CN207721935U - Implantation material transport system - Google Patents
Implantation material transport system Download PDFInfo
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- CN207721935U CN207721935U CN201720283767.9U CN201720283767U CN207721935U CN 207721935 U CN207721935 U CN 207721935U CN 201720283767 U CN201720283767 U CN 201720283767U CN 207721935 U CN207721935 U CN 207721935U
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- implantation material
- ring
- connecting rod
- axis
- releasing mechanism
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
- A61F2/966—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
- A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/1214—Coils or wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Vascular Medicine (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Reproductive Health (AREA)
- Neurosurgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The utility model discloses a kind of implantation material transport systems, include the implantation material with mesh mechanism；Include the releasing mechanism of the connecting rod containing distal portion point, the releasing mechanism is attached to the mesh mechanism of the implantation material；And its construction and layout are the controlling mechanism for manipulating the releasing mechanism and the releasing mechanism being made to be detached from the implantation material.Implantation material transport system provided by the utility model can carry out implantation material quick release in desired implantation position.
Description
The application is associated with a U.S. Provisional Patent Application, number of patent application 62/368,927, entitled " implantation material
Transport system and method are filed on July 29th, 2016, this application content will be added to for the purpose of reference in full text.
Technical field
The utility model is related to a kind of system of one or more implantation materials for patient of conveying more particularly to a kind of energy
The implantation material transport system and equipment of implantation material quick release are carried out in desired implantation position.
Background technology
Vascular occlusion equipment, holder and other implantation materials are used for various medical treatment, including endovascular aneurysm and blood vessel limit
The treatment of system.Vascular occluding device generally includes one and is fixed in blood vessel or artery tumor, soft such as blood vessel or cerebral aneurysm
Spiral wound spring ring.Holder may include the fexible bias pressure knot of self expandable or by using expansible air bag plastic deformation
Structure.Vascular occluding device, holder and other implantation materials are usually filled by the conveying based on a percutaneous conduit for introducing patient's body
It sets adjoint, proceeds to and be adjacent to implantation point.The accuracy that one or more implantation materials are placed into desirable position is generally difficult to
In the mode that implantation material is discharged from delivery conduit.
Thus and other reasons, to the improved system of one or more implantation materials can be accurately positioned in desired implant site
System, method and apparatus, which exist, generally to be needed.
Invention content
The technical problem to be solved by the utility model is to provide a kind of implantation material transport systems, can be in desired implantation
Position carries out the implantation material transport system and equipment of implantation material quick release.
According to the one side of the utility model concept, a kind of implantation material transport system includes having the implantation of mesh mechanism
Object；A kind of releasing mechanism comprising the connecting rod with distal portions, the releasing mechanism are attached to the described of the implantation material and nibble
Conjunction mechanism；And a kind of control mechanism, constructing and be laid out in the manipulation releasing mechanism makes described in the releasing mechanism disengaging
Implantation material.
In some embodiments, further include the elongated shaft being arranged at least about a part for the connecting rod, it is described elongated
Axis contains proximal end, distal portions and distal end.
In some embodiments, at least part of the elongated shaft is tapered major diameter.
In some embodiments, the elongated shaft includes the proximal part of first external diameter, the axis distal portions
Include less than the second external diameter of the first external diameter, and from first external diameter to the middle part of the various outer diameter of second external diameter transition
Point.
In some embodiments, the implantation material is resilient compression shape.
In some embodiments, the mesh mechanism includes the filiform for having ring, the ring and the releasing mechanism
Releasably engage.
In some embodiments, the ring is attached to the second filiform, and second filiform is in elastic compression
The ring to be moved to the hollow space of the implantation material by state.
In some embodiments, further include around at least part of axis of the connecting rod and include with opening
Wall, the mesh mechanism include the filiform for having ring, and the releasing mechanism includes the protruding portion from the distal end of the connecting rod
Position, the protruding parts pass through the ring, capture the ring, and the retraction of the connecting rod discharges the implantation material.
In some embodiments, further include around at least part of axis of the connecting rod and include being opened with slope shape
The wall of mouth, the mesh mechanism includes the filiform for having ring, and the releasing mechanism includes the hook from the distal end of the connecting rod
Portion, it is described to be open around the outside of the axis and into the slope shape, and the hook portion captures the ring, the connecting rod
Advance so that the hook portion is detached from from the ring, to discharge the implantation material.
Technology described herein and its attribute and adjoint advantage are combining the following detailed description for coordinating attached drawing,
Wherein representative embodiment by way of example under, best will be appreciated and understand.
Description of the drawings
Fig. 1 shows the schematic diagram for convey implantation material system to patient's body consistent with this paper concept of the invention.
Fig. 2 shows the systems for convey implantation material to patient's body consistent with this paper concept of the invention, and include
The schematic diagram of one or more functions element.
Fig. 3 shows the side sectional view of the implantation material based on spring ring consistent with this paper concept of the invention.
Fig. 4 and Fig. 4 A show the implantation material transport system consistent with this paper concept of the invention.
Fig. 5 A-C show implantation material and releasing mechanism interface in the implantation material transport system consistent with this paper concept of the invention
Transparent perspective view.
Fig. 6 A-B show implantation material and releasing mechanism interface in the implantation material transport system consistent with this paper concept of the invention
Transparent perspective view.
Fig. 7 shows the side view of the medical instrument central axis consistent with this paper concept of the invention.
Fig. 8 shows the perspective view of the spring ring of the implantation material consistent with this paper concept of the invention.
Fig. 9 shows the perspective view of the spring ring of the implantation material consistent with this paper concept of the invention.
Specific implementation mode
It will be described in detail the embodiment of this technology now, case regular meeting is illustrated with attached drawing.Identical reference number
It is used for same or analogous part throughout the drawings.
It is to be understood that word " comprising " herein (and other any forms of this word, such as " wrapped
Include "), " having " (and other any forms of this word, such as " having had "), " include " (and this word other
What form, for example, " included), or " containing " (and other any forms of this word, such as " included ＂), be for
The existing characteristic of statement, integer, step, operation, element and/or component etc., but be not excluded for showing or increasing one or more
Other characteristics, integer, step, operation, element, component and/or combination thereof.
Although will be further appreciated that first, second, the clauses such as third can be used for describing various limits herein
System, element, component, region, level and/or section, these limitations, element, component, region, level and/or section should not
It is limited by these clauses.These clauses only distinguish a limitation with what, element, component, region, level or section and another
The difference of a limitation, element, component, region, level or section.Therefore, first limitation being discussed below, element, component,
Region, level or section can be referred to as the second limitation, element, component, region, level or section, without departing from current application
Guideline.
It will be further appreciated that when an element is referred to as " ", " subsidiary ", " connection " or " pairs of " to another member
When plain, it can directly over or be higher than, or connection, or intermediate existing for another element or one or more in pairs
Element.On the contrary, when an element is referred to as " directly existing ", " directly subsidiary ", " being directly connected to ", or " directly in pairs " arrive another member
When plain, neutral element is not present.Between describing element with what other words of relationship should by it is similar it is following in a manner of solved
Release (for example, " between " with respect to what " directly between ", " adjacent " and " direct neighbor " etc.).
It will be further appreciated that be referred to as " " when the first element, when "upper" and/or " inside " second element,
First element can be positioned so that：In the inner space of second element, (for example, second in certain part of second element
In the wall of element)；On the externally and/or internally surface of second element；And the combination of above-mentioned one or more forms.
As used herein, word " neighbouring " should include for a reference cell or other positions, on position
It is close, above, inside, and/or enter.
Space relative terms, such as " ... under ", " ... below ", " being less than ", " being higher than ", " above " and class
As word the relationship of one element and/or feature and other elements (s) and/or feature (s) can be described with what, such as institute in figure
It enumerates.It will be further appreciated that space relative terms are intended to the use other than being described comprising attached drawing and/or operating device
Different modes.For example, if the device in a figure is reversed, it is described as be in other elements and features before
" ... below " and/or " ... under " element can become be located at other elements or features " above ".The device can
In addition (such as be rotated by 90 ° or other orientation) is positioned, and corresponding explanation is made for space description here.
Term " reduction " used herein, " reduction ", " reduction " and similar word include the reduction of amount, including subtract
Less to zero.The possibility for reducing by an example should include preventing its generation.
Whether term "and/or" herein is two groups of specific functions of specific confirmation or element with or without another
It is a.For example, " A and/or B ", which is regarded as specific confirmation, shows each (i) A；(ii) B, and (iii) A and B, herein as figure
In be each individually to set.
" diameter " word is regarded as one and connects for describing a non-circular geometry, geometry herein
The illusion diameter of a circle of its nearly description.For example, description cross section when, such as a component cross section, term " diameter " application
To describe to have the imaginary diameter of a circle that same circular transverse cross section is accumulated with module transverse section.
Term used herein：One component " long axis " and " short axle " are to respectively refer to that institute's component can be surrounded completely most
The length and diameter of the hypothesis cylinder of small size.
It is understood that certain features of the present invention, for the sake of clarity, in the described in the text of different embodiments,
It may also illustrate in individual event scheme in a joint manner.Opposite, multiple features in the present invention, for simplification, in individual event
The described in the text of scheme, it is also possible to separate or with any suitable sub-combination explanation.Such as, it is possible to understand that any right
All features (no matter independence or subordinate) stated in it is required that, can be combined with any given mode.
It provided herein is the one or more implantation materials of conveying to the system of patient's body, device and method, such as accurately
In the one or more implantation spring rings to aneurysm of ground conveying.A kind of medical delivery system includes the plant of one or more implantation materials
Enter object transport system, each implantation material includes an engaging portion.Implantation material transport system further includes a releasing mechanism and one
A controlling mechanism.Relieving mechanism includes a connecting rod, and the other parts and implantation material of the connecting rod or the releasing mechanism are nibbled
Part is closed to be meshed.Controlling mechanism is constructed and arranged as control link, promotes releasing mechanism in the scheduled position of patient's body
It is detached from from implantation material.System and equipment in concept of the present invention can be constructed and arranged as discharging rapidly implantation material, so
Implantation is allowed to be transported to the accuracy in patient's body precalculated position.
Referring to Fig.1, schematic diagram explain consistent with a concept of the present invention conveying implantation material to patient system.System
System 10 includes an implantation material transport system 100, which includes controlling mechanism 120, releasing mechanism 140 and implantation material 160.
Implantation material 160 includes mesh mechanism 170.The releasing mechanism 140 that is constructed and arranged to of system 10 allows operator (for example, one
It is implanted into clinician) implantation material 160 is accurately transported to expected position, such as when implantation material 160 includes one or more
Vascular occluding device (such as a vaso-occlusive coils), holder, overlay film frame and/or drug delivering implant, and work as
Releasing mechanism 140 is constructed and arranged to discharge rapidly implantation material 160 (for example, avoiding or being greatly decreased activation controlling mechanism
Delay between 120 and release implantation material 160).In some case study on implementation, system 10 is constructed and arranged to accurate delivery plant
Enter in object 160 to aneurysm, such as cerebral aneurysm.In addition, system 10 can be constructed and arranged to be conveyed implantation material to being selected from
One or more of the following group position：Occlusion it is intravascular or occluded before it is intravascular, such as the cerebrovascular, it is clear that i.e. will
What is occluded is intravascular, above, the inside, and/or enter another patient's body position, and these one or more of positions
Combination.Releasing mechanism 140 may include a translatable conduit and connecting rod 141.As described herein, connecting rod 141 or
Another part of releasing mechanism 140 is meshed with the mesh mechanism 170 of implantation material 160, such as advances and/or contract in device 100
Hui Shi keeps the relative position of implantation material 160 and releasing mechanism 140 to stablize constant, until the operation of one or more systems 10
Person confirms that implantation material 160 has entered and properly implants position, and releasing mechanism 140 can be detached from or otherwise from implantation at this time
(implantation material 160 " being released ") is detached in object 160.Device 100 and system 10 in this paper concept of the invention are constructed and arranged as
The stabilisation implant 160 when confirming one or more positions, then an accurate position discharge implantation material 160 (for example,
It is implanted on the exact position of cerebral aneurysm or other intracerebrals).
Device 100 may include an axis, and axis 110 at least surrounds the part of (such as sliding is surrounded) connecting rod 141 or releases
The other parts of mechanism 140 are put, axis 110 includes proximal end 111, distal portions 115 and distal end 112.In some embodiments, axis
110 at least part surrounds at least part of controlling mechanism 120.In some embodiments, at least part of axis 110
(for example, all or part of of distal portions 115) surrounds at least part of implantation material 160.
Controlling mechanism 120 is built and is arranged as control link 141, such as translate (such as advance, and/or retraction) or
Swivel link 141.The adequately translation of connecting rod 141 and/or rotation (for example, translation and/or rotation of a predetermined quantity) cause
Implantation material 160 is released (such as being detached from connecting rod 141 or 140 another part of releasing mechanism).Connecting rod 141 can connect (for example,
It is permanently connected) in a part for controlling mechanism 120, such as when connecting rod 141 is attached, welding, curling is riveted and/or is tied
It closes onto an axis, shell, another part of pipe and/or releasing mechanism 140.
In some embodiments, controlling mechanism 120 includes a handle comprising mechanical component (for example, mechanical component
Including one or more cams, gear, motor and/or connecting rod), the handle is configured as translation and/or swivel link 141,
Such as handle 101 mentioned below, with reference to following Fig. 2.In some embodiments, controlling mechanism 120 is operationally connected to
Connecting rod 141, and it is releasably connected to axis 110, so that controlling mechanism 120 can be detached from axis 110, and then quilt
Operation translates and/or swivel link 141 is so that controlled reservoir implantation material 160.In some embodiments, controlling mechanism
120 releaseably connecting shaft 110.
System 10 can further comprise that one or more blood vessel guides, seal wire and/or access conduit (such as microtubular), such as
Access device 300 shown in figure.For example, access device 300 may include vessel catheter sheath, such as one poly- including high density
Ethylene (HDPE) and/or polyacrylic guide sheath.Access device 300 may include one or more standards and/or exchange length
The interventional guide wire of degree.Access device 300 may include a guiding catheter, and for example, at least a microtubular is (for example, internal diameter exists
Between 0.015 and 0.025 inch, for example internal diameter is about 0.017 inch).
System 10 can also include one or more vision facilities, as illustrated in the drawing vision facilities 400.Vision facilities
400 may include one or more of being selected from the group image device：Fluorescope, X-ray production apparatus, CT scanner, nuclear magnetic resonance figures
As instrument, ultrasonography instrument and combination thereof.In some embodiments, vision facilities 400 includes at least one glimmering
Light microscopic is implanted into the patient for guide device 100, and the positioning implants 160 in implantation.One or more in device 100
A component may include a visual marker (for example, radiopaque label, magnetic and/or visible label of ultrasound), such as
One visual marker be located in a component in being selected from the group the inside, above and/or in vivo：Mesh mechanism 170 and/or
The other parts of the other parts of implantation material 160, connecting rod 141 and/or releasing mechanism 140；Axis 110；And it is a kind of among the above or
A variety of combinations.
In some embodiments, axis 110, controlling mechanism 120, releasing mechanism 140 and/or implantation material 160 have following
The similar construction and arrangement, with reference to one or more figures of Fig. 2-.In some embodiments, implantation material 160 is nibbled
Conjunction mechanism 170 has similar structures and layout with one or more engaging portion 171-183 what follows.
In some embodiments, axis 110 includes a knitted parts, with reference to following Fig. 4.In some embodiments
In, axis 110 may include one or more plastics and/or metal material, such as a kind of material in being selected from the group：Stainless steel；Shape
Shape memory metal；Nitinol；Polymer；Shape-memory polymer；And above-mentioned one or more combinations.
In some embodiments, controlling mechanism 120 includes a part at least axis 110, such as coaxial 110 proximal part
It is configured as detaching from the remainder of axis 110.In some embodiments, controlling mechanism 120 includes the close end of connecting rod 141
Point, and and/or engaged by the proximal part of connecting rod 141, such as when connecting rod 141 is pushed into discharge implantation material 160.Control machine
System 120 can be constructed and arranged as retraction connecting rod 141, as described by multiple pictures following herein.Controlling mechanism 120 can be with
It is configured as promoting connecting rod 141, such as when controlling mechanism 120 includes a knob, control-rod, slide or other operable
It is connected to the control mode of 141 proximal part of connecting rod.In some embodiments, controlling mechanism 120 is configured close with axis 110
End part engages, the translation (advance and/or retract) such as axis 110 relative to connecting rod 141.
In some embodiments, controlling mechanism 120 includes connector, connector 122 as described below, the connection
Controlling mechanism 120 can be connected to the proximal part of axis 110 by device 122.Connector 122 can be fixed ground conjugate control mechanism 120
And/or axis 110 is fixedly engaged, and the other parts of controlling mechanism 120 and axis 110 are releasably engageable, so by applying
Power overcomes friction engagement so that controlling mechanism 120 can be detached from axis 110.In addition, connector 122 connects in which can be fixed
To a part for controlling mechanism 120 and axis 110, and it is constructed and arranged to (for example, at an opposite midpoint) after being destroyed, made
Controlling mechanism 120 is detached from axis 110.After the separation of axis 110, controlling mechanism can be translated and/or rotate to cause connecting rod 141
Association translation and/or rotation.
In some embodiments, releasing mechanism 140 includes a part at least axis 110, such as when axis 110 includes one
Or multiple grooves or hole, the groove or hole be constructed and arranged as stabilisation implant 160 and/or by releasing mechanism 140 come
Help discharges implantation material 160, as described below.Releasing mechanism 140 can be configured with one or more modes in the following group
To discharge implantation material 160 (for example, being deployed on one scheduled position of implantation material)：Vibrational energy, the fatigue of component, light (example
Such as, via one or more optical fiber), tension compresses, and torsion, torque is heated or cooled (for example, the variation of temperature causes phase
Transformation or thermal expansion or thermal contraction)；The injection of fluid or solid, displacement of the connecting rod 141 relative to axis 110, sense electronics stress,
Magnetism, a piezoelectric elements, a piezoresistance element, biochemical reaction, a hydrophily component, a bioactivity at
Point, and/or chemical reaction.
Connecting rod 141 may include a kind of metal and/or a kind of plastic material, such as a kind of material selected from the group below：Stainless steel surpasses
Elastic metallic, Nitinol, marmem, shape-memory polymer, polymer and group one or more in them
It closes.Connecting rod 141 may include an outer diameter (OD) between 0.001 inch and 0.005 inch, such as one about 0.002
The outer diameter of inch.In some embodiments, the internal diameter (ID) of the outer diameter (OD) of connecting rod 141 and axis 110 setting size be for
The axis 110 is set to be engaged to frictionally with connecting rod 141.This frictionally engagement can be configured as preventing the meaning of connecting rod 141
Outer translation.In some embodiments, the proximal part of connecting rod 141 and/or distal portions include one with connecting rod 141 other
The different attribute in part, such as a different attribute in being selected from the group：Material, diameter, cross section profile and they in one
Or multiple combination.
In some embodiments, connecting rod 141 includes an amplifier section, such as enlarged described below 144,
Include spherical shape, cylindrical and/or other geometries part, diameter it is bigger than the neighbouring part of connecting rod 141 (connecting rod 141
A part is located just at proximal end or the distal portions of 4 amplifier sections 144).One or more amplifier sections 144 can be set
For on the distal end of connecting rod 141 or at least distal portions.Each amplifier section 144 can connect (for example, being releasably attached)
Onto mesh mechanism 170, with stabilisation implant 160, and then detached from mesh mechanism 170 so that implantation material 160 is in the phase
It is accurately discharged on the implantation position of prestige.
As described above, implantation material 160 includes one or more implantable devices, such as one, it is two or more to be selected from down
Implantable device in group：Vascular occluding device, holder, overlay film frame, drug delivering implant and they in one or more
A combination.In some embodiments, implantation material 160 includes a vascular occluding device, and the vascular occluding device includes
One or more occlusive coils, as described below, with reference to Fig. 3.In some embodiments, implantation material 160 includes an elasticity
Unbiased shape, as described below, with reference to Fig. 8.
Implantation material 160 may include one or more filament, such as filament described below 163 and/or 180.At some
In embodiment, implantation material 160 includes elastic filament 163 described below, and with reference to Fig. 3, the elastic filament includes that drawing is complete
Portion or part mesh mechanism 170 (such as all or part of filament 180 and/or ring 171), into spring ring (such as bullet
Spring coil 161) fexible bias pressure or implantation material 160 be released 160 other hollow spaces of the implantation material after mechanism 140 discharges.
In some embodiments, mesh mechanism 170 includes an amplifier section, such as amplifier section 172, does not scheme to show
Show, but be described below, the amplifier section includes a spherical shape, cylindrical or other geometries part, diameter
It is bigger than the neighbouring part of mesh mechanism 170 that (part for mesh mechanism 170 is located just at the proximal end or remote of 4 amplifier sections 172
End).One or more amplifier sections 172 can be positioned on a proximal end of mesh mechanism 170 or at least one proximal part.Each
Amplifier section 172 can connect (such as releasable connection) to releasing mechanism 140, with stabilisation implant 160, and then from
It is detached on releasing mechanism 140 so that implantation material 160 accurately discharges on desired implantation position.
One or more components on device 100 may include the geometry of a fexible bias pressure, such as a component
A kind of fexible bias pressure of state in being selected from the group：It compresses (for example, distensible compressive state), expansion (such as expansion state
Can be compressed), coiling or the state (for example, the flexuosity that can be straightened) being bent with other, straight line is (for example, can disk
Around or bending linear state) and one or more combinations in them.In some embodiments, device 100 includes one
A fexible bias pressure component, the component include a kind of material in being selected from the group：One thermal setting materials, stainless steel, Nitinol,
And one or more combinations in them.
In some embodiments, releasing mechanism 140 and/or implantation material 160 are constructed and arranged as reference as described below
It illustrates any one or more of in 2-6.
In some embodiments, implantation material 160 is constructed and arranged as any type in the 7-9 as described below with reference to diagram
Or it is a variety of.
In some embodiments, the one or more components of system 10 include one or more sensors, energy converter or
Other function element, it is as described below with reference to Fig. 2.
With reference to Fig. 2, schematic diagram explains a conveying implantation material consistent with concept of the present invention to patient's body, and wraps
The system of the element containing one or more functions.System 10 includes device 100, and may include access device as described above 300 and/
Or imaging device 400.Device 100 includes controlling mechanism 120, releasing mechanism 140, implantation material 160, axis 110 and other assemblies, and
And these each can be similarly constructed and be arranged as above-mentioned similar component referring to Fig.1.
Device 100 in Fig. 2 may include a handle, handle 101 as shown in the figure.Handle 101 may include a fixation
Connection or moveable handle.Releasing mechanism 120 is at least part of to be positioned on handle 101.Handle 101 can wrap
Include one or more manipulation devices, manipulation device 101a, such as button, knob, lever, trigger, switch, cam and/or its
Its machinery, electric, chemical and/or fluid control machine system.In some embodiments, manipulation device 101a includes a behaviour
Vertical device is constructed and arranged as promoting, and retracts and/or rotates one or more below：Axis 110, connecting rod 141 and/or release
Another part of mechanism 140.
The device 100 of Fig. 2 may include one or more functions element, such as the function element 219a of axis 110 (such as schemes
Show the proximal part for being located in axis 110), the function element 219b of axis 110 (such as illustrated position is in the distal portions of axis 110
115), the element 229 of controlling mechanism 120, (it can be positioned in connecting rod 141 to the function element 249 of releasing mechanism 140
It is upper, interior or near) and/or implantation material 160 function element 269, the function element 279 of mesh mechanism 170.Function element
219a, 219b, 229,249,269 and/or 279 may include a sensor, energy converter or other function element.It is one or more
Function element 219a, 219b, 229,249,269 and/or 279 kinds can be operatively coupled to handle 101 via conduit
On, in figure without display but one or more of conduits can be selected from the group：Conducting wire, optical fiber, fluid delivery tube, mechanical linkage dress
It sets and one or more combinations in them.
In some embodiments, one or more functions element 219a, 219b, 229,249,269 and/or 279 include
One sensor, such as a sensor in being selected from the group：Biosensor, such as blood sensor, such as a blood
Gas content sensor；Capacitance sensor, such as voltage sensor or current sensor；Magnetic Sensor, such as a Hall effect
Inductive sensing device, mechanical pick-up device, such as strain gauge, accelerometer or flow sensor, such as ultrasonic flow sensor, chemistry
Sensor and one or more combinations in them.
In some embodiments, one or more functions element 219a, 219b, 229,249,269 and/or 279 include
One energy converter.Term " energy converter " described herein should be understood to include any reception energy or any input, and generate one
One component of a output or the combination of component.For example, energy converter can include an electrode, for receiving electric energy, and will be electric
Tissue (for example, according to size of electrode) can be assigned to.In some configurations, electronic signal is converted into any by an energy converter
Output, such as light (for example, energy converter comprising a light emitting diode or light bulb), sound is (for example, super to deliver comprising configuring
The piezocrystal transducer of acoustic wave energy), pressure, thermal energy, cold energy, chemical energy, mechanical energy (e.g., including a motor or spiral shell
The energy converter of spool), magnetic energy, and/or another electric signal (for example, bluetooth or other wireless communication units).In addition, one
Physical quantity (for example, variation of physical quantity) can be converted into electric signal by energy converter.One energy converter may include that any energy passes
Energy and/or reagent is passed to be configured as transmitting one or more energy in the following group to structural component, such as an energy converter
Measure tissue：To the electric energy of tissue：(for example, an energy converter includes one or more electrodes), arrives the light energy (example of tissue
Such as, an energy converter includes a laser, light emitting diode and/or optical module, such as lens or prism), arrive the machine of tissue
Tool energy (for example, an energy converter includes a tissue manipulation element) arrives the acoustic energy of tissue (for example, an energy converter includes one
A piezo-electric crystal)；Chemical energy, electromagnetic energy, magnetic energy and one or more combinations in them.
In some embodiments, function element 219a, 219b, 249,269 and/or 279 includes one or more visual
Change element, such as one or more radiopaque labels, magnetic mark and/or ultrasonic wave witness marking, the label are configured
It is visualized by imaging device 400.(such as determine that the position of one or more components or each item parts of equipment 100 are helped
Help the positioning and deployment of implantation material 160).
It is the side sectional view of the implantation material based on spring ring consistent with concept of the present invention with reference to Fig. 3.In figure
Show implantation material 160, the implantation material 160 of the implantation material and Fig. 1 there are similar construction and arrangement.Implantation material 160 includes one
A or multiple spring rings, spring ring 161.Spring ring 161 may include first part 161a (for example, first spring ring) and second
Part 161b (for example, second spring ring).Second part 161B can be soldered to first part 161a (for example, solder joint is big
3 rings of about each spring ring).One circular tip portion, ball 162 are fixedly joined to the end of spring ring 161
End, it is positioned in the distal end of implantation material 160 with the ball, and is fixedly connected to filament 163 (such as diameter is about 0.001
Inch polypropylene fibre) end.In some embodiments, filament 163 is thin including a plurality of filament, such as two or more pieces
Silk advances on being distally connected to ball 162, and towards the proximal end of implantation material 160 (for example, along with every filament in a side-by-side fashion
Proximal end be connected to ring 171).Ball 162 may include polypropylene and/or other plastic materials.Ball 162 may include a kind of bonding
Agent, such as a ultraviolet curing adhesive are formed as spherical shape.162 at least part of ball be it is visual (such as not
Radioparent) or it can include a visual label (such as radiopaque marker).Implantation material 160 includes nibbling
Conjunction mechanism 170, the mesh mechanism include the filament 180 for being configured to a ring 171, and the filament is fixedly connected (example
Such as, in anchor joint) arrive filament 163 proximal end.Ring 171 may include plastics or metal material.In some embodiments, ring
171 include Nitinol, such as when ring 171 includes the cyclic annular filament that an outer diameter is about 0.001 inch.In figure 3, work as ring
171 when extending beyond the proximal end of spring ring 161, and filament 163 is as shown in the figure in a tensional state (for example, as described herein
If engaged with releasing mechanism 140, the two will detach).Filament 163 is stretchable, and is biased to so that ring
171 all are partially or mostly positioned in when no tension is applied to ring 171 on spring ring 161 (such as pass through machine for releasing
System 140, tension can cause filament 163 to stretch).Ring 171 is configured as engaging with releasing mechanism 140, and by controlling from releasing
It puts and is detached from mechanism 140 so that implantation material 160 is accurately implanted into (for example, accurately being planted in aneurysm on expected position
Enter).
In some embodiments, second part 161b includes the outer diameter smaller than first part 161a.As shown here
Two part 161b can be configured as to be received by axis 110 and/or the sliding of releasing mechanism 140.In some embodiments, spring ring
First part 161a includes about 10 mm outer diameters, and spring ring second part 161b includes about 7.5 millimeters of outer diameter.Spring ring
A part of 161a and spring ring second part 161b can be that same direction is wound, as shown in Figure 3.In some embodiments
In, the winding direction and spring ring first part 161a of the second part 161b of spring ring is opposite.
Shown in following Fig. 4-6, a part (for example, part of ring 171) for mesh mechanism 170, which may be shown, to be extended beyond
The proximal end of implantation material 160, such as when implantation material 160 is engaged with releasing mechanism 140, and releasing mechanism 140 applies tension to engagement
Mechanism 170 (for example, stretch ring 171 and/or filament 163).Once being discharged from releasing mechanism 140, the whole of mesh mechanism 170
Or most of other hollow spaces (such as fexible bias pressure filament 163) that can be drawn into spring ring or implantation material 160.
Shown in same following Fig. 4-6, the proximal end face of implantation material 160 (such as the proximal end face or spring of mesh mechanism 170
The proximal end face of circle 161) it is possibly shown as from the offset of the distal end of axis 110 112 (for example, a notch appears in distal end 112 and plants
Between the proximal end face for entering object 160).When no display notch in some embodiments, (for example, implantation material 160 is close
End surfaces are flushed with the distal end of axis 110) diagram in notch clear explanation can be provided.
With reference to Fig. 4 and 4A, it is illustrated that the medical transport consistent with concept of the present invention send device.Fig. 4 is device 100
One side sectional view, and Fig. 4 A are the semi-transparent of the part amplification of 140 interface of releasing mechanism on implantation material 160 and device 100
Bright stereogram.Device 100 includes controlling mechanism 120, releasing mechanism 140, implantation material 160 and other assemblies, and in these
Each can have similar construction and arrangement with the similar component of above-mentioned reference chart 1.As shown in figure 4, implantation material 160 includes
Spring ring 161, ball 162, filament 163 and mesh mechanism 170, mesh mechanism contain the filament 180 for being configured to a ring 171.
Spring ring 161 may include first part 161a and second part 161b, as with reference to shown in figure 1.Device 100 may include
Axis 110, the axis include proximal end 111, distal portions 115 and distal end 112, and at least about a part for connecting rod 141.
In some embodiments, axis 110 includes one or more (such as distal portions 115) outer diameters between 0.011 inch and 0.014 English
Part between very little.
In some embodiments, axis 110 includes a part that is weaving or otherwise reinforcing, such as works as axis
110 include torque wire 113 as shown in the figure (for example, the metal and/or plastic filament of one or more helical geometries, and
Positioned at the outer wall of 110 distal portions of axis, into outer wall and/or it is located at inner wall).Torque wire 113 may include a monofilament lines, example
Such as about 0.0015 inch of monofilament lines of diameter.Torque wire 113 may include multi cord, for example, diameter between 0.00125 inch and
Multi cord between 0.0015 inch.Torque wire 113 may include a spiral geometry.
Axis 110 may include one or more tubular structures for surrounding axis 110, outer tube 114 as shown.Outer tube 114
It may include material selected from the group below：Polytetrafluoroethylene (PTFE) (PTFE), poly terephthalic acid (PET), heat-shrinkage material and they in
One or more combinations.The thickness of outer tube 114 can be between 0.0010 inch and 0.0025 inch, a such as thickness
The PET pipes that the PTFE tube or thickness that degree is 0.0016 inch are 0.0020 inch.
Releasing mechanism 140 includes connecting rod 141, and 141 proximal part of connecting rod is operatively coupled to controlling mechanism 120, and
And its being released property of distal portions be connected to mesh mechanism 170, as described below.Releasing mechanism 140 includes bolt 142, bolt 142
It is connected to axis 110 (such as adhering to, hot adhesion, riveting or the like) with can be fixed.The winding of ring 171 bolt 142 (such as enclose
Wind about 90 ° around bolt 142), and connecting rod 141 passes through ring 171, as shown in the figure so that ring 171 by connecting rod 141 and bolt 142 it
Between interface capture, consolidate implantation material 160, until connecting rod 141 by controlling mechanism 120 fully bounce back, as described herein.Ring
171 release makes implantation material 160 accordingly be discharged (such as being deployed in a scheduled implantation position).
Controlling mechanism 120 may include an attachment element, connector 122, and connector 122 prolongs with axis to frictionally
123 (belonging to controlling mechanism 120) of engagement is stretched, the position of connecting rod 141 is maintained.Connector 122 can be configured to releasably engage
Axis 110 and/or outrigger shaft 123 so that by manipulation and control mechanism 120 (such as retracting) come the connecting rod 141 that bounces back.In addition, connection
Device 122 can be constructed and arranged to disconnect (such as about in its central part) so that controlling mechanism 120 can be relative to axis
110 translations.Connector 122 may include a label, such as one may indicate that the point of application to disconnect the label of device 122.
In some embodiments, connector 122 may include heat-shrinkage material, such as heat-shrinkable polyethylene terephthalate
(PET) (such as thickness is 0.0002 inch of PET).In some embodiments, connector 122 includes a rigid plastic pipes
Or metal tube, such as hypo pipeline section.In some embodiments, axis extends 123 proximal end (continuous) parts for including axis 110, institute
Proximal part is stated to be configured as to detach with the rest part of axis 110 (for example, cut-out or otherwise separation).
The proximal end 111 of axis 110 can be connected to outrigger shaft 123 (as shown in Figure 4) by connector 122, such as work as outrigger shaft
123 can be constructed and arranged to and the proximal end of axis 110 111 when including independent pipe (such as metal or a plastics rigid pipe)
Separation.Alternatively, axis extends 123 extensions that can simply include axis 110, the extension be configured to from axis 110 its
Remaining (more distal end) is partially separated (such as cut-out).Connector 122 can be constructed and arranged to disconnect at point therebetween and (such as apply
Fill up enough bending forces) so that shaft extension point 123 is detached from axis 110, and then so that connecting rod 141 translates, such as herein
It is described.Make outrigger shaft 123 from axis alternatively, 122 (if there is) of connector, outrigger shaft 123 and/or axis 110 can be configured to rotation
110 separation.
In some embodiments, one or more openings, opening 117 are positioned in the 115 (example of distal portions of axis 110
Such as on same one side or over there), to assist the manufacture of device 100 (for example, the inner cavity of axis 110 is allowed access into, to simplify ring
The winding of 171 pairs of bolts 142).Ring 171 can be placed on the proximal end of bolt 142, later, even by opening 117 (on one side or both sides)
Bar 141 can be on ring 171, acquisition loop 171 to bolt 142.In these embodiments, opening 117 can be then heat-shrinked
Pipe or the covering of other outer tube (not shown).In some embodiments, opening 117 is coating after bolt ring 171 winds bolt 142
Lid, such as pass through heat-shrinkable tube or other outer tubes.
It is the partially transparent perspective view between implantation material and the releasing mechanism of implantation material transport system with reference to Fig. 5 A-C, with
Concept of the present invention is consistent.The implantation material transport system 100 of Fig. 5 A-C and the device 100 of Fig. 1 and/or any dress mentioned herein
Setting 100 has similar structure and layout, such as including similar controlling mechanism 120, releasing mechanism 140 and/or implantation material 160.
Implantation material 160 includes mesh mechanism 170 comprising the filiform 180 in ring 171 as shown in the figure.Device 100 may include axis 110,
Including distal end 112, and at least surround a part for connecting rod 141.
Releasing mechanism 140 includes connecting rod 141, and proximal part is operably attached to controlling mechanism 120, and at it
Distal portions are releaseably attached to mesh mechanism 170, as described below.Connecting rod 141 is from controlling mechanism 120 towards implantation
Object 160 extends and includes the protruding parts 149 of its distal end.Ring 171 be positioned in around axis 110 outer wall and with axis 110
117 engagement of opening.Opening 117 may include inclined geometric shapes as shown in figures 5 a-c.In fig. 5, protruding parts 149 (and
Connecting rod 141) in the position fully advanced, wherein 149 connecting shaft of protruding parts, 110 distal end inner wall to opening 117 so that ring
171 are prevented from leaving opening 117, to stabilisation implant 160.In figure 5B, connecting rod 141, which is retracted, (such as passes through such as this paper institutes
The controlling mechanism 120 stated) so that ring 171 is no longer limited in opening 117, this allows implantation material 160 to be released as shown in Figure 5 C
It puts.
In some embodiments, ring 171 includes fexible bias pressure, this fexible bias pressure is configured to after connecting rod 141 is retracted
Ring 171 is set to leave opening 117.
It is the partially transparent perspective view between implantation material and the releasing mechanism of implantation material transport system with reference to Fig. 6 A-B, with
Concept of the present invention is consistent.The implantation material transport system 100 of Fig. 6 A-B and the device 100 of Fig. 1 and/or any dress mentioned herein
Setting 100 has similar structure and layout, such as including similar controlling mechanism 120, releasing mechanism 140 and/or implantation material 160.
Implantation material 160 includes mesh mechanism 170 comprising the filiform 180 in ring 171 as shown in the figure.Device 100 may include axis 110,
Including distal end 112, and at least surround a part for connecting rod 141.
Releasing mechanism 140 includes connecting rod 141, and proximal part is operably attached to controlling mechanism 120, and distal end is then
Be formed as that (such as the geometry to match with two is combined, such as following is retouched with the cooperation of the protruding parts of releasing mechanism 140 154
The cooperation slope section stated).The distal end of connecting rod 141 may also include recess portion 148.Protruding parts 154 can come from axis as shown in the figure
The protruding parts of 110 inner walls, or the fixed separate part for being attached at axis 110.The distal end of protruding parts 154 and connecting rod 141
May include the inclined geometric shapes to match as shown so that when the distal advancement of connecting rod 141 makes ring 171 be located in recess portion
In 148, and when connecting rod 141 and protruding parts 154 contact, ring 171 is fixed to device 100, stabilisation implant 160.Such as Fig. 6 B
Shown, connecting rod 141 can advance (such as by controlling mechanism 120 as described herein), along 154 ramp of protruding parts branch
Into until the distal end 112 of axis 110 is left in the distal end of connecting rod 141, implantation material 160 is unfolded in release ring 171.In addition, ring 171 can
To be released by retraction connecting rod 141, until the distal end of connecting rod 141 no longer passes through ring 171.
It is the side sectional view of the axis of medical treatment device with reference to Fig. 7, it is consistent with concept of the present invention.Axis 110 includes distal portion
Points 115, middle section 106 and proximal part 105.In some embodiments, distal portions 115 include than proximal part 105
Smaller outer diameter (OD), for example, when middle section 106 outer diameter proximal part 105 outer diameter and distal portions 115 outer diameter
Between transition when (for example, when outer diameter about 0.014 " to about 0.011 ").In these embodiments, the internal diameter (ID) of axis 110
May include about 0.008 " internal diameter (such as about 0.008 " continuous internal diameter or one including about 0.008 " internal diameter or
The different inner diameters of multiple portions).Equally in these embodiments, distal portions 115 may include the length of about 125mm,
Middle section 106 may include about 200mm length and/or proximal part 105 may include about 1175mm length.
In some embodiments, axis 110 reduces the outer diameter of distal portions 115 by grinding or in other ways (such as to continuously subtracting
Small outer diameter) and the outer diameter (such as to tapered major diameter) of middle section 106 manufacture, such as by coreless grinding technology (such as
Carry out " beginning " diameter using about 0.014 " outer diameter).
It is the spring ring perspective view of implantation material with reference to Fig. 8, it is consistent with concept of the present invention.In some embodiments, root
Implantation material 160 according to present inventive concept includes spring ring 161 with complex shape, such as the detour shape of the spring ring 161 of Fig. 8
Shape.
It is the spring ring perspective view of implantation material with reference to Fig. 9, it is consistent with concept of the present invention.In some embodiments, root
Implantation material 160 according to present inventive concept includes the spring ring 161 for having winding form, such as the winding of the spring ring 161 of Fig. 9
Shape.
In some embodiments, implantation material 160 includes one or more spring rings, and spring ring includes one or more shapes
Shape, such as implantation material 160 include one or more springs of detour shape and winding form as shown in Figure 9 as shown in Figure 8
Circle.
Foregoing description and drawings propose multiple examples of current representative embodiment.According to aforementioned religion
It leads, does not depart from the spirit of the present invention or beyond in the case of its range, to those skilled in the art, various modifications add
Adduction alternate design will be apparent, the various descriptions instruction of the right of statement non-front as follows.It is all and this state it is equal
Change and variation in meaning and scope is included in the range of this statement.
Claims (7)
1. a kind of implantation material transport system (100), which is characterized in that including：
Implantation material (160) with mesh mechanism (170)；
A kind of releasing mechanism (140) comprising the connecting rod (141) with distal portions, the releasing mechanism are attached to the plant
Enter the mesh mechanism of object；And
A kind of control mechanism (120), constructing and be laid out in the manipulation releasing mechanism makes the releasing mechanism be detached from the plant
Enter object；
Further include around at least part of axis of the connecting rod and includes the wall that there is slope shape to be open, the mesh mechanism packet
The filiform with ring is included, the releasing mechanism includes the hook portion from the distal end of the connecting rod, and the ring is around the axis
It is external simultaneously to enter the slope shape and be open, and the hook portion captures the ring, the advance of the connecting rod make the hook portion from
The ring is detached from, to discharge the implantation material.
2. implantation material transport system according to claim 1, which is characterized in that further include at least about the connecting rod
(141) a part setting elongated shaft (110), the elongated shaft (110) contain proximal end (111), distal portions (115) and far
It holds (112).
3. implantation material transport system according to claim 2, which is characterized in that at least one of the elongated shaft (110)
It is divided into tapered major diameter.
4. implantation material transport system according to claim 3, which is characterized in that the elongated shaft (110) includes first
The proximal part of outer diameter, the axis distal portions include the second external diameter less than the first external diameter, and from first external diameter
To the middle section of the various outer diameter of second external diameter transition.
5. implantation material transport system according to claim 1, which is characterized in that the implantation material is resilient compression shape.
6. implantation material transport system according to claim 1, which is characterized in that the mesh mechanism includes the silk for having ring
Shape object, the ring are releasably engaged with the releasing mechanism.
7. implantation material transport system according to claim 6, which is characterized in that the ring is attached to the second filiform,
Second filiform is in elastic compression so that the ring to be moved to the hollow space of the implantation material.
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| CN201911281360.2A Active CN110859692B (en) | 2016-07-29 | 2017-03-22 | Implant delivery system |
| CN201720283766.4U Active CN207708054U (en) | 2016-07-29 | 2017-03-22 | Implantation material transport system |
| CN201911282082.2A Pending CN110801259A (en) | 2016-07-29 | 2017-03-22 | Implant delivery system |
| CN201720284617.XU Active CN207590810U (en) | 2016-07-29 | 2017-03-22 | Implantation material transport system |
| CN201911281338.8A Active CN110859691B (en) | 2016-07-29 | 2017-03-22 | Implant delivery system |
| CN201911281371.0A Active CN110859693B (en) | 2016-07-29 | 2017-03-22 | Implant delivery system |
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| CN201720284192.2U Active CN207590809U (en) | 2016-07-29 | 2017-03-22 | Implantation material transport system |
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| CN201911281360.2A Active CN110859692B (en) | 2016-07-29 | 2017-03-22 | Implant delivery system |
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| CN201911282082.2A Pending CN110801259A (en) | 2016-07-29 | 2017-03-22 | Implant delivery system |
| CN201720284617.XU Active CN207590810U (en) | 2016-07-29 | 2017-03-22 | Implantation material transport system |
| CN201911281338.8A Active CN110859691B (en) | 2016-07-29 | 2017-03-22 | Implant delivery system |
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| CN110859693A (en) | 2020-03-06 |
| CN110859692A (en) | 2020-03-06 |
| CN207590809U (en) | 2018-07-10 |
| CN110859691B (en) | 2021-11-23 |
| CN106943218A (en) | 2017-07-14 |
| CN110801259A (en) | 2020-02-18 |
| CN110859693B (en) | 2022-03-18 |
| CN207708054U (en) | 2018-08-10 |
| CN110859692B (en) | 2021-11-23 |
| CN106943218B (en) | 2019-11-05 |
| CN207590810U (en) | 2018-07-10 |
| CN207721934U (en) | 2018-08-14 |
| CN110859691A (en) | 2020-03-06 |
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