is generally 10-15mm; The nearly heart section of the band ramose graft of left common carotid artery is suitable with heart segment length far away, is 10-15mm; And the ramose graft of band left subclavian artery, its nearly heart section is generally 10-15mm, and heart Duan Ze far away is longer, is generally 30-150mm.This utility model can be made different specifications and models as required.
During use, according to the difference of aortic arch portion diseased region, select the graft of corresponding specifications and models, insert carrier after folding, under the X line, import aortic arch portion relevant position along blood vessel routinely, during release branch is inserted corresponding branch vessel and get final product by import system.
Easy to operate when this utility model is implanted, the success rate of operation height, wound is little.
Description of drawings
Fig. 1 is a side-looking structural representation of the present utility model.
Fig. 2 is a perspective view of the present utility model.
Fig. 3 is the ramose side-looking structural representation of this utility model band innominate artery.
Fig. 4 is the ramose side-looking structural representation of this utility model band left common carotid artery.
Fig. 5 is the ramose side-looking structural representation of this utility model band left subclavian artery.
The specific embodiment
Now in conjunction with the accompanying drawings and embodiments this utility model is described in detail.
This utility model is made up of wire rack mount 1 and the tubular fiber fabric 2 that is fixed in the support, divide main part 3 and branch's 4 two parts, the main part 3 proximal part first lap bracket loops 5 exposed fabrics that do not cover, the region of interest of endovascular graft is provided with metal marker thing 6, is provided with metal marker thing 6 as the boundary at tubular fiber fabric periphery and main part 3 and branching portion 4.
The ramose aortic arch of embodiment 1 one kinds of bands innominate artery portion endovascular graft
This utility model support 1 usefulness diameter is that the nitinol alloy wire braiding of 1mm forms, the tubular fiber fabric 2 of liner is a polyester material, main part 3 external diameter 34mm, length 120mm, branch's 4 external diameters are 10mm, length is 10mm, the nearly heart segment length of main part is 95mm, the end exposes the long 15mm of support, main part heart segment length far away is 15mm, the opening part of main part proximal part, distal end, main part and ramose intersection and tubing respectively is provided with 4 figure of eight metal marker things, is symmetrically distributed about presenting down.
The ramose aortic arch of embodiment 2 one kinds of bands left common carotid artery portion endovascular graft
This utility model main part 3 external diameter 36mm, length 48mm, the 4 external diameter 8mm of branch, length 10mm, the nearly heart segment length of main part is 15mm, heart segment length far away is 15mm.All the other are with embodiment 1.
The ramose aortic arch of embodiment 3 one kinds of bands left subclavian artery portion endovascular graft
This utility model main part 3 external diameter 32mm, length 100mm, the 4 diameter 8mm of branch, length 10mm, the nearly heart segment length of main part 15mm, heart segment length 67mm far away.All the other are with embodiment 1.

Claims (1)

1. an aortic arch portion is with ramose endovascular graft, form by wire rack mount (1) and the tubular fiber fabric (2) that is fixed in the support, divide main part (3) and branch (4) two parts, support (1) continuously Z-shapedly surrounds into some bracket loops after folding and is arranged in tubulose and forms by the thin alloy silk of super bullet is capable, the exposed fabric that do not cover of main part (3) proximal part first lap bracket loop (5), the region of interest of endovascular graft is provided with metal marker thing (6), it is characterized in that branch (4) is positioned at the position of main part (3) corresponding to innominate artery or left common carotid artery or left subclavian artery, the length of main part is difference with the difference of the residing position of each branch and each branch's caliber size.
CNU2007200709390U 2007-06-12 2007-06-12 Implant in vascellum cavity of aortic arch with branch Expired - Fee Related CN201058061Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNU2007200709390U CN201058061Y (en) 2007-06-12 2007-06-12 Implant in vascellum cavity of aortic arch with branch

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNU2007200709390U CN201058061Y (en) 2007-06-12 2007-06-12 Implant in vascellum cavity of aortic arch with branch

Publications (1)

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CN201058061Y true CN201058061Y (en) 2008-05-14

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Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101675904A (en) * 2008-09-19 2010-03-24 景在平 Self-protuberant aortic intracavity implant
CN102599996A (en) * 2011-01-24 2012-07-25 赵维刚 Preparation method of absorbable stent in cerebral vascular bypass surgery and angioplasty
CN102740807A (en) * 2009-11-30 2012-10-17 恩多斯潘有限公司 Multi-component stent-graft system for implantation in a blood vessel with multiple branches
CN104161604A (en) * 2014-08-06 2014-11-26 中国人民解放军第二军医大学 Split multilayer arterial uncovered stent
CN104161606A (en) * 2014-08-18 2014-11-26 柳克祥 Artificial blood vessel with support
CN104161605A (en) * 2014-08-18 2014-11-26 柳克祥 Improved support artificial blood vessel
US8951298B2 (en) 2011-06-21 2015-02-10 Endospan Ltd. Endovascular system with circumferentially-overlapping stent-grafts
CN105662650A (en) * 2016-03-21 2016-06-15 中国医科大学附属第一医院 Integrated coated branched vascular stent and conveying system thereof
US9427339B2 (en) 2011-10-30 2016-08-30 Endospan Ltd. Triple-collar stent-graft
US9526638B2 (en) 2011-02-03 2016-12-27 Endospan Ltd. Implantable medical devices constructed of shape memory material
CN106473835A (en) * 2016-10-11 2017-03-08 有研医疗器械(北京)有限公司 Branched membrane-covered support and its induction system and method for releasing
US9597204B2 (en) 2011-12-04 2017-03-21 Endospan Ltd. Branched stent-graft system
US9668892B2 (en) 2013-03-11 2017-06-06 Endospan Ltd. Multi-component stent-graft system for aortic dissections
US9770350B2 (en) 2012-05-15 2017-09-26 Endospan Ltd. Stent-graft with fixation elements that are radially confined for delivery
US9839510B2 (en) 2011-08-28 2017-12-12 Endospan Ltd. Stent-grafts with post-deployment variable radial displacement
US9918825B2 (en) 2009-06-23 2018-03-20 Endospan Ltd. Vascular prosthesis for treating aneurysms
CN109172043A (en) * 2018-09-12 2019-01-11 于存涛 Close to the aorta ascendens bracket being anchored by innominate artery and transportation system of dissection
CN109833124A (en) * 2017-11-24 2019-06-04 杭州唯强医疗科技有限公司 Improve the vascular shunt frame and intravascular stent of development visibility
US10485684B2 (en) 2014-12-18 2019-11-26 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
US10603197B2 (en) 2013-11-19 2020-03-31 Endospan Ltd. Stent system with radial-expansion locking

Cited By (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101675904A (en) * 2008-09-19 2010-03-24 景在平 Self-protuberant aortic intracavity implant
US11090148B2 (en) 2009-06-23 2021-08-17 Endospan Ltd. Vascular prosthesis for treating aneurysms
US9918825B2 (en) 2009-06-23 2018-03-20 Endospan Ltd. Vascular prosthesis for treating aneurysms
US8945203B2 (en) 2009-11-30 2015-02-03 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US12127929B2 (en) 2009-11-30 2024-10-29 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US10888413B2 (en) 2009-11-30 2021-01-12 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
CN102740807A (en) * 2009-11-30 2012-10-17 恩多斯潘有限公司 Multi-component stent-graft system for implantation in a blood vessel with multiple branches
CN102740807B (en) * 2009-11-30 2015-11-25 恩多斯潘有限公司 For implantation into the multi-part overlay film frame system had in the blood vessel of multiple branch
US10201413B2 (en) 2009-11-30 2019-02-12 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
CN102599996A (en) * 2011-01-24 2012-07-25 赵维刚 Preparation method of absorbable stent in cerebral vascular bypass surgery and angioplasty
US9526638B2 (en) 2011-02-03 2016-12-27 Endospan Ltd. Implantable medical devices constructed of shape memory material
US8951298B2 (en) 2011-06-21 2015-02-10 Endospan Ltd. Endovascular system with circumferentially-overlapping stent-grafts
US9839510B2 (en) 2011-08-28 2017-12-12 Endospan Ltd. Stent-grafts with post-deployment variable radial displacement
US9427339B2 (en) 2011-10-30 2016-08-30 Endospan Ltd. Triple-collar stent-graft
US9597204B2 (en) 2011-12-04 2017-03-21 Endospan Ltd. Branched stent-graft system
US9770350B2 (en) 2012-05-15 2017-09-26 Endospan Ltd. Stent-graft with fixation elements that are radially confined for delivery
US9668892B2 (en) 2013-03-11 2017-06-06 Endospan Ltd. Multi-component stent-graft system for aortic dissections
US10603197B2 (en) 2013-11-19 2020-03-31 Endospan Ltd. Stent system with radial-expansion locking
CN104161604B (en) * 2014-08-06 2016-08-24 中国人民解放军第二军医大学 A kind of split type multilamellar tremulous pulse bare bracket
CN104161604A (en) * 2014-08-06 2014-11-26 中国人民解放军第二军医大学 Split multilayer arterial uncovered stent
CN104161605A (en) * 2014-08-18 2014-11-26 柳克祥 Improved support artificial blood vessel
CN104161606A (en) * 2014-08-18 2014-11-26 柳克祥 Artificial blood vessel with support
US10485684B2 (en) 2014-12-18 2019-11-26 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
US11419742B2 (en) 2014-12-18 2022-08-23 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
CN105662650A (en) * 2016-03-21 2016-06-15 中国医科大学附属第一医院 Integrated coated branched vascular stent and conveying system thereof
CN106473835B (en) * 2016-10-11 2019-04-19 有研医疗器械(北京)有限公司 Branched membrane-covered support and its transportation system and method for releasing
CN106473835A (en) * 2016-10-11 2017-03-08 有研医疗器械(北京)有限公司 Branched membrane-covered support and its induction system and method for releasing
CN109833124A (en) * 2017-11-24 2019-06-04 杭州唯强医疗科技有限公司 Improve the vascular shunt frame and intravascular stent of development visibility
CN109172043A (en) * 2018-09-12 2019-01-11 于存涛 Close to the aorta ascendens bracket being anchored by innominate artery and transportation system of dissection

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Date Code Title Description
C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20080514

Termination date: 20160612