CN108785832A - A kind of surgery mitral stenosis balloon expandable instrument set group - Google Patents
A kind of surgery mitral stenosis balloon expandable instrument set group Download PDFInfo
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- CN108785832A CN108785832A CN201810791466.6A CN201810791466A CN108785832A CN 108785832 A CN108785832 A CN 108785832A CN 201810791466 A CN201810791466 A CN 201810791466A CN 108785832 A CN108785832 A CN 108785832A
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- bending
- sacculus
- steel wire
- foley
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
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- Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention belongs to heart disease surgical minimally-invasive treatment technical field, specifically a kind of surgery mitral stenosis balloon expandable instrument set groups.The surgery of the invention is made of with mitral stenosis balloon expandable instrument set group puncture sheath, puncture needle, pre- curved conductor, pre-bending foley's tube, guiding steel wire, sacculus guiding steel wire and syringe, the puncture sheath is provided in the axial direction with hollow cavity, and puncture needle passes through hollow cavity；Pre- curved conductor is provided in the axial direction with pilot hole, is oriented to steel wire and runs through pilot hole；The pre-bending foley's tube is provided in the axial direction with directed cavity, and pre-bending foley's tube front end is equipped with sacculus, and sacculus is oriented to steel wire and runs through directed cavity, and it is soft that sacculus is oriented to steel wire leading portion.The surgery of the present invention is reasonable in design with mitral stenosis balloon expandable instrument set group, simple to operate to be easy to grasp, low to Doctors' skill level requirement, minimally invasive and safe, has good application value.
Description
Technical field
The present invention relates to heart disease surgical minimally-invasive treatment technical fields, specifically provide a kind of surgery mitral stenosis
Balloon expandable instrument set group.
Background technology
With the rapid development of social economy, people's lives level is greatly improved, but simultaneous
The pressure of life and work is increasing, leads to the health for various sickness influence people occur.Wherein mitral stenosis is
A kind of common rheumatic heart disease, seriously affects the life of patient.Have at this stage to the therapeutic modality of mitral stenosis routine
Two kinds：One is open surgeries, and after establishing extracorporal circulatory system, the heart of patient is cut, after narrow bicuspid valve excision,
Implantable prosthetic valve.Second is internal medicine under X-ray, and by a series of intervention modus operandi, dilating sacculus is transported to two
At cusp mouth, balloon expandable is carried out.For the mitral stenosis of severe calcification, can only select to operate on heart valve replacement surgery, biovalve
Service life is very short, only the service life of 10-15, and valvular metal needs take anticoagulant all the life.Slight mitral stenosis,
And narrow serious but lighter calcification patient, preferred balloon expandable.But because the internal medicine under X-ray intervenes balloon dilatation, because
Longer for operation pathway, instrument is complex, and operation difficulty is very high, causes success rate relatively low, and usually occur it is serious simultaneously
Disease is sent out, is substantially eliminated now.
Invention content
In order to solve the above problems, the present invention provides a kind of reasonable in design, simple to operate to be easy to slap
It holds, surgery mitral stenosis balloon expandable instrument set group low to Doctors' skill level requirement, minimally invasive and safe.
To achieve the above object, the present invention provides following technical solutions：
A kind of surgery mitral stenosis balloon expandable instrument set group, is led by puncture sheath, puncture needle, pre- curved conductor, pre-bending sacculus
Pipe, guiding steel wire, sacculus are oriented to steel wire and syringe is constituted, and the puncture sheath is provided in the axial direction with hollow cavity, and puncture needle passes through
Hollow cavity；Pre- curved conductor is provided in the axial direction with pilot hole, is oriented to steel wire and runs through pilot hole, pre- curved conductor leading portion is equipped with bending angle
Degree；The pre-bending foley's tube is provided in the axial direction with directed cavity, and pre-bending foley's tube leading portion is equipped with bending angle, and pre-bending sacculus is led
Pipe front end is equipped with sacculus, and sacculus is oriented to steel wire and runs through directed cavity, and it is soft that sacculus is oriented to steel wire leading portion；Pre-bending foley's tube edge
One or several endoporus axially are further opened with, endoporus tail end is connected with syringe, and endoporus front end extends to sacculus front end
Position, position corresponding with sacculus offers several deflector holes on pre-bending foley's tube, and endoporus passes through deflector hole and sacculus phase
Connection.
The syringe is common medical syringe in the prior art.Liquid is contained in syringe, is pressurizeed to syringe
When, liquid flows into endoporus, then is flowed into Filled Balloon in sacculus by deflector hole, makes the bicuspid valve valve mouth that balloon expandable is narrow
Place.
The sacculus, which is oriented to steel wire leading portion softness, can be adapted to the curvature of pre- curved conductor leading portion, and adaptation pre-bending sacculus is led
The curvature of pipe leading portion.
During use, puncture needle passes through the hollow cavity of puncture sheath, and puncture sheath enters trouble under the guiding function of puncture needle
Person atrium, withdraws from puncture needle, is implanted into along puncture sheath hollow cavity and is oriented to steel wire, withdraws from puncture sheath, and pre-bending is implanted into along steel wire is oriented to
Conduit withdraws from guiding steel wire, and the pilot hole implantation sacculus along pre- curved conductor is oriented to steel wire, so that sacculus is oriented to steel wire front end and enters the heart
Pre- curved conductor is withdrawn from room, and being oriented to steel wire along sacculus is sent into pre-bending foley's tube, and the sacculus position of pre-bending foley's tube is made to reach two
At cusp valve mouth.Rapid pressure injector, the liquid in syringe enter sacculus, by Liquid-Filled Balloon, make balloon expandable
Then narrow bicuspid valve quickly draws back liquid, balloon deflation, pre-bending foley's tube is oriented to steel wire along sacculus and withdraws from heart,
Sacculus is withdrawn from simultaneously is oriented to steel wire.
Preferably, the guiding steel wire, sacculus, which are oriented to steel wire tail end, is respectively equipped with scale.
The depth for being oriented to steel wire, sacculus guiding steel wire insertion ventricle can be easily found out by scale value.
Preferably, the pre-bending catheter proximal end, pre-bending foley's tube front end are respectively arranged with chamfering.
The chamfer design of the pre-bending catheter proximal end makes pre- curved conductor more easily be inserted into atrium, pre-bending foley's tube
The chamfer design of front end makes in the ventricle that pre-bending foley's tube is more easily inserted into.
Preferably, the bending angle of the pre- curved conductor leading portion is 0-120 degree.
Preferably, the bending angle of the pre-bending foley's tube leading portion is 0-120 degree.
Preferably, guiding steel wire both ends softness is flexible, interlude has hardness.
Guiding steel wire both ends softness is flexible easily to guide pre- curved conductor to enter in atrium.It is oriented among steel wire
There is section hardness can be used for supporting pre- curved conductor.
Preferably, the sacculus, which is oriented to steel wire back segment, has consistency and elasticity, it may be convenient to pre-bending sacculus be guided to lead
Pipe enters in ventricle.
Compared with prior art, surgery of the invention mitral stenosis balloon expandable instrument set group has following prominent
Advantageous effect：
（One）The surgery is matched by puncture needle with puncture sheath with mitral stenosis balloon expandable instrument set group will be oriented to steel
Silk, pre- curved conductor, sacculus are oriented to steel wire and are introduced in the atrium of patient, to which pre-bending foley's tube is introduced to patient's ventricle
In, so that narrow bicuspid valve is expanded by the balloon expandable of pre-bending foley's tube front end, to make the disease of patient's mitral stenosis
Shape disappears, and achievees the purpose that treatment；
（Two）The surgery is reasonable in design with mitral stenosis balloon expandable instrument set group, simple to operate, to doctor's skill
Art level requirement is low, is easy to grasp, minimally invasive and safe, and balloon expandable is unsuccessful can also then to carry out conventional operating on and change valve hand
Art not only gives the more minimally-invasive treatment chances of patient, but also can guarantee the safety of patient, has good practicability.
Description of the drawings
Fig. 1 is the structural schematic diagram of surgery mitral stenosis balloon expandable instrument set group of the present invention；
Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, Fig. 8, Fig. 9, Figure 10, Figure 11 and Figure 12 are two points of surgery of the present invention respectively
The using process diagram of the narrow balloon expandable instrument set group of valve；
Wherein, 1. puncture sheath, 2. puncture needles, 3. pre- curved conductors, 4. are oriented to steel wire, 5. pre-bending foley's tubes, and 6. sacculus are oriented to steel
Silk, 7. syringes, 8. hollow cavities, 9. pilot holes, 10. bicuspid valve valve mouths, 11. directed cavities, 12. sacculus, at 13. purse string sutures,
14. atrium dextrum, 15. atrial septums, 16. atrium sinistrums, 17. left ventricles, 18. endoporus, 19. deflector holes.
Specific implementation mode
Below in conjunction with drawings and examples, to the surgery mitral stenosis balloon expandable instrument set group of the present invention make into
One step is described in detail.
In the present invention, in the absence of explanation to the contrary, the noun of locality used such as " upper and lower, left and right " typically refers to
Upper and lower, left and right shown in refer to the attached drawing；" inside and outside " refers to the inside and outside of the profile relative to each component itself.
Embodiment
As shown in Figure 1, the present invention surgery with mitral stenosis balloon expandable instrument set group by puncture sheath 1, puncture needle 2,
Pre- curved conductor 3 is oriented to steel wire 4, pre-bending foley's tube 5, sacculus guiding steel wire 6 and the composition of syringe 7.
Puncture sheath 1 is provided in the axial direction with hollow cavity 8, and puncture needle 2 passes through hollow cavity 8.
Pre- curved conductor 3 is provided in the axial direction with pilot hole 9, and 3 leading portion of pre- curved conductor is equipped with bending angle, and bending angle is
120 degree.3 front end of pre- curved conductor is equipped with chamfering.It is oriented to steel wire 4 and runs through pilot hole 9, guiding 4 both ends softness of steel wire is flexible, intermediate
Section has certain degree of hardness, is oriented to steel wire tail end and is equipped with scale.
Pre-bending foley's tube 5 is provided in the axial direction with directed cavity 11, and 5 leading portion of pre-bending foley's tube is equipped with bending angle, bending
Angle is 120 degree.5 top of pre-bending foley's tube is equipped with sacculus 12.5 front end of pre-bending foley's tube is equipped with chamfering.Sacculus is oriented to steel
Silk 6 runs through directed cavity 11, and sacculus is oriented to steel wire 6 leading portion softness, and back segment has consistency and elasticity.Pre-bending foley's tube 5 is in an axial direction
It is further opened with an endoporus 18,18 tail end of endoporus is connected with syringe 7, and 18 front end of endoporus extends to the position of 12 front end of sacculus
It sets.Position corresponding with sacculus 12 offers several deflector holes 19 on pre-bending foley's tube 5, endoporus 18 by deflector hole 19 with
Sacculus 12 is connected.
The present invention surgery be with the use process of mitral stenosis balloon expandable instrument set group：As shown in Fig. 2, with
The crosscutting osculum in right chest position of the patient of mitral stenosis, small-sized dilator strut, and right atrium wall are exposed, in right atrium wall
It selects 13 at purse string suture, puncture needle 2 punctures right room wall in pocket center, and under ultrasonic image guiding, puncture sheath 1 passes through
Room wall in atrium dextrum enters atrium dextrum 14, the forward suitable position withstood at atrial septum 15 of puncture sheath 1.As shown in figure 3, puncture needle 2
It moves ahead and penetrates atrial septum 15.As shown in figure 4, puncture sheath 1 withdraws from puncture by atrial septum 15 along puncture needle 2 into atrium sinistrum 16
Needle 2, the implantation of hollow cavity 8 along puncture sheath 1 are oriented to steel wire 4.As shown in figure 5, withdrawing from puncture sheath 1.As shown in fig. 6, along steel is oriented to
The 4 pre- curved conductor 3 of implantation of silk, makes pre- curved conductor 3 enter atrium sinistrum 16.It is oriented to steel wire 4 as shown in fig. 7, withdrawing from.As shown in figure 8, edge
The pilot hole 9 of pre- curved conductor 3 is implanted into sacculus and is oriented to steel wire 6, so that sacculus is oriented to 6 front end of steel wire and enters left ventricle 17.Such as Fig. 9 institutes
Show, withdraws from pre- curved conductor 3.As shown in Figure 10, it is oriented to steel wire 6 along sacculus and is sent into pre-bending foley's tube 5, make pre-bending foley's tube 5
The sacculus 12 of front end is sent at bicuspid valve valve mouth 10.As shown in figure 11, rapid pressure injector 7, liquid flow into endoporus 17, then
It is flowed into Filled Balloon 12 in sacculus 12 by deflector hole 18, so that sacculus 12 is extended bicuspid valve, then quick pumpback liquid, sacculus
12 retractions, and be oriented to steel wire 6 along sacculus and pre-bending foley's tube 5 is withdrawn from into heart, while withdrawing from sacculus and being oriented to steel wire 6, pocket is beaten
Knot.As shown in figure 12, after the extension of bicuspid valve valve mouth, narrow symptom disappears, and operation is completed.
Embodiment described above, the only present invention more preferably specific implementation mode, those skilled in the art is at this
The usual variations and alternatives carried out within the scope of inventive technique scheme should be all included within the scope of the present invention.
Claims (7)
1. a kind of surgery mitral stenosis balloon expandable instrument set group, it is characterised in that：It is led by puncture sheath, puncture needle, pre-bending
Pipe, pre-bending foley's tube are oriented to steel wire, sacculus guiding steel wire and syringe composition, and the puncture sheath is provided in the axial direction with hollow
Chamber, puncture needle pass through hollow cavity；Pre- curved conductor is provided in the axial direction with pilot hole, is oriented to steel wire before pilot hole, pre- curved conductor
Section is equipped with bending angle；The pre-bending foley's tube is provided in the axial direction with directed cavity, and pre-bending foley's tube leading portion is equipped with bending angle
Degree, pre-bending foley's tube front end are equipped with sacculus, and sacculus is oriented to steel wire and runs through directed cavity, and it is soft that sacculus is oriented to steel wire leading portion；It is described
Pre-bending foley's tube is further opened with one or several endoporus in an axial direction, and endoporus tail end is connected with syringe, and endoporus front end is prolonged
The position of sacculus front end is extended to, position corresponding with sacculus offers several deflector holes on pre-bending foley's tube, and endoporus passes through
Deflector hole is connected with sacculus.
2. surgery according to claim 1 mitral stenosis balloon expandable instrument set group, it is characterised in that：The guiding
Steel wire, sacculus are oriented to steel wire tail end and are respectively equipped with scale.
3. surgery according to claim 1 or 2 mitral stenosis balloon expandable instrument set group, it is characterised in that：It is described
Pre-bending catheter proximal end, pre-bending foley's tube front end are respectively arranged with chamfering.
4. surgery according to claim 3 mitral stenosis balloon expandable instrument set group, it is characterised in that：The pre-bending
The bending angle of conduit leading portion is 0-120 degree.
5. surgery according to claim 4 mitral stenosis balloon expandable instrument set group, it is characterised in that：The pre-bending
The bending angle of foley's tube leading portion is 0-120 degree.
6. surgery according to claim 5 mitral stenosis balloon expandable instrument set group, it is characterised in that：The guiding
Steel wire both ends softness is flexible, and interlude has hardness.
7. surgery according to claim 6 mitral stenosis balloon expandable instrument set group, it is characterised in that：The sacculus
Being oriented to steel wire back segment has consistency and elasticity.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810791466.6A CN108785832A (en) | 2018-07-18 | 2018-07-18 | A kind of surgery mitral stenosis balloon expandable instrument set group |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810791466.6A CN108785832A (en) | 2018-07-18 | 2018-07-18 | A kind of surgery mitral stenosis balloon expandable instrument set group |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108785832A true CN108785832A (en) | 2018-11-13 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810791466.6A Withdrawn CN108785832A (en) | 2018-07-18 | 2018-07-18 | A kind of surgery mitral stenosis balloon expandable instrument set group |
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| Country | Link |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113116481A (en) * | 2019-12-30 | 2021-07-16 | 上海创心医学科技有限公司 | Intracavity membrane rupturing device |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6758854B1 (en) * | 1997-05-09 | 2004-07-06 | St. Jude Medical | Splittable occlusion balloon sheath and process of use |
| US20070112422A1 (en) * | 2005-11-16 | 2007-05-17 | Mark Dehdashtian | Transapical heart valve delivery system and method |
| US20070150044A1 (en) * | 2005-12-27 | 2007-06-28 | Lixiao Wang | Embolic protection systems for bifurcated conduits |
| CN102805661A (en) * | 2012-09-04 | 2012-12-05 | 上海朗迈医疗器械科技有限公司 | Balloon dilator used for treating vertebral body compression fracture |
| US20130281979A1 (en) * | 2012-04-18 | 2013-10-24 | Edwards Lifesciences Llc | Retrograde cardioplegia delivery catheter and method for inducing cardioplegic arrest |
| CN105555229A (en) * | 2013-03-15 | 2016-05-04 | 心脏解决方案有限公司 | Mitral valve spacer and system and method for implanting the same |
| CN108136178A (en) * | 2015-10-08 | 2018-06-08 | 美敦力公司 | For medical electrical lead to be delivered to the insertion type medical system of external membrane of heart implantation position |
-
2018
- 2018-07-18 CN CN201810791466.6A patent/CN108785832A/en not_active Withdrawn
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6758854B1 (en) * | 1997-05-09 | 2004-07-06 | St. Jude Medical | Splittable occlusion balloon sheath and process of use |
| US20070112422A1 (en) * | 2005-11-16 | 2007-05-17 | Mark Dehdashtian | Transapical heart valve delivery system and method |
| US20070150044A1 (en) * | 2005-12-27 | 2007-06-28 | Lixiao Wang | Embolic protection systems for bifurcated conduits |
| US20130281979A1 (en) * | 2012-04-18 | 2013-10-24 | Edwards Lifesciences Llc | Retrograde cardioplegia delivery catheter and method for inducing cardioplegic arrest |
| CN102805661A (en) * | 2012-09-04 | 2012-12-05 | 上海朗迈医疗器械科技有限公司 | Balloon dilator used for treating vertebral body compression fracture |
| CN105555229A (en) * | 2013-03-15 | 2016-05-04 | 心脏解决方案有限公司 | Mitral valve spacer and system and method for implanting the same |
| CN108136178A (en) * | 2015-10-08 | 2018-06-08 | 美敦力公司 | For medical electrical lead to be delivered to the insertion type medical system of external membrane of heart implantation position |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113116481A (en) * | 2019-12-30 | 2021-07-16 | 上海创心医学科技有限公司 | Intracavity membrane rupturing device |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WW01 | Invention patent application withdrawn after publication |
Application publication date: 20181113 |
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| WW01 | Invention patent application withdrawn after publication |