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CN216535404U - A vascular occlusion device and vascular occlusion system - Google Patents

A vascular occlusion device and vascular occlusion system Download PDF

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CN216535404U
CN216535404U CN202121651900.4U CN202121651900U CN216535404U CN 216535404 U CN216535404 U CN 216535404U CN 202121651900 U CN202121651900 U CN 202121651900U CN 216535404 U CN216535404 U CN 216535404U
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side wall
vascular occlusion
guide wire
occlusion device
proximal side
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白卫星
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Henan Provincial Peoples Hospital
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Abstract

The utility model relates to a vascular occlusion device and a vascular occlusion system, wherein the vascular occlusion device comprises a metal support, the metal support is composed of a near-end side wall, a far-end side wall and a circumferential side wall connected between the near-end side wall and the far-end side wall, meshes for allowing blood to pass through are arranged on the near-end side wall and the far-end side wall, the inner diameter of each mesh is 0.8-1 mm, the metal coverage rate of the near-end side wall and the far-end side wall is 17-23%, and a guide wire connecting structure for being disconnected with a conveying guide wire is arranged on the near-end side wall. The utility model solves the technical problem that the blood vessel is quickly blocked and acute thrombotic complications are easily generated at the near end in the prior art.

Description

一种血管闭塞装置及血管闭塞系统A vascular occlusion device and vascular occlusion system

技术领域technical field

本实用新型涉及一种用于慢速闭塞血管的血管闭塞装置及血管闭塞系统。The utility model relates to a vascular occlusion device and a vascular occlusion system for slowly occluding blood vessels.

背景技术Background technique

脑动脉血管瘤指的是颅内动脉瘤,是一种常见的脑血管疾病,病程隐匿,起病突然,一旦发病,死、残率极高,因而被称为颅内的“不定时炸弹”,是最危险的脑血管病之一。Cerebral arterial hemangioma refers to intracranial aneurysm, which is a common cerebrovascular disease with an insidious course and sudden onset. , is one of the most dangerous cerebrovascular diseases.

颅内动脉瘤是由颅内动脉内腔的局限性异常扩张所致动脉壁的一种瘤状突起,为临床常见血管性疾病,是自发性蛛网膜下隙出血最常见的原因。脑血管疾病在治疗时常需要永久阻断或长时间临时阻断颅内对应的供血动脉,现有技术中,通过弹簧圈、球囊或栓塞技术来闭塞血管,这种闭塞血管的手段由于闭塞速度过快,容易在近端产生急性血栓并发症,也容易因颅内动脉快速阻断而发生脑缺血并发症;同时无法预测控制血栓闭塞的长度,导致穿支受累发生闭塞。Intracranial aneurysm is a tumor-like protrusion of the arterial wall caused by the localized abnormal expansion of the lumen of the intracranial artery. It is a common clinical vascular disease and the most common cause of spontaneous subarachnoid hemorrhage. In the treatment of cerebrovascular diseases, it is often necessary to permanently block or temporarily block the corresponding blood supply arteries in the brain for a long time. In the prior art, the blood vessels are occluded by coils, balloons or embolization techniques. If it is too fast, it is easy to produce acute thrombotic complications at the proximal end, and it is also prone to cerebral ischemia complications due to rapid occlusion of intracranial arteries; at the same time, it is impossible to predict and control the length of thrombus occlusion, resulting in perforator involvement and occlusion.

发明内容SUMMARY OF THE INVENTION

本实用新型的目的在于提供一种血管闭塞装置,以解决现有技术中血管快速闭塞而在近端易产生急性血栓并发症的技术问题;本实用新型的目的还在于提供一种使用该血管闭塞装置的血管闭塞系统。The purpose of the present utility model is to provide a vascular occlusion device to solve the technical problem of rapid occlusion of blood vessels in the prior art and acute thrombosis complications at the proximal end; the purpose of the utility model is also to provide a vascular occlusion device using the Device for vaso-occlusive system.

为解决上述技术问题,本实用新型中血管闭塞装置的技术方案如下:In order to solve the above-mentioned technical problems, the technical scheme of the vascular occlusion device in the present invention is as follows:

一种血管闭塞装置,包括金属支架,金属支架由近端侧壁、远端侧壁和连接于近端侧壁和远端侧壁之间的周向侧壁构成,近端侧壁、远端侧壁上具有供血液通过的网孔,所述网孔的内径为0.8mm~1mm,近端侧壁、远端侧壁的金属覆盖率为17%~23%,近端侧壁上设置有用于与输送导丝可断开连接的导丝连接结构。A vascular occlusion device, comprising a metal stent, the metal stent is composed of a proximal side wall, a distal side wall and a circumferential side wall connected between the proximal side wall and the distal side wall, the proximal side wall and the distal side wall are There is a mesh hole for blood to pass through on the side wall, the inner diameter of the mesh hole is 0.8mm~1mm, the metal coverage rate of the proximal side wall and the distal side wall is 17%~23%, and the proximal side wall is provided with useful A guide wire connection structure that can be disconnected from the delivery guide wire.

导丝连接结构为螺纹连接结构或者能够熔断的收颈结构。The guide wire connection structure is a threaded connection structure or a fused neck structure.

金属支架在血管内的展开长度为0.5cm~2cm。The extended length of the metal stent in the blood vessel is 0.5cm~2cm.

血管闭塞装置还包括输送导丝,输送导丝的远端与导丝连接结构相连。The vascular occlusion device further includes a delivery guide wire, and the distal end of the delivery guide wire is connected to the guide wire connecting structure.

近端侧壁、远端侧壁上网孔密度为每平方毫米1.2~1.5个网孔。The mesh density of the proximal side wall and the distal side wall is 1.2 to 1.5 mesh per square millimeter.

本实用新型中血管闭塞系统的技术方案为:The technical scheme of the vascular occlusion system in the utility model is as follows:

血管闭塞系统,包括输送导管,血管闭塞系统还包括血管闭塞装置,血管闭塞装置包括用于沿输送导管输送至病变位置的金属支架,金属支架由近端侧壁、远端侧壁和连接于近端侧壁和远端侧壁之间的周向侧壁构成,近端侧壁、远端侧壁上具有供血液通过的网孔,所述网孔的内径为0.8mm~1mm,近端侧壁、远端侧壁的金属覆盖率为17%~23%,近端侧壁上设置有用于与输送导丝可断开连接的导丝连接结构,血管闭塞装置还包括远端与导丝连接结构相连的输送导丝。Vascular occlusion system, including a delivery catheter, the vascular occlusion system also includes a vascular occlusion device, the vascular occlusion device includes a metal stent for delivering along the delivery catheter to the lesion site, the metal stent is composed of a proximal side wall, a distal side wall and is connected to the proximal side wall. The circumferential sidewall between the end sidewall and the distal sidewall is formed, and the proximal sidewall and the distal sidewall are provided with mesh holes for blood to pass through. The metal coverage rate of the wall and the distal side wall is 17% to 23%. The proximal side wall is provided with a guide wire connection structure for disconnecting from the delivery guide wire. The vascular occlusion device also includes a distal end connected to the guide wire. A structurally connected delivery guide wire.

导丝连接结构为螺纹连接结构或者能够熔断的收颈结构。The guide wire connection structure is a threaded connection structure or a fused neck structure.

金属支架在血管内的展开长度为0.5cm~2cm。The extended length of the metal stent in the blood vessel is 0.5cm~2cm.

金属支架由镍钛合金丝编织而成。The metal stent is woven from nitinol wire.

近端侧壁、远端侧壁上网孔密度为每平方毫米1.37个网孔。The mesh hole density of the proximal side wall and the distal side wall is 1.37 mesh holes per square millimeter.

本实用新型的有益效果为:在使用时,通过输送导丝将金属支架输送至需要闭塞的血管中,然后断开输送导丝与金属支架的连接,金属支架独立存于需要闭塞的血管中,由于近端侧壁、远端侧壁上网孔大小和金属覆盖率的设计,在金属支架投放初期,血液能够顺利的通过网孔,而随着使用时间的推移,依靠近端侧壁、远端侧壁上内膜化及近端侧壁、远端侧壁之间血栓形成,使得血液不再能够顺利通过金属支架,此时金属支架就完成了对相应血管的闭塞,由于血管闭塞是一个缓慢的长期过程,因此在血管闭塞装置的近侧血管中不容易产生急性血并发证的问题。The beneficial effects of the utility model are as follows: when in use, the metal stent is delivered to the blood vessel to be occluded through the delivery guide wire, and then the connection between the delivery guide wire and the metal stent is disconnected, and the metal stent is independently stored in the blood vessel to be occluded, Due to the design of the mesh size and metal coverage on the proximal and distal side walls, blood can pass through the meshes smoothly in the initial stage of the metal stent deployment, and with the passage of time, depending on the proximal and distal side walls, the Intimalization on the sidewall and thrombosis between the proximal sidewall and the distal sidewall make blood no longer pass through the metal stent smoothly. At this time, the metal stent completes the occlusion of the corresponding blood vessel. The long-term course of the vaso-occlusive device is therefore less prone to acute hemorrhagic complications.

附图说明Description of drawings

图1是本实用新型中血管闭塞系统的一个实施例中血管闭塞装置的结构示意图;1 is a schematic structural diagram of a vascular occlusion device in an embodiment of the vascular occlusion system of the present invention;

图2是图1中血管闭塞装置与输送导管的配合示意图;Fig. 2 is the schematic diagram of the cooperation of the vascular occlusion device and the delivery catheter in Fig. 1;

图3是本实用新型中血管闭塞装置的金属支架释放后的状态示意图;3 is a schematic diagram of the state after the release of the metal stent of the vascular occlusion device in the present invention;

1、金属支架;2、输送导丝;3、收颈结构;4、输送导管;5、动脉瘤;6、病变血管;7、近端侧壁;8、周向侧壁;9、远端侧壁。1. Metal stent; 2. Delivery guide wire; 3. Neck structure; 4. Delivery catheter; 5. Aneurysm; 6. Diseased blood vessel; 7. Proximal sidewall; 8. Circumferential sidewall; 9. Distal end side wall.

具体实施方式Detailed ways

为了便于理解本发明,下面结合附图和具体实施例,对本发明进行更详细的说明。附图中给出了本发明的较佳的实施例。但是,本发明可以以许多不同的形式来实现,并不限于本说明书所描述的实施例。相反地,提供这些实施例的目的是使对本发明的公开内容的理解更加透彻全面。In order to facilitate understanding of the present invention, the present invention will be described in more detail below with reference to the accompanying drawings and specific embodiments. Preferred embodiments of the invention are shown in the accompanying drawings. However, the present invention may be embodied in many different forms and is not limited to the embodiments described in this specification. Rather, these embodiments are provided so that a thorough and complete understanding of the present disclosure is provided.

需要说明的是,除非另有定义,本说明书所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。在本发明的说明书中所使用的术语只是为了描述具体的实施例的目的,不是用于限制本发明。It should be noted that, unless otherwise defined, all technical and scientific terms used in this specification have the same meaning as commonly understood by those skilled in the technical field of the present invention. The terms used in the description of the present invention are for the purpose of describing specific embodiments only, and are not used to limit the present invention.

下面结合附图,对本发明的各实施例进行详细说明。The embodiments of the present invention will be described in detail below with reference to the accompanying drawings.

本实用新型中血管闭塞系统的实施例如图1~3所示:包括指引导丝(图中未示出)、输送导管4和血管闭塞装置,指引导丝和输送导管属于现有技术,在此不再详述。Embodiments of the vascular occlusion system in the present invention are shown in Figures 1 to 3: it includes a guiding wire (not shown in the figure), a delivery catheter 4 and a vascular occlusion device. The guiding wire and the delivery catheter belong to the prior art, and here No further details.

血管闭塞装置包括金属支架1,金属支架1由镍钛合金丝编织而成,金属支架整体为空心结构,金属支架由近端侧壁7、远端侧壁9和连接于近端侧壁7和远端侧壁9之间的周向侧壁8构成,金属支架1在血管内展开后,金属支架自近端侧壁至远端侧壁间的整体长度为1.5cm,该长度决定了形成血栓的长度。The vascular occlusion device includes a metal stent 1, the metal stent 1 is woven from nickel-titanium alloy wires, the metal stent is a hollow structure as a whole, and the metal stent is composed of a proximal side wall 7, a distal side wall 9, and is connected to the proximal side wall 7 and The circumferential side wall 8 between the distal side walls 9 is formed. After the metal stent 1 is deployed in the blood vessel, the overall length of the metal stent from the proximal side wall to the distal side wall is 1.5 cm, which determines the formation of thrombus. length.

近端侧壁7、远端侧壁9上具有供血液通过的网孔,在本实施例中,网孔的内径为0.9mm,近端侧壁、远端侧壁的金属覆盖率为20%,近端侧壁、远端侧壁上网孔密度为每平方毫米1.37个网孔。The proximal side wall 7 and the distal side wall 9 have mesh holes for blood to pass through. In this embodiment, the inner diameter of the mesh hole is 0.9 mm, and the metal coverage rate of the proximal side wall and the distal side wall is 20%. , the mesh density of the proximal side wall and the distal side wall is 1.37 mesh holes per square millimeter.

近端侧壁上设置有用于与输送导丝2可断开连接的导丝连接结构,本实施例中导丝连接结构为能够熔断的收颈结构3,收颈结构处电阻相比其它位置电阻较大,因此当通电后,收颈结构处会发热熔断。可断开连接是指在一定条件或状态变化下能够断开的连接形式,在本实用新型的其它实施例中,导丝连接结构还可以为螺纹连接结构,比如说,导丝连接结构为螺纹孔,输送导丝2与螺纹孔螺纹连接,当金属支架在血管内释放结束后,旋转输送导丝,输送导丝就可以与导丝连接结构断开;在本实用新型的其它实施例中,导丝连接结构还可以为钩挂结构或其它等在一定条件或状态变化下能够断开的其它连接结构。The proximal side wall is provided with a guide wire connection structure that can be disconnected from the delivery guide wire 2. In this embodiment, the guide wire connection structure is a necked structure 3 that can be fused, and the resistance at the necked structure is compared with the resistance at other positions. It is larger, so when the power is turned on, the neck structure will heat up and fuse. Disconnectable connection refers to a connection form that can be disconnected under certain conditions or state changes. In other embodiments of the present invention, the guide wire connection structure may also be a threaded connection structure. For example, the guide wire connection structure is a threaded connection structure. The delivery guide wire 2 is threadedly connected with the threaded hole. When the metal stent is released in the blood vessel, the delivery guide wire is rotated, and the delivery guide wire can be disconnected from the guide wire connection structure; in other embodiments of the present invention, The guide wire connecting structure may also be a hooking structure or other connecting structures that can be disconnected under certain conditions or state changes.

使用时,首先指引导丝到达病变位置,然后在引导导丝的引导导向作用下,将输送导管4送至病变位置,撤出引导导丝,通过输送导丝,将血管闭塞装置顺着输送导管送至病变血管6,血管闭塞装置的金属支架收缩于输送导管内,当到达病变血管后,输送导管后移,金属支架释放至病变血管中,金属支架胀开而紧贴血管壁。在使用初期,血液可以顺利经近端侧壁、远端侧壁上的网孔进入病变血管,随着使用时间的增加,在近端侧壁和远端侧壁上逐渐的内膜话,在近端侧壁和远端侧壁之间逐渐形成血栓,此时的血管闭塞装置就像一个“塞子”一样堵住病变血管,实现血管的缓慢闭塞,避免急性血栓并发症。When using, first guide the guide wire to reach the lesion location, and then under the guiding and guiding action of the guide wire, the delivery catheter 4 is sent to the lesion location, the guide wire is withdrawn, and the vascular occlusion device is moved along the delivery catheter through the delivery guide wire. When sent to the diseased blood vessel 6, the metal stent of the vascular occlusion device is contracted in the delivery catheter. After reaching the diseased blood vessel, the delivery catheter moves backward, the metal stent is released into the diseased blood vessel, and the metal stent expands and adheres to the vessel wall. In the initial stage of use, blood can smoothly enter the diseased blood vessels through the meshes on the proximal and distal side walls. A thrombus is gradually formed between the proximal side wall and the distal side wall. At this time, the vascular occlusion device acts like a "plug" to block the diseased blood vessel to achieve slow occlusion of the blood vessel and avoid acute thrombotic complications.

通过金属覆盖率和网孔大小的设计,实现一次置入,半年内血管逐渐闭塞,同时本新型状的血栓形成于近端侧壁与远端侧壁之间,可以控制血栓闭塞的长度和速度,原则上讲,血栓闭塞的长度越短越好。Through the design of metal coverage and mesh size, one-time implantation is realized, and the blood vessel is gradually occluded within half a year. At the same time, the new type of thrombus forms between the proximal side wall and the distal side wall, which can control the length and speed of thrombus occlusion , in principle, the shorter the length of thrombus occlusion, the better.

在本实用新型的其它实施例中,近端侧壁、远端侧壁上网孔的内径尺寸还可以是0.8mm、1mm或者0.8mm~1mm之间的其它任意值;近端侧壁、远端侧壁的金属覆盖率还可以是17%、23%或者17%~23%之间的其它任意值;近端侧壁、远端侧壁上的网孔密度为1.2个、1.5个或1.2~1.5之间的其它任意值。In other embodiments of the present invention, the inner diameters of the mesh holes in the proximal side wall and the distal side wall may also be 0.8 mm, 1 mm, or any other value between 0.8 mm and 1 mm; The metal coverage of the side wall can also be 17%, 23% or any other value between 17% and 23%; the mesh density on the proximal side wall and the distal side wall is 1.2, 1.5 or 1.2~ Any other value between 1.5.

血管闭塞装置的实施例如图1~3所示:血管闭塞装置的具体结构与上述各血管闭塞系统实施例中所述的血管闭塞装置相同,在此不再详述。Embodiments of the vascular occlusion device are shown in FIGS. 1 to 3 : the specific structure of the vascular occlusion device is the same as the vascular occlusion device described in the above embodiments of the vascular occlusion system, and will not be described in detail here.

最后应说明的是:以上实施例仅用以说明本实用新型的技术方案,而非对其限制;尽管参照前述实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的精神和范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present utility model, but not to limit them; although the present utility model has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: It is still possible to modify the technical solutions recorded in the foregoing embodiments, or perform equivalent replacements to some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions depart from the spirit of the technical solutions of the embodiments of the present invention and range.

Claims (10)

1.一种血管闭塞装置,其特征在于:包括金属支架,金属支架由近端侧壁、远端侧壁和连接于近端侧壁和远端侧壁之间的周向侧壁构成,近端侧壁、远端侧壁上具有供血液通过的网孔,所述网孔的内径为0.8mm~1mm,近端侧壁、远端侧壁覆盖有金属,近端侧壁上设置有用于与输送导丝可断开连接的导丝连接结构。1. a vascular occlusion device is characterized in that: comprise a metal support, and the metal support is made up of a proximal side wall, a distal side wall and a circumferential side wall connected between the proximal side wall and the distal side wall, The end side wall and the distal side wall have mesh holes for blood to pass through, the inner diameter of the mesh hole is 0.8mm~1mm, the proximal side wall and the distal side wall are covered with metal, and the proximal side wall is provided with A guidewire connection structure that can be disconnected from the delivery guidewire. 2.根据权利要求1所述的血管闭塞装置,其特征在于:导丝连接结构为螺纹连接结构或者能够熔断的收颈结构。2 . The vascular occlusion device according to claim 1 , wherein the guide wire connection structure is a threaded connection structure or a fused neck structure. 3 . 3.根据权利要求1所述的血管闭塞装置,其特征在于:金属支架在血管内的展开长度为0.5cm~2cm。3 . The vascular occlusion device according to claim 1 , wherein the expanded length of the metal stent in the blood vessel is 0.5 cm to 2 cm. 4 . 4.根据权利要求1所述的血管闭塞装置,其特征在于:血管闭塞装置还包括输送导丝,输送导丝的远端与导丝连接结构相连。4 . The vascular occlusion device according to claim 1 , wherein the vascular occlusion device further comprises a delivery guide wire, and the distal end of the delivery guide wire is connected to the guide wire connecting structure. 5 . 5.根据权利要求1~4任意一项所述的血管闭塞装置,其特征在于:近端侧壁、远端侧壁上网孔密度为每平方毫米1.2~1.5个网孔。5. The vascular occlusion device according to any one of claims 1 to 4, wherein the mesh density of the proximal side wall and the distal side wall is 1.2 to 1.5 mesh per square millimeter. 6.血管闭塞系统,包括输送导管,其特征在于:血管闭塞系统还包括血管闭塞装置,血管闭塞装置包括用于沿输送导管输送至病变位置的金属支架,金属支架由近端侧壁、远端侧壁和连接于近端侧壁和远端侧壁之间的周向侧壁构成,近端侧壁、远端侧壁上具有供血液通过的网孔,所述网孔的内径为0.8mm~1mm,近端侧壁、远端侧壁覆盖有金属,近端侧壁上设置有用于与输送导丝可断开连接的导丝连接结构,血管闭塞装置还包括远端与导丝连接结构相连的输送导丝。6. A vascular occlusion system, including a delivery catheter, characterized in that: the vascular occlusion system also includes a vascular occlusion device, and the vascular occlusion device includes a metal stent for being transported to the lesion along the delivery catheter, and the metal stent consists of a proximal side wall, a distal end wall, and a vascular occlusion device. The side wall is composed of a circumferential side wall connected between the proximal side wall and the distal side wall. The proximal side wall and the distal side wall have mesh holes for blood to pass through, and the inner diameter of the mesh holes is 0.8 mm. ~1mm, the proximal side wall and the distal side wall are covered with metal, the proximal side wall is provided with a guide wire connection structure for disconnecting from the delivery guide wire, and the vascular occlusion device also includes a distal end and a guide wire connection structure Connected delivery guide wire. 7.根据权利要求6所述的血管闭塞系统,其特征在于:导丝连接结构为螺纹连接结构或者能够熔断的收颈结构。7 . The vascular occlusion system according to claim 6 , wherein the guide wire connection structure is a threaded connection structure or a fusible neck structure. 8 . 8.根据权利要求6所述的血管闭塞系统,其特征在于:金属支架在血管内的展开长度为0.5cm~2cm。8 . The vascular occlusion system according to claim 6 , wherein the expanded length of the metal stent in the blood vessel is 0.5 cm to 2 cm. 9 . 9.根据权利要求6所述的血管闭塞系统,其特征在于:金属支架由镍钛合金丝编织而成。9 . The vascular occlusion system according to claim 6 , wherein the metal stent is woven from nickel-titanium alloy wire. 10 . 10.根据权利要求6~9任意一项所述的血管闭塞系统,其特征在于:近端侧壁、远端侧壁上网孔密度为每平方毫米1.37个网孔。10. The vascular occlusion system according to any one of claims 6 to 9, wherein the mesh density of the proximal side wall and the distal side wall is 1.37 meshes per square millimeter.
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