用于微创心血管干预中缆索驱动平行机构的自膨胀镍钛诺框架。

IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Journal of the Mechanical Behavior of Biomedical Materials Pub Date : 2025-01-08 DOI:10.1016/j.jmbbm.2025.106889
Sina (Mohammadmahdi) Keshavarz , Mohammad Khoobani , Rene Gilliland-Rocque , Mohammadmahdi Tahmasebi , Andrew Dueck , M. Ali Tavallaei
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引用次数: 0

摘要

自膨胀镍钛诺框架与电缆驱动的平行机构的整合为微创心血管干预提供了一个有希望的进步。本研究介绍了一种微型自膨胀镍钛诺框架的设计、制造和验证,以增强导管尖端的可操纵性和在复杂血管解剖中导航。框架尺寸减小,可通过7-8 Fr护套输送,同时适应不同的血管直径,允许最大膨胀15毫米。迭代设计和参数化研究确保了稳健的船舶锚定和最小的偏转,以保持导管尖端的控制精度。广泛的测试包括有限元模拟和台式实验。压接模拟证实,最大Von Mises应力(575 MPa)不超过镍钛诺的屈服应力,变形曲线与实验结果吻合。挠度测试显示最小挠度低于0.45毫米在框架的锚固点,确保精确的尖端控制。径向力研究验证了平衡力低于6牛(目标血管直径),在不破坏血管壁的情况下防止迁移。摩擦试验证明了其优越的性能,减少了摩擦,提高了力传递效率。这些发现表明,提出的小型化框架设计是心血管干预的可行选择。
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A self-expandable nitinol frame for cable-driven parallel mechanisms in minimally invasive cardiovascular interventions
The integration of self-expandable nitinol frames with cable-driven parallel mechanisms offers a promising advancement in minimally invasive cardiovascular interventions. This study presents the design, fabrication, and verification of a miniaturized self-expandable nitinol frame to enhance catheter tip steerability and navigation within complex vascular anatomies. The frame is reduced in size for delivery through 7–8 Fr sheaths while accommodating diverse vascular diameters, allowing up to a maximum expansion of 15 mm. Iterative design and parametric studies ensured robust vessel anchoring with minimal deflection to maintain catheter tip control accuracy. Extensive testing included finite element simulations and benchtop experiments. Crimping simulations confirmed that the maximum Von Mises stresses (575 MPa) did not exceed nitinol's yield stress, and deformation profiles matched experimental results. Deflection tests showed minimal deflections below 0.45 mm at the frame's anchoring points, ensuring precise tip control. Radial force studies validated balanced forces below 6 N (for target vessel diameters), preventing migration without damaging vessel walls. Friction studies demonstrated superior performance, reducing friction and enhancing force transmission efficiency. These findings indicated that the proposed miniaturized frame design is a feasible option for cardiovascular interventions.
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来源期刊
Journal of the Mechanical Behavior of Biomedical Materials
Journal of the Mechanical Behavior of Biomedical Materials 工程技术-材料科学:生物材料
CiteScore
7.20
自引率
7.70%
发文量
505
审稿时长
46 days
期刊介绍: The Journal of the Mechanical Behavior of Biomedical Materials is concerned with the mechanical deformation, damage and failure under applied forces, of biological material (at the tissue, cellular and molecular levels) and of biomaterials, i.e. those materials which are designed to mimic or replace biological materials. The primary focus of the journal is the synthesis of materials science, biology, and medical and dental science. Reports of fundamental scientific investigations are welcome, as are articles concerned with the practical application of materials in medical devices. Both experimental and theoretical work is of interest; theoretical papers will normally include comparison of predictions with experimental data, though we recognize that this may not always be appropriate. The journal also publishes technical notes concerned with emerging experimental or theoretical techniques, letters to the editor and, by invitation, review articles and papers describing existing techniques for the benefit of an interdisciplinary readership.
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