CN104586455B - A kind of insertion type Vascular haemostasis device - Google Patents
A kind of insertion type Vascular haemostasis device Download PDFInfo
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- CN104586455B CN104586455B CN201410853624.8A CN201410853624A CN104586455B CN 104586455 B CN104586455 B CN 104586455B CN 201410853624 A CN201410853624 A CN 201410853624A CN 104586455 B CN104586455 B CN 104586455B
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- suture
- active blade
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- block
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical 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 present invention provides a kind of insertion type Vascular haemostasis device, including hollow sheath pipe, push rod, suture, and can be used for clamping the fixing catch of blood vessel wall and active blade, 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, and the other end is through the through hole in active blade centre position, and described active blade can move on suture.The puncture got involved in operation can be stopped blooding by the present invention, need not artificial finger blood vessel is pressed, the using method of the present invention is greatly simplified compared with existing intervention sewn product, it is possible not only to be effectively saved operating time, reduce complication, and the time of doctor's learning manipulation step can also be shortened.
Description
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 getting involved operation.
Background technology
In the Surgery of current medical field, most commonly seen through the puncture in stock artery and vein path, the most crown
Arterioplasty and stenter to implant, this is the common conduits interventional technique treating adverse cardiac at present.Get involved after operation terminates and need
Will process the puncture orifice on artery and vein blood vessel, generally the puncture orifice on vein blood vessel processes relatively simple；Dynamic
Puncture orifice on arteries and veins blood vessel processes complex, and its processing method typically uses finger pressure maniputation or mechanical pressure method only to carry out
Blood., if pressing is too light, easily there is tremulous pulse massive hemorrhage in the more difficult grasp of finger pressure maniputation, if pressing is too tightly the most easily formed
Limb artery thrombosis, press improper also can site of puncture produce hematoma, if the coagulation function of patient self is bad, then can produce
Raw larger area is livid purple and subcutaneous mass.Additionally, because the method for finger pressing needs artificial to arterial vascular local compression
Hemostasis, about pressing time half an hour to be reached, uses sandbag pressing 6 hours, corrective surgery side limbs simultaneously subsequently
Keep stretching and braking 12 hours, could sit up in bed after 12 hours, in 24 hours can not out-of-bed activity, the row of patient
Urine, defecation are the most difficult.Mechanical pressure method is to use armarium to press at arterial vascular puncture, but this
Method uses dumb, and the lesion locations according to patient is different, and it is difficult to accomplish to use freely, the therefore use of mechanical pressure method
Less.Along with the development of science and technology, use blood vessel suture instrument that arterial vascular puncture orifice is processed and obtain the most clinically extensively
General application.General blood vessel suture instrument mainly includes radiography seal wire, stiching instrument sheath pipe, device of having an injection, pull bar, knot pusher etc., its
The structure related to is more, and therefore its operational approach is the most complex, and the use step even ratio of some blood vessel suture instrument is typically
Getting involved operation itself more, this also has led to doctor needs to take a lot of time study knack.Additionally, because it walks
Rapid many, operation complexity, so being also susceptible to malpractice.
So more than Zong He, need a kind of novel vascular hemostasis device badly to facilitate doctor to operate, save operating time.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of insertion type blood vessel simple to operate, saving operating time to stop
Blood device, to overcome the drawbacks described above of prior art.
In order to solve above-mentioned technical problem, the present invention adopts the following technical scheme that a kind of insertion type Vascular haemostasis device, bag
Include hollow sheath pipe, push rod, suture, and can be used for clamping the fixing catch of blood vessel wall and active blade, described suture, fixing gear
Sheet and active blade are degradation material, and described push rod, fixing catch and active blade can move in hollow sheath pipe, described
One end of suture is fixed on the centre position of fixing catch, and the other end is through the through hole in active blade centre position, described activity
Catch can move on suture.
Preferably, also including that limited block and coordinating block, described limited block are provided with stopper slot, described suture is through coordinating
Block, the locking of described coordinating block and stopper slot coordinates, 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 cooperation
Block is made up of soft material, and the volume of described coordinating block is more than the volume of stopper slot, after coordinating block coordinates with stopper slot, coordinates
Block can not move on suture.
Further, described coordinating block is provided with multiple and is each attached on suture, and described coordinating block can pass active catch
Through hole on sheet, described limited block cannot pass through 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 is coated with 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 it has been described above, one insertion type Vascular haemostasis device of the present invention, have the advantages that
The puncture got involved in operation can be stopped blooding by the present invention, it is not necessary to blood vessel is pressed by artificial finger,
The using method of the present invention is greatly simplified compared with existing intervention sewn product, is possible not only to be effectively saved operating time, subtract
Few 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, other each involved assemblies the most easily make, and are greatly saved the cost of input.
Accompanying drawing explanation
Fig. 1 is the structure chart of the present invention.
Fig. 2 is the working state schematic representation of Fig. 1.
Fig. 3 is the fundamental diagram of the present invention.
Fig. 4 is the optimal way structure chart of the present invention.
Fig. 5 is the 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 fix catch 5 active blade
51 through hole 6 limited blocks
61 stopper slot 7 coordinating blocks
8 blood vessel wall
Detailed description of the invention
Structure depicted in Figure of description, ratio, size etc., the most only in order to coordinate the content disclosed in description, with
Understand for those skilled in the art and read, being not limited to the enforceable qualifications of the present invention, therefore do not have technically
Essential meaning, the modification of any structure, the change of proportionate relationship or the adjustment of size, do not affecting what the present invention can be generated by
Under effect and the purpose that can reach, all should still fall in the range of disclosed technology contents can be contained.Meanwhile,
In this specification cited as " on ", D score, "front", "rear", the term such as " middle ", be merely convenient to the clear of narration, and
It is not used to limit the enforceable scope of the present invention, being altered or modified of its relativeness, is changing under technology contents without essence, when
Also the enforceable category of the present invention it is considered as.
Embodiment one: as shown in Figure 1-Figure 3, one insertion type Vascular haemostasis device of the present invention, including hollow sheath pipe 1, push away
Bar 2, suture 3, and can be used for clamping the fixing catch 4 of blood vessel wall 8 and active blade 5, described suture 3, fixing catch 4 and work
Dynamic catch 5 is degradation material, and described push rod 2, fixing catch 4 and active blade 5 can move in hollow sheath pipe 1, 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 fixing catch 4
Centre position, 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 and the principle of the present invention be: hollow sheath pipe 1 is the most first inserted into blood vessel wall 8 position of puncture, then will
Fixing catch 4 is first pushed into the inner side of blood vessel wall 8 by push rod 2, pushes away and pulls back hollow sheath pipe 1 after being put into position from blood vessel wall 8
Middle abjection, then active blade 5 is pushed to by push rod 2 outside of blood vessel wall 8；When fixing catch 4 and active blade 5 are stablized
After the inside and outside both sides of blood vessel wall 8, by suture 3, active blade 5 is locked, the most as shown in Figures 2 and 3, by fixing catch 4
With the clamping action of 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 be by realization locking of being tied a knot by suture 3, it is also possible to by suture 3 with
Between active blade 5, frictional force realizes locking.The biggest friction is need not between verification experimental verification, suture 3 and active blade 5
Power can realize locking and ensure that and fix catch 4 and match to clamp blood vessel wall 8, so above-mentioned locking method is permissible
Realize.
Embodiment two: combine Fig. 3-Fig. 5, clamping blood vessel wall that can be stable in order to ensure fixing catch 4 and active blade 5
8, on the basis of embodiment one preferably, also include that limited block 6 and coordinating block 7, described limited block 6 are provided with stopper slot 61,
Described suture 3 coordinates through coordinating block 7, described coordinating block 7 with stopper slot 61 locking, and coordinating block 7 limits after coordinating with stopper slot 61
Position block 6 abuts in the outside of active blade 5, thus the position of restraint catch 5, it is ensured that fixing catch 4 and active blade 5 energy
Stable clamping blood vessel wall 8.Limited block 6 and coordinating block 7 in the present embodiment are degradation material.
Embodiment three: combine shown in Fig. 3-Fig. 5, on the basis of embodiment two, in order to adapt to the different thick of blood vessel wall 8
The situations such as degree, association between blood vessel wall 8 and skin histology are complicated, described coordinating block 7 can move on suture 3, from
And adjust fixing catch 4 and the spacing of active blade 5 or position relationship；But the coordinating block in the present embodiment 7 and suture 3 it
Between there is certain frictional force, therefore coordinating block 7 will not be deviate from from suture 3.Limited block 6 described in the present embodiment is by hard
Material is made, and described coordinating block 7 is made up of soft material, and the volume of described coordinating block 7 is more than the volume of stopper slot 61, so working as
After coordinating block 7 coordinates with stopper slot 61, coordinating block 7 can deform upon, and its volume can diminish because of the restriction effect of stopper slot 61,
Therefore the frictional force between coordinating block 7 and suture 3 can be caused to increase further, and then also it is prevented that coordinating block 7 is with spacing
Block 6 moves on suture 3, thus realizes locking, also ensures that the relative position between fixing catch 4 and active blade 5 not
Can change, thus clamp blood vessel wall 8.
Embodiment four: combine shown in Fig. 3, Fig. 5 and Fig. 6, on the basis of embodiment two, in order to adapt to blood vessel wall 8 not
The situations such as stack pile, association between blood vessel wall 8 and skin histology are complicated, it is achieved adjust fixing catch 4 and active blade 5
Spacing or the technique effect of position relationship, the most described coordinating block 7 is provided with multiple and is each attached to suture 3
On, described coordinating block 7 can be through the through hole 51 on active blade 5, and described limited block 6 cannot pass through through hole 51.Its structural principle
It is: each coordinating block 7 all can realize locking with stopper slot 61 and coordinate, and the distance between fixing catch 4 and active blade 5 needs
During increase, fixing coordinating block 7 between catch 4 and limited block 6 all can by the through hole 51 on active blade 5, and with limited block 6
Stopper slot 61 lock friction tight coordinating block 7 and then by the through hole 51 on active blade 5, thus can not also be achieved that fixing gear
Distance between sheet 4 and active blade 5 adjusts, and cuts off suture 3 and removed by unnecessary coordinating block 7 after adjusting；When fixing catch 4
And distance between active blade 5 to be reduced time, limited block 6 is promoted to fixing catch 4 side always, until closing most with position
Suitable coordinating block 7 locking coordinates, and then cuts off suture 3 and is removed by unnecessary coordinating block 7.
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, institute
Stating push rod 2 and have axial through hole 21, described suture 3 can pass described through hole 21, and then suture 3 can be avoided push rod 2
Interference, improves work efficiency.
The surface of heretofore described fixing catch 4 and active blade 5 is coated with blood coagulation substance, such as hemostasis gel etc.,
Thus further speed up hemostasis, improve the reparation speed of blood vessel wall 8.
The material of heretofore described suture 3, fixing catch 4, active blade 5, limited block 6 and coordinating block 7 can use
The degradables such as polylactic acid PLA, poly (lactic acid-glycolic acid) PLGA, PGA PGA, PPDO PDO or polycaprolactone (PCL)
One or more of material.
In sum, one insertion type Vascular haemostasis device of the present invention, it is possible to solve to get involved operation medium vessels wall and stop blooding not
Just problem.So, the present invention effectively overcome practical problems more of the prior art thus have the highest value and
Use meaning.
The principle of the above-mentioned embodiment only illustrative present invention and effect thereof, not for limiting the present invention.This
Bright also have many aspects can improve on the premise of overall thought, all can be for those skilled in the art
Under the spirit and the scope of the present invention, above-described embodiment can be modified or change.Therefore, art such as
All equivalences that middle tool usually intellectual is completed under without departing from disclosed spirit and technological thought modify or
Change, must be contained by the claim of the present invention.
Claims (7)
1. an insertion type Vascular haemostasis device, it is characterised in that: include hollow sheath pipe (1), push rod (2), suture (3), and
Can be used for clamping the fixing catch (4) of blood vessel wall (8) and active blade (5), described suture (3), fixing catch (4) and active catch
Sheet (5) is degradation material, and described push rod (2), fixing catch (4) and active blade (5) can move in hollow sheath pipe (1)
Dynamic, one end of described suture (3) is fixed on the centre position of fixing catch (4), and the other end passes active blade (5) centre position
Through hole (51), described active blade (5) can be upper mobile at suture (3).
A kind of insertion type Vascular haemostasis device the most according to claim 1, it is characterised in that: also include limited block (6) and
Coordinating block (7), described limited block (6) is provided with stopper slot (61), and described suture (3) passes coordinating block (7), described coordinating block
(7) coordinating with stopper slot (61) locking, after coordinating block (7) coordinates with stopper slot (61), limited block (6) abuts in active blade (5)
Outside.
A kind of insertion type Vascular haemostasis device the most according to claim 2, it is characterised in that: described coordinating block (7) can
Upper mobile at suture (3), described limited block (6) is made up of hard material, and described coordinating block (7) is made up of soft material, described
The volume of coordinating block (7) is more than the volume of stopper slot (61), and after coordinating block (7) coordinates with stopper slot (61), coordinating block (7) is no
Can be upper mobile at suture (3).
A kind of insertion type Vascular haemostasis device the most according to claim 2, it is characterised in that: described coordinating block (7) is provided with
Multiple and be each attached on suture (3), described coordinating block (7) can pass the through hole (51) on active blade (5), described spacing
Block (6) cannot pass through through hole (51).
A kind of insertion type Vascular haemostasis device the most according to claim 1, it is characterised in that: described push rod (2) has axle
To through hole (21), described suture (3) can pass described through hole (21).
A kind of insertion type Vascular haemostasis device the most according to claim 1, it is characterised in that: described fixing catch (4) and
The surface of active blade (5) is coated with blood coagulation substance.
7. according to the arbitrary described a kind of insertion type Vascular haemostasis device of claim 1-6, it is characterised in that: described suture (3),
The material of fixing catch (4) and active blade (5) is polylactic acid PLA, poly (lactic acid-glycolic acid) PLGA, PGA PGA, gathers two
Oxygen Ketohexamethylene PDO or polycaprolactone (PCL).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410853624.8A CN104586455B (en) | 2014-12-31 | 2014-12-31 | A kind of insertion type Vascular haemostasis device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410853624.8A CN104586455B (en) | 2014-12-31 | 2014-12-31 | A kind of insertion type Vascular haemostasis device |
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| CN104586455A CN104586455A (en) | 2015-05-06 |
| CN104586455B true CN104586455B (en) | 2016-08-24 |
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Families Citing this family (6)
| 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 |
| CN110522499B (en) * | 2019-09-26 | 2020-07-28 | 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 |
| US20230270423A1 (en) * | 2022-02-25 | 2023-08-31 | Catheter Precision, Inc. | Surgical vessel closing pressure device |
| 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 |
| 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 |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN100553572C (en) * | 2007-06-01 | 2009-10-28 | 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 |
| US9421036B2 (en) * | 2012-04-08 | 2016-08-23 | 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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