CN103622729B - The power set except device are got for thrombosis - Google Patents
The power set except device are got for thrombosis Download PDFInfo
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- CN103622729B CN103622729B CN201310670687.5A CN201310670687A CN103622729B CN 103622729 B CN103622729 B CN 103622729B CN 201310670687 A CN201310670687 A CN 201310670687A CN 103622729 B CN103622729 B CN 103622729B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
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Abstract
Description
技术领域 technical field
本发明涉及一种医疗器械,特别涉及一种用于血栓取除器的动力装置。 The invention relates to a medical device, in particular to a power device for a thrombus remover.
背景技术 Background technique
由于饮食结构改变等原因,人们血栓病的发病率呈现增高趋势,尤其是下肢深静脉血栓病例越来越多。静脉血栓沉积会造成血流障碍和淤滞,从而在静脉血管内形成血栓性静脉炎症。对于慢性髂股静脉血栓患者,静脉血栓会导致下肢长期肿胀,静脉曲张,破溃不愈等。另外,静脉血栓脱落后还可能会转移到身体其他部位和脏器,从而导致严重的并发症。例如,静脉中的血栓通过静脉血管转移并在肺部沉积,可造成肺栓塞,导致患者死亡。血栓病的治疗方法有:1、内科治疗,主要采用抗凝、溶栓等药物治疗。药物治疗偶尔会出现流血或出血等症状;另外,对某些紧急病例,采用药物疗法速度太慢。2、外科手术治疗,在血管上有血栓沉积的部位开一个切口,经由该切口取出血栓。手术治疗对于深静脉血栓患者难度及创伤大;而且,取栓过程本身就有可能导致残余血栓块进入肺部,从而引起致命的肺栓塞。3、介入治疗,可采用经皮穿刺的方式,通过患者体表一个微小的切口将专门的微创介入手术器械引入静脉,在X光透视下直接进行接触溶栓和除栓。与常规的外科手术治疗相比,介入治疗创伤更小,受静脉血栓沉积部位深度的影响更小。 Due to changes in dietary structure and other reasons, the incidence of thrombosis in people is on the rise, especially the number of cases of deep vein thrombosis in the lower extremities is increasing. Thrombus deposition in veins can cause blood flow disturbance and stasis, resulting in thrombophlebitis within the veins. For patients with chronic iliofemoral vein thrombosis, venous thrombosis can lead to long-term swelling of the lower limbs, varicose veins, and ulceration. In addition, after the venous thrombus falls off, it may also transfer to other parts and organs of the body, resulting in serious complications. For example, a thrombus in a vein travels through the vein and deposits in the lung, causing a pulmonary embolism that can lead to death. Therapeutic methods for thrombosis include: 1. Internal medicine treatment, mainly adopting anticoagulant, thrombolytic and other drug treatments. Occasionally, bleeding or hemorrhage is associated with medical treatment; in addition, in some urgent cases, the introduction of medical treatment is too slow. 2. Surgical treatment, an incision is made in the blood vessel where the thrombus is deposited, and the thrombus is taken out through the incision. Surgical treatment is difficult and traumatic for patients with deep vein thrombosis; moreover, the thrombus removal process itself may cause residual thrombus to enter the lungs, causing fatal pulmonary embolism. 3. Interventional treatment, percutaneous puncture can be used to introduce special minimally invasive interventional surgical instruments into the vein through a tiny incision on the patient's body surface, and directly contact thrombolysis and thrombus removal under X-ray fluoroscopy. Compared with conventional surgical treatment, interventional treatment is less invasive and less affected by the depth of venous thrombosis.
经对现有技术的文献检索发现,专利号为ZL200320121061.0的中国实用新型专利《静脉取栓管》(授权公告号为CN2659350Y)公开了一种静脉取栓管。该专利由通管丝、取栓管及球囊3部分构成,优点为可取出四肢深静脉血栓而不损伤静脉瓣膜。专利号为ZL96245233.5的中国实用新型专利《血管取栓导管》(授权公告号为CN2268496Y)公开了一种血管取栓导管。该专利实际上为一种双腔导管,其中一腔连结球囊,用于供应液体或气体使球囊膨胀;另一腔用于血液喷流。该专利的优点为可自动判别导管头端是否到达血栓位置。该两专利均采用一个球囊执行刮除血栓的功能。对于某些陈旧性血栓,可能很难实现一次性刮除,这样就需要重新插入导管,膨胀球囊后再次刮除残余血栓,很容易导致部分碎小的血栓块残余在血管内而不能被彻底取出。 It is found through document retrieval of the prior art that the Chinese utility model patent "Venous Thrombectomy Tube" (authorized announcement number CN2659350Y) with the patent number ZL200320121061.0 discloses a vein thrombus retrieval tube. This patent consists of 3 parts: a stylet, a thrombus removal tube, and a balloon. The advantage is that deep vein thrombosis can be removed from the extremities without damaging the venous valve. The Chinese utility model patent "vascular thrombus retrieval catheter" (authorized announcement number CN2268496Y) with the patent number ZL96245233.5 discloses a blood vessel thrombus retrieval catheter. The patent is actually a dual-lumen catheter, one of which is connected to a balloon for supplying liquid or gas to inflate the balloon; the other lumen is used for blood jet flow. The advantage of this patent is that it can automatically judge whether the tip of the catheter has reached the position of the thrombus. These two patents all adopt a balloon to perform the function of scraping thrombus. For some old thrombus, it may be difficult to achieve one-time scraping, so that the catheter needs to be reinserted, and the residual thrombus is scraped off again after the balloon is inflated, which can easily lead to some broken thrombus remaining in the blood vessel and cannot be completely removed take out.
专利号为ZL200820098250.3的中国实用新型专利《用于治疗血栓的滑动式组合导管》(授权公告号为CN201192520Y)公开了一种用于治疗血栓的滑动式组合导管。该专利由一个芯管和一个套管构成,芯管和套管头端分别连结一个球囊。该专利拟通过套管头端球囊的来回拖动来刮除血栓。该专利的优点是采用两个球囊分别实现血管临时封堵和血栓刮除的功能,从而减小了碎小血栓块残余的几率。 The Chinese utility model patent "Sliding Combined Catheter for Treating Thrombosis" (authorized announcement number CN201192520Y) with patent number ZL200820098250.3 discloses a sliding combined catheter for treating thrombus. This patent consists of a core tube and a sleeve tube, and the head ends of the core tube and the sleeve tube are connected with a balloon respectively. This patent intends to scrape off the thrombus by dragging the balloon at the head end of the cannula back and forth. The advantage of this patent is that two balloons are used to respectively realize the functions of temporary occlusion of blood vessels and scraping of thrombus, thereby reducing the probability of remaining broken small thrombus.
专利号为ZL200620164685.4的中围实用新型专利《取栓器》(授权公告号为CN201042451Y)公开了一种取栓器。该专利采用由记忆合金丝构成的伞状结构进行血栓刮除,采用套管将刮除后的血栓排出体外。该专利采用金属丝而非球囊进行血栓刮除,可提高刮除效果。但是,金属丝同时也有可能刮伤血管内壁。 The patent No. ZL200620164685.4 of Zhongwei utility model patent "thrombosis remover" (authorized announcement number is CN201042451Y) discloses a kind of thrombus retriever. The patent adopts an umbrella structure made of memory alloy wire to scrape thrombus, and uses a sleeve to discharge the scraped thrombus out of the body. The patent uses a metal wire instead of a balloon for thrombus scraping, which can improve the curettage effect. However, the wire also has the potential to scratch the lining of the blood vessel.
上述的现有技术在以下3个方面尚存在不足:1、对于栓核或陈旧性血栓取除效果不理想,取除率低;2、取栓过程损伤血管内膜,容易形成继发性血栓;3、取拴过程中产生的血栓碎粒部分残留在血液内部进入旁路动脉和脏器,可能导致相关脏器发生栓塞或功能衰竭;4、取栓过程中正常血液流失多,易导致病人贫血。 The above-mentioned prior art still has deficiencies in the following three aspects: 1. The effect of removing thrombus or old thrombus is not ideal, and the removal rate is low; 2. The intima of the blood vessel is damaged during thrombus removal, and secondary thrombus is easily formed ;3. Part of the thrombus fragments produced during the thrombus removal process remains in the blood and enters the bypass arteries and organs, which may lead to embolism or functional failure of related organs; anemia.
发明内容 Contents of the invention
本发明的目的,就是为了解决上述问题,提供一种用于血栓取除器的动力装置,该装置是与本申请人的在先申请“局部循环式血栓取除器”以及“用于将深静脉血栓取除器与动力装置相连的快换连接头”配套使用的装置。 The object of the present invention is to solve the above-mentioned problems, and to provide a power device for a thrombus remover, which is the same as the applicant's previous application "local circulation thrombus remover" and "used for deep A device used in conjunction with the quick-change connector connecting the venous thrombus remover to the power unit.
为了达到上述目的,本发明采用了以下技术方案:一种用于血栓取除器的动力装置,包括基座以及安装在基座上的补液泵、抽栓泵、电机和控制面板;所述补液泵前端连接有用于与血栓取除器相连并通过血栓取除器向人体静脉补充液体的补液注射器,抽栓泵前端连接有用于与血栓取除器相连并通过血栓取除器将人体静脉内的血栓抽出的抽栓注射器,电机驱动轴前端设有用于与血栓取除器的传动方轴相连的方孔,电机驱动轴外围套有用于与血栓取除器的快换连接头相连的连接头。 In order to achieve the above object, the present invention adopts the following technical solutions: a power device for a thrombus remover, including a base and a fluid replenishment pump installed on the base, a thrombus pump, a motor and a control panel; The front end of the pump is connected with a rehydration syringe for connecting with the thrombus remover and supplying liquid to the human vein through the thrombus remover. The thrombus withdrawing syringe has a square hole connected to the drive square shaft of the thrombus remover at the front end of the motor drive shaft, and a connector for connecting with the quick-change connector of the thrombus remover is sheathed on the periphery of the motor drive shaft.
所述连接头安装在基座上并套装在电机驱动轴的外围,包括一个锥形本体,在锥形本体的后部设有用于与血栓取除器的快换连接头轴向定位连接的圆环台阶,在锥形本体的前部设有用于与血栓取除器的快换连接头径向定位连接的十字形槽口。 The connecting head is installed on the base and sleeved on the periphery of the motor drive shaft, including a conical body, and a circle for axially positioning and connecting with the quick-change connecting head of the thrombus remover is provided at the rear of the conical body. The ring step is provided with a cross-shaped notch on the front part of the conical body for radial positioning connection with the quick-change connector of the thrombus remover.
所述控制面板上设有用于显示电机的转速、补液泵和抽栓泵的压力以及流量的显示器,以及电源开关按钮、运行按钮和电机转速调节旋钮。 The control panel is provided with displays for displaying the rotational speed of the motor, the pressure and flow of the infusion pump and the spigot pump, as well as a power switch button, a running button and a motor speed adjustment knob.
本发明的用于血栓取除器的动力装置配合血栓取除器使用,刮除血栓彻底、可防止损伤静脉内膜、可将血栓彻底排出体外,避免碎小血栓块在人体内的残留。本发明适合用于人体四肢静脉血栓的刮除,尤其适合采用经皮微创手术技术进行人体股静脉深处血栓的刮除。 The power device for the thrombus remover of the present invention is used together with the thrombus remover to scrape thrombus thoroughly, prevent damage to the venous intima, completely expel thrombus from the body, and avoid residual small thrombus blocks in the human body. The invention is suitable for the scraping of the thrombus in the veins of the extremities of the human body, and is especially suitable for scraping the deep thrombus in the femoral vein of the human body by adopting percutaneous minimally invasive surgery technology.
附图说明 Description of drawings
图1是本发明用于血栓取除器的动力装置的立体结构示意图; Fig. 1 is a three-dimensional structural schematic diagram of a power device used in a thrombus remover according to the present invention;
图2是本发明用于血栓取除器的动力装置的俯视结构示意图; Fig. 2 is a top structural schematic view of the power device used in the thrombus remover according to the present invention;
图3是本发明中的连接头的正视结构示意图; Fig. 3 is a schematic diagram of the front view of the connector in the present invention;
图4是本发明中的连接头的头部俯视结构示意图。 Fig. 4 is a schematic structural diagram of a top view of the head of the connector in the present invention.
具体实施方式 detailed description
参见图1,配合参见图2-图4,本发明的用于血栓取除器的动力装置,包括基座1以及安装在基座上的补液泵2、抽栓泵3、电机4和控制面板5,在补液泵前端连接有用于与血栓取除器相连并通过血栓取除器向人体静脉补充液体的补液注射器6,在抽栓泵前端连接有用于与血栓取除器相连并通过血栓取除器将人体静脉内的血栓抽出的抽栓注射器7,电机驱动轴前端设有用于与血栓取除器的传动力轴相连的方孔,电机驱动轴外围套有用于与血栓取除器的快换连接头相连的连接头8。 Referring to Fig. 1, refer to Fig. 2-Fig. 4 together, the power device for the thrombus remover of the present invention includes a base 1 and a rehydration pump 2 installed on the base, a thrombus pump 3, a motor 4 and a control panel 5. The front end of the infusion pump is connected with a rehydration syringe 6 for connecting with the thrombus remover and replenishing liquid to the human vein through the thrombus remover. The thrombus withdrawing syringe 7 is used to extract the thrombus in the vein of the human body. The front end of the motor drive shaft is provided with a square hole for connecting with the drive shaft of the thrombus remover. Connectors 8 to which the connectors are connected.
本发明中的连接头8安装在基座1上并套装在电机驱动轴的外围,包括一个锥形本体,在锥形本体的后部设有用于与血栓取除器的快换连接头轴向定位连接的圆环台阶81,在锥形本体的前部设有用于与血栓取除器的快换连接头径向定位连接的十字形槽口82。 The connector 8 in the present invention is installed on the base 1 and is sleeved on the periphery of the motor drive shaft, and includes a conical body, and the rear part of the conical body is provided with a quick-change connector axially connected with the thrombus remover. The annular step 81 for positioning connection is provided with a cross-shaped notch 82 for radial positioning connection with the quick-change connector of the thrombus remover at the front part of the conical body.
本发明中的控制面板5上设有用于显示电机的转速、补液泵和抽栓泵的压力以及流量的显示器51,以及电源开关按钮52、运行按钮53和电机转速调节旋钮54。 The control panel 5 in the present invention is provided with a display 51 for displaying the rotational speed of the motor, the pressure and flow of the infusion pump and the spigot pump, as well as a power switch button 52 , a running button 53 and a motor speed adjustment knob 54 .
本发明可以很好地为取栓手术系统提供稳定的动力,与本申请人在先申请的局部循环式血栓取除器以及深静脉血栓取除器用快换连接头很好地配合完成操作。本发明适用于为深静脉血栓取除器提供动力,三动力独立的工作保证了手术过程的安全稳定。 The present invention can well provide stable power for the thrombectomy system, and cooperate well with the local circulation thrombus remover and deep vein thrombus remover that the applicant applied for earlier with quick-change connectors to complete the operation. The invention is suitable for providing power for the deep vein thrombus remover, and the independent work of the three powers ensures the safety and stability of the operation process.
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