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CN216724895U - Vascular stent delivery system - Google Patents

Vascular stent delivery system Download PDF

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Publication number
CN216724895U
CN216724895U CN202121061987.XU CN202121061987U CN216724895U CN 216724895 U CN216724895 U CN 216724895U CN 202121061987 U CN202121061987 U CN 202121061987U CN 216724895 U CN216724895 U CN 216724895U
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gear
inner tube
rack
driving
delivery system
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吴常生
陆信武
叶开创
葛泉波
包程
施玉峰
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Shanghai Weiyu Medical Technology Co ltd
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Shanghai Weiyu Medical Technology Co ltd
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Abstract

The utility model provides a vascular stent delivery system, it includes: the catheter unit comprises an outer tube and an inner tube unit arranged in the outer tube, the inner tube unit comprises an inner tube and a stent pushing unit arranged on the inner tube, and a loading area for accommodating the intravascular stent is arranged between the inner tube unit and the outer tube and in front of the stent pushing unit; the conveying unit comprises a driving handle, a locking mechanism and a transmission unit arranged in the shell, the transmission unit comprises a rotating gear set, a rear driving rack and a front driving rack, and the rear driving rack and the front driving rack are both meshed with the rotating gear set; the rear driving rack is connected with the driving handle, the front driving rack is connected with the outer pipe, and a push rod connected with the inner pipe is arranged in the driving handle; the driving handle is sleeved on the shell in a sliding mode, and the locking mechanism is arranged on the driving handle and used for locking and releasing the driving handle and the shell. The utility model discloses well user only operates the drive handle and can realize the transport of vascular support, is convenient for realize.

Description

血管支架输送系统Vascular stent delivery system

技术领域technical field

本实用新型涉及医疗器械技术领域,特别是涉及一种血管支架的输送系统。The utility model relates to the technical field of medical devices, in particular to a delivery system for a blood vessel stent.

背景技术Background technique

以外周血管支架介入为例,血管支架的植入需要借助输送装置,现有技术中,如CN201110190183.4公开一种输送装置,其采用相互套接的中空内管和外管,血管支架设置在内管和外管之间,内管是一中空结构,其内部腔道便于手术时导丝穿入;手术时,输送装置通过导丝的引导将导管单元输送到手术区域,控制单元使外管和内管作相对运动,其过程中血管支架展开并紧贴血管内壁,起到支撑的作用。Taking the intervention of peripheral vascular stents as an example, the implantation of vascular stents requires the use of a delivery device. In the prior art, for example, CN201110190183.4 discloses a delivery device, which adopts a hollow inner tube and an outer tube that are sleeved with each other, and the vascular stent is arranged in the Between the inner tube and the outer tube, the inner tube is a hollow structure, and its inner lumen is convenient for the guide wire to penetrate during the operation; during the operation, the delivery device transports the catheter unit to the operation area through the guidance of the guide wire, and the control unit makes the outer tube pass through. It moves relative to the inner tube. During the process, the vascular stent expands and adheres to the inner wall of the blood vessel to play a supporting role.

支架在人体管腔内展开的轴向长度记为L1,支架在外管内压缩状态下的轴向长度记为 L2一般L1小于L2,因此,两者长度之差与L2之比称为支架短缩率。对于CN201110190183.4 中公开的自膨式支架的输送与释放方式,当支架在人体管腔内的短缩率为零或比较小时(如小于3%),在支架定位和释放过程中一般不会存在太大问题。然而,对于短缩率较大的支架,尤其是镍钛丝编织的高短缩性支架(30%以上),上述释放方式存在很多缺陷,1):这种简单的释放方式就无法保证支架释放前的定位点和释放后的支架定位点实际位置相吻合,造成支架远端移位。假设支架在外管内压缩状态下的长度为L0,而释放到预定管腔内的实际自然长度为L1,则支架轴向短缩量为△L=L0-L1。由于支架在释放时要发生轴向短缩,而支架近端在支架未完全释放时仍压缩在输送装置的鞘管内,不能移动,所以支架远端的定位点会随支架的短缩向近端移动,在支架释放完成后,远端定位点移动的距离可以达到△L,从而造成支架定位不准,给手术操作带来极大麻烦,甚至造成手术失败。2):因为支架在释放过程中要发生轴向短缩,已经贴壁的远端部分支架在人体管腔内会随支架短缩逐渐向近端移动(或有这种移动的趋势),这种运动极有可能会造成管腔内壁的损伤。另外,在支架释放过程中,由于支架远端和近端分别受人体管腔内壁和输送装置的限制,未完全短缩的支架会存在轴向拉伸作用,使得支架与人体管腔内壁之间存在轴向作用力,这种牵扯力也极易造成管腔内壁的损伤。The axial length of the stent deployed in the human lumen is recorded as L1, and the axial length of the stent in the compressed state in the outer tube is recorded as L2. Generally, L1 is less than L2. Therefore, the ratio of the difference between the two lengths to L2 is called the stent shortening ratio. . For the delivery and release method of the self-expanding stent disclosed in CN201110190183.4, when the shortening rate of the stent in the human lumen is zero or relatively small (for example, less than 3%), the stent will generally not be positioned and released during the stent positioning and release process. There are too many problems. However, for stents with a large shortening rate, especially the highly shortened stents woven with NiTi wire (more than 30%), the above-mentioned release methods have many defects, 1): this simple release method cannot guarantee stent release The actual position of the anterior anchor point and the stent anchor point after release coincide, causing the distal end of the stent to shift. Assuming that the length of the stent in the compressed state in the outer tube is L0, and the actual natural length released into the predetermined lumen is L1, the axial shortening of the stent is ΔL=L0-L1. Since the stent is axially shortened when the stent is released, and the proximal end of the stent is still compressed in the sheath of the delivery device and cannot move when the stent is not fully released, the anchor point at the distal end of the stent will move toward the proximal end with the shortening of the stent. After the stent is released, the distance of the distal positioning point can reach △L, resulting in inaccurate positioning of the stent, which brings great trouble to the operation and even causes the operation to fail. 2): Because the stent will undergo axial shortening during the release process, the distal part of the stent that has been attached to the wall will gradually move to the proximal end with the shortening of the stent in the human lumen (or there is a tendency to move in this way). This kind of movement is very likely to cause damage to the inner wall of the lumen. In addition, during the stent release process, because the distal end and proximal end of the stent are respectively restricted by the inner wall of the human lumen and the delivery device, the incompletely shortened stent will have an axial stretching effect, causing the gap between the stent and the inner wall of the human lumen. There is an axial force, and this pulling force can easily cause damage to the inner wall of the lumen.

由于在释放过程中,支架短缩而输送装置无法自动调整以适应这种短缩。而CN201110183029.4揭示了一种支架短缩自适应输送装置,该专利所设计的输送装置可以精准的释放支架,支架与管腔间无位移,可避免支架对人体管腔的损伤。但该输送装置结构复杂、传动力大,而且对长规格支架则需要很长的操作手柄,非常笨重,并且旋钮驱动力很大,这样对医生操作带来很大的不便。Since the stent shortens during release, the delivery device cannot automatically adjust to accommodate this shortening. And CN201110183029.4 discloses a stent shortening self-adaptive delivery device, the delivery device designed in this patent can release the stent accurately, and there is no displacement between the stent and the lumen, which can avoid the damage of the stent to the human lumen. However, the conveying device has a complex structure and large transmission force, and requires a long operating handle for a long-sized bracket, which is very bulky and has a large driving force of the knob, which brings great inconvenience to the doctor's operation.

因此,需要一种具有支架短缩自适应功能、且结构简单易于操作的血管支架输送系统。Therefore, there is a need for a vascular stent delivery system with a stent shortening adaptive function and a simple structure and easy operation.

实用新型内容Utility model content

鉴于以上所述现有技术的缺点,本实用新型的目的在于提供一种血管支架输送系统,用于解决现有技术中血管支架输送机构复杂、不易操作的问题。In view of the above-mentioned shortcomings of the prior art, the purpose of the present invention is to provide a vascular stent delivery system, which is used to solve the problems of complicated and difficult operation of the vascular stent delivery mechanism in the prior art.

为实现上述目的及其他相关目的,本实用新型提供一种血管支架输送系统,其包括:In order to achieve the above-mentioned purpose and other related purposes, the utility model provides a blood vessel stent delivery system, which comprises:

导管单元,包括外管以及设于所述外管内的内管单元,所述内管单元包括内管以及置于内管上的支架推送单元,所述内管单元与外管间且在所述支架推送单元前方具有容置血管支架的装载区;A catheter unit, comprising an outer tube and an inner tube unit arranged in the outer tube, the inner tube unit comprising an inner tube and a stent pushing unit placed on the inner tube, the inner tube unit and the outer tube and between the inner tube unit and the outer tube There is a loading area for accommodating the blood vessel stent in front of the stent pushing unit;

输送单元,包括驱动把手、锁紧机构以及置于外壳内的传动单元;所述驱动把手通过所述传动单元与所述导管单元相连,以驱动所述外管与内管运动且外管与内管运动方向相反;所述驱动把手滑动套设于所述外壳上,所述锁紧机构设于所述驱动把手上,用于将所述驱动把手和所述外壳锁紧和释放。The conveying unit includes a driving handle, a locking mechanism and a transmission unit placed in the casing; the driving handle is connected with the catheter unit through the transmission unit, so as to drive the outer tube and the inner tube to move and the outer tube and the inner tube to move. The pipe moves in opposite directions; the driving handle is slidably sleeved on the housing, and the locking mechanism is provided on the driving handle for locking and releasing the driving handle and the housing.

优选的,所述锁紧机构包括压片、锁块以及弹簧,所述压片转动设置在所述驱动把手上,且压片的一端与所述锁块相抵触,所述弹簧支撑所述锁块,用于保持所述锁块将所述驱动把手和所述外壳锁紧,按压所述压片时所述压片抵压所述锁块释放所述驱动把手和所述外壳。Preferably, the locking mechanism includes a pressing piece, a locking block and a spring, the pressing piece is rotatably arranged on the driving handle, and one end of the pressing piece is in conflict with the locking block, and the spring supports the lock The block is used for keeping the locking block to lock the driving handle and the housing, and when the pressing piece is pressed, the pressing piece presses against the locking block to release the driving handle and the housing.

优选的,所述传动单元包括转动齿轮组、后驱齿条和前驱齿条,后驱齿条和前驱齿条均与所述转动齿轮组啮合;所述后驱齿条与所述驱动把手相连,所述前驱齿条与所述外管相连,所述驱动把手中固定设有与所述内管相连的推杆。Preferably, the transmission unit includes a rotation gear set, a rear drive rack and a front drive rack, and both the rear drive rack and the front drive rack mesh with the rotation gear set; the rear drive rack is connected to the drive handle , the front drive rack is connected with the outer tube, and a push rod connected with the inner tube is fixed in the drive handle.

优选的,所述转动齿轮组包括设于所述外壳内的转动轴以及设于所述转动轴上的第一齿轮和第二齿轮,所述第一齿轮与所述后驱齿条相啮合,所述第二齿轮与所述前驱齿条相啮合。Preferably, the rotating gear set includes a rotating shaft arranged in the casing, a first gear and a second gear arranged on the rotating shaft, and the first gear meshes with the rear drive rack, The second gear meshes with the front drive rack.

优选的,所述第一齿轮和所述第二齿轮的齿速比不同。Preferably, the gear ratios of the first gear and the second gear are different.

优选的,所述第一齿轮或所述第二齿轮通过单向离合机构与所述转动轴配合,当所述驱动把手带动所述后驱齿条向后运动时所述前驱齿条不动。Preferably, the first gear or the second gear cooperates with the rotating shaft through a one-way clutch mechanism, and the front drive rack does not move when the drive handle drives the rear drive rack to move backwards.

优选的,所述推杆和所述内管均为中空结构且两者相通,所述驱动把手上设有与所述推杆连通的过孔,所述内管的前端与一软头相连。Preferably, the push rod and the inner tube are both hollow structures and communicate with each other, the drive handle is provided with a through hole communicating with the push rod, and the front end of the inner tube is connected to a soft head.

优选的,所述传动单元包括转动齿轮组、后驱齿条、前驱齿条和中驱齿条,所述转动齿轮组包括转动设于所述外壳内的转动轴以及设于所述转动轴上的第一齿轮、第二齿轮以及位于第一齿轮和第二齿轮间的中间齿轮,所述第一齿轮与所述后驱齿条相啮合,所述第二齿轮与所述前驱齿条相啮合,所述中间齿轮与所述中驱齿条相连;所述中驱齿条与所述驱动把手相连,所述前驱齿条与所述外管相连,所述驱动把手中固定设有与所述内管相连的推杆。Preferably, the transmission unit includes a rotating gear set, a rear drive rack, a front drive rack and a middle drive rack, and the rotating gear set includes a rotating shaft rotatably arranged in the housing and a rotating shaft arranged on the rotating shaft. A first gear, a second gear and an intermediate gear located between the first gear and the second gear, the first gear meshes with the rear drive rack, and the second gear meshes with the front drive rack , the intermediate gear is connected with the middle drive rack; the middle drive rack is connected with the drive handle, the front drive rack is connected with the outer tube, and the drive handle is fixed with the The push rod to which the inner tube is connected.

优选的,所述第一齿轮或所述第二齿轮通过单向离合机构与所述转动轴配合,当所述驱动把手带动所述中驱齿条向后运动时所述后驱齿条同时向后运动,但所述前驱齿条不动。Preferably, the first gear or the second gear is matched with the rotating shaft through a one-way clutch mechanism, and when the driving handle drives the middle drive rack to move backwards, the rear drive rack simultaneously moves toward the rear. Rear movement, but the front drive rack does not move.

优选的,所述传动单元包括转动齿轮组、后驱齿条和前驱齿条,所述转动齿轮组包括转动设于所述外壳内的转动轴以及设于所述转动轴上的单齿轮,所述单齿轮的一侧与所述后驱齿条相啮合,所述单齿轮的另一侧与所述前驱齿条间接或直接相啮合。Preferably, the transmission unit includes a rotating gear set, a rear drive rack and a front drive rack, and the rotating gear set includes a rotating shaft disposed in the housing and a single gear disposed on the rotating shaft, so One side of the single gear meshes with the rear drive rack, and the other side of the single gear meshes with the front drive rack indirectly or directly.

优选的,所述导管单元还包括设于内管内的一中空管,所述中空管与所述外壳固定相连,所述中空管的前端与一软头相连。Preferably, the conduit unit further includes a hollow tube arranged in the inner tube, the hollow tube is fixedly connected to the outer shell, and the front end of the hollow tube is connected to a soft head.

优选的,所述支架推送单元为绕所述内管周向设置的一组或多组卡爪。Preferably, the bracket pushing unit is one or more sets of claws arranged around the inner tube circumferentially.

优选的,所述支架推送单元为圆管状或梅花状。Preferably, the stent pushing unit is in the shape of a round tube or a plum blossom.

如上所述,本实用新型的血管支架输送系统,具有以下有益效果:通过解锁驱动把手,使驱动把手相对外壳往复运动,实现驱动后驱齿条、推杆运动进而使内管向前运动而外管向后运动,通过支架推送单元将位于装载区处的血管支架推出定位;使用者仅操作驱动把手即可实现血管支架的输送,便于实现。As described above, the vascular stent delivery system of the present invention has the following beneficial effects: by unlocking the drive handle, the drive handle is reciprocated relative to the outer casing, and the rear drive rack and push rod are driven to move and then the inner tube moves forward and outward. The tube moves backward, and the vascular stent located in the loading area is pushed out and positioned by the stent pushing unit; the user can realize the delivery of the vascular stent only by operating the driving handle, which is convenient for implementation.

附图说明Description of drawings

图1显示为本实用新型的血管支架输送系统的整体示意图。FIG. 1 shows the overall schematic diagram of the stent delivery system of the present invention.

图2显示为本实用新型内管单元的一实施例示意图。FIG. 2 shows a schematic diagram of an embodiment of the inner tube unit of the present invention.

图3显示为本实用新型中内管单元的另一实施例示意图。FIG. 3 is a schematic diagram of another embodiment of the inner tube unit in the present invention.

图4显示为本实用新型的输送单元的示意图。FIG. 4 shows a schematic diagram of the conveying unit of the present invention.

图5显示为本实用新型的转动齿轮组的示意图。FIG. 5 shows a schematic diagram of the rotating gear set of the present invention.

图6显示为本实用新型的驱动把手的示意图。FIG. 6 shows a schematic diagram of the drive handle of the present invention.

元件标号说明Component label description

10 导管单元10 Conduit unit

11 内管单元11 Inner tube unit

20 传动单元20 drive unit

30 转动齿轮组30 Turn the gear set

40 驱动把手40 Drive handle

100 软头100 soft tips

110 连接管110 Connecting tube

120 支架推送单元120 Bracket Push Unit

130 卡爪130 jaws

140 内管140 inner tube

150 外管150 outer tube

210 外管接头210 Outer Fitting

220 前驱齿条220 front drive rack

230 后驱齿条230 rear drive rack

240 推杆240 putter

250 档位卡槽250 gear slot

300 转动轴300 Rotary Axes

310 第一齿轮310 First gear

320 第二齿轮320 Second gear

410 压片410 Tablets

420 锁块420 lock block

430 弹簧430 Spring

440 连接块440 connection block

具体实施方式Detailed ways

以下由特定的具体实施例说明本实用新型的实施方式,熟悉此技术的人士可由本说明书所揭露的内容轻易地了解本实用新型的其他优点及功效。The embodiments of the present invention are described below by specific embodiments, and those who are familiar with the technology can easily understand other advantages and effects of the present invention from the contents disclosed in this specification.

请参阅图1至图6。须知,本说明书所附图中所绘示的结构、比例、大小等,均仅用以配合说明书所揭示的内容,以供熟悉此技术的人士了解与阅读,并非用以限定本实用新型可实施的限定条件,故不具技术上的实质意义,任何结构的修饰、比例关系的改变或大小的调整,在不影响本实用新型所能产生的功效及所能达成的目的下,均应仍落在本实用新型所揭示的技术内容所能涵盖的范围内。同时,本说明书中所引用的如“上”、“下”、“左”、“右”、“中间”及“一”等的用语,亦仅为便于叙述的明了,而非用以限定本实用新型可实施的范围,其相对关系的改变或调整,在无实质变更技术内容下,当亦视为本实用新型可实施的范畴。See Figures 1 to 6. It should be noted that the structures, proportions, sizes, etc. shown in the accompanying drawings in this specification are only used to cooperate with the contents disclosed in the specification, so as to be understood and read by those who are familiar with this technology, and are not used to limit the implementation of the present invention. Therefore, it does not have technical substantive significance. Any modification of structure, change of proportional relationship or adjustment of size should still fall in It is within the scope that the technical content disclosed in the present invention can cover. At the same time, the terms such as "up", "down", "left", "right", "middle" and "one" quoted in this specification are only for the convenience of description and clarity, and are not used to limit this specification. The applicable scope of the utility model and the change or adjustment of its relative relationship shall be regarded as the applicable scope of the present utility model without substantially changing the technical content.

为便于描述,本说明书中将导管单元的轴线方向称为前后方向,将靠近使用者的一端(即旋转把手处)称为后方或者近端,远离使用者的一端称为前方或者远端。For ease of description, the axial direction of the catheter unit is referred to as the front-to-back direction in this specification, the end close to the user (ie, the rotating handle) is referred to as the rear or proximal end, and the end away from the user is referred to as the front or distal end.

实施例1Example 1

如图1至图6所示,本实用新型提供一种血管支架输送系统,其包括:As shown in Figure 1 to Figure 6, the present invention provides a blood vessel stent delivery system, which includes:

导管单元10,包括外管150以及设于所述外管内的内管单元11,所述内管单元11包括内管140以及置于内管140上的支架推送单元120,所述内管单元11与外管150间且在所述支架推送单元120前方具有容置血管支架的装载区;The catheter unit 10 includes an outer tube 150 and an inner tube unit 11 disposed in the outer tube. The inner tube unit 11 includes an inner tube 140 and a stent pushing unit 120 placed on the inner tube 140. The inner tube unit 11 There is a loading area for accommodating vascular stents between the outer tube 150 and in front of the stent pushing unit 120;

输送单元,包括驱动把手40、锁紧机构以及置于外壳内的传动单元20,所述传动单元 20包括转动齿轮组30、后驱齿条230和前驱齿条220,后驱齿条230和前驱齿条220均与所述转动齿轮组30啮合且后驱齿条230和前驱齿条220的运动方向相反;所述后驱齿条230与所述驱动把手40相连,前驱齿条220与所述外管150相连,所述驱动把手40中固定穿设有与内管单元11中的内管相连的推杆240;所述驱动把手40滑动套设于所述外壳上,所述锁紧机构设于所述驱动把手40上,用于将所述驱动把手40和所述外壳锁紧和释放。The conveying unit includes a drive handle 40, a locking mechanism and a transmission unit 20 placed in the casing, the transmission unit 20 includes a rotating gear set 30, a rear drive rack 230 and a front drive rack 220, and the rear drive rack 230 and the front drive The racks 220 are all engaged with the rotating gear set 30 and the movement directions of the rear drive rack 230 and the front drive rack 220 are opposite; the rear drive rack 230 is connected to the drive handle 40 , and the front drive rack 220 is connected to the The outer tube 150 is connected to each other, and the push rod 240 connected to the inner tube in the inner tube unit 11 is fixedly penetrated in the driving handle 40; the driving handle 40 is slidably sleeved on the outer casing, and the locking mechanism On the drive handle 40, it is used to lock and release the drive handle 40 and the housing.

本实施例通过锁紧机构将所述驱动把手40和所述外壳锁紧和释放,使用者只需解锁锁紧机构,然后前后推拉驱动把手40,可实现内管单元11和外管150的反向运动,即内管单元 11向前运动驱使支架推送单元120将血管支架向导管单元10外推送,而外管150向后运动即向近端运动,以此完成血管支架的释放,且本实施例的血管支架在释放过程中,驱动把手 40通过传动单元带动外管150向后运动,即由远端向近端侧运动,在外管150向后运动的同时,驱动把手40驱动内管单元11始终向前运动,使释放出的血管支架能够及时贴住血管壁,避免了由于单纯的向近端侧拉动外管150而使释放后的血管支架受到输送装置的牵拉而无法及时贴壁造成的问题;另外,上述旋转把手的驱动力直接传递给内管单元11,再通过传动齿轮组传递给外管150,其所需驱动力较小,因此便于实施。In this embodiment, the driving handle 40 and the housing are locked and released through the locking mechanism. The user only needs to unlock the locking mechanism, and then push and pull the driving handle 40 back and forth, so that the inner tube unit 11 and the outer tube 150 can be reversed. Forward movement, that is, the forward movement of the inner tube unit 11 drives the stent pushing unit 120 to push the vascular stent to the outside of the catheter unit 10, while the backward movement of the outer tube 150 is to move towards the proximal end, thereby completing the release of the vascular stent, and this implementation During the release process of the example blood vessel stent, the drive handle 40 drives the outer tube 150 to move backward through the transmission unit, that is, from the distal end to the proximal side, and the drive handle 40 drives the inner tube unit 11 while the outer tube 150 moves backwards. Always move forward, so that the released vascular stent can stick to the blood vessel wall in time, avoiding the problem that the released vascular stent is pulled by the delivery device and cannot adhere to the wall in time due to simply pulling the outer tube 150 to the proximal side. In addition, the driving force of the above-mentioned rotating handle is directly transmitted to the inner tube unit 11, and then transmitted to the outer tube 150 through the transmission gear set, and the required driving force is small, so it is easy to implement.

为便于操作,见图4和图6所示,本实施例中锁紧机构包括压片410、锁块420以及弹簧430,所述压片410转动设置在所述驱动把手40上,且压片410的一端与所述锁块420相抵触,所述弹簧430支撑所述锁块420,用于保持所述锁块420将所述驱动把手40和所述外壳锁紧,按压所述压片410时所述压片410抵压所述锁块420释放所述驱动把手40和所述外壳。本实施例仅通过按压动作即可实现解锁,易于操作;当无需推拉驱动把手40时,锁块420在弹簧430的弹力下将驱动把手40和外壳锁紧,避免误操作,提高输送系统的安全实用性。For ease of operation, as shown in FIGS. 4 and 6 , the locking mechanism in this embodiment includes a pressing piece 410 , a locking block 420 and a spring 430 . The pressing piece 410 is rotatably arranged on the driving handle 40 , and the pressing piece One end of 410 is in conflict with the lock block 420 , the spring 430 supports the lock block 420 and is used to keep the lock block 420 to lock the drive handle 40 and the housing, and press the pressing piece 410 When the pressing piece 410 presses against the locking block 420, the driving handle 40 and the housing are released. This embodiment can be unlocked only by pressing action, which is easy to operate; when there is no need to push or pull the drive handle 40, the lock block 420 locks the drive handle 40 and the housing under the elastic force of the spring 430 to avoid misoperation and improve the safety of the conveying system practicality.

本实施例中锁块420将驱动把手40和外壳锁紧的一具体实施例可为:在驱动把手40上设有卡槽,锁块420与外壳相连,当压片410不受按压力时,锁块420被弹簧430顶升卡设在卡槽中,当压片410受压时,弹簧430被压缩则锁块420下降脱离卡槽,则驱动把手40和外壳解锁,按住压片即可推拉驱动把手40。In this embodiment, a specific embodiment of the locking block 420 locking the driving handle 40 and the housing may be: a slot is provided on the driving handle 40, the locking block 420 is connected to the housing, and when the pressing force 410 is not pressed, the The lock block 420 is lifted by the spring 430 and clamped in the card slot. When the pressing piece 410 is pressed, the spring 430 is compressed and the lock block 420 is lowered and separated from the card slot, then the drive handle 40 and the housing are unlocked, and the pressing piece can be pressed. Push and pull the drive handle 40 .

上述锁紧机构不限于此,可为其他离合机构,只需能在操作下将驱动把手与外壳实现锁紧和解锁两种状态即可。The above-mentioned locking mechanism is not limited to this, and can be other clutch mechanisms, as long as the driving handle and the housing can be locked and unlocked under operation.

为便于控制推动速度,减小推拉驱动把手40的驱动力,见图5所示,本实施例中上述转动齿轮组30包括转动设于所述外壳内的转动轴300以及设于所述转动轴300上的第一齿轮 310和第二齿轮320,所述第一齿轮310与所述后驱齿条230相啮合,所述第二齿轮320与所述前驱齿条220相啮合。更进一步的,第一齿轮310和所述第二齿轮320的齿速比不同。本实施例中后驱齿条230和前驱齿条220平行错位设置,且后驱齿条230和前驱齿条220上的牙齿朝向相反。In order to control the pushing speed and reduce the driving force of the push-pull drive handle 40, as shown in FIG. 5, in this embodiment, the above-mentioned rotating gear set 30 includes a rotating shaft 300 disposed in the casing and a rotating shaft 300 disposed on the rotating shaft. The first gear 310 and the second gear 320 on the 300 , the first gear 310 meshes with the rear drive rack 230 , and the second gear 320 meshes with the front drive rack 220 . Further, the gear ratios of the first gear 310 and the second gear 320 are different. In this embodiment, the rear drive rack 230 and the front drive rack 220 are arranged in parallel and offset, and the teeth on the rear drive rack 230 and the front drive rack 220 face oppositely.

上述内管单元11中的支架推送单元120可为带周向设置的多个卡爪130的管段,见图3 所示,其也可设置一个卡爪;还可为直径大于内管的圆管状,见图2所示,也可为其他外凸的形状,如梅花状;本实施例中支架推送单元120在向近端运动时不会拉动血管支架。The stent pushing unit 120 in the above-mentioned inner tube unit 11 may be a tube section with a plurality of claws 130 arranged in the circumferential direction, as shown in FIG. , as shown in FIG. 2 , it can also be in other convex shapes, such as a plum blossom shape; in this embodiment, the stent pushing unit 120 will not pull the vascular stent when it moves toward the proximal end.

本实施例中内管单元11其可沿后前后方向分为多段,主段为内管140,内管140的近端与上述推杆240相连,本实施例中内管140和推杆240均为中空结构且相通,上述驱动把手上设有与推杆240连通的过孔,内管140的远端可通过连接管110与一软头100相连,本实施例中可将导丝穿入内管单元11中,引导导管单元10进入手术区域,软头的设置避免内管140伸出外管后戳伤血管壁。In this embodiment, the inner tube unit 11 can be divided into multiple sections along the rear and front directions. The main section is the inner tube 140, and the proximal end of the inner tube 140 is connected to the push rod 240. In this embodiment, the inner tube 140 and the push rod 240 are both It is a hollow structure and communicates with each other. The above-mentioned driving handle is provided with a through hole that communicates with the push rod 240. The distal end of the inner tube 140 can be connected to a soft head 100 through the connecting tube 110. In this embodiment, the guide wire can be passed through the inner tube. In the unit 11, the catheter unit 10 is guided into the operation area, and the setting of the soft tip prevents the inner tube 140 from protruding out of the outer tube and injuring the blood vessel wall.

实施例2Example 2

本实施例的血管支架输送系统与实施例1结构相近,不同之处在于,实施例1中的上述导管单元10仅包括上述内管单元11和上述外管150,内管单元11为中空腔道,手术时用于导丝穿过,导丝引导导管单元10进入手术区域。本实施例中的导管单元10还可包括设于内管单元11内的一中空管,中空管穿设内管中可与内管相对运动,且与外壳固定相连,所述中空管的前端与一软头相连,通过增设中空管,导丝穿过中空管引导导管单元,在手术过程中可使中空管和软头固定不动,驱动把手40仅带动内管和外管移动,降低对血管壁的损失。The structure of the stent delivery system in this embodiment is similar to that in Embodiment 1. The difference is that the catheter unit 10 in Embodiment 1 only includes the inner tube unit 11 and the outer tube 150, and the inner tube unit 11 is a hollow lumen. , which is used to pass the guide wire during the operation, and the guide wire guides the catheter unit 10 into the operation area. The conduit unit 10 in this embodiment may further include a hollow tube disposed in the inner tube unit 11 . The hollow tube penetrates the inner tube and can move relative to the inner tube and is fixedly connected to the outer shell. The front end of the tube is connected to a soft head. By adding a hollow tube, the guide wire passes through the hollow tube to guide the catheter unit. During the operation, the hollow tube and the soft head can be fixed, and the driving handle 40 only drives the inner tube and the outer tube. The tube moves, reducing damage to the vessel wall.

实施例3Example 3

为适应不同长度的血管支架,见图4所示,本实施例在上述实施例1和实施例2的基础上,在上述外壳的内壁设有档位卡槽250,上述后驱齿条230上设有外凸部,通过外凸部和档位卡槽250的配合,便于锁定后驱齿条230,获知其运动距离,便于使用者判断血管支架是否推送到位。In order to adapt to vascular stents of different lengths, as shown in FIG. 4 , in this embodiment, on the basis of the above-mentioned Embodiment 1 and Embodiment 2, a gear slot 250 is provided on the inner wall of the above-mentioned outer casing, and the above-mentioned rear drive rack 230 is provided with a gear slot 250 . There is an external convex part, and the cooperation between the external convex part and the gear slot 250 is convenient to lock the rear drive rack 230, and to know its moving distance, which is convenient for the user to judge whether the blood vessel stent is pushed in place.

本实施例的血管支架输送系统,其具体结构为:上述外管150通过外管接头210与上述前驱齿条220相连,内管140的端部伸入外壳内与上述推杆240相连,而推杆240和上述后驱齿条230均与驱动把手40中的连接块440相连。The specific structure of the vascular stent delivery system in this embodiment is as follows: the outer tube 150 is connected to the front drive rack 220 through the outer tube joint 210, the end of the inner tube 140 extends into the casing and is connected to the push rod 240, and the push rod 240 is pushed. Both the rod 240 and the above-mentioned rear drive rack 230 are connected to the connecting block 440 in the drive handle 40 .

手术时,将导丝穿入导管单元10中的中空管,若无中空管则直接穿入内管中,按压上述压片410,解锁驱动把手40和上述外壳,向前推动驱动把手40,驱动把手40带动后驱齿条230向前运动,而后驱齿条230通过转动齿轮组30带动前驱齿条220向后运动,前驱齿条220 带动外管150向后运动,同时驱动把手40通过推杆240推动内管单元11向前运动,内管单元11中的支架推送单元120将血管支架向导管单元10外推送,实现血管支架的释放。本实施例中可使驱动把手40与前驱齿条220的移动速度比等于所输送血管支架的轴向短缩量与血管支架的自然长度之比,以此进一步避免血管支架轴向伸缩对血管壁的影响。During the operation, insert the guide wire into the hollow tube in the catheter unit 10, or directly into the inner tube if there is no hollow tube, press the above-mentioned pressing piece 410, unlock the driving handle 40 and the above-mentioned outer casing, and push the driving handle 40 forward, The drive handle 40 drives the rear drive rack 230 to move forward, and the rear drive rack 230 drives the front drive rack 220 to move backward by rotating the gear set 30 , and the front drive rack 220 drives the outer tube 150 to move backward. At the same time, the handle 40 is driven by pushing The rod 240 pushes the inner tube unit 11 to move forward, and the stent pushing unit 120 in the inner tube unit 11 pushes the vascular stent to the outside of the catheter unit 10 to realize the release of the vascular stent. In this embodiment, the moving speed ratio of the driving handle 40 and the front drive rack 220 can be made equal to the ratio of the axial shortening of the delivered vascular stent to the natural length of the vascular stent, so as to further prevent the axial expansion and contraction of the vascular stent from affecting the blood vessel wall. Impact.

实施例4Example 4

本实施例在上述三个实施例的基础上,在手术中可使上述驱动把手可往复运动,以此适应释放不同规格的血管支架,即使大规格的血管支架,外壳也无需做大。本实施例中上述第一齿轮或所述第二齿轮通过单向离合机构与转动轴配合,当所述驱动把手带动后驱齿条向后运动时前驱齿条不动,本实施例中当后驱齿条向后运动时,由于单向离合机构(如单向轴承) 的存在,前驱齿条不动,即后驱齿条向前才能使外管运动,也即外管在手术中仅作向后运动,不作向前运动,即实现了驱动把手回撤再前推,逐次将血管支架完成释放,以此可使较小尺寸的输送单元满足释放较大规格的血管支架。In this embodiment, based on the above three embodiments, the above-mentioned driving handle can be reciprocated during the operation, so as to adapt to the release of vascular stents of different specifications. Even for large-sized vascular stents, the shell does not need to be enlarged. In this embodiment, the above-mentioned first gear or the second gear cooperates with the rotating shaft through a one-way clutch mechanism. When the driving handle drives the rear drive rack to move backwards, the front drive rack does not move. When the drive rack moves backward, due to the existence of the one-way clutch mechanism (such as one-way bearing), the front drive rack does not move, that is, the rear drive rack can move the outer tube forward, that is, the outer tube is only used in the operation. Backward movement, without forward movement, realizes that the drive handle is retracted and then pushed forward, and the vascular stent is released one by one, so that the smaller-sized delivery unit can meet the release of larger-sized vascular stents.

实施例5Example 5

上述实施例中的传动单元可替换成如下结构形式,传动单元包括转动齿轮组、后驱齿条、前驱齿条和中驱齿条,转动齿轮组包括转动设于外壳内的转动轴以及设于转动轴上的第一齿轮、第二齿轮以及位于第一齿轮和第二齿轮间的中间齿轮,第一齿轮与后驱齿条相啮合,第二齿轮与前驱齿条相啮合,中间齿轮与中驱齿条相连;中驱齿条与所述驱动把手相连,前驱齿条与所述外管相连,驱动把手中固定设有与内管相连的推杆。本实施例的传动单元其增设了中驱齿条以及中间齿轮,实现驱动把手与转动齿轮组间的传动,便于布置安装。The transmission unit in the above-mentioned embodiment can be replaced with the following structural form. The first gear, the second gear and the intermediate gear located between the first gear and the second gear on the rotating shaft, the first gear meshes with the rear drive rack, the second gear meshes with the front drive rack, and the intermediate gear meshes with the middle gear. The driving gear rack is connected; the middle driving gear rack is connected with the driving handle, the front driving gear rack is connected with the outer pipe, and a push rod connected with the inner pipe is fixed in the driving handle. In the transmission unit of this embodiment, a middle drive rack and an intermediate gear are added to realize the transmission between the drive handle and the rotating gear set, which is convenient for arrangement and installation.

更优的,本实施例中的第一齿轮或第二齿轮通过单向离合机构与转动轴配合,当所述驱动把手带动所述中驱齿条向后运动时所述后驱齿条同时向后运动,但前驱齿条不动。More preferably, the first gear or the second gear in this embodiment is matched with the rotating shaft through a one-way clutch mechanism, and when the driving handle drives the middle drive rack to move backwards, the rear drive rack moves toward the rear at the same time. The rear moves, but the front drive rack doesn't move.

作为传动单元的另一实施例,其还可为包括转动齿轮组、后驱齿条和前驱齿条,所述转动齿轮组包括转动设于所述外壳内的转动轴以及设于所述转动轴上的单齿轮,所述单齿轮的一侧与所述后驱齿条相啮合,所述单齿轮的另一侧与所述前驱齿条间接或直接相啮合。本实施例中的单齿轮可为单向旋转齿轮,其通过离合机构与前驱齿条相啮合,当所述驱动把手带动所述中驱齿条向后运动时所述后驱齿条同时向后运动,但所述离合结构动作解除所述前驱齿条与单齿轮的啮合。本实施例中的单齿轮还可为双向旋转齿轮,其直接与前驱齿条相啮合,当驱动把手带动中驱齿条向前后运动时后驱齿条同时向相反的方向运动。As another embodiment of the transmission unit, it may also include a rotating gear set, a rear drive rack and a front drive rack, and the rotating gear set includes a rotating shaft disposed in the housing and a rotating shaft disposed on the rotating shaft. One side of the single gear meshes with the rear drive rack, and the other side of the single gear meshes with the front drive rack indirectly or directly. The single gear in this embodiment can be a one-way rotating gear, which meshes with the front drive rack through a clutch mechanism. When the drive handle drives the middle drive rack to move backwards, the rear drive rack simultaneously moves backwards movement, but the action of the clutch mechanism disengages the engagement between the front drive rack and the single gear. The single gear in this embodiment can also be a bidirectional rotating gear, which directly meshes with the front drive rack, and when the driving handle drives the middle drive rack to move forward and backward, the rear drive rack moves in the opposite direction at the same time.

所以,本实用新型有效克服了现有技术中的种种缺点而具高度产业利用价值。Therefore, the utility model effectively overcomes various shortcomings in the prior art and has high industrial utilization value.

上述实施例仅例示性说明本实用新型的原理及其功效,而非用于限制本实用新型。任何熟悉此技术的人士皆可在不违背本实用新型的精神及范畴下,对上述实施例进行修饰或改变。因此,举凡所属技术领域中具有通常知识者在未脱离本实用新型所揭示的精神与技术思想下所完成的一切等效修饰或改变,仍应由本实用新型的权利要求所涵盖。The above-mentioned embodiments merely illustrate the principles and effects of the present invention, but are not intended to limit the present invention. Anyone skilled in the art can modify or change the above embodiments without departing from the spirit and scope of the present invention. Therefore, all equivalent modifications or changes made by those with ordinary knowledge in the technical field without departing from the spirit and technical idea disclosed by the present invention should still be covered by the claims of the present invention.

Claims (13)

1. A vascular stent delivery system, comprising:
the catheter unit comprises an outer tube and an inner tube unit arranged in the outer tube, the inner tube unit comprises an inner tube and a stent pushing unit arranged on the inner tube, and a loading area for accommodating a vascular stent is arranged between the inner tube unit and the outer tube and in front of the stent pushing unit;
the conveying unit comprises a driving handle, a locking mechanism and a transmission unit arranged in the shell; the driving handle is connected with the catheter unit through the transmission unit so as to drive the outer tube and the inner tube to move, and the moving directions of the outer tube and the inner tube are opposite; the driving handle is sleeved on the shell in a sliding mode, and the locking mechanism is arranged on the driving handle and used for locking and releasing the driving handle and the shell.
2. The vascular stent delivery system of claim 1, wherein: the locking mechanism comprises a pressing sheet, a locking block and a spring, the pressing sheet is rotatably arranged on the driving handle, one end of the pressing sheet is abutted to the locking block, the spring supports the locking block and is used for keeping the locking block to lock the driving handle and the shell, and when the pressing sheet is pressed, the pressing sheet is abutted to the locking block to release the driving handle and the shell.
3. The vascular stent delivery system of claim 1, wherein: the transmission unit comprises a rotating gear set, a rear drive rack and a front drive rack, and the rear drive rack and the front drive rack are both meshed with the rotating gear set; the rear drive rack is connected with the drive handle, the front drive rack is connected with the outer tube, and a push rod connected with the inner tube is fixedly arranged in the drive handle.
4. The stent delivery system according to claim 3, wherein: the rotating gear set comprises a rotating shaft arranged in the shell, a first gear and a second gear, wherein the first gear and the second gear are arranged on the rotating shaft, the first gear is meshed with the rear driving rack, and the second gear is meshed with the front driving rack.
5. The stent delivery system according to claim 4, wherein: the gear ratios of the first gear and the second gear are different.
6. The vascular stent delivery system of claim 4, wherein: the first gear or the second gear is matched with the rotating shaft through a one-way clutch mechanism, and the front driving rack is not moved when the driving handle drives the rear driving rack to move backwards.
7. The stent delivery system according to claim 3, wherein: the push rod and the inner tube are both of hollow structures and communicated with each other, a via hole communicated with the push rod is formed in the driving handle, and the front end of the inner tube is connected with a soft head.
8. The stent delivery system according to claim 1, wherein: the transmission unit comprises a rotating gear set, a rear driving rack, a front driving rack and a middle driving rack, the rotating gear set comprises a rotating shaft which is rotatably arranged in the shell, a first gear, a second gear and an intermediate gear, the first gear, the second gear and the intermediate gear are arranged on the rotating shaft, the first gear is meshed with the rear driving rack, the second gear is meshed with the front driving rack, and the intermediate gear is connected with the middle driving rack; the middle driving rack is connected with the driving handle, the front driving rack is connected with the outer tube, and a push rod connected with the inner tube is fixedly arranged in the driving handle.
9. The vascular stent delivery system of claim 8, wherein: the first gear or the second gear is matched with the rotating shaft through a one-way clutch mechanism, when the driving handle drives the middle driving rack to move backwards, the rear driving rack moves backwards simultaneously, but the front driving rack does not move.
10. The stent delivery system according to claim 1, wherein: the transmission unit includes rotation gear group, back drive rack and front drive rack, rotation gear group is located including rotating the axis of rotation in the shell and locating epaxial single gear rotates, one side of single gear with back drive rack meshes mutually, the opposite side of single gear with the indirect or direct looks meshing of front drive rack.
11. The stent delivery system according to claim 1, wherein: the catheter unit also comprises a hollow tube arranged in the inner tube, the hollow tube is fixedly connected with the shell, and the front end of the hollow tube is connected with a soft head.
12. The stent delivery system according to claim 1, wherein: the support pushing unit is one or more groups of clamping jaws arranged around the circumferential direction of the inner pipe.
13. The stent delivery system according to claim 1, wherein: the support pushing unit is in a circular tube shape or a plum blossom shape.
CN202121061987.XU 2021-05-18 2021-05-18 Vascular stent delivery system Active CN216724895U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113545899A (en) * 2021-05-18 2021-10-26 上海唯域医疗科技有限公司 Vascular stent delivery system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113545899A (en) * 2021-05-18 2021-10-26 上海唯域医疗科技有限公司 Vascular stent delivery system

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