CN103330591B - A kind of cooling sacculus for the protection of atrial fibrillation radio-frequency (RF) ablation esophagus - Google Patents
A kind of cooling sacculus for the protection of atrial fibrillation radio-frequency (RF) ablation esophagus Download PDFInfo
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- CN103330591B CN103330591B CN201310273263.5A CN201310273263A CN103330591B CN 103330591 B CN103330591 B CN 103330591B CN 201310273263 A CN201310273263 A CN 201310273263A CN 103330591 B CN103330591 B CN 103330591B
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Abstract
The invention discloses a kind of cooling perfusion capsule.Described cooling perfusion capsule comprises a soft pipeline; Described soft pipeline carries out coiling and forms three-back-shaped coil pipe centered by one opening; Spacing is provided with between each pipeline of described three-back-shaped coil pipe.Described soft pipeline coiling forms three-back-shaped coil pipe described in several.When using of the present invention, safe and simple, noinvasive operates, similar nasal feeding tube implantation process conventional clinically; Economical and practical: to adopt silica gel material, with low cost, do not increase patient burden and social medical care expenses expenditure; Subsidiary temperature probe can Real-Time Monitoring esophagus local temperature, cross needle locating is in PLA, to the committed step-atrial septal puncture-there is important iconography reference value in operation, show as when different position is thrown and shone the image feature that can differentiate, medical treatment with scientific research purposes exist multiplex gain.
Description
Technical field
The present invention relates to a kind of cooling perfusion capsule, belong to atrial fibrillation Radiofrequency Catheter Ablation technical field.
Background technology
Atrial fibrillation is clinical modal chronic arrhythmia, accounts for greatly all ARR 1/3rd.Cause thromboembolism (comprising apoplexy), the danger of heart failure and death obviously increases, and is lethal and one of the main reasons that is that disable.Medication effect is not good, is difficult to maintain the Main Bottleneck that normal sinus rhythm is current Drug therapy field; And in non-drug therapy, catheter ablation is a kind of radical surgery to atrial fibrillation, along with the progress of the key technologies such as three dimensional reconstructive CT, atrial fibrillation catheter ablation is more and more that extensive patients and doctor accept, amount for surgical rises year by year, and its safety and effectiveness are also along with the accumulation steady-state growth of Couple herbs.But the catheter ablation of atrial fibrillation needs to carry out linear radio-frequency ablation to realize the complete electric isolution to Pulmonary venous vestibule to PLA; PLA is close to esophagus antetheca; the saturating wall damage of heat effect that radio-frequency (RF) energy is brought usually can injure esophagus; show as when PLA melts in art and bring the malaise symptoms such as obvious pain and postoperative retrosternal pain to patient; pain incidence rate is almost 100%; the postoperative erythema that esophagoscope confirms or ulcer rates are 2 ~ 3%, even can cause the generation of serious left atrium-esophageal fistula only a few patient (0.1%).In art, pain can cause patient's significant discomfort, and patient because of patients symptomatic obviously or worry that severe complication occurs, and can reduce melting of corresponding site usually.Such position usually becomes the gap of melting and causes disease palindromia, and eventually reduces treatment success rate.And once there is this severe complication of left atrium-esophageal fistula, its mortality rate can reach 80%, the patient survived leaves over CNS dysfunctions mostly, and the generation of this type of complication can reduce the confidence of doctor and patient to treatment greatly.Therefore esophageal injury to avoid be important management and control link in treatment of atrial fibrillation by catheter ablation, the generation reducing patient suffering and prevention severe complication should become the target that clinician seek assiduously.
Domestic and international to alleviate the main method that esophagus heat waste injures in prevention left atrium-esophageal fistula generation as follows at present:
1, strictly energy that LAPW melts and temperature (sacrifice curative effect) is controlled;
2, intracardiac echocardiography monitoring and guide (program is complicated, expensive);
3, esophageal temperature (apparatus defect) is continued to monitor;
4, according to CT, esophagus gulps down barium, three-dimensional electrolysis cuts open mapping and the pre-aligned esophagus traveling of means such as esophagus sacculus (apparatus defect, cannot active treatment);
5, avoid using 8mm ablation catheter;
6, heavy dose of proton pump inhibitor, omeprazole 40mg1/ day, preoperative 1 day and month after operation (indirect treatment);
7, aquation in preoperative and art, increases blood volume, relies on the abundant blood flow in local to take away heat (indirect treatment);
8, powering scheme, high-energy short time (50W+2-5 second, always export 100-250W) and low-yield long-time (25-35W+20-30 second, always export 500-1050W) (sacrifice curative effect).
Said method achieves certain effect in clinical, but also there is the problem of the following aspects:
1, indirect treatment: as used proton pump inhibitor and aquation is all indirectly by promotion esophageal injury rehabilitation or resist hot injury and play a role;
2, program is complicated, expensive: as used intracardiac echocardiography, increase complicated operation degree, apparatus is expensive, applies less at home;
3, curative effect is sacrificed: control PLA and melt, some patients can be made cannot to obtain real Pulmonary venous vestibule electric isolution, for palindromia leaves hidden danger;
4, apparatus defect: esophagus probe can only be monitored, can not play therapeutical effect.
Therefore, the device that a kind of esophagus hot injury that can avoid in atrial fibrillation catheter ablation is provided is needed.
Summary of the invention
The object of this invention is to provide a kind of cooling perfusion capsule, cooling perfusion capsule of the present invention utilizes heat-conduction principle to be dredged in time by the excessively dark thermal energy that radiofrequency catheter electric discharge is transmitted, and takes away unnecessary heat, alleviates amount of localized heat and gather the esophageal injury caused.
One cooling perfusion capsule provided by the present invention, it comprises a soft pipeline; Described soft pipeline carries out coiling and forms three-back-shaped coil pipe centered by one opening; Spacing is provided with between each pipeline of described three-back-shaped coil pipe.
In above-mentioned cooling perfusion capsule, described soft pipeline coiling forms three-back-shaped coil pipe described in several, can increase film-cooled heat to strengthen cooling effect.
In above-mentioned cooling perfusion capsule, be provided with temperature probe, for the local temperature of Real-Time Monitoring esophagus contact site near the center of described three-back-shaped coil pipe.
In above-mentioned cooling perfusion capsule, be provided with roentgenopaque positioning pointer near the center of described three-back-shaped coil pipe, the effect of location can be played, so that the operation in guided operation.
In above-mentioned cooling perfusion capsule, described three-back-shaped coil pipe is coiled clockwise by described soft pipeline and is formed.
In above-mentioned cooling perfusion capsule, the spacing between each pipeline of described three-back-shaped coil pipe is equal, is about about 1mm, and spacing too closely can make the non-purposiveness heat exchange that similar short circuit occurs between upstream and downstream pipeline, and finally affects cooling effect.
In above-mentioned cooling perfusion capsule, described soft pipeline is made up of silica gel, the characteristic conforms human body Anatomy of the esophagus form traveling of described silica gel and the elasticity of muscular tissue and expansible feature, when contributing to convenience when described cooling sacculus is placed and atrial fibrillation ablation, described cooling pours into stability and the effectiveness that capsule is fixed on target site.
Cooling perfusion capsule tool provided by the invention has the following advantages:
1, embody one to turn from a guest into a host, the mentality of designing of changing from passive to active: international proposition first carries out local, direct initiatively protection and treatment to the esophagus hot injury that atrial fibrillation catheter ablation causes;
When 2, using, safe and simple, noinvasive operates, similar nasal feeding tube implantation process conventional clinically;
3, economical and practical: to adopt silica gel material, with low cost, do not increase patient burden and social medical care expenses expenditure;
4, one-object-many-purposes: subsidiary temperature probe can Real-Time Monitoring esophagus local temperature, cross needle locating is in PLA, to the committed step-atrial septal puncture-there is important iconography reference value in operation, show as when different position is thrown and shone the image feature that can differentiate, medical treatment with scientific research purposes exist multiplex gain;
5, comprehensive value: the present invention will provide three important supports greatly for treatment of atrial fibrillation by catheter ablation operation: safety, effectiveness, comfortableness.
Accompanying drawing explanation
Fig. 1 is the structural representation that the present invention cools perfusion capsule.
In figure, each labelling is as follows: 1 soft pipeline, 2 temperature probes, 3 roentgenopaque positioning pointers.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention will be further described, but the present invention is not limited to following examples.
As shown in Figure 1, cooling perfusion capsule provided by the invention comprises a soft pipeline 1, this soft pipeline 1 is made up of silica gel, due to the characteristic conforms human body Anatomy of the esophagus form traveling of silica gel and the elasticity of muscular tissue and expansible feature, the pipeline be therefore made up of it contributes to pouring into the placement of capsule and being fixed on stability and the effectiveness of target site.This soft pipeline carries out coiling clockwise and forms multiple three-back-shaped coil pipe centered by one opening, and is provided with spacing between each pipeline of this three-back-shaped coil pipe, and spacing is equal.When using of the present invention, cooling water enters coil pipe from the opening being arranged in three-back-shaped coil pipe center, and another opening from three-back-shaped coil pipe after then flowing through each pipeline flows out, and then cools.
In order to the local temperature of pouring into capsule and esophagus contact point can be cooled by Real-Time Monitoring, be provided with temperature probe 2 in the center near this three-back-shaped coil pipe.
For the ease of the Operating Guideline in operation process, be provided with roentgenopaque positioning pointer 3 near the center of this three-back-shaped coil pipe, in atrial septal puncture and art, the effect of location in conduit moving process, can be played.
In above-mentioned cooling perfusion capsule, also according to actual needs soft pipeline can be coiled into several three-back-shaped coil pipes, and the spacing between each pipeline forming three-back-shaped coil pipe also can adjust according to actual needs.In the present invention, when soft pipeline coils, also can coil according to counterclockwise direction.
When using cooling of the present invention to pour into capsule, 20 DEG C of cool brines are exported through coolant pump, flow through to central point from the arrival end of this cooling perfusion capsule, then heat is absorbed gradually through three-back-shaped coil pipe circulation again, water after intensification passes back into coolant pump through the port of export, and cooled water recycles according to said process again.
Claims (6)
1. for reducing a cooling perfusion capsule for catheter ablation for atrial fibrillation esophageal injury, it is characterized in that: described cooling perfusion capsule comprises a soft pipeline; Described soft pipeline carries out coiling and forms three-back-shaped coil pipe centered by one opening; Spacing is provided with between each pipeline of described three-back-shaped coil pipe; Described soft pipeline is made up of silica gel.
2. cooling perfusion capsule according to claim 1, is characterized in that: described soft pipeline coiling forms three-back-shaped coil pipe described in several.
3. cooling perfusion capsule according to claim 1 and 2, is characterized in that: be provided with temperature probe near the center of described three-back-shaped coil pipe.
4. cooling perfusion capsule according to claim 1 and 2, is characterized in that: be provided with roentgenopaque positioning pointer near the center of described three-back-shaped coil pipe.
5. cooling perfusion capsule according to claim 1 and 2, is characterized in that: described three-back-shaped coil pipe is coiled clockwise by described soft pipeline and formed.
6. cooling perfusion capsule according to claim 1 and 2, is characterized in that: the spacing between each pipeline of described three-back-shaped coil pipe is equal.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310273263.5A CN103330591B (en) | 2013-07-02 | 2013-07-02 | A kind of cooling sacculus for the protection of atrial fibrillation radio-frequency (RF) ablation esophagus |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310273263.5A CN103330591B (en) | 2013-07-02 | 2013-07-02 | A kind of cooling sacculus for the protection of atrial fibrillation radio-frequency (RF) ablation esophagus |
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| Publication Number | Publication Date |
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| CN103330591A CN103330591A (en) | 2013-10-02 |
| CN103330591B true CN103330591B (en) | 2015-10-07 |
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| CN201310273263.5A Expired - Fee Related CN103330591B (en) | 2013-07-02 | 2013-07-02 | A kind of cooling sacculus for the protection of atrial fibrillation radio-frequency (RF) ablation esophagus |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN113786236A (en) * | 2021-09-16 | 2021-12-14 | 奥克兰高分子医用材料(天津)有限公司 | Liquid leakage prevention high-frequency negative pole loop pad |
Citations (5)
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|---|---|---|---|---|
| US4010795A (en) * | 1973-08-02 | 1977-03-08 | Gambro Ag | Cooling unit |
| US6849072B2 (en) * | 2000-04-07 | 2005-02-01 | The General Hospital Corporation | Methods and apparatus for thermally affecting tissue |
| CN202086644U (en) * | 2011-04-19 | 2011-12-28 | 武秀英 | Low temperature cap for preventing alopecia caused by chemotherapy |
| CN102413867A (en) * | 2009-02-26 | 2012-04-11 | 先进冷却疗法有限责任公司 | Apparatus and method for controlling patient temperature |
| CN203354641U (en) * | 2013-07-02 | 2013-12-25 | 黄亚 | Cooling pouring capsule |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080077126A1 (en) * | 2006-09-22 | 2008-03-27 | Rassoll Rashidi | Ablation for atrial fibrillation |
| WO2008131306A1 (en) * | 2007-04-19 | 2008-10-30 | The Foundry, Inc. | Systems and methods for creating an effect using microwave energy to specified tissue |
| US8579889B2 (en) * | 2008-01-11 | 2013-11-12 | Boston Scientific Scimed Inc. | Linear ablation devices and methods of use |
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2013
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Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4010795A (en) * | 1973-08-02 | 1977-03-08 | Gambro Ag | Cooling unit |
| US6849072B2 (en) * | 2000-04-07 | 2005-02-01 | The General Hospital Corporation | Methods and apparatus for thermally affecting tissue |
| CN102413867A (en) * | 2009-02-26 | 2012-04-11 | 先进冷却疗法有限责任公司 | Apparatus and method for controlling patient temperature |
| CN202086644U (en) * | 2011-04-19 | 2011-12-28 | 武秀英 | Low temperature cap for preventing alopecia caused by chemotherapy |
| CN203354641U (en) * | 2013-07-02 | 2013-12-25 | 黄亚 | Cooling pouring capsule |
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