CN109939287A - A kind of myocardial protective liquid filling device - Google Patents
A kind of myocardial protective liquid filling device Download PDFInfo
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- CN109939287A CN109939287A CN201910203998.8A CN201910203998A CN109939287A CN 109939287 A CN109939287 A CN 109939287A CN 201910203998 A CN201910203998 A CN 201910203998A CN 109939287 A CN109939287 A CN 109939287A
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- air bag
- catheter
- head
- conduit
- aorta
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Abstract
The present invention provides a kind of myocardial protective liquid filling device; including conduit and catheter; one end of conduit is introducing port; the other end of conduit connects air bag and forms with air bag integrated; catheter has catheter head end and drain pipe end; catheter head end is perfusing hole, and drain pipe end is fixedly connected with one end of air bag.It solves in the case where aortic heart valve incompetence, carries out myocardial preservation perfusion to coronary artery.
Description
Technical field
The present invention relates to cardiac operation field, in particular to a kind of myocardial protective liquid filling device.
Background technique
It needs that heart is made to be in electromechanical activity to heart perfusion myocardium protecting liquid when performing an operation to heart and operating static
State (i.e. cardiac arrest), with this come guarantee operation safety efficiently carry out simultaneously cardioprotection；Operation side under the prior art
Method 1 are as follows: first close heart distal aorta with blocking clamp, the position at blocking between heart is punctured, and is filled later
Note pipe imports myocardium protecting liquid from place is worn time, and myocardium protecting liquid inflow coronary artery achievees the purpose that cardiac arrest；But due to big
All there is the case where aortic incompetence, operating method 2 in the aortic heart valve that part needs to do openheart surgery are as follows: if main
Arterial valve incompetence then needs to cut aorta, and coronary perfusion conduit is fed directly at coronary ostium directly carry out
The perfusion of myocardium protecting liquid；Method 2 is not only time-consuming and laborious, also increases operating difficulty.
Summary of the invention
For overcome the deficiencies in the prior art, the present invention provides a kind of myocardial protective liquid filling device, solves in heart master
In the case where arterial valve incompetence, myocardial preservation perfusion is carried out to coronary artery.
In order to solve the above technical problems, the invention provides the following technical scheme:
An object of the present invention adopts the following technical scheme that realization:
A kind of myocardial protective liquid filling device, including conduit and catheter, one end of conduit are introducing port, conduit it is another
One end connects air bag and forms with air bag integrated, and catheter has catheter head end and drain pipe end, and catheter head end is
Perfusing hole, drain pipe end are fixedly connected with one end of air bag.
Preferably, catheter end tube wall is connect with air bag one end, and drain pipe end offers through-hole.
Preferably, conduit and catheter are flexible hose, and catheter is not connected to conduit and air bag.
Preferably, drain pipe end offers several through-holes.
Preferably, air bag is resilient bladder, and introducing port can inject gas and liquid enters air bag.
Preferably, air bag top, which is equipped with, imports head, and importing head has importing head head end and import head end, imports head end
End is fixedly connected across air bag with drain pipe end, imports head and air bag and catheter is integrally formed.
Preferably, importing head is cylindric solid importing head, and importing head head end and air bag has apart from and for the smooth umbrella in surface
Shape form.
Preferably, the adjusting ring for locking and adjusting insertion depth is set between conduit and catheter.
Preferably, the diameter of air bag is consistent with the diameter of aortic heart valve ring.
The second object of the present invention is to provide a kind of application method for protecting perfusion device:
Step 1, preoperative chest Color Sonography inspection of passing through, measures the diameter of aortic heart valve ring；
Step 2, with blocking pincers to clamp heart aorta, aorta ascendens stitches pocket, and pocket expert's aorta ascendens punctures；
Step 3, under the shrivelled state of air bag, device is put into aorta from puncture place, reaches air bag by aorta petal
Left ventricle；
Step 4, it is filled with brine ice or gas from introducing port, expands air bag, what the size and step 1 of air bag expansion measured
The diameter of aortic heart valve ring is consistent or slightly larger；
Step 5, the position for adjusting air bag is stuck in air bag and is close at aortic valvular ring below aortic heart valve and does not keep off
Firmly coronary artery；
Step 6, myocardium protecting liquid is injected from perfusing hole, myocardium protecting liquid flows through catheter and flows out from through-hole, finally flows into
Coronary artery.
Compared with prior art, the attainable beneficial effect of the present invention is:
The present invention is different from the prior art, and preoperative conventional line Color Sonography measures the diameter of aortic heart valve ring, uses
Pincers are blocked to clamp heart aorta, aorta ascendens stitches pocket, and pocket expert's aorta ascendens punctures, and under the shrivelled state of air bag, will fill
It sets from puncture place and is put into aorta, air bag is made to reach left ventricle by aorta, the introducing port of conduit is filled with gas, keeps air bag swollen
Swollen, the size and the diameter of aortic heart valve ring of measurement of air bag expansion are consistent or slightly larger, adjust the position of air bag, make air bag
It is stuck at aortic heart valve and is not blocked coronary artery, injects myocardium protecting liquid from perfusing hole, myocardium protecting liquid flows through drain
Pipe is flowed out from drain pipe end, finally flows into coronary artery, is realized in the case where aortic heart valve incompetence, and the heart is carried out
Flesh protects perfusion to coronary artery.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention；
Fig. 2 is that the present invention penetrates aorta structural schematic diagram.
In figure: 01, aorta；02, left ventricle；10, conduit；11, introducing port；20, catheter；21, catheter head end；
22, drain pipe end；23, perfusing hole；24, through-hole；30, air bag；40, ring is adjusted；50, head is imported；51, head head end is imported；52,
Import head end；60, pincers are blocked.
Specific embodiment
Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings, it should be understood that preferred reality described herein
Apply example only for the purpose of illustrating and explaining the present invention and is not intended to limit the present invention.
It please refers to shown in Fig. 1-2, a kind of myocardial protective liquid filling device, including conduit 10 and catheter 20, conduit 10
One end be introducing port 11, conduit 10 the other end connection air bag 30 and with air bag 30 be integrally formed, catheter 20 have drain
Pipe head end 21 and drain pipe end 22, catheter head end 21 are perfusing hole 23, and drain pipe end 22 and one end of air bag 30 are solid
Fixed connection.
Specifically, preoperative conventional line Color Sonography measures the diameter of aortic heart valve ring when operation, clamped with blocking
60 clamp heart aorta 01, and aorta ascendens stitches pocket, and pocket expert's aorta ascendens punctures, by device under the shrivelled state of air bag 30
It is put into aorta 01 from perforation place, air bag 30 is made to reach left ventricle 02, in the process, drain pipe end 22 by aorta petal
Be fixedly connected with one end of air bag 30, guarantee catheter 20 without departing from, be filled with gas from introducing port 11, make air bag 30 expand,
The size and the diameter of aortic heart valve ring of measurement that air bag 30 expands are consistent or slightly larger, adjust the position of air bag 30, make gas
Capsule 30 is stuck at aortic heart valve and does not block coronary artery, injects myocardium protecting liquid, myocardial preservation liquid stream from perfusing hole 23
It is flowed out through catheter 20 from drain pipe end 22, finally flows into coronary artery.
Further, 22 tube wall of drain pipe end is connect with 30 one end of air bag, and drain pipe end 22 offers through-hole 24,
Since 22 tube wall of drain pipe end is connect with 30 one end of air bag, drain pipe end 22 is closed state, is opened in drain pipe end 22
Equipped with through-hole 24, myocardium protecting liquid flows through catheter 20 and reserves from the through-hole 24 in drain pipe end 22, and then flows into coronal dynamic
Arteries and veins, structure are more reasonable.
Further, conduit 10 and catheter 20 are flexible hose, more meet the physiology of aorta 01, are more convenient
Operator's operation, catheter 20 are not connected to conduit 10 and air bag 30, and the gas in conduit 10 and air bag 30 will not lead to
It crosses catheter 20 and is leaked to heart, ensure that the reliable of device.
Further, drain pipe end 22 offers several through-holes 24, and is uniformly distributed, even if there is some through-hole 24 to have
In the case where blocking, it also can guarantee that myocardium protecting liquid is flowed out from through-hole 24.
Further, air bag 30 is resilient bladder, can be reduced operation to the wound of heart using resilient bladder, and can be more
The effect of aortic heart valve is served as in good realization, can be needed according to the actual situation, introducing port 11 can inject gas and liquid
Into air bag 30,30 top of air bag, which is equipped with, imports head 50, and importing head 50 has importing head head end 51 and import head end 52, leads
Enter an end 52 and be fixedly connected with drain pipe end 22 across air bag 30, import head 50 and air bag 30 and catheter 20 it is integrated at
Type, importing head 50 are cylindric solid importing head 50, and importing head head end 51 and air bag 30 has distance and be the smooth umbrella shape in surface
State is conducive to importing left ventricle 02 and reducing the damage to cardiac muscle for device.
Further, the adjusting ring 40 for locking and adjusting insertion depth is set between conduit 10 and catheter 20,
Keep device more firm, air bag is more adjacent to below aortic valvular ring, the diameter of air bag 30 and the diameter one of aortic heart valve ring
It causes, the position of adjustment air bag 30 is more easier, and so that air bag 30 is stuck at aortic heart valve and is not blocked coronary artery and more holds
Easily realize.
A kind of application method of myocardial protective liquid filling device provided by the invention, comprising:
Step 1, preoperative chest Color Sonography inspection of passing through, measures the diameter of aortic heart valve ring；
Step 2, with blocking pincers 60 to clamp heart aorta 01, aorta ascendens stitches pocket, and pocket expert's aorta ascendens punctures；
Step 3, under the shrivelled state of air bag 30, device is put into aorta 01 from puncture place, air bag 30 is made to pass through aorta
Valve reaches left ventricle 02；
Step 4, it is filled with brine ice or gas from introducing port 11, expands air bag 30, the size and step 1 that air bag 30 expands
The diameter of the aortic heart valve ring of measurement is consistent or slightly larger；
Step 5, the position for adjusting air bag 30, make air bag 30 be stuck in below aortic heart valve be close at aortic valvular ring and
Do not block coronary artery；
Step 6, myocardium protecting liquid is injected from perfusing hole 23, myocardium protecting liquid flows through catheter 20 and flows out from through-hole 24, most
After flow into coronary artery.
The implementation of the present invention is not limited to this, and above-described embodiment content according to the invention utilizes the routine of this field
Technological know-how and customary means, under the premise of not departing from the above-mentioned basic fundamental thought of the present invention and not conflicting, the above preferred reality
The modification, replacement or combination of other diversified forms can also be made by applying example, and other embodiments obtained all fall within power of the present invention
Within sharp protection scope.
Claims (10)
1. a kind of myocardial protective liquid filling device, which is characterized in that including conduit and catheter, one end of conduit is to import
Mouthful, the other end of conduit connects air bag and forms with air bag integrated, and catheter has catheter head end and drain pipe end, leads
Liquid pipe head end is perfusing hole, and drain pipe end is fixedly connected with one end of air bag.
2. a kind of protection perfusion device according to claim 1, which is characterized in that catheter end tube wall and air bag one
End connection, and drain pipe end offers through-hole.
3. a kind of protection perfusion device according to claim 1, which is characterized in that conduit and catheter are flexible
Hose, catheter is not connected to conduit and air bag.
4. a kind of protection perfusion device according to claim 2, which is characterized in that drain pipe end offers several
Through-hole.
5. a kind of protection perfusion device according to claim 1-4, which is characterized in that air bag is elastic ball
Capsule, introducing port can inject gas and liquid enters air bag.
6. a kind of protection perfusion device according to claim 2, which is characterized in that air bag top, which is equipped with, imports head, leads
Entering head has importing head head end and imports head end, imports head end and is fixedly connected across air bag with drain pipe end, imports
Head is integrally formed with air bag and catheter.
7. according to a kind of described in any item protection perfusion devices of claim 6, which is characterized in that importing head is cylindric reality
The heart imports head, and importing head head end and air bag has distance and the smooth umbrella form in surface.
8. a kind of protection perfusion device according to claim 5, which is characterized in that be set between conduit and catheter
For locking and adjusting the adjusting ring of insertion depth.
9. a kind of protection perfusion device according to claim 5, which is characterized in that the diameter and heart aorta of air bag
The diameter of annulus is consistent.
10. a kind of protection perfusion device application method, characterized by comprising:
Step 1, preoperative conventional line Color Sonography, measures the diameter of aortic heart valve ring；
Step 2, with blocking pincers to clamp heart aorta, aorta ascendens stitches pocket, and pocket expert's aorta ascendens punctures；
Step 3, under the shrivelled state of air bag, device is put into aorta from perforation place, air bag is made to reach the left heart by aorta petal
Room；
Step 4, it is filled with brine ice or gas from introducing port, expands air bag, the heart that the size and step 1 of air bag expansion measure
The diameter of aortic valvular ring is consistent or slightly larger；
Step 5, the position for adjusting air bag is stuck in air bag below aorta petal and is close to aortic valvular ring, and does not block coronal dynamic
Arteries and veins；
Step 6, myocardium protecting liquid is injected from perfusing hole, myocardium protecting liquid flows through catheter and flows out from through-hole, finally flows into coronal
Artery.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910203998.8A CN109939287A (en) | 2019-03-18 | 2019-03-18 | A kind of myocardial protective liquid filling device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910203998.8A CN109939287A (en) | 2019-03-18 | 2019-03-18 | A kind of myocardial protective liquid filling device |
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| Publication Number | Publication Date |
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| CN109939287A true CN109939287A (en) | 2019-06-28 |
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| CN201910203998.8A Pending CN109939287A (en) | 2019-03-18 | 2019-03-18 | A kind of myocardial protective liquid filling device |
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Citations (7)
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|---|---|---|---|---|
| WO1997021462A1 (en) * | 1995-12-11 | 1997-06-19 | Heartport, Inc. | Methods and apparatus for anchoring an occluding member |
| CN1946449A (en) * | 2004-02-26 | 2007-04-11 | V－卡迪亚控股有限公司 | Isolating cardiac circulation |
| CN201257222Y (en) * | 2008-09-12 | 2009-06-17 | 段大为 | Double-stage multifunctional femoral cannula |
| CN203777464U (en) * | 2013-12-18 | 2014-08-20 | 上海中山医疗科技发展公司 | Percutaneous puncture minimally-invasive cardiac surgery balloon blocking, cardioplegic solution perfusing and exhausting cannula |
| CN204395077U (en) * | 2015-01-06 | 2015-06-17 | 陆树洋 | A kind of myocardial preservation device for casting for cardiac operation |
| CN205964684U (en) * | 2016-06-29 | 2017-02-22 | 广东省心血管病研究所 | Medical intubate |
| CN107929919A (en) * | 2017-12-06 | 2018-04-20 | 遵义医学院附属医院 | A kind of band blocks and the aortic cannulation and its application method of perfusion functional |
-
2019
- 2019-03-18 CN CN201910203998.8A patent/CN109939287A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1997021462A1 (en) * | 1995-12-11 | 1997-06-19 | Heartport, Inc. | Methods and apparatus for anchoring an occluding member |
| CN1946449A (en) * | 2004-02-26 | 2007-04-11 | V－卡迪亚控股有限公司 | Isolating cardiac circulation |
| CN201257222Y (en) * | 2008-09-12 | 2009-06-17 | 段大为 | Double-stage multifunctional femoral cannula |
| CN203777464U (en) * | 2013-12-18 | 2014-08-20 | 上海中山医疗科技发展公司 | Percutaneous puncture minimally-invasive cardiac surgery balloon blocking, cardioplegic solution perfusing and exhausting cannula |
| CN204395077U (en) * | 2015-01-06 | 2015-06-17 | 陆树洋 | A kind of myocardial preservation device for casting for cardiac operation |
| CN205964684U (en) * | 2016-06-29 | 2017-02-22 | 广东省心血管病研究所 | Medical intubate |
| CN107929919A (en) * | 2017-12-06 | 2018-04-20 | 遵义医学院附属医院 | A kind of band blocks and the aortic cannulation and its application method of perfusion functional |
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