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用于血栓切除术的抽吸导管尖端设计的进展:一项全面的专利综述。

Advancements in aspiration catheter tip design for thrombectomy: a comprehensive patent review.

作者信息

Kortman Vera G, Verberne Yinte, Atalla Mostafa A, Sakes Aimée

机构信息

Department of BioMechanical Engineering, Faculty of Mechanical Engineering, Delft University of Technology, Delft, Netherlands.

Department of Maritime and Transport Technology, Faculty of Mechanical Engineering, Delft University of Technology, Delft, Netherlands.

出版信息

Front Med Technol. 2024 Nov 25;6:1388638. doi: 10.3389/fmedt.2024.1388638. eCollection 2024.

Abstract

Thrombus removal from the human body is facilitated through the utilization of aspiration catheters during minimally invasive thrombectomy procedures, where a pressure differential guides the targeted tissue through a flexible tubular medical instrument. In this paper, we present a patent analysis of thrombectomy aspiration catheter tip designs sourced from the EspaceNet database. Our findings reveal that enhancing the operability of aspiration catheters can be achieved by improving ease of positioning or suction capacity, whether through active or passive means. In terms of the former, both tip shape and flexibility play pivotal roles in maneuvering the distal end effectively. Variations in aspiration port characteristics, either distal-oriented or sideways-oriented, have the potential to enhance suction efficiency. In the active approach, aspects of positioning and suctioning are integrated into a single design, allowing for seamless transitions between configurations. While numerous design characteristics can coexist in a thrombectomy aspiration tip, a balance between flexibility and buckling resistance, as well as between maximizing aspiration lumen diameter and minimizing tip diameter, must be struck. This paper offers an insightful overview of existing thrombectomy aspiration tip designs, providing valuable inspiration for future innovations in this field.

摘要

在微创血栓切除术过程中,通过使用抽吸导管有助于从人体中清除血栓,在该过程中,压力差引导目标组织通过柔性管状医疗器械。在本文中,我们对源自EspaceNet数据库的血栓切除术抽吸导管尖端设计进行了专利分析。我们的研究结果表明,无论是通过主动还是被动方式,提高抽吸导管的可操作性都可以通过提高定位的便利性或抽吸能力来实现。就前者而言,尖端形状和柔韧性在有效操纵远端方面都起着关键作用。抽吸端口特性的变化,无论是面向远端还是侧向,都有可能提高抽吸效率。在主动方法中,定位和抽吸方面被整合到单一设计中,允许在不同配置之间无缝过渡。虽然血栓切除术抽吸尖端可以同时存在许多设计特征,但必须在柔韧性和抗屈曲性之间以及在最大化抽吸腔直径和最小化尖端直径之间取得平衡。本文对现有的血栓切除术抽吸尖端设计进行了深入概述,为该领域未来的创新提供了宝贵的灵感。

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