INFERIOR VENA CAVA FILTER OF BIDIRECTIONAL CONTROLLED PLACEMENT
20190216588 ยท 2019-07-18
Inventors
Cpc classification
A61F2/0105
HUMAN NECESSITIES
International classification
Abstract
An inferior vena cava filter capable of bidirectional controlled placement is provided. The inferior vena cava filter includes a filter portion and a support portion. The filter portion is configured as a mesh-like structure of a plurality of struts cross-linked. The support portion includes a first support portion and a second support portion disposed on opposite sides of the filter portion, and the first support portion and the second support portion have openings extending in opposite directions. The first support portion extends outwardly radially with respect to a center point of the inferior vena cava filter in a positive direction and then curls inwardly radially in a reverse direction.
Claims
1. An inferior vena cava filter, capable of bidirectional controlled placement, comprising: a filter portion, configured as a mesh-like structure of a plurality of struts cross-linked; and a support portion, comprising a first support portion and a second support portion disposed on opposite sides of the filter portion, and the first support portion and the second support portion having openings extending in opposite directions, wherein the first support portion extending outwardly radially with respect to a center point of the inferior vena cava filter in a positive direction and then curling inwardly radially in a reverse direction; and the second support portion extending outwardly radially with respect to the center point in the positive direction.
2. The inferior vena cava filter of claim 1, wherein the first support portion and the second support portion are supported on a blood vessel wall by point contact.
3. The inferior vena cava filter of claim 1, wherein the plurality of struts of the filter portion are cross-linked and form cross-linked nodes.
4. The inferior vena cava filter of claim 3, wherein the first support portion, the second support portion, and the filter portion are configured as an integral structure; the first support portion comprises a plurality of first support struts extending outwardly from the cross-linked nodes of the filter portion and then curling inwardly in the reverse direction; the second support portion comprises a plurality of second support struts extending outwardly from the cross-linked nodes of the filter in the positive direction.
5-11. (canceled)
12. The inferior vena cava filter of claim 3, wherein the first support portion, the second support portion, and the filter portion are configured as a separate assembly structure; one of the first support portion and the second support portion is configured as a separate structure, and another one is configured as an integral structure with the filter portion; the first support portion of the separate structure comprises a plurality of first support struts extending outwardly from the center point in the positive direction and then curling inwardly in the reverse direction; and the second support portion of the separate structure comprises a plurality of second support struts extending outwardly from the center point in the positive direction.
13. The inferior vena cava filter of claim 3, wherein the first support portion, the second support portion, and the filter portion are configured as a separate assembly structure; the first support portion, the second support portion, and the filter portion are configured as separate structures and fixedly connected together; the first support portion comprises a plurality of first support struts extending outwardly from the center point in the positive direction and then curling inwardly in the reverse direction; the second support portion comprises a plurality of second support struts extending outwardly from the center point in the positive direction; and the filter portion is configured as a structure of the plurality of struts cross-linked in a funnel shape, a hollow mesh spherical shape, a mesh disc shape, or a mesh plate shape.
14. The inferior vena cava filter of claim 4, wherein the first support struts or the second support struts, and the struts of the filter portion are staggered along a central axis of the inferior vena cava filter; or at least one of the first support strut and the second support strut is formed integrally with the strut of the filter portion, and the first support struts and the second support struts being staggered along the central axis.
15. The inferior vena cava filter of claim 4, wherein the first support portion comprises at least three first support struts arranged symmetrically about a central axis of the inferior vena cava filter, the at least three first support struts extending outwardly in the positive direction and then curling inwardly in the reverse direction to form a support structure with a collection space, the at least three first support struts being supported on a blood vessel wall by point contact; and the second support portion comprises at least three second support struts arranged symmetrically about the central axis, the at least three second support struts extending outward in the positive direction to form a support structure with a collection space, the at least three second support struts being supported on the blood vessel wall by point contact.
16. The inferior vena cava filter of claim 4, wherein at least one of the first support strut and the second support strut comprises an anchoring portion configured to anchor in the inner vessel wall.
17. The inferior vena cava filter of claim 4, wherein the second support struts are configured as curved struts or straights struts extending outwardly.
18. The inferior vena cava filter of claim 4, wherein an end of the first support strut or a tangent of the end of the first support strut, and a central axis of the first support portion define an angel therebetween, and the angle being greater than or equal to 180; and a maximum outer diameter of the first support portion is substantially coincident with an inner diameter of the blood vessel such that the first support struts are supported on the inner vessel wall by point contact.
19. The vena cava filter of claim 5, wherein the first support struts or the second support struts, and the struts of the filter portion are staggered along a central axis of the inferior vena cava filter; or at least one of the first support strut and the second support strut is formed integrally with the strut of the filter portion, and the first support struts and the second support struts being staggered along the central axis.
20. The vena cava filter of claim 5, wherein the first support portion comprises at least three first support struts arranged symmetrically about a central axis of the inferior vena cava filter, the at least three first support struts extending outwardly in the positive direction and then curling inwardly in the reverse direction to form a support structure with a collection space, the at least three first support struts being supported on a blood vessel wall by point contact; and the second support portion comprises at least three second support struts arranged symmetrically about the central axis, the at least three second support struts extending outward in the positive direction to form a support structure with a collection space, the at least three second support struts being supported on the blood vessel wall by point contact.
21. The vena cava filter of claim 5, wherein an end of the first support strut or a tangent of the end of the first support strut, and a central axis of the first support portion define an angel therebetween, and the angle being greater than or equal to 180; and a maximum outer diameter of the first support portion is substantially coincident with an inner diameter of the blood vessel such that the first support struts are supported on the inner vessel wall by point contact.
22. The vena cava filter of claim 6, wherein the first support struts or the second support struts, and the struts of the filter portion are staggered along a central axis of the inferior vena cava filter; or at least one of the first support strut and the second support strut is formed integrally with the strut of the filter portion, and the first support struts and the second support struts being staggered along the central axis.
23. The vena cava filter of claim 6, wherein the first support portion comprises at least three first support struts arranged symmetrically about a central axis of the inferior vena cava filter, the at least three first support struts extending outwardly in the positive direction and then curling inwardly in the reverse direction to form a support structure with a collection space, the at least three first support struts being supported on a blood vessel wall by point contact; and the second support portion comprises at least three second support struts arranged symmetrically about the central axis, the at least three second support struts extending outward in the positive direction to form a support structure with a collection space, the at least three second support struts being supported on the blood vessel wall by point contact.
24. The vena cava filter of claim 6, wherein an end of the first support strut or a tangent of the end of the first support strut, and a central axis of the first support portion define an angel therebetween, and the angle being greater than or equal to 180; and a maximum outer diameter of the first support portion is substantially coincident with an inner diameter of the blood vessel such that the first support struts are supported on the inner vessel wall by point contact.
25. The inferior vena cava filter of claim 11, wherein each of the first support struts comprises a first support segment and a second support segment extending in sequence outwardly radially with respect to the center point; the first support segment or a tangent of each point of the first support segment, and the central axis of the first support segment define an angle therebetween ranging from zero to 90; the second support segment or a tangent of each point of the second support segment, and the central axis of the first support segment define an angle being greater than or equal to 90; an end of second support segment or a tangent of each point of the end of the second support segment, and the central axis of the first support segment define an angle being greater than or equal to 180; the second support segment or the tangent of each point of the second support segment, and the first support segment define an angle being greater than 90; and the second support segment of the first support strut is supported on a blood vessel wall by point contact.
26. The vena cava filter of claim 14, wherein each of the first support struts comprises a first support segment and a second support segment extending in sequence outwardly radially with respect to the center point; the first support segment or a tangent of each point of the first support segment, and the central axis of the first support segment define an angle therebetween ranging from zero to 90; the second support segment or a tangent of each point of the second support segment, and the central axis of the first support segment define an angle being greater than or equal to 90; an end of second support segment or a tangent of each point of the end of the second support segment, and the central axis of the first support segment define an angle being greater than or equal to 180; the second support segment or the tangent of each point of the second support segment, and the first support segment define an angle being greater than 90; and the second support segment of the first support strut is supported on a blood vessel wall by point contact.
27. The inferior vena cava filter of claim 4, further comprises a retrieval portion connected with at least one of the filter portion and the support portion.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0025] The present disclosure can be further illustrated in conjunction with the accompanying drawings and embodiments.
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DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS
[0037] To illustrate objectives, technical solutions, and advantageous effects of the disclosure more clearly, the specific embodiments of the present disclosure will be described in detail herein with reference to accompanying drawings.
[0038] The directions involved in the embodiments of the present disclosure are defined as follows. For two directions along a central axis of the filter, a positive direction is defined as a direction from a first support portion to a second support portion, and a reverse direction is defined as a direction from the second support portion to the first support portion. The positive direction and the reverse direction are defined with respect to the filter itself and are independent of an orientation of the filter implanted into the blood vessel. In addition, the central axis may refer to a central axis of the filter, and may also refer to a central axis of the first support portion, a filter portion, or the second support portion.
[0039] According to a first embodiment of the present disclosure, an inferior vena cava filter capable of bidirectional controlled placement is provided, as illustrated in
[0040] The filter provided by the present disclosure includes at least three parts, that is, the filter portion 1400, the first portion 1200, and the second portion 1100. The first support portion 1200 and the second support portion 1100 are disposed on opposite sides of the filter portion 1400 and extend in the reverse direction and the positive direction respectively. The filter portion 1400 is configured to filter thrombi. The first support portion 1200 and the second support portion 1100 are configured to support the filter stably on the blood vessel wall 2000, and to collect and gather the thrombi.
[0041] As illustrated in
[0042] A maximum distance defined by the terminal cross-linked nodes 1402 (that is, the cross-linked nodes at the outermost side of the filter portion 1400) is less than the diameter of the blood vessel. Preferably, the maximum distance is less than 16 mm, which can avoid contact between the filter portion 1400 and the blood vessel wall 2000, thereby reducing climbing and covering of the vascular intima and facilitating the retrieval of the filter.
[0043] The first support portion 1200 and the second support portion 1100 are supported on the blood vessel wall 2000 by point contact. The first support portion 1200 and the second support portion 1100 disposed on opposite sides of the filter portion 1400 can be made integrally with or formed separately from the filter portion 1400. According to the embodiment, the first support portion 1200 and the second support portion 1100 are made integrally with the filter portion 1400. As illustrated in
[0044] The first support portion 1200 can be configured as an axially symmetric structure, which can prevent the filter from tilting and prevent a retrieval hook from attaching to the blood vessel wall 2000. The first support portion 1200 includes at least three first support struts 1200a arranged symmetrically about the central axis of the inferior vena cava filter. The at least three first support struts 1200a extend outwardly in the positive direction and then gradually curl inwardly in the reverse direction to form a support structure which has a collection space with an opening extending in the reverse direction. The at least three first support struts are supported on the blood vessel wall by point contact, which can reduce climbing and covering of the vascular intima. The first support portion 1200 includes at least three first support struts 1200a. In the embodiment of the present disclosure, six first support struts 1200a arranged symmetrically about the central axis are adopted.
[0045] An end of the first support strut 1200a or a tangent of the end of the first support strut, and a central axis of the first support portion 1200 define an angle therebetween, and the angle is greater than or equal to 180. A maximum outer diameter of the first support portion 1200 is substantially coincident with an inner diameter of the blood vessel such that the first support struts 1200a are supported on the inner vessel wall by point contact. It should be noted that the maximum outer diameter refers to the diameter of a circle formed by points of the support struts farthest away from the central axis, that is, the maximum outer diameter is twice a distance between the central axis and a point of the first support struts 1200a farthest away from the central axis. During a deploying procedure, the first support struts 1200a extend within the blood vessel. When the deploying procedure has been completed, an end of the first support strut 1200a or a tangent of the end of the first support strut, and the central axis of the first support portion 1200 define an angel therebetween, and the angle is greater than or equal to 180, regardless of a structure of the first support strut 1200a. Therefore, the end of the first support strut 1200a is arranged offset from the blood vessel wall 2000, and at least in parallel with the blood vessel wall 2000, such that the end of the first support strut 1200a will not pierce the blood vessel wall 2000.
[0046] As illustrated in
[0047] The first support segment 1210 and one of the second support segment 1230 and a tangent of each point of the second support segment 1230 define an angle greater than 90. In one implementation, the first support segment 1210 and one of the second support segment 1230 and a tangent of the second support segment 1230 define an angle greater than and equal to 180, which can ensure that the second support segment 1230 curls in a direction opposite to the filter portion 1400, as illustrated in
[0048] Point contact is a relative concept, meaning that the first support strut 1200a contacts with the blood vessel wall 2000 at a relative small contact area. Compared to the length and diameter of the first support strut 1200, the contact between the first support strut 1200a and the blood vessel wall 2000 can be considered as a kind of point contact. The first support portion 1200 has a maximum outer diameter ranged from 10 mm to 40 mm, and the maximum diameter of the blood vessel is ranged from 16 mm to 34 mm, normally 24 mm.
[0049] As illustrated in
[0050] As illustrated in
[0051] The first support strut 1200a or the second support strut 1100a includes an anchoring portion 1500 for anchoring in the blood vessel wall 2000. In one implementation, the anchoring portion 1500 is disposed on an end of the first support strut 1200a or an end of the second support strut 1100a. The anchoring portion 1500 of the first support strut 1200a is vertical to the central axis, and configured to fix the first support strut 1200a to the blood vessel wall 2000, thereby avoiding excessively deep penetration of the end of the first support strut 1200a into the blood vessel wall 2000. In one implementation, the anchoring portion 1500 of the second support strut 1100a is vertical to the central axis for preventing displacement of the filter in positive or reverse direction. The anchoring portions 1500 of the second support strut 1100a may not positioned in a same plane, so as to reduce entanglement of the anchoring portions 1500.
[0052] The retrieval portion 1300 is configured to retrieve the filter. The retrieval portion 1300 is disposed on the center of the first support portion 1200, and fixedly connected together with or formed integrally with the first support portion 1200. The retrieval portion 1300 includes a hook (that is, the retrieval hook) or a hanging ring configured to retrieve the filter into the sheath.
[0053] According to the clinical preoperative evaluation, the appropriate inferior vena cava filter implantation path is selected.
[0054]
[0055] In a second embodiment, as illustrated in
[0056] The end of the second support struts 1100a includes an anchoring portion 1500. Each of the second support struts 1100a is configured as a straight strut, thereby preventing entanglement of the anchoring portions 1500.
[0057] The structures of the other components of the filter in the second embodiment are the same as that of the first embodiment, which will not be described herein.
[0058] In a third embodiment, as illustrated in
[0059] In one implementation, the first support struts 1200a or the second support struts 1100a, and the struts 1400a of the filter portion 1400 are staggered around the central axis. In one implementation, the first support struts 1200a and the second support struts 1100a respectively form an integral structure with some of the struts 1400a of the filter portion 1400, that is, the first support struts 1200a and some of the struts 1400a are configured as an integral structure, and the second support struts 1100a and some of the struts 1400a are configured as an integral structure. The first support struts 1200a and the second support struts 1100a are staggered around the central axis, which can increase the thrombus filtering effect.
[0060] The other structures of the other components of the first support portion 1200, the second support portion 1100, and the filter portion 1400 in the third embodiment are the same as those of the first and the second embodiments, which will not be described herein.
[0061] Other than the above-mentioned structure, the separate assembly structure can also be formed as follows. Each of the filter portion 1400, the first support portion 1200 and the second support portion 1100 is configured as a separate structure, and the three separate structures are fixedly connected together to form a three-layer structure. The first support portion 1200 includes multiple first support struts 1200a extending outwardly with respect to the center point in the positive direction and then gradually curling inwardly in the reverse direction. The second support portion 1100 includes multiple second support struts 1100a gradually extending outwardly with respect to the center point in the positive direction. The specific structures of the first support portion 1200, the second support portion 1100, and the filter portion 1400 in the third embodiment are the same as those of the above-mentioned embodiments, which will not be described herein.
[0062] The filter portion can be configured as a structure of the plurality of struts cross-linked in a funnel shape, a hollow mesh spherical shape, a mesh disc shape, or a mesh plate shape.