The sanguimotor machinery of accessory heart
Technical field
The present invention relates to the sanguimotor machinery of a kind of novel accessory heart, relate in particular to the syndeton of the sanguimotor machinery of a kind of accessory heart and heart, belong to technical field of medical instruments.
Background technology
Left ventricle assist blood pump, its arrival end is connected to heart apex of the heart position, and outlet is docked with on arteries.Heart and the arteries position of plugging into is all positioned at thoracic cavity.Between thoracic cavity and abdominal cavity, there is one deck diaphram.Diaphram is called again respiratory muscle, and diaphram declines, and thoracic cavity volume expands, air-breathing to help; When lax, diaphram rising sets back, and thoracic cavity volume reducing, to help expiration.Another effect of diaphram, is that thoracic cavity and abdominal cavity are separated, and diaphram self is fluid-tight.
Adopt the left ventricle assist blood pump of magnetic levitation technology, its destruction to blood is minimum, owing to not having in theory mechanical wear so good endurance.But magnetic suspension structure is complicated, cause pump housing size bigger than normal, therefore can only implant abdominal cavity.Existing product has the Levacor of WorldHeart company, and the DuraHeart of TERUMO company etc., are to be all implanted to abdominal cavity.
And when blood pump is implanted to abdominal cavity, operation will be opened thoracic cavity and abdominal cavity, will inevitably will bore a hole, and to guarantee that perforation place do not seep water on diaphram, significantly increase operating difficulty.Postoperative because diaphram is along with breathing up and down reciprocatingly, perforation place is easily gone wrong, and even tears diaphram.Greatly increased post-operative complication.To sum up, blood pump is implanted to abdominal cavity, doctor and postoperative care have been proposed to very high requirement, and be unfavorable for receptor's rehabilitation.
The overall dimensions of blood pump, except pump body dimension, size also includes an inlet and an outlet.The entrance of blood pump is between heart and the pump housing, and can its size is just directly connected to blood pump implanted thoracic cavity.
The implantation position of blood pump is below heart, and above diaphram, heart and diaphram are oppressed in oversize meeting simultaneously, not only affect cardiac rehabilitation, can have influence on normal respiratory function simultaneously, even cause the appearance of other complication.
Summary of the invention
The object of the invention is to solve above-mentioned technical problem, propose the sanguimotor machinery of a kind of novel accessory heart.
Object of the present invention, will be achieved by the following technical programs:
The sanguimotor machinery of accessory heart, comprises the apex of the heart oversleeve and the blood pump body that are fixedly connected on heart; Described apex of the heart oversleeve comprises suture ring and is set in the flexible skirt of suture ring periphery, and described suture ring comprises a suture ring endoporus of offering along its axis; Described blood pump body comprises the inlet tube that enters heart for the suture ring endoporus through described apex of the heart oversleeve, and described inlet tube is located on the bonnet of described blood pump body,
Described suture ring comprises a chimb being radially convexly equipped with, and between described chimb and described flexible skirt, forms a circumferential groove in its end portion;
The bonnet of described blood pump body is provided with revolving fragment, the thickness of described revolving fragment be less than or equal to described circumferential groove in its end portion width so that described revolving fragment can extend in described circumferential groove in its end portion; On the bonnet of described blood pump body, be concaved with a deep gouge, the maximum outside diameter of described deep gouge is more than or equal to the maximum outside diameter of described chimb, and the degree of depth of described deep gouge is more than or equal to the thickness of described chimb;
On the bonnet of described blood pump body, be outwards provided with axle, the first end of described revolving fragment is pivotally connected to described axle, and the second end of described revolving fragment rotates between the two positions around described axle; When primary importance, described revolving fragment is in away from described inlet tube; When the second position, the compressed part between first end and the second end of described revolving fragment extend in described circumferential groove in its end portion, and described chimb is between described compressed part and the bottom surface of described deep gouge, and described apex of the heart oversleeve and described blood pump body are fixing to axial.
Preferably, described flexible skirt forms by hair anvil and for a hair anvil coat coated described hair anvil, that make with heart tissue compatibility material.
Preferably, be concaved with an axial annular groove in the proximal end face of described suture ring, offer one group of suture hole in described axial annular groove, described suture hole is through hole, passes and stitches tie in described flexible skirt for medical suture.
Preferably, on the bonnet of described blood pump body, be fixed with baffle plate, the second end of described revolving fragment is when primary importance, and the side of described revolving fragment is close proximity on described baffle plate.
Preferably, be welded with a cover plate on described baffle plate, described revolving fragment is arranged between described cover plate and bonnet, for limiting described revolving fragment, moves axially.
Preferably, the thickness of described revolving fragment is less than the thickness of described baffle plate.
Preferably, on the bonnet of described blood pump body, be symmetrically welded with two baffle plates.
Preferably, be outwards provided with four axles on the bonnet of described blood pump body, pivotally connected on each axle have a revolving fragment, and revolving fragment forms one group and symmetrically between two, and the first end of two revolving fragments in its every group of revolving fragment is mutually close.
Preferably, the second end of described two groups of revolving fragments is oppositely arranged, when the second end of described revolving fragment is during all in the second position, two relative second ends of described two groups of revolving fragments mutually against.
Preferably, on the second end of described each revolving fragment, be equipped with line hole.
Beneficial effect of the present invention is mainly reflected in: adopt revolving fragment to fix the position of apex of the heart oversleeve and blood pump, make the connection of apex of the heart oversleeve and blood pump more convenient reliable, do not lose efficacy.In operation, without any need for instrument, can realize connection.Meanwhile, greatly shortened the axial dimension of blood pump inlet tube, the overall dimensions of left ventricle assist blood pump is dwindled, thereby left ventricle assist blood pump can be implanted thoracic cavity, greatly improve the success rate of operation.
Accompanying drawing explanation
Fig. 1 be the present invention in use with heart syndeton schematic diagram.
Fig. 2 is the perspective view of apex of the heart oversleeve of the present invention.
Fig. 3 is the left and right view of Fig. 2.
Fig. 4 is the cross section structure schematic diagram of apex of the heart oversleeve of the present invention.
Fig. 5 is the position relationship schematic diagram of cover plate and bonnet.
Fig. 6 is the structural representation of revolving fragment on bonnet.
Fig. 7 is the structural representation of blood pump body bonnet.
Fig. 8 is the structural representation of revolving fragment of the present invention.
Fig. 9 is that revolving fragment of the present invention is at the structural representation of primary importance.
Figure 10 revolving fragment of the present invention is at the structural representation of the second position.
The specific embodiment
The invention provides the sanguimotor machinery of a kind of accessory heart, as shown in Figure 1, comprise the apex of the heart oversleeve 1 and the blood pump body 2 that are fixedly connected on heart 70; As shown in Fig. 2-Fig. 4, described apex of the heart oversleeve 1 comprises suture ring 11 and is set in the flexible skirt 12 of suture ring 11 peripheries.Described suture ring 11 comprises a chimb being radially convexly equipped with 18, forms a circumferential groove in its end portion 13 between described chimb 18 and described flexible skirt 12.Described flexible skirt 12 is made by medical embedded level material.Hair anvil 121 and forming for hair anvil coat 120 coated described hair anvil 121, that make with tissue compatible material, a hair anvil 121 can be silica gel material, a hair anvil coat 120 can be used terylene cloth.Apex of the heart oversleeve 1 is sewn in the apex of the heart by medical suture by flexible skirt 12 and is fixed.
Described suture ring 11 comprises a suture ring endoporus 111 of offering along its axis; On the bonnet 21 of described blood pump body 2, convex with one for entering heart 70 through the suture ring endoporus 111 of described apex of the heart oversleeve, for left ventricle blood being entered into the inlet tube 23 of blood pump body 2, with respect to being provided with the outfan for blood is exported being connected with artificial blood vessel 80 in described inlet tube 23 tangential direction.
For inlet tube 23 more easily enters suture ring endoporus 111, at the near-end of suture ring endoporus 111, do chamfered.The general titanium alloy material that adopts of described suture ring endoporus 111, because it directly contacts with heart, in order to prevent its not injury of myocardium, does rounding at its far-end and processes.After being connected with heart for fear of blood pump body 2, leak blood, on inlet tube 23, be also arranged with the entrance overcoat with seal groove, in seal groove, be provided with an O RunddichtringO 24.
In the proximal end face 17 of described suture ring 11, be concaved with an axial annular groove 14, in described axial annular groove 14, offer one group and for medical suture, pass and stitch and tie in described flexible skirt 12 and be the suture hole 15 of through hole.Suture hole 15 grinding process, to avoid damaging suture when seam is tied.And axially annular groove 14 is in order to imbed medical suture, make medical suture can, on the impact that is equipped with subsequently, meanwhile, also not make assembling subsequently can not touch the damage that suture causes suture.
On the bonnet 21 of described blood pump body 2, be concaved with a deep gouge 22, for apex of the heart oversleeve 1 can be placed in deep gouge 22, the maximum outside diameter of described deep gouge 22 is more than or equal to the maximum outside diameter of described chimb 18, and the degree of depth of described deep gouge 22 is more than or equal to the thickness of described chimb 18;
As shown in Figure 5-Figure 8, be outwards provided with four axles 27 on the bonnet 21 of described blood pump body 2, be symmetrically welded and be fixed with two baffle plates 26 on the bonnet 21 of described blood pump body 2, wherein, two axles 27 form one group, and two groups of axles 27 are separately positioned on baffle plate 26 inner sides.On the bonnet 21 of described blood pump body 2, be also provided with revolving fragment 40, described revolving fragment 40 is radial rotary between baffle plate 26 and axle 27.Pivotally connected on each axle 27 have a revolving fragment 40, and revolving fragment 40 forms one group and symmetrically between two, and the first end 42 of two revolving fragments 40 in its every group of revolving fragment 40 is mutually close.
The thickness of described revolving fragment 40 is less than or equal to the width of described circumferential groove in its end portion 13, so that described revolving fragment 40 can extend in described circumferential groove in its end portion 13.For revolving fragment 40 can better be rotated, the thickness of described revolving fragment 40 is less than the thickness of described baffle plate 26.Revolving fragment 40 adopts titanium alloys to make, and on the basis of connection reliability, axial dimension can be contracted to below 2mm greatly having guaranteed, thereby dwindle the axial dimension of whole blood pump, and the pump housing after implanting thoracic cavity can too not pushed heart and diaphram.
Concrete, the first end 42 of described revolving fragment 40 is pivotally connected to described axle 27, the second ends 43 and rotates between the two positions around described axle 27; Shown in Fig. 9, when primary importance, described revolving fragment 40 is in away from described inlet tube 23, and the side of described revolving fragment 40 is close proximity on described baffle plate 26.Shown in Figure 10, when the second position, the second end 43 of described two groups of revolving fragments 40 is oppositely arranged, when the second end 43 of described revolving fragment 40 is during all in the second position, two relative second ends 43 of described two groups of revolving fragments 40 mutually against.The compressed part 41 between first end 42 and the second end 43 of described revolving fragment 40 extend in described circumferential groove in its end portion 13, described chimb 18 is between described compressed part 41 and the bottom surface of described deep gouge 22, and described apex of the heart oversleeve 1 is fixing to axial with described blood pump body 2.
In order to limit described revolving fragment 40, move axially, be welded with a cover plate 5 on baffle plate 26, described revolving fragment 40 is arranged between described cover plate 5 and bonnet 21.
In order to improve connection reliability, and be convenient to doctor's operation, on the second end 43 of described each revolving fragment 40, be equipped with line hole 44.Revolving fragment 40 when the second position, is fastened two revolving fragments 40 with suture.
The present invention still has numerous embodiments, and all employing equivalents or equivalent transformation and all technical schemes of forming, within all dropping on protection scope of the present invention.