CN100425206C - Taper sleeve type iso-radius contractor for cylindrical reticular stent - Google Patents
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- CN100425206C CN100425206C CNB2005100456195A CN200510045619A CN100425206C CN 100425206 C CN100425206 C CN 100425206C CN B2005100456195 A CNB2005100456195 A CN B2005100456195A CN 200510045619 A CN200510045619 A CN 200510045619A CN 100425206 C CN100425206 C CN 100425206C
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Abstract
本发明涉及支架收缩器,特别是锥套式圆筒网状支架等径收缩器。锥套式圆筒网状支架等径收缩器,包括锥套,在锥套内设有N个等分的导向锥面轨道,在每个导向锥面轨道内设有一个扇形块,N个导向锥面轨道构成锥台形状,一端为锥套大端,另一端为锥套小端;与锥套连接的驱动装置。根据圆筒网状支架结构力学特点,设计可任意连续变换直径,同时对被紧缩的支架仅有径向作用力的锥扇形机构,产生均布径向力作用在圆筒网状支架外圆柱面上,使其等径收缩。
The invention relates to a stent retractor, in particular to a tapered sleeve type cylindrical mesh stent isometric retractor. Cone-sleeve-type cylindrical mesh bracket equal-diameter shrinker, including taper sleeves, N equally divided guide cone surface rails are arranged in the cone sleeves, a fan-shaped block is provided in each guide cone surface track, and N guide cone surface tracks are provided. The tapered track forms a truncated cone shape, one end is the large end of the tapered sleeve, and the other end is the small end of the tapered sleeve; the driving device connected with the tapered sleeve. According to the mechanical characteristics of the cylindrical mesh support structure, the design can change the diameter continuously arbitrarily, and at the same time, the conical fan-shaped mechanism only has radial force on the compressed support, and produces uniform radial force to act on the outer cylindrical surface of the cylindrical mesh support. on, making it shrink isometrically.
Description
技术领域 technical field
本发明涉及支架收缩器,特别是锥套式圆筒网状支架等径收缩器。The invention relates to a stent retractor, in particular to a tapered sleeve type cylindrical mesh stent isometric retractor.
背景技术 Background technique
人类血管类疾病如冠状动脉狭窄,脑血管拴塞,血管瘤等长期以来为药物疗法或传统手术疗法。引进生物医学工程技术以来,各类基于生物医学工程科学研发的圆筒网状支架被广泛应用于上述疾病的治疗并显示出其优越疗效。该项生物医学工程技术应用中,一个重要的关键技术是将圆筒网状支架等径收缩到球囊输送系统上,以便利用球囊输送系统将圆筒网状支架准确送到病变部位,并将其定位在血管内壁上。这一关键技术成功与否对医疗效果具有极重要影响。目前技术为简易手工工具,容易造成圆筒网状支架非等径收缩或扭曲变形。不能满足生物医学工程设计要求。Human vascular diseases such as coronary artery stenosis, cerebrovascular embolism, and hemangioma have long been treated with drugs or traditional surgery. Since the introduction of biomedical engineering technology, various types of cylindrical mesh stents developed based on biomedical engineering science have been widely used in the treatment of the above diseases and have shown their superior efficacy. In the application of this biomedical engineering technology, an important key technology is to shrink the cylindrical mesh stent isometrically onto the balloon delivery system, so that the cylindrical mesh stent can be accurately delivered to the lesion by using the balloon delivery system, and Position it on the inner wall of the blood vessel. The success of this key technology has a very important impact on the medical effect. The current technology uses simple hand tools, which can easily cause non-isometric shrinkage or distortion of the cylindrical mesh stent. Cannot meet the requirements of biomedical engineering design.
发明内容 Contents of the invention
本发明目的是针对现有技术缺陷,提供一种解决锥套式圆筒网状支架等径收缩技术关键,即按生物医学工程设计要求将圆筒网状支架等径紧缩到输送球囊上,在紧缩过程中使支架在整个圆筒面上所有径向受力均匀,不发生扭曲变形,保持其原设计和制造的性能。The purpose of the present invention is to address the defects of the prior art, and provide a technical key to solve the isodiametric shrinkage of the tapered sleeve-type cylindrical mesh stent, that is, shrink the cylindrical mesh stent isometrically to the delivery balloon according to the design requirements of biomedical engineering, During the tightening process, all radial forces on the entire cylindrical surface of the bracket are uniform, no distortion occurs, and the performance of its original design and manufacture is maintained.
锥套式圆筒网状支架等径收缩器,包括锥套,在锥套内设有N个等分的导向锥面轨道,在每个导向锥面轨道内设有一个扇形块,N个导向锥面轨道构成锥台形状,一端为锥套大端,另一端为锥套小端;与锥套连接的驱动装置;Cone-sleeve-type cylindrical mesh bracket equal-diameter shrinker, including taper sleeves, N equally divided guide cone surface rails are arranged in the cone sleeves, a fan-shaped block is provided in each guide cone surface track, and N guide cone surface tracks are provided. The tapered track forms a truncated cone shape, one end is the large end of the tapered sleeve, and the other end is the small end of the tapered sleeve; the driving device connected with the tapered sleeve;
所述的驱动装置是由气缸体,与锥套大端连接的推动活塞,使扇形块复位与锥套小端连接的推杆,气缸盖,进气口,排气口构成;The driving device is composed of a cylinder block, a push piston connected to the large end of the taper sleeve, a push rod connected to the small end of the taper sleeve to reset the sector, a cylinder head, an air inlet, and an exhaust port;
所述的推杆与压缩弹簧连接;The push rod is connected with a compression spring;
所述的推杆和推动活塞上各设有夹持器;Each of the push rod and the push piston is provided with a gripper;
所述的夹持器是由两个锥形夹块和螺旋压盖构成;The holder is composed of two tapered clamping blocks and a screw gland;
所述的扇形块的两侧设有碟簧槽,在碟簧槽内设有碟簧;Disc spring grooves are provided on both sides of the fan-shaped block, and disc springs are arranged in the disc spring grooves;
所述的导向锥面轨道为8个。There are 8 guide tapered tracks.
锥套式圆筒网状支架等径收缩器的制作方法,在锥套内设有N个等分的导向锥面轨道,在每个导向锥面轨道内设有一个扇形块,N个导向锥面轨道构成锥台形状,一端为锥套大端,另一端为锥套小端,在扇形块位于锥套大端成闭合状下,在中心加工一孔,孔径D=d+s(d=圆筒网状支架紧缩后要求的直径),并将扇形块两侧均等减小s/2,使各扇形块之间保持均等间隙s=(D-d)π/8;The manufacturing method of the cone-sleeve-type cylindrical mesh support equal-diameter shrinker is provided with N equally divided guide cone surface tracks in the cone sleeve, and a fan-shaped block is provided in each guide cone surface track, and N guide cone surface tracks are provided. The surface track forms a truncated cone shape, one end is the large end of the taper sleeve, and the other end is the small end of the taper sleeve. When the fan-shaped block is located at the large end of the taper sleeve to form a closed shape, a hole is processed in the center, and the aperture D=d+s (d= The required diameter of the cylinder mesh support after tightening), and reduce both sides of the fan-shaped block equally by s/2, so that an equal gap s=(D-d)π/8 is maintained between each fan-shaped block;
所述的N为8。Said N is 8.
本发明优点效果:锥套式圆筒网状支架等径收缩器具有如下独特的优点:Advantages and effects of the present invention: the tapered sleeve type cylindrical mesh bracket isometric shrinker has the following unique advantages:
1.只要制造满足设计要求,该项发明原理使得圆筒网状支架及其系统在等径紧缩过程中不受任何附加力,保证圆筒网状支架仅受到扇形块内圆柱弧形面的径向力,确保圆筒网状支架等径收缩符合原设计和制造的技术性能要求。1. As long as the manufacture meets the design requirements, the principle of the invention makes the cylindrical mesh support and its system not subject to any additional force during the isometric compression process, ensuring that the cylindrical mesh support is only affected by the diameter of the cylindrical arc surface in the sector block. To ensure that the isodiametric shrinkage of the cylindrical mesh stent meets the technical performance requirements of the original design and manufacture.
2.扇形块内侧圆柱弧形面在紧缩初期与被紧缩的圆筒网状支架外侧圆柱面曲率相等,圆柱弧形面与支架的外圆柱面全部吻合。支架外圆柱面均匀受到径向紧缩力的面积达90%以上。在紧缩过程中支架外圆柱面曲率递减,扇形块内圆柱弧形面两侧逐渐与支架外圆柱面分离。到紧缩结束,按理论计算,扇形块内圆柱弧形面与支架外圆柱面两端点的分离间隙为0.02mm,递减到圆柱弧形面20°夹角位置,仅为0.004mm。考虑到圆筒网状支架在紧缩过程中的弹性变形,可以认为应用该项发明技术,可以使圆筒网状支架外圆柱面在整个紧缩过程中始终与紧缩器扇形块内圆柱弧形面吻合。在目前已知的圆筒网状支架等径收缩技术中,尚无达此水平的。2. The curvature of the inner cylindrical arc surface of the fan-shaped block is equal to that of the outer cylindrical surface of the compressed cylindrical mesh support at the initial stage of compression, and the cylindrical arc surface completely coincides with the outer cylindrical surface of the support. The area of the outer cylindrical surface of the bracket uniformly subjected to the radial compression force reaches more than 90%. During the tightening process, the curvature of the outer cylindrical surface of the bracket decreases gradually, and both sides of the arc-shaped inner cylindrical surface of the fan-shaped block gradually separate from the outer cylindrical surface of the bracket. At the end of the tightening, according to theoretical calculations, the separation gap between the inner cylindrical arc surface of the sector block and the two ends of the outer cylindrical surface of the bracket is 0.02mm, which decreases to only 0.004mm at the 20° angle between the cylindrical arc surface. Considering the elastic deformation of the cylindrical mesh support during the tightening process, it can be considered that the application of this invention technology can make the outer cylindrical surface of the cylindrical mesh support consistent with the inner cylindrical arc surface of the compressor sector during the entire tightening process . Among the currently known isometric shrinkage techniques of cylindrical mesh stents, there is no one that reaches this level.
3.由于该发明采用电信号控制技术,因此与数控技术有很好的接口性能。圆筒网状支架通常采用壁厚为80-116um,直径为1.6mm的医用不锈钢管经数控激光精密镂刻制成。其长度为20-45mm不等,根据患者体征及病变部位要求而定。3. Since the invention adopts electric signal control technology, it has good interface performance with numerical control technology. Cylindrical mesh stents are usually made of medical stainless steel tubes with a wall thickness of 80-116um and a diameter of 1.6mm through CNC laser precision engraving. Its length ranges from 20-45mm, depending on the patient's signs and lesion site requirements.
圆筒网状支架设计结构严格依据血管动力学,生物力学,弹性力学计算数据,应用计算机辅助设计而成。其设计确保圆筒网状支架径向张力各向均匀,允差小于0.1%。整体设计和激光精密加工工艺保证了圆筒网状支架具有良好的血管内推送性,血管通过的柔顺性和弯曲性。该发明的目的是研究解决圆筒网状支架等径收缩的技术关键,即按生物医学工程设计要求将圆筒网状支架等径紧缩到输送球囊上,在紧缩过程中使支架在整个圆筒面上所有径向受力均匀,不发生扭曲变形,保持其原设计和制造的性能。The design structure of the cylindrical mesh stent is strictly based on the calculation data of vascular dynamics, biomechanics, and elastic mechanics, and is designed by computer aided design. Its design ensures that the radial tension of the cylindrical mesh support is uniform in all directions, and the tolerance is less than 0.1%. The overall design and laser precision processing technology ensure that the cylindrical mesh stent has good intravascular pushability, flexibility and bending of blood vessels. The purpose of this invention is to study the technical key to solve the isodiametric shrinkage of the cylindrical mesh stent, that is, shrink the cylindrical mesh stent isometrically to the delivery balloon according to the design requirements of biomedical engineering, and make the stent expand in the entire circle during the tightening process. All radial forces on the surface of the cylinder are uniform, no distortion occurs, and the performance of its original design and manufacture is maintained.
根据圆筒网状支架结构力学特点,设计可任意连续变换直径,同时对被紧缩的支架仅有径向作用力的锥扇形机构,产生均布径向力作用在圆筒网状支架外圆柱面上,使其等径收缩。According to the mechanical characteristics of the cylindrical mesh support structure, the design can change the diameter continuously arbitrarily, and at the same time, the conical fan-shaped mechanism only has radial force on the compressed support, and produces uniform radial force to act on the outer cylindrical surface of the cylindrical mesh support. on, making it shrink isometrically.
如图所示,根据数学原理,将锥台8等份,成为8个扇形块。在扇形块位于锥套大端成闭合状下,在中心加工一孔,孔径D=d+s(d=圆筒网状支架紧缩后要求的直径)。并将扇形块两侧均等减小s/2,使各扇形块之间保持均等间隙s=(D-d)π/8(如图2)。当8个扇形块同步沿轨道锥面移动到锥套小端,扇形块间隙闭合,使中心孔直径减小为d=D-s(如图3)。As shown in the figure, according to the mathematical principle, divide the frustum into 8 equal parts to form 8 fan-shaped blocks. When the fan-shaped block is positioned at the large end of the taper sleeve and becomes closed, a hole is processed in the center, and the aperture D=d+s (d=the required diameter of the cylindrical mesh support after tightening). And reduce s/2 equally on both sides of the fan-shaped block, so that an equal gap s=(D-d)π/8 is maintained between each fan-shaped block (as shown in Figure 2). When the 8 sectors move synchronously along the track cone to the small end of the tapered sleeve, the sector gaps are closed, and the diameter of the central hole is reduced to d=D-s (as shown in Figure 3).
附图说明 Description of drawings
图1是本发明结构示意图;图2是本发明的C-C向锥台大端剖示图。图3是本发明的B-B向锥台小端剖示图;图4a是本发明的扇形块放大图;图4b是本发明扇形块A-A向剖示图;图5是本发明锥形夹块的结构示意图;图6是本发明的推动活塞示意图;图7是本发明的推杆结构示意图;图8是网状支架结构示意图;图9为网状支架使用状态示意图。Fig. 1 is a schematic diagram of the structure of the present invention; Fig. 2 is a sectional view of the large end of the C-C direction of the frustum of the present invention. Fig. 3 is the sectional view of B-B of the present invention to the small end of the frustum of the cone; Fig. 4a is the enlarged view of the sector block of the present invention; Fig. 4b is the sectional view of the sector block A-A of the present invention; Fig. 5 is the sectional view of the tapered clamping block of the present invention Schematic diagram of the structure; Figure 6 is a schematic diagram of the push piston of the present invention; Figure 7 is a schematic diagram of the structure of the push rod of the present invention; Figure 8 is a schematic diagram of the structure of the mesh support; Figure 9 is a schematic diagram of the state of use of the mesh support.
图中锥套1;气缸体2;扇形块3;推杆4;推动活塞5;气缸盖6;压缩弹簧7;夹持器8;锥形夹块9;螺旋压盖10;碟簧11;碟簧槽12;进气口13;排气口14;球囊15;支架16。In the figure, taper sleeve 1;
具体实施方式 Detailed ways
本实施例以8等分的导向锥面轨道为例。锥套式圆筒网状支架等径收缩器技术方案及结构特点如下:锥套1内设有8个导向锥面轨道,锥面轨道内设有8个扇形块3,锥面轨道、扇形块等均精密加工而成,其外形尺寸,中心孔尺寸均设定在极微小的公差内。扇形块3两侧设有碟簧槽12,在碟簧槽12内设有碟簧11,8个扇形块3在碟簧11力的作用下,始终贴合在锥套导轨上滑动。在其两端分别设有推杆4、推动活塞5。为了保证圆筒网状支架在紧缩中始终处于8个扇形块包络成的圆柱中心位置,在推杆4和推动活塞5上各设有自动校中夹持器8,该夹持器8由两半锥形夹块9和螺旋压盖10构成。这种设计结构确保夹持器8、推杆4、推动活塞5、扇形块3能同步进行水平方向的移动。也就确保了在夹持器8上的圆筒网状支架系统与紧缩器之间不发生任何相对移动。In this embodiment, the guide tapered track divided into 8 equal parts is taken as an example. The technical scheme and structural features of the tapered sleeve type cylindrical mesh support isometric shrinker are as follows: the tapered sleeve 1 is equipped with 8 guiding cone tracks, and the cone track is equipped with 8 fan-
推动活塞5由气缸体2和气缸盖6形成的气缸内压缩空气推动。推杆4由压缩弹簧7推动。控制电磁阀在来电信号作用下导通,压缩空气从进气口13进入气缸,推动活塞5、扇形块3和推杆4一起向锥套小端移动,此时压缩弹簧7被压缩。8个扇形块3在水平移动的同时,受锥套导轨斜面的径向分力,做径向移动,同时其内侧的圆柱面弧形对支架施加径向作用力。其中心所包络的圆柱面直径连续变小,最后达到圆筒网状支架紧缩要求的直径d。The
当支架紧缩完成,控制电磁阀来电信号取消,气缸内压力由排气口14排掉,推杆4在压缩弹簧7的压力下推动扇形块3和推动活塞4一起回位到锥套大端,扇形块包络的中心孔直径增大到d+s。When the bracket tightening is completed, the incoming signal of the control solenoid valve is canceled, the pressure in the cylinder is discharged from the
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CN106361467B (en) * | 2015-07-24 | 2019-05-31 | 上海微创心通医疗科技有限公司 | The loading attachment of implant |
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CN2798852Y (en) * | 2005-01-06 | 2006-07-26 | 大连大学 | Taper sleeve type equal-diameter contractor for cylindraceous network holder |
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