The present application relates to the technical field of medical instruments, and more particularly to a stent delivery device.
Aortic diseases, such as aortic aneurysm and aortic dissection, are one kind of the most pernicious and hardest vascular surgical diseases to treat. Traditional treatment methods, such as laparotomy and prosthetic vessel replacement, have the risks of severe surgical trauma and high fatality rate. In recent years, a minimally invasive and simple interventional operation method has been developed, in which a covered stent is implanted in a lesion site of a vessel, and the covered stent conforms to the inner wall of the vessel to isolate the lesion site of the vessel from the blood flow. The covered stent can not only allow the blood to flow through normally, but also protect the lesion site of the vessel and effectively repair the lesion site of the vessel. However, how to provide a stent delivery device capable of effectively releasing the stent into the lesion site of the vessel to improve the effect of treating vascular diseases has become a technical problem to be solved.
The present application provides a stent delivery device capable of effectively releasing a stent into a lesion site of a vessel.
The stent delivery device provided in the present application is configured to release the stent into the vessel, and includes:
a fixing assembly, including a fixing member and a limiting member, wherein one end of the limiting member passes through the stent and abuts against the fixing member so as to lock the stent; and
a releasing assembly, including a movable member and a locking member connected to the movable member, wherein the movable member is connected to the other end of the limiting member, the locking member is slidably connected to the movable member, and wherein when the locking member is in a first position, the movable member is fixed relative to the fixing member under the restriction of the locking member, and when the locking member slides to a second position, the movable member is capable of driving the limiting member to move away from the fixing member so as to release the stent.
The locking member is provided to lock the movable member so as to prevent the movable member from driving the limiting member to release the stent when there is no need to release the stent. The locking member is provided to move to different positions so as to control the locking member to lock or release the movable member. Since the position of the locking member is variable, it may be rapidly determined whether the movable member is in a fastened state or a released state. Further, when the movable member is in the released state, the limiting member may be driven to lock or release the stent, so as to speed up the release of the stent and save the surgical treatment time.
In order to illustrate the technical solutions of the embodiments according to the present application more clearly, drawings used in the description of the embodiments according to the present application will be briefly introduced below. It should be appreciated that the drawings described below merely illustrate some embodiments of the present application, and other drawings may be obtained by those skilled in the art without departing from the scope of the drawings.
The technical solutions of the embodiments of the present application will be clearly and fully described below in combination with accompanying drawings in the embodiments of the present application. For ease of description, “proximal end”, “distal end” and “first direction” are involved, wherein the term “proximal end” refers to one end away from an operating end of the stent delivery device, and the term “distal end” refers to one end close to the operating end of the stent delivery device, and the term “first direction” refers to an extending direction of the stent delivery device.
Referring to
With reference to
With reference to
Particularly, with reference to
With reference to
With reference to
The locking member 22 is provided to lock the movable member 21, so as to prevent the movable member 21 from driving the limiting member 12 to release the stent 200 when there is no need to release the stent 200. The locking member 22 is configured such that it can move to different positions, to fasten or release the movable member 21 by controlling the locking member 22. Since the position of the locking member 22 is changeable, it may be rapidly determined that the movable member 21 is in a locked state or a released state. Further, when the movable member 21 is in the released state, the limiting member 12 may be driven to lock or release the stent 200, to speed up the release of the stent 200 and save the surgical treatment time.
In a possible embodiment, with reference to
The first marker 201 may correspond to a state in which the locking member 22 locks the movable member 21. The first marker 201 may be a protrusion or groove provided on the outer surface of the releasing assembly 2, or a marker patch or the like attached to the outer surface of the releasing assembly 2. Certainly, in other embodiments, the first marker 201 may be a status indicator lamp, a buzzer, or the like.
Due to the first marker 201 provided on the outer surface of the releasing assembly 2, which is readily visible by an operator, it is convenient for the operator to quickly and directly determine whether the movable member 21 is in the locked state or the released state. Accordingly, the intuitiveness of determination is improved, the operation is simplified, and the time is saved.
Further, with reference to
The first marker 201 and the second marker 202 may be spaced apart and provided on an outer peripheral surface of the releasing assembly 2. The first marker 201 is adjacent to and aligned with the first position, and the second marker 202 is adjacent to and aligned with the second position.
The second marker 202 may correspond to a state in which the fastening member 22 releases the movable member 21. Similarly, the second marker 202 may be a protrusion or groove provided on the outer surface of the releasing assembly 2, or a marker patch attached to the outer surface of the releasing assembly 2. It may further be a state indicator lamp, a buzzer, or the like.
Due to the first marker 201 and the second marker 202 provided on the outer surface of the releasing assembly 2, which are readily visible by the operator, it is convenient for the operator to quickly and directly determine whether the movable member 21 is in the locked state or the released state. Accordingly, the intuitiveness of determination is improved, the operation is simplified, and the time is saved.
With reference to
In a possible embodiment, with reference to
The movable member 21 may be of a cylindrical shape, with an axial direction thereof as the first direction X. Certainly, in other embodiments, the movable member 21 may also be of a square tubular shape or other tubular shape.
Due to the first sliding groove 211 and the second sliding groove 212 provided in the outer circumferential surface of the movable member 21, with the first sliding groove 211 extending along the circumferential direction of the movable member 21, and the second sliding groove 212 extending along the first direction X, when the locking member 22 is located in the first sliding groove 211, the locking member 22 locks the movable member 21 in the first direction X to prevent the movable member 21 from moving in the first direction X, and the limiting member 12 abuts against the fixing member 11. If the limiting member 12 extends through the stent 200, the limiting member 12 fixes the stent 200 on the stent delivery device 100. When the locking member 22 slides to the second sliding groove 212, the locking member 22 releases the movable member 21, so that the movable member 21 is capable of moving in the first direction X, and in turn the movable member 21 is capable of driving the limiting member 12 to move away from the fixing member 11 in the first direction X, so as to release the stent 200 on the limiting member 12, or the movable member 21 is capable of driving the limiting member 12 to move close to the fixing member 11 along the first direction X, so as to make the limiting member 12 return to an initial position after the stent 200 is released.
Further, the first position and the second position are located at the first sliding groove 211 and the second sliding groove 212, respectively. The first position may be any position in the first sliding groove 211, and the second position may be any position in the second sliding groove 212. That is, when the locking member 22 is located in the first sliding groove 211, the movable member 21 is fixed relative to the fixing member 11 under the restriction of the locking member 22. When the locking member 22 slides to the second sliding groove 212, the movable member 21 is capable of driving the limiting member 12 to move away from the fixing member 11 so as to release the stent 200.
Further, with reference to
Due to the second sliding groove 212 extending through the first end surface 213, the locking member 22 is capable of sliding out of the second sliding groove 212, and the movable member 21 is then disengaged from the locking member 22. The movable member 21 is controlled to drive the limiting member 12 along the first direction X, so that the limiting member 12 may be quickly separated from the fixing member 11 so as to quickly release the stent 200. Therefore, the stent 200 is released at an accurate position and the surgical time is reduced. Moreover, the movable member 21 disengaged from the locking member 22 is capable of moving freely along an appropriate course, to drive the limiting member 12 to move an appropriate distance, such that the limiting member 12 is capable of releasing the stent 200 without moving too far from the fixing member 11 which results in difficulty of returning to the initial position.
With reference to
It should be understood that the central axis L of the first sleeve 23 runs along the first direction X. The first sleeve 23 can restrict the locking member 22 in a radial direction, so that the locking member 22 may be slidably connected to the movable member 21.
In a possible embodiment, the limiting hole 231 is an elongated hole. The limiting hole 231 may extend along a circumferential direction of the first sleeve 23. When the locking member 22 slides, the first sleeve 23 is fixed relative to the fixing member 11, and the locking member 22 can slide in the limiting hole 231. In other embodiments, the locking member 22 may be fixed on the first sleeve 23. When the locking member 22 slides, the locking member 22 and the first sleeve 23 rotate together around the first direction X, to allow one end of the locking member 22 to be slidably connected to the movable member 21.
Further, with reference to
The limiting hole 231 which is configured as an elongated hole extending in the circumferential direction provides a sliding space for the locking member 22, so that the locking member 22 is capable of sliding along the circumferential direction of the first sleeve 23 with the locking member 22 being restricted to be axially fixed relative to the first sleeve 23. Therefore, the position of the locking member 22 is changeable, which facilitates quick recognition of the movable member 21 in the locked state or the released state, and thus increase the speed of releasing the stent 200.
Further, when the locking member 22 slides out of the second sliding groove 212, the movable member 21 is disengaged from the first sleeve 23 and the locking member 22, and the limiting member 12 moves away from the fixing member 11 when being driven by the movable member 21, and then releases the stent 200 to achieve the treatment of the vascular disease.
In a possible embodiment, with reference to
With reference to
In a possible embodiment, with reference to
The sliding portion 222 may slide along the limiting hole 231 by sliding the toggle portion 221 by the operator, that is, the operator may make the locking member 22 lock or release the movable member 21 by operating the toggle portion 221. The operation is simple and convenient, with high feasibility, and quick implementation, and the efficiency of releasing the stent 200 is improved.
Further, the toggle portion 221 is detachably connected to the sliding portion 222, so that the locking member 22 may be conveniently and quickly mounted on the first sleeve 23.
In a possible embodiment, with reference to
In other embodiments, the toggle portion 221 may be threadedly or magnetically connected to the sliding portion 222.
Further, with reference to
In combination with any one of the foregoing embodiments, in a possible embodiment, with reference to
With reference to
Further, the guide member 13 may be integrally formed with the fixing member 11 as one piece, that is, one end of the protrusion 132 is integrally formed with the guide member 13 and the other end of the protrusion 132 is integrally formed with the fixing member 11.
As described above, the stent 200 has a tubular shape, with an end having the hollowing portion. The fixing member 11 and the guide member 13 are provided in the fixing assembly 1. The limiting member 12 extends through the inner cavity of the stent 200. The end of the stent 200 which has the hollowing portion converges radially and inwardly, such that the limiting member 12 can extend through the hollowing portion, and be slidably connected with the fixing member 11, as a result, the hollowing portion at the end of the stent 200 is locked by cooperation of the limiting member 12, the first surface 111 and the second surface 131, and thus the stent 200 is axially limited. The guide member 13 provides guiding for the limiting member 12, thus the limiting member 12 can move away from or close to the fixing member 11 in the first direction X. When the limiting member 12 moves away from the fixing member 11, the stent 200 would not move with the limiting member 12, and thus the limiting member can be withdrawn from the hollowing portion of the stent 200, so that the stent 200 can be released.
Further, with reference to
Further, with reference to
A proximal end of the limiting member 12 may extend into the first hole 112 through the second hole 133. When the movable member 21 drives the limiting member 12 to move, the limiting member 12 slides along the second hole 133 to extend into or move out of the first hole 112, thereby locking or releasing the stent 200.
With the second hole 133 provided in the guide member 13, which serves to guide the limiting member 12, and the second hole 133 being aligned with the first hole 112, the limiting member 12 can accurately extend into the first hole 112.
When the limiting member 12 moves away from the fixing member 11 when being driven by the movable member 21, an end portion of the limiting member 12 may be retracted into the second hole 133, and the stent 200 is released from the limiting member 12 due to the blockage of the guide member 13. The guide member 13 serves to facilitate the release of the stent 200 from the limiting member 12.
In a possible embodiment, with reference to
With reference to
The plurality of limiting members 12 are provided to fix the stent 200 along the circumferential direction, so that the proximal end of the stent 200 is tightened and the stent 200 is maintained in a tube shape. The firmness of the stent 200 fixed on the fixing member 11 may be improved.
In combination with any of the foregoing embodiments, in a possible embodiment, with reference to
The inner core 3 may extend along the first direction X. The fixing member 11, the guide member 13, the locking member 22 and the movable member 21 are mounted around the outer periphery of the inner core 3 in sequence.
It should be understood that the inner core 3 may be of a hollow tubular shape, which can conduct a liquid into the vessel.
By providing the inner core 3, the inner core 3 is able to connect the fixing member 11, the guide member part 13, the locking member 22 with the movable member 21 together. Moreover, the inner core 3 also serves to guide the sliding of the movable member 21.
Further, with reference to
The outer sheath 4 and the inner core 3 are provided to define the accommodating cavity 40. Since the accommodating cavity 40 is in an annular shape, the tubular stent 200 may be tightened within the accommodating cavity 40 in a tubular shape. On the one hand, a space within the stent delivery device 100 is fully utilized. On the other hand, the stent 200 is delivered after being tightened, which can reduce the profile of the stent delivery device 100, as a result, the interference of the stent delivery device 100 to the vessel is reduced. Moreover, the stent 200 is delivered in a tubular shape. The stent 200 is capable of easily returning to its original shape after being released, to achieve the treatment at the lesion site of the vessel.
In a possible embodiment, the inner core 3 and the outer sheath 4 are made of flexible materials, which may improve the flexibility of the stent delivery device 100, so that the stent delivery device 100 is able to deliver the stent 200 to a curved vessel, applications of the stent delivery device 100 are increased.
The limiting member 12 may be arranged within the accommodating cavity 40. The stent 200 is arranged between the limiting member 12 and the outer sheath 4.
In case that a plurality of limiting members 12 are provided, the plurality of limiting members 12 are annularly arranged within the accommodating cavity 40. The distal end of the stent 200 is mounted around the outer peripheries of limiting members 12.
As the limiting member 12 is accommodated between the inner core 3 and the outer sheath 4, the limiting member 12 is arranged within the stent 200 with its proximal end being capable of disengaged from the hollowing portion of the stent, and the limiting member 12 would not affect the release of the distal end of the stent 200 after the proximal end of the limiting member 12 is disengaged from the hollowing portion of the stent 200.
Further, the limiting member 12 is made of a flexible material, which further increases the flexibility of the stent delivery device 100, so that the stent delivery device 100 can deliver the stent 200 into the curved vessel, and thus the applications of the stent delivery device 100 are increased.
The limiting elements 12 may be separately arranged within the accommodating cavity 40. When the stent delivery device 100 enters a vessel which extends curvedly, the limiting elements 12 is able to be bent with the inner core 3 and the outer sheath 4, such that the stent delivery device 100 can deliver the stent 200 to the curved vessel.
Further, with reference to
One end of the outer sheath 4 abuts against the fixing member 11 to enclose the limiting member 12, the stent 200, and the guide member 13 within the outer sheath 4, so as to prevent the stent 200 from being affected by the outside.
When the outer sheath 4 moves away from the fixing member 11, a portion of the proximal end of the stent 200 which exposes from the outer sheath 4 expands as the restraint of the outer sheath 4 is removed. However, as the limiting member 12 extends through the hollowing portion of the stent 200 and the end of the stent 200 having the hollowing portion is still restricted radially by the limiting member 12, the stent 200 cannot be completely released even though the restriction by the outer sheath 4 is removed. This may be advantageous that it is possible to adjust the axial position of the stent 200 at that time as the stent 200 is not completely expanded yet, and the stent 200 would not exert a large force to the inner wall of the blood vessel. After the stent 200 has been positioned at an appropriate site, the limiting member 12 is entirely withdrawn from the hollowing portion, and then the stent 200 further expands radially without the restriction of the limiting member 12 and conforms tightly to the inner wall of the vessel.
Further, with reference to
In a possible embodiment, with reference to
It should be understood that when the stent 200 is arranged within the vessel of a subject to be treated, the outer sheath sliding assembly 5 and the releasing assembly 2 are arranged outside the subject to be treated, so that the operator may control the expansion and release of the stent 200.
The outer sheath sliding assembly 5 is provided to control the outer sheath 4 to move away from the fixing member 11, which is convenient for operation and excellent in controllability.
In a possible embodiment, with reference to
In a possible embodiment, with reference to
By providing the locking element 521 and the sliding sleeve 522, with the locking element 521 being threadedly connected to the second sleeve 51, the locking element 521 is controlled to rotate relative to the second sleeve 51, so that the outer sheath 4 slowly retracts for a short distance, and the proximal end of the stent 200 gradually expands, while the locking element 521 is engaged with the sliding sleeve 522. When the locking element 521 is disengaged from the sliding sleeve 522, the sliding sleeve 522 is capable of driving the outer sheath 4 to retract rapidly for a longer distance after the restraint of the locking element 521 is removed, to allow the proximal end and the distal end of the stent 200 to expand.
Further, with reference to
Further, the switch 524 is provided with a pressing portion 525, an elastic member 526 and a base 527 which are arranged along the radial direction of the third sleeve 523 in sequence. The pressing portion 525 is arranged on an outer peripheral surface of the third sleeve 523. The elastic member 526 elastically abuts between the pressing portion 525 and the base 521, so that a gap 529 is defined between the pressing portion 525 and the base 527. The buckling portion 528 extends from one end of the pressing portion 525 towards the sliding sleeve 522. When the pressing portion 525 abuts against the base 527, the switch 524 is in the pressed position. When the sliding sleeve 522 abuts against the third sleeve 523 and the switch 524 rebounds from the pressed position under the action of the elastic member 526, the buckling portion 528 of the switch 524 is engaged with the sliding sleeve 522 under the action of the pressing portion 525.
The stent delivery device 100 according to the present application can be operated with the following process.
During the operation, firstly, a vessel of a subject to be treated is punctured, a guide wire is inserted along an extension direction of the vessel, and then the stent delivery device 100 is delivered into the aorta over the guide wire. Under X-ray fluoroscopy monitoring, the stent delivery device 100 is advanced to the vicinity of a lesion site of the vessel, the second sleeve 51 is fixed, the locking element 521 is rotated about an axial axis, and the locking element 521 together with the sliding sleeve 522 moves away from the second sleeve 51 since the locking element 521 is threadedly connected to the second sleeve 51, and thus the sliding sleeve 522 drives the outer sheath 4 to slowly retract, so that the proximal end of the stent 200 slowly expands, but the stent 200 does not fully expand yet since the proximal end of the stent 200 is still radially restrained by the limiting member 12, and thus the stent 200 stops to expand until it expands to a certain degree. Therefore, it is convenient to adjust the position of the stent 200 in the vessel at that time because the stent 200 is not completely expanded. The stent 200 is moved to the most appropriate releasing position by moving the stent delivery device 100. The switch 524 on the locking element 521 is pressed, and the buckling portion 528 is disengaged from the sliding sleeve 522. In the meanwhile, the connection between the locking element 521 and the sliding sleeve 522 are released and the sliding sleeve 522 is able to drive the limiting member 12 to move axially towards the distal end. A main body of the stent 200 expands completely. The locking member 22 is toggled to the second sliding groove 212, and the movable member 21 is pulled backwards to make the limiting member 12 move away from the fixing member 11 and further release the proximal end of the stent 200. The stent 200 is completely released from the stent delivery device 100, and the releasing process is completed. At the end, the stent delivery device 100 is withdrawn from the subject to be treated along the guide wire.
It should be understood that “pull backwards” and “retract” mentioned in the present application refer to a movement towards the operating end of the stent delivery device 100.
The above are a part of the embodiments of the present application. It should be noted that for those ordinarily skilled in the art, several improvements and modifications may be made without departing from the principle of the present application, and these improvements and modifications are regarded to be within the protective scope of the present application. It should be understood that different embodiments in the present application may be combined with each other.
Number | Date | Country | Kind |
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201811625327.2 | Dec 2018 | CN | national |
201822243522.0 | Dec 2018 | CN | national |
This application is a continuation of PCT/CN2019/128095 filed Dec. 24, 2019, the entire contents of which are incorporated herein by reference in its entirety.
Number | Date | Country | |
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Parent | PCT/CN2019/128095 | Dec 2019 | US |
Child | 17358434 | US |