CN107684659A - Ecmo用双腔双心房插管 - Google Patents

Ecmo用双腔双心房插管 Download PDF

Info

Publication number
CN107684659A
CN107684659A CN201610638934.7A CN201610638934A CN107684659A CN 107684659 A CN107684659 A CN 107684659A CN 201610638934 A CN201610638934 A CN 201610638934A CN 107684659 A CN107684659 A CN 107684659A
Authority
CN
China
Prior art keywords
ecmo
intubated
patient
chamber
present
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.)
Pending
Application number
CN201610638934.7A
Other languages
English (en)
Inventor
不公告发明人
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Jiawei Technology Development Co Ltd
Original Assignee
Beijing Jiawei Technology Development Co Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Beijing Jiawei Technology Development Co Ltd filed Critical Beijing Jiawei Technology Development Co Ltd
Priority to CN201610638934.7A priority Critical patent/CN107684659A/zh
Publication of CN107684659A publication Critical patent/CN107684659A/zh
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1678—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes intracorporal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1698—Blood oxygenators with or without heat-exchangers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M25/007—Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • A61M2025/0037—Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/04—Liquids
    • A61M2202/0413—Blood
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/12—Blood circulatory system
    • A61M2210/125—Heart

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Urology & Nephrology (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Biophysics (AREA)
  • Vascular Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

本发明涉及医疗器材领域，主要提供一种体外膜式氧合(ECMO)插管。ECMO目前主要应用于重症循环或呼吸终末期衰竭的治疗，将静脉血从患者体内引出，在体外经ECMO氧合后输入到患者的静脉或动脉内，一般均需要两处插管，会造成患者过多损伤。同时由于插管方式的限制并不能将静脉血完全氧合，存在再循环现象，影响ECMO的治疗效果。为了解决此问题，本发明提供一种双腔双心房插管，通过房间隔穿刺技术，将插管经静脉置入后，经房间隔将插管头端置入左心房，插管近端侧孔置于右心房，以单根双腔插管实现转流模式并有效避免再循环的发生，提高氧合效率对患者的顺利康复极为有利。

Description

ECMO用双腔双心房插管
技术领域
本发明涉及医疗器材领域，具体涉及一种ECMO用双腔双心房插管装置。
背景技术
目前临床上使用的体外膜式氧合(ECMO)技术已广泛应用于重症循环或呼吸衰竭等患者的支持治疗，一般均需要双插管(流入道/流出道)，穿刺或切开两处置管部位加重患者痛苦及出血感染风险，且插管时间长，耽误抢救时间。特别是VV-ECMO插管方式的限制，血液的引流和输入均在右心系统，并不能将静脉血完全氧合，存在再循环现象，出现氧合效果不佳，影响患者预后。
发明内容
本发明提供一种ECMO用双腔双心房插管。将插管鞘芯(8)与插管组装后，通过房间隔穿刺技术将插管经静脉系统置入左心房，插管头端开口(3)及头端侧孔(1)位于左心房，后端侧孔(4)位于右心房，显影环(2)位于房间隔部位，开始ECMO转流。转流中，静脉血经后端侧孔(4)及体外流出道接口(1)引流至ECMO进行氧合后，氧合血经插管体外流入道接口(6)，及头端开口(3)、侧孔(1)回流入左心房。由于只需一根插管完成ECMO转流，减少了患者穿刺的部位，减少患者痛苦，节省时间。提高了抢救成功率。同时该插管方式是将右心的静脉血引出，氧合后输入左心房内，通过房间隔的阻隔，有效避免再循环，提高氧合效率，对患者的顺利康复极为有利。
为实现上述目的，本发明采用的技术方案为：一种ECMO用双腔双心房插管，包括外层管腔、前端带有侧孔(1)、外层管腔前端有开口(3)，外层管腔内有一带侧孔的内层管腔(4)，双腔插管经管尾(5)处分离成两根独立接口(7)和(6)，在内层套管前端设计有可显影标记环(2)以及插管专用鞘芯(8)组成。
与现有技术相比，本发明具有的优点和效果如下：集成一体化双腔双心房插管结构，插管位置标记明确，有效性高，减少患者组织损伤，可有效避免再循环，提高氧合效率。
附图说明
图1是ECMO用双腔双心房插管示意图。包括：外层管腔前端侧孔(1)；可显影标记环(2)；插管外层前端开口(3)；带侧孔内层管腔(4)；双腔插管管尾(5)；独立套管标准接头(6)；独立套管标准接头(7)；中空专用鞘芯(8)。

Claims (3)

1.ECMO用双腔双心房插管结构包括外层套管前端侧孔外层管腔前端侧孔(1)；可显影标记环(2)；插管外层前端开口(3)；带侧孔内层管腔(4)；双腔插管管尾(5)；独立套管标准接头(6)；独立套管标准接头(7)。中空专用鞘芯(8)。
2.套管前端在(1)(3)和(4)之间设计有可显影标记环(2)。
3.双腔管自尾端(5)分离成各自独立的双腔接口(6)、(7)。
CN201610638934.7A 2016-08-05 2016-08-05 Ecmo用双腔双心房插管 Pending CN107684659A (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610638934.7A CN107684659A (zh) 2016-08-05 2016-08-05 Ecmo用双腔双心房插管

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610638934.7A CN107684659A (zh) 2016-08-05 2016-08-05 Ecmo用双腔双心房插管

Publications (1)

Publication Number Publication Date
CN107684659A true CN107684659A (zh) 2018-02-13

Family

ID=61151176

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610638934.7A Pending CN107684659A (zh) 2016-08-05 2016-08-05 Ecmo用双腔双心房插管

Country Status (1)

Country Link
CN (1) CN107684659A (zh)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110559539A (zh) * 2019-08-20 2019-12-13 安徽通灵仿生科技有限公司 一种用于左心室辅助治疗的导管
CN110665079A (zh) * 2019-08-20 2020-01-10 安徽通灵仿生科技有限公司 一种经皮介入的左心室辅助装置
CN112643989A (zh) * 2020-11-30 2021-04-13 东莞科威医疗器械有限公司 双腔管的成型工艺及双腔管
WO2022146366A1 (en) * 2020-12-31 2022-07-07 Istanbul Medipol Universitesi Teknoloji Transfer Ofisi Anonim Sirketi A double lumen, multiple-outflow, multiple-inflow veno venous ecmo (extracorporeal membrane oxygenation) cannula
CN114984418A (zh) * 2022-06-27 2022-09-02 首都医科大学附属北京安贞医院 Ecmo双腔肺动脉右房插管

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6264645B1 (en) * 1997-08-14 2001-07-24 Medtronic, Inc. Method of pressurizing the right ventricle of the heart
US20050085761A1 (en) * 2003-08-25 2005-04-21 Dongfang Wang Single expandable double lumen cannula assembly for veno-venous ECMO
WO2016054543A1 (en) * 2014-10-02 2016-04-07 Cardiac Assist, Inc. Va ecmo with pulmonary artery ventilation

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6264645B1 (en) * 1997-08-14 2001-07-24 Medtronic, Inc. Method of pressurizing the right ventricle of the heart
US20050085761A1 (en) * 2003-08-25 2005-04-21 Dongfang Wang Single expandable double lumen cannula assembly for veno-venous ECMO
WO2016054543A1 (en) * 2014-10-02 2016-04-07 Cardiac Assist, Inc. Va ecmo with pulmonary artery ventilation

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110559539A (zh) * 2019-08-20 2019-12-13 安徽通灵仿生科技有限公司 一种用于左心室辅助治疗的导管
CN110665079A (zh) * 2019-08-20 2020-01-10 安徽通灵仿生科技有限公司 一种经皮介入的左心室辅助装置
CN112643989A (zh) * 2020-11-30 2021-04-13 东莞科威医疗器械有限公司 双腔管的成型工艺及双腔管
WO2022146366A1 (en) * 2020-12-31 2022-07-07 Istanbul Medipol Universitesi Teknoloji Transfer Ofisi Anonim Sirketi A double lumen, multiple-outflow, multiple-inflow veno venous ecmo (extracorporeal membrane oxygenation) cannula
CN114984418A (zh) * 2022-06-27 2022-09-02 首都医科大学附属北京安贞医院 Ecmo双腔肺动脉右房插管
CN114984418B (zh) * 2022-06-27 2023-06-30 首都医科大学附属北京安贞医院 Ecmo双腔肺动脉右房插管

Similar Documents

Publication Publication Date Title
CN107684659A (zh) Ecmo用双腔双心房插管
US7135008B2 (en) Method and apparatus for ultrafiltration utilizing a peripheral access dual lumen venous cannula
US6685664B2 (en) Method and apparatus for ultrafiltration utilizing a long peripheral access venous cannula for blood withdrawal
US9233223B2 (en) Coaxial venal cannula
WO2016041220A1 (zh) 一种左心室辅助装置
US8197465B2 (en) Magnet cuff for vascular catheters and bloodlines
CN204147329U (zh) 一种左心室辅助装置
US20160303307A1 (en) Ultrasound-guided vascular device for extracorporeal membrane oxygenation
CN213158829U (zh) 一种双腔气囊v-v ecmo插管
CN116271298A (zh) 一种房间隔穿刺双腔va-ecmo插管
US10357637B2 (en) Cannula assembly for fitting a flow cannula for introducing, circulating or diverting flow media, and method for extracorporeal support of a patient with pulmonary hypertension or pulmonary insufficiency
CN208726531U (zh) 一种具有金属网管的静脉插管
CN215537133U (zh) 连接vva-ecmo和/或vav-ecmo的颈内静脉引流回流插管
CN215608125U (zh) 带球囊的静脉插管
CN206138468U (zh) 引流管
CN211132392U (zh) 经皮左心引流管
CN113521419A (zh) 连接vva-ecmo和/或vav-ecmo的颈内静脉引流回流插管
CN112915288A (zh) 带球囊的静脉插管
KR102674914B1 (ko) 정맥용 카테터
CN206404093U (zh) 一种辅助循环用双向动脉导管、控制系统
CN206007675U (zh) 一种心脏介入引流装置
CN214969866U (zh) 大腔抽吸装置
CN219614553U (zh) 一种ecmo-iabp一体化动脉插管
CN214181309U (zh) 一种带水囊体外膜肺氧合插管
CN217245816U (zh) 用于ecmo的动脉插管

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20180213

WD01 Invention patent application deemed withdrawn after publication