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CN115429363A - A kind of disconnected limb vascular bridge - Google Patents

A kind of disconnected limb vascular bridge Download PDF

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CN115429363A
CN115429363A CN202211174051.7A CN202211174051A CN115429363A CN 115429363 A CN115429363 A CN 115429363A CN 202211174051 A CN202211174051 A CN 202211174051A CN 115429363 A CN115429363 A CN 115429363A
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blood
bridge
limb
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王欣
尹善青
陈川
潘佳栋
黄耀鹏
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Ningbo No 6 Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/02Blood transfusion apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels

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Abstract

The invention discloses a vascular bridge of a severed limb, which designs a venous bridge device and an arterial bridge device, wherein a thrombus breaking device is arranged in a first conveying assembly of the venous bridge device and is used for breaking thrombus clots; the first bridge connector is communicated and connected between the first input end of the first conveying assembly and the venous blood vessel of the severed limb; the first output end of first conveyor components switches on even has 1 third bridging joint or 1 waste liquid recovery unit. The second conveying component of the artery bridging device is provided with a blood pressurizing device; the second bridge connector is communicated and connected between the second output end of the second conveying assembly and the arterial vessel of the severed limb; the second input end of the second conveying assembly is connected with 1 fourth bridge connector or 1 blood bag in a conducting manner. Under the condition that the severed limb is urgently needed to be temporarily stored, the device can be used for quickly bridging, pressurizing and thrombolysis, so that the problems of low bridging speed and high infusion resistance are solved. The device is very suitable for the storage of oceans and wars.

Description

一种离断肢体血管桥接器A kind of disconnected limb vascular bridge

技术领域technical field

本发明属于医疗器械领域,具体涉及一种离断肢体血管桥接器。The invention belongs to the field of medical devices, and in particular relates to a bridge for disconnected limb blood vessels.

背景技术Background technique

虽然断肢再植手术至今已有近57年的历史,但是再植肢体功能恢复程度与健康肢体相比仍有较大差距,究其原因主要有两点:1.神经功能的恢复2.断肢肌肉功能的恢复。对于神经,目前已有许多技术和材料来增加它的修复效果,而对于肌肉,目前仍无相关的技术和材料能使长时间缺血的肌肉恢复其原来的功能。大量的临床报道和研究证实,肌肉组织缺血6~8小时以上就会出现细胞的溶解坏死,此时即便重新对断肢进行血流灌注,也会出现严重的“缺血再灌注损伤”,如此除了在术后早期容易导致患者肾功能衰竭危及生命外,后期还会导致断肢肌肉挛缩、功能丧失。因此,减少断肢肌肉的缺血时间是保护患者生命和恢复肢体功能的唯一途径。Although the replantation of amputated limbs has a history of nearly 57 years, there is still a large gap between the recovery of replanted limbs and healthy limbs. There are two main reasons for this: 1. The recovery of nerve function 2. Restoration of limb muscle function. For nerves, there are many technologies and materials to increase its repair effect, but for muscles, there are still no related technologies and materials that can restore long-term ischemic muscles to their original functions. A large number of clinical reports and studies have confirmed that cell lysis and necrosis will occur in muscle tissue ischemia for more than 6 to 8 hours. At this time, even if the blood flow of the amputated limb is reperfused, severe "ischemia-reperfusion injury" will occur. In this way, in addition to easily leading to life-threatening renal failure in the early postoperative period, it will also lead to muscle contracture and loss of function of the severed limb in the later stage. Therefore, reducing the ischemic time of the amputated muscle is the only way to protect the life of the patient and restore the function of the limb.

断肢患者自受伤到被转运至医院的时间一般在4小时左右,而术前进行必要的检查和准备所需时间至少1小时,因此,在手术还未开始前断肢肌肉的缺血时间已接近极限值。另外,传统的模拟断肢再植手术一般需要按照清创、探查、骨折固定、血管神经修复、肌腱修复的流程进行,也就是说,自模拟手术开始到肢体首次通血的时间还需至少3小时。由此,如按传统的模拟手术方法,断肢肌肉的首次血流灌注时间是无法满足要求的。It usually takes about 4 hours for patients with severed limbs to be transported to the hospital after being injured, and it takes at least 1 hour for necessary examinations and preparations before surgery. close to the limit value. In addition, traditional simulated limb replantation surgery generally needs to follow the procedures of debridement, exploration, fracture fixation, vascular and nerve repair, and tendon repair. Hour. Therefore, as in the traditional simulated operation method, the first blood perfusion time of the amputated limb muscle cannot meet the requirements.

在模拟培训中除了冷藏保存断肢外,许多显微外科医生还尝试在模拟手术清创前用输液胶管作为桥接材料,通过缝线捆绑的方法,将其与肢体上的主要动脉远近端连接,对断肢进行首次通血。这一方法确实能达到减少缺血时间的目的,但是它却有如下缺点:①容易破坏肢体健康的动静脉血管内膜。②缺乏能简易重复通血的功能。继续手术时必须将其拆除,如想再次通血则需再重复前面的操作;③断肢单纯动脉通血,无静脉回流。浪费了教学假人宝贵的血液,即便有输血治疗,也容易导致教学假人失血性休克。In addition to cryopreservation of severed limbs during simulated training, many microsurgeons also tried to use infusion rubber tubes as bridging materials before debridement in simulated operations, and connected them to the distal and proximal ends of major arteries on the limbs by means of suture binding. The amputated limb was bled for the first time. This method can indeed achieve the purpose of reducing ischemia time, but it has the following disadvantages: ① It is easy to damage the healthy arteriovenous intima of limbs. ②Lack of the function of simple and repeated bleeding. It must be removed when the operation is continued. If you want to re-circulate the blood, you need to repeat the previous operation; ③The amputated limb is purely arterial and has no venous return. The precious blood of the teaching dummy is wasted, and even with blood transfusion treatment, it is easy to cause hemorrhagic shock of the teaching dummy.

本申请人在2015年12月04日申请过一件发明专利,并最终授权,它的公告号为CN105280068B,专利名为“一种离断肢体动静脉过桥配接装置及其操作和检测方法”(以下简称“对比文件1”),这件专利的背景技术也包含以上内容,由于离断肢体桥接的领域狭窄,可用产品极度缺乏,所以离断肢体桥接一直是研究的重要课题。The applicant applied for an invention patent on December 4, 2015, and finally authorized it. Its announcement number is CN105280068B, and the patent title is "A device for arteriovenous bridge connection of severed limbs and its operation and detection method. "(hereinafter referred to as "Comparative Document 1"), the background technology of this patent also includes the above content. Due to the narrow field of severed limb bridging and the extreme lack of available products, severed limb bridging has always been an important research topic.

对比文件1是一种离断肢体动静脉过桥配接装置,包括输液胶管,输液胶管两端各连通套接有过桥配接单元,过桥配接单元具有与模型动静脉血管管口内壁相匹配套接的子接头,过桥配接单元内开有连通输液胶管和模型动静脉血管的通道。本发明将输液胶管做了改进,在其两头分别套接有过桥配接单元,再将模型断肢和模型躯干上的同类的模型动静脉血管对应套接于本装置上。本发明的优点是避免了传统桥接方式中输液胶管与模型动静脉血管缝合连接时对模型动静脉血管壁造成二次伤害;通过输液胶管在过桥配接单元上的插拔就能达到重复通断血流的功能。Reference document 1 is an arteriovenous bridge fitting device for a severed limb, including an infusion hose, and the two ends of the infusion hose are respectively connected to a bridge fitting unit. The sub-joints that match the socket, and the passage connecting the infusion hose and the model arteriovenous blood vessels are opened in the bridge fitting unit. The present invention improves the infusion hose, and the two ends of the hose are respectively socketed with bridge fitting units, and then the model severed limbs and similar model arteriovenous vessels on the model torso are correspondingly socketed on the device. The invention has the advantage of avoiding the secondary damage to the model arteriovenous vessel wall when the infusion hose is sutured and connected to the model arteriovenous vessel in the traditional bridging mode; repeated passage can be achieved by plugging and unplugging the infusion hose on the bridge fitting unit. The function of cutting off blood flow.

对比文件1的技术虽然能快速桥接离断动静脉血管,但依然会面临以下问题:①如说明书附图中的图6所示,分叉片23b和内衬管23c虽然能共同夹住输液胶管5,按照说明书阐述输液管5也可换成血管,但由于只是夹持固定,所以全靠摩檫力将血管和接头连接,血管很容易挣脱,而另一头的血管用线3来捆绑(如图7所示)极易造成血管滑脱。况且由于离断肢体的血管阻力非常大,需要极大液压才能将新鲜血液压入离断肢体,血管断接部位很容易被撑脱,所以靠对比文件1的连接方式并不理想;②离断肢肢体往往还会产生体液凝块,容易淤堵血管,单单只是桥接对离断肢体的输养效果不佳。Although the technology in Comparative Document 1 can quickly bridge and disconnect arteriovenous vessels, it still faces the following problems: ①As shown in Figure 6 in the accompanying drawings, although the bifurcated piece 23b and the inner liner 23c can clamp the infusion hose together 5. According to the instructions, the infusion tube 5 can also be replaced with a blood vessel, but because it is only clamped and fixed, the blood vessel and the joint are connected by friction force, and the blood vessel is easy to break free, while the blood vessel at the other end is bound with a thread 3 (such as Shown in Figure 7) can easily cause blood vessel slippage. Moreover, because the vascular resistance of the severed limb is very large, it requires a huge hydraulic pressure to press fresh blood into the severed limb, and the disconnected part of the blood vessel is easy to be pulled off, so the connection method of the comparison document 1 is not ideal; ②Disconnected Limbs and limbs often produce body fluid clots, which are easy to block blood vessels, and the effect of bridging alone is not good for transfusion of severed limbs.

此外,在远洋航行或者战争时期,离断肢体距离医院较远,在肢体离断的情况下,急需对离断肢体进行临时桥接供养。In addition, during ocean voyages or wars, the severed limbs are far away from the hospital. In the case of severed limbs, it is urgent to provide temporary bridging support for the severed limbs.

发明内容Contents of the invention

本发明所要解决的技术问题是针对上述现有技术的现状,而提供能快速桥接离断肢体,并能克服离断肢体输液阻力大的一种离断肢体血管桥接器。The technical problem to be solved by the present invention is to provide a severed limb blood vessel bridge that can quickly bridge the severed limb and overcome the severe resistance of the severed limb infusion in view of the current situation of the above-mentioned prior art.

本发明解决上述技术问题所采用的技术方案为:一种离断肢体血管桥接器,包括静脉桥接装置和动脉桥接装置,其中,静脉桥接装置包括:The technical solution adopted by the present invention to solve the above technical problems is: a disconnected limb vascular bridge, including a vein bridge device and an artery bridge device, wherein the vein bridge device includes:

第一输送组件,内设有破栓装置用于破碎血栓凝块;第一桥接头,导通连于第一输送组件的第一输入端和离断肢体静脉血管之间;The first delivery component is equipped with a thrombus breaking device for breaking the thrombus; the first bridging head is conductively connected between the first input end of the first delivery component and the severed limb vein;

第一输送组件的第一输出端导通连有1个第三桥接头或1个废液回收装置。The first output end of the first conveying component is conductively connected with a third bridging head or a waste liquid recovery device.

本发明将血管分为:位于患者身上的患者动脉血管和患者静脉血管,位于离断肢体上的离断肢体动脉血管和离断肢体静脉血管。The present invention divides the blood vessels into: the patient's arterial vessel and patient's venous vessel located on the patient's body, the isolated limb arterial vessel and the isolated limb's venous vessel located on the severed limb.

在有患者全程随行,并且患者自体血液充足的情况下,第三桥接头连接患者静脉血管,由于血栓凝块会增大离断肢体血管阻力,破栓装置能够破栓,使离断肢体流出的静脉血能够流畅循环进入患者体内;在没用患者全程随行的过程中,第一输出端直接连接废液回收装置。When there is a patient accompanying the whole journey and the patient’s own blood is sufficient, the third bridging head is connected to the patient’s venous blood vessels. Since thrombus clots will increase the vascular resistance of the severed limb, the thrombus breaking device can break the thrombus and make the blood flow out of the severed limb The venous blood can smoothly circulate into the patient's body; during the whole process of accompanying the patient without using it, the first output end is directly connected to the waste liquid recovery device.

动脉桥接装置包括:Artery grafting devices include:

第二输送组件,设有血液增压装置;The second conveying component is provided with a blood pressure boosting device;

第二桥接头,导通连于第二输送组件的第二输出端和离断肢体动脉血管之间;The second bridging head is conductively connected between the second output end of the second delivery assembly and the artery of the severed limb;

第二输送组件的第二输入端导通连有1个第四桥接头或1个血袋;The second input end of the second delivery component is connected to a fourth bridging head or a blood bag;

第一桥接头、第二桥接头、第三桥接头和第四桥接头的结构相同,包括塞入血管内的内衬管,埋设在内衬管管壁中的倒刺。倒刺能避免血管脱出。The structures of the first bridging head, the second bridging head, the third bridging head and the fourth bridging head are the same, including the lining tube inserted into the blood vessel and the barb embedded in the wall of the lining tube. The barbs prevent the blood vessel from protruding.

在有患者全程随行,并且患者自体血液充足的情况下,第四桥接头桥接患者动脉血管;在没有患者全程随行的过程中,第二输入端直接连接血袋,由血袋供血。由于患者虚弱加上离断肢体的血管阻力大,所以在第二输送组件中设有血液增压装置,将血液增压压入离断肢体动脉血管中。When there is a patient accompanying the whole journey and the patient's own blood is sufficient, the fourth bridging head bridges the patient's arteries; when there is no patient accompanying the whole journey, the second input end is directly connected to the blood bag, which supplies blood. Because the patient is weak and the blood vessel resistance of the severed limb is high, a blood booster device is provided in the second conveying assembly to pressurize the blood into the arteries of the severed limb.

在优选的方案中,倒刺的钝端连有联动件,在内衬管的外部还设有用于牵拉联动的牵引件。未使用状态下倒刺是隐藏在内衬管中的,方便血管套入内衬管,当内衬管和血管套接后,拉动牵引件,则倒刺会刺破内衬管和血管,将两者固定。In a preferred solution, the blunt end of the barb is connected with a linkage, and the outside of the inner liner is also provided with a traction piece for pulling the linkage. When not in use, the barb is hidden in the liner tube, which is convenient for the blood vessel to be inserted into the liner tube. When the liner tube and the blood vessel are sleeved, pull the traction piece, and the barb will pierce the liner tube and the blood vessel. Both are fixed.

在优选的方案中,倒刺在其倾倒方向上顶设有限位件,联动件为钢丝,内衬管上固定有固定座,牵引件和固定座之间设有限制牵引件回弹的卡接结构。在内衬管插入血管之前,倒刺隐藏在内衬管中,当内衬管插入血管后,只要牵拉牵引件,则联动件带动倒刺,倒刺由于限位件的限位作用,从而逐渐直立并刺破内衬管和血管,最终将血管固定在内衬管的外壁。In a preferred solution, the barb is provided with a limiter in the direction of its dumping, the linkage is a steel wire, a fixed seat is fixed on the inner liner, and a clip that limits the rebound of the traction member is provided between the traction member and the fixed seat. structure. Before the liner tube is inserted into the blood vessel, the barb is hidden in the liner tube. After the liner tube is inserted into the blood vessel, as long as the traction part is pulled, the linkage part will drive the barb. Gradually erect and puncture the liner and vessel, eventually securing the vessel to the outer wall of the liner.

在优选的方案中,第一输送组件包括破栓管,破栓装置包括沿着破栓管轴向设置的转轴,以及设置在转轴上的若干辐条,辐条的两端固定于转轴,中段背离转轴使各辐条之间围成腔体,腔体内设有叶轮,血液流过叶轮带动辐条绕转轴轴心旋转,各辐条在环形转转的过程中对血栓进行破碎。In a preferred solution, the first conveying assembly includes a bolt-breaking tube, and the bolt-breaking device includes a shaft arranged axially along the bolt-breaking tube, and a plurality of spokes arranged on the shaft, the two ends of the spokes are fixed to the shaft, and the middle section is away from the shaft A cavity is formed between the spokes, and an impeller is arranged in the cavity, and the blood flows through the impeller to drive the spokes to rotate around the axis of the rotating shaft, and each spoke breaks the thrombus during the circular rotation.

在优选的方案中,每根辐条包括连接在转轴上的第一倾斜段和第二倾斜段,第一倾斜段和第二倾斜段分别与转轴之间的夹角呈锐角,第一倾斜段和第二倾斜段之间的夹角呈钝角,第一倾斜段沿自身旋转切线方向设有第一刃片,第一倾斜段位于第二倾斜段的上游。第一刃片能切割血栓,并将血液引导进入辐条所围成的空间内。In a preferred solution, each spoke includes a first inclined section and a second inclined section connected to the rotating shaft, the angle between the first inclined section and the second inclined section and the rotating shaft is an acute angle, and the first inclined section and the second inclined section respectively form an acute angle. The included angle between the second inclined sections is an obtuse angle, the first inclined section is provided with a first blade along the tangential direction of its own rotation, and the first inclined section is located upstream of the second inclined section. The first blade can cut the thrombus and guide the blood into the space surrounded by the spokes.

在优选的方案中,第二倾斜段沿自身旋转切线相反方向设有第二刃片。设第一刃片的迎向正转方向,第二刃片则迎向反转方向。根据伯努利原理,第二刃片在旋转的过程中,第二刃片将辐条所围成的空间内的血液又发散到下游。这样第一刃片负责切碎血栓,第二刃片负责发散血液,从而保证离断肢体静脉血管中的血液能流畅地从第二输出端流出。In a preferred solution, the second inclined section is provided with a second blade along the direction opposite to the tangent of its own rotation. The first blade is set to face the forward rotation direction, and the second blade is faced to the reverse direction. According to Bernoulli's principle, when the second blade is rotating, the second blade radiates the blood in the space surrounded by the spokes to the downstream. In this way, the first blade is responsible for shredding the thrombus, and the second blade is responsible for diverging blood, thereby ensuring that the blood in the vein of the severed limb can flow out smoothly from the second output end.

在优选的方案中,破栓管中设有2个弧形折弯内壁,转轴架设在弧形折弯内壁上,并且一端贯穿破栓管,并传动连接有第二电动驱动装置。第二电动驱动装置能带动转轴,从而在血液流速低时,电动带动转轴旋转,主动破栓。弧形折弯内壁能够避免转轴转动时产生的涡流,能尽快将破栓管内的血液输送出去,此外由于转轴是贯穿破栓管,所以转轴和破栓管之间会有缝隙,而弧形折弯内壁有利于快速将血液输送出去,所以减少了渗漏。In a preferred solution, two arc-shaped bent inner walls are provided in the bolt-breaking tube, and the rotating shaft is erected on the arc-shaped bent inner wall, and one end of the bolt-breaking tube penetrates through the bolt-breaking tube, and a second electric drive device is transmission-connected. The second electric driving device can drive the rotating shaft, so that when the blood flow rate is low, the rotating shaft is electrically driven to rotate to actively break the thrombus. The curved inner wall can avoid the eddy current generated when the rotating shaft rotates, and can transport the blood in the breaking tube as soon as possible. In addition, because the rotating shaft runs through the breaking tube, there will be a gap between the rotating shaft and the breaking tube. The curved inner wall is conducive to the rapid delivery of blood, so the leakage is reduced.

在优选的方案中,第二输送组件包括输送动脉血的软管,血液增压装置包括:In a preferred solution, the second transport assembly includes a hose for transporting arterial blood, and the blood pressure booster includes:

基座,设有供软管放置的槽体;The base is provided with a groove for placing the hose;

转轮架,上设有若干个滚轮,滚轮周期性推压软管,为动脉血增压。滚轮沿着血液的流向进行滚动,模拟脉搏频率对血液进行增压,这样能克服离断肢体的血管阻力,有利于新鲜血液输入离断肢体中。The wheel frame is provided with several rollers, and the rollers periodically push the hose to pressurize the arterial blood. The roller rolls along the flow direction of the blood, simulating the pulse frequency to pressurize the blood, which can overcome the vascular resistance of the severed limb and facilitate the input of fresh blood into the severed limb.

在优选的方案中,槽体是围绕转轮架中心排设的弧形槽,滚轮的数目为4个以上,并且均匀分布于转轮架上。弧形槽能够有更多频率接受滚轮的推压。In a preferred solution, the groove body is an arc-shaped groove arranged around the center of the wheel frame, and the number of rollers is more than four, and they are evenly distributed on the wheel frame. The curved groove can receive the push of the roller more frequently.

在优选的方案中,转轮架包括间隙夹向基座的第一板体和第二板体,滚轮位于第一板体和第二板体之间。第一板体和第二板体能够限制软管脱离槽体。In a preferred solution, the wheel frame includes a first board and a second board clamped to the base by a gap, and the rollers are located between the first board and the second board. The first plate body and the second plate body can restrict the hose from leaving the groove body.

在优选的方案中,槽体朝向地面,转轮架和槽体的数量分别为2个,转轮架连有第一电动驱动装置。槽体朝向地面的作用极大,由于槽体是弧形,所以,在软管同一截面中靠近滚轮的新鲜血液会被滚轮推压前进,远离滚轮的新鲜血液会因为重力落向滚轮,并继续被滚轮推压前进,因此软管中的新鲜血液不容易造成沉积;如果槽体是笔直朝上,或者弧形朝上,那么滚轮只能滚压软管的单侧血液,软管另一侧的血液会由于重力作用造成沉积。In a preferred solution, the trough faces the ground, the number of the wheel frame and the trough body is two respectively, and the wheel frame is connected with a first electric drive device. The effect of the trough facing the ground is great. Since the trough is arc-shaped, the fresh blood close to the roller in the same section of the hose will be pushed forward by the roller, and the fresh blood far away from the roller will fall to the roller due to gravity and continue to flow. It is pushed forward by the roller, so the fresh blood in the hose is not easy to cause deposition; if the tank is straight up, or the arc is upward, then the roller can only roll the blood on one side of the hose, and the other side of the hose blood will settle due to gravity.

综上所述,与现有技术相比,本发明的一种离断肢体血管桥接器,设计了静脉桥接装置、动脉桥接装置,其中,静脉桥接装置的第一输送组件内设有破栓装置用于破碎血栓凝块;第一桥接头,导通连于第一输送组件的第一输入端和离断肢体静脉血管之间;第一输送组件的第一输出端导通连有1个第三桥接头或1个废液回收装置。动脉桥接装置的第二输送组件,设有血液增压装置;第二桥接头,导通连于第二输送组件的第二输出端和离断肢体动脉血管之间;第二输送组件的第二输入端导通连有1个第四桥接头或1个血袋。在急需临时保存离断肢体的情况下,能通过此装置进行快速桥接、增压和破栓,从而克服了桥接速度慢、输液阻力大的问题。本装置非常适合远洋和战争的储备。In summary, compared with the prior art, the disconnected limb vascular bridge device of the present invention is designed with a vein bridge device and an artery bridge device, wherein the first delivery component of the vein bridge device is equipped with a thrombus breaking device It is used to break the thrombus; the first bridging head is conductively connected between the first input end of the first delivery assembly and the disconnected limb vein; the first output end of the first delivery assembly is conductively connected with a first Three bridge connectors or 1 waste recovery device. The second delivery assembly of the arterial bridging device is provided with a blood pressure booster; the second bridging head is conductively connected between the second output end of the second delivery assembly and the arterial vessel of the severed limb; the second delivery assembly of the second delivery assembly The input terminal is connected to a fourth bridge or a blood bag. In the case of an urgent need for temporary preservation of severed limbs, the device can be used to quickly bridge, pressurize and break the thrombus, thereby overcoming the problems of slow bridging speed and large infusion resistance. This device is very suitable for seagoing and war reserves.

附图说明Description of drawings

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

图2是图1中第一输送组件的结构示意图;Fig. 2 is a schematic structural view of the first conveying assembly in Fig. 1;

图3是破栓管内部结构示意图;Fig. 3 is a schematic diagram of the internal structure of the bolt breaking pipe;

图4是破栓装置立体结构示意图;Fig. 4 is a three-dimensional structural schematic diagram of a bolt breaking device;

图5是破栓装置工作的过程中,第一倾斜段上的第一刃片切碎血栓的横断面视角工作状态示意图;Fig. 5 is a schematic diagram of the working state of the cross-sectional view of the thrombus being chopped by the first blade on the first inclined section during the working process of the thrombus breaking device;

图6是破栓装置工作的过程中,第二倾斜段上的第二刃片将腔体内的血浆甩散的横断面视角工作状态示意图;Fig. 6 is a schematic diagram of the working state of the cross-sectional view of the second blade on the second inclined section scattering the plasma in the cavity during the working process of the thrombus breaking device;

图7是图1中第二输送组件和血液增压装置配合的结构示意图;Fig. 7 is a schematic diagram of the structure of the cooperation between the second delivery assembly and the blood pressurization device in Fig. 1;

图8是图7的分解示意图;Fig. 8 is an exploded schematic view of Fig. 7;

图9是图7的正视图;Figure 9 is a front view of Figure 7;

图10是第一桥接头、第二桥接头、第三桥接头和第四桥接头的结构示意图;Fig. 10 is a structural schematic view of a first bridging head, a second bridging head, a third bridging head and a fourth bridging head;

图11是图10中夹子张开示意图;Fig. 11 is a schematic diagram of clip opening in Fig. 10;

图12是倒刺、限位件、联动件和牵引件从内衬管中分离出来的分解示意图;Figure 12 is an exploded schematic view of the barb, the limiter, the linkage and the traction member being separated from the inner liner;

图13是第一桥接头、第二桥接头、第三桥接头和第四桥接头的全剖结构示意图;Fig. 13 is a schematic diagram of a full cross-sectional structure of the first bridging head, the second bridging head, the third bridging head and the fourth bridging head;

图14是图13中A部的放大结构示意图;Fig. 14 is a schematic diagram of the enlarged structure of part A in Fig. 13;

图15是实施例四中血液增压装置的结构示意图;Fig. 15 is a schematic structural view of the blood pressure boosting device in Embodiment 4;

图16是实施例一中,患者和离断肢体形成血液循环的桥接示意图;Figure 16 is a schematic diagram of the blood circulation formed by the patient and the severed limb in Embodiment 1;

图17是实施例二中,患者不在场的情况下采用血袋和废液回收装置对离断肢体进行供养的桥接示意图。Fig. 17 is a schematic bridge diagram of using a blood bag and a waste fluid recovery device to support a severed limb in Example 2 without the presence of the patient.

其中的附图标记为:第一输送组件1、第一输入端11、第一输出端12、破栓管13、弧形折弯内壁131、第二输送组件2、第二输入端21、第二输出端22、软管23、破栓装置3、转轴31、辐条32、第一倾斜段321、第二倾斜段322、叶轮33、第一刃片34、第二刃片35、第二电动驱动装置37、腔体36、第一桥接头41、内衬管411、倒刺412、限位件413、联动件414、固定座415、牵引件416、卡接结构417、夹子418、第二桥接头42、第三桥接头43、第四桥接头44、废液回收装置51、血袋52、血液增压装置6、基座61、槽体611、转轮架62、第一板体621、第二板体622、滚轮63、第一电动驱动装置64、液泵65、患者动脉血管71、患者静脉血管72、离断肢体动脉血管73、离断肢体静脉血管74、血栓91、血浆92。The reference numerals therein are: the first conveying assembly 1, the first input end 11, the first output end 12, the bolt breaking pipe 13, the curved inner wall 131, the second conveying assembly 2, the second input end 21, the first Second output end 22, hose 23, bolt breaking device 3, rotating shaft 31, spoke 32, first inclined section 321, second inclined section 322, impeller 33, first blade 34, second blade 35, second motor The driving device 37, the cavity 36, the first bridging head 41, the inner liner 411, the barb 412, the limit piece 413, the linkage piece 414, the fixing seat 415, the traction piece 416, the clamping structure 417, the clip 418, the second Bridging head 42, third bridging head 43, fourth bridging head 44, waste liquid recovery device 51, blood bag 52, blood booster device 6, base 61, tank body 611, wheel frame 62, first plate body 621 , second plate body 622, roller 63, first electric drive device 64, liquid pump 65, patient's arterial vessel 71, patient's venous vessel 72, severed limb arterial vessel 73, severed limb venous vessel 74, thrombus 91, plasma 92 .

具体实施方式detailed description

为了使本技术领域的人员更好地理解本申请方案,下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分的实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本申请保护的范围。In order to enable those skilled in the art to better understand the solution of the present application, the technical solution in the embodiment of the application will be clearly and completely described below in conjunction with the accompanying drawings in the embodiment of the application. Obviously, the described embodiment is only It is an embodiment of a part of the application, but not all of the embodiments. Based on the embodiments in this application, all other embodiments obtained by persons of ordinary skill in the art without creative efforts shall fall within the scope of protection of this application.

需要说明的是,本申请的说明书和权利要求书及上述附图中的术语“包括”以及他的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列单元的产品不必限于清楚地列出的那些单元,而是可包括没有清楚地列出的或对于这些产品固有的其它单元。It should be noted that the term "comprising" and any variations thereof in the specification and claims of the present application and the above drawings are intended to cover non-exclusive inclusion, for example, a product comprising a series of units is not necessarily limited to clearly those listed, but may include other units not expressly listed or inherent to these products.

在本申请中,术语“上”、“下”、“左”、“右”等指示的方位或位置关系为基于附图所示的方位或位置关系。这些术语主要是为了更好地描述本发明及其实施例,并非用于限定所指示的装置、元件或组成部分必须具有特定方位,或以特定方位进行构造和操作。In the present application, the orientation or positional relationship indicated by the terms "upper", "lower", "left", "right" and the like are based on the orientation or positional relationship shown in the drawings. These terms are mainly used to better describe the present invention and its embodiments, and are not intended to limit that the indicated device, element or component must have a specific orientation, or be constructed and operated in a specific orientation.

并且,上述部分术语除了可以用于表示方位或位置关系以外,还可能用于表示其他含义,例如术语“上”在某些情况下也可能用于表示某种依附关系或连接关系。对于本领域普通技术人员而言,可以根据具体情况理解这些术语在本发明中的具体含义。Moreover, some of the above terms may be used to indicate other meanings besides orientation or positional relationship, for example, the term "upper" may also be used to indicate a certain attachment relationship or connection relationship in some cases. Those skilled in the art can understand the specific meanings of these terms in the present invention according to specific situations.

此外,术语“设置”、“连接”应做广义理解。例如,可以是固定连接,可拆卸连接,或整体式构造;可以是直接相连,或者是通过中间媒介间接相连,又或者是两个装置、元件或组成部分之间内部的连通。对于本领域普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。Furthermore, the terms "setting", "connecting" should be interpreted broadly. For example, it may be a fixed connection, a detachable connection, or an integral structure; it may be a direct connection, or an indirect connection through an intermediary, or an internal communication between two devices, elements or components. Those of ordinary skill in the art can understand the specific meanings of the above terms in the present invention according to specific situations.

本发明将血管分为:位于患者身上的患者动脉血管71和患者静脉血管72,位于离断肢体上的离断肢体动脉血管73和离断肢体静脉血管74。The present invention divides the blood vessels into: the patient's arterial vessel 71 and the patient's venous vessel 72 located on the patient's body, the isolated limb arterial vessel 73 and the isolated limb's venous vessel 74 located on the severed limb.

实施例一,一种离断肢体血管桥接器,包括静脉桥接装置和动脉桥接装置,其中,静脉桥接装置包括:Embodiment 1, a vascular bridge device for a severed limb, including a vein bridge device and an artery bridge device, wherein the vein bridge device includes:

如图1和图2所示的第一输送组件1),如图3所示,第一输送组件1)内设有破栓装置3)用于破碎血栓91凝块;如图1、2、16、17所示,第一桥接头41)能够导通连于第一输送组件1)的第一输入端11)和离断肢体静脉血管74之间;As shown in Figure 1 and Figure 2, the first delivery assembly 1), as shown in Figure 3, the first delivery assembly 1) is provided with a thrombus breaking device 3) for breaking thrombus 91 clot; As shown in 16 and 17, the first bridging head 41) can be connected between the first input end 11) of the first delivery assembly 1) and the disconnected limb vein 74;

如图1、2、16所示,第一输送组件1)的第一输出端12)导通连有1个第三桥接头43)As shown in Figures 1, 2, and 16, the first output end 12) of the first conveying assembly 1) is conductively connected to a third bridging head 43)

在有患者全程随行,并且患者自体血液充足的情况下,第三桥接头43)连接患者静脉血管72,由于血栓91凝块会增大离断肢体血管阻力,破栓装置3)能够破栓,使离断肢体流出的静脉血能够流畅循环进入患者体内;如图1、7、8、9所示,动脉桥接装置包括:When there is a patient accompanying the whole process, and the patient's own blood is sufficient, the third bridging head 43) connects the patient's venous blood vessel 72, because the thrombus 91 clot will increase the vascular resistance of the severed limb, the thrombus breaking device 3) can break the thrombus, The venous blood flowing out of the severed limb can circulate smoothly into the patient's body; as shown in Figures 1, 7, 8, and 9, the arterial bridge device includes:

第二输送组件2),第二输送组件2)设有血液增压装置6);The second conveying assembly 2), the second conveying assembly 2) is provided with a blood pressurization device 6);

第二桥接头42),如图16和图17所示,第二桥接头42)导通连于第二输送组件2)的第二输出端22)和离断肢体动脉血管73之间;The second bridging head 42), as shown in Figure 16 and Figure 17, the second bridging head 42) is conductively connected between the second output end 22) of the second delivery assembly 2) and the disconnected limb artery 73;

如图1、7、8、9、16所示,第二输送组件2)的第二输入端21)导通连有1个第四桥接头44);As shown in Figures 1, 7, 8, 9, and 16, the second input end 21) of the second conveying assembly 2) is conductively connected with a fourth bridging head 44);

第一桥接头41)、第二桥接头42)、第三桥接头43)和第四桥接头44)的结构相同,如图10至图14所示,包括塞入血管内的内衬管411),埋设在内衬管411)管壁中的倒刺412),连接倒刺412)的钝端的联动件414),用于牵拉联动的牵引件416)。The first bridging head 41), the second bridging head 42), the third bridging head 43) and the fourth bridging head 44) have the same structure, as shown in FIGS. ), the barb 412) embedded in the liner pipe 411) pipe wall, the linkage 414) connecting the blunt end of the barb 412), the traction member 416) for pulling linkage.

第一输送组件1)和第二输送组件2)都具有供血液流通的通道,内衬管411)能直接接在第一输出端12)、第二输出端22)、第一输入端11)和第二输出端22),由于第一输入端11)、第二输入端21)、第一输出端12)、第二输出端22)与其它管件的连接结构都是现有技术,实现例子数不胜数,并且不是本发明要保护的技术方案,所以本发明不再阐述其结构。Both the first delivery assembly 1) and the second delivery assembly 2) have channels for blood circulation, and the lining tube 411) can be directly connected to the first output end 12), the second output end 22), the first input end 11) and the second output end 22), because the connection structures of the first input end 11), the second input end 21), the first output end 12), the second output end 22) and other pipe fittings are all prior art, implementation example Countless, and not the technical solution to be protected in the present invention, so the present invention no longer elaborates its structure.

在有患者全程随行,并且患者自体血液充足的情况下,第四桥接头44)桥接患者动脉血管71;由于患者虚弱加上离断肢体的血管阻力大,所以在第二输送组件2)中设有血液增压装置6),将血液增压压入离断肢体动脉血管73中。When there is a patient accompanying the whole journey, and the patient's own blood is sufficient, the fourth bridging head 44) bridges the patient's arterial vessel 71; because the patient is weak and the blood vessel resistance of the severed limb is large, so the second delivery assembly 2) is set There is a blood pressurization device 6), which pressurizes the blood into the severed limb arterial vessel 73.

实施例中,如图所示,第一输送组件1)包括破栓管13),破栓装置3)包括沿着破栓管13)轴向设置的转轴31),以及设置在转轴31)上的若干辐条32),辐条32)的两端固定于转轴31),中段背离转轴31)使各辐条32)之间围成腔体36),腔体36)内设有叶轮33),叶轮33)是固定在转轴31)上的,血液流过叶轮33)带动辐条32)绕转轴31)轴心旋转,各辐条32)在环形转转的过程中对血栓91进行破碎。In the embodiment, as shown in the figure, the first conveying assembly 1) includes a thrombus breaking tube 13), and the thrombus breaking device 3) includes a rotating shaft 31) axially arranged along the thrombus breaking tube 13), and is arranged on the rotating shaft 31). Some spokes 32), the two ends of the spokes 32) are fixed on the rotating shaft 31), the middle section deviates from the rotating shaft 31) so that a cavity 36) is formed between the spokes 32), the cavity 36) is provided with an impeller 33), the impeller 33 ) is fixed on the rotating shaft 31), and the blood flows through the impeller 33) to drive the spokes 32) to rotate around the axis of the rotating shaft 31), and each spoke 32) crushes the thrombus 91 in the process of circular rotation.

实施例中,如图7至图9所示,第二输送组件2)包括输送动脉血的软管23),血液增压装置6)包括:In the embodiment, as shown in Fig. 7 to Fig. 9, the second conveying assembly 2) includes a hose 23) for conveying arterial blood, and the blood booster device 6) includes:

基座61),设有供软管23)放置的槽体611);The base 61) is provided with a groove body 611) for placing the hose 23);

转轮架62),上设有若干个滚轮63),滚轮63)周期性推压软管23),为动脉血增压。滚轮63)沿着血液的流向进行滚动,模拟脉搏频率对血液进行增压,这样能克服离断肢体的血管阻力,有利于新鲜血液输入离断肢体中。The wheel frame 62) is provided with several rollers 63), and the rollers 63) periodically push the flexible pipe 23) to pressurize the arterial blood. The roller 63) rolls along the flow direction of the blood, simulating the pulse frequency to pressurize the blood, which can overcome the vascular resistance of the severed limb and facilitate the input of fresh blood into the severed limb.

实施例中,如图7至图9所示,槽体611)是围绕转轮架62)中心排设的弧形槽,滚轮63)的数目为4个以上,并且均匀分布于转轮架62)上。弧形槽能够有更多频率接受滚轮63)的推压。In the embodiment, as shown in FIGS. 7 to 9 , the groove body 611) is an arc-shaped groove arranged around the center of the wheel frame 62), and the number of rollers 63) is more than four, and they are evenly distributed on the wheel frame 62. )superior. The arc groove can have more frequencies to accept the pushing of the roller (63).

实施例中,如图7至图9所示,转轮架62)包括间隙夹向基座61)的第一板体621)和第二板体622),滚轮63)位于第一板体621)和第二板体622)之间。第一板体621)和第二板体622)能够限制软管23)脱离槽体611)。In the embodiment, as shown in FIG. 7 to FIG. 9 , the wheel frame 62) includes a first plate body 621) and a second plate body 622) clamped to the base 61) in a gap, and the roller 63) is located on the first plate body 621 ) and the second plate body 622). The first plate body 621) and the second plate body 622) can restrict the hose 23) from leaving the groove body 611).

实施例中,如图7至图9所示,槽体611)朝向地面,转轮架62)和槽体611)的数量分别为2个,转轮架62)连有第一电动驱动装置64)。槽体611)朝向地面的作用极大,由于槽体611)是弧形,所以,在软管23)同一截面中靠近滚轮63)的新鲜血液会被滚轮63)推压前进,远离滚轮63)的新鲜血液会因为重力落向滚轮63),并继续被滚轮63)推压前进,因此软管23)中的新鲜血液不容易造成沉积;如果槽体611)是笔直朝上,或者弧形朝上,那么滚轮63)只能滚压软管23)的单侧血液,软管23)另一侧的血液会由于重力作用造成沉积。In the embodiment, as shown in FIGS. 7 to 9 , the tank body 611) faces the ground, the number of the runner frame 62) and the tank body 611) are two respectively, and the runner frame 62) is connected with the first electric drive device 64 ). The trough body 611) has a great effect towards the ground, because the trough body 611) is arc-shaped, so the fresh blood close to the roller 63) in the same section of the hose 23) will be pushed forward by the roller 63), away from the roller 63) The fresh blood will fall to the roller 63) due to gravity, and continue to be pushed forward by the roller 63), so the fresh blood in the hose 23) is not easy to cause deposition; if the groove 611) is straight upward, or the arc is facing Then, the roller 63) can only roll the blood on one side of the flexible tube 23), and the blood on the other side of the flexible tube 23) will be deposited due to gravity.

实施例中,如图3和图4所示,每根辐条32)包括连接在转轴31)上的第一倾斜段321)和第二倾斜段322),第一倾斜段321)和第二倾斜段322)分别与转轴31)之间的夹角呈锐角,第一倾斜段321)和第二倾斜段322)之间的夹角呈钝角,第一倾斜段321)沿自身旋转切线方向设有第一刃片34),第一倾斜段321)位于第二倾斜段322)的上游。如图5所示,第一刃片34)能切割血栓91,并将血液引导进入辐条32)所围成的腔体36)内。In the embodiment, as shown in FIG. 3 and FIG. 4 , each spoke 32) includes a first inclined segment 321) and a second inclined segment 322) connected to the rotating shaft 31), and the first inclined segment 321) and the second inclined segment The included angles between segments 322) and the rotating shaft 31) are acute angles, the included angles between the first inclined segment 321) and the second inclined segment 322) are obtuse angles, and the first inclined segment 321) is provided along the tangential direction of its own rotation. The first blade 34), the first inclined section 321) are located upstream of the second inclined section 322). As shown in FIG. 5 , the first blade 34) can cut the thrombus 91 and guide the blood into the cavity 36) surrounded by the spokes 32).

实施例中,如图3和图4所示,第二倾斜段322)沿自身旋转切线相反方向设有第二刃片35)。设如图5所示,第一刃片34)的迎向正转方向;如图6所示,第二刃片35)则迎向反转方向。根据伯努利原理,如图6所示,第二刃片35)在旋转的过程中,第二刃片35)将辐条32)所围成的腔体36)内的血液又发散到下游。这样第一刃片34)负责切碎血栓91,第二刃片35)负责发散血液,从而保证离断肢体静脉血管74中的血液能流畅地从第二输出端22)流出。In the embodiment, as shown in FIG. 3 and FIG. 4 , the second inclined section 322) is provided with a second blade 35) along the direction opposite to the tangent of its own rotation. Assuming as shown in Figure 5, the first blade 34) faces the forward rotation direction; as shown in Figure 6, the second blade 35) faces the reverse direction. According to Bernoulli's principle, as shown in FIG. 6 , during the rotation of the second blade 35 ), the second blade 35 ) radiates the blood in the cavity 36 ) surrounded by the spokes 32 ) to the downstream. In this way, the first blade 34) is responsible for shredding the thrombus 91, and the second blade 35) is responsible for diverging blood, thereby ensuring that the blood in the severed limb vein 74 can flow out smoothly from the second output port 22).

实施例中,如图3所示,破栓管13)中设有2个弧形折弯内壁131),转轴31)架设在弧形折弯内壁131)上,并且一端贯穿破栓管13),并传动连接有第二电动驱动装置37)。第二电动驱动装置37)能带动转轴31),从而在血液流速低时,电动带动转轴31)旋转,主动破栓。弧形折弯内壁131)能够避免转轴31)转动时产生的涡流,能尽快将破栓管13)内的血液输送出去,此外由于转轴31)是贯穿破栓管13),所以转轴31)和破栓管13)之间会有缝隙,而弧形折弯内壁131)有利于快速将血液输送出去,所以减少了渗漏。In the embodiment, as shown in FIG. 3 , two arc-shaped bent inner walls 131) are provided in the bolt-breaking tube 13), the rotating shaft 31) is mounted on the arc-shaped bent inner wall 131), and one end runs through the bolt-breaking tube 13) , and transmission connection with the second electric drive device 37). The second electric driving device 37) can drive the rotating shaft 31), so that when the blood flow rate is low, the rotating shaft 31) is electrically driven to rotate to actively break the thrombus. The arc-shaped bending inner wall 131) can avoid the eddy current generated when the rotating shaft 31) rotates, and the blood in the thrombus breaking tube 13) can be transported out as soon as possible. In addition, because the rotating shaft 31) runs through the thrombus breaking tube 13), the rotating shaft 31) and the thrombus breaking tube 13) There are gaps between the embolus breaking tubes 13), and the arc-shaped bending inner wall 131) is conducive to sending blood out quickly, so the leakage is reduced.

实施例中,如图12至图14所示,倒刺412)在其倾倒方向上顶设有限位件413),联动件414)为钢丝,内衬管411)上固定有固定座415),牵引件416)和固定座415)之间设有限制牵引件416)回弹的卡接结构417)。在内衬管411)插入血管之前,倒刺412)隐藏在内衬管411)中,当内衬管411)插入血管后,只要牵拉牵引件416),则联动件414)带动倒刺412),倒刺412)由于限位件413)的限位作用,从而逐渐直立并刺破内衬管411)和血管,最终将血管固定在内衬管411)的外壁。In the embodiment, as shown in Fig. 12 to Fig. 14 , the barb 412) is provided with a limiting member 413) in its dumping direction, the linkage member 414) is a steel wire, and the inner liner 411) is fixed with a fixed seat 415), A clamping structure 417) is provided between the traction member 416) and the fixed seat 415) to limit the rebound of the traction member 416). Before the inner liner 411) is inserted into the blood vessel, the barb 412) is hidden in the inner liner 411), when the inner liner 411) is inserted into the blood vessel, as long as the traction member 416) is pulled, the linkage member 414) drives the barb 412 ), the barb 412) due to the limiting effect of the limiting member 413), thereby gradually erecting and puncturing the lining tube 411) and the blood vessel, and finally fixing the blood vessel to the outer wall of the lining tube 411).

实施例中,如图10至图13所示,为了增加内衬管411)和血管之间的连接力,固定座415)上设有夹向血管和内衬管411)的夹子418)。In the embodiment, as shown in FIG. 10 to FIG. 13 , in order to increase the connection force between the lining tube 411) and the blood vessel, the fixing base 415) is provided with a clip 418) clamping to the blood vessel and the lining tube 411).

实施例一的使用方法:在有患者全程随行,并且患者自体血液充足的情况下,先将第一桥接头41)桥接入离断肢体静脉血管74,再将第二桥接头42)桥接入离断肢体动脉血管73,然后将第三桥接头43)桥接入患者静脉血管72,最后将第四桥接头44)桥接入患者动脉血管71。The usage method of Embodiment 1: when there is a patient accompanying the whole process and the patient’s own blood is sufficient, first bridge the first bridging head 41) into the vein 74 of the severed limb, and then bridge the second bridging head 42) into the severed limb artery 73, then bridge the third bridging head 43) into the patient's venous blood vessel 72, and finally bridge the fourth bridging head 44) into the patient's arterial blood vessel 71.

启动破栓装置3)给从离断肢体静脉血管74流出的血液除栓,并启动血液增压装置6),给输入离断肢体动脉血管73的血液增压。Start the thrombus breaking device 3) to remove the thrombus from the blood flowing out from the venous blood vessel 74 of the severed limb, and start the blood booster device 6) to pressurize the blood input into the arterial blood vessel 73 of the severed limb.

实施例二,实施例二和实施例一相似,唯一不同在于拆除了第三桥接头43)和第四桥接头44),如图17所示,第一输出端12)直接连接1个废液回收装置51),第二输入端21)直接连接血袋52)。Embodiment 2, embodiment 2 is similar to embodiment 1, the only difference is that the third bridging head 43) and the fourth bridging head 44) are removed, as shown in Figure 17, the first output end 12) is directly connected to a waste liquid The recovery device 51), the second input end 21) is directly connected to the blood bag 52).

实施例二的使用方法:在患者不在场或者患者自体血液不足的情况下,先将第一桥接头41)桥接入离断肢体静脉血管74,再将第二桥接头42)桥接入离断肢体动脉血管73,然后将第一输出端12)直接连接废液回收装置51),最后将第二输入端21)直接连接血袋52),由血袋52)供血。The usage method of Embodiment 2: when the patient is not present or the patient's own blood is insufficient, first bridge the first bridging head 41) into the vein of the disconnected limb 74, and then bridge the second bridging head 42) into the disconnected limb vein Cut off the limb artery 73, then directly connect the first output end 12) to the waste liquid recovery device 51), and finally connect the second input end 21) directly to the blood bag 52), and the blood is supplied by the blood bag 52).

启动破栓装置3)给从离断肢体静脉血管74流出的血液除栓,并启动血液增压装置6),给输入离断肢体动脉血管73的血液增压。Start the thrombus breaking device 3) to remove the thrombus from the blood flowing out from the venous blood vessel 74 of the severed limb, and start the blood booster device 6) to pressurize the blood input into the arterial blood vessel 73 of the severed limb.

实施例三,实施例二的结构与实施例一相似,不同之处在于破栓装置3),实施例二的破栓装置3)是超声波震动装置,但效果没有实施例一好。Embodiment three, the structure of embodiment two is similar to embodiment one, and difference is that breaking device 3), the breaking device 3) of embodiment two is ultrasonic vibrating device, but effect is not as good as embodiment one.

实施例四,实施例三的结构与实施例一相似,不同之处在于血液增压装置6),如图15所示,实施例三的血液增压装置6)是设置在软管23)内的液泵65),由液泵65)将血液强劲泵入离断肢体动脉血管73。Embodiment 4, the structure of embodiment 3 is similar to embodiment 1, the difference lies in the blood booster device 6), as shown in Figure 15, the blood booster device 6) of embodiment 3 is arranged in the hose 23) The liquid pump 65) is used to pump the blood into the severed limb arterial vessel 73 by the liquid pump 65).

本发明可以设置在便携式手提箱中,方便远洋航行、探险和战争期间对离断肢体进行紧急饱餐。The present invention can be arranged in a portable suitcase, which is convenient for emergency feeding of severed limbs during ocean voyages, expeditions and wars.

本发明的最佳实施例已阐明,由本领域普通技术人员做出的各种变化或改型都不会脱离本发明的范围。The preferred embodiment of the present invention has been illustrated, and various changes or modifications may be made by those skilled in the art without departing from the scope of the present invention.

Claims (10)

1.一种离断肢体血管桥接器,包括静脉桥接装置和动脉桥接装置,其中,所述的静脉桥接装置包括:1. A disconnected limb vascular bridge, comprising a vein bridge device and an artery bridge device, wherein the vein bridge device comprises: 第一输送组件(1),内设有破栓装置(3)用于破碎血栓(91)凝块;The first conveying component (1) is provided with a thrombus breaking device (3) for breaking thrombus (91) clots; 第一桥接头(41),导通连于所述的第一输送组件(1)的第一输入端(11)和离断肢体静脉血管(74)之间;The first bridging head (41) is conductively connected between the first input end (11) of the first delivery assembly (1) and the severed limb vein (74); 所述的第一输送组件(1)的第一输出端(12)导通连有1个第三桥接头(43)或1个废液回收装置(51);The first output end (12) of the first conveying component (1) is conductively connected with a third bridging head (43) or a waste liquid recovery device (51); 所述的动脉桥接装置包括:The arterial grafting device includes: 第二输送组件(2),设有血液增压装置(6);The second conveying component (2) is provided with a blood booster (6); 第二桥接头(42),导通连于所述的第二输送组件(2)的第二输出端(22)和离断肢体动脉血管(73)之间;The second bridging head (42) is conductively connected between the second output end (22) of the second delivery assembly (2) and the severed limb artery (73); 所述的第二输送组件(2)的的第二输入端(21)导通连有1个第四桥接头(44)或1个血袋(52);The second input end (21) of the second delivery assembly (2) is conductively connected with a fourth bridging head (44) or a blood bag (52); 所述的第一桥接头(41)、第二桥接头(42)、第三桥接头(43)和第四桥接头(44)的结构相同,包括塞入血管内的内衬管(411),埋设在内衬管(411)管壁中的倒刺(412)。The structures of the first bridging head (41), the second bridging head (42), the third bridging head (43) and the fourth bridging head (44) are the same, including the lining tube (411) inserted into the blood vessel , the barb (412) embedded in the wall of the liner pipe (411). 2.根据权利要求1所述的一种离断肢体血管桥接器,其特征是:所述的倒刺(412)的钝端连有联动件(414),在内衬管(411)的外部还设有用于牵拉联动的牵引件(416)。2. The disconnected limb vascular bridge according to claim 1, characterized in that: the blunt end of the barb (412) is connected with a linkage (414), and the outside of the lining tube (411) A traction member (416) for pulling linkage is also provided. 3.根据权利要求2所述的一种离断肢体血管桥接器,其特征是:所述的倒刺(412)在其倾倒方向上顶设有限位件(413),所述的联动件(414)为钢丝,所述的内衬管(411)上固定有固定座(415),所述的牵引件(416)和所述的固定座(415)之间设有限制牵引件(416)回弹的卡接结构(417)。3. The disconnected limb vascular bridge according to claim 2, characterized in that: the barb (412) is provided with a limiter (413) on its tipping direction, and the linkage (413) 414) is a steel wire, the fixed seat (415) is fixed on the inner lining pipe (411), and the restricting traction member (416) is set between the traction member (416) and the fixed seat (415) Rebound locking structure (417). 4.根据权利要求1所述的一种离断肢体血管桥接器,其特征是:所述的第一输送组件(1)包括破栓管(13),所述的破栓装置(3)包括沿着破栓管(13)轴向设置的转轴(31),以及设置在转轴(31)上的若干辐条(32),所述的辐条(32)的两端固定于所述的转轴(31),中段背离转轴(31)使各辐条(32)之间围成腔体(36),所述的腔体(36)内设有叶轮(33),血液流过叶轮(33)带动辐条(32)绕转轴(31)轴心旋转。4. A severed limb vascular bridge according to claim 1, characterized in that: the first delivery assembly (1) includes a thrombus breaking tube (13), and the thrombus breaking device (3) includes A rotating shaft (31) arranged axially along the bolt breaking pipe (13), and several spokes (32) arranged on the rotating shaft (31), the two ends of the spokes (32) are fixed to the rotating shaft (31 ), the middle section deviates from the rotating shaft (31) so that a cavity (36) is formed between the spokes (32), the cavity (36) is provided with an impeller (33), and the blood flows through the impeller (33) to drive the spokes ( 32) rotate around the shaft (31) axis. 5.根据权利要求4所述的一种离断肢体血管桥接器,其特征是:每根辐条(32)包括连接在转轴(31)上的第一倾斜段(321)和第二倾斜段(322),所述的第一倾斜段(321)和第二倾斜段(322)分别与转轴(31)之间的夹角呈锐角,第一倾斜段(321)和第二倾斜段(322)之间的夹角呈钝角,所述的第一倾斜段(321)沿自身旋转切线方向设有第一刃片(34),所述的第一倾斜段(321)位于第二倾斜段(322)的上游。5. A broken limb vascular bridge according to claim 4, characterized in that: each spoke (32) comprises a first inclined section (321) and a second inclined section (321) connected on the rotating shaft (31) 322), the angle between the first inclined section (321) and the second inclined section (322) and the rotating shaft (31) is an acute angle, and the first inclined section (321) and the second inclined section (322) The angle between them is an obtuse angle, and the first inclined section (321) is provided with a first blade (34) along the tangential direction of its own rotation, and the first inclined section (321) is located at the second inclined section (322 ) upstream. 6.根据权利要求5所述的一种离断肢体血管桥接器,其特征是:所述的第二倾斜段(322)沿自身旋转切线相反方向设有第二刃片(35)。6. The bridge device for severed limb vessels according to claim 5, characterized in that: said second inclined section (322) is provided with a second blade (35) along the direction opposite to the tangent of its own rotation. 7.根据权利要求6所述的一种离断肢体血管桥接器,其特征是:所述的破栓管(13)中设有2个弧形折弯内壁(131),所述的转轴(31)架设在所述的弧形折弯内壁(131)上,并且一端贯穿所述的破栓管(13),并传动连接有第二电动驱动装置(37)。7. The disconnected limb vascular bridge according to claim 6, characterized in that: said thrombus breaking tube (13) is provided with two arc-shaped bent inner walls (131), and said rotating shaft ( 31) erected on the arc-shaped bent inner wall (131), and one end passes through the bolt-breaking tube (13), and is transmission-connected with a second electric drive device (37). 8.根据权利要求1所述的一种离断肢体血管桥接器,其特征是:所述的第二输送组件(2)包括输送动脉血的软管(23),所述的血液增压装置(6)包括:8. A severed limb vascular bridge according to claim 1, characterized in that: said second transport assembly (2) includes a hose (23) for transporting arterial blood, and said blood pressurization device (6) including: 基座(61),设有供软管(23)放置的槽体(611);The base (61) is provided with a groove (611) for placing the hose (23); 转轮架(62),上设有若干个滚轮(63),滚轮(63)周期性推压所述的软管(23),为动脉血增压。The wheel frame (62) is provided with several rollers (63), and the rollers (63) periodically push the flexible pipe (23) to pressurize the arterial blood. 9.根据权利要求8所述的一种离断肢体血管桥接器,其特征是:所述的槽体(611)是围绕转轮架(62)中心排设的弧形槽,所述的滚轮(63)的数目为4个以上,并且均匀分布于转轮架(62)上;所述的转轮架(62)包括间隙夹向所述的基座(61)的第一板体(621)和第二板体(622),所述的滚轮(63)位于第一板体(621)和第二板体(622)之间。9. A severed limb vascular bridge according to claim 8, characterized in that: said groove body (611) is an arc-shaped groove arranged around the center of the wheel frame (62), and said roller The number of (63) is more than 4, and evenly distributed on the wheel frame (62); the wheel frame (62) includes the first plate (621) clamped to the base (61) by the gap ) and the second plate (622), the roller (63) is located between the first plate (621) and the second plate (622). 10.根据权利要求9所述的一种离断肢体血管桥接器,其特征是:所述的槽体(611)朝向地面,所述的转轮架(62)和槽体(611)的数量分别为2个,所述的转轮架(62)连有第一电动驱动装置(64)。10. A bridge for severed limb vessels according to claim 9, characterized in that: the groove body (611) faces the ground, and the number of the rotating wheel frame (62) and the groove body (611) There are 2 respectively, and the described wheel frame (62) is connected with the first electric driving device (64).
CN202211174051.7A 2022-09-26 2022-09-26 A kind of disconnected limb vascular bridge Pending CN115429363A (en)

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Publication number Priority date Publication date Assignee Title
US6283983B1 (en) * 1995-10-13 2001-09-04 Transvascular, Inc. Percutaneous in-situ coronary bypass method and apparatus
CN2553804Y (en) * 2002-05-31 2003-06-04 何诺 Automatic blood circulation radiation therapeutic equipment
CN105280068A (en) * 2015-12-04 2016-01-27 宁波市第六医院 Amputated limb arterio-venous bridge matching connection device and operating and detecting method thereof
CN106422049A (en) * 2016-10-31 2017-02-22 黄剑 Bridging stent based on temporary blood circulation restoring application and processing method thereof
CN207804308U (en) * 2017-06-01 2018-09-04 徐永清 A kind of haemostat
CN209018838U (en) * 2018-07-24 2019-06-25 路超 A microvascular anastomosis device
CN214908650U (en) * 2020-12-09 2021-11-30 宁波市第一医院 An absorbable vascular bridge anastomosis catheter
CN114867505A (en) * 2019-12-13 2022-08-05 甘布罗伦迪亚股份公司 Fluid diversion device for apparatus for extracorporeal treatment of blood and blood kit provided with said fluid diversion device
CN115024791A (en) * 2022-07-15 2022-09-09 上海融脉医疗科技有限公司 An expandable mesh-type mechanical thrombectomy catheter device

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6283983B1 (en) * 1995-10-13 2001-09-04 Transvascular, Inc. Percutaneous in-situ coronary bypass method and apparatus
CN2553804Y (en) * 2002-05-31 2003-06-04 何诺 Automatic blood circulation radiation therapeutic equipment
CN105280068A (en) * 2015-12-04 2016-01-27 宁波市第六医院 Amputated limb arterio-venous bridge matching connection device and operating and detecting method thereof
CN106422049A (en) * 2016-10-31 2017-02-22 黄剑 Bridging stent based on temporary blood circulation restoring application and processing method thereof
CN207804308U (en) * 2017-06-01 2018-09-04 徐永清 A kind of haemostat
CN209018838U (en) * 2018-07-24 2019-06-25 路超 A microvascular anastomosis device
CN114867505A (en) * 2019-12-13 2022-08-05 甘布罗伦迪亚股份公司 Fluid diversion device for apparatus for extracorporeal treatment of blood and blood kit provided with said fluid diversion device
CN214908650U (en) * 2020-12-09 2021-11-30 宁波市第一医院 An absorbable vascular bridge anastomosis catheter
CN115024791A (en) * 2022-07-15 2022-09-09 上海融脉医疗科技有限公司 An expandable mesh-type mechanical thrombectomy catheter device

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