CN105107091B - Sealing-plug and the implantable medical device using the sealing-plug - Google Patents

Sealing-plug and the implantable medical device using the sealing-plug Download PDF

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Publication number
CN105107091B
CN105107091B CN201510517135.XA CN201510517135A CN105107091B CN 105107091 B CN105107091 B CN 105107091B CN 201510517135 A CN201510517135 A CN 201510517135A CN 105107091 B CN105107091 B CN 105107091B
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China
Prior art keywords
hole
plug
diameter
sealing
cock body
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CN105107091A (en
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不公告发明人
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Beijing Pins Medical Co Ltd
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Beijing Pins Medical Co Ltd
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Abstract

The present invention relates to a kind of sealing-plug, its be used for implantable medical device and including:One cock body prepared using insulating elastic material, the top of the cock body has a groove, and the bottom of the cock body, which has, has a gap for connecting the groove with hole inside a hole, and the cock body;The gap is used to make a screwdriver pass through the cock body, and described hole is used for the screw of partial receipt one;Wherein, described hole includes first hole and the second hole for setting gradually and being interconnected from inside to outside, and diameter of the diameter less than second hole of first hole.Further, the invention further relates to a kind of implantable medical device using above-mentioned sealing-plug.

Description

Sealing-plug and the implantable medical device using the sealing-plug
Technical field
The invention belongs to mini-medical instrument field, more particularly to a kind of sealing-plug and the implanted using the sealing-plug Medical treatment device.
Background technology
At present, implantable medical device, is widely used in the diseases such as treatment nervous system, cardiac system.Implantable medical Device includes lesions located in deep brain, and implanted cortex is stimulated, implanted spinal cord stimulation trial, and implanted Sacral nerve electrical stimulation is planted Enter the electro photoluminescence of formula vagus nerve, implantable cardiac electric stimulation (being commonly called as pacemaker), implanted drug infusion system etc..
, it is necessary to safely and steadily run after these implantable medical devices implantation human body, this is accomplished by ensureing each connecting portion The sealing of position, prevents body fluid penetrates into from being impacted to circuit transmission.Implantable medical device will be in use, generally will first stimulate electricity The connecting portion of impulse generator is inserted in pole or one end of extension lead, then using holding screw by the stimulation of the insertion connecting portion Electrode or extension lead locking.Thus it is guaranteed that the sealing of connection end is very crucial.Existing way is placed above screw Sealing-plug, screwdriver is through sealing-plug to screw and rotary screw locking during locking, and then screwdriver is extracted and sealing-plug is closed.
Publication No. CN103893911A Chinese patent application discloses a kind of sealing-plug.However, the sealing-plug bottom is recessed Groove is suitable with tip of screw size, so that tip of screw withstands on the bottom surface of the sealing-plug bottom groove completely when using.Therefore, when Screwdriver from otch insert when, between screwdriver and tip of screw can to part sealing-plug cock body formation one larger squeezing action Power, so as to cause the part sealing-plug cock body to be extruded damage, it is difficult to resile.
The content of the invention
Sealing-plug and use that cock body is extruded damage are not resulted in when in view of this, it is necessory to provide a kind of use The implantable medical device of the sealing-plug.
A kind of sealing-plug, its be used for implantable medical device and including:One cock body prepared using insulating elastic material, institute Stating the top of cock body has a groove, and the bottom of the cock body, which has inside a hole, and the cock body, has one by the groove The gap connected with hole;The gap is used to make a screwdriver pass through the cock body, and described hole is used for the screw of partial receipt one; Wherein, described hole includes first hole and the second hole for setting gradually and being interconnected from inside to outside, and described first The diameter of hole is less than the diameter of second hole.
Further, when the space of first hole formation can accommodate screwdriver insertion, the cock body near the gap Downward deflection.
Further, the aperture of first hole is more than the diameter of the screwdriver knife bar and is less than the interior of the screw Footpath;The aperture of second hole is more than the external diameter of the screw.
Further, described hole also includes one and is arranged at the connected on the outside of second hole and with second hole Three holes, the aperture of the 3rd hole is less than the external diameter of the screw and more than or equal to the internal diameter of the screw.
Further, the groove has two concave curvatures, and the gap passes through the bottom portion of groove center and edge The length direction extension of the groove, the gap at least extends to relative another side from a side of the groove.
Further, the sealing-plug is Split type structure, and the cock body is arranged at the core on the base including a base, one And it is sheathed on the sleeve on the core.
Further, the base and the core are round table-like;The height of the base is less than the height of the core And diameter is more than the diameter of the core;The base is coaxially disposed and is integrally formed with the core;The sleeve be one in Hollow round column;The interior diameter through equal to or less than the core of the sleeve;The external diameter of the sleeve is equal to the straight of the base Footpath.
Further, the insulating elastic material is silicon rubber.
A kind of sealing-plug, its be used for implantable medical device and including:One cock body, the cock body has a top and one There is a gap that bottom is extended at the top of the cock body inside the relative bottom with the top, the cock body;The seam Gap can make screwdriver through the cock body and be restored to the original state after screwdriver extraction;The bottom of the cock body has a hole, Wherein, described hole includes first hole and the second hole for setting gradually and being interconnected from inside to outside, and described first The diameter of hole is less than the diameter of second hole.
A kind of implantable medical device, it includes:Connector, electrode cable, screw and sealing-plug;Wherein, it is described close Blocking is any one in above-mentioned sealing-plug.
Compared with prior art, the hole of sealing-plug of the invention includes first hole set gradually from inside to outside It is less than the diameter of second hole with the diameter of the second hole, and first hole, therefore.It can prevent screwdriver from inserting When, the cock body of the part deformation near the gap is clipped in the middle of driver bit and screw and and the cock body that causes the deformation Damage.
Brief description of the drawings
Fig. 1 is the structural representation of implanted lesions located in deep brain device provided in an embodiment of the present invention.
Fig. 2 is the knot of the connection component of the impulse generator of implanted lesions located in deep brain device provided in an embodiment of the present invention Structure schematic diagram.
Fig. 3 is the header connector of the impulse generator of implanted lesions located in deep brain device provided in an embodiment of the present invention Structural representation.
The top structure schematic diagram for the sealing-plug that Fig. 4 provides for one embodiment of the invention.
The polycrystalline substance schematic diagram for the sealing-plug that Fig. 5 provides for one embodiment of the invention.
Fig. 6 is the profile of VI-VI along Fig. 4-5 sealing-plug.
Structural representation before the sealing-plug assembling that Fig. 7 provides for another embodiment of the present invention.
Structural representation after the sealing-plug assembling that Fig. 8 provides for another embodiment of the present invention.
Fig. 9 realizes the schematic diagram of function for the sealing-plug that the present invention is provided.
Main element symbol description
Implanted lesions located in deep brain device 10
Impulse generator 11
Connection component 110
Connector 111
Screw 112
Interior hexagonal pit 1120
Sealing-plug 113
Cock body 1130
Base 1130a
Core 1130b
Sleeve 1130c
Groove 1131
Gap 1132
Hole 1133
First hole 1133a
Second hole 1133b
3rd hole 1133c
Fluid sealant 114
Plug wire hole 115
Fixing hole 116
First perforate 1161
Second perforate 1162
3rd perforate 1163
Contiguous block 117
Stimulating electrode 12
Extension lead 13
Vitro program controlled instrument 14
Electrode cable 15
Screwdriver 20
Following embodiment will further illustrate the present invention with reference to above-mentioned accompanying drawing.
Embodiment
Below in conjunction with the accompanying drawings and the specific embodiments, the sealing-plug provided the present invention and the implantation using the sealing-plug Formula medical treatment device.
It is appreciated that the implantable medical device that the present invention is provided can be pacemaker, defibrillator, brain deep electricity thorn Swash device, spinal stimulator, vagus nerve stimulator, stomach stimulator, muscle stimulator, peripheral nerve stimulation device or other classes As stimulator.The embodiment of the present invention is only illustrated by taking implanted lesions located in deep brain device as an example.
Fig. 1 is referred to, the embodiment of the present invention provides a kind of implanted lesions located in deep brain device 10, and it includes:One implantation skin Under impulse generator 11, the stimulating electrode 12 of the deep brain position of an implantation, one connects the stimulating electrode 12 and impulse generator 11 Extension lead 13, and one be used for the program control impulse generator 11 vitro program controlled instrument 14.
The impulse generator 11 produces specific electric stimulation pulse signal, and by the extension lead 13 and stimulates electricity Pole 12 is conducted to stimulation location and carries out stimulation regulation and control.The vitro program controlled instrument 14 can wirelessly connect with the impulse generator 11 Connect, and change its electric pulse stimulation parameter.
One end of the stimulating electrode 12 has multiple contacts, and stimulating electrode 12 is implanted into after target position, at least Appropriate electro photoluminescence is conducted to the disease that neural class is treated to target spot with stimulating target spot to contact closely in one contact.It can manage Solution, the contact of the stimulating electrode 12 can be one or more, and corresponding position is stimulated, to ensure to stimulate effect Really.It is appreciated that the number of the stimulating electrode 12 is not limited to one, it can select as needed.The stimulating electrode 12 The other end has multiple connection rings that setting is corresponded with above-mentioned multiple contacts.The connection ring is used to distinguish multiple contacts Electrically connected with the internal circuit of the impulse generator 11.In one embodiment, the stimulating electrode 12 has four contacts With four connection rings.
It is appreciated that the extension lead 13 is an optional element, the stimulating electrode 12 can be directly connected to the arteries and veins Rush on generator 11.Only when in larger distance after the stimulating electrode 12 and the impulse generator 11 implant, just need To be connected by extension lead 13.The two ends of the extension lead 13 respectively with multiple connection rings.The extension lead 13 Connection ring be respectively used to electrically connect with the internal circuit of the stimulating electrode 12 and the impulse generator 11.The extension Connection ring quantity of the wire 13 per one end is identical with the connection ring quantity of the stimulating electrode 12.
The inside of impulse generator 11 includes:One microprocessor module, a power module and a wireless communication module.Institute State and be electrically connected between microprocessor module, power module and wireless communication module.The microprocessor module has what is editted Program, can produce different frequency, different pulse widths, the electric stimulation pulse signal of different amplitudes.The electric stimulation pulse signal Stimulus waveform including but not limited to square wave, sine wave, exponential wave, triangular wave.In addition, the wireless communication module and the body The outer wireless connection of program control instrument 14, so as to can select the program of the microprocessor module by the vitro program controlled instrument 14, is adjusted Program parameter is saved, so as to change the electric stimulation pulse signal of output.
Please with further reference to Fig. 2, the impulse generator 11 has a connection component 110.The connection component 110 is used for The internal circuit of the impulse generator 11 is connected with an electrode cable 15.In the present invention, the stimulating electrode 12 and described Extension lead 13 is referred to as electrode cable 15.The connection component 110 include connector 111, screw 112, sealing-plug 113 and Fluid sealant 114.
The connector 111 can be arranged at the optional position of the housing of impulse generator 11.In one embodiment, The connector 111 is the top cover of the impulse generator 11.Please with further reference to Fig. 3, the connector 111 has at least one Individual plug wire hole 115, at least one fixing hole 116 and at least one contiguous block 117.The quantity of the plug wire hole 115 with it is described The quantity of stimulating electrode 12 is identical.At least one fixing hole 116 of each correspondence of plug wire hole 115, and connect with corresponding fixing hole 116 It is logical.The fixing hole 116 and the contiguous block 117, which are corresponded, to be set, and the contiguous block 117 passes through corresponding fixing hole 116 exposures.The quantity of the fixing hole 116 is identical with the quantity of the connection ring of the stimulating electrode 12.When the electrode cable 15 one end is inserted after the plug wire hole 115, the connection ring of the electrode cable 15 and the contiguous block of the connector 111 117 correspond electrical connection.
The fixing hole 116 is a stepped hole, and it includes one first perforate 1161, one second perforate 1162 and one the 3rd Perforate 1163.First perforate 1161, the second perforate 1162 and the 3rd perforate 1163 are interconnected.In one embodiment In, first perforate 1161, the second perforate 1162 and the 3rd perforate 1163 are three round holes of coaxial setting.It is described The aperture of first perforate 1161 is more than the aperture of second perforate 1162.The aperture of second perforate 1162 is more than described the The aperture of three perforates 1163.3rd perforate 1163 is used for partial receipt and the fixed screw 112.3rd perforate 1163 aperture is slightly larger than the external diameter of the screw 112, so that the screw 112 can be passed through.Second perforate 1162 is used In partial receipt and the fixed sealing-plug 113.The aperture of second perforate 1162 is slightly less than the outer of the sealing-plug 113 Footpath, so that second perforate 1162 and the interference fits of sealing-plug 113.First perforate 1161 is used for partial receipt With the fixed fluid sealant 114.
Fig. 4 is referred to, the sealing-plug 113 includes a cock body 1130.The cock body 1130 uses insulating elastic material system It is standby.The shape of the cock body 1130 it is identical with the shape of the second perforate 1162 and with the interference fits of the second perforate 1162. In one embodiment, the cock body 1130 is cylindrical silicon rubber.The present invention defines screwdriver when the cock body 1130 is used The side of 20 insertions is the top of the cock body 1130, and the opposite side relative with the top is the bottom of the cock body 1130. The top of the cock body 1130 has a groove 1131.The inside of cock body 1130 has a gap 1132.The groove 1131 Side be inclined-plane, so as to which the screwdriver 20 for being put into the groove 1131 is guided to the gap of the bottom of groove 1131 At 1132.The gap 1132 can make screwdriver 20 through the cock body 1130 and be restored to the original state after the extraction of screwdriver 20.
In one embodiment, the opening of the groove 1131 is wicker leaf shape and has two concave curvatures.The gap 1132 pass through the bottom centre position of groove 1131 and extend along the length direction of the groove 1131.The gap 1132 Width need according to the knife bar diameter design of screwdriver 20, it is ensured that screwdriver 20 through when the cock body 1130 will not be torn. In one embodiment, the gap 1132 at least extends to relative another side from a side of the groove 1131. In another embodiment, the two ends in the gap 1132 are extended respectively on the cock body 1130 outside the groove 1131.Can be with Understand, when the cutter head of screwdriver 20 enter it is fashionable gradually can strut the gap 1132 to both sides along the guiding of the groove 1131, So as to which the cock body 1130 for preventing cutter head from withstanding near the gap 1132 is stretched downwards, cause to be permanently deformed or tear.By institute State the elastic deformation that the cock body 1130 near gap 1132 separately causes to both sides smaller, the shape in the gap 1132 will not be damaged Shape, after screwdriver 20 is extracted, the gap 1132 can restore to the original state rapidly.
Fig. 5-6 are referred to, the bottom of the cock body 1130 has a hole 1133.The gap 1132 is by the groove 1131 connect with hole 1133.Described hole 1133 includes one first hole 1133a, one second hole 1133b and one the 3rd Hole 1133c.The first hole 1133a, the second hole 1133b and the 3rd hole 1133c set gradually from inside to outside and It is interconnected.Preferably, the first hole 1133a, the second hole 1133b and the coaxial settings of the 3rd hole 1133c. The aperture of the first hole 1133a is slightly larger than the diameter of the knife bar of screwdriver 20, so that the first hole 1133a The insertion of screwdriver 20 can smoothly be accommodated.The aperture of the first hole 1133a is much smaller than the internal diameter of the screw 112, from And the screw 112 is not inserted in the first hole 1133a.Further, the space of the first hole 1133a formation When can accommodate the insertion of the cutter head of screwdriver 20, the downward deflection of cock body 1130 near the gap 1132, so that this is downward The cock body 1130 of deformation will not touch the hard end of screw 112.It is appreciated that the cock body 1130 as fruit part is deformed is clipped in Acted in the middle of the cutter head of screwdriver 20 and screw 112 and by certain extruding force, then can cause the damage of the cock body 1130 of the deformation It is bad.The aperture of the second hole 1133b is slightly larger than the external diameter of the screw 112, so as to house part screw 112.Institute The aperture outline for stating the 3rd hole 1133c is less than the external diameter of the screw 112 and is more than or equal to the interior warp of the screw 112, from And the screw 112 can be clamped.It is appreciated that when the screw 112 is screwed out counterclockwise, institute can be easier inserted upwards State in the second hole 1133b.The side wall of the 3rd hole 1133c can clamp the screw 112, make the screw 112 Keep vertical state.Further, thickness of the side wall of the 3rd hole 1133c in the 3rd hole 1133c depth directions It is very thin, usually 0.2 millimeter~0.4 millimeter.Because the sidewall thickness of the 3rd hole 1133c is very thin and second hole 1133b aperture is slightly larger than the external diameter of the screw 112, therefore, when the screw 112 is screwed out counterclockwise, both will not be from described 3rd hole 1133c side wall is painstaking, also will not be painstaking from the side wall of the second hole 1133b, described so as to prevent The jack-up of sealing-plug 113 is come when screw 112 is screwed out counterclockwise.It is appreciated that the second hole 1133b and the 3rd hole 1133c depth selection has related to the length of the screw 112.In one embodiment, the length of the screw 112 is 2.0 millimeters, the second hole 1133b depth is 0.4 millimeter, and the depth of the 3rd hole 1133c is 0.3 millimeter.
Fig. 7-8 are referred to, in another embodiment, the sealing-plug 113 can also make Split type structure.Specifically, institute Cock body 1130 is stated including a base 1130a, a core 1130b being arranged on base 1130a and the core is sheathed on Sleeve 1130c on 1130b.The cylinder of sealing-plug 113 generally one.The base 1130a and the core 1130b are equal To be round table-like.The height and diameter that the height of the base 1130a is much smaller than the core 1130b are more than the core 1130b Diameter.The base 1130a is coaxially disposed and is integrally formed with the core 1130b.The sleeve 1130c is a hollow circle Post.The interior diameter through equal to or slightly less than the core 1130b of the sleeve 1130c.The external diameter of the sleeve 1130c is equal to The diameter of the base 1130a.The base 1130a and core 1130b is prepared using silicon rubber.The sleeve 1130c It can be prepared using silicon rubber, can also the larger material preparation of the hardness such as metal or resin.The top tool of the core 1130b Have with a groove 1131.There is the gap 1132 inside the core 1130b and the gap 1132 is by the core 1130b It is divided into symmetrical two halves.The Split type structure can avoid the problem of inclined and easy tear is cut in the gap 1132 of centre.
Fig. 9 is referred to, the connection component 110 comprises the following steps when being connected:Have interior hexagonal recessed on screw 112 The one end in hole 1120 is inserted in bottom the second hole 1133b of sealing-plug 113 and clamped by the 3rd hole 1133c; In the fixing hole 116 that sealing-plug 113 and screw 112 are put into the connector 111 together;Screwdriver 20 is worn from gap 1132 Cross sealing-plug 113 and insert in the interior hexagonal pit 1120 of the screw 112;The screw 112 is rotated and extracts screwdriver after fixing 20;The top of sealing-plug 113 and fixing hole 116 are sealed using fluid sealant 114.
It is appreciated that the connector 111 is not limited to the connector construction of above-mentioned impulse generator 11, as long as can coordinate The connector that sealing-plug 113 of the present invention is used can realize the present invention.For example, for connecting stimulating electrode 12 and extension lead 13 connector.Therefore, as long as including the implantable medical device using the connection component of sealing-plug of the present invention in this hair Within bright protection domain.
In addition, those skilled in the art can also do other changes in spirit of the invention, these are according to present invention spirit The change done, should all be included in scope of the present invention.

Claims (8)

1. a kind of sealing-plug, its be used for implantable medical device and including:One cock body prepared using insulating elastic material, it is described The top of cock body has a groove, the bottom of the cock body have inside a hole, and the cock body have one by the groove and The gap of hole connection;The gap is used to make a screwdriver pass through the cock body, and described hole is used for the screw of partial receipt one;Institute Hole is stated including first hole and the second hole for setting gradually and being interconnected from inside to outside, and first hole is straight Footpath is less than the diameter of second hole, it is characterised in that the diameter of first hole is more than the straight of the screwdriver knife bar Footpath and the internal diameter for being less than the screw, the diameter of second hole are more than the external diameter of the screw, and first hole type Into space can accommodate the screwdriver insertion when, the downward deflection of cock body near the gap.
2. sealing-plug as claimed in claim 1, it is characterised in that described hole is also arranged at outside second hole including one Side and the 3rd hole connected with second hole, the diameter of the 3rd hole are less than the external diameter of the screw and are more than or equal to The internal diameter of the screw.
3. sealing-plug as claimed in claim 1, it is characterised in that the groove has two concave curvatures, and the gap is worn Cross the bottom portion of groove center and extend along the length direction of the groove, the gap is at least from the one of the groove Side extends to relative another side.
4. sealing-plug as claimed in claim 1, it is characterised in that the sealing-plug is Split type structure, the cock body includes one Base, a core being arranged on the base and the sleeve being sheathed on the core.
5. sealing-plug as claimed in claim 4, it is characterised in that the base and the core are round table-like;The bottom The height of seat is less than the diameter of height and diameter more than the core of the core;The base is coaxially disposed with the core And be integrally formed;The sleeve is a hollow circuit cylinder;The internal diameter of the sleeve is equal to or less than the diameter of the core;The set The external diameter of cylinder is equal to the diameter of the base.
6. sealing-plug as claimed in claim 1, it is characterised in that the insulating elastic material is silicon rubber.
7. a kind of sealing-plug, its be used for implantable medical device and including:One cock body, the cock body have one top and one with There is a gap that bottom is extended at the top of the cock body inside the relative bottom in the top, the cock body;The gap Screwdriver can be made through the cock body and restored to the original state after screwdriver extraction;The bottom of the cock body has a hole, institute State hole be used for the screw of partial receipt one, described hole include first hole for setting gradually and being interconnected from inside to outside and Second hole, and diameter of the diameter less than second hole of first hole, it is characterised in that first hole Diameter is more than the diameter of the screwdriver knife bar and less than the internal diameter of the screw, and the diameter of second hole is more than the spiral shell The external diameter of nail, and the space of first hole formation, when can accommodate screwdriver insertion, the cock body near the gap is downward Deflection.
8. a kind of implantable medical device, it includes:Connector, electrode cable, screw and sealing-plug;Characterized in that, institute It is any one in the sealing-plug as described in claim 1 to 7 to state sealing-plug.
CN201510517135.XA 2015-08-21 2015-08-21 Sealing-plug and the implantable medical device using the sealing-plug Active CN105107091B (en)

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CN105107091B true CN105107091B (en) 2017-08-29

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Publication number Priority date Publication date Assignee Title
CN105771090B (en) * 2016-05-11 2018-07-10 常州瑞神安医疗器械有限公司 A kind of implantable medical device sealing structure and impulse generator
CN107596563A (en) * 2017-10-13 2018-01-19 乐普医学电子仪器股份有限公司 Implanted cardiac pacemaker connector sealing structure
EP3608135B1 (en) * 2018-08-09 2022-03-09 Inalfa Roof Systems Group B.V. Open roof construction for a vehicle and method of attaching a panel
CN110947097B (en) * 2019-11-29 2023-06-20 常州瑞神安医疗器械有限公司 Self-sealing plug structure for implantable medical device and implantable medical device
CN113809593B (en) * 2021-09-30 2023-08-15 苏州景昱医疗器械有限公司 Connecting device and nerve electrical stimulation system

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CN204170292U (en) * 2014-10-10 2015-02-25 创领心律管理医疗器械(上海)有限公司 A kind of sealing device and containing sealing device plant/interventional medical device
CN204951951U (en) * 2015-08-21 2016-01-13 北京品驰医疗设备有限公司 Sealing plug and adopt implanted medical devices of this sealing plug

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