CN105232094A - Vein stripping device and method - Google Patents
Vein stripping device and method Download PDFInfo
- Publication number
- CN105232094A CN105232094A CN201510602389.1A CN201510602389A CN105232094A CN 105232094 A CN105232094 A CN 105232094A CN 201510602389 A CN201510602389 A CN 201510602389A CN 105232094 A CN105232094 A CN 105232094A
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- Prior art keywords
- seal wire
- conduit
- guide
- traveling
- stripper
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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
- A61B17/00008—Vein tendon strippers
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Rheumatology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention discloses a vein stripping device and method. The vein stripping device comprises a guide pipe and 2-3 guide wires, the guide pipe is a hollow pipe capable of resisting certain pressure, the guide wires are positioned in the guide pipe and move in the same, the tail ends of the guide wires are connected with a circular truncated cone which is connected with a cylindrical cap through a thread, a through hole way is arranged in the middles of the circular truncated cone and a cylinder, the guide wires can pass the inside of the through hole way, and guide grooves for guiding the guide wires to move are formed in different positions of the guide pipe. The guide wires are adopted to guide the guide pipe to move, so that success rate of guided striping is increased; the guide wires are arranged at different positions of the guide pipe, so that the problem that guiding cannot be continued after bending and deforming of a single guide wire is solved; a reasonable relation among the guide wires, the guide pipe and diameter in the guide grooves is adopted, so that guiding success rate is increased, and convenience in processing is realized.
Description
Technical field
The invention belongs to medical instruments field, especially relate to a kind of vein blood vessel stripper and method of exfoliation thereof.
Background technology
Varicosis is that the vein caused is tortuous, a kind of angiopathy of expansion due to factors such as blood stasis, vein tube wall weaknesses.At present, general employing high ligation, the method of endarterectomy is treated, the great saphenous vein blood vessel stripping device usage of current routine is, in operation, at great saphenous vein near-end otch, stripper is inserted tube chamber from great saphenous vein far-end and delivers to near-end, distally advanced by near-end, in distal incision when cannot continue to advance, expose and cut off vein, import femoral vein place at great saphenous vein and draw vein to be stripped off, then slowly pull out, strip off whole great saphenous vein trunk, this method is along the reverse implementation of great saphenous vein, in implementation process, due to venous valve, the barriers such as lesion vessels or because varix too severity insertion can be caused not smooth, smoothly stripper cannot be delivered to near-end from far-end, it is up that midway need increase slit directs stripper, repeat same operation process, increase patient painful, doctor's labor intensity and operating time.
Summary of the invention
The invention provides a kind of vein blood vessel stripper and method of exfoliation thereof, vein blood vessel can be carried out efficiently and strip off.
The technical scheme that the present invention is complete is:
A kind of vein blood vessel stripper, comprise conduit, seal wire, described conduit is can the hollow pipe of anti-certain pressure, seal wire is positioned at conduit and can leading walking in pipe, and the end of seal wire is by connecting Rotary-table, and Rotary-table is threaded connection cylinder cap, there is a through duct in the middle of described Rotary-table and cylinder, can seal wire be passed through therebetween.
Described seal wire is 2-3 root, has the guiding groove guiding seal wire walking, described seal wire diameter d in described conduit
0, guiding groove internal diameter d
1following formula is met with catheter diameter D:
Wherein A to be value be 1 ~ 2.5 constant, d in formula
0, d
1, the unit of D is millimeter.
Described guiding groove is positioned at the diverse location of conduit.
Described guiding groove becomes axial symmetry to arrange in conduit.
A kind of method utilizing above-mentioned vein blood vessel stripper to carry out vein blood vessel to strip off, it is characterized in that, during operation, first seal wire is drawn, in Endovascular traveling, deliver to great saphenous vein from great saphenous vein initiating terminal and import femoral vein place, again along seal wire traveling conduit, conduit is sent into great saphenous vein trunk tube chamber along seal wire, after seal wire is in place, stripper head end is tightened and be fixed on conduit, eventually connect blood vessel and strip off out.
When the first seal wire occurs being difficult to traveling, the second seal wire is adopted to proceed traveling.
When the second seal wire occurs being difficult to traveling, the 3rd seal wire is adopted to proceed traveling.
The present invention is relative to the advantage of prior art:
Adopt the traveling of seal wire guide catheter, improve the success rate guiding and strip off, simultaneously many seal wires are positioned at the diverse location of conduit, solve the problem that cannot continue after flexural deformation appears in single wire to guide, meanwhile, adopt rational seal wire, conduit, guiding groove interior diameter relation, had both improve guiding success rate, made again easy to process.
Accompanying drawing explanation
Fig. 1 is stripper structural representation of the present invention.
Fig. 2 is stripper longitudinal section of the present invention.
In figure: 1 is conduit, 2 is seal wire, and 3 is Rotary-table, and 4 is cylinder cap, and 5 is guiding groove.
Detailed description of the invention
Below in conjunction with detailed description of the invention, the present invention will be further described.
A kind of vein blood vessel stripper, comprise conduit 1, seal wire 2, described conduit 1 is can the hollow pipe of anti-certain pressure, and seal wire 2 is positioned at conduit 1 and can walks at conduit 1, and the end of seal wire 2 is by connecting Rotary-table 3, Rotary-table 3 is threaded connection cylinder cap 4, there is a through duct in the middle of described Rotary-table 3 and cylinder cap 4, can seal wire 2 be passed through therebetween
Described seal wire is 2-3 root, has the guiding groove 5 guiding seal wire walking, described seal wire diameter d in described conduit
0, guiding groove internal diameter d
1following formula is met with catheter diameter D:
Wherein A to be value be 1 ~ 2.5 constant, d in formula
0, d
1, the unit of D is millimeter.
Because the diameter of seal wire is thinner, and there is certain elasticity and plasticity, thus in traveling process, when running into varix too severity can cause insertion smooth, easily make the front end of seal wire bend and produce distortion, the seal wire produced after distortion cannot continue to introduce forward, second seal wire now can be adopted to continue traveling forward, second seal wire position is in the catheter different from the first seal wire, can avoid continuing in identical position to occur distortion, if after still there is distortion in second seal wire, the 3rd seal wire can be adopted to continue traveling, 3rd seal wire position and first in the catheter, two seal wires are all different, can avoid occurring distortion in identical position, guiding groove is arranged in conduit, axial symmetry can be become to arrange, for guiding each seal wire in the different position traveling of conduit.
Wherein, conduit, seal wire successfully have critical effect with the relative internal diameter size of guiding groove for guiding, because seal wire is thinner, if the internal diameter of guiding groove is too tiny, then frictional force can cause difficulty in walking, if and the internal diameter of guiding groove is excessive, then effectively cannot guide seal wire, even namely deform in guiding groove inside.Conduit is also very important with the relative internal diameter size of guiding groove, if conduit is excessive relative to guiding groove internal diameter, then in vein, the resistance of traveling is comparatively large, brings misery to patient, otherwise, if conduit is too small relative to guiding groove internal diameter, then can increase the difficulty of processing.Inventors performed simulation experiment for this reason, adopt internal diameter close to the plastic tube simulated blood vessel of vein, after adopting baking or pinching and rub and make it be out of shape, injection therein has the liquid state of certain viscosity with simulate blood, stripper of the present invention is imported simulation practical guide and strip off process, through test of many times, unexpected discovery works as seal wire diameter d
0, guiding groove internal diameter d
1formula full of catheter diameter D:
Wherein A to be value be 1 ~ 2.5 constant, d in formula
0, d
1, the unit of D is millimeter.
Now, both improve guiding success rate, made again easy to process.
Method that vein blood vessel strips off is to utilize above-mentioned vein blood vessel stripper to carry out: during operation, first seal wire is drawn, in Endovascular traveling, deliver to great saphenous vein from great saphenous vein initiating terminal and import femoral vein place, again along seal wire traveling conduit, conduit is sent into great saphenous vein trunk tube chamber along seal wire, after seal wire is in place, stripper head end is tightened and be fixed on conduit, eventually connect blood vessel and strip off out.When first seal wire occurs being difficult to traveling, second seal wire can be adopted to proceed traveling, when the second seal wire occurs being difficult to traveling, the 3rd seal wire can be adopted to proceed traveling.
Claims (7)
1. a vein blood vessel stripper, it is characterized in that, comprise conduit, seal wire, described conduit is can the hollow pipe of anti-certain pressure, and seal wire is positioned at conduit and can leading walking in pipe, the end of seal wire is by connecting Rotary-table, Rotary-table is threaded connection cylinder cap, has a through duct, can pass through seal wire therebetween in the middle of described Rotary-table and cylinder.
2. stripper as claimed in claim 1, it is characterized in that, described seal wire is 2-3 root, has the guiding groove guiding seal wire walking, described seal wire diameter d in described conduit
0, guiding groove internal diameter d
1following formula is met with catheter diameter D:
Wherein A to be value be 1 ~ 2.5 constant, d in formula
0, d
1, the unit of D is millimeter.
3. stripper as claimed in claim 2, it is characterized in that, described guiding groove is positioned at the diverse location of conduit.
4. stripper as claimed in claim 2, it is characterized in that, described guiding groove becomes axial symmetry to arrange in conduit.
5. the method utilizing any one of claim 1-4 vein blood vessel stripper to carry out vein blood vessel to strip off, it is characterized in that, during operation, first seal wire is drawn, in Endovascular traveling, deliver to great saphenous vein from great saphenous vein initiating terminal and import femoral vein place, again along seal wire traveling conduit, conduit is sent into great saphenous vein trunk tube chamber along seal wire, after seal wire is in place, stripper head end is tightened and be fixed on conduit, eventually connect blood vessel and strip off out.
6. method as claimed in claim 5, it is characterized in that, described seal wire is 2-3 root, when the first seal wire occurs being difficult to traveling, adopts the second seal wire to proceed traveling.
7. method as claimed in claim 6, it is characterized in that, described seal wire is 3, when the second seal wire occurs being difficult to traveling, adopts the 3rd seal wire to proceed traveling.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510602389.1A CN105232094B (en) | 2015-09-21 | 2015-09-21 | A kind of vein blood vessel stripper |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510602389.1A CN105232094B (en) | 2015-09-21 | 2015-09-21 | A kind of vein blood vessel stripper |
Publications (2)
Publication Number | Publication Date |
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CN105232094A true CN105232094A (en) | 2016-01-13 |
CN105232094B CN105232094B (en) | 2017-11-10 |
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CN201510602389.1A Expired - Fee Related CN105232094B (en) | 2015-09-21 | 2015-09-21 | A kind of vein blood vessel stripper |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108784758A (en) * | 2018-04-08 | 2018-11-13 | 河北北方学院附属第医院 | A kind of Sengstaken-Blakemore tube formula vein denudation device and its application method |
CN110141307A (en) * | 2018-07-05 | 2019-08-20 | 杭州来米医疗科技有限公司 | Vein denudation device |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6402745B1 (en) * | 2000-02-23 | 2002-06-11 | Peter J. Wilk | Intravenous whip electrode for vein ablation |
CN200945170Y (en) * | 2006-08-24 | 2007-09-12 | 刘学键 | Multi-functional stripper for varicosis |
CN104287783A (en) * | 2014-07-03 | 2015-01-21 | 北京普益盛济科技有限公司 | Vein stripper |
CN204410925U (en) * | 2014-12-31 | 2015-06-24 | 吴鼎 | Great saphenous vein is with stripping off pipe guide |
US20150250489A1 (en) * | 2014-03-10 | 2015-09-10 | Terumo Kabushiki Kaisha | Method for treating varicose veins and intraluminal device used in such method |
CN205054295U (en) * | 2015-09-21 | 2016-03-02 | 烟台职业学院 | Vein blood vessel strips off ware |
-
2015
- 2015-09-21 CN CN201510602389.1A patent/CN105232094B/en not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6402745B1 (en) * | 2000-02-23 | 2002-06-11 | Peter J. Wilk | Intravenous whip electrode for vein ablation |
CN200945170Y (en) * | 2006-08-24 | 2007-09-12 | 刘学键 | Multi-functional stripper for varicosis |
US20150250489A1 (en) * | 2014-03-10 | 2015-09-10 | Terumo Kabushiki Kaisha | Method for treating varicose veins and intraluminal device used in such method |
CN104287783A (en) * | 2014-07-03 | 2015-01-21 | 北京普益盛济科技有限公司 | Vein stripper |
CN204410925U (en) * | 2014-12-31 | 2015-06-24 | 吴鼎 | Great saphenous vein is with stripping off pipe guide |
CN205054295U (en) * | 2015-09-21 | 2016-03-02 | 烟台职业学院 | Vein blood vessel strips off ware |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108784758A (en) * | 2018-04-08 | 2018-11-13 | 河北北方学院附属第医院 | A kind of Sengstaken-Blakemore tube formula vein denudation device and its application method |
CN110141307A (en) * | 2018-07-05 | 2019-08-20 | 杭州来米医疗科技有限公司 | Vein denudation device |
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CN105232094B (en) | 2017-11-10 |
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Granted publication date: 20171110 Termination date: 20190921 |