CN221730689U - Auxiliary device and surgical instrument for short-term percutaneous ventricular intervention surgery - Google Patents
Auxiliary device and surgical instrument for short-term percutaneous ventricular intervention surgery Download PDFInfo
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Abstract
Description
技术领域Technical Field
本实用新型涉及医疗器械技术领域,具体涉及一种用于短期经皮心室介入手术的辅助装置及手术器械。The utility model relates to the technical field of medical instruments, and in particular to an auxiliary device and a surgical instrument for short-term percutaneous ventricular intervention surgery.
背景技术Background Art
现有技术中短期经皮心室辅助器械(如微型经皮介入式导管泵)介入手术中通常会用到介入导管,该介入导管包括长导管本体,设置在长导管本体远端的导管TIP、设置在长导管本体上的双向阀以及设置在长导管本体近端的变径管,其中,导管TIP上还设有吸入侧孔。导管介入手术过程中,TIP头端沿导丝进入股动脉后,由于体内血压大于体外压力,人体股动脉血液会经吸入侧孔和双向阀流入长导管的内腔中,同时由于长导管及变径管内部需要通过导丝输送至体内,因此,无法在变径管处直接使用止血钳夹紧进行止血,最终导致在变径管尾端产生大量血液泄漏。In the prior art, an interventional catheter is usually used in the interventional surgery of short-term percutaneous ventricular assist devices (such as a micro percutaneous interventional catheter pump). The interventional catheter includes a long catheter body, a catheter TIP arranged at the distal end of the long catheter body, a two-way valve arranged on the long catheter body, and a reducer arranged at the proximal end of the long catheter body, wherein the catheter TIP is also provided with a suction side hole. During the catheter interventional surgery, after the TIP head end enters the femoral artery along the guide wire, since the blood pressure in the body is greater than the extracorporeal pressure, the blood in the human femoral artery will flow into the inner cavity of the long catheter through the suction side hole and the two-way valve. At the same time, since the inside of the long catheter and the reducer need to be transported to the body through the guide wire, it is impossible to directly use a hemostatic forceps to clamp at the reducer for hemostasis, which eventually leads to a large amount of blood leakage at the tail end of the reducer.
实用新型内容Utility Model Content
因此,本实用新型要解决的技术问题在于现有技术中的介入导管手术过程中在变径管尾端产生大量血液泄漏,从而提供一种用于短期经皮心室介入手术的辅助装置及手术器械。Therefore, the technical problem to be solved by the present invention is that a large amount of blood leakage occurs at the tail end of the reducer during the interventional catheter surgery in the prior art, thereby providing an auxiliary device and surgical instrument for short-term percutaneous ventricular interventional surgery.
为解决上述技术问题,本实用新型的技术方案如下:In order to solve the above technical problems, the technical solution of the utility model is as follows:
本实用新型提供一种用于短期经皮心室介入手术的辅助装置,包括:导管座,所述导管座上设置有接头,所述接头适于与介入导管的变径管相连;弹性止血阀片,设置在所述导管座的内腔中,以使所述导管座的内腔相对于外部环境密封;所述弹性止血阀片上设有切口;其中,导丝从所述接头进入所述导管座的内腔中并经所述切口从所述导管座中穿出时,所述切口能够将导丝紧密包裹,以限制所述导管座内的血液从所述切口泄漏。The utility model provides an auxiliary device for short-term percutaneous ventricular interventional surgery, comprising: a catheter seat, on which a joint is arranged, and the joint is suitable for being connected to a reducer of an interventional catheter; an elastic hemostatic valve sheet, which is arranged in the inner cavity of the catheter seat to seal the inner cavity of the catheter seat relative to the external environment; an incision is arranged on the elastic hemostatic valve sheet; wherein, when a guide wire enters the inner cavity of the catheter seat from the joint and passes through the incision from the catheter seat, the incision can tightly wrap the guide wire to limit the blood in the catheter seat from leaking from the incision.
进一步地,该用于短期经皮心室介入手术的辅助装置还包括芯管;所述芯管的远端经所述切口插入所述导管座内并经所述接头穿出,且所述芯管穿出所述接头的部分用于插置在介入导管中,以对介入导管形成支撑;其中,所述芯管从所述切口穿过时,所述切口能够将所述芯管紧密包裹,以限制所述导管座内的血液从所述切口泄漏。Furthermore, the auxiliary device for short-term percutaneous ventricular intervention surgery also includes a core tube; the distal end of the core tube is inserted into the catheter seat through the incision and passes out through the connector, and the part of the core tube passing out of the connector is used to be inserted into the interventional catheter to form support for the interventional catheter; wherein, when the core tube passes through the incision, the incision can tightly wrap the core tube to limit the blood in the catheter seat from leaking from the incision.
进一步地,所述芯管插置在介入导管中时,所述芯管的远端至少部分从介入导管的远端伸出。Furthermore, when the core tube is inserted into the interventional catheter, the distal end of the core tube at least partially extends out from the distal end of the interventional catheter.
进一步地,该用于短期经皮心室介入手术的辅助装置还包括芯座;所述芯座设置在所述导管座远离所述接头的一端,所述芯座远离所述导管座的一端设置有鲁尔接头;所述芯管的管腔用于通过导丝,且所述芯管的近端至少部分留在所述芯座的内腔中,以使经所述芯管的近端流出的血液被限制在所述芯座的内腔中。Furthermore, the auxiliary device for short-term percutaneous ventricular intervention surgery also includes a core seat; the core seat is arranged at the end of the catheter seat away from the connector, and the end of the core seat away from the catheter seat is provided with a Luer connector; the lumen of the core tube is used for passing a guide wire, and the proximal end of the core tube at least partially remains in the inner cavity of the core seat, so that the blood flowing out through the proximal end of the core tube is confined to the inner cavity of the core seat.
进一步地,所述芯座朝向所述导管座的一端设置有限位销,所述导管座上设置有与所述限位销相适配的限位槽;所述芯座与所述导管座相连时,所述限位销插置在所述限位槽中,且所述限位销能够在所述限位槽内旋转,以使所述芯座与所述导管座处于相互锁紧或相互解锁的状态。Furthermore, a limit pin is provided at one end of the core seat facing the catheter seat, and a limit groove matched with the limit pin is provided on the catheter seat; when the core seat is connected to the catheter seat, the limit pin is inserted in the limit groove, and the limit pin can rotate in the limit groove, so that the core seat and the catheter seat are in a state of mutual locking or mutual unlocking.
进一步地,所述导管座包括座体以及上盖;所述座体具有中空的内腔,所述接头设置在所述座体上且与所述座体的内腔相通;所述弹性止血阀片通过所述上盖压紧在所述座体远离所述接头的一端;所述限位槽设置在所述上盖朝向所述芯座的端面上。Furthermore, the catheter seat includes a seat body and an upper cover; the seat body has a hollow inner cavity, the connector is arranged on the seat body and communicates with the inner cavity of the seat body; the elastic hemostatic valve sheet is pressed against one end of the seat body away from the connector through the upper cover; the limiting groove is arranged on the end surface of the upper cover facing the core seat.
进一步地,该用于短期经皮心室介入手术的辅助装置还包括第一阀体与第一管路;所述第一管路的一端与所述导管座的内腔相连通,另一端用于与冲洗用的液体源相连;所述第一阀体设置在所述第一管路上。Furthermore, the auxiliary device for short-term percutaneous ventricular intervention surgery also includes a first valve body and a first pipeline; one end of the first pipeline is connected to the inner cavity of the catheter seat, and the other end is used to connect to a liquid source for flushing; the first valve body is arranged on the first pipeline.
进一步地,该用于短期经皮心室介入手术的辅助装置还包括第二阀体与第二管路;所述第二管路的一端与所述芯座的内腔相连通,另一端用于与冲洗用的液体源相连;所述第二阀体设置在所述第二管路上。Furthermore, the auxiliary device for short-term percutaneous ventricular intervention surgery also includes a second valve body and a second pipeline; one end of the second pipeline is connected to the inner cavity of the core seat, and the other end is used to be connected to the liquid source for flushing; the second valve body is arranged on the second pipeline.
进一步地,所述第一阀体与所述第二阀体均为具有多个接口的阀体。Furthermore, both the first valve body and the second valve body are valve bodies having multiple interfaces.
另一方面,本实用新型提供一种手术器械,包括上述任一项所述的用于短期经皮心室介入手术的辅助装置,还包括:介入导管,所述介入导管的变径管与所述接头采用过盈配合的方式进行连接。On the other hand, the utility model provides a surgical instrument, including any of the auxiliary devices for short-term percutaneous ventricular interventional surgery described above, and also including: an interventional catheter, the reducer of the interventional catheter is connected to the connector by interference fit.
本实用新型技术方案,具有如下优点:The technical solution of the utility model has the following advantages:
本实用新型提供的用于短期经皮心室介入手术的辅助装置,导管座的内部设置有弹性止血阀片,使导管座的内腔相对于外部环境密闭,在导管介入手术过程中,将导管座的接头插入变径管,两者可以通过过盈配合的方式保证配合的密封性,经变径管漏出的血液被限制在导管座的内腔中,无法向外泄漏;而且,弹性止血阀片上设置有切口,可以允许导丝通过,便于介入导管沿着导丝进入体内,且由于导丝通过切口时被紧密包裹,导管座内腔中的血液也不会从切口向外渗透,从而有效解决了介入导管手术过程中在变径管尾端产生大量血液泄漏的问题。The utility model provides an auxiliary device for short-term percutaneous ventricular interventional surgery. The interior of the catheter seat is provided with an elastic hemostatic valve sheet, so that the inner cavity of the catheter seat is sealed relative to the external environment. During the catheter interventional surgery, the connector of the catheter seat is inserted into the reducer, and the two can ensure the sealing of the fit by interference fit. The blood leaking through the reducer is confined in the inner cavity of the catheter seat and cannot leak out. Moreover, an incision is provided on the elastic hemostatic valve sheet, which can allow the guide wire to pass through, so that the interventional catheter can enter the body along the guide wire. Since the guide wire is tightly wrapped when passing through the incision, the blood in the inner cavity of the catheter seat will not penetrate outward from the incision, thereby effectively solving the problem of a large amount of blood leakage at the tail end of the reducer during the interventional catheter surgery.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
为了更清楚地说明本实用新型具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图是本实用新型的一些实施方式,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the specific implementation methods of the utility model or the technical solutions in the prior art, the drawings required for use in the specific implementation methods or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are some implementation methods of the utility model. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.
图1为本实用新型一个实施例中的用于短期经皮心室介入手术的辅助装置的示意图;FIG1 is a schematic diagram of an auxiliary device for short-term percutaneous ventricular intervention surgery in one embodiment of the utility model;
图2为本实用新型一个实施例中的手术器械中介入导管的示意图;FIG2 is a schematic diagram of an interventional catheter in a surgical instrument in an embodiment of the present invention;
图3为本实用新型一个实施例中的手术器械中介入导管与辅助装置组合后的示意图;FIG3 is a schematic diagram of an interventional catheter and an auxiliary device in a surgical instrument in an embodiment of the present invention after being combined;
图4为本实用新型一个实施例中的用于短期经皮心室介入手术的辅助装置中接头的示意图;FIG4 is a schematic diagram of a connector in an auxiliary device for short-term percutaneous ventricular intervention surgery in one embodiment of the utility model;
图5为本实用新型一个实施例中的用于短期经皮心室介入手术的辅助装置中弹性止血阀片的示意图;FIG5 is a schematic diagram of an elastic hemostatic valve sheet in an auxiliary device for short-term percutaneous ventricular intervention surgery in one embodiment of the utility model;
图6为本实用新型一个实施例中的用于短期经皮心室介入手术的辅助装置中导管座的示意图;FIG6 is a schematic diagram of a catheter adapter in an auxiliary device for short-term percutaneous ventricular intervention surgery in one embodiment of the utility model;
图7为图6的正面示意图;FIG7 is a front schematic diagram of FIG6 ;
图8为图6的背面示意图;FIG8 is a schematic diagram of the back side of FIG6 ;
图9为本实用新型一个实施例中的用于短期经皮心室介入手术的辅助装置中芯座的示意图;FIG9 is a schematic diagram of a core seat in an auxiliary device for short-term percutaneous ventricular intervention surgery in one embodiment of the utility model;
图10为图9的主视图;FIG10 is a front view of FIG9 ;
图11为本实用新型一个实施例中的用于短期经皮心室介入手术的辅助装置中芯座与导管座组合后的示意图。FIG. 11 is a schematic diagram of a core seat and a catheter seat in an auxiliary device for short-term percutaneous ventricular intervention surgery in an embodiment of the present invention after being combined.
1、导管座;2、芯管;3、芯座;4、鲁尔螺帽;5、第一管路;6、第一阀体;7、第二管路;8、第二阀体;9、锥形的尖端;10、导管TIP;11、双向阀;12、变径管;13、吸入侧孔;14、长导管本体;15、接头;16、上盖;17、弹性止血阀片;18、限位槽;19、限位销;20、座体。1. Catheter seat; 2. Core tube; 3. Core seat; 4. Luer nut; 5. First pipeline; 6. First valve body; 7. Second pipeline; 8. Second valve body; 9. Conical tip; 10. Catheter TIP; 11. Two-way valve; 12. Reducer; 13. Suction side hole; 14. Long catheter body; 15. Connector; 16. Upper cover; 17. Elastic hemostatic valve sheet; 18. Limiting groove; 19. Limiting pin; 20. Seat body.
具体实施方式DETAILED DESCRIPTION
下面将结合附图对本实用新型的技术方案进行清楚、完整地描述,显然,所描述的实施例是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,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,都属于本实用新型保护的范围。The technical solution of the utility model will be described clearly and completely below in conjunction with the accompanying drawings. Obviously, the described embodiments are part of the embodiments of the utility model, not all of them. Based on the embodiments of the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.
在本实用新型的描述中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”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,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicating the orientation or positional relationship, are based on the orientation or positional relationship shown in the drawings, and are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation on the present invention. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and cannot be understood as indicating or implying relative importance.
在本实用新型的描述中,需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本实用新型中的具体含义。In the description of the present invention, it should be noted that, unless otherwise clearly specified and limited, the terms "installation", "connection" and "connection" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or it can be an indirect connection through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
此外,下面所描述的本实用新型不同实施方式中所涉及的技术特征只要彼此之间未构成冲突就可以相互结合。In addition, the technical features involved in the different embodiments of the present invention described below can be combined with each other as long as they do not conflict with each other.
需要说明的是,本申请中为了能够更清楚的描述技术方案,本申请中的“远端”指的是靠近患者的一端,“近端”指的是远离患者的一端,例如,对于介入导管而言,其远端先进入患者的体内。It should be noted that in order to more clearly describe the technical solution in this application, the "distal end" in this application refers to the end close to the patient, and the "proximal end" refers to the end away from the patient. For example, for an interventional catheter, its distal end enters the patient's body first.
如图1至图5所示,本实施例提供一种用于短期经皮心室介入手术的辅助装置,包括:导管座1,导管座1具有中空的内腔,导管座1上设置有接头15,接头15可以为空心的柱体或者锥体,接头15用于与介入导管的变径管12相连,使用时,接头15可以插置在变径管12中。弹性止血阀片17,设置在导管座1的内腔中,例如,导管座1远离接头15的一端可以为敞口结构,弹性止血阀片17沿垂直于导管座1的轴向方向平铺固定在该敞口处,以将该敞口封堵,从而使导管座1的内腔相对于外部环境密封。例如,弹性止血阀片17可以由硅胶制成,其具有一定的弹性,弹性止血阀片17上设有切口,当导丝从接头15进入导管座1的内腔中并经切口从导管座1中穿出时,切口能够将导丝紧密包裹,以限制导管座1内的血液从切口泄漏。As shown in Fig. 1 to Fig. 5, the present embodiment provides an auxiliary device for short-term percutaneous ventricular interventional surgery, including: a catheter seat 1, the catheter seat 1 has a hollow inner cavity, a connector 15 is provided on the catheter seat 1, the connector 15 can be a hollow cylinder or a cone, the connector 15 is used to connect with the reducer 12 of the interventional catheter, when in use, the connector 15 can be inserted in the reducer 12. An elastic hemostatic valve sheet 17 is provided in the inner cavity of the catheter seat 1, for example, the end of the catheter seat 1 away from the connector 15 can be an open structure, and the elastic hemostatic valve sheet 17 is flatly fixed at the opening along the axial direction perpendicular to the catheter seat 1 to block the opening, so that the inner cavity of the catheter seat 1 is sealed relative to the external environment. For example, the elastic hemostatic valve sheet 17 can be made of silicone, which has a certain elasticity. An incision is provided on the elastic hemostatic valve sheet 17. When the guide wire enters the inner cavity of the catheter seat 1 from the connector 15 and passes through the incision from the catheter seat 1, the incision can tightly wrap the guide wire to limit the blood in the catheter seat 1 from leaking from the incision.
本实施例提供的用于短期经皮心室介入手术的辅助装置,导管座1的内部设置有弹性止血阀片17,使导管座1的内腔相对于外部环境密闭,在导管介入手术过程中,将导管座1的接头15插入变径管12,两者可以通过过盈配合的方式保证配合的密封性,经变径管12漏出的血液被限制在导管座1的内腔中,无法向外泄漏;而且,弹性止血阀片17上设置有切口,可以允许导丝通过,便于介入导管沿着导丝进入体内,且由于导丝通过切口时被紧密包裹,导管座1内腔中的血液也不会从切口向外渗透,从而有效解决了介入导管手术过程中在变径管12尾端产生大量血液泄漏的问题。The auxiliary device for short-term percutaneous ventricular interventional surgery provided in this embodiment is provided with an elastic hemostatic valve sheet 17 inside the catheter seat 1, so that the inner cavity of the catheter seat 1 is sealed relative to the external environment. During the catheter interventional surgery, the connector 15 of the catheter seat 1 is inserted into the reducer 12, and the two can ensure the sealing of the fit by interference fit. The blood leaked through the reducer 12 is confined in the inner cavity of the catheter seat 1 and cannot leak outward; moreover, an incision is provided on the elastic hemostatic valve sheet 17, which can allow the guide wire to pass through, so that the interventional catheter can enter the body along the guide wire, and because the guide wire is tightly wrapped when passing through the incision, the blood in the inner cavity of the catheter seat 1 will not penetrate outward from the incision, thereby effectively solving the problem of a large amount of blood leakage at the tail end of the reducer 12 during the interventional catheter surgery.
其中,该用于短期经皮心室介入手术的辅助装置还包括芯管2;芯管2的远端经切口插入导管座1内并经接头15穿出,且芯管2穿出接头15的部分用于插置在介入导管中,以对介入导管形成支撑。Among them, the auxiliary device for short-term percutaneous ventricular intervention surgery also includes a core tube 2; the distal end of the core tube 2 is inserted into the catheter seat 1 through the incision and passes through the connector 15, and the part of the core tube 2 passing through the connector 15 is used to be inserted into the interventional catheter to provide support for the interventional catheter.
由于介入导管要沿导丝通过主动脉弓部位置,再输送至心脏内,在通过主动脉弓部位置时,主动脉弓的弯曲半径较小,并且介入导管具有内径大,壁厚薄的特点,在弯曲程度较大时,易发生弯折,影响介入导管物理性能。因此,设置芯管2可在介入导管内部起到一定的支撑作用,防止介入导管在经过主动脉弓部时发生弯折。Since the interventional catheter needs to pass through the aortic arch along the guide wire and then be delivered to the heart, the bending radius of the aortic arch is small when passing through the aortic arch, and the interventional catheter has the characteristics of large inner diameter and thin wall thickness. When the bending degree is large, it is easy to bend, which affects the physical properties of the interventional catheter. Therefore, the core tube 2 can play a certain supporting role inside the interventional catheter to prevent the interventional catheter from bending when passing through the aortic arch.
需要说明的是,芯管2的硬度大于介入导管的硬度,有利于提高支撑效果,但也不是越硬越好,还应当保证芯管2具有良好的弯曲性能,不影响介入导管过弓时的阻力。It should be noted that the hardness of the core tube 2 is greater than that of the interventional catheter, which is beneficial to improving the support effect, but the harder the better. It should also be ensured that the core tube 2 has good bending performance and does not affect the resistance of the interventional catheter when passing through the arch.
其中,芯管2从切口穿过时,切口能够将芯管2紧密包裹,以限制导管座1内的血液从切口泄漏。例如,弹性止血阀片17可以设置一个切口,此时,芯管2与导丝可以共用一个切口。例如,弹性止血阀片17也可以设置两个切口,芯管2与导丝也可以使用不同的切口。When the core tube 2 passes through the incision, the incision can tightly wrap the core tube 2 to limit the blood in the catheter adapter 1 from leaking from the incision. For example, the elastic hemostatic valve sheet 17 can be provided with one incision, in which case the core tube 2 and the guide wire can share one incision. For example, the elastic hemostatic valve sheet 17 can also be provided with two incisions, and the core tube 2 and the guide wire can also use different incisions.
例如,芯管2可以为实心的管体,也可以为空心的管体。当芯管2为实心的管体时,可以避免体内的血液经芯管2向外泄漏。当芯管2为空心的管体时,可以使导丝从芯管2内通过,此时,导丝穿入芯管2后不与介入导管的内壁直接接触,可以保护介入导管的内壁不被划伤。但是,此时血液容易从芯管2的近端向外泄漏,解决这个缺陷的手段将在后续的实施例中提供。For example, the core tube 2 can be a solid tube body or a hollow tube body. When the core tube 2 is a solid tube body, the blood in the body can be prevented from leaking outwards through the core tube 2. When the core tube 2 is a hollow tube body, a guide wire can be passed through the core tube 2. At this time, the guide wire does not directly contact the inner wall of the interventional catheter after penetrating the core tube 2, and the inner wall of the interventional catheter can be protected from being scratched. However, blood easily leaks outwards from the near end of the core tube 2 at this time, and the means to solve this defect will be provided in subsequent embodiments.
其中,芯管2插置在介入导管中时,芯管2的远端至少部分从介入导管的远端伸出。如此设置,使得介入导管的全段均可以得到有效的支撑,还可以便于导丝穿入芯管2内。而且,芯管2的远端可以为锥形的尖端9,以便于协助介入导管在体内顺利前进。When the core tube 2 is inserted into the interventional catheter, the distal end of the core tube 2 at least partially extends from the distal end of the interventional catheter. This arrangement allows the entire section of the interventional catheter to be effectively supported, and also facilitates the insertion of the guide wire into the core tube 2. Moreover, the distal end of the core tube 2 may be a tapered tip 9 to facilitate the smooth advancement of the interventional catheter in the body.
其中,该用于短期经皮心室介入手术的辅助装置还包括芯座3;芯座3设置在导管座1远离接头15的一端,芯座3远离导管座1的一端设置有鲁尔接头;芯管2的管腔用于通过导丝,且芯管2的近端至少部分留在芯座3的内腔中,以使经芯管2的近端流出的血液被限制在芯座3的内腔中。使用时,将导丝穿入芯管2的远端,卸下芯座3尾端的鲁尔接头上的鲁尔螺帽4,让导丝能够从芯座3的尾端穿出,再让介入导管、芯管2、导管座1以及芯座3一起沿着导丝输送,直至介入导管到达左心室预定位置,之后再撤出导丝。The auxiliary device for short-term percutaneous ventricular interventional surgery also includes a core seat 3; the core seat 3 is arranged at the end of the catheter seat 1 away from the connector 15, and the end of the core seat 3 away from the catheter seat 1 is provided with a Luer connector; the lumen of the core tube 2 is used to pass the guide wire, and the proximal end of the core tube 2 is at least partially left in the inner cavity of the core seat 3, so that the blood flowing out through the proximal end of the core tube 2 is confined in the inner cavity of the core seat 3. When in use, the guide wire is passed through the distal end of the core tube 2, and the Luer nut 4 on the Luer connector at the tail end of the core seat 3 is removed, so that the guide wire can pass through the tail end of the core seat 3, and then the intervention catheter, the core tube 2, the catheter seat 1 and the core seat 3 are transported together along the guide wire until the intervention catheter reaches the predetermined position of the left ventricle, and then the guide wire is withdrawn.
如图6至图11所示,其中,芯座3朝向导管座1的一端设置有限位销19,例如,可以在芯座3该端部的边缘侧壁上下间隔设置两个限位销19,导管座1上设置有与限位销19相适配的限位槽18;芯座3与导管座1相连时,限位销19插置在限位槽18中,且限位销19能够在限位槽18内旋转,以使芯座3与导管座1处于相互锁紧或相互解锁的状态。例如,当限位销19沿着限位槽18顺时针旋转90°时,芯座3与导管座1被锁紧,反之,当限位销19沿着限位槽18逆时针旋转90°时,芯座3与导管座1被解锁,此时,芯座3可以从导管座1上拆卸下来。As shown in FIGS. 6 to 11 , a limiting pin 19 is provided at one end of the core seat 3 facing the catheter seat 1. For example, two limiting pins 19 can be provided at intervals on the edge side wall of the end of the core seat 3. A limiting groove 18 matching the limiting pin 19 is provided on the catheter seat 1. When the core seat 3 is connected to the catheter seat 1, the limiting pin 19 is inserted into the limiting groove 18, and the limiting pin 19 can rotate in the limiting groove 18, so that the core seat 3 and the catheter seat 1 are in a mutually locked or mutually unlocked state. For example, when the limiting pin 19 rotates 90° clockwise along the limiting groove 18, the core seat 3 and the catheter seat 1 are locked. Conversely, when the limiting pin 19 rotates 90° counterclockwise along the limiting groove 18, the core seat 3 and the catheter seat 1 are unlocked. At this time, the core seat 3 can be removed from the catheter seat 1.
使用时,介入导管引入到位后,将芯座3与导管座1解锁,之后向外抽出芯管2直到芯管2的远端位于变径管12的近端位置,此时,可以用止血钳在变径管12中间位置夹紧,之后撤走导管座1。When in use, after the interventional catheter is introduced into place, the core seat 3 and the catheter seat 1 are unlocked, and then the core tube 2 is pulled outward until the distal end of the core tube 2 is located at the proximal end of the reducer 12. At this time, the middle position of the reducer 12 can be clamped with hemostatic forceps, and then the catheter seat 1 can be withdrawn.
其中,导管座1可以由座体20以及上盖16组成;座体20具有中空的内腔,接头15设置在座体20上且与座体20的内腔相通;弹性止血阀片17通过上盖16压紧在座体20远离接头15的一端;限位槽18设置在上盖16朝向芯座3的端面上。例如,座体20和上盖16可以为相同材质的高分子材料,两者使用超声波焊接工艺焊接成一体,焊接前座体20和上盖16之间预先放入一个弹性止血阀片17,弹性止血阀片17上提前进行切口,上盖16和座体20将弹性止血阀片17压紧后完成超声波焊接,保证此处的密封效果。The catheter seat 1 may be composed of a seat body 20 and an upper cover 16; the seat body 20 has a hollow inner cavity, the connector 15 is arranged on the seat body 20 and communicates with the inner cavity of the seat body 20; the elastic hemostatic valve sheet 17 is pressed against the end of the seat body 20 away from the connector 15 through the upper cover 16; the limiting groove 18 is arranged on the end surface of the upper cover 16 facing the core seat 3. For example, the seat body 20 and the upper cover 16 may be made of the same polymer material, and the two are welded into one body using an ultrasonic welding process. Before welding, an elastic hemostatic valve sheet 17 is pre-placed between the seat body 20 and the upper cover 16, and an incision is made on the elastic hemostatic valve sheet 17 in advance. The upper cover 16 and the seat body 20 press the elastic hemostatic valve sheet 17 and then complete ultrasonic welding to ensure the sealing effect here.
其中,该用于短期经皮心室介入手术的辅助装置还包括第一阀体6与第一管路5;第一管路5的一端与导管座1的内腔相连通,另一端用于与冲洗用的液体源相连,例如,该液体源可以为生理盐水;第一阀体6设置在第一管路5上。其中,芯管2从接头15中穿过时,两者为间隙配合,以使进入到导管座1的内腔中的生理盐水可以经芯管2与接头15之间的缝隙进入到芯管2的外壁与介入导管的内壁之间的空间内。The auxiliary device for short-term percutaneous ventricular interventional surgery further includes a first valve body 6 and a first pipeline 5; one end of the first pipeline 5 is connected to the inner cavity of the catheter adapter 1, and the other end is used to connect to a liquid source for flushing, for example, the liquid source can be physiological saline; the first valve body 6 is arranged on the first pipeline 5. When the core tube 2 passes through the connector 15, the two are clearance-matched, so that the physiological saline entering the inner cavity of the catheter adapter 1 can enter the space between the outer wall of the core tube 2 and the inner wall of the interventional catheter through the gap between the core tube 2 and the connector 15.
同理,该用于短期经皮心室介入手术的辅助装置还包括第二阀体8与第二管路7;第二管路7的一端与芯座3的内腔相连通,另一端用于与冲洗用的液体源相连;第二阀体8设置在第二管路7上。Similarly, the auxiliary device for short-term percutaneous ventricular intervention surgery also includes a second valve body 8 and a second pipeline 7; one end of the second pipeline 7 is connected to the inner cavity of the core seat 3, and the other end is used to be connected to the liquid source for flushing; the second valve body 8 is arranged on the second pipeline 7.
使用时,可以先通过第一阀体6向与导管座1相连的第一管路5内注入生理盐水,对介入导管内部进行冲洗排气,之后在通过第二阀体8向与芯座3相连的第二管路7内注入生理盐水,对芯管2内部进行冲洗排气。如此设置,可以防止介入手术时在患者体内形成气栓,有利于提高手术的安全性。When in use, physiological saline can be first injected into the first pipeline 5 connected to the catheter seat 1 through the first valve body 6 to flush and exhaust the inside of the interventional catheter, and then physiological saline can be injected into the second pipeline 7 connected to the core seat 3 through the second valve body 8 to flush and exhaust the inside of the core tube 2. This arrangement can prevent the formation of gas embolism in the patient's body during interventional surgery, which is conducive to improving the safety of the surgery.
需要说明的是,在一些实施方式中,可以仅使用第一管路5与第一阀体6对介入导管内部进行冲洗排气。同理,在一些实施方式中,可以仅使用第二管路7与第二阀体8对芯管2内部进行冲洗排气。同理,在一些实施方式中,可以使用第一管路5与第一阀体6对介入导管内部进行冲洗排气,同时,再使用第二管路7与第二阀体8对芯管2内部进行冲洗排气。It should be noted that, in some embodiments, only the first pipeline 5 and the first valve body 6 may be used to flush and exhaust the inside of the interventional catheter. Similarly, in some embodiments, only the second pipeline 7 and the second valve body 8 may be used to flush and exhaust the inside of the core tube 2. Similarly, in some embodiments, the first pipeline 5 and the first valve body 6 may be used to flush and exhaust the inside of the interventional catheter, and at the same time, the second pipeline 7 and the second valve body 8 may be used to flush and exhaust the inside of the core tube 2.
其中,第一阀体6与第二阀体8均可以为具有多个接口的阀体,例如,第一阀体6与第二阀体8均可以为三通阀。The first valve body 6 and the second valve body 8 may both be valve bodies with multiple interfaces. For example, the first valve body 6 and the second valve body 8 may both be three-way valves.
另一个实施例提供一种手术器械,包括上述任一项的用于短期经皮心室介入手术的辅助装置,还包括:介入导管,介入导管包括长导管本体14,设置在长导管本体14远端的导管TIP10、设置在长导管本体14上的双向阀11以及设置在长导管本体14近端的变径管12,其中,导管TIP10上还设有吸入侧孔13;介入导管的变径管12与接头15采用过盈配合的方式进行连接。Another embodiment provides a surgical instrument, including any of the above-mentioned auxiliary devices for short-term percutaneous ventricular interventional surgery, and also including: an interventional catheter, the interventional catheter including a long catheter body 14, a catheter TIP10 arranged at the distal end of the long catheter body 14, a two-way valve 11 arranged on the long catheter body 14, and a reducer 12 arranged at the proximal end of the long catheter body 14, wherein the catheter TIP10 is also provided with a suction side hole 13; the reducer 12 of the interventional catheter is connected to the joint 15 by interference fit.
整个植入技术介绍:The whole implantation technology is introduced:
使用缝合器进行股动脉穿刺(血管预暴露技术)。插入18Fr血管鞘,然后给肝素(抗凝血)。用猪尾导管穿过主动脉瓣,然后将导丝整形后沿猪尾导管输送至左心室心尖。此时将介入导管和辅助装置取出并组装成附图3所示状态并锁紧,然后用生理盐水分别对导管座1和芯座3进行冲洗排气操作。将猪尾导管撤出,再将导丝穿入芯管2的远端,卸下芯座3尾端的鲁尔螺帽,让导丝能够从芯座3的尾端穿出,再让介入导管和辅助装置一起沿着导丝输送,直至介入导管到达左心室预定位置,撤出导丝。引入后,将芯座3与导管座1解锁,抽出芯管2直到芯管2的远端在变径管12的尾端位置,用止血钳在变径管12的中间位置夹紧,撤走整个辅助装置。最后在变径管12的尾端接上其它控制装置。Use a suture device to perform femoral artery puncture (vascular pre-exposure technique). Insert an 18Fr vascular sheath, and then give heparin (anticoagulant). Use a pigtail catheter to pass through the aortic valve, and then shape the guide wire and transport it to the apex of the left ventricle along the pigtail catheter. At this time, the interventional catheter and the auxiliary device are taken out and assembled into the state shown in Figure 3 and locked, and then the catheter seat 1 and the core seat 3 are flushed and exhausted with physiological saline. Withdraw the pigtail catheter, then insert the guide wire into the distal end of the core tube 2, remove the Luer nut at the tail end of the core seat 3, so that the guide wire can pass through the tail end of the core seat 3, and then allow the interventional catheter and the auxiliary device to be transported along the guide wire together until the interventional catheter reaches the predetermined position of the left ventricle, and withdraw the guide wire. After introduction, unlock the core seat 3 and the catheter seat 1, pull out the core tube 2 until the distal end of the core tube 2 is at the tail end position of the reducer 12, clamp it with a hemostatic forceps at the middle position of the reducer 12, and withdraw the entire auxiliary device. Finally, connect other control devices to the tail end of the reducer 12.
综上,本申请中的用于短期经皮心室介入手术的辅助装置,具有支撑器械、保护管路、冲洗管路、密封止血的功能。In summary, the auxiliary device for short-term percutaneous ventricular interventional surgery in the present application has the functions of supporting instruments, protecting pipelines, flushing pipelines, and sealing and stopping bleeding.
显然,上述实施例仅仅是为清楚地说明所作的举例,而并非对实施方式的限定。对于所属领域的普通技术人员来说,在上述说明的基础上还可以做出其它不同形式的变化或变动。这里无需也无法对所有的实施方式予以穷举。而由此所引伸出的显而易见的变化或变动仍处于本实用新型创造的保护范围之中。Obviously, the above embodiments are merely examples for the purpose of clear explanation, and are not intended to limit the implementation methods. For those skilled in the art, other different forms of changes or modifications can be made based on the above description. It is not necessary and impossible to list all the implementation methods here. The obvious changes or modifications derived therefrom are still within the scope of protection of the invention of the utility model.
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Legal Events
Date | Code | Title | Description |
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GR01 | Patent grant | ||
GR01 | Patent grant | ||
PE01 | Entry into force of the registration of the contract for pledge of patent right |
Denomination of utility model: An auxiliary device and surgical instrument for short-term percutaneous ventricular intervention surgery Granted publication date: 20240920 Pledgee: Hangzhou Yingzhiqin No.1 Equity Investment Partnership Enterprise (Limited Partnership) Pledgor: Zhejiang Diyuan Medical Equipment Co.,Ltd. Registration number: Y2025980006675 |