CN107174305B - It takes bolt device and takes pin device - Google Patents
It takes bolt device and takes pin device Download PDFInfo
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- CN107174305B CN107174305B CN201710496936.1A CN201710496936A CN107174305B CN 107174305 B CN107174305 B CN 107174305B CN 201710496936 A CN201710496936 A CN 201710496936A CN 107174305 B CN107174305 B CN 107174305B
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- 208000007536 Thrombosis Diseases 0.000 claims abstract description 73
- 230000001681 protective effect Effects 0.000 claims description 14
- 125000004122 cyclic group Chemical group 0.000 claims description 13
- 230000006641 stabilisation Effects 0.000 claims description 5
- 238000011105 stabilization Methods 0.000 claims description 5
- 238000007913 intrathecal administration Methods 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 4
- 238000010147 laser engraving Methods 0.000 claims description 3
- 238000003466 welding Methods 0.000 claims description 3
- 230000015572 biosynthetic process Effects 0.000 claims description 2
- 239000000835 fiber Substances 0.000 claims description 2
- 208000005189 Embolism Diseases 0.000 abstract description 2
- 238000005516 engineering process Methods 0.000 abstract description 2
- 210000004204 blood vessel Anatomy 0.000 description 15
- 238000010586 diagram Methods 0.000 description 13
- 238000000034 method Methods 0.000 description 10
- 230000000694 effects Effects 0.000 description 9
- 230000002537 thrombolytic effect Effects 0.000 description 7
- 239000008280 blood Substances 0.000 description 6
- 210000004369 blood Anatomy 0.000 description 6
- 230000002792 vascular Effects 0.000 description 5
- 230000000903 blocking effect Effects 0.000 description 3
- 229940079593 drug Drugs 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 239000000203 mixture Substances 0.000 description 3
- 238000002583 angiography Methods 0.000 description 2
- 210000001105 femoral artery Anatomy 0.000 description 2
- 230000003319 supportive effect Effects 0.000 description 2
- 229960000103 thrombolytic agent Drugs 0.000 description 2
- 208000024172 Cardiovascular disease Diseases 0.000 description 1
- 201000001429 Intracranial Thrombosis Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000026106 cerebrovascular disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 230000010102 embolization Effects 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 229920002521 macromolecule Polymers 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000006748 scratching Methods 0.000 description 1
- 230000002393 scratching effect Effects 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 238000013151 thrombectomy Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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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
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00902—Material properties transparent or translucent
- A61B2017/00915—Material properties transparent or translucent for radioactive radiation
- A61B2017/0092—Material properties transparent or translucent for radioactive radiation for X-rays
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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
- A61B2017/22079—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 with suction of debris
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
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- Surgical Instruments (AREA)
Abstract
Bolt device is taken the present invention provides one kind and takes pin device, is related to the field of medical instrument technology.Bolt device is taken to include distal end fixing end, the first proximal end fixing end, the second proximal end fixing end and take bolt bracket；Taking bolt bracket includes inner support and support arm, and inner support and support arm connect at the fixing end of distal end；The proximal end of support arm is connect with the first proximal end fixing end；The proximal end of inner support is connect with the second proximal end fixing end；Second proximal end fixing end is slidably connected with the first proximal end fixing end, keeps inner support mobile relative to support arm；It takes pin device to include prepackage sheath, delivery conduit, control lever and take bolt device, bolt device is taken to connect with control lever, and what is installed takes bolt device and control lever to enter in delivery conduit by pre-installing sheath, is sent to thrombus position by delivery conduit and discharges；Alleviate it is existing take bolt device that cannot catch thrombus during taking bolt and the problem of can not taking thrombus occur, and alleviate the problem of thrombus breaks loose causes secondary embolism when pin device being taken to take bolt.
Description
Technical field
The present invention relates to the technical fields of medical instrument, take bolt device more particularly, to one kind and take pin device.
Background technique
Currently, cardiovascular and cerebrovascular disease annoyings many middle-aged and the old, especially thrombus disease, including brain thrombus often
Or other position thrombus, if processing easily causes serious sequelae even dead not in time.For thrombus situation, at present
The method of solution has drug thrombolysis and machinery takes bolt, specific as follows:
There are two types of drug thrombolysis, and one is thrombolytics is directly injected into vein blood vessel, i.e. intravenous thrombolysis, another kind is will be molten
Suppository selects conduit to inject at endovascular thrombus by super, and moment forms very high thrombolytics concentration, quickening blood at thrombus
The solution rate of bolt, i.e. Arterial thrombolysis；However, drug thrombolysis is only applicable to the small fresh thrombus just formed, to volume compared with
Big occluding thrombus effect is poor, and the Endovascular Embolization for caused by forming time longer oldness thrombus breaks loose is then
It is helpless.
It is that bolt device will be taken to be transported to thrombus position that machinery, which takes bolt, is then further taken out thrombus from blood vessel, including blood
The broken bolt of bolt resection, laser, catching device, which take bolt, catches bolt net takes bolt etc..However, thrombectomy and the broken bolt of laser can be to blood vessels
Biggish damage is generated, various complication are easily caused；Catching device in the prior art takes bolt that can not firmly entangle blood clot,
There are the caducous problems of thrombus, catch bolt net and bolt is taken to there are problems that volume can not reach greatly tortuous or minute blood vessel, thus not
Conducive to the taking-up of thrombus.
Based on problem above, propose a kind of to keep thrombus not easily to fall off and small volume takes pin device to be particularly important.
Summary of the invention
Bolt device is taken the purpose of the present invention is to provide one kind and takes pin device, in the prior art bolt device is taken to take to alleviate
Firmly thrombus cannot be entangled and caducous problem occur during bolt, also, be effectively relieved and take bolt body in the prior art
Product is larger, the limited problem of service condition.
One kind provided by the invention take bolt device include distal end fixing end, the first proximal end fixing end, the second proximal end fixing end with
And take bolt bracket；
Described to take bolt bracket include inner support and support arm, and the inner support and the support arm are in the distal end fixing end
Place is connected as one；
The proximal end of the support arm is fixedly connected with first proximal end fixing end；
The proximal end of the inner support is fixedly connected with second proximal end fixing end；
It is slidably connected between second proximal end fixing end and first proximal end fixing end, enables the inner support
It is mobile relative to the support arm.
As a kind of further technical solution, it is provided with cyclic structure at the fixing end of first proximal end, described second
Proximal end fixing end with control lever for being fixedly connected；
The control lever is slidably connected with the cyclic structure.
As a kind of further technical solution, the proximal end of the support arm is provided at least one and the cyclic annular knot
Converge silk in first proximal end of structure connection；The proximal end of the inner support is provided with what at least one was connect with the manipulation boom end
Converge silk in the second proximal end；
The first proximal end convergence silk is correspondingly arranged with second proximal end convergence silk.
As a kind of further technical solution, the interlaced common shape of the far-end of the support arm and the inner support
Silk is converged at distal end, the distal end convergence silk is fixedly connected with the distal end fixing end.
As a kind of further technical solution, converge the densely arranged formation distal end protective device of silk for the distal end, and with
The curved connection of distal end fixing end makes described bolt bracket and the distal end protective device to be taken to become an entirety；
It is provided with macromolecular fibre film with holes on the distal end protective device, or is woven by wire, polymeric material silk
At reticular structure.
As a kind of further technical solution, the mesh of the inner support and the mesh of the support arm are staggered,
It and is the grid closed loop configuration of laser engraving or welding.
As a kind of further technical solution, the length dimension of the inner support is less than the length ruler of the support arm
It is very little；
Under no external force, the diameter of the inner support is equal to or more than the diameter of support arm.
As a kind of further technical solution, the distal end fixing end, first proximal end fixing end, described second are closely
End fixing end and described take are provided with developing mark at least one of bolt bracket.
As a kind of further technical solution, stabilization filament end is provided at the distal end fixing end.
It includes taking bolt device and prepackage sheath, delivery conduit and control lever that one kind provided by the invention, which takes pin device,；
The proximal end for taking bolt device is connect with the control lever, and mounted described bolt device is taken to be pressed with the control lever
It holds intrathecal into prepackage；
By push the control lever can make it is described take bolt device from the prepackage sheath into delivery conduit, and by defeated
Conduit is sent to send to release at thrombus.
Compared with prior art, provided by the invention to take bolt device and pin device is taken to have the beneficial effect that
It is provided by the invention to take bolt device, including distal end fixing end, the first proximal end fixing end, the second proximal end fixing end and take
Bolt bracket；Wherein, taking bolt bracket includes inner support and support arm, and inner support and support arm are connected as one at the fixing end of distal end
Body；The proximal end of support arm is fixedly connected with the first proximal end fixing end, and the proximal end of inner support is fixedly connected with the second proximal end fixing end,
And second is slidably connected between proximal end fixing end and the first proximal end fixing end, so that inner support can be moved relative to support arm
It is dynamic；And inner support and support arm are used in conjunction with each other and can firmly be captured to thrombus, when having that thrombus is broken to fall off, far
The distal end protective device of end convergence silk composition can prevent the thrombus blocking distal vessels that fall off.
Specifically, bolt device will be taken to send by delivery conduit to blood after taking the delivery conduit of bolt device to reach thrombus far-end
At bolt, fixed firmly control seal wire withdraws delivery conduit, makes that bolt device is taken to be unfolded at thrombus under natural resiliency effect, at this moment pulls and grasp
Control lever, the opposite support arm of inner support meeting move to the near end, and cause two stands width of mesh to change, and then catch thrombus, most
The thrombus of bolt device and capture will be taken to take out from blood vessel afterwards, to complete to take bolt process.
It is provided by the invention to take bolt device in operation and make the proximal end of inner support and support arm to relatively move, and two
Person is relatively fixed in distal end, so as to pass through the distance between proximal end and proximal end of support arm for adjusting inner support, in change
The relative positional relationship of bracket and support arm further changes the false relation of mesh on inner support and support arm, and then can
The thrombus in insertion inner support and support arm mesh is captured, thrombus is firmly captured；And when having that thrombus is broken to fall off, distal end
The distal end protective device of convergence silk composition can prevent the thrombus blocking distal vessels that fall off；Also, it is provided by the invention to take bolt device
Initial volume it is smaller, in order to be placed into all kinds of blood vessels of human body, be no longer influenced by the limitation of volume；Take bolt device in blood
It can be unfolded, and be bonded with vascular wall, so as to increase capture cross-sectional area, improve thrombus and be captured as power.
It is provided by the invention to take pin device including taking bolt device and prepackage sheath, delivery conduit；Wherein, take the proximal end of bolt device with
Control lever connection, and after installing take bolt device and control lever pressed hold it is intrathecal into prepackage, by pushing control lever that can make to take
Bolt device enters in delivery conduit from prepackage sheath, and is sent by delivery conduit to thrombus and discharged.
The specifically used process provided by the invention for taking pin device are as follows: set sheath simultaneously from femoral artery or arteria brachialis puncture first
The position that Intravascular Thrombus is determined to angiography, then guiding catheter is sent to blood vessel where thrombus, pass through guiding
Conduit send delivery conduit to the distal end of thrombus, then bolt device will be taken to be sent at thrombus by delivery conduit, fixed to live to control seal wire
Delivery conduit is withdrawn, takes bolt device to be unfolded under natural resiliency effect at this time, and be bonded with vascular wall, then pulls control lever, from
And change the relative position of the proximal end of inner support and the proximal end of support arm, and then change mesh on inner support and support arm staggeredly
Positional relationship continues control lever of pulling back so the thrombus being embedded into mesh can be captured, and bolt bracket and thrombus will be taken to draw together
Enter into guiding catheter, while will finally take pin device with large syringe pumpback guiding catheter to prevent small thrombus from escaping
And thrombus pulls out in vitro.
It is provided by the invention that pin device is taken to take technical effect possessed by bolt device and technical advantage identical with above-mentioned, herein not
It repeats again.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art
Embodiment or attached drawing needed to be used in the description of the prior art be briefly described, it should be apparent that, it is described below
Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor
It puts, is also possible to obtain other drawings based on these drawings.
Fig. 1 is a kind of the first schematic diagram for taking bolt device and control lever provided by the invention；
Fig. 2 is a kind of the second schematic diagram for taking bolt device and control lever provided by the invention；
Fig. 3 is that the schematic diagram of silk is converged in the distal end of the first form provided by the invention；
Fig. 4 is that the schematic diagram of silk is converged in the distal end of second of form provided by the invention；
Fig. 5 is that the schematic diagram of silk is converged in the distal end of the third form provided by the invention；
Fig. 6 is the signal for the first combination that silk and the second proximal end convergence silk are converged in the first proximal end provided by the invention
Figure；
Fig. 7 is the signal for second of combination that silk and the second proximal end convergence silk are converged in the first proximal end provided by the invention
Figure；
Fig. 8 is the structural schematic diagram of the mesh arrangement of inner support provided by the invention, support arm.
Icon: 100- takes bolt bracket；110- support arm；Converge silk in the first proximal end 111-；120- inner support；121-
Converge silk in the second proximal end；The distal end 130- convergence silk；The distal end 200- fixing end；The first proximal end 300- fixing end；310- is cyclic annular
Structure；The second proximal end 400- fixing end；500- control lever；600- stabilization filament end.
Specific embodiment
Technical solution of the present invention is clearly and completely described below in conjunction with attached drawing, it is clear that described implementation
Example is a part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, ordinary skill
Personnel's every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
In the description of the present invention, it should be noted that term " center ", "upper", "lower", "left", "right", "vertical",
The orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" be based on the orientation or positional relationship shown in the drawings, merely to
Convenient for description the present invention and simplify description, rather than the device or element of indication or suggestion meaning must have a particular orientation,
It is constructed and operated in a specific orientation, therefore is not considered as limiting the invention.In addition, term " first ", " second ",
" third " is used for descriptive purposes only and cannot be understood as indicating or suggesting relative importance.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase
Even ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected；It can
To be mechanical connection, it is also possible to be electrically connected；It can be directly connected, can also can be indirectly connected through an intermediary
Connection inside two elements.For the ordinary skill in the art, above-mentioned term can be understood at this with concrete condition
Concrete meaning in invention.
The present invention is described in further detail below through specific implementation examples and in conjunction with the accompanying drawings.
Specific structure is as Figure 1-Figure 8.Fig. 1 is a kind of the first signal for taking bolt device and control lever provided by the invention
Figure；Fig. 2 is a kind of the second schematic diagram for taking bolt device and control lever provided by the invention；Fig. 3 is the first shape provided by the invention
The schematic diagram of the distal end convergence silk of formula；Fig. 4 is that the schematic diagram of silk is converged in the distal end of second of form provided by the invention；Fig. 5 is
The schematic diagram of the distal end convergence silk of the third form provided by the invention；Fig. 6 be the first proximal end provided by the invention converge silk with
Converge the schematic diagram of the first combination of silk in the second proximal end；Fig. 7 is that silk and second is converged in the first proximal end provided by the invention
Converge the schematic diagram of second of combination of silk in proximal end；Fig. 8 is the mesh arrangement of inner support provided by the invention, support arm
Structural schematic diagram.
It includes distal end fixing end 200, the first proximal end fixing end 300, the second proximal end that one kind provided in this embodiment, which takes bolt device,
Fixing end 400 and take bolt bracket 100；Bolt bracket 100 is taken to include inner support 120 and support arm 110, inner support 120 and outer branch
Frame 110 is connected as one at distal end fixing end 200；The proximal end of support arm 110 is fixedly connected with the first proximal end fixing end 300；
The proximal end of inner support 120 is fixedly connected with the second proximal end fixing end 400；Second proximal end fixing end 400 and the first proximal end fixing end
It is slidably connected between 300, enables inner support 120 mobile relative to support arm 110.
It is in the prior art to take bolt device that protect to taking bolt bracket 100 to be adjusted, and without distal end, thus taking bolt
It is not easy to capture thrombus in the process, thrombus is caused to be difficult to take out；And the embolus to fall off during taking bolt be easy to cause secondary bolt
Plug.In order to solve this problem, present embodiments provide it is a kind of efficiently take bolt take bolt device, what this took bolt device takes bolt bracket 100 to wrap
Inner support 120 and support arm 110 are included, and the two links together in far-end, opposite can be slided between the two in proximal end,
So as to adjust the position of inner support 120, and then change the mutual cooperation relationship of inner support 120 and support arm 110, is conducive to
Thrombus is firmly captured, and this take bolt device to be provided with distal end protective device can the escape of anti-tampon.
Specifically, inner support 120 is connected as one at distal end fixing end 200 with support arm 110, and in proximal end, outer branch
Frame 110 is fixedly connected with the first proximal end fixing end 300, and inner support 120 is fixedly connected with the second proximal end fixing end 400, and second
Proximal end fixing end 400 is slidably connected with the first proximal end fixing end 300, so that the proximal end of the proximal end of inner support 120 and support arm 110
Relative position can change, to adjust the relativeness and mutual cooperation relationship of inner support 120 and support arm 110,
And then change the intervening portion relationship of mesh on inner support 120 and support arm 110, to achieve the purpose that firmly to capture thrombus.
The use process provided in this embodiment for taking bolt device are as follows: guiding catheter is sent to blood vessel where thrombus, guiding is passed through
Conduit send delivery conduit to the distal end of thrombus, then bolt device will be taken to be sent at thrombus by delivery conduit, fixed to live to control seal wire
Delivery conduit is withdrawn, takes bolt device to be unfolded under natural resiliency effect at this time, and be bonded with vascular wall, then control lever is pulled to drive
Second proximal end fixing end 400 is mobile, and drives the first proximal end fixing end 300 mobile by the second proximal end fixing end 400, to make
Inner support 120 and the relative positional relationship of support arm 110 change, to pass through the mutual of inner support 120 and support arm 110
With the use of can firmly capture thrombus, finally the thrombus of bolt device and capture will be taken to take out from blood vessel, to complete to take bolt mistake
Journey.
Provided in this embodiment to take bolt device easy to operate, small volume takes bolt process suitable for all kinds of blood vessels of human body, from
And it is no longer influenced by the limitation of volume；Also, this takes bolt device to make by inner support 120 and the relative movement and cooperation of support arm 110
With so as to firmly capture thrombus, and the problem of thrombus is escaped has been effectively relieved in distal end protective device, substantially increases blood
The success rate of bolt capture, is conducive to the thrombus treatment of patient.
It should be noted that as shown in figure 8, under original state, the width of mesh on inner support 120 and support arm 110 is
It is identical, and be sine bellows grid, alternatively, the shape of mesh may be other shapes, inner support 120 and outer branch
Sine bellows grid on frame 110 is interlaced, and ideally the grid of inner support 120 and support arm 110 is mutually divided into
The a quarter of full size size, therefore inner support 120 and support arm 110 need biggish eyed structure, inlay convenient for thrombus
Enter in bracket mesh and is captured；Also, when inner support 120 is relative to the movement of support arm 110, inner support 120 and outer branch
Mesh staggered pattern on frame 110 changes, and then be more advantageous in the mesh that thrombus is embedded on inner support 120,
Or it in the mesh on support arm 110 or in inner support 120 and the interlaced mesh of support arm 110, is more advantageous to blood
The capture of bolt.It it should be pointed out that the mesh of inner support 120 and the mesh of support arm 110 are staggered, and is laser engraving
Or the grid closed loop configuration of welding, and the area of mesh is 10-80mm2。
In order to realize that inner support 120 can be mobile relative to support arm 110, the length dimension of inner support 120 need to be less than outer
The length dimension of bracket 110；Specifically, cyclic structure is arranged at the first proximal end fixing end 300 connecting with support arm 110
310, correspondingly, control lever 500 is set at the second proximal end fixing end 400 connecting with inner support 120, and 500 energy of control lever
It enough penetrates into cyclic structure 310, and can be slided in cyclic structure 310；Specific operation process are as follows: control lever 500 is pulled,
And inner support 120 is driven to generate movement relative to support arm 110, during this, the width of mesh on inner support 120 becomes
Change, and be used in conjunction with each other with the mesh on support arm 110, thrombus is realized jointly and is captured.Therefore, the length of inner support 120
Size need to be less than the length dimension of support arm 110.It should be noted that in the case where original state is fettered without external force, it is interior
Bracket 120 can be identical with the cross sectional dimensions of support arm 110, and the cross sectional dimensions for being also possible to inner support 120 compares support arm
110 cross sectional dimensions is bigger, and both guarantees of being subject to interlaced can fit closely arrangement, further improves thrombus and catches
The efficiency obtained, and distal end protective device can anti-tampon escape.
In the optional technical solution of the present embodiment, the proximal end of support arm 110 is provided at least one and cyclic structure 310
Converge silk 111 in first proximal end of connection；The proximal end of inner support 120 is provided with what at least one was connect with 500 end of control lever
Converge silk 121 in the second proximal end；It converges silk 111 and is correspondingly arranged with the second proximal end convergence silk 121 in the first proximal end.
As shown in fig. 6, the proximal end of support arm 110 and inner support 120 is respectively arranged with the first proximal end convergence silk 111
Silk 121 is converged with the second proximal end, and the first proximal end convergence silk 111 is oppositely arranged with the second proximal end convergence silk 121, wherein first
Proximal end convergence silk 111 is connect with cyclic structure 310, so that support arm 110 and cyclic structure 310 be linked together；Second is close
End convergence silk 121 is connect with the end of control lever 500, to inner support 120 and control lever 500 be linked together, so just
Inner support 120 can be driven relative to support arm 110 by pulling control lever 500 and further converging silk 121 by the second proximal end
It is mobile.It should be noted that when silk 111 is converged in the first proximal end and the second proximal end convergence silk 121 is respectively provided with one, in blood vessel ratio
Being conducive to net in the case where relatively straight and take thrombus, but synchronism is poor, the supportive of inner support 120 and support arm 110 is poor, and
The vascular wall effect that reclines when the turning opening of blood vessel is bad, is unfavorable for turning net and takes thrombus.
As shown in fig. 7, the proximal end of support arm 110 and inner support 120 is respectively arranged with two first proximal end convergence silks 111
Silk 121 is converged with the second proximal end, and the angle of the first proximal end convergence silk 111 and the second proximal end convergence silk 121 is 90 degree, is set in this way
It sets so that the supportive of inner support 120 and support arm 110 is preferable, synchronism is preferable, but when taking bolt, since the first proximal end is converged
Silk 111 and the second proximal end convergence silk 121 are closeer, are unfavorable for pocket and take thrombus, i.e., when thrombus volume is larger, are unfavorable for pocket and enter taking
In bolt bracket 100, when thrombus is more loose, then it is easy to hang broken thrombus, be easy to cause the blocking of end tiny blood vessels.
Other than above-mentioned set-up mode, the first proximal end convergence silk 111 is set as one, and the second proximal end convergence silk 121 is set
Two are set to, or on the contrary, so, the balance for being likely to result in bracket is poor, two kinds of proximal end convergence silks are specifically used
Several, how to be arranged and be required to be selected by experimental check.
In the optional technical solution of the present embodiment, the far-end of support arm 110 and inner support 120 is interlaced to be collectively formed
Distal end convergence silk 130, distal end is converged silk 130 and is fixedly connected with distal end fixing end 200.
Further, distal end convergence 130 densely arranged composition distal end protective device of silk, and with distal end fixing end 200 in song
Line connection makes that bolt bracket 100 and distal end protective device is taken to become an entirety；Macromolecule with holes is provided on the protective device of distal end
Tunica fibrosa, or the reticular structure being woven by wire, polymeric material silk.
Specifically, inner support 120 and support arm 110 are more intensive in the distal end that far-end is formed convergence silk 130, and with it is remote
Fixing end 200 is curved links together at end, to have certain elasticity, while can also increase and take 100 distal end of bolt bracket
The reticular density at place plays distal end protective action, can escape to prevent tampon.Due to taking bolt device distal end convergence silk 130 by song
Line connection, so spring effect can be generated, and inner support 120 and support arm 110 length in assembly are not in bigger difference,
Therefore, the mesh in moving process of inner support 120 is not in significant change.
It should be pointed out that the first proximal end convergence silk 111, the second proximal end convergence silk 121 and distal end convergence silk 130 are all made of
Wire or other materials.
In the optional technical solution of the present embodiment, distal end fixing end 200, the first proximal end fixing end 300, the second proximal end are fixed
It holds 400 and at least one arrangement above in bolt bracket 100 is taken to have the developing mark for playing positioning action, inner support 120 or outer
Bracket 110 may also set up the position of development silk each structure in order to which doctor understands.
In the optional technical solution of the present embodiment, stabilization filament end 600 is provided at distal end fixing end 200, the stabilization filament
End 600 is for preventing distal end fixing end 200 from scratching blood vessel.
It includes taking bolt device and prepackage sheath, delivery conduit and control lever 500 that one kind provided in this embodiment, which takes pin device,；It takes
The proximal end of bolt device is connect with control lever 500, and mounted to take bolt device to be held with control lever 500 by pressure intrathecal into prepackage；By pre-
Dress sheath can make that bolt device is taken to enter delivery conduit, and then reach thrombus position by delivery conduit.
The specific operation process provided in this embodiment for taking pin device are as follows: set sheath from femoral artery or arteria brachialis puncture first
The position that Intravascular Thrombus is determined to angiography, then guiding catheter is sent to blood vessel where thrombus, pass through guiding
Conduit send delivery conduit to the distal end of thrombus, and bolt device then will be taken to reach at thrombus by delivery conduit, fixed to live to control seal wire
Delivery conduit is withdrawn, takes bolt device to be unfolded under natural resiliency effect at this time, and be bonded with vascular wall, then pulls control lever 500,
To change the relative position of the proximal end of inner support 120 and the proximal end of support arm 110, and then change the mesh on inner support 120
Intervening portion relationship continue control lever 500 of pulling back so the thrombus being embedded into mesh can be captured, bolt bracket 100 will be taken
And thrombus pulls in guiding catheter together, while with large syringe pumpback guiding catheter, to prevent small thrombus from escaping, most
Pin device and thrombus is taken to pull out outside blood vessel at last.
It is provided by the invention that pin device is taken to take technical effect possessed by bolt device and technical advantage identical with above-mentioned, herein not
It repeats again.
Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations；To the greatest extent
Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to
So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into
Row equivalent replacement；And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution
The range of scheme.
Claims (10)
1. one kind takes bolt device, including distal end fixing end and bolt bracket is taken, described to take bolt bracket include inner support and support arm, described
Inner support is connected as one at the distal end fixing end with the support arm, which is characterized in that further include: the first proximal end is fixed
End and the second proximal end fixing end；
The proximal end of the support arm is fixedly connected with first proximal end fixing end；
The proximal end of the inner support is fixedly connected with second proximal end fixing end；
It is slidably connected between second proximal end fixing end and first proximal end fixing end, enables the inner support opposite
It is mobile in the support arm.
2. according to claim 1 take bolt device, which is characterized in that be provided with cyclic annular knot at the fixing end of first proximal end
Structure, second proximal end fixing end with control lever for being fixedly connected；
The control lever is slidably connected with the cyclic structure.
3. according to claim 2 take bolt device, which is characterized in that the proximal end of the support arm be provided at least one with
Converge silk in first proximal end of the cyclic structure connection；The proximal end of the inner support is provided at least one and the control lever
Converge silk in second proximal end of end connection；
The first proximal end convergence silk is correspondingly arranged with second proximal end convergence silk.
4. according to claim 1 take bolt device, which is characterized in that the far-end of the support arm and the inner support is mutual
Distal end convergence silk is staggeredly collectively formed, the distal end convergence silk is fixedly connected with the distal end fixing end.
5. according to claim 4 take bolt device, which is characterized in that the densely arranged formation distal end of distal end convergence silk is protected
Device, and with the curved connection of distal end fixing end, make it is described take bolt bracket and the distal end protective device become one it is whole
Body；
It is provided with macromolecular fibre film with holes on the distal end protective device, or is woven by wire, polymeric material silk
Reticular structure.
6. according to claim 1 take bolt device, which is characterized in that the mesh of the mesh of the inner support and the support arm
It is staggered, and is the grid closed loop configuration of laser engraving or welding.
7. according to claim 1 take bolt device, which is characterized in that the length dimension of the inner support is less than the support arm
Length dimension；
Under no external force, the diameter of the inner support is equal to or more than the diameter of support arm.
8. according to claim 1 take bolt device, which is characterized in that the distal end fixing end, first proximal end fixing end,
Second proximal end fixing end and described take are provided with developing mark at least one of bolt bracket.
9. according to claim 1 take bolt device, which is characterized in that be provided with stabilization filament end at the distal end fixing end.
10. one kind takes pin device, including claim 1-9 is described in any item takes bolt device, which is characterized in that further includes prepackage
Sheath, delivery conduit and control lever；
The proximal end for taking bolt device is connect with the control lever, and it is mounted it is described take bolt device pressed with the control lever hold into
It pre-installs intrathecal；
By pushing the control lever that can make described to take bolt device from into delivery conduit, and being led by conveying in the prepackage sheath
Pipe is sent to release at thrombus.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710496936.1A CN107174305B (en) | 2017-06-23 | 2017-06-23 | It takes bolt device and takes pin device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710496936.1A CN107174305B (en) | 2017-06-23 | 2017-06-23 | It takes bolt device and takes pin device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107174305A CN107174305A (en) | 2017-09-19 |
| CN107174305B true CN107174305B (en) | 2019-10-15 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710496936.1A Active CN107174305B (en) | 2017-06-23 | 2017-06-23 | It takes bolt device and takes pin device |
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| Country | Link |
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| CN (1) | CN107174305B (en) |
Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107496006A (en) * | 2017-09-22 | 2017-12-22 | 南京普微森医疗科技有限公司 | Take thrombus support |
| CN110301959A (en) * | 2018-03-27 | 2019-10-08 | 山东通而畅健康咨询有限公司 | A kind of new type microneedle positioning negative pressure extraction thrombus system |
| CN108742774A (en) * | 2018-07-03 | 2018-11-06 | 心凯诺医疗科技(上海)有限公司 | A kind of double-layer structure takes pin device |
| CN109223106B (en) * | 2018-10-19 | 2024-07-12 | 王玉峰 | Bolt taking device |
| CN109464175B (en) * | 2018-12-21 | 2023-10-20 | 北京久事神康医疗科技有限公司 | Thrombus removal device and method of using same |
| CN214712932U (en) * | 2020-09-30 | 2021-11-16 | 普利瑞医疗科技（苏州）有限公司 | Self-releasing thrombus filtering device |
| CN113729854B (en) * | 2021-04-09 | 2023-05-26 | 杭州唯强医疗科技有限公司 | Bolt taking support, bolt taking device and bolt taking system |
| CN113729860A (en) * | 2021-08-16 | 2021-12-03 | 万漉医疗科技(江苏)有限公司 | Thrombus removal device and method |
| CN115300046B (en) * | 2022-07-25 | 2023-06-27 | 上海玮琅医疗科技有限公司 | Double-bracket thrombus capturing device |
| CN116712135B (en) * | 2023-07-28 | 2024-07-05 | 北京管桥医疗科技有限公司 | Thrombolysis device |
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| CN107174305A (en) | 2017-09-19 |
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Effective date of registration: 20200506 Address after: Unit A17, A18, a19, 4th floor, No.10, Keji 1st Road, Gangwan Avenue, Tangjiawan Town, hi tech Zone, Zhuhai City, Guangdong Province Patentee after: Zhuhai Shenping Medical Co., Ltd Address before: 4 Building 7, North Street, Xiangcheng District, Hubei, Xiangfan, 441000 Patentee before: Wang Yufeng |