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WO2020047878A1 - Segmentation-type esophageal stent and weaving method therefor - Google Patents

Segmentation-type esophageal stent and weaving method therefor Download PDF

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Publication number
WO2020047878A1
WO2020047878A1 PCT/CN2018/104739 CN2018104739W WO2020047878A1 WO 2020047878 A1 WO2020047878 A1 WO 2020047878A1 CN 2018104739 W CN2018104739 W CN 2018104739W WO 2020047878 A1 WO2020047878 A1 WO 2020047878A1
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WO
WIPO (PCT)
Prior art keywords
hollow metal
stent
esophageal
square
bell mouth
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2018/104739
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French (fr)
Chinese (zh)
Inventor
郑忠伟
严航
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shanghai Elitek Biosciences Co Ltd
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Shanghai Elitek Biosciences Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Shanghai Elitek Biosciences Co Ltd filed Critical Shanghai Elitek Biosciences Co Ltd
Priority to PCT/CN2018/104739 priority Critical patent/WO2020047878A1/en
Publication of WO2020047878A1 publication Critical patent/WO2020047878A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure

Definitions

  • the invention belongs to the field of medical equipment, and particularly relates to a segmented esophageal stent and a weaving method thereof.
  • Esophageal stenosis or obstruction is a common complication of gastrointestinal diseases.
  • the commonly used treatment method is to use domestic stents to treat esophageal stenosis and obstruction.
  • the specific method is to place a biodegradable stent in the lesion. It is short-term formed in the esophagus and has good The biocompatibility is completely dissolved subsequently, and the degradation time of the stent can be adjusted according to clinical needs, avoiding the complications of the permanent stent.
  • segmented stents are commonly used. The segmented parts of segmented stents are connected by interlocking locks.
  • the overall stent is braided with multiple wires, causing the stent to be in the shaft. Easy to shrink, poor overall rigidity, further reducing the fixing force of the openings at both ends, and at the same time, the stent will contract inward in the middle, resulting in a smaller inner diameter of the stent, which is not conducive to food passage. Long-term use may even shorten the life of the esophageal stent .
  • the purpose of the present invention is to solve the problems that the existing esophageal stent is easily shortened in the axial direction and has poor overall rigidity, which is caused by braiding multiple threads.
  • the present invention provides a segmented esophageal stent, which is a cylindrical mesh stent with a bell mouth at both ends woven from a single wire.
  • the mesh brace is composed of an upper bell mouth section and a lower bell mouth.
  • the two sections are composed of two sections.
  • the upper flared section and the lower flared section are connected by a plurality of locking structures.
  • the lock structure is a cross-shaped structure formed by overlapping and crossing the monofilament at the junction of the end of the upper bell mouth section and the end of the lower bell mouth section.
  • At least three locking structures are provided between the upper bell mouth section and the lower bell mouth section.
  • the angle of the bell mouth is 40-50 °.
  • a method for weaving a segmented esophageal stent includes the following steps:
  • Step 1 punch a blind hole in the middle of the esophageal braiding tooling and insert a screw into the blind hole;
  • Step 2 Fix one end of the monofilament to the head of either end of the esophageal braiding jig, and the other end of the monofilament to be overlapped and intertwined on the esophageal braid jig to form a meshed upper and lower bell mouth section.
  • the wire is overlapped and wound at the screw rod to form a cross-shaped locking structure;
  • Step three according to the knitting method of step two, weaving at least three lock structures
  • Step 4 After the braiding is completed, heat-set the two ports of the segmented esophageal stent to form a bell mouth with a flare of 40-50 °, and complete the braiding of the segmented esophageal stent.
  • the esophagus braiding tooling includes a cylindrical hollow metal tube, and also includes a screw, a short joint, a square tube, and a spring.
  • the short joint, the square tube, and the spring are sleeved on the screw in order from top to bottom, and the screw passes through the hollow metal.
  • One end of the spring is limited by the limit structure and the other end bears on the end face of the square tube.
  • the outer diameter of the short joint is the same as the outer diameter of the hollow metal tube.
  • the inner cavity of the hollow metal tube is Square channel, the square tube fits into the square channel of the hollow metal tube, the short joint and the square tube are fixedly connected or integrally formed and can slide along the screw;
  • the short joint, the square tube and the spring are all one, and two ends of the screw are respectively screwed with a nut;
  • the limiting structure is a circular hole opened at one end of the hollow metal pipe, the diameter of the circular hole is smaller than the diameter of the spring, and a square hole is opened at the other end of the hollow metal pipe.
  • the square pipe is inserted into the hollow metal pipe through the square hole.
  • a short joint, a square tube and a spring are threaded in order, and a nut is screwed on each end of the screw;
  • the inner cavity of the hollow metal tube is divided into three sections, the upper and lower sections are square channels, the middle section is a cylindrical channel, the diameter of the cylindrical channel is smaller than the diameter of the square channel, and the connection between the cylindrical channel and the square channel forms a step.
  • the tubes are respectively inserted in the corresponding square channels.
  • One end of the two springs abuts the corresponding step, and the other end abuts the end surface of the corresponding square tube.
  • the two steps are the limiting structures of the two springs.
  • the spring when the short joint and the square pipe slide up and down along the screw, the spring is in a natural or compressed state.
  • the distance between the lower end of the short joint and the upper end of the hollow metal pipe is 2 to 5 mm.
  • a blind hole is provided on the outer wall of the middle portion of the hollow metal pipe.
  • the distance between the two adjacent blind holes is equal, and the distance between the two adjacent blind holes in each circle is the same.
  • Screw rods; the number of ribs on the outer wall of the hollow metal tube and the short joint is the same as the number of heads of the wire at the end of the stent to be woven.
  • the segmented esophageal stent and weaving method provided by the present invention adopts monofilament weaving to form a segmented esophageal stent, which overlaps and crosses each other to form a mesh-shaped stent when weaving, especially segmentation.
  • the cross-shaped lock structure is adopted between the parts. Compared with the existing hook-type lock, the cross-shaped lock structure of the present invention can enhance the support force of the entire esophageal stent and has better rigidity;
  • the ends are trumpet-shaped. The design of the trumpet allows the esophageal stent to enter the esophagus, and the upper flared mouth facilitates the passage of food.
  • the lower flared mouth prevents the stent from shifting and plays a good role in fixing the stent to make it accurate. Retention; the whole braiding process of the stent is completed by only one silk thread, which not only improves the rigidity of the esophageal stent, but also reduces the axial compression deformation of the esophageal stent to ensure the normal use of the esophageal stent.
  • FIG. 1 is a schematic structural diagram of a segmented esophageal stent.
  • FIGS. 2 to 9 are schematic diagrams of a knitting step in the fourth embodiment.
  • Fig. 10 is a perspective view of an esophageal braiding jig.
  • Fig. 11 is a front view of an esophageal braiding jig.
  • FIG. 12 is a cross-sectional view of an esophageal stent braiding tool with a spring in the center metal tube.
  • FIG. 13 is a cross-sectional view of an esophageal stent braiding tool with two springs in a center metal tube.
  • FIG. 14 is a schematic diagram of a central metal pipe with blind holes.
  • this embodiment provides a segmented esophageal stent, which is a cylindrical mesh stent with a bell mouth at both ends woven from a single wire.
  • the mouth section and the lower bell mouth section are composed of two sections, and the upper bell mouth section and the lower bell mouth section are connected by a plurality of locking structures.
  • the segmented esophageal stent of this embodiment is composed of an upper flared section and a lower flared section, that is, both ends of the esophageal stent are flared, and the design of the flared stent can make the esophageal stent fall into the esophagus
  • the upper bell mouth is conducive to the passage of food, the lower bell mouth can prevent the bracket from shifting, and it has a good fixing effect on the bracket, allowing it to be accurately held; the entire braiding process of the bracket is completed with only one silk thread, which improves both
  • the rigidity of the esophageal stent can be reduced, and the axial compression deformation of the esophageal stent can be reduced, so as to ensure the normal use of the esophageal stent.
  • the lock structure in this embodiment is formed by overlapping and crossing the monofilament at the end of the upper bell mouth section and the lower bell mouth section.
  • Cruciform structure
  • the cross-shaped locking structure of the invention can enhance the supporting force of the entire esophageal stent and has better rigidity.
  • the whole braiding process of the entire stent is completed by only one silk thread, which not only improves the rigidity of the esophageal stent, but also reduces the axial compression deformation of the esophageal stent to ensure the normal use of the esophageal stent.
  • Embodiment 2 in order to ensure the stable shape of the entire esophageal stent and avoid deformation, at least three locking structures are provided between the upper flared section and the lower flared section.
  • the angle of the bell mouth is 40 to 50 °.
  • the design of the bell mouth can make the esophageal stent into the esophagus, the upper bell mouth is convenient for food to pass through, and the lower bell mouth can prevent the stent from shifting. Fixing effect makes it precise retention.
  • a method for weaving a segmented esophageal stent includes the following steps:
  • Step 1 punch a blind hole 101 in the middle of the esophageal braiding tooling and insert a screw into the blind hole 101;
  • Step 2 Fix one end of the monofilament to the head of either end of the esophageal braiding jig, and the other end of the monofilament to be overlapped and intertwined on the esophageal braid jig to form a meshed upper and lower bell mouth section.
  • the wire is overlapped and wound at the screw rod to form a cross-shaped locking structure;
  • Step three according to the knitting method of step two, weaving at least three lock structures
  • Step 4 After the braiding is completed, heat-set the two ports of the segmented esophageal stent to form a bell mouth with a flare of 40-50 °, and complete the braiding of the segmented esophageal stent.
  • the end of a woven monofilament is fixed at A1, then starting from the starting point A1, passing D5 to P1, and then passing P1 through F6, E8, D10 to B1, and B1 through a2 to A3;
  • the monofilament goes from A3 through F11 to G1, then G1 through p2 to G3 (circle is a screw in the figure), bypasses G3 to R4 (screw), and R4 goes through H6, I8 To L1, then from L1 to N5, N5 via J11 to I1, I1 via H3 to R5;
  • the monofilament goes from R5 through h9 to K1, then from K1 through m4 to N7, N7 through m9 to J1, J1 through h4 to R7, R7 through h10 to J1, and J1 through k4 to N9.
  • N9 via m11 to K1, K1 via h6 to R9, R9 via H11 to I1, I1 via j5 to N11, and N11 via M12 to L1;
  • L1 passes I6 to R10 (the screw is inserted here), bypasses R10 to P4 (the screw is inserted here), and passes from P4 to F8 to C1;
  • D1 passes b4 to A7
  • A7 passes b9 to E1
  • E1 passes f4 to P7
  • P7 passes e12 to E1
  • E1 passes b6 to A9
  • A9 passes b11 to D1
  • D1 passes f6 to P9.
  • P9 passes G11 to F1
  • F1 passes c7 to A11
  • A11 passes b12 to C1
  • C1 passes F6 to P10 (the screw is inserted here)
  • bypasses P10 to R11 the screw is inserted here
  • R11 passes the r12 To H1;
  • the weaving method provided by the present invention uses only one silk thread from beginning to end.
  • This embodiment provides a braiding tool for esophageal stent, including a cylindrical hollow metal tube 1, as shown in FIG. 10 and FIG. 11 and FIG. 12, and further includes a screw 201, a short joint 203, a square tube 204, and a spring 205.
  • the section 203, the square tube 204 and the spring 205 are sleeved on the screw 201 in order from top to bottom.
  • the screw 201 passes through the hollow metal tube 1 and a limiting structure is provided in the hollow metal tube 1.
  • the spring 205 One end is limited by a limiting structure, and the other end abuts against the end surface of the square tube 204.
  • the outer diameter of the short joint 203 is the same as the outer diameter of the hollow metal tube 1.
  • the inner cavity of the hollow metal tube 1 It is a square channel, and the square tube 204 fits and intersects in the square channel of the hollow metal tube 1.
  • the short joint 203 and the square tube 204 are fixedly connected or integrally formed and can slide along the screw 201;
  • the short bar 203 can be pressed. Because the short bar 203 is connected to the square tube 204 or integrally formed, the short bar 203 slides along the screw 201 with the square tube 204, and the spring 205 is compressed by the compression of the square tube 204, so that the length of the entire knitting tool can be adjusted. When adjusted to a suitable position, the fixed short section 203 is in this position. Continue knitting. After the knitting is completed, press the short joint 203 to the end until it is in close contact with the hollow metal tube 1. Since the length of the entire tool is shortened and shorter than the length of the esophagus, the esophagus can be easily removed from the tool at this time. Save time.
  • the inner cavity of the hollow metal pipe 1 in this embodiment is a square channel, so that when the square pipe 204 is inserted into the hollow metal pipe 1, the edges on the outer wall of the hollow metal pipe 1 and the short joint 203 can correspond one-to-one. So that we can brace the esophagus.
  • the esophageal stent braiding tool provided in this embodiment can braid the esophagus stent on the outer wall of the short section and the hollow metal tube.
  • a distance of 2 to 5 mm is reserved between the short section and the hollow metal tube, and the short section can be pressed according to the needs of knitting. , Adjust the distance between the short section and the hollow metal tube to ensure that the esophageal support is elastically supported during the weaving process.
  • the short section can be pressed to the bottom until it is in close contact with the hollow metal tube. Remove the esophageal stent.
  • the esophageal stent braiding tool improves the support force to the esophageal stent by adjusting the overall length, and avoids the problem of broken or broken wires. It is especially suitable for degradable esophageal stent, which guarantees the quality and efficiency of the esophageal stent. Has a high practical value.
  • the short joint 203, the square tube 204, and the spring 205 are all one, and two ends of the screw 201 are respectively screwed with a nut 202;
  • the limiting structure is A circular hole is formed in one end of the hollow metal pipe 1, the diameter of the circular hole is smaller than the diameter of the spring 205, and a square hole is opened in the other end of the hollow metal pipe 1, and the square pipe 204 passes through The square hole is inserted in the hollow metal pipe 1.
  • This embodiment embodies the structure for adjusting the length of the esophageal stent.
  • the screw 201 passes through the hollow metal tube 1, and a nut 202 is screwed on the top and bottom ends of the screw 201.
  • the top nut 202 is used for fixing.
  • the short joint 203 prevents it from rebounding after being pressed.
  • the bottom nut 202 limits and positions the screw 202.
  • the esophageal stent braiding tool can braid the esophagus stent on the outer wall of the short section and the hollow metal tube.
  • a distance of 2 to 5 mm is reserved between the short section and the hollow metal tube, and the short section can be pressed according to the needs of knitting , Adjust the distance between the short section and the hollow metal tube to ensure that the esophageal support is elastically supported during the weaving process.
  • the short section can be pressed to the bottom until it is in close contact with the hollow metal tube. Remove the esophageal stent.
  • the esophageal stent braiding tool improves the support force to the esophageal stent by adjusting the overall length, and avoids the problem of broken or broken wires. It is especially suitable for degradable esophageal stent, which guarantees the quality and efficiency of the esophageal stent. Has a high practical value.
  • this embodiment provides a solution different from Embodiment 6.
  • the screw 201 passes through the sleeve from its two ends to its midpoint in order.
  • a short section 203, a square tube 204, and a spring 205, and two ends of the screw 201 are respectively screwed with a nut 202;
  • the inner cavity of the hollow metal tube 1 is divided into three sections, the upper section and the lower section are square channels, and the middle section is cylindrical Channel, the diameter of the cylindrical channel is smaller than the diameter of the square channel, and the connection between the cylindrical channel and the square channel forms a step.
  • Two square tubes 204 are respectively inserted in the corresponding square channels. One end abuts on the corresponding step, and the other end abuts on the end surface of the corresponding square tube 204.
  • the two steps are the limiting structures of the two springs 205.
  • the short joint 203 there are two groups of the short joint 203, the square tube 204, and the spring 205, and the two groups are symmetrically threaded on the screw 201 about the midpoint of the screw 201.
  • the spring 205 may also be one, as shown in FIG. 12 (the short joints 203 at both ends are pressed), that is, the two sets of short joints 203 and the square tube 204 share one spring 205. In other words, the spring 205 is located between the upper and lower square tubes 204.
  • both ends of the screw 201 can be adjusted, which improves the flexibility of adjusting the length of the braided tooling, so that during the process of weaving the esophageal stent, the corresponding short section can be pressed in a targeted manner, thereby adjusting the length of the tooling and ensuring that The quality of braided esophageal stents.
  • the spring 205 when the short joint 203 and the square tube 204 slide up and down along the screw 201, the spring 205 is in a natural or compressed state.
  • the distance between the lower end surface of the short joint 203 and the upper end surface of the hollow metal pipe 1 is 2-5 mm.
  • this embodiment has obtained that the optimal distance between the short joint 203 and the hollow metal tube 1 is 2 to 5 mm, so that it can be properly contracted and smooth after weaving is completed Take off.
  • Example 4 On the basis of Example 4, as shown in FIG. 14, four hollow holes 101 are formed on the outer wall of the middle of the hollow metal pipe 1 (6 rows in FIG. 14, only 4 rows are actually used, and the other 2 rows are used To calibrate the distance), the distance between the two adjacent blind holes 101 is equal, and the distance between the two adjacent blind holes 101 is equal in each circle. Each blind hole 101 is inserted with a screw.
  • a short rod or The short filament is inserted into the blind hole 101, and then overlaps or crosses the short pole or the short filament according to the specific weaving method.
  • the short filament or the short pole is inserted in the blind hole 101 to realize the short filament or the short pole.
  • the number of ribs on the outer wall of the hollow metal pipe 1 and the short joint 203 is the same as the number of the ends of the stent to be woven. Specifically, when weaving an esophageal stent, a corresponding knitting tool is selected according to the outline (diameter) of the stent to be woven. After the final knitting is completed, a wire is wound around the end of each edge.
  • Application method of esophageal braiding tooling includes the following steps:
  • the esophageal stent is braided on the outer wall of the short section 203 and the hollow metal tube 1.
  • the short section 203 may be pressed. Since the short section 203 and the square tube 204 are connected or integrally formed, The short section 203 slides along the screw 201 with the square tube 204, and the spring 205 is compressed by the square tube 204 to compress, so that the length of the entire knitting tool can be adjusted.
  • the fixed short section 203 is fixed at At this position, continue knitting. After the knitting is completed, press the knuckle 203 to the end until it is in close contact with the hollow metal tube 1. Since the length of the entire tool is shortened and shorter than the length of the esophagus, the esophagus can be easily removed from the tool at this time Save time and effort.
  • the hollow metal pipe 1 may be one shown in FIG. 10 and FIG. 11, or may be a multi-stage retractable structure composed of a plurality of hollow metal pipes 1.

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Abstract

A segmentation-type esophageal stent and a weaving method therefor. The esophageal stent is a cylindrical mesh stent that is formed by weaving a monofilament and has two ends in the shape of a bell mouth; the mesh stent consists of an upper bell mouth segment and a lower bell mouth segment; the upper bell mouth segment and the lower bell mouth segment are connected by means of several locking structures. Compared with an existing hook-type lock, a cruciform locking structure can enhance the supporting force of a whole esophageal stent and have good rigidity; the two ends of the esophageal stent both are in the shape of the bell mouth; by means of the design of the bell mouth, after the esophageal stent is inserted into an esophagus, the bell mouth in an upper part facilitates the pass of food, and the bell mouth in a lower part can prevent the stent from displacing and have a good function of fixing the stent, so that the stent is accurately fixed and positioned; the weaving process of the whole stent is completed by means one filament, so that the rigidity of the esophageal stent is improved, the axial compressional deformation of the esophageal stent can also be reduced, and the normal use of the esophageal stent is ensured.

Description

一种分段式食管支架及其编织方法Segmented esophagus stent and weaving method thereof 技术领域Technical field

本发明属于医疗器材领域,具体涉及一种分段式食管支架及其编织方法。The invention belongs to the field of medical equipment, and particularly relates to a segmented esophageal stent and a weaving method thereof.

背景技术Background technique

食管狭窄或梗阻是消化道疾病的常见并发症,常用的治疗方法是采用境内支架治疗食管狭窄和梗阻,具体的做法是在病变处放入生物可降解支架,它在食管内短期成形,具有良好的生物相容性,随后完全溶解,并可以根据临床需要调节支架的降解时间,避免了永久性支架的并发症。食管支架的形状和编织方法多样,目前常用的是分段式支架,分段式支架的分段部分是采用互相勾结的锁扣连接,且整体支架采用多根丝线编织而成,造成支架在轴向易收缩,整体刚性较差,进一步导致两端开口的固定力降低,同时支架在中部会向内收缩,导致支架的内径变小,不利于食物通过,长时间使用甚至会缩短食管支架的寿命。Esophageal stenosis or obstruction is a common complication of gastrointestinal diseases. The commonly used treatment method is to use domestic stents to treat esophageal stenosis and obstruction. The specific method is to place a biodegradable stent in the lesion. It is short-term formed in the esophagus and has good The biocompatibility is completely dissolved subsequently, and the degradation time of the stent can be adjusted according to clinical needs, avoiding the complications of the permanent stent. There are various shapes and weaving methods of esophageal stents. Currently, segmented stents are commonly used. The segmented parts of segmented stents are connected by interlocking locks. The overall stent is braided with multiple wires, causing the stent to be in the shaft. Easy to shrink, poor overall rigidity, further reducing the fixing force of the openings at both ends, and at the same time, the stent will contract inward in the middle, resulting in a smaller inner diameter of the stent, which is not conducive to food passage. Long-term use may even shorten the life of the esophageal stent .

发明内容Summary of the Invention

本发明的目的是解决现有的食管支架采用多根丝线编织造成的食管支架轴向易缩短和整体刚性差的问题。The purpose of the present invention is to solve the problems that the existing esophageal stent is easily shortened in the axial direction and has poor overall rigidity, which is caused by braiding multiple threads.

为此,本发明提供了一种分段式食管支架,它是由一根单丝编织而成的两端呈喇叭口的圆柱形网状支架,网状支架由上喇叭口段和下喇叭口段两段组成,上喇叭口段和下喇叭口段之间通过若干个锁扣结构连接。To this end, the present invention provides a segmented esophageal stent, which is a cylindrical mesh stent with a bell mouth at both ends woven from a single wire. The mesh brace is composed of an upper bell mouth section and a lower bell mouth. The two sections are composed of two sections. The upper flared section and the lower flared section are connected by a plurality of locking structures.

进一步地,锁扣结构是由单丝在上喇叭口段末端和下喇叭口段末端连接处搭叠交叉形成的十字形结构。Further, the lock structure is a cross-shaped structure formed by overlapping and crossing the monofilament at the junction of the end of the upper bell mouth section and the end of the lower bell mouth section.

进一步地,上喇叭口段和下喇叭口段之间设有至少三个锁扣结构。Further, at least three locking structures are provided between the upper bell mouth section and the lower bell mouth section.

进一步地,喇叭口的角度为40~50°。Further, the angle of the bell mouth is 40-50 °.

进一步地,一种分段式食管支架的编织方法,包括以下步骤:Further, a method for weaving a segmented esophageal stent includes the following steps:

步骤一:在食管支架编织工装的中部打盲孔并在盲孔内插入丝杆;Step 1: punch a blind hole in the middle of the esophageal braiding tooling and insert a screw into the blind hole;

步骤二:将单丝的一个端部固定在食管支架编织工装的任意一端的头部,另一端在食管支架编织工装上交叠交叉缠绕形成网状的上喇叭口段和下喇叭口段,单丝在丝杆处搭叠交叉缠绕形成十字形的锁扣结构;Step 2: Fix one end of the monofilament to the head of either end of the esophageal braiding jig, and the other end of the monofilament to be overlapped and intertwined on the esophageal braid jig to form a meshed upper and lower bell mouth section. The wire is overlapped and wound at the screw rod to form a cross-shaped locking structure;

步骤三,按照步骤二的编织方法,编织至少三个锁扣结构;Step three, according to the knitting method of step two, weaving at least three lock structures;

步骤四,编织完成后,对分段式食管支架的两个端口进行热定型使其形成扩口为40~50°的喇叭口,完成分段式食管支架的编织。Step 4. After the braiding is completed, heat-set the two ports of the segmented esophageal stent to form a bell mouth with a flare of 40-50 °, and complete the braiding of the segmented esophageal stent.

进一步地,食管支架编织工装包括圆柱形的中空金属管,还包括螺杆、短节、方形管和弹簧,短节、方形管和弹簧自上至下依次穿套在螺杆上,螺杆穿过中空金属管,中空金属管内设有限位结构,弹簧的一端由限位结构限位,另一端抵在方形管的端面,短节的外径与中空金属管的外径相同,中空金属管的内腔为方形通道,方形管配合穿插在中空金属管的方形通道内,短节和方形管固定连接或一体成型并可沿螺杆滑动;Further, the esophagus braiding tooling includes a cylindrical hollow metal tube, and also includes a screw, a short joint, a square tube, and a spring. The short joint, the square tube, and the spring are sleeved on the screw in order from top to bottom, and the screw passes through the hollow metal. There is a limit structure in the hollow metal tube. One end of the spring is limited by the limit structure and the other end bears on the end face of the square tube. The outer diameter of the short joint is the same as the outer diameter of the hollow metal tube. The inner cavity of the hollow metal tube is Square channel, the square tube fits into the square channel of the hollow metal tube, the short joint and the square tube are fixedly connected or integrally formed and can slide along the screw;

中空金属管和短节的外壁上均周向均匀地间隔设有若干个棱,且中空金属管上的棱与短节上的棱一一对应。On the outer wall of the hollow metal pipe and the short joint, several edges are evenly spaced circumferentially, and the ribs on the hollow metal pipe correspond to the ribs on the short joint one to one.

进一步地,短节、方形管和弹簧均为一个,螺杆的两端分别旋有一个螺母;Further, the short joint, the square tube and the spring are all one, and two ends of the screw are respectively screwed with a nut;

限位结构是开设在中空金属管一端部的圆形孔,圆形孔的直径小于弹簧的直径,中空金属管另一端部开设的是方形孔,方形管穿过方形孔插在中空金属管内。The limiting structure is a circular hole opened at one end of the hollow metal pipe, the diameter of the circular hole is smaller than the diameter of the spring, and a square hole is opened at the other end of the hollow metal pipe. The square pipe is inserted into the hollow metal pipe through the square hole.

进一步地,螺杆自两个端部至其中点,依次穿套着短节、方形管、弹簧,螺杆的两端分别旋有一个螺母;Further, from the two ends to the middle point of the screw, a short joint, a square tube and a spring are threaded in order, and a nut is screwed on each end of the screw;

中空金属管的内腔分为三段,上段和下段是方形通道,中段是圆柱形通道,圆柱形通道的孔径小于方形通道的孔径,且圆柱形通道与方形通道连接处形成台阶,两个方形管分别插在对应的方形通道内,两个弹簧的一端抵在对应的台阶处,另一端抵在对应的方形管的端面,两个台阶为两个弹簧的限位结构。The inner cavity of the hollow metal tube is divided into three sections, the upper and lower sections are square channels, the middle section is a cylindrical channel, the diameter of the cylindrical channel is smaller than the diameter of the square channel, and the connection between the cylindrical channel and the square channel forms a step. The tubes are respectively inserted in the corresponding square channels. One end of the two springs abuts the corresponding step, and the other end abuts the end surface of the corresponding square tube. The two steps are the limiting structures of the two springs.

进一步地,短节和方形管沿螺杆上下滑动时,弹簧处于自然或者压缩状态,当弹簧处于自然状态时,短节下端面与中空金属管上端面之间的距离为2~5mm。Further, when the short joint and the square pipe slide up and down along the screw, the spring is in a natural or compressed state. When the spring is in a natural state, the distance between the lower end of the short joint and the upper end of the hollow metal pipe is 2 to 5 mm.

进一步地,中空金属管的中部外壁上开设有圈盲孔,相邻两圈盲孔的距离相等,且每一圈相邻两个盲孔之间的距离相等,每一个盲孔内插有一根丝杆;中空金属管和短节外壁上的棱的数量均与所要编织的支架端部丝线的头数相同。Further, a blind hole is provided on the outer wall of the middle portion of the hollow metal pipe. The distance between the two adjacent blind holes is equal, and the distance between the two adjacent blind holes in each circle is the same. Screw rods; the number of ribs on the outer wall of the hollow metal tube and the short joint is the same as the number of heads of the wire at the end of the stent to be woven.

本发明的有益效果:本发明提供的这种分段式食管支架及其编织方法,采用单丝编织形成分段式食管支架,编织时相互交叠交叉缠绕形成网状的支架,特别是分段部分之间采用交叉十字形的锁扣结构,相比现有的勾结式锁扣,本发明的十字形的锁扣结构可以增强 整个食管支架的支撑力且具有较好的刚性;食管支架的两端均为喇叭口状,喇叭口的设计可以使得食管支架在下入食管后,上部的喇叭口利于食物通过,下部的喇叭口可以防止支架移位,对支架起到良好的固定作用,使其精准固位;整个支架的编织过程整体只采用一根丝线完成,既提高了食管支架的刚性,同时也可以减小食管支架的轴向压缩变形,确保食管支架的正常使用。Beneficial effects of the present invention: The segmented esophageal stent and weaving method provided by the present invention adopts monofilament weaving to form a segmented esophageal stent, which overlaps and crosses each other to form a mesh-shaped stent when weaving, especially segmentation. The cross-shaped lock structure is adopted between the parts. Compared with the existing hook-type lock, the cross-shaped lock structure of the present invention can enhance the support force of the entire esophageal stent and has better rigidity; The ends are trumpet-shaped. The design of the trumpet allows the esophageal stent to enter the esophagus, and the upper flared mouth facilitates the passage of food. The lower flared mouth prevents the stent from shifting and plays a good role in fixing the stent to make it accurate. Retention; the whole braiding process of the stent is completed by only one silk thread, which not only improves the rigidity of the esophageal stent, but also reduces the axial compression deformation of the esophageal stent to ensure the normal use of the esophageal stent.

以下将结合附图对本发明做进一步详细说明。The present invention will be further described in detail below with reference to the accompanying drawings.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1是分段式食管支架的结构示意图。FIG. 1 is a schematic structural diagram of a segmented esophageal stent.

图2~图9是实施例4的编织步骤示意图。2 to 9 are schematic diagrams of a knitting step in the fourth embodiment.

图10是食管支架编织工装的立体图。Fig. 10 is a perspective view of an esophageal braiding jig.

图11是食管支架编织工装的正视图。Fig. 11 is a front view of an esophageal braiding jig.

图12是中心金属管内具有一根弹簧的食管支架编织工装的剖视图。FIG. 12 is a cross-sectional view of an esophageal stent braiding tool with a spring in the center metal tube.

图13是中心金属管内具有两根弹簧的食管支架编织工装的剖视图。13 is a cross-sectional view of an esophageal stent braiding tool with two springs in a center metal tube.

图14是开有盲孔的中心金属管的示意图。FIG. 14 is a schematic diagram of a central metal pipe with blind holes.

附图标记说明:Reference sign description:

1.中空金属管;101.盲孔;1. Hollow metal tube; 101. Blind hole;

201.螺杆;202.螺母;203.短节;204.方形管;205.弹簧。201. screw; 202. nut; 203. short joint; 204. square tube; 205. spring.

具体实施方式detailed description

实施例1:Example 1:

如图1所示,本实施例提供了一种分段式食管支架,它是由一根单丝编织而成的两端呈喇叭口的圆柱形网状支架,所述网状支架由上喇叭口段和下喇叭口段两段组成,所述上喇叭口段和下喇叭口段之间通过若干个锁扣结构连接。As shown in FIG. 1, this embodiment provides a segmented esophageal stent, which is a cylindrical mesh stent with a bell mouth at both ends woven from a single wire. The mouth section and the lower bell mouth section are composed of two sections, and the upper bell mouth section and the lower bell mouth section are connected by a plurality of locking structures.

本实施例的分段式食管支架由上喇叭口段和下喇叭口段两段组成,也就是说,食管支架的两端均为喇叭口状,喇叭口的设计可以使得食管支架在下入食管后,上部的的喇叭口利于食物通过,下部的喇叭口可以防止支架移位,对支架起到良好的固定作用,使其精准固位;整个支架的编织过程整体只采用一根丝线完成,既提高了食管支架的刚性,同时也可以减小食管支架的轴向压缩变形,确保食管支架的正常使用。The segmented esophageal stent of this embodiment is composed of an upper flared section and a lower flared section, that is, both ends of the esophageal stent are flared, and the design of the flared stent can make the esophageal stent fall into the esophagus The upper bell mouth is conducive to the passage of food, the lower bell mouth can prevent the bracket from shifting, and it has a good fixing effect on the bracket, allowing it to be accurately held; the entire braiding process of the bracket is completed with only one silk thread, which improves both The rigidity of the esophageal stent can be reduced, and the axial compression deformation of the esophageal stent can be reduced, so as to ensure the normal use of the esophageal stent.

实施例2:Example 2:

在实施例1的基础上,与现有的勾结式锁扣相比,本实施例中的锁扣结构是由单丝在上喇叭口段末端和下喇叭口段末端连接处搭叠交叉形成的十字形结构。On the basis of Embodiment 1, compared with the existing hook-type lock, the lock structure in this embodiment is formed by overlapping and crossing the monofilament at the end of the upper bell mouth section and the lower bell mouth section. Cruciform structure.

本发明的十字形的锁扣结构可以增强整个食管支架的支撑力且具有较好的刚性。整个支架的编织过程整体只采用一根丝线完成,既提高了食管支架的刚性,同时也可以减小食管支架的轴向压缩变形,确保食管支架的正常使用。The cross-shaped locking structure of the invention can enhance the supporting force of the entire esophageal stent and has better rigidity. The whole braiding process of the entire stent is completed by only one silk thread, which not only improves the rigidity of the esophageal stent, but also reduces the axial compression deformation of the esophageal stent to ensure the normal use of the esophageal stent.

实施例3:Example 3:

在实施例2的基础上,为了确保整个食管支架的稳定形,避免变形,所述上喇叭口段和下喇叭口段之间设有至少三个锁扣结构。所述喇叭口的角度为40~50°,喇叭口的设计可以使得食管支架在下入食管后,上部的的喇叭口利于食物通过,下部的喇叭口可以防止支架移位,对支架起到良好的固定作用,使其精准固位。Based on Embodiment 2, in order to ensure the stable shape of the entire esophageal stent and avoid deformation, at least three locking structures are provided between the upper flared section and the lower flared section. The angle of the bell mouth is 40 to 50 °. The design of the bell mouth can make the esophageal stent into the esophagus, the upper bell mouth is convenient for food to pass through, and the lower bell mouth can prevent the stent from shifting. Fixing effect makes it precise retention.

实施例4:Example 4:

一种分段式食管支架的编织方法,包括以下步骤:A method for weaving a segmented esophageal stent includes the following steps:

步骤一:在食管支架编织工装的中部打盲孔101并在盲孔101内插入丝杆;Step 1: punch a blind hole 101 in the middle of the esophageal braiding tooling and insert a screw into the blind hole 101;

步骤二:将单丝的一个端部固定在食管支架编织工装的任意一端的头部,另一端在食管支架编织工装上交叠交叉缠绕形成网状的上喇叭口段和下喇叭口段,单丝在丝杆处搭叠交叉缠绕形成十字形的锁扣结构;Step 2: Fix one end of the monofilament to the head of either end of the esophageal braiding jig, and the other end of the monofilament to be overlapped and intertwined on the esophageal braid jig to form a meshed upper and lower bell mouth section. The wire is overlapped and wound at the screw rod to form a cross-shaped locking structure;

步骤三,按照步骤二的编织方法,编织至少三个锁扣结构;Step three, according to the knitting method of step two, weaving at least three lock structures;

步骤四,编织完成后,对分段式食管支架的两个端口进行热定型使其形成扩口为40~50°的喇叭口,完成分段式食管支架的编织。Step 4. After the braiding is completed, heat-set the two ports of the segmented esophageal stent to form a bell mouth with a flare of 40-50 °, and complete the braiding of the segmented esophageal stent.

根据图2~图9所示的分段式食管支架的编织方法,具体步骤如下:According to the weaving method of the segmented esophageal stent shown in Figs. 2-9, the specific steps are as follows:

在描述编织方法的步骤之前,需要特别说明的是,P1~P12以及R1~R12,这些点所在的食管支架工装上均打有盲孔,共计4圈盲孔,且每一个盲孔内均插有丝杆,为了清楚地说明食管支架是如何编织的,本实施例在图2~图9中均标出了4圈盲孔(丝杆)的所在位置,图中的4个丝杆仅作为示例说明。Before describing the steps of the weaving method, it is necessary to specify that P1 ~ P12 and R1 ~ R12. The esophageal stent fixtures at these points are marked with blind holes, a total of 4 circles of blind holes, and each blind hole is inserted in There are screw rods. In order to clearly explain how the esophageal stent is knitted, in this embodiment, the positions of the blind holes (screw rods) of 4 circles are marked in Figures 2-9. The four screw rods in the figure are only used as Example description.

如图2所示,将一根编织单丝的端部固定在A1处,然后由起点A1出发经D5至P1,再由P1经F6、E8、D10至B1,B1经a2至A3;As shown in Figure 2, the end of a woven monofilament is fixed at A1, then starting from the starting point A1, passing D5 to P1, and then passing P1 through F6, E8, D10 to B1, and B1 through a2 to A3;

如图3所示,接上,单丝由A3经F11至G1,再由G1经p2至G3(图中圆形为丝杆), 绕过G3至R4(丝杆),R4经H6、I8至L1,再由L1至N5,N5经J11至I1,I1经H3至R5;As shown in Figure 3, after connecting, the monofilament goes from A3 through F11 to G1, then G1 through p2 to G3 (circle is a screw in the figure), bypasses G3 to R4 (screw), and R4 goes through H6, I8 To L1, then from L1 to N5, N5 via J11 to I1, I1 via H3 to R5;

如图4所示,接上,单丝由R5经h9至K1,再由K1经m4至N7,N7经m9至J1,J1经h4至R7,R7经h10至J1,J1经k4至N9,N9经m11至K1,K1经h6至R9,R9经H11至I1,I1经j5至N11,N11经M12至L1;As shown in Figure 4, connected, the monofilament goes from R5 through h9 to K1, then from K1 through m4 to N7, N7 through m9 to J1, J1 through h4 to R7, R7 through h10 to J1, and J1 through k4 to N9. N9 via m11 to K1, K1 via h6 to R9, R9 via H11 to I1, I1 via j5 to N11, and N11 via M12 to L1;

如图5所示,接上,L1经I6至R10(此处插有丝杆),绕过R10至P4(此处插有丝杆),由P4经F8至C1;As shown in Fig. 5, after connecting, L1 passes I6 to R10 (the screw is inserted here), bypasses R10 to P4 (the screw is inserted here), and passes from P4 to F8 to C1;

如图6所示,接上,C1经B3至A5,A5经d10至F1,F1经G3至P5,P5经d12至D1;As shown in Figure 6, connect C1 through B3 to A5, A5 through d10 to F1, F1 through G3 to P5, and P5 through d12 to D1;

如图7所示,接上,D1经b4至A7,A7经b9至E1,E1经f4至P7,P7经e12至E1,E1经b6至A9,A9经b11至D1,D1经f6至P9,P9经G11至F1,F1经c7至A11,A11经b12至C1,C1经F6至P10(此处插有丝杆),绕过P10至R11(此处插有丝杆),R11经r12至H1;As shown in Figure 7, connected, D1 passes b4 to A7, A7 passes b9 to E1, E1 passes f4 to P7, P7 passes e12 to E1, E1 passes b6 to A9, A9 passes b11 to D1, and D1 passes f6 to P9. , P9 passes G11 to F1, F1 passes c7 to A11, A11 passes b12 to C1, C1 passes F6 to P10 (the screw is inserted here), bypasses P10 to R11 (the screw is inserted here), and R11 passes the r12 To H1;

如图8所示,接上,H1经K8至N1,N1经h10至R1,R1经J8至M1,M1经n2至N3,N3经J9至H1,H1经r2至R3(此处插有丝杆),绕过R3至P11;As shown in Figure 8, connected, H1 via K8 to N1, N1 via h10 to R1, R1 via J8 to M1, M1 via n2 to N3, N3 via J9 to H1, and H1 via r2 to R3 (there is a wire inserted here) Rod), bypassing R3 to P11;

如图9所示,接上,P11经p12至G1,再由G1经D8至A1;As shown in Figure 9, after connecting, P11 passes p12 to G1, and then G1 passes D8 to A1;

完成分段式食管支架的编织,编织后的成品如图1所示。The braiding of the segmented esophageal stent is completed, and the finished product is shown in FIG. 1.

需要特别说明的是,本发明提供的编织方法自始至终只用了一根丝线。It should be particularly noted that the weaving method provided by the present invention uses only one silk thread from beginning to end.

实施例5:Example 5:

本实施例提供了食管支架编织工装,包括圆柱形的中空金属管1,如图10和图11、图12所示,还包括螺杆201、短节203、方形管204和弹簧205,所述短节203、方形管204和弹簧205自上至下依次穿套在螺杆201上,所述螺杆201穿过所述中空金属管1,所述中空金属管1内设有限位结构,所述弹簧205的一端由限位结构限位,另一端抵在所述方形管204的端面,所述短节203的外径与所述中空金属管1的外径相同,所述中空金属管1的内腔为方形通道,方形管204配合穿插在中空金属管1的方形通道内,所述短节203和所述方形管204固定连接或一体成型并可沿所述螺杆201滑动;This embodiment provides a braiding tool for esophageal stent, including a cylindrical hollow metal tube 1, as shown in FIG. 10 and FIG. 11 and FIG. 12, and further includes a screw 201, a short joint 203, a square tube 204, and a spring 205. The section 203, the square tube 204 and the spring 205 are sleeved on the screw 201 in order from top to bottom. The screw 201 passes through the hollow metal tube 1 and a limiting structure is provided in the hollow metal tube 1. The spring 205 One end is limited by a limiting structure, and the other end abuts against the end surface of the square tube 204. The outer diameter of the short joint 203 is the same as the outer diameter of the hollow metal tube 1. The inner cavity of the hollow metal tube 1 It is a square channel, and the square tube 204 fits and intersects in the square channel of the hollow metal tube 1. The short joint 203 and the square tube 204 are fixedly connected or integrally formed and can slide along the screw 201;

所述中空金属管1和所述短节203的外壁上均周向均匀地间隔设有若干个棱(如图13所示),且中空金属管1上的棱与短节203上的棱一一对应(如图13所示)。On the outer wall of the hollow metal pipe 1 and the short joint 203, several ribs are uniformly spaced circumferentially (as shown in FIG. 13), and the rib on the hollow metal pipe 1 and the rib on the short joint 203 One correspondence (as shown in Figure 13).

本实施例提供的食管支架编织工装的工作原理或工作工程如下:The working principle or engineering of the esophageal braiding tooling provided in this embodiment is as follows:

在短节203和中空金属管1的外壁上编织食管支架,编织的过程中,如出现丝线张紧的情况,可按压短节203,由于短节203和方形管204连接或者一体成型,短节203带着 方形管204沿着螺杆201滑动,弹簧205受到方形管204的挤压而压缩,进而使整个编织工装的长度实现可调,当调节至合适位置时,固定短节203在该位置,继续编织,编织完成后,可按压短节203到底直至与中空金属管1紧贴,由于整个工装的长度缩短并且比食管支架的长度短,此时可以轻松将食管支架从工装上取下,省时省力。Braid the esophageal stent on the short wall 203 and the outer wall of the hollow metal tube 1. In the process of weaving, if there is a tension in the thread, the short bar 203 can be pressed. Because the short bar 203 is connected to the square tube 204 or integrally formed, the short bar 203 slides along the screw 201 with the square tube 204, and the spring 205 is compressed by the compression of the square tube 204, so that the length of the entire knitting tool can be adjusted. When adjusted to a suitable position, the fixed short section 203 is in this position. Continue knitting. After the knitting is completed, press the short joint 203 to the end until it is in close contact with the hollow metal tube 1. Since the length of the entire tool is shortened and shorter than the length of the esophagus, the esophagus can be easily removed from the tool at this time. Save time.

需要特别说明的是,本实施例中中空金属管1的内腔为方形通道,是为了使方形管204插入中空金属管1时,中空金属管1和短节203外壁上的棱可以一一对应,以便食管支架的编织。It should be particularly noted that the inner cavity of the hollow metal pipe 1 in this embodiment is a square channel, so that when the square pipe 204 is inserted into the hollow metal pipe 1, the edges on the outer wall of the hollow metal pipe 1 and the short joint 203 can correspond one-to-one. So that we can brace the esophagus.

本实施例提供的食管支架编织工装,可在短节、中空金属管的外壁上编织食管支架,短节和中空金属管之间预留有2~5mm的距离,可以根据编织的需要按压短节,调节短节和中空金属管之间的距离,保证食管支架在编织过程中受到弹性的支撑力,另外食管支架在编织完成后可以通过将短节按压到底直至与中空金属管紧贴,方便将食管支架取出。因此,本发明提供的食管支架编织工装通过调节整体长度,提高对食管支架的支撑力,避免断裂或断丝问题的出现,特别适用于可降解食管支架,保证了编织食管支架的质量和效率,具有很高的实用价值。The esophageal stent braiding tool provided in this embodiment can braid the esophagus stent on the outer wall of the short section and the hollow metal tube. A distance of 2 to 5 mm is reserved between the short section and the hollow metal tube, and the short section can be pressed according to the needs of knitting. , Adjust the distance between the short section and the hollow metal tube to ensure that the esophageal support is elastically supported during the weaving process. In addition, after the esophageal support is knitted, the short section can be pressed to the bottom until it is in close contact with the hollow metal tube. Remove the esophageal stent. Therefore, the esophageal stent braiding tool provided by the present invention improves the support force to the esophageal stent by adjusting the overall length, and avoids the problem of broken or broken wires. It is especially suitable for degradable esophageal stent, which guarantees the quality and efficiency of the esophageal stent. Has a high practical value.

实施例6:Example 6:

在实施例5的基础上,如图11所示,所述短节203、方形管204和弹簧205均为一个,所述螺杆201的两端分别旋有一个螺母202;所述限位结构是开设在中空金属管1一端部的圆形孔,所述圆形孔的直径小于所述弹簧205的直径,所述中空金属管1另一端部开设的是方形孔,所述方形管204穿过所述方形孔插在所述中空金属管1内。Based on Embodiment 5, as shown in FIG. 11, the short joint 203, the square tube 204, and the spring 205 are all one, and two ends of the screw 201 are respectively screwed with a nut 202; the limiting structure is A circular hole is formed in one end of the hollow metal pipe 1, the diameter of the circular hole is smaller than the diameter of the spring 205, and a square hole is opened in the other end of the hollow metal pipe 1, and the square pipe 204 passes through The square hole is inserted in the hollow metal pipe 1.

本实施例具体化了调节食管支架长度的结构,具体地,如图11所示,螺杆201穿过中空金属管1,它的顶端和底端分别旋有一个螺母202,顶端螺母202是为了固定短节203,防止其在按压后回弹,底端螺母202是对螺杆202的限位和定位。This embodiment embodies the structure for adjusting the length of the esophageal stent. Specifically, as shown in FIG. 11, the screw 201 passes through the hollow metal tube 1, and a nut 202 is screwed on the top and bottom ends of the screw 201. The top nut 202 is used for fixing. The short joint 203 prevents it from rebounding after being pressed. The bottom nut 202 limits and positions the screw 202.

使用时,先旋紧底端的螺母202,如需调节工装长度,按压短节203直至其向下移动至合适位置,然后再旋动顶端的螺母202直至与短节203的顶端贴紧;支架编织完后,按压短节203到底直至与中空金属管1紧贴,然后再旋动顶端的螺母202直至与短节203的顶端贴紧,取下食管支架。When in use, first tighten the nut 202 at the bottom, if you need to adjust the length of the tooling, press the short joint 203 until it moves down to a proper position, and then turn the top nut 202 until it is in close contact with the top of the short joint 203; the braid is braided After completion, press the short section 203 until it is in close contact with the hollow metal tube 1, and then turn the top nut 202 until it is in close contact with the top of the short section 203, and then remove the esophageal stent.

本实施例提供的食管支架编织工装,可在短节、中空金属管的外壁上编织食管支架,短节和中空金属管之间预留有2~5mm的距离,可以根据编织的需要按压短节,调节短节和中空金属管之间的距离,保证食管支架在编织过程中受到弹性的支撑力,另外食管支架 在编织完成后可以通过将短节按压到底直至与中空金属管紧贴,方便将食管支架取出。因此,本发明提供的食管支架编织工装通过调节整体长度,提高对食管支架的支撑力,避免断裂或断丝问题的出现,特别适用于可降解食管支架,保证了编织食管支架的质量和效率,具有很高的实用价值。The esophageal stent braiding tool provided in this embodiment can braid the esophagus stent on the outer wall of the short section and the hollow metal tube. A distance of 2 to 5 mm is reserved between the short section and the hollow metal tube, and the short section can be pressed according to the needs of knitting , Adjust the distance between the short section and the hollow metal tube to ensure that the esophageal support is elastically supported during the weaving process. In addition, after the esophageal support is knitted, the short section can be pressed to the bottom until it is in close contact with the hollow metal tube. Remove the esophageal stent. Therefore, the esophageal stent braiding tool provided by the present invention improves the support force to the esophageal stent by adjusting the overall length, and avoids the problem of broken or broken wires. It is especially suitable for degradable esophageal stent, which guarantees the quality and efficiency of the esophageal stent. Has a high practical value.

实施例7:Example 7:

在实施例5的基础上,本实施例提供了与实施例6不同的方案,具体地,如图10和图13所示,所述螺杆201自两个端部至其中点,依次穿套着短节203、方形管204、弹簧205,所述螺杆201的两端分别旋有一个螺母202;所述中空金属管1的内腔分为三段,上段和下段是方形通道,中段是圆柱形通道,所述圆柱形通道的孔径小于方形通道的孔径,且所述圆柱形通道与所述方形通道连接处形成台阶,两个方形管204分别插在对应的方形通道内,两个弹簧205的一端抵在对应的台阶处,另一端抵在对应的方形管204的端面,两个台阶为两个弹簧205的限位结构。Based on Embodiment 5, this embodiment provides a solution different from Embodiment 6. Specifically, as shown in FIG. 10 and FIG. 13, the screw 201 passes through the sleeve from its two ends to its midpoint in order. A short section 203, a square tube 204, and a spring 205, and two ends of the screw 201 are respectively screwed with a nut 202; the inner cavity of the hollow metal tube 1 is divided into three sections, the upper section and the lower section are square channels, and the middle section is cylindrical Channel, the diameter of the cylindrical channel is smaller than the diameter of the square channel, and the connection between the cylindrical channel and the square channel forms a step. Two square tubes 204 are respectively inserted in the corresponding square channels. One end abuts on the corresponding step, and the other end abuts on the end surface of the corresponding square tube 204. The two steps are the limiting structures of the two springs 205.

如图10所示,短节203、方形管204、弹簧205有两组,两组关于螺杆201的中点对称穿套在螺杆201上。需要调节工装长度时,可以按压一端的短节203或者按压两端的短节203,由于短节203和方形管204连接或者一体成型,短节203带着方形管204沿着螺杆201滑动,弹簧205受到方形管204的挤压而压缩,进而使整个编织工装的长度实现可调,当调节至合适位置时,固定短节203在该位置,继续编织,编织完成后,可按压短节203到底直至与中空金属管1紧贴,由于整个工装的长度缩短并且比食管支架的长度短,此时可以轻松将食管支架从工装上取下,省时省力。As shown in FIG. 10, there are two groups of the short joint 203, the square tube 204, and the spring 205, and the two groups are symmetrically threaded on the screw 201 about the midpoint of the screw 201. When you need to adjust the length of the tooling, you can press the short section 203 at one end or the short section 203 at both ends. Since the short section 203 is connected to or integrated with the square tube 204, the short section 203 slides along the screw 201 with the square tube 204 and the spring 205 Compressed by the square tube 204 to compress, so that the length of the entire knitting tooling can be adjusted. When adjusted to a suitable position, fix the short section 203 at that position and continue to knit. After the knitting is completed, you can press the short section 203 to the end until It is in close contact with the hollow metal tube 1, because the length of the entire tooling is shortened and shorter than the length of the esophageal stent, the esophageal stent can be easily removed from the tooling at this time, saving time and effort.

需要特别说明的是,本实施例中弹簧205也可以为一个,如图12所示(两端的短节203均受到了按压),即两组短节203和方形管204共用一个弹簧205,换句话说,弹簧205位于上下两个方形管204之间。It should be noted that, in this embodiment, the spring 205 may also be one, as shown in FIG. 12 (the short joints 203 at both ends are pressed), that is, the two sets of short joints 203 and the square tube 204 share one spring 205. In other words, the spring 205 is located between the upper and lower square tubes 204.

本实施例中螺杆201的两端均可以调节,提高了调节编织工装长度的灵活性,使得在编织食管支架的过程中,可以针对性地按压对应的短节,进而实现工装长度的调节,确保了编织食管支架的质量。In this embodiment, both ends of the screw 201 can be adjusted, which improves the flexibility of adjusting the length of the braided tooling, so that during the process of weaving the esophageal stent, the corresponding short section can be pressed in a targeted manner, thereby adjusting the length of the tooling and ensuring that The quality of braided esophageal stents.

实施例8:Example 8:

在实施例5或实施例6或实施例7的基础上,所述短节203和所述方形管204沿所述螺杆201上下滑动时,所述弹簧205处于自然或者压缩状态,当所述弹簧205处于自然状 态时,所述短节203下端面与所述中空金属管1上端面之间的距离为2~5mm。Based on Embodiment 5 or Embodiment 6 or Embodiment 7, when the short joint 203 and the square tube 204 slide up and down along the screw 201, the spring 205 is in a natural or compressed state. When 205 is in a natural state, the distance between the lower end surface of the short joint 203 and the upper end surface of the hollow metal pipe 1 is 2-5 mm.

为了适应各个尺寸食管支架的编织,通过多次试验,本实施例得出了短节203与中空金属管1之间的最佳距离为2~5mm,以便其合理的收缩,以及编织完成后顺利取下。In order to adapt to the weaving of esophageal scaffolds of various sizes, through multiple tests, this embodiment has obtained that the optimal distance between the short joint 203 and the hollow metal tube 1 is 2 to 5 mm, so that it can be properly contracted and smooth after weaving is completed Take off.

实施例9:Example 9:

在实施例4的基础上,如图14所示,所述中空金属管1的中部外壁上开设有4圈盲孔101(图14中为6排,实际只用到4排,另外2排用来标定距离),相邻两圈盲孔101的距离相等,且每一圈相邻两个盲孔101之间的距离相等,每一个盲孔101内插有一根丝杆。On the basis of Example 4, as shown in FIG. 14, four hollow holes 101 are formed on the outer wall of the middle of the hollow metal pipe 1 (6 rows in FIG. 14, only 4 rows are actually used, and the other 2 rows are used To calibrate the distance), the distance between the two adjacent blind holes 101 is equal, and the distance between the two adjacent blind holes 101 is equal in each circle. Each blind hole 101 is inserted with a screw.

具体地,在编织食管支架的过程中,本实施例的工装为了适应或者适用于各个编织方法,在中空金属管1的中部外壁上开设了4圈盲孔101,编织时,可以将短杆或短丝插入在盲孔101内,然后根据具体的编织方法绕着该短杆或短丝进行交叠或者交叉,在盲孔101内插有短丝或短杆,在短丝或短杆处实现编织支架的分段。Specifically, in the process of weaving the esophageal stent, in order to adapt or be applicable to various weaving methods, four circles of blind holes 101 are opened in the middle outer wall of the hollow metal tube 1. When weaving, a short rod or The short filament is inserted into the blind hole 101, and then overlaps or crosses the short pole or the short filament according to the specific weaving method. The short filament or the short pole is inserted in the blind hole 101 to realize the short filament or the short pole. Segment of braided stent.

所述中空金属管1和所述短节203外壁上的棱的数量均与所要编织的支架端部丝线的头数相同。具体的,编织食管支架时,根据所要编织的支架轮廓(直径)选择相对应的编织工装,最终编织完成后,每一个棱的端头绕有一根丝线。The number of ribs on the outer wall of the hollow metal pipe 1 and the short joint 203 is the same as the number of the ends of the stent to be woven. Specifically, when weaving an esophageal stent, a corresponding knitting tool is selected according to the outline (diameter) of the stent to be woven. After the final knitting is completed, a wire is wound around the end of each edge.

食管支架编织工装的应用方法,包括以下步骤:Application method of esophageal braiding tooling includes the following steps:

旋紧食管支架编织工装两端的螺母202,将编织食管支架用的丝线的一端固定在食管支架编织工装的一端,开始编织食管支架,食管支架编织完成后,按压短节203,短节203和方形管204沿着螺杆201滑动,压缩弹簧205,短节203下端面与中空金属管1上端面之间的距离缩短,缩短至所需位置时,旋紧该端的螺母202,取下食管支架。Tighten the nuts 202 at both ends of the braces of the esophageal stent, fix one end of the wire for braiding the esophagus to the end of the braid of the esophagus, and start braiding the esophagus. After braiding, press the short section 203, short section 203, and square The tube 204 slides along the screw 201, the compression spring 205, the distance between the lower end of the short joint 203 and the upper end of the hollow metal tube 1 is shortened. When it is shortened to the desired position, the nut 202 at the end is tightened, and the esophagus support is removed.

具体地,在短节203和中空金属管1的外壁上编织食管支架,编织的过程中,如出现丝线张紧的情况,可按压短节203,由于短节203和方形管204连接或者一体成型,短节203带着方形管204沿着螺杆201滑动,弹簧205受到方形管204的挤压而压缩,进而使整个编织工装的长度实现可调,当调节至合适位置时,固定短节203在该位置,继续编织,编织完成后,可按压短节203到底直至与中空金属管1紧贴,由于整个工装的长度缩短并且比食管支架的长度短,此时可以轻松将食管支架从工装上取下,省时省力。Specifically, the esophageal stent is braided on the outer wall of the short section 203 and the hollow metal tube 1. During the knitting process, if a thread tension occurs, the short section 203 may be pressed. Since the short section 203 and the square tube 204 are connected or integrally formed, The short section 203 slides along the screw 201 with the square tube 204, and the spring 205 is compressed by the square tube 204 to compress, so that the length of the entire knitting tool can be adjusted. When adjusted to a suitable position, the fixed short section 203 is fixed at At this position, continue knitting. After the knitting is completed, press the knuckle 203 to the end until it is in close contact with the hollow metal tube 1. Since the length of the entire tool is shortened and shorter than the length of the esophagus, the esophagus can be easily removed from the tool at this time Save time and effort.

需要特别说明的是,中空金属管1可以是图10和图11中所示的一根,也可以是多根中空金属管1组成的多段式可伸缩结构。It should be particularly noted that the hollow metal pipe 1 may be one shown in FIG. 10 and FIG. 11, or may be a multi-stage retractable structure composed of a plurality of hollow metal pipes 1.

以上例举仅仅是对本发明的举例说明,并不构成对本发明的保护范围的限制,凡是与 本发明相同或相似的设计均属于本发明的保护范围之内。本实施例没有详细叙述的部件和结构属本行业的公知部件和常用结构或常用手段,这里不一一叙述。The above exemplification is merely an illustration of the present invention, and does not constitute a limitation on the protection scope of the present invention. Any design that is the same as or similar to the present invention falls within the protection scope of the present invention. The components and structures that are not described in detail in this embodiment are well-known components and common structures or common means in the industry, and are not described here one by one.

Claims (10)

一种分段式食管支架,其特征在于:它是由一根单丝编织而成的两端呈喇叭口的圆柱形网状支架,所述网状支架由上喇叭口段和下喇叭口段两段组成,所述上喇叭口段和下喇叭口段之间通过若干个锁扣结构连接。A segmented esophageal stent is characterized in that it is a cylindrical net-shaped stent with a bell mouth at both ends woven from a single wire. The net-shaped stent is composed of an upper bell mouth section and a lower bell mouth section. It is composed of two sections, and the upper flared section and the lower flared section are connected by a plurality of locking structures. 如权利要求1所述的分段式食管支架,其特征在于:所述锁扣结构是由单丝在上喇叭口段末端和下喇叭口段末端连接处搭叠交叉形成的十字形结构。The segmented esophageal stent according to claim 1, wherein the lock structure is a cross-shaped structure formed by overlapping and intersecting monofilaments at the end of the upper bell mouth section and the lower bell mouth section. 如权利要求2所述的分段式食管支架,其特征在于:所述上喇叭口段和下喇叭口段之间设有至少三个锁扣结构。The segmented esophageal stent according to claim 2, wherein at least three locking structures are provided between the upper flared section and the lower flared section. 如权利要求2所述的分段式食管支架,其特征在于:所述喇叭口的角度为40~50°。The segmented esophageal stent according to claim 2, wherein the angle of the bell mouth is 40-50 °. 一种如权利要求1~4中任一权利要求所述的分段式食管支架的编织方法,其特征在于,包括以下步骤:A method for weaving a segmented esophageal stent according to any one of claims 1 to 4, further comprising the following steps: 步骤一:在食管支架编织工装的中部打盲孔(101)并在盲孔(101)内插入丝杆;Step 1: punch a blind hole (101) in the middle of the esophageal braiding tooling and insert a screw into the blind hole (101); 步骤二:将单丝的一个端部固定在食管支架编织工装的任意一端的头部,另一端在食管支架编织工装上交叠交叉缠绕形成网状的上喇叭口段和下喇叭口段,单丝在丝杆处搭叠交叉缠绕形成十字形的锁扣结构;Step 2: Fix one end of the monofilament to the head of either end of the esophageal braiding jig, and the other end of the monofilament to be overlapped and intertwined on the esophageal braid jig to form a mesh upper and lower bell mouth section. The wire is overlapped and wound at the screw rod to form a cross-shaped locking structure; 步骤三,按照步骤二的编织方法,编织至少三个锁扣结构;Step three, according to the knitting method of step two, weaving at least three lock structures; 步骤四,编织完成后,对分段式食管支架的两个端口进行热定型使其形成扩口为40~50°的喇叭口,完成分段式食管支架的编织。Step 4. After the braiding is completed, heat-set the two ports of the segmented esophageal stent to form a bell mouth with a flare of 40-50 °, and complete the braiding of the segmented esophageal stent. 如权利要求5所述的分段式食管支架的编织方法,其特征在于:所述食管支架编织工装包括圆柱形的中空金属管(1),还包括螺杆(201)、短节(203)、方形管(204)和弹簧(205),所述短节(203)、方形管(204)和弹簧(205)自上至下依次穿套在螺杆(201)上,所述螺杆(201)穿过所述中空金属管(1),所述中空金属管(1)内设有限位结构,所述弹簧(205)的一端由限位结构限位,另一端抵在所述方形管(204)的端面,所述短节(203)的外径与所述中空金属管(1)的外径相同,所述中空金属管(1)的内腔为方形通道,方形管(204)配合穿插在中空金属管(1)的方形通道内,所述短节(203) 和所述方形管(204)固定连接或一体成型并可沿所述螺杆(201)滑动;The method of weaving a segmented esophageal stent according to claim 5, wherein the esophageal stent braiding tool comprises a cylindrical hollow metal tube (1), further comprising a screw (201), a short section (203), A square tube (204) and a spring (205), the short joint (203), the square tube (204) and the spring (205) are threaded on the screw rod (201) from top to bottom, and the screw rod (201) is threaded Passing the hollow metal pipe (1), a limiting structure is provided in the hollow metal pipe (1), one end of the spring (205) is limited by the limiting structure, and the other end bears against the square pipe (204) The outer diameter of the short joint (203) is the same as the outer diameter of the hollow metal tube (1). The inner cavity of the hollow metal tube (1) is a square channel. In the square channel of the hollow metal pipe (1), the short joint (203) and the square pipe (204) are fixedly connected or integrally formed and can slide along the screw (201); 所述中空金属管(1)和所述短节(203)的外壁上均周向均匀地间隔设有若干个棱,且中空金属管(1)上的棱与短节(203)上的棱一一对应。On the outer wall of the hollow metal pipe (1) and the short joint (203), several ribs are evenly spaced in the circumferential direction, and the rib on the hollow metal pipe (1) and the rib on the short joint (203) are evenly spaced. One-to-one correspondence. 如权利要求6所述的分段式食管支架的编织方法,其特征在于:所述短节(203)、方形管(204)和弹簧(205)均为一个,所述螺杆(201)的两端分别旋有一个螺母(202);The method for weaving a segmented esophageal stent according to claim 6, characterized in that the short section (203), the square tube (204) and the spring (205) are all one, and two parts of the screw (201) One nut (202) is screwed on each end; 所述限位结构是开设在中空金属管(1)一端部的圆形孔,所述圆形孔的直径小于所述弹簧(205)的直径,所述中空金属管(1)另一端部开设的是方形孔,所述方形管(204)穿过所述方形孔插在所述中空金属管(1)内。The limiting structure is a circular hole opened at one end of the hollow metal pipe (1), the diameter of the circular hole is smaller than the diameter of the spring (205), and the other end of the hollow metal pipe (1) is opened It is a square hole, and the square pipe (204) is inserted into the hollow metal pipe (1) through the square hole. 如权利要求6所述的分段式食管支架的编织方法,其特征在于:所述螺杆(201)自两个端部至其中点,依次穿套着短节(203)、方形管(204)、弹簧(205),所述螺杆(201)的两端分别旋有一个螺母(202);The method for weaving a segmented esophageal stent according to claim 6, characterized in that the screw (201) is passed through the short section (203) and the square tube (204) sequentially from the two ends to the midpoint. A spring (205), and a nut (202) is screwed on each end of the screw (201); 所述中空金属管(1)的内腔分为三段,上段和下段是方形通道,中段是圆柱形通道,所述圆柱形通道的孔径小于方形通道的孔径,且所述圆柱形通道与所述方形通道连接处形成台阶,两个方形管(204)分别插在对应的方形通道内,两个弹簧(205)的一端抵在对应的台阶处,另一端抵在对应的方形管(204)的端面,两个台阶为两个弹簧(205)的限位结构。The inner cavity of the hollow metal pipe (1) is divided into three sections, the upper section and the lower section are square channels, the middle section is a cylindrical channel, the diameter of the cylindrical channel is smaller than that of the square channel, and the cylindrical channel and the A step is formed at the joint of the square channel, and two square tubes (204) are respectively inserted in the corresponding square channels. One end of the two springs (205) abuts the corresponding step, and the other end abuts the corresponding square tube (204). On the end face of the two, the two steps are the limiting structure of two springs (205). 如权利要求6或7或8所述的分段式食管支架的编织方法,其特征在于:所述短节(203)和所述方形管(204)沿所述螺杆(201)上下滑动时,所述弹簧(205)处于自然或者压缩状态,当所述弹簧(205)处于自然状态时,所述短节(203)下端面与所述中空金属管(1)上端面之间的距离为2~5mm。The method for weaving a segmented esophageal stent according to claim 6 or 7 or 8, characterized in that, when the short section (203) and the square tube (204) slide up and down along the screw (201), The spring (205) is in a natural or compressed state. When the spring (205) is in a natural state, the distance between the lower end face of the short joint (203) and the upper end face of the hollow metal pipe (1) is 2 ~ 5mm. 如权利要求9所述的分段式食管支架的编织方法,其特征在于:所述中空金属管(1)的中部外壁上开设有4圈盲孔(101),相邻两圈盲孔(101)的距离相等,且每一圈相邻两个盲孔(101)之间的距离相等,每一个盲孔(101)内插有一根丝杆;所述中空金属管(1)和所述短节(203)外壁上的棱的数量均与所要编织的支架端部丝线的头数相同。The method for weaving a segmented esophageal stent according to claim 9, characterized in that: four circles of blind holes (101) are opened on the outer wall of the middle portion of the hollow metal tube (1), and two adjacent circles of blind holes (101) ) Are equal in distance, and the distance between two adjacent blind holes (101) in each circle is equal. Each blind hole (101) is inserted with a screw; the hollow metal tube (1) and the short The number of ribs on the outer wall of the joint (203) is the same as the number of the ends of the stent to be knitted.
PCT/CN2018/104739 2018-09-09 2018-09-09 Segmentation-type esophageal stent and weaving method therefor Ceased WO2020047878A1 (en)

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CN2280525Y (en) * 1996-12-16 1998-05-06 沈沛 Supporting net tube for coating and medicine-applicating in cavity and tube
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Publication number Priority date Publication date Assignee Title
CN2280525Y (en) * 1996-12-16 1998-05-06 沈沛 Supporting net tube for coating and medicine-applicating in cavity and tube
CN1321520A (en) * 2001-05-24 2001-11-14 茅爱武 Gastrointestinal tract support and its preparation process
US20120089224A1 (en) * 2003-12-23 2012-04-12 Sadra Medical, Inc. Methods and Apparatus for Endovascularly Replacing a Patient's Heart Valve
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