CN104586455A - Intervention-type blood vessel hemostasis device - Google Patents

Intervention-type blood vessel hemostasis device Download PDF

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Publication number
CN104586455A
CN104586455A CN201410853624.8A CN201410853624A CN104586455A CN 104586455 A CN104586455 A CN 104586455A CN 201410853624 A CN201410853624 A CN 201410853624A CN 104586455 A CN104586455 A CN 104586455A
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China
Prior art keywords
suture
active blade
baffle plate
coordinating block
blood vessel
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201410853624.8A
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Chinese (zh)
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CN104586455B (en
Inventor
王超
陈娟
杨永森
罗鹏
李博
蒲忠杰
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Shanghai Shape Memory Alloy Material Co Ltd
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Shanghai Shape Memory Alloy Material Co Ltd
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Priority to CN201410853624.8A priority Critical patent/CN104586455B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004(bio)absorbable, (bio)resorbable or resorptive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides an intervention-type blood vessel hemostasis device which comprises a hollow sheath tube, a push rod, a suture line, a fixed baffle plate and a movable baffle plate, wherein the fixed baffle plate and the movable baffle plate are used for clamping blood vessel walls; the suture line, the fixed baffle plate and the movable baffle plate are all made of degradable materials; the push rod, the fixed baffle plate and the movable baffle plate can move in the hollow sheath tube; one end of the suture line is fixedly arranged in the middle position of the fixed baffle plate, and the other end of the suture line passes through a through hole in the middle position of the movable baffle plate; the movable baffle plate can move on the suture line. The intervention-type blood vessel hemostasis device can be used for performing hemostasis on puncturation in an interventional surgery with no need of manually pressing blood vessels by fingers. Compared with an existing intervention-type suture product, the intervention-type blood vessel hemostasis device has the advantages that the use method is greatly simplified, the surgery time can be effectively saved, complications are reduced, and the time spent in learning operation steps by doctors can also be shortened.

Description

A kind of insertion type Vascular haemostasis device
Technical field
The present invention relates to a kind of medical apparatus and instruments, particularly relate to a kind of insertion type Vascular haemostasis device for intervene operation.
Background technology
In the Surgery of current medical field, the puncture through stock artery and vein path is the most common, such as coronary angioplasty and stenter to implant, and this is the common conduits interventional technique for the treatment of adverse cardiac at present.Intervene operation terminates rear needs and processes the puncture orifice on artery and vein blood vessel, and the puncture orifice process generally on vein blood vessel is comparatively simple; Puncture orifice process on arteries is comparatively complicated, and its processing method generally adopts finger presses method or mechanical pressure method to stop blooding.The more difficult grasp of finger presses method, if pressing is too light, easily there is tremulous pulse massive hemorrhage, if pressing is too tight easily form limb artery thrombosis again, presses and improperly also can produce hematoma in site of puncture, if the coagulation function of patient self is bad, then can produce the livid purple and subcutaneous mass of larger area.In addition, because the method for finger presses needs artificial to arterial vascular local pressing type hemostasia, about pressing time generally will reach half an hour, use sandbag pressing subsequently 6 hours, corrective surgery side limbs will keep stretching and brake 12 hours simultaneously, could sit up in bed after 12 hours, can not out-of-bed activity in 24 hours, the urinating of patient, defecation are all very difficult.Mechanical pressure method uses armarium to press arterial vascular puncture place, but this method uses dumb, different according to the lesion locations of patient, and it is difficult to accomplish to use freely, and therefore the use of mechanical pressure method is less.Along with the development of science and technology, adopt blood vessel suture instrument to process arterial vascular puncture orifice and be widely used clinically.General blood vessel suture instrument mainly comprises radiography seal wire, stiching instrument sheath pipe, device of having an injection, pull bar, knot pusher etc., its structure related to is more, therefore its operational approach is more complicated, the use step of some blood vessel suture instrument is even more than general intervene operation itself, and this also just result in doctor needs to spend a lot of time to go study and knack.In addition, because its step is many, complicated operation, so also easily there is malpractice.
So more than comprehensive, need a kind of novel vascular hemostasis device badly and operate to facilitate doctor, save operating time.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of simple to operate, insertion type Vascular haemostasis device of saving operating time, to overcome the above-mentioned defect of prior art.
In order to solve the problems of the technologies described above, the present invention adopts following technical scheme: a kind of insertion type Vascular haemostasis device, comprise hollow sheath pipe, push rod, suture, and fixing catch and the active blade of clamp blood vessels wall can be used for, described suture, fixing catch and active blade are degradation material, described push rod, fixing catch and active blade can move in hollow sheath pipe, one end of described suture is fixed on the centre position of fixing catch, the other end is through the through hole in active blade centre position, and described active blade can move on suture.
Preferably, also comprise limited block and coordinating block, described limited block is provided with stopper slot, and described suture is through coordinating block, and described coordinating block is locked with stopper slot and coordinated, and after coordinating block coordinates with stopper slot, limited block abuts in the outside of active blade.
Further, described coordinating block can move on suture, and described limited block is made up of hard material, described coordinating block is made up of soft material, the volume of described coordinating block is greater than the volume of stopper slot, and after coordinating block coordinates with stopper slot, coordinating block can not move on suture.
Further, described coordinating block is provided with multiple and is all fixed on suture, and described coordinating block can through the through hole on active blade, and described limited block can not pass through hole.
Preferably, described push rod has axial through hole, and described suture can pass described through hole.
Preferably, the surface of described fixing catch and active blade all applies blood coagulation substance.
Further, the material of described suture, fixing catch and active blade is polylactic acid PLA, poly (lactic acid-glycolic acid) PLGA, PGA PGA, PPDO PDO or polycaprolactone (PCL).
As mentioned above, a kind of insertion type Vascular haemostasis device of the present invention, has following beneficial effect:
The present invention can stop blooding to the puncture in intervene operation, artificial finger is not needed to press blood vessel, using method of the present invention greatly simplifies compared with existing intervention sewn product, not only effectively can save operating time, reduce complication, and the time of doctor's learning manipulation step can also be shortened.Hollow sheath pipe in the present invention can use existing conveyer device, and each assembly involved by other also easily makes, and greatly saves the cost of input.
Accompanying drawing explanation
Fig. 1 is structure chart of the present invention.
Fig. 2 is the working state schematic representation of Fig. 1.
Fig. 3 is fundamental diagram of the present invention.
Fig. 4 is optimal way structure chart of the present invention.
Fig. 5 is optimal way structure chart of the present invention.
Fig. 6 is the working state schematic representation of Fig. 3 and Fig. 4.
In figure: 1 hollow sheath pipe 2 push rod
21 through hole 3 sutures
4 fixing catch 5 active blades
51 through hole 6 limited blocks
61 stopper slot 7 coordinating blocks
8 blood vessel wall
Detailed description of the invention
The structure that Figure of description illustrates, ratio, size etc., content all only in order to coordinate description to disclose, understand for person skilled in the art scholar and read, and be not used to limit the enforceable qualifications of the present invention, therefore the not technical essential meaning of tool, the adjustment of the modification of any structure, the change of proportionate relationship or size, is not affecting under effect that the present invention can produce and the object that can reach, and all should still drop in scope that disclosed technology contents can contain.Simultaneously, quote in this description as " on ", D score, "front", "rear", the term such as " centre ", also only for ease of understanding of describing, and be not used to limit the enforceable scope of the present invention, the change of its relativeness or adjustment, under changing technology contents without essence, when being also considered as the enforceable category of the present invention.
Embodiment one: as shown in Figure 1-Figure 3, a kind of insertion type Vascular haemostasis device of the present invention, comprise hollow sheath pipe 1, push rod 2, suture 3, and fixing catch 4 and the active blade 5 of clamp blood vessels wall 8 can be used for, described suture 3, fixing catch 4 and active blade 5 are degradation material, described push rod 2, fixing catch 4 and active blade 5 can move in hollow sheath pipe 1, and hollow sheath pipe 1 is for being transported to operating position by fixing catch 4 and active blade 5.One end of described suture 3 is fixed on the centre position of fixing catch 4, and the other end is through the through hole 51 in active blade 5 centre position, and described active blade 5 can move on suture 3.Using method of the present invention and principle are: blood vessel wall 8 position first hollow sheath pipe 1 being inserted into puncture in use, then fixing catch 4 is first pushed into the inner side of blood vessel wall 8 by push rod 2, push away and pull back hollow sheath pipe 1 after being put into position and deviate from from blood vessel wall 8, then active blade 5 is pushed to the outside of blood vessel wall 8 by push rod 2; After fixing catch 4 and active blade 5 are stabilized in the inside and outside both sides of blood vessel wall 8, by suture 3, active blade 5 is locked, namely as shown in Figures 2 and 3, by the clamping action of fixing catch 4 and movable slider 5, the blood vessel wall 8 of puncture is clamped in centre position, with this, puncture vessel is stopped blooding.Its locking mode of active blade 5 has multiple, such as, can realize locking by being tied a knot by suture 3, also can realize locking by frictional force between suture 3 and active blade 5.Through verification experimental verification, between suture 3 and active blade 5, do not need too large frictional force can realize locking and can ensure to match with clamp blood vessels wall 8 with fixing catch 4, so above-mentioned locking method can realize.
Embodiment two: composition graphs 3-Fig. 5, in order to ensure the clamp blood vessels wall 8 that fixing catch 4 and active blade 5 can be stable, on the basis of embodiment one preferably, also comprise limited block 6 and coordinating block 7, described limited block 6 is provided with stopper slot 61, described suture 3 is through coordinating block 7, described coordinating block 7 is locked with stopper slot 61 and is coordinated, coordinating block 7 coordinates rear limited block 6 to abut in the outside of active blade 5 with stopper slot 61, thus the position of restraint catch 5, guarantee the clamp blood vessels wall 8 that fixing catch 4 and active blade 5 can be stable.Limited block 6 in the present embodiment and coordinating block 7 are degradation material.
Embodiment three: shown in composition graphs 3-Fig. 5, on the basis of embodiment two, in order to adapt to the situation such as the different-thickness of blood vessel wall 8, the association complexity between blood vessel wall 8 and skin histology, described coordinating block 7 can move on suture 3, thus the spacing of the fixing catch 4 of adjustment and active blade 5 or position relationship; But have certain frictional force between the coordinating block in the present embodiment 7 and suture 3, therefore coordinating block 7 can not be deviate from from suture 3.Limited block 6 described in the present embodiment is made up of hard material, described coordinating block 7 is made up of soft material, the volume of described coordinating block 7 is greater than the volume of stopper slot 61, so after coordinating block 7 coordinates with stopper slot 61, can deformation be there is in coordinating block 7, its volume is because the restriction of stopper slot 61 can diminish, therefore the frictional force between coordinating block 7 and suture 3 can be caused to increase further, and then also just prevent coordinating block 7 to move on suture 3 with limited block 6, thus realize locking, also just ensure that the relative position between fixing catch 4 and active blade 5 can not change, thus clamp blood vessels wall 8.
Embodiment four: shown in composition graphs 3, Fig. 5 and Fig. 6, on the basis of embodiment two, in order to adapt to the situation such as the different-thickness of blood vessel wall 8, the association complexity between blood vessel wall 8 and skin histology, realize the fixing catch 4 of adjustment and the spacing of active blade 5 or the technique effect of position relationship, described coordinating block 7 is provided with multiple and is all fixed on suture 3 in the present embodiment, described coordinating block 7 can through the through hole 51 on active blade 5, and described limited block 6 can not pass through hole 51.Its structural principle is: each coordinating block 7 all can realize locking with stopper slot 61 and coordinate, when distance between fixing catch 4 and active blade 5 needs to increase, fixing coordinating block 7 between catch 4 and limited block 6 is all by the through hole 51 on active blade 5, friction tight coordinating block 7 is locked then not by the through hole 51 on active blade 5 with the stopper slot 61 of limited block 6, thus the distance adjustment also just achieved between fixing catch 4 and active blade 5, cut off suture 3 after adjusting and unnecessary coordinating block 7 is removed; When distance between fixing catch 4 and active blade 5 will reduce, limited block 6 is promoted to fixing catch 4 side always, coordinates until lock with the most suitable coordinating block 7 in position, then cut off suture 3 and unnecessary coordinating block 7 is removed.
Fixing catch 4, active blade 5 and limited block 7 are pushed to precalculated position for the ease of push rod 2 by the present invention, described push rod 2 has axial through hole 21, described suture 3 can pass described through hole 21, and then can avoid the interference of suture 3 pairs of push rods 2, increases work efficiency.
The surface fixing catch 4 and active blade 5 described in the present invention all applies blood coagulation substance, such as hemostasis gel etc., thus accelerates hemostasis further, improves the reparation speed of blood vessel wall 8.
The material of suture 3 described in the present invention, fixing catch 4, active blade 5, limited block 6 and coordinating block 7 can adopt one or more of the degradation materials such as polylactic acid PLA, poly (lactic acid-glycolic acid) PLGA, PGA PGA, PPDO PDO or polycaprolactone (PCL).
In sum, a kind of insertion type Vascular haemostasis device of the present invention, can solve the problem of intervene operation medium vessels wall hemostasis inconvenience.So the present invention effectively overcomes practical problems more of the prior art thus has very high value and use meaning.
Above-mentioned embodiment is illustrative principle of the present invention and effect thereof only, but not for limiting the present invention.The present invention also has many aspects can improve under the prerequisite of overall thought, all without prejudice under spirit of the present invention and category, can modify above-described embodiment or change for person skilled in the art scholar.Therefore, such as have in art usually know the knowledgeable do not depart from complete under disclosed spirit and technological thought all equivalence modify or change, must be contained by claim of the present invention.

Claims (7)

1. an insertion type Vascular haemostasis device, it is characterized in that: comprise hollow sheath pipe (1), push rod (2), suture (3), and fixing catch (4) and the active blade (5) of clamp blood vessels wall (8) can be used for, described suture (3), fixing catch (4) and active blade (5) are degradation material, described push rod (2), fixing catch (4) and active blade (5) can be mobile in hollow sheath pipe (1), one end of described suture (3) is fixed on the centre position of fixing catch (4), the other end is through the through hole (51) in active blade (5) centre position, described active blade (5) can be upper mobile at suture (3).
2. a kind of insertion type Vascular haemostasis device according to claim 1, it is characterized in that: also comprise limited block (6) and coordinating block (7), described limited block (6) is provided with stopper slot (61), described suture (3) is through coordinating block (7), described coordinating block (7) is locked with stopper slot (61) and is coordinated, and after coordinating block (7) coordinates with stopper slot (61), limited block (6) abuts in the outside of active blade (5).
3. a kind of insertion type Vascular haemostasis device according to claim 2, it is characterized in that: described coordinating block (7) can be upper mobile at suture (3), described limited block (6) is made up of hard material, described coordinating block (7) is made up of soft material, the volume of described coordinating block (7) is greater than the volume of stopper slot (61), after coordinating block (7) coordinates with stopper slot (61), coordinating block (7) can not be upper mobile at suture (3).
4. a kind of insertion type Vascular haemostasis device according to claim 2, it is characterized in that: described coordinating block (7) is provided with multiple and is all fixed on suture (3), described coordinating block (7) can pass the through hole (51) on active blade (5), and described limited block (6) can not pass through hole (51).
5. a kind of insertion type Vascular haemostasis device according to claim 1, is characterized in that: described push rod (2) has axial through hole (21), and described suture (3) can pass described through hole (21).
6. a kind of insertion type Vascular haemostasis device according to claim 1, is characterized in that: the surface of described fixing catch (4) and active blade (5) all applies blood coagulation substance.
7. according to the arbitrary described a kind of insertion type Vascular haemostasis device of claim 1-6, it is characterized in that: the material of described suture (3), fixing catch (4) and active blade (5) is polylactic acid PLA, poly (lactic acid-glycolic acid) PLGA, PGA PGA, PPDO PDO or polycaprolactone (PCL).
CN201410853624.8A 2014-12-31 2014-12-31 A kind of insertion type Vascular haemostasis device Active CN104586455B (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107802311A (en) * 2017-11-20 2018-03-16 乐普(北京)医疗器械股份有限公司 A kind of Wholly-degradable vessel sealing structure
CN110522499A (en) * 2019-09-26 2019-12-03 济南市儿童医院(山东大学齐鲁儿童医院) Blood vessel puncture sealing device
CN112120751A (en) * 2020-10-22 2020-12-25 于洪波 Interventional blood vessel hemostasis device for medical operation
CN114521931A (en) * 2022-03-18 2022-05-24 安徽省立医院(中国科学技术大学附属第一医院) System and method for closing vascular wound
CN114521930A (en) * 2022-03-18 2022-05-24 安徽省立医院(中国科学技术大学附属第一医院) Suturing device and method for closing blood vessel opening
WO2023163746A1 (en) * 2022-02-25 2023-08-31 Catheter Precision, Inc. Surgical vessel closing pressure device

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CN101066219A (en) * 2007-06-01 2007-11-07 哈尔滨工程大学 Interventional blocking device for vein and artery hemostasis
CN101856279A (en) * 2010-02-04 2010-10-13 李弘� Blood vessel blocking device
US20140303747A1 (en) * 2012-04-08 2014-10-09 Jhpiego Corporation Automatically-Deflating, Postpartum Tamponade
CN204520834U (en) * 2014-12-31 2015-08-05 上海形状记忆合金材料有限公司 A kind of insertion type Vascular haemostasis device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101066219A (en) * 2007-06-01 2007-11-07 哈尔滨工程大学 Interventional blocking device for vein and artery hemostasis
CN101856279A (en) * 2010-02-04 2010-10-13 李弘� Blood vessel blocking device
US20140303747A1 (en) * 2012-04-08 2014-10-09 Jhpiego Corporation Automatically-Deflating, Postpartum Tamponade
CN204520834U (en) * 2014-12-31 2015-08-05 上海形状记忆合金材料有限公司 A kind of insertion type Vascular haemostasis device

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107802311A (en) * 2017-11-20 2018-03-16 乐普(北京)医疗器械股份有限公司 A kind of Wholly-degradable vessel sealing structure
CN110522499A (en) * 2019-09-26 2019-12-03 济南市儿童医院(山东大学齐鲁儿童医院) Blood vessel puncture sealing device
CN112120751A (en) * 2020-10-22 2020-12-25 于洪波 Interventional blood vessel hemostasis device for medical operation
CN112120751B (en) * 2020-10-22 2024-08-02 河南省晟福医药有限公司 Interventional vascular hemostasis device for medical operation
WO2023163746A1 (en) * 2022-02-25 2023-08-31 Catheter Precision, Inc. Surgical vessel closing pressure device
CN114521931A (en) * 2022-03-18 2022-05-24 安徽省立医院(中国科学技术大学附属第一医院) System and method for closing vascular wound
CN114521930A (en) * 2022-03-18 2022-05-24 安徽省立医院(中国科学技术大学附属第一医院) Suturing device and method for closing blood vessel opening
CN114521930B (en) * 2022-03-18 2023-07-25 安徽省立医院(中国科学技术大学附属第一医院) Suturing device and method for closing vascular opening
CN114521931B (en) * 2022-03-18 2023-07-25 安徽省立医院(中国科学技术大学附属第一医院) System and method for closing a vascular wound

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