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CN111700659A - intraluminal vascular drainage device - Google Patents

intraluminal vascular drainage device Download PDF

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CN111700659A
CN111700659A CN202010373371.XA CN202010373371A CN111700659A CN 111700659 A CN111700659 A CN 111700659A CN 202010373371 A CN202010373371 A CN 202010373371A CN 111700659 A CN111700659 A CN 111700659A
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balloon
blood
catheter
bypass
blood vessel
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郝迎学
钟华
张荣杰
孙龙
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First Affiliated Hospital of PLA Military Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/1204Type of occlusion temporary occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/12036Type of occlusion partial occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12159Solid plugs; being solid before insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00778Operations on blood vessels

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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)
  • Reproductive Health (AREA)
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  • General Health & Medical Sciences (AREA)
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  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

本发明公开一种腔内血管导流装置,包括膨胀球囊,该膨胀球囊包括球囊和导管,该球囊上设置有血液通道,该血液通道从所述球囊的一端延伸至另一端。所述膨胀球囊与现有的用于血管扩张的膨胀球囊相同,在使用时,可以通过导管将球囊送至动脉闭塞处近端的搭桥切口处,然后通过导管可以向球囊内注入气体或者液体,使球囊膨胀贴合血管壁。如此,血管内的血液只能从球囊上的血液通道流过,切开搭桥切口处的血管不会有血液流出。就可以在不阻断血管内血液流通的情况下进行搭桥手术。而且,膨胀的球囊也不会对血管施加压力,不易对血管造成损伤,降低了手术风险。

Figure 202010373371

The invention discloses an intraluminal blood vessel diversion device, comprising an inflation balloon, the inflation balloon comprising a balloon and a catheter, the balloon is provided with a blood channel, and the blood channel extends from one end of the balloon to the other end . The inflation balloon is the same as the existing inflation balloon for vascular dilation. When in use, the balloon can be sent to the bypass incision at the proximal end of the arterial occlusion through the catheter, and then the balloon can be injected into the balloon through the catheter. The gas or liquid causes the balloon to inflate against the vessel wall. In this way, the blood in the blood vessel can only flow through the blood channel on the balloon, and the blood vessel at the bypass incision will not flow out. Bypass surgery can be performed without blocking blood flow in the blood vessel. Moreover, the inflated balloon will not exert pressure on the blood vessels, and is less likely to cause damage to the blood vessels, thereby reducing the risk of surgery.

Figure 202010373371

Description

腔内血管导流装置intraluminal vascular drainage device

技术领域technical field

本发明涉及专门适用于医用的连接管领域,特别是涉及一种腔内血管导流装置。The invention relates to the field of connecting pipes specially suitable for medical use, in particular to an intraluminal blood vessel diversion device.

背景技术Background technique

动脉血管出现粥样硬化,硬化斑块可使血管壁逐渐增厚,引起管腔狭窄和闭塞,引起间歇性跛行、静息痛等肢体缺血表现。为治疗这种病症,常用的手术治疗方法是使用人工血管或自体静脉做血管搭桥,将动脉闭塞处近端的血液通过转流管引入远端,如此可以缓解缺血症状。Arterial atherosclerosis occurs, and the sclerotic plaque can gradually thicken the blood vessel wall, causing lumen stenosis and occlusion, causing intermittent claudication, rest pain and other limb ischemia manifestations. In order to treat this condition, the commonly used surgical treatment method is to use artificial blood vessels or autologous veins to do vascular bypass, and the blood from the proximal end of the arterial occlusion is introduced into the distal end through a bypass tube, which can relieve the symptoms of ischemia.

在做血管搭桥时,需要使用血管阻断钳将动脉闭塞处近端和远端的血管夹住,阻断手术血管的血液流通,再进行搭桥手术。如此不仅阻断了血管远端肢体的血液供流,而且,由于出现粥样硬化的血管都比较脆弱,在使用血管阻断钳时,稍有不甚就会导致血管破裂,因此手术风险较高。When doing vascular bypass, it is necessary to use vascular occlusion forceps to clamp the proximal and distal blood vessels at the occlusion of the artery to block the blood flow of the surgical blood vessels, and then perform bypass surgery. This not only blocks the blood supply of the distal limbs of the blood vessels, but also because the blood vessels with atherosclerosis are relatively fragile, when the blood vessel blocking forceps are used, a little bit will lead to the rupture of the blood vessels, so the operation risk is higher. .

发明内容SUMMARY OF THE INVENTION

为解决以上技术问题,本发明提供一种腔内血管导流装置,使用该装置后,可以在不阻断血液流通的情况下进行搭桥手术,而且不易对血管造成损伤。In order to solve the above technical problems, the present invention provides an intraluminal blood vessel diversion device. After using the device, bypass surgery can be performed without blocking blood flow, and it is not easy to cause damage to blood vessels.

技术方案如下:The technical solution is as follows:

一种腔内血管导流装置,在第一种可实现方式中,包括膨胀球囊,该膨胀球囊包括球囊和导管,该球囊上设置有血液通道,该血液通道从所述球囊的一端延伸至另一端。An intraluminal vascular diversion device, in a first implementation manner, includes an inflation balloon, the inflation balloon includes a balloon and a catheter, the balloon is provided with a blood channel, and the blood channel extends from the balloon one end extends to the other end.

结合第一种可实现方式,在第二种可实现方式中,所述导管沿血液通道穿过球囊,并与所述球囊连通。In combination with the first implementation, in the second implementation, the catheter passes through the balloon along the blood channel and communicates with the balloon.

结合第二种可实现方式,在第三种可实现方式中,所述导管通过连通管与球囊连通。In combination with the second implementation manner, in the third implementation manner, the catheter communicates with the balloon through a communication tube.

结合第三种可实现方式,在第四种可实现方式中,所述连通管为柔性管。In combination with the third implementation manner, in the fourth implementation manner, the communication pipe is a flexible pipe.

结合第一种可实现方式,在第五种可实现方式中,所述球囊上设置有多个血液通道,且所有血液通道围绕所述导管均匀分布。In combination with the first implementation manner, in a fifth implementation manner, a plurality of blood channels are provided on the balloon, and all the blood channels are evenly distributed around the catheter.

结合第一至五种可实现方式中的任意一种可实现方式,在第六种可实现方式中,所述球囊外壁设置有切口定位槽。Combining with any one of the first to fifth implementations, in a sixth implementation, the outer wall of the balloon is provided with an incision positioning groove.

结合第一至六种可实现方式中的任意一种可实现方式,在第七种可实现方式中,所述导管的末端设置有用于手术定位的标记装置。In combination with any one of the first to sixth implementations, in a seventh implementation, the distal end of the catheter is provided with a marking device for surgical positioning.

有益效果:采用本发明的腔内血管导流装置,可以在不阻断血管血液流通的情况下进行血管搭桥手术,保持远端肢体的供血,延长手术可用时间,而且不易造成血管损伤,降低了手术风险。Beneficial effects: By using the intraluminal vascular diversion device of the present invention, the vascular bypass operation can be performed without blocking the blood circulation of the blood vessels, the blood supply of the distal limbs can be maintained, the available time of the operation can be prolonged, and the vascular damage is not easily caused, and the blood vessel is not easily damaged. surgical risk.

附图说明Description of drawings

图1为本发明实施例一的结构示意图;1 is a schematic structural diagram of Embodiment 1 of the present invention;

图2为本发明实施例二的结构示意图。FIG. 2 is a schematic structural diagram of Embodiment 2 of the present invention.

具体实施方式Detailed ways

下面结合实施例和附图对本发明作进一步说明。The present invention will be further described below with reference to the embodiments and accompanying drawings.

实施例一、如图1所示的腔内血管导流装置,包括膨胀球囊,该膨胀球囊包括球囊1和导管2,该球囊1上设置有血液通道3,该血液通道3从所述球囊1的一端延伸至另一端。Embodiment 1. The intraluminal vascular diversion device as shown in FIG. 1 includes an inflation balloon. The inflation balloon includes a balloon 1 and a catheter 2. The balloon 1 is provided with a blood channel 3. One end of the balloon 1 extends to the other end.

具体而言,所述膨胀球囊与现有的用于血管扩张的膨胀球囊相同,在使用时,可以通过导管2将球囊1送至动脉闭塞处近端的搭桥切口处,然后通过导管2可以向球囊1内注入气体或者液体,使球囊1膨胀贴合血管壁。Specifically, the inflation balloon is the same as the existing inflation balloon for vascular dilation. When in use, the balloon 1 can be sent to the bypass incision at the proximal end of the arterial occlusion through the catheter 2, and then passed through the catheter 2. Gas or liquid can be injected into the balloon 1, so that the balloon 1 is inflated and adhered to the blood vessel wall.

如此,血管内的血液只能从球囊1上的血液通道3流过,切开搭桥切口处的血管不会有血液流出。就可以在不阻断血管内血液流通的情况下进行搭桥手术。而且,膨胀的球囊1也不会对血管施加压力,不易对血管造成损伤,降低了手术风险。In this way, the blood in the blood vessel can only flow through the blood channel 3 on the balloon 1, and no blood will flow out of the blood vessel where the bypass incision is cut. Bypass surgery can be performed without blocking blood flow in the blood vessel. Moreover, the inflated balloon 1 will not exert pressure on the blood vessel, so that it is not easy to cause damage to the blood vessel, and the operation risk is reduced.

在本实施例中,优选的,所述导管2沿血液通道3穿过球囊1,并与所述球囊1连通。如此可以设置较大孔径的血液通道3,以通过更多的血液,满足供血需求。同时,为了减少血液通道3对血流的阻力,所述导管2通过连通管4与球囊1连通。连通管4设置在血液通道3内,其两端分别与导管2和球囊1连通,连通管4即起到固定连接导管2和球囊1的作用,而且导管2内的气体或者液体就可以沿连通管4进入球囊1内使球囊1膨胀,以贴合血管壁。In this embodiment, preferably, the catheter 2 passes through the balloon 1 along the blood channel 3 and communicates with the balloon 1 . In this way, the blood channel 3 with a larger diameter can be set to pass more blood and meet the blood supply demand. At the same time, in order to reduce the resistance of the blood channel 3 to blood flow, the catheter 2 communicates with the balloon 1 through a communication tube 4 . The communication tube 4 is arranged in the blood channel 3, and its two ends are respectively connected with the catheter 2 and the balloon 1. The communication tube 4 plays the role of fixedly connecting the catheter 2 and the balloon 1, and the gas or liquid in the catheter 2 can be Enter the balloon 1 along the communication tube 4 to inflate the balloon 1 to fit the vessel wall.

所述导管2的末端设置有用于手术定位的标记装置5,标记装置5可以在手术过程中标定导管2末端的位置,以便确定球囊1的位置,方便医生将球囊1准确送至搭桥切口处。标记装置5可以是电磁传感器,如此可以使用现有的电磁手术导航系统追踪导管2末端的位置。The end of the catheter 2 is provided with a marking device 5 for surgical positioning. The marking device 5 can mark the position of the end of the catheter 2 during the operation, so as to determine the position of the balloon 1, so that the doctor can accurately send the balloon 1 to the bypass incision. place. The marking device 5 may be an electromagnetic sensor, so that the position of the distal end of the catheter 2 can be tracked using existing electromagnetic surgical navigation systems.

而且,为了方便手术初期将球囊1送至搭桥切口处,所述连通管4为柔性管,如此在未通过导管2注气或液体前,连通管4可以贴附在导管2上,缩小整个球囊1的体积。通过导管2注气或液体,连通管4就可以膨胀开形成通道,以将气体或液体注入到球囊1内。Moreover, in order to facilitate the delivery of the balloon 1 to the bypass incision in the early stage of the operation, the communicating tube 4 is a flexible tube, so that before gas or liquid is injected through the catheter 2, the communicating tube 4 can be attached to the catheter 2 to shrink the entire The volume of balloon 1. By injecting gas or liquid through the catheter 2 , the communication tube 4 can be expanded to form a channel, so as to inject the gas or liquid into the balloon 1 .

所述球囊1外壁设置有切口定位槽6,在将球囊1送至搭桥切口处后,手术医生可以用手指触摸搭桥切口处的血管,在切口定位槽6处可以感受到明显的凹陷感,从而确定搭桥切口的位置。而且,由于切口定位槽6的存在,使桥切口处的血管壁与球囊1外表面之间存在空间余量,这个空间余量为手术刀流出了空间,避免手术医生切开血管时切破球囊1,降低了手术风险。The outer wall of the balloon 1 is provided with an incision positioning groove 6. After the balloon 1 is sent to the bypass incision, the surgeon can touch the blood vessels at the bypass incision with his fingers, and an obvious depression can be felt at the incision positioning groove 6. to determine the location of the bypass incision. Moreover, due to the existence of the incision positioning groove 6, there is a space margin between the blood vessel wall at the bridge incision and the outer surface of the balloon 1. This space margin is the space for the scalpel to flow out, so as to prevent the surgeon from cutting the blood vessel when cutting the blood vessel. Balloon 1, reducing surgical risk.

实施例二、如图所示,实施例二与实施例一大致相同,其主要区别在于:所述球囊1上设置有多个血液通道3,且所有血液通道3围绕所述导管2均匀分布。球囊1膨胀贴合血管壁后,血液只能从这几个血液通道3流过,如此可以在不阻断血管内血液流通的情况下进行搭桥手术。Embodiment 2. As shown in the figure, Embodiment 2 is roughly the same as Embodiment 1. The main difference is that: the balloon 1 is provided with a plurality of blood channels 3, and all blood channels 3 are evenly distributed around the catheter 2. . After the balloon 1 is inflated and adhered to the blood vessel wall, blood can only flow through the several blood channels 3, so that bypass surgery can be performed without blocking the blood circulation in the blood vessel.

最后需要说明的是,上述描述仅仅为本发明的优选实施例,本领域的普通技术人员在本发明的启示下,在不违背本发明宗旨及权利要求的前提下,可以做出多种类似的表示,这样的变换均落入本发明的保护范围之内。Finally, it should be noted that the above description is only a preferred embodiment of the present invention, and those of ordinary skill in the art can make a variety of similar It is indicated that such transformations fall within the protection scope of the present invention.

Claims (7)

1. An intracavity blood vessel flow guiding device comprises an expansion balloon, wherein the expansion balloon comprises a balloon and a catheter, and is characterized in that: the balloon is provided with a blood channel which extends from one end of the balloon to the other end.
2. The endoluminal vascular diversion device of claim 1, wherein: the catheter passes through the balloon along a blood passage and communicates with the balloon.
3. The endoluminal vascular diversion device of claim 2, wherein: the catheter is communicated with the saccule through a communicating pipe.
4. The endoluminal vascular diversion device of claim 3, wherein: the communicating pipe is a flexible pipe.
5. The endoluminal vascular diversion device of claim 1, wherein: a plurality of blood channels are provided on the balloon, and all blood channels are evenly distributed around the catheter.
6. The endoluminal vascular drainage device of any of claims 1-5, wherein: and the outer wall of the balloon is provided with a notch positioning groove.
7. The endoluminal vascular drainage device of any of claims 1-6, wherein: the end of the catheter is provided with a marker device for surgical positioning.
CN202010373371.XA 2020-05-06 2020-05-06 intraluminal vascular drainage device Pending CN111700659A (en)

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WO1998052476A1 (en) * 1997-05-19 1998-11-26 Castle Professional Services, Inc. Device for partially occluding blood vessels
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CN204034000U (en) * 2014-03-31 2014-12-24 泸州医学院附属医院 A kind of blood vessel expansion appliance
CN107343980A (en) * 2016-04-21 2017-11-14 青岛智辰生物科技有限公司 A kind of more cavity foley's tubes
CN106691533A (en) * 2017-01-23 2017-05-24 江苏尼科医疗器械有限公司 balloon guide catheter
CN107773837A (en) * 2017-11-22 2018-03-09 仇汉诚 A kind of foley's tube
CN108294800A (en) * 2018-01-30 2018-07-20 牛铁生 A kind of sacculus
CN108542552A (en) * 2018-03-08 2018-09-18 广西中医药大学第附属医院 Intravascular stent and its application method
CN109700494A (en) * 2018-08-03 2019-05-03 东莞天天向上医疗科技有限公司 A kind of intravascular quick-acting haemostatic powder foley's tube of multichannel and more sacculus
CN109303576A (en) * 2018-10-23 2019-02-05 中国医学科学院北京协和医院 An intravascular biopsy extraction device

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