CN103212148B - The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading - Google Patents

The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading Download PDF

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Publication number
CN103212148B
CN103212148B CN201310150039.7A CN201310150039A CN103212148B CN 103212148 B CN103212148 B CN 103212148B CN 201310150039 A CN201310150039 A CN 201310150039A CN 103212148 B CN103212148 B CN 103212148B
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conduit
sacculus
beading
broken bolt
eccentric
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CN103212148A (en
Inventor
陈旭东
何凡
窦永充
曾延华
单爱军
王露平
吴宇旋
袁家林
高泽燕
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Shenzhen Peoples Hospital
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Abstract

The invention discloses the molten broken bolt conduit of the eccentric sacculus of a kind of ilium deep femoral vein thrombosis beading, the tail end of this conduit is two mouth compositions, and one of them is foley's tube mouth, and another is the co-portal of guiding wire and thrombolysis catheter, being called Y-valve interface, using by connecing Y-valve.Catheter end is that the separate conduit of two functions merges and forms, and is double channel catheter.Wherein a chamber is as foley's tube path, and another chamber is as seal wire and thrombolysis catheter path.Conduit working portion is made up of the crack thrombolysis catheter of the opposite side of catenate eccentric sacculus and correspondence.Tube chamber is made through tube extruding machine+PTFE hydrophilic coating, the each several part of sacculus or thrombolytic (length 10-20 centimetre) can work respectively or simultaneously, sacculus (diameter 5-20 millimeter) extrudes broken bolt, opposite side crack conduit can inject thrombolytic drug thrombolytic simultaneously, and rotation direction can strengthen molten broken bolt effect.

Description

The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading
Technical field
The present invention relates to medical instruments field, particularly relate to the molten broken bolt conduit of the eccentric sacculus of a kind of ilium deep femoral vein thrombosis beading.
Background technology
Popliteal-ilium deep femoral vein thrombosis Popliteal-iliofemoral deep venous thrombosis is that blood condenses and forms thrombosis and the disease that causes in Deep venou, it swells and ache as main clinic symptoms with lower limb, serious complication has suffering limb necrosis and pulmonary infarction risk, threatens the health and lives of patient., does not get timely medical treatment as popliteal-ilium deep femoral vein thrombosis in addition, will cause chronic Deep venous insufficiency, causes the swelling repeatedly of lower limb, has a strong impact on work and life.
Current , popliteal-ilium deep femoral vein thrombosis Therapeutic Method mainly contains internal medicine thrombolytic, surgical operation gets bolt and interventional therapy.The bleeding risk of medical thrombolytic is very large, and especially mortality risk of intracerebral hemorrhage may occur Aged Patients, in addition, is difficult to avoid the risk that thrombus breaks loose causes pulmonary infarction can occur, limits its scope of application in thrombolytic process.Surgical operation gets bolt often need cut vein, and operation wound is large, and in addition, due to the damage of operation to tunica intima of vein, postoperative recurrence of thrombus probability is higher, and patient dependence is poor.Jie first can implant filter when entering Zhi Liao popliteal-ilium deep femoral vein thrombosis, avoid the risk of pulmonary infarction, get involved in addition and can take to take out the multiple therapy methods such as bolt, broken bolt and catheter contact thrombolytic, there is Wicresoft, repeatable strong and effective percentage advantages of higher, present clinical in use more and more extensive.
The interventional therapy method of popliteal-ilium deep femoral vein thrombosis mainly contains conduit and takes out [4] such as bolt, the broken bolt of sacculus and catheter contact thrombolytic.What use clinically at present takes out the Guilding conduit that bolt conduit is mainly 6-8F, conventional Guiding conduit is straight peen or single curved shape, in the aspiration procedure of thrombosis, conductor housing is often difficult to each face touching blood vessel wall, thrombosis is easily caused to remain, in addition, in Biochemical analyzer process, damage the risk of blood trouble endothelial tube and vein valve.The broken bolt sacculus used clinically is mainly the common sacculus that peripheral blood vessel uses, and in cylindric, often there will be sacculus or thrombosis slippage in broken bolt process, affects broken bolt effect.Thrombolysis catheter is mainly straight peen conduit, periphery pore or crack shape thrombolysis catheter, and catheter contact thrombolytic often need carry out after conduit takes out bolt and the broken bolt of sacculus, because the cracked effect that can increase thrombolytic of unobstructed blood flow and embolus.Moreover, the thrombus treatment conduit used clinically at present often exists with single a kind of form, in the therapeutic process of thrombosis, the normal use of exchange repeatedly needing various conduit, make thrombus treatment process loaded down with trivial details, and the use of multiple apparatus too increases the medical expense of thrombosis.
Summary of the invention
The technical problem to be solved in the present invention there are provided the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading that the eccentric broken bolt of sacculus of a kind of beading and Catheter Thrombolysis are integrated.
For solving the problems of the technologies described above, the present invention is realized by following scheme: the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading, described conduit is integral type conduit, comprises double channel catheter, is located at the sacculus interface of double channel catheter one end and Y-valve interface, is located at the beading eccentric sacculus end of double channel catheter one end conically on conductor housing and thrombolysis catheter end and seal wire;
Described double channel catheter is merged by the conduit that two functions are separate and forms, cylindrical, wherein two conduits are semicylinder, respectively account for half tube chamber, one of them is as the foley's tube of the eccentric sacculus end of beading, is used for dilating sacculus, and the conductor housing endcapped be communicated with foley's tube, another is as seal wire and the common conduit injecting thrombolytic drug, and its port at conductor housing is opening;
Described sacculus interface is made up of polythene material, and one end is communicated with foley's tube, and other end Bonding pressure pump, by atmospheric pressure expansion of balloon catheter;
Described Y-valve interface is made up of polythene material, is communicated with common conduit, for connecting Y-valve, makes Y-valve as the medicine-pouring port of seal wire entrance and thrombolytic drug;
Described seal wire is guiding wire, runs through whole common conduit.
Further, the eccentric sacculus end of described beading is worked out by nylon and latex, and its balloon diameter is between 5-20 millimeter, and have the effect of cutting thrombosis, and promote that thrombosis is pushed movement, length of balloon is between 10-20 centimetre.
Further, described thrombolysis catheter end conduit becomes crack shape, and the length in crack is 1 centimetre, wide 1 millimeter, the quantity in crack and position can flexible design, are distributed in the 10-20 cm range of conductor housing, ceasma direction, crack is greater than 180 degree, is conducive to medicine from maximum direction contact area thrombosis.
Further, described double channel catheter is made up of PEBAX or PU-polyurethane, and tube chamber is made through tube extruding machine and PTFE hydrophilic coating, and described double channel catheter length is 1.2 meters or 1.5 meters, and with the needs of satisfied different puncture path, pipe diameter size is between 5-8F.
Further, described seal wire is .035 seal wire.
Further, the eccentric sacculus end of described beading and thrombolysis catheter end be both combined on conplane conduit.
Further, described beading eccentric sacculus end sacculus is beading, and easily machinery is passed, and pushes broken bolt.
The molten broken bolt conduit using method of the eccentric sacculus of ilium deep femoral vein thrombosis beading, comprises the following steps:
The first step, by Y-valve interface access Y-valve, then inserts .035 seal wire through Y-valve mouth, by seal wire by thrombosis section, then inserts the molten broken bolt conduit of thrombolysis catheter end through seal wire, be placed in thrombosis section;
Second step, after radiography confirms that sacculus is positioned at thrombosis, by the eccentric sacculus of sacculus interface expansion beading eccentric sacculus end beading, to reach the object of chopping thrombosis;
3rd step, takes out flat sacculus, injects thrombolytic drug when retaining seal wire through Y-valve interface, to reach the object of thrombolytic, again can continue broken bolt by dilating sacculus simultaneously, thrombolytic drug also can be injected in the basis of balloon expandable, to dissolve mural thrombus;
4th step, constantly regulates the position of foley's tube, makes the thrombosis of different azimuth reach cracked and dissolves;
5th step, uses and terminates rear release conduit, complete associated treatment.
The first step in step, the conduit of described thrombolysis catheter end can impulses injection anticoagulant, promotes thromboembolism.
The 3rd step in step, broken bolt be combined with thrombolytic and adjustable direction to strengthen molten broken bolt effect, while pushing mobile thrombosis, the pulse thrombolytic drug that thrombolysis catheter end conduit is greater than 180 degree, multi-direction maximum area contact lysis thrombosis.
The invention has the beneficial effects as follows: the eccentric sacculus of beading can reach the effect of cutting bolt and broken bolt, injects thrombolytic drug, cracked thrombosis can be made to reach the effect of dissolving in the expansion of sacculus.In addition, the expansion of sacculus makes thrombolysis catheter adherent, can dissolve mural thrombus preferably.This conduit is integral type conduit, to reduce the trouble that dissimilar conduit is alternately changed, reaches the object of broken bolt and thrombolytic simultaneously, also reduces the expense due to multiple instrumentation simultaneously.
Accompanying drawing explanation
Fig. 1 is the molten broken bolt guide-tube structure schematic diagram of the eccentric sacculus of ilium deep femoral vein thrombosis beading that the present invention does not add seal wire;
Fig. 2 is the molten broken bolt guide-tube structure schematic diagram of the eccentric sacculus of ilium deep femoral vein thrombosis beading that the present invention adds seal wire;
Fig. 3 is double channel catheter schematic diagram of the present invention;
Fig. 4 is double channel catheter sectional view of the present invention;
Fig. 5 is cut-in pressure pump of the present invention and Y-valve schematic diagram.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is elaborated.
As shown in Figures 1 to 5, the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading, described conduit is integral type conduit, comprises double channel catheter 3, is located at the sacculus interface 1 of double channel catheter 3 one end and Y-valve interface 2, the eccentric sacculus end 4 of the beading be located on double channel catheter 3 one end conductor housing 31 and thrombolysis catheter end 5 and seal wire 6; Described double channel catheter 3 is merged by the conduit that two functions are separate and forms, cylindrical, wherein two conduits are semicylinder, respectively account for half tube chamber, one of them is as the foley's tube 32 of the eccentric sacculus end 4 of beading, is used for dilating sacculus, and closed at conductor housing 31 end 311 is communicated with foley's tube 32, another is as seal wire 6 and the common conduit 33 injecting thrombolytic drug, and it is opening at the port 312 of conductor housing 31; Described sacculus interface 1 is made up of polythene material, and one end is communicated with foley's tube 32, and other end Bonding pressure pump 7, by atmospheric pressure expansion of balloon catheter 32; Described Y-valve interface 2 is made up of polythene material, is communicated with common conduit 33, for connecting Y-valve 8, makes Y-valve 8 as the medicine-pouring port of seal wire 6 entrance and thrombolytic drug; Described seal wire 6 is guiding wire, runs through whole common conduit 33.The eccentric sacculus end 4 of described beading is worked out by nylon and latex, and its balloon diameter is between 5-20 millimeter, and have the effect of cutting thrombosis, and promote that thrombosis is pushed movement, length of balloon is between 10-20 centimetre.
Described thrombolysis catheter end 5 conduit becomes crack shape, and the length in crack is 1 centimetre, wide 1 millimeter, the quantity in crack and position can use flexibly, be distributed in the 10-20 cm range of conductor housing 31, ceasma direction, crack is greater than 180 degree, is conducive to medicine from maximum direction contact area thrombosis.
Described double channel catheter 3 is made up of PEBAX or PU-polyurethane, and tube chamber is made through tube extruding machine and PTFE hydrophilic coating, and described double channel catheter 3 length is 1.2 meters or 1.5 meters, and with the needs of satisfied different puncture path, pipe diameter is between 5-8F.Described seal wire 6 is .035 seal wire.
The eccentric sacculus end 4 of described beading and thrombolysis catheter end 5 be both combined on conplane conduit.
Described beading eccentric sacculus end 4 sacculus is beading, and easily machinery is passed, and pushes broken bolt.
The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading of the present invention is the thrombus treatment conduit for the eccentric broken bolt of sacculus of special beading and Catheter Thrombolysis are integrated, and it can reach the object simultaneously to the broken bolt of thrombosis sacculus and catheter contact thrombolytic in the therapeutic process of thrombosis.The design of the eccentric sacculus end 4 of beading can play the effect of cutting thrombosis in the broken bolt process of thrombosis, by mobile and repeatedly balloon expandable can reach the object of broken bolt.In addition, in the process of broken bolt, inject urokinase by thrombolysis catheter pressurization, the solute effect of broken thrombosis can be increased, thus reach the object for the treatment of thrombosis.Because foley's tube 32 and common conduit 33 design for integral type, decrease and change the loaded down with trivial details of conduit, also reduce the expense due to multiple instrumentation simultaneously.
Wherein the sacculus end of foley's tube 32 can be designed to different length, can have different intervals between beading, to facilitate needs during different thrombus treatment.The tube chamber of common conduit 33 is in use as the passage of seal wire, when retaining seal wire, injection can be used as again the administration channel of thrombolytic drug, its caliber is set as can smoothly by .035 seal wire 6, but the size of tube head is just to pass through seal wire 6 for standard, can be good at confined bed tube head 31 during to ensure injection thrombolytic drug, thrombolytic drug is discharged by the side opening of common conduit 33.The side opening of common conduit 33 can be arranged on the different length such as catheter proximal end 10cm or 20cm, is greater than 180 degree with the ceasma direction, needs crack when meeting different length thrombus treatment, is conducive to medicine from maximum direction contact area thrombosis.Conductor housing 31 end is the port of export of seal wire 6, in pyramid type, gos deep into thrombosis inside to facilitate conduit.Wherein foley's tube 32 endcapped, to ensure air-tightness when sacculus uses, common conduit 33 opening is guide wire exit openings, size is just to meet .035 seal wire by being as the criterion, to close tube head when injecting thrombolytic drug, ensure the pressure in thrombolysis catheter, to meet thrombolytic drug by crack spray discharge, improve thrombolytic effect.
The molten broken bolt conduit using method of the eccentric sacculus of ilium deep femoral vein thrombosis beading, the method comprises the following steps:
The first step, accesses Y-valve 8 by Y-valve interface 2, then inserts .035 seal wire 6 through Y-valve mouth, by seal wire 6 by thrombosis section, then inserts the molten broken bolt conduit of thrombolysis catheter end 5 through seal wire 6, is placed in thrombosis section;
Second step, after radiography confirms that sacculus is positioned at thrombosis, expands the eccentric sacculus of beading eccentric sacculus end 4 beading, to reach the object of chopping thrombosis by sacculus interface 1;
3rd step, takes out flat sacculus, injects thrombolytic drug when retaining seal wire 6 through Y-valve interface 2, to reach the object of thrombolytic, again can continue broken bolt by dilating sacculus simultaneously, thrombolytic drug also can be injected in the basis of balloon expandable, to dissolve mural thrombus;
4th step, constantly regulates the position of foley's tube 32, makes the thrombosis of different azimuth reach cracked and dissolves;
5th step, uses and terminates rear release conduit, complete associated treatment.
The first step in step, the conduit of described thrombolysis catheter end 5 can impulses injection anticoagulant, promotes thromboembolism.
The 3rd step in step, broken bolt be combined with thrombolytic and adjustable direction to strengthen molten broken bolt effect, while pushing mobile thrombosis, the pulse thrombolytic drug that thrombolysis catheter end 5 conduit is greater than 180 degree, multi-direction maximum area contact lysis thrombosis.
The foregoing is only the preferred embodiment of the present invention; not thereby the scope of the claims of the present invention is limited; every utilize description of the present invention and accompanying drawing content to do equivalent structure or equivalent flow process conversion; or be directly or indirectly used in other relevant technical field, be all in like manner included in scope of patent protection of the present invention.

Claims (7)

1. the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading, it is characterized in that: described conduit is integral type conduit, comprise double channel catheter (3), be located at the sacculus interface (1) of double channel catheter (3) one end and Y-valve interface (2), be located at beading eccentric sacculus end (4) of double channel catheter (3) one end conically on conductor housing (31) and thrombolysis catheter end (5) and seal wire (6);
Described double channel catheter (3) is merged by the conduit that two functions are separate and forms, cylindrical, wherein two conduits are semicylinder, respectively account for half tube chamber, one of them is as the foley's tube (32) of eccentric sacculus end (4) of beading, be used for dilating sacculus, and close at conductor housing (31) end (311) be communicated with foley's tube (32), another is as seal wire (6) and the common conduit (33) injecting thrombolytic drug, and its port in conductor housing (31) (312) is opening;
Described sacculus interface (1) is made up of polythene material, and one end is communicated with foley's tube (32), and other end Bonding pressure pump (7), by atmospheric pressure expansion of balloon catheter (32);
Described Y-valve interface (2) is made up of polythene material, is communicated with common conduit (33), for connecting Y-valve (8), makes Y-valve (8) as the medicine-pouring port of seal wire (6) entrance and thrombolytic drug;
Described seal wire (6) is guiding wire, runs through whole common conduit (33).
2. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading according to claim 1, it is characterized in that: eccentric sacculus end (4) of described beading is worked out by nylon and latex, its balloon diameter is between 5-20 millimeter, there is the effect of cutting thrombosis, and promoting that thrombosis is pushed movement, length of balloon is between 10-20 centimetre.
3. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading according to claim 1, it is characterized in that: described thrombolysis catheter end (5) conduit becomes crack shape, the length in crack is 1 centimetre, wide 1 millimeter, the quantity in crack and position can be arranged flexibly, be distributed in the 10-20 cm range of conductor housing (31), ceasma direction, crack is greater than 180 degree, is conducive to medicine from maximum direction contact area thrombosis.
4. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading according to claim 1, it is characterized in that: described double channel catheter (3) is made up of PEBAX or PU-polyurethane, tube chamber is made through tube extruding machine and PTFE hydrophilic coating, described double channel catheter (3) length is 1.2 meters or 1.5 meters, with the needs of satisfied different puncture path, pipe diameter is between 5-8F.
5., according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading according to claim 1, it is characterized in that: described seal wire (6) is .035 seal wire.
6. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading according to claim 1, it is characterized in that: eccentric sacculus end (4) of described beading and thrombolysis catheter end (5) be both combined on conplane conduit.
7. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading according to claim 1, it is characterized in that: eccentric sacculus end (4) sacculus of described beading is beading, and easily machinery is passed, and pushes broken bolt.
CN201310150039.7A 2013-04-25 2013-04-25 The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading Expired - Fee Related CN103212148B (en)

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CN104436417B (en) * 2013-09-13 2018-01-09 郭军 One kind is used for perfusion thrombolysis catheter in human vas
CN104825208A (en) * 2015-04-15 2015-08-12 徐建忠 Thrombolysis-fragmentation catheter for venous thrombus treatment in blood vessel
CN105288821A (en) * 2015-10-12 2016-02-03 李卫校 Venous-thrombus aspiration device and aspiration system using same
TWI679040B (en) * 2017-01-30 2019-12-11 喜樂醫療器材股份有限公司 Particulate material delivery system and method
CN106901798A (en) * 2017-03-05 2017-06-30 温州医科大学附属眼视光医院 Treatment thrombus operating robot
CN108114361B (en) * 2018-02-01 2024-05-31 上海瑛泰医疗器械股份有限公司 Double-balloon thrombolysis catheter
US10792054B1 (en) 2019-07-11 2020-10-06 Eduardo Lorenzo Catheter for thromboembolic disease with mechanic waves, injection and ejection
CN112971925B (en) * 2021-02-23 2022-09-16 河南昆仑精准医疗科技有限公司 Catheter suitable for dissolving and crushing thrombus in iliofemoral deep vein
CN113827841B (en) * 2021-11-09 2024-07-02 深圳麦普奇医疗科技有限公司 Thrombolysis catheter

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CN203253038U (en) * 2013-04-25 2013-10-30 何凡 Iliofemoral deep venous thrombus bead-like eccentric ball bag thrombolysis-fragmentation catheter

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Effective date of registration: 20150917

Address after: 518000 Guangdong city of Shenzhen Province East Gate Road, No. 1017

Patentee after: Shenzhen People's Hospital

Address before: 518020 interventional department, 1 / F, new surgery building, Shenzhen People's Hospital, 1017 Dongmen North Road, Shenzhen, Guangdong, Luohu District

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