CN106618664A - Left auricle closure device delivery system - Google Patents
Left auricle closure device delivery system Download PDFInfo
- Publication number
- CN106618664A CN106618664A CN201611110437.6A CN201611110437A CN106618664A CN 106618664 A CN106618664 A CN 106618664A CN 201611110437 A CN201611110437 A CN 201611110437A CN 106618664 A CN106618664 A CN 106618664A
- Authority
- CN
- China
- Prior art keywords
- loader
- occluder
- left auricle
- delivery sheath
- connector
- Prior art date
- 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
Links
Classifications
-
- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
-
- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
-
- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- 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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
Abstract
The invention discloses a left auricle closure device delivery system which comprises a delivery sheath, a dilator, a pushing device and a loader. The pushing device is composed of a pushing handle, a pushing steel cable and a clamping jaw; the pushing steel cable penetrates through the interior of the loader and the interior of the delivery sheath and stretches out of the second end of the delivery sheath, the clamping jaw is arranged at the second end of the pushing steel cable, and the pushing handle is provided with a rotary knob and a drawing wire and can adjust the clamping jaw. The tightening and loosening states of the clamping jaw can be adjusted by the pushing handle, then capturing and releasing of a left auricle closure device connecting piece can be achieved, loading and delivering of a closure device are completed by cooperating with the delivery sheath and the loader, the left auricle closure device is captured for position adjusting or closure device recycling and replacing when necessary, and therefore the problems that after an existing pushing device releases the closure device, position adjusting cannot be conducted, and the closure device cannot be captured to be withdrawn when the closure device needs to be withdrawn are solved.
Description
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of occluder for left auricle induction system.
Background technology
Recently as the progress of medical science, the research with regard to atrial fibrillation embolism is increasingly paid attention to by doctor and sufferer, its
Middle left auricle of heart is the key factor that patients with atrial fibrillation embolism is formed, in early days by surgical sealing left auricle of heart, because its wound it is big etc.
Reason, fails effectively to be promoted.In recent years percutaneous left atrial appendage occlusion art technology is progressively ripe, and its wound is little and prevents embolism to imitate
Fruit is good, and clinical practice obtains Rapid Popularization.
The existing plugging device of existing market is similar to the induction system of heart defect amplatzer, and plugging device near-end is fixed to emit to be had
Helicitic texture, the push wirerope distal end in induction system has thinks matching thread structure with it.By the guide for conveying sheath, will push
Wirerope distal threads back out locking cap, so as to reach the purpose of release plugging device.But this kind of thread connecting mode discharges plugging device
Afterwards once needing the position for adjusting plugging device, push rod that plugging device cannot be again coupled in heart.Other left atrial appendage occlusion art
Afterwards, there are ill symptomses and need to withdraw from occluder for left auricle if desired for replacing or later stage, helicitic texture pusher is equally because of nothing
Method is again coupled to plugging device near-end locking cap, and chest may be needed open to take out when serious.
Therefore, those skilled in the art is devoted to developing a kind of occluder for left auricle induction system, to overcome tradition defeated
Send and cannot adjust plugging device position after system release occluder for left auricle, or bad reaction cannot be to plugging device after plugging device is installed
Recall the problem of replacing.
The content of the invention
In view of the drawbacks described above of prior art, the technical problem to be solved is to have invented a kind of left auricle of heart envelope
Stifled device induction system, to overcome conventional delivery systems to discharge after occluder for left auricle plugging device position, or plugging device cannot be adjusted
Bad reaction after installation cannot recall the problem of replacing to plugging device.
For achieving the above object, the invention provides a kind of occluder for left auricle induction system, including delivery sheath, expansion
Device, pusher, loader;
Wherein, delivery sheath includes delivery sheath body, delivery sheath connector, the first extension tube and the first threeway hemostasis
Valve;First threeway haemostatic valve connects the side shoot of delivery sheath connector by the first extension tube, and is formed with delivery sheath body
Path;Expander includes expander body and expander joint;Expander joint is arranged at the first end of expander, expander
It is arranged inside delivery sheath by expander joint, the second end of expander stretches out delivery sheath;Loader includes loading
Device body, loader connector, the second extension tube and the second threeway haemostatic valve;Loader is by delivery sheath connector and conveying
Sheath connects;Second threeway haemostatic valve connects the side shoot of loader connector by the second extension tube, and with loader body, defeated
Sheath is sent to form path;Pusher includes pushing handle, pushes wirerope and claw;Push wirerope to run through into loader and conveying
The inside of sheath, and stretch out from the second end of delivery sheath;Claw is arranged at the second end for pushing wirerope.
Further, delivery sheath connector also includes the first adjusting knob, and by the first adjusting knob conveying sheath is changed
The internal diameter of pipe connections, makes various sizes of loader pass through delivery sheath connector.
Further, loader connector also includes the second adjusting knob, changes loader by the second adjusting knob and connects
The internal diameter of fitting, makes various sizes of pusher pass through loader connector.
Further, push wirerope and be internally provided with bracing wire, push handle and be provided with knob, first end and the card of bracing wire
Pawl is connected, and the second end of bracing wire is connected with the knob for pushing handle.
Further, the quantity of the quantity of claw, bracing wire and knob is identical, and the quantity of claw is 2-10, the number of bracing wire
Measure as 2-10, the quantity of knob is 2-10.
Further, claw structure can be the one kind in reverse-hook shape, the crocodile degree of lip-rounding, mouse profile of tooth.
Further, claw is set to fix occluder for left auricle, is when the push handle of pusher is in initial shape
During state, claw is in diastole state, and the locking cap of occluder for left auricle is positioned in claw, turns clockwise and pushes the rotation of handle
Button, adjusts claw so that claw shrinks and clamps the locking cap of occluder for left auricle.
Further, loader is provided for loading occluder for left auricle, adjusts loader connector, makes push wirerope
Move freely in loader, handle will be pushed and proximally drawn, occluder for left auricle drawing-off is entered in loader body.
Further, the connect setting of loader and delivery sheath is regulation loader connector so that push wirerope not
Can move freely in loader, then adjust delivery sheath connector, will be loaded with the loader body of occluder for left auricle
The second end stretches into delivery sheath, until loader body the second end aligns with delivery sheath first end, adjusts conveying sheath
Pipe connections so that locking loader.
Further, occluder for left auricle is discharged into into target location to be set to, adjusts loader connector, steel will be pushed
Cable to the second end of delivery sheath is promoted, and after reaching the off-position of occluder for left auricle, occluder for left auricle is pushed out
Delivery sheath, adjusts and pushes handle knob to original state, release occluder for left auricle locking cap so that occluder for left auricle from
Claw is discharged into up to target location.
Technique effect
The occluder for left auricle induction system of patent of the present invention is using delivery sheath and expander with being combined into heart opening
Device, using delivery sheath, loader and pusher the conveying combination unit of composition occluder for left auricle is sequentially connected, can be real
The PCI of existing occluder for left auricle, completes the loading of occluder for left auricle, the function such as conveys, struts and discharge, can be effective
Quickly complete the PCI of occluder for left auricle.Claw structure on pusher have simultaneously adjust plugging device position and
Plugging device capture occluder for left auricle function, solve clinic occur occluder for left auricle release after difficulty carry out position adjustments,
Or occur ill symptomses cannot recall replacing occluder for left auricle problem, while being that doctor brings convenience, also be patient treatment
Safer efficiently new treatment means are provided.
The technique effect of the design, concrete structure and generation of the present invention is described further below with reference to accompanying drawing, with
It is fully understood from the purpose of the present invention, feature and effect.
Description of the drawings
Fig. 1 is a kind of structure of the delivery sheath of occluder for left auricle induction system of a preferred embodiment of the present invention
Schematic diagram.
Fig. 2 is that a kind of structure of the expander of occluder for left auricle induction system of a preferred embodiment of the present invention is shown
It is intended to.
Fig. 3 is that a kind of structure of the loader of occluder for left auricle induction system of a preferred embodiment of the present invention is shown
It is intended to.
Fig. 4 is a kind of structure of the pusher of occluder for left auricle induction system of a preferred embodiment of the present invention
Schematic diagram.
Fig. 5 is a kind of showing for the assembling plugging device of occluder for left auricle induction system of a preferred embodiment of the present invention
It is intended to.
A kind of occluder for left auricle release of the occluder for left auricle induction system of one preferred embodiment of Fig. 6 present invention
Schematic diagram afterwards.
Specific embodiment
As shown in figure 1, delivery sheath 100 includes delivery sheath body 101, delivery sheath connector 104, the first extension tube
103 and the first threeway haemostatic valve 102.Delivery sheath connector 104 has the first adjusting knob 105, by the first adjusting knob
105 are capable of achieving locking or discharge expander or loader body.First threeway haemostatic valve 102 is by the connection conveying of extension tube 103
Sheath pipe connections side shoot, forms path.
As shown in Fig. 2 expander 200 includes expander body 202 and expander joint 201.Expander joint 201 is arranged
In the first end of expander 200, expander 200 is assemblied in inside delivery sheath 100 by expander joint 201, expander
The shaping of body the second end tip, in delivery sheath and expander heart shedding motion, the second end of expander 200 are assembled to form
Delivery sheath 100 is stretched out, passes through seal wire, smooth guiding delivery sheath 100 to reach intracardiac specific bit in intervention operation in expander
Put.
As shown in figure 3, loader 300 includes loader body 301, loader connector 304, the and of the second extension tube 303
Second threeway haemostatic valve 302.Loader 300 is mainly used in PCI and loads occluder for left auricle 500.Loader connector has
There is the second adjusting knob 305, pusher can be made to pass through loader 300.Second adjusting knob 305 can pin pusher,
Prevent it from occurring significantly to rotate in surgical procedure, while by the second adjusting knob 305 pine can be adjusted to make the pusher 400 can
Rotated in loader, so as to the position for adjusting pusher 400 in art.
As shown in figure 4, pusher 400 includes that pushing handle 402, push wirerope 401 and claw 403 constitutes.Push steel
There is bracing wire 404 corresponding with claw quantity inside cable 401, each claw 403 connects a bracing wire 404, and is connected to push
Inside handle 402.Push and have on handle 402 knob 405 corresponding with claw quantity, every bracing wire 404 is connected respectively.Knob
405 original states, in the raw, claw is in expansion state, as shown in Figure 4 for bracing wire.Knob 405 turns clockwise, and draws
Line 404 is gradually in tensioned state, and claw 403 is adjusted with knob 405 and gradually tapered up, can grab occluder for left auricle locking cap
Tightly.Knob is then thought that original state rotates by intervention operation release occluder for left auricle, so as to complete to discharge occluder for left auricle
Operation.
As shown in figure 5, induction system combining structure schematic diagram.Expander 200 stretches into delivery sheath 100, expander 200
The second end stretches out delivery sheath 100, and delivery sheath 100 reaches intracardiac specified location under the guide of seal wire.Withdraw from expander
200.Pusher claw 403 and push wirerope 401 are passed through into loader connector 304 from the near-end of loader 300, and from loading
The body distal end of device 300 stretches out.Slightly the second adjusting knob 305 of precession loader connector, prevents from pushing wirerope 401 in loading
Device 300 is rotated.Occluder for left auricle near-end locking cap 501 is placed in the claw 403 of diastole state, turn clockwise push hand
Three knobs 405 of handle, the strength that stretches tight pushes bracing wire 404 in wirerope 401, and regulation distal end claw 403 is contracted to claw 403 and seals left auricle of heart
Stifled device locking cap 501 is clamped.Loose loader connector 304 is adjusted, push wirerope 401 is moved freely in loader 300, will
Push handle 402 to draw toward near-end, and firmly by occluder for left auricle 500, firmly drawing-off enters loader body 301, completes left auricle of heart
The loading of plugging device 500.After the completion of loading finely tune loader connector the second adjusting knob 305, prevent push wirerope 401 from
It is reloading with freely being rotated in device 305.The first adjusting knob 105 of loose delivery sheath connector is adjusted, left atrial appendage occlusion is will be loaded with
The second end of the loader body 301 of device 500 stretches into delivery sheath connector 104, to the distal end of loader body 301 and conveying
The first end of sheath 101 aligns, precession delivery sheath connector knob 105, locks loader 300, completes loader 300 and defeated
Send the connection of sheath 100.The loose loader connector knob 304 of fine setting, will push wirerope 400 and promotes into delivery sheath 101, such as
Shown in Fig. 5.When close 101 the second end of delivery sheath of occluder for left auricle 500, push wirerope 400 is continued to press on.Reach left
Behind atrial appendage occlusion device off-position, occluder for left auricle 500 is pushed out delivery sheath, adjusts and pushes handle knob 405 to initially
Position, release occluder for left auricle locking cap 501, occluder for left auricle 500 is discharged into up to target location from claw 403.Such as Fig. 6
It is shown.
Such as need to adjust the position of occluder for left auricle 500, claw 403 can be pushed to the release position of occluder for left auricle 500
Put, different degrees of regulation pushes handle knob 405, control claw 403 shrinks, and reaches regulation occluder for left auricle 500 position
Purpose.Occluder for left auricle 500 such as occurs being not properly sized or occurring ill symptomses after discharging, and need to such as change or recall the left heart
Ear plugging device 500, can push the seizure occluder for left auricle 500 of handle 402 by adjusting, and be reloaded into delivery sheath
100, the occluder for left auricle 500 for having discharged is recalled in drawing-off.
As shown in Figure 5,6, the occluder for left auricle induction system of the present embodiment include delivery sheath 100, expander 200,
Pusher 400 and loader 300, wherein, delivery sheath 100 can be conveyed with expander 200 with heart shedding motion is combined into
Sheath 100 can be sequentially connected the conveying combination unit of composition heart defect amplatzer with loader 200 and pusher 400.It is defeated
System is sent for Jing intubation intervention left atrial appendage occlusion arts, occluder for left auricle 500 is loaded, conveyed, discharged, and can be upon discharge
Need to complete position adjustments when adjusting plugging device position, for occluder for left auricle need to such as be withdrawn from and be changed to special illness by adjusting
The seizure to occluder for left auricle is realized in section catching, is completed plugging device and is recalled or change.
The preferred embodiment of the present invention described in detail above.It should be appreciated that one of ordinary skill in the art without
Need creative work just can make many modifications and variations with design of the invention.Therefore, all technologies in the art
Personnel are available by logical analysis, reasoning, or a limited experiment on the basis of existing technology under this invention's idea
Technical scheme, all should be in the protection domain being defined in the patent claims.
Claims (10)
1. a kind of occluder for left auricle induction system, it is characterised in that including delivery sheath, expander, pusher, loading
Device;
Wherein, the delivery sheath includes delivery sheath body, delivery sheath connector, the first extension tube and the first threeway hemostasis
Valve;The first threeway haemostatic valve passes through the side shoot that first extension tube connects the delivery sheath connector, and with it is described
Delivery sheath body forms path;
The expander includes expander body and expander joint;The expander joint is arranged at the first of the expander
End, the expander is arranged inside the delivery sheath by the expander joint, the second end of the expander
Stretch out delivery sheath;
The loader includes loader body, loader connector, the second extension tube and the second threeway haemostatic valve;The loading
Device is connected by the delivery sheath connector with the delivery sheath;The second threeway haemostatic valve extends by described second
Pipe connects the side shoot of the loader connector, and forms path with the loader body, the delivery sheath;
The pusher includes pushing handle, pushes wirerope and claw;The push wirerope runs through into the loader and defeated
The inside of sheath, and the second end from the delivery sheath is sent to stretch out;The claw is arranged at the second of the push wirerope
End.
2. a kind of occluder for left auricle induction system as claimed in claim 1, it is characterised in that the delivery sheath connector
Also include the first adjusting knob, the internal diameter of the delivery sheath connector is changed by first adjusting knob, make different chis
The very little loader passes through the delivery sheath connector.
3. a kind of occluder for left auricle induction system as claimed in claim 1, it is characterised in that the loader connector is also
Including the second adjusting knob, the internal diameter of the loader connector is changed by the second adjusting knob, made various sizes of described
Pusher passes through the loader connector.
4. a kind of occluder for left auricle induction system as claimed in claim 1, it is characterised in that set inside the push wirerope
Bracing wire is equipped with, the push handle is provided with knob, and the first end of the bracing wire is connected with the claw, the bracing wire
The second end is connected with the knob of the push handle.
5. a kind of occluder for left auricle induction system as claimed in claim 4, it is characterised in that the quantity of the claw, institute
State that bracing wire is identical with the quantity of the knob, the quantity of the claw is 2-10, the quantity of the bracing wire is 2-10, described
The quantity of knob is 2-10.
6. a kind of occluder for left auricle induction system as claimed in claim 5, it is characterised in that claw structure can be overhead kick
One kind in shape, the crocodile degree of lip-rounding, mouse profile of tooth.
7. a kind of occluder for left auricle induction system as claimed in claim 6, it is characterised in that the claw is set to fix
Occluder for left auricle, is that, when the push handle of the pusher is in original state, the claw is in diastole state,
The locking cap of the occluder for left auricle is positioned in the claw, the knob of the push handle that turns clockwise is adjusted
Claw so that claw shrinks and clamps the locking cap of the occluder for left auricle.
8. a kind of occluder for left auricle induction system as claimed in claim 7, it is characterised in that the loader is set to use
In occluder for left auricle is loaded, the loader connector is adjusted, the push wirerope is moved freely in the loader,
The push handle is proximally drawn, the occluder for left auricle drawing-off is entered in the loader body.
9. a kind of occluder for left auricle induction system as claimed in claim 8, it is characterised in that the loader and described defeated
The connect setting of sheath is sent to adjust the loader connector so that the push wirerope can not be in the loader freely
It is mobile, then adjust the delivery sheath connector, will be loaded with the occluder for left auricle the loader body second
The delivery sheath is stretched in end, until the loader body the second end aligns with delivery sheath first end, adjusts institute
State delivery sheath connector so that the locking loader.
10. a kind of occluder for left auricle induction system as claimed in claim 9, it is characterised in that by the left atrial appendage occlusion
Device is discharged into target location and is set to, and adjusts the loader connector, by the push wirerope to the of the delivery sheath
Two ends promote, and after reaching the off-position of the occluder for left auricle, the occluder for left auricle are pushed out into the conveying
Sheath, adjusts and pushes handle knob to original state, discharges the occluder for left auricle locking cap so that the left atrial appendage occlusion
Device is discharged into up to target location from the claw.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201611110437.6A CN106618664B (en) | 2016-12-06 | 2016-12-06 | Left auricle occluder conveying system |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201611110437.6A CN106618664B (en) | 2016-12-06 | 2016-12-06 | Left auricle occluder conveying system |
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CN106618664A true CN106618664A (en) | 2017-05-10 |
CN106618664B CN106618664B (en) | 2023-04-14 |
Family
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CN201611110437.6A Active CN106618664B (en) | 2016-12-06 | 2016-12-06 | Left auricle occluder conveying system |
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Cited By (3)
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CN109498074A (en) * | 2019-01-04 | 2019-03-22 | 上海形状记忆合金材料有限公司 | Method Wholly-degradable plugging device dedicated driving means and its connect with plugging device |
CN111166412A (en) * | 2020-01-10 | 2020-05-19 | 西安交通大学医学院第一附属医院 | Left atrial appendage occlusion device's conveying system |
EP4005501A4 (en) * | 2020-06-16 | 2022-11-16 | Shanghai Shape Memory Alloy Co., Ltd. | Head end enveloping-type clamping and conveying system |
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CN106163426A (en) * | 2014-03-31 | 2016-11-23 | 吉提姆德有限公司 | Left atrial appendage occlusion device |
CN206745406U (en) * | 2016-12-06 | 2017-12-15 | 上海心玮医疗科技有限公司 | A kind of occluder for left auricle induction system |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN109498074A (en) * | 2019-01-04 | 2019-03-22 | 上海形状记忆合金材料有限公司 | Method Wholly-degradable plugging device dedicated driving means and its connect with plugging device |
CN111166412A (en) * | 2020-01-10 | 2020-05-19 | 西安交通大学医学院第一附属医院 | Left atrial appendage occlusion device's conveying system |
EP4005501A4 (en) * | 2020-06-16 | 2022-11-16 | Shanghai Shape Memory Alloy Co., Ltd. | Head end enveloping-type clamping and conveying system |
Also Published As
Publication number | Publication date |
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