Internal carotid artery integrated release umbrella-shaped protective stent
Technical Field
The invention relates to the technical field of medical instruments, in particular to an integrated release umbrella-shaped protective bracket for an internal carotid artery.
Background
Carotid Angioplasty and Stenting (CAS) are minimally invasive therapies for treating carotid stenosis. Since the introduction of this approach 20 years ago, the use of CAS has steadily increased, with CAS being used in 8% of 107000 carotid surgeries performed in europe in 2001. Without the discomfort of a sizeable neck incision, the prospect of outpatient surgery has led patients to decide to discard carotid endarterectomy, the first procedure used to treat carotid bifurcation disease in the past fifty years.
According to the above, the release mechanism of the prior clinical traditional internal carotid artery elastic stent and the recovery mechanism of the protective umbrella are two independent systems, when the support is released, the support release system needs to be withdrawn firstly, then the protective umbrella is recovered by the protective umbrella recovery conduit, therefore, the secondary operation is needed, the operation is complicated, the problem that the thrombus in the protective umbrella escapes easily, meanwhile, the released bracket is needed to pass through in the process of recovering the catheter by the protective umbrella again after the bracket release system is withdrawn, if the blood vessel is circuitous or the stent is not well pre-expanded, the recovery catheter of the protective umbrella often meets great resistance and can not pass through the stent to reach the position of the protective umbrella, therefore, the protective umbrella cannot be recovered, serious complications such as vascular occlusion and the like are caused, and finally great hidden danger is brought to clinical popularization and application.
Disclosure of Invention
The technical problem to be solved by the invention is as follows: provides an internal carotid artery integrated release umbrella-shaped protective stent to solve the problems brought forward by the background technology.
In order to solve the technical problems, the technical scheme of the invention is as follows: internal carotid artery integral type release umbrella-shaped protective bracket comprises a guide wire, a protective umbrella sleeve, a protective umbrella, an elastic ring, a pull rope, a fixed block, a bracket clamping pipe, a placing groove, an elastic bracket and a bracket sleeve, wherein the protective umbrella sleeve penetrates through the guide wire, the protective umbrella sleeve is connected with the guide wire in a sliding way, the protective umbrella penetrates through the port at the left side of the guide wire, the protective umbrella is connected with the guide wire glue, the elastic ring is positioned on the outer wall at the right side of the protective umbrella, the elastic ring is connected with the protective umbrella glue, the pull rope is positioned at the upper end at the right side of the elastic ring, the pull rope is connected with the elastic ring rope system, the fixed block penetrates through the outer part at the left side of the guide wire, the fixed block is integrally connected with the guide wire, the fixed block is connected with the pull rope system, the bracket clamping pipe penetrates through the outer part of the protective umbrella sleeve, the placing groove is located on the left side of the outer wall of the support clamping pipe, the placing groove is a groove, the elastic support is located inside the placing groove, the elastic support is movably connected with the support clamping pipe, the support sleeve pipe penetrates through the outer portion of the support clamping pipe, and the support sleeve pipe is connected with the support clamping pipe in a sliding mode.
Furthermore, seal wire left side port department still be equipped with the godet head, godet head and seal wire an organic whole link to each other.
Furthermore, a clamping groove is further formed in the left side of the inner wall of the protective umbrella sleeve, and the clamping groove is a circular groove.
Furthermore, the upper end and the lower end of the right side in the support clamping pipe are also provided with limiting holes, and the limiting holes are circular through holes.
Further, the upper end and the lower end of the inner right side of the support sleeve are also provided with avoiding grooves which are rectangular grooves.
Furthermore, the top of the right side of the support sleeve is also provided with a pull ring, and the pull ring is integrally connected with the support sleeve.
Furthermore, a fixing sleeve penetrates through the outer wall of the right side of the support sleeve, and the fixing sleeve is connected with the support sleeve in a sliding mode.
Further, the upper end and the lower end of the right side in the fixed sleeve are also penetrated with bolts, the bolts are connected with the fixed sleeve in a threaded manner, and the bolts are tightly matched and connected with the support clamping pipe.
Furthermore, a plurality of circulation holes are arranged in the protective umbrella, and the circulation holes are circular through holes.
Compared with the prior art, the internal carotid artery integrated release umbrella-shaped protective bracket has the advantages that during operation, medical staff firstly penetrates the umbrella-shaped protective bracket into the internal carotid artery of a patient, namely the thread guide head penetrates through the narrow artery area and drives the protective umbrella to be arranged at the narrow far end of the internal carotid artery, the elastic bracket is positioned in the narrow artery area, then the medical staff rotates the bolt, even if the bolt rotates outwards along the fixed sleeve, after the bolt cancels the limit on the protective umbrella sleeve, the medical staff pulls the protective umbrella sleeve, namely the protective umbrella sleeve slides outwards along the thread guide, namely the clamping groove at the left side inside the protective umbrella sleeve is separated from the restraint on the protective umbrella, at the moment, the protective umbrella can be driven to be unfolded through the elastic effect of the elastic ring, namely the protective umbrella drives the stay cord to be in the unfolded state, and the protective umbrella is made of latex, so that the protective umbrella has good elastic effect, and can be well, at the moment, the collection of the dropped plaque embolus in the subsequent elastic stent releasing process can be achieved through the action of the protective umbrella, and the normal circulation of blood can also be realized due to the action of the circulation hole, then the medical staff can carry out the releasing operation of the elastic stent, concretely, firstly, the medical staff pulls the pull ring, namely, the pull ring drives the stent sleeve to slide outwards along the stent clamping tube, the avoidance of the bolt can be achieved due to the avoidance groove action of the upper end and the lower end of the right side in the stent sleeve, namely, the stent sleeve can be withdrawn along the stent clamping tube, when the left side of the inner wall of the stent sleeve is separated from the elastic stent, the elastic stent has good elastic effect due to the fact that the elastic stent is made of nickel-titanium alloy or cobalt-chromium alloy, when the stent sleeve is cancelled to limit the stent sleeve, the elastic expansion can be carried out, namely, the elastic stent is separated from the, the release expansion of the elastic support is realized, at the moment, the expansion supporting purpose of the artery narrow region can be achieved through the release action of the elastic support, meanwhile, the plaque embolus can fall off due to the release process of the elastic support, namely, the fallen plaque embolus flows into the protective umbrella, the escape condition of the thrombus in the protective umbrella is effectively avoided, after the release of the elastic support is finished, medical personnel push the protective umbrella sleeve, namely, the clamping groove in the protective umbrella sleeve slides towards the protective umbrella along the guide wire, at the moment, the stretching wire can drive the protective umbrella to shrink under the action of the protective umbrella sleeve, then the guide wire, the protective umbrella sleeve, the protective umbrella, the support clamping pipe and the support sleeve are withdrawn from the internal carotid artery together, the internal carotid artery integrated release umbrella-type protective support is ingenious in structure and powerful in function, and is designed through the umbrella-type storage and support release integrated type, can effectually avoid traditional support release back, need withdraw from support release mechanism earlier, go deep into the problem that the umbrella retrieved the mechanism again, avoid secondary repetitive operation, also prevented in addition that the umbrella retrieves the risk that the pipe can not pass through the release support, greatly improved the security of operation, also saved the operation time, finally reach fine clinical popularization and application purpose.
Drawings
FIG. 1 is a front view of an internal carotid artery integrated release umbrella-shaped protective stent;
FIG. 2 is an enlarged perspective view of the umbrella part;
FIG. 3 is an enlarged view of the released expanded state of the resilient mount;
FIG. 4 is an enlarged perspective view of the stent sleeve;
FIG. 5 is an enlarged sectional view of a portion of the placement groove;
FIG. 6 is an enlarged cross-sectional view of the bolt;
FIG. 7 is a view showing a state where the stopper hole portion is leaked.
The device comprises a guide wire 1, a protective umbrella sleeve 2, a protective umbrella 3, an elastic ring 4, a pull rope 5, a fixing block 6, a support clamping tube 7, a placing groove 8, an elastic support 9, a support sleeve 10, a guide wire head 101, a clamping groove 201, a circulation hole 301, a limiting hole 701, an avoiding groove 1001, a pull ring 1002, a fixing sleeve 1003 and a bolt 1004.
The following detailed description will be further described in conjunction with the above-identified drawings.
Detailed Description
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the concepts underlying the described embodiments, however, it will be apparent to one skilled in the art that the described embodiments may be practiced without some or all of these specific details, and in other cases well-known process steps have not been described in detail.
As shown in fig. 1, 2, 3, 4, 5, 6 and 7, the internal carotid artery integrated release umbrella-shaped protective stent comprises a guide wire 1, a protective umbrella sleeve 2, a protective umbrella 3, an elastic ring 4, a pull rope 5, a fixing block 6, a stent clamping tube 7, a placement groove 8, an elastic stent 9 and a stent sleeve 10, wherein the protective umbrella sleeve 2 penetrates through the outer part of the guide wire 1, the protective umbrella sleeve 2 is connected with the guide wire 1 in a sliding manner, the protective umbrella 3 penetrates through the left side port of the guide wire 1, the protective umbrella 3 is connected with the guide wire 1 by glue, the elastic ring 4 is positioned on the outer wall of the right side of the protective umbrella 3, the elastic ring 4 is connected with the protective umbrella 3 by glue, the pull rope 5 is positioned at the upper end of the right side of the elastic ring 4, the pull rope 5 is connected with the elastic ring 4 by a rope, the fixing block 6 penetrates through the outer part of the left side of the guide wire 1, the fixing block 6 is, just fixed block 6 link to each other with stay cord 5 tether, support card pipe 7 run through in the outside of umbrella protection sleeve pipe 2, support card pipe 7 slide with umbrella protection sleeve pipe 2 and link to each other, standing groove 8 be located support card pipe 7 outer wall left side, standing groove 8 be the recess, elastic support 9 be located inside standing groove 8, elastic support 9 link to each other with support card pipe 7 activity, support sleeve pipe 10 run through in the outside of support card pipe 7, support sleeve pipe 10 slide with support card pipe 7 and link to each other, seal wire 1 left side port department still be equipped with seal wire head 101, seal wire head 101 and seal wire 1 an organic whole link to each other, umbrella protection sleeve pipe 2 inner wall left side still be equipped with draw-in groove 201, draw-in groove 201 be circular recess, support card pipe 7 inside right side about both ends still be equipped with spacing hole 701, support sleeve 10 inside right side about both ends still be equipped with and dodge groove 1001, dodge groove 1001 be the rectangle recess, support sleeve 10 right side top still be equipped with pull ring 1002, pull ring 1002 link to each other with support sleeve 10 is integrative, support sleeve 10 right side outer wall still run through fixed cover 1003, fixed cover 1003 slide with support sleeve 10 and link to each other, fixed cover 1003 inside right side about both ends still run through bolt 1004, bolt 1004 and fixed cover 1003 screw thread link to each other, just bolt 1004 and support card pipe 7 tight fit link to each other, 3 inside circulation holes 301 that still all are equipped with a plurality of quantity of fender umbrella, circulation hole 301 be circular through-hole.
The internal carotid artery integrated release umbrella-shaped protective stent has the advantages that during operation, medical staff firstly deepens the umbrella-shaped protective stent into the internal carotid artery of a patient, namely a thread guide head 101 penetrates through the narrow artery region and drives a protective umbrella 3 to be arranged at the narrow far end of the internal carotid artery, the umbrella-shaped protective stent is synchronous, an elastic stent 9 is positioned in the narrow artery region, then the medical staff rotates a bolt 1004, even if the bolt 1004 rotates outwards along a fixed sleeve 1003, after the bolt 1004 cancels the limit on a protective umbrella sleeve 2, the medical staff pulls the protective umbrella sleeve 2 again, namely the protective umbrella sleeve 2 slides outwards along a thread guide 1, namely a clamping groove 201 on the left side inside the protective umbrella sleeve 2 is separated from the restraint on the protective umbrella 3, at the moment, the protective umbrella 3 can be driven to be unfolded through the elastic effect of an elastic ring 4, namely the protective umbrella 3 drives a pull rope 5 to be in a stretching state, and the protective umbrella 3 is made of, thereby can be well expanded, at the moment, the function of the protective umbrella 3 can be used for collecting the desquamation plaque embolus which appears in the subsequent elastic support 9 releasing process, and the normal circulation of blood can be realized due to the function of the circulation hole 301, then the medical staff can carry out the releasing operation of the elastic support 9, concretely, firstly, the medical staff pulls the pull ring 1002, namely, the pull ring 1002 drives the support sleeve 10 to slide outwards along the support clamping tube 7, due to the function of the avoiding groove at the upper end and the lower end of the right side in the support sleeve 10, the avoiding of the bolt 1001 can be realized, namely, the support sleeve 10 can withdraw along the support clamping tube 7, after the left side of the inner wall of the support sleeve 10 is separated from the elastic support 9, the elastic support 9 is made of nickel-titanium alloy or cobalt-chromium alloy, has good elastic effect, when the support sleeve 10 is cancelled to limit the elastic support sleeve, can be elastically expanded outwards, namely the elastic stent 9 is separated from the placing groove 8 on the outer wall of the left side of the stent clamping tube 7 to realize the release expansion of the elastic stent 9, at the moment, the expansion supporting aim on the artery stenosis region can be achieved through the release action of the elastic stent 9, meanwhile, the plaque embolus can fall off due to the release process of the elastic stent 9, namely, the fallen plaque embolus flows into the protective umbrella 3, the escape of the thrombus in the protective umbrella 3 is effectively avoided, when the elastic bracket 9 is released, the medical personnel pushes the protective umbrella sleeve 2 again, namely, the clamping groove 201 in the protective umbrella sleeve 2 slides along the guide wire 1 to the protective umbrella 3, at the moment, the protective umbrella 3 can be driven to contract by the pull rope 5 under the action of the protective umbrella sleeve 2, then the medical staff withdraws the guide wire 1, the protective umbrella sleeve 2, the protective umbrella 3, the bracket clamping tube 7 and the bracket sleeve 10 from the internal carotid artery together.
The present invention is not limited to the above-described embodiments, and those skilled in the art will be able to make various modifications without creative efforts from the above-described conception, and fall within the scope of the present invention.