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CN206934208U - Built-in prothesis with artificial blood vessel part and overlay film frame part - Google Patents

Built-in prothesis with artificial blood vessel part and overlay film frame part Download PDF

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Publication number
CN206934208U
CN206934208U CN201621063737.9U CN201621063737U CN206934208U CN 206934208 U CN206934208 U CN 206934208U CN 201621063737 U CN201621063737 U CN 201621063737U CN 206934208 U CN206934208 U CN 206934208U
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CN
China
Prior art keywords
blood vessel
artificial blood
branch
prothesis
built
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Active
Application number
CN201621063737.9U
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Chinese (zh)
Inventor
卞晓明
郑成福
钱向阳
杨延宗
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Dalian World Wide Medical Technology Co Ltd
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Dalian World Wide Medical Technology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2002/061Blood vessels provided with means for allowing access to secondary lumens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006Additional features; Implant or prostheses properties not otherwise provided for modular

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pulmonology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Prostheses (AREA)

Abstract

The utility model provides a kind of built-in prothesis with artificial blood vessel part and overlay film frame part.Artificial blood vessel part includes artificial blood vessel's trunk, the branch of artificial blood vessel first and the branch of artificial blood vessel second.The branch of artificial blood vessel first and the branch of artificial blood vessel second stretch out from artificial blood vessel's trunk respectively, and are in fluid communication between artificial blood vessel's trunk.Overlay film frame part includes overlay film frame trunk and overlay film frame branch, and overlay film frame branch stretches out from overlay film frame trunk, and is in fluid communication between overlay film frame trunk.It is in fluid communication between artificial blood vessel part and overlay film frame part and forms the tube chamber of built-in prothesis.Two products of artificial blood vessel and overlay film frame are combined together to form built-in prothesis by the utility model, practical, and clinical operation is time saving, simplifies, and effect is good, and the risk that complication occurs in patient reduces.

Description

Built-in prothesis with artificial blood vessel part and overlay film frame part
Technical field
A kind of built-in prothesis is the utility model is related to, and it is particularly a kind of with artificial blood vessel part and overlay film branch The built-in prothesis of frame part.
Background technology
On April 6th, 2016 announce Huber application United States Patent (USP) US2006/0074484 disclose a kind of portable in Built-in prothesis in the arch of aorta.This built-in prothesis may include to extend respectively to brachiocephalic artery (innominate artery), left common carotid artery With the branch of left subclavian artery.
Utility model content
The purpose of this utility model is to be improved existing built-in prothesis, there is provided a kind of practical, simplified clinical The built-in prothesis of operation.
Therefore, the utility model provides a kind of built-in prothesis, including artificial blood vessel part and overlay film frame part.Artificial blood Tube portion includes artificial blood vessel's trunk, the branch of artificial blood vessel first and the branch of artificial blood vessel second.The branch of artificial blood vessel first and The branch of artificial blood vessel second stretches out from artificial blood vessel's trunk respectively, and is in fluid communication respectively with artificial blood vessel's trunk.Overlay film Holder part includes overlay film frame trunk and overlay film frame branch, and overlay film frame branch stretches out from overlay film frame trunk, and It is in fluid communication with overlay film frame trunk.It is in fluid communication between artificial blood vessel part and overlay film frame part and forms built-in prothesis Tube chamber.
Artificial blood vessel part has ring wall, and overlay film frame part has ring wall.The ring wall and overlay film branch of artificial blood vessel part The ring wall of frame part can be integrated.Overlay film frame part can also include self-expansion type network.The branch of artificial blood vessel first It can be arranged to be implanted into innominate artery, can there is the envelope that a closed-loop is used between the branch of artificial blood vessel first and innominate artery Close.The branch of artificial blood vessel first can have magnetic, and closed-loop has magnetic, so as to the branch of magnetic engagement artificial blood vessel first So as to closed between the branch of artificial blood vessel first and innominate artery.The branch of artificial blood vessel second, which can be arranged to be implanted into left neck, always to be moved Arteries and veins, there can be the closing that a closed-loop is used between the branch of artificial blood vessel second and left common carotid artery.The branch of artificial blood vessel second There can be magnetic, and closed-loop has magnetic, so as to which the branch of magnetic engagement artificial blood vessel second is so that artificial blood vessel second divides Closed between branch and left common carotid artery.Overlay film frame branch can be arranged to be implanted into subclavian artery.Built-in prothesis can shrink Changed between configuration and diastole configuration, and diastole configuration can be partial to.Artificial blood vessel part is surrounded at neighbouring overlay film frame part It can be extended out neck shape structure.
In addition, the utility model also provides a kind of built-in prothesis, it includes artificial blood vessel part and overlay film frame part.People Work vasculature part includes the 3rd point of artificial blood vessel's trunk, the branch of artificial blood vessel first, the branch of artificial blood vessel second and artificial blood vessel Branch.The branch of artificial blood vessel first, the branch of artificial blood vessel second and the branch of artificial blood vessel the 3rd are outside from artificial blood vessel's trunk respectively Extend and be in fluid communication respectively with artificial blood vessel's trunk.Overlay film frame part and artificial blood vessel's partial fluid communication.Artificial blood vessel Part and overlay film frame part form the tube chamber of built-in prothesis.Artificial blood vessel part has ring wall, and overlay film frame part has ring Wall, the ring wall of artificial blood vessel part and the ring wall of overlay film frame part can be integrated.Overlay film frame part may also include self-expanding Formula network, neck shape structure is can be extended out around artificial blood vessel part at overlay film frame part.
Two products of artificial blood vessel and overlay film frame are combined together to form built-in prothesis by the utility model, practical, Clinical operation is time saving, simplifies, and effect is good, and the risk that complication occurs in patient reduces.Thus the art formula that built-in prothesis derives exists Department of cardiovascular surgery field is significant.
Brief description of the drawings
The utility model obtains the description by the specific embodiment only listed by way of example referring to the drawings It is better understood from, wherein:
Fig. 1 is the partial sectional perspective view of the first built-in prothesis with artificial blood vessel part and overlay film frame part;
Figure 1A is the sectional view along Fig. 1 line A-A;
Figure 1B is the sectional view along Fig. 1 line B-B;
Fig. 2 is the front elevation of closed-loop used in the first built-in prothesis;
Fig. 3 is the partial cross section figure that the first built-in prothesis is implanted in the first art formula in the arch of aorta;
Fig. 4 is that another partial cross that the first built-in prothesis is implanted in the first art formula in the arch of aorta is cut Face figure;
Fig. 5 is the partial cross section figure that the first built-in prothesis is positioned in the first art formula in the arch of aorta;
Fig. 5 A are the sectional views along Fig. 5 line A-A;
Fig. 5 B are the sectional views along Fig. 5 line B-B;
Fig. 6 is the partial cross section figure that the first built-in prothesis is implanted in second of art formula in the arch of aorta;
Fig. 7 is another partial cross section that the first built-in prothesis is implanted in second of art formula in the arch of aorta Figure;
Fig. 8 is the partial cross section figure that the first built-in prothesis is positioned in second of art formula in the arch of aorta;
Fig. 9 is that another partial cross that the first built-in prothesis is positioned in second of art formula in the arch of aorta is cut Face figure;
Figure 10 is the partial sectional perspective view of second of built-in prothesis with artificial blood vessel part and overlay film frame part;
Figure 11 is the partial sectional perspective view that second of built-in prothesis be used to replace the arch of aorta;
Figure 12 is the partial sectional perspective view of the third built-in prothesis with artificial blood vessel part and overlay film frame part; And
Figure 13 is the partial sectional perspective view that the third built-in prothesis be used to replace the arch of aorta.
Embodiment
Referenced in schematic, first Fig. 1 show the first built-in prothesis 10.Built-in prothesis 10 includes the He of artificial blood vessel part 20 Overlay film frame part 30.Artificial blood vessel part 20 includes artificial blood vessel's trunk 22 and respectively from artificial blood vessel's trunk 22 to external diameter To the first branch of artificial blood vessel 24 and the second branch of artificial blood vessel 26 of extension.The first branch of artificial blood vessel 24 and artificial blood vessel Two branches 26 are in fluid communication between artificial blood vessel's trunk 22 respectively.In this example, artificial blood vessel's trunk 22 is by appropriate conjunction It is made into material, such as terylene or polytetrafluoroethylene (PTFE), which defines the ring wall 28 of artificial blood vessel's trunk 22 shown in Figure 1A.Together Sample, the first branch of artificial blood vessel 24 and the second branch of artificial blood vessel 26 are made up of appropriate synthetic material, and can have magnetic Property element and/or there are magnetic properties.Overlay film frame part 30 includes overlay film frame trunk 32 and overlay film frame branch 34, overlay film Bracket legs 34 extend radially outwards from overlay film frame trunk 32.Overlay film frame branch 34 connects with the fluid of overlay film frame trunk 32 It is logical.In this example, the overlay film frame part 30 includes internal self-expansion type network 36, is woven wire in the example Shape support, and ring wall 38, it is made up of appropriate synthetic material, such as terylene or polytetrafluoroethylene (PTFE), as shown in Figure 1B.
In this example, the ring wall 28 of artificial blood vessel's trunk 22 is integrated with the ring wall 38 of overlay film frame trunk 32, and structure Into the tube chamber 40 of built-in prothesis.The tube chamber 42 of the first branch of artificial blood vessel 24 and the tube chamber 44 of the second branch of artificial blood vessel 26 are distinguished It is in fluid communication with tube chamber 40.Equally, the tube chamber 46 of overlay film frame branch 34 is in fluid communication with tube chamber 40.Overlay film frame part 30 Self-expansion type network 36 is self-expansion type metal mesh shaped support, and it is partial to diastole configuration as shown in Figure 1.Built-in prothesis Therefore 10 are also partial to diastole configuration.
Fig. 2 show closed-loop 50, and it is used for built-in prothesis 10.The closed-loop 50 of the present embodiment is by soft magnetic material material 52 The split ring of formation, ring 50 include making it have flexible flexible core 54.This allows ring 50 to be used for the artificial blood of magnetic engagement The first branch of pipe 24 and the second branch of artificial blood vessel 26, to be not engaged close the first branch of artificial blood vessel 24 and accordingly oneself Ring between annular between right vessel branch, and the second branch of closing artificial blood vessel 26 and corresponding natural vessel branch Shape.
Built-in prothesis 10 is supplied to surgeon in initial use with the contracted configuration shown in Fig. 3, is filled in contraction state Fit in delivery cannula 60.More seal wires can be used to be transplanted to patient in the first art formula for built-in prothesis 10 and delivery cannula 60 In vivo, the present embodiment is the first seal wire 62, the second seal wire 64 and the 3rd seal wire 66, for guiding built-in prothesis 10 and conveying to cover Pipe 60 is inserted into the arch of aorta 70 of patient.First seal wire 62 is used to guide the first branch of artificial blood vessel 24 to enter innominate artery 72.Second seal wire 64 is used to guide the second branch of artificial blood vessel 26 to enter left common carotid artery 74.3rd seal wire 66 covers for guiding Membrane support branch 34 enters subclavian artery 76.This causes the artificial blood vessel part 20 of built-in prothesis 10 to be located substantially on sustainer In bow 70, overlay film frame part 30 is located substantially in descending aorta 78.
With reference to figure 4 and Fig. 5, when built-in prothesis 10 is located in the arch of aorta 70, delivery cannula 60 is removed, built-in prothesis 10 It is expanded into diastole configuration.The closing that closed-loop 50 can be used between the first branch of artificial blood vessel 24 and innominate artery 72.Equally, The closing that closed-loop 50 can be used between the second branch of artificial blood vessel 26 and left common carotid artery 74.The ring of artificial blood vessel's trunk 22 The ring wall 38 of wall 28 and overlay film frame trunk 32 distinguishes docile to aorta wall, as fig. 5 a and fig. 5b.The method is used to repair The multiple arch of aorta.
Built-in prothesis 10 and delivery cannula 60 are in second of art formula alternatively in innominate artery 72 and left common carotid artery 74 After cut-out in implantation, as shown in Figure 6.First seal wire 62 is used to guide the first branch of artificial blood vessel 24 to enter innominate artery 72.Second seal wire 64 is used to guide the second branch of artificial blood vessel 26 to enter left common carotid artery 74.3rd seal wire 66 covers for guiding Membrane support branch 34 enters subclavian artery 76.This causes the artificial blood vessel part 20 of built-in prothesis 10 to be located substantially on sustainer In bow 70, overlay film frame part 30 is located substantially in descending aorta 78.
With reference to figure 7 and Fig. 8, when built-in prothesis 10 is located in the arch of aorta 70, delivery cannula 60 is removed, built-in prothesis 10 It is expanded into diastole configuration.Closed-loop 50 can be used for the first branch of closing artificial blood vessel 24 and innominate artery 72.Equally, closed-loop 50 Available for the second branch of closing artificial blood vessel 26 and left common carotid artery 74.With reference to figure 9, the first branch of artificial blood vessel 24 then can It is connected with the distal end of innominate artery 72, the second branch of artificial blood vessel 26 can be connected with the distal end of left common carotid artery 74.Implement herein In example, suture 80 is used to connect the first branch of artificial blood vessel 24 and the distal end of innominate artery 72, and suture 82 is used to connect people The second branch of work blood vessel 26 and the distal end of left common carotid artery 74.The method is used to repair innominate artery, left common carotid artery and active Arcus haemalis.
With reference to shown in figure 10, second of built-in prothesis 110 includes artificial blood vessel part 120 and overlay film frame part 130.People Work vasculature part 120 includes artificial blood vessel's trunk 122 and extended radially outwards respectively from artificial blood vessel's trunk 122 first artificial The artificial blood vessel branch 126 of vessel branch 124 and second.The first branch of artificial blood vessel 124 and the second branch of artificial blood vessel 126 and people Work vessel trunk 122 is in fluid communication.Artificial blood vessel's trunk 122 is made up of appropriate synthetic material, such as terylene or polytetrafluoroethyl-ne Alkene, it forms the ring wall 128 of artificial blood vessel's trunk 122.Overlay film frame part 130 includes overlay film frame trunk 132 and from overlay film The overlay film frame branch 134 that support trunk 132 extends radially outwards.Between overlay film frame branch 134 and overlay film frame trunk 132 It is in fluid communication.Overlay film frame part 130 includes internal self-expansion type network 136, is in this embodiment metal mesh shaped Support, and ring wall 138, it is made up of appropriate synthetic material, such as terylene or polytetrafluoroethylene (PTFE).
In this embodiment, the ring wall 138 of the ring wall 128 of artificial blood vessel's trunk 122 and overlay film frame trunk 132 is one Body, and form the tube chamber 140 of built-in prothesis.The tube chamber 142 of the first branch of artificial blood vessel 124 and the second branch of artificial blood vessel 126 Tube chamber 144 be in fluid communication respectively with tube chamber 140.Equally, the tube chamber 146 of overlay film frame branch 134 connects with the fluid of tube chamber 140 It is logical.The self-expansion type network 136 of overlay film frame part 130 is self-expansion type metal mesh shaped support, and it is partial to such as figure Diastole configuration shown in 10.Therefore built-in prothesis 110 is also partial to diastole configuration.In the present embodiment, built-in prothesis 110 also wraps Include the neck shape structure 148 extended at neighbouring overlay film frame part 130 around artificial blood vessel's trunk 122.
Built-in prothesis 110 can be used for replacing the arch of aorta, as shown in figure 11.The first branch of artificial blood vessel 124 is moved with unknown The distal end connection of arteries and veins 172, the second branch of artificial blood vessel 126 are connected with the distal end of left common carotid artery 174.Sutured in the present embodiment Line 180 is used to connect the first branch of artificial blood vessel 124 and the distal end of innominate artery 172, and suture 182 is used to connect artificial blood vessel Second branch 126 and the distal end of left common carotid artery 174.Overlay film frame branch 134 is located substantially in subclavian artery 176, covers Membrane support trunk 132 is located substantially in descending aorta 178.The neck shape structure 148 of built-in prothesis 110 can be with the arch of aorta 170 Connection, suture 184 and 186 is for connecting artificial blood vessel's trunk 122 and the arch of aorta 170 in this embodiment.Suture 188 For connecting artificial blood vessel's trunk 122 and aorta ascendens 190.
With reference to figure 12, the third built-in prothesis 210 is shown.Built-in prothesis 210 includes artificial blood vessel part 220 and overlay film branch Frame part 230.Artificial blood vessel part 220 includes artificial blood vessel's trunk 222 and prolonged respectively from the outward radial of artificial blood vessel's trunk 222 The first branch of artificial blood vessel 224, the second branch of artificial blood vessel 226 and the branch 227 of artificial blood vessel the 3rd stretched.Artificial blood vessel first Branch 224, the second branch of artificial blood vessel 226 and the branch 227 of artificial blood vessel the 3rd connect with the fluid of artificial blood vessel's trunk 222 respectively It is logical.Artificial blood vessel's trunk 222 is made up of appropriate synthetic material, and such as terylene or polytetrafluoroethylene (PTFE), it forms artificial blood vessel's trunk 222 ring wall 228.Overlay film frame part 230 is overlay film frame trunk 232, and it includes internal self-expansion type network 236, It is metal mesh shaped support in the present embodiment, and ring wall 238, it is made up of appropriate synthetic material, such as terylene or polytetrafluoro Ethene.
In the present embodiment, the ring wall 238 of the ring wall 228 of artificial blood vessel's trunk 222 and overlay film frame trunk 232 is one Body, it forms the tube chamber 240 of built-in prothesis.The tube chamber 242 of the first branch of artificial blood vessel 224, the second branch of artificial blood vessel 226 Tube chamber 244 and the tube chamber 246 of the branch 227 of artificial blood vessel the 3rd are in fluid communication with tube chamber 240 respectively.As shown in figure 12, overlay film branch The self-expansion type network 236 of frame part 230 is self-expansion type metal mesh shaped support, and it is partial to diastole configuration.It is built-in Therefore prosthese 210 is partial to diastole configuration.In the present embodiment, built-in prothesis 210 also includes enclosing at neighbouring overlay film frame part 230 The neck shape structure 248 extended around artificial blood vessel's trunk 222.
As shown in figure 13, built-in prothesis 210 can be used for replacing the arch of aorta.The first branch of artificial blood vessel 224 can connect nothing The distal end of name artery 272, the second branch of artificial blood vessel 226 can connect the distal end of left common carotid artery 274, the 3rd point of artificial blood vessel Branch 227 can connect the distal end of subclavian artery 276.Suture 280 is used to connect the branch of artificial blood vessel first in the present embodiment 224 and the distal end of innominate artery 272, suture 282 is used to connecting the second branch of artificial blood vessel 226 and left common carotid artery 274 Distally, suture 283 is used for the distal end for connecting the branch 227 of artificial blood vessel the 3rd and subclavian artery 276.Overlay film frame trunk 232 are located substantially in descending aorta 278.The neck shape structure 248 of built-in prothesis 210 can connect descending aorta 278, in this reality Suture 284 and 286 in example is applied to be used to connect neck shape structure 248 and descending aorta 278.This just encloses overlay film frame trunk Interval between 232 and descending aorta 278.Artificial blood vessel's trunk 222 can sutured line 288 be connected with aorta ascendens 290.
Those skilled in the art should understand that a variety of narrations in detail provided above are only through way of example, not have Meaning limits the scope of the utility model, and the scope of the utility model is determined by following claims.

Claims (19)

  1. A kind of 1. built-in prothesis, it is characterised in that including:
    Artificial blood vessel part, the artificial blood vessel part include artificial blood vessel's trunk and the branch of artificial blood vessel first and artificial blood vessel Second branch, the branch of artificial blood vessel first and the branch of artificial blood vessel second stretch out from artificial blood vessel's trunk respectively And it is in fluid communication with artificial blood vessel's trunk;And
    Overlay film frame part, the overlay film frame part include overlay film frame trunk and overlay film frame branch, the overlay film frame Branch stretch out from the overlay film frame trunk and with overlay film frame trunk be in fluid communication, wherein the artificial blood vessel part and It is in fluid communication between the overlay film frame part and forms the tube chamber of built-in prothesis.
  2. 2. built-in prothesis as claimed in claim 1, it is characterised in that the artificial blood vessel part has ring wall, the overlay film Holder part has a ring wall, and the ring wall of the ring wall of the artificial blood vessel part and the overlay film frame part is integrated.
  3. 3. built-in prothesis as claimed in claim 2, it is characterised in that it is netted that the overlay film frame part also includes self-expansion type Support.
  4. 4. built-in prothesis as claimed in claim 1, it is characterised in that the branch of artificial blood vessel first is arranged to be implanted into nothing Name artery.
  5. 5. built-in prothesis as claimed in claim 4, it is characterised in that also including closed-loop, so that the artificial blood vessel first Closed between branch and innominate artery.
  6. 6. built-in prothesis as claimed in claim 1, it is characterised in that the branch of artificial blood vessel first has magnetic and set It is set to implantation innominate artery.
  7. 7. built-in prothesis as claimed in claim 6, it is characterised in that also including the branch of artificial blood vessel described in magnetic engagement first Magnetic rings, so as to be closed between the branch of the artificial blood vessel first and innominate artery.
  8. 8. built-in prothesis as claimed in claim 1, it is characterised in that it is left that the branch of artificial blood vessel second is arranged to implantation Arteria carotis communis.
  9. 9. built-in prothesis as claimed in claim 8, it is characterised in that also including closed-loop, so that the artificial blood vessel second Closed between branch and left common carotid artery.
  10. 10. built-in prothesis as claimed in claim 1, it is characterised in that the branch of artificial blood vessel second has magnetic and quilt It is arranged to be implanted into left common carotid artery.
  11. 11. built-in prothesis as claimed in claim 10, it is characterised in that also divide including artificial blood vessel described in magnetic engagement second The magnetic rings of branch, so as to be closed between the branch of the artificial blood vessel second and left common carotid artery.
  12. 12. built-in prothesis as claimed in claim 1, it is characterised in that the overlay film frame branch is arranged to be implanted into clavicle Lower artery.
  13. 13. built-in prothesis as claimed in claim 1, it is characterised in that the built-in prothesis can be in contracted configuration and diastole Changed between configuration.
  14. 14. built-in prothesis as claimed in claim 13, it is characterised in that the built-in prothesis is partial to diastole configuration.
  15. 15. built-in prothesis as claimed in claim 1, it is characterised in that also include at neighbouring overlay film frame part around described The neck shape structure of artificial blood vessel part extension.
  16. A kind of 16. built-in prothesis, it is characterised in that including:
    Artificial blood vessel part, artificial blood vessel part include artificial blood vessel's trunk, the branch of artificial blood vessel first, artificial blood vessel the Two branches and the branch of artificial blood vessel the 3rd, the branch of artificial blood vessel first, the branch of artificial blood vessel second and the artificial blood vessel the 3rd Branch stretches out from artificial blood vessel's trunk and is in fluid communication with artificial blood vessel's trunk respectively;And
    Overlay film frame part, the overlay film frame part and artificial blood vessel's partial fluid communication, wherein the artificial blood vessel Part and the overlay film frame part form the tube chamber of built-in prothesis.
  17. 17. built-in prothesis as claimed in claim 16, it is characterised in that the artificial blood vessel part has ring wall, described to cover Membrane support part has a ring wall, and the ring wall of the ring wall of the artificial blood vessel part and the overlay film frame part is integrated.
  18. 18. built-in prothesis as claimed in claim 17, it is characterised in that the overlay film frame part also includes self-expansion type net Shape support.
  19. 19. built-in prothesis as claimed in claim 16, it is characterised in that also include at neighbouring overlay film frame part around described The neck shape structure of artificial blood vessel part extension.
CN201621063737.9U 2016-08-16 2016-09-19 Built-in prothesis with artificial blood vessel part and overlay film frame part Active CN206934208U (en)

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