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CN112914679B - Radially deformable thrombectomy device - Google Patents

Radially deformable thrombectomy device Download PDF

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Publication number
CN112914679B
CN112914679B CN202110148740.XA CN202110148740A CN112914679B CN 112914679 B CN112914679 B CN 112914679B CN 202110148740 A CN202110148740 A CN 202110148740A CN 112914679 B CN112914679 B CN 112914679B
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nickel
catheter
titanium alloy
thrombus
temperature
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CN112914679A (en
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王成勇
吴茂忠
杨洋
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Guangdong University of Technology
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320758Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22038Implements 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 a guide wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22079Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22082Implements 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 after introduction of a substance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B2017/320733Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a flexible cutting or scraping element, e.g. with a whip-like distal filament member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B2017/320741Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions for stripping the intima or the internal plaque from a blood vessel, e.g. for endarterectomy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320758Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • A61B2017/320775Morcellators, impeller or propeller like means

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Abstract

The present application relates to a radially deformable thrombectomy device. The apparatus comprises: the device comprises a guide wire, a grinding head, a nickel-titanium alloy rotary grinding mechanism, a driving shaft, a catheter and a catheter cavity; the guide wire penetrates through the grinding head and the driving shaft, and the grinding head is connected with the driving shaft; the inner cavity gap between the driving shaft and the catheter and the nickel-titanium alloy rotational grinding mechanism forms a catheter cavity which is used for conveying normal saline and sucking thrombus plaques; the catheter comprises a catheter front section and a catheter rear end. This application adopts the nickel titanium alloy material rotational grinding mechanism that has shape memory effect, and in nickel titanium alloy rotational grinding mechanism got into tiny pipeline (like, blood vessel) along with the thrombus clear away apparatus, the piece is heated the inflation uplift between nickel titanium alloy rotational grinding mechanism, and when the drive shaft was rotatory, the piece between after can driving the uplift rotated to can play the effect of clearance silt stifled thing. After the clogging objects are cleaned, the nickel-titanium alloy rotational grinding mechanism can be cooled through the heat transfer of the apparatus, so that the hollow cylindrical state is recovered, and the fine pipeline can be conveniently withdrawn.

Description

可径向变形的血栓清除器械Radially deformable thrombectomy device

技术领域technical field

本申请涉及医疗器械技术领域,尤其涉及一种可径向变形血栓清除器械。The present application relates to the technical field of medical devices, in particular to a radially deformable thrombus removal device.

背景技术Background technique

血管非常富有弹性,为了使血液流动顺畅,所以内壁很柔软;但是形成动脉硬化的血管,则会增厚与变硬,内壁出现粉瘤(粥状硬化巢),于是,血管内腔变窄,使得血液循环不顺畅,继续恶化下就会完全堵塞,形成血栓。Blood vessels are very elastic. In order to make the blood flow smoothly, the inner wall is very soft; but the blood vessels that have formed arteriosclerosis will thicken and harden, and atheroma (atheroid sclerosis nest) will appear on the inner wall, so the lumen of the blood vessel becomes narrower. The blood circulation is not smooth, and if it continues to deteriorate, it will be completely blocked and form a thrombus.

目前,血管血栓的治疗方法包括抗凝治疗、外科切开取栓、经导管直接溶栓治疗、球囊扩张和支架植入和机械血栓清除术;现有的旋磨型机械血栓清除器械磨头在到达以及离开病灶处过程中容易造成血管损伤,安全性差。At present, the treatment methods for vascular thrombosis include anticoagulant therapy, surgical thrombectomy, direct catheter thrombolysis, balloon dilatation and stent implantation, and mechanical thrombectomy; In the process of reaching and leaving the lesion, it is easy to cause blood vessel damage, and the safety is poor.

发明内容Contents of the invention

为克服相关技术中存在的问题,本申请提供一种可径向变形的血栓清除器械,该血栓清除器械利用4D打印镍钛合金,能够径向改变器械体积大小,并保证以最小的形态进入和离开血栓斑块病灶区,避免器械造成血管损伤。In order to overcome the problems existing in the related technologies, the present application provides a radially deformable thrombus removal device, which utilizes 4D printing nickel-titanium alloy, can radially change the size of the device, and guarantees the smallest shape to enter and Stay away from the thrombotic plaque lesion area to avoid blood vessel damage caused by the device.

本申请采用如下技术方案实现:This application adopts the following technical solutions to realize:

一种可径向变形的血栓清除器械,包括:导丝、磨头、镍钛合金旋磨机构、驱动轴、导管和导管腔;A radially deformable thrombus removal device, comprising: a guide wire, a grinding head, a nickel-titanium alloy rotational atherectomy mechanism, a drive shaft, a catheter and a catheter lumen;

导丝穿过磨头和驱动轴,磨头与驱动轴相连;The guide wire passes through the grinding head and the driving shaft, and the grinding head is connected with the driving shaft;

驱动轴与导管和镍钛合金旋磨机构之间的内腔空隙形成导管腔,导管腔用于输送生理盐水和抽吸血栓斑块;The lumen space between the driving shaft and the catheter and the nickel-titanium alloy rotary atherectomy mechanism forms a catheter lumen, which is used to deliver normal saline and suck thrombus plaque;

导管包括导管前端和导管后端;The catheter includes a catheter front end and a catheter rear end;

镍钛合金旋磨机构位于导管前端和导管后端之间;The nickel-titanium alloy rotary atherectomy mechanism is located between the front end of the catheter and the rear end of the catheter;

镍钛合金旋磨机构为由多条间片组成的空心圆柱,镍钛合金旋磨机构在25~37摄氏度可径向膨胀变形。The nickel-titanium alloy rotary atherectomy mechanism is a hollow cylinder composed of multiple spacers, and the nickel-titanium alloy rotary atherectomy mechanism can radially expand and deform at 25-37 degrees Celsius.

磨头和镍钛合金旋磨机构由驱动轴驱动旋转,用于血栓旋磨和清除。The grinding head and nickel-titanium alloy rotational atherectomy mechanism are driven by the drive shaft to rotate, and are used for thrombus rotational atherectomy and removal.

在本申请的一种实施方式中:In one embodiment of the present application:

所述镍钛合金旋磨机构为镍钛合金材料,并分别进行4D打印和相变区间重复热机械循环处理,使其具有双向记忆效应。The nickel-titanium alloy rotary atherectomy mechanism is made of nickel-titanium alloy material, and is subjected to 4D printing and repeated thermomechanical cycle treatment in the phase change interval, so that it has a two-way memory effect.

在本申请的一种实施方式中:双向记忆效应包括形成与保持两种稳定形态:In one embodiment of the present application: the two-way memory effect includes forming and maintaining two stable forms:

形态一:镍钛合金旋磨机构呈细长空心圆柱形,并且与驱动轴紧贴,以保持最小的体积形态;Form 1: The nickel-titanium alloy rotary atherectomy mechanism is in the shape of a slender hollow cylinder, and is in close contact with the drive shaft to keep the smallest volume;

形态二:镍钛合金旋磨机构由原来的空心圆柱形发生自动膨胀变形为椭圆形,以达到最大的体积形态;Form 2: The nickel-titanium alloy rotary atherectomy mechanism automatically expands and deforms from the original hollow cylinder to an ellipse to achieve the largest volume form;

形态一和形态二可通过改变温度进行切换。Form 1 and form 2 can be switched by changing the temperature.

在本申请的一种实施方式中:In one embodiment of the present application:

形态一和形态二可通过改变温度进行切换,包括:Form 1 and form 2 can be switched by changing the temperature, including:

通过体液温度及生理盐水的温度控制其形态变化;Control its morphological changes by the temperature of body fluid and saline;

当清除血栓时,导管进入到目标血栓斑块病灶区,处于连接状态的导管前端及导管后端分离,此时镍钛合金旋磨机构暴露于血管壁和血管内腔当中,经相变区间重复热机械循环处理后的镍钛合金旋磨机构变形温度与体液温度保持一致,镍钛合金旋磨机构发生自动膨胀变形。When the thrombus is removed, the catheter enters the target thrombus plaque lesion area, and the front end of the catheter and the rear end of the catheter in the connected state are separated. The deformation temperature of the nickel-titanium alloy rotary atherectomy mechanism after thermomechanical cycle treatment is consistent with the body fluid temperature, and the nickel-titanium alloy rotary atherectomy mechanism automatically expands and deforms.

在本申请的一种实施方式中:In one embodiment of the present application:

形态一和形态二可通过改变温度进行切换,还包括:Form 1 and form 2 can be switched by changing the temperature, including:

当清除血栓斑块完毕,通过导管腔向血管内腔周围输送生理盐水,经相变区间重复热机械循环处理后的镍钛合金旋磨机构恢复变形温度与生理盐水温度保持一致,镍钛合金旋磨机构形态恢复为空心圆柱形,且导管前端及导管后端两端连接,使镍钛合金旋磨机构不再暴露于血管血液中。When the thrombus plaque is removed, normal saline is delivered to the surrounding lumen of the blood vessel through the catheter lumen, and the recovery deformation temperature of the nickel-titanium alloy rotary atherectomy mechanism after repeated thermomechanical cycle treatment in the phase change interval is consistent with the temperature of normal saline, and the nickel-titanium alloy The shape of the rotary atherectomy mechanism is restored to a hollow cylindrical shape, and the front end of the catheter and the rear end of the catheter are connected, so that the nickel-titanium alloy rotary atherectomy mechanism is no longer exposed to blood vessels.

在本申请的一种实施方式中:In one embodiment of the present application:

当清除血栓斑块完毕之前,还包括:Before the removal of clotted plaque is complete, it also includes:

若旋磨形成的血栓斑块碎屑超过人体可吸收颗粒的大小,通过导管腔的负压抽吸作用将血栓斑块碎屑抽离体外;If the thrombosis and plaque debris formed by rotational grinding exceeds the size of the human body's absorbable particles, the thrombosis and plaque debris is drawn out of the body through the negative pressure suction of the catheter lumen;

若旋磨形成的血栓斑块碎屑可被人体吸收颗粒的大小,此时血栓斑块碎屑由人体吸收。If the size of the particles of thrombosis and plaque formed by rotational grinding can be absorbed by the human body, the thrombosis and plaque debris will be absorbed by the human body at this time.

在本申请的一种实施方式中:In one embodiment of the present application:

当清除血栓斑块完毕之前,还包括:Before the removal of clotted plaque is complete, it also includes:

高速旋磨产生的高温通过导管腔输送的生理盐水进行润滑和降温。The high temperature generated by high-speed rotational atherectomy is lubricated and cooled by the physiological saline delivered through the catheter lumen.

在本申请的一种实施方式中:In one embodiment of the present application:

相变区间重复热机械循环处理包括:The repeated thermomechanical cycle treatment in the phase change interval includes:

镍钛合金旋磨机构的Mf(马氏体相变结束温度)点对应生理盐水温度,Af(奥氏体相变结束温度)点对应人体体温,其母相形状为椭圆形形态,在体外将其降温至生理盐水温度,变形为变形相,即空心圆柱体形态。The M f (martensitic phase transition end temperature) point of the nickel-titanium alloy rotary grinding mechanism corresponds to the temperature of normal saline, and the A f (austenite phase transition end temperature) point corresponds to the human body temperature, and its parent phase shape is elliptical. It is cooled to the temperature of normal saline in vitro, and deformed into a deformed phase, that is, a hollow cylinder shape.

在本申请的一种实施方式中:In one embodiment of the present application:

磨头直径尺寸大于导管的直径尺寸。The grinding head diameter dimension is larger than the diameter dimension of the conduit.

在本申请的一种实施方式中:In one embodiment of the present application:

导丝用于引导器械的移动及驱动轴的旋转。The guide wire is used to guide the movement of the instrument and the rotation of the drive shaft.

本申请提供的技术方案可以包括以下有益效果:采用具有形状记忆效应的镍钛合金材料旋磨机构,当镍钛合金旋磨机构随着血栓清除器械进入细微管道(如,血管)内,镍钛合金旋磨机构受人体的体温影响,镍钛合金旋磨机构的间片受热膨胀隆起,使得间片与间片之间产生间隙,驱动轴旋转时,可以带动所述隆起后的间片进行旋转,从而能够起到清理淤堵物的效果。在清理完淤堵物后,可以通过器械的热传递对该镍钛合金旋磨机构进行冷却,使得恢复到空心圆柱的状态,便于抽离该细微管道。The technical solution provided by the present application may include the following beneficial effects: using a nickel-titanium alloy material rotational atherectomy mechanism with a shape memory effect, when the nickel-titanium alloy rotational atherectomy mechanism enters a tiny channel (such as a blood vessel) along with a thrombus removal device, the nickel-titanium alloy material The alloy rotary atherectomy mechanism is affected by the body temperature of the human body. The spacer of the nickel-titanium alloy rotary atherectomy mechanism expands and bulges when heated, causing a gap between the spacer and the spacer. When the drive shaft rotates, it can drive the raised spacer to rotate. , so as to be able to play the role of clearing the silt. After clearing the blockage, the nickel-titanium alloy rotary atherectomy mechanism can be cooled through the heat transfer of the instrument, so that it returns to the state of the hollow cylinder, which is convenient for pulling out the tiny pipe.

应当理解的是,以上的一般描述和后文的细节描述仅是示例性和解释性的,并不能限制本申请。It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the application.

附图说明Description of drawings

通过结合附图对本申请示例性实施方式进行更详细的描述,本申请的上述以及其它目的、特征和优势将变得更加明显,其中,在本申请示例性实施方式中,相同的参考标号通常代表相同部件。The above and other objects, features and advantages of the present application will become more apparent by describing the exemplary embodiments of the present application in more detail with reference to the accompanying drawings, wherein, in the exemplary embodiments of the present application, the same reference numerals generally represent same parts.

图1是本申请实施例示出的可径向变形的血栓清除器械结构示意图;Fig. 1 is a schematic structural diagram of a radially deformable thrombus removal device shown in an embodiment of the present application;

图2是本申请实施例示出的进行旋磨形成导管通道的血栓清除器械结构示意图;Fig. 2 is a schematic structural view of a thrombus removal device for performing rotational atherectomy to form a catheter channel shown in an embodiment of the present application;

图3是本申请实施例示出的完成导管通道后变形的血栓清除器械结构示意图;Fig. 3 is a schematic structural view of a deformed thrombus removal device shown in an embodiment of the present application after completion of the catheter channel;

图4是本申请实施例示出的血栓清除器械清除血栓斑块的示意图;Fig. 4 is a schematic diagram of a thrombus removal device shown in an embodiment of the present application to remove thrombus plaque;

图5是本申请实施例示出的血栓清除器械清除完血栓后恢复变形的示意图;Fig. 5 is a schematic diagram of the recovery of deformation of the thrombus removal device shown in the embodiment of the present application after removing the thrombus;

具体实施方式detailed description

下面将参照附图更详细地描述本申请的优选实施方式。虽然附图中显示了本申请的优选实施方式,然而应该理解,可以以各种形式实现本申请而不应被这里阐述的实施方式所限制。相反,提供这些实施方式是为了使本申请更加透彻和完整,并且能够将本申请的范围完整地传达给本领域的技术人员。Preferred embodiments of the present application will be described in more detail below with reference to the accompanying drawings. Although preferred embodiments of the present application are shown in the drawings, it should be understood that the present application may be embodied in various forms and should not be limited to the embodiments set forth herein. Rather, these embodiments are provided so that this application will be thorough and complete, and will fully convey the scope of this application to those skilled in the art.

实施例一:Embodiment one:

目前,血管血栓的治疗方法包括抗凝治疗、外科切开取栓、经导管直接溶栓治疗、球囊扩张和支架植入和机械血栓清除术;现有的旋磨型机械血栓清除器械磨头在到达以及离开病灶处过程中容易造成血管损伤,安全性差。At present, the treatment methods for vascular thrombosis include anticoagulant therapy, surgical thrombectomy, direct catheter thrombolysis, balloon dilatation and stent implantation, and mechanical thrombectomy; In the process of reaching and leaving the lesion, it is easy to cause blood vessel damage, and the safety is poor.

针对上述技术问题,本申请实施例提供一种可径向变形的血栓清除器械。In view of the above technical problems, embodiments of the present application provide a radially deformable thrombus removal device.

图1是本申请实施例示出的可径向变形的血栓清除器械结构示意图。Fig. 1 is a schematic structural view of a radially deformable thrombus removal device shown in an embodiment of the present application.

参见图1,本申请实施例中可径向变形的血栓清除器械的一个实施例包括:Referring to FIG. 1 , an embodiment of the radially deformable thrombus removal device in the embodiment of the present application includes:

导丝1、磨头2、镍钛合金旋磨机构3、驱动轴4、导管5和导管腔6;Guide wire 1, grinding head 2, nickel-titanium alloy rotational atherectomy mechanism 3, drive shaft 4, catheter 5 and catheter lumen 6;

导丝1与磨头2相连,磨头2与驱动轴4相连;The guide wire 1 is connected with the grinding head 2, and the grinding head 2 is connected with the drive shaft 4;

驱动轴4与导管5和镍钛合金旋磨机构3之间的内腔空隙形成导管腔6,导管腔6用于输送生理盐水和抽吸血栓斑块;The inner cavity space between the drive shaft 4 and the catheter 5 and the nickel-titanium alloy rotary atherectomy mechanism 3 forms a catheter lumen 6, and the catheter lumen 6 is used to transport physiological saline and suck thrombus plaque;

导管5包括导管前段51和导管后端52;The conduit 5 includes a conduit front section 51 and a conduit rear end 52;

镍钛合金旋磨机构3位于导管前端51和导管后端52之间;The nickel-titanium alloy rotational atherectomy mechanism 3 is located between the catheter front end 51 and the catheter rear end 52;

镍钛合金旋磨机构3为由多条间片组成的空心圆柱,镍钛合金旋磨机构3在25~37摄氏度可径向膨胀变形。The nickel-titanium alloy rotary atherectomy mechanism 3 is a hollow cylinder composed of a plurality of spacers, and the nickel-titanium alloy rotary atherectomy mechanism 3 can radially expand and deform at 25-37 degrees Celsius.

可以理解的是,镍钛合金是一种形状记忆合金,能将自身的塑性变形在某一特定温度下自动恢复为原始形状的特种合金,被广泛用于介入医学领域。It is understandable that nickel-titanium alloy is a shape memory alloy, a special alloy that can automatically restore its own plastic deformation to its original shape at a certain temperature, and is widely used in the field of interventional medicine.

本申请实施例中,镍钛合金旋磨机构3为镍钛合金材料,分别进行4D打印和相变区间重复热机械循环处理,使其具有膨胀变形和双向记忆效应。In the embodiment of the present application, the nickel-titanium alloy rotary atherectomy mechanism 3 is made of nickel-titanium alloy material, which is subjected to 4D printing and repeated thermomechanical cycle treatment in the phase change interval, so that it has expansion deformation and two-way memory effect.

4D打印是实现对智能材料的增材制造技术,利用先进的材料复合技术将敏感元件、驱动元件甚至控制元件集成于基体材料中,使材料结构具有感知外界或内部状态与特性变化,并能根据变化的具体特征进行辨识,从而做出合理响应的能力。4D printing is an additive manufacturing technology for intelligent materials. It uses advanced material composite technology to integrate sensitive components, drive components and even control components into the base material, so that the material structure can perceive changes in external or internal states and characteristics, and can be based on The ability to identify the specific characteristics of a change in order to make a reasonable response.

磨头2和镍钛合金旋磨机构3由驱动轴4驱动旋转,用于血栓旋磨和清除。The grinding head 2 and the nickel-titanium alloy rotational atherectomy mechanism 3 are driven to rotate by the drive shaft 4 for rotational atherectomy and thrombus removal.

在本申请实施例中,由于采用具有形状记忆效应的镍钛合金材料旋磨机构3,当镍钛合金旋磨机构3随着血栓清除器械进入细微管道(如,血管内腔10)内,镍钛合金旋磨机构3受人体的体温影响,镍钛合金旋磨机构3的间片受热膨胀隆起,使得间片与间片之间产生间隙,同时驱动轴4旋转时,可以带动隆起后的间片进行旋转,从而能够起到清理淤堵物的效果。在清理完淤堵物后,可以通过器械的热传递对该镍钛合金旋磨机构3进行冷却,使得恢复到空心圆柱的状态,便于抽离该细微管道。In the embodiment of the present application, due to the use of the nickel-titanium alloy material rotational atherectomy mechanism 3 with shape memory effect, when the nickel-titanium alloy rotational atherectomy mechanism 3 enters the fine channel (such as the blood vessel lumen 10) along with the thrombus removal instrument, the nickel The titanium alloy rotary atherectomy mechanism 3 is affected by the body temperature of the human body, and the spacer of the nickel-titanium alloy rotary atherectomy mechanism 3 is heated and expanded to bulge, so that a gap is generated between the spacer pieces, and at the same time, when the drive shaft 4 rotates, it can drive the raised spacers. The blade rotates, so that it can play the role of clearing the blockage. After clearing the blockage, the nickel-titanium alloy rotary atherectomy mechanism 3 can be cooled through the heat transfer of the instrument, so as to return to the state of the hollow cylinder, which is convenient for pulling out the tiny pipe.

实施例二:Embodiment two:

在实际应用场景中,针对完全闭塞血管血栓斑块清除的方式,本申请提供一种可径向变形的血栓清除器械。In practical application scenarios, the present application provides a radially deformable thrombus removal device for the removal of thrombus plaques in completely occluded vessels.

图1是本申请实施例示出的可径向变形的血栓清除器械结构示意图;Fig. 1 is a schematic structural diagram of a radially deformable thrombus removal device shown in an embodiment of the present application;

图2是本申请实施例示出的进行旋磨形成导管通道的血栓清除器械结构示意图;Fig. 2 is a schematic structural view of a thrombus removal device for performing rotational atherectomy to form a catheter channel shown in an embodiment of the present application;

图3是本申请实施例示出的完成导管通道后变形的血栓清除器械结构示意图;Fig. 3 is a schematic structural view of a deformed thrombus removal device shown in an embodiment of the present application after completion of the catheter channel;

图4是本申请实施例示出的血栓清除器械清除血栓斑块的示意图;Fig. 4 is a schematic diagram of a thrombus removal device shown in an embodiment of the present application to remove thrombus plaque;

图5是本申请实施例示出的血栓清除器械清除完血栓后恢复变形的示意图;Fig. 5 is a schematic diagram of the recovery of deformation of the thrombus removal device shown in the embodiment of the present application after removing the thrombus;

参见图1~5,本申请实施例中可径向变形的血栓清除器械的一个实施例包括:Referring to Figures 1-5, an embodiment of the radially deformable thrombus removal device in the embodiment of the present application includes:

通过血管内超声(IVUS)或光学相干断层扫描(OCT)等检测手段对目标血栓斑块8病灶部位进行检测,根据检测情况采用镍钛合金粉末对镍钛合金旋磨机构3进行4D打印,打印完成后对镍钛合金旋磨机构3进行相变区间重复热机械循环处理,使得镍钛合金旋磨机构3具有通过外界温度变化能够发生形态一和形态二变化的双向形状记忆效应;The lesion site of target thrombosis plaque 8 is detected by means of intravascular ultrasound (IVUS) or optical coherence tomography (OCT). After the completion, the nickel-titanium alloy rotary atherectomy mechanism 3 is subjected to repeated thermomechanical cycle treatment in the phase change interval, so that the nickel-titanium alloy rotary atherectomy mechanism 3 has a two-way shape memory effect that changes in form one and form two through external temperature changes;

在本申请实施例中,镍钛合金旋磨机构3相变区间重复热机械循环处理的Mf(马氏体相变结束温度)点设置为生理盐水温度(25°),Af(奥氏体相变结束温度)点设置为人体体温(37°),使得镍钛合金旋磨机构3母相形状为椭圆形形态,即形态一为膨胀成多条间片;在体外将其降温至25°后变形为变形相,即形态二为多条间片紧贴成空心圆柱体形态;In the embodiment of the present application, the M f (martensitic transformation end temperature) point of repeated thermomechanical cycle treatment in the phase transformation interval of the nickel-titanium alloy rotary atherectomy mechanism 3 is set to the normal saline temperature (25°), A f (Austenitic Body phase transition end temperature) point is set to human body temperature (37 °), so that the shape of the 3 parent phases of the nickel-titanium alloy rotary atherectomy mechanism is an elliptical shape, that is, the first shape is expanded into a plurality of interlayers; it is cooled to 25 °C in vitro. °After deformation, it becomes a deformed phase, that is, the second form is a hollow cylinder form in which multiple interlamellae are closely attached;

此时,将镍钛合金旋磨机构3组装到整个血栓清除器械中,并且导管5的导管前端51和导管后端52两端连接,使得镍钛合金旋磨机构3封闭于导管5内腔中。At this time, the nickel-titanium alloy rotational atherectomy mechanism 3 is assembled into the entire thrombus removal device, and the two ends of the catheter front end 51 and the catheter rear end 52 of the catheter 5 are connected, so that the nickel-titanium alloy rotational atherectomy mechanism 3 is enclosed in the inner cavity of the catheter 5 .

对于完全闭塞的血管,在导丝1的引导下,整个血栓清除器械到达目标血栓斑块8病灶部位,驱动轴4驱动导管5前端的磨头2进行高速旋转,磨头2为传统镀镍金刚石磨头,其直径大于导管5的直径(1.0-1.5mm),其转速可达到100000r/min-140000r/min。For completely occluded blood vessels, under the guidance of the guide wire 1, the entire thrombus removal device reaches the lesion site of the target thrombosis plaque 8, and the drive shaft 4 drives the grinding head 2 at the front end of the catheter 5 to rotate at a high speed. The grinding head 2 is a traditional nickel-plated diamond The grinding head has a diameter greater than that of the conduit 5 (1.0-1.5mm), and its rotating speed can reach 100000r/min-140000r/min.

同时向导管腔6输送生理盐水9,由于导管前端51和导管后端52两端连接,因此生理盐水9可从导管5最前端流出,对高速旋磨的磨头2具有润滑降温作用。Simultaneously, the physiological saline 9 is delivered to the catheter lumen 6. Since the front end 51 of the catheter is connected to the rear end 52 of the catheter, the saline 9 can flow out from the front end of the catheter 5, and has a lubricating and cooling effect on the grinding head 2 of the high-speed rotary atherectomy.

当磨头2旋磨后形成导管通道,整个血栓清除器械向后退至血栓斑块8前端,此时停止向导管腔6输送生理盐水9,导管前端51和导管后端52分离,镍钛合金旋磨机构3暴露于血管内腔10当中,受人体体温影响发生变形,其恢复至母相椭球形;此时驱动轴4驱动镍钛合金磨头3的间片进行旋磨,转速小于50000r/min。When the grinding head 2 is rotated to form a catheter channel, the whole thrombus removal device moves back to the front end of the thrombus plaque 8. At this time, the delivery of normal saline 9 to the catheter lumen 6 is stopped, and the front end 51 of the catheter is separated from the rear end 52 of the catheter. The grinding mechanism 3 is exposed to the inner cavity 10 of the blood vessel, deformed by the body temperature, and returns to the ellipsoidal shape of the parent phase; at this time, the drive shaft 4 drives the intermediate piece of the nickel-titanium alloy grinding head 3 for rotational grinding, and the rotation speed is less than 50000r/min .

若旋磨形成的血栓斑块碎屑11超过人体可吸收颗粒的大小,通过导管腔6的负压抽吸作用将血栓斑块碎屑11抽离体外。If the thrombus plaque debris 11 formed by the rotational abrasion exceeds the size of the absorbable particles of the human body, the thrombus plaque debris 11 is drawn out of the body through the negative pressure suction of the catheter lumen 6 .

当不可被人体吸收的血栓斑块8清除完毕后,停止导管腔6的负压抽吸作用,向导管腔6输送温度为25°的生理盐水9,特定温度的生理盐水9使镍钛旋磨机构3的间片发生形态变化,再次变形为变形相,即空心圆柱体形态,此时导管前端51和导管后端52两端连接,停止向导管腔6输送生理盐水9,在导丝1的引导下整个血栓清除器械从体内取出。After the thrombus plaque 8 that cannot be absorbed by the human body is removed, the negative pressure suction of the catheter lumen 6 is stopped, and the normal saline 9 with a temperature of 25° is delivered to the catheter lumen 6, and the physiological saline 9 at a specific temperature makes the nickel titanium spin The shape of the disc of the grinding mechanism 3 changes, and it deforms again into a deformed phase, that is, a hollow cylinder shape. At this time, the two ends of the catheter front end 51 and the catheter rear end 52 are connected, and the delivery of normal saline 9 to the catheter lumen 6 is stopped. The entire thrombus removal device is removed from the body under the guidance of the patient.

在本申请实施例中,通过在导管6前端设置磨头2,对于完全闭塞的血管可通过磨头2进行旋磨导通,便于对闭塞血栓斑块8进行破碎和清除。In the embodiment of the present application, by setting the grinding head 2 at the front end of the catheter 6, the completely occluded blood vessel can be subjected to rotational atherectomy through the grinding head 2, so as to facilitate the crushing and removal of the occluded thrombus plaque 8.

在血栓斑块8在清除过程中,通过镍钛合金磨头3的间片自我膨胀至目标的直径,有利于血栓斑块8进一步旋磨清除。During the removal process of the thrombus plaque 8 , the spacer of the nickel-titanium alloy grinding head 3 self-expands to the target diameter, which facilitates further removal of the thrombus plaque 8 by rotational abrasion.

在血栓清除器械到达及远离血栓斑块8病灶区时,通过镍钛合金磨头3的间片自我恢复为最小形状,即空心圆柱形,有利于血栓清除器械进入和离开体内,避免器械造成血管损伤,提高操作性及安全性。When the thrombus removal device reaches and moves away from the thrombus plaque 8 lesion area, the spacer of the nickel-titanium alloy grinding head 3 self-restores to the smallest shape, that is, a hollow cylinder, which is beneficial for the thrombus removal device to enter and leave the body, and prevents the device from causing blood vessels. damage, improve operability and safety.

实施例三:Embodiment three:

在实际应用场景中,针对非完全闭塞血管血栓斑块清除的方式,本申请提供一种可径向变形的血栓清除器械。In a practical application scenario, the present application provides a radially deformable thrombus removal device for the method of removing thrombus plaque in a non-completely occluded vessel.

图1是本申请实施例示出的可径向变形的血栓清除器械结构示意图;Fig. 1 is a schematic structural diagram of a radially deformable thrombus removal device shown in an embodiment of the present application;

图4是本申请实施例示出的血栓清除器械清除血栓斑块的示意图;Fig. 4 is a schematic diagram of a thrombus removal device shown in an embodiment of the present application to remove thrombus plaque;

图5是本申请实施例示出的血栓清除器械清除完血栓后恢复变形的示意图;Fig. 5 is a schematic diagram of the recovery of deformation of the thrombus removal device shown in the embodiment of the present application after removing the thrombus;

参见图1、图4和图5,本申请实施例中可径向变形的血栓清除器械的一个实施例包括:Referring to Fig. 1, Fig. 4 and Fig. 5, an embodiment of the radially deformable thrombus removal device in the embodiment of the present application includes:

同样通过血管超声(IVUS)或光学相干断层扫描(OCT)等检测手段对目标血栓斑块8病灶部位进行检测,并且根据检测情况采用镍钛合金粉末对镍钛合金旋磨机构3进行4D打印,打印完成后对镍钛合金旋磨机构3进行相变区间重复热机械循环处理,使得镍钛合金旋磨机构3具有通过外界温度变化能够发生形态一和形态二变化的双向形状记忆效应。The lesion site of the target thrombosis plaque 8 is also detected by vascular ultrasound (IVUS) or optical coherence tomography (OCT) and other detection methods, and the nickel-titanium alloy rotary abrading mechanism 3 is 4D printed according to the detection situation, After the printing is completed, the nickel-titanium alloy rotational atherectomy mechanism 3 is subjected to repeated thermomechanical cycle treatment in the phase change interval, so that the nickel-titanium alloy rotational atherectomy mechanism 3 has a two-way shape memory effect in which the first and second forms can be changed by external temperature changes.

在本申请实施例中,镍钛合金旋磨机构3的相变区间重复热机械循环处理和组装到整个血栓清除器械的步骤与实例2一致,本申请实施例不再赘述。In the embodiment of the present application, the steps of repeating the thermomechanical cycle treatment and assembling into the whole thrombus removal device in the phase transition zone of the nickel-titanium alloy rotary atherectomy mechanism 3 are consistent with Example 2, and will not be repeated in the embodiment of the present application.

对于非完全闭塞的血管,在完成镍钛合金旋磨机构3的相变区间重复热机械循环处理和组装到整个血栓清除器械后,在导丝1的引导下,整个血栓清除器械3直接到达目标血栓斑块8病灶部位,无需采用导管5最前端的磨头2对血栓斑块进行旋磨形成导管通道,而是导管前端51和导管后端52分离,使得镍钛合金旋磨机构3暴露于血管内腔10当中,并受人体体温影响发生形态变化,即恢复至母相椭球形。For blood vessels that are not completely occluded, after repeated thermomechanical cycle treatment in the phase transition interval of the nickel-titanium alloy rotational atherectomy mechanism 3 and assembly into the entire thrombus removal device, under the guidance of the guide wire 1, the entire thrombus removal device 3 directly reaches the target For the lesion site of thrombosis plaque 8, it is not necessary to use the grinding head 2 at the front end of the catheter 5 to perform rotational abrasion on the thrombosis plaque to form a catheter channel, but the front end 51 of the catheter is separated from the rear end 52 of the catheter, so that the nickel-titanium alloy rotational atherectomy mechanism 3 is exposed to In the inner lumen 10 of the blood vessel, the shape changes under the influence of body temperature, that is, it returns to the parent phase ellipsoid.

驱动轴4驱动镍钛合金磨头3的间片进行旋磨,转速小于50000r/min,旋磨后形成的血栓斑块碎屑11在导管6负压抽吸作用下抽吸至体外。The drive shaft 4 drives the interpiece of the nitinol grinding head 3 for rotational abrading at a rotational speed of less than 50,000 r/min, and the thrombus and plaque debris 11 formed after the rotational abrading is sucked out of the body by the negative pressure suction of the catheter 6 .

当血栓斑块8清除完毕后,同样向导管腔6输送温度为25°生理盐水9,特定温度的生理盐水9使镍钛旋磨机构3的间片发生形态变化,再次变形为变形相,即空心圆柱体形态,此时导管前端51和导管后端52两端连接,停止向导管腔6输送生理盐水9,在导丝1的引导下整个血栓清除器械从体内取出。After the thrombus plaque 8 is cleared, the temperature of 25 ° normal saline 9 is also delivered to the catheter lumen 6, and the physiological saline 9 at a specific temperature will make the disc of the nickel-titanium rotary atherectomy mechanism 3 undergo a morphological change, and be deformed into a deformed phase again, i.e. Hollow cylinder shape, now the catheter front end 51 and the catheter rear end 52 are connected at both ends, the delivery of normal saline 9 to the catheter lumen 6 is stopped, and the entire thrombus removal device is taken out from the body under the guidance of the guide wire 1 .

本申请实施例针对非完全闭塞的血管,在导丝1的引导下,整个血栓清除器械3直接到达目标血栓斑块8病灶部位,无需采用导管5最前端的磨头2对血栓斑块8进行旋磨形成导管通道。In the embodiment of the present application, for non-completely occluded blood vessels, under the guidance of the guide wire 1, the entire thrombus removal device 3 directly reaches the target lesion site of the thrombus plaque 8, without using the grinding head 2 at the front end of the catheter 5 to treat the thrombus plaque 8 Atherectomy creates ductal channels.

本申请实施例提供的可径向变形的血栓清除器械,在清除血栓斑块8的过程中,同样通过镍钛合金磨头3的间片自我膨胀至目标的直径,有利于血栓斑块8旋磨清除。The radially deformable thrombus removal device provided by the embodiment of the present application also self-expands to the diameter of the target through the spacer of the nickel-titanium alloy grinding head 3 during the process of removing the thrombus plaque 8, which is conducive to the rotation of the thrombus plaque 8. Grind to clear.

同时,在血栓清除器械到达及远离血栓斑块8病灶区时,通过镍钛合金磨头3的间片自我恢复为最小形状,即空心圆柱形,有利于血栓清除器械进入和离开体内,避免器械造成血管损伤,提高操作性及安全性。At the same time, when the thrombus removal device reaches and is far away from the 8 lesions of the thrombus plaque, the spacer of the nickel-titanium alloy grinding head 3 self-restores to the smallest shape, that is, a hollow cylinder, which is beneficial for the thrombus removal device to enter and leave the body, avoiding the Cause blood vessel damage, improve operability and safety.

以上已经描述了本申请的各实施例,上述说明是示例性的,并非穷尽性的,并且也不限于所披露的各实施例。在不偏离所说明的各实施例的范围和精神的情况下,对于本技术领域的普通技术人员来说许多修改和变更都是显而易见的。本文中所用术语的选择,旨在最好地解释各实施例的原理、实际应用或对市场中的技术的改进,或者使本技术领域的其它普通技术人员能理解本文披露的各实施例。Having described various embodiments of the present application above, the foregoing description is exemplary, not exhaustive, and is not limited to the disclosed embodiments. Many modifications and alterations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments. The terminology used herein is chosen to best explain the principle of each embodiment, practical application or improvement of technology in the market, or to enable other ordinary skilled in the art to understand each embodiment disclosed herein.

Claims (9)

1.一种可径向变形的血栓清除器械,其特征在于,包括:导丝(1)、磨头(2)、镍钛合金旋磨机构(3)、驱动轴(4)、导管(5)和导管腔(6);1. A radially deformable thrombus removal device is characterized in that it comprises: a guide wire (1), a grinding head (2), a nickel-titanium alloy rotary atherectomy mechanism (3), a drive shaft (4), a catheter (5) ) and catheter lumen (6); 所述导丝(1)穿过所述磨头(2)和所述驱动轴(4),所述磨头(2)与所述驱动轴(4)相连;The guide wire (1) passes through the grinding head (2) and the driving shaft (4), and the grinding head (2) is connected to the driving shaft (4); 所述驱动轴(4)与所述导管(5)和镍钛合金旋磨机构(3)之间的内腔空隙形成导管腔(6),所述导管腔(6)用于输送生理盐水和抽吸血栓斑块;The lumen space between the drive shaft (4) and the catheter (5) and the nickel-titanium alloy rotational atherectomy mechanism (3) forms a catheter lumen (6), and the catheter lumen (6) is used to transport physiological Saline and aspiration of clotted plaque; 所述导管(5)包括导管前端(51)和导管后端(52);The catheter (5) comprises a catheter front end (51) and a catheter rear end (52); 所述镍钛合金旋磨机构(3)位于所述导管前端(51)和导管后端(52)之间;The nickel-titanium alloy rotational atherectomy mechanism (3) is located between the catheter front end (51) and the catheter rear end (52); 所述镍钛合金旋磨机构(3)为由多条间片组成的空心圆柱,所述镍钛合金旋磨机构(3)在25~37摄氏度可径向膨胀变形;The nickel-titanium alloy rotational atherectomy mechanism (3) is a hollow cylinder composed of a plurality of spacers, and the nickel-titanium alloy rotational atherectomy mechanism (3) can radially expand and deform at 25-37 degrees Celsius; 所述磨头(2)和镍钛合金旋磨机构(3)由所述驱动轴(4)驱动旋转,用于血栓旋磨和清除;The grinding head (2) and the nickel-titanium alloy rotational atherectomy mechanism (3) are driven to rotate by the drive shaft (4), for thrombus rotational atherectomy and removal; 所述磨头(2)直径尺寸大于所述导管(5)的直径尺寸。The diameter of the grinding head (2) is larger than the diameter of the conduit (5). 2.根据权利要求1所述的可径向变形的血栓清除器械,其特征在于,包括:2. The radially deformable thrombus removal device according to claim 1, characterized in that it comprises: 所述镍钛合金旋磨机构(3)为镍钛合金材料,并分别进行4D打印和相变区间重复热机械循环处理,使其具有双向记忆效应。The nickel-titanium alloy rotary atherectomy mechanism (3) is made of nickel-titanium alloy material, and is subjected to 4D printing and repeated thermomechanical cycle treatment in the phase change interval, so that it has a two-way memory effect. 3.根据权利要求2所述的可径向变形的血栓清除器械,其特征在于,包括:3. The radially deformable thrombus removal device according to claim 2, characterized in that it comprises: 所述具有双向记忆效应包括形成与保持两种稳定形态:The two-way memory effect includes forming and maintaining two stable forms: 形态一:所述镍钛合金旋磨机构(3)呈细长空心圆柱形,并且与所述驱动轴(4)紧贴,以保持最小的体积形态;Form one: the nickel-titanium alloy rotary atherectomy mechanism (3) is in the shape of an elongated hollow cylinder, and is in close contact with the drive shaft (4), so as to maintain the smallest volume form; 形态二:所述镍钛合金旋磨机构(3)由原来的空心圆柱形发生自动膨胀变形为椭圆形,以达到最大的体积形态;Form 2: the nickel-titanium alloy rotary atherectomy mechanism (3) automatically expands and deforms from the original hollow cylinder to an ellipse to achieve the largest volume form; 所述形态一和形态二可通过改变温度进行切换。The form 1 and form 2 can be switched by changing the temperature. 4.根据权利要求3所述的可径向变形的血栓清除器械,其特征在于,4. The radially deformable thrombus removal device according to claim 3, characterized in that, 所述形态一和形态二可通过改变温度进行切换,包括:The form one and form two can be switched by changing the temperature, including: 通过体液温度及生理盐水(9)的温度控制其形态变化;Control its morphological changes by the temperature of body fluid temperature and physiological saline (9); 当清除血栓时,导管(5)进入到目标血栓斑块(8)病灶区,处于连接状态的导管前端(51)及导管后端(52)分离,此时所述镍钛合金旋磨机构(3)暴露于血管壁(7)和血管内腔(10)当中,经相变区间重复热机械循环处理后的镍钛合金旋磨机构(3)变形温度与体液温度保持一致,所述镍钛合金旋磨机构(3)发生自动膨胀变形。When the thrombus is removed, the catheter (5) enters the lesion area of the target thrombus plaque (8), and the connected catheter front end (51) and catheter rear end (52) are separated. At this time, the nickel-titanium alloy rotational atherectomy mechanism ( 3) The deformation temperature of the nickel-titanium alloy rotary atherectomy mechanism (3) exposed to the blood vessel wall (7) and the blood vessel lumen (10) after repeated thermomechanical cycle treatment in the phase change interval is consistent with the body fluid temperature, and the nickel-titanium alloy The alloy rotary grinding mechanism (3) automatically expands and deforms. 5.根据权利要求4所述的可径向变形的血栓清除器械,其特征在于,5. The radially deformable thrombectomy device according to claim 4, characterized in that, 所述形态一和形态二可通过改变温度进行切换,还包括:The form one and form two can be switched by changing the temperature, and also include: 当清除血栓斑块完毕,通过所述导管腔(6)向血管内腔(10)周围输送生理盐水(9),经相变区间重复热机械循环处理后的镍钛合金旋磨机构(3)恢复变形温度与生理盐水温度保持一致,所述镍钛合金旋磨机构(3)形态恢复为空心圆柱形,且所述导管前端(51)及导管后端(52)两端连接,使所述镍钛合金旋磨机构(3)不再暴露于血管血液中。When the thrombus plaque is removed, the normal saline (9) is delivered to the blood vessel lumen (10) through the catheter lumen (6), and the nickel-titanium alloy rotary atherectomy mechanism (3 ) recovery deformation temperature is consistent with the temperature of normal saline, the shape of the nickel-titanium alloy rotary atherectomy mechanism (3) returns to a hollow cylinder, and the two ends of the catheter front end (51) and the catheter rear end (52) are connected, so that the The nickel-titanium alloy rotary atherectomy mechanism (3) is no longer exposed to blood vessels. 6.根据权利要求5所述的可径向变形的血栓清除器械,其特征在于,6. The radially deformable thrombectomy device according to claim 5, characterized in that, 所述当清除血栓斑块完毕之前,还包括:Before the removal of thrombus plaque is completed, it also includes: 若旋磨形成的血栓斑块碎屑(11)超过人体可吸收颗粒的大小,通过导管腔(6)的负压抽吸作用将血栓斑块碎屑(11)抽离体外;If the thrombus plaque debris (11) formed by the rotational grinding exceeds the size of the absorbable particles of the human body, the thrombus plaque debris (11) is extracted from the body through the negative pressure suction of the catheter lumen (6); 若旋磨形成的血栓斑块碎屑(11)可被人体吸收颗粒的大小,此时血栓斑块碎屑(11)由人体吸收。If the thrombus plaque debris (11) formed by the rotational grinding can be absorbed by the human body, the thrombosis plaque debris (11) is absorbed by the human body at this time. 7.根据权利要求5所述的可径向变形的血栓清除器械,其特征在于,7. The radially deformable thrombus removal device according to claim 5, characterized in that, 所述当清除血栓斑块完毕之前,还包括:Before the removal of thrombus plaque is completed, it also includes: 高速旋磨产生的高温通过导管腔(6)输送的生理盐水(9)进行润滑和降温。The high temperature generated by the high-speed rotational grinding is lubricated and cooled by the physiological saline (9) delivered by the catheter lumen (6). 8.根据权利要求2所述的可径向变形的血栓清除器械,其特征在于,8. The radially deformable thrombectomy device according to claim 2, characterized in that, 所述相变区间重复热机械循环处理包括:The repeated thermomechanical cycle treatment in the phase change interval includes: 所述镍钛合金旋磨机构(3)的Mf(马氏体相变结束温度)点对应生理盐水(9)温度,Af(奥氏体相变结束温度)点对应人体体温,其母相形状为椭圆形形态,在体外将其降温至生理盐水温度,变形为变形相,即空心圆柱体形态。The M f (martensitic phase transition end temperature) point of the nickel-titanium alloy rotary atherectomy mechanism (3) corresponds to the temperature of normal saline (9), and the A f (austenite phase transition end temperature) point corresponds to the body temperature, and its parent The phase shape is an ellipse shape, which is cooled to the temperature of normal saline in vitro, and deformed into a deformed phase, that is, a hollow cylinder shape. 9.根据权利要求1所述的可径向变形的血栓清除器械,其特征在于,9. The radially deformable thrombectomy device according to claim 1, characterized in that, 所述导丝(1)用于引导器械的移动及所述驱动轴(4)的旋转。The guide wire (1) is used to guide the movement of the instrument and the rotation of the drive shaft (4).
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