CN107929920B - Perfusion type aortic occlusion double saccule - Google Patents

Perfusion type aortic occlusion double saccule Download PDF

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Publication number
CN107929920B
CN107929920B CN201711313344.8A CN201711313344A CN107929920B CN 107929920 B CN107929920 B CN 107929920B CN 201711313344 A CN201711313344 A CN 201711313344A CN 107929920 B CN107929920 B CN 107929920B
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balloon
catheter
tail end
opening
main catheter
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CN107929920A (en
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陆清声
张昊
景在平
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Shanghai Changhai Hospital
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Shanghai Changhai Hospital
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    • 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
    • A61M25/1011Multiple balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/1204Type of occlusion temporary occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
    • 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
    • A61M25/1011Multiple balloon catheters
    • A61M2025/1013Multiple balloon catheters with concentrically mounted balloons, e.g. being independently inflatable
    • 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
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1072Balloon catheters with special features or adapted for special applications having balloons with two or more compartments
    • 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
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1095Balloon catheters with special features or adapted for special applications with perfusion means for enabling blood circulation while the balloon is in an inflated state or in a deflated state, e.g. permanent by-pass within catheter shaft

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Child & Adolescent Psychology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention provides a perfusion type aortic occlusion double balloon, which adopts a sectional double balloon, and the first balloon is positioned in the upper half area between the lower edge of the left subclavian artery and the abdominal cavity stem, so that the proximal aorta can be blocked, and the blood loss can be controlled to the greatest extent; the second saccule is positioned in the lower half part area between the lower edge of the renal artery and the iliac artery bifurcation, so that important organs such as bilateral lower limbs and the like can be selectively perfused while blood loss between the abdominal cavity trunk and the renal artery is isolated; the liquid perfusion of the relevant area without damage is realized selectively, and the problems of the viscera and limb ischemia are solved.

Description

Perfusion type aortic occlusion double saccule
Technical Field
The invention belongs to the field of medical equipment, and particularly relates to a perfusion type aortic blocking double balloon which is applied to hemostasis of trunk and important viscera hemorrhage under battlefield and emergency conditions.
Background
The current resuscitation aorta occlusion saccule (REBOA) is placed in the corresponding region of the aorta to block blood flow under the condition that the emergency can not completely stop bleeding of the trunk and abdominal organs, so that time is striven for complete operation hemostasis. There are several disadvantages: 1. the far-end aorta blocked by the saccule is completely isolated, and the viscera and limbs of the aorta are in a serious ischemia state, and the aorta is also subjected to ischemia reperfusion injury even after later resuscitation; 2. the partial occlusion balloon (p-REBOA) can have a role in the blood supply to the distal viscera and limbs, but at the same time can cause a hazard of exacerbating blood loss.
Chinese patent application CN106924862a discloses an aortic intracavity dual-level balloon occlusion pressurized infusion system comprising a main catheter, an aortic arch balloon and an aortic distal balloon, and a channel and an injection port for injecting water or gas into the balloon. This patent application, while providing a dual balloon device within the aortic lumen, emphasizes "aortic arch pressurized perfusion" achieved by "transfemoral catheterization," thus innovatively designed and applied to resuscitation of ischemic cardiac arrest CECA). During the occurrence of the sudden cardiac arrest with blood loss, the aortic arch pressurization perfusion is realized by a tube arrangement mode with the direction of aortic blood flow reversed, the reverse pressurization blood flow can be formed in the aortic arch, and the balloon inflation of the aortic arch part temporarily blocks the infusion liquid from running off to the distal end of the aorta, so that the coronary artery can be opened in the shortest time, the myocardial perfusion is improved, the power for the elevation of the blood pressure of the aortic arch part is generated, the cerebral perfusion is improved, and finally, the resuscitation effect of the sudden cardiac arrest with blood loss is improved. Before and after the autonomous circulation is established, the system can selectively inflate and block the aortic cavity in the aortic cavity at the aortic arch part and the far-end bifurcation part of the abdominal aorta respectively, and the blocking part and the time can also select different levels of sacculus emergency inflation blocking according to the CPP recovery condition and the bleeding part.
However, after the balloon inflation is blocked, blood supply to the viscera, limbs and the like at the position between the two balloons and under the far-end balloon cannot be obtained, and the viscera and the limbs which supply blood are in a severe ischemia state for a long time, and even in later resuscitation, the 'ischemia reperfusion' injury can be faced.
Therefore, there is a great need in the art for an irrigatable aortic occlusion double balloon to address the shortcomings of the prior art.
Disclosure of Invention
Aiming at the problems existing in the prior art, the invention provides the perfusable aortic occlusion double balloon, which can avoid the phenomenon of ischemia of the distal limb and the viscera caused by the internationally existing resuscitating balloon, can ensure the functions and the activities of the distal limb and the viscera, and can increase the rescue success rate.
The technical scheme of the invention is as follows: a perfusable aortic occlusion double balloon comprising:
a main catheter having a main catheter infusion outlet at its tip first opening, said main catheter infusion outlet being placed in the aortic lumen of the aortic arch when said main catheter is placed in the aortic lumen, and a tail end leading to the outside of the body being a first tail end infusion port for infusing fluid or blood;
a first balloon connected to a portion below the tip of the main catheter; when the main catheter is placed in the aortic lumen, the first balloon is located in the upper half region between the lower left subclavian artery edge and the trunk of the abdominal cavity;
a first balloon infusion catheter attached to the main catheter; the top end of the first balloon injection catheter is communicated with the first balloon, and the bottom end of the first balloon injection catheter led to the outside is a second tail end injection port for injecting gas or sterile water into the first balloon;
the second saccule is connected to the middle section part of the main catheter; when the main catheter is placed in the aortic lumen, the second balloon is located in the lower half region between the lower edge of the renal artery to the iliac artery bifurcation;
a second balloon infusion catheter attached to the main catheter; the top end of the second balloon injection catheter is communicated with the second balloon, and the bottom end of the second balloon injection catheter led to the outside is a third tail end injection port for injecting gas or sterile water into the second balloon;
the second opening is formed in the main catheter between the first balloon and the second balloon;
a second subsidiary duct attached inside the main duct; the top end of the second auxiliary catheter is connected with the second opening, and the tail end of the second auxiliary catheter led to the outside of the body is a fourth tail end injection port for injecting liquid or blood into the second opening;
a third opening provided in a portion below the second balloon;
a third subsidiary duct attached inside the main duct; the top end of the third auxiliary catheter is connected with the third opening, and the tail end of the third auxiliary catheter led to the outside of the body is a fifth tail end injection port for injecting liquid or blood into the third opening.
Further, the portions of the first balloon injection catheter and the second balloon injection catheter placed outside the body are marked with scales. The aim of controlling the implantation length is achieved, and the accurate implantation position is ensured. The first balloon can be ensured in the upper half area between the lower edge of the left subclavian artery and the abdominal cavity trunk in use, and the second balloon can be ensured in the lower half area between the lower edge of the renal artery and the iliac artery bifurcation.
Further, a pressure pump is arranged in the first tail end injection port, and a branch at the bottom end of the main catheter is connected with a first pressure sensor which receives the pressure in the aortic arch cavity from the top end part of the main catheter and is connected with an external receiving display.
Further, a pressurized injector is installed in the fourth tail end injection port.
Further, the fifth tail end injection port is internally provided with a pressurized injector.
Further, the shapes of the first balloon and the second balloon are round spheres or elliptic cylinder spheres.
Further, the second opening is arranged at a position 1-2cm away from the lower part of the first saccule.
Further, the third opening is arranged at a position 1-2cm away from the lower part of the second saccule.
Furthermore, all the injection ports can be provided with one-way valves or uniform heparin cap interfaces.
The beneficial effects of the invention are as follows:
1. providing a perfusion type aortic occlusion double balloon, adopting a sectional double balloon, positioning a first balloon in the upper half area between the lower edge of the left subclavian artery and the abdominal cavity stem, and blocking the proximal aorta to control blood loss to the greatest extent; the second saccule is positioned in the lower half part area between the lower edge of the renal artery and the iliac artery bifurcation, and can selectively perfuse important organs such as bilateral lower limbs and the like while blood loss between the abdominal cavity trunk and the renal artery is isolated. The liquid perfusion of the relevant area without damage is realized selectively, and the problems of the viscera and limb ischemia are solved;
2. unlike partially blocked small capacity balloons, the present design uses a pressurized syringe, which can be set for timed infusion, or switched to manual infusion.
Drawings
Fig. 1 is a schematic diagram of the overall structure of the present invention.
In the figure: 1 is the main conduit, 2 is the main conduit infusion outlet, 3 is the first tail end injection port, 4 is the first saccule, 5 is the first saccule injection conduit, 6 is the second tail end injection port, 7 is the second saccule, 8 is the second saccule injection conduit, 9 is the third tail end injection port, 10 is the second opening, 11 is the second auxiliary conduit, 12 is the fourth tail end injection port, 13 is the third opening, 14 is the third auxiliary conduit, and 15 is the fifth tail end injection port.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
As shown in fig. 1, the perfusable aortic occlusion double balloon comprises:
a main catheter 1, the top first opening of which is a main catheter infusion outlet 2, the main catheter infusion outlet 2 being placed in the aortic lumen of the aortic arch when the main catheter 1 is placed in the aortic lumen, and the tail end leading to the outside of the body being a first tail end injection port 3 for infusing liquid or blood;
a first balloon 4 connected to a portion below the tip of the main catheter; when the main catheter 1 is placed in the aortic lumen, the first balloon 4 is located in the upper half region between the lower edge of the left subclavian artery and the trunk of the abdominal cavity;
a first balloon infusion catheter 5 attached to said main catheter 1; the top end of the first balloon injection catheter 5 is communicated with the first balloon 4, and the bottom end of the first balloon injection catheter 5 led to the outside is a second tail end injection port 6 for injecting gas or sterile water into the first balloon;
a second balloon 7 connected to a middle section of the main catheter; when the main catheter is placed in the aortic lumen, the second balloon is located in the lower half region between the lower edge of the renal artery to the iliac artery bifurcation;
a second balloon infusion catheter 8 attached to said main catheter 1; the top end of the second balloon injection catheter 8 is communicated with the second balloon 7, and the bottom end of the second balloon injection catheter 8 led to the outside is a third tail end injection port 9 for injecting gas or sterile water into the second balloon;
the second opening 10 is arranged on the main catheter between the first balloon 4 and the second balloon 7 and is 1 cm to 2cm below the first balloon.
A second auxiliary duct 11 attached inside the main duct 1; the top end of the second auxiliary conduit 11 is connected with the second opening 10, and the tail end of the second auxiliary conduit 11 led to the outside is a fourth tail end injection port 12 for injecting liquid or blood into the second opening;
and a third opening 13 which is arranged at the part below the second balloon and is 1-2cm away from the position below the second balloon.
A third auxiliary duct 14 attached inside said main duct 1; the top end of the third auxiliary conduit 14 is connected with the third opening 13, and the tail end of the third auxiliary conduit 14 led to the outside is a fifth tail end injection port 15 for injecting liquid or blood into the third opening.
As a preferred embodiment, the portions of the first balloon injection catheter and the second balloon injection catheter that are placed outside the body are marked with graduations. The aim of controlling the implantation length is achieved, and the accurate implantation position is ensured. The first balloon can be ensured in the upper half area between the lower edge of the left subclavian artery and the abdominal cavity trunk in use, and the second balloon can be ensured in the lower half area between the lower edge of the renal artery and the iliac artery bifurcation.
The first tail end injection port 3 is internally provided with a pressure pump, and a branch at the bottom end of the main catheter is connected with a first pressure sensor which receives the pressure in the aortic arch cavity from the top end part of the main catheter and is connected with an external receiving display. The fourth end injection port 12 is filled with a pressurized syringe, and the fifth end injection port 15 is filled with a pressurized syringe. The device can be set to be filled in a timing mode or can be switched to be filled manually in a manual mode.
The shapes of the first balloon 4 and the second balloon 7 can be designed into a sphere or an elliptic cylinder according to the requirements.
All the injection ports mentioned above can be provided with one-way valves or with a uniform heparin cap interface.
This design adopts two sacculus of tandem connection sectional type, and after two sacculus expansion simultaneously, isolated into three sections with the aorta: 1. ascending aorta, aortic arch, descending aorta to first balloon; 2. the first balloon is arranged below the second balloon; 3. the second balloon is below to the iliac artery. Since most of trunk and organ blood loss is from the trunk of the abdominal cavity and the renal artery at present, and the area between the saccule 1 and the saccule 2 comprises all of the trunk of the abdominal cavity and the renal artery, the first saccule and the second saccule can isolate the blood loss between the trunk of the abdominal cavity and the renal artery after being in place and expanded at the same time. The lower parts of the first balloon and the second balloon are respectively provided with a perfusion opening which can be opened and perfused at any time, and the perfusion openings are used for carrying out timing perfusion on blood loss areas and simultaneously carrying out continuous perfusion blood supply on the two-side iliac arteries and the lower limb blood vessels below the second balloon.
Through the operation, the blood loss of the trunk and the important viscera can be effectively controlled, and simultaneously the perfusion of the far-end lower limbs is finished, so that the ischemia injury of the trunk and the important viscera is avoided.
The foregoing is merely a preferred embodiment of the present invention and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present invention, which are intended to be comprehended within the scope of the present invention.

Claims (3)

1. The utility model provides a two sacculus are blocked to pourable aorta which characterized in that: comprising the following steps:
a main catheter (1) with a first opening at the top end being a main catheter infusion outlet (2), the main catheter infusion outlet (2) being placed in the aortic lumen of the aortic arch when the main catheter (1) is placed in the aortic lumen, and a tail end leading to the outside of the body being a first tail end injection port (3) for infusing liquid or blood;
a first balloon (4) connected to a portion below the tip of the main catheter; when the main catheter (1) is placed in the aortic cavity, the first balloon (4) is positioned in the upper half area between the lower edge of the left subclavian artery and the trunk of the abdominal cavity;
a first balloon infusion catheter (5) attached to the main catheter (1); the top end of the first balloon injection catheter (5) is communicated with the first balloon (4), and the bottom end of the first balloon injection catheter (5) led to the outside is a second tail end injection port (6) for injecting gas or sterile water into the first balloon;
a second balloon (7) connected to a middle section of the main catheter; when the main catheter is placed in the aortic lumen, the second balloon is located in the lower half region between the lower edge of the renal artery to the iliac artery bifurcation;
a second balloon infusion catheter (8) attached to the main catheter (1); the top end of the second balloon injection catheter (8) is communicated with the second balloon (7), and the bottom end of the second balloon injection catheter (8) led to the outside is a third tail end injection port (9) for injecting gas or sterile water into the second balloon;
a second opening (10) which is arranged on the main catheter between the first balloon (4) and the second balloon (7);
a second auxiliary duct (11) attached inside the main duct (1); the top end of the second auxiliary conduit (11) is connected with the second opening (10), and the tail end of the second auxiliary conduit (11) led to the outside is a fourth tail end injection port (12) for injecting liquid or blood into the second opening;
a third opening (13) which is formed in a portion below the second balloon;
a third auxiliary duct (14) attached inside the main duct (1); the top end of the third auxiliary conduit (14) is connected with the third opening (13), and the tail end of the third auxiliary conduit (14) led to the outside is a fifth tail end injection port (15) for injecting liquid or blood into the third opening;
the parts of the first balloon injection catheter (5) and the second balloon injection catheter (8) which are arranged outside the body are marked with scales;
a pressure pump is arranged in the first tail end injection port (3), a branch at the bottom end of the main catheter is connected with a first pressure sensor, and the pressure sensor is used for receiving the pressure in an aortic arch cavity from the top end part of the main catheter and is connected with an external receiving display;
a pressurized injector is arranged in the fourth tail end injection port (12);
a pressurizing injector is arranged in the fifth tail end injection port (15);
the second opening (10) is arranged at a position 1-2cm away from the lower part of the first balloon (4);
the third opening (13) is arranged at a position 1-2cm away from the lower part of the second saccule (7).
2. The perfusable aortic occlusion double balloon according to claim 1, wherein: the shape of the first balloon (4) and the second balloon (7) is a sphere or an elliptic cylinder.
3. The perfusable aortic occlusion double balloon according to claim 1, wherein: all the injection ports can be provided with one-way valves or uniform heparin cap interfaces.
CN201711313344.8A 2017-12-11 2017-12-11 Perfusion type aortic occlusion double saccule Active CN107929920B (en)

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* Cited by examiner, † Cited by third party
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CN108888854A (en) * 2018-09-03 2018-11-27 南京微创医学科技股份有限公司 A kind of double sacculus perfusion conduits of interval adjustable and its application method
CN110237404A (en) * 2019-07-03 2019-09-17 江苏大学附属医院 A kind of dual balloon catheter with pigtail
CN110327531A (en) * 2019-07-18 2019-10-15 北京大学深圳医院 A kind of percutaneous intervention myocardial preservation perfusion conduit
CN110478604A (en) * 2019-09-17 2019-11-22 四川大学华西医院 A kind of interior shunt tube maintaining the blood supply of abdominal viscera artery
CN111053954A (en) * 2020-01-13 2020-04-24 无锡圣诺亚科技有限公司 Tube sac system placed in aorta for assisting heart pumping

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Publication number Priority date Publication date Assignee Title
US5090958A (en) * 1988-11-23 1992-02-25 Harvinder Sahota Balloon catheters
US5413558A (en) * 1991-09-09 1995-05-09 New York University Selective aortic perfusion system for use during CPR
US5505701A (en) * 1993-11-22 1996-04-09 Anaya Fernandez De Lomana; Eugenio F. Intra-aortic balloon catheter
US6190304B1 (en) * 1999-07-13 2001-02-20 University Of North Texas Health Science Center At Fort Worth Enhanced intra-aortic balloon assist device
KR20160086672A (en) * 2015-01-12 2016-07-20 인제대학교 산학협력단 Perfusion device for organ harvest surgery
CN106924862A (en) * 2017-03-29 2017-07-07 南方医科大学南方医院 Double horizontal balloon occlusion pressurization infusion systems in aorta lumen
CN208660114U (en) * 2017-12-11 2019-03-29 上海长海医院 It can the double sacculus of filling type aorta clamping

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5090958A (en) * 1988-11-23 1992-02-25 Harvinder Sahota Balloon catheters
US5413558A (en) * 1991-09-09 1995-05-09 New York University Selective aortic perfusion system for use during CPR
US5505701A (en) * 1993-11-22 1996-04-09 Anaya Fernandez De Lomana; Eugenio F. Intra-aortic balloon catheter
US6190304B1 (en) * 1999-07-13 2001-02-20 University Of North Texas Health Science Center At Fort Worth Enhanced intra-aortic balloon assist device
KR20160086672A (en) * 2015-01-12 2016-07-20 인제대학교 산학협력단 Perfusion device for organ harvest surgery
CN106924862A (en) * 2017-03-29 2017-07-07 南方医科大学南方医院 Double horizontal balloon occlusion pressurization infusion systems in aorta lumen
CN208660114U (en) * 2017-12-11 2019-03-29 上海长海医院 It can the double sacculus of filling type aorta clamping

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