CN108310650A - A kind of recognition methods of pacemaker electrode - Google Patents

A kind of recognition methods of pacemaker electrode Download PDF

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Publication number
CN108310650A
CN108310650A CN201711495537.XA CN201711495537A CN108310650A CN 108310650 A CN108310650 A CN 108310650A CN 201711495537 A CN201711495537 A CN 201711495537A CN 108310650 A CN108310650 A CN 108310650A
Authority
CN
China
Prior art keywords
electrode
fixed pad
pacemaker
different
recognizable
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
CN201711495537.XA
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Chinese (zh)
Inventor
沈伟
陈羽斐
施海明
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.)
Huashan Hospital of Fudan University
Original Assignee
Huashan Hospital of Fudan University
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 Huashan Hospital of Fudan University filed Critical Huashan Hospital of Fudan University
Priority to CN201711495537.XA priority Critical patent/CN108310650A/en
Publication of CN108310650A publication Critical patent/CN108310650A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056Transvascular endocardial electrode systems
    • A61N1/0563Transvascular endocardial electrode systems specially adapted for defibrillation or cardioversion

Abstract

The invention discloses a kind of recognition methods of pacemaker electrode, the pacemaker includes several electrode cables, be the described method comprises the following steps:Equipped with fixed pad on the electrode cable, make the fixed pad that there is recognizable feature;Making to be located at the fixed pad on the different electrode cables has different recognizable features;It is described recognizable to be characterized in color or be shape or be structure composition.It is an advantage of the invention that the type of fixed pad and its corresponding electrode can be differentiated according to color, shape, the various features such as feature that tie groove in operation;Different electrodes are identified convenient for quicklook, avoid maloperation;It can also solve the problems, such as that electrode is embedded in inside of human body and is difficult to differentiate simultaneously.

Description

A kind of recognition methods of pacemaker electrode
Technical field
The invention belongs to medical instruments fields, and in particular to a kind of recognition methods of pacemaker electrode.
Background technology
In the prior art, pacemaker usually has two electrodes, and the original distinguishing mark of electrode includes atrial lead 52cm short, Ventricular lead 58cm long;Electrode end has the identification code of very little, visually observes inconvenience;Fixed steel wire is inserted in hollow electrode, There are 52,58 identification codes in end.But the fixed pad of two electrodes is just the same, without identification function.
The fixed flow of pacemaker electrode implantation:Subclavian vein is punctured, 2 guide wires are respectively fed to;The lower difference of perspective It is sent into avulsion sheath along steel wire, ventricular lead is sent into right ventricular apical, at the auricle of atrial lead to atrium dextrum through sheath;It utilizes Fixed steel wire fixes electrode head end;Withdraw from steel wire, analysis-e/or determining electrode parameter(Threshold value, perception, impedance)Meet mounting bar Part;Finally, electrode ties fixation.
Original distinguishing mark can identify electrode in the preoperative;But pacemaker electrode implant surgery operation is complex, two Root electrode is easy to obscure;After electrode implants and pulls out fixed steel wire, only the identification code of electrode end very little is for knowledge , not very inconvenient.
Invention content
According to the deficiencies of the prior art described above, It is an object of the present invention to provide a kind of identification sides of pacemaker electrode Method, the recognition methods are substantially increased not by the way that the fixed pad with different identification features is arranged on different electrode cables With the identification of electrode cable.
The object of the invention realization is completed by following technical scheme:
A kind of recognition methods of pacemaker electrode, the pacemaker include several electrode cables, are furnished on the electrode cable Fixed pad, the described method comprises the following steps:Make the fixed pad that there is recognizable feature;Make to lead positioned at the different electrodes The fixed pad on line has different recognizable features;It is described recognizable to be characterized in color or be shape or be Structure composition.
It is described it is recognizable be characterized in color, referring to being located at the fixed pad on the different electrode cables has not Same color or the coating with different color or pattern.
The recognizable fixed length padded for being characterized in shape, referring to being located on the different electrode cables It is different or be diameter difference.
The recognizable fixed outside padded for being characterized in structure, referring to being located on the different electrode cables Moulding is different or is that possessed to tie the groove number of turns different.
The pacemaker has two electrode cables, red fixed pad is provided on an electrode cable, end connects Atrium or ventricular lead head end are connect, the fixed pad of blue is in addition provided on an electrode cable, end connects ventricle or atrium Electrode head end.
It is an advantage of the invention that medical personnel in operation can be according to color, shape, a variety of spies such as tie groove Sign differentiates the type of fixed pad and its corresponding electrode;Different electrodes are identified convenient for patient's quicklook, avoid maloperation;Simultaneously It can also solve the problems, such as that electrode is embedded in inside of human body and is difficult to differentiate.
It assigns the fixed pad of electrode to identification function, is beneficial to patient and intuitively quickly identifies Different electrodes, improve operation Efficiency and accuracy.In addition, when pacemaker battery exhausts the secondary replacement of needs, as long as usually location parameter is normal, primary electrode Nothing needs to change;At this moment the identification function of fixed pad can be very good to play a role, and patient can easily identify Different electrodes Type.
Description of the drawings
Fig. 1 is the schematic diagram of pacemaker in the embodiment of the present invention 1;
Fig. 2 is the partial sectional view at A in Fig. 1;
Fig. 3 is the schematic diagram of pacemaker in the embodiment of the present invention 2;
Fig. 4 is the partial sectional view at B in Fig. 3;
Fig. 5 is the schematic diagram of pacemaker in the embodiment of the present invention 3.
Specific implementation mode
The feature of the present invention and other correlated characteristics are described in further detail by embodiment below in conjunction with attached drawing, with Convenient for the understanding of technical staff of the same trade:
As shown in Figs. 1-5, label 1-8 is respectively in figure:Pacemaker 1, electrode cable 2, fixed pad 3, fixed pad 3a, fixed pad 3b, it ties groove 4, colored identification coating 5, tail portion 6, identify that groove 7, electrode head end 8 include atrial lead head end 8a, ventricle electricity Cartridge end 8b.
For the ease of quickly distinguishing the fixation pad 3 on Different electrodes conducting wire 2, need to make on each electrode cable 2 of pacemaker 1 Fixation pad 3 have different recognizable features.
As shown in Figure 1, 2, present invention relates particularly to a kind of recognition methods of pacemaker electrode, pacemaker 1 is connected with two Electrode cable 2 is provided with fixed pad 3a on an electrode cable 2, and end connects atrial lead head end 8a, in addition an electrode Fixed pad 3b is provided on conducting wire 2, end connects ventricular lead head end 8b;(fixed pad 3 is fixed pad 3a and solid to fixed pad 3 Surely the general designation of 3b is padded) in a tubular form, suit is fixed on the periphery of electrode cable 2;The periphery of fixed pad 3, which is surrounded with, ties groove 4。
Embodiment 1:As shown in Figure 1, 2, the present embodiment using structure composition as fixation pad 3 recognizable feature this can know Other feature refers specifically to the external styling difference for the fixation pad 3 being located on Different electrodes conducting wire 2 and fixes what pad 3 had Tie the depth or of different size of groove 4.
The recognition methods of the present embodiment specifically includes following steps:
Fixed pad 3 includes fixed pad 3a and 3b, and being respectively set three on fixed pad 3a and fixed pad 3b ties groove 4, Gu Surely three padded on 3b tie in groove, and selection wherein maximum one of depth or width is defined as identification groove 7, identifies groove 7 depth or width is all higher than other and ties groove 4, and medical personnel can tell identification according to visual or hand sense of touch result Groove 7 and the depth of groove 4 or the difference of width are tied, to the different identification features of each fixed pad of difference 3.
Certainly it will be appreciated by persons skilled in the art that fixed pad 3a and fixed pad 3b have different external stylings, It can also be such that the groove 4 that ties of fixed pad 3a and fixed pad 3b has the different number of turns, such as fixed pad 3a using three circles Groove 4 is tied, and fixes pad 3b and ties groove 4 etc. using four circles;Different moulding can also be embodied in the difference of outer profile, Such as fixed pad 3a is using cylinder or using the thick shape cylinder with a tight waist in intermediate thin both ends, and it is thin to fix thick both ends among pad 3b Drum type cylinder;Different moulding can also be embodied in length difference or diameter difference of different fixed pads etc..
In the present embodiment, it is also contemplated that being used as identification feature, such as fixed pad 3a by changing fixed pad tail structure Tail portion 6 be circle;The tail portion 6 of fixed pad 3b is wedge shape etc..
Embodiment 2:As shown in Figure 3,4, the present embodiment assigns 3 different colors of fixed pad or pattern, can be known with making it have Other feature;In the present embodiment, the fixation pad 3 being located on Different electrodes conducting wire 2 is referred to as can recognize that feature using color Coating with different colors or with different color or pattern;Specifically:
The outer surface setting chromatic colour of fixed pad 3 identifies coating 5, and identification word is provided on colour identification coating 5;Fixed pad 3a Using the colored identification coating 5 of blue, the identification word on colour identification coating 5 is letter A and number 52;Fixed pad 3b is adopted With red colored identification coating 5, colour identifies that the identification word on coating 5 is letter V and number 58;Medical personnel can Fixed pad 3 and its corresponding electrode cable 2 are differentiated according to the number and letter on colored identification coating 5 and its surface.
In the present embodiment, it is three to tie the number of turns of groove 4 on two fixed pads 3.
Embodiment 3:As shown in figure 5, the present embodiment and the main distinction of embodiment 2 are, by fixed pad 3 in the present embodiment Shape as can recognize that feature;In the present embodiment, it using the shape of fixed pad 3 as recognizable feature, refers to being located at not Or diameter different with the length of the fixation pad 3 on electrode cable 2 is different.
Specifically:In the present embodiment, the diameter of fixed pad 3a, which is less than, fixes pad 3b, and the length of fixed pad 3a is more than fixation Pad 3b;In the present embodiment, the surface of two fixed pads 3 is not provided with colored identification coating 5;Tying for each fixed pad 3 is recessed The number of turns of slot 4 is three.
Embodiment 4:In the present embodiment, there are two types of recognizable features for the tool of fixation pad 3 on two electrode cables 2;Fixed pad 3 Recognizable feature include the structure composition in embodiment 1 and the color in embodiment 2;Specifically:
Fixed pad 3a uses the colored identification coating 5 of blue, colour to identify that the identification word on coating 5 is letter A and number 52;The periphery of fixed pad 3a is provided with three and ties groove 4;Fixed pad 3b is using red colored identification coating 5, colour identification Identification word on coating 5 is letter V and number 58;The periphery of fixed pad 3b is provided with three and ties groove 4, and wherein one Item is identification groove 7.
Embodiment 5:In the present embodiment, there are two types of recognizable features for the tool of fixation pad 3 on two electrode cables 2;Fixed pad 3 Recognizable feature include the structure composition in embodiment 1 and the shape in embodiment 3;Specifically:
The periphery of fixed pad 3a is provided with three and ties groove 4;The periphery of fixed pad 3b is provided with three and ties groove 4 and wherein One is identification groove 7;The diameter of fixed pad 3a is less than fixed pad 3b, and the length of fixed pad 3a is more than fixed pad 3b.
The application process of the recognition methods of the present invention is introduced below in conjunction with the accompanying drawings:
As shown in Fig. 1 to 5, during implantable pacemaker 1, first each electrode cable 2 with electrode head end 8 is sent into accordingly The chambers of the heart in and it is fixed, end is connected with pacemaker interface.In the present embodiment, two electrode head ends 8 of pacemaker 1 are respectively Atrial lead head end 8b and ventricular lead head end 8a;The implantation flow of electrode cable includes the following steps:(1)It punctures under clavicle Vein is respectively fed to two guide wires;(2)Under perspective avulsion sheath is sent into along guide wire respectively;(3)Through avulsion sheath by ventricle Electrode 8a is sent to right ventricular apical, and atrial lead 8b is sent to the auricle of atrium dextrum;(4)Using fixed steel wire by electrode tip End is fixed;(5)Withdraw from guide wire, analysis-e/or determining electrode parameter;(6)Each fixed pad 3 and the subcutaneous tissue of patient are stitched It closes.
As shown in Fig. 1 to 5, during the end of each electrode cable 2 and pacemaker 1 are attached, medical worker According to the various recognizable feature recognition electrode cables 2 of fixed pad 3 and connected electrode end, and each electrode is led The end of line 2 and the corresponding interface of pacemaker 1 are attached.
As shown in Figure 1, 2, when the battery depletion of pacemaker 1 needs replacing, medical worker can according to the various of fixed pad 3 Corresponding electrode cable 2 and electrode head end is identified in identification feature, so as to by electrode cable 2 with replace pacemaker 1 It is attached.
The present invention advantageous effects be:Medical personnel in operation can be according to a variety of recognizable of fixed pad Feature resolution, which is fixed, pads corresponding electrode type;Different electrodes are identified convenient for patient's quicklook, avoid maloperation;It also solves simultaneously Electrode of having determined is embedded in the problem of body interior is difficult to differentiate.
It should be pointed out that during implementing this patent, a variety of recognizable features of fixed pad are according to specific needs It can be used alone, also can be used in combination.

Claims (5)

1. a kind of recognition methods of pacemaker electrode, the pacemaker includes several electrode cables, is matched on the electrode cable There is fixed pad, it is characterised in that the described method comprises the following steps:Make the fixed pad that there is recognizable feature;Make to be located at not There is different recognizable features with the fixed pad on the electrode cable;It is described it is recognizable be characterized in color or It is shape or is structure composition.
2. a kind of recognition methods of pacemaker electrode according to claim 1, it is characterised in that the recognizable feature It is color, refers to being located at the fixed pad on the different electrode cables with different colors or with not homochromy Color or pattern coating.
3. a kind of recognition methods of pacemaker electrode according to claim 1, it is characterised in that the recognizable feature It is shape, refers to length difference or be diameter difference that the fixation being located on the different electrode cables is padded.
4. a kind of recognition methods of pacemaker electrode according to claim 1, it is characterised in that the recognizable feature It is structure, refers to external styling difference or be possessed that the fixation being located on the different electrode cables is padded Tie depth of groove or the difference of width.
5. a kind of recognition methods of pacemaker electrode according to claim 1, it is characterised in that the pacemaker has Two electrode cables are provided with red fixed pad on a piece electrode cable, and end connects atrium or ventricular lead head end, in addition The fixed pad of blue is provided on a piece electrode cable, end connects ventricle or atrial lead head end.
CN201711495537.XA 2017-12-31 2017-12-31 A kind of recognition methods of pacemaker electrode Pending CN108310650A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711495537.XA CN108310650A (en) 2017-12-31 2017-12-31 A kind of recognition methods of pacemaker electrode

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711495537.XA CN108310650A (en) 2017-12-31 2017-12-31 A kind of recognition methods of pacemaker electrode

Publications (1)

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CN108310650A true CN108310650A (en) 2018-07-24

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202236888U (en) * 2011-07-28 2012-05-30 陕西秦明医学仪器股份有限公司 Implanted type double-cavity cardiac pacemaker
US20150045864A1 (en) * 2013-08-07 2015-02-12 Boston Scientific Neuromodulation Corporation Systems and methods for making and using segmented tip electrodes for leads of electrical stimulation systems
CN104640513A (en) * 2012-09-18 2015-05-20 波士顿科学医学有限公司 Map and ablate closed-loop cooled ablation catheter
CN105764566A (en) * 2013-09-27 2016-07-13 心脏起搏器股份公司 Labeled implantable medical devices

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202236888U (en) * 2011-07-28 2012-05-30 陕西秦明医学仪器股份有限公司 Implanted type double-cavity cardiac pacemaker
CN104640513A (en) * 2012-09-18 2015-05-20 波士顿科学医学有限公司 Map and ablate closed-loop cooled ablation catheter
US20150045864A1 (en) * 2013-08-07 2015-02-12 Boston Scientific Neuromodulation Corporation Systems and methods for making and using segmented tip electrodes for leads of electrical stimulation systems
CN105764566A (en) * 2013-09-27 2016-07-13 心脏起搏器股份公司 Labeled implantable medical devices

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