CN107198572A - Trigeminal gasserian ganglion compression device - Google Patents

Trigeminal gasserian ganglion compression device Download PDF

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Publication number
CN107198572A
CN107198572A CN201610147132.6A CN201610147132A CN107198572A CN 107198572 A CN107198572 A CN 107198572A CN 201610147132 A CN201610147132 A CN 201610147132A CN 107198572 A CN107198572 A CN 107198572A
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CN
China
Prior art keywords
balloon
compression
dilatation balloon
half section
trigeminal nerve
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CN201610147132.6A
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Chinese (zh)
Inventor
王�锋
官国锋
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深圳市擎源医疗器械有限公司
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Priority to CN201610147132.6A priority Critical patent/CN107198572A/en
Publication of CN107198572A publication Critical patent/CN107198572A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters

Abstract

The invention relates to the technical field of medical apparatuses, and provides a trigeminal gasserian ganglion compression device. The device comprises a compression balloon catheter assembly (10) and a puncture needle set piece (20), the compression balloon catheter assembly comprises a dilatation balloon (12), a connecting base (16) and a support pipe (14) connected with the dilatation balloon (12) and the connecting base (16), and the dilatation balloon (12), the support pipe (14) and the connecting base (16) are all communicated; the puncture needle set piece comprises a puncture needle (22) and a catheter sheath (24); the junction of a pipe body (144) of the support pipe (14) and the dilatation balloon (12) is provided with a first step part (32), a traction wire (142) is expanded on the section of the lowermost end of the dilatation balloon (12) till the whole dilatation balloon (12) is dilated, and an elastic element (140) is arranged between the first step part (32) and the tail end of the traction wire (142). The trigeminal gasserian ganglion compression device is good in support and push performance and can guarantee the softness.

Description

三叉神经半月节压迫装置【技术领域】 Half section of the trigeminal nerve compression device FIELD

[0001] 本发明涉及医疗器械技术领域,尤其涉及一种三叉神经半月节压迫装置。 [0001] The present invention relates to the technical field of medical devices, particularly to a trigeminal nerve half section of the compression device. 【背景技术】 【Background technique】

[0002] 目前开颅显微血管减压手术是唯一针对病因治疗三叉神经痛的手术手段,其主要优点为可以长期控制病情、复发率低而且术后几乎没有感觉丧失(面部麻木)的情形;但其缺点是必须对患者进行开颅手术,手术时间长、风险高,对手术医师的临床手术经验和患者全身情况及体质要求高,部分患者会产生轻重不等的并发症如:面神经瘫痪、耳鸣、听力下降、脑脊液漏、切口感染甚至死亡等,且患者术后康复时间长、手术费用高。 [0002] Currently cranial microvascular decompression surgery is the only treatment for the cause of trigeminal neuralgia case of surgical instruments, the main advantage is the long-term control of the disease, the recurrence rate and postoperative almost no loss of sensation (facial numbness) of; but its drawback is necessary for patients with craniotomy surgery for a long time, high-risk, high on the surgeon's experience in clinical surgery and general condition of the patient and physical requirements, some patients will have varying severity of complications such as: facial nerve paralysis, tinnitus, hearing loss, cerebrospinal fluid leakage, wound infection and even death, and postoperative rehabilitation of patients for a long time, the high cost of surgery.

[0003] 而经皮三叉神经半月节球囊压迫撕脱手术操作技术简单,病人耐受性好。 [0003] transdermally half section of the trigeminal nerve avulsion compression balloon simple surgical technique, the patient tolerated. 患者全麻进行整个手术,过程中几乎没有疼痛和不适感。 Patient general anesthesia throughout the surgery, the process is almost no pain and discomfort. 手术时间短(平均半小时),手术后三叉神经疼痛可立即缓解,当天即可下床活动。 Shorter operative time (an average of half an hour), post-operative pain can be immediately alleviate the trigeminal nerve, the day to get out of bed. 如患者对于疼痛缓解不满意,可重复接受同一手术,术后感觉缺失较轻微,并发症发生机率低。 If patients for pain relief are not satisfied, repeat the same acceptance surgery, anesthesia minor, low rate of complications machines. 手术仅有直径不到2mm的穿刺伤,手术后不需住加护病房,患者舒适度高。 Surgery is only less than 2mm in diameter puncture wounds, after surgery to live without the intensive care unit, high comfort patients. 该手术疗效与微血管减压手术疗效相近,且并发症轻微,病人舒适度高、人性化、恢复快、费用低、病人接受度高,在欧美发达国家目前已较广泛开展。 The surgery and microvascular decompression surgery is similar, and the slight complication, the patient very comfortable, user-friendly, quick recovery, low cost, high patient acceptance, has been widely carried out in the more developed European countries.

[0004] 目前尚未有一种能较好完成经皮三叉神经半月节球囊压迫撕脱手术的三叉神经半月节压迫装置。 [0004] There is a not yet completed can be better half section of the trigeminal nerve compression apparatus transdermal half section of the trigeminal nerve avulsion compression balloon surgery. 【发明内容】 [SUMMARY]

[0005] 本发明要解决的技术问题是提供一种为经皮三叉神经半月节球囊压迫撕脱手术设计的三叉神经半月节压迫装置,支撑推送性能好且能保证柔软性。 [0005] The present invention is to solve the technical problem of providing a percutaneous balloon half section of the trigeminal nerve trigeminal nerve compression surgery avulsion half section of the compression device design, performance and can ensure good support push softness.

[0006] 为解决上述技术问题,本发明提供以下技术方案: [0006] To solve the above problems, the present invention provides the following technical solutions:

[0007] —种三叉神经半月节压迫装置,所述装置包括: [0007] - species semilunar ganglion trigeminal nerve compression apparatus, said apparatus comprising:

[0008] 压迫球囊导管组件(10),所述压迫球囊导管组件(10)包括扩张球囊(12)、连接座(16)以及连接所述扩张球囊(12)和连接座(16)的支撑管(14),所述扩张球囊(12)、支撑管(14)和连接座(16)之间均导通;以及 [0008] The compression balloon catheter assembly (10), the compression balloon catheter assembly (10) comprises a dilatation balloon (12), connecting base (16) and connecting said inflatable balloon (12) and a connecting base (16 ) of the support tube (14), said dilatation balloon (12), support tube (14) and a connecting base (16) are turned on; and

[0009] 穿刺针套件(20),所述穿刺针套件(20)包括穿刺针(22)和导管鞘(24),所述导管鞘(24)在穿刺后留置在组织中,供所述压迫球囊导管组件(10)进入组织; [0009] Kits of the puncture needle (20), said needle set (20) comprises a puncture needle (22) and the introducer sheath (24), said catheter sheath (24) after indwelling in a tissue, for the compression The balloon catheter assembly (10) into the tissue;

[0010] 所述支撑管(14)包括管体(144)和弹性元件(140),其中在所述管体(144)上与所述扩张球囊(12)的连接处有第一台阶部(32),所述牵引丝(142)在所述扩张球囊(12)的最尾端截面扩大至扩充整个扩张球囊(12),所述弹性元件(140)设置在所述第一台阶部(32) 和所述牵引丝(142)的末端之间。 [0010] The support tube (14) comprises a tubular body (144) and an elastic member (140), wherein the connection with the dilatation balloon (12) are in said tubular body (144) a first stepped portion (32), said pull wire (142) at the most trailing end of the dilatation balloon (12) is expanded to the entire cross-sectional expanded dilatation balloon (12), said elastic member (140) disposed in said first step between the end portion (32) and said pull wire (142).

[0011] 进一步地,所述穿刺针套件(20)中的穿刺针(22)对组织进行穿刺,导管鞘(24)与穿刺针(22)—同进入组织,导管鞘(24)在穿刺后留置在组织中,提供供压迫球囊导管组件(10)进入卵圆孔的通道; [0011] Further, the puncture needle of the puncture needle kit (20) (22) piercing the tissue, the catheter sheath (24) and the needle (22) - after the entry into tissue, the catheter sheath (24) in the puncture left in the tissue, providing for compression of the balloon catheter assembly (10) into the oval passage hole;

[0012] 所述压迫球囊导管组件(10)中的扩张球囊(12)可收缩以进入卵圆孔后进行扩张对三叉神经半月节进行压迫。 [0012] The compression balloon dilatation balloon catheter assembly (12) (10) may be contracted to expand into the oval hole of a half section of the trigeminal nerve oppression.

[0013] 进一步地,所述弹性元件(140)为弹簧。 [0013] Further, the elastic member (140) is a spring.

[0014] 进一步地,所述弹性元件(140)和支撑管(14)的管体(144)采用粘接、热合或焊接工艺连接,所述弹性元件(140)和所述牵引丝(142)的末端通过焊接连接,弹性元件(140)与牵引丝(142)的末端的连接点为焊点34。 [0014] Further, the elastic member (140) and the support tube (14) of the tube (144) using an adhesive, heat bonding or welding process connections, said elastic member (140) and said pull wire (142) ends are connected by welding, the connection point at the end of the elastic member (140) and the pull wire (142) is a solder joint 34.

[0015] 进一步地,所述扩张球囊(12)由弹性材料制成;所述扩张球囊(12)为顺应性球囊或半顺应性球囊;所述扩张球囊(12)的充盈形状为球形或胶囊形。 [0015] Further, the dilatation balloon (12) is made of an elastic material; said dilatation balloon (12) is a compliant or semi-compliant balloon of the balloon; the dilatation balloon (12) filling a spherical shape or a capsule shape.

[0016] 进一步地,所述支撑管(14)与扩张球囊(12)连接的一端由弹性金属材料制成,另一端由医用高分子材料制成,两端之间使用粘接或热合工艺连接。 [0016] Further, the support tube (14) and dilatation balloon (12) connected at one end made of an elastic metallic material, and the other end made of medical polymer materials, using adhesive or thermal bonding process between the ends connection.

[0017] 进一步地,所述支撑管(14)的管体(144)的管腔为单腔或多腔。 Lumen of the tubular body (144) [0017] Further, the support tube (14) is a single lumen or chamber.

[0018] 进一步地,所述连接座(16)为单腔、Y型双腔、丄型双腔、三腔或四腔;所述连接座(16)由医用高分子材料制成。 [0018] Further, the connecting base (16) is a single cavity, Y dual-chamber type, dual chamber type Shang, three-chamber or four-chamber; said connecting base (16) is made of medical polymer materials.

[0019] 进一步地,所述穿刺针(22)由不锈钢制成,所述导管鞘(24)由不锈钢或医用高分子材料制成;所述穿刺针(22)和导管鞘(24)之间通过螺纹连接进行锁定和解锁。 [0019] Further, the puncture needle (22) made of stainless steel, the catheter sheath (24) made of stainless steel or a medical polymer materials; between the puncture needle (22) and the introducer sheath (24) by screwing locking and unlocking.

[0020] 进一步地,所述导管鞘(24)开设有供所述压迫球囊导管组件(10)通过的内腔以及刻有第一刻度(246),所述支撑管(14)上刻有第二刻度(146),所述第一刻度(246)和第二刻度(146)相互配合使用,穿刺针(22)可在导管鞘(24)内腔自由滑动。 [0020] Further, the catheter sheath (24) defines the compression for the balloon catheter assembly (10) through a first lumen and engraved scale (246), said support tube (14) inscribed a second scale (146), the first scale (246) and a second scale (146) used in conjunction with each other, the puncture needle (22) in the catheter sheath (24) slidably lumen.

[0021] 本发明的有益效果在于:通过支撑管远端的弹簧(弹性元件),提供X射线下优异的显影性能,实现扩张球囊方便、精确的定位,对三叉神经半月节进行准确的压迫保证疗效; 此外,弹簧和管体的连接结构能获得足够的支撑推送性能,同时保证压迫球囊导管组件在扩张球囊一端的柔软性。 [0021] Advantageous effects of the present invention is that: the distal end of the support tube by a spring (elastic member) provides excellent developing property under X-ray, to achieve expansion of the balloon to facilitate the precise positioning of a half section of the trigeminal nerve compression accurate ensure efficacy; Further, the connection structure of the spring and the tubular body can be sufficient to support the push performance, while ensuring flexibility of the compression balloon catheter dilatation balloon at one end of the assembly. 【附图说明】 BRIEF DESCRIPTION

[0022] 图1是本发明实施例提供的三叉神经半月节压迫装置的分解结构示意图; [0022] FIG. 1 is an exploded schematic view of the structure of a half section of the trigeminal nerve compression apparatus according to an embodiment of the present invention;

[0023] 图2是图1中压迫球囊导管组件靠近扩张球囊一端的结构示意图; [0023] FIG. 2 is a schematic view of the structure of FIG. 1 compression balloon assembly near one end of the balloon catheter expansion;

[0024] 图3是图1中穿刺针套件的分解结构示意图; [0024] FIG. 3 is an exploded schematic view of the structure of the puncture needle in Figure 1 kit;

[0025] 图4是图1中压迫球囊导管组件和导管鞘刻度配合示意图。 [0025] FIG. 4 is a schematic diagram in FIG. 1 with the compression balloon catheter and catheter sheath assembly scale.

[0026] 附图标记: [0026] The reference numerals:

Figure CN107198572AD00041
Figure CN107198572AD00051

【具体实施方式】 【Detailed ways】

[0029] 为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。 [0029] To make the objectives, technical solutions and advantages of the present invention will become more apparent hereinafter in conjunction with the accompanying drawings and embodiments of the present invention will be further described in detail. 应当理解,此处所描述的具体实施例仅用以解释本发明,并不用于限定本发明。 It should be understood that the specific embodiments described herein are merely used to explain the present invention and are not intended to limit the present invention.

[0030] 此外,下面所描述的本发明各个实施方式中所涉及到的技术特征只要彼此之间未构成冲突就可以相互组合。 [0030] Furthermore, various embodiments of the invention described below involved the technical features as long as no conflict with one another can be configured in combination with each other.

[0031] 本发明实施例提供了一种三叉神经半月节压迫装置,所述装置包括:压迫球囊导管组件10,所述压迫球囊导管组件10包括扩张球囊12、连接座16以及连接所述扩张球囊12 和连接座16的支撑管14,所述扩张球囊12、支撑管14和连接座16之间均导通;以及穿刺针套件20,所述穿刺针套件20包括穿刺针22和导管鞘24,所述导管鞘24在穿刺后留置在组织中, 供所述压迫球囊导管组件10进入组织。 Example embodiments provide a half section of the trigeminal nerve compression apparatus, said apparatus [0031] according to the present invention comprises: compression balloon catheter assembly 10, the compression assembly 10 includes a balloon catheter 12, connected to the seat 16 and the connection dilatation balloon said dilatation balloon 12 and the tube 16 connected to the seat support 14, the dilatation balloon 12, are conduction between the support tube 14 and the connection seat 16; 20 and the puncture needle kit, the kit 20 includes the puncture needle of the puncture needle 22 and the catheter sheath 24, the catheter sheath 24 after indwelling in a tissue, for the compression of the balloon catheter assembly 10 into tissue. 本实施例中,压迫球囊导管组件10主要进行三叉神经半月节压迫,穿刺针套件20则将压迫球囊导管组件10送到人体组织内的预定位置,穿刺针套件20和压迫球囊导管组件10之间配合使用协助完成经皮三叉神经半月节球囊压迫撕脱手术。 In this embodiment, compression of the balloon catheter assembly 10 mainly half trigeminal nerve compression section, the puncture needle 20 will kit compression balloon catheter assembly 10 to a predetermined position within the body tissue, the puncture needle 20 and the compression balloon catheter kit assembly between 10 assist with the use of percutaneous balloon half section of the trigeminal nerve avulsion compression operation. 具体地,压迫球囊导管组件10中的扩张球囊12可收缩以进入卵圆孔后进行扩张对三叉神经半月节进行压迫,穿刺针套件20中的穿刺针22对组织进行穿刺,导管鞘24与穿刺针22—同进入组织,导管鞘24在穿刺后留置在组织中,提供供压迫球囊导管组件10进入卵圆孔的通道。 In particular, the dilatation balloon 10 in the compression balloon catheter assembly 12 may be contracted to expand into the oval hole of a half section of the trigeminal nerve oppression, the puncture needle 2022 puncture needle kit piercing the tissue, the catheter sheath 24 22- with the puncture needle into the tissue, the catheter sheath 24 left in after puncturing tissue, providing for compression of the balloon catheter assembly 10 into the passage of the foramen ovale.

[0032] 其中,所述扩张球囊12由弹性材料制成。 [0032] wherein the dilatation balloon 12 made of elastic material. 所述扩张球囊12为顺应性球囊或半顺应性球囊。 The balloon dilatation balloon 12 is compliant or semi-compliant balloon. 所述扩张球囊12的充盈形状为球形或胶囊形。 The dilatation balloon 12 filling spherical shape or a capsule shape. 扩张球囊12的材质可以是天然乳胶、 聚氨酯(POIy urethane,PU)、热塑性弹性体高分子材料、娃胶等。 The balloon expandable material 12 may be a natural latex, polyurethane (POIy urethane, PU), a thermoplastic elastomer polymer material, such as plastic baby. 根据需要,扩张球囊12可以是顺应性球囊或半顺应性球囊。 If necessary, the dilatation balloon 12 of the balloon may be compliant or semi-compliant balloon. 进一步地,扩张球囊12的充盈形状为球形或胶囊形。 Further, the shape of the expanded balloon 12 filling a spherical shape or a capsule. 扩张球囊12在手术中扩张后形状可随人体组织变化,呈梨形或其他形状。 After the dilatation balloon 12 can be expanded during surgery with human tissue changes shape, pear-shaped or other shapes. 图2中,扩张球囊12的主要组成部件为囊体120。 In FIG. 2, the expansion of the main components of the balloon 12 to the balloon body 120.

[0033] 其中,所述支撑管14与扩张球囊12连接的一端由弹性金属材料制成,另一端由医用高分子材料制成,两端之间使用粘接或热合工艺连接。 [0033] wherein the support tube 14 with one end connected to the dilatation balloon 12 made of an elastic metallic material, and the other end made of medical polymer materials, using adhesive or thermal bonding process between the connection ends.

[0034] 其中,连接座16为单腔、Y型双腔、丄型双腔、三腔或者四腔,由PP、PE、PC、ABC、P0M 等医用高分子材料制成。 [0034] wherein the connecting base 16 is a single cavity, Y dual-chamber type, dual chamber type Shang, three chamber or four chamber, made of PP, PE, PC, ABC, P0M medical polymer materials and the like. 连接座16通过连接注射器,当注射器注入液体,通过连接座16进入支撑管14并流入扩张球囊12,以使扩张球囊12膨胀;相反地,抽出液体时,扩张球囊12收缩。 Connecting base 16 is connected via a syringe, the syringe when injecting a liquid, by connecting base 16 into the support tube 14 and into the dilatation balloon 12, so that the dilatation balloon 12 is expanded; conversely, the liquid is drawn out, shrink dilatation balloon 12.

[0035] 其中,所述穿刺针22由不锈钢制成,包括针尾座222和针管224,所述导管鞘24由不锈钢或医用高分子材料制成,包括鞘尾座242和鞘管244。 [0035] wherein, the puncture needle 22 made of stainless steel, comprising a needle and syringe tailstock 222 224, the catheter sheath 24 is made of stainless steel or a medical polymer material, comprising a sheath 242 and sheath 244 tailstock. 所述导管鞘24开设有供所述压迫球囊导管组件10通过的内腔以及刻有第一刻度246,所述支撑管14上刻有第二刻度146,所述第一刻度246和第二刻度146相互配合使用。 The catheter sheath 24 defines for the compression balloon catheter assembly 10 through the lumen of the first scale 246 and engraved, engraved with the support tube 14 on the second scale 146, and the first scale 246 second scale 146 in conjunction with each other. 导管鞘24和支撑管14上的刻度主要用于判断穿刺针套件20进入组织深度,刻度可以通过镭雕、印刷或其他工艺制作。 Scale on the catheter sheath 14 and support tube 24 primarily kit for determining the puncture needle 20 into the tissue depth scale by laser engraving, printing or other production process. 支撑管14的外表面除了详细刻度标记外,还可设有涂层,涂层材料可采用亲水、铁氟龙或者硅油等材质。 The outer surface of the support tube 14 in addition to the detailed scale mark, but also provided with a coating, the coating material can be a hydrophilic, silicone oil, Teflon or other materials. 穿刺针22可在导管鞘24内腔自由滑动,穿刺针22和导管鞘24之间通过螺纹连接进行锁定和解锁,在锁定状态进行穿刺,穿刺由针尾座222完成,穿刺完成后固定导管鞘24旋转穿刺针22 解除锁定后拔出穿刺针22,导管鞘24留置在组织中提供压迫球囊导管组件10进入手术位置的通道。 The puncture needle 22 slidably in the lumen of the catheter sheath 24, the puncture needle 22 and catheter sheath 24 carried by a threaded connection between locking and unlocking, puncture in the locked state, the puncture needle by the tailstock 222 is completed, the puncture catheter sheath in fixed 22 after the puncture needle 24 is rotated to unlock pull out the needle 22, the indwelling catheter sheath 24 to provide compression of the balloon catheter assembly 10 into the operative position of the channel in the tissue.

[0036] 进一步地,在所述扩张球囊12的靠近支撑管14的一端和远离支撑管14的一端各固定有一金属扣环122。 [0036] Further, the dilatation balloon 12 near one end of the support tube 14 and away from an end of the support tube 14 is fixed to a respective metal ring 122. 所述金属扣环122为金属管状或者金属丝状,金属扣环122由不锈钢、 钨、钛、铂、金、银、或合金制成。 The tubular metal ring 122 is a metal or a metal filament, the metal ring 122 made of stainless steel, tungsten, titanium, platinum, gold, silver, or an alloy. 金属扣环122主要用于扩张球囊12在手术过程中提供X射线下的显影性,明确标示扩张球囊12在人体组织内的位置。 Grommet 122 is mainly used to expand the balloon 12 to provide a developing property under X-ray during surgery, clearly marked position dilatation balloon 12 in human tissue.

[0037] 进一步地,在所述支撑管14和扩张球囊12内部设有一贯穿所述支撑管14和扩张球囊12的牵引丝142。 [0037] Further, the support tube 14 and the inner expandable balloon 12 is provided with a support tube 14 extends through the pull wire 12 and the dilatation balloon 142. 所述牵引丝142由不锈钢制成,或者其他金属材料制成。 The pull wire 142 made of stainless steel, or made of other metal material. 牵引丝142的截面形状可以为长方形、正方形、椭圆形或圆形。 Traction sectional shape of wire 142 may be rectangular, square, oval or circular. 牵引丝142主要用于连接支撑管14的头部和尾部,保证支撑管14头尾的连接强度,保证压迫球囊导管组件10在断裂失效时的安全性和扩张球囊12的定位。 Pull wire 142 is used to connect the support tube 14 of the head and tail, to ensure the strength of the support tube 14 is connected head to tail, to ensure the compression of the balloon catheter assembly 10 is positioned at break and fail safety of the dilatation balloon 12. 进一步地,所述支撑管14包括管体144和弹性元件140,其中在所述管体144上与所述扩张球囊12的连接处有第一台阶部32,所述牵引丝142在所述扩张球囊12的最尾端截面扩大至扩充整个扩张球囊12,所述弹性元件140设置在所述第一台阶部32和所述牵引丝142的末端之间。 Further, the support tube 14 comprises a tubular body 144 and the elastic member 140, wherein the tubular body 144 has a connection with the expansion of the balloon 12 of the first stepped portion 32, the pull wire 142 in the the most trailing end 12 of the dilatation balloon to expand the entire cross-sectional expanded dilatation balloon 12, the elastic member 140 is disposed between the ends of the pull wire 32 and the first stepped portion 142. 进一步地,该弹性元件140可以是弹簧,例如不锈钢弹簧,或者该弹性元件140由其他弹性金属材料制成,呈其他弹性结构。 Further, the elastic member 140 may be a spring, such as spring stainless steel, or the other elastic member 140 is made of an elastic metal material, the form of other resilient structure. 支撑管14的管体144材质为医用高分子材料或金属材料,例如PVC、PU、PA、PE、PP等医用高分子材料,或不锈钢等金属材料,弹性元件140和支撑管14的管体144采用粘接、热合或焊接工艺连接,弹性元件140和所述牵引丝142的末端通过焊接连接,弹性元件140与牵引丝142的末端的连接点为焊点34,且所述焊点34外径大于金属扣环122、弹性元件140、支撑管14的管体144的内径,保证支撑管14头尾的连接强度的同时确保压迫球囊导管组件10在断裂失效时不会有零件掉入人体内;弹簧和管体144的连接结构能获得足够的支撑推送性能,同时保证压迫球囊导管组件10在扩张球囊12—端的柔软性。 Material of the support tube 144 is a tube 14 of medical polymer materials or metal materials, tubes and the like, for example PVC, PU, ​​PA, PE, PP and other medical polymer materials, stainless steel, or a metal material, the resilient member 140 and the support tube 14 144 using adhesive, heat bonding or welding process connections, the elastic member 140 and the end of the pull wire 142 is connected by welding, the connection point at the end of the elastic member 140 and pull wire 142 to pad 34, the pad 34 and the outer diameter metal ring is greater than 122, the elastic member 140, the support tube diameter 144 of the tubular body 14, ensure that the connection strength of the head and tail of the support tube 14 while ensuring the compression of the balloon catheter assembly 10 will not fall into the body part at the time of failure ; pipe connecting structure and a spring 144 can be sufficient to support the push performance, while ensuring compression balloon catheter assembly 10 in the expanded balloon end 12- flexibility. 具体地,支撑管14的管体144的管腔可为单腔或者多腔。 In particular, the support tube 144 of the tubular body lumen 14 may be a single chamber or multiple chambers.

[0038] 本实施例的三叉神经半月节压迫装置在具体操作时,全身麻醉后患者取仰卧位, 肩下垫适当高度包布卷以保证颈部轻度伸展。 [0038] The present half section trigeminal nerve compression apparatus of this embodiment the specific operation, the patient supine general anesthesia, the shoulder height of the underlying cloth roll appropriately to ensure that the neck slightly extended. 在X射线环境下,用穿刺针套件20从患侧面部穿刺,进针点选在患侧口角旁约2.5cm。 In the X-ray environment, the puncture needle 20 from the ipsilateral facial kit, the needle may tap into the mouth side ipsilateral to about 2.5cm. 通过X影像定位和导管鞘24上的刻度引导穿刺针套件20进入卵圆孔,但不要刺穿卵圆孔上缘。 Kit through the guide needle 24 X the scale on the image positioning catheter sheath 20 and into the oval holes, but do not pierce upper edge of the foramen ovale. 旋转解锁针尾座和鞘尾座242,也即解除锁定穿刺针22与导管鞘24,拔出穿刺针套件20的穿刺针22,将导管鞘24留置在穿刺位置。 Rotating unlock needle sheath tailstock and the tailstock 242, i.e. unlock the puncture needle 22 and the catheter sheath 24, pull out the needle 22 of the puncture needle kit 20, the indwelling catheter sheath 24 at the puncture position. 将压迫球囊导管组件10沿穿导管鞘24内腔插入,插入深度通过X影像定位和管体144上的刻度判定。 The compression balloon catheter through the catheter sheath assembly 10 along the lumen 24 is inserted, the insertion depth of the image by the scale on the X and positioning the tubular body 144 is determined. 当扩张球囊12进入Meckle ' s腔的三叉神经的半月节定位完成后,以稀释造影剂通过连接座16注入压迫球囊导管组件10使扩张球囊12充盈膨胀,并通过X影像于侧位监测扩张球囊12 充盈状况。 When a half section of the dilatation balloon 12 into the positioning Meckle 's complete trigeminal nerve chamber, to dilute the contrast medium injection compression assembly 10 causes expansion of the balloon catheter 12 by filling the inflatable balloon connected to seat 16 and through the images in the lateral X 12 filling the balloon dilation monitoring the situation. 注入稀释造影剂量至扩张球囊12刚好填满Meckle's腔,侧位监测扩张球囊12充盈形状为理想梨形外观。 Injection of contrast agent was diluted to just fill the dilatation balloon 12 Meckle's chamber, monitoring the lateral expansion of the balloon 12 over the filling pear shape appearance. 保持扩张球囊12膨胀压迫三叉神经半月节1分钟。 Dilatation balloon 12 remains inflated half section trigeminal nerve compression for 1 minute. 抽出造影剂,退出压迫球囊导管组件10和导管鞘24,穿刺点压迫数分钟止血,手术完成。 Extracting a contrast agent, exit compression balloon catheter 10 and the catheter sheath assembly 24, compression of the puncture site for several minutes to stop bleeding, the procedure is complete.

[0039] 本实施例通过设置压迫球囊导管组件10和穿刺针套件20,将穿刺针套件20穿刺进入卵圆孔后拔出穿刺针22留置导管鞘24在组织内,再将压迫球囊导管组件10沿导管鞘24内腔送入卵圆孔以液体注入压迫球囊导管组件10使其中的扩张球囊12膨胀,通过扩张球囊12 充盈膨胀的方式压迫三叉神经半月节,对导致三叉神经痛的神经纤维解除卡压和压迫破坏,从而对三叉神经痛进行治疗。 [0039] In the present embodiment, by providing the compression balloon catheter assembly 10 and needle 20 kit, the puncture needle 20 puncturing kit pull out the needle into the catheter sheath oval hole 2224 in the tissue, and then compression balloon catheter sheath assembly 10 along the conduit 24 into the lumen of the foramen ovale in a liquid injection assembly 10 causes the compression of the balloon catheter in which the dilatation balloon 12 is expanded, trigeminal nerve compression half section 12 by way of filling the expandable inflation of the balloon, to cause the trigeminal nerve pain nerve fibers release compression and compression damage to treat trigeminal neuralgia. 具有以下有益效果: It has the following advantages:

[0040] 1.通过支撑管14远端的金属扣环122,提供X射线下优异的显影性能,实现扩张球囊12方便、精确的定位,对三叉神经半月节进行准确的压迫保证疗效。 [0040] 1. The metal ring 14 is supported by the distal end of tube 122, provides excellent developing property under X-ray, dilatation balloon 12 to achieve convenient, accurate positioning of a half section of the trigeminal nerve compression to ensure accurate results.

[0041] 2.通过牵引丝142连接支撑管14的头部和尾部,保证支撑管14头尾的连接强度,保证压迫球囊导管组件10在断裂失效时的安全性和扩张球囊12的定位。 [0041] 2. By positioning the pull wire 142 connected to the support tube 14 of the head and tail, to ensure the strength of the support tube 14 is connected head to tail, to ensure the compression of the balloon catheter assembly 10 and safety during the dilatation balloon 12 Failure .

[0042] 3.通过支撑管14远端的弹簧(弹性元件140),提供X射线下优异的显影性能,实现扩张球囊12方便、精确的定位,对三叉神经半月节进行准确的压迫保证疗效;此外,弹簧和管体144的连接结构能获得足够的支撑推送性能,同时保证压迫球囊导管组件10在扩张球囊12—端的柔软性。 [0042] 3. The distal end of the tube 14 by a spring (elastic member 140) is supported, providing excellent developing property under X-ray, dilatation balloon 12 to achieve convenient, accurate positioning of a half section of the trigeminal nerve compression accurate to ensure efficacy ; in addition, the spring tube 144 and the connecting structure can be sufficient to support the push performance, while ensuring compression balloon catheter assembly 10 in the expanded balloon end 12- flexibility.

[0043] 4.支撑管14和导管鞘24均有供判断压迫球囊导管组件10和穿刺针套件20进入组织深度的易于判读的刻度,支撑管14上的刻度配合导管鞘24上的刻度使用,使压迫球囊导管组件10进入组织的深度更直观,具体说是导管鞘24上的刻度使穿刺针套件20在组织穿刺时更方便和准确,可以精确到毫米,使组织穿刺更简单、直观、安全。 [0043] 4. The support tube 14 and catheter sheath 24 are also determined for the compression balloon catheter assembly 10 and needle 20 into the package easy to interpret tissue depth scale, using the scale on the support tube 14 with the scale on the introducer sheath 24 the compression of the balloon catheter assembly 10 into the tissue depth of more intuitive, particularly on the scale 24 is a puncture needle kit introducer sheath 20 at a more convenient and accurate tissue puncture mm accurate to the tissue piercing more simple and intuitive ,Safety.

[0044] 5.支撑管14靠近扩张球囊12—端的弹性元件140和外包裹的弹性高分子材料制成的扩张球囊12共同组成柔软头端,避免手术过程中对血管和神经的误伤,减少手术并发症, 使定位操作更安全。 [0044] 5. The support tube 14 made close to the outer wrap 140 and the elastic member expandable balloon end 12- elastic polymer material 12 composed expandable balloon tip soft to avoid accidental injury during surgery of blood vessels and nerves, reduce surgical complications, the positioning operation safer.

[0045] 6.通过定量控制充压机构内注入的液体量以精确控制扩张球囊12的液体注入量和充盈时间,从而控制扩张球囊12的扩张大小,以精确控制三叉神经半月节压迫的力度和时间,最终实现对三叉神经痛进行有效的治疗。 [0045] 6. By controlling the amount of liquid injected quantitative internal pressurization mechanism to precisely control the amount of liquid injection expansion balloon 12 and the filling time, so as to control the size of the expansion of the expandable balloon 12 to accurately control the compression of a half section of the trigeminal nerve the intensity and time, and ultimately effective treatment for trigeminal neuralgia.

[0046] 本发明实施例的三叉神经半月节压迫装置使手术操作更直观,降低手术难度,对手术操作者的技术和经验要求降低,同时也降低了操作者的劳动强度,避免误伤血管和神经,减少手术并发症,精准的定位同时保证了手术的疗效。 [0046] trigeminal nerve half section of the compression device of the embodiment of the present invention makes the surgical procedure more intuitive, reduce the difficulty of operation, to reduce the technical and experience of the operator's requirements, but also reduces the labor intensity of the operation, to avoid accidental injury of blood vessels and nerves reduce surgical complications, precise positioning while ensuring the efficacy of surgery.

[0047] 以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。 [0047] The foregoing is only preferred embodiments of the present invention but are not intended to limit the present invention, any modifications within the spirit and principle of the present invention, equivalent substitutions and improvements should be included in the present within the scope of the invention.

Claims (10)

1. 一种三叉神经半月节压迫装置,其特征在于,所述装置包括: 压迫球囊导管组件(10),所述压迫球囊导管组件(10)包括扩张球囊(12)、连接座(16) 以及连接所述扩张球囊(12)和连接座(16)的支撑管(14),所述扩张球囊(12)、支撑管(14) 和连接座(16)之间均导通;以及穿刺针套件(20),所述穿刺针套件(20)包括穿刺针(22)和导管鞘(24),所述导管鞘(24)在穿刺后留置在组织中,供所述压迫球囊导管组件(10)进入组织; 在所述支撑管(14)和扩张球囊(12)内部设有一贯穿所述支撑管(14)和扩张球囊(12) 的牵引丝(142); 所述支撑管(14)包括管体(144)和弹性元件(140),其中在所述管体(144)上与所述扩张球囊(12)的连接处有第一台阶部(32),所述牵引丝(142)在所述扩张球囊(12)的最尾端截面扩大至扩充整个扩张球囊(12),所述弹性元件(140)设置在所述第 A half section of the trigeminal nerve compression device, characterized in that said apparatus comprising: a compression balloon catheter assembly (10), the compression balloon catheter assembly (10) comprises a dilatation balloon (12), connecting base ( between 16) and a support tube connected to the inflatable balloon (12) and a connecting base (16) (14), said dilatation balloon (12), support tube (14) and a connecting base (16) are turned on ; kit and the puncture needle (20), said needle set (20) comprises a puncture needle (22) and the introducer sheath (24), said catheter sheath (24) after indwelling in a tissue, for the compression ball the balloon catheter assembly (10) into the tissue; in the support tube (14) and dilatation balloon (12) through said internally provided with a supporting tube (14) and dilatation balloon (12) of the pull wire (142); the said support tube (14) comprises a tubular body (144) and an elastic member (140), which has connections with the dilatation balloon (12) on said tubular body (144) a first stepped portion (32), the pull wire (142) at the most trailing end of the dilatation balloon (12) is expanded to the entire cross-sectional expanded dilatation balloon (12), said elastic member (140) disposed on said first 台阶部(32)和所述牵引丝(142)的末端之间。 Between the stepped end portion (32) and said pull wire (142).
2. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述穿刺针套件(20)中的穿刺针(22)对组织进行穿刺,导管鞘(24)与穿刺针(22)—同进入组织,导管鞘(24)在穿刺后留置在组织中,提供供压迫球囊导管组件(10)进入卵圆孔的通道; 所述压迫球囊导管组件(10)中的扩张球囊(12)可收缩以进入卵圆孔后进行扩张对三叉神经半月节进行压迫。 2. The half section of the trigeminal nerve compression apparatus according to claim 1, wherein said needle puncture needle kit (20) (22) piercing the tissue, the catheter sheath (24) and the needle (22 ) - with into tissue, the catheter sheath (24) after indwelling in the tissue, provide a passage for the compression of the balloon catheter assembly (10) into the oval apertures; the compression balloon dilatation catheter assembly of balls (10) the balloon (12) may be contracted to expand into the oval hole of a half section of the trigeminal nerve oppression.
3. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述弹性元件(140)为弹黄。 Half section of the trigeminal nerve compression apparatus according to claim 1, wherein said elastic member (140) is a spring.
4. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述弹性元件(140)和支撑管(14)的管体(144)采用粘接、热合或焊接工艺连接,所述弹性元件(140)和所述牵引丝(142)的末端通过焊接连接,弹性元件(140)与牵引丝(142)的末端的连接点为焊点(34)。 4. The half section trigeminal nerve compression apparatus according to claim 1, wherein said elastic member (140) and the support tube (14) of the tube (144) using an adhesive, heat bonding or welding process is connected, the end of said elastic member (140) and said pull wire (142) is connected by welding, the connection point at the end of the elastic member (140) and the pull wire (142) is a pad (34).
5. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述扩张球囊(12)由弹性材料制成;所述扩张球囊(12)为顺应性球囊或半顺应性球囊;所述扩张球囊(12)的充盈形状为球形或胶囊形。 5 half section of the trigeminal nerve compression apparatus according to claim 1, characterized in that said dilatation balloon (12) is made of an elastic material; said dilatation balloon (12) is a compliant or semi-compliant balloon balloon; filling the shape of the dilatation balloon (12) is a spherical shape or a capsule.
6. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述支撑管(14)与扩张球囊(12)连接的一端由弹性金属材料制成,另一端由医用高分子材料制成,两端之间使用粘接或热合工艺连接。 As claimed in half section of the trigeminal nerve compression apparatus as recited in claim 1 and the other end of medical polymer, characterized in that the support tube (14) and dilatation balloon (12) is connected to one end made of an elastic metallic material, made of a material, using an adhesive or thermal bonding process between the connection ends.
7. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述支撑管(14)的管体(144)的管腔为单腔或多腔。 7. The half section trigeminal nerve compression apparatus according to claim 1, characterized in that the support tube (14) of the tube (144) is a single lumen or multi-lumen lumen.
8. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述连接座(16)为单腔、Y型双腔、丄型双腔、三腔或四腔;所述连接座(16)由医用高分子材料制成。 8. The half section trigeminal nerve compression apparatus according to claim 1, wherein said connecting base (16) is a single cavity, Y dual-chamber type, dual chamber type Shang, three-chamber or four-chamber; said connector seat (16) is made of medical polymer materials.
9. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述穿刺针(22)由不锈钢制成,所述导管鞘(24)由不锈钢或医用高分子材料制成;所述穿刺针(22)和导管鞘(24) 之间通过螺纹连接进行锁定和解锁。 9. The half section trigeminal nerve compression apparatus according to claim 1, wherein the puncture needle (22) made of stainless steel, the catheter sheath (24) made of stainless steel or a medical polymer materials; the between said needle (22) and the introducer sheath (24) for locking and unlocking by a threaded connection.
10. 如权利要求1所述的三叉神经半月节压迫装置,其特征在于,所述导管鞘(24)开设有供所述压迫球囊导管组件(10)通过的内腔以及刻有第一刻度(246),所述支撑管(14)上刻有第二刻度(146),所述第一刻度(246)和第二刻度(146)相互配合使用,穿刺针(22)可在导管鞘(24)内腔自由滑动。 Trigeminal half section 10. The compression apparatus as claimed in claim 1, wherein said catheter sheath (24) defines the compression for the balloon catheter assembly (10) through a first lumen and engraved engraved engraved second scale (146) on the degree of (246), said support tube (14), the first scale (246) and a second scale (146) used in conjunction with each other, the puncture needle (22) in the conduit a sheath (24) slidably lumen.
CN201610147132.6A 2016-03-15 2016-03-15 Trigeminal gasserian ganglion compression device CN107198572A (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5571089A (en) * 1993-06-30 1996-11-05 Cardiovascular Dynamics, Inc. Low profile perfusion catheter
US20030208221A1 (en) * 2002-05-02 2003-11-06 Fozan El-Nounou Catheter with a coiled support member
CN2905092Y (en) * 2006-05-12 2007-05-30 上海凯利泰医疗科技有限公司 Balloon catheter for expanding vertebra
EP2269684A1 (en) * 2009-07-02 2011-01-05 PatentStra Co. Ltd. A medical guide wire, method of making the same, and assembly of balloon catheter and guiding catheter combined with the medical guide wire
CN101999924A (en) * 2010-11-26 2011-04-06 上海凯利泰医疗科技股份有限公司 Expanding structure of adjustable high-pressure expanding ball
US20130317390A1 (en) * 2011-01-27 2013-11-28 Mayo Foundation For Medical Education And Research Cytological sample acquisition device and method
CN102379761A (en) * 2011-08-25 2012-03-21 微创医疗器械(上海)有限公司 Stent conveying device
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CN105286957A (en) * 2015-10-30 2016-02-03 杭州市第一人民医院 Puncture needle assembly used for trigeminal gasserian ganglion oppression surgery

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