A kind of instrument in patent foramen ovale edge formation wound face
Technical field
The present invention relates to medicine technology field, and in particular to a kind of instrument in patent foramen ovale edge formation wound face.
Background technology
Heart atrial septum oval foramen is that fetus maintains aerobic sanguimotor normal channel before birth, when fetus has
After autonomous respiration, atrial septum oval foramen just should Natural closure, it is but permanent by quite a few atrial septum oval foramen in crowd
Do not close, patent foramen ovale is considered as the heart sexual factor for causing centre forward and antimigraine, the treatment of this disease has medicine to control
Treat, percutaneous catheter insertion art and heart are intuitively performed the operation, it is necessary to manufacture the new surface of a wound at patent foramen ovale edge, and drug application adds
The healing of fast patent foramen ovale, it is self-made tool to manufacture usually used during the new surface of a wound, can there is that performance accuracy is low, use
Inconvenient the shortcomings of, percutaneous catheter insertion art and heart are intuitively performed the operation and can effected a radical cure and uneasy to recur, but can be stayed on secondary septum
Lower aperture, it may appear that new hidden danger.
The content of the invention
In view of the above-mentioned problems, the present invention provides a kind of using flexible, simple to operate, traumatic small on patent foramen ovale side
The instrument of edge formation wound face.
To achieve the above object, the present invention provides following technical scheme:
A kind of instrument in patent foramen ovale edge formation wound face, including:Conduit;
Lead, the lead is slidably disposed in the conduit;
Support bar, the support bar is slidably disposed in the 3rd pilot hole of the lead, wherein, the support
The front end of bar is provided with a fastener;
Knife, the afterbody of the knife is articulated on the lead, and the head of the knife is provided with cutter head;
Operating mechanism, the operating mechanism includes one end of upper bracing wire and pull-down line, the upper bracing wire and the pull-down line
It is connected on the knife, the second pilot hole of the other end through the lead of the upper bracing wire stretches out, the drop-down
First pilot hole of the other end of line through the lead stretches out;
Seal wire, one end of the seal wire is connected on the lead, and the other end of the seal wire is outside along the conduit
Extension.
Further, the inwall of the outer wall of the lead and the conduit is in close contact, and the appearance of the lead
Face is friction surface.
Further, the support bar also includes driving silk and thick post, and the thick post is slidably arranged on the described 3rd and led
Xiang Kong, one end of the driving silk is connected on the thick post, and the other end of the driving silk stretches out, and the branch fastener connects
On the front end for being connected on the thick post.
Further, the branch fastener is curved, and the front end of the branch fastener is provided with a bulb.
Further, the operating mechanism also includes a pair of guide wheel groups being articulated on the lead, the upper bracing wire
Respectively it is wound in a guide wheel group with pull-down line, it is to avoid upper bracing wire and pull-down line are intertwined.
Further, a pair of clamping guide wheels that the guide wheel group includes the first guide wheel and is correspondingly arranged, a pair of clampings are led
Wheel is between the afterbody and first guide wheel of the knife.
Further, the knife also includes the swing rod and handle of a knife being sequentially connected, and the swing rod is articulated on the lead,
The upper bracing wire and pull-down line are both connected in the swing arm of the swing rod, and the cutter head is located on the front end of the handle of a knife.
Further, the cutter head includes blade and a pair of side edges positioned at the blade both sides, and the cutter head is transversal
Front end of the area along the cutter head gradually increases to the bearing of trend of the rear end of the cutter head.
Further, the cross section of the cutter head is in class triangle.
Further, the blade of the cutter head is oppositely arranged with the branch fastener.
It can be seen from above-mentioned technical scheme that, it is an advantage of the invention that using flexible, simple to operate, traumatic small.
In addition to objects, features and advantages described above, the present invention also has other objects, features and advantages.
Below with reference to figure, the present invention is further detailed explanation.
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 be briefly described, 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.In the accompanying drawings:
Fig. 1 is the partial structural diagram of the present invention.
Fig. 2 is the conduit of the present invention and the scheme of installation of lead.
Fig. 3 is the swing rod and the connection diagram of operating mechanism of the knife of the present invention.
Fig. 4 is the schematic cross sectional views of the service condition of the present invention.
Fig. 5 is the enlarged diagram of Fig. 4 major part.
Fig. 6 is a structural representation of the blade of the knife of the present invention.
Fig. 7 is the another structural representation of the blade of the knife of the present invention.
Marked in figure:Conduit 10, lead 20, the first pilot hole 21, the second pilot hole 22, the 3rd pilot hole 23, peace
Tankage 24, support bar 30, driving silk 31, thick post 32, branch fastener 33, bulb 331, septum primum 40, secondary septum 50, opening 60, knife
70th, handle of a knife 71, swing rod 72, swing arm 721, cutter head 73, blade 731, side edge 732, operating mechanism 80, upper bracing wire 81, upper conduit
811st, pull-down line 82, downcomer 821, guide wheel group 83, the first guide wheel 831, clamping guide wheel 832, stay block 84, seal wire 90.
Embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete
Site preparation is described, it is clear that described embodiment is only a part of embodiment of the invention, rather than whole embodiments.It is based on
Embodiment in the present invention, it is every other that those of ordinary skill in the art are obtained under the premise of creative work is not made
Embodiment, belongs to the scope of protection of the invention.
Embodiment one
Referring to figs. 1 to Fig. 7, a kind of work in patent foramen ovale edge formation wound face as shown in Figure 1, Figure 2 and Figure 3
Tool, including:Conduit 10, lead 20, support bar 30, knife 70, operating mechanism 80 and seal wire 90, the lead 20 is slideably
It is arranged in the conduit 10;The support bar 30 is slidably disposed in the 3rd pilot hole 23 of the lead 20;Institute
The afterbody for stating knife 70 is articulated in the mounting groove 24 of the lead 20;The operating mechanism 80 is used to control the knife 70
Swing angle;One end of the seal wire 90 is connected on the lead 20, and the other end of the seal wire 90 is along the conduit 10
Stretch out, the lead 20 is shunk by operating the seal wire 90 that the lead 20 can be made to be moved along the conduit 10
To in the conduit 10 or being moved to corresponding position and performed the operation, wherein, the outer wall of the lead 20 and the conduit 10
Inwall be in close contact, and the lead 20 outer surface be friction surface, it is to avoid the edge of lead 20 described in surgical procedure
Stainless steel, Nitinol or titanium can be used in the accuracy of the play of the conduit 10 influence operation, the seal wire 90.
As shown in Figure 1, Figure 2 with shown in Fig. 5, the support bar 30 includes driving silk 31, thick post 32 and branch fastener 33, the thick post
32 are slidably arranged on the 3rd pilot hole 23, and one end of the driving silk 31 is connected on the thick post 32, the driving
The other end of silk 31 stretches out along the conduit 10, and the branch fastener 33 is connected on the front end of the thick post 32, wherein,
The branch fastener 33 is curved, and the front end of the branch fastener 33 is provided with a bulb 331, and the extrados of the branch fastener 33 can
Keep out makes the opening 60 being located between septum primum 40 and secondary septum 50 somewhat expand on the side of septum primum 40, the driving silk
31 can be used stainless steel, Nitinol or titanium, and the outer surface of the thick post 32 is rubbing surface, it is to avoid applying power special hour can also
The overshoot of the branch fastener 33 is caused, the position of the thick post 32 is easily controlled, also improves performance accuracy.
As shown in Fig. 1, Fig. 3, Fig. 5, Fig. 6 and Fig. 7, the knife 70 includes swing rod 72, handle of a knife 71 and the cutter head being sequentially connected
73, the cutter head 73 is located at the head of the knife 70, and the swing rod 72 is located at the afterbody of the knife 70, and the swing rod 72 is articulated in
In the mounting groove 24, the cutter head 73 includes blade 731 and a pair of side edges 732 positioned at the both sides of blade 731, the knife
First 73 cross section is in class isosceles triangle, and front end of the cross-sectional area of the cutter head 73 along the cutter head 73 is to the cutter head 73
The bearing of trend of rear end gradually increase, and the angle between a pair of side edges 732 is 2 °~7 °, wherein, the cutter head 73
Blade 731 is oppositely arranged with the branch fastener 33, and the front end of the branch fastener 33 extends to the cutter head 73.
Preferably, the angle between a pair of side edges 732 is 3 °.
As shown in Figure 1, Figure 2 and Figure 3, the operating mechanism 80 include upper bracing wire 81, pull-down line 82, a pair of guide wheel groups 83,
A pair of stay blocks 84, a pair of stay blocks 84 are arranged in the swing arm 721 of the swing rod 72, and a pair of guide wheel groups 83 are articulated in the peace
In tankage 24, and the guide wheel group 83 is located between the afterbody of the knife 70 and the bottom surface of the mounting groove 24, the upper bracing wire
81 and one end of the pull-down line 82 be connected on a pair of stay blocks 84, the other end of the upper bracing wire 81 is wound on a stay block 84
On, and it is outside along the conduit 10 after the upper conduit 811 in the second pilot hole 22 of the lead 20 through being fixedly connected on
Extension, the other end of the pull-down line 82 is wound on another stay block 84, and through being fixedly connected on the of the lead 20
Stretch out after downcomer 821 in one pilot hole 21 along the conduit 10, a pair of guide wheel groups 83 are in order to avoid upper bracing wire 81
It is intertwined with pull-down line 82, by pulling the upper bracing wire 81 or the pull-down line 82 to realize the swing control of the knife 70
System.
A pair of clamping guide wheels 832 that the guide wheel group 83 includes the first guide wheel 831 and is correspondingly arranged, a pair of clamping guide wheels
832 are located between the afterbody of the knife 70 and first guide wheel 831, and the upper bracing wire 81 or pull-down line 82 are pressed from both sides from a pair
Hold in the gap in the middle of guide wheel 832 and pass through, the upper bracing wire 81 and pull-down line 82 are made of stainless steel, Nitinol or titanium,
First guide wheel 831 and a pair of clamping guide wheels 832 make the upper bracing wire 81 or pull-down line 82 S-shaped, outer not applying
In the case of power, S-shaped shape can make the upper bracing wire 81 or pull-down line 82 not produce mobile or play, make the knife 70 keep fixing
State does not change.
As shown in Figure 4 and Figure 5, when deployed, the lead 20 is contracted in described lead in the presence of the seal wire 90
In pipe 10, the front end of the conduit 10 is inserted into inferior caval vein, is reached after specified location, the lead 20 is in the seal wire
Stretched out in the presence of 90, and then drive the knife 70 and the support bar 30 to stretch out, the driving of the support bar 30 is operated first
Silk 31 makes branch fastener 33 mobile to distal end, and keeps out on the side of the septum primum 40, and then slow operation makes the support
First 33 continue mobile to distal end, the front end of the branch fastener 33 is exceeded the head end of the knife 70, expand opening 60, then adjust
The whole upper bracing wire 81 and pull-down line 82 make the knife 70 be maintained at the state of a fixed angle, then pull the driving silk
31, the septum primum 40 is moved in the presence of the blood pressure of atrium sinistrum to atrium dextrum, and the edge of the septum primum 40 can be with the knife
The contact of sword 731 forms the new surface of a wound, because front end of the cross-sectional area of cutter head 73 along the cutter head 73 is to the cutter head 73
The bearing of trend of rear end gradually increases, so the surface of a wound can gradually expand from small to large, not only makes procedure efficiency high, it is thus also avoided that institute
State during knife 70 is exited and other positions are caused to count in, then accelerated using prior art to using medicine on the new surface of a wound
The self-healing of patent foramen ovale, wound, good operation effect will not be also left again.
Embodiment two
Referring to figs. 1 to Fig. 7, a kind of work in patent foramen ovale edge formation wound face as shown in Figure 1, Figure 2 and Figure 3
Tool, including:Conduit 10, lead 20, support bar 30, knife 70, operating mechanism 80 and seal wire 90, the lead 20 is slideably
It is arranged in the conduit 10;The support bar 30 is slidably disposed in the 3rd pilot hole 23 of the lead 20;Institute
The afterbody for stating knife 70 is articulated in the mounting groove 24 of the lead 20;The operating mechanism 80 is used to control the knife 70
Swing angle;One end of the seal wire 90 is connected on the lead 20, and the other end of the seal wire 90 is along the conduit 10
Stretch out, the lead 20 is shunk by operating the seal wire 90 that the lead 20 can be made to be moved along the conduit 10
To in the conduit 10 or being moved to corresponding position and performed the operation, wherein, the outer wall of the lead 20 and the conduit 10
Inwall be in close contact, and the lead 20 outer surface be friction surface, it is to avoid the edge of lead 20 described in surgical procedure
Stainless steel, Nitinol or titanium can be used in the accuracy of the play of the conduit 10 influence operation, the seal wire 90.
As shown in Figure 1, Figure 2 with shown in Fig. 5, the support bar 30 includes driving silk 31, thick post 32 and branch fastener 33, the thick post
32 are slidably arranged on the 3rd pilot hole 23, and one end of the driving silk 31 is connected on the thick post 32, the driving
The other end of silk 31 stretches out along the conduit 10, and the branch fastener 33 is connected on the front end of the thick post 32, wherein,
The branch fastener 33 is curved, and the front end of the branch fastener 33 is provided with a bulb 331, and the extrados of the branch fastener 33 can
Keep out makes the opening 60 being located between septum primum 40 and secondary septum 50 somewhat expand on the side of septum primum 40, the driving silk
31 can be used stainless steel, Nitinol or titanium, and the outer surface of the thick post 32 is rubbing surface, it is to avoid applying power special hour can also
The overshoot of the branch fastener 33 is caused, the position of the thick post 32 is easily controlled, also improves performance accuracy.
As shown in Fig. 1, Fig. 3, Fig. 5, Fig. 6 and Fig. 7, the knife 70 includes swing rod 72, handle of a knife 71 and the cutter head being sequentially connected
73, the cutter head 73 is located at the head of the knife 70, and the swing rod 72 is located at the afterbody of the knife 70, and the swing rod 72 is articulated in
In the mounting groove 24, the cutter head 73 includes blade 731 and a pair of side edges 732 positioned at the both sides of blade 731, the knife
First 73 cross section is in class isosceles triangle, and front end of the cross-sectional area of the cutter head 73 along the cutter head 73 is to the cutter head 73
The bearing of trend of rear end gradually increase, and the angle between a pair of side edges 732 is 2 °~7 °, wherein, the cutter head 73
Blade 731 is oppositely arranged with the branch fastener 33, and the front end of the branch fastener 33 extends to the cutter head 73.
Preferably, the angle between a pair of side edges 732 is 5 °.
As shown in Figure 1, Figure 2 and Figure 3, the operating mechanism 80 include upper bracing wire 81, pull-down line 82, a pair of guide wheel groups 83,
A pair of stay blocks 84, a pair of stay blocks 84 are arranged in the swing arm 721 of the swing rod 72, and a pair of guide wheel groups 83 are articulated in the peace
In tankage 24, and the guide wheel group 83 is located between the afterbody of the knife 70 and the bottom surface of the mounting groove 24, the upper bracing wire
81 and one end of the pull-down line 82 be connected on a pair of stay blocks 84, the other end of the upper bracing wire 81 is wound on a stay block 84
On, and it is outside along the conduit 10 after the upper conduit 811 in the second pilot hole 22 of the lead 20 through being fixedly connected on
Extension, the other end of the pull-down line 82 is wound on another stay block 84, and through being fixedly connected on the of the lead 20
Stretch out after downcomer 821 in one pilot hole 21 along the conduit 10, a pair of guide wheel groups 83 are in order to avoid upper bracing wire 81
It is intertwined with pull-down line 82, by pulling the upper bracing wire 81 or the pull-down line 82 to realize the swing control of the knife 70
System.
A pair of clamping guide wheels 832 that the guide wheel group 83 includes the first guide wheel 831 and is correspondingly arranged, a pair of clamping guide wheels
832 are located between the afterbody of the knife 70 and first guide wheel 831, and the upper bracing wire 81 or pull-down line 82 are pressed from both sides from a pair
Hold in the gap in the middle of guide wheel 832 and pass through, the upper bracing wire 81 and pull-down line 82 are made of stainless steel, Nitinol or titanium,
First guide wheel 831 and a pair of clamping guide wheels 832 make the upper bracing wire 81 or pull-down line 82 S-shaped, outer not applying
In the case of power, S-shaped shape can make the upper bracing wire 81 or pull-down line 82 not produce mobile or play, make the knife 70 keep fixing
State does not change.
As shown in Figure 4 and Figure 5, when deployed, the lead 20 is contracted in described lead in the presence of the seal wire 90
In pipe 10, the front end of the conduit 10 is inserted into inferior caval vein, is reached after specified location, the lead 20 is in the seal wire
Stretched out in the presence of 90, and then drive the knife 70 and the support bar 30 to stretch out, the driving of the support bar 30 is operated first
Silk 31 makes branch fastener 33 mobile to distal end, and keeps out on the side of the septum primum 40, and then slow operation makes the support
First 33 continue mobile to distal end, the front end of the branch fastener 33 is exceeded the head end of the knife 70, expand opening 60, then adjust
The whole upper bracing wire 81 and pull-down line 82 make the knife 70 be maintained at the state of a fixed angle, then pull the driving silk
31, the septum primum 40 is moved in the presence of the blood pressure of atrium sinistrum to atrium dextrum, and the edge of the septum primum 40 can be with the knife
The contact of sword 731 forms the new surface of a wound, because front end of the cross-sectional area of cutter head 73 along the cutter head 73 is to the cutter head 73
The bearing of trend of rear end gradually increases, so the surface of a wound can gradually expand from small to large, not only makes procedure efficiency high, it is thus also avoided that institute
State during knife 70 is exited and other positions are caused to count in, then accelerated using prior art to using medicine on the new surface of a wound
The self-healing of patent foramen ovale, wound, good operation effect will not be also left again.
The preferred embodiments of the present invention are these are only, are not intended to limit the invention, for those skilled in the art
For member, the present invention can have various modifications and variations.Any modification within the spirit and principles of the invention, being made,
Equivalent substitution, improvement etc., should be included in the scope of the protection.