SU1237201A1 - Intravascular frame - Google Patents

Intravascular frame Download PDF

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Publication number
SU1237201A1
SU1237201A1 SU853856305A SU3856305A SU1237201A1 SU 1237201 A1 SU1237201 A1 SU 1237201A1 SU 853856305 A SU853856305 A SU 853856305A SU 3856305 A SU3856305 A SU 3856305A SU 1237201 A1 SU1237201 A1 SU 1237201A1
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SU
USSR - Soviet Union
Prior art keywords
spring
vessel
diameter
intravascular
framework
Prior art date
Application number
SU853856305A
Other languages
Russian (ru)
Inventor
Борис Васильевич Петровский
Петр Иванович Полухин
Иосиф Хаимович Рабкин
Марк Львович Бернштейш
Владимир Александрович Займовский
Усман Хасьянов
Лидия Парфеновна Фаткуллина
Ирина Юрьевна Хмелевская
Болат Пешатович Хасенов
Дмитрий Иосифович Рабкин
Андрей Артемьевич Кадников
Original Assignee
Всесоюзный научный центр хирургии
Московский институт стали и сплавов
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Priority to SU853856305A priority Critical patent/SU1237201A1/en
Application granted granted Critical
Publication of SU1237201A1 publication Critical patent/SU1237201A1/en

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Classifications

    • 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
    • A61F2/88Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements formed as helical or spiral coils

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Description

« "

Изобретение относитс  к медицине и может быть использовано зо внутри- сосудистой хирургии.The invention relates to medicine and can be used for intravascular surgery.

Цель изобретени  - ускорение образовани  неоинтимы и создание равномерного давлени  на поверхность сосуда.The purpose of the invention is to accelerate the formation of neointima and the creation of uniform pressure on the surface of the vessel.

На фиг. 1 изображен внутрисосудис- тьй каркас в свободном состо нии, установленный на конце проводника; на фиг, 2 - внутрисосудистый каркас в момент проведени  через катетер; на фиг, 3 - Бнутрисосудистый каркас установленный в сосуде,FIG. 1 shows the intravascular framework in a free state mounted on the end of the conductor; Fig. 2 shows the intravascular framework at the time of passage through the catheter; in Fig, 3 - the intracavitary framework installed in the vessel,

Внутрисосудистьй каркас представл ет собой проволочную пру){сину 1 из сплава, обладающего эффектом пам ти формы, покрытую силиконом.с наружным диаметром D, диаметром проволоки d и шагом витков t. Диаметр пружины D с учетом свойств сплава и стенок сосуда составл ет 1,05- 1,15 внутреннего диаметра сосуда D, При отношении D/D( менее 1,05 вну трисосудистый каркас неустойчив по отношению к продольному смегдению в сосуде под действием тока крови. При отношении D/D, более чем 1,5 давление карк са превышает противодействие стенок сосуда, что приводит к чрезмерному расширению, участка сосуда . Диаметр проволоки d может измен тьс  в пределах 0,004 - 0,15 диаметра пружины, что определ етс  исход  из объема пам ти материала,При отношении менее 0,004 пружина не развивает достаточных дл  противодействи  стенкам сосуда изделий.При отношении более 0,15 пружина неполно стью восстанавливает в сосуде исходную форму. Величина шага витковThe intravascular framework is a wire rod) {sinu 1 of an alloy that has a shape memory effect, coated with silicone with an outer diameter D, a wire diameter d and a step of turns t. The diameter of the spring D, taking into account the properties of the alloy and the walls of the vessel, is 1.05-1.15 of the internal diameter of the vessel D, With a ratio D / D (less than 1.05 the inside of the vessel is unstable with respect to the longitudinal smidge in the vessel under the action of blood flow. With a D / D ratio of more than 1.5, the carcass pressure exceeds the resistance of the vessel walls, which leads to excessive expansion of the vessel section. The wire diameter d can vary between 0.004 and 0.15 of the spring diameter, which is determined based on the volume memory material, with respect to less than 0,004 spring is not develops products that are sufficient to counteract the walls of the vessel. At a ratio of more than 0.15, the spring incompletely restores the original shape in the vessel.

фиг.22

372012372012

пружины составл ет 0,1 - 0,5 диаметра пружины,что способствует ускоренному ионному обмену и образованию неоинтимы на внутренней поверхнос5 ти каркаса. При отношении менее 0.1 витки пружины плотно прилегают друг к другу и затрудн ют ионный обмен, а при отношении более 0,5 рассто ние между витками становитс  достаточнымThe springs are between 0.1 and 0.5 times the diameter of the spring, which contributes to the accelerated ion exchange and the formation of neointima on the inner surface of the frame. With a ratio of less than 0.1, the coils of the spring fit snugly together and make ion exchange difficult, and with a ratio of more than 0.5, the distance between the coils becomes sufficient

0 дл  частичного провисани  стенок сосуда , что приводит к его частичному стенозу,0 to partially sag the vessel walls, resulting in partial stenosis,

ДЛ  установки каркаса под местной анестезией производ т чрескожнуюDL of the carcass under local anesthesia is performed percutaneously.

5 пункцию бедренной артерии по методу Сельдингера и ввод т в сосуд рентге- ноконтрастньй катетер 2, Каркас закрепл ют на, проводнике 3, охлаждают хлорэ гилом до температуры ниже 5, puncture of the femoral artery according to the Seldinger method and inserted into the vessel of the x-ray contrast catheter 2, the skeleton is fixed on, conductor 3, cooled with chlore to a temperature below

20 и ввод т через катетер 2 в сосуд 4 до места необходимой установки затем катетер отвод т до освобождени  заднего конца каркаса. В результате воздействи  тепла крови проволо ка каркаса вспоминает заранее заданную ей форму пружины, создава  равномерное противодействуюш;ее давление на стенку сосуда и предотвраща  его сужение. Силиконовое покрытие20 and introduced through the catheter 2 into the vessel 4 to the place of the required installation, then the catheter is retracted until the rear end of the frame is released. As a result of the influence of the heat of the blood, the wire of the skeleton recalls the shape of the spring that was predetermined to it, creating a uniform resistance to it, its pressure on the vessel wall and preventing its narrowing. Silicone coating

30 каркаса предотвращает тромбообразо- вание и способствует быстрому образованию неоинтймы на внутренней поверхности каркаса.30 of the framework prevents thrombosis and promotes the rapid formation of neointima on the inner surface of the framework.

jt; Таким образом, предлагаема  конструкци  внутрисосудистого каркаса позвол ет расшир ть сосуды различных размеров, не вызыва  тромбообразова- пи 5 и создавать равномерное давле40 ние на внутренние поверхности кровеносных сосудов.jt; Thus, the proposed design of the intravascular framework allows vessels of various sizes to expand without causing thrombus formation 5 and to create uniform pressure on the inner surfaces of blood vessels.

(рие.З(re.e.

Составитель А.Миха ьцов Редактор А.Огар Техред М.Моргентал Корректор Е,Р)шсоCompiled by A. Mikha etsov Editor A. Ogar Tehred M. Morgental Proofreader E, F) school

Заказ 3219/6 Тираж 660ПодписноеOrder 3219/6 Circulation 660 Subscription

ВНЖШИ Государственного комитета СССРPERSONNEL of the USSR State Committee

по делам изобретений и открытий 113035, Москва, Ж-35, Раушска  наб., д. 4/5for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5

ПроизводственноProduction

-полиграфическое предпри тие, г. Ужгород, ул. Проектна , 4printing enterprise, Uzhgorod, st. Project, 4

Claims (1)

ВНУТРИСОСУДИСТЫЙ КАРКАС, выполненный в виде пружины из материала, обладающего эффектом памяти формы, отличающийся тем, что, с целью ускорения образования неоинтимы и создания равномерного давления на поверхность сосуда, диаметр пружины составляет 1,05-1,15 диаметра протезируемого сосуда,шаг витков пружины 0,1 - 0,5, а толщина проволоки пружины 0,004-0,15 диаметра пружины,причем пружина покрыта эластичным материалом, преимущественно селиконом.· фиг.1INTRAVASCULAR FRAME made in the form of a spring from a material with a shape memory effect, characterized in that, in order to accelerate the formation of neointima and create uniform pressure on the surface of the vessel, the diameter of the spring is 1.05-1.15 of the diameter of the prosthetic vessel, the pitch of the spring turns 0.1 to 0.5, and the thickness of the spring wire is 0.004-0.15 of the diameter of the spring, and the spring is covered with an elastic material, mainly Selicon. · Fig.1 1237201 А11237201 A1
SU853856305A 1985-03-04 1985-03-04 Intravascular frame SU1237201A1 (en)

Priority Applications (1)

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Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1997009005A1 (en) * 1995-09-05 1997-03-13 Babunashvili Avtandil Mikhailo Means for maintaining the clear passage inside a vessel or hollow organ and a device containing said means for restoring the clear passage in a vessel or hollow organ
US5643339A (en) * 1992-08-06 1997-07-01 William Cook Europe A/S Prosthetic device for sustaining a blood-vessel or hollow organ lumen
US5707376A (en) * 1992-08-06 1998-01-13 William Cook Europe A/S Stent introducer and method of use
RU2123809C1 (en) * 1996-07-19 1998-12-27 Дамбаев Георгий Цыренович Device for dilatation of hollow organs
RU2154443C2 (en) * 1995-04-26 2000-08-20 Мединол Лтд. Hinged stent
RU2169545C2 (en) * 1994-07-28 2001-06-27 Мединол Лтд. Flexible expandable stent
RU2169544C1 (en) * 2000-05-16 2001-06-27 НПЦ "ИНТЕКО" ГП "Красная Звезда" Means for supporting blood vessel or hollow organ lumen
RU2175531C2 (en) * 1995-09-11 2001-11-10 Вилльям Кук Юроп А/С Expandable intravascular stent
US6336938B1 (en) 1992-08-06 2002-01-08 William Cook Europe A/S Implantable self expanding prosthetic device
RU2185859C2 (en) * 1995-10-20 2002-07-27 Надим М. Закка Device for removing stenoses and supporting vascular walls
US7632291B2 (en) 2003-06-13 2009-12-15 Trivascular2, Inc. Inflatable implant
US7976576B2 (en) 1996-09-19 2011-07-12 Medinol Ltd. Stent with variable features to optimize support and method of making such stent
US8066755B2 (en) 2007-09-26 2011-11-29 Trivascular, Inc. System and method of pivoted stent deployment
US8083789B2 (en) 2007-11-16 2011-12-27 Trivascular, Inc. Securement assembly and method for expandable endovascular device
US8226701B2 (en) 2007-09-26 2012-07-24 Trivascular, Inc. Stent and delivery system for deployment thereof
RU2460500C1 (en) * 2011-03-28 2012-09-10 Сергей Викторович Соколов Device of implant for human and animal vessels
US8328861B2 (en) 2007-11-16 2012-12-11 Trivascular, Inc. Delivery system and method for bifurcated graft
US8663309B2 (en) 2007-09-26 2014-03-04 Trivascular, Inc. Asymmetric stent apparatus and method
US8992595B2 (en) 2012-04-04 2015-03-31 Trivascular, Inc. Durable stent graft with tapered struts and stable delivery methods and devices
US9498363B2 (en) 2012-04-06 2016-11-22 Trivascular, Inc. Delivery catheter for endovascular device
RU174103U1 (en) * 2017-06-06 2017-10-02 Федеральное государственное бюджетное учреждение "Национальный медицинский исследовательский центр сердечно-сосудистой хирургии имени А.Н. Бакулева" Министерства здравоохранения Российской Федерации (ФГБУ "НМИЦССХ им. А.Н. Бакулева" Минздрава России) VASCULAR FRAME
US10159557B2 (en) 2007-10-04 2018-12-25 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
А, Cragg Gunnar Liend, Josepto Rusavy Flavio Castaneola, Welfrido Castaneda - Lunira Kurt Ampeatz.Non- surgical Placement of Arterial Endo- prosthiss. A new Technique Ring Niti- nol Wire. -Radiology, 1983, 147, 261-263, April. *

Cited By (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5643339A (en) * 1992-08-06 1997-07-01 William Cook Europe A/S Prosthetic device for sustaining a blood-vessel or hollow organ lumen
US5707376A (en) * 1992-08-06 1998-01-13 William Cook Europe A/S Stent introducer and method of use
US6336938B1 (en) 1992-08-06 2002-01-08 William Cook Europe A/S Implantable self expanding prosthetic device
US6383216B1 (en) 1992-08-06 2002-05-07 William Cook Europe A/S Implantable self expanding prosthetic device
US6814750B2 (en) 1992-08-06 2004-11-09 William Cook Europe A/S Implantable, self-expanding prosthetic device
RU2169545C2 (en) * 1994-07-28 2001-06-27 Мединол Лтд. Flexible expandable stent
RU2154443C2 (en) * 1995-04-26 2000-08-20 Мединол Лтд. Hinged stent
WO1997009005A1 (en) * 1995-09-05 1997-03-13 Babunashvili Avtandil Mikhailo Means for maintaining the clear passage inside a vessel or hollow organ and a device containing said means for restoring the clear passage in a vessel or hollow organ
RU2257180C2 (en) * 1995-09-11 2005-07-27 Вилльям Кук Юроп А/С Expandable intravascular stent
RU2175531C2 (en) * 1995-09-11 2001-11-10 Вилльям Кук Юроп А/С Expandable intravascular stent
RU2185859C2 (en) * 1995-10-20 2002-07-27 Надим М. Закка Device for removing stenoses and supporting vascular walls
RU2123809C1 (en) * 1996-07-19 1998-12-27 Дамбаев Георгий Цыренович Device for dilatation of hollow organs
US7976576B2 (en) 1996-09-19 2011-07-12 Medinol Ltd. Stent with variable features to optimize support and method of making such stent
US7998193B2 (en) 1996-09-19 2011-08-16 Medinol Ltd. Stent with variable features to optimize support and method of making such stent
RU2169544C1 (en) * 2000-05-16 2001-06-27 НПЦ "ИНТЕКО" ГП "Красная Звезда" Means for supporting blood vessel or hollow organ lumen
US11000288B2 (en) 2003-06-13 2021-05-11 Trivascular, Inc. Inflatable implant
US10201350B2 (en) 2003-06-13 2019-02-12 Trivascular, Inc. Inflatable implant
US7632291B2 (en) 2003-06-13 2009-12-15 Trivascular2, Inc. Inflatable implant
US8663309B2 (en) 2007-09-26 2014-03-04 Trivascular, Inc. Asymmetric stent apparatus and method
US8066755B2 (en) 2007-09-26 2011-11-29 Trivascular, Inc. System and method of pivoted stent deployment
US8226701B2 (en) 2007-09-26 2012-07-24 Trivascular, Inc. Stent and delivery system for deployment thereof
US10159557B2 (en) 2007-10-04 2018-12-25 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery
US10682222B2 (en) 2007-10-04 2020-06-16 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery
US12016766B2 (en) 2007-10-04 2024-06-25 Trivascular, Inc. Modular vascular graft for low profile percutaneous delivery
US8328861B2 (en) 2007-11-16 2012-12-11 Trivascular, Inc. Delivery system and method for bifurcated graft
US8083789B2 (en) 2007-11-16 2011-12-27 Trivascular, Inc. Securement assembly and method for expandable endovascular device
RU2460500C1 (en) * 2011-03-28 2012-09-10 Сергей Викторович Соколов Device of implant for human and animal vessels
US8992595B2 (en) 2012-04-04 2015-03-31 Trivascular, Inc. Durable stent graft with tapered struts and stable delivery methods and devices
US9498363B2 (en) 2012-04-06 2016-11-22 Trivascular, Inc. Delivery catheter for endovascular device
RU174103U1 (en) * 2017-06-06 2017-10-02 Федеральное государственное бюджетное учреждение "Национальный медицинский исследовательский центр сердечно-сосудистой хирургии имени А.Н. Бакулева" Министерства здравоохранения Российской Федерации (ФГБУ "НМИЦССХ им. А.Н. Бакулева" Минздрава России) VASCULAR FRAME

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