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WO2023040320A1 - Prosthetic valve delivery system and stop device and stop member therefor - Google Patents

Prosthetic valve delivery system and stop device and stop member therefor Download PDF

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Publication number
WO2023040320A1
WO2023040320A1 PCT/CN2022/093957 CN2022093957W WO2023040320A1 WO 2023040320 A1 WO2023040320 A1 WO 2023040320A1 CN 2022093957 W CN2022093957 W CN 2022093957W WO 2023040320 A1 WO2023040320 A1 WO 2023040320A1
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WO
WIPO (PCT)
Prior art keywords
stopper
artificial valve
balloon
catheter
radial
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/CN2022/093957
Other languages
French (fr)
Chinese (zh)
Inventor
詹航敏
虞奇峰
秦涛
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 Newmed Medical Co Ltd
Original Assignee
Shanghai Newmed Medical 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.)
Filing date
Publication date
Priority claimed from CN202122253299.XU external-priority patent/CN216535662U/en
Priority claimed from CN202111088663.XA external-priority patent/CN114259322B/en
Application filed by Shanghai Newmed Medical Co Ltd filed Critical Shanghai Newmed Medical Co Ltd
Publication of WO2023040320A1 publication Critical patent/WO2023040320A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body

Definitions

  • the present application relates to an artificial valve delivery system, in particular to a stopper for an artificial valve delivery system, an artificial valve delivery system, a stopper and an artificial valve delivery device.
  • Artificial heart valves usually refer to implantable heart valves (including aortic valve, pulmonary valve, tricuspid valve, mitral valve) that can make blood flow in one direction and have natural heart valves. Functional artificial organs.
  • transcatheter valve replacement is to introduce the artificial valve into the body through the artificial valve delivery system and place it at the position where it needs to be implanted.
  • the artificial valve delivery system generally includes a valve installation part, a connection part, and an operation part.
  • the valve installation part includes a conical head, a balloon, a catheter, etc. Adjustment button, traction device, three-way tailstock, etc., wherein the catheter runs through the entire delivery system, and the balloon is an inflatable balloon.
  • the operating part is used as a reference, and the above-mentioned components are close to the end of the operating part along the axial direction of the catheter It is called the proximal end, and the end away from the operating part is called the distal end.
  • the balloon is inflated by injecting fluid into the balloon to deploy the prosthetic valve.
  • the prosthetic valve release process needs to be combined with external equipment such as ultrasound, contrast imaging, etc. to observe the specific position of the prosthetic valve and the state of the balloon-expanded valve stent.
  • the artificial valve system usually fixes a proximal stop structure and a distal stop structure on the catheter inside the balloon, and the axial inner end of the proximal stop structure and the distal stop structure is used to accommodate the artificial valve and It is limited axially.
  • the existing one-type stop structure is composed of several independent elastic fingers.
  • the elastic fingers are generally cantilever structures and each elastic finger is independent of each other, so that each elastic finger can move and deform freely.
  • the degree is relatively large, which is prone to deformation during the delivery of the artificial valve, and the positioning accuracy of the artificial valve cannot be guaranteed, resulting in increased surgical risks.
  • Another type of stop structure is a cone, whose radial cross-sectional diameter gradually decreases in the direction away from the artificial valve.
  • the cone stop structure can reduce the degree of freedom of movement and deformation to a certain extent, but there are still the following disadvantages: 1. When the balloon is in a contracted state, the balloon is almost completely wrapped on the catheter and the stop structure. Since the circumferential edge of the cone stop structure fits well with the balloon, there is a gap between the two. The gap through which the fluid passes is small, which is not conducive to the rapid passage of fluid; 2.
  • the stop structure When the valve installation part is assembled, the stop structure needs to be inserted into the balloon in advance, and the diameter of the proximal and distal openings of the balloon is limited, so it is necessary to stop
  • the structure has a certain degree of compressibility in the radial direction, while the radial compression range of the conical structure is very limited, or even incompressible, which makes the assembly of the balloon and the stop structure more difficult.
  • the contact area between the axial inner end surface of the cone stop structure and the axial end surface of the artificial valve is relatively large, which will increase the radial friction force of the stop structure of the artificial valve at the initial stage of balloon inflation, which may lead to The artificial valve does not expand smoothly, which increases the risk of surgery.
  • the main purpose of this application is to provide a stop device for artificial valve delivery system, artificial valve delivery system, stopper and artificial valve delivery device.
  • the stopper can not only achieve uniform deformation during radial compression, but also provide a flow channel for the fluid when the balloon is deflated.
  • a stopper device for a prosthetic valve delivery system includes a balloon for setting the prosthetic valve and a catheter passing through the balloon, the fluid flows from the proximal end of the balloon into the interior of the balloon, the stop is located within the balloon and includes:
  • the first stopper includes a first tube portion and a first stopper along the axial direction of the catheter, the first tube portion is sleeved on and fixed on the catheter, and is spaced apart from the proximal end of the balloon, the first The stopper is sleeved on the catheter, the proximal end of the first stopper is affixed to the distal end of the first tube, and the distal end of the first stopper is used to limit the proximal end of the artificial valve,
  • the first stop part is an annular structure and is formed by alternately connecting several first convex parts and several first concave parts along the circumferential direction, and the inner and outer wall surfaces of the first convex part protrude outward along the radial direction of the first stop part, The inner and outer wall surfaces of the first recess are recessed inward along the radial direction of the first stopper, and the radial distance between the first protrusion and the catheter axis gradually increases from the proximal end to the dis
  • the second stopper includes a second tube part and a second stop part along the axial direction of the catheter, the second tube part is sleeved and fixed on the catheter, and is arranged near the distal end of the balloon, and the second stop part
  • the moving part is sleeved on the catheter, the distal end of the second stopper is fixedly connected to the proximal end of the second pipe part, and the proximal end of the second stopper is used to limit the distal end of the artificial valve.
  • the two stoppers are ring-shaped and formed by alternately connecting several second protrusions and second recesses along the circumferential direction. The inner and outer walls of the second protrusions protrude outward along the radial direction of the second stopper.
  • the inner and outer walls of the two recesses are recessed inward along the radial direction of the second stopper, and the radial distance between the second protrusion and the axis of the catheter gradually decreases from the proximal end to the distal end of the second stopper;
  • the axial distance between the first stopper and the second stopper matches the axial length of the artificial valve
  • fluid can pass through the plurality of first recesses and the plurality of second recesses.
  • the first stopper is a structure of constant wall thickness; the second stopper is a structure of constant wall thickness.
  • the first pipe part is connected smoothly with the first stop part; the second pipe part is connected smoothly with the second stop part.
  • the radial section of the first recess is V-shaped, several first recesses are arranged in the circumferential direction, and a first protrusion is formed between two adjacent first recesses;
  • the radial section of the second recess It is V-shaped, several second concave parts are arranged along the circumferential direction, and a second convex part is formed between two adjacent second concave parts.
  • the radial maximum distance between the first protrusion and the catheter axis is greater than half of the inner diameter of the artificial valve in a compressed state, and the first The radial minimum distance between the recess and the catheter axis is less than half of the inner diameter of the prosthetic valve in a compressed state;
  • the radial maximum distance between the second protrusion and the catheter axis is greater than half of the inner diameter of the artificial valve in a compressed state, and the second recess and the The radial minimum distance of the catheter axis is less than half of the inner diameter of the artificial valve under pressure.
  • the radial maximum distance between the first protrusion and the catheter axis is greater than half of the outer diameter of the artificial valve in a compressed state, and the first A minimum radial distance between a recess and the catheter axis is less than half the outer diameter of the prosthetic valve in a compressed state;
  • the maximum radial distance between the second protrusion and the axis of the catheter is greater than half of the outer diameter of the artificial valve in a compressed state, and the second recess and The radial minimum distance of the conduit axis is less than half the outer diameter of the prosthetic valve in a compressed state.
  • the maximum radial distance between the first protrusion and the catheter axis is 1.05-1.25 times half of the outer diameter of the artificial valve in a compressed state
  • the maximum radial distance between the second protrusion and the catheter axis is 1.05-1.25 times half of the outer diameter of the artificial valve in a compressed state.
  • the second stopper further includes a third tube portion in the axial direction, the proximal end of the third tube portion is affixed to the distal end of the second tube portion, and the distal end of the third tube portion is used for connecting with the
  • the conical head of the delivery system is fixedly connected to the distal end of the balloon, and the outer diameter of the proximal end of the third tube part is smaller than the outer diameter of the distal end of the second tube part.
  • a radially penetrating first dispensing hole is provided on the pipe wall of the first pipe part; a radially penetrating second dispensing hole is provided on the pipe wall of the second pipe part.
  • an artificial valve delivery system includes a balloon disposed at the distal end of the delivery system, a balloon connection tube for connecting the balloon, and a catheter inserted into the balloon connection tube , the proximal end of the balloon is connected and fixed with the distal end of the balloon connecting tube, the catheter passes through the distal end of the balloon connecting tube and penetrates into the balloon through the proximal end of the balloon, the balloon connecting tube
  • the tube and catheter form an annular lumen within the proximal end of the balloon through which fluid used to inflate the balloon flows into or out of the interior of the balloon;
  • the catheter is provided with the stopping device as described in the first aspect above, and the stopping device is used for axially limiting the artificial valve in the compressed state.
  • a stopper for an artificial valve delivery device the artificial valve delivery device includes a balloon for setting the artificial valve and a catheter passing through the balloon, and two stoppers are arranged at intervals on the catheter pieces,
  • the stopper includes a sleeve part and a stop part; the sleeve part is used to be sleeved and fixed on the catheter, and one end of the sleeve part is coaxially connected with the stop part; the stop part It is used to limit the artificial valve.
  • the stop part is an annular structure sleeved on the catheter and is formed by alternately connecting several convex parts and several concave parts along the circumferential direction. The inner and outer walls of the convex parts are all along the radial direction of the stop part.
  • the inner and outer wall surfaces of the concave part are recessed inward along the radial direction of the stopper part, and the radial distance between the convex part and the axis of the stopper part gradually increases in the direction away from the sleeve part, and the concave part
  • the stop part is penetrated along the axial direction of the stop part.
  • the stopper is a structure of equal wall thickness.
  • the sleeve part and the stop part are connected smoothly.
  • the radial section of the concave portion is V-shaped, and a convex portion is formed between two adjacent concave portions.
  • the highest point of the protrusion in the radial direction is arc-shaped.
  • the maximum radial distance between the convex part and the axis of the stopper is greater than half of the inner diameter of the artificial valve in a compressed state, and the distance between the concave part and the axis of the stopper The radial minimum distance is less than half of the inner diameter of the artificial valve in a compressed state.
  • the maximum radial distance between the protrusion and the axis of the stopper is greater than half of the outer diameter of the prosthetic valve in a compressed state.
  • radially penetrating glue dispensing holes are provided on the tube wall of the casing part.
  • the other end of the sleeve part is coaxially connected with an extension part
  • the extension part is in the shape of a sleeve and is sleeved and fixed on the catheter, and the outer diameter of the extension part is smaller than the outer diameter of the sleeve part.
  • an artificial valve delivery device includes a catheter, a balloon located at the distal end region of the catheter, a guide located at the distal end of the catheter, located in the balloon and arranged at intervals on the catheter. a proximal stop and a distal stop on the catheter;
  • the proximal stopper and the distal stopper are the stoppers described in the first aspect above, and the adjacent parts of the two are respective stoppers, and the proximal stopper and the The space between the distal stoppers forms a limiting space for accommodating the artificial valve in a compressed state; the proximal end of the balloon is spaced apart from the proximal stoppers.
  • the stopper device for the artificial valve delivery system of the present application firstly, through the first stopper and the second stopper on the first stopper and the second stopper, so that it is placed on the first stopper and the second stopper.
  • the artificial valve between the two stoppers is limited in the axial direction, and the structure of the first stopper and the second stopper is designed while ensuring the stopper's effect on the artificial valve.
  • the radial compressibility of the first stopper and the second stopper is improved through alternately connecting convex parts and concave parts along the circumferential direction, the compressible range is improved, and the compression deformation is more uniform and stable.
  • the first recess and the second recess can provide an optimized flow path for the fluid flowing in the balloon, especially when the balloon is in a contracted state, it can ensure that there is a gap between the first stopper, the second stopper and the balloon. There are enough gaps to serve as fluid flow channels, making the fluid flow in the balloon faster and smoother, thereby optimizing the fluid flow effect and improving the inflation and contraction effects of the balloon, helping to reduce operation time, Reduce surgical risk. Furthermore, by reasonably controlling the actual contact area between the distal end surface of the first stopper part and the proximal end surface of the artificial valve, and between the proximal end surface of the second stopper part and the distal end surface of the artificial valve, it is possible to avoid the balloon inflation during the initial stage of inflation. The excessive radial friction force on the artificial valve helps to reduce the expansion resistance of the artificial valve, making the process of artificial valve deployment smoother and reducing the risk of surgery.
  • the artificial valve delivery system of the present application adopts the above-mentioned stopping device, which can effectively limit the position of the artificial valve in the axial direction, and can improve the flow effect of the fluid in the balloon, especially when the balloon is in a contracted state.
  • the fluid provides a flow channel that improves balloon inflation and deflation, helping to improve surgical efficiency and reduce surgical risk.
  • the stopper is a circumferentially closed structure and has alternately connected convex parts and concave parts.
  • the compression performance of the stopper in the radial direction is improved, so that the stopper The radial compressibility range of the radial direction increases, and the compression deformation effect of the stopper is more reasonable, and it is more convenient to put the stopper into the balloon during the assembly process, which helps to improve the assembly efficiency;
  • the alternate The connected convex part and concave part restrain each other to a certain extent, so that the degree of freedom of deformation of the stop part can be reasonably controlled, so that the stop part is more stable and reliable in structure, and can ensure the limiting effect on the artificial valve.
  • the recess can provide an optimized flow path for the fluid in the balloon, especially when the balloon is in a contracted state, it can ensure that there is enough space between the stopper and the balloon for the fluid to pass through, making the fluid flow faster , Unobstructed, can improve the inflation and contraction effect of the balloon, help to reduce the operation time, and also reduce the operation risk.
  • the artificial valve delivery device of the present application can effectively limit the position of the artificial valve in the axial direction by using the above-mentioned stopper, and can improve the flow effect of the fluid in the balloon, especially when the balloon is in a contracted state. Providing a flow path for the fluid has a positive effect on improving balloon inflation and deflation.
  • FIG. 1 is a schematic diagram of the axial structure of the stopping device used in the artificial valve delivery system of the present application
  • FIG. 2 is a schematic diagram of the three-dimensional structure of the first stopper used in the artificial valve delivery system of the present application;
  • FIG. 3 is a schematic diagram of the three-dimensional structure of the second stopper used in the artificial valve delivery system of the present application.
  • Fig. 4 is a radial cross-sectional schematic view of the first stopper used in the artificial valve delivery system of the present application
  • Fig. 5 is a schematic structural view of the distal region of a preferred embodiment of the artificial valve delivery device of the present application.
  • proximal end and the distal end are relative to the operator of the artificial valve delivery device, the proximal end refers to the end relatively close to the operator, and the distal end refers to the end relatively far away from the operator .
  • the present application provides a stop device for an artificial valve delivery system
  • the artificial valve delivery system includes a balloon 1 for setting the artificial valve and a catheter 2 passing through the balloon
  • the catheter 2 is provided with a developing assembly 6.
  • the fluid used to inflate the balloon 1 flows into the interior of the balloon 1 from the proximal end of the balloon 1.
  • the delivery system also includes a balloon connection tube 3 for connecting the balloon 1, and the proximal end of the balloon 1 is connected to the balloon 1.
  • the distal end of the balloon connecting tube 3 is connected and fixed.
  • the catheter 2 passes through the distal end of the balloon connecting tube 3 and penetrates into the balloon 1 from the proximal end of the balloon 1.
  • the balloon connecting tube 3 and the catheter 2 are in the balloon.
  • An annular cavity 8 is formed at the proximal end of the balloon 1, and the fluid used to inflate the balloon 1 flows into or flows out of the interior of the balloon 1 through the annular cavity 8.
  • the stopping device is located inside the balloon 1 and includes a first stopper 4 and a second stopper 5 arranged on the catheter 2 .
  • the first stopper 4 includes a first tube portion 41 and a first stopper portion 42 along the axial direction of the catheter 2 .
  • the ends are arranged at intervals, the first stopper 42 is sleeved on the catheter 2, the proximal end of the first stopper 42 is affixed to the distal end of the first tube part 41, and the distal end of the first stopper 42 is used to limit the proximal end of the prosthetic valve.
  • the first stop portion 42 is an annular structure and is formed by alternately connecting several first convex portions 43 and several first concave portions 44 along the circumferential direction.
  • the inner and outer walls of the first recess 44 are recessed inward along the radial direction of the first stopper 42, and the radial distance between the first protrusion 43 and the axis of the catheter 2 starts from the proximal end of the first stopper 42. gradually increases distally.
  • the second stopper 5 includes a second tube portion 51 and a second stopper portion 52 along the axial direction of the catheter 2 , the second tube portion 51 is sleeved and fixed on the catheter 2 , and is close to the distal end, the second stopper 52 is sleeved on the catheter 2, the distal end of the second stopper 52 is affixed to the proximal end of the second tube part 51, and the proximal end of the second stopper 52 is used for limiting The distal end of the prosthetic valve.
  • the second stop portion 52 is an annular structure and is formed by alternately connecting a plurality of second convex portions 53 and a plurality of second concave portions 54 along the circumferential direction.
  • the inner and outer wall surfaces of the second recess 54 are recessed inward along the radial direction of the second stopper 52, and the radial distance between the second protrusion 53 and the axis of the catheter 2 starts from the proximal end of the second stopper 52. gradually decreases distally.
  • the "radial direction” here is not limited to the radial direction of a cylinder, a cone, etc., but is used to define that the direction is a direction perpendicular to the axial direction of the catheter.
  • “outward” and “inward” is defined with respect to the axis of the catheter as an aid to illustrate the embodiments and should not be construed as a limitation.
  • the axial distance between the first stopper 42 and the second stopper 52 matches the axial length of the artificial valve, thereby enabling the artificial valve to be placed between the first stopper and the second stopper And is limited in the axial direction.
  • the fluid can pass through several first recesses 44 and several second recesses 54, that is, when the balloon is wrapped on the circumferential outer edge of the stopper, there is a gap between the two.
  • the gaps provided by the plurality of first recesses and the plurality of second recesses, through which fluid can pass, can help improve the flow of fluid when the balloon is in a deflated state.
  • the stopper implements the axial limit of the artificial valve through the first stopper and the second stopper, and the first stopper and the second stopper are alternately provided with protrusions along the circumferential direction.
  • the compressibility and performance of the first stopper and the second stopper in the radial direction are improved, and the compression deformation effect is more Even and reasonable, it is convenient to insert the stopper into the balloon during assembly to improve assembly efficiency.
  • the radial dimensions of the first convex portion and the second convex portion gradually increase and decrease gradually from the proximal end to the distal end, so that the first stopper portion and the second stopper portion both present a three-dimensional petal-like structure as a whole,
  • the first recess and the second recess can not only provide an optimized flow path for the fluid, make the flow of the fluid in the balloon more smooth, but also increase the distance between the stopper device and the balloon when the balloon is in a contracted state.
  • the gap in the radial direction can provide a flow channel for the fluid at the initial stage of balloon inflation, facilitate the flow of fluid in the balloon, and help improve the inflation and contraction effect of the balloon.
  • the first stopper 42 is a structure of equal wall thickness, that is, the inner and outer walls of the first convex part 43 protrude radially outwards from the proximal end of the first stopper 42 to the distal end.
  • the ends are consistent, and the variation range of the inner and outer wall surfaces of the first recess 44 inwardly recessed in the radial direction is consistent from the proximal end to the distal end of the first stopper 42 .
  • the second stop portion 52 is of equal wall thickness, that is, the variation range of the radial outward protrusion of the inner and outer walls of the second convex portion 53 is consistent from the distal end to the proximal end of the second stop portion 52 , Moreover, the variation range of the inner and outer wall surfaces of the second concave portion 54 radially inwardly recessed is consistent from the distal end to the proximal end of the second stop portion 52 .
  • the structural changes of the first stopper and the second stopper are consistent in the circumferential direction and the axial direction, so that the compression range and compression performance in the radial direction are further optimized and improved, and the structure is more stable when compressed by an external force. Stable, more uniform deformation effect, easy to assemble with the balloon, and help to improve assembly efficiency.
  • the wall thickness of the first stopper 42 can gradually increase from the proximal end to the distal end of the first stopper 42, that is, the inner and outer wall surfaces of the first convex part 43 radially outward
  • the range of variation of the protrusions may be different, and the range of variation of the inner and outer walls of the first recess 44 radially inwardly recessed may also be different.
  • the wall thickness of the second stopper 52 can gradually decrease from the proximal end to the distal end of the second stopper 52, that is, the variation range of the inner and outer wall surfaces of the second protrusion 53 protruding radially outward can be different, and the change range of the inner and outer wall surfaces of the second recess 54 radially inwardly recessed may also be different.
  • the structural strength and deformation freedom of the first stopper and the second stopper can be adjusted according to actual needs, so as to meet actual use needs.
  • the materials of the first blocking member and the second blocking member are both polymer materials, such as PP.
  • the first tube part and the first stop part of the first stopper can be bonded and fixed together by means of thermal fusion, but considering that interventional medical devices such as artificial valve delivery systems should minimize the impact and damage on the inner wall of the blood vessel,
  • the first stopper is integrally formed, and similarly, the second stopper is also integrally formed to avoid the gap between the first tube part and the first stopper part, the second tube part and the first stopper part.
  • the connection between the second stoppers produces structures such as sharp points or protrusions, and the first stopper and the second stopper are more compact in structure and easy to assemble.
  • first pipe portion 41 and the first stop portion 42 there is a smooth connection between the first pipe portion 41 and the first stop portion 42, and a smooth connection between the second pipe portion 51 and the second stop portion 52.
  • the radial section of the first recess 44 is V-shaped, and the V-shape includes two sides in an angled shape.
  • first recesses 44 are arranged in the circumferential direction, and two consecutive first recesses 44 Adjacent side edges are connected to form the first protrusion 43 .
  • the radial cross-section of the second recess 54 is V-shaped, and the V-shape includes two sides that are angled.
  • Several second recesses 54 are arranged in the circumferential direction, and two consecutive second recesses 54 are adjacent to each other. The side edges of are connected to form a second convex portion 53, see FIG. 4 .
  • the highest portion of the first protrusion 43 in the radial direction is arc-shaped, and the highest portion of the second protrusion 53 in the radial direction is arc-shaped.
  • the distal end surface of the first stopper has a wave-like shape that uniformly changes in the circumferential direction
  • the proximal end surface of the second stopper also has a wave-like shape that uniformly changes in the circumferential direction, so that the first
  • the actual contact area between the distal surface of the stopper and the proximal surface of the artificial valve, and between the proximal surface of the second stopper and the distal surface of the artificial valve is reasonably controlled, which can avoid contact between the artificial valve and the first artificial valve.
  • the radial friction force between the stopper parts and between the artificial valve and the second stopper part is too large, so that the artificial valve expands more smoothly.
  • the crests of the first stopper and the second stopper in the circumferential direction are arc-shaped, which can avoid sharp structures on the circumferential wall surface of the first stopper and the second stopper, and reduce damage to the inner wall of the blood vessel. damage.
  • the radial section of the first convex portion 43 is arc-shaped, and the arc shape includes two ends.
  • first convex portions 43 are arranged along the circumferential direction. Between two consecutive first convex portions 43 Adjacent end portions are connected to form a first concave portion 44 .
  • the radial cross-section of the second protrusions 53 is arc-shaped, and the arc includes two ends.
  • second protrusions 53 are arranged along the circumferential direction, and the adjacent ends between two consecutive second protrusions 53 parts are connected to form a second concave part 54 .
  • both the distal end surface of the first stopper part and the proximal end surface of the second stopper part have a uniformly changing wave shape in the circumferential direction, and there will be no redundant sharp structures on the circumferential wall surface, which can avoid Damage to the inner wall of the blood vessel during the delivery process also helps to complete the smooth delivery process of the artificial valve.
  • the radial maximum distance between the first convex portion 43 and the axis of the catheter 2 is greater than half of the inner diameter of the artificial valve in a compressed state, and the first concave portion 44
  • the radial minimum distance from the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state; similarly, on the proximal surface of the second stopper 52, the radial maximum distance from the second protrusion 53 to the axis of the catheter 2 greater than half of the inner diameter of the artificial valve in a compressed state, and the radial minimum distance between the second recess 54 and the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state.
  • the radially highest portion of the first protrusion exceeds the inner wall of the artificial valve in the compressed state, and the radially lowest portion of the first concave portion is lower than the inner wall of the artificial valve in the compressed state, so that the first stopper can be realized Axial limit when the artificial valve is in a compressed state.
  • the highest part of the second protrusion in the radial direction exceeds the inner wall of the artificial valve in the compressed state, and the lowest part of the second concave part in the radial direction is lower than the inner wall of the artificial valve in the compressed state, so that the second stopper can be realized Axial limit when the artificial valve is in a compressed state.
  • such a structure can also avoid that in some cases, if the radial minimum distance of the first recess is greater than half of the outer diameter of the artificial valve in a compressed state, it may cause the end portion of the artificial valve to enter the first stopper and In the gap between the catheters, it affects the normal release of the artificial valve.
  • the radial maximum distance between the first protrusion 43 and the axis of the catheter 2 is greater than half of the outer diameter of the artificial valve in a compressed state, and the first The radial minimum distance between the concave portion 44 and the axis of the catheter 2 is less than half of the outer diameter of the artificial valve in a compressed state; similarly, on the proximal surface of the second stopper 52, the diameter of the second convex portion 53 and the axis of the catheter 2 The maximum distance is greater than half of the outer diameter of the artificial valve in a compressed state, and the radial minimum distance between the second recess 54 and the axis of the catheter 2 is less than half of the outer diameter of the artificial valve in a compressed state.
  • the highest portion of the first protrusion in the radial direction exceeds the outer wall of the artificial valve in the compressed state, and the lowest portion of the first concave portion in the radial direction is lower than the outer wall of the artificial valve in the compressed state, so that the first stopper can be realized Axial limit when the artificial valve is in a compressed state.
  • the highest part of the second protrusion in the radial direction exceeds the outer wall of the artificial valve in the compressed state, and the lowest part of the second concave part in the radial direction is lower than the outer wall of the artificial valve in the compressed state, so that the second stopper can be realized Axial limit when the artificial valve is in a compressed state.
  • the radially highest portions of the first convex portion and the second convex portion both exceed the outer wall of the artificial valve in the compressed state, which is equivalent to being in a structure similar to an annular groove in the compressed state of the artificial valve, so that it can be transported during delivery. It can better protect the artificial valve, reduce the contact between the artificial valve and the inner wall of the blood vessel during the movement process, and prevent other components of the delivery system from touching the outer wall of the artificial valve.
  • the radial maximum distance between the first convex portion 43 and the axis of the catheter 2 is 1.05 to 1.25 times the half of the outer diameter of the artificial valve in a compressed state; the diameter of the second convex portion 53 and the axis of the catheter 2 The maximum distance is 1.05 to 1.25 times the half of the outer diameter of the artificial valve in a compressed state.
  • the highest part in the radial direction of the first convex part and the second convex part is slightly higher than the outer wall of the artificial valve in the compressed state, which can realize the artificial
  • the axial limit and circumferential protection of the valve prevents the radial dimensions of the first stopper and the second stopper from being too large, avoiding unnecessary damage to the inner wall of the blood vessel, and conveniently moving the first The stopper, the second stopper and the balloon are assembled.
  • the second stopper 5 further includes a third tube part 55 in the axial direction, the proximal end of the third tube part 55 is affixed to the distal end of the second tube part 51, The distal end of the third tube part 55 is used for fixed connection with the tapered head 7 of the delivery system and the distal end of the balloon 1 , and the proximal outer diameter of the third tube part 55 is smaller than the distal outer diameter of the second tube part 51 .
  • the distal opening of the balloon 1 is wrapped on the outer side of the distal tube wall of the third tube part 55, and the proximal end of the conical head 7 and the distal end of the third tube part 55 can be fixedly connected through the end surface or fixedly connected through an insert. .
  • the second stopper provides the position-limiting function for the artificial valve, it also provides the function of fixed connection for the conical head and the distal end of the balloon, so that the structure of the artificial valve delivery system at the distal end is more compact and simple. and reduce damage to blood vessels.
  • a radially penetrating first dispensing hole 45 is provided on the pipe wall of the first pipe part 41; a radially penetrating second dispensing hole 56 is provided on the pipe wall of the second pipe part 51, by This realizes the adhesively fixed connection of the first stopper and the second stopper with the catheter.
  • the present application also provides an artificial valve delivery system, including a balloon 1 arranged at the distal end of the delivery system, a balloon connection tube 3 for connecting the balloon 1 and a balloon connection tube 3 inserted into the balloon connection tube 3.
  • a balloon connection tube 3 for connecting the balloon 1 and a balloon connection tube 3 inserted into the balloon connection tube 3.
  • Catheter 2 the proximal end of the balloon 1 is connected and fixed to the distal end of the balloon connecting tube 3, the catheter 2 passes through the distal end of the balloon connecting tube 3 and penetrates into the balloon 1 from the proximal end of the balloon 1, the balloon
  • the balloon connecting tube 3 and the catheter 2 form an annular cavity 8 at the proximal end of the balloon 1 , and the fluid used to inflate the balloon 1 flows into or out of the balloon 1 through the annular cavity 8 .
  • the catheter 2 is provided with the above-mentioned stopping device, which is used for axially limiting the artificial valve in the compressed state.
  • the artificial valve support can be effectively limited in the axial direction, and the flow of fluid in the balloon can also be optimized when the balloon is inflated and deflated.
  • the path can effectively improve the effect of fluid flow, help to improve surgical efficiency and reduce surgical risk.
  • the present application is used for the stop device of the artificial valve delivery system and the artificial valve delivery system, wherein, both the first stopper and the second stopper have a stopper with a continuous three-dimensional petal-shaped structure, which can effectively move the artificial valve in the axial direction.
  • both the first stopper and the second stopper have a stopper with a continuous three-dimensional petal-shaped structure, which can effectively move the artificial valve in the axial direction.
  • it also has good radial compressibility, and at the same time, the first concave part and the second concave part can provide an optimized flow path for the fluid, especially as a fluid channel when the balloon is in a contracted state, which helps to improve The effect of balloon expansion and contraction can improve the operation effect of the artificial valve delivery system and reduce the operation risk to a certain extent.
  • the present application provides a stopper for an artificial valve delivery device.
  • the distal region of the artificial valve delivery device includes a balloon 1 for setting the artificial valve and a catheter 2 passing through the balloon.
  • the catheter 2 is arranged at intervals Two stoppers, the two stoppers are located inside the balloon 1 .
  • An artificial valve is accommodated between the two stoppers.
  • the material of the stopper is a polymer material, such as PP, PE, K resin, PTFE, block polyether amide resin (PEBAX) and the like.
  • the stopper includes a sleeve part (such as the first pipe part 41 or the second pipe part 51) and a stopper part (such as the first stopper part 42 or the second stopper part 52), and the stopper is One-piece construction.
  • the sleeve part such as the first tube part 41 or the second tube part 51
  • the stop part such as the first stop part 42 or the second stop part The moving part 52
  • the sleeve part (such as the first tube part 41 or the second tube part 51) is used to be sleeved and fixed on the catheter 2, and one end of the sleeve part (such as the first tube part 41 or the second tube part 51) is coaxially provided with A stopper (such as the first stopper 42 or the second stopper 52).
  • the stopper (such as the first stopper 42 or the second stopper 52) is used to limit the artificial valve, and the stopper (such as the first stopper 42 or the second stopper 52) is sleeved on the catheter
  • the annular structure on 2 is formed by alternate connection of several convex portions (such as the first convex portion 43 or the second convex portion 53) and several concave portions (the first concave portion 44 or the second concave portion 54) along the circumferential direction, and the convex portion 43 (
  • the inner and outer wall surfaces of the first convex portion 43 or the second convex portion 53) protrude radially outward along the stopper portion (such as the first stopper portion 42 or the second stopper portion 52), and the concave portion 44 (or 54 ) inside and outside walls are recessed inward along the radial direction of the stopper (such as the first stopper 42 or the second stopper 52), and the convex part (such as the first convexity 43 or the second convex
  • the recess 44 (or 54) penetrates the stopper 42 (such as the first stopper 42 or the second stopper 52) along the axial direction of the stopper (such as the first stopper 42 or the second stopper 52) .
  • the fluid can pass through several recesses (the first recess 44 or the second recess 54), that is, when the balloon 1 is almost completely wrapped in the stopper (such as the first stopper 42 or the second stopper 42).
  • the circumferential outer edge of the two stoppers 52) is upward, there are still gaps provided by several recesses (first recesses 44 or second recesses 54) between the balloon 1 and the stopper, and these gaps can be used as fluid passages for supplying fluid. Fluid passes through.
  • the artificial valve can be placed between the two stoppers, and the artificial valve can be limited in the axial direction of the catheter.
  • the stopping part has convex parts and concave parts connected alternately along the circumferential direction.
  • the radial dimension of the convex part gradually increases in the direction close to the artificial valve, so that the stopping part presents a continuous three-dimensional petal-like structure, and
  • the concave part can provide a larger deformation space for the convex part in the radial direction, so that the radial compression performance of the stopper part can be improved.
  • the stop part can maintain a stable structure, and its degree of freedom of deformation can be controlled when it is subjected to external force, so that the stop part can ensure its effectiveness and stability in the process of limiting the artificial valve, and also helps to improve Limit accuracy.
  • the recess can optimize the flow path of the fluid in the balloon, especially when the balloon is in a deflated state, it can also provide a flow channel for the fluid, so as to accelerate the flow effect and improve the inflation and contraction effect of the balloon.
  • the stopper (such as the first stopper 42 or the second stopper 52) is an equal-wall thickness structure, that is, the stopper (such as the first stopper 42 or the second stopper 52) Part 52) has equal wall thickness everywhere.
  • the structural strength of the stopping part remains consistent, and this structure leaves a certain reasonable space between the inner wall surface of the stopping part and the outer tube wall of the catheter, which can further optimize and improve its compression performance, so that The deformation effect of the stopper is more reasonable when the stopper is acted by external force, and the assembly of the stopper and the balloon is more convenient.
  • the wall thickness of the stopper (such as the first stopper 42 or the second stopper 52) can gradually increase or decrease gradually in the direction close to the artificial valve, that is, the convex part (
  • the range of variation of the inner and outer walls of the first convex portion 43 or the second convex portion 53) in the above-mentioned direction can be different, the range of variation of the inner and outer walls of the concave portion 44 (the first concave portion 44 or the second concave portion 54) in the above-mentioned direction is also different. Can be different.
  • the wall thickness variation of the stopper portion can be adjusted according to actual needs to obtain corresponding structural strength and deformation freedom.
  • the stop portion (such as the first stop portion 42 or the second stop portion 52) is connected with the sleeve portion (such as the first tube portion 41 or the second tube portion 51) and the size of the end surface of the sleeve portion (such as the first tube portion 51)
  • the radial dimensions of a pipe portion 41 or the second pipe portion 51) are kept consistent, and the stopper portion (such as the first stopper portion 42 or the second stopper portion 52) gradually extends out of the convex portion in the direction away from the sleeve portion (such as the first convex portion 43 or the second convex portion 53) and the concave portion (the first concave portion 44 or the second concave portion 54). Therefore, there will be no redundant sharp structure at the junction of the cannula part and the
  • the radial section of the convex portion (such as the first convex portion 43 or the second convex portion 53) can be in the shape of a semicircle, an arc, an n-type, an inverted V shape, etc.
  • the concave portion (the first concave portion 44 or the second concave portion 54) can be in the shape of a semicircular ring, an arc, a U shape, a V shape, etc.
  • the convex portion (such as the first convex portion 43 or the second convex portion 53) and the concave portion (the first The above-mentioned shapes of the concave portion 44 or the second concave portion 54) can be freely combined.
  • the end surface of the stopper facing the artificial valve is in a wave-like shape that uniformly changes in the circumferential direction, so that the actual contact area between the stopper and the axial end surface of the artificial valve is reasonably controlled, and the artificial valve is prevented from being affected in the radial direction. If the friction force is too large, the artificial valve will unfold more smoothly.
  • the radial section of the recess (the first recess 44 or the second recess 54) is V-shaped, and several recesses (the first recess 44 or the second recess 54) are arranged circumferentially such that A convex portion (such as the first convex portion 43 or the second convex portion 53 ) is formed between two adjacent concave portions (the first concave portion 44 or the second concave portion 54 ).
  • the V shape includes two sides that are angled, and several recesses (the first recess 44 or the second recess 54) are arranged along the circumferential direction, and the two continuous recesses (the first recess 44 or the second recess 54) are connected to each other. Adjacent sides are connected to form a convex portion, so that the convex portion (such as the first convex portion 43 or the second convex portion 53 ) forms an inverted V-shaped structure.
  • the V-shaped included angle of the concave part is larger than the V-shaped included angle of the convex part, so that the accommodating space of the concave part as a fluid channel is larger, and it can also provide a larger deformation space for the convex part when it is compressed and deformed in the radial direction, which is easy to stop.
  • the moving part achieves radial compression.
  • the convex portion (such as the first convex portion 43 or the second convex portion 53) is arc-shaped at the highest point in the radial direction, that is, the convex portion (such as the first convex portion 43 or the second convex portion 53)
  • the circumferential outer edge at the V-shaped angle is a smooth transition shape, which can avoid the sharp structure of the stopper on the circumferential wall surface, so as to reduce the damage to the inner wall of the blood vessel during the delivery process, and reduce the artificial valve delivery as much as possible. risks in the process.
  • the end face of the stopper (such as the first stopper 42 or the second stopper 52) facing the artificial valve, the convex part (such as the first convex part 43 or the second convex part 53) and
  • the radial maximum distance of the axis of the catheter 2 is greater than half of the inner diameter of the artificial valve in a compressed state, and the radial minimum distance between the recess (the first recess 44 or the second recess 54) and the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state.
  • the radially highest part of the convex portion exceeds the inner wall of the artificial valve in the compressed state, and the radially lowest portion of the concave portion is lower than the inner wall of the artificial valve in the compressed state, so that the stopper can be in a compressed state for the artificial valve When the axial limit.
  • the end face of the artificial valve is in contact with the end face of the stop part, so as to realize the axial limit of the artificial valve in the compressed state, and also avoid in some cases
  • the minimum radial distance of the recess is greater than half of the outer diameter of the artificial valve under compression, it may cause the end portion of the artificial valve to enter the gap between the stopper and the catheter, affecting the normal release of the artificial valve.
  • the maximum radial distance between the convex portion (such as the first convex portion 43 or the second convex portion 53 ) and the axis of the catheter 2 is greater than half of the outer diameter of the artificial valve in a compressed state. Therefore, on the end surface of the stopper facing the artificial valve, the highest radial part of the protrusion is higher than the outer wall of the artificial valve in the compressed state, which is equivalent to being in a structure similar to an annular groove in the compressed state of the artificial valve. On the one hand, there is enough contact area between the stopper and the artificial valve, so as to ensure the axial limit of the artificial valve; better protection.
  • the end face of the stopper (such as the first stopper 42 or the second stopper 52) facing the artificial valve, the convex part (such as the first convex part 43 or the second convex part 53) and
  • the radial maximum distance of the axis of the catheter 2 is greater than half of the outer diameter of the artificial valve in a compressed state, and the radial minimum distance between the recess (the first recess 44 or the second recess 54) and the axis of the catheter 2 is less than half of the outer diameter of the artificial valve in a compressed state. half.
  • the axial limit of the artificial valve is equivalent to being in a structure similar to an annular groove when the artificial valve is in a compressed state, which can realize the protection of the artificial valve.
  • the minimum radial distance between the concave portion (the first concave portion 44 or the second concave portion 54 ) and the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state.
  • the convex portion (such as the first convex portion 43 or the second convex portion 53) and the axis of the catheter 2 is greater than half of the outer diameter of the prosthetic valve in the compressed state
  • the convex portion (such as the first convex portion 43 or the second convex portion
  • the radial maximum distance between the portion 53) and the axis of the catheter 2 is preferably 1.05 to 1.25 times the half of the outer diameter of the artificial valve in a compressed state.
  • a radially penetrating dispensing hole (the first dispensing hole 45 or the second dispensing hole 56) is set on the pipe wall of the casing part (such as the first pipe part 41 or the second pipe part 51). ), the dispensing hole (the first dispensing hole 45 or the second dispensing hole 56) at least penetrates the one-sided tube wall of the casing part (such as the first tube part 41 or the second tube part 51), thereby realizing a stop Adhesive fixation of parts and conduits.
  • the axial length of the stopper part (such as the first stopper part 42 or the second stopper part 52) is the axis of the sleeve part (such as the first tube part 41 or the second tube part 51). One-third to one-half of the length. Therefore, by reasonably controlling the axial length ratio of the sleeve part and the stopper part, the stopper can have better performance in terms of structural strength and axial positioning, and the size of the structural part can be kept within a reasonable range Inside.
  • the other end of the casing part (such as the first tube part 41 or the second tube part 51 ) is coaxially connected with an extension part (that is, the third tube part 55 in the first embodiment).
  • the extension part is sleeve-shaped, the extension part is sleeved and fixed on the catheter 2, and the outer diameter of the extension part is smaller than the outer diameter of the sleeve part (such as the first tube part 41 or the second tube part 51).
  • the extension can be used to fix the connecting guide (ie, the conical head 7 in the first embodiment), specifically, the distal end of the balloon 1 is wrapped around the extension.
  • the guide piece and the extension part can be fixedly connected through the end surface or fixedly connected by inserting.
  • the stopper provided near the distal end of the balloon can provide a position-limiting function for the artificial valve and at the same time provide an installation position for the guide and the distal end of the balloon, so that the artificial valve delivery device can be positioned at the distal end of the valve.
  • the structure is more compact and simple, and can also reduce damage to blood vessels.
  • the present application also provides an artificial valve delivery device, including an artificial valve delivery system, as shown in FIG.
  • a proximal stopper ie, the first stopper 4 in the first embodiment
  • a distal stopper ie, the second stopper 5 in the first embodiment
  • the near-end stopper and the far-end stopper are the stoppers described in the above embodiments, and the parts where the two are close to each other are respective stoppers, and the space between the proximal stopper and the far-end stopper A limited space for accommodating the artificial valve in a compressed state is formed.
  • the proximal stopper and the distal stopper can effectively limit the position of the artificial valve in the axial direction, and the recess on the stopper can also optimize the flow of fluid in the balloon when the balloon is inflated and deflated.
  • the flow path especially providing a flow channel for the fluid in the balloon deflation state, has a positive effect on improving the inflation and deflation effects of the balloon.
  • the proximal end of the balloon 1 is affixed to the catheter 2, and the proximal end of the balloon 1 is spaced apart from the proximal end stopper.
  • the tube wall of the catheter 2 is provided with several radially through openings, and the fluid used to inflate the balloon 1 flows into the interior of the balloon 1 through the openings.
  • the opening is provided between the proximal end of the balloon 1 and the proximal stop.
  • the extension part is sleeve-shaped and fixed on the catheter 2
  • the outer tube wall of the extension part is fixedly connected to the distal end of the balloon 1
  • the distal end of the extension part is fixedly connected to the guide.
  • the artificial valve delivery device is also provided with a balloon connecting tube 3, the catheter 2 passes through the balloon connecting tube 3 and enters the inside of the balloon 1, and the proximal end of the balloon 1 is affixed On the balloon connecting tube 3, the proximal end of the balloon 1 is spaced from the proximal stopper. At this time, the distance between the balloon connecting tube 3 and the proximal stopper is also set at intervals.
  • the balloon connecting tube 3 and The catheter 2 forms an annular lumen 8 at the proximal end of the balloon 1 , and the fluid used to inflate the balloon 1 flows into the interior of the balloon 1 through the annular lumen 8 through the space between the balloon connecting tube 3 and the proximal stopper.
  • the fluid flows into the interior of the balloon from the proximal end of the balloon, so that the recess on the proximal stopper can provide a fluid channel for the fluid when the balloon is in a contracted state, so as to achieve better flow effect.

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

Abstract

A prosthetic valve delivery system, a stop device and a stop member therefor, and a prosthetic valve delivery device. The stop device comprises: a first blocking member (4) which comprises a first tube part (41) and a first stop part (42), the first tube part (41) being fixed to a catheter (2) in a sleeving mode and being spaced apart from the proximal end of a balloon (1), the first stop part (42) being fitted over the catheter (2), and the distal end of the first stop part (42) being used for limiting a prosthetic valve; and a second blocking member (5) which comprises a second tube part (51) and a second stop part (52), the second tube part (51) being fixed to the catheter (2) in a sleeving mode and being provided close to the distal end of the balloon (1), the second stop part (52) being fitted over the catheter (2), and the proximal end of the second stop part (52) being used for limiting the prosthetic valve. The prosthetic valve can be axially limited, and the flowing effect of fluid in the balloon (1) can be optimized, such that the conveying effect of the prosthetic valve can be improved, and the assembly efficiency is improved.

Description

人工瓣膜输送系统以及用于其的止动装置、止挡件Prosthetic valve delivery system and stop device and stopper therefor

相关申请的交叉引用Cross References to Related Applications

本申请要求2021年09月16日提交的申请号为202111088663.X(发明名称:人工瓣膜输送系统以及用于其的止动装置)的发明专利和2021年09月16日提交的申请号为202122253299.X(发明名称:人工瓣膜输送装置的止挡件及人工瓣膜输送装置)的实用新型专利的优先权。This application requires the invention patent submitted on September 16, 2021 with the application number 202111088663.X (invention name: artificial valve delivery system and stop device for it) and the application number 202122253299 submitted on September 16, 2021 .X (name of invention: stopper for artificial valve delivery device and artificial valve delivery device) has the priority right of utility model patent.

技术领域technical field

本申请涉及人工瓣膜输送系统,具体涉及一种用于人工瓣膜输送系统的止动装置及人工瓣膜输送系统、止挡件及人工瓣膜输送装置。The present application relates to an artificial valve delivery system, in particular to a stopper for an artificial valve delivery system, an artificial valve delivery system, a stopper and an artificial valve delivery device.

背景技术Background technique

人工心脏瓣膜(简称人工瓣膜)通常指的是可植入心脏内代替自体心脏瓣膜(包括主动脉瓣、肺动脉瓣、三尖瓣、二尖瓣),能使血液单向流动,具有天然心脏瓣膜功能的人工器官。Artificial heart valves (artificial valves for short) usually refer to implantable heart valves (including aortic valve, pulmonary valve, tricuspid valve, mitral valve) that can make blood flow in one direction and have natural heart valves. Functional artificial organs.

随着微创化外科手术和介入式医疗设备技术的不断发展,经导管瓣膜置换术是通过人工瓣膜输送系统将人工瓣膜引入体内并放置在需要植入的位置。人工瓣膜输送系统一般包括瓣膜安装部、连接部、操作部,瓣膜安装部包括锥形头、球囊、导管等,连接部包括球囊连接管、可调弯外管等,操作部包括手柄、调节按钮、牵引装置、三通尾座等,其中,导管贯穿于整个输送系统,球囊为可膨胀式球囊,通常以操作部为参照物,沿导管轴向将上述组件靠近操作部的一端称为近端、远离操作部的一端称为远端。在输送过程中,人工瓣膜以压缩状态安装在球囊上并经由血管前进至植入位置后,通过向球囊内通入流体使得球囊膨胀以展开人工瓣膜。人工瓣膜释放过程需要结合外部设备如超声、造影等来观察人工瓣膜的具体位置和球囊膨胀扩张瓣膜支架的状态。With the continuous development of minimally invasive surgery and interventional medical equipment technology, transcatheter valve replacement is to introduce the artificial valve into the body through the artificial valve delivery system and place it at the position where it needs to be implanted. The artificial valve delivery system generally includes a valve installation part, a connection part, and an operation part. The valve installation part includes a conical head, a balloon, a catheter, etc. Adjustment button, traction device, three-way tailstock, etc., wherein the catheter runs through the entire delivery system, and the balloon is an inflatable balloon. Usually, the operating part is used as a reference, and the above-mentioned components are close to the end of the operating part along the axial direction of the catheter It is called the proximal end, and the end away from the operating part is called the distal end. During delivery, after the prosthetic valve is mounted on the balloon in a compressed state and advanced through the blood vessel to the implantation site, the balloon is inflated by injecting fluid into the balloon to deploy the prosthetic valve. The prosthetic valve release process needs to be combined with external equipment such as ultrasound, contrast imaging, etc. to observe the specific position of the prosthetic valve and the state of the balloon-expanded valve stent.

人工瓣膜系统通常都会在球囊内导管上固定设置近端止动结构和远端止动结构,近端止动结构和远端止动结构的轴向内端之间用于容纳人工瓣膜并对其进行轴向限位。The artificial valve system usually fixes a proximal stop structure and a distal stop structure on the catheter inside the balloon, and the axial inner end of the proximal stop structure and the distal stop structure is used to accommodate the artificial valve and It is limited axially.

现有的一类止动结构是由若干独立的弹性指状件构成,弹性指状件一般为悬臂结构且各个弹性指状件之间相互独立,使得每个弹性指状件的移动和变形自由度较大,这在人工瓣膜输送过程中容易发生变形,无法保证人工瓣膜定位精度,导致手术风险增加。The existing one-type stop structure is composed of several independent elastic fingers. The elastic fingers are generally cantilever structures and each elastic finger is independent of each other, so that each elastic finger can move and deform freely. The degree is relatively large, which is prone to deformation during the delivery of the artificial valve, and the positioning accuracy of the artificial valve cannot be guaranteed, resulting in increased surgical risks.

还有一类的止动结构为圆锥体,其径向截面直径在远离人工瓣膜的方向上逐渐减小,圆锥体止动结构能在一定程度上降低移动和变形自由度,但依然存在如下缺点:一、球囊处于收缩状态时,球囊几乎是全部包裹在导管和止动结构上,由于圆锥体止动结构的周向边缘和球囊的贴合度较好,导致两者之间可供流体经过的间隙较小,不利于流体快速经过;二、瓣膜安装部进行组装时需要将止动结构预先插入球囊内,而球囊近端和远端开口口径 受一定限制,因而需要止动结构在径向具备一定可压缩性,而圆锥体结构的径向压缩幅度非常有限,甚至无法压缩,造成球囊和止动结构的组装难度加大。另外,圆锥体止动结构的轴向内端面与人工瓣膜轴向端面的接触面积较大,这会在球囊膨胀初期造成人工瓣膜受止动结构的径向摩擦力有所增加,可能会导致人工瓣膜展开不够顺畅,增加手术风险。Another type of stop structure is a cone, whose radial cross-sectional diameter gradually decreases in the direction away from the artificial valve. The cone stop structure can reduce the degree of freedom of movement and deformation to a certain extent, but there are still the following disadvantages: 1. When the balloon is in a contracted state, the balloon is almost completely wrapped on the catheter and the stop structure. Since the circumferential edge of the cone stop structure fits well with the balloon, there is a gap between the two. The gap through which the fluid passes is small, which is not conducive to the rapid passage of fluid; 2. When the valve installation part is assembled, the stop structure needs to be inserted into the balloon in advance, and the diameter of the proximal and distal openings of the balloon is limited, so it is necessary to stop The structure has a certain degree of compressibility in the radial direction, while the radial compression range of the conical structure is very limited, or even incompressible, which makes the assembly of the balloon and the stop structure more difficult. In addition, the contact area between the axial inner end surface of the cone stop structure and the axial end surface of the artificial valve is relatively large, which will increase the radial friction force of the stop structure of the artificial valve at the initial stage of balloon inflation, which may lead to The artificial valve does not expand smoothly, which increases the risk of surgery.

发明内容Contents of the invention

基于上述现状,本申请的主要目的在于提供一种用于人工瓣膜输送系统的止动装置及人工瓣膜输送系统、止挡件及人工瓣膜输送装置,在满足对人工瓣膜提供限位功能的前提条件下,止动装置既能在径向压缩时实现均匀变形,又能在球囊收缩状态时为流体提供流动通道。Based on the above-mentioned status quo, the main purpose of this application is to provide a stop device for artificial valve delivery system, artificial valve delivery system, stopper and artificial valve delivery device. In this case, the stopper can not only achieve uniform deformation during radial compression, but also provide a flow channel for the fluid when the balloon is deflated.

为实现上述目的,本申请采用的技术方案如下:In order to achieve the above object, the technical scheme adopted by the application is as follows:

根据本申请的第一方面,一种用于人工瓣膜输送系统的止动装置,所述人工瓣膜输送系统包括用于设置人工瓣膜的球囊和贯穿球囊的导管,流体由球囊的近端流入球囊内部,所述止动装置位于球囊内并包括:According to the first aspect of the present application, a stopper device for a prosthetic valve delivery system, the prosthetic valve delivery system includes a balloon for setting the prosthetic valve and a catheter passing through the balloon, the fluid flows from the proximal end of the balloon into the interior of the balloon, the stop is located within the balloon and includes:

第一挡件,沿导管的轴向包括第一管部和第一止动部,第一管部套接并固定在所述导管上,且与所述球囊的近端间隔设置,第一止动部套设在所述导管上,第一止动部的近端与第一管部的远端固接,第一止动部的远端用于限位所述人工瓣膜的近端,第一止动部为环状结构并由若干第一凸部和若干第一凹部沿周向交替连接形成,第一凸部的内外壁面均沿第一止动部的径向向外凸起,第一凹部的内外壁面均沿第一止动部的径向向内凹陷,第一凸部与所述导管轴线的径向距离自第一止动部的近端向远端逐渐增大;The first stopper includes a first tube portion and a first stopper along the axial direction of the catheter, the first tube portion is sleeved on and fixed on the catheter, and is spaced apart from the proximal end of the balloon, the first The stopper is sleeved on the catheter, the proximal end of the first stopper is affixed to the distal end of the first tube, and the distal end of the first stopper is used to limit the proximal end of the artificial valve, The first stop part is an annular structure and is formed by alternately connecting several first convex parts and several first concave parts along the circumferential direction, and the inner and outer wall surfaces of the first convex part protrude outward along the radial direction of the first stop part, The inner and outer wall surfaces of the first recess are recessed inward along the radial direction of the first stopper, and the radial distance between the first protrusion and the catheter axis gradually increases from the proximal end to the distal end of the first stopper;

第二挡件,沿导管的轴向包括第二管部和第二止动部,第二管部套接并固定在所述导管上,并靠近所述球囊的远端设置,第二止动部套设在所述导管上,第二止动部的远端与第二管部的近端固接,第二止动部的近端用于限位所述人工瓣膜的远端,第二止动部为环状结构并由若干第二凸部和若干第二凹部沿周向交替连接形成,第二凸部的内外壁面均沿第二止动部的径向向外凸起,第二凹部的内外壁面均沿第二止动部的径向向内凹陷,第二凸部与所述导管轴线的径向距离自第二止动部的近端向远端逐渐减小;The second stopper includes a second tube part and a second stop part along the axial direction of the catheter, the second tube part is sleeved and fixed on the catheter, and is arranged near the distal end of the balloon, and the second stop part The moving part is sleeved on the catheter, the distal end of the second stopper is fixedly connected to the proximal end of the second pipe part, and the proximal end of the second stopper is used to limit the distal end of the artificial valve. The two stoppers are ring-shaped and formed by alternately connecting several second protrusions and second recesses along the circumferential direction. The inner and outer walls of the second protrusions protrude outward along the radial direction of the second stopper. The inner and outer walls of the two recesses are recessed inward along the radial direction of the second stopper, and the radial distance between the second protrusion and the axis of the catheter gradually decreases from the proximal end to the distal end of the second stopper;

所述第一止动部和第二止动部之间的轴向间距与所述人工瓣膜的轴向长度相配合;The axial distance between the first stopper and the second stopper matches the axial length of the artificial valve;

当所述球囊处于收缩状态时,流体能由所述若干第一凹部和所述若干第二凹部经过。When the balloon is in a deflated state, fluid can pass through the plurality of first recesses and the plurality of second recesses.

优选地,所述第一止动部为等壁厚结构;所述第二止动部为等壁厚结构。Preferably, the first stopper is a structure of constant wall thickness; the second stopper is a structure of constant wall thickness.

优选地,所述第一管部和第一止动部平滑连接;所述第二管部和第二止动部平滑连接。Preferably, the first pipe part is connected smoothly with the first stop part; the second pipe part is connected smoothly with the second stop part.

优选地,所述第一凹部的径向截面呈V形,若干第一凹部沿周向排列,相邻的两个第一凹部之间形成第一凸部;所述第二凹部的径向截面呈V形,若干第二凹部沿周向排列,相邻的两个第二凹部之间形成第二凸部。Preferably, the radial section of the first recess is V-shaped, several first recesses are arranged in the circumferential direction, and a first protrusion is formed between two adjacent first recesses; the radial section of the second recess It is V-shaped, several second concave parts are arranged along the circumferential direction, and a second convex part is formed between two adjacent second concave parts.

优选地,所述第一止动部的远端面上,所述第一凸部与所述导管轴线的径向最大距离大于所述人工瓣膜压缩状态下的内径的一半,且所述第一凹部与所述导管轴线的径向最小距离小于所述人工瓣膜压缩状态下的内径的一半;Preferably, on the distal surface of the first stopper, the radial maximum distance between the first protrusion and the catheter axis is greater than half of the inner diameter of the artificial valve in a compressed state, and the first The radial minimum distance between the recess and the catheter axis is less than half of the inner diameter of the prosthetic valve in a compressed state;

所述第二止动部的近端面上,所述第二凸部与所述导管轴线的径向最大距离大于所述人工瓣膜压缩状态下的内径的一半,且所述第二凹部与所述导管轴线的径向最小距离小于所述人工瓣膜压状态下的内径的一半。On the proximal end surface of the second stopper, the radial maximum distance between the second protrusion and the catheter axis is greater than half of the inner diameter of the artificial valve in a compressed state, and the second recess and the The radial minimum distance of the catheter axis is less than half of the inner diameter of the artificial valve under pressure.

优选地,所述第一止动部的远端面上,所述第一凸部与所述导管轴线的径向最大距离大于所述人工瓣膜压缩状态下的外径的一半,且所述第一凹部与所述导管轴线的径向最小距离小于所述人工瓣膜压缩状态下的外径的一半;Preferably, on the distal surface of the first stopper, the radial maximum distance between the first protrusion and the catheter axis is greater than half of the outer diameter of the artificial valve in a compressed state, and the first A minimum radial distance between a recess and the catheter axis is less than half the outer diameter of the prosthetic valve in a compressed state;

所述第二止动部的近端面上,所述第二凸部与所述导管轴线的径向最大距离大于所述人工瓣膜压缩状态下的外径的一半,且所述第二凹部与所述导管轴线的径向最小距离小于所述人工瓣膜压缩状态下的外径的一半。On the proximal end surface of the second stopper, the maximum radial distance between the second protrusion and the axis of the catheter is greater than half of the outer diameter of the artificial valve in a compressed state, and the second recess and The radial minimum distance of the conduit axis is less than half the outer diameter of the prosthetic valve in a compressed state.

优选地,所述第一凸部与所述导管轴线的径向最大距离为所述人工瓣膜压缩状态下的外径的一半的1.05~1.25倍;Preferably, the maximum radial distance between the first protrusion and the catheter axis is 1.05-1.25 times half of the outer diameter of the artificial valve in a compressed state;

所述第二凸部与所述导管轴线的径向最大距离为所述人工瓣膜压缩状态下的外径的一半的1.05~1.25倍。The maximum radial distance between the second protrusion and the catheter axis is 1.05-1.25 times half of the outer diameter of the artificial valve in a compressed state.

优选地,所述第二挡件沿轴向还包括第三管部,第三管部的近端与所述第二管部的远端固接,第三管部的远端用于与所述输送系统的锥形头和所述球囊的远端固接,第三管部的近端外径小于所述第二管部的远端外径。Preferably, the second stopper further includes a third tube portion in the axial direction, the proximal end of the third tube portion is affixed to the distal end of the second tube portion, and the distal end of the third tube portion is used for connecting with the The conical head of the delivery system is fixedly connected to the distal end of the balloon, and the outer diameter of the proximal end of the third tube part is smaller than the outer diameter of the distal end of the second tube part.

优选地,所述第一管部的管壁上设置径向贯通的第一点胶孔;所述第二管部的管壁上设置径向贯通的第二点胶孔。Preferably, a radially penetrating first dispensing hole is provided on the pipe wall of the first pipe part; a radially penetrating second dispensing hole is provided on the pipe wall of the second pipe part.

根据本申请的第二方面,一种人工瓣膜输送系统,包括设置在所述输送系统远端的球囊、用于连接球囊的球囊连接管和插装于所述球囊连接管的导管,所述球囊的近端与球囊连接管的远端连接固定,所述导管由球囊连接管的远端穿出并由球囊的近端穿入球囊内,所述球囊连接管和导管在球囊的近端处内形成环形腔,用于膨胀球囊的流体由所述环形腔流入或流出球囊的内部;According to the second aspect of the present application, an artificial valve delivery system includes a balloon disposed at the distal end of the delivery system, a balloon connection tube for connecting the balloon, and a catheter inserted into the balloon connection tube , the proximal end of the balloon is connected and fixed with the distal end of the balloon connecting tube, the catheter passes through the distal end of the balloon connecting tube and penetrates into the balloon through the proximal end of the balloon, the balloon connecting tube The tube and catheter form an annular lumen within the proximal end of the balloon through which fluid used to inflate the balloon flows into or out of the interior of the balloon;

所述导管上设置有如上述第一方面所述的止动装置,所述止动装置用于对压缩状态的人工瓣膜进行轴向限位。The catheter is provided with the stopping device as described in the first aspect above, and the stopping device is used for axially limiting the artificial valve in the compressed state.

本申请的第三方面,一种人工瓣膜输送装置的止挡件,所述人工瓣膜输送装置包括用于设置人工瓣膜的球囊和贯穿球囊的导管,导管上间隔设置两个所述止挡件,In the third aspect of the present application, a stopper for an artificial valve delivery device, the artificial valve delivery device includes a balloon for setting the artificial valve and a catheter passing through the balloon, and two stoppers are arranged at intervals on the catheter pieces,

所述止挡件包括套管部和止动部;所述套管部用于套接固定在导管上,所述套管部的一端同轴连接有所述止动部;所述止动部用于限位人工瓣,止动部为套设在导管上的环状结构并由若干凸部和若干凹部沿周向交替连接形成,所述凸部的内外壁面均沿止动部的径向向外凸起,所述凹部的内外壁面均沿止动部的径向向内凹陷,所述凸部与止动部轴线的径向距离向远离套管部的方向逐渐增大,所述凹部沿止动部的轴向贯穿止动部。The stopper includes a sleeve part and a stop part; the sleeve part is used to be sleeved and fixed on the catheter, and one end of the sleeve part is coaxially connected with the stop part; the stop part It is used to limit the artificial valve. The stop part is an annular structure sleeved on the catheter and is formed by alternately connecting several convex parts and several concave parts along the circumferential direction. The inner and outer walls of the convex parts are all along the radial direction of the stop part. The inner and outer wall surfaces of the concave part are recessed inward along the radial direction of the stopper part, and the radial distance between the convex part and the axis of the stopper part gradually increases in the direction away from the sleeve part, and the concave part The stop part is penetrated along the axial direction of the stop part.

优选地,所述止动部为等壁厚结构。Preferably, the stopper is a structure of equal wall thickness.

优选地,所述套管部和止动部之间为平滑连接。Preferably, the sleeve part and the stop part are connected smoothly.

优选地,所述凹部的径向截面呈V形,相邻的两个凹部之间形成凸部。Preferably, the radial section of the concave portion is V-shaped, and a convex portion is formed between two adjacent concave portions.

优选地,所述凸部在径向上的最高处呈弧形。Preferably, the highest point of the protrusion in the radial direction is arc-shaped.

优选地,所述止动部的端面上,所述凸部与所述止动部轴线的径向最大距离大于人工瓣膜压缩状态下内径的一半,且所述凹部与所述止动部轴线的径向最小距离小于人工瓣膜压缩状态下内径的一半。Preferably, on the end face of the stopper, the maximum radial distance between the convex part and the axis of the stopper is greater than half of the inner diameter of the artificial valve in a compressed state, and the distance between the concave part and the axis of the stopper The radial minimum distance is less than half of the inner diameter of the artificial valve in a compressed state.

优选地,所述凸部与所述止动部轴线的径向最大距离大于人工瓣膜压缩状态下外径的一半。Preferably, the maximum radial distance between the protrusion and the axis of the stopper is greater than half of the outer diameter of the prosthetic valve in a compressed state.

优选地,所述套管部的管壁上设置径向贯通的点胶孔。Preferably, radially penetrating glue dispensing holes are provided on the tube wall of the casing part.

优选地,所述套管部的另一端同轴连接有延伸部,所述延伸部为套管状并套接固定在所述导管上,所述延伸部的外径小于套管部的外径。Preferably, the other end of the sleeve part is coaxially connected with an extension part, the extension part is in the shape of a sleeve and is sleeved and fixed on the catheter, and the outer diameter of the extension part is smaller than the outer diameter of the sleeve part.

根据本申请的第四方面,一种人工瓣膜输送装置,包括导管、位于所述导管远端区域的球囊、位于所述导管远端的引导件、位于所述球囊内并间隔设置在所述导管上的近端止挡件和远端止挡件;According to the fourth aspect of the present application, an artificial valve delivery device includes a catheter, a balloon located at the distal end region of the catheter, a guide located at the distal end of the catheter, located in the balloon and arranged at intervals on the catheter. a proximal stop and a distal stop on the catheter;

所述近端止挡件和所述远端止挡件为上述第一方面所述的止挡件,二者相靠近的部分为各自的止动部,所述近端止挡件和所述远端止挡件之间的空间形成容纳处于压缩状态的人工瓣膜的限位空间;所述球囊的近端与所述近端止挡件间隔设置。The proximal stopper and the distal stopper are the stoppers described in the first aspect above, and the adjacent parts of the two are respective stoppers, and the proximal stopper and the The space between the distal stoppers forms a limiting space for accommodating the artificial valve in a compressed state; the proximal end of the balloon is spaced apart from the proximal stoppers.

本申请的用于人工瓣膜输送系统的止动装置,首先,通过第一挡件和第二挡件上的第一止动部和第二止动部,使得放置于第一止动部和第二止动部之间的人工瓣膜在轴向上得到限位,并在确保止动装置对人工瓣膜的限位作用的同时,对第一止动部和第二止动部的结构进行了设计和优化,通过沿周向交替连接的凸部和凹部使得第一止动部和第二止动部在径向上可压缩性能得到改善,可压缩幅度得到提高,压缩变形更为均匀和稳定,在组装过程中便于将止动装置插入球囊内,能有效提高装配效率。其次,第一凹部和第二凹部能为流体在球囊内流动时提供优化的流动路径,尤其是在球囊处于收缩状态时能保证第一挡件、第二挡件与球囊之间留有足够得空隙以作为流体的流动通道,使得流体在球囊内的流动更为快捷、通畅,由此能优化流体的流动效果并改善球囊的膨胀和收缩效果,有助于减少手术用时、降低手术风险。再者,通过合理控制第一止动部远端面与人工瓣膜近端面之间、第二止动部近端面与人工瓣膜远端面之间的实际接触面积,避免在球囊膨胀初期人工瓣膜受到的径向摩擦力过大,有助于减少人工瓣膜的展开阻力,使得人工瓣膜的展开过程更为顺畅,亦能减少手术风险。The stopper device for the artificial valve delivery system of the present application, firstly, through the first stopper and the second stopper on the first stopper and the second stopper, so that it is placed on the first stopper and the second stopper The artificial valve between the two stoppers is limited in the axial direction, and the structure of the first stopper and the second stopper is designed while ensuring the stopper's effect on the artificial valve. And optimization, the radial compressibility of the first stopper and the second stopper is improved through alternately connecting convex parts and concave parts along the circumferential direction, the compressible range is improved, and the compression deformation is more uniform and stable. During the assembly process, it is convenient to insert the stop device into the balloon, which can effectively improve the assembly efficiency. Secondly, the first recess and the second recess can provide an optimized flow path for the fluid flowing in the balloon, especially when the balloon is in a contracted state, it can ensure that there is a gap between the first stopper, the second stopper and the balloon. There are enough gaps to serve as fluid flow channels, making the fluid flow in the balloon faster and smoother, thereby optimizing the fluid flow effect and improving the inflation and contraction effects of the balloon, helping to reduce operation time, Reduce surgical risk. Furthermore, by reasonably controlling the actual contact area between the distal end surface of the first stopper part and the proximal end surface of the artificial valve, and between the proximal end surface of the second stopper part and the distal end surface of the artificial valve, it is possible to avoid the balloon inflation during the initial stage of inflation. The excessive radial friction force on the artificial valve helps to reduce the expansion resistance of the artificial valve, making the process of artificial valve deployment smoother and reducing the risk of surgery.

本申请的人工瓣膜输送系统,采用上述止动装置,能有效地对人工瓣膜在轴向上进行限位,并能改善球囊内流体的流动效果,尤其是在球囊处于收缩状态时能为流体提供流动通道,能改善球囊膨胀和收缩效果,有助于提高手术效率并降低手术风险。The artificial valve delivery system of the present application adopts the above-mentioned stopping device, which can effectively limit the position of the artificial valve in the axial direction, and can improve the flow effect of the fluid in the balloon, especially when the balloon is in a contracted state. The fluid provides a flow channel that improves balloon inflation and deflation, helping to improve surgical efficiency and reduce surgical risk.

本申请的人工瓣膜输送装置的止挡件,其止动部为周向封闭结构并具有交替连接的凸部和凹部,一方面,止动部在径向上的压缩性能得到改善,使得止动部的径向可压缩幅度增加,且止动部的压缩变形效果更为合理,在装配过程中能更方便地将止挡件装入球囊内,有助于提高装配效率;另一方面,交替连接的凸部和凹部在一定程度上相互牵制,这样能够合理控制止动部的变形自由度,使得止动部在结构上更为稳定可靠,能确保对人工瓣膜的限位作用。同时,凹部能为球囊内的流体提供优化的流动路径,尤其是在球囊处于收缩状态时能保证止挡件与球囊之间留有足够的空隙供流体通过,使得流体流动更为快捷、通畅,能改善球囊膨胀和收缩效果,有助于减少手术用时,亦能降低手术风险。In the stopper of the artificial valve delivery device of the present application, the stopper is a circumferentially closed structure and has alternately connected convex parts and concave parts. On the one hand, the compression performance of the stopper in the radial direction is improved, so that the stopper The radial compressibility range of the radial direction increases, and the compression deformation effect of the stopper is more reasonable, and it is more convenient to put the stopper into the balloon during the assembly process, which helps to improve the assembly efficiency; on the other hand, the alternate The connected convex part and concave part restrain each other to a certain extent, so that the degree of freedom of deformation of the stop part can be reasonably controlled, so that the stop part is more stable and reliable in structure, and can ensure the limiting effect on the artificial valve. At the same time, the recess can provide an optimized flow path for the fluid in the balloon, especially when the balloon is in a contracted state, it can ensure that there is enough space between the stopper and the balloon for the fluid to pass through, making the fluid flow faster , Unobstructed, can improve the inflation and contraction effect of the balloon, help to reduce the operation time, and also reduce the operation risk.

本申请的人工瓣膜输送装置,通过采用上述止挡件,能有效地对人工瓣膜在轴向上进行限位,并能改善球囊内流体的流动效果,尤其是在球囊处于收缩状态时能为流体提供流动通道,对于改进球囊膨胀和收缩效果有积极作用。The artificial valve delivery device of the present application can effectively limit the position of the artificial valve in the axial direction by using the above-mentioned stopper, and can improve the flow effect of the fluid in the balloon, especially when the balloon is in a contracted state. Providing a flow path for the fluid has a positive effect on improving balloon inflation and deflation.

本申请的其他有益效果,将在具体实施方式中通过具体技术特征和技术方案的介绍来阐述,本领域技术人员通过这些技术特征和技术方案的介绍,应能理解所述技术特征和技术方案带来的有益技术效果。Other beneficial effects of the present application will be explained in the specific implementation manner through the introduction of specific technical features and technical solutions, and those skilled in the art should be able to understand that the technical features and technical solutions bring beneficial technical effects.

附图说明Description of drawings

以下将参照附图对根据本申请的优选实施方式进行描述。图中:Preferred embodiments according to the present application will be described below with reference to the accompanying drawings. In the picture:

图1为本申请的用于人工瓣膜输送系统的止动装置的轴向结构示意图;FIG. 1 is a schematic diagram of the axial structure of the stopping device used in the artificial valve delivery system of the present application;

图2为本申请的用于人工瓣膜输送系统的第一挡件的立体结构示意图;FIG. 2 is a schematic diagram of the three-dimensional structure of the first stopper used in the artificial valve delivery system of the present application;

图3为本申请的用于人工瓣膜输送系统的第二挡件的立体结构示意图;FIG. 3 is a schematic diagram of the three-dimensional structure of the second stopper used in the artificial valve delivery system of the present application;

图4为本申请的用于人工瓣膜输送系统的第一止动部的径向截面示意图;Fig. 4 is a radial cross-sectional schematic view of the first stopper used in the artificial valve delivery system of the present application;

图5为本申请人工瓣膜输送装置的一个优选实施方式的远端区域的结构示意图。Fig. 5 is a schematic structural view of the distal region of a preferred embodiment of the artificial valve delivery device of the present application.

附图标记说明:1球囊,2导管,3球囊连接管,4第一挡件,41第一管部,42第一止动部,43第一凸部,44第一凹部,45第一点胶孔,5第二挡件,51第二管部,52第二止动部,53第二凸部,54第二凹部,55第三管部,56第二点胶孔,6显影组件,7锥形头,8环形腔。Explanation of reference numerals: 1 balloon, 2 catheter, 3 balloon connecting tube, 4 first stopper, 41 first tube part, 42 first stopper part, 43 first convex part, 44 first concave part, 45 first stop part Dispensing hole, 5 the second stopper, 51 the second pipe part, 52 the second stop part, 53 the second convex part, 54 the second concave part, 55 the third pipe part, 56 the second dispensing hole, 6 developing Components, 7 conical heads, 8 annular cavities.

具体实施方式Detailed ways

需要说明的是,本申请的描述中,近端和远端是相对于人工瓣膜输送装置的操作者而言,近端是指相对靠近操作者的一端,远端是指相对远离操作者的一端。It should be noted that in the description of this application, the proximal end and the distal end are relative to the operator of the artificial valve delivery device, the proximal end refers to the end relatively close to the operator, and the distal end refers to the end relatively far away from the operator .

实施例1Example 1

参见图1,本申请提供了一种用于人工瓣膜输送系统的止动装置,人工瓣膜输送系统包括用于设置人工瓣膜的球囊1和贯穿球囊的导管2,导管2上设置有显影组件6。用于膨胀球囊1的流体由球囊1的近端流入球囊1内部,具体地,所述输送系统还包括用于连接球囊1的球囊连接管3,球囊1的近端与球囊连接管3的远端连接固定,导管2由球囊连接管3的远端穿出并由球囊1的近端穿入球囊1内,球囊连接管3和导管2在球囊1的近端处内形成环形腔8,用于膨胀球囊1的流体由环形腔8流入或流出球囊1的内部。Referring to Fig. 1, the present application provides a stop device for an artificial valve delivery system, the artificial valve delivery system includes a balloon 1 for setting the artificial valve and a catheter 2 passing through the balloon, the catheter 2 is provided with a developing assembly 6. The fluid used to inflate the balloon 1 flows into the interior of the balloon 1 from the proximal end of the balloon 1. Specifically, the delivery system also includes a balloon connection tube 3 for connecting the balloon 1, and the proximal end of the balloon 1 is connected to the balloon 1. The distal end of the balloon connecting tube 3 is connected and fixed. The catheter 2 passes through the distal end of the balloon connecting tube 3 and penetrates into the balloon 1 from the proximal end of the balloon 1. The balloon connecting tube 3 and the catheter 2 are in the balloon. An annular cavity 8 is formed at the proximal end of the balloon 1, and the fluid used to inflate the balloon 1 flows into or flows out of the interior of the balloon 1 through the annular cavity 8.

所述止动装置位于球囊1内并包括设置在导管2上的第一挡件4和第二挡件5。The stopping device is located inside the balloon 1 and includes a first stopper 4 and a second stopper 5 arranged on the catheter 2 .

参见图2,第一挡件4沿导管2的轴向包括第一管部41和第一止动部42,第一管部41套接并固定在导管2上,且与球囊1的近端间隔设置,第一止动部42套设在导管2上,第一止动部42的近端与第一管部41的远端固接,第一止动部42的远端用于限位人工瓣膜的近端。第一止动部42为环状结构并由若干第一凸部43和若干第一凹部44沿周向交替连接形成,第一凸部43的内外壁面均沿第一止动部42的径向向外凸起,第一凹部44的内外壁面均沿第一止动部42的径向向内凹陷,第一凸部43与导管2轴线的径向距离自第一止动部42的近端向远端逐渐增大。Referring to FIG. 2 , the first stopper 4 includes a first tube portion 41 and a first stopper portion 42 along the axial direction of the catheter 2 . The ends are arranged at intervals, the first stopper 42 is sleeved on the catheter 2, the proximal end of the first stopper 42 is affixed to the distal end of the first tube part 41, and the distal end of the first stopper 42 is used to limit the proximal end of the prosthetic valve. The first stop portion 42 is an annular structure and is formed by alternately connecting several first convex portions 43 and several first concave portions 44 along the circumferential direction. The inner and outer walls of the first recess 44 are recessed inward along the radial direction of the first stopper 42, and the radial distance between the first protrusion 43 and the axis of the catheter 2 starts from the proximal end of the first stopper 42. gradually increases distally.

参见图3,第二挡件5沿导管2的轴向包括第二管部51和第二止动部52,第二管部51套接并固定在导管2上,且靠近球囊1的远端设置,第二止动部52套设在导管2上,第二止动部52的远端与第二管部51的近端固接,第二止动部52的近端用于限位人工瓣膜的远端。第二止动部52为环状结构并由若干第二凸部53和若干第二凹部54沿周向交替连接形成,第二凸部53的内外壁面均沿第二止动部52的径向向外凸起,第二凹部54的内外壁面均沿第二止动部52的径向向内凹陷,第二凸部53与导管2轴线的径向距离自第二止动部52的近端向远端逐渐减小。Referring to FIG. 3 , the second stopper 5 includes a second tube portion 51 and a second stopper portion 52 along the axial direction of the catheter 2 , the second tube portion 51 is sleeved and fixed on the catheter 2 , and is close to the distal end, the second stopper 52 is sleeved on the catheter 2, the distal end of the second stopper 52 is affixed to the proximal end of the second tube part 51, and the proximal end of the second stopper 52 is used for limiting The distal end of the prosthetic valve. The second stop portion 52 is an annular structure and is formed by alternately connecting a plurality of second convex portions 53 and a plurality of second concave portions 54 along the circumferential direction. The inner and outer wall surfaces of the second recess 54 are recessed inward along the radial direction of the second stopper 52, and the radial distance between the second protrusion 53 and the axis of the catheter 2 starts from the proximal end of the second stopper 52. gradually decreases distally.

需要说明的是,这里的“径向”并不限于是圆柱、圆锥等形状的径向,而是用于限定该方向是垂直于导管轴向的方向,这里的“向外”和“向内”是相对于导管轴线为基准定 义的,用于辅助说明实施例,不应当理解为限制。It should be noted that the "radial direction" here is not limited to the radial direction of a cylinder, a cone, etc., but is used to define that the direction is a direction perpendicular to the axial direction of the catheter. Here, "outward" and "inward" " is defined with respect to the axis of the catheter as an aid to illustrate the embodiments and should not be construed as a limitation.

第一止动部42和第二止动部52之间的轴向间距与人工瓣膜的轴向长度相配合,由此使得人工瓣膜能放置于第一止动部和第二止动部之间并在轴向上被限位。The axial distance between the first stopper 42 and the second stopper 52 matches the axial length of the artificial valve, thereby enabling the artificial valve to be placed between the first stopper and the second stopper And is limited in the axial direction.

当所述球囊1处于收缩状态时,流体能由若干第一凹部44和若干第二凹部54经过,也就是当球囊包裹在止动装置的周向外沿上时,两者之间存在由若干第一凹部和若干第二凹部提供的间隙,这样的间隙可供流体经过,能有助于改善球囊处于收缩状态时流体的流动效果。When the balloon 1 is in a deflated state, the fluid can pass through several first recesses 44 and several second recesses 54, that is, when the balloon is wrapped on the circumferential outer edge of the stopper, there is a gap between the two. The gaps provided by the plurality of first recesses and the plurality of second recesses, through which fluid can pass, can help improve the flow of fluid when the balloon is in a deflated state.

由此,所述止动装置通过第一止动部和第二止动部在轴向实现对人工瓣膜的限位,第一止动部和第二止动部均沿周向交替设置有凸部和凹部,在确保结构稳定、移动和变形自由度可控的基础上,还使得第一止动部和第二止动部在径向上可压缩幅度和性能得到提高,且压缩变形效果更为均匀、合理,在组装过程中便于将止动装置插入球囊内以提高装配效率。而且,第一凸部和第二凸部的径向尺寸自近端向远端分别逐渐增大和逐渐减小,使得第一止动部和第二止动部均整体呈现为立体花瓣状结构,其中,第一凹部和第二凹部不仅能为流体提供优化的流动路径,使流体在球囊内的流动效果更为顺畅,且在球囊处于收缩状态时增大了止动装置与球囊在径向上的间隙,在球囊膨胀初期能为流体提供流动通道,便于流体在球囊内流动,有助于改善球囊膨胀和收缩效果。As a result, the stopper implements the axial limit of the artificial valve through the first stopper and the second stopper, and the first stopper and the second stopper are alternately provided with protrusions along the circumferential direction. On the basis of ensuring structural stability and controllable degrees of freedom of movement and deformation, the compressibility and performance of the first stopper and the second stopper in the radial direction are improved, and the compression deformation effect is more Even and reasonable, it is convenient to insert the stopper into the balloon during assembly to improve assembly efficiency. Moreover, the radial dimensions of the first convex portion and the second convex portion gradually increase and decrease gradually from the proximal end to the distal end, so that the first stopper portion and the second stopper portion both present a three-dimensional petal-like structure as a whole, Wherein, the first recess and the second recess can not only provide an optimized flow path for the fluid, make the flow of the fluid in the balloon more smooth, but also increase the distance between the stopper device and the balloon when the balloon is in a contracted state. The gap in the radial direction can provide a flow channel for the fluid at the initial stage of balloon inflation, facilitate the flow of fluid in the balloon, and help improve the inflation and contraction effect of the balloon.

作为可选的实施例,第一止动部42为等壁厚结构,即第一凸部43的内外壁面沿径向向外凸起的变化幅度自第一止动部42的近端至远端保持一致,且第一凹部44的内外壁面沿径向向内凹陷的变化幅度自第一止动部42的近端至远端保持一致。同样地,第二止动部52为等壁厚结构,即第二凸部53的内外壁面沿径向向外凸起的变化幅度自第二止动部52的远端至近端保持一致,且第二凹部54的内外壁面沿径向向内凹陷的变化幅度自第二止动部52的远端至近端保持一致。As an optional embodiment, the first stopper 42 is a structure of equal wall thickness, that is, the inner and outer walls of the first convex part 43 protrude radially outwards from the proximal end of the first stopper 42 to the distal end. The ends are consistent, and the variation range of the inner and outer wall surfaces of the first recess 44 inwardly recessed in the radial direction is consistent from the proximal end to the distal end of the first stopper 42 . Similarly, the second stop portion 52 is of equal wall thickness, that is, the variation range of the radial outward protrusion of the inner and outer walls of the second convex portion 53 is consistent from the distal end to the proximal end of the second stop portion 52 , Moreover, the variation range of the inner and outer wall surfaces of the second concave portion 54 radially inwardly recessed is consistent from the distal end to the proximal end of the second stop portion 52 .

由此,第一止动部和第二止动部的结构变化在周向和轴向保持一致,使其在径向的压缩幅度和压缩性能得到进一步优化和改进,受外力压缩时结构更为稳定、变形效果更为均匀,便于与球囊进行装配,有利于提高组装效率。Therefore, the structural changes of the first stopper and the second stopper are consistent in the circumferential direction and the axial direction, so that the compression range and compression performance in the radial direction are further optimized and improved, and the structure is more stable when compressed by an external force. Stable, more uniform deformation effect, easy to assemble with the balloon, and help to improve assembly efficiency.

作为上述实施例的替代的方案,第一止动部42的壁厚可自第一止动部42的近端至远端逐渐变大,即第一凸部43的内外壁面沿径向向外凸起的变化幅度可以不同,且第一凹部44的内外壁面沿径向向内凹陷的变化幅度也可不同。同样地,第二止动部52的壁厚可自第二止动部52的近端至远端逐渐减小,即第二凸部53的内外壁面沿径向向外凸起的变化幅度可以不同,且第二凹部54的内外壁面沿径向向内凹陷的变化幅度也可不同。由此,可以根据实际需要调整第一止动部和第二止动部的结构强度和形变自由度,以满足实际使用需要。As an alternative to the above embodiment, the wall thickness of the first stopper 42 can gradually increase from the proximal end to the distal end of the first stopper 42, that is, the inner and outer wall surfaces of the first convex part 43 radially outward The range of variation of the protrusions may be different, and the range of variation of the inner and outer walls of the first recess 44 radially inwardly recessed may also be different. Similarly, the wall thickness of the second stopper 52 can gradually decrease from the proximal end to the distal end of the second stopper 52, that is, the variation range of the inner and outer wall surfaces of the second protrusion 53 protruding radially outward can be different, and the change range of the inner and outer wall surfaces of the second recess 54 radially inwardly recessed may also be different. Thus, the structural strength and deformation freedom of the first stopper and the second stopper can be adjusted according to actual needs, so as to meet actual use needs.

本实施例中,第一挡件和第二挡件的材料均为高分子材料,例如PP。第一挡件的第一管部和第一止动部可以通过热熔等方式黏结固定在一起,但考虑到人工瓣膜输送系统这类介入式医疗设备应尽量减少对血管内壁的影响和损伤,作为优选的一种实施方式,第一挡件为一体成型结构,同样地,第二挡件也为一体成型结构,以避免第一管部和第一止动部之间、第二管部和第二止动部之间的连接处产生尖锐或者突起等结构,且第一挡件和第二挡件在结构上更为紧凑,易于组装。In this embodiment, the materials of the first blocking member and the second blocking member are both polymer materials, such as PP. The first tube part and the first stop part of the first stopper can be bonded and fixed together by means of thermal fusion, but considering that interventional medical devices such as artificial valve delivery systems should minimize the impact and damage on the inner wall of the blood vessel, As a preferred embodiment, the first stopper is integrally formed, and similarly, the second stopper is also integrally formed to avoid the gap between the first tube part and the first stopper part, the second tube part and the first stopper part. The connection between the second stoppers produces structures such as sharp points or protrusions, and the first stopper and the second stopper are more compact in structure and easy to assemble.

作为可选的实施例,第一管部41和第一止动部42之间为平滑连接,第二管部51和第 二止动部52之间为平滑连接。As an optional embodiment, there is a smooth connection between the first pipe portion 41 and the first stop portion 42, and a smooth connection between the second pipe portion 51 and the second stop portion 52.

由此,第一挡件和第二挡件在管部和止动部的连接处不会存在多余的尖锐结构,能减少输送过程中对血管内壁造成损伤,也有助于完成顺畅的人工瓣膜输送过程。As a result, there will be no unnecessary sharp structures at the connection between the tube part and the stopper part between the first stopper and the second stopper, which can reduce the damage to the inner wall of the blood vessel during delivery, and also help to complete the smooth delivery of the artificial valve. process.

作为可选的实施例,第一凹部44的径向截面呈V形,V形包括呈夹角状的两个侧边,若干第一凹部44沿周向排列,连续的两个第一凹部44之间相邻的侧边连接形成第一凸部43。同样地,第二凹部54的径向截面呈V形,V形包括呈夹角状的两个侧边,若干第二凹部54沿周向排列,连续的两个第二凹部54之间相邻的侧边连接形成第二凸部53,参见图4。优选地,第一凸部43在径向上的最高部分为弧形,第二凸部53在径向上的最高部分为弧形。As an optional embodiment, the radial section of the first recess 44 is V-shaped, and the V-shape includes two sides in an angled shape. Several first recesses 44 are arranged in the circumferential direction, and two consecutive first recesses 44 Adjacent side edges are connected to form the first protrusion 43 . Similarly, the radial cross-section of the second recess 54 is V-shaped, and the V-shape includes two sides that are angled. Several second recesses 54 are arranged in the circumferential direction, and two consecutive second recesses 54 are adjacent to each other. The side edges of are connected to form a second convex portion 53, see FIG. 4 . Preferably, the highest portion of the first protrusion 43 in the radial direction is arc-shaped, and the highest portion of the second protrusion 53 in the radial direction is arc-shaped.

由此,第一止动部的远端面在周向上呈均匀变化的类似波浪形状,同样地,第二止动部的近端面在周向上也呈均匀变化的类似波浪形状,使得第一止动部的远端面与人工瓣膜的近端面之间、第二止动部的近端面与人工瓣膜的远端面之间的实际接触面积得到合理控制,能避免人工瓣膜与第一止动部之间、人工瓣膜与第二止动部之间的径向摩擦力过大,使得人工瓣膜展开过程更为顺畅。另外,第一止动部和第二止动部在周向上的波峰部分呈弧形,可避免第一止动部和第二止动部在周向壁面上产生尖锐结构,减少对血管内壁的损伤。Thus, the distal end surface of the first stopper has a wave-like shape that uniformly changes in the circumferential direction, and similarly, the proximal end surface of the second stopper also has a wave-like shape that uniformly changes in the circumferential direction, so that the first The actual contact area between the distal surface of the stopper and the proximal surface of the artificial valve, and between the proximal surface of the second stopper and the distal surface of the artificial valve is reasonably controlled, which can avoid contact between the artificial valve and the first artificial valve. The radial friction force between the stopper parts and between the artificial valve and the second stopper part is too large, so that the artificial valve expands more smoothly. In addition, the crests of the first stopper and the second stopper in the circumferential direction are arc-shaped, which can avoid sharp structures on the circumferential wall surface of the first stopper and the second stopper, and reduce damage to the inner wall of the blood vessel. damage.

作为上述实施例的替代方案,第一凸部43的径向截面呈弧形,弧形包括两个端部,若干第一凸部43沿周向排列,连续的两个第一凸部43之间相邻的端部连接形成第一凹部44。同样地,第二凸部53的径向截面呈弧形,弧形包括两个端部,若干第二凸部53沿周向排列,连续的两个第二凸部53之间相邻的端部连接形成第二凹部54。As an alternative to the above-mentioned embodiment, the radial section of the first convex portion 43 is arc-shaped, and the arc shape includes two ends. Several first convex portions 43 are arranged along the circumferential direction. Between two consecutive first convex portions 43 Adjacent end portions are connected to form a first concave portion 44 . Similarly, the radial cross-section of the second protrusions 53 is arc-shaped, and the arc includes two ends. Several second protrusions 53 are arranged along the circumferential direction, and the adjacent ends between two consecutive second protrusions 53 parts are connected to form a second concave part 54 .

由此,第一止动部的远端面和第二止动部的近端面均在周向上呈均匀变化的波浪形状,且在周向壁面上不会存在多余的尖锐结构,能避免在输送过程中对血管内壁造成损伤,也有助于完成顺畅的人工瓣膜输送过程。As a result, both the distal end surface of the first stopper part and the proximal end surface of the second stopper part have a uniformly changing wave shape in the circumferential direction, and there will be no redundant sharp structures on the circumferential wall surface, which can avoid Damage to the inner wall of the blood vessel during the delivery process also helps to complete the smooth delivery process of the artificial valve.

作为可选的实施例,在第一止动部42的远端面上,第一凸部43与导管2轴线的径向最大距离大于人工瓣膜压缩状态下的内径的一半,且第一凹部44与导管2轴线的径向最小距离小于人工瓣膜压缩状态下的内径的一半;同样地,在第二止动部52的近端面上,第二凸部53与导管2轴线的径向最大距离大于人工瓣膜压缩状态下的内径的一半,且第二凹部54与导管2轴线的径向最小距离小于人工瓣膜压缩状态下的内径的一半。As an optional embodiment, on the distal end surface of the first stopper portion 42, the radial maximum distance between the first convex portion 43 and the axis of the catheter 2 is greater than half of the inner diameter of the artificial valve in a compressed state, and the first concave portion 44 The radial minimum distance from the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state; similarly, on the proximal surface of the second stopper 52, the radial maximum distance from the second protrusion 53 to the axis of the catheter 2 greater than half of the inner diameter of the artificial valve in a compressed state, and the radial minimum distance between the second recess 54 and the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state.

由此,第一凸部在径向上的最高部分超出人工瓣膜压缩状态下的内壁,且第一凹部在径向上的最低部分低于人工瓣膜压缩状态下的内壁,即可实现第一止动部对人工瓣膜处于压缩状态时的轴向限位。同样地,第二凸部在径向上的最高部分超出人工瓣膜压缩状态下的内壁,且第二凹部在径向上的最低部分低于人工瓣膜压缩状态下的内壁,即可实现第二止动部对人工瓣膜处于压缩状态时的轴向限位。同时,这样的结构也可避免在某些情况下,如第一凹部的径向最小距离大于人工瓣膜压缩状态下的外径的一半,可能导致人工瓣膜的端部部分进入第一止动部和导管之间的间隙内,影响人工瓣膜正常释放。Thus, the radially highest portion of the first protrusion exceeds the inner wall of the artificial valve in the compressed state, and the radially lowest portion of the first concave portion is lower than the inner wall of the artificial valve in the compressed state, so that the first stopper can be realized Axial limit when the artificial valve is in a compressed state. Similarly, the highest part of the second protrusion in the radial direction exceeds the inner wall of the artificial valve in the compressed state, and the lowest part of the second concave part in the radial direction is lower than the inner wall of the artificial valve in the compressed state, so that the second stopper can be realized Axial limit when the artificial valve is in a compressed state. At the same time, such a structure can also avoid that in some cases, if the radial minimum distance of the first recess is greater than half of the outer diameter of the artificial valve in a compressed state, it may cause the end portion of the artificial valve to enter the first stopper and In the gap between the catheters, it affects the normal release of the artificial valve.

作为上述实施例的替代方案,在第一止动部42的远端面上,第一凸部43与导管2轴线的径向最大距离大于人工瓣膜压缩状态下的外径的一半,且第一凹部44与导管2轴线的径向最小距离小于人工瓣膜压缩状态下的外径的一半;同样地,在第二止动部52的近端面上,第二凸部53与导管2轴线的径向最大距离大于人工瓣膜压缩状态下的外径的一半,且 第二凹部54与导管2轴线的径向最小距离小于人工瓣膜压缩状态下的外径的一半。As an alternative to the above-mentioned embodiment, on the distal end surface of the first stopper 42, the radial maximum distance between the first protrusion 43 and the axis of the catheter 2 is greater than half of the outer diameter of the artificial valve in a compressed state, and the first The radial minimum distance between the concave portion 44 and the axis of the catheter 2 is less than half of the outer diameter of the artificial valve in a compressed state; similarly, on the proximal surface of the second stopper 52, the diameter of the second convex portion 53 and the axis of the catheter 2 The maximum distance is greater than half of the outer diameter of the artificial valve in a compressed state, and the radial minimum distance between the second recess 54 and the axis of the catheter 2 is less than half of the outer diameter of the artificial valve in a compressed state.

由此,第一凸部在径向上的最高部分超出人工瓣膜压缩状态下的外壁,且第一凹部在径向上的最低部分低于人工瓣膜压缩状态下的外壁,即可实现第一止动部对人工瓣膜处于压缩状态时的轴向限位。同样地,第二凸部在径向上的最高部分超出人工瓣膜压缩状态下的外壁,且第二凹部在径向上的最低部分低于人工瓣膜压缩状态下的外壁,即可实现第二止动部对人工瓣膜处于压缩状态时的轴向限位。而且,第一凸部和第二凸部在径向上的最高部分均超出人工瓣膜压缩状态下的外壁,相当于人工瓣膜压缩状态时处于一个类似环形凹槽的结构中,从而能在输送过程中对人工瓣膜起到更好的保护作用,可减少人工瓣膜在移动过程中与血管内壁的接触,也可防止输送系统的其他组件触碰到人工瓣膜外壁。Thus, the highest portion of the first protrusion in the radial direction exceeds the outer wall of the artificial valve in the compressed state, and the lowest portion of the first concave portion in the radial direction is lower than the outer wall of the artificial valve in the compressed state, so that the first stopper can be realized Axial limit when the artificial valve is in a compressed state. Similarly, the highest part of the second protrusion in the radial direction exceeds the outer wall of the artificial valve in the compressed state, and the lowest part of the second concave part in the radial direction is lower than the outer wall of the artificial valve in the compressed state, so that the second stopper can be realized Axial limit when the artificial valve is in a compressed state. Moreover, the radially highest portions of the first convex portion and the second convex portion both exceed the outer wall of the artificial valve in the compressed state, which is equivalent to being in a structure similar to an annular groove in the compressed state of the artificial valve, so that it can be transported during delivery. It can better protect the artificial valve, reduce the contact between the artificial valve and the inner wall of the blood vessel during the movement process, and prevent other components of the delivery system from touching the outer wall of the artificial valve.

作为上述实施例的优选方案,第一凸部43与导管2轴线的径向最大距离为人工瓣膜压缩状态下的外径的一半的1.05~1.25倍;第二凸部53与导管2轴线的径向最大距离为人工瓣膜压缩状态下的外径的一半的1.05~1.25倍。As a preferred solution of the above-mentioned embodiment, the radial maximum distance between the first convex portion 43 and the axis of the catheter 2 is 1.05 to 1.25 times the half of the outer diameter of the artificial valve in a compressed state; the diameter of the second convex portion 53 and the axis of the catheter 2 The maximum distance is 1.05 to 1.25 times the half of the outer diameter of the artificial valve in a compressed state.

由此,通过对第一凸部和第二凸部的尺寸限定,使得第一凸部和第二凸部在径向上的最高部分稍高于人工瓣膜压缩状态下的外壁,既能实现对人工瓣膜的轴向限位和周向保护,又使得第一止动部和第二止动部的径向尺寸不会过大,避免对血管内壁造成不必要的损伤,也能方便地将第一挡件、第二挡件和球囊进行装配。Thus, by limiting the size of the first convex part and the second convex part, the highest part in the radial direction of the first convex part and the second convex part is slightly higher than the outer wall of the artificial valve in the compressed state, which can realize the artificial The axial limit and circumferential protection of the valve prevents the radial dimensions of the first stopper and the second stopper from being too large, avoiding unnecessary damage to the inner wall of the blood vessel, and conveniently moving the first The stopper, the second stopper and the balloon are assembled.

作为可选的实施例,参见图1和图3,第二挡件5沿轴向还包括第三管部55,第三管部55的近端与第二管部51的远端固接,第三管部55的远端用于与输送系统的锥形头7和球囊1的远端固接,第三管部55的近端外径小于第二管部51的远端外径。As an optional embodiment, referring to Fig. 1 and Fig. 3, the second stopper 5 further includes a third tube part 55 in the axial direction, the proximal end of the third tube part 55 is affixed to the distal end of the second tube part 51, The distal end of the third tube part 55 is used for fixed connection with the tapered head 7 of the delivery system and the distal end of the balloon 1 , and the proximal outer diameter of the third tube part 55 is smaller than the distal outer diameter of the second tube part 51 .

具体地,球囊1远端开口包裹在第三管部55远端管壁外侧上,锥形头7近端与第三管部55远端之间可通过端面固定连接或者通过插装固定连接。Specifically, the distal opening of the balloon 1 is wrapped on the outer side of the distal tube wall of the third tube part 55, and the proximal end of the conical head 7 and the distal end of the third tube part 55 can be fixedly connected through the end surface or fixedly connected through an insert. .

由此,第二挡件在为人工瓣膜提供限位功能的同时,还为锥形头和球囊远端提供固定连接的功能,使得人工瓣膜输送系统在远端的结构更为紧凑、简洁,并减少对血管的损伤。Therefore, while the second stopper provides the position-limiting function for the artificial valve, it also provides the function of fixed connection for the conical head and the distal end of the balloon, so that the structure of the artificial valve delivery system at the distal end is more compact and simple. and reduce damage to blood vessels.

作为可选的实施例,第一管部41的管壁上设置径向贯通的第一点胶孔45;第二管部51的管壁上设置径向贯通的第二点胶孔56,由此实现第一挡件和第二挡件与导管的黏结固定连接。As an optional embodiment, a radially penetrating first dispensing hole 45 is provided on the pipe wall of the first pipe part 41; a radially penetrating second dispensing hole 56 is provided on the pipe wall of the second pipe part 51, by This realizes the adhesively fixed connection of the first stopper and the second stopper with the catheter.

本申请还提供了一种人工瓣膜输送系统,包括设置在所述输送系统远端的球囊1、用于连接球囊1的球囊连接管3和插装于所述球囊连接管3的导管2,球囊1的近端与球囊连接管3的远端连接固定,导管2由球囊连接管3的远端穿出并由球囊1的近端穿入球囊1内,球囊连接管3和导管2在球囊1的近端处内形成环形腔8,用于膨胀球囊1的流体由环形腔8流入或流出球囊1的内部。The present application also provides an artificial valve delivery system, including a balloon 1 arranged at the distal end of the delivery system, a balloon connection tube 3 for connecting the balloon 1 and a balloon connection tube 3 inserted into the balloon connection tube 3. Catheter 2, the proximal end of the balloon 1 is connected and fixed to the distal end of the balloon connecting tube 3, the catheter 2 passes through the distal end of the balloon connecting tube 3 and penetrates into the balloon 1 from the proximal end of the balloon 1, the balloon The balloon connecting tube 3 and the catheter 2 form an annular cavity 8 at the proximal end of the balloon 1 , and the fluid used to inflate the balloon 1 flows into or out of the balloon 1 through the annular cavity 8 .

所述导管2上设置有上述的止动装置,所述止动装置用于对压缩状态的人工瓣膜进行轴向限位。The catheter 2 is provided with the above-mentioned stopping device, which is used for axially limiting the artificial valve in the compressed state.

由此,通过止动装置中的第一挡件和第二挡件,能有效地对人工瓣膜支架在轴向上进行限位,还能优化球囊膨胀和收缩时流体在球囊内的流动路径,有效改善流体流动效果,有助于提高手术效率并降低手术风险。Thus, through the first stopper and the second stopper in the stopping device, the artificial valve support can be effectively limited in the axial direction, and the flow of fluid in the balloon can also be optimized when the balloon is inflated and deflated. The path can effectively improve the effect of fluid flow, help to improve surgical efficiency and reduce surgical risk.

本申请用于人工瓣膜输送系统的止动装置及人工瓣膜输送系统,其中,第一挡件和第二挡件均具有连续立体花瓣状结构的止动部,能对人工瓣膜进行有效的轴向限位之外,还具有良好的径向可压缩性能,同时第一凹部和第二凹部能为流体提供优化的流动路径,尤 其是在球囊处于收缩状态时能作为流体通道,有助于改善球囊膨胀和收缩的效果,能提高人工瓣膜输送系统的操作效果,在一定程度上减少手术风险。The present application is used for the stop device of the artificial valve delivery system and the artificial valve delivery system, wherein, both the first stopper and the second stopper have a stopper with a continuous three-dimensional petal-shaped structure, which can effectively move the artificial valve in the axial direction. In addition to limiting, it also has good radial compressibility, and at the same time, the first concave part and the second concave part can provide an optimized flow path for the fluid, especially as a fluid channel when the balloon is in a contracted state, which helps to improve The effect of balloon expansion and contraction can improve the operation effect of the artificial valve delivery system and reduce the operation risk to a certain extent.

实施例2Example 2

参见图5,本申请提供了一种人工瓣膜输送装置的止挡件,人工瓣膜输送装置的远端区域包括用于设置人工瓣膜的球囊1和贯穿球囊的导管2,导管2上间隔设置两个止挡件,两个止挡件位于球囊1内。两个止挡件之间用于容纳人工瓣膜。止挡件的材料为高分子材料,例如PP、PE、K树脂、PTFE、嵌段聚醚酰胺树脂(PEBAX)等。Referring to FIG. 5 , the present application provides a stopper for an artificial valve delivery device. The distal region of the artificial valve delivery device includes a balloon 1 for setting the artificial valve and a catheter 2 passing through the balloon. The catheter 2 is arranged at intervals Two stoppers, the two stoppers are located inside the balloon 1 . An artificial valve is accommodated between the two stoppers. The material of the stopper is a polymer material, such as PP, PE, K resin, PTFE, block polyether amide resin (PEBAX) and the like.

参见图2,止挡件包括套管部(如第一管部41或第二管部51)和止动部(如第一止动部42或第二止动部52),止挡件为一体成型结构。其中,在止挡件安装于导管2上时,套管部(如第一管部41或第二管部51)远离人工瓣膜设置,止动部(如第一止动部42或第二止动部52)靠近人工瓣膜设置。Referring to Fig. 2, the stopper includes a sleeve part (such as the first pipe part 41 or the second pipe part 51) and a stopper part (such as the first stopper part 42 or the second stopper part 52), and the stopper is One-piece construction. Wherein, when the stopper is installed on the catheter 2, the sleeve part (such as the first tube part 41 or the second tube part 51) is set away from the artificial valve, and the stop part (such as the first stop part 42 or the second stop part The moving part 52) is set close to the artificial valve.

套管部(如第一管部41或第二管部51)用于套接固定在导管2上,套管部(如第一管部41或第二管部51)的一端同轴设置有止动部(如第一止动部42或第二止动部52)。止动部(如第一止动部42或第二止动部52)用于限位人工瓣膜,止动部(如第一止动部42或第二止动部52)为套设在导管2上的环状结构并由若干凸部(如第一凸部43或第二凸部53)和若干凹部(第一凹部44或第二凹部54)沿周向交替连接形成,凸部43(如第一凸部43或第二凸部53)的内外壁面均沿止动部(如第一止动部42或第二止动部52)的径向向外凸起,凹部44(或者54)的内外壁面均沿止动部(如第一止动部42或第二止动部52)的径向向内凹陷,凸部(如第一凸部43或第二凸部53)与止动部(如第一止动部42或第二止动部52)轴线的径向距离向远离套管部的方向逐渐增大。The sleeve part (such as the first tube part 41 or the second tube part 51) is used to be sleeved and fixed on the catheter 2, and one end of the sleeve part (such as the first tube part 41 or the second tube part 51) is coaxially provided with A stopper (such as the first stopper 42 or the second stopper 52). The stopper (such as the first stopper 42 or the second stopper 52) is used to limit the artificial valve, and the stopper (such as the first stopper 42 or the second stopper 52) is sleeved on the catheter The annular structure on 2 is formed by alternate connection of several convex portions (such as the first convex portion 43 or the second convex portion 53) and several concave portions (the first concave portion 44 or the second concave portion 54) along the circumferential direction, and the convex portion 43 ( For example, the inner and outer wall surfaces of the first convex portion 43 or the second convex portion 53) protrude radially outward along the stopper portion (such as the first stopper portion 42 or the second stopper portion 52), and the concave portion 44 (or 54 ) inside and outside walls are recessed inward along the radial direction of the stopper (such as the first stopper 42 or the second stopper 52), and the convex part (such as the first convexity 43 or the second convexity 53) and the stopper The radial distance of the axis of the stopper part (such as the first stopper part 42 or the second stopper part 52 ) gradually increases toward the direction away from the sleeve part.

凹部44(或者54)沿止动部(如第一止动部42或第二止动部52)的轴向贯穿止动部42(如第一止动部42或第二止动部52)。当球囊1处于收缩状态时,流体能由若干凹部(第一凹部44或第二凹部54)经过,也就是当球囊1几乎全部包裹在止动部(如第一止动部42或第二止动部52)的周向外沿上时,球囊1与止挡件之间仍然存在由若干凹部(第一凹部44或第二凹部54)提供的间隙,这些间隙可作为流体通道供流体经过。The recess 44 (or 54) penetrates the stopper 42 (such as the first stopper 42 or the second stopper 52) along the axial direction of the stopper (such as the first stopper 42 or the second stopper 52) . When the balloon 1 is in a deflated state, the fluid can pass through several recesses (the first recess 44 or the second recess 54), that is, when the balloon 1 is almost completely wrapped in the stopper (such as the first stopper 42 or the second stopper 42). When the circumferential outer edge of the two stoppers 52) is upward, there are still gaps provided by several recesses (first recesses 44 or second recesses 54) between the balloon 1 and the stopper, and these gaps can be used as fluid passages for supplying fluid. Fluid passes through.

由此,将人工瓣膜设置在两个止挡件之间,可在导管的轴向上实现对人工瓣膜的限位。止动部具有沿周向交替连接的凸部和凹部,一方面,凸部的径向尺寸在向靠近人工瓣膜的方向上逐渐增大,使得止动部呈现为连续的立体花瓣状结构,而且凹部能够为凸部在径向上提供更大的形变空间,使得止动部的径向压缩性能得到提升,另一方面,止动部为周向封闭的结构,凸部和凹部之间相互牵制,使得止动部能够保持稳定的结构,在受外力作用时其变形自由度可控,从而止动部在对人工瓣膜进行限位的过程中能确保其有效性、稳定性,亦有助于提高限位精度。而且,凹部可优化球囊内流体的流动路径,尤其是在球囊处于收缩状态时还能为流体提供流动通道,加快流动效果,能改善球囊膨胀和收缩效果。Thus, the artificial valve can be placed between the two stoppers, and the artificial valve can be limited in the axial direction of the catheter. The stopping part has convex parts and concave parts connected alternately along the circumferential direction. On the one hand, the radial dimension of the convex part gradually increases in the direction close to the artificial valve, so that the stopping part presents a continuous three-dimensional petal-like structure, and The concave part can provide a larger deformation space for the convex part in the radial direction, so that the radial compression performance of the stopper part can be improved. The stop part can maintain a stable structure, and its degree of freedom of deformation can be controlled when it is subjected to external force, so that the stop part can ensure its effectiveness and stability in the process of limiting the artificial valve, and also helps to improve Limit accuracy. Moreover, the recess can optimize the flow path of the fluid in the balloon, especially when the balloon is in a deflated state, it can also provide a flow channel for the fluid, so as to accelerate the flow effect and improve the inflation and contraction effect of the balloon.

作为可选的实施例,止动部(如第一止动部42或第二止动部52)为等壁厚结构,也就是止动部(如第一止动部42或第二止动部52)各处的壁厚均等。由此,止动部各处的结构强度保持一致,且这种结构使得止动部的内壁面与导管的外管壁之间留有一定合理的空间,能进一步优化和改进其压缩性能,使得止动部在受外力作用时其变形效果更为合理,还使得止挡件和球囊的装配更加方便。As an optional embodiment, the stopper (such as the first stopper 42 or the second stopper 52) is an equal-wall thickness structure, that is, the stopper (such as the first stopper 42 or the second stopper 52) Part 52) has equal wall thickness everywhere. As a result, the structural strength of the stopping part remains consistent, and this structure leaves a certain reasonable space between the inner wall surface of the stopping part and the outer tube wall of the catheter, which can further optimize and improve its compression performance, so that The deformation effect of the stopper is more reasonable when the stopper is acted by external force, and the assembly of the stopper and the balloon is more convenient.

作为上述实施例的替代方案,止动部(如第一止动部42或第二止动部52)的壁厚可 在靠近人工瓣膜的方向上逐渐增大或逐渐减小,即凸部(如第一凸部43或第二凸部53)的内外壁在上述方向上的变化幅度可不同,凹部44(第一凹部44或第二凹部54)的内外壁在上述方向上的变化幅度也可不同。由此,可根据实际需要调整止动部的壁厚变化以得到相应的结构强度和形变自由度。As an alternative to the above-mentioned embodiment, the wall thickness of the stopper (such as the first stopper 42 or the second stopper 52) can gradually increase or decrease gradually in the direction close to the artificial valve, that is, the convex part ( As the range of variation of the inner and outer walls of the first convex portion 43 or the second convex portion 53) in the above-mentioned direction can be different, the range of variation of the inner and outer walls of the concave portion 44 (the first concave portion 44 or the second concave portion 54) in the above-mentioned direction is also different. Can be different. Thus, the wall thickness variation of the stopper portion can be adjusted according to actual needs to obtain corresponding structural strength and deformation freedom.

作为可选的实施例,套管部(如第一管部41或第二管部51)和止动部(如第一止动部42或第二止动部52)之间为平滑连接,即止动部(如第一止动部42或第二止动部52)在与套管部(如第一管部41或第二管部51)连接的端面尺寸和套管部(如第一管部41或第二管部51)的径向尺寸保持一致,止动部(如第一止动部42或第二止动部52)在远离套管部的方向上逐渐延伸出凸部(如第一凸部43或第二凸部53)和凹部(第一凹部44或第二凹部54)。由此,止挡件在套管部和止动部的连接之处不会存在多余的尖锐结构,能减少输送过程中对血管内壁造成损伤,也有助于降低人工瓣膜输送过程中的风险。As an optional embodiment, there is a smooth connection between the sleeve part (such as the first pipe part 41 or the second pipe part 51) and the stopper part (such as the first stopper part 42 or the second stopper part 52), That is, the stop portion (such as the first stop portion 42 or the second stop portion 52) is connected with the sleeve portion (such as the first tube portion 41 or the second tube portion 51) and the size of the end surface of the sleeve portion (such as the first tube portion 51) The radial dimensions of a pipe portion 41 or the second pipe portion 51) are kept consistent, and the stopper portion (such as the first stopper portion 42 or the second stopper portion 52) gradually extends out of the convex portion in the direction away from the sleeve portion (such as the first convex portion 43 or the second convex portion 53) and the concave portion (the first concave portion 44 or the second concave portion 54). Therefore, there will be no redundant sharp structure at the junction of the cannula part and the stop part, which can reduce the damage to the inner wall of the blood vessel during the delivery process, and also help reduce the risk during the delivery process of the artificial valve.

作为可选的实施例,凸部(如第一凸部43或第二凸部53)的径向截面可以为半圆环、弧形、n型、倒V形等形状,凹部(第一凹部44或第二凹部54)的径向截面可以为半圆环、弧形、U形、V形等形状,且凸部(如第一凸部43或第二凸部53)和凹部(第一凹部44或第二凹部54)的上述形状可以自由组合。由此,止动部朝向人工瓣膜的端面在周向上呈均匀变化的类似波浪形状,使得止动部与人工瓣膜轴向端面之间的实际接触面积得到合理控制,避免人工瓣膜在径向受到的摩擦力过大,人工瓣膜展开的过程更为顺畅。As an optional embodiment, the radial section of the convex portion (such as the first convex portion 43 or the second convex portion 53) can be in the shape of a semicircle, an arc, an n-type, an inverted V shape, etc., and the concave portion (the first concave portion 44 or the second concave portion 54) can be in the shape of a semicircular ring, an arc, a U shape, a V shape, etc., and the convex portion (such as the first convex portion 43 or the second convex portion 53) and the concave portion (the first The above-mentioned shapes of the concave portion 44 or the second concave portion 54) can be freely combined. As a result, the end surface of the stopper facing the artificial valve is in a wave-like shape that uniformly changes in the circumferential direction, so that the actual contact area between the stopper and the axial end surface of the artificial valve is reasonably controlled, and the artificial valve is prevented from being affected in the radial direction. If the friction force is too large, the artificial valve will unfold more smoothly.

作为上述实施例的优选方案,参见图4,凹部(第一凹部44或第二凹部54)的径向截面呈V形,若干凹部(第一凹部44或第二凹部54)沿周向排列使得相邻的两个凹部(第一凹部44或第二凹部54)之间形成凸部(如第一凸部43或第二凸部53)。V形包括呈夹角状的两个侧边,若干凹部(第一凹部44或第二凹部54)沿周向排列,连续的两个凹部(第一凹部44或第二凹部54)之间相邻的侧边连接形成凸部,从而凸部(如第一凸部43或第二凸部53)形成倒V形结构。由此,凹部的V形夹角大于凸部的V形夹角,使得作为流体通道的凹部的容纳空间较大,也能够为凸部在径向压缩变形时有更大的变形空间,易于止动部实现径向压缩。As a preferred solution of the above-mentioned embodiment, referring to Fig. 4, the radial section of the recess (the first recess 44 or the second recess 54) is V-shaped, and several recesses (the first recess 44 or the second recess 54) are arranged circumferentially such that A convex portion (such as the first convex portion 43 or the second convex portion 53 ) is formed between two adjacent concave portions (the first concave portion 44 or the second concave portion 54 ). The V shape includes two sides that are angled, and several recesses (the first recess 44 or the second recess 54) are arranged along the circumferential direction, and the two continuous recesses (the first recess 44 or the second recess 54) are connected to each other. Adjacent sides are connected to form a convex portion, so that the convex portion (such as the first convex portion 43 or the second convex portion 53 ) forms an inverted V-shaped structure. Therefore, the V-shaped included angle of the concave part is larger than the V-shaped included angle of the convex part, so that the accommodating space of the concave part as a fluid channel is larger, and it can also provide a larger deformation space for the convex part when it is compressed and deformed in the radial direction, which is easy to stop. The moving part achieves radial compression.

作为上述实施例的优选方案,凸部(如第一凸部43或第二凸部53)在径向上的最高处呈弧形,也就是凸部(如第一凸部43或第二凸部53)在V形夹角处的周向外沿为平滑过渡的形状,能避免止动部在周向壁面上产生尖锐结构,以减少输送过程中对血管内壁造成损伤,尽可能降低人工瓣膜输送过程中的风险。As a preferred solution of the above-mentioned embodiment, the convex portion (such as the first convex portion 43 or the second convex portion 53) is arc-shaped at the highest point in the radial direction, that is, the convex portion (such as the first convex portion 43 or the second convex portion 53) The circumferential outer edge at the V-shaped angle is a smooth transition shape, which can avoid the sharp structure of the stopper on the circumferential wall surface, so as to reduce the damage to the inner wall of the blood vessel during the delivery process, and reduce the artificial valve delivery as much as possible. risks in the process.

作为可选的实施例,止动部(如第一止动部42或第二止动部52)朝向人工瓣膜的端面上,凸部(如第一凸部43或第二凸部53)与导管2轴线的径向最大距离大于人工瓣膜压缩状态下内径的一半,且凹部(第一凹部44或第二凹部54)与导管2轴线的径向最小距离小于人工瓣膜压缩状态下内径的一半。As an optional embodiment, the end face of the stopper (such as the first stopper 42 or the second stopper 52) facing the artificial valve, the convex part (such as the first convex part 43 or the second convex part 53) and The radial maximum distance of the axis of the catheter 2 is greater than half of the inner diameter of the artificial valve in a compressed state, and the radial minimum distance between the recess (the first recess 44 or the second recess 54) and the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state.

由此,凸部在径向上的最高部分超出人工瓣膜压缩状态下的内壁,且凹部在径向上的最低部分低于人工瓣膜压缩状态下的内壁,即可实现止动部对人工瓣膜处于压缩状态时的轴向限位。同时,通过对凸部和凹部在径向上的尺寸限定,确保人工瓣膜的端面接触在止动部的端面上,以实现对人工瓣膜压缩状态下的轴向限位,也可避免在某些情况下,如凹部的径向最小距离大于人工瓣膜压缩状态下的外径的一半,可能导致人工瓣膜的端部部分进入止动部和导管之间的间隙内,影响人工瓣膜正常释放。Thus, the radially highest part of the convex portion exceeds the inner wall of the artificial valve in the compressed state, and the radially lowest portion of the concave portion is lower than the inner wall of the artificial valve in the compressed state, so that the stopper can be in a compressed state for the artificial valve When the axial limit. At the same time, by limiting the size of the convex part and the concave part in the radial direction, it is ensured that the end face of the artificial valve is in contact with the end face of the stop part, so as to realize the axial limit of the artificial valve in the compressed state, and also avoid in some cases Next, if the minimum radial distance of the recess is greater than half of the outer diameter of the artificial valve under compression, it may cause the end portion of the artificial valve to enter the gap between the stopper and the catheter, affecting the normal release of the artificial valve.

作为上述实施例的优选方案,凸部(如第一凸部43或第二凸部53)与导管2轴线的径向最大距离大于人工瓣膜压缩状态下外径的一半。由此,在止动部朝向人工瓣膜的端面上,凸部在径向上的最高部分高于人工瓣膜压缩状态下的外壁,相当于人工瓣膜压缩状态时处于一个类似环形凹槽的结构中,一方面,止动部与人工瓣膜之间有足够的接触面积,从而确保对人工瓣膜的轴向限位,另一方面,凸部高于人工瓣膜外壁的部分还能在输送过程中对人工瓣膜进行更好的保护。As a preferred solution of the above embodiment, the maximum radial distance between the convex portion (such as the first convex portion 43 or the second convex portion 53 ) and the axis of the catheter 2 is greater than half of the outer diameter of the artificial valve in a compressed state. Therefore, on the end surface of the stopper facing the artificial valve, the highest radial part of the protrusion is higher than the outer wall of the artificial valve in the compressed state, which is equivalent to being in a structure similar to an annular groove in the compressed state of the artificial valve. On the one hand, there is enough contact area between the stopper and the artificial valve, so as to ensure the axial limit of the artificial valve; better protection.

作为可选的实施例,止动部(如第一止动部42或第二止动部52)朝向人工瓣膜的端面上,凸部(如第一凸部43或第二凸部53)与导管2轴线的径向最大距离大于人工瓣膜压缩状态下外径的一半,且凹部(第一凹部44或第二凹部54)与导管2轴线的径向最小距离小于人工瓣膜压缩状态下外径的一半。也就是,当凸部在径向上的最高部分高于人工瓣膜压缩状态下的外壁时,只需要确保凹部在径向上的最低部分低于人工瓣膜压缩状态下的外壁,即可实现止动部对人工瓣膜的轴向限位,此时也就相当于人工瓣膜压缩状态时处于一个类似环形凹槽的结构中,可实现对人工瓣膜的保护。As an optional embodiment, the end face of the stopper (such as the first stopper 42 or the second stopper 52) facing the artificial valve, the convex part (such as the first convex part 43 or the second convex part 53) and The radial maximum distance of the axis of the catheter 2 is greater than half of the outer diameter of the artificial valve in a compressed state, and the radial minimum distance between the recess (the first recess 44 or the second recess 54) and the axis of the catheter 2 is less than half of the outer diameter of the artificial valve in a compressed state. half. That is, when the radially highest portion of the protruding portion is higher than the outer wall of the artificial valve in the compressed state, it is only necessary to ensure that the radially lowest portion of the concave portion is lower than the outer wall of the artificial valve in the compressed state, so that the stopper can achieve alignment. The axial limit of the artificial valve is equivalent to being in a structure similar to an annular groove when the artificial valve is in a compressed state, which can realize the protection of the artificial valve.

作为上述实施例的优选方案,凹部(第一凹部44或第二凹部54)与导管2轴线的径向最小距离小于人工瓣膜压缩状态下内径的一半。由此,止动部与人工瓣膜之间有足够的接触面积,从而确保对人工瓣膜的轴向限位。As a preferred solution of the above embodiment, the minimum radial distance between the concave portion (the first concave portion 44 or the second concave portion 54 ) and the axis of the catheter 2 is less than half of the inner diameter of the artificial valve in a compressed state. As a result, there is a sufficient contact area between the stopper and the artificial valve, thereby ensuring the axial limit of the artificial valve.

当凸部(如第一凸部43或第二凸部53)与导管2轴线的径向最大距离大于人工瓣膜压缩状态下外径的一半,凸部(如第一凸部43或第二凸部53)与导管2轴线的径向最大距离优选为人工瓣膜压缩状态下的外径的一半的1.05~1.25倍。When the radial maximum distance between the convex portion (such as the first convex portion 43 or the second convex portion 53) and the axis of the catheter 2 is greater than half of the outer diameter of the prosthetic valve in the compressed state, the convex portion (such as the first convex portion 43 or the second convex portion The radial maximum distance between the portion 53) and the axis of the catheter 2 is preferably 1.05 to 1.25 times the half of the outer diameter of the artificial valve in a compressed state.

作为可选的实施例,套管部(如第一管部41或第二管部51)的管壁上设置径向贯通的点胶孔(第一点胶孔45或第二点胶孔56),点胶孔(第一点胶孔45或第二点胶孔56)至少贯通套管部(如第一管部41或第二管部51)的单侧管壁,由此实现止挡件与导管的黏结固定。As an optional embodiment, a radially penetrating dispensing hole (the first dispensing hole 45 or the second dispensing hole 56) is set on the pipe wall of the casing part (such as the first pipe part 41 or the second pipe part 51). ), the dispensing hole (the first dispensing hole 45 or the second dispensing hole 56) at least penetrates the one-sided tube wall of the casing part (such as the first tube part 41 or the second tube part 51), thereby realizing a stop Adhesive fixation of parts and conduits.

作为可选的实施例,止动部(如第一止动部42或第二止动部52)的轴向长度为套管部(如第一管部41或第二管部51)的轴向长度的三分之一至二分之一。由此,通过合理控制套管部和止动部的轴向长度比例,可使得止挡件在结构强度和轴向定位上具有更好的性能,且结构件的尺寸可保持在一个合理的范围内。As an optional embodiment, the axial length of the stopper part (such as the first stopper part 42 or the second stopper part 52) is the axis of the sleeve part (such as the first tube part 41 or the second tube part 51). One-third to one-half of the length. Therefore, by reasonably controlling the axial length ratio of the sleeve part and the stopper part, the stopper can have better performance in terms of structural strength and axial positioning, and the size of the structural part can be kept within a reasonable range Inside.

作为可选的实施例,参见图3,套管部(如第一管部41或第二管部51)的另一端同轴连接有延伸部(即第一实施例中的第三管部55),延伸部为套管状,延伸部套接并固定在导管2上,延伸部的外径小于套管部(如第一管部41或第二管部51)的外径。当止挡件靠近设置在球囊1远端区域时,延伸部可用于固定连接引导件(即第一实施例中的锥形头7),具体地,球囊1的远端包裹在延伸部的远端外管壁上,引导件与延伸部可以通过端面固定连接或者插装固定连接。As an optional embodiment, referring to FIG. 3 , the other end of the casing part (such as the first tube part 41 or the second tube part 51 ) is coaxially connected with an extension part (that is, the third tube part 55 in the first embodiment). ), the extension part is sleeve-shaped, the extension part is sleeved and fixed on the catheter 2, and the outer diameter of the extension part is smaller than the outer diameter of the sleeve part (such as the first tube part 41 or the second tube part 51). When the stopper is placed close to the distal area of the balloon 1, the extension can be used to fix the connecting guide (ie, the conical head 7 in the first embodiment), specifically, the distal end of the balloon 1 is wrapped around the extension. On the outer tube wall at the distal end, the guide piece and the extension part can be fixedly connected through the end surface or fixedly connected by inserting.

由此,靠近球囊远端区域设置的止挡件,可在为人工瓣膜提供限位功能的同时,还为引导件和球囊远端提供安装位置,使得人工瓣膜输送装置在远端区域的结构更为紧凑、简洁,也能减少对血管的损伤。As a result, the stopper provided near the distal end of the balloon can provide a position-limiting function for the artificial valve and at the same time provide an installation position for the guide and the distal end of the balloon, so that the artificial valve delivery device can be positioned at the distal end of the valve. The structure is more compact and simple, and can also reduce damage to blood vessels.

本申请还提供了一种人工瓣膜输送装置,包括人工瓣膜输送系统,参见图5,包括导管2、位于导管2远端区域的球囊1、位于导管2远端的引导件、位于球囊1内并间隔设置在导管2上的近端止挡件(即第一实施例中的第一挡件4)和远端止挡件(即第一实施例 中的第二挡件5)。The present application also provides an artificial valve delivery device, including an artificial valve delivery system, as shown in FIG. A proximal stopper (ie, the first stopper 4 in the first embodiment) and a distal stopper (ie, the second stopper 5 in the first embodiment) are provided on the catheter 2 at intervals.

近端止挡件和远端止挡件为上述实施例所述的止挡件,二者相靠近的部分为各自的止动部,近端止挡件和远端止挡件之间的空间形成容纳处于压缩状态的人工瓣膜的限位空间。The near-end stopper and the far-end stopper are the stoppers described in the above embodiments, and the parts where the two are close to each other are respective stoppers, and the space between the proximal stopper and the far-end stopper A limited space for accommodating the artificial valve in a compressed state is formed.

由此,通过近端止挡件和远端止挡件,能有效地对人工瓣膜在轴向上进行限位,止动部上的凹部还能优化球囊膨胀和收缩时流体在球囊内的流动路径,尤其是在球囊收缩状态下为流体提供流动通道,对于改进球囊膨胀和收缩效果有积极作用。As a result, the proximal stopper and the distal stopper can effectively limit the position of the artificial valve in the axial direction, and the recess on the stopper can also optimize the flow of fluid in the balloon when the balloon is inflated and deflated. The flow path, especially providing a flow channel for the fluid in the balloon deflation state, has a positive effect on improving the inflation and deflation effects of the balloon.

作为可选的实施例,球囊1的近端固接在导管2上,球囊1的近端与近端止挡件间隔设置。导管2的管壁上设置若干径向贯通的开口,用于膨胀球囊1的流体由开口流入球囊1的内部。开口设置在球囊1的近端和近端止挡件之间。As an optional embodiment, the proximal end of the balloon 1 is affixed to the catheter 2, and the proximal end of the balloon 1 is spaced apart from the proximal end stopper. The tube wall of the catheter 2 is provided with several radially through openings, and the fluid used to inflate the balloon 1 flows into the interior of the balloon 1 through the openings. The opening is provided between the proximal end of the balloon 1 and the proximal stop.

当远端止挡件的套管部(如第一管部41或第二管部51)的远离止动部(如第一止动部42或第二止动部52)的一端同轴连接有延伸部,延伸部为套管状并套接固定在导管2上,延伸部的外管壁与球囊1的远端固接,延伸部的远端与引导件固接。When the end of the sleeve part (such as the first tube part 41 or the second tube part 51) of the distal stopper is connected coaxially to the stop part (such as the first stop part 42 or the second stop part 52) There is an extension part, the extension part is sleeve-shaped and fixed on the catheter 2, the outer tube wall of the extension part is fixedly connected to the distal end of the balloon 1, and the distal end of the extension part is fixedly connected to the guide.

作为上述实施例的替代方案,参见图1,人工瓣膜输送装置还设置有球囊连接管3,导管2由球囊连接管3穿出并进入球囊1内部,球囊1的近端固接在球囊连接管3上,球囊1的近端与近端止挡件间隔设置,此时,球囊连接管3与近端止挡件之间也为间隔设置,球囊连接管3和导管2在球囊1的近端处形成环形腔8,用于膨胀球囊1的流体由环形腔8经球囊连接管3与近端止挡件之间的间隔流入球囊1的内部。As an alternative to the above embodiment, referring to Fig. 1, the artificial valve delivery device is also provided with a balloon connecting tube 3, the catheter 2 passes through the balloon connecting tube 3 and enters the inside of the balloon 1, and the proximal end of the balloon 1 is affixed On the balloon connecting tube 3, the proximal end of the balloon 1 is spaced from the proximal stopper. At this time, the distance between the balloon connecting tube 3 and the proximal stopper is also set at intervals. The balloon connecting tube 3 and The catheter 2 forms an annular lumen 8 at the proximal end of the balloon 1 , and the fluid used to inflate the balloon 1 flows into the interior of the balloon 1 through the annular lumen 8 through the space between the balloon connecting tube 3 and the proximal stopper.

在上述的两个实施例中,流体由球囊的近端流入球囊内部,由此近端止挡件上的凹部均能在球囊处于收缩状态时为流体提供流体通道,以实现较好的流动效果。In the above two embodiments, the fluid flows into the interior of the balloon from the proximal end of the balloon, so that the recess on the proximal stopper can provide a fluid channel for the fluid when the balloon is in a contracted state, so as to achieve better flow effect.

本申请的描述中,需要理解的是,如无特别说明,“第一”、“第二”等类似词语仅用于描述目的,而不能理解为指示或暗示相对重要性。此外,在本申请的描述中,除非另有说明,“多个”、“若干”的含义是两个或两个以上。In the description of the present application, it should be understood that, unless otherwise specified, "first", "second" and other similar words are used for description purposes only, and should not be understood as indicating or implying relative importance. In addition, in the description of the present application, unless otherwise specified, the meanings of "plurality" and "several" are two or more.

本领域的技术人员能够理解的是,在不冲突的前提下,上述各优选方案可以自由地组合、叠加。Those skilled in the art can understand that, on the premise of no conflict, the above-mentioned preferred solutions can be freely combined and superimposed.

应当理解,上述的实施方式仅是示例性的,而非限制性的,在不偏离本申请的基本原理的情况下,本领域的技术人员可以针对上述细节做出的各种明显的或等同的修改或替换,都将包含于本申请的权利要求范围内。It should be understood that the above-mentioned implementations are only exemplary rather than limiting, and those skilled in the art can make various obvious or equivalent solutions to the above-mentioned details without departing from the basic principles of the present application. Any modification or replacement will be included in the scope of the claims of this application.

Claims (20)

一种用于人工瓣膜输送系统的止动装置,所述人工瓣膜输送系统包括用于设置人工瓣膜的球囊和贯穿球囊的导管,流体由球囊的近端流入球囊内部,其特征在于,所述止动装置位于球囊内并包括:A stop device for an artificial valve delivery system, the artificial valve delivery system includes a balloon for setting the artificial valve and a catheter passing through the balloon, the fluid flows into the interior of the balloon from the proximal end of the balloon, and is characterized in that , the stopper is located within the balloon and includes: 第一挡件,沿导管的轴向包括第一管部和第一止动部,第一管部套接并固定在所述导管上,且与所述球囊的近端间隔设置,第一止动部套设在所述导管上,第一止动部的近端与第一管部的远端固接,第一止动部的远端用于限位所述人工瓣膜的近端,第一止动部为环状结构并由若干第一凸部和若干第一凹部沿周向交替连接形成,第一凸部的内外壁面均沿第一止动部的径向向外凸起,第一凹部的内外壁面均沿第一止动部的径向向内凹陷,第一凸部与所述导管轴线的径向距离自第一止动部的近端向远端逐渐增大;The first stopper includes a first tube portion and a first stopper along the axial direction of the catheter, the first tube portion is sleeved on and fixed on the catheter, and is spaced apart from the proximal end of the balloon, the first The stopper is sleeved on the catheter, the proximal end of the first stopper is affixed to the distal end of the first tube, and the distal end of the first stopper is used to limit the proximal end of the artificial valve, The first stop part is an annular structure and is formed by alternately connecting several first convex parts and several first concave parts along the circumferential direction, and the inner and outer wall surfaces of the first convex part protrude outward along the radial direction of the first stop part, The inner and outer wall surfaces of the first recess are recessed inward along the radial direction of the first stopper, and the radial distance between the first protrusion and the catheter axis gradually increases from the proximal end to the distal end of the first stopper; 第二挡件,沿导管的轴向包括第二管部和第二止动部,第二管部套接并固定在所述导管上,并靠近所述球囊的远端设置,第二止动部套设在所述导管上,第二止动部的远端与第二管部的近端固接,第二止动部的近端用于限位所述人工瓣膜的远端,第二止动部为环状结构并由若干第二凸部和若干第二凹部沿周向交替连接形成,第二凸部的内外壁面均沿第二止动部的径向向外凸起,第二凹部的内外壁面均沿第二止动部的径向向内凹陷,第二凸部与所述导管轴线的径向距离自第二止动部的近端向远端逐渐减小;The second stopper includes a second tube part and a second stop part along the axial direction of the catheter, the second tube part is sleeved and fixed on the catheter, and is arranged near the distal end of the balloon, and the second stop part The moving part is sleeved on the catheter, the distal end of the second stopper is fixedly connected to the proximal end of the second pipe part, and the proximal end of the second stopper is used to limit the distal end of the artificial valve. The two stoppers are ring-shaped and formed by alternately connecting several second protrusions and second recesses along the circumferential direction. The inner and outer walls of the second protrusions protrude outward along the radial direction of the second stopper. The inner and outer walls of the two recesses are recessed inward along the radial direction of the second stopper, and the radial distance between the second protrusion and the axis of the catheter gradually decreases from the proximal end to the distal end of the second stopper; 所述第一止动部和第二止动部之间的轴向间距与所述人工瓣膜的轴向长度相配合;The axial distance between the first stopper and the second stopper matches the axial length of the artificial valve; 当所述球囊处于收缩状态时,流体能由所述若干第一凹部和所述若干第二凹部经过。When the balloon is in a deflated state, fluid can pass through the plurality of first recesses and the plurality of second recesses. 如权利要求1所述的用于人工瓣膜输送系统的止动装置,其特征在于,所述第一止动部为等壁厚结构;所述第二止动部为等壁厚结构。The stopper device for an artificial valve delivery system according to claim 1, characterized in that, the first stopper is a structure of equal wall thickness; the second stopper is a structure of constant wall thickness. 如权利要求1所述的用于人工瓣膜输送系统的止动装置,其特征在于,所述第一管部和第一止动部平滑连接;所述第二管部和第二止动部平滑连接。The stopping device for the artificial valve delivery system according to claim 1, wherein the first tube part is smoothly connected with the first stopper part; the second tube part and the second stopper part are smoothly connected connect. 如权利要求1所述的用于人工瓣膜输送系统的止动装置,其特征在于,所述第一凹部的径向截面呈V形,若干第一凹部沿周向排列,相邻的两个第一凹部之间形成第一凸部;所述第二凹部的径向截面呈V形,若干第二凹部沿周向排列,相邻的两个第二凹部之间形成第二凸部。The stopping device for an artificial valve delivery system according to claim 1, wherein the radial cross-section of the first recess is V-shaped, several first recesses are arranged in the circumferential direction, and two adjacent second recesses A first convex portion is formed between one concave portion; a radial section of the second concave portion is V-shaped, several second concave portions are arranged along the circumferential direction, and a second convex portion is formed between two adjacent second concave portions. 如权利要求1所述的用于人工瓣膜输送系统的止动装置,其特征在于,The stopping device for an artificial valve delivery system according to claim 1, wherein, 所述第一止动部的远端面上,所述第一凸部与所述导管轴线的径向最大距离大于所述人工瓣膜压缩状态下的内径的一半,且所述第一凹部与所述导管轴线的径向最小距离小于所述人工瓣膜压缩状态下的内径的一半;On the distal end surface of the first stopper part, the radial maximum distance between the first convex part and the axis of the catheter is greater than half of the inner diameter of the artificial valve in a compressed state, and the first concave part and the The radial minimum distance of the catheter axis is less than half of the inner diameter of the artificial valve in a compressed state; 所述第二止动部的近端面上,所述第二凸部与所述导管轴线的径向最大距离大于所述人工瓣膜压缩状态下的内径的一半,且所述第二凹部与所述导管轴线的径向最小距离小于所述人工瓣膜压缩状态下的内径的一半。On the proximal end surface of the second stopper, the radial maximum distance between the second protrusion and the catheter axis is greater than half of the inner diameter of the artificial valve in a compressed state, and the second recess and the The radial minimum distance of the catheter axis is less than half of the inner diameter of the prosthetic valve in a compressed state. 如权利要求1所述的用于人工瓣膜输送系统的止动装置,其特征在于,The stopping device for an artificial valve delivery system according to claim 1, wherein, 所述第一止动部的远端面上,所述第一凸部与所述导管轴线的径向最大距离大于所述人工瓣膜压缩状态下的外径的一半,且所述第一凹部与所述导管轴线的径向最小距离小于所述人工瓣膜压缩状态下的外径的一半;On the distal end surface of the first stopper part, the radial maximum distance between the first convex part and the axis of the catheter is greater than half of the outer diameter of the artificial valve in a compressed state, and the first concave part and the The radial minimum distance of the catheter axis is less than half of the outer diameter of the prosthetic valve in a compressed state; 所述第二止动部的近端面上,所述第二凸部与所述导管轴线的径向最大距离大于所述 人工瓣膜压缩状态下的外径的一半,且所述第二凹部所述导管轴线的径向最小距离小于所述人工瓣膜压缩状态下的外径的一半。On the proximal end surface of the second stopper, the maximum radial distance between the second protrusion and the catheter axis is greater than half of the outer diameter of the artificial valve in a compressed state, and the second recess is defined by The radial minimum distance of the catheter axis is less than half of the outer diameter of the artificial valve in a compressed state. 如权利要求6所述的用于人工瓣膜输送系统的止动装置,其特征在于,The stopping device for an artificial valve delivery system according to claim 6, wherein, 所述第一凸部与所述导管轴线的径向最大距离为所述人工瓣膜压缩状态下的外径的一半的1.05~1.25倍;The maximum radial distance between the first protrusion and the catheter axis is 1.05 to 1.25 times half of the outer diameter of the artificial valve in a compressed state; 所述第二凸部与所述导管轴线的径向最大距离为所述人工瓣膜压缩状态下的外径的一半的1.05~1.25倍。The maximum radial distance between the second protrusion and the catheter axis is 1.05-1.25 times half of the outer diameter of the artificial valve in a compressed state. 如权利要求1至7任一项所述的用于人工瓣膜输送系统的止动装置,其特征在于,所述第二挡件沿轴向还包括第三管部,第三管部的近端与所述第二管部的远端固接,第三管部的远端用于与所述输送系统的锥形头和所述球囊的远端固接,第三管部的近端外径小于所述第二管部的远端外径。The stopping device for an artificial valve delivery system according to any one of claims 1 to 7, wherein the second blocking member further includes a third tube portion in the axial direction, and the proximal end of the third tube portion It is affixed to the distal end of the second tube part, the distal end of the third tube part is used to be affixed to the conical head of the delivery system and the distal end of the balloon, and the proximal end of the third tube part is The diameter is smaller than the outer diameter of the distal end of the second tube part. 如权利要求1至8任一项所述的用于人工瓣膜输送系统的止动装置,其特征在于,所述第一管部的管壁上设置径向贯通的第一点胶孔;所述第二管部的管壁上设置径向贯通的第二点胶孔。The stopping device for an artificial valve delivery system according to any one of claims 1 to 8, wherein a radially penetrating first dispensing hole is set on the tube wall of the first tube part; A radially penetrating second dispensing hole is arranged on the pipe wall of the second pipe portion. 一种人工瓣膜输送系统,其特征在于,包括设置在所述输送系统远端的球囊、用于连接球囊的球囊连接管和插装于所述球囊连接管的导管,所述球囊的近端与球囊连接管的远端连接固定,所述导管由球囊连接管的远端穿出并由球囊的近端穿入球囊内,所述球囊连接管和导管在球囊的近端处内形成环形腔,用于膨胀球囊的流体由所述环形腔流入或流出球囊的内部;An artificial valve delivery system, characterized in that it comprises a balloon arranged at the far end of the delivery system, a balloon connecting tube for connecting the balloon and a catheter inserted into the balloon connecting tube, the balloon The proximal end of the balloon is connected and fixed with the distal end of the balloon connecting tube, and the catheter passes through the distal end of the balloon connecting tube and penetrates into the balloon through the proximal end of the balloon. The balloon connecting tube and the catheter are An annular cavity is formed at the proximal end of the balloon, through which the fluid used to inflate the balloon flows into or out of the interior of the balloon; 所述导管上设置有如权利要求1至9任一项所述的止动装置,所述止动装置用于对压缩状态的人工瓣膜进行轴向限位。The guide tube is provided with a stopping device according to any one of claims 1 to 9, and the stopping device is used for axially limiting the artificial valve in a compressed state. 一种人工瓣膜输送装置的止挡件,所述人工瓣膜输送装置包括用于设置人工瓣膜的球囊和贯穿球囊的导管,导管上间隔设置两个所述止挡件,其特征在于,A stopper for an artificial valve delivery device, the artificial valve delivery device includes a balloon for setting the artificial valve and a catheter that runs through the balloon, and two stoppers are arranged at intervals on the catheter, it is characterized in that, 所述止挡件包括套管部和止动部;所述套管部用于套接固定在导管上,所述套管部的一端同轴连接有所述止动部;所述止动部用于限位人工瓣膜,止动部为套设在导管上的环状结构并由若干凸部和若干凹部沿周向交替连接形成,所述凸部的内外壁面均沿止动部的径向向外凸起,所述凹部的内外壁面均沿止动部的径向向内凹陷,所述凸部与止动部轴线的径向距离向远离套管部的方向逐渐增大,所述凹部沿止动部的轴向贯穿止动部。The stopper includes a sleeve part and a stop part; the sleeve part is used to be sleeved and fixed on the catheter, and one end of the sleeve part is coaxially connected with the stop part; the stop part It is used to limit the artificial valve. The stop part is an annular structure sleeved on the catheter and is formed by alternately connecting several convex parts and several concave parts along the circumferential direction. The inner and outer walls of the convex parts are all along the radial direction of the stop part. The inner and outer wall surfaces of the concave part are recessed inward along the radial direction of the stopper part, and the radial distance between the convex part and the axis of the stopper part gradually increases in the direction away from the sleeve part, and the concave part The stop part is penetrated along the axial direction of the stop part. 如权利要求11所述的人工瓣膜输送装置的止挡件,其特征在于,所述止动部为等壁厚结构。The stopper of the artificial valve delivery device according to claim 11, characterized in that, the stopper is a structure of equal wall thickness. 如权利要求11所述的人工瓣膜输送装置的止挡件,其特征在于,所述套管部和止动部之间为平滑连接。The stopper of the artificial valve delivery device according to claim 11, wherein the sleeve part and the stopper part are connected smoothly. 如权利要求11所述的人工瓣膜输送装置的止挡件,其特征在于,所述凹部的径向截面呈V形,相邻的两个凹部之间形成凸部。The stopper of the artificial valve delivery device according to claim 11, wherein the radial cross-section of the concave part is V-shaped, and a convex part is formed between two adjacent concave parts. 如权利要求14所述的人工瓣膜输送装置的止挡件,其特征在于,所述凸部在径向上的最高处呈弧形。The stopper of the artificial valve delivery device according to claim 14, wherein the highest point of the protrusion in the radial direction is arc-shaped. 如权利要求11所述的人工瓣膜输送装置的止挡件,其特征在于,所述止动部的端面上,所述凸部与所述止动部轴线的径向最大距离大于人工瓣膜压缩状态下内径的一半,且所述凹部与所述止动部轴线的径向最小距离小于人工瓣膜压缩状态下内径的一半。The stopper of the artificial valve delivery device according to claim 11, characterized in that, on the end face of the stopper part, the radial maximum distance between the convex part and the axis of the stopper part is greater than the compressed state of the artificial valve half of the lower inner diameter, and the radial minimum distance between the recess and the axis of the stopper is less than half of the inner diameter of the artificial valve in a compressed state. 如权利要求16所述的人工瓣膜输送装置的止挡件,其特征在于,所述凸部与所述止动部轴线的径向最大距离大于人工瓣膜压缩状态下外径的一半。The stopper of the artificial valve delivery device according to claim 16, wherein the maximum radial distance between the protrusion and the axis of the stopper is greater than half of the outer diameter of the artificial valve in a compressed state. 如权利要求11所述的人工瓣膜输送装置的止挡件,其特征在于,所述套管部的管壁上设置径向贯通的点胶孔。The stopper of the artificial valve delivery device according to claim 11, characterized in that, radially penetrating glue dispensing holes are arranged on the tube wall of the cannula part. 如权利要求11至18任一项所述的人工瓣膜输送装置的止挡件,其特征在于,所述套管部的另一端同轴连接有延伸部,所述延伸部为套管状并套接固定在所述导管上,所述延伸部的外径小于套管部的外径。The stopper of the artificial valve delivery device according to any one of claims 11 to 18, characterized in that, the other end of the sleeve part is coaxially connected with an extension part, and the extension part is sleeve-shaped and sleeved To be fixed on the catheter, the outer diameter of the extension part is smaller than the outer diameter of the sleeve part. 一种人工瓣膜输送装置,其特征在于,包括导管、位于所述导管远端区域的球囊、位于所述导管远端的引导件、位于所述球囊内并间隔设置在所述导管上的近端止挡件和远端止挡件;An artificial valve delivery device is characterized in that it comprises a catheter, a balloon located at the distal end of the catheter, a guide at the distal end of the catheter, a guide located in the balloon and spaced on the catheter a proximal stop and a distal stop; 所述近端止挡件和所述远端止挡件为上述权利要求11至19任一项所述的止挡件,二者相靠近的部分为各自的止动部,所述近端止挡件和所述远端止挡件之间形成容纳处于压缩状态的人工瓣膜的限位空间;所述球囊的近端与所述近端止挡件间隔设置。The proximal stopper and the distal stopper are the stoppers described in any one of claims 11 to 19, and the adjacent parts of the two are respective stoppers, and the proximal stopper A limiting space for accommodating the artificial valve in a compressed state is formed between the stopper and the distal stopper; the proximal end of the balloon is spaced apart from the proximal stopper.
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