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A special main and lateral branch balloon stent system for interventional treatment of bifurcation lesions

A stent system and balloon technology, applied in the field of medical devices, can solve the problem of side branch guide wire entering from the main branch stent mesh or main branch guide wire passing through the side branch stent mesh, side branch restenosis, and increased restenosis To achieve the effect of reducing the possibility of acute thrombosis, avoiding the displacement of plaque, and reducing restenosis

Inactive Publication Date: 2018-11-16
JIANGSU PROVINCE HOSPITAL +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

In addition to the relatively complicated operation, for example, the guide wire is not easy to pass through the mesh of the main branch stent and enter the side branch vessels, and the balloon may rupture when it passes through or expands the mesh, etc. Others include: 1. Possible damage when the guide wire is withdrawn The opening of the side branch or the displacement of the stent; Second, the entry of the side branch guide wire through the mesh of the main branch stent or the passage of the main branch guide wire through the mesh of the side branch stent cannot ensure that the guide wire is well positioned on the central axis of the vascular lumen. During the balloon expansion process, the force on the vessel wall will be affected by uncertainty; 3. There is an unnecessary layer or two layers of metal mesh at the opening of the side branch, and some main stents may have three layers of metal mesh at both ends, increasing Fourth, if there are many side branch stents protruding from the main branch, the balloon is longer in the main branch. When the main branch balloon expands, the side branch stent migrates into the side branch, which increases the damage to the tube wall and is easy tearing of the inner membrane
5. There are too many parallel parts of the two balloons during kissing expansion, which may cause the gap at the acute angle of the opening to become longer and the obtuse angle to be over-expanded; 6. Traditional balloon expansion and stent release do not achieve the opening of the side branch The good fit of the arc-shaped transition zone in physical form is also one of the reasons for the easy formation of side branch restenosis and thrombosis after operation; shape uncertainty etc.
The main reasons for these problems may be that the operator is limited to the current instrumentation, the lack of a stent and balloon tailored to the physical shape of the bifurcation vessel opening, and the lack of a suitable balloon stent delivery system

Method used

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  • A special main and lateral branch balloon stent system for interventional treatment of bifurcation lesions
  • A special main and lateral branch balloon stent system for interventional treatment of bifurcation lesions
  • A special main and lateral branch balloon stent system for interventional treatment of bifurcation lesions

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0080] Example 1: Special side branch balloon stent system without stent

[0081] A special side branch balloon stent system for bifurcation lesions, the special side branch balloon stent system includes: a side branch balloon body 3, a trumpet-shaped side branch ball attached to the opening of the side branch after expansion The special-shaped end 4 of the balloon and the head end of the side-branch balloon catheter 5 run through the body 3 of the side-branch balloon.

[0082] The side branch balloon catheter 5 has a side branch balloon guide wire lumen 6 and a side branch balloon pressurizing lumen 7 .

[0083] The section where the special end 4 of the side branch balloon is connected to the side branch balloon body 3 forms an included angle α with the central axis of the side branch balloon body 3; wherein: the T-shaped stent balloon system for T-type lesions, The included angle α is 90 degrees; for the Y-shaped stent-balloon system for Y-shaped lesions, the included angl...

Embodiment 2

[0087] Example 2: Special side branch balloon stent system with stent

[0088] A special side branch balloon stent system for bifurcation lesions, the special side branch balloon stent system includes: a side branch balloon body 3, a trumpet-shaped side branch ball attached to the opening of the side branch after expansion The special-shaped end 4 of the balloon and the head end of the side-branch balloon catheter 5 run through the body 3 of the side-branch balloon.

[0089] The special-type side branch balloon stent system also includes a side branch stent body 1, a trumpet-shaped side branch stent special-shaped end 2 at the opening of the side branch after expansion, and the side branch stent body 1 is set on the side branch balloon body 3 .

[0090] The side branch balloon catheter 5 has a side branch balloon guide wire lumen 6 and a side branch balloon pressurizing lumen 7 .

[0091] The side branch stent special-shaped end 2 is located at the side branch vessel opening...

Embodiment 3

[0095] Embodiment 3: Special main branch balloon stent system without stent

[0096] A special main branch balloon stent system for bifurcation lesions, the system special main branch balloon stent system includes: main branch balloon body 13, the head end of main branch balloon catheter 14 runs through the main branch balloon In the main body 13, the main branch balloon catheter 14 inside the main branch balloon body 13 has a main branch balloon guide wire cavity inlet 17, and the main branch balloon body 13 has a main branch balloon side branch channel 18, and the main branch balloon The side branch channel 18 of the capsule communicates with the entrance 17 of the balloon guidewire lumen of the main branch.

[0097] The main branch balloon catheter 14 has a main branch balloon guidewire lumen 15 and a main branch balloon pressurizing lumen 16 .

[0098] There is a smooth transition between the main branch balloon guide wire lumen 15 and the main branch balloon guide wire l...

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PUM

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Abstract

The invention belongs to the field of medical instruments and discloses a special-type main and side branch saccule stent system for interventional therapy of bifurcation lesions. The system comprises a special-type main branch saccule stent system and a special-type side branch saccule stent system, wherein a main branch saccule has a side branch channel, and a side branch saccule has a trumpet-type side branch saccule special-type end attached to a side branch opening after expanding. The main and side branch saccule stent system can realize accurate positioning, is convenient to operate, can be better attached to a blood vessel wall and has better clinical application effects.

Description

technical field [0001] The invention belongs to the field of medical devices and relates to a special-type main side branch balloon stent system for interventional treatment of bifurcation lesions. Background technique [0002] Bifurcation lesions are relatively common in clinical practice. Some "false" bifurcation lesions (severe stenosis of the main branch vessels, no obvious stenosis of the branch vessels) also become "true" bifurcation lesions (main branch and branch vessels) due to plaque displacement during interventional treatment. The branch vessels were markedly narrowed). Interventional therapy for bifurcation lesions has improved the short-term effect, but the long-term effect is still unsatisfactory. Drug-eluting stents can significantly reduce vascular restenosis after interventional therapy. However, for bifurcation lesions, the restenosis rate of the main branch decreased significantly, but the restenosis and thrombus problems of side branches remained unso...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61F2/90A61M29/02A61M31/00
CPCA61F2/90A61F2210/0061A61M29/00A61M31/00A61M2210/12
Inventor 张健王连生杨志健
Owner JIANGSU PROVINCE HOSPITAL
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