CN106137459A - The interim film covering device of intravascular stent and the method for the interim overlay film of intravascular stent - Google Patents
The interim film covering device of intravascular stent and the method for the interim overlay film of intravascular stent Download PDFInfo
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- CN106137459A CN106137459A CN201510516168.2A CN201510516168A CN106137459A CN 106137459 A CN106137459 A CN 106137459A CN 201510516168 A CN201510516168 A CN 201510516168A CN 106137459 A CN106137459 A CN 106137459A
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- intravascular stent
- overlay film
- hollow sleeve
- interim
- film
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Abstract
The present invention relates to medical apparatus and instruments, disclose the interim film covering device of a kind of intravascular stent and the method for interim overlay film.In the present invention, accommodate hollow sleeve including overlay film and intravascular stent;Overlay film is tubular elastomeric overlay film, the external diameter when internal diameter being socketed under intravascular stent receiving hollow sleeve outer surface, and overlay film free state does not discharges less than intravascular stent;It is tubulose and internal diameter and the intravascular stent external diameter of non-release conditions matches that intravascular stent accommodates hollow sleeve, it is provided that hollow tube chamber feeder vessels support is relative to hollow sleeve translation, indirectly to be introduced in the tubular space that overlay film is surrounded by intravascular stent.The interim film covering device of intravascular stent of the present invention prepares covered stnet with can utilizing intravascular stent and the overlay film quick and convenient of separation and cost is relatively low, when perforation occurs timely and effectively with the covered stnet closure cut of interim preparation;And overlay film is the most firmly contacted by whole preparation process with intravascular stent, it is ensured that the integrity of overlay film and the protection to intravascular stent.
Description
Technical field
The present invention relates to medical apparatus and instruments, particularly to the interim film covering device of intravascular stent and method.
Background technology
In percutaneous coronary intervention, due to stent size, release pressure, rear expansion pressure or pre-expansion
Open pressure excessive, the situation of coronary arterial perforation often occurs.Coronary arterial perforation is that coronary artery is situated between
Entering complication common in treatment, and situation is dangerous, acute pericardium can be caused not in time to fill out if processed
Plug is even dead.
When punching occurs, the most also the method for most convenient is with using suitable with the sacculus of blood vessel diameter coupling
When pressure expanded closure cut, when cut is little, the method can be proved effective sometimes.But majority of case
Under all can not arrest hemorrhage, as stifled time is oversize, myocardial ischemia even Acute vessel closure can occur again
Cause acute myocardial infarction.Sometimes at perforation, put one piece of ordinary stent, also can arrest hemorrhage, but effect
Unreliable.
At present in the technology of this kind of coronary arterial perforation of all process, the most frequently used the most crown
The use of tremulous pulse covered stnet.When punching occurs standby covered stnet is transported to vascular puncture sentence
Suitable pressure discharges to close cut.But in place of there is shortcoming in the use of covered stnet: one, band
Membrane support is harder, and external diameter is the biggest, so by poor-performing, having distortion, calcium at some
Change or the most tiny blood vessel not easily passs through and maybe can not use;Its two, covered stnet price is more expensive, often
Pieces about 20,000 yuans, and the complication that coronary arterial perforation is not common, sometimes long period
Also will not run into, cross effect phase covered stnet and cannot use, stock side oneself must undertake this loss.
So not being that each conduit room is ready to get ready the goods.
In view of above-mentioned shortcoming, some patient uses interim homemade covered stnet to block cut, as from rubber
Cut a fritter fragment on Rubber gloves, tie on support, be then sent at vascular puncture.But,
Interim self-control covered stnet effect is not definite reliable, and does not has time enough when perforation occurs yet
Go to make covered stnet.Even if covered with confusion makes, in pericardium, there has also been a certain amount of hematocele,
It is certain to affect rescue effect.
Treatment situation based on current coronary arterial perforation and various treatment technology shortcoming in various degree, compel
It is essential and wants a kind of device, when perforation occurs, can be sent to quickly and easily at the perforation of blood vessel, and
Time effectively block cut.
Summary of the invention
It is an object of the invention to provide a kind of interim film covering device of intravascular stent and intravascular stent covers temporarily
The method of film, it is possible to prepare to quick and convenient covered stnet and cost is relatively low, has in time when perforation occurs
The effect ground covered stnet closure cut of interim preparation;And whole preparation process is to overlay film and intravascular stent base
This contacts the most firmly, it is ensured that the integrity of overlay film also guarantees the protection to intravascular stent.
For solving above-mentioned technical problem, embodiments of the present invention disclose a kind of interim overlay film of intravascular stent
Device, accommodates hollow sleeve including overlay film and intravascular stent;
Overlay film is tubular elastomeric overlay film, is socketed in intravascular stent and accommodates on the outer surface of hollow sleeve, and covers
External diameter when film internal diameter in a free state does not discharges less than intravascular stent;
Intravascular stent accommodates the external diameter of the intravascular stent that hollow sleeve is tubulose and internal diameter and non-release conditions
Matching, intravascular stent accommodates hollow sleeve and is used for providing a hollow tube chamber, and feeder vessels support is in hollow
Tube chamber accommodates hollow sleeve translation relative to intravascular stent, indirectly intravascular stent to be introduced overlay film institute
In the tubular space surrounded.
Embodiments of the present invention also disclose the method for the interim overlay film of a kind of intravascular stent, for as above
The interim film covering device of intravascular stent, comprise the following steps:
The hollow tube chamber that intravascular stent is formed along intravascular stent receiving hollow sleeve is propped up relative to blood vessel
Frame accommodates hollow sleeve translation, until intravascular stent accommodates hollow sleeve and is socketed on intravascular stent;
Fixing overlay film and intravascular stent, accommodate intravascular stent hollow sleeve and extract out, so that overlay film is coated
On intravascular stent.
Compared with prior art, the main distinction and effect thereof are embodiment of the present invention:
The interim film covering device of intravascular stent of the present invention, it is possible to utilize the intravascular stent separated and overlay film quick
Advantageously prepare covered stnet, when perforation occurs timely and effectively with the covered stnet closure of interim preparation
Cut;And overlay film is the most firmly contacted by whole preparation process with intravascular stent, it is ensured that overlay film complete
Whole property also guarantees the protection to intravascular stent;The expensive traditional expired one-tenth brought of band film intravascular stent can be avoided
This problem.
Further, overlay film end is provided with pulling portion, it is to avoid when extracting intravascular stent receiving hollow sleeve out
Overlay film and then moves, together consequently facilitating successfully received on intravascular stent by overlay film set.
Further, it is smooth that intravascular stent accommodates the outer surface of hollow sleeve, and extraction intravascular stent holds
Receive hollow sleeve time overlay film will not be caused abrasion.
Further, it is smooth that intravascular stent accommodates the inner surface of center sleeve, is inserted by intravascular stent
Intravascular stent is easier when accommodating hollow sleeve, and intravascular stent will not be caused damage.
Further, overlay film and intravascular stent accommodate hollow sleeve and have and mate with different blood vessel stent size
Different inner diameters size, by choosing the overlay film and intravascular stent matched with stent dimensions, can fit
For different size patient coronarius.
Further, overlay film is non-rejection biochemical material, can prevent rejection phenomenon.
Accompanying drawing explanation
Fig. 1 is the structural representation of the first embodiment of the invention interim film covering device of medium vessels support;
Fig. 2 is first embodiment of the invention medium vessels support interim film covering device illustraton of model;
Fig. 3 is the structural representation of the second embodiment of the invention interim film covering device of medium vessels support;
Fig. 4 is the schematic flow sheet of the method for the four embodiment of the invention interim overlay film of medium vessels support;
Fig. 5 is production and the use of the interim film covering device of whole intravascular stent in fifth embodiment of the invention
Flow chart;
Fig. 6 is to be transported to the interim film-coated vascular support at vascular puncture in fifth embodiment of the invention
Picture.
Detailed description of the invention
In the following description, many technology are proposed in order to make reader be more fully understood that the application thin
Joint.But, even if it will be understood by those skilled in the art that do not have these ins and outs and based on
The many variations of following embodiment and amendment, it is also possible to realize the required guarantor of each claim of the application
The technical scheme protected.
For making the object, technical solutions and advantages of the present invention clearer, below in conjunction with accompanying drawing to this
Bright embodiment is described in further detail.
First embodiment of the invention relates to a kind of intravascular stent interim overlay film 1 device, and Fig. 1 is this blood vessel
The structural representation of the interim film covering device of support.
As it can be seen, the interim film covering device of this intravascular stent includes that overlay film 1 and intravascular stent accommodate hollow sleeve
Pipe 2.
Overlay film 1 is tubular elastomeric overlay film, is socketed in intravascular stent and accommodates on the outer surface of hollow sleeve 2,
And the internal diameter that overlay film 1 is in a free state is less than external diameter when intravascular stent does not discharges, such design is protected
Having demonstrate,proved and accommodated after hollow sleeve 2 extracts out at described support, overlay film 1 can closely coating stent;
Intravascular stent accommodates the external diameter of the intravascular stent that hollow sleeve 2 is tubulose and internal diameter and non-release conditions
Matching, intravascular stent accommodates hollow sleeve 2 for providing a hollow tube chamber, feeder vessels support in
Blank pipe chamber accommodates hollow sleeve 2 relative to intravascular stent translate, cover indirectly intravascular stent is introduced
In the tubular space that film 1 is surrounded.
It is said that in general, intravascular stent accommodates the internal diameter of hollow sleeve 2 and the intravascular stent of non-release conditions
External diameter matches and refers to the internal diameter external diameter more than or equal to intravascular stent that intravascular stent accommodates hollow sleeve 2.
Furthermore, it is to be understood that overlay film 1 must have enough elasticity, because intravascular stent arrives internal target
After position (i.e. at vascular puncture) is released, overlay film 1 is strutted by intravascular stent, if overlay film 1 not foot
Enough elasticity will cause breakage thus not reach the effect of closure cut.
The interim film covering device of intravascular stent of present embodiment, it is possible to utilize the intravascular stent and overlay film separated
Covered stnet is prepared on 1 quick and convenient ground, props up with the band film of interim preparation timely and effectively when perforation occurs
Frame closure cut.And overlay film 1 is the most firmly contacted by whole preparation process with intravascular stent, it is ensured that
The integrity of overlay film 1 also guarantees the protection to intravascular stent.Expensive traditional band film intravascular stent mistake can be avoided
The Cost Problems that phase brings.
As the preference of present embodiment, it is illustrated in figure 2 intravascular stent interim film covering device illustraton of model.
As it can be seen, nontoxic elastic silica gel overlay film is tubulose, it is pre-installed in intravascular stent and accommodates on hollow sleeve,
The external diameter of pre-designed tubulose silica gel overlay film and length, it is desirable to after tubulose silica gel overlay film is coated on support,
Can firmly hold support tightly, just as support can firmly hold support sacculus tightly.Again by tubulose silica gel overlay film jail
Jail is tightened up and is accommodated on hollow sleeve at intravascular stent, during use, takes out this device, chooses and stent size
The tubulose silica gel overlay film matched, is enclosed within support, takes out intravascular stent and accommodates hollow sleeve, so manages
Shape silica gel overlay film is the most tightly coated on support, is then carried by the support being coated with tubulose silica gel overlay film
With suitable pressure (according to vessel diameter and the match condition of stent size and support to vascular puncture
Produce release pressure and the relation of stent size of design) release support, along with elastic silica gel overlay film is by support
Strutting, blood vessel cut is the most just sealed by tubulose silica gel overlay film.
Second embodiment of the invention relates to a kind of interim film covering device of intravascular stent, and Fig. 3 is that this blood vessel props up
The structural representation of the interim film covering device of frame.
Second embodiment is improved on the basis of the first embodiment, and main improvements exist
In: overlay film end is provided with pulling portion, it is to avoid extracts overlay film when intravascular stent accommodates hollow sleeve out and follows one
Rise mobile, consequently facilitating successfully overlay film set is received on intravascular stent;During overlay film and intravascular stent accommodate
Empty set pipe has the different inner diameters size mated with different blood vessel stent size, by choosing and intravascular stent
Overlay film that size matches and intravascular stent, be applicable to different size patient coronarius;Overlay film is
Non-rejection biochemical material, can prevent rejection phenomenon.Specifically:
When exerting a force toward a direction to extract intravascular stent receiving hollow sleeve 2 out, need fixing overlay film
1 and intravascular stent, or overlay film 1 and intravascular stent are imposed rightabout power, could be by overlay film 1
Set is received on intravascular stent.
Therefore, the end of overlay film 1 is provided with pulling portion 3, is used for fixing overlay film 1 so that by intravascular stent
Accommodate center sleeve and detach overlay film 1.
As it is shown on figure 3, one end of overlay film 1 has two " ribbons " (i.e. pulling portion 3) to haul out, during use
Support is inserted intravascular stent and accommodates hollow sleeve, the proximal edge of support and the proximal edge of hollow sleeve
Two ribbons are pressed and are fixed on mount proximal end edge, then pump intravascular stent from far-end and hold by alignment
Receiving hollow sleeve, interim overlay film is just contained on support, then two ribbons are removed.
Arranging of pulling portion can be various ways, such as, in one embodiment, the end of overlay film 1
Portion is additionally provided with the latch closure being easy to tractive, in another embodiment, it is also possible to by overlay film 1 end
Portion is axially divided into two, thus forms two and can outwardly carry by overlay film 1, it is simple to tractive.At this
In other bright embodiment, it is also possible to the pulling portion of other form is set and is not limited to aforesaid way.
In another preference, overlay film 1 and intravascular stent accommodate hollow sleeve 2 to be had and props up with different blood vessel
The different inner diameters size of frame size coupling, to form a series of corresponding different size intravascular stent.From
And can be according to blood vessel diameter unrestricted choice intravascular stent.And the size of covered stnet of the prior art is fixed
Alright, no matter blood vessel diameter how, can only put up with use.
For convenience of narration, now according to the size of Coronary Artery Width at perforation, coronary arterial perforation is divided into blood
Pipe diameter >=2.25mm arteria coronaria perforation and blood vessel diameter≤2.25mm arteria coronaria bore a hole two kinds.Blood vessel
Support is not put in the arteria coronaria perforation of diameter≤2.25mm, can close blood vessel with gelfoam is directly stifled,
Because the little nothing of blood vessel hinders the most greatly;This technology only be responsible for solve blood vessel diameter >=2.25mm arteria coronaria perforation problem
, the most main branch vessel needs to implant interim overlay film frame, interim overlay film internal diameter can make 2.25mm,
2.5mm, 2.75mm, 3.0mm, 3.5mm, 4.0mm, respectively with the support phase of corresponding size
Coupling.
In another preference, overlay film is non-rejection biochemical material.Further, the material of overlay film is
Non-toxic material, non-rejection biochemical material can be specifically nontoxic elastic silica gel.
Additionally, overlay film can also be biodegradable, the material of biological absorbable, it is possible to keep in vivo
One period of effect duration.
Third embodiment of the invention relates to a kind of interim film covering device of intravascular stent, and the 3rd embodiment exists
Improved on the basis of first embodiment, mainly theed improvement is that: intravascular stent is accommodated hollow
The outer surface of sleeve pipe is smooth, and overlay film will not be caused abrasion when accommodating hollow sleeve by extraction intravascular stent;
It is smooth that intravascular stent accommodates the inner surface of center sleeve, is inserted by intravascular stent in intravascular stent receiving
It is easier during empty set pipe, and intravascular stent will not be caused damage.Specifically:
It is smooth that intravascular stent accommodates the outer surface of hollow sleeve 2, in order to take out toward a direction force
Go out intravascular stent when accommodating hollow sleeve 2, intravascular stent accommodate hollow sleeve 2 outer surface and overlay film 1 it
Between frictional force overlay film 1 will not be caused abrasion.
It is further preferred that the inner surface that intravascular stent accommodates hollow sleeve 2 is smooth, in order to will
Intravascular stent inserts when intravascular stent accommodates hollow sleeve 2 and is easier, and intravascular stent accommodates hollow sleeve
Intravascular stent will not be caused damage by the frictional force between pipe 2 inner surface and intravascular stent.
Furthermore, it is to be understood that the material that intravascular stent accommodates center sleeve can be polyethylene, polyamide,
Polycarbonate etc., are not especially limited in the present invention.
Four embodiment of the invention relates to the method for the interim overlay film of a kind of intravascular stent, and Fig. 4 is this blood vessel
The schematic flow sheet of the method for the interim overlay film of support.
As it can be seen, the method for the interim overlay film of this intravascular stent is for such as the intravascular stent of the first embodiment
Interim film covering device, comprises the following steps:
Step 401, the hollow tube chamber formed along intravascular stent receiving hollow sleeve by intravascular stent is relative
Hollow sleeve translation is accommodated, until intravascular stent accommodates hollow sleeve and is socketed in intravascular stent in intravascular stent
On.
Step 402, fixing overlay film and intravascular stent, intravascular stent is accommodated hollow sleeve and extracts out, thus
Overlay film is made to be coated on intravascular stent.
Present embodiment is the method embodiment corresponding with the first embodiment, and present embodiment can be with
First embodiment is worked in coordination enforcement.The relevant technical details mentioned in first embodiment is in this enforcement
In mode still effectively, in order to reduce repetition, repeat no more here.Correspondingly, present embodiment carries
To relevant technical details be also applicable in the first embodiment.
Fifth embodiment of the invention relates to the method for the interim overlay film of a kind of intravascular stent, the 5th embodiment
Improved on the basis of the 4th embodiment, mainly theed improvement is that: overlay film end is provided with
Pulling portion, it is to avoid extract overlay film when intravascular stent accommodates hollow sleeve out and and then move together, consequently facilitating suitable
Overlay film set is received on intravascular stent by profit ground.Specifically:
The end of overlay film is additionally provided with pulling portion, in step 402, also includes sub-step:
The pulling portion of fixing overlay film end, and the intravascular stent of this overlay film end;
Intravascular stent is accommodated hollow sleeve to the direction extraction contrary with overlay film end.
As the preference of present embodiment, it is illustrated in figure 5 the interim film covering device of whole intravascular stent
The flow chart produced and use, as shown in the figure:
In process of production, first produce the tubulose nontoxic elastic silica gel overlay film of different inner diameters, then this is covered
Film is coated the intravascular stent of corresponding external diameter and accommodates hollow sleeve;
In use, this intravascular stent receiving hollow sleeve is enclosed within the support of size coupling, and will cover
The pulling portion 3 (i.e. ribbon) of film near-end is pressed on the pole of mount proximal end with fixing, takes out intravascular stent
Accommodate hollow sleeve, then cut off ribbon, thus silica gel overlay film coating stent is successful, afterwards by silicon
Glue overlay film coating stent is delivered at vascular puncture and discharges support, and at last vascular puncture, cut is closed.
It is illustrated in figure 6 the picture being transported to the interim film-coated vascular support at vascular puncture, in figure 1
For being coated on the overlay film of rack surface, after support discharges at vascular puncture, block vascular puncture.
The present invention is that a kind of different size intravascular stent that is contained in that can use at any time accommodates on hollow sleeve
Nontoxic elastic silica gel film covering device, and use time with this device quickly and easily by silica gel overlay film coating stent,
Overlay film coating stent is transported at vascular puncture, support release after, elastic silica gel overlay film by support strut from
And close cut.
Can rapidly, advantageously make overlay film coating stent, this support is good by performance, can be according to blood vessel
Diameter unrestricted choice support, the cut definite effect of closure perforation blood vessel, and this device low price,
Any conduit room can use, suitable popularity.
It should be noted that in the claim and description of this patent, term " includes ", " bag
Contain " or its any other variant be intended to comprising of nonexcludability so that include a series of want
Process, method, article or the equipment of element not only include those key elements, but also include the most clearly arranging
Other key elements gone out, or also include want intrinsic for this process, method, article or equipment
Element.In the case of there is no more restriction, statement the key element " including " and limiting, it is not excluded that
Other identical element is there is also in including the process of described key element, method, article or equipment.
Although by referring to some of the preferred embodiment of the invention, the present invention has been shown and
Describe, but it will be understood by those skilled in the art that and can in the form and details it be made respectively
Plant and change, without departing from the spirit and scope of the present invention.
Claims (8)
1. the interim film covering device of intravascular stent, it is characterised in that include that overlay film and intravascular stent hold
Receive hollow sleeve;
Described overlay film is tubular elastomeric overlay film, is socketed in described intravascular stent and accommodates the outer surface of hollow sleeve
On, and the external diameter when internal diameter that described overlay film is in a free state does not discharges less than intravascular stent;
Described intravascular stent accommodates the intravascular stent that hollow sleeve is tubulose and internal diameter and non-release conditions
External diameter matches, and described intravascular stent accommodates hollow sleeve and is used for providing a hollow tube chamber, and feeder vessels is propped up
Frame accommodates hollow sleeve translation relative to described intravascular stent in described hollow tube chamber, with indirectly by institute
State intravascular stent to introduce in the tubular space that overlay film is surrounded.
The interim film covering device of intravascular stent the most according to claim 1, it is characterised in that described
The end of overlay film is provided with pulling portion, is used for fixing overlay film intravascular stent to be accommodated center sleeve and detaching
Overlay film.
The interim film covering device of intravascular stent the most according to claim 1, it is characterised in that described
It is smooth that intravascular stent accommodates the outer surface of hollow sleeve.
The interim film covering device of intravascular stent the most according to claim 3, it is characterised in that described
It is smooth that intravascular stent accommodates the inner surface of hollow sleeve.
The interim film covering device of intravascular stent the most according to claim 1, it is characterised in that described
Overlay film and intravascular stent accommodate hollow sleeve and have the different inner diameters chi mated with different blood vessel stent size
Very little, to form a series of corresponding different size intravascular stent.
The interim film covering device of intravascular stent the most according to claim 1, it is characterised in that described
Overlay film is non-rejection biochemical material.
7. the method for the interim overlay film of intravascular stent, it is characterised in that for such as claim 1 institute
The interim film covering device of intravascular stent stated, comprises the following steps:
Intravascular stent is accommodated the hollow tube chamber that formed of hollow sleeve relative to institute along described intravascular stent
State intravascular stent and accommodate hollow sleeve translation, until described intravascular stent accommodates hollow sleeve and is socketed in blood vessel
On support;
Fixing described overlay film and described intravascular stent, accommodate hollow sleeve by described intravascular stent and extract out, from
And make described overlay film be coated on described intravascular stent.
The method of the interim overlay film of intravascular stent the most according to claim 7, it is characterised in that institute
The end stating overlay film is additionally provided with pulling portion, described, and " fixing described overlay film and described intravascular stent, will
Described intravascular stent accommodates hollow sleeve and extracts out " step in, also include sub-step:
The pulling portion of fixing described overlay film end, and the intravascular stent of this overlay film end;
Described intravascular stent is accommodated hollow sleeve to the direction extraction contrary with described overlay film end.
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CN110923825A (en) * | 2019-09-02 | 2020-03-27 | 上海大学 | Preparation system and preparation method of high-elasticity drug-loaded thin film intravascular stent |
CN111419470A (en) * | 2020-03-17 | 2020-07-17 | 首都医科大学附属北京安贞医院 | Support laminating machine |
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CN110923825B (en) * | 2019-09-02 | 2021-11-09 | 上海大学 | Preparation system and preparation method of high-elasticity drug-loaded thin film intravascular stent |
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