Generic placeholder image

Recent Patents on Engineering

Editor-in-Chief

ISSN (Print): 1872-2121
ISSN (Online): 2212-4047

Review Article

Recent Patents on Intervention Auxiliary Device of Tracheal Stent

Author(s): Yudong Bao*, Yang Zhan, Xu Li and Shengqian Qu

Volume 17, Issue 6, 2023

Published on: 23 December, 2022

Article ID: e131222211908 Pages: 15

DOI: 10.2174/1872212117666221213121605

Price: $65

conference banner
Abstract

Background: The trachea is an essential part of the respiratory system. Lesions such as inflammatory granulomas cause Bronchial stenosis, which may be life-threatening. Tracheal stent placement is vital for treating airway stenosis, relieving dyspnea, and improving symptoms.

Objective: This paper reviews the patents of tracheal stent placement and removal and auxiliary devices for diagnosis in recent years (from 2007 to the present) and introduces the characteristics and development of tracheal stent implantation, treatment, and assistive removal devices. In order to meet the need for more rapid operation and cause less harm to the human trachea, the structure of the tracheal stent surgical device needs to be improved continuously.

Methods: This paper summarizes the research status of tracheal stent placement and removal and auxiliary devices for diagnosis and treatment in recent years and discusses the structural types and applications of tracheal stent auxiliary devices.

Results: This paper summarizes the patent application of tracheal stent placement and removal and auxiliary devices for diagnosis and treatment at the present stage. This paper analyzes the main problems in its development and discusses the solutions to the problems and the future research direction.

Conclusion: Tracheal stent surgical devices need further improvement in mechanical design, control strategy, etc. Tracheal stent surgical devices should be developed into universal, semiautomatic, and multi-functional machines. The relevant patents of the auxiliary device of the tracheal stent need to be developed.

Graphical Abstract

[1]
J.R. Cebral, and R.M. Summers, "Tracheal and central bronchial aerodynamics using virtual bronchoscopy and computational fluid dynamics", IEEE Trans. Med. Imaging, vol. 23, no. 8, pp. 1021-1033, 2004.
[http://dx.doi.org/10.1109/TMI.2004.828680] [PMID: 15338735]
[2]
C.L. Wu, “The ideal dichotomy structured of human lung airway tree and its visualization”, M.S. thesis, Northeastern University, China, 2014.
[3]
L.Z. Yuan, “Instruction Design Research for the Special Subject of the Breathing and the Respiration”, M.S. thesis, Guangxi Normal University, China, 2017.
[4]
C.T. Wang, H.C. Li, and M.L. Lei, "Research progress of airway stent in the treatment of tracheal and bronchial stenosis", Shandong Yiyao, vol. 40, no. 19, pp. 57-58, 2000.
[5]
R.F. Zhang, and L.P. Chen, "Application of tracheal prosthesis and tracheal scaffold", J. Clin. Rehabil. Tissue Eng. Res., vol. 15, no. 51, pp. 9651-9654, 2011.
[6]
W.N. Liu, J. Sun, W. Zhang, Y.H. Li, and W.C. Li, "Clinical application of digital subtraction angiography combined with endotracheal stent implantation in the treatment of malignant airway stenosis", Chin. J. Lung. Dis., vol. 9, no. 1, pp. 77-79, 2016.
[7]
B.S. Fu, “Development of a novel woven artificial tracheal stent”, M.S. thesis, Donghua University, China, 2015.
[8]
V. Steger, M. Hampel, I. Trick, M. Müller, and T. Walles, "Clinical tracheal replacement: Transplantation, bioprostheses and artificial grafts", Expert Rev. Med. Devices, vol. 5, no. 5, pp. 605-612, 2008.
[http://dx.doi.org/10.1586/17434440.5.5.605] [PMID: 18803471]
[9]
M. Noppen, D. Piérard, M. Meysman, I. Claes, and W. Vincken, "Bacterial colonization of central airways after stenting", Am. J. Respir. Crit. Care Med., vol. 160, no. 2, pp. 672-677, 1999.
[http://dx.doi.org/10.1164/ajrccm.160.2.9812081] [PMID: 10430745]
[10]
Y. Niu, S. Huang, Z. An, J. Tang, W. Lv, and J. Hu, "Prognostic risk factors for patients receiving airway stent placement", Zhongguo Fei Ai Za Zhi, vol. 23, no. 6, pp. 460-465, 2020.
[PMID: 32517450]
[11]
Z. Wang, W.H. Ji, and Y.Z. Wang, "Progress in treatments of primary tracheal tumors", China Cancer, vol. 22, no. 10, pp. 789-793, 2013.
[12]
F. Puma, R. Farabi, M. Urbani, S. Santoprete, N. Daddi, A. Di Meo, R. Gialletti, A. Tocchi, and G. Daddi, "Long-term safety and tolerance of silicone and self-expandable airway stents: An experimental study", Ann. Thorac. Surg., vol. 69, no. 4, pp. 1030-1034, 2000.
[http://dx.doi.org/10.1016/S0003-4975(00)01092-4] [PMID: 10800789]
[13]
T. Tojo, S. Iioka, S. Kitamura, M. Maeda, H. Otsuji, H. Uchida, T. Mori, and K. Furuse, "Management of malignant tracheobronchial stenosis with metal stents and dumon stents", Ann. Thorac. Surg., vol. 61, no. 4, pp. 1074-1078, 1996.
[http://dx.doi.org/10.1016/0003-4975(96)00010-0] [PMID: 8607659]
[14]
B.P. Madden, S.A. Stamenkovic, and P. Mitchell, "Covered expandable tracheal stents in the management of benign tracheal granulation tissue formation", Ann. Thorac. Surg., vol. 70, no. 4, pp. 1191-1193, 2000.
[http://dx.doi.org/10.1016/S0003-4975(00)01555-1] [PMID: 11081868]
[15]
M.J. Wallace, C. Charnsangavej, K. Ogawa, C.H. Carrasco, K.C. Wright, R. McKenna, M. McMurtrey, and C. Gianturco, "Tracheobronchial tree: Expandable metallic stents used in experimental and clinical applications. Work in progress", Radiology, vol. 158, no. 2, pp. 309-312, 1986.
[http://dx.doi.org/10.1148/radiology.158.2.3941857] [PMID: 3941857]
[16]
S.A.M. Nashef, C. Dromer, J.F. Velly, L. Labrousse, and L. Couraud, "Expanding wire stents in bengin tracheobronchial disease: Indications and complications", Ann. Thorac. Surg., vol. 54, no. 5, pp. 937-940, 1992.
[http://dx.doi.org/10.1016/0003-4975(92)90653-L] [PMID: 1384448]
[17]
F. Yan, and H. Zhang, "Prevention and treatment of complications of tracheal stent implantation", Jilin Med. J., vol. 34, no. 7, pp. 1345-1346, 2013.
[18]
J.W. Wang, "Intervention with flexible bronchoscopy in patients with respiratory failure caused by tracheal stenosis", Zhonghua Jizhen Yixue Zazhi, vol. 22, no. 3, pp. 521-525, 2013.
[19]
L. Wang, "Nursing care of a case of dyspnea caused by tracheal stenosis after emergency placement of tracheal stent", Good for All Health, vol. 7, no. 7, pp. 186-187, 2013.
[20]
Y.X. Zhang, and M.H. Zu, "Nursing care of endotracheal stent implantation", J. Intervent. Radiol., vol. 9, no. 4, p. 219, 2000.
[21]
B.D. Petersen, B.T. Uchida, R.E. Barton, F.S. Keller, and J. Rösch, "Gianturco-Rösch Z stents in tracheobronchial stenoses", J. Vasc. Interv. Radiol., vol. 6, no. 6, pp. 925-931, 1995.
[http://dx.doi.org/10.1016/S1051-0443(95)71214-3] [PMID: 8850671]
[22]
T. Kitanosono, M. Honda, S. Matsui, T. Hashimoto, H. Munechika, T. Hishida, K. Okubo, and K. Koizumi, "Migration of Gianturco expandable metallic stents in the upper trachea", Cardiovasc. Intervent. Radiol., vol. 20, no. 3, pp. 216-218, 1997.
[http://dx.doi.org/10.1007/s002709900140] [PMID: 9134847]
[23]
T.T. Lei, D.Y. Yang, Q. Lu, and H.S. Ma, "Treatment and casual analysis of post operative displacement of stent implantation in esophageal cancer patients", Chin. J. Gastrointestinal. Endoscop., vol. 3, no. 3, pp. 132-136, 2016.
[24]
H.J. Gao, J. Dong, and M. Hu, "Clinical application of tracheal stent implantation", J. Clin. Rehabil. Tissue Eng. Res., vol. 13, no. 17, pp. 3324-3327, 2009.
[25]
R.M. Filler, V. Forte, and P. Chait, "Tracheobronchial stenting for the treatment of airway obstruction", J. Pediatr. Surg., vol. 33, no. 2, pp. 304-311, 1998.
[http://dx.doi.org/10.1016/S0022-3468(98)90452-3] [PMID: 9498407]
[26]
S. Zakaluzny, J.D. Lane, and E.A. Mair, "Complications of tracheobronchial airway stents", Otolaryngol. Head Neck Surg., vol. 128, no. 4, pp. 478-488, 2003.
[http://dx.doi.org/10.1016/S0194-5998(03)00002-0] [PMID: 12707649]
[27]
N. Wei, H. Xu, M.H. Zu, Y.M. Gu, Q.Q. Zhang, W. Xu, Y.F. Cui, H.T. Liu, and W.L. Wang, "Analysis of complication of stent insertion in patients with malignant tracheal stenosis", Zhongguo Jieru Yingxiang Yu Zhiliaoxue, vol. 9, no. 3, pp. 167-171, 2012.
[28]
Z.G. Duan, X.P. Tan, and J.M. Pei, "Mathematical description of fractal structure of bronchial tree", J. Sichuan Univ. Eng. Sci. Ed., vol. 35, no. 4, pp. 64-66, 2003.
[29]
K. Palágyi, J. Tschirren, E.A. Hoffman, and M. Sonka, "Quantitative analysis of pulmonary airway tree structures", Comput. Biol. Med., vol. 36, no. 9, pp. 974-996, 2006.
[http://dx.doi.org/10.1016/j.compbiomed.2005.05.004] [PMID: 16076463]
[30]
B.H. Zhang, “Simulation of Airflows in Human pulmonary airway tree”, M.S. thesis, Northeastern University, China, 2016.
[31]
J.C. Zhao, “Automatic skeletonization, labeling and structural analysis of lung airway tree”, M.S. thesis, Northeastern University, China, 2015.
[32]
C.H. Yan, "Etiology and nursing of chronic obstructive emphysema", Chin J EthoMed Ethnopharm, vol. 19, no. 10, p. 214, 2010.
[33]
L.B. Gerald, and W.C. Bailey, "Global initiative for chronic obstructive lung disease", J. Cardiopulm. Rehabil., vol. 22, no. 4, pp. 234-244, 2002.
[http://dx.doi.org/10.1097/00008483-200207000-00004] [PMID: 12202842]
[34]
H.Y. Shi, "Effect of high-quality nursing on pulmonary f unction and quality of life in elderly patients with chronic obstructive pulmonary disease", G Chin Med, vol. 20, no. 5, pp. 182-184, 2022.
[35]
Y. Wu, S. Zhang, B. Zhuo, M. Cai, Z.M. Qian, M.G. Vaughn, S.E. McMillin, Z. Zhang, and H. Lin, "Global burden of chronic obstructive pulmonary disease attributable to ambient particulate matter pollution and household air pollution from solid fuels from 1990 to 2019", Environ. Sci. Pollut. Res. Int., vol. 29, no. 22, pp. 32788-32799, 2022.
[http://dx.doi.org/10.1007/s11356-021-17732-8] [PMID: 35020151]
[36]
R.L. Yu, L.P. Cai, X.Y. Ha, S.X. Liu, and L.H. Sun, "Observation and nursing countermeasures of complications of fiberoptic bronchoscopy", G Chin Med, vol. 7, no. 15, pp. 139-140, 2009.
[37]
L.L. Zhao, P. Shao, J.F. Wang, and G.R. Wu, "Treatment of complication of fiberoptic bronchoscopy", Ningxia Med. J., vol. 33, no. 8, pp. 733-734, 2011.
[38]
X.L. Li, F.R. Tang, L. Li, and Y. Chen, "Observation and nursing of complications of 899 children undergoing fiberoptic bronchoscopy", Today Nurse, pp. 129-130, 2014.
[39]
X.Z. Xia, J.X. Qi, and R.X. Liu, "Treatment of tracheal stenosis with nitinol shape memory alloy stent under fiberoptic bronchoscope", Chin. J. Endoscopy, vol. 6, no. 2, pp. 30-31, 2000.
[40]
M.G. Kovalev, A.L. Akopov, Y.S. Polushin, A.N. Geroeva, V.O. Krivov, A.V. Gerasin, A.A. Ilyin, and N.V. Kazakov, "Anesthesia for resection of the trachea without its intubation", Mes. Anesthesiol. Resuscitat., vol. 16, no. 1, pp. 37-45, 2020.
[http://dx.doi.org/10.21292/2078-5658-2020-16-1-37-45]
[41]
C. Zhao, S.T. Xiang, W. Su, J.R. Zeng, S. Xu, and C.W. Mao, "The strategy for implantation of integrated Y - shaped tracheal stent guided by single guidewire combined with double guide wire technique", J. Intervent. Radiol., vol. 28, no. 9, pp. 847-850, 2019.
[42]
D.H. Zeng, A.X. Zeng, and S.B. Wang, "Clinical application value of endoscopic covered esophageal stent in the treatment of cancerous esophageal stenosis and esophagotracheal (mediastinal) fistula", China. Med. Pharm., vol. 10, no. 7, pp. 287-290, 2020.
[43]
J.M. Li, and G.Z. Jia, "The treatment of complex airway diseases with inverted Y -shaped self-expandable metal stent", J. Intervent, Radiol., vol. 20, no. 3, pp. 210-213, 2011.
[44]
H.J. Luo, P. He, L.N. Mu, C.L. Peng, J. Li, J.L. Liu, and C.X. Lu, "Efficacy and safety of tracheal stent implantation with laryngoscope and DSA for the treatment of advanced cancer causing tracheal stenosis or fistula", Chin. J. Endoscopy, vol. 20, no. 10, pp. 1059-1062, 2014.
[45]
Z.M. Li, H.B. Lu, K.W. Ren, X.W. Han, G. Wu, and D.C. Jiao, "Fluoroscopy- guided retrieval of tracheal tubular metallic stents: Analysis of 45 cases", J. Intervent. Radiol., vol. 26, no. 1, pp. 40-43, 2017.
[46]
J.H. Kim, J.H. Shin, T.S. Shim, C.J. Yoon, J.O. Lim, G.Y. Ko, H.K. Yoon, K.B. Sung, and H.Y. Song, "Efficacy and safety of a retrieval hook for removal of retrievable expandable tracheobronchial stents", J. Vasc. Interv. Radiol., vol. 15, no. 7, pp. 697-705, 2004.
[http://dx.doi.org/10.1097/01.RVI.0000133506.09685.A3] [PMID: 15231883]
[47]
A. Coordes, I. Todt, A. Ernst, and R.O. Seidl, "Multi-stage surgery for airway patency after metallic stent removal in benign laryngotracheal airway disease in two adolescents", Int. J. Pediatr. Otorhinolaryngol., vol. 77, no. 5, pp. 857-862, 2013.
[http://dx.doi.org/10.1016/j.ijporl.2013.02.012] [PMID: 23489883]
[48]
A.M. Rampey, G.A. Silvestri, and M.B. Gillespie, "Combined endoscopic and open approach to the removal of expandable metallic tracheal stents", Arch. Otolaryngol. Head Neck Surg., vol. 133, no. 1, pp. 37-41, 2007.
[http://dx.doi.org/10.1001/archotol.133.1.37] [PMID: 17224520]
[49]
S. Cavaliere, F. Venuta, P. Foccoli, C. Toninelli, and B.L. Face, "Endoscopic treatment of malignant airway obstructions in 2,008 patients", Chest, vol. 110, no. 6, pp. 1536-1542, 1996.
[http://dx.doi.org/10.1378/chest.110.6.1536] [PMID: 8989073]
[50]
W. Xi, Q.Y. Xu, S.X. Chen, L.B. Gu, and J.D. Wu, "Laryngoscope combined with fluoroscopic tracheal stent implantation under local anesthesia in the treatment of patients with malignant airway stenosis or fistula", Chin. Med. J. (Engl.), vol. 35, no. 11, pp. 2453-2455, 2011.
[51]
S.L. Rao, A.R. Kunselman, H.G. Schuler, and S. DesHarnais, "Laryngoscopy and tracheal intubation in the head-elevated position in obese patients: A randomized, controlled, equivalence trial", Anesth. Analg., vol. 107, no. 6, pp. 1912-1918, 2008.
[http://dx.doi.org/10.1213/ane.0b013e31818556ed] [PMID: 19020138]
[52]
Z.G. Xie, X.P. Zhang, Y.H. Yi, F.D. Li, and P. Jin, "Improvement and clinical application of tracheal stent conveyor", J. Clin. Radiol., vol. 22, no. 1, pp. 80-81, 2003.
[53]
Q.Y. Xu, S.X. Chen, Y. Lu, H. Jiang, and G.W. Yin, "Implantation of inverted Y -type metal airway stent with modified guide wire insertion technique under local anesthesia for malignant carina stenosis: Initial experience in 10 patients", J. Intervent. Radiol., vol. 26, no. 12, pp. 1125-1128, 2017.
[54]
C.H. Zhong, T.C. Zhang, and Q.J. Jiang, "A tracheal stent conveyor and tracheal stent system", C.N. Patent 111,374,812, 2020.
[55]
W.Y. Chen, X.B. Li, H. Ke, Q.H. Yang, C.J. Zhou, G.Y. Zhang, X.L. Zou, J.L. Liu, J. Guo, and X.Q. Wan, "A tracheal stent and its implantation method", C.N. Patent 111,956,374, 2020.
[56]
L. Zhu, "A tracheal stent delivery device", C.N. Patent 203,555,862, 2014.
[57]
H.W. Wang, "A tracheal stent pusher guide sheath and tracheal stent pusher", C.N. Patent 204,995,943, 2016.
[58]
M.Y. Ke, "A tracheal stent placement device", C.N. Patent 207,168,614, 2018.
[59]
S.T. Xiang, J.R. Zeng, S. Xu, J.Q. Gan, J.J. Zhao, Y. Zhou, and S.H. Yuan, "An integrated single and double guide wire guided Y-shaped metal tracheal stent conveyor", C.N. Patent 209,678,770, 2019.
[60]
T.B. Robert, B.G. Salvador, G.P. Joan, and R.G. Antoni, "Tracheal stent insertion system", W.O. Patent 2,020,089,500, 2020.
[61]
D. Creedon, and L.H. Marten, "Stent delivery device and methods of use thereof", U.S. Patent 2,012,005,3669, 2012.
[62]
Y. Yu, L. Lin, and S. Zhao, "A positioning device for tracheal stent placement", C.N. Patent 204,016,563, 2014.
[63]
C.T. Wang, C.P. Mao, Q.L. Zeng, Q.Z. Han, and G.D. Song, "Tracheal stent implanter", C.N. Patent 239,157,1, 2000.
[64]
X.Q. Mi, and E.D. Pan, "Injury reduction y-shaped bronchial stent release conveyor", C.N. Patent 201,431,533, 2010.
[65]
C.W. Pan, Y.Q. Li, and D.R. Leng, "Y-shaped tracheal stent and its implanter", C.N. Patent 201,524,156, 2010.
[66]
J.Q. Liu, "Bronchial stent delivery device", C.N. Patent 200,980,751, 2007.
[67]
Z. Li, X.W. Han, Y. Li, K.W. Ren, X. Li, P.C. Zhan, K. Ji, and L.L. Bai, "Multi-lumen airway radiography guide wire catheter device set for delivering a Y-shaped airway stent", C.N. Patent 209,107,693, 2019.
[68]
F.T. Malecki, R.A. Sahatjian, and C.M. Liu, "Expandable stent delivery system with outer sheath", U.S. Patent 10,278,838, 2019.
[69]
C. He, "Tracheal stent spreader", C.N. Patent 206,995,368, 2018.
[70]
L. Kong, "A neonatal clinical bronchial support device", C.N. Patent 211,325,910, 2020.
[71]
A.I. Musani, "Airway anchor suture to prevent airway stent migration", U.S. Patent 8,512,414, 2013.
[72]
N. Zhang, Z.N. Wang, H.M. Ma, H. Gao, Y.D. Zhao, X.Y. Bai, and X. Sun, "Supporting and fixing device of tracheal bracket pusher", C.N. Patent 215,080,264, 2021.
[73]
P.X. Huang, X.Y. Chen, and L.Y. Shi, "A fixing device for silicone stent in trachea", C.N. Patent 214,511,432, 2021.
[74]
S.G. Gao, L. Guo, C.H. Dong, D.M. Fan, G.Q. Kong, T.Y. Shan, and X.Z. Yuan, "A positioning device for tracheal stent placement", C.N. Patent 202,397,654, 2012.
[75]
T. Jiang, N. Li, C.J. Yang, M.M. Li, H.B. Gu, and L.L. Zhuang, "A tracheal stent retrieval forceps", C.N. Patent 214,549,758, 2021.
[76]
P. Satasiya, and T. Alexander, "Stent removal and repositioning device and associated method", U.S. Patent 9,308,104, 2016.
[77]
X.T. Guo, "Recyclable fully covered nickel titanium alloy endotracheal stent and its recovery device", C.N. Patent 2,633,329, 2004.
[78]
F. Zhang, Y. Zhang, G.W. Wang, J. Zhang, T. Pan, and X.L. Ren, "Clinical efficacy of endotracheal stent implantation guided by ultra-thin bronchoscope in the treatment of malignant airway stenosis", J Mod Oncol, vol. 29, no. 22, pp. 3949-3953, 2021.

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy