ECMO femoral artery cannula capable of implementing cardiac intervention treatment
[ technical field ]
The utility model relates to an ECMO femoral artery intubation tube capable of implementing cardiac intervention treatment.
[ background art ]
Extracorporeal membrane pulmonary oxygenation (ECMO), also known as an artificial heart-lung machine, is used primarily to provide continuous extracorporeal respiration and circulation to sustain patient life in critically ill patients with cardiopulmonary failure. The artificial heart-lung machine mainly comprises an intravascular cannula, a circulating tube, a power pump (artificial heart), an oxygenator (artificial lung), an oxygen supply tube, a monitoring system and the like, wherein the femoral artery cannula is one type of the intravascular cannula, and is inserted into a femoral artery at a thigh position of a human body so as to realize that the artificial heart-lung machine perfuses oxygenated arterial blood into an aorta. When the condition of a patient is complicated, medical staff not only need to use an artificial heart-lung machine to establish extracorporeal blood circulation for the patient, but also need to perform arterial puncture on the patient, place an arterial sheath tube and insert a guide wire through the sheath tube so as to perform cardiac interventional therapy operation.
The following two common methods are used for medical staff to perform arterial puncture to a patient and to place a sheath:
the first is to stop the extracorporeal blood circulation, withdraw the femoral artery cannula, suture the femoral artery incision, puncture in another position of the femoral artery to insert the sheath, and insert the guide wire through the sheath to perform the cardiac intervention operation.
And secondly, a femoral artery cannula is reserved, a puncture is performed on the other thigh of the patient to insert a sheath, and a guide wire is inserted through the sheath to perform the cardiac interventional therapy operation.
When the state of an illness of patient is comparatively urgent, need implement the cardiac intervention operation at once, carry out the arteriopuncture and put into the sheath pipe, nevertheless the arteriopuncture can not once just succeed, and the puncture can cause the damage of the different degree of artery wall repeatedly, influences distal end limbs blood supply, and the increase operation time that also can be great simultaneously seriously reduces operation security to postoperative causes the operation complication easily, critical patient's life health.
The utility model discloses it is based on above problem produces.
[ contents of utility model ]
The utility model discloses a to the not enough of prior art, provide one kind and can implement the ECMO femoral artery intubate of heart intervention treatment, the utility model discloses an aspect can regard as the intravascular intubation of artificial heart-lung machine in order to realize establishing external blood circulation, on the other hand can pass through the utility model discloses an on the one hand the sheath pipe inserts the seal wire so that the implementation heart intervention treatment operation, the utility model discloses can reduce the puncture number of times of patient's femoral artery, great simplification operation flow shortens operating time, reduces femoral artery's damage, improves operation safety, simple structure, convenient to use, and the practicality is strong.
In order to solve the technical problem, the utility model discloses the technical scheme who adopts is:
the utility model provides a can implement heart intervention treatment's ECMO femoral artery intubate, including the intubate body, the tip inclined plane of human femoral artery is inserted for the intubate body to the one end of intubate body, the one end that the tip inclined plane was kept away from to the intubate body is equipped with the intubate joint that can be connected with the circulation pipeline sealing of artificial heart lung machine, sealing connection has on the intubate joint communicates with each other and can supply seal wire male sheath pipe rather than the inner chamber, sheath pipe tip is equipped with the sealing member that can prevent the blood outflow.
The ECMO femoral artery cannula capable of implementing cardiac intervention treatment is characterized in that a branch pipe capable of being inserted into a femoral artery at another position is hermetically connected to the sheath so as to supply blood to a far-end limb of a human body.
The ECMO femoral artery cannula capable of implementing cardiac intervention treatment is characterized in that a branch pipe capable of being inserted into a femoral artery at another position is hermetically connected to the cannula joint so as to supply blood to a far-end limb of a human body.
The ECMO femoral artery cannula capable of implementing cardiac intervention treatment is characterized in that a supporting structure for preventing the sheath from being bent is arranged between the sheath and the cannula joint.
The ECMO femoral artery cannula capable of implementing cardiac intervention therapy as described above, the support structure is a support rod, one end of the support rod is connected to the wall of the sheath tube, and the other end of the support rod is connected to the outer wall of the cannula joint, or the support structure is a triangular support body, one bevel edge of the triangular support body is connected to the wall of the sheath tube, and the other bevel edge is connected to the outer wall of the cannula joint.
The above ECMO femoral artery cannula for cardiac intervention treatment is an integral structure formed by the cannula joint, the sheath tube and the supporting structure.
The ECMO femoral artery cannula capable of implementing cardiac intervention treatment comprises a cannula joint and a joint body, wherein the joint end can be connected with a circulation pipeline of an artificial heart-lung machine in a sealing mode, the cannula joint is connected with the support structure through a sheath tube, and the cannula body is connected with one end, far away from the joint end, of the joint body in a sealing mode.
The ECMO femoral artery cannula capable of implementing cardiac intervention treatment is characterized in that the sealing component is a one-way valve, and the one-way valve is made of medical rubber.
An ECMO femoral artery cannula as described above for performing cardiac interventional procedures, said branch tube being made of medical grade polyvinyl chloride plastic.
An ECMO femoral artery cannula capable of implementing cardiac intervention as described above, the cannula body is made of medical grade polyvinyl chloride plastic.
Compared with the prior art, the beneficial effects of the utility model are that:
1. the utility model discloses an intubate body inserts patient's femoral artery, and the intubate body is fixed it after reacing the assigned position, and the circulation pipeline of intubate articulate artificial heart-lung machine can establish external blood circulation, and sealing member can prevent that blood from overflowing through the sheath pipe, and the sheath pipe can not influence external blood circulation, and when implementing the heart intervenes the treatment operation, inserts the seal wire through the sheath pipe port on the intubate joint, and the seal wire gets into in the corresponding cavity of patient's aorta under the guide of intubate body, then implements the heart intervenes the treatment operation, the utility model discloses can reduce patient's femoral artery's puncture number of times, great simplification operation flow shortens the operating time, reduces femoral artery's damage, improves the operation security, simple structure, and convenient to use, the practicality is strong.
2. The utility model discloses a branch pipe can be for the blood after the distal end limbs supply oxygenation of human body, avoids when using artificial heart-lung machine to establish extracorporeal blood circulation human distal end limbs receive the damage or even the necrosis because of the blood supply is not enough, can effectively reduce the incidence of operation complication, and the structure is simpler, and the operation security is higher, and it is more convenient to use, and the practicality is stronger.
3. The utility model discloses a sealing member is the check valve, and the check valve can effectually prevent that blood from flowing outward from the sheath pipe port, also makes things convenient for seal wire disect insertion sheath pipe, inserts the seal wire back check valve also can effectual assurance seal wire and the sealing connection of sheath pipe port, and the structure is simpler, and the operation security is higher, and it is more convenient to use, and the practicality is stronger.
4. The utility model discloses a bearing structure can effectively avoid the sheath pipe to take place to buckle or break and influence going on of heart intervention treatment operation when the seal wire is inserted in the operation, and the structure is simpler, and the operation security is higher, and it is more convenient to use, and the practicality is stronger.
[ description of the drawings ]
Fig. 1 is a schematic structural diagram of a first embodiment of the present invention;
fig. 2 is a schematic structural diagram of a second embodiment of the present invention;
fig. 3 is a schematic structural diagram of a third embodiment of the present invention.
[ detailed description of the invention ]
This section will describe in detail the embodiments of the present invention, preferred embodiments of the present invention are shown in the attached drawings, which are used to supplement the description of the text part of the specification with figures, so that one can intuitively and vividly understand each technical feature and the whole technical solution of the present invention, but they cannot be understood as the limitation of the protection scope of the present invention.
As shown in fig. 1-3, an ECMO femoral artery intubation tube capable of implementing cardiac intervention treatment includes an intubation tube body 1, a tip inclined plane 11 at one end of the intubation tube body 1 for facilitating insertion of the intubation tube body 1 into a femoral artery of a human body, an intubation tube connector 2 capable of being connected with a circulation pipeline of an artificial heart-lung machine in a sealing manner is arranged at one end of the intubation tube body 1 far away from the tip inclined plane 11, a sheath tube 3 communicated with an inner cavity of the intubation tube connector 2 and capable of being inserted with a guide wire is connected to the intubation tube connector in a sealing manner, and a sealing component 31 capable of preventing blood from flowing outwards is arranged at an end of.
Inserting patient's femoral artery in intubate body 1, intubate body 1 fixes it after arriving the assigned position, and the circulation pipeline of artifical heart-lung machine is connected to intubate joint 2, can establish external blood circulation, and sealing member 31 can prevent that blood from flowing through sheath pipe 3 outsourcing, and sheath pipe 3 can not influence external blood circulation, when implementing the heart intervenes the treatment operation, inserts the seal wire through the 3 ports of sheath pipe on intubate joint 2, and the seal wire gets into in the corresponding cavity of patient's aorta under intubate body 1's guide, then implements the heart and intervenes the treatment operation, the utility model discloses can reduce patient's femoral artery's puncture number of times, great simplification operation flow shortens operating time, reduces femoral artery's damage, improves operation safety, simple structure, and convenient to use, the practicality is strong.
The branch pipe 4 that has the femoral artery that can insert another position on sheath pipe 3 or the spigot joint 2 sealing connection is in order to realize the distal extremity limbs supply blood for the human body, avoids the distal extremity limbs of human body to receive damage or even necrosis because of insufficient blood supply when using artificial heart-lung machine to establish extracorporeal blood circulation, can effectively reduce the incidence of operation complication, and the structure is simpler, and the operation security is higher, and it is more convenient to use, and the practicality is stronger.
A supporting structure 5 for preventing the sheath tube 3 from bending is arranged between the sheath tube 3 and the cannula joint 2.
Supporting structure 5 can effectively avoid when the operation inserts the seal wire sheath pipe 3 take place to buckle or break and influence going on of heart intervention treatment operation, and the structure is simpler, and the operation security is higher, and it is more convenient to use, and the practicality is stronger.
Support structure 5 is a bracing piece, the one end of bracing piece and the pipe wall connection of sheath pipe 3, the other end and the outer wall connection of intubate joint 2, perhaps support structure 5 is a triangle-shaped supporter, an hypotenuse of triangle-shaped supporter and the pipe wall connection of sheath pipe 3, another hypotenuse and the outer wall connection of intubate joint 2.
The intubation joint 2, the sheath tube 3 and the supporting structure 5 are integrally formed and made of high-strength polycarbonate materials, so that the intubation joint 2, the sheath tube 3 and the supporting structure 5 have high strength, and the phenomenon that blood supply is influenced due to bending when an intubation tube is operated or a guide wire is inserted is avoided.
The intubation joint 2 comprises a joint end 21 capable of being connected with a circulation pipeline of an artificial heart-lung machine in a sealing mode, the intubation joint 2 further comprises a joint body 22, the sheath tube 3 and the supporting structure 5 are connected with the joint body 22, and the intubation body 1 is connected with one end, far away from the joint end 21, of the joint body 22 in a sealing mode. The end 21 of the joint is made of soft elastic material and is convenient to be connected with a circulating pipeline.
The sealing member 31 is a one-way valve made of medical rubber.
The check valve can effectually prevent that blood from flowing outward from 3 ports of sheath pipe, also makes things convenient for seal wire disect insertion sheath pipe 3, inserts seal wire back check valve also can effectual assurance seal wire and the sealing connection of 3 ports of sheath pipe, and the structure is simpler, and the operation security is higher, and it is more convenient to use, and the practicality is stronger.
The branch tube 4 and the cannula body 1 are made of medical grade polyvinyl chloride plastic, and the branch tube 4 and the cannula body 1 have certain flexibility and can extend forwards along a free path of a blood vessel in the blood vessel. The above embodiments are merely preferred embodiments of the present invention, and the present invention may also have other embodiments, such as reasonable combinations of the technical solutions recorded in the embodiments. Equivalent modifications or substitutions may be made by those skilled in the art without departing from the spirit of the invention, and such equivalent modifications or substitutions are intended to be included within the scope of the claims set forth herein.