CN107233656A - Nasal sinus balloon catheter system - Google Patents

Nasal sinus balloon catheter system Download PDF

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Publication number
CN107233656A
CN107233656A CN201710585948.1A CN201710585948A CN107233656A CN 107233656 A CN107233656 A CN 107233656A CN 201710585948 A CN201710585948 A CN 201710585948A CN 107233656 A CN107233656 A CN 107233656A
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CN
China
Prior art keywords
nasal sinus
guiding catheter
nasal
seal wire
sinus
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
Application number
CN201710585948.1A
Other languages
Chinese (zh)
Other versions
CN107233656B (en
Inventor
付亮辉
沈碧峰
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Enodar Medical Shanghai Co Ltd
Original Assignee
Enodar Medical Shanghai Co Ltd
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Filing date
Publication date
Application filed by Enodar Medical Shanghai Co Ltd filed Critical Enodar Medical Shanghai Co Ltd
Priority to CN201710585948.1A priority Critical patent/CN107233656B/en
Publication of CN107233656A publication Critical patent/CN107233656A/en
Application granted granted Critical
Publication of CN107233656B publication Critical patent/CN107233656B/en
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Classifications

    • 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
    • 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
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • 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
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082Catheter tip comprising a tool
    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • A61M2029/025Dilators made of swellable material characterised by the guiding element
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0618Nose

Abstract

The invention discloses a kind of nasal sinus balloon catheter system, specifically, the system includes nasal sinus guiding catheter component, nasal sinus guiding catheter component includes nasal sinus guiding catheter, nasal sinus joystick and control structure, and nasal sinus guiding catheter and nasal sinus joystick are integral, or it is integrally formed, control structure is used for the angle of bend for controlling nasal sinus guiding catheter front end, the bendable front end angle [alpha] of nasal sinus guiding catheter, form bending area, wherein, 180 ° of 0 °≤α <, nasal sinus joystick is provided with side channel;Nasal sinus foley's tube body, nasal sinus foley's tube body is provided with sacculus, and its tip offers flushing hole, and silk guide passage is provided with the center of nasal sinus foley's tube body;And nasal sinus seal wire, the outer surface of nasal sinus seal wire has seal wire to mark band, and nasal sinus seal wire is located in side channel and silk guide passage, and can move back and forth.The nasal sinus balloon catheter system of the present invention is simple in construction, easy to operate, adaptation nasal sinus cavity configuration, is easy to quickly and efficiently implement conchoscope Minimally Invasive Surgery.

Description

Nasal sinus balloon catheter system
Technical field
The present invention relates to medical instruments field, relate more specifically to a kind of nasal sinus balloon catheter system.
Background technology
Nasal cavity and nasal sinus are located at below cranium brain, occupy throat with above oral cavity, being seated between two eye sockets.Nasal cavity and nasal sinus Lesion often spreads, thus can cause various complication to tissue around.Usual nasosinusitis discovery, nose in nasal cavity inspection There are purulent secretion, concha nasalis media and middle nasal meatus mucosa or Polypoid changes at road or olfactory cleft.The moon can be made to multiple nasosinusitis Auxotherpy is pressed, upper neck sinusopuncture can be made to suppurative upper neck sinusitis.There are nasal polyp, middle turbinate swell, deviation of nasal septum, gland The mechanical obstruction factor persons such as sample body hypertrophy, because hindering the ventilation and drainage of nasal sinus, make inflammation be difficult to cure, and can be treated using operation Onychectomy, nasal septal construction, adenoidectomy in method, such as nasal polypectomy, nose, the more commonly used at present is nose Endoscope micro-wound.
The sinusitis in patients undesirable to drug therapy, current the most frequently used, maximally effective treatment means are " feature " noses Endoscopic sinus surgery opens art, it is therefore an objective to pass through the naturally open ventilation and drainage for rebuilding nasal sinus of nasal sinus.Current common operation side Formula (such as FESS operations) is difficult to reach " feature " nasal sinus opening art truly, the damage of art median sinus mouthful drainage channel mucous membrane Uppity bleeding in wound, the formation of post operative scar tissue, art, iatrogenic injury etc. is still inevitable caused by operation 's.
Clinically there is a kind of nasal sinus balloon catheter system of conchoscope Minimally Invasive Surgery to solve the above problems now.The system A kind of nasal sinus balloon catheter system is provided, by ostium of maxillary sinus, sinus frontalis Dou Kou and the sphenoid sinus sinus of directly using balloon expandable occlusion It is disposable during mouth, operation risk low effect few to small, the hand intraoperative hemorrhage of patient's nasal membrane damage.The nasal sinus ball Balloon catheter is led including nasal sinus foley's tube body, nasal sinus guiding catheter, nasal sinus seal wire, nasal sinus joystick and irrigation of sinuses Pipe, wherein the nasal sinus foley's tube body is in elongate shape and is being internally provided with fluid passage and silk guide passage, the nasal sinus ball One end of ductus bursae body is provided with the fluid intake and seal wire entrance being in fluid communication with the fluid passage and the silk guide passage, institute The other end for stating nasal sinus foley's tube body is provided with nasal sinus sacculus;The inside of the nasal sinus guiding catheter is provided with to be run through along its length The nasal sinus foley's tube body passage of whole nasal sinus guiding catheter;The nasal sinus seal wire can conduct light source;The irrigation of sinuses is led Pipe includes connector and flexible pipe, and the connector is fixedly connected on one end of the flexible pipe;The nasal sinus joystick is described Nasal sinus guiding catheter provides controllable extension handle, in order to which the nasal sinus guiding catheter enters target nasal sinus;In use, institute State nasal sinus seal wire to stretch into the silk guide passage of the nasal sinus foley's tube body from the seal wire entrance, the nasal sinus sacculus is led Body is stretched into the nasal sinus foley's tube body passage of the nasal sinus guiding catheter, and the nasal sinus sacculus on nasal sinus foley's tube body is reached After lesion nasal sinus to lesion nasal sinus pressurize expand, expand the release of posterior nasal sinuses sacculus and nasal sinus foley's tube body is withdrawn from it is external, Then the irrigation of sinuses conduit stretches into the nasal sinus foley's tube body passage of the nasal sinus guiding catheter and reaches target sinus cavities Target sinus cavities are cleaned.
Therefore, existing clinic lacks a kind of easy to operate, adaptation nasal sinus cavity configuration, can quickly and efficiently implement conchoscope The nasal sinus balloon catheter system of Minimally Invasive Surgery.
The content of the invention
It is an object of the invention to provide a kind of nasal sinus balloon catheter system for being used to treat nasosinusitis, nasal sinus of the invention Balloon catheter system is simple in construction, easy to operate, and can preferably adapt to nasal sinus cavity configuration, is easy to quickly and efficiently implement intranasal peep Mirror Minimally Invasive Surgery.
The invention provides a kind of nasal sinus balloon catheter system, specifically, the system includes nasal sinus guiding catheter component, institute Stating nasal sinus guiding catheter component includes nasal sinus guiding catheter, nasal sinus joystick and control structure, and the nasal sinus guiding catheter It is integral, or integrally formed with the nasal sinus joystick, the control structure is used to control the nasal sinus guiding catheter The angle of bend of front end;The bendable front end angle [alpha] of the nasal sinus guiding catheter, forms bending area, wherein, 0 °≤α < 180°;The nasal sinus joystick is located at the rear end of the nasal sinus guiding catheter, the so control to the nasal sinus guiding catheter More freely, the fastness of nasal sinus guiding catheter component is stronger, and provided with side channel, the side channel and the nasal sinus guiding catheter are phases Connection;Nasal sinus foley's tube body, the nasal sinus foley's tube body is entered in the nasal sinus guiding catheter from the side channel, and And move back and forth in the nasal sinus guided by saccule conduit, the nasal sinus foley's tube body is provided with sacculus, and its tip is offered Flushing hole so that the sacculus has the dual-use function for the nasal sinus expanded and rinse lesion, at the center of nasal sinus foley's tube body Provided with silk guide passage;And nasal sinus seal wire, the outer surface of the nasal sinus seal wire has seal wire to mark band, and the nasal sinus seal wire is located at institute In the silk guide passage for stating side channel and the nasal sinus foley's tube body, and move back and forth in the silk guide passage, it is described Seal wire mark band can both show whether the nasal sinus seal wire stretches out the nasal sinus foley's tube body front end, can show described again Nasal sinus seal wire stretches out the length of the foley's tube body, to facilitate the length that operator controls the nasal sinus seal wire to enter in human body Degree.
In another preference, the bending area of the nasal sinus guiding catheter front end is by soft flexible plastic pipe Or the assembly of flexible metal tube or flexible plastic pipe and metal tube is made.
In another preference, the rear end of the nasal sinus guiding catheter is made up of hard, inflexibility material.
In another preference, the nasal sinus seal wire can conduct light source.
In another preference, the bending area of the nasal sinus guiding catheter front end is metal tube, in the metal tube Grooving is opened up on upper surface and/or lower surface, the cross section of the grooving is gradual change, and closer to the table of the metal tube Face, the cross section is wider, closer to the central axis of the metal tube, and the cross section is narrower, and described grooving design can Realize the bending function of the bending area.
In another preference, the cross section of each grooving is triangle.
It should be noted that the upper surface of the metal tube or lower surface refer to using the median plane of the metal tube to cut open The metallic pipe portions that metallic pipe portions more than face, section are referred to as more than upper surface, section are referred to as lower surface.
In another preference, the quantity of the grooving is n on upper surface or lower surface, wherein, 3≤n≤50.
In another preference, the quantity of the grooving is equal in the quantity and lower surface of the grooving of upper surface.
In another preference, median plane pair of the upper and lower surface provided with the grooving on the metal tube Claim.
In another preference, the depth of the grooving is the 0.25-0.45 of the metal tube caliber.
In another preference, the control structure includes traction fiber and control piece, and one end of the traction fiber is fixed The bending area of the nasal sinus guiding catheter front end is connected to, the other end is fixedly connected on the control piece, and user passes through operation The control piece drives the traction fiber to be moved forward or rearward, and then controls the bending area bending.
In another preference, the head end of the traction fiber is welded on outside the grooving.
In another preference, the control piece is located at the front portion of the nasal sinus joystick.
In another preference, the front portion for neutralizing the nasal sinus joystick in the tube wall of the nasal sinus guiding catheter is provided with Traction fiber passages, the traction fiber can be moved in the traction fiber passages.
In another preference, the control structure is following any structure:Control crooked knob, control bending push button, Rotate shank type guiding catheter and trigger type guiding catheter.
In another preference, the quantity of the traction fiber is 1-2 roots.
In another preference, the quantity of the traction fiber is 1, and the traction fiber one end be fixedly connected on it is described The upper surface provided with grooving of bending area or lower surface.
In another preference, the quantity of the traction fiber is 2, and one end of two traction fibers is connected to The upper and lower surface provided with grooving of the bending area.
In another preference, the nasal sinus guiding catheter component is provided with seal wire entrance.
In another preference, the seal wire entrance be located at the nasal sinus joystick rear end, and with the side channel phase Connection.
In another preference, it is used to lock the nasal sinus provided with one in the seal wire porch of the nasal sinus joystick The seal wire locking switch of seal wire.
In another preference, one end of the nasal sinus seal wire is connected with the seal wire locking switch, and the nasal sinus is led The other end of silk passes through the side channel, into the silk guide passage of the nasal sinus foley's tube body, and stretches out the nose as needed Sinus foley's tube body.
In another preference, the seal wire locking switch is dismountable.
In another preference, the seal wire locking switch is assembled in the nasal sinus control hand by way of Screw assembly The afterbody of handle.
In another preference, the seal wire locking switch divides drawing and pushes and plugs two states:When seal wire locking is opened When closing in as-drawn, the seal wire locking switch can lock the nasal sinus seal wire;When the seal wire locking switch is in When pushing and plugging state, the seal wire locking switch does not lock the nasal sinus seal wire.
In another preference, seal wire mark band is multistage, and every section of length is 1cm, and adjacent between two sections Gap length be also 1cm, thus directly can read the nasal sinus seal wire by seal wire mark band enters the ball Length in ductus bursae body.
In another preference, mark band can be the heat-shrink tube that color is different from affiliated seal wire intrinsic colour, can also To utilize laser printing, can also be in the very poor environment of light it has also been observed that fluorescence or the material such as noctilucence Make.
In another preference, image-forming assembly is provided with the nasal sinus foley's tube body, the image-forming assembly includes shooting Head, optical cable and display screen, the camera are located at the front end of the nasal sinus foley's tube body, and the optical cable is located at the nasal sinus ball In the tube wall of ductus bursae body, the display location is electrically connected to institute in the rear portion of the nasal sinus foley's tube body, the camera One end of optical cable is stated, the outdoor scene that the camera is shot is fed back to what is be connected with the optical cable other end by the optical cable The display screen, can more easily learn that operating theater instruments (especially nasal sinus foley's tube body) exists by observing the display screen The actual situation faced when being moved ahead in sinus cavities.
In another preference, the flushing hole is following any shape or its combination:Circular, ellipse, square with And rectangle.
In another preference, the nasal sinus joystick is the moulding of a transparent material, to facilitate observation other Operation of the apparatus in the nasal sinus joystick inner chamber.
In another preference, the outer wall of the nasal sinus foley's tube body marks band provided with catheter body.
In another preference, the catheter body mark band is divided into two sections, i.e. the first catheter body marks band and the second conduit Body marks band.
In another preference, when the nasal sinus foley's tube body enters the nasal sinus guiding catheter component, by institute The moulding that nasal sinus joystick is a transparent material is stated, therefore, it is possible to observe that the catheter body mark band enters the nose The situation of sinus guiding catheter, specifically, when first catheter body mark has just enter into the nasal sinus guiding catheter, illustrates described Nasal sinus foley's tube body head end will reach the head end of the nasal sinus guiding catheter;When second catheter body mark completely into During the nasal sinus guiding catheter, illustrate that the balloon portion of the nasal sinus foley's tube body has stretched out the nasal sinus guiding catheter, Balloon expandable can be carried out.
It should be understood that within the scope of the present invention, above-mentioned each technical characteristic of the invention and have in below (eg embodiment) It can be combined with each other between each technical characteristic of body description, so as to constitute new or preferred technical scheme.As space is limited, exist This no longer tires out one by one states.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing There is the accompanying drawing used required in technology description to do simply to introduce, it should be apparent that, drawings in the following description are only this Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, can be with Other accompanying drawings are obtained according to these accompanying drawings.
Fig. 1 is the structural representation of the nasal sinus foley's tube body in an example of the invention.
Fig. 2 a are the tip portion A of Fig. 1 nasal sinus foley's tube body enlarged drawings, wherein, flushing hole is circle.
Fig. 2 b are the tip portion A of Fig. 1 nasal sinus foley's tube body enlarged drawings, wherein, flushing hole is square.
Fig. 2 c are the tip portion A of Fig. 1 nasal sinus foley's tube body enlarged drawings, wherein, flushing hole is ellipse.
Fig. 2 d are the tip portion A of Fig. 1 nasal sinus foley's tube body enlarged drawings, wherein, flushing hole is rectangle.
Fig. 3 is Fig. 1 display screen part B enlarged drawing.
Fig. 4 a are the structural representations of the nasal sinus seal wire in an example of the invention.
Fig. 4 b are the nasal sinus seal wire in an example of the invention and the structural representation after the assembling of nasal sinus foley's tube body.
Fig. 4 c are the enlarged drawings of Fig. 4 b G parts.
Fig. 5 is the structural representation provided with the nasal sinus guiding catheter component for controlling bent angle knob in an example of the invention Figure.
Fig. 6 is the structural representation provided with the nasal sinus guiding catheter component for controlling bent angle push button in an example of the invention Figure.
Fig. 7 a are the structural representations for rotating shank type nasal sinus guiding catheter in an example of the invention.
Fig. 7 b are the enlarged drawings of Fig. 7 a C portion.
Fig. 7 c are the enlarged drawings of Fig. 7 a D parts.
Fig. 7 d are the structural representations for rotating shank type nasal sinus guiding catheter provided with hand holding handle in an example of the invention.
Fig. 8 a are the structural representations of the trigger type nasal sinus guiding catheter in an example of the invention.
Fig. 8 b are the enlarged drawings of Fig. 8 a E parts.
Fig. 9 a are the structural representations of the nasal sinus guiding catheter front end in an example of the invention.
Fig. 9 b are the enlarged drawings of Fig. 9 a F parts.
In each accompanying drawing, each sign is as follows:
1- nasal sinus guiding catheters;
2- nasal sinus joysticks;
3- nasal sinus foley's tube bodies;
4- cameras;
5- display screens;
6- nasal sinus seal wires;
7- seal wires mark band;
8- flushing holes;
9- controls crooked knob;
10- control bending push buttons;
11- seal wire locking switch;
12- traction fibers;
I-bending, 0 ° of state;
II-bending, 60 ° of states;
III-bending, 105 ° of states;
13- rotates shank type guiding catheter;
14- rotating handles;
15- rotates pin;
16- solder joints;
17- hand holding handles;
18- trigger type guiding catheters;
19- trigger handles;
20- metal tubes;
21- upper surfaces;
22- lower surfaces;
23- groovings.
Embodiment
The present inventor, by largely screening, develops a kind of nasal sinus foley's tube first by in-depth study extensively System, compared with prior art, the nasal sinus guiding catheter front end of nasal sinus balloon catheter system of the invention be it is flexible, can be with The need for adapting to any complicated sinus cavities;Nasal sinus guiding catheter and nasal sinus joystick are integrated into one, and form nasal sinus and lead Tube assembly, is allowed to more firmly, easily facilitate control;The sacculus of nasal sinus foley's tube body has the planning function, and its tip is set again There is flushing hole so that nasal sinus foley's tube body has pre-washing function simultaneously, simplify equipment;Nasal sinus seal wire sets seal wire mark band, side Just observation control nasal sinus seal wire stretches out length;And nasal sinus balloon catheter system is provided with camera and display screen, it is easy to observation to suffer from Place's situation, it is more accurate etc. to operate, and the present invention is completed on this basis.
Term
As used herein, term " bracing wire " and term " traction fiber " are same component, are used interchangeably.
The invention discloses a kind of nasal sinus balloon catheter system, the nasal sinus balloon catheter system has specific structure.Allusion quotation Type, nasal sinus balloon catheter system of the invention includes nasal sinus guiding catheter component, nasal sinus foley's tube body and nasal sinus seal wire.
Nasal sinus guiding catheter component includes anterior nasal sinus guiding catheter 1, the nasal sinus joystick 2 at rear portion and a control Structure.Nasal sinus guiding catheter 1 and nasal sinus joystick 2 are integral, or integrally formed.Before anterior nasal sinus guiding catheter 1 End can be manufactured by the assembly of soft flexible plastic tube or flexible metal tube or flexible plastic pipe and metal tube, As the front end that an adjustable random angle is curved;Anterior rear end is by hard, inflexibility material manufacture.Rear portion nasal sinus joystick 2 parts can be the moulding of a transparent material, conveniently observe operation of other apparatuses in its inner chamber.The control structure can make The front end of nasal sinus guiding catheter 1 is bent.Nasal sinus joystick 2 is provided with allowing side channel that nasal sinus foley's tube body 3 enters and removable The seal wire locking switch 11 unloaded.
As shown in figures 9 a and 9b, the bending area of nasal sinus guiding catheter 1 is metal tube 20, the metal tube 20 in the region its Structure can, on the symmetrical two grooving regions in its symmetrical centre face, have multiple groovings in each individually grooving region 23, the cross section of grooving 23 can be closer to the shape that axis section is less and less as del in profile.Nasal sinus The bending area of guiding catheter 1 has grooving 23, and the outside of grooving 23 can have bracing wire, and bracing wire head end is welded on outside grooving 23, When the external force applied by such as bracing wire, the region bends of grooving 23.Two regions of grooving 23 on symmetrical centre face all can be real Existing such bending effect.
The structure for realizing bending control can be control crooked knob 9, control bending push button 10, rotation shank type guiding catheter 13 guiding catheters and trigger type guiding catheter 18.
As shown in figure 5, control crooked knob 9 is a female structure of tool, by the outer of nasal sinus joystick 2 The caudal peduncle of traction fiber 12 inside portion's rotation control crooked knob, the rotation drive of control crooked knob is subjected to displacement, traction fiber 12 Caudal peduncle drives traction fiber 12 to be subjected to displacement, and traction fiber 12 drives tip portion displacement in turn.Because tip portion has traction fiber Side is towed the pulling force of silk 12, and the opposite side of no traction fiber is not by pulling force, and tip deforms to that lateral bending for having traction fiber It is bent.Wherein, I position is that the tip of nasal sinus guiding catheter 1 does not bend the state that i.e. angle of bend is 0 degree, and II position guides for nasal sinus The bent at its tip angle of conduit 1 is 60 degree of state, and III position is the state that the bent at its tip angle of nasal sinus guiding catheter 1 is 105 degree.
There is the structure of push button inside groove as shown in fig. 6, control bending push button 10 is one, by nasal sinus joystick 2 Outside push-and-pull control bending push button, the push-and-pull of control bending push button drives the internal caudal peduncle of traction fiber 12 to be subjected to displacement, traction 12 caudal peduncles of silk drive traction fiber 12 to be subjected to displacement, and traction fiber 12 drives tip portion displacement in turn.Because tip portion has traction Side be towed the pulling force of silk 12, the opposite side of no traction fiber is not by pulling force, and tip deforms to that side for having traction fiber Bending.Wherein, I position is that the tip of nasal sinus guiding catheter 1 does not bend the state that i.e. angle of bend is 0 degree, and II position is drawn for nasal sinus The bent at its tip angle of conduit 1 is 60 degree of state, and III position is the shape that the bent at its tip angle of nasal sinus guiding catheter 1 is 105 degree State.
As shown in Fig. 7a-7c, rotation shank type guiding catheter 13 is that have a rotating handle 14 at the rear portion of nasal sinus guiding catheter, The bending of nasal sinus guiding catheter front end is controlled by rotating handle 14.In the structure shown here, nasal sinus guiding catheter is provided with wherein Symmetrical two bending channels in heart face;There are traction fiber 12, the one end of traction fiber 12 and nasal sinus guiding catheter in each bending channel Front end is welded together by solder joint 16, and the other end of traction fiber 12 and the rotation pin 15 of the inner chamber of rotating handle 14 connect together.
As shown in figure 7d, rotation shank type guiding catheter 13 can be in the direction vertical with nasal sinus guiding catheter provided with a hand Handle 17 is held, so that while rotation, a hand controls the stabilization of non-rotating part by holding hand holding handle 17 with a firm grip in addition, may be used also To control direction and the motion of whole apparatus.
Rotation shank type guiding catheter 13 can rotate along both direction clockwise and anticlockwise:When turning clockwise, its In a rotation pin 15 tense connected traction fiber 12, and then pull before the nasal sinus guiding catheter welded with the traction fiber 12 Portion, a rotation pin 15 then loosens connected traction fiber 12 in addition, and then loosens the nasal sinus welded with the traction fiber 12 and draw Conduit 1 is anterior;When rotate counterclockwise, then effect contrary to the above is presented.It is such to can be designed so that nasal sinus is guided Conduit is bent in two opposite directions from 0 ° to 180 ° with any angle, and is reverted to not case of bending after bending and be easier. Nasal sinus guiding catheter is to certain curving such as when turning clockwise, and curved to required angle;When rotate counterclockwise, nasal sinus Guiding catheter front portion slowly becomes not case of bending again, and continuing rotate counterclockwise, then nasal sinus guiding catheter is anterior to another lateral bending to institute Need angle.Furthermore, it is possible to identify the angle index of bending on the bar surface of rotating handle 14, nose is confirmed so as to quick from these scales The case of bending of sinus guiding catheter front end.
As shown in Figure 8 a-8b, trigger type guiding catheter is that the rear portion of nasal sinus guiding catheter has the structure of a trigger, is passed through Trigger handle 19 controls the bending of nasal sinus guiding catheter front end.In the structure shown here, nasal sinus guiding catheter is on its symmetrical centre There are two symmetric bending passages in face;There is traction fiber 12 in each bending channel, the one end of traction fiber 12 and guiding catheter front portion are logical Cross solder joint 16 to weld together, the other end of traction fiber 12 is with controlling the trigger handle 19 of rotating handle 14 to connect together.
Trigger type guiding catheter 18 can push away in the past and after pulls, with two direction move:During current passage trigger action, on The traction fiber 12 of side is tightened up, and then pulls the nasal sinus guiding catheter front end welded with the traction fiber 12, the traction fiber 12 of lower section Loosen, the nasal sinus guiding catheter front end welded with the traction fiber 12 is also relaxed;When pulling mobile trigger after, the traction fiber of lower section 12 are tightened up, and then pull the nasal sinus guiding catheter front end welded with the traction fiber 12, and the traction fiber 12 of top loosens, led with this The nasal sinus guiding catheter front end for drawing the welding of silk 12 is also relaxed.It is such to can be designed so that nasal sinus guiding catheter is opposite at two Direction bent from 0 ° to 180 ° with any angle, and revert to not case of bending after bending and be easier.Such as current passage is dynamic During trigger, nasal sinus guiding catheter is to certain curving, and curved to required angle;When pulling mobile trigger after, nasal sinus guiding catheter Slowly become again and mobile trigger is pulled after not case of bending, continuation, then nasal sinus guiding catheter is to another lateral bend to required angle.Can be with In the angle index of the surface mark bending of the shell of trigger handle 19, nasal sinus guiding catheter is confirmed so as to quick from these scales The case of bending of front end.
There is a seal wire entrance for assisting nasal sinus seal wire 6 to enter on nasal sinus guiding catheter component, seal wire porch is provided with one The seal wire locking switch 11 of individual locking nasal sinus seal wire 6, seal wire locking switch 11 is assembled in nasal sinus control by way of Screw assembly The afterbody of handle 2 processed.The 11 points of drawings of seal wire locking switch and push and plug two states:When as-drawn, seal wire locking switch 11 Nasal sinus seal wire 6 can be locked, when pushing and plugging state, seal wire locking switch 11 does not lock nasal sinus seal wire 6.
Push and plug under state, by nasal sinus seal wire 6 from one nasal sinus guiding catheter 1 on seal wire entrance seal wire locking switch Moved ahead in 11, and the inner chamber of nasal sinus foley's tube body 3 entered inside nasal sinus guiding catheter 1, i.e. silk guide passage, until stretching out nasal sinus The front end of foley's tube body 3, at this moment, as shown in figures 4 b and 4 c, seal wire mark band 7 can not enter nasal sinus foley's tube body 3 And it is concordant with its afterbody;By the drawing of seal wire locking switch 11, locking nasal sinus seal wire 6;Seal wire locking switch 11 is pushed and plugged, nasal sinus is led Silk 6 is not locked, and continues to push away nasal sinus seal wire 6, allows nasal sinus seal wire 6 to be relayed in the inner chamber of nasal sinus foley's tube body 3, i.e. silk guide passage It is continuous to move forward, and confirm the length situation of the mark band entrance nasal sinus foley's tube body 3 on nasal sinus seal wire 6, when entering nasal sinus When the length of the nasal sinus seal wire 6 of foley's tube body 3 is enough, the locking switch of drawing nasal sinus seal wire 6 locking nasal sinus seal wire 6.
Particularly, as shown in fig. 4 a, can be 1cm per the length of segment seal wire mark band 7, and per segment seal wire mark band Gap length between 7 is also 1cm, thus directly can enter nasal sinus foley's tube by marking band to read nasal sinus seal wire 6 Length in body 3.
Mark band can be that color is different from the heat-shrink tube of affiliated seal wire intrinsic colour or utilizes laser printing , can also be in the very poor environment of light it has also been observed that fluorescence or the material such as noctilucence make, so work as hand When art is operated, control nasal sinus seal wire can be equally observed in the case where must shut off operating room lights and stretches out length.The present invention Nasal sinus balloon catheter system pre-washing function is integrated into one with nasal sinus balloon expandable function, so only need an apparatus can Expanded and rinsed with the nasal sinus to lesion, simplify equipment.
It is that at flushing hole, the bigger flush pipe of flushing hole is easier to be disconnected, especially rushes that flush pipe part, which is easiest to disconnected place, Hole flushing flush pipe when the length for rinsing tube wall circumferencial direction is bigger is easier to be disconnected, because tube wall circumference is being rinsed in flushing hole The cross section when length in direction is bigger at this is smaller.So, to ensure that flush pipe is not easily broken, flushing hole, which is tried one's best, does small, especially It is that flushing hole does small in the length for rinsing tube wall circumferencial direction.And when the timing of flushing liquor one in flush pipe, rinse hole area and get over Hour, the flushing liquor impulsive force come out at flushing hole is bigger, and damage is likely to result in nasal sinus inner chamber.
Flushing hole 8 can be circular (as shown in Figure 2 a), oval (as shown in Figure 2 c), square (as shown in Figure 2 b), The shapes such as rectangle (as shown in Figure 2 d).When flushing hole 8, in the length of flushing tube wall circumferencial direction, (i.e. circle flushing hole is straight Footpath, the short axle of oval flushing hole, the side of square flushing hole, the short side of rectangle flushing hole) timing, circular area is most Small, the area of ellipse, square or rectangle all than circle is big.To reduce the damage of nasal sinus inner chamber, in flushing hole in punching Wash length (diameter of i.e. circular flushing hole, the short axle of oval flushing hole, the square flushing hole of tube wall circumferencial direction Side, the short side of rectangle flushing hole) it is certain on the premise of, the preferred oval, square of flushing hole 8, rectangle homalographic are larger Shape.
As Figure 1-3, nasal sinus seal wire 6 can be by nose during entering lesion sinus cavities with nasal sinus foley's tube body 3 The sophisticated camera 4 of sinus foley's tube body 3, to shoot the real time status in nasal cavity and nasal sinus, and is presented in and is connected to nasal sinus ball On 5 acts of the display screen at the rear portion of ductus bursae body 3, operator directly observes the interior condition of nasal sinus on 5 acts of display screen.Such nasal sinus seal wire 6 and nasal sinus foley's tube body 3 can it is very directly perceived, very easily enter lesion sinus cavities.
Seal wire is withdrawn from after the completion of balloon expandable, cleaning fluid is injected in the afterbody of nasal sinus foley's tube body 3, cleaning fluid passes through nasal sinus Flushing hole 8 on the tip of foley's tube body 3 need not insert different devices when rinsing nasal sinus inner chamber, such balloon expandable and flushing Tool is completed, and saves the time of operation.
The workflow of the nasal sinus balloon catheter system of the present invention:
A) CT judges the nasal sinus mouthful and its lesion situation of lesion, it is determined that the guiding catheter angle needed.
B) the curved of nasal sinus guiding catheter front end is adjusted by can control the control structure of nasal sinus guiding catheter front end bending Then nasal sinus guiding catheter component is put into nasal cavity by song to required angle, and the nasal sinus mouthful of lesion is come under the assistance of nasal endoscopes Near, subsequently into lesion nasal sinus mouthful.If nasal sinus guiding catheter moves ahead and had some setbacks during being somebody's turn to do, can be micro- by control handle The bending of nasal sinus guiding catheter front end is adjusted, until entering lesion nasal sinus mouthful.
C) in nasal sinus guiding catheter component external by nasal sinus foley's tube body along the side channel on nasal sinus guiding catheter component Into the inner chamber of nasal sinus guiding catheter rear handle part, and eventually enter into the inner chamber of anterior guiding catheter part.
D) seal wire locking switch of the nasal sinus seal wire from seal wire porch on the rear handle part of nasal sinus guiding catheter component Into the inner chamber of the rear handle part of nasal sinus guiding catheter component, subsequently into nasal sinus foley's tube intracoelomic cavity.
E) seal wire locking switch is pushed and plugged under state, by nasal sinus seal wire from the rear handle part of nasal sinus guiding catheter component Seal wire entrance seal wire locking switch in move ahead, and enter nasal sinus guiding catheter inside nasal sinus foley's tube intracoelomic cavity, directly To stretch out nasal sinus foley's tube body front end, at this moment seal wire mark band can not enter foley's tube body and concordant with its afterbody. Then by seal wire locking switch drawing, locking nasal sinus guiding seal wire.
And then nasal sinus seal wire and nasal sinus foley's tube body enter lesion sinus cavities f).Led during by nasal sinus sacculus The sophisticated camera of body shoots the real time status in nasal cavity and nasal sinus, and is presented in the display screen at nasal sinus foley's tube body rear portion On curtain, operator is assisted to be quickly found out lesion Dou Kou.
G) seal wire locking switch is pushed and plugged, nasal sinus guiding seal wire is not locked, continues derivation silk and allow seal wire to pass through lesion sinus Mouth enters lesion sinus cavities, passes through the mark on seal wire with the length for confirming seal wire stretching foley's tube body.When stretching foley's tube Drawing seal wire locking switch locks seal wire when the guidewire length of body is enough, by foley's tube body forward impelling lesion Dou Kou, and really The mark band for protecting nasal sinus seal wire not exclusively exits foley's tube body.
H) sacculus reaches lesion nasal sinus, and sacculus is pressurizeed and expanded, and the Dou Kou of lesion is expanded by air bag;Sacculus pressure release, is exited Seal wire, then cleans liquid device in the connection of nasal sinus foley's tube body afterbody and injects cleaning fluid, cleaning fluid is led by nasal sinus sacculus Nasal sinus inner chamber is rinsed in the sophisticated flushing hole of body.Operation terminates, and instrumentarium is exited in vitro.
Main advantages of the present invention include:
(a) nasal sinus guiding catheter front end is flexible, the need for being adapted to complicated sinus cavities;
(b) nasal sinus guiding catheter and nasal sinus joystick are integrated into one, more firmly, easily facilitate control nasal sinus guiding Conduit;
(c) sacculus of nasal sinus foley's tube body has the planning function, and its tip is again provided with flushing hole so that nasal sinus sacculus is led Body has pre-washing function simultaneously, the equipment for simplifying nasal sinus balloon catheter system;
(d) nasal sinus seal wire sets seal wire mark band, and the length for facilitating operator to control nasal sinus seal wire to enter in human body marks band Can be in the very poor environment of light it has also been observed that fluorescence or the material such as noctilucence, it is so necessary when operation technique Control nasal sinus seal wire can be equally observed in the case of closing operating room lights and stretches out length;
(e) nasal sinus balloon catheter system is provided with camera and display screen, is easy to learn operating theater instruments (especially nasal sinus sacculus Catheter body) in sinus cavities move ahead when the actual situation faced.
With reference to specific embodiment, the present invention is expanded on further.It should be understood that these embodiments are merely to illustrate the present invention Rather than limitation the scope of the present invention.In addition, accompanying drawing is schematic diagram, therefore apparatus of the present invention and equipment are not shown by described Size or the ratio limitation of intention.
It should be noted that in the claim and specification of this patent, such as first and second or the like relation Term is used merely to make a distinction an entity or operation with another entity or operation, and not necessarily requires or imply There is any this actual relation or order between these entities or operation.Moreover, term " comprising ", "comprising" or its Any other variant is intended to including for nonexcludability so that process, method, article including a series of key elements or Equipment not only includes those key elements, but also other key elements including being not expressly set out, or also include be this process, Method, article or the intrinsic key element of equipment.In the absence of more restrictions, by wanting that sentence " including one " is limited Element, it is not excluded that also there is other identical element in the process including the key element, method, article or equipment.
Embodiment
As shown in Fig. 1-9b, the nasal sinus balloon catheter system of the present embodiment includes nasal sinus guiding catheter component, nasal sinus sacculus Catheter body 3 and nasal sinus seal wire 6.Wherein, nasal sinus guiding catheter component include nasal sinus guiding catheter 1, nasal sinus joystick 2 and Control structure.The front end of nasal sinus guiding catheter 1 forms bending area by control structure bendable angle α, wherein, 0 °≤α < 180 °, the need for complicated sinus cavities are adapted in use.The bending area of the front end of nasal sinus guiding catheter 1 is by softness Flexible metal tube be made, rear end is made up of hard, inflexibility material.In the upper surface of forward metal pipe 20 21 and lower surface 22 on open up grooving 23 respectively, the depth of grooving 23 is the 0.4 of the caliber of metal tube 20, the grooving 23 of upper surface 21 The region of grooving 23 of region and lower surface 22 is symmetrical on the median plane of metal tube 20, and is cut on upper surface 21 or lower surface 22 The quantity of groove 23 is 26, and the cross section of grooving 23 can be closer to the surface of metal tube 20 as del in profile, horizontal Section is wider, closer to the central axis of metal tube 20, the narrower shape in cross section.The design of grooving 23 of metal tube 20 can be achieved The bending function of bending area.
Control structure includes traction fiber 12 and control piece, and the quantity of traction fiber 12 is two, and the one of two traction fibers 12 End is respectively fixedly connected with upper surface 21 of the bending area provided with grooving 23 and lower surface 22, and is welded on outside grooving 23, The other end is fixedly connected on positioned at the anterior control piece of nasal sinus joystick 2, in addition, the tube wall in nasal sinus guiding catheter 1 is neutralized The front portion of nasal sinus joystick 2 is provided with the passage of traction fiber 12, and traction fiber 12 can be moved in traction fiber passages, and user passes through control Operational control part drives traction fiber 12 to be moved forward or rearward, and then controls bending area bending.
The control structure of the present embodiment is rotation shank type guiding catheter 13.Rotation shank type guiding catheter 13 is in nasal sinus guiding There is a rotatable shank at the rear portion of conduit, and the bending of nasal sinus guiding catheter front end is controlled by the bar of rotating handle 14.At this In structure, nasal sinus guiding catheter is provided with two bending channels symmetrical on its center face;There is traction in each bending channel Silk 12, the one end of traction fiber 12 is welded together with nasal sinus guiding catheter front end by solder joint 16, the other end of traction fiber 12 and rotation The rotation pin 15 of the bar inner chamber of handle 14 connects together.In the direction vertical with nasal sinus guiding catheter, rotation shank type guiding catheter 13 Provided with a hand holding handle 17, so that while rotation, a hand controls non-rotating part by holding hand holding handle 17 with a firm grip in addition Stabilization, direction and the motion of whole apparatus can also be controlled.Rotating shank type guiding catheter 13 can be along clockwise and anticlockwise Both direction rotates:When turning clockwise, wherein a rotation pin 15 tenses connected traction fiber 12, and then pull with The nasal sinus guiding catheter of the traction fiber 12 welding is anterior, and a rotation pin 15 then loosens connected traction fiber 12 in addition, enters And it is anterior to loosen the nasal sinus guiding catheter welded with the traction fiber 12;When rotate counterclockwise, then effect contrary to the above is presented Really.It is such to can be designed so that nasal sinus guiding catheter is bent in two opposite directions from 0 ° to 180 ° with any angle, and Not case of bending is reverted to after bending to be easier.Nasal sinus guiding catheter is to certain curving such as when turning clockwise, and curved To required angle;When rotate counterclockwise, nasal sinus guiding catheter front portion slowly becomes not case of bending again, continues rotate counterclockwise then Nasal sinus guiding catheter is anterior to another lateral bending to required angle.Furthermore, it is possible to identify the angle of bending on the bar surface of rotating handle 14 Scale, so as to the quick case of bending for confirming nasal sinus guiding catheter front end from these scales.
Nasal sinus joystick 2 is located at the rear end of nasal sinus guiding catheter 1, is integral, nasal sinus control with nasal sinus guiding catheter 1 Handle 2 is provided with side channel, and side channel and nasal sinus guiding catheter 1 are connected to logical, and unitary design causes to nasal sinus guiding catheter 1 More freely, fastness is stronger for control.Nasal sinus joystick 2 is the moulding of a transparent material, to facilitate the other apparatuses of observation Operation in the inner chamber of nasal sinus joystick 2.
Nasal sinus foley's tube body 3 is entered in nasal sinus guiding catheter 1 from side channel, and is come in nasal sinus guided by saccule conduit Return is dynamic, offers flushing hole 8 on the tip of nasal sinus foley's tube body 3 so that sacculus has the nasal sinus expanded and rinse lesion Dual-use function, simplify equipment.The flushing hole 8 of the present embodiment is shaped as rectangle.
Nasal sinus guiding catheter component is provided with seal wire entrance, and the outer surface of nasal sinus seal wire 6 has seal wire to mark band 7, nasal sinus seal wire 6 In the silk guide passage of side channel and nasal sinus foley's tube body 3, and move back and forth in silk guide passage, seal wire mark band 7 was both It can show whether nasal sinus seal wire 6 stretches out the front end of nasal sinus foley's tube body 3, can show that nasal sinus seal wire 6 stretches out foley's tube again The length of body, to facilitate the length that operator controls nasal sinus seal wire 6 to enter in human body.
In addition, in the seal wire porch of nasal sinus joystick 2 provided with the seal wire locking for being used to lock nasal sinus seal wire 6 Switch 11, one end of nasal sinus seal wire 6 is connected with seal wire locking switch 11, and the other end of nasal sinus seal wire 6 is through side channel, into leading Silk passage, and nasal sinus foley's tube body 3 is stretched out as needed.Seal wire locking switch 11 is by way of Screw assembly, detachably Ground is assembled in the afterbody of nasal sinus joystick 2.The 11 points of drawings of seal wire locking switch and push and plug two states:When seal wire locking switch 11 be in as-drawn when, seal wire locking switch 11 can lock nasal sinus seal wire 6;State is pushed and plugged when seal wire locking switch 11 is in When, seal wire locking switch 11 does not lock nasal sinus seal wire 6.
In addition, being provided with camera 4, optical cable and display screen 5 in nasal sinus foley's tube body 3, camera 4 is led positioned at nasal sinus sacculus The front end of body 3, optical cable is located in the tube wall of nasal sinus foley's tube body 3, and display screen 5 is located at the rear portion of nasal sinus foley's tube body 3, Camera 4 is electrically connected to one end of optical cable, feeds back to the outdoor scene that camera 4 is shot by optical cable and is mutually electrically connected with the optical cable other end The display screen 5 connect, can more easily learn operating theater instruments (especially nasal sinus foley's tube body) in nose by observing display screen 5 The actual situation faced when being moved ahead in sinus cavities.
All documents referred in the present invention are all incorporated as reference in this application, independent just as each document It is incorporated as with reference to such.In addition, it is to be understood that after the above-mentioned instruction content of the present invention has been read, those skilled in the art can To be made various changes or modifications to the present invention, these equivalent form of values equally fall within the model that the application appended claims are limited Enclose.

Claims (10)

1. a kind of nasal sinus balloon catheter system, it is characterised in that the system includes
Nasal sinus guiding catheter component, the nasal sinus guiding catheter component includes nasal sinus guiding catheter, nasal sinus joystick and control Structure, and the nasal sinus guiding catheter is integral, or integrally formed with the nasal sinus joystick, the control structure is used In the angle of bend for controlling the nasal sinus guiding catheter front end;The bendable front end angle [alpha] of the nasal sinus guiding catheter, is formed curved Bent region, wherein, 180 ° of 0 °≤α <;The rear end nasal sinus that the nasal sinus joystick is located at the nasal sinus guiding catheter is led Tube assembly, and side channel is provided with, the side channel and the nasal sinus guiding catheter are connected to logical;
Nasal sinus foley's tube body, the nasal sinus foley's tube body is entered in the nasal sinus guiding catheter from the side channel, and Move back and forth in the nasal sinus guided by saccule conduit, the nasal sinus foley's tube body is provided with sacculus, and its tip offers punching Hole flushing, silk guide passage is provided with the center of the nasal sinus foley's tube body;And
Nasal sinus seal wire, the outer surface of the nasal sinus seal wire has seal wire to mark band, and the nasal sinus seal wire is located at the side channel and described In the silk guide passage of nasal sinus foley's tube body, and move back and forth in the silk guide passage.
2. nasal sinus balloon catheter system as claimed in claim 1, it is characterised in that the bending of the nasal sinus guiding catheter front end Region is metal tube, grooving is opened up on the upper surface of the metal tube and/or lower surface, the cross section of the grooving is gradual change , and closer to the surface of the metal tube, the cross section is wider, closer to the central axis of the metal tube, the horizontal stroke Section is narrower.
3. nasal sinus balloon catheter system as claimed in claim 2, it is characterised in that the cross section of each grooving is triangle Shape.
4. nasal sinus balloon catheter system as claimed in claim 1, it is characterised in that the control structure includes traction fiber and control Product, and one end of the traction fiber is fixedly connected on the bending area of the nasal sinus guiding catheter front end, the other end, which is fixed, to be connected It is connected to the control piece.
5. nasal sinus balloon catheter system as claimed in claim 4, it is characterised in that the control structure is following any knot Structure:Control crooked knob, control bending push button, rotation shank type guiding catheter and trigger type guiding catheter.
6. nasal sinus balloon catheter system as claimed in claim 1, it is characterised in that enter in the seal wire of the nasal sinus joystick Provided with a seal wire locking switch for being used to lock the nasal sinus seal wire at mouthful.
7. nasal sinus balloon catheter system as claimed in claim 6, it is characterised in that the seal wire locking switch is detachable 's.
8. nasal sinus balloon catheter system as claimed in claim 1, it is characterised in that be provided with into the nasal sinus foley's tube body As component, the image-forming assembly includes camera, optical cable and display screen, and the camera is located at the nasal sinus foley's tube body Front end, the optical cable is located in the tube wall of the nasal sinus foley's tube body, and the display location is in the nasal sinus foley's tube body Rear portion, the camera is electrically connected to one end of the optical cable, and the outdoor scene for being shot the camera by the optical cable is anti- Feed the display screen being connected with the optical cable other end.
9. nasal sinus balloon catheter system as claimed in claim 1, it is characterised in that the flushing hole be following any shape or It is combined:Circular, ellipse, square and rectangle.
10. nasal sinus balloon catheter system as claimed in claim 1, it is characterised in that the nasal sinus joystick is one saturating The moulding of bright material.
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