CN107753102B - Guide wire insertion device for trigeminal interventional therapy for neurosurgery - Google Patents

Guide wire insertion device for trigeminal interventional therapy for neurosurgery Download PDF

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Publication number
CN107753102B
CN107753102B CN201711177600.5A CN201711177600A CN107753102B CN 107753102 B CN107753102 B CN 107753102B CN 201711177600 A CN201711177600 A CN 201711177600A CN 107753102 B CN107753102 B CN 107753102B
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China
Prior art keywords
heat
guide wire
sleeve
trigeminal
insertion device
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Expired - Fee Related
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CN201711177600.5A
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Chinese (zh)
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CN107753102A (en
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王凯
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00041Heating, e.g. defrosting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00142Coatings on the energy applicator lubricating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00321Head or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/144Wire

Abstract

The invention discloses a guide wire insertion device for trigeminal interventional therapy in neurosurgery, which comprises a guide wire, a heat conduction sleeve, a heat preservation inner shell, a heat preservation outer shell, a loading sheath and a lubricant barrel, wherein the rear end of the heat preservation outer shell is in threaded connection with an input cover; guide wires penetrate through the closed sleeve and the input cover, the heat-preservation outer shell is fixedly connected with the heat-preservation inner shell, a heat conduction sleeve is arranged inside the heat-preservation inner shell, a preheating cavity is formed inside the heat conduction sleeve, and the guide wires penetrate through the preheating cavity; make things convenient for the seal wire to pass closed sleeve pipe, sealed valve clack, preheat chamber, seal wire pipe, emollient chamber in proper order and load the sheath and wear out, preheat the seal wire that passes, cause the spasm condition to take place when avoiding the seal wire to insert trigeminal nerve vascular wall, hydrophilic base emollient coating is on the seal wire surface and evenly is paintd by the cotton layer of coating, and the seal wire male in-process of being convenient for plays fine lubrication action.

Description

Guide wire insertion device for trigeminal interventional therapy for neurosurgery
Technical Field
The invention relates to the technical field of medical instruments, in particular to a guide wire insertion device for trigeminal interventional therapy in neurosurgery.
Background
Trigeminal neuralgia is the most common cranial nerve disease, mainly manifested by paroxysmal sharp pain repeatedly attacking in the region of the distribution of lateral trigeminal nerves, and is mainly manifested by forehead headache, orbital pain, and lateral pain. The pain is mainly severe knife-like pain and is difficult to tolerate. The domestic counted incidence rate is 52.2/10 ten thousand, women are slightly more than men, the incidence rate can increase with the age, the trigeminal neuralgia is more frequent in the middle-aged and the elderly, the right side is more than the left side, and the disease is characterized in that: in the area of the trigeminal nerve of the head and the face, paroxysmal severe pain can be caused by sudden onset, sudden stop, flashlight sample, knife cutting sample, burning sample, obstinate and intolerable severe pain, speech, face washing, tooth brushing or breeze face brushing, even walking, the pain lasts for seconds or minutes, the pain is in periodic attack, and great pain is brought to people.
The etiology and pathogenesis of trigeminal neuralgia have not been clearly defined so far, and all theories cannot perfectly explain the clinical symptoms. For the treatment of this disorder, the following approaches are often used: 1. taking the medicine; 2. acupuncture or massage; 3. and (5) performing surgical treatment.
During the operation, the radio frequency energy is used to ablate trigeminal nerve to treat intractable hypertension, and the key is whether the radio frequency energy is delivered to the position where the trigeminal nerve is distributed accurately. Where insertion of the guide wire is critical. At present, the wire often leads to trigeminal vascular wall spasm condition to take place because cold and cool sense when passing the in-process, and secondly, the lubricated degree of wire surface lubrication layer is not enough, leads to the wire to insert smoothly, consequently, needs further to scribble the emollient on its surface, because the wire diameter is very thin, and conventional emergence can't be accomplished.
Disclosure of Invention
The present invention is directed to a guide wire insertion device for trigeminal interventional therapy in neurosurgery, which solves the above-mentioned problems of the background art.
In order to achieve the purpose, the invention provides the following technical scheme:
a guide wire insertion device for trigeminal interventional therapy in neurosurgery comprises a guide wire, a heat conduction sleeve, a heat insulation inner shell, a heat insulation outer shell, a loading sheath and a lubricant barrel, wherein the rear end of the heat insulation outer shell is in threaded connection with an input cover, and the rear end of the input cover is connected with a closed sleeve; guide wires penetrate through the closed sleeve and the input cover, the heat-preservation outer shell is fixedly connected with the heat-preservation inner shell, a heat conduction sleeve is arranged inside the heat-preservation inner shell, a preheating cavity is formed inside the heat conduction sleeve, and the guide wires penetrate through the preheating cavity; install the wire guide pipe in the heat preservation interior casing of preheating chamber front end, wire guide pipe front end intercommunication emollient chamber, it has hydrophilic base emollient to pour into in the emollient intracavity, and the emollient chamber sets up in the emollient barrel, the outside rubber sleeve that is equipped with of heat preservation interior casing front end, the interior casing front end middle part of heat preservation inserts and has loaded the sheath, and it is equipped with the silica gel seal cover with the anterior junction of heat preservation interior casing to load the sheath.
As a further scheme of the invention: and a sealing valve clack is arranged in the input cover at the front end of the closed sleeve, and the sealing valve clack is a four-flap silica gel film with a cross-shaped opening.
As a further scheme of the invention: the embedded heating wire that has in the heat conduction cover, the heating wire passes through wire electricity connection temperature controller, is equipped with the button of control temperature regulation and controls its switch of break-make electricity and the display screen of demonstration temperature on the temperature controller, preheat the intracavity and install temperature probe, temperature probe and temperature controller are connected.
As a further scheme of the invention: the front part of the lubricant cylinder body is connected with an injection pipe, and the upper end of the injection pipe is connected with a sealing cover.
As a further scheme of the invention: the guide wire is made of high polymer materials or metal materials, the diameter of the guide wire is 0.014-0.026mm, the length of the guide wire is 1400-3600mm, and the surface layer of the guide wire is provided with a PVA coating.
As a further scheme of the invention: the loading sheath is made of transparent PU materials.
Compared with the prior art, the invention has the beneficial effects that: the utility model provides a neurosurgery is with trigeminal intervention treatment's seal wire insertion device makes things convenient for the seal wire to pass closed sleeve pipe, sealed valve clack, preheating chamber, seal wire pipe, emollient chamber in proper order and load the sheath and wear out the in-process of seal wire inserted, heat conduction cover is after the heating of heating wire, and heat evenly distributed is preheating the intracavity, then preheats the seal wire that passes, causes the spasm condition to take place when avoiding the seal wire to insert trigeminal nerve vascular wall to pass the in-process in emollient chamber at the seal wire, hydrophilic base lubricant coating evenly paints on the seal wire surface and by the cotton layer of coating, and the seal wire male in-process of being convenient for plays fine lubrication action.
Drawings
FIG. 1 is a schematic structural diagram of the present invention.
Fig. 2 is a schematic structural diagram of a lubricant cartridge according to the present invention.
Fig. 3 is a schematic structural view of the heat conductive sleeve of the present invention.
In the figure: 1-guide wire, 2-input cover, 3-preheating cavity, 4-heat conducting sleeve, 5-electric heating wire, 6-heat insulating inner shell, 7-heat insulating outer shell, 8-hydrophilic lubricant, 9-rubber sleeve, 10-coated cotton layer, 11-loading sheath, 12-closing sleeve, 13-sealing valve clack, 14-lead, 15-temperature controller, 16-lubricant barrel, 17-guide wire tube, 18-sealing cover, 19-injection tube, 20-silica gel sealing sleeve and 21-lubricant cavity.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 3, in an embodiment of the present invention, a guide wire insertion device for trigeminal interventional therapy in neurosurgery includes a guide wire 1, a heat conduction sleeve 4, a heat preservation inner shell 6, a heat preservation outer shell 7, a loading sheath 11 and a lubricant barrel 16, wherein the rear end of the heat preservation outer shell 7 is in threaded connection with an input cover 2, the rear end of the input cover 2 is connected with a closing sleeve 12, a sealing valve flap 13 is installed in the input cover 2 at the front end of the closing sleeve 12, and the sealing valve flap 13 is a four-flap silicone membrane with a cross-shaped opening; the seal device is characterized in that the seal wire 1 penetrates through the closed sleeve 12 and the input cover 2, when the seal wire 1 penetrates through the seal valve clack 13 in the input cover 2, the four-flap silicone membrane of the seal valve clack 13 is opened and abuts against the outer wall of the seal wire 1, and the seal device is convenient for the seal wire 1 to penetrate and has good sealing performance.
The utility model discloses a heat preservation, including heat preservation shell body 7, heat preservation shell body 6 internally mounted has heat conduction cover 4, and the embedding has heating wire 5 in the heat conduction cover 4, and heating wire 5 passes through 14 electric connection temperature controller 15 of wire, heat conduction cover 4 is inside establishes to preheating chamber 3, it wears to be equipped with seal wire 1 in the chamber 3 to preheat, and is concrete, be equipped with the button of control temperature regulation and control its on-off's switch and the display screen that shows the temperature on temperature controller 15, install temperature probe in preheating chamber 3, temperature probe is connected with temperature controller 15 for detect preheat the interior temperature of chamber 3 and show through temperature controller 15 in real time.
Install wire guide pipe 17 in the heat preservation inner shell 6 of preheating chamber 3 front end, wire guide pipe 17 front end intercommunication lubricant chamber 21, it has hydrophilic base emollient 8 to pour into in the lubricant chamber 21, and lubricant chamber 21 sets up in lubricant barrel 16, lubricant barrel 16 front portion connects filling tube 19, and filling tube 19 upper end is connected with sealed lid 18, opens sealed lid 18 and is convenient for pour into lubricant chamber 21 into hydrophilic base emollient 8 through filling tube 19.
The external portion of the front end of the heat-preservation inner shell 6 is provided with a rubber sleeve 9, the middle portion of the front end of the heat-preservation inner shell 6 is inserted with a loading sheath 11, a silica gel sealing sleeve 20 is arranged at the joint of the loading sheath 11 and the front portion of the heat-preservation inner shell 6, and when the guide wire 1 is used, the guide wire sequentially penetrates through the closed sleeve 12, the sealing valve clack 13, the preheating cavity 3, the guide wire pipe 17, the lubricant cavity 21 and the loading sheath 11 and.
Specifically, the guide wire 1 is made of a polymer material or a metal material, the diameter of the guide wire 1 is 0.014-0.026mm, the length of the guide wire 1 is 1400-3600mm, and the surface layer of the guide wire 1 is provided with a PVA coating.
Load sheath 11 and form for transparent PU material preparation, silica gel seal cover 20 has fine sealed effect, inserts the interior casing 6 front end of heat preservation after loading sheath 11, can completely cut off the air and get into from loading between sheath 11 and the interior casing 6 of heat preservation, places the air admission in the human body.
In the process that 1 male of seal wire, heat-conducting sleeve 4 is after 5 heats of heating wire, and heat evenly distributed preheats intracavity 3, then preheats the seal wire 1 that passes, causes the spasm condition to take place when avoiding 1 inserts the trigeminal nerve vascular wall of seal wire to at the in-process that 1 seal wire passed lubricant chamber 21, hydrophilic base emollient 8 coating is evenly paintd on 1 surface of seal wire and by coating cotton layer 10, the in-process of 1 male of seal wire of being convenient for, plays fine lubrication action.
The present invention is not limited to the above embodiments, and based on the technical solutions disclosed in the present invention, those skilled in the art can make some simple modifications, equivalent changes and modifications to some technical features without creative efforts based on the disclosed technical contents, and all fall into the technical solution of the present invention.
In the description of the present specification, it is to be noted that, unless explicitly stated or limited otherwise, the terms "disposed", "connected" and "connected" are to be construed broadly and may be, for example, fixedly connected, detachably connected, or integrally connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.

Claims (6)

1. A guide wire insertion device for trigeminal interventional therapy in neurosurgery comprises a guide wire (1), a heat conduction sleeve (4), a heat preservation inner shell (6), a heat preservation outer shell (7), a loading sheath (11) and a lubricant barrel (16), and is characterized in that the rear end of the heat preservation outer shell (7) is in threaded connection with an input cover (2), and the rear end of the input cover (2) is connected with a closed sleeve (12); guide wires (1) penetrate through the closed sleeve (12) and the input cover (2), the heat-preservation outer shell (7) is fixedly connected with the heat-preservation inner shell (6) inside, a heat conduction sleeve (4) is installed inside the heat-preservation inner shell (6), a preheating cavity (3) is arranged inside the heat conduction sleeve (4), and the guide wires (1) penetrate through the preheating cavity (3); install guide wire pipe (17) in the heat preservation interior casing (6) of preheating chamber (3) front end, guide wire pipe (17) front end intercommunication emollient chamber (21), it has hydrophilic base emollient (8) to pour into in emollient chamber (21), and emollient chamber (21) set up in emollient barrel (16), the heat preservation interior casing (6) front end outside is equipped with rubber sleeve (9), and the heat preservation interior casing (6) front end middle part inserts and has loaded sheath (11), and the anterior junction of the interior casing (6) of loading sheath (11) and heat preservation is equipped with silica gel seal cover (20).
2. The guide wire insertion device for the interventional treatment of trigeminal nerve in neurosurgery according to claim 1, characterized in that the input cover (2) at the front end of the closing sleeve (12) is internally provided with a sealing valve flap (13), and the sealing valve flap (13) is a four-flap silicone membrane with a cross-shaped opening.
3. The guide wire insertion device for the trigeminal interventional therapy in the neurosurgery according to the claim 2 is characterized in that the heating wire (5) is embedded in the heat conduction sleeve (4), the heating wire (5) is electrically connected with the temperature controller (15) through the lead (14), the temperature controller (15) is provided with a button for controlling temperature regulation, a power switch for controlling the on-off of the temperature controller and a display screen for displaying the temperature, the preheating cavity (3) is internally provided with the temperature probe, and the temperature probe is connected with the temperature controller (15).
4. The guide wire insertion device for the interventional treatment of trigeminal nerve in neurosurgery according to claim 3, wherein the lubricant cylinder (16) is connected with an injection tube (19) at the front part, and the upper end of the injection tube (19) is connected with a sealing cover (18).
5. The guide wire insertion device for the interventional treatment of the trigeminal nerve in the neurosurgery according to the claim 4, wherein the guide wire (1) is made of the polymer material or the metal material, the diameter is 0.014-0.026mm, the length is 1400-3600mm, and the surface layer of the guide wire (1) is provided with the PVA coating.
6. The guide wire insertion device for the trigeminal interventional therapy in the neurosurgery according to the claim 5, characterized in that the loading sheath (11) is made of a transparent PU material.
CN201711177600.5A 2017-11-23 2017-11-23 Guide wire insertion device for trigeminal interventional therapy for neurosurgery Expired - Fee Related CN107753102B (en)

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CN107753102B true CN107753102B (en) 2020-04-10

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113230520B (en) * 2021-06-09 2022-09-06 王�琦 Guide wire insertion device for nerve intervention
CN113368370B (en) * 2021-07-01 2022-09-23 西南医科大学附属医院 Guide wire insertion device for nerve interventional therapy

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1043306A (en) * 1996-08-02 1998-02-17 Asahi Intec Kk Medical guide wire
US6610068B1 (en) * 2000-09-22 2003-08-26 Scimed Life Systems, Inc. Non-flush over-the-wire catheter devices
CN102440840A (en) * 2010-09-24 2012-05-09 泰科保健集团有限合伙公司 Guidewire insertion aid
CN104771824A (en) * 2015-04-01 2015-07-15 西安医学院第二附属医院 Intubation and induction device for renal artery intervention mainly by passing through radial artery

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202458512U (en) * 2012-03-01 2012-10-03 高传强 Operation retractor for thoracic surgery
CN204484114U (en) * 2015-03-05 2015-07-22 任秀英 A kind of capsule gastroscope specific boot pipe
CN205145328U (en) * 2015-11-26 2016-04-13 历艳娟 Anesthesia outfit

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1043306A (en) * 1996-08-02 1998-02-17 Asahi Intec Kk Medical guide wire
US6610068B1 (en) * 2000-09-22 2003-08-26 Scimed Life Systems, Inc. Non-flush over-the-wire catheter devices
CN102440840A (en) * 2010-09-24 2012-05-09 泰科保健集团有限合伙公司 Guidewire insertion aid
CN104771824A (en) * 2015-04-01 2015-07-15 西安医学院第二附属医院 Intubation and induction device for renal artery intervention mainly by passing through radial artery

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