CN103252013B - Puncturing sheath for aortic vessel lumen interventional surgery - Google Patents
Puncturing sheath for aortic vessel lumen interventional surgery Download PDFInfo
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- CN103252013B CN103252013B CN201310220108.7A CN201310220108A CN103252013B CN 103252013 B CN103252013 B CN 103252013B CN 201310220108 A CN201310220108 A CN 201310220108A CN 103252013 B CN103252013 B CN 103252013B
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- sheath
- annular air
- air bag
- transfusion
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Abstract
The invention discloses a puncturing sheath for an aortic vessel lumen interventional surgery, which comprises a sheath tube and a sheath handle, wherein an annular air bag which blocks an inner wall of the sheath tube after inflated is arranged on the inner wall of the sheath tube; a pore passage capable of elastically wrapping inlet and outlet instruments is formed in the center of the annular air bag; the annular air bag is connected with an inflation device by an air bag catheter; and an inflation locking device is arranged on the inflation device. According to the puncturing sheath, the air bag is matched with the inflation device, so that the surgical instruments can pass through a membrane hole in the center of the air bag conveniently; the air bag can bear pressure of an artery; no blood leakage is ensured; a convenient instrument is provided for an aortic endovascular surgery; a surgical procedure is facilitated; and the surgery is reliable.
Description
Technical field
The present invention relates to a kind ofly for interventional operation equipment, relate to aortic blood tube chamber intervene operation puncture sheath; Especially a kind of large scale vascular puncture sheath with interior shutoff sacculus.
Background technology
Aorta lumen endoprosthesis is the developing direction of current various arotic disease treatments, and along with the development of interventional technique, equipment, aorta vessel intracavitary therapy has replaced conventional therapy, becomes main flow modus operandi.
Aorta intracavity operation, different from common blood vessel intervention operation, due to aortic stents induction system thick (being generally greater than 20F), generally do not use vascular puncture sheath, but get groin incision, expose femoral artery, transection femoral artery, introduce behind wire catheter location, directly, from femoral artery otch Stent Implantation induction system, stentplacement is discharged at diseased region.But this kind of method, without vascular puncture sheath protection blood vessel, makes intraoperative hemorrhage wayward.And stent delivery sheath directly contacts with femoral artery, rub more, make support difficulty of transportation, meanwhile, meeting arterial intima, causes art medium vessels to sew up difficulty, easily causes postoperative angiostenosis, thrombosis, the complication such as Lower-Extremity Ischemia.
Clinical conventional puncture sheath is mostly below 10F, for medium and small blood vessel intervention operation.Large-scale vagina vasorum for trunk intervene operation almost has no, the vagina vasorum of the clinical use of minority, poor effect, the defects such as bad sealing is close, leakiness blood, occasionally have the vagina vasorum with plugging system, complex structure, is used inconvenience, still exists compared with massive hemorrhage risk simultaneously.
At present, not yet there is the large-scale vagina vasorum of the stifled blood function of band of the use of being simple and easy to occur, make patient have sensation unable to do what one wishes, the operation of impact operation and operation quality.
The CN201210020329 that the applicant proposes is with the vascular puncture plugging sheath of sacculus, sacculus is positioned at the external diameter of vascular puncture plugging sheath, the band using for artificial blood vessel's bypass turn of tidal stream operation can topping up (gas) sacculus vascular puncture plugging sheath, the good visual field and haemostatic effect when guaranteeing on artificial blood vessel operation technique such as operation grade; But be not suitable for aorta lumen endoprosthesis.Aorta vessel EVAR needs most large scale vascular puncture sheath, has hemostasis device in fabulous puncture sheath, and existing 10F just the puncture one deck elastica of sheath end of hemostasis device in sheath that punctures below, holds (5-9mm) blood pressure while can't stand major diameter.
Summary of the invention
The present invention seeks to: propose a kind of heavy caliber vascular puncture sheath with stifled vim and vigour capsule, by the design of air bag and the design of aerating device, make the present invention can be used for aorta intracavity operation, heavy caliber vascular puncture sheath is all positioned at blood vessel (being typically support carries and lay) while making all operation techniques, be convenient to operation technique, operation is reliable; The object of the invention is also to propose the vascular puncture sheath that a kind of scavenge pipe exit position is placed in front end, more effectively coordinates with the present invention.
Technical solution of the present invention is: aortic blood tube chamber intervene operation puncture sheath, comprise sheath pipe 1, sheath handle 5, and sheath pipe 1 inwall is equipped with the rear annular air-pocket 7 that stops up sheath pipe 1 inwall of inflation, and the central authorities of annular air-pocket 7 have the duct of elastic packaging turnover apparatus.
Further, annular air-pocket 7 connects aerating device 8 by balloon catheter 9.
Further, aerating device 8 is provided with inflation locking device 8-1.
Further, the outlet 3 of sheath pipe 1 interior tube for transfusion, interior tube for transfusion 4, outer tube for transfusion 6, annular air-pocket 7, aerating device 8, inflation locking device 8-1, balloon catheter 9,
Further, annular air-pocket 7 is turned to the structure of annular air-pocket by tubulose air bag 7, turns to annular air-pocket and has folded limit 10; The central membrane 11 that the limit of latex builds up.
Annular air-pocket 7 is connected with balloon catheter 9 by balloon catheter union joint 12, and balloon catheter 9 can be placed in sheath pipe 1 outside or be the inner chamber of sheath pipe.
Further, the inner chamber of sheath pipe 1 is provided with interior tube for transfusion, and the outlet 3 of interior tube for transfusion is positioned at the front end of annular air-pocket position, the connecting from sheath handle 5 of interior tube for transfusion.
The present invention punctures the caliber of sheath especially more than 14F, and even 24F, is convenient to be prepared into the multi-lumen tube containing tube for transfusion.
Beneficial effect of the present invention is: by the coupling of air bag and aerating device, make operating theater instruments conveniently can pass through the fenestra of air bag central authorities, air bag can bear the pressure of tremulous pulse again, guarantees not spill blood.A kind of apparatus is easily provided to aorta intracavity operation, is convenient to operation technique, operation is reliable; Cleaning or liquid medicine injection pipe exit position are placed in vascular puncture sheath front end, are also injection or cleaning (can slightly unclamp air bag during cleaning) in convenient operation.The present invention, typically for aortic blood tube chamber intervene operation, by transection femoral artery, introduces behind wire catheter location, directly, from femoral artery otch Stent Implantation induction system, stentplacement is discharged at diseased region.The present invention is by vascular puncture sheath protection blood vessel, and intraoperative hemorrhage is easy to control.And stent delivery sheath does not directly contact with femoral artery, support is carried easily, can arterial intima, be difficult for causing postoperative angiostenosis, thrombosis, the complication such as Lower-Extremity Ischemia.In band of the present invention, the large scale vascular puncture sheath of shutoff sacculus is on probation respond well in operation, has reached Expected Results.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is annular air-pocket structural representation.
The specific embodiment
As shown in Figure 1-2, sheath pipe 1, tube for transfusion internal diameter 2, sheath handle 5, the outlet 3 of interior tube for transfusion, interior tube for transfusion 4, outer tube for transfusion 6, annular air-pocket 7, aerating device 8, inflation locking device 8-1, balloon catheter 9, folded limit 10, central membrane 11, balloon catheter union joint 12.Sheath pipe adopts rustless steel or hard macromolecular material, and sacculus adopts latex or elastic composite rubber-plastic material.
The present invention is built-in with annular air-pocket 7 at the sheath pipe of traditional vascular puncture sheath, annular air-pocket 7 is prepared by latex, by connecting aerating device 8(, can be any source of the gas that mechanical pump provides malleation, also can be hand gun), inflation locking device 8-1 can be the stop valve of malleation gas source pipe, can be also the fixture of loosing core of syringe.
Annular air-pocket 7 can be also irregular shape, as tubulose air bag 7 turns in the structure of annular air-pocket, can be provided with in tubulose air bag 7 lap-joints the passage of turnover apparatus (function with sealed envelope, elastic packing).Also can be the structure of similar water wing, but there be closing membrane (function with sealed envelope, elastic packing) in central authorities, can enter and seal for apparatus.
Vagina vasorum of the present invention is when performing the operation, and sheath pipe, when needs liquid medicine injection or cleanout fluid, all can regulate the degree of sealing.
Annular air-pocket is connected with balloon catheter by balloon catheter union joint, and balloon catheter is placed in sheath 1 outside or is the inner chamber of sheath pipe.
Embodiments of the invention do not limit the present invention, anyly based on simple modifications of the present invention, do not exceed the scope of protection of present invention.
Claims (3)
1. aortic blood tube chamber intervene operation puncture sheath, is characterized in that comprising sheath pipe, sheath handle, and sheath inside pipe wall is equipped with the rear annular air-pocket that stops up sheath inside pipe wall of inflation, and the central authorities of annular air-pocket have the duct of elastic packaging turnover apparatus; Annular air-pocket connects aerating device by balloon catheter; Aerating device is provided with inflation locking device; The inner chamber of sheath pipe is provided with interior tube for transfusion, and the outlet of interior tube for transfusion is positioned at the front end of annular air-pocket position, and interior tube for transfusion connects from sheath handle; More than the caliber 14F of puncture sheath, be prepared into the multi-lumen tube containing tube for transfusion; There is closing membrane in annular air-pocket central authorities.
2. aortic blood tube chamber intervene operation puncture sheath according to claim 1, is characterized in that, annular air-pocket is turned to the structure of annular air-pocket by tubulose air bag, turn to annular air-pocket and have folded limit; The central closing membrane that the limit of latex builds up.
3. aortic blood tube chamber intervene operation puncture sheath according to claim 1, is characterized in that annular air-pocket passes through balloon catheter union joint and is connected with balloon catheter, and balloon catheter is placed in sheath outside.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310220108.7A CN103252013B (en) | 2013-06-04 | 2013-06-04 | Puncturing sheath for aortic vessel lumen interventional surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310220108.7A CN103252013B (en) | 2013-06-04 | 2013-06-04 | Puncturing sheath for aortic vessel lumen interventional surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103252013A CN103252013A (en) | 2013-08-21 |
| CN103252013B true CN103252013B (en) | 2014-10-22 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310220108.7A Expired - Fee Related CN103252013B (en) | 2013-06-04 | 2013-06-04 | Puncturing sheath for aortic vessel lumen interventional surgery |
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| Country | Link |
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| CN (1) | CN103252013B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110772305B (en) * | 2019-11-22 | 2021-08-13 | 温州医科大学附属第一医院 | Puncture outfit for laparoscopic surgery |
| CN112190334B (en) * | 2020-10-22 | 2022-02-18 | 北京唯迈医疗设备有限公司 | Convenient sterile intervention auxiliary operation robot |
Family Cites Families (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4884573A (en) * | 1988-03-07 | 1989-12-05 | Leocor, Inc. | Very low profile angioplasty balloon catheter with capacity to use steerable, removable guidewire |
| US7226464B2 (en) * | 2001-03-01 | 2007-06-05 | Scimed Life Systems, Inc. | Intravascular filter retrieval device having an actuatable dilator tip |
| CN2649026Y (en) * | 2003-10-31 | 2004-10-20 | 张人美 | Retainable hydropericardium puncturing needle |
| US8764820B2 (en) * | 2005-11-16 | 2014-07-01 | Edwards Lifesciences Corporation | Transapical heart valve delivery system and method |
| CN100405981C (en) * | 2006-06-28 | 2008-07-30 | 金磊 | Occluder delivery system for cardiac surgery department |
| CN100475166C (en) * | 2006-08-29 | 2009-04-08 | 浙江大学 | Internal support type interlayer gas bag venous blocking-up drainage tube |
| WO2010029190A1 (en) * | 2008-09-15 | 2010-03-18 | Joensson Anders | Medical device, method and system for temporary occlusion of an opening in a lumen of a body |
| US9192746B2 (en) * | 2010-06-07 | 2015-11-24 | Cook Medical Technologies Llc | Reperfusion catheter system |
| CN102379731B (en) * | 2011-08-03 | 2014-02-19 | 北京华医圣杰科技有限公司 | Aortic aneurysm dissection stent system and preparation method thereof |
| CN202289179U (en) * | 2011-08-12 | 2012-07-04 | 上海交通大学医学院附属第九人民医院 | Bidirectional conduit exchange sheath |
| CN102551819B (en) * | 2012-01-29 | 2013-09-04 | 南京大学医学院附属鼓楼医院 | Blood vessel puncture plugging sheath with balloon |
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2013
- 2013-06-04 CN CN201310220108.7A patent/CN103252013B/en not_active Expired - Fee Related
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| Publication number | Publication date |
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| CN103252013A (en) | 2013-08-21 |
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Granted publication date: 20141022 Termination date: 20160604 |