CN105662514A - Fast ligator for small animal coronary artery - Google Patents
Fast ligator for small animal coronary artery Download PDFInfo
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- CN105662514A CN105662514A CN201610008024.0A CN201610008024A CN105662514A CN 105662514 A CN105662514 A CN 105662514A CN 201610008024 A CN201610008024 A CN 201610008024A CN 105662514 A CN105662514 A CN 105662514A
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- 210000004351 coronary vessel Anatomy 0.000 title claims abstract description 18
- 241001465754 Metazoa Species 0.000 title claims abstract description 15
- 238000010009 beating Methods 0.000 claims abstract description 6
- 241000237970 Conus <genus> Species 0.000 claims description 3
- 210000005248 left atrial appendage Anatomy 0.000 claims description 3
- 210000001147 pulmonary artery Anatomy 0.000 claims description 3
- 239000003292 glue Substances 0.000 claims description 2
- 208000031225 myocardial ischemia Diseases 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000010171 animal model Methods 0.000 description 2
- 230000003143 atherosclerotic effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
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Abstract
本发明公开了一种小动物冠状动脉快速结扎器,包括固定架、固定于心脏周围的定位外支架、定位指针以及结扎机构,定位外支架、定位指针以及结扎机构分别依次套设在固定架上,定位指针和结扎机构连接并且可沿所述的固定架同步地移动;定位外支架包括用于确定心脏位置的相对位置可调的第一定位臂和第二定位臂,用于连接第一定位臂和第二定位臂的第一柔性件,定位指针的端部位于心脏跳动的最高点位置;结扎机构包括用于结扎的第一结扎手柄和第二结扎手柄,用于连接第一结扎手柄和第二结扎手柄的第二柔性件;第一结扎手柄的上端设置有结扎针,第二结扎手柄的上端设置有针槽;当倒刺型针尖扎过心壁后与对面的针槽配合作用。
The invention discloses a rapid ligation device for small animal coronary arteries, which comprises a fixing frame, a positioning outer bracket fixed around the heart, a positioning pointer and a ligation mechanism, and the positioning outer bracket, the positioning pointer and the ligation mechanism are respectively sleeved on the fixing frame in sequence , the positioning pointer is connected to the ligation mechanism and can move synchronously along the fixed frame; the positioning outer support includes a first positioning arm and a second positioning arm with adjustable relative positions for determining the position of the heart, for connecting the first positioning The first flexible part of the arm and the second positioning arm, the end of the positioning pointer is located at the highest point of the beating heart; the ligation mechanism includes a first ligation handle and a second ligation handle for ligation, for connecting the first ligation handle and The second flexible part of the second ligation handle; the upper end of the first ligation handle is provided with a ligation needle, and the upper end of the second ligation handle is provided with a needle slot; when the barb-shaped needle tip pierces the heart wall, it cooperates with the opposite needle slot.
Description
技术领域technical field
本发明涉及一种小动物冠状动脉快速结扎器。The invention relates to a rapid ligator for small animal coronary arteries.
背景技术Background technique
冠状动脉粥样硬化性心脏病的发病率逐年上升,已经成为威胁人类健康的重要疾病之一。对冠心病的研究也成为目前的热点,而冠状动脉结扎的心肌缺血的动物模型是这类研究的基础。然而,冠状动脉结扎的心肌缺血模型对于操作者要求较高,尤其是冠状动脉结扎时,新手常常找不到冠脉,结扎成功率低。The incidence of coronary atherosclerotic heart disease is increasing year by year, and it has become one of the important diseases that threaten human health. The study of coronary heart disease has also become a hotspot at present, and the animal model of myocardial ischemia with coronary artery ligation is the basis of this kind of research. However, the myocardial ischemia model of coronary artery ligation has high requirements for the operator, especially when the coronary artery is ligated, novices often cannot find the coronary artery, and the success rate of ligation is low.
冠状动脉结扎目前主要采用的方法是:实验者手动结扎,即实验者使用传统外科方法,观察冠脉走向,然后利用持针器、镊子和针线进行手动结扎。由于心脏一直处于跳动状态,操作者很难准确把握下针时间,往往造成操作者不知何时下手。此外,在针线穿过心壁之后,无法做到快速拔离,所以常常出现结扎针停留在心脏上,然后随着心脏的跳动而脱离,导致结扎失败。如果暴力结扎,容易使心室壁穿透,心脏破裂,导致动物死亡。At present, the main method of coronary artery ligation is: manual ligation by the experimenter, that is, the experimenter uses traditional surgical methods to observe the direction of the coronary artery, and then uses a needle holder, tweezers and needle thread to perform manual ligation. Because the heart is always in a beating state, it is difficult for the operator to accurately grasp the timing of the needle, which often results in the operator not knowing when to start. In addition, after the needle thread passes through the heart wall, it cannot be pulled out quickly, so the ligation needle often stays on the heart, and then falls away with the beating of the heart, resulting in ligation failure. If ligated violently, it is easy to penetrate the ventricular wall, rupture the heart, and cause the death of the animal.
综上所述,目前传统心肌缺血模型的建立,存在操作难度大,冠脉定位及结扎范围不统一,结扎针易留置心脏造成结扎失败的问题。To sum up, the establishment of the traditional myocardial ischemia model currently has the problems of difficult operation, inconsistent coronary artery positioning and ligation range, and the ligation needle is easy to stay in the heart, resulting in ligation failure.
发明内容Contents of the invention
为了克服现有心肌缺血模型的建立存在的操作难度大、冠脉定位及结扎范围不统一、结扎针易留置心脏造成结扎失败等的问题,本发明提供一种小动物冠状动脉快速结扎器。In order to overcome the existing problems in the establishment of myocardial ischemia models, such as difficult operation, inconsistent coronary artery positioning and ligation range, ligation needles are easy to indwell in the heart and cause ligation failure, etc., the present invention provides a rapid coronary ligation device for small animals.
本发明采用的技术方案是:The technical scheme adopted in the present invention is:
小动物冠状动脉快速结扎器,其特征在于:包括固定架、固定于心脏周围的定位外支架、定位指针以及结扎机构,所述的定位外支架、定位指针以及结扎机构分别依次套设在所述的固定架上,所述的定位指针和结扎机构连接并且可沿所述的固定架同步地移动;The rapid ligation device for coronary arteries for small animals is characterized in that it includes a fixing frame, a positioning outer bracket fixed around the heart, a positioning pointer, and a ligation mechanism, and the positioning outer bracket, the positioning pointer, and the ligation mechanism are respectively sleeved on the On the fixed frame, the positioning pointer is connected with the ligation mechanism and can move synchronously along the fixed frame;
所述的定位外支架包括用于确定心脏位置的相对位置可调的第一定位臂和第二定位臂,用于连接第一定位臂和第二定位臂的第一柔性件,所述的第一柔性件的两端反向绕过固定架以形成一套设于固定架上的第一环圈,所述的第一定位臂和第二定位臂的下端分别与第一柔性件的两端连接;The positioning outer bracket includes a first positioning arm and a second positioning arm whose relative positions are adjustable for determining the position of the heart, and a first flexible member for connecting the first positioning arm and the second positioning arm. The two ends of a flexible member reversely bypass the fixed frame to form a first ring set on the fixed frame, and the lower ends of the first positioning arm and the second positioning arm are connected with the two ends of the first flexible member respectively. connect;
所述的定位指针指向肺动脉圆锥及左心耳的中间部位,并且所述的定位指针的端部位于心脏跳动的最高点位置;The positioning pointer points to the middle part of the conus pulmonary artery and the left atrial appendage, and the end of the positioning pointer is located at the highest point of the beating heart;
所述的结扎机构包括用于结扎的第一结扎手柄和第二结扎手柄,用于连接第一结扎手柄和第二结扎手柄的第二柔性件,所述的第二柔性件的两端反向绕过固定架以形成一套设于固定架上的第二环圈,所述的第一结扎手柄和第二结扎手柄的下端分别与第二柔性件的两端连接;所述的第一结扎手柄的上端设置有结扎针,所述的第二结扎手柄的上端设置有针槽;所述的结扎针的上方具有倒刺型针尖,所述的针槽的底部具有固定倒刺型针尖的胶圈,当倒刺型针尖扎过心壁后与对面的针槽配合作用。The ligation mechanism includes a first ligation handle and a second ligation handle for ligation, a second flexible member for connecting the first ligation handle and the second ligation handle, and the two ends of the second flexible member are reversed Bypassing the fixing frame to form a set of second loops set on the fixing frame, the lower ends of the first ligation handle and the second ligation handle are respectively connected to the two ends of the second flexible member; the first ligation handle The upper end of the handle is provided with a ligation needle, and the upper end of the second ligation handle is provided with a needle groove; the top of the ligation needle has a barbed needle point, and the bottom of the needle groove has a glue for fixing the barbed needle point. When the barb-shaped needle tip pierces the heart wall, it cooperates with the opposite needle groove.
所述的第一定位臂和第二定位臂的上端分别设置有用于定位心脏位置的形状相同的第一上弧形槽和第二上弧形槽,所述的第一上弧形槽和第二上弧形槽的槽口相对,槽口的形状与心脏外周边的形状相吻合;所述的第一上弧形槽下方的第一定位臂上、所述的第二上弧形槽下方的第二定位臂上分别设置有用于定位心脏位置的形状相同的第一下弧形槽和第二下弧形槽;所述的第一上弧形槽的大小大于第一下弧形槽的大小。The upper ends of the first positioning arm and the second positioning arm are respectively provided with a first upper arc-shaped groove and a second upper arc-shaped groove with the same shape for positioning the heart position, and the first upper arc-shaped groove and the second upper arc-shaped groove The notches of the two upper arc-shaped grooves are opposite, and the shape of the notches matches the shape of the outer periphery of the heart; on the first positioning arm below the first upper arc-shaped groove, and below the second upper arc-shaped groove The second positioning arm is respectively provided with a first lower arc-shaped groove and a second lower arc-shaped groove with the same shape for positioning the heart position; the size of the first upper arc-shaped groove is larger than that of the first lower arc-shaped groove size.
所述的第一定位臂和第二定位臂之间设置有用于调整所述的第一定位臂和第二定位臂之间的相对位置的扇形调节槽,所述的扇形调节槽的一端固设在所述的第一定位臂上,另一端通过螺钉可拆卸地固定在所述的第二定位臂上,通过改变螺钉在扇形调节槽内的位置调整第一定位臂和第二定位臂之间的相对位置。A fan-shaped adjustment slot for adjusting the relative position between the first positioning arm and the second positioning arm is provided between the first positioning arm and the second positioning arm, and one end of the fan-shaped adjustment slot is fixed On the first positioning arm, the other end is detachably fixed on the second positioning arm by a screw, and the position between the first positioning arm and the second positioning arm is adjusted by changing the position of the screw in the fan-shaped adjustment slot. relative position.
所述的结扎针的后方设置有用于防止结扎针后撤且固定结扎针的空心圆。A hollow circle is provided behind the ligature needle to prevent the ligature needle from retreating and to fix the ligature needle.
所述的针槽周围具有柱形磁铁卡圈,底部设置有用于固定倒刺型针尖的胶圈。There is a cylindrical magnetic collar around the needle groove, and an rubber ring for fixing the barbed needle point is arranged at the bottom.
所述的固定架为柱形支架。The fixing bracket is a column bracket.
所述的第一结扎手柄和第二结扎手柄上分别设置有防滑套。The first ligation handle and the second ligation handle are respectively provided with anti-slip sleeves.
使用时将冠状动脉结扎的定位外支架固定于心脏周围,根据心脏的大小通过扇形固定槽调整第一定位臂和第二定位臂,并将定位指针调节至适宜位置,当心脏跳动触及定位指针时,用力向里按第一和第二结扎手柄,然后进行打结;结扎完成之后,松开扇形固定槽,取出结扎器。When in use, fix the positioning external bracket for coronary artery ligation around the heart, adjust the first positioning arm and the second positioning arm through the fan-shaped fixing slot according to the size of the heart, and adjust the positioning pointer to an appropriate position. When the heart beats and touches the positioning pointer , press the first and second ligation handles inward, and then tie the knot; after the ligation is completed, loosen the fan-shaped fixing groove and take out the ligation device.
本发明在建立心肌缺血动物模型中,尤其是左前降支冠状动脉结扎能够快速准确的结扎冠脉,解决手动结扎过程中结扎针留置在心脏的问题。In the establishment of animal models of myocardial ischemia, especially the ligation of the left anterior descending coronary artery, the invention can quickly and accurately ligate the coronary artery, and solve the problem that the ligation needle remains in the heart during the manual ligation process.
本发明的有益效果体现在:The beneficial effects of the present invention are reflected in:
1、解决冠脉结扎时结扎针停留心脏的问题,解决造成心脏出血即破裂、导致动物死亡、造成实验成本增加、实验进度受到影响等困难。1. Solve the problem that the ligation needle stays in the heart during coronary ligation, and solve the difficulties that cause the heart to bleed and rupture, lead to animal death, increase the cost of the experiment, and affect the progress of the experiment.
2、解决冠脉结扎建模中,准确把握下针点(开始结扎的时间点)的问题;具有快速确定结扎位置,确定结扎深度及准确确定结扎开始时间。2. Solve the problem of accurately grasping the needle point (the time point when the ligation starts) in coronary artery ligation modeling; it can quickly determine the ligation position, determine the ligation depth and accurately determine the ligation start time.
3、降低人为手动结扎造成的结扎深度和范围不一的问题。3. Reduce the problem of inconsistent ligation depth and range caused by manual ligation.
4、操作简单,成功率高,创伤小。4. The operation is simple, the success rate is high, and the trauma is small.
5、能有效的降低人为操作误差,无需操作者具有熟练的外科技能,适用于新手及初学者。5. It can effectively reduce human operation errors, and does not require the operator to have skilled surgical skills. It is suitable for novices and beginners.
附图说明Description of drawings
图1为本发明整体结构示意图。Figure 1 is a schematic diagram of the overall structure of the present invention.
图2是本发明整体3D侧视图。Fig. 2 is an overall 3D side view of the present invention.
图3是本发明定位外支架的结构示意图。Fig. 3 is a schematic diagram of the structure of the positioning outer bracket of the present invention.
图4是本发明结扎机构的结构示意图。Fig. 4 is a schematic structural view of the ligation mechanism of the present invention.
图5是本发明结扎针结构示意图。Fig. 5 is a schematic diagram of the structure of the ligature needle of the present invention.
图6是本发明定位指针的结构示意图。Fig. 6 is a schematic diagram of the structure of the positioning pointer in the present invention.
具体实施方式detailed description
参照图1至图6,小动物冠状动脉快速结扎器,包括固定架1、固定于心脏周围的定位外支架2、定位指针3以及结扎机构4,所述的定位外支架2、定位指针3以及结扎机构4分别依次套设在所述的固定架1上,所述的定位指针3和结扎机构4连接并且可沿所述的固定架1同步地移动;Referring to Fig. 1 to Fig. 6, the rapid coronary ligation device for small animals includes a fixation frame 1, a positioning outer support 2 fixed around the heart, a positioning pointer 3 and a ligation mechanism 4, and the positioning outer support 2, positioning pointer 3 and The ligation mechanism 4 is respectively sleeved on the fixed frame 1 in turn, and the positioning pointer 3 is connected with the ligation mechanism 4 and can move synchronously along the fixed frame 1;
所述的定位外支架2包括用于确定心脏位置的相对位置可调的第一定位臂21和第二定位臂22,用于连接第一定位臂21和第二定位臂22的第一柔性件23,所述的第一柔性件23的两端反向绕过固定架以形成一套设于固定架上的第一环圈,所述的第一定位臂21和第二定位臂22的下端分别与第一柔性件23的两端连接;The positioning outer bracket 2 includes a first positioning arm 21 and a second positioning arm 22 that are adjustable in relative position for determining the position of the heart, and a first flexible member for connecting the first positioning arm 21 and the second positioning arm 22 23, the two ends of the first flexible member 23 reversely bypass the fixed frame to form a first ring set on the fixed frame, the lower ends of the first positioning arm 21 and the second positioning arm 22 respectively connected to both ends of the first flexible member 23;
所述的定位指针3指向肺动脉圆锥及左心耳的中间部位,并且所述的定位指针3的端部位于心脏跳动的最高点位置;The positioning pointer 3 points to the middle part of the conus pulmonary artery and the left atrial appendage, and the end of the positioning pointer 3 is located at the highest point of the beating heart;
所述的结扎机构4包括用于结扎的第一结扎手柄41和第二结扎手柄42,用于连接第一结扎手柄41和第二结扎手柄42的第二柔性件43,所述的第二柔性件43的两端反向绕过固定架以形成一套设于固定架上的第二环圈,所述的第一结扎手柄41和第二结扎手柄42的下端分别与第二柔性件43的两端连接;所述的第一结扎手柄41的上端设置有结扎针411,所述的第二结扎手柄42的上端设置有针槽421;所述的结扎针411的上方具有倒刺型针尖4111,所述的针槽421的底部具有固定倒刺型针尖的胶圈,当倒刺型针尖4111扎过心壁后与对面的针槽421配合作用。The ligation mechanism 4 includes a first ligation handle 41 and a second ligation handle 42 for ligation, a second flexible member 43 for connecting the first ligation handle 41 and the second ligation handle 42, the second flexible The two ends of the member 43 go around the fixed frame in reverse to form a second ring set on the fixed frame. The lower ends of the first ligation handle 41 and the second ligation handle 42 are connected with the second flexible member 43 The two ends are connected; the upper end of the first ligation handle 41 is provided with a ligation needle 411, and the upper end of the second ligation handle 42 is provided with a needle groove 421; the top of the ligation needle 411 has a barbed needle point 4111 , the bottom of the needle groove 421 has an rubber ring for fixing the barb-shaped needle point, and cooperates with the opposite needle groove 421 when the barb-shaped needle point 4111 pierces the heart wall.
所述的第一定位臂21和第二定位臂22的上端分别设置有用于定位心脏位置的形状相同的第一上弧形槽211和第二上弧形槽221,所述的第一上弧形槽211和第二上弧形槽221的槽口相对,槽口的形状与心脏外周边的形状相吻合;所述的第一上弧形槽下方的第一定位臂上、所述的第二上弧形槽下方的第二定位臂上分别设置有用于定位心脏位置的形状相同的第一下弧形槽212和第二下弧形槽222;所述的第一上弧形槽的大小大于第一下弧形槽的大小。The upper ends of the first positioning arm 21 and the second positioning arm 22 are respectively provided with a first upper arc-shaped groove 211 and a second upper arc-shaped groove 221 for positioning the position of the heart. The notches of the arc-shaped groove 211 and the second upper arc-shaped groove 221 are opposite, and the shape of the notch matches the shape of the outer periphery of the heart; on the first positioning arm below the first upper arc-shaped groove, the first positioning arm The second positioning arm below the two upper arc-shaped grooves is respectively provided with a first lower arc-shaped groove 212 and a second lower arc-shaped groove 222 of the same shape for positioning the heart position; the size of the first upper arc-shaped groove greater than the size of the first lower arc groove.
所述的第一定位臂21和第二定位臂22之间设置有用于调整所述的第一定位臂和第二定位臂之间的相对位置的扇形调节槽5,所述的扇形调节槽5的一端固设在所述的第一定位臂21上,另一端通过螺钉可拆卸地固定在所述的第二定位臂22上,通过改变螺钉在扇形调节槽内的位置调整第一定位臂和第二定位臂之间的相对位置。Between the first positioning arm 21 and the second positioning arm 22, a fan-shaped adjustment slot 5 for adjusting the relative position between the first positioning arm and the second positioning arm is provided, and the fan-shaped adjustment slot 5 One end is fixed on the first positioning arm 21, and the other end is detachably fixed on the second positioning arm 22 by a screw, and the first positioning arm and the positioning arm are adjusted by changing the position of the screw in the fan-shaped adjustment groove. The relative position between the second positioning arms.
所述的结扎针411的后方设置有用于防止结扎针后撤且固定结扎针的空心圆4112。The back of the ligation needle 411 is provided with a hollow circle 4112 for preventing the ligation needle from retreating and fixing the ligation needle.
所述的针槽43周围具有柱形磁铁卡圈,底部设置有用于固定倒刺型针尖的胶圈。The needle groove 43 is surrounded by a cylindrical magnetic collar, and the bottom is provided with an rubber ring for fixing the barbed needle point.
所述的固定架1为柱形支架。The fixed frame 1 is a cylindrical support.
所述的第一结扎手柄41和第二结扎手柄42上分别设置有防滑套44。The first ligation handle 41 and the second ligation handle 42 are respectively provided with anti-slip sleeves 44 .
使用时将冠状动脉结扎的定位外支架固定于心脏周围,根据心脏的大小通过扇形固定槽调整第一定位臂和第二定位臂,并将定位指针调节至适宜位置,当心脏跳动触及定位指针时,用力向里按第一和第二结扎手柄,然后进行打结;结扎完成之后,松开扇形固定槽,取出结扎器。When in use, fix the positioning external bracket for coronary artery ligation around the heart, adjust the first positioning arm and the second positioning arm through the fan-shaped fixing slot according to the size of the heart, and adjust the positioning pointer to an appropriate position. When the heart beats and touches the positioning pointer , press the first and second ligation handles inward, and then tie the knot; after the ligation is completed, loosen the fan-shaped fixing groove and take out the ligation device.
本说明书实施例所述的内容仅仅是对发明构思的实现形式的列举,本发明的保护范围不应当被视为仅限于实施例所陈述的具体形式,本发明的保护范围也及于本领域技术人员根据本发明构思所能够想到的等同技术手段。The content described in the embodiments of this specification is only an enumeration of the implementation forms of the inventive concept. The protection scope of the present invention should not be regarded as limited to the specific forms stated in the embodiments. Equivalent technical means that a person can think of based on the concept of the present invention.
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