CN106236176B - Transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning - Google Patents

Transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning Download PDF

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Publication number
CN106236176B
CN106236176B CN201610621182.3A CN201610621182A CN106236176B CN 106236176 B CN106236176 B CN 106236176B CN 201610621182 A CN201610621182 A CN 201610621182A CN 106236176 B CN106236176 B CN 106236176B
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China
Prior art keywords
positioning
heart
positioning tube
left auricle
transexocardial
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Expired - Fee Related
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CN201610621182.3A
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Chinese (zh)
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CN106236176A (en
Inventor
张�杰
王巍
王志伟
赵辉
李飞
黄倩倩
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    • 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
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/12031Type of occlusion complete occlusion
    • 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
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • 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
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (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)
  • Cardiology (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses the positioning devices that transexocardial set under a kind of intracardiac auxiliary positioning pricks closing left auricle of heart, it is related to the field of medical instrument technology, the positioning device includes positioning tube, positioning tube is cylinder open at one end closed at one end, the wall inner portion of positioning tube is equipped with booster cavity, the pressurization connector being connected to booster cavity is equipped on the closed end of positioning tube, pressurization connector is equipped with pressure-regulating valve.The positioning device passes through the adsorption hole that is connected to relief chamber, positioning tube is fixed at the left auricle of heart of the external membrane of heart using negative pressure, left auricle of heart passes through the set binding circle in set binding mounting groove, protrude into the inside of positioning tube, connector is being pressurized toward when the pressurization of the inner cavity of booster cavity, pressurized hole and positioning tube, set binding circle is tightened as pressurizing chamber pressure changes, it will be in the stagnant blood expression to left ventricle of the stasis of blood in left auricle of heart using pressure, when preventing left atrial appendage occlusion, since the blood stasis of blood of left auricle of heart is stagnant and abnormal blood flow and thrombosed problem.

Description

Transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning
Technical field
The present invention relates to the field of medical instrument technology, it is left to prick closing for transexocardial set under specially a kind of intracardiac auxiliary positioning The positioning device of auricle.
Background technique
It is well known that auricular fibrillation is that clinically the most common arrhythmia cordis, Thrombotic stroke are secondary to atrial fibrillation Dynamic major complications are to lead to one of the main reason for dead and disabled;Left auricle of heart is that thrombus occurs for atrial fibrillation patients Main portions [J.L.Blackshear and J.A.Odell, Annals of Thoracic Surgery, 61 (2):755– 759,1996.];Closing left auricle of heart can effectively reduce the stroke event of patients with atrial fibrillation;Intervention operation is led from vascular puncture Silk carries out interventional therapy or closure to heart, and it is clearly to carry out from opening chest exposure heart that external membrane of heart set, which pricks closing left auricle of heart, Operation, still, regardless of closing is pricked in intervention operation or external membrane of heart set, exist since the blood stasis of blood of left auricle of heart is stagnant and abnormal blood It flows and forms thrombus, for this purpose, it is proposed that transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning.
Summary of the invention
The purpose of the present invention is to provide the positioning dresses that transexocardial set under a kind of intracardiac auxiliary positioning pricks closing left auricle of heart It sets, to solve the problems mentioned in the above background technology.
To achieve the above object, the present invention provides the following technical solutions:Transexocardial set is pricked under a kind of intracardiac auxiliary positioning The positioning device of left auricle of heart, including positioning tube are closed, the positioning tube is cylinder open at one end closed at one end, the cylinder of positioning tube Pars intramuralis is equipped with booster cavity, and the pressurization connector being connected to booster cavity is equipped on the closed end of positioning tube, and pressurization connector is equipped with Pressure-regulating valve is equipped with the pressurized hole being connected to booster cavity on the surface of internal cavity of positioning tube, sets on the open end of positioning tube There is an annular convex platform, the inside of boss is equipped with relief chamber, and it is equidistant equipped with the adsorption hole being connected to relief chamber on the end face of boss, it is convex The lateral surface of platform is equipped with the decompression connector being connected to relief chamber, the inner cavity of the positioning tube and on the inner surface of open end Equipped with set binding mounting groove, boss is equipped with perforates with the set binding that be connected to of set binding mounting groove, and in set binding mounting groove and It covers binding perforation junction and is equipped with locker, be equipped in the set binding mounting groove after locker again through set binding perforation Extend to external set binding.
Preferably, the housing top surface of the locker is equipped with corresponding through-hole with bottom surface, inside housings and logical The two sides of hole line are equipped with the latch segment of relative tilt.
Preferably, pressure display meter is additionally provided on the pressurization connector and decompression connector.
Preferably, silica gel cushion is additionally provided on the end face of the boss, and silica gel cushion is equipped with opposite with adsorption hole The hole answered.
Compared with prior art, the beneficial effects of the invention are as follows:It is left to prick closing for transexocardial set under the intracardiac auxiliary positioning Positioning tube is fixed on the left auricle of heart of the external membrane of heart using negative pressure by the adsorption hole being connected to relief chamber by the positioning device of auricle Place, left auricle of heart pass through the set binding circle in set binding mounting groove, protrude into the inside of positioning tube, are being pressurized connector toward booster cavity, increasing When pressing hole and the pressurization of the inner cavity of positioning tube, set binding circle is tightened as pressurizing chamber pressure changes, will be left using pressure In auricle in the stagnant blood expression to left ventricle of the stasis of blood, when preventing left atrial appendage occlusion, since the blood stasis of blood of left auricle of heart is stagnant and abnormal blood It flows and thrombosed problem.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention;
Fig. 2 is locker structural schematic diagram of the invention.
In figure:1 positioning tube, 2 booster cavities, 3 pressurization connectors, 4 pressure-regulating valves, 5 boss, 6 relief chambers, 7 adsorption holes, 8 subtract Crimp head, 9 sets of binding mounting grooves, 10 sets of binding perforation, 11 lockers, 12 through-holes, 13 latch segments, 14 pressurized holes, 15 pressure are aobvious Show meter.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other Embodiment shall fall within the protection scope of the present invention.
The present invention provides a kind of technical solution referring to FIG. 1-2,:Transexocardial set pricks closing under a kind of intracardiac auxiliary positioning The positioning device of left auricle of heart, including positioning tube 1, positioning tube 1 is cylinder open at one end closed at one end, in the barrel of positioning tube 1 Portion is equipped with booster cavity 2, and the pressurization connector 3 being connected to booster cavity 2 is equipped on the closed end of positioning tube 1, and pressurization connector 3 is equipped with Pressure-regulating valve 4 is equipped with the pressurized hole 14 being connected to booster cavity 2, in the opening of positioning tube 1 on the surface of internal cavity of positioning tube 1 End is equipped with annular convex platform 5, and the inside of boss 5 is equipped with relief chamber 6, and equidistant be equipped with is connected to relief chamber 6 on the end face of boss 5 Adsorption hole 7, silica gel cushion is additionally provided on the end face of boss 5, and silica gel cushion is equipped with hole corresponding with adsorption hole 7 Hole, the lateral surface of boss 5 are equipped with the decompression connector 8 being connected to relief chamber 6, are additionally provided with pressure on pressurization connector 3 and decompression connector 8 Power display meter 15, the inner cavity of positioning tube 1 and close to open end inner surface be equipped with set binding mounting groove 9, boss 5 be equipped with The set binding perforation 10 of the connection of binding mounting groove 9 is covered, and is equipped with locking in set binding mounting groove 9 and 10 junctions of set binding perforation The housing top surface of device 11, locker 11 is equipped with corresponding through-hole 12 with bottom surface, inside housings and in 12 line of through-hole Two sides are equipped with the latch segment 13 of relative tilt, are equipped with after locker 11 in set binding mounting groove 9 again through set binding perforation 10 extend to external set binding, under the intracardiac auxiliary positioning transexocardial set prick the positioning device of closing left auricle of heart by with subtract Positioning tube 1, is fixed at the left auricle of heart of the external membrane of heart by the adsorption hole 7 for pressing chamber 6 to be connected to using negative pressure, and left auricle of heart passes through set binding peace The set binding circle in slot 9 is put, the inside of positioning tube 1 is protruded into, is being pressurized connector 3 toward booster cavity 2, pressurized hole 14 and positioning tube 1 Inner cavity pressurization when, set binding circle tightened with 2 pressure change of booster cavity, utilize the blood that pressure is stagnant by the stasis of blood in left auricle of heart Liquid is expressed in left ventricle, thrombosed since the blood stasis of blood of left auricle of heart is stagnant and abnormal blood flow when preventing left atrial appendage occlusion Problem.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding And modification, the scope of the present invention is defined by the appended.

Claims (4)

1. transexocardial set pricks the positioning device of closing left auricle of heart, including positioning tube (1), feature under a kind of intracardiac auxiliary positioning It is:The positioning tube (1) is cylinder open at one end closed at one end, and the wall inner portion of positioning tube (1) is equipped with booster cavity (2), The pressurization connector (3) being connected to booster cavity (2) is equipped on the closed end of positioning tube (1), pressurization connector (3) is equipped with pressure tune It saves valve (4), the pressurized hole (14) being connected to booster cavity (2) is equipped on the surface of internal cavity of positioning tube (1), in positioning tube (1) Open end is equipped with annular convex platform (5), and the inside of boss (5) is equipped with relief chamber (6), equidistant on the end face of boss (5) to be equipped with The adsorption hole (7) being connected to relief chamber (6), the lateral surface of boss (5) are equipped with the decompression connector (8) being connected to relief chamber (6), The inner cavity of the positioning tube (1) and close to open end inner surface be equipped with set binding mounting groove (9), boss (5) be equipped with It covers the set binding that binding mounting groove (9) are connected to perforate (10), and in set binding mounting groove (9) and set binding perforation (10) junction It is equipped with equipped with locker (11), in the set binding mounting groove (9) after locker (11) again by set binding perforation (10) Extend to external set binding.
2. transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning according to claim 1, It is characterized in that:The housing top surface of the locker (11) and bottom surface are equipped with corresponding through-hole (12), inside housings and The latch segment (13) of relative tilt is equipped in the two sides of through-hole (12) line.
3. transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning according to claim 1, It is characterized in that:Pressure display meter (15) is additionally provided in the pressurization connector (3) and decompression connector (8).
4. transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning according to claim 1, It is characterized in that:Silica gel cushion is additionally provided on the end face of the boss (5), and silica gel cushion is equipped with and adsorption hole (7) phase Corresponding hole.
CN201610621182.3A 2016-07-29 2016-07-29 Transexocardial set pricks the positioning device of closing left auricle of heart under a kind of intracardiac auxiliary positioning Expired - Fee Related CN106236176B (en)

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Publication number Priority date Publication date Assignee Title
CN114027913B (en) * 2021-12-07 2024-04-19 云南省阜外心血管病医院 Left auricle and heart external cerclage system for adsorption type cardiac surgery

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013192332A2 (en) * 2012-06-19 2013-12-27 Krishnan Subramaniam Chitoor Apparatus and method for treating bleeding arising from left atrial appendage
CN203539402U (en) * 2013-09-13 2014-04-16 徐州亚太科技有限公司 Left atrial appendage ligation device
CN105708518A (en) * 2016-01-20 2016-06-29 李洪湘 Loop ligature device capable of being repeatedly used

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007131110A2 (en) * 2006-05-03 2007-11-15 Raptor Ridge, Llc Systems and methods of tissue closure
US8715302B2 (en) * 2011-06-17 2014-05-06 Estech, Inc. (Endoscopic Technologies, Inc.) Left atrial appendage treatment systems and methods
US10499924B2 (en) * 2014-07-22 2019-12-10 Cvdevices, Llc Devices, systems, and methods for inverting and closing the left atrial appendage

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013192332A2 (en) * 2012-06-19 2013-12-27 Krishnan Subramaniam Chitoor Apparatus and method for treating bleeding arising from left atrial appendage
CN203539402U (en) * 2013-09-13 2014-04-16 徐州亚太科技有限公司 Left atrial appendage ligation device
CN105708518A (en) * 2016-01-20 2016-06-29 李洪湘 Loop ligature device capable of being repeatedly used

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